(左右共四十穴)
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商阳(一名绝阳) 在食指内侧。去爪甲角如韭叶许大肠脉所出为井。(针一分。灸三壮
。)治耳鸣聋。寒热 疟。
二间(一名间谷) 在食指本节前内侧陷中大肠脉所溜为荥。实则泻之。(针三分灸三壮)
治喉痹鼽衄。曰疾齿痛。
三间(一名少谷) 在食指本节后内侧陷中大肠脉所注为俞。(针三分。灸三壮。)治下齿
龋痛。肠鸣洞泄。
合谷(一名虎口) 在食指大指岐骨间陷中。握拳取之。大肠脉所过为原虚实皆拔之。(
针三
分灸三壮○孕妇禁针。昔有徐文伯泻足太阴经三阴交而补合谷胎遂落盖因血衰气旺也)治中
风筋急伤寒头痛。目翳风疹。唇吻不收。
阳 (一名中魁) 在手腕中上侧两筋间陷中张大指次指取之。大肠脉所行为经。(针三
分灸三壮)治热病烦心目翳赤烂。耳鸣惊掣。肘臂不举。
偏历 在手腕后三寸手阳明络。别走太阴(针三分灸三壮。)治寒热癫疾多言。耳鸣鼻衄
喉痹齿痛。肩臂酸疼。
温溜(一名逆注一名池头) 在宛后五寸六寸间。手阳明 (针三分。灸三壮)治肠鸣腹痛
。伤寒哕逆。鬲中气闭口舌肿痛。
下廉 在辅骨下。温溜上二寸五分。去上廉一寸辅锐肉分(针五分灸三壮。)治痹痛乳痈
。癖小肠气。
上廉 在三里下一寸其分独抵阳明之会外斜。(针五分灸五壮)治手臂不仁。胸痛喘息肠
鸣小便难。
三里(一名手三里) 在曲池下二寸锐肉之端。按之肉起。(针三分灸三壮)治偏风下牙疼
颔肿瘰 。
曲池 在肘外辅骨屈肘横纹头曲骨之中。以手拱胸取之。大肠脉所入为合。虚则补之。
(针七分。灸七壮)治螈 癫疾皮肤痂疥伤寒余热不尽。妇人经脉不通
肘 在肘大骨外廉陷中。与手少阳经天井穴并。相去一寸四分。(灸三壮针三分)治肘
节风痹。臂痛不举。
五里 在肘上三寸。行向里大脉中央。一云在天府穴下五寸。(灸七壮禁针。)治气逆瘰
。
臂 在肩 下一寸。两筋两骨罅陷中。举臂取之(一曰平手取之)手足太阳阳杂之会。
七壮。针三分。不宜深。)治瘰 臂痛(按肩至肘长一尺七寸。肩 下一寸句上。旧有肘上七
寸肉端七字。误故删之)。
肩 (一名中肩井。一名偏肩) 在膊(音博)骨头肩端上两骨罅陷中举臂取之有空。手太
阳明阳跷之会。(针八分。灸五壮)治中风瘫痪。肩臂痛不能向头。泄精憔悴。瘿气瘰 。
巨骨 在肩尖上行两叉骨罅中。手阳明阳跷之会。(针四分。灸五壮)治胸中有瘀血。肩
臂不得屈仰。
天鼎 在颈中缺盆上直扶突后一寸(针三分。灸三壮)治暴喑气哽。喉痹嗌肿。不得食。
扶突(一名水穴) 在颈。当曲颊下一寸。人迎穴后一寸半。开中三寸。仰取之(针三分
。灸三壮)治咳嗽上气。喉中如水鸡声。外
禾 (一名长 ) 在鼻孔下夹水沟旁五分(针三分。禁灸)治鼻塞鼽衄。
迎香 在禾 上一寸鼻孔旁五分手足阳明之会(针三分。禁灸)治鼻有息肉。面痒浮肿。
（左右两侧共四十个穴位）
手阳明经穴位图 [图片占位]
商阳（又名绝阳）：位于食指内侧。距离指甲角约韭菜叶宽度处，是大肠经脉所出的井穴。（针刺一分，艾灸三壮。）主治耳鸣耳聋、寒热往来及疟疾。
二间（又名间谷）：位于食指本节前的内侧凹陷中，是大肠经脉所流的荥穴。实证采用泻法。（针刺三分，艾灸三壮。）主治喉痹、鼻塞流涕及鼻出血、牙齿疼痛。
