论曰∶凡欲针灸，必先诊脉，知医须看病者行年、本命、祸害、绝命、生气所在，又须
看破除开日，人神取天医，若事急卒暴不得已者，则不拘此也。既得吉辰，当知忌穴。乃以
绳量依图朱点并疏患穴及壮数，然后用心乃疗之，则无不愈矣。其分寸法，取病患男左女右，
手中指第一节为寸，宜忌等列之如下∶
治病服药针灸法诀∶
凡针灸服药，皆须审知病患生年月日，推其行年游宫，生气绝命讫，乃处断之。
旧法∶男避除，女避破。又男忌戊，女忌己。
假令木命人行年又在木，则不宜针及服青色药。
火命人行年又在火，则不宜发汗及服赤色药。
土命人行年又在土，则不宜吐及服黄色药。
金命人行年又在金，则不宜灸及服白色药。
水命人行年又在水，则不宜下及服黑色药。
凡医者不知此法，下手即困，若遇病患年命厄会深者，下手即死矣。
凡入月六日、十五日、十八日、二十二日，二十四日、小尽日治病，令人长病。
戊午，甲午，此二日大忌。针刺出血服药及灸，不出月，凶。
甲辰、庚寅、乙卯、丙辰、辛巳，此日灸刺大凶。
壬辰，此一日大忌针灸。
甲辰、己巳、丙午、丁巳，此日男子特忌针灸。
甲寅、乙卯、乙酉、乙巳，此日女人特忌针灸。
丙子、壬子、甲子、丙辰、丁巳、辛卯、癸卯、乙亥，以上日切忌针灸。
立春、春分脾，立夏、夏至肺，立秋、秋分肝，立冬、冬至心，四季十二日后肾。
上以前日，并不得治疗，凶。
凡五脏王时，不得治及针灸其经络，凶。
凡春左胁，秋右肾，夏脐，冬腰。以上人神，皆不宜针灸。
凡五辰、五酉、五未等日及八节先一日后一日，皆不得针灸。
建日申时头，除日酉时膝，满日戌时腹，平日亥时腰背。定日子时心，执日丑时手，破
日寅时口，气日卯时鼻，成日辰时唇，收日巳时足，开日午时耳，闭日未时目。
上件其时并不得犯其处杀人。
一日足大指，二日外踝，三日股内及脚 ，四日腰及髀，五日中齿舌根咽悬壅及足指，
六日手小指少阳及脐下，七日内踝，八日足腕一云脚，九日尻尾手阳明，十日腰眼及足拇指，
十一日鼻柱及眉，十二日面发际，十三日牙齿，十四日胃管咽喉足阳明，十五日遍身，十六
日胸乳，十七日气冲及胁，十八日股内及 肠，十九日足趺足下及项，二十日膝以下（一云
内踝及膊），二十一日唇舌足小指，二十二日伏兔外踝（一云胸臆中），二十三日肝俞足趺两
腋，二十四日足阳明两胁及小肠，二十五日足阳明心腹（一云膝足），二十六日手足胸，二
十
七日膝骨踝（一云膝肩脐膈下及两足并阴囊中），二十八日内踝玉茎（一云阴中及耳颊），二
十
九
上人神并须依之，吉。
肝神丁卯，心神庚辰，肺神癸酉，肾神庚子，脾神戊巳。此五神之日，特须避之，余日
不假避讳也。余以此论为得之近矣，必须依而行之。余者猥碎，徒费辞难领，固非君子之言，
诸
月忌∶正、二、三、四、五、六、七、八、九、十、十一、十二
血忌∶丑、未、寅、申、卯、酉、辰、戌、巳、午、子（忌针灸）
月厌∶戌、酉、申、未、午、巳、辰、卯、寅、丑、子、亥（忌针灸）
四激∶戌、戌、戌、丑、丑、丑、辰、辰、辰、未、未、未、（忌针灸）
月杀∶丑、戌、未、辰、丑、戌、未、辰、丑、戌、未、辰（忌针灸《千金》法不同）
月刑∶巳、子、辰、甲、午、丑、寅、酉、未、亥、卯、戌（忌针灸）
六害∶巳、辰、卯、寅、丑、子、亥、戌、酉、申、未、午（忌针灸）
天医∶卯、寅、丑、子、亥、戌、酉、申、未、午、巳、辰（宜寻医取药呼师）
上呼师宜天医上来疗病吉，若刑害上来及针灸大凶。
又行年天医法∶
人年至子丑寅卯辰巳午未申酉戌亥。
天医卯戌子未酉亥辰寅巳午丑申。
推岁天医法∶
常以传送加大岁太一下为天医。
推月天医法∶
阳月以大吉，阴月以小吉，加月建功曹，下为鬼道传送，下为天医。
避病法∶
以小吉加月建癸明下为天医。
疗病法∶
以月将加时天医加病患年上疗之，瘥。
日天医法∶
甲乙丙丁戊己庚辛壬癸。天医卯亥丑未巳。
行年人神所在法∶
年一岁，十三，二十五，三十七，四十九，六十一，七十三，八十五，神在心辰。
年二岁，十四，二十六，三十八，五十，六十二，七十四，八十六，神在喉卯。
年三岁，十五，二十七，三十九，五十一，六十三，七十五，八十七，神在头寅。
年四岁，十六，二十八，四十，五十二，六十四，七十六，八十八，神在肩丑。
年五岁，十七，二十九，四十一，五十三，六十五，七十七，八十九，神在背子。
年六岁，十八，三十，四十二，五十四，六十六，七十八，九十，神在腰亥。
年七岁，十九，三十一，四十三，五十五，六十七，七十九，九十一，神在腹戌。
年八岁，二十，三十二，四十四，五十六，六十八，八十，九十二，神在头酉。
年九岁，二十一，三十三，四十五，五十七，六十九，八十一，九十三，神在足申。
年十岁，二十二，三十四，四十六，五十八，七十，八十二，九十四，神在膝未。
