（一名精宫，在背对脐，以竹竿立地量之，使无高下也）属督脉（《明堂经》曰∶命门
穴，在第十四椎节下间，与肾相当，伏而取之，督脉气所发也。
病五脏热，脉弦急者，当灸五十壮，老少增损之。如虚寒者，灸百壮）。又属足少阴肾经（《难经》曰∶十二
经之脉，皆系于生气之原，生气之原者，谓肾间之动气，五脏六腑之本，三焦之原。呼吸之门也。一名守邪之
神。根绝则枝叶枯矣，故有寸口脉平而死者，生气独绝于内也。注∶肾间动气，谓命门穴也。顾英白曰∶命门
居两肾之中，故《脉诀》云左为肾，右为命门，非也。不知十二经脉，则有心包与三焦，而腹中脏腑，岂能以
两肾为二脏者。夫膀胱与肾为配偶，肾二而膀胱一，故曰孤之腑，后之人不可以憬然而误欤？或又以命门为子
户，则愈谬矣！子户在中极之旁，左亦名胞门，得毋以命门易心包之故而云然耶？可慨甚矣！丹田亦名曰命门，
任脉所发也，为三焦之募，故命门专以配三焦。然《脉诀》之命门，则必属督脉焉，为其可以通于肾也）。
（神阙穴之分也，又名为气舍）属任脉、冲脉之会（《素问》曰∶任脉者，起于少腹，直
上贯脐中央。又曰∶冲脉者，起于气街，并少阴之经。挟脐上行，至胸中而散）。又属足少阴肾经、太阴脾经
（《灵枢》曰∶热病挟脐急痛，胸胁满，取之涌泉。涌泉，足少阴之井穴也，又曰∶足太阴之筋，上腹，结于脐。
李东垣曰∶脐腹痛，少阴也，四逆真武附子汤之类主之。故脐下或大痛，人中黑色者，不可治。《机要》曰∶
脐下发热者，肾经病也，非熟地黄不能除，以其能补肾也。《心鉴》曰∶脾绝者，脐突唇反）。又属手足阳明
大肠、胃经（《灵枢》曰∶足阳明之脉，从乳内廉下挟脐，入气街中。又曰∶积着于阳明之筋，则挟脐而居，
饱食则差，大饥则益也。又曰∶胃中热，则消谷，令人悬心善饥，脐以上皮热。肠中热。则出黄如糜，脐以下
皮寒。胃中寒，则腹胀；肠中寒，则肠鸣飧
泄。胃中寒，肠中热，则胀而且泄；胃中热，肠中寒，则疾饥，小腹痛胀。《素问》曰∶人有身体髋股 皆
肿，环脐而痛者，病名伏梁，此风根也。其气溢于大肠而着于肓；肓之原在脐下，故环脐而痛。《中藏》曰∶
冬日大肠，重感于寒，则腹中当脐而痛，鸣濯濯，不能久立，痛已则泄白物）兼属足太阳膀胱经、厥阴肝经
（朱丹溪曰∶足太阳膀胱经见症，脐反出。沈承之曰∶挟脐旁左右二寸名天枢穴，大肠之募也，属足阳明胃经，
会手阳明大肠经。脐下三寸，名关元穴，小肠之募也；四寸名中极穴，膀胱之募也，并属足三阴脾、肾、肝
经、任脉之会）。又以动脉分五脏（《难经》曰∶脐左动气属肝，脐右动气属肺，脐上动气属心，脐下动气属
肾，当脐动气属脾。又曰∶脐上牢若痛，心内症也；脐下牢若痛，肾内症也；脐右牢若痛，肺内症也；脐左牢
若痛，肝内症也）。
（命门穴，又名精宫，位于背部正对肚脐的位置。测量方法是：将竹竿直立在地面上进行量取，以确保高度准确无误）。该穴位归属于督脉（《明堂经》记载：命门穴，位于第十四节椎骨下方的间隙中，与肾脏位置相对称，针刺时需让患者俯卧取穴，此处是督脉之气发出的部位。若病症表现为五脏有热且脉象弦急，应当施灸五十壮，并根据患者的年龄老少适当增减灸量。若是虚寒证，则应施灸一百壮）。此外，它也归属于足少阴肾经（《难经》记载：十二经脉的脉气，都联系于“生气之原”。所谓“生气之原”，指的是两肾之间的动气，它是五脏六腑的根本，也是三焦的源头和呼吸的门户。它还有一个名字叫“守邪之神”。如果根源断绝，枝叶就会枯死，所以有时寸口脉象看似平和却有人死亡，这是因为内部的生气单独断绝了。注释说：肾间动气，指的就是命门穴。顾英白说：命门位于两肾中间，所以《脉诀》中说左边是肾，右边是命门，这是错误的。如果不了解十二经脉，就会误以为有心包和三焦，而腹中的脏腑怎么能把两个肾脏当作两个独立的脏器呢？膀胱与肾互为配偶，肾有两个而膀胱只有一个，所以膀胱被称为“孤府”，后世之人不应因此困惑而犯错吗？或者又有人把命门称为子户，那就更加荒谬了！子户位于中极穴旁边，左侧也叫胞门，这难道是因为混淆了命门与心包的概念才这样说的吗？真是令人感慨啊！丹田也叫做命门，是任脉发出的穴位，作为三焦的募穴，所以命门专门用来配属三焦。然而，《脉诀》中的命门，则必须归属于督脉，因为它可以与肾相通）。
