胆甲日（甲与己合。胆引气行。木。原在寅。）甲戌时窍阴（井胆）丙子时前谷。（荥小肠）
戊寅
焦。
肝乙日（乙与庚合。肝与血行。）乙酉时大敦。（井肝）丁亥时少府。（荥心）己丑时太白。
（俞脾）辛卯时经渠。（经肺）癸巳时阴谷。（合肾）乙未时血纳包络。
小肠丙日（丙与辛合。小肠引气出行。火。原在子。火入水乡。）丙申时少泽。（井小肠）
戊戌
膀胱）甲辰时阳陵泉。（合胆）丙午时气纳三焦。
心丁日（丁与壬合。心引血行。）丁未时少冲。（井心）己酉时大都。（荥脾）辛亥时太渊。
（俞肺）癸丑时复溜。（经肾）乙卯时曲泉。（合肝）丁巳时血纳包络。
胃戊日（戊与癸合。胃引气出行。土。原在戌）戊午时厉兑。（井胃）庚申时三间。（荥大
肠）壬
肠）戊辰时气纳三焦。
脾己日（甲与己合。脾引血行。）己巳时隐白。（井脾）辛未时鱼际。（荥肺）癸酉时太 。（俞肾
）乙亥时中封。（经肝）丁丑时少海。（合心）己卯时血纳包络。
大肠庚日（庚与乙合。大肠引气出行。金。原在申。）庚辰时商阳。（井大肠）壬午时通谷。（荥膀胱）甲申时临泣。
（俞胆）过本原合谷。（金。原在申。）丙戌时阳谷。（经小肠）戊子时三里。（合胃）庚寅时气纳三焦。（支沟）
肺辛日（丙与辛合。肺引血出行。）辛卯时少商。（井肺）癸巳时然谷。（荥肾）乙未时太冲。（俞肝）丁酉时灵道。（经
心）己亥时阴陵泉。（合脾）辛丑时血纳包络。膀胱壬日（丁与壬合。膀胱引气出行。水。原在午。水入火乡。）壬寅时
至阴。（井膀胱）甲辰时侠 。（荥胆）丙午时后 。（俞小肠）过本原京骨。（水。原在午。火入水乡。故壬丙子午相交。）
戊申时解 。（经胃）庚戌时曲池。（合大肠）壬子时气纳三焦。（还原化本）
肾癸日（戊与癸合。肾引血行。）癸亥时涌泉。（井肾）乙丑时行间。（荥肝）丁卯时神门。
（俞心）己巳时商丘。（经脾）辛未时尺泽。（合肺）癸酉时血纳包络。
三焦（十二经之本。生气之原。主通行荣卫。经历五脏六腑。）壬子时关冲。（井三焦）甲
寅时
气入行。
心包络（心主与三焦为表里）癸丑时中冲。（井）乙卯时劳宫。（荥）丁巳时大陵。（俞）己未
时间使。（经）辛酉时曲泽。（合）癸亥血入行。
上子午流注开阖时。原有方圆二图。今直录之。以便记诵。旧方图以甲己为九。乙庚为
八。
巳亥为四。圆图无此。而缺三焦包络。大抵书之有图。所以彰明其理耳。今反晦之。是以不
录。窦氏井荥俞经合应日开阖。有图有说。今人泥其图而不详其说。妄言今日某日。某时其
穴开。凡百病皆针灸此开穴。明日某日。某时其穴开。凡百病针灸明日开穴。误人多矣。今
去其图。直录其说。使人知某病宜针灸某经某穴。当用某日某时开方针。如东垣治前阴臊臭
。刺肝经行间。用乙丑时矣。又刺少冲。则宜丁未日矣。岂东垣治一病而有首尾越四十三日
刺两穴哉。此又不通之论也。大抵医自素、难之下。皆为旁 曲径。非周行也。
胆经在甲日（天干中甲与己相合。胆引导气运行。五行属木。原穴位于寅时。）甲戌时开窍阴穴（井穴，属胆经）；丙子时开前谷穴（荥穴，属小肠经）。
肝经在乙日（天干中乙与庚相合。肝引导血运行。）乙酉时开大敦穴（井穴，属肝经）；丁亥时开少府穴（荥穴，属心经）；己丑时开太白穴（输穴，属脾经）；辛卯时开经渠穴（经穴，属肺经）；癸巳时开阴谷穴（合穴，属肾经）；乙未时气血注入心包络。
小肠经在丙日（天干中丙与辛相合。小肠引导气外出运行。五行属火。原穴位于子时。火进入水之方位。）丙申时开少泽穴（井穴，属小肠经）；戊戌时开至阴穴（注：原文此处有脱漏或错简，根据上下文及流注顺序，通常指膀胱经穴位，但原文仅列“膀胱）”，结合后文壬日部分，此处疑为排版错误，暂按原文字面理解，或指代后续提到的膀胱经相关，但根据标准子午流注，丙日戊戌时应为膀胱经京骨或类似，然原文此处表述混乱，依原文直译：...戊戌时[缺]膀胱）；甲辰时开阳陵泉穴（合穴，属胆经）；丙午时气血注入三焦。
心经在丁日（天干中丁与壬相合。心引导血运行。）丁未时开少冲穴（井穴，属心经）；己酉时开大都穴（荥穴，属脾经）；辛亥时开太渊穴（注：原文括号内写“俞肺”，但太渊为肺经原穴兼输穴、经穴，此处依原文标注）（输穴/经穴，属肺经）；癸丑时开复溜穴（经穴，属肾经）；乙卯时开曲泉穴（合穴，属肝经）；丁巳时气血注入心包络。
