芩连白芷金星草,乳香淡竹当归好,薄荷川芎与葱白,香油煎药粉成膏。
【注】以上药味各等分,用香油煎药去滓,再下铅粉熬成膏,专贴灸疮。
行针避忌雨大风,饥饱醉怒渴劳惊,男内女外犹坚守,更看人神不可逢。行针避忌
虽如此,还推病之缓急行,缓病欲针择吉日,急病行针莫稍停。
【注】按行针避忌,于未刺之先,如风雨晦冥,人之气血,即凝滞而不调。大饥者气
虚,新饱者气盛,大醉者气乱,大怒者气逆,大渴者液少,大劳者气乏,大惊者气散,凡
此者脉乱气散,行针须当避忌,俟其必清必静,聚精会神,方保无误也。既刺之后,尤
当戒慎。男子忌内,女子忌外,忌外者坚拒勿出,忌内者谨守勿内,则邪气必去,正气
必复,是谓得气,理固然矣。犹有达变之法存焉,缓病须择神吉,急病岂可待时哉。
四季人神所在处,禁忌针灸莫妄施,春在左胁秋在右,冬在于腰夏在脐。
【注】四季人神所在之处,谓人之神气初动之处,同乎天之流行也,禁针灸者恐伤生
气也。人神常在心,春在左胁者肝主升也,秋在右胁者肺主降也,冬在腰者神主藏也,夏在脐者脾主化也。
一日足大二外踝,三日股内四在腰,五口六手七内踝,八腕九尻十背腰,十一鼻柱
二发际,三牙四胃五遍身,六胸七气八股内,九足二十内踝寻,二十一手小二外踝,三日肝
足四手明,五足六胸七在膝,八阴九胫晦趺停。
【注】足大,足之大趾也。气,气冲也。手小,手之小指也。手明,手阳明也。足,足
阳明也。阴,男女前阴中也。晦,月尽也。趺,足十趾岐骨也。
Scutellariae Radix (Huangqin), Scutellariae Baicalensis Radix (Huanglian), Angelicae Dahuricae Radix (Baizhi), and Jinxingcao, along with Frankincense (Ruxiang), Danzhuye (or related parts of Bambusa textilis/Dendrocalamus as "Dan Zhu"), and Angelicae Sinensis Radix (Danggui) are all suitable. Menthae Haplocalycis Herba (Bohe), Ligusticum Chuanxiong Rhizoma (Chuanxiong), and Allii Fistulosi Bulbus (Congbai) are used together. The herbs are decocted in Sesame Oil (Xiangyou), the dregs are filtered out, and then Lead Carbonate (Qianfen) is added to boil into a plaster.
[Note] The above medicinal ingredients are taken in equal proportions. Decoct the herbs in Sesame Oil, filter out the dregs, then add Lead Carbonate and continue boiling until it forms a plaster. It is specifically applied to moxibustion sores.
When performing needle manipulation, avoid rainy days and strong winds. Also avoid states of hunger, fullness, drunkenness, anger, thirst, fatigue, or fright. Men should abstain from sexual intercourse, women should avoid going out, and one must also check the location of the "Ren Shen" (Human Spirit) to avoid conflict. Although such precautions for needle manipulation exist, one must also consider the urgency of the disease: for chronic conditions, select an auspicious day for needling; for acute conditions, do not delay needling at all.
[Note] Regarding precautions for needle manipulation, prior to insertion, if there is wind, rain, or darkness, the patient's Qi and Blood may become stagnant and unharmonious. Extreme hunger leads to deficient Qi, recent fullness to abundant Qi, drunkenness to chaotic Qi, anger to rebellious Qi, extreme thirst to depleted fluids, severe fatigue to exhausted Qi, and shock to scattered Qi. In all these cases, the pulse is disordered and Qi is scattered; needle manipulation must be avoided until the patient is clear, calm, and focused to ensure accuracy. After needling, extra caution is required. For men, avoiding internal loss (abstaining from sex); for women, avoiding external exposure (avoiding labor/exposure). "Avoiding external" means firmly resisting outward leakage (of essence/energy); "avoiding internal" means carefully guarding against inward invasion (of pathogens). Thus, pathogenic Qi departs, and healthy Qi recovers; this is called "Deqi" (arrival of Qi), which is the natural principle. However, there are flexible methods: chronic conditions require selecting auspicious times, but how can acute conditions wait?
The locations of "Ren Shen" (Human Spirit) in the four seasons are contraindicated for random acupuncture and moxibustion: in Spring, it is in the left hypochondrium; in Autumn, in the right hypochondrium; in Winter, in the waist; in Summer, in the umbilicus.
[Note] The locations of "Ren Shen" in the four seasons refer to where the body's vital spirit initially moves, similar to celestial circulation. Acupuncture and moxibustion are prohibited there to prevent damaging the vital energy. "Ren Shen" is often in the Heart region. In Spring, it is in the left hypochondrium because the Liver governs ascending; in Autumn, in the right hypochondrium because the Lung governs descending; in Winter, in the waist because the Kidney governs storing; in Summer, in the umbilicus because the Spleen governs transformation.
On the 1st day, it is at the big toe of the foot, lateral side, and outer ankle; on the 3rd day, in the medial thigh; on the 4th day, in the waist; on the 5th day, in the mouth; on the 6th day, in the hand; on the 7th day, in the inner ankle; on the 8th day, in the wrist; on the 9th day, in the sacrum/coccyx; on the 10th day, in the back and waist; on the 11th day, in the nasal bridge; on the 12th day, in the hairline; on the 3rd day (cycle repeats/variant), in the teeth; on the 4th day, in the Stomach; on the 5th day, throughout the body; on the 6th day, in the chest; on the 7th day, in Qichong (ST30); on the 8th day, in the medial thigh; on the 9th day, in the foot; on the 10th day, seek the inner ankle; on the 21st day, in the little finger of the hand, lateral side, and outer ankle; on the 2nd day (variant), in the Liver; on the 3rd day, in the foot; on the 4th day, in the Hand Yangming (Large Intestine) meridian; on the 5th day, in the foot; on the 6th day, in the chest; on the 7th day, in the knee; on the 8th day, in the external genitalia; on the 9th day, in the calf; on the 10th day (Hui/Month's end), stop at the dorsal foot bones.
[Note] "Zu Da" refers to the big toe of the foot. "Qi" refers to Qichong (ST30). "Shou Xiao" refers to the little finger of the hand. "Shou Ming" refers to the Hand Yangming Large Intestine Meridian. "Zu" refers to the Foot Yangming Stomach Meridian. "Yin" refers to the external genitalia of both males and females. "Hui" refers to the last day of the lunar month. "Fu" refers to the intermetatarsal bones (clefts between the toes) of the foot.