(《素问·遗篇刺法论》)
黄帝问曰∶升降之刺,以知其要,愿闻司天未得迁正,使司化之失其常政,即万化之或其皆妄,然与民为病,可得
先除,欲济群生,愿闻其说。(知其气有不正,故当预防。)岐伯稽首再拜曰∶悉乎哉问!言其至理,圣念慈悯,欲济群
生,臣乃尽陈斯道,可申洞微。(申,明也。洞,幽也。)太阳复布,即厥阴不迁正,不迁正气塞于上,当泻足厥阴之所
流。(辰戌岁太阳司天之后,厥阴继之。若寒水既退而复布,则巳亥之厥阴不得迁正,风化不行,木气郁塞于上,人病在
肝,故当泻足厥阴之所流,行间穴也。刺六分,留七呼,气至急出之。)厥阴复布,少阴不迁正,不迁正即气塞于上,当
刺心包络脉之所流。(巳亥岁厥阴司天之后,少阴继之。若风气既退而复布,则子午之少阴不得迁正,火化不行,热气郁
塞于上,人病在心主,故当泻包络之所流,劳宫穴也。刺三分,留六呼,气至急出之。)少阴复布,太阴不迁正,不迁正
即气留于上,当刺足太阴之所流。(子午岁少阴司天之后,太阴继之。若君火复布,则丑未之太阴不得迁正,雨化不行,
土气留滞于上,人病在脾,故当刺足太阴之所流,大都穴也。刺三分,留七呼,气至急出之。)太阴复布,少阳不迁正,
不迁正则气塞未通,当刺手太阳之所流,(丑未岁太阴司天之后,少阳继之。若湿气复布,则寅申之少阳不得迁正,火化
不行,热气郁塞,人病在三焦,故当刺手少阳之所流,液门穴也。刺二分,留三呼,气至急出之。)少阳复布,则阳明不
迁正,不迁正则气未通上,当刺手太阴之所流。(寅申岁少阳司天之后,阳明继之。若相火复布,则卯酉之阳明不得迁正,
金化不行,燥气郁滞,人病在肺,故当刺手太阴之所流,鱼际穴也。刺二分,留三呼,得气急出之。)阳明复布,太阳不
迁正,不迁正则复塞其气,当刺足少阴之所流。(卯酉岁阳明司天之后,太阳继之。若燥气复布,则辰戌之太阳不得迁正,
水化不行,寒气复塞,人病在肾,故当刺足少阴之所流,然谷穴也。刺三分,留三呼 ,得气急出之。)
帝曰∶迁正不前。以通其要,愿闻不退,欲折其余,无令过失,可得明乎?岐伯曰∶气过有余,复作布正,是名不
过位也。(气数有余不退,故复作布正,而新旧不能过位。)使地气不得后化,新司天未得迁正,故复布化令如故也。(天
气不退,则地气不得后化,故新岁司天不能迁正,仍布旧岁之令。)巳亥之岁,天数有余,故厥阴不退位也,风行于上,
木化布天,(以子午年犹行巳亥之令,热化不行,风反为灾也。)当刺足厥阴之所入。(曲泉穴也,刺六分,留七呼,气至
急出之。按上文云复布者,以旧气再至,新气被郁,郁散则病除,故当刺新气之经。此下言不退者,以旧气有余,非泻
不除,旧邪退则新气正矣,故当刺旧气之经。二治不同,各有深意。)子午之岁,天数有余,故少阴不退位也,热行于上,
火余化布天,( 以丑未之年,犹行子午之令,雨化不行,热气尚治也。)当刺手厥阴之所入。(曲泽穴也。刺三分,留七
呼,得气急出之。)丑未之岁,天数有余,故太阴不退位也,湿行于上,雨化布天,(以寅申之岁,犹行丑未之政,火气
不行,湿仍布天也。)当刺足太阴之所入。(阴陵泉也,刺五分,留七呼,动气至,急出之。)寅申之岁,天数有余,故少
阳不退位也,热行于上,火化布天,(以卯酉之岁,犹行寅申之政,火尚布天,金化不行也。)当刺手少阳之所入。(天井
穴也。刺三分,留七呼,气至急出之。)卯酉之岁,天数有余,故阳明不退位也,金行于上,燥化布天,(以辰戌之岁,
