(一名精宫,在背对脐,以竹竿立地量之,使无高下也)属督脉(《明堂经》曰∶命门
穴,在第十四椎节下间,与肾相当,伏而取之,督脉气所发也。
病五脏热,脉弦急者,当灸五十壮,老少增损之。如虚寒者,灸百壮)。又属足少阴肾经(《难经》曰∶十二
经之脉,皆系于生气之原,生气之原者,谓肾间之动气,五脏六腑之本,三焦之原。呼吸之门也。一名守邪之
神。根绝则枝叶枯矣,故有寸口脉平而死者,生气独绝于内也。注∶肾间动气,谓命门穴也。顾英白曰∶命门
居两肾之中,故《脉诀》云左为肾,右为命门,非也。不知十二经脉,则有心包与三焦,而腹中脏腑,岂能以
两肾为二脏者。夫膀胱与肾为配偶,肾二而膀胱一,故曰孤之腑,后之人不可以憬然而误欤?或又以命门为子
户,则愈谬矣!子户在中极之旁,左亦名胞门,得毋以命门易心包之故而云然耶?可慨甚矣!丹田亦名曰命门,
任脉所发也,为三焦之募,故命门专以配三焦。然《脉诀》之命门,则必属督脉焉,为其可以通于肾也)。
(神阙穴之分也,又名为气舍)属任脉、冲脉之会(《素问》曰∶任脉者,起于少腹,直
上贯脐中央。又曰∶冲脉者,起于气街,并少阴之经。挟脐上行,至胸中而散)。又属足少阴肾经、太阴脾经
(《灵枢》曰∶热病挟脐急痛,胸胁满,取之涌泉。涌泉,足少阴之井穴也,又曰∶足太阴之筋,上腹,结于脐。
李东垣曰∶脐腹痛,少阴也,四逆真武附子汤之类主之。故脐下或大痛,人中黑色者,不可治。《机要》曰∶
脐下发热者,肾经病也,非熟地黄不能除,以其能补肾也。《心鉴》曰∶脾绝者,脐突唇反)。又属手足阳明
大肠、胃经(《灵枢》曰∶足阳明之脉,从乳内廉下挟脐,入气街中。又曰∶积着于阳明之筋,则挟脐而居,
饱食则差,大饥则益也。又曰∶胃中热,则消谷,令人悬心善饥,脐以上皮热。肠中热。则出黄如糜,脐以下
皮寒。胃中寒,则腹胀;肠中寒,则肠鸣飧
泄。胃中寒,肠中热,则胀而且泄;胃中热,肠中寒,则疾饥,小腹痛胀。《素问》曰∶人有身体髋股 皆
肿,环脐而痛者,病名伏梁,此风根也。其气溢于大肠而着于肓;肓之原在脐下,故环脐而痛。《中藏》曰∶
冬日大肠,重感于寒,则腹中当脐而痛,鸣濯濯,不能久立,痛已则泄白物)兼属足太阳膀胱经、厥阴肝经
(朱丹溪曰∶足太阳膀胱经见症,脐反出。沈承之曰∶挟脐旁左右二寸名天枢穴,大肠之募也,属足阳明胃经,
会手阳明大肠经。脐下三寸,名关元穴,小肠之募也;四寸名中极穴,膀胱之募也,并属足三阴脾、肾、肝
经、任脉之会)。又以动脉分五脏(《难经》曰∶脐左动气属肝,脐右动气属肺,脐上动气属心,脐下动气属
肾,当脐动气属脾。又曰∶脐上牢若痛,心内症也;脐下牢若痛,肾内症也;脐右牢若痛,肺内症也;脐左牢
若痛,肝内症也)。
(Mingmen, also known as Jinggong [Palace of Essence], is located on the back directly opposite the umbilicus. The measurement method involves standing a bamboo pole upright on the ground to ensure accurate height). This acupoint belongs to the Du Meridian (The *Mingtang Jing* states: "The Mingmen acupoint is located in the interspace below the fourteenth vertebral segment, corresponding to the kidneys. It should be accessed with the patient prone; this is where the Qi of the Du Meridian emerges." If the condition presents as heat in the five Zang organs accompanied by a wiry and tense pulse, fifty moxibustion cones should be applied, adjusted according to the age of the patient. For deficiency-cold conditions, one hundred cones should be applied). Furthermore, it belongs to the Foot-Shaoyin Kidney Meridian (The *Nan Jing* states: "The meridians of the twelve channels are all connected to the 'Source of Vital Qi'. The Source of Vital Qi refers to the moving Qi between the two kidneys; it is the root of the five Zang and six Fu organs, the origin of the Sanjiao, and the gate of respiration. It is also called the 'God who guards against pathogenic factors'. If the root is severed, the branches and leaves will wither; thus, there are cases where the pulse at the Cun Kou appears normal yet death occurs, because the vital Qi alone has been severed internally." The commentary notes: "The moving Qi between the kidneys refers to the Mingmen acupoint." Gu Yingbai said: "Mingmen is situated between the two kidneys, so the *Mai Jue* claims the left is the kidney and the right is Mingmen, which is incorrect." One must not fail to understand the twelve meridians, which include the Pericardium and Sanjiao; how can the abdominal organs treat the two kidneys as two separate viscera? The Bladder and Kidney are paired; since there are two Kidneys but only one Bladder, the Bladder is termed the 'Single Organ'; later generations should not be confused and err due to this? Or some further confuse Mingmen with Zihu [Sub-household], which is even more absurd! Zihu is beside Zhongji, and the left side is also called Baomen; could this stem from confusing Mingmen with the Pericardium? This is truly lamentable! Dantian is also called Mingmen; it is an emerging point of the Ren Meridian and serves as the Mu-Alarm point of the Sanjiao, hence Mingmen is specifically associated with the Sanjiao. However, the Mingmen in the *Mai Jue* must belong to the Du Meridian, as it can connect with the Kidney).
