璇玑 在天突下一寸陷中,仰而取之。刺三分,灸五壮。
主治胸胁满,咳逆上气,喘不能言,喉痹咽肿,水饮不下。
玉龙赋云∶兼气海,治 羸喘促。
席弘赋云∶治胃中有积,兼三里功多。
百证赋云∶兼神藏,治膈满项强已试。
天突(一名玉户) 在结喉下三寸宛宛中。阴维任脉之会。刺五分,留三呼,灸三壮。甲乙
经曰∶低头取之,刺入一寸。
主治上气哮喘咳嗽,喉痹五噎,肺痈吐咯脓血,咽肿暴喑,身寒热,咽干舌下急,不得下食。
神农经云∶治气喘咳嗽,可灸七壮。
玉龙赋云∶兼膻中,医咳嗽。
灵光赋云∶治喘痰。
百证赋云∶兼肺俞,治咳嗽连声。
千金云∶治上气气闷,咽塞声坏,灸五十壮。
廉泉(一名本池,一名舌本) 在颔下结喉上中央舌本下,仰而取之。阴维任脉之会。按刺疟
篇所载曰∶舌下两脉者,廉泉也。气府论曰∶足少阴舌下各一。卫气篇曰∶足少阴之标,在
背与舌下两脉。然则廉泉非一穴,当是舌根下之左右泉脉,而且为足少阴之会也。刺三分,留三呼,灸三壮。
主治咳嗽喘息上气,吐沫舌纵,舌下肿难言,舌根急缩不食,涎退场门疮。
百证赋云∶兼中冲,堪攻舌下肿痛。
承浆(一名天池,一名悬浆) 在颐前下唇棱下陷中。足阳明任脉之会。刺二分,留五呼,灸三壮。
主治偏风半身不遂,口眼 斜,口噤不开,暴喑不能言,刺三分,徐徐引气而出,及治任
之为病,其苦内结,男子为七疝,女子为瘕聚。一云疗偏风口 面肿,消渴饮水不休,口齿疳蚀生疮,
灸之亦佳,日可七壮,至七七壮止,即血脉宣通,其风应时立愈,艾炷不必大,但令当脉,即能愈疾。
千金云∶小儿唇紧,灸三壮。又云∶凡哕令人惋恨,灸七壮,炷如小麦。又十三鬼穴云∶此名鬼市,治百邪癫狂,
当在第八次下针。
百证赋云∶泻牙疼而即移。
通玄赋云∶治头项强。
Xuanji (CV21) is located in the depression one cun below Tiantu (CV22). It should be accessed with the patient in a supine position. The needle insertion depth is 0.3 cun, and moxibustion consists of five moxa cones.
Indications include fullness in the chest and hypochondrium, cough with rebellious Qi, asthma so severe that speech is impossible, throat obstruction with swelling, and difficulty swallowing fluids.
The *Yulong Fu* states: When combined with Qihai (CV6), it treats emaciation and rapid panting.
The *Xi Hong Fu* states: For treating accumulation in the stomach, its efficacy is greatly enhanced when combined with Zusanli (ST36).
The *Baizheng Fu* states: When combined with Shencang (BL45), it effectively treats fullness in the diaphragm and stiffness of the neck.
Tiantu (CV22), also known as Yuhu, is located in the depression three cun below the laryngeal prominence. It is the meeting point of the Yin Linking Vessel (Yinwei Mai) and the Conception Vessel (Ren Mai). The needle insertion depth is 0.5 cun; retain the needle for three breaths, and apply three moxa cones. The *Jia Yi Jing* states: Access the point with the head lowered, inserting the needle one cun deep.
Indications include rebellious Qi, asthma, cough, throat obstruction, the "Five Chokes" (Wuye), lung abscess with expectoration of pus and blood, acute sore throat with loss of voice, alternating chills and fever, dry throat with tension under the tongue, and inability to eat.
The *Shennong Jing* states: It treats asthma and cough; seven moxa cones may be applied.
The *Yulong Fu* states: When combined with Danzhong (CV17), it treats cough.
The *Lingguang Fu* states: It treats asthma with phlegm.
The *Baizheng Fu* states: When combined with Feishu (BL13), it treats continuous coughing.
The *Qianjin Fang* states: It treats rebellious Qi with chest oppression, blocked throat, and hoarseness; fifty moxa cones may be applied.
Lianquan (CV23), also known as Benchi or Sheben, is located in the center above the laryngeal prominence and below the root of the tongue on the mandible. It should be accessed with the patient in a supine position. It is the meeting point of the Yin Linking Vessel (Yinwei Mai) and the Conception Vessel (Ren Mai). According to the *Cinema Pian* chapter on Malaria Needling: "The vessels on both sides under the tongue" refer to Lianquan. The *Qifu Lun* states: "One acupoint on each side under the tongue belonging to the Foot-Shaoyin Kidney Meridian." The *Weiqi Pian* states: "The biao (marking) of the Foot-Shaoyin lies in the back and the vessels on both sides under the tongue." Therefore, Lianquan is not a single point but refers to the left and right vessel points at the base of the tongue, which are also the meeting points of the Foot-Shaoyin Kidney Meridian. The needle insertion depth is 0.3 cun; retain the needle for three breaths, and apply three moxa cones.
Indications include cough, wheezing, and rebellious Qi; spitting saliva; flaccid or protruding tongue; swollen tongue making speech difficult; retracted tongue root leading to anorexia; and mouth ulcers resulting from the retreat of saliva.
The *Baizheng Fu* states: When combined with Zhongchong (PC9), it can treat swelling and pain under the tongue.
Chengjiang (CV24), also known as Tianchi or Xuanjiang, is located in the depression anterior to the chin and below the lower lip ridge. It is the meeting point of the Foot-Yangming Stomach Meridian and the Conception Vessel (Ren Mai). The needle insertion depth is 0.2 cun; retain the needle for five breaths, and apply three moxa cones.
Indications include hemiplegia due to wind-stroke, deviation of the mouth and eye, trismus (lockjaw), acute loss of voice. Insert the needle 0.3 cun and slowly guide the Qi outwards. It also treats diseases of the Conception Vessel, characterized by internal knotting of suffering: in men, it manifests as the Seven Hernias (Qishi); in women, as masses (Jiaju). Another view holds that it treats facial swelling from wind-stroke deviation, excessive thirst and drinking in Xiao-ke (wasting-thirst syndrome), and mouth/tooth canker sores. Moxibustion is also beneficial: seven cones daily up to forty-nine cones will promote blood and vessel circulation, causing the wind pathogen to disperse immediately. The moxa cone need not be large; as long as it targets the vessel, the disease will be cured.
The *Qianjin Fang* states: For infants with tight lips, apply three moxa cones. It further states: For hiccups causing distress, apply seven moxa cones the size of a wheat grain. Additionally, in the Thirteen Ghost Acupoints system, this point is named Guishi (Ghost Market) and treats various pathogens causing mania and epilepsy; it should be needled during the eighth step.
The *Baizheng Fu* states: Reducing this point relieves toothache and shifts the pathological process.
The *Tongxuan Fu* states: It treats stiffness of the head and neck.