（五噎 气哽）
承满、乳根、疗鬲气。（明见噎。）膻中、疗胸鬲闷。咳嗽气短。喉鸣。（下）鬲俞、
痛。（见 癖。）商阳、疗胸鬲气满。（见喘。）足临泣、疗胸鬲满闷。（下见颊痛。）胸
中鬲气聚痛。好吐。灸厥阴俞随年壮。（千）隐白、（见呕吐。）巨阙、主鬲中不利。（明下
同。）食窦、（铜同。）主鬲中雷鸣。察察隐隐。常有水声。（明下云。疗鬲间鸣 陆常有
水声。）胸鬲中气。灸阙俞随年壮。天池、治胸鬲烦满。（铜见胸满。）膻中、治鬲气。
呕吐涎沫。率谷、（见痰。）鬲俞、治鬲胃寒痰。（见呕吐。）扶突等、主气哽。（千见喉
鸣。）天突、疗气鲠鲠。（明下见头项肿。）章门、疗噎。（见积气。）中庭、治胸胁支
满噎塞。（铜）大钟、治食噎不下。（见淋。）关冲、（见霍乱。）天突、治胸中气噎。（见
咳逆上气。）膻中、治胸中如塞。（明下。岐伯云积气成干噎。）天突、（见嗽。）关冲、（
吐泻。）治气噎。（明）乳根、疗鬲气。不下食。噎病。 、疗久疟。背气满闷。胸中
气噎。（下）神堂、（见脊。）中府、（见肺气。）疗善噎。（下）
（胸背 背脊 余见肩背劳瘵）
经渠、丘墟、主胸背急。（千）附分、主背痛引头。（明下引颔。）鬲关、秩边、京骨
、主背恶寒痛。脊强难俯仰。
昆仑、主脊强。背尻骨重。鬲俞、治背痛恶寒。脊强俯仰难。食饮不下。呕哕。多涎
唾。胸噎闷。（铜）
意舍、治（明下有胸胁胀满。）背痛恶风寒。食不下。呕吐。巨骨、治背膊痛。胸中
有瘀血。
肩背不得屈伸而痛。魄户、治背膊痛。（见上气。）神堂、治背脊强急。（见肩痛。）气
户，
治胸背急。（见胸胁满。）大椎、治气疰背膊拘急。承筋、治腰背拘急。不容、治胸背
相引痛。（见 癖。）经渠、治胸背拘急。胸满膨膨。（见疟。）
鱼际、治痹走胸背痛。（见寒热。）魄户、疗背胛闷。（明见劳下同。）下云、疗肩膊间
。背气不能引顾。咳逆上喘。胃俞、疗背中气上下行。脊痛腹鸣。（下）志室、疗背痛俯
仰不得。背痛灸巨阙等。或灸胸堂。（千并上气。）肺俞、治背偻如龟背。生时被客风拍
着脊骨达于髓所致。灸肺俞、心俞、鬲俞、各三壮。 、疗温疟、寒疟、病疟、背闷气
满。腹胀气眩。（明）胸中痛引腰背。（千见胸胁。）列缺、主胸背寒栗。（见肩痹。）鱼际
、治痹走胸背痛。（铜见寒热。）云门、疗胸胁彻背痛。（明见上气。）
背疼乃作劳所致。技艺之人。与士女刻苦者。多有此患。（士之书学。女之针指。皆刻
苦而成背疼矣。）色劳者亦患之。晋之景公是也。惟膏肓为要穴。予尝于膏肓之侧。去脊骨四寸
半。隐隐微疼。按之则疼甚。谩以小艾灸三壮。即不疼。它日复连肩上疼。却灸肩疼处愈。
方知千金方之阿是穴犹信云。（中每遇热。膏肓穴所在多出冷汗。数年矣。因灸而愈。）
（五噎 气哽）
承满穴、乳根穴，治疗膈间气滞。（参见《明堂经》关于噎证的记载）。膻中穴，治疗胸膈闷塞、咳嗽、气短、喉间鸣响。（见下部文献）鬲俞穴，治疗疼痛。（参见癖积病证）。商阳穴，治疗胸膈气满。（参见喘证）。足临泣穴，治疗胸膈满闷。（见下部颊痛条下）胸中膈气积聚疼痛，喜欢呕吐。灸厥阴俞穴，剂量随患者年龄而定壮数。（出自《千金方》）隐白穴，（参见呕吐条下）。巨阙穴，主治膈中不利。（《明堂经》下部记载相同）。食窦穴，（《铜人腧穴针灸图经》记载相同），主治膈中雷鸣，察察隐隐作响，常伴有水声。（《明堂经》下部云：治疗膈间鸣响，陆氏认为常有水声）。胸膈中气滞，灸阙俞穴，剂量随患者年龄而定壮数。天池穴，治疗胸膈烦闷。（《铜人》见于胸满条下）。膻中穴，治疗膈气，呕吐涎沫。率谷穴，（参见痰证条下）。鬲俞穴，治疗膈胃寒痰。（参见呕吐条下）。扶突等穴，主治气哽。（《千金方》见于喉鸣条下）。天突穴，治疗气梗梗不适。（《明堂经》下部见于头项肿条下）。章门穴，治疗噎证。（参见积气条下）。中庭穴，治疗胸胁支撑胀满、噎塞。（《铜人》）。大钟穴，治疗食噎不下。（参见淋证条下）。关冲穴，（参见霍乱条下）。天突穴，治疗胸中气噎。（参见咳逆上气条下）。膻中穴，治疗胸中如堵塞感。（《明堂经》下部。岐伯说：积气形成干噎）。天突穴，（参见嗽证条下）。关冲穴，（参见吐泻条下），治疗气噎。（《明堂经》）。乳根穴，治疗膈气，不能进食，噎病。某穴（原文缺字或符号），治疗久疟，背部气满闷，胸中气噎。（见下部文献）神堂穴，（参见脊背痛条下）。中府穴，（参见肺气条下），治疗容易噎塞。（见下部文献）
（胸背 背脊 其余内容见肩背劳瘵条）
