四十五穴足阳明承泣四白巨 经地仓大迎登颊车下关头维对人迎水突气舍连缺盆气户库
房
屋翳寻膺窗乳中下乳根不容承满出梁门关门太乙滑肉起天枢外陵大巨里水道归来达气街髀关
伏兔走阴市梁邱犊鼻足三里上巨虚连条口底下巨虚下有丰隆解溪冲阳陷谷同内庭厉兑阳明穴
大指次指之端终
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承泣(一名面 一名气鼷穴) 穴在目下七分目下胞陷中上直瞳子正视取之禁灸
四白 从承泣直下三分颊空骨内亦直瞳子取之禁灸甲乙经曰灸七壮
巨 从四白下行侠鼻孔旁八分亦直瞳子取之灸七壮
地仓(一名会维) 从巨 下行侠口吻旁四分外许近下微有动脉灸七壮重者七七壮病左治
右病右治左炷宜小如粗钗脚
大迎(一名髓孔) 从地仓行腮颔下前一寸三分骨陷中动脉灸三壮
颊车(一名机关一名齿牙) 从大迎行耳下曲颊端近前八分陷中侧卧开口取之灸三壮或七
壮至七七壮炷如小麦
下关 从颊车上行耳前动脉侧卧合口有空取之灸三壮
头维 从下关上行额角入发际以督脉中行神庭穴旁开四寸半禁灸
人迎(一名天五会) 从头维下行颈下侠结喉旁一寸五分大动脉应手伸头取之禁灸
水突(一名水门) 从人迎下直行颈大筋前内贴气喉灸三壮
气舍 从水突下直行颈大筋前结喉下一寸许陷中贴骨尖上有缺处灸三壮
缺盆(一名天盖) 从气舍下行肩上横骨陷中为五脏六腑之道灸三壮
气户 从缺盆下行巨骨下一寸旁开中行四寸陷中仰而取之灸三壮五壮
库房 从气户下行一寸六分亦旁开中行四寸陷中仰而取之灸三壮五壮
屋翳 从库房下行一寸六分亦旁开中行四寸陷中仰而取之灸五壮
膺窗 从屋翳下行一寸六分亦旁开中行四寸陷中仰而取之灸五壮
乳中 从膺窗下行当乳头之中禁灸
乳根 从乳下行一寸六分亦旁开中行四寸陷中仰而取之灸三壮五壮
不容 从乳根行在第四肋端幽门旁一寸五分去中行二寸对巨阙灸五壮
承满 从不容下一寸亦旁开中行二寸对上脘灸五壮
梁门 从承满下一寸亦旁开中行二寸灸五壮
关门 从梁门下一寸亦旁开中行二寸对中脘灸五壮
太乙 从关门下一寸亦旁开中行二寸对下脘灸五壮
滑肉门 从太乙下一寸去中行二寸对水分灸五壮
天枢(一名长溪一名谷门) 从滑肉门下一寸侠脐旁二寸许陷中去肓 一寸五分千金云魂
魄之舍不可针孕妇不可灸久冷痛癖可灸百壮
外陵 从天枢下一寸去中行二寸对阴交灸五壮
大巨(一名腋门) 从外陵下一寸去中行二寸灸五壮
水道 从大巨下三寸去中行二寸灸五壮
归来 从水道下二寸去中行二寸灸五壮
气街(一名气冲) 从归来行在腿班中有肉核名鼠溪直上一寸动脉应手亦旁开中行二寸灸
七壮炷如大麦
髀关 从气街下行膝上一尺二寸许中行左右各三指按捺上有肉起如伏兔之状故名伏兔在
此肉起后交纹中灸三壮 一云禁灸
伏兔 从髀关下行膝上六寸起肉间正跪坐而取之禁灸千金云狂邪鬼语灸百壮或五十壮
阴市 从伏兔下行三寸在伏兔之下陷中拜揖而取之禁灸
梁邱 从阴市下行一寸两筋间灸三壮
犊鼻 从梁邱下行过膝盖骨下 骨上陷中俗名膝眼此处陷中两旁有孔状如牛鼻在外侧者
故名灸三壮
足三里 从犊鼻下行髀骨外侧大筋内宛宛中坐而竖膝低跗取之千金云灸二百壮至五百壮
本云灸三壮小儿忌灸
上巨虚 从足三里下行三寸两筋骨陷中举臂取之灸三壮
条口 从上巨虚下行二寸举足取之灸三壮
下巨虚 从条口下行二寸两筋骨陷中蹲地举足取之灸三壮
丰隆 从下巨虚复斜向后上行在足外踝上八寸 骨外廉陷中灸三壮
解溪 从丰隆内循下足腕上中行陷中(在冲阳后一寸五分灸三壮)
冲阳 从解溪下行足跗上即脚面也高骨间动脉(灸三壮)
陷谷 从冲阳下行二寸至足大指之次指本节后陷中去内庭二寸灸三壮
内庭 从陷谷下至足大指之次指本节前岐骨外间陷中灸三壮
厉兑 从内庭下行足大指次指之端去爪甲如韭叶许灸一壮
脾经穴歌
足太阴脾由足拇隐白先从内侧起大都太白历公孙商邱直上三阴坞漏谷地机阴陵泉血海箕
门冲门抵府舍腹结大横上腹哀食窦天溪连胸乡周荣大包尽二十一穴太阴全
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Forty-five acupoints of the Foot-Yangming Stomach Meridian: Chengqi (Chengqi, ST1), Sibai (Sibai, ST2), Juliao (Juliao, ST3), Dicang (Dicang, ST4), Daying (Daying, ST5), Jiache (Jiache, ST6), Xiaguan (Xiaguan, ST7), Touwei (Touwei, ST8), Renying (Renying, ST9), Shuitu (Shuitu, ST10), Qishe (Qishe, ST11), Quepen (Quepen, ST12), Qihu (Qihu, ST13), Kufang (Kufang, ST14), Wuyi (Wuyi, ST15), Yingchuang (Yingchuang, ST16), Ruzhong (Ruzhong, ST17), Rugen (Rugen, ST18), Burong (Burong, ST19), Chengman (Chengman, ST20), Liangmen (Liangmen, ST21), Guanmen (Guanmen, ST22), Taiyi (Taiyi, ST23), Runiwomen (Runiwomen, ST24), Tianshu (Tianshu, ST25), Wailing (Wailing, ST26), Daju (Daju, ST27), Shuidao (Shuidao, ST28), Guilai (Guilai, ST29), Qijie (Qichong, ST30), Biguan (Biguan, ST31), Futu (Futu, ST32), Yinshi (Yinshi, ST33), Liangqiu (Liangqiu, ST34), Dubi (Dubi, ST35), Zusanli (Zusanli, ST36), Shangjuxu (Shangjuxu, ST37), Tiaokou (Tiaokou, ST38), Xiajuxu (Xiajuxu, ST39), Fenglong (Fenglong, ST40), Jiexi (Jiexi, ST41), Chongyang (Chongyang, ST42), Xangu (Xangu, ST43), Neiting (Neiting, ST44), Lidui (Lidui, ST45). These are the acupoints of the Foot-Yangming Stomach Meridian, ending at the tip of the second toe.
Figure of Stomach Meridian Acupoints
Chengqi (also known as Mianxi or Qixi): The acupoint is located 0.7 cun below the pupil, in the depression of the lower eyelid, directly below the pupil when looking straight ahead. Moxibustion is prohibited.
Sibai: Located 0.3 cun directly below Chengqi, inside the hollow of the cheekbone, also directly below the pupil. Moxibustion is prohibited. *The Systematic Classic of Acupuncture and Moxibustion* states to moxa seven moxa-cones.
Juliao: Descends from Sibai, 0.8 cun lateral to the nostril, also directly below the pupil. Moxa seven moxa-cones.
Dicang (also known as Huiwei): Descends from Juliao, approximately 0.4 cun lateral to the corner of the mouth, where a slight arterial pulse can be felt inferiorly. Moxa seven moxa-cones; for severe cases, forty-nine moxa-cones. Treat the left side for right-sided disease, and the right side for left-sided disease. The moxa cone should be small, like the foot of a coarse hairpin.
