十三法
针间使百息。
又，灸人中。
灸魇不觉法∶
灸两足大指聚毛中二十一壮。
治卒忤法∶
灸人中三十壮。
又，灸肩井百壮。
又，灸间使七壮。
又，灸巨阙百壮。
又，灸十指爪甲下各三壮。
治鬼击法∶
夫鬼击之为病，卒着人如刀刺状，胸胁及心腹绞切急痛不可按抑，或即吐血，或即鼻中
出血，或下血，一名鬼排，灸人中一壮，立愈。若不止，更加灸脐上一寸七壮。又灸脐下一
寸三壮。（一云七壮。）
中恶，灸胃管五十壮。
治蛇毒，灸毒上三七壮，无艾，以火头称疮孔大小 之。
治热 ，灸两乳头七壮。
治狂犬咬人，令人吮去恶血尽，灸百壮。以后，日日灸，一百日乃止。瘥，血不出，慎
酒猪肉，一生慎之。
用针法∶
凡用针者，虚则实之，满则泄之，宛陈则除之，邪胜则虚之。大要徐而疾则实，疾而徐
则虚。言实与虚，若有若无。察其后先，若存若立。为虚为实，若得若失。虚实之要，九针
最妙。补泻之时，以针为主。重则为补，轻则为泻。虽有分寸，得气即止，明堂偃侧，针讫
皆无不灸。凡病，皆由血气壅滞，不得宣通，针以开道之，灸以温暖之。灸已，好须将护，
生冷醋滑等，若不谨慎之，反增疾矣。
黄帝曰∶五脏、五行、五时，病何以故？岐伯曰∶假令春月和畅，条芳水渌，心荡意盈
，神乱于内而形病于外，卒有西方飘风，凛然毛耸，因腠理开，不复得散，便居孙脉，孙脉
满，流入络脉，络脉入大经，大经注腑，腑归脏，四时同然，故风病多归于心也。手心主灸，
刺
凡诸孔穴，名不徒设，皆有深意，故穴名近于木者属肝，穴名近于神者属心，穴名近于
金玉者属肺，穴名近于水者属肾，是以神之所藏，亦各有所属，穴名府者，神之所集；穴名
门户者，神之所出入；穴名宅舍者，神之所安；穴名台者，神所游观。穴名所主，皆有所况，
以推
凡孔穴者，是经络所行往来处，引气远入抽病也，故经云∶灸三壮者，即为足数也。
禁忌法∶
凡灸头与四肢，皆不欲少，须熟，宜令灸，计壮满三百，足以愈病。头手足肉薄，若并
灸，则血气绝于下，宜时歇。火气少时，令血气遂通，使火气流行，积数大足，自然邪除疾
瘥也，乃止火耳。本经多云刺入三分，灸三壮，兹乃举其大纲，未尽圣心。且手足皮薄，炷
小数少；腹背肉浓，炷大肉多，斯皆以意商量也，背欲热即为佳也。凡灸生熟，候人盛衰、
老少、肥盛灸之。
凡微数之脉及新汗后，并忌灸。
凡孔穴，皆遂人大小，取手中指第一节为寸，男左女右。一云三寸者，盖一中指也。人
年三十以上，若灸头不灸三里穴，令人气上眼暗，所以三里穴下气也。
一切病皆三里三壮，每日常灸下气，气止，停也。
凡灸法，先发于上，后发于下；先发于阳，后发于阴。凡针刺大法，在午时后，不欲午
时前。
治冷痹胫膝疼，腰脚挛急，足冷气上，不能久立。有时厌厌嗜卧，手脚沉重，日觉羸瘦
，此名复连病，令人极无情地，常愁不乐，健忘嗔喜，有如此候即宜灸之。当灸悬钟，穴在
足外踝上三指当骨上，各灸随年壮，一灸即愈，不得再灸也。取法以草从手指中纹横三指令
至两畔齐，将度外踝从下骨头与度齐，向上当骨点之两脚令三姓人灸之。候天晴日，午后在
门外四达道上灸之，神良。若年月久更发，依法更灸。若意便欲多者，七日外更灸七壮。
巨厥可百壮。
上管可二百壮。
中管可千壮。
下至五百壮。
下管可一百壮。
中守可一百壮。
阴交可三百壮。
中极可五百壮。
大椎可三百壮。
风门可二百壮。
魂门可五壮。
阳纲可五壮。
意舍可百壮。
肓门、胞门可各一百壮。
悬枢可五壮。
命门可七壮。
白环俞可三壮（又云一壮）。
心俞、肝俞、肺俞、脾俞、肾俞、小肠俞、胆俞、大肠俞、胃俞、膀胱俞、三焦俞、膈
俞
上五脏六腑俞皆得满一百壮。
肺募中府、心募巨阙、肝募期门、胆募日月、脾募章门、肾募京门、小肠募关元、三焦
募石门、大肠募天枢、膀胱募中极、胃募中管。
上五脏六腑募，亦得满百壮。
鸠尾三十三壮三报之，巨阙五十壮，上管、胃管、建里、下管、水分、脐中各五十壮三
报之，阴交、气海、石门、关元五十壮，中极五十壮。
上从鸠尾下第一行皆得百壮，以此为大率。自外诸穴，或中病乃止，或取随年壮，以意
商量也。
头维、脑户、风府、丝竹空、下关、耳中、螈脉、人迎、喑门、承泣、经渠、脊中、气
冲、鸠尾、地五会、阴市、阳关、乳中、泉腋、伏兔、承光、天府、白环俞、石门。（女人
忌灸。）
上二十四处，禁不可灸，大忌。
上关、左角、乳中、鸠尾、五里、承筋、复溜、颅息、缺盆、脐中、神庭、云门、伏兔
、三阳络、然谷。
上十五穴，禁不可刺，大凶。
玉枕、维角、睛明、舌根、结喉、胡脉、天窗、神符、巨览（一作觉）、血海、足太阴、
丘墟
上十二穴，无病不可灸刺。
Thirteen Methods
Needle the Jianshi (PC5) acupoint, performing the procedure for one hundred breaths.
