共二十穴
商阳在手食指内侧去爪角如韭叶针一分留一呼灸三壮
主治胸中气满喘咳热病汗不出耳鸣耳聋寒热 疟口干颐肿齿痛目盲恶寒肩背肢臂肿痛相
引缺
盆中痛灸三壮左取右右取左如食顷立已○兼太溪治寒疟有验(百证赋)○此为十井穴凡国中风
跌倒卒暴昏沉痰盛不省人事牙关紧闭药水不下急以三棱针刺此穴及少商中冲少冲使血气流通
乃急救回生之妙穴(乾坤生意)
二间在食指本节前第三节后纹头陷中针三分留六呼灸三壮
主治颔肿喉痹肩背 痛鼽衄齿痛目黄口干口眼歪斜饮食不通振寒伤寒水结○治牙疼妙(
玉龙
赋)兼阳溪治牙疼腰痛咽痹(席弘赋)兼阳 能疏通寒栗恶寒(百证赋)治目昏不见(通玄赋
)兼三里治牙疼头痛喉痹(天星秘诀)
三间在食指本节后陷中去二间一寸针三分留三呼灸二壮
主治鼽衄热病喉痹咽中如梗下齿龋痛嗜卧胸腹满肠鸣洞泄寒热疟唇焦口干气喘目 痛善
惊寒
热结水多唾○兼肾俞善除背痛风劳(席弘赋)兼攒竹治目中之漠漠(百证赋)治身热气喘口干目
急(捷经)
合谷在手大指次指岐骨间陷中动脉应手针三分留六呼灸三壮
主治伤寒大渴脉浮在表发热恶寒头痛脊强风疹寒热 疟热病汗不出偏正头痛面肿目翳唇
吻不
收喑不能言口噤不开腰脊引痛痿 小儿乳蛾○一云能下死胎妇人妊娠补合谷即堕胎○产后脉
绝不还针合谷入三分急补之(千金)治鼻衄目痛不明牙疼喉痹疥疮可灸三壮至七壮(神农经)伤
寒无汗泻合谷补复溜若汗多不止便补合谷泻复溜神效(拦江赋)兼太冲治手连肩脊痛难忍兼曲
池治两手不如意睛明治眼若未效合谷光明不可缺冷嗽先宜补合谷又须针泻三阴交(席弘赋)兼
天府治鼻衄(百证赋)兼三阴交治脾病血气兼内庭治寒疟面肿及肠鸣(天星秘诀)面口合谷收(
四总穴)曲池兼合谷可彻头疼(千金)疗头疼并面肿疟病热还寒体热身汗出目暗视茫然齿龋鼻
衄血口噤不开言针入五分深能令病自安(马丹阳)
阳溪在手腕横纹上侧两筋间陷中直合谷针三分留七呼灸三壮
主治狂言喜笑见鬼热病烦心掌中热汗不出目赤烂翳厥逆头痛胸满不得息寒热痰疟呕沫喉
痹耳
鸣齿痛惊掣肘臂不举痂疥○兼二间治牙疼腰痛喉痹(席弘赋)兼解溪治惊悸怔忡兼肩 能消瘾
风之热极(百证赋)
偏历腕后三寸针三分留七呼灸三壮
主治 疟寒热癫疾多言目视KT KT 耳鸣喉痹口 咽干鼻衄齿痛汗不出○针偏历利小便治大
人水蛊(标幽赋)
温溜腕后五寸针三呼灸三壮
主治伤寒哕逆噫隔气闭寒热头痛喜笑狂言见鬼吐沫口舌肿痛喉痹面虚肿肠鸣腹痛四肢肿
疼肩不得举○兼期门治伤寒项强(百证赋)
下廉腕后六寸行微向外曲池下四寸针五分留五呼灸三壮
主治劳瘵狂言头风痹痛飧泄小腹满小便血小肠气面无颜色 癖腹痛不可忍食不化气喘涎
出乳痈○此穴主泻胃中之热与气冲三里巨虚上廉治同
上廉腕后七寸曲池下三寸三里下一寸微外些针五分灸五壮
