资生经者。合明堂铜人千金外台而一之。大监王公所编次。择精语详。针灸之法。皆聚
此书矣。闻之故老谓澧学旧有公本。火于淳 乙巳。后不复再见。元贞壬辰余得善本于潍阳。即
欲刻诸荆泮。与卫生之家共之。会授代不果。大德丙午。白其事于宪佥汶上国。先生一见大
喜。即召匠计直。命平代等处军民长官谢琰。医学正覃南荣。澧阳县典史唐益秀。协力相成其事
教导戴梦高专任校雠之责。越十月书成。余谨按扁鹊华佗及孙思邈方论药饵针灸未尝偏废
后世医士举一而号为专门。针灸者亦皆未得 穴之正。旧有年壮病劳极者。膏肓两穴更
数医不效。后得此书。按图取穴。一灸即愈。其间阿是穴法之说，禁穴许灸三壮之说。亦皆累
试累效（禁穴艾炷止麦粒大。仍隔蒜片尤稳）。近年有为狂 所伤者。亦尝根据经灸活三人。是
书之有益于世多矣。今既板行一路。流布四方。其所全活。庸有既乎。国先生按行属部。究
心民瘼。痒 疾痛。举切诸身，今板行是书。亦济人利物之一端。而余之本心亦于是而获遂
矣。故喜而为之序。
大德丁未阆中郡蒲登辰序。
（以针医诀式流注指微为韵）
疾居荣卫。 荣者血也。卫者气也。由肠胃受谷化血气所为也。上焦出气。以温
分肉而养筋通腠理。中焦出气如沤。上注溪谷而渗孙脉。津液和调。变化而为血。血和则孙脉先
满。乃注络脉。乃注于经脉。阴阳以张。因息乃行。行有纪纲。周有道理。与天协议。不得
休止。切而调之。调设失度。致生其疾。疾者百病之总名也。百病之始。皆由风寒暑湿饥饱
劳逸而得之。或起于阴。或起于阳。所伤各异。虚实不同。或着孙脉。或着络脉。或着经脉
或着于冲任脉。或着于肠胃之膜原。邪气浸淫。不可胜论。
扶救者针。 救病之功。调虚实之要。九针最妙。各有所宜。热在头身宜 针。
肉分气满宜员针。脉气虚渺宜 针。泻热出血发泄固疾宜锋针。破痈肿出脓血宜 针。调阴阳去
暴痹宜员利针。治经络中病痹宜毫针。痹深居骨节腰脊腠理之间宜长针。虚风舍于骨节皮肤
观虚实与肥瘦。 经云。虚则补之。实则泻之。不实不虚，以经取之。若虚实不
明
必先观其形之肥瘦。方明针刺之浅深。若以身中分寸肥与瘦同用。是谓浅深不得。反为大贼也
故肥人刺深。瘦人刺浅。以与本藏所属部分齐平为期。所以无过不及之伤也。
辨四时之浅深。 四时者。所以分春夏秋冬之气所在以调之也。春气在毫毛。夏
气在皮肤。秋气在分肉。冬气在筋骨。经云。春夏刺浅。秋冬刺深。各以其时为则。又肥人宜
深刺之。瘦人宜浅刺之。
取穴之法。但分阴阳而溪谷。 阴者。阴气也。阳者。阳气也。谓阳气起于五
指之表。阴气起于五指之里也。肉之大会为谷。肉之小会为溪。分肉之间。溪谷之会。以行荣卫
以会大气。溪谷有三百六十五穴会。亦应一岁。故取穴之法。分其阴阳表里部分。溪谷远
近。同身寸取之。举臂拱手直立偃侧。皆取穴法也。逐穴各有所宜。
迎随逆顺。须晓气血而升沉。 经云。迎随者。要知荣卫之流行。经脉之往来
也。随其经逆顺而取之。灵枢曰。泻者迎之。补者随之。若能知迎知随。令气必和。和气之方。
必通阴阳升降上下源流。手之三阴。从藏走至手。手之三阳。从手走至头。足之三阳。从头
下至足。足之三阴。从足上走至腹。络脉传注。周流不息。故经脉者。行血气通阴阳以荣于
身者也。本论云。夫欲用迎随之法者。要知经络逆顺浅深之分。诸阳之经。行于脉外。诸阳
之络。行于脉内。诸阴之经。行于脉内，诸阴之络，行之于脉外。仍各有所守之分。故知
皮毛者肺之部。肌肉者脾之本。筋者肝之合。骨髓者肾之属。血脉者心之分。各刺其部。无
过其道。是谓大妙。迎而夺之有分寸。随而济之有浅深。深为太过。能伤诸经。浅为不及
安去诸邪。是以足太阳之经。刺得其部。迎而六分。随而二分。足太阳之络。迎而七分。
而二分。手太阳之络。迎而九分。随而四分。手阳明之经。迎而九分。随而四分。手阳明之
络。迎而八分。随而三分。足阳明之经。迎而一寸。随而五分。足阳明之络。迎而六分。
随而一分。手少阳经。迎而六分。随而一分。手少阳络。迎而七分。随而二分。足少阳经。
迎而八分。随而三分。足少阳络。迎而一寸。随而五分。手太阴经。迎而九分。随而四分。
手太阴络。迎而七分。随而二分。足太阴经。迎而一寸。随而五分。足太阴络。迎而八分。
迎而七分。随而二分。手少阴络。迎而六分。随而一分。足少阴经。迎而六分。随而一分。
足少阴络。迎而一寸。随而五分。手厥阴经。
迎而七分。随而三分。手厥阴络。迎而六分。随而一分。足厥阴经。迎而八分。随而三分。
厥阴络。迎而九分。随而四分。斯皆经络相合。补生泻成。不过一寸。针入贵速。既入徐进
针出贵缓。急则多伤。明须慎之。勿为殆事。男子左泻右补。女子右泻左补。转针迎随。补泻之道。明于此矣。
原夫指微论中。赜义成赋。 指微论三卷。亦是何公所作。探经络之赜。原针刺
之理。明荣卫之清浊。别孔穴之部分。然未广传于世。今于论内自取其义以成此赋。
知本时之气开。说经络之流注。 本论云。流者行也。注者住也。流为气血之
也。一呼脉行三寸。一吸脉行三寸。呼吸定息。脉行六寸。如流水走蚁。涓涓不息。不可暂
止。又云。流而为荣卫。彰而为颜色。发而为音声。速则生热。迟则生寒。结则为瘤赘。陷
则为痈疽。故知流者不可止。若人误中则有颠倒昏闷之疾。又云。注者住也。谓十二经络。
各至本时。皆有虚实邪正之气。注于所括之穴。所谓得时谓之开。失时谓之阖。气开当补泻
气闭忌针刺。圣人深虑此者。恐人劳而无功。岂可昧气开流注之道哉。其气开注穴之法。
七韵中说之矣。每披文而参其法。覆经而察其言。明谕其隐。皆知实虚总附。夫披文覆经者
学人之情也。既穷其理。赜其义。知其根。得其源。以见圣人之心乎。观何公作流注之赋
玄辞妙语。可谓达理。非是自炫也。移疼住痛。如有神针。
暴疾沉 至危笃。刺之勿误。沉 久病，虚弱之人。忽暴感疾于荣卫。传于脏
腑。其病必危笃而沉重也。明者是时深虑损益。慎勿轻忽。自恃聪俊。当须察其何经所苦。补泻
针刺。去之勿误也。
详夫阴日血引。值阳气流。 贾氏云。阳日气先脉外。血后脉内。阴日血先脉外
气后脉内，交贯而行于五脏五腑之中。各注井荥俞经合五穴。共五十穴。唯三焦受十经血气。
