假令胆病。善洁。面青。善怒。得弦脉。人病心下满。当刺胆井。如见善洁。面青。善
怒。
脉又弦。人病身热。当刺肝荣。如根据前色脉。人病体重节痛。当刺胆俞。如见善洁。面青。
善怒。脉又弦。人病喘咳寒热。当刺胆经。如根据前色脉。又病逆气而泄。当刺胆合。余经根据
例皆仿此。
假令肝病。淋溲难。兼转筋。人病或心下满。或身热。或体重节痛。或喘咳。或逆气而
泄。
根据前刺之。谓刺肝经诸穴也。脉沉而弦。假令小肠经病,面赤口干。喜笑。或心下满。刺井
或
身热刺荣。或体重节痛刺俞。或喘咳寒热刺经。或逆气而泻刺合。脉浮而洪。假令心经病。
烦
心。心痛。掌中热。哕。脉沉而洪。或心下满。刺井。或身热刺荣。或体重节痛刺俞。或喘
咳寒热刺经。或逆而泄刺合。假令胃经病。面黄善噫。善思善味。脉浮而缓。根据上法刺之。
假令
脾经病。腹胀满。食不消。怠堕嗜卧。脉沉而缓。根据上法刺之。假令
大肠经病。面白善嚏。悲愁不乐。欲哭。脉浮而涩。根据上法刺之。假令膀胱经病。面黑
若恐欠。脉俱沉。根据上法刺之。假令肾经病。泻如下重。足胫寒而逆。脉俱沉。根据上法刺
之。
凡用灸刺。当先别其所宜。有偏宜刺者。若天柱、素 、禾 、肩贞、乳中、周荣、腹
哀、
中冲、阴陵泉、条口、犊鼻、髀关、申脉、殷门、承扶等三十一穴是也。有偏宜灸者。若络
却、玉枕、承灵、角孙、神道、膏肓、会阴、横骨、青灵渊等一十六穴是也。其他并欲通行
灸
刺。亦有不宜灸刺者。皆有所禁。若神庭、脑户、颅囟、承泣、膻中、神阙、气冲、五里、
三阳络、承筋之类。皆不可刺。脑户、风府、哑门、承光、素 、攒竹、晴明、迎香、头维
、下关、脊中、心俞、白环俞、天牖、人迎、渊腋、少商、经渠、天府、阳池、地五会、阳
关、伏兔之类。皆不可灸。又有鸠尾虽在可刺。更宜精详之。石门虽在可刺。在妇女则为大
禁。肩 本不禁灸。亦不宜多灸。四肢虽亦可灸。然在法惟宜少灸。此数者。皆灸刺之务。
不可不知也。若不当灸而灸。不当刺而刺。皆有所伤。内经所云。刺禁其法。若刺头中脑户
入脑立死。刺面中溜脉。不幸为盲。刺客主人。内陷及刺目上陷骨中脉为内漏。而聋。刺
舌下。中脉大过。出血不止为喑。刺缺盆中内陷。气泄。令人喘咳逆。刺乳上。中乳房。为
肿根蚀。刺膺中陷中脉。为喘逆仰息。刺腋下胁间内陷。令人咳。刺脊间中髓。为伛。刺背
大阴脉出血多。立死。刺肘中内陷。气归之。为不屈伸。刺手鱼腹。内陷为肿。刺气街中脉
血不出。为肿鼠鼷。刺少腹。中膀胱。溺出。令人少腹满。刺足少阴脉。重虚出血。为
舌难以言。刺阴股中大脉。血出不止死。刺阴股下三寸内陷。令人遗溺。刺膝膑出腋。为跛
刺隙中大脉。令人仆。脱色。刺关节中。液出。不得屈伸。刺 肠内陷。为肿。刺跗上。
中大脉。血出不止死。刺足下布络。中脉。血不出为肿。刺中五脏皆死。又有大禁二十五者
即五里穴也。所谓迎之五里。中道而止是也。其次。无刺大醉。令人气乱。无刺大怒。令人
气逆。故曰。大醉无刺。已刺无醉。大怒无刺。已刺无怒。以至大劳。新饱。大饥。大渴。
大惊。大恐。皆在切禁。若误犯之。各有可救之理。具于后云。
If it is a Gallbladder disease, the patient prefers cleanliness, has a bluish complexion, and is prone to anger, with a wiry pulse. If the patient complains of fullness below the heart, one should puncture the Jing-Well point of the Gallbladder channel. If observing preferences for cleanliness, bluish complexion, and anger, along with a wiry pulse, this indicates the treatment approach. If the patient has fever, one should puncture the Ying-Spring point of the Liver channel. If based on the aforementioned complexion and pulse, the patient feels heavy body and joint pain, one should puncture the Shu-Stream point (Dushu) of the Gallbladder. If observing preferences for cleanliness, bluish complexion, and anger, along with a wiry pulse, this indicates the treatment approach. If the patient has wheezing, coughing, and alternating chills and fever, one should puncture the Jing-River point of the Gallbladder channel. If based on the aforementioned complexion and pulse, accompanied by rebellious Qi and diarrhea, one should puncture the He-Sea point of the Gallbladder channel. The remaining channels follow this example.
