\r正面部中行六穴\pf-f5.bmp\r
素 一名面王。在鼻柱之端。外台云、不宜灸。针一分。
水沟一名人中。在鼻柱下。针四分。留五呼。得气即泻。灸不及针。日三壮。若灸、可
如小雀粪。风水面肿。针此一穴。出水尽、顿愈。忌同。明云、日灸三壮。至二百罢。若
是水气。唯得针此穴。若针余穴。水尽即死。下云、灸五壮。
兑端在唇上端。针二分。灸三壮。炷如大麦。明下云、在颐前下唇下。开口取之。
龈交在唇内齿上龈缝筋中。针三分。灸三壮。
承浆一名悬浆。在颐前唇下宛宛中。日灸七壮。止七七。灸即血脉通宣。其风立愈。炷
箸头作。针三分。得气即泻。忌同。明云、颐前下唇之下。针三分半。得气即泻。泻尽、
更留三呼。徐徐引气而出。日灸七壮。过七七、停四五日。后灸七七。若一向灸。恐足阳明
脉断。令风不差。停息复灸。令血脉通宣。其风立愈。下云、下唇棱下宛中。
廉泉一名舌本。在颔下结喉上。(明云舌本间。)灸三壮。针三分。得气即泻。明云、
二分。(千云。当颐直下骨后陷中。)
\r面第二行左右十穴\pf-f6.bmp\r
攒竹二穴。一名始光。一名光明。一名员柱。在两眉头少陷宛宛中。不宜灸。针一分。
呼。泻三吸。徐徐出针。宜以细三棱针刺之。宣泄热气。三受刺、目大明。忌同。明云、
宜细三棱针。针三分出血。下云、灸一壮。
睛明二穴。一名泪孔。在目内 。针寸半。留三呼。雀目者、可久留针。然后速出。
禁灸。忌同。明云、目内 头外畔陷宛宛中。针分半。留三呼。补不宜灸。一云、在目内
按明堂云、针一分半。铜人乃云入一寸半。二者必有一误。予观面部所针。浅者入一分
。深者四分尔。而素问气府注亦云刺入一分。则是铜人误写一分为一寸也。
巨 二穴。夹鼻孔旁八分。直目瞳子。跷脉足阳明之会。针三分。得气即泻。灸七壮。
明云、巨 在鼻孔下。夹水沟旁八分。跷脉足阳明之会。针三分。灸七七壮。
迎香二穴。在禾 上一寸。鼻下孔旁五分。针三分。留三呼。不宜灸。忌同。
禾 二穴。在鼻孔下。夹水沟旁五分。针二分。又手阳明穴云、禾 一名长频。直鼻孔
沟旁五分。明云、和 在鼻孔下。夹水沟旁五分。下云、禾 在鼻孔下。夹水沟旁五分。
铜人经禾 二穴。在鼻孔下。夹水沟旁五分。明堂下经作禾 。 即 也。上经乃作和
皆云在鼻孔下、夹水沟旁五分。则是一穴也。而铜人手少阳穴复有和 二穴。在耳前兑(素
发陷中。其穴相去远矣。恐明堂上经误写禾字作和字也。(今以诸经校勘。禾 穴者是
正面部中行六穴
素髎,又名面王。位于鼻柱的顶端。《外台秘要》记载:不宜施灸。针刺深度一分。
水沟,又名人中。位于鼻柱下方。针刺深度四分。留针五呼的时间。得气后立即泻法。艾灸效果不如针刺。每日灸三壮。如果施灸,艾炷大小应如小麻雀粪般大小。治疗风水引起的面部浮肿,针刺此穴,待水肿消退,病即痊愈。禁忌事项同上。杨明说:每日灸三壮,累计至二百壮停止。如果是水气病,只能针刺此穴。如果针刺其他穴位,水气排尽后病人就会死亡。下文记载:灸五壮。
兑端,位于上唇的正尖端。针刺深度二分。灸三壮。艾炷大小如大麦粒。杨明在下方记载:位于颏前下唇之下。张口取穴。
承浆,又名悬浆。位于颏前、下唇下方的凹陷处。每日灸七壮,最多灸七七四十九壮。施灸后血脉通畅宣散,风邪立愈。艾炷大小如筷子头。针刺深度三分。得气后立即泻法。禁忌事项同上。杨明说:位于颏前、下唇之下。针刺深度三分半。得气后立即泻法。泻尽后,再留针三呼。徐徐引气而出。每日灸七壮。超过七七四十九壮后,停灸四五日,然后再灸七七四十九壮。如果一直连续施灸,恐怕足阳明经脉断绝,导致风病不愈。暂停休息后再灸,使血脉通畅宣散,风邪立愈。下文记载:位于下唇棱下的凹陷处。
廉泉,又名舌本。位于下巴结喉上方。(杨明说:在舌根之间。)灸三壮。针刺深度三分。得气后立即泻法。杨明说:二分。(《千金方》说:正当颏下直后方骨后的凹陷中。)
面第二行左右十穴
攒竹,两穴。又名始光、光明、员柱。位于两眉头稍下方的凹陷处。不宜施灸。针刺深度一分。呼气时进针,吸气三次时泻法。徐徐出针。宜用细三棱针刺之,以宣泄热气。经过三次针刺,眼睛明亮。禁忌事项同上。杨明说:宜用细三棱针。针刺三分出血。下文记载:灸一壮。