次传包络。又各注五穴。通前十二经。共六十穴。才合得十六难内六十首也。越人言。三部
九候。各有头首也。及素问言六十首。今世不传。既言不传。其文不载六十首字也。余以所
过为原六穴即是阴阳二气出入门户也。则阳脉出行二十五度。阴脉入行二十五度。则皆会于
六穴中出入也。其五脏五腑收血化精合处。便是逐经原气也。其余精者。助其三焦。其受十
经精气。则次传心包络。始十二经血气遍行也。如一经精气不足。则便成病也。既然有病。
即不根据此行度也。至令诸经失时。又更引毒瓦斯遍行。所流到处。即各见本经脉候。或大或小
或浮或沉。病患或寒或热。或轻或重。因证取之耳。
口温针暖。 凡下针。先须口内温针令暖。不唯滑利而少痛。亦借已和气与患者
荣卫无寒暖之争。便得相从。若不先温针暖。与血气相逆。寒温交争。而成疮者多矣。
牢濡深求。 经云。实之与虚者。牢濡之意。气来实牢者为得。虚濡者为失。凡
欲其补泻。即详五脏之脉。及所刺穴中。如气来实牢者可泻之。虚濡者可补之也。
诸经十二作数。络脉十五为周。 手足各有三阴三阳之脉。合为十二经脉。每一
经各有一脉络。余有阳跷之络。阴跷之络。脾之大络。合为十五络脉。周者。为十二经十五络二
十七气。周流于身者也。
阴俞六十脏主。 脏谓五脏肝心脾肺肾。并心包之脉。合之有六。俞谓井荥经合
非皆俞也。然井荥俞经合者。肝之井。大敦穴也。荥。行间穴也。俞。太冲穴也。经。中封穴也
合。曲泉穴也。心之井。少冲穴也。荥。少府穴也。俞。神门穴也。经。灵道穴也。合。
少海穴也。脾之井。隐白穴也。荥。大都穴也。俞。太白穴也。经。商丘穴也。合。阴陵泉
穴也。肺之井。少商穴也。荥。鱼际穴也。俞。太渊穴也。经。经渠穴也。合。尺泽穴也。
肾之井。涌泉穴也。荥。然谷穴也。俞。太溪穴也。经。复溜穴也。合。阴谷穴也。心包之
井。中冲穴也。荥。劳宫穴也。俞。大陵穴也。经。间使穴也。合。曲泽穴也。五脏之俞。
各有五。则五五二十五俞。并心络五俞。共三十。以左右见言之。六十俞穴也。
阳穴七十二腑收。 腑谓六腑。非兼九形腑也。穴。俞穴也。亦谓井荥俞原经合
也。肝之腑胆。胆之井者。窍阴穴也。荥。侠溪穴也。俞。临泣穴也。原。丘墟穴也。经。阳辅
穴也。合。阳陵泉穴也。心之腑小肠。小肠之井者。少泽穴也。荥。前谷穴也。俞。后溪
穴也。原。腕骨穴也。合。小海穴也。脾之腑胃。胃之井者。厉兑穴也。荥。内庭穴也。俞
陷谷穴也。原。冲阳穴也。经。解溪穴也。合。三里穴也。肺之腑大肠。大肠之井者。商
阳穴也。荥。二间穴也。俞。三间穴也。原。合谷穴也。经。阳溪穴也。合。曲池穴也。肾
之腑膀胱。膀胱之井者。至阴穴也。荥。通谷穴也。俞。束骨穴也。原。京骨穴也。经。昆
仑穴也。合。委中穴也。心包之腑三焦。三焦之井者。关冲穴也。荥。液门穴也。俞。中渚
穴也。原。阳池穴也。经。支沟穴也。合。天井穴也。如是六腑各有六。则六六三十六俞。
以左右脉共言之。则七十有二俞穴也。取穴部分。见于井荥图说。
刺阳经者。可卧针而取。 卫者属阳，皮毛之分。当卧针而刺之。若深刺伤阴
夺血络者。先俾指而柔。 夺血络者。取荣气也。荣气者。经隧也。灵枢曰。经
隧者
针。取荣家之气。不能损卫气也。经云。刺荣无伤卫。刺卫无伤荣也。
呼为迎而吸作补。 泻者迎之。补者随之。有余则泻。不足则补。泻者吸则内
针。无令气散。静以久留。无令邪布。候呼尽乃去。大气皆出。是名曰泻。补者。扪而循之。切
而散之。推而按之。弹而弩之。抓而下之。外引其门。以闭其神。呼尽内针。静以久留。以
气至为故。候吸引针。气不得出。各在其处。推阖其门。令神气存。大气留止。故命曰补。
凡善治者。察其所痛。以知病有余不足。当补则补。当泻则泻。无逆天时。是谓至治之妙。
逆为鬼而从何忧。 逆者。谓当刺之日。与病五行相形递为鬼贼。而不顺也。从
者。五脏之气。与日相和。而不相侵凌也。凡刺之理。当择吉日。与本病之藏气各无侵凌刑制。
下针顺从。而何忧哉。
淹疾延患。着灸之由。 若病有久淹。因寒而得。或阴证多寒。或者风寒湿痹脚
气之病。或者上实下虚厥逆之疾。男子劳伤。妇人血气之属。并可用针灸。亦有不可灸者。近髓
之穴。阳证之病。不可灸也。
燥烦药饵而难极。必取八会。 燥烦热盛在于内者。宜取八会之气穴也。谓府会
太仓中脘穴。藏会季胁章门穴。筋会阳陵泉穴。髓会绝骨穴。血会膈俞穴。骨会大杼穴。脉会太
渊穴。气会三焦膻中穴。此是八会穴也。
痈肿奇经而蓄邪。先由砭瘳。 经云。病患脉隆盛入于八脉。而不环周。十二经
亦不能拘之。其受邪气蓄积肿热。宜砭刺出血。古者以砭石为针。山海经曰。高氏之山。有石如
玉。可以为针。即砭石也。今人以披针代之也。
况乎甲胆乙肝。丁心壬水。 甲胆乙肝者。谓五脏五腑。拘之十干。阳干主腑。
阴干主脏。故天元册又曰。胆甲肝乙。小肠丙心丁。胃戊脾己。大肠庚肺辛。膀胱壬肾癸。五脏
五腑。收血化精合处。便是三焦包络二经元气也。合为十二经遍行也。贾氏各分头首。十
日一终。营运十干。皆以五子建元日时为头也。
生我者号母。我生者名子。 夫五行者。在人为五脏。注穴为井荥俞经合。相合
为夫妻。我克者为七传。克我者为鬼贼。我生者为子。生我者为母也。
春井夏荥。乃邪在。秋经冬合。乃刺矣。 此言逐四时取井荥之法也。假令春木
旺刺井。夏火旺刺荥。季夏土旺刺俞。秋金旺刺经。冬水旺刺合。四时刺法。根据此推之。以泻逐
时所胜邪毒者也。圣人所谓因其时而取之。以泻邪气出也。
犯禁忌而病复。 禁忌者。非惟人神所在也。谓大饥大渴。大寒大热。大饱大醉
大虚大竭。大劳大困。皆为针家之禁忌。若虚实不分。浅深不及。犯触人神。颠倒四时。其病
愈而必复。切须诫之诫之。
用日衰而难已。 本论云。病于当日之下。受五刑之刑制者。其病刺而难愈也。
