共十九穴
少泽在手小指外侧去爪甲角如韭叶针一分留二呼灸一壮
主治 疟寒热汗不出喉痹舌强心烦咳嗽螈 臂痛颈项痛不可顾目生翳及疗妇人无乳
先泻后补
○耳聋不得眠针小指外侧端近甲入一分半补之(千金)治妇人乳肿(玉龙赋)兼肝俞可治攀睛(
百证赋)除心下寒(灵光赋)凡国中风卒暴昏沉痰涎壅盛不省人事急以三棱针针少商商阳中冲
少冲及此穴使气血流通乃起死回生急救之妙穴
前谷在手小指外侧第二节纹头针一分留三呼灸三壮
主治热病汗不出 疟癫疾耳鸣喉痹颈项颊肿引耳后咳嗽目翳鼻塞吐衄臂痛不得举妇人
产后无乳
后溪在手小指外侧第三节纹头针一分留二呼灸一壮一云三壮
主治 疟寒热目翳鼻衄耳聋胸满项强癫痫臂肘挛急五指尽痛○治项强不得回顾脾寒肘疼
灸七
壮(神农经)专治时疫 疟(玉龙赋)专治督脉病癫狂(拦江赋)兼环跳治腿痛又偕劳宫可治消疸
又同阴 治盗汗之多出(百证赋)治头顶痛立安(通玄赋)兼列缺治胸项有痛(千金)一传早食午
吐午食晚吐灸此左右二穴九壮立愈
腕骨在手掌后横纹头针二分留三呼灸三壮
主治热病汗不出胁下痛不得息颈项肿寒热耳鸣目出冷泪生翳狂惕偏枯臂肘不得屈伸疟疾
烦闷
头痛惊风螈 五指制挛凡心与小肠火盛者当泻此浑身热盛先补后泻肩背冷痛先泻后补○又兼
中脘治脾虚黄胆(玉龙赋)腕骨祛黄(通玄赋)
阳谷去腕骨一寸二分踝骨下微后些针二分留三呼灸三壮
主治癫疾发狂妄言左右顾热病汗不出胁痛项肿寒热耳聋耳鸣齿痛臂不举小儿螈 舌强○
兼侠溪治颔肿口噤
养老去阳谷一寸二分行向外针三分灸三壮
主治肩臂酸痛肩欲折臂如拔手不能上下目视不明○兼天柱治目KT KT (百证赋)疗腰重痛不
可转侧起坐艰难及筋挛脚痹不可屈伸
支正去养老一寸七分针三分留七呼灸三壮
主治五劳癫狂惊风寒热颔肿项强头痛目眩风虚惊恐悲忧腰背酸四肢乏弱肘臂不能屈伸手
指痛不能握○兼飞阳可治目眩(百证赋)
小海在肘后横去肘寸半针二分留七呼灸五壮七壮
主治肘臂肩 颈项痛寒热齿根肿风眩疡肿小腹痛五痫螈
肩贞在直巨骨下相去六寸去脊横开八寸少下直腋缝针五分灸三壮
主治伤寒寒热颔肿耳鸣耳聋缺盆肩中热痛风痹手足不举
俞在肩贞上一寸外开八分针八分灸三壮
主治臂酸无力肩痛引胛寒热气肿酸痛
天宗在肩贞上一寸七分横往内开一寸针五分留六呼灸三壮
主治肩臂酸疼肘外后廉痛颊颔肿
秉风在 俞上直对相去一寸五分针五分灸三壮
主治肩痛不可举
曲垣在下距天宗一寸五分上距肩井三寸少在二穴之中微向外些针五分灸三壮甲乙经日十
壮
主治肩臂热痛拘急周痹
肩外 在横直陶道四寸七分微高些针六分灸三壮
主治肩脾痛发寒热引项挛急周痹寒至肘
肩中 在肩外 上五分针三分留七呼灸十壮甲乙经作三壮
主治咳嗽上气唾血寒热目视不明
天窗在直耳下二寸针三分灸三壮甲乙经作针六分
主治颈瘿肿痛肩胛引项不得回顾颊肿齿噤耳聋喉痛暴喑○狂邪鬼语灸九壮瘾疹灸七壮(
千金)
天容在颊车向后二寸大些针一分灸三壮
主治瘿气颈痈不可回顾不能言齿噤耳鸣耳聋喉痹咽中如梗寒热胸满呕逆吐沫
颧 直瞳子 二寸少在颧骨下针二分禁灸
主治口 面赤目黄眼 不止 肿齿痛○兼大迎治目眩妙(百证赋)
听宫耳前肉峰内面针三分灸三壮
主治失音癫疾心腹满耳内蝉鸣耳聋○兼脾俞能祛心下之悲凄(百证赋)
共十九穴。
少泽穴位于手小指外侧，距离爪甲角如韭菜叶宽度处。针刺一分深，留针两个呼吸的时间；艾灸一壮。
主治：疟疾引起的寒热往来、无汗、喉痹、舌体僵硬、心烦、咳嗽、抽搐、手臂疼痛、颈项部疼痛且头部不能转动、眼睛生翳膜，以及治疗妇女乳汁不通。
操作原则：先泻后补。
○ 对于耳聋、失眠，针刺小指外侧端，靠近指甲入针一分半，采用补法（出自《千金方》）。治疗妇女乳房肿胀（出自《玉龙赋》）。兼配肝俞穴可治疗攀睛（即胬肉攀睛）（出自《百证赋》）。清除心下寒冷感（出自《灵光赋》）。凡是中风卒然昏倒、神志不清、痰涎壅盛者，紧急时用三棱针针刺少商、商阳、中冲、少冲及本穴，使气血流通，这是起死回生的急救妙穴。
