头有头部尺寸 腹有腹部尺寸 横直尺寸俱不同各有其要 惟背部手足部并以同身寸取
之
前发际至后发际折作十二寸为一尺二寸前发际不明者以眉心上行三寸后发际不明者取大
椎上行三寸前后发际不明者共折作一尺八寸用
头部横寸以眼内 角比至外 角为一寸用神庭至曲差曲差至本神本神至头维共四寸半
自大椎下至尾 共二十一椎通折作三尺上七椎每椎一寸四分一厘共九寸八分七厘中七椎
每椎一寸六分一厘(十四椎与脐平共二尺一寸一分四厘)
下七椎每椎一寸二分六厘
第二行挟脊各一寸半除脊骨一寸共折作四寸分两旁
第三行挟脊各三寸除脊骨一寸共折作七寸分两旁
自天突至膻中为准折作六寸八分下行一寸六分为中庭上取天突下至中庭共折作八寸四分
自心蔽骨下至脐共折作八寸人若无蔽骨者取岐骨下至脐心共折作九寸取之
自脐中至毛际横骨横纹折作五寸用
膺部腹部横寸并用乳间横折作八寸用
头者诸阳之会故曰头无冷痛欲以针治宜刺手足诸阳经不宜头部者何也针者能于引气若刺
头部
则诸阳之气并郁于头其热难可止抑或为不省人事者必须引泻手足诸阳经故曰扬汤止沸莫如抽
薪若气不能引气者或痰厥头痛者必灸头部穴乃能获痊者何则艾之性热者灸之则使其热发散寒
者灸之则使其寒温和入药则上行艾灸则下行故也手之三阳从手走之头足之三阳从头走之足足
阳明胃经面络入上齿挟口下交承浆下颐前至耳前循喉咙手阳明大肠经入下齿挟口交人中左之
右右之左上挟鼻孔上下阳明经皆挟鼻孔也欲泻诸阳之气先刺百会次引诸阳热气使之下行比之
如开砚滴之上孔也若热极不能下气者以细系颈则头额太阳及当阳血络自现即以三棱针贯刺其
血络弃血如粪神效○此法与惜血如金之言大不同然奇效良方之法也老人不宜多出血然可以
出血者施
头痛及眼疾赤目等症全用泻去其他诸症宜平补平泻
伤风为热者乃风为木木生火故也
头目臃肿胸胁肢满肘内血络及陷谷多出血立瘥
偏头痛目KT KT 不可忍风池头维本神患左治右患右治左皆留针十呼引气即瘥神效○两眼外
上锐发动脉各灸三壮立效
面苍黑行间中封肾俞肝俞尺泽合谷下三里
头面风瘅发作一二日赤肿形如火烂突起如棒子或如润太因渐广大气息奄奄急以三棱针乱
刺当
处及四畔赤晕不计其数多出恶血片时即苏色变如常翌日更观未尽处及新量针刺随肿随针则神
效宜临机应变
头部有头部的尺寸,腹部有腹部的尺寸,横向和纵向的尺寸各不相同,各有其要点。只有背部和手足部都以同身寸来取穴。
从前发际到后发际折量为一尺二寸(12寸)。如果前发际不明确,则从眉心向上量3寸;如果后发际不明确,则取大椎穴向上量3寸。如果前后发际都不明确,则总共折量为1尺8寸(18寸)使用。
头部的横向尺寸:以内眼角比至外眼角为1寸。使用神庭穴至曲差穴、曲差穴至本神穴、本神穴至头维穴,共4.5寸。
自大椎穴向下至尾骶骨,共有21个椎体,总共折量为3尺。上7个椎体,每个椎体1寸4分1厘,共9寸8分7厘;中7个椎体,每个椎体1寸6分1厘(第14椎与肚脐平齐,共2尺1寸1分4厘);下7个椎体,每个椎体1寸2分6厘。
第二行(旁开脊中线):距离脊柱各1.5寸,除去脊柱本身的1寸宽度,共折量为4寸,分在两旁(每旁2寸?原文逻辑稍显模糊,通常指旁开距离或区域宽度,此处直译:除脊骨一寸共折作四寸分两旁,意指两侧各占一定宽度,结合上下文通常指旁开1.5寸的线路总宽或特定区域,此处依字面翻译:除脊骨一寸外,共折算为四寸,分布在两旁)。*注:根据针灸常规,第二行通常指足太阳膀胱经第一侧线,旁开1.5寸。原文“除脊骨一寸共折作四寸”表述较为古奥,可能指该区域总宽或特定测量法,此处忠实于原文文字。*
第三行(旁开脊中线):距离脊柱各3寸,除去脊柱本身的1寸宽度,共折量为7寸,分在两旁。
从天突穴到膻中穴为准,折量为6寸8分。再向下1寸6分为中庭穴。从上取天突穴到下至中庭穴,共折量为8寸4分。
自心蔽骨(剑突)下至脐中,共折量为8寸。人如果没有心蔽骨者,取歧骨(胸剑联合)下至脐心,共折量为9寸来取之。
自脐中至毛际(耻骨联合上缘)横骨横纹,折量为5寸使用。
胸部和腹部的横向尺寸,都用两乳之间横向折量为8寸使用。