经渠穴、丘墟穴，主治胸背拘急。（《千金方》）。附分穴，主治背痛牵引至头部。（《明堂经》下部引向颔部）。膈关穴、秩边穴、京骨穴，主治背部恶寒疼痛，脊柱僵硬难以俯仰。
昆仑穴，主治脊柱僵硬，背部及尾骶骨沉重。鬲俞穴，治疗背痛恶寒，脊柱僵硬难以俯仰，饮食难下，呕吐呃逆，多唾涎。胸中噎闷。（《铜人》）。
意舍穴，治疗（《明堂经》下部有胸胁胀满症状），背痛恶风寒，饮食不下，呕吐。巨骨穴，治疗背膊疼痛，胸中有瘀血，肩背不能屈伸且疼痛。魄户穴，治疗背膊疼痛。（参见上气条下）。神堂穴，治疗背脊强急。（参见肩痛条下）。气户穴，治疗胸背拘急。（参见胸胁满条下）。大椎穴，治疗气疰导致的背膊拘急。承筋穴，治疗腰背拘急。不容穴，治疗胸背相互牵引疼痛。（参见癖积条下）。经渠穴，治疗胸背拘急，胸部胀满膨隆。（参见疟疾条下）。
鱼际穴，治疗痹症游走至胸背疼痛。（参见寒热条下）。魄户穴，治疗背胛闷塞。（《明堂经》见于劳损条下相同）。下部文献云：治疗肩膊间（疼痛），背部气息不能回顾，咳逆上喘。胃俞穴，治疗背中气上下行走，脊痛腹鸣。（见下部文献）。志室穴，治疗背痛俯仰不得，背痛可灸巨阙穴等，或者灸胸堂穴。（《千金方》并治上气）。肺俞穴，治疗背偻如龟背，这是出生时受客风拍打脊骨直达骨髓所致。灸肺俞穴、心俞穴、鬲俞穴，各三壮。某穴（原文缺字或符号），治疗温疟、寒疟、病疟，背部闷气满，腹胀气眩。（《明堂经》）。胸中痛牵引腰背。（《千金方》见于胸胁条下）。列缺穴，主治胸背寒栗。（参见肩痹条下）。鱼际穴，治疗痹症游走至胸背疼痛。（《铜人》见于寒热条下）。云门穴，治疗胸胁彻背痛。（《明堂经》见于上气条下）。
背疼乃因劳作所致。从事技艺之人，以及读书女工刻苦者，多有此患。（士人的书法学习，女子的针线活计，都是刻苦而成背疼的）。色劳者也会患此病，晋景公就是例子。只有膏肓穴是关键穴位。我曾经在膏肓穴旁边，距离脊骨四寸半处，隐隐微痛，按压则疼痛加剧。随意用小艾炷灸了三壮，疼痛即止。后来某天又连及肩部疼痛，却灸了肩疼处而痊愈。这才知道《千金方》中的“阿是穴”确实可信。（我每次遇热，膏肓穴所在之处多出冷汗，已有数年，因为灸而痊愈。）
(Five Obstructions, Qi Choking)
Chengman (ST22) and Rugen (ST18) treat diaphragmatic qi stagnation. (See Ming Tang regarding obstruction syndromes). Danzhong (CV17) treats chest and diaphragm stuffiness, coughing, shortness of breath, and throat rales. (See lower texts). Geshu (BL17) treats pain. (See Pi accumulation syndromes). Shangyang (LI1) treats chest and diaphragm fullness due to qi. (See panting syndromes). Zulinqi (GB41) treats chest and diaphragm fullness and stuffiness. (See jaw pain in lower texts). Accumulation of qi in the chest and diaphragm causing pain, with a tendency to vomit. Moxibustion on Jueyinshu (BL14), dosage according to the patient's age in moxa cones. (From Qianjin Fang). Yinbai (SP1), (See vomiting in lower texts). Juque (CV14) governs discomfort in the diaphragm. (Ming Tang lower records are identical). Shidou (ST16), (Tong Ren records are identical), governs rumbling in the diaphragm, sounding