督脉者起于下极之 并于脊里上至风府入脑上巅循额至鼻柱属阳脉之海中行凡二十七穴
(铜人)○督之为言都也阳脉都会男子之主也(入门)
(鼻下)素 一穴一名面正在鼻柱上端一云准头针入三分禁不可灸(铜人)
水沟一穴一名人中在鼻柱下人中中直唇取之针入三分留五呼可灸三壮风水面肿针此穴即
愈(铜人)
锐端一穴在唇上端一云在上唇中央尖尖上针入三分留六呼可灸三壮(铜人)
龈交一穴在唇内齿上龈缝筋中(铜人)○在唇内齿上缝中央(入门)○针入三分可灸三壮(
入门)
(额上)神庭一穴在额前直鼻上入发际五分可灸七壮禁不可针(入门)
上星一穴在神庭后入发际一寸(铜人)○在额颅上鼻直中入发际一寸陷中容豆是穴也○针
入二分留十呼可灸三壮不宜多灸(铜人)
囟会一穴在上星后一寸陷者中可灸二七壮至七七壮初灸不痛病去即痛止灸禁不可针(铜
人)
前顶一穴在囟会后一寸五分骨陷中针入一分可灸二壮至七七壮(铜人)
百会一穴一名三阳五会一名天满在前顶后一寸五分顶中央旋毛中可容豆针入二分得气即
泻可灸七壮○凡灸头顶不得过七七壮缘头顶皮肤浅薄灸不宜多(铜人)
(顶后)后顶一穴一名交冲在百会后一寸五分枕骨上针入三分可灸五壮(铜人)
强间一穴一名大羽在后顶后一寸五分针入三分可灸五壮(铜人)
脑户一穴一名匝风一名合颅在枕骨上强间后一寸五分禁不可针令人哑可灸七壮亦不可妄
灸(铜人)
风府一穴一名舌本在项入发际一寸脑户后一寸五分项大筋内宛宛中(铜人)○在项后发际
上一寸疾言其肉立起言休立下针入二分禁不可灸(铜人)
哑门一穴一名舌肿一名舌厌在风府后五分入发际五分宛宛中入系舌本仰头取之(铜人)○
在项中央入发际五分宛宛中去风府一寸(资生)○针入二分禁不可灸令人哑(铜人)
(背脊)大椎一穴在项后第一椎上陷中针入五分留三呼泻五吸若灸随年为壮(铜人)○凡灸
椎骨
当灸骨节突处方验灸节下当骨则无验以鱼肉骨参之其言为可信尽根据其言当骨节灸之(资生)○
椎皆作节下皆作外(入门)
陶道一穴在项后大椎节下间俯而取之针入五分可灸五壮(铜人)
身柱一穴在第三椎节下间俯而取之针入五分可灸五壮(铜人)
神道一穴在第五椎节下间俯而取之可灸七七壮至百壮禁不可针(铜人)
灵台一穴在第六椎节下间俯而取之可灸五壮禁不可针(铜人)
至阳一穴在第七椎节下间俯而取之针入五分可灸三壮(铜人)
筋缩一穴在第九椎节下间俯而取之针入五分可灸三壮(铜人)
脊中一穴一名神宗一名脊 在第十一椎节下间俯而取之针入五分禁不可灸(铜人)
悬枢一穴在第十三椎节下间伏而取之针入三分可灸三壮(铜人)
命门一穴一名属累在第十四椎节下间伏而取之针入五分可灸三壮(铜人)○背部中行自项
中央
直脊至命门穴与脐相对若取一杖正身立地以杖从地起量至脐切断却移向后量脊杖头尽处是命
门穴也(纲目)
阳关一穴在第十六椎节下间伏而取之针入五分可灸三壮(铜人)
腰 一穴一名背解一名髓孔一名腰柱一名腰户一名髓空在第二十一椎节下间宛宛中(铜
人)○
以挺伏地舒身两手相重支额纵四体开然后巧取乃得真穴(纲目)○针入八分留三呼泻五吸可灸
七壮至七七壮止(铜人)
长强一穴一名气之阴 督脉别络在脊 端下陷中伏地取之乃得其穴针入二分留七呼可灸
三十壮至二百壮(铜人)
督脉起始于下极（会阴部），并夹行于脊柱内部，上行至风府穴，进入脑部，上达头顶，沿前额下行至鼻梁柱，归属于阳脉之海。督脉共有二十七个穴位。
