人之周身总有三百六十五骨节。以一百六十五字都关次之。首自钤骨之上为头。左右前
后。
至辕骨以四十九字。共关七十二骨。巅中为都颅骨者一（有势。微有髓。及有液）。次颅为髅
骨者一（有势。微有髓）。髅前为顶威骨者一（微有髓。女人则无此骨）。髅后为脑骨者一（有
势微液）。脑左为枕骨者一（有势无液）。脑右为就骨者一（有势无液）。枕就之中附下为天盖
骨者一（下为肺系之本）。盖骨之后为天柱骨者一（下属脊窳有髓）。盖前为言骨者一（言上复
合于髅骨。有势无髓）。言下为舌本骨者左右共二（有势无髓）。髅前为囟骨者一（无势无液）
囟下为服委骨者一（俚人讹为伏犀骨是也无髓势）。服委之下。为俊骨者一（服委下即眉宇
之分也无髓势）。眉上左为天贤骨者一（无势无髓）。眉上右为天贵骨者一（眉上直目睛也）。
左睛之上为知宫骨者一（无髓无势）。右睛之上为命门骨者一（无髓势。两睛之下中则为鼻）。
鼻之前为梁骨者一（无髓无势）。梁之左为颧骨者一（有势有髓）。梁之右为 骨者一（有势无
髓）。梁之端为嵩柱骨者一（无髓势其颧 之从。即耳之分）。左耳为司正骨者一（无髓无势）
右耳为纳邪骨者一（无髓无势）。正邪之后。为完骨者左右共二（无势无液）。正邪之上。附
为嚏骨者一（无势少液）。嚏上为通骨者左右前后共四（有势少液）。嚏上为HT 。内骨者一（无
势
多液）。其HT 后连属左颔为乘骨者一（有势多液）。右颔为车骨者一（无势多液）。乘车上下出
齿牙三十六事（无髓势下则不满其数）。乘车之后。为辕骨者左右共二（有液有势）。复次钤骨
之下。为膻中左右前后。至 以四十字。关九十七骨。辕骨之下左右为钤骨者二（多液）。钤
骨为会之骨者一（无髓势）。钤之下为咽。骨左中及右共三（无髓）。咽下为喉左中及右共三（
无髓）
喉下为咙骨者。环次共十事（无髓）。咙下之内为肺系骨者。累累然。共十二（无势髓）。肺
系之后为谷骨者一（无髓）。谷下为鬲道骨者左右共二（无髓）。咙外次下为顺骨者共八（少液）
顺骨之端为顺。隐骨者共八（少液）。顺下之左为洞骨者一（女人无此）。顺下之右为棚骨者
二（女人无此二骨）。洞棚之下。中央为 骨者一（无髓俚人呼为鸠尾）。 直下为天枢骨
者一（无髓）。天枢之左右。为缺盆骨者二（有势多液）。左缺盆前之下。为下HT 骨者二（无髓）
右缺盆前之下为分膳骨者一（无髓）。HT 膳之后附下为仓骨者一（无髓）。仓之下左右为 骨
者共八（无液无势）。 下之左为脑骨者一（男子此骨大者好勇）。 下之右为荡骨者一（女人
此骨大者多夫）。脑之下者为鸟骨一（男女此骨满者早发勇）。荡之下为臆骨者一（此骨高则使
人多
说妄）。钤中之后为脊窳骨者。共二十二（上接天柱有髓）。脊窳之下为大动骨者一（上通天柱
共成二十四椎）。大动之端为归下骨者一（道家谓之尾闾）。归下之后为纂骨者一（此骨能陷精
液）。归下之前为 骨者一（此骨多处薄者贫下）。复次缺盆之下。左右至衬。以二十五字关
六十骨（此下至分两手众骨臂至十指之端也）。支其缺盆之下。其后为伛甲骨者。左右共二（
有势。多液）。伛甲之端为甲隐骨者。左右共二（此骨长则贤）。前支缺盆为飞动骨者。左右
共二（此骨消则病痱缓）。次飞动之左为龙 骨者一（有势。多髓多液）。次飞动之右为虎冲骨
者一（有势。多髓多液）。龙 之下为龙本骨者一（有势。多髓）。虎冲之下为虎端骨者一（有
势。多髓）。本端之下为腕。龙本之上为进贤骨者一（男子此骨隆。则为名臣）。虎端之上为
及爵骨者一（女子此骨高则为命妇）。腕前左右。为上力骨者共八（有势。多液）。次上力为驻
骨者左右共十（有势。多液）。次驻骨为搦骨者左右共十（有势。多液）。次搦为肋势骨者左右
共十（左肋外为爪。右肋外为甲）。爪甲之下各有衬骨者左右共十（无势。无液）。复次 之
下。左右前后。至初步五十一字。中关一百三十六骨。此下自两乳下分左右。至两足心。众
骨所会剧也。 之右。为心蔽骨者一（无髓）。 之左为胁骨者。上下共十二（居小肠之
分也）。左胁之端。各有胁隐骨者。分次一十二（无髓）。胁骨之下。为季胁骨者。共二（多液
）。季胁之端。为季隐骨者。共二（无髓）。 之右为肋骨者。上下共二十（居大肠之分也）
肋
骨之下。为 肋骨者共二（各无隐骨惟兽有之）。右肋之端。为肋隐骨者共十二（无髓）。 骨
之前。为大横者一（有势。少髓）横骨之前。为白环骨者共二（有势。有液）。白环之前。为内
辅骨者左右共二（有势。多液）。内辅之后。为骸关骨者左右共二（有势。多液）。骸关之下。
有骨者左右共二（有势。多液）。 骨之下。为髀骨者左右共二（有势。多液）。髀枢之端。
为膝盖骨者左右共二（无势。多液）。膝盖左右。各有侠升骨者共二（有势。多液）。髀枢之下
为骨者左右共二（有势。多髓）。 骨之外。为辅骨者左右共二（有势。有液）。 骨之下
为立骨者左右共二（有势。有液）。立骨左右。各有内外踝骨者共四（有势。少液）。踝骨之
前。左右各有下力骨者共十（有势。多液）。踝骨之后。各有京骨者左右共二（有势。多液）。
下力之前。各有释欹骨者左右共十（有势。有液）。释欹之前。各有起仆骨。左右共十（有势）
起仆之前。各有平肋骨者左右共十（有势）。有肋之前。各有衬甲骨者左右共十（无势。少
液）。释欹两旁。各有核骨者左右共二（有势。多液）。起仆之下。各有初步骨者左右共二（有
势。无髓有液女人无此骨）。凡此三百六十五骨也。天地相乘。惟人至灵。其女人则无顶威
左洞右棚及初步共五骨。止有三百六十骨。又男子女人一百九十骨。或衬或无髓势。干二百
五十六骨。并有髓液。以藏诸筋。以会诸脉溪。相需而成身形。谓之四大。此骨度之常也。
昔黄帝问于伯高曰。脉度言。经脉之长短。何以立之。伯高对曰。先度其骨节之大小广
狭长
短。而脉度定矣。帝曰。愿闻众人之度。人长七尺五寸者。其骨节之大小长短各几何。伯高
曰。头之大骨。围二尺六寸。胸围四尺五寸。腰围四尺二寸。发所覆者。颅至项一尺二寸。
发以下至颐。长一尺。君子参折。结喉以下。至缺盆中长四寸。缺盆以下。至 长九寸。
过则肺大。不满则肺小。 以下。至天枢长八寸。过则胃大。不满则胃小。天枢以下。至
横骨长六寸半。过则回肠广长。不满则狭短。横骨长六寸半。横骨上廉以下。至内辅之上廉
长一尺八寸。
内辅之上廉以下。至下廉长三寸半。内辅下廉至下内踝。长一尺三寸。
内踝以下至地长三寸膝 以下。至跗属长一尺六寸。跗属以下。至地长三寸
故骨围大则太过。小则不及。角以下至柱骨。长一尺。行腋中不见者。长四寸。腋以下至
季胁。长一尺二寸。季胁以下至髀枢。长六寸。髀枢以下至膝中。长一尺九寸。膝以下至外
踝。长一尺六寸。外踝以下至京骨。长三寸。京骨以下至地。长一寸。耳后当完骨者。广九
寸。耳前当耳门者。广一尺三寸。两颧之间。相去七寸。两乳之间。广九寸半。两髀之间。
广六寸半。足长一尺二寸。广四寸半。肩至肘长一尺七寸。肘至腕长一尺二寸半。腕至中指
本节长四寸。本节至其末长四寸半。头发以下至背骨。长二寸半。膂骨以下。至尾 二十一
节。长三尺。上节长一寸四分。分之一奇分在下。故上七节下至于膂骨。九寸八分分之七。
此众人之骨度也。所以立经脉之长短也。是故视其经络之在身。其见浮而坚其见明而大者。
多血。细而沉者。多气也。
凡欲用针。须明骨空所在。及机关之节。机关者。内经曰。辅骨上。横骨下为 。狭
髋为机
膝解为骸关。狭膝之骨为连骸。骸下为辅。辅上为 。 为关头。横骨为枕是也。骨空者
内经髓空在脑后三分。在颅际锐骨之下（风府穴也）。一在断基下（下颐穴也）。一在项后中
复骨下（哑门穴也）。一在脊骨上空。在风府上（脑户穴也）。脊骨下空在尻骨下空（长强穴也）
数髓空在面侠鼻（颧 穴也）。或骨空在口下当两肩（大迎穴也）。两膊骨空在膊骨之阳（近
肩膊失其名）。臂骨空在臂阳去踝四寸。两骨空之间（通关穴也）。股骨上穴。在股阳出上膝
四寸（承 穴也）。 骨空。在辅骨之上端（犊鼻穴也）。股际骨空。在毛中动下（经阙穴也）。
尻骨空。在髀骨之后相去四寸（八 穴也）。扁骨有渗理腠。无髓孔。易髓无空是也。凡病属
巨阴少阳之经。与冲脉任脉督脉之分者。病本于骨。各随其要而灸刺之。故风从外入。令人
振寒恶寒。汗出身重。头痛。或颈项痛者。治在风府。从风憎风刺眉头（攒竹穴也）。失枕在