If it is a Liver disease, the patient has difficult and dribbling urination, accompanied by tendon spasms. If the patient presents with fullness below the heart, or fever, or heavy body and joint pain, or wheezing and coughing, or rebellious Qi and diarrhea, one should puncture according to the previous methods, meaning puncturing various points of the Liver channel. If the pulse is deep and wiry, assuming Small Intestine channel disease, the patient has a red face, dry mouth, and likes to laugh, or has fullness below the heart; puncture the Jing-Well point. If there is fever, puncture the Ying-Spring point. If there is heavy body and joint pain, puncture the Shu-Stream point. If there is wheezing, coughing, and alternating chills and fever, puncture the Jing-River point. If there is rebellious Qi and diarrhea, puncture the He-Sea point. If the pulse is floating and surging, assuming Heart channel disease, the patient has vexation in the heart, heart pain, heat in the palms, hiccups, and a deep and surging pulse, or fullness below the heart; puncture the Jing-Well point. If there is fever, puncture the Ying-Spring point. If there is heavy body and joint pain, puncture the Shu-Stream point. If there is wheezing, coughing, and alternating chills and fever, puncture the Jing-River point. If there is rebellious Qi and diarrhea, puncture the He-Sea point. Assuming Stomach channel disease, the patient has a yellow face, likes to belch, thinks excessively, has abnormal taste sensations, and a floating and moderate pulse; puncture according to the above method. Assuming Spleen channel disease, the patient has abdominal distension and fullness, undigested food, lethargy and drowsiness, and a deep and moderate pulse; puncture according to the above method. Assuming Large Intestine channel disease, the patient has a pale face, likes to sneeze, feels sad and unhappy, wants to cry, and has a floating and choppy pulse; puncture according to the above method. Assuming Bladder channel disease, the patient has a black face, seems fearful or yawns frequently, and the pulse is deep in both positions; puncture according to the above method. Assuming Kidney channel disease, the patient has diarrhea with a feeling of heaviness in the anus, cold and reversed cold in the lower legs, and the pulse is deep in both positions; puncture according to the above method.
