Oct 23 2026 Yee Hong (頤康) Presentation: 在家按穴位：認識五個常用保健穴位與安全須知 | Acupoints at Home: Five Common Points and How to Practise Safely
Bilingual blog. Scroll down for the English version.
中文
10月23日，勞惠光醫師應頤康中心邀請，主講網上健康講座《穴位保健：日常自助健康工具箱》。講座由認識穴位開始，講到五個常用保健穴位、居家按壓的做法，以及必須留意的禁忌。以下整理講座的重點，文末可下載完整投影片。
一、穴位保健是甚麼？
穴位（腧穴）是中醫經絡線上的特殊點，是身體表面與內部臟腑溝通的「門戶」或「開關」。穴位保健，是運用經絡理論，透過以下方式刺激特定穴位，達到疏通經絡、調和陰陽、強身健體和預防疾病的養生方法：
針灸：由合格中醫師以針具刺入穴位
推拿／按摩：以手法按壓、揉動穴位
艾灸：以艾條溫熱刺激穴位
拔罐／刮痧：透過負壓或刮動疏通經絡
二、悠久歷史，現代研究
穴位理論最早見於戰國至秦漢時期的《黃帝內經》；晉代皇甫謐的《針灸甲乙經》是首部針灸專著。現代的十四正經共有361個經穴，已經標準化，世界衞生組織（WHO）亦推動穴名的國際標準化。
現代研究發現，穴位常位於神經末梢或血管豐富之處；超聲波可觀察針刺後的生理變化；fMRI 顯示刺激特定穴位能激活大腦相應區域。不過，經絡與穴位目前無法被現代解剖學完全對應，效果部分來自傳統經驗與身心放鬆，證據等級亦不一。
三、361個經穴如何分類？
十四正經共361個經穴，連同「經外奇穴」，總數更多。361穴按功能再歸納為十大類「特定穴」，如同分工的團隊。講座介紹了其中三類：
五輸穴：位於肘膝以下，是經氣從小到大的「五個站」，主治各有側重
背俞穴：位於背部，是臟腑之氣輸注的「後門」
募穴：位於胸腹，是臟腑之氣匯聚的「前門」
四、常用五大保健穴位
穴位 | 位置 | 主要作用 |
足三里 | 膝蓋外側下方3寸 | 健脾強胃，改善食慾不振、腹脹、消化不良 |
湧泉 | 足底前部凹陷處 | 補腎安神，改善頭暈、高血壓、失眠 |
關元 | 肚臍下3寸 | 溫陽固本，改善尿頻、怕冷、虛損 |
膻中 | 兩乳頭連線中點 | 理氣開胸，緩解胸悶、心悸 |
三陰交 | 小腿內側，足內踝尖上3寸 | 調氣血，調理月經、脾胃 |
按壓時應有痠、麻、脹、重的「得氣感」才有效，並非越痛越好。
五、長者與居家實踐的要點
穴位保健特別適合長者作慢性病的日常調理：
指腹按揉：每穴約1至2分鐘，力度輕柔
艾灸溫熱：老人皮膚較薄，須小心防燙傷；用艾條要留意火種，最好有家人協助
耳穴貼壓：簡便安全，是不錯的選擇
在家操作時，每天做1至2次，每穴1至3分鐘即可，不必過度用力；可配合按摩油或潤膚膏，減少皮膚摩擦。皮膚有傷口、發炎、濕疹急性期、發燒、過飢或過飽時，不宜按壓。
穴位保健不能替代藥物。高血壓、糖尿病、心血管病等長期病患，監測與用藥仍須嚴格遵從醫囑；穴位保健只是輔助調理，不應延誤正規治療。
六、針對常見健康問題（僅供參考）
健康問題 | 講座提及的穴位或方法 |
高血壓、心血管病 | 按壓湧泉、內關；或耳穴壓豆 |
失眠、神經衰弱 | 睡前揉湧泉，補腎安神 |
糖尿病 | 耳穴壓豆輔助調節 |
失智、記憶力減退 | 按壓養老穴 |
眼疾（乾澀、飛蚊） | 養老穴為主治眼疾要穴 |
頻尿、腎虛 | 艾灸或擦熱關元穴 |
脾胃虛弱 | 首選足三里 |
以上僅供參考，不能替代治療。
七、穴位保健的禁忌
孕婦：避免合谷、三陰交、肩井、腰腹部等穴位
皮膚問題：傷口、濕疹、感染、燒燙傷處不可按壓或刮痧
出血傾向或服用抗凝藥：不宜刮痧、拔罐、針刺
急性或嚴重疾病：高燒、急性感染、心臟病發作期、中風急性期，應先就醫
過飢、過飽、酒後、極度疲勞：身體狀態不穩定，不宜強烈刺激
頸部危險區：勿用力按壓頸動脈竇、眼球、喉結
按摩不是越痛越有效，過度用力可能造成組織損傷
八、食穴雙調，動靜配合
飲食與穴位可以互相配合：養腎，食黑豆，配按湧泉穴；養脾胃，食大棗、淮山，配按足三里。
穴位保健屬被動刺激，八段錦、太極拳則是主動運動，通過動作拉伸間接疏通經絡，兩者是絕佳搭檔：
八段錦：每日10至15分鐘，動作緩慢配合呼吸，伸展全身經絡
太極拳：每週3至5次，每次20至30分鐘，動作柔和，訓練平衡，兼助安神
九、總結與溫馨提示
溫和、適度、了解禁忌、不迷信、不延誤就醫。
因人而異：他人有效的方案未必完全適合自己。
首次嘗試或處理複雜慢性病，建議先諮詢合格中醫師，制定個人化方案。
以上為一般健康知識，不能取代專業診斷與治療；如有持續不適，請務必就醫。
下載講座投影片
預約及查詢
勞惠光醫師（R.TCMP, R.Ac.）
康寧堂 Techwork：Shoppes of the Parkway, Hwy 7 E, Richmond Hill；應診日為週一、三、四、五、日。
勞惠光醫師亦於回春園（Bayview Hill Centre, Spadina Rd）應診，應診日為週二、六。
