(谓肩井也,在肩上陷解中,缺盆上大骨前,手足少阳阳维之会,刺五分,灸三壮。)关元一穴。(释见前。)
委阳二穴。(三焦下辅俞也,在 中外廉两筋间,此足太阳之别络,刺七分,留五呼,灸三壮,屈身而取之。)
肩贞二穴。(在肩曲甲下两骨解间,肩 后陷者中,手太阳脉气所发,刺八分,灸三壮。)喑门一穴。(在项发
际宛宛中,入系舌本,督脉阳维二经之会,仰头取之,刺四分,不可灸,灸之令人喑。按∶气
府注云∶去风府一寸。)齐一穴。(齐中也,禁不可刺,刺之使人恶疡溃,矢出者死不治,若灸者可灸三壮。)
胸俞十二穴。(谓俞府、 中、神藏、灵墟、神封、步廊,左右则十二穴也。俞府在巨骨下,挟任脉两旁,横
去任脉各二寸陷者中,下五穴递相去一寸六分陷者中,并足少阴脉气所发,仰而取之,刺四分,灸五壮。)背
俞二穴。(大杼穴也,在脊第一椎下两旁,相去各一寸半陷者中,督脉别络手足太阳三脉气之会,刺三分,留
七呼,灸七壮。)膺俞十二穴。(谓云门、中府、周荥、胸卿、天溪、食窦,左右则十二穴也。云门在巨骨下
挟任脉旁,横去任脉各六寸陷者中,动脉应手。云门中府相去一寸,余五穴递相去一寸六分陷者中,并手太阴
脉气所发。云门食窦举臂取之,余并仰而取之。云门刺七分,太深令人逆息。中府刺三分,留五呼。余刺四分,
灸五壮。按∶新校正云∶“详王氏以此十二穴并手太阴,按甲乙经,云门乃手太阴,中府乃手足太阴之会,周
荥以下乃足太阴,非十二穴并手太阴也。”)分肉二穴。(在足外踝上绝骨之端三分,筋肉分间,阳维脉气所发,
刺三分,留七呼,灸三壮。按∶新校正云∶“甲乙经无分肉穴,详处所疑是辅阳,在足外踝上辅骨前,绝骨端,
如前三分所。又刺腰痛注作绝骨之端,如后二分,刺五分,留十呼,与此注小异。”)踝上横二穴。(内踝上
者,交信穴也,交信去内踝上二寸,少阴前,太阴后,筋骨间,足阴跷之 ,刺四分,留五呼,灸三壮。外踝
上,附阳穴也,附阳去外踝上三寸,太阳前,少阴后,筋骨间,阳跷之 ,刺六分,留七呼,灸三壮。按∶甲乙
经作付阳。)阴阳跷四穴。阴跷穴在足内踝下,是谓照海,阴跷所生,刺四分,留六呼,灸三壮。阳跷穴是
谓申脉,阳跷所生,在外踝下陷者中(按∶刺腰痛篇与缪刺论二注并云在足外踝下五分是也),容爪甲,刺三分,
留七呼,灸三壮。水俞在诸分。(分谓肉之分理间,治水取之。)热俞在气穴。(泻热则取之。)寒热俞在
两骸厌中二穴。(骸厌谓膝外挟膝之骨厌中也。)大禁二十五,在天府下五寸。(谓五里穴也,所以谓之大禁者,
谓其禁不可刺也。针经曰∶“迎之五里,
中道而上,五里而已,五注而脏之气尽矣,故五五二十五而竭其俞矣。”盖谓此也。又曰五里者,尺泽之后五
里,与此文同。)凡三百六十五穴,针之所由行也。(按∶新校正云∶“详自脏俞五十至此,并重复,共得三
百六十穴。通前天突、十椎、上纪、下纪,共三百六十五穴。除重复,实有三百一十三穴。”)
帝曰∶余已知气穴之处,游针之居,愿闻孙络溪谷亦有所应乎?(孙络,小络也,谓络之支别者。)岐伯曰∶
孙络三百六十五穴会,亦以应一岁,以溢奇邪,以通荣卫,荣卫稽留,卫散荣溢,气竭血着,外为发热,内为
少气,疾泻无怠,以通荣卫,见而泻之,无问所会。(荣积卫留,内外相薄者,见其血络,当即泻之,亦无问
其脉之俞会。)帝曰∶善!愿闻溪谷之会也。岐伯曰∶肉之大会为谷,肉之小会为溪,肉分之间,溪谷之会,
以行荣卫,以会大气。(按∶甲乙经作以舍大气。)邪溢气壅,脉热肉败,荣卫不行,必将为脓,内销骨髓,
外破大 ,(热过故致是。)留于节凑,必将为败。(若留于骨节之间,津液所凑之处,则骨节之间,髓液皆
溃为脓,故必败烂筋骨而不得屈伸矣。)积寒留舍,荣卫不居,卷肉缩筋,(按∶新校正云∶“全元起本作寒
肉缩筋。”)肋肘不得伸,内为骨痹,外为不仁,命曰不足,大寒留于溪谷也。(邪气盛甚,真气不荣,髓液
内消,故为是也。不足谓阳气不足也,寒邪外薄,久积淹留,阳不外胜,内消筋髓,故曰不足,大寒留于溪谷
之中也。)溪谷三百六十五穴会,亦应一岁,其小痹淫溢,循脉往来,微针所及,与法相同。(若小寒之气,
流行淫溢,随脉往来,为痹病,用针调者,与常法相同尔。)孙络之脉别经者,其血盛而当泻者,亦三百六十
五脉,并注于络,传
注十二络脉,非独十四络脉也。(……十四络者,谓十二经络兼任脉督脉之络也。脾之大络,起自于脾,故不并
言之也。)帝乃辟左右而起,再拜曰∶今日发蒙解惑,藏之金匮,不敢复出,乃藏之金兰之室,署曰气穴所在。
(按∶王本此一段在与法相同之下,孙络之脉之上,必错简也,今厘正之。)
(Referring to Jianjing [GB21, Shoulder Well], located in the depression between the shoulders, anterior to the clavicle above the Quepen [CV15, Sea of Water] point; it is the intersection of the Hand-Shaoyang, Foot-Shaoyang, and Yang-Wei vessels. Needle 0.5 cun, moxa 3 cones.) Guan Yuan [CV4, Gate of Origin]: one point. (Explanation seen previously.)
