少商鱼际与太渊。经渠尺泽肺相连。商阳二三间合谷。阳溪曲池大肠牵。少冲少府属于
心。
窍阴侠溪临泣胆。丘墟阳辅阳陵泉。隐白大都太白脾。商丘阴陵切要知。涌泉然谷太溪穴。
复溜阴谷肾之经。厉兑内庭陷谷胃。冲阳解溪三里随。至阴通谷束京骨。昆仑委中是膀胱。
中冲
流注五行全。
禁针穴道要先明。脑户囟会及神庭。络却玉枕角孙穴。颅息承泣随承灵。神道灵台膻
。水分神阙并会阴。横骨气冲手五里。箕门承筋并青灵。更加臂上三阳络。二十二穴不可针
。孕妇不宜针合谷。三阴交内亦同伦。石门针灸应须忌。女子终身无妊娠。外有云门并鸠尾
。缺盆客主人莫深。肩井针时令闷倒。三里急补命还平。
禁灸之穴四十五。承光哑门并风府。天柱素 临泣上。晴明攒竹迎香数。禾 颧 丝
。头维下关与脊中。肩贞心俞白环俞。天牖人迎共乳中。周荣渊液并鸠尾。腹哀少商鱼际同
。经渠天府中冲位。阳关阳池地五会。隐白漏谷阴陵泉。条口犊鼻并阴市。伏免髀关及委中
。殷门申脉承扶忌。
机按。难经所解。义犹未悉。且举心言之。经文虚实字。指虚邪实邪言。非心之虚实也
如从心之后来者为虚邪。虚邪伤心当补。然心之后肝。肝为心之母也。从心之前来者为实邪
。实邪伤心当写。然心之前脾。脾为心之子也。举此以例。从心所胜来者为微邪。微邪。金
也。微邪伤心亦当补。从心所不胜来者为贼邪。贼邪。水也。贼邪伤心亦当写。可见
肝肺同一虚邪而当补。脾肾同一实邪而当写。至于心之正邪。火也。心病于火。乃本经自病
。既非他经之虚邪来伤。亦非他经之实邪来袭。是以不须补写他经。只就本经之虚实以补写
也。故曰。不虚不实。以经取之。不虚不实。亦指虚邪实邪言。如此分解。其义方尽。可将
此连前后数篇观之。则可见矣。
Shao Shang (LU11), Yu Ji (LU10) and Tai Yuan (LU9) are connected to the Lung Meridian. Jing Qu (LU8) and Chi Ze (LU5) connect with Shang Yang (LI1), Er Jian (LI2), San Jian (LI3), He Gu (LI4), Yang Xi (LI5) and Qu Chi (LI11), which are linked to the Large Intestine Meridian. Shao Chong (HT9) and Shao Fu (HT8) belong to the Heart Meridian. Xiao Yao (GB1), Xia Xi (GB43) and Lin Qi (GB14) [Foot-Lin Qi] belong to the Gallbladder Meridian. Qiu Xu (GB40), Yang Fu (GB38) and Yang Ling Quan (GB34) also belong to the Gallbladder Meridian. Yin Bai (SP1), Da Du (SP2) and Tai Bai (SP3) belong to the Spleen Meridian. Shang Qiu (SP5) and Yin Ling Quan (SP9) must be known thoroughly. Yong Quan (KI1), Ran Gu (KI2) and Tai Xi (KI3) acupoints, plus Liu Gui (KI7) and Yin Gu (KI10) constitute the Kidney Meridian. Li Dui (ST45), Nei Ting (ST44) and Xian Gu (ST43) belong to the Stomach Meridian. Chong Yang (ST42), Jie Xi (ST41) and Zu San Li (ST36) follow. Zhi Yin (BL67), Tong Gu (BL66), Shu Gu (BL65) and Jing Gu (BL64), Kun Lun (BL60) and Wei Zhong (BL40) are the Bladder Meridian. Zhong Chong (PC9) circulates the complete Five Elements [Qi].