電話預約：416-818-7106（暫不設網上預約）。網站：techworkcorp.com
English:
Acupoints at Home: Five Common Points and How to Practise Safely
On October 23, 2026, Dr. Arthur Lo (勞惠光醫師) gave an online health talk for Yee Hong Centre (頤康中心), Acupoints: An Everyday Self-Care Toolbox. It covered what acupoints are, five commonly used points, how to practise at home, and the precautions that matter.
This post summarizes the main points; the full slides are available to download at the end.
1. What is acupoint care?
An acupoint is a special point along a meridian in Chinese medicine, described as a "gateway" or "switch" connecting the body's surface with the organs inside. Acupoint care uses meridian theory to stimulate specific points, aiming to clear the meridians, balance yin and yang, build health and help prevent illness.
The methods include:
Acupuncture: needles inserted by a qualified practitioner
Tuina and massage: pressing and kneading the points by hand
Moxibustion: warming the points with a moxa stick
Cupping and gua sha: using suction or scraping to clear the meridians
2. A long history, and what modern research says
Acupoint theory is first recorded in the Huangdi Neijing (Warring States to Qin-Han period). The ABC of Acupuncture and Moxibustion by Huangfu Mi (Jin dynasty) was the first dedicated acupuncture text. Today the fourteen main meridians hold 361 standardized points, and the World Health Organization has promoted international standard names for them.
Modern studies note that acupoints often sit near nerve endings or areas rich in blood vessels, that ultrasound can show physiological changes after needling, and that fMRI shows stimulating certain points activates corresponding brain regions. However, meridians and acupoints cannot yet be fully matched to anatomy, and part of the effect comes from traditional experience and relaxation. The strength of the evidence varies.
3. How are the 361 points grouped?
Including the "extra points" outside the fourteen meridians, there are more than 361 in total. The 361 are grouped by function into ten categories of "specific points," like a team with divided roles.
