黄帝问曰。余闻气穴三百六十五以应一岁。未知其所。愿卒闻之。岐伯稽首再拜对曰。窘乎哉问也。其非圣帝。孰
能穷其道焉。因请溢意。尽言其处。(穴乃气之所注。故曰气穴。而不论及于经脉也。所、谓气穴所在之处。卒、尽也。
针经曰。天至高。不可度。地至广。不可量。夫人生于天地之间。六合之内。此天之高。地之广也。非人力之所能度量
而至也。若夫八尺之士。皮肉在此。外可度量切循而得之。其死可解剖而视之。其脏之坚脆。腑之大小。谷之多少。脉
之长短。血之清浊。气之多少。非圣者孰能穷其道。是以岐伯稽首再拜曰。窘乎哉问也。莫仲超曰。知血气之生始。
经脉之贯通。乃医学之根本。学人当于诸刺论中求之。)帝捧手逡巡而却曰。夫子之开余道也。目未见其处。耳未闻其数。
而目以明。耳以聪矣。(逡巡、退让貌。未睹未闻。而耳聪目明者。神志会通也。)岐伯曰。此所谓圣人易语。良马易御
也。帝曰。余非圣人之易语也。世言真数开人意。今余所访问者真数。发蒙解惑。未足以论也。然余愿闻夫子溢志尽言
其处。令解其意。请藏之金匮。不敢复出。(真数者。脉络之穴数。藏之金匮者。谓非其人勿教。非其真勿授。乃金匮之
真言。上帝之所贵也。)岐伯再拜而起曰。臣请言之。背与心相控而痛。所治天突与十椎及上纪。上纪者。胃脘也。下纪
者。关元也。(心、谓心胸也。夫背为阳。胸腹为阴。督脉循于背。总督一身之阳。任脉循于腹。统任一身之阴。控、引
也。背与心相控而痛者。阴阳相引而为痛也。此先论阴阳二气。总属任督之所主。而后论脏腑阴阳之气。各有所注之穴
焉。天突在结喉下中央。乃阴维任脉之会。十椎在大椎下第七椎。乃督脉至阳之穴。督脉阳维之会也。盖大椎上尚有三
椎。总数之为十椎也。胃脘、中脘也。中脘者。胃之募也。王冰曰。手太阳少阳足阳明三脉所生。脉气所发也。关元在
脐下三寸。足三阴任脉之会。此四穴者。乃阴阳气之交会也。张兆璜曰。先以胸背分阴阳。后以上下分阴阳。)背胸邪系
阴阳左右如此。其病前后痛涩。胸胁痛而不得息。不得卧。上气短气偏痛。(此释上文而言背胸之邪。系于阴阳。引及于
左右。偏痛亦如此。盖左为阳而右为阴也。其病前后痛涩者。背胸邪系阴阳也。胸脉痛者。其脉络胸胁。故左右如此也。
不得息。不得卧。上气短气者。督脉上贯心膈入喉。任脉入膻中上喉咙也。偏痛者。其脉斜出尻络胁。上肩而斜下也。)
脉满起斜出尻。脉络胸胁支心贯膈。上肩加天突。斜下肩交十椎下。(此言阴阳系邪。胸背相引。由任督之
相交。任督之合。又由督之大络。而交通于任脉也。督之大络。名曰长强。挟脊上项。散头上。下当肩胛左右。别走太
阳。入贯膂。所谓大络者。若江河之外。别有江河。经脉满则转溢于大络。故督脉满则斜出于尻脉。盖督脉之别。斜出
于尻。络胸胁也。其络支心贯膈。上肩胛而与任脉交会于天突。复斜下肩而与督脉交合于十椎下间。故胸背相控而痛。
所治在天突与十椎间者。乃大络之通会处也。张兆璜曰。阳常有余而阴常不足。故不曰交。而曰加者。谓阳加于阴。有
阳施阴受之义也。)脏俞五十穴。(脏谓五脏。俞、经俞之穴也。脏各有五。五五二十有五。左右合之。共五十穴也。
五者。井荥俞经合。所出为井。俱在手足趾上。离爪甲一韭许。所入为合。皆在手足之肘膝间。而不过肘膝。五脏六腑
皆然。肝之井曰大敦。荥曰行间。俞曰太冲。经曰中封。合曰曲泉。心之井曰少冲。荥曰少府。俞曰神门。经曰灵
道。合曰少海。脾之井曰隐白。营曰大都。俞曰太白。经曰商邱。合曰阴陵泉。肺之井曰少商。荥曰鱼际。俞曰太渊。
经曰经俞。合曰尺泽。肾之井曰涌泉。荥曰然谷。俞曰太溪。经曰复溜。合曰阴谷。此五脏之五俞。出于井木。溜于
荥火。注于俞土。行于经金。入于合水也。)腑俞七十二穴。(六腑各有六。六六三十六穴。左右合之。共七十二穴。亦
皆出于手足之指端。入于肘膝之合穴。六者。井荥俞经原合也。胆之井曰窍阴。荥曰侠溪。俞曰临泣。原曰丘墟。经
曰阳辅。合曰阳陵泉。胃之井曰厉兑。荥曰内庭。俞曰陷谷。原曰冲阳。经曰解溪。合曰三里。大肠之井曰商阳。
荥曰二间。俞曰三间。原曰合谷。经曰阳溪。合曰曲池。小肠之井曰少泽。荥曰前谷。俞曰后溪。原曰腕骨。经曰阳谷。
合曰少海。三焦之井曰关冲。荥曰液门。俞曰中渚。原曰阳池。经曰支沟。合曰天井。膀胱之井曰至阴。荥曰通谷。
俞曰束骨。原曰京骨。经曰昆仑。合曰委中。此六腑之俞。出于井金。溜于荥水。注于俞木。行于原经火。入于合土。
盖天为阳。地为阴。腑为阳。脏为阴。故脏合地之五行。腑合天之六气。六气之中有二火。是以多原穴也。原者。谓火
之原。生于阴中之少阳也。张兆璜曰。脏气出于井木。腑气出于井金。盖春夏者。天之阴阳也。秋冬者。地之阴阳
也。脏始于天之春木。而终于冬令之水。腑始于地之秋金。而复交于春夏。此皆脏腑阴阳更互之妙用。故曰。天有阴阳。
地亦有阴阳。木火土金水。地之阴阳也。生长化收藏下应之。故阳中有阴。阴中有阳。夫生长化收藏。在天四时之气也。
而五脏五行应之。故曰。阳中有阴。阴中有阳。)热俞五十九穴。(头上五行行五。五五二十五穴。大杼膺俞缺盆背俞
各二。共八穴。气街三里巨虚上下廉各二。共八穴。云门 骨委中髓空各二。共八穴。五脏俞旁各五。计十穴。通共计
