中府(一名膺俞)∶云门下一寸六分,乳上三肋间,动脉应手陷中,去胸中行
各六寸。肺之募(募犹结募也,言经气聚此),手足太阴二脉之会。针三分,留五呼
主腹胀,四肢肿,食不下,喘气胸满,肩背痛,呕 ,咳逆上气,肺系急,肺寒热,
胸悚悚,胆热呕逆,咳唾浊涕,风汗出,皮痛面肿,少气不得卧,伤寒胸中热,飞尸遁疰,
云门∶巨骨下,侠气户旁二寸陷中,动脉应手,举臂取之,去胸中行各六寸。
《素注》针七分,《铜人》针三分,灸五壮。
主伤寒四肢热不已,咳逆,喘不得息,胸胁短气,气上冲心,胸中烦满,胁彻背痛,
喉痹,肩痛臂不举,瘿气。
天府∶腋下三寸,肘腕上五寸,动脉中,用鼻尖点墨,到处是穴。禁灸,
主暴痹,口鼻衄血,中风邪,泣出,喜忘,飞尸恶疰,鬼语,喘息,寒热疟,目眩,远
视KT KT ,瘿气。
侠白∶天府下,去肘五寸动脉中。针三分,灸五壮。
主心痛,短气,干呕逆,烦满。
尺泽∶肘中约纹上,动脉中,屈肘横纹,筋骨罅陷中。手太阴肺脉所入为合水,
肺实泻之。针三分,留三呼,灸五壮。
主肩臂痛,汗出中风,小便数,善嚏,悲哭,寒热风痹, 肘挛,手臂不举,喉痹
,上气呕吐,口干,咳嗽唾浊, 疟,四肢暴肿,心疼臂寒,短气,肺膨胀,心烦闷,
少气,劳热,喘满,腰脊强痛,小儿慢惊风。
孔最∶去腕上七寸,侧取之。灸五壮,针三分。
主热病汗不出,咳逆,肘臂厥痛屈伸难,手不及头,指不握,吐血,失音,咽肿头痛
列缺∶手太阴络,别走阳明。去腕侧上一寸五分,以两手交叉,食指尽处,两筋
骨罅中。针二分,留五呼,泻五吸,灸七壮。
主偏风口面 斜,手腕无力,半身不遂,掌中热,口噤不开,寒热疟,呕沫,咳嗽,
善笑,纵唇口,健忘,溺血精出,阴茎痛,小便热,痫惊妄见,面目四肢臃肿,肩痹,胸
背寒栗,少气不足以息,尸厥寒热,交两手而瞀。实则胸背热,汗出,四肢暴肿;虚则胸背
寒栗,少气不足以息。
《素问》曰∶实则手锐掌热,泻之。虚则欠KT ,则便遗数,补之。直行者谓之经
,旁出者谓之络。手太阴之支,从腕后直出次指内廉出其端,是列缺为太阴别走阳明之
络。人或有寸、关、尺三部脉不见,自列缺至阳溪脉见者,俗谓之反关脉。此经脉虚而络
脉满。《千金翼》谓阳脉逆,反大于寸口三倍。惜叔和尚未之及,而况高阳生哉。
经渠∶寸口动脉陷中。肺脉所行为经金。针入二分,留三呼,禁灸,灸伤神
主疟寒热,胸背拘急,胸满膨,喉痹,掌中热,咳逆上气,伤寒,热病汗不出,暴痹
喘促,心痛呕吐。
太渊(一名太泉,避唐祖讳)∶掌后内侧横纹头,动脉中。肺脉所注为俞土。肺
虚补之。《难经》曰∶脉会太渊。疏曰∶脉病治此。平旦寅时,气血从此始,故曰寸口
者,脉之大要会,手太阴之动脉也。灸三壮,针二分,留三呼。
主胸痹逆气,善哕,呕饮食,咳嗽,烦闷不得眠,肺胀膨,臂内廉痛,目生白翳,眼痛
赤,乍寒乍热,缺盆中引痛,掌中热,数欠,肩背痛寒,喘不得息,噫气上逆,心痛,脉涩
,咳血呕血,振寒,咽干,狂言,口 ,溺色变,卒遗矢无度。
鱼际∶大指本节后,内侧白肉际陷中。又云∶散脉中。肺脉所溜为荥火。针二分
,留二呼,禁灸。
主酒病,恶风寒,虚热,舌上黄,身热头痛,咳嗽哕,伤寒汗不出,痹走胸背痛不得息
,
痹悲恐,乳痈。东垣曰∶胃气下溜,五脏气皆乱,在于肺者,取之手太阴鱼际,足少阴俞。
少商∶大指内侧,去爪甲角如韭叶。肺脉所出为井木。宜以三棱针刺之,微出血
,泄诸脏热,凑不宜灸。
主颔肿喉闭,烦心善哕,心下满,汗出而寒,咳逆, 疟振寒,腹满,唾沫,唇干引
饮,食不下,膨膨,手挛指痛,掌热,寒栗鼓颔,喉中鸣,小儿乳鹅。
唐刺史成君绰,忽颔肿,大如升,喉中闭塞,水粒不下三日。甄权以三棱针刺之,微出
血,立愈,泻脏热也。《素注》留一呼。《明堂》灸三壮。《甲乙》灸一壮。
