凡刺有九,以应九变。一曰输刺,输刺者,刺诸经荣俞藏俞也。二曰远道刺,远道刺者
,病
在上取之下,刺府输也。三曰经刺,经刺者,刺大经之结络经分也。四曰络刺,络刺者,刺
小络之血脉也。五曰分刺,分刺者,刺分肉之间也。六曰大泻刺,大泻刺者,刺大脓以铍针
也。七曰毛刺。毛刺者,刺浮皮毛也。八曰巨刺。巨刺者,左取右,右取左。九曰 刺。
刺者,燔刺以取痹也。
凡刺有十二节,以应十二经。一曰偶刺,偶刺者,以手直心若背直痛所,一刺前,一刺
后,
以治心痹,刺此者傍针之也。二曰报刺,报刺者,刺痛无常处也,上下行者,直内无拔针,
以左手随病所,按之乃出针,复刺之也。三曰恢刺,恢刺者,直刺傍之,举之前后,恢筋急
,以治筋痹。四曰齐刺,齐刺者,直入一,旁入二,以治寒气小深者,或曰三刺,三刺者,
以治痹气小深者也。五曰杨刺,杨刺者,正内一,傍内四,而浮之,以治寒气大博大者也。
六曰直针刺,直针刺者,引皮乃刺之,以治寒气之浅者也。七曰输刺,输刺者,直入直出,
稀发针而深之,以治气盛而热者也。八曰短刺,短刺者,刺骨痹稍摇而深之,置针骨所,以
上下摩骨也。九曰浮刺,浮刺者,傍入而浮之,以治肌急而寒者也。十曰阴刺,阴刺者,左
右率刺之,以治寒厥中寒厥足踝后少阴也。十一曰傍针刺,傍针刺者,直刺傍刺各一,以治
留痹久居者也。十二曰赞刺,赞刺者,直入直出,数发针而浅之出血,是谓治痈肿也。
凡针刺法有九种,以对应人体的九种变化。第一种叫输刺,所谓输刺,就是针刺各经脉的荣穴、俞穴以及五脏的背俞穴。第二种叫远道刺,所谓远道刺,是病邪在身体上部,却选取下部的穴位进行针刺,通常刺六腑的下合穴或输穴。第三种叫经刺,所谓经刺,就是针刺大经脉中气血凝结阻滞的络脉和分肉之间。第四种叫络刺,所谓络刺,就是针刺细小的络脉中的血液。第五种叫分刺,所谓分刺,就是针刺分肉之间的部位。第六种叫大泻刺,所谓大泻刺,是用铍针针刺较大的脓疡以排脓。第七种叫毛刺,所谓毛刺,就是浅刺浮于皮毛表面的部位。第八种叫巨刺,所谓巨刺,就是左侧有病取右侧穴位,右侧有病取左侧穴位进行交叉针刺。第九种叫燔刺(注:原文“ 刺”应为“燔刺”,即火针),所谓燔刺,就是用烧红的针来治疗痹证。
凡针刺法有十二种节度,以对应人体的十二经脉。第一种叫偶刺,所谓偶刺,是用手按住心前区或背部疼痛的部位,分别从前胸和后背各刺一针,用来治疗心痹,针刺时针要偏向一侧。第二种叫报刺,所谓报刺,是疼痛部位不固定,上下移动的病症,进针后不拔出,用左手随着病痛的位置按压,然后出针,再重新针刺该处。第三种叫恢刺,所谓恢刺,是直刺入穴位旁侧,前后提插针具,以舒缓筋脉拘急,用来治疗筋痹。第四种叫齐刺,所谓齐刺,是一针直入,两针旁斜插入,用来治疗寒气深小者;也有人说叫三刺,三刺也是用来治疗病位小而深的痹气。第五种叫杨刺,所谓杨刺,是一针直入中央,四针旁斜浅刺,用来治疗寒气范围大而浅表的病症。第六种叫直针刺,所谓直针刺,是牵引皮肤使其绷紧后再进针,用来治疗寒气浅表的病症。第七种叫输刺,所谓输刺,是直入直出,少发针而深刺,用来治疗气盛且伴有热象的病症。第八种叫短刺,所谓短刺,是针刺骨痹时,稍微摇动针身并逐渐深入,将针置于骨部,上下摩擦骨骼以祛邪。第九种叫浮刺,所谓浮刺,是从旁侧斜入而浅刺,用来治疗肌肉拘急兼有寒邪的病症。第十种叫阴刺,所谓阴刺,是左右两侧对称地同时针刺,用来治疗寒厥证,特别是足踝后方的少阴经部位受寒。第十一种叫傍针刺,所谓傍针刺,是一针直刺,一针旁侧斜刺,各刺一针,用来治疗久留不去的慢性痹证。第十二种叫赞刺,所谓赞刺,是直入直出,多次快速进针并浅刺出血,这就是用来治疗痈肿的方法。
There are nine types of acupuncture, corresponding to the nine variations. The first is called *Shu Ci* (Acupoint Needling), which refers to needling the Ying-Spring and Shu-Acupoints of the twelve meridians, as well as the Back-Shu points of the five zang organs. The second is called *Yuan Dao Ci* (Distant Point Needling), where pathology located in the upper body is treated by selecting points in the lower body, typically needling the He-Sea points or Shu-Acupoints of the fu organs. The third is called *Jing Ci* (Meridian Needling), which involves needling the collateral vessels and intermuscular spaces where qi and blood are knotted within the major meridians. The fourth is called *Luo Ci* (Collateral Needling), which refers to pricking the small collateral vessels to release blood. The fifth is called *Fen Ci* (Intermuscular Needling), which involves needling the space between muscles. The sixth is called *Da Xie Ci* (Major Draining Needling), which uses a Bi-needle (a flat, sword-like needle) to puncture large abscesses for drainage. The seventh is called *Mao Ci* (Hair-Like Needling), which involves superficial needling of the skin and hair follicles. The eighth is called *Ju Ci* (Great Cross-Needling), which involves treating the left side by needling the right, and the right side by needling the left (cross-needling). The ninth is called *Fan Ci* (Burning Needling/Fire Needle), which uses a red-hot needle to treat bi-syndrome (obstruction syndrome).
