璇玑 在天突下一寸陷中,仰而取之。刺三分,灸五壮。
主治胸胁满,咳逆上气,喘不能言,喉痹咽肿,水饮不下。
玉龙赋云∶兼气海,治 羸喘促。
席弘赋云∶治胃中有积,兼三里功多。
百证赋云∶兼神藏,治膈满项强已试。
天突(一名玉户) 在结喉下三寸宛宛中。阴维任脉之会。刺五分,留三呼,灸三壮。甲乙
经曰∶低头取之,刺入一寸。
主治上气哮喘咳嗽,喉痹五噎,肺痈吐咯脓血,咽肿暴喑,身寒热,咽干舌下急,不得下食。
神农经云∶治气喘咳嗽,可灸七壮。
玉龙赋云∶兼膻中,医咳嗽。
灵光赋云∶治喘痰。
百证赋云∶兼肺俞,治咳嗽连声。
千金云∶治上气气闷,咽塞声坏,灸五十壮。
廉泉(一名本池,一名舌本) 在颔下结喉上中央舌本下,仰而取之。阴维任脉之会。按刺疟
篇所载曰∶舌下两脉者,廉泉也。气府论曰∶足少阴舌下各一。卫气篇曰∶足少阴之标,在
背与舌下两脉。然则廉泉非一穴,当是舌根下之左右泉脉,而且为足少阴之会也。刺三分,留三呼,灸三壮。
主治咳嗽喘息上气,吐沫舌纵,舌下肿难言,舌根急缩不食,涎退场门疮。
百证赋云∶兼中冲,堪攻舌下肿痛。
承浆(一名天池,一名悬浆) 在颐前下唇棱下陷中。足阳明任脉之会。刺二分,留五呼,灸三壮。
主治偏风半身不遂,口眼 斜,口噤不开,暴喑不能言,刺三分,徐徐引气而出,及治任
之为病,其苦内结,男子为七疝,女子为瘕聚。一云疗偏风口 面肿,消渴饮水不休,口齿疳蚀生疮,
灸之亦佳,日可七壮,至七七壮止,即血脉宣通,其风应时立愈,艾炷不必大,但令当脉,即能愈疾。
千金云∶小儿唇紧,灸三壮。又云∶凡哕令人惋恨,灸七壮,炷如小麦。又十三鬼穴云∶此名鬼市,治百邪癫狂,
当在第八次下针。
百证赋云∶泻牙疼而即移。
通玄赋云∶治头项强。
璇玑穴位于天突穴下方一寸处的凹陷中,取穴时宜仰卧。针刺深度三分,艾灸五壮。
主治胸胁部胀满,气逆咳嗽,气喘严重至无法言语,喉痹咽肿,饮水难以下咽。
《玉龙赋》记载:配合气海穴,可治疗身体消瘦、喘息急促。
《席弘赋》记载:治疗胃中有积滞,配合足三里穴功效显著。
《百证赋》记载:配合神藏穴,治疗膈部胀满、项部强直,此法已验证有效。
天突穴(又名玉户)位于结喉下方三寸的凹陷处。为阴维脉与任脉交会穴。针刺五分,留针三次呼吸的时间,艾灸三壮。《甲乙经》记载:低头取穴,针刺入一寸。
主治上气哮喘咳嗽,喉痹及五噎,肺痈咳吐脓血,咽喉肿痛突发失音,身体寒热交替,咽干舌下拘急,不能进食。
《神农经》记载:治疗气喘咳嗽,可艾灸七壮。
《玉龙赋》记载:配合膻中穴,医治咳嗽。
《灵光赋》记载:治疗喘促痰多。
《百证赋》记载:配合肺俞穴,治疗连续不断的咳嗽。
《千金方》记载:治疗上气胸闷,咽喉堵塞声音嘶哑,艾灸五十壮。
廉泉穴(又名本池,又名舌本)位于下颌结喉上方中央舌根之下,取穴时宜仰卧。为阴维脉与任脉交会穴。按《刺疟篇》所载:“舌下两旁的脉络”,即是廉泉。《气府论》记载:“足少阴肾经在舌下各有一穴”。《卫气篇》记载:“足少阴肾经的标部,在背部和舌下两旁的脉络”。既然如此,那么廉泉并非只有一个穴位,应当是舌根下方的左右两侧泉脉,并且是足少阴肾经的交会穴。针刺三分,留针三次呼吸的时间,艾灸三壮。
主治咳嗽喘息气逆,吐唾沫、舌体松弛或卷缩,舌下肿胀难以言语,舌根拘急缩短导致不能进食,以及涎水退去后出现的口疮。
《百证赋》记载:配合中冲穴,可以攻治舌下肿痛。
承浆穴(又名天池,又名悬浆)位于颏前下唇棱下方的凹陷中。为足阳明胃经与任脉交会穴。针刺二分,留针五次呼吸的时间,艾灸三壮。
主治偏风导致的半身不遂,口眼歪斜,牙关紧闭不能张开,突发失音不能言语,针刺三分,徐徐引导气机外出;以及治疗任脉为病,其痛苦在于内部结聚,男子表现为七疝,女子表现为瘕聚。另一种说法认为治疗偏风口眼歪斜面部肿胀,消渴饮水不止,口齿疳蚀生疮,艾灸效果也很好,每日可灸七壮,直至四十九壮为止,即可血脉宣通,风邪随即立愈,艾炷不必过大,只要对准经脉穴位,就能治愈疾病。
《千金方》记载:小儿嘴唇紧缩,艾灸三壮。又记载:凡是呃逆令人心中烦闷怨恨,艾灸七壮,艾炷如小麦大小。另外十三鬼穴中称此穴为“鬼市”,治疗各种邪气引起的癫狂,应当在第八次下针时选取。
《百证赋》记载:泻此穴可立即缓解牙痛并转移病势。
《通玄赋》记载:治疗头项强直。
Xuanji (CV21) is located in the depression one cun below Tiantu (CV22). It should be accessed with the patient in a supine position. The needle insertion depth is 0.3 cun, and moxibustion consists of five moxa cones.
