哑门、劳宫、三阴交,涌泉、太溪、中脘接,环跳、三里、合谷并,此是回阳九针穴。
(杨氏)
内障由来十八般,精医明哲用心看,分明一一知形状,下手行针自入玄。察他冷热虚和
实,多惊先服镇心丸,弱翳细针粗拨老,针形不可一般般。病虚新瘥怀妊月,针后应知将息
难,不雨不风兼吉日,清斋三日在针前。安心定志存真气,念佛亲姻莫杂喧,患者向明盘膝
坐,医师全要静心田。有血莫惊须住手,裹封如旧勿频看,若然头痛不能忍,热茶和服草乌
烟。七月解封方视物,花生水动莫开言,还睛圆散坚心服,百日冰轮彻九渊。
内障金针针了时,医师治法要精微,绵包黑豆如球子,眼上安排慢熨之,头边镇枕须平
稳,仰卧三朝莫厌迟。封后或然微有痛,脑风KT 动莫狐疑,或针或熨根据前法,痛极仍将火熨
宜。盐白梅含止咽吐,大小便起与扶持,高声叫唤私有欲,惊动睛轮见雪飞。三七不须汤洗
面,针痕湿着痛微微,五辛酒面周年慎,出户升堂缓步移,双眸了了康宁日,狂客嗔予泄圣
(《聚英》)
行针补泻分寒热,泻寒补热须分别,拈指向外泻之方,拈指向内补之诀。泻左须当大指
,泻右大指当后曳。
补左次指向前搓,补右大指往上曳。
如何补泻有两般,盖是经从两边发,补泻又要识迎随,随则为补迎为泻,
古人补泻左右分,今人乃为男女别。男女经脉一般生,昼夜循环无暂歇,两手阳经上走头,
阴经胸走手指辍,两足阳经头走足,阴经上走腹中结。随则针头随经行,迎则针头迎经夺,
更为补泻定吸呼,吸泻呼补真奇绝。补则呼出却入针,要知针用三飞法,气至出针吸气入,
疾而一退急扪穴。泻则吸气方入针,要知阻气通身达,气至出针呼气出,徐而三退穴开禁。
此诀出自梓桑君,我今授汝心已雪,正是补泻玄中玄,莫向人前轻易说。
哑门、劳宫、三阴交,涌泉、太溪、中脘接,环跳、足三里、合谷并,此是回阳九针穴。
(杨氏)
内障(指晶状体混浊导致视力障碍的眼病)由来有十八种,精通医术的明哲之人要用心观察,清楚地逐一了解其形态特征,下针施治自然能进入奥妙境界。观察患者的寒热虚实状况,若多受惊吓应先服用镇心丸;若为弱翳(薄而浅的角膜云翳)用细针,若为老翳(厚而深的角膜瘢痕)用粗针拨动,针法不可千篇一律。患者身体虚弱、刚刚病愈或处于怀孕月份时,针刺后应知道调养护理较为困难;若无风雨且选在吉日,针刺前三日需清净斋戒。安心定志以存守真气,念佛及亲近亲属时不要混杂喧闹,患者面向明亮处盘膝而坐,医师全要静心凝神。若有出血不必惊慌,须停止行针,包扎封好如旧状,不要频繁查看。如果头痛难以忍受,可用热茶调和草乌烟服用。七月解封后才可视物,花生水送服药物时不要说话,还睛圆散(一种治疗眼疾的方剂)坚持服用,百日之后视力如冰轮般清澈透彻,直达深渊(形容视力恢复清晰深远)。
内障金针针刺完毕后,医师的治疗方法要精细微妙,用绵布包裹黑豆如球状,安排在眼睛上缓慢熨烫,头部旁边的枕头必须平稳,仰卧三天不要嫌时间漫长。封包后或许会有轻微疼痛,脑风(头部受风邪引起的病症)扰动不必怀疑,或针或熨根据前面的方法,疼痛剧烈时仍用火熨适宜。含服盐渍白梅以止住咽吐,大小便起身时需有人扶持,高声叫唤或产生私欲,会惊动眼球导致视物飞雪(眼前出现闪光或黑影)。三七天内不需要汤药洗面,针痕湿润时微微作痛,五辛(葱、蒜等刺激性食物)、酒面一年都要谨慎,出门登堂要缓步移动,双眼清明康宁之日,狂傲之客责怪我泄露了圣秘。
(《聚英》)
行针补泻分为寒热,泻寒补热必须分别对待,捻指向外为泻法,捻指向内为补法诀。泻左侧须当用大指,泻右侧大指应当向后曳引。
补左侧次指向前搓,补右侧大指往上曳引。
为何补泻有两种方式?因为经脉从两边发出,补泻又要识别迎随,顺经为补逆经为泻。
古人补泻分左右,今人则按男女区别。男女经脉生长一般无二,昼夜循环没有片刻停歇,两手阳经向上走到头,阴经从胸走向手指结束,两足阳经从头走向足,阴经向上走到腹中汇聚。顺经则针头跟随经气运行方向,逆经则针头迎着经气方向夺取,另外补泻还要确定吸呼时机,吸气时泻呼气时补真是奇妙绝妙。补法则是呼气时出针却入针(此处原文逻辑较晦涩,通常补法为呼气进针、吸气出针,或依具体流派,此处直译原文动作),要知道使用“三飞”针法,气至后出针,吸气时入针,快速退针并急按穴位。泻法则是吸气时方入针,要知道阻气使气通达全身,气至后出针,呼气时出针,缓慢退针且开穴不禁。
此诀出自梓桑君,我今天传授给你心中已雪(意为豁然开朗/消除疑惑),这正是补泻玄妙中的玄妙,不要在人前轻易说出口。
Yamen (GV17), Laogong (PC8), Sanyinjiao (SP6), Yongquan (KI1), Taixi (KI3), and Zhongwan (CV12) connect; Huantiao (GB30), Zusanli (ST36), and Hegu (LI4) join together. These are the Nine Needles for Restoring Yang.
