平按∶此篇见《素问》卷十五第五十九《气府论》篇,又见《甲乙经》卷三第一至第二十二,
惟文法编次与此不同。
足太阳脉气所发者七十三穴;两眉头各一,(攒竹穴,二也。平按∶七十三穴《素问》作七
十八穴,王注云∶兼气浮薄相通言之,当言九十三穴,非七十八穴。正经脉会发者七十八穴,浮
薄相通者一十五穴,则其数也。与本书经文及杨注均异。)入发项二寸,间半寸,(额上入发一
寸,后从项入发一寸,故曰入发项二寸。间亦有一寸半处,故曰半寸也。平按∶《素问》项上有
至字,二寸间半寸作三寸半。)旁五相去二寸,其浮气在皮中者凡五行,(《明堂》旁相去一寸半,
有此不同也。其浮气,足太阳浮气在此五行穴之下也。平按∶二寸《素问》作三寸,王注谓大杼、
风门二穴所在。新校正谓是说下文浮气之在皮中五行行五之穴,况大杼在第一椎下两旁,风门又
在第二椎下,上去发际非止三寸半,其误甚明。据此则本书杨注为得,《素问》王注为失矣。)
行五,五五二十五,(二十五穴者,面上五脉上头,并入发一寸,以上周通高处,当前横数,于
五脉上凡有五处,处各五穴。当前谓亚会、前项、百会、后顶、强间,五也。督脉两旁,足太阳
脉五处、承光、通天、络却、玉枕,左右十也。足太阳两旁,足少阳脉临泣、目窗、正营、承灵、
脑空,左右十也。太阳为二阳之总,故皆为太阳所营,二十七也。平按∶注亚会《素问》、《甲乙》
作囟会,亚字当是古囟字之误。)项中大筋两旁各一,(两旁天柱二穴,二十九也。)风府两旁各
一,(天牖二穴,三十一也。平按∶注天牖二穴《素问》王注作风池二穴,新校正云∶按《甲乙
经》风池足少阳阳维之会,非太阳之所发。此注于九十三数外,更剩前大杼、风门及此风池六穴。)侠脊以下至尻二十一
节十五间各有一,(大椎以下至尻尾二十一节十五间两旁各有一输,为三十输,六十一也。平按∶《素问》侠脊
作侠背,尻下有尾字,各有一作各一。王注云∶十五间各一者,今《中诰孔穴图经》所存者十三
穴,左右共二十六穴,谓附分、魄户、神堂、 、膈关、魂门、阳纲、意舍、胃仓、肓门、志
室、胞肓、秩边十三也。《甲乙经》所载背自第二椎两旁侠脊各三寸,行至二十一椎下,两旁侠脊
凡二十六穴,其穴名自附分以下与王注同。惟《甲乙经》云自第二椎两旁,本书杨注云自大椎以下,
不能无异。且经云十五间各一,杨注云十五间两旁各有一输,与经文正合,惜未详析穴名耳。)
委中以下至足小指旁六输。(从足小指,上至委中,有井荥输原经合等左右十二输等,七十三也。
平按∶《素问》委中上有“五脏之俞各五六腑之俞各六”十二字,六输上有各字。)足少阳脉气
所发者五十二穴∶两角上各二,(两角上等天冲、曲鬓左右,四穴也。平按∶五十《素问》作六十。)
耳前角上各一,(颔厌左右二穴,六也。平按∶《素问》耳前上有“直目上发际内各五”八字。颔
厌袁刻误作领厌。)客主人各一,(一名上关,二穴,八也。平按∶客主人上《素问》有“耳前
角下各一锐发下各一”十一字。)下关各一,(下关耳前动脉二穴,十也。平按∶下关上《素问》
有“耳后陷中各一”六字。)耳下牙车之后各一,(大迎一名髓空,二穴,十二也。平按∶注大
迎二穴《素问》王注作颊车二穴。)缺盆各一,(缺盆一名天盖,二穴,十四。)掖下三寸、胁
下下至 八间各一,(掖下左右三寸间,泉液、辄筋、天池三穴。胁下至 ,章门、维道、日月三
穴,正经气发也。腹哀、大横,此二穴正经虽不言发,近此三正经气也。带脉、五枢,此二穴少阳
别气至也。上 一穴,少阳脉络别至也。左右二十二,三十六穴也。是则掖下三寸为胁,胁下八间之
外为 ,则 胁之言可别矣。平按∶《素问》下字不重。本注左右共二十二穴,《素问》王
注左右共十八穴,无腹哀、大横左右四穴,上 作居 。)髀枢中旁各一,(环跳、居 左右四
穴,四十也。平按∶注居 《素问》王注无。)膝以下至足小指次指各六输,(足少阳井等六输,
左右十二,五十二也。)足阳明脉气所发者六十二穴∶额颅发际旁各三,(头维、本神、曲差左
右,六穴也。平按∶六十二《素问》作六十八。注本神、曲差二穴《素问》王注作悬颅、阳白二
穴。)面鼽骨空各一,(鼽,渠留反,鼻表也。有云鼻塞病,非也。颧 二穴,八也。《明堂》
虽不言气发之,阳明正别上 系目系,故至颧 也。平按∶注颧 《素问》王注作四白。)大迎
之骨穴各一,(左右二十穴也。平按∶《素问》骨穴作骨空。各一下《素问》有人迎各一四字。)
缺盆外骨各一,(天 左右二穴,十二也。天 ,足阳明大络至此穴也。平按∶《素问》骨下有
空字。注天 《素问》作天 。)膺中骨间各一,(膺中,膺窗也。左右二穴,十四也。平按∶
注膺窗左右二穴《素问》王注作膺窗等六穴,盖谓气户、库房、屋翳、乳中、乳根,并膺窗而六也。)
侠鸠尾之外,当乳下三寸,侠胃腕各五,(乳根、不容、承满、梁门、关门,左右十穴,二十四
也。平按∶《素问》腕作脘。王注无乳根穴,有太乙穴。)侠齐广三寸各三,(太乙、滑肉、天
枢,左右六穴,三十也。平按∶《素问》王注无太乙穴,有外陵穴,滑肉作滑肉门,《甲乙》同。)
下齐二寸侠之各六,(外陵、太巨、水道、归来、府舍、冲门,左右十二穴,四十二也。太阴脉
穴更无别数,所以亦入阳明也。)
(平按∶《素问》各六作各三。王注只水道、太巨、归来三穴,无外陵、府舍、冲门三穴。查
府舍、冲门均属太阴,故本注云云。)气街动脉各一,(气街左右二穴,四十四。平按∶气街
《甲乙》作气冲。)伏兔上各一,(髀关二穴,四
十六。)三里以下至足中指各八输,分上所在穴空。(井荥等六输及巨虚上下廉,左右十六穴,
