不出在灵枢内经故谓之奇穴
取膏肓 穴法此穴主阳气亏弱诸虚痼冷梦遗上气咳逆噎膈狂惑忘误百病尤治痰饮诸疾须
令患人
就床平坐曲膝齐胸以两手围其足膝使脾骨开离勿令动摇以指按四椎微下一分五椎微上二分点
墨记之即以墨平画相去二寸许四肋三间脾骨之里肋间空处容侧指许摩膂肉之表筋骨空处按之
患者觉牵引胸户中手指痹即真穴也灸后觉气壅盛可灸气海及足三里泻火实下灸后令人阳盛当
消息以自保养不可纵欲(入门)○又法令病患两手交在两膊上则脾骨开其穴立见以手揣摸第四
椎骨
下两旁各开三寸四肋三间之中按之酸酸是穴灸时手搭两膊上不可放下灸至百壮为佳(回春)
取患门穴法主少年阴阳俱虚面黄体瘦饮食无味咳嗽遗精潮热盗汗心胸背引痛五劳七伤等
证无不
效先用蜡绳一条以病患男左女右脚板从足大拇指头齐量起向后随脚板当心贴肉直上至膝腕大
横纹中截断次令病患解发匀分两边平身正立取前绳子从鼻端齐引绳向上循头缝下脑后贴肉随
脊骨垂下至绳尽处以墨点记(此不是灸穴也)别用秆心按于口上两头至吻却钩起秆心中心至鼻
端根如人字样齐两吻截断将此秆展直于先点墨处取中横量勿令高下于秆心两头尽处以墨记之
此是灸穴初灸七壮累灸至百壮初只灸此两穴(入门)○一法治虚劳羸瘦令病患平身正直用草于
男左女右自脚中指尖量过脚心下向上至曲 大纹处切断却将此草自鼻尖量从头正中(须分开
头心发贴肉量)至脊以草尽处用墨点记别用草一条令病患自然合口量阔狭切断却将此草于墨
点上平折两头尽处量穴灸时随年多灸一壮(如年三十灸三十一也)累效(资生)○此法与上法略
同(类聚)
取四花穴法治病同患门令病患平身正立稍缩臂膊取蜡绳绕项向前平结喉骨后大杼骨俱墨
点记
向前双垂与鸠尾穴齐即切断却翻绳向后以绳原点大杼墨放结喉墨上结喉墨放大杼骨上从背脊
中双绳头贴肉垂下至绳头尽处以墨点记(不是灸穴)别取秆心令病患合口无得动喉横量齐两
吻
切断还于背上墨记处折中横量两头尽处点之(此是灸穴)又将循脊直量上下点之(此是灸穴)初
灸七壮累灸百壮迨疮愈病未愈根据前法复灸故云累灸百壮但当灸脊上两穴切宜少灸凡一次可灸
三五壮多灸则恐人 背灸此等穴亦要灸足三里以泻火气为妙(入门)○崔知悌四花穴法以稻秆
心量口缝切断以如此长裁纸四方当中剪小孔别用长稻秆踏脚下前取脚大指为止后取三曲 横
纹中为止断了却环在结喉下垂向背后看秆止处即以前小孔纸当中安分为四花盖灸纸四角也○
又一法先横量口吻取长短以所量草就背上三椎骨下直量至草尽处两头用笔点了再量中指长短
为准却将量中指草横直量两头用草圈四角其圈者是穴(不圈者不是穴)可灸七七壮止(资生)○
此灸法皆阳虚所宜华佗云风虚冷热惟有虚者不宜灸但方书云虚损劳瘵只宜早灸膏肓四花乃虚
损未成之际如瘦弱兼火虽灸亦只宜灸内关三里以散其痰火早年欲作阴火不宜灸(入门)
骑竹马灸法 专主痈疽发背肿毒疮疡瘰 疠风诸风一切无名肿毒灸之疏泻心火先从男左女右臂腕中横
用薄篾条量至中指齐肉尽处切断却令病患脱去上下衣裳以大竹杠一条跨定两人徐徐杠起足要
离地五寸许两旁更以两人扶定勿令动摇不稳却以前量竹篾贴定
记(不是穴也)却比病患同身寸篾二寸平折放前点墨上自中横量两旁各开一寸方是灸穴可灸三
奇穴并非出自《灵枢》和《内经》，因此被称为奇穴。