前谷穴位于手小指外侧，第二节横纹头处。针刺一分深，留针三个呼吸的时间；艾灸三壮。
主治：热病无汗、疟疾、癫疾、耳鸣、喉痹、颈项颊部肿胀牵引耳后、咳嗽、眼睛生翳膜、鼻塞、吐血鼻衄、手臂疼痛不能抬举、妇女产后无乳。
后溪穴位于手小指外侧，第三节横纹头处。针刺一分深，留针两个呼吸的时间；艾灸一壮，另一种说法是灸三壮。
主治：疟疾寒热、眼睛生翳膜、鼻衄、耳聋、胸满、项强、癫痫、手臂肘部拘挛急痛、五指尽痛。○ 治疗项强不能回顾，脾寒引起的肘疼，灸七壮（出自《神农经》）。专门治疗时行疫病和疟疾（出自《玉龙赋》）。专门治疗督脉疾病引起的癫狂（出自《拦江赋》）。兼配环跳穴治疗腿痛；又配合劳宫穴可治疗黄疸；又同阴郄穴配合可治疗盗汗过多（出自《百证赋》）。治疗头顶痛能立即缓解（出自《通玄指要赋》）。兼配列缺穴治疗胸项疼痛（出自《千金方》）。如果早晨吃饭中午呕吐，中午吃饭晚上呕吐，灸此左右两穴各九壮，立即可愈。
腕骨穴在手掌后横纹头处。针刺二分深，留针三个呼吸的时间；艾灸三壮。
主治：热病无汗、胁下疼痛导致呼吸不畅、颈项肿胀、寒热、耳鸣、眼睛流出冷泪、生翳膜、惊恐不安、偏枯、手臂肘部不能屈伸、疟疾、烦闷、头痛、惊风、抽搐、五指拘挛。凡是心和小肠火气旺盛的人应当泻此穴；浑身热盛者先补后泻；肩背冷痛者先泻后补。○ 又兼配中脘穴治疗脾虚导致的黄疸（出自《玉龙赋》）。腕骨穴可祛黄（出自《通玄指要赋》）。
阳谷穴距离腕骨穴一寸二分，在踝骨下方稍靠后的位置。针刺二分深，留针三个呼吸的时间；艾灸三壮。
主治：癫疾、发作狂妄言、左右顾盼、热病无汗、胁痛、项肿、寒热、耳聋、耳鸣、齿痛、手臂不能抬举、小儿抽搐、舌体僵硬。○ 兼配侠溪穴治疗下颌肿胀、口噤不开。
养老穴距离阳谷穴一寸二分，针尖向外斜刺三分，艾灸三壮。
主治：肩臂酸痛、肩部感觉像要折断、手臂像被拔除般无力、手不能上下活动、视物不明。○ 兼配天柱穴治疗目视不明（出自《百证赋》）。治疗腰部沉重疼痛、不能转侧、起坐艰难以及筋脉拘挛、脚部麻木不能屈伸。
支正穴距离养老穴一寸七分。针刺三分深，留七个呼吸的时间；艾灸三壮。
主治：五劳、癫狂、惊风、寒热、下颌肿胀、项强、头痛、目眩、风虚惊恐、悲忧、腰背酸软、四肢乏力、肘臂不能屈伸、手指疼痛不能握持。○ 兼配飞阳穴可治疗目眩（出自《百证赋》）。
小海穴在肘后横纹尽头，距离肘尖寸半处。针刺二分深，留七个呼吸的时间；艾灸五壮或七壮。
主治：肘臂肩部、颈项疼痛、寒热、齿根肿胀、风眩、疡肿、小腹痛、五种痫证、抽搐。
肩贞穴在巨骨穴直下，距离脊柱横向开八寸，略低于腋缝。针刺五分深，艾灸三壮。
主治：伤寒寒热、下颌肿胀、耳鸣、耳聋、缺盆部疼痛、肩中热、痛风痹症、手足不能抬举。
臑俞穴在肩贞穴上一寸，向外开八分。针刺八分深，艾灸三壮。
主治：手臂酸软无力、肩痛牵引肩胛部、寒热气肿、酸痛。
天宗穴在肩贞穴上一寸七分，横向向内开一寸。针刺五分深，留六个呼吸的时间；艾灸三壮。
主治：肩臂酸痛、肘部外侧后方疼痛、颊颌肿胀。
秉风穴在臑俞穴直上，距离一寸五分。针刺五分深，艾灸三壮。
主治：肩部疼痛不能抬举。
曲垣穴在下，距离天宗穴一寸五分，向上距离肩井穴三寸，位于这两穴之间稍微靠外的位置。针刺五分深，艾灸三壮，《甲乙经》记载灸十壮。
主治：肩臂热痛、拘急、周身痹症。
肩外俞穴在横直线上，距离陶道穴四寸七分，位置稍高。针刺六分深，艾灸三壮。
主治：肩脾部疼痛、发寒热、牵引项部拘急、周身痹症、寒气至肘部。
肩中俞穴在肩外俞穴上方五分。针刺三分深，留七个呼吸的时间；艾灸十壮，《甲乙经》作三壮。
主治：咳嗽气逆、唾血、寒热、视物不明。
天窗穴在耳朵直下二寸处。针刺三分深，艾灸三壮，《甲乙经》记载针刺六分。
