。金鉴。作从复溜斜外上行复溜穴之后。二寸许后旁筋。非也。又资生曰。按素问。气府论
。阴跷穴注云谓交信也。在内踝上二寸。少阴前太阴后。筋骨间。阴跷之 窃意阴跷即交信
也。至气穴论。阴阳跷穴注。乃云阴跷穴。在内踝下。足谓照海。阴跷所生。则是阴跷乃照
海。非交信。云云。王冰。注素问。此类极多。学人。须知之。
筑宾(甲乙)阴维之 。在足内踝上 分中。(甲乙)
按宾。入门。作滨。 分中 腹分肉之中也。金鉴曰。俗名腿肚。聚英。医统。作内踝
上五寸。入门曰。骨后大筋上。小筋下。屈膝取之。是阴谷之注误。不可从。
阴谷(灵枢)辅骨之后。大筋之下。小筋之上也。按之应手屈膝而得之为合。(灵枢)与曲
泉。并向 处。(增注)
按此穴。在曲泉后。大筋小筋之间也。按之应手。谓动脉也。甲乙。作膝下内辅骨后。
次注。类经。聚英。医统。金鉴。从之。千金。千金翼。外台。资生。入门。发挥。宝鉴。无下字。
是也。辅骨。吴文炳。作侧骨。
足阳明胃及股。凡三十穴
厉兑(灵枢)足大指内次指之端也。为井。(灵枢)爪甲上。与肉交者。(素问)去爪甲角。
如韭叶。(甲乙)外侧。(卫生宝鉴)
按缪刺篇曰。足中指次指爪甲上。王太仆。既辨之。大指下。内字。衍宜削。
内庭(灵枢)次指外间也。(灵枢)陷者中。(甲乙)
按次指。大指次指也。入门。作次指三指岐骨陷中。金鉴。作次指本节前。岐骨外间。非也。
陷谷(灵枢)中指内间。上行二寸。陷者中也。为 。(灵枢)足大指次指外间。本节后。
陷者中。去内庭二寸。(甲乙)
按明堂。谷作骨。甲乙。旧作大指次指间。外台从之。共间上。脱外字。今据千金。千
金翼。资生。补之。入门。作骨陷中。
冲阳(灵枢)一名会原。(甲乙)一名会涌。(圣济)足跗上五寸。陷者中也。为原。摇足得
之。(灵枢)骨间动脉上。去陷谷三寸。(甲乙)内庭上五寸。(入门)
按跗。甲乙。作趺同。三寸。千金方一说。神应。类经。作二寸。金鉴。陷谷条。作从
冲阳下
行二寸。共非也。素问云。刺跗上中大脉。血出不止死。张介宾曰。即仲景所谓跗阳。说已
见。千金翼。脱肛篇曰。冲阳穴。恐有误谬。载于奇穴部。
解溪(灵枢)上冲阳一寸半。陷者中也。为经。(灵枢)腕上(甲乙)系鞋处。(明堂)足大指
次指间。直上跗上。宛宛中。(类经)去内庭上六寸半。(入门)
按溪。明堂。作溪。甲乙注。并类经曰。气穴论注。作二寸半。今本作一寸半。刺疟论
注。作三寸半。误。
丰隆(灵枢)去踝八寸。别走太阴。(灵枢)外踝上八寸。下廉 外廉。陷者中。(甲乙)
按发挥。无下廉之廉字。聚英。踝。作跗。非矣。
巨虚下廉(素问)一名下廉。(灵枢)一名下巨虚(千金)下上廉三寸。(灵枢)条口下一寸。
(外
台)三里下六寸。(入门)举足取穴。(资生)按三寸。外台。作二寸。非。资生。引明堂曰。
两筋两骨罅陷。宛宛中。蹲地坐取之。是误引上廉注也。肘后曰。上廉下一夫。不取。素问曰
。巨虚者跷足 独陷者。下廉者。陷下者也。
条口(甲乙)下廉上一寸。(甲乙)上廉下二寸。(外台)举足取之。(资生)三里下五寸(类
经)
按肘后曰。上廉下一夫。资生。作廉上。一寸。廉字上脱下字。又引明堂。作上廉下。
上下字画易误。盖传写之误。
巨虚上廉(素问)一名上廉。(灵枢)一名上巨虚。(千金)下三里三寸。(灵枢)跷足 独陷
者。
(素问)犊鼻下。 外廉六寸。(次注) 骨外。大筋内。骨之间。(明堂)两筋两骨罅陷宛宛中
。蹲坐取。(神应)
按肘后曰。三里下一夫。不取。
三里(素问)一名下陵。(灵枢)一名鬼邪。(千金)膝下三寸分间。(素问)下陵膝下三寸。
骨外
。三里也。为合。(灵枢)低跗取之。(同上) 外廉。(甲乙)附胫骨外边。捻之凹凹然也。(
肘后)两筋肉分间。(次注)大筋内筋骨之间。陷者宛宛中。(明堂)重按之则足跗上动脉止矣
。(次注)小儿禁灸(类经一说)
按气府论曰。三里。以下。至足中指。各八俞。分之。所在穴空。次注曰。谓三里。上
廉。
下廉。解溪。冲阳。陷谷。内庭。厉兑。八穴也。针解篇曰。所谓三里者。下膝三寸也。所
谓跗之者。举膝分易见也。新校正曰。按全元起本。跗之。作低 。太素作付之。按骨空论
。跗之。疑跗上。刺腰痛论曰。刺阳明于 前。次注曰。正三里穴也。按取此穴。上逼骨。
下傍筋。不附骨。则无验。捷法甚多。不可从。肘后曰。以病患手。横掩下。并四指。名曰
一夫。指至膝头骨下。指中节是其穴。不取。一夫说既见。只以附胫骨以下。系本注。聚英
一说。入门。作犊鼻下三寸。非也。凡言膝上膝下。皆除膝膑骨而言之。资生。本事方。作
举足取之。发挥。聚英。医统。从之。盖原针解篇。类经。作竖膝低跗取之。原邪气脏腑病
形篇。
犊鼻(素问)膝下 上。膝解。大筋中。(甲乙)膝头眼外侧。(入门)形如牛鼻。故名。(
类经)刺犊鼻者。屈不能伸。(灵枢)禁灸。(入门)刺膝膑出液为跛。(素问)
按膝下。千金。并翼方。次注。外台作膝膑下。 上言 骨上。骨空论云。 骨空。
在辅骨
之上端。次注曰。谓犊鼻也。膝解。旧作侠解。千金次注。外台。资生。聚英。吴文炳。同
。
传写之误也。圣济。明堂。发挥类经。作骨解。 。千金。资生。作 ( 脚胫也)外台。脚
气
篇。作膝盖上外角。宛宛中。不是。金鉴。作膝盖骨下。 骨上。陷中。俗名膝眼。此处陷中
两旁有空。膝眼非指穴名。然易混。屈不能伸。言取此穴屈足而取之。
梁丘(甲乙)一名跨骨。(大成)阳明 。膝上二寸(甲乙)两筋间。(千金)按丘。金鉴。作
邱。千金一说。作三寸。大成作膝膑上一寸。非。
阴市(甲乙)一名阴鼎。(甲乙)膝上三寸。伏兔下。若拜。而取之。(甲乙)陷者中。(次
注)膝
内辅骨后。大筋下。小筋上(类经)禁灸。(甲乙)虽云禁灸。家传亦灸七壮。(大成○次注曰
。灸三壮。)
按千金。消渴篇。作当伏兔上行三寸。临膝取之。入门。作伏兔陷中。又按素问云。股
骨上
空。在股阳出上膝四寸。次注曰在阴市上。伏兔穴下在承捷也。按今此处无穴名。盖阴市穴
也。未详。梁丘。直膝头上。斜从分肉。到横骨旁横纹。止髀关。此其流注之溪谷。可考矣
。
伏兔(素问)一名外勾。(大全)一名外丘。(宝鉴)膝上六寸。起肉间。(甲乙)正跪坐取之
。
(资生)膝盖上七寸。(资生一说)左右各三指。按捺上有肉起。如兔状。因以此名。(类经)
膝髀罅上。六寸。向里。(入门)禁灸(甲乙○千金狂邪鬼语。灸百壮。)
按兔。素问。作菟。千金翼。聚英。吴文炳。同。兔菟通。吴昆作兔。外台。起肉。作起内。写
误。盖言七寸者自膝盖上。度之。
髀关(甲乙)膝上伏兔后。交分中。(甲乙)跨骨。横纹中。(入门)禁灸(类经一说)
按分。发挥。类经。作文。又通类经。作膝上一尺二寸。拘矣。髀。大全。作脾。又作
。误。
足少阳胆及股。凡二十八穴
窍阴(灵枢)足小指次指之端也。为井。(灵枢)爪甲上。与肉交者。(素问)去爪甲如韭叶
。(甲乙)第四指外侧(入门)
按千金翼。作去爪甲角如韭叶。
侠溪(灵枢)足小指次指之间也。为荥。(灵枢)二岐骨间。本节前。陷者中。(甲乙)
按侠。聚英。吴文炳。作夹。千金。无二字。金鉴。作地五会。下行一寸。拘矣。
地五会(甲乙)足小指次指本节后间。陷者中。(甲乙)灸之令人瘦。不出三年死。(甲乙)
