\r足少阴肾经左右二十穴\pf-f35.bmp\r
涌泉二穴。木也。一名地冲。在足心陷中。屈足卷指宛宛中。灸三壮。针五分。无令出
淳于意云、汉北齐王阿母患足下热、喘满。谓曰∶热厥也。当刺足心。立愈。明云、灸不
及针。若灸、废人行动。
下云、在脚心底宛中白肉际。灸三壮，素注、刺三分。千注肝脏卷云、在脚心大指下大
筋。
（史记济北王阿母足热而懑。淳于意曰。热厥也。刺足心各三所。案之无出血。病已。病得
之饮酒大醉。）
然谷二穴。火也。一名龙渊。在内踝前起大骨下陷中。灸三壮。针三分。不宜见血。
素注、刺三分。
刺此多见血。令人立饥饮食。千注妇人方云、在内踝前直下一寸。
太溪二穴。土也。在内踝后跟骨上动脉陷中。灸三壮。针三分。
大钟二穴。在足跟后冲中。灸三壮。针二分。留七呼。
水泉二穴。去太溪下一寸。在内踝下。灸五壮。针四分。
照海二穴。阴跷脉所生。在内踝下。针三分。灸七壮。（千云∶在内踝下四分。）明
上云、
阴跷二穴。在内踝下陷宛中。针三分。灸三壮。下云、阴跷二穴。在内踝下陷中。灸三壮。
千云、内踝下容爪甲。
明堂上下经有阴跷穴。而铜人无之。惟有照海穴。亦在内踝下。与阴跷同。而未知其故
。予
按素问气穴论、阴阳跷穴在内踝下。是谓照海。阴跷所生。则与铜人照海穴合矣。则是阴跷
即照海也。故附阴跷于照海之末。
复溜二穴。金也。一名昌阳。一名伏白。在内踝上二寸动脉陷中。针三分。留三呼。灸
五壮。明云、七壮。
交信二穴。在内踝上二寸。少阴前太阴后。廉前筋骨间 。灸三壮。针四分。留五呼。
下云、内踝上二寸。后廉筋骨陷中。素气穴论、踝上横二穴。注云、内踝上者、交信穴也。
按素问气府论阴跷穴注云、谓交信也。在内踝上二寸。少阴前太阴后筋骨间阴跷之 。
窃意
阴跷即交信也。至气穴论阴阳跷穴注乃云、阴跷穴在内踝下。是谓照海。阴跷所生。则是阴
跷乃照海。非交信矣。故明堂下经既有交信穴在内踝上。又出阴跷穴在内踝下。上下不同。
盖二穴也。但不知素问之注何故前后自异。学人毋信其一注。而不考其又有一注也。
筑宾二穴。在内踝上 分中。灸五壮。针三分。明云、在内踝上。灸三壮。
阴谷二穴。水也。在膝内辅骨后大筋下小筋上。按之应手。屈膝乃取之。灸三壮。针四
分。留七呼。
足少阴肾经左右各二十个穴位
涌泉穴，两个。五行属木。又名地冲。位于足心凹陷处。屈足卷趾时，在宛宛之中。艾灸三壮。针刺五分深。不要使其出血。
淳于意说：汉北齐王的乳母患足下发热、气喘胸满的症状。我对她说：这是热厥证。应当刺足心，立刻就能痊愈。明堂经注说：灸法不如针法有效。如果施灸，会使人行动废弛。
下文说：位于脚底中心凹陷处的白肉边缘。艾灸三壮，《素问》注解说：针刺三分深。《千金方·肝脏卷》说：位于脚心大拇指下方的大筋处。
（《史记》记载济北王乳母足热而烦闷。淳于意说：这是热厥证。刺足心各三个部位。按压伤口不出血，病就好了。病因是饮酒大醉所致。）
然谷穴，两个。五行属火。又名龙渊。位于内踝前起骨下方的凹陷中。艾灸三壮。针刺三分深。不宜见血。
《素问》注解说：针刺三分深。
针刺此穴若出血过多，会使人立即感到饥饿并想进食。《千金方·妇人方》说：位于内踝前直下一寸处。
太溪穴，两个。五行属土。位于内踝后方跟骨上方的动脉搏动凹陷中。艾灸三壮。针刺三分深。
大钟穴，两个。位于足跟后冲脉所过之处。艾灸三壮。针刺二分深。留针七次呼吸的时间。
水泉穴，两个。距离太溪穴向下取一寸。位于内踝下方。艾灸五壮。针刺四分深。
照海穴，两个。为阴跷脉所生发之处。位于内踝下方。针刺三分深。艾灸七壮。（《千金方》说：在内踝下四分处。）明堂经上部说：
阴跷穴，两个。位于内踝下凹陷宛曲之中。针刺三分深。艾灸三壮。下部经文说：阴跷穴，两个。位于内踝下凹陷中。艾灸三壮。《千金方》说：内踝下容纳指甲大小的地方。
《明堂上下经》中有阴跷穴，但铜人针灸图中没有。只有照海穴，也位于内踝下。与阴跷穴位置相同，但不清楚其中的缘故。
我考证《素问·气穴论》，阴阳跷穴在内踝下，称为照海，是阴跷脉所生发之处。这与铜人图中的照海穴相吻合。那么阴跷穴就是照海穴。所以将阴跷附在照海穴之后。
复溜穴，两个。五行属金。又名昌阳。又名伏白。位于内踝上二寸动脉搏动的凹陷中。针刺三分深。留针三次呼吸的时间。艾灸五壮。明堂经说：七壮。
交信穴，两个。位于内踝上二寸。在少阴经之前，太阴经之后，廉骨前筋骨之间。艾灸三壮。针刺四分深。留针五次呼吸的时间。
下部经文说：内踝上二寸，后廉筋骨凹陷中。《素问·气穴论》说：踝上横排的两个穴位。注解说：内踝上的是交信穴。
