(素问气穴论)
黄帝问曰∶余闻气穴三百六十五,以应一岁,未知其所,愿卒闻之。(人身孔穴,皆气所居,本篇言穴不言经,故曰
气穴。周身三百六十五气穴,周岁三百六十五日,故以应一岁。卒,尽也。)岐伯稽首再拜对曰∶窘乎哉问也。其非圣帝,
孰能穷其道焉?因请溢意尽言其处。(窘,穷而难也。孰,谁也。溢,畅达也。)帝捧手逡巡而却曰∶夫子之开余道也,
目未见其处,耳未闻其数,而目以明,耳以聪矣。岐伯曰∶此所谓圣人易语,良马易御也。(圣人者闻声知情,无所不达,
故圣人易语。良马者不称其力,称其德也,故良马易御。)帝曰∶余非圣人之易语也,世言真数开人意,今余所访问者真
数,发蒙解惑,未足以论也。然余愿闻夫子溢志尽言其处,令解其意,请藏之金匮,不敢复出。(真数,格物穷理之数也。
发蒙解惑未足以论,盖帝自谦非圣人,故不有真数,不足以论也。)岐伯再拜而起曰∶臣请言之。(此下旧本有云∶背与
心相控而痛,所治天突与十椎及上纪,上纪者胃脘也,下纪者关元也。背胸邪系阴阳左右如此,其病前后痛涩,胸胁痛
而不得息,不得卧,上气短气,偏痛,脉满起,斜出尻脉,络胸胁,支心贯膈,上肩加天突,斜下肩交十椎下。以上共
计八十七字,按其文义与上下文不相流贯,新校正疑其为骨空论文脱误于此者是,今移入针刺类四十七。)脏俞五十穴,
(脏,五脏也。俞,井荥俞经合也。五脏之俞,五五二十五穴,左右合之,共五十穴。肝之井,大敦也。荥,行间也。
俞,太冲也。经,中封也。合,曲泉也。心主之井,中冲也;荥,劳宫也;俞,大陵也;经,间使也;合,曲泽也。脾
之井,隐白也;荥,大都也;俞,太白也;经,商丘也;合,阴陵泉也。肺之井,少商也;荥,鱼际也;俞,太渊也;
经,经渠也;合,尺泽也。肾之井,涌泉也;荥,然谷也;俞,太 也;经,复溜也;合,阴谷也。右五脏言心主而不
言心,以邪客篇云∶手少阴之脉独无 。诸邪之在于心者,皆在于心之包络,包络者心主之脉也,故独无 焉。义详针
刺类二十三。)腑俞七十二穴,(腑,六腑也。脏俞惟五,腑俞有六,曰井荥俞原经合也。六腑之俞,六六三十六穴,左
右合之,共七十二穴。胆之井,窍阴也;荥,侠溪也;俞,临泣也;原,丘墟也;经,阳辅也;合,阳陵泉也。胃之井,
厉兑也;荥,内庭也;俞,陷谷也;原,冲阳也;经,解溪也;合,三里也。大肠之井,商阳也;荥,二间也;俞,三
间也;原,合谷也;经,阳溪也;合,曲池也。小肠之井,少泽也;荥,前谷也;俞,后溪也;原,腕骨也;经,阳谷
也;合,小海也。三焦之井,关冲也;荥,液门也;俞,中渚也;原,阳池也;经,支沟也;合,天井也。膀胱之井,
至阴也;荥,通谷也;俞,束骨也;原,京骨也;经,昆仑也;合,委中也。)热俞五十九穴,(具水热穴论注中,详针
刺类三十九。)水俞五十七穴,详针刺类三十六,并出水热穴论王氏注中。)头上五行行五,五五二十五穴,(此即前热俞
五十九穴中之数,而重言之也。)中KT 两旁各五凡十穴,(此五脏之背俞,谓肺俞心俞肝俞脾俞肾俞也,皆足太阳经挟
脊之两旁者,共十穴。KT ,膂同。)大椎上两旁各一凡二穴,(大椎,督脉穴,连上两旁者共三穴。其两旁二穴,按王
氏云∶甲乙经、经脉流注孔穴图经并不载,未详何俞也。新校正云∶大椎上旁无穴。今于大椎上旁按之甚 ,必当有穴,
意者甲乙等经犹有未尽。)目瞳子浮白二穴,)瞳子 、浮白各二穴,皆足少阳经也,共四穴。)两髀厌分中二穴,(髀厌
分中,谓髀枢骨分缝中,即足少阳环跳穴也。)犊鼻二穴,(犊鼻,足阳明穴也。)耳中多所闻二穴,(手太阳听宫也。)眉
本二穴,(足太阳攒竹也。)完骨二穴,(足少阳经也。)项中央一穴,(督脉风府也。)枕骨二穴,(足少阳上窍阴也。)上
关二穴,(足少阳客主人也。)大迎二穴,(足阳明穴也。)下关二穴,(足阳明穴也。)天柱二穴,(足太阳经穴也。)巨虚
上下廉四穴,(巨虚上廉,巨虚下廉,皆足阳明经穴。)曲牙二穴,(足阳明颊车也。)天突一穴,(任脉穴也。)天府二穴,
(手太阴穴也。)天牖二穴,(手少阳穴也。)扶突二穴,(手阳明穴也。)天窗二穴,(手太阳穴也。)肩解二穴,(足少阳
肩井也。)关元一穴,(任脉穴也。)委阳二穴,(足太阳穴也。)肩贞二穴,(手太阳穴也。)喑门一穴,(督脉 门也。)齐
一穴,(任脉神阙也。)胸俞十二穴,(谓俞腑、 中、神藏、灵墟、神封、步廊,左右共十二穴,俱足少阴经穴。)背俞
二穴,(足太阳大杼也。)膺俞十二穴,(胸之两旁曰膺。膺俞者,手太阴之云门、中府,足太阴之周荣、胸乡、天溪、食
窦,左右共十二穴也。)分肉二穴,(足少阳阳辅也,重出。)踝上横二穴,(内踝上,交信也,足少阳经穴。外踝上,附
阳也,足太阳经穴。左右共四穴。)阴阳跷四穴,阴跷穴,足少阴照海也。阳跷穴,足太阳申脉也。左右共四穴。跷有五
音,跷、皎、乔、脚,又极虐切。)水俞在诸分,(水属阴,多在肉理诸分之间,故治水者当取诸阴分,如水俞五十七穴
者是也。)热俞在气穴,(热为阳,多在气聚之穴,故治热者当取诸阳分,如热俞五十九穴者是也。)寒热俞在两骸厌中二
穴,(两骸厌中,谓膝下外侧骨厌中,足少阳阳关穴也。骸音鞋,说文∶胫骨。)大禁二十五,在天府下五寸,(大禁者,
禁刺之穴,谓手阳明五里也,在手太阴天府穴下五寸,左右共二穴。玉版篇曰∶迎之五里,中道而止,五至而已,五往
而脏之气尽矣,故五五二十五而竭其输矣。正此谓也。详针刺类六十一。)凡三百六十五穴,针之所由行也。(自脏俞五
