,从胛骨之里,去胛容侧指许,摩KT 去表肋间空处,按之自觉牵引于肩中,灸两胛中一
处至百壮,多至五百壮,当觉下咙咙似流水之状,亦当有所下出,若得痰疾,则无所不下也,
如病患已困不能正坐,当令侧卧,挽上臂令前,取穴灸之,又以右手从左肩上住,指头所不
及者,是穴也,左取亦然,乃以前法灸之,若不能久坐,当伸两臂,令人挽两胛骨使相离,
不尔,即胛骨复其穴,灸之无验,此灸讫后,令人阳气康盛,当消息以自补养,论曰∶昔在
和缓不救晋侯之疾。以其在膏之上肓之下,针药不能及,即此穴是也。
神堂二穴,在第五椎下,两旁相去各三寸,正坐取之,足太阳脉气所发。治肩痛胸腹满
,洒淅寒热,背脊强急,可灸五壮,针入三分。
二穴,在肩 内廉挟第六椎下,两旁相去各三寸,正坐取之,足太阳脉气所发。以
手痛按之,病者言 ,针入六分,留三呼,泻五吸,治腋拘挛暴脉急引胁痛,热病汗不
出,温疟肩背痛,目眩鼻衄,喘逆腹胀,肩 内廉痛不得俯仰,可灸二七壮,至百壮止。
膈关二穴,在第七椎下,两旁相去各三寸陷中,正坐取之,足太阳脉气所发,治背痛恶
寒,脊强俯仰难,食饮不下,呕哕多涎唾,胸中噎闷,可灸五壮,针入五分。
魂门二穴,在第九椎下,两旁相去各三寸陷中,正坐取之,足太阳脉气所发,治食饮不
下,腹中雷鸣,大便不节,小便赤黄,可灸三壮,针入五分。
阳纲二穴,在第十椎下,两旁相去各三寸陷中,正坐取之,足太阳脉气所发,治腹满
胀,大便泄利,小便赤涩,身热目黄,可灸三壮,针入五分。
意舍二穴,在第十一椎下,两旁相去各三寸陷中,正坐取之,足太阳脉气所发,治腹满
虚胀,大便滑泄,背痛恶风寒,食饮不下,呕吐不止,消渴目黄,可灸五十壮,至一百壮,
针入五分。
胃仓二穴,在第十二椎下,两旁相去各三寸,足太阳脉气所发。治腹内虚胀水肿,饮食
不下,恶寒背脊不得俯仰,可灸五十壮,针入五分。
肓门二穴,在第十三椎下,两旁相去各三寸叉肋间,与鸠尾相直。治心下大坚,妇人乳
有余疾,可灸三十壮,针入五分。
志室二穴,在第十四椎下,两旁相去各三寸陷中,足太阳脉气所发。治腰脊强痛,食饮
不消,腹中坚急,阴痛下肿失精,小便淋沥,针入五分,可灸三壮。
胞肓二穴,在第十九椎下,两旁相去各三寸陷中,伏而取之,足太阳脉气所发。治腰痛
恶寒,少腹坚急,癃闭下重,不得小便涩痛,腰背猝痛,可灸五七壮,针入五分。
秩边二穴,在第二十椎下,两旁相去各三寸陷中,伏而取之,足太阳脉气所发。治腰痛
不能俯仰,小便赤涩,腰尻重不能举,五痔发肿,针入五分,可灸三壮。
承扶二穴,一名肉 ,一名阴关,一名皮部,在尻臀下股阴冲上纹中。治腰脊相引如解
,久痔尻 肿,大便难,阴胞有寒,小便不利,针入七分。
殷门二穴,在肉 下六寸。治腰脊不可俯仰,举重恶血注之股外肿,针入七分,
浮 二穴,在委阳上一寸,展膝得之。治小肠热,大肠结,股外经筋急,髀枢不仁,可
灸三壮,针入五分。
委阳二穴,三焦下辅 也,在足太阳之后,出于 中外廉两筋间,屈伸取之,承扶下六
寸,足太阳脉之中。治腋下肿痛,胸满膨膨,筋急身热,飞尸遁注,痿厥不仁,小便淋沥,
可灸三壮,针入七分。
委中二穴,土也,在 中央约纹中动脉,足太阳脉之所入也,为合。治腰挟脊沉沉然,
遗溺,腰重不能举体,风痹髀枢痛,宜出血痼疹皆愈,委中者,血 也,热病汗不出,足热
厥逆满,膝不得屈伸,取其经血立愈。
合阳二穴,在膝约纹中央下二寸。治腰脊强引腹痛,阴股热,膝 酸重履岁难,寒疝阴
偏痛,女子经血暴脱,针入六分,可灸五壮。
承筋二穴,一名 肠,一名直肠,在 肠中央陷中。治寒痹转筋,肢肿大便难,脚 酸
重,引少腹痛,鼻鼽衄,腰背拘急,霍乱,可灸三壮,禁针。
承山二穴,一名鱼腹,一名肉柱,在兑 肠下分肉之间陷中,治腰背痛,脚 重战栗不
能立,香港脚膝下肿,霍乱转筋,大便难久痔肿痛,可灸五壮,针入七分。
飞扬二穴,一名厥阳,足太阳络别走少阴,在外踝上七寸,治血痔历节风,足趾不得屈
伸,头目眩,逆气鼽衄,癫疾寒疟,可灸三壮,针入三分。
付阳二穴,在足外踝上三寸,阳跷隙,太阳前少阳后筋骨间,治痿厥风痹,头重 痛,
髀枢股 痛,螈 风痹不仁,时有寒热,四肢不举,可灸三壮,针入五分,留七呼。
昆仑二穴,火也,在足外踝后跟骨上陷中,足太阳脉之所行也,为经,治腰尻痛,足
肿不得履也,鼽衄,脚如结,踝如裂,头痛肩背拘急,咳喘暴满,阴肿痛,小儿发痫螈
,炷如小麦大,可灸三壮,针入五分。
仆参二穴,一名安邪,在跟骨下陷中,拱足得之,治足跟痛不得履地,脚痿转筋,尸厥
如中恶状,霍乱吐逆,癫痫狂言见鬼,针入三分,可灸七壮。
申脉二穴,阳跷脉所出,在外踝下陷中,容爪甲肉际,治腰痛不能举体,足 寒不能久
立,坐若在舟车中,癫疾针入三分。
金门二穴,一名关梁,在足外踝外,足太阳之隙,阳维所别属也,治霍乱转筋,膝 酸
,身战不能久立,癫痫尸厥暴疝,小儿发痫,张口摇头,身反折,可灸三壮,炷如小麦大
,针入一分。
京骨二穴,在足外侧大骨下,赤白肉际陷中,足太阳脉之所过也,为原,治膝痛不得屈
伸,目内 赤烂,疟寒热,善惊不欲食,筋挛足 酸,髀枢痛,颈项强,腰背不可俯仰,鼽
衄血不止,目眩,针入三分,可灸七壮。
束骨二穴,木也,在足小趾本节后陷中,足太阳脉所注也,为俞,治腰如折, 如结,
耳聋恶风寒,目眩项不可回顾,目内 赤烂,可灸三壮,针入三分。