年十一岁，二十三，三十五，四十七，五十九，七十一，八十三，九十五，神在阴午。
年十三岁，二十四，三十六，四十八，六十，七十二，八十四，九十六，神在股巳。
十日人神所在∶
甲日（在头），乙日（在项），丙日（在肩臂），丁日（在胸胁），戊日（在腹），乙日（在
背），
庚日（在膝），辛日（在脾），壬日（在肾），癸日（在足）。
十二日人神所在∶
子日在目，丑日在耳，寅日在胸（一云面及口），卯日在鼻（一云在脾），辰日在腰，巳
日
在手（一云在头口），午日在心腹，未日在足（一云两足心），申日在头（一云在肩额，又云
在
腰），酉日在背（一云在胫），戌日在颈（一云在咽喉），亥日在项（一云在臂颈，又云两膝）。
十二时人神所在∶
子时在踝，丑时在头，寅时在耳（一云在目），卯时在面（一云在耳），辰时在项（一云
在
口），巳时在乳（一云在肩），午时在胸胁，未时在腹，申时在心，酉时在膝（一云在背脾），
戌时在腰（一云在阴左右），亥时在股。
上件人神所在血不可针灸损伤，慎之慎之。
Commentary: Generally speaking, before performing acupuncture or moxibustion, one must first palpate the pulse. The physician must ascertain the patient's age (Xu Sui), Ben Ming (Life Branch), and the locations of Huo Hai (Disaster Star), Jue Ming (Extinction Star), and Sheng Qi (Vitality Star). Additionally, one must consult the almanac for Po Chu Kai Ri (auspicious/inauspicious days such as Break, Remove, Open) and select a day when the Ren Shen (Human Spirit) aligns with Tian Yi (Heavenly Physician). In cases of emergency where sudden onset makes delay impossible, these restrictions do not apply. Once an auspicious time is determined, one must know which acupoints are contraindicated. Then, using a string to measure according to charts, mark points in red ink, and list the affected acupoints along with the number of moxa cones (Zhuang Shu). Only then should treatment be administered with focused intention, ensuring no disease remains incurable. Regarding the measurement of Cun (inches), take the middle finger's first joint of the patient—left hand for males, right hand for females—as one Cun. The following details the appropriate and inappropriate practices:
Prescriptions for Treating Diseases, Taking Medication, and Acupuncture/Moxibustion:
For any acupuncture, moxibustion, or medication, it is essential to carefully verify the patient's birth year, month, and day, calculate their annual movement of Shen Sha (Spiritual Killers/Stars), determine the positions of Sheng Qi and Jue Ming, and then proceed with treatment.