Daying (also known as Suikong): From Dicang, move to the submandibular region, 1.3 cun anterior to the chin, in the bony depression where the arterial pulse is palpable. Moxa three moxa-cones.
Jiache (also known as Jiguan or Chiya): From Daying, move to the depression near the anterior end of the angle of the mandible, 0.8 cun below the ear. Take the point with the patient lying on their side and mouth open. Moxa three or seven moxa-cones, up to forty-nine moxa-cones for severe conditions. The moxa cone should be the size of a wheat grain.
Xiaguan: Ascends from Jiache to the anterior aspect of the ear where the arterial pulse is palpable. Take the point with the patient lying on their side and mouth closed, in the gap. Moxa three moxa-cones.
Touwei: Ascends from Xiaguan to the temporal hairline. It is located 4.5 cun lateral to the midline of the Governing Vessel at Shenting (GV24). Moxibustion is prohibited.
Renying (also known as Tianwuhui): Descends from Touwei to the neck, 1.5 cun lateral to the laryngeal prominence, where the large arterial pulse is palpable. Extend the neck to locate the point. Moxibustion is prohibited.
Shuitu (also known as Shuimen): Descends vertically from Renying, anterior to the sternocleidomastoid muscle, adjacent to the trachea. Moxa three moxa-cones.
Qishe: Descends vertically from Shuitu, anterior to the sternocleidomastoid muscle, approximately 1 cun inferior to the laryngeal prominence, in the depression against the bone. Moxa three moxa-cones.
Quepen (also known as Tiangai): Descends from Qishe to the depression of the clavicular fossa, which serves as the pathway for the qi of the five zang and six fu organs. Moxa three moxa-cones.
Qihu: Descends from Quepen, one cun inferior to Giant Bone (GB21), 4 cun lateral to the midline, in the depression. Take the point with the patient supine. Moxa three or five moxa-cones.
Kufang: Descends from Qihu, 1.6 cun inferior, also 4 cun lateral to the midline, in the depression. Take the point with the patient supine. Moxa three or five moxa-cones.
Wuyi: Descends from Kufang, 1.6 cun inferior, also 4 cun lateral to the midline, in the depression. Take the point with the patient supine. Moxa five moxa-cones.
Yingchuang: Descends from Wuyi, 1.6 cun inferior, also 4 cun lateral to the midline, in the depression. Take the point with the patient supine. Moxa five moxa-cones.
Ruzhong: Descends from Yingchuang, directly at the nipple. Moxibustion is prohibited.
Rugen: Descends from Ruzhong, 1.6 cun inferior, also 4 cun lateral to the midline, in the depression. Take the point with the patient supine. Moxa three or five moxa-cones.
Burong: Located at the end of the fourth rib, 1.5 cun lateral to Youmen (BL21), 2 cun lateral to the midline, opposite Juque (CV14). Moxa five moxa-cones.
Chengman: One cun inferior to Burong, also 2 cun lateral to the midline, opposite Zhongwan (CV12). Moxa five moxa-cones.
Liangmen: One cun inferior to Chengman, also 2 cun lateral to the midline. Moxa five moxa-cones.
Guanmen: One cun inferior to Liangmen, also 2 cun lateral to the midline, opposite Zhongwan (CV12). Moxa five moxa-cones.
Taiyi: One cun inferior to Guanmen, also 2 cun lateral to the midline, opposite Xiawan (CV10). Moxa five moxa-cones.
Runiwomen: One cun inferior to Taiyi, 2 cun lateral to the midline, opposite Shuifen (CV9). Moxa five moxa-cones.
Tianshu (also known as Changxi or Gumen): One cun inferior to Runiwomen, 2 cun lateral to the umbilicus, in the depression, 1.5 cun away from the conation membrane. *Essential Prescriptions Worth a Thousand Gold* states it is the residence of the soul and spirit; acupuncture is prohibited, and moxibustion is prohibited for pregnant women. For chronic cold pain and masses, moxa up to one hundred moxa-cones.
