（左右凡二十八穴）
1．附分∶二穴在第二椎下，附项内廉，两傍相去各三寸，手足太阳之会，正坐取之。治肩背拘急，风
冷客于腠理，颈项强痛不得回顾，风劳，臂肘不仁。可灸五壮，针入三分。
2．魄户∶二穴在第三椎下，两傍相去各三寸，正坐取之，足太阳脉气所发。治背 痛，咳逆上气，呕吐
烦满，虚劳肺痿，五尸走疰，项强不得回顾。针入五分，得气即泻，又宜久留针。灸
亦得，日可灸七壮，至百壮止。忌猪、鱼、酒、面、生冷物等。
3．膏肓 ∶二穴在第四椎下，两傍相去各三寸。主无所不疗，羸瘦虚损，梦中失精，上气咳逆，发狂健
忘。又取穴之法∶令人正坐曲脊，伸两手，以臂着膝前，令正直，手大指与膝头齐，以物支肘，勿令臂得动
摇也。从胛骨上角，摸索至骨下头，其间当有四肋三间，灸中间。从胛骨之里，去胛容侧指许，摩KT
去表肋间空处按之，自觉牵引于肩中，灸两胛中一处，至百壮，多至三百壮，当觉下咙咙然流水之状，亦当有
所下出。若得痰，疾则无所不下也。如病患已因不能正坐，当令侧卧，挽上臂令前，取穴灸之。又以右手从
左肩上住，指头所不及者，是穴也，左取亦然，乃以前法灸之。若不能久坐，当伸两臂，令人挽两胛
骨使相离。不尔，即胛角覆其空，灸之无验。此灸讫后，令人阳气康盛，当消息以自补养。论曰∶昔在和缓不
救晋候之疾，其在膏之上，肓之下，针药不能，即此穴是也。人不能求得此穴，所
以宿病难遣，若能用心，此方便求得。灸之无疾不愈，出《千金》、《外台》。
4.神堂∶二穴在第五椎下 两傍相去各三寸，正坐取之，足太阳脉气所发。治肩痛，胸腹满，洒淅寒热
，背脊强急。可灸五
壮，针入三分。
5．噫嘻∶二穴在肩 内廉，侠第六椎下，两傍相去各三寸，正坐取之，足太阳脉气所发。以手痛按
之，病者言噫嘻，针入六分，留三呼，泻五吸。治腋拘挛，暴脉急引胁痛，热病汗不出，
温疟，肩背痛，目眩鼻衄，喘逆腹胀，肩 内廉痛不得俯仰。可灸二七壮，至百壮至。忌苋菜、白酒物等。
6．膈关∶二穴在第七椎下，两傍相去各三寸陷中，正坐取
之，足太阳脉气所发。治背痛恶寒，脊强俯仰难，食饮不下，呕哕多涎唾，胸中噎闷。可灸五壮，针入五分。
7．魂门∶二穴在第九椎下，两傍相去各三寸陷中，正坐取之，足太阳脉气所发。治食饮不下，腹中雷
鸣，大便不节，小便赤黄。可灸三壮，针入五分。
8；阳纲∶二穴在第十椎下，两傍相去各三寸陷中，正坐取之，足太阳脉气所发。治腹满 胀，大便
泄利，小便赤涩，身热目黄。可灸三壮，针入五分。
9．意舍∶二穴在第十一椎下，两傍相去各三寸陷中，正坐取之，足太阳脉气所发。治腹满虚胀，大便
滑泄，背痛恶风寒，食饮不下，呕吐不止，消渴，目黄。可灸五十壮至一百壮，针入五分。
10．胃仓∶二穴在第十二椎下，两傍相去各三寸，足太阳脉气
所发。治腹内虚胀，水肿，食饮不下，恶寒，背脊不得俯仰。可灸五七壮，针入五分。
11．肓门∶二穴在第十三椎下，两傍相去各三寸叉肋间。异
经云∶与鸠尾相直，治心下肓大坚，妇人乳有余疾。可灸三十壮，针入五分。
12．志室∶二穴在第十四椎下，两傍相去各三寸陷中，足太阳
脉气所发。治腰脊强痛，食饮不消，腹中坚急，阴痛，下肿，失精，小便淋沥，针入五分，灸三壮。
13．胞肓，二穴在第十九椎下，两傍相去各三寸陷中，伏而取之，足太阳脉气所发。治腰痛，恶寒，
少腹坚急，癃闭下重，不得小便涩痛，腰背卒痛。可灸五七壮，针入五分。
14．秩边∶二穴在第二十椎下，两傍相去各三寸陷中，伏而取之，足太阳脉气所发。治腰痛不能俯
仰，小便赤涩，腰尻重不能举，五痔发肿。针入五分，可灸三壮，慎如前法。
（左右两侧共二十八穴）
1．附分：两穴位于第二胸椎棘突下，紧贴项部内侧边缘，左右两穴相距各三寸，为手足太阳经气交会之处，取穴时宜正坐。主治肩背部拘挛紧急，风寒邪气客于腠理，颈项强痛不能回顾，风劳病，手臂肘部麻木不仁。可艾灸五壮，针刺入三分深。
2．魄户：两穴位于第三胸椎棘突下，左右两穴相距各三寸，取穴时宜正坐，为足太阳膀胱经脉气所发之处。主治背痛，咳嗽气逆上冲，呕吐烦闷胀满，虚劳肺痿，五尸走疰（一种具有传染性的痨病），颈项强痛不能回顾。针刺入五分深，得气后即行泻法，又适宜长时间留针。艾灸也可以，每日可灸七壮，最多至一百壮为止。忌食猪、鱼、酒、面食及生冷食物等。
3．膏肓：两穴位于第四胸椎棘突下，左右两穴相距各三寸。主治无所不疗，适用于身体消瘦虚弱亏损，梦中遗精，气逆咳嗽，发狂健忘。另外取穴方法如下：让人正坐弯曲脊背，伸直双手，将手臂靠在膝盖前，使手臂正直，手大拇指与膝盖头齐平，用物体支撑手肘，不要令手臂动摇。从肩胛骨上角摸索至骨下端头处，其间应当有四根肋骨三个间隙，灸中间的穴位。从肩胛骨内侧，距离肩胛骨边缘约侧指宽度，触摸表皮肋间空处并按压，自觉有牵引感至肩部中间，灸两肩胛骨中间的一处，灸至一百壮，多则三百壮，应当感觉到下部咕噜噜像流水一样的声音，也应当会有排泄物排出。如果得到痰疾，则没有不下出的。如果病人已经因为无法正坐，应当让其侧卧，挽起上臂使其向前，取穴并施灸。又以右手从左肩上按住，手指头够不着的地方，就是该穴位，左侧取穴亦然，然后按前述方法施灸。如果不能久坐，应当伸直双臂，让人挽起两肩胛骨使其分开。不然，肩胛角会覆盖住空隙，施灸就没有疗效。此灸法结束后，令人阳气康盛，应当斟酌情况自我补养。论述说：过去和缓医生未能治愈晋侯的疾病，病位在膏之上，肓之下，针药不能到达，就是这个穴位。人们不能求得此穴，所以宿疾难除，若能用心，此方便可以求得。灸此穴无病不愈，出自《千金方》、《外台秘要》。
4．神堂：两穴位于第五胸椎棘突下，左右两穴相距各三寸，取穴时宜正坐，为足太阳膀胱经脉气所发之处。主治肩痛，胸腹部胀满，洒淅恶寒发热，背脊强直紧急。可艾灸五壮，针刺入三分深。