按《素问·气府论》阴跷穴注解说：指的是交信穴。位于内踝上二寸，少阴经前，太阴经后，筋骨间，属于阴跷脉。
我私下认为阴跷穴就是交信穴。到了《气穴论》阴阳跷穴的注解却说：阴跷穴在内踝下，称为照海，是阴跷脉所生发之处。那么阴跷穴乃是照海，而非交信了。所以《明堂下经》既有交信穴在内踝上，又列出阴跷穴在内踝下，上下位置不同。大概是两个不同的穴位。只是不知道《素问》的注解为何前后自相矛盾。学者不要轻信其中一条注解，而不考察另一条注解。
筑宾穴，两个。位于内踝上[缺失数值]分处。艾灸五壮。针刺三分深。明堂经说：在内踝上。艾灸三壮。
阴谷穴，两个。五行属水。位于膝内侧辅骨后大筋下、小筋上。按压有应手感。屈膝时取穴。艾灸三壮。针刺四分深。留针七次呼吸的时间。
Twenty Acupoints on the Left and Right of the Foot-Shaoyin Kidney Meridian
Yongquan (KI 1). Element: Wood. Also known as Dichong (Earth Rush). Located in the depression at the center of the sole. When the foot is flexed and toes curled, it is found in the hollow. Moxibustion: 3 cones. Acupuncture: 0.5 cun deep. Do not cause bleeding.
Chunyu Yi stated: The wet nurse of King Qi of Hainan suffered from heat in the soles of her feet, panting, and chest fullness. I told her, "This is Heat Jue syndrome." It should be treated by needling the sole of the foot, and she would recover immediately. The *Mingtang* commentary states that moxibustion is inferior to acupuncture. If moxibustion is used, it may impair the patient's mobility.
The lower text states: Located in the depression at the center of the sole, at the junction with the white skin. Moxibustion: 3 cones. *Suwen* commentary states: Needle 0.3 cun deep. *Qianjin Fang · Liver Channel Volume* states: Located below the big toe, under the large tendon at the center of the sole.
(The *Records of the Grand Historian* records that the wet nurse of King Jibei had hot and stifled feet. Chunyu Yi said, "This is Heat Jue syndrome." Needled three points on each sole. Pressed the sites to prevent bleeding. The disease was cured. The cause was excessive drinking leading to severe intoxication.)
Rangu (KI 2). Element: Fire. Also known as Longyuan (Dragon Abyss). Located in the depression below the prominent bone anterior to the medial malleolus. Moxibustion: 3 cones. Acupuncture: 0.3 cun deep. Bleeding is contraindicated.
