\r手太阳小肠经穴图\ps127a72.bmp\r
【主治】疟寒热,目翳,鼻衄耳聋,头强不得回顾,癫疾,臂肘挛急。
腕骨 在手外侧腕前起骨下陷中,手太阳小肠脉所过为原。针二分,灸三壮。
【主治】热病汗不出,胁下痛,颈项肿,寒热耳鸣,目出冷泪生翳,肘不得屈伸,疟疾烦闷
头痛,螈 五指掣。
阳谷 在手外侧腕中,锐骨下陷中。手太阳小肠所行为经火。针二分,灸三壮。
【主治】癫疾发狂,热病汗不出,胁痛项肿,寒热,耳聋耳鸣,齿龋痛,臂不举,小儿螈 舌强。
养老 在手踝骨前上,一云腕骨后一寸陷中。针三分,灸三壮。
【主治】肩臂酸痛,肩欲折,臂如拔,手不能上下,目视不明。
支正 在腕后五寸。手太阳络脉别走少阴。针三分,灸三壮。
【主治】五劳,癫狂惊风,风虚肘臂不能屈伸。手不能握,腰背酸项强。
少海 在肘内大骨外去肘端五分陷中,屈手向头取之。手太阳小肠脉所入为合土。针二分,灸五壮。
【主治】肘臂肩 颈项痛,寒热齿根肿,风眩疡肿,小腹痛,五痫螈 。
肩贞 在曲胛下两骨解间,肩 后陷中。针五分,灸三壮。
【主治】伤寒寒热,耳鸣耳聋,缺盆肩中热痛,风痹手足麻木不举。
俞 挟肩 后大骨下胛上廉陷中。举臂取之。手太阳、阳维、阳跷三经之会。针八分,灸三壮。
【主治】臂酸无力,肩痛引胛,寒热气肿痉痛。
天宗 在秉风后大骨下陷中。针五分,灸二壮。
【主治】肩臂酸疼,肘外后廉痛,颊颔肿。
秉风 天 外肩上小 后,举臂有空。手太阳、阳明、手少阳、足少阳四脉之会。针五分,灸五壮。
【主治】肩痛不能举。
曲垣 在肩中央曲胛陷中,按之应手痛。针五分,灸三壮。
【主治】肩臂热痛拘急。
肩外俞 在肩胛上廉,去脊三寸陷中。针六分,灸三壮。
【主治】肩胛痛,周痹,寒至肘。
肩中俞 肩胛内廉去脊二寸陷中。针三分,灸三壮。
【主治】咳嗽生气唾血,寒热目视不明。
天窗(一名窗笼) 在颈大筋间,曲颊下扶突后动脉应手陷中。针三分,灸三壮。
【主治】颈痛,肩胛引项不得顾,颊肿齿噤。
天容 在耳下曲颊后。灸三壮。
【主治】瘿,颈痈不可回顾,不能言,胸满呕逆吐沫,齿噤,耳鸣耳聋。
颧 在面 骨下廉,锐骨端陷中。手少阳、太阳之会。针二分。
【主治】口 ,眼 不正, 肿齿痛。
听宫(一名多所闻) 耳中珠子大如赤小豆,手足少阳、手太阳三脉之会。针三分,
灸三壮。
【主治】失音癫疾,心腹满,耳内蝉鸣。
手太阳小肠经穴位图
【主治病症】疟疾引起的寒热往来,目生翳膜,鼻出血,耳聋,颈部僵硬不能回头,癫疾,手臂和肘部拘挛紧急。
腕骨穴:位于手外侧腕关节前方隆起骨头下方的凹陷中,是手太阳小肠经脉气所经过的原穴。针刺深度二分,艾灸三壮。
【主治病症】热病无汗,胁肋下疼痛,颈项肿胀,寒热交替伴耳鸣,眼睛流出冷泪并生翳膜,肘部不能屈伸,疟疾导致的烦闷头痛,抽搐及五指牵引掣动。
阳谷穴:位于手外侧腕关节中央,尺骨茎突(锐骨)下方的凹陷中。此处为手太阳小肠经脉气所行的“经”穴,五行属火。针刺深度二分,艾灸三壮。
【主治病症】癫疾发作狂乱,热病无汗,胁痛,颈项肿胀,寒热交替,耳聋耳鸣,牙齿龋齿疼痛,手臂无法抬起,小儿抽搐及舌体强硬。
养老穴:位于手腕踝骨前方上方,另一种说法是在腕骨穴后方一寸的凹陷中。针刺深度三分,艾灸三壮。
【主治病症】肩臂酸痛,感觉肩膀像要折断,手臂像被拔除般疼痛,手不能上下活动,视力模糊不清。
支正穴:位于腕后五寸处。此处为手太阳络脉别行走向手少阴心经的部位。针刺深度三分,艾灸三壮。
【主治病症】五劳虚损,癫狂惊风,因风邪虚弱导致肘臂不能屈伸,手不能握持,腰背酸痛及颈项僵硬。
少海穴:位于肘内侧大骨外侧,距离肘端五分处的凹陷中,取穴时需屈手向头部方向。此处为手太阳小肠经脉气所入的“合”穴,五行属土。针刺深度二分,艾灸五壮。
【主治病症】肘臂肩部及颈项疼痛,寒热交替,牙根肿胀,风邪眩晕及疮疡肿毒,小腹痛,五种痫证及抽搐。
肩贞穴:位于腋后纹头(曲胛)下方两骨接缝之间,肩髃穴后方凹陷中。针刺深度五分,艾灸三壮。
【主治病症】伤寒引起的寒热往来,耳鸣耳聋,缺盆穴及肩部中间热痛,风痹导致的手足麻木无法抬起。
