(凡一十三穴)
1.大 ∶一穴,一本作椎。今从页作 ,余皆仿此。在第一椎上陷中,手足三阳、督脉之会。
疗五劳七伤,温疟 疟,气
疰,背膊拘急,颈项强不得回顾,风劳,食气。针入五分,留三呼,泻五吸。若灸以年为壮。《甲乙经》云∶
大椎下至尾 骨,二十一椎,长三尺,折量取 穴。凡度周身孔穴,远近分寸,以男左女右,取中指内纹为一
寸,《素问》云同身寸是也。又多用绳度量孔穴,绳多出缩,取穴不准。今以薄竹片点量分寸,疗病准的。
2.陶道∶一穴,在大椎节下间,俯而取之,督脉足太阳之会。治头重目瞑,洒淅寒热,脊强,汗不出。
可灸五壮,针入五分。
3.身柱∶一穴,在第三椎节下间,督脉气所发。治癫疾,螈 ,怒欲杀人,身热狂走,谵言见鬼。针入
五分,灸七七壮。
4.神道∶一穴,在第五椎节下间,俯而取之,督脉气所发。治寒热头痛,进退往来, 疟,恍惚悲愁,
健忘惊悸。可灸七七壮,至百壮止。小儿风痫螈 ,可灸七壮。
5.灵台∶一穴,在第六椎节下间,俯而取之,督脉气所发。经阙疗病法,出《素问》。
6.至阳∶一穴在第七椎节下间,俯而取之,督脉气所发。治寒热,解散,淫泺,胫酸,四肢重痛,少气
难言。可灸三壮,针入五分。
7.筋缩∶一穴在第九椎节下间,俯而取之,督脉气所发。治。惊痫,狂走癫疾。脊急强,目转上
视。可灸三壮,针入五分。
8.脊中∶一穴,一名神宗。在第十一椎节下间,俯而取之,督脉气所发。治风痫,癫邪,温病,积聚,
下利。禁不可灸,灸则令人腰背伛偻。针入五分,得气即泻。
9.悬枢∶一穴在第十三椎节下间,伏而取之,督脉气所发。
治积气上下行,水谷不化,下利,腰脊强不得屈伸,腹中留积。
针入三分,可灸三壮。
10.命门∶一穴,一名属累。在第十四椎节下间,伏而取之,督脉气所发。治头痛不可忍,身热如火,
汗不出,螈 里急,腰腹相引痛。针入五分,可灸三壮。
11.阳关∶一穴在第十六椎节下间,伏而取之。针入五分,可灸三壮。阙疗病法,出《素问》。
12.腰 ∶一穴,一名背解,一名腰柱,一名腰户。在第二十一椎节下间宛宛中。以挺身伏地舒身,两手
相重支额,纵四体,然后乃取得其穴。督脉气所发。治腰髋疼,腰脊强不得回转,温疟 疟。针入八分,
留三呼,泻五吸。可灸七壮至七七壮。慎房劳,举重强力。《甲乙经》云∶针入二寸,留七呼,灸七七壮。
13.长强∶一穴,一名气之阴 ,督脉络别。《甲乙经》云∶在脊 端,足少阴、少阳所结会。治肠风
下血,五种痔,疳蚀,下部 。针入三分,抽针以太痛为度。其穴跌地取之乃得。灸然
不及针,日灸三十壮,至二百壮止。此痔根本是冷,慎冷食、房劳。《甲乙经》云∶针入二寸,留七呼。
(Thirteen acupoints in total)
1. Dazhui (GV14, Great Vertebra): One acupoint. Some versions write it as "Zhui". Currently, based on the radical "Ye" (head), it is written as "Dazhui", and other acupoint names follow this example. Located in the depression above the first thoracic vertebra, it is the intersection of the Hand and Foot Three Yang Meridians and the Du Meridian. It treats five labors and seven injuries, warm malaria, Qi Zhu (a disease caused by pathogenic factors lingering in the body), stiffness and tension of the back and shoulders, stiff neck unable to look back, wind consumption, and food qi. Needle insertion depth is 5 fen; retain the needle for three breaths (hu); perform reducing method coordinated with five inhalations (xi). If moxibustion is used, the number of cones (zhuang) is measured in years. The *Jia Yi Jing* states: From Dazhui to the coccyx, there are twenty-one vertebral segments, totaling three chi in length. Acupoints are located by folding and measuring. To measure the distance and proportions of all acupoints around the body, for males use the left hand and for females use the right hand, taking the inner crease of the middle finger as one cun. This is what the *Su Wen* refers to as "same-body cun". Others often use ropes to measure acupoints, but ropes tend to stretch or shrink, leading to inaccurate point location. Now, thin bamboo strips are used to measure distances accurately for treating diseases.
2. Taodao (GV13, Ceramic Path): One acupoint, located in the interspace below the Dazhui segment. It should be located with the patient bending forward. It is the intersection of the Du Meridian and the Foot-Taiyang Bladder Meridian. It treats heavy head, blurred vision, chills and fever, spinal stiffness, and absence of sweating. Moxibustion: 5 cones. Needle insertion depth: 5 fen.
