神针火主心腹冷痛风寒湿痹附骨阴疽凡在筋骨隐痛者针之火气直达病所甚效(本草纲
目)
【名】桃枝木针火【地】向东引桃树枝【时】(采)五月五日取之【收】取桃枝削为木针如
鸡
子大长五六寸干之【用】(李时珍云)用时以绵纸三五层衬于患处将针蘸麻油点着吹灭乘热
针
之雷火神针(品汇分录)○(李时珍云)用时于灯上点着吹灭隔纸十层乘热针于患处热气直
入病
处其效更速制法用熟蕲艾一两乳香没药穿山甲硫黄雄黄草乌头川乌头桃树皮末各一钱麝香五
分为末拌艾以浓纸裁成条铺艾药于内紧卷如指大长三四寸收贮瓶内埋地中七七日取出应用用
针时忌冷水
火针主风寒筋急挛引痹痛或瘫缓不仁者针下疾出急按孔穴则疼止不按则疼甚症块结积冷
病者针下慢出仍转动以发出污浊痈疽发背有脓无头者针令脓溃勿按孔穴凡用火针太深则伤经
络太浅则不能去病要在消息得中针后发热恶寒此为中病凡面上及夏月湿热在两脚时皆不可用
此(本草纲目)【名】燔针淬针 烧针 煨针 (李时珍云)火针者素问所谓燔针淬针也张
仲景
谓之烧针川蜀人谓之煨针【制】其法麻油满盏以灯草二七茎点灯将针频涂麻油烧于灯上令通
赤用之不赤或冷则反损人且不能去病也其针须用火箸针造之为佳点穴墨记必要明白差则无功
【治】(素问云)病在筋调之筋燔针劫刺其下及筋急者病在骨调之骨淬针药熨之(又灵枢经)
叙
十二经筋所发诸痹痛皆云治在燔针劫刺以知为度以痛为输【禁】(又云)经筋之病寒则反折
筋
急热则纵弛不收阴痿不用淬刺者淬寒急也纵缓不收者无用燔针观此则燔针乃为筋寒而急者设
以热治寒正治之法也而后世以针积块亦假火气以散寒涸而发出污浊也或又以治痈疽者则是以
从治之法溃泄其毒瓦斯也而昧者以治伤寒热病则非矣【忌】(张仲景云)太阳伤寒加温针必发
惊
营气微者加烧针则血流不行更发热而烦躁太阳病下之心下痞表里俱虚阴阳俱竭复加烧针胸烦
面色青黄肤润者难治此皆用针者不知往哲设针之理而谬用以致害人也【解】又凡肝虚目昏多
泪或风赤及生翳膜顽浓或病后生白膜失明或五脏虚劳风热上冲于目生翳并宜熨烙之法盖气血
得温则宣流得寒则凝涩故也其法用平头针如翳大小烧赤轻轻当翳中烙之烙后翳破即用除翳药
敷点之
Shenzhen Fire (Divine Needle Fire) primarily treats cold pain in the heart and abdomen, gout, Bi syndrome caused by wind-cold-dampness, and Yin abscesses adhering to the bone. For any hidden pain in the muscles and bones, this method allows the fire energy to reach the disease site directly, yielding significant effects. (From *Bencao Gangmu*)
[Name] Peach Wood Needle Fire
[Origin/Material] Select peach tree branches growing towards the east.
[Collection Time] Collect on the fifth day of the fifth lunar month.
[Preparation and Storage] Carve the peach branch into a wooden needle, sized like an egg, five to six cun in length, and dry it for use.
[Usage] (Li Shizhen states) When using, place three to five layers of cotton paper over the affected area, dip the wooden needle in sesame oil, ignite it, blow out the flame, and prick the affected area while it is still hot. (Another preparation record for Lei Huo Shen Zhen is found in *Pinhui Fenlu*): (Li Shizhen states) Ignite it on a lamp, blow out the flame, cover with ten layers of paper, and prick the affected area while hot so that the heat penetrates directly into the disease site, achieving faster efficacy. Its preparation method: Take one liang of prepared Qi mugwort, one qian each of Frankincense (Ruxiang), Myrrh (Moyao), Pangolin Scales (Chanshijia), Sulfur (Liuhuang), Realgar (Xionghuang), Aconitum kusnezoffii Root (Caowutou), Aconitum carmichaelii Root (Chuanwutou), and powdered peach bark, along with five fen of Musk (Shexiang). Grind into fine powder, mix with mugwort, spread the herbal mixture inside strips cut from thick paper, roll tightly to the thickness of a finger, three to four cun long, store in a bottle, bury underground for seventy-seven days, then take out for application. Avoid contact with cold water when using fire needles.