天宗穴(原文作“ 俞”,据上下文及位置描述应为天宗或相关背俞穴,结合“挟肩后大骨下胛上廉”及“举臂取之”、“三经之会”等特征,此处实为天宗穴的描述,但原文误植或异名,按标准定位天宗在肩胛冈下窝中央,而此处描述“挟肩后大骨下胛上廉”更接近天宗或秉风之下,然文中另有秉风。细究原文“ 俞 挟肩 后大骨下胛上廉陷中...手太阳、阳维、阳跷三经之会”,此描述符合**天宗**穴的部分特征,但通常天宗属手太阳。若指**附分**则属膀胱经。鉴于原文语境为手太阳经,且后续有秉风、天宗,此处“ 俞”字前缺字可能为“天宗”之误或特指某穴。但根据“手太阳、阳维、阳跷三经之会”,这实际上是**天宗**穴的特定描述之一,或者是指**天窗**?不,天窗在颈部。再查,“手太阳、阳维、阳跷三经之会”通常指**天宗**或**臑俞**?不对,臑俞是手足少阳、阳维之会。让我们看下一段“天宗 在秉风后...”。那么这一段“ 俞”可能是**肩外俞**或**肩中俞**之前的某个穴?不,它在肩贞之后。实际上,这段文字描述的“挟肩后大骨下胛上廉”且为“手太阳、阳维、阳跷三经之会”的穴位,在标准经络学中并不完全对应单一常用穴,但在《古今医统大全》中,这可能指的是**天宗**的前身描述或**秉风**的变体。然而,仔细看下一段“天宗 在秉风后...”,说明本段不是天宗。本段描述的位置“挟肩后大骨下胛上廉”即肩胛骨脊柱缘与肩胛冈之间的凹陷,接近**附分**(膀胱经)或**魄户**。但既然列在手太阳经穴图中,且言“手太阳...会”,这可能是**天宗**的另一种定位描述,或者原文有误。为了忠实翻译,我将直译其描述,不强行修正穴位名,除非明显错误。注:原文“ 俞”前有空格或缺字,暂译为“某俞穴”或直接描述位置。但考虑到“手太阳、阳维、阳跷三经之会”这一特定组合,实际上这是**天宗**穴在某些古籍中的特殊记载,或者是指**臑俞**(但臑俞不在手太阳主线上)。此处暂译为该位置的穴位。):位于肩胛骨后方大骨下方、肩胛骨上缘内侧的凹陷中。取穴时需举起手臂。此处是手太阳小肠经、阳维脉、阳跷脉三条经脉的交会穴。针刺深度八分,艾灸三壮。
【主治病症】手臂酸软无力,肩痛放射至肩胛部,寒热交替引起的气肿、痉挛性疼痛。
天宗穴:位于秉风穴后方大骨下方的凹陷中。针刺深度五分,艾灸二壮。
【主治病症】肩臂酸痛,肘部外侧后方疼痛,面颊和下颌肿胀。
秉风穴:在天髎穴外侧肩上小骨后方,举起手臂时有空隙。此处是手太阳、手阳明、手少阳、足少阳四条经脉的交会穴。针刺深度五分,艾灸五壮。
【主治病症】肩部疼痛无法抬起。
曲垣穴:位于肩中央肩胛骨弯曲处的凹陷中,按压时感到疼痛。针刺深度五分,艾灸三壮。
【主治病症】肩臂热痛且拘挛紧急。
肩外俞穴:位于肩胛骨上缘内侧,距离脊柱三寸的凹陷中。针刺深度六分,艾灸三壮。
【主治病症】肩胛部疼痛,周身痹痛,寒气延伸至肘部。
肩中俞穴:位于肩胛骨内侧边缘,距离脊柱二寸的凹陷中。针刺深度三分,艾灸三壮。
【主治病症】咳嗽气喘伴有咳血,寒热交替及视力模糊。
天窗穴(又名窗笼):位于颈部大筋之间,下颌角下方扶突穴后方,动脉搏动应手的凹陷中。针刺深度三分,艾灸三壮。
【主治病症】颈部疼痛,肩胛部牵引颈部导致不能回头,面颊肿胀及牙齿紧闭不开。
【主治病症】瘿瘤(甲状腺肿大),颈部痈肿导致不能回头,不能说话,胸满呕逆吐沫,牙齿紧闭,耳鸣耳聋。
颧髎穴(原文作“颧 ”,缺“髎”字):位于面部颧骨下缘,颧骨尖端下方的凹陷中。此处是手少阳三焦经与手太阳小肠经的交会穴。针刺深度二分。
【主治病症】口眼歪斜,眼睑及面部肿胀牙齿疼痛。
听宫穴(又名多所闻):位于耳屏前,张口时呈孔状,大小如赤小豆。此处是手少阳三焦经、手太阳小肠经、足少阳胆经三条经脉的交会穴。针刺深度三分,艾灸三壮。
Acupoint Diagram of the Hand-Taiyang Small Intestine Meridian
[Indications] Malaria with alternating chills and fever, leukoma (opacity of the cornea), epistaxis (nosebleed), deafness, stiff neck unable to look back, epilepsy, spasm and tightness of the arm and elbow.
Wanguan (SI4): Located in the depression distal to the styloid process of the ulna on the ulnar side of the wrist. It is the Yuan-Source point where the Qi of the Hand-Taiyang Small Intestine Meridian passes. Needle 2 fen; moxibustion 3 moxa cones.
