商阳(井) 二间(荥) 三间(俞) 合骨(原) 阳溪(经) 曲池(合)
○商阳二穴金也一名绝阳在大指次指内侧去爪甲角如韭叶手阳明脉之所出也为井治胸中气满喘咳支肿热病汗不出耳
鸣耳聋寒热 疟口干颐颔肿齿痛恶寒肩背急相引缺盆痛目青肓可灸三壮右取左左取右如顷食立已针入一分留一呼
○二间二穴水也一名间谷在手大指次指本节前内侧陷中手阳明脉之所流也为荥治喉痹颔肿肩背痛振寒鼻鼽衄血多惊
口针入三分可灸三壮
○三间二穴木也一名少谷在手大指次指本节之后内侧陷中手阳明脉之所注也为 治喉痹咽中如梗齿龋痛嗜卧胸满肠
鸣洞泄寒疟唇焦口干气喘目 急痛针入三分留三呼可灸三壮
○合谷二穴一名虎口在大指次指岐骨间陷中手阳明脉之所过也为原疗寒热疟鼻鼽衄热病汗不出目视不明头痛齿龋喉
痹痿臂面肿唇吻不收喑不能言口噤不开针入三分留六呼可灸三壮 若妇人妊娠不可刺刺之抬胎气
○阳溪二穴火也一名中魁在腕中上侧两筋陷中手阳明脉之所行也为经治狂言喜笑见鬼热病烦心目风赤烂有翳厥逆头
痛胸满不得息寒热疟疾喉痹耳鸣齿痛惊制肘臂不举痂疥针入三分留七呼可灸三壮
○曲池二穴土也在肘外辅骨屈肘曲骨之中以手拱胸取之手阳明脉之所入也为合治肘中痛偏风半身不遂刺风瘾疹喉痹
不能言胸中烦满筋缓捉物不得挽弓不开屈伸难风痹肘细而无力伤寒余热不尽皮肤干燥针入七分得气先泻后补之灸亦大良
可灸三壮
商阳穴(井穴):位于第二穴,五行属金。又名绝阳穴,位置在大指与次指(食指)内侧,距离指甲角约韭菜叶宽度处,是手阳明大肠经气血发出的部位,属于井穴。主治胸中气满、喘息咳嗽、四肢肿胀、热病无汗、耳鸣耳聋、寒热往来、疟疾、口干、腮颌部肿胀、牙齿疼痛、恶寒、肩背部拘急疼痛并牵引至缺盆部疼痛、目睛青盲等症。可施灸三壮,采用左病取右、右病取左的交叉取穴法,如进食片刻后见效。针刺深度一分,留针一次呼吸的时间。
二间穴(荥穴):位于第二穴,五行属水。又名间谷穴,位置在手大指与次指本节前内侧的凹陷中,是手阳明大肠经气血流动的部位,属于荥穴。主治喉痹、下颌肿胀、肩背疼痛、发冷战栗、鼻塞流涕、鼻出血、易受惊吓、口噤不开等症。针刺深度三分,可施灸三壮。
三间穴(输穴):位于第二穴,五行属木。又名少谷穴,位置在手大指与次指本节之后内侧的凹陷中,是手阳明大肠经气血灌注的部位,属于输穴。主治喉痹、咽喉中有梗塞感、牙齿龋痛、嗜睡、胸中胀满、肠鸣、洞泄(严重腹泻)、寒性疟疾、嘴唇焦枯、口干、气喘、眼部紧急疼痛等症。针刺深度三分,留针三次呼吸的时间,可施灸三壮。
合谷穴(原穴):又名虎口,位置在大指与次指叉骨间的凹陷中,是手阳明大肠经气血经过的部位,属于原穴。主治寒热往来、疟疾、鼻塞流涕、鼻出血、热病无汗、视物不明、头痛、牙齿龋痛、喉痹、手臂痿软无力、面部浮肿、口唇闭合不全、失语不能言、口噤不开等症。针刺深度三分,留针六次呼吸的时间,可施灸三壮。若为孕妇,禁止针刺,因为针刺此穴会扰动胎气,导致流产。
阳溪穴(经穴):位于第二穴,五行属火。又名中魁穴,位置在手腕上侧两筋之间的凹陷中,是手阳明大肠经气血运行的部位,属于经穴。主治狂言妄语、喜笑无常、幻视见鬼、热病心烦、目风赤烂生翳、厥逆、头痛、胸中胀满、呼吸困难、寒热疟疾、喉痹、耳鸣、牙齿疼痛、惊恐、肘臂不能抬起、痂疥等症。针刺深度三分,留针七次呼吸的时间,可施灸三壮。
曲池穴(合穴):位于第二穴,五行属土。位置在肘部外侧辅骨屈肘时的横纹端,取穴时以手抱胸姿势为准,是手阳明大肠经气血汇入的部位,属于合穴。主治肘部疼痛、偏瘫半身不遂、风疹瘾疹、喉痹不能言语、胸中烦闷胀满、筋脉弛缓无法握物或拉弓、屈伸困难、风痹导致肘部细小无力、伤寒余热未尽、皮肤干燥等症。针刺深度七分,得气后先泻后补,效果极佳,也可施灸三壮。
Shangyang (Jing-Well point): Located at the second acupoint, belonging to Metal in the Five Elements. Also known as Jueyang point, it is situated on the medial side of the index finger and thumb, approximately the width of a leek leaf from the corner of the nail. It is the source where the Qi of the Large Intestine Meridian of Hand-Yangming emerges and is classified as a Jing-Well point. It treats conditions such as chest fullness with Qi stagnation, wheezing and coughing, swelling of the limbs, febrile diseases with absence of sweating, tinnitus and deafness, alternating chills and fever, malaria, dry mouth, swelling of the cheeks and jaw, toothache, aversion to cold, stiffness and pain in the shoulder and back radiating to the clavicular fossa, and blindness with greenish discoloration of the eyes. Moxibustion can be applied for three moxa cones. Cross-point selection (left for right symptoms, right for left symptoms) is used; improvement may occur after a meal. Needle insertion depth is one fen, retained for the duration of one breath.