五十九穴。)水俞五十七穴。(尻上五行行五。五五共二十五穴。伏兔上各二行行五。五四共二十穴。踝上各一行行六。
计十二穴。通共五十七穴。以上一百十六穴。详水热穴论。)头上五行行五。五五二十五穴。(此节热俞内穴。重言之者。
谓热俞即是气穴。可以取气。可以泻热。亦可使热邪随气而泄。故下文曰热俞在气穴。)中KT 两旁各五。凡十穴。(KT
膂同。在脊骨两旁。各开一寸五分。足太阳膀胱经之五脏俞也。肺俞在三椎间。心俞在五椎间。肝俞在九椎间。脾俞
在十一椎间。肾俞在十四椎间。)大椎上两旁各一。凡二穴。(大椎两旁。足太阳膀胱经之大杼穴也。脊骨之高起曰椎。
大椎上者。谓大椎高起间之两旁。非椎之上节也。王氏误认为椎之上节。故云。甲乙经脉流注孔穴图经并不载。未详何
俞。王芳侯曰。两旁各一凡此五字。为首节之总纲。故以后不言此五字者。以每节咸准此也。)目瞳子浮白二穴。(瞳子
在目锐 。浮白穴在耳后发际内一寸。左右各一。凡四穴。俱属足少阳胆经。)两髀厌分中二穴。(谓髀枢中环跳穴也。
属足少阳胆经。)犊鼻二穴。(犊鼻穴在膝髌下 骨上。侠解大筋陷中。属足阳明胃经。)耳中多所闻二穴。(一名听宫。
在耳中珠子。大如赤小豆。属手太阳小肠经。)眉本二穴。(攒竹穴在眉间陷中。属足太阳膀胱经。)完骨二穴。(完骨穴
在耳后入发际四分。属足少阳胆经。)项中央一穴。(风府穴在项后入发际一寸。大筋内宛宛中。督脉阳维之会。疾言其
肉立起。言休其肉立下。)枕骨二穴。(枕骨穴。一名窍阴穴。在完骨上。枕骨下。动摇有空。属足少阳胆经。)上关二穴。
(一名客主人。在耳前起骨上廉。开口有空。张口取之乃得。属足少阳胆经。)大迎二穴。(大迎穴在曲颔前一寸三分。
骨陷中动脉。属足阳明胃经。)下关二穴。(下关穴在上关下。耳前动脉下廉。合口有空。开口则闭。闭口有穴。属足阳
明胃经。)天柱二穴。(天柱穴在侠项后发际大筋外廉陷中。属足太阳膀胱经。)巨虚上下廉四穴。(巨虚上廉在三里下三
寸。举足取之。巨虚下廉在上廉下三寸。蹲地举足取之。左右共四穴。共属足阳明胃经。)曲牙二穴。(即颊车穴。一名
机关。在耳下曲颊端近前陷中。开口有空。属足阳明胃经。)天突一穴。(天突穴在结喉下四寸宛宛中。属任脉。)天府二
穴。(天府穴在腋下三寸。臂 内动脉陷中。属手太阴肺经。)天牖二穴。(天牖穴在颈筋间。缺盆上。天容后。天柱前。
完骨下。发际上。属手少阳三焦经。)扶突二穴。(扶突穴在颈大筋间下一寸。人迎后一寸半。仰而取之。属手阳明大肠
经。)天窗二穴。(一名窗笼。在颈大筋间前。曲颊下。扶突后。应手陷中。属手太阳小肠经。)肩解二穴。(即肩井穴。
在肩上陷中。缺盆上。大骨前一寸半。以三指按取。当中指下陷中。属足少阳胆经。)关元一穴。(在脐下三寸。属任脉。)
委阳二穴。(委阳穴在承扶下一寸六分。屈身取之。属足太阳膀胱经。)肩贞二穴。(肩贞穴在曲胛下。两骨解间。肩 后
陷者中。属手太阳小肠经。)喑门一穴。(一名 门。又名舌厌。在项后风府后一寸。入发际五分。项中央宛宛中。入系
舌本。督脉阳维之会。)齐一穴。(脐中有神阙穴。一名气舍。当脐中央。禁刺。属任脉。)胸俞十二穴。(谓足少阴肾经
之俞府、 中、神藏、灵墟、神封。步廊。左右共十二穴。各开中行二寸。俞府在巨骨下。璇玑旁二寸陷中。下五穴。
递相下。同身寸一寸六分陷者中。)背俞二穴。(谓膈俞穴。在大椎下第七椎间。各开中行一寸五分。)膺俞十二穴。(胸
之两旁曰膺。膺俞者。谓手太阴之云门、中府。足太阴之周荣、胸乡、天溪、食窦。左右共十二穴。云门在巨骨下。侠
气户旁二寸陷中。去胸中任脉两旁横开各六寸。动脉应手。中府下云门一寸。余五穴递相下。同身寸之一寸六分陷者中。)
分肉二穴。(一名阳辅穴。在足外踝上四寸。辅骨前绝骨之端。属足少阳胆经。)踝上横二穴。(踝叶瓦去声谓内踝上之交
信穴。去内踝上二寸。少阴前。太阴后。筋骨间。阴跷之 。属足少阴肾经。外踝上跗阳穴。去外踝上二寸。太阳前。
少阳后。筋骨间阳跷之 。属足太阳膀胱经。左右共四穴。)阴阳跷四穴。(阴跷穴在足内踝下。是谓照海。阴跷脉之所
生。阳跷在足外踝下五分。是谓申脉。阳跷脉之所生。愚按脉度一十六丈二尺。内兼任督跷脉。故气穴亦如之。盖穴者。
脉气之所注也。)水俞在诸分。热俞在气穴。寒热俞在两骸厌中二穴。(此言寒热之邪。皆从气分而出。夫百病之始生也。
皆生于风雨寒暑。风暑、天之阳热。雨水、地之阴寒。感天地之寒热。病吾身之阴阳。是气分之邪。当从气分而出。故
名之曰气穴论。谓以上三百六十五穴。以应周天之气数。所以取气。所以泻邪者也。诸分者。大小分肉之间。皮肤肌腠
之气分也。气穴者。荣卫血气之所注也。膝解为骸。两骸厌中二穴。谓足少阳之阳陵泉也。夫十一脏腑之气。皆取决于
胆。谓少阳主初生之气也。故寒热独取于两骸厌中者。谓在脏在腑。其寒其热之邪。皆从少阳之气以升散。故邪气脏腑
病形篇曰。其寒热者。取阳陵泉。)大禁二十五。在天府下五寸。(此言有大禁之穴。在天府下五寸。乃手阳明大肠经之
五里穴也。灵枢本输篇曰。尺动脉在五里。五 之禁也。玉版论曰。迎之五里。中道而止。五至而已。五往而脏之气尽