《铜人腧穴针灸图经》记载：督，意为“都”，即阳脉的都会，是男子的主宰。《医家入门》记载。
素髎穴：位于鼻柱正中央。一说在准头（鼻尖）。针刺深度三分，禁止施灸。《铜人腧穴针灸图经》记载。
水沟穴（又名人中）：位于鼻柱下方，人中沟的正中，直对嘴唇处。针刺深度三分，留针五呼的时间，可施灸三壮。治疗风水引起的面部浮肿，针刺此穴即可痊愈。《铜人腧穴针灸图经》记载。
兑端穴：位于上唇的上端。一说在上唇中央的尖端。针刺深度三分，留针六呼的时间，可施灸三壮。《铜人腧穴针灸图经》记载。
龈交穴：位于唇内，牙齿上方的牙龈缝隙筋络中。《铜人腧穴针灸图经》记载。《医家入门》补充：位于唇内牙齿上方缝隙的中央。针刺深度三分，可施灸三壮。
神庭穴：位于额前，直对鼻根，入发际五分处。可施灸七壮，禁止针刺。《医家入门》记载。
上星穴：位于神庭穴后方，入发际一寸处。《铜人腧穴针灸图经》记载。《铜人腧穴针灸图经》补充：位于额颅上，鼻直中线，入发际一寸的凹陷中，凹陷能容纳豆粒大小即为该穴。针刺深度二分，留针十呼的时间，可施灸三壮，不宜多灸。
囟会穴：位于上星穴后方一寸，凹陷处。可施灸十四壮至四十九壮。初灸时不痛，病去后若感到疼痛则停止施灸。禁止针刺。《铜人腧穴针灸图经》记载。
前顶穴：位于囟会穴后方一寸五分，骨凹陷处。针刺深度一分，可施灸二壮至四十九壮。《铜人腧穴针灸图经》记载。
百会穴（又名三阳五会、天满）：位于前顶穴后方一寸五分，头顶中央旋毛处，凹陷能容纳豆粒大小。针刺深度二分，得气后立即泻法，可施灸七壮。《铜人腧穴针灸图经》记载。《铜人腧穴针灸图经》补充：凡灸头顶部位，壮数不得超过四十九壮，因为头顶皮肤浅薄，施灸不宜过多。
后顶穴（又名交冲）：位于百会穴后方一寸五分，枕骨上。针刺深度三分，可施灸五壮。《铜人腧穴针灸图经》记载。
强间穴（又名大羽）：位于后顶穴后方一寸五分。针刺深度三分，可施灸五壮。《铜人腧穴针灸图经》记载。
脑户穴（又名匝风、合颅）：位于枕骨上，强间穴后方一寸五分。禁止针刺，否则会导致失语；可施灸七壮，也不宜妄加施灸。《铜人腧穴针灸图经》记载。
风府穴（又名舌本）：位于项部，入发际一寸，脑户穴后方一寸五分，项部大筋内侧的凹陷中。《铜人腧穴针灸图经》记载。《铜人腧穴针灸图经》补充：位于项后发际上一寸，大声说话时肌肉立即隆起，安静时肌肉平复。针刺深度二分，禁止施灸。
哑门穴（又名舌肿、舌厌）：位于风府穴后方五分，入发际五分，凹陷中，深入联系舌根的筋脉处，仰头取穴。《铜人腧穴针灸图经》记载。《针灸资生经》补充：位于项部中央，入发际五分，凹陷中，距离风府穴一寸。《铜人腧穴针灸图经》补充：针刺深度二分，禁止施灸，否则会导致失语。
大椎穴：位于项后第一椎骨上的凹陷中。针刺深度五分，留针三呼，泻法五吸。若施灸，按患者年龄决定壮数。《铜人腧穴针灸图经》记载。《针灸资生经》补充：凡灸椎骨，应当灸在骨节突起的地方才有效，若灸在节下骨头处则无效，以鱼肉与骨头的关系来比喻，这种说法可信。完全依据这种说法，应当在骨节处施灸。《医家入门》补充：椎皆作节下，皆作外。
陶道穴：位于项后大椎节下的间隙，俯身取穴。针刺深度五分，可施灸五壮。《铜人腧穴针灸图经》记载。