Additionally, moxa the Renzhong (GV26) acupoint.
Method for treating sleep paralysis (nightmare-induced unconsciousness):
Moxa twenty-one cones at the center of the hair tuft on both big toes.
Method for treating sudden syncope due to evil qi invasion:
Moxa thirty cones at the Renzhong (GV26) acupoint.
Additionally, moxa one hundred cones at the Jianjing (GB21) acupoint.
Additionally, moxa seven cones at the Jianshi (PC5) acupoint.
Additionally, moxa one hundred cones at the Juque (CV14) acupoint.
Additionally, moxa three cones under each of the ten fingernails.
Method for treating "Ghost Strike" (a sudden acute condition characterized by severe pain as if stabbed by a knife):
The disease known as Ghost Strike strikes people suddenly, causing sensations like being stabbed by a knife, with twisting and cutting pain in the chest, hypochondrium, heart, and abdomen that cannot be pressed or suppressed. It may cause immediate hematemesis (vomiting blood), epistaxis (nosebleed), or hematochezia/melena. It is also called "Ghost Repulsion." Moxa one cone at the Renzhong (GV26) acupoint, and recovery will be immediate. If bleeding does not stop, add moxa seven cones at one cun above the umbilicus. Additionally, moxa three cones at one cun below the umbilicus. (Another version says seven cones.)
For treating Zhong E (sudden illness from foul miasma):
Moxa fifty cones at the Weiguan (Shangwan, CV13) acupoint.
For treating snake venom:
Moxa twenty-one cones (three times seven) directly on the venomous wound. If mugwort is unavailable, use the fire head to cauterize according to the size of the wound opening.
For treating Heat Bi (heat obstruction in collaterals):
Moxa seven cones at each nipple.
For treating rabies bites:
Have someone suck out the toxic blood completely, then moxa one hundred cones. Thereafter, moxa daily for one hundred days until cessation. After recovery, strictly avoid alcohol and pork for life.
