督脉行脉之中行，二十八穴始长强，腰俞阳关入命门，悬枢脊中中枢长。筋缩至阳
归灵台，神道身柱陶道开，大椎哑门连风府，脑户强间后顶排。百会前顶通囟会，上星神
庭素 对，水沟兑端在唇上，龈交上齿缝之内。
尾闾骨端是长强，二十一椎腰俞当，十六阳关十四命，三一悬枢脊中央，十椎中枢
筋缩九，七椎之下乃至阳，六灵五身三身柱，陶道一椎之下乡，一椎之上大椎穴，上至发
际哑门行，风府一寸宛中取，脑户二五枕之方，再上四寸强间位，五寸五分后顶强，七
寸百会顶中取，耳尖前后发中央，前顶前行八寸半，前行一尺囟会量，一尺一寸上星位，
前发尺二神庭当，鼻端准头素 穴，水沟鼻下人中藏，兑端唇上端上取，龈交唇内齿缝乡。
【注】督脉之别，起于长强者，即绕篡后，外合太阳，循行尾闾间，长强穴也。侠膂上
项，散头上，下当肩左右，别走太阳，入贯膂，谓督脉循外而上行也。故《难经》曰∶起
于下极之俞。即长强尾闾间也。并于脊里，即侠脊也。上至风府，入属于脑，即上项散头
也。从长强贯脊上行二十一椎下，腰俞穴也。十六椎下，阳关穴也。十四椎下，命门穴也。
十三椎下，悬枢穴也。十一椎下，脊中穴也。十椎下，中枢穴也。九椎下，筋缩穴也。七
椎下，至阳穴也。六椎下，灵台穴也。五椎下，神道穴也。三椎下，身柱穴也。一椎下，
陶道穴也。一椎之上，大椎穴也。上至上发际，哑门穴也。从哑门入发际，风府穴也。从
风府上行一寸五分枕骨上，脑户穴也。从脑户上行一寸五分，强间穴也。从强间上行一
寸五分，后顶穴也。从后顶上行一寸五分，直两耳尖顶陷中，百会穴也。从百会前行一寸
五分，前顶穴也。从前顶前行一寸五分，囟会穴也。从囟会又前行一寸，上星穴也。从
上星至前发际，神庭穴也。前后发际，合骨度共一尺二寸也。从前发际下至鼻端准头，素
穴也。鼻柱下沟中央近鼻孔陷中，水沟穴也。唇上端，兑端穴也。唇内齿上龈缝中，龈
交穴也。凡二十八穴，循行背之中行者也。
\r督脉穴图\p06-d43a86.bmp\r
【按】督脉始于长强者，本自《灵枢·经脉篇》曰∶督脉之别名长强，侠膂上项，散
头上下，当肩胛左右，别走太阳，入贯膂。《难经》二十八难曰∶督脉者，起于下极之俞，
并于脊里之上，至风府入属于脑，乃指穴而言也。前论督脉起于少腹者，是指循行而言也。
督脉循行于人体背部正中线，共有二十八个穴位，起始于长强穴。接着是腰俞、阳关，进入命门，再经过悬枢、脊中、中枢。筋缩、至阳归属于灵台，神道、身柱、陶道依次开启。大椎与哑门相连，再连风府，脑户、强间、后顶依次排列。百会、前顶、通囟会（即囟会），上星、神庭相对，水沟、兑端位于嘴唇上方，龈交位于上齿缝之内。
尾闾骨端即是长强穴，在第二十一椎处对应腰俞穴，第十六椎处为阳关穴，第十四椎处为命门穴，第三十一椎（注：此处原文可能有误，通常指第十一或特定定位，依原文翻译）处为悬枢穴，位于脊柱中央；第十椎处为中枢穴，第九椎处为筋缩穴，第七椎之下为至阳穴，第六椎处为灵台穴，第五椎处为身柱穴（注：原文“五身三身柱”疑为排版错误，结合下文注释应为第三椎下身柱，但按字面及常见歌诀逻辑，此处需仔细对照，原文“六灵五身三身柱”通常解读为六椎灵台，五椎神道，三椎身柱。原文此处表述较为紧凑，依下文【注】校正理解：六椎下灵台，五椎下神道，三椎下身柱）。陶道穴位于第一椎之下，大椎穴位于第一椎之上。向上到达发际线处为哑门穴，风府穴在凹陷中取一寸处，脑户穴在枕骨上方二寸五分处，再向上四寸为强间穴，五寸五分处为后顶穴，七寸处为百会穴，位于头顶正中，取两耳尖连线与前正中线的交点。前顶穴向前八寸半，囟会穴向前一尺量度，上星穴在一尺一寸处，神庭穴在前发际上一尺二寸处。素髎穴位于鼻端准头，水沟穴藏在鼻下人中沟中，兑端穴在唇上端，龈交穴在唇内齿缝中。
【注】督脉的别络，起始于长强穴，即环绕肛门后方，向外合于太阳经，循行于尾闾之间，即长强穴所在。挟持脊背肌肉上行至项部，散布于头部，向下当肩胛左右两侧，别走太阳经，入贯脊背，这是指督脉循行于外侧而上行的路径。所以《难经》说：“起于下极之俞。”即长强穴在尾闾之间。并与脊里并行，即挟持脊柱。上行至风府，入属于脑，即上行至项部散布于头部。从长强贯穿脊柱上行，在第二十一椎下为腰俞穴。第十六椎下为阳关穴。第十四椎下为命门穴。第十三椎下为悬枢穴。第十一椎下为脊中穴。第十椎下为中枢穴。第九椎下为筋缩穴。第七椎下为至阳穴。第六椎下为灵台穴。第五椎下为神道穴。第三椎下为身柱穴。第一椎下为陶道穴。第一椎之上为大椎穴。向上至上发际，为哑门穴。从哑门进入发际，为风府穴。从风府上行一寸五分至枕骨上，为脑户穴。从脑户上行一寸五分，为强间穴。从强间上行一寸五分，为后顶穴。从后顶上行一寸五分，直对两耳尖头顶凹陷中，为百会穴。从百会前行一寸五分，为前顶穴。从前顶前行一寸五分，为囟会穴。从囟会又前行一寸，为上星穴。从上星至前发际，为神庭穴。前后发际，合计骨度共一尺二寸。从前发际下至鼻端准头，为素髎穴。鼻柱下沟中央近鼻孔凹陷中，为水沟穴。唇上端，为兑端穴。唇内齿上龈缝中，为龈交穴。凡二十八穴，均循行于背部正中线上。
【按】督脉始于长强穴，本自《灵枢·经脉篇》所说：“督脉的别名长强，挟持脊背肌肉上行至项部，散布于头上下，当肩胛左右，别走太阳经，入贯脊背。”《难经》第二十八难说：“督脉者，起于下极之俞，并于脊里之上，至风府入属于脑”，这是指穴位而言。前面论述督脉起于少腹，是指循行路线而言。
