藜芦膏
苦参 藜芦（各一两）
猪油八两熬枯去渣，入松香一两化开离火，加枯矾、雄黄一两搅匀，候温涂之。
窦汉卿曰∶筋疽生臂之动脉间，筋寄之上，臂膊不能屈伸，若不速治，溃烂筋
脉，必成废疾。
申斗垣曰∶脉骨疔，又名鱼脐疔，生于掌后横纹陷中，根行甚急。亦有生肘臂
间者，红者为疽，黑者为疔，有红丝者是也。宜用针先针断红丝，后服追疔丸剂，外
敷丝瓜叶膏。（《启玄》）
王肯堂曰∶又名穿骨疽，生于间使穴，在掌后横纹上三寸，两筋陷中。属包络经
蕴热凝结而成。
又曰∶如溃穿骨缝，从臂外侧出脓者险。
丝瓜叶膏
丝瓜叶 韭菜叶 连须葱（各等分）
同入石臼内研如泥，以热酒中和去渣服，以渣病在左手敷左腋，病在右手敷右
腋，胁下亦敷。在左足敷左胯，病在右足敷右胯，病在中敷心脐，并用布缚，候红
丝皆白为安。如有潮热，亦用此法，令人抱住，不可放手，恐毒瓦斯颠倒难救，病患
发颤跌倒，亦难救。
大拇指属脾土。脾气通于口，络联于大指，通背右筋天枢穴、手列缺穴、足三里穴。
二拇指名曰食指，属肝。肝气通于目，络联于食指，通于小天心穴、足太溪穴。
中拇指名曰将指，属心。心气通于舌，络联于将指，通背左筋心俞穴、手中冲穴、足涌泉穴。
四拇指名曰无名指，属肺。肺气通于鼻，络联于无名指，通胸前膻中穴、背后风门穴。
小拇指属肾，肾气通于耳，络联于小指，通目瞳人、手合谷穴、足大敦穴。
大肠筋在食指边，络联于虎口，直到
食指侧巅。
小肠筋在小指外边。络联于神门，直至小指侧巅。
（穴在阳掌者）
内牢穴 在手心正中。
大横纹 在手掌下一道横纹。
离宫 在将指根下，属心火。
浮心穴 在大横纹左边。
坎宫 紧与离宫对，在小天心之上，属肾。
小天心 在坎宫下中门。
阳池穴、阴池穴 在小天心两旁。
板门穴 在大指下一块，其肉如板，属肾。
肾经穴 在大横纹右边。
二人上马穴 在小指旁二指横纹及掌干宫旁。
水底穴 在小指旁，从指尖到干宫外边，皆是属肾。
虎口穴 在大指食指丫处，筋通三关处。
四横纹 在食将无名小指中，三道小横纹，除去大指，故名四。
（穴在指尖者）
少商穴 在大拇指尖。
商阳穴 在食指尖，指根下一节横纹，是风关。从掌上巽宫来二横纹，是气关。三横纹是命关。
中冲穴 在中将指尖。
关冲穴 在无名指尖。
少冲穴 在小拇指尖。
大肠穴 在食指外边。
小肠穴 在小拇指外边。
（穴在阳膊者）
总筋穴 在大横纹下，指之脉络，皆总于此。中四指脉总于此。
内间使穴 在总筋下寸许，一名内关候。
天河穴 在内间使下，自总筋直往曲池。
曲池穴 在肘弯处，一名洪池。
经渠穴 在浮心一边，内间使旁。
列缺穴 在经渠下天河旁。
鱼脊穴 阳池旁边，一小窝处，乃大指散脉处。
三关穴 在手膊上旁边。
六腑穴 在手膊下旁边。
（穴在阴掌者）
外牢宫 在手背正中。
合谷穴 在手背大拇、食指两骨丫叉相合之间。
威灵穴 在外牢宫右边骨缝处。
向导穴 在外牢宫左边骨缝处。
一扇门 在食将二指下夹缝处，威灵穴之上。
二扇门 在无名小指根两夹缝中。
大陵位穴 在外牢下手背骨节处。
（穴在阴膊者）
一窝风 在大陵位下手膊上，与阳膊总筋下相对。
阳池穴 在外间使下。
外间使穴 在一窝风下，与内间使相对，一名外关候。
肩井穴 在肩膊眼窝内。
斗肘穴 在手肘曲外，高起圆骨处。
\r五指名目图\p04-a41a115.bmp\r
\r五指穴道图\p04-a41a116.bmp\r
\r阴掌脏腑图\p04-a41a117.bmp\r
\r阳掌脏腑图\p04-a41a118.bmp\r
\r肘腕穴道图\p04-a41a119.bmp\r
\r看手指察病顺逆图\p04-a41a120.bmp\r
藜芦膏
苦参、藜芦（各一两）
将猪油八两熬至枯焦后滤去药渣，加入松香一两使其熔化后离火，再加入枯矾、雄黄各一两搅拌均匀，待温度适宜时涂抹患处。
窦汉卿说：筋疽生于手臂的动脉之间，筋脉寄居于此，导致手臂不能屈伸，如果不迅速治疗，溃烂筋脉，必定成为废疾。
申斗垣说：脉骨疔，又名鱼脐疔，生于手掌后方横纹的凹陷处，根部走势非常急迫。也有生在肘臂间的，红色的是疽，黑色的是疔，伴有红丝的就是这种病。应当先用针挑断红丝，然后服用追疔丸剂，外敷丝瓜叶膏。（出自《启玄》）
王肯堂说：又名穿骨疽，生于间使穴，位于手掌后方横纹上三寸，两筋之间的凹陷处。属于心包络经蕴热凝结而成。
又说：如果溃破穿透骨缝，脓液从手臂外侧流出则病情险恶。
丝瓜叶膏
丝瓜叶、韭菜叶、带须葱（各等分）
一同放入石臼中研成泥状，用热酒调和后滤去渣滓服用，药渣敷于病灶对应侧的腋下（左手病敷左腋，右手病敷右腋），胁下也进行敷贴。左脚病敷左胯部，右脚病敷右胯部，身体中部病敷于心口与肚脐之间，并用布带固定，直到红丝变白才算平安。如果有潮热，也用此法，让人抱住患者，不可松手，恐怕毒气颠倒难以救治，若患者发颤跌倒，也难以抢救。
大拇指属脾土。脾气通于口，经络联系于大拇指，背部右侧筋脉连通天枢穴、手部列缺穴、足部足三里穴。
第二指名为食指，属肝。肝气通于目，经络联系于食指，连通小天心穴、足部太溪穴。