主治：颈部瘿瘤肿痛、肩胛牵引项部不能回顾、颊肿、齿噤、耳聋、喉痛、暴喑。○ 狂邪鬼语灸九壮，瘾疹灸七壮（出自《千金方》）。
天容穴在颊车穴向后二寸稍大的位置。针刺一分深，艾灸三壮。
主治：瘿气、颈部痈肿、不能回顾、不能说话、齿噤、耳鸣、耳聋、喉痹、咽喉中有梗塞感、寒热、胸满、呕逆、吐沫。
颧髎穴在瞳孔直下二寸，略微在颧骨下方。针刺二分深，禁止艾灸。
主治：口眼歪斜、面赤、目黄、眼睑跳动不止、浮肿、齿痛。○ 兼配大迎穴治疗目眩效果奇妙（出自《百证赋》）。
听宫穴在耳前肉峰内侧面。针刺三分深，艾灸三壮。
主治：失音、癫疾、心腹满胀、耳内蝉鸣、耳聋。○ 兼配脾俞穴能祛除心下的悲凄感（出自《百证赋》）。
There are nineteen acupoints in total.
Shaose (Small Intestine 1, SI1) is located on the ulnar side of the little finger, at a distance from the corner of the nail blade equivalent to the width of a leek leaf. Needle depth: 1 fen; retain needle for two breaths; moxibustion: 1 zhu.
Indications: Malaria with alternating chills and fever, anhidrosis, throat obstruction (Hou Bi), tongue stiffness, irritability, cough, convulsions, arm pain, neck and nape pain with inability to turn the head, eye nebula (cataract/opacification), and treatment for women with insufficient lactation.
Manipulation principle: Reinforce after reducing.
○ For deafness and insomnia, needle the lateral end of the little finger near the nail, depth 1.5 fen, using reinforcing method (from *Qianjin Fang*). Treats breast swelling in women (from *Yulong Fu*). Combined with Ganshu (BL18), it treats pterygium (Banzheng Fu). Clears cold below the heart (from *Lingguang Fu*). In cases of sudden stroke with coma, phlegm-dampness obstructing the orifices, and loss of consciousness, urgently needle Shaoshang (LU11), Shangyang (LI11), Zhongchong (PC9), Shaochong (HT9), and this point with a three-edged needle to promote the flow of Qi and blood; this is a miraculous emergency point for reviving the dying.