肩上横骨间（缺盆穴也）。折使揄臂齐肘。正灸脊中（阳关穴也）。 给季胁引少腹而痛胀。刺
。大风汗出则灸之。腰痛不可转摇。急引阴仰刺八 与痛上八 。在腰尻分间。鼠 寒
热。还刺寒府。寒府在附膝外。解营取膝上外者。使之拜取足心者。使之跪。任脉为病。男
子内结七疝。女子带下瘕聚。冲脉为病。逆气里急。督脉为病。脊强反折。此三脉生病者。
从少腹上冲心而痛。不得前后为冲疝。其女子不孕。癃痔遗溺嗌干。督脉生病治督脉。治在
骨上（曲骨穴也）。甚者在脐下。营者治其渐。渐者。上狭颐也（大迎穴也）。蹇膝伸不得屈。
治其 。坐而膝痛治其机。立而暑解治骸关。膝痛痛及拇指。治其 （委中穴也）。坐而膝痛
如物隐者。治其关。膝痛不可屈伸。治其背内（大颧穴也）。连 若折。治阳明中俞 （三甲
穴也）。若别治巨阳少阴荣（通谷及然谷也）。淫泺胫酸不能久立。治少阳之络。在外踝上五
寸（光明穴也）。
人的全身总共有三百六十五个骨节。用一百六十五个字来依次关联它们。起始于钤骨之上作为头部。左右前后，直到辕骨，用了四十九个字，共关联七十二个骨。头顶正中为都颅骨一个（有势，微有髓，以及有液）。其次颅部为髅骨一个（有势，微有髓）。髅骨前方为顶威骨一个（微有髓，女性则没有这个骨）。髅骨后方为脑骨一个（有势，微有液）。脑骨左侧为枕骨一个（有势无液）。脑骨右侧为就骨一个（有势无液）。在枕骨和就骨之间下方附着的为天盖骨一个（下方是肺系的本源）。盖骨之后为天柱骨一个（下属脊窳，有髓）。盖骨前方为言骨一个（言骨上方又复合于髅骨，有势无髓）。言骨下方为舌本骨，左右共两个（有势无髓）。髅骨前方为囟骨一个（无势无液）。囟骨下方为服委骨一个（俗人讹传为伏犀骨，无髓势）。服委骨下方为俊骨一个（服委骨下方即眉宇之分，无髓势）。眉毛上方左侧为天贤骨一个（无势无髓）。眉毛上方右侧为天贵骨一个（眉毛上方直对目睛）。左眼上方为知宫骨一个（无髓无势）。右眼上方为命门骨一个（无髓势，两眼之下中间则为鼻）。鼻子前方为梁骨一个（无髓无势）。梁骨左侧为颧骨一个（有势有髓）。梁骨右侧为[缺字]骨一个（有势无髓）。梁骨的末端为嵩柱骨一个（无髓势，其颧骨之从属部分，即是耳之分野）。左耳为司正骨一个（无髓无势）。右耳为纳邪骨一个（无髓无势）。司正骨和纳邪骨之后，为完骨，左右共两个（无势无液）。司正骨和纳邪骨之上，附着为嚏骨一个（无势少液）。嚏骨上方为通骨，左右前后共四个（有势少液）。嚏骨上方为[缺字]内骨一个（无势多液）。其[缺字]后方连属左下颌为乘骨一个（有势多液）。右下颌为车骨一个（无势多液）。乘车骨上下露出牙齿三十六颗（无髓势，下面则不满这个数目）。乘车骨之后，为辕骨，左右共两个（有液有势）。再次，钤骨之下，为膻中，左右前后，直到[缺字]，用了四十个字，关联九十七个骨。辕骨之下，左右为钤骨两个（多液）。钤骨为会之骨一个（无髓势）。钤骨之下为咽，骨左中及右共三个（无髓）。咽下为喉，左中及右共三个（无髓）。喉下为咙骨，环次共十个（无髓）。咙骨内部下方为肺系骨，累累然，共十二个（无势髓）。肺系骨之后为谷骨一个（无髓）。谷骨下方为鬲道骨，左右共两个（无髓）。咙骨外侧次下方为顺骨共八个（少液）。顺骨的末端为顺隐骨共八个（少液）。顺骨下方的左侧为洞骨一个（女性没有这个）。顺骨下方的右侧为棚骨两个（女性没有这两个骨）。洞骨和棚骨之下，中央为[缺字]骨一个（无髓，俗人呼为鸠尾）。（此骨）直下为天枢骨一个（无髓）。天枢骨的左右，为缺盆骨两个（有势多液）。左缺盆前下方，为下[缺字]骨两个（无髓）。右缺盆前下方为分膳骨一个（无髓）。[缺字]和膳骨之后附着下方为仓骨一个（无髓）。仓骨之下左右为[缺字]骨共八个（无液无势）。[缺字]骨下方的左侧为脑骨一个（男子这个骨大者好勇）。[缺字]骨下方的右侧为荡骨一个（女子这个骨大者多夫）。脑骨之下者为鸟骨一个（男女这个骨满者早发勇）。荡骨之下为臆骨一个（这个骨高则使人多说妄语）。钤骨之中后方为脊窳骨，共二十二个（上接天柱骨，有髓）。脊窳骨之下为大动骨一个（上通天柱骨，共成二十四椎）。大动骨的末端为归下骨一个（道家称之为尾闾）。归下骨之后为纂骨一个（这个骨能陷精液）。归下骨之前为[缺字]骨一个（这个骨多处薄者贫贱）。再次，缺盆骨之下，左右至衬，用了二十五个字，关联六十个骨（这以下直到分开两手众骨臂至十指之端）。支撑在缺盆骨之下，其后为伛甲骨，左右共两个（有势，多液）。伛甲骨的末端为甲隐骨，左右共两个（这个骨长则贤德）。前方支撑缺盆的为飞动骨，左右共两个（这个骨消减则病痱缓）。其次飞动骨的左侧为龙[缺字]骨一个（有势，多髓多液）。其次飞动骨的右侧为虎冲骨一个（有势，多髓多液）。龙[缺字]骨下方为龙本骨一个（有势，多髓）。虎冲骨下方为虎端骨一个（有势，多髓）。本骨和端骨下方为腕。龙本骨上方为进贤骨一个（男子这个骨隆起，则为名臣）。虎端骨上方为及爵骨一个（女子这个骨高则为命妇）。腕前左右，为上力骨共八个（有势，多液）。其次上力骨为驻骨，左右共十个（有势，多液）。其次驻骨为搦骨，左右共十个（有势，多液）。其次搦骨为肋势骨，左右共十个（左肋外为爪，右肋外为甲）。爪甲之下各有衬骨，左右共十个（无势，无液）。再次，[缺字]骨之下，左右前后，直到初步，用了五十一字，中间关联一百三十六个骨。这以下自两乳下分左右，至两足心，是众骨汇聚剧烈的地方。[缺字]骨的右侧，为心蔽骨一个（无髓）。[缺字]骨的左侧为胁骨，上下共十二个（居小肠的分野）。左胁的末端，各有胁隐骨，分次十二个（无髓）。胁骨之下，为季胁骨，共两个（多液）。季胁的末端，为季隐骨，共两个（无髓）。[缺字]骨的右侧为肋骨，上下共二十个（居大肠的分野）。肋骨之下，为[缺字]肋骨共两个（各自没有隐骨，只有兽类有）。右肋的末端，为肋隐骨共十二个（无髓）。[缺字]骨之前，为大横一个（有势，少髓）。横骨之前，为白环骨共两个（有势，有液）。白环骨之前，为内辅骨，左右共两个（有势，多液）。内辅骨之后，为骸关骨，左右共两个（有势，多液）。骸关骨之下，有[缺字]骨，左右共两个（有势，多液）。[缺字]骨之下，为髀骨，左右共两个（有势，多液）。髀枢的末端，为膝盖骨，左右共两个（无势，多液）。膝盖左右，各有侠升骨共两个（有势，多液）。髀枢之下为[缺字]骨，左右共两个（有势，多髓）。[缺字]骨之外，为辅骨，左右共两个（有势，有液）。[缺字]骨之下为立骨，左右共两个（有势，有液）。立骨左右，各有内外踝骨共四个（有势，少液）。踝骨之前，左右各有下力骨共十个（有势，多液）。踝骨之后，各有京骨，左右共两个（有势，多液）。下力骨之前，各有释欹骨，左右共十个（有势，有液）。释欹骨之前，各有起仆骨，左右共十个（有势）。起仆骨之前，各有平肋骨，左右共十个（有势）。有肋骨之前，各有衬甲骨，左右共十个（无势，少液）。释欹骨两旁，各有核骨，左右共两个（有势，多液）。起仆骨之下，各有初步骨，左右共两个（有势，无髓有液，女人没有这个骨）。凡是这三百六十五个骨。天地相乘，惟有人最灵秀。那女性则没有顶威、左洞、右棚及初步，共五个骨，止有三百六十个骨。另外男子女人有一百九十个骨，或者衬或者无髓势，共一千二百五十六个骨，并都有髓液，用来藏诸筋，用来会合诸脉溪，相互依赖而成身形，称为四大。这是骨度的常规。
从前黄帝问伯高说：脉度篇说，经脉的长短，凭什么确立？伯高回答说：先度量其骨节的大小、广狭、长短，而脉度就确定了。黄帝说：愿意听众人骨度的情况。人身长七尺五寸的人，其骨节的大小长短各是多少？伯高说：头的大骨，围二尺六寸。胸围四尺五寸。腰围四尺二寸。头发所覆盖的，从颅到项一尺二寸。头发以下到颐，长一尺。君子的参折（比例），结喉以下，到缺盆中长四寸。缺盆以下，到[缺字]长九寸。超过则肺大，不满则肺小。[缺字]以下，到天枢长八寸。超过则胃大，不满则胃小。天枢以下，到横骨长六寸半。超过则回肠广长，不满则狭短。横骨长六寸半。横骨上廉以下，到内辅之上廉长一尺八寸。内辅的上廉以下，到下廉长三寸半。内辅下廉到下内踝，长一尺三寸。内踝以下到地长三寸。膝[缺字]以下，到跗属长一尺六寸。跗属以下，到地长三寸。所以骨围大则太过，小则不及。角[缺字]以下到柱骨，长一尺。行走在腋中看不见的部分，长四寸。腋以下到季胁，长一尺二寸。季胁以下到髀枢，长六寸。髀枢以下到膝中，长一尺九寸。膝以下到外踝，长一尺六寸。外踝以下到京骨，长三寸。京骨以下到地，长一寸。耳后当完骨处，广九寸。耳前当耳门处，广一尺三寸。两颧之间，相距七寸。两乳之间，广九寸半。两髀之间，广六寸半。足长一尺二寸，广四寸半。肩到肘长一尺七寸。肘到腕长一尺二寸半。腕到中指尖本节长四寸。本节到其末长四寸半。头发以下到背骨，长二寸半。膂骨以下，到尾[缺字]二十一节，长三尺。上节长一寸四分，分之一奇分在下，所以上七节下到膂骨，九寸八分分之七。这是众人的骨度。是用来确立经脉长短的。因此观察经络在身上的表现，那些显现浮而坚硬的，显现明亮而粗大的，多血；细而沉的，多气。