(This region of Shenque Acupoint, also known as Qishe [Residence of Qi]). It is the convergence of the Ren Meridian and the Chong Meridian (The *Su Wen* states: "The Ren Meridian originates from the lower abdomen and goes straight up through the center of the umbilicus." It also says: "The Chong Meridian originates from Qichong, runs alongside the Foot-Shaoyin Meridian, ascends flanking the umbilicus, and disperses in the chest.") Furthermore, it belongs to the Foot-Shaoyin Kidney Meridian and the Foot-Taiyin Spleen Meridian (The *Ling Shu* states: "In heat diseases accompanied by urgent pain around the umbilicus and fullness in the chest and hypochondrium, Yongquan should be selected. Yongquan is the Jing-Well point of the Foot-Shaoyin Meridian." It also says: "The sinews of the Foot-Taiyin ascend into the abdomen and knot at the umbilicus." Li Dongyuan stated: "Abdominal pain around the umbilicus belongs to the Shaoyin channel; it is primarily treated with formulas such as Six Reversal Decoction [Sini Tang], True Warrior Decoction [Zhenwu Tang], or Aconite Decoction [Fuzi Tang]. Therefore, if there is severe pain below the umbilicus and black discoloration of the Renzhong area, it is incurable." The *Jiyao* states: "Heat below the umbilicus is a disease of the Kidney Meridian, which cannot be eliminated without Prepared Rehmannia Root [Shu Dihuang], because it tonifies the Kidney." The *Xin Jian* states: "When the Spleen is exhausted, the signs are protrusion of the umbilicus and retraction of the lips.") Furthermore, it belongs to the Hand-Yangming Large Intestine Meridian and the Foot-Yangming Stomach Meridian (The *Ling Shu* states: "The Foot-Yangming Meridian descends from the inner aspect of the breast, flanking the umbilicus, and enters the Qichong area." It also says: "Accumulation in the sinews of Yangming resides flanking the umbilicus; symptoms improve after eating and worsen during extreme hunger." It also says: "Heat in the Stomach leads to rapid digestion, causing a sensation of emptiness in the heart and frequent hunger, with heat in the skin above the umbilicus. Heat in the Intestines leads to the discharge of yellow, porridge-like stool, with coldness in the skin below the umbilicus. Cold in the Stomach causes abdominal distension; cold in the Intestines causes borborygmus and undigested food diarrhea. Cold in the Stomach and heat in the Intestines cause both distension and diarrhea; heat in the Stomach and cold in the Intestines cause frequent hunger and painful distension in the lower abdomen." The *Su Wen* states: "When a person's body, hips, and thighs are swollen and there is pain circling the umbilicus, the disease is named Fuliang [Hidden Beam]; this is the root of wind pathogens. Its Qi overflows into the Large Intestine and attaches to the Huang [Huangmo/Blind Tissue]; the source of the Huangmo is below the umbilicus, hence the pain circles the umbilicus." The *Zhong Zang Jing* states: "In winter, if the Large Intestine is additionally affected by cold, there will be pain at the umbilicus in the abdomen, gurgling sounds, inability to stand for long periods, and upon cessation of pain, white mucus will be discharged"). It also concurrently belongs to the Foot-Taiyang Bladder Meridian and the Foot-Jueyin Liver Meridian (Zhu Danxi stated: "Symptoms of the Foot-Taiyang Bladder Meridian include protrusion of the umbilicus." Shen Chengzhi stated: "The acupoints Tian Shu, located two cun to the left and right of the umbilicus, are the Mu-Alarm points of the Large Intestine, belonging to the Foot-Yangming Stomach Meridian and converging with the Hand-Yangming Large Intestine Meridian. Three cun below the umbilicus is Guan Yuan, the Mu-Alarm point of the Small Intestine; four cun below is Zhong Ji, the Mu-Alarm point of the Bladder; these converge with the Foot-Sanyin Meridians [Spleen, Kidney, Liver] and the Ren Meridian"). Furthermore, the Five Zang Organs are distinguished by arterial pulsations (The *Nan Jing* states: "Moving Qi to the left of the umbilicus belongs to the Liver; moving Qi to the right belongs to the Lung; moving Qi above belongs to the Heart; moving Qi below belongs to the Kidney; moving Qi directly at the umbilicus belongs to the Spleen." It also says: "Hardness and pain above the umbilicus indicate internal pathology of the Heart; hardness and pain below the umbilicus indicate internal pathology of the Kidney; hardness and pain to the right of the umbilicus indicate internal pathology of the Lung; hardness and pain to the left of the umbilicus indicate internal pathology of the Liver").