芩连白芷金星草,乳香淡竹当归好,薄荷川芎与葱白,香油煎药粉成膏。
【注】以上药味各等分,用香油煎药去滓,再下铅粉熬成膏,专贴灸疮。
行针避忌雨大风,饥饱醉怒渴劳惊,男内女外犹坚守,更看人神不可逢。行针避忌
虽如此,还推病之缓急行,缓病欲针择吉日,急病行针莫稍停。
【注】按行针避忌,于未刺之先,如风雨晦冥,人之气血,即凝滞而不调。大饥者气
虚,新饱者气盛,大醉者气乱,大怒者气逆,大渴者液少,大劳者气乏,大惊者气散,凡
此者脉乱气散,行针须当避忌,俟其必清必静,聚精会神,方保无误也。既刺之后,尤
当戒慎。男子忌内,女子忌外,忌外者坚拒勿出,忌内者谨守勿内,则邪气必去,正气
必复,是谓得气,理固然矣。犹有达变之法存焉,缓病须择神吉,急病岂可待时哉。
四季人神所在处,禁忌针灸莫妄施,春在左胁秋在右,冬在于腰夏在脐。
【注】四季人神所在之处,谓人之神气初动之处,同乎天之流行也,禁针灸者恐伤生
气也。人神常在心,春在左胁者肝主升也,秋在右胁者肺主降也,冬在腰者神主藏也,夏在脐者脾主化也。
一日足大二外踝,三日股内四在腰,五口六手七内踝,八腕九尻十背腰,十一鼻柱
二发际,三牙四胃五遍身,六胸七气八股内,九足二十内踝寻,二十一手小二外踝,三日肝
足四手明,五足六胸七在膝,八阴九胫晦趺停。
【注】足大,足之大趾也。气,气冲也。手小,手之小指也。手明,手阳明也。足,足
阳明也。阴,男女前阴中也。晦,月尽也。趺,足十趾岐骨也。
黄芩、黄连、白芷、金星草,乳香、淡竹(指淡竹叶或相关药用部位)、当归皆宜,薄荷、川芎与葱白一同使用,用香油煎煮药物后滤去药渣,再加入铅粉熬制成膏。
【注】以上药材各取等量,用香油煎煮药物并滤去药渣,随后加入铅粉继续熬炼成膏状,专门用于贴敷灸疮。
行针时应避开雨天和大风,也要避开患者处于饥饿、饱食、醉酒、大怒、口渴、疲劳或受惊的状态;男子应忌房事,女子应忌外出,还要查看“人神”所在方位,不可与之相冲。虽然行针有这些避忌规定,但还需根据病情的缓急来灵活处理:病情缓和者欲施针时可选择吉日,病情急重者行针则一刻也不能停留。
【注】关于行针的避忌,在针刺之前,如果遇到风雨昏暗的天气,人的气血就会凝滞而不调和。极度饥饿的人气虚,刚吃饱的人气盛,大醉的人气乱,大怒的人气逆,大渴的人津液少,大劳的人气乏,大惊的人气散。凡是上述情况,脉象紊乱、气机涣散,行针时必须避忌,等到患者状态澄清平静,聚精会神之后,才能保证无误。针刺之后,更应当谨慎小心。男子忌讳内守(指禁欲),女子忌讳外泄(指避免劳累或受邪);所谓“忌外”,是指坚决拒绝让邪气外出(此处原文语境较晦涩,通常指固护正气,不使外泄,或指女子经期等特殊情况下的禁忌,结合下文“坚拒勿出”可能指防止精气外泄或邪气深入,此处依字面及常规针灸禁忌理解:男子忌内守精气,女子忌外感邪气/劳作);所谓“忌内”,是指谨慎守护不让邪气内入。这样邪气必去,正气必复,这就叫做“得气”,道理本来就是这样。但也存在变通的方法:缓病需要选择吉利的日子,急病难道可以等待时机吗?
四季中“人神”所在的部位,禁忌随意施以针灸,春季在左胁,秋季在右胁,冬季在腰部,夏季在脐部。
【注】四季中“人神”所在的部位,是指人体神气初动之处,如同天体运行一样,禁止针灸是恐