共十一穴
中府在周荣上二寸少外开三分去中行六寸针三分留五呼灸三壮五壮
主治肺急胸满喘逆善噎食不下肺胆寒热咳呕脓血肺风面肿汗出肩息背痛涕浊喉痹少气不
得卧
飞尸遁注瘿瘤○此穴主泻胸中之热其治多与大杼缺盆风府同○身体烦热针中府上气咳逆短气
气满食不下灸五十壮(千金)同意舍能治胸满哽噎(百证赋)
云门在巨骨穴下四寸微向内横气户二寸璇玑旁六寸大些针三分灸五壮针太深令人逆息(
甲乙)灸五十壮(千金)
主治伤寒四肢热不已咳逆短气上冲心胸胁肋烦满彻痛喉痹瘿气臂不得举○此穴主泻四肢
之热其治与肩 委中腰俞大同○病瘿上气胸满灸百壮(千金)
天府距腋下三寸在臂上前廉直对尺泽相距七寸半针四分留三呼禁灸灸之令人气逆
主治暴痹内逆肝邪相搏卒中恶风邪气血溢口鼻飞尸鬼注恶语悲泣善忘喘息不得安卧 疟
寒热
目瘿气○身重嗜卧不自觉灸五十壮针三分补之病瘿恶气灸五十壮(千金)兼合谷可追鼻中
衄血(百证赋)
侠白在尺泽上五寸大些针四分留三呼灸五壮
主治心痛气短干呕烦满
尺泽在肘中约纹上屈肘横纹筋骨罅中动脉应手厥阴前直寸口针三分留三呼灸三壮五壮甄
权云不宜灸
主治呕吐上气喉痹鼓颔心烦身痛不得汗舌干咳唾脓血心痛气短肺积息贲 疟汗出中风肩
背痛
洒淅寒热风痹肘挛四肢肿痛不得举胁痛腹胀小便数溺色变遗失无度面白善嚏悲愁不乐及小
儿
慢惊风可灸一壮○邪病四肢重痛诸杂候尺泽主之一名鬼堂呕吐上气灸三壮七壮气短不语灸百
壮
(千金)理筋急兼曲池疗肘臂挛痛(玉龙赋)吐血定喘须补此穴(灵光赋)治五般肘痛又须针清冷渊以
收功(席弘赋)
孔最在腕上七寸尺泽下三寸半针三分留三呼灸五壮
主治热病汗不出灸三壮即汗出及咳逆肘臂痛屈伸难吐血失音头疼咽痛
列缺在腕后一寸五分行向外针二分留三呼灸三壮慎酒面生冷等物
主治偏风口眼 斜手肘痛无力半身不随口噤不开 疟寒热烦躁咳嗽喉痹呕沫纵唇健忘惊
痫善
笑妄言妄见面目四肢痈肿小便热痛实则肩背暴肿汗出虚则肩背寒栗少气不足以息四肢厥逆螈
尸
厥若患偏风灸至百壮若患腕劳灸七七壮甚妙○男子阴中疼痛尿血精出灸五十壮(千金)兼太渊
治咳嗽风痰(玉龙赋)头部痛须寻之痰涎壅塞咽干宜此(拦江赋)气刺两乳求太渊未应须泻此穴
偏正
头疼求此又须重泻太渊无不应(席弘赋)堪治咳嗽寒痰(通玄赋)头项须寻列缺(四总穴)后溪并
列缺治
胸项有痛(千金)善疗偏头患遍身风痹麻痰涎频上壅口噤不开牙若能明补泻应手疾如拿(马丹阳)
经渠在腕后五分居寸脉上针三分留三呼禁灸灸则伤人神明
主治 疟寒热胸背拘急膨胀喉痹咳逆上气数欠伤寒热病汗不出心痛呕吐○兼大都治热病
汗不出(百证赋)
太渊在寸口前横纹上与经渠甚近针二分留二呼灸三壮
主治胸痹气逆咳嗽呕哕饮水肺胀喘息不休噫气咳血心痛咽干烦躁狂言不得卧目痛生
翳赤筋口 缺盆痛肩背痛引臂膊溺色变遗失无度○治牙疼手
腕无力疼痛可灸七壮(神农经)兼列缺治咳嗽风痰(玉龙赋)治气刺两乳求太渊未应之时针列缺偏正
头疼寻列缺重泻太渊无不应五般肘痛寻尺泽太渊针后却收功(席弘赋)
鱼际在太渊上一寸少大指本节后内侧陷中本者根也乃掌内肉中骨节非手指外节针二分留
三呼灸三壮
主治酒病身热恶风寒虚热舌上黄头痛咳哕伤寒汗不出痹走胸背痛不得息目眩烦心少气寒
栗喉
咽干燥呕血唾血心痹悲恐腹痛食不下乳痈肢满肘挛溺出及疟方欲寒针手足太阴阳明出血○兼
