大肠经穴歌
手阳明穴起商阳,二间、三间、合谷藏。阳溪、偏历历温溜,下廉、上廉、三里长。曲池、
肘迎五里,臂 、肩 、巨骨起。天鼎、扶突接禾 ,终以迎香二十止。
商阳(一名绝阳) 在手食指内侧,去爪甲角如韭叶。手阳明所出为井。刺一分,留一呼,灸三壮。
主治胸中气满喘咳,热病汗不出,耳鸣耳聋,寒热 疟,口干颐肿,齿痛目盲,恶寒,肩
背肢臂肿痛相引缺盆中痛。灸三壮,左取右,右取左,如食顷立已。
百证赋云∶兼太溪,治寒疟有验。
乾坤生意云∶此为十井穴,凡国中风跌倒,卒暴昏沉,痰盛不省人事,牙关紧闭,药水不
下,急以三棱针刺此穴及少商、中冲、少冲,使血气流通,乃急救回生之妙穴。
二间(一名间谷) 在食指本节前内侧陷中。手阳明所溜为荥。刺三分,留六呼,灸三壮。
主治颔肿喉痹,肩背 痛,鼽衄齿痛,目黄口干,口眼歪斜,饮食不通,振寒伤寒水结。
玉龙赋云∶治牙疼妙。
席弘赋云∶兼阳溪,治牙疼腰痛咽痹。
百证赋云∶兼阴 ,能疏通寒栗恶寒。
通玄赋云∶治目昏不见。
天星秘诀云∶兼三里,治牙疼头痛喉痹。
三间(一名少谷) 在食指本节后,内侧陷中。手阳明所注为 。刺三分,留三呼,灸二壮。
主治鼽衄热病,喉痹咽中如梗,下齿龋痛,嗜卧,胸腹满,肠鸣洞泄,寒热疟,唇焦口干,
气喘目 痛,善惊,寒热结水多唾。
席弘赋云∶兼肾俞,善除背痛风劳。
百证赋云∶兼攒竹,治目中之漠漠。
快捷方式云∶治身热气喘,口干目急。
合谷(一名虎口) 在手大指次指岐骨间陷中。手阳明所过为原。刺三分,留六呼,灸三壮。
主治伤寒大渴,脉浮在表,发热恶寒,头痛脊强,风疹,寒热 疟,热病汗不出,偏正头
痛,面肿目翳,唇吻不收,喑不能言,口噤不开,腰脊引痛痿 ,小儿乳蛾。一云∶能下死胎。
妇人妊娠,补合谷,即堕胎。千金云∶产后脉绝不还,刺合谷入三分,急补之。
神农经云∶治鼻衄目痛不明,牙疼喉痹疥疮,可灸三壮至七壮。
拦江赋云∶伤寒无汗,泻合谷,补复溜;若汗多不止,便补合谷,泻复溜,神效。
席弘赋云∶兼太冲,治手连肩脊痛难忍。又兼曲池,治两手不如意。又云∶睛明治眼若
未效,合谷、光明不可缺。又云∶冷嗽先宜补合谷,又须针泻三阴交。
百证赋云∶兼天府,治鼻衄。
天星秘诀云∶兼三阴交,治脾病血气。又云∶兼内庭,治寒疟面肿及肠鸣。
四总穴云∶面口合谷收。
千金十一穴云∶曲池兼合谷,可彻头疼。
马丹阳天星十二穴云∶头疼并面肿,疟病热还寒,体热身汗出,目暗视茫然,齿龋鼻衄
血,口噤不开言,针入五分深,能令病自安。
阳溪(一名中魁)在手腕中上侧,两筋间陷中。手阳明所行为经。刺三分,留七呼,灸三壮。
主治狂言喜笑见鬼,热病烦心,掌中热,汗不出,目赤烂翳,厥逆头痛,胸满不得息,寒
热痰疟呕沫,喉痹耳鸣齿痛,惊掣肘臂不举,痂疥。
席弘赋云∶兼二间,治牙疼腰痛喉痹。
百证赋云∶兼解溪,治惊悸怔忡。又云∶兼肩 ,能消瘾风之热极。
偏历 在手腕后三寸,手阳明络,别走太阴。刺三分,留七呼,灸三壮。
主治 疟寒热,癫疾多言,目视KT KT ,耳鸣喉痹,口 咽干,鼻衄齿痛,汗不出。
标幽赋云∶刺偏历利小便,治大人水蛊。
温溜(一名逆注,一名蛇头) 在手腕后,小士五寸,大士六寸。(大士小士,谓大人小儿也。)明堂云∶
腕后五寸、六寸间。手阳明 。刺三分,灸三壮。
主治伤寒哕逆,噫隔气闭,寒热头痛,喜笑狂言见鬼,吐沫,口舌肿痛,喉痹面虚肿,肠
鸣腹痛,四肢肿疼,肩不得举。
百证赋云∶兼期门,治伤寒项强。
下廉 在曲池下四寸,辅骨下,去上廉一寸,辅兑肉其分外斜。刺五分,留五呼,灸三壮。
主治劳瘵狂言,头风痹痛,飧泄,小腹满,小便血,小肠气,面无颜色, 癖腹痛不可忍,
食不化,气喘涎出,乳痈。此穴主泻胃中之热,与气冲、三里、巨虚上廉治同。
上廉 在三里下一寸,曲池下三寸,其分独抵阳明之会外斜。刺五分,灸五壮。
主治脑风头痛,胸痛喘息,半身不遂,肠鸣小便涩,大肠气滞,手足不仁。此穴主泻胃
中之热,与气冲、三里、巨虚下廉治同。
三里(一名手三里) 在曲池下二寸,兑肉之端,按之肉起。刺三分,灸三壮。
主治中风口僻,手足不随,五劳虚乏羸瘦,霍乱遗失,失音,齿痛颊肿,瘰 ,手痹不仁。
席弘赋云∶此穴治腰背痛,连脐不休,下针麻重须泻,得气不用留。又云∶手足上下针
三里,食癖气块凭此取。
百证赋云∶兼少海,治手臂麻顽。
通玄赋云∶专治肩背痛。
曲池 在肘外辅骨,屈肘曲骨之中,以手拱胸取之。手阳明所入为合。刺七分,留七
呼,灸三壮,一云百壮。
主治伤寒振寒,余热不尽,胸中烦满热渴,目眩耳痛,瘰 喉痹不能言,螈 癫疾,绕踝
风,手臂红肿,肘中痛,偏风半身不遂,风邪泣出,臂膊痛,筋缓无力,屈伸不便,皮肤干燥痂
疥,妇人经脉不通。
神农经云∶治手肘臂膊疼细无力,半身不遂,发热,胸前烦满,可灸十四壮。
玉龙赋云∶兼人中,可治痿仆。兼尺泽,治肘痛。
标幽赋云∶兼肩井,甄权刺臂痛而复射。
百证赋云∶远达阳陵,治半身不遂。又云∶兼少冲,治发热验。
席弘赋云∶兼合谷,治两手不如意。
千金云∶治瘿恶气诸瘾疹,灸随年壮。又十三鬼穴,此名鬼臣,若遇百邪癫狂,当于第十二次,下火针。
千金十一穴云∶此与合谷可彻头疼。
秦承祖明堂云∶主大人小儿遍身风疹痂疥。
马丹阳天星十二穴云∶善治肘中痛,偏风手不收,挽弓开不得,臂痪莫梳头,喉痹促欲
