哑门风府天柱擎，承光临泣头维平；丝竹攒竹睛明穴，素 禾 迎香程。颧 下关人迎去，天牖天府到周
荣；渊液乳中鸠尾下，腹哀臂后寻肩贞；阳池中冲少商穴，鱼际经渠一顺行；地五阳关脊中主，隐白漏谷通阴
陵；条口犊鼻上阴市，伏兔髀关申脉迎；委中殷门扶承上，白环心俞同一经。灸而勿针针勿灸，《针经》为此
尝叮咛；庸医针灸一齐用，徒施患者炮烙刑。
明堂尺寸法（针灸同）
经云，头有头尺寸。前发际至后发际，折作一尺二寸。前后发际不明者，取眉中心上至大椎，共折作一尺
八寸取之。
头部横寸 以眼内 角至外 角为一寸，并用此法取之。神庭至曲差，曲差至本神，本神至头维，各去一
寸半，自神庭至头维共四寸半。
背部直寸 大椎至尾 ，共二十一椎，通长折作三尺。上七椎，每椎一寸四分一厘；中七椎，每椎一寸六
分一厘；十四椎与脐平，共二尺一寸一分四厘；下七椎，每椎一寸二分六厘。侠脊第二行，各开四寸取之；侠
脊第三行，各开七寸取之。
膺部腹部尺寸 两乳间横折作八寸，并用此法取之。天突至膻中，直折作六寸八分。下行一寸六分为中庭，
上取歧骨，下至脐中，共折作九寸取之。脐中至横骨，共折作五寸取之。
手足背部横寸，并用同身寸 以男左女右手中指第二节内度，以秆心比两头横纹尖为一寸取之。
点穴法 凡取穴，或平直安定，或屈伸得之。如环跳则伸一足、屈一足取之。更量病患老少，身体肥瘦
歪正，宽狭长短，不可十分拘泥。窦师云∶取穴必须取五穴而用一穴，则为端的。坐点则坐灸，立点则立灸，
坐立皆宜端正，一动则不得真穴。灸则先阳后阴，先上后下，先少后多，艾炷根下广三分，若不三分，火气不
达。惟头面四肢差小耳，小儿则雀屎大可也，壮数人健病深者可倍，老弱减半。扁鹊灸法，累灸至百壮千壮者，
惟《明堂》多云针六分，灸三壮。凡灸头及胸膈鸠尾，不宜多灸，然皆视病之轻重而增损，不可太泥。故《明
堂》禁穴，亦许灸一壮至三壮，所以心中风者亦灸心俞，不可执一论也。点艾以火珠火镜为最，次以清麻油纸
燃点之，亦好。
调养法 凡灸，预却热物，服滋肾药；及灸，选其要穴，不可太多，恐气血难当。灸气海炼脐，不可卧
灸。素火盛者虽单灸气海，亦必灸三里泻火。灸后未发，不宜热药；已发，不宜凉药。常须调护脾胃，俟其
自发，不必外用酒葱熨等法。发时或作寒热如疟，亦不可妄服药饵。落靥后，用竹膜纸贴三五日，次用所宜服
药，以麻油水粉煎膏贴之。脓多者一日一易，脓少者两日一易，使脓出多而疾除也。务宜撙节饮食，戒生冷、
油腻、鱼虾、笋蕨，量食牛肉、小鸡。长肉时方可量用鳅鳝、水鸡、猪肚、老鸭之类，谨避四气七情六欲，
持以岁月必复。
哑门、风府、天柱穴，承光、临泣、头维穴要平取；丝竹空、攒竹、睛明穴，素髎、水沟、迎香穴依次行。颧髎、下关、人迎穴要去掉，天牖、天府至周荣穴；渊液、乳中、鸠尾穴下方，腹哀、臂后寻肩贞穴；阳池、中冲、少商穴，鱼际、经渠顺次行；地五会、阳关、脊中穴为主，隐白、漏谷通阴陵泉；条口、犊鼻、上阴市穴，伏兔、髀关、申脉穴相接；委中、殷门、扶承山穴上，白环俞、心俞同一经。只灸不针或只针不灸，《针经》为此曾反复叮咛；庸医针灸同时使用，徒然让患者遭受炮烙般的刑罚。
明堂尺寸测量法（针灸通用）
经文说，头部有头部的尺寸标准。从前发际到后发际，折量为一尺二寸。如果前后发际不明显，从眉心中心量到大椎穴，共折量为一尺八寸来取穴。
头部横寸：以内眼角至外眼角为一寸，均用此法取穴。神庭穴至曲差穴，曲差穴至本神穴，本神穴至头维穴，各相距一寸半，从神庭穴到头维穴共四寸半。
背部直寸：大椎穴到尾骶骨，共有二十一椎，总长度折量为三尺。上部七椎，每椎高一寸四分一厘；中部七椎，每椎高一寸六分一厘；第十四椎与肚脐相平，共长二尺一寸一分四厘；下部七椎，每椎高一寸二分六厘。脊柱旁开第二行穴位，各距脊柱四寸取之；脊柱旁开第三行穴位，各距脊柱七寸取之。
胸腹部尺寸：两乳头之间横向折量为八寸，均用此法取穴。天突穴至膻中穴，纵向折量为六寸八分。向下退一寸六分为中庭穴，向上取歧骨（胸剑联合），向下至脐中，共折量为九寸取之。脐中至横骨（耻骨联合上缘），共折量为五寸取之。