承山昆仑治转筋目眩(席玄赋)兼液门能治喉痛(百证赋)兼经渠通里可治汗不出者便得淋漓更
兼三间三里便得汗至遍身(一传)齿痛不能食饮左患灸左右患灸右男三女四
少商大指外侧去爪甲角如韭叶针一分留三呼五吸宜用三棱针刺微出血泄诸脏之热不宜灸
甲乙经云灸一壮一云三壮忌生冷
主治项肿喉痹烦心呕哕心下满汗出咳逆 疟振寒腹胀肠满雀目不明唇干唾沫引饮食不下
寒栗
鼓颔手挛指痛小儿乳蛾○唐刺史成君绰忽项肿如升喉闭水粒不下甄权以三棱针刺之微出血立
愈○此为十井穴凡国中风卒暴昏沉痰涎壅盛不省人事牙关紧闭药水不下急以三棱针刺此穴及
少冲中冲关冲少泽商阳使血气流行乃起死回生急救之妙穴(乾坤生意)男子 癖取少商(太乙
歌)兼曲泽治血虚口干(百证赋)专治指痛挛急(天星秘诀)
共十一个穴位。
中府穴位于周荣穴上方二寸,向外侧偏开三分,距身体正中线六寸。针刺深度三分,留针五呼的时间,艾灸三壮或五壮。
主治肺急、胸满、气喘逆上、容易噎食不下、肺胆寒热、咳嗽呕吐脓血、肺风面肿、汗出、肩息、背痛、鼻涕浊稠、喉痹、少气、不能平卧。
飞尸遁注(一种突发性疾病)、瘿瘤。○此穴主要泻除胸中之热,其治疗作用多与大杼、缺盆、风府等穴相同。○身体烦热者针刺中府;上气咳逆、短气、气满、食不下者灸五十壮(出自《千金方》)。同意舍认为能治胸满哽噎(出自《百证赋》)。
云门穴在巨骨穴下方四寸,微向内横,距气户穴二寸,璇玑穴旁开六寸稍大些。针刺深度三分,艾灸五壮。针刺过深会导致呼吸急促(出自《甲乙经》)。艾灸五十壮(出自《千金方》)。
主治伤寒四肢发热不止、咳逆短气、气上冲心胸胁肋烦满彻痛、喉痹、瘿气、手臂不能举起。○此穴主要泻除四肢之热,其治疗作用与肩髃、委中、腰俞大致相同。○患瘿病、上气、胸满者灸百壮(出自《千金方》)。
天府穴距离腋下三寸,在臂前部内侧缘,直对尺泽穴,相距七寸半。针刺深度四分,留针三呼。禁止艾灸,灸之会导致气逆。
主治暴痹内逆、肝邪相搏、卒中恶风邪、气血溢出口鼻、飞尸鬼注、恶语悲泣、善忘、喘息不得安卧、疟疾寒热、目瘿气。○身体沉重嗜睡不自觉者灸五十壮,针刺三分用补法。患瘿病恶气者灸五十壮(出自《千金方》)。配合合谷穴可止鼻衄(出自《百证赋》)。
侠白穴在尺泽穴上方五寸处稍大些。针刺深度四分,留针三呼,艾灸五壮。
主治心痛、气短、干呕、烦满。
尺泽穴在肘中屈肘横纹上,筋骨缝隙中间,动脉应手之处,位于厥阴心包经之前,直对寸口。针刺深度三分,留针三呼,艾灸三壮或五壮。甄权说不宜艾灸。
主治呕吐、上气、喉痹、鼓颔(牙齿打颤)、心烦、身痛、无汗、舌干、干咳、唾脓血、心痛、气短、肺积、息贲、疟疾、汗出、中风、肩背痛、洒淅恶寒、风痹、肘挛、四肢肿痛不能举起、胁痛、腹胀、小便频数、尿色改变、遗尿失禁、面白、善嚏、悲愁不乐及小儿慢惊风,可灸一壮。○邪病导致四肢重痛及其他杂症,尺泽主之。又名鬼堂。呕吐上气灸三壮或七壮;气短不语灸百壮(出自《千金方》)。理筋急配合曲池穴治疗肘臂挛痛(出自《玉龙赋》)。吐血定喘须补此穴(出自《灵光赋》)。治疗五种肘痛又须针刺清冷渊以收功(出自《席弘赋》)。
孔最穴在腕上七寸,尺泽穴下三寸半。针刺深度三分,留针三呼,艾灸五壮。
主治热病无汗,灸三壮即出汗;以及咳逆、肘臂痛、屈伸困难、吐血、失音、头疼、咽痛。