主治脑风头痛胸痛喘息半身不遂肠鸣小便涩大肠气滞手足不仁○此穴主泻胃中之热与气
冲三里巨虚下廉治同
三里曲池下二寸腕后八寸针三分灸三壮
主治中风口癖手足不随五劳虚乏羸瘦霍乱遗失失音齿痛颊肿瘰 手痹不仁○此穴治腰背
痛连
脐不休下针麻重须泻得气不用留手足上下针三里食癖气块凭此取(席弘赋)兼少海治手臂麻顽
(百证赋)专治肩背痛(通玄赋)
曲池在肘外侧横纹头针七分留七呼灸三壮一云百壮
主治伤寒振寒余热不尽胸中烦满热渴目眩耳痛瘰 喉痹不能言螈 癫疾绕踝风手臂红肿
肘中
痛偏风半身不遂风邪泣出臂膊痛筋缓无力屈伸不便皮肤干燥痂疥妇人经脉不通○治手肘臂膊
疼细无力半身不遂发热胸前烦满可灸十四壮(神农经)兼人中可治痿仆兼尺泽治肘痛(玉龙赋)
兼肩井甄权针臂痛而复射(标幽赋)远达阳陵治半身不遂兼少冲治发热验(百证赋)兼合谷治两
手不如意(席弘赋)治瘿恶气诸瘾疹灸随年壮十三鬼穴此名鬼臣若遇百邪癫狂当于第十二次
下
火针此与合谷可彻头疼(千金)主大人小儿遍身风疹痂疥(秦承祖)善治肘中痛偏风手不收挽弓
开不得臂痪莫梳头喉痹促欲死发热更无休遍身风癣癞针着实时瘳
肘 在曲池上外斜一寸横直天井针三分灸三壮
主治肘节风痹臂痛不举麻木不仁嗜卧
五里在肘上三寸行向里大脉中央禁针灸三壮一日十壮
主治风劳惊恐吐血咳嗽嗜卧肘臂疼痛难动胀满气逆寒热瘰 目视KT KT 疟○兼臂 能愈
瘰(百证赋)
臂 臂外侧肩 下三寸针三分灸三壮明堂禁针灸七壮一日灸至百壮
主治臂痛无力寒热瘰 颈项拘急○治瘿气灸随年壮(千金)兼五里能愈瘰 (百证赋)
肩 在肩端高骨下罅陷中举臂有空针六分留六呼灸三壮至七七壮以瘥为度
主治中风偏风
力不能挽弓甄权于此进针即可射○此穴若灸偏风不遂自七壮至七七壮止不可过多恐致臂细若
风病筋骨无力久不瘥当多灸不畏细也然灸不如针忌酒肉五辛浆水主泻四肢之热与云门委中腰
俞治同○灸瘿气左右相当男左十八右十七壮女右十八左十七壮再三以瘥止(千金)疗风湿搏于
两肩(玉龙赋)手臂挛痛取肩 (天星秘诀)兼阳溪能消瘾风之热极(百证赋)
巨骨在肩 上大骨尖前陷中针一寸五分灸三壮五壮一日禁针
主治惊痫吐血胸中有瘀血臂痛不得屈伸
天鼎颈筋下肩井内一寸四分针三分灸三壮
主治喉痹嗌肿不得食暴喑气哽○兼间使治失音
扶突人迎后寸半距天鼎前一寸二分针四分灸三壮甲乙经曰针三分
主治咳嗽多唾上气喘息喉中如水鸡暴喑气破项瘿
禾 直对鼻孔下侠水沟旁五分针三分灸三壮
主治尸厥口不可开鼻疮 肉鼻塞鼽衄○针两鼻HT 衄(灵光赋)
迎香鼻洼纹中针三分禁灸
主治鼻塞不闻香臭 肉多涕有疮鼽衄喘息不利偏风 斜浮肿风动面痒状如虫行○能消眼
热之红攻鼻窒为最(玉龙赋)耳聋气痞针听会更泻此穴(席弘赋)
There are twenty acupoints in total.
