小肠经穴歌
手太阳经小肠穴,少泽先于小指设,前谷、后溪、腕骨间,阳谷须同养老列,支正、小海
上肩贞, 俞、天宗、秉风合,曲垣、肩外复肩中,天窗循次上天容,此经穴数一十九,还有颧
入听宫。
少泽(一名小吉) 在手小指外侧端,去爪甲角一分陷中。甲乙经曰∶在小指之端,去爪甲一
分陷中。手太阳所出为井。刺一分,留二呼,灸一壮。
主治 疟寒热汗不出,喉痹舌强,心烦咳嗽,螈 臂痛,颈项痛不可顾,目生翳,及疗妇人无乳,先泻后补。
千金云∶耳聋不得眠,刺小指外侧端近甲,入一分半补之。
玉龙赋云∶治妇人乳肿。
百证赋云∶兼肝俞,可治攀睛。
灵光赋云∶除心下寒。
乾坤生意云∶此为十井穴,凡国中风卒暴昏沉,痰涎壅盛,不省人事,急以三棱针刺少
商、商阳、中冲、少冲及此穴,使气血流通,乃起死回生急救之妙穴。
前谷 在手小指外侧本节前陷中。手太阳所溜为荥。刺一分,留三呼,灸三壮。
主治热病汗不出, 疟癫疾,耳鸣喉痹,颈项颊肿引耳后,咳嗽目翳,鼻塞吐衄,臂痛不
得举,妇人产后无乳。
后溪 在手小指本节后,外侧横文尖上陷中,仰手握拳取之。一云在手腕前外侧,拳
尖起骨下陷中。手太阳所注为 。刺一分,留二呼,灸一壮。一云三壮。
主治 疟寒热,目翳鼻衄耳聋,胸满项强癫痫,臂肘挛急,五指尽痛。
神农经云∶治项强不得回顾,脾寒肘疼,灸七壮。
玉龙赋云∶专治时疫 疟。
拦江赋云∶专治督脉病癫狂。
百证赋云∶兼环跳,治腿痛。又云∶偕劳宫,可治消疸。又云∶同阴 ,治盗汗之多出。
通玄赋云∶治头顶痛立安。
千金十一穴云∶兼列缺,治胸项有痛。
一传治早食午吐,午食晚吐,灸此左右二穴九壮立愈。
捷法云∶疗手足挛急,屈伸艰难,手足俱颤,不能行步握物,颈项强痛,不能回顾,腮颊
红肿,咽喉闭塞,水饮不下,心肺二经热病,双蛾喉痛,肺与三焦热病,单蛾咽肿,上下牙两
颊疼痛,牙关紧急不开,颈项红肿,耳聋气痞疼痛,耳内或鸣或痒或痛,雷头风,眩晕,呕吐
痰涎,肾虚头痛,头重不举,肝厥头晕,及头目昏沉,偏正头风疼痛,两额颅眉角疼痛,太阳
痛,头项拘急,痛引肩背,醉后头风,呕吐不止,恶闻人言,眼赤痛,冲风泪下不已,破伤风因
他事触发,浑身发热,癫狂。以上凡三十余证,先以后溪主治,后随证加各穴分治之。
腕骨 在手外侧,腕前起骨下陷中。手太阳所过为原。刺二分,留三呼,灸三壮。
主治热病汗不出,胁下痛,不得息,颈项肿,寒热耳鸣,目出冷泪生翳,狂惕偏枯,臂肘
不得屈伸,疟疾烦闷,头痛惊风螈 ,五指掣挛。凡心与小肠火盛者,当泻此。浑身热盛,
先补后泻;肩背冷痛,先泻后补。
玉龙赋云∶又兼中脘,治脾虚黄胆。
通玄赋云∶腕骨祛黄。
阳谷 在手外侧腕中,锐骨下陷中。手太阳所行为经。刺二分,留三呼,灸三壮。
主治癫疾发狂,妄言左右顾,热病汗不出,胁痛项肿,寒热耳聋耳鸣齿痛,臂不举,小儿螈 舌强。
百证赋云∶兼侠溪,治颔肿口噤。
养老 在手外踝骨上一空,腕后一寸陷中。手太阳 。刺三分,灸三壮。
主治肩臂酸痛,肩欲折,臂如拔,手不能上下,目视不明。
百证赋云∶兼天柱,治目视KT KT 。
张仲文传灸治仙法∶疗腰重痛不可转侧,起坐艰难,及筋挛脚痹不可屈伸。
支正 在腕后外廉五寸。手太阳络,别走少阴。刺三分,留七呼,灸三壮。
主治五劳癫狂,惊风寒热,颔肿项强,头痛目眩,风虚惊恐悲忧,腰背酸,四肢乏弱,肘
臂不能屈伸,手指痛不能握。
百证赋云∶兼飞阳,可治目眩。
小海 在肘内大骨外,去肘端五分陷中,屈手向头取之。手太阳所入为合。刺二分,
留七呼,灸五壮、七壮。
主治肘臂肩 颈项痛,寒热,齿根肿,风眩,疡肿,小腹痛,五痫螈 。
肩贞 在肩曲胛下,两骨解间,肩 后陷中。刺五分,灸三壮。
主治伤寒寒热,颔肿耳鸣耳聋,缺盆肩中热痛,风痹手足不举。
俞 在肩 后,大骨下胛上廉陷中,举臂取之。手足太阳阳维阳跷之会。刺八分,灸三壮。
主治臂酸无力,肩痛引胛,寒热气肿酸痛。
天宗 在秉风后,大骨下陷中。刺五分,留六呼,灸三壮。
主治肩臂酸疼,肘外后廉痛,颊颔肿。
