帝曰针入而肉着者何也岐伯曰热气因于针则针热热则肉着于针故坚焉(灵枢)
内经曰无刺大劳无刺大饥无刺大饱无刺大醉无刺大惊无刺大怒人又曰形气不足者久病虚
损者
针刺则重竭其气又曰针入如芒气出如车轴是谓针之有泻无补也凡灸平朝及午后则谷气虚乏须
施于日午大概脉络有若细线以竹箸头作炷但令当脉灸之亦能愈疾是以四肢则但去风邪不宜多
灸故七壮至七七壮而止不得过随年数脐下久冷疝瘕气块伏梁积气之证则宜艾炷大故曰腹背宜
灸五百壮如巨阙鸠尾虽是胸腹之穴灸不过七七壮而止若大炷多灸则令人永无心力头顶穴多灸
则失精神臂脚穴多灸则血脉枯渴四肢细瘦无力又失精神盖穴有浅深浅穴多灸则必伤筋力故不
过三壮五壮七壮而止可不慎哉
生冷鸡猪酒面房劳炙爆等物
灸疮无汗则未易发脓用薄荷桃柳叶煎汤淋洗因用盐汤和麦末如泥形如浓棋子着布
上敷贴灸疮若干更用盐汤水润其布上即脓俗名灸花
取柳奇生煎服服瘥
灸疮久未合痛甚者(用人粪烧灰细研作末先以盐汤洗疮后糁当处即愈又黄土细节和盐汤水
如泥浓贴当处效)
神庭 脑户 囟会 玉枕 络却 承灵
颅息 角孙 承泣 神道 灵台 云门
肩井 膻中 缺盆 上关 鸠尾 五里
青灵 合谷 神阙 横骨 气冲 箕门
承筋 水分 会阴 石门 人迎 乳中
然谷 伏兔 三阴交 三阳络
黄帝问:针刺后肌肉附着在针上,这是什么原因?岐伯回答:热气依附于针体,使针变热,热则肌肉吸附在针上,因此感觉坚硬。(出自《灵枢》)
《内经》说:不要在大劳累时针刺,不要在大饥饿时针刺,不要在大饱食后针刺,不要在大醉酒时针刺,不要在大惊恐时针刺,不要在大愤怒时针刺。又有说法认为:形体与正气不足者、久病虚损者,若施以针刺,会加重其正气的耗竭。又说:针刺时感觉像芒刺一样,出针时气感如车轴转动般强烈,这被称为只有泻法而没有补法的效果。
凡是艾灸,平旦(清晨)及午后时分,人体谷气虚弱匮乏,适宜在日午时分进行。大致的原则是:脉络细如线,用竹筷头作为艾炷,只需对准脉络施灸,也能治愈疾病。所以四肢部位只需祛除风邪,不宜多灸,故从七壮到七七壮为止,不得超过随患者年龄而定的壮数。脐下长期寒冷、疝气、瘕块、气块、伏梁、积气等证候,则宜用较大的艾炷,所以说腹部和背部适宜灸五百壮。像巨阙穴、鸠尾穴,虽然是胸腹部的穴位,但艾灸不超过七七壮为止。如果艾炷过大、灸量过多,会导致人永远失去心力;头顶穴位多灸则会丧失精神;手臂和腿部穴位多灸则会导致血脉枯渴、四肢细瘦无力,又丧失精神。因为穴位有深浅之分,浅穴多灸必然会损伤筋力,所以不超过三壮、五壮、七壮为止,能不谨慎吗?