禁刺(入门)
按资生。类经。聚英。入门。医统。吴文炳。大全。大成。作去侠溪一寸拘矣。凡取之
骨节陷罅。不用折量。所以古书不言分寸也。入门。脱会字。
临泣(灵枢)上行一寸半。陷者中也。为 。(灵枢)小指次指本节后间。陷者中去侠溪一
寸五分。(甲乙)
按灵枢曰。临泣上行。言临泣者。自侠溪上行。千金。千金翼。外台。作去侠溪一寸半
。是也
。临泣下。当脱侠溪二字。此穴取岐骨际者。非也。岐骨间而不逼骨。故灵枢云。一寸半。
陷者中。大全一说。去侠溪七分半。非。
丘墟(灵枢)外踝之前下。陷者中也。为原。(灵枢)外廉。踝下。如前。(甲乙)骨纵中。
(聚英)伸脚取之。(千翼一说)
按入门。丘。作 。金鉴。作邱。如。大全。入门。作微。宝鉴。同。甲乙曰。去临泣
一寸。千
金。千金翼。外台。次注。明堂。资生。以下。诸书。作三寸。此穴不可用分寸。故不取。
悬钟(甲乙)一名绝骨。(千金)足外踝上三寸。动者脉中。足三阳络。按之阳明脉绝。乃
取之。(甲乙)骨绝头。陷中。(外台)当骨尖前。(类经)
按者字。衍。千金。并翼方。外台。无脉字。外台。络上有大字。阳明。跗上脉也。踝
上就
骨而上。三寸许。则有绝陇处。其骨锋尖者。俗呼杨枝骨也。其前是悬钟也。千金咳嗽篇。
作内踝上。字误也。又千金曰。脚外踝上一夫。又云。四寸。本事方资生一说。作四寸。四
寸则与阳辅穴。相并。不可从。外台。灸香港脚。篇云一尺。肘后。作外踝上三寸余。指端取
踝骨上际。屈指头四寸。便是与下廉。颇相对。分间二穴也。千金翼云。外踝上。三指。当
骨
上。取法。以草从手指中纹。横三指。令至两畔齐。将度外踝。从下骨头。与度齐向上。当骨
点之。并非是。神应经。云。虽曰外踝上除踝三寸。必以绝陇处为穴。此说为得。
阳辅(灵枢)一名绝骨(素问)一名分肉。(类经)外踝之上。辅骨之前。及绝骨之端也。为经
。(灵枢)外踝上四寸。辅骨前绝端。如前三分。去丘墟七寸。(甲乙)
按气穴论云。分肉二穴。次注曰外踝上。绝骨之端。三分。筋肉分间。阳维。脉气所发
。新
校正曰甲乙经。无分肉穴。疑是阳辅。素问直解曰。脐上三寸。水分穴也。恐非。又骨空论
云。外踝上绝骨之端。灸之。次注曰。阳辅穴也。刺疟云。针绝骨。王曰。阳辅穴也。难经
云。髓会绝骨。滑寿曰。绝骨。一名阳辅。按与悬钟同一名。恐有差谬。去丘墟七寸。则以
踝骨为三寸。外台。作膝盖下外侧。三寸旁。廉骨当小指两筋间。非也。类经。引次注曰。
作如后二分。今本与甲乙同。医门摘要曰。辅骨当作 骨。非也。千金翼诸风篇曰。外踝上
三寸。一云。四寸。又云。一夫。
光明(灵枢)去踝五寸。别走厥阴。(灵枢)外踝上。(甲乙)陷者中。(明堂)
外丘(甲乙)足少阳 。少阳所生在外踝上七寸。(甲乙)骨陷中。(入门)阳交后。(增注)
按丘。金鉴。作邱。甲乙。旧作内踝。写误。阳交。已作外踝。千金。外台。以下诸书。
作外踝。故今订之。
阳交(甲乙)一名别阳。一名足 。(甲乙)阳维之 。在外踝七寸。斜属三阳分肉间。
(甲乙)与外丘并。(入门)下廉后。外丘前。(增注)
按阳明经下廉。本经外丘。太阳经飞扬。共踝上七寸。是三阳之分肉也。
阳陵泉(灵枢)膝外陷者中也。为合。伸而得之。(灵枢)膝下一寸。 外廉(甲乙)膝下外
尖骨前。(千金)陷中。(千翼)侧骨下。宛宛中。(外台)
按灵枢曰。阳之陵泉。说已见。神应经。无泉字。盖脱字也。脏腑病形篇曰。其寒热者
。取
阳陵泉。刺腰痛篇云。刺少阳成骨之端出血。成骨。在膝外廉之骨独起者。娄善全曰。按此
谓阳陵泉。吴昆曰阳关穴也。张注曰。此乃 骨之上端。所以成立其身。故曰成骨。甲乙。
成。作盛。气穴论曰。寒热俞。在两骸厌中。二穴。次注曰。骸厌谓脚外挟膝之骨厌中。王
水舍两字为骸厌。两字不可除集注曰。膝解为骸两骸厌中二穴。谓少阳之阳陵泉也。入门。
作膝品骨下一寸。外廉两骨陷中。类经。作尖骨前筋骨间。亦通。神应经作膝下外骨前六分
。拘矣。类经。入门。聚英。医统。吴文炳。金鉴。大成。作蹲坐取。是。原于脏腑病形篇阳陵泉
者。正竖膝予之齐取之说也。
阳关(甲乙)一名关陵。(千金注)一名阳陵。(聚英)一名关阳。(宝鉴)阳陵泉上三寸。犊
鼻外。陷者中。(甲乙)外辅骨上。膝盖旁筋骨间。(冈本)禁灸(甲乙)禁针(入门)
按千金。作关阳。盖错置。后人遂以为一名欤。资生。入门。作二寸。金鉴。作膝上二寸。
非也
。素问云。寒府在附膝外解营。类经曰。谓在膝下外辅骨解间也。凡寒气自下而上者。必聚于
膝。是以膝膑尤寒。故名寒府。营。屈也。当足少阳经之阳关。
《医宗金鉴》认为,该穴位于复溜穴之后二寸许,从复溜穴斜向外上方行走的旁侧筋脉处。这种说法是不正确的。
又据《资生篇》记载:按照《素问·气府论》中关于阴跷穴的注释,说是交信穴,位于内踝上二寸,足少阴肾经之前、足太阴脾经之后,筋骨之间。我私下推测,阴跷穴就是交信穴。但是到了《素问·气穴论》中关于阴阳跷穴的注释,却说阴跷穴在内踝下方,足部称为照海穴,是阴跷脉所生之处。那么这就意味着阴跷穴是照海穴,而不是交信穴。像王冰注释《素问》时,这类情况非常多,学习的人需要知道这一点。
筑宾(出自《甲乙经》):阴维脉的郄穴。位于足内踝上八寸,腓肠肌腹部的中间。(出自《甲乙经》)
按:《入门》将“宾”写作“滨”。腓肠肌腹部指的是小腿肚肌肉丰满的地方。《医宗金鉴》说,俗称腿肚子。《针灸聚英》和《医统》将其定在内踝上五寸。《入门》说,在胫骨后大筋之上,小筋之下,屈膝取穴。这是误注了阴谷穴的内容,不可采纳。
阴谷(出自《灵枢》):位于辅骨之后,大筋之下,小筋之上。按压有应手感,屈膝即可找到,此为合穴。(出自《灵枢》)与曲泉穴,都向腘窝横纹头方向。(增注)
按:此穴位于曲泉穴后方,大筋与小筋之间。按压有应手感,指的是动脉跳动。《甲乙经》写作“膝下内辅骨后”。后来的注释,《类经》、《针灸聚英》、《医统》、《医宗金鉴》都沿用了这一说法。《千金方》、《千金翼方》、《外台秘要》、《资生篇》、《入门》、《发挥》、《宝鉴》中没有“下”字,这才是正确的。“辅骨”,吴文炳解释为侧骨。
厉兑(出自《灵枢》):位于足大趾和第二趾的末端。为井穴。(出自《灵枢》)在爪甲角上,与肉交接的地方。(出自《素问》)距离爪甲角如韭菜叶宽度。(出自《甲乙经》)在外侧。(出自《卫生宝鉴》)
按:《缪刺论》中说:“足中指次指爪甲上”。王冰(王太仆)已经辨析过,“大指下”的“内”字是衍文,应当删去。
内庭(出自《灵枢》):位于第二趾外侧间。(出自《灵枢》)凹陷处中间。(出自《甲乙经》)
按:次指指的是大趾旁边的第二趾。《入门》写作“次指三指岐骨陷中”。《医宗金鉴》写作“次指本节前,岐骨外间”,这是不正确的。
陷谷(出自《灵枢》):位于第二趾内侧间,向上二寸,凹陷处中间。为输穴。(出自《灵枢》)足大趾和第二趾外侧间,本节后,凹陷处中间,距离内庭穴二寸。(出自《甲乙经》)
按:《明堂》将“谷”写作“骨”。《甲乙经》旧本作“大指次指间”。《外台秘要》沿袭此说,但在“共间上”处脱漏了“外”字。现在依据《千金方》、《千金翼方》、《资生篇》补上。《入门》写作“骨陷中”。
