一、少泽(井穴)
部位 在小指之端。去爪甲下一分陷中。
证治 疟。寒热。汗不出喉痹。舌强。口干。心烦。臂痛。螈 。咳嗽。颈项急不可
顾。目生肤翳覆瞳子。
针灸 针入一分。可灸一壮。
按∶少泽井金。乃手少阴交手太阳之起穴。心乃五脏六腑之主。合于小肠。山泽通气。一手
小指而两井穴出其内外。心井曰少冲。小肠井曰少泽。
二、前谷(荥穴)
部位 在小指外侧本节之前陷中。
证治 热病汗不出。 疟。癫疾。耳鸣颔肿喉痹。咳嗽衄血。颈项痛。鼻塞不利。目中
白翳。臂不得举。
针灸 针入一分。可灸一壮。
按∶前谷荥水穴。乃手太阳脉之所溜。在小指本节前。故称前谷。
三、后溪(俞穴)
部位 在小指外侧本节后陷中。握掌取之。
证治 疟寒热。目赤生翳。鼻衄。耳聋。胸满。头项强不得回顾。癫疾臂肘挛急。
针灸 针入一分。可灸一壮。
按∶后溪俞木穴。乃手太阳脉之所注。在手小指本节之后。掘掌视之。较前谷高起。
故称后溪穴。内通督脉。乃灵龟八穴之一。照开时针之。可针六分或八分。
四、腕骨(原穴)
部位 在手外侧。腕前起骨下陷中。
证治 热病汗不出。胁下痛。不得息。颈颔肿。寒热。耳鸣。目冷泪生翳。狂惕偏枯。
臂肘不得屈伸。 疟头痛烦闷。惊风螈 。五指掣。
针灸 针入二分。留三呼。可灸三壮。
按∶腕骨乃手太阳脉所过之原穴。手外侧腕前一小骨。手常屈伸转侧。则此骨宛转。
穴在骨稍前故名腕骨穴。继起针灸家更名起骨。以免与穴名混同。亦可。
五、阳谷(经穴)
部位 在手外侧腕中兑骨之下陷中。
证治 癫疾狂走。热病汗不出。胁痛。颈颔肿。寒热。耳聋耳鸣。齿龋痛。臂腕外侧痛
不举。妄言左右顾。螈 目眩。
针灸 针入二分。留二呼。可灸三壮。
按∶阳谷经穴。乃太阳脉之所行。在手外侧腕中。斜上兑骨。则为养老。与腕上手少
阳阳池及大次指两筋间之阳溪穴成一横线。然此穴不如阳溪阳池之宽深。故名阳谷。
六、小海(合穴)
部位 在肘内大骨之外去端半寸陷中。伸臂而得之。
证治 肩 肘臂外后廉痛。寒热。齿龈肿。风眩。颈项痛。疡肿。振寒。肘腋痛肿。小腹痛。四肢不举。
针灸 针入二分。可灸三壮。
按∶小海合穴。乃手太阳小肠脉之所入。合治内府。其脉入缺盆者。络心。循咽。下
膈。抵胃。属小肠。胃为水谷之海。小肠与胃相连缀。故肘内合穴名小海。且手
三阳脉皆起于足。小肠合于巨虚下廉。大肠反合巨虚上廉。盖大肠展转反侧。为
传导之官。小肠乃受盛之官。直趋于下。化物出焉。故合穴反居大肠合穴之下也。
1. Shaose (Jing-Well Point)
Location: At the ulnar end of the little finger, in the depression approximately 0.1 cun distal to the corner of the nail.
Indications and Treatment: Malaria; alternating chills and fever; anhidrosis; throat obstruction (Hou Bi); tongue stiffness; dry mouth; mental restlessness; arm pain; convulsions; cough; neck and nape stiffness with inability to turn the head; leukoma covering the pupil.
Acupuncture and Moxibustion: Puncture 0.1 cun. Moxibustion: one moxa cone.
Commentary: Shaose is a Metal Jing-Well point. It is the starting point where the Hand-Shaoyin Heart Meridian connects to the Hand-Taiyang Small Intestine Meridian. The Heart is the master of the five zang and six fu organs and harmonizes with the Small Intestine. Just as mountains and marshes interact, there are two Jing-Well points on the inner and outer sides of the little finger of one hand. The Heart's Jing-Well point is called Shaochong, and the Small Intestine's Jing-Well point is called Shaose.
2. Qiangu (Ying-Spring Point)
Location: In the depression anterior to the metacarpophalangeal joint on the ulnar side of the little finger.
Indications and Treatment: Febrile diseases with anhidrosis; malaria; epilepsy; tinnitus; swelling of the mandible; throat obstruction; cough with epistaxis; neck and nape pain; nasal congestion and difficulty breathing; white leukoma in the eyes; inability to raise the arm.
Acupuncture and Moxibustion: Puncture 0.1 cun. Moxibustion: one moxa cone.
