假令胆病。善洁。面青。善怒。得弦脉。人病心下满。当刺胆井。如见善洁。面青。善
怒。
脉又弦。人病身热。当刺肝荣。如根据前色脉。人病体重节痛。当刺胆俞。如见善洁。面青。
善怒。脉又弦。人病喘咳寒热。当刺胆经。如根据前色脉。又病逆气而泄。当刺胆合。余经根据
例皆仿此。
假令肝病。淋溲难。兼转筋。人病或心下满。或身热。或体重节痛。或喘咳。或逆气而
泄。
根据前刺之。谓刺肝经诸穴也。脉沉而弦。假令小肠经病，面赤口干。喜笑。或心下满。刺井
或
身热刺荣。或体重节痛刺俞。或喘咳寒热刺经。或逆气而泻刺合。脉浮而洪。假令心经病。
烦
心。心痛。掌中热。哕。脉沉而洪。或心下满。刺井。或身热刺荣。或体重节痛刺俞。或喘
咳寒热刺经。或逆而泄刺合。假令胃经病。面黄善噫。善思善味。脉浮而缓。根据上法刺之。
假令
脾经病。腹胀满。食不消。怠堕嗜卧。脉沉而缓。根据上法刺之。假令
大肠经病。面白善嚏。悲愁不乐。欲哭。脉浮而涩。根据上法刺之。假令膀胱经病。面黑
若恐欠。脉俱沉。根据上法刺之。假令肾经病。泻如下重。足胫寒而逆。脉俱沉。根据上法刺
之。
凡用灸刺。当先别其所宜。有偏宜刺者。若天柱、素 、禾 、肩贞、乳中、周荣、腹
哀、
中冲、阴陵泉、条口、犊鼻、髀关、申脉、殷门、承扶等三十一穴是也。有偏宜灸者。若络
却、玉枕、承灵、角孙、神道、膏肓、会阴、横骨、青灵渊等一十六穴是也。其他并欲通行
灸
刺。亦有不宜灸刺者。皆有所禁。若神庭、脑户、颅囟、承泣、膻中、神阙、气冲、五里、
三阳络、承筋之类。皆不可刺。脑户、风府、哑门、承光、素 、攒竹、晴明、迎香、头维
、下关、脊中、心俞、白环俞、天牖、人迎、渊腋、少商、经渠、天府、阳池、地五会、阳
关、伏兔之类。皆不可灸。又有鸠尾虽在可刺。更宜精详之。石门虽在可刺。在妇女则为大
禁。肩 本不禁灸。亦不宜多灸。四肢虽亦可灸。然在法惟宜少灸。此数者。皆灸刺之务。
不可不知也。若不当灸而灸。不当刺而刺。皆有所伤。内经所云。刺禁其法。若刺头中脑户
入脑立死。刺面中溜脉。不幸为盲。刺客主人。内陷及刺目上陷骨中脉为内漏。而聋。刺
舌下。中脉大过。出血不止为喑。刺缺盆中内陷。气泄。令人喘咳逆。刺乳上。中乳房。为
肿根蚀。刺膺中陷中脉。为喘逆仰息。刺腋下胁间内陷。令人咳。刺脊间中髓。为伛。刺背
大阴脉出血多。立死。刺肘中内陷。气归之。为不屈伸。刺手鱼腹。内陷为肿。刺气街中脉
血不出。为肿鼠鼷。刺少腹。中膀胱。溺出。令人少腹满。刺足少阴脉。重虚出血。为
舌难以言。刺阴股中大脉。血出不止死。刺阴股下三寸内陷。令人遗溺。刺膝膑出腋。为跛
刺隙中大脉。令人仆。脱色。刺关节中。液出。不得屈伸。刺 肠内陷。为肿。刺跗上。
中大脉。血出不止死。刺足下布络。中脉。血不出为肿。刺中五脏皆死。又有大禁二十五者
即五里穴也。所谓迎之五里。中道而止是也。其次。无刺大醉。令人气乱。无刺大怒。令人
气逆。故曰。大醉无刺。已刺无醉。大怒无刺。已刺无怒。以至大劳。新饱。大饥。大渴。
大惊。大恐。皆在切禁。若误犯之。各有可救之理。具于后云。
假如是胆病，患者喜欢清洁，面色发青，容易发怒，脉象呈弦脉。如果病人感到心下胀满，应当针刺胆经的井穴；如果观察到患者有喜欢清洁、面色发青、易怒的表现，且脉象又呈现弦象，就应如此施治。如果病人身体发热，应当针刺肝经的荥穴；如果根据前述的面色和脉象表现，病人感到身体沉重、关节疼痛，应当针刺胆俞穴；如果观察到患者有喜欢清洁、面色发青、易怒的表现，且脉象又呈现弦象，就应如此施治。如果病人出现气喘咳嗽、寒热往来，应当针刺胆经的经穴；如果根据前述的面色和脉象表现，又伴有气逆腹泻的症状，应当针刺胆经的合穴。其余各经的治疗都参照此例进行。
假如是肝病，患者小便淋漓困难，兼有筋脉拘挛抽搐。如果病人出现心下胀满，或者身体发热，或者身体沉重关节疼痛，或者气喘咳嗽，或者气逆腹泻，均按照前文所述的方法进行针刺，即针刺肝经的各个穴位。如果脉象沉而弦，假使是小肠经发病，患者面色红赤、口干，喜欢笑，或者心下胀满，应当针刺井穴；如果身体发热，应当针刺荥穴；如果身体沉重关节疼痛，应当针刺俞穴；如果气喘咳嗽伴寒热，应当针刺经穴；如果气逆腹泻，应当针刺合穴。如果脉象浮而洪大，假使是心经发病，患者心烦、心痛，手掌心发热，呃逆，脉象沉而洪大，或者心下胀满，应当针刺井穴；如果身体发热，应当针刺荥穴；如果身体沉重关节疼痛，应当针刺俞穴；如果气喘咳嗽伴寒热，应当针刺经穴；如果气逆腹泻，应当针刺合穴。假使是胃经发病，患者面色发黄，喜欢打嗝，思虑过多，口味异常，脉象浮而缓，按照上述方法针刺。假使是脾经发病，患者腹胀满，食物不消化，倦怠乏力嗜睡，脉象沉而缓，按照上述方法针刺。假使是大肠经发病，患者面色苍白，喜欢打喷嚏，悲伤忧愁不快乐，想哭，脉象浮而涩，按照上述方法针刺。假使是膀胱经发病，患者面色黑，好像恐惧或呵欠连连，脉象俱沉，按照上述方法针刺。假使是肾经发病，患者腹泻伴有肛门重坠感，足胫寒冷且逆冷，脉象俱沉，按照上述方法针刺。