矣。故五五二十五而竭其输矣。五往、五刺也。谓五脏各有五俞。五俞五刺。五五二十五刺。则五脏之气尽矣。故曰大
禁二十五。谓禁二十五刺也。此言三百六十五穴之血气。由五脏大络之所注也。)凡三百六十五穴。针之所由行也。(自
天突、十椎、上纪、关元至厌中二穴。共计三百六十四穴。然内多重复。想有简脱。故不全耳。)帝曰。余已知气穴之处。
游针之居。愿闻孙络溪谷。亦有所应乎。(居、止也。谓针所止之处也。游针者。谓得针之道。而以神遇之。若游刃然。
恢恢乎有余地矣。脉度篇曰。经脉为里。支而横者为格。络之别者为孙。盛而血者。疾诛之。盛者泻之。)岐伯曰。孙
络三百六十五穴会。亦以应一岁。以溢奇邪。以通荣卫。(孙络亦有三百六十五穴。以应一岁之气。孙络满则流溢于大络。
而生奇病。盖大络之血气。外出于皮肤。而与孙络相遇。是以脉外之卫。脉内之荣。相交通于孙络皮肤之间。)荣卫稽留。
卫散荣溢。气竭血着。外为发热。内为少气。疾泻无怠。以通荣卫。见而泻之。无问所会。(孙络外通于皮肤。内连于经
脉。以通荣卫者也。故邪客之。则荣卫稽留。荣卫不能相将而行。则气竭而血着矣。邪气在外。则为发热。正气稽留。
内为少气。当疾泻无怠。以通荣卫。见其血留色变之处。即刺泄之。无问其穴会之所在也。王芳侯曰。按脉度篇云。盛
而血者。疾诛之。盛者泻之。虚者引药以补之。是病在络脉者。止用针泻而不补。故不必论其穴会也。)帝曰。善。愿
闻溪谷之会也。岐伯曰。肉之大会为谷。肉之小会为溪。肉分之间。溪谷之会。以行荣卫。以会大气。(此言肌腠之间。
Yellow Emperor asked, saying: I have heard that there are 365 Qi acupoints in the human body, corresponding to the days of a year. However, I do not know their specific locations and wish to hear you explain them in detail. (Acupoints are places where Qi infuses, hence called Qi acupoints; this section discusses the locations of these points rather than the meridians themselves. "Zu" means complete or exhaustive.) The *Needle Classic* states: Heaven is extremely high and cannot be measured; Earth is extremely vast and cannot be quantified. Humans live between Heaven and Earth, within the Six Directions. This represents the height of Heaven and the breadth of Earth, which are beyond the reach of human measurement. As for an eight-chi tall person, their skin and flesh are on the surface, perceivable by touch; after death, they can be dissected for observation. However, the firmness or fragility of the Zang organs, the size of the Fu organs, the quantity of food in the stomach, the length of the vessels, the clarity or turbidity of the blood, and the amount of Qi—unless one is a Sage, who could exhaustively understand these principles? Therefore, Qi Bo bowed deeply and replied twice, "This question is indeed difficult to answer." Mo Zhongchao said: Understanding the origin of Blood and Qi and the connectivity of meridians is the foundation of medicine. Students should seek answers within various theories of acupuncture.
