\r手太阴肺经左右十八穴\pf-f25.bmp\r
少商二穴。木也。在手大指端内侧。去爪甲角如韭叶。（明云。白肉际宛宛中。）以三棱
针刺
之微出血。泄诸脏热凑。不宜灸。成君绰忽腮颔肿大如升。喉中闭塞。水粒不下。甄权针之
立愈。明云、针一分。留三呼。泻五吸。宜针不宜灸。以三棱针刺之。令血出。胜气针。
所以胜气针者。此脉胀腮之候。腮中有气。人不能食。故刺出血以宣诸脏腠也。忌冷热食。
下云、灸三壮。（甲乙作一壮。）
鱼际二穴火也。在手大指本节后内侧散脉中。针一分。留二呼。素注、二分。灸三壮
。
太渊二穴。在掌后陷中。灸三壮。针一分。素注、二分。明下云、太泉在手中掌后横
文头陷中。灸五壮。（难。掌后鱼际下。脉会太渊。脉病治此。）
铜人曰、太渊。明堂曰、太泉。疑是二穴也。予按千金方注云、太泉即太渊也。避唐祖
名改之。于是书之。以示世医。（泉脉清冷泉同。）
经渠二穴。金也。在寸口陷中。针二分。留三呼。禁灸。灸伤人神。
列缺二穴。在腕侧上寸半。（明堂下云腕上一寸。）以手交叉头指末两筋两骨罅中。针
二分
。留二呼。泻五吸。灸七壮。忌同。明云、针三分。日灸七壮。若患偏风。灸至百。若患
腕劳。灸七七。下云、三壮。素注云、腕上寸半。
孔最二穴。在腕上七寸。（明下云陷者宛宛中。）手太阴 。治热病汗不出。此穴可灸
三壮。即汗出。咳逆臂厥痛。针三分。灸五壮。明下云、灸三壮。
尺泽二穴。水也。在肘中约上动脉中。针三分。灸五壮。明云、肘中约上两筋动脉中。
甄权云、在臂屈伸横文中筋骨罅陷中。不宜灸。主癫病。不可向手臂。不得上头。素刺禁云
、刺肘
中内陷。气归之。为不屈伸。注云、肘中谓肘屈折之中。尺泽穴中也。刺过陷脉。恶气归之
。气闭关节。故不屈伸。（难疏言。尺之一寸外为尺泽也。言尺脉入泽。如水入大泽。）
铜人云、灸五壮。明堂下经乃云不宜灸。主癫病。不可向手臂。不得上头。既曰不宜灸
矣。
乃曰主癫病。是又可灸也。此必有误。且从铜人灸五壮。明堂亦云、禁穴许灸一壮至三壮故
也。
侠白二穴。在天府下去肘五寸动脉中。针三分。灸五壮。
天府二穴。在腋下三寸动脉中。以鼻取之。禁灸。使人逆气。今附。刺鼻衄血不止。针
四分。留三呼。
明云、四分。留七呼。灸二七壮。不除、至百壮。出明堂经。其甲乙经禁灸。
甲乙铜人皆云禁灸。明堂乃云灸二七壮至百壮。亦甚不同矣。要非大急、不必灸。
手太阴肺经左右两侧共十八个穴位
少商穴，左右各一穴。五行属木。位于手大指末端内侧，距离指甲角约如韭菜叶宽度处。（王明云：在白肉与红肉交界处的凹陷中。）用三棱针刺入，使微微出血。可泄除汇聚于各脏腑的热邪。不宜施灸。成君绰曾患腮部及下颌肿大如升斗，喉中闭塞，连水和食物都无法咽下。甄权针刺此穴，立即痊愈。王明云：进针一分，留针三次呼吸的时间，施行泻法（患者吸气五次时出针）。宜针不宜灸。用三棱针刺入，令其出血。这是“胜气针”疗法。之所以称为胜气针，是因为这是脉胀导致腮肿的证候，腮中有气滞，使人无法进食，所以刺破出血以宣通各脏腑的腠理。忌食冷、热食物。下文又说：灸三壮。（《甲乙经》作灸一壮。）
鱼际穴，左右各一穴。五行属火。位于手大指本节后的内侧散在血脉中。进针一分，留针两次呼吸的时间。《素问》注解说：二分。灸三壮。
太渊穴，左右各一穴。位于手腕后横纹的凹陷中。灸三壮。进针一分。《素问》注解说：二分。王明在下文说：太泉穴位于手掌后横纹尽头的凹陷中。灸五壮。（《难经》说：掌后鱼际下方，脉会于太渊。脉病治此穴。）
《铜人腧穴针灸图经》说：太渊。《明堂经》说：太泉。怀疑这是两个不同的穴位。我查阅《千金方》的注释说：太泉就是太渊。是为了避讳唐朝皇帝的祖先名字而改名的。于是记录在此，以告知世间的医生。（“泉”与“脉”音清冷相通，故同义。）
经渠穴，左右各一穴。五行属金。位于寸口脉搏动处的凹陷中。进针二分，留针三次呼吸的时间。禁止施灸。施灸会伤害人体正气。
列缺穴，左右各一穴。位于腕侧上方一寸半处。（《明堂经》下文说：腕上一寸。）将两手交叉，食指指尖落在两筋两骨之间的缝隙中。进针二分，留针两次呼吸的时间，施行泻法（患者吸气五次时出针）。灸七壮。禁忌同上。王明云：进针三分，每天灸七壮。如果患有偏风（半身不遂），灸至一百壮。如果患有腕劳（手腕劳损），灸四十九壮。下文说：三壮。《素问》注解说：腕上一寸半。
孔最穴，左右各一穴。位于腕上七寸处。（王明下文说：在凹陷的宛宛中。）属手太阴肺经。治疗热病汗不出。此穴可灸三壮，汗即出。治疗咳逆、臂厥痛。进针三分，灸五壮。王明下文说：灸三壮。
尺泽穴，左右各一穴。五行属水。位于肘窝中央动脉搏动处。进针三分，灸五壮。王明云：在肘窝中央两筋之间动脉搏动处。甄权云：在手臂屈伸时的横纹中，筋骨之间的凹陷处。不宜施灸。主治癫病。不可向手臂方向针刺，不可向上过头顶。《素刺禁》说：刺肘中内陷，气归之，会导致肢体不能屈伸。注解说：肘中指肘关节屈折之中，即尺泽穴所在。如果刺过陷脉，恶气归之，气闭关节，所以不能屈伸。（《难经疏》说：尺脉外一寸为尺泽。意思是尺脉流入泽地，如水流入大泽。）
