黄帝问于岐伯曰。余闻刺有五禁。何谓五禁。岐伯曰。禁其不可刺也。黄帝曰。余闻刺有五夺。岐伯曰。无泻其不
可夺者也。黄帝曰。余闻刺有五过。岐伯曰。补泻无过其度。黄帝曰。余闻刺有五逆。岐伯曰。病与脉相逆。命曰五逆。
黄帝曰。余闻刺有九宜。岐伯曰。明知九针之论。是谓九宜。黄帝曰。何谓五禁。愿闻其不可刺之时。岐伯曰。甲乙日
自乘。无刺头。无发 于耳内。丙丁日自乘。无振埃于肩喉廉泉。戊己日自乘四季。无刺腹。去爪泻水。庚辛日自乘。
无刺关节于股膝。壬癸日自乘。无刺足胫。是谓五禁。黄帝曰。何谓五夺。岐伯曰。形肉已夺。是一夺也。大夺血之后。
是二夺也。大汗出之后。是三夺也。大泄之后。是四夺也。新产及大血之后。是五夺也。此皆不可泻。黄帝曰。何谓五
逆。岐伯曰。热病。脉静。汗已出。脉盛躁。是一逆也。病泄。脉洪大。是二逆也。着痹不移。 肉破。身热。脉偏绝。
是三逆也。淫而夺形。身热。色夭然白。及后下血 。血 笃重。是谓四逆也。（淫旧注房室过度也窃谓肠 沃沫精遗淋
沥盗汗之类皆是谓津气荡 而不收者也）寒热夺形。脉坚搏。是谓五逆也。
前提其五后叙其三其二。绝无交代篇法不足言矣。而笔自谨严。按九宜详前官针篇。
黄帝向岐伯问道：我听说针刺有“五禁”，什么是“五禁”？
岐伯回答说：禁止在不可针刺的情况下进行针刺。
黄帝说：我听说针刺有“五夺”。
岐伯回答说：不要对已经极度虚损的患者使用泻法。
黄帝说：我听说针刺有“五过”。
岐伯回答说：补法和泻法的使用不能超过适当的限度。
黄帝说：我听说针刺有“五逆”。
岐伯回答说：病症与脉象相违背，称为“五逆”。
黄帝说：我听说针刺有“九宜”。
岐伯回答说：通晓九针的理论，就称为“九宜”。
黄帝说：什么是“五禁”？希望能听听那些不可针刺的时日。
岐伯回答说：甲日和乙日（天干属木），若值本气旺盛之时（自乘），不可针刺头部，不可在耳内施以发汗疗法（振埃）。
丙日和丁日（天干属火），若值本气旺盛之时，不可在肩、喉、廉泉穴施以发汗疗法。
戊日和己日（天干属土），若值四季末月（土旺之时），不可针刺腹部，不可施行去爪疗法或泻水疗法。
庚日和辛日（天干属金），若值本气旺盛之时，不可针刺大腿和膝盖部位的关节。
壬日和癸日（天干属水），若值本气旺盛之时，不可针刺小腿足胫部位。
这就叫做“五禁”。
黄帝说：什么是“五夺”？
岐伯回答说：形体肌肉已经极度消瘦损耗，这是第一夺。
大量失血之后，这是第二夺。
大汗出之后，这是第三夺。
严重腹泻之后，这是第四夺。
刚分娩后及大量出血之后，这是第五夺。
这些情况都不可使用泻法。
黄帝说：什么是“五逆”？
岐伯回答说：患热病，脉象却沉静无力，这是第一逆。
出汗后，脉象反而盛大躁动，这是第二逆。
患有着痹（湿邪偏盛的痹证）且疼痛固定不移，肌肉溃烂，身体发热，脉搏出现偏侧断绝的现象，这是第三逆。
因房事过度等导致精气耗损、形体消瘦，身体发热，面色枯槁苍白，以及随后便血，血色深黑且病情沉重，这叫做第四逆。（旧注认为“淫”指房室过度，我认为诸如肠澼下脓血、遗精、淋沥、盗汗等津液气机涣散不收的情况都属于此类。）
寒热交替导致形体消瘦，脉象坚硬搏指，这叫做第五逆。
原文先列出五项内容，后叙述三项内容，两者之间毫无交代，篇章结构不足称道。但笔法自然严谨。按：关于“九宜”的详细论述见前文《官针》篇。
Huangdi asked Qibo, saying: I have heard that there are "Five Prohibitions" in acupuncture. What are the Five Prohibitions?
Qibo replied: They refer to prohibiting needling when it is inadvisable.
Huangdi said: I have heard that there are "Five Depletions" in acupuncture.
Qibo replied: One should not apply reducing methods to those who are already severely depleted.
Huangdi said: I have heard that there are "Five Excesses" (or Errors) in acupuncture.
Qibo replied: The application of reinforcing and reducing methods must not exceed proper limits.
Huangdi said: I have heard that there are "Five Rebellions" (or Contradictions) in acupuncture.
Qibo replied: When the disease pattern contradicts the pulse, it is called the Five Rebellions.
Huangdi said: I have heard that there are "Nine Appropriatenesses" in acupuncture.
Qibo replied: To thoroughly understand the theory of the Nine Needles is called the Nine Appropriatenesses.
Huangdi said: What are the Five Prohibitions? I wish to hear about the times when needling is contraindicated.
Qibo replied: On Jia and Yi days, when the Wood element is in its peak phase (Zicheng), do not needle the head, and do not apply the "Shaking off Dust" method (a sweating technique) to the ears.
On Bing and Ding days, when the Fire element is in its peak phase, do not apply the "Shaking off Dust" method to the shoulders, throat, or Lianquan (CV23).
On Wu and Ji days, when the Earth element is in its peak phase during the four seasons, do not needle the abdomen, and do not perform the "Removing Claws" method or water-draining techniques.
On Geng and Xin days, when the Metal element is in its peak phase, do not needle the joints of the thighs and knees.
On Ren and Gui days, when the Water element is in its peak phase, do not needle the lower legs and shins.
These are called the Five Prohibitions.
Huangdi said: What are the Five Depletions?
Qibo replied: When the body and muscles are already severely wasted, this is the first depletion.
After massive blood loss, this is the second depletion.
After profuse sweating, this is the third depletion.
After severe diarrhea, this is the fourth depletion.
After childbirth and massive bleeding, this is the fifth depletion.
Reducing methods must not be used in any of these cases.
Huangdi said: What are the Five Rebellions?
Qibo replied: In heat diseases, if the pulse is quiet and still, this is the first rebellion.
If the pulse becomes rapid and restless after sweating, this is the second rebellion.
In fixed Bi syndrome (painful obstruction due to dampness) with immobility, muscle erosion, body heat, and absent pulses on one side, this is the third rebellion.
When excessive sexual activity leads to physical wasting, accompanied by body heat, a sallow and dull complexion, followed by hematochezia with dark, heavy blood, this is called the fourth rebellion. (Old annotations define "Yin" as excessive sexual intercourse; however, I believe conditions such as intestinal discharge of pus and mucus, seminal emission, stranguria, and night sweats, where fluids and Qi scatter and fail to consolidate, also fall under this category.)
When alternating chills and fever lead to physical wasting, and the pulse is firm and bounding, this is called the fifth rebellion.
The text lists five items first and then narrates three, without any transitional explanation, making the chapter structure insufficient to discuss. Nevertheless, the writing style is rigorous and strict. Note: The details regarding the "Nine Appropriatenesses" can be found in the previous chapter "Guan Zhen" (Official Needles).