（左右手及臂凡二十八穴）
1．商阳∶二穴金也，一名绝阳，在手大指次指内侧，去爪甲角如韭叶。手阳明脉之所出也，为井。
治胸中气满，喘咳支肿，热病汗不出，耳鸣且聋，寒热 疟，口干，颐颔肿，齿痛，恶
寒，肩背急相引缺盆痛，目青盲。可灸三壮，右取左，左取右，如须食，立已。针入一分，留一呼。
2．二间∶二穴水也，一名间谷，在手大指次指本节前内侧陷中。手阳明脉之所流也，为荥。治喉痹，颔胫
肩背痛，振寒，鼻鼽衄血，多惊，口 。针入三分，可灸三壮。
3．三间∶二穴木也，一名少谷，在手大指次指本节之后内侧陷中。手阳明脉之所注也，为 。治喉痹，
咽中如鞭，齿龋痛，嗜卧，胸满，肠鸣洞泄，寒疟，唇焦口干，气喘，目 急痛。针入三分，留三呼，可灸三壮。
4．合谷∶二穴，一名虎口，在手大指次指岐骨间陷中。手阳明脉之所过也，为原。疗寒热疟，鼻鼽衄，
热病汗不出，目视不明，头痛，齿龋，喉痹、痿臂，面肿，唇吻不收，喑不能言，口
噤不开。针入三分，留六呼，可灸三壮。今附右妇人妊娠，不可刺之，损胎气。
5．阳溪∶二穴火也，一名中魁，在腕中上侧两筋陷中。手阳明脉之所行也，为经。治狂言喜笑，大见鬼，
热病，烦心，目风赤，厥逆头痛，胸满不得息，寒热，疟疾，喉痹，耳鸣，齿惊，
掣肘，臂不举，痂疥。针入三分，留七呼，可灸三壮，慎如前法。
6．偏历∶二穴，手阳明络，在腕后三寸，别走太阴。治寒热，疟风，汗不出，目视KT KT，癫疾，多
言，耳鸣，口 ，齿
龋，喉痹嗌干，鼻鼽衄血。针入三分，留七呼，可灸三壮。
7．温留∶二穴，一名逆注，一名蛇头，在腕后大士六寸，小
士五寸，手阳明 。治口 ，肠鸣腹痛，伤寒身热，头痛，哕逆，肩不得举，癫疾吐涎，狂言见鬼，喉痹而
虚肿。针入三分，可灸三壮。
8．下廉∶二穴在辅骨下，去上廉一寸，辅兑肉其分，外斜。
治头风，臂时痛，溺黄。针入五分，留五呼，灸三壮。
9．上廉∶二穴在三里下一寸，其分独抵阳明之会，外斜。治
脑风头痛，小便难、黄赤，肠鸣，气走疰痛。针入五分，可灸五壮。
10．三里∶二穴在曲池下二寸，按之肉起，兑肉之端。治手臂
不仁，肘挛不伸，齿痛，颊颔肿，瘰 。可灸三壮，针入二分。
11．曲池∶二穴土也，在肘外辅骨屈肘曲骨之中，以手拱胸取之。手阳明脉之所入也，为合。治肘中痛，
偏风，手身不遂，刺风，瘾疹，喉痹不能言，胸中烦满，筋缓捉物不得，挽弓不开，屈伸难，风臂肘细而无
力，伤寒余热不尽，皮肤干燥。针入七分，得气先泻后补之，灸亦大良，可灸三壮。
12．肘 ∶二穴在肘大骨外廉陷中。治肘节风痹，臂痛不可举，屈伸挛急。可灸三壮，针入三分。
13．五里∶二穴在肘上三寸，行向里大脉中央。治风劳，惊恐，吐血，肘臂痛，嗜卧，四肢不得动摇，寒
热，瘰 ，咳嗽，目视KT KT ， 疟，心下胀满。可灸十壮，禁不可针。
14．臂 ∶二穴在肘上七寸 肉端，手阳明络。治寒热，颈项
拘急，瘰 ，肩背痛不得举。可灸三壮，针入三分。
（左右手及手臂共有二十八个穴位）
1. 商阳：双侧共二穴，五行属金，又名绝阳。位于手大指与次指（食指）内侧，距离指甲角如韭菜叶宽度处。为手阳明大肠经气血所出之处，属井穴。主治胸中气满、喘息咳嗽、四肢肿胀、热病无汗、耳鸣且听力下降、寒热往来及疟疾、口干、下颌部肿胀、牙齿疼痛、恶寒、肩背部拘急并牵引缺盆部位疼痛、眼睛失明。可艾灸三壮，采用左病取右、右病取左的交叉取穴法，若患者需要进食，针刺后立即见效。进针一分深，留针一呼的时间。
2. 二间：双侧共二穴，五行属水，又名间谷。位于手大指与次指本节前内侧的凹陷中。为手阳明大肠经气血流动之处，属荥穴。主治喉痹（咽喉肿痛闭塞）、下颌及小腿/肩部疼痛（注：原文“颔胫”疑为传抄错误，通常指颌下或相关部位，此处依字面翻译）、发冷颤抖、鼻塞流涕及鼻出血、易受惊吓、口舌生疮（原文“口 ”缺失，结合语境推测为口疮或口糜）。进针三分深，可艾灸三壮。