凡是使用灸法或针刺，应当先辨别其适宜的情况。有些穴位偏宜于针刺，如天柱、素髎、禾髎、肩贞、乳中、周荣、腹哀、中冲、阴陵泉、条口、犊鼻、髀关、申脉、殷门、承扶等三十一穴。有些穴位偏宜于灸法，如络却、玉枕、承灵、角孙、神道、膏肓、会阴、横骨、青灵、渊液等十六穴。其他穴位则通行灸刺均可。也有不宜灸刺的穴位，都有禁忌。如神庭、脑户、囟会、承泣、膻中、神阙、气冲、五里、三阳络、承筋之类，都不可针刺。脑户、风府、哑门、承光、素髎、攒竹、睛明、迎香、头维、下关、脊中、心俞、白环俞、天牖、人迎、渊腋、少商、经渠、天府、阳池、地五会、阳关、伏兔之类，都不可灸。又有鸠尾穴虽然可以针刺，但更需精细详审。石门穴虽然可以针刺，但对妇女则是大禁。肩髃穴本不禁灸，也不宜多灸。四肢虽然也可以灸，但在法则上只宜少灸。这几方面，都是灸刺的重要事项，不可不知道。如果不应当灸而灸，不应当刺而刺，都会造成伤害。《内经》所说的刺禁之法，如针刺头部正中入脑户，进入脑部立即死亡；针刺面部正中溜脉，不幸会导致失明；刺杀主人穴（客主人），针内陷及刺目上陷骨中的脉络，导致内部漏泄而耳聋；针刺舌下，如果中脉过大，出血不止会导致失音；针刺缺盆中，针内陷导致气泄，使人气喘咳嗽气逆；针刺乳房上方，伤及乳房，导致根部溃烂肿胀；针刺胸膺部陷中的脉络，导致气喘逆仰息；针刺腋下胁间内陷，使人咳嗽；针刺脊间中髓，导致驼背；针刺背部大阴脉出血过多，立即死亡；针刺肘中内陷，气归于此，导致肢体不能屈伸；针刺手鱼腹部，针内陷导致肿胀；针刺气街中脉，血出不来，导致大腿内侧肿胀；针刺小腹，伤及膀胱，尿液流出，使人小腹胀满；针刺足少阴脉，造成重虚并出血，导致舌头僵硬难以言语；针刺大腿内侧的大脉，血出不止会死亡；针刺大腿下部三寸处内陷，使人遗尿；针刺膝盖髌骨出腋部，导致跛行；针刺腘窝中大脉，使人跌倒，面色脱失；针刺关节中，津液流出，导致不能屈伸；针刺大肠内陷，导致肿胀；针刺足背上，伤中大脉，血出不止会死亡；针刺足底布散的络脉，中脉后血不出导致肿胀；针刺中五脏都会致死。又有二十五种大禁，即五里穴，所谓“迎之五里，中道而止”就是指这个。其次，不要在大醉时针刺，会使人气机紊乱；不要在大怒时针刺，会使人气机逆乱。所以说：大醉不可针刺，已刺之后不可饮酒至醉；大怒不可针刺，已刺之后不可发怒。以至极度疲劳、刚吃饱、极度饥饿、极度口渴、极度惊恐、极度恐惧，都在严格禁忌之列。如果误犯这些禁忌，各有补救的道理，详细记载在后面。
If it is a Gallbladder disease, the patient prefers cleanliness, has a bluish complexion, and is prone to anger, with a wiry pulse. If the patient complains of fullness below the heart, one should puncture the Jing-Well point of the Gallbladder channel. If observing preferences for cleanliness, bluish complexion, and anger, along with a wiry pulse, this indicates the treatment approach. If the patient has fever, one should puncture the Ying-Spring point of the Liver channel. If based on the aforementioned complexion and pulse, the patient feels heavy body and joint pain, one should puncture the Shu-Stream point (Dushu) of the Gallbladder. If observing preferences for cleanliness, bluish complexion, and anger, along with a wiry pulse, this indicates the treatment approach. If the patient has wheezing, coughing, and alternating chills and fever, one should puncture the Jing-River point of the Gallbladder channel. If based on the aforementioned complexion and pulse, accompanied by rebellious Qi and diarrhea, one should puncture the He-Sea point of the Gallbladder channel. The remaining channels follow this example.