Principles of Needling:
In general, when using needles, tonify deficiency to make it solid, drain excess to reduce it, remove stasis and old blood, and weaken pathogenic excess. The general rule is: slow insertion and rapid withdrawal tonifies; rapid insertion and slow withdrawal drains. The sensation of tonification and drainage feels as if something is there or gone. Observe the sequence of symptoms, which may seem present or absent. The key to distinguishing deficiency and excess lies in the Nine Needles. The timing of tonification and drainage depends primarily on the needle. Heavy manipulation constitutes tonification; light manipulation constitutes drainage. Although there are depth measurements, stop upon obtaining Deqi (arrival of qi). For supine or lateral positions in Mingtang (facial area), moxibustion should follow needling. All diseases arise from the stagnation and lack of free flow of Qi and Blood. Needles open pathways, while moxibustion warms them. After moxibustion, proper care is essential. Failure to be cautious with cold, raw, sour, or slippery foods will exacerbate the disease.
Yellow Emperor asked: What is the reason for diseases related to the Five Zang organs, Five Elements, and Five Seasons?
Qibo answered: Suppose the spring weather is mild, fragrant plants flourish, and waters are clear. The heart's spirit becomes agitated internally, leading to external physical illness. Suddenly, a west wind blows fiercely, causing hairs to stand on end. Because the pores open, the wind cannot dissipate and enters the Sun vessels (fine branches). When Sun vessels are full, it flows into Luo vessels, then into the Great Channels (main meridians), which connect to the Fu organs, and finally return to the Zang organs. This applies to all four seasons; thus, Wind diseases often relate to the Heart. The Pericardium Meridian (Hand Jueyin) should be treated with moxibustion and needling.
All acupoints have names that are not arbitrary but carry deep meaning. Acupoints with names related to "Wood" belong to the Liver; those related to "Spirit" belong to the Heart; those related to "Metal/Jade" belong to the Lungs; and those related to "Water" belong to the Kidneys. Thus, where the Spirit resides, it has specific associations. Points named "Fu" are where Spirit gathers; points named "Gate/Portal" are where Spirit enters and exits; points named "House/Dwelling" are where Spirit rests; points named "Terrace/Pavilion" are where Spirit tours. The meanings of point names serve as metaphors for deduction.
Acupoints are locations where meridians travel and circulate, guiding Qi far away to extract disease. Hence, the classic states: "Moxa three cones," implying a complete number.
Contraindications:
When moxaing the head and limbs, do not use few cones; ensure thorough penetration. Ideally, accumulate up to three hundred cones to cure the disease. Since flesh on the head and extremities is thin, simultaneous moxibustion on multiple sites may cut off Qi and Blood flow below; therefore, pause intermittently. Allow Qi and Blood to reconnect when heat subsides, letting the fire energy circulate until sufficient quantity accumulates, naturally expelling pathogens and curing the disease. The classics mention inserting needles three fen and moxaing three cones as a general guideline, not the exhaustive wisdom. Extremities have thin skin, requiring small cones and fewer counts; the abdomen and back have thick flesh, requiring larger cones and more counts. These decisions depend on judgment regarding the patient's strength, age, and body type. Heat in the back is desirable. Adjust moxa intensity based on the patient's constitution, age, and obesity.
Moxibustion is contraindicated in cases of faint and rapid pulses, or immediately after profuse sweating.
To measure acupoint distances, use the width of the first segment of the middle finger as one cun. Men use the left hand, women use the right hand. Another view states three cun refers to the length of one middle finger. For individuals over thirty years old, if the head is moxaed without moxaing Zusanli (ST36), Qi may rise causing visual impairment; thus, Zusanli directs Qi downward.
For all diseases, moxa Zusanli three cones daily to direct Qi downward; stop when Qi descends.
General Moxibustion Order: Begin from upper parts to lower parts; begin from Yang meridians to Yin meridians. General Needling Timing: Perform after noon (Wu hour), not before.
Treatment for Cold Bi causing knee/calf pain, leg cramps, ascending cold Qi from feet, inability to stand long, lethargy, heavy limbs, wasting, melancholy, irritability, and forgetfulness (called Fulian Disease):
Moxa Xuanzhong (GB39), located three finger-widths above the lateral malleolus on the bone. Moxa according to age in cones. One session suffices; do not repeat. To locate: Use a grass blade measuring three finger-widths across the palm crease to span the lateral malleolus from the lower bone upward. Have three people of different surnames perform the moxa. Do this on a sunny day after noon on an open road outside the gate for best results. If recurrence occurs later, repeat the method. If desired, moxa seven additional cones after seven days.
Juque (CV14): Up to 100 cones.
Shangwan (CV13): Up to 200 cones.