死,发热更无休,遍身风癣癞,针着实时瘳。
肘 在肘大骨外廉陷中,与天井相并,相去一寸四分。刺三分,灸三壮。
主治肘节风痹,臂痛不举,麻木不仁,嗜卧。
五里 在肘上三寸,行向里大脉中央。一云在天府下五寸。禁刺,灸三壮,一曰十壮。玉版篇曰∶迎之
五里,中道而止,五至而已,五往而脏之气尽矣。小针解曰∶夺阴者死,言取尺之五里五往者也。皆谓此穴。
主治风劳惊恐,吐血咳嗽,嗜卧,肘臂疼痛难动,胀满气逆,寒热瘰 ,目视KT KT , 疟。
百证赋云∶兼臂 ,能愈瘰 。
臂 在肘上七寸, 肉端,肩 下一寸,两筋两骨罅宛宛陷中,平手取之。手阳明络
也,络手少阳之 会。一曰手足太阳阳维之会。刺三分,灸三壮。明堂禁刺,灸七壮。一曰灸至百壮。
主治臂痛无力,寒热瘰 ,颈项拘急。
千金云∶治瘿气,灸随年壮。
百证赋云∶兼五里,能愈瘰 。
肩 (一名中肩井,一名偏肩) 在膊骨头肩端上,两骨罅陷中,举臂取之有空。手太阳阳明阳
跷之会。一曰足少阳阳跷之会。刺六分,留六呼,灸三壮至七七壮,以瘥为度。
主治中风偏风半身不遂,肩臂筋骨酸痛不能上头,伤寒作热不已,劳气泄精憔悴,四肢
热,诸瘿气瘰 。昔有病风痹,臂痛无力,不能挽弓,甄权于此进针即可射。此穴若灸偏风
不遂,自七壮至七七壮止,不可过多,恐致臂细。若风病筋骨无力,久不瘥,当多灸,不畏细
也;然灸不如刺。忌酒肉五辛浆水。此穴主泻四肢之热,与云门、委中、腰俞治同。
千金云∶灸瘿气左右相当,男左十八、右十七壮,女右十八、左十七壮,再三,以瘥止。
玉龙赋云∶可疗风湿抟于两肩。
天星秘诀云∶手臂挛痛,取肩 。
百证赋云∶兼阳溪,能消瘾风之热极。
巨骨 在肩尖上行两叉骨间陷中。手阳明阳跷之会。刺一寸五分,灸三壮、五壮。一曰禁刺。
主治惊痫吐血,胸中有瘀血,臂痛不得屈伸。
天鼎 在颈中缺盆上,直扶突后一寸。甲乙经曰∶直扶突气舍后一寸五分。气府论注
曰∶在扶突后半寸。刺三分,灸三壮。
主治喉痹嗌肿不得食,暴喑气哽。
百证赋云∶兼间使,治失音。
扶突(一名水穴) 在颈,当曲颊下一寸。甲乙经曰∶在人迎后一寸五分,仰而取之。一云
气舍后一寸五分。由此上贯颊,入下齿中。刺四分,灸三壮。甲乙经曰∶刺三分。
主治咳嗽多唾,上气喘息,喉中如水鸡,暴喑气破项瘿。
禾 (一名长频) 直鼻孔下,夹水沟旁五分。刺三分,灸三壮。
主治尸厥口不可开,鼻疮息肉,鼻塞鼽衄。
灵光赋云∶刺两鼻HT 衄。
迎香(一名冲阳) 在禾 上一寸,鼻孔旁五分。手足阳明之会。刺三分,禁灸。
主治鼻塞不闻香臭, 肉多涕,有疮鼽衄,喘息不利,偏风 斜,浮肿,风动面痒,状如虫行。
玉龙赋云∶能消眼热之红。又攻鼻窒为最。
席弘赋云∶耳聋气痞针听会,更泻此穴。
手阳明大肠经穴位歌诀
手阳明大肠经的穴位起于商阳,接着是二间、三间,合谷穴在其中。阳溪、偏历、温溜依次排列,下廉、上廉、手三里延伸开来。曲池、肘髎、五里,臂臑、肩髃、巨骨相继而起。天鼎、扶突连接禾髎,最后以迎香穴结束,共计二十个穴位。
商阳穴(又名绝阳):位于手食指内侧指甲角旁,距离如韭菜叶宽。这是手阳明大肠经的井穴(经气初出之处)。针刺深度一分,留针时间为一呼的时间,艾灸三壮。主治胸中气满、气喘咳嗽,热病无汗,耳鸣耳聋,寒热往来及疟疾,口干、下颌肿胀,牙齿疼痛、视力模糊,恶寒,以及肩背、肢体手臂肿痛并牵引至缺盆穴处疼痛。艾灸三壮,采用左病右取、右病左取的交叉取穴法,大约一顿饭的时间即可痊愈。《百证赋》记载:配合太溪穴,治疗寒性疟疾有疗效。《乾坤生意》记载:此穴属于十井穴之一,凡是遇到中风跌倒,突然昏沉不省人事,痰多壅盛,牙关紧闭,无法喂药进水的情况,紧急时用三棱针刺此穴及少商、中冲、少冲穴,使气血流通,这是急救回生的妙穴。
二间穴(又名间谷):位于食指本节(掌指关节)前内侧的凹陷中。这是手阳明大肠经的荥穴(经气流动之处)。针刺深度三分,留针时间为六呼,艾灸三壮。主治下巴肿胀、喉痹(咽喉肿痛闭塞),肩背疼痛,鼻塞流涕及鼻出血、牙齿疼痛,目黄、口干,口眼歪斜,饮食难通,发冷战栗、伤寒水液停结。《玉龙赋》记载:治疗牙痛效果奇妙。《席弘赋》记载:配合阳溪穴,治疗牙痛、腰痛、喉痹。《百证赋》记载:配合阴郄穴,能疏通寒战恶寒的症状。《通玄指要赋》记载:治疗视力昏暗不明。《天星秘诀》记载:配合足三里穴,治疗牙痛、头痛、喉痹。
三间穴(又名少谷):位于食指本节后内侧的凹陷中。这是手阳明大肠经的输穴(经气灌注之处)。针刺深度三分,留针时间为三呼,艾灸二壮。主治鼻塞流涕及热病,喉痹咽中如有物梗阻,下齿龋齿疼痛,嗜睡,胸腹胀满,肠鸣洞泄(腹泻如水),寒热往来及疟疾,嘴唇焦干、口干,气喘、眼睛疼痛,易受惊吓,寒热交替、体内有水饮停聚且多唾沫。《席弘赋》记载:配合肾俞穴,善于消除背部痛风和劳损。《百证赋》记载:配合攒竹穴,治疗视物模糊不清。《快捷方式》记载:治疗身体发热、气喘、口干、眼睛急迫不适。
