资生经者。合明堂铜人千金外台而一之。大监王公所编次。择精语详。针灸之法。皆聚
此书矣。闻之故老谓澧学旧有公本。火于淳 乙巳。后不复再见。元贞壬辰余得善本于潍阳。即
欲刻诸荆泮。与卫生之家共之。会授代不果。大德丙午。白其事于宪佥汶上国。先生一见大
喜。即召匠计直。命平代等处军民长官谢琰。医学正覃南荣。澧阳县典史唐益秀。协力相成其事
教导戴梦高专任校雠之责。越十月书成。余谨按扁鹊华佗及孙思邈方论药饵针灸未尝偏废
后世医士举一而号为专门。针灸者亦皆未得 穴之正。旧有年壮病劳极者。膏肓两穴更
数医不效。后得此书。按图取穴。一灸即愈。其间阿是穴法之说，禁穴许灸三壮之说。亦皆累
试累效（禁穴艾炷止麦粒大。仍隔蒜片尤稳）。近年有为狂 所伤者。亦尝根据经灸活三人。是
书之有益于世多矣。今既板行一路。流布四方。其所全活。庸有既乎。国先生按行属部。究
心民瘼。痒 疾痛。举切诸身，今板行是书。亦济人利物之一端。而余之本心亦于是而获遂
矣。故喜而为之序。
大德丁未阆中郡蒲登辰序。
（以针医诀式流注指微为韵）
疾居荣卫。 荣者血也。卫者气也。由肠胃受谷化血气所为也。上焦出气。以温
分肉而养筋通腠理。中焦出气如沤。上注溪谷而渗孙脉。津液和调。变化而为血。血和则孙脉先
满。乃注络脉。乃注于经脉。阴阳以张。因息乃行。行有纪纲。周有道理。与天协议。不得
休止。切而调之。调设失度。致生其疾。疾者百病之总名也。百病之始。皆由风寒暑湿饥饱
劳逸而得之。或起于阴。或起于阳。所伤各异。虚实不同。或着孙脉。或着络脉。或着经脉
或着于冲任脉。或着于肠胃之膜原。邪气浸淫。不可胜论。
扶救者针。 救病之功。调虚实之要。九针最妙。各有所宜。热在头身宜 针。
肉分气满宜员针。脉气虚渺宜 针。泻热出血发泄固疾宜锋针。破痈肿出脓血宜 针。调阴阳去
暴痹宜员利针。治经络中病痹宜毫针。痹深居骨节腰脊腠理之间宜长针。虚风舍于骨节皮肤
观虚实与肥瘦。 经云。虚则补之。实则泻之。不实不虚，以经取之。若虚实不
明
必先观其形之肥瘦。方明针刺之浅深。若以身中分寸肥与瘦同用。是谓浅深不得。反为大贼也
故肥人刺深。瘦人刺浅。以与本藏所属部分齐平为期。所以无过不及之伤也。
辨四时之浅深。 四时者。所以分春夏秋冬之气所在以调之也。春气在毫毛。夏
气在皮肤。秋气在分肉。冬气在筋骨。经云。春夏刺浅。秋冬刺深。各以其时为则。又肥人宜
深刺之。瘦人宜浅刺之。
取穴之法。但分阴阳而溪谷。 阴者。阴气也。阳者。阳气也。谓阳气起于五
指之表。阴气起于五指之里也。肉之大会为谷。肉之小会为溪。分肉之间。溪谷之会。以行荣卫
以会大气。溪谷有三百六十五穴会。亦应一岁。故取穴之法。分其阴阳表里部分。溪谷远
近。同身寸取之。举臂拱手直立偃侧。皆取穴法也。逐穴各有所宜。
迎随逆顺。须晓气血而升沉。 经云。迎随者。要知荣卫之流行。经脉之往来
也。随其经逆顺而取之。灵枢曰。泻者迎之。补者随之。若能知迎知随。令气必和。和气之方。
必通阴阳升降上下源流。手之三阴。从藏走至手。手之三阳。从手走至头。足之三阳。从头
下至足。足之三阴。从足上走至腹。络脉传注。周流不息。故经脉者。行血气通阴阳以荣于
身者也。本论云。夫欲用迎随之法者。要知经络逆顺浅深之分。诸阳之经。行于脉外。诸阳
之络。行于脉内。诸阴之经。行于脉内，诸阴之络，行之于脉外。仍各有所守之分。故知
皮毛者肺之部。肌肉者脾之本。筋者肝之合。骨髓者肾之属。血脉者心之分。各刺其部。无
过其道。是谓大妙。迎而夺之有分寸。随而济之有浅深。深为太过。能伤诸经。浅为不及
安去诸邪。是以足太阳之经。刺得其部。迎而六分。随而二分。足太阳之络。迎而七分。
而二分。手太阳之络。迎而九分。随而四分。手阳明之经。迎而九分。随而四分。手阳明之
络。迎而八分。随而三分。足阳明之经。迎而一寸。随而五分。足阳明之络。迎而六分。
随而一分。手少阳经。迎而六分。随而一分。手少阳络。迎而七分。随而二分。足少阳经。
迎而八分。随而三分。足少阳络。迎而一寸。随而五分。手太阴经。迎而九分。随而四分。
手太阴络。迎而七分。随而二分。足太阴经。迎而一寸。随而五分。足太阴络。迎而八分。
迎而七分。随而二分。手少阴络。迎而六分。随而一分。足少阴经。迎而六分。随而一分。
足少阴络。迎而一寸。随而五分。手厥阴经。
迎而七分。随而三分。手厥阴络。迎而六分。随而一分。足厥阴经。迎而八分。随而三分。
厥阴络。迎而九分。随而四分。斯皆经络相合。补生泻成。不过一寸。针入贵速。既入徐进