（神阙穴的分野区域，又名为气舍）。这里是任脉和冲脉交会的地方（《素问》记载：任脉，起于小腹，直上穿过肚脐中央。又说：冲脉，起于气街，并沿足少阴肾经上行，夹着肚脐两侧向上，到达胸部后散开）。此外，它还归属于足少阴肾经和足太阴脾经（《灵枢》记载：热病伴有肚脐周围拘急疼痛、胸胁胀满的，取涌泉穴治疗。涌泉穴，是足少阴肾经的井穴。又说：足太阴脾经的筋，向上进入腹部，结聚于肚脐。李东垣说：肚脐周围腹痛，属于少阴经病，常用四逆汤、真武汤、附子汤等方剂主治。所以如果脐下剧烈疼痛，且人中部位发黑的，属于不可治之症。《机要》记载：脐下发热的，是肾经的病，非熟地黄不能消除，因为熟地黄能补肾。《心鉴》记载：脾脏功能衰竭的表现，是肚脐突出、嘴唇翻卷）。此外，它还归属于手阳明大肠经和足阳明胃经（《灵枢》记载：足阳明胃经的脉，从乳房内侧下方沿着肚脐两侧下行，进入气街中。又说：邪气积聚在阳明的筋脉，就会停留在肚脐两侧，饱食时症状减轻，极度饥饿时症状加重。又说：胃中有热，会消化食物过快，使人心中悬空易饥，肚脐以上的皮肤发热。肠中有热，则会排出黄色如粥状的粪便，肚脐以下的皮肤发凉。胃中有寒，会导致腹胀；肠中有寒，会导致肠鸣和完谷不化的泄泻。胃中有寒而肠中有热，会导致既腹胀又泄泻；胃中有热而肠中有寒，会导致容易饥饿且小腹部疼痛胀满。《素问》记载：有人身体髋部和股部都肿胀，环绕肚脐疼痛，这种病名叫伏梁，这是风邪留下的病根。其气溢于大肠并附着于肓膜；肓膜的根源在肚脐下方，所以会出现环绕肚脐疼痛的症状。《中藏经》记载：冬天大肠再次感受寒邪，则腹部当脐处疼痛，肠鸣有声，不能久站，疼痛停止后会排泄白色粘液）。同时也兼属足太阳膀胱经和足厥阴肝经（朱丹溪说：足太阳膀胱经出现的症状，包括肚脐外突。沈承之说：肚脐旁左右各二寸处的穴位叫天枢穴，是大肠的募穴，归属于足阳明胃经，并与手阳明大肠经交会。肚脐下三寸处，叫关元穴，是小肠的募穴；四寸处叫中极穴，是膀胱的募穴，它们都属于足三阴经（脾、肾、肝）和任脉的交会处）。此外，还通过动脉搏动来区分五脏（《难经》记载：肚脐左边的动气归属于肝，右边的动气归属于肺，上方的动气归属于心，下方的动气归属于肾，正对肚脐的动气归属于脾。又说：肚脐上方坚硬且疼痛的，是心脏内部的病症；肚脐下方坚硬且疼痛的，是肾脏内部的病症；肚脐右侧坚硬且疼痛的，是肺部内部的病症；肚脐左侧坚硬且疼痛的，是肝脏内部的病症）。
(Mingmen, also known as Jinggong [Palace of Essence], is located on the back directly opposite the umbilicus. The measurement method involves standing a bamboo pole upright on the ground to ensure accurate height). This acupoint belongs to the Du Meridian (The *Mingtang Jing* states: "The Mingmen acupoint is located in the interspace below the fourteenth vertebral segment, corresponding to the kidneys. It should be accessed with the patient prone; this is where the Qi of the Du Meridian emerges." If the condition presents as heat in the five Zang organs accompanied by a wiry and tense pulse, fifty moxibustion cones should be applied, adjusted according to the age of the patient. For deficiency-cold conditions, one hundred cones should be applied). Furthermore, it