\r手阳明大肠经左右二十八穴\pf-f26.bmp\r
商阳二穴。金也。一名绝阳。在手大指次指内侧。去爪甲角如韭叶。灸三壮。针一分。
留一呼。
二间二穴。水也。一名间谷。在手大指次指本节前内侧陷中。针三分。灸三壮。
三间二穴。木也。一名少谷。在手大指次指本节后内侧陷中。针三分。留三呼。灸三壮
。
合谷二穴。一名虎口。在手大指次指岐骨间陷中。（明云。手大指两骨罅间宛宛中。）针
三分
。留三呼。灸三壮。今附。若妇人妊娠不可刺。刺损胎气。（千云。手大指虎口两骨间。）
阳溪二穴。火也。一名中魁。在腕中上侧两筋间陷中。针三分。留七呼。灸二壮。忌同
。
偏历二穴。手阳明络。在腕后三寸。别走太阴。针二分。留七呼。灸三壮。明下云、
五壮。
温溜二穴。一名逆注。一名池头。在腕后。大士三寸。小士六寸。针三分。灸三壮。
明云、在腕后五寸六寸间。
下廉二穴。在辅骨下。去上廉一寸辅兑肉其分外斜。针五分。留二呼。灸三壮。
此有下廉。足阳明亦有下廉。盖在足者，乃下巨虚也。
上廉二穴。在三里下一寸。其分独抵阳明之会外斜。针五分。灸五壮。
此有上廉。足阳明亦有上廉。盖在足者、乃上巨虚也。
三里二穴。在曲池下三寸。（手阳明穴云二寸。）按之肉起兑肉之端。灸三壮。针二分。
明云、一名手三里。在曲池下二寸。
三里有二。有手三里。有足三里。此手三里也。故明堂云、一名手三里。是也。铜人云
、三里在曲池下三寸。明堂乃云二寸。在手阳明穴亦云二寸。恐铜人本误二字作三字也。
曲池二穴。土也。在肘外辅骨屈肘曲中。以手拱胸取之。针七分。得气先泻后补之。灸
大良。可三壮。明云、曲池、木也。在肘外辅骨曲肘横文头陷中。日灸七壮。至二百。且停十余
日。更下止至二百罢。忌同。下云、在肘外辅屈肘曲骨中纹头。素注、肘外辅屈肘两骨中。
千、肘外曲头陷中。肘 二穴。在肘大骨外廉陷中。灸三壮。针三分。
五里二穴。在肘上三寸。行向里大脉中央。灸十壮。禁针。素气穴论云、大禁二十五
。在天府下五寸。注云、谓五里穴也。谓之大禁者、禁不可刺也。又曰、五里者、尺泽之后五里
五里有二。其一在足厥阴肝经部。与此穴为二。此当为手五里也。素问所谓在天府下者
。指此五里也。注云、尺泽之后五里亦指此五里也。尺泽穴在手太阴。
臂 二穴。在肘上七寸 肉端。手阳明络。灸三壮。针三分。明云、在肩 下一夫
骨罅陷宛中。平手取之。不得拿手令急。其穴即闭。宜灸不宜针。日七壮至百。若针、不得
过三五。过多恐恶。忌同。千名头冲。（肩 在肩部。）
手阳明大肠经左右共二十八穴
商阳穴，左右各一。五行属金。又名绝阳穴。位于手食指内侧，距离指甲角如韭菜叶宽度处。艾灸三壮。针刺一分深。留针时间为一呼的时间。
二间穴，左右各一。五行属水。又名间谷穴。位于手食指本节（掌指关节）前内侧的凹陷中。针刺三分深。艾灸三壮。
三间穴，左右各一。五行属木。又名少谷穴。位于手食指本节（掌指关节）后内侧的凹陷中。针刺三分深。留针时间为三呼的时间。艾灸三壮。
合谷穴，左右各一。又名虎口穴。位于手食指与拇指叉骨（歧骨）之间的凹陷中。（王明云：在手拇指与食指两骨缝隙间宛宛然的中部。）针刺三分深。留针时间为三呼。艾灸三壮。此处附加说明：若妇女妊娠期间不可针刺此穴，否则损伤胎气。（《千金方》云：在手拇指虎口两骨之间。）
阳溪穴，左右各一。五行属火。又名中魁穴。位于手腕上侧两筋之间的凹陷中。针刺三分深。留针时间为七呼。艾灸二壮。禁忌事项同上。
偏历穴，左右各一。为手阳明大肠经的络穴。位于腕后三寸处，别行走向太阴肺经。针刺二分深。留针时间为七呼。艾灸三壮。王明云：灸五壮。
温溜穴，左右各一。又名逆注穴、池头穴。位于腕后。体格高大者距腕后三寸，体格矮小者距腕后六寸。针刺三分深。艾灸三壮。王明云：位于腕后五寸至六寸之间。
下廉穴，左右各一。位于辅骨下方，距离上廉穴一寸处，肌肉分界向外斜行。针刺五分深。留针时间为二呼。艾灸三壮。
此处提到的下廉穴，足阳明胃经也有下廉穴。实际上在足部的下廉穴，就是下巨虚穴。
上廉穴，左右各一。位于三里穴下一寸处，其肌肉分界独自抵向阳明经交会处并外斜。针刺五分深。艾灸五壮。
此处提到的上廉穴，足阳明胃经也有上廉穴。实际上在足部的上廉穴，就是上巨虚穴。
三里穴，左右各一。位于曲池穴下三寸。（手阳明经穴位图记载为二寸。）按压时肌肉隆起于兑肉（鱼际肌）的末端。艾灸三壮。针刺二分深。王明云：又名手三里。位于曲池穴下二寸。
三里穴有两个，一个是手三里，一个是足三里。这里指的是手三里。所以《明堂经》说：又名手三里，是正确的。《铜人腧穴针灸图经》说：三里在曲池下三寸。《明堂经》却说二寸。《手阳明穴》也说二寸。恐怕是《铜人》版本将“二”字误写为“三”字。
曲池穴，左右各一。五行属土。位于肘部外侧辅骨屈肘时的横纹尽头凹陷中。取穴时以手拱抱胸部。针刺七分深。得气后先泻后补。艾灸效果很好。可灸三壮。王明云：曲池穴五行属木。位于肘外侧辅骨屈肘横纹头端的凹陷中。每日灸七壮，累计至二百壮，然后暂停十余日，再继续灸至二百壮停止。禁忌事项同上。下文云：位于肘外侧辅骨屈肘曲骨中的纹头。《素问》注：肘外侧辅骨屈肘两骨中间。《千金方》：肘外侧曲头凹陷中。
