督脉中行二十七，长强、腰俞、阳关密，命门、悬枢接脊中，筋缩、至阳、灵台逸，
顶、囟会、上星圆，神庭、素 、水沟窟，兑端开口唇中央，龈交唇内任督毕（二十七穴）。
此经不取井荥俞合也。
脉起下极之 ，并于脊里，上至风府，入脑上巅，循额至鼻柱，属阳脉之海。以人之脉
络，周流于诸阳之分，譬犹水也，而督脉则为之都纲，故名曰海焉。用药难拘定法，针灸贵
要知任督二脉一功，先将四门外闭，两目内观。默想黍米之珠，权作黄庭之主。却乃徐
徐咽气一口，缓缓纳入丹田。冲起命门，引督脉过尾闾，而上升泥丸；追动性元，引任脉降
楼，而下返气海。二脉上下，旋转如圆；前降后升，络绎不绝。心如止水，身似空壶，即将
谷道轻提，鼻息渐闭。倘或气急，徐徐咽之；若仍神昏，勤加注想。意倦放参。久而行之，
关窍自开，脉络流通，百病不作。广成子曰∶丹灶河车休 。此之谓也。督任原是通
真路，丹经设作许多言，予今指出玄机理，但愿人人寿万年！
长强（一名气之阴邪，一名橛骨）∶脊 骨端计三分，伏地取之。足少阴、少
阳之会。督脉络，别走任脉。《铜人》针三分，转针以大痛为度。灸不及针，日灸三十
壮，止二百壮，此痔根本。《甲乙》针二分，留七呼。《明堂》灸五壮。
主肠风下血，久痔 ，腰脊痛、狂病，大小便难，头重，洞泄，五淋，疳蚀下部，小儿
囟陷，惊痫螈 ，呕血，惊恐失精，瞻视不正。慎冷食，房劳。
腰 （一名背解，一名髓孔，一名腰柱，一名腰户）∶二十一椎下宛宛中，以挺
身伏地舒身，两手相重支额，纵四体后，乃取其穴。《铜人》针八分，留三呼，泻五吸
。灸七壮，至七七壮。慎房劳、举重强力。《明堂》
主腰 腰脊痛，不得俯仰，温疟汗不出，足痹不仁，伤寒四肢热不已，妇人月水闭，溺
阳关∶十六椎下，坐而取之。《铜人》针五分，灸三壮。
主膝外不可屈伸，风痹不仁，筋挛不行。
命门（一名属累）∶十四椎下，伏而取之。《铜人》针五分，灸三壮。
主头痛如破，身热如火，汗不出，寒热 疟，腰脊相引痛，骨蒸五脏热，小儿发痫，
张口摇头，身反折角弓。
悬枢∶十三椎下，伏而取之。《铜人》针三分，灸三壮。
主腰脊强不得屈伸，积气上下行，水谷不化，下利，腹中留积。
脊中（一名神宗，一名脊俞）∶十一椎下，俯而取之。
《铜人》针五分，得气即泻。禁灸，灸之令人腰伛偻。
主风痫癫邪，黄胆，腹满
，不嗜食，五痔便血，温病，积聚，下利，小儿脱肛。
筋缩∶九椎下，俯而取之。《铜人》针五分，灸三壮。《明下》灸七壮。
主癫疾狂走，脊急强，目转反戴，上视，目瞪，痫病多言，心痛。
至阳∶七椎下，俯而取之。《铜人》针五分，灸三壮。《明下》灸七壮。
主腰脊痛，胃中寒气，不能食，胸胁支满，身羸瘦，背中气上下行，腹中鸣，寒热解
，淫泺胫酸，四肢重痛，少气难言，卒疰忤，攻心胸。
灵台∶六椎下，俯而取之。《铜人》缺治病。见《素问》。今俗灸之，以治
气喘不能卧，火到便愈。禁针。
神道∶五椎下，俯而取之。《铜人》灸七七壮，止百壮，禁针。《明下》灸
三壮，针五分。《千金》灸五壮。
主伤寒发热，头痛，进退往来， 疟，恍惚，悲愁健忘，惊悸。失欠、牙车蹉，张口
不合。小儿风 ，螈 ，可灸七壮。
身柱∶三椎下，俯而取之。《铜人》针五分，灸七七壮，止百壮，《明堂》
灸五壮。《下经》灸三壮。
主腰脊痛，癫病狂走，螈 ，怒欲杀人。身热，妄言见鬼，小儿惊痫。
《难经》云∶治洪长伏三脉。风痫发狂，恶人与火，灸三椎，九椎。
陶道∶一椎下，俯而取之。足太阳、督脉之会。《铜人》灸五壮，针五分
主 疟寒热，洒淅脊强，烦满，汗不出，头重，目瞑，螈 ，恍惚不乐。
大椎∶一椎上，陷者宛宛中。手足三阳、督脉之会。《铜人》针五分，留三
呼，泻五吸，灸以年为壮。
主肺胀胁满，呕吐上气，五劳七伤，乏力，温疟 疟，气注背膊拘急，颈项强不得回
顾，风劳食气、骨热，前板齿燥。
仲景曰∶太阳与少阳并病，颈项强痛或眩冒，时如结胸，心下痞硬者，当刺大椎第一间
哑门（一名舌厌，一名舌横，一名喑门）∶项后入发际五分，项中央宛宛中，
仰头取之。督脉，阳维之会。入系舌本。《素注》针四分；《铜人》针二分，可绕针八
分，留三呼，泻五吸，泻尽更留针取之。
主舌急不语，重舌，诸阳热气盛，衄血不止，寒热风哑，脊强反折，螈 癫疾，头重
风府（一名舌本）∶项后入发际一寸，大筋内宛宛中，疾言其肉立起，言休立
下。足太阳、督脉、阳维之会
。《铜人》针三分，禁灸，灸之使人失音。《明堂》针四分，留三呼。《素注》针四分。
主中风，舌缓不语，振寒汗出，身重恶寒，头痛，项急不得回顾，偏风半身不遂，鼻衄
