条文：
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□门连风府，脑户强间后顶排。
百会前顶通□会，上星神庭素□对，水沟兑端在唇上，龈交上齿缝之内。
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条文：
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□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□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。
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。
注：[1]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。
[2]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。
[3]故『难经』曰：起于下极之俞。
[4]即长强尾闾间也。
[5]并于脊里，即侠脊也。
[6]上至风府，入属于脑，即上项散头也。
[7]从长强贯脊上行二十一椎下，腰俞穴也。
[8]十六椎下，阳关穴也。
[9]十四椎下，命门穴也。
[10]十三椎下，悬枢穴也。
[11]十一椎下，脊中穴也。
[12]十椎下，中枢穴也。
[13]九椎下，筋缩穴也。
[14]七椎下，至阳穴也。
[15]六椎下，灵台穴也。
[16]五椎下，神道穴也。
[17]三椎下，身柱穴也。
[18]一椎下，陶道穴也。
[19]一椎之上，大椎穴也。
[20]上至上发际，□门穴也。
[21]从□门入发际，风府穴也。
[22]从风府上行一寸五分枕骨上，脑户穴也。
[23]从脑户上行一寸五分，强间穴也。
[24]从强间上行一寸五分，后顶穴也。
[25]从强间上行一寸五分，后顶穴也。
[26]从后顶上行一寸五分，直两耳尖顶陷中，百会穴也。
[27]从百会前行一寸五分，前顶穴也。
[28]从前顶穴前行一寸五分，□会穴也。
[29]从□会又前行一寸，上星穴也。
[30]从上星至前发际，神庭穴也。
[31]前后发际，合骨度共一尺二寸也，从前发际下至鼻端准头，
素窌穴也。
[32]鼻柱下沟中央近鼻孔陷中，水沟穴也。
[33]唇上端，兑端穴也。
[34]唇内齿上龈缝中，龈交穴也。凡二十八穴，循行背之中行者也（见图
七十七）。
按：『难经』二十八难曰：督脉者，起于下极之俞，并于脊里之上，
至风府入属脑。乃指穴而言也。前论脉起于少腹者，是指循行而言也。
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督脉沿着脊柱的正中线运行，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，随后是悬枢、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、囟门连接风府，脑户、强间、后顶依次排列。
百会、前顶连通囟会，上星、神庭、素髎相对。水沟、兑端位于嘴唇上方，龈交位于上齿缝内部。
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条文：
尾闾骨的末端是长强穴，第二十一椎处对应腰俞穴，第十六椎处是阳关穴，第十四椎处是命门穴，第十三椎处是悬枢穴，位于脊柱中央。
第十椎处是中枢穴，第九椎处是筋缩穴，第七椎下方是至阳穴，第六椎处是灵台穴，第五椎处是神道穴，第三椎处是身柱穴，第一椎下方是陶道穴。
第一椎的上方是大椎穴，向上到达发际线处为囟门穴。风府穴在凹陷中，距离一寸取穴；脑户穴在枕骨上方，距离二寸五分取穴。
再向上四寸是强间穴的位置，五寸五分处是后顶穴，七寸处是百会穴，位于头顶正中，即两耳尖连线与前正中线交汇的后方发际中央。
向前八寸半是前顶穴，再向前一尺处测量得到囟会穴。一尺一寸处是上星穴，前发际向内一尺二寸处是神庭穴。
鼻端正中的准头处是素髎穴，水沟穴藏在鼻子下方的沟槽（人中）中。兑端穴在嘴唇的上端取穴，龈交穴在嘴唇内侧牙齿缝隙处。
按语：
督脉始于长强穴，这原本出自《灵枢·经脉篇》说：督脉的别络名为长强，夹着脊柱上行至项部，散布于头部上下，正当肩胛左右两侧，别走太阳经，入内贯穿脊柱。
注：[1] 督脉的别络，起于长强穴，即环绕肛门后方，外部合于太阳经，循行于尾闾之间，此处即为长强穴。
[2] “夹着脊柱上行至项部，散布于头部，下方正当肩胛左右，别走太阳经，入内贯穿脊柱”，是指督脉沿外侧上行。
[3] 所以《难经》说：起于下极之俞。
[4] 即指长强穴所在的尾闾间。
[5] “并于脊里”，即夹着脊柱。
[6] “上至风府，入属于脑”，即上行至项部并散布于头部。
[7] 从长强穴沿脊柱上行至第二十一椎下方，此处为腰俞穴。
[8] 第十六椎下方，为阳关穴。
[9] 第十四椎下方，为命门穴。
[10] 第十三椎下方，为悬枢穴。
[11] 第十一椎下方，为脊中穴。
[12] 第十椎下方，为中枢穴。
[13] 第九椎下方，为筋缩穴。
[14] 第七椎下方，为至阳穴。
[15] 第六椎下方，为灵台穴。
[16] 第五椎下方，为神道穴。
[17] 第三椎下方，为身柱穴。
[18] 第一椎下方，为陶道穴。
[19] 第一椎的上方，为大椎穴。
[20] 向上到达上发际，此处为囟门穴。
[21] 从囟门穴进入发际，此处为风府穴。
[22] 从风府穴上行一寸五分，在枕骨上方，此处为脑户穴。
[23] 从脑户穴上行一寸五分，此处为强间穴。
[24] 从强间穴上行一寸五分，此处为后顶穴。
[25] 从强间穴上行一寸五分，此处为后顶穴。（注：原文此处重复或有误，通常后顶之上为百会，但依原文翻译）
