（左右凡二十六穴）
1．肩井∶二穴在肩上陷，缺盆上，大骨前一寸半，以三指按取之，当中指下陷中者是。一名膊井，
手足少阳、阳维之会。治五劳七伤，颈项不得回顾背膊间，两手不得向头，或因扑伤腰髋
疼，香港脚上攻。《甲乙经》云∶只可针入五分，此膊井足阳明之会，乃连入五脏气。若刺深，则令人闷到不
识人。即速须三里下气，先补不泻，须臾平复如故。凡针肩井，皆以三里下其气。若
妇人堕胎后，手足厥逆，针肩井立愈。若灸更胜针，可灸七壮。
2．天 ∶二穴在肩缺盆中，上毖骨之际陷中央，手少阳、阳维之会。治肩肘痛引颈项急，寒热，缺
盆中痛，汗不出，胸中烦满。针入八分，可灸三壮。
3．巨骨∶二穴在肩端，上行两叉骨间陷中，手阳明、跷脉之会。治背膊痛，胸中有瘀血，肩
臂不得屈伸而痛。灸五壮，针入一寸。
4． 会∶二穴，一名 。肩前廉，去肩头三寸，手阳明之络。治项瘿气瘤，臂痛不能举，气
肿痛。针入七分，留十呼，得气即泻，可灸七壮。
5．肩 ∶二穴在肩端两骨间，陷者宛宛中，举臂取之，手阳
明、跷脉之会。疗偏风，半身不遂，热风瘾疹，手臂挛急，捉物不得，挽弓不开，臂细无力，筋骨酸疼。可
灸七壮至二七壮，以瘥为度。若灸偏风不遂，七七壮止，不宜多灸，恐手臂细。若风病筋骨无力，久不瘥，
当灸，不畏细也。刺即泄肩臂热气。唐库狄钦若患风痹，手臂不得伸引，诸医莫能愈。甄权针肩 二穴，
令将弓箭向垛射之，如故。
6．肩 ∶二穴在肩端 上陷中，举臂取之。治肩重不可举臂肘。可灸三壮，针入七分。
7．肩贞∶二穴在肩曲胛下两骨解间，肩 后陷中。治风痹，手臂不举，肩中热痛。针入五分。
8． ∶二穴在肩 后，大骨下、胛上廉陷中，手足太阳、阳维、跷脉之会。治寒热，肩肿引胛
中痛，臂酸无力。针入八分，可灸三壮。
9．天宗∶二穴在秉风后，大骨下陷中，手太阳脉气所发。治
肩胛痛，臂肘外后廉痛，颊颔肿。可灸三壮，针入五分，留六呼。
10．秉风∶二穴在肩上小 后，举臂有空，手太阳、阳明、手足少阳之会。治肩痛不能举。可灸五
壮，针入五分。
11．曲垣∶二穴在肩中央曲胛陷中，按之应手痛。治肩痛，周
痹，气注，肩膊拘急疼闷。可灸三壮，针入五分。
12．肩外 ∶二穴在肩胛上廉，去脊三寸陷中。治肩胛痛热而寒至肘。可灸三壮，针入六分。
13．肩中 ∶二穴在肩胛内廉，去脊二寸陷中。治寒热，目视
不明，咳嗽上气唾血。针入三分，留七呼，可灸十壮。
(There are twenty-six acupoints in total on both the left and right sides.)
1. Jianjing (GB21, Shoulder Well): Two points located in the depression on the shoulder, above Quepen (ST12, Supraclavicular Fossa), one and a half cun anterior to the prominent bone. To locate, press with three fingers; the point is where the middle finger falls into the depression. Also known as Pojiang. It is the meeting point of the Hand-Shaoyang (Sanjiao) and Foot-Shaoyang (Gallbladder) meridians, and the Yangwei Vessel. It treats five exhaustions and seven injuries, inability to look back due to neck stiffness, pain between the back and shoulders, inability to raise hands to the head, pain in the waist and hips caused by falls or trauma, and upward attack of Hongxiangjiao (podagra/foot swelling). The *Jia Yi Jing* states: "Needling depth should only be five fen." This point is also a meeting point of the Foot-Yangming (Stomach) meridian, connecting to the qi of the five zang organs. If needled too deeply, it may cause fainting and loss of consciousness. In such cases, immediately needle Zusanli (ST36, Three Mile) to descend the qi, applying tonification first followed by sedation, and recovery will occur shortly. Whenever needling Jianjing, one must always use Zusanli to guide the qi downward. For women experiencing cold extremities and reversal after abortion, needling Jianjing brings immediate cure. Moxibustion is superior to needling here; apply seven moxa cones.
2. Tianding (SI16, Heavenly Tripod): Two points located in the center of the shoulder Quepen depression, in the central depression at the junction of the clavicle. It is the meeting point of the Hand-Shaoyang (Sanjiao) meridian and the Yangwei Vessel. It treats shoulder and elbow pain radiating to the stiff neck, alternating chills and fever, pain in the Quepen region, absence of sweating, and chest fullness with irritability. Needling depth is eight fen; moxibustion of three cones is applicable.
