丰隆∶外踝上八寸,下 外廉陷中,足阳明络别走太阴。《铜人》针三分,
灸三壮。《明堂》灸七壮。
主厥逆,大小便难,怠惰,腿膝酸,屈伸难,胸痛如刺,腹若刀切痛,风痰头痛,风
逆四肢肿,足青身寒湿,喉痹不能言,登高而歌,弃衣而走,见鬼好笑。气逆则喉痹卒喑
,实则癫狂,泻之。虚则足不收,胫枯,补之。
解溪∶冲阳后一寸五分,腕上陷中,足大趾次趾直上跗上陷者宛宛中。足阳
明胃脉所行为经火。胃虚补之。《铜人》灸三壮,针五分,留三呼。
主风面浮肿,颜黑,厥气上冲,腹胀,大便下重,螈惊,膝股 肿,转筋,目眩,
头痛,癫疾,烦心悲泣,霍乱,头风面赤、目赤,眉攒疼不可忍。
冲阳∶足跗上五寸,去陷谷二寸,骨间动脉。足阳明胃脉所过为原,胃虚实
皆拔之。《素注》针三分,留十呼。《素问》刺足跗上动脉,血出不止死。《铜人》针
主偏风口眼 ,跗肿,齿龋,发寒热,腹坚大,不嗜食,伤寒病振寒而欠,久狂,
登高而歌,弃衣而走,足缓履不收,身前痛。
陷谷∶足大趾次趾外间,本节后陷中,去内庭二寸。足阳明胃脉所注为俞木
。《铜人》针三分。《素注》针五分,留七呼,灸三壮。
主面目浮肿及水病善噫,肠鸣腹痛,热病无度,汗不出,振寒疟疾。
东垣曰∶气在于臂,足取之,先去血脉,后深取足阳明之荥俞∶内庭、陷谷。
内庭∶足大趾次趾外间陷中。足阳明胃脉所溜为荥水。《铜人》灸三壮,针
三分,留十呼。
主四肢厥逆,腹胀满,数欠,恶闻人声,振寒,咽中引痛,口 ,上齿龋,疟不嗜食
,脑皮肤痛,鼻衄不止,伤寒手足逆冷,汗不出,赤白痢。
厉兑∶足大趾次趾之端,去爪甲角如韭叶。足阳明胃脉所出为井金。胃实泻
之。《铜人》针一分,灸一壮。
主尸厥,口噤气绝,状如中恶,心腹胀满,水肿,热病汗不出,寒疟不嗜食,面肿,足
寒,喉痹,上齿龋,恶寒鼻不利,多惊好卧,狂欲登高而歌,弃衣而走,黄胆,鼽衄,
口唇疹,颈肿,膝膑肿痛,循胸、乳、气膺、伏兔、 外廉、足跗上皆痛,消谷善
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丰隆穴:位于外踝尖上八寸,胫骨前嵴外侧两横指处的凹陷中,是足阳明胃经的络穴,别走足太阴脾经。《铜人腧穴针灸图经》记载针刺深度三分,艾灸三壮。《明堂》记载艾灸七壮。
主治:四肢厥冷,大小便困难,倦怠乏力,腿膝酸软,屈伸不利,胸痛如针刺感,腹部疼痛如刀割,风痰引起的头痛,风邪逆乱导致四肢肿胀,足部青紫、身体寒湿,喉痹导致不能言语,登高而歌,脱衣奔跑,看见鬼怪而嬉笑。气逆则导致喉痹突然失音,实证表现为癫狂,应使用泻法;虚证表现为足部弛缓不收,小腿肌肉萎缩,应使用补法。
解溪穴:在冲阳穴后一寸五分处,足背腕关节上方的凹陷中,即足大趾与次趾向上延伸至足背动脉搏动处的宛宛之中。此处为足阳明胃经的经穴,五行属火。胃气虚弱时应用补法。《铜人腧穴针灸图经》记载艾灸三壮,针刺五分,留针三个呼吸的时间。
主治:面部风肿浮肿,面色发黑,厥气上冲,腹胀,大便下坠感,抽搐惊悸,膝部和股部肿胀,转筋(肌肉痉挛),目眩,头痛,癫疾,心烦悲伤哭泣,霍乱,头风面赤、目赤,眉棱骨疼痛难以忍受。
冲阳穴:在足背上方五寸处,距离陷谷穴二寸,骨间有动脉搏动。此处为足阳明胃经的原穴,胃经虚实病证均可在此穴施治(原文“皆拔之”通常指针刺或治疗,结合上下文及常规针灸理论,原穴可调理脏腑虚实)。《素问注》记载针刺三分,留针十个呼吸的时间。《素问》记载刺足背动脉,若出血不止会导致死亡。《铜人腧穴针灸图经》记载主治:偏风口眼歪斜,足背肿胀,牙痛,恶寒发热,腹部坚硬胀大,食欲不振,伤寒病战栗呵欠,久病发狂,登高而歌,脱衣奔跑,足部弛缓无法穿鞋,身前疼痛。
陷谷穴:在足大趾与次趾之间的外侧,本节后方的凹陷中,距离内庭穴二寸。此处为足阳明胃经的输穴,五行属木。《铜人腧穴针灸图经》记载针刺三分。《素问注》记载针刺五分,留针七个呼吸的时间,艾灸三壮。