针出贵缓。急则多伤。明须慎之。勿为殆事。男子左泻右补。女子右泻左补。转针迎随。补泻之道。明于此矣。
原夫指微论中。赜义成赋。 指微论三卷。亦是何公所作。探经络之赜。原针刺
之理。明荣卫之清浊。别孔穴之部分。然未广传于世。今于论内自取其义以成此赋。
知本时之气开。说经络之流注。 本论云。流者行也。注者住也。流为气血之
也。一呼脉行三寸。一吸脉行三寸。呼吸定息。脉行六寸。如流水走蚁。涓涓不息。不可暂
止。又云。流而为荣卫。彰而为颜色。发而为音声。速则生热。迟则生寒。结则为瘤赘。陷
则为痈疽。故知流者不可止。若人误中则有颠倒昏闷之疾。又云。注者住也。谓十二经络。
各至本时。皆有虚实邪正之气。注于所括之穴。所谓得时谓之开。失时谓之阖。气开当补泻
气闭忌针刺。圣人深虑此者。恐人劳而无功。岂可昧气开流注之道哉。其气开注穴之法。
七韵中说之矣。每披文而参其法。覆经而察其言。明谕其隐。皆知实虚总附。夫披文覆经者
学人之情也。既穷其理。赜其义。知其根。得其源。以见圣人之心乎。观何公作流注之赋
玄辞妙语。可谓达理。非是自炫也。移疼住痛。如有神针。
暴疾沉 至危笃。刺之勿误。沉 久病，虚弱之人。忽暴感疾于荣卫。传于脏
腑。其病必危笃而沉重也。明者是时深虑损益。慎勿轻忽。自恃聪俊。当须察其何经所苦。补泻
针刺。去之勿误也。
详夫阴日血引。值阳气流。 贾氏云。阳日气先脉外。血后脉内。阴日血先脉外
气后脉内，交贯而行于五脏五腑之中。各注井荥俞经合五穴。共五十穴。唯三焦受十经血气。
次传包络。又各注五穴。通前十二经。共六十穴。才合得十六难内六十首也。越人言。三部
九候。各有头首也。及素问言六十首。今世不传。既言不传。其文不载六十首字也。余以所
过为原六穴即是阴阳二气出入门户也。则阳脉出行二十五度。阴脉入行二十五度。则皆会于
六穴中出入也。其五脏五腑收血化精合处。便是逐经原气也。其余精者。助其三焦。其受十
经精气。则次传心包络。始十二经血气遍行也。如一经精气不足。则便成病也。既然有病。
即不根据此行度也。至令诸经失时。又更引毒瓦斯遍行。所流到处。即各见本经脉候。或大或小
或浮或沉。病患或寒或热。或轻或重。因证取之耳。
口温针暖。 凡下针。先须口内温针令暖。不唯滑利而少痛。亦借已和气与患者
荣卫无寒暖之争。便得相从。若不先温针暖。与血气相逆。寒温交争。而成疮者多矣。
牢濡深求。 经云。实之与虚者。牢濡之意。气来实牢者为得。虚濡者为失。凡
欲其补泻。即详五脏之脉。及所刺穴中。如气来实牢者可泻之。虚濡者可补之也。
诸经十二作数。络脉十五为周。 手足各有三阴三阳之脉。合为十二经脉。每一
经各有一脉络。余有阳跷之络。阴跷之络。脾之大络。合为十五络脉。周者。为十二经十五络二
十七气。周流于身者也。
阴俞六十脏主。 脏谓五脏肝心脾肺肾。并心包之脉。合之有六。俞谓井荥经合
非皆俞也。然井荥俞经合者。肝之井。大敦穴也。荥。行间穴也。俞。太冲穴也。经。中封穴也
合。曲泉穴也。心之井。少冲穴也。荥。少府穴也。俞。神门穴也。经。灵道穴也。合。
少海穴也。脾之井。隐白穴也。荥。大都穴也。俞。太白穴也。经。商丘穴也。合。阴陵泉
穴也。肺之井。少商穴也。荥。鱼际穴也。俞。太渊穴也。经。经渠穴也。合。尺泽穴也。
肾之井。涌泉穴也。荥。然谷穴也。俞。太溪穴也。经。复溜穴也。合。阴谷穴也。心包之
井。中冲穴也。荥。劳宫穴也。俞。大陵穴也。经。间使穴也。合。曲泽穴也。五脏之俞。
各有五。则五五二十五俞。并心络五俞。共三十。以左右见言之。六十俞穴也。
阳穴七十二腑收。 腑谓六腑。非兼九形腑也。穴。俞穴也。亦谓井荥俞原经合
也。肝之腑胆。胆之井者。窍阴穴也。荥。侠溪穴也。俞。临泣穴也。原。丘墟穴也。经。阳辅
穴也。合。阳陵泉穴也。心之腑小肠。小肠之井者。少泽穴也。荥。前谷穴也。俞。后溪
穴也。原。腕骨穴也。合。小海穴也。脾之腑胃。胃之井者。厉兑穴也。荥。内庭穴也。俞
陷谷穴也。原。冲阳穴也。经。解溪穴也。合。三里穴也。肺之腑大肠。大肠之井者。商
阳穴也。荥。二间穴也。俞。三间穴也。原。合谷穴也。经。阳溪穴也。合。曲池穴也。肾
之腑膀胱。膀胱之井者。至阴穴也。荥。通谷穴也。俞。束骨穴也。原。京骨穴也。经。昆
仑穴也。合。委中穴也。心包之腑三焦。三焦之井者。关冲穴也。荥。液门穴也。俞。中渚
穴也。原。阳池穴也。经。支沟穴也。合。天井穴也。如是六腑各有六。则六六三十六俞。
以左右脉共言之。则七十有二俞穴也。取穴部分。见于井荥图说。