Fire needles primarily treat tendon stiffness, pulling pain, and Bi syndrome caused by wind-cold, or paralysis with slowness and numbness. Upon needling, withdraw the needle quickly and immediately press the acupoint; pain will cease. If not pressed, pain will intensify. For masses, accumulations, and cold pathologies, withdraw the needle slowly and rotate it to expel turbid matter. For carbuncles and back infections with pus but no head, prick to allow pus drainage without pressing the hole. Regarding fire needles, if inserted too deeply, meridians and collaterals are damaged; if too shallow, the disease cannot be removed. The key lies in mastering the appropriate depth. Fever and aversion to cold after needling indicate the disease is responding (Zhongbing). Fire needles must not be used on the face, nor on the feet during summer months when damp-heat is prevalent. This section is from *Bencao Gangmu*.
[Name] Fan Zhen (Burning Needle), Cui Zhen (Quenching Needle), Shao Zhen (Scorching Needle), Wei Zhen (Warm Needle). (Li Shizhen states) Fire needles refer to the Fan Zhen and Cui Zhen mentioned in *Suwen*. Zhang Zhongjing called them Shao Zhen, and people in Sichuan and Shu regions call them Wei Zhen.
[Preparation] The method is as follows: Fill a cup with sesame oil, light fourteen rush wicks as lamps, frequently coat the needle with sesame oil, and burn it on the lamp until it glows red. If the needle is not red or is cold upon use, it will harm the body and fail to remove the disease. These needles are best made from fire tongs. Acupoint markings must be clear; errors yield no effect.
[Therapeutic Principle] (*Suwen* states) For diseases in the tendons, regulate the tendons using Fan Zhen to劫刺 (Jie Ci - seize and puncture) below the affected area and where tendons are stiff. For diseases in the bones, regulate the bones using Cui Zhen combined with herbal moxibustion/warming. (Also see *Lingshu Jing*) Describing various Bi pains arising from the twelve tendon systems, it states treatment lies in Fan Zhen Jie Ci, taking effectiveness as the standard and pain points as Shu points.
[Contraindications] (It also states) Diseases of the tendon systems: Cold causes reversal and tendon stiffness; Heat causes flaccidity, inability to gather, impotence, and non-use. Quenching/stabbing applies to cold-induced stiffness; do not use Fan Zhen for flaccidity and inability to gather. From this, Fan Zhen is designed for cold-induced tendon stiffness, representing the orthodox method of treating cold with heat. Later generations used it for masses, borrowing fire energy to disperse cold coagulation and expel turbidity. Some used it for carbuncles, employing the "following" method to drain toxic vapors. However, ignorant practitioners using it for Shanghan (Cold Damage) and febrile diseases are mistaken.
[Taboos] (Zhang Zhongjing states) In Taiyang Shanghan, adding warm needle therapy will inevitably cause palpitations/fright. For those with deficient Ying Qi, adding scorching needles leads to stagnant blood flow, increased fever, and irritability. In Taiyang disease, after erroneous purgation leading to epigastric fullness, with both exterior and interior deficiency, exhaustion of Yin and Yang, adding scorching needles results in chest irritability, bluish-yellow complexion, and moist skin; this is difficult to treat. These harms arise because practitioners do not understand the principles established by ancient sages for needle therapy, leading to misuse.
[Explanation] Furthermore, for liver deficiency causing blurred vision and excessive tearing, wind-red eyes, formation of corneal opacities (Yi), stubborn purulent secretions, white membranes causing blindness after illness, or five viscera deficiency labor with wind-heat rushing upward to cause eye opacities, warming and cauterization methods are suitable. This is because Qi and Blood flow freely when warmed and stagnate when cooled. The method involves using a flat-headed needle, sized according to the opacity, heating it red, and gently cauterizing directly on the center of the opacity. After cauterization breaks the opacity, apply depuration medications immediately.