癸丑岁。与窦子声先生随驾在瓜忽都田地里住冬。与先生讲论。因视见流注指要赋及补泻法。
用之多效。今录于此。使先生之道不泯云。云流注指要赋题辞。
望闻问切。惟明得病之源。补泻迎随。揭示用针之要。予于是学。始迄于今。虽常覃思以研精
。竟未钩玄而赜隐。俄经传之暇日。承外舅之训言。云及世纷。孰非兵扰。其人也神无根据而心无定
。或病之精必夺而气必衰。兼万国因乱而隔殊。医物绝商而那得。设方有效。历市无求。不若砭功
。立排疾势。乃以受教。遂敏求师。前后谨十七年。晓会无一二辈。后避屯于蔡邑。方获诀于李君
。斯人以针道救疾也。除疼痛于目前。愈瘵疾于指下。信所谓伏如 弩。应若发机。万举万全。百发
百中者也。加以好生之念。素无窃利之心。尝谓予曰。天宝不泄于非人。圣道须传于贤者。仆不自
揆。遂伸有求之恳。获垂无客之诚。授穴之秘者四十有三。疗疾而弗瘳者万千无一。遂铭诸心而着
之髓。务极其困而扶其危。而后除疼痛迅若手拈。破结聚涣。如冰释。夫针也者果神矣哉。然念兹
穴俞而或忘。借其声律则易记。辄裁入韵。赋就一篇。讵敢匿于己私。庶共传于同志。壬辰重九前二
日谨题。
必欲治病。莫如用针。巧运神机之妙。工开圣理之深。外取砭针。能蠲邪而扶正。中含水火。善
回阳而倒阴。原夫络别支殊。经交错综。或沟池溪谷之歧异。或山海邱陵而隙共。斯流派以难揆。
在条纲而有统。理繁而味。纵补泻以何功。法捷而明。自迎随而得用。且如行步难移。太冲最奇
。(太冲肝经。在足大指本节后二寸。或一寸五分动脉中)人中除脊膂之强痛。(人中督脉。一
名水沟。在鼻柱下)神门去心性之呆痴。(神门心经。一名锐中一名中都。在掌后锐骨端陷中。
)风伤项急。便求于风府(风府督脉。入项发际一寸。脑户后一寸五分。项大筋宛宛中)头晕目
眩。要觅于风池。(风池胆经。在颞 后发际陷中)耳闭须听会而治也。(听会胆经。在耳前陷
中。开口有孔)眼疼必合谷以推之。(合谷大肠经一名虎口。在大指次指骨间)胸结身黄。
取涌泉而即可。(涌泉肾经。一名地冲。在足心陷中。屈足蜷指宛宛中)脑昏目赤。泻攒竹以偏
宜。(攒竹膀胱经。在眉头陷中)若两肘之拘挛。仗曲池而平扫。(曲池大肠经。在肘外辅骨屈
肘两骨之中)四肢之懈惰。凭照海以消除。(照海肾经。在足内踝下。阴跷所主)牙齿痛吕
细堪治。(吕细膀胱经。一名太溪) 颈项强承浆可保。(承浆任脉在下唇下陷中)太白宣通
于气冲。(太白脾经。在足内侧核骨下陷中。治腹胀满)阴陵开通于水道。(阴陵泉脾经。在膝下
内侧辅骨下陷中。治小便不利)腹 而胀。夺内庭兮休迟。(内庭胃经。在足大指次指外间陷中
)筋转而疼泻承山而在早。(承山膀胱经。在兑 肠中分肉间陷中)大抵脚腕痛、昆仑解愈。
昆仑膀胱。经在足外踝后跟骨上陷中)股膝痛、阴市能医。(阴市胃经。在膝上三寸伏兔下陷中。
)痫发癫狂兮。凭后溪而疗理。(后溪小肠经。在手小指外侧本节后陷中)疟生寒热兮。仗间使
以扶持。(间使包络经。在掌
后三寸两筋间陷中)期门罢胸满血膨而可已。(期门肝经。在太容傍一寸五分。直乳第二肋端)
劳宫退胃翻心痛以何疑。(劳宫包络经。在掌中央屈无名指取之)稽夫大敦去七疝之偏坠。王公
谓此。(大敦肝经。在足大指端。去爪甲如韭叶)三里却五劳之羸瘦。华老言斯。(三里胃经。
在膝下三寸 骨外筋内宛宛中)固知腕骨祛黄。(脱骨小肠经。在手外侧腕前起骨下陷中)然
谷泻肾。(然谷肾经。在足内踝前大骨下陷中)行间治膝、肿腰疼。(行间肝经。在足大指间动脉
应手陷中)尺泽去肘疼筋紧。(尺泽肺经。在肘中约横纹上)目昏不见。二间宜取。(二间大
肠经。在手食指本节前内侧陷中)鼻窒无闻。迎香可引。(迎香大肠经。在禾 上鼻孔傍)肩
井除两臂湿痛难任。(肩井胆经。在肩上陷中缺盆上大骨前。以三指按取之。当中指下陷者是)
丝竹疗偏头疼痛不忍。(丝竹空三焦经。在眉后陷中)咳嗽寒痰。列缺堪凭。(列缺肺经。在腕
后一寸五分)眵 冷泪。临泣尤准。(临泣胆经。目上直入发际五分)髋骨将腿疼以祛残。
(髋骨膀胱经。在腿砚骨上)肾俞把腰疼而泻尽。(肾俞膀胱经。在十四肋下两旁。各一寸五分)
。以见越人治尸厥于维会。(维会督脉)随手而苏。文伯泻死胎于阴交。应针而陨。(三阴交
脾经。在足内踝上三寸骨下陷中)所谓诸痛为实。但麻曰虚。实则自外而入也。虚则自内而出欤
。是故济母而裨其不足。夺子而平其有余。观二十七之经络。一一明辨。据四百四之疾证。件件皆除
。故得夭枉都无。跻斯民于寿域。几微以判。彰往古之玄书。抑又闻心胸病求掌后之大陵。(大陵
包络经。在掌后两筋间陷中)肩背痛责肘前之三里。(手三里大肠经。在曲池下二寸)冷痹
肾败。取足阳明之土。(三里也)连脐腹痛。泻足少阴之水。(阴谷也)脊间心后者。针中渚
而立痊。(中渚三焦经。在手小指次指本节后间)胁下肋边者。刺阳陵而即止(。阳陵泉胆经。在膝下一寸外
陷中)头项痛拟后溪以安然。(后溪小肠经。在手小指外侧本节后陷中)腰脚疼在委中而已矣。(委中
膀胱经。在 中央约纹中动脉陷中)夫用针之士。于此理苟能明焉。收祛邪之功。而在乎捻指。
In the year Guichou, I accompanied Mr. Dou Zisheng and the Imperial Court to spend the winter in the Guhudu region. During our discussions with the Master, I had the opportunity to view the *Liuzhu Zhiyao Fu* (Ode on Key Points of Meridian Flow) and the techniques of tonification and sedation.
Applying these methods yielded significant effects. I now record them here so that the Master's Way may not perish. Here is the preface to the *Ode on Key Points of Meridian Flow*:
Through observation, listening/smelling, inquiry, and palpation (Wang, Wen, Wen, Qie), one can understand the source of disease. Through tonification, sedation, Ying (meeting the path of Qi), and Sui (following the path of Qi), the essentials of acupuncture are revealed. Since then, I have studied this until today. Although I often pondered deeply to explore its subtleties, I failed to grasp its profound mysteries. One day, during a break from transmitting classics, I received instructions from my father-in-law. He spoke of worldly chaos, dominated by war. People's spirits lacked foundation and hearts were unsettled; or when disease becomes severe, essence is depleted and Qi weakens. Furthermore, due to wars, nations are isolated, and medical supplies are cut off from merchants. Even if there are effective prescriptions, they cannot be sought in markets. It is better than the efficacy of Bian stones (ancient surgical tools), which can immediately resolve disease conditions. Thus, I accepted instruction and diligently sought a teacher. For seventeen years, I studied cautiously, yet few understood. Later, while taking refuge in Caiyi, I finally received the secret teachings from Master Li. This man used acupuncture to save people from illness, eliminating pain before their eyes and curing consumption diseases under his fingers. Truly, he was like a drawn bow ready to shoot, responding as quickly as releasing the trigger—ten thousand attempts, ten thousand successes; a hundred shots, a hundred hits. Adding to this was his compassion for life and his lack of greed for profit. He once told me: "Precious treasures are not leaked to unworthy persons; the Sacred Dao must be passed to the worthy." Presuming myself unworthy, I made humble requests, and received his sincere, unreserved kindness. He taught me forty-three secret acupoints. Among thousands of treatments, not one failed to cure. Thus, I engraved them in my heart and marrow, striving to rescue those in distress and danger. Thereafter, removing pain was swift as picking something up with hands, breaking accumulations dispersed like melting ice. Acupuncture, indeed, is miraculous! However, considering that these acupoints might be forgotten, using rhyme makes them easier to remember. Therefore, I composed this ode in verse. How dare I keep it private? I hope to transmit it to like-minded individuals. Respectfully inscribed two days before the Double Ninth Festival in the year Renchen.