刺阳经者。可卧针而取。 卫者属阳，皮毛之分。当卧针而刺之。若深刺伤阴
夺血络者。先俾指而柔。 夺血络者。取荣气也。荣气者。经隧也。灵枢曰。经
隧者
针。取荣家之气。不能损卫气也。经云。刺荣无伤卫。刺卫无伤荣也。
呼为迎而吸作补。 泻者迎之。补者随之。有余则泻。不足则补。泻者吸则内
针。无令气散。静以久留。无令邪布。候呼尽乃去。大气皆出。是名曰泻。补者。扪而循之。切
而散之。推而按之。弹而弩之。抓而下之。外引其门。以闭其神。呼尽内针。静以久留。以
气至为故。候吸引针。气不得出。各在其处。推阖其门。令神气存。大气留止。故命曰补。
凡善治者。察其所痛。以知病有余不足。当补则补。当泻则泻。无逆天时。是谓至治之妙。
逆为鬼而从何忧。 逆者。谓当刺之日。与病五行相形递为鬼贼。而不顺也。从
者。五脏之气。与日相和。而不相侵凌也。凡刺之理。当择吉日。与本病之藏气各无侵凌刑制。
下针顺从。而何忧哉。
淹疾延患。着灸之由。 若病有久淹。因寒而得。或阴证多寒。或者风寒湿痹脚
气之病。或者上实下虚厥逆之疾。男子劳伤。妇人血气之属。并可用针灸。亦有不可灸者。近髓
之穴。阳证之病。不可灸也。
燥烦药饵而难极。必取八会。 燥烦热盛在于内者。宜取八会之气穴也。谓府会
太仓中脘穴。藏会季胁章门穴。筋会阳陵泉穴。髓会绝骨穴。血会膈俞穴。骨会大杼穴。脉会太
渊穴。气会三焦膻中穴。此是八会穴也。
痈肿奇经而蓄邪。先由砭瘳。 经云。病患脉隆盛入于八脉。而不环周。十二经
亦不能拘之。其受邪气蓄积肿热。宜砭刺出血。古者以砭石为针。山海经曰。高氏之山。有石如
玉。可以为针。即砭石也。今人以披针代之也。
况乎甲胆乙肝。丁心壬水。 甲胆乙肝者。谓五脏五腑。拘之十干。阳干主腑。
阴干主脏。故天元册又曰。胆甲肝乙。小肠丙心丁。胃戊脾己。大肠庚肺辛。膀胱壬肾癸。五脏
五腑。收血化精合处。便是三焦包络二经元气也。合为十二经遍行也。贾氏各分头首。十
日一终。营运十干。皆以五子建元日时为头也。
生我者号母。我生者名子。 夫五行者。在人为五脏。注穴为井荥俞经合。相合
为夫妻。我克者为七传。克我者为鬼贼。我生者为子。生我者为母也。
春井夏荥。乃邪在。秋经冬合。乃刺矣。 此言逐四时取井荥之法也。假令春木
旺刺井。夏火旺刺荥。季夏土旺刺俞。秋金旺刺经。冬水旺刺合。四时刺法。根据此推之。以泻逐
时所胜邪毒者也。圣人所谓因其时而取之。以泻邪气出也。
犯禁忌而病复。 禁忌者。非惟人神所在也。谓大饥大渴。大寒大热。大饱大醉
大虚大竭。大劳大困。皆为针家之禁忌。若虚实不分。浅深不及。犯触人神。颠倒四时。其病
愈而必复。切须诫之诫之。
用日衰而难已。 本论云。病于当日之下。受五刑之刑制者。其病刺而难愈也。
The *Zisheng Jing* (Auspicious Life Classic) integrates the contents of the *Mingtang Tongren Tu* (Illustrated Copper Man of the Ming Tang), *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), and *Waitai Miyao* (Secret Essentials of the Outer Terrace), compiled by Grand Eunuch Wang Gong. The language is refined and the details are comprehensive; all methods of acupuncture and moxibustion are gathered in this book. I have heard from elders that there was an old edition of Mr. Wang's work at the Lizhou Academy, which was destroyed by fire in the Yisi year of Chunxi, and has not been seen since. In the Renchen year of Yuanzhen, I obtained a good copy in Weiyang and intended to carve it for printing at the Jingzhou academy to share with those