。作曲角上。资生。圣济。发挥。宝鉴。作曲周上。聚英。作颞 中廉。入门。作斜上额角
中
。两太阳之中。大成。作曲周下。以上诸说要皆是大同小异。而与颔厌混。
悬厘(甲乙)曲周颞 下廉。(甲乙)
按千金翼。厘。作 字误。外台。周作角。次注。医统。吴文炳。作曲角上。两太阳下
廉。资生圣济。发挥。聚英宝鉴。大成作曲周上。金鉴。作耳前曲角上。入门。作从额斜上头角
上关(素问)一名客主人。(素问)一名客主。一名容主。(大全)一名太阳。(医垒元戎)耳
前上
甲乙)
按千金。千金翼。外台次注。无端字。发挥。类经。聚英。入门。医统。吴文炳。作起
骨上
枢云。刺上关者。 不能欠。 张口也。欠张口。而复合也。是开口取穴也。即甲乙所谓开
口有孔之义也。圣济曰。若刺深令人欠而不得KT 。是费解。
下关(素问)客主人下。耳前。HT 脉。下空下廉。合口有孔。张口即闭。(甲乙)耳中有
干HT 抵不可灸。(甲乙○注曰HT 抵。一作适之。不可灸。一作针久留针。)
按灵枢云。刺下关者。欠不能 。是合口有孔也。资生。类经。聚英。入门。医统。宝
鉴。无下空二字。HT 。古文动字。千金翼曰。耳门下一寸。宛宛中。动脉际。侧卧开口取之非。
颊车(甲乙)一名机关。一名鬼床。(千金)一名曲牙。(类经)耳下曲颊端。陷者中。开口有孔。(甲乙)
按气府论云。耳下牙车之后。各一。次注曰。谓颊车二穴也。类经。吴文炳。宝鉴。大
成。作曲颊端近前。聚英。颊。作颔。金鉴作近前八分。入门。作耳下八分。据千金及翼方。卒中
风口噤不开。灸机关二穴。穴在耳下八分小近前之说。并似拘矣。资生。引千金曰。一名机
门。门是关字之误。又千金翼曰。耳下二韭叶。宛宛中。侧卧张口取之。不可从也。又千金
。十三鬼穴。耳前发际。宛宛中。耳垂下五分。名鬼床。是指颊车。千金翼。无耳前发际。
宛宛中之七字。今移入一名。
耳前凡八穴
\r耳前之图\p06-d22a9.bmp\r
耳门(甲乙)在耳前起肉当耳缺者。(甲乙)陷中(资生)耳中有脓及底耳。 耳。皆不灸。
(外台)禁灸。有病不过三壮。(甲乙)
按。厥病篇云。耳鸣。取耳前动脉。马莳曰。即耳门也。外台。作耳中缺者。宝鉴。从
之。医统。作当耳缺者缺中。并非。
和 (千金)锐发下。(素问)耳前横动脉。(甲乙)耳门前。(入门)一云禁灸。(类经)
按甲乙。和作禾。入门同千金。千金翼。外台。以下诸书。作和。今从之。三书。并无
资生曰。和 二穴。在耳前锐发陷中明堂上经。亦有和 二穴。 即 也。在鼻孔下挟水沟
旁五分。即铜人之禾 。明堂下经之禾 也。或者。明堂上经。误写禾字。作和字尔。恐人
以和 和 为一穴。故备论之。按一疑二之误。锐发者所谓波以左贺利。
听会(甲乙)一名听呵。(资生)一名后关。一名听呵。(大全)耳前陷者中。张口得之。动脉应
手。(甲乙)耳微前。(明堂)耳珠前。(入门)
按类经。呵作河。资生。神应。发挥。类经。聚英。医统
。宝鉴。大成。作上关下一寸。非矣。类经。金鉴。作去耳珠下。亦非。本事方曰。侧卧张口取
之。吴文炳。曰。一名多所闻。耳中珠子。如赤小豆。是听宫之注。聚英。医统。亦同。盖
误听宫作听会也。千金翼舌病篇曰。听会。在上关下一寸动脉宛宛中。一名耳门。亦误。
听宫(甲乙)一名多所闻。(素问)一名窗笼。(灵枢)在耳中珠子。大明如赤小豆。(甲乙)
按气血论。耳中。多所闻。二穴。根结篇。少阳根于窍阴。结窗笼。窗笼者耳中也。甲
乙。明字衍。诸书皆无之。是也。入门。作耳前珠子旁。是耳门穴也。今据内经。甲乙经。当在
Located above the angular prominence. Zisheng, Shengji Zonglu, Fahui, and Baojian record it as above the temporal curve. Jingying records it at the lower edge of the temporal region. Rummen records it diagonally upward to the frontal angle.