，咽喉肿痛，伤寒狂走欲自杀，目妄视。头中百病，马黄黄胆。
疟论曰∶邪客于风府，循膂而下。卫气一日夜大会于风府，明日日下一节，故其作晏。
每至于风府，则腠理开；腠理开，则邪气入；邪气入，则病作，以此日作稍益晏也。其出于
风府，日下一节，二十五日下至 骨，二十六日入于脊内，故日作益晏也。
昔魏武帝患伤风项急，华佗治此穴得效。
脑户（一名合颅）∶枕骨上，强间后一寸半。足太阳、督脉之会。《铜人》禁
灸，灸之令人哑。《明堂》针三分。《素注》针四分。《素问》刺脑户
主面赤目黄，面痛，头重肿痛，瘿瘤。此穴针灸俱不宜。
强间（一名大羽）∶后顶后一寸半。《铜人》针二分，灸七壮。《明堂》灸五壮
主头痛目眩。脑旋烦心，呕吐涎沫。项强左右不得回顾，狂走不卧。
后顶（一名交冲）∶百会后一寸半，枕骨上。《铜人》灸五壮，针二分，《明
堂》针四分。《素注》针三分。
主头项强急，恶风寒，风眩，目KT KT ，额颅上痛，历节汗出，狂走癫疾不卧，痫发
螈，头偏痛。
百会（一名三阳，一名五会，一名巅上，一名天满）∶前顶后一寸五分，顶中
央旋毛中，可容豆，直两耳尖。性理北溪陈氏曰∶略退些子，犹
天之极星居北。手足三阳，督脉之会。《素注》针二分。《铜人》灸七壮，止七七壮。
凡灸头顶，不得过七壮，缘头顶皮薄，灸不宜多。针二分，得气即泻。又《素注》针四分。
主头风中风，言语謇涩，口噤不开，偏风半身不遂，心烦闷，惊悸健忘，忘前失后，心
神恍惚，无心力， 疟，脱肛，风痫，青风，心风，角弓反张，羊鸣多哭，语言不择，发
时即死，吐沫，汗出而呕，饮酒面赤，脑重鼻塞，头痛目眩，食无味，百病皆治。
虢太子尸厥，扁鹊取三阳五会，有间太子苏。唐高宗头痛，秦鸣鹤曰∶宜刺百会出血。
武后曰∶岂有至尊头上出血之理。已而刺之，微出血，立愈。
前顶∶囟会后一寸半，骨间陷中。《铜人》针一分，灸三壮，止七七壮。《
主头风目眩，面赤肿，水肿，小儿惊痫，螈 ，发即无时，鼻多清涕，顶肿痛。
囟会∶上星后一寸陷中。《铜人》灸二七壮，至七七壮。初灸不痛，病去即
痛，痛止灸。若是鼻塞，灸至四日渐
退，七日顿愈。针二分，留三呼，得气即泻。八岁以下不可针，缘囟门未合，刺之恐伤其骨
，令人夭。《素注》针四分。
主脑虚冷，或饮酒过多，脑疼如破，衄血，面赤暴肿，头皮肿。生白屑风，头眩，颜青
目眩，鼻塞不闻香臭，惊悸目戴上不识人。
上星（一名神堂）∶神庭后，入发际一寸陷中，容豆。《素注》针三分，留六呼
，灸五壮。《铜人》灸七壮。以细三棱针，宣泄诸阳热气，无
主面赤肿，头风，头皮肿，面虚，鼻中息肉，鼻塞头痛， 疟振寒，热病汗不出。目
眩，目睛痛，不能远视。口鼻出血不止。不宜多灸。恐拔气上，令人目不明。
神庭∶直鼻上入发际五分。足太阳、督脉之会。《素注》灸三壮。《铜人》灸二
七壮，止七七壮
主登高而歌，弃衣而走。角弓反张，吐舌，癫疾风痫，目上视不识人，头风目眩，鼻
出清涕不止，目泪出。惊悸不得安寝，呕吐烦满。寒热头痛，喘渴。
岐伯曰∶凡欲疗风，勿令灸多。缘风性轻，多即伤，惟宜灸七壮，至三七壮止。张子和
曰∶目肿、目翳，针神庭，上星，囟会，前顶，翳者可使立退，肿者可使立消。
素 （一名面正）∶鼻柱上端准头。此穴诸方阙治。《外台》不宜灸，针一分
。《素注》针三分。
主鼻中息肉不消，多涕，生疮鼻窒，喘息不利，鼻 ，鼽衄。
水沟（一名人中）∶鼻柱下，沟中央，近鼻孔陷中。督脉、手足阳明之会。《素
注》针三分，留六呼，灸三壮。《铜人》针四分，留五呼，得气即泻，灸不及针，
日灸三壮。《明堂》日灸三壮，至二百壮。《下经》灸五壮。
主消渴，饮水无度，水气遍身肿。失笑无时，癫痫语不识尊卑，乍哭乍喜，中风口噤，
牙关不开。面肿唇动，状如虫行。卒中恶，鬼击，喘喝，目不可视，黄胆马黄，瘟疫，通身
黄，口 。灸不及针，艾炷小雀粪大。水面肿，针此一穴，出水尽即愈。
兑端∶唇上端。《铜人》针二分，灸三壮。
主癫疾吐沫，小便黄，舌干消渴，衄血不止，唇吻强，齿龈痛，鼻塞，痰涎，口噤鼓颔
。炷如大麦。
龈交∶唇内齿上龈缝中。任，督，足阳明之会。《铜人》针三分，灸三壮。
主鼻中息肉，蚀疮，鼻塞不利，额 中痛，颈项强，目泪眵汁，牙疳肿痛，内 赤痒
痛，生白翳，面赤心烦，马黄黄胆，寒暑瘟疫，小儿面疮癣，久不除，点烙亦佳。
\r督脉\pG-G70.bmp\r
督脉正中线共有二十七个穴位，从长强、腰俞、阳关开始紧密排列，接着是命门、悬枢、脊中，随后是筋缩、至阳、灵台，这些穴位显得闲适有序。头顶部位有百会（原文作“顶”，指百会穴）、囟会、上星，呈圆形分布；神庭、素髎（原文作“素 ”，即素髎穴）、水沟（人中），位于凹陷处；兑端位于嘴唇中央开口处；龈交位于唇内，至此任脉与督脉的循行结束（共二十七穴）。