三间（又名少谷）：位于食指本节后的内侧凹陷中，是大肠经脉所注的输穴。（针刺三分，艾灸三壮。）主治下齿龋痛、肠鸣腹泻。
合谷（又名虎口）：位于食指与拇指叉骨间的凹陷中。握拳时取穴。是大肠经脉所过的原穴，虚实证均用提插泻法或补法。（针刺三分，艾灸三壮。孕妇禁止针刺。过去徐文伯通过泻足太阴脾经的三阴交穴并补合谷穴，导致胎儿流产，这是因为血虚气旺的缘故。）主治中风引起的筋脉拘急、伤寒头痛、目生翳障、风疹、口唇闭合不全。
阳溪（又名中魁）：位于手腕横纹上侧两筋之间的凹陷中。伸直拇指和食指时取穴。是大肠经脉所行的经穴。（针刺三分，艾灸三壮。）主治热病心烦、目生翳障、眼睛红肿溃烂、耳鸣惊厥、肘臂不能抬举。
偏历：位于手腕后三寸处，为手阳明大肠经的络穴，别走手太阴肺经。（针刺三分，艾灸三壮。）主治寒热、癫狂多言、耳鸣、鼻出血、喉痹、牙齿疼痛、肩臂酸痛。
温溜（又名逆注、池头）：位于腕后五寸至六寸之间。为手阳明大肠经郄穴。（针刺三分，艾灸三壮。）主治肠鸣腹痛、伤寒呃逆、胸膈气闭、口舌肿痛。
下廉：位于辅骨下方，温溜穴上二寸五分处，距离上廉穴一寸，在锐肉分开之处。（针刺五分，艾灸三壮。）主治痹痛、乳痈、癖积、小肠疝气。
上廉：位于手三里下一寸，其肌肉分布独抵阳明经的会合处，向外倾斜。（针刺五分，艾灸五壮。）主治手臂麻木不仁、胸痛喘息、肠鸣、小便困难。
三里（又名手三里）：位于曲池穴下二寸，桡骨鹰嘴端锐肉之尽头。按压时肌肉隆起。（针刺三分，艾灸三壮。）主治半身不遂、下牙疼痛、下颌肿胀、瘰疬。
曲池：位于肘部外侧辅骨屈肘时的横纹头凹陷处的曲骨之中。双手交叉抱胸时取穴。是大肠经脉所入的合穴。虚证采用补法。（针刺七分，艾灸七壮。）主治抽搐、癫疾、皮肤结痂疥疮、伤寒余热不尽、妇女月经不通。
肘髎：位于肘部大骨外缘的凹陷中。与手少阳三焦经的天井穴并列，相距一寸四分。（艾灸三壮，针刺三分。）主治肘关节风痹、手臂疼痛不能抬举。
五里：位于肘上三寸，沿脉走向的大血管中央。另一种说法是在天府穴下五寸。（艾灸七壮，禁止针刺。）主治气逆、瘰疬。
臂臑：位于肩髃穴下一寸，两筋两骨缝隙的凹陷中。举臂时取穴（一说平手取穴）。为手足太阳、手阳明、阳跷脉的交会穴。（艾灸七壮，针刺三分，不宜深刺。）主治瘰疬、臂痛。（按：从肩到肘长一尺七寸，肩髃穴下一寸处。旧版中有“肘上七寸肉端”七个字，系误植，故删除。）
肩髃（又名中肩井、偏肩）：位于膊（音博）骨头肩端上两骨缝隙的凹陷中，举臂时取穴有空隙感。为手太阴、手阳明、手阳跷脉的交会穴。（针刺八分，艾灸五壮。）主治中风瘫痪、肩臂痛不能转头、遗精、面色憔悴、瘿气、瘰疬。
巨骨：位于肩尖上方两叉骨缝隙中。为手阳明、手阳跷脉的交会穴。（针刺四分，艾灸五壮。）主治胸中有瘀血、肩臂不能屈伸仰俯。
天鼎：位于颈部缺盆直上，扶突穴后一寸处。（针刺三分，艾灸三壮。）主治突然失音、气哽、喉痹咽喉肿胀、无法进食。
扶突（又名水穴）：位于颈部，正当下巴角下一寸，人迎穴后一寸半，距正中线三寸。仰卧时取穴。（针刺三分，艾灸三壮。）主治咳嗽气逆、喉中发出如水鸡叫声的外感症状。
(There are forty acupoints in total on both the left and right sides.)