十穴至此,共三百六十五穴。若连前移附针刺类原文所列天突、十椎、胃脘、关元四穴,则总计三百六十九穴。内除天
突、关元及头上二十五穴俱系重复外,实止三百四十二穴。盖去古既远,相传多失,必欲考其详数不能也。)
Suwen: Qixue Lun (Treatise on Qi Acupoints)
The Yellow Emperor asked, "I have heard that there are three hundred and sixty-five Qi acupoints in the human body, corresponding to the days of a year. I do not know their specific locations and wish for you to explain them in detail." (All apertures in the human body are dwellings of Qi. This chapter discusses acupoints without explicitly mentioning meridians, hence the term 'Qi acupoints'. The total of 365 Qi acupoints corresponds to the 365 days of a year. 'Zu' means 'exhaustively'.)
Qibo bowed twice with his head touching the ground and replied, "Your question is indeed difficult. Only a sage emperor could exhaust its principles. Please allow me to speak freely and describe all their locations." ('Jiong' means distressed or difficult to answer. 'Shu' means who. 'Yi' means to express freely.)
The Yellow Emperor raised his hands, stepped back slightly, and said, "Master, your enlightenment has clarified my mind. Although I have not yet seen the locations or heard the numbers, my eyes are now clear and my ears are sharp." Qibo said, "This is what is meant by saying that sages are easy to instruct, and fine horses are easy to drive." (Sages can understand situations from hearing sounds, thus they are easy to communicate with. Fine horses are valued for their virtue rather than just strength, thus they are easy to handle.)
The Yellow Emperor said, "I am not as easy to instruct as a sage. It is said that true numbers open the mind. What I ask about are these true numbers, which can enlighten the ignorant and resolve doubts. However, this alone is not sufficient for profound discussion. Yet, I desire to hear you speak freely about their locations, so that I may understand their meaning. Please let me store this in the golden casket, and I dare not reveal it again." ('True numbers' refer to the numerical principles derived from investigating things. Saying 'enlightening the ignorant is insufficient for discussion' is the Emperor's modesty, implying that without true numbers, one cannot discuss profound matters.)