通谷二穴,水也,在足小趾外侧本节前陷中,足太阳脉之所流也,为荥,治头重目眩,
善惊引,鼽衄,颈项痛,目 ,甄权曰∶结积留饮,胸满食不化,可灸三壮,针入二分。
至阴二穴,金也,在足小趾外侧,去爪甲角如韭叶,足太阳脉之所出也,为井,治目生
翳,鼻塞头重,风寒从足小趾起,脉痹上下带胸胁痛无常,转筋,寒疟汗不出烦心,足下热
,小便不利失精,针入二分,可灸三壮。
凡此足太阳之脉,常多血少气,刺之当出血恶气,其经从头走足,审其经脉,明其逆顺
,而迎随之,以行补泻,气盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛
不虚,以经取之,此治足太阳之法也。
(Continuing from the previous text) From the medial side of the scapula, approximately one finger's breadth away from the lateral edge of the scapula, in the empty space between the ribs. Pressing here produces a sensation of traction extending to the shoulder. Moxibustion applied at this point on both sides should be one hundred *zhuang* (cone-shaped moxa cones), up to five hundred *zhuang*. One should feel a gurgling sound in the lower abdomen resembling flowing water, and pathological products may be discharged. If the patient suffers from phlegm-rheum diseases, all pathogenic factors can be expelled. If the patient is too weak to sit upright, they should lie on their side, with the upper arm drawn forward to expose the acupoint for moxibustion. Alternatively, use the right hand to press down above the left shoulder; the spot where the fingertips cannot reach is the acupoint. The method for the left side is the same. Proceed with moxibustion as described above. If the patient cannot sit for long, extend both arms and have someone pull the two scapulae apart to separate them; otherwise, the scapulae will cover the acupoint, rendering the moxibustion ineffective. After this moxibustion treatment, the body's Yang Qi recovers and becomes vigorous. One should adjust and nourish oneself according to their condition. It is stated: In ancient times, the renowned physician He Huan failed to cure the Marquis of Jin because the disease was located "above the膏 (gāo, fat/epicardium) and below the肓 (huáng, diaphragm/mesentery)," where needles and herbs could not reach. This refers to this very acupoint.
Shentang (BL44) [Two points]: Located three cun lateral to the lower border of the spinous process of the fifth thoracic vertebra. Take in a sitting position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. They treat shoulder pain, fullness in the chest and abdomen, aversion to cold with fever, and stiffness and rigidity of the back and spine. Moxibustion: five *zhuang*; Acupuncture: insert 0.5 cun.
