论曰∶安康公李袭兴称,武德中出镇潞州,嘱随征士甄权以新撰《明堂》示余,余既暗
昧,未之奇也。时有深州刺史成君绰,忽患颈肿如数升,喉中闭塞,水粒不下已三日矣,以
状告余,余屈权救之,针其右手次指之端,如食顷,气息即通,明日饮啖如故。尔后缙绅之
士,多写权图,略遍华裔,正观中入为少腑,奉敕修《明堂》,与承务郎司马德逸、太医令
谢季卿、太常丞甄立言等,校定经图,于后以所作呈示。甄权曰∶人有七尺之躯,脏腑包其
内,皮肤络其外,非有圣智,孰能辨之者乎?吾十有八而志学于医,今年过百岁,研综经方,
推
,雷公问难殷勤,对扬周密。去圣久远,愚人无知,道听途说,多有穿凿,起自胸臆。至如
王遗乌衔之法,单行浅近,虽得其效偶然,即谓神妙,且事不师古,远涉必泥。夫欲行针者
,必准轩辕正经;用药者,须依《神农本草》。自余《名医别录》益多误耳。余退以《甲乙
》校,秦承祖图有旁庭脏会等一十九穴,按六百四十九穴有目无名,其角孙景风一十七穴,
三部针经具存焉。然其图缺漏,仍有四十九穴,上下倒错,前后易处,不合本经,所谓“失
之毫厘,差之千里”也。至如石门、关元二穴,在带脉下相去一寸之间,针关元主妇人无子,
针石门则终身绝嗣。神庭一穴在于额上,刺之主发狂,灸之则愈癫疾。其道幽隐,岂可轻侮
之哉?人诚知惜命,罕通经方,抄写方书,专委下吏,承误即录,纰缪转多,近智之徒,不
见正本,逢为经抄,以此而言,可为深诫。今所述针灸孔穴,一依甄公《明堂图》为定,学
者可细详之。且夫当今医者,各承一业,未能综练众方,所以救疾多不全济,何哉?或有偏
功针刺,或有偏解灸方,或有惟行药铒,或有专于禁咒,故以网罗诸疾,有愈于是,慨其如
此,聊以养疾之暇,撰录灸经以贻后嗣。其于条例具之。医者意也,善于用意即为良医。良
医之道,必先诊脉处方,次即针灸。内外相扶,病必当愈。何则?汤药攻其内,针灸攻其外
。不能如此,虽时愈疾,兹为偶瘥,非医瘥也。又以孔穴难谙,非图莫可,虽复经本具述,
自非硕学之士,造次未可卒知。所以先述取穴方法云尔。
论曰:安康公李袭兴曾说,在武德年间出任潞州刺史时,嘱咐随征士甄权将新编撰的《明堂》图展示给我。我当时愚昧无知,并未觉得它有什么奇特之处。当时有深州刺史成君绰,突然患上颈部肿胀如数升之大,喉咙闭塞,三天无法进食进水。他将病情告知我,我请甄权前去救治。甄权针刺其右手次指(中指)末端,大约一顿饭的工夫,气息便通畅了,第二天饮食恢复如常。此后,官员们多抄写甄权的针灸图,广泛流传于中原及外族地区。贞观年间,甄权入朝担任少府监,奉皇帝诏令修撰《明堂》,他与承务郎司马德逸、太医令谢季卿、太常丞甄立言等人,校订审定经络穴位图,后来将所作成果呈示给我。
甄权说:“人有七尺之躯,脏腑包裹在内,皮肤络脉覆盖在外,如果没有圣人的智慧,谁能分辨清楚呢?我十八岁立志学医,如今已过百岁,深入研究综合经典方剂,反复推敲推演,雷公问难时殷勤应对,回答周密详尽。距离圣人时代久远,愚人无知,道听途说,多有穿凿附会,起自主观臆断。至于像王遗乌衔针法那样,单独使用且浅显简单,虽然偶尔见效,就认为是神妙,但做事不效法古代经典,远涉必致泥古不通。想要施行针刺的人,必须依据轩辕黄帝的正经;用药的人,必须依据《神农本草经》。其余如《名医别录》等书增加的内容大多有误罢了。”
我退而用《甲乙经》进行校对,发现秦承祖的图中有旁庭、脏会等十九个穴位,按照六百四十九穴的标准,有些有名称描述却无具体名字,其中角孙、景风等十七个穴位,三部《针经》中均有记载。然而他的图存在缺漏,仍有四十九个穴位位置上下颠倒错乱,前后互换,不符合本经循行路线,这就是所谓的“失之毫厘,差之千里”。至于石门、关元两个穴位,位于带脉之下,相距一寸之间,针刺关元主治妇人不孕,针刺石门则会导致终身绝嗣。神庭一穴位于额头之上,刺之可致发狂,灸之则可治愈癫疾。其中的道理幽深隐秘,怎么可以轻视侮辱它呢?人们如果真知道爱惜生命,很少通晓经典方剂,只是抄写方书,专门委托给下级官吏,承接错误就照录不误,谬误越来越多。近于小聪明的人,不见正本,逢为经抄,以此而言,值得深深警戒。现在所论述的针灸孔穴,一律依照甄公的《明堂图》作为定准,学习者可以仔细详查。况且当今的医者,各自承袭一门技艺,未能综合练习众多方术,所以救治疾病大多不能全面奏效,为什么呢?有的人偏重于针刺,有的人偏重于解灸方,有的人只行药饵,有的人专于禁咒。因此网罗各种疾病,有的在此处痊愈,感慨如此情况,姑且在养病之余,撰写记录灸法经典以留给后代。其中的条例都已具备。医者,靠的是心意,善于运用心意就是良医。良医之道,必须先诊脉处方,其次才是针灸。内外相互扶持,病必定痊愈。为什么呢?汤药攻治内部,针灸攻治外部。不能这样做,虽然有时治愈疾病,这只是偶然的好转,并非真正的医疗痊愈。又因为孔穴难以熟悉,没有图就不可能知晓,虽然经文原本都有叙述,如果不是博学之士,仓促之间也不能立刻知晓。所以先叙述取穴方法,就是这样。
Translation:
It is said that Li Xixing, Duke of Ankang, stated: During the Wude era, when I was appointed as the Prefect of Luzhou, I instructed Zhen Quan, the Retired Scholar Attendant, to show me his newly compiled "Mingtang" (Acupoint Diagrams). At that time, due to my ignorance and lack of insight, I did not perceive any particular merit in them. At that time, Cheng Junchuo, the Prefect of Shenzhou, suddenly suffered from a neck swelling as large as several sheng [a unit of volume], with throat obstruction such that he could not swallow water or grain for three days. He reported this condition to me, and I requested Zhen Quan to treat him. Zhen Quan needled the tip of the fourth finger [middle finger] of his right hand. After approximately the time it takes to eat a meal, his breathing immediately cleared, and by the next day, his diet had returned to normal. Thereafter, many officials copied Zhen Quan's diagrams, which spread widely among the Chinese and foreign peoples. During the Zhenguan era, Zhen Quan entered the capital to serve as Shaofu Jian [Minor Director of the Palace Workshops]. By imperial edict, he revised the "Mingtang," working alongside Sima Deyi, Chengwu Lang [Attendant Gentleman], Xie Jiqing, Taiyi Ling [Director of the Imperial Medical Bureau], and Zhen Liyan, Taichang Cheng [Assistant Director of the Court of Imperial Sacrifices], to collate and finalize the meridian maps. Later, he presented his work to me.
