必欲治病,莫如用针。巧运神机之妙,工开圣理之深。外取砭针,能蠲邪而辅正;中
含水火,善回阳而倒阴。原夫络别支殊,经交错综。或沟渠溪谷以歧异,或山海丘陵
而隙共。斯流派以难睽,在条纲而有统。理繁而昧,纵补泻以何功?法捷而明,自迎随而
得用。且如行步难移,太冲最奇。人中除脊膂之强痛,神门去心性之呆痴。风伤项急,
始求于风府;头晕目眩,要觅于风池。耳闭须听会而治也,眼疼则合谷以推之。胸结身黄,
取涌泉而即可;脑昏目赤,泻攒竹以便宜。若两肘之拘挛,仗曲池而平扫。牙齿痛,吕
细堪治;颈项强,承浆
可保。太白宣道于气冲,阴陵开通于水道。腹 而胀,夺内庭以休迟;筋转而疼,泻承山
之在早。大抵脚腕痛, 解愈; 膝疼,阴市能医。痫发颠狂兮,凭后溪而料理,
疟生寒热兮,仗间使以扶持。期门罢胸满血膨而可已,劳宫退胃翻心痛以何疑?稽夫大敦
去七疝之偏疼,王公谓此;三里却五劳之羸瘦,华佗言斯。腕骨祛黄,然谷泻肾。行间治
膝肿腰疼,尺泽去肘疼筋急。目昏不见,二间宜取;鼻塞无闻,迎香可引。肩井除两臂
湿痛难任,丝竹空疗偏头疼不忍。咳嗽寒痰,列缺堪凭;眵 冷泪,临位尤准。髋骨将腿
疼以祛残,肾俞把腰疼而泻尽。越人治尸厥于会维,随手而苏;文伯泻死胎于三阴,应针
而堕。所谓诸痛为实,诸麻曰虚。实则自外而入也,虚则自内而出与!是故济母而裨其
不足,夺子而平其有余。观二十七之经络,一一明辨;据四百四之疾证,件件皆除。故得
夭枉都无,跻斯民于寿域;几微已判,彰往古之玄书。又闻心胸病,求掌后之大陵;
肩背痛,责肘前之三里。冷痹肾败,取足阳明之土,脐连腹痛,泻足少阴之水。脊间心后
者,针中渚而立痊;胁下肋边者、刺阳陵而即止。头项痛,拟后溪以安然;腰脚疼,在委
中而已矣。(《卫生宝鉴》注∶吕细穴,一名大溪,为足少阴肾经穴也。)
要想治病,没有比使用针灸更好的了。巧妙运用神机(指人体生命活动的内在机制)的奥妙,深入探究圣人的医理。对外采用砭石和针具,能够祛除邪气并辅助正气;对内蕴含水火(指阴阳、寒热等病理变化)之理,善于回阳救逆并纠正阴证。
追溯其源,络脉分支殊异,经脉交错综合。有的像沟渠、溪谷那样分歧变异,有的像山海、丘陵那样间隙相通。这些流派虽然难以分离,但在条纲上却有统绪。如果道理繁杂而昏昧,即使运用补泻手法又有什么功效呢?如果法则敏捷而明确,自然就能通过迎随(迎随补泻法)来应用。
况且如行走困难,太冲穴最为神奇。人中穴能消除脊柱强痛,神门穴能去除心性的呆痴。风邪伤及颈部导致拘急,开始应寻求风府穴;头晕目眩,要寻找风池穴。耳闭需要听会穴来治疗,眼疼则用合谷穴推治。胸中郁结身体发黄,取涌泉穴即可;头脑昏沉眼睛红赤,泻攒竹穴以方便处理。如果是两肘拘挛,依靠曲池穴来平复清扫。牙齿痛,吕细穴(即大溪穴)可以治疗;颈项强直,承浆穴可以保证痊愈。太白穴宣通气冲,阴陵穴开通水道。腹部胀满,夺取内庭穴的气机不要迟疑;筋脉转筋疼痛,尽早泻承山穴。大体上脚腕痛,解溪穴能治愈;膝盖疼,阴市穴能医治。癫痫发作发狂,凭借后溪穴来调理;疟疾产生寒热,依靠间使穴来扶持。期门穴能罢除胸满血膨,劳宫穴能退去胃翻心痛,有什么可怀疑的呢?考察大敦穴能去除七疝的偏疼,王公对此有论述;足三里能克服五劳导致的羸瘦,华佗曾这样说过。腕骨穴祛黄,然谷穴泻肾火。行间穴治疗膝肿腰疼,尺泽穴去除肘疼筋急。眼睛昏花看不见,二间穴适宜选取;鼻塞听不见声音,迎香穴可以引导。肩井穴除去两臂湿痛难以忍受,丝竹空穴治疗偏头疼不忍卒读。咳嗽有寒痰,列缺穴值得依赖;眵泪冷泪,临泣穴尤为准确。髋骨将腿疼祛除残存,肾俞把腰疼泻尽。越人(扁鹊)在会维穴治疗尸厥,随手而苏醒;文伯在三阴交穴泻死胎,应针而下堕。所谓各种疼痛属于实证,各种麻木属于虚证。实证是从外而入,虚证是从内而出!因此补益母穴以弥补不足,削减子穴以平衡有余。观察二十七条经络,一一明辨;依据四百四种疾病症状,件件皆除。所以得以免于夭折枉死,使百姓达到长寿的境界;细微之处已判断清楚,彰显古代玄妙的医书。又听说心胸病,求取手掌后方的大陵穴;肩背痛,责求肘前的三里穴(此处指手三里或足三里,结合语境多指手三里或泛指三里类穴位,原文未特指,保留“三里”)。冷痹肾败,取足阳明经的土穴(指足三里),脐连腹痛,泻足少阴经的水穴(指复溜或太溪等水穴,原文泛指)。脊间心后部位,针刺中渚穴立即痊愈;胁下肋边部位,刺阳陵泉立即停止。头项痛,拟用后溪穴安然无恙;腰脚疼,在委中穴而已。(《卫生宝鉴》注:吕细穴,一名大溪,是足少阴肾经的穴位。)
If one wishes to treat diseases, nothing is superior to the use of acupuncture. Skillfully manipulating the subtleties of Shenji (the intrinsic mechanism of vital activities), and deeply exploring the profound principles of the sages. Externally employing Bian stones and needles can eliminate pathogenic factors and assist healthy Qi; internally containing the principles of Water and Fire (referring to Yin-Yang and cold-heat pathological changes), it is adept at restoring Yang and reversing Yin syndromes.