To treat disease effectively, nothing surpasses acupuncture. Skillfully operating the divine mechanism, the practitioner opens the profound principles of the sages. Externally utilizing Bian needles, one can eliminate evil and support righteousness. Internally containing Water and Fire, one is good at restoring Yang and reversing Yin.
Tracing back to the origin, collaterals branch differently, meridians interlace. Some differ like ditches, ponds, streams, and valleys; some share gaps like mountains, seas, and hills. These lineages are hard to fathom, but have unity in their guidelines. The principles are complex and profound; what is the merit of tonification and sedation? The methods are swift and clear, derived naturally from Ying and Sui.
For example, difficulty walking: Taichong (LR3) is most remarkable. (Taichong belongs to the Liver Meridian, located 2 cun posterior to the junction of the first and second metatarsal bones, or 1.5 cun in the pulsating artery.) Renzhong (GV26) eliminates stiffness and pain of the spine. (Renzhong belongs to the Du Meridian, also known as Shuigou, located below the philtrum.) Shenmen (HT7) removes mental dullness. (Shenmen belongs to the Heart Meridian, also known as Ruizhong or Zhongdu, located in the depression at the radial end of the wrist crease.) Wind injuring the neck causing stiffness: seek Fengfu (GV16). (Fengfu belongs to the Du Meridian, entering the nape hairline 1 cun, 1.5 cun posterior to Naohu, in the depression between the large tendons of the neck.) Dizziness and vertigo: seek Fengchi (GB20). (Fengchi belongs to the Gallbladder Meridian, located in the depression posterior to the temporal hairline.) Ear blockage requiring hearing restoration: treat with Tinghui (GB2). (Tinghui belongs to the Gallbladder Meridian, located in the depression anterior to the ear, opening a hole when the mouth is open.) Eye pain: push with Hegu (LI4). (Hegu belongs to the Large Intestine Meridian, also known as Hukou, located between the bones of the thumb and index finger.) Chest stagnation and yellow complexion: take Yongquan (KI1) for relief. (Yongquan belongs to the Kidney Meridian, also known as Dizhong, located in the depression of the sole of the foot, in the depression when toes are curled.) Brain dizziness and red eyes: drain Cuanzhu (BL2) as appropriate. (Cuanzhu belongs to the Bladder Meridian, located in the depression at the medial end of the eyebrow.) If both elbows are contracted: rely on Quchi (LI11) to smooth. (Quchi belongs to the Large Intestine Meridian, located between the two bones when the elbow is flexed, lateral to the olecranon.) Limb flaccidity: rely on Zhaohai (KI6) to eliminate. (Zhaohai belongs to the Kidney Meridian, located below the medial malleolus, governed by the Yin Qiao vessel.) Toothache: Lvxi (BL67/Taixi) is suitable for treatment. (Lvxi belongs to the Bladder Meridian, also known as Taixi.) Neck stiffness: Chengjiang (CV24) can protect. (Chengjiang belongs to the Ren Meridian, located in the depression below the lower lip.) Taibai (SP3) promotes Qi flow. (Taibai belongs to the Spleen Meridian, located in the depression below the medial eminence of the first metatarsal bone, treating abdominal distension.) Yinlingquan (SP9) opens water pathways. (Yinlingquan belongs to the Spleen Meridian, located in the depression below the medial condyle of the tibia, treating dysuria.) Abdominal distension: seize Neiting (ST44) without delay. (Neiting belongs to the Stomach Meridian, located in the depression between the second and third toes.) Muscle spasms and pain: drain Chengshan (BL57) early. (Chengshan belongs to the Bladder Meridian, located in the depression between the bellies of the gastrocnemius muscles.) Generally, ankle pain: Kunlun (BL60) resolves it. (Kunlun belongs to the Bladder Meridian, located in the depression posterior to the lateral malleolus and superior to the calcaneus.) Thigh and knee pain: Ynshi (ST32) can cure. (Ynshi belongs to the Stomach Meridian, located in the depression 3 cun above the patella, below Futu.) Epilepsy and mania: rely on Houxi (SI3) for therapy. (Houxi belongs to the Small Intestine Meridian, located in the depression posterior to the fifth metacarpophalangeal joint on the ulnar side.) Malaria with chills and fever: rely on Jianshi (PC5) for support. (Jianshi belongs to the Pericardium Meridian, located 3 cun proximal to the palmar crease, between the two tendons.) Qimen (LR14) resolves chest fullness and blood distension. (Qimen belongs to the Liver Meridian, located 1.5 cun lateral to Taichong, directly below the second rib at the nipple.) Laogong (PC8) retreats stomach reflux and heart pain without doubt. (Laogong belongs to the Pericardium Meridian, located in the center of the palm, taken when the ring finger is flexed.) Examining Dadun (LR1) removes hernias