窃以久习医业。好读难素。辞理精微,妙门隐奥。古今所难而不易也。是以针刺之理,尤为
难解。博而寡要。劳而少功。穷而通之。积有万端之广。近世指病直刺。不务法者多矣。近
有南唐何公,务法上古。撰指微论三卷。探经络之源。顺针刺之理。明荣卫之清浊。别孔穴
之部分。然未广传于世。又近于贞元癸酉年间收何公所作指微针赋一道。叙其首云。皆按指
微论中之妙理。先贤秘隐之枢机。复增多事。凡百余门。悉便于讨阅者也。非得难素不传之
妙。孰能至此哉。广不度荒拙。随其意韵。辄申短说。采摭群经。为之注解。广今复采难素
遗文。贾氏井荥六十首。法布经络往还。复针刺孔穴部分。钤括图形。集成一义。目之曰流
注经络井荥图歌诀。续于赋后。非显不肖之狂迷。启明何氏之用心。致验于人也。自虑未备
其善。更祈明智。仍恳续焉。常山阎明广序。
夫医者以愈疾为良。其愈疾之理。莫妙乎针。故知针者。有决病之功。立效之能。且夫学针
之士。宜审而刺之。莫纵巨瞻。妄为施设。非徒无益。而又害之。要在定孔穴以精于心。是
以取神功而应于手。信知除 见于目下。决病在于手中。是以轩岐开端。越人知要。素问隐
其奥。难经彰其妙。况为针者。岂曰小补之哉。
人受阴阳以生。一岁之日有三百六十五日。肢节亦分三百六十有五穴。象周天之度也。
古神圣成天之功。立民之命,爰作针法。针某穴。疗某病。手得之。心应之。非天下之至神
孰能与于此。卢扁尚矣。此法罕传。余先人心友窦先生。以针法活人甚多。尝着八穴真
演之为论为赋。钩深索隐。披泄言蕴。后学之士。得此一卷书而熟读之者。思过半矣。余
壬辰冬。被旨来南。遍历闽中诸郡。求其所谓针法者。皆不获。旧箧中得先生之遗书。敬用
锓梓。以广其传。先生名杰字汉卿。古 肥乡人。官至太师。以医学传于世云。
时元贞元年燕山牛良 序。
我私下认为,长期研习医学的人,喜爱阅读《难经》与《素问》。其文辞义理精妙细微,奥妙的门径隐秘深奥,这是古今以来都难以掌握且不易精通的。因此,针刺的道理,尤其难以理解。内容广博却缺乏要领,耗费劳力却收效甚微。若能穷究其理而通达之,虽然积累有万端之广,但近世之人指出病症后直接下针,不讲究针刺法则的人已经很多了。
近来有位南唐时期的何公,致力于遵循上古的法度,撰写了《指微论》三卷。他探求经络的源头,顺应针刺的原理,阐明营卫气的清浊变化,区分孔穴的部位归属。然而这部著作未能在世间广泛流传。又在贞元癸酉年间,收录了何公所作的《指微针赋》一篇,其序言中说:都是依据《指微论》中的妙理,以及先贤秘而不宣的关键枢机,又增补了许多内容,凡百余门类,都非常便于查阅检索。如果不是得到《难经》《素问》中不传的妙处,谁能达到这种境界呢?
我不自量力,衡量自己的荒疏拙劣,顺着文章的意韵,简要地申述短小的解说,采摘汇集各经典经文,为它作注解。我现在又采集《难经》《素问》的遗文,以及贾氏的“井荥六十首”,按照经络往来分布法则,重新整理针刺孔穴的部位,概括图形含义,集成一个完整的义理体系,命名为《流注经络井荥图歌诀》,续接在赋文之后。这并非为了显示我的狂妄痴迷,而是为了阐发何氏用心的良苦,使疗效显现于人身上。我自己担心这些还不够完善,更祈请明智之士,恳请继续补充完善。常山阎明广作序。
大凡医生以治愈疾病为优良标准,那治愈疾病的道理,没有比针刺更奇妙的了。所以懂得针刺的人,有决断病情的功效,有立即见效的能力。况且学习针刺的人士,应当审慎地施针,不要放纵目光随意瞻望,妄自设置施治。这不仅无益,反而会造成伤害。关键在于确定孔穴位置以精研于心,因此才能取得神妙的功效并应验于手中。确实知道除去病痛见于眼下,决断病情在于手中。因此黄帝、岐伯开启开端,扁鹊(越人)知晓关键,《素问》隐含着深奥的道理,《难经》彰显出精妙的效用。何况从事针刺的人,难道只是小小的补益吗?