Zhen Quan said: "Humans possess bodies seven chi long; internal organs are enclosed within, and skin and collaterals cover the exterior. Without sage-like wisdom, who can distinguish them clearly? I dedicated myself to medicine at eighteen years old, and now I have passed one hundred. I have studied and synthesized classical prescriptions, pushing through difficulties and reasoning carefully. When Lei Gong posed questions, I responded diligently and comprehensively. Since the time of the Sages has been long past, ignorant people rely on hearsay, often making forced interpretations based on subjective speculation. As for methods like Wang Yi's 'Wu Xian' [Black Bird Pecking] needle technique, which are used alone and are shallow and simple: although they may occasionally yield results, claiming them to be miraculous is flawed because such practices do not follow ancient classics, leading inevitably to error when applied broadly. Those who wish to practice acupuncture must align with the orthodox meridians of Xuanyuan [Yellow Emperor]; those who use herbs must rely on the *Shennong Bencao Jing* (*Divine Farmer's Materia Medica*). Other texts, such as the *Mingyi Bielu* (*Record of Famous Physicians*), contain much erroneous information."
Upon retiring, I compared the text with the *Jiayi Jing* (*Systematic Classic of Acupuncture and Moxibustion*). I found that Qin Chengzu's diagram contained nineteen acupoints such as Pangting and Zanghui. According to the standard of 649 acupoints, some entries had descriptions but lacked specific names. Among these, seventeen points including Jiaosun and Jingfeng were preserved in the three parts of the *Zhenjing* (*Classic of Needling*). However, his diagrams had omissions; forty-nine acupoints remained with their positions inverted vertically and swapped horizontally, contradicting the original meridian pathways. This is what is meant by "miss by a hair's breadth, lose by a thousand li." For instance, regarding the Shimen and Guanyuan acupoints: located below the Dai Mai [Girdle Vessel], separated by one cun, needling Guanyuan treats female infertility, whereas needling Shimen leads to lifelong sterility. The Shenting acupoint is located on the forehead; needling it may induce mania, while moxibustion on it can cure epilepsy. The principles involved are profound and hidden; how can they be treated lightly or with disrespect? If people truly valued their lives, they would rarely rely solely on copying prescription books and entrusting them to low-ranking clerks. Errors are copied without verification, leading to increasing inaccuracies. Those with superficial intelligence, failing to consult authentic sources, merely copy circulating texts. In this regard, deep caution is warranted. The acupoints discussed herein are strictly standardized according to Master Zhen's *Mingtang Tu* (*Diagram of Mingtang*). Students should examine them carefully. Moreover, contemporary physicians each specialize in a single discipline and fail to master diverse treatments comprehensively; thus, their cures are often incomplete. Why? Some偏重 (focus exclusively) on acupuncture, others on moxibustion formulas, some only on herbal pills, and others on incantations. Consequently, while various diseases may be cured in certain instances, reflecting on this situation, I have compiled this record of moxibustion classics during my convalescence to leave for future generations. The regulations are fully detailed therein. A physician relies on intent (*Yi*); mastering intent makes one a good physician. The way of the good physician requires first diagnosing via pulse-taking and prescribing, followed by acupuncture and moxibustion. Internal and external therapies support each other, ensuring recovery. Why? Herbal decoctions attack pathogens internally, while acupuncture and moxibustion attack externally. Without this approach, even if diseases are occasionally cured, it is merely accidental remission, not true medical healing. Furthermore, acupoints are difficult to memorize; without diagrams, knowledge is impossible. Although the canonical texts describe them, unless one is a great scholar, one cannot grasp them hastily. Therefore, I first describe the methods for locating acupoints.