肺经穴歌
手太阴经十一穴,中府、云门、天府列。侠白、尺泽、孔最存,列缺、经渠、太渊涉。鱼际
直出大指端,内侧少商如韭叶。
中府(一名膺中俞)在云门下一寸,去任脉中行六寸,乳上三肋间,陷中动脉应手,仰而取
之。肺之募也。(募,结募也,经气之所聚。他仿此。)手足太阴之会。刺三分,留五呼,灸三壮、五
壮。(埤雅云∶壮者,言以壮人为法也。)
主治肺急胸满,喘逆善噎,食不下,肺胆寒热,咳呕脓血,肺风面肿,汗出肩息背痛,涕
浊喉痹,少气不得卧,飞尸遁注,瘿瘤。此穴主泻胸中之热,其治多与大杼、缺盆、风府同。
千金云∶身体烦热,刺中府。又云∶上气咳逆短气,气满食不下,灸五十壮。
百证赋云∶同意舍,能治胸满哽噎。
云门 在巨骨下,挟气户旁二寸,去中行六寸,陷中动脉应手,举臂取之。刺三分,灸
五壮。甲乙经云∶刺太深令人逆息。千金云∶灸五十壮。
主治伤寒四肢热不已,咳逆短气,上冲心胸,胁肋烦满彻痛,喉痹瘿气,臂不得举。此
穴主泻四肢之热,其治与肩 、委中、腰俞大同。
千金云∶病瘿上气胸满,灸百壮。
天府 在胸 内廉,腋下三寸,动脉陷中,以鼻取之。刺四分,留三呼。禁灸,灸之令人气逆。
主治暴痹内逆,肝邪相搏,卒中恶风邪气,血溢口鼻,飞尸鬼注,恶语悲泣,善忘喘息,
不得安卧, 疟寒热,目眩瘿气。
千金翼云∶身重嗜卧不自觉,灸五十壮,刺三分补之。又病瘿恶气,灸五十壮。
百证赋云∶兼合谷,可追鼻中衄血。
侠白 在天府下,去肘上五寸动脉中。手太阴之别。刺四分,留三呼,灸五壮。
主治心痛气短,干呕烦满。
尺泽 在肘中约文上,屈肘横文,筋骨罅中动脉。手太阴所入为合,肺实泻之。刺三
分,留三呼,灸三壮、五壮。甄权云∶臂屈伸横文间筋骨罅中,不宜灸。
主治呕吐上气,喉痹鼓颔,心烦身痛不得汗,舌干咳唾脓血,心痛气短,肺积息贲, 疟
汗出,中风肩背痛,洒淅寒热,风痹肘挛,四肢肿痛不得举,胁痛腹胀,小便数溺色变,遗失
无度,面白善嚏,悲愁不乐,及小儿慢惊风,可灸一壮。
千金翼云∶邪病四肢重痛诸杂候,尺泽主之,一名鬼堂。又治呕吐上气,灸三壮、七壮。
又治气短不语,灸百壮。
玉龙赋云∶理筋急。又云∶兼曲池,疗肘臂挛痛。
灵光赋云∶吐血定喘,须补此穴。
席弘赋云∶治五般肘痛,又须针清冷渊以收功。
孔最 在腕上七寸陷中。手太阴之 。刺三分,留三呼,灸五壮。
主治热病汗不出,灸三壮即汗出,及咳逆,肘臂痛,屈伸难,吐血失音,头疼咽痛。
列缺 在腕后侧上一寸五分。滑氏曰∶以手交叉,当食指末筋骨罅中是穴。此手太阴
之络,从腕后别走阳明,直出食指内廉出其端。凡人有反关脉者,寸关尺三部正脉不见,而
见于列缺、阳溪,此经脉虚而络脉满,千金翼谓阳脉逆,反大于寸口三倍者是也。刺二分,
留三呼,灸三壮。慎酒面生冷等物。
主治偏风口眼 斜,手肘痛无力,半身不遂,口噤不开, 疟寒热,烦躁咳嗽,喉痹呕沫
纵唇,健忘惊痫善笑,妄言妄见,面目四肢痈肿,小便热痛,实则肩背暴肿汗出,虚则肩背寒
栗,少气不足以息,四肢厥逆,螈 尸厥,若患偏风灸至百壮,若患腕劳灸七七壮甚妙。
千金云∶男子阴中疼痛,尿血精出,灸五十壮。
玉龙赋云∶兼太渊,治咳嗽风痰。
拦江赋云∶头部痛须寻之,痰涎壅塞咽干宜此。
席弘赋云∶气刺两乳求太渊,未应须泻此穴。偏正头疼求此,又须重泻太渊无不应。
通玄赋云∶堪治咳嗽寒痰。
四总穴云∶头项须寻列缺。
千金十一穴云∶后溪并列缺,治胸项有痛。
马丹阳天星十二穴云∶此穴,善疗偏头患,遍身风痹麻,痰涎频上壅,口噤不开牙,若能
明补泻,应手疾如拿。
经渠 在寸口陷中。手太阴所行为经。刺三分,留三呼。禁灸,灸则伤人神明。
主治 疟寒热,胸背拘急膨胀,喉痹咳逆,上气数欠,伤寒热病汗不出,心痛呕吐。
百证赋云∶兼大都,治热病汗不出。
太渊 在手掌后陷中。手太阴所注为 ,即原也。脉会太渊,每日平旦寅时,脉从此
始,故一难曰∶寸口者脉之大会。刺二分,留二呼,灸三壮。
主治胸痹气逆,咳嗽呕哕,饮水肺胀,喘息不休,噫气咳血,心痛咽干,烦躁狂言,不得
卧,目痛生翳赤筋,口 ,缺盆痛,肩背痛引臂 ,溺色变,遗失无度。
神农经曰∶治牙疼,手腕无力疼痛,可灸七壮。