Old methods state: Males avoid "Chu" (Remove) days; females avoid "Po" (Break) days. Furthermore, males avoid Wu days, and females avoid Ji days.
If a person with Wood destiny has their annual star in the Wood position, they should not undergo needle insertion nor take green-colored medicines.
If a person with Fire destiny has their annual star in the Fire position, they should not undergo sweating therapy nor take red-colored medicines.
If a person with Earth destiny has their annual star in the Earth position, they should not undergo emesis therapy nor take yellow-colored medicines.
If a person with Metal destiny has their annual star in the Metal position, they should not undergo moxibustion nor take white-colored medicines.
If a person with Water destiny has their annual star in the Water position, they should not undergo purgative therapy nor take black-colored medicines.
Physicians who do not understand these methods will find themselves in difficulty upon initiating treatment. If applied to patients with severe life-cycle misfortunes, it may lead to death.
Treating diseases on the 6th, 15th, 18th, 22nd, 24th days of the lunar month, or on Xiao Jin Ri (the last day of the lunar month), causes prolonged illness.
Wu Wu Day and Jia Wu Day are highly taboo. Needle bleeding, taking medicine, and moxibustion performed on these days bring disaster within a month.
Jia Chen, Geng Yin, Yi Mao, Bing Chen, Xin Si days are extremely inauspicious for moxibustion and needle insertion.
Ren Chen day is highly taboo for acupuncture and moxibustion.
Jia Chen, Ji Si, Bing Wu, Ding Si days are particularly taboo for men regarding acupuncture and moxibustion.
Jia Yin, Yi Mao, Yi You, Yi Si days are particularly taboo for women regarding acupuncture and moxibustion.
Bing Zi, Ren Zi, Jia Zi, Bing Chen, Ding Si, Xin Mao, Gui Mao, Yi Hai days: Acupuncture and moxibustion are strictly prohibited on these days.
Li Chun (Start of Spring) and Chun Fen (Spring Equinox) govern the Pi Zang (Spleen); Li Xia (Start of Summer) and Xia Zhi (Summer Solstice) govern the Fei Zang (Lung); Li Qiu (Start of Autumn) and Qiu Fen (Autumn Equinox) govern the Gan Zang (Liver); Li Dong (Start of Winter) and Dong Zhi (Winter Solstice) govern the Xin Zang (Heart); Twelve days after the four seasons govern the Shen Zang (Kidney).
Prior to these dates, treatment is forbidden, as it brings disaster.
During the times when the Five Zang Organs are at their peak (Wang Shi), one must not treat or perform acupuncture/moxibustion on their meridians, as this is inauspicious.
In Spring, the left hypochondrium; in Autumn, the right Kidney; in Summer, the umbilicus; in Winter, the lower back. These are locations of Ren Shen (Human Spirit) and are unsuitable for acupuncture.
On Wu Chen, Wu You, Wu Wei days, and the day before and after the Eight Festivals (Ba Jie), acupuncture and moxibustion are prohibited.