《资生经》汇集了《明堂铜人图》、《千金方》和《外台秘要》的内容，由大监王公编纂整理。文字精炼，内容详尽，针灸的方法都汇聚在这本书里了。听老一辈的人说，澧州学宫过去有王公所编的版本，但在淳熙乙巳年毁于火灾，之后再也见不到了。元贞壬辰年，我在潍阳得到了一个善本，当时就想在荆州的学校刻印它，与从事养生医疗的人共同分享。恰逢我任期届满代理交接，未能实现。大德丙午年，我向宪佥汶上国的先生禀报了此事。先生一见非常高兴，立即召来工匠计算费用，命令平代等地的军民长官谢琰、医学正覃南荣、澧阳县典史唐益秀协力完成此事，并让教导戴梦高专门负责校对工作。过了十个月，书刻成了。我仔细查阅扁鹊、华佗以及孙思邈的方论，发现他们在药物和针灸方面从未偏废任何一方。后世的医生往往只举其一端而号称是专门之学，即使是针灸医生，也都没有掌握穴位的确切位置。过去有年轻力壮却患严重虚劳病的人，灸膏肓穴（位于背部膀胱经上的穴位）多次就医都不见效，后来得到这本书，按照图示取穴，只灸了一次就痊愈了。书中关于阿是穴（以痛为腧，无固定位置的穴位）的说法，以及禁穴允许灸三壮（艾炷）的说法，也都经过多次尝试且屡次有效（禁穴用的艾炷只能像麦粒那么大，并且还要隔着蒜片灸，这样更稳妥）。近年来有被狂躁病症伤害的人，也曾根据经文艾灸救活了三个人。这本书对世人的益处太多了。现在既然已经刻板发行，流传到四方，它所保全的生命，哪里说得尽呢？国先生巡视所属辖区，关心百姓疾苦，感同身受，如今刻板发行这本书，也是济世救人、利益万物的一种方式，而我的本心也因此得以实现。所以高兴地写了这篇序言。
大德丁未年，阆中郡蒲登辰作序。
（以针医诀式流注指微为韵）
疾病存在于营气（行于脉中，具有营养作用的气血）和卫气（行于脉外，具有防御作用的气血）之中。营就是血，卫就是气，它们是由肠胃消化食物转化而来的。上焦（心肺所在部位）发出气，用来温养肌肉腠理并滋养筋脉；中焦（脾胃所在部位）发出的气像沤泡一样腐熟水谷，向上注入溪谷（肌肉间的空隙）并渗入孙脉（最细小的络脉）。津液调和变化成为血，血调和则孙脉先充盈，然后注入络脉，再注入经脉。阴阳由此扩张，随着呼吸而运行，运行有纲纪，循环有条理，与天体运行相协调，不得停止。如果诊察调理不当，失度失调，就会导致疾病产生。疾病是各种病症的总称。百病的起始，都是由风、寒、暑、湿、饥、饱、劳、逸等因素引起的。有的起于阴分，有的起于阳分，所受伤害各不相同，虚实情况也不同。邪气可能停留在孙脉，也可能停留在络脉、经脉，或者停留在冲脉、任脉，又或者停留在肠胃的膜原（脏腑之间的薄膜组织）。邪气浸淫全身，不可胜数地论述。
扶正救急靠的是针刺。救治疾病的功效，关键在于调节虚实。九针（古代九种不同形状和用途的针具）最为奇妙，各有适宜的适应症。热邪在头身部的宜用鑱针（一种针尖较锐利的针）；肌肉间气机壅满的宜用员针（针头圆钝，用于按摩）；脉气虚微渺茫的宜用鍉针（针头如黍粟状，用于按压）；泻热出血、发泄固结重疾的宜用锋针（三棱针，用于放血）；破除痈肿、排出脓血的宜用铍针（剑形针，用于切开排脓）；调和阴阳、去除突发痹症的宜用员利针（针身稍粗，尖端略大，用于治暴痹）；治疗经络中的痹症宜用毫针（最细长的针，应用最广）；痹症深居骨节、腰脊、腠理之间的宜用长针（针身较长，用于深刺）。虚风客居于骨节皮肤之间，需观察患者的虚实与肥瘦情况。
《内经》说：虚证用补法，实证用泻法，不虚不实则取本经治疗。如果虚实不明，必须先观察患者形体的肥瘦，才能明确针刺的深浅。如果不论肥瘦都用同样的分寸标准，这就叫深浅不得当，反而会严重伤害人体。所以肥胖的人针刺要深，消瘦的人针刺要浅，以到达与本脏所属部分齐平的程度为限度，这样就不会有过或不及的伤害。
辨别四季针刺的深浅。四季是用来区分春、夏、秋、冬之气所在的部位以便调治的。春气在毫毛，夏气在皮肤，秋气在分肉（肌肉间隙），冬气在筋骨。《内经》说：春夏季节针刺宜浅，秋冬季节针刺宜深，各自以当时的时令为准。另外，肥胖的人适宜深刺，消瘦的人适宜浅刺。
取穴的方法，只需分清阴阳以及溪谷的部位。阴是指阴气，阳是指阳气。阳气起于五指的表面，阴气起于五指的里面。肌肉的大聚会称为谷，肌肉的小聚会称为溪。分肉之间，溪谷交会之处，用以运行营卫之气，汇聚大气。溪谷中有三百六十五个穴位交会，也对应一年的天数。所以取穴的方法，要分清其阴阳表里的部分，根据溪谷的远近，用同身寸（以患者自身手指宽度为标准测量长度的方法）来取穴。举手拱手、直立、仰卧、侧卧，都是取穴的姿势。每个穴位各有所宜。
迎随补泻逆顺，必须知晓气血的升降沉浮。《内经》说：所谓迎随，要知道营卫之气的流行和经脉的往来。顺着经脉的逆顺方向取穴。《灵枢》说：泻法是迎着经气来的方向刺，补法是顺着经气去的方向刺。如果能知道迎随，令经气必然调和。调和之气的方法，必须通晓阴阳升降上下源流。手三阴经，从内脏走向手部；手三阳经，从手部走向头部；足三阳经，从头部下行至足部；足三阴经，从足部上行至腹部。络脉传注，周流不息。所以经脉，是运行血气、通达阴阳以荣养身体的通道。本论说：想要运用迎随之法，要知道经络逆顺及深浅的区别。诸阳经的行于脉外，诸阳络的行于脉内；诸阴经的行于脉内，诸阴络的行于脉外。仍然各有其所守分的部位。所以知道皮毛是肺所主，肌肉是脾之本，筋是肝所合，骨髓是肾所属，血脉是心所分。分别刺其所属部位，不逾越其道，这叫做奥妙无穷。迎而夺之（泻法）有分寸，随而济之（补法）有深浅。深了就会太过，能伤害诸经；浅了就会不及，不能祛除诸邪。因此足太阳经，刺得其部位，迎刺六分，随刺二分；足太阳络，迎刺七分，随刺二分；手太阳络，迎刺九分，随刺四分；手阳明经，迎刺九分，随刺四分；手阳明络，迎刺八分，随刺三分；足阳明经，迎刺一寸，随刺五分；足阳明络，迎刺六分，随刺一分；手少阳经，迎刺六分，随刺一分；手少阳络，迎刺七分，随刺二分；足少阳经，迎刺八分，随刺三分；足少阳络，迎刺一寸，随刺五分；手太阴经，迎刺九分，随刺四分；手太阴络，迎刺七分，随刺二分；足太阴经，迎刺一寸，随刺五分；足太阴络，迎刺八分，随刺二分；手少阴络，迎刺六分，随刺一分；足少阴经，迎刺六分，随刺一分；足少阴络，迎刺一寸，随刺五分；手厥阴经，迎刺七分，随刺三分；手厥阴络，迎刺六分，随刺一分；足厥阴经，迎刺八分，随刺三分；足厥阴络，迎刺九分，随刺四分。这些都是经络相合，补生泻成，不超过一寸。进针贵在快速，既入针后徐徐推进；出针贵在缓慢，急促则会多伤正气。必须谨慎，不要做危险的事。男子左边泻右边补，女子右边泻左边补。转针运用迎随，补泻的道理，明白于此了。