belongs to the Foot-Shaoyin Kidney Meridian (The *Nan Jing* states: "The meridians of the twelve channels are all connected to the 'Source of Vital Qi'. The Source of Vital Qi refers to the moving Qi between the two kidneys; it is the root of the five Zang and six Fu organs, the origin of the Sanjiao, and the gate of respiration. It is also called the 'God who guards against pathogenic factors'. If the root is severed, the branches and leaves will wither; thus, there are cases where the pulse at the Cun Kou appears normal yet death occurs, because the vital Qi alone has been severed internally." The commentary notes: "The moving Qi between the kidneys refers to the Mingmen acupoint." Gu Yingbai said: "Mingmen is situated between the two kidneys, so the *Mai Jue* claims the left is the kidney and the right is Mingmen, which is incorrect." One must not fail to understand the twelve meridians, which include the Pericardium and Sanjiao; how can the abdominal organs treat the two kidneys as two separate viscera? The Bladder and Kidney are paired; since there are two Kidneys but only one Bladder, the Bladder is termed the 'Single Organ'; later generations should not be confused and err due to this? Or some further confuse Mingmen with Zihu [Sub-household], which is even more absurd! Zihu is beside Zhongji, and the left side is also called Baomen; could this stem from confusing Mingmen with the Pericardium? This is truly lamentable! Dantian is also called Mingmen; it is an emerging point of the Ren Meridian and serves as the Mu-Alarm point of the Sanjiao, hence Mingmen is specifically associated with the Sanjiao. However, the Mingmen in the *Mai Jue* must belong to the Du Meridian, as it can connect with the Kidney).
