(左右凡四十四穴)
1.大抒∶二穴在项后第一椎下,两傍相去各一寸五分陷中。《甲乙经》云足太阳、少阳之会。疗疟,
颈项强不可俯仰,头痛,振寒,螈 ,气实胁满,伤寒汗不出,脊强喉痹,烦满风劳,劳气咳嗽,胸中郁郁,
身热目眩。针入五分,可灸七壮。
2.风门∶二穴,一名热府。在第二椎下,两旁相去各一寸五分,督脉、足太阳之会。治伤寒,颈项强,
目瞑多嚏,鼻鼽出清涕,风劳,呕逆上气,胸背痛,喘气,卧不安。针入五分,留七
呼。今附∶若频刺,泄诸阳热气,背永不发痈疽,可灸五壮。
3.肺 ∶二穴在第三椎下,两傍相去各一寸五分,足太阳脉气所发。治上气呕吐,支满不嗜食,汗不
出,腰背强痛,寒热,喘满虚烦,口干,传尸,骨蒸劳,肺痿,咳嗽。针入三分,留七呼,得气即泻,出《甲
乙》。甄权《针经》云∶在第三椎下两傍,以搭手左取右,右取左,当中指末是穴。治胸中气满,背偻
如龟,腰强,头目眩,令人失颜色。针入五分,留七呼,可灸一百壮。
4.厥阴 ∶二穴在第四椎下,两傍相去各一寸五分。治逆气
呕吐,心痛留结,胸中烦闷。针入三分,可灸七七壮,出《山眺经》。
5.心 ∶二穴在第五椎下,两傍相去各一寸五分。治心中风,狂走,发痫,语悲泣,心胸闷乱烦满,
汗不出,结积,寒热,呕吐,不下食,咳唾血。针入三分,留七呼,得气即泻,不可灸。
6.膈 ∶二穴在第七椎下,两傍相去各一寸五分。治咳而呕逆,膈胃寒痰,食饮不下,胸满,肢肿,
两胁痛,腹胀,胃脘暴痛,热病汗不出,喉痹,腹中积癖,默默嗜卧,四肢怠情不欲动,身常湿,不能食,食
则心痛,周痹身皆痛。针入三分,留七呼,可灸三壮。
7.肝 ∶二穴在第九椎下,两傍相去各一寸五分。治咳引两胁急痛不得息,转侧难,撅胁下与脊相引而
反折,目上视,目眩,循眉头痛,惊狂,鼽衄,起则目KT KT ,目生白翳,咳引胸中
痛,寒疝,少腹痛,唾血短气。针入三分,留六呼,可灸三壮。
8.胆 ∶二穴在第十椎下,两傍相去各一寸五分。治心腹胀
满,呕则食无所出,口苦舌干,咽中痛,食不下,目黄,胸胁不
能转侧,头痛振寒,汗不出,腋下肿。针入五分,可灸三壮。
9.脾 ∶二穴在第十一椎下,两傍相去各一寸五分。治腹胀引胸背痛,食饮倍多,身渐羸瘦,黄胆善欠,
胁下满,泄利体重,四肢不收, 癖积聚,腹痛,不嗜食,痰疟,寒热。针入三分,留七呼,灸三壮。
10.胃 ∶二穴在第十二椎下,两傍相去各一寸五分。治胃中寒,腹胀不嗜食,羸瘦,肠鸣腹痛,胸胁
支满,脊痛筋挛。针入三分,留七呼。可灸,随年为壮。
11.三焦 ∶二穴在第十三椎下,两傍相去各一寸五分。治肠鸣腹胀,水谷不化,腹中痛,欲泄注,目
眩头痛,吐逆,饮食不下,肩背拘急,腰脊强不得俯仰。针入五分,留七呼,可灸三壮。
12.肾 ∶二穴在第十四椎下,两傍相去各一寸五分,与脐平。治虚劳羸瘦,耳聋,肾虚水藏久冷,心腹
胀,两胁满引少腹急痛,目视KT KT ,少气溺血,小便浊出精,阴中疼,五劳七
伤,虚惫,脚膝拘急,足寒如冰,头重身热,振栗,腰中四肢淫
泺,洞泄食不化,身肿如水。针入三分,留七呼,可灸以年为壮,慎如前法。
13.大肠 ∶二穴在第十六椎下,两傍相去各一寸五分。治腰痛,肠鸣腹胀,绕脐切痛,大小便不利,
洞泄食不化,脊强不得俯仰。针入三分,留六呼,可灸三壮。慎猪、鱼、酒、面、生冷物等。
14.小肠 ∶二穴在第十八椎下,两傍相去各一寸五分。治小便赤涩淋沥,少腹 痛,脚肿短气,
不嗜食,大便脓血出,五痔疼痛,妇人带下。针入三分,留六呼,可灸三壮。
15.膀胱 ∶二穴在第十九椎下,两傍相去各一寸五分,足太阳脉气所发。治风劳,腰脊痛,泄利腹
