针家若要辨尻神,一岁坤宫外踝轮,
二震还当牙共 ,三头口乳巽宫陈,
四中肩尾并穷骨,五耳干宫背面循,
六管兑宫当手膊,七为腰项艮之门,
八离膝肋毋轻视,九坎当脐肘脚存,
十岁根据前零顺走,明医仔细与评论。
其法一岁起坤宫,二岁震宫,若一十岁仍在坤宫,二十岁震宫,三十岁巽宫,零年随顺
\r九部尻神禁忌图\px-x4.bmp\r
凡八节之日,各根据其宫,起一日、二日,顺数一十日,仍在本宫。二十日、三十日,零
数
在巽……至十日复至离宫。二十日在坎,三十日在坤,四十日在震,四十一日在巽,不宜针
灸左肩也。余并同用此例。
(通支别,共九十四穴)
(凡五穴为井、荥、输、经、合,后二穴为支别,共七穴)
少商 为井木。在大指端内侧,去爪甲如韭叶大,与爪甲根齐,白肉际宛宛中。禁灸
,宜刺血,针三分,向上三分。治咳嗽喘逆,咽喉壅闭,双蛾,枯楼风。
鱼际 为荥火。在大指本节后内散脉,屈指大维尖。针三分。治伤风咳嗽,头疼目眩
,咽干呕吐,少气,掌心、大指发热痛。
太渊 为输土。在掌后横纹头陷中。治咳嗽、腹胀、心疼,呕吐上气,眼疾。
经渠 为经金。在寸口陷中,脉会处。禁灸,伤神。针向太渊穴。治热病、喘逆,心
尺泽 为合水。在肘中纹上动脉,臂屈伸横纹筋骨罅中。禁灸。治五般腰疼,手臂风
痹。肘疼筋急,咳嗽上气,口干痛,癫痫。
列缺 通任脉,别走阳明。针一分,向下。在腕侧,以手交叉取食指尽处,两筋骨罅
中。治伤寒,发热无汗,气喘寒热,诸嗽有痰,心满腹胀,食噎,游走气,七 八瘕,肠风
,脏毒,小便五淋,半身不遂,腕劳臂痛, 疟,妇人血气不和,胎衣不下,小儿脱肛。
孔最 抵手阳明,在腕上一寸宛宛中。治太阴热病无汗,肘臂屈伸难。
针灸医生若要辨别尻神(根据年份和日期推算的禁忌穴位),一岁对应坤宫,位于外踝轮;二岁对应震宫,位于牙齿和牙龈处;三岁对应巽宫,位于头部、口部、乳房;四岁对应中宫,位于肩部、尾椎骨及穷骨(尾闾);五岁对应干宫(实为乾宫),位于耳部和背部;六岁对应兑宫,位于手臂膊部;七岁对应艮宫,位于腰部和颈部;八岁对应离宫,位于膝盖和肋部,不可轻视;九岁对应坎宫,位于肚脐、肘部和脚部;十岁则按照前面的规律顺行。明医需仔细评论运用。
其推算法则是:一岁起于坤宫,二岁起于震宫,若逢一十岁仍在坤宫,二十岁在震宫,三十岁在巽宫,零年随顺……(此处原文有图片引用标记,略去)。
凡是八个节气之日,各根据其所属的宫位,从一日、二日开始,顺数至十日,仍在本宫。二十日、三十日,零数在巽……至第十日又回到离宫。二十日在坎宫,三十日在坤宫,四十日在震宫,四十一日在巽宫,此时不宜针灸左肩。其余情况都依此类推。
(凡五穴为井、荥、输、经、合,后二穴为支别穴,共七穴)
少商穴,属井木穴。位于大拇指端内侧,距离指甲如韭菜叶宽的地方,与指甲根部齐平,在白肉际的凹陷处。禁止艾灸,适宜刺血,针刺三分,向上进针三分。治疗咳嗽气喘逆乱,咽喉壅塞闭塞,双蛾(扁桃体炎),枯楼风(一种风邪病症)。
鱼际穴,属荥火穴。位于大拇指本节后的内侧散脉处,屈指时大维尖(拇指本节后高骨尖端)处。针刺三分。治疗伤风咳嗽,头痛目眩,咽干呕吐,气短,掌心和大指发热疼痛。
太渊穴,属输土穴。位于掌后横纹头的凹陷中。治疗咳嗽、腹胀、心痛,呕吐上气,眼疾。
经渠穴,属经金穴。位于寸口凹陷处,是脉会之处。禁止艾灸,以免伤神。针刺方向朝向太渊穴。治疗热病、气喘逆乱,心……(原文此处似有缺漏或排版错误,接下文尺泽)。
尺泽穴,属合水穴。位于肘中纹上的动脉处,手臂屈伸横纹筋骨之间的缝隙中。禁止艾灸。治疗五种腰痛,手臂风湿痹痛。肘疼筋急,咳嗽上气,口干痛,癫痫。
列缺穴,通任脉,别走阳明经。针刺一分,向下进针。位于手腕侧面,以两手交叉取食指尽处,两筋骨之间的缝隙中。治疗伤寒,发热无汗,气喘寒热,各种咳嗽有痰,心满腹胀,食噎(吞咽困难),游走气(气机游走不定),七瘕八瘕(腹内结块),肠风(便血),脏毒(肠道湿热毒邪),小便五淋(五种淋证),半身不遂,腕劳臂痛,疟疾,妇人血气不和,胎衣不下,小儿脱肛。
If an acupuncturist wishes to distinguish the *Kaoshen* (Taboo Acupoints based on Year and Day), for the first year it corresponds to the Kun Palace, located at the outer ankle wheel; for the second year, it corresponds to the Zhen Palace, located at the teeth and gums; for the third year, it corresponds to the Xun Palace, located at the head, mouth, and breasts; for the fourth year, it corresponds to the Central Palace, located at the shoulder, tailbone, and Qionggu (coccyx); for the fifth year, it corresponds to the Qian Palace, located at the ears and back; for the sixth year, it corresponds to the Dui Palace, located at the upper arm; for the seventh year, it corresponds to the Gen Palace, located at the waist and neck; for the eighth year, it corresponds to the Li Palace, located at the knees and ribs, which should not be neglected; for the ninth year, it corresponds to the Kan Palace, located at the umbilicus, elbows, and feet; for the tenth year, it proceeds in accordance with the previous pattern. A skilled physician must carefully evaluate its application.