推究《指微论》中，深奥的意义成就为赋文。《指微论》三卷，不知是何公所作，探究经络的深奥，推究针刺的原理，明辨营卫的清浊，区别孔穴的部分。然而未曾广泛流传于世。现在从论中选取其义以成就此赋。
知晓本时之气的开阖，阐述经络的流注。本论说：流就是行，注就是住。流是气血的运行。一呼脉搏行三寸，一吸脉搏行三寸，呼吸定息（一次完整的呼吸周期），脉搏行六寸。如同流水走蚁，涓涓不息，不可暂时停止。又说：流变为营卫，显彰为颜色，发出来为声音。速度快则生热，速度慢则生寒。凝结则为瘤赘，下陷则为痈疽。所以知道“流”是不可停止的。如果人误中了邪气，则有颠倒昏闷的疾病。又说：“注”就是住。谓十二经络，各到达本时，都有虚实邪正之气，注于所括之穴。所谓得时叫做开，失时叫做阖。气开的时候应当补泻，气闭的时候忌讳针刺。圣人深深忧虑这一点，恐怕人劳而无功，怎么可以不明白气开流注的道理呢？其气开注穴的方法，在七韵中说过了。每次披阅文章参究其法，覆盖经典考察其言论，明示其中的隐微，都知道虚实总附。披文覆经是学习者的情态。既然穷尽了道理，探究了意义，知道了根本，得到了源头，就能见到圣人的心意了吗？看何公作流注之赋，玄辞妙语，可以说是通达事理，并不是自我炫耀。移疼住痛，如有神针。
暴病沉疴至极危笃，针刺不要误治。沉疴久病，虚弱之人，忽然暴感疾病于营卫，传于脏腑，其病必定危笃而沉重。明智者此时应深思损益，千万不要轻忽，自恃聪明。应当察知是哪条经络受苦，通过补泻针刺去除它，不要误治。
详述阴日血引，值阳气流。贾氏说：阳日气先在脉外，血后在脉内；阴日血先在脉外，气后在脉内，交贯而行于五脏五腑之中。各注井、荥、俞、经、合五穴，共五十穴。只有三焦受十经血气，次传包络，又各注五穴，通前十二经，共六十穴。这才符合《难经》十六难内的六十首说法。越人（扁鹊）说：三部九候，各有头首。以及《素问》说六十首，今世不传。既然说不传，其文就不载六十首字样。我认为所过为原穴的六个穴位即是阴阳二气出入的门户。则阳脉出行二十五度，阴脉入行二十五度，则都会于原穴中出入。其五脏五腑收血化精合处，便是逐经原气也。其余精气，助其三焦。其受十经精气，则次传心包络，始十二经血气遍行也。如一经精气不足，则便成病也。既然有病，即不根据此行度也。至令诸经失时，又更引毒瓦斯遍行。所流到处，即各见本经脉候。或大或小，或浮或沉。病患或寒或热，或轻或重。因证取之耳。
口温针暖。凡下针，先须口内温针令暖。不唯滑利而少痛，亦借已和气与患者营卫无寒暖之争。便得相从。若不先温针暖，与血气相逆。寒温交争。而成疮者多矣。
牢濡深求。经云。实之与虚者。牢濡之意。气来实牢者为得。虚濡者为失。凡欲其补泻。即详五脏之脉。及所刺穴中。如气来实牢者可泻之。虚濡者可补之也。
诸经十二作数。络脉十五为周。手足各有三阴三阳之脉。合为十二经脉。每一经各有一脉络。余有阳跷之络。阴跷之络。脾之大络。合为十五络脉。周者。为十二经十五络二十七气。周流于身者也。
阴俞六十脏主。脏谓五脏肝心脾肺肾。并心包之脉。合之有六。俞谓井荥经合非皆俞也。然井荥俞经合者。肝之井。大敦穴也。荥。行间穴也。俞。太冲穴也。经。中封穴也。合。曲泉穴也。心之井。少冲穴也。荥。少府穴也。俞。神门穴也。经。灵道穴也。合。少海穴也。脾之井。隐白穴也。荥。大都穴也。俞。太白穴也。经。商丘穴也。合。阴陵泉穴也。肺之井。少商穴也。荥。鱼际穴也。俞。太渊穴也。经。经渠穴也。合。尺泽穴也。肾之井。涌泉穴也。荥。然谷穴也。俞。太溪穴也。经。复溜穴也。合。阴谷穴也。心包之井。中冲穴也。荥。劳宫穴也。俞。大陵穴也。经。间使穴也。合。曲泽穴也。五脏之俞。各有五。则五五二十五俞。并心络五俞。共三十。以左右见言之。六十俞穴也。
阳穴七十二腑收。腑谓六腑。非兼九形腑也。穴。俞穴也。亦谓井荥俞原经合也。肝之腑胆。胆之井者。窍阴穴也。荥。侠溪穴也。俞。临泣穴也。原。丘墟穴也。经。阳辅穴也。合。阳陵泉穴也。心之腑小肠。小肠之井者。少泽穴也。荥。前谷穴也。俞。后溪穴也。原。腕骨穴也。合。小海穴也。脾之腑胃。胃之井者。厉兑穴也。荥。内庭穴也。俞。陷谷穴也。原。冲阳穴也。经。解溪穴也。合。三里穴也。肺之腑大肠。大肠之井者。商阳穴也。荥。二间穴也。俞。三间穴也。原。合谷穴也。经。阳溪穴也。合。曲池穴也。肾之腑膀胱。膀胱之井者。至阴穴也。荥。通谷穴也。俞。束骨穴也。原。京骨穴也。经。昆仑穴也。合。委中穴也。心包之腑三焦。三焦之井者。关冲穴也。荥。液门穴也。俞。中渚穴也。原。阳池穴也。经。支沟穴也。合。天井穴也。如是六腑各有六。则六六三十六俞。以左右脉共言之。则七十有二俞穴也。取穴部分。见于井荥图说。
刺阳经者。可卧针而取。卫者属阳。皮毛之分。当卧针而刺之。若深刺伤阴夺血络者。先俾指而柔之。夺血络者。取荣气也。荣气者。经隧也。灵枢曰。经隧者。针。取荣家之气。不能损卫气也。经云。刺荣无伤卫。刺卫无伤荣也。
呼为迎而吸作补。泻者迎之。补者随之。有余则泻。不足则补。泻者吸则内针。无令气散。静以久留。无令邪布。候呼尽乃去。大气皆出。是名曰泻。补者。扪而循之。切而散之。推而按之。弹而弩之。抓而下之。外引其门。以闭其神。呼尽内针。静以久留。以气至为故。候吸引针。气不得出。各在其处。推阖其门。令神气存。大气留止。故命曰补。凡善治者。察其所痛。以知病有余不足。当补则补。当泻则泻。无逆天时。是谓至治之妙。
逆为鬼而从何忧。逆者。谓当刺之日。与病五行相形递为鬼贼。而不顺也。从者。五脏之气。与日相和。而不相侵凌也。凡刺之理。当择吉日。与本病之藏气各无侵凌刑制。下针顺从。而何忧哉。
淹疾延患。着灸之由。若病有久淹。因寒而得。或阴证多寒。或者风寒湿痹脚气之病。或者上实下虚厥逆之疾。男子劳伤。妇人血气之属。并可用针灸。亦有不可灸者。近髓之穴。阳证之病。不可灸也。
燥烦药饵而难极。必取八会。燥烦热盛在于内者。宜取八会之气穴也。谓府会太仓中脘穴。藏会季胁章门穴。筋会阳陵泉穴。髓会绝骨穴。血会膈俞穴。骨会大杼穴。脉会太渊穴。气会三焦膻中穴。此是八会穴也。