头是诸阳经汇聚的地方,所以说头部没有冷痛症。如果想要用针刺治疗,应该刺手足诸阳经,而不宜直接刺头部,为什么呢?针刺能够引导气机运行。如果刺头部,诸阳之气会郁结在头部,其热势难以停止,或者会导致昏迷不省人事。必须通过引泻手足诸阳经的气,所以说“扬汤止沸,不如抽薪”。如果气不能引导下行,或者是痰厥头痛的患者,必须灸头部的穴位才能痊愈。为什么呢?因为艾草的性质是热的,灸它能使热气发散;寒证灸它能使寒气温和。入药则上行,艾灸则下行。手三阳经从手走向头,足三阳经从头走向足。足阳明胃经面部络脉进入上齿,挟口下行,在下交承浆穴,下颐前至耳前,循喉咙。手阳明大肠经进入下齿,挟口交叉于人中部,左向右,右向左,上挟鼻孔。上下阳明经都挟持鼻孔。想要泻诸阳经的气,先刺百会穴,其次引导诸阳热气使其下行,这就像打开砚滴上面的孔一样。如果热极导致气不能下行,就用细绳系住颈部,那么头额、太阳穴及当阳的血络自然会显现,立即用三棱针贯穿刺破血络,放出的血像粪水一样,效果神奇。○这种方法与“惜血如金”的说法大不相同,但是《奇效良方》中的方法。老人不宜多出血,但可以根据情况施以出血疗法。
头痛及眼疾、赤目等症状,全用泻法去除。其他诸症宜用平补平泻法。
偏头痛、眼睛疼痛不可忍受,取风池、头维、本神穴。患左侧治右侧,患右侧治左侧,都留针十次呼吸的时间,引导气机即可痊愈,效果神奇。○两眼外上方锐角处的动脉,各灸三壮,立刻见效。
头面风瘅,发作一二日,红肿形状如火烧烂,突起如棒子,或者像润太(形容肿胀状),逐渐扩大,气息奄奄,急用三棱针乱刺患处及四周赤晕处,不计其数,放出恶血,片刻即苏醒,脸色变为正常。第二天再观察未尽之处及新量的部位,针刺随肿处,则效果神奇。应当随机应变。
The head has its own dimensions, and the abdomen has its own dimensions; horizontal and vertical measurements differ, each having its key points. Only the back and the limbs use *Tongshen Cun* (Same-Body Inch) for measurement.
From the anterior hairline to the posterior hairline is measured as 12 *Cun* (Chinese inches), equivalent to one chi. If the anterior hairline is unclear, measure 3 *Cun* upward from the midpoint between the eyebrows. If the posterior hairline is unclear, measure 3 *Cun* upward from *Dazhui* (GV14). If both hairlines are unclear, the total measurement is 18 *Cun*.
For horizontal measurements of the head: the distance from the inner canthus to the outer canthus is 1 *Cun*. The distance from *Shenting* (GV24) to *Qucha* (EX-HN4), from *Qucha* to *Benshen* (GB13), and from *Benshen* to *Touwei* (ST8) totals 4.5 *Cun*.
From *Dazhui* (GV14) downward to the coccyx, there are 21 vertebrae in total, measuring 3 chi. The upper 7 vertebrae: each measures 1.41 *Cun*, totaling 9.87 *Cun*. The middle 7 vertebrae: each measures 1.61 *Cun* (the 14th vertebra is level with the umbilicus, totaling 21.14 *Cun*). The lower 7 vertebrae: each measures 1.26 *Cun*.
The second row (paraspinal): 1.5 *Cun* on each side of the spine. Excluding the 1 *Cun* width of the spinous processes, the total is 4 *Cun*, distributed on both sides.