Located in the middle of the two Taiyang points. Dacheng records it below the temporal curve. The aforementioned various descriptions are largely similar with only minor differences, which can be easily confused with the Hanyan acupoint.
Xuanli (Jia Yi Jing): Located at the lower edge of the temporal curve. (Jia Yi Jing)
Note: Qianjin Yi considers the character "Li" to be a typo. Waitai Mi Yao writes "Zhou" as "Jiao". Ci Zhu, Yitong, Wu Wenbing record it as above the angular prominence, below the lower edge of the two Taiyang points. Zisheng, Shengji, Fahui, Jingying, Baojian, and Dacheng record it as above the temporal curve. Jinjian records it as above the angular prominence in front of the ear. Rummen records it from the forehead diagonally upward to the head angle.
Shangguan (Suwen): Also known as Keyuzhu Ren. (Suwen) Also known as Keyu. Also known as Rongzhu. (Daquan) Also known as Taiyang. (Yilei Yuanrong) Located above the anterior aspect of the ear.
Note: Qianjin, Qianjin Yi, and Waitai Ci Zhu do not have the character "Duan". Fahui, Leijing, Jingying, Rummen, Yitong, and Wu Wenbing record it as starting from the bone above.
Shu Yun states: When needling Shangguan, the patient cannot close their mouth nor open it wide. That is, neither yawning nor opening the mouth; rather, it remains closed. This implies taking the point with the mouth open. It corresponds to the meaning in Jia Yi Jing of "having a hole when the mouth is open." Shengji states: If needled too deeply, it causes the patient to desire closing the mouth but unable to do so KT (here likely a textual error or obscure term, difficult to interpret).
Xiaguan (Suwen): Located below Keyuzhu Ren, anterior to the ear, on the HT vessel, at the lower edge of the empty space below, having an opening when the mouth is closed, which closes when the mouth opens. (Jia Yi Jing) Dryness in the ear, HT Di, moxibustion is contraindicated. (Jia Yi Jing ○ Note: HT Di, alternatively written as Shi Zhi. Moxibustion is contraindicated, alternatively interpreted as retaining the needle for a long time.)
Note: Ling Shu states: When needling Xiaguan, the patient cannot yawn nor open the mouth. This indicates having an opening when the mouth is closed. Zisheng, Leijing, Jingying, Rummen, Yitong, and Baojian lack the characters "Xia Kong". HT is the ancient character for "movement" (dong). Qianjin Yi states: One cun below Ermen, in the depression where the artery pulses; taking it while lying on the side with the mouth open is incorrect.
Jiache (Jia Yi Jing): Also known as Jiguan. Also known as Guichuang. (Qianjin) Also known as Quya. (Leijing) Located at the end of the curved jaw below the ear, in the depression, with an opening when the mouth opens. (Jia Yi Jing)
Note: Qifu Lun states: Behind the jaw below the ear, one acupoint each. Ci Zhu explains: This refers to the Jiache acupoints. Leijing, Wu Wenbing, Baojian, and Dacheng record it as near the front of the curved jaw end. Jingying writes "Jia" as "Han". Jinjian records it as eight fen near the front. Rummen records it as eight fen below the ear. According to Qianjin and Yi Fang, treating stroke-induced lockjaw by moxibustion on Jiguan two points. The description that the point is eight fen below the ear slightly towards the front seems somewhat rigid. Zisheng quotes Qianjin saying: Also known as Jimen. "Men" is a typo for "Guan". Also, Qianjin Yi states: Two leek-leaf widths below the ear, in the depression; taking it while lying on the side with the mouth open is unacceptable. Additionally, in the Thirteen Ghost Points of Qianjin, at the hairline anterior to the ear, in the depression, five fen below the earlobe, named Guichuang. This refers to the Jiache acupoint. Qianjin Yi lacks the seven characters "hairline anterior to the ear, in the depression," which are now misplaced under "Also known as."