Jian Ri (Establishment Day) at Shen Hour affects the head; Chu Ri (Removal Day) at You Hour affects the knees; Man Ri (Fullness Day) at Xu Hour affects the abdomen; Ping Ri (Peace Day) at Hai Hour affects the waist and back. Ding Ri (Stability Day) at Zi Hour affects the heart; Zhi Ri (Holding Day) at Chou Hour affects the hands; Po Ri (Break Day) at Yin Hour affects the mouth; Qi Ri (Energy Day) at Mao Hour affects the nose; Cheng Ri (Completion Day) at Chen Hour affects the lips; Shou Ri (Gathering Day) at Si Hour affects the feet; Kai Ri (Open Day) at Wu Hour affects the ears; Bi Ri (Close Day) at Wei Hour affects the eyes.
Violating these body parts during these specific hours can be fatal.
Day 1: Big toe of the foot; Day 2: Lateral malleolus; Day 3: Inner thigh and sole; Day 4: Waist and thigh; Day 5: Middle teeth, root of tongue, uvula, and toes; Day 6: Little finger of hand, Shaoyang meridian, and below umbilicus; Day 7: Medial malleolus; Day 8: Ankle (or foot); Day 9: Coccyx and Hand Yangming meridian; Day 10: Eye of waist and big toe of foot; Day 11: Nasal bridge and eyebrows; Day 12: Facial hairline; Day 13: Teeth; Day 14: Stomach tube, throat, Foot Yangming meridian; Day 15: Whole body; Day 16: Chest and breasts; Day 17: Qichong point and hypochondrium; Day 18: Inner thigh and large intestine; Day 19: Dorsum of foot, sole, and neck; Day 20: Below knee (or medial malleolus and arm); Day 21: Lips, tongue, little toe; Day 22: Futu point, lateral malleolus (or chest); Day 23: Ganshu point, dorsum of foot, both axillae; Day 24: Foot Yangming meridian, both hypochondria, and small intestine; Day 25: Foot Yangming meridian, heart and abdomen (or knee and foot); Day 26: Hands, feet, chest; Day 27: Knee bone, ankle (or knee, shoulder, below navel/diaphragm, both feet, and scrotum); Day 28: Medial malleolus, penis (or genitals, ear, cheek); Day 29: Follow the above Ren Shen locations for auspiciousness.
The Liver Spirit is on Ding Mao day; Heart Spirit on Geng Chen day; Lung Spirit on Gui You day; Kidney Spirit on Geng Zi day; Spleen Spirit on Wu Ji day. On these five spirit days, one must specifically avoid them; other days do not require avoidance. I consider this discourse to be nearly correct and must be followed. Other trivial matters are verbose and difficult to comprehend, truly not the words of a gentleman.
Monthly Taboos:
Blood Taboo (Xue Ji): Chou, Wei, Yin, Shen, Mao, You, Chen, Xu, Si, Wu, Zi (Taboo for acupuncture).
Month Abhorrence (Yue Yan): Xu, You, Shen, Wei, Wu, Si, Chen, Mao, Yin, Chou, Zi, Hai (Taboo for acupuncture).
Four Agitations (Si Ji): Xu, Xu, Xu, Chou, Chou, Chou, Chen, Chen, Chen, Wei, Wei, Wei (Taboo for acupuncture).
Month Killing (Yue Sha): Chou, Xu, Wei, Chen, Chou, Xu, Wei, Chen, Chou, Xu, Wei, Chen (Taboo for acupuncture; differs from *Qianjin* method).
Month Punishment (Yue Xing): Si, Zi, Chen, Jia, Wu, Chou, Yin, You, Wei, Hai, Mao, Xu (Taboo for acupuncture).
Six Harms (Liu Hai): Si, Chen, Mao, Yin, Chou, Zi, Hai, Xu, You, Shen, Wei, Wu (Taboo for acupuncture).
Heavenly Physician (Tian Yi): Mao, Yin, Chou, Zi, Hai, Xu, You, Shen, Wei, Wu, Si, Chen (Auspicious for seeking doctors, medicine, and teachers).
It is auspicious to seek healing on Heavenly Physician days; using days of Punishment/Harm for acupuncture is extremely inauspicious.
Method for Calculating Annual Heavenly Physician:
When the person's age reaches Zi, Chou, Yin, Mao, Chen, Si, Wu, Wei, Shen, You, Xu, Hai.