[Note: Original text lacks specific name, context implies a Back-Shu or adjacent point] [Two points]: Located three cun lateral to the lower border of the spinous process of the sixth thoracic vertebra, along the medial border of the scapula. Take in a sitting position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Press with hand until painful; the patient feels soreness. Acupuncture: insert 0.6 cun; retain needle for three breaths; apply reducing method during five inhalations. Treat axillary spasm, sudden urgency of meridians with牵引 (traction/pain) to the hypochondrium, heat diseases with no sweat, warm malaria with shoulder and back pain, dizziness, epistaxis, asthma and rebellious Qi, abdominal distension, and pain in the medial aspect of the scapula preventing flexion and extension. Moxibustion: 14 *zhuang* up to 100 *zhuang*.
Geguan (BL45) [Two points]: Located three cun lateral to the lower border of the spinous process of the seventh thoracic vertebra, in the depression. Take in a sitting position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat back pain, aversion to cold, spinal rigidity, difficulty in flexion and extension, dysphagia, vomiting and hiccups, excessive salivation, and stifling sensation in the chest. Moxibustion: five *zhuang*; Acupuncture: insert 0.5 cun.
Hunmen (BL47) [Two points]: Located three cun lateral to the lower border of the spinous process of the ninth thoracic vertebra, in the depression. Take in a sitting position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat dysphagia, borborygmus (intestinal rumbling), fecal incontinence, and dark yellow urine. Moxibustion: three *zhuang*; Acupuncture: insert 0.5 cun.
Yanggang (BL48) [Two points]: Located three cun lateral to the lower border of the spinous process of the tenth thoracic vertebra, in the depression. Take in a sitting position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat abdominal distension, diarrhea, dark and scanty urination, fever, and jaundice. Moxibustion: three *zhuang*; Acupuncture: insert 0.5 cun.
