\r足阳明胃经左右三十穴\pf-f34.bmp\r
厉兑二穴。金也。在足大指次指端。去爪甲如韭叶。针一分。灸一壮。
内庭二穴。水也。在足大指次指外间陷中。灸三壮。针三分。
陷谷二穴。木也。在足大指次指外间本节后陷中。去内庭二寸。针三分。留七呼。灸三
壮。
冲阳二穴。在足跗上。去陷谷三寸。针五分。灸三壮。素注、跗上五寸骨间动脉。刺
三分。千云、跗上五寸骨间。去陷谷三寸。（一云二寸。）
解溪二穴。火也。在冲阳后寸半腕上陷中。（明下云。在系鞋处。）针五分。灸三壮。
素注、在冲阳后二寸半。
新校正云、刺疟注作三寸半。二注不同。当从甲乙经作寸半。
丰隆二穴。在外踝上八寸下廉 外廉陷中。针三分。灸三壮。明下云、七壮。
下廉二穴。一名下巨虚。在上廉下三寸。当举足取穴。针八分。灸三壮。明云、上廉
下三寸。两筋两骨罅陷宛宛中。蹲地坐取之。针六分。得气即泻。甲乙云、针三分。灸三壮。主
小肠气不足。面无颜色。偏风热风。冷痹不遂。风湿痹。灸亦良。日七七壮。素注、足阳明
与小肠合。在上廉下三寸。针三分。
手阳明亦有下廉。此乃足下廉也。
条口二穴。在廉上一寸。举足取之。针五分。明云、在上廉下一寸。针八分。灸三壮
上廉二穴。一名上巨虚。在三里下三寸。当举足取之。灸三壮。针三分。甄权云、治脏
气不
中。针八分。得气即泻。灸大良。日七壮。下云、三壮。素注、在三里下三寸。又云、在膝
手阳明亦有上廉。此乃足上廉也。
三里二穴。土也。在膝下三寸 外廉两筋间。（一云∶ 骨外大筋内。）当举足取之。秦
承祖
羸瘦、七伤虚乏、胸中瘀血、乳痈。外台明堂云、人年三十以上。若不灸三里。令气上冲目
。所以三里下气也。（明同。）灸三壮。针五分。明云、针腹背每须去三里穴。针八分。留
十呼。泻七吸。日灸七壮。止百壮。素注、刺一寸。在膝下三寸 骨外廉两筋肉分间（指云
按之太冲脉不动。）
手有三里。此亦曰三里。盖足三里也。铜人云、在膝下三寸。明堂素问注皆同。人多不
能求
也。予按明堂有膝眼四穴。盖在膝头骨下两旁陷中也。又按铜人等经有犊鼻穴。盖在膝膑下
侠罅大筋中也。又按铜人有膝关二穴。盖在犊鼻下二寸陷中也。而新校正素问注巨虚下廉
云三里在犊鼻下三寸。则是犊鼻之下三寸。方是三里。不可便从膝头下去三寸为三里穴也。
若如今人之取穴。恐失之太高矣。（千云∶灸至五百壮。少亦一二百壮。）
犊鼻二穴。在膝膑下 侠解（明堂作罅。）大筋中。治膝中痛不仁。难跪起。膝膑肿溃者
。不可治。不溃者可疗。若犊鼻坚硬。勿便攻。先以洗熨。即微刺之愈。明云、针三分。灸三
按素问刺禁云、刺膝膑出液为跛。犊鼻在膝膑下 。用针者不可轻也。
梁丘二穴。在膝上二寸。（明云三寸。）两筋间。灸三壮。针二分。明云、五分。
明堂作三寸。铜人千金皆作二寸。千金注谓或云三寸。姑两存之。
阴市二穴。一名阴鼎。在膝上三寸伏兔下陷中。拜而取之。针三分。不可灸。明下云
三壮。千注二十卷云、在膝上当伏兔下行二寸。临膝取之。（又云。膝内辅骨后大筋下小筋
铜人云。不可灸。明堂乃云灸三壮。岂以禁穴许灸一壮至三壮耶。
伏兔二穴。在膝上六寸起肉。正跪坐取之。一云、膝盖上七寸。针五分。不可灸。明
云、妇人八部诸病。通针三分。
髀关二穴。在膝上伏兔后交分中。针六分。明云、灸三壮。
膝眼四穴。在膝头骨下两旁陷中。主膝冷疼不已。针五分。留三呼。泻五吸。禁灸。（
有人膝肿甚。人为灸此穴。遂致不救。盖犯其所禁也。）
铜人无此四穴。明堂有之。故附入于此。
足阳明胃经左右共三十个穴位