身柱穴：位于第三椎节下的间隙，俯身取穴。针刺深度五分，可施灸五壮。《铜人腧穴针灸图经》记载。
神道穴：位于第五椎节下的间隙，俯身取穴。可施灸四十九壮至一百壮，禁止针刺。《铜人腧穴针灸图经》记载。
灵台穴：位于第六椎节下的间隙，俯身取穴。可施灸五壮，禁止针刺。《铜人腧穴针灸图经》记载。
至阳穴：位于第七椎节下的间隙，俯身取穴。针刺深度五分，可施灸三壮。《铜人腧穴针灸图经》记载。
筋缩穴：位于第九椎节下的间隙，俯身取穴。针刺深度五分，可施灸三壮。《铜人腧穴针灸图经》记载。
脊中穴（又名神宗、脊 注：原文此处可能有缺字或异体字，通常指脊中）：位于第十一椎节下的间隙，俯身取穴。针刺深度五分，禁止施灸。《铜人腧穴针灸图经》记载。
悬枢穴：位于第十三椎节下的间隙，伏身取穴。针刺深度三分，可施灸三壮。《铜人腧穴针灸图经》记载。
命门穴（又名属累）：位于第十四椎节下的间隙，伏身取穴。针刺深度五分，可施灸三壮。《铜人腧穴针灸图经》记载。《本草纲目》补充：背部正中，从项中央直脊向下至命门穴，与肚脐相对。如果取一根棍子，让人直立在地，用棍子从地面量到肚脐，切断后移向后方，量脊柱，棍子尽头处就是命门穴。
阳关穴：位于第十六椎节下的间隙，伏身取穴。针刺深度五分，可施灸三壮。《铜人腧穴针灸图经》记载。
腰俞穴（原文作“腰 ”，结合上下文及穴位名推测为腰俞，又名背解、髓孔、腰柱、腰户、髓空）：位于第二十一椎节下的凹陷中。《铜人腧穴针灸图经》记载。《本草纲目》补充：让身体挺起伏在地上，舒展身体，双手重叠支撑额头，四肢张开，然后巧妙取穴才能得到真穴。《铜人腧穴针灸图经》补充：针刺深度八分，留针三呼，泻法五吸，可施灸七壮至四十九壮为止。
长强穴（又名气之阴，督脉别络）：位于脊骶端下的凹陷中，伏地取穴才能得到该穴。针刺深度二分，留针七呼，可施灸三十壮至二百壮。《铜人腧穴针灸图经》记载。
The Du Mai (Governing Vessel) originates from the lower extreme (Huiyin, CV1), runs alongside the interior of the spine, ascends to the Fengfu (DU16) acupoint, enters the brain, reaches the vertex, follows the forehead down to the nasal bridge, and belongs to the Sea of Yang Meridians. The Du Mai has twenty-seven acupoints in total.
*Cu Ren Shu Xue Zhen Jiu Tu Jing* (Illustrated Manual of Acupoints for Moxibustion and Acupuncture): "Du" means "capital" or "metropolis," representing the convergence of all Yang meridians, and is the master of males. *Yi Jia Ru Men* (Introduction to Medical Practice).