The Yellow Emperor held his hands together and stepped back, saying: The principles you have explained to me have made my eyes see clearly and my ears hear distinctly, even though I have not yet seen the specific locations or heard the exact numbers. ("Qunxun" refers to retreating or yielding. Seeing and hearing nothing, yet achieving clarity of vision and hearing, indicates a spiritual connection and understanding.)
Qi Bo said: This is what is meant by saying that Sages are easy to communicate with, and fine horses are easy to control.
The Yellow Emperor said: I am not such an easy-to-communicate Sage. It is said in the world that true numbers can open people's minds. What I am asking now concerns these true numbers, aiming to enlighten the ignorant and resolve doubts, but this alone is insufficient for discussing the Great Dao. Nevertheless, I wish to hear you speak fully and exhaustively about the locations of these acupoints so that I may understand their significance. I will store this knowledge in the Golden Casket and dare not reveal it to others. ("True numbers" refer to the count of meridian acupoints. Storing in the Golden Casket implies that instruction should only be given to worthy individuals and true teachings only to those ready to receive them; this is the true word of the Golden Casket, valued by the Supreme Emperor.)
Qi Bo bowed deeply again and rose, saying: Your subject requests permission to explain. When pain involves mutual traction between the back and the chest/heart region, treatment should target the Tiantu (Heavenly Metropolis) point, the Tenth Vertebra (the seventh vertebra below Dazhui), and Shangji (Upper Pivot, i.e., the epigastrium). Shangji refers to the epigastrium (Zhongwan point), and Xiaji (Lower Pivot) refers to Guanyuan. (Heart here refers to the chest and heart area. The back is Yang, and the chest/abdomen is Yin. The Du Meridian runs along the back, commanding all Yang in the body; the Ren Meridian runs along the abdomen, governing all Yin. "Kong" means traction. Pain from mutual traction between the back and heart is caused by the mutual attraction of Yin and Yang Qi. This first discusses how Yin and Yang Qi are primarily governed by the Ren and Du meridians, followed by the specific acupoints where the Yin and Yang Qi of the Zang and Fu organs infuse. Tiantu is located centrally below the laryngeal prominence, being the intersection of the Yin Linking Vessel and the Ren Meridian. The Tenth Vertebra is the seventh vertebra below Dazhui, which is the Zhiyang point of the Du Meridian, also an intersection of the Du and Yang Linking vessels. Since there are three vertebrae above Dazhui, counting them totals ten. The epigastrium is Zhongwan, the Front-Mu point of the Stomach. Wang Bing stated: The Qi of the Hand-Taiyang, Hand-Shaoyang, and Foot-Yangming meridians emanates here. Guanyuan is three cun below the umbilicus, an intersection of the Foot-Taiyin, Foot-Shaoyin, Foot-Jueyin, and Ren meridians. These four points are intersections of Yin and Yang Qi. Zhang Zhaohuang said: First distinguish Yin and Yang by chest and back, then by upper and lower.)
When evil qi links to Yin and Yang on both left and right sides of the back and chest, as described above, the symptoms include pain and astringency in the front and back, pain in the chest and hypochondrium with difficulty breathing, inability to lie flat, rebellious Qi, shortness of breath, and unilateral pain. (This explains the previous statement regarding the linking of back and chest evil qi to Yin and Yang, extending to the left and right. Unilateral pain follows this pattern, with the left being Yang and the right being Yin. Pain and astringency in the front and back result from the linking of back and chest evil qi to Yin and Yang. Chest meridian pain occurs because the meridians pass through the chest and hypochondrium, affecting both sides. Difficulty breathing, inability to lie flat, rebellious Qi, and shortness of breath occur because the Du Meridian passes upward through the heart and diaphragm into the throat, and the Ren Meridian enters the Shanzhong and ascends through the throat. Unilateral pain occurs because its meridians slant out from the coccyx, connect to the hypochondrium, ascend to the shoulder, and slant downward.)
