(左右四十二穴)
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隐白 在足大指内侧去爪甲角如韭叶。脾脉所出为井(针一分。灸二壮。)治腹胀暴泄。
衄血尸厥。妇人月事过时不止。小儿客忤惊风。
大都 在足大指本节后内侧骨缝赤白肉际陷中。脾脉所溜为荣。虚则补之。(针三分。
灸三壮)治伤寒手足逆冷。腹满呕吐。
太白 在足大指后内踝前。核骨下陷中。脾脉所注为俞。(针三分。灸三壮。)治身热烦
满。腹胀呕吐。泻痢脓血。腰痛大便难。霍乱转筋腹中切痛。
公孙 在足大指内侧。本节后一寸。内踝前陷中。正坐合足掌取之。足太阴络别走阳明
(针四分灸三壮)治痰壅胸膈寒疟不食。心疼积块。妇人气蛊。
商丘 在足内踝骨下微前陷中。前有中封(厥阴)后有照海(少阴)此穴居中。脾脉所行为
经。
实则泻之(针三分灸三壮)治腹胀肠鸣。善太息。脾积痞气黄胆寒疟。阴股内痛。狐疝走引小
腹痛。
三阴交 在内踝上除踝三寸。骨下陷中。足三阴之交会。(针三分灸三壮)治心腹胀满。
四肢
不举。 癖疝气。膝内廉痛。女人赤白带下。月水不调。经脉闭塞泻之立通。故妊妇禁针
漏谷(一名太阴络) 在内踝上六寸。夹 骨下陷中(针三分禁灸)治肠鸣腹胀 癖冷气。
饮食不为肌肤。膝痹脚冷。
地机(一名脾舍) 在膝下五寸。内侧夹辅骨下陷中。与漏谷相去五寸。伸足取之。足太
阴(针三分灸三壮)治腰痛不可俯仰。溏泄水肿。小便不利。女子 瘕。
阴陵泉 在膝下内侧辅骨下陷中。屈膝横纹头取之。脾脉所入为合。(针五分禁灸)治腹
胀满不嗜食。飧泄疝瘕小便不利。
血海(一名百虫窠) 在膝膑上一寸。内廉白肉际陷中(针五分。灸五壮)治一切血疾。诸
疮痛痒。
箕门 在鱼腹上越两筋间阴股内廉。动脉应手。一大股上起筋间。(灸三壮禁针)治小便
不通遗溺。鼠鼷肿痛。
冲门(一名上慈宫) 在府舍下七分(大成作一寸。误)上去大横五寸横骨两端约纹中。动
脉去
中各三寸半。(自冲门至腹哀。左右十穴大成作去中四寸半。误。)足太阴厥阴之会。(针七
分。灸三壮。)治腹寒积聚。淫泺。阴疝。妊娠冲心。
府舍 在腹结下三寸。去中各三寸半。足太阴厥阴阴维之会。甲乙经曰。此脉上下入腹
。络
胸。结心肺。从胁上至肩。此足太阴 三阴阳明支别。(针七分。灸五壮。)治疝癖腹满。厥
气霍乱。
腹结(一名肠窟) 在大横下一寸三分。去中各三寸半(针七分灸五壮)治咳逆。绕脐腹痛
泻痢。
大横 在腹哀下六寸半。(旧云三寸半。误)平脐去中各三寸半。足太阴阴维之会。(针
七分。灸五壮。)治大风逆气。多寒洞痢。
腹哀 在日月下一寸半。足太阴阴维之会。(针三分禁灸)治寒中热不化便脓血腹痛。
(按日月在期门下五分分寸歌曰腹哀期下方二寸。巨阙旁六寸也。图翼作去中三寸半误
。)
食窦 在天溪下一寸六分。从腹哀上行三寸五分。去膻中各六寸。举臂取之。(针四分
。灸五壮。)治胸胁支满。膈有水声。
天溪 在胸乡下一寸六分。去中各六寸。仰取之。(针四分。灸五壮)治胸满上气。喉中
有声。妇人乳肿。
胸乡 在周荣下一寸六分。去中各六寸。仰取之。(针四分。灸五壮)治胸胁支满。引背
痛不得卧。
周荣 在手太阴中府下一寸六分。乳上三寸二分旁去中各六寸仰取之(针四分)治胸满不
得俯仰。食不下咳逆。