中指名为将指，属心。心气通于舌，经络联系于将指，背部左侧筋脉连通心俞穴、手中冲穴、足部涌泉穴。
第四指名为无名指，属肺。肺气通于鼻，经络联系于无名指，胸前连通膻中穴、背后风门穴。
小拇指属肾，肾气通于耳，经络联系于小指，连通瞳孔、手部合谷穴、足部大敦穴。
大肠的筋在食指旁边，经络联系于虎口，直到食指侧端。
小肠的筋在小指外边，经络联系于神门，直到小指侧端。
（穴位在阳掌者，即手背侧）
内牢穴 在手心正中。
大横纹 在手掌下方的一道横纹。
离宫 在将指根下，属心火。
浮心穴 在大横纹左边。
坎宫 紧挨着与离宫相对，在小天心之上，属肾。
小天心 在坎宫下方的中门处。
阳池穴、阴池穴 在小天心的两旁。
板门穴 在大指下方的一块区域，其肉如板，属肾。
肾经穴 在大横纹右边。
二人上马穴 在小指旁二指横纹及掌干宫旁。
水底穴 在小指旁，从指尖到干宫外边，都属肾。
虎口穴 在大指与食指的丫叉处，筋脉连通三关的地方。
四横纹 在食指、中将指、无名指、小指中间，有三道小横纹，除去大指，所以叫四。
（穴位在指尖者）
少商穴 在大拇指尖。
商阳穴 在食指尖，指根下一节横纹，是风关。从掌上巽宫来的第二道横纹，是气关。第三道横纹是命关。
中冲穴 在中指指尖。
关冲穴 在无名指指尖。
少冲穴 在小拇指尖。
大肠穴 在食指外边。
小肠穴 在小指外边。
（穴位在阳膊者，即手臂外侧/背面）
总筋穴 在大横纹下，手指的脉络，都汇总于此。中间四指的脉也汇总于此。
内间使穴 在总筋下一寸左右，一名内关候。
天河穴 在内间使下，从总筋直往曲池。
曲池穴 在肘弯处，一名洪池。
经渠穴 在浮心一边，内间使旁边。
列缺穴 在经渠下、天河旁。
鱼脊穴 阳池旁边，一小窝处，是大指散脉所在之处。
三关穴 在手膊上旁边。
六腑穴 在手膊下旁边。
（穴位在阴掌者，即手心侧）
外牢宫 在手背正中。
合谷穴 在手背大拇、食指两骨丫叉相合之间。
威灵穴 在外牢宫右边的骨缝处。
向导穴 在外牢宫左边的骨缝处。
一扇门 在食指、中将指两指下夹缝处，威灵穴之上。
二扇门 在无名指、小指根两夹缝中。
大陵位穴 在外牢下手背骨节处。
（穴位在阴膊者，即手臂内侧）
一窝风 在大陵位下手膊上，与阳膊总筋下相对。
阳池穴 在外间使下。
外间使穴 在一窝风下，与内间使相对，一名外关候。
肩井穴 在肩膊眼窝内。
斗肘穴 在手肘曲外，高起圆骨处。
Lilu Ointment (CVeratrum Ointment)
Sophora Root (Sophorae Radix et Rhizoma), Veratrum Nigrum Rhizome (each one tael)
Boil eight taels of lard until charred, remove the dregs, add one tael of rosin and melt it off the fire, then add one tael each of calcined alum and realgar, stir evenly. Apply when warm.
Dou Hanqing stated: Jin Ju (tendon carbuncle) arises in the arteries of the arm, where tendons reside. The arm cannot flex or extend. If not treated promptly, ulceration of the tendons and vessels will inevitably lead to disability.
Shen Douyuan stated: Mai Gu Ding (pulse bone thorn), also known as Yu Qi Ding (fish navel thorn), arises in the depression at the distal palmar crease. The root progresses rapidly. It may also arise between the elbow and arm. Red lesions are Ju (carbuncles), black lesions are Ding (thorns); those with red threads are classified as such. One should first puncture and sever the red thread with a needle, then administer Zhui Ding Wan (Thorn-Chasing Pill), and externally apply Sigua Ye Gao (Loofah Leaf Ointment). (From *Qixuan*)