玉龙赋云∶兼列缺,治咳嗽风痰。
席弘赋云∶气刺两乳求太渊,未应之时针列缺。又云∶偏正头疼寻列缺,重泻太渊无不
应。又云∶五般肘痛寻尺泽,太渊针后却收功。
鱼际 在手大指本节后,内侧陷中。又云∶散脉中白肉际。手太阴所溜为荥。刺二分,留三呼,灸三壮。
主治酒病,身热恶风寒,虚热,舌上黄,头痛咳哕,伤寒汗不出,痹走胸背痛不得息,目
眩烦心,少气寒栗,喉咽干燥,呕血唾血,心痹悲恐,腹痛食不下,乳痈,肢满肘挛,溺出,及
疟方欲寒,刺手足太阴阳明出血。
席弘赋云∶此穴兼承山昆仑,治转筋目眩。
百证赋云∶兼液门能治喉痛。
一传此穴兼经渠、通里,可治汗不出者,便得淋漓,更兼三间、三里,便得汗至遍身。
一传齿痛不能食饮,左患灸左,右患灸右,男三女四。
少商 在手大指内侧端,去爪甲角如韭叶,白肉际宛宛中。手太阴所出为井。刺一
分,留三呼五吸,宜用三棱针刺,微出血,泄诸脏之热。不宜灸。甲乙经云∶灸一壮。一云三壮。忌生冷。
主治项肿喉痹,烦心呕哕,心下满,汗出咳逆, 疟振寒,腹胀肠满,雀目不明,唇干唾
沫引饮,食不下,寒栗鼓颔,手挛指痛,小儿乳蛾。唐刺史成君绰忽项肿如升,喉闭水粒不
下,甄权以三棱针刺之,微出血立愈。
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,牙关紧闭,药水
不下,急以三棱针刺此穴及少冲、中冲、关冲、少泽、商阳,使血气流行,乃起死回生急救之妙穴。
太乙歌云∶男子 癖取少商。
百证赋云∶兼曲泽,治血虚口干。
天星秘诀云∶专治指痛挛急。
The Lung Meridian of Hand-Taiyin has eleven acupoints: Zhongfu (LU-1), Yunmen (LU-2), Tianfu (LU-3). Also included are Xiabai (LU-4), Chize (LU-5), Kongzui (LU-6). Lieque (LU-7), Jingqu (LU-8), and Taiyuan (LU-9) are on this meridian. Yuji (LU-10) extends straight to the tip of the thumb, while Shaoshang (LU-11) is located on the medial side, shaped like a leek leaf.
Zhongfu (LU-1) (also known as Yingzhongshu) is located one cun below Yunmen (LU-2), six cun lateral to the anterior midline, in the depression between the third rib above the nipple. There is a palpable arterial pulse here; it should be located with the patient in a supine position. This point is the Front-Mu point of the Lung. (Mu refers to the gathering place where meridian Qi converges. Other points follow this example.) It is the intersection of the Hand-Taiyin Lung Meridian and Foot-Taiyin Spleen Meridian. Needle depth: 0.3 cun; retain needle for five breaths; moxibustion: 3 or 5 moxa cones. (*Piya* states: "Zhuang" refers to the dosage standard based on robust adults.)