engaged in health preservation and medicine. However, due to my term ending and replacement, this did not come to fruition. In the Bingwu year of Dade, I reported this matter to Mr. Guo Wen Shang, the Xianqian (Assistant Provincial Judge). Upon seeing it, he was greatly pleased, immediately summoned craftsmen to calculate costs, and ordered Xie Yan, the military and civil chief of Pingdai and other places, Qin Nanrong, the Medical Director, and Tang Yixiu, the Registrar of Liyang County, to cooperate in completing the task. Dai Menggao, the Instructor, was specifically appointed to handle proofreading. After ten months, the book was completed. I carefully reviewed the prescriptions and theories of Bian Que, Hua Tuo, and Sun Simiao, noting that they never neglected either herbal medicine or acupuncture/moxibustion. Later generations of physicians often claim specialization by focusing on only one aspect; even acupuncturists have failed to grasp the correct locations of acupoints. Previously, there were young individuals suffering from severe consumptive diseases who received multiple treatments for moxibustion on the Gohuang acupoints (Gohuang BL43, located on the Bladder Meridian) without effect. After obtaining this book, they followed the diagrams to locate the points, and cured the illness after just one session of moxibustion. The discussions on Ashi points (points tender to pressure, lacking fixed locations) and the statement that forbidden points may receive three moxa cones (with the caveat that the cones should be grain-sized and applied over garlic slices for stability) have also proven effective through repeated trials. In recent years, patients injured by manic disorders have also been revived through moxibustion based on classic texts. This book has benefited the world immensely. Now that it is printed and distributed widely, the