Wei Yang [BL39, Yang of the Calf]: two points. (It is the lower auxiliary Shu point of the Sanjiao [Triple Burner]. Located between the two tendons on the lateral side of the popliteal fossa; this is the divergent branch of the Foot-Taiyang bladder channel. Needle 0.7 cun, retain for five breaths, moxa 3 cones. Take the point with the body flexed.)
Jian Zhen [SI9, Shoulder Truth]: two points. (Located in the depression between the two bones below the shoulder joint's curved bone, posterior to Jianliao [TE14, Shoulder Crosstalk]; it is where the Qi of the Hand-Taiyang small intestine channel emerges. Needle 0.8 cun, moxa 3 cones.) Yin Men [DU19, Door of Aphonia]: one point. (Located in the depression at the hairline of the neck, connecting internally to the root of the tongue; it is the intersection of the Du Mai [Governing Vessel] and Yang-Wei vessels. Take the point with the head extended. Needle 0.4 cun. Moxibustion is contraindicated; if moxibustion is applied, it causes aphonia. Note: The commentary on Qifu Lun states it is one cun from Fengfu [DU16, Wind Palace].)
Qi Zhong [CV8, Center of the Navel] (Shenque [CV8]): one point. (Puncture is strictly prohibited. Puncturing leads to malignant ulcers and suppuration; if feces are discharged, death ensues and is incurable. If moxibustion is used, apply 3 cones.)
Xiong Shu [Chest Shu Points]: twelve points. (Refers to Shufu [KI1, Kidney Mansion], Yuzhong [KI2, Fragrant Middle], Shencang [KI3, Spirit Treasury], Lingxu [KI4, Spiritual Palisade], Shenfeng [KI5, Spirit Enclosure], and Bulang [KI6, Step Corridor]. Left and right sides total twelve points. Shufu [KI1] is below Jugu [LI1, Giant Bone], flanking the Ren Mai [Conception Vessel], two cun lateral to the midline in a depression. The subsequent five points are each 1.6 cun apart in depressions. They are all sites where the Qi of the Foot-Shaoyin kidney channel emerges. Take the points with the head extended. Needle 0.4 cun, moxa 5 cones.)
Bei Shu [Back Shu Points]: two points. (Refers to Dazhu [BL11, Great Pivot]. Located on both sides of the first thoracic vertebra, 1.5 cun lateral to the midline in a depression. It is the intersection of the divergent branch of the Du Mai [Governing Vessel] and the Qi of the Hand-Taiyang and Foot-Taiyang channels. Needle 0.3 cun, retain for seven breaths, moxa 7 cones.)