列缺穴在腕后一寸五分,行向外侧。针刺深度二分,留针三呼。艾灸后慎食酒、面、生冷等物。
主治偏风口眼歪斜、手肘痛无力、半身不遂、口噤不开、疟疾寒热、烦躁、咳嗽、喉痹、呕沫、纵唇、健忘、惊痫、善笑、妄言妄见、面目四肢痈肿、小便热痛。实证则肩背突然肿胀、汗出;虚证则肩背寒栗、少气不足以息、四肢厥逆、螈尸厥。若患偏风灸至百壮;若患腕劳灸七七壮,效果甚妙。○男子阴中疼痛、尿血、精出者灸五十壮(出自《千金方》)。配合太渊穴治疗咳嗽风痰(出自《玉龙赋》)。头部痛须寻此穴;痰涎壅塞、咽干宜用此穴(出自《拦江赋》)。气刺两乳求太渊未见效时须泻此穴;偏正头疼求此穴,又须重泻太渊,无不奏效(出自《席弘赋》)。堪治咳嗽寒痰(出自《通玄赋》)。头项须寻列缺(出自四总穴歌)。后溪并列缺治疗胸项有痛(出自《千金方》)。善疗偏头痛、遍身风痹、麻、痰涎频上壅、口噤不开、牙关紧闭。若能明晓补泻手法,应手疾如拿(出自马丹阳天星十二穴歌)。
经渠穴在腕后五寸,居寸脉之上。针刺深度三分,留针三呼。禁止艾灸,灸则损伤神明。
主治疟疾寒热、胸背拘急、膨胀、喉痹、咳逆上气、数欠(频繁呵欠)、伤寒热病无汗、心痛、呕吐。○配合大都穴治疗热病无汗(出自《百证赋》)。
太渊穴在寸口前横纹处,与经渠很近。针刺深度二分,留针二呼,艾灸三壮。
主治胸痹、气逆、咳嗽、呕哕、饮水、肺胀、喘息不休、噫气、咳血、心痛、咽干、烦躁、狂言、不得卧、目痛生翳、赤筋、口缺盆痛、肩背痛引臂膊、溺色改变、遗尿失禁。○治疗牙疼、手腕无力疼痛可灸七壮(出自《神农经》)。配合列缺穴治疗咳嗽风痰(出自《玉龙赋》)。治疗气刺两乳求太渊未见效时针刺列缺;偏正头疼寻列缺,重泻太渊无不奏效;五种肘痛寻尺泽,太渊针刺后却收功(出自《席弘赋》)。
鱼际穴在太渊穴上一寸,大拇指本节后内侧陷中。“本”即根,指掌内肉中的骨节,非手指外节。针刺深度二分,留针三呼,艾灸三壮。
主治酒病、身热、恶风寒、虚热、舌上黄、头痛、咳哕、伤寒无汗、痹走胸背痛、不得息、目眩、烦心、少气、寒栗、咽喉干燥、呕血、唾血、心痹、悲恐、腹痛、食不下、乳痈、肢满、肘挛、溺出及疟疾。欲发寒针时取手足太阴、阳明经出血。○配合承山、昆仑穴治疗转筋、目眩(出自《席玄赋》)。配合液门穴能治喉痛(出自《百证赋》)。配合经渠、通里可治无汗者便得淋漓,再兼三间、三里便得汗至遍身(出自《一传》)。齿痛不能饮食,左侧患病灸右侧,右侧患病灸左侧,男性三壮女性四壮。
少商穴在大拇指外侧,去爪甲角如韭菜叶宽。针刺一分,留针三呼五吸。宜用三棱针刺微出血以泄诸脏之热,不宜艾灸。《甲乙经》说灸一壮,一说三壮,忌生冷。
主治项肿、喉痹、烦心、呕哕、心下满、汗出、咳逆、疟疾振寒、腹胀、肠满、雀目不明、唇干、唾沫、引饮食不下、寒栗、鼓颔、手挛指痛、小儿乳蛾。○唐代刺史成君绰忽然颈部肿胀如升,喉闭水粒不下,甄权用三棱针刺之微出血,立即痊愈。○此为十井穴之一。凡遇中风卒暴昏沉、痰涎壅盛、不省人事、牙关紧闭、药水不下,急以三棱针刺此穴及少冲、中冲、关冲、少泽、商阳,使血气流行,乃起死回生急救之妙穴(出自《乾坤生意》)。男子疝癖取少商(出自《太乙歌》)。配合曲泽穴治疗血虚口干(出自《百证赋》)。专治指痛挛急(出自《天星秘诀》)。
There are eleven acupoints in total.
