上关,一名客主人,在耳前上廉起骨端,开口有孔,手少阳、足阳明之会,刺入三分,
留七呼,灸三壮,刺太深令人耳无闻。
下关,在客主人下,耳前动脉下空下廉,合口有孔,张口即闭,足阳明、少阳之会,刺
入三分,留七呼,灸三壮,耳中有干HT (音适)抵,不可灸。(HT 抵一作适之,不
可灸。一作针灸留针。)
耳门,在耳前起肉当耳缺者,刺入三分,留三呼,灸三壮。
禾 ,在耳前锐发下横动脉,手足少阳、手太阳之会,刺入三分,灸三壮。(气府
论注云∶手、足少阳二脉之会。)
听会,在耳前陷者中,张口得之,动脉应手,少阳脉气所发,刺入四分,灸三壮。(缪
刺注云∶正当手阳明脉之分。)
听宫,在耳中,珠子大,明如赤小豆,手足少阳、手太阳之会,刺入三分,灸三壮。(
气穴注云∶刺入一分。)
角孙,在耳廓中间,开口有孔,手足少阳、手阳明之会,刺入三分,灸三壮。(气府
论注云∶在耳上廓表之间发际之下,手太阳、手足少阳三脉之会。)
脉,一名资脉,在耳本后鸡足青络脉,刺出血如豆汁,刺入一分,灸三壮。
颅息,在耳后间青络脉,足少阳脉气所发,刺入一分,出血多则杀人,灸三壮。
翳风,在耳后陷者中,按之引耳中,手、足少阳之会,刺入四分,灸三壮。
上关穴,又名客主人穴,位于耳前上方骨棱的突起端,张口时可见孔洞,是手少阳三焦经与足阳明胃经的交会穴。针刺深度为三分,留针七次呼吸的时间,艾灸三壮;若针刺过深,会导致听力丧失。
下关穴,位于客主人穴(上关穴)下方,耳前动脉下方的凹陷处及下缘,闭口时有孔,张口时孔即闭合,是足阳明胃经与足少阳胆经的交会穴。针刺深度为三分,留针七次呼吸的时间,艾灸三壮;若耳中有干燥如“HT抵”(音同“适”,指干涩不适感)的症状,则不可施灸。(“HT抵”一作“适之”,意为不可灸;另一说认为是指针灸后需留针。)
耳门穴,位于耳前隆起的肌肉正对耳缺口的地方。针刺深度为三分,留针三次呼吸的时间,艾灸三壮。
禾髎穴,位于耳前锐利发际下的横走动脉处,是手少阳三焦经、足少阳胆经与手太阳小肠经的交会穴。针刺深度为三分,艾灸三壮。(《气府论》注云:此处为手、足少阳二脉的交会点。)
听会穴,位于耳前的凹陷中,张口时可取到,按压有动脉搏动感,是少阳脉气所发出的穴位。针刺深度为四分,艾灸三壮。(《缪刺》注云:正当手阳明大肠经的分野。)
听宫穴,位于耳中,形状如珠子般大,色泽明亮如同赤小豆,是手少阳三焦经、足少阳胆经与手太阳小肠经的交会穴。针刺深度为三分,艾灸三壮。(《气穴》注云:针刺深度为一分。)
角孙穴,位于耳廓中间,张口时有孔洞,是手少阳三焦经、足少阳胆经与手阳明大肠经的交会穴。针刺深度为三分,艾灸三壮。(《气府论》注云:位于耳上廓表之间发际之下,是手太阳小肠经、手少阳三焦经、足少阳胆经三条经脉的交会点。)
脉(此处指丝竹空或相关络脉,原文仅称“脉”,一名资脉),位于耳根后方鸡爪状的青色络脉处。针刺出血,血量如豆汁大小,针刺深度为一分,艾灸三壮。
Shangguan (Upper Gate), also known as Keren Zhu, is located at the upper end of the bony prominence in front of the ear. A hole appears when the mouth is open. It is the intersection of the Hand-Shaoyang (Sanjiao) Meridian and the Foot-Yangming (Stomach) Meridian. The needle should be inserted three fen deep, retained for seven breaths, and moxibustion consists of three moxa cones. If pierced too deeply, it may cause deafness.