Ying Shu [Chest Anterior Shu Points]: twelve points. (Refers to Yunmen [LU2, Cloud Gate], Zhongfu [LU1, Central Treasury], Zhouying [SP15, Zhou Ying - *Note: Standard text usually cites Zhourong SP15, but here follows the source text's specific naming or potential variant*], Xiongxiang [SP16, Chest Region], Tianxi [SP17, Heavenly Stream], and Shidou [ST23, Food Sinus]. Left and right sides total twelve points. Yunmen [LU2] is below Jugu [LI1], flanking the Ren Mai [Conception Vessel], six cun lateral to the midline in a depression, where arterial pulsation is palpable. Yunmen [LU2] and Zhongfu [LU1] are one cun apart; the remaining five points are each 1.6 cun apart in depressions. They are all sites where the Qi of the Hand-Taiyin lung channel emerges. For Yunmen [LU2] and Shidou [ST23], raise the arm to locate; for the rest, extend the head. Yunmen [LU2]: needle 0.7 cun. Too deep causes reverse flow of Qi. Zhongfu [LU1]: needle 0.3 cun, retain for five breaths. Others: needle 0.4 cun, moxa 5 cones. Note: Xin Zheng Jiao says: "Upon detailed examination, Wang Bi attributes these twelve points solely to the Hand-Taiyin. However, according to the Jia Yi Jing, Yunmen [LU2] belongs to the Hand-Taiyin, Zhongfu [LU1] is the intersection of Hand and Foot Taiyin, and Zhouying [SP15] onwards belong to the Foot-Taiyin. Thus, they do not all belong exclusively to the Hand-Taiyin.")
Fen Rou [Muscle Intervals]: two points. (Located three fen above the end of the Juegu [peroneal bone] at the lateral malleolus, in the interval between muscle and flesh; it is where the Qi of the Yang-Wei vessel emerges. Needle 0.3 cun, retain for seven breaths, moxa 3 cones. Note: Xin Zheng Jiao says: "The Jia Yi Jing does not list Fen Rou. Careful analysis of the location suggests it might be Fuyang [BL59, Yang of Attachment], located anterior to the fibula above the lateral malleolus at the end of Juegu, as described above. Also, the commentary on Ci Yaotong Pian places it two fen behind the end of Juegu, needles 0.5 cun, retain ten breaths, which differs slightly from this commentary.")
An Shang Heng [Horizontal Points Above Ankle]: two points. (Above the medial malleolus is Jiaoxin [KI6, Intersection Trust], located two cun above the medial malleolus, anterior to the Shaoyin, posterior to the Taiyin, between bone and tendon; it is the Xi-Cleft point of the Foot-Yin Qiao vessel. Needle 0.4 cun, retain for five breaths, moxa 3 cones. Above the lateral malleolus is Fuyang [BL59, Yang of Attachment], located three cun above the lateral malleolus, anterior to the Taiyang, posterior to the Shaoyin, between bone and tendon; it is the Xi-Cleft point of the Yang-Qiao vessel. Needle 0.6 cun, retain for seven breaths, moxa 3 cones. Note: The Jia Yi Jing writes "Fu Yang".)
Yin Yang Qiao [Yin and Yang Qiao Vessels]: four points. The Yin-Qiao point is below the medial malleolus, called Zhaohai [KI6, Illuminating Sea], where the Yin-Qiao vessel originates. Needle 0.4 cun, retain for six breaths, moxa 3 cones. The Yang-Qiao point is called Shenmai [BL62, Yang Linking], where the Yang-Qiao vessel originates, located in the depression below the lateral malleolus (Note: Commentaries on Ci Yaotong Pian and Miao Ci Lun state it is five fen below the lateral malleolus, which is correct). It accommodates the nail tip. Needle 0.3 cun, retain for seven breaths, moxa 3 cones.
Shui Shu [Water Disease Shu Points] are located in the Fen [muscle intervals]. ("Fen" refers to the interstices between muscle fibers; select these for treating water diseases.) Re Shu [Heat Disease Shu Points] are located at Qi Xue [energy acupoints]. (To drain heat, select these.) Han Re Shu [Cold-Heat Disease Shu Points] are located in the two points of Liang Hai Yan [knee outer depressions]. ("Liang Hai Yan" refers to the depressions flanking the knee bone on the lateral side.)
