（肩膊 肩臂 余见背痛）
浮白、治肩背不举。（铜）神堂、疗肩背连胸痛。不可俯仰。（明下）商阳、治肩背急
。引
附分、治肩背急。（见腠理。）神堂、治肩痛。胸腹满。洒淅寒热。脊背急。（明同。）
三焦俞、治肩背急。腰脊强。不得俯仰。涌泉、主肩背颈项痛。（千）天牖、缺盆、神道
、大杼、天突、水道、巨骨、主肩背痛。鬲俞、 、京门、尺泽，主肩背寒 。肩
天柱、治肩背痛欲折。（铜）肝俞、（见腰痛。）疗肩疼。（明）曲垣、治肩痛。周痹（
明同。）气注。肩膊拘急疼闷。（铜）肩外俞、治肩痹热痛。而寒至肘。（明同。）下云、疗肩痛
发寒热。引项强。肩井、治颈项不得顾。肩膊闷。两手不得向头。或因扑伤。云门、（
见胸满。）秉风、治肩痛不能举。肩贞、治肩中热痛。（见风痹。）天宗、治肩胛痛。
天窗、（明下同。）治肩痛引项不得顾。前谷、疗膊胛小指痛。养老、疗肩欲折。（下
见臂。）青灵、疗肩不举。不能带衣。肩 、疗肩重不举。（见臂。）养老、天柱、主
肩痛欲折。天井、主肩痛不可屈伸。曲池、天 、主肩重痛不举。巨骨、主肩中痛。
不能动摇。（明下同。）肩外俞、主肩甲痛而寒至肘。后溪、主肩 痛。前腋、主肩腋
前痛。与胸相引。天 、治肩肘痛引颈项急。寒热缺盆
中痛。汗不出。胸中烦闷。（铜）章门、治厥逆。肩臂不举。青灵、治肩臂不举。不能带
肩、治肩重不能举臂肘。巨骨、治肩臂不得屈伸。（见背痛。）居 、治肩引胸臂
（见手痛。） 、治寒热肩肿。引胛中痛。臂酸无力。支沟、疗肩臂酸重。（见腋。）
关冲、主肩臂酸重。腕骨、主肩臂疼。天宗、主肩重臂痛。章门
、治厥逆。肩臂不举。（铜）青灵、治肩臂不举。不能带衣。肩 、治肩重不能举臂肘。
巨骨、治肩臂不得屈伸。（见背痛。）关冲、主肩臂酸重。支沟、疗肩臂酸重。（明下
见掖。）列缺、主肩背寒栗。少气不足以息。寒厥交两手而瞀。凡实则肩背热。背汗出。
四肢暴肿。虚则肩寒栗。气不足以息。天井、疗颈项及肩背痛。（见肘痛。）腰背痛。灸
三焦俞。大椎、治背膊急。（见劳。）下焦俞、疗背痛身热。
肩背酸疼。诸家针灸之详矣。当随病证针灸之。或背上先疼。遂牵引肩上疼者。乃是膏
肓为患。千金外台固云按之自觉牵引于肩中是也。当灸膏肓俞。则肩背自不疼矣。予尝肩背痛。
已灸膏肓。肩痛犹未已。遂灸肩井三壮而愈。以此知虽灸膏肓而他处亦不可不灸云。
（肩膊、肩臂，其余内容见背痛章节）
浮白穴，治疗肩背活动受限。（出自《铜人腧穴针灸图经》）神堂穴，治疗肩背连及胸痛，身体不能前俯后仰。（出自《明堂灸经》下卷）商阳穴，治疗肩背部拘急。
附分穴，治疗肩背部拘急。（参见腠理章节）神堂穴，治疗肩痛，伴有胸腹胀满，恶寒发热，脊背拘急。（《明堂灸经》记载相同。）
三焦俞穴，治疗肩背部拘急，腰脊僵硬，不能前俯后仰。涌泉穴，主治肩背颈项疼痛。（出自《千金方》）天牖穴、缺盆穴、神道穴、大杼穴、天突穴、水道穴、巨骨穴，主治肩背痛。膈俞穴、京门穴、尺泽穴，主治肩背寒冷。
天柱穴，治疗肩背痛欲折断感。（出自《铜人腧穴针灸图经》）肝俞穴，（参见腰痛章节），治疗肩疼。（出自《明堂灸经》）曲垣穴，治疗肩痛，周痹。（《明堂灸经》记载相同）气注病，肩膊拘急疼痛闷胀。（出自《铜人腧穴针灸图经》）肩外俞穴，治疗肩痹热痛，寒气延伸至肘部。（《明堂灸经》记载相同）下文又说，治疗肩痛发作时伴有寒热，牵引颈部僵硬。肩井穴，治疗颈项不能回顾，肩膊闷胀，双手不能举过头顶。或因跌扑损伤所致。云门穴，（参见胸满章节）。秉风穴，治疗肩痛不能高举。肩贞穴，治疗肩中热痛。（参见风痹章节）天宗穴，治疗肩胛痛。天窗穴，（《明堂灸经》记载相同），治疗肩痛牵引颈部不能回顾。前谷穴，治疗臂胛和小指疼痛。养老穴，治疗肩部欲折断感。（下文参见手臂章节）青灵穴，治疗肩不能高举，不能穿衣。肩髃穴，治疗肩沉重不能高举。（参见手臂章节）养老穴、天柱穴，主治肩痛欲折断感。天井穴，主治肩痛不可屈伸。曲池穴、肩髎穴，主治肩沉重疼痛不能高举。巨骨穴，主治肩中痛，不能动摇。（《明堂灸经》记载相同）肩外俞穴，主治肩甲疼痛且寒气至肘。后溪穴，主治肩痛。前廉穴，主治肩腋前痛，与胸部相互牵引。肩髎穴，治疗肩肘痛牵引颈项拘急，伴有寒热，缺盆中疼痛，无汗，胸中烦闷。（出自《铜人腧穴针灸图经》）章门穴，治疗厥逆，肩臂不能高举。青灵穴，治疗肩臂不能高举，不能穿衣。肩髃穴，治疗肩沉重不能举臂肘。巨骨穴，治疗肩臂不能屈伸。（参见背痛章节）居髎穴，治疗肩部牵引胸臂。（参见手痛章节）带脉穴，治疗寒热肩肿，牵引肩胛中疼痛，手臂酸痛无力。支沟穴，治疗肩臂酸重。（参见腋部章节）关冲穴，主治肩臂酸重。腕骨穴，主治肩臂疼痛。天宗穴，主治肩沉重手臂疼痛。章门穴，治疗厥逆，肩臂不能高举。（出自《铜人腧穴针灸图经》）青灵穴，治疗肩臂不能高举，不能穿衣。肩髃穴，治疗肩沉重不能举臂肘。巨骨穴，治疗肩臂不能屈伸。（参见背痛章节）关冲穴，主治肩臂酸重。支沟穴，治疗肩臂酸重。（《明堂灸经》下卷参见腋部）列缺穴，主治肩背寒冷战栗，少气不足以呼吸，寒厥导致两手交叉视物模糊。实证则肩背发热，背部出汗，四肢突然肿胀；虚证则肩冷战栗，气短不足以呼吸。天井穴，治疗颈项及肩背痛。（参见肘痛章节）腰背痛，艾灸三焦俞。大椎穴，治疗背膊拘急。（参见劳损章节）下焦俞穴，治疗背痛身热。