If it is a Liver disease, the patient has difficult and dribbling urination, accompanied by tendon spasms. If the patient presents with fullness below the heart, or fever, or heavy body and joint pain, or wheezing and coughing, or rebellious Qi and diarrhea, one should puncture according to the previous methods, meaning puncturing various points of the Liver channel. If the pulse is deep and wiry, assuming Small Intestine channel disease, the patient has a red face, dry mouth, and likes to laugh, or has fullness below the heart; puncture the Jing-Well point. If there is fever, puncture the Ying-Spring point. If there is heavy body and joint pain, puncture the Shu-Stream point. If there is wheezing, coughing, and alternating chills and fever, puncture the Jing-River point. If there is rebellious Qi and diarrhea, puncture the He-Sea point. If the pulse is floating and surging, assuming Heart channel disease, the patient has vexation in the heart, heart pain, heat in the palms, hiccups, and a deep and surging pulse, or fullness below the heart; puncture the Jing-Well point. If there is fever, puncture the Ying-Spring point. If there is heavy body and joint pain, puncture the Shu-Stream point. If there is wheezing, coughing, and alternating chills and fever, puncture the Jing-River point. If there is rebellious Qi and diarrhea, puncture the He-Sea point. Assuming Stomach channel disease, the patient has a yellow face, likes to belch, thinks excessively, has abnormal taste sensations, and a floating and moderate pulse; puncture according to the above method. Assuming Spleen channel disease, the patient has abdominal distension and fullness, undigested food, lethargy and drowsiness, and a deep and moderate pulse; puncture according to the above method. Assuming Large Intestine channel disease, the patient has a pale face, likes to sneeze, feels sad and unhappy, wants to cry, and has a floating and choppy pulse; puncture according to the above method. Assuming Bladder channel disease, the patient has a black face, seems fearful or yawns frequently, and the pulse is deep in both positions; puncture according to the above method. Assuming Kidney channel disease, the patient has diarrhea with a feeling of heaviness in the anus, cold and reversed cold in the lower legs, and the pulse is deep in both positions; puncture according to the above method.