犹行卯酉之令,燥尚布天,寒化不行也。)当刺手太阴之所入。(尺泽穴也。刺三分,留三呼,气至急出之。)辰戌之岁,
天数有余,故太阳不退位也,寒行于上,凛,水化布天,(巳亥年,犹行辰戌之令,寒气布天,风化不行也。)当刺足少
阴之所入。(阴谷穴也。刺四分,留三呼,动气至,急出之。)故天地气逆,化成民病,以法刺之,预可平 。 ,安戈
切,疾苦也。)
(出自《素问·遗篇刺法论》)
黄帝问道:升降之刺,在于掌握其要领。我希望了解,当司天之气未能按时迁正,导致主持化育的职能失去常规政令,从而使得万物化生可能产生谬误,进而给百姓带来疾病时,能否预先加以消除,以拯救众生?希望您能告知其中的道理。(因为知道气机有不正当之处,所以应当进行预防。)
岐伯叩头拜了两下说:问得真详尽啊!您说出了至深的道理,圣心慈悲怜悯,想要拯救众生,我于是详尽陈述这一道术,可以阐明幽微之理。(申,意为阐明;洞,意为幽深。)
如果太阳寒水之气再次布散,那么厥阴风木之气就不能迁正。不能迁正则正气壅塞于上,应当泻足厥阴经的荥穴。(在辰戌年太阳司天之后,应由厥阴继任。如果寒水之气既退去又再次布散,那么巳亥年的厥阴之气就不能迁正,风化不能施行,木气郁结壅塞于上,人体会病在肝脏,所以应当泻足厥阴经的荥穴,即行间穴。针刺深度六分,留针七次呼吸的时间,得气后迅速出针。)
如果厥阴风木之气再次布散,那么少阴君火之气就不能迁正。不能迁正则气机壅塞于上,应当刺手厥阴心包络经的荥穴。(在巳亥年厥阴司天之后,应由少阴继任。如果风气既退去又再次布散,那么子午年的少阴之气就不能迁正,火化不能施行,热气郁结壅塞于上,人体会病在心主,所以应当泻心包络经的荥穴,即劳宫穴。针刺深度三分,留针六次呼吸的时间,得气后迅速出针。)
如果少阴君火之气再次布散,那么太阴湿土之气就不能迁正。不能迁正则气机停留于上,应当刺足太阴脾经的荥穴。(在子午年少阴司天之后,应由太阴继任。如果君火之气再次布散,那么丑未年的太阴之气就不能迁正,雨化不能施行,土气留滞壅塞于上,人体会病在脾脏,所以应当刺足太阴脾经的荥穴,即大都穴。针刺深度三分,留针七次呼吸的时间,得气后迅速出针。)
如果太阴湿土之气再次布散,那么少阳相火之气就不能迁正。不能迁正则气机壅塞不通,应当刺手少阳三焦经的荥穴。(在丑未年太阴司天之后,应由少阳继任。如果湿气再次布散,那么寅申年的少阳之气就不能迁正,火化不能施行,热气郁结壅塞,人体会病在三焦,所以应当刺手少阳三焦经的荥穴,即液门穴。针刺深度二分,留针三次呼吸的时间,得气后迅速出针。)
如果少阳相火之气再次布散,那么阳明燥金之气就不能迁正。不能迁正则气机不能通达于上,应当刺手太阴肺经的荥穴。(在寅申年少阳司天之后,应由阳明继任。如果相火再次布散,那么卯酉年的阳明之气就不能迁正,金化不能施行,燥气郁结阻滞,人体会病在肺脏,所以应当刺手太阴肺经的荥穴,即鱼际穴。针刺深度二分,留针三次呼吸的时间,得气后迅速出针。)
如果阳明燥金之气再次布散,那么太阳寒水之气就不能迁正。不能迁正则复又壅塞其气,应当刺足少阴肾经的荥穴。(在卯酉年阳明司天之后,应由太阳继任。如果燥气再次布散,那么辰戌年的太阳之气就不能迁正,水化不能施行,寒气再次壅塞,人体会病在肾脏,所以应当刺足少阴肾经的荥穴,即然谷穴。针刺深度三分,留针三次呼吸的时间,得气后迅速出针。)
黄帝说:关于迁正不前,我已经知道了通调的要领。现在希望了解不退位的情况,想要折损其有余之气,不让其造成过失,能做到明白吗?