合谷穴(又名虎口):位于手拇指与食指两指歧骨间的凹陷中。这是手阳明大肠经的原穴(经气经过停留之处)。针刺深度三分,留针时间为六呼,艾灸三壮。主治伤寒大渴,脉浮在表,发热恶寒,头痛项强,风疹,寒热往来及疟疾,热病无汗,偏头痛或正头痛,面部肿胀、目生翳膜,口唇闭合不全,失音不能言语,牙关紧闭,腰脊牵引疼痛及痿证,小儿乳蛾(扁桃体肿大)。另一种说法:能促使死胎排出。妇女妊娠期间,若补刺合谷穴,会导致堕胎。《千金方》记载:产后脉搏微弱或不还,刺合谷穴入三分深,紧急施行补法。《神农经》记载:治疗鼻衄、目痛不明、牙疼、喉痹、疥疮,可艾灸三壮至七壮。《拦江赋》记载:伤寒无汗时,泻合谷穴,补复溜穴;若汗多不止,则补合谷穴,泻复溜穴,效果神妙。《席弘赋》记载:配合太冲穴,治疗手部连及肩脊剧烈疼痛。又配合曲池穴,治疗双手活动不便。又说:如果睛明穴治疗眼病无效,合谷穴和光明穴不可缺失。又说:冷嗽应先补合谷穴,同时必须针刺泻三阴交穴。《百证赋》记载:配合天府穴,治疗鼻衄。《天星秘诀》记载:配合三阴交穴,治疗脾脏血气病。又说:配合内庭穴,治疗寒性疟疾、面部肿胀及肠鸣。《四总穴歌》记载:面口合谷收(头面部的疾病可由合谷穴治疗)。《千金十一穴》记载:曲池配合合谷,可以彻治头痛。马丹阳天星十二穴歌诀记载:头疼并面部肿胀,疟疾寒热往来,身体发热出汗,眼睛昏暗视物茫然,牙齿龋坏鼻出血,牙关紧闭不能说话,针刺入五分深,能使病患自然安宁。
阳溪穴(又名中魁):位于手腕横纹上方外侧,两筋之间的凹陷中。这是手阳明大肠经的经穴(经气运行之处)。针刺深度三分,留针时间为七呼,艾灸三壮。主治狂言喜笑见鬼,热病心烦,手掌心发热,无汗,目赤烂眼及生翳膜,厥逆头痛,胸满呼吸困难,寒热痰疟呕吐泡沫,喉痹耳鸣牙齿疼痛,惊厥抽搐导致肘臂不能举起,痂疥。《席弘赋》记载:配合二间穴,治疗牙痛、腰痛、喉痹。《百证赋》记载:配合解溪穴,治疗惊悸怔忡。又说:配合肩髎穴,能消除瘾疹之极热。
偏历穴:位于手腕后三寸,为手阳明大肠经络穴,别走手太阴肺经。针刺深度三分,留针时间为七呼,艾灸三壮。主治寒热疟疾,癫疾多言,视物模糊不清,耳鸣喉痹,口燥咽干,鼻衄齿痛,无汗。《标幽赋》记载:针刺偏历穴有利小便的作用,治疗成人水蛊(腹水)。
温溜穴(又名逆注,又名蛇头):位于手腕后,普通人五寸,体胖者六寸。(大人小孩,指成年人与儿童。)《明堂》记载:腕后五寸、六寸之间。这是手阳明大肠经的郄穴(经气深聚之处)。针刺深度三分,艾灸三壮。主治伤寒呃逆,噫气膈气闭塞,寒热头痛,喜笑狂言见鬼,吐沫,口舌肿痛,喉痹面部虚肿,肠鸣腹痛,四肢肿痛,肩部不能举起。《百证赋》记载:配合期门穴,治疗伤寒项强。
下廉穴:位于曲池穴下四寸,辅骨下,距离上廉穴一寸,肌肉分界处向外斜行。针刺深度五分,留针时间为五呼,艾灸三壮。主治劳瘵(肺结核等慢性消耗性疾病)狂言,头风痹痛,完谷不化的泄泻,小腹胀满,尿血,小肠气,面色无华,癖积腹痛难以忍受,食物不消化,气喘涎出,乳痈。此穴主要清泻胃中之热,与气冲、足三里、上巨虚的治疗作用相同。
上廉穴:位于足三里下一寸,曲池下三寸,其经脉分支独自抵向阳明经会合处向外斜行。针刺深度五分,艾灸五壮。主治脑风头痛,胸痛喘息,半身不遂,肠鸣小便涩滞,大肠气滞,手足麻木不仁。此穴主要清泻胃中之热,与气冲、足三里、下巨虚的治疗作用相同。
三里穴(又名手三里):位于曲池下二寸,肌肉隆起端的末端,按压时肌肉隆起。针刺深度三分,艾灸三壮。主治中风口眼歪斜,手足不能随意运动,五劳虚乏消瘦,霍乱遗尿失禁,失音,牙齿疼痛脸颊肿胀,瘰疬,手部痹症麻木不仁。《席弘赋》记载:此穴治疗腰背痛,连及脐部不休止,下针感到麻重时必须泻法,得气后不用留针。又说:手足上下针刺三里穴,食癖气块凭此穴取治。《百证赋》记载:配合少海穴,治疗手臂麻木顽硬。《通玄指要赋》记载:专治肩背痛。
曲池穴:位于肘部外侧辅骨,屈肘时曲骨之中,以手拱胸姿势取穴。这是手阳明大肠经的合穴(经气汇入深处之处)。针刺深度七分,留针时间为七呼,艾灸三壮,另一种说法是一百壮。主治伤寒战栗,余热不尽,胸中烦闷胀满热渴,目眩耳痛,瘰疬喉痹不能言语,抽搐癫疾,绕踝风,手臂红肿,肘中疼痛,偏瘫半身不遂,风邪引起的皮肤湿润渗出,臂膊疼痛,筋缓无力,屈伸不便,皮肤干燥痂疥,妇人月经不通。《神农经》记载:治疗手肘臂膊疼痛细弱无力,半身不遂,发热,胸前烦闷胀满,可艾灸十四壮。《玉龙赋》记载:配合人中穴,可治疗痿证仆倒。配合尺泽穴,治疗肘痛。《标幽赋》记载:配合肩井穴,甄权曾针刺此穴治疗臂痛后又射箭(形容疗效显著)。《百证赋》记载:远达阳陵泉穴,治疗半身不遂。又说:配合少冲穴,治疗发热有效。《席弘赋》记载:配合合谷穴,治疗双手活动不便。《千金方》记载:治疗瘿气、恶气及各种瘾疹,艾灸随年龄而定壮数。又是十三鬼穴之一,名为鬼臣,如果遇到百邪癫狂,应当在第十二次施术时,使用火针。《千金十一穴》记载:此穴与合谷穴配合可彻治头痛。秦承祖《明堂》记载:主治大人小儿遍身风疹痂疥。马丹阳天星十二穴歌诀记载:善于治疗肘中疼痛,偏瘫手不能收,拉弓射不开,手臂瘫痪不能梳头,喉痹急促欲死,发热不停歇,遍身风癣癞,针刺着实时即愈。
肘髎穴:位于肘部大骨外廉凹陷中,与天井穴相并,相距一寸四分。针刺深度三分,艾灸三壮。主治肘节风痹,臂痛不能举起,麻木不仁,嗜睡。
