\r九部旁通人神不宜灸\p06-d7a2.bmp\r
\r新忌旁通不宜灸\p06-d7a3.bmp\r
忌若逢病患厄会。男女气怯。下手至困。通人达士。岂拘此哉。若遇急卒暴患。不拘此
法。
许希亦云。若人病卒暴。宜急疗。亦不拘此。故后之医者。亦云卒暴之疾。须速灸疗。一日
之间。止忌一时是也。
大寒无刺。月生无泻。月满无补。月空无治。新内无刺。已刺无内。大怒无刺。已刺无
怒。
大劳无刺。已刺无劳。大醉无刺。已刺无醉。大饱无刺。已刺无饱。大饥无刺。已刺无饥。
大渴无刺。已刺无渴。
乘车来者。卧以休息。如食顷。乃刺之。步行来者。坐以休息。如行十里顷乃刺之。大
惊大
恐。必定其气乃刺之。刺中心一日死。其动为噫。刺中肺三日死。其动为咳。刺中肝五日死
其动为语。刺中脾十五日死。其动为吞。刺中肾三日死。其动为嚏（刺中五脏死日变动出
素问刺禁篇。又诊要经篇云。中心者环死中脾者五日死。中肾者七日死。中肺者五日死。又
四时刺逆从篇云。中心一日死。其动为噫。中肝五日死。其动为语。中肺三日死。其动为咳
中肾六日死。其动为嚏。中脾十日死。其动为吞。王冰注云。此三论。皆岐之言。而不同
者。传之误也）。刺中胆一日半死。其动为呕。刺中膈为伤中。不过一岁必死。刺趺上中大
脉。血出不止死。刺阴股中大脉。血出不止死。刺面中流脉不幸为肓。刺客主人内陷中脉。
为漏为聋。刺头中脑户。入脑立死。刺膝膑出液为跛。刺舌下中脉太过。血出不止为喑。刺
臂太阴脉出血多。立死。刺足下布胳中脉。血不出为肿。刺足少阴脉。重虚出血。为舌难以
言。刺隙中大脉。令人仆脱色。刺膺中陷中脉为肺为喘逆仰息。刺气冲中脉血不出为肿鼠鼷
刺肘中内陷气归之为不屈伸。刺脊间中髓为伛。刺阴股下三寸内陷。令人遗溺。刺乳上乳
中乳房为肿根蚀。刺腋下胁间内陷。令人咳。刺缺盆中内陷气泄。令人喘嗽逆。刺小腹
中膀
胱溺出。令人小腹满。刺手鱼腹内陷为肿。刺 阳内陷为肿。刺目眶上陷骨中脉为漏为肓。
刺关节中液出。不得屈伸。神庭禁不可刺。上关刺不可深。缺盆刺不可深。颅息刺不可多出
血，脐中禁不可刺。左角刺不可久留。人迎刺过深杀人。云门刺不可深（经云。云门刺不可
深。今则都忌不刺。学人宜详息之）。五里禁不可刺。伏兔禁不可刺（按甲乙足阳明经。伏兔
刺入五分。则不当禁）。三阳络禁不可刺。复溜刺无多见血。承筋禁不可刺。然骨刺无多见
血。乳中不可刺。鸠尾不可刺。
九部旁通人神不宜灸
新忌旁通不宜灸
如果恰逢病患遭遇厄运交会之时，且男女体质虚弱气怯，此时施针会感到十分困难。通达事理之人，难道会被这些禁忌所拘束吗？如果遇到急骤暴发的疾病，就不必拘泥于这些方法。
许希也说过，如果病人突发急病，应当紧急治疗，也不受这些禁忌的限制。所以后世的医生也说，对于突发的急症，必须迅速进行艾灸治疗。一天之中，只忌讳一个时辰罢了。
大寒天气时不要针刺。月亮初生时不要使用泻法。月亮圆满时不要使用补法。月亮亏空时不要进行治疗。刚行房事后不要针刺。已经针刺过的人不要立即行房事。大怒时不要针刺。已经针刺过的人不要发怒。
极度疲劳时不要针刺。已经针刺过的人不要过度劳累。大醉时不要针刺。已经针刺过的人不要饮酒至醉。吃得太饱时不要针刺。已经针刺过的人不要继续进食。饥饿时不要针刺。已经针刺过的人不要处于饥饿状态。口渴时不要针刺。已经针刺过的人不要处于极度口渴状态。
乘车而来的人，应让其躺下休息。大约一顿饭的功夫后，再施行针刺。步行而来的人，应让其坐下休息。大约走完十里路所需的功夫后，再施行针刺。受到大惊大恐刺激的人，必须待其气血安定后再施行针刺。
针刺中心脏，一天后死亡，其表现为嗳气（噫）。刺中肺脏，三天后死亡，其表现为咳嗽。刺中肝脏，五天后死亡，其表现为多言（语）。刺中脾脏，十五天后死亡，其表现为吞咽动作频繁（吞）。刺中肾脏，三天后死亡，其表现为打喷嚏（嚏）。（关于刺中五脏致死天数及变动的记载出自《素问·刺禁篇》。另外《诊要经终篇》说：刺中心脏环日而死，刺中脾脏五日死，刺中肾脏七日死，刺中肺脏五日死。还有《四时刺逆从篇》说：刺中心脏一日死，其表现为嗳气；刺中肝脏五日死，其表现为多言；刺中肺脏三日死，其表现为咳嗽；刺中肾脏六日死，其表现为打喷嚏；刺中脾脏十日死，其表现为吞咽。王冰注释说：这三种论述都是岐伯所言，之所以不同，是传抄造成的错误。）刺中胆腑，一天半后死亡，其表现为呕吐。刺中膈膜，损伤中气，不超过一年必定死亡。刺足背上方较大的血脉，出血不止会导致死亡。刺大腿内侧较大的血脉，出血不止会导致死亡。刺面部流注的血脉，不幸会导致失明（肓，此处指目盲或眼部严重损伤）。刺客主人穴（上关穴附近），若进针过深伤及血脉，会导致耳漏或耳聋。