Da Jin [Great Prohibitions]: twenty-five points, located five cun below Tianfu [LU3, Heavenly Mansion]. (This refers to Wuli [LU3, Five Miles]. It is called a Great Prohibition because puncture is forbidden. The Zhen Jing states: "Meeting the Qi at Wuli, going up the center, stop after five times. Five injections deplete the organ's Qi. Therefore, five times five equals twenty-five, exhausting the Shu points." This likely refers to this situation. It also states that Wuli is five li posterior to Chize [LU5, Cubit Crease], consistent with this text.)
In total, there are three hundred and sixty-five acupoints, through which needles travel. (Note: Xin Zheng Jiao says: "Carefully examining from the Zang Shu fifty points to here, there are repetitions, totaling three hundred and sixty points. Adding Tiantu [CV22], Ten Vertebrae, Shangji [CV12], and Xiaji [CV11], the total is three hundred and sixty-five. Excluding repetitions, there are actually three hundred and thirteen points.")
The Yellow Emperor said: I have already known the locations of the Qi acupoints and the residence of wandering needles. I wish to hear whether Sunluo [branch collaterals] and Xigu [valleys of muscles] also have corresponding correspondences? (Sunluo refers to small collaterals, i.e., branches of the collaterals.)
Qibo replied: There are three hundred and sixty-five intersections of Sunluo, corresponding to the three hundred and sixty-five days of a year. They serve to overflow strange pathogens and unblock Ying and Wei [nutritive and defensive] Qi. If Ying and Wei Qi stagnate, Wei disperses and Ying overflows, leading to Qi exhaustion and blood stasis. Externally this manifests as fever, internally as shortness of breath. Rapidly drain without delay to unblock Ying and Wei. When pathology is seen, drain it, regardless of whether it is at an intersection. (When Ying accumulates and Wei stays, clashing internally and externally, observe the blood collaterals and drain immediately, without asking if it is at a pulse Shu or intersection.)
The Yellow Emperor said: Excellent! I wish to hear about the convergence of Xigu [muscle valleys]. Qibo said: The large gathering of muscles is called Gu [valley], and the small gathering is called Xi [stream]. Between the muscle layers, the convergence of Xi and Gu serves to circulate Ying and Wei Qi and gather Da Qi [great/polar Qi]. (Note: The Jia Yi Jing reads "to house Da Qi".)
If pathogens overflow and Qi becomes obstructed, pulses become hot and flesh deteriorates, Ying and Wei cannot circulate, and pus will inevitably form. Internally it consumes bone marrow, externally it breaks down large masses of flesh (due to excessive heat). If it remains in the joints, it will inevitably cause destruction. (If it remains between bones and joints, where fluids gather, the marrow fluid in the joints will ulcerate into pus, thus inevitably rotting the sinews and bones, preventing flexion and extension.)
If accumulated cold lingers, Ying and Wei cannot reside normally, muscles curl and sinews contract (Note: Quan Yuanqi's version reads "cold muscles and contracted sinews"), the ribs and elbows cannot extend, internally it presents as bone Bi [painful obstruction], externally as insensitivity. This is named deficiency, caused by great cold lingering in the Xigu. (Pathogens are extremely abundant, true Qi fails to nourish, marrow fluid is consumed internally, hence these symptoms. "Deficiency" refers to insufficient Yang Qi. Cold pathogens press from outside, accumulating over time, Yang cannot overcome them externally, consuming sinews and marrow internally, hence termed deficiency, meaning great cold lingers within the Xigu.)
There are three hundred and sixty-five intersections of Xigu, corresponding to a year. For minor Bi syndromes overflowing and circulating along the meridians, fine needles can reach them, and the method is the same as usual. (If minor cold Qi flows and overflows, moving along the meridians to form Bi disease, treatment with needles follows the standard method.)
For Sunluo branches diverging from the main meridians, if the blood is abundant and requires draining, there are also three hundred and sixty-five vessels, which pour into the collaterals and transmit to the Twelve Luo vessels, not just the Fourteen Luo vessels. (...The Fourteen Luo vessels refer to the Luo vessels of the Twelve Meridians plus the Ren Mai [Conception Vessel] and Du Mai [Governing Vessel]. The Large Luo of the Spleen originates from the Spleen itself, so it is not included in this count.)
The Yellow Emperor then dismissed his attendants, rose, and bowed twice, saying: Today you have enlightened me and resolved my doubts. I will store this in the Golden Cabinet, daring not to show it again, but rather storing it in the Chamber of Golden Orchids, titled "The Locations of Qi Acupoints". (Note: In Wang Bing's edition, this paragraph appears below "consistent with the method" and above "Sunluo vessels", which must be a misplaced slip. It has now been corrected.)