When vessel Qi is full, it slants out from the sacrum, the collateral networks pass through the chest and hypochondrium, support the heart and penetrate the diaphragm, ascend to the shoulder adding to Tiantu, and slant down to the shoulder to intersect below the tenth vertebra. (This describes how Yin and Yang linked evil qi causes mutual traction between chest and back, originating from the intersection and convergence of the Ren and Du meridians, and further through the great collateral of the Du Meridian communicating with the Ren Meridian. The great collateral of the Du Meridian is named Changqiang, running alongside the spine up to the neck, scattering over the head, descending to the left and right of the shoulder blades, diverging to the Taiyang meridian, and entering to penetrate the paraspinal muscles. A great collateral is like a river having additional tributaries. When meridians are full, Qi overflows into the great collaterals. Thus, when the Du Meridian is full, it slants out from the sacral region. The branch of the Du Meridian slants out from the sacrum to network the chest and hypochondrium. Its collateral branches support the heart, penetrate the diaphragm, ascend to the scapula, and intersect with the Ren Meridian at Tiantu, then slant down to the shoulder to merge with the Du Meridian below the tenth vertebra. Hence, the mutual traction pain between chest and back is treated at Tiantu and between the tenth vertebra, which are the communication points of the great collateral. Zhang Zhaohuang said: Yang is often in excess while Yin is often deficient; therefore, "add" is used instead of "intersect," implying Yang adds to Yin, carrying the meaning of Yang giving and Yin receiving.)
There are fifty Back-Shu points of the Zang organs. (Zang refers to the five Zang organs. Shu refers to Jing-Shu points. Each Zang organ has five Shu points. Five times five equals twenty-five; combined with the bilateral sides, there are fifty points in total. These five points are Jing-River, Ying-Spring, Shu-Stream, Jing-River, and He-Sea. Where Qi exits is the Jing-River, located near the nail bed of the fingers and toes. Where Qi enters is the He-Sea, located between the elbows and knees, not exceeding them. This applies to all five Zang and six Fu organs. The Jing-River of the Liver is Dadun, Ying-Spring is Xingjian, Shu-Stream is Taichong, Jing-River is Zhongfeng, and He-Sea is Ququan. The Jing-River of the Heart is Shaochong, Ying-Spring is Shaofu, Shu-Stream is Shenmen, Jing-River is Lingdao, and He-Sea is Shaohai. The Jing-River of the Spleen is Yinbai, Ying-Spring is Dadu, Shu-Stream is Taibai, Jing-River is Shangqiu, and He-Sea is Yinlingquan. The Jing-River of the Lung is Shaoshang, Ying-Spring is Yuji, Shu-Stream is Taiyuan, Jing-River is Jingqu, and He-Sea is Chize. The Jing-River of the Kidney is Yongquan, Ying-Spring is RanGu, Shu-Stream is Taixi, Jing-River is Fuliou, and He-Sea is YinGu. These five Shu points of the five Zang organs originate from Wood (Jing-River), flow into Fire (Ying-Spring), pour into Earth (Shu-Stream), travel through Metal (Jing-River), and enter Water (He-Sea).)
There are seventy-two Back-Shu points of the Fu organs. (Each of the six Fu organs has six points. Six times six equals thirty-six; combined bilaterally, there are seventy-two points. These also originate from the tips of the fingers and toes and enter the He-Sea points at the elbows and knees. These six points are Jing-River, Ying-Spring, Shu-Stream, Yuan-Source, Jing-River, and He-Sea. The Jing-River of the Gallbladder is Qiaoyin, Ying-Spring is Xiaxi, Shu-Stream is Linqi, Yuan-Source is Qiuxu, Jing-River is Yangfu, and He-Sea is Yanglingquan. The Jing-River of the Stomach is Lidui, Ying-Spring is Neiting, Shu-Stream is Xiangu, Yuan-Source is Chongyang, Jing-River is Jiexi, and He-Sea is Zusanli. The Jing-River of the Large Intestine is Shangyang, Ying-Spring is Erjian, Shu-Stream is Sanjian, Yuan-Source is Hegu, Jing-River is Yangxi, and He-Sea is Quchi. The Jing-River of the Small Intestine is Shaoze, Ying-Spring is Qiangu, Shu-Stream is Houxi, Yuan-Source is Wangu, Jing-River is Yanggu, and He-Sea is Shaohai. The Jing-River of the Sanjiao is Guanchong, Ying-Spring is Yemen, Shu-Stream is Zhongzhu, Yuan-Source is Yangchi, Jing-River is Zigou, and He-Sea is Tianjing. The Jing-River of the Bladder is Zhiyin, Ying-Spring is Tonggu, Shu-Stream is Shugu, Yuan-Source is Jinggu, Jing-River is Kunlun, and He-Sea is Weizhong. These Shu points of the six Fu organs originate from Metal (Jing-River), flow into Water (Ying-Spring), pour into Wood (Shu-Stream), travel through Fire (Yuan/Jing), and enter Earth (He-Sea). Heaven is Yang, Earth is Yin; Fu organs are Yang, Zang organs are Yin. Therefore, Zang organs correspond to the Five Elements of Earth, and Fu organs correspond to the Six Qi of Heaven. Among the Six Qi, there are two Fires, hence the extra Yuan-Source point. Yuan-Source refers to the origin of Fire, born from the Lesser Yang within Yin. Zhang Zhaohuang said: Zang Qi originates from Wood (Jing-River), Fu Qi originates from Metal (Jing-River). Spring and Summer are the Yin and Yang of Heaven; Autumn and Winter are the Yin and Yang of Earth. Zang begins with Wood of Spring in Heaven and ends with Water of Winter; Fu begins with Metal of Autumn in Earth and reconnects with Spring and Summer. These are the subtle interactions of Yin and Yang between Zang and Fu. Thus it is said: Heaven has Yin and Yang, and Earth also has Yin and Yang. Wood, Fire, Earth, Metal, and Water are the Yin and Yang of Earth, responding to Growth, Flourishing, Transformation, Harvesting, and Storage below. Therefore, Yang contains Yin, and Yin contains Yang. Growth, Flourishing, Transformation, Harvesting, and Storage are the Qi of the four seasons in Heaven, corresponding to the Five Zang and Five Elements. Thus it is said: Yang contains Yin, and Yin contains Yang.)