刺头部脑户穴，若入脑则立即死亡。刺膝盖髌骨处，若流出关节液，会导致跛行。刺舌下血脉太过，出血不止会导致失音（喑）。刺手太阴肺经血脉，若出血过多，立即死亡。刺足底布络中的血脉，若血不出，会导致肿胀。刺足少阴肾经，若造成重虚并出血，会导致舌头僵硬难以言语。刺腘窝（隙中）大的血脉，令人昏仆、面色脱失。刺胸膺部陷下的血脉，伤及肺脏，导致气喘、呼吸急促、仰面呼吸。刺气冲穴中的血脉，若血不出，会导致腹股沟（鼠鼷）肿胀。刺肘中穴位，若进针过深使气内陷，会导致肢体不能屈伸。刺脊间穴位伤及脊髓，会导致驼背（伛）。刺大腿内侧下方三寸处，若进针过深，令人遗尿。刺乳房上部及乳中穴，会导致乳房红肿溃烂（根蚀）。刺腋下胁间部位，若进针过深，令人咳嗽。刺缺盆穴，若进针过深导致肺气外泄，令人气喘咳嗽。刺小腹中膀胱部位，若溺出，令人小腹胀满。刺手鱼际部位，若进针过深，会导致肿胀。刺阳池穴（原文疑为某阳经穴位，据上下文推测可能指特定阳经穴位，此处依原文“刺 阳”保留，通常指阳池或相关阳经穴位，但结合后文“内陷为肿”，暂译为刺阳经穴位），若进针过深，会导致肿胀。刺眼眶上陷骨中的血脉，会导致耳漏或失明。刺关节中，若关节液流出，会导致关节不能屈伸。
神庭穴禁止针刺。上关穴针刺不可过深。缺盆穴针刺不可过深。颅息穴针刺不可放出过多血液。脐中穴禁止针刺。左角穴针刺不可久留针。人迎穴针刺过深会杀人。云门穴针刺不可过深（经文说：云门穴针刺不可过深，现在则完全忌讳不刺，学习者应该详细知晓这一点）。五里穴禁止针刺。伏兔穴禁止针刺（按《甲乙经》足阳明经记载，伏兔穴刺入五分，所以不应当禁止）。三阳络穴禁止针刺。复溜穴针刺不要多见血。承筋穴禁止针刺。然骨穴针刺不要多见血。乳中穴不可针刺。鸠尾穴不可针刺。
Nine Regions Interconnected: Human Spirit Should Not Be Moxibusted
New Taboos Interconnected: Should Not Be Moxibusted
If one happens to encounter a time when the patient is beset by misfortune and conjunctions, and if the male or female has weak constitution and deficient Qi, needling will be difficult to perform. How could a knowledgeable and enlightened person be bound by such taboos? However, in cases of sudden and acute illnesses, one should not be constrained by these methods.
Xu Xi also stated that if a patient suffers from a sudden acute illness, urgent treatment should be administered, without being restricted by these taboos. Therefore, later physicians also said that for sudden acute diseases, moxibustion must be performed quickly. In a day, only one shichen (two-hour period) is taboo.
Do not needle during extreme cold. Do not use reducing methods during the waxing moon. Do not use tonifying methods during the full moon. Do not treat during the waning moon. Do not needle immediately after sexual intercourse. After needling, do not engage in sexual intercourse. Do not needle during extreme anger. After needling, do not become angry.