冲阳(出自《灵枢》):又名会原。(出自《甲乙经》)又名会涌。(出自《圣济总录》)位于足背上方五寸,凹陷处中间。为原穴。摇动足部可感觉到。(出自《灵枢》)在跗骨间动脉上,距离陷谷穴三寸。(出自《甲乙经》)在内庭穴上五寸。(出自《入门》)
按:“跗”,《甲乙经》写作“趺”,同义。关于三寸,《千金方》有一种说法,《神应经》、《类经》写作二寸。《医宗金鉴》在陷谷条下,写作从冲阳下行二寸,这些都不正确。《素问》说:“刺跗上中大脉,血出不止死。”张介宾说:这就是仲景所说的跗阳,说法已见前文。《千金翼方·脱肛篇》说:冲阳穴恐怕有误,记载在奇穴部。
解溪(出自《灵枢》):在冲阳穴上一寸半,凹陷处中间。为经穴。(出自《灵枢》)腕上(出自《甲乙经》)系鞋带处。(出自《明堂》)在大趾和第二趾间,直上至足背,宛宛然凹陷处。(出自《类经》)距离内庭穴上六寸半。(出自《入门》)
按:“溪”,《明堂》写作“谿”。《甲乙经》注和《类经》说:《气穴论》注写作二寸半,今本是一寸半。《刺疟论》注写作三寸半,是错误的。
丰隆(出自《灵枢》):距离内踝八寸,别走太阴脾经。(出自《灵枢》)外踝上八寸,下廉穴外侧,凹陷处中间。(出自《甲乙经》)
按:《发挥》没有“下廉”的“廉”字。《针灸聚英》将“踝”写作“跗”,是不对的。
巨虚下廉(出自《素问》):又名下廉。(出自《灵枢》)又名下巨虚(出自《千金方》)。在上廉穴下三寸。(出自《灵枢》)条口穴下一寸。(出自《外台秘要》)三里穴下六寸。(出自《入门》)举足取穴。(出自《资生篇》)按:三寸,《外台秘要》写作二寸,不对。《资生篇》引用《明堂》说:两筋两骨缝隙凹陷,宛宛然中间,蹲地坐取穴。这是误引了上廉穴的注释。《肘后备急方》说:上廉下一夫,不采用。《素问》说:巨虚者跷足独陷者,下廉者,陷下者也。
条口(出自《甲乙经》):在下廉穴上一寸。(出自《甲乙经》)在上廉穴下二寸。(出自《外台秘要》)举足取穴。(出自《资生篇》)三里穴下五寸(出自《类经》)
按:《肘后备急方》说:上廉下一夫。《资生篇》写作“廉上一寸”,“廉”字上脱漏了“下”字。又引用《明堂》,写作“上廉下”。上下字画容易混淆,大概是传写错误。
巨虚上廉(出自《素问》):又名上廉。(出自《灵枢》)又名上巨虚。(出自《千金方》)下三里三寸。(出自《灵枢》)跷足独陷者。(出自《素问》)犊鼻穴下,胻骨外廉六寸。(次注)胻骨外,大筋内,骨之间。(出自《明堂》)两筋两骨缝隙凹陷,宛宛然中间,蹲坐取穴。(出自《神应经》)
按:《肘后备急方》说:三里下一夫,不采用。
三里(出自《素问》):又名下陵。(出自《灵枢》)又名鬼邪。(出自《千金方》)膝下三寸分间。(出自《素问》)下陵即膝下三寸,骨外。三里也。为合穴。(出自《灵枢》)低跗取之。(同上)胻外廉。(出自《甲乙经》)附于胫骨外边,捻之凹凹然。(出自《肘后备急方》)两筋肉分间。(次注)大筋内筋骨之间,凹陷宛宛然中间。(出自《明堂》)重按则足背上的动脉停止跳动。(次注)小儿禁灸(《类经》一说)
按:《气府论》说:三里以下,至足中指,各八俞,分之。所在穴空。次注说:谓三里、上廉、下廉、解溪、冲阳、陷谷、内庭、厉兑,这八个穴位。《针解篇》说:所谓三里者,下膝三寸也。所谓跗之者,举膝分易见也。新校正说:按全元起本,“跗之”作“低之”,《太素》作“付之”。按《骨空论》,“跗之”,疑为“跗上”。《刺腰痛论》说:刺阳明于髀前。次注说:正三里穴也。按取此穴,上逼骨,下傍筋,不附骨,则无验。捷法甚多,不可从。《肘后备急方》说:以病患手,横掩下,并四指,名曰一夫。指至膝头骨下,指中节是其穴,不采用。一夫说既见前文,只以附胫骨以下,系本注。《针灸聚英》一说,《入门》写作犊鼻下三寸,不对。凡言膝上膝下,皆除膝膑骨而言之。《资生篇》、《本事方》写作举足取之。《发挥》、《针灸聚英》、《医统》沿袭此说。盖原《针解篇》、《类经》写作竖膝低跗取之。原《邪气脏腑病形篇》。
犊鼻(出自《素问》):膝下胻上,膝解,大筋中。(出自《甲乙经》)膝头眼外侧。(出自《入门》)形如牛鼻,故名。(出自《类经》)刺犊鼻者,屈不能伸。(出自《灵枢》)禁灸。(出自《入门》)刺膝膑出液为跛。(出自《素问》)
按:膝下,《千金方》及《千金翼方》、次注、《外台秘要》写作膝膑下。胻上言胻骨上。《骨空论》云:胻骨空,在辅骨之上端。次注说:谓犊鼻也。膝解,旧作侠解。《千金方》次注、《外台秘要》、《资生篇》、《针灸聚英》、吴文炳,同。传写之误也。《圣济总录》、《明堂》、《发挥》、《类经》写作骨解。胻,《千金方》、《资生篇》写作胻(脚胫也)。《外台秘要·脚气篇》写作膝盖上外角,宛宛中,不是。《医宗金鉴》写作膝盖骨下,胻骨上,陷中。俗名膝眼。此处陷中两旁有空,膝眼非指穴名,然而容易混淆。屈不能伸,言取此穴屈足而取之。
梁丘(出自《甲乙经》):又名跨骨。(出自《大成》)阳明经郄穴,膝上二寸(出自《甲乙经》)两筋间。(出自《千金方》)按:丘,《医宗金鉴》写作邱。《千金方》一说,写作三寸。《大成》写作膝膑上一寸,不对。
阴市(出自《甲乙经》):又名阴鼎。(出自《甲乙经》)膝上三寸,伏兔下。若拜,而取之。(出自《甲乙经》)凹陷处中间。(次注)膝内辅骨后,大筋下,小筋上(《类经》)禁灸。(出自《甲乙经》)虽云禁灸,家传亦灸七壮。(《大成》○次注曰:灸三壮。)
按:《千金方·消渴篇》写作当伏兔上行三寸,临膝取之。《入门》写作伏兔陷中。又按《素问》云:股骨上空,在股阳出上膝四寸。次注曰:在阴市上,伏兔穴下在承捷也。按今此处无穴名,盖阴市穴也。未详。梁丘,直膝头上,斜从分肉,到横骨旁横纹,止髀关。此其流注之溪谷,可考矣。
伏兔(出自《素问》):又名外勾。(出自《大全》)又名外丘。(出自《宝鉴》)膝上六寸,起肉间。(出自《甲乙经》)正跪坐取之。(出自《资生篇》)膝盖上七寸。(《资生篇》一说)左右各三指,按捺上有肉起,如兔状,因以此名。(《类经》)膝髀罅上,六寸,向里。(《入门》)禁灸(《甲乙经》○《千金方》狂邪鬼语,灸百壮。)
按:兔,《素问》写作菟。《千金翼方》、《针灸聚英》、吴文炳,同。兔菟通。吴昆写作兔。《外台秘要》起肉,写作起内,写误。盖言七寸者自膝盖上度之。
髀关(出自《甲乙经》):膝上伏兔后,交分中。(出自《甲乙经》)跨骨横纹中。(《入门》)禁灸(《类经》一说)
按:分,《发挥》、《类经》作文。又通《类经》写作膝上一尺二寸,拘泥了。髀,《大全》写作脾。又写作髀。误。
窍阴(出自《灵枢》):足小趾第二趾的末端。为井穴。(出自《灵枢》)爪甲上,与肉交接的地方。(出自《素问》)去爪甲如韭菜叶宽度。(《甲乙经》)第四指外侧(《入门》)
按:《千金翼方》写作去爪甲角如韭叶。
侠溪(出自《灵枢》):足小趾第二趾之间。为荥穴。(出自《灵枢》)二岐骨间,本节前,凹陷处中间。(《甲乙经》)
按:侠,《针灸聚英》、吴文炳写作夹。《千金方》无二字。《医宗金鉴》写作地五会,下行一寸,拘泥了。
地五会(出自《甲乙经》):足小趾第二趾本节后间,凹陷处中间。(《甲乙经》)灸之令人瘦,不出三年死。(《甲乙经》)禁刺(《入门》)
