(窦氏)
疾居荣卫,扶救者针。观虚实于肥瘦,辨四时之浅深。是见取穴之法,但分阴阳而溪谷
;迎随逆顺,须晓气血而升沉。
原夫指微论中,赜义成赋,知本时之气开,说经络之流注。每披文而参其法,篇篇之旨
审寻。复按经而察其言,字字之功明谕。疑隐皆知,虚实总附,移疼住痛如有神,针下获安
。暴疾沉 至危笃,刺之勿误。
详夫阴日血引,值阳气留口温针;阳日气引,逢阴血暖牢寒濡。深求诸经十二作数,络
脉十五为周;阴俞六十脏主,阳穴七二腑收。刺阳经者,可卧针而取;夺血络者,先俾指而
柔。逆为迎而顺为随,呼则泻而吸则补。浅恙新 ,用针之因,淹疾延患,着灸之由。躁烦
药饵而难拯,必取八会;痈肿奇经而畜邪,歼HT 砭瘳。
况夫甲胆乙肝,丁火壬水,生我者号母,我生者名子。春井夏荥乃邪在,秋经冬合方刺
矣。犯禁忌而病复,用日衰而难已。孙络在于肉分,血行出于支里。闷昏针晕,经虚补络须
然;痛实痒虚,泻子随母要指。
想夫先贤迅效,无出于针;今人愈疾,岂难于医。徐文伯泻孕于苑内,斯由甚速;范九
思疗咽于江夏,闻见言稀。
大抵古今遗迹,后世皆师,王纂针魅而立康,獭从彼出;秋夫疗鬼而获效,魂免伤悲。既而
感指幽微,用针真诀,孔窍详于筋骨肉分,刺要察于久新寒热。接气通经,短长根据法,里外
之绝,羸盈必别。勿刺大劳,使人气乱而神隳;慎妄呼吸,防他针昏而闭血。又以常寻古义
,由有藏机,遇高贤真趣,则超然得悟;逢达人示教,则表我扶危。男女气脉,行分时合,
度养子时刻注,穴须根据今。详定疗病之宜,神针法式;广搜难素之秘密文辞,深考诸家之肘
函妙臆。故称庐江流注之指微,以为后学之模规。
(窦氏)
疾病存在于营卫之中,救治需用针刺。观察患者体型的肥瘦以判断虚实,辨别四季气候的深浅变化。这是选取穴位的方法,只需区分阴阳以及肌肉间隙(溪谷);迎随补泻、逆顺手法,必须通晓气血运行的升降沉浮。
追溯《指微论》中,深奥的道理化作赋文,知晓本时气的开阖,论述经络的气血流注。每次翻阅文章并参悟其中的法则,每一篇的宗旨都仔细寻究。又按照经脉来考察其中的言语,每个字的功效都明确告知。疑难隐晦之处都能知晓,虚实情况总括其中,转移疼痛、止住痛楚如有神助,在针下获得安宁。突发急症或沉疴危重之症,针刺切勿误治。
详细说来,阴日血引动,正值阳气停留时可用温针;阳日气引动,逢阴血温暖时可牢固寒湿濡滞之症。深入探究十二经脉作为计数的基础,十五络脉构成循环周流;阴经俞穴六十个由五脏主司,阳经穴位七十二个由六腑收纳。刺阳经时,可以卧针取穴;泻血络时,先用手指揉按使其柔和。逆为迎而顺为随,呼气时泻而吸气时补。浅表新发的病症,用针治疗的原因在于此;久延不愈的疾患,施灸治疗的缘由在于此。烦躁不安且药物难以挽救者,必取八会穴;痈肿奇经蓄积邪气者,用砭石疗法治愈。
况且胆属甲木肝属乙木,丁火壬水相生,生我者为母,我生者为子。春取井穴夏取荥穴乃因邪气在表,秋取经穴冬取合穴方可针刺。触犯禁忌导致病情复发,使用日期衰退则病难痊愈。孙络位于肌肉腠理之间,血液运行出于支脉。闷昏针晕,经脉虚弱需补络脉才正确;痛属实痒属虚,泻子穴随母穴操作是关键。
想那先贤见效迅速,没有超过针刺的;今人治愈疾病,难道比医术更难吗?徐文伯在苑内施行泻法使孕妇流产,速度极快;范九思在江夏治疗咽喉病,听闻少见。
大体上古今留下的遗迹,后世都加以师法,王纂针刺魅鬼而立获安康,獭医由此而出;秋夫治疗鬼祟而获得疗效,灵魂免遭悲伤。既然感悟到指法的幽微之处,运用针刺的真诀,孔窍详细分布在筋骨肉分之间,刺法要点考察于病程久新及寒热性质。接气通经,长短依据法则,里外隔绝的情况,虚实盈亏必须辨别。不要在大劳累后针刺,使人气乱而精神崩溃;谨慎对待呼吸,防止其他针刺导致的昏厥和闭血。又常寻古义,因为其中有藏匿的机理,遇到高贤的真趣,则超然领悟;逢达人示教,则彰显我扶持危难的能力。男女气脉,行分时合,推算养子时刻注穴,穴位须根据现今标准。详细定夺治疗疾病的适宜方法,神针法式;广泛搜求《难经》《素问》的秘密文辞,深入考证诸家肘后方的妙意。所以称为庐江流注的指微赋,作为后学的模范规范。
(Dou's)
Diseases reside within Ying (Nutrient) and Wei (Defensive) Qi, and rescue requires acupuncture. Observe the fatness or thinness of the body to determine deficiency or excess; distinguish the depth corresponding to the four seasons. This is the method for selecting acupoints: simply differentiate Yin and Yang, as well as Xi Gu (muscle valleys/grooves); regarding Ying-Sui (following and opposing) and Ni-Shun (reverse and smooth) techniques, one must understand the rising and sinking of Qi and Blood circulation.