\r肺脏图\pG-G57.bmp\r
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中府(又名膺俞):位于云门穴下方一寸六分,乳头上方第三肋骨间隙中,此处动脉搏动明显,处于凹陷处,距离胸骨正中线各六寸。为肺之募穴(募穴是经气结聚之处),是手太阴肺经与手阳明大肠经的交会穴。针刺三分,留针五呼的时间。主治腹胀,四肢浮肿,饮食不下,气喘胸闷,肩背疼痛,呕吐,咳嗽气逆上冲,肺系拘急,肺寒热证,心中惊恐不安,胆热引起的呕吐气逆,咳吐浑浊鼻涕,风邪导致的汗出,皮肤疼痛面部浮肿,气短不能平卧,伤寒导致胸中热盛,飞尸遁疰(古代病名,指突发性、游走性的疼痛或精神异常病症)。
云门:位于巨骨穴下方,侠白穴旁开二寸的凹陷处,动脉搏动明显,抬臂时取穴,距离胸骨正中线各六寸。《素问注》建议针刺七分,《铜人腧穴针灸图经》建议针刺三分,艾灸五壮。主治伤寒导致四肢发热不退,咳嗽气逆,喘息呼吸困难,胸胁部气息短促,气向上冲击心脏,胸中烦闷胀满,胁肋牵引背部疼痛,喉痹,肩痛手臂无法举起,瘿气(甲状腺肿大类疾病)。
天府:位于腋下三寸,肘腕上方五寸,动脉搏动处。用鼻尖点墨标记,墨迹所在之处即为穴位。禁止艾灸。主治暴发性痹症,口鼻出血,中风邪气,流泪,健忘,飞尸恶疰,鬼语(胡言乱语),喘息,寒热疟疾,目眩,视物模糊不清,瘿气。
侠白:位于天府穴下方,距离肘部五寸的动脉搏动处。针刺三分,艾灸五壮。主治心痛,气短,干呕气逆,烦闷胀满。
尺泽:位于肘横纹上,动脉搏动处,屈肘时横纹筋骨间的凹陷中。为手太阴肺经所入为合的水穴,肺实证可泻此穴。针刺三分,留针三呼,艾灸五壮。主治肩臂疼痛,出汗中风,小便频数,容易打喷嚏,悲伤哭泣,寒热风痹,肘部挛缩,手臂无法举起,喉痹,上气呕吐,口干,咳嗽咳吐浊痰,疟疾,四肢突然浮肿,心痛手臂发凉,气短,肺膨胀,心烦闷,气短,劳热,喘满,腰脊强痛,小儿慢惊风。
孔最:距离手腕上方七寸,侧身取穴。艾灸五壮,针刺三分。主治热病无汗,咳嗽气逆,肘臂厥冷疼痛屈伸困难,手举不过头,手指不能握物,吐血,失音,咽喉肿痛头痛。
列缺:为手太阴肺经的络穴,别走手阳明大肠经。距离手腕侧面上一寸五分,将两手交叉,食指尽头处,两筋骨间的凹陷中。针刺二分,留针五呼,泻法配合五次吸气,艾灸七壮。主治偏风口眼歪斜,手腕无力,半身不遂,手掌发热,牙关紧闭不能张开,寒热疟疾,呕吐泡沫,咳嗽,爱笑,口唇松弛,健忘,尿血精出,阴茎疼痛,小便灼热,癫痫惊悸妄见,面目四肢肿胀,肩痹,胸背寒冷战栗,气短呼吸不足,尸厥寒热,双手交叉掩面而昏厥。实证表现为胸背发热,出汗,四肢突然浮肿;虚证表现为胸背寒冷战栗,气短呼吸不足。
《素问》说:实证表现为手锐掌热,应泻此穴。虚证表现为呵欠,则遗尿频数,应补此穴。直行的是经脉,旁出的是络脉。手太阴肺经的支脉,从腕后直出至食指内侧末端,因此列缺是太阴经别走阳明的络穴。有人寸、关、尺三部脉搏摸不到,从列缺到阳溪处脉搏可见,俗称反关脉。这是经脉虚弱而络脉充盈。《千金翼方》说阳脉逆行,反大于寸口三倍。可惜王叔和尚未提及此事,何况是高阳生呢。
经渠:位于寸口动脉凹陷处。为肺脉所行为经的金穴。针刺入二分,留针三呼,禁止艾灸,艾灸会损伤神气。主治疟疾寒热,胸背拘急,胸满膨隆,喉痹,手掌发热,咳嗽气逆上冲,伤寒,热病无汗,暴发性痹症喘息急促,心痛呕吐。
太渊(又名太泉,为避唐高祖李渊讳改):位于掌后内侧横纹头,动脉搏动处。为肺脉所注为俞的土穴。肺虚证可补此穴。《难经》说:脉会于太渊。注释说:脉病治疗此穴。平旦寅时,气血从此开始运行,所以称为寸口,是脉的大要会,手太阴肺经的动脉。艾灸三壮,针刺二分,留针三呼。主治胸痹气逆,容易呃逆,呕吐饮食,咳嗽,烦闷不得睡眠,肺胀膨隆,手臂内侧疼痛,眼睛生白翳,眼痛发红,忽冷忽热,缺盆中牵引疼痛,手掌发热,频繁呵欠,肩背痛怕冷,喘息呼吸困难,嗳气上逆,心痛,脉涩,咳血呕血,寒战,咽干,狂言,口噤,尿液颜色改变,突然大便失禁无度。
