中府(肺募) 巨阙(心募) 期门(肝募) 章门(脾募) 京门(肾募)
按《难经》云∶阳病行阴,故令募在阴(腹曰阴,募皆在腹)。
东垣曰∶凡治腹之募,皆为原气不足,从阴引阳,勿误也。又曰∶六淫客邪,及上热下
寒,筋骨皮肉血脉之病,错取于胃之合及诸腹之募者,必危。
五脏俞穴(俞,犹委输之输,言经气由此而输于彼也。)
肺俞(三椎下各开寸半。) 心俞(五椎下各开寸半。)
肝俞(九椎下各开寸半。) 脾俞(十三椎下各开寸半。)
肾俞(十四椎下各开寸半。)
按《难经》云∶阴病行阳,故令俞在阳(背曰阳,俞皆在背)。
东垣曰∶天外风寒之邪,乘中而入。在人之背上,腑俞脏俞,是人之受天外风邪。亦有
二说。中于阳则流于经,此病始于外寒,终归外热,收治风寒之邪,治其各脏之俞。
腑会中脘 脏会章门 筋会阳陵泉 髓会绝骨 血会膈俞 骨会大杼 脉会太渊 气会膻中
《难经》云∶热病在内者,取会之气穴也。
《灵枢》杂症论∶人身上部病取手阳明经,中部病取足太阴经,下部病取足厥阴经,前
膺病取足阳明经,后背病取足太阳经。取经者,取经中之穴也。一病可用一二穴。
(《医学入门》)
针灸穴治大同,但头面诸阳之会。胸膈二火之地,不宜多灸。背腹阴虚有火者,亦不宜
灸,惟四肢穴最妙。凡上体及当骨处,针入浅而灸宜少;凡下体及肉浓处,针可入深灸多无
害。前经络注《素问》未载针灸分寸者,以此推之。
Zhongfu (LU-1, Front-Mu point of the Lung) Jueque (CV-14, Front-Mu point of the Heart) Qimen (LR-14, Front-Mu point of the Liver) Zhangmen (LR-13, Front-Mu point of the Spleen) Jingmen (GB-25, Front-Mu point of the Kidney).
According to the *Nan Jing* (Classic of Difficult Issues): "Yang diseases manifest in Yin, therefore the Mu points are located on the Yin side" (The abdomen is considered Yin; all Mu points are located on the abdomen).
Li Dongyuan stated: "Whenever treating the Mu points of the abdomen, it is due to a deficiency of Yuan Qi (Source Qi); one should draw Yang from Yin, do not make mistakes." He further stated: "For invasions by the Six Excesses (pathogenic factors), as well as conditions of upper heat and lower cold, or diseases of the sinews, bones, skin, flesh, and vessels, erroneously selecting the He-Sea points of the Stomach and various abdominal Mu points for treatment will inevitably lead to danger."
Back-Shu points of the Five Zang Organs (Shu, like a transport hub, indicates that Jing-Qi flows through here to be transported elsewhere.)
Feishu (BL-13, Shu point of the Lung) (Located below the third thoracic vertebra, 1.5 cun lateral to both sides.) Xinshu (BL-15, Shu point of the Heart) (Located below the fifth thoracic vertebra, 1.5 cun lateral to both sides.)
Ganshu (BL-18, Shu point of the Liver) (Located below the ninth thoracic vertebra, 1.5 cun lateral to both sides.) Pishu (BL-20, Shu point of the Spleen) (Located below the thirteenth thoracic vertebra, 1.5 cun lateral to both sides.)
Shenshu (BL-23, Shu point of the Kidney) (Located below the fourteenth thoracic vertebra, 1.5 cun lateral to both sides.)
According to the *Nan Jing*: "Yin diseases manifest in Yang, therefore the Shu points are located on the Yang side" (The back is considered Yang; all Shu points are located on the back).
Li Dongyuan stated: "Wind-cold pathogens from heaven enter via the middle. On the human back, the Fu-Shu and Zang-Shu points are where the body receives wind-cold pathogens from heaven." There are also two interpretations regarding this. If pathogenic factors strike the Yang aspect, they flow into the meridians; such diseases begin with external cold and ultimately resolve into external heat. To treat wind-cold pathogens, one should treat the Shu points of the respective Zang organs.
Eight Hui Meeting Points: The Fu-Hui point is Zhongwan (CV-12); the Zang-Hui point is Zhangmen (LR-13); the Jin-Hui point is Yanglingquan (GB-34); the Sui-Hui point is Jiexu (GB-39); the Xue-Hui point is Geshu (BL-17); the Gu-Hui point is Dazhu (BL-11); the Mai-Hui point is Taiyuan (LU-9); the Qi-Hui point is Danzhong (CV-17).
The *Nan Jing* states: "For heat diseases located internally, select the Qi-acupoints of the Hui points."
The *Ling Shu* (Spiritual Pivot) discusses miscellaneous diseases: For diseases in the upper part of the body, select the Hand-Yangming Meridian; for diseases in the middle part, select the Foot-Taiyin Meridian; for diseases in the lower part, select the Foot-Jueyin Meridian; for diseases in the anterior chest, select the Foot-Yangming Meridian; for diseases in the posterior back, select the Foot-Taiyang Meridian. "Selecting the meridian" means selecting acupoints within that meridian. One disease may be treated with one or two acupoints.
(From *Yixue Rumen* / Introduction to Medicine)
The indications for acupuncture and moxibustion at acupoints are largely similar. However, the head and face are the convergence of all Yang meridians; the chest and diaphragm are areas of Fire; these areas are not suitable for extensive moxibustion. For the back and abdomen, if there is Yin deficiency with Fire, moxibustion is also not suitable. Only the acupoints on the four limbs are most excellent. For the upper body and areas overlying bone, needling should be shallow, and moxibustion should be minimal; for the lower body and areas with thick muscle, needling can be deep, and excessive moxibustion causes no harm. For previous meridian texts citing the *Su Wen* (Basic Questions) which did not record specific measurements for acupuncture and moxibustion, these principles serve as a reference for deduction.