睛明,两穴。又名泪孔。位于目内眦。针刺一寸半。留针三呼。患有雀目(夜盲症)者,可长时间留针,然后迅速出针。禁止施灸。禁忌事项同上。杨明说:位于目内眦外侧的凹陷处。针刺半分。留针三呼。补法不宜施灸。另一种说法:在目内眦。根据《明堂经》记载:针刺一分半。《铜人腧穴针灸图经》却说入一寸半。两者必有一个是错误的。我观察面部所刺穴位,浅的入一分,深的四分而已。而《素问·气府论》注也说刺入一分。那么《铜人腧穴针灸图经》是误将“一分”写成了“一寸”。
巨髎,两穴。夹鼻孔旁八分。直对瞳孔。为跷脉与足阳明胃经的交会穴。针刺三分。得气后立即泻法。灸七壮。杨明说:巨髎位于鼻孔下方。夹水沟旁八分。为跷脉与足阳明胃经的交会穴。针刺三分。灸七七四十九壮。
迎香,两穴。位于禾髎上一寸。鼻翼下孔旁五分。针刺三分。留针三呼。不宜施灸。禁忌事项同上。
禾髎,两穴。位于鼻孔下方。夹水沟旁五分。又据手阳明大肠经记载:禾髎又名长频。直对鼻孔沟旁五分。杨明说:和髎位于鼻孔下方。夹水沟旁五分。下文记载:禾髎位于鼻孔下方。夹水沟旁五分。《铜人腧穴针灸图经》记载禾髎二穴,位于鼻孔下方。夹水沟旁五分。《明堂经》下部作“禾髎”,“髎”即“竅”也。上部经文乃作“和髎”,都说在鼻孔下、夹水沟旁五分。则是一个穴位。而《铜人手少阳三焦经》又有和髎二穴,位于耳前兑发陷中。其穴位相距甚远。恐怕《明堂经》上部经文误将“禾”字写成了“和”字。(如今以诸经校勘,禾髎穴者是正确的)
Six Acupoints on the Midline of the Anterior Face
Su Liao (Face King): Also known as Mian Wang. Located at the tip of the nasal bridge. The *Waitai Mi Yao* states: moxibustion is contraindicated. Needle depth: 1 fen.
Shui Gou (Ren Zhong): Also known as Ren Zhong. Located below the nasal bridge. Needle depth: 4 fen. Retain the needle for five breaths. Discharge immediately upon arrival of Qi. Moxibustion is less effective than needling. Three moxa cones daily. If moxibustion is applied, the cone should be the size of a small sparrow's droppings. For wind-water facial edema, needling this acupoint will drain the water and cure the condition instantly. Contraindications are the same. Yang Ming states: three moxa cones daily, up to two hundred cones total. For water qi disorders, only needling this acupoint is suitable; if other acupoints are needled, draining the water may lead to death. The lower text states: five moxa cones.
Dui Duan: Located at the upper end of the lip. Needle depth: 2 fen. Three moxa cones. Cone size: like a large barley grain. Yang Ming in the lower text states: located anterior to the chin, below the lower lip. Open the mouth to locate.
Yin Jiao: Located within the lip, in the tendon of the upper gum seam. Needle depth: 3 fen. Three moxa cones.