Indications: Lung qi urgency, chest fullness, wheezing and reverse flow, frequent choking, inability to eat, cold-heat disorders of the lung and gallbladder, cough with vomiting of pus and blood, facial edema due to wind-pathogen affecting the lung, sweating, shoulder breathing, back pain, turbid nasal discharge, throat obstruction, shortness of breath preventing lying down, Feishi Dunzhu (a term for sudden death-like conditions or parasitic diseases), goiter. This point primarily drains heat from the chest. Its therapeutic effects are similar to those of Dazhu (BL-11), Quepen (ST-12), and Fengfu (DU-16). *Qianjin Fang* records: For body restlessness and heat, needle Zhongfu. It also records: For upward rushing qi, cough, shortness of breath, chest fullness, and inability to eat, moxibustion of 50 cones is indicated. *Baizheng Fu* records: Combined with Yishe (BL-48), it treats chest fullness and choking.
Yunmen (LU-2) is located below Jugu (SI-1), two cun lateral to Qihu (ST-15), six cun lateral to the anterior midline, in the depression with a palpable arterial pulse. Locate it with the arm raised. Needle depth: 0.3 cun; moxibustion: 5 cones. *Jia Yi Jing* records: Needling too deeply causes reverse flow of qi. *Qianjin Fang* records: Moxibustion of 50 cones.
Indications: Unremitting heat in the four limbs due to Cold Damage, cough and reverse flow of qi, shortness of breath, qi rushing up to the heart and chest, vexation and fullness penetrating through the hypochondrium, throat obstruction, goiter, inability to raise the arm. This point primarily drains heat from the four limbs. Its therapeutic effects are largely similar to those of Jianyu (LI-15), Weizhong (BL-40), and Yaoshu (DU-2). *Qianjin Fang* records: For goiter, upward rushing qi, and chest fullness, moxibustion of 100 cones is indicated.
Tianfu (LU-3) is located on the medial aspect of the chest, three cun below the axilla, in the depression with a pulsating artery. Locate it by inhaling through the nose. Needle depth: 0.4 cun; retain needle for three breaths. Moxibustion is contraindicated, as it may cause reverse flow of qi.
Indications: Sudden bi-syndrome with internal reverse flow of qi, conflict with Liver pathogenic factors, sudden onset of evil wind pathogens, bleeding from mouth and nose, Feishi Guizhu (parasitic or ghost-related diseases), delirium, weeping, forgetfulness, asthma, inability to sleep peacefully, malaria with chills and fever, vertigo, goiter. *Qianjin Yifang* records: For heavy body, excessive drowsiness without awareness, moxibustion of 50 cones; needle 0.3 cun using the tonification method. It also treats goiter and evil qi with 50 cones of moxibustion. *Baizheng Fu* records: Combined with Hegu (LI-4), it can stop epistaxis.
Xiabai (LU-4) is located below Tianfu (LU-3), five cun above the elbow crease, in the pulsating artery. It is the Luo-Connecting point of the Hand-Taiyin Lung Meridian. Needle depth: 0.4 cun; retain needle for three breaths; moxibustion: 5 cones.
Indications: Heart pain, shortness of breath, dry retching, vexation, and fullness.
Chize (LU-5) is located at the center of the cubital crease when the elbow is flexed, in the depression between the tendons and bones where the artery pulses. It is the He-Sea point of the Hand-Taiyin Lung Meridian; tonify or sedate according to excess/deficiency, specifically draining excess in the Lung. Needle depth: 0.3 cun; retain needle for three breaths; moxibustion: 3 or 5 cones. Zhen Quan records: In the depression between tendons and bones at the elbow crease during flexion and extension, moxibustion is not suitable.