The Du Mai (Governing Vessel) runs along the midline of the back. It has twenty-eight acupoints, starting with Changqiang (GV1). Following are Yaoshu (GV12), Yangguan (GV13), entering Mingmen (GV4), then Xuanshu (GV15), Jizhong (GV9), and Zhongshu (GV10). Jinsuo (GV8), Zhiyang (GV9 - *Note: Text says Zhiyang returns to Lingtai, but standard GV order is Jinsuo GV8, Zhiyang GV9. The text lists them sequentially*), Lingtai (GV10), Shendao (GV11), Shenzhu (GV12), and Daodao (GV13) open in sequence. Dazhui (GV14) connects to Yamen (GV15), which links to Fengfu (GV16); Naohu (GV17), Qiangjian (GV18), and Houding (GV20) are arranged in order. Baihui (GV20), Qianding (GV21), Tongxihui (Xinhui, GV22), Shangxing (GV23), and Shenting (GV24) correspond; Shuigou (Du20/GV26) and Duanduan (CV27/GV27 contextually located on lip) are above the lips; Yinjiao (CV28/GV28 contextually located in gum) is inside the upper dental gap.
The end of the coccyx is Changqiang (GV1). At the 21st vertebra corresponds Yaoshu (GV12). At the 16th vertebra is Yangguan (GV13). At the 14th vertebra is Mingmen (GV4). At the 31st vertebra [Textual anomaly, likely refers to specific counting method or error in source text vs standard anatomy, usually Xuan Shu is T13] is Xuanshu (GV15), located in the center of the spine. At the 10th vertebra is Zhongshu (GV10). At the 9th vertebra is Jinsuo (GV8). Below the 7th vertebra is Zhiyang (GV9). At the 6th vertebra is Lingtai (GV10). At the 5th vertebra is Shendao (GV11). At the 3rd vertebra is Shenzhu (GV12). Below the 1st vertebra is Daodao (GV13). Above the 1st vertebra is Dazhui (GV14). Going up to the hairline is Yamen (GV15). Fengfu (GV16) is taken at one cun in the depression. Naohu (GV17) is two and a half cun above the occiput. Four cun higher is Qiangjian (GV18). Five and a half cun higher is Houding (GV20). Seven cun higher is Baihui (GV20), taken at the center of the vertex, corresponding to the midpoint between the apexes of both ears. Qianding (GV21) is eight and a half cun forward from the anterior hairline. Xinhui (GV22) is measured one chi forward. Shangxing (GV23) is at one chi one cun. Shenting (GV24) is at one chi two cun from the anterior hairline. Suliao (Nasolabial point/Extra point) is at the tip of the nose. Shuigou (GV26) is hidden in the philtrum below the nose. Duanduan (CV27) is taken at the upper end of the lip. Yinjiao (CV28) is in the gum inside the lip.