number of lives saved cannot be fully recounted. Mr. Guo, while inspecting his jurisdiction, deeply cares for the people's ailments, feeling their pain as his own. Publishing this book is thus one means of benefiting humanity and all things, fulfilling my original intention. Therefore, I joyfully wrote this preface.
Preface by Pu Dengchen of Langzhong Commandery, Dingwei Year of Dade.
(Rhymed according to the style of Acupuncture Secrets and Flowing Notes)
Diseases reside within Ying (Nutrient Qi, blood circulating within vessels) and Wei (Defensive Qi, qi circulating outside vessels). Ying is blood, and Wei is qi, generated from the transformation of food by the stomach and intestines. The Upper Jiao (Upper Burner, housing Heart and Lung) emits qi to warm the muscles, nourish tendons, and open the interstices. The Middle Jiao (Middle Burner, housing Spleen and Stomach) emits qi like a fermenting pool, pouring into the muscle valleys (intermuscular spaces) and seeping into the Sun collaterals (finest network vessels). When fluids are harmonized, they transform into blood. When blood is harmonized, the Sun collaterals fill first, then pour into the Luo collaterals, and finally into the Jing meridians. Yin and Yang expand, moving with respiration, governed by principles and cycles, aligning with Heaven, never ceasing. If pulse diagnosis and regulation are improper or excessive, disease arises. Disease is the general term for all illnesses. The onset of hundred diseases stems from wind, cold, summer-heat, dampness, hunger, fullness, labor, and rest. Some originate in Yin, some in Yang; the injuries differ, and deficiency/excess patterns vary. Pathogenic factors may lodge in Sun collaterals, Luo collaterals, Jing meridians, Chong and Ren meridians, or the membrane source of the stomach and intestines. Pathogenic qi permeates endlessly.