Indications: Vomiting, upward rushing qi, throat obstruction with jaw trembling, vexation, body pain without sweat, dry tongue, cough with pus and blood, heart pain, shortness of breath, lung accumulation, Xiben (asthma/pulmonary fibrosis), sweating in malaria, shoulder and back pain due to wind-stroke, aversion to cold and fever, wind-bi causing elbow contracture, swelling and pain in four limbs preventing movement, hypochondriac pain and abdominal distension, frequent urination with color changes, urinary incontinence, pale complexion with frequent sneezing, sorrow and unhappiness, and slow convulsions in children (moxibustion of 1 cone). *Qianjin Yifang* records: For various miscellaneous conditions involving heavy and painful four limbs due to evil pathogens, Chize is the primary point; it is also named Guidang. It also treats vomiting and upward rushing qi with 3 or 7 cones of moxibustion. For shortness of breath and inability to speak, moxibustion of 100 cones is indicated. *Yulong Fu* records: Regulates tendon tension. It also records: Combined with Quchi (LI-11), it treats elbow and arm contracture. *Lingguang Fu* records: For hemoptysis and asthma relief, this point must be tonified. *Xihong Fu* records: To treat five types of elbow pain, one must also needle Qinglengyuan (SI-10) to conclude treatment.
Kongzui (LU-6) is located in the depression seven cun above the wrist crease. It is the Xi-Cleft point of the Hand-Taiyin Lung Meridian. Needle depth: 0.3 cun; retain needle for three breaths; moxibustion: 5 cones.
Indications: Heat disease with no sweat (moxibustion of 3 cones induces sweating), cough and reverse flow of qi, elbow and arm pain, difficulty in flexion and extension, hemoptysis, loss of voice, headache, and sore throat.
Lieque (LU-7) is located one cun and five fen above the posterior border of the radial styloid process. Hua Shi says: Cross hands, and the point is in the depression between the bone and tendon at the end of the index finger. This is the Luo-Connecting point of the Hand-Taiyin Lung Meridian; from behind the wrist, it branches off to connect with the Yangming Meridian, extending straight to the medial end of the index finger. In individuals with a reversed radial pulse (Guanmai), the normal pulses at Cun, Guan, and Chi are not visible but appear at Lieque and Yangxi. This indicates deficiency of the main meridian and fullness of the collateral vessels. *Qianjin Yifang* describes this as inverted Yang pulses, which are three times larger than the Cun Kou pulse. Needle depth: 0.2 cun; retain needle for three breaths; moxibustion: 3 cones. Avoid alcohol, wheat products, and raw/cold foods.
Indications: Hemiplegic facial paralysis, weakness and pain in the hand and elbow, hemiplegia, locked jaw, malaria with chills and fever, irritability and cough, throat obstruction with foamy vomiting, lip deviation, forgetfulness, epilepsy with laughter, delirium and hallucinations, carbuncles and swelling of the face, eyes, limbs, hot and painful urination. In excess patterns: sudden swelling and sweating of the shoulder and back. In deficiency patterns: chills of the shoulder and back, shortness of breath, cold extremities, convulsions, and Shijue (coma). For hemiplegia, moxibustion up to 100 cones is effective; for wrist strain, 49 cones is excellent. *Qianjin Fang* records: For male pain in the genitals, hematuria, and seminal emission, moxibustion of 50 cones. *Yulong Fu* records: Combined with Taiyuan (LU-9), it treats cough with wind-phlegm. *Lanjiang Fu* records: For head pain, seek this point; for phlegm-fluid obstructing the throat and dryness, this point is suitable. *Xihong Fu* records: For stabbing pain in both breasts, seek Taiyuan (LU-9); if ineffective, sedate this point. For lateral and frontal headaches, seek this point, and heavily sedate Taiyuan (LU-9) for sure results. *Tongxuan Fu* records: It can treat cough with cold phlegm. *Si Zong Xue Ge* records: For head and neck, seek Lieque. *Qianjin Eleven Points* records: Houxi (SI-3) combined with Lieque (LU-7) treats chest and neck pain. *Ma Danyang Twelve Stars* records: This point effectively treats lateral headaches, generalized wind-bi numbness, frequent rising phlegm-fluid, locked jaw, and if one understands tonification and seduction, the cure is swift.
Jingqu (LU-8) is located in the depression at Cun Kou. It is the Jing-River point of the Hand-Taiyin Lung Meridian. Needle depth: 0.3 cun; retain needle for three breaths. Moxibustion is contraindicated, as it harms the Shen (Spirit).
Indications: Malaria with chills and fever, stiffness and distension of the chest and back, throat obstruction, cough and reverse flow of qi, frequent yawning, Cold Damage heat disease with no sweat, heart pain, and vomiting. *Baizheng Fu* records: Combined with Dadu (SP-2), it treats heat disease with no sweat.
Taiyuan (LU-9) is located in the depression at the transverse crease of the wrist. It is the Shu-Stream point of the Hand-Taiyin Lung Meridian, which is also the Yuan-Source point. The Pulse gathers at Taiyuan; daily at Yin hour (3-5 AM), the pulse begins here. Thus, *Nan Jing* states: Cun Kou is the great assembly of the pulses. Needle depth: 0.2 cun; retain needle for two breaths; moxibustion: 3 cones.