取膏肓穴的取穴方法：此穴主治阳气虚弱、各种虚损痼冷、梦遗、上气咳逆、噎膈、狂惑、健忘误事等病症，尤其擅长治疗痰饮类疾病。需要让患者平坐在床上，弯曲膝盖至胸部高度，用双手抱住双脚膝盖，使脾骨（肩胛骨）张开并离开背部，不要让其动摇。用手指按压第四胸椎微下一分、第五胸椎微上二分的位置，点墨标记。然后用墨线水平画线，相距约二寸，位于第四肋骨与第三肋骨之间的间隙，在脾骨的里侧、肋骨间的空处，宽度容纳一根手指为宜。按摩脊柱两侧的肌肉表面，筋骨的空隙处，按压时如果患者感觉牵引到胸户内部且手指发麻，即为真穴。艾灸后若感觉气机壅盛，可以加灸气海穴和足三里穴以泻火实下。艾灸后使人阳气偏盛，应当斟酌情况自我保养，不可纵欲。（出自《入门》）○另一种方法：让病患双手交叉搭在两膊上，这样脾骨就会张开，穴位立刻显现。用手揣摸第四椎骨下两旁各开三寸，在第四肋骨与第三肋骨之间，按压时有酸胀感即是穴位。施灸时手要搭在两膊上，不可放下，灸至一百壮为佳。（出自《回春》）
取患门穴的方法：主治少年阴阳俱虚、面色黄、身体瘦弱、饮食无味、咳嗽、遗精、潮热盗汗、心胸背部牵引疼痛、五劳七伤等症状，无不有效。先用一条蜡绳，从病患男左女右脚板的大脚趾头齐量起，向后顺着脚板当心贴肉直上，至膝腕大横纹处截断。其次让病患解开头发，均匀分成两边，平身正立，取前面的绳子从鼻端齐引，绳子向上沿着头缝下脑后贴肉，顺着脊骨垂下，至绳子尽头处以墨点记（这不是灸穴）。另取秆心放在口上，两头至嘴角，却钩起秆心中心至鼻根，形状像“人”字，齐两嘴角截断。将此秆展直放在先前的墨点处，取中间横向测量，不要高于或低于秆心两头尽头处，以墨记之，这是灸穴。初灸七壮，累计灸至一百壮。起初只灸这两个穴位。（出自《入门》）○另一种方法治疗虚劳羸瘦：让病患平身正直，用草从男左女右自脚中指尖量过脚心下向上至曲池大纹处切断。却将此草自鼻尖量从头正中（必须分开头顶头发贴肉量）至脊，以草尽头处用墨点记。另取一条草，让病患自然合口量阔狭切断，却将此草在墨点上平折，两头尽头处量穴。施灸时随年龄多灸一壮（如三十岁灸三十一壮），累计有效。（出自《资生》）○此法与上法大致相同。（出自《类聚》）
取四花穴的方法：治病同患门。让病患平身正立，稍缩臂膊，取蜡绳绕项向前平结喉骨后大杼骨俱墨点记。向前双垂与鸠尾穴齐即切断。却翻绳向后，以绳原点大杼墨放结喉墨上，结喉墨放大杼骨上，从背脊中双绳头贴肉垂下至绳头尽头处以墨点记（不是灸穴）。另取秆心令病患合口不得动喉，横量齐两吻切断，还于背上墨记处折中横量，两头尽头处点之（这是灸穴）。又将循脊直量上下点之（这是灸穴）。初灸七壮，累计百壮。等到疮愈病未愈，根据前法复灸，故云累灸百壮。但当灸脊上两穴，切宜少灸。凡一次可灸三五壮，多灸则恐人... 灸此等穴也要灸足三里以泻火气为妙。（出自《入门》）○崔知悌四花穴法：以稻秆心量口缝切断，以如此长裁纸四方当中剪小孔，别用长稻秆踏脚下前取脚大拇指为止，后取三曲横纹中为止断了，却环在结喉下垂向背后看秆止处，即以前小孔纸当中安分为四花盖灸纸四角也。○又一法：先横量口吻取长短，以所量草就背上三椎骨下直量至草尽处，两头用笔点了，再量中指长短为准，却将量中指草横直量两头，用草圈四角，其圈者是穴（不圈者不是穴），可灸七七壮止。（出自《资生》）○此灸法皆阳虚所宜。华佗云风虚冷热惟有虚者不宜灸，但方书云虚损劳瘵只宜早灸膏肓四花，乃虚损未成之际。如瘦弱兼火，虽灸亦只宜灸内关三里以散其痰火。早年欲作阴火不宜灸。（出自《入门》）
骑竹马灸法：专主痈疽发背肿毒、疮疡、瘰疬、风诸风一切无名肿毒，灸之疏泻心火。先从男左女右臂腕中横，用薄篾条量至中指齐肉尽处切断。却令病患脱去上下衣裳，以大竹杠一条跨定，两人徐徐杠起，足要离地五寸许，两旁更以两人扶定勿令动摇不稳。却以前量竹篾贴定记（不是穴也），却比病患同身寸篾二寸平折放前点墨上，自中横量两旁各开一寸，方是灸穴，可灸三...