这条经脉不取用井、荥、输、合五腧穴。
督脉的脉气起于下极（会阴部），沿着脊柱内部上行，到达风府穴，进入脑部，向上至头顶，沿前额下行至鼻梁，属于阳脉之海。人体的脉络在诸阳经分部中周流不息，就像水流一样，而督脉则是统领这一切的大纲，所以称之为“海”。用药难以拘泥于固定法则，针灸则贵在掌握任脉和督脉的功效。首先要将四门（指四肢末端的穴位或泛指关闭外泄之门）闭锁，两眼向内观照。默想黍米大小的明珠，权且作为黄庭（道家称心或脾为黄庭，此处指体内核心区域）的主宰。然后慢慢咽下一口气，缓缓纳入丹田。冲起命门之气，引导督脉经过尾闾穴，上升至泥丸宫（头部）；触动性元之气，引导任脉下降，返回气海（下腹部）。这两条经脉上下旋转，如同圆环一般；前面下降后面上升，连绵不绝。心境要像止水一样平静，身体要像空壶一样虚空，随即轻轻提起肛门，鼻息逐渐闭合。如果气息急促，就慢慢吞咽调节；如果仍然神志昏沉，就要勤加注想意念。意倦时放下参悟。长久坚持这样做，关窍自然开启，脉络流通，各种疾病就不会发生。广成子说：炼丹烧火和河车搬运（内丹术语）不要停止。说的就是这个道理。督脉和任脉原本是通向真道的路径，丹经中设置了这么多言语描述，我现在指出其中的玄妙机理，只希望人人都能长寿万年！
长强（又名气之阴邪，又名橛骨）：在尾骨端下方三分处，伏地取穴。是足少阴肾经和足少阳胆经的交会穴。督脉的络脉，别走任脉。《铜人腧穴针灸图经》记载：针刺三分，转动针具以感到剧烈疼痛为度。灸法不如针法好，每日灸三十壮，最多二百壮，这是治疗痔疮的根本方法。《甲乙经》记载：针刺二分，留针七次呼吸的时间。《明堂》记载：灸五壮。主治肠风下血，长期痔疮，腰脊痛，狂病，大小便困难，头重，洞泄（严重腹泻），五淋，疳蚀下部（下部溃疡），小儿囟门凹陷，惊痫抽搐，呕血，惊恐失精，视物不正。禁忌生冷食物和房事劳累。
腰俞（又名背解，又名髓孔，又名腰柱，又名腰户）：在第二十一椎骨下方的凹陷中。方法是挺直身体伏在地上舒展身体，两手交叉支撑额头，放松四肢后，再取此穴。《铜人腧穴针灸图经》记载：针刺八分，留针三次呼吸的时间，泻法吸五次。灸七壮，最多到七七四十九壮。禁忌房事劳累、举重和强力动作。《明堂》记载：主治腰痛，腰脊痛，不能俯仰，温疟汗不出，足痹麻木，伤寒四肢热不退，妇人月经闭止。
阳关（腰阳关）：在第十六椎骨下方，坐位取穴。《铜人腧穴针灸图经》记载：针刺五分，灸三壮。主治膝外侧不能屈伸，风痹麻木，筋挛不能行走。
命门（又名属累）：在第十四椎骨下方，俯卧位取穴。《铜人腧穴针灸图经》记载：针刺五分，灸三壮。主治头痛如破，身热如火，汗不出，寒热往来疟疾，腰脊相互牵引疼痛，骨蒸五脏热，小儿发痫，张口摇头，身体反折呈角弓反张状。
悬枢：在第十三椎骨下方，俯卧位取穴。《铜人腧穴针灸图经》记载：针刺三分，灸三壮。主治腰脊僵硬不能屈伸，积气上下运行，水谷不消化，腹泻，腹中留积。
脊中（又名神宗，又名脊俞）：在第十一椎骨下方，俯位取穴。《铜人腧穴针灸图经》记载：针刺五分，得气后立即泻法。禁止灸，灸了会导致腰部弯曲驼背。主治风痫癫邪，黄疸，腹满，食欲不振，五痔便血，温病，积聚，腹泻，小儿脱肛。
筋缩：在第九椎骨下方，俯位取穴。《铜人腧穴针灸图经》记载：针刺五分，灸三壮。《明堂》记载：灸七壮。主治癫疾狂走，脊背紧急僵硬，眼球上翻戴眼，向上视，目直视，痫病多言，心痛。
至阳：在第七椎骨下方，俯位取穴。《铜人腧穴针灸图经》记载：针刺五分，灸三壮。《明堂》记载：灸七壮。主治腰脊痛，胃中寒气，不能进食，胸胁支撑胀满，身体消瘦，背部气上下运行，腹中鸣响，寒热解（可能指寒热交替或解除），淫泺胫酸（腿脚酸痛无力），四肢沉重疼痛，气短难言，卒疰忤（突发性疰病或邪气冲击心胸），攻犯心胸。
灵台：在第六椎骨下方，俯位取穴。《铜人腧穴针灸图经》缺治病记载。见于《素问》。现在民间常灸此穴，用于治疗气喘不能平卧，火到（艾灸到位）即愈。禁止针刺。
神道：在第五椎骨下方，俯位取穴。《铜人腧穴针灸图经》记载：灸七七四十九壮，最多一百壮，禁止针刺。《明堂》记载：灸三壮，针刺五分。《千金方》记载：灸五壮。主治伤寒发热，头痛，进退往来，疟疾，恍惚，悲伤愁闷健忘，惊悸。打哈欠、牙关错位，张口不合。小儿风痫，抽搐，可灸七壮。