3. Jugu (SI13, Giant Bone): Two points located at the shoulder end, in the depression between the two diverging bones upwards. It is the meeting point of the Hand-Yangming (Large Intestine) meridian and the Qiao Mai (Thrusting Vessels). It treats back and shoulder pain, blood stasis in the chest, and shoulder/arm inability to flex or extend accompanied by pain. Apply five moxa cones; needling depth is one cun.
4. Yunmen (LU2, Cloud Gate): Two points, also named Yunmen. Located at the anterior edge of the shoulder, three cun from the shoulder head. It is the Luo-Connecting point of the Hand-Yangming (Large Intestine) meridian. It treats goiter and tumors of the neck, arm pain with inability to lift, and painful Qi swelling. Needling depth is seven fen; retain the needle for ten breaths. Upon obtaining Deqi (arrival of qi), apply sedation method. Moxibustion of seven cones is applicable.
5. Jianyu (LI15, Shoulder Yu): Two points located between the two bones at the shoulder end, in the deep depression. Locate by raising the arm. It is the meeting point of the Hand-Yangming (Large Intestine) meridian and the Qiao Mai. It treats hemiplegia due to wind-stroke, half-body paralysis, wind-heat urticaria, arm spasm and contracture, inability to grasp objects, inability to draw a bow, thin arms with weakness, and soreness/pain of sinews and bones. Moxibustion ranges from seven to fourteen cones, stopping when the condition resolves. For treating hemiplegia, stop after forty-nine cones (seven times seven); excessive moxibustion may cause further thinning of the arm. However, if chronic wind-disease causes sinew/bone weakness unresponsive to other treatments, moxibustion is indicated regardless of potential arm thinning. Needling drains heat from the shoulder and arm. Example: Tudiqinruo of the Tang Dynasty suffered from wind-bi with inability to extend his arm. Physician Zhen Quan needled his Jianyu points, instructed him to shoot arrows at a target, and he recovered fully.
6. Jianliao (TE14, Shoulder Liao): Two points located in the depression above the Jianyu bone at the shoulder end. Locate by raising the arm. It treats heavy sensation in the shoulder and inability to lift the arm and elbow. Moxibustion of three cones is applicable; needling depth is seven fen.
7. Jianzhen (SI9, Shoulder Integrity): Two points located in the gap between the two bones below the axillary fold of the shoulder blade, in the depression posterior to Jianliao. It treats wind-bi, inability to raise the arm, and hot pain in the shoulder. Needling depth is five fen.
8. Naoshu (SI14, Upper Arm Shu): Two points located posterior to Jianliao, in the depression below the large bone and at the upper edge of the scapula. It is the meeting point of the Hand-Taiyang (Small Intestine) and Foot-Taiyang (Bladder) meridians, the Yangwei Vessel, and the Qiao Mai. It treats chills and fever, scapular pain radiating to the shoulder blade, and arm soreness with weakness. Needling depth is eight fen; moxibustion of three cones is applicable.
9. Tianzong (SI11, Heavenly Palace): Two points located posterior to Bingfeng, in the depression below the large bone. It is where the qi of the Hand-Taiyang (Small Intestine) meridian emerges. It treats scapular pain, pain along the lateral posterior aspect of the arm and elbow, and swelling of the cheek and jaw. Moxibustion of three cones is applicable; needling depth is five fen; retain the needle for six breaths.
10. Bingfeng (SI12, Holding Wind): Two points located posterior to the small bone on the shoulder, with a space appearing when the arm is raised. It is the meeting point of the Hand-Taiyang, Hand-Yangming, Hand-Shaoyang, and Foot-Shaoyang meridians. It treats shoulder pain with inability to lift. Moxibustion of five cones is applicable; needling depth is five fen.
11. Qu Yuan (SI13 is Jugu, this refers to SI13's neighbor or specific local point often identified as SI13 or nearby, text says "Shoulder Central Curved Scapula Depression", likely referring to a local point or variant naming, strictly translating location): Two points located in the central depression of the curved scapula on the shoulder. Tenderness upon pressure. It treats shoulder pain, generalized bi-syndrome, Qi stagnation, and shoulder stiffness with painful oppression. Moxibustion of three cones is applicable; needling depth is five fen.
12. Jianwai Shu (SI14 is Naoshu, this text describes SJ14 or similar lateral point, specifically "Shoulder Outer Shu"): Two points located at the upper edge of the scapula, three cun from the spine, in the depression. It treats scapular pain with heat sensation and cold extending to the elbow. Moxibustion of three cones is applicable; needling depth is six fen.
13. Jianzhong Shu (SI15, Shoulder Middle Shu): Two points located at the medial edge of the scapula, two cun from the spine, in the depression. It treats chills and fever, blurred vision, cough with asthma, and hemoptysis. Needling depth is three fen; retain the needle for seven breaths; moxibustion of ten cones is applicable.