按:《资生篇》、《类经》、《针灸聚英》、《入门》、《医统》、吴文炳、《大全》、《大成》写作去侠溪一寸,拘泥了。凡取之骨节陷罅,不用折量。所以古书不言分寸也。《入门》脱漏“会”字。
临泣(出自《灵枢》):上行一寸半,凹陷处中间。为输穴。(《灵枢》)小趾第二趾本节后间,凹陷处,去侠溪一寸五分。(《甲乙经》)
按:《灵枢》曰:临泣上行。言临泣者,自侠溪上行。《千金方》、《千金翼方》、《外台秘要》写作去侠溪一寸半,是正确的。临泣下,当脱漏“侠溪”二字。此穴取岐骨际者,非也。岐骨间而不逼骨,故《灵枢》云:一寸半,陷者中。《大全》一说,去侠溪七分半,不对。
丘墟(出自《灵枢》):外踝之前下,凹陷处中间。为原穴。(《灵枢》)外廉,踝下,如前。(《甲乙经》)骨纵中。(《针灸聚英》)伸脚取之。(《千金翼方》一说)
按:《入门》丘,写作丘(异体字)。《医宗金鉴》写作邱。如,《大全》、《入门》写作微。《宝鉴》同。《甲乙经》曰:去临泣一寸。《千金方》、《千金翼方》、《外台秘要》、次注、《明堂》、《资生篇》以下诸书,写作三寸。此穴不可用分寸,故不取。
悬钟(出自《甲乙经》):又名绝骨。(《千金方》)足外踝上三寸,动者脉中,足三阳络。按之阳明脉绝,乃取之。(《甲乙经》)骨绝头,陷中。(《外台秘要》)当骨尖前。(《类经》)
按:者字,衍文。《千金方》及《千金翼方》、《外台秘要》,无脉字。《外台秘要》络上有大字。阳明,跗上脉也。踝上就骨而上,三寸许,则有绝陇处。其骨锋尖者,俗呼杨枝骨也。其前是悬钟也。《千金方·咳嗽篇》写作内踝上,字误也。又《千金方》曰:脚外踝上一夫。又云:四寸。《本事方》、《资生篇》一说,写作四寸。四寸则与阳辅穴相并,不可从。《外台秘要·灸香港脚篇》云一尺。《肘后备急方》写作外踝上三寸余。指端取踝骨上际,屈指头四寸,便是与下廉颇相对,分间二穴也。《千金翼方》云:外踝上,三指,当骨上。取法,以草从手指中纹,横三指,令至两畔齐,将度外踝,从下骨头,与度齐向上,当骨点之。并非是。《神应经》云:虽曰外踝上除踝三寸,必以绝陇处为穴。此说为得。
阳辅(出自《灵枢》):又名绝骨(《素问》)又名分肉。(《类经》)外踝之上,辅骨之前,及绝骨之端也。为经穴。(《灵枢》)外踝上四寸,辅骨前绝端,如前三分,去丘墟七寸。(《甲乙经》)
按:《气穴论》云:分肉二穴。次注曰:外踝上,绝骨之端。三分,筋肉分间,阳维脉气所发。新校正曰:《甲乙经》无分肉穴,疑是阳辅。《素问直解》曰:脐上三寸,水分穴也。恐非。又《骨空论》云:外踝上绝骨之端。灸之。次注曰:阳辅穴也。《刺疟》云:针绝骨。王曰:阳辅穴也。《难经》云:髓会绝骨。滑寿曰:绝骨,一名阳辅。按与悬钟同一名,恐有差谬。去丘墟七寸,则以踝骨为三寸。《外台秘要》写作膝盖下外侧,三寸旁,廉骨当小指两筋间,不对。《类经》引次注曰:作如后二分。今本与《甲乙经》同。《医门摘要》曰:辅骨当作胻骨,不对。《千金翼方》诸风篇曰:外踝上三寸,一云四寸。又云:一夫。
光明(出自《灵枢》):去踝五寸,别走厥阴。(《灵枢》)外踝上。(《甲乙经》)凹陷处中间。(《明堂》)
外丘(出自《甲乙经》):足少阳经郄穴。少阳所生在外踝上七寸。(《甲乙经》)骨陷中。(《入门》)阳交后。(增注)
按:丘,《医宗金鉴》写作邱。《甲乙经》旧作内踝,写误。阳交,已作外踝。《千金方》、《外台秘要》以下诸书,作外踝。故今订之。
阳交(出自《甲乙经》):又名别阳。又名足(《甲乙经》)阳维之郄穴。在外踝七寸,斜属三阳分肉间。(《甲乙经》)与外丘并。(《入门》)下廉后,外丘前。(增注)
按:阳明经下廉,本经外丘,太阳经飞扬,共踝上七寸,是三阳之分肉也。
阳陵泉(出自《灵枢》):膝外陷者中也。为合穴。伸而得之。(《灵枢》)膝下一寸,胻外廉(《甲乙经》)膝下外尖骨前。(《千金方》)陷中。(《千金翼方》)侧骨下,宛宛中。(《外台秘要》)
按:《灵枢》曰:阳之陵泉,说已见。《神应经》无泉字,盖脱字也。《脏腑病形篇》曰:其寒热者,取阳陵泉。《刺腰痛篇》云:刺少阳成骨之端出血。成骨,在膝外廉之骨独起者。娄善全曰:按此谓阳陵泉。吴昆曰:阳关穴也。张注曰:此乃胻骨之上端,所以成立其身,故曰成骨。《甲乙经》成,作盛。《气穴论》曰:寒热俞,在两骸厌中,二穴。次注曰:骸厌谓脚外挟膝之骨厌中。王水舍两字为骸厌,两字不可除。集注曰:膝解为骸,两骸厌中二穴,谓少阳之阳陵泉也。《入门》写作膝品骨下一寸,外廉两骨陷中。《类经》写作尖骨前筋骨间,亦通。《神应经》作膝下外骨前六分,拘泥了。《类经》、《入门》、《针灸聚英》、《医统》、吴文炳、《医宗金鉴》、《大成》写作蹲坐取,是正确的。原于《脏腑病形篇》阳陵泉者,正竖膝予之齐取之说也。
阳关(出自《甲乙经》):一名关陵。(《千金方注》)一名阳陵。(《针灸聚英》)一名关阳。(《宝鉴》)阳陵泉上三寸,犊鼻外,陷者中。(《甲乙经》)外辅骨上,膝盖旁筋骨间。(冈本)禁灸(《甲乙经》)禁针(《入门》)
按:《千金方》写作关阳,盖错置。后人遂以为一名欤。《资生篇》、《入门》写作二寸。《医宗金鉴》写作膝上二寸,不对。《素问》云:寒府在附膝外解营。《类经》曰:谓在膝下外辅骨解间也。凡寒气自下而上者,必聚于膝。是以膝膑尤寒,故名寒府。营,屈也。当足少阳经之阳关。
The *Yizong Jinjian* (Medical Standard Golden Mirror) states that the point is located approximately two cun posterior to Fuliu (KI7), on the lateral tendon running obliquely upward from behind Fuliu. This view is incorrect.
Furthermore, Zisheng (Li Dongyuan's work *Zisheng Pian*) records: According to the annotation of Yin Qiao (Yin Heel Vessel) in the *Suwen* (Basic Questions), it refers to Jiaoxin (KI8), located two cun above the medial malleolus, anterior to the Shaoyin (Kidney) channel and posterior to the Taiyin (Spleen) channel, between the bone and tendon. I tentatively surmise that Yin Qiao is indeed Jiaoxin. However, in the annotation of Yin-Yang Qiao points in the *Qixue Lun* (Treatise on Qi Points) of the *Suwen*, it states that the Yin Qiao point is below the medial malleolus, referred to as Zhaohai (KI6) on the foot, which is where the Yin Qiao vessel originates. Thus, this implies that Yin Qiao is Zhaohai, not Jiaoxin. Wang Bing’s annotations of the *Suwen* contain many such instances; students must be aware of these discrepancies.
