\r腹第三行左右二十四穴\pf-f22.bmp\r
不容二穴。在幽门两旁各寸半。灸五壮。针五分。明云、在上管两旁各一寸。灸三
壮。(素注。在第四肋端。)
素问云、夹鸠尾外当乳下三寸。夹胃管各五。不容至太一也。夹脐广三寸各三。滑肉门天枢
外陵也。下脐二寸。夹之各三。大巨水道归来也。皆腹第三行穴也。新校正云、甲乙经天枢
旁各二寸。与诸书同。特此经为异。信若是、则其穴不当乳下可也。必当乳下。则广三寸之说为当。
承满二穴。在不容下一寸。针三分。灸五壮。明云、三壮。(千。夹巨阙两旁各一寸半。)
梁门二穴。在承满下一寸。灸五壮。针三分。
关门二穴。在梁门下一寸。针八分。灸五壮。
太一二穴。在关门下一寸。灸五壮。针八分。
滑肉门二穴。在太一下一寸。灸五壮。针八分(下一寸至天枢。)
天枢二穴。一名长溪。一名谷门。大肠之募。去肓俞寸半。夹脐旁各二寸陷中。灸五壮
。针五分。留十呼。(千。魂魄之舍。不可针。合齐相去可三寸。)
外陵二穴。在天枢下一寸。灸五壮。针三分。
大巨二穴。在长溪下二寸。灸五壮。针五分。(长溪。天枢也。千。在脐下一寸。两旁
各二寸。)
水道二穴。在大巨下三寸。灸五壮。针三寸半。
归来二穴。在水道下二寸。灸五壮。针八分。(外台。水道下三寸。今校勘归来二穴在
水道下二寸为是。)
气冲二穴。一名气街。在归来下。鼠鼷上一寸。动脉应手宛宛中。禁针。灸七壮立愈。
炷如大麦。
明下云、五壮。素注云、在腹脐下横骨两端鼠鼷上。针三分。千云、归来下一寸。
以上二十六穴。去腹中行当各三寸。
腹第三行左右共二十四穴
不容穴,两穴。位于幽门穴两旁各一寸半处。艾灸五壮。针刺五分。王明说:在上脘穴两旁各一寸处。艾灸三壮。(《素问》注:在第四肋骨端。)
《素问》说:夹在鸠尾穴外侧,正当乳下三寸处。夹胃管(中脘)各五寸处。从不容穴到太一穴,夹脐部宽三寸处各三寸。滑肉门、天枢、外陵穴。在脐下二寸处,夹之各三寸。大巨、水道、归来穴。这些都是腹第三行的穴位。新校正说:《甲乙经》中天枢穴旁开各二寸,与其他书籍相同。唯独这部经书不同。如果确实如此,那么这些穴位就不应当在乳下。如果必定在乳下,那么“广三寸”的说法才是正确的。
承满穴,两穴。位于不容穴下一寸处。针刺三分。艾灸五壮。王明说:三壮。(《千金方》:夹巨阙穴两旁各一寸半处。)
梁门穴,两穴。位于承满穴下一寸处。艾灸五壮。针刺三分。
关门穴,两穴。位于梁门穴下一寸处。针刺八分。艾灸五壮。
太一穴,两穴。位于关门穴下一寸处。艾灸五壮。针刺八分。
滑肉门穴,两穴。位于太一穴下一寸处。艾灸五壮。针刺八分(下一寸至天枢穴)。
天枢穴,两穴。又名长溪,又名谷门。是大肠的募穴。距离肓俞穴一寸半,夹脐旁各二寸的凹陷中。艾灸五壮。针刺五分。留针十次呼吸的时间。(《千金方》:魂魄之所舍,不可针刺,与肚脐相距大约三寸。)
外陵穴,两穴。位于天枢穴下一寸处。艾灸五壮。针刺三分。
大巨穴,两穴。位于长溪(即天枢穴)下二寸处。艾灸五壮。针刺五分。(长溪即天枢穴。《千金方》:在脐下一寸,两旁各二寸处。)
水道穴,两穴。位于大巨穴下三寸处。艾灸五壮。针刺三寸半(此处原文疑为笔误,通常指深度或长度,结合上下文及常规针灸操作,可能意指特定度量,但依原文直译)。
归来穴,两穴。在水道穴下二寸处。艾灸五壮。针刺八分。(《外台秘要》:水道下三寸。现今校勘认为归来穴在水道下二寸是正确的。)
气冲穴,两穴。又名气街。位于归来穴下方,鼠鼷(腹股沟)上一寸处。动脉应手跳动宛宛之中。禁止针刺。艾灸七壮可立即痊愈。艾炷如大麦大小。
王明下文说:五壮。《素问》注说:在腹部脐下横骨两端鼠鼷上方。针刺三分。《千金方》说:归来穴下一寸。
以上二十六穴,距离腹中线应当各三寸。
Twenty-four Acupoints on the Left and Right of the Third Row of the Abdomen
Bu Rong (Incapacity) [ST19], two acupoints. Located 1.5 cun lateral to each side of You Men (Gate of Digestion). Moxibustion: 5 moxa cones. Acupuncture: 5 fen depth. Wang Ming states: Located 1 cun lateral to each side of Shang Wan (Upper Elixir). Moxibustion: 3 moxa cones. (Su Wen annotation: At the end of the fourth rib.)