Jixue (Extraordinary Acupoints) are not derived from the *Ling Shu* (Spiritual Pivot) and *Nei Jing* (Inner Canon), hence they are called Jixue.
**Method for locating Gaohuang (BL-43, Bladder 43):** This point treats various conditions caused by deficiency of Yang Qi, chronic cold due to deficiency, nocturnal emission, rebellious Qi with cough and counterflow, dysphagia, mania, confusion, forgetfulness, and errors in judgment. It is particularly effective for phlegm-fluid retention diseases. The patient should be instructed to sit flat on a bed, bend the knees up to the chest level, wrap both hands around the knees to open the scapulae away from the back, ensuring no movement. Press slightly below the fourth thoracic vertebra and slightly above the fifth thoracic vertebra with a finger, mark with ink. Draw a horizontal line with ink, approximately two Cun apart, located between the third and fourth ribs, inside the scapula, in the intercostal space, wide enough to accommodate one finger. Massage the surface of the muscles along the spine; in the gaps between bones and tendons, if the patient feels traction into the chest and numbness in the fingers, it is the true acupoint. After moxibustion, if there is a sensation of Qi stagnation, Moxibustion Qihai (CV-6, Conception Vessel 6) and Zusanli (ST-36, Stomach 36) can be performed to drain fire and strengthen the lower body. Moxibustion increases Yang Qi; therefore, one must exercise moderation and self-care, avoiding excessive sexual activity. (From *Rumen*) ○ Another method: Instruct the patient to cross their hands over their shoulders; this opens the scapulae, making the acupoint immediately visible. Palpate three Cun lateral to both sides below the fourth thoracic vertebra, between the third and fourth ribs; soreness upon pressure indicates the acupoint. During moxibustion, keep hands crossed over shoulders and do not lower them. One hundred Zhu of moxa cones are ideal. (From *Huichun*)
**Method for locating Hunmen:** This treats young patients with dual deficiency of Yin and Yang, sallow complexion, emaciation, loss of taste, cough, nocturnal emission, tidal fever, night sweats, pulling pain in the chest, heart, and back, as well as Five Exhaustions and Seven Injuries. First, take a wax cord, starting from the big toe of the patient's left foot (for males) or right foot (for females), measure along the sole straight up to the large transverse crease at the knee/wrist junction, and cut. Next, have the patient untie their hair, divide it evenly to both sides, stand upright, and take the front part of the cord from the tip of the nose, guide it upwards along the midline of the head, down behind the neck against the skin, following the spine downwards. Mark the end of the cord with ink (this is not the moxa point). Take a rice straw, place it across the mouth from corner to corner, hook the center of the straw up to the root of the nose, forming a "human" shape, and cut at the corners of the mouth. Straighten this straw and place it horizontally on the previously marked ink spot, measuring from the center to the ends without being higher or lower than the straw's ends. Mark with ink; this is the moxa point. Begin with seven Zhu, accumulating up to one hundred Zhu. Initially, only these two points are moxa-ed. (From *Rumen*) ○ Another method for treating consumptive disease with emaciation: Have the patient stand upright. Use a grass stalk to measure from the middle fingertip of the left foot (male) or right foot (female), across the sole, upwards to the popliteal crease, and cut. Then, measure from the tip of the nose, along the midline of the head (parting the hair to touch the skin) down to the spine, marking the end with ink. Take another grass stalk, have the patient close their mouth naturally to measure width, and cut. Place this grass stalk horizontally on the ink mark, fold it, and measure to the ends to locate the acupoint. For moxibustion, add