痛,小便赤涩,遗溺,阴生疮,少气,足 寒拘急,不得屈伸,女子瘕聚,脚膝无力。针
入三分,留六呼,可灸三壮。
16.中膂 ∶二穴,一名脊内 ,在第二十椎下,两傍相去各一寸五分,侠脊起肉。治肠冷赤白痢,肾
虚消渴,汗不出,腰脊不得俯仰,腹胀胁痛。针入三分,留十呼,可灸三壮。
17.白环 ∶二穴在第二十一椎下,两傍相去各一寸五分,足太阳脉气所发。治腰脊挛急痛,大小便不
利。《甲乙经》云∶针如腰户法同,挺腹地端身,两手相重支额,纵息令皮肤俱缓,乃取其穴。针入八分,得
气即先泻讫,多补之。治腰髋疼,脚膝不遂,温疟,腰脊冷疼,不得安卧,劳损虚风,不宜灸。慎房劳,不得举重物。
18.上 ∶二穴在第一空腰髁下,夹脊陷中,足太阳、少阳络。治腰膝冷痛,呕逆鼻衄,寒热疟,妇人绝
嗣,阴挺出不禁。针入三分,可灸七壮。
19.次 ∶二穴在第二空,夹脊陷中。治疝气下坠,腰脊痛不得转摇,急引阴器痛不可忍,腰以下至足
不仁,背腠寒,小便赤淋,心下坚胀。可灸七壮,针入三分。
20.中 ∶二穴在第三空,夹脊陷中,厥阴、少阳所结。治丈夫五劳七伤六极,腰痛大便难,腹胀下
利,小便淋涩,飧泄,妇人绝子带下,月事不调。针入二分,留十呼,可灸三壮。
21.下 ∶二穴在第四空,夹脊陷中,足太阳、厥阴所结。治腰痛不得转侧,女子下苍汁不禁,阴
中痛,引少腹急疼,大便下血,寒湿内伤。针入二分,留十呼,可灸三壮。
22.会阳∶二穴,一名利机。在阴尾骨两傍,督脉气所发。治
腹中冷气,泄利不止,久痔,阳气虚乏,阴汗湿。针入八分,可灸五壮。
(There are forty-four acupoints in total on both sides.)
1. Dashu (BL11, Great Bone): Two points located below the first cervical vertebra at the back of the neck, in the depressions 1.5 cun lateral to the midline on both sides. The *Jia Yi Jing* states it is the meeting point of the Foot-Taiyang Bladder Channel and the Foot-Shaoyang Gallbladder Channel. It treats malaria, stiffness of the neck and nape preventing flexion and extension, headache, chills with tremors, convulsions, excess syndrome manifesting as fullness in the hypochondrium, cold damage with absence of sweating, rigidity of the spine, throat obstruction, irritability and wind-lao (consumptive disease), cough due to lao qi (vital energy deficiency), depression in the chest, fever, and dizziness. Needle insertion depth: 0.5 cun; Moxibustion: 7 moxa cones.