Qibo bowed again and rose, saying, "Your subject will explain." (Note: An old version contained an additional passage of 87 characters regarding pain between the back and heart, treating Tian Tu, Shi Zhui, Wei Wan, and Guan Yuan. New corrections suspect this text was misplaced from the Gu Kong Lun chapter and has been moved to the Acupuncture category, article 47.)
There are fifty acupoints of the Zang organs. (Zang refers to the five Zang organs. Shu refers to the Jing-River-Stream-Source-He categories. Each of the five Zang organs has five Shu points, totaling twenty-five. Bilaterally, this makes fifty points. Liver Jing-River point: Dadun; Ying-Spring: Xingjian; Shu-Stream: Taichong; Jing-River: Zhongfeng; He-Sea: Ququan. Pericardium Jing-River point: Zhongchong; Ying-Spring: Laogong; Shu-Stream: Daling; Jing-River: Jianshi; He-Sea: Quze. Spleen Jing-River point: Yinbai; Ying-Spring: Dabu; Shu-Stream: Taibai; Jing-River: Shangqiu; He-Sea: Yinlingquan. Lung Jing-River point: Shaoshang; Ying-Spring: Yuji; Shu-Stream: Taiyuan; Jing-River: Jingqu; He-Sea: Chize. Kidney Jing-River point: Yongquan; Ying-Spring: RanGu; Shu-Stream: Taixi; Jing-River: Fuliou; He-Sea: YinGu. Note: The text mentions the Pericardium but not the Heart directly here, citing the Xieke chapter: 'The Hand-Shaoyin meridian alone has no Shu points.' Evil invading the Heart affects the Pericardium, which is the meridian of the Heart Master. See Acupuncture category, article 23 for details.)
There are seventy-two acupoints of the Fu organs. (Fu refers to the six Fu organs. While Zang points follow the five-category system, Fu points follow a six-category system including Jing-River, Ying-Spring, Shu-Stream, Yuan-Source, Jing-River, and He-Sea. Each of the six Fu organs has six points, totaling thirty-six. Bilaterally, this makes seventy-two points. Gallbladder Jing-River point: Qiaoyin; Ying-Spring: Xiaxi; Shu-Stream: Linqi; Yuan-Source: Qiuxu; Jing-River: Yangfu; He-Sea: Yanglingquan. Stomach Jing-River point: Lidui; Ying-Spring: Neiting; Shu-Stream: XianGu; Yuan-Source: Chongyang; Jing-River: JieXi; He-Sea: Zusanli. Large Intestine Jing-River point: Shangyang; Ying-Spring: Erjian; Shu-Stream: Sanjian; Yuan-Source: Hegu; Jing-River: Yangxi; He-Sea: Quchi. Small Intestine Jing-River point: Shaoze; Ying-Spring: QianGu; Shu-Stream: Houxi; Yuan-Source: Wangu; Jing-River: Yanggu; He-Sea: Xiaohai. Sanjiao Jing-River point: Guanchong; Ying-Spring: Yemen; Shu-Stream: Zhongzhu; Yuan-Source: Yangchi; Jing-River: Zhigou; He-Sea: Tianjing. Bladder Jing-River point: Zhiyin; Ying-Spring: Tonggu; Shu-Stream: Shugu; Yuan-Source: Jinggu; Jing-River: Kunlun; He-Sea: Weizhong.)
There are fifty-nine acupoints for treating heat. (Details are in the commentary on Shuire Xue Lun, see Acupuncture category, article 39.)
There are fifty-seven acupoints for treating water disorders. (See Acupuncture category, article 36, and Wang Bing's commentary on Shuire Xue Lun.)
On the head, five rows with five points each, totaling twenty-five points. (This reiterates part of the 59 heat-treating points mentioned earlier.)
Ten points on both sides of the spine. (These are the Back-Shu points of the five Zang organs: Feishu, Xinshu, Ganshu, Pishu, Shenshu, located bilaterally along the Foot-Taiyang meridian next to the spine.)
Two points on either side above Dazhui. (Dazhui is a Du Meridian point. The two points beside it are not recorded in the Jiayi Jing or other standard texts, so their identity is unknown. New corrections state there are no points above Dazhui. However, pressing here causes significant pain, suggesting points exist, possibly omitted in older texts.)
