\r足阳明胃经左右三十穴\pf-f34.bmp\r
厉兑二穴。金也。在足大指次指端。去爪甲如韭叶。针一分。灸一壮。
内庭二穴。水也。在足大指次指外间陷中。灸三壮。针三分。
陷谷二穴。木也。在足大指次指外间本节后陷中。去内庭二寸。针三分。留七呼。灸三
壮。
冲阳二穴。在足跗上。去陷谷三寸。针五分。灸三壮。素注、跗上五寸骨间动脉。刺
三分。千云、跗上五寸骨间。去陷谷三寸。（一云二寸。）
解溪二穴。火也。在冲阳后寸半腕上陷中。（明下云。在系鞋处。）针五分。灸三壮。
素注、在冲阳后二寸半。
新校正云、刺疟注作三寸半。二注不同。当从甲乙经作寸半。
丰隆二穴。在外踝上八寸下廉 外廉陷中。针三分。灸三壮。明下云、七壮。
下廉二穴。一名下巨虚。在上廉下三寸。当举足取穴。针八分。灸三壮。明云、上廉
下三寸。两筋两骨罅陷宛宛中。蹲地坐取之。针六分。得气即泻。甲乙云、针三分。灸三壮。主
小肠气不足。面无颜色。偏风热风。冷痹不遂。风湿痹。灸亦良。日七七壮。素注、足阳明
与小肠合。在上廉下三寸。针三分。
手阳明亦有下廉。此乃足下廉也。
条口二穴。在廉上一寸。举足取之。针五分。明云、在上廉下一寸。针八分。灸三壮
上廉二穴。一名上巨虚。在三里下三寸。当举足取之。灸三壮。针三分。甄权云、治脏
气不
中。针八分。得气即泻。灸大良。日七壮。下云、三壮。素注、在三里下三寸。又云、在膝
手阳明亦有上廉。此乃足上廉也。
三里二穴。土也。在膝下三寸 外廉两筋间。（一云∶ 骨外大筋内。）当举足取之。秦
承祖
羸瘦、七伤虚乏、胸中瘀血、乳痈。外台明堂云、人年三十以上。若不灸三里。令气上冲目
。所以三里下气也。（明同。）灸三壮。针五分。明云、针腹背每须去三里穴。针八分。留
十呼。泻七吸。日灸七壮。止百壮。素注、刺一寸。在膝下三寸 骨外廉两筋肉分间（指云
按之太冲脉不动。）
手有三里。此亦曰三里。盖足三里也。铜人云、在膝下三寸。明堂素问注皆同。人多不
能求
也。予按明堂有膝眼四穴。盖在膝头骨下两旁陷中也。又按铜人等经有犊鼻穴。盖在膝膑下
侠罅大筋中也。又按铜人有膝关二穴。盖在犊鼻下二寸陷中也。而新校正素问注巨虚下廉
云三里在犊鼻下三寸。则是犊鼻之下三寸。方是三里。不可便从膝头下去三寸为三里穴也。
若如今人之取穴。恐失之太高矣。（千云∶灸至五百壮。少亦一二百壮。）
犊鼻二穴。在膝膑下 侠解（明堂作罅。）大筋中。治膝中痛不仁。难跪起。膝膑肿溃者
。不可治。不溃者可疗。若犊鼻坚硬。勿便攻。先以洗熨。即微刺之愈。明云、针三分。灸三
按素问刺禁云、刺膝膑出液为跛。犊鼻在膝膑下 。用针者不可轻也。
梁丘二穴。在膝上二寸。（明云三寸。）两筋间。灸三壮。针二分。明云、五分。
明堂作三寸。铜人千金皆作二寸。千金注谓或云三寸。姑两存之。
阴市二穴。一名阴鼎。在膝上三寸伏兔下陷中。拜而取之。针三分。不可灸。明下云
三壮。千注二十卷云、在膝上当伏兔下行二寸。临膝取之。（又云。膝内辅骨后大筋下小筋
铜人云。不可灸。明堂乃云灸三壮。岂以禁穴许灸一壮至三壮耶。
伏兔二穴。在膝上六寸起肉。正跪坐取之。一云、膝盖上七寸。针五分。不可灸。明
云、妇人八部诸病。通针三分。
髀关二穴。在膝上伏兔后交分中。针六分。明云、灸三壮。
膝眼四穴。在膝头骨下两旁陷中。主膝冷疼不已。针五分。留三呼。泻五吸。禁灸。（
有人膝肿甚。人为灸此穴。遂致不救。盖犯其所禁也。）
铜人无此四穴。明堂有之。故附入于此。
Thirty Acupoints of the Foot-Yangming Stomach Meridian on Both Sides
Lidui (LI DUI, ST 45), two acupoints. Element: Metal. Located at the lateral end of the second toe, approximately the width of a leek leaf from the nail corner. Needle depth: 1 fen; Moxibustion: 1 cone.
