(左右二十八穴)
\r足厥阴经穴图\pi-i46.bmp\r
大敦 在足大指端去爪甲后如韭叶。及三毛中肝脉所出为井。(针二分。灸三壮)治五淋
七疝。腹胀遗溺。阴挺出。血崩不止。
行间 在大指本节前岐骨缝间。上下有筋。前后有小骨尖。其穴正居陷中。有动脉应手
。肝
脉所溜为荥实则泻之。(针六分灸三壮)治呕逆咳血。瞑不欲视。胸痛肥气 疟寒疝。妇人崩
漏小儿惊风。
太冲 在大指本节后二寸许。有络横连至地五会二寸骨罅间动脉应手陷中肝脉所注为俞
(针三分灸三壮)治虚劳浮肿呕血嗌干 酸引小腹痛腋下马刀疡淋病 疝。女人漏血。
中封(一名悬泉) 在内踝前一寸贴大筋后宛宛中肝脉所行为经。(针四分。灸三壮)治
疟五淋。寒疝足冷。痿厥筋挛阴卵。入腹相引痛。
蠡沟(一名交仪) 在内踝上五寸足厥阴络别走。少阳。(针二分。灸三壮)治疝痛小腹满
数噫。恐悸少气足胫寒酸。月经不调。
中都(一名中 ) 在内踝上七寸当 骨中。与少阴经相直足厥阴 。(针三分。灸五壮)
治疝。小腹痛胫寒。
膝关 在犊鼻下二寸旁陷中。(针四分。灸五壮)治膝内廉痛引膑。不可屈伸。
曲泉 在膝内辅骨下大筋上小筋下陷中。屈膝横纹头取之。肝脉所入为合。虚则补之。
(针六分。灸三壮)治 疝。阴股痛。小便难女人血瘕。阴痒。阴挺出。
阴包 在膝上四寸股内廉两筋间蜷足取之看膝内廉有槽者中足厥阴别走者。(针六分。
灸三壮)治小便难。遗溺月水不调。
五里 在足阳明气冲下三寸阴股中动脉应手处。(针六分。灸五壮)治热闭不得溺。风劳
嗜卧。
阴廉 在羊矢下斜里三分直上去气冲二寸动脉陷中(针八分灸三壮○羊矢在阴旁股内缝
中。皮肉间有核如羊矢状故名)治经不调。未有孕者。
急脉 在阴毛中。阴上两旁各开二寸半。按之隐指坚然。甚按则痛引上下此厥阴之大络
通行
其中。故曰厥阴急脉即睾之系也。病疝小腹痛者。可灸之(禁刺○气府论王氏注有此穴甲乙
经以下诸书无之。)
章门(一名长平。一名胁 ) 在脐上二寸旁开中行各六寸。侧卧屈上足伸下足。以肘尖
尽处
。动脉是穴。脾之募。脏之会。脏病治此。又足厥阴少阳之会。(针六分。灸日七壮至百壮)
治肠鸣食不化胸胁痛不得卧积聚痞块。多灸左边肾积灸两边小儿 疝灸三壮愈。
(按章门直季胁肋端为的。旧本章门下有大横外三字误○章门之开中六寸。期门之开中
五寸半寸法以两乳间折为八寸取之。)
期门 在乳旁一寸半直下又一寸半。第二肋端缝中。平乳根穴。(旧云不容旁一寸半。
误)肝
之募足厥阴太阴阴维之会。(针四分。灸五壮)治胸中烦热。奔豚上下目青而呕。霍乱泻痢。
喘不得卧。伤寒心切痛热入血室。
(左右两侧共二十八穴)
大敦:位于足大趾末端,距离爪甲后方约韭菜叶宽度处,以及三毛(趾背汗毛)之中。此处为肝经脉气所出之处,属井穴。(针刺二分,艾灸三壮。)主治五淋、七疝、腹胀、遗尿、子宫脱垂、崩漏不止。
行间:位于大趾本节(第一跖趾关节)前方的歧骨缝隙间。上下有筋,前后有小骨尖,穴位正位于凹陷中,按之有动脉应手跳动。此处为肝经脉气所溜之处,属荥穴,实证采用泻法。(针刺六分,艾灸三壮。)主治呕吐逆气、咳血、视物模糊不欲睁眼、胸痛、肥气(胁下肿块)、疟疾、寒疝、妇人崩漏、小儿惊风。
太冲:位于大趾本节后约二寸处,有络脉横向连接至地五会,在二寸骨罅间的凹陷中,按之有动脉应手跳动。此处为肝经脉气所注之处,属输穴。(针刺三分,艾灸三壮。)主治虚劳浮肿、呕血、咽喉干燥、酸软牵引小腹痛、腋下马刀疡(瘰疬)、淋病、疝气、妇女漏血。
中封(又名悬泉):位于内踝前一寸,紧贴大筋后方宛宛(凹陷)之中。此处为肝经脉气所行之处,属经穴。(针刺四分,艾灸三壮。)主治疟疾、五淋、寒疝、足冷、痿厥、筋挛、阴卵肿痛、疼痛牵引入腹。