The third row (paraspinal): 3 *Cun* on each side of the spine. Excluding the 1 *Cun* width of the spinous processes, the total is 7 *Cun*, distributed on both sides.
From *Tiantu* (CV22) to *Danzhong* (CV17) is measured as 6.8 *Cun*. Moving down 1.6 *Cun* reaches *Zhongting* (CV12). From *Tiantu* to *Zhongting*, the total measurement is 8.4 *Cun*.
From below the xiphoid process (*Xinbigu*) to the umbilicus is 8 *Cun*. In individuals without a distinct xiphoid process, measure from the sternal angle (*Qigu*) to the center of the umbilicus, which is 9 *Cun*.
From the umbilicus to the pubic symphysis (hairline above the pubis) is 5 *Cun*.
For horizontal measurements of the chest and abdomen, the distance between the nipples is used as 8 *Cun*.
The head is the convergence point of all Yang meridians; therefore, it is said that the head does not suffer from cold-pain conditions. If needle therapy is desired, one should puncture the Yang meridians of the hands and feet, rather than needling the head directly. Why? Because acupuncture guides Qi. Needling the head may cause the Qi of all Yang meridians to stagnate in the head, making heat difficult to subside or potentially leading to unconsciousness. One must guide and drain the Qi of the Yang meridians of the limbs. Thus, it is said, "Stirring boiling water is less effective than removing the firewood." If Qi cannot be guided downward, or in cases of Phlegm-Jue headache, moxibustion on head acupoints is necessary for recovery. This is because Moxa is hot in nature; moxibustion disperses heat, while for cold conditions, it warms and harmonizes. When taken orally, herbs tend to ascend; moxibustion tends to descend. The Hand-Yang meridians run from the hand to the head, and the Foot-Yang meridians run from the head to the foot. The Foot-Yang Ming Stomach Meridian enters the upper teeth via facial collaterals, crosses the mouth, intersects at *Chengjiang* (CV24), descends before the chin to the ear, and follows the throat. The Hand-Yang Ming Large Intestine Meridian enters the lower teeth, crosses the mouth at *Renzhong* (GV26), crossing left to right and right to left, and ascends to flank the nostrils. Both Upper and Lower Yang Ming meridians flank the nostrils. To drain the Qi of the Yang meridians, first puncture *Baihui* (GV20), then guide the Yang heat downward, similar to opening the top hole of an inkstone dropper. If extreme heat prevents Qi from descending, tie a thin string around the neck so that the blood vessels in the forehead, temples, and midline become visible. Immediately pierce these collateral vessels with a three-edged needle and let the blood flow out like feces; this is highly effective. ○ This method differs greatly from the principle of "cherishing blood like gold," but it is a technique found in *Qi Xiao Liang Fang*. Elderly people should not bleed excessively, but bleeding therapy can be applied when appropriate.
For headaches, eye diseases, and red eyes, use only draining methods. For other conditions, use equal supplementation and drainage (Ping Bu Ping Xie).
Wind-cold transforming into heat occurs because Wind belongs to Wood, and Wood generates Fire.
For swelling of the head and eyes, fullness in the chest, hypochondrium, and limbs, and blood stasis in the elbow and *Xiangu* (ST41) points, excessive bleeding leads to immediate recovery.
For migraines and unbearable eye pain, select *Fengchi* (GB20), *Touwei* (ST8), and *Benshen* (GB13). Treat the left side for right-sided symptoms and vice versa. Retain the needles for ten breaths to guide Qi, resulting in immediate recovery and miraculous effects. ○ Moxa three cones on the arteries at the outer upper corners of both eyes for immediate effect.
For dark and sallow complexion, select *Xingjian* (LR2), *Zhongfeng* (LR4), *Shenshu* (BL23), *Ganshu* (BL18), *Chize* (LU5), *Hegu* (LI4), and *Xiasanli* (ST37).
For wind-dampness affecting the head and face, presenting within one or two days with redness, swelling resembling burns, protruding like a stick or described as "Run Tai" (severe swelling), spreading gradually, with faint breathing: urgently use a three-edged needle to randomly prick the affected area and the surrounding red halo, releasing numerous amounts of foul blood. The patient will revive within moments, and the complexion will return to normal. Observe the next day for any remaining swelling or new areas, and needle accordingly as the swelling appears. This is highly effective. One must adapt to the situation flexibly.