夫医针如帅用兵。药有治而针有效,帅有谋而军自嬴。医知药性,帅察军情。治病则先
通脉理,行兵则达探先锋。治伤寒有如上阵,治杂病自守其功,入阵则兵随印转,治病药凭引行
。行兵则望风而知其胜败,治病则观形而知其吉凶。帅嬴宫中给赏,医胜守家 功。宫中若
无
轻弓短箭,医习药灸神针;帅领千万兵卒,医治百万民众。倘若伤民疾,医帅岂可安宁?以行
兵、用药,医帅不可不精也。
夫欲行针,先用观神定志,然后审其俞穴,分明此穴主何病、通何路。既得其穴,先以
右手持针重四两,左手按穴重七斤,令穴脉针开,使病患咳嗽一声,随即入针,则徐徐催之。令
及分寸,则停针候气,左转动以相天,又吸气右转动以法地,再吸气提之,以相人。所谓针
有三才之道也。左转补之,右转泻之,皆以得为应。其气下来,再根据前法刺之。自出针,以
指按其穴,无令泻其真气。则吸气入针,呼气出针,不按其穴,令邪气从针窍而泄。
大概虚羸劳损痒麻,有补而无泻;伤寒暑湿疼痛,外来之疾,有泻而无补。
春夏刺浅,秋冬刺深。
此为补泻手指之法度也。
命星可推终难定,相法虽奇未易通,若欲平生为善士,莫如医道有阴功。
三里内庭穴,曲池合谷截,委中配承山,下至昆仑彻,环跳与阳陵,通里并列缺。合担
用法担,合截用法截。但法用计取,莫与闲人说。三百六十骨,不如十一穴。此法少人知,金锁
都开彻,有人若传授,何须用别决,便是神针法,普济群生悦。
医家施针如同统帅用兵。药物有治疗作用,而针灸有疗效;统帅有谋略,军队自然胜利。医生了解药性,统帅洞察军情。治病要先疏通经络,行兵则要派遣先锋探路。治疗伤寒病就像上阵杀敌,治疗杂病则需坚守战功。进入战场时,士兵听从印信指挥调动;治病时,药物依靠引经药引导发挥功效。行军打仗能望风便知胜败,治病则通过观察形体症状来预知吉凶。统帅在宫中论功行赏,医生在家守业积累功德。如果宫中没有轻弓短箭这样的利器,医生就要研习药物、艾灸和神针;统帅统领千万兵马,医生医治百万百姓。倘若百姓遭受疾苦,医者和统帅怎能安心?因此,无论是行军用兵还是用药施针,医者和统帅都必须精通此道。
想要施行针刺,首先要观察患者的神气以安定心志,然后仔细审视腧穴,明确该穴位主治什么疾病、连通哪条经脉。既然确定了穴位,先用右手持重四两的针,左手按压穴位重七斤(形容用力沉稳),使穴位处的脉气与针感开通,让患者咳嗽一声,随即进针,然后慢慢催动针感。当针达到规定的深度分寸时,停针候气,左手转动针柄以顺应天(阳),再次吸气时右手转动针柄以效法地(阴),再吸气时提针,以契合人(中)。这就是所谓的“三才”针刺之道。左转针柄为补法,右转针柄为泻法,都以得气为应验标准。如果针下气感下行,再根据前面的方法继续刺入。出针后,用手指按压针孔,不要让它泄漏真气。如果是吸气时进针,呼气时出针,且不按压针孔,则是为了让邪气从针孔排出。
大致而言,虚损劳伤引起的瘙痒麻木,只宜用补法而不宜用泻法;伤寒、暑湿引起的疼痛等外感疾病,只宜用泻法而不宜用补法。春夏季节针刺宜浅,秋冬季节针刺宜深。这是补泻手法的手指操作规范。
命门星宿虽可推算却难以确定,相术虽然奇妙也不易精通,若想一生做善人,不如学医积阴德。
足三里、内庭穴,曲池、合谷穴可截断病势;委中穴配承山穴,向下通达昆仑穴;环跳穴与阳陵泉穴,通里穴并列缺穴。遇到需要全面覆盖的病证就用“担”法(左右兼顾),遇到需要局部截断的病证就用“截”法(单点突破)。但这只是计谋策略,不要随便告诉闲人。全身三百六十个骨节穴位,不如这十一个天星穴重要。这种方法很少有人知道,一旦掌握就像打开了金锁一样彻底,如果有人传授此法,何必再用其他决断,这就是神针法,普度众生使其喜悦。
Acupuncture practice by a physician is like a commander using troops. Herbs have curative effects, and acupuncture has therapeutic efficacy; a commander has strategy, and the army naturally prevails. A physician understands the properties of herbs, while a commander observes military intelligence. To treat diseases, one must first unblock the meridians and collaterals (Jingluo), just as in warfare, one sends out vanguard scouts to probe ahead. Treating Cold Damage (Shanghan) is like going into battle, while treating miscellaneous diseases requires maintaining one's merit. Entering the battlefield, soldiers move according to the command seal; treating disease, herbs act according to guiding agents (Yinjing). In marching armies, victory or defeat can be known by observing the wind; in treating disease, auspiciousness or ominous signs can be known by observing the physical form. A victorious commander receives rewards in the palace, while a successful physician accumulates merit at home. If there are no light bows and short arrows in the palace, the physician masters herbs, moxibustion, and divine needles; if a commander leads thousands of troops, the physician treats millions of people. If the people suffer from illness, how can the physician and commander remain at peace? Therefore, whether conducting warfare, using medicine, or practicing acupuncture, both the physician and the commander must be proficient.