蠡沟(又名交仪):位于内踝上五寸,为足厥阴肝经络脉别走少阳胆经之处。(针刺二分,艾灸三壮。)主治疝痛、小腹胀满、频繁嗳气、恐惧心悸、少气、足胫寒冷酸软、月经不调。
中都(又名中郄):位于内踝上七寸,当腓骨中部。与足少阴肾经相对直,为足厥阴肝经郄穴。(针刺三分,艾灸五壮。)主治疝气、小腹痛、小腿寒冷。
膝关:位于犊鼻穴下方二寸,旁侧凹陷中。(针刺四分,艾灸五壮。)主治膝内侧疼痛牵引髌骨,不可屈伸。
曲泉:位于膝内侧辅骨下方,大筋之上、小筋之下的凹陷中。屈膝时取横纹头处。此处为肝经脉气所入之处,属合穴,虚证采用补法。(针刺六分,艾灸三壮。)主治狐疝、阴股痛、小便困难、妇女血瘕、阴部瘙痒、子宫脱垂。
阴包:位于膝上四寸,大腿内侧两筋之间。蜷足取穴,观察膝内侧廉如有槽者中间,为足厥阴肝经络脉别走之处。(针刺六分,艾灸三壮。)主治小便困难、遗尿、月经不调。
五里:位于足阳明胃经气冲穴下方三寸,阴股中按之有动脉应手跳动处。(针刺六分,艾灸五壮。)主治热闭导致的小便不通、风劳嗜卧。
阴廉:位于羊矢(指腹股沟淋巴结或特定解剖标志,此处指阴旁股内缝中皮肉间如羊矢状的核)下方斜里三分,直上距气冲穴二寸,动脉凹陷中。(针刺八分,艾灸三壮。注:羊矢位于阴部旁侧大腿内侧缝中,皮肉间有核状物如羊屎状,故得名。)主治月经不调、尚未受孕者。
急脉:位于阴毛中,阴器上方两旁各开二寸半处。按压时感觉隐指坚硬,重按则疼痛牵引上下。此为厥阴经的大络,通行其中。故称厥阴急脉,即睾丸之系带。患疝气、小腹痛者,可施以艾灸(禁止针刺。注:《气府论》王冰注有此穴,《甲乙经》及以下诸书无此记载。)
章门(又名长平,又名胁端):位于脐上二寸,旁开中线各六寸处。侧卧,屈起上足,伸直下足,以肘尖尽处触及的动脉跳动处即为穴位。此为脾之募穴,脏之会穴,脏病治疗此穴。又是足厥阴肝经与足少阳胆经的交会穴。(针刺六分,每日艾灸七壮至一百壮。)主治肠鸣、食物不消化、胸胁痛、不能仰卧、积聚痞块。多灸左侧可治肾积,灸双侧可治小儿疝气,灸三壮可愈。(按语:章门正当季肋肋端为准确位置,旧版本章门下有大横外三字为误。章门距中线六寸,期门距中线五寸半,取穴法以两乳间距折为八寸来度量。)
期门:位于乳头旁一寸半,直下又一寸半,第二肋骨端缝隙中,平齐乳根穴。(旧说云不容穴旁一寸半,有误。)此为肝之募穴,足厥阴肝经、足太阴脾经、阴维脉的交会穴。(针刺四分,艾灸五壮。)主治胸中烦热、奔豚气上下冲逆、目青而呕、霍乱泄痢、喘促不得卧、伤寒心切痛、热入血室。
(28 acupoints on each side)
Diagram of Acupoints on the Foot-Jueyin Liver Meridian [Image Placeholder]
Dadun (LR1): Located at the tip of the big toe, approximately the width of a leek leaf distal to the nail corner, and within the area of hair growth. This is where the Qi of the Liver meridian emerges, classified as the Jing-Well point. (Needle 2 fen; Moxibustion 3 moxa cones.) Indications: Five types of strangury, seven types of hernia, abdominal distension, urinary incontinence, uterine prolapse, and metrorrhagia that does not stop.