Qiangu (Small Intestine 2, SI2) is located at the proximal end of the transverse crease on the ulnar side of the little finger, at the second interphalangeal joint. Needle depth: 1 fen; retain needle for three breaths; moxibustion: 3 zhu.
Indications: Febrile diseases with anhidrosis, malaria, epilepsy, tinnitus, throat obstruction, swelling of the neck, nape, and cheek radiating to behind the ear, cough, eye nebula, nasal congestion, hematemesis and epistaxis, arm pain with inability to lift, and postpartum insufficiency of lactation in women.
Houxi (Small Intestine 3, SI3) is located at the distal end of the transverse crease on the ulnar side of the little finger, at the third interphalangeal joint. Needle depth: 1 fen; retain needle for two breaths; moxibustion: 1 zhu (another source says 3 zhu).
Indications: Malaria with chills and fever, eye nebula, epistaxis, deafness, chest fullness, stiff neck, epilepsy, spasm and acute pain of the arm and elbow, pain in all five fingers. ○ Treats stiff neck with inability to look back, and elbow pain due to Spleen-cold; moxibustion 7 zhu (from *Shennong Jing*). Specifically treats epidemic febrile diseases and malaria (from *Yulong Fu*). Specifically treats disorders of the Du Mai causing mania and epilepsy (from *Lanjiang Fu*). Combined with Huantiao (GB30), it treats leg pain; combined with Laogong (PC8), it treats jaundice; combined with Yinxi (HT6), it treats excessive night sweating (from *Bai Zheng Fu*). Treats vertex headache with immediate relief (from *Tong Xuan Zhi Yao Fu*). Combined with Lieque (LU7), it treats pain in the chest and nape (from *Qianjin Fang*). For vomiting food eaten in the morning by noon, or food eaten at noon by evening, moxibustion on both left and right points, 9 zhu each, results in immediate cure.
Wangu (Small Intestine 4, SI4) is located at the radial end of the transverse crease of the palm. Needle depth: 2 fen; retain needle for three breaths; moxibustion: 3 zhu.
Indications: Febrile diseases with anhidrosis, hypochondriac pain causing dyspnea, swelling of the neck and nape, chills and fever, tinnitus, cold tears from the eyes, eye nebula, fright and palpitations, hemiplegia, inability to flex and extend the arm and elbow, malaria, vexation and stuffiness, headache, infantile convulsions, spasms, and contracture of the five fingers. For excess fire in the Heart and Small Intestine, reduce this point; for general body heat excess, reinforce first then reduce; for cold pain in the shoulder and back, reduce first then reinforce. ○ Combined with Zhongwan (CV12), it treats spleen-deficiency jaundice (from *Yulong Fu*). Wangu dispels yellow color (from *Tong Xuan Zhi Yao Fu*).
Yanggu (Small Intestine 5, SI5) is located 1.2 cun distal to Wangu, slightly posterior to the styloid process of the ulna. Needle depth: 2 fen; retain needle for three breaths; moxibustion: 3 zhu.
Indications: Epilepsy, manic behavior with wild speech, looking around, febrile diseases with anhidrosis, hypochondriac pain, neck swelling, chills and fever, deafness, tinnitus, toothache, inability to raise the arm, infantile convulsions, and tongue stiffness. ○ Combined with Xiaxi (GB41), it treats submandibular swelling and trismus.
Yanglao (Small Intestine 6, SI6) is located 1.2 cun proximal to Yanggu, needling obliquely outward at a depth of 3 fen; moxibustion: 3 zhu.
Indications: Soreness and pain in the shoulder and arm, sensation of shoulder dislocation, arm weakness as if pulled out, inability to move hands up and down, blurred vision. ○ Combined with Tianzhu (BL10), it treats blurred vision (from *Bai Zheng Fu*). Treats heavy and painful waist with inability to turn, sit, or stand, and tendon contracture with foot numbness and inability to flex and extend.
Zhizheng (Small Intestine 7, SI7) is located 1.7 cun proximal to Yanglao. Needle depth: 3 fen; retain needle for seven breaths; moxibustion: 3 zhu.
Indications: Five Exhaustions, epilepsy, fright-wind, chills and fever, submandibular swelling, stiff neck, headache, vertigo, wind-deficiency with fright and anxiety, sadness and depression, soreness and weakness of the lower back and limbs, fatigue of the four limbs, inability to flex and extend the elbow and arm, finger pain with inability to grasp. ○ Combined with Feiyang (BL58), it treats vertigo (from *Bai Zheng Fu*).