*Suwen* commentary states: Needle 0.3 cun deep.
Excessive bleeding from this point may induce immediate hunger and desire for food. *Qianjin Fang · Women's Prescriptions* states: Located one cun directly below the anterior aspect of the medial malleolus.
Taixi (KI 3). Element: Earth. Located in the depression where the arterial pulse beats above the calcaneus posterior to the medial malleolus. Moxibustion: 3 cones. Acupuncture: 0.3 cun deep.
Dazhong (KI 4). Located in the depression posterior to the heel, along the Chong Mai. Moxibustion: 3 cones. Acupuncture: 0.2 cun deep. Retain needle for seven breaths.
Shuiquan (KI 5). One cun below Taixi (KI 3). Located below the medial malleolus. Moxibustion: 5 cones. Acupuncture: 0.4 cun deep.
Zhaohai (KI 6). Source point of the Yin Qiao Mai. Located below the medial malleolus. Acupuncture: 0.3 cun deep. Moxibustion: 7 cones. (*Qianjin Fang* states: 0.4 cun below the medial malleolus.) *Mingtang Upper Text* states:
Yin Qiao (Extra Point). Located in the depression below the medial malleolus. Acupuncture: 0.3 cun deep. Moxibustion: 3 cones. Lower text states: Yin Qiao, two points. Located in the depression below the medial malleolus. Moxibustion: 3 cones. *Qianjin Fang* states: At a space below the medial malleolus sufficient to hold a fingernail.
*Mingtang Upper and Lower Classics* mention the Yin Qiao acupoint, but it is absent in the Bronze Man diagrams. Only Zhaohai (KI 6) exists, also located below the medial malleolus, identical to Yin Qiao, though the reason is unknown.
I have examined *Suwen · Qi Xue Lun*, which states that the Yin-Yang Qiao points are below the medial malleolus, called Zhaohai, generated by the Yin Qiao Mai. This aligns with the Zhaohai point on the Bronze Man. Thus, Yin Qiao is Zhaohai. Therefore, Yin Qiao is appended after Zhaohai.
Fuliu (KI 7). Element: Metal. Also known as Changyang. Also known as Fubai. Located in the depression of the arterial pulse two cun above the medial malleolus. Acupuncture: 0.3 cun deep. Retain needle for three breaths. Moxibustion: 5 cones. *Mingtang* states: 7 cones.
Jiaoxin (KI 8). Located two cun above the medial malleolus. Anterior to the Shaoyin channel, posterior to the Taiyin channel, between the tendons and bones anterior to the tibial crest. Moxibustion: 3 cones. Acupuncture: 0.4 cun deep. Retain needle for five breaths.
Lower text states: Two cun above the medial malleolus, in the depression between the tendons and bones posterior to the tibial crest. *Suwen · Qi Xue Lun* states: Two points horizontally above the malleolus. Commentary states: The point above the medial malleolus is Jiaoxin.
According to the commentary on *Suwen · Qi Fu Lun* regarding the Yin Qiao point: It refers to Jiaoxin. Located two cun above the medial malleolus, anterior to Shaoyin, posterior to Taiyin, between tendons and bones, belonging to Yin Qiao.
I suspect that Yin Qiao is Jiaoxin. However, the commentary on *Qi Xue Lun* regarding Yin-Yang Qiao states: The Yin Qiao point is below the medial malleolus, called Zhaohai, generated by Yin Qiao. Thus, Yin Qiao is Zhaohai, not Jiaoxin. Consequently, *Mingtang Lower Classic* lists Jiaoxin above the medial malleolus and Yin Qiao below it, differing in location. They are likely two distinct points. It is unclear why the *Suwen* commentaries contradict each other. Scholars should not trust one commentary while ignoring another.
Zhubin (KI 9). Located [missing value] fen above the medial malleolus. Moxibustion: 5 cones. Acupuncture: 0.3 cun deep. *Mingtang* states: Above the medial malleolus. Moxibustion: 3 cones.
Yingu (KI 10). Element: Water. Located behind the medial condyle of the tibia, beneath the large tendon and above the small tendon. Palpable upon pressure. Take the point with the knee flexed. Moxibustion: 3 cones. Acupuncture: 0.4 cun deep. Retain needle for seven breaths.