**Shangyang (LI1)** is located on the medial side of the index finger, at a distance from the nail corner like the width of a leek leaf. Needle depth: 1 fen; retain needle for one exhalation; moxibustion: 3 cones.
Indications: Fullness of qi in the chest, wheezing and coughing, heat disease with inability to sweat, tinnitus and deafness, alternating chills and fever, malaria, dry mouth, swelling of the jaw, toothache, blindness, aversion to cold, painful swelling of the shoulder, back, limbs, and arms with mutual traction, pain in the supraclavicular fossa. Moxibustion: 3 cones. Use the left-right cross-needling method (treat left side by needling right side, and vice versa); recovery occurs within the time it takes to eat a meal. ○ Combined with Taixi (KI3) to treat cold malaria with verified efficacy (from *Baizheng Fu*). ○ This is one of the Ten Well Points. In cases of sudden stroke, falling, abrupt coma, excessive phlegm, loss of consciousness, locked jaws, and inability to take medicine or water, urgently prick these points along with Shaoshang (LU11), Zhongchong (PC9), and Shaochong (HT9) using a three-edged needle to promote the circulation of blood and qi. This is a miraculous point for emergency resuscitation (from *Qiankun Shengyi*).
**Erjian (LI2)** is located in the depression proximal to the head of the second metacarpal bone of the index finger, at the transverse crease of the third phalanx. Needle depth: 3 fen; retain needle for six exhalations; moxibustion: 3 cones.
Indications: Swelling of the jaw, bi syndrome of the throat, shoulder and back pain, rhinitis with epistaxis, toothache, yellow eyes, dry mouth, deviation of the mouth and eye, difficulty in swallowing food, shivering chills, cold damage with water retention. ○ Excellent for treating toothache (from *Yulong Fu*). Combined with Yangxi (LI5) to treat toothache, lower back pain, and bi syndrome of the throat (from *Xi Hong Fu*). Combined with Yangchi (TE4) to relieve chills and aversion to cold (from *Baizheng Fu*). Treats blurred vision (from *Tongxuan Zhiyao Fu*). Combined with Zusanli (ST36) to treat toothache, headache, and bi syndrome of the throat (from *Tianxing Mijue*).
**Sanjian (LI3)** is located in the depression distal to the head of the second metacarpal bone of the index finger, 1 cun distal to Erjian (LI2). Needle depth: 3 fen; retain needle for three exhalations; moxibustion: 2 cones.
Indications: Rhinitis with epistaxis, heat disease, bi syndrome of the throat, sensation of obstruction in the throat, caries pain of the lower teeth, lethargy, fullness of the chest and abdomen, borborygmus, profuse diarrhea, alternating chills and fever, malaria, dry lips, dry mouth, asthma, eye pain, susceptibility to fright, accumulation of cold and heat, excessive saliva. ○ Combined with Shenshu (BL23) to effectively remove wind-damp bi and consumption (from *Xi Hong Fu*). Combined with Cuanzhu (BL2) to treat blurry vision (from *Baizheng Fu*). Treats feverish body, asthma, dry mouth, and acute eyes (from *Shenying Jing*).
**Hegu (LI4)** is located in the depression between the divergent bones of the thumb and index finger, where the arterial pulse is palpable. Needle depth: 3 fen; retain needle for six exhalations; moxibustion: 3 cones.