(Yang's)
Internal cataracts (opacification of the lens causing visual impairment) have originated in eighteen varieties. The medically proficient and wise must observe with care, clearly knowing their shapes one by one; when inserting needles, one will naturally enter the profound mystery. Observe whether they are cold, hot, deficient, or excess. If there is much fright, first administer Zhenxin Wan (Calming the Heart Pill). For weak nebulae (thin corneal opacities), use fine needles; for old cicatrices (thick corneal scars), use coarse needles to拨 (dredge/displace). Needle techniques cannot be uniform. If the patient is deficient, recently recovered from illness, or pregnant, one should know that post-needle care and recuperation are difficult. On days without rain or wind, chosen as auspicious, one must keep a pure fast for three days before needling. Calm the mind and stabilize the will to preserve true Qi; do not mix noise when chanting Buddha's name or interacting with relatives. The patient sits cross-legged facing brightness; the physician must entirely calm their heart field. If bleeding occurs, do not panic but stop the hand; wrap and seal as before, do not look frequently. If headache is unbearable, take Caowu Yan (Aconite Smoke) mixed with hot tea. Only after unsealing in July can one see; when taking Huasheng Shui (Peanut Water) medicine, do not speak. Take Huanjing Yuansan (Restore Vision Powder/Pill) firmly for one hundred days, until the ice wheel (moon/vision) penetrates the nine abysses (clear vision restored deeply).
After internal cataract golden needle treatment, the physician's methods must be refined and subtle. Wrap black beans in cotton like a ball, arrange slowly on the eye for moxibustion/warming. The pillow at the head side must be level; lie supine for three days, do not dislike the delay. After sealing, slight pain may occur; if Naofeng (Brain Wind/headache due to wind pathogen) moves, do not doubt. Whether needling or warming, follow previous methods; if pain is extreme, fire warming is suitable. Contain salted white plums to stop throat vomiting; support when rising for urination or defecation. Loud calling or private desires will disturb the eyeball wheel, seeing snow flying (visual snow/flashes). For thirty-seven days, do not wash face with decoction; if needle marks are wet, pain is slight. Be cautious with Wuxin (Five Pungent Spices), alcohol, and wheat products for a year. When going out or ascending halls, walk slowly. On days when both eyes are clear and healthy, the arrogant guest blames me for leaking the sacred [secret].
(Juying)
Needling tonification and sedation distinguish cold and heat; sedating cold and tonifying heat must be differentiated. Pinching the finger outward is the method for sedation; pinching inward is the secret for tonification. To sedate the left, use the thumb; to sedate the right, the thumb should pull backward.
To tonify the left, the index finger rubs forward; to tonify the right, the thumb pulls upward.
Why are there two types of tonification and sedation? Because meridians originate from both sides. One must understand Ying-Sui (Following and Opposing); following is tonification, opposing is sedation.
Ancients distinguished tonification/sedation by left/right; modern people distinguish by male/female. Male and female meridians grow similarly, circulating day and night without pause. Hand Yang meridians go up to the head; Yin meridians go from chest to fingers and stop. Foot Yang meridians go from head to foot; Yin meridians go up to the abdomen and knot. Following means the needle head follows the meridian's flow; opposing means the needle head opposes the meridian to seize it. Furthermore, determine inhalation/exhalation for tonification/sedation: inhale for sedation, exhale for tonification—this is truly wonderful. For tonification, exhale to exit, then insert needle; know the Sanfei (Three Flights) technique. When Qi arrives, exit needle; inhale to insert, withdraw quickly and press the acupoint urgently. For sedation, inhale to insert needle; know how to block Qi so it reaches the whole body. When Qi arrives, exit needle; exhale to exit, withdraw slowly and leave the acupoint open/unsealed.
This secret comes from Zi Sang Jun. I now teach you, your heart is cleared of snow (confusion). This is the mystery within mysteries of tonification and sedation; do not speak lightly before others.