Xingjian (LR2): Located in the webbing anterior to the first metatarsophalangeal joint, between the divergent bones. There are tendons above and below, and small bony prominences anterior and posterior; the point lies precisely in the depression. A pulsating artery can be felt upon palpation. This is where the Qi of the Liver meridian flows freely, classified as the Ying-Spring point. For excess syndromes, reduce method is applied. (Needle 6 fen; Moxibustion 3 moxa cones.) Indications: Vomiting and regurgitation, hemoptysis, blurred vision or reluctance to open eyes, chest pain, Feiqi (mass under the hypochondrium), malaria, cold hernia, metrorrhagia in women, and infantile convulsions.
Taichong (LR3): Located approximately 2 cun proximal to the first metatarsophalangeal joint. A collateral vessel connects horizontally to Dizhui (EX-LE4) across the gap between the second metatarsal bones. The point lies in the depression where a pulsating artery is felt. This is where the Qi of the Liver meridian pours into, classified as the Shu-Stream point. (Needle 3 fen; Moxibustion 3 moxa cones.) Indications: Deficiency consumption with edema, hematemesis, dry throat, sourness pulling into lower abdominal pain, Machang yang (scrofula in the axilla), strangury, hernia, and leukorrhea in women.
Zhongfeng (LR4, also known as Xuanquan): Located 1 cun anterior to the medial malleolus, tucked behind the large tendon in the depression. This is where the Qi of the Liver meridian travels, classified as the Jing-River point. (Needle 4 fen; Moxibustion 3 moxa cones.) Indications: Malaria, five types of strangury, cold hernia, cold feet, flaccidity and cold limbs, tendon spasm, swelling of the scrotum, and pain radiating into the abdomen.
Ligou (LR5, also known as Jiaoyi): Located 5 cun superior to the medial malleolus, this is where the Luo-connecting vessel of the Foot-Jueyin Liver meridian branches off to connect with the Shaoyang Gallbladder meridian. (Needle 2 fen; Moxibustion 3 moxa cones.) Indications: Hernia pain, abdominal fullness, frequent belching, fear and palpitations, shortness of breath, cold and soreness of the lower leg, and irregular menstruation.
Zhongdu (LR6, also known as Zhongxi): Located 7 cun superior to the medial malleolus, in the middle of the fibula. It aligns directly with the Foot-Shaoyin Kidney meridian and serves as the Xi-Cleft point of the Foot-Jueyin Liver meridian. (Needle 3 fen; Moxibustion 5 moxa cones.) Indications: Hernia, lower abdominal pain, and coldness of the lower leg.
Xiguan (LR7): Located 2 cun inferior to Dubi (ST35), in the lateral depression. (Needle 4 fen; Moxibustion 5 moxa cones.) Indications: Pain along the medial aspect of the knee radiating to the patella, and inability to flex or extend the knee.