厉兑穴，左右各一穴。五行属金。位于足大趾与次趾（第二趾）端的交界处，距离指甲边缘约如韭菜叶宽度。针刺深度一分，艾灸一壮。
内庭穴，左右各一穴。五行属水。位于足大趾与次趾外侧之间的凹陷处。艾灸三壮，针刺三分。
陷谷穴，左右各一穴。五行属木。位于足大趾与次趾外侧本节（第一跖趾关节）后的凹陷处，距离内庭穴二寸。针刺三分，留针七次呼吸的时间，艾灸三壮。
冲阳穴，左右各一穴。位于足背上方，距离陷谷穴三寸。针刺五分，艾灸三壮。《素问》注解说：在足背上五寸处的骨间动脉，针刺三分。王冰注解说：在足背上五寸的骨间，距离陷谷穴三寸。（另一种说法是两寸。）
解溪穴，左右各一穴。五行属火。位于冲阳穴后方一寸半处的腕上凹陷中。（《明堂经》下卷说：在系鞋带的位置。）针刺五分，艾灸三壮。《素问》注解说：在冲阳穴后方二寸半处。新校正指出：《刺疟篇》注解说为三寸半。两种注解不同，应当依据《甲乙经》作一寸半。
丰隆穴，左右各一穴。在外踝尖上八寸，胫骨前嵴外缘与腓骨短肌腱之间的凹陷中。针刺三分，艾灸三壮。《明堂经》下卷说：灸七壮。
下廉穴（即下巨虚），左右各一穴。在上廉穴下方三寸处。应当抬起脚来取穴。针刺八分，艾灸三壮。《明堂经》说：在上廉穴下方三寸，两筋两骨之间的缝隙凹陷宛宛之中。蹲坐时取穴。针刺六分，得气后立即泻法。《甲乙经》说：针刺三分，艾灸三壮。主治小肠气不足，面色无华，偏风热风邪，冷痹导致肢体不能随意运动，风湿痹痛。艾灸也良好，每日灸七七四十九壮。《素问》注解说：足阳明胃经与小肠经相合，位于上廉穴下方三寸。针刺三分。
手阳明大肠经也有下廉穴，此处指的是足部的下廉穴。
条口穴，左右各一穴。在下廉穴上方一寸处。抬起脚来取穴。针刺五分。《明堂经》说：在上廉穴下方一寸。针刺八分，艾灸三壮。
上廉穴（即上巨虚），左右各一穴。在足三里穴下方三寸处。应当抬起脚来取穴。艾灸三壮，针刺三分。甄权说：治疗脏气不中和之症。针刺八分，得气后立即泻法。艾灸效果很好。每日灸七壮。《明堂经》下卷说：三壮。《素问》注解说：在足三里下方三寸。又说：在膝盖...（原文此处似有脱漏或排版错误，结合上下文指膝部附近）。手阳明大肠经也有上廉穴，此处指的是足部的上廉穴。
足三里穴，左右各一穴。五行属土。在膝盖下方三寸，胫骨外侧两筋之间。（另一种说法：骨头外侧，大筋内侧。）应当抬起脚来取穴。秦承祖认为：治疗身体消瘦、七伤虚乏、胸中瘀血、乳痈。《外台秘要》和《明堂经》说：人年过三十，如果不灸足三里，会导致气上冲眼睛。所以足三里具有降气的作用。（《明堂经》观点相同。）艾灸三壮，针刺五分。《明堂经》说：针刺腹部和背部时，必须避开足三里穴。针刺八分，留针十次呼吸的时间，泻法用七次吸气。每日灸七壮，最多不超过一百壮。《素问》注解说：刺入一寸。在膝盖下方三寸，骨头外侧，两筋肉分界之间（指按压太冲脉不动的地方）。
手有三里穴，这里所说的三里也是指足三里。《铜人腧穴针灸图经》说：在膝盖下方三寸。《明堂》和《素问》注解说都相同。很多人不能准确找到这个穴位。我按照《明堂经》记载有膝眼四穴，大概在膝盖头骨头下方的两旁凹陷中。又按照《铜人》等经书有犊鼻穴，大概在膝盖骨下方，夹着缝隙的大筋中。又按照《铜人》有膝关二穴，大概在犊鼻穴下方二寸的凹陷中。而新校正《素问》注解说巨虚下廉穴时说“三里在犊鼻下三寸”，那么就是犊鼻穴下方三寸，才是足三里穴。不可以简单地从膝盖头往下三寸作为足三里穴。如果像现在人取穴的方法，恐怕位置太高了。（王冰注解说：艾灸至五百壮，最少也要一二百壮。）