大包 在足少阳渊液下三寸从周荣外斜下行布胸胁中出九肋间脾之大络总统阴阳诸络由
脾灌溉五脏。(针三分灸三壮)治喘气胸胁痛。
(左右两侧共四十二穴)
隐白穴:位于足大趾内侧,距离指甲角如韭菜叶宽度处。为脾经经脉所出之处,属井穴。(针刺一分,艾灸二壮。)治疗腹胀暴泻、鼻出血、尸厥证、妇女月经过期不止、小儿客忤惊风。
大都穴:位于足大趾本节后内侧,赤白肉际骨缝凹陷中。为脾经经脉所溜之处,属荥穴。虚证用补法。(针刺三分,艾灸三壮。)治疗伤寒引起的手足逆冷、腹部胀满呕吐。
太白穴:位于足大趾后方、内踝前方,核骨下方的凹陷中。为脾经经脉所注之处,属输穴。(针刺三分,艾灸三壮。)治疗身体发热烦闷、腹胀呕吐、腹泻痢疾脓血、腰痛大便困难、霍乱转筋及腹中剧烈疼痛。
公孙穴:位于足大趾内侧,本节后一寸,内踝前方的凹陷中。正坐并拢足掌时取穴。为足太阴脾经络穴,别走阳明经。(针刺四分,艾灸三壮。)治疗痰壅胸膈、寒疟不食、心痛积块、妇女气蛊病。
商丘穴:位于足内踝骨下方微前侧的凹陷中。前方有中封穴(属厥阴肝经),后方有照海穴(属少阴肾经),此穴居中。为脾经经脉所行之处,属经穴。实证用泻法。(针刺三分,艾灸三壮。)治疗腹胀肠鸣、善叹息、脾积痞气、黄疸、寒疟、大腿内侧疼痛、狐疝牵引小腹痛。
三阴交穴:位于内踝上三寸,胫骨后缘凹陷中。为足三阴经(肝、脾、肾)交会之处。(针刺三分,艾灸三壮。)治疗心腹胀满、四肢不能抬举、癖疝气、膝内侧疼痛、妇女赤白带下、月经不调、经脉闭塞(泻之可立通)。因此孕妇禁用此穴。
漏谷穴(又名太阴络):位于内踝上六寸,胫骨后缘凹陷中。(针刺三分,禁灸。)治疗肠鸣腹胀、癖冷气、饮食不为肌肤(消瘦)、膝痹脚冷。
地机穴(又名脾舍):位于膝下五寸,内侧夹辅骨后的凹陷中。与漏谷穴相距五寸。伸足时取穴。为足太阴脾经郄穴。(针刺三分,艾灸三壮。)治疗腰痛不可俯仰、溏泄水肿、小便不利、女子癥瘕。
阴陵泉穴:位于膝下内侧,辅骨下方的凹陷中。屈膝时取横纹头处。为脾经经脉所入之处,属合穴。(针刺五分,禁灸。)治疗腹胀满、食欲不振、飧泄、疝瘕、小便不利。
血海穴(又名百虫窠):位于膝盖髌骨上一寸,膝内侧白肉际凹陷中。(针刺五分,艾灸五壮。)治疗一切血疾、各种疮疡痛痒。
箕门穴:位于鱼腹部位上方,两筋之间的阴股内侧,按之有动脉应手。一大股肌肉上起于筋间。(艾灸三壮,禁针。)治疗小便不通、遗尿、鼠鼷肿痛。
冲门穴(又名上慈宫):位于府舍穴下七分(《大成》作一寸,有误),上去大横穴五寸,横骨两端约纹中。动脉处距中线各三寸半。(从冲门至腹哀,左右十穴,《大成》作距中线四寸半,有误。)为足太阴脾经与足厥阴肝经交会之处。(针刺七分,艾灸三壮。)治疗腹寒积聚、淫泺(肢体软弱无力)、阴疝、妊娠冲心证。
府舍穴:位于腹结穴下三寸,距中线各三寸半。为足太阴脾经、足厥阴肝经及阴维脉交会之处。《甲乙经》记载:此脉上下入腹,联络胸部,结于心肺,从胁部上行至肩部。此为足太阴脾经、三阳经及阳明经的支别。(针刺七分,艾灸五壮。)治疗疝癖腹满、厥气霍乱。
腹结穴(又名肠窟):位于大横穴下一寸三分,距中线各三寸半。(针刺七分,艾灸五壮。)治疗咳嗽气逆、绕脐腹痛、腹泻痢疾。
大横穴:位于腹哀穴下六寸半。(旧说三寸半,有误。)平齐肚脐,距中线各三寸半。为足太阴脾经与阴维脉交会之处。(针刺七分,艾灸五壮。)治疗大风逆气、多寒洞泄痢疾。