like 'chacha' and 'yinyin', often accompanied by water sounds. (Ming Tang lower states: treats diaphragmatic rumbling; Lu believes there is often water sound). Qi stagnation in the chest and diaphragm, moxibustion on Quexu (likely referring to a specific point or typo for another point, context implies back/diaphragm area), dosage according to the patient's age in moxa cones. Tianchi (PC2) treats chest and diaphragm irritability and fullness. (Tong Ren seen under chest fullness). Danzhong (CV17) treats diaphragmatic qi, vomiting of saliva and foam. Shuaigu (GB8), (See phlegm syndromes). Geshu (BL17) treats cold-phlegm in the diaphragm and stomach. (See vomiting syndromes). Futu (LI18) etc., govern qi choking. (Qianjin seen under throat rales). Tiantu (CV22) treats sensation of qi blockage. (Ming Tang lower seen under head and neck swelling). Zhangmen (LR13) treats obstruction. (See accumulated qi syndromes). Zhongting (CV15) treats chest and hypochondriac distension and support, and obstruction. (Tong Ren). Dazhong (KI4) treats food obstruction where food cannot go down. (See strangury syndromes). Guanchong (TE1), (See cholera syndromes). Tiantu (CV22) treats qi obstruction in the chest. (See coughing and reverse flow of qi). Danzhong (CV17) treats sensation of blockage in the chest. (Ming Tang lower. Qibo said: Accumulated qi forms dry obstruction). Tiantu (CV22), (See cough syndromes). Guanchong (TE1), (See vomiting and diarrhea syndromes), treats qi obstruction. (Ming Tang). Rugen (ST18) treats diaphragmatic qi, inability to eat, and obstruction disease. [Missing Character], treats chronic malaria, back qi fullness and stuffiness, and chest qi obstruction. (See lower texts). Shentang (BL44), (See spine pain). Zhongfu (LU1), (See lung qi syndromes), treats prone to obstruction. (See lower texts).