犊鼻穴，左右各一穴。在膝盖骨下方，夹着缝隙（《明堂经》写作“罅”）的大筋中。治疗膝盖疼痛麻木，难以跪起。膝盖骨肿胀溃烂的，不可治疗；没有溃烂的可以治疗。如果犊鼻穴处坚硬，不要立即攻刺。先用洗浴和熨烫的方法，然后轻微针刺即可痊愈。《明堂经》说：针刺三分，艾灸...（原文此处似有脱漏，通常犊鼻禁灸，但此处引用可能有误或特指，后文提到禁灸）。
按照《素问·刺禁论》说：针刺膝盖骨流出液体会导致跛行。犊鼻穴在膝盖骨下方，使用针刺的人不可轻视。
梁丘穴，左右各一穴。在膝盖上方二寸处。（《明堂经》说三寸。）在两筋之间。艾灸三壮，针刺二分。《明堂经》说：五分。
《明堂经》作三寸，《铜人》和《千金方》都作二寸。《千金方》注解说有人说三寸，姑且保留两种说法。
阴市穴，左右各一穴。又名阴鼎。在膝盖上方三寸，伏兔穴下方的凹陷中。跪姿取穴。针刺三分，不可艾灸。《明堂经》下卷说：三壮。王冰注《千金方》二十卷说：在膝盖上方，伏兔穴下行二寸，临近膝盖取穴。（又说：膝盖内侧辅骨后方大筋下的小筋...）。《铜人》说：不可艾灸。《明堂经》却说灸三壮。难道是因为这是禁灸穴，所以允许灸一到三壮吗？
伏兔穴，左右各一穴。在膝盖上方六寸处的隆起肌肉上。正跪坐时取穴。一种说法：膝盖上方七寸。针刺五分，不可艾灸。《明堂经》说：妇人八部各种疾病，通针三分。
髀关穴，左右各一穴。在膝盖上方，伏兔穴后方的交分中。针刺六分。《明堂经》说：艾灸三壮。
膝眼穴，左右各四穴（共四个孔位）。在膝盖头骨头下方的两旁凹陷中。主治膝盖寒冷疼痛不止。针刺五分，留针三次呼吸的时间，泻法用五次吸气。禁止艾灸。（有人膝盖肿胀严重，别人为他艾灸此穴，结果导致不治身亡。这是因为违反了禁忌。）
《铜人》没有这四个穴位。《明堂经》有记载，所以附录在此处。
Thirty Acupoints of the Foot-Yangming Stomach Meridian on Both Sides
Lidui (LI DUI, ST 45), two acupoints. Element: Metal. Located at the lateral end of the second toe, approximately the width of a leek leaf from the nail corner. Needle depth: 1 fen; Moxibustion: 1 cone.
Neiting (NEI TING, ST 44), two acupoints. Element: Water. Located in the depression between the lateral side of the second toe and the first toe. Moxibustion: 3 cones; Needle depth: 3 fen.
Xangu (XIAN GU, ST 43), two acupoints. Element: Wood. Located in the depression distal to the metatarsophalangeal joint of the second toe, 2 cun distal to Neiting. Needle depth: 3 fen; Retain needle for 7 breaths; Moxibustion: 3 cones.
