心包络经穴歌
心包九穴天池近，天泉、曲泽、 门认。间使、内关逾大陵，劳宫、中冲中指尽。
天池（一名天会） 在乳后一寸，腋下三寸，着胁，直腋撅肋间。气府论注曰∶在乳后同身
寸之二寸。手厥阴足少阳之会。刺三分，灸三壮。
主治目KT KT 不明，头痛，胸胁烦满，咳逆，臂腋肿痛，四肢不举，上气，寒热疟，热病汗不出。
千金云∶治颈漏瘰 ，灸百壮。
百证赋云∶兼委阳穴，腋肿针而速散。
天泉（一名天湿） 在曲腋下去肩臂二寸，举臂取之。刺六分，灸三壮。一曰刺二分。
主治恶风寒，胸胁痛，支满咳逆，膺背胛臂间痛。
曲泽 在肘内廉横文陷中，筋内侧动脉，屈肘得之。手厥阴所入为合。刺三分，留七呼，灸三壮。
主治心痛善惊，身热烦渴，臂肘摇动掣痛不可伸，伤寒呕吐气逆。
百证赋云∶兼少商，治血虚口渴。
门 在掌后去腕五寸。手厥阴 。刺三分，灸五壮。
主治呕血衄血，心痛呕哕惊恐，神气不足，久痔。
间使 在掌后三寸，两筋间陷中。手厥阴所行为经。刺三分，留七呼，灸五壮。
主治伤寒结胸，心悬如饥，呕沫少气，中风气塞昏危不语，卒狂，胸中澹澹，恶风寒，霍
乱干呕，腋肿肘挛，卒心痛，多惊，咽中如鲠，妇人月水不调，小儿客忤久疟。可灸鬼邪，随年壮。
千金云∶干呕不止，所食即吐不停，灸三十壮。若四肢脉绝不至者，灸之便通。此法能
起死人。又法∶卒死，灸百息。又十三鬼穴云∶此名鬼路，针百邪癫狂，当在第九次下针。
神农经云∶治脾寒，寒热往来，浑身疮疥，灸七壮。
太乙歌云∶兼风池、环跳，治疟疾。又兼气海、中极、三里，刺小腹便 。
玉龙赋云∶治 疟。
百证赋云∶兼天鼎，治失音休迟。
灵光赋云∶兼水沟，治邪癫。
快捷方式云∶治热病频哕。
内关 在掌后，去腕二寸两筋间，与外关相对。手厥阴络，别走手少阳。刺五分，灸五壮。
主治中风失志，实则心暴痛，虚则心烦惕惕，面热目昏，支满肘挛，久疟不已，胸满肠
痛，实则泻之，生疮灸之。
神农经云∶治心疼腹胀，腹内诸疾，可灸七壮。
玉龙赋云∶合照海，能医腹疾之块。
席弘赋云∶兼公孙，治肚痛。
拦江赋云∶治伤寒太阴经四日者，先用照海、公孙，后用内关施治。
百证赋云∶兼建里，扫尽胸中之苦闷。
标幽赋云∶胸满腹痛，刺内关。
捷法云∶治胸满胃脘不快，伤寒中焦痞满，两胁刺痛，呕吐不已，脾胃气虚，心腹胀满，
胁肋下疼，心腹刺痛，痞块食 不散，人渐羸瘦，血块气瘕，脏腑虚寒，风壅气滞，大肠虚冷，
脱肛不收，大便艰难，用力脱肛，脏毒肿痛，便血不止，五痔五痫，口吐涎沫，心性呆痴，心惊
发狂，悲泣不已，不识亲疏，健忘错乱，言语不记，或歌或笑，神思不安，中风不省人事，心虚
胆寒，四体战掉。以上诸证，先以内关主治，后随证加各穴治之。
大陵 在掌后骨下横文中，两筋间陷中。手厥阴所注为 ，即原也。刺三分，留七呼，灸三壮。
主治热病汗不出，舌本痛，喘咳呕血，心悬如饥，善笑不休，头痛气短胸胁痛，惊恐悲泣
呕逆，喉痹口干目赤，肘臂挛痛，小便如血。
神农经云∶治胸中疼痛，胸前疮疥，可灸三壮。
千金云∶吐血呕逆，灸五十壮。又云∶凡卒患腰肿附骨痈疽，节肿游风热毒，此等疾但
初觉有异，即急灸之，从手掌后第一横文后两筋间，灸五壮立愈，患左灸右，患右灸左，当中
者两手俱灸。又十三鬼穴云∶此为鬼心，治百邪癫狂，在第四次下针。
玉龙赋云∶兼劳宫，疗心闷疮痍。又云∶合人中频泻，全去口气。又云∶合外关、支沟，治肚疼秘结。
劳宫（一名五里，一名掌中） 在掌中央动脉，屈无名指取之。手厥阴所溜为荥。刺二分，灸三壮。
主治中风悲笑不休，热病汗不出，胁痛不可转侧，吐衄噫逆，烦渴食不下，胸胁支满，口
中腥气，黄胆手痹，大小便血热痔。
千金云∶心中懊 痛，刺入五分补之。
玉龙赋云∶兼大陵，疗心闷疮痍。
灵光赋云∶治劳倦。
百证赋云∶兼后溪，可治三消黄胆。
通玄赋云∶能退胃翻心痛。
快捷方式云∶治忧噎。
一传癫狂灸此效。
中冲 在手中指端，去爪甲如韭叶陷中。手厥阴所出为井。刺一分，留三呼，灸一壮。
主治热病汗不出，头痛如破，身热如火，心痛烦满，舌强痛，中风不省人事。
神农经云∶治小儿夜啼多哭，灸一壮，炷如小麦。
百证赋云∶兼廉泉，堪攻舌下肿痛。
一云主神气不足失志。