Wang Kentang stated: Also known as Chuan Gu Ju (bone-penetrating carbuncle), it arises at Jianshi (PC5), located three cun above the distal palmar crease, in the depression between two tendons. It is formed by heat accumulation and coagulation in the Pericardium Meridian.
He further stated: If it ulcerates through the bone gap and pus discharges from the lateral aspect of the arm, the condition is perilous.
Sigua Ye Gao (Loofah Leaf Ointment)
Loofah Leaf (Luffae Fructus Folium), Chinese Chive Leaf (Allii Tuberosi Folium), Scallion with Roots (Allii Fistulosi Bulbus cum Radice) (equal parts)
Grind together in a stone mortar into a paste. Mix with hot wine, filter out the dregs, and drink the liquid. Apply the dregs to the axilla corresponding to the affected hand (left axilla for left-hand disease, right axilla for right-hand disease), and also to the hypochondrium. For foot diseases, apply to the corresponding hip (left hip for left foot, right hip for right foot). For midline diseases, apply to the heart and umbilicus area. Secure with cloth. Safety is indicated when the red threads turn white. If tidal fever occurs, use this method; have someone hold the patient firmly and not let go, lest the toxic qi reverse and become incurable. If the patient trembles and falls, rescue is difficult.
The thumb belongs to Spleen Earth. Spleen qi connects to the mouth and meridians link to the thumb. On the back, the right-side tendons connect to Tianshu (BL27 - *Note: Context implies pediatric palm diagnosis points, likely referring to specific finger mapping rather than standard BL27, but literal translation used*), Lieque (LU7), and Zusanli (ST36).
The second finger is named Index Finger, belonging to Liver. Liver qi connects to the eyes and meridians link to the index finger. It connects to Xiaotianxin (Pediatric Acupoint) and Taixi (KI3).
The middle finger is named General Finger, belonging to Heart. Heart qi connects to the tongue and meridians link to the general finger. On the back, the left-side tendons connect to Xinshu (BL15), Zhongchong (PC9), and Yongquan (KI1).