秉风 在肩上,天 外小 骨,举臂有空。手太阳阳明手足少阳之会。刺五分,灸三壮。
主治肩痛不可举。
曲垣 在肩中央,曲胛陷中,按之应手痛。刺五分,灸三壮。甲乙经曰∶十壮。
主治肩臂热痛,拘急周痹。
肩外俞 在肩胛上廉,去脊三寸陷中,与大杼平。刺六分,灸三壮。
主治肩胛痛,发寒热,引项挛急,周痹寒至肘。
肩中俞 在肩胛内廉,去脊大椎旁二寸陷中。刺三分,留七呼,灸十壮。甲乙经作三壮。
主治咳嗽上气,唾血寒热,目视不明。
天窗(一名窗笼) 在颈大筋前,曲颊下,扶突后动脉应手陷中。刺三分,灸三壮。甲乙经作刺六分。
主治颈瘿肿痛,肩胛引项不得回顾,颊肿齿噤,耳聋喉痛暴喑。
千金云∶狂邪鬼语,灸九壮。瘾疹,灸七壮。
天容 在耳下曲颊后。刺一分,灸三壮。
主治瘿气颈痈,不可回顾,不能言,齿噤耳鸣耳聋,喉痹咽中如梗,寒热胸满,呕逆吐沫。
颧 (─名兑骨) 在面 骨下廉,锐骨端陷中。手少阳太阳之会。刺二分,禁灸。
主治口 面赤目黄,眼 不止, 肿齿痛。
百证赋云∶兼大迎,治目眩妙。
听宫(一名多所闻) 在耳中珠子,大如赤小豆。手足少阳手太阳之会。刺三分,灸三壮。
主治失音癫疾,心腹满,耳内蝉鸣耳聋。
百证赋云∶兼脾俞,能祛心下之悲凄。
Song of Acupoints on the Hand-Taiyang Small Intestine Meridian
The acupoints of the Small Intestine on the Hand-Taiyang Meridian: Shaose (Small Sea, SI 1) is first located at the ulnar end of the little finger; Qiangu (Front Valley, SI 2), Houxi (Back Stream, SI 3), and Wanggu (Cuboid Bone, SI 4) are situated between them; Yanggu (Yang Valley, SI 5) must be listed together with Yanglao (Nourishing Old Age, SI 4); Zhizheng (Branching Straight, SI 7) and Xiaohai (Small Sea, SI 8) are in the upper region; Jianzhen (Shoulder Pillar, SI 9) is located on the upper shoulder; Shu (Shoulder Rear, likely referring to Jianwai Shu SI 14 or a specific ancient designation), Tianzong (Heavenly Master, SI 11), and Bingfeng (Holding Wind, SI 12) converge; Quyuan (Curved Ridge, SI 13), Jianwaishu (Shoulder Outer Shu, SI 14), and Jiangzhongshu (Shoulder Middle Shu, SI 15) follow; Tianchuang (Heavenly Window, SI 16) leads sequentially upward to Tianrong (Heavenly Adornment, SI 17); this meridian has a total of nineteen acupoints, plus Quanliao (Cheekbone Intersection, SI 18) leading into Tinggong (Listening Palace, SI 19).