Yishe (BL49) [Two points]: Located three cun lateral to the lower border of the spinous process of the eleventh thoracic vertebra, in the depression. Take in a sitting position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat abdominal distension and false fullness, loose stools, back pain with aversion to wind and cold, dysphagia, persistent vomiting, thirst (Xiao Ke), and jaundice. Moxibustion: 50 to 100 *zhuang*; Acupuncture: insert 0.5 cun.
Weicang (BL50) [Two points]: Located three cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat internal abdominal false fullness and edema, dysphagia, aversion to cold, and inability to flex and extend the back and spine. Moxibustion: 50 *zhuang*; Acupuncture: insert 0.5 cun.
Huangmen (BL52) [Two points]: Located three cun lateral to the lower border of the spinous process of the thirteenth thoracic vertebra, in the intercostal spaces, directly opposite Jiutui (CV15). Treat large hardness below the heart (epigastrium), and residual disorders of breast diseases in women. Moxibustion: 30 *zhuang*; Acupuncture: insert 0.5 cun.
Zhishi (BL53) [Two points]: Located three cun lateral to the lower border of the spinous process of the fourteenth thoracic vertebra, in the depression. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat stiffness and pain of the waist and spine, indigestion, hardness and urgency in the abdomen, genital pain, lower limb swelling, seminal emission, and dribbling urination. Acupuncture: insert 0.5 cun; Moxibustion: three *zhuang*.
Baohuang (BL54) [Two points]: Located three cun lateral to the lower border of the nineteenth thoracic vertebra, in the depression. Take in a prone position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat back pain with aversion to cold, hardness and urgency in the lower abdomen, strangury with heaviness, difficult and painful urination, and sudden pain of the waist and back. Moxibustion: 5 to 15 *zhuang*; Acupuncture: insert 0.5 cun.
Zhibian (BL54) [Two points]: Located three cun lateral to the lower border of the twentieth thoracic vertebra, in the depression. Take in a prone position. These are points where the Qi of the Foot-Taiyang Bladder Meridian emerges. Treat back pain preventing flexion and extension, dark and scanty urination, heaviness of the waist and sacrum preventing lifting, and swelling due to the onset of five types of hemorrhoids. Acupuncture: insert 0.5 cun; Moxibustion: three *zhuang*.
Chengfu (BL36): Also known as Rouxi (BL36 alias), Yinguany (BL36 alias), and Pibu (BL36 alias). Located in the center of the gluteal fold. Treat back and spine pain as if dislocating, chronic hemorrhoids with anal swelling, difficulty in defecation, cold in the yin organs, and difficult urination. Acupuncture: insert 0.7 cun.
Yinmen (BL37): Located six cun below Chengfu (BL36). Treat inability to flex and extend the back and spine, and swelling of the outer thigh due to evil blood accumulation after heavy lifting. Acupuncture: insert 0.7 cun.
Fuxi (BL59): Located one cun above Weiyang (BL39); find by extending the knee. Treat heat of the Small Intestine, constipation of the Large Intestine, tension of the tendons in the lateral thigh, and numbness of the hip joint. Moxibustion: three *zhuang*; Acupuncture: insert 0.5 cun.
Weiyang (BL39): The lower auxiliary point of the Sanjiao (Triple Burner). Located posterior to the Foot-Taiyang Bladder Meridian, emerging between the two tendons in the lateral aspect of the popliteal fossa. Find by flexing and extending the leg. Located six cun below Chengfu (BL36), within the Foot-Taiyang Bladder Meridian. Treat swelling and pain in the axilla, chest fullness and distension, tendon tension with fever, Feishi Dunzhu (flying corpse and遁注 - acute wandering pain syndromes), flaccidity and厥逆 (cold extremities) with numbness, and dribbling urination. Moxibustion: three *zhuang*; Acupuncture: insert 0.7 cun.