There are fifty-nine Heat-Shu points. (Five rows of five points each on the head, totaling twenty-five points. Dazhu, Yingyu, Quepen, and Beishu, two each, totaling eight points. Qichuan, Zusanli, Shangjuxu, and Xiajuxu, two each, totaling eight points. Yunmen, Gugu, Weizhong, and Suikong, two each, totaling eight points. Five points beside each of the five Zang Back-Shu points, totaling ten points. Grand total: fifty-nine points.)
There are fifty-seven Water-Shu points. (Five rows of five points each above the sacrum, totaling twenty-five points. Two rows of five points each above Futu, totaling twenty points. One row of six points each above the malleoli, totaling twelve points. Grand total: fifty-seven points. The above one hundred sixteen points are detailed in the *Treatise on Water and Heat Acupoints*.)
Five rows of five points each on the head, totaling twenty-five points. (These heat-shu points mentioned again indicate that heat-shu are essentially Qi acupoints, capable of extracting Qi, draining heat, and allowing heat pathogens to exit with Qi. Hence, the following text states heat-shu are in Qi acupoints.)
Liangpan (sides of the spine) each have five points, totaling ten points. (Liao is synonymous with Lv, located one inch and five fen lateral to the spinous processes, belonging to the Five Zang Back-Shu points of the Foot-Taiyang Bladder Meridian. Feishu is between the third and fourth thoracic vertebrae, Xinshu between the fifth and sixth, Ganshu between the ninth and tenth, Pishu between the eleventh and twelfth, and Shenshu between the fourteenth and fifteenth.)
Above Dazhui, one point on each side, totaling two points. (Bilateral to Dazhui are the Dazhu points of the Foot-Taiyang Bladder Meridian. The prominent part of the spinal bone is called a vertebra. "Above Dazhui" refers to the sides of the prominent Dazhui, not the vertebra above it. Master Wang mistakenly identified it as the vertebra above, stating it is not recorded in the *Jia Yi Jing* or *Meridian Flow Acupoint Atlas*, leaving its identity unknown. Wang Fanghou said: "One point on each side, totaling two" serves as the general outline for the first section; subsequent sections omit this phrase as they follow the same pattern.)
Tongzizi and Fu Bai, two points. (Tongzizi is at the outer canthus of the eye. Fu Bai is one cun inside the hairline behind the ear. Bilateral, totaling four points, all belonging to the Foot-Shaoyang Gallbladder Meridian.)
Liangbi Yanfenzhong, two points. (Refers to the Huantiao point in the hip joint, belonging to the Foot-Shaoyang Gallbladder Meridian.)
Dubi, two points. (Dubi is located in the depression lateral to the patellar ligament, below the knee cap, belonging to the Foot-Yangming Stomach Meridian.)
Erzhong Duosuo Wen, two points. (Also known as Tinggong, located in the ear, the size of a red bean, belonging to the Hand-Taiyang Small Intestine Meridian.)
Meiben, two points. (Canzhu is located in the depression at the inner end of the eyebrow, belonging to the Foot-Taiyang Bladder Meridian.)
Wangu, two points. (Wangu is located four fen inside the hairline behind the ear, belonging to the Foot-Shaoyang Gallbladder Meridian.)
Xiang Zhongyang, one point. (Fengfu is located one cun inside the hairline at the back of the neck, within the depression between the large tendons, an intersection of the Du and Yang Linking vessels. The muscle rises sharply when speaking quickly and settles when speech stops.)
Zhen Gu, two points. (Zhen Gu, also known as Qiaoyin, is located above Wangu and below the occipital bone, with a palpable gap upon movement, belonging to the Foot-Shaoyang Gallbladder Meridian.)
Shangguan, two points. (Also known as Keyezhuren, located on the upper border of the bone rising before the ear, with a gap when opening the mouth. Must be accessed with the mouth open, belonging to the Foot-Shaoyang Gallbladder Meridian.)
Daying, two points. (Daying is located one inch and three fen anterior to the angle of the jaw, in the bony depression where the artery pulses, belonging to the Foot-Yangming Stomach Meridian.)