3. 三间：双侧共二穴，五行属木，又名少谷。位于手大指与次指本节之后内侧的凹陷中。为手阳明大肠经气血灌注之处，属输穴。主治喉痹、咽喉中有异物感如鞭打状、龋齿疼痛、嗜睡、胸中胀满、肠鸣腹泻、寒性疟疾、嘴唇焦枯口干、气喘、眼睛红肿急痛。进针三分深，留针三呼的时间，可艾灸三壮。
4. 合谷：双侧共二穴，又名虎口。位于手大指与次指叉骨间的凹陷中。为手阳明大肠经气血经过之处，属原穴。治疗寒热疟疾、鼻塞流涕及鼻出血、热病无汗、视物不明、头痛、龋齿、喉痹、手臂痿软无力、面部肿胀、口唇松弛不收、失语不能言、牙关紧闭不开。进针三分深，留针六呼的时间，可艾灸三壮。现补充说明：孕妇右侧患病不可针刺此穴，以免损伤胎气。
5. 阳溪：双侧共二穴，五行属火，又名中魁。位于手腕上侧两筋之间的凹陷中。为手阳明大肠经气血运行之处，属经穴。主治胡言乱语喜笑、幻觉见鬼、热病、心烦、目赤风眼、厥逆头痛、胸中胀满呼吸困难、寒热、疟疾、喉痹、耳鸣、牙齿惊痛、肘部牵掣痛、手臂不能抬起、疥癣结痂。进针三分深，留针七呼的时间，可艾灸三壮，注意事项同前文。
6. 偏历：双侧共二穴，为手阳明大肠经络穴，位于腕后三寸处，别走手太阴肺经。主治寒热、疟疾风邪、无汗、视物模糊不清（原文“KT KT”为乱码，意指视力障碍）、癫疾、多言、耳鸣、口舌生疮（原文“口 ”缺失）、龋齿、喉痹咽干、鼻塞流涕及鼻出血。进针三分深，留针七呼的时间，可艾灸三壮。
7. 温溜：双侧共二穴，又名逆注、蛇头。位于腕后五寸（原文“大士六寸，小士五寸”为古度量衡异写或误植，通常温溜在腕后五寸），属于手阳明大肠经。主治口舌生疮（原文“口 ”缺失）、肠鸣腹痛、伤寒身热、头痛、呃逆、肩部不能抬起、癫疾吐涎沫、狂言见鬼、喉痹伴虚肿。进针三分深，可艾灸三壮。
8. 下廉：双侧共二穴，位于辅骨下方，距离上廉穴一寸，肌肉纹理分开处，向外倾斜。主治头风、手臂时常疼痛、小便黄。进针五分深，留针五呼的时间，灸三壮。
9. 上廉：双侧共二穴，位于三里穴下一寸，其肌肉纹理独自抵至阳明经的会合处，向外倾斜。主治脑风头痛、小便困难且黄赤、肠鸣、气行窜痛。进针五分深，可艾灸五壮。
10. 三里：双侧共二穴，位于曲池穴下二寸，按压时肌肉隆起，为肌肉纹理的末端。主治手臂麻木不仁、肘部挛缩不能伸展、牙齿疼痛、脸颊及下颌肿胀、瘰疬（淋巴结结核）。可艾灸三壮，进针二分深。
11. 曲池：双侧共二穴，五行属土，位于肘部外侧辅骨屈肘时的曲骨之中，取穴时以手拱胸定位。为手阳明大肠经气血汇入之处，属合穴。主治肘部疼痛、偏瘫、手足身体活动不利、刺风（风邪侵袭）、瘾疹（荨麻疹）、喉痹失语、胸中烦闷胀满、筋脉弛缓无法握物、拉弓不能张开、屈伸困难、手臂肘部纤细无力、伤寒余热不尽、皮肤干燥。进针七分深，得气后先泻后补，艾灸也非常好，可灸三壮。
12. 肘髎：双侧共二穴，位于肘部大骨外缘的凹陷中。主治肘节风痹、手臂疼痛不能抬起、屈伸挛急。可艾灸三壮，进针三分深。
13. 五里：双侧共二穴，位于肘上三寸，沿经脉向里的动脉中央。主治风劳、惊恐、吐血、肘臂疼痛、嗜睡、四肢不能动摇、寒热、瘰疬、咳嗽、视物模糊不清（原文“KT KT”为乱码）、疟疾、心下部胀满。可艾灸十壮，禁止针刺。
14. 臂臑：双侧共二穴，位于肘上七寸三角肌下端，为手阳明大肠经络穴。主治寒热、颈项拘急、瘰疬、肩背痛不能抬起。可艾灸三壮，进针三分深。
(There are twenty-eight acupoints in total on both hands and arms.)