凡是要使用针法，必须明白骨空所在，以及机关之节。机关者，《内经》说：辅骨上，横骨下为[缺字]。狭髋为机。膝解为骸关。狭膝之骨为连骸。骸下为辅。辅上为[缺字]。[缺字]为关头。横骨为枕。骨空者，《内经》说：髓空在脑后三分，在颅际锐骨之下（风府穴也）。一个在断基下（下颐穴也）。一个在项后中复骨下（哑门穴也）。一个在脊骨上空，在风府上（脑户穴也）。脊骨下空在尻骨下空（长强穴也）。数个髓空在面侠鼻（颧[缺字]穴也）。或骨空在口下当两肩（大迎穴也）。两膊骨空在膊骨之阳（近肩膊失其名）。臂骨空在臂阳去踝四寸，两骨空之间（通关穴也）。股骨上穴，在股阳出上膝四寸（承[缺字]穴也）。[缺字]骨空，在辅骨之上端（犊鼻穴也）。股际骨空，在毛中动下（经阙穴也）。尻骨空，在髀骨之后相去四寸（八[缺字]穴也）。扁骨有渗理腠，无髓孔。易髓无空是也。凡是病属于巨阴、少阳之经，与冲脉、任脉、督脉分界的，病本在于骨，各自随着其要点而灸刺它。所以风从外入，令人振寒恶寒，汗出身重，头痛，或者颈项痛者，治在风府。因风憎风，刺眉头（攒竹穴也）。失枕在肩上横骨间（缺盆穴也）。折伤使引臂齐肘，正灸脊中（阳关穴也）。[缺字]给季胁引少腹而痛胀，刺[缺字]。大风汗出则灸之。腰痛不可转摇，急引阴仰刺八[缺字]与痛上八[缺字]。在腰尻分间。鼠[缺字]寒热，还刺寒府。寒府在附膝外解，营取膝上外者，使之拜取足心者，使之跪。任脉为病，男子内结七疝，女子带下瘕聚。冲脉为病，逆气里急。督脉为病，脊强反折。这三脉生病者，从少腹上冲心而痛，不得前后为冲疝。那女子不孕，癃痔遗溺嗌干。督脉生病治督脉，治在骨上（曲骨穴也）。严重的在脐下。营者治其渐。渐者，上狭颐也（大迎穴也）。蹇膝伸不得屈，治其[缺字]。坐而膝痛治其机。立而暑解治骸关。膝痛痛及拇指，治其[缺字]（委中穴也）。坐而膝痛如物隐者，治其关。膝痛不可屈伸，治其背内（大颧穴也）。连[缺字]若折，治阳明中俞[缺字]（三甲穴也）。若别治巨阳少阴荣（通谷及然谷也）。淫泺胫酸不能久立，治少阳之络，在外踝上五寸（光明穴也）。
The human body has a total of 365 bone joints. They are sequentially linked using 165 characters. Starting from above the Qian Bone (钤骨) as the head, extending left, right, front, and back to the Yuan Bone (辕骨), this section uses 49 characters to link 72 bones. The center of the crown is the Du Lu Bone (都颅骨), one piece (possesses Shi [vital force/structure], slightly contains Marrow, and also contains Fluid). Next, the skull area has the Lou Bone (髅骨), one piece (possesses Shi, slightly contains Marrow). In front of the Lou Bone is the Ding Wei Bone (顶威骨), one piece (slightly contains Marrow; women lack this bone). Behind the Lou Bone is the Nao Bone (脑骨), one piece (possesses Shi, slightly contains Fluid). To the left of the Nao Bone is the Zhen Gu (枕骨/Occipital Bone), one piece (possesses Shi, no Fluid). To the right of the Nao Bone is the Jiu Bone (就骨), one piece (possesses Shi, no Fluid). Between the Zhen Gu and Jiu Bone, attached below, is the Tian Gai Bone (天盖骨), one piece (below is the root of the Fei Xi/Lung Connection). Behind the Tian Gai Bone is the Tian Zhu Bone (天柱骨), one piece (descends to Ji Yu [spinal canal], contains Marrow). In front of the Tian Gai Bone is the Yan Bone (言骨), one piece (the upper part of the Yan Bone reconnects with the Lou Bone; possesses Shi, no Marrow). Below the Yan Bone are the She Ben Bones (舌本骨), two pieces (left and right) (possess Shi, no Marrow). In front of the Lou Bone is the Xin Bone (囟骨), one piece (no Shi, no Fluid). Below the Xin Bone is the Fu Wei Bone (服委骨), one piece (colloquially misnamed Fu Xi Bone; no Shi/Marrow potential). Below the Fu Wei Bone is the Jun Bone (俊骨), one piece (below Fu Wei is the brow area; no Shi/Marrow potential). Above the left eyebrow is the Tian Xian Bone (天贤骨), one piece (no Shi, no Marrow). Above the right eyebrow is the Tian Gui Bone (天贵骨), one piece (directly above the eyeball). Above the left eye is the Zhi Gong Bone (知宫骨), one piece (no Marrow, no Shi). Above the right eye is the Ming Men Bone (命门骨), one piece (no Marrow/Shi; between the lower parts of both eyes is the nose). In front of the nose is the Liang Bone (梁骨), one piece (no