Xiaguan, two points. (Xiaguan is below Shangguan, under the arterial pulse before the ear. There is a gap when the mouth is closed, which closes when opened. Accessible with the mouth closed, belonging to the Foot-Yangming Stomach Meridian.)
Tianzhu, two points. (Tianzhu is located in the depression lateral to the large tendons at the nape, outside the hairline, belonging to the Foot-Taiyang Bladder Meridian.)
Juxu Shangxia Lian, four points. (Shangjuxu is three cun below Zusanli, accessed by lifting the foot. Xiajuxu is three cun below Shangjuxu, accessed by squatting and lifting the foot. Bilateral, totaling four points, all belonging to the Foot-Yangming Stomach Meridian.)
Quya, two points. (Also known as Jiache, or Jiguan, located in the depression near the anterior end of the curved jawbone below the ear. Accessible with the mouth open, belonging to the Foot-Yangming Stomach Meridian.)
Tiantu, one point. (Tiantu is located in the depression four cun below the laryngeal prominence, belonging to the Ren Meridian.)
Tianfu, two points. (Tianfu is located three cun below the axilla, in the depression of the arterial pulse on the medial aspect of the arm, belonging to the Hand-Taiyin Lung Meridian.)
Tianyou, two points. (Tianyou is located between the neck tendons, above the clavicle, posterior to Tiānróng, anterior to Tianzhu, below Wangu, and above the hairline, belonging to the Hand-Shaoyang Sanjiao Meridian.)
Futu, two points. (Futu is located one cun below the large tendons of the neck, one and a half cun posterior to Renying. Accessed with the head tilted back, belonging to the Hand-Yangming Large Intestine Meridian.)
Tianchuang, two points. (Also known as Chuanglong, located anterior to the large neck tendons, below the cheekbone, posterior to Futu, in the depression felt by hand, belonging to the Hand-Taiyang Small Intestine Meridian.)
Jianjie, two points. (Also known as Jianjing, located in the depression on the shoulder, above the clavicle, one and a half cun anterior to the acromion. Pressed with three fingers, the middle finger sinks into the depression, belonging to the Foot-Shaoyang Gallbladder Meridian.)
Guanyuan, one point. (Located three cun below the umbilicus, belonging to the Ren Meridian.)
Weiyang, two points. (Weiyang is located one inch and six fen below Chengfu. Accessed with the body bent forward, belonging to the Foot-Taiyang Bladder Meridian.)
Jianzhen, two points. (Jianzhen is located below the scapula, between the separation of the two bones, in the depression posterior to the shoulder, belonging to the Hand-Taiyang Small Intestine Meridian.)
Yinmen, one point. (Also known as Yinmen or Sheyan, located one cun posterior to Fengfu at the back of the neck, five fen inside the hairline, in the central depression of the neck, connecting to the root of the tongue. An intersection of the Du and Yang Linking vessels.)
Qi (Umbilicus), one point. (Shenque is located in the center of the umbilicus, also known as Qishe. Prohibited for needling, belonging to the Ren Meridian.)
Xiongyu, twelve points. (Refers to the points of the Foot-Shaoyin Kidney Meridian: Yufu, Shencang, Lingxu, Shenfeng, and Bulang. Bilateral, totaling twelve points, each two cun lateral to the midline. Yufu is below Jugu, two cun lateral to Xuanji, in the depression. The subsequent five points descend sequentially, one and six fen deep according to proportional Cun.)
Beishu, two points. (Refers to the Ge Shu point, located between the seventh thoracic vertebra below Dazhui, one inch and five fen lateral to the midline.)
Yingyu, twelve points. (The sides of the chest are called Ying. Yingyu refers to Yunmen and Zhongfu of the Hand-Taiyin Lung Meridian, and Zhourong, Xiongxiang, Tianxi, and Shidou of the Foot-Taiyin Spleen Meridian. Bilateral, totaling twelve points. Yunmen is below Jugu, two cun lateral to Qihu, in the depression, six cun lateral to the Ren Meridian on both sides, where the arterial pulse is felt. Zhongfu is one cun below Yunmen. The remaining five points descend sequentially, one and six fen deep according to proportional Cun.)
Fenrou, two points. (Also known as Yangfu, located four cun above the lateral malleolus, at the end of the fibula anterior to the auxiliary bone, belonging to the Foot-Shaoyang Gallbladder Meridian.)
Huai Shang Heng, two points. (Refers to Jiaoxin above the medial malleolus, two cun above the medial malleolus, anterior to the Shaoyin, posterior to the Taiyin, between the sinews and bones, the birthplace of the Yin Qiao Mai, belonging to the Foot-Shaoyin Kidney Meridian. Shuyang above the lateral malleolus is two cun above the lateral malleolus, anterior to the Taiyang, posterior to the Shaoyang, between the sinews and bones, the birthplace of the Yang Qiao Mai, belonging to the Foot-Taiyang Bladder Meridian. Bilateral, totaling four points.)