身柱：在第三椎骨下方，俯位取穴。《铜人腧穴针灸图经》记载：针刺五分，灸七七四十九壮，最多一百壮，《明堂》记载：灸五壮。《下经》记载：灸三壮。主治腰脊痛，癫病狂走，抽搐，愤怒欲杀人。身热，胡言乱语见鬼，小儿惊痫。《难经》说：治疗洪、长、伏三种脉象。风痫发狂，恶人与火，灸第三椎和第九椎。
陶道：在第一椎骨下方，俯位取穴。是足太阳膀胱经和督脉的交会穴。《铜人腧穴针灸图经》记载：灸五壮，针刺五分。主治疟疾寒热，洒淅脊强，烦闷，汗不出，头重，目瞑，抽搐，恍惚不乐。
大椎：在第一椎骨上方，凹陷处。是手足三阳经和督脉的交会穴。《铜un人腧穴针灸图经》记载：针刺五分，留针三次呼吸的时间，泻法吸五次，灸法按年数计算壮数。主治肺胀胁满，呕吐上气，五劳七伤，乏力，温疟疟疾，气注背膊拘急，颈项强直不能回顾，风劳食气、骨热，前板齿干燥。
张仲景说：太阳与少阳并病，颈项强痛或眩晕冒昧，有时像结胸证，心下痞硬者，应当针刺大椎第一间。
哑门（又名舌厌，又名舌横，又名喑门）：在后项入发际五分处，项中央凹陷中，仰头取穴。属督脉，是阳维脉的交会穴。入系舌本。《素问注》记载：针刺四分；《铜人腧穴针灸图经》记载：针刺二分，可以绕针八分，留针三次呼吸的时间，泻法吸五次，泻尽后更留针取效。主治舌急不语，重舌，诸阳热气盛，衄血不止，寒热风哑，脊强反折，抽搐癫疾，头重。
风府（又名舌本）：在后项入发际一寸处，大筋内侧凹陷中，快速说话时肌肉会立起，说话停止后肌肉恢复。是足太阳膀胱经、督脉、阳维脉的交会穴。《铜人腧穴针灸图经》记载：针刺三分，禁止灸，灸了使人失音。《明堂》记载：针刺四分，留针三次呼吸的时间。《素问注》记载：针刺四分。主治中风，舌缓不语，振寒汗出，身重恶寒，头痛，项急不能回顾，偏风半身不遂，鼻衄，咽喉肿痛，伤寒狂走欲自杀，目妄视。头中百病，马黄黄疸。
《疟论》说：邪气客居在风府，沿着脊膂下行。卫气一天一夜在风府大会，第二天日下一节，所以发作时间越来越晚。每次到了风府，腠理就开；腠理开，邪气就进入；邪气进入，病就发作，因此每天发作时间稍晚一些。它出于风府，日下一节，二十五天下至骶骨，二十六日进入脊内，所以每天发作时间更加推迟。
脑户（又名合颅）：在枕骨上方，强间穴后一寸半处。是足太阳膀胱经和督脉的交会穴。《铜人腧穴针灸图经》禁止灸，灸了使人哑。《明堂》记载：针刺三分。《素问注》记载：针刺四分。《素问》刺脑户。主治面赤目黄，面痛，头重肿痛，瘿瘤。此穴针灸都不宜。
强间（又名大羽）：在后顶穴后一寸半处。《铜人腧穴针灸图经》记载：针刺二分，灸七壮。《明堂》记载：灸五壮。主治头痛目眩。脑旋烦心，呕吐涎沫。项强左右不能回顾，狂走不卧。
后顶（又名交冲）：在百会后一寸半处，枕骨上。《铜人腧穴针灸图经》记载：灸五壮，针刺二分，《明堂》记载：针刺四分。《素问注》记载：针刺三分。主治头项强急，恶风寒，风眩，目KT KT（形容眼睛不适或视物不清），额颅上痛，历节汗出，狂走癫疾不卧，痫发抽搐，头偏痛。
百会（又名三阳，又名五会，又名巅上，又名天满）：在前顶后一寸五分处，头顶中央旋毛中，可容纳一颗豆子，直对两耳尖连线。性理北溪陈氏说：略退些位置，就像天上的北极星居于北方。是手足三阳经和督脉的交会穴。《素问注》记载：针刺二分。《铜人腧穴针灸图经》记载：灸七壮，最多七七四十九壮。凡是灸头顶，不能超过七壮，因为头顶皮薄，灸不宜多。针刺二分，得气即泻。又《素问注》记载：针刺四分。主治头风中风，言语謇涩，口噤不开，偏风半身不遂，心烦闷，惊悸健忘，忘前失后，心神恍惚，无心力，疟疾，脱肛，风痫，青风，心风，角弓反张，羊鸣多哭，语言不择，发作时即死，吐沫，汗出而呕，饮酒面赤，脑重鼻塞，头痛目眩，食无味，百病皆治。虢太子尸厥，扁鹊取三阳五会（百会），片刻后太子苏醒。唐高宗头痛，秦鸣鹤说：应该刺百会出血。武后说：哪有至尊头上出血的道理。后来还是刺了，微出血，立刻痊愈。
前顶：在囟会后一寸半处，骨间陷中。《铜人腧穴针灸图经》记载：针刺一分，灸三壮，最多七七四十九壮。主治头风目眩，面赤肿，水肿，小儿惊痫，抽搐，发作无定时，鼻多清涕，顶肿痛。
囟会：在上星后一寸陷中。《铜人腧穴针灸图经》记载：灸二七十四壮，至七七四十九壮。初灸不痛，病去即痛，痛止停灸。如果是鼻塞，灸至第四日渐退，七日顿愈。针刺二分，留针三次呼吸的时间，得气即泻。八岁以下不可针刺，因为囟门未合，刺之恐伤其骨，令人夭折。《素问注》记载：针刺四分。主治脑虚冷，或饮酒过多，脑疼如破，衄血，面赤暴肿，头皮肿。生白屑风，头眩，颜青目眩，鼻塞不闻香臭，惊悸目戴上不识人。