人禀受阴阳之气而生,一年之日有三百六十五天,人体的肢节也分为三百六十五个穴位,象征周天运行的度数。古代神圣之人成就天的功业,确立百姓的生命,于是创制了针法。针刺某个穴位,治疗某种疾病,手操作时,心与之相应。如果不是天下最神妙的人,谁能做到这一点呢?卢医和扁鹊的时代已经很遥远了,这种方法很少流传。我的先祖的心友窦先生,用针法救活的人非常多,曾经著述《八穴真演》作为论说和赋文,钩取深层奥秘,索求隐微之处,披露言语蕴藏的精义。后学的士人,得到这一卷书而熟读它的话,思虑就超过一半了。
我在壬辰年冬天,奉旨来到南方,遍访闽中各个郡县,寻求所谓的针法,都没有获得。在旧箱箧中得到先生的遗书,恭敬地刻印梓行,以广泛传播它。先生名杰,字汉卿,是古肥乡人,官职做到太师,以医学传承于世。
时为元贞元年,燕山牛良作序。
I privately believe that those who have long practiced medicine and enjoy reading the *Nanjing* (Classic of Difficult Issues) and *Suwen* (Basic Questions) find their language and principles exquisite and subtle, with mysterious gates and hidden profundities. This has been difficult to grasp and not easy to master since ancient times. Therefore, the principles of acupuncture are particularly difficult to understand. The content is broad but lacks essentials; it involves labor but yields little merit. If one can exhaustively investigate and thereby attain comprehension, although the accumulation may be as vast as ten thousand ends, in recent times, many practitioners simply point out the disease and insert needles directly, neglecting proper methods.
Recently, a gentleman named He from the Southern Tang dynasty devoted himself to following the methods of antiquity and compiled three volumes of *Zhiwei Lun* (Treatise on Finger Subtleties). He explored the source of meridians, adhered to the logic of needle insertion, clarified the clarity and turbidity of Ying and Wei (Nutritive and Defensive Qi), and distinguished the specific locations of acupoints. However, this work was not widely circulated in the world. Later, during the Guiyou year of the Zhenyuan era, I collected a piece titled *Zhiwei Zhen Fu* (Ode to Acupuncture Subtleties) authored by Mr. He. Its preface states: "All follow the profound principles within *Zhiwei Lun*, the secret mechanisms hidden by former sages." It further added numerous items, totaling over a hundred categories, all convenient for consultation. Without obtaining the untransmitted secrets of the *Nanjing* and *Suwen*, who could reach such a level?
Presuming upon my own inadequacy and clumsiness, I followed its meaning and rhythm, briefly expounded short comments, gathered excerpts from various classics, and provided annotations for them. I now also collect remaining texts from the *Nanjing* and *Suwen*, along with Jia's "Sixty Verses on Jing-River Points," distribute them according to the laws of meridian circulation, reorganize the locations of acupuncture points, summarize graphical representations, and integrate them into a unified system. I name it *Liuzhu Jingluo Jingying Tu Gejue* (Song Rhymes and Mantras of Flowing-Injecting Meridians and Jing-River Points), continuing after the ode. This is not to display my own arrogance or confusion, but to illuminate Mr. He's intention and bring verified results to people. I worry that my efforts are incomplete and sincerely request wise individuals to continue and perfect it. Preface by Yan Mingguang of Changshan.
Generally, physicians consider curing diseases as excellence. Among the principles of curing diseases, none is more wondrous than acupuncture. Thus, those who understand acupuncture possess the ability to diagnose conditions accurately and achieve immediate effects. Moreover, scholars learning acupuncture should practice with caution and precision, avoiding reckless observation and arbitrary treatment settings. Such actions are not only useless but also harmful. The key lies in determining acupoint locations with mental precision, thereby achieving miraculous efficacy manifested through the hands. Indeed, removing visible ailments depends on the eyes, while diagnosing diseases relies on the hands. Therefore, Huangdi (Yellow Emperor) and Qibo initiated the beginning, Bian Que (Yueren) grasped the essentials, the *Suwen* hides profound mysteries, and the *Nanjing* reveals subtleties. How can acupuncture be considered merely a minor supplement?
Humans are born receiving Yin and Yang. There are 365 days in a year, and the body has 365 acupoints distributed across limbs and joints, symbolizing the degrees of the celestial sphere. Ancient sages accomplished heavenly works and established human life, thus creating acupuncture methods. Needling specific points treats specific diseases; the hand operates while the heart responds. Only the most divine person in the world could achieve this. The eras of Lu Yi (Bian Que) were long past, and this method was rarely transmitted. My ancestor's close friend, Mr. Dou, saved many lives using acupuncture. He once wrote *Ba Xue Zhen Yan* (True Evolution of Eight Points) as treatises and odes, exploring deep mysteries and revealing hidden meanings. For students of later generations, obtaining this volume and studying it thoroughly would allow them to comprehend more than half of the subject.
In the winter of the Renchen year, I received an imperial decree to travel south, visiting various commanderies in Minzhong (Fujian region), seeking the so-called acupuncture methods, but failed to find them. In an old chest, I found Mr. Dou's遗书 (posthumous writings/books). Out of reverence, I had them carved onto woodblocks for printing to spread their transmission. The gentleman's name was Jie, courtesy name Hanqing, from Feixiang in ancient times, who rose to the rank of Grand Tutor and passed down his medical knowledge to the world.
Preface by Niu Liang of Yanshan, during the first year of Yuanzhen.