痈肿奇经而蓄邪。先由砭瘳。经云。病患脉隆盛入于八脉。而不环周。十二经亦不能拘之。其受邪气蓄积肿热。宜砭刺出血。古者以砭石为针。山海经曰。高氏之山。有石如玉。可以为针。即砭石也。今人以披针代之也。
况乎甲胆乙肝。丁心壬水。甲胆乙肝者。谓五脏五腑。拘之十干。阳干主腑。阴干主脏。故天元册又曰。胆甲肝乙。小肠丙心丁。胃戊脾己。大肠庚肺辛。膀胱壬肾癸。五脏五腑。收血化精合处。便是三焦包络二经元气也。合为十二经遍行也。贾氏各分头首。十日一终。营运十干。皆以五子建元日时为头也。
生我者号母。我生者名子。夫五行者。在人为五脏。注穴为井荥俞经合。相合为夫妻。我克者为七传。克我者为鬼贼。我生者为子。生我者为母也。
春井夏荥。乃邪在。秋经冬合。乃刺矣。此言逐四时取井荥之法也。假令春木旺刺井。夏火旺刺荥。季夏土旺刺俞。秋金旺刺经。冬水旺刺合。四时刺法。根据此推之。以泻逐时所胜邪毒者也。圣人所谓因其时而取之。以泻邪气出也。
犯禁忌而病复。禁忌者。非惟人神所在也。谓大饥大渴。大寒大热。大饱大醉。大虚大竭。大劳大困。皆为针家之禁忌。若虚实不分。浅深不及。犯触人神。颠倒四时。其病愈而必复。切须诫之诫之。
用日衰而难已。本论云。病于当日之下。受五刑之刑制者。其病刺而难愈也。
The *Zisheng Jing* (Auspicious Life Classic) integrates the contents of the *Mingtang Tongren Tu* (Illustrated Copper Man of the Ming Tang), *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), and *Waitai Miyao* (Secret Essentials of the Outer Terrace), compiled by Grand Eunuch Wang Gong. The language is refined and the details are comprehensive; all methods of acupuncture and moxibustion are gathered in this book. I have heard from elders that there was an old edition of Mr. Wang's work at the Lizhou Academy, which was destroyed by fire in the Yisi year of Chunxi, and has not been seen since. In the Renchen year of Yuanzhen, I obtained a good copy in Weiyang and intended to carve it for printing at the Jingzhou academy to share with those engaged in health preservation and medicine. However, due to my term ending and replacement, this did not come to fruition. In the Bingwu year of Dade, I reported this matter to Mr. Guo Wen Shang, the Xianqian (Assistant Provincial Judge). Upon seeing it, he was greatly pleased, immediately summoned craftsmen to calculate costs, and ordered Xie Yan, the military and civil chief of Pingdai and other places, Qin Nanrong, the Medical Director, and Tang Yixiu, the Registrar of Liyang County, to cooperate in completing the task. Dai Menggao, the Instructor, was specifically appointed to handle proofreading. After ten months, the book was completed. I carefully reviewed the prescriptions and theories of Bian Que, Hua Tuo, and Sun Simiao, noting that they never neglected either herbal medicine or acupuncture/moxibustion. Later generations of physicians often claim specialization by focusing on only one aspect; even acupuncturists have failed to grasp the correct locations of acupoints. Previously, there were young individuals suffering from severe consumptive diseases who received multiple treatments for moxibustion on the Gohuang acupoints (Gohuang BL43, located on the Bladder Meridian) without effect. After