Xiaguan (Lower Gate) is located below Keren Zhu (Shangguan), in the hollow beneath the arterial pulse in front of the ear, at the lower edge. A hole exists when the mouth is closed but closes when opened. It is the intersection of the Foot-Yangming (Stomach) Meridian and the Shaoyang (Gallbladder) Meridian. The needle should be inserted three fen deep, retained for seven breaths, and moxibustion consists of three moxa cones. If there is dryness or discomfort in the ear (described as "shi di", sounding like 'shi'), moxibustion is contraindicated. ("Shi di" is alternatively written as "shi zhi", meaning moxibustion is not allowed; another interpretation suggests it refers to retaining the needle after acupuncture.)
Ermen (Ear Gate) is located in front of the ear, in the raised flesh directly opposite the ear opening. The needle should be inserted three fen deep, retained for three breaths, and moxibustion consists of three moxa cones.
Heliao (Grain Corner) is located below the sharp hairline in front of the ear, along the transverse arterial pulse. It is the intersection of the Hand-Shaoyang (Sanjiao) Meridian, Foot-Shaoyang (Gallbladder) Meridian, and Hand-Taiyang (Small Intestine) Meridian. The needle should be inserted three fen deep, and moxibustion consists of three moxa cones. (Note from *Qifu Lun*: It is the intersection of the Hand and Foot Shaoyang meridians.)
Tinghui (Listening Meeting) is located in the depression in front of the ear, accessible when the mouth is open, where the arterial pulse can be felt. It is a point where Shaoyang meridian qi emerges. The needle should be inserted four fen deep, and moxibustion consists of three moxa cones. (Note from *Miu Ci*: It lies exactly within the territory of the Hand-Yangming (Large Intestine) Meridian.)
Tinggong (Listening Palace) is located inside the ear, round like a bead, bright red like a adzuki bean. It is the intersection of the Hand-Shaoyang (Sanjiao) Meridian, Foot-Shaoyang (Gallbladder) Meridian, and Hand-Taiyang (Small Intestine) Meridian. The needle should be inserted three fen deep, and moxibustion consists of three moxa cones. (Note from *Qixue*: The insertion depth is one fen.)
Jiaosun (Corner Sun) is located in the middle of the auricle, with a hole appearing when the mouth is open. It is the intersection of the Hand-Shaoyang (Sanjiao) Meridian, Foot-Shaoyang (Gallbladder) Meridian, and Hand-Yangming (Large Intestine) Meridian. The needle should be inserted three fen deep, and moxibustion consists of three moxa cones. (Note from *Qifu Lun*: Located between the surface of the upper ear cartilage and below the hairline, it is the intersection of the Hand-Taiyang (Small Intestine), Hand-Shaoyang (Sanjiao), and Foot-Shaoyang (Gallbladder) meridians.)
Zimai (Resource Vessel), also known as Zimai, is located behind the root of the ear among the chicken-foot-shaped blue collateral vessels. Prick to bleed until the blood resembles bean juice. The needle should be inserted one fen deep, and moxibustion consists of three moxa cones.
Luxi (Skull Rest) is located among the blue collateral vessels behind the ear, where Foot-Shaoyang (Gallbladder) meridian qi emerges. The needle should be inserted one fen deep. Excessive bleeding may be fatal. Moxibustion consists of three moxa cones.
Yifeng (Wind Screen) is located in the depression behind the ear; pressing it induces sensation in the ear. It is the intersection of the Hand-Shaoyang (Sanjiao) Meridian and Foot-Shaoyang (Gallbladder) Meridian. The needle should be inserted four fen deep, and moxibustion consists of three moxa cones.