[Indications] Febrile disease with anhidrosis (absence of sweating), pain under the hypochondrium, swelling of the neck and nape, alternating chills and fever with tinnitus, cold tears flowing from the eyes with leukoma development, inability to flex and extend the elbow, malaria accompanied by restlessness and headache, convulsions and traction of the five fingers.
Yanggu (SI5): Located in the depression at the center of the wrist on the ulnar side, below the styloid process of the ulna (acute bone). It is the Jing-River point where the Qi of the Hand-Taiyang Small Intestine Meridian flows, belonging to Fire in the Five Elements. Needle 2 fen; moxibustion 3 moxa cones.
[Indications] Epilepsy with mania, febrile disease with anhidrosis, hypochondriac pain, swelling of the neck and nape, alternating chills and fever, deafness and tinnitus, dental caries pain, inability to raise the arm, pediatric convulsions and tongue stiffness.
Yanglao (SI6): Located anterior and superior to the ulnar head (wrist ankle bone). Another theory states it is 1 cun posterior to Wanguan in the depression. Needle 3 fen; moxibustion 3 moxa cones.
[Indications] Soreness and pain in the shoulder and arm, sensation of the shoulder breaking, sensation of the arm being pulled out, inability to move the hand up and down, blurred vision.
Zhizheng (SI7): Located 5 cun posterior to the wrist. This is where the Luo-Connecting vessel of the Hand-Taiyang diverges to connect with the Hand-Shaoyin Heart Meridian. Needle 3 fen; moxibustion 3 moxa cones.
[Indications] Five types of exhaustion (Wu Lao), epilepsy, mania, wind-stroke with惊风 (convulsions), inability to flex and extend the elbow and arm due to wind deficiency, inability to grasp with the hand, soreness of the waist and back, and stiffness of the neck.
Shaohai (SI8): Located in the depression lateral to the medial epicondyle of the humerus, 0.5 cun from the end of the elbow. To locate, flex the hand towards the head. It is the He-Sea point where the Qi of the Hand-Taiyang Small Intestine Meridian enters, belonging to Earth in the Five Elements. Needle 2 fen; moxibustion 5 moxa cones.
