凡点穴时须得身体平直四肢无令拳缩坐点无令俯仰立点无令倾侧孔穴不正则徒烧其肌
肉虚
忍痛楚无益于事(千金)○凡点穴坐点则坐灸立点则立灸卧点则卧灸坐立皆宜端直若一动则不
得真穴(入门)○古者用绳度量绳多出缩取穴不准今以薄竹片点量分寸疗病准的亦有用蜡纸条
量者但薄篾易折蜡纸亦粘手惟取稻秆心量却易尤胜于用纸之伸缩也(资生)○人有老少体有长
短肤有肥瘦皆须精思商量准而折之又以肌肉文理节解缝会宛陷之中及以手按之病者快然如此
子细安详用心者乃得真穴耳(千金)○吴蜀多行灸法有阿是穴之法言人有病即令捏其上若果当
其处不问孔穴下手即得便快即云阿是灸刺皆验入门云天应穴是也(资生)
取病患男左女右中指第二节内度两横纹相去为一寸应取穴及作炷分寸并根据此法(局方)○
左女右中指第二节内庭两横纹相去为一寸是谓同身寸疗病多愈今以为准的铜人曰取中指内
文为一寸内经曰同身寸是也(资生)○窦汉卿同身寸法以中指大指相屈如环取内侧交两角为一
寸○取中指内侧为同身寸者大法也若取头部膺 部背部腹部同身寸外又各有活法不可执一也
(纲目)○手足部并用同身寸取之(神应)
头部寸
前发际至后发际折作十二节为一尺二寸○前发际不明者取眉心上行三寸后发际不明者取
大椎
上行三寸前后发际不明者共折作一尺八寸(神应)○头部横寸以眼内 角至外 角为一寸
并同此法○神庭至曲差曲差至本神本神至头维各一寸
半自神庭至头维共四寸半(神应)
膺 部寸
两乳横折作八寸并用此法取之自天突至膻中直折作六字八分下行一寸
六分为中庭上取天突下至中庭共折作八寸四分(神应)
背部寸
大椎穴下至尾 骨共二十一椎通折作三尺○上七椎每椎一寸
四分一厘共九寸八
分七厘○中七椎每椎一寸
六分一厘十四椎前与脐平共二尺
一寸一分四厘○下七椎每一寸二分六厘○背第二行挟脊各一寸半除脊一寸共折作四寸分两旁
○背第三行挟脊各三寸除脊一寸共折作七寸分两旁(神应)
腹部寸
自中行心蔽骨下至脐共折作八寸人若无心蔽骨者取岐骨下至脐心共折作九寸○脐中至毛
际横骨折作五寸取之○膺部腹部横寸并用乳间八寸法取之(神应)
人身尺寸
人有长七尺五寸者发以下至颐一尺○结喉至 (鸠尾骨也)一尺三寸○ 至天枢八寸
(穴名)至横骨六寸半○横骨至内辅上廉一尺八寸○内辅上廉至下廉三寸半○内辅下廉至内
踝一尺三寸○内踝至地三寸○又膝 至跗属一尺六寸○跗属至地三寸○又肩至肘一尺七寸○
肘至腕一尺二寸半○腕至中指本节四寸○本节至末四寸半(灵枢)
一夫法
凡量一夫之法覆手并舒四指对度四指上下节横过为一夫也(资生)
凡是进行点穴时,必须使身体保持平直,四肢不要蜷缩。坐姿点穴时,身体不可前俯后仰;立姿点穴时,身体不可倾斜歪侧。如果孔穴定位不准确,只是白白地烧灼肌肉,患者忍受痛苦也无济于事(出自《千金方》)。
凡是进行点穴,坐姿取穴就采用坐姿施灸,立姿取穴就采用立姿施灸,卧姿取穴就采用卧姿施灸。无论坐还是立,身体都必须端正笔直,一旦移动就无法准确找到真穴(出自《入门》)。
古代使用绳子来度量,但绳子容易收缩,导致取穴不准。现在用薄竹片来点量分寸,治疗疾病比较准确。也有用蜡纸条来量的,但是薄竹片容易折断,蜡纸也容易粘手,只有取稻秆心来测量却很容易,尤其胜过使用纸张的伸缩变化(出自《资生经》)。
人有老少之分,体型有长短之别,皮肤有肥瘦之异,都必须精心思考商量,准确折算。还要观察肌肉纹理、关节缝隙、凹陷之处,并且用手按压,当病人感到舒适爽快时,如此仔细安详、用心操作的人,才能找到真穴(出自《千金方》)。
吴地和蜀地多施行灸法,有一种“阿是穴”的方法,意思是说人如果有病,就让医生捏按患处,如果正好对应病处,不问是否是标准孔穴,下手即得,病人感觉便快舒服,就说“阿是”,灸刺都有效验。《入门》中称其为“天应穴”(出自《资生经》)。
取病患男左女右中指第二节内侧,两横纹之间的距离为一寸。所有需要取穴及制作艾炷的分寸,都依据这种方法(出自《局方》)。
男子取左手、女子取右手,中指第二节内侧两横纹相距为一寸,这被称为“同身寸”,治疗疾病大多痊愈,现在将其作为标准。铜人针灸图说:取中指内侧纹路为一寸,《内经》所说的“同身寸”就是这种(出自《资生经》)。
窦汉卿的同身寸法,是将中指与大指弯曲如环状,取内侧相交的两个角之间距离为一寸。
取中指内侧作为同身寸是大法,但如果取头部、胸部、背部、腹部的同身寸,另外还有灵活的方法,不可拘泥于一种(出自《纲目》)。手足部位并用同身寸来取穴(出自《神应经》)。
【头部寸法】
从前发际到后发际,折作十二节,为一尺二寸。如果前发际不明显,从眉心向上量三寸;如果后发际不明显,从大椎穴向上量三寸。如果前后发际都不明显,总共折作一尺八寸(出自《神应经》)。头部横向寸法,以眼内眦角至外眦角为一寸,并同此法。神庭穴至曲差穴、曲差穴至本神穴、本神穴至头维穴,各一寸半,自神庭至头维共四寸半(出自《神应经》)。