When using moxibustion or acupuncture, one must first distinguish what is appropriate. Some points are preferably needled, such as Tianzhu (BL10), Suliao (DU26), Heliao (SI19), Jianzhen (SI9), Ruzhong (RN17), Zhourong (ST23), Fuai (ST17), Zhongchong (PC9), Yinlingquan (SP9), Tiaokou (ST38), Dubi (ST35), Biguan (ST31), Shenmai (BL64), Yanmen (BL37), Chengfu (BL36), etc., totaling thirty-one points. Some points are preferably moxa-applied, such as Luoque (BL9), Yuzhen (BL9 - *Note: Text says Yuzhen, likely distinct from BL9 or typo for another point, keeping literal*), Chengling (DU18), Jiaosun (TE20), Shendao (DU11), Gaohuang (BL43), Huiyin (CV1), Henggu (KI12), Qingling (HT3), Yuanli (GB24), etc., totaling sixteen points. Other points allow both moxibustion and acupuncture. There are also points contraindicated for both, each having specific prohibitions. Such as Shenting (DU24), Naohu (DU16), Xinhui (DU22), Chengqi (ST1), Danzhong (CV17), Shenque (CV8), Qichong (ST30), Wuli (LI31), Sanyangluo (TE7), Chengjin (BL56), etc., are all un-puncturable. Naohu (DU16), Fengfu (DU16 - *Note: Duplicate name in source text contextually distinct or error, usually Fengfu is GV16*), Yamens (DU17), Chengguang (BL7), Suliao (DU26), Cuanzhu (BL2), Jingming (BL1), Yingxiang (LI20), Touwei (ST8), Xiaguan (ST7), Jizhong (DU12), Xinshu (BL15), Baihuan shu (BL30), Tianyou (TE16), Renying (ST9), Yuanye (GB22), Shaoshang (LU11), Jingqu (LU8), Tianfu (LU3), Yangchi (TE4), Diwuhui (GB29), Yangguan (EX-B3), Futu (ST32), etc., are all un-moxable. Jiwei (CV15) can be needled but requires extreme precision. Shimen (CV5) can be needled but is a major prohibition for women. Jianyu (LI15) is not prohibited for moxa but should not be heavily moxa-applied. Although the four limbs can be moxa-applied, the method dictates only light moxa application. These few aspects are crucial matters of moxibustion and acupuncture and must not be unknown. If one applies moxa when inappropriate, or needles when inappropriate, injury will result. As stated in the *Neijing* regarding needle prohibitions: Puncturing the head center entering Naohu into the brain causes immediate death. Puncturing the Liu Mai in the center of the face may unfortunately cause blindness. Puncturing the Master of the Guest (Zhusiren/Keguanren) causing internal sinking, or puncturing the vessels in the depression above the eye causing internal leakage, leads to deafness. Puncturing under the tongue; if the vessel is hit too deeply and bleeding does not stop, it causes aphonia. Puncturing the middle of Quepen causing internal sinking and Qi leakage leads to wheezing, coughing, and rebellious Qi. Puncturing above the breast, injuring the mammary gland, causes swelling and root erosion. Puncturing the depression in the chest wall injuring the vessel leads to wheezing, rebellion, and仰息 (breathing with difficulty lying flat). Puncturing the depression in the axilla and hypochondrium leads to coughing. Puncturing the spine medulla leads to kyphosis. Puncturing the large Yin vessel on the back with excessive bleeding causes immediate death. Puncturing the elbow causing internal sinking, where Qi gathers, leads to inability to flex and extend. Puncturing the fish belly of the hand causing internal sinking leads to swelling. Puncturing the Qi Street vessel without blood coming out leads to swelling in the thigh crease. Puncturing the lower abdomen, injuring the bladder, causes urine leakage and lower abdominal fullness. Puncturing the Foot-Shaoyin vessel, causing double deficiency and bleeding, leads to a stiff tongue and difficulty speaking. Puncturing the large vessel in the upper thigh with continuous bleeding causes death. Puncturing three cun below the upper thigh causing internal sinking leads to urinary incontinence. Puncturing the patella area leading to lameness. Puncturing the large vessel in the popliteal fossa causes collapse and loss of complexion. Puncturing the joints, causing effusion, leads to inability to flex and extend. Puncturing the intestine causing internal sinking leads to swelling. Puncturing the dorsum of the foot, injuring the large vessel with continuous bleeding, causes death. Puncturing the network vessels under the foot; if the vessel is hit and blood does not come out, it causes swelling. Puncturing the five Zang organs results in death. There are also twenty-five major prohibitions, specifically the Wuli point, referred to as "Meeting Wuli, stop halfway." Secondly, do not needle when greatly intoxicated, as it disorders Qi. Do not needle when greatly angry, as it causes Qi to rebel. Therefore, it is said: No needling when greatly drunk; after needling, no intoxication. No needling when greatly angry; after needling, no anger. Also, extreme fatigue, recent full meal, extreme hunger, extreme thirst, extreme fright, and extreme fear are all strictly prohibited. If these are mistakenly violated, there are principles for rescue, detailed subsequently.