Xiaohai (Small Intestine 8, SI8) is located at the posterior end of the transverse cubital crease, 1.5 cun from the tip of the elbow. Needle depth: 2 fen; retain needle for seven breaths; moxibustion: 5 or 7 zhu.
Indications: Pain in the elbow, arm, shoulder, and neck; chills and fever; swelling of the tooth roots; wind-induced vertigo; ulcerative swellings; lower abdominal pain; five types of epilepsy; convulsions.
Jianzhen (Small Intestine 9, SI9) is located directly below Jugu, 6 cun from the midline, opening laterally 8 cun from the spine, slightly below the axillary fold. Needle depth: 5 fen; moxibustion: 3 zhu.
Indications: Cold damage with chills and fever, submandibular swelling, tinnitus, deafness, pain in the supraclavicular fossa, heat in the shoulder, wind-damp bi syndrome, inability to raise hands and feet.
Naoshu (Small Intestine 10, SI10) is located 1 cun above Jianzhen, opening laterally 0.8 cun. Needle depth: 8 fen; moxibustion: 3 zhu.
Indications: Arm soreness and weakness, shoulder pain radiating to the scapula, cold-heat qi swelling, soreness and pain.
Tianzong (Small Intestine 11, SI11) is located 1.7 cun above Jianzhen, opening medially 1 cun horizontally. Needle depth: 5 fen; retain needle for six breaths; moxibustion: 3 zhu.
Indications: Soreness and pain in the shoulder and arm, pain at the lateral posterior aspect of the elbow, swelling of the cheek and mandible.
Bingfeng (Small Intestine 12, SI12) is located directly above Naoshu, 1.5 cun away. Needle depth: 5 fen; moxibustion: 3 zhu.
Indications: Shoulder pain with inability to lift.
Qu Yuan (Small Intestine 13, SI13) is located inferiorly, 1.5 cun below Tianzong and 3 cun above Jianjing, situated between these two points slightly more laterally. Needle depth: 5 fen; moxibustion: 3 zhu (*Jia Yi Jing* states 10 zhu).
Indications: Heat pain in the shoulder and arm, spasm and stiffness, generalized bi syndrome.
Jianwaishu (Small Intestine 14, SI14) is located on the horizontal line, 4.7 cun from Daodao, slightly higher. Needle depth: 6 fen; moxibustion: 3 zhu.
Indications: Scapular pain, chills and fever,牵引 (radiating) stiffness of the neck, generalized bi syndrome, cold extending to the elbow.
Jianzhongshu (Small Intestine 15, SI15) is located 0.5 cun above Jianwaishu. Needle depth: 3 fen; retain needle for seven breaths; moxibustion: 10 zhu (*Jia Yi Jing* states 3 zhu).
Indications: Cough with rebellious Qi, hemoptysis, chills and fever, blurred vision.
Tianchuang (Small Intestine 16, SI16) is located 2 cun directly below the ear. Needle depth: 3 fen; moxibustion: 3 zhu (*Jia Yi Jing* states needle depth 6 fen).
Indications: Neck goiter with swelling and pain, shoulder blade pain radiating to the neck with inability to look back, cheek swelling, trismus, deafness, sore throat, sudden aphonia. ○ For manic delusions or "ghost speech," moxibustion 9 zhu; for urticaria, moxibustion 7 zhu (from *Qianjin Fang*).
Tianrong (Small Intestine 17, SI17) is located 2 cun posterior to Jiache, slightly larger area. Needle depth: 1 fen; moxibustion: 3 zhu.
Indications: Goiter, neck abscess, inability to look back, inability to speak, trismus, tinnitus, deafness, throat obstruction, sensation of a lump in the throat, chills and fever, chest fullness, vomiting and regurgitation of saliva.
Quanliao (Small Intestine 18, SI18) is located 2 cun directly below the pupil, slightly below the zygomatic bone. Needle depth: 2 fen; moxibustion is prohibited.
Indications: Facial deviation, facial redness, yellow eyes, continuous eyelid twitching, edema, toothache. ○ Combined with Daying (ST5), it effectively treats vertigo (from *Bai Zheng Fu*).
Tinggong (Small Intestine 19, SI19) is located on the medial surface within the anterior eminence of the ear. Needle depth: 3 fen; moxibustion: 3 zhu.
Indications: Aphonia, epilepsy, abdominal fullness, cicada-like ringing in the ears, deafness. ○ Combined with Pishu (BL20), it dispels sorrow and desolation from below the heart (from *Bai Zheng Fu*).