Suliao (DU26): Located at the center of the nasal column. Some say it is at the tip of the nose (Zhuntou). Needle insertion depth: 3 cun. Moxibustion is prohibited. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Shuigou (DU26, also known as Renzhong): Located below the nasal column, in the middle of the philtrum, directly opposite the lips. Needle insertion depth: 3 fen. Retain the needle for five breaths (hu). Moxibustion: 3 moxa cones. For facial edema caused by Wind-Water, needling this acupoint leads to immediate recovery. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Duanduan (DU27): Located at the upper end of the upper lip. Some say it is at the central tip of the upper lip. Needle insertion depth: 3 fen. Retain the needle for six breaths. Moxibustion: 3 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Yinjiao (DU28): Located inside the lips, in the tendon of the gum seam above the teeth. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Yi Jia Ru Men*: Located in the center of the gum seam above the teeth inside the lips. Needle insertion depth: 3 fen. Moxibustion: 3 moxa cones.
Shenting (DU24): Located in the anterior forehead, directly above the nose root, entering the hairline by 5 fen. Moxibustion: 7 moxa cones. Needling is prohibited. *Yi Jia Ru Men*.
Shangxing (DU23): Located 1 cun posterior to Shenting, entering the hairline. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Cu Ren Shu Xue Zhen Jiu Tu Jing*: Located on the frontal skull, in the midline of the nose, 1 cun into the hairline, in a depression that can hold a bean. Needle insertion depth: 2 fen. Retain the needle for ten breaths. Moxibustion: 3 moxa cones. Do not apply excessive moxibustion.
Xinhui (DU22): Located 1 cun posterior to Shangxing, in the depression. Moxibustion: 14 to 49 moxa cones. Initially, there is no pain during moxibustion; if pain occurs after the disease is eliminated, stop moxibustion. Needling is prohibited. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Qian Ding (DU21): Located 1.5 cun posterior to Xinhui, in the bony depression. Needle insertion depth: 1 fen. Moxibustion: 2 to 49 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Baihui (DU20, also known as Sanyang Wuhui, Tianman): Located 1.5 cun posterior to Qian Ding, at the center of the vertex where the hair whorl is, in a depression that can hold a bean. Needle insertion depth: 2 fen. Upon obtaining Deqi (arrival of Qi), immediately apply reducing method. Moxibustion: 7 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Cu Ren Shu Xue Zhen Jiu Tu Jing*: When applying moxibustion to the top of the head, the number of cones must not exceed 49, because the skin on the vertex is thin, and excessive moxibustion is unsuitable.
Houding (DU19, also known as Jiaochong): Located 1.5 cun posterior to Baihui, on the occipital bone. Needle insertion depth: 3 fen. Moxibustion: 5 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Jiangjian (DU18, also known as Dayu): Located 1.5 cun posterior to Houding. Needle insertion depth: 3 fen. Moxibustion: 5 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Naohu (DU17, also known as Zafen, Helu): Located on the occipital bone, 1.5 cun posterior to Jiangjian. Needling is prohibited, as it may cause aphasia. Moxibustion: 7 moxa cones. Do not apply reckless moxibustion. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Fengfu (DU16, also known as Sheben): Located in the neck, 1 cun into the hairline, 1.5 cun posterior to Naohu, in the depression within the inner side of the large tendons of the neck. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Cu Ren Shu Xue Zhen Jiu Tu Jing*: Located 1 cun above the nape hairline. When speaking loudly, the muscle rises immediately; when resting, the muscle flattens. Needle insertion depth: 2 fen. Moxibustion is prohibited.
Yamen (DU15, also known as Shezhong, Sheyan): Located 5 fen posterior to Fengfu, 5 fen into the hairline, in the depression, deep connecting to the tendons of the tongue. Take the point with the head extended. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Zhen Jiu Zi Sheng Jing*: Located in the center of the nape, 5 fen into the hairline, in the depression, 1 cun away from Fengfu. *Cu Ren Shu Xue Zhen Jiu Tu Jing*: Needle insertion depth: 2 fen. Moxibustion is prohibited, as it may cause aphasia.
