刺家不诊,听病者言,在头头疾痛,为藏针之,刺至骨病已,上无伤骨肉及皮,皮者道也。阴刺,入一旁
四处。治寒热深专者,刺大藏,迫藏刺背,背俞也,刺之迫藏,藏会,腹中寒热去而止,与刺之
要,发针而浅出血。治腐肿者刺腐上,视痈小大深浅刺,刺大者多血,小者深之,必端内针为故止。
病在少腹有积,刺皮,HT 以下,至少腹而止,刺挟脊两旁四椎间,刺两髂 季胁肋间,导腹中气热下已。病在少
腹,腹痛不得大小便,病名曰疝,得之寒,刺少腹两股间,刺腰髁骨间,刺而多之,尽炅病已。病在
筋,筋挛节痛,不可以行,名曰筋痹,刺筋上为故,刺分肉间,不可中骨也,病起筋炅病已止。病在肌肤,肌肤
尽痛,名曰肌痹,伤于寒湿,刺大分小分,多发针而深之,以热为故,无伤筋骨,伤筋骨,痛发若变,诸分尽
热病已止。病在骨,骨重不可举,骨髓酸痛,寒气至,名曰骨痹,深者刺无伤脉肉为故,其道大分小分,骨热
病已止。病在诸阳脉,且寒且热,诸分且寒且热,名曰狂,刺之虚脉,视分尽热病已止。病初发岁一发,不治月
一发,不治月四五发,名曰癫病,刺诸分诸脉,其无寒者以针调之,病已止。病风且寒且热,炅汗出,一日
数过,先刺诸分理络脉;汗出且寒且热,三日一刺,百日而已。病大风,骨节重,须眉堕,名曰大风,刺肌肉
为故,汗出百日,刺骨髓,汗出百日,凡二百日,须眉生而止针。
刺要论∶ (音素)弛(施是切)铄(诗若切)眩(音县)
刺齐论∶解(胡买切)
刺禁论∶髌(音牝)
刺志论∶脱(土活切)捻(音涅)
针解论∶ (音低)
长刺节论∶ (光抹切)篡(初患切)
针灸医师不通过诊脉,而是听取患者的陈述。若头痛痛在头部,就在局部留针,针刺至骨部,病即痊愈,上部不要损伤骨肉及皮肤,因为皮肤是针刺的通道。阴刺法,是一旁进针四处出针(或解释为:在一侧进针,穿透至对侧,共四针)。治疗寒热邪气深聚专一的病症,针刺五脏,迫近五脏进行背部针刺,即背俞穴。针刺迫近五脏,因五脏之气会合于背俞,腹中的寒热感去除后即可停针。这与针刺的要领有关,起针时使少量出血。治疗痈肿腐肉者,刺破腐肉处,观察痈肿的大小和深浅进行针刺,刺大痈肿多放血,小痈肿深刺,必须端正地纳入针具,以适当为度停止。
病位在少腹且有积块,针刺皮部,从横骨穴以下,至少腹而止,针刺挟脊两旁第四椎间隙,针刺两侧髂骨与季胁肋间,引导腹中热气下行而病愈。病位在少腹,腹痛且大小便不通,病名叫做疝,由寒邪所致,针刺少腹两股之间,针刺腰髁骨间,多刺几次,使局部产生温热感,病即痊愈。病位在筋,筋脉拘挛关节疼痛,不能行走,病名叫做筋痹,针刺筋上为度,针刺分肉之间,不可刺中骨头,病起于筋部发热,热退病愈即止。病位在肌肤,肌肤全部疼痛,病名叫做肌痹,伤于寒湿,针刺大分肉和小分肉,多下针并深刺,以局部发热为度,不要损伤筋骨,如果损伤筋骨,疼痛发作且病情变化,直到各部分都感到热,病即痊愈停止。病位在骨,身体沉重不可抬举,骨髓酸痛,寒气侵袭,病名叫做骨痹,深刺而不损伤血脉肌肉为度,其路径经过大分肉和小分肉,骨部发热,病愈即止。病位在诸阳脉,既怕冷又发热,各个分肉部位也既怕冷又发热,病名叫做狂病,针刺使其脉虚,视各分肉部位全部发热,病愈即止。
疾病初发时一年发作一次,不治疗则一个月发作一次,不治疗则一个月发作四五次,病名叫做癫病,针刺各个分肉和各条经脉,其中没有寒邪的用针调理,病愈即止。患风病且怕冷又发热,出汗发热,一天数次,先针刺各个分理络脉;出汗且怕冷又发热,三天针刺一次,一百天痊愈。患大风病,骨节沉重,眉毛胡须脱落,病名叫做大风,针刺肌肉为度,出汗一百天,针刺骨髓,出汗一百天,总共二百天,眉毛胡须长出后停止针刺。
《刺要论》:(素音)弛(施是切音)铄(诗若切音)眩(音县)
《刺齐论》:解(胡买切音)
《刺禁论》:髌(音牝)
《刺志论》:脱(土活切音)捻(音涅)
《针解论》:(音低)
《长刺节论》:(光抹切音)篡(初患切音)
Acupuncturists do not perform pulse diagnosis but listen to the patient's complaints. If pain is located in the head, needles are retained locally; needling to the bone level cures the disease, ensuring no injury to muscles, bones, or skin above, as the skin serves as the pathway for needle insertion. The Yin Needling method involves inserting a needle on one side and passing through to four points (or: inserting on one side, penetrating to the opposite side, totaling four needles). It treats deep and concentrated cold-heat pathogens by needling the Five Zang Organs (Five Zang Organs), approaching the Zang via back-shu points. Needling approaches the Zang because the Zang Qi converges at the back-shu points; abdominal cold-heat sensations cease when removed. This aligns with the essentials of needling: upon withdrawing the needle, allow slight bleeding. For treating abscesses and necrotic tissue, puncture the necrotic area; observe the size and depth of the carbuncle to determine needling depth—large carbuncles require copious bloodletting, small ones require deep needling. Needles must be inserted steadily and correctly, stopping when appropriate.