5．噫嘻：两穴位于肩胛内侧边缘，夹第六胸椎棘突下，左右两穴相距各三寸，取穴时宜正坐，为足太阳膀胱经脉气所发之处。用手疼痛按压时，病人发出“噫嘻”声，针刺入六分深，留针三次呼吸的时间，泻法配合五次吸气。主治腋下拘挛，突发脉急牵引胁痛，热病汗不出，温疟，肩背痛，目眩鼻衄，喘逆腹胀，肩胛内侧边缘疼痛不能俯仰。可艾灸十四壮，最多至一百壮。忌食苋菜、白酒等物。
6．膈关：两穴位于第七胸椎棘突下，左右两穴相距各三寸的凹陷中，取穴时宜正坐，为足太阳膀胱经脉气所发之处。主治背痛恶寒，脊强俯仰困难，饮食不下，呕哕多涎唾，胸中噎闷。可艾灸五壮，针刺入五分深。
7．魂门：两穴位于第九胸椎棘突下，左右两穴相距各三寸的凹陷中，取穴时宜正坐，为足太阳膀胱经脉气所发之处。主治饮食不下，腹中雷鸣，大便失禁，小便赤黄。可艾灸三壮，针刺入五分深。
8．阳纲：两穴位于第十胸椎棘突下，左右两穴相距各三寸的凹陷中，取穴时宜正坐，为足太阳膀胱经脉气所发之处。主治腹部胀满，大便泄利，小便赤涩，身热目黄。可艾灸三壮，针刺入五分深。
9．意舍：两穴位于第十一胸椎棘突下，左右两穴相距各三寸的凹陷中，取穴时宜正坐，为足太阳膀胱经脉气所发之处。主治腹部胀满虚胀，大便滑泄，背痛恶风寒，饮食不下，呕吐不止，消渴，目黄。可艾灸五十壮至一百壮，针刺入五分深。
10．胃仓：两穴位于第十二胸椎棘突下，左右两穴相距各三寸，为足太阳膀胱经脉气所发之处。主治腹内虚胀，水肿，饮食不下，恶寒，背脊不能俯仰。可艾灸三十五壮，针刺入五分深。
11．肓门：两穴位于第十三胸椎棘突下，左右两穴相距各三寸的叉肋间。其他经络书籍记载：与鸠尾穴相对，主治心下痞块坚硬如大石，妇人乳部余疾。可艾灸三十壮，针刺入五分深。
12．志室：两穴位于第十四胸椎棘突下，左右两穴相距各三寸的凹陷中，为足太阳膀胱经脉气所发之处。主治腰脊强痛，饮食不消化，腹中坚急，阴部疼痛，下肢肿胀，遗精，小便淋沥，针刺入五分深，艾灸三壮。
13．胞肓：两穴位于第十九胸椎棘突下，左右两穴相距各三寸的凹陷中，取穴时宜俯卧，为足太阳膀胱经脉气所发之处。主治腰痛，恶寒，少腹坚急，癃闭下重，小便涩痛，腰背突然疼痛。可艾灸三十五壮，针刺入五分深。
14．秩边：两穴位于第二十胸椎棘突下，左右两穴相距各三寸的凹陷中，取穴时宜俯卧，为足太阳膀胱经脉气所发之处。主治腰痛不能俯仰，小便赤涩，腰尻沉重不能抬起，五痔发作肿胀。针刺入五分深，可艾灸三壮，禁忌事项如前所述。
(There are twenty-eight acupoints in total on the left and right sides.)
1. Fufen (BL17, Attached Branch): Two points located below the spinous process of the second thoracic vertebra, adjacent to the medial edge of the neck, each three cun away from the midline bilaterally. It is the intersection of the Hand-Taiyang and Foot-Taiyang meridians. Take the point while sitting upright. It treats spasm and stiffness of the shoulder and back, wind-cold pathogenic factors lodging in the cou-li (interstitial spaces), stiff and painful neck unable to look back, wind-lao (chronic fatigue syndrome), and numbness of the arms and elbows. Moxibustion: five moxa cones; Acupuncture: insert 0.3 cun.
2. Pohu (BL42, Soul Mansion): Two points located below the spinous process of the third thoracic vertebra, each three cun away from the midline bilaterally. Take the point while sitting upright. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats back pain, cough with rebellious Qi, vomiting, irritability, and fullness; deficiency-lao (consumptive disease) and lung atrophy; wuzhu (five types of migratory malarial fevers); and stiff neck unable to look back. Acupuncture: insert 0.5 cun; perform reducing method upon arrival of Deqi; prolonged retention of needle is also suitable. Moxibustion is also acceptable: seven moxa cones per day, up to a maximum of one hundred cones. Avoid pork, fish, alcohol, wheat products, and raw/cold foods.