Indications: Cold damage with great thirst, floating pulse indicating exterior syndrome, fever and aversion to cold, headache, stiffness of the spine, wind rash, alternating chills and fever, malaria, heat disease with inability to sweat, lateral or frontal headache, facial swelling, corneal opacity, flaccid lips, aphonia, locked jaw, pain radiating from the waist and spine, flaccidity syndrome, infantile tonsillitis. ○ It is said to expel a dead fetus; tonifying Hegu (LI4) during pregnancy causes abortion. ○ For postpartum pulselessness, insert the needle 3 fen into Hegu (LI4) and urgently apply the tonification method (from *Qianjin Fang*). Treats epistaxis, unclear vision due to eye pain, toothache, bi syndrome of the throat, and scabies; moxibustion: 3 to 7 cones (from *Shennong Jing*). For cold damage with no sweat, reduce Hegu (LI4) and tonify Fuliu (KI7); if sweating is excessive, tonify Hegu (LI4) and reduce Fuliu (KI7) for miraculous effect (from *Lanjiang Fu*). Combined with Taichong (LR3) to treat unbearable pain extending from the hand to the shoulder and spine; combined with Quchi (LI11) to treat dysfunction of both hands; for eye disorders, if Jingming (BL1) treatment fails, Hegu (LI4) and Guangming (GB37) are indispensable; for cold cough, first tonify Hegu (LI4) and then reduce Sanyinjiao (SP6) (from *Xi Hong Fu*). Combined with Tianfu (LU3) to treat epistaxis (from *Baizheng Fu*). Combined with Sanyinjiao (SP6) to treat spleen diseases involving blood and qi; combined with Neiting (ST44) to treat cold malaria, facial swelling, and borborygmus (from *Tianxing Mijue*). "Face and mouth conditions are treated by Hegu" (from *Si Zong Xue*). Quchi (LI11) combined with Hegu (LI4) can thoroughly treat headaches (from *Qianjin Fang*). Treats headache, facial swelling, malaria with alternating cold and heat, feverish body with sweating, dim vision, caries, epistaxis, locked jaw, and dysphasia; insert needle 5 fen deep to ensure self-recovery (from Ma Danyang's *Twelve Acupoints Song*).
**Yangxi (LI5)** is located in the depression between the two tendons on the radial side of the wrist crease, directly opposite Hegu (LI4). Needle depth: 3 fen; retain needle for seven exhalations; moxibustion: 3 cones.
Indications: Manic speech, laughter, hallucinations, heat disease with vexation, heat in the palm, inability to sweat, red and ulcerated eyes, reversal syndrome, headache, chest fullness, dyspnea, cold-heat phlegm malaria, vomiting foam, bi syndrome of the throat, tinnitus, toothache, convulsions, inability to raise the elbow and arm, scabies. ○ Combined with Erjian (LI2) to treat toothache, lower back pain, and bi syndrome of the throat (from *Xi Hong Fu*). Combined with Jiaoxi (ST41) to treat palpitations; combined with Jianyu (LI15) to eliminate extreme heat from wind-rash (from *Baizheng Fu*).
**Pianli (LI6)** is located 3 cun distal to the wrist crease. Needle depth: 3 fen; retain needle for seven exhalations; moxibustion: 3 cones.
Indications: Malaria with chills and fever, mania with excessive talking, visual disturbances, tinnitus, bi syndrome of the throat, dry mouth, epistaxis, toothache, inability to sweat. ○ Needling Pianli (LI6) promotes urination and treats adult hydroperitoneum (from *Biaoyou Fu*).
**Wenliu (LI7)** is located 5 cun distal to the wrist crease. Needle depth: 3 fen (implied); retain needle for three exhalations; moxibustion: 3 cones.
Indications: Cold damage with hiccups, belching, diaphragmatic spasm, qi stagnation, chills and fever, headache, manic laughter, hallucinations, vomiting foam, swelling and pain of the mouth and tongue, bi syndrome of the throat, facial edema, borborygmus, abdominal pain, swelling and pain of the four limbs, inability to raise the shoulder. ○ Combined with Qimen (LR14) to treat neck stiffness from cold damage (from *Baizheng Fu*).
**Xialian (LI8)** is located 6 cun distal to the wrist crease, slightly outward, 4 cun distal to Quchi (LI11). Needle depth: 5 fen; retain needle for five exhalations; moxibustion: 3 cones.