五里穴:位于肘上三寸,行向里大脉中央。另一种说法在天府穴下五寸。禁止针刺,艾灸三壮,一说十壮。《玉版篇》记载:迎着经气刺五里穴,中途停止,五次而已,五次往复式针刺会使五脏之气耗尽。《小针解》记载:夺阴者死,说的是取尺泽附近的五里穴针刺五次的人。都是指这个穴位。主治风劳惊恐,吐血咳嗽,嗜睡,肘臂疼痛难动,胀满气逆,寒热瘰疬,视物模糊不清,寒热疟疾。《百证赋》记载:配合臂臑穴,能治愈瘰疬。
臂臑穴:位于肘上七寸,臑肉端,肩髎穴下一寸,两筋两骨缝隙宛宛凹陷中,平手取穴。这是手阳明大肠经络穴,络接手少阳三焦经的会穴。一说为手足太阳经及阳维脉的会穴。针刺深度三分,艾灸三壮。《明堂》记载禁止针刺,艾灸七壮,一说灸至一百壮。主治臂痛无力,寒热瘰疬,颈项拘急。《千金方》记载:治疗瘿气,艾灸随年龄而定壮数。《百证赋》记载:配合五里穴,能治愈瘰疬。
肩髃穴(又名中肩井,又名偏肩):位于膊骨头肩端上,两骨缝隙凹陷中,举臂取穴时有空隙。这是手太阳、手阳明、阳跷脉的会穴。一说为足少阳、阳跷脉的会穴。针刺深度六分,留针时间为六呼,艾灸三壮至七七壮,以病愈为度。主治中风偏瘫半身不遂,肩臂筋骨酸痛不能上举过头,伤寒发热不已,劳气泄精憔悴,四肢发热,各种瘿气瘰疬。过去有病风痹,臂痛无力,不能挽弓,甄权在此进针后即可射箭。此穴若灸治偏瘫不遂,从七壮至七七壮为止,不可过多,恐怕导致手臂变细。若是风病导致筋骨无力,久不痊愈,应当多灸,不必担心手臂变细;然而艾灸不如针刺。忌食酒肉及五辛浆水。此穴主要清泻四肢之热,与云门、委中、腰俞的治疗作用相同。《千金方》记载:灸治瘿气左右相当,男性左十八壮、右十七壮,女性右十八壮、左十七壮,再三次,以病愈为止。《玉龙赋》记载:可疗风湿搏结于两肩。《天星秘诀》记载:手臂挛痛,取肩髃穴。《百证赋》记载:配合阳溪穴,能消除瘾疹之极热。
巨骨穴:位于肩尖上行两叉骨间凹陷中。这是手阳明、阳跷脉的会穴。针刺深度一寸五分,艾灸三壮、五壮。一说禁止针刺。主治惊痫吐血,胸中有瘀血,臂痛不能屈伸。
天鼎穴:位于颈部缺盆上,直对扶突穴后一寸。《甲乙经》记载:直对扶突、气舍穴后一寸五分。《气府论注》记载:在扶突穴后半寸。针刺深度三分,艾灸三壮。主治喉痹咽喉肿胀不能进食,暴喑气哽。《百证赋》记载:配合间使穴,治疗失音。
扶突穴(一名水穴):位于颈部,当曲颊下一寸。《甲乙经》记载:在人迎穴后一寸五分,仰头取穴。一说在气舍穴后一寸五分。由此向上贯穿脸颊,进入下齿中。针刺深度四分,艾灸三壮。《甲乙经》记载:针刺三分。主治咳嗽多唾,上气喘息,喉中声音如水鸡叫,暴喑气破项瘿。
禾髎穴(一名长频):直对鼻孔下,夹水沟旁五分。针刺深度三分,艾灸三壮。主治尸厥口不可开,鼻疮息肉,鼻塞鼻出血。《灵光赋》记载:针刺两侧鼻翼旁的禾髎穴治疗鼻衄。
迎香穴(一名冲阳):位于禾髎穴上一寸,鼻孔旁五分。这是手阳明、足阳明经的会穴。针刺深度三分,禁止艾灸。主治鼻塞不闻香臭,息肉多涕,有疮鼻出血,喘息不利,偏风口眼歪斜,浮肿,风动面部瘙痒,状如虫行。《玉龙赋》记载:能消除眼热之红。又攻除鼻窒(鼻塞)最为有效。《席弘赋》记载:耳聋气痞针刺听会穴,再泻此穴(迎香)。
Song of Acupoints on the Hand-Yangming Large Intestine Meridian
The acupoints of the Hand-Yangming Large Intestine Meridian begin with Shangyang (LI 1), followed by Erjian (LI 2) and Sanjian (LI 3), with Hegu (LI 4) located within. Yangxi (LI 5), Pianli (LI 6), and Wenliu (LI 7) are arranged in sequence; Xialian (LI 8), Shanglian (LI 9), and Shousanli (LI 10) extend outward. Quchi (LI 11), Zhouli (LI 12), Wuli (LI 13), Bi'nao (LI 14), Jianyu (LI 15), and Jugu (LI 6) rise successively. Tianding (LI 16) and Futu (LI 18) connect to Heliao (LI 17), ending with Yingxiang (LI 20), totaling twenty acupoints.