3. Gaohuang (BL43, Gao-Huang): Two points located below the spinous process of the fourth thoracic vertebra, each three cun away from the midline bilaterally. It treats all ailments, particularly emaciation and deficiency depletion, nocturnal seminal emission, rebellious Qi with cough, mania, and forgetfulness.
Acquisition method: Have the patient sit upright, bend the spine, extend both hands, and place the arms against the front of the knees, keeping them straight. Align the thumb with the knee cap. Support the elbow with an object to prevent arm movement. From the upper angle of the scapula, palpate down to the lower head of the bone. There should be four ribs and three intercostal spaces; moxa the middle space. From the inner side of the scapula, move about the width of a lateral finger away from the scapular border, palpate the empty space between the superficial ribs, and press. The patient should feel traction towards the center of the shoulder. Moxa one spot between the two scapulae, up to one hundred cones, or even three hundred cones. One should feel a gurgling sound like flowing water in the lower abdomen, and excretion may occur. If phlegm-disease is present, it will be expelled. If the patient cannot sit upright due to illness, have them lie on their side, pull the upper arm forward, acquire the point, and moxa. Alternatively, use the right hand to press from the left shoulder; the spot unreachable by the fingertips is the point. The same applies to the left side. Then moxa as described above. If the patient cannot sit for long, extend both arms and have someone pull the two scapulae apart. Otherwise, the scapular angle covers the void, and moxibustion will be ineffective. After this moxibustion, the body's Yang Qi becomes robust; nourish oneself appropriately according to condition. Commentary: In ancient times, He Huan could not cure the Duke of Jin’s illness because it was located above the Gao and below the Huang, where needles and herbs could not reach. This is that very point. People fail to find this point, hence chronic diseases are hard to dispel. With careful attention, this convenient method allows acquisition. Moxibustion on this point cures all diseases, as cited in *Qianjin Fang* and *Waitai Miyao*.