禁忌食物:生冷、鸡肉、猪肉、酒类、面食、房事过度、炙烤爆炒等食物。
关于灸疮:若无汗,则不易化脓,可用薄荷、桃叶、柳叶煎汤淋洗患处。随后用盐汤调和麦粉成泥状,形状如厚棋子,敷贴在布上贴于灸疮处,再用盐汤水润湿布料,此时即出脓,俗称“灸花”。
治疗柳枝奇生(指异常生长的柳枝)煎服,服后痊愈。
灸疮长久不愈合且疼痛剧烈者:用人粪烧成灰,细细研磨成末。先用盐汤清洗疮口,然后将药末撒在患处,即可痊愈。另外,将黄土切碎,用盐汤水调成泥状,浓稠地贴在患处也有效。
禁针穴位:神庭、脑户、囟会、玉枕、络却、承灵、颅息、角孙、承泣、神道、灵台、云门、肩井、膻中、缺盆、上关、鸠尾、五里、青灵、合谷、神阙、横骨、气冲、箕门、承筋、水分、会阴、石门、人迎、乳中、然谷、伏兔、三阴交、三阳络。
The Yellow Emperor asked: Why does the flesh adhere to the needle after insertion? Qibo replied: Heat qi attaches to the needle, making the needle hot; when hot, the flesh adheres to the needle, thus feeling firm. (From *Ling Shu*)
*Nei Jing* states: Do not needle during severe fatigue, severe hunger, fullness after a large meal, heavy intoxication, great fright, or extreme anger. It is also said that for those with deficiency of form and healthy qi, or those suffering from chronic illness and depletion, needling will further deplete their qi. It is also stated: When needling feels like thorns, and upon withdrawal the sensation of qi moves like a chariot axle, this is referred to as having only draining (reducing) effects without tonifying (supplementing) effects.
Generally, moxibustion should be avoided in the early morning and afternoon when grain qi is weak and insufficient; it is suitable to perform moxibustion at noon. The general principle is: if the meridians are as thin as fine lines, use the tip of a bamboo chopstick as the moxa cone, aiming directly at the meridian; this can also cure diseases. Therefore, for the four limbs, one should only dispel wind pathogens and avoid excessive moxibustion; thus, stop after seven to forty-nine moxa cones (zhuang), and do not exceed the number corresponding to the patient's age. For conditions such as chronic cold below the navel, hernia, mass formations (jia), qi lumps, Fu Liang (a type of abdominal mass), and accumulated qi, larger moxa cones should be used; hence it is said that the abdomen and back are suitable for five hundred moxa cones. Acupoints such as Juque (CV14) and Jiutui (CV15), although located on the chest and abdomen, should not exceed forty-nine moxa cones. If the moxa cones are too large or the dosage too high, it may cause permanent loss of heart strength; excessive moxibustion on head acupoints may lead to loss of spirit; excessive moxibustion on arm and leg acupoints may cause dryness of blood vessels, emaciation and weakness of the four limbs, and loss of spirit. Since acupoints vary in depth, excessive moxibustion on shallow points will inevitably damage tendons and muscles; therefore, stop after three, five, or seven moxa cones. Can one be too cautious?
Contraindicated foods: raw and cold items, chicken, pork, alcohol, wheat products, sexual excess, roasted and fried foods.
Regarding moxibustion sores: If there is no sweating, pus formation is difficult. Use a decoction of mint, peach leaves, and willow leaves to wash and rinse the area. Then, mix salt water with wheat flour to form a paste, shaped like a thick chess piece, apply it on cloth, and patch it onto the moxibustion sore. Moisten the cloth with salt water, and pus will appear, commonly known as "moxa flower."
For abnormal growths of willow branches, decoct and take orally; recovery follows.
For moxibustion sores that fail to heal for a long time and cause severe pain: Burn human feces to ash, grind finely into powder. First wash the sore with salt water, then sprinkle the powder on the affected area for immediate healing. Alternatively, crush yellow earth, mix with salt water to form a thick mud, and apply densely to the affected area; this is also effective.
Contraindicated acupoints: Shenting (GV24), Naohu (GV17), Xinhui (GV22), Yuzhen (GB9), Luoque (BL9), Chengling (BL9 - Note: Text lists Chengling here, usually BL9 is Yuzhen, Chengling is GB18, but strictly following text list), Lushi (TE19), Jiaosun (TE6), Chengqi (ST1), Shendao (GV11), Lingtai (GV10), Yunmen (LU2), Jianjing (GB21), Danzhong (CV17), Quepen (LI15), Shangguan (ST7), Jiutui (CV15), Wuli (LI13/Chong Mai), Qingling (HT8), Hegu (LI4), Shenque (CV8), Henggu (KI11), Qichong (ST30), Jimen (SP11), Chengjin (BL56), Shuifen (CV9), Huiyin (CV1), Shimen (CV5), Renying (ST9), Ruzhong (RN17/RenZhong - Note: Text says Ruzhong which is CV17/Danzhong location often contraindicated, or nipple point RN17), RanGu (KI2), Futu (ST32), Sanyinjiao (SP6), Sanyangluo (TE7).