腹哀穴:位于日月穴下一寸半。为足太阴脾经与阴维脉交会之处。(针刺三分,禁灸。)治疗寒热错杂不化、便脓血、腹痛。(按:日月穴在期门下五分,《分寸歌》曰腹哀在期下方二寸,巨阙旁六寸。《图翼》作距中线三寸半,有误。)
食窦穴:位于天溪穴下一寸六分,从腹哀穴上行三寸五分,距膻中穴各六寸。举臂时取穴。(针刺四分,艾灸五壮。)治疗胸胁支撑胀满、膈间有水声。
天溪穴:位于胸乡穴下一寸六分,距中线各六寸。仰卧时取穴。(针刺四分,艾灸五壮。)治疗胸满气逆、喉中有声、妇女乳房肿胀。
胸乡穴:位于周荣穴下一寸六分,距中线各六寸。仰卧时取穴。(针刺四分,艾灸五壮。)治疗胸胁支撑胀满、牵引背痛不得卧。
周荣穴:位于手太阴肺经中府穴下一寸六分,乳头上三寸二分,旁距中线各六寸。仰卧时取穴。(针刺四分。)治疗胸满不得俯仰、饮食不下、咳嗽气逆。
大包穴:位于足少阳胆经渊液穴下三寸,从周荣穴外斜下行,分布于胸胁中,出于第九肋间。为脾之大络,总统阴阳诸络,由脾灌溉五脏。(针刺三分,艾灸三壮。)治疗喘气、胸胁痛。
(42 acupoints on both sides)
[Image Placeholder: Acupoint Chart of the Foot-Taiyin Splein Meridian]
Yinbai (SP1): Located on the medial side of the big toe, at a distance from the corner of the nail resembling the width of a leek leaf. It is the Jing-Well point where the Splein meridian Qi emerges. (Needle 1 fen; Moxibustion 2 cones.) Indications: Abdominal distension with sudden diarrhea, epistaxis, Shijue syndrome (syncope-like state), prolonged menstrual bleeding in women, and infantile fright wind due to external pathogenic factors.
Dadu (SP2): Located in the depression between the red and white flesh at the medial aspect of the joint behind the big toe. It is the Ying-Spring point where the Splein meridian Qi flows. Tonify deficiency. (Needle 3 fen; Moxibustion 3 cones.) Indications: Cold extremities due to Cold Damage (Shanghan), abdominal fullness, and vomiting.