上星（又名神堂）：在神庭后，入发际一寸陷中，容豆。《素问注》记载：针刺三分，留六次呼吸的时间，灸五壮。《铜人腧穴针灸图经》记载：灸七壮。用细三棱针，宣泄诸阳热气，无...（原文此处似有缺漏，意为宣泄热气即可）。主治面赤肿，头风，头皮肿，面虚，鼻中息肉，鼻塞头痛，疟疾振寒，热病汗不出。目眩，目睛痛，不能远视。口鼻出血不止。不宜多灸，恐拔气上，令人目不明。
神庭：直鼻上入发际五分处。是足太阳膀胱经和督脉的交会穴。《素问注》记载：灸三壮。《铜人腧穴针灸图经》记载：灸二七十四壮，最多七七四十九壮。主治登高而歌，弃衣而走。角弓反张，吐舌，癫疾风痫，目上视不识人，头风目眩，鼻出清涕不止，目泪出。惊悸不得安寝，呕吐烦满。寒热头痛，喘渴。
岐伯说：凡是要治疗风病，不要让灸太多。因为风性轻扬，多了就会受伤，只宜灸七壮，至三七二十一壮为止。张子和说：目肿、目翳，针刺神庭、上星、囟会、前顶，翳可使立即消退，肿可使立即消除。
素髎（又名面正）：在鼻柱上端准头。此穴诸方缺治病记载。《外台秘要》记载：不宜灸，针刺一分。《素问注》记载：针刺三分。主治鼻中息肉不消，多涕，生疮鼻窒，喘息不利，鼻...（原文缺字，推测为鼻渊或类似症状），鼽衄。
水沟（又名人中）：在鼻柱下，沟中央，近鼻孔陷中。是督脉、手足阳明经的交会穴。《素问注》记载：针刺三分，留六次呼吸的时间，灸三壮。《铜人腧穴针灸图经》记载：针刺四分，留五次呼吸的时间，得气即泻，灸法不及针法，每日灸三壮。《明堂》记载：每日灸三壮，至二百壮。《下经》记载：灸五壮。主治消渴，饮水无度，水气遍身肿。失笑无时，癫痫语不识尊卑，乍哭乍喜，中风口噤，牙关不开。面肿唇动，状如虫行。卒中恶，鬼击，喘喝，目不可视，黄疸马黄，瘟疫，通身黄，口...（原文缺字，推测为噤或僻）。灸法不及针法，艾炷小如雀粪大。水面肿，针此一穴，出水尽即愈。
兑端：在唇上端。《铜人腧穴针灸图经》记载：针刺二分，灸三壮。主治癫疾吐沫，小便黄，舌干消渴，衄血不止，唇吻强，齿龈痛，鼻塞，痰涎，口噤鼓颔。艾炷如大麦大小。
龈交：在唇内齿上龈缝中。是任脉、督脉、足阳明经的交会穴。《铜人腧穴针灸图经》记载：针刺三分，灸三壮。主治鼻中息肉，蚀疮，鼻塞不利，额...（原文缺字，推测为颧或中）中痛，颈项强，目泪眵汁，牙疳肿痛，内...（原文缺字，推测为龈）赤痒痛，生白翳，面赤心烦，马黄黄疸，寒暑瘟疫，小儿面疮癣，久不除，点烙亦佳。
The Governor Vessel (Du Mai) along the midline has twenty-seven acupoints. Changqiang (Long Strong), Yaoshu (Lumbar Cavity), Yangguan (Yang Pass) are arranged closely; Mingmen (Gate of Life), Xianshu (Suspending Pivot), Jizhong (Spine Center) follow; Jinsuo (Tendon Contraction), Zhiyang (Extreme Yang), Lingtai (Spirit Platform) appear leisurely. Baihui (Hundred Convergences, referred to as "Ding" in text), Xinhui (Fontanelle Convergence), Shangxing (Upper Star) are round. Shenting (Spirit Courtyard), Suliao (Nose Tip, referred to as "Su" in text), Shuigou (Water Ditch/Renzhong) are located in depressions. Duanduan (Exchange End) is at the center of the lip opening. Yinjiao (Gum Intersection) is inside the lip; thus the Ren and Du vessels conclude (twenty-seven points).
This vessel does not utilize the Jing-River-Shu-He Five Shu Points.