(Chest and Back, Back Spine, See Shoulder and Back Labor Disease for remainder)
Jingqu (LU8) and Qiuxu (GB40) govern chest and back stiffness. (Qianjin). Fufen (BL17) governs back pain radiating to the head. (Ming Tang lower radiates to chin). Geguan (BL18), Zhibian (BL54), Jinggu (BL64) govern back aversion to cold and pain, spinal stiffness making flexion and extension difficult.
Kunlun (BL60) governs spinal stiffness, heaviness in the back and sacrum. Geshu (BL17) treats back pain with aversion to cold, spinal stiffness making flexion and extension difficult, inability to eat and drink, vomiting and hiccups, excessive saliva and sputum, and chest obstruction and stuffiness. (Tong Ren).
Yishe (BL49) treats (Ming Tang lower has chest and hypochondriac distension), back pain with aversion to wind and cold, inability to eat, and vomiting. Jugu (SI10) treats back and shoulder pain, blood stasis in the chest, inability to flex and extend the shoulder and back with pain. Pohu (BL42) treats back and shoulder pain. (See rising qi syndromes). Shentang (BL44) treats spinal stiffness and urgency. (See shoulder pain syndromes). Qihu (ST15) treats chest and back stiffness. (See chest and hypochondriac fullness syndromes). Dazhui (GV14) treats Qi Zhu (wandering pathogenic factors) causing stiffness and urgency in the back and shoulders. Chengjin (BL57) treats waist and back stiffness. Burong (ST21) treats mutual pulling pain between chest and back. (See Pi accumulation syndromes). Jingqu (LU8) treats chest and back stiffness, chest fullness and distension. (See malaria syndromes).
Yuji (LU10) treats Bi syndrome wandering to chest and back pain. (See chills and fever syndromes). Pohu (BL42) treats scapular stuffiness. (Ming Tang seen under labor same as below). Lower text says: treats shoulder and arm area, inability to turn the head due to back qi, coughing and reverse flow with panting. Weishu (BL21) treats qi moving up and down in the back, spinal pain and abdominal borborygmus. (See lower texts). Zhisshi (BL53) treats inability to flex and extend due to back pain. For back pain, moxa Juque etc., or moxa Xiong tang. (Qianjin also treats rising qi). Feishu (BL13) treats kyphosis resembling turtle back, caused by fetal exposure to external wind striking the spine reaching the marrow. Moxibustion on Feishu (BL13), Xinshu (BL15), and Geshu (BL17), three cones each. [Missing Character], treats warm malaria, cold malaria, and disease malaria, back stuffiness and qi fullness, abdominal distension with qi dizziness. (Ming Tang). Chest pain radiating to the waist and back. (Qianjin seen under chest and hypochondriac). Lieque (LU7) governs chills in chest and back. (See shoulder Bi syndrome). Yuji (LU10) treats Bi syndrome wandering to chest and back pain. (Tong Ren seen under chills and fever). Yunmen (LU2) treats chest and hypochondriac penetrating back pain. (Ming Tang seen under rising qi).
Back pain is caused by labor. People engaged in crafts, and scholars or women working diligently, often suffer from this. (Scholars' calligraphy practice and women's needlework both lead to back pain through diligence). Color-related labor (sexual exhaustion) also causes this disease; Duke Jing of Jin is an example. Only Gaohuang (BL43) is the crucial acupoint. I once felt slight hidden pain at a spot next to Gaohuang, four and a half cun away from the spine; pressing it made the pain worse. I casually applied three small moxa cones, and the pain ceased immediately. Later, one day the pain extended to the shoulder, but treating the shoulder pain site cured it. Only then did I realize that the "Ashi points" mentioned in Qianjin Fang are indeed reliable. (Whenever I encounter heat, the area of Gaohuang produces cold sweat; this had lasted for years, and was cured by moxibustion.)