六十二也。巨虚上廉,足阳明与大肠合,巨虚下廉,足阳明与小肠合,故左右合有十六也。平按∶
分上《素问》作分之。)手太阳脉气所发者二十六穴∶(三十错为二十字也。平按∶二十《素问》
作三十。)目内 各一,(睛明左右,二穴。)巨骨下骨穴各一,(巨骨左右二穴,四也。平按;
巨骨上《素问》有“目外各一鼽骨下各一耳郭上各一耳中各一”十八字。巨骨下《素问》无下骨
二字。)曲掖上骨穴各一,(曲垣左右二穴,六也。平按∶注曲垣《素问》王注作 俞。)柱骨出
陷者各一,(肩井二穴,八也。平按∶出陷《素问》作上陷。)上天容四寸各一,(足太阳近天容,
手太阳脉未至天容,谓天容字错,未详所发,左右八穴,十六。平按∶天容《素问》作天窗,王
注谓天窗、窍阴四穴,本注疑天容字错,考《甲乙经》天窗手太阳脉气所发,据此则天容乃天窗
之误。)肩解各一,(秉风左右二穴,十八。)肩解下三寸者各一,(天宗、 输、肩贞,左右
六穴,二十四。平按∶《素问》无者字。王注有天宗二穴,无 输、肩贞四穴。)肘以下至于手
小指本各六输。(六输左右十二穴,三十六也。平按∶《素问》无于字。)手阳明脉气所发者二十
二穴∶鼻穴外廉项上各一,(迎香、天窗,左右四穴,天窗去手阳明络近,故得其气也。平按∶
《素问》鼻穴作鼻空,各一作各二。《素问》王注有扶突二穴,无天窗二穴。)大迎骨空各一,
(大迎左右二穴,六也。)柱骨之会各一,(柱骨左右二穴,八也。上出柱骨之会,上下入缺盆
中,过此二穴,故得其气也。平按∶注柱骨二穴,《素问》王注作天鼎二穴。)禺骨之会各一,
(肩 二穴,十也。平按∶《素问》禺作 。)肘以下至手大指次指本各六输。(肘下六输,左
右十二穴,二十二也。平按∶《素问》王注有三里而遗曲
池,新校正已辨其误。)手少阳脉气所发者三十三穴∶鼽骨下各一,(颧 二穴。平按∶三十三
《素问》作三十二。注 作 。)眉本各一,(丝竹空左右二穴,四也。平按∶《素问》眉本作眉
后。)角上各一,(颔厌左右二穴,六也。平按∶注颔厌袁刻误作领厌,《素问》王注作悬厘。)
下完骨后各一,(天容左右二穴,八也。平按∶天容《素问》王注作天牖。)项中足太阳之前各一,
(大椎、大杼,左右及中三穴,十一。平按∶注大椎大杼左右及中三穴《素问》王注作风池二穴。)
扶突各一,(扶突左右二穴,十三也。扶突近手少阳经也。平按∶扶上《素问》有侠字。注扶突左
右二穴,王注谓天窗二穴。)肩贞各一,(肩贞左右二穴,十五。)肩贞下三寸分间各一,(肩
、 会、消泺,左右六穴,二十一也。肩 、 会近手少阳也。平按∶注肩 《素问》王注作
肩。消泺袁刻作消铄。)肘以下至手小指次指本各六输。(六输左右十二穴,三十三也。一曰
二十八者,数不同也,疑其错。)督脉气所发者二十六穴∶项中央三,(项中央者,项内也,非
唯当中也,故项内下行,喑门一,天柱二,为三也;上行,风府一,风池二,为三,总有六穴也。
督脉上入风池,即为信也。平按∶二十六《素问》作二十八,中央三作中央二,下有“发际后中
八面中三”八字。)大椎以下至尻二十节间各一, 下凡二十一节,脊椎法。( ,竹尸反,此
经音低,尾穷骨,从骨为正。大椎至 二十一节,有二十间,间有一穴,则二十六穴也。《明堂》
从兑端上项,下至喑门,有十三穴,大椎以下,至 骨长强,二十一节,有十一穴,凡二十四穴,
督脉气所发。与此不同,未详也。平按∶《素问》至尻下无“二十节间各一”六字,有“尾及旁
十五穴至”七字。)任脉之气所发者十八穴∶喉中央二,(廉泉、天突二穴也。平按∶《素问》
十八作二十八,中央二下有“膺中骨限中各一”七字。)鸠尾下三
寸,胃腕五寸,胃腕以下下至横骨八寸一一,腹脉法。(鸠尾以下至横骨一尺六寸,寸有一穴,
有十六穴。并以前有一十八穴也。《明堂》中央任脉气所发穴合有二十六,此经从旋机以下至庭
中□穴,合□六,此经从旋机以下至横骨虽发□,下分寸复与《明堂》不同,亦未详也。平按∶《素问》
胃腕作胃脘,八寸作六寸,一一作半一。)五脏之输各五,凡五十穴。足少阴舌下,厥阴毛中急
脉各一,(五脏之输,有二十五,两箱合论,故有五十。足少阴至舌下一穴,亦不与《明堂》同。
厥阴毛中急脉,当是同骨,故有五□□。平按∶《素问》无“五脏之输各五凡五十穴”十字,有
“下阴别一,目下各一,下唇一,龈交一。冲脉气所发者二十二穴∶侠鸠尾外各半寸至齐寸一,
侠齐下旁各五分至横骨寸一,腹脉法也”。五十一字,在“足少阴”上。)手少阴各一,阴阳乔
各一,手足诸鱼际气所发者,凡三百六十五穴。(手少阴左右二穴。阴乔所生照海,阳乔所起申
脉,左右四穴。手鱼际、足鱼际足太阴脉太白二□,□十穴。总二十六脉,有三百八十四穴。此
言三百六十五穴者,举大数为言,过与不及,不为非也。三百八十四穴,乃是诸脉发穴之义,若准
《明堂》,取穴不尽,仍有重取,以此。)
平按:此篇见于《素问》卷十五第五十九《气府论》篇,又见于《甲乙经》卷三第一至第二十二,只是文法编排次序与此不同。