手足背部横寸：均使用同身寸法。以男子左手或女子右手中指第二节内侧宽度，以秆心比量两头横纹尖端为一寸来取穴。
点穴方法：凡取穴，有的需身体平直安定，有的需屈伸肢体才能找到。如环跳穴则需伸一只脚、屈一只脚来取穴。还要衡量病人的老少、身体肥瘦、歪正、宽狭长短，不可过分拘泥固定。窦材先生说：取穴必须参考五个穴位而确定一个穴位，这样才准确。坐着点穴就坐着施灸，站着点穴就站着施灸，坐立都要端正，一动就不能找到真穴。施灸顺序应先阳后阴，先上后下，先少后多。艾炷根部直径广三分，如果不是三分，火气达不到。只有头面四肢可以稍小，小儿可用雀屎大小的艾炷，体质强壮病邪深重者可加倍，老弱减半。扁鹊的灸法，累计灸至百壮千壮的，但《明堂》大多说针深六分，灸三壮。凡是灸头部及胸膈鸠尾穴，不宜多灸，然而都要视病情轻重而增减，不可太死板。所以《明堂》中的禁灸穴，也允许灸一壮至三壮，因此心中风者也可以灸心俞穴，不可固执一端而论。点燃艾炷用火珠或火镜最好，其次用清麻油纸燃烧点燃，也很好。
调养方法：凡是施灸，预先忌食热物，服用滋肾药；以及施灸时，选择重要穴位，不可太多，恐怕气血难以承受。灸气海穴并炼脐，不可卧着施灸。素来火盛的人，即使单灸气海穴，也必须加灸三里穴以泻火。灸后未发作时，不宜用热性药物；已发作时，不宜用凉性药物。常须调理保护脾胃，等待其自发恢复，不必外用酒葱熨烫等方法。发作时有时出现寒热如疟疾症状，也不可乱服药饵。结痂脱落后，用竹膜纸贴敷三五天，接着用适宜的药物，以麻油水粉煎膏贴敷。脓多者一天更换一次，脓少者两天更换一次，使脓排出多而疾病迅速痊愈。务必节制饮食，戒除生冷、油腻、鱼虾、笋蕨，适量食用牛肉、小鸡。长肉时方可适量食用鳅鳝、水鸡、猪肚、老鸭之类，谨慎避开四气、七情、六欲，坚持岁月必然康复。
Ya Men, Feng Fu, and Tian Zhu acupoints are supported; Cheng Guang, Lin Qi, and Tou Wei acupoints are level; Si Zhu Kong, Zan Zhu, and Jing Ming acupoints; Su Liao, Shu Gou, and Ying Xiang follow in sequence. Quan Liao, Xia Guan, and Ren Ying acupoints are to be avoided; Tian You, Tian Fu, up to Zhou Rong; Yuan Ye, Ru Zhong, below Jiu Wei; Fu Ai, seeking Jian Zhen behind the arm; Yang Chi, Zhong Chong, and Shang Shang acupoints; Yu Ji and Jing Qu proceed in order; Di Wu Hui, Yang Guan, and Ji Zhong are primary; Yin Bai and Lou Gu connect to Yin Ling Quan; Tiao Kou, Du Bi, and Shang Yin Shi acupoints; Fu Tu, Bi Guan, and Shen Mai meet; Wei Zhong, Yin Men, and Fu Cheng Shan ascend; Bai Huan Shu and Xin Shu belong to the same meridian. Moxibustion without acupuncture, or acupuncture without moxibustion, the *Needle Classic* (*Zhen Jing*) has repeatedly admonished for this; quack doctors using both simultaneously merely subject patients to the torture of branding irons.