When using moxibustion or acupuncture, one must first distinguish what is appropriate. Some points are preferably needled, such as Tianzhu (BL10), Suliao (DU26), Heliao (SI19), Jianzhen (SI9), Ruzhong (RN17), Zhourong (ST23), Fuai (ST17), Zhongchong (PC9), Yinlingquan (SP9), Tiaokou (ST38), Dubi (ST35), Biguan (ST31), Shenmai (BL64), Yanmen (BL37), Chengfu (BL36), etc., totaling thirty-one points. Some points are preferably moxa-applied, such as Luoque (BL9), Yuzhen (BL9 - *Note: Text says Yuzhen, likely distinct from BL9 or typo for another point, keeping literal*), Chengling (DU18), Jiaosun (TE20), Shendao (DU11), Gaohuang (BL43), Huiyin (CV1), Henggu (KI12), Qingling (HT3), Yuanli (GB24), etc., totaling sixteen points. Other points allow both moxibustion and acupuncture. There are also points contraindicated for both, each having specific prohibitions. Such as Shenting (DU24), Naohu (DU16), Xinhui (DU22), Chengqi (ST1), Danzhong (CV17), Shenque (CV8), Qichong (ST30), Wuli (LI31), Sanyangluo (TE7), Chengjin (BL56), etc., are all un-puncturable. Naohu (DU16), Fengfu (DU16 - *Note: Duplicate name in source text contextually distinct or error, usually Fengfu is GV16*), Yamens (DU17), Chengguang (BL7), Suliao (DU26), Cuanzhu (BL2), Jingming (BL1), Yingxiang (LI20), Touwei (ST8), Xiaguan (ST7), Jizhong (DU12), Xinshu (BL15), Baihuan shu (BL30), Tianyou (TE16), Renying (ST9), Yuanye (GB22), Shaoshang (LU11), Jingqu (LU8), Tianfu (LU3), Yangchi (TE4), Diwuhui (GB29), Yangguan (EX-B3), Futu (ST32), etc., are all un-moxable. Jiwei (CV15) can be needled but requires extreme precision. Shimen (CV5) can be needled but is a major prohibition for women. Jianyu (LI15) is not prohibited for moxa but should not be heavily moxa-applied. Although the four limbs can be moxa-applied, the method dictates only light moxa application. These few aspects are crucial matters of moxibustion and acupuncture and must not be unknown. If one applies moxa when inappropriate, or needles when inappropriate, injury will result. As stated in the *Neijing* regarding needle prohibitions: Puncturing the head center entering Naohu into the brain causes immediate death. Puncturing the Liu Mai in the center of the face may unfortunately cause blindness. Puncturing the Master of the Guest (Zhusiren/Keguanren) causing internal sinking, or puncturing the vessels in the depression above the eye causing internal leakage, leads to deafness. Puncturing under the tongue; if the vessel is hit too deeply and bleeding does not stop, it causes aphonia. Puncturing the middle of Quepen causing internal sinking and Qi leakage leads to wheezing, coughing, and rebellious Qi. Puncturing above the breast, injuring the mammary gland, causes swelling and root erosion. Puncturing the depression in the chest wall injuring the vessel leads to wheezing, rebellion, and仰息 (breathing with difficulty lying flat). Puncturing the depression in the axilla and hypochondrium leads to coughing. Puncturing the spine medulla leads to kyphosis. Puncturing the large Yin vessel on the back with excessive bleeding causes immediate death. Puncturing the elbow causing internal sinking, where Qi gathers, leads to inability to flex and extend. Puncturing the fish belly of the hand causing internal sinking leads to swelling. Puncturing the Qi Street vessel without blood coming out leads to swelling in the thigh crease. Puncturing the lower abdomen, injuring the bladder, causes urine leakage and lower abdominal fullness. Puncturing the Foot-Shaoyin vessel, causing double deficiency and bleeding, leads to a stiff tongue and difficulty speaking. Puncturing the large vessel in the upper thigh with continuous bleeding causes death. Puncturing three cun below the upper thigh causing internal sinking leads to urinary incontinence. Puncturing the patella area leading to lameness. Puncturing the large vessel in the popliteal fossa causes collapse and loss of complexion. Puncturing the joints, causing effusion, leads to inability to flex and extend. Puncturing the intestine causing internal sinking leads to swelling. Puncturing the dorsum of the foot, injuring the large vessel with continuous bleeding, causes death. Puncturing the network vessels under the foot; if the vessel is hit and blood does not come out, it causes swelling. Puncturing the five Zang organs results in death. There are also twenty-five major prohibitions, specifically the Wuli point, referred to as "Meeting Wuli, stop halfway." Secondly, do not needle when greatly intoxicated, as it disorders Qi. Do not needle when greatly angry, as it causes Qi to rebel. Therefore, it is said: No needling when greatly drunk; after needling, no intoxication. No needling when greatly angry; after needling, no anger. Also, extreme fatigue, recent full meal, extreme hunger, extreme thirst, extreme fright, and extreme fear are all strictly prohibited. If these are mistakenly violated, there are principles for rescue, detailed subsequently.