\r膺俞部中行七穴\pf-f15.bmp\r
天突在结喉下夫宛宛中。针五分。留三呼。得气即泻。灸亦得。即不及针。其下针直横
下。
不得低手。即五脏之气。伤人短寿。忌同。明下云、在项结喉下五分中央宛宛中。灸五壮
。
素气穴注云、在颈结喉下四寸中央宛宛中。刺一寸。灸三壮。甲乙云、在结喉下五寸。明下
、灸小儿云、结喉下三寸两骨间。（千名天瞿。今校勘在结喉下五寸是穴。）
璇玑在天突下一寸陷中。仰头取之。灸五壮。针入三分。
华盖在璇玑下一寸陷中。仰头取之。针三分。灸五壮。明下云、三壮。一本云、五壮
。
紫宫在华盖下一寸六分陷中。仰头取之。灸五壮。针三分。明下云、在华盖下一寸。
灸七壮。（小本亦同）
玉堂一名玉英。在紫宫下寸六分陷中。灸五壮。针三分。
膻中（一作 。）一名元儿。在玉堂下一寸六分。横直两乳间陷中。仰卧取之。灸七七壮
针。不幸令人夭。明云、日灸七壮。止七七。禁针。不幸令人死。甲乙云、针三分。下云
、灸三壮。千云、鸠尾上一寸。
灵兰秘典云、膻中者、臣使之官。喜乐出焉。说者曰、膻中为气之海。然心主为君。以
敷宣教令。膻中主气以气布阴阳。气和志适。则喜乐由生。分布阴阳。故官为臣使也。然则
中者、乃十二脏之一。臣使之官。为气之海。分布阴阳。非其他穴比者。或患气噎鬲气。肺
气上喘。不得下食。胸中如塞等疾。宜灸此。（难疏。气会三焦。外筋直两乳间。气病治此
中庭在膻中下寸六分陷中。灸五壮。针三分。明云、二分。下云、膻中下一寸。灸三
膺俞部正中线的七个穴位
天突穴位于结喉下方两骨之间的凹陷处。针刺深度五分，留针三呼的时间，得气后立即施行泻法。也可以施灸，但效果不如针刺。下针时应当直刺或横刺向下，不能手下留情（指不可深刺误伤内脏）。如果操作不当损伤五脏之气，会使人短寿，禁忌事项同上。《明堂》记载：在颈部结喉下方五分处的中央凹陷中。灸五壮。《素问·气穴论》注解说：在颈部结喉下方四寸处的中央凹陷中。刺一寸深，灸三壮。《甲乙经》记载：在结喉下方五寸处。《明堂》及《灸小儿》记载：结喉下方三寸，两骨之间。（《千金方》称此穴为天瞿，今校勘认为在结喉下方五寸才是正确的穴位位置。）
璇玑穴在天突穴下方一寸的凹陷处。仰头取穴。灸五壮。针刺入三分。
华盖穴在璇玑穴下方一寸的凹陷处。仰头取穴。针刺三分。灸五壮。《明堂》记载：灸三壮。另一版本记载：灸五壮。
紫宫穴在华盖穴下方一寸六分的凹陷处。仰头取穴。灸五壮。针刺三分。《明堂》记载：在华盖穴下方一寸处，灸七壮。（小本也相同）
玉堂穴又名玉英。在紫宫穴下方一寸六分的凹陷处。灸五壮。针刺三分。
膻中穴（一作“”）。又名元儿。在玉堂穴下方一寸六分，横向正对两乳之间的凹陷处。仰卧取穴。灸七七四十九壮。若针刺，不幸会导致人夭折。《明堂》记载：每日灸七壮，最多灸到七七壮。禁止针刺，否则不幸会导致人死亡。《甲乙经》记载：针刺三分。《下经》记载：灸三壮。《千金方》记载：鸠尾穴上方一寸。
《灵兰秘典论》说：膻中是臣使之官，喜乐由此产生。解释说：膻中是气的海洋。然而心主为君主，负责发布和传达政令；膻中主管气，通过气来布散阴阳。气和志顺，则喜乐自然产生，分布阴阳，所以称为臣使。既然这样，膻中乃是十二脏之一，作为臣使之官，是气的海洋，分布阴阳，不是其他穴位能比的。如果有患气噎、膈气、肺气上逆喘息、无法进食、胸中感觉堵塞等疾病的，适宜灸此穴。（《难经》疏注：气会于三焦，外部筋脉直对两乳之间，气病治疗此处。）
Seven Acupoints on the Midline of the Ying Shu Region
Tiantu (CV22) is located in the depression below the laryngeal prominence. Needle 5 fen. Retain for three breaths. Disperse immediately upon obtaining Qi. Moxibustion is also permissible, though it is less effective than needling. The needle should be inserted vertically or horizontally downwards. Do not lower your hand (i.e., do not insert too deeply to avoid injuring internal organs). If the Qi of the five Zang organs is injured, it will shorten one's lifespan; the contraindications are the same as mentioned above. *Ming Tang* states: In the central depression 5 fen below the laryngeal prominence of the neck. Moxa 5 zhuang. Commentary on *Su Wen: Qi Xue Lun* states: In the central depression 4 cun below the laryngeal prominence of the neck. Needle 1 cun. Moxa 3 zhuang. *Jia Yi Jing* states: 5 cun below the laryngeal prominence. *Ming Tang* and *Jiu Xiao Er* state: Between the two bones 3 cun below the laryngeal prominence. (*Qian Jin Fang* names this point Tian Qu; current collation confirms that the point 5 cun below the laryngeal prominence is correct.)