Neiting (NEI TING, ST 44), two acupoints. Element: Water. Located in the depression between the lateral side of the second toe and the first toe. Moxibustion: 3 cones; Needle depth: 3 fen.
Xangu (XIAN GU, ST 43), two acupoints. Element: Wood. Located in the depression distal to the metatarsophalangeal joint of the second toe, 2 cun distal to Neiting. Needle depth: 3 fen; Retain needle for 7 breaths; Moxibustion: 3 cones.
Chongyang (CHONG YANG, ST 42), two acupoints. Located on the dorsum of the foot, 3 cun proximal to Xian Gu. Needle depth: 5 fen; Moxibustion: 3 cones. The *Suwen* annotation states: "At the arterial pulse between the bones on the dorsum of the foot, 5 cun proximal." Wang Bing's annotation states: "Between the bones on the dorsum of the foot, 5 cun proximal, 3 cun distal to Xian Gu." (Another version says 2 cun.)
Jiexi (JIE XI, ST 41), two acupoints. Element: Fire. Located in the depression proximal to Chongyang by 1.5 cun at the ankle joint. (*Mingtang Jing* Vol. 2 states: "At the place where shoelaces are tied.") Needle depth: 5 fen; Moxibustion: 3 cones. The *Suwen* annotation states: "2.5 cun proximal to Chongyang." The New Correction notes that the *Ci Nue* chapter annotation says 3.5 cun. Since the annotations differ, one should follow the *Jia Yi Jing* which states 1.5 cun.
Fenglong (FENG LONG, ST 40), two acupoints. Located in the depression between the anterior crest of the tibia and the tendon of the fibularis brevis, 8 cun above the lateral malleolus. Needle depth: 3 fen; Moxibustion: 3 cones. *Mingtang Jing* Vol. 2 states: 7 cones.
Xialian (LOWER LIAN, i.e., Xiaguxu ST 39), two acupoints. Also known as Xiaguxu. Located 3 cun distal to Shanglian. Take the point with the foot lifted. Needle depth: 8 fen; Moxibustion: 3 cones. *Mingtang Jing* states: "3 cun distal to Shanglian, in the deep depression between two tendons and two bones." Take the point while squatting. Needle depth: 6 fen; Disperse immediately upon arrival of Qi. *Jia Yi Jing* states: Needle depth 3 fen; Moxibustion 3 cones. Indications: Insufficiency of Small Intestine Qi, pallor, hemiplegic wind-heat, cold bi syndrome with immobility, wind-damp bi. Moxibustion is also effective, 49 cones daily. The *Suwen* annotation states: "The Foot-Yangming Stomach Meridian combines with the Small Intestine, located 3 cun distal to Shanglian. Needle depth: 3 fen."
There is also a Xialian acupoint on the Hand-Yangming Large Intestine Meridian; this refers to the lower Xialian on the foot.
Tiaokou (TIAO KOU, ST 38), two acupoints. Located 1 cun proximal to Xialian. Take the point with the foot lifted. Needle depth: 5 fen. *Mingtang Jing* states: "1 cun distal to Shanglian. Needle depth: 8 fen; Moxibustion: 3 cones."
Shanglian (UPPER LIAN, i.e., Shangguxu ST 36), two acupoints. Also known as Shangguxu. Located 3 cun distal to Zusanli. Take the point with the foot lifted. Moxibustion: 3 cones; Needle depth: 3 fen. Zhen Quan states: Treats disharmony of Zang organs. Needle depth: 8 fen; Disperse immediately upon arrival of Qi. Moxibustion is highly effective. 7 cones daily. *Mingtang Jing* Vol. 2 states: 3 cones. The *Suwen* annotation states: "3 cun distal to Zusanli." (Text implies location near the knee). There is also an Shanglian acupoint on the Hand-Yangming Large Intestine Meridian; this refers to the upper Shanglian on the foot.