1. Shangyang (LI1, Shāngyáng): Bilateral, two points, Element Metal, also known as Jueyang (絕陽). Located on the medial side of the radial finger (index finger) and thumb, at a distance from the corner of the nail resembling the width of a leek leaf. It is the point where the Qi of the Hand-Yangming Large Intestine Meridian emerges, classified as a Jing-Well point. Indications: Fullness of Qi in the chest, wheezing and coughing, swelling of limbs, heat disease with no sweating, tinnitus and deafness, alternating chills and fever, malaria, dry mouth, swelling of the mandible, toothache, aversion to cold, stiffness and pain in the shoulder and back radiating to the clavicular fossa (Quepen), blindness. Moxibustion: 3 moxa cones. Acupuncture: Cross-point selection (left for right symptoms, right for left symptoms); if food is required, effect is immediate upon needling. Depth: 1 fen; Retention: 1 breath.
2. Erjian (LI2, Èrjiān): Bilateral, two points, Element Water, also known as Jianggu (間谷). Located in the depression on the medial side of the proximal interphalangeal joint of the index finger. It is the flowing point of the Hand-Yangming Large Intestine Meridian, classified as a Ying-Spring point. Indications: Throat obstruction (Bi syndrome), pain in the mandible and shoulder, chills, nasal congestion and epistaxis, frequent fright, mouth ulcers (text missing, inferred). Depth: 3 fen; Moxibustion: 3 moxa cones.
3. Sanjian (LI3, Sānjiān): Bilateral, two points, Element Wood, also known as Shaogu (少谷). Located in the depression on the medial side posterior to the metacarpophalangeal joint of the index finger. It is the pouring point of the Hand-Yangming Large Intestine Meridian, classified as a Shu-Stream point. Indications: Throat obstruction, sensation of a foreign body in the throat like a whip, caries toothache, lethargy, chest fullness, borborygmus and diarrhea, cold malaria, dry and cracked lips, thirst, asthma, redness and acute pain in the eyes. Depth: 3 fen; Retention: 3 breaths; Moxibustion: 3 moxa cones.
4. Hegu (LI4, Hégu): Bilateral, two points, also known as Hukou (虎口). Located in the depression between the first and second metacarpal bones. It is the passing point of the Hand-Yangming Large Intestine Meridian, classified as the Yuan-Source point. Indications: Alternating chills and fever, malaria, nasal congestion and epistaxis, heat disease with no sweating, blurred vision, headache, caries toothache, throat obstruction, flaccid paralysis of the arm, facial swelling, laxity of the lips, aphonia, trismus (lockjaw). Depth: 3 fen; Retention: 6 breaths; Moxibustion: 3 moxa cones. Note: For pregnant women, needling this point on the right side is contraindicated as it may damage fetal Qi.