The pulse originates from the lower extreme (Huiyin), runs parallel within the spine, ascends to Fengfu, enters the brain, goes up to the vertex, follows the forehead to the nasal bridge, and belongs to the Sea of Yang Vessels. Human meridians circulate through all Yang divisions like water, while the Governor Vessel serves as their main outline, hence named the "Sea". Medication methods are hard to fix rigidly; acupuncture values knowing the function of both the Ren and Du vessels. First, close the four gates (closing external leakage), and observe inward with both eyes. Silently visualize a pearl the size of a millet grain, treating it as the master of Huangting (Yellow Court/Core area). Then slowly swallow a breath, gradually guiding it into the Dantian (Lower Elixir Field). Energize Mingmen, guide the Governor Vessel through Weilu (Tailbone Gate), ascending to Niwan Palace (Head); stir the Xingyuan (Nature Origin), guide the Conception Vessel down Lou (Tower/Throat?), and return to Qihai (Qi Sea). These two vessels rotate up and down like a circle; front descends, back ascends, continuously. The mind should be still as water, the body empty as a pot. Gently lift the anus, gradually close nasal breathing. If breath becomes urgent, swallow slowly to regulate; if spirit remains confused, diligently apply mental focus. Rest when intent tires. Practicing for a long time, orifices open naturally, meridians flow smoothly, and hundred diseases do not arise. Guangchengzi said: Do not stop the alchemical furnace and Heche (River Cart/Internal Alchemy terms). This is what is meant. The Du and Ren vessels are originally the path to truth; Daoist classics set forth many words. I now point out the profound principle, hoping everyone lives ten thousand years!
Changqiang (Alias: Qi Zhi Yin Xie, Jue Gu): Three cun below the coccyx end, taken prone on the ground. It is the meeting of Foot Shaoyin (Kidney) and Foot Shaoyang (Gallbladder). The collateral of the Governor Vessel, diverging to the Conception Vessel. *Tongren* records: Needle 3 fen, rotate needle until severe pain is felt. Moxibustion is inferior to needling; moxa 30 zhu daily, max 200 zhu; this is the root treatment for hemorrhoids. *Jiayi* records: Needle 2 fen, retain for 7 breaths. *Mingtang* records: Moxa 5 zhu. Indications: Intestinal wind bleeding, chronic hemorrhoids, lumbar and spinal pain, mania, difficulty in urination and defecation, heavy head, profuse diarrhea, five types of strangury, gan erosion of lower parts, infant fontanelle depression, convulsions from fright and epilepsy, hematemesis, fright losing essence, abnormal vision. Avoid cold food and sexual fatigue.
Yaoshu (Alias: Bei Jie, Sui Kong, Yao Zhu, Yao Hu): In the depression below the 21st thoracic vertebra. Method: Straighten body prone, stretch, cross hands supporting forehead, relax limbs, then locate. *Tongren* records: Needle 8 fen, retain 3 breaths, reduce by inhaling 5 times. Moxa 7 zhu, up to 49 zhu (7x7). Avoid sexual fatigue, heavy lifting, and strenuous effort. *Mingtang*: Indications: Lumbar pain, lumbar and spinal stiffness, inability to bend or extend, warm malaria without sweat, leg numbness, cold damage with persistent limb heat, amenorrhea in women.
Yangguan (Yao Yangguan): Below the 16th thoracic vertebra, taken sitting. *Tongren* records: Needle 5 fen, moxa 3 zhu. Indications: Inability to flex and extend lateral knee, wind bi numbness, tendon contraction preventing walking.
Mingmen (Alias: Shu Lei): Below the 14th thoracic vertebra, taken prone. *Tongren* records: Needle 5 fen, moxa 3 zhu. Indications: Headache as if breaking, body heat like fire, anhidrosis, alternating chills and fever malaria, lumbar and spinal pulling pain, bone-steaming five viscera heat, infant epilepsy, mouth opening and head shaking, opisthotonos (arched back).
Xianshu: Below the 13th thoracic vertebra, taken prone. *Tongren* records: Needle 3 fen, moxa 3 zhu. Indications: Lumbar and spinal rigidity preventing flexion/extension, qi accumulation moving up/down, undigested food/water, diarrhea, abdominal retention masses.
Jizhong (Alias: Shen Zong, Ji Shu): Below the 11th thoracic vertebra, taken bending forward. *Tongren* records: Needle 5 fen, reduce immediately upon arrival of qi. Forbidden for moxa; moxa causes lumbar kyphosis. Indications: Wind epilepsy and madness, jaundice, abdominal fullness, poor appetite, five hemorrhoids with blood in stool, warm disease, accumulations, diarrhea, infant rectal prolapse.
Jinsuo: Below the 9th thoracic vertebra, taken bending forward. *Tongren* records: Needle 5 fen, moxa 3 zhu. *Mingtang* records: Moxa 7 zhu. Indications: Epilepsy with wild running, spinal urgency and rigidity, eyes rolling upward (dai yan), upward gaze, fixed stare, epilepsy with excessive talking, heart pain.
Zhiyang: Below the 7th thoracic vertebra, taken bending forward. *Tongren* records: Needle 5 fen, moxa 3 zhu. *Mingtang* records: Moxa 7 zhu. Indications: Lumbar and spinal pain, cold qi in stomach, inability to eat, chest and hypochondriac distension, emaciation, back qi moving up/down, borborygmus, alternating chills/fever, yinluo leg soreness, heavy/painful limbs, shortness of breath/difficulty speaking, sudden zhu-wu (possession/collision), attacking heart/chest.
Lingtai: Below the 6th thoracic vertebra, taken bending forward. *Tongren* lacks treatment indications. Seen in *Suwen*. Commonly moxed today to treat asthma unable to lie flat; effective when fire arrives. Forbidden for needling.
Shendao: Below the 5th thoracic vertebra, taken bending forward. *Tongren* records: Moxa 49 zhu, max 100 zhu, forbidden for needling. *Mingtang* records: Moxa 3 zhu, needle 5 fen. *Qianjin* records: Moxa 5 zhu. Indications: Cold damage fever, headache, alternating progression/regression, malaria, trance, sadness/melancholy/amnesia, palpitations. Yawning, TMJ dislocation, inability to close mouth. Infant wind epilepsy, convulsions; moxa 7 zhu.