[26] 从后顶穴上行一寸五分，直对两耳尖连线的头顶凹陷中，此处为百会穴。
[27] 从百会穴向前行一寸五分，此处为前顶穴。
[28] 从前顶穴向前行一寸五分，此处为囟会穴。
[29] 从囟会穴再向前行一寸，此处为上星穴。
[30] 从上星穴至前发际，此处为神庭穴。
[31] 前后发际之间的骨度测量共一尺二寸，从前发际向下至鼻端正中准头，此处为素髎穴。
[32] 鼻柱下方沟槽中央靠近鼻孔的凹陷中，此处为水沟穴。
[33] 嘴唇上端，此处为兑端穴。
[34] 嘴唇内侧牙齿上方的牙龈缝隙中，此处为龈交穴。凡此二十八穴，均循行于背部正中线上（见图七十七）。
按语：《难经》第二十八难说：督脉，起于下极之俞，并行于脊柱内部上方，至风府穴入属脑部。这是指穴位而言。前面论述脉气起于少腹，是指经脉循行路线而言。
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The Du Mai (Du Meridian, Governor Vessel) runs along the midline of the spine. It has twenty-eight acupoints, starting from Changqiang (GV1). Next are Yaoshu (GV12), Yangguan (GV13), entering Mingmen (GV4), followed by Xianshu (GV15), Jizhong (GV9), and Zhongshu (GV12).
Jinsuo (GV8), Zhiyang (GV9) belong to Lingtai (GV10); Shendao (GV11), Shenzhu (GV12), and Taodao (GV13) follow in sequence. Dazhui (GV14), Ximen (GV22) connects to Fengfu (GV16); Naohu (GV17), Qiangjian (GV18), and Houding (GV19) are arranged in order.
Baihui (GV20), Qianding (GV21) connect to Xinhui (GV22); Shangxing (GV23), Shenting (GV24), and Suliao (GV25) correspond oppositely. Shuigou (GV26) and Duanduan (GV27) are located above the lips; Yinjiao (GV28) is inside the upper gum line.
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Text:
The end of the coccyx is Changqiang (GV1); at the twenty-first vertebra corresponds to Yaoshu (GV12). At the sixteenth vertebra is Yangguan (GV13); at the fourteenth vertebra is Mingmen (GV4); at the thirteenth vertebra is Xianshu (GV15), located in the center of the spine.
At the tenth vertebra is Zhongshu (GV12); at the ninth vertebra is Jinsuo (GV8); below the seventh vertebra is Zhiyang (GV9); at the sixth vertebra is Lingtai (GV10); at the fifth vertebra is Shendao (GV11); at the third vertebra is Shenzhu (GV12); below the first vertebra is Taodao (GV13).
Above the first vertebra is Dazhui (GV14); going up to the hairline is Ximen (GV22). Fengfu (GV16) is taken in the depression, one cun away. Naohu (GV17) is two cun five fen above the occipital bone.
Going up another four cun is the position of Qiangjian (GV18); five cun five fen is Houding (GV19); seven cun is Baihui (GV20), taken at the center of the vertex, which is the central point between the posterior hairlines of both ears.
Moving forward eight cun half is Qianding (GV21); moving forward one chi measures Xinhui (GV22). One chi one cun is the position of Shangxing (GV23); one chi two cun from the anterior hairline is Shenting (GV24).