胃经在戊日（天干中戊与癸相合。胃引导气外出运行。五行属土。原穴位于戌时。）戊午时开厉兑穴（井穴，属胃经）；庚申时开三间穴（荥穴，属大肠经）；壬[时缺]肠）；戊辰时气血注入三焦。
脾经在己日（天干中甲与己相合。脾引导血运行。）己巳时开隐白穴（井穴，属脾经）；辛未时开鱼际穴（荥穴，属肺经）；癸酉时开太溪穴（注：原文“太 。”应为太溪，输穴，属肾经）（输穴，属肾经）；乙亥时开中封穴（经穴，属肝经）；丁丑时开少海穴（合穴，属心经）；己卯时气血注入心包络。
大肠经在庚日（天干中庚与乙相合。大肠引导气外出运行。五行属金。原穴位于申时。）庚辰时开商阳穴（井穴，属大肠经）；壬午时开通谷穴（荥穴，属膀胱经）；甲申时开足临泣穴（注：原文“临泣”，通常为足临泣，输穴，属胆经）（输穴，属胆经）；经过本原穴合谷穴（金。原穴位于申时。）；丙戌时开阳谷穴（经穴，属小肠经）；戊子时开足三里穴（合穴，属胃经）；庚寅时气血注入三焦（支沟穴）。
肺经在辛日（天干中丙与辛相合。肺引导血外出运行。）辛卯时开少商穴（井穴，属肺经）；癸巳时开然谷穴（荥穴，属肾经）；乙未时开太冲穴（输穴，属肝经）；丁酉时开灵道穴（经穴，属心经）；己亥时开阴陵泉穴（合穴，属脾经）；辛丑时气血注入心包络。
膀胱经在壬日（天干中丁与壬相合。膀胱引导气外出运行。五行属水。原穴位于午时。水进入火之方位。）壬寅时开至阴穴（井穴，属膀胱经）；甲辰时开侠溪穴（注：原文“侠 ”，应为侠溪，荥穴，属胆经）（荥穴，属胆经）；丙午时开后溪穴（注：原文“后 ”，应为后溪，输穴，属小肠经）（输穴，属小肠经）；经过本原穴京骨穴（水。原穴位于午时。火进入水之方位。所以壬日和丙日的子时、午时相交。）；戊申时开解溪穴（注：原文“解 ”，应为解溪，经穴，属胃经）（经穴，属胃经）；庚戌时开曲池穴（合穴，属大肠经）；壬子时气血注入三焦（还原为本源之气）。
肾经在癸日（天干中戊与癸相合。肾引导血运行。）癸亥时开涌泉穴（井穴，属肾经）；乙丑时开行间穴（荥穴，属肝经）；丁卯时开神门穴（注：原文括号内写“俞心”，神门为心经输穴兼原穴）（输穴，属心经）；己巳时开商丘穴（经穴，属脾经）；辛未时开尺泽穴（合穴，属肺经）；癸酉时气血注入心包络。
三焦经（十二经脉的根本。生气的源头。主要通行营卫之气。经历五脏六腑。）壬子时开关冲穴（井穴，属三焦经）；甲[寅时缺]气入行。
心包络（心主与三焦互为表里）癸丑时开中冲穴（井穴）；乙卯时开劳宫穴（荥穴）；丁巳时开大陵穴（输穴）；己未时开间使穴（注：原文“时间使”，应为间使，经穴）（经穴）；辛酉时开曲泽穴（合穴）；癸亥时血入行。
上述是子午流注的开阖时辰。原本有方图和圆图两种图表。现在直接记录文字，以便记忆背诵。旧的方图以甲己日为九，乙庚日为八，巳亥日为四。圆图中没有这种说法，而且缺少三焦和心包络的内容。大概书籍中有图，是为了彰显其中的道理罢了。现在反而使其晦涩难懂，所以不收录图表。窦汉卿提出的井、荥、输、经、合穴对应日期的开阖方法，既有图又有解说。现在的人拘泥于图表而不详细探究其解说，胡乱说今天某日、某时穴位开启，所有疾病都针灸这个开启的穴位；明天某日、某时穴位开启，所有疾病都针灸明天开启的穴位。这样误导人太多了。现在去掉图表，直接记录其解说，使人知道某种疾病适宜针灸哪条经络的哪个穴位，应当使用哪一天哪一个时辰开启的针法。例如李东垣治疗前阴臊臭病，针刺肝经的行间穴，使用的是乙丑时；又针刺少冲穴，则宜用丁未日。难道李东垣治疗一种病，从头到尾跨越四十三天只刺两个穴位吗？这又是荒谬不通的论调。大概医学自从《素问》、《难经》之后，都成为了旁门左道、曲折的小径，并非周流不息的正道。
The Gallbladder Meridian on Jia (Yang Wood) Day (Jia combines with Ji. The Gallbladder guides Qi circulation. Element is Wood. Yuan-Source point corresponds to Yin hour.) At Jia-Xu hour, open Qiaoyin (Jing-Well point, Gallbladder Meridian); at Bing-Zi hour, open Qiangu (Ying-Spring point, Small Intestine Meridian).
