(左右二十二穴)
\r手太阴经穴图\pi-i23.bmp\r
中府(一名膺俞) 在云门下一寸六分乳上三肋间动脉应手陷中。旁开华盖(任脉穴名)六
寸。仰取之。肺之募手足太阴之会。(针三分灸五壮)治肺急胸满。少气不得卧。
云门 在巨骨下。侠胃经气户旁二寸。间中六寸。动脉应手陷中。举臂取之。(针三分
。灸五壮。)治四肢热不已。咳逆短气。喉痹瘿气。臂痛不举。
天府 在臂 内廉。腋下三寸动脉陷中。点墨于鼻尖凑到臂处是穴。(针四分禁灸灸之
令人气通。)治恶语善忘。衄血喘息 疟寒热目眩瘿气。
侠白 在天府下。肘中约纹上去五寸动脉中。手太阴之别。(针三分。灸五壮。)治心痛
气短。
尺泽 在肘中约纹上。屈肘横纹两筋间动脉陷中。肺脉所入为合。实则泻之(针三分。
灸五壮。)治心烦气短喉痹口干。咳血小便数。肩痛四肢肿。善嚏悲哭。小儿慢惊风。
孔最 在腕上七寸。上骨下骨间陷中。侧取之。手太阴 。(同隙针三分灸五壮)治肘臂
痛屈伸难咳逆吐血。失音咽痛。
列缺 在腕后侧上一寸五分。两手交叉当食指末处筋骨罅中。手太阴之络。别走阳明
。人有
寸关尺三部脉不见。而见于列缺阳 。谓之反关脉。此经脉虚而络脉满也。千金翼谓阳脉逆
。反大于寸口三倍者即此。(针二分。灸七壮。)治寒热疟。偏风头痛。惊痫口噤。咳嗽下牙
疼。
经渠 在寸口陷中动脉应手。肺脉所行为经。(针二分禁灸)治胸背拘急。喉痹咳逆。心
痛呕吐。热病汗不出。
太渊 在掌后内侧横纹头动脉中。肺脉所注为俞。(阴经俞即原下仿此)虚则补之脉会太
渊。
每日平旦寅时。气血从此始。故曰寸口者脉之大会。(针二分。灸三壮)治胸痹气逆。哕呕咳
嗽。心痛咽干。目生白翳。
鱼际 在大指本节后内侧白肉际陷中。肺脉所溜为荥(针二分禁灸。)治喑哑喉燥。心烦
目眩。
少商 在大指内侧。去爪甲角如韭叶许肺脉所出为井。(针一分。出血泄诸藏之热禁灸)
治颔肿喉痹。 疟振寒。
中府穴(又名膺俞),位于云门穴下方一寸六分,乳头上方第三肋间隙,动脉搏动应手的凹陷处。距离华盖穴(任脉穴位名)旁开六寸。取穴时宜仰卧。此穴为肺之募穴,是手太阴肺经与足太阴脾经的交会穴。(针刺三分,艾灸五壮。)主治肺气急迫、胸部胀满、气短不能平卧。
云门穴,位于巨骨穴下方,胃经气户穴旁开二寸,两穴之间相距六寸。动脉搏动应手的凹陷处。取穴时需举起手臂。(针刺三分,艾灸五壮。)主治四肢发热不退、咳嗽气逆、呼吸短促、喉痹、瘿气(颈部肿块)、手臂疼痛无法抬起。
天府穴,位于上臂内侧,腋下三寸处的动脉凹陷中。取穴方法是将墨点点在鼻尖,向下对齐至手臂处即为该穴。(针刺四分,禁止艾灸,若施灸会导致气息紊乱。)主治胡言乱语、健忘、鼻出血、喘息、疟疾寒热交替、头晕目眩、瘿气。
侠白穴,位于天府穴下方,肘横纹向上五寸处的动脉中。此为手太阴肺经的别络。(针刺三分,艾灸五壮。)主治心痛、气短。
尺泽穴,位于肘横纹中,屈肘时肘横纹两筋之间的动脉凹陷处。此处为肺经经脉之气深入汇合之处,即“合”穴。实证采用泻法。(针刺三分,艾灸五壮。)主治心烦气短、喉痹、口干、咳血、小便频数、肩痛、四肢肿胀、易打喷嚏、悲伤哭泣、小儿慢惊风。
孔最穴,位于腕横纹上七寸,桡骨与尺骨之间的凹陷处。侧身取穴。此为手太阴肺经的郄穴。(同隙穴,针刺三分,艾灸五壮。)主治肘臂疼痛、屈伸困难、咳嗽气逆、吐血、失音、咽痛。
列缺穴,位于腕后侧上一寸五分处。两手交叉,食指末端所指的筋骨缝隙中。此为手太阴肺经的络穴,别走阳明经。有些人寸、关、尺三部脉象在常规部位摸不到,而在列缺穴处的阳脉位置出现,称为“反关脉”。这是因为经脉虚弱而络脉充盈所致。《千金翼方》称阳脉逆行,比寸口大三倍者即是此情况。(针刺二分,艾灸七壮。)主治寒热疟疾、偏头痛、惊痫、口噤不开、咳嗽、下牙疼痛。
经渠穴,位于寸口处的凹陷中,动脉搏动应手。此处为肺经经脉之气运行的通道,即“经”穴。(针刺二分,禁止艾灸。)主治胸背部拘急不舒、喉痹、咳嗽气逆、心痛呕吐、热病无汗。
太渊穴,位于掌后内侧横纹头处的动脉中。此处为肺经经脉之气灌注之处,即“俞”穴。(阴经的俞穴即原穴,以下仿照此例)。虚证采用补法。此处为脉会太渊。每天清晨寅时,气血从此处开始流注,所以说寸口是脉象的大会合之处。(针刺二分,艾灸三壮。)主治胸痹、气逆、呃逆呕吐、咳嗽、心痛、咽干、眼睛生翳膜。
