\r侧颈项部左右十八穴\pf-f14.bmp\r
天容二穴。在耳下曲颊后。灸三壮。
天牖二穴。在颈筋缺盆上。天容后。天柱前。完骨下。发际上。(明云。发际上一寸陷
中。)
针一寸。留七呼。不宜补。亦不宜灸。若灸、面肿眼合。先取 。后针天牖风池即瘥。若
不先针 。即难疗。明云、针五分。得气即泻。泻尽、更留三呼。泻三吸。不宜补。亦
不宜灸。下云、灸三壮。素注同。
铜人明堂上经皆云不宜灸。下经素问注乃云、灸三壮。恐凡禁穴许灸一壮至三壮也。
天窗二穴。一名窗笼。在颈大筋前。曲颊下侠突后、动脉应手陷中。灸三壮。针三分。
天鼎二穴。在颈缺盆直扶突后一寸。灸三壮。针三分。忌同。明下云、天顶在项缺盆
直扶
突气舍后一寸陷中。灸七壮。素气府注云、天鼎在颈缺盆上直扶突气舍后同身寸之半。按甲
乙经作寸半。
扶突二穴。一名水穴。在人迎后寸半。灸三壮。针三分。素注、在颈当曲颊下一寸人
迎后。仰而取之。
缺盆二穴。一名天盖。在肩下横骨陷中。灸三壮。针三分。(素云。二分。)不宜刺太深
。使人逆息也。明云、肩上横骨陷中。(素同)一名天盖。肩上是穴。
铜人云、在肩下横骨陷中。明堂乃云、在肩上横骨陷中。又云、肩上是穴。恐铜人误下
字也。
人迎二穴。一名五会。在颈大脉动脉应手侠结喉旁。仰而取之。以候五脏气。足阳明脉
气所发。
禁灸。灸之不幸伤人。针四分。
水突二穴。一名水门。在颈大筋前。直人迎下气舍上。针三分。灸三壮。
气舍二穴。在颈直人迎侠天突陷中。针三分。灸三壮。
Eighteen Acupoints on the Left and Right Sides of the Lateral Neck and Nape
Tianrong (TI 17), bilateral. Located posterior to the angle of the mandible, below the earlobe. Moxibustion: 3 moxa cones.
Tianyao (TE 16), bilateral. Located in the neck, superior to the clavicle (Quepen), posterior to Tianrong, anterior to Tianzhu, inferior to Wanggu, and superior to the hairline. (Wang Ming states: one cun above the hairline, in the depression.) Needle depth: 1 cun. Retain needle for seven respiratory cycles. Tonification is contraindicated; moxibustion is also contraindicated. If moxibustion is applied, facial swelling and eye closure may occur. Treatment should first involve needling Yifeng (SJ 17), followed by needling Tianyao (TE 16) and Fengchi (GB 20), after which the condition will resolve. If Yifeng (SJ 17) is not needled first, the condition is difficult to treat. Wang Ming states: Needle depth 5 fen. Upon arrival of Deqi, apply reduction method. After reduction is complete, retain the needle for three respiratory cycles, then perform reduction for three respiratory cycles. Tonification is contraindicated; moxibustion is also contraindicated. The text below states: Moxibustion 3 cones. This aligns with the annotation in *Suwen* (Basic Questions).
*Copper Person*, *Mingtang*, and *Shangjing* all state that moxibustion is contraindicated. However, *Xiajing* and the *Suwen* annotation state moxibustion of 3 cones. It is likely that for acupoints where moxibustion is generally prohibited, a small amount of 1 to 3 cones is permitted.
Tianchuang (SI 16), bilateral. Also known as Chuanglong. Located anterior to the large tendon of the neck. Below the angle of the mandible, posterior to the zygomatic arch, in the depression where the arterial pulse is palpable. Moxibustion: 3 moxa cones. Needle depth: 3 fen.
Tianding (SI 17), bilateral. Located in the neck, directly superior to Quepen (ST 12), one cun posterior to Futu (LI 18). Moxibustion: 3 moxa cones. Needle depth: 3 fen. Contraindications are the same as above. Wang Ming states in the lower section: Tianding (likely referring to Tianchuang or a variant name contextually) is located in the neck, directly superior to Quepen (ST 12), one cun posterior to Futu (LI 18) and Qishe (ST 10), in the depression. Moxibustion: 7 moxa cones. The annotation in *Suwen: Qifu Lun* states: Tianding (SI 17) is located in the neck, directly superior to Quepen (ST 12), half a cun posterior to Futu (LI 18) and Qishe (ST 10) using the body-cun measurement. According to *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion), it is one and a half cun.
Futu (LI 18), bilateral. Also known as Shui Xue. Located one and a half cun posterior to Renying (ST 9). Moxibustion: 3 moxa cones. Needle depth: 3 fen. *Suwen* annotation states: Located in the neck, directly below the angle of the mandible, one cun posterior to Renying (ST 9). Take the point with the patient supine and head tilted back.
Quepen (ST 12), bilateral. Also known as Tian Gai. Located in the depression of the clavicle below the shoulder. Moxibustion: 3 moxa cones. Needle depth: 3 fen. (*Suwen* states: 2 fen.) Do not needle too deeply, as this may cause reverse flow of Qi (dyspnea). Wang Ming states: In the depression of the transverse bone on the shoulder. (*Suwen* agrees). Also known as Tian Gai. The location is on the shoulder.
*Copper Person* states: In the depression of the transverse bone below the shoulder. *Mingtang* states: In the depression of the transverse bone on the shoulder. It also states: The location is on the shoulder. It is likely that *Copper Person* erroneously included the character "below" (xia).
Renying (ST 9), bilateral. Also known as Wu Hui. Located beside the laryngeal prominence, where the carotid artery pulsates. Take the point with the patient supine and head tilted back. Used to observe the Qi of the five Zang organs. It is the site where the Qi of the Foot-Yangming Stomach Meridian emerges.
Moxibustion is strictly prohibited. Improper application may cause injury. Needle depth: 4 fen.
Shuitu (ST 10), bilateral. Also known as Shui Men. Located anterior to the large tendon of the neck, directly inferior to Renying (ST 9) and superior to Qishe (ST 11). Needle depth: 3 fen. Moxibustion: 3 moxa cones.
Qishe (ST 11), bilateral. Located in the neck, directly opposite Renying (ST 9), in the depression flanking Tiantu (CV 22). Needle depth: 3 fen. Moxibustion: 3 moxa cones.