The Liver Meridian on Yi (Yin Wood) Day (Yi combines with Geng. The Liver guides Blood circulation.) At Yi-You hour, open Dazhun (Jing-Well point, Liver Meridian); at Ding-Hai hour, open Shaofu (Ying-Spring point, Heart Meridian); at Ji-Chou hour, open Taibai (Shu-Stream point, Spleen Meridian); at Xin-Mao hour, open Jingqu (Jing-River point, Lung Meridian); at Gui-Si hour, open Yinggu (He-Sea point, Kidney Meridian); at Yi-Wei hour, Qi and Blood enter the Pericardium.
The Small Intestine Meridian on Bing (Yang Fire) Day (Bing combines with Xin. The Small Intestine guides Qi outward circulation. Element is Fire. Yuan-Source point corresponds to Zi hour. Fire enters the Water domain.) At Bing-Shen hour, open Shaoze (Jing-Well point, Small Intestine Meridian); at Wu-Xu hour, [Text fragment: Bladder)]; at Jia-Chen hour, open Yanglingquan (He-Sea point, Gallbladder Meridian); at Bing-Wu hour, Qi and Blood enter the Sanjiao (Triple Burner).
The Heart Meridian on Ding (Yin Fire) Day (Ding combines with Ren. The Heart guides Blood circulation.) At Ding-Wei hour, open Shaochong (Jing-Well point, Heart Meridian); at Ji-You hour, open Dadu (Ying-Spring point, Spleen Meridian); at Xin-Hai hour, open Taiyuan (Shu-Stream/Jing-River point, Lung Meridian); at Gui-Chou hour, open Fuliou (Jing-River point, Kidney Meridian); at Yi-Mao hour, open Ququan (He-Sea point, Liver Meridian); at Ding-Si hour, Qi and Blood enter the Pericardium.
The Stomach Meridian on Wu (Yang Earth) Day (Wu combines with Gui. The Stomach guides Qi outward circulation. Element is Earth. Yuan-Source point corresponds to Xu hour.) At Wu-Wu hour, open Lidi (Jing-Well point, Stomach Meridian); at Geng-Shen hour, open Sanjian (Ying-Spring point, Large Intestine Meridian); at Ren [hour missing] Intestine); at Wu-Chen hour, Qi and Blood enter the Sanjiao (Triple Burner).
The Spleen Meridian on Ji (Yin Earth) Day (Ji combines with Jia. The Spleen guides Blood circulation.) At Ji-Si hour, open Yinbai (Jing-Well point, Spleen Meridian); at Xin-Wei hour, open Yuji (Ying-Spring point, Lung Meridian); at Gui-You hour, open Taixi (Shu-Stream point, Kidney Meridian); at Yi-Hai hour, open Zhongfeng (Jing-River point, Liver Meridian); at Ding-Chou hour, open Shaohai (He-Sea point, Heart Meridian); at Ji-Mao hour, Qi and Blood enter the Pericardium.
The Large Intestine Meridian on Geng (Yang Metal) Day (Geng combines with Yi. The Large Intestine guides Qi outward circulation. Element is Metal. Yuan-Source point corresponds to Shen hour.) At Geng-Chen hour, open Shangyang (Jing-Well point, Large Intestine Meridian); at Ren-Wu hour, open Tonggu (Ying-Spring point, Bladder Meridian); at Jia-Shen hour, open Zulinqi (Shu-Stream point, Gallbladder Meridian); passing through the Yuan-Source point Hegu (Metal. Yuan-Source point corresponds to Shen hour.); at Bing-Xu hour, open Yanggu (Jing-River point, Small Intestine Meridian); at Wu-Zi hour, open Zusanli (He-Sea point, Stomach Meridian); at Geng-Yin hour, Qi and Blood enter the Sanjiao (Triple Burner) (Zhigou point).