Four points: Tongziliao and Fu Bai (two on each side), belonging to the Foot-Shaoyang meridian.
Two points at the midpoint of the hip joint crease (Huati). (Refers to the gap in the hip bone, i.e., Huantiao of the Foot-Shaoyang meridian.)
Two points: Dubi. (Foot-Yangming meridian.)
Two points: Duo Suo Wen. (Tinggong of the Hand-Taiyang meridian.)
Two points: Meiben. (Canzhu of the Foot-Taiyang meridian.)
Two points: Wanggu. (Foot-Shaoyang meridian.)
One point: Center of the neck. (Fengfu of the Du Meridian.)
Two points: Occipital bone. (Shangqiaoyin of the Foot-Shaoyang meridian.)
Two points: Shangguan. (Keyeren/Shangguan of the Foot-Shaoyang meridian.)
Two points: Daying. (Foot-Yangming meridian.)
Two points: Xiaguan. (Foot-Yangming meridian.)
Two points: Tianzhu. (Foot-Taiyang meridian.)
Four points: Juxu Shanglian and Juxu Xialian. (Both belong to the Foot-Yangming meridian.)
Two points: Quya. (Jiache of the Foot-Yangming meridian.)
One point: Tiantu. (Ren Meridian.)
Two points: Tianfu. (Hand-Taiyin meridian.)
Two points: Tianyou. (Hand-Shaoyang meridian.)
Two points: Futu. (Hand-Yangming meridian.)
Two points: Tianchuang. (Hand-Taiyang meridian.)
Two points: Jianjie. (Jianjing of the Foot-Shaoyang meridian.)
One point: Guan Yuan. (Ren Meridian.)
Two points: Weiyang. (Foot-Taiyang meridian.)
Two points: Jianzhen. (Hand-Taiyang meridian.)
One point: Yanmen. (Yamen of the Du Meridian.)
One point: Qi (Umbilicus). (Shenque of the Ren Meridian.)
Twelve points: Xiong Shu. (Specifically referring to points like Yufu, Shencang, Lingxu, Shenfeng, Bulang on the Foot-Shaoyin meridian, twelve bilaterally. *Note: Text lists specific points.*)
Two points: Bei Shu. (Dazhu of the Foot-Taiyang meridian.)
Twelve points: Ying Shu. (Located on the chest sides. Includes Yunmen and Zhongfu of Hand-Taiyin, and Zhourong, Xiang, Tianxi, Shidou of Foot-Taiyin, twelve bilaterally.)
Two points: Fenrou. (Yangfu of Foot-Shaoyang meridian, listed redundantly.)
Four points: Above the ankle. (Jiaoxin above the medial malleolus [Foot-Shaoyin]; Fuyang above the lateral malleolus [Foot-Taiyang]. Total four bilaterally. *Note: Original text incorrectly attributes Jiaoxin to Foot-Shaoyang in parentheses, but correctly identifies Fuyang as Foot-Taiyang. Standard theory places Jiaoxin on Kidney/Foot-Shaoyin.*)
Four points: Yin and Yang Qiao. (Yin Qiao is Zhaohai of Foot-Shaoyin; Yang Qiao is Shenmai of Foot-Taiyang. Total four bilaterally.)
Water acupoints are located in various muscle divisions. (Water belongs to Yin, residing in muscle textures; thus, water disorders are treated by selecting Yin divisions, such as the 57 water points.)
Heat acupoints are located at Qi gathering sites. (Heat belongs to Yang, residing where Qi gathers; thus, heat disorders are treated by selecting Yang divisions, such as the 59 heat points.)
Cold-heat acupoints are at the two points in the middle of the knee joints. (Refers to Yangguan of Foot-Shaoyang, located laterally below the knee. 'Hai' refers to the tibia.)
Twenty-five major prohibitions (Da Jin). (Refers to Wuli of Hand-Yangming, located 5 cun below Tianfu of Hand-Taiyin. Bilaterally two points. The Yuban chapter warns against over-stimulating Wuli as it depletes organ Qi. See Acupuncture category, article 61.)
In total, there are three hundred and sixty-five acupoints, which are the pathways for needle treatment. (From the 50 Zang points to here, the count reaches 365. If adding the previously displaced points (Tiantu, Shi Zhui, Weiwan, Guan Yuan), the total would be 369. Excluding duplicates (Tiantu, Guan Yuan, and the 25 head points), the actual unique count is 342. Due to the great distance from antiquity, many details have been lost, making exact verification impossible.)