主治:面目浮肿及水肿病,容易嗳气,肠鸣腹痛,热病腹泻无度,无汗,战栗发冷的疟疾。
李东垣说:气滞在于手臂,可从足部取穴治疗,先去除血脉瘀滞,然后深刺足阳明胃经的荥穴和输穴:内庭穴、陷谷穴。
内庭穴:在足大趾与次趾外侧的凹陷中。此处为足阳明胃经的荥穴,五行属水。《铜人腧穴针灸图经》记载艾灸三壮,针刺三分,留针十个呼吸的时间。
主治:四肢厥冷,腹胀满,频繁打哈欠,厌恶听到人声,战栗发冷,咽喉牵引性疼痛,口角歪斜,上齿疼痛,疟疾且食欲不振,头部皮肤疼痛,鼻衄不止,伤寒手足逆冷,无汗,赤白痢疾。
厉兑穴:在足大趾与次趾的末端,距离爪甲角如韭菜叶宽度处。此处为足阳明胃经的井穴,五行属金。胃腑实证应用泻法。《铜人腧穴针灸图经》记载针刺一分,艾灸一壮。
主治:尸厥,口噤气绝,症状如同中恶,心腹胀满,水肿,热病无汗,寒疟且食欲不振,面部浮肿,足部寒冷,喉痹,上齿疼痛,恶寒鼻塞不通,易受惊吓喜欢躺卧,发狂想要登高而歌,脱衣奔跑,黄疸,鼻渊鼻衄,口唇疱疹,颈部肿胀,膝盖髌骨肿痛,沿着胸部、乳房、气膺、伏兔、胫骨外侧、足背上方均出现疼痛,食欲亢进善饥。
Fenglong (ST40): Located 8 cun above the lateral malleolus, in the depression on the lateral side of the tibia, two finger-widths from the anterior crest. It is the Luo-Connecting point of the Foot-Yangming Stomach Meridian, diverging to connect with the Foot-Taiyin Spleen Meridian. The *Tongren* text records needle insertion at 3 fen and moxibustion of 3 cones. The *Mingtang* text records moxibustion of 7 cones.
Indications: Limb coldness (Jue-ni), difficulty in urination and defecation, lassitude, soreness and weakness of the legs and knees, difficulty in flexion and extension, chest pain like stabbing, abdominal pain as if cut by a knife, headache due to wind-phlegm, swelling of the four limbs due to wind-reversal, cyanosis of the feet and body cold-dampness, bi-syndrome of the throat leading to aphonia, singing while climbing high, running naked, seeing ghosts and laughing. If Qi rebels, it causes sudden aphonia due to throat bi; excess patterns manifest as mania or epilepsy, treated with draining method; deficiency patterns manifest as flaccidity of the feet and wasting of the shin muscles, treated with tonifying method.