To perform acupuncture, one must first observe the patient's Shen (Spirit) to stabilize one's own mind and will, then carefully examine the Shuxue (Transporting Points), clearly determining which disease each point treats and which meridian it connects. Once the point is identified, hold a needle weighing four liang with the right hand, and press the acupoint with the left hand with a weight of seven jin (describing steady pressure), causing the Qi in the point's pulse to open. Ask the patient to cough once, then insert the needle immediately, slowly promoting the needle sensation. When the needle reaches the specified depth (cun), stop and wait for Deqi (arrival of Qi). Rotate the needle handle to the left to accord with Heaven (Yang), inhale and rotate to the right to emulate Earth (Yin), then inhale again and lift the needle to harmonize with Man (Zhong). This is the Dao of the Three Realms (Sancai) in acupuncture. Rotating left is Tonification (Bu), rotating right is Sedation (Xie), both responding to the arrival of Qi. If the Qi descends, continue needling according to the previous method. After withdrawing the needle, press the acupoint with fingers to prevent leakage of True Qi. Inserting the needle during inhalation and withdrawing during exhalation, without pressing the acupoint, allows pathogenic Qi to escape through the needle aperture.
Generally, deficiency and emaciation due to overwork, along with itching and numbness, require Tonification only, not Sedation. Cold Damage, summerheat-dampness, and pain caused by external pathogens require Sedation only, not Tonification. In spring and summer, needling should be shallow; in autumn and winter, needling should be deep. These are the manual techniques for tonification and sedation.
The stars of destiny may be calculated but are hard to fix; physiognomy is wondrous but difficult to master. If one wishes to be a virtuous person in life, nothing compares to the hidden merit gained through the medical arts.
Zusanli (ST36) and Neiting (ST44); Quchi (LI11) and Hegu (LI4) to intercept the disease; Weizhong (BL40) paired with Chengshan (BL57), extending down to Kunlun (BL60); Huantiao (GB30) and Yanglingquan (GB34); Tongli (HT5) alongside Lieque (LU7). Use the "Dan" (Shoulder/Support) method when covering broad areas, and the "Jie" (Intercept/Cut) method when targeting specific points. These are strategic methods; do not share them with idle talkers. The three hundred and sixty bone joints [acupoints] are inferior to these eleven Heavenly Star points. Few know this method; mastering it unlocks the golden lock completely. If taught to someone, why need other decisions? This is the Divine Needle Method, benefiting all beings and bringing joy.