Cheng Jiang (Xuan Jiang): Also known as Xuan Jiang. Located in the depression anterior to the chin, below the lower lip. Seven moxa cones daily, stopping after forty-nine (7x7) cones. After moxibustion, blood vessels become unobstructed and Qi circulates freely; wind pathogens are cured instantly. Cone size: like the head of a chopstick. Needle depth: 3 fen. Discharge immediately upon arrival of Qi. Contraindications are the same. Yang Ming states: located anterior to the chin, below the lower lip. Needle depth: 3.5 fen. Discharge immediately upon arrival of Qi. After discharging fully, retain for three breaths. Slowly guide the Qi out. Seven moxa cones daily. After exceeding forty-nine cones, pause for four to five days, then resume forty-nine cones. Continuous moxibustion may sever the Foot-Yangming meridian, causing wind disorders to persist. Pause, then resume to restore circulation and cure wind instantly. The lower text states: located in the depression below the ridge of the lower lip.
Lian Quan (She Ben): Also known as She Ben. Located above the laryngeal prominence under the mandible. (Yang Ming states: between the root of the tongue.) Three moxa cones. Needle depth: 3 fen. Discharge immediately upon arrival of Qi. Yang Ming states: 2 fen. (*Qian Jin Fang* states: in the depression behind the bone directly below the chin).
Ten Acupoints on the Second Row of the Anterior Face (Left and Right)
Zan Zhu (Two points): Also known as Shi Guang, Guang Ming, Yuan Zhu. Located in the slight depression at the medial ends of the eyebrows. Moxibustion is contraindicated. Needle depth: 1 fen. Exhale during insertion, discharge during three inhalations. Withdraw the needle slowly. It is advisable to use a fine three-edged needle to release heat. After three sessions of needling, vision becomes clear. Contraindications are the same. Yang Ming states: use a fine three-edged needle to bleed 3 fen deep. The lower text states: one moxa cone.
Jing Ming (Two points): Also known as Lei Kong. Located at the inner canthus of the eye. Needle depth: 1.5 cun. Retain for three breaths. For patients with night blindness (Que Mu), retain the needle for a long time, then withdraw quickly. Moxibustion is prohibited. Contraindications are the same. Yang Ming states: located in the depression lateral to the inner canthus. Needle depth: 0.5 fen. Retain for three breaths. Tonification method: moxibustion is contraindicated. Another source says: at the inner canthus. According to the *Ming Tang Jing*: needle depth 1.5 fen. The *Tong Ren Shu Xue Zhen Jiu Tu Jing* states 1.5 cun. One of these must be an error. I observe that for facial needling, shallow depths are 1 fen, and deep depths are 4 fen. The commentary on *Su Wen: Qi Fu Lun* also states needle depth 1 fen. Thus, the *Tong Ren* likely erroneously wrote "1 cun" instead of "1 fen".
Ju Liao (Two points): Located 8 fen lateral to the nostrils, level with the pupil. Intersection of the Qiao Mai and Foot-Yangming Stomach Meridian. Needle depth: 3 fen. Discharge immediately upon arrival of Qi. Seven moxa cones. Yang Ming states: Ju Liao is below the nostrils, 8 fen lateral to Shui Gou. Intersection of the Qiao Mai and Foot-Yangming Stomach Meridian. Needle depth: 3 fen. Forty-nine (7x7) moxa cones.
Ying Xiang (Two points): Located 1 cun above He Liao, 5 fen lateral to the nasal alar groove. Needle depth: 3 fen. Retain for three breaths. Moxibustion is contraindicated. Contraindications are the same.
He Liao (Two points): Located below the nostrils, 5 fen lateral to Shui Gou. The Hand-Yangming Meridian text states: He Liao is also called Chang Pin, directly opposite the nasal groove, 5 fen lateral. Yang Ming states: He Liao is below the nostrils, 5 fen lateral to Shui Gou. The lower text states: He Liao is below the nostrils, 5 fen lateral to Shui Gou. The *Tong Ren* records He Liao (two points) below the nostrils, 5 fen lateral to Shui Gou. The lower *Ming Tang Jing* writes "He Liao"; "Liao" refers to "Kao" (depression). The upper classic writes "He Liao", stating it is below the nostrils, 5 fen lateral to Shui Gou. Thus, they refer to the same acupoint. However, the *Tong Ren* Hand-Shaoyang Sanjiao Meridian lists another pair of He Liao points in the depression of hair anterior to the ear, which is far away. It is likely that the upper *Ming Tang Jing* erroneously wrote "He" instead of "He" (referring to the character variant or error context implies confusion between He Liao and another point, but the text argues for He Liao being the correct identification for the nasal location). (Current collation of classics confirms He Liao is the correct term for this location).