Taibai (SP3): Located in the depression below the bony prominence (nuclear bone) anterior to the medial malleolus and posterior to the big toe. It is the Shu-Stream point where the Splein meridian Qi pours. (Needle 3 fen; Moxibustion 3 cones.) Indications: Fever and irritability, abdominal distension and vomiting, dysentery with pus and blood, low back pain with difficulty in defecation, Huoluan (cholera-like syndrome) with muscle spasms and severe abdominal pain.
Gongsun (SP4): Located on the medial side of the big toe, one cun posterior to the metatarsophalangeal joint, in the depression anterior to the medial malleolus. Take the point with the patient sitting upright and feet flat. It is the Luo-Connecting point of the Foot-Taiyin Splein meridian, diverging to the Yangming meridian. (Needle 4 fen; Moxibustion 3 cones.) Indications: Phlegm obstruction in the chest and diaphragm, cold malaria with anorexia, heart pain with accumulations, and Qi distension disease in women.
Shangqiu (SP5): Located in the slight depression anterior and inferior to the medial malleolus. Zhongfeng (LR4, Jueyin Liver meridian) is anterior, and Zhaohai (KI6, Shaoyin Kidney meridian) is posterior; this point is centrally located. It is the Jing-River point where the Splein meridian Qi travels. Drain excess. (Needle 3 fen; Moxibustion 3 cones.) Indications: Abdominal distension with borborygmus, frequent sighing, Pi accumulation (spleen mass), jaundice, cold malaria, pain in the medial thigh, and Huxian hernia radiating to lower abdominal pain.
Sanyinjiao (SP6): Located three cun above the tip of the medial malleolus, in the depression behind the tibia. It is the intersection of the three Yin meridities of the foot (Liver, Spleen, Kidney). (Needle 3 fen; Moxibustion 3 cones.) Indications: Heart and abdominal fullness, inability to lift the four limbs, Pi hernia, pain in the medial knee, leukorrhea (red and white discharge), irregular menstruation, and meridian blockage (draining promotes immediate flow). Therefore, it is contraindicated during pregnancy.
Lougou (SP7, also known as Taiyin Luo): Located six cun above the medial malleolus, in the depression behind the tibia. (Needle 3 fen; Moxibustion is prohibited.) Indications: Intestinal borborygmus and abdominal distension, cold Qi stagnation, emaciation despite adequate diet, knee bi-syndrome, and cold feet.
Diji (SP8, also known as Pishé): Located five cun below the knee, in the depression behind the medial condyle of the tibia. It is five cun away from Lougou. Extend the leg to locate. It is the Xi-Cleft point of the Foot-Taiyin Splein meridian. (Needle 3 fen; Moxibustion 3 cones.) Indications: Low back pain preventing flexion and extension, loose stools with edema, difficult urination, and female Zhang-Ji masses.
Yinlingquan (SP9): Located in the depression below the medial condyle of the tibia, below the knee. Flex the knee to locate the head of the transverse crease. It is the He-Sea point where the Splein meridian Qi enters. (Needle 5 fen; Moxibustion is prohibited.) Indications: Abdominal fullness, loss of appetite, sun-xie (undigested food in stool), hernia and masses, and difficult urination.
Xuehai (SP10, also known as Baichongke): Located one cun above the patella, in the depression at the junction of the white and red flesh on the medial aspect. (Needle 5 fen; Moxibustion 5 cones.) Indications: All blood disorders, itching and pain of various sores.
Jimen (SP11): Located superior to the "fish belly" area, between two tendons on the medial aspect of the upper thigh, where arterial pulsation is palpable. It arises from the muscles of the upper thigh. (Moxibustion 3 cones; Needling is prohibited.) Indications: Urinary retention, urinary incontinence, and swelling and pain in the inguinal region.