Commentary: Qiangu is a Water Ying-Spring point. It is where the Qi of the Hand-Taiyang Meridian flows through. Located anterior to the base of the little finger, it is thus named Qiangu (Front Valley).
3. Houxi (Shu-Stream Point)
Location: In the depression posterior to the metacarpophalangeal joint on the ulnar side of the little finger. Locate the point with the hand clenched into a fist.
Indications and Treatment: Malaria with chills and fever; redness of the eyes and leukoma; epistaxis; deafness; chest fullness; stiff neck and nape with inability to look back; epilepsy; spasm and stiffness of the arm and elbow.
Acupuncture and Moxibustion: Puncture 0.1 cun. Moxibustion: one moxa cone.
Commentary: Houxi is a Wood Shu-Stream point. It is where the Qi of the Hand-Taiyang Meridian pours into. Located posterior to the base of the little finger. When viewing the hand with a fist, it protrudes higher than Qiangu, hence the name Houxi. It internally connects to the Du Mai (Governing Vessel) and is one of the Eight Lingshui Points. It should be needled when Zhaohai is opened, with a depth of 0.6 or 0.8 cun.
4. Wanggu (Yuan-Source Point)
Location: On the ulnar side of the hand, in the depression distal to the styloid process of the ulna at the wrist.
Indications and Treatment: Febrile diseases with anhidrosis; hypochondriac pain; dyspnea; swelling of the neck and mandible; chills and fever; tinnitus; cold tears and leukoma in the eyes; mania and fright; hemiplegia; inability to flex and extend the arm and elbow; headache and irritability due to malaria; infantile convulsions; twitching of the five fingers.
Acupuncture and Moxibustion: Puncture 0.2 cun. Retain the needle for three breaths. Moxibustion: three moxa cones.
Commentary: Wanggu is the Yuan-Source point passed by the Hand-Taiyang Meridian. There is a small bone on the ulnar side anterior to the wrist. As the hand frequently flexes, extends, and rotates, this bone moves. The point is located slightly anterior to this bone, hence the name Wanggu. Later acupuncturists renamed the bone "Qigu" (Rising Bone) to avoid confusion with the point name, which is also acceptable.
5. Yanggu (Jing-River Point)
Location: In the depression inferior to the styloid process of the ulna at the wrist on the ulnar side of the hand.
Indications and Treatment: Epilepsy with manic running; febrile diseases with anhidrosis; hypochondriac pain; swelling of the neck and mandible; chills and fever; deafness and tinnitus; toothache from dental caries; pain and inability to lift the lateral aspect of the arm and wrist; incoherent speech with looking left and right; convulsions; vertigo.
Acupuncture and Moxibustion: Puncture 0.2 cun. Retain the needle for two breaths. Moxibustion: three moxa cones.
Commentary: Yanggu is a Jing-River point, where the Taiyang Meridian travels. It is located at the wrist on the ulnar side. Diagonally upward to the styloid process is the Yanglao point. It forms a horizontal line with the Yangchi point of the Hand-Shaoyang Sanjiao Meridian proximal to the wrist and the Yangxi point between the tendons of the thumb and index finger. However, this point is not as wide and deep as Yangxi and Yangchi, hence the name Yanggu (Yang Valley).
6. Xiaohai (He-Sea Point)
Location: In the depression 0.5 cun distal to the medial epicondyle of the humerus on the ulnar side of the elbow. Locate the point with the arm extended.
Indications and Treatment: Pain along the posterolateral border of the shoulder, elbow, and arm; chills and fever; gingival swelling; wind-induced vertigo; neck and nape pain; sores and swellings; chills; swelling and pain in the elbow and axilla; lower abdominal pain; inability to move the four limbs.
Acupuncture and Moxibustion: Puncture 0.2 cun. Moxibustion: three moxa cones.
Commentary: Xiaohai is a He-Sea point, where the Qi of the Hand-Taiyang Small Intestine Meridian enters. He-Sea points treat internal organs. The meridian enters the supraclavicular fossa, connects with the Heart, follows the pharynx, passes through the diaphragm, reaches the Stomach, and belongs to the Small Intestine. The Stomach is the Sea of Water and Grain. The Small Intestine is connected to the Stomach, so the He-Sea point in the elbow is named Xiaohai (Small Sea). Furthermore, the text states that the Hand-Taiyang meridians all originate from the feet (Note: This contradicts standard theory but reflects the source text), and the Small Intestine He-Sea point is at Juxia (Lower Leg Three Li, specifically ST39), while the Large Intestine He-Sea point is at Jushang (Upper Leg Three Li, specifically ST37). Perhaps because the Large Intestine turns and twists, serving as the official of conduction, while the Small Intestine serves as the official of reception, directing downwards to transform substances and excrete waste. Thus, its He-Sea point is located below the Large Intestine's He-Sea point.