Marrow, no Shi). To the left of the Liang Bone is the Quan Bone (颧骨/Cheekbone), one piece (possesses Shi and Marrow). To the right of the Liang Bone is the [Missing Character] Bone, one piece (possesses Shi, no Marrow). At the end of the Liang Bone is the Song Zhu Bone (嵩柱骨), one piece (no Shi/Marrow potential; its connection to the cheekbone corresponds to the ear region). On the left ear is the Si Zheng Bone (司正骨), one piece (no Marrow, no Shi). On the right ear is the Na Xie Bone (纳邪骨), one piece (no Marrow, no Shi). Behind the Si Zheng and Na Xie Bones are the Wan Bones (完骨), two pieces (left and right) (no Shi, no Fluid). Above the Si Zheng and Na Xie Bones, attached, is the Ti Bone (嚏骨), one piece (no Shi, little Fluid). Above the Ti Bone are the Tong Bones (通骨), four pieces (left, right, front, back) (possess Shi, little Fluid). Above the Ti Bone is the [Missing Character] Inner Bone ([Missing Character] Nei Gu), one piece (no Shi, much Fluid). Behind this [Missing Character], connecting to the left mandible, is the Cheng Bone (乘骨), one piece (possesses Shi, much Fluid). The right mandible is the Che Bone (车骨), one piece (no Shi, much Fluid). Emerging up and down from the Che Bone are 36 teeth (no Marrow/Shi potential; below, the number is less than this count). Behind the Che Bones are the Yuan Bones (辕骨), two pieces (left and right) (contain Fluid and Shi). Again, below the Qian Bone, covering the Dan Zhong area, left, right, front, and back, until [Missing Character], using 40 characters, links 97 bones. Below the Yuan Bones, on the left and right, are the Qian Bones (钤骨), two pieces (much Fluid). The Qian Bone forms the Hui Zhi Bone (会之骨), one piece (no Marrow/Shi potential). Below the Qian Bone is the Pharynx (Yan), consisting of three bones (left middle and right) (no Marrow). Below the pharynx is the Larynx (Hou), consisting of three bones (left middle and right) (no Marrow). Below the larynx is the Long Bone (咙骨), ten pieces in a ring sequence (no Marrow). Inside and below the Long Bone are the Fei Xi Bones (肺系骨), piled up, twelve pieces (no Shi/Marrow). Behind the Fei Xi Bones is the Gu Bone (谷骨), one piece (no Marrow). Below the Gu Bone are the Ge Dao Bones (鬲道骨), two pieces (left and right) (no Marrow). Outside and below the Long Bone are the Shun Bones (顺骨), eight pieces (little Fluid). At the ends of the Shun Bones are the Shun Yin Bones (顺隐骨), eight pieces (little Fluid). To the left below the Shun Bones is the Dong Bone (洞骨), one piece (women lack this). To the right below the Shun Bones are the Peng Bones (棚骨), two pieces (women lack these two bones). Below the Dong and Peng Bones, in the center, is the [Missing Character] Bone, one piece (no Marrow, colloquially called Jiu Wei). Directly below this is the Tian Shu Bone (天枢骨), one piece (no Marrow). On the left and right of the Tian Shu Bone are the Que Pen Bones (缺盆骨/Collarbone), two pieces (possess Shi, much Fluid). Below the front of the left Que Pen Bone are the Xia [Missing Character] Bones (下[Missing Character]骨), two pieces (no Marrow). Below the front of the right Que Pen Bone is the Fen Shan Bone (分膳骨), one piece (no Marrow). Behind the [Missing Character] and Shan Bones, attached below, is the Cang Bone (仓骨), one piece (no Marrow). Below the Cang Bone, on the left and right, are the [Missing Character] Bones, eight pieces (no Fluid, no