Wailing: One cun inferior to Tianshu, 2 cun lateral to the midline, opposite Yinjiao (CV7). Moxa five moxa-cones.
Daju (also known as Yimen): One cun inferior to Wailing, 2 cun lateral to the midline. Moxa five moxa-cones.
Shuidao: Three cun inferior to Daju, 2 cun lateral to the midline. Moxa five moxa-cones.
Guilai: Two cun inferior to Shuidao, 2 cun lateral to the midline. Moxa five moxa-cones.
Qijie (also known as Qichong): Located in the thigh where a fleshy nodule named "Mouse Stream" exists, one cun directly superior, where the arterial pulse is palpable, also 2 cun lateral to the midline. Moxa seven moxa-cones, the moxa cone the size of a barley grain.
Biguan: Descends from Qijie, approximately 1.2 cun superior to the knee. Pressing with three fingers on either side of the midline reveals a raised muscle resembling a rabbit, hence the name. Futu is located in the crease posterior to this raised muscle. Moxa three moxa-cones. Some sources prohibit moxibustion.
Futu: Descends from Biguan, six cun superior to the knee, between the raised muscles. Take the point while kneeling upright. Moxibustion is prohibited. *Essential Prescriptions Worth a Thousand Gold* states that for manic delirium or hallucinations, moxa one hundred or fifty moxa-cones.
Yinshi: Descends from Futu, three cun inferior, in the depression inferior to Futu. Take the point in a bowing posture. Moxibustion is prohibited.
Liangqiu: Descends from Yinshi, one cun inferior, between two tendons. Moxa three moxa-cones.
Dubi: Descends from Liangqiu, passing the patella, into the depression superior to the tibia. Commonly known as Knee Eye. There are pores on both sides of this depression resembling a cow's nose; the one on the lateral side gives the point its name. Moxa three moxa-cones.
Zusanli: Descends from Dubi to the lateral aspect of the femur, within the depression of the large tendon. Sit with the knee extended and foot lowered to locate the point. *Essential Prescriptions Worth a Thousand Gold* states to moxa two hundred to five hundred moxa-cones. Originally stated as three moxa-cones; moxibustion is contraindicated for children.
Shangjuxu: Descends from Zusanli, three cun inferior, in the depression between two bones and tendons. Raise the arm to locate the point. Moxa three moxa-cones.
Tiaokou: Descends from Shangjuxu, two cun inferior. Lift the foot to locate the point. Moxa three moxa-cones.
Xiajuxu: Descends from Tiaokou, two cun inferior, in the depression between two bones and tendons. Squat and lift the foot to locate the point. Moxa three moxa-cones.
Fenglong: Descends obliquely backward and upward from Xiajuxu, eight cun superior to the lateral malleolus, on the lateral border of the tibia, in the depression. Moxa three moxa-cones.
Jiexi: Descends medially from Fenglong to the depression on the midline superior to the ankle joint (one point five cun posterior to Chongyang). Moxa three moxa-cones.
Chongyang: Descends from Jiexi to the dorsum of the foot, in the depression between the high bone where the arterial pulse is palpable. (Moxa three moxa-cones)
Xangu: Descends two cun from Chongyang to the depression distal to the metatarsophalangeal joint of the second toe, two cun distant from Neiting. Moxa three moxa-cones.
Neiting: Descends from Xangu to the depression lateral to the interphalangeal joint of the second toe. Moxa three moxa-cones.
Lidui: Descends from Neiting to the tip of the second toe, approximately the width of a leek leaf from the nail. Moxa one moxa-cone.
Song Meridian Verse Song
The Foot-Taiyin Spleen Meridian begins at Yinbai on the big toe, starting from the medial side. Then come Dadu, Taibai, Gongson, Shangqiu, ascending vertically to Sanyinjiao, Lougu, Diji, Yinlingquan, Xuehai, Jimen, Chongmen, reaching Fushé, Fujie, Daheng, Shuaiai, Shidou, Tianxi, connecting to Xiongxiang, Zhourong, and Dabao. In total, there are twenty-one acupoints, completing the Taiyin Meridian.
Figure of Spleen Meridian Acupoints