岐伯说:气数过盛有余,再次作为正令布散,这叫做“不过位”。(气数有余而不退去,所以再次作为正令布散,新旧之气不能更替到位。)这使得地气不能随后化生,新的司天之气未能迁正,所以旧气继续布散化令如故。(天气不退,则地气无法随之化生,所以新岁的司天之气不能迁正,仍然布散旧岁的政令。)
在巳亥之年,天数有余,所以厥阴风木不退位,风行于上,木气化施布于天。(因为在子午年仍行巳亥年的政令,热化不能施行,风反而成为灾害。)应当刺足厥阴肝经的合穴。(曲泉穴,针刺深度六分,留针七次呼吸的时间,得气后迅速出针。按上文所说的“复布”,是指旧气再次到来,新气被郁遏,郁散则病除,所以应当刺新气的经脉。下文所说的“不退”,是指旧气有余,不泻除不能去除,旧邪退去则新气正气才能确立,所以应当刺旧气的经脉。两种治法不同,各有深意。)
在子午之年,天数有余,所以少阴君火不退位,热行于上,火之余化布散于天。(因为在丑未年仍行子午年的政令,雨化不能施行,热气依然主治。)应当刺手厥阴心包络经的合穴。(曲泽穴。针刺深度三分,留针七次呼吸的时间,得气后迅速出针。)
在丑未之年,天数有余,所以太阴湿土不退位,湿行于上,雨化布散于天。(因为在寅申年仍行丑未年的政令,火气不能施行,湿气仍然布散于天。)应当刺足太阴脾经的合穴。(阴陵泉穴,针刺深度五分,留针七次呼吸的时间,动气至后迅速出针。)
在寅申之年,天数有余,所以少阳相火不退位,热行于上,火化布散于天。(因为在卯酉年仍行寅申年的政令,火气依然布散于天,金化不能施行。)应当刺手少阳三焦经的合穴。(天井穴。针刺深度三分,留针七次呼吸的时间,得气后迅速出针。)
在卯酉之年,天数有余,所以阳明燥金不退位,金行于上,燥化布散于天。(因为在辰戌年仍行卯酉年的政令,燥气依然布散于天,寒化不能施行。)应当刺手太阴肺经的合穴。(尺泽穴。针刺深度三分,留针三次呼吸的时间,得气后迅速出针。)
在辰戌之年,天数有余,所以太阳寒水不退位,寒行于上,凛冽寒冷,水化布散于天。(在巳亥年,仍行辰戌年的政令,寒气布散于天,风化不能施行。)应当刺足少阴肾经的合穴。(阴谷穴。针刺深度四分,留针三次呼吸的时间,动气至后迅速出针。)
所以天地之气逆乱,化生异常导致民众生病,按照这种方法针刺,预先可以平息疾苦。(安戈切,指疾苦之意。)
(From *Suwen: Yipian Cifa Lun* [Plain Questions: Lost Chapter on Needling Methods])
The Yellow Emperor asked, saying: The needling for ascending and descending aims to grasp their essentials. I wish to hear about the situation where the Si Tian (Heavenly Qi presiding over the year) fails to migrate to its proper position, causing the qi governing transformation to lose its regular administration. Consequently, the transformations of all things may become erroneous, leading to diseases among the people. Can these be prevented beforehand? To save the multitude, I wish to hear your explanation. (Since there is an abnormality in the qi, preventive measures should be taken.)
Qibo bowed twice and replied: Your question is most thorough! You have spoken of profound principles. Your sage-like compassion desires to save the living beings. I will then fully expound this method, which can clarify the subtle mysteries. ("Shen" means to elucidate; "Dong" means profound/hidden.)