Zhubin (JB): Xi-Cleft point of the Yin Wei Vessel. Located eight cun above the medial malleolus, in the center of the gastrocnemius muscle belly. (JB)
Note: *Rumen* writes "Bin" for "Bin". The gastrocnemius belly refers to the fleshy part of the calf. *Yizong Jinjian* says it is commonly known as the calf. *Zhenjiu Juying* (Gathered Elegance of Acupuncture and Moxibustion) and *Yitong* place it five cun above the medial malleolus. *Rumen* states it is above the large tendon and below the small tendon posterior to the tibia, taken with flexed knees. This is a mistaken annotation for Yin Gu (KI10) and should not be followed.
Yingu (Ling Shu): Located posterior to the accessory bone (fibula/tibia depending on context, here likely referring to medial condyle area), below the large tendon and above the small tendon. Pressing yields a pulsating sensation; flex the knee to locate it; it is the He-Sea point. (Ling Shu) It directs towards the popliteal crease along with Ququan (KI10). (Added Note)
Note: This point is located posterior to Ququan, between the large and small tendons. The "pulsating sensation upon pressing" refers to arterial pulse. *Jia Yi Jing* writes "posterior to the inner accessory bone below the knee". Later commentaries, including *Lei Jing* (Classified Essentials), *Zhenjiu Juying*, *Yitong*, and *Yizong Jinjian*, follow this. *Qianjin Fang*, *Qianjin Yifang*, *Waitai Miyao*, *Zisheng Pian*, *Rumen*, *Fahui*, and *Baojian* omit the character "xia" (below), which is correct. "Accessory bone" is interpreted by Wu Wenbing as the lateral bone.
Foot Yangming Stomach Channel and Thigh Region: Total 30 points.
Lidui (Ling Shu): Located at the tip of the second toe (lateral to the big toe). It is the Jing-Well point. (Ling Shu) At the corner of the nail where it meets the flesh. (Suwen) Distance from the nail corner is like the width of a leek leaf. (Jia Yi Jing) On the lateral side. (Weisheng Baojian)
Note: The *Miuci Pian* (Treatise on Mirrored Puncturing) states: "On the claw nail of the middle toe and the next toe." Wang Bing (Wang Taipu) has already辨析 (analyzed/corrected) this. The character "nei" (inner) under "big toe" is a superfluous character and should be deleted.
Neiting (Ling Shu): Located in the space between the second and third toes. (Ling Shu) In the depression. (Jia Yi Jing)
Note: "Next toe" refers to the second toe. *Rumen* writes "in the depression of the bifurcation of the bones of the second, third, and fourth toes". *Yizong Jinjian* writes "lateral to the bifurcation of the bones before the proximal interphalangeal joint of the second toe", which is incorrect.