obtaining this book, they followed the diagrams to locate the points, and cured the illness after just one session of moxibustion. The discussions on Ashi points (points tender to pressure, lacking fixed locations) and the statement that forbidden points may receive three moxa cones (with the caveat that the cones should be grain-sized and applied over garlic slices for stability) have also proven effective through repeated trials. In recent years, patients injured by manic disorders have also been revived through moxibustion based on classic texts. This book has benefited the world immensely. Now that it is printed and distributed widely, the number of lives saved cannot be fully recounted. Mr. Guo, while inspecting his jurisdiction, deeply cares for the people's ailments, feeling their pain as his own. Publishing this book is thus one means of benefiting humanity and all things, fulfilling my original intention. Therefore, I joyfully wrote this preface.
Preface by Pu Dengchen of Langzhong Commandery, Dingwei Year of Dade.
(Rhymed according to the style of Acupuncture Secrets and Flowing Notes)
Diseases reside within Ying (Nutrient Qi, blood circulating within vessels) and Wei (Defensive Qi, qi circulating outside vessels). Ying is blood, and Wei is qi, generated from the transformation of food by the stomach and intestines. The Upper Jiao (Upper Burner, housing Heart and Lung) emits qi to warm the muscles, nourish tendons, and open the interstices. The Middle Jiao (Middle Burner, housing Spleen and Stomach) emits qi like a fermenting pool, pouring into the muscle valleys (intermuscular spaces) and seeping into the Sun collaterals (finest network vessels). When fluids are harmonized, they transform into blood. When blood is harmonized, the Sun collaterals fill first, then pour into the Luo collaterals, and finally into the Jing meridians. Yin and Yang expand, moving with respiration, governed by principles and cycles, aligning with Heaven, never ceasing. If pulse diagnosis and regulation are improper or excessive, disease arises. Disease is the general term for all illnesses. The onset of hundred diseases stems from wind, cold, summer-heat, dampness, hunger, fullness, labor, and rest. Some originate in Yin, some in Yang; the injuries differ, and deficiency/excess patterns vary. Pathogenic factors may lodge in Sun collaterals, Luo collaterals, Jing meridians, Chong and Ren meridians, or the membrane source of the stomach and intestines. Pathogenic qi permeates endlessly.