Tracing back to the origin, collaterals branch out distinctly, and meridians interlace comprehensively. Some diverge like ditches, streams, and valleys, while others connect with gaps like mountains, seas, and hills. Although these streams are difficult to separate, they have a unified system in their guidelines. If the principles are complex and obscure, what merit will there be in applying tonification and sedation? If the methods are agile and clear, they can naturally be applied through Ying-Sui (Ying-Sui tonification and sedation).
For instance, if walking is difficult, Taichong (LR3) is most miraculous. Renzhong (GV26) eliminates stiffness and pain of the spine; Shenmen (HT7) removes mental dullness and dementia. When wind damages the neck causing stiffness, one should initially seek Fengfu (GV16); for dizziness and vertigo, one must look for Fengchi (GB20). For ear blockage, Tinghui (GB2) is required for treatment; for eye pain, Hegu (LI4) is used to push it away. For chest stagnation and yellow complexion, Quanyuan (KI1) can be taken; for dizziness and red eyes, Zanzhu (BL2) is drained for convenience. If both elbows are cramped, Quchi (LI11) relies on to smooth them out. For toothache, Lüxi (KD4, also known as Daxi) is suitable for treatment; for neck stiffness, Chengjiang (CV24) ensures recovery. Toubai (SP3) circulates Qi to Qichong (ST30); Yinlingquan (SP9) opens Shuidao (ST28). For abdominal distension, Neiting (ST44) should be seized without delay; for muscle spasms and pain, Chengshan (BL57) should be drained early. Generally, for ankle pain, Jiexi (ST41) cures it; for knee pain, Yinshi (ST33) can treat it. For epilepsy and mania, Houxi (SI3) is relied upon for management; for malaria with chills and fever, Jianshi (PC5) is relied upon for support. Qimen (LR14) resolves chest fullness and blood distension; Laogong (PC8) retreats stomach reversal and heart pain, leaving no room for doubt. Examining Dadun (LR1) removes unilateral pain of the seven types of hernia, as stated by Wang Gong; Zusanli (ST36) overcomes emaciation from the five labors, as spoken by Hua Tuo. Wangu (SI4) dispels jaundice; Ranggu (KI2) drains Kidney fire. Xingjian (LR2) treats knee swelling and lower back pain; ChiZe (LU5) removes elbow pain and tendon stiffness. For dim vision, Erjian (LI2) is suitable to select; for nasal congestion and loss of smell, Yingxiang (LI20) can guide. Jianjing (GB21) removes unbearable damp-pain in both arms; Sizhukong (SJ23) treats intolerable lateral headache. For cough with cold phlegm, Lieque (LU7) is reliable; for eye discharge and cold tears, Linqi (GB15/BL1) is particularly accurate. Guangu (BL29) removes residual leg pain; Shenshu (BL23) drains lower back pain completely. Yue Ren (Bian Que) treated corpse-jue (syncope) at Huizhong (GV10), reviving instantly; Wen Bo expelled dead fetus at Sanyinjiao (SP6), delivering immediately. It is said that all pains belong to excess, and all numbness belongs to deficiency. Excess enters from the outside, while deficiency exits from the inside! Therefore, tonifying the Mother acupoint supplements insufficiency, and reducing the Child acupoint balances surplus. Observing the twenty-seven meridians, distinguishing each clearly; based on four hundred and forty-four disease symptoms, removing each item. Thus, avoiding premature death, bringing people to an age of longevity; judging the subtle details, manifesting the mysterious books of ancient times. It is also heard that for heart and chest diseases, seek Dalin (PC7) behind the palm; for shoulder and back pain, demand Sanli (LI10 or ST36) before the elbow. For cold bi syndrome and Kidney failure, take the Earth point of Foot-Yangming (ST36); for umbilical and abdominal pain, drain the Water point of Foot-Shaoyin (KI7 or KI9). For pain between the spine and behind the heart, needling Zhongzhu (TE3) leads to immediate cure; for pain under the ribs and along the sides, puncturing Yanglingquan (GB34 stops it immediately). For head and neck pain, plan Houxi (SI3) for peace; for waist and foot pain, it lies in Weizhong (BL40) alone. (Note from *Weisheng Baojian*: Lüxi acupoint, also named Daxi, is an acupoint of the Foot-Shaoyin Kidney Meridian.)