Shangyang (LI 1) [also known as Jueyang]: Located on the radial side of the index finger, beside the corner of the nail, at a distance resembling the width of a leek leaf. This is the Jing-Well point (Jing-Well point: where the meridian qi first emerges) of the Hand-Yangming Large Intestine Meridian. Needle depth: 1 fen; retain needle for the duration of one exhalation; moxibustion: 3 zhu. Indications: Chest fullness, asthma, cough; febrile diseases with anhidrosis; tinnitus and deafness; alternating chills and fever, malaria; dry mouth, swelling of the mandible; toothache, blindness; aversion to cold; pain and swelling in the shoulder, back, limbs, and arms radiating to the Clavicle area (Quepen). Moxibustion: 3 zhu. Use cross-point selection (treat left side for right-sided disease, and vice versa); recovery occurs in approximately the time it takes to eat a meal. *Baizheng Fu* states: Combined with Taixi (KI 3), it treats cold-type malaria effectively. *Qiankun Shengyi* states: This belongs to the Ten Jing-Well points. In cases of stroke or sudden fall, sudden coma, profuse phlegm, unconsciousness, locked jaw, and inability to take medicine or water, urgently prick this point along with Shaoshang (LU 11), Zhongchong (PC 9), and Shaochong (HT 9) using a three-edged needle to promote blood and qi circulation. This is a miraculous point for emergency resuscitation.
Erjian (LI 2) [also known as Jianggu]: Located in the depression on the medial side anterior to the metacarpophalangeal joint of the index finger. This is the Ying-Spring point (Ying-Spring point: where the meridian qi flows like a spring) of the Hand-Yangming Large Intestine Meridian. Needle depth: 3 fen; retain needle for six exhalations; moxibustion: 3 zhu. Indications: Swelling of the chin, throat obstruction (Houbi - sore throat with difficulty swallowing); shoulder and back pain; rhinorrhea and epistaxis; toothache; yellow eyes, dry mouth; facial paralysis (mouth and eye deviation); difficulty eating; chills and shivering; cold damage with fluid retention. *Yulong Fu* states: Excellent for treating toothache. *Xi Hong Fu* states: Combined with Yangxi (LI 5), it treats toothache, lower back pain, and throat obstruction. *Baizheng Fu* states: Combined with Yinxi (HT 6), it can unblock chills and aversion to cold. *Tongxuan Zhiyao Fu* states: Treats dim vision. *Tianxing Mijue* states: Combined with Zusanli (ST 36), it treats toothache, headache, and throat obstruction.