鱼际穴,位于大拇指本节后的内侧,红白肉交界处的凹陷中。此处为肺经经脉之气流动之处,即“荥”穴。(针刺二分,禁止艾灸。)主治声音嘶哑、咽喉干燥、心烦、头晕目眩。
少商穴,位于大拇指内侧,距离指甲角如韭菜叶宽度处。此处为肺经经脉之气发出之处,即“井”穴。(针刺一分,令其出血以泄除各脏腑之热,禁止艾灸。)主治下巴肿胀、喉痹、疟疾发冷颤抖。
(A total of twenty-two acupoints on the left and right sides)
Diagram of Acupoints of the Hand-Taiyin Lung Meridian
Zhongfu (LU-1, also known as Ying Shu), located 1.6 cun below Yunmen (KI-22? No, Yunmen is LU-2), in the third intercostal space above the nipple, in the depression where the arterial pulse is palpable. It is 6 cun lateral to Huagai (CV-19, an acupoint of the Ren Mai). The patient should assume a supine position for access. This point is the Front-Mu point of the Lung and the intersection of the Hand-Taiyin Lung Meridian and Foot-Taiyin Spleen Meridian. (Needle 0.3 cun; moxibustion 5 cones.) Indications: acute lung qi stagnation, chest fullness, shortness of breath preventing recumbency.
Yunmen (LU-2), located below Jugu (SI-1), 2 cun lateral to Qihu (ST-15 of the Stomach Meridian), with a distance of 6 cun between them. Located in the depression where the arterial pulse is palpable. Raise the arm to locate the point. (Needle 0.3 cun; moxibustion 5 cones.) Indications: persistent heat in the four limbs, cough with counterflow qi, shortness of breath, throat obstruction (Hou Bi), goiter (Ying Qi), arm pain with inability to lift.
Tianfu (LU-3), located on the medial aspect of the upper arm, 3 cun below the axilla, in the depression of the arterial pulse. To locate, place an ink mark on the tip of the nose and align vertically to the arm. (Needle 0.4 cun; Moxibustion is contraindicated, as it may cause qi dysregulation.) Indications: incoherent speech, forgetfulness, epistaxis, wheezing, malaria with alternating chills and fever, vertigo, goiter.