and testicular swelling, as stated by King Gong. (Dadun belongs to the Liver Meridian, located at the tip of the big toe, about the width of a leek leaf from the nail.) Zusanli (ST36) eliminates emaciation from five consumptions, as said by Elder Hua. (Zusanli belongs to the Stomach Meridian, located 3 cun below the knee, in the depression lateral to the tibia and medial to the tendon.) Indeed, Wangu (SI4) dispels jaundice. (Wangu belongs to the Small Intestine Meridian, located in the depression distal to the styloid process of the pisiform bone on the ulnar side.) RanGu (KI2) drains the Kidney. (RanGu belongs to the Kidney Meridian, located in the depression anterior and inferior to the medial malleolus.) Xingjian (LR2) treats knee swelling and lower back pain. (Xingjian belongs to the Liver Meridian, located in the depression where the pulse is felt between the first and second metatarsal bones.) Chize (LU5) removes elbow pain and tight tendons. (Chize belongs to the Lung Meridian, located on the cubital crease.) Dim vision: Erjian (LI2) should be taken. (Erjian belongs to the Large Intestine Meridian, located in the depression on the radial side of the index finger, proximal to the metacarpophalangeal joint.) Nasal obstruction and loss of smell: Yingxiang (LI20) can guide. (Yingxiang belongs to the Large Intestine Meridian, located beside the nostril, level with the alar nasi.) Jianjing (GB21) removes unbearable damp-pain in both arms. (Jianjing belongs to the Gallbladder Meridian, located in the depression on the shoulder, anterior to the acromion and superior to the supraclavicular fossa; press with three fingers, the depression under the middle finger is the point.) Sizhukong (TE23) treats unbearable unilateral headache. (Sizhukong belongs to the Sanjiao Meridian, located in the depression posterior to the eyebrow.) Cough with cold phlegm: Lieque (LU7) is reliable. (Lieque belongs to the Lung Meridian, located 1.5 cun proximal to the radial styloid process.) Ocular discharge and cold tears: Linqi (GB15) is accurate. (Linqi belongs to the Gallbladder Meridian, 5 cun vertically into the hairline from the midpoint of the eyebrow.) Huagu (BL54?) removes residual leg pain. (Huagu belongs to the Bladder Meridian, located on the femur/tibia area - *Note: Text says 'tui yan gu', likely referring to a specific point on the leg, possibly Huantiao GB30 or similar, but text explicitly says Huagu*). Shenshu (BL23) drains lower back pain. (Shenshu belongs to the Bladder Meridian, located 1.5 cun lateral to the lower border of the spinous process of the second lumbar vertebra.) From this we see Yuèrén (Bian Que) treating corpse-like fainting at Weihui (GV16/Du Mai intersection), recovering instantly. Wenbo draining dead fetus at Yinjiao (CV7), falling immediately upon needling. (Sanyinjiao SP6 belongs to the Spleen Meridian, located 3 cun superior to the tip of the medial malleolus, in the depression behind the tibia.) It is said that all pain is Excess, but numbness is Deficiency. Excess enters from outside; Deficiency exits from inside. Therefore, nourish the Mother to supplement deficiency, reduce the Child to balance excess. Observe the twenty-seven meridians, distinguishing each clearly. According to the four hundred and four diseases, remove each item. Thus avoiding premature death, bringing people to an age of longevity. Subtle distinctions clarify ancient mysterious texts. Also heard: Heart and chest diseases seek Daling (PC7) behind the palm. (Daling belongs to the Pericardium Meridian, located in the depression between the two tendons at the wrist crease.) Shoulder and back pain blame Shousanli (LI10) in front of the elbow. (Shousanli belongs to the Large Intestine Meridian, located 2 cun distal to Quchi.) Cold bi syndrome and kidney failure: take Earth of Foot-Yangming (Zusanli ST36). Abdominal pain connected to the navel: drain Water of Foot-Shaoyin (Yingu KI10). Pain in the spine behind the heart: needle Zhongzhu (TE3) for immediate recovery. (Zhongzhu belongs to the Sanjiao Meridian, located between the bases of the fourth and fifth metacarpal bones.) Pain in the hypochondrium and ribs: puncture Yanglingquan (GB34) to stop immediately. (Yanglingquan belongs to the Gallbladder Meridian, located 1 cun inferior and anterior to the head of the fibula.) Head and neck pain: use Houxi (SI3) for peace. (Houxi belongs to the Small Intestine Meridian, located in the depression posterior to the fifth metacarpophalangeal joint on the ulnar side.) Lower back and leg pain: only Weizhong (BL40) suffices. (Weizhong belongs to the Bladder Meridian, located in the center of the popliteal crease, in the depression of the arterial pulse.) Practitioners of acupuncture, if they can understand these principles, will achieve the merit of expelling evil through mere finger movements.