The corresponding Heavenly Physician is Mao, Xu, Zi, Wei, You, Hai, Chen, Yin, Si, Wu, Chou, Shen.
Method for Calculating Yearly Heavenly Physician:
Usually, add Song Chuan (Transit) to Da Sui (Grand Year), and Tai Yi (Supreme One) below becomes Heavenly Physician.
Method for Calculating Monthly Heavenly Physician:
For Yang months, use Da Ji (Great Auspicious); for Yin months, use Xiao Ji (Small Auspicious). Add to Yue Jian (Month Builder). Gong Cao (Merit Official) below is Ghost Path Transit, and below that is Heavenly Physician.
Avoidance Disease Method:
Place Xiao Ji on Yue Jian; Gui Ming below is Heavenly Physician.
Treatment Method:
Place Yue Jiang (Moon General) on the Hour; place Heavenly Physician on the Patient's Age to treat; the disease will heal.
Daily Heavenly Physician Method:
Jia Yi Bing Ding Wu Ji Geng Xin Ren Gui correspond to Heavenly Physician Mao, Hai, Chou, Wei, Si.
Method for Locations of Human Spirit by Age:
Age 1, 13, 25, 37, 49, 61, 73, 85: Spirit is in Heart, Chen position.
Age 2, 14, 26, 38, 50, 62, 74, 86: Spirit is in Throat, Mao position.
Age 3, 15, 27, 39, 51, 63, 75, 87: Spirit is in Head, Yin position.
Age 4, 16, 28, 40, 52, 64, 76, 88: Spirit is in Shoulder, Chou position.
Age 5, 17, 29, 41, 53, 65, 77, 89: Spirit is in Back, Zi position.
Age 6, 18, 30, 42, 54, 66, 78, 90: Spirit is in Waist, Hai position.
Age 7, 19, 31, 43, 55, 67, 79, 91: Spirit is in Abdomen, Xu position.
Age 8, 20, 32, 44, 56, 68, 80, 92: Spirit is in Head, You position.
Age 9, 21, 33, 45, 57, 69, 81, 93: Spirit is in Foot, Shen position.
Age 10, 22, 34, 46, 58, 70, 82, 94: Spirit is in Knee, Wei position.
Age 11, 23, 35, 47, 59, 71, 83, 95: Spirit is in Genitals, Wu position.
Age 13, 24, 36, 48, 60, 72, 84, 96: Spirit is in Thigh, Si position.
Locations of Human Spirit by Ten-Day Cycle:
Jia Day (Head), Yi Day (Neck), Bing Day (Shoulder/Arm), Ding Day (Chest/Hypochondrium), Wu Day (Abdomen), Yi Day (Back), Geng Day (Knee), Xin Day (Spleen), Ren Day (Kidney), Gui Day (Foot).
Locations of Human Spirit by Twelve-Day Cycle:
Zi Day (Eye), Chou Day (Ear), Yin Day (Chest [or Face/Mouth]), Mao Day (Nose [or Spleen]), Chen Day (Waist), Si Day (Hand [or Head/Mouth]), Wu Day (Heart/Abdomen), Wei Day (Foot [or Soles]), Shen Day (Head [or Shoulder/Forehead/Waist]), You Day (Back [or Shin]), Xu Day (Neck [or Throat)), Hai Day (Neck [or Arm/Neck/Knees]).
Locations of Human Spirit by Twelve Two-Hour Periods:
Zi Hour (Ankle), Chou Hour (Head), Yin Hour (Ear [or Eye]), Mao Hour (Face [or Ear]), Chen Hour (Neck [or Mouth)), Si Hour (Breast [or Shoulder]), Wu Hour (Chest/Hypochondrium), Wei Hour (Abdomen), Shen Hour (Heart), You Hour (Knee [or Back/Spleen]), Xu Hour (Waist [or Genitals Left/Right)), Hai Hour (Thigh).
One must strictly avoid needling or damaging the blood in these locations where the Human Spirit resides. Be cautious, be cautious.