Xuanji (CV21) is located in the depression 1 cun below Tiantu. Take the point with the head raised. Moxa 5 zhuang. Needle 3 fen.
Huagai (CV20) is located in the depression 1 cun below Xuanji. Take the point with the head raised. Needle 3 fen. Moxa 5 zhuang. *Ming Tang* states: Moxa 3 zhuang. Another version states: Moxa 5 zhuang.
Zigong (CV19) is located in the depression 1.6 cun below Huagai. Take the point with the head raised. Moxa 5 zhuang. Needle 3 fen. *Ming Tang* states: 1 cun below Huagai. Moxa 7 zhuang. (The small edition agrees.)
Yutang (CV18), also known as Yuying, is located in the depression 1.6 cun below Zigong. Moxa 5 zhuang. Needle 3 fen.
Danzhong (CV17), alternatively written as “”, also known as Yuan'er, is located 1.6 cun below Yutang, in the depression directly between the two nipples horizontally. Take the point in a supine position. Moxa 49 zhuang (7x7). If needled, it may unfortunately cause premature death. *Ming Tang* states: Moxa 7 zhuang daily, up to 49 zhuang. Needling is prohibited; if violated, it may unfortunately cause death. *Jia Yi Jing* states: Needle 3 fen. *Xia Jing* states: Moxa 3 zhuang. *Qian Jin Fang* states: 1 cun above Jiutui.
*Ling Lan Mi Dian Lun* states: Danzhong is the official of the minister envoy, from which joy and pleasure arise. Explainers say: Danzhong is the sea of Qi. However, the Heart Master is the sovereign, responsible for disseminating and transmitting orders; Danzhong governs Qi and distributes Yin and Yang through Qi. When Qi is harmonious and emotions are appropriate, joy arises naturally, distributing Yin and Yang. Thus, it is called the minister envoy. Since then, Danzhong is one of the twelve Zang organs, serving as the minister envoy, being the sea of Qi, and distributing Yin and Yang; it is not comparable to other acupoints. For diseases such as Qi obstruction, diaphragmatic Qi stagnation, lung Qi rebellion with wheezing, inability to swallow food, and sensations of blockage in the chest, moxibustion on this point is suitable. (Commentary on *Nan Jing*: Qi converges at the San Jiao; externally, the tendons align between the two nipples; for Qi disorders, treat this point.)
Zhongting (CV16) is located in the depression 1.6 cun below Danzhong. Moxa 5 zhuang. Needle 3 fen. *Ming Tang* states: 2 fen. *Xia Jing* states: 1 cun below Danzhong. Moxa 3 zhuang.