Xiabai (LU-4), located below Tianfu, 5 cun above the elbow crease, in the arterial pulse. This is the Luo-Connecting point of the Hand-Taiyin Lung Meridian. (Needle 0.3 cun; moxibustion 5 cones.) Indications: heart pain, shortness of breath.
Chize (LU-5), located at the center of the elbow crease, in the depression between the two tendons when the elbow is flexed, where the arterial pulse is palpable. Here, the Lung meridian qi enters deeply, forming the He-Sea point. For excess patterns, apply the reducing method. (Needle 0.3 cun; moxibustion 5 cones.) Indications: vexation, shortness of breath, throat obstruction, dry mouth, hemoptysis, frequent urination, shoulder pain, edema of the four limbs, tendency to sneeze, weeping/crying, slow convulsions in infants.
Kongzui (LU-6), located 7 cun above the wrist crease, in the depression between the radius and ulna. Locate with the body turned to the side. This is the Xi-Cleft point of the Hand-Taiyin Lung Meridian. (Same as Xi point, needle 0.3 cun; moxibustion 5 cones.) Indications: elbow and arm pain, difficulty in flexion and extension, cough with counterflow qi, hematemesis, aphonia, sore throat.
Lieque (LU-7), located 1.5 cun above the wrist crease on the radial side. Cross the hands; the point is located in the gap between the bone and tendon where the tip of the index finger falls. This is the Luo-Connecting point of the Hand-Taiyin Lung Meridian, which connects to the Yangming Meridian. In some individuals, the Cun, Guan, and Chi pulses are not palpable at their standard positions but appear at the Yang pulse position near Lieque, known as "Fan Guan Pulse" (Reverse Guan Pulse). This indicates deficiency of the Jing-Meridian and fullness of the Luo-Vessel. *Qianjin Yi Fang* states that when the Yang pulse reverses and is three times larger than the Cun Kou, this is the case. (Needle 0.2 cun; moxibustion 7 cones.) Indications: chills and fever malaria, hemiplegic headache, epilepsy with jaw lock, cough, lower toothache.
Jingqu (LU-8), located in the depression at Cun Kou, where the arterial pulse is palpable. Here, the Lung meridian qi flows through, forming the Jing-River point. (Needle 0.2 cun; Moxibustion is contraindicated.) Indications: stiffness and tension of the chest and back, throat obstruction, cough with counterflow qi, heart pain, vomiting, febrile disease with absence of sweating.
Taiyuan (LU-9), located in the arterial pulse at the head of the transverse crease on the medial aspect of the wrist. Here, the Lung meridian qi pours into, forming the Shu-Stream point. (For Yin meridians, the Shu-Stream point is identical to the Yuan-Source point, following this pattern.) For deficiency patterns, apply the tonifying method. This is the Hui-Meeting point of the Vessels. At dawn during the Yin hour (3–5 AM), qi and blood begin to flow from here; thus, it is said that Cun Kou is the great assembly of pulses. (Needle 0.2 cun; moxibustion 3 cones.) Indications: chest bi syndrome, counterflow qi, hiccups/vomiting, cough, heart pain, dry throat, leukoma (white opacity of the eye).
Yuji (LU-10), located in the depression at the medial border of the white skin behind the first metacarpophalangeal joint of the thumb. Here, the Lung meridian qi slips through, forming the Ying-Spring point. (Needle 0.2 cun; Moxibustion is contraindicated.) Indications: aphonia, dry throat, vexation, vertigo.
Shaoshang (LU-11), located on the medial side of the thumb, approximately the width of a leek leaf from the corner of the nail. Here, the Lung meridian qi emerges, forming the Jing-Well point. (Needle 0.1 cun; induce bleeding to drain heat from the zang organs; Moxibustion is contraindicated.) Indications: swelling of the mandible, throat obstruction, malaria with shivering chills.