The fourth finger is named Ring Finger, belonging to Lung. Lung qi connects to the nose and meridians link to the ring finger. Anteriorly, it connects to Danzhong (CV17); posteriorly, to Fengmen (BL12).
The little finger belongs to Kidney. Kidney qi connects to the ears and meridians link to the little finger. It connects to the pupils, Hegu (LI4), and Dazhun (LR1).
The Large Intestine tendon is beside the index finger, linking to the Tiger's Mouth (Hegu area), extending to the tip of the index finger side.
The Small Intestine tendon is on the outer side of the little finger, linking to Shenmen (HT7), extending to the tip of the little finger side.
*(Acupoints on the Yang Palm [Dorsal Hand])*
Neilao (Pediatric Acupoint) is in the center of the palm.
Da Hengwen (Major Transverse Crease) is the transverse crease below the palm.
Ligong is below the base of the general finger, belonging to Heart Fire.
Fuxin is to the left of Da Hengwen.
Kangong is adjacent and opposite to Ligong, above Xiaotianxin, belonging to Kidney.
Xiaotianxin is in the central gate below Kangong.
Yangchi (TE4) and Yinchi are on both sides of Xiaotianxin.
Banmen is a fleshy area below the thumb, resembling a board, belonging to Kidney.
Jingjing Xue (Kidney Meridian Point) is to the right of Da Hengwen.
Erren Shangma is beside the second transverse crease of the little finger and next to Gan Palace.
Shuidi is beside the little finger; from the fingertip to outside Gan Palace, all belong to Kidney.
Hukou is at the webbing between the thumb and index finger, where tendons connect to the Three Passes.
Si Hengwen (Four Transverse Creases) are in the middle of the index, general, ring, and little fingers. There are three small transverse creases excluding the thumb, hence named "Four".
*(Acupoints on the Fingertips)*
Shaoshang (LU11) is at the tip of the thumb.
Shangyang (LI1) is at the tip of the index finger. The transverse crease one segment below the finger root is the Wind Gate. The second transverse crease coming from Xun Palace on the palm is the Qi Gate. The third transverse crease is the Life Gate.
Zhongchong (PC9) is at the tip of the middle finger.
Guanchong (TE1) is at the tip of the ring finger.
Shaochong (HT9) is at the tip of the little finger.
Large Intestine Point is on the outer side of the index finger.
Small Intestine Point is on the outer side of the little finger.
*(Acupoints on the Yang Arm [Dorsal Forearm])*
Zongjin is below Da Hengwen; the meridians of the fingers all converge here. The meridians of the middle four fingers also converge here.
Neijianshi is approximately one cun below Zongjin, also known as Neiguan Hou.
Tianhe is below Neijianshi, going straight from Zongjin to Quchi.
Quchi (LI11) is in the elbow bend, also known as Hongchi.
Jingqu (LU8) is beside Fuxin, next to Neijianshi.
Lieque (LU7) is below Jingqu and beside Tianhe.
Yuji is in a small depression beside Yangchi, where the scattered meridians of the thumb are located.
San Guan is on the lateral side of the forearm.
Liu Fu is on the medial side of the forearm.
*(Acupoints on the Yin Palm [Volar Hand])*
Wailao Palace is in the center of the dorsum of the hand.
Hegu (LI4) is in the webbing between the bones of the thumb and index finger on the dorsum of the hand.
Weiling is in the bone gap to the right of Wailao Palace.
Xiangdao is in the bone gap to the left of Wailao Palace.
Yi Menmen is in the interdigital space below the index and middle fingers, above Weiling.
Er Menmen is in the interdigital space at the roots of the ring and little fingers.
Daling Position is at the carpal joint on the dorsum of the hand below Wailao.
*(Acupoints on the Yin Arm [Volar Forearm])*
Yiwofeng is on the volar forearm below Daling Position, opposite to Zongjin under the Yang Arm.
Yangchi (TE4) is below Waijianshi.
Waijianshi is below Yiwofeng, opposite to Neijianshi, also known as Waiguan Hou.
Jianjing (GB21) is in the depression of the shoulder.
Douzhou is at the prominent round bone outside the elbow bend.