Shi). Below the [Missing Character] Bone on the left is the Nao Bone (脑骨), one piece (men with larger bones here are brave). Below the [Missing Character] Bone on the right is the Dang Bone (荡骨), one piece (women with larger bones here have many husbands). Below the Nao Bone is the Wu Bone (鸟骨), one piece (both men and women with full bones here develop bravery early). Below the Dang Bone is the Yi Bone (臆骨), one piece (a high bone here causes excessive talking). Behind the center of the Qian Bone is the Ji Yu Bone (脊窳骨), twenty-two pieces (connects upward to Tian Zhu Bone, contains Marrow). Below the Ji Yu Bone is the Da Dong Bone (大动骨), one piece (connects upward to Tian Zhu Bone, totaling 24 vertebrae). At the end of the Da Dong Bone is the Gui Xia Bone (归下骨), one piece (Daoists call it Wei Lu/Tailgate). Behind the Gui Xia Bone is the Cuan Bone (纂骨), one piece (this bone can trap essence/fluids). In front of the Gui Xia Bone is the [Missing Character] Bone, one piece (many places where this bone is thin indicate poverty/low status). Again, below the Que Pen Bone, from left to right to Chen, using 25 characters, links 60 bones (from here down to the separation of the hands, all bones of the arms to the tips of the ten fingers). Supporting below the Que Pen Bone, behind it, are the Yu Jia Bones (伛甲骨), two pieces (left and right) (possess Shi, much Fluid). At the ends of the Yu Jia Bones are the Jia Yin Bones (甲隐骨), two pieces (left and right) (longer bones indicate virtue). In front, supporting the Que Pen Bone, are the Fei Dong Bones (飞动骨), two pieces (left and right) (if these bones atrophy, disease Fie Huan occurs). To the left of the Fei Dong Bones is the Long [Missing Character] Bone (龙[Missing Character]骨), one piece (possess Shi, much Marrow and Fluid). To the right of the Fei Dong Bones is the Hu Chong Bone (虎冲骨), one piece (possess Shi, much Marrow and Fluid). Below the Long [Missing Character] Bone is the Long Ben Bone (龙本骨), one piece (possess Shi, much Marrow). Below the Hu Chong Bone is the Hu Duan Bone (虎端骨), one piece (possess Shi, much Marrow). Below the Ben and Duan Bones is the Wrist. Above the Long Ben Bone is the Jin Xian Bone (进贤骨), one piece (if prominent in men, they become famous ministers). Above the Hu Duan Bone is the Ji Jue Bone (及爵骨), one piece (if high in women, they become titled ladies). In front of the wrist, on the left and right, are the Shang Li Bones (上力骨), eight pieces (possess Shi, much Fluid). Next, the Shang Li Bones lead to the Zhu Bones (驻骨), ten pieces (left and right) (possess Shi, much Fluid). Next, the Zhu Bones lead to the Nu Bones (搦骨), ten pieces (left and right) (possess Shi, much Fluid). Next, the Nu Bones lead to the Lei Shi Bones (肋势骨), ten pieces (left and right) (left rib exterior is claw, right rib exterior is nail). Below each claw and nail are the Chen Bones (衬骨), ten pieces (left and right) (no Shi, no Fluid). Again, below the [Missing Character] Bone, left, right, front, and back, to Chu Bu, using 51 characters, links 136 bones. From here, below the two breasts dividing left and right, to the soles of the two feet, is where many bones converge intensely. To the right of the [Missing Character] Bone is the Xin Bi Bone (心蔽骨), one piece (no Marrow). To the left of the [Missing Character] Bone are the Xie Bones (胁骨), twelve pieces (upper and lower) (located