足太阳膀胱经脉气所发的穴位有七十三穴;两眉头各一穴(攒竹穴,共二穴。平按:七十三穴,《素问》作七十八穴,王冰注云:兼浮薄之气相通而言,应当说是九十三穴,不是七十八穴。正经脉会发出的穴位是七十八穴,浮薄相通的是一十五穴,这就是其数目。这与本书经文及杨上善的注释均不同。)入发际项部二寸处,间距半寸(额上入发际一寸,后从项部入发际一寸,所以说入发项二寸。间距也有一寸半的地方,所以说半寸。平按:《素问》项上有“至”字,“二寸间半寸”作“三寸半”。)旁开五行,各行相距二寸,其中浮游在皮中的气共有五行(《明堂经》中旁开相距一寸半,与此有不同。所谓浮气,是指足太阳膀胱经的浮气在此五行穴位之下。平按:二寸,《素问》作三寸,王冰注谓是大杼、风门二穴所在之处。林亿等《新校正》说这是指下文浮气在皮中五行行五之穴,况且大杼在第一椎下两旁,风门又在第二椎下,上去发际不止三寸半,其错误非常明显。据此则本书杨上善的注释为正确,《素问》王冰的注释为错误了。)每行五穴,五行共二十五穴(这二十五穴是:面上五条经脉上头,并入发际一寸以上周通高处,当前横向数来,在五条经脉上共有五处,每处各有五穴。所谓“当前”,是指囟会、前顶、百会、后顶、强间,共五穴。督脉两旁,足太阳膀胱经的五处、承光、通天、络却、玉枕,左右共十穴。足太阳膀胱经两旁,足少阳胆经的临泣、目窗、正营、承灵、脑空,左右共十穴。太阳经为二阳之总领,所以都归太阳经所主,共二十七穴。平按:注中“囟会”,《素问》、《甲乙经》作“亚会”,“亚”字当是古“囟”字之误。)项部大筋两旁各一穴(两旁是天柱二穴,共二十九穴。)风府穴两旁各一穴(天牖二穴,共三十一穴。平按:注中天牖二穴,《素问》王冰注作风池二穴,《新校正》云:按《甲乙经》,风池是足少阳胆经与阳维脉的交会穴,不是足太阳膀胱经所发。此注在九十三穴之数外,更多出前大杼、风门及此风池六穴。)从脊柱两旁以下至尾骨二十一节间的十五个间隙,每间隙各有一穴(大椎以下至尾骨二十一节间的十五个间隙,两旁各有一个腧穴,共三十个腧穴,共六十一穴。平按:《素问》“侠脊”作“侠背”,“尻”下有“尾”字,“各有一”作“各一”。王冰注云:十五间隙各一者,今《中诰孔穴图经》所存的有十三穴,左右共二十六穴,即附分、魄户、神堂、膈关、魂门、阳纲、意舍、胃仓、肓门、志室、胞肓、秩边十三穴。《甲乙经》所载背部自第二椎两旁距脊柱各三寸,行至第二十一椎下,两旁距脊柱共二十六穴,其穴名自附分以下与王冰注相同。惟《甲乙经》说自第二椎两旁,本书杨上善注说自大椎以下,不能没有差异。且经文说“十五间各一”,杨注说“十五间两旁各有一输”,与经文正合,可惜未详细解析穴名耳。)委中以下至足小指旁六穴(从足小指,上至委中,有井、荥、输、原、经、合等左右十二个腧穴,共七十三穴。平按:《素问》委中有“五脏之俞各五六腑之俞各六”十二字,“六输”上有“各”字。)
足少阳胆经脉气所发的穴位有五十二穴:两角上各二穴(两角上等天冲、曲鬓左右,共四穴。平按:五十,《素问》作六十。)耳前角上各一穴(颔厌左右二穴,共六穴。平按:《素问》耳前有“直目上发际内各五”八字。颔厌袁刻误作“领厌”。)客主人穴各一穴(一名上关,二穴,共八穴。平按:客主人上《素问》有“耳前角下各一锐发下各一”十一字。)下关穴各一穴(下关耳前动脉处二穴,共十穴。平按:下关上《素问》有“耳后陷中各一”六字。)耳下牙车之后各一穴(大迎一名髓空,二穴,共十二穴。平按:注中大迎二穴,《素问》王冰注作颊车二穴。)缺盆穴各一穴(缺盆一名天盖,二穴,共十四穴。)腋下三寸、胁下至第八肋间各一穴(腋下左右三寸间,有泉液、辄筋、天池三穴。胁下至第八肋间,有章门、维道、日月三穴,这是正经之气所发。腹哀、大横,这两穴正经虽不言所发,但靠近这三正经之气。带脉、五枢,这两穴是少阳别气所至。上一穴,是少阳脉络别气所至。左右共二十二穴,共三十六穴。则是腋下三寸为胁,胁下八间之外为髀,则髀胁之言可以区别了。平按:《素问》“下”字不重复。本注左右共二十二穴,《素问》王冰注左右共十八穴,无腹哀、大横左右四穴,上一穴作居髎。)髀枢中旁各一穴(环跳、居髎左右四穴,共四十穴。平按:注中居髎,《素问》王冰注无。)膝以下至足小指次指各六穴(足少阳井、荥、输、经、合等六穴,左右十二穴,共五十二穴。)
足阳明胃经脉气所发的穴位有六十二穴:额颅发际旁各三穴(头维、本神、曲差左右,共六穴。平按:六十二,《素问》作六十八。注中本神、曲差二穴,《素问》王冰注作悬颅、阳白二穴。)面鼽骨空各一穴(鼽,渠留反,鼻表也。有说是鼻塞病,不对。颧髎二穴,共八穴。《明堂经》虽不言气发,但阳明正别上系目系,故至颧髎。平按:注中颧髎,《素问》王冰注作四白。)大迎之骨穴各一穴(左右二十穴。平按:《素问》骨穴作骨空。各一下《素问》有“人迎各一”四字。)缺盆外骨各一穴(天突左右二穴,共十二穴。天突,是足阳明大络至此穴。平按:《素问》骨下有“空”字。注中天突,《素问》作天窗。)膺中骨间各一穴(膺中,即膺窗。左右二穴,共十四穴。平按:注中膺窗左右二穴,《素问》王冰注作膺窗等六穴,大概是指气户、库房、屋翳、乳中、乳根,并膺窗而共六穴。)鸠尾之外,当乳下三寸,距胃脘各五穴(乳根、不容、承满、梁门、关门,左右十穴,共二十四穴。平按:《素问》腕作脘。王冰注无乳根穴,有太乙穴。)脐旁广三寸各三穴(太乙、滑肉门、天枢,左右六穴,共三十穴。平按:《素问》王冰注无太乙穴,有外陵穴,滑肉作滑肉门,《甲乙经》同。)脐下二寸侠之各六穴(外陵、太巨、水道、归来、府舍、冲门,左右十二穴,共四十二穴。太阴经脉穴更无别数,所以也计入阳明经。平按:《素问》各六作各三。王冰注只水道、太巨、归来三穴,无外陵、府舍、冲门三穴。查府舍、冲门均属太阴,故本注云云。)气街动脉各一穴(气街左右二穴,共四十四穴。平按:气街,《甲乙经》作气冲。)伏兔上各一穴(髀关二穴,共四十六穴。)三里以下至足中指各八穴,分别在上所在穴空(井、荥等六穴及巨虚上下廉,左右十六穴,共六十二穴。巨虚上廉,是足阳明与大肠合,巨虚下廉,是足阳明与小肠合,故左右合有十六穴。平按:分上,《素问》作分之。)