Ququan (LR8): Located below the medial condyle of the tibia, between the large tendon above and the small tendon below, in the depression. Locate by flexing the knee at the head of the transverse crease. This is where the Qi of the Liver meridian enters, classified as the He-Sea point. For deficiency syndromes, tonify method is applied. (Needle 6 fen; Moxibustion 3 moxa cones.) Indications: Hu hernia (intermittent hernia), pain in the medial thigh, dysuria, blood masses in women, pruritus vulvae, and uterine prolapse.
Yinbao (LR9): Located 4 cun superior to the knee, between two tendons on the medial aspect of the thigh. Locate by curling the foot; look for the groove on the medial aspect of the knee, situated in the middle of the branch of the Foot-Jueyin Liver meridian. (Needle 6 fen; Moxibustion 3 moxa cones.) Indications: Dysuria, urinary incontinence, and irregular menstruation.
Wuli (LR10): Located 3 cun inferior to Qichong (ST30) of the Foot-Yangming Stomach meridian, in the medial thigh where a pulsating artery is felt. (Needle 6 fen; Moxibustion 5 moxa cones.) Indications: Heat closure causing inability to urinate, wind-lao syndrome with drowsiness.
Yinlian (LR11): Located obliquely 3 fen below "Yangshi" (a specific anatomical landmark described as a kernel-like structure in the inguinal fold resembling a sheep's testicle), ascending vertically 2 cun to Qichong (ST30), in the depression of the pulsating artery. (Needle 8 fen; Moxibustion 3 moxa cones. Note: Yangshi refers to the kernel-like structure in the skin and flesh of the inguinal fold beside the genitalia, named for its resemblance to a sheep's testicle.) Indications: Irregular menstruation and infertility in women who have not yet conceived.
Jimai (LR12): Located within the pubic hair region, 2.5 cun lateral to the midline on both sides of the genitalia. Palpation reveals hardness pressing deeply into the finger; severe pressure causes pain radiating up and down. This is the major collateral of the Jueyin meridian, through which Qi circulates. Hence it is called the Jueyin Jimai, which corresponds to the spermatic cord. For patients with hernia and lower abdominal pain, moxibustion may be applied (Puncture is prohibited. Note: This point is recorded in Wang Bing's commentary on the Qifu Lun but is absent in the Jiayi Jing and subsequent texts.)
Zhangmen (LR13, also known as Changping, also known as Xieduan): Located 2 cun superior to the umbilicus and 6 cun lateral to the midline. With the patient lying on their side, flex the upper leg and extend the lower leg; the point is located at the end of the elbow tip where a pulsating artery is felt. It is the Mu-Alarm point of the Spleen and the Hui-Meeting point of the Zang organs. Zang organ diseases are treated here. It is also the intersection of the Foot-Jueyin Liver meridian and the Foot-Shaoyang Gallbladder meridian. (Needle 6 fen; Moxibustion 7 to 100 moxa cones per day.) Indications: Borborygmus, indigestion, chest and hypochondriac pain, inability to lie supine, accumulations and痞 masses. Extensive moxibustion on the left side treats kidney accumulations; bilateral moxibustion treats pediatric hernia (3 cones suffice for cure). (Commentary: Zhangmen is accurately located at the end of the floating rib. The characters "Da Heng Wai" under Zhangmen in old editions are erroneous. Zhangmen is 6 cun from the midline, while Qimen is 5.5 cun; measurement is based on dividing the distance between the nipples into 8 cun.)
Qimen (LR14): Located 1.5 cun lateral to the nipple, and another 1.5 cun directly downward, in the intercostal space at the end of the second rib, level with Rugen (ST18). (Old texts incorrectly state 1.5 cun lateral to Burong.) It is the Mu-Alarm point of the Liver and the intersection of the Foot-Jueyin Liver meridian, Foot-Taiyin Spleen meridian, and Yinwei Vessel. (Needle 4 fen; Moxibustion 5 moxa cones.) Indications: Restlessness and heat in the chest, Ben Tun (gas attacking upward), bluish discoloration of the eyes with vomiting, cholera with diarrhea, wheezing and inability to lie flat, heart-cutting pain in Shanghan (cold damage), and heat entering the Blood Chamber.