Zhongfu (LU-1) is located two cun above Zhourong (ST-20), opening outward by three fen, and six cun from the midline. Needle depth: 3 fen; retain needle for five breaths; moxa: 3 or 5 moxa cones.
Indications: Lung urgency, chest fullness, wheezing and reverse qi, dysphagia, cold-heat alternation of lung and gallbladder, cough with vomiting of pus and blood, wind-phlegm causing facial swelling, sweating, shoulder breathing, back pain, turbid nasal discharge, throat obstruction, shortness of breath, inability to lie flat.
Feishi Dunzhu (a sudden onset disease), goiter. ○ This point primarily drains heat from the chest; its therapeutic effects are similar to those of Dazhu (BL-11), Quepen (ST-12), and Fengfu (DU-16). ○ For body restlessness and fever, needle Zhongfu; for upward rushing qi, cough, reverse qi, shortness of breath, chest fullness, and inability to eat, moxa 50 cones (from *Qianjin Fang*). Tong Yi She stated it treats chest fullness and choking sensation (from *Baizheng Fu*).
Yunmen (LU-2) is located four cun below Jugu (SI-10), slightly inward horizontally, two cun from Qihu (ST-15), and about six cun lateral to Xuanji (CV-15). Needle depth: 3 fen; moxa: 5 cones. Needling too deeply causes reverse breathing (from *Jia Yi Jing*). Moxa 50 cones (from *Qianjin Fang*).
Indications: Cold damage with persistent heat in the four limbs, cough, reverse qi, shortness of breath, Qi rushing up to the heart and chest, flank and rib hypochondriac restlessness and pain, throat obstruction, goiter, inability to raise the arm. ○ This point primarily drains heat from the four limbs; its therapeutic effects are similar to those of Jianliao (TE-14), Weizhong (BL-40), and Yao Shu (BL-32). ○ For goiter, upward rushing qi, and chest fullness, moxa 100 cones (from *Qianjin Fang*).
Tianfu (LU-3) is three cun from the axilla, on the anterior medial border of the upper arm, directly opposite Chize (LU-5), at a distance of seven and a half cun. Needle depth: 4 fen; retain needle for three breaths. Contraindicated for moxibustion; moxibustion causes Qi rebellion.
Indications: Sudden bi-syndrome with internal reverse flow, liver pathogen interaction, stroke from evil wind, Qi and blood overflowing from mouth and nose, Feishi Guizhu (ghostly afflictions), muttering and weeping, forgetfulness, panting and inability to sleep peacefully, malaria with chills and fever, eye goiter. ○ For heavy body and excessive drowsiness unawareness, moxa 50 cones; needle 3 fen using tonification. For goiter and evil Qi, moxa 50 cones (from *Qianjin Fang*). Combined with Hegu (LI-4), it can stop epistaxis (from *Baizheng Fu*).
Xiabai (LU-4) is slightly larger than five cun above Chize (LU-5). Needle depth: 4 fen; retain needle for three breaths; moxa: 5 cones.