鱼际:位于大拇指本节后方,内侧白肉际的凹陷处。又说:散脉之中。为肺脉所溜为荥的火穴。针刺二分,留针二呼,禁止艾灸。主治酒病,恶风寒,虚热,舌苔黄,身体发热头痛,咳嗽呃逆,伤寒无汗,痹症游走胸背痛呼吸困难,痹症伴悲恐,乳痈。东垣说:胃气下溜,五脏之气皆乱,病在肺者,取手太阴肺经的鱼际穴,足少阴肾经的俞穴。
少商:位于大拇指内侧,距离指甲角如韭菜叶宽处。为肺脉所出的井木穴。宜用三棱针刺破,微出血,以泄诸脏热邪,凑近不宜艾灸。主治颌肿喉闭,心烦善哕,心下满,出汗而寒,咳嗽气逆,疟疾寒战,腹满,唾沫,嘴唇干燥想喝水,饮食不下,腹部膨隆,手部挛缩手指疼痛,手掌发热,寒战鼓颔,喉中鸣响,小儿乳蛾。
唐代刺史成君绰,突然颌部肿胀,大如升,喉咙闭塞,三天水米不进。甄权用三棱针刺之,微出血,立即痊愈,这是泻除脏腑热邪的结果。《素问注》建议留针一呼。《明堂经》建议艾灸三壮。《甲乙经》建议艾灸一壮。
Zhongfu (also known as Ying Shu): Located one cun and six fen below Yunmen, in the intercostal space of the third rib above the nipple, where the arterial pulse is palpable within a depression. It is six cun lateral to the anterior midline of the chest. It is the Front-Mu point of the Lung (Front-Mu points are areas where organ qi gathers) and an intersection of the Hand-Taiyin Lung Meridian and the Hand-Yangming Large Intestine Meridian. Needle 3 fen, retain for five breaths. Indications: Abdominal distension, edema of the four limbs, inability to eat, asthma with chest fullness, shoulder and back pain, vomiting, cough with rebellious Qi rising, tension of the lung system, cold-heat disorders of the lung, palpitations, rebellious vomiting due to Gallbladder heat, coughing up turbid nasal discharge, sweating due to wind pathogen, skin pain and facial swelling, shortness of breath preventing lying down, chest heat due to Cold Damage Febrile Disease, Feishi Dunzhu (ancient term for sudden, wandering pain or mental abnormalities).