Shaose (SI 1) (Also known as Xiaoji)
Located at the ulnar end of the little finger, in the depression approximately one fen from the corner of the nail. The *Jia Yi Jing* states: at the tip of the little finger, in the depression one fen from the nail. This is the Jing-Well point (Source point where qi emerges) of the Hand-Taiyang meridian. Puncture depth: one fen; retain needle for two breaths; moxibustion: one cone.
Indications: Malaria with chills and fever, anhidrosis, throat obstruction, tongue stiffness, irritability, cough, convulsions with arm pain, neck and nape pain with inability to turn the head, eye nebula, and treatment for women with no milk secretion. Treatment principle: drain first, then tonify.
The *Qian Jin Fang* states: For deafness and insomnia, puncture the lateral end of the little finger near the nail, insert one and a half cun, and apply tonification.
The *Yu Long Fu* states: Treats breast swelling in women.
The *Bai Zheng Fu* states: Combined with Ganshu (BL 18), it treats pterygium.
The *Ling Guang Fu* states: Clears cold below the heart.
The *Qian Kun Sheng Yi* states: This belongs to the Ten Jing-Well points. In cases of sudden stroke, coma, phlegm-rheum abundance, and unconsciousness occurring in the state, urgently prick Shaoshang (LU 11), Shangyang (LI 1), Zhongchong (PC 9), Shaochong (HT 9), and this point with a three-edged needle to promote qi and blood circulation. It is a miraculous emergency point for reviving the dying.
Qiangu (SI 2)
Located in the depression anterior to the proximal interphalangeal joint on the ulnar side of the little finger. This is the Ying-Spring point (Where qi flows like a stream) of the Hand-Taiyang meridian. Puncture depth: one fen; retain needle for three breaths; moxibustion: three cones.
Indications: Febrile diseases with anhidrosis, malaria and epilepsy, tinnitus and throat obstruction, swelling of the neck, nape, and cheek radiating to behind the ear, cough with eye nebula, nasal congestion with epistaxis, arm pain with inability to lift, and postpartum agalactia in women.
Houxi (SI 3)
Located in the depression at the apex of the transverse crease on the ulnar side, posterior to the proximal interphalangeal joint of the little finger; take the point with the hand supinated and clenched into a fist. Another description places it on the anterolateral wrist, in the depression below the prominent bone at the knuckle. This is the Shu-Stream point (Where qi pours in) of the Hand-Taiyang meridian. Puncture depth: one fen; retain needle for two breaths; moxibustion: one cone (another source says three cones).
Indications: Malaria with chills and fever, eye nebula, epistaxis, deafness, chest fullness, neck stiffness, epilepsy, spasm of the arm and elbow, and pain throughout all five fingers.
The *Shen Nong Jing* states: Treats neck stiffness with inability to look back, spleen-cold with elbow pain; moxibustion seven cones.
The *Yu Long Fu* states: Specifically treats epidemic malaria.
The *Lan Jiang Fu* states: Specifically treats epilepsy caused by Governor Vessel disorders.
The *Bai Zheng Fu* states: Combined with Huantiao (GB 30), it treats leg pain. It also states: Accompanied by Laogong (PC 8), it can treat jaundice. It further states: Together with Yinxi (HT 6), it treats excessive night sweating.
The *Tong Xuan Fu* states: Treats headache at the vertex, providing immediate relief.
The *Qian Jin Shi Xu* states: Combined with Lieque (LU 7), it treats pain in the chest and nape.
The *Yi Chuan Zhi Zao Shi Wu Tu Wan Tu* states: For vomiting food eaten in the morning at noon, or food eaten at noon in the evening, moxa both sides of this point, nine cones each, for immediate cure.
The *Jie Fa* states: Treats spasm and rigidity of hands and feet, difficulty in flexion and extension, trembling of hands and feet, inability to walk or grasp objects, neck stiffness and pain with inability to look back, redness and swelling of cheeks, throat obstruction preventing swallowing of water and fluids, febrile diseases of the Heart and Pericardium meridians, bilateral tonsillitis, febrile diseases of the Lung and Sanjiao meridians, unilateral tonsillar swelling, pain in the upper and lower teeth and cheeks, lockjaw, redness and swelling of the neck, deafness with qi stagnation and pain, tinnitus, itching, or pain in the ears, thunderhead wind, vertigo, vomiting of phlegm-rheum, kidney-deficiency headache, heavy head unable to lift, liver-jue dizziness, general heaviness and cloudiness of head and eyes, lateral and frontal wind-headache, pain in the temples and brow angles, Taiyang headache, neck and nape stiffness with pain radiating to shoulders and back, post-drunk wind-headache, continuous vomiting, aversion to human speech, red and painful eyes, tearing upon exposure to wind, traumatic tetanus triggered by other events, generalized fever, and epilepsy. Regarding these thirty-plus conditions, treat primarily with Houxi, then add other acupoints according to specific symptoms.