Indications: Heart pain, shortness of breath, dry retching, restlessness and fullness.
Chize (LU-5) is in the center of the elbow, on the transverse crease when flexing the elbow, in the gap between tendons and bones where the artery is palpable, anterior to the Jueyin pericardium channel, directly facing Cun Kou. Needle depth: 3 fen; retain needle for three breaths; moxa: 3 or 5 cones. Zhen Quan stated it should not be moxa-ed.
Indications: Vomiting, upward rushing Qi, throat obstruction, jaw clenching/trembling, irritability, body pain, anhidrosis, dry tongue, dry cough, expectoration of pus and blood, heart pain, shortness of breath, lung accumulation, Xiben (asthma-like condition), malaria, sweating, stroke, shoulder and back pain, aversion to wind and cold, wind-bi, elbow contracture, swelling and pain in four limbs unable to be raised, flank pain, abdominal distension, frequent urination, change in urine color, urinary incontinence, pale complexion, frequent sneezing, sorrow and unhappiness, and slow convulsion in children; moxa one cone. ○ For evil diseases causing heavy pain in four limbs and various miscellaneous conditions, Chize is the primary point. Also known as Guitang. For vomiting and upward rushing Qi, moxa 3 or 7 cones; for shortness of breath and inability to speak, moxa 100 cones (from *Qianjin Fang*). To regulate tendon tension, combine with Quchi (LI-11) to treat elbow and arm contracture (from *Yulong Fu*). For hemoptysis and asthma relief, tonify this point (from *Lingguang Fu*). To treat five types of elbow pain, also needle Qinglengyuan (SI-8) to conclude treatment (from *Xihong Fu*).
Kongzui (LU-6) is seven cun above the wrist, three and a half cun below Chize (LU-5). Needle depth: 3 fen; retain needle for three breaths; moxa: 5 cones.
Indications: Heat disease with no sweating; moxa 3 cones to induce sweating; also cough, reverse Qi, elbow and arm pain, difficulty in flexion and extension, hematemesis, aphonia, headache, sore throat.
Lieque (LU-7) is one and a half cun behind the wrist, directed outward. Needle depth: 2 fen; retain needle for three breaths. After moxibustion, avoid alcohol, wheat products, and raw/cold foods.
Indications: Hemiplegia with deviation of mouth and eyes, weakness and pain in hands and elbows, hemiplegia, locked jaw, malaria with chills and fever, irritability, cough, throat obstruction, foamy vomiting, protruding lips, forgetfulness, epilepsy, excessive laughter, delirious speech and hallucinations, carbuncles and swellings on face and four limbs, hot and painful urination. Excess pattern: sudden swelling of shoulder and back with sweating; Deficiency pattern: chills and shivering of shoulder and back, shortness of breath, inability to breathe adequately, cold extremities, convulsions. For hemiplegia, moxa up to 100 cones; for wrist strain, moxa 49 cones, which is very effective. ○ For men with pain in the genitals, hematuria, and seminal emission, moxa 50 cones (from *Qianjin Fang*). Combined with Taiyuan (LU-9) to treat cough and wind-phlegm (from *Yulong Fu*). For head pain, seek this point; for phlegm-fluid retention and dry throat, use this point (from *Lanjiang Fu*). For Qi stabbing both breasts, if Taiyuan is ineffective, sedate this point; for lateral and frontal headaches, seek this point, and also heavily sedate Taiyuan for guaranteed efficacy (from *Xihong Fu*). It can treat cough and cold-phlegm (from *Tongxuan Fu*). For head and neck, seek Lieque (from the Four General Points Song). Houxi combined with Lieque treats chest and neck pain (from *Qianjin Fang*). It excellently treats lateral headaches, generalized wind-bi, numbness, frequent phlegm-fluid retention, locked jaw, and clenched teeth. If one understands tonification and seduction techniques, the effect is swift (from Ma Danyang's Twelve Star Points Song).
Jingqu (LU-8) is five cun behind the wrist, on the Cun pulse position. Needle depth: 3 fen; retain needle for three breaths. Contraindicated for moxibustion; moxibustion damages the Shen (spirit).
Indications: Malaria with chills and fever, stiffness and tension of chest and back, distension, throat obstruction, cough and reverse Qi, frequent yawning, cold damage heat disease with no sweating, heart pain, vomiting. ○ Combined with Dada (SP-3) to treat heat disease with no sweating (from *Baizheng Fu*).