The method is as follows: The first year starts from the Kun Palace, the second year from the Zhen Palace. If it is the tenth year, it remains in the Kun Palace; the twentieth year in the Zhen Palace; the thirtieth year in the Xun Palace. For zero years, it follows the sequence... [Image reference omitted].
On the days of the eight solar terms, one should follow their respective palaces, counting sequentially from day one to day ten, remaining within the same palace. On the twentieth and thirtieth days, the remainder falls in the Xun Palace... On the tenth day, it returns to the Li Palace. On the twentieth day, it is in the Kan Palace; on the thirtieth day, in the Kun Palace; on the fortieth day, in the Zhen Palace; on the forty-first day, in the Xun Palace. At this time, acupuncture and moxibustion on the left shoulder are contraindicated. The rest follow this example.
(The Lung Meridian of Hand-Taiyin, including collateral branches, has a total of ninety-four acupoints.)
(Five points constitute the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points; the subsequent two points are branch points, totaling seven points.)
**Shaoshang** (LU 11) is the Jing-Well Wood point. It is located at the medial tip of the thumb, approximately the width of a leek leaf away from the nail, aligned with the root of the nail, in the depression between the white flesh and the nail bed. Moxibustion is contraindicated; bloodletting is appropriate. Needle depth is three fen, directed upward by three fen. It treats cough, wheezing, dyspnea, pharyngeal obstruction, bilateral tonsillitis (*Shuang'e*), and *Kuloufeng*.
**Yuji** (LU 10) is the Ying-Spring Fire point. It is located on the radial side of the first metacarpal bone, distal to the metacarpophalangeal joint, in the depression at the tip of the abductor pollicis brevis muscle when the thumb is flexed. Needle depth is three fen. It treats wind-cold cough, headache, vertigo, dry throat, vomiting, shortness of breath, and heat/pain in the palm and thumb.
**Taiyuan** (LU 9) is the Shu-Stream Earth point. It is located in the depression at the radial end of the transverse crease of the wrist. It treats cough, abdominal distension, heart pain, vomiting with rebellious qi, and eye diseases.
**Jingqu** (LU 8) is the Jing-River Metal point. It is located in the depression at the cunkou pulse position, where the vessels converge. Moxibustion is contraindicated as it may damage the spirit. Needle direction is towards Taiyuan. It treats febrile diseases, wheezing, and cardiac issues... [Text fragment].
**Chize** (LU 5) is the He-Sea Water point. It is located in the center of the cubital fossa, in the depression between the tendons and bones at the transverse crease of the elbow, where the artery beats. Moxibustion is contraindicated. It treats various types of lower back pain, wind-bi of the arms, elbow pain with tendon stiffness, cough with rebellious qi, dry mouth and pain, and epilepsy.
**Lieque** (LU 7) connects with the Ren Mai (Conception Vessel) and diverges to the Yangming Meridian. Needle depth is one fen, directed downward. It is located on the radial side of the wrist; locate it by crossing hands, finding the tip of the index finger, in the depression between the two tendons. It treats cold damage (*Shanghan*), fever without sweat, asthma with chills and fever, various coughs with phlegm, chest fullness and abdominal distension, dysphagia, wandering qi, *Qi Jia Ba Jia* (abdominal masses), intestinal wind (hematochezia), visceral toxicity, five types of strangury (*Wulin*), hemiplegia, wrist and arm pain, malaria, disharmony of blood and qi in women, retained placenta, and prolapse of the rectum in children.
**Kongzui** (LU 6) reaches the Hand-Yangming Large Intestine Meridian. It is located one cun above the wrist crease in the depression. It treats Heat disease of the Taiyin with no sweat, and difficulty in flexing and extending the elbow and arm.