Weizhong (BL40): Element Earth. Located in the center of the transverse crease of the popliteal fossa, in the artery. The point where the Qi of the Foot-Taiyang Bladder Meridian enters; it is the He-Sea point. Treat heaviness in the back flanking the spine, enuresis, heavy waist unable to lift the body, Bi syndrome (painful obstruction) with hip pain. Bloodletting is indicated; stubborn rashes will heal. Weizhong is the Xue-Xi (Blood Collection) point. Treat heat diseases with no sweat, heat in the feet, cold extremities with fullness, and knee inability to flex and extend. Taking blood from this meridian leads to immediate recovery.
Heyang (BL57): Located two cun below the center of the popliteal crease. Treat stiffness of the back and spine with牵引 (traction) to abdominal pain, heat in the medial thigh, soreness and heaviness in the knees making walking difficult, cold Hernia with unilateral genital pain, and sudden depletion of menstrual blood in women. Acupuncture: insert 0.6 cun; Moxibustion: five *zhuang*.
Chengjin (BL56): Also known as Chuanchang (BL56 alias) and Zhichang (BL56 alias). Located in the center of the depression of the belly of the gastrocnemius muscle. Treat cold Bi syndrome with tetanic convulsions, limb swelling, difficulty in defecation, soreness and heaviness in the feet,牵引 (traction) to lower abdominal pain, rhinitis and epistaxis, stiffness of the back, and Huoluan (cholera-like syndrome). Moxibustion: three *zhuang*; Acupuncture is contraindicated.
Chengshan (BL57): Also known as Yufu (BL57 alias) and Ruzhu (BL57 alias). Located in the depression between the muscles below the belly of the gastrocnemius. Treat back and waist pain, heaviness and trembling of the feet preventing standing, Hongji Jiao (foot qi disease) with swelling below the knees, Huoluan with convulsions, difficulty in defecation, and chronic hemorrhoids with swelling and pain. Moxibustion: five *zhuang*; Acupuncture: insert 0.7 cun.
Feiyang (BL58): Also known as Jueyang (BL58 alias). The Luo-Connecting point of the Foot-Taiyang Bladder Meridian, diverging to the Foot-Shaoyin Kidney Meridian. Located seven cun above the external malleolus. Treat bloody hemorrhoids, Li Jie Feng (rheumatoid arthritis-like condition), inability to flex and extend toe joints, dizziness of head and eyes, rebellious Qi with rhinitis and epistaxis, epilepsy, and cold malaria. Moxibustion: three *zhuang*; Acupuncture: insert 0.3 cun.
Fuyang (BL59): Located three cun above the external malleolus, in the gap of the Yang Qiao Mai (Yang Linking Vessel), between the tendons and bones anterior to the Foot-Taiyang and posterior to the Foot-Shaoyang meridians. Treat Wei Jue (flaccidity and cold extremities), Feng Bi (wind Bi syndrome), heavy head and headache, pain in the hip and thigh, spasms and Feng Bi with numbness, intermittent chills and fever, and inability to raise the limbs. Moxibustion: three *zhuang*; Acupuncture: insert 0.5 cun; retain needle for seven breaths.
Kunlun (BL60): Element Fire. Located in the depression behind the external malleolus, above the calcaneus. The pathway of the Qi of the Foot-Taiyang Bladder Meridian; it is the Jing-River point. Treat pain of the waist and sacrum, foot swelling preventing walking, rhinitis and epistaxis, feet feeling bound, ankles feeling torn, headache, stiffness of shoulders and back, sudden cough and asthma with fullness, genital swelling, and infantile epilepsy with spasms. Moxa cone size like a wheat grain; Moxibustion: three *zhuang*; Acupuncture: insert 0.5 cun.