Sanjian (LI 3) [also known as Shaogu]: Located in the depression on the medial side posterior to the metacarpophalangeal joint of the index finger. This is the Shu-Stream point (Shu-Stream point: where the meridian qi pours through) of the Hand-Yangming Large Intestine Meridian. Needle depth: 3 fen; retain needle for three exhalations; moxibustion: 2 zhu. Indications: Rhinorrhea and febrile diseases; throat obstruction with a sensation of obstruction in the throat; caries pain in the lower teeth; lethargy; chest and abdominal fullness; borborygmus and watery diarrhea; alternating chills and fever, malaria; cracked lips, dry mouth; asthma, eye pain; susceptibility to fright; alternating chills and fever with fluid retention and excessive salivation. *Xi Hong Fu* states: Combined with Shenshu (BL 23), it effectively eliminates back wind-dampness and consumptive disorders. *Baizheng Fu* states: Combined with Cuanzhu (BL 2), it treats blurry vision. *Kuaijie Fangshi* states: Treats body heat, asthma, dry mouth, and urgent eye discomfort.
Hegu (LI 4) [also known as Hukou]: Located in the depression between the metacarpal bones of the thumb and index finger. This is the Yuan-Source point (Yuan-Source point: where the meridian qi passes and stays) of the Hand-Yangming Large Intestine Meridian. Needle depth: 3 fen; retain needle for six exhalations; moxibustion: 3 zhu. Indications: Severe thirst in cold damage, floating pulse indicating exterior syndrome; fever and aversion to cold; headache and stiff neck; wind-rash; alternating chills and fever, malaria; febrile disease with anhidrosis; unilateral or bilateral headache; facial swelling, corneal opacity; inability to close lips; aphonia; locked jaw; pain in waist and spine radiating from flaccidity; pediatric tonsillar hypertrophy (Ru'e). Another view: It can expel a dead fetus. For pregnant women, tonifying Hegu (LI 4) causes abortion. *Qianjin Fang* states: If the pulse is absent or weak postpartum, needle Hegu (LI 4) to a depth of 3 fen and urgently apply tonification. *Shennong Jing* states: Treats epistaxis, blurred vision, toothache, throat obstruction, and scabies; moxibustion 3 to 7 zhu. *Lanjiang Fu* states: For cold damage with anhidrosis, reduce Hegu (LI 4) and tonify Fuliu (KI 7); if sweating is excessive, tonify Hegu (LI 4) and reduce Fuliu (KI 7), yielding miraculous effects. *Xi Hong Fu* states: Combined with Taichong (LR 3), it treats severe pain extending from the hand to the shoulder and spine. Also combined with Quchi (LI 11), it treats impaired movement of both hands. Furthermore, if Jingming (BL 1) is ineffective for eye diseases, Hegu (LI 4) and Guangming (GB 37) are indispensable. Additionally, for cold cough, first tonify Hegu (LI 4), and simultaneously needle and reduce Sanyinjiao (SP 6). *Baizheng Fu* states: Combined with Tianfu (LU 3), it treats epistaxis. *Tianxing Mijue* states: Combined with Sanyinjiao (SP 6), it treats spleen-related blood and qi disorders. Also combined with Neiting (ST 44), it treats cold-type malaria, facial swelling, and borborygmus. *Si Zong Xue Ge* states: "Face and mouth issues are gathered at Hegu." *Qianjin Shiyi Xue* states: Quchi (LI 11) combined with Hegu (LI 4) can thoroughly treat headaches. Ma Danyang's Twelve Tianxing Points Song states: Headache and facial swelling, malaria with alternating heat and cold, body heat and sweating, dim vision, dental caries and epistaxis, locked jaw preventing speech; needle to a depth of 5 fen, and the illness will naturally resolve.
Yangxi (LI 5) [also known as Zhongkui]: Located on the radial side of the wrist crease, in the depression between the two tendons. This is the Jing-River point (Jing-River point: where the meridian qi flows like a river) of the Hand-Yangming Large Intestine Meridian. Needle depth: 3 fen; retain needle for seven exhalations; moxibustion: 3 zhu. Indications: Manic talk, laughter, seeing ghosts; febrile disease with vexation; heat in the palm; anhidrosis; red, ulcerated eyes and corneal opacity; jue-pattern headache; chest fullness and dyspnea; cold-heat phlegm-malaria with vomiting of foam; throat obstruction, tinnitus, toothache; convulsions causing inability to raise the elbow and arm; crusts and scabies. *Xi Hong Fu* states: Combined with Erjian (LI 2), it treats toothache, lower back pain, and throat obstruction. *Baizheng Fu* states: Combined with Jiaoxi (SP 4), it treats palpitations and anxiety. Also, combined with Jianliao (TE 14), it eliminates extreme heat from urticaria.
Pianli (LI 6): Located 3 cun distal to the wrist crease; it is the Luo-Connecting point of the Hand-Yangming Large Intestine Meridian, diverging to the Hand-Taiyin Lung Meridian. Needle depth: 3 fen; retain needle for seven exhalations; moxibustion: 3 zhu. Indications: Cold-heat malaria, mania with excessive talking, blurred vision, tinnitus, throat obstruction, dry mouth and throat, epistaxis, toothache, anhidrosis. *Biaoyou Fu* states: Needling Pianli (LI 6) promotes urination and treats adult ascites (water gu).