肘髎穴，左右各一。位于肘部大骨外缘的凹陷中。艾灸三壮。针刺三分深。
五里穴，左右各一。位于肘上三寸，沿脉走向深入至大脉中央。艾灸十壮。禁止针刺。《素问·气穴论》云：“大禁二十五”。在天府穴下五寸。注释说：指的是五里穴。称为“大禁”，意思是禁止针刺。又说：五里穴，在尺泽穴之后。五里穴有两个，一个在足厥阴肝经部位，与此处的穴位不同。此处应为手五里穴。《素问》所说的“在天府下”，指的就是这个五里穴。注释说“尺泽之后五里”也是指这个五里穴。尺泽穴位于手太阴肺经。
臂臑穴，左右各一。位于肘上七寸的肉端。为手阳明大肠经的络穴。艾灸三壮。针刺三分深。王明云：在肩髃穴下一夫宽度的骨罅凹陷宛中。取穴时手臂平放。不要用力握拳使手臂紧张，否则穴位会闭合。宜灸不宜针。每日灸七壮至一百壮。如果针刺，不得超过三五次，过多恐怕有害。禁忌事项同上。《千金方》名为头冲穴。（肩髃穴位于肩部。）
Twenty-eight Acupoints of the Hand-Yangming Large Intestine Meridian (Left and Right)
Shangyang (LI1, Metal). Also known as Jueyang. Located on the radial side of the index finger, at the corner of the nail, approximately the width of a leek leaf. Moxibustion: 3 moxa cones. Acupuncture: 0.1 cun deep. Retain needle for the duration of one exhalation.
Erjian (LI2, Water). Also known as Jiangu. Located in the depression medial to the proximal phalanx of the index finger, anterior to the metacarpophalangeal joint. Acupuncture: 0.3 cun deep. Moxibustion: 3 moxa cones.
Sanjian (LI3, Wood). Also known as Shaogu. Located in the depression medial to the proximal phalanx of the index finger, posterior to the metacarpophalangeal joint. Acupuncture: 0.3 cun deep. Retain needle for the duration of three exhalations. Moxibustion: 3 moxa cones.
Hegu (LI4). Also known as Hukou (Tiger's Mouth). Located in the depression between the first and second metacarpal bones (the岐骨 area). (Wang Ming states: In the hollow center between the two bones of the thumb and index finger.) Acupuncture: 0.3 cun deep. Retain needle for the duration of three exhalations. Moxibustion: 3 moxa cones. Additional note: This point should not be needled during pregnancy, as it may damage fetal Qi. (Qian Jin Fang states: Between the two bones at the tiger's mouth of the hand.)
Yangxi (LI5, Fire). Also known as Zhongkui. Located in the depression between the two tendons on the radial side of the wrist. Acupuncture: 0.3 cun deep. Retain needle for the duration of seven exhalations. Moxibustion: 2 moxa cones. Taboos are the same as above.