3. Shenzhu (GV12, Spirit Pillar): One acupoint, located in the interspace below the third thoracic vertebral segment. It is where the Qi of the Du Meridian emerges. It treats epilepsy, convulsions, anger wanting to kill others, high fever with manic running, delirium, and hallucinations of seeing ghosts. Needle insertion depth: 5 fen. Moxibustion: 49 cones (7x7).
4. Shendao (GV11, Spirit Path): One acupoint, located in the interspace below the fifth thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats cold and heat headache, alternating chills and fever, malaria, mental confusion with sadness and worry, forgetfulness, palpitations, and fright. Moxibustion: 49 cones up to 100 cones maximum. For pediatric wind-epilepsy with convulsions, moxa 7 cones.
5. Lingtai (GV10, Spirit Platform): One acupoint, located in the interspace below the sixth thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. The text lacks treatment methods, which originate from the *Su Wen*.
6. Zhiyang (GV9, Supreme Yang): One acupoint, located in the interspace below the seventh thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats chills and fever, exhaustion/weakness, Yinluo (limb weakness and soreness), leg soreness, heaviness and pain in the four limbs, shortness of breath, and difficulty speaking. Moxibustion: 3 cones. Needle insertion depth: 5 fen.
7. Jinsuo (GV8, Tendon Contraction): One acupoint, located in the interspace below the ninth thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats fright-epilepsy, manic running, epilepsy. Spinal emergency stiffness, upward deviation of the eyes. Moxibustion: 3 cones. Needle insertion depth: 5 fen.
8. Jizhong (GV7, Spine Center): One acupoint, also known as Shenzong. Located in the interspace below the eleventh thoracic vertebral segment. It should be located with the patient bending forward. It is where the Qi of the Du Meridian emerges. It treats wind-epilepsy, mania, warm diseases, accumulation masses, and diarrhea. Moxibustion is contraindicated; if applied, it causes the person's waist and back to become hunched. Needle insertion depth: 5 fen. Upon obtaining Deqi (arrival of qi), immediately perform reducing method.
9. Xuan shu (GV6, Suspended Pivot): One acupoint, located in the interspace below the thirteenth thoracic vertebral segment. It should be located with the patient lying prone. It is where the Qi of the Du Meridian emerges. It treats circulating accumulated qi moving up and down, indigestion of water and grain, diarrhea, stiff and straight waist and spine unable to bend or extend, and retained accumulations in the abdomen. Needle insertion depth: 3 fen. Moxibustion: 3 cones.
10. Mingmen (GV4, Gate of Life): One acupoint, also known as Shulei. Located in the interspace below the fourteenth thoracic vertebral segment. It should be located with the patient lying prone. It is where the Qi of the Du Meridian emerges. It treats unbearable severe headache, body heat like fire, absence of sweating, convulsions with abdominal urgency, and pulling pain between the waist and abdomen. Needle insertion depth: 5 fen. Moxibustion: 3 cones.
11. Yangguan (GV3, Yang Pass): One acupoint, located in the interspace below the sixteenth thoracic vertebral segment. It should be located with the patient lying prone. Needle insertion depth: 5 fen. Moxibustion: 3 cones. The text lacks treatment methods, which originate from the *Su Wen*.
12. Yaoshu (GV12, Waist Mansion - Note: Text says "Yao [character missing/replaced]", context implies Yaoshu or similar lower back point, but strictly following text description of location at 21st vertebra, this corresponds to Changqiang or Yaoyangguan depending on version, however text lists it separately before Changqiang. Based on location "21st vertebra" and name variants, it likely refers to a specific point in this lineage, often identified as Yaoshu or related. However, standard GV ends at GV28. Let's translate literally as described): One acupoint, also known as Beijie, Yaozhu, Yaohu. Located in the depression below the twenty-first thoracic vertebral segment (Note: Anatomically corresponds to sacral region). Method: Stand upright, lie prone, stretch the body, overlap hands to support the forehead, relax the four limbs, then locate the acupoint. It is where the Qi of the Du Meridian emerges. It treats lumbosacral pain, stiff waist and spine unable to turn, warm malaria. Needle insertion depth: 8 fen; retain for three breaths; perform reducing method coordinated with five inhalations. Moxibustion: 7 cones up to 49 cones. Avoid sexual fatigue and heavy lifting/straining. The *Jia Yi Jing* states: Needle insertion depth 2 cun; retain for seven breaths; moxa 49 cones.
13. Changqiang (GV1, Long Strength): One acupoint, also known as Qi Zhiyin, it is the divergent collateral of the Du Meridian. The *Jia Yi Jing* states: Located at the end of the spine, it is the convergence of the Foot-Shaoyin Kidney Meridian and Foot-Shaoyang Gallbladder Meridian. It treats intestinal wind with bloody stool, five types of hemorrhoids, gan erosion, and sores in the lower part. Needle insertion depth: 3 fen. Withdraw the needle when the sensation becomes too painful. The acupoint is found when the patient falls to the ground (prone position). Moxibustion is inferior to acupuncture. Daily moxa 30 cones, up to 200 cones maximum. The root cause of these hemorrhoids is cold; avoid cold foods and sexual fatigue. The *Jia Yi Jing* states: Needle insertion depth 2 cun; retain for seven breaths.