\r膺俞第四行左右十二穴\pf-f18.bmp\r
云门二穴。在巨骨下侠气户旁各二寸陷中。灸五壮。针三分。刺深使人气逆。不宜深刺
。明云、云门在巨骨下。气户两旁各二寸陷中。动脉应手。举臂取之。山眺经云、在人迎下
第
二骨间。相去二寸三分。通灸禁针。甲乙云、灸五壮。针七分。若深、令人气逆。
中府二穴。一名膺中俞。肺之募。在云门下一寸乳上三肋间。针三分。留五呼。灸五壮
。素注、在膺中行两旁相去六寸。云门下一寸乳上三肋间。动脉应手陷中。仰而取之。
周荣二穴。在中府下寸六分陷中。仰而取之。针四分。明下云、灸五壮。
胸乡二穴。在周荣下寸六分陷中。仰而取之。针四分。灸五壮。
天溪二穴。在胸乡下寸六分陷中。仰而取之。针四分。灸五壮。
食窦二穴。在天溪下寸六分陷中。举臂取之。针四分。灸五壮。
以上十二穴。去膺中行各六寸六分。
\r侧腋左右八穴\pf-f19.bmp\r
渊腋二穴。在腋下三寸宛宛中。举臂得之。禁灸。灸之、不幸令人生肿蚀马疡。内
溃者死。寒热生马疡可消。针三分。
辄筋二穴。在腋下三寸复前一寸着胁。灸三壮。针六分。
天池二穴。一名天会。在乳后一寸腋下三寸。着胁直腋橛肋间。灸三壮。针三分。
大包二穴。在渊腋下三寸。脾之大络。布胸胁中。出九肋间。灸三壮。针三分。
【膺俞第四行左右十二穴】
云门穴,共两穴。位于巨骨穴下方,气户穴旁开各二寸的凹陷处。艾灸五壮。针刺深度三分。若刺入过深会导致气机上逆,因此不宜深刺。《明堂》记载:云门穴在巨骨穴下方,气户穴两旁各二寸的凹陷处,此处动脉搏动应手,需举起手臂以取穴。《山眺经》记载:在人迎穴下方的第二肋骨间隙中,距离中线二寸三分。此处宜采用灸法而禁止针刺。《甲乙经》记载:艾灸五壮,针刺七分。如果针刺过深,会使人出现气逆的症状。
中府穴,共两穴。又名膺中俞,是肺脏的募穴。位于云门穴下一寸,乳头上方第三肋间隙中。针刺三分,留针五呼的时间。艾灸五壮。《素问注》记载:位于胸腹部正中线旁开六寸处,即云门穴下一寸,乳头上方第三肋间隙中,动脉搏动应手的凹陷处。需仰卧位并抬起手臂以取穴。
周荣穴,共两穴。位于中府穴下方一寸六分的凹陷处。需仰卧位并抬起手臂以取穴。针刺四分。《明堂》下篇记载:艾灸五壮。
胸乡穴,共两穴。位于周荣穴下方一寸六分的凹陷处。需仰卧位并抬起手臂以取穴。针刺四分。艾灸五壮。
天溪穴,共两穴。位于胸乡穴下方一寸六分的凹陷处。需仰卧位并抬起手臂以取穴。针刺四分。艾灸五壮。
食窦穴,共两穴。位于天溪穴下方一寸六分的凹陷处。需举起手臂以取穴。针刺四分。艾灸五壮。
以上十二个穴位,距离胸腹正中线各六寸六分。
【侧腋左右八穴】
渊腋穴,共两穴。位于腋下三寸的宛宛(凹陷)处。举起手臂即可找到。禁止艾灸。若施灸,不幸会导致身体生肿疡或马疡(一种皮肤溃烂性疾病)。若内部溃破则致死。但若因寒热引起的马疡,可以通过针灸消除。针刺三分。
辄筋穴,共两穴。位于腋下三寸,再向前一寸处,紧贴胁部。艾灸三壮。针刺六分。
[The Twelve Acupoints on the Fourth Row of Ying Shu, Left and Right]
Yunmen (LU-2), two acupoints. Located in the depression below Jugu (SI-1) and two cun lateral to Qihu (ST-15). Moxibustion: five moxa cones. Acupuncture: 0.3 cun. Deep insertion is contraindicated as it may cause rebellious Qi. The *Mingtang* records that Yunmen is located in the depression two cun lateral to Qihu below Jugu, where the arterial pulse can be felt; the arm should be raised to locate the point. The *Shantiao Jing* records that it is in the second intercostal space below Renying (ST-9), two cun three fen from the midline. Moxibustion is indicated, while acupuncture is prohibited. The *Jia Yi Jing* records: moxibustion five cones, acupuncture 0.7 cun. If inserted too deeply, it causes rebellious Qi.
Zhongfu (LU-1), two acupoints. Also known as Yingzhongshu, it is the Front-Mu point of the Lung. Located one cun below Yunmen, in the third intercostal space above the nipple. Acupuncture: 0.3 cun; retain for five breaths. Moxibustion: five moxa cones. The *Suwen Zhu* records that it is six cun lateral to the anterior midline, specifically one cun below Yunmen in the third intercostal space above the nipple, in the depression where the arterial pulse is palpable. The patient should lie supine with the arm raised to locate the point.
Zhourong (SP-20), two acupoints. Located in the depression 1.6 cun below Zhongfu. The patient should lie supine with the arm raised. Acupuncture: 0.4 cun. The lower section of the *Mingtang* records: moxibustion five moxa cones.
Xiongxiang (SP-21), two acupoints. Located in the depression 1.6 cun below Zhourong. The patient should lie supine with the arm raised. Acupuncture: 0.4 cun. Moxibustion: five moxa cones.
Tianxi (SP-22), two acupoints. Located in the depression 1.6 cun below Xiongxiang. The patient should lie supine with the arm raised. Acupuncture: 0.4 cun. Moxibustion: five moxa cones.
Shidou (SP-23), two acupoints. Located in the depression 1.6 cun below Tianxi. The arm should be raised to locate the point. Acupuncture: 0.4 cun. Moxibustion: five moxa cones.
These twelve acupoints are each 6.6 cun lateral to the anterior midline.
[The Eight Acupoints on the Lateral Axilla, Left and Right]
Yuanxi (GB-22), two acupoints. Located in the hollow depression three cun below the axillary apex. The arm should be raised to locate the point. Moxibustion is strictly prohibited. If moxibustion is applied, it may unfortunately cause swelling and ulcers or "Ma Yang" (a type of skin ulceration/necrosis). If internal perforation occurs, it leads to death. However, Ma Yang caused by cold and heat sensations can be resolved through acupuncture. Acupuncture: 0.3 cun.
Zhejin (GB-23), two acupoints. Located three cun below the axillary apex, moving forward one cun to touch the costal region. Moxibustion: three moxa cones. Acupuncture: 0.6 cun.
Tianchi (PC-1), two acupoints. Also known as Tianhui. Located one cun behind the nipple, three cun below the axillary apex, touching the costal region, in the intercostal space directly under the axilla. Moxibustion: three moxa cones. Acupuncture: 0.3 cun.
Dabao (SP-21), two acupoints. Located three cun below Yuanxi. It is the Great Luo vessel of the Spleen, distributing within the chest and hypochondrium, emerging from the ninth intercostal space. Moxibustion: three moxa cones. Acupuncture: 0.3 cun.