The Su Wen states: Lateral to Jiu Wei (Turtle Tail), directly below the nipple at 3 cun. Five cun lateral to the Stomach Guan (Zhong Wan, Middle Elixir). From Bu Rong to Tai Yi, three cun lateral to the umbilicus. Hua Rou Men (Slippery Flesh Gate), Tian Shu (Heavenly Pivot), Wai Ling (Outer Ridge). Two cun below the umbilicus, three cun lateral to each side. Da Ju (Great Giant), Shui Dao (Water Path), Gui Lai (Return). These are all acupoints of the third row of the abdomen. The New Correction states: In the Jia Yi Jing, Tian Shu is 2 cun lateral to each side, consistent with other texts. Only this classic differs. If this were true, these points would not be below the nipple. If they must be below the nipple, then the description of "width of three cun" is correct.
Cheng Man (Receiving Fullness) [ST20], two acupoints. Located 1 cun below Bu Rong. Acupuncture: 3 fen depth. Moxibustion: 5 moxa cones. Wang Ming states: 3 moxa cones. (Qian Jin Fang: 1.5 cun lateral to each side of Ju Que, Great Convergence.)
Liang Men (Beam Door) [ST21], two acupoints. Located 1 cun below Cheng Man. Moxibustion: 5 moxa cones. Acupuncture: 3 fen depth.
Guan Men (Gate Closing) [ST22], two acupoints. Located 1 cun below Liang Men. Acupuncture: 8 fen depth. Moxibustion: 5 moxa cones.
Tai Yi (Supreme One) [ST23], two acupoints. Located 1 cun below Guan Men. Moxibustion: 5 moxa cones. Acupuncture: 8 fen depth.
Hua Rou Men (Slippery Flesh Gate) [ST24], two acupoints. Located 1 cun below Tai Yi. Moxibustion: 5 moxa cones. Acupuncture: 8 fen depth (1 cun below to Tian Shu).
Tian Shu (Heavenly Pivot) [ST25], two acupoints. Also known as Chang Xi (Long Stream) or Gu Men (Valve Gate). It is the Front-Mu point of the Large Intestine. Located 1.5 cun from Huang Shu (Bladder Deficiency), in the depression 2 cun lateral to each side of the umbilicus. Moxibustion: 5 moxa cones. Acupuncture: 5 fen depth. Retain needle for ten breaths. (Qian Jin Fang: Residence of the soul and spirit; acupuncture is contraindicated. Distance from the umbilicus is approximately 3 cun.)
Wai Ling (Outer Ridge) [ST26], two acupoints. Located 1 cun below Tian Shu. Moxibustion: 5 moxa cones. Acupuncture: 3 fen depth.
Da Ju (Great Giant) [ST27], two acupoints. Located 2 cun below Chang Xi (i.e., Tian Shu). Moxibustion: 5 moxa cones. Acupuncture: 5 fen depth. (Chang Xi refers to Tian Shu. Qian Jin Fang: 1 cun below the umbilicus, 2 cun lateral to each side.)
Shui Dao (Water Path) [ST28], two acupoints. Located 3 cun below Da Ju. Moxibustion: 5 moxa cones. Acupuncture: 3.5 cun (Note: Text says "cun", likely a typo for depth measurement or specific technique, translated literally).
Gui Lai (Return) [ST29], two acupoints. Located 2 cun below Shui Dao. Moxibustion: 5 moxa cones. Acupuncture: 8 fen depth. (Wai Tai Mi Yao: 3 cun below Shui Dao. Current collation confirms Gui Lai is 2 cun below Shui Dao.)
Qi Chong (Qi Thriving) [ST30], also known as Qi Jie (Qi Street). Located below Gui Lai, 1 cun above the Shu Xi (inguinal region/femoral artery pulse). The arterial pulse is palpable in the depression. Acupuncture is contraindicated. Moxibustion: 7 moxa cones leads to immediate cure. Moxa cone size like a large barley grain.
Wang Ming's subsequent text states: 5 moxa cones. Su Wen annotation states: Above the Shu Xi at both ends of the Heng Gu (pubic bone) below the umbilicus on the abdomen. Acupuncture: 3 fen depth. Qian Jin Fang states: 1 cun below Gui Lai.
The above twenty-six acupoints are located 3 cun lateral to the midline of the abdomen.