The talk introduced three:
Five Shu points: below the elbows and knees, the "five stations" where meridian qi grows from small to large, each with its own emphasis
Back-Shu points: on the back, the "back doors" through which organ qi flows
Front-Mu points: on the chest and abdomen, the "front doors" where organ qi gathers
4. Five commonly used health points
Point | Location | Main use |
Zusanli (足三里) | 3 cun below the knee, outer side | Strengthens spleen and stomach; poor appetite, bloating, indigestion |
Yongquan (湧泉) | In the hollow of the front sole | Tonifies kidney, calms the mind; dizziness, high blood pressure, insomnia |
Guanyuan (關元) | 3 cun below the navel | Warms yang, consolidates the root; frequent urination, feeling cold, depletion |
Danzhong (膻中) | Midpoint between the nipples | Regulates qi, opens the chest; chest tightness, palpitations |
Sanyinjiao (三陰交) | Inner lower leg, 3 cun above the tip of the inner ankle bone | Harmonizes qi and blood; menstruation, spleen and stomach |
Pressing should produce a sensation of soreness, numbness, distension or heaviness ("de qi"). It works this way; more pain is not better.
5. Older adults and practising at home
Acupoint care suits the everyday management of chronic conditions in older adults:
Finger-pad pressing: about 1 to 2 minutes per point, with gentle force
Moxibustion warmth: older skin is thinner, so guard against burns; take care with the moxa stick's embers, ideally with a family member helping
Ear-point seed pressure: simple and safe, a good option
At home, once or twice a day is enough, with 1 to 3 minutes per point and no need for hard pressure. A massage oil or lotion can reduce friction. Avoid pressing when the skin has a wound, inflammation or an acute eczema flare, or when you have a fever or are very hungry or very full.
Acupoint care is not a substitute for medication. People with long-term conditions such as high blood pressure, diabetes or heart disease must keep following their doctor's advice on monitoring and medication. It is a supportive measure, not a treatment, and should not delay proper care.
6. Points mentioned for common concerns (for reference only)
Concern | Point or method mentioned in the talk |
High blood pressure, heart disease | Press Yongquan and Neiguan; or ear-point seed pressure |
Insomnia, nervous exhaustion | Knead Yongquan before bed to tonify the kidney and calm the mind |
Diabetes | Ear-point seed pressure as a supportive measure |
Dementia, declining memory | Press Yanglao |
Eye problems (dryness, floaters) | Yanglao is a key point for eye conditions |
Frequent urination, kidney deficiency | Moxibustion or rubbing warm the Guanyuan area |
Weak spleen and stomach | Zusanli is the first choice |
This is for reference only and does not replace treatment.
7. Precautions
Pregnancy: avoid points such as Hegu, Sanyinjiao, Jianjing and the lower back and abdomen
Skin problems: do not press or scrape over wounds, eczema, infection or burns
Bleeding tendency or anticoagulant use: avoid gua sha, cupping and needling
Acute or serious illness: seek medical care first for high fever, acute infection, a heart attack or an acute stroke
Very hungry, very full, after alcohol or extremely tired: the body is unsettled, so avoid strong stimulation
Danger zones on the neck: do not press hard on the carotid sinus, eyeballs or throat
More pain does not mean more benefit; too much force can injure tissue
8. Pairing food and points, and movement
Food and acupoints can work together. To nourish the kidney, eat black beans and press Yongquan. To nourish the spleen and stomach, eat jujubes (red dates) and Chinese yam (huai shan) and press Zusanli.
Acupoint care is passive stimulation. Baduanjin and Tai Chi are active movement that clears the meridians indirectly through stretching, so the two pair well:
Baduanjin: 10 to 15 minutes daily, slow movements with the breath, stretching the meridians of the whole body
Tai Chi: 3 to 5 times a week, 20 to 30 minutes each, gentle movements that train balance and help calm the mind
9. Summary
Be gentle and moderate, know the precautions, avoid superstition, and never delay medical care.
People differ: what works for someone else may not suit you.
If you are trying this for the first time or managing a complex chronic condition, consult a qualified practitioner first for a personalized plan.
This is general health information and does not replace professional diagnosis or treatment. If discomfort persists, please see a doctor.
Download the slides
Appointments and inquiries
Dr. Arthur Lo (勞惠光醫師), R.TCMP, R.Ac.
Techwork (康寧堂): Shoppes of the Parkway, Hwy 7 E, Richmond Hill. Open Monday, Wednesday, Thursday, Friday and Sunday.
Dr. Lo also practises at Wui Chun Yuen (回春園), Bayview Hill Centre, Spadina Rd, on Tuesday and Saturday.
Book by phone: 416-818-7106 (online booking not available at this time). Website: techworkcorp.com
