手太阴肺十一穴,中府云门天府列,次则侠白下尺泽,又次孔最与列缺,经渠太渊
下鱼际,抵指少商如韭叶。
太阴中府三肋间,上行云门寸六许,云在任玑旁六寸,大肠巨骨下二骨,天府腋三
动脉求,侠白肘上五寸主,尺泽肘中约纹是,孔最腕上七寸拟,列缺腕上一寸半,经渠寸
口陷中取,太渊掌后横纹头,鱼际节后散脉里,少商大指端内侧,鼻衄刺之立时止。
【注】中府在任脉中行华盖穴旁,直开去六寸,乳上三肋间陷中,动脉应手,仰而取
之,是其穴也。上直行一寸六分,在手阳明大肠经巨骨之下陷中,动脉应手,举臂取之,
云门穴也。从云门穴下循 内,腋下三寸动脉陷中,以鼻尖点墨取之,天府穴也。从天
府穴下行肘中,约纹上去五寸动脉中,侠白穴也。从侠白穴下行肘中,约纹上屈肘横纹
筋骨罅中,动脉应手,尺泽穴也。从尺泽穴下行腕前,约纹上七寸,上骨、下骨间陷中,
孔最穴也。从孔最穴循外侧行腕后,侧上一寸五分,以两手交叉,当食指末筋骨罅中,列
缺穴也。从列缺穴循行寸口陷中,经渠穴也。从经渠穴内循手掌后陷中,太渊穴也。从太
渊穴上鱼,手大指本节后,内侧陷中散脉中白肉际,鱼际穴也。从鱼际穴循行手大指内侧
之端,去爪甲角如韭叶许白肉际,少商穴也。
\r肺经穴图\p06-d43a49.bmp\r
手太阴肺经共有十一个穴位,分别是中府、云门、天府,接着是侠白和尺泽,然后是孔最与列缺,再往下是经渠、太渊,接着是鱼际,最后到达手指末端的少商穴,其位置如同韭菜叶的大小。
手太阴肺经的中府穴位于第三肋间隙,向上行走一寸六分处为云门穴。云门穴在任脉循行线旁开六寸,位于大肠经巨骨穴下方两骨之间的凹陷处。天府穴在腋下三寸的动脉搏动处寻找。侠白穴位于肘上五寸处。尺泽穴位于肘横纹中央。孔最穴位于腕横纹上七寸处。列缺穴位于腕横纹上一寸半处。经渠穴在寸口脉搏动的凹陷中取穴。太渊穴位于手腕掌侧横纹的尽头。鱼际穴在手大指本节后的散在脉络中。少商穴位于手大指内侧端,距离指甲角约如韭菜叶宽度的白肉边缘处。(注:若出现鼻出血症状,针刺此穴可立即止血。)
【注释】中府穴位于任脉中行华盖穴旁开六寸,乳头上方第三肋间隙的凹陷中,按压有动脉跳动,仰卧位取穴,即为该穴。从中府穴向上直行一寸六分,在手阳明大肠经巨骨穴下方的凹陷中,按压有动脉跳动,举手取穴,即为云门穴。从云门穴向下沿胸壁内侧,腋下三寸的动脉凹陷处,可用鼻尖点墨标记定位,即为天府穴。从天府穴向下至肘部,在肘横纹上方五寸的动脉搏动处,即为侠白穴。从侠白穴向下至肘部,在肘横纹上方屈肘时横纹筋骨间的凹陷处,按压有动脉跳动,即为尺泽穴。从尺泽穴向下至腕前,距腕横纹七寸,桡骨与尺骨之间的凹陷处,即为孔最穴。从孔最穴沿外侧行至腕后,向上一寸五分,双手交叉,当食指末端筋骨间的凹陷处,即为列缺穴。从列缺穴沿寸口脉搏动的凹陷处,即为经渠穴。从经渠穴向内沿手掌后方的凹陷处,即为太渊穴。从太渊穴上行至大鱼际,在手大指本节后内侧凹陷处的散在脉络及白肉边缘,即为鱼际穴。从鱼际穴沿手大指内侧末端,距离指甲角约如韭菜叶宽度的白肉边缘处,即为少商穴。
The Hand-Taiyin Lung Meridian consists of eleven acupoints: Zhongfu (Zhōngfǔ), Yunmen (Yúnmén), Tianfu (Tiānfǔ), Xiabai (Xiábái), Chize (Chǐzé), Kongzui (Kǒngzuì), Lieque (Lièquē), Jingqu (Jīngqū), Taiyuan (Tàiyuán), Yuji (Yújì), and Shaoshang (Shàoshāng). Shaoshang is located at the tip of the finger, resembling the width of a leek leaf.
Zhongfu is located in the third intercostal space. Moving upward one cun and six fen leads to Yunmen. Yunmen is situated six cun lateral to the midline of the Ren Mai (Conception Vessel), in the depression between the two bones below Jugu (GB21) of the Hand-Yangming Large Intestine Meridian. Tianfu is sought at the pulsating artery three cun below the axilla. Xiabai is located five cun above the elbow. Chize is found at the center of the cubital crease. Kongzui is estimated seven cun above the wrist crease. Lieque is located one cun and half a cun above the wrist crease. Jingqu is taken from the depression at the radial pulse (Cunkou). Taiyuan is at the end of the transverse crease on the palmar side of the wrist. Yuji lies within the scattered vessels behind the first metacarpophalangeal joint. Shaoshang is on the medial aspect of the thumb tip; needling this point can immediately stop epistaxis (nosebleed).
[Note] Zhongfu is located six cun lateral to Huagai (CV20) along the midline of the Ren Mai, in the depression of the third intercostal space above the nipple, where arterial pulsation is palpable; it should be accessed with the patient supine. Moving vertically upward one cun and six fen from Zhongfu, into the depression below Jugu (GB21) of the Hand-Yangming Large Intestine Meridian, where arterial pulsation is palpable, access the arm raised to locate Yunmen. Descending from Yunmen along the inner chest wall, mark the depression with arterial pulsation three cun below the axilla using ink applied by the nose tip to locate Tianfu. Descending from Tianfu towards the elbow, locate the arterial pulsation five cun above the cubital crease to find Xiabai. Descending from Xiabai towards the elbow, locate the depression between the tendons and bones in the flexion crease above the cubital crease, where arterial pulsation is palpable, to find Chize. Descending from Chize to the anterior wrist, locate the depression between the upper and lower bones seven cun above the wrist crease to find Kongzui. Tracing laterally from Kongzui to the posterior wrist, move up one cun and five fen; cross both hands to locate the depression between the tendons and bones at the distal end of the index finger to find Lieque. Tracing from Lieque to the depression at the Cunkou (radial pulse), locate Jingqu. Tracing inward from Jingqu to the depression behind the palm, locate Taiyuan. Ascending from Taiyuan to the thenar eminence, locate the depression in the scattered vessels and white flesh margin medial to the proximal phalanx of the thumb to find Yuji. Tracing from Yuji along the medial tip of the thumb, locate the white flesh margin approximately the width of a leek leaf away from the corner of the nail to find Shaoshang.