关于肩背酸痛，各家针灸书籍记载已很详尽。应当根据病症进行针灸治疗。如果背上先疼痛，随后牵引到肩上疼痛，这是膏肓穴受邪所致，《千金方》和《外台秘要》确实说过，按压此处自觉牵引至肩中即是此症。应当艾灸膏肓俞穴，则肩背自然不再疼痛。我曾经肩背痛，已经灸过膏肓穴，但肩痛仍未停止，于是又灸了肩井穴三壮而痊愈。由此可知，虽然灸了膏肓穴，其他穴位也不可忽略不灸。
(Shoulder and arm; for other content, see the section on Back Pain)
Fubai (GB16) treats shoulder and back immobility. (*Tongren Shuxue Zhenjiu Tujing*) Shentang (BL44) treats shoulder and back pain radiating to the chest, with inability to bend forward or backward. (*Mingtang Jiu Jing*, Vol. 2) Shangyang (LI1) treats shoulder and back stiffness.
Fufen (BL17) treats shoulder and back stiffness. (See section on Cou Li.) Shentang (BL44) treats shoulder pain accompanied by chest and abdominal fullness, aversion to cold and fever, and spinal stiffness. (*Mingtang Jiu Jing* records the same.)
Sanjiaoshu (BL22) treats shoulder and back stiffness, rigidity of the waist and spine, and inability to bend forward or backward. Yongquan (KI1) is the main point for shoulder, back, neck, and nape pain. (*Qianjin Fang*) Tianyou (SI16), Quepen (ST12), Shendao (DU11), Dazhu (BL11), Tiantu (CV22), Shuidao (ST28), and Jugu (SI1) are indicated for shoulder and back pain. Geshu (BL17), Jingmen (LR25), and Chize (LU5) are indicated for shoulder and back coldness.
Tianzhu (BL10) treats shoulder and back pain with a sensation as if breaking. (*Tongren Shuxue Zhenjiu Tujing*) Ganshu (BL18), (see section on Lower Back Pain), treats shoulder pain. (*Mingtang Jiu Jing*) Qu Yuan (SI13) treats shoulder pain and Zhou Bi (generalized bi syndrome). (*Mingtang Jiu Jing* records the same.) Qi Zhu disease causes shoulder and arm stiffness, pain, and distension. (*Tongren Shuxue Zhenjiu Tujing*) Jianwaiyu (SI14) treats shoulder bi with heat pain, with cold extending to the elbow. (*Mingtang Jiu Jing* records the same.) The text below also states it treats shoulder pain accompanied by chills and fever, pulling the neck into stiffness.