Zusanli (ZU SAN LI, ST 36), two acupoints. Element: Earth. Located 3 cun below the knee, between the two tendons on the lateral side of the tibia. (Another version: Lateral to the bone, inside the large tendon.) Take the point with the foot lifted. Qin Chengzu indicates indications: Emaciation, seven injuries and deficiency, blood stasis in the chest, mastitis. *Waitai Mingtang Jing* states: "For persons over thirty years old, if Zusanli is not moxa-ed, Qi will rush upward to the eyes. Thus, Zusanli descends Qi." (*Mingtang Jing* agrees). Moxibustion: 3 cones; Needle depth: 5 fen. *Mingtang Jing* states: "When needling the abdomen and back, one must avoid Zusanli." Needle depth: 8 fen; Retain needle for 10 breaths; Disperse using 7 inhalations. Daily moxibustion: 7 cones, up to 100 cones total. The *Suwen* annotation states: "Puncture 1 cun. Located 3 cun below the knee, between the muscles and tendons on the lateral side of the bone (pressing here makes the Taichong pulse immobile)."
The Hand meridians have Sanli points; this Sanli also refers to Zusanli. *Tongren* states: "3 cun below the knee." *Mingtang* and *Suwen* annotations are consistent. Many people cannot locate it accurately. I consulted *Mingtang Jing*, which records four Xiyan acupoints, located in the depressions on both sides below the patella. I also consulted *Tongren*, which records Dubi, located in the large tendon medial to the gap below the patella. Furthermore, *Tongren* records Xiguan, located 2 cun below Dubi in the depression. However, the New Correction of the *Suwen* annotation regarding Xiaguxu states "Zusanli is 3 cun below Dubi." Therefore, Zusanli is precisely 3 cun below Dubi, not simply 3 cun down from the top of the knee cap. If one takes the point as modern practitioners do, it may be too high. (Wang Bing notes: Moxibustion up to 500 cones, or at least 100-200 cones.)
Dubi (DU BI, ST 35), two acupoints. Located in the large tendon medial to the gap (Mingtang writes "xia") below the patella. Indications: Knee pain and numbness, difficulty kneeling and rising. If the patella is swollen and ulcerated, it is untreatable; if not ulcerated, it can be treated. If Dubi feels hard, do not attack it directly. First apply washing and hot compresses, then gently needle until cured. *Mingtang Jing* states: Needle depth 3 fen; Moxibustion... (Text implies caution).
According to *Suwen Ci Jin Lun*: "Puncturing the patella causing fluid discharge leads to limping." Dubi is below the patella; practitioners must not take this lightly.
Liangqiu (LIANG QIU, ST 34), two acupoints. Located 2 cun above the knee. (*Mingtang Jing* says 3 cun.) Between the two tendons. Moxibustion: 3 cones; Needle depth: 2 fen. *Mingtang Jing* says: 5 fen.
*Mingtang Jing* states 3 cun; *Tongren* and *Qianjin Fang* state 2 cun. The *Qianjin Fang* annotation says some claim 3 cun, so both are preserved.
Yinshi (YIN SHI, ST 33), also known as Yinding. Two acupoints. Located 3 cun above the knee, in the depression below Futu. Take the point in a kneeling position. Needle depth: 3 fen. Moxibustion is prohibited. *Mingtang Jing* Vol. 2 states: 3 cones. Wang Bing's annotation in *Qianjin Fang* Vol. 20 states: "2 cun distal to Futu above the knee, take near the knee." (Also mentions: behind the large tendon under the medial condyle...). *Tongren* states: Moxibustion is prohibited. *Mingtang Jing* states moxibustion 3 cones. Is it because it is a forbidden point that 1-3 cones are allowed?
Futu (FU TU, ST 32), two acupoints. Located on the raised muscle 6 cun above the knee. Take the point in a proper kneeling sitting position. Another version: 7 cun above the knee cap. Needle depth: 5 fen. Moxibustion is prohibited. *Mingtang Jing* states: For various diseases of the eight sections in women, general needle depth 3 fen.
Biguan (BI GUAN, ST 31), two acupoints. Located in the junction posterior to Futu, above the knee. Needle depth: 6 fen. *Mingtang Jing* states: Moxibustion 3 cones.
Xiyan (XI YAN, ACUPUNCTURE POINTS OUTSIDE THE STANDARD MERIDIAN), four apertures (two on each side). Located in the depressions on both sides below the head of the patella. Indications: Persistent cold pain in the knee. Needle depth: 5 fen; Retain needle for 3 breaths; Disperse using 5 exhalations. Moxibustion is strictly prohibited. (Case: A patient with severe knee swelling was moxa-ed at this point by someone else, leading to death. This violated the prohibition.)
*Tongren* does not list these four points. *Mingtang Jing* lists them, so they are appended here.