手太阳小肠经脉气所发的穴位有二十六穴(三十错写为二十字。平按:二十,《素问》作三十。)目内眦各一穴(睛明左右,二穴。)巨骨下骨穴各一穴(巨骨左右二穴,共四穴。平按:巨骨上《素问》有“目外各一鼽骨下各一耳郭上各一耳中各一”十八字。巨骨下《素问》无“下骨”二字。)曲腋上骨穴各一穴(曲垣左右二穴,共六穴。平按:注中曲垣,《素问》王冰注作秉风俞。)柱骨出陷者各一穴(肩井二穴,共八穴。平按:出陷,《素问》作上陷。)上天容四寸各一穴(足太阳近天容,手太阳脉未至天容,谓天容字错,未详所发,左右八穴,共十六穴。平按:天容,《素问》作天窗,王冰注谓天窗、窍阴四穴,本注疑天容字错,考《甲乙经》天窗是手太阳脉气所发,据此则天容乃天窗之误。)肩解各一穴(秉风左右二穴,共十八穴。)肩解下三寸者各一穴(天宗、臑俞、肩贞,左右六穴,共二十四穴。平按:《素问》无“者”字。王冰注有天宗二穴,无臑俞、肩贞四穴。)肘以下至于手小指本各六穴(六穴左右十二穴,共三十六穴。平按:《素问》无“于”字。)
手阳明大肠经脉气所发的穴位有二十二穴:鼻穴外廉项上各一穴(迎香、天窗,左右四穴,天窗去手阳明络近,故得其气。平按:《素问》鼻穴作鼻空,各一作各二。《素问》王冰注有扶突二穴,无天窗二穴。)大迎骨空各一穴(大迎左右二穴,共六穴。)柱骨之会各一穴(柱骨左右二穴,共八穴。上出柱骨之会,上下入缺盆中,过此二穴,故得其气。平按:注中柱骨二穴,《素问》王冰注作天鼎二穴。)禺谷之会各一穴(肩髃二穴,共十穴。平按:《素问》禺作髃。)肘以下至手大指次指本各六穴(肘下六穴,左右十二穴,共二十二穴。平按:《素问》王冰注有三里而遗曲池,《新校正》已辨其误。)
手少阳三焦经脉气所发的穴位有三十三穴:鼽骨下各一穴(颧髎二穴。平按:三十三,《素问》作三十二。注中颧髎作颧)。眉本各一穴(丝竹空左右二穴,共四穴。平按:《素问》眉本作眉后。)角上各一穴(颔厌左右二穴,共六穴。平按:注中颔厌袁刻误作领厌,《素问》王冰注作悬厘。)下完骨后各一穴(天容左右二穴,共八穴。平按:天容,《素问》王冰注作天牖。)项中足太阳之前各一穴(大椎、大杼,左右及中三穴,共十一穴。平按:注中大椎大杼左右及中三穴,《素问》王冰注作风池二穴。)扶突各一穴(扶突左右二穴,共十三穴。扶突近手少阳经。平按:扶上《素问》有“侠”字。注中扶突左右二穴,王冰注谓天窗二穴。)肩贞各一穴(肩贞左右二穴,共十五穴。)肩贞下三寸分间各一穴(肩髎、会宗、消泺,左右六穴,共二十一穴。肩髎、会宗近手少阳。平按:注中肩髎,《素问》王冰注作肩髃。消泺袁刻作消铄。)肘以下至手小指次指本各六穴(六穴左右十二穴,共三十三穴。一说二十八穴,数目不同,疑其有误。)
督脉气所发的穴位有二十六穴:项中央三穴(项中央者,指项内,非唯当中也,故项内下行,喑门一,天柱二,为三穴;上行,风府一,风池二,为三穴,总有六穴。督脉上入风池,即为信证。平按:二十六,《素问》作二十八,中央三作中央二,下有“发际后中八面中三”八字。)大椎以下至尻二十节间各一穴,尾下凡二十一节,是脊椎法(骶,竹尸反,此经音低,尾穷骨,从骨为正。大椎至骶二十一节,有二十间,间有一穴,则二十六穴。《明堂经》从兑端上项,下至喑门,有十三穴,大椎以下,至骶骨长强,二十一节,有十一穴,凡二十四穴,是督脉气所发。与此不同,未详。平按:《素问》至尻下无“二十节间各一”六字,有“尾及旁十五穴至”七字。)
任脉之气所发的穴位有十八穴:喉中央二穴(廉泉、天突二穴。平按:《素问》十八作二十八,中央二下有“膺中骨限中各一”七字。)鸠尾下三寸,胃脘五寸,胃脘以下至横骨八寸一一,是腹脉法(鸠尾以下至横骨一尺六寸,寸有一穴,有十六穴。并以前有一十八穴。《明堂经》中央任脉气所发穴合有二十六,此经从旋机以下至庭中穴,合若干,此经从旋机以下至横骨虽发若干,下分寸复与《明堂经》不同,亦未详。平按:《素问》胃腕作胃脘,八寸作六寸,一一作半一。)
五脏之腧各五,凡五十穴。足少阴至舌下一穴,厥阴毛中急脉各一穴(五脏之腧,有二十五,两厢合论,故有五十。足少阴至舌下一穴,亦不与《明堂经》同。厥阴毛中急脉,当是同骨,故有五穴。平按:《素问》无“五脏之腧各五凡五十穴”十字,有“下阴别一,目下各一,下唇一,龈交一。冲脉气所发者二十二穴:侠鸠尾外各半寸至齐寸一,侠齐下旁各五分至横骨寸一,腹脉法也”。五十一字,在“足少阴”上。)
手少阴各一穴,阴阳跷各一穴,手足诸鱼际气所发者,凡三百六十五穴(手少阴左右二穴。阴跷所生照海,阳跷所起申脉,左右四穴。手鱼际、足鱼际足太阴脉太白二穴,共十穴。总二十六脉,有三百八十四穴。此言三百六十五穴者,举大数为言,过与不及,不为非也。三百八十四穴,乃是诸脉发穴之义,若准《明堂经》,取穴不尽,仍有重取,以此。)
Pingsha (Standard Comparison): This chapter appears in Volume 15, Chapter 59 "Qi Fu Lun" (Discussion on Qi Orifices) of the *Suwen* (Basic Questions), and also in Volumes 3, Chapters 1-22 of the *Jiaying Jing* (Systematic Classic of Acupuncture and Moxibustion), though the textual arrangement differs from this version.