Indications: Chest Bi with reverse flow of qi, cough, vomiting, and hiccups, pulmonary distension from drinking water, unceasing asthma, belching and hemoptysis, heart pain, dry throat, irritability, mania, inability to lie down, eye pain with pterygium and red veins, facial deviation, Quepen pain, shoulder and back pain radiating to the arm, change in urine color, urinary incontinence. *Shennong Jing* records: Treats toothache and wrist weakness/pain; moxibustion of 7 cones. *Yulong Fu* records: Combined with Lieque (LU-7), it treats cough with wind-phlegm. *Xihong Fu* records: For stabbing pain in both breasts, seek Taiyuan (LU-9); if ineffective, needle Lieque (LU-7). It also records: For lateral and frontal headaches, seek Lieque (LU-7), and heavily sedate Taiyuan (LU-9) for sure results. It also records: For five types of elbow pain, seek Chize (LU-5), and conclude treatment with Taiyuan (LU-9).
Yuji (LU-10) is located in the depression on the medial side of the first metacarpophalangeal joint. Alternatively described as the white flesh margin among the dispersed pulses. It is the Ying-Spring point of the Hand-Taiyin Lung Meridian. Needle depth: 0.2 cun; retain needle for three breaths; moxibustion: 3 cones.
Indications: Alcohol-induced disease, body heat with aversion to wind and cold, deficient heat, yellow tongue coating, headache, cough, and hiccups, Cold Damage with no sweat, migratory bi-syndrome causing chest and back pain preventing respiration, vertigo and vexation, shortness of breath and chills, dry throat and pharynx, hematemesis and spitting blood, Heart Bi with fear and terror, abdominal pain and inability to eat, mastitis, limb fullness and elbow contracture, abnormal urine discharge, and malaria just before chills (bleed the Hand and Foot Taiyin and Yangming meridians). *Xihong Fu* records: Combined with Chengshan (BL-57) and Kunlun (BL-60), it treats muscle cramps and vertigo. *Baizheng Fu* records: Combined with Yemen (SJ-10), it treats sore throat. Another transmission records: Combined with Jingqu (LU-8) and Tongli (HT-7), it treats anhidrosis, inducing profuse sweating; further combined with Sanjian (LI-3) and Zusanli (ST-36), it induces sweating over the whole body. Another transmission records: For toothache preventing eating, moxibustion on the left for left-sided pain, right for right-sided pain; males 3 cones, females 4 cones.
Shaoshang (LU-11) is located at the medial end of the thumb, one grain-width away from the corner of the nail, in the depression of the white flesh margin. It is the Jing-Well point of the Hand-Taiyin Lung Meridian. Needle depth: 0.1 cun; retain needle for three breaths and five inhalations. Use a three-edged needle to induce slight bleeding to drain heat from all Zang organs. Moxibustion is generally not recommended. *Jia Yi Jing* records: Moxibustion of 1 cone. Another source says 3 cones. Avoid raw and cold foods.
Indications: Neck swelling and throat obstruction, vexation, vomiting, and hiccups, subcardiac fullness, sweating, cough, and reverse flow of qi, malaria with shivering, abdominal distension and intestinal fullness, night blindness, dry lips with salivation and thirst, inability to eat, chills with jaw trembling, hand contracture and finger pain, infantile tonsillitis. Tang Dynasty Cishi Cheng Junchuo suddenly developed neck swelling the size of a measuring cup, with throat closure preventing swallowing even water. Zhen Quan treated him with a three-edged needle at this point, inducing slight bleeding, resulting in immediate recovery. *Qiankun Shengyi* records: This is one of the Ten Jing-Well points. For sudden stroke with coma, excessive phlegm-fluid, unconsciousness, locked jaw, and inability to take medicine, urgently needle this point along with Shaochong (HT-9), Zhongchong (PC-9), Guanchong (SJ-1), Shaoze (SI-1), and Shangyang (LI-1) to promote blood and Qi circulation. It is a miraculous emergency point for reviving the dying. *Taiyi Ge* records: For male hernia masses, select Shaoshang. *Baizheng Fu* records: Combined with Quze (PC-3), it treats dry mouth due to blood deficiency. *Tianxing Mijue* records: It specializes in treating finger pain and contracture.