乾坤生意云∶此为十井穴，凡国中风，暴仆昏沉，痰涎壅盛，不省人事，牙关紧闭，药水
不入，急以三棱针刺少商、商阳、中冲、关冲、少冲、少泽，使血气流通，乃起死回生急救之妙诀。
手厥阴心包经穴位歌诀
手厥阴心包经共有九个穴位：天池穴位置靠近胸部，天泉、曲泽、郄门（注：原文“门认”疑为“郄门”之误或通假，此处依标准穴位名译为郄门）依次排列。间使、内关穴位于大陵穴之上，劳宫、中冲穴则止于中指末端。
天池穴（又名天会穴） 位于乳头后方一寸，腋下三寸处，紧贴胁肋，处于腋窝直下肋骨间隙之间。《气府论》注解说：在乳头后方同身寸的两寸处。此穴是手厥阴心包经与足少阳胆经的交会穴。针刺深度三分，艾灸三壮。
主治目视不明，头痛，胸胁部烦闷胀满，咳嗽气逆，手臂及腋窝肿痛，四肢无法抬举，气机上逆，寒热往来及疟疾，热病无汗。
《千金方》记载：治疗颈部瘘管及瘰疬，可灸一百壮。
《百证赋》记载：配合委阳穴，针刺可迅速消散腋肿。
天泉穴（一名天湿穴） 位于曲腋下方，距离肩臂二寸处，需举起手臂时取穴。针刺六分，艾灸三壮。另一种说法是针刺二分。
主治恶风怕冷，胸胁疼痛，支撑感及胀满伴咳嗽气逆，胸前、背部及肩胛手臂间疼痛。
曲泽穴 位于肘内侧横纹凹陷处，筋的内侧动脉搏动处，屈肘时可取到。此为手厥阴心包经所入的合穴。针刺三分，留针七次呼吸的时间，艾灸三壮。
主治心痛且易受惊，身体发热烦躁口渴，手臂肘部摇动牵拉疼痛且无法伸展，伤寒引起的呕吐及气逆。
《百证赋》记载：配合少商穴，治疗血虚导致的口渴。
郄门穴 位于手掌后腕横纹上五寸处。属于手厥阴心包经的郄穴。针刺三分，艾灸五壮。
主治呕血、鼻出血，心痛、呕吐呃逆、惊恐，神气不足，久治不愈的痔疮。
间使穴 位于手掌后三寸，两筋之间的凹陷处。此为手厥阴心包经所行的经穴。针刺三分，留针七次呼吸的时间，艾灸五壮。
主治伤寒结胸证，心中空虚如饥饿感，呕吐涎沫、气短，中风导致的气机闭塞、昏迷不语，突然发狂，心胸动荡不安，恶风怕冷，霍乱干呕，腋肿肘部挛急，突发心痛，多惊悸，咽喉中有异物感，妇女月经不调，小儿客忤及久疟。可以艾灸以驱除邪祟，壮数随患者年龄而定。
《千金方》记载：干呕不止，吃下的食物随即吐出不停，可灸三十壮。如果四肢脉搏断绝不至，艾灸后可恢复通畅。此法能起死回生。又一种方法：对于猝死，灸至一百息。另外在十三鬼穴中称此穴为鬼路，用于针刺治疗各种邪气癫狂，应在第九次下针时选取。
《神农经》记载：治疗脾寒，寒热往来，全身疮疥，可灸七壮。
《太乙歌》记载：配合风池、环跳穴，治疗疟疾。又配合气海、中极、足三里穴，治疗小腹小便不利。
《玉龙赋》记载：治疗疟疾。
《百证赋》记载：配合天鼎穴，治疗失音不要迟疑。
《灵光赋》记载：配合水沟穴，治疗邪气癫狂。
《快捷方式》（注：可能指某针灸歌赋简称）记载：治疗热病频繁呃逆。
内关穴 位于手掌后，距离腕横纹二寸的两筋之间，与外关穴相对。此为手厥阴心包经的络穴，别走手少阳三焦经。针刺五分，艾灸五壮。
主治中风导致的神志丧失，实证表现为心脏突然剧痛，虚证表现为心烦心悸，面部发热眼睛昏花，胸胁支撑胀满肘部挛急，久疟不愈，胸满肠痛。实证用泻法，若患疮疡可用艾灸。
《神农经》记载：治疗心痛腹胀，腹内各种疾病，可灸七壮。
《玉龙赋》记载：配合照海穴，能治疗腹部的积块。
《席弘赋》记载：配合公孙穴，治疗腹痛。
《拦江赋》记载：治疗伤寒传入太阴经第四天的病症，先用照海、公孙穴，后用内关穴施治。
《百证赋》记载：配合建里穴，消除胸中的苦闷。
《标幽赋》记载：胸满腹痛，针刺内关穴。
《捷法》记载：治疗胸满胃脘不适，伤寒中焦痞满，两胁刺痛，呕吐不止，脾胃气虚，心腹胀满，胁肋下疼痛，心腹刺痛，痞块及食物不消化，人体逐渐消瘦，血块及气瘕，脏腑虚寒，风壅气滞，大肠虚冷，脱肛不收，大便艰难，用力排便致脱肛，脏毒肿痛，便血不止，五种痔疮及五种癫痫，口吐涎沫，心性呆痴，心惊发狂，悲伤哭泣不止，不认识亲疏关系，健忘错乱，言语记不住，或歌或笑，神思不安，中风不省人事，心虚胆寒，四肢颤抖。以上各种症状，先以内关穴为主治，随后根据症状加用其他穴位治疗。