The points where the Qi of the Foot-Taiyang Bladder Meridian emerges number seventy-three: one point at each inner corner of the eyebrows (Zanzhu BL-2, totaling two. Pingsha: The *Suwen* states seventy-eight points. Wang Bing's commentary says: Including the floating and thin Qi that communicates, it should be ninety-three points, not seventy-eight. The points emerging from the main meridians are seventy-eight, and those communicating via floating and thin Qi are fifteen, making up the total. This differs from both the text and Yang Shangshan's annotation in this book.) Two cun into the hairline at the nape, with an interval of half a cun (One cun into the hairline on the forehead, and one cun into the hairline from the nape, hence "two cun into the hairline at the nape." There is also a place with an interval of one and a half cun, hence "half a cun." Pingsha: The *Suwen* has the character "zhi" (to) after "nape," and "two cun interval half cun" is written as "three and a half cun.") Five rows laterally, spaced two cun apart; the floating Qi within the skin comprises five rows (In the *Mingtang Jing*, the lateral spacing is one and a half cun, differing here. The so-called floating Qi refers to the floating Qi of the Foot-Taiyang Bladder Meridian beneath these five rows of points. Pingsha: "Two cun" in the *Suwen* is "three cun." Wang Bing's commentary attributes this to the locations of Dazhu BL-11 and Fengmen BL-12. Lin Yi et al.'s *Xinzhengjiao* state that this refers to the five rows of points mentioned later regarding floating Qi in the skin. Moreover, Dazhu BL-11 is lateral to the first thoracic vertebra, and Fengmen BL-12 is lateral to the second thoracic vertebra; the distance from the hairline exceeds three and a half cun, making the error obvious. Thus, Yang Shangshan's annotation in this book is correct, while Wang Bing's in the *Suwen* is incorrect.) Each row has five points, totaling twenty-five points (These twenty-five points are located on the face and head, entering the hairline one cun above, circulating through high areas. Counting horizontally across the five meridians, there are five locations, each with five points. "Current" refers to Xinhui GV-22 [Note: Text says Yahui, likely a typo for Xinhui or similar midline point], Qian Ding GV-21, Baihui GV-20, Hou Ding GV-17, and Jiangjian GV-19, totaling five. Lateral to the Du Meridian, the Foot-Taiyang Bladder Meridian has Wuchu BL-3, Chengguang BL-38, Tongtian BL-37, Luoque BL-36, and Yuzhen BL-9, totaling ten on both sides. Lateral to the Foot-Taiyang Bladder Meridian, the Foot-Shaoyang Gallbladder Meridian has Linqi GB-15, Mucuang GB-14, Zhengying GB-13, Chengling GB-12, and Naokong GB-20, totaling ten on both sides. Since the Taiyang Meridian is the general leader of the two Yang meridians, all these points are governed by the Taiyang, totaling twenty-seven. Pingsha: In the annotation, "Yahui" in the *Suwen* and *Jiaying Jing* is written as "Xiahui"; the character "Ya" is likely an ancient form of "Xin".) One point on each side of the large tendon in the middle of the neck (Tianzhu BL-10 on both sides, totaling twenty-nine points.) One point on each side of Fengfu GV-16 (Tianyou TE-16 on both sides, totaling thirty-one points. Pingsha: In the annotation, Tianyou TE-16 in the *Suwen* Wang Bing commentary is written as Fengchi GB-20. *Xinzhengjiao* states: According to the *Jiaying Jing*, Fengchi GB-20 is the intersection of the Foot-Shaoyang Gallbladder Meridian and the Yangwei Mai, not emitted by the Foot-Taiyang Bladder Meridian. This annotation adds six points—Dazhu BL-11, Fengmen BL-12, and Fengchi GB-20—to the count of ninety-three, exceeding the total.) From the sides of the spine down to the coccyx, over twenty-one segments and fifteen intervals, there is one point in each interval (From Dazhu GV-14 down to the coccyx, over twenty-one segments and fifteen intervals, there is one Shu point on each side of the interval, totaling thirty Shu points, and sixty-one points overall. Pingsha: In the *Suwen*, "xia ji" (beside the spine) is written as "xia bei" (beside the back); "kao" (coccyx) has the character "wei" (tail) added; "ge you yi" (each has one) is written as "ge yi". Wang Bing's commentary states: For "one in each of the fifteen intervals," the current *Zhonggao Kongxue Tujing* retains thirteen points, totaling twenty-six on both sides: Fufen BL-43, Pohu BL-42, Shen Tang BL-44, Ge Guan BL-47, Hun Men BL-48, Yang Gang BL-49, Yi She BL-50, Wei Cang BL-51, Huang Men BL-52, Zhi Shi BL-53, Baohuang BL-54, and Zhizhong BL-55. The *Jiaying Jing* records points from the second thoracic vertebra, three cun lateral to the spine, down to the twenty-first vertebra, totaling twenty-six points lateral to the spine. The point names from Fufen BL-43 downwards match Wang Bing's commentary. However, the *Jiaying Jing* starts from the second thoracic vertebra, whereas this book's annotation starts from Dazhu GV-14, creating a discrepancy. Furthermore, the text says "one in each of the fifteen intervals," and Yang's annotation says "one Shu point on each side of the fifteen intervals," which aligns with the text, but unfortunately does not detail the point names.) Six points from Weizhong BL-40 down to the side of the little toe (From the little toe up to Weizhong BL-40, there are twelve points on both sides including Jing-River-Stream-Source-He-Sea points, totaling seventy-three points. Pingsha: The *Suwen* adds twelve characters before Weizhong: "Five Shu points of the Zang organs each five, Six Shu points of the Fu organs each six." The character "ge" (each) is added before "liu shu" (six points).)