Chongmen (SP12, also known as Shangcigong): Located seven fen below Fushé (SP13) (Da Cheng states one cun, which is erroneous), five cun above Dàhéng (SP15), in the crease at both ends of the pubic bone. The arterial pulse is 3.5 cun lateral to the midline. (From Chongmen to Fu'ai, totaling ten points on both sides, Da Cheng states 4.5 cun lateral to midline, which is erroneous.) It is the intersection of the Foot-Taiyin Splein and Foot-Jueyin Liver meridians. (Needle 7 fen; Moxibustion 3 cones.) Indications: Abdominal cold with accumulations, Yinluo (limb weakness), Yin hernia, and pregnancy-related Qi rushing to the heart.
Fushé (SP13): Located three cun below Fujie (SP14), 3.5 cun lateral to the midline. It is the intersection of the Foot-Taiyin Splein, Foot-Jueyin Liver, and Yinwei Vessels. The *Jia Yi Jing* states: This meridian enters the abdomen, connects to the chest, knots at the heart and lungs, and ascends from the hypochondrium to the shoulder. It is a branch of the Foot-Taiyin Splein, Three-Yang, and Yangming meridians. (Needle 7 fen; Moxibustion 5 cones.) Indications: Hernia and masses with abdominal fullness, rebellious Qi causing Huoluan.
Fujie (SP14, also known as Changku): Located one cun three fen below Daheng (SP15), 3.5 cun lateral to the midline. (Needle 7 fen; Moxibustion 5 cones.) Indications: Cough with rebellious Qi, periumbilical abdominal pain, and dysentery.
Daheng (SP15): Located six cun half below Fu'ai (SP16). (Old texts say three cun half, which is erroneous.) Level with the umbilicus, 3.5 cun lateral to the midline. It is the intersection of the Foot-Taiyin Splein and Yinwei Vessels. (Needle 7 fen; Moxibustion 5 cones.) Indications: Severe pathogenic Qi rebellion, cold-induced profuse diarrhea and dysentery.
Fu'ai (SP17): Located one cun half below Riyue (GB24). It is the intersection of the Foot-Taiyin Splein and Yinwei Vessels. (Needle 3 fen; Moxibustion is prohibited.) Indications: Complex cold-heat syndromes with indigestion, pus and blood in stool, and abdominal pain. (Note: Riyue is five fen below Qimen. The *Fenchun Ge* states Fu'ai is two cun below Qimen and six cun lateral to Juque. *Tuyi* states 3.5 cun lateral to midline, which is erroneous.)
Shidou (SP18): Located one cun six fen below Tianxi (SP19), ascending three cun five fen from Fu'ai, six cun lateral to Danzhong (CV17). Raise the arm to locate. (Needle 4 fen; Moxibustion 5 cones.) Indications: Chest and hypochondriac fullness and distension, fluid sound in the diaphragm.
Tianxi (SP19): Located one cun six fen below Xiongxiang (SP20), six cun lateral to the midline. Lie supine to locate. (Needle 4 fen; Moxibustion 5 cones.) Indications: Chest fullness with rebellious Qi, sounds in the throat, and breast swelling in women.
Xiongxiang (SP20): Located one cun six fen below Zhourong (SP21), six cun lateral to the midline. Lie supine to locate. (Needle 4 fen; Moxibustion 5 cones.) Indications: Chest and hypochondriac fullness radiating to back pain, inability to lie down.
Zhourong (SP21): Located one cun six fen below Zhongfu (LU1, Hand-Taiyin Lung meridian), three cun two fen above the nipple, six cun lateral to the midline. Lie supine to locate. (Needle 4 fen.) Indications: Chest fullness preventing flexion and extension, difficulty swallowing, cough, and rebellious Qi.
Dabao (SP21): Located three cun below Yuanli (GB22, Foot-Shaoyang Gallbladder meridian), slanting downward from Zhourong, distributed in the chest and hypochondrium, emerging between the ninth ribs. It is the Great Luo of the Spleen, commanding all Yin and Yang collaterals, irrigating the five Zang organs via the Spleen. (Needle 3 fen; Moxibustion 3 cones.) Indications: Asthma with Qi rebellion, chest and hypochondriac pain.