(凡七穴)
1.天突∶一穴,在结喉下一寸宛宛中,阴维、任脉之会。针入五分,留三呼,得气即泻。治咳嗽上
气,胸中气噎,喉中状如水鸡声,肺痈咯唾脓血,气咽干,舌下急,喉中生疮,不得下
食。灸亦得,即不及针。其下针直,横下不得,低手即五脏之气伤人。慎如前法,忌辛酸物等。
2.璇玑∶一穴,在天突下一寸陷中,仰头取之,任脉气所发。治胸皮满痛,喉痹咽肿,水浆不下。
可灸五壮,针入三分。
3.华盖∶一穴,在璇玑下一寸陷中,仰头取之,任脉气所发。治胸胁支满,痛引胸中,咳逆上气,
喘不能言。可灸五壮,
针入三分。
4.紫宫∶一穴在华盖下一寸六分陷中,仰头取之,任脉气所发。治胸胁支满,胸膺骨疼,饮食不下,
呕逆上气,烦心。可灸五壮,针入三分。
5.玉堂∶一穴在紫宫下一寸六分陷中,一名玉英,任脉气所
发。治胸满不得喘息,胸膺骨疼,呕吐寒痰,上气,烦心。可灸五壮,针入三分。
6.膻中∶一穴,一作 ,一名元儿。在玉堂下一寸六分,直两乳间陷中,仰卧取之,任脉气所发。
治肺气咳嗽上喘,唾脓,不得下食,胸中如塞。可灸七七壮。今附∶疗膈气,呕吐涎
沫,妇人乳汁少。其穴禁不可针,不幸令人夭折。慎猪、鱼、酒、面物等。
7.中庭∶一穴在膻中下一寸六分陷中,任脉气所发。治胸胁
支满,噎塞,食饮不下,呕吐食还出。可灸五壮,针入三分。
(本节共七个穴位)
1.天突:一个穴位,位于结喉下方一寸处的凹陷中,是阴维脉与任脉的交会穴。针刺深度五分,留针三呼的时间,得气后立即施行泻法。治疗咳嗽气喘,胸中气机阻塞感,喉间发出像水鸡鸣叫的声音,肺痈咳吐脓血,咽喉干燥,舌下拘急,喉部生疮,无法进食。也可以艾灸,但效果不如针刺。进针必须垂直向下,不可横向刺入,手法低劣者会损伤五脏之气。务必谨慎遵循前述操作规范,忌食辛辣酸味食物等。
2.璇玑:一个穴位,在天突穴下方一寸的凹陷中,取穴时需仰头,为任脉经气所发之处。治疗胸部皮肤胀满疼痛,喉痹咽肿,饮食难以下咽。可艾灸五壮,针刺深度三分。
3.华盖:一个穴位,在璇玑穴下方一寸的凹陷中,取穴时需仰头,为任脉经气所发之处。治疗胸胁支撑胀满,疼痛牵引至胸中,咳嗽气逆上冲,喘息严重至不能言语。可艾灸五壮,针刺深度三分。
4.紫宫:一个穴位在华盖穴下方一寸六分的凹陷中,取穴时需仰头,为任脉经气所发之处。治疗胸胁支撑胀满,胸膺骨疼痛,饮食难以下咽,呕吐气逆上冲,心烦。可艾灸五壮,针刺深度三分。
5.玉堂:一个穴位在紫宫穴下方一寸六分的凹陷中,又名玉英,为任脉经气所发之处。治疗胸闷喘息困难,胸膺骨疼痛,呕吐寒痰,气逆上冲,心烦。可艾灸五壮,针刺深度三分。
6.膻中:一个穴位,一作“”,又名元儿。在玉堂穴下方一寸六分,正对两乳之间的凹陷中,仰卧位取穴,为任脉经气所发之处。治疗肺气引起的咳嗽气喘,唾吐脓液,无法进食,胸中如有堵塞感。可艾灸七七四十九壮。现附录:治疗膈气,呕吐涎沫,妇女乳汁稀少。此穴禁止针刺,若不慎针刺可能导致夭折。慎食猪肉、鱼类、酒类、面食等物。
7.中庭:一个穴位在膻中穴下方一寸六分的凹陷中,为任脉经气所发之处。治疗胸胁支撑胀满,噎塞感,饮食难以下咽,呕吐且食物吐出。可艾灸五壮,针刺深度三分。
(There are seven acupoints in total.)
1. Tiantu (CV22): One acupoint, located one cun below the laryngeal prominence in the depression, it is the intersection of the Yin Linking Vessel (Yinwei Mai) and the Conception Vessel (Ren Mai). Needle insertion depth is five fen; retain the needle for three breaths; perform reducing method immediately upon obtaining Deqi. It treats cough with rebellious Qi, sensation of Qi obstruction in the chest, sound in the throat resembling a water fowl, lung abscess with expectoration of pus and blood, dryness of the throat and pharynx, tension under the tongue, sores in the throat, and inability to swallow food. Moxibustion is also permissible, though less effective than needling. The needle must be inserted vertically downwards; horizontal insertion is prohibited. Incompetent practitioners may injure the Qi of the Five Zang organs. Exercise caution as per previous methods; avoid pungent and sour foods, etc.
2. Xuanji (CV21): One acupoint, located one cun below Tiantu in the depression. Take the point with the head extended; it is where the Qi of the Conception Vessel emerges. It treats fullness and pain in the skin of the chest, wind-stroke of the throat with swelling, and inability to take fluids or food. Moxibustion: five moxa cones; Needling depth: three fen.
3. Huagai (CV20): One acupoint, located one cun below Xuanji in the depression. Take the point with the head extended; it is where the Qi of the Conception Vessel emerges. It treats distending fullness in the chest and hypochondrium, pain radiating to the chest, cough with rebellious Qi, and severe asthma preventing speech. Moxibustion: five moxa cones; Needling depth: three fen.
4. Zipper (CV19): One acupoint, located 1.6 cun below Huagai in the depression. Take the point with the head extended; it is where the Qi of the Conception Vessel emerges. It treats distending fullness in the chest and hypochondrium, pain in the sternum and pectoral region, inability to eat, vomiting with rebellious Qi, and irritability. Moxibustion: five moxa cones; Needling depth: three fen.
5. Yutang (CV18): One acupoint, located 1.6 cun below Zipper in the depression. Also known as Yuying; it is where the Qi of the Conception Vessel emerges. It treats chest fullness with inability to breathe easily, pain in the sternum and pectoral region, vomiting of cold phlegm, rebellious Qi, and irritability. Moxibustion: five moxa cones; Needling depth: three fen.
6. Shanzhong (CV17): One acupoint, alternatively written as “”, also known as Yuan’er. Located 1.6 cun below Yutang, in the depression directly between the two nipples; take the point in supine position; it is where the Qi of the Conception Vessel emerges. It treats cough and asthma due to Lung Qi, expectoration of pus, inability to eat, and sensation of blockage in the chest. Moxibustion: 7x7 = 49 moxa cones. Appendix: Treats diaphragmatic Qi stagnation, vomiting of saliva and foam, and insufficient lactation in women. This acupoint is contraindicated for needling; inadvertent needling may lead to premature death. Avoid pork, fish, alcohol, wheat products, etc.
7. Zhongting (CV16): One acupoint, located 1.6 cun below Shanzhong in the depression; it is where the Qi of the Conception Vessel emerges. It treats distending fullness in the chest and hypochondrium, dysphagia/blockage, inability to swallow food and drink, and vomiting with regurgitation of food. Moxibustion: five moxa cones; Needling depth: three fen.