Rescue relies on acupuncture. Its efficacy lies in regulating deficiency and excess. The Nine Needles are most excellent, each suited for specific indications. Heat in the head and body suits Chan needles (sharp-pointed); qi stagnation in muscle layers suits Yuan needles (round-headed); deficient and faint pulse qi suits Di needles (millet-seed shaped); draining heat, bleeding, and expelling stubborn diseases suit Feng needles (three-edged); breaking abscesses and draining pus/blood suit Pi needles (sword-shaped); harmonizing yin/yang and removing acute bi-syndrome suits Yuanli needles (slightly thick tip); treating bi-syndrome in meridians suits Hao needles (fine/long); deep bi-syndrome in bones/joints/waist/spine/skin suits Chang needles (long). For deficiency wind lodging in joints/skin, observe deficiency/excess and fat/thinness.
The Classics state: Tonify deficiency, drain excess, and treat the affected meridian if neither deficient nor excess. If deficiency/excess is unclear, first observe the patient's body shape (fat/thin) to determine needle depth. Using the same depth standard regardless of body type leads to incorrect depth, causing great harm. Thus, needle deeply for fat persons, shallowly for thin persons, aiming for the level of the associated Zang organ region, avoiding injury from excess or insufficiency.
Distinguish seasonal depths. Seasons distinguish the location of Spring, Summer, Autumn, and Winter qi for regulation. Spring qi is in the fine hairs; Summer qi in the skin; Autumn qi in the muscle layers; Winter qi in the sinews and bones. The Classics state: Needle shallowly in Spring/Summer, deeply in Autumn/Winter, following seasonal rules. Additionally, fat persons suit deep needling, thin persons suit shallow needling.
Acupoint selection divides Yin/Yang and muscle valleys. Yin refers to Yin qi, Yang to Yang qi. Yang qi originates from the exterior of the five fingers; Yin qi from the interior. Large muscle gatherings are "Gu" (valleys); small gatherings are "Xi" (streams). Between muscle layers, where Xi and Gu meet, Ying and Wei circulate, gathering Great Qi. There are 365 meeting points in Xi and Gu, corresponding to the days of a year. Selection method: divide Yin/Yang and exterior/interior regions, measure distances using Cun (body-inch measurement). Postures include raising arms, clasping hands, standing, supine, and lateral positions. Each point has specific indications.
Welcome/Follow (Ying/Sui) reversal/adherence requires understanding qi flow and sinking/rising. The Classics state: Welcome/Follow involves knowing the circulation of Ying/Wei and the direction of meridians. Follow the meridian's direction. *Ling Shu* states: Drain by welcoming (against flow), tonify by following (with flow). Knowing Ying/Sui harmonizes qi. Harmonization requires understanding Yin/Yang ascent/descent. Hand Three Yin meridians travel from Zang to Hand; Hand Three Yang from Hand to Head; Foot Three Yang from Head to Foot; Foot Three Yin from Foot to Abdomen. Collaterals circulate endlessly. Meridians transport blood/qi, connect Yin/Yang, and nourish the body. This treatise states: To use Ying/Sui, know meridian directions and depth. Yang meridians run outside vessels; Yang collaterals inside. Yin meridians inside; Yin collaterals outside. Each has specific domains: Skin/Lungs, Muscle/Spleen, Sinew/Liver, Bone/Kidney, Vessel/Heart. Pierce respective domains without crossing boundaries. Welcoming (draining) has degrees; Following (tonifying) has depths. Too deep harms meridians; too shallow fails to expel pathogen. Specific depths for Foot Taiyang Meridian/Collateral, Hand Taiyang Collateral, Hand Yangming Meridian/Collateral, Foot Yangming Meridian/Collateral, Hand Shaoyang Meridian/Collateral, Foot Shaoyang Meridian/Collateral, Hand Taiyin Meridian/Collateral, Foot Taiyin Meridian/Collateral, Hand Shaoyin Collateral, Foot Shaoyin Meridian/Collateral, Hand Jueyin Meridian/Collateral, Foot Jueyin Meridian/Collateral are detailed (e.g., Foot Taiyang Meridian: Welcome 6 fen, Follow 2 fen). These combinations balance tonification/draining within one cun. Insert quickly, advance slowly; withdraw slowly, avoid haste. Men: Left drain, Right tonify. Women: Right drain, Left tonify. Rotating needle applies Ying/Sui.