5. Yangxi (LI5, Yángxī): Bilateral, two points, Element Fire, also known as Zhongkui (中魁). Located in the depression between the two tendons on the dorsal aspect of the wrist. It is the running point of the Hand-Yangming Large Intestine Meridian, classified as a Jing-River point. Indications: Incoherent speech and excessive laughter, hallucinations (seeing ghosts), heat disease, vexation, wind-red eyes, reversal headache, chest fullness and dyspnea, alternating chills and fever, malaria, throat obstruction, tinnitus, toothache, pulling pain in the elbow, inability to raise the arm, scabies and crusts. Depth: 3 fen; Retention: 7 breaths; Moxibustion: 3 moxa cones. Precautions same as above.
6. Pianli (LI6, Piānlì): Bilateral, two points, Luo-Connecting point of the Hand-Yangming Large Intestine Meridian. Located 3 cun distal to the wrist crease, connecting to the Hand-Taiyin Lung Meridian. Indications: Alternating chills and fever, malaria-wind, anhidrosis, blurred vision, epilepsy, excessive talking, tinnitus, mouth ulcers, caries toothache, throat obstruction with dry pharynx, nasal congestion and epistaxis. Depth: 3 fen; Retention: 7 breaths; Moxibustion: 3 moxa cones.
7. Wenliu (LI7, Wénliú): Bilateral, two points, also known as Nizhu (逆注) or Shekou (蛇头). Located 5 cun proximal to the wrist crease (text variants exist), belonging to the Hand-Yangming Large Intestine Meridian. Indications: Mouth ulcers, borborygmus and abdominal pain, febrile disease with high fever, headache, hiccups, inability to raise the shoulder, epilepsy with salivation, mania with hallucinations, throat obstruction with edema. Depth: 3 fen; Moxibustion: 3 moxa cones.
8. Xialian (LI8, Xiàlián): Bilateral, two points. Located below the olecranon process, 1 cun distal to Shanglian, in the muscle separation sloping outward. Indications: Head wind, recurrent arm pain, yellow urine. Depth: 5 fen; Retention: 5 breaths; Moxibustion: 3 moxa cones.
9. Shanglian (LI9, Shànglián): Bilateral, two points. Located 1 cun distal to Zusanli (ST36), where the muscle texture meets the intersection of the Yangming meridian, sloping outward. Indications: Brain wind headache, difficult and yellow-red urination, borborygmus, wandering pain due to Qi movement. Depth: 5 fen; Moxibustion: 5 moxa cones.
10. Sanli (LI10, Sānlǐ): Bilateral, two points. Located 2 cun distal to Quchi, where the muscle rises upon pressure, at the end of the muscle texture. Indications: Numbness of the arm, elbow contracture with extension difficulty, toothache, swelling of the cheek and mandible, scrofula. Moxibustion: 3 moxa cones; Depth: 2 fen.
11. Quchi (LI11, Qūchí): Bilateral, two points, Element Earth. Located at the lateral end of the cubital crease when the elbow is flexed, located by bringing the hand to the chest. It is the entering point of the Hand-Yangming Large Intestine Meridian, classified as a He-Sea point. Indications: Elbow pain, hemiplegia, immobility of limbs, wind invasion, urticaria, aphonia due to throat obstruction, chest vexation and fullness, flaccid muscles unable to grasp objects, inability to draw a bow, difficulty in flexion and extension, thin and weak arms/elbows, residual heat from cold damage, dry skin. Depth: 7 fen; Technique: Tonify after reducing upon obtaining Deqi; Moxibustion: 3 moxa cones (highly effective).
12. Zhoule (LI12, Zhōuliáo): Bilateral, two points. Located in the depression at the lateral margin of the large bone of the elbow. Indications: Wind-bi of the elbow joint, arm pain with inability to lift, flexion and extension contracture. Moxibustion: 3 moxa cones; Depth: 3 fen.
13. Wuli (LI13, Wǔlǐ): Bilateral, two points. Located 3 cun proximal to the elbow, in the center of the major artery along the meridian pathway. Indications: Wind-lao, fright, hematemesis, elbow and arm pain, lethargy, immobility of four limbs, alternating chills and fever, scrofula, cough, blurred vision, malaria, subcostal fullness. Moxibustion: 10 moxa cones; Contraindication: Needling is prohibited.
14. Binao (LI14, Bìnáo): Bilateral, two points. Located 7 cun proximal to the elbow, at the lower end of the deltoid muscle, Luo-Connecting point of the Hand-Yangming Large Intestine Meridian. Indications: Alternating chills and fever, neck and nape stiffness, scrofula, shoulder and back pain with inability to lift. Moxibustion: 3 moxa cones; Depth: 3 fen.