[Image Placeholder: Diagram of Hand-Yangming Meridian Acupoints]
Shangyang (Jueyang): Located on the medial side of the index finger, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point where the Large Intestine meridian originates. (Needle 1 fen; Moxibustion 3 moxa cones.) Indications: Tinnitus, deafness, alternating chills and fever, malaria.
Erbian (Jian Gu): Located in the depression on the medial side anterior to the base joint of the index finger. It is the Ying-Spring point where the Large Intestine meridian flows. Excess syndromes should be treated with draining method. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Throat obstruction, nasal congestion, epistaxis, toothache.
Sanjian (Shao Gu): Located in the depression on the medial side posterior to the base joint of the index finger. It is the Shu-Stream point where the Large Intestine meridian pours. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Caries pain of lower teeth, borborygmus, diarrhea.
Hegu (Hukou): Located in the depression between the metacarpal bones of the index finger and thumb. Take the point while making a fist. It is the Yuan-Source point where the Large Intestine meridian passes through. Both excess and deficiency syndromes are treated by lifting and thrusting manipulation. (Needle 3 fen; Moxibustion 3 moxa cones. Contraindicated during pregnancy. Historically, Xu Wenbo caused abortion by draining Sanyinjiao (SP6) of the Foot-Taiyin Spleen meridian and tonifying Hegu, due to blood deficiency and qi flourishing.) Indications: Muscle spasticity in stroke, headache in cold damage, leukoma, wind-rash, inability to close lips and mouth corners.
Yangxi (Zhong Kui): Located in the depression between the two tendons on the radial side of the wrist crease. Take the point while extending the thumb and index finger. It is the Jing-River point where the Large Intestine meridian travels. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Fever with restlessness, leukoma, red and swollen eyes, tinnitus, convulsions, inability to raise elbow and arm.
Pianli: Located 3 cun posterior to the wrist crease, it is the Luo-Connecting point of the Hand-Yangming Large Intestine meridian, connecting to the Hand-Taiyin Lung meridian. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Chills and fever, epilepsy with excessive talking, tinnitus, epistaxis, throat obstruction, toothache, soreness and pain in shoulder and arm.
Wenliu (Nizhu, Chitou): Located between 5 and 6 cun posterior to the wrist crease. It is the Xi-Cleft point of the Hand-Yangming Large Intestine meridian. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Borborygmus and abdominal pain, hiccups in cold damage, chest diaphragm qi stagnation, swelling and pain of mouth and tongue.
Xialian: Located below the accessory bone, 2.5 cun above Wenliu, 1 cun away from Shanglian, at the separation of the sharp muscle. (Needle 5 fen; Moxibustion 3 moxa cones.) Indications: Bi-syndrome pain, mastitis, accumulation masses, small intestine hernia.