Yunmen: Located below Jugu, two cun lateral to Xiahu, in a depression where the arterial pulse is palpable; take the point with the arm raised. It is six cun lateral to the anterior midline of the chest. *Suwen Zhu* suggests needle insertion of 7 fen; *Tongren* suggests 3 fen; moxa 5 zhuang. Indications: Persistent heat in the four limbs due to Cold Damage Febrile Disease, cough and rebellious Qi, asthma with difficulty breathing, shortness of breath in the chest and hypochondrium, Qi rushing upward to the heart, irritability and fullness in the chest, hypochondriac pain radiating to the back, Bi syndrome of the throat, shoulder pain with inability to raise the arm, Yingqi (goiter).
Tianfu: Located three cun below the axilla, five cun above the elbow-wrist junction, in the artery. Mark the location by touching ink with the tip of the nose; the mark indicates the point. Moxibustion is contraindicated. Indications: Sudden Bi syndrome, epistaxis, wind-stroke pathogen, tearing, forgetfulness, Feishi Eezhu (malignant wandering disease), delirium, asthma, cold-heat malaria, vertigo, blurred vision, Yingqi.
Xiabai: Located below Tianfu, five cun from the elbow, in the artery. Needle 3 fen, moxa 5 zhuang. Indications: Heart pain, shortness of breath, dry retching and rebellious Qi, irritability and fullness.
Chize: Located on the transverse crease of the elbow, in the artery, within the depression between the tendon and bone when the elbow is flexed. It is the He-Sea Water point of the Hand-Taiyin Lung Meridian; tonify deficiency and sedate excess here. For Lung Excess, sedate this point. Needle 3 fen, retain for three breaths, moxa 5 zhuang. Indications: Shoulder and arm pain, sweating with wind-stroke, frequent urination, frequent sneezing, sadness and crying, cold-heat wind-Bi, elbow contracture, inability to raise the arm, Bi syndrome of the throat, rebellious Qi with vomiting, dry mouth, cough with turbid sputum, malaria, sudden edema of the four limbs, heart pain with cold arms, shortness of breath, pulmonary emphysema, irritability, shortness of breath, labor fever, asthma and fullness, stiffness and pain of the waist and spine, slow convulsions in children.
Kongzui: Located seven cun above the wrist, taken laterally. Moxa 5 zhuang, needle 3 fen. Indications: Heat disease with no sweat, cough and rebellious Qi, cold and painful obstruction of the elbow and arm making flexion and extension difficult, inability to raise the hand above the head, inability to grip with fingers, hematemesis, aphonia, sore throat and headache.
Lieque: The Luo-Connecting point of the Hand-Taiyin Lung Meridian, connecting to the Hand-Yangming Large Intestine Meridian. Located one cun and five fen above the wrist crease on the radial side. Cross hands, place the index finger at the end; the point is in the depression between the two tendons and bones. Needle 2 fen, retain for five breaths, sedation technique coordinated with five inhalations, moxa 7 zhuang. Indications: Hemiplegia with facial paralysis, wrist weakness, hemiplegia, heat in the palm, trismus, cold-heat malaria, vomiting foam, cough, excessive laughing, flaccid lips and mouth, forgetfulness, hematuria and seminal emission, penile pain, hot urination, epilepsy with惊悸 and hallucinations, swelling of the face, eyes, and four limbs, shoulder Bi, chills in the chest and back, shortness of breath insufficient for respiration, corpse-jue with cold-heat, dizziness with crossed hands covering the face. Excess patterns manifest as heat in the chest and back, sweating, sudden edema of the four limbs; Deficiency patterns manifest as chills in the chest and back, shortness of breath insufficient for respiration.