(This region of Shenque Acupoint, also known as Qishe [Residence of Qi]). It is the convergence of the Ren Meridian and the Chong Meridian (The *Su Wen* states: "The Ren Meridian originates from the lower abdomen and goes straight up through the center of the umbilicus." It also says: "The Chong Meridian originates from Qichong, runs alongside the Foot-Shaoyin Meridian, ascends flanking the umbilicus, and disperses in the chest.") Furthermore, it belongs to the Foot-Shaoyin Kidney Meridian and the Foot-Taiyin Spleen Meridian (The *Ling Shu* states: "In heat diseases accompanied by urgent pain around the umbilicus and fullness in the chest and hypochondrium, Yongquan should be selected. Yongquan is the Jing-Well point of the Foot-Shaoyin Meridian." It also says: "The sinews of the Foot-Taiyin ascend into the abdomen and knot at the umbilicus." Li Dongyuan stated: "Abdominal pain around the umbilicus belongs to the Shaoyin channel; it is primarily treated with formulas such as Six Reversal Decoction [Sini Tang], True Warrior Decoction [Zhenwu Tang], or Aconite Decoction [Fuzi Tang]. Therefore, if there is severe pain below the umbilicus and black discoloration of the Renzhong area, it is incurable." The *Jiyao* states: "Heat below the umbilicus is a disease of the Kidney Meridian, which cannot be eliminated without Prepared Rehmannia Root [Shu Dihuang], because it tonifies the Kidney." The *Xin Jian* states: "When the Spleen is exhausted, the signs are protrusion of the umbilicus and retraction of the lips.") Furthermore, it belongs to the Hand-Yangming Large Intestine Meridian and the Foot-Yangming Stomach Meridian (The *Ling Shu* states: "The Foot-Yangming Meridian descends from the inner aspect of the breast, flanking the umbilicus, and enters the Qichong area." It also says: "Accumulation in the sinews of Yangming resides flanking the umbilicus; symptoms improve after eating and worsen during extreme hunger." It also says: "Heat in the Stomach leads to rapid digestion, causing a sensation of emptiness in the heart and frequent hunger, with heat in the skin above the umbilicus. Heat in the Intestines leads to the discharge of yellow, porridge-like stool, with coldness in the skin below the umbilicus. Cold in the Stomach causes abdominal distension; cold in the Intestines causes borborygmus and undigested food diarrhea. Cold in the Stomach and heat in the Intestines cause both distension and diarrhea; heat in the Stomach and cold in the Intestines cause frequent hunger and painful distension in the lower abdomen." The *Su Wen* states: "When a person's body, hips, and thighs are swollen and there is pain circling the umbilicus, the disease is named Fuliang [Hidden Beam]; this is the root of wind pathogens. Its Qi overflows into the Large Intestine and attaches to the Huang [Huangmo/Blind Tissue]; the source of the Huangmo is below the umbilicus, hence the pain circles the umbilicus." The *Zhong Zang Jing* states: "In winter, if the Large Intestine is additionally affected by cold, there will be pain at the umbilicus in the abdomen, gurgling sounds, inability to stand for long periods, and upon cessation of pain, white mucus will be discharged"). It also concurrently belongs to the Foot-Taiyang Bladder Meridian and the Foot-Jueyin Liver Meridian (Zhu Danxi stated: "Symptoms of the Foot-Taiyang Bladder Meridian include protrusion of the umbilicus." Shen Chengzhi stated: "The acupoints Tian Shu, located two cun to the left and right of the umbilicus, are the Mu-Alarm points of the Large Intestine, belonging to the Foot-Yangming Stomach Meridian and converging with the Hand-Yangming Large Intestine Meridian. Three cun below the umbilicus is Guan Yuan, the Mu-Alarm point of the Small Intestine; four cun below is Zhong Ji, the Mu-Alarm point of the Bladder; these converge with the Foot-Sanyin Meridians [Spleen, Kidney, Liver] and the Ren Meridian"). Furthermore, the Five Zang Organs are distinguished by arterial pulsations (The *Nan Jing* states: "Moving Qi to the left of the umbilicus belongs to the Liver; moving Qi to the right belongs to the Lung; moving Qi above belongs to the Heart; moving Qi below belongs to the Kidney; moving Qi directly at the umbilicus belongs to the Spleen." It also says: "Hardness and pain above the umbilicus indicate internal pathology of the Heart; hardness and pain below the umbilicus indicate internal pathology of the Kidney; hardness and pain to the right of the umbilicus indicate internal pathology of the Lung; hardness and pain to the left of the umbilicus indicate internal pathology of the Liver").