If Tai Yang (Solar Cold-Water Qi) re-manifests, then Jue Yin (Jueyin Wind-Wood Qi) cannot migrate to its proper position. Failure to migrate causes the righteous qi to stagnate above. One should drain the Ying-Spring point of the Foot Jueyin meridian. (In Chen-Xu years, after Tai Yang presides, Jue Yin succeeds it. If cold-water qi recedes but then re-manifests, the Jue Yin of Si-Hai years cannot migrate to its position, wind transformation does not occur, and Wood qi becomes depressed and stagnant above. People suffer from Liver disorders, so one should drain the Ying-Spring point of the Foot Jueyin meridian, i.e., Xingjian [LR2]. Needle depth 6 fen, retain for 7 breaths, and quickly withdraw upon arrival of qi.)
If Jue Yin re-manifests, then Shao Yin (Shaoyin Fire-Qi) cannot migrate to its proper position. Failure to migrate causes qi to stagnate above. One should needle the Ying-Spring point of the Pericardium Meridian of Hand-Jueyin. (In Si-Hai years, after Jue Yin presides, Shao Yin succeeds it. If wind qi recedes but then re-manifests, the Shao Yin of Zi-Wu years cannot migrate to its position, fire transformation does not occur, and heat qi becomes depressed and stagnant above. People suffer from Heart Master disorders, so one should drain the Ying-Spring point of the Pericardium meridian, i.e., Laogong [PC8]. Needle depth 3 fen, retain for 6 breaths, and quickly withdraw upon arrival of qi.)
If Shao Yin re-manifests, then Tai Yin (Taiyin Damp-Earth Qi) cannot migrate to its proper position. Failure to migrate causes qi to remain stagnant above. One should needle the Ying-Spring point of the Foot Taiyin meridian. (In Zi-Wu years, after Shao Yin presides, Tai Yin succeeds it. If Monarch Fire qi re-manifests, the Tai Yin of Chou-Wei years cannot migrate to its position, rain transformation does not occur, and Earth qi remains stagnant above. People suffer from Spleen disorders, so one should needle the Ying-Spring point of the Foot Taiyin meridian, i.e., Dadu [SP2]. Needle depth 3 fen, retain for 7 breaths, and quickly withdraw upon arrival of qi.)
If Tai Yin re-manifests, then Shao Yang (Shaoyang Ministerial Fire Qi) cannot migrate to its proper position. Failure to migrate causes qi to be obstructed and unconnected. One should needle the Ying-Spring point of the Hand Shaoyang meridian. (In Chou-Wei years, after Tai Yin presides, Shao Yang succeeds it. If dampness re-manifests, the Shaoyang of Yin-Shen years cannot migrate to its position, fire transformation does not occur, and heat qi becomes depressed and stagnant. People suffer from Sanjiao disorders, so one should needle the Ying-Spring point of the Hand Shaoyang meridian, i.e., Yemen [TE2]. Needle depth 2 fen, retain for 3 breaths, and quickly withdraw upon arrival of qi.)
If Shao Yang re-manifests, then Yang Ming (Yangming Dry-Metal Qi) cannot migrate to its proper position. Failure to migrate causes qi to fail to connect upwards. One should needle the Ying-Spring point of the Hand Taiyin meridian. (In Yin-Shen years, after Shao Yang presides, Yang Ming succeeds it. If Ministerial Fire re-manifests, the Yang Ming of Mao-You years cannot migrate to its position, metal transformation does not occur, and dryness qi becomes depressed and stagnant. People suffer from Lung disorders, so one should needle the Ying-Spring point of the Hand Taiyin meridian, i.e., Yuji [LU10]. Needle depth 2 fen, retain for 3 breaths, and quickly withdraw upon arrival of qi.)
If Yang Ming re-manifests, then Tai Yang cannot migrate to its proper position. Failure to migrate causes the qi to be blocked again. One should needle the Ying-Spring point of the Foot Shaoyin meridian. (In Mao-You years, after Yang Ming presides, Tai Yang succeeds it. If dryness re-manifests, the Tai Yang of Chen-Xu years cannot migrate to its position, water transformation does not occur, and cold qi blocks again. People suffer from Kidney disorders, so one should needle the Ying-Spring point of the Foot Shaoyin meridian, i.e., Ran Gu [KI2]. Needle depth 3 fen, retain for 3 breaths, and quickly withdraw upon arrival of qi.)