Jianjing (GB21) treats inability to look back due to neck stiffness, shoulder stuffiness, and inability to raise both hands above the head. It may also result from falls or injuries. Yunmen (LU2), (see section on Chest Fullness). Bingfeng (SI12) treats shoulder pain with inability to lift. Jianzhen (SI9) treats heat pain in the shoulder joint. (See section on Wind-Bi.) Tianzong (SI11) treats scapular pain. Tianchuang (SI10), (*Mingtang Jiu Jing* records the same), treats shoulder pain pulling the neck causing inability to look back. Qiangu (SI15) treats arm, scapula, and little finger pain. Yanglao (SI6) treats shoulder pain with a sensation as if breaking. (See section on Arm below.) Qingling (HT7) treats inability to lift the shoulder and difficulty dressing. Jianyu (LI15) treats heavy shoulder with inability to lift. (See section on Arm below.) Yanglao (SI6) and Tianzhu (BL10) are indicated for shoulder pain with a sensation as if breaking. Tianjing (TE10) is indicated for shoulder pain with inability to flex or extend. Quchi (LI11) and Jianliao (TE14) are indicated for heavy and painful shoulder with inability to lift. Jugu (SI1) is indicated for pain in the center of the shoulder with inability to move. (*Mingtang Jiu Jing* records the same.) Jianwaiyu (SI14) is indicated for scapular pain with cold extending to the elbow. Houxi (SI3) is indicated for shoulder pain. Qianlian (Extra point) is indicated for pain in the anterior shoulder and axilla, radiating to the chest. Jianliao (TE14) treats shoulder and elbow pain pulling the neck into stiffness, accompanied by chills and fever, pain in the supravacular fossa, absence of sweating, and chest restlessness. (*Tongren Shuxue Zhenjiu Tujing*) Zhangmen (LR13) treats jue-ni (cold extremities) and inability to raise the shoulder and arm. Qingling (HT7) treats inability to raise the shoulder and arm and difficulty dressing. Jianyu (LI15) treats heavy shoulder with inability to raise the arm and elbow. Jugu (SI1) treats inability to flex and extend the shoulder and arm. (See section on Back Pain below.) Juliao (GB29) treats shoulder pulling to the chest and arm. (See section on Hand Pain below.) Da Mai (Extra point) treats chills, fever, shoulder swelling, pain radiating to the scapula, and arm soreness with weakness. Zhigou (TE6) treats shoulder and arm soreness and heaviness. (See section on Axilla below.) Guanchong (TE1) is indicated for shoulder and arm soreness and heaviness. Wanggu (SI4) is indicated for shoulder and arm pain. Tianzong (SI11) is indicated for heavy shoulder and arm pain. Zhangmen (LR13) treats jue-ni and inability to raise the shoulder and arm. (*Tongren Shuxue Zhenjiu Tujing*) Qingling (HT7) treats inability to raise the shoulder and arm and difficulty dressing. Jianyu (LI15) treats heavy shoulder with inability to raise the arm and elbow. Jugu (SI1) treats inability to flex and extend the shoulder and arm. (See section on Back Pain below.) Guanchong (TE1) is indicated for shoulder and arm soreness and heaviness. Zhigou (TE6) treats shoulder and arm soreness and heaviness. (*Mingtang Jiu Jing*, Vol. 2, see Axilla below.) Lieque (LU7) is indicated for shoulder and back coldness and shivering, shortness of breath, and cold jue-ni causing crossed hands and blurred vision. In excess patterns, there is shoulder and back heat, back sweating, and sudden swelling of the four limbs. In deficiency patterns, there is shoulder coldness and shivering, and shortness of breath. Tianjing (TE10) treats neck, nape, and shoulder/back pain. (See section on Elbow Pain below.) For lower back and back pain, moxa Sanjiaoshu (BL22). Dazhui (GV14) treats back and shoulder stiffness. (See section on Lao Sun.) Xiajiaoshu (Extra point) treats back pain with body heat.
Regarding shoulder and back soreness and pain, various acupuncture and moxibustion texts have detailed descriptions. One should treat according to the specific symptoms via acupuncture or moxibustion. If the pain starts in the back and then radiates to the shoulder, this is caused by pathology in the Gaohuang acupoint. *Qianjin Yaofang* and *Waitai Miyao* indeed state that pressing the area reveals traction towards the shoulder. One should moxa Gaohuangshu (BL43), and the shoulder and back will naturally cease to hurt. I once suffered from shoulder and back pain; after moxa-ing Gaohuang, the shoulder pain persisted. I then moxa-ed Jianjing (GB21) three moxa cones, and it healed. From this, I know that even if one moxa-es Gaohuang, other points must not be neglected.