Shenzhu: Below the 3rd thoracic vertebra, taken bending forward. *Tongren* records: Needle 5 fen, moxa 49 zhu, max 100 zhu. *Mingtang* records: Moxa 5 zhu. *Xiajing* records: Moxa 3 zhu. Indications: Lumbar and spinal pain, epilepsy with wild running, convulsions, anger wanting to kill. Body heat, delirium seeing ghosts, infant fright/epilepsy. *Nanjing* says: Treat Hong, Chang, Fu three pulses. Wind epilepsy mania, aversion to people/fire, moxa 3rd and 9th vertebrae.
Daodao: Below the 1st thoracic vertebra, taken bending forward. Meeting of Foot Taiyang and Governor Vessel. *Tongren* records: Moxa 5 zhu, needle 5 fen. Indications: Malaria chills/heat, shivering spinal rigidity, irritability/fullness, anhidrosis, heavy head, eye closure, convulsions, trance/unhappiness.
Dazhui: Above the 1st thoracic vertebra, in the depression. Meeting of Hand/Foot Three Yang and Governor Vessel. *Tongren* records: Needle 5 fen, retain 3 breaths, reduce by inhaling 5 times, moxa by year count. Indications: Lung distension/hypochondriac fullness, vomiting/upward qi, five labors/seven injuries, fatigue, warm malaria, qi injection causing back/arm spasm, neck stiffness unable to look back, wind-labor/food qi/bone heat, dry anterior plate teeth.
Zhang Zhongjing said: When Taiyang and Shaoyang combine disease, with neck stiffness/headache or dizziness, sometimes like chest binding, epigastric hardness, one should needle the first space of Dazhui.
Yamen (Alias: She Yan, She Heng, Yin Men): 5 fen posterior hairline, central depression of neck, taken looking up. Governor Vessel, meeting of Yang Wei. Enters tying tongue root. *Su Zhu* records: Needle 4 fen; *Tongren* records: Needle 2 fen, can wrap needle 8 fen, retain 3 breaths, reduce by inhaling 5 times, retain longer after reducing. Indications: Tongue stiffness/speechlessness, double tongue, excess heat of all yang, persistent epistaxis, cold/wind hoarseness, spinal rigidity/opisthotonos, convulsions/epilepsy, heavy head.
Fengfu (Alias: She Ben): 1 cun posterior hairline, inner depression of major tendon, muscle rises when speaking quickly, settles when speaking stops. Meeting of Foot Taiyang, Governor Vessel, Yang Wei. *Tongren* records: Needle 3 fen, forbidden moxa (causes aphonia). *Mingtang* records: Needle 4 fen, retain 3 breaths. *Su Zhu* records: Needle 4 fen. Indications: Stroke, tongue flaccidity/speechlessness, chills/sweating, heavy body/aversion to cold, headache, neck stiffness unable to look back, hemiplegia, epistaxis, throat swelling/pain, cold damage mania/suicide attempt, visual hallucinations. Hundred diseases of head, Ma Huang jaundice.
*Lue Lun* says: Evil lodges in Fengfu, descending along the spine. Wei Qi gathers at Fengfu once a day/night; next day moves down one segment, so onset is later. Each time at Fengfu, pores open; pores open, evil enters; evil enters, disease acts, hence daily onset is slightly later. Emerging from Fengfu, moving down one segment daily, reaching sacrum in 25 days, entering spine interior on 26th day, hence daily onset is increasingly late.
Formerly, Emperor Wu of Wei suffered wind-cold neck stiffness; Hua Tuo treated this point effectively.
Naohu (Alias: He Lu): On occipital bone, 1.5 cun posterior to Jiangjian. Meeting of Foot Taiyang and Governor Vessel. *Tongren* forbidden moxa (causes aphonia). *Mingtang* records: Needle 3 fen. *Su Zhu* records: Needle 4 fen. *Suwen* needles Naohu. Indications: Red face/yellow eyes, facial pain, heavy/swollen painful head, goiter. Acupuncture and moxa both unsuitable.
Jiangjian (Alias: Da Yu): 1.5 cun posterior to Hou Ding. *Tongren* records: Needle 2 fen, moxa 7 zhu. *Mingtang* records: Moxa 5 zhu. Indications: Headache/dizziness. Spinning sensation/irritated heart, vomiting saliva/phlegm. Neck stiffness unable to look left/right, wild running/insomnia.
Hou Ding (Alias: Jiao Chong): 1.5 cun posterior to Baihui, on occipital bone. *Tongren* records: Moxa 5 zhu, needle 2 fen. *Mingtang* records: Needle 4 fen. *Su Zhu* records: Needle 3 fen. Indications: Head/neck stiffness, aversion to wind/cold, wind dizziness, eye discomfort (KT KT), frontal/scalp pain, joint sweating, wild running/epilepsy/insomnia, epilepsy convulsions, unilateral headache.