Wenliu (LI 7) [also known as Nizhu, also known as She Tou]: Located on the forearm, 5 cun proximal to the wrist crease in average adults, 6 cun in robust adults. (*Mingtang* states: Between 5 and 6 cun proximal to the wrist crease.) This is the Xi-Cleft point (Xi-Cleft point: where the meridian qi gathers deeply) of the Hand-Yangming Large Intestine Meridian. Needle depth: 3 fen; moxibustion: 3 zhu. Indications: Hiccups in cold damage, belching and diaphragmatic Qi stagnation; cold-heat headache; manic talk, laughter, seeing ghosts; vomiting foam; swelling and pain of mouth and tongue; throat obstruction and facial edema; borborygmus and abdominal pain; swelling and pain in four limbs; inability to raise the shoulder. *Baizheng Fu* states: Combined with Qimen (LR 14), it treats stiff neck in cold damage.
Xialian (LI 8): Located 4 cun distal to Quchi (LI 11), below the lateral epicondyle of the humerus, 1 cun proximal to Shanglian (LI 9), diverging obliquely from the muscle boundary. Needle depth: 5 fen; retain needle for five exhalations; moxibustion: 3 zhu. Indications: Consumptive disorders with manic talk; headache and bi-syndrome; undigested stool diarrhea; lower abdominal fullness; hematuria; intestinal Qi disorder; pallor; painful abdominal masses; indigestion; asthma with salivation; mastitis. This point primarily clears heat from the Stomach, with indications similar to Qichong (ST 12), Zusanli (ST 36), and Shangjuxu (ST 37).
Shanglian (LI 9): Located 1 cun distal to Zusanli (ST 36), 3 cun distal to Quchi (LI 11), with its branch diverging obliquely to meet the Yangming Meridian. Needle depth: 5 fen; moxibustion: 5 zhu. Indications: Wind-headache, chest pain and asthma; hemiplegia; borborygmus and dysuria; Large Intestine Qi stagnation; numbness of hands and feet. This point primarily clears heat from the Stomach, with indications similar to Qichong (ST 12), Zusanli (ST 36), and Xiajuxu (ST 39).
Shousanli (LI 10) [also known as Sanli]: Located 2 cun distal to Quchi (LI 11), at the end of the raised muscle belly, which rises upon pressure. Needle depth: 3 fen; moxibustion: 3 zhu. Indications: Stroke with facial deviation; immobility of hands and feet; five excesses and deficiency leading to emaciation; cholera with urinary incontinence; aphonia; toothache and cheek swelling; scrofula; hand bi-syndrome with numbness. *Xi Hong Fu* states: This point treats lower back pain extending to the umbilicus without relief; needle until a heavy/numb sensation is felt, then apply reduction; no need to retain needle after obtaining Deqi. Also, needling Zusanli (ST 36) up and down the limbs treats food stagnation and Qi masses. *Baizheng Fu* states: Combined with Shaohai (HT 3), it treats arm numbness and stiffness. *Tongxuan Zhiyao Fu* states: Specifically treats shoulder and back pain.
Quchi (LI 11): Located at the lateral end of the elbow crease when the elbow is flexed; obtain by placing hands on the chest. This is the He-Sea point (He-Sea point: where the meridian qi enters deeply) of the Hand-Yangming Large Intestine Meridian. Needle depth: 7 fen; retain needle for seven exhalations; moxibustion: 3 zhu (another view says 100 zhu). Indications: Chills in cold damage, lingering residual heat; chest vexation, fullness, heat, and thirst; vertigo and ear pain; scrofula and throat obstruction preventing speech; spasms and epilepsy; ankle-wrapping wind; redness and swelling of arms; elbow pain; hemiplegia; wind-pathogen causing skin moisture; arm pain; flaccid tendons and weakness; difficulty flexing and extending; dry skin, crusts, and scabies; amenorrhea in women. *Shennong Jing* states: Treats pain and weakness in arms and elbows, hemiplegia, fever, and chest vexation/fullness; moxibustion 14 zhu. *Yulong Fu* states: Combined with Renzhong (GV 26), it treats flaccidity and collapse. Combined with Chize (LU 5), it treats elbow pain. *Biaoyou Fu* states: Combined with Jianjing (GB 21), Zhen Quan treated arm pain and then shot an arrow (indicating efficacy). *Baizheng Fu* states: Reaching far to Yanglingquan (GB 34), it treats hemiplegia. Also, combined with Shaochong (HT 9), it treats fever effectively. *Xi Hong Fu* states: Combined with Hegu (LI 4), it treats impaired movement of both hands. *Qianjin Fang* states: Treats goiter, bad Qi, and various rashes; moxibustion according to age. It is also one of the Thirteen Ghost Points, named Guichen; for hundred-evil mania, use fire needle at the twelfth session. *Qianjin Shiyi Xue* states: Combined with Hegu (LI 4), it thoroughly treats headaches. Qin Chengzu's *Mingtang* states: Treats generalized wind-rash and scabies in adults and children. Ma Danyang's Twelve Tianxing Points Song states: Good for elbow pain, hemiplegia with inability to grasp, inability to draw a bow, arm flaccidity preventing combing hair, severe throat obstruction, continuous fever, generalized wind-xeroderma; pricking these points brings immediate cure.
Zhouli (LI 12): Located in the depression on the lateral aspect of the greater tubercle of the humerus, parallel to Tianjing (SI 10), 1.4 cun apart. Needle depth: 3 fen; moxibustion: 3 zhu. Indications: Elbow bi-syndrome, arm pain preventing elevation, numbness, lethargy.