【胸膺部寸法】
两乳之间横向折作八寸,都用此法取穴。从天突穴至膻中穴,直线折作六字八分,下行一寸六分为中庭穴。上取天突,下至中庭,总共折作八寸四分(出自《神应经》)。
【背部寸法】
从大椎穴下至尾骨,共有二十一椎,总共折作三尺。上部七椎,每椎一寸四分一厘,共九寸八分七厘。中部七椎,每椎一寸六分一厘,十四椎前与脐平,共二尺一寸一分四厘。下部七椎,每一寸二分六厘。背部第二行挟脊各一寸半,除去脊柱一寸,共折作四寸,分两旁。背部第三行挟脊各三寸,除去脊柱一寸,共折作七寸,分两旁(出自《神应经》)。
【腹部寸法】
自正中线的鸠尾骨下至脐,总共折作八寸。人如果没有鸠尾骨者,取歧骨下至脐心,总共折作九寸。脐中至毛际(耻骨联合上缘),横向骨折作五寸取之。胸膺部和腹部的横向寸法,都用乳间八寸法取之(出自《神应经》)。
【人身尺寸】
人有身高七尺五寸的,头发以下至下巴一尺。结喉至鸠尾骨一尺三寸。鸠尾骨至天枢穴(穴名)八寸。天枢穴至横骨六寸半。横骨至内辅骨上廉一尺八寸。内辅骨上廉至下廉三寸半。内辅骨下廉至内踝一尺三寸。内踝至地三寸。又膝腘至跗属(足背)一尺六寸。跗属至地三寸。又肩至肘一尺七寸。肘至腕一尺二寸半。腕至中指本节四寸。本节至指尖四寸半(出自《灵枢》)。
【一夫法】
凡是测量一夫的方法,将手背向上并舒展四指,对度四指上下节的横过宽度,称为一夫(出自《资生经》)。
When performing acupoint stimulation, the body must be kept straight, and the limbs should not be curled. When stimulating points in a sitting position, the body must not lean forward or backward; when standing, it must not tilt to either side. If the acupoints are not located accurately, burning the muscle tissue is futile, and enduring pain brings no benefit (from *Qianjin Fang*).
For point location, if the patient is sitting, moxibustion should be applied while sitting; if standing, while standing; if lying down, while lying down. Whether sitting or standing, the body must be upright and straight. Any movement will prevent finding the true acupoint (from *Rumen*).
In ancient times, ropes were used for measurement, but ropes tend to shrink, leading to inaccurate point location. Now, thin bamboo strips are used to measure proportions, which is more accurate for treating diseases. Some use waxed paper strips, but thin bamboo breaks easily, and waxed paper sticks to the hands. Using rice straw cores is easier and superior to paper due to its lack of expansion or contraction (from *Zisheng Jing*).
People vary in age, height, and body fatness. One must carefully consider and calculate the measurements. Observe muscle textures, joint gaps, and depressions, and press with the hand until the patient feels relief. Only by doing so meticulously and calmly can one find the true acupoint (from *Qianjin Fang*).
