凡欲行针须审穴要明补泻迎随诀胸背左右不相同呼吸阴阳男女别气刺两乳求太渊未应之
时泻列
缺列缺头疼及偏正重泻太渊无不应耳聋气痞听会针迎香穴泻效如神谁知天突治喉风虚喘须寻
三里中手连肩脊痛难忍合谷针时要太冲曲池两手不如意合谷下针宜仔细心疼手颤少海间若要
除根阴市安但患伤寒两耳聋金门听会疾如风五般肘痛寻尺泽太渊针后却收功手足上下针三里
食癖气块凭此取鸠尾能治五般痫若下涌泉人不死胃中有积刺璇玑三里功多人不知阴陵泉
治心
胸满刺到承山饮食思大杼若连长强寻小肠气痛即行针委中专治腰间痛脚膝肿时寻至阴气滞腰
疼不能立横骨大都宜救急气海专能治五淋更针三里随呼吸期门穴主伤寒患六日过经尤未汗但
向乳根二肋间又治妇人生产难耳内蝉鸣腰欲折膝下明存三里穴若能补泻五会间切莫向人容易
说睛明治眼未效时合谷光明安可缺人中治颠功最高十三鬼穴不须饶水钟水分兼气海皮内随针
气自消冷嗽先宜补合谷却须针泄三阴交牙疼腰痛并喉痹二间阳溪疾怎 更有三间肾俞妙善
治肩背浮风劳若针肩井须三里不测之时气未调最是阳陵泉一穴膝间疼痛用针烧委中腰痛脚挛
急取得其经血自调脚痛膝肿针三里悬钟二陵三阴交更向太冲须引气指头麻木自轻飘转筋目眩
针鱼腹承山昆仑立便消肚疼须是公孙妙内关相应必然瘳冷风冷痹疾难愈环跳腰间针与烧风府
风池寻得到伤寒百病一时消阳明二日寻风府呕吐还须上脘高妇人心痛心隆穴男子 癖三里高
小便不禁关元好大便闭塞大敦烧脘骨腿痛三里泻复溜气滞便离腰从来风府最难针 用工夫度
浅深倘若膀胱气未散更宜三里穴中寻若是七疝小腹痛照海阴交曲泉针又不应时求气海关元同
泻效如神小肠气撮痛连脐速泻阴交莫在迟良久涌泉针取气此中玄妙少人知小儿脱肛患多时先
灸百会次鸠尾久患伤寒肩背痛但针中渚得其宜肩上痛连脐不休手中三里便须求下针麻重即须
泻得气之时不用留腰连胯痛急必大便于三里攻其隘下针一泻三补之气上攻噎只管在噎不住时
气海灸定泻一时立便瘥补自卯南转针高泻从卯北莫辞劳逼针泻气令须吸右补随呼气自调左右
捻针寻子午抽针行气自迢迢用针补泻分明说更用搜索本与标咽喉是急先百会太冲气海及阴交学
者潜心须读熟席弘治病最名高
凡是要施行针刺，必须审慎选取穴位，要明白补法和泻法、迎随手法。胸部与背部的穴位左右不同，呼吸的阴阳属性以及男女体质也有区别。气机针刺于两乳之间以寻求太渊穴，若未见效时，则泻列缺穴。列缺穴治疗头痛及偏正头痛，重泻太渊穴没有不应验的。耳聋和气痞（耳中鸣响且胸膈痞满），针刺听会穴，配合迎香穴泻法，效果神效。谁知道天突穴能治疗喉风，虚喘症须寻取足三里穴。手连肩脊疼痛难以忍受，针刺合谷穴时要配合太冲穴。曲池穴治疗两手活动不利，合谷下针宜仔细。心疼伴手部颤抖，取少海穴；若要除根，取阴市穴。凡是患伤寒导致两耳失聪，金门穴和听会穴疗效疾如风。五种肘痛寻取尺泽穴，太渊穴针刺后收功。手足上下部位针刺三里穴，食癖气块凭此取效。鸠尾穴能治疗五般痫证。若下涌泉穴人不会死，胃中有积滞刺璇玑穴，三里穴功效多，但众人不知。阴陵泉治疗心胸闷满，刺到承山穴可增进食欲。大杼穴若连长强穴一起寻找小肠气痛，立即行针。委中专治腰间痛，脚膝肿胀按时寻至阴穴。气滞腰痛不能站立，横骨和大都穴宜救急。气海专能治疗五淋，再针刺三里穴配合呼吸。期门穴主治伤寒患病六日过经尤未出汗者，但在乳根穴与两肋间施治。又治妇人生产难产。耳内蝉鸣，腰欲折，膝下明存三里穴。若能补泻五会穴间，切莫向人轻易说。睛明穴治疗眼病未效时，合谷和光明穴安可缺。人中穴治疗颠顶之疾功效最高，十三鬼穴不须饶恕。水钟、水分兼气海，皮内随针气自消。冷嗽先宜补合谷，却须针泄三阴交。牙疼、腰痛并喉痹，二间、阳溪穴疾怎？更有三间、肾俞妙善治肩背浮风劳。若针肩井穴须配三里，不测之时气未调，最是阳陵泉一穴。膝间疼痛用针烧委中。腰痛脚挛急，取得其经血自调。脚痛膝肿针三里、悬钟、二陵、三阴交，更向太冲须引气。指头麻木自轻飘，转筋目眩针鱼腹。承山、昆仑立便消。肚疼须是公孙妙，内关相应必然瘳。冷风冷痹疾难愈，环跳腰间针与烧。风府、风池寻得到，伤寒百病一时消。阳明二日寻风府，呕吐还须上脘高。妇人心痛心隆穴，男子疝癖三里高。小便不禁关元好，大便闭塞大敦烧。脘骨腿痛三里泻，复溜气滞便离腰。从来风府最难针，用工夫度浅深。倘若膀胱气未散，更宜三里穴中寻。若是七疝小腹痛，照海、阴交、曲泉针。又不应时求气海、关元同泻效如神。小肠气撮痛连脐，速泻阴交莫在迟。良久涌泉针取气，此中玄妙少人知。小儿脱肛患多时，先灸百会次鸠尾。久患伤寒肩背痛，但针中渚得其宜。肩上痛连脐不休，手中三里便须求。下针麻重即须泻，得气之时不用留。腰连胯痛急必大便于三里攻其隘。下针一泻三补之气上攻噎，只管在噎不住时，气海灸定泻一时立便瘥。补自卯南转针高，泻从卯北莫辞劳。逼针泻气令须吸，右补随呼气自调。左右捻针寻子午，抽针行气自迢迢。用针补泻分明说，更用搜索本与标。咽喉是急先百会，太冲、气海及阴交。学者潜心须读熟，席弘治病最名高。
Whenever one intends to perform acupuncture, one must carefully select the acupoints and understand the techniques of tonification (Bu) and sedation (Xie), as well as the methods of Ying (meeting) and Sui (following). The points on the chest and back differ between the left and right sides; the yin-yang attributes of respiration and the constitutions of men and women also vary. When qi needs to be regulated by needling between the two breasts, seek Taiyuan (LU-9); if there is no response, sedate Lieque (LU-7). Lieque treats headache and lateral or frontal headache; heavy sedation of Taiyuan (LU-9) yields no failure. For deafness and Qi stagnation with chest fullness (Qi Pi), needle Tinghui (GB-2), and sedate Yingxiang (LI-20) for miraculous effects. Who knows that Tiantu (CV-22) treats throat wind (Hou Feng), and for deficiency-type wheezing, one should seek