The points where the Qi of the Foot-Shaoyang Gallbladder Meridian emerges number fifty-two: two points at each upper corner of the head (Tenchong GB-9 and Qubin GB-7 on both sides, totaling four points. Pingsha: Fifty in the *Suwen* is written as sixty.) One point at the upper front corner of each ear (Hanyan GB-7 on both sides, totaling six points. Pingsha: The *Suwen* adds eight characters before "ear": "Five points inside the hairline directly above the eyes." Yuan Ke mistakenly printed Hanyan as Lingyan.) One point for Keyzhu-ren (Shangguan GB-3 on both sides, totaling eight points. Pingsha: Before Keyzhu-ren, the *Suwen* adds eleven characters: "One below the lower front corner of the ear, one below each sharp hair.") One point for Xiaguan ST-7 (Xiaguan ST-7 at the temporal artery in front of the ear, two points, totaling ten points. Pingsha: Before Xiaguan, the *Suwen* adds six characters: "One in the depression behind each ear.") One point behind the jaw below the ear (Daying ST-4, also known as Suikong, two points, totaling twelve points. Pingsha: In the annotation, Daying ST-4 in the *Suwen* Wang Bing commentary is written as Jiache ST-6.) One point for Quepen LI-15 (Quepen LI-15, also known as Tiangu, two points, totaling fourteen points.) One point three cun below the axilla and one point in each of the eight spaces below the hypochondrium (Three points between three cun below the axilla on both sides: Quanlin GB-9, Zhejin GB-24, and Tianchi GB-1. Three points from the hypochondrium to the eighth intercostal space: Zhangmen LR-13, Weidao GB-26, and Riyue GB-24. These are emitted by the main Qi. Fuai SP-15 and Dahuang SP-15 are not explicitly stated as emitted by the main Qi but are close to the Qi of these three meridians. Daismai GB-26 and Wushu GB-26 are reached by the branch Qi of Shaoyang. One point above, reached by the collateral branch of Shaoyang. Totaling twenty-two points on both sides, and thirty-six points overall. Thus, three cun below the axilla is the hypochondrium, and outside the eight spaces below the hypochondrium is the hip, distinguishing the terms hip and hypochondrium. Pingsha: The *Suwen* does not repeat the character "xia" (below). This annotation totals twenty-two points on both sides, whereas the *Suwen* Wang Bing commentary totals eighteen, excluding the four points of Fuai SP-15 and Dahuang SP-15. The point above is written as Juliao.) One point on each side of the center of the hip pivot (Huantiao GB-30 and Juliao GB-29 on both sides, totaling forty points. Pingsha: In the annotation, Juliao GB-29 is absent in the *Suwen* Wang Bing commentary.) Six points from below the knee to the base of the second toe (Six points of the Foot-Shaoyang Jing-River-Stream-Source-He-Sea points, twelve on both sides, totaling fifty-two points.)
The points where the Qi of the Foot-Yangming Stomach Meridian emerges number sixty-two: three points beside the hairline on the frontal skull (Toutwei ST-8, Benshen ST-4, and Qucha ST-6 on both sides, totaling six points. Pingsha: Sixty-two in the *Suwen* is written as sixty-eight. In the annotation, Benshen ST-4 and Qucha ST-6 in the *Suwen* Wang Bing commentary are written as Xuanlu GB-7 and Yangbai GB-14.) One point in each nasal bone cavity (Qiu, pronounced qu liu fan, means the surface of the nose. Some say it refers to nasal congestion disease, which is incorrect. Quanliao SI-18, two points, totaling eight points. Although the *Mingtang Jing* does not state they emit Qi, the main and branch meridians of the Yangming ascend to tie with the eye system, thus reaching Quanliao SI-18. Pingsha: In the annotation, Quanliao SI-18 in the *Suwen* Wang Bing commentary is written as Sibai ST-2.) One point in each bone cavity of Daying ST-4 (Twenty points on both sides. Pingsha: In the *Suwen*, "bone cavity" is written as "bone kong". Below "each one", the *Suwen* adds "Renying ST-17 each one".) One point in each bone outside Quepen LI-15 (Tiantu CV-22 on both sides, totaling twelve points. Tiantu CV-22 is where the large collateral of the Foot-Yangming Stomach Meridian reaches. Pingsha: In the *Suwen*, there is the character "kong" (empty/cavity) after "bone". In the annotation, Tiantu CV-22 in the *Suwen* is written as Tianchu.) One point in each bone space in the chest (Yizhong refers to Yingchuang ST-16. Two points on both sides, totaling fourteen points. Pingsha: In the annotation, Yingchuang ST-16 on both sides in the *Suwen* Wang Bing commentary includes six points: Qihu ST-1, Kukufang ST-19, Wuyi ST-17, Ruzhong ST-17, Rugen ST-18, and Yingchuang ST-16.) Five points outside Jiuwei CV-15, three cun below the breast, and five points beside the stomach wall (Rugen ST-18, Burong ST-21, Chengman ST-22, Liangmen ST-25, and Guanmen ST-23, totaling ten points on both sides, and twenty-four points overall. Pingsha: In the *Suwen*, "wan" is written as "wan" (upper abdomen). Wang Bing's commentary lacks Rugen ST-18 but includes Taiyi SP-15.) Three points each three cun wide beside the umbilicus (Taiyi SP-15, Rourumen ST-24, and Tianshu ST-25, totaling six points on both sides, and thirty points overall. Pingsha: In the *Suwen* Wang Bing commentary, Taiyi SP-15 is absent, but Wailing ST-29 is present. "Rourou" is written as "Rouroumen". The *Jiaying Jing* agrees.) Six points each two cun below the umbilicus (Wailing ST-29, Taiju ST-42, Shuidao ST-28, Guilai ST-29, Fushé SP-13, and Chongmen SP-12, totaling twelve points on both sides, and forty-two points overall. The points of the Foot-Taiyin Spleen Meridian have no separate count, so they are included in the Yangming. Pingsha: In the *Suwen*, "each six" is written as "each three". Wang Bing's commentary only lists Shuidao ST-28, Taiju ST-42, and Guilai ST-29, lacking Wailing ST-29, Fushé SP-13, and Chongmen SP-12. Checking shows Fushé SP-13 and Chongmen SP-12 belong to the Taiyin, hence the note.) One point for each Qi Street artery (Qi Jie, also known as Qichong ST-30, two points on both sides, totaling forty-four points. Pingsha: In the *Jiaying Jing*, Qi Jie is written as Qichong ST-30.) One point above Futu ST-32 (Biguan ST-31, two points, totaling forty-six points.) Eight points from below Sanli ST-36 to the middle toe of the foot, distributed among the acupoints above (Six points of Jing-River-Stream-Source-He-Sea plus Shangjixu ST-37 and Xiajixu ST-39, totaling sixteen points on both sides, and sixty-two points overall. Shangjixu ST-37 combines with the Large Intestine Meridian of Hand-Yangming, and Xiajixu ST-39 combines with the Small Intestine Meridian of Hand-Taiyang, hence sixteen points on both sides. Pingsha: In the *Suwen*, "fen shang" is written as "fen zhi".)