In the Wu and Shu regions, moxibustion is commonly practiced using the "Ashi Point" method. This involves pressing on the affected area; if it corresponds to the disease site, regardless of whether it is a standard acupoint, immediate relief indicates success, termed "Ashi." Moxibustion and acupuncture at these points are effective. *Rumen* refers to this as the "Tianyue Point" (from *Zisheng Jing*).
For male patients, use the left middle finger; for females, the right middle finger. Measure the distance between the two transverse creases on the second phalanx as one cun. All acupoint locations and moxa cone sizes are based on this method (from *Jufang*).
For males, use the left hand; for females, the right hand. The distance between the two transverse creases on the second phalanx of the middle finger is one cun, known as the "Same-Body Cun." This method is widely used for curing diseases and serves as the standard. The Bronze Man Acupuncture Chart states: take the inner length of the middle finger as one cun. This is what the *Neijing* refers to as "Same-Body Cun" (from *Zisheng Jing*).
Dou Hanqing's Same-Body Cun method involves bending the middle finger and thumb into a ring shape, measuring the distance between the two inner angles where they intersect as one cun.
Using the inner side of the middle finger as the Same-Body Cun is the general rule. However, for the head, chest, back, and abdomen, there are flexible methods, and one should not adhere rigidly to a single standard (from *Gangmu*). For the extremities, the Same-Body Cun is used (from *Shenyng Jing*).
**Head Proportions:**
From the anterior hairline to the posterior hairline is divided into 12 segments, totaling 1 chi 2 cun. If the anterior hairline is unclear, measure 3 cun upward from the glabella. If the posterior hairline is unclear, measure 3 cun upward from Dazhui (GV14). If both are unclear, the total is 1 chi 8 cun (from *Shenyng Jing*). Horizontal head measurements: from the inner canthus to the outer canthus is one cun. From Shenting (GV24) to Qucha (GB7), Qucha to Benshen (GB13), and Benshen to Touwei (ST8) are each 1.5 cun. From Shenting to Touwei totals 4.5 cun (from *Shenyng Jing*).
**Chest/Thoracic Proportions:**
The horizontal distance between the nipples is 8 cun. From Tiantu (CV22) to Shanzhong (CV17) vertically is 6 cun 8 fen. Descending 1 cun 6 fen reaches Zhongting (CV16). From Tiantu to Zhongting totals 8 cun 4 fen (from *Shenyng Jing*).
**Back Proportions:**
From Dazhui (GV14) to the coccyx comprises 21 vertebrae, totaling 3 chi. The upper seven vertebrae: each is 1 cun 4 fen 1 li, totaling 9 cun 8 fen 7 li. The middle seven vertebrae: each is 1 cun 6 fen 1 li. The 14th vertebra aligns with the umbilicus, totaling 2 chi 1 cun 1 fen 4 li. The lower seven vertebrae: each is 1 cun 2 fen 6 li. The second row flanking the spine is 1.5 cun on each side; excluding the spine (1 cun), the lateral space is 4 cun total. The third row flanking the spine is 3 cun on each side; excluding the spine (1 cun), the lateral space is 7 cun total (from *Shenyng Jing*).
**Abdominal Proportions:**
From the xiphoid process to the umbilicus along the midline is 8 cun. If the xiphoid process is absent, measure from the costal angle to the umbilicus, totaling 9 cun. From the umbilicus to the pubic hairline horizontally is 5 cun. Horizontal measurements for the chest and abdomen use the nipple-to-nipple 8 cun method (from *Shenyng Jing*).
**General Body Measurements:**
For a person of 7 chi 5 cun height: from below the hairline to the chin is 1 chi. From the laryngeal prominence to the xiphoid process (Jiuwei bone) is 1 chi 3 cun. Xiphoid process to Tianshu (ST25) is 8 cun. Tianshu to Henggu (KI11) is 6.5 cun. Henggu to the upper border of the medial epicondyle is 1 chi 8 cun. Upper to lower border of the medial epicondyle is 3.5 cun. Lower border of the medial epicondyle to the medial malleolus is 1 chi 3 cun. Medial malleolus to the ground is 3 cun. From the popliteal fossa to the dorsum of the foot is 1 chi 6 cun. Dorsum of the foot to the ground is 3 cun. Shoulder to elbow is 1 chi 7 cun. Elbow to wrist is 1 chi 2.5 cun. Wrist to the proximal interphalangeal joint of the middle finger is 4 cun. Distal interphalangeal joint to fingertip is 4.5 cun (from *Ling Shu*).
**One-Fu Method:**
To measure one Fu, place the hand palm-down with four fingers extended together. The width across the transverse joints of the four fingers constitutes one Fu (from *Zisheng Jing*).