Wuli (LI 13): Located 3 cun proximal to the elbow, in the center of the large vessel running medially. Another view places it 5 cun distal to Tianfu (LU 3). **Contraindicated for needling.** Moxibustion: 3 zhu (one view says 10 zhu). *Yuban Pian* states: Approaching Wuli (LI 13) and stopping midway, five times only; five insertions exhaust the Qi of the Zang organs. *Xiao Zhen Jie* states: "Those who deprive Yin die" refers to taking Wuli (LI 13) near Chize and inserting five times. All refer to this point. Indications: Wind-consumption, fear and panic; hemoptysis and cough; lethargy; severe elbow and arm pain preventing movement; fullness and rebellious Qi; cold-heat scrofula; blurred vision; cold-heat malaria. *Baizheng Fu* states: Combined with Bi'nao (LI 14), it cures scrofula.
Bi'nao (LI 14): Located 7 cun proximal to the elbow, at the end of the brachial muscle, 1 cun distal to Jianyu (LI 15), in the deep depression between two tendons and two bones, obtained with the arm relaxed. This is the Luo-Connecting point of the Hand-Yangming Large Intestine Meridian, connecting to the Hand-Shaoyang Sanjiao Meridian. One view says it is the meeting point of Hand-Foot Taiyang and Yangwei Meridians. Needle depth: 3 fen; moxibustion: 3 zhu. *Mingtang* prohibits needling; moxibustion 7 zhu (one view says up to 100 zhu). Indications: Arm pain and weakness, cold-heat scrofula, neck and nape stiffness. *Qianjin Fang* states: Treats goiter; moxibustion according to age. *Baizheng Fu* states: Combined with Wuli (LI 13), it cures scrofula.
Jianyu (LI 15) [also known as Zhong Jianjing, also known as Pian Jian]: Located on the shoulder tip, in the depression between the acromion and humerus, obtained by raising the arm which reveals a hollow space. It is the meeting point of the Hand-Taiyang, Hand-Yangming, and Yangqiao Meridians. One view says it is the meeting point of Foot-Shaoyang and Yangqiao Meridians. Needle depth: 6 fen; retain needle for six exhalations; moxibustion 3 to 49 zhu, until cured. Indications: Stroke and hemiplegia; shoulder and arm bone/muscle pain preventing overhead reach; persistent fever in cold damage; consumptive Qi loss, seminal emission, emaciation; limb heat; various goiters and scrofula. Historically, a patient with wind-bi, arm pain and weakness unable to draw a bow, was able to shoot an arrow after Zhen Quan inserted the needle here. If moxa is used for hemiplegia, use 7 to 49 zhu; do not exceed this to avoid arm atrophy. However, for chronic wind-disease with bone/muscle weakness, more moxa is acceptable as atrophy is not a concern; yet needling is superior to moxa. Avoid alcohol, meat, and five pungent spices. This point primarily clears heat from the four limbs, with indications similar to Yunmen (LU 2), Weizhong (BL 40), and Yaoshu (DU 2). *Qianjin Fang* states: For goiter, moxa equally on left and right: Male Left 18, Right 17; Female Right 18, Left 17; repeat until cured. *Yulong Fu* states: Treats wind-dampness binding in both shoulders. *Tianxing Mijue* states: For arm spasm and pain, select Jianyu (LI 15). *Baizheng Fu* states: Combined with Yangxi (LI 5), it eliminates extreme heat from urticaria.
Jugu (LI 6): Located in the depression between the bifurcated bones above the shoulder apex. It is the meeting point of the Hand-Yangming and Yangqiao Meridians. Needle depth: 1.5 cun; moxibustion 3 or 5 zhu. One view prohibits needling. Indications: Fright and epilepsy with hemoptysis, blood stasis in the chest, arm pain preventing flexion and extension.
Tianding (LI 16): Located in the neck, above the clavicle, directly 1 cun posterior to Futu (LI 18). *Jia Yi Jing* states: Directly 1.5 cun posterior to Futu and Qishe. *Qifu Lun Zhu* states: 0.5 cun posterior to Futu. Needle depth: 3 fen; moxibustion: 3 zhu. Indications: Throat obstruction with swollen throat preventing eating, sudden aphonia and Qi blockage. *Baizheng Fu* states: Combined with Jianshi (PC 5), it treats aphonia.
Futu (LI 18) [also known as Shui Xue]: Located in the neck, 1 cun below the angle of the jaw. *Jia Yi Jing* states: 1.5 cun posterior to Renying (ST 9), obtained with head tilted back. One view says 1.5 cun posterior to Qishe (ST 14). From here, it ascends through the cheek into the lower teeth. Needle depth: 4 fen; moxibustion: 3 zhu. *Jia Yi Jing* states: Needle 3 fen. Indications: Cough with excessive saliva, rebellious Qi and wheezing, sound in throat like a water fowl, sudden aphonia, broken Qi, neck goiter.
Heliao (LI 17) [also known as Chang Pin]: Directly below the nostril, 0.5 cun lateral to the Philtrum (Sishencong/Gov). Needle depth: 3 fen; moxibustion: 3 zhu. Indications: Corpse-jue with inability to open mouth, nasal sores and polyps, nasal congestion and epistaxis. *Lingguang Fu* states: Prick both Heliao (LI 17) points to treat epistaxis.
Yingxiang (LI 20) [also known as Chongyang]: Located 1 cun proximal to Heliao (LI 17), 0.5 cun lateral to the nostril. It is the meeting point of the Hand-Yangming and Foot-Yangming Meridians. Needle depth: 3 fen; **Moxibustion Contraindicated**. Indications: Nasal congestion with loss of smell, polyps with excessive discharge, sores and epistaxis, dyspnea, hemifacial paralysis, edema, wind-induced facial itching resembling insect crawling. *Yulong Fu* states: Clears redness from eye heat. Most effective for clearing nasal obstruction. *Xi Hong Fu* states: For deafness and Qi stagnation, needle Tinghui (GB 2), and additionally reduce this point (Yingxiang).