大陵穴 位于手掌后腕骨下方的横纹中，两筋之间的凹陷处。此为手厥阴心包经所注的原穴。针刺三分，留针七次呼吸的时间，艾灸三壮。
主治热病无汗，舌根疼痛，气喘咳嗽呕血，心中空虚如饥饿感，喜笑不休，头痛气短胸胁痛，惊恐悲泣呕逆，喉痹口干目赤，肘臂挛痛，小便带血。
《神农经》记载：治疗胸中疼痛，胸前疮疥，可灸三壮。
《千金方》记载：吐血呕逆，灸五十壮。又说：凡是突然患上腰肿、附骨疽、关节肿胀游风热毒等病，只要初觉异常，立即紧急艾灸，从手掌后第一横纹后两筋之间，灸五壮即可立愈，患左灸右，患右灸左，正中患病则双手都灸。另外在十三鬼穴中称此穴为鬼心，治疗各种邪气癫狂，在第四次下针时选取。
《玉龙赋》记载：配合劳宫穴，治疗心闷疮痍。又说：配合人中穴频繁泻刺，完全去除口臭。又说：配合外关、支沟穴，治疗腹痛便秘。
劳宫穴（一名五里穴，一名掌中穴） 位于手掌中央动脉处，屈无名指时取穴。此为手厥阴心包经所溜的荥穴。针刺二分，艾灸三壮。
主治中风悲笑不休，热病无汗，胁痛不可转侧，吐血鼻衄呃逆，烦躁口渴饮食不下，胸胁支撑胀满，口中腥气，黄疸手部麻痹，大小便血及热痔。
《千金方》记载：心中懊憹疼痛，针刺入五分并施行补法。
《玉龙赋》记载：配合大陵穴，治疗心闷疮痍。
《灵光赋》记载：治疗劳倦。
《百证赋》记载：配合后溪穴，可治疗三消及黄疸。
《通玄赋》记载：能退除胃翻心痛。
《快捷方式》记载：治疗忧噎。
有一种说法：治疗癫狂灸此穴有效。
中冲穴 位于手中指指尖，距离指甲边缘如韭菜叶宽的凹陷处。此为手厥阴心包经所出的井穴。针刺一分，留针三次呼吸的时间，艾灸一壮。
主治热病无汗，头痛如破，身体发热如火，心痛烦满，舌强痛，中风不省人事。
《神农经》记载：治疗小儿夜啼多哭，灸一壮，艾炷如小麦大小。
《百证赋》记载：配合廉泉穴，可攻治舌下肿痛。
另一种说法主治神气不足导致的失志。
《乾坤生意》记载：此为十井穴之一，凡遇中风，突然仆倒昏迷，痰涎壅盛，不省人事，牙关紧闭，药水无法进入，急需以三棱针刺少商、商阳、中冲、关冲、少冲、少泽穴，使气血流通，这是起死回生的急救妙诀。
Song of Acupoints on the Pericardium Meridian of Hand-Jueyin
The Pericardium Meridian of Hand-Jueyin has nine acupoints: Tianchi (Chest Pool) is located near the chest; Tianquan (Heavenly Spring), Quze (Curved Marsh), and Ximen (Door of the Xi-cleft) follow in sequence. Jianshi (Intercourse with Spirit) and Neiguan (Inner Pass) are above Daling (Great Palace); Laogong (Palace of Labor) and Zhongchong (Central Rush) end at the tip of the middle finger.
Tianchi (also known as Tianhui) Located one cun behind the nipple, three cun below the axilla, adhering to the costal region, directly between the ribs under the axillary fossa. The commentary on *Qifu Lun* states: two cun behind the nipple using the same-body-inch method. This point is an intersection of the Pericardium Meridian of Hand-Jueyin and the Gallbladder Meridian of Foot-Shaoyang. Puncture 0.3 cun, moxibustion three moxa cones.