2. Fengmen (BL12, Wind Gate): Two points, also known as Refu (Heat Mansion). Located below the second thoracic vertebra, 1.5 cun lateral to the midline on both sides, it is the meeting point of the Du Vessel and the Foot-Taiyang Bladder Channel. It treats cold damage, neck stiffness, closing eyes with frequent sneezing, runny nose with clear discharge, wind-lao, vomiting with rebellious qi rising, chest and back pain, asthma, restlessness during sleep. Needle insertion depth: 0.5 cun; Retain needle for seven breaths. Note: Frequent needling can dissipate heat from all Yang channels, preventing carbuncles and sores on the back forever; Moxibustion: 5 moxa cones.
3. Feishu (BL13, Lung Shu): Two points located below the third thoracic vertebra, 1.5 cun lateral to the midline on both sides, where the Qi of the Foot-Taiyang Bladder Channel emerges. It treats rebellious qi and vomiting, distending fullness in the chest and hypochondrium with loss of appetite, absence of sweating, stiffness and pain in the waist and back, alternating chills and fever, asthma and fullness with deficiency irritability, dry mouth, transmissive tuberculosis (chuan shi), bone-steaming consumption, lung atrophy, and cough. Needle insertion depth: 0.3 cun; Retain needle for seven breaths; Disperse upon arrival of Deqi, as stated in the *Jia Yi Jing*. Zhen Quan's *Zhen Jing* records: Located below the third thoracic vertebra on both sides; use the hand-over-hand method, taking the right side when accessing the left, and vice versa, aligning with the tip of the middle finger. It treats fullness of qi in the chest, kyphosis resembling a turtle, stiff waist, dizziness of head and eyes, causing sallow complexion. Needle insertion depth: 0.5 cun; Retain needle for seven breaths; Moxibustion: 100 moxa cones.
4. Jueyinshu (BL14, Pericardium Shu): Two points located below the fourth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats rebellious qi and vomiting, heart pain with stagnation, and chest irritability. Needle insertion depth: 0.3 cun; Moxibustion: 49 moxa cones (seven times seven), as recorded in the *Shan Tiao Jing*.
5. Xinshu (BL15, Heart Shu): Two points located below the fifth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats wind striking the heart, manic running, epilepsy onset, delirious speech with weeping, chest oppression and irritability, absence of sweating, accumulation masses, alternating chills and fever, vomiting, inability to eat, and hemoptysis. Needle insertion depth: 0.3 cun; Retain needle for seven breaths; Disperse upon arrival of Deqi; Moxibustion is contraindicated.
6. Geshu (BL17, Diaphragm Shu): Two points located below the seventh thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats cough with vomiting and rebellious qi, cold phlegm in the diaphragm and stomach, inability to swallow food and drink, chest fullness, limb edema, pain in both hypochondria, abdominal distension, sudden epigastric pain, heat diseases with absence of sweating, throat obstruction, abdominal accumulations and masses, taciturnity with desire to lie down, lassitude of limbs, dampness in the body, anorexia, heart pain after eating, and generalized bi-syndrome pain. Needle insertion depth: 0.3 cun; Retain needle for seven breaths; Moxibustion: 3 moxa cones.
7. Ganshu (BL18, Liver Shu): Two points located below the ninth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats cough pulling into acute pain in both hypochondria preventing breathing, difficulty turning, hypochondriac pain pulling towards the spine causing opisthotonos, upward deviation of the eyes, dizziness, headache along the eyebrows, mania, nasal congestion and epistaxis, visual disturbances upon standing, leukoma, cough pulling into chest pain, cold hernia, lower abdominal pain, hematemesis, and shortness of breath. Needle insertion depth: 0.3 cun; Retain needle for six breaths; Moxibustion: 3 moxa cones.