The Lung Meridian on Xin (Yin Metal) Day (Xin combines with Bing. The Lung guides Blood outward circulation.) At Xin-Mao hour, open Shaoshang (Jing-Well point, Lung Meridian); at Gui-Si hour, open RanGu (Ying-Spring point, Kidney Meridian); at Yi-Wei hour, open Taichong (Shu-Stream point, Liver Meridian); at Ding-You hour, open Lingdao (Jing-River point, Heart Meridian); at Ji-Hai hour, open Yinlingquan (He-Sea point, Spleen Meridian); at Xin-Chou hour, Qi and Blood enter the Pericardium.
The Bladder Meridian on Ren (Yang Water) Day (Ren combines with Ding. The Bladder guides Qi outward circulation. Element is Water. Yuan-Source point corresponds to Wu hour. Water enters the Fire domain.) At Ren-Yin hour, open Zhiyin (Jing-Well point, Bladder Meridian); at Jia-Chen hour, open Xiaxi (Ying-Spring point, Gallbladder Meridian); at Bing-Wu hour, open Houxi (Shu-Stream point, Small Intestine Meridian); passing through the Yuan-Source point Jinggu (Water. Yuan-Source point corresponds to Wu hour. Fire enters the Water domain. Thus, Ren and Bing days intersect at Zi and Wu hours.); at Wu-Shen hour, open JieXi (Jing-River point, Stomach Meridian); at Geng-Xu hour, open Quchi (He-Sea point, Large Intestine Meridian); at Ren-Zi hour, Qi and Blood enter the Sanjiao (Triple Burner) (restoring to the original source).
The Kidney Meridian on Gui (Yin Water) Day (Gui combines with Wu. The Kidney guides Blood circulation.) at Gui-Hai hour, open Yongquan (Jing-Well point, Kidney Meridian); at Yi-Chou hour, open Xingjian (Ying-Spring point, Liver Meridian); at Ding-Mao hour, open Shenmen (Shu-Stream point, Heart Meridian); at Ji-Si hour, open Shangqiu (Jing-River point, Spleen Meridian); at Xin-Wei hour, open Chize (He-Sea point, Lung Meridian); at Gui-You hour, Qi and Blood enter the Pericardium.
The Sanjiao (Triple Burner) Meridian (The root of the twelve meridians. The origin of vital Qi. Primarily responsible for circulating Ying and Wei Qi. Passes through the five zang and six fu organs.) At Ren-Zi hour, open Guanchong (Jing-Well point, Sanjiao Meridian); at Jia [Yin hour missing] Qi enters circulation.
The Pericardium (The Heart Master and Sanjiao are exterior-interior pairs) At Gui-Chou hour, open Zhongchong (Jing-Well point); at Yi-Mao hour, open Laogong (Ying-Spring point); at Ding-Si hour, open Daling (Shu-Stream point); at Ji-Wei hour, open Jianshi (Jing-River point); at Xin-You hour, open Quze (He-Sea point); at Gui-Hai hour, Blood enters circulation.
The above describes the opening and closing hours of the Zi-Wu Liu Zhu method. Originally, there were two diagrams: a square diagram and a circular diagram. Now, only the text is recorded directly for ease of memorization. The old square diagram designated Jia-Ji as nine, Yi-Geng as eight, and Si-Hai as four. The circular diagram did not have this classification and lacked the Sanjiao and Pericardium. Generally, books include diagrams to clarify principles. However, including them here might obscure understanding, so they are not recorded. Dou Hanqing’s theory of Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points corresponding to daily openings includes both diagrams and explanations. Modern practitioners, however, stick rigidly to the diagrams without studying the explanations, falsely claiming that on a specific day and hour, a specific point opens, and all diseases should be treated by needling this open point; or that tomorrow another point opens, and all diseases should be treated then. This has misled many. Therefore, the diagrams are removed, and only the explanations are recorded, so that one knows which meridian and point are suitable for a specific disease, and which day and hour correspond to the appropriate needle-opening technique. For example, Li Dongyuan treated foul odor from the external genitalia by needling Xingjian of the Liver Meridian at Yi-Chou hour; and if needling Shaochong, it would be appropriate at Ding-Wei day. Could it be that Li Dongyuan treated one disease over forty-three days, needling only two points? This is an illogical argument. Broadly speaking, since the *Suwen* and *Nanjing*, medicine has deviated into side paths and crooked trails, rather than following the continuous, orthodox flow.