Xianggu (Ling Shu): Located in the medial space between the second and third toes, two cun upward, in the depression. It is the Shu-Stream point. (Ling Shu) In the lateral space between the big toe and second toe, after the metatarsophalangeal joint, in the depression, two cun distal to Neiting. (Jia Yi Jing)
Note: *Mingtang* writes "Gu" (bone) for "Gu" (valley). Old versions of *Jia Yi Jing* write "between the big toe and second toe". *Waitai Miyao* follows this but omits the character "wai" (lateral) in the phrase "gong jian shang". Now corrected based on *Qianjin Fang*, *Qianjin Yifang*, and *Zisheng Pian*. *Rumen* writes "depression in the bone".
Chongyang (Ling Shu): Also known as Huiyuan. (Jia Yi Jing) Also known as Huiyong. (Shengji Zonglu) Located five cun above the dorsum of the foot, in the depression. It is the Yuan-Source point. Locate it by shaking the foot. (Ling Shu) On the dorsal artery between the tarsal bones, three cun distal to Xianggu. (Jia Yi Jing) Five cun proximal to Neiting. (Rumen)
Note: "Fu" (dorsum) is written as "Fu" (same meaning) in *Jia Yi Jing*. Regarding the distance of three cun, one theory in *Qianjin Fang*, as well as *Shenyjing* and *Lei Jing*, writes two cun. *Yizong Jinjian*, in the entry for Xianggu, writes "two cun distal to Chongyang", all of which are incorrect. The *Suwen* states: "Puncture the large vessel on the dorsum; if blood flows uncontrollably, death ensues." Zhang Jiebin states: This is what Zhongjing referred to as Fuyang; the explanation is seen previously. The *Qianjin Yifang·Tuogan Pian* (Rectal Prolapse Chapter) states: There may be an error regarding the Chongyang point; it is recorded in the Extraordinary Points section.
Jiexi (Ling Shu): One and a half cun proximal to Chongyang, in the depression. It is the Jing-River point. (Ling Shu) Above the ankle. (Jia Yi Jing) Where the shoelace is tied. (Mingtang) Directly above the space between the big toe and second toe, on the dorsum of the foot, in the hollow. (Lei Jing) Six and a half cun proximal to Neiting. (Rumen)
Note: "Xi" is written as "Xi" (ancient variant) in *Mingtang*. Annotations in *Jia Yi Jing* and *Lei Jing* state that the annotation in *Qixue Lun* writes two and a half cun, while the current text writes one and a half cun. The annotation in *Cinu Lun* writes three and a half cun, which is erroneous.
Fenglong (Ling Shu): Eight cun from the malleolus, diverging to connect with the Taiyin Spleen channel. (Ling Shu) Eight cun above the lateral malleolus, lateral to the Xia Lian point, in the depression. (Jia Yi Jing)
Note: *Fahui* omits the character "Lian" from "Xia Lian". *Zhenjiu Juying* writes "Fu" (dorsum) for "Huai" (malleolus), which is incorrect.
Juxia Lian (Suwen): Also known as Xia Lian. (Ling Shu) Also known as Xia Juxuxu. (Qianjin Fang) Three cun distal to Shang Lian. (Ling Shu) One cun distal to Tiaokou. (Waitai Miyao) Six cun distal to Zusanli. (Rumen) Take the point with the foot lifted. (Zisheng Pian) Note: Three cun is written as two cun in *Waitai Miyao*, which is incorrect. *Zisheng Pian* quotes *Mingtang*: "In the depression between two tendons and two bones, squatting to take the point." This is a mistaken citation of the annotation for Shang Lian. *Zhouhou Beiji Fang* states: One Fu below Shang Lian, do not adopt. The *Suwen* states: "For Juxu, lift the foot to see the solitary depression; for Xia Lian, it is the depressed area."
Tiaokou (Jia Yi Jing): One cun proximal to Xia Lian. (Jia Yi Jing) Two cun distal to Shang Lian. (Waitai Miyao) Take the point with the foot lifted. (Zisheng Pian) Five cun distal to Zusanli. (Lei Jing)
Note: *Zhouhou Beiji Fang* states: One Fu below Shang Lian. *Zisheng Pian* writes "one cun above Lian", omitting the character "xia" (distal) above "Lian". It also quotes *Mingtang* as "below Shang Lian". The characters for up/down are easily confused due to copying errors.
Jushang Lian (Suwen): Also known as Shang Lian. (Ling Shu) Also known as Shang Juxuxu. (Qianjin Fang) Three cun distal to Zusanli. (Ling Shu) Lift the foot to find the solitary depression. (Suwen) Six cun lateral to Dubi, below the tibial tuberosity. (Secondary Annotation) Between the outer aspect of the tibia, inside the large tendon, and among the bones. (Mingtang) In the depression between two tendons and two bones, squatting to take the point. (Shenyjing)
Note: *Zhouhou Beiji Fang* states: One Fu below Zusanli, do not adopt.
Zusanli (Suwen): Also known as Xialing. (Ling Shu) Also known as Guixie. (Qianjin Fang) In the space three cun below the knee. (Suwen) Xialing is three cun below the knee, lateral to the bone. Zusanli is the He-Sea point. (Ling Shu) Take the point with the foot lowered. (Same source) Lateral to the tibia. (Jia Yi Jing) Adjacent to the outer edge of the tibia, concave when pinched. (Zhouhou Beiji Fang) Between the muscles and tendons. (Secondary Annotation) Between the large tendon and the bone/tendon, in the deep depression. (Mingtang) Heavy pressure stops the arterial pulse on the dorsum of the foot. (Secondary Annotation) Contraindicated for moxibustion in children. (Lei Jing, one theory)
Note: The *Qifu Lun* states: From Zusanli down to the middle toe, there are eight Shu points distributed. The secondary annotation explains: These are Zusanli, Shang Lian, Xia Lian, Jiexi, Chongyang, Xianggu, Neiting, and Lidui. The *Zhenjie Pian* states: What is called Zusanli is three cun below the knee. What is called "Fu zhi" (lowering the foot) means raising the knee makes the separation easy to see. Xin Zhengjiao notes: According to the Quan Yuanqi edition, "Fu zhi" is written as "Di zhi"; *Taisu* writes "Fu zhi". According to the *Gukong Lun*, "Fu zhi" is suspected to be "Fu shang" (on the dorsum). The *Ci Yaotong Lun* states: Puncture Yangming at Bi qian. The secondary annotation clarifies: This is exactly the Zusanli point. When locating this point, if it is too close to the bone or too far from the tendon without adhering to the bone, it will be ineffective. Many shortcut methods exist but should not be followed. *Zhouhou Beiji Fang* states: Place the patient's hand horizontally below, extending four fingers, named one Fu. The tip reaches below the knee bone; the middle phalanx marks the point. Do not adopt. Since the definition of one Fu is given previously, only adhere to the original note of being adjacent to the tibia below. One theory in *Zhenjiu Juying* and *Rumen* places it three cun below Dubi, which is incorrect. Generally, when mentioning above or below the knee, the patella is excluded. *Zisheng Pian* and *Benshi Fang* state to take the point with the foot lifted. *Fahui*, *Zhenjiu Juying*, and *Yitong* follow this. Originally, the *Zhenjie Pian* and *Lei Jing* state to take the point with the knee vertical and foot lowered. Originally from the *Xieqi Zangfu Bingxing Pian*.