Mingtang Measurement Method (Acupuncture and Moxibustion share this)
The classics state that the head has its own measurement standards. From the anterior hairline to the posterior hairline, it is measured as one chi two cun. If the anterior and posterior hairlines are unclear, measure from the center of the eyebrows to Da Zhui, totaling one chi eight cun for taking points.
Head Transverse Cun: From the inner canthus to the outer canthus is one cun, and this method is used for all such measurements. From Shen Ting to Qu Cha, from Qu Cha to Ben Shen, and from Ben Shen to Tou Wei, each is separated by one cun half; from Shen Ting to Tou Wei totals four cun half.
Back Longitudinal Cun: From Da Zhui to the tailbone, there are twenty-one vertebrae, with a total length measured as three chi. The upper seven vertebrae, each is one cun four li one hao high; the middle seven vertebrae, each is one cun six li one hao high; the fourteenth vertebra is level with the umbilicus, totaling two chi one cun one fen four li; the lower seven vertebrae, each is one cun two fen six li. The second row beside the spine takes points four cun away from the spine; the third row beside the spine takes points seven cun away from the spine.
Chest and Abdomen Measurements: The distance between the two nipples is measured transversely as eight cun, using this method for all such measurements. From Tian Tu to Dan Zhong, vertically measured as six cun eight fen. Descending one cun six fen leads to Zhong Ting acupoint; measuring up to the xiphisternal junction (Qi Gu) and down to the umbilicus totals nine cun. From the umbilicus to the pubic symphysis (Heng Gu), it totals five cun.
Transverse Cun of Hands and Feet Backs: Use the "Same-Body Cun" method. For men, use the left hand; for women, the right hand. Measure the inner width of the second joint of the middle finger, comparing the tip of the stalk heart to the transverse creases at both ends as one cun.
Point Location Method: When locating acupoints, some require the body to be flat and stable, while others require flexion or extension. For example, Huai Tiao is located by extending one leg and flexing the other. One must also consider the patient's age, body fatness or thinness, posture deviations, width, narrowness, length, and shortness, without being overly rigid. Master Dou said: Locating an acupoint requires referencing five points to determine one, ensuring accuracy. If locating points while sitting, moxa should be applied while sitting; if standing, apply while standing. Posture must be upright during sitting or standing; any movement will prevent finding the true acupoint. Moxibustion order should be Yang before Yin, Upper before Lower, Fewer before More. The base of the moxa cone should be three fen wide; if not three fen, the fire qi will not penetrate. Only on the head, face, and limbs can it be slightly smaller; for children, a size comparable to a sparrow droppings may be used. For robust individuals with deep-seated disease, the number of cones can be doubled; for the elderly and weak, halved. Bian Que's moxibustion methods involved cumulative applications reaching hundreds or thousands of cones, but the *Mingtang* mostly states needle depth of six fen and three cones of moxibustion. Moxibustion on the head, chest, diaphragm, and Jiu Wei should not be excessive; however, adjustments should be made based on the severity of the illness, avoiding rigidity. Therefore, even prohibited moxa points in the *Mingtang* allow for one to three cones. Thus, for wind striking the heart, Xin Shu may be moxibusted; one cannot adhere to a single rule. Lighting moxa cones with a fire lens or mirror is best; next best is burning clear hemp oil paper.
Regulation and Care Methods: Before moxibustion, avoid hot foods and take kidney-nourishing medicines. During moxibustion, select key acupoints and do not use too many, lest the Qi and Blood be unable to bear it. When moxibusting Qi Hai and refining the navel, do not lie down. Those with inherent excess fire, even if only moxibusting Qi Hai, must also moxa San Li to drain fire. After moxibustion, before the condition manifests, hot medicines are inappropriate; after manifestation, cold medicines are inappropriate. Always regulate and protect the Spleen and Stomach, waiting for spontaneous recovery, without needing external methods like wine and scallion warming. If manifestations include chills and fever resembling malaria, do not recklessly administer drugs. After scabs fall off, apply bamboo membrane paper for three to five days, then apply suitable medicinal plasters made from hemp oil, water powder, and decocted herbs. Change dressings daily if pus is abundant, every two days if scant, to ensure abundant drainage and rapid cure. Strictly regulate diet, avoiding raw/cold, greasy, fish/shrimp, bamboo shoots, and ferns; consume beef and young chickens in moderation. When flesh is regenerating, eels, loaches, waterfowl, pig stomach, and old duck may be consumed in moderation. Carefully avoid the influences of the Four Qi, Seven Emotions, and Six Desires; persist over time, and recovery is certain.