《铜人腧穴针灸图经》说：灸五壮。《明堂经》下文却说：不宜施灸。主治癫病。不可向手臂方向针刺，不可向上过头顶。既然说不宜施灸，又说主治癫病，这又暗示可以施灸。这里必定有误。暂且依从《铜人》灸五壮的说法。《明堂经》也说：禁穴允许灸一壮至三壮，这也是原因之一。
侠白穴，左右各一穴。位于天府穴下方去肘五寸的动脉搏动处。进针三分，灸五壮。
天府穴，左右各一穴。位于腋下三寸的动脉搏动处。可以用鼻子来定位取穴。禁止施灸。施灸会使人气逆。现在附记于此。如果刺伤导致鼻衄血不止，进针四分，留针三次呼吸的时间。
王明云：进针四分，留针七次呼吸的时间。灸十四壮。如果不愈，灸至一百壮。出自《明堂经》。但《甲乙经》禁止施灸。
《甲乙经》和《铜人腧穴针灸图经》都说禁止施灸，《明堂经》却说灸十四壮至一百壮，差异很大。如果不是非常紧急的情况，不必施灸。
Eighteen Acupoints of the Hand-Taiyin Lung Meridian on Both Sides
Shaoshang (Shao Shang, 少商): Two acupoints. Element: Wood. Location: On the medial side of the tip of the thumb, approximately the width of a leek leaf from the corner of the nail. (Wang Ming states: In the depression at the junction of the white and red flesh.) Puncture with a three-edged needle to induce slight bleeding. It drains heat gathering in the Zang organs. Moxibustion is contraindicated. Cheng Junchuo once suffered from swelling of the cheeks and jaw as large as a sheng (a unit of volume), with throat obstruction preventing the intake of water or food. Zhen Quan punctured this point, and he recovered immediately. Wang Ming states: Insert one fen, retain for three breaths, apply reducing method (exhale during five inhalations). Needling is preferred over moxibustion. Use a three-edged needle to let blood out. This is the "Sheng Qi" (Victorious Qi) needling technique. The reason it is called Sheng Qi needling is that this is a syndrome of pulse distension causing cheek swelling; qi stagnation in the cheeks prevents eating, so pricking to bleed promotes the diffusion of qi in the couli (pores and interstices) of the Zang organs. Avoid cold and hot foods. The text below also mentions: Moxibustion, three Zhu. (Jia Yi Jing records one Zhu.)
Yuji (Yu Ji, 鱼际): Two acupoints. Element: Fire. Location: In the scattered vessels on the medial side behind the base joint of the thumb. Insert one fen, retain for two breaths. Su Wen commentary notes: Two fen. Moxibustion, three Zhu.