Chongyang (CHONG YANG, ST 42), two acupoints. Located on the dorsum of the foot, 3 cun proximal to Xian Gu. Needle depth: 5 fen; Moxibustion: 3 cones. The *Suwen* annotation states: "At the arterial pulse between the bones on the dorsum of the foot, 5 cun proximal." Wang Bing's annotation states: "Between the bones on the dorsum of the foot, 5 cun proximal, 3 cun distal to Xian Gu." (Another version says 2 cun.)
Jiexi (JIE XI, ST 41), two acupoints. Element: Fire. Located in the depression proximal to Chongyang by 1.5 cun at the ankle joint. (*Mingtang Jing* Vol. 2 states: "At the place where shoelaces are tied.") Needle depth: 5 fen; Moxibustion: 3 cones. The *Suwen* annotation states: "2.5 cun proximal to Chongyang." The New Correction notes that the *Ci Nue* chapter annotation says 3.5 cun. Since the annotations differ, one should follow the *Jia Yi Jing* which states 1.5 cun.
Fenglong (FENG LONG, ST 40), two acupoints. Located in the depression between the anterior crest of the tibia and the tendon of the fibularis brevis, 8 cun above the lateral malleolus. Needle depth: 3 fen; Moxibustion: 3 cones. *Mingtang Jing* Vol. 2 states: 7 cones.
Xialian (LOWER LIAN, i.e., Xiaguxu ST 39), two acupoints. Also known as Xiaguxu. Located 3 cun distal to Shanglian. Take the point with the foot lifted. Needle depth: 8 fen; Moxibustion: 3 cones. *Mingtang Jing* states: "3 cun distal to Shanglian, in the deep depression between two tendons and two bones." Take the point while squatting. Needle depth: 6 fen; Disperse immediately upon arrival of Qi. *Jia Yi Jing* states: Needle depth 3 fen; Moxibustion 3 cones. Indications: Insufficiency of Small Intestine Qi, pallor, hemiplegic wind-heat, cold bi syndrome with immobility, wind-damp bi. Moxibustion is also effective, 49 cones daily. The *Suwen* annotation states: "The Foot-Yangming Stomach Meridian combines with the Small Intestine, located 3 cun distal to Shanglian. Needle depth: 3 fen."
There is also a Xialian acupoint on the Hand-Yangming Large Intestine Meridian; this refers to the lower Xialian on the foot.
Tiaokou (TIAO KOU, ST 38), two acupoints. Located 1 cun proximal to Xialian. Take the point with the foot lifted. Needle depth: 5 fen. *Mingtang Jing* states: "1 cun distal to Shanglian. Needle depth: 8 fen; Moxibustion: 3 cones."
Shanglian (UPPER LIAN, i.e., Shangguxu ST 36), two acupoints. Also known as Shangguxu. Located 3 cun distal to Zusanli. Take the point with the foot lifted. Moxibustion: 3 cones; Needle depth: 3 fen. Zhen Quan states: Treats disharmony of Zang organs. Needle depth: 8 fen; Disperse immediately upon arrival of Qi. Moxibustion is highly effective. 7 cones daily. *Mingtang Jing* Vol. 2 states: 3 cones. The *Suwen* annotation states: "3 cun distal to Zusanli." (Text implies location near the knee). There is also an Shanglian acupoint on the Hand-Yangming Large Intestine Meridian; this refers to the upper Shanglian on the foot.
Zusanli (ZU SAN LI, ST 36), two acupoints. Element: Earth. Located 3 cun below the knee, between the two tendons on the lateral side of the tibia. (Another version: Lateral to the bone, inside the large tendon.) Take the point with the foot lifted. Qin Chengzu indicates indications: Emaciation, seven injuries and deficiency, blood stasis in the chest, mastitis. *Waitai Mingtang Jing* states: "For persons over thirty years old, if Zusanli is not moxa-ed, Qi will rush upward to the eyes. Thus, Zusanli descends Qi." (*Mingtang Jing* agrees). Moxibustion: 3 cones; Needle depth: 5 fen. *Mingtang Jing* states: "When needling the abdomen and back, one must avoid Zusanli." Needle depth: 8 fen; Retain needle for 10 breaths; Disperse using 7 inhalations. Daily moxibustion: 7 cones, up to 100 cones total. The *Suwen* annotation states: "Puncture 1 cun. Located 3 cun below the knee, between the muscles and tendons on the lateral side of the bone (pressing here makes the Taichong pulse immobile)."