one Zhu per year of age (e.g., 31 Zhu for a 30-year-old). Accumulated efficacy is good. (From *Zisheng*) ○ This method is similar to the previous one. (From *Leiju*)
**Method for locating Sihua Points:** The indications are the same as Hunmen. Have the patient stand upright, slightly retract the arms. Take a wax cord, wrap around the neck forward to the posterior aspect of the Adam's apple and Dazhu (BL-11, Bladder 11), marking both spots with ink. Hang the cord forward double until it aligns with Jiwei (CV-15, Conception Vessel 15), then cut. Flip the cord backward, placing the original Dazhu ink mark above the Adam's apple ink mark, and the Adam's apple ink mark above the Dazhu bone mark. From the midline of the back, let the double ends of the cord hang down against the skin to the ends, marking with ink (not the moxa point). Take a rice straw, have the patient close their mouth without moving the throat, measure horizontally across the mouth corners, and cut. Fold this straw at the back ink mark, measure horizontally to the ends, and mark (this is the moxa point). Also measure vertically along the spine and mark (this is the moxa point). Begin with seven Zhu, accumulating to one hundred Zhu. If the sore heals but the disease persists, repeat the previous method, hence "accumulating one hundred Zhu." However, only moxa the two points on the spine, and avoid excessive moxibustion. Three to five Zhu per session is appropriate; too much may cause harm. When moxa-ing these points, it is also advisable to moxa Zusanli (ST-36) to drain fire. (From *Rumen*) ○ Cui Zhiti's Sihua method: Measure the mouth gap with a rice straw, cut. Cut a square paper of the same length, make a small hole in the center. Take a long rice straw, step on it with the foot, measuring from the big toe to the third transverse crease, cut, and ring it around the Adam's apple. Let it hang down the back to see where the straw ends. Place the small-hole paper in the middle, dividing it into four flowers to cover the four corners for moxa application. ○ Another method: First, measure the mouth horizontally for length. Use this grass to measure vertically down from below the third thoracic vertebra on the back to the end of the grass, marking both ends with a pen. Then, use the length of the middle finger as a standard. Measure horizontally and vertically with the finger-length grass, marking the four corners with a grass loop. The points within the loop are the acupoints (those outside are not). Moxa up to 49 Zhu. (From *Zisheng*) ○ These moxa methods are suitable for Yang deficiency. Hua Tuo stated that for wind-cold-heat deficiency, those with pure deficiency should not be moxa-ed. However, medical texts state that for consumption and tuberculosis, early moxa-gaohuang and sihua is recommended when deficiency has not yet become severe. For those who are thin and weak with fire, even if moxa-ed, only Neiguan (PC-6, Pericardium 6) and Zusanli (ST-36) should be used to dissipate phlegm-fire. Early onset of Yin fire is not suitable for moxibustion. (From *Rumen*)
**Qizhuma (Riding Bamboo Horse) Moxibustion Method:** Specifically indicated for carbuncles, back sores, swelling, ulcers, scrofula, wind disorders, and all unnameable swellings. Moxibustion here drains Heart Fire. Start by measuring horizontally across the wrist of the male left or female right arm using a thin bamboo strip to the fleshy end of the middle finger, and cut. Have the patient remove upper and lower garments. Straddle a large bamboo pole, lifted slowly by two people, so the feet are about five Cun off the ground. Two other people should hold the sides to prevent shaking. Align the previously measured bamboo strip against the mark (not an acupoint). Compare this with the patient's own-body Cun bamboo strip, fold it in half (two Cun), and place it on the previous ink mark. Measure horizontally from the center, one Cun to each side; these are the moxa points. Moxa three...