Indications: Tuberculosis, manic speech, wind-head, bi pain, undigested food diarrhea, lower abdominal fullness, hematuria, small intestine qi disorder, pallor, fixed masses with unbearable abdominal pain, indigestion, asthma, salivation, mastitis. ○ This point primarily drains heat and qi from the stomach, with indications similar to Qichong (ST30), Zusanli (ST36), and Shanglianshu (ST37).
**Shanglian (LI9)** is located 7 cun distal to the wrist crease, 3 cun distal to Quchi (LI11), 1 cun distal to Zusanli (ST36), slightly outward. Needle depth: 5 fen; moxibustion: 5 cones.
Indications: Wind-head, headache, chest pain, asthma, hemiplegia, borborygmus, dysuria, large intestine qi stagnation, numbness of the hands and feet. ○ This point primarily drains heat and qi from the stomach, with indications similar to Qichong (ST30), Zusanli (ST36), and Xialian (LI8).
**Sanli (LI10)** is located 2 cun distal to Quchi (LI11), 8 cun distal to the wrist crease. Needle depth: 3 fen; moxibustion: 3 cones.
Indications: Stroke, facial deviation, limb paralysis, five consumptions, deficiency and fatigue, emaciation, cholera, incontinence, aphonia, toothache, cheek swelling, scrofula, hand bi with numbness. ○ This point treats lower back pain radiating to the umbilicus; upon insertion, heaviness and numbness indicate arrival of qi; reduction method should be used without retaining the needle. For upper and lower limb issues, needling Sanli (LI10) addresses food stagnation and qi masses (from *Xi Hong Fu*). Combined with Shaohai (HT3) to treat arm numbness and stiffness (from *Baizheng Fu*). Specializes in treating shoulder and back pain (from *Tongxuan Zhiyao Fu*).
**Quchi (LI11)** is located at the lateral end of the transverse cubital crease. Needle depth: 7 fen; retain needle for seven exhalations; moxibustion: 3 cones (or 100 cones).
Indications: Chills from cold damage, lingering residual heat, chest fullness and vexation, heat and thirst, vertigo, ear pain, scrofula, bi syndrome of the throat, aphonia, convulsions, ankle-wrapping wind, red swelling of the arms, elbow pain, hemiplegia, wind pathogen causing tearing, arm pain, muscle weakness, difficulty in flexion and extension, dry skin, scabies, amenorrhea. ○ Treats weak and painful arms/elbows, hemiplegia, fever, and chest vexation; moxibustion: 14 cones (from *Shennong Jing*). Combined with Renzhong (GV26) to treat flaccidity and collapse; combined with Chize (LU5) to treat elbow pain (from *Yulong Fu*). Combined with Jianjing (GB21), Zhen Quan successfully treated arm pain (from *Biaoyou Fu*). Reaches distant Yanglingquan (GB34) to treat hemiplegia; combined with Shaochong (HT9) to verify efficacy in treating fever (from *Baizheng Fu*). Combined with Hegu (LI4) to treat dysfunction of both hands (from *Xi Hong Fu*). Treats goiter, malignant qi, and various rashes; moxibustion according to age. Among the Thirteen Ghost Points, this is named Guichen; for madness and mania caused by hundred evils, apply fire needle at the twelfth application. This point combined with Hegu (LI4) thoroughly treats headaches (from *Qianjin Fang*). Treats generalized wind rash and scabies in adults and children (from Qin Chengzu). Excellently treats elbow pain, hemiplegia, inability to grasp, inability to draw a bow, arm paralysis preventing combing hair, severe bi syndrome of the throat, relentless fever, and generalized wind tinea; accurate needling ensures cure.
**Zhouli (LI12)** is located 1 cun superior and lateral to Quchi (LI11), horizontally aligned with Tianjing (TE10). Needle depth: 3 fen; moxibustion: 3 cones.
Indications: Bi syndrome of the elbow joint, inability to raise the arm, numbness, lethargy.
**Wuli (LI13)** is located 3 cun superior to the elbow, on the inner side of the major artery. **Contraindication:** Do not needle or moxa. If moxa, limit to 10 cones per day.