The Hand meridians have Sanli points; this Sanli also refers to Zusanli. *Tongren* states: "3 cun below the knee." *Mingtang* and *Suwen* annotations are consistent. Many people cannot locate it accurately. I consulted *Mingtang Jing*, which records four Xiyan acupoints, located in the depressions on both sides below the patella. I also consulted *Tongren*, which records Dubi, located in the large tendon medial to the gap below the patella. Furthermore, *Tongren* records Xiguan, located 2 cun below Dubi in the depression. However, the New Correction of the *Suwen* annotation regarding Xiaguxu states "Zusanli is 3 cun below Dubi." Therefore, Zusanli is precisely 3 cun below Dubi, not simply 3 cun down from the top of the knee cap. If one takes the point as modern practitioners do, it may be too high. (Wang Bing notes: Moxibustion up to 500 cones, or at least 100-200 cones.)
Dubi (DU BI, ST 35), two acupoints. Located in the large tendon medial to the gap (Mingtang writes "xia") below the patella. Indications: Knee pain and numbness, difficulty kneeling and rising. If the patella is swollen and ulcerated, it is untreatable; if not ulcerated, it can be treated. If Dubi feels hard, do not attack it directly. First apply washing and hot compresses, then gently needle until cured. *Mingtang Jing* states: Needle depth 3 fen; Moxibustion... (Text implies caution).
According to *Suwen Ci Jin Lun*: "Puncturing the patella causing fluid discharge leads to limping." Dubi is below the patella; practitioners must not take this lightly.
Liangqiu (LIANG QIU, ST 34), two acupoints. Located 2 cun above the knee. (*Mingtang Jing* says 3 cun.) Between the two tendons. Moxibustion: 3 cones; Needle depth: 2 fen. *Mingtang Jing* says: 5 fen.
*Mingtang Jing* states 3 cun; *Tongren* and *Qianjin Fang* state 2 cun. The *Qianjin Fang* annotation says some claim 3 cun, so both are preserved.
Yinshi (YIN SHI, ST 33), also known as Yinding. Two acupoints. Located 3 cun above the knee, in the depression below Futu. Take the point in a kneeling position. Needle depth: 3 fen. Moxibustion is prohibited. *Mingtang Jing* Vol. 2 states: 3 cones. Wang Bing's annotation in *Qianjin Fang* Vol. 20 states: "2 cun distal to Futu above the knee, take near the knee." (Also mentions: behind the large tendon under the medial condyle...). *Tongren* states: Moxibustion is prohibited. *Mingtang Jing* states moxibustion 3 cones. Is it because it is a forbidden point that 1-3 cones are allowed?
Futu (FU TU, ST 32), two acupoints. Located on the raised muscle 6 cun above the knee. Take the point in a proper kneeling sitting position. Another version: 7 cun above the knee cap. Needle depth: 5 fen. Moxibustion is prohibited. *Mingtang Jing* states: For various diseases of the eight sections in women, general needle depth 3 fen.
Biguan (BI GUAN, ST 31), two acupoints. Located in the junction posterior to Futu, above the knee. Needle depth: 6 fen. *Mingtang Jing* states: Moxibustion 3 cones.
Xiyan (XI YAN, ACUPUNCTURE POINTS OUTSIDE THE STANDARD MERIDIAN), four apertures (two on each side). Located in the depressions on both sides below the head of the patella. Indications: Persistent cold pain in the knee. Needle depth: 5 fen; Retain needle for 3 breaths; Disperse using 5 exhalations. Moxibustion is strictly prohibited. (Case: A patient with severe knee swelling was moxa-ed at this point by someone else, leading to death. This violated the prohibition.)
*Tongren* does not list these four points. *Mingtang Jing* lists them, so they are appended here.