One must first clearly understand the contraindicated acupoints for needle insertion: Nao Hu (DU16), Xin Hui (DU20) and Shen Ting (DU24). Luo Que (BL19), Yu Zhen (BL17) and Jiao Sun (TE6) acupoints, Lu Xi (TE19), Cheng Qi (ST1) following Cheng Ling (DU10). Shen Dao (DU12), Ling Tai (DU10) [Note: Text says Ling Tai, likely DU10 or similar mid-back point, context implies back shu/midline], Dan Zhong (CV17), Shui Fen (CV9), Shen Que (CV8) and Hui Yin (CV1). Heng Gu (KI12), Qi Chong (ST30) and Shou Wu Li (PC5), Ji Men (SP11), Cheng Jin (BL56) and Qing Ling (HT3). Additionally, San Yang Luo (TE7) on the arm; these twenty-two acupoints must not be needled. Pregnant women should not have He Gu (LI4) needled; San Yin Jiao (SP6) is similarly contraindicated. Shi Men (CV5) must be avoided for both acupuncture and moxibustion; if treated, a woman will never conceive. Furthermore, Yun Men (LU2) and Jiu Wei (CV15); Que Pen (ST12) and Ke Zhu Ren (ST7) must not be inserted deeply. Needling Jian Jing (GB21) may cause fainting; in such cases, urgent tonification of Zu San Li (ST36) will restore stability.
There are forty-five acupoints contraindicated for moxibustion: Cheng Guang (BL6), Ya Men (DU15) and Feng Fu (DU16). Tian Zhu (BL10), Su Liao (DU26), Lin Qi (GB14) above [Shang Xing], Jing Ming (BL1), Zan Zhu (BL2) and Ying Xiang (LI20). He Liao (SI19), Quan Gu (BL78) [Text says Quan Gu, likely referring to cheekbone area or specific point, context implies facial/head points], Si Zhu Kong (TE23). Tou Wei (ST8), Xia Guan (ST7) and Ji Zhong (DU12). Jian Zhen (SI9), Xin Shu (BL15) and Bai Huan Shu (BL30). Tian You (TE16), Ren Ying (ST9) and Ru Zhong (CV17). Zhou Rong (ST23), Yuan Ye (KI15) and Jiu Wei (CV15). Fu Ai (ST25), Shao Shang (LU11) and Yu Ji (LU10) are the same [contraindicated]. Jing Qu (LU8), Tian Fu (LU3) and Zhong Chong (PC9) positions. Yang Guan (EX-BA4) [or BL23? Context suggests extra or specific point], Yang Chi (TE4) and Di Wu Hui (EX-LE1). Yin Bai (SP1), Lou Gu (SP9) and Yin Ling Quan (SP9). Tiao Kou (ST38), Du Bi (EX-LE4) and Yin Shi (ST33). Fu Mian (EX-LE3), Bi Guan (ST31) and Wei Zhong (BL40) are forbidden. Yin Men (BL37), Shen Mai (BL62) and Cheng Fu (BL36) are forbidden.
Wang Ji’s commentary: The interpretation in *Nan Jing* is not entirely clear. Let us take the Heart as an example. The terms "deficiency" (Xu) and "excess" (Shi) in the text refer to deficient pathogenic factors (Xu Xie) and excess pathogenic factors (Shi Xie), not the deficiency or excess of the Heart organ itself. For instance, what comes from behind the Heart is a deficient pathogen (Xu Xie); if it injures the Heart, one should tonify. However, behind the Heart is the Liver, and the Liver is the Mother of the Heart. What comes from the front of the Heart is an excess pathogen (Shi Xie); if it injures the Heart, one should sedate. However, in front of the Heart is the Spleen, and the Spleen is the Child of the Heart. Taking this as an example: what comes from what the Heart overcomes (Metal) is a slight pathogen (Wei Xie); if it injures the Heart, one should tonify. What comes from what overcomes the Heart (Water) is a thieving pathogen (Ze Xie); if it injures the Heart, one should sedate. Thus, the Liver and Lung both receive deficient pathogens and should be tonified, while the Spleen and Kidney both receive excess pathogens and should be sedated. Regarding the Heart's own pathogen, which is Fire: Heart disease due to Fire is a self-disease of the meridian. It is neither a deficient pathogen from another meridian nor an excess pathogen attacking from another meridian. Therefore, there is no need to tonify or sedate other meridians; one should only tonify or sedate based on the deficiency or excess within the meridian itself. Hence it is said: "If there is neither deficiency nor excess, treat according to the meridian." Here, "neither deficiency nor excess" also refers to the absence of deficient or excess pathogens. Only by such analysis can the meaning be fully exhausted. This passage should be read together with the preceding and following chapters to be understood.