Yin Yang Qiao, four points. (Yin Qiao point is below the medial malleolus, known as Zhaohai, the birthplace of the Yin Qiao Mai. Yang Qiao is five fen below the lateral malleolus, known as Shenmai, the birthplace of the Yang Qiao Mai. According to the *Mai Du* chapter, the total length of vessels is sixteen zhang and two chi, encompassing the Ren, Du, and Qiao vessels. Thus, the number of acupoints corresponds similarly. Acupoints are where vessel Qi infuses.)
Water-Shu are in the various Fen (muscle intervals), Heat-Shu are in the Qi acupoints, and Cold-Heat-Shu are in the Liang Haiyanzhong (two points between the knee joints). (This states that cold and heat pathogens emerge from the Qi level. All diseases begin from wind, rain, cold, and heat. Wind and heat are Yang heat of Heaven; rain and water are Yin cold of Earth. Contracting heaven-earth cold and heat affects the Yin and Yang of the body. These are Qi-level pathogens and should exit via the Qi level. Hence the name *Treatise on Qi Acupoints*, indicating the 365 points correspond to the celestial Qi cycle, used to extract Qi and drain pathogens. "Various Fen" refers to the intervals between large and small muscles, the Qi level of skin and interstices. "Qi acupoints" are where Ying and Wei Blood and Qi infuse. The knee joint is called Hai. The two points between the Hai are Yanglingquan of the Foot-Shaoyang Gallbladder Meridian. The Qi of the eleven Zang and Fu organs depends on the Gallbladder, as Shaoyang governs the initial generation of Qi. Therefore, cold and heat are uniquely treated at the two points between the Hai, implying that regardless of whether the pathogen is in Zang or Fu, its cold or heat exits via the ascending and dispersing Qi of Shaoyang. Thus, the *Chapter on Pathogens, Zang-Fu, and Disease Forms* states: For cold and heat, select Yanglingquan.)
Great Prohibition Twenty-Five, located five cun below Tianfu. (This refers to a prohibited point, Wuli of the Hand-Yangming Large Intestine Meridian, located five cun below Tianfu. The *Ling Shu: Ben Shu* chapter states: The radial artery is at Wuli, which has five prohibitions. The *Yu Ban* treatise states: Approaching Wuli, stop midway. After five approaches, it ends. Five penetrations exhaust the Qi of the Zang organs. Thus, five times five equals twenty-five, exhausting the transport points. "Five penetrations" refers to five needle insertions. Each of the five Zang organs has five Shu points. Five Shu points with five insertions, totaling twenty-five insertions, exhausts the Qi of the five Zang organs. Hence, "Great Prohibition Twenty-Five" means prohibiting twenty-five insertions. This indicates that the Blood and Qi of the 365 acupoints are infused by the great collaterals of the five Zang organs.)
In total, there are 365 acupoints, which are the pathways for acupuncture. (From Tiantu, Tenth Vertebra, Shangji, Guanyuan to Yanzhong two points, the count is 364. However, there are many repetitions, suggesting omissions or losses in transmission, hence the incomplete total.)
The Yellow Emperor said: I now know the locations of the Qi acupoints and the residence of the wandering needle. I wish to hear about the Sun Luo (Branch Collaterals) and Xi Gu (Valleys), and whether they also correspond to specific points. ("Ju" means residence or stopping place, referring to where the needle stops. "Wandering needle" refers to mastering the art of needling, encountering it with spirit, like a blade moving freely with ample space. The *Mai Du* chapter states: Meridians are the interior; branches crossing horizontally are Ge; distinct branches of collaterals are Sun. If full of blood, purge it quickly. Fullness requires draining.")
Qi Bo said: There are 365 Sun Luo intersections, also corresponding to a year. They overflow strange pathogens and unblock Ying and Wei. (Sun Luo also has 365 intersections to correspond to the Qi of a year. When Sun Luo is full, it overflows into the great collaterals, generating strange diseases. The Blood and Qi of the great collaterals emerge externally to the skin and meet the Sun Luo. Thus, the exterior Wei and interior Ying communicate between the Sun Luo and skin.)
When Ying and Wei stagnate, Wei scatters and Ying overflows, Qi exhausts and Blood stasis forms, manifesting externally as fever and internally as shortness of breath. One must drain quickly without delay to unblock Ying and Wei. Upon seeing stagnation, drain it, regardless of whether it is an intersection. (Sun Luo connects externally to the skin and internally to the meridians, facilitating Ying and Wei circulation. When pathogens invade, Ying and Wei stagnate. Unable to move together, Qi exhausts and Blood stasis forms. External pathogens cause fever; internal stagnation of Zheng Qi causes shortness of breath. Drain quickly without delay to unblock Ying and Wei. Upon seeing blood stagnation and color changes, puncture and drain, without questioning if it is an intersection. Wang Fanghou said: According to the *Mai Du* chapter, fullness of blood requires quick purging. Fullness is drained, deficiency is tonified with herbs. For diseases in the collaterals, only needling drainage is used, no tonification, hence the location of intersections is irrelevant.)
The Yellow Emperor said: Excellent. I wish to hear about the convergence of Xi Gu.
Qi Bo said: The large convergence of flesh is called Gu (Valley); the small convergence of flesh is called Xi (Brook). Between the muscle separations lies the convergence of Xi Gu, used to circulate Ying and Wei and gather Da Qi. (This discusses the interstices of muscles and skin.)