Erbian (Ying-Spring point): Located at the second acupoint, belonging to Water in the Five Elements. Also known as Jiangu point, it is located in the depression on the medial side anterior to the proximal interphalangeal joint of the thumb and index finger. It is where the Qi of the Large Intestine Meridian of Hand-Yangming flows and is classified as a Ying-Spring point. It treats throat obstruction (bi-syndrome), swelling of the mandible, shoulder and back pain, shivering, nasal congestion with rhinorrhea, epistaxis, susceptibility to fright, and lockjaw. Needle insertion depth is three fen; moxibustion of three cones can be applied.
Sanjian (Shu-Stream point): Located at the second acupoint, belonging to Wood in the Five Elements. Also known as Shaogu point, it is located in the depression on the medial side posterior to the proximal interphalangeal joint of the thumb and index finger. It is where the Qi of the Large Intestine Meridian of Hand-Yangming pours and is classified as a Shu-Stream point. It treats throat obstruction, sensation of a lump in the throat, dental caries pain, lethargy, chest fullness, borborygmus, severe diarrhea (dong-xie), cold-type malaria, cracked lips, dry mouth, asthma, and urgent eye pain. Needle insertion depth is three fen, retained for the duration of three breaths; moxibustion of three cones can be applied.
Hegu (Yuan-Source point): Also known as Hukou, it is located in the depression between the metacarpal bones of the thumb and index finger. It is where the Qi of the Large Intestine Meridian of Hand-Yangming passes through and is classified as a Yuan-Source point. It treats alternating chills and fever, malaria, nasal congestion with rhinorrhea, epistaxis, febrile diseases with absence of sweating, blurred vision, headache, dental caries pain, throat obstruction, flaccidity and weakness of the arm, facial edema, inability to close the lips, aphonia, and lockjaw. Needle insertion depth is three fen, retained for the duration of six breaths; moxibustion of three cones can be applied. For pregnant women, needling is contraindicated as it may disturb fetal Qi and induce abortion.
Yangxi (Jing-River point): Located at the second acupoint, belonging to Fire in the Five Elements. Also known as Zhongkui point, it is located in the depression between two tendons on the radial aspect of the wrist. It is where the Qi of the Large Intestine Meridian of Hand-Yangming travels and is classified as a Jing-River point. It treats manic speech, excessive laughter, visual hallucinations, febrile diseases with irritability, wind-heat affecting the eyes causing redness, ulceration, and pterygium, reversal syndrome (jue-ni), headache, chest fullness, dyspnea, alternating chills and fever, malaria, throat obstruction, tinnitus, toothache, fright, immobility of the elbow and arm, and scabies with crusts. Needle insertion depth is three fen, retained for the duration of seven breaths; moxibustion of three cones can be applied.
Quchi (He-Sea point): Located at the second acupoint, belonging to Earth in the Five Elements. It is located at the lateral end of the cubital crease when the elbow is flexed, found by having the patient hug their chest. It is where the Qi of the Large Intestine Meridian of Hand-Yangming enters and is classified as a He-Sea point. It treats elbow pain, hemiplegia due to wind-stroke, urticaria, throat obstruction with aphonia, chest irritability and fullness, flaccid sinews unable to grasp objects or draw a bow, difficulty in flexion and extension, wind-bi syndrome causing thinness and weakness of the elbow, residual heat from cold damage syndromes, and dry skin. Needle insertion depth is seven fen. After obtaining Deqi (arrival of Qi), apply reducing method first followed by reinforcing method; this is highly effective. Moxibustion of three cones can also be applied.