Wanggu (SI 4)
Located in the depression below the prominent bone anterior to the wrist on the ulnar side of the hand. This is the Yuan-Source point (Where qi passes through) of the Hand-Taiyang meridian. Puncture depth: two fen; retain needle for three breaths; moxibustion: three cones.
Indications: Febrile diseases with anhidrosis, hypochondriac pain, dyspnea, neck and nape swelling, chills and fever with tinnitus, cold tears from eyes with nebula, mania with palpitations and hemiplegia, inability to flex and extend arms and elbows, restlessness in malaria, headache with convulsions, and clonic spasms of the five fingers. When there is excess fire in the Heart and Small Intestine, drain this point. For generalized heat excess, tonify first then drain; for cold pain in shoulders and back, drain first then tonify.
The *Yu Long Fu* states: Also combined with Zhongwan (CV 12), it treats spleen-deficiency jaundice.
The *Tong Xuan Fu* states: Wanggu dispels jaundice.
Yanggu (SI 5)
Located in the depression below the sharp bone in the middle of the wrist on the ulnar side. This is the Jing-River point (Where qi flows along) of the Hand-Taiyang meridian. Puncture depth: two fen; retain needle for three breaths; moxibustion: three cones.
Indications: Epilepsy and mania, delirious speech with looking left and right, febrile diseases with anhidrosis, hypochondriac pain and neck swelling, chills and fever with deafness, tinnitus, and toothache, inability to raise the arm, and convulsions with tongue stiffness in infants.
The *Bai Zheng Fu* states: Combined with Xiaxi (GB 43), it treats submandibular swelling and lockjaw.
Yanglao (SI 4)
Located in a hollow above the ulnar styloid process, in the depression one cun posterior to the wrist. This is the Xi-Cleft point of the Hand-Taiyang meridian [Text implies Xi-Cleft based on location/function, though original text omits the term]. Puncture depth: three fen; moxibustion: three cones.
Indications: Soreness and pain in shoulders and arms, sensation of shoulder dislocation, sensation of arm being pulled out, inability to move hands up and down, and blurred vision.
The *Bai Zheng Fu* states: Combined with Tianzhu (BL 10), it treats blurred vision.
Zhang Zhongwen’s transmitted Moxa Immortal Method: Treats heavy pain in the waist with inability to turn or lie down/sit up, and tendon spasms with foot numbness preventing flexion and extension.
Zhizheng (SI 7)
Located five cun posterior to the wrist on the ulnar aspect. This is the Luo-Connecting point of the Hand-Taiyang meridian, diverging to connect with the Shaoyin meridian. Puncture depth: three fen; retain needle for seven breaths; moxibustion: three cones.
Indications: Five Exhaustions, epilepsy, palpitations, wind-cold and febrile diseases, submandibular swelling and neck stiffness, headache and vertigo, wind-deficiency with fright, fear, sadness, and worry, soreness and pain in the lower back, weakness of the four limbs, inability to flex and extend elbows and arms, and finger pain preventing grasping.
The *Bai Zheng Fu* states: Combined with Feiyang (BL 58), it can treat vertigo.
Xiaohai (SI 8)
Located in the depression outside the medial epicondyle of the humerus, five fen from the end of the elbow; take the point with the arm flexed towards the head. This is the He-Sea point (Where qi enters and combines) of the Hand-Taiyang meridian. Puncture depth: two fen; retain needle for seven breaths; moxibustion: five or seven cones.
Indications: Pain in elbows, arms, shoulders, and neck; chills and fever; root tooth swelling; wind-induced vertigo; abscesses and swellings; hypogastric pain; and the five types of epilepsy with convulsions.
Jianzhen (SI 9)
Located below the scapular angle, in the depression between the two bones at the posterior aspect of the shoulder joint. Puncture depth: five fen; moxibustion: three cones.