Taiyuan (LU-9) is on the transverse crease at Cun Kou, very close to Jingqu (LU-8). Needle depth: 2 fen; retain needle for two breaths; moxa: 3 cones.
Indications: Chest bi, reverse Qi, cough, vomiting and belching, drinking water, lung distension, incessant panting, hiccups, hemoptysis, heart pain, dry throat, irritability, manic speech, inability to lie down, eye pain with nebula, red vessels, clavicular pain, shoulder and back pain radiating to the arm, change in urine color, urinary incontinence. ○ For toothache and weak/painful wrists, moxa 7 cones (from *Shennong Jing*). Combined with Lieque (LU-7) to treat cough and wind-phlegm (from *Yulong Fu*). For Qi stabbing both breasts, if Taiyuan is ineffective, needle Lieque; for lateral and frontal headaches, seek Lieque, heavily sedate Taiyuan for guaranteed efficacy; for five types of elbow pain, seek Chize, and Taiyuan concludes the treatment (from *Xihong Fu*).
Yuji (LU-10) is one cun above Taiyuan (LU-9), in the depression medial to the base of the thumb. "Base" refers to the root, i.e., the bone joint within the fleshy part of the palm, not the outer segment of the finger. Needle depth: 2 fen; retain needle for three breaths; moxa: 3 cones.
Indications: Alcohol-induced disease, body heat, aversion to wind and cold, deficiency heat, yellow coating on tongue, headache, cough and retching, cold damage with no sweating, bi syndrome moving to chest and back with pain and inability to breathe, vertigo, irritability, shortness of breath, chills, dry throat, hematemesis, spitting blood, heart bi, fear and terror, abdominal pain, inability to eat, breast abscess, limb fullness, elbow contracture, abnormal discharge, and malaria. When inducing cold needling, bleed the Taiyin and Yangming channels of the hands and feet. ○ Combined with Chengshan (BL-57) and Kunlun (BL-60) to treat muscle cramps and vertigo (from *Xixuan Fu*). Combined with Yemen (TE-4) to treat sore throat (from *Baizheng Fu*). Combined with Jingqu (LU-8) and Tongli (HT-7) to treat anhidrosis, resulting in profuse sweating; further combined with Sanjian (LI-3) and Zusanli (ST-36) induces sweating throughout the body (from *Yichuan*). For toothache and inability to eat/drink, moxa the contralateral side: left lesion moxa right, right lesion moxa left; males 3 cones, females 4 cones.
Shaoshang (LU-11) is on the radial side of the thumb, one grain-width away from the corner of the nail. Needle depth: 1 fen; retain needle for three breaths and five inhalations. It is advisable to use a three-edged needle to prick for slight bleeding to drain heat from all zang organs; moxibustion is contraindicated. *Jia Yi Jing* states moxa one cone, or another source says three cones; avoid raw and cold foods.
Indications: Neck swelling, throat obstruction, irritability, vomiting and belching, subcardiac fullness, sweating, cough and reverse Qi, malaria with chills, abdominal distension, intestinal fullness, poor night vision, dry lips, spitting saliva, inability to swallow food and drink, chills, jaw trembling, hand contracture and finger pain, pediatric tonsillitis. ○ Tang Dynasty Cishi Cheng Junchuo suddenly had neck swelling like a measuring cup, with throat closure preventing swallowing of water or grains; Zhen Quan treated him with a three-edged needle, pricking for slight bleeding, and he recovered immediately. ○ This is one of the Ten Jing Well points. In cases of sudden stroke, coma, phlegm-fluid retention, unconsciousness, locked jaw, and inability to administer medicine, urgently prick these points—Shaoshang, Shaochong (HT-9), Zhongchong (PC-9), Guanchong (TE-16), Xiaozhe (SI-1), Shangyang (LI-1)—with a three-edged needle to promote blood and Qi circulation; this is a miraculous emergency point for reviving the dying (from *Qiankun Shengyi*). For male hernia masses, select Shaoshang (from *Taiyi Ge*). Combined with Quze (PC-3) to treat blood deficiency and dry mouth (from *Baizheng Fu*). Specifically treats finger pain and contracture (from *Tianxing Mijue*).