Taiyuan (Tai Yuan, 太渊): Two acupoints. Location: In the depression at the transverse crease of the wrist. Moxibustion, three Zhu. Insert one fen. Su Wen commentary notes: Two fen. Wang Ming states below: Taiquan is located in the depression at the head of the transverse crease on the palm. Moxibustion, five Zhu. (Nan Jing states: Below the Yuji at the wrist, the vessels converge at Taiyuan. For vessel diseases, treat this point.)
Tong Ren (The Copper Man Manual) states: Taiyuan. Ming Tang Jing states: Taiquan. I suspect these are two different points. I consulted the annotation in Qian Jin Fang, which states: Taiquan is Taiyuan. It was renamed to avoid the naming taboo of the Tang Dynasty emperor's ancestor. Thus, I record this here to inform physicians of the world. ("Quan" shares phonetic similarity with "Mai" in terms of clarity and coldness, hence synonymous.)
Jingqu (Jing Qu, 经渠): Two acupoints. Element: Metal. Location: In the depression at the Cun Kou (radial pulse) site. Insert two fen, retain for three breaths. Moxibustion is prohibited. Moxibustion harms the body's righteous Qi.
Lieque (Lie Que, 列缺): Two acupoints. Location: One and a half cun above the wrist on the radial side. (Ming Tang Jing below states: One cun above the wrist.) Cross hands, place the index finger tip in the gap between the two tendons and two bones. Insert two fen, retain for two breaths, apply reducing method (exhale during five inhalations). Moxibustion, seven Zhu. Contraindications are the same. Wang Ming states: Insert three fen, moxa seven Zhu daily. If suffering from Pi Feng (hemiplegia), moxa up to one hundred Zhu. If suffering from Wan Lao (wrist strain), moxa forty-nine Zhu. The text below states: Three Zhu. Su Wen commentary states: One and a half cun above the wrist.
Kongzui (Kong Zui, 孔最): Two acupoints. Location: Seven cun above the wrist. (Wang Ming below states: In the depression.) Belongs to the Hand-Taiyin Lung Meridian. Treats febrile diseases with anhidrosis (absence of sweating). This point can be moxaed three Zhu, after which sweat will appear. Treats cough with reverse flow of Qi, arm Jue pain. Insert three fen, moxa five Zhu. Wang Ming below states: Moxa three Zhu.
Chize (Chi Ze, 尺泽): Two acupoints. Element: Water. Location: In the arterial pulse within the cubital fossa. Insert three fen, moxa five Zhu. Wang Ming states: In the arterial pulse between the two tendons in the center of the elbow. Zhen Quan states: In the depression between the tendon and bone in the transverse crease when flexing and extending the arm. Moxibustion is not suitable. Mainly treats Dian Bing (epilepsy/severe mental disorder). Do not needle towards the arm, do not needle upwards towards the head. Su Ci Jin states: If needling into the center of the elbow causes sinking, Qi returns, leading to inability to flex and extend. Commentary states: Center of the elbow refers to the fold of the elbow joint, where Chize is located. If needling passes through the sinking vessel, evil Qi returns, closing the joints, thus causing inability to flex and extend. (Nan Jing Shu states: One cun outside the Chi pulse is Chize. Meaning the Chi pulse enters the marsh, like water entering a large lake.)
Tong Ren states: Moxa five Zhu. Ming Tang Jing below states: Not suitable for moxibustion. Mainly treats Dian Bing. Do not needle towards the arm, do not needle upwards towards the head. Since it says moxibustion is not suitable, yet says it mainly treats Dian Bing, implying it can be moxaed. There must be an error here. I shall follow Tong Ren and moxa five Zhu. Ming Tang Jing also states: Prohibited points allow one to three Zhu, which is also a reason.
Xiabai (Xia Bai, 侠白): Two acupoints. Location: Five cun below Tianfu, in the arterial pulse. Insert three fen, moxa five Zhu.
Tianfu (Tian Fu, 天府): Two acupoints. Location: Three cun below the axilla, in the arterial pulse. Can be located using the nose. Moxibustion is prohibited. It causes reverse flow of Qi. Attached here for reference. If needling causes persistent epistaxis (nosebleed), insert four fen, retain for three breaths.
Wang Ming states: Insert four fen, retain for seven breaths. Moxa fourteen Zhu. If not relieved, moxa up to one hundred Zhu. From Ming Tang Jing. However, Jia Yi Jing prohibits moxibustion.
Both Jia Yi Jing and Tong Ren state moxibustion is prohibited, while Ming Tang Jing states moxa fourteen to one hundred Zhu. The differences are significant. Unless it is a critical emergency, moxibustion is not necessary.