At the tip of the nose (Zhuntou) is Suliao (GV25); Shuigou (GV26) is hidden in the groove below the nose (Renzhong). Duanduan (GV27) is taken at the upper end of the lip; Yinjiao (GV28) is in the corner of the mouth inside the dental seam.
Commentary:
The Du Mai (Du Meridian, Governor Vessel) starts at Changqiang (GV1). This originally comes from *Lingshu · Jingmai Chapter* stating: The collateral branch of the Du Mai (Du Meridian, Governor Vessel) named Changqiang (GV1) runs alongside the erector spinae muscles up to the neck, scatters around the head above and below, lies opposite the left and right shoulder blades, diverges to run with the Taiyang (Bladder) Meridian, and enters to penetrate the erector spinae muscles.
Notes: [1] The collateral branch of the Du Mai (Du Meridian, Governor Vessel) originates at Changqiang (GV1), i.e., it surrounds the anus posteriorly, externally combines with the Taiyang (Bladder) Meridian, and circulates through the Weili area; this point is Changqiang (GV1).
[2] "Running alongside the erector spinae muscles up to the neck, scattering around the head, lying opposite the left and right shoulder blades, diverging to run with the Taiyang (Bladder) Meridian, and entering to penetrate the erector spinae muscles" refers to the Du Mai (Du Meridian, Governor Vessel) ascending along the lateral side.
[3] Therefore, *Nan Jing* states: Originating from the Shu point of the lower extreme.
[4] That is, the area between the tailbone where Changqiang (GV1) is located.
[5] "Combining into the spine interior," i.e., flanking the spine.
[6] "Ascending to Fengfu (GV16) and entering to belong to the brain," i.e., ascending to the neck and scattering around the head.
[7] From Changqiang (GV1) penetrating up the spine to below the twenty-first vertebra, this is Yaoshu (GV12).
[8] Below the sixteenth vertebra is Yangguan (GV13).
[9] Below the fourteenth vertebra is Mingmen (GV4).
[10] Below the thirteenth vertebra is Xianshu (GV15).
[11] Below the eleventh vertebra is Jizhong (GV9).
[12] Below the tenth vertebra is Zhongshu (GV12).
[13] Below the ninth vertebra is Jinsuo (GV8).
[14] Below the seventh vertebra is Zhiyang (GV9).
[15] Below the sixth vertebra is Lingtai (GV10).
[16] Below the fifth vertebra is Shendao (GV11).
[17] Below the third vertebra is Shenzhu (GV12).
[18] Below the first vertebra is Taodao (GV13).
[19] Above the first vertebra is Dazhui (GV14).
[20] Ascending to the upper hairline is Ximen (GV22).
[21] Entering the hairline from Ximen (GV22) is Fengfu (GV16).
[22] Ascending one cun five fen from Fengfu (GV16) on the upper occipital bone is Naohu (GV17).
[23] Ascending one cun five fen from Naohu (GV17) is Qiangjian (GV18).
[24] Ascending one cun five fen from Qiangjian (GV18) is Houding (GV19).
[25] Ascending one cun five fen from Qiangjian (GV18) is Houding (GV19). (Note: Original text repeats or contains an error here; typically Baihui follows Houding, but translated as per original).
[26] Ascending one cun five fen from Houding (GV19), directly in the depression at the top of the head aligned with the tips of both ears, is Baihui (GV20).
[27] Moving forward one cun five fen from Baihui (GV20) is Qianding (GV21).
[28] Moving forward one cun five fen from Qianding (GV21) is Xinhui (GV22).
[29] Moving forward one cun further from Xinhui (GV22) is Shangxing (GV23).
[30] From Shangxing (GV23) to the anterior hairline is Shenting (GV24).
[31] The distance between the anterior and posterior hairlines measured by bone proportion is one chi two cun. From the anterior hairline down to the tip of the nose (Zhuntou) is Suliao (GV25).
[32] In the central groove below the nasal column, near the nostrils' depression, is Shuigou (GV26).
[33] At the upper end of the lip is Duanduan (GV27).
[34] In the gum seam above the teeth inside the lip is Yinjiao (GV28). These twenty-eight acupoints all circulate along the midline of the back (see Figure 77).
Commentary: *Nan Jing* Twenty-Eighth Difficulty states: The Du Mai (Du Meridian, Governor Vessel) originates from the Shu point of the lower extreme, runs parallel inside the spine upwards, and enters to belong to the brain at Fengfu (GV16). This refers to the acupoints. The previous discussion regarding the meridian originating from the lower abdomen refers to the circulation pathway.
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