The points where the Qi of the Hand-Taiyang Small Intestine Meridian emerges number twenty-six points (Thirty was mistakenly written as twenty. Pingsha: Twenty in the *Suwen* is written as thirty.) One point at each inner canthus (Jingming BL-1 on both sides, two points.) One point in each bone cavity below Jugu SI-1 (Jugu SI-1 on both sides, four points. Pingsha: Above Jugu SI-1, the *Suwen* adds eighteen characters: "One outside each eye, one below each nasal bone, one above each ear lobe, one in each ear." Below Jugu SI-1, the *Suwen* lacks the characters "xia gu" (lower bone).) One point in each bone cavity above the elbow crease (Quyuan SI-13 on both sides, six points. Pingsha: In the annotation, Quyuan SI-13 in the *Suwen* Wang Bing commentary is written as Bingfeng Shu.) One point in each depression protruding from the cervical vertebrae (Jianjing GB-21, two points, eight points. Pingsha: In the *Suwen*, "chu xian" (protruding depression) is written as "shang xian" (upper depression).) One point four cun above Tianrong SI-17 (The Foot-Taiyang Bladder Meridian is near Tianrong SI-17, but the Hand-Taiyang Small Intestine Meridian does not reach Tianrong SI-17. It is believed that "Tianrong" is a typo. Unclear where it emits. Eight points on both sides, totaling sixteen points. Pingsha: In the *Suwen*, Tianrong SI-17 is written as Tianchu SI-16. Wang Bing's commentary mentions Tianchu SI-16 and Qiaoyin GB-11, totaling four points. This annotation suspects "Tianrong" is a typo. Examining the *Jiaying Jing*, Tianchu SI-16 is emitted by the Hand-Taiyang Small Intestine Meridian. Based on this, "Tianrong" is indeed a mistake for "Tianchu".) One point at each shoulder joint (Bingfeng SI-12 on both sides, eighteen points.) One point three cun below each shoulder joint (Tianzong SI-11, Naoshu SI-14, and Jianzhen SI-9 on both sides, totaling six points, and twenty-four points overall. Pingsha: The *Suwen* lacks the character "zhe" (those). Wang Bing's commentary has Tianzong SI-11 but lacks Naoshu SI-14 and Jianzhen SI-9.) Six points from the elbow down to the base of the little finger of the hand (Six points, twelve on both sides, totaling thirty-six points. Pingsha: The *Suwen* lacks the character "yu" (to).)
The points where the Qi of the Hand-Yangming Large Intestine Meridian emerges number twenty-two points: One point at the outer edge of the nasal cavity and one point on the neck (Yingxiang LI-20 and Tianchu SI-16, four points on both sides. Tianchu SI-16 is close to the Large Intestine Luo-connecting vessel, thus receiving its Qi. Pingsha: In the *Suwen*, "bi xue" (nasal cavity) is written as "bi kong" (nasal empty space). "Ge you yi" (each has one) is written as "ge you er" (each has two). The *Suwen* Wang Bing commentary has Futu LI-18 but lacks Tianchu SI-16.) One point in the bone cavity of Daying ST-4 (Daying ST-4 on both sides, six points.) One point at the intersection of the cervical vertebrae (Cervical vertebrae on both sides, eight points. Ascending from the intersection of the cervical vertebrae, descending into the Quepen area, passing these two points, thus receiving its Qi. Pingsha: In the annotation, the two cervical vertebrae points in the *Suwen* Wang Bing commentary are written as Tianding LI-16.) One point at the intersection of the Yu valley (Jianyu LI-15, ten points. Pingsha: In the *Suwen*, "Yu" is written as "Gao".) Six points from the elbow down to the base of the index finger of the hand (Six points below the elbow, twelve on both sides, totaling twenty-two points. Pingsha: The *Suwen* Wang Bing commentary includes Sanli LI-10 but omits Quchi LI-11. The *Xinzhengjiao* has already identified this as an error.)