Zusanli (ST-36). For severe pain in the shoulder and spine extending to the hand, needle Hegu (LI-4) while coordinating with Taichong (LR-3). Quchi (LI-11) treats dysfunction of both hands; when needling Hegu (LI-4), one must be meticulous. For heart pain accompanied by hand tremors, take Shaohai (HT-3); to eradicate the root cause, take Yinshi (ST-33). In cases of cold damage resulting in bilateral deafness, Jinmen (BL-63) and Tinghui (GB-2) act swiftly like the wind. For five types of elbow pain, seek Chize (LU-5); after needling Taiyuan (LU-9), the treatment concludes. For upper and lower limb disorders, needle Zusanli (ST-36); food retention and Qi masses are treated thereby. Jiutui (CV-15) treats five types of epilepsy. If Yongquan (KI-1) is needled, death can be avoided; for gastric accumulation, Xuanji (CV-15) is needled, and Zusanli (ST-36) has many merits, though few know this. Yinlingquan (SP-9) treats chest fullness; when needling reaches Chengshan (BL-57), appetite returns. If Dazhu (BL-11) is combined with Changqiang (GV-1) to treat Xiao Chang Qi pain, immediate relief follows. Weizhong (BL-40) specifically treats waist pain; for swelling of feet and knees, find Zhiyin (BL-67) according to the timing. For qi stagnation causing waist pain preventing standing, Henggu (KI-12) and Dadu (SP-13) serve as emergency measures. Qihai (CV-6) specifically treats the five types of Lin syndrome; additionally, needle Zusanli (ST-36) coordinated with respiration. Qimen (LR-14) mainly treats cold damage where six days have passed since the meridian transition without sweating; treat between Rupen (ST-24) and the hypochondrium. It also treats difficult labor in women. For tinnitus like cicadas, sensation of waist breaking, and knee issues, Zusanli (ST-36) is clearly preserved below the knee. If one can apply tonification and sedation at Wuhui (CV-13), do not easily reveal this to others. When Jingming (BL-1) fails to treat eye diseases, Hegu (LI-4) and Guangming (GB-37) are indispensable. Renzhong (GV-26) has the highest efficacy for treating disorders of the vertex; the Thirteen Ghost Points should not be overlooked. Shuizhong, Shuifen, and Qihai, with subcutaneous needling, naturally dissipate qi. For cold cough, first tonify Hegu (LI-4), then sedate Sanyinjiao (SP-6). For toothache, low back pain, and bi-syndrome of the throat, Erjian (LI-2) and Yangxi (LI-5) address the疾 (disease). Additionally, Sanjian (LI-3) and Shenshu (BL-23) excellently treat floating wind and lao (consumptive disease) of the shoulder and back. If needling Jianjing (GB-21), it must be coordinated with Zusanli (ST-36); when the condition is unpredictable and qi is unregulated, Yanglingquan (GB-34) is paramount. For knee pain, burn Weizhong (BL-40). For low back pain and leg spasms, obtaining blood from the affected meridian regulates it naturally. For foot pain and knee swelling, needle