8. Danshu (BL19, Gallbladder Shu): Two points located below the tenth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats abdominal and chest distension, vomiting with inability to pass food, bitter taste and dry tongue, sore throat, dysphagia, jaundice, inability to turn the torso due to chest and hypochondriac discomfort, headache with chills, absence of sweating, and axillary swelling. Needle insertion depth: 0.5 cun; Moxibustion: 3 moxa cones.
9. Pishu (BL20, Spleen Shu): Two points located below the eleventh thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats abdominal distension pulling into chest and back pain, excessive appetite, gradual emaciation, jaundice with frequent yawning, hypochondriac fullness, diarrhea with heaviness, flaccidity of limbs, abdominal masses and accumulations, abdominal pain, loss of appetite, phlegmatic malaria, and alternating chills and fever. Needle insertion depth: 0.3 cun; Retain needle for seven breaths; Moxibustion: 3 moxa cones.
10. Weishu (BL21, Stomach Shu): Two points located below the twelfth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats cold in the stomach, abdominal distension with loss of appetite, emaciation, borborygmus with abdominal pain, distending fullness in the chest and hypochondria, spinal pain, and tendon spasms. Needle insertion depth: 0.3 cun; Retain needle for seven breaths; Moxibustion: Number of cones corresponds to the patient's age.
11. Sanjiaoshu (BL22, Triple Energizer Shu): Two points located below the thirteenth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats borborygmus and abdominal distension, indigestion of water and grain, abdominal pain, watery diarrhea, dizziness and headache, vomiting and rebellious qi, dysphagia, stiffness and tension in the shoulder and back, and rigidity of the waist and spine preventing flexion and extension. Needle insertion depth: 0.5 cun; Retain needle for seven breaths; Moxibustion: 3 moxa cones.
12. Shenshu (BL23, Kidney Shu): Two points located below the fourteenth thoracic vertebra, 1.5 cun lateral to the midline on both sides, level with the umbilicus. It treats consumptive weakness and emaciation, deafness, chronic cold in the kidney and bladder, abdominal distension, hypochondriac fullness pulling into acute lower abdominal pain, blurred vision, shortness of breath, hematuria, turbid urine with spermatorrhea, genital pain, five labors and seven injuries, extreme debility, spasticity of ankles and knees, cold feet like ice, heavy head with fever, chills, wet and cold pain in the waist and limbs, profuse diarrhea with undigested food, and edema resembling water retention. Needle insertion depth: 0.3 cun; Retain needle for seven breaths; Moxibustion: Number of cones corresponds to the patient's age; observe precautions mentioned previously.
13. Dachangshu (BL25, Large Intestine Shu): Two points located below the sixteenth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats lower back pain, borborygmus and abdominal distension, severe periumbilical pain, difficulty in urination and defecation, profuse diarrhea with undigested food, and spinal rigidity preventing flexion and extension. Needle insertion depth: 0.3 cun; Retain needle for six breaths; Moxibustion: 3 moxa cones. Dietary taboos: pork, fish, alcohol, wheat products, and raw/cold foods.
14. Xiaochangshu (BL27, Small Intestine Shu): Two points located below the eighteenth thoracic vertebra, 1.5 cun lateral to the midline on both sides. It treats dark and scanty painful urination, lower abdominal pain, leg edema and shortness of breath, loss of appetite, pus and blood in stool, pain from five types of hemorrhoids, and leukorrhea in women. Needle insertion depth: 0.3 cun; Retain needle for six breaths; Moxibustion: 3 moxa cones.
15. Pangguangshu (BL28, Bladder Shu): Two points located below the nineteenth thoracic vertebra, 1.5 cun lateral to the midline on both sides, where the Qi of the Foot-Taiyang Bladder Channel emerges. It treats wind-lao, lower back and spinal pain, diarrhea and abdominal pain, dark and scanty urination, enuresis, genital ulcers, shortness of breath, cold and spastic legs preventing flexion and extension, uterine masses in women, and weakness of ankles and knees. Needle insertion depth: 0.3 cun; Retain needle for six breaths; Moxibustion: 3 moxa cones.