There are eight acupoints anterior to the ear.
\rDiagram of Acupoints Anterior to the Ear\p06-d22a9.bmp\r
Ermen (Jia Yi Jing): Located anterior to the ear, on the raised flesh, directly opposite the ear notch. (Jia Yi Jing) In the depression (Zisheng). If there is pus in the ear or bottom ear, moxibustion is contraindicated. (Waitai) Moxibustion is prohibited. For illness, do not exceed three moxa cones. (Jia Yi Jing)
Note: Jue Bing Pian states: For tinnitus, take the artery anterior to the ear. Ma Shi says: This is the Ermen acupoint. Waitai writes "in the ear notch." Baojian follows this. Yitong writes "at the ear notch center," which is incorrect.
Heliao (Qianjin): Below the sharp hairline. (Suwen) Transverse artery anterior to the ear. (Jia Yi Jing) Anterior to Ermen. (Rummen) One source says moxibustion is contraindicated. (Leijing)
Note: In Jia Yi Jing, "He" is written as "He" (grain). Rummen agrees with Qianjin. Qianjin Yi, Waitai, and subsequent books write "He." We follow this. These three books do not mention Zisheng. Zisheng states: Heliao and Fengchi two points are located in the depression below the sharp hairline anterior to the ear. Mingtang Shangjing also has Heliao and Fengchi two points. Here "Liao" is "Liao." Located five fen lateral to Shuigou below the nostrils, i.e., He Liao in the Copper Man diagram. He Liao in Mingtang Xiajing. Perhaps Mingtang Shangjing mistakenly wrote "He" instead of "Wei." Fearful that people might confuse Heliao and Fengchi as one point, it is discussed in detail. Note: Suspected error of "two." Sharp hairline refers to Bo Yi Zuo He Li.
Tinghui (Jia Yi Jing): Also known as Tinghe. (Zisheng) Also known as Houguan. Also known as Tinghe. (Daquan) Located in the depression anterior to the ear, obtained when the mouth opens. The artery responds to the touch. (Jia Yi Jing) Slightly anterior to the ear. (Mingtang) Anterior to the earlobe. (Rummen)
Note: In Leijing, "He" is written as "He" (river). Zisheng, Shenyng, Fahui, Leijing, Jingying, Yitong, Baojian, and Dacheng record it as one cun below Shangguan, which is incorrect. Leijing and Jinjian record it as below the earlobe, which is also incorrect. Benshi Fang states: Take it while lying on the side with the mouth open. Wu Wenbing says: Also known as Duosuo Wen. A bead in the ear, like a red bean, is the note for Tinggong. Jingying and Yitong agree. This is likely a mistake confusing Tinggong with Tinghui. Qianjin Yi Tongbing Pian states: Tinghui is one cun below Shangguan in the depression of the pulsating artery, also known as Ermen, which is also wrong.
Tinggong (Jia Yi Jing): Also known as Duosuo Wen. (Suwen) Also known as Chuanglong. (Ling Shu) Located in the bead in the ear, bright and large like a red bean. (Jia Yi Jing)
Note: In Qixue Lun, the two points Erzhong and Duosuo Wen. Genjie Pian: Shaoyang roots at Qiaoyin, knots at Chuanglong. Chuanglong refers to the ear. In Jia Yi Jing, the character "Ming" is superfluous; other books do not have it, which is correct. Rummen records it beside the bead anterior to the ear, which is the Ermen acupoint. Now, based on Neijing and Jia Yi Jing, it should be...