in the Small Intestine region). At the ends of the left Xie Bones are the Xie Yin Bones (胁隐骨), twelve pieces (sequentially) (no Marrow). Below the Xie Bones are the Ji Xie Bones (季胁骨), two pieces (much Fluid). At the ends of the Ji Xie Bones are the Ji Yin Bones (季隐骨), two pieces (no Marrow). To the right of the [Missing Character] Bone are the Rib Bones (肋骨), twenty pieces (upper and lower) (located in the Large Intestine region). Below the Rib Bones are the [Missing Character] Rib Bones, two pieces (each lacks Yin Bone, only animals have them). At the ends of the right ribs are the Rib Yin Bones (肋隐骨), twelve pieces (no Marrow). In front of the [Missing Character] Bone is Da Heng (大横), one piece (possess Shi, little Marrow). In front of the Heng Bone are the Bai Huan Bones (白环骨), two pieces (possess Shi, contain Fluid). In front of the Bai Huan Bones are the Nei Fu Bones (内辅骨), two pieces (left and right) (possess Shi, much Fluid). Behind the Nei Fu Bones are the Hai Guan Bones (骸关骨), two pieces (left and right) (possess Shi, much Fluid). Below the Hai Guan Bones are the [Missing Character] Bones, two pieces (left and right) (possess Shi, much Fluid). Below the [Missing Character] Bones are the Bi Bones (髀骨/Femur), two pieces (left and right) (possess Shi, much Fluid). At the end of the Bi Shu (hip pivot) are the Xi Gai Bones (膝盖骨/Kneecaps), two pieces (left and right) (no Shi, much Fluid). On the left and right of the kneecaps are the Xia Sheng Bones (侠升骨), two pieces (possess Shi, much Fluid). Below the Bi Shu are the [Missing Character] Bones, two pieces (left and right) (possess Shi, much Marrow). Outside the [Missing Character] Bones are the Fu Bones (辅骨), two pieces (left and right) (possess Shi, contain Fluid). Below the [Missing Character] Bones are the Li Bones (立骨), two pieces (left and right) (possess Shi, contain Fluid). On the left and right of the Li Bones are the Nei Wai Huai Bones (内外踝骨/Inner and Outer Ankle Bones), four pieces (possess Shi, little Fluid). In front of the ankle bones, on the left and right, are the Xia Li Bones (下力骨), ten pieces (possess Shi, much Fluid). Behind the ankle bones are the Jing Bones (京骨), two pieces (left and right) (possess Shi, much Fluid). In front of the Xia Li Bones are the Shi Qi Bones (释欹骨), ten pieces (left and right) (possess Shi, contain Fluid). In front of the Shi Qi Bones are the Qi Pu Bones (起仆骨), ten pieces (left and right) (possess Shi). In front of the Qi Pu Bones are the Ping Lei Bones (平肋骨), ten pieces (left and right) (possess Shi). In front of the Lei Bones are the Chen Jia Bones (衬甲骨), ten pieces (left and right) (no Shi, little Fluid). On both sides of the Shi Qi Bones are the He Gu Bones (核骨), two pieces (left and right) (possess Shi, much Fluid). Below the Qi Pu Bones are the Chu Bu Bones (初步骨), two pieces (left and right) (possess Shi, no Marrow but contain Fluid; women lack this bone). These are the 365 bones. Heaven and Earth interact, and humans are the most spiritual. Women lack the Ding Wei, Left Dong, Right Peng, and Chu Bu bones, totaling five bones, having only 360 bones. Additionally, men and women share 190 bones, some with Chen or lacking Shi/Marrow potential, totaling 1,256 bones, all possessing Marrow and Fluid, used to store tendons and connect to pulse streams, mutually relying to form the body shape, called the Four Greats. This is the standard of bone measurement.
