刺家不诊,听病者言,在头头疾痛,为藏针之,刺至骨病已,上无伤骨肉及皮,皮者道也。阴刺,入一旁
四处。治寒热深专者,刺大藏,迫藏刺背,背俞也,刺之迫藏,藏会,腹中寒热去而止,与刺之
要,发针而浅出血。治腐肿者刺腐上,视痈小大深浅刺,刺大者多血,小者深之,必端内针为故止。
病在少腹有积,刺皮,HT 以下,至少腹而止,刺挟脊两旁四椎间,刺两髂 季胁肋间,导腹中气热下已。病在少
腹,腹痛不得大小便,病名曰疝,得之寒,刺少腹两股间,刺腰髁骨间,刺而多之,尽炅病已。病在
筋,筋挛节痛,不可以行,名曰筋痹,刺筋上为故,刺分肉间,不可中骨也,病起筋炅病已止。病在肌肤,肌肤
尽痛,名曰肌痹,伤于寒湿,刺大分小分,多发针而深之,以热为故,无伤筋骨,伤筋骨,痛发若变,诸分尽
热病已止。病在骨,骨重不可举,骨髓酸痛,寒气至,名曰骨痹,深者刺无伤脉肉为故,其道大分小分,骨热
病已止。病在诸阳脉,且寒且热,诸分且寒且热,名曰狂,刺之虚脉,视分尽热病已止。病初发岁一发,不治月
一发,不治月四五发,名曰癫病,刺诸分诸脉,其无寒者以针调之,病已止。病风且寒且热,炅汗出,一日
数过,先刺诸分理络脉;汗出且寒且热,三日一刺,百日而已。病大风,骨节重,须眉堕,名曰大风,刺肌肉
为故,汗出百日,刺骨髓,汗出百日,凡二百日,须眉生而止针。
刺要论∶ (音素)弛(施是切)铄(诗若切)眩(音县)
刺齐论∶解(胡买切)
刺禁论∶髌(音牝)
刺志论∶脱(土活切)捻(音涅)
针解论∶ (音低)
长刺节论∶ (光抹切)篡(初患切)
Acupuncturists do not perform pulse diagnosis but listen to the patient's complaints. If pain is located in the head, needles are retained locally; needling to the bone level cures the disease, ensuring no injury to muscles, bones, or skin above, as the skin serves as the pathway for needle insertion. The Yin Needling method involves inserting a needle on one side and passing through to four points (or: inserting on one side, penetrating to the opposite side, totaling four needles). It treats deep and concentrated cold-heat pathogens by needling the Five Zang Organs (Five Zang Organs), approaching the Zang via back-shu points. Needling approaches the Zang because the Zang Qi converges at the back-shu points; abdominal cold-heat sensations cease when removed. This aligns with the essentials of needling: upon withdrawing the needle, allow slight bleeding. For treating abscesses and necrotic tissue, puncture the necrotic area; observe the size and depth of the carbuncle to determine needling depth—large carbuncles require copious bloodletting, small ones require deep needling. Needles must be inserted steadily and correctly, stopping when appropriate.
When pathology resides in the lower abdomen with accumulation, needle the skin layer from below the Henggu (CV12) point down to the lower abdomen. Needle the spaces between the fourth thoracic vertebrae on both sides of the spine, and between the iliac bones and costal margins on both sides, guiding heat qi downward in the abdomen to cure the disease. When pathology resides in the lower abdomen with abdominal pain and inability to urinate or defecate, the disease is named Hernia (Shan), caused by Cold. Needle between the two thighs in the lower abdomen and between the lumbar and sacral bones. Apply multiple needle insertions until local warmth is achieved, then the disease is cured. When pathology resides in the tendons, causing tendon spasms, joint pain, and immobility, the disease is named Tendon Bi (Tendon Obstruction). Needle the tendons themselves, inserting into the intermuscular spaces without piercing the bone. Stop when the tendons feel warm and the disease resolves. When pathology resides in the muscle layer, causing diffuse pain, the disease is named Muscle Bi (Muscle Obstruction), caused by Cold-Dampness. Needle large and small muscle compartments, using multiple deep needle insertions until local heat is achieved. Do not injure sinews or bones; if injured, pain may flare up or symptoms change. Stop when all compartments feel hot and the disease resolves. When pathology resides in the bones, causing heaviness, inability to lift limbs, bone marrow soreness, and invasion by Cold Qi, the disease is named Bone Bi (Bone Obstruction). Deep needling should avoid injuring vessels and muscles. The path follows the large and small muscle compartments. Stop when the bones feel warm and the disease resolves. When pathology resides in the Yang meridians, presenting with alternating chills and fever, and similar sensations in various muscle compartments, the disease is named Mania (Kuang). Reduce the pulse via needling. Stop when all compartments feel hot and the disease resolves.
If a disease initially occurs once a year, and remains untreated, it may occur once a month; if still untreated, four to five times a month. This is named Epilepsy (Dian). Needle various muscle compartments and meridians. For those without Cold, regulate with needles. Stop when the disease resolves. For Wind diseases presenting with chills, fever, and profuse sweating occurring several times a day, first needle the interstitial tissues and collateral vessels. If sweating accompanies chills and fever, needle every three days for one hundred days until cured. For severe Wind diseases (Da Feng) causing heavy joints and loss of eyebrows and beard, needle the muscles until sweating occurs for one hundred days, then needle the bone marrow until sweating occurs for another hundred days. Totaling two hundred days, stop needling when eyebrows and beard regrow.
*Discourse on Essentials of Needling*: Su (pronunciation), Chi (pronunciation), Shuo (pronunciation), Xuan (pronunciation).
*Discourse on Depth of Needling*: Jie (pronunciation).
*Discourse on Taboos of Needling*: Bin (pronunciation).
*Discourse on Excess and Deficiency in Needling*: Tuo (pronunciation), Nian (pronunciation).
*Discourse on Explanation of Needles*: Di (pronunciation).
*Discourse on Long Sections of Needling*: Guangmo (pronunciation), Cuan (pronunciation).