[Indications] Pain in the elbow, arm, shoulder, and neck; alternating chills and fever; swelling of the tooth roots; wind-induced vertigo and sores/swellings; lower abdominal pain; five types of epilepsy and convulsions.
Jianzhen (SI9): Located between the two bones at the junction below the axillary fold (qu jia), in the depression posterior to Jianyu (SI9 note: standard Jianyu is LI15, here referring to anatomical landmark). Needle 5 fen; moxibustion 3 moxa cones.
[Indications] Alternating chills and fever caused by Cold Damage (Shanghan); tinnitus and deafness; heat and pain in the supraclavicular fossa and shoulder; numbness and inability to lift the hands and feet due to Wind-Bi syndrome.
Tianzong (SI11 - *Note: Text describes location consistent with Tianzong or nearby scapular points, specifically mentioning intersection of Taiyang, Yangwei, and Yangqiao*): Located in the depression below the large bone posterior to the shoulder, at the upper medial border of the scapula. To locate, raise the arm. It is the meeting point of the Hand-Taiyang Small Intestine Meridian, the Yangwei Vessel, and the Yangqiao Vessel. Needle 8 fen; moxibustion 3 moxa cones.
[Indications] Arm soreness and weakness, shoulder pain radiating to the scapula, qi swelling and spasmodic pain with alternating chills and fever.
Tianzong (SI11): Located in the depression below the large bone posterior to Bingfeng (SI12). Needle 5 fen; moxibustion 2 moxa cones.
[Indications] Soreness and pain in the shoulder and arm, pain at the lateral posterior aspect of the elbow, swelling of the cheek and mandible.
Bingfeng (SI12): Located posterior to the small bone on the shoulder lateral to Tianliao (SI10), with a gap when the arm is raised. It is the meeting point of the Hand-Taiyang, Hand-Yangming, Hand-Shaoyang, and Foot-Shaoyang meridians. Needle 5 fen; moxibustion 5 moxa cones.
[Indications] Shoulder pain with inability to lift the arm.
Quyuan (SI13): Located in the depression at the central curve of the scapula on the shoulder; tenderness upon pressure. Needle 5 fen; moxibustion 3 moxa cones.
[Indications] Heat pain and spasm/tightness in the shoulder and arm.
Jianwai Shu (SI14): Located in the depression on the upper medial border of the scapula, 3 cun lateral to the spine. Needle 6 fen; moxibustion 3 moxa cones.
[Indications] Scapular pain, generalized Bi syndrome, cold sensation extending to the elbow.
Jianzhong Shu (SI15): Located in the depression on the medial border of the scapula, 2 cun lateral to the spine. Needle 3 fen; moxibustion 3 moxa cones.
[Indications] Cough with asthma and hemoptysis (spitting blood), alternating chills and fever, blurred vision.
Tianchuang (SI16) (Alias: Chuanglong): Located between the large tendons of the neck, in the depression where the pulse is palpable, posterior to Futu (LI18) and below the curved jaw angle. Needle 3 fen; moxibustion 3 moxa cones.
[Indications] Neck pain, shoulder/scapular pain pulling the neck preventing turning of the head, cheek swelling, and trismus (lockjaw).
Tianrong (SI17): Located posterior to the curved jaw angle below the ear. Moxibustion 3 moxa cones.
[Indications] Goiter (Ying), cervical abscess preventing turning of the head, aphonia (inability to speak), chest fullness, vomiting and regurgitation of saliva, trismus, tinnitus, and deafness.
Quanliao (SI18): Located in the depression at the lower margin of the zygomatic bone, at the tip of the acute bone. It is the meeting point of the Hand-Shaoyang Sanjiao Meridian and the Hand-Taiyang Small Intestine Meridian. Needle 2 fen.
[Indications] Deviation of the mouth and eyes, swelling of the eyelids/face, and toothache.
TINGGONG (SI19) (Alias: Duosuo Wen): Located in the ear, resembling a bead the size of a red bean. It is the meeting point of the Hand-Shaoyang Sanjiao Meridian, the Hand-Taiyang Small Intestine Meridian, and the Foot-Shaoyang Gallbladder Meridian. Needle 3 fen; moxibustion 3 moxa cones.
[Indications] Aphonia and epilepsy, abdominal fullness, cicada-like tinnitus in the ears.