The Emperor said: Regarding the failure to migrate forward, I understand the key to unblocking it. I now wish to hear about the failure to retreat. How can we reduce the excess, preventing errors? Can this be made clear?
Qibo said: When qi is excessive and continues to manifest as the regular command, this is called "not passing the position." (The numerical duration of qi is excessive and does not retreat, so it continues to manifest as the regular command, and the old and new qi cannot succeed each other at their positions.) This prevents the Di Qi (Earthly Qi) from undergoing subsequent transformation. The new Si Tian cannot migrate to its proper position, so the old qi continues to manifest its commands as before. (If Heavenly Qi does not retreat, Earthly Qi cannot transform subsequently. Thus, the Si Tian of the new year cannot migrate to its position and still manifests the orders of the old year.)
In Si-Hai years, if the heavenly numbers are excessive, Jue Yin does not retreat. Wind moves above, and Wood transformation spreads across the sky. (Because in Zi-Wu years, the orders of Si-Hai are still executed, heat transformation does not occur, and wind instead becomes a disaster.) One should needle the He-Sea point of the Foot Jueyin meridian. (Ququan [LR8], needle depth 6 fen, retain for 7 breaths, and quickly withdraw upon arrival of qi. Note: The text above mentions "re-manifestation," implying that old qi arrives again, depressing new qi. Once depression disperses, disease is removed, so one needles the meridian of the new qi. Below, regarding "failure to retreat," it implies old qi is excessive and requires draining to remove. Once old evil retreats, new righteous qi is established, so one needles the meridian of the old qi. These two treatments differ, each having deep significance.)
In Zi-Wu years, if the heavenly numbers are excessive, Shao Yin does not retreat. Heat moves above, and residual fire transformation spreads across the sky. (Because in Chou-Wei years, the orders of Zi-Wu are still executed, rain transformation does not occur, and heat qi still governs.) One should needle the He-Sea point of the Hand Jueyin meridian. (Quze [PC3], needle depth 3 fen, retain for 7 breaths, and quickly withdraw upon arrival of qi.)
In Chou-Wei years, if the heavenly numbers are excessive, Tai Yin does not retreat. Dampness moves above, and rain transformation spreads across the sky. (Because in Yin-Shen years, the governance of Chou-Wei is still executed, fire qi does not occur, and dampness still spreads across the sky.) One should needle the He-Sea point of the Foot Taiyin meridian. (Yinlingquan [SP9], needle depth 5 fen, retain for 7 breaths, until moving qi arrives, then quickly withdraw.)
In Yin-Shen years, if the heavenly numbers are excessive, Shao Yang does not retreat. Heat moves above, and fire transformation spreads across the sky. (Because in Mao-You years, the governance of Yin-Shen is still executed, fire still spreads across the sky, and metal transformation does not occur.) One should needle the He-Sea point of the Hand Shaoyang meridian. (Tianjing [TE10], needle depth 3 fen, retain for 7 breaths, and quickly withdraw upon arrival of qi.)
In Mao-You years, if the heavenly numbers are excessive, Yang Ming does not retreat. Metal moves above, and dryness transformation spreads across the sky. (Because in Chen-Xu years, the orders of Mao-You are still executed, dryness still spreads across the sky, and cold transformation does not occur.) One should needle the He-Sea point of the Hand Taiyin meridian. (Chize [LU5], needle depth 3 fen, retain for 3 breaths, and quickly withdraw upon arrival of qi.)
In Chen-Xu years, if the heavenly numbers are excessive, Tai Yang does not retreat. Cold moves above, biting cold, and water transformation spreads across the sky. (In Si-Hai years, the orders of Chen-Xu are still executed, cold qi spreads across the sky, and wind transformation does not occur.) One should needle the He-Sea point of the Foot Shaoyin meridian. (Yingu [KI10], needle depth 4 fen, retain for 3 breaths, until moving qi arrives, then quickly withdraw.)
Thus, when Heaven and Earth qi are reversed, transformations become abnormal and cause diseases among the people. By using this method of needling, one can preemptively calm the afflictions. ("An Ge qie" refers to affliction/suffering.)