Library

Sun Simiao stated: The medical classics record: "Needling Yunmen (Cloud Gate, LU-2) must not be deep." Currently, it is strictly taboo to needle this point; students of acupuncture should be thoroughly familiar with this.

One must not needle during extreme cold; one must not apply the reducing method when the moon is waxing; one must not apply the reinforcing method when the moon is full; one should not treat when the moon's light is waning and empty; one must not needle immediately after sexual intercourse; one must not engage in sexual intercourse immediately after needling; one must not needle when extremely angry; one must not become angry immediately after needling. One must not needle when hungry.

For patients who arrived by carriage, let them lie down and rest for the time it takes to finish a meal before needling; for patients who arrived on foot, let them sit and rest for the time equivalent to walking ten *li* before needling.

If needling is performed due to sudden fright or extreme anger, death will occur within five days, manifested by yawning; if the spleen is accidentally punctured, death will occur within fifteen days, manifested by abnormal swallowing movements; if the kidney is accidentally punctured, death will occur within three days, manifested by sneezing; if the gallbladder is accidentally punctured, death will occur within half a day, manifested by vomiting; if the diaphragm is accidentally punctured, the middle qi is injured, and death will certainly occur within a year; if the large artery at the dorsum pedis is accidentally punctured and bleeding does not stop, death ensues; the "large artery at the dorsum pedis" refers to the arterial pulse; if the large vessel in the medial thigh is accidentally punctured and bleeding does not stop, death ensues; if a flowing vessel in the face is accidentally punctured, innocent blindness occurs; if Qucheng (Chengman, ST-1) is needled too deeply into the main vessel, internal leakage and deafness result; if Naohu (DU-16) in the nape is needled and the needle enters the brain, death is immediate; if fluid leaks from the knee patella due to accidental needling, limping results; if the large vessel under the tongue is accidentally punctured and bleeding does not stop, aphonia results; if the vessels of the Hand Taiyin Lung Meridian are accidentally punctured and excessive blood is lost, death is immediate; Jingqu (LU-8) of the Hand Taiyin Meridian must not bleed, and if it bleeds, death is immediate. Commentary: The Taiyin vessels of the arm generally must not bleed; if the network vessels distributed under the sole are accidentally punctured and blood does not come out, swelling occurs; "Buluo" refers to the network vessels of the skin portion of the Foot Shaoyin Kidney Meridian; if the Foot Shaoyin Kidney Meridian is needled in a patient with pre-existing deficiency and bleeding occurs, it results in double deficiency, causing difficulty in speech, because the Foot Shaoyin Meridian connects to the root of the tongue; if the large vessel in the abdomen is accidentally punctured, the person falls and loses color; when needling various points, one should avoid empty spaces and not strike the large collaterals; if the chest is needled too deeply injuring the lung, panting, counterflow breathing, and orthopnea result; this point is also known as Zhongfu (LU-1), the Front-Mu point of the Lung; if the vessel in the groin area is accidentally punctured and blood does not come out, swelling of the inguinal region (rat groin) occurs.

If Qi enters deeply into the elbow due to accidental needling, flexion and extension of the limb become impossible; if the spinal marrow is accidentally punctured between the vertebrae, kyphosis results; if the area three *cun* below the medial thigh is needled too deeply, enuresis results.

Shenting (DU-24) is strictly forbidden for deep needling; Shangguan (ST-3) must not be needled deeply; Quepen (ST-12) must not be needled deeply; Luxi (TE-19) must not bleed excessively.

Zuojiao (EX-HN1) must not retain the needle for long; Yunmen (LU-2) must not be needled deeply; Wuli (LI-13) is strictly forbidden for needling.

Qihui (CV-8) is strictly forbidden for needling.

Futu (ST-32) is strictly forbidden for needling; Sanyangluo (TE-7) is strictly forbidden for needling; Fuliu (KI-7) must not cause excessive bleeding; Chengjin (BL-57) is strictly forbidden for needling; RanGu (KI-2) must not cause excessive bleeding.