Pianli (LI6). The Luo-Connecting point of the Hand-Yangming Large Intestine Meridian. Located 3 cun distal to the wrist crease, diverging to connect with the Taiyin Lung Meridian. Acupuncture: 0.2 cun deep. Retain needle for the duration of seven exhalations. Moxibustion: 3 moxa cones. Wang Ming states: Moxibustion 5 moxa cones.
Wenliu (LI7). Also known as Nizhu or Chitou. Located distal to the wrist. For tall individuals, 3 cun distal to the wrist; for short individuals, 6 cun distal to the wrist. Acupuncture: 0.3 cun deep. Moxibustion: 3 moxa cones. Wang Ming states: Located between 5 and 6 cun distal to the wrist.
Xialian (LI8). Located below the accessory bone (radius), 1 cun distal to Shanglian (LI9), where the muscle fibers diverge obliquely outward. Acupuncture: 0.5 cun deep. Retain needle for the duration of two exhalations. Moxibustion: 3 moxa cones.
Note: There is a Xialian point in the Foot-Yangming Stomach Meridian as well. The Xialian point on the leg corresponds to Xiajuxu (ST39).
Shanglian (LI9). Located 1 cun distal to Zusanli (ST36), where the muscle fibers diverge uniquely towards the intersection of the Yangming meridian and obliquely outward. Acupuncture: 0.5 cun deep. Moxibustion: 5 moxa cones.
Note: There is a Shanglian point in the Foot-Yangming Stomach Meridian as well. The Shanglian point on the leg corresponds to Shangjuxu (ST37).
Zusanli (LI10, Hand Zusanli). Located 3 cun distal to Quchi (LI11). (The Hand-Yangming Meridian chart records this as 2 cun.) When pressed, the muscle rises at the end of the thenar eminence (Duirou). Moxibustion: 3 moxa cones. Acupuncture: 0.2 cun deep. Wang Ming states: Also known as Shousanli (Hand Zusanli), located 2 cun distal to Quchi.
There are two points named "Zusanli": one is Hand Zusanli, and the other is Foot Zusanli. This refers to Hand Zusanli. Thus, the Ming Tang Jing states: "Also known as Hand Zusanli," which is correct. The Tong Ren Jing states: "Zusanli is 3 cun distal to Quchi." However, the Ming Tang Jing says 2 cun, and the Hand-Yangming Meridian chart also says 2 cun. It is likely that the Tong Ren Jing version contains an error, miswriting "two" as "three."
Quchi (LI11, Earth). Located in the depression at the lateral end of the cubital crease when the elbow is flexed, against the lateral epicondyle of the humerus. To locate, hug the chest with hands. Acupuncture: 0.7 cun deep. After obtaining Deqi (arrival of Qi), apply reducing method first, then reinforcing method. Moxibustion is highly effective. Can be moxa-burned 3 cones. Wang Ming states: Quchi belongs to Wood. Located in the depression at the head of the cubital crease on the lateral epicondyle of the humerus. Daily moxibustion: 7 cones, up to 200 cones total, then pause for over ten days, and resume until another 200 cones are completed. Taboos are the same as above. The text below states: Located at the head of the crease in the depression between the lateral epicondyle and the flexed elbow bone. Su Wen annotation: Between the two bones at the lateral epicondyle when the elbow is flexed. Qian Jin Fang: In the depression at the lateral bend of the elbow.
Zhou Liao (LI12). Located in the depression at the lateral margin of the large bone of the elbow. Moxibustion: 3 moxa cones. Acupuncture: 0.3 cun deep.
Wuli (LI13). Located 3 cun proximal to the elbow, along the vessel towards the center of the major pulse. Moxibustion: 10 moxa cones. Contraindicated for acupuncture. Su Wen - Qi Xue Lun states: "Great Prohibition Twenty-Five." Five cun distal to Tianfu (LU3). The annotation clarifies: This refers to the Wuli point. It is called "Great Prohibition" because it is forbidden to needle. Furthermore, there are two Wuli points: one is in the Foot-Jueyin Liver Meridian, distinct from this point. This point is the Hand Wuli. The "Five cun distal to Tianfu" mentioned in the Su Wen refers to this Hand Wuli. The annotation stating "five li after Chize" also refers to this Hand Wuli. Chize (LU5) is located on the Hand-Taiyin Lung Meridian.
Binao (LI14). Located at the tip of the muscle, 7 cun proximal to the elbow. It is the Luo-Connecting point of the Hand-Yangming Large Intestine Meridian. Moxibustion: 3 moxa cones. Acupuncture: 0.3 cun deep. Wang Ming states: In the hollow depression between the bones, one fu-width distal to Jianyu (LI15). Locate with the arm relaxed horizontally. Do not clench the fist or tense the arm, or the acupoint will close. Moxibustion is preferred over acupuncture. Daily moxibustion: 7 cones, up to 100 cones. If needling, do not exceed 3-5 times; excessive needling may cause harm. Taboos are the same as above. Qian Jin Fang names it Toutong. (Jianyu is located on the shoulder.)