Jiexi (ST41): Located 1.5 cun posterior to Chongyang (ST42), in the depression above the ankle joint, specifically in the hollow where the foot extends straight up from the big toe and second toe on the dorsum. This is the Jing-River point of the Foot-Yangming Stomach Meridian, corresponding to Fire. For stomach deficiency, apply tonification. The *Tongren* text records moxibustion of 3 cones, needle insertion of 5 fen, retaining the needle for three breaths.
Indications: Wind-induced facial edema, dark complexion, rebellious Qi rushing upward, abdominal distension, sensation of heaviness in defecation, convulsions and fright, swelling of the knee and thigh, muscle cramps, vertigo, headache, epilepsy, vexation and sorrowful weeping, cholera, headache with red face and eyes, unbearable pain in the glabella.
Chongyang (ST42): Located 5 cun on the dorsum of the foot, 2 cun away from Xangu (ST43), over the arterial pulse between the bones. This is the Yuan-Source point of the Foot-Yangming Stomach Meridian. Both excess and deficiency of the stomach can be treated here by needling. The *Suwen Zhu* notes needle insertion of 3 fen, retaining for ten breaths. The *Suwen* warns that puncturing the arterial pulse on the dorsum of the foot with unceasing bleeding leads to death. The *Tongren* text records indications: hemiplegic facial paralysis, dorsal foot swelling, toothache, aversion to cold and fever, hard and distended abdomen, loss of appetite, shivering and yawning in cold damage disease, chronic mania, singing while climbing high, running naked, foot flaccidity unable to hold shoes, pain in the front of the body.
Xangu (ST43): Located in the depression lateral to the space between the big toe and the second toe, behind the metatarsophalangeal joint, 2 cun away from Neiting (ST44). This is the Shu-Stream point of the Foot-Yangming Stomach Meridian, corresponding to Wood. The *Tongren* text records needle insertion of 3 fen. The *Suwen Zhu* records needle insertion of 5 fen, retaining for seven breaths, and moxibustion of 3 cones.
Indications: Edema of the face and eyes, water retention diseases, frequent belching, borborygmus and abdominal pain, heat disease with profuse diarrhea, absence of sweating, chills and malaria.
Li Dongyuan stated: When Qi stagnates in the arm, points on the foot should be selected. First remove blood stasis, then deeply needle the Ying-Spring and Shu-Stream points of the Foot-Yangming Stomach Meridian: Neiting (ST44) and Xangu (ST43).
Neiting (ST44): Located in the depression lateral to the space between the big toe and the second toe. This is the Ying-Spring point of the Foot-Yangming Stomach Meridian, corresponding to Water. The *Tongren* text records moxibustion of 3 cones, needle insertion of 3 fen, retaining for ten breaths.
Indications: Coldness of the four limbs, abdominal fullness, frequent yawning, aversion to human voices, chills, pulling pain in the throat, deviation of the mouth, upper toothache, malaria with loss of appetite, pain in the scalp skin, unceasing epistaxis, cold damage with cold extremities, absence of sweating, dysentery with red and white discharge.
Lidui (ST45): Located at the tip of the second toe, approximately the width of a leek leaf from the corner of the nail. This is the Jing-Well point of the Foot-Yangming Stomach Meridian, corresponding to Metal. For stomach excess, apply draining method. The *Tongren* text records needle insertion of 1 fen and moxibustion of 1 cone.
Indications: Corpse-like fainting (Shi-jue), locked jaw and cessation of breathing, symptoms resembling evil possession, heart and abdominal fullness, edema, heat disease with no sweat, cold malaria with loss of appetite, facial swelling, cold feet, throat bi, upper toothache, aversion to cold and nasal obstruction, frequent fright and desire to lie down, mania with desire to climb high and sing, running naked, jaundice, rhinorrhea and epistaxis, herpes on the lips, neck swelling, swelling and pain of the knee patella, pain along the chest, breast, Qiyng, Futu, lateral calf, and dorsum of the foot, excessive hunger and digestion.