The *Zhiwei Lun* (Treatise on Subtle Indications) contains profound meanings turned into verse. It explores meridians, needle theory, Ying/Wei purity/turbidity, and acupoint regions but was not widely circulated. This fu extracts its meaning.
Understanding seasonal opening/closing and meridian flow. Flow is movement; Zhu (pouring/stopping) is stillness. Pulse moves 3 cun per exhalation, 3 cun per inhalation, 6 cun per breath cycle. Like flowing water, it must not stop. Flow becomes Ying/Wei, manifests as color/voice. Fast flow causes heat; slow flow causes cold. Condensation causes tumors; sinking causes abscesses. Misdirected flow causes coma. "Zhu" means stopping. Twelve meridians reach their peak times, filling specific acupoints with excess/deficient/pathogenic qi. "Kai" (Open) is timely; "He" (Closed) is untimely. Tonify/drain during Kai; avoid needling during He. Sages fear futile effort, so understanding flow timing is crucial. Methods are detailed in the seven rhymes. Studying classics reveals hidden truths of deficiency/excess.
Acute and chronic critical diseases require careful needling. Chronic weak patients suddenly affected by pathogenic transmission to Zang/Fu face critical danger. Wise practitioners must weigh pros/cons carefully. Identify the affected meridian and apply appropriate tonification/draining.
Yin days guide blood; Yang days guide qi. Jia Shi stated: On Yang days, qi leads outside vessels, blood follows inside; on Yin days, blood leads outside, qi follows inside. They interweave in Zang/Fu, entering Jing, Ying, Shu, Jing, He points (50 points total). San Jiao receives qi/blood from ten meridians, then Pericardium adds five, totaling 60 points for twelve meridians, matching *Nan Jing* Chapter 16. Bian Que and *Su Wen* mention sixty headings, now lost. I consider the six Yuan (Source) points as gates of Yin/Yang qi. Yang pulse travels 25 degrees; Yin pulse 25 degrees, meeting at Yuan points. Zang/Fu essence collection is the Yuan qi of each meridian. Remaining essence aids San Jiao, then Pericardium, circulating through twelve meridians. Deficiency in one meridian causes disease, disrupting flow and spreading toxins. Pulse signs vary (large/small, floating/sinking, hot/cold) based on symptoms.
Warm the needle with mouth before insertion. This ensures smoothness, reduces pain, and harmonizes with patient's Ying/Wei, preventing cold/heat conflict and ulceration.
Deeply seek firm/soft pulse qualities. Firm indicates excess (suitable for draining); soft indicates deficiency (suitable for tonifying). Examine Five Zang pulses and acupoint sensations.
Twelve meridials, fifteen collaterals form a cycle. Hand/Foot Three Yin/Yang make twelve meridians. Each has a collateral, plus Yang Qiao, Yin Qiao, and Spleen's Great Collateral, totaling fifteen collaterals. Twenty-seven qi pathways circulate the body.
Sixty Yin Shu points govern Zang. Six Zang (Liver, Heart, Spleen, Lung, Kidney, Pericardium). Shu points here refer to Five Shu points (Jing, Ying, Shu, Jing, He). Liver: Dadun (Jing), Xingjian (Ying), Taichong (Shu), Zhongfeng (Jing), Ququan (He). Heart: Shaochong, Shaofu, Shenmen, Lingdao, Shaohai. Spleen: Yinbai, Dabu, Taibai, Shangqiu, Yinlingquan. Lung: Shaoshang, Yuji, Taiyuan, Jingqu, Chize. Kidney: Yongquan, Ran Gu, Taixi, Fuliu, Yinggu. Pericardium: Zhongchong, Laogong, Daling, Jiawei, Quze. 5 points x 6 Zang = 30 points. Bilateral = 60 points.