Shanglian: Located 1 cun below Shousanli (ST36 equivalent on arm), where the muscle distribution uniquely meets the Yangming intersection, slanting outward. (Needle 5 fen; Moxibustion 5 moxa cones.) Indications: Numbness of arm and hand, chest pain, panting, borborygmus, difficulty in urination.
Shousanli (Hand Sanli): Located 2 cun below Quchi, at the end of the sharp muscle. The muscle rises upon pressing. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Hemiplegia, lower toothache, submandibular swelling, scrofula.
Quchi: Located in the depression at the head of the transverse cubital crease when flexing the elbow, between the lateral accessory bone and the curved bone. Take the point with hands crossed over the chest. It is the He-Sea point where the Large Intestine meridian enters. Deficiency syndromes should be treated with tonifying method. (Needle 7 fen; Moxibustion 7 moxa cones.) Indications: Convulsions, epilepsy, skin crusts and scabies, residual heat after cold damage, amenorrhea in women.
Zhou Liao: Located in the depression on the lateral margin of the large bone of the elbow. It aligns with Tianjing (TE10) of the Hand-Shaoyang Sanjiao meridian, 1.4 cun apart. (Moxibustion 3 moxa cones; Needle 3 fen.) Indications: Wind-bi of elbow joint, arm pain with inability to lift.
Wuli: Located 3 cun above the elbow, in the center of the major vessel along the meridian pathway. Another theory states it is 5 cun below Tianfu (LU3). (Moxibustion 7 moxa cones. Contraindicated for needling.) Indications: Qi rebellion, scrofula.
Binao: Located 1 cun below Jianliao (SI14), in the depression between two tendons and two bones. Take the point with arm raised (or one theory says with arm flat). It is the intersection of Hand-Taiyang, Hand-Yangming, and Yangqiao vessels. (Moxibustion 7 moxa cones; Needle 3 fen. Do not needle deeply.) Indications: Scrofula, arm pain. (Note: The distance from shoulder to elbow is 1 chi 7 cun. The point is 1 cun below Jianliao. The phrase "seven cun above elbow at muscle end" in old texts is an error and has been deleted.)
Jianliao (Zhong Jianjing, Pianjian): Located in the depression between two bones at the top of the humerus at the shoulder end. Take the point with arm raised, feeling a hollow sensation. It is the intersection of Hand-Taiyin, Hand-Yangming, and Hand-Yangqiao vessels. (Needle 8 fen; Moxibustion 5 moxa cones.) Indications: Stroke paralysis, shoulder and arm pain with inability to turn head, seminal emission, emaciation, goiter, scrofula.
Jugu: Located in the gap between the bifurcated bones above the shoulder tip. It is the intersection of Hand-Yangming and Hand-Yangqiao vessels. (Needle 4 fen; Moxibustion 5 moxa cones.) Indications: Blood stasis in chest, inability to flex or extend shoulder and arm.
Tianding: Located in the neck, directly above the Clavicle (Quepen), 1 cun posterior to Futu. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Sudden aphonia, qi choking, throat obstruction, pharyngeal swelling, inability to eat.
Futu (Shui Xue): Located in the neck, 1 cun below the angle of the jaw, 1.5 cun posterior to Renying (ST9), 3 cun from the midline. Take the point in supine position. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Cough with rebellious qi, gurgling sound in throat like a water frog, external contraction symptoms.
Heliao (Changliao): Located 0.5 cun lateral to the philtrum (Shuigou), under the nostril. (Needle 3 fen. Contraindicated for moxibustion.) Indications: Nasal congestion, rhinorrhea, epistaxis.
Yingxiang: Located 1 cun above Heliao, 0.5 cun lateral to the nostril. It is the intersection of Hand-Yangming and Foot-Yangming meridians. (Needle 3 fen. Contraindicated for moxibustion.) Indications: Nasal polyps, facial itching, edema.