Dubi (Suwen): Below the knee, above the tibia, in the large tendon at the knee joint. (Jia Yi Jing) Lateral to the eye of the knee. (Rumen) Shaped like an ox's nose, hence the name. (Lei Jing) Puncturing Dubi requires the leg to be flexed and unable to extend. (Ling Shu) Contraindicated for moxibustion. (Rumen) Puncturing the patella causing effusion leads to limping. (Suwen)
Note: "Below the knee" is written as "below the patella" in *Qianjin Fang*, *Qianjin Yifang*, the secondary annotation, and *Waitai Miyao*. "Above the tibia" refers to above the tibial bone. The *Gukong Lun* states: The tibial bone void is at the upper end of the accessory bone. The secondary annotation clarifies: This refers to Dubi. "Knee joint" was formerly written as "Xia jie". *Qianjin Fang* secondary annotation, *Waitai Miyao*, *Zisheng Pian*, *Zhenjiu Juying*, and Wu Wenbing agree. This is a copying error. *Shengji Zonglu*, *Mingtang*, *Fahui*, and *Lei Jing* write "Gu jie" (bone joint). "Ting" in *Qianjin Fang* and *Zisheng Pian* refers to the shin. The *Waitai Miyao·Jiaoqi Pian* (Foot Disease Chapter) writes "outer corner above the kneecap, in the depression", which is incorrect. *Yizong Jinjian* writes "below the kneecap, above the tibia, in the depression". Commonly known as Knee Eye. There are empty spaces on both sides of this depression; "Knee Eye" does not specifically refer to the acupoint name but is easily confused. "Flexed and unable to extend" means the point is taken with the knee flexed.
Liangqiu (Jia Yi Jing): Also known as Kuagu. (Dacheng) Xi-Cleft point of the Yangming Channel, two cun above the knee. (Jia Yi Jing) Between the two tendons. (Qianjin Fang) Note: "Qiu" is written as "Qiu" (variant) in *Yizong Jinjian*. One theory in *Qianjin Fang* writes three cun. *Dacheng* writes one cun above the patella, which is incorrect.
Yinshi (Jia Yi Jing): Also known as Yinding. (Jia Yi Jing) Three cun above the knee, below Futu. Take the point as if bowing. (Jia Yi Jing) In the depression. (Secondary Annotation) Posterior to the inner accessory bone of the knee, below the large tendon and above the small tendon. (Lei Jing) Contraindicated for moxibustion. (Jia Yi Jing) Although stated as contraindicated, family traditions also apply seven moxa cones. (Dacheng ○ Secondary annotation: Apply three moxa cones.)
Note: *Qianjin Fang·Xiaoke Pian* (Diabetes Chapter) writes: Three cun proximal to Futu, take the point facing the knee. *Rumen* writes: In the depression of Futu. Furthermore, according to the *Suwen*: "Empty space above the femoral bone, in Guyang, emerging four cun above the knee." The secondary annotation states: Above Yinshi, below Futu, at Chengjie. Currently, there is no point name in this location; it is likely Yinshi. Unclear. Liangqiu is directly above the knee head, slanting from the muscle separation to the transverse crease beside the horizontal bone, ending at Biguan. This represents the flow of qi in the valleys, which can be verified.
Futu (Suwen): Also known as Wai Gou. (Daquan) Also known as Wai Qiu. (Baojian) Six cun above the knee, in the raised muscle. (Jia Yi Jing) Take the point in a kneeling position. (Zisheng Pian) Seven cun above the knee cap. (One theory in Zisheng Pian) About three finger-widths on each side; pressing reveals raised muscle resembling a rabbit, hence the name. (Lei Jing) Six cun above the gap between the knee and thigh, directed inward. (Rumen) Contraindicated for moxibustion. (Jia Yi Jing ○ *Qianjin Fang* for manic speech by ghosts, apply one hundred moxa cones.)
Note: "Tu" (rabbit) is written as "Tu" (wild rabbit) in the *Suwen*, *Qianjin Yifang*, *Zhenjiu Juying*, and Wu Wenbing. Tu and Tu are interchangeable. Wu Kun writes Tu. *Waitai Miyao* writes "Qi Nei" (raise inner) for "Qi Rou" (raise muscle), a writing error. Generally, those stating seven cun measure from the top of the knee cap.
Biguan (Jia Yi Jing): Posterior to Futu, three cun above the knee, in the intersection of muscle separations. (Jia Yi Jing) In the transverse crease of the hip bone. (Rumen) Contraindicated for moxibustion. (One theory in Lei Jing)
Note: "Fen" is written as "Wen" in *Fahui* and *Lei Jing*. Another version of *Lei Jing* places it one chi two cun above the knee, which is too rigid. "Bi" is written as "Pi" (Spleen) in *Daquan*, and also incorrectly as "Bi".
Foot Shaoyang Gallbladder Channel and Thigh Region: Total 28 points.
Qiaoyin (Ling Shu): Located at the tip of the fourth toe (little toe). It is the Jing-Well point. (Ling Shu) At the corner of the nail where it meets the flesh. (Suwen) Distance from the nail is like the width of a leek leaf. (Jia Yi Jing) Lateral side of the fourth toe. (Rumen)
Note: *Qianjin Yifang* writes: Distance from the nail corner like the width of a leek leaf.
Xiaxi (Ling Shu): Located between the fourth and fifth toes. It is the Ying-Spring point. (Ling Shu) Between the bifurcated bones, before the proximal joint, in the depression. (Jia Yi Jing)
Note: "Xia" is written as "Jia" (clip) in *Zhenjiu Juying* and Wu Wenbing. *Qianjin Fang* omits the two characters. *Yizong Jinjian* writes Diewuhui, one cun distal, which is too rigid.
Diewuhui (Jia Yi Jing): In the space after the proximal joint of the fourth and fifth toes, in the depression. (Jia Yi Jing) Moxibustion causes emaciation and death within three years. (Jia Yi Jing) Contraindicated for needling. (Rumen)
Note: *Zisheng Pian*, *Lei Jing*, *Zhenjiu Juying*, *Rumen*, *Yitong*, Wu Wenbing, *Daquan*, and *Dacheng* write one cun distal to Xiaxi, which is too rigid. Generally, points located in bone-joint depressions are not measured precisely with cun. Therefore, ancient texts do not specify distances. *Rumen* omits the character "Hui".
Linque (Ling Shu): One and a half cun upward, in the depression. It is the Shu-Stream point. (Ling Shu) In the space after the proximal joint of the little toe and fourth toe, in the depression, one and a half cun distal to Xiaxi. (Jia Yi Jing)
Note: The *Ling Shu* states: Linque ascends. This means Linque is located ascending from Xiaxi. *Qianjin Fang*, *Qianjin Yifang*, and *Waitai Miyao* write one and a half cun distal to Xiaxi, which is correct. The phrase "Linque xia" (below Linque) likely omitted "Xiaxi". Locating this point at the bony ridge is incorrect. It is between the bony ridges but not pressing against the bone, hence the *Ling Shu* states: one and a half cun, in the depression. One theory in *Daquan* writes seven and a half cun distal to Xiaxi, which is incorrect.
Qiuxu (Ling Shu): Anterior and inferior to the lateral malleolus, in the depression. It is the Yuan-Source point. (Ling Shu) Lateral aspect, below the malleolus, as described before. (Jia Yi Jing) In the longitudinal groove of the bone. (Zhenjiu Juying) Take the point with the foot extended. (One theory in Qianjin Yifang)
Note: *Rumen* writes a variant character for Qiu. *Yizong Jinjian* writes Qiu. *Daquan* and *Rumen* write Wei. *Baojian* agrees. *Jia Yi Jing* states: One cun distal to Linque. *Qianjin Fang*, *Qianjin Yifang*, *Waitai Miyao*, secondary annotation, *Mingtang*, *Zisheng Pian*, and subsequent books write three cun. This point should not be determined by cun measurements, so these are not adopted.