4. Shentang (BL44, Spirit Palace): Two points located below the spinous process of the fifth thoracic vertebra, each three cun away from the midline bilaterally. Take the point while sitting upright. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats shoulder pain, chest and abdominal fullness, chills and fever with shivering, and stiff and rigid back and spine. Moxibustion: five moxa cones; Acupuncture: insert 0.3 cun.
5. Yixi (BL45, Sigh): Two points located at the medial edge of the scapula, flanking the spinous process of the sixth thoracic vertebra, each three cun away from the midline bilaterally. Take the point while sitting upright. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. Press painfully with the hand; if the patient says "Yixi," it confirms the location. Acupuncture: insert 0.6 cun; retain for three breaths; reduce during five inhalations. It treats axillary spasm, sudden pulse urgency pulling into hypochondriac pain, heat diseases without sweating, warm malaria, shoulder and back pain, dizziness, epistaxis, wheezing and rebellious Qi with abdominal distension, and pain at the medial edge of the scapula preventing flexion and extension. Moxibustion: fourteen moxa cones, up to one hundred cones. Avoid amaranth and white wine.
6. Geguan (BL46, Diaphragm Gate): Two points located in the depression below the spinous process of the seventh thoracic vertebra, each three cun away from the midline bilaterally. Take the point while sitting upright. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats back pain with aversion to cold, stiff spine difficult to flex and extend, inability to swallow food and drink, belching with excessive saliva, and chest oppression. Moxibustion: five moxa cones; Acupuncture: insert 0.5 cun.
7. Hunmen (BL47, Soul Gate): Two points located in the depression below the spinous process of the ninth thoracic vertebra, each three cun away from the midline bilaterally. Take the point while sitting upright. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats inability to swallow food and drink, borborygmus in the abdomen, uncontrolled defecation, and dark yellow urine. Moxibustion: three moxa cones; Acupuncture: insert 0.5 cun.
8. Yanggang (BL48, Yang Beam): Two points located in the depression below the spinous process of the tenth thoracic vertebra, each three cun away from the midline bilaterally. Take the point while sitting upright. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats abdominal fullness and distension, diarrhea, dark and scanty urination, fever, and jaundice. Moxibustion: three moxa cones; Acupuncture: insert 0.5 cun.
9. Yishe (BL49, Intention Residence): Two points located in the depression below the spinous process of the eleventh thoracic vertebra, each three cun away from the midline bilaterally. Take the point while sitting upright. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats abdominal fullness and false distension, loose stools, back pain with aversion to wind and cold, inability to swallow food and drink, incessant vomiting, Xiao-ke (wasting-thirst), and jaundice. Moxibustion: fifty to one hundred moxa cones; Acupuncture: insert 0.5 cun.
10. Weicang (BL50, Stomach Granary): Two points located below the spinous process of the twelfth thoracic vertebra, each three cun away from the midline bilaterally. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats internal false abdominal distension, edema, inability to swallow food and drink, aversion to cold, and inability to flex and extend the back and spine. Moxibustion: thirty-five moxa cones; Acupuncture: insert 0.5 cun.
11. Mangmen (BL51, Omentum Gate): Two points located below the spinous process of the thirteenth thoracic vertebra, each three cun away from the midline bilaterally in the intercostal spaces. Other classics state: They align vertically with Jiwei (CV15). They treat hardness in the epigastrium resembling a large stone, and residual diseases in women’s breasts. Moxibustion: thirty moxa cones; Acupuncture: insert 0.5 cun.
12. Zhishi (BL52, Will Chamber): Two points located in the depression below the spinous process of the fourteenth thoracic vertebra, each three cun away from the midline bilaterally. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats stiff and painful lumbar spine, indigestion, hardness and urgency in the abdomen, genital pain, lower limb swelling, seminal emission, and dribbling urination. Acupuncture: insert 0.5 cun; Moxibustion: three moxa cones.
13. Baohuang (BL53, Uterine Omentum): Two points located in the depression below the spinous process of the nineteenth thoracic vertebra, each three cun away from the midline bilaterally. Take the point while prone. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats lower back pain, aversion to cold, hardness and urgency in the lower abdomen, strangury with heaviness, difficult and painful urination, and sudden lower back and back pain. Moxibustion: thirty-five moxa cones; Acupuncture: insert 0.5 cun.
14. Zhibian (BL54, Rank Edge): Two points located in the depression below the spinous process of the twentieth thoracic vertebra, each three cun away from the midline bilaterally. Take the point while prone. It is where the Qi of the Foot-Taiyang Bladder Meridian emerges. It treats lower back pain preventing flexion and extension, dark and scanty urination, heavy sacrum unable to lift, and swelling from five types of hemorrhoids. Acupuncture: insert 0.5 cun; Moxibustion: three moxa cones. Observe contraindications as mentioned previously.