Rescue relies on acupuncture. Its efficacy lies in regulating deficiency and excess. The Nine Needles are most excellent, each suited for specific indications. Heat in the head and body suits Chan needles (sharp-pointed); qi stagnation in muscle layers suits Yuan needles (round-headed); deficient and faint pulse qi suits Di needles (millet-seed shaped); draining heat, bleeding, and expelling stubborn diseases suit Feng needles (three-edged); breaking abscesses and draining pus/blood suit Pi needles (sword-shaped); harmonizing yin/yang and removing acute bi-syndrome suits Yuanli needles (slightly thick tip); treating bi-syndrome in meridians suits Hao needles (fine/long); deep bi-syndrome in bones/joints/waist/spine/skin suits Chang needles (long). For deficiency wind lodging in joints/skin, observe deficiency/excess and fat/thinness.
The Classics state: Tonify deficiency, drain excess, and treat the affected meridian if neither deficient nor excess. If deficiency/excess is unclear, first observe the patient's body shape (fat/thin) to determine needle depth. Using the same depth standard regardless of body type leads to incorrect depth, causing great harm. Thus, needle deeply for fat persons, shallowly for thin persons, aiming for the level of the associated Zang organ region, avoiding injury from excess or insufficiency.
Distinguish seasonal depths. Seasons distinguish the location of Spring, Summer, Autumn, and Winter qi for regulation. Spring qi is in the fine hairs; Summer qi in the skin; Autumn qi in the muscle layers; Winter qi in the sinews and bones. The Classics state: Needle shallowly in Spring/Summer, deeply in Autumn/Winter, following seasonal rules. Additionally, fat persons suit deep needling, thin persons suit shallow needling.
Acupoint selection divides Yin/Yang and muscle valleys. Yin refers to Yin qi, Yang to Yang qi. Yang qi originates from the exterior of the five fingers; Yin qi from the interior. Large muscle gatherings are "Gu" (valleys); small gatherings are "Xi" (streams). Between muscle layers, where Xi and Gu meet, Ying and Wei circulate, gathering Great Qi. There are 365 meeting points in Xi and Gu, corresponding to the days of a year. Selection method: divide Yin/Yang and exterior/interior regions, measure distances using Cun (body-inch measurement). Postures include raising arms, clasping hands, standing, supine, and lateral positions. Each point has specific indications.
Welcome/Follow (Ying/Sui) reversal/adherence requires understanding qi flow and sinking/rising. The Classics state: Welcome/Follow involves knowing the circulation of Ying/Wei and the direction of meridians. Follow the meridian's direction. *Ling Shu* states: Drain by welcoming (against flow), tonify by following (with flow). Knowing Ying/Sui harmonizes qi. Harmonization requires understanding Yin/Yang ascent/descent. Hand Three Yin meridians travel from Zang to Hand; Hand Three Yang from Hand to Head; Foot Three Yang from Head to Foot; Foot Three Yin from Foot to Abdomen. Collaterals circulate endlessly. Meridians transport blood/qi, connect Yin/Yang, and nourish the body. This treatise states: To use Ying/Sui, know meridian directions and depth. Yang meridians run outside vessels; Yang collaterals inside. Yin meridians inside; Yin collaterals outside. Each has specific domains: Skin/Lungs, Muscle/Spleen, Sinew/Liver, Bone/Kidney, Vessel/Heart. Pierce respective domains without crossing boundaries. Welcoming (draining) has degrees; Following (tonifying) has depths. Too deep harms meridians; too shallow fails to expel pathogen. Specific depths for Foot Taiyang Meridian/Collateral, Hand Taiyang Collateral, Hand Yangming Meridian/Collateral, Foot Yangming Meridian/Collateral, Hand Shaoyang Meridian/Collateral, Foot Shaoyang Meridian/Collateral, Hand Taiyin Meridian/Collateral, Foot Taiyin Meridian/Collateral, Hand Shaoyin Collateral, Foot Shaoyin Meridian/Collateral, Hand Jueyin Meridian/Collateral, Foot Jueyin Meridian/Collateral are detailed (e.g., Foot Taiyang Meridian: Welcome 6 fen, Follow 2 fen). These combinations balance tonification/draining within one cun. Insert quickly, advance slowly; withdraw slowly, avoid haste. Men: Left drain, Right tonify. Women: Right drain, Left tonify. Rotating needle applies Ying/Sui.
The *Zhiwei Lun* (Treatise on Subtle Indications) contains profound meanings turned into verse. It explores meridians, needle theory, Ying/Wei purity/turbidity, and acupoint regions but was not widely circulated. This fu extracts its meaning.
Understanding seasonal opening/closing and meridian flow. Flow is movement; Zhu (pouring/stopping) is stillness. Pulse moves 3 cun per exhalation, 3 cun per inhalation, 6 cun per breath cycle. Like flowing water, it must not stop. Flow becomes Ying/Wei, manifests as color/voice. Fast flow causes heat; slow flow causes cold. Condensation causes tumors; sinking causes abscesses. Misdirected flow causes coma. "Zhu" means stopping. Twelve meridians reach their peak times, filling specific acupoints with excess/deficient/pathogenic qi. "Kai" (Open) is timely; "He" (Closed) is untimely. Tonify/drain during Kai; avoid needling during He. Sages fear futile effort, so understanding flow timing is crucial. Methods are detailed in the seven rhymes. Studying classics reveals hidden truths of deficiency/excess.
Acute and chronic critical diseases require careful needling. Chronic weak patients suddenly affected by pathogenic transmission to Zang/Fu face critical danger. Wise practitioners must weigh pros/cons carefully. Identify the affected meridian and apply appropriate tonification/draining.