Indications: Blurred vision, headache, irritability and fullness in the chest and hypochondrium, cough with counterflow qi, swelling and pain in the arm and axilla, inability to lift the four limbs, ascending qi, alternating chills and fever, malaria, heat diseases without sweating.
*Qianjin Fang* records: Treats neck fistulas and scrofula, moxibustion hundred moxa cones.
*Bai Zheng Fu* records: Combined with Weiyang (BL39), acupuncture rapidly disperses axillary swelling.
Tianquan Also known as Tianshi. Located two cun below the curved axilla from the shoulder-arm, taken when raising the arm. Puncture 0.6 cun, moxibustion three moxa cones. Another source says puncture 0.2 cun.
Indications: Aversion to wind and cold, pain in the chest and hypochondrium, distending fullness with cough and counterflow qi, pain in the chest, back, scapula, and arm.
Quze Located in the depression of the transverse cubital crease on the medial side of the elbow, lateral to the tendon where the artery beats, obtained by flexing the elbow. This is the He-Sea point where the Pericardium Meridian of Hand-Jueyin enters. Puncture 0.3 cun, retain for seven breaths, moxibustion three moxa cones.
Indications: Heart pain with susceptibility to fright, body heat with irritability and thirst, shaking and pulling pain in the arm and elbow that cannot be extended, vomiting and counterflow qi due to Cold Damage (Shanghan).
*Bai Zheng Fu* records: Combined with Shaoshang (LU11), treats thirst due to Blood deficiency.
Ximen Located five cun proximal to the wrist crease on the palm. It is the Xi-Cleft point of the Pericardium Meridian of Hand-Jueyin. Puncture 0.3 cun, moxibustion five moxa cones.