Baihui (Alias: San Yang, Wu Hui, Dian Shang, Tian Man): 1.5 cun posterior to Qian Ding, center of vertex whorl, fits a bean, straight opposite ear tips. Chen Shi of Beixi (Nature/Principle) said: Retreat slightly, like North Star in heaven. Meeting of Hand/Foot Three Yang and Governor Vessel. *Su Zhu* records: Needle 2 fen. *Tongren* records: Moxa 7 zhu, max 49 zhu. All moxa on vertex must not exceed 7 zhu because skin is thin; moxa should not be excessive. Needle 2 fen, reduce upon qi arrival. *Su Zhu* also records: Needle 4 fen. Indications: Head wind/stroke, slurred speech, locked jaw, hemiplegia, heart vexation/fretfulness, fright/palpitations/amnesia, forgetting past/future, spirit trance, lack of energy, malaria, rectal prolapse, wind epilepsy, green wind, heart wind, opisthotonos, bleating/crying excessively, indiscriminate speech, death upon attack, foaming, sweating/vomiting, red face after drinking, heavy head/nasal congestion, headache/dizziness, tasteless food, treats hundred diseases. Guo Crown Prince corpse syncope, Bian Que took San Yang Wu Hui (Baihui), prince revived shortly. Tang Gaozong had headache; Qin Minghe said: Should needle Baihui to bleed. Empress Wu said: How can supreme ruler bleed from head? Later pierced, slight bleeding, cured immediately.
Qian Ding: 1.5 cun posterior to Xinhui, in bone depression. *Tongren* records: Needle 1 fen, moxa 3 zhu, max 49 zhu. Indications: Head wind/dizziness, red/swollen face, edema, infant fright/epilepsy, convulsions, unpredictable onset, clear nasal discharge, vertex swelling/pain.
Xinhui: Depression 1 cun posterior to Shangxing. *Tongren* records: Moxa 14 zhu, up to 49 zhu. Initial moxa not painful; becomes painful when disease leaves, stop when pain stops. For nasal congestion, moxa reduces by day 4, cured by day 7. Needle 2 fen, retain 3 breaths, reduce upon qi arrival. Children under 8 years forbidden needle because fontanelle not closed; piercing may injure bone, causing premature death. *Su Zhu* records: Needle 4 fen. Indications: Brain deficiency/cold, or excessive drinking causing brain pain as if breaking, epistaxis, sudden red/swollen face, scalp swelling. White scale wind, dizziness, blue face/dizziness, nasal congestion loss of smell, fright/palpitations, eyes rolling up/unrecognizing people.
Shangxing (Alias: Shen Tang): Posterior to Shenting, 1 cun posterior hairline depression, fits bean. *Su Zhu* records: Needle 3 fen, retain 6 breaths, moxa 5 zhu. *Tongren* records: Moxa 7 zhu. Use fine triangular needle to vent heat of all yang, no... (text missing, implies venting heat suffices). Indications: Red/swollen face, head wind, scalp swelling, deficient face, nasal polyps, nasal congestion/headache, malaria chills, warm disease anhidrosis. Dizziness, eyeball pain, inability to see far. Unstoppable oral/nasal bleeding. Not suitable for excessive moxa; fear of drawing qi upward causing blindness.
Shenting: Directly above nose, 5 fen posterior hairline. Meeting of Foot Taiyang and Governor Vessel. *Su Zhu* records: Moxa 3 zhu. *Tongren* records: Moxa 14 zhu, max 49 zhu. Indications: Climbing high singing, discarding clothes walking. Opisthotonos, tongue protrusion, epilepsy/wind epilepsy, eyes rolling up/unrecognizing people, head wind/dizziness, continuous clear nasal discharge, tearing. Fright/palpitations insomnia, vomiting/irritability/fullness. Alternating chills/headache, panting/thirst.
Qibo said: To treat wind, do not moxa excessively. Wind nature is light; too much harms. Only suitable moxa 7 zhu, up to 21 zhu. Zhang Zihe said: Eye swelling/cataracts, needle Shenting, Shangxing, Xinhui, Qian Ding; cataracts can retreat immediately, swelling can disappear immediately.
Suliao (Alias: Mian Zheng): Upper end of nasal bridge, tip of nose. Treatment lacking in various texts. *Waitai* records: Not suitable moxa, needle 1 fen. *Su Zhu* records: Needle 3 fen. Indications: Nasal polyps not resolving, excessive discharge, sores/nasal obstruction, difficult breathing, nasal... (missing), rhinorrhea/epistaxis.
Shuigou (Alias: Renzhong): Below nasal bridge, center of ditch, near nostril depression. Meeting of Governor Vessel, Hand/Foot Yangming. *Su Zhu* records: Needle 3 fen, retain 6 breaths, moxa 3 zhu. *Tongren* records: Needle 4 fen, retain 5 breaths, reduce upon qi arrival; moxa inferior to needle, moxa 3 zhu daily. *Mingtang* records: Moxa 3 zhu daily, up to 200 zhu. *Xiajing* records: Moxa 5 zhu. Indications: Xiao Ke (wasting-thirst), unlimited drinking, generalized edema. Laughing involuntarily, epilepsy speech ignoring status, crying/laughing alternately, stroke locked jaw, trismus. Facial/lip swelling, sensation like insects crawling. Stroke evil, ghost strike, panting, eyes unable to view, jaundice/Ma Huang, plague, generalized yellow, mouth... (missing). Moxa inferior to needle, moxa cone size of sparrow droppings. Generalized edema, needle this point, drain water then cured.
Duanduan: Upper end of lip. *Tongren* records: Needle 2 fen, moxa 3 zhu. Indications: Epilepsy foaming, yellow urine, dry tongue/xiao ke, persistent epistaxis, lip stiffness, gingival pain, nasal congestion, phlegm, locked jaw/jaw clenching. Moxa cone size of large barley.
Yinjiao: Inside lip, upper gum seam. Meeting of Ren, Governor, Foot Yangming. *Tongren* records: Needle 3 fen, moxa 3 zhu. Indications: Nasal polyps, erosive sores, nasal congestion, ... (missing) pain, neck stiffness, tearing/discharge, gum pyorrhea/swelling, internal... (missing) red/itchy/painful, white nebula, red face/heart vexation, Ma Huang jaundice, cold/summer heat/plague, infant facial tinea/ringworm, long-standing not curing, cauterization also good.