Formerly, the Yellow Emperor asked Bo Gao: The Pulse Measurement chapter states that the length of the meridians, how is it established? Bo Gao replied: First measure the size, breadth, and length of the bone joints, and the pulse measurement is determined. The Emperor said: I wish to hear about the measurements of ordinary people. For a person seven chi five cun tall, what are the sizes and lengths of their bone joints? Bo Gao said: The large bone of the head has a circumference of two chi six cun. The chest circumference is four chi five cun. The waist circumference is four chi two cun. Covered by hair, from the skull to the nape is one chi two cun. From below the hair to the chin is one chi. The gentleman's proportion: from the knot of the throat to the Que Pen is four cun. From the Que Pen to [Missing Character] is nine cun. Exceeding this means the Lung is large; falling short means the Lung is small. From [Missing Character] to Tian Shu is eight cun. Exceeding this means the Stomach is large; falling short means the Stomach is small. From Tian Shu to the Heng Gu (transverse bone) is six and a half cun. Exceeding this means the Hui Chang (returning intestine) is wide and long; falling short means it is narrow and short. The Heng Gu is six and a half cun long. From the upper margin of the Heng Gu to the upper margin of the Nei Fu is one chi eight cun. From the upper margin of the Nei Fu to the lower margin is three and a half cun. From the lower margin of the Nei Fu to the inner malleolus is one chi three cun. From the inner malleolus to the ground is three cun. From the knee [Missing Character] to the foot dorsum is one chi six cun. From the foot dorsum to the ground is three cun. Therefore, if bone circumference is large, it is excessive; if small, it is insufficient. From the corner [Missing Character] to the Zhu Bone is one chi. The part walking in the armpit not visible is four cun. From the armpit to the Ji Xie is one chi two cun. From the Ji Xie to the Bi Shu is six cun. From the Bi Shu to the middle of the knee is one chi nine cun. From the knee to the outer malleolus is one chi six cun. From the outer malleolus to the Jing Gu is three cun. From the Jing Gu to the ground is one cun. Behind the ear at the Wan Gu is nine cun wide. In front of the ear at the Ear Gate is one chi three cun wide. Between the two cheekbones is seven cun apart. Between the two breasts is nine and a half cun wide. Between the two thighs is six and a half cun wide. The foot is one chi two cun long and four and a half cun wide. From shoulder to elbow is one chi seven cun. From elbow to wrist is one chi two and a half cun. From wrist to the proximal phalanx of the middle finger is four cun. From the proximal phalanx to its tip is four and a half cun. From below the hair to the back bone is two and a half cun. From the Lv Bone to the tail [Missing Character] twenty-one segments is three chi. The upper segment is one inch four fen, with the odd fraction below. Thus, the upper seven segments down to the Lv Bone are nine cun and seven-tenths of a fen. This is the bone measurement of the masses, used to establish the length of the meridians. Therefore, observe the meridians in the body: those appearing floating and firm, bright and large, have much Blood; those fine and deep have much Qi.