Do not needle during extreme fatigue. After needling, do not exert oneself excessively. Do not needle while heavily intoxicated. After needling, do not drink to intoxication. Do not needle when overly full. After needling, do not continue eating. Do not needle when hungry. After needling, do not remain hungry. Do not needle when extremely thirsty. After needling, do not remain thirsty.
For those who arrive by carriage, let them lie down and rest. After approximately the time it takes to eat one meal, then needle. For those who arrive on foot, let them sit and rest. After approximately the time it takes to walk ten li, then needle. For those shocked or terrified, wait until their Qi is stabilized before needling.
Needling the heart leads to death within one day; the manifestation is belching (yi). Needling the lung leads to death within three days; the manifestation is coughing. Needling the liver leads to death within five days; the manifestation is excessive talking (yu). Needling the spleen leads to death within fifteen days; the manifestation is frequent swallowing (tun). Needling the kidney leads to death within three days; the manifestation is sneezing (ti). (The days of death and changes resulting from needling the five zang organs are found in *Suwen: Cijian Pian*. Additionally, *Zhenyao Jingzhong Pian* states: Needling the heart leads to death within a cycle of days; needling the spleen leads to death in five days; needling the kidney leads to death in seven days; needling the lung leads to death in five days. Furthermore, *Sishi Cini Cong Pian* states: Needling the heart leads to death in one day, manifesting as belching; needling the liver leads to death in five days, manifesting as excessive talking; needling the lung leads to death in three days, manifesting as coughing; needling the kidney leads to death in six days, manifesting as sneezing; needling the spleen leads to death in ten days, manifesting as swallowing. Wang Bing commented: These three discussions are all words of Qibo, and the differences arise from transmission errors.) Needling the gallbladder leads to death within one and a half days; the manifestation is vomiting. Needling the diaphragm injures the middle jiao; death will certainly occur within a year. Needling large vessels above the dorsum pedis with unceasing bleeding leads to death. Needling large vessels in the medial thigh with unceasing bleeding leads to death. Needling flowing vessels in the face, unfortunately, leads to blindness (huang, here referring to severe eye damage or blindness). Needling the Keyzhu Ren point (near Shangguan); if inserted too deeply into the vessel, it causes ear leakage or deafness. Needling the Naohu point at the head; if penetrating the brain, death is immediate. Needling the patella region; if joint fluid leaks out, it leads to limping. Needling the sublingual vessels excessively; if bleeding does not stop, it leads to aphonia (yin). Needling the Taiyin pulse of the arm; if too much blood is released, death is immediate. Needling the vessels in the sole of the foot; if blood does not come out, swelling occurs. Needling the Shaoyin pulse of the foot; causing double deficiency and bleeding leads to a stiff tongue and difficulty speaking. Needling large vessels in the popliteal fossa (xi zhong); causing collapse and loss of complexion. Needling the chest area, depressing into the vessel, injuring the lung, leads to asthma, rapid breathing, and orthopnea. Needling the Chongqi point; if blood does not come out, swelling occurs in the groin (shuxi). Needling the elbow center; if inserted too deeply causing qi to sink inward, it leads to inability to flex and extend. Needling the interspinous region, injuring the spinal cord, leads to kyphosis (yu). Needling three cun below the medial thigh; if inserted too deeply, it causes urinary incontinence. Needling the upper breast and Ruzhong point; leading to breast swelling and root erosion. Needling the axillary and hypochondriac regions; if inserted too deeply, it causes coughing. Needling the Quepen point; if inserted too deeply causing qi leakage, it leads to asthma and coughing. Needling the lower abdomen, bladder area; if urine escapes, it causes abdominal fullness. Needling the fish belly area of the hand; if inserted too deeply, it causes swelling. Needling Yang points; if inserted too deeply, it causes swelling. Needling the supraorbital bone vessels; if depressed into the bone, it causes ear leakage or blindness. Needling the joints; if joint fluid leaks out, flexion and extension become impossible.
Shenting point is forbidden for needling. Shangguan point should not be needled deeply. Quepen point should not be needled deeply. Luxi point should not have excessive blood let. Shenque (navel) point is forbidden for needling. Zujiao point should not retain needles for long. Renying point, if needled too deeply, can cause death. Yunmen point should not be needled deeply (The classic states: Yunmen point should not be needled deeply. Currently, it is completely taboo and not needled; learners should be well-informed). Wuli point is forbidden for needling. Futu point is forbidden for needling (According to *Jia Yi Jing*, Foot-Yangming Meridian, Futu point is needled to a depth of five fen, so it should not be prohibited). Sanyangluo point is forbidden for needling. Fuliu point should not show much blood upon needling. Chengjin point is forbidden for needling. RanGu point should not show much blood upon needling. Ruzhong point should not be needled. Jiutail point should not be needled.