Indications: Hematemesis, epistaxis, heart pain, vomiting and hiccups, fright, insufficiency of Shen-Qi, chronic hemorrhoids.
Jianshi Located three cun proximal to the wrist crease, in the depression between the two tendons. This is the Jing-River point where the Pericardium Meridian of Hand-Jueyin flows. Puncture 0.3 cun, retain for seven breaths, moxibustion five moxa cones.
Indications: Chest binding syndrome due to Cold Damage, sensation of hunger in the heart, vomiting of saliva, shortness of qi, stroke causing qi blockage, coma, muteness, sudden mania, palpitations, aversion to wind and cold, cholera with dry heaving, axillary swelling and elbow contracture, sudden heart pain, frequent fright, sensation of a foreign body in the throat, irregular menstruation in women, infantile fright, and chronic malaria. Moxibustion can be used to expel evil spirits, with the number of cones based on the patient's age.
*Qianjin Fang* records: For persistent dry heaving and immediate vomiting of ingested food, moxibustion thirty moxa cones. If the pulses in the four limbs are absent, moxibustion restores them. This method can revive the dead. Another method: For sudden death, moxibustion until one hundred breaths are completed. In the Thirteen Ghost Points, this point is named Guilu (Ghost Road), used for acupuncture to treat various evils and mania, and should needled at the ninth step.
*Shennong Jing* records: Treats Spleen cold, alternating chills and fever, generalized sores and scabies, moxibustion seven moxa cones.
*Taiyi Ge* records: Combined with Fengchi (GB20) and Huantiao (GB30), treats malaria. Combined with Qihai (CV6), Zhongji (CV3), and Zusanli (ST36), treats lower abdominal difficulty in urination.
*Yulong Fu* records: Treats malaria.
*Bai Zheng Fu* records: Combined with Tianding (SI16), do not delay in treating aphonia.
*Lingguang Fu* records: Combined with Shuigou (GV26), treats evil-induced mania.
*Kuaijie Fang* records: Treats frequent hiccups due to heat diseases.
Neiguan Located on the posterior aspect of the palm, two cun proximal to the wrist crease between the two tendons, opposite Waiguan. This is the Luo-Connecting point of the Pericardium Meridian of Hand-Jueyin, diverging to the Sanjiao Meridian of Hand-Taiyang. Puncture 0.5 cun, moxibustion five moxa cones.
Indications: Stroke with loss of will/mind, excess patterns manifesting as sudden severe heart pain, deficiency patterns manifesting as mental restlessness and palpitations, facial heat and blurred vision, distending fullness and elbow contracture, chronic malaria, chest fullness and intestinal pain. Excess patterns are treated with draining; sores are treated with moxibustion.
*Shennong Jing* records: Treats heart pain, abdominal distension, and various internal abdominal diseases, moxibustion seven moxa cones.
*Yulong Fu* records: Combined with Zhaohai (KI6), it can treat abdominal masses.
*Xihong Fu* records: Combined with Gongsun (SP4), treats abdominal pain.
*Lanjiang Fu* records: For Cold Damage affecting the Taiyin Meridian on the fourth day, first use Zhaohai and Gongsun, then apply Neiguan.
*Bai Zheng Fu* records: Combined with Jianli (CV11), sweeps away bitterness and oppression in the chest.
*Biao You Fu* records: For chest fullness and abdominal pain, needle Neiguan.
*Jiefang* records: Treats chest fullness and epigastric discomfort, Middle Jiao obstruction due to Cold Damage, stabbing pain in both hypochondria, incessant vomiting, Spleen and Stomach Qi deficiency, heart and abdominal distension, pain below the ribs and hypochondria, stabbing pain in the heart and abdomen, obstructive masses and undigested food, gradual emaciation, blood stasis and Qi masses, visceral cold-deficiency, wind-phlegm qi stagnation, large intestine cold-deficiency, rectal prolapse, difficult defecation, rectal prolapse due to straining, intestinal toxin swelling and pain, continuous hematochezia, five types of hemorrhoids and epilepsy, spitting of saliva, mental dullness, heart fright and mania, incessant weeping, failure to recognize kin, forgetfulness and confusion, inability to recall speech, singing or laughing, unsettled Shen, stroke with unconsciousness, heart deficiency and gallbladder fear, trembling of the four limbs. For all the above symptoms, first treat with Neiguan, then add other points according to the specific condition.