Indications include fullness in the chest and hypochondrium, cough with rebellious Qi, asthma so severe that speech is impossible, throat obstruction with swelling, and difficulty swallowing fluids.
The *Yulong Fu* states: When combined with Qihai (CV6), it treats emaciation and rapid panting.
The *Xi Hong Fu* states: For treating accumulation in the stomach, its efficacy is greatly enhanced when combined with Zusanli (ST36).
The *Baizheng Fu* states: When combined with Shencang (BL45), it effectively treats fullness in the diaphragm and stiffness of the neck.
Tiantu (CV22), also known as Yuhu, is located in the depression three cun below the laryngeal prominence. It is the meeting point of the Yin Linking Vessel (Yinwei Mai) and the Conception Vessel (Ren Mai). The needle insertion depth is 0.5 cun; retain the needle for three breaths, and apply three moxa cones. The *Jia Yi Jing* states: Access the point with the head lowered, inserting the needle one cun deep.
Indications include rebellious Qi, asthma, cough, throat obstruction, the "Five Chokes" (Wuye), lung abscess with expectoration of pus and blood, acute sore throat with loss of voice, alternating chills and fever, dry throat with tension under the tongue, and inability to eat.
The *Shennong Jing* states: It treats asthma and cough; seven moxa cones may be applied.
The *Yulong Fu* states: When combined with Danzhong (CV17), it treats cough.
The *Lingguang Fu* states: It treats asthma with phlegm.
The *Baizheng Fu* states: When combined with Feishu (BL13), it treats continuous coughing.
The *Qianjin Fang* states: It treats rebellious Qi with chest oppression, blocked throat, and hoarseness; fifty moxa cones may be applied.
Lianquan (CV23), also known as Benchi or Sheben, is located in the center above the laryngeal prominence and below the root of the tongue on the mandible. It should be accessed with the patient in a supine position. It is the meeting point of the Yin Linking Vessel (Yinwei Mai) and the Conception Vessel (Ren Mai). According to the *Cinema Pian* chapter on Malaria Needling: "The vessels on both sides under the tongue" refer to Lianquan. The *Qifu Lun* states: "One acupoint on each side under the tongue belonging to the Foot-Shaoyin Kidney Meridian." The *Weiqi Pian* states: "The biao (marking) of the Foot-Shaoyin lies in the back and the vessels on both sides under the tongue." Therefore, Lianquan is not a single point but refers to the left and right vessel points at the base of the tongue, which are also the meeting points of the Foot-Shaoyin Kidney Meridian. The needle insertion depth is 0.3 cun; retain the needle for three breaths, and apply three moxa cones.
Indications include cough, wheezing, and rebellious Qi; spitting saliva; flaccid or protruding tongue; swollen tongue making speech difficult; retracted tongue root leading to anorexia; and mouth ulcers resulting from the retreat of saliva.
The *Baizheng Fu* states: When combined with Zhongchong (PC9), it can treat swelling and pain under the tongue.
Chengjiang (CV24), also known as Tianchi or Xuanjiang, is located in the depression anterior to the chin and below the lower lip ridge. It is the meeting point of the Foot-Yangming Stomach Meridian and the Conception Vessel (Ren Mai). The needle insertion depth is 0.2 cun; retain the needle for five breaths, and apply three moxa cones.
Indications include hemiplegia due to wind-stroke, deviation of the mouth and eye, trismus (lockjaw), acute loss of voice. Insert the needle 0.3 cun and slowly guide the Qi outwards. It also treats diseases of the Conception Vessel, characterized by internal knotting of suffering: in men, it manifests as the Seven Hernias (Qishi); in women, as masses (Jiaju). Another view holds that it treats facial swelling from wind-stroke deviation, excessive thirst and drinking in Xiao-ke (wasting-thirst syndrome), and mouth/tooth canker sores. Moxibustion is also beneficial: seven cones daily up to forty-nine cones will promote blood and vessel circulation, causing the wind pathogen to disperse immediately. The moxa cone need not be large; as long as it targets the vessel, the disease will be cured.
The *Qianjin Fang* states: For infants with tight lips, apply three moxa cones. It further states: For hiccups causing distress, apply seven moxa cones the size of a wheat grain. Additionally, in the Thirteen Ghost Acupoints system, this point is named Guishi (Ghost Market) and treats various pathogens causing mania and epilepsy; it should be needled during the eighth step.
The *Baizheng Fu* states: Reducing this point relieves toothache and shifts the pathological process.
The *Tongxuan Fu* states: It treats stiffness of the head and neck.