Zhongwan (CV12): Up to 1000 cones.
Xiaowan (CV10): Up to 500 cones.
Jianli (CV11): Up to 100 cones.
Zhongshou (CV15? Note: Text likely refers to specific points, possibly typo for others, keeping literal): Up to 100 cones.
Yinjiao (CV7): Up to 300 cones.
Zhongji (CV3): Up to 500 cones.
Dazhui (GV14): Up to 300 cones.
Fengmen (BL12): Up to 200 cones.
Hunmen (BL47): 5 cones.
Yanggang (BL48): 5 cones.
Yishe (BL49): 100 cones.
Huangmen (BL52), Baomen (BL52? Likely distinct or typo): 100 cones each.
Xianshu (DU6): 5 cones.
Mingmen (DU4): 7 cones.
Baihuan Shu (BL30): 3 cones (or 1 cone).
Xin Shu, Gan Shu, Fei Shu, Pi Shu, Shen Shu, Xiaochang Shu, Dan Shu, Dachang Shu, Wei Shu, Pangguang Shu, Sanjiao Shu, Ge Shu.
All Back-Shu points of the Five Zang and Six Fu organs can receive up to 100 cones.
Front-Mu Points:
Fei Mu: Zhongfu (LU1); Xin Mu: Juque (CV14); Gan Mu: Qimen (LR14); Dan Mu: Riyue (GB24); Pi Mu: Zhangmen (LR13); Shen Mu: Jingmen (GB25); Xiaochang Mu: Guanyuan (CV4); Sanjiao Mu: Shimen (CV5); Dachang Mu: Tianshu (ST25); Pangguang Mu: Zhongji (CV3); Wei Mu: Zhongwan (CV12).
All Front-Mu points of the Five Zang and Six Fu organs can receive up to 100 cones.
Jiuwei (CV15): 33 cones, divided into three sessions.
Juque (CV14): 50 cones.
Shangwan (CV13), Weiguan (Shangwan), Jianli (CV11), Xiawan (Xiaowan, CV10), Shuifen (CV9), Qizhong (CV8): Each 50 cones, divided into three sessions.
Yinjiao (CV7), Qihai (CV6), Shimen (CV5), Guanyuan (CV4): Each 50 cones.
Zhongji (CV3): 50 cones.
The first row from Jiuwei downwards generally allows up to 100 cones as a standard. Other points may be stopped when the disease is cured or adjusted by age.
Prohibited for Moxibustion (Major Taboos):
Touwei (ST8), Naohu (DU17), Fengfu (DU16), Sizhukong (TE23), Xiaguan (ST7), Erzhong (SI16?), Quanmai (SI17?), Renying (ST9), Yanmen (CV23?), Chengqi (ST1), Jingqu (LU8), Jizhong (DU11), Qichong (ST30), Jiuwei (CV15), Di Wuhui (SP13), Yanshi (ST31), Yangguan (BL7), Ruzhong (RN16), Quanye (Yuanye, SI11?), Futu (ST32), Chengguang (BL9), Tianfu (LU3), Baihuan Shu (BL30), Shimen (CV5). (Contraindicated for women.)
These 24 locations are strictly forbidden for moxibustion.
Prohibited for Needling (Highly Dangerous):
Shangguan (GB3), Zuojiao (Left Corner - likely referring to specific dangerous areas or typos for points like Toulinqi etc., keeping literal), Ruzhong (RN16), Jiuwei (CV15), Wuli (LI13), Chengjin (BL56), Fuliu (KI7), Luxi (TE4), Quepen (ST12), Qizhong (CV8), Shenting (DU24), Yunmen (LU2), Futu (ST32), Sanyangluo (TE7), RanGu (KI2).
These 15 points are strictly forbidden for needling.
Points Forbidden for Needling/Moxibustion Unless Diseased:
Yuzhen (BL59), Weijiao (Weidao/JS15?), Jingming (BL1), Shegen (Base of Tongue), Jiehoutu (Adam's Apple), Humai (Huliao BL46?), Tianchuang (SI16), Shenfu (Shenfeng/Shencang?), Julan (Juque/Jue?), Xuehai (SP10), Zuyintaiyin (Yinbai SP1?), Qiuxu (GB40).
These 12 points should not be needled or moxaed unless there is a specific disease.