Daling Located in the transverse crease of the wrist, in the depression between the two tendons beneath the carpal bones. This is the Yuan-Source point where the Pericardium Meridian of Hand-Jueyin pours. Puncture 0.3 cun, retain for seven breaths, moxibustion three moxa cones.
Indications: Heat disease without sweating, pain at the root of the tongue, asthma, cough, hematemesis, sensation of hunger in the heart, incessant laughter, headache, shortness of breath, chest and hypochondriac pain, fright, weeping, vomiting and counterflow qi, bi-syndrome of the throat, dry mouth, red eyes, elbow and arm contracture, hematuria.
*Shennong Jing* records: Treats chest pain and sores on the chest wall, moxibustion three moxa cones.
*Qianjin Fang* records: For hematemesis and vomiting/counterflow qi, moxibustion fifty moxa cones. It also states: For sudden onset of lumbar swelling, deep-seated abscesses, joint swelling, wandering wind-heat-toxin, if any abnormality is felt initially, urgently moxibustion immediately. From the first transverse crease of the palm, between the two tendons posteriorly, moxibustion five moxa cones for immediate cure. Treat left side by needling right, right side by needling left, and central cases by needling both hands. In the Thirteen Ghost Points, this point is named Guixin (Ghost Heart), treating various evils and mania, needled at the fourth step.
*Yulong Fu* records: Combined with Laogong (PC8), treats heart oppression and sores. It also states: Combined with Renzhong (GV26) with frequent draining, completely removes bad breath. It also states: Combined with Waiguan (TE5) and Zhigou (TE6), treats abdominal pain and constipation.
Laogong (Also known as Wuli, Zhangzhong) Located at the arterial pulse in the center of the palm, taken by flexing the ring finger. This is the Ying-Spring point where the Pericardium Meridian of Hand-Jueyin flows. Puncture 0.2 cun, moxibustion three moxa cones.
Indications: Stroke with incessant weeping and laughing, heat disease without sweating, hypochondriac pain preventing turning, hematemesis, epistaxis, hiccups, irritability, thirst, inability to eat, distending fullness in the chest and hypochondria, fishy odor in the mouth, jaundice, hand numbness, hematochezia and hematuria due to heat, and hot hemorrhoids.
*Qianjin Fang* records: For inner restlessness and pain in the heart, puncture 0.5 cun and apply tonification.
*Yulong Fu* records: Combined with Daling (PC7), treats heart oppression and sores.
*Lingguang Fu* records: Treats fatigue from overwork.
*Bai Zheng Fu* records: Combined with Houxi (SI3), can treat Sanxiao (Three Consumptions) and jaundice.
*Tongxuan Fu* records: Can resolve stomach reversal and heart pain.
*Kuaijie Fang* records: Treats憂噎 (worry and dysphagia).
One transmission states: Moxibustion on this point is effective for treating mania.
Zhongchong Located at the tip of the middle finger of the hand, in the depression about the width of a leek leaf from the nail. This is the Jing-Well point where the Pericardium Meridian of Hand-Jueyin exits. Puncture 0.1 cun, retain for three breaths, moxibustion one moxa cone.
Indications: Heat disease without sweating, headache as if splitting, body heat like fire, heart pain with irritability and fullness, stiff and painful tongue, stroke with unconsciousness.
*Shennong Jing* records: Treats night crying and excessive weeping in infants, moxibustion one moxa cone, cone size like a wheat grain.
*Bai Zheng Fu* records: Combined with Lianquan (CV23), can attack swelling and pain under the tongue.
Another source states it indicates insufficiency of Shen-Qi leading to loss of will.
*Qiankun Shengyi* records: This is one of the Ten Jing-Well points. In cases of stroke, sudden collapse and coma, profuse phlegm-saliva, unconsciousness, locked jaw, inability to take medicine/water, urgently prick Shaoshang (LU11), Shangyang (LI1), Zhongchong (PC9), Guanchong (TE1), Shaochong (HT9), and Shaoze (SI1) with a three-edged needle to promote circulation of Qi and Blood. This is the wonderful secret for emergency resuscitation.