The points where the Qi of the Hand-Shaoyang Sanjiao Meridian emerges number thirty-three points: One point below each nasal bone (Quanliao SI-18, two points. Pingsha: Thirty-three in the *Suwen* is written as thirty-two. In the annotation, Quanliao SI-18 is written as Quanliao.) One point at the root of each eyebrow (Sizhukong SJ-23 on both sides, four points. Pingsha: In the *Suwen*, "Meiben" (eyebrow root) is written as "Meihou" (behind the eyebrow).) One point at each upper corner (Hanyan GB-7 on both sides, six points. Pingsha: In the annotation, Hanyan GB-7 in Yuan Ke's edition is mistakenly printed as Lingyan. In the *Suwen* Wang Bing commentary, it is written as Xuanli GB-6.) One point behind each lower complete bone (Tianrong SI-17 on both sides, eight points. Pingsha: In the *Suwen* Wang Bing commentary, Tianrong SI-17 is written as Tianyou TE-16.) One point in the middle of the neck, anterior to the Foot-Taiyang (Dazhu GV-14 and Dazhu BL-11, one central and two lateral points, totaling eleven points. Pingsha: In the annotation, the three points of Dazhu GV-14 and Dazhu BL-11 in the *Suwen* Wang Bing commentary are written as Fengchi GB-20.) One point for Futu LI-18 (Futu LI-18 on both sides, thirteen points. Futu LI-18 is close to the Hand-Shaoyang Sanjiao Meridian. Pingsha: Above Futu LI-18, the *Suwen* has the character "xia" (beside). In the annotation, the two points of Futu LI-18 in Wang Bing's commentary are said to be Tianchu SI-16.) One point for Jianzhen SI-9 (Jianzhen SI-9 on both sides, fifteen points.) One point in each gap three cun below Jianzhen SI-9 (Jianliao TE-14, Huizong TE-3, and Xiaoluo TE-7, six points on both sides, totaling twenty-one points. Jianliao TE-14 and Huizong TE-3 are close to the Hand-Shaoyang Sanjiao Meridian. Pingsha: In the annotation, Jianliao TE-14 in the *Suwen* Wang Bing commentary is written as Jianyu LI-15. Xiaoluo TE-7 in Yuan Ke's edition is printed as Xiaoshuo.) Six points from the elbow down to the base of the ring finger of the hand (Six points, twelve on both sides, totaling thirty-three points. Another version says twenty-eight, indicating a numerical discrepancy, suspected to be an error.)
The points where the Qi of the Du Mai (Governor Vessel) emerges number twenty-six points: Three points in the center of the neck (The center of the neck refers to the interior of the neck, not just the midline. Descending internally from the neck: Yinmen CV-23 is one, Tianzhu BL-10 is two, totaling three. Ascending: Fengfu GV-16 is one, Fengchi GB-20 is two, totaling three. Altogether six points. The Du Mai enters Fengchi GB-20, confirming this. Pingsha: Twenty-six in the *Suwen* is written as twenty-eight. "Center three" is written as "center two", followed by eight characters: "Eight behind the hairline, three in the center of the face.") One point in each of the twenty intervals from Dazhu GV-14 down to the coccyx; there are twenty-one segments below the tail, following the spinal method (Di, pronounced zhu shi fan, refers to the lowest bone of the tail in this text. From Dazhu GV-14 to the di, there are twenty-one segments and twenty intervals, with one point in each interval, totaling twenty-six points. The *Mingtang Jing* states from Duiduan CV-26 up to the neck, down to Yinmen CV-23, there are thirteen points. From Dazhu GV-14 down to Changqiang GV-1 at the di bone, there are twenty-one segments and eleven points, totaling twenty-four points emitted by the Du Mai Qi. This differs from the current text, and the reason is unknown. Pingsha: In the *Suwen*, below "down to kao" (coccyx), the six characters "twenty jie jian ge you yi" (one in each of the twenty intervals) are missing, and seven characters "wei ji pang shi wu xue zhi" (tail and sides fifteen points to) are present.)
The points where the Qi of the Ren Mai (Conception Vessel) emerges number eighteen points: Two points in the center of the throat (Lianquan CV-23 and Tantu CV-22. Pingsha: In the *Suwen*, eighteen is written as twenty-eight. Below "center two", there are seven characters: "One in the center of the bone limit of the chest.") Three cun below Jiuwei CV-15, five cun below the stomach wall, and one point per cun from the stomach wall down to Henggu CV-11 over eight cun, following the abdominal meridian method (From Jiuwei CV-15 down to Henggu CV-11 is one chi six cun, with one point per cun, totaling sixteen points. Adding the previous eighteen points... The *Mingtang Jing* states that the central Ren Mai Qi-emitting points total twenty-six. This text, from Xuanji CV-15 down to Tingzhong CV-17, totals [missing character] points. Although this text emits points from Xuanji CV-15 down to Henggu CV-11, the measurement in cun differs from the *Mingtang Jing*, and the reason is unknown. Pingsha: In the *Suwen*, "wei wan" is written as "wei wan" (stomach upper abdomen), "ba cun" is written as "liu cun" (six cun), and "yi yi" is written as "ban yi" (half one).)
Each of the Five Zang Shu points has five points, totaling fifty points. One point for the Foot-Shaoyin Kidney Meridian under the tongue, and one point for the Jueyin Jimai LV-1 in the pubic hair region (The Five Zang Shu points number twenty-five. Discussing both sides together yields fifty. The Foot-Shaoyin Kidney Meridian has one point under the tongue, which also differs from the *Mingtang Jing*. The Jueyin Jimai LV-1 is likely the same bone, hence five points. Pingsha: The *Suwen* lacks the ten characters "Wu Zang zhi shu ge wu fan wu shi xue" (Five Zang Shu points each five, total fifty points). Instead, it has fifty-one characters above "Foot-Shaoyin": "One below the yin separation, one below each eye, one below the lip, one at Yinjiao CV-24. The points emitted by the Chong Mai (Penetrating Vessel) number twenty-two: One per cun from half cun lateral to Jiuwei CV-15 to the umbilicus, one per cun from five fen lateral below the umbilicus to Henggu CV-11, following the abdominal meridian method.")
One point for the Hand-Shaoyin Heart Meridian, one point for the Yin Qiao and one for the Yang Qiao, and the points emitted by the fishy areas of the hands and feet, totaling three hundred and sixty-five points (Two points for the Hand-Shaoyin Heart Meridian on both sides. Zhao Hai KI-6 is generated by the Yin Qiao, and Shen Mai BL-6 originates from the Yang Qiao, totaling four points on both sides. The fishy areas of the hands and feet, along with Taibai SP-3 of the Foot-Taiyin Spleen Meridian, total ten points. The twenty-six meridians total three hundred and eighty-four points. When this text says three hundred and sixty-five points, it uses a round number; being slightly over or under is not incorrect. The three hundred and eighty-four points represent the meaning of points emitted by all meridians. If referring to the *Mingtang Jing*, the points taken are incomplete, and some are double-counted, hence this figure.)