(《素问·通评虚实论》)
帝曰∶春亟治经络,夏亟治经俞,秋亟治六腑,冬则闭塞。闭塞者,用药而少针石也。(亟,急也。凡用针取病者,
春宜治各经之络穴;夏宜治各经之俞穴;秋气未深,宜治六腑阳经之穴;冬寒阳气闭塞,脉不易行,故当用药而少施针
石,此用针之大法也。亟音棘。塞,入声。)所谓少针石者,非痈疽之谓也,痈疽不得顷时回。(冬月气脉闭塞,宜少针
石者,乃指他病而言,非谓痈疽亦然也。盖痈疽毒盛,不泄于外,必攻于内,故虽冬月,亦急宜针石泻之。不得顷时回
者,谓不可使顷刻内回也,内回则毒瓦斯攻脏,害不小矣。)痈不知所,按之不应手,乍来乍已,刺手太阴旁三 与缨脉各
二。(痈疽已生,未知的所,故按之不应手也。乍来乍已,痛无定处也。刺手太阴旁者,太阴之脉,自腋下出中府,中府
之旁,乃足阳明气户、库房之次。刺瘢曰 ,三 ,三刺也。缨脉,结缨两旁之脉,亦足阳明颈中水突、气舍等穴。)掖
痈大热,刺足少阳五,刺而热不止,刺手心主三,刺手太阴经络者,大骨之会各三。(刺足少阳五者,少阳近掖之穴,则
渊腋、辄筋也。刺手心主三者,天池在腋下也。刺手太阴经络者,列缺也。大骨之会各三者,谓肩后骨解中,手太阳肩
贞穴也。)暴痈筋 ,随分而痛,魄汗不尽,胞气不足,治在经俞。( ,缩也。随分而痛,随各经之分也。魄汗,阴汗
也。胞气不足,水道不利也。治在经俞,随痈所在,以治各经之俞穴,如手太阴之俞,太渊之类是也。 音软。)
The Yellow Emperor asked: In spring, one should urgently treat the collaterals; in summer, one should urgently treat the Jing-River and Shu-Stream points; in autumn, one should urgently treat the Six Fu-organs; in winter, the Qi and Blood are closed. By "closed," it means relying on herbal medicine and using acupuncture and moxibustion sparingly. (Urgent implies promptness. Generally, when using acupuncture to treat disease: in spring, it is suitable to treat the Luo-Connecting points of each meridian; in summer, it is suitable to treat the Shu-Stream points of each meridian; in autumn, when the Qi has not yet deeply stored, it is suitable to treat the Yang meridian points of the Six Fu-organs; in winter, due to cold causing Yang Qi closure and difficulty in pulse flow, one should rely on herbal medicine and apply acupuncture and moxibustion sparingly. This is the general principle of acupuncture. 'Ji' is pronounced like 'ji'. 'Sai' is pronounced with entering tone.) The phrase "using acupuncture and moxibustion sparingly" does not refer to carbuncles and sores, because carbuncles and sores cannot be delayed for even a moment. (In winter, when Qi and pulse are closed, using acupuncture and moxibustion sparingly refers to other diseases, not implying that carbuncles and sores are treated similarly. Since the toxic heat of carbuncles and sores is abundant, if not drained externally, it will attack internally. Therefore, even in winter, it is urgent to use acupuncture and moxibustion to drain them. "Cannot return in an instant" means the pathogenic factor must not be allowed to retreat inward within a short time; if it retreats inward, it will attack the Zang-organs, causing significant harm.) For a carbuncle whose location is unknown, where palpation yields no distinct response, and pain comes and goes intermittently, one should puncture three points beside the Lung Meridian of Hand-Taiyin and two points on the Ying Mai (cervical collateral vessels) on each side. (When a carbuncle has formed but its exact location is unknown, palpation yields no distinct response. Intermittent pain indicates shifting locations. Puncturing beside the Hand-Taiyin refers to the area near the Zhongfu point, from which the Lung Meridian emerges from the axilla; beside Zhongfu are located the Qihu and Kufang points of the Stomach Meridian of Foot-Yangming. Puncturing three times is referred to as "San". Ying Mai refers to the vessels on both sides of the neck where the hat ribbon ties, corresponding to the Shuitu and Qishe points of the Stomach Meridian of Foot-Yangming.) For axillary carbuncles with high fever, puncture five points of the Gallbladder Meridian of Foot-Shaoyang. If the fever persists after needling, puncture three points of the Pericardium Meridian of Hand-Jueyin. Puncture the Luo-Connecting point of the Lung Meridian of Hand-Taiyin and the intersection of the large bones, three times each. (Puncturing five points of the Gallbladder Meridian refers to points near the axilla, such as Yuanye and Zhejin. Puncturing three points of the Pericardium Meridian refers to Tianchi, located in the axilla. Puncturing the Luo-Connecting point of the Lung Meridian refers to Lieque. Puncturing the intersection of the large bones three times refers to the Jianzhen point of the Small Intestine Meridian of Hand-Taiyin, located in the posterior shoulder bone gap.) For sudden onset of carbuncles causing tendon contraction and pain along the meridians, with profuse sweating and insufficiency of Bladder Qi, treatment should focus on the Shu-Stream points. (Contraction refers to shrinking. Pain along the meridians follows the distribution of each channel. Profuse sweating refers to Yin sweat. Insufficiency of Bladder Qi refers to dysfunction of water passage regulation. Treating the Shu-Stream points means treating the Shu-Stream points of the respective meridians according to the location of the carbuncle, such as Taiyuan, the Shu-Stream point of the Lung Meridian of Hand-Taiyin. 'Ruan' is pronounced like 'ruan'.)