When pathology resides in the lower abdomen with accumulation, needle the skin layer from below the Henggu (CV12) point down to the lower abdomen. Needle the spaces between the fourth thoracic vertebrae on both sides of the spine, and between the iliac bones and costal margins on both sides, guiding heat qi downward in the abdomen to cure the disease. When pathology resides in the lower abdomen with abdominal pain and inability to urinate or defecate, the disease is named Hernia (Shan), caused by Cold. Needle between the two thighs in the lower abdomen and between the lumbar and sacral bones. Apply multiple needle insertions until local warmth is achieved, then the disease is cured. When pathology resides in the tendons, causing tendon spasms, joint pain, and immobility, the disease is named Tendon Bi (Tendon Obstruction). Needle the tendons themselves, inserting into the intermuscular spaces without piercing the bone. Stop when the tendons feel warm and the disease resolves. When pathology resides in the muscle layer, causing diffuse pain, the disease is named Muscle Bi (Muscle Obstruction), caused by Cold-Dampness. Needle large and small muscle compartments, using multiple deep needle insertions until local heat is achieved. Do not injure sinews or bones; if injured, pain may flare up or symptoms change. Stop when all compartments feel hot and the disease resolves. When pathology resides in the bones, causing heaviness, inability to lift limbs, bone marrow soreness, and invasion by Cold Qi, the disease is named Bone Bi (Bone Obstruction). Deep needling should avoid injuring vessels and muscles. The path follows the large and small muscle compartments. Stop when the bones feel warm and the disease resolves. When pathology resides in the Yang meridians, presenting with alternating chills and fever, and similar sensations in various muscle compartments, the disease is named Mania (Kuang). Reduce the pulse via needling. Stop when all compartments feel hot and the disease resolves.
If a disease initially occurs once a year, and remains untreated, it may occur once a month; if still untreated, four to five times a month. This is named Epilepsy (Dian). Needle various muscle compartments and meridians. For those without Cold, regulate with needles. Stop when the disease resolves. For Wind diseases presenting with chills, fever, and profuse sweating occurring several times a day, first needle the interstitial tissues and collateral vessels. If sweating accompanies chills and fever, needle every three days for one hundred days until cured. For severe Wind diseases (Da Feng) causing heavy joints and loss of eyebrows and beard, needle the muscles until sweating occurs for one hundred days, then needle the bone marrow until sweating occurs for another hundred days. Totaling two hundred days, stop needling when eyebrows and beard regrow.
*Discourse on Essentials of Needling*: Su (pronunciation), Chi (pronunciation), Shuo (pronunciation), Xuan (pronunciation).
*Discourse on Depth of Needling*: Jie (pronunciation).
*Discourse on Taboos of Needling*: Bin (pronunciation).
*Discourse on Excess and Deficiency in Needling*: Tuo (pronunciation), Nian (pronunciation).
*Discourse on Explanation of Needles*: Di (pronunciation).
*Discourse on Long Sections of Needling*: Guangmo (pronunciation), Cuan (pronunciation).