Pucan (BL61): Also known as Anxie (BL61 alias). Located in the depression below the calcaneus; find by arching the foot. Treat heel pain preventing standing, foot flaccidity with convulsions, Shi Jue (corpse syncope) resembling severe poisoning, Huoluan with vomiting and reversal, and epilepsy with wild speech and hallucinations. Acupuncture: insert 0.3 cun; Moxibustion: seven *zhuang*.
Shenmai (BL62): The point of origin for the Yang Qiao Mai (Yang Linking Vessel). Located in the depression below the external malleolus, at the junction of the nail and flesh. Treat back pain preventing lifting the body, cold feet preventing prolonged standing, dizziness when sitting in boats or carriages, and epilepsy. Acupuncture: insert 0.3 cun.
Jinmen (BL63): Also known as Guanliang (BL63 alias). Located on the lateral side of the external malleolus, in the gap of the Foot-Taiyang Bladder Meridian; it is where the Yang Wei Mai (Yang Linking Vessel) branches off. Treat Huoluan with convulsions, knee soreness, body trembling preventing prolonged standing, epilepsy, Shi Jue, sudden Hernia, infantile epilepsy, open mouth and shaking of the head, and opisthotonos. Moxibustion: three *zhuang*, moxa cone size like a wheat grain; Acupuncture: insert 0.1 cun.
Jinggu (BL64): Located below the large bone on the lateral side of the foot, in the depression at the junction of red and white skin. The pathway of the Qi of the Foot-Taiyang Bladder Meridian; it is the Yuan-Source point. Treat knee pain preventing flexion and extension, redness and ulceration of the inner canthus, malaria with chills and fever, fearfulness and anorexia, tendon spasms with foot soreness, hip pain, neck and nape stiffness, inability to flex and extend back and waist, continuous epistaxis, and dizziness. Acupuncture: insert 0.3 cun; Moxibustion: seven *zhuang*.
Shugu (BL65): Element Wood. Located in the depression distal to the metatarsophalangeal joint of the fifth toe. The point where the Qi of the Foot-Taiyang Bladder Meridian pours; it is the Shu-Stream point. Treat back pain as if broken, feet feeling bound, deafness, aversion to wind and cold, dizziness, inability to turn the head, and redness/ulceration of the inner canthus. Moxibustion: three *zhuang*; Acupuncture: insert 0.3 cun.
Tonggu (BL66): Element Water. Located in the depression proximal to the metatarsophalangeal joint on the lateral side of the fifth toe. The point where the Qi of the Foot-Taiyang Bladder Meridian flows; it is the Ying-Spring point. Treat heavy head and dizziness, fearfulness with retraction, rhinitis and epistaxis, neck and nape pain, and blurred vision. Zhen Quan said: Treat accumulation of retained fluids, chest fullness, and indigestion. Moxibustion: three *zhuang*; Acupuncture: insert 0.2 cun.
Zhiyin (BL67): Element Metal. Located on the lateral side of the fifth toe, approximately the width of a leek leaf from the corner of the toenail. The point where the Qi of the Foot-Taiyang Bladder Meridian exits; it is the Jing-Well point. Treat corneal opacity, nasal congestion with heavy head, wind-cold starting from the fifth toe, Mai Bi (meridian obstruction) with unpredictable pain radiating to the chest and hypochondrium, convulsions, cold malaria with no sweat and irritability, heat in the soles, difficult urination, and seminal emission. Acupuncture: insert 0.2 cun; Moxibustion: three *zhuang*.
Regarding the Foot-Taiyang Bladder Meridian, it typically has abundant blood and scarce Qi. When needling, one should discharge evil blood. The meridian runs from the head to the feet. Examine the meridian, clarify its direction (reverse or smooth), and apply following or opposing techniques to perform tonification or sedation. If Qi is excess, use sedation; if deficient, use tonification. For heat conditions, needle quickly without retention; for cold conditions, retain the needle. If the pulse is sunken/depressed, use moxibustion. If neither excess nor deficient, treat using the meridian itself. This is the method for treating the Foot-Taiyang Bladder Meridian.