平按∶此篇自篇首至末,见《灵枢》卷二第七《官针》篇,又见《甲乙经》卷五第二。
凡刺有五,以应五脏。一曰半刺,半刺者,浅内而疾发针,令针伤多,如拔发爪,以取
皮气,此肺之应。(凡刺不减一分,今言半刺,当是半分,故以拔发爪,欲令浅刺,多则恐伤气
也。平按∶毋令针伤多《灵枢》、《甲乙》作无针伤肉。发爪《灵枢》作毛状,取上无以字。《甲
乙》爪作状。)二曰豹文刺,豹文刺者,刺左右前后针之,中脉为故,以取经络之血者,此心之
应也。(左右前后针 ,状若豹文,故曰豹文刺也。中经及络,以出血也。平按∶《灵枢》、《甲
乙》左右上无刺字。)三曰关刺,关刺者,直刺左右,尽筋上,以取筋痹,慎无出血,此肝之应
也,或曰开刺,一曰岂刺。(刺关身之左右,尽至筋上,以去筋痹,故曰关刺,或曰开刺也。平
按∶开刺《灵枢》作渊刺,《甲乙》同,惟或曰渊刺又曰岂刺八字,在四曰合刺之下。)四曰合刺,
合刺者,左右鸡足,针于分肉之间,以取肌痹,此脾之应也。(刺身左右分肉之间, 如鸡足之
迹,以合分肉间之气,故曰合刺也。平按∶合刺《灵枢》、《甲乙》作合谷刺。)五曰输刺,输刺
者,直入直出,深内之至骨,以取骨痹,此肾之应也。(根据于输穴,深内至骨,以去骨痹,故曰
输刺也。平按∶输刺《甲乙》作 刺。)
Ping An (Commentary on Textual Variants): This section, from the beginning to the end, is found in *Ling Shu* (Spiritual Pivot), Volume 2, Chapter 7 "Guan Zhen" (Official Needling), and also in *Jia Yi Jing* (The Classically Confirmed Canon of Acupuncture and Moxibustion), Volume 5, Chapter 2.
There are five types of needling methods, corresponding to the Five Zang Organs (Zang-Fu organs). The first is called Ban Ci (Half-Needling). Ban Ci involves shallow insertion and rapid withdrawal of the needle, causing minimal tissue damage, akin to plucking a hair or nail, to extract Qi from the skin level; this corresponds to the Lung. (Note: While the text says "let the needle cause much injury," Yang Shangshan's commentary and textual variants suggest it means avoiding deep injury to flesh; thus, it implies shallow needling to avoid damaging Zheng Qi. Ping An: *Ling Shu* and *Jia Yi Jing* read "do not let the needle injure the flesh." *Ling Shu* reads "mao zhuang" instead of "fa zhua"; *Jia Yi Jing* reads "zhuang" instead of "zhua".) The second is called Bao Wen Ci (Leopard-Spot Needling). Bao Wen Needling involves inserting needles at multiple points around the left, right, front, and back of the lesion, targeting the vessels to drain blood from the meridians; this corresponds to the Heart. (The pattern of needling resembles leopard spots, hence the name. It targets Jing and Luo vessels to release blood. Ping An: *Ling Shu* and *Jia Yi Jing* do not have the character "Ci" after "Zuo You".) The third is called Guan Ci (Joint Needling). Guan Needling involves direct insertion into the left and right sides of a joint, reaching the tendon attachment, to treat Jin Bi (Tension Bi Syndrome); care must be taken not to cause bleeding. This corresponds to the Liver. It is alternatively known as Kai Ci (Opening Needling) or Qi Ci. (Inserting into the left and right sides of the body's joints, reaching the tendons, to dispel Jin Bi, hence named Guan Needling, or Kai Needling. Ping An: *Ling Shu* reads "Yuan Ci" instead of "Kai Ci"; *Jia Yi Jing* is the same. The phrase "or said Yuan Ci, also said Qi Ci" appears under the fourth method, He Ci, in some versions.) The fourth is called He Ci (Combined Needling). He Needling involves inserting needles in a chicken-foot distribution on the left and right sides, between the muscle compartments, to treat Ji Bi (Muscle Bi Syndrome); this corresponds to the Spleen. (Inserting into the space between muscles on the left and right, resembling the tracks of a chicken's foot, to combine the Qi in the intermuscular spaces, hence named He Needling. Ping An: *Ling Shu* and *Jia Yi Jing* read "He Gu Ci" instead of "He Ci".) The fifth is called Shu Ci (Acupoint/Transport Needling). Shu Needling involves direct insertion and withdrawal, penetrating deeply to the bone, to treat Gu Bi (Bone Bi Syndrome); this corresponds to the Kidney. (Based on Shu points, inserting deeply to the bone to dispel Gu Bi, hence named Shu Needling. Ping An: *Jia Yi Jing* reads "Nei Ci" instead of "Shu Ci".)