[Note] The collateral branch of the Du Mai (Governing Vessel) originates at Changqiang (GV1), i.e., it circles behind the anus, externally combines with the Taiyang (Bladder) Meridian, and runs through the tailbone region, where the Changqiang (GV1) acupoint is located. It runs alongside the paraspinal muscles up to the neck, scatters on the head, and descends to the left and right of the shoulder blades, diverging to run with the Taiyang (Bladder) Meridian, penetrating the paraspinal muscles. This refers to the Du Mai (Governing Vessel) running externally and ascending. Therefore, the *Nan Jing* (Classic of Difficult Issues) states: "Originates from the Shu point of the lower extreme." This refers to Changqiang (GV1) in the tailbone region. It runs parallel within the spinal canal, i.e., alongside the spine. Ascending to Fengfu (GV16), it enters and belongs to the brain, i.e., ascending to the neck and scattering on the head. From Changqiang (GV1), penetrating the spine and ascending, below the 21st vertebra is Yaoshu (GV12). Below the 16th vertebra is Yangguan (GV13). Below the 14th vertebra is Mingmen (GV4). Below the 13th vertebra is Xuanshu (GV15). Below the 11th vertebra is Jizhong (GV9). Below the 10th vertebra is Zhongshu (GV10). Below the 9th vertebra is Jinsuo (GV8). Below the 7th vertebra is Zhiyang (GV9). Below the 6th vertebra is Lingtai (GV10). Below the 5th vertebra is Shendao (GV11). Below the 3rd vertebra is Shenzhu (GV12). Below the 1st vertebra is Daodao (GV13). Above the 1st vertebra is Dazhui (GV14). Up to the upper hairline is Yamen (GV15). Entering the hairline from Yamen (GV15) is Fengfu (GV16). Ascending one cun five fen from Fengfu (GV16) to the upper occipital bone is Naohu (GV17). Ascending one cun five fen from Qiangjian (GV18) is Houding (GV20). Ascending one cun five fen from Houding (GV20) directly to the depression in the center of the vertex between the two ear apices is Baihui (GV20). Advancing one cun five fen forward from Baihui (GV20) is Qianding (GV21). Advancing one cun five fen forward from Qianding (GV21) is Xinhui (GV22). Advancing one cun forward from Xinhui (GV22) is Shangxing (GV23). From Shangxing (GV23) to the anterior hairline is Shenting (GV24). The distance between the anterior and posterior hairlines, combined according to bone proportion, is one chi two cun. Descending from the anterior hairline to the tip of the nose is Suliao (Nasolabial point). In the central groove below the nasal column, near the nostrils' depression, is Shuigou (GV26). At the upper end of the lip is Duanduan (CV27). In the gum seam inside the lip above the teeth is Yinjiao (CV28). There are twenty-eight acupoints in total, all running along the midline of the back.
[Commentary] The Du Mai (Governing Vessel) begins at Changqiang (GV1), as originally stated in the *Ling Shu · Jing Mai Chapter*: "The collateral branch of the Du Mai (Governing Vessel), named Changqiang, runs alongside the paraspinal muscles up to the neck, scatters above and below on the head, corresponds to the left and right of the shoulder blades, diverges to run with the Taiyang (Bladder) Meridian, and penetrates the paraspinal muscles." The *Nan Jing* (Classic of Difficult Issues), Difficulty 28, states: "The Du Mai (Governing Vessel) originates from the Shu point of the lower extreme, runs parallel above the spinal canal, ascends to Fengfu (GV16), and enters/belongs to the brain." This refers to the acupoints. The previous discussion that the Du Mai (Governing Vessel) originates from the lower abdomen refers to its meridian pathway.