Indications: Wind consumption, fright, hematemesis, cough, lethargy, unbearable elbow and arm pain, distension, rebellious qi, chills and fever, scrofula, visual disturbances, malaria. ○ Combined with Binao (LI14) to cure scrofula (from *Baizheng Fu*).
**Binao (LI14)** is located on the lateral aspect of the arm, 3 cun distal to Jianyu (LI15). Needle depth: 3 fen; moxibustion: 3 cones. Mingtang classifies as contraindicated for needling/moxa, but allows up to 100 cones daily.
Indications: Arm pain and weakness, chills and fever, scrofula, neck stiffness. ○ Treats goiter; moxibustion according to age (from *Qianjin Fang*). Combined with Wuli (LI13) to cure scrofula (from *Baizheng Fu*).
**Jianyu (LI15)** is located in the depression below the acromion process; an empty space appears when the arm is raised. Needle depth: 6 fen; retain needle for six exhalations; moxibustion: 3 to 49 cones, until recovery.
Indications: Stroke, hemiplegia, inability to draw a bow. Zhen Quan inserted the needle here to shoot arrows. ○ For hemiplegia, moxibustion from 7 to 49 cones; do not exceed this amount to avoid arm atrophy. However, if wind disease causes long-term weakness of muscles and bones, more moxibustion is safe. Moxibustion is inferior to needling; avoid alcohol, meat, and pungent spices. Primarily drains heat from the four limbs, similar to Yunmen (LU2), Weizhong (BL40), and Yaoshu (BL23). ○ For goiter, moxibustion is symmetrical: males left 18, right 17 cones; females right 18, left 17 cones, repeated until recovery (from *Qianjin Fang*). Treats wind-dampness attacking both shoulders (from *Yulong Fu*). For arm contracture and pain, select Jianyu (LI15) (from *Tianxing Mijue*). Combined with Yangxi (LI5) to eliminate extreme heat from wind-rash (from *Baizheng Fu*).
**Jugu (SI1)** is located in the depression anterior to the tip of the greater tubercle of the humerus, above Jianyu (LI15). Needle depth: 1.5 cun; moxibustion: 3 or 5 cones. **Contraindication:** Do not needle on the same day.
Indications: Convulsive epilepsy, hematemesis, blood stasis in the chest, arm pain with inability to flex or extend.
**Tianding (SI14)** is located 1.4 cun medial to Jianjing (GB21), below the sternocleidomastoid muscle. Needle depth: 3 fen; moxibustion: 3 cones.
Indications: Bi syndrome of the throat, pharyngeal swelling, dysphagia, sudden aphonia, qi obstruction. ○ Combined with Jianshi (PC5) to treat aphonia.
**Futu (SI16)** is located 1.5 cun posterior to Yingchang (ST9), 1.2 cun anterior to Tianding (SI14). Needle depth: 4 fen; moxibustion: 3 cones. *Jia Yi Jing* states: needle depth 3 fen.
Indications: Cough, excessive saliva, rising qi, asthma, gurgling sound in the throat, sudden aphonia, broken qi, neck goiter.
**Heliao (SI18)** is located directly below the nostril, 0.5 cun lateral to Shuigou (GV26). Needle depth: 3 fen; moxibustion: 3 cones.
Indications: Corpse-like fainting, inability to open the mouth, nasal sores, nasal polyps, nasal congestion, rhinitis with epistaxis. ○ Prick both nasal alae for epistaxis (from *Lingguang Fu*).
**Yingxiang (LI20)** is located in the nasolabial groove. Needle depth: 3 fen. **Contraindication:** Do not moxa.
Indications: Nasal congestion with loss of smell and taste, nasal polyps, excessive discharge, nasal sores, rhinitis with epistaxis, dyspnea, facial deviation, edema, wind-induced facial itching resembling insect crawling. ○ Effectively reduces redness from eye heat and clears nasal obstruction (from *Yulong Fu*). For deafness and qi blockage, needling Tinghui (GB2) followed by reducing this point is effective (from *Xi Hong Fu*).