一、关冲(井穴)
部位 在无名指外侧。去爪甲角如韭叶。
证治 口干。头痛。舌卷喉痹。霍乱。胸中气噎不食。肘臂痛不能举。目生翳膜。视物
不明。
针灸 针入一分。留三呼。灸三壮。
按∶关冲乃三焦手少阳所出之井穴。外关内关。别络横通。心包络井穴曰中冲。心本
藏之井曰少冲。此穴居少冲中冲之间。故曰关冲。
二、液门(荥穴)
部位 在小指次指之间合缝处陷中。
证治 惊悸妄言。寒厥臂痛。不能自上下。 疟寒热。头痛。目眩赤涩。泪出。耳暴聋。
咽外肿。牙龈痛。
针灸 针入二分。灸三壮。握拳取之。
按∶液门乃三焦之荥穴。阳荥为水。三焦者决渎之官。水道出焉。水之精谓之液。阳
受气于四末。故名其水穴曰液门。
三、中渚(俞穴)
部位 在无名指小指本节后间陷中。液门后一寸。
证治 热病汗不出。臂指痛不得屈伸。头痛。目眩生翳。目不明。耳聋咽肿。久疟。手
臂红肿。
针灸 针入三分。灸三壮。握拳取之。
按∶中渚乃三焦所注之俞穴。若江之有渚。而居其中。故曰中渚。
四、阳池(原穴)
部位 在手腕上横纹陷中。
证治 消渴口干。烦闷。寒热疟。或因折伤手腕捉物不得。臂不能举。
针灸 针入三分。不宜灸。
按∶阳池乃手少阳三焦所过之原穴。手表腕上陷中。从无名指本节直摸至腕中心陷凹
处。如池状。故名阳池。下针时不可摇手。仰其指掌。则穴位明显。
五、支沟(经穴)
部位 在腕后三寸骨间陷中。
证治 热病汗不出。肩臂酸重。胁腋痛。四肢不举。霍乱呕吐。口噤。暴喑。产后血
晕。不省人事。
针灸 针入三分。灸七壮。
按∶支沟乃三焦所行之经穴。穴前一寸有外关别络。入手厥阴经。三焦水道流行至
此。别有一分支之沟渠也。
六、天井(合穴)
部位 在肘外大骨之上陷中。
证治 咳嗽上气。胸满不得语。唾脓不嗜食。寒热凄凄不得卧。惊悸悲伤。螈 癫疾五
痫。风痹头颈肩背痛。耳聋目锐 颊肘痛肿。臂腕不得捉物。及泻一切瘰 疮肿疹。
针灸 针入三分。灸三壮。
按∶天井乃手少阳三焦经脉所入为合之土穴。穴在肘外大骨后上一寸两筋骨罅间陷
中。肘前五寸有穴。曰四渎。沟渎归于下流。而天井独居其上。盖有用之水天一
所生。蓄之井里。以备生生化化之用。故曰天井。取穴时。先曲其肘。在大骨后一寸。穴位取定
。令病患叉手按膝头。乃进针。
1. Guanchong (Jing-Well Point)
Location: On the lateral side of the ring finger, approximately at the width of a leek leaf from the corner of the nail.
Indications: Dry mouth. Headache. Tongue curling and throat bi-syndrome. Huoluan (cholera-like syndrome with vomiting and diarrhea). Qi obstruction in the chest with inability to eat. Pain in the elbow and arm with inability to lift. Eyelid films (pterygium or corneal opacity). Blurred vision.
Acupuncture and Moxibustion: Insert needle 1 fen. Retain for three breaths. Apply 3 moxa cones.
Note: Guanchong is the Jing-Well point where the Hand-Shaoyang Sanjiao Meridian originates. Waiguan (TE5) and Neiguan (PC6) are connected by a collateral vessel crossing horizontally. The Jing-Well point of the Pericardium Meridian is Zhongchong (PC9), and the Jing-Well point of the Heart organ is Shaochong (HT9). This point lies between Shaochong and Zhongchong, hence named Guanchong (Gate Pass).
2. Yemen (Ying-Spring Point)
Location: In the depression between the little finger and the ring finger, at the web margin.