Whenever using acupuncture, one must understand the location of the Bone Emptinesses (Gu Kong) and the joints of the mechanism. The mechanism, as stated in the Neijing: Above the Fu Bone and below the Heng Gu is [Missing Character]. The narrow hip is the Ji (mechanism). The knee joint is the Hai Guan. The narrow bone of the knee is the Lian Hai. Below the Hai is the Fu. Above the Fu is [Missing Character]. [Missing Character] is the Guan Tou (joint head). The Heng Gu is the Zhen (pillow). Regarding Bone Emptinesses, the Neijing says: The Marrow Emptiness is three fen behind the brain, below the sharp bone at the skull edge (Feng Fu acupoint). One is below the base of the chin (Xia Yi acupoint). One is below the double bone in the middle of the back of the neck (Ya Men acupoint). One is in the empty space of the spinal bone, above Feng Fu (Nao Hu acupoint). The empty space below the spinal bone is in the empty space of the Kao Bone (Chang Qiang acupoint). Several Marrow Emptinesses are on the face flanking the nose (Quan [Missing Character] acupoint). Or the Bone Emptiness is below the mouth facing the two shoulders (Da Ying acupoint). The emptinesses of the two arm bones are on the Yang side of the arm bones (near the shoulder, name lost). The emptiness of the arm bone is on the Yang of the arm, four cun from the ankle, between the two bone emptinesses (Tong Guan acupoint). The acupoint on the upper thigh bone is on the Yang of the thigh, four cun above the knee (Cheng [Missing Character] acupoint). The [Missing Character] Bone Emptiness is at the upper end of the Fu Bone (Du Bi acupoint). The emptiness of the thigh joint bone is in the hair, moving downward (Jing Que acupoint). The emptiness of the Kao Bone is behind the Bi Bone, four cun away (Ba [Missing Character] acupoint). Flat bones have seeping pores and interstices but no Marrow holes. Changing Marrow has no emptiness. For diseases belonging to the Ju Yin and Shao Yang meridians, and the divisions of the Chong, Ren, and Du meridians, the disease originates in the bone. Treat them by moxibustion and acupuncture according to their key points. Thus, wind entering from outside causes shivering chills, aversion to cold, sweating, heavy body, headache, or neck pain. Treat at Feng Fu. Due to wind aversion to wind, puncture the brow ridge (Zan Zhu acupoint). Loss of neck mobility is in the transverse bone between the shoulders (Que Pen acupoint). For fractures, draw the arm level with the elbow, and directly moxa the spine (Yang Guan acupoint). [Missing Character] giving pain distension from the Ji Xie drawing to the Lower Abdomen, puncture [Missing Character]. For severe wind with sweating, moxa it. Lower back pain unable to turn or shake, urgently drawing Yin upward, puncture Ba [Missing Character] and Ba [Missing Character] above the pain. In the division between the lower back and buttocks. Rat [Missing Character] chills and fever, return to puncture the Han Fu (Cold Palace). The Han Fu is attached to the outside of the knee joint. Ying takes the outside above the knee; make them bow to take the sole of the foot; make them kneel. Disease of the Ren Meridian: men have internal binding of Seven Hernias; women have leukorrhea and mass accumulation. Disease of the Chong Meridian: rebellious Qi and interior urgency. Disease of the Du Meridian: stiff spine and backward bending. When these three meridians are diseased, pain rushes from the Lower Abdomen to the Heart, inability to pass urine or stool constitutes Chong Hernia. For women, infertility, strangury, hemorrhoids, incontinence, and dry throat. Disease of the Du Meridian is treated at the Du Meridian, treating above the bone (Qu Gu acupoint). Severe cases are below the umbilicus. Ying treats its gradual point. The Gradual Point is the upper narrow chin (Da Ying acupoint). Stiff knee unable to extend or flex, treat its [Missing Character]. Sitting with knee pain, treat its Ji. Standing with heat resolving the joint, treat the Hai Guan. Knee pain radiating to the big toe, treat its [Missing Character] (Wei Zhong acupoint). Sitting with knee pain as if something is hidden, treat its Guan. Knee pain unable to flex or extend, treat the inside of the back (Da Quan acupoint). Connected [Missing Character] as if broken, treat the Middle Shu [Missing Character] of Yangming (San Jia acupoint). If separately treating Ju Yang and Shao Yin Ying (Tong Gu and Ran Gu). Dizziness and leg soreness unable to stand for long, treat the Luo vessel of Shao Yang, five cun above the outer malleolus (Guang Ming acupoint).