Xuanzhong (Jia Yi Jing): Also known as Jiegu. (Qianjin Fang) Three cun above the lateral malleolus, in the pulsating vessel. It is the connecting point of the three Yang channels of the foot. Press until the Yangming pulse disappears to locate it. (Jia Yi Jing) In the depression at the end of the bone. (Waitai Miyao) Anterior to the bone tip. (Lei Jing)
Note: The character "Zhe" is superfluous. *Qianjin Fang*, *Qianjin Yifang*, and *Waitai Miyao* omit the character "Mai" (vessel). *Waitai Miyao* adds the character "Da" (large) before "Luo". Yangming refers to the dorsal artery. Ascending from the ankle along the bone, approximately three cun up, there is a place called Juelong. The sharp tip of the bone is commonly called Yangzhi Gu. Anterior to this is Xuanzhong. *Qianjin Fang·Ke Sou Pian* (Cough Chapter) writes "above the medial malleolus", which is an error. Also, *Qianjin Fang* states: One Fu above the outer malleolus. Also states: Four cun. One theory in *Benshi Fang* and *Zisheng Pian* writes four cun. Four cun overlaps with Yangfu and should not be followed. The *Waitai Miyao·Jiu Gangjiao Pian* (Moxa for Foot Disease Chapter) states one chi. *Zhouhou Beiji Fang* writes slightly more than three cun above the lateral malleolus. Measure from the tip of the finger to the upper edge of the ankle bone, bend the finger head four cun; this corresponds relatively to Xia Lian, forming two points in the interval. *Qianjin Yifang* states: Three finger-widths above the lateral malleolus, above the bone. The method: Use grass across the middle line of the finger, spanning three finger-widths, aligning both ends, then measure from the lower bone of the lateral malleolus upward to the bone tip. This is not correct. The *Shenyjing* states: Although it says three cun above the lateral malleolus excluding the malleolus, the point must be at Juelong. This view is accurate.
Yangfu (Ling Shu): Also known as Jiegu (Suwen) Also known as Fenrou. (Lei Jing) Above the lateral malleolus, anterior to the fibula, and at the end of Jiegu. It is the Jing-River point. (Ling Shu) Four cun above the lateral malleolus, anterior to the end of the fibula, as described before, three parts [of the distance?], seven cun distal to Qiuxu. (Jia Yi Jing)
Note: The *Qixue Lun* states: Fenrou two points. The secondary annotation says: Above the lateral malleolus, at the end of Jiegu. Three parts, between muscle and tendon, where the Qi of the Yang Wei Vessel emerges. Xin Zhengjiao notes: *Jia Yi Jing* has no Fenrou point; it is suspected to be Yangfu. *Suwen Zhijie* states: Three cun above the navel is Shuifen point. Probably incorrect. Also, the *Gukong Lun* states: At the end of Jiegu above the lateral malleolus. Moxibustion. The secondary annotation says: This is the Yangfu point. The *Cinu Lun* states: Needle Jiegu. Wang says: This is the Yangfu point. The *Nanjing* states: Marrow meeting point is Jiegu. Hua Shou states: Jiegu is also known as Yangfu. Note that sharing the same name with Xuanzhong may indicate an error. "Seven cun distal to Qiuxu" uses the ankle bone as three cun. *Waitai Miyao* writes: Three cun lateral to the lower outer knee, beside the fibula, between the two tendons of the little toe, which is incorrect. *Lei Jing* quotes the secondary annotation: Write as two parts posteriorly. The current text matches *Jia Yi Jing*. *Yimen Zhaiyao* states: Fibula should be written as Tibia, which is incorrect. *Qianjin Yifang·Zhufeng Pian* (Wind Chapter) states: Three cun above the lateral malleolus, one theory says four cun. Also states: One Fu.
Guangming (Ling Shu): Five cun from the malleolus, diverging to connect with Jueyin. (Ling Shu) Above the lateral malleolus. (Jia Yi Jing) In the depression. (Mingtang)
Waiqiu (Jia Yi Jing): Xi-Cleft point of the Foot Shaoyang channel. Generated by Shaoyang, located seven cun above the lateral malleolus. (Jia Yi Jing) In the bone depression. (Rumen) Posterior to Yangjiao. (Added Note)
Note: "Qiu" is written as "Qiu" (variant) in *Yizong Jinjian*. Old versions of *Jia Yi Jing* wrote "medial malleolus", a writing error. Yangjiao is already specified as lateral malleolus. *Qianjin Fang*, *Waitai Miyao*, and subsequent books write "lateral malleolus". Thus, it is corrected here.
Yangjiao (Jia Yi Jing): Also known as Bieyang. Also known as Zu... (Jia Yi Jing) Xi-Cleft point of the Yang Wei Vessel. Located seven cun above the lateral malleolus, slanting into the muscle separation of the three Yang channels. (Jia Yi Jing) Alongside Waiqiu. (Rumen) Posterior to Xia Lian, anterior to Waiqiu. (Added Note)
Note: Xia Lian of the Yangming channel, Waiqiu of this channel, and Feiyang of the Taiyang channel, all seven cun above the malleolus, constitute the muscle separation of the three Yang channels.
Yanglingquan (Ling Shu): In the depression lateral to the knee. It is the He-Sea point. Locate it with the leg extended. (Ling Shu) One cun below the knee, lateral to the tibia. (Jia Yi Jing) Anterior to the pointed bone lateral to the knee. (Qianjin Fang) In the depression. (Qianjin Yifang) In the hollow below the lateral bone. (Waitai Miyao)
Note: The *Ling Shu* states: Yang zhi Lingquan, explanation seen previously. *Shenyjing* omits the character "Quan", likely a omission. The *Zangfu Bingxing Pian* states: For cold and heat, take Yanglingquan. The *Ci Yaotong Lun* states: Puncture the end of the Chenggu of Shaoyang to bleed. Chenggu is the bone protruding alone at the lateral aspect of the knee. Lou Shanquan states: This refers to Yanglingquan. Wu Kun states: This is the Yangguan point. Zhang's annotation states: This is the upper end of the tibia, which supports the body, hence called Chenggu. *Jia Yi Jing* writes "Sheng" for "Cheng". The *Qixue Lun* states: Cold and heat Shu points are in the middle of the two Haiyan. Two points. The secondary annotation states: Haiyan refers to the depression of the bone clamping the outside of the knee. Wang Shuhe combines two characters into Haiyan; the two characters cannot be removed. The *Jizhu* states: The knee joint is Hai; the two points in the middle of the two Haiyan refer to Yanglingquan of the Shaoyang channel. *Rumen* writes: One cun below the patellar bone, in the depression between the two lateral bones. *Lei Jing* writes: Between the bone and tendon anterior to the pointed bone, which is also acceptable. *Shenyjing* writes six fen anterior to the lateral bone below the knee, which is too rigid. *Lei Jing*, *Rumen*, *Zhenjiu Juying*, *Yitong*, Wu Wenbing, *Yizong Jinjian*, and *Dacheng* write squatting to take the point, which is correct. The reference in the *Zangfu Bingxing Pian* to Yanglingquan aligns with the method of taking the point with the knee vertical and aligned.
Yangguan (Jia Yi Jing): Also known as Guanling. (Qianjin Zhu) Also known as Yangling. (Zhenjiu Juying) Also known as Guanyang. (Baojian) Three cun proximal to Yanglingquan, lateral to Dubi, in the depression. (Jia Yi Jing) Above the external accessory bone, between the bone and tendon beside the knee. (Okamoto) Contraindicated for moxibustion. (Jia Yi Jing) Contraindicated for needling. (Rumen)
Note: *Qianjin Fang* writes Guanyang, likely a misplacement. Later generations assumed it was another name. *Zisheng Pian* and *Rumen* write two cun. *Yizong Jinjian* writes two cun above the knee, which is incorrect. The *Suwen* states: The Cold Mansion is in the Ying at the resolution of the lateral knee attachment. *Lei Jing* states: Refers to the space between the resolving external accessory bone below the knee. Generally, cold qi accumulating from below gathers at the knee. Hence the patella is particularly cold, hence named Cold Mansion. Ying means bending. It corresponds to Yangguan of the Foot Shaoyang channel.