16. Zhonglushu (BL29, Middle Spine Shu): Two points, also known as Ji Neishu, located below the twentieth thoracic vertebra, 1.5 cun lateral to the midline on both sides, adjacent to the paraspinal muscles. It treats cold intestines with bloody and white dysentery, kidney deficiency with thirst, absence of sweating, inability to flex and extend the waist and spine, and abdominal distension with hypochondriac pain. Needle insertion depth: 0.3 cun; Retain needle for ten breaths; Moxibustion: 3 moxa cones.
17. Baihuanxue (BL30, White Ring Shu): Two points located below the twenty-first thoracic vertebra (sacral region), 1.5 cun lateral to the midline on both sides, where the Qi of the Foot-Taiyang Bladder Channel emerges. It treats spasm and pain of the lower back and spine, and difficulty in urination and defecation. The *Jia Yi Jing* states: Needling technique is similar to that of Yao Hu; the patient lies prone with the body straight, hands crossed supporting the forehead, breathing relaxed to loosen the skin, then locate the point. Needle insertion depth: 0.8 cun; Disperse first upon arrival of Deqi, then tonify. It treats lumbosacral pain, immobility of legs and knees, warm malaria, cold pain of the lower back and spine preventing sleep, consumptive deficiency wind; Moxibustion is contraindicated. Taboos: Sexual abstinence and avoiding lifting heavy objects.
18. Shangliao (BL31, Upper Crevice): Two points located below the first sacral foramen, in the depressions beside the spine, connecting the Foot-Taiyang Bladder and Foot-Shaoyang Gallbladder channels. It treats cold pain of the lower back and knees, vomiting with rebellious qi and epistaxis, alternating chills and fever in malaria, infertility in women, and uterine prolapse with incontinence. Needle insertion depth: 0.3 cun; Moxibustion: 7 moxa cones.
19. Ciliao (BL32, Secondary Crevice): Two points located in the second sacral foramen, in the depressions beside the spine. It treats hernia with downward dragging, lower back and spinal pain preventing rotation, urgent pain pulling into the genitals unbearable, numbness from lower back to feet, coldness of dorsal pores, dark and painful urination, and hardness and distension in the epigastrium. Moxibustion: 7 moxa cones; Needle insertion depth: 0.3 cun.
20. Zhongliao (BL33, Middle Crevice): Two points located in the third sacral foramen, in the depressions beside the spine, where the Jueyin and Shaoyang energies knot. It treats the five labors, seven injuries, and six extremes in men, lower back pain with difficult defecation, abdominal distension with diarrhea, painful and scanty urination, incomplete digestion diarrhea, infertility and leukorrhea in women, and irregular menstruation. Needle insertion depth: 0.2 cun; Retain needle for ten breaths; Moxibustion: 3 moxa cones.
21. Xialiao (BL34, Lower Crevice): Two points located in the fourth sacral foramen, in the depressions beside the spine, where the Foot-Taiyang and Jueyin energies knot. It treats lower back pain preventing turning, continuous leukorrhea in women, genital pain pulling into acute lower abdominal pain, blood in stool, and internal injury from cold-dampness. Needle insertion depth: 0.2 cun; Retain needle for ten breaths; Moxibustion: 3 moxa cones.
22. Huiyang (BL35, Meeting of Yang): Two points, also known as Liji, located on both sides of the coccyx, where the Qi of the Du Vessel emerges. It treats cold qi in the abdomen, persistent diarrhea, chronic hemorrhoids, deficiency of Yang qi, and damp sweat in the yin region. Needle insertion depth: 0.8 cun; Moxibustion: 5 moxa cones.