Zusanli (ST-36), Xuanzhong (GB-39), Erling (Yanglingquan GB-34 and Yinlingquan SP-9), Sanyinjiao (SP-6), and further use Taichong (LR-3) to guide qi. Numbness in fingers feels lighter; for muscle spasms and dizziness, needle Yufu (ST-34). Chengshan (BL-57) and Kunlun (BL-60) provide immediate relief. For abdominal pain, Gongsun (SP-4) is excellent, and Neiguan (PC-6) corresponds inevitably to cure. Cold wind and cold bi-syndromes are hard to cure; needle and burn Huantiao (GB-30) in the waist. Finding Fengfu (GV-16) and Fengchi (GB-20) eliminates hundred diseases of cold damage in an instant. On the second day of Yangming disease, seek Fengfu (GV-16); for vomiting, Shangwan (CV-13) is high. For women's heart pain, Xinluan (EX-HP-1) is indicated; for men's hernia, Zusanli (ST-36) is high. For involuntary urination, Guanyuan (CV-4) is good; for fecal impaction, burn Dadun (LR-1). For shin bone and leg pain, sedate Zusanli (ST-36); for qi stagnation leaving the waist, Fuliou (BL-80) is used. Fengfu (GV-16) has always been difficult to needle, requiring skill to gauge depth. If bladder qi is not dispersed, seek Zusanli (ST-36) again. For seven types of hernia with lower abdominal pain, needle Zhaohai (KI-6), Yinjiao (RN-7), and Ququan (LR-8). If still ineffective, seek Qihai (CV-6) and Guanyuan (CV-4) together for sedation with miraculous effects. For sudden pain of Xiao Chang Qi radiating to the navel, quickly sedate Yinjiao (RN-7) without delay. After a long time, take qi from Yongquan (KI-1); the mystery of this is known by few. For pediatric rectal prolapse lasting long, first moxa Baihui (GV-20), then Jiutui (CV-15). For chronic cold damage with shoulder and back pain, simply needle Zhongzhu (TE-3) appropriately. For shoulder pain radiating to the navel without cessation, seek Zusanli (ST-36) in the hand. Upon needling, if numbness and heaviness occur, sedation is required; upon obtaining Deqi, leave the needle in place. For urgent pain connecting waist and hip with difficulty in defecation, attack the obstruction with Zusanli (ST-36). Use one sedation and three tonifications to direct qi upward against choking; if choking persists, moxa Qihai (CV-6) and immediately sedate for rapid recovery. Tonification turns the needle towards Mao South (clockwise/eastward), avoiding fatigue in sedation which turns towards Mao North (counter-clockwise/westward). To force qi out during sedation, require inhalation; for right-side tonification, follow exhalation to self-regulate. Twisting the needle left and right seeks Zi-Wu (midnight-noon); withdrawing the needle allows qi to travel far. Clearly state the tonification and sedation techniques, and search for the root and branch. For acute throat emergencies, first use Baihui (GV-20), Taichong (LR-3), Qihai (CV-6), and Yinjiao (RN-7). Students must study these diligently; Xi Hong was most famous for treating diseases.