Tracing back to the *Zhiwei Lun* (Treatise on Subtle Indications), profound meanings are formed into fu (rhapsodies). Knowing the opening and closing of Qi according to the current time, discussing the flow and distribution of meridians. Each time one peruses the text and references its methods, the purport of every chapter is carefully investigated. Furthermore, by examining the words according to the meridians, the merit of every character is clearly revealed. Doubts and obscurities are all known, deficiency and excess are comprehensively attached; transferring pain and stopping pain is like having divine assistance, achieving peace under the needle. For sudden acute diseases or deep-seated critical conditions, needling must not be mistaken.
Detailedly speaking, on Yin days, Blood is guided; when Yang Qi stays, warm needle therapy is applied. On Yang days, Qi is guided; encountering Yin Blood warmth, cold-dampness retention is secured/warmed. Deeply seeking the twelve primary meridians as the numerical basis, and the fifteen collaterals forming a cycle; the sixty Yin Shu points are governed by the Zang organs, and the seventy-two Yang points are collected by the Fu organs. When needling Yang meridians, horizontal insertion may be used; when draining blood collaterals, first use fingers to soften the area. Reverse is Ying (welcoming/opposing), Smooth is Sui (following); exhalation is Xie (draining/sedating), inhalation is Bu (tonifying). For shallow/new ailments, the reason for using needles is [this]; for lingering/chronic diseases, the reason for applying moxibustion is [this]. For restlessness and irritability where herbal medicine cannot save, Eight Hui (Meeting) points must be selected; for abscesses/swellings in Extraordinary Vessels storing pathogenic factors, Bian stone (lancet) therapy cures them.
Moreover, Gallbladder belongs to Jia Wood, Liver to Yi Wood; Ding Fire and Ren Water. "What generates me" is called Mother; "what I generate" is named Child. In Spring, Jing-Well points; in Summer, Ying-Spring points—these are for pathogens in the exterior. In Autumn, Jing-River points; in Winter, He-Sea points—these are for needling. Violating taboos causes disease recurrence; using days of decline makes it hard to resolve. Sun Luo (Sun Collaterals) are located in the muscle layers; blood flows out from branch collaterals. Dizziness/fainting from needle晕 (needle syncope): if meridians are deficient, tonifying collaterals is necessary; Pain indicates Excess, Itching indicates Deficiency; draining the Child point following the Mother point is the key finger technique.
Thinking of the sages' rapid efficacy, nothing surpasses acupuncture; modern people curing diseases, how could it be harder than medical practice? Xu Wenbo induced abortion via needling in Yuannei, which was very fast; Fan Jiusi treated throat issues in Jiangxia, rarely heard of.
Generally, ancient and modern remains are all emulated by later generations. Wang Zuan cured demons by needling and achieved health; the Otter doctor emerged from that. Qiu Fu treated ghostly afflictions and gained efficacy, sparing souls from sorrow. Having felt the subtleties of finger manipulation, using the true secrets of needling: apertures are detailed in bone, tendon, muscle, and flesh layers; needling essentials examine duration, newness, cold, and heat. Connecting Qi and unblocking meridians, length and shortness follow rules; internal and external blockages, emaciation and fullness must be distinguished. Do not needle after great labor, causing Qi chaos and spirit collapse; be cautious with breathing, preventing other needle-induced fainting and blood closure. Again, often seek ancient meanings, as there are hidden mechanisms; encountering high sages' true interests, one transcends and understands; meeting enlightened ones showing teachings, one manifests supporting crises. Male and female Qi pulses, moving and dividing, combining at times; calculating the "Nourishing Child" hours for point injection, points must follow current standards. Carefully determine suitable treatments for diseases, divine needle formulas; widely search secret texts of *Nan Jing* and *Su Wen*, deeply investigate the subtle insights of various families' elbow manuals. Thus it is called the *Zhiwei* (Subtle Indications) of Lujiang Flow and Distribution, serving as a model for later learners.