There are twelve categories of needling techniques, corresponding to the twelve primary meridians. The first is called *Ou Ci* (Paired Needling), where the practitioner places hands directly on the heart region or the site of back pain, inserting one needle anteriorly and one posteriorly to treat Xin Bi (Heart Obstruction Syndrome); the needles are inserted obliquely. The second is called *Bao Ci* (Reporting/Repeating Needling), used when pain moves unpredictably up and down; the needle is inserted without withdrawal, while the left hand presses along the path of pain, then the needle is withdrawn and re-inserted at the new location. The third is called *Hui Ci* (Expanding Needling), involving direct insertion adjacent to the affected area with anterior-posterior manipulation to relax tight tendons, treating Jin Bi (Tendon Obstruction Syndrome). The fourth is called *Qi Ci* (Three-Needle Combination), involving one central vertical insertion and two lateral insertions to treat shallow but deep-penetrating cold pathogens; it is also known as *San Ci* (Three-Needling), used for bi-pathogens that are small in scope but deep in location. The fifth is called *Yang Ci* (Poplar-Tree Needling), involving one central vertical insertion and four surrounding superficial insertions to treat cold pathogens that are broad in surface area but shallow in depth. The sixth is called *Zhi Zhen Ci* (Direct Needle Pulling), where the skin is pulled taut before insertion to treat shallow cold pathogens. The seventh is called *Shu Ci* (Acupoint Needling - distinct from the first type), characterized by direct insertion and withdrawal with few needle manipulations and deep penetration, treating conditions with excess qi and heat. The eighth is called *Duan Ci* (Short Needling), used for Gu Bi (Bone Obstruction Syndrome); the needle is slightly rocked and advanced deeply until it reaches the bone, where it is moved up and down against the bone surface. The ninth is called *Fu Ci* (Floating Needling), involving lateral insertion with superficial depth to treat muscle tension accompanied by cold. The tenth is called *Yin Ci* (Yin Needling), involving simultaneous bilateral needling to treat Han Jue (Cold Reversal Syndrome), specifically targeting the Shaoyin meridian behind the malleolus. The eleventh is called *Bang Zhen Ci* (Adjacent Needle Combination), involving one direct insertion and one adjacent oblique insertion to treat chronic bi-syndrome that has lingered for a long time. The twelfth is called *Zan Ci* (Assisting/Pricking Needling), involving direct insertion and withdrawal with frequent, shallow pricking to induce bleeding, used to treat Yong Zhong (Carbuncles and Swellings).