Indications: Palpitations with fright and delirious speech. Cold reversal with arm pain; inability to move arms up and down freely. Malaria with alternating chills and fever. Headache. Vertigo, redness and dryness of eyes with tearing. Sudden deafness. Swelling of the outer throat. Gingival pain.
Acupuncture and Moxibustion: Insert needle 2 fen. Apply 3 moxa cones. Make a fist to locate the point.
Note: Yemen is the Ying-Spring point of the Sanjiao Meridian. The Ying-Spring points of Yang meridians correspond to Water. Sanjiao is the official responsible for irrigation, and water passages originate from it. The essence of water is called "Ye" (fluids). Yang Qi receives its influence from the four extremities, thus this water point is named Yemen (Fluid Gate).
3. Zhongzhu (Shu-Stream Point)
Location: In the depression distal to the metacarpophalangeal joints of the ring and little fingers, one cun posterior to Yemen.
Indications: Febrile diseases without sweating. Pain in the arm and fingers with inability to flex or extend. Headache. Vertigo, eyelid films, blurred vision. Deafness and swollen throat. Chronic malaria. Redness and swelling of the arm.
Acupuncture and Moxibustion: Insert needle 3 fen. Apply 3 moxa cones. Make a fist to locate the point.
Note: Zhongzhu is the Shu-Stream point where the Qi of the Sanjiao Meridian pours into. Just as there are islets in a river, and this point resides in the middle, it is named Zhongzhu (Middle Islet).
4. Yangchi (Yuan-Source Point)
Location: In the depression at the transverse crease on the dorsal aspect of the wrist.
Indications: Xiaoke (wasting-thirst) with dry mouth. Restlessness and oppression. Chills and fever in malaria. Inability to grasp objects or lift the arm due to wrist sprain or injury.
Acupuncture and Moxibustion: Insert needle 3 fen. Moxibustion is contraindicated.
Note: Yangchi is the Yuan-Source point passed through by the Hand-Shaoyang Sanjiao Meridian. It is located in the depression above the wrist. Tracing straight from the base of the ring finger to the central depression of the wrist, which resembles a pool, it is named Yangchi (Yang Pool). When needling, do not shake the hand; supinate the forearm so that the palm faces upward to make the point distinct.
5. Zhigou (Jing-River Point)
Location: In the depression between the bones, three cun proximal to the wrist crease.
Indications: Febrile diseases without sweating. Soreness and heaviness in the shoulder and arm. Pain in the hypochondrium and axilla. Inability to lift the four limbs. Huoluan with vomiting. Lockjaw. Sudden loss of voice. Blood syncope after childbirth with unconsciousness.
Acupuncture and Moxibustion: Insert needle 3 fen. Apply 7 moxa cones.
Note: Zhigou is the Jing-River point where the Qi of the Sanjiao Meridian flows. One cun anterior to this point, the collateral of Waiguan enters the Hand-Jueyin Pericardium Meridian. The water pathways of Sanjiao flow here, forming a branch-like channel, hence the name Zhigou (Branch Ditch).
6. Tianjing (He-Sea Point)
Location: In the depression superior to the lateral epicondyle of the humerus.
Indications: Cough with rebellious Qi. Chest fullness with inability to speak. Expectoration of pus with anorexia. Chills and shivering with inability to lie down. Fright, palpitations, and sadness. Convulsions, epilepsy, and the five types of mania. Wind-bi causing pain in the head, neck, shoulder, and back. Deafness, pain at the outer canthus, cheek, and swollen painful elbow. Inability to grasp objects with the arm and wrist. Also treats all cases of scrofula, sores, swellings, and rashes.
Acupuncture and Moxibustion: Insert needle 3 fen. Apply 3 moxa cones.
Note: Tianjing is the He-Sea Earth point where the Hand-Shaoyang Sanjiao Meridian enters. The point is located in the depression between two tendons/bones, one cun posterior to the lateral epicondyle of the elbow. Five cun anterior to the elbow is a point named Sidu (Four Ditches). While ditches flow downstream, Tianjing stands alone at the top. It is akin to useful water generated by Heavenly One, stored in a well, to prepare for the functions of generation and transformation. Hence, it is named Tianjing (Heavenly Well). To locate the point, first flex the elbow. Mark the point one cun posterior to the lateral epicondyle. Ask the patient to cross their hands over their knees, then insert the needle.