Dazhui (DU14): Located in the depression above the first thoracic vertebra at the back of the neck. Needle insertion depth: 5 fen. Retain the needle for three breaths; reduce by five inhalations. If applying moxibustion, use the patient's age as the number of cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Zhen Jiu Zi Sheng Jing*: When moxibusting vertebral bones, one should moxa the protruding part of the joint for efficacy; moxaing below the joint on the bone itself is ineffective. Comparing flesh/fish to bone, this statement is credible. Follow this rule and moxa the joint area. *Yi Jia Ru Men*: "Vertebral" refers to the joint, "below" refers to the exterior.
Taodao (DU13): Located in the interspace below the Dazhui joint at the back of the neck. Take the point in a prone position. Needle insertion depth: 5 fen. Moxibustion: 5 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Shenzhu (DU12): Located in the interspace below the third thoracic vertebra. Take the point in a prone position. Needle insertion depth: 5 fen. Moxibustion: 5 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Shendao (DU11): Located in the interspace below the fifth thoracic vertebra. Take the point in a prone position. Moxibustion: 49 to 100 moxa cones. Needling is prohibited. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Lingtai (DU10): Located in the interspace below the sixth thoracic vertebra. Take the point in a prone position. Moxibustion: 5 moxa cones. Needling is prohibited. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Zhiyang (DU9): Located in the interspace below the seventh thoracic vertebra. Take the point in a prone position. Needle insertion depth: 5 fen. Moxibustion: 3 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Jinsuo (DU8): Located in the interspace below the ninth thoracic vertebra. Take the point in a prone position. Needle insertion depth: 5 fen. Moxibustion: 3 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Jizhong (DU9, also known as Shenzong): Located in the interspace below the eleventh thoracic vertebra. Take the point in a prone position. Needle insertion depth: 5 fen. Moxibustion is prohibited. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Xuan Shu (DU7): Located in the interspace below the thirteenth thoracic vertebra. Take the point in a prone position. Needle insertion depth: 3 fen. Moxibustion: 3 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Mingmen (DU4, also known as Shulei): Located in the interspace below the fourteenth thoracic vertebra. Take the point in a prone position. Needle insertion depth: 5 fen. Moxibustion: 3 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Ben Cao Gang Mu*: On the midline of the back, from the center of the nape straight down the spine to Mingmen, which corresponds to the umbilicus. If you take a stick, have a person stand upright, measure from the ground to the umbilicus, cut the stick, move it backward, and measure along the spine, the end of the stick marks the Mingmen acupoint.
Yangguan (DU3): Located in the interspace below the sixteenth thoracic vertebra. Take the point in a prone position. Needle insertion depth: 5 fen. Moxibustion: 3 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.
Yaoshu (DU2, also known as Beijie, Suikong, Yaozhu, Yaohu, Suikong): Located in the depression below the twenty-first thoracic vertebra. *Cu Ren Shu Xue Zhen Jiu Tu Jing*. *Ben Cao Gang Mu*: Lie prone on a firm surface, extend the body, overlap hands to support the forehead, and spread limbs wide; then skillfully locate the true acupoint. *Cu Ren Shu Xue Zhen Jiu Tu Jing*: Needle insertion depth: 8 fen. Retain the needle for three breaths; reduce by five inhalations. Moxibustion: 7 to 49 moxa cones.
Changqiang (DU1, also known as Qi Zhi Yin, divergent branch of Du Mai): Located in the depression below the coccygeal end. Take the point in a prone position to find the acupoint accurately. Needle insertion depth: 2 fen. Retain the needle for seven breaths. Moxibustion: 30 to 200 moxa cones. *Cu Ren Shu Xue Zhen Jiu Tu Jing*.