Seventy-Two Yang Xu points govern Fu. Six Fu organs. Points are Jing, Ying, Shu, Yuan, Jing, He. Gallbladder: Qiaoyin, Xiaxi, Linbian, Qiuxu, Yangfu, Yanglingquan. Small Intestine: Shaoze, Qian gu, Houxi, Wangu, Xiaohai. Stomach: Lidui, Neiting, Xargu, Chongyang, Jie xi, Zusanli. Large Intestine: Shangyang, Erjian, Sanjian, Hegu, Yangxi, Quchi. Bladder: Zhiyin, Tonggu, Shugu, Jinggu, Kunlun, Weizhong. San Jiao: Guanchong, Yemen, Zhongzhu, Yangchi, Zhigou, Tianjing. 6 points x 6 Fu = 36 points. Bilateral = 72 points. See Jing-Ying diagrams.
Needling Yang meridians: Use lying-down technique. Wei belongs to Yang/skin. Deep needling risks damaging Yin/blood vessels. First soften with fingers. Draining blood vessels targets Ying qi (meridian tunnels) without harming Wei qi. "Pierce Ying without harming Wei; pierce Wei without harming Ying."
Exhalation welcomes (drains); inhalation follows (tonifies). Drain: Insert on inhalation, retain quietly, remove on exhalation to expel pathogen. Tonify: Massage, press, tap, pull skin, close pore. Insert on exhalation, retain until qi arrives, remove on inhalation to seal qi. Good treatment observes pain/deficiency-excess, tonifies/drains appropriately, respects seasons.
Avoid "Ghost" (clashing) days. Clashing occurs when the day's element clashes with the diseased Zang. Harmony occurs when elements support. Choose auspicious days compatible with the patient's Zang qi.
Moxibustion for chronic diseases. Suitable for chronic cold, Yin-cold syndromes, Wind-Cold-Damp Bi, gout, upper-excess/lower-deficiency reversal, male exhaustion, female blood/qi disorders. Contraindications: Points near marrow, Yang syndromes.
Eight Meeting Points for internal heat/restlessness. Fu Meeting: Zhongwan (CV12). Zang Meeting: Zhangmen (LR13). Sinew Meeting: Yanglingquan (GB34). Marrow Meeting: Yangjiao (GB39). Blood Meeting: Geshu (BL17). Bone Meeting: Dazhu (BL11). Vessel Meeting: Taiyuan (LU9). Qi Meeting: Tanzhong (CV17).
Bian stone for abscesses/extraordinary vessel accumulation. When pulse surges into Eight Extraordinary Vessels, bypassing twelve meridians, causing swelling/heat, use bian stone (stone lancet) to bleed. Ancient texts describe jade-like stones for needles. Modern practice uses lancets.
Ten Heavenly Stems correspond to Organs. Jia/Gallbladder, Yi/Liver, Bing/Small Intestine, Ding/Heart, Wu/Stomach, Ji/Spleen, Geng/Large Intestine, Xin/Lung, Ren/Bladder, Gui/Kidney. Yang stems govern Fu, Yin stems govern Zang. This system tracks qi circulation over ten-day cycles.
Five Elements generate relationships. "My generator" is Mother; "What I generate" is Child. "What I control" is Seven Transmissions; "What controls me" is Ghost/Treasure.
Seasonal Point Selection: Spring/Jing, Summer/Ying, Autumn/Jing, Winter/He. Matches seasonal strength to drain prevailing pathogens. Follow sage's advice to time treatment.
Contraindications prevent relapse. Avoid needling during extreme hunger/thirst, cold/heat, fullness/intoxication, exhaustion, or fatigue. Also avoid confusing deficiency/excess, incorrect depth, offending "Human Gods," or violating seasonal rules. Relapse is certain if ignored.
Treatment difficulty on unfavorable days. If the disease day clashes with the Five Punishments (elemental restrictions), needling will be difficult to cure.