*Suwen* states: In excess patterns, there is heat in the thenar eminence and palm; sedate this point. In deficiency patterns, there is yawning and frequent urination/incontinence; tonify this point. Straight-running vessels are called Jing (Meridians); branching ones are called Luo (Collaterals). The branch of the Hand-Taiyin Lung Meridian goes straight from behind the wrist to the medial side of the index finger's tip; thus, Lieque is the collateral connecting Taiyin to Yangming. Some individuals have invisible pulses at the Cun, Guan, and Chi positions, but the pulse is visible from Lieque to Yangxi, commonly known as the "Reverse Guan Pulse." This indicates weak Jing meridians and full Luo collaterals. *Qianjin Yi Fang* states that reversed Yang pulses can be three times larger than the Cun Kou pulse. Unfortunately, Wang Shuhe did not mention this, let alone Gao Yangsheng.
Jingqu: Located in the depression of the Cun Kou artery. It is the Jing-River Metal point of the Lung Meridian. Insert needle 2 fen, retain for three breaths. Moxibustion is contraindicated; moxibustion damages Shen (Spirit). Indications: Malaria with cold-heat, stiffness of the chest and back, chest fullness and distension, Bi syndrome of the throat, heat in the palm, cough and rebellious Qi, Cold Damage Febrile Disease, heat disease with no sweat, sudden Bi syndrome with rapid breathing, heart pain and vomiting.
Taiyuan (also known as Taiquan, renamed to avoid the taboo of Emperor Gaozu of Tang, Li Yuan): Located at the head of the transverse crease on the medial side of the wrist, in the artery. It is the Shu-Stream Earth point of the Lung Meridian; tonify this point for Lung Deficiency. *Nanjing* states: "The Hui-Meeting point of the Vessels is Taiyuan." Commentary says: Treat vessel diseases here. At dawn during the Yin hour, Qi and Blood begin to circulate from here; thus, it is called Cun Kou, the major meeting point of vessels, and the arterial pulse of the Hand-Taiyin Lung Meridian. Moxa 3 zhuang, needle 2 fen, retain for three breaths. Indications: Chest Bi with rebellious Qi, frequent hiccups, vomiting food and drink, cough, irritability and insomnia, pulmonary distension, pain along the medial aspect of the arm, leukoma, eye pain and redness, alternating chills and fever, pulling pain in the Supraclavicular Fossa, heat in the palm, frequent yawning, shoulder and back pain with cold, asthma with difficulty breathing, belching with rebellious Qi, heart pain, choppy pulse, hemoptysis and hematemesis, shivering, dry throat, delirium, trismus, change in urine color, sudden fecal incontinence.
Yuji: Located posterior to the base of the thumb, in the depression at the junction of the white flesh on the medial side. Also described as being among the scattered vessels. It is the Ying-Spring Fire point of the Lung Meridian. Needle 2 fen, retain for two breaths. Moxibustion is contraindicated. Indications: Alcoholism, aversion to wind and cold, deficient heat, yellow tongue coating, fever and headache, cough and hiccups, Cold Damage with no sweat, migrating Bi syndrome causing chest and back pain with dyspnea, Bi syndrome with fear and terror, mastitis. Dongyuan stated: When Stomach Qi flows downward, the Qi of the Five Zang organs becomes chaotic; for diseases located in the Lung, select Yuji of the Hand-Taiyin Lung Meridian and the Shu point of the Foot-Shaoyin Kidney Meridian.
Shaoshang: Located on the medial side of the thumb, one grain-width (like a leek leaf) from the corner of the nail. It is the Jing-Well Wood point of the Lung Meridian. It is suitable to prick with a three-edged needle to induce slight bleeding to drain heat from all Zang organs. Moxibustion is inappropriate near this area. Indications: Swelling of the jaw and throat closure, irritability and frequent hiccups, fullness below the heart, sweating with chills, cough and rebellious Qi, malaria with chills, abdominal fullness, salivation, dry lips with desire to drink, inability to eat, abdominal distension, hand contracture and finger pain, heat in the palm, chills with jaw trembling, humming in the throat, pediatric tonsillitis.
Cheng Junchuo, a Prefect of the Tang Dynasty, suddenly experienced jaw swelling as large as a measuring cup, with throat blockage, unable to swallow water or grains for three days. Zhen Quan pricked the area with a three-edged needle, inducing slight bleeding, resulting in immediate recovery, thereby draining the heat from the Zang organs. *Suwen Zhu* suggests retaining for one breath. *Mingtang Jing* suggests moxa 3 zhuang. *Jiayi Jing* suggests moxa 1 zhuang.