Yin days guide blood; Yang days guide qi. Jia Shi stated: On Yang days, qi leads outside vessels, blood follows inside; on Yin days, blood leads outside, qi follows inside. They interweave in Zang/Fu, entering Jing, Ying, Shu, Jing, He points (50 points total). San Jiao receives qi/blood from ten meridians, then Pericardium adds five, totaling 60 points for twelve meridians, matching *Nan Jing* Chapter 16. Bian Que and *Su Wen* mention sixty headings, now lost. I consider the six Yuan (Source) points as gates of Yin/Yang qi. Yang pulse travels 25 degrees; Yin pulse 25 degrees, meeting at Yuan points. Zang/Fu essence collection is the Yuan qi of each meridian. Remaining essence aids San Jiao, then Pericardium, circulating through twelve meridians. Deficiency in one meridian causes disease, disrupting flow and spreading toxins. Pulse signs vary (large/small, floating/sinking, hot/cold) based on symptoms.
Warm the needle with mouth before insertion. This ensures smoothness, reduces pain, and harmonizes with patient's Ying/Wei, preventing cold/heat conflict and ulceration.
Deeply seek firm/soft pulse qualities. Firm indicates excess (suitable for draining); soft indicates deficiency (suitable for tonifying). Examine Five Zang pulses and acupoint sensations.
Twelve meridials, fifteen collaterals form a cycle. Hand/Foot Three Yin/Yang make twelve meridians. Each has a collateral, plus Yang Qiao, Yin Qiao, and Spleen's Great Collateral, totaling fifteen collaterals. Twenty-seven qi pathways circulate the body.
Sixty Yin Shu points govern Zang. Six Zang (Liver, Heart, Spleen, Lung, Kidney, Pericardium). Shu points here refer to Five Shu points (Jing, Ying, Shu, Jing, He). Liver: Dadun (Jing), Xingjian (Ying), Taichong (Shu), Zhongfeng (Jing), Ququan (He). Heart: Shaochong, Shaofu, Shenmen, Lingdao, Shaohai. Spleen: Yinbai, Dabu, Taibai, Shangqiu, Yinlingquan. Lung: Shaoshang, Yuji, Taiyuan, Jingqu, Chize. Kidney: Yongquan, Ran Gu, Taixi, Fuliu, Yinggu. Pericardium: Zhongchong, Laogong, Daling, Jiawei, Quze. 5 points x 6 Zang = 30 points. Bilateral = 60 points.
Seventy-Two Yang Xu points govern Fu. Six Fu organs. Points are Jing, Ying, Shu, Yuan, Jing, He. Gallbladder: Qiaoyin, Xiaxi, Linbian, Qiuxu, Yangfu, Yanglingquan. Small Intestine: Shaoze, Qian gu, Houxi, Wangu, Xiaohai. Stomach: Lidui, Neiting, Xargu, Chongyang, Jie xi, Zusanli. Large Intestine: Shangyang, Erjian, Sanjian, Hegu, Yangxi, Quchi. Bladder: Zhiyin, Tonggu, Shugu, Jinggu, Kunlun, Weizhong. San Jiao: Guanchong, Yemen, Zhongzhu, Yangchi, Zhigou, Tianjing. 6 points x 6 Fu = 36 points. Bilateral = 72 points. See Jing-Ying diagrams.
Needling Yang meridians: Use lying-down technique. Wei belongs to Yang/skin. Deep needling risks damaging Yin/blood vessels. First soften with fingers. Draining blood vessels targets Ying qi (meridian tunnels) without harming Wei qi. "Pierce Ying without harming Wei; pierce Wei without harming Ying."
Exhalation welcomes (drains); inhalation follows (tonifies). Drain: Insert on inhalation, retain quietly, remove on exhalation to expel pathogen. Tonify: Massage, press, tap, pull skin, close pore. Insert on exhalation, retain until qi arrives, remove on inhalation to seal qi. Good treatment observes pain/deficiency-excess, tonifies/drains appropriately, respects seasons.
Avoid "Ghost" (clashing) days. Clashing occurs when the day's element clashes with the diseased Zang. Harmony occurs when elements support. Choose auspicious days compatible with the patient's Zang qi.
Moxibustion for chronic diseases. Suitable for chronic cold, Yin-cold syndromes, Wind-Cold-Damp Bi, gout, upper-excess/lower-deficiency reversal, male exhaustion, female blood/qi disorders. Contraindications: Points near marrow, Yang syndromes.
Eight Meeting Points for internal heat/restlessness. Fu Meeting: Zhongwan (CV12). Zang Meeting: Zhangmen (LR13). Sinew Meeting: Yanglingquan (GB34). Marrow Meeting: Yangjiao (GB39). Blood Meeting: Geshu (BL17). Bone Meeting: Dazhu (BL11). Vessel Meeting: Taiyuan (LU9). Qi Meeting: Tanzhong (CV17).
Bian stone for abscesses/extraordinary vessel accumulation. When pulse surges into Eight Extraordinary Vessels, bypassing twelve meridians, causing swelling/heat, use bian stone (stone lancet) to bleed. Ancient texts describe jade-like stones for needles. Modern practice uses lancets.
Ten Heavenly Stems correspond to Organs. Jia/Gallbladder, Yi/Liver, Bing/Small Intestine, Ding/Heart, Wu/Stomach, Ji/Spleen, Geng/Large Intestine, Xin/Lung, Ren/Bladder, Gui/Kidney. Yang stems govern Fu, Yin stems govern Zang. This system tracks qi circulation over ten-day cycles.
Five Elements generate relationships. "My generator" is Mother; "What I generate" is Child. "What I control" is Seven Transmissions; "What controls me" is Ghost/Treasure.
Seasonal Point Selection: Spring/Jing, Summer/Ying, Autumn/Jing, Winter/He. Matches seasonal strength to drain prevailing pathogens. Follow sage's advice to time treatment.
Contraindications prevent relapse. Avoid needling during extreme hunger/thirst, cold/heat, fullness/intoxication, exhaustion, or fatigue. Also avoid confusing deficiency/excess, incorrect depth, offending "Human Gods," or violating seasonal rules. Relapse is certain if ignored.
Treatment difficulty on unfavorable days. If the disease day clashes with the Five Punishments (elemental restrictions), needling will be difficult to cure.