Indications: Cold damage with chills and fever, submandibular swelling, tinnitus, and deafness; heat and pain in the supraclavicular fossa and shoulder; wind-bi with inability to raise hands and feet.
Shu (SI 14 - Note: Text refers to Jianwai Shu contextually but names it simply 'Shu' here, likely a textual abbreviation or error for Jianwai Shu given the description "posterior to shoulder, below great bone")
Located posterior to the shoulder, in the depression below the humerus and above the upper edge of the scapula; take the point with the arm raised. It is the intersection of the Hand-Taiyang, Foot-Taiyang, Yangwei, and Yangqiao vessels. Puncture depth: eight fen; moxibustion: three cones.
Indications: Arm soreness and weakness, shoulder pain radiating to the scapula, chills, fever, qi stagnation, swelling, soreness, and pain.
Tianzong (SI 11)
Located posterior to Bingfeng, in the depression below the scapula. Puncture depth: five fen; retain needle for six breaths; moxibustion: three cones.
Indications: Soreness and pain in shoulders and arms, pain at the posterolateral aspect of the elbow, and swelling of the cheeks and mandible.
Bingfeng (SI 12)
Located on the shoulder, laterally to Tianzong, over a small bone; there is a gap when the arm is raised. It is the intersection of the Hand-Taiyang, Hand-Yangming, Hand-Shaoyang, and Foot-Shaoyang vessels. Puncture depth: five fen; moxibustion: three cones.
Indications: Shoulder pain with inability to raise the arm.
Quyuan (SI 13)
Located in the center of the shoulder, in the depression of the curved scapula; tenderness upon pressure. Puncture depth: five fen; moxibustion: three cones. The *Jia Yi Jing* states: ten cones.
Indications: Heat and pain in shoulders and arms, stiffness, and generalized bi-syndrome.
Jianwaishu (SI 14)
Located on the upper edge of the scapula, three cun lateral to the spine, in the depression level with Dazhu (BL 11). Puncture depth: six fen; moxibustion: three cones.
Indications: Scapular pain, chills and fever,牵引 (traction/pain) causing neck stiffness, and bi-syndrome with cold reaching the elbow.
Jiangzhongshu (SI 15)
Located on the medial edge of the scapula, two cun lateral to the spine beside Dazhui (GV 14), in the depression. Puncture depth: three fen; retain needle for seven breaths; moxibustion: ten cones. The *Jia Yi Jing* records three cones.
Indications: Cough with rebellious qi, hemoptysis, chills and fever, and blurred vision.
Tianchuang (SI 16) (Also known as Chuanglong)
Located anterior to the large tendon of the neck, below the curved jaw, posterior to Futu (LI 18), in the depression where the arterial pulse is felt. Puncture depth: three fen; moxibustion: three cones. The *Jia Yi Jing* records puncture depth of six fen.
Indications: Swelling and pain of goiter, shoulder and scapula pain radiating to the neck with inability to look back, cheek swelling, lockjaw, deafness, throat pain, and sudden loss of voice.
The *Qian Jin Fang* states: For manic behavior and hallucinations, moxa nine cones. For urticaria, moxa seven cones.
Tianrong (SI 17)
Located posterior to the curved jaw below the ear. Puncture depth: one fen; moxibustion: three cones.
Indications: Goiter and cervical abscess, inability to look back, aphonia, lockjaw, tinnitus, deafness, throat obstruction with sensation of a lump, chills and fever, chest fullness, regurgitation, and vomiting of froth.
Quanliao (SI 18) (Text has missing character, context implies Quanliao)
Located at the lower margin of the zygomatic bone, in the depression at the end of the sharp bone. It is the intersection of the Hand-Shaoyang and Hand-Taiyang vessels. Puncture depth: two fen; moxibustion is prohibited.
Indications: Facial deviation, red face, yellow eyes, continuous eyelid twitching, swelling, and toothache.
The *Bai Zheng Fu* states: Combined with Daying (ST 5), it excellently treats vertigo.
Tinggong (SI 19) (Also known as Duosuo Wen)
Located in the ear, within the cartilaginous structure, size similar to a red soybean. It is the intersection of the Hand-Shaoyang, Foot-Shaoyang, and Hand-Taiyang vessels. Puncture depth: three fen; moxibustion: three cones.
Indications: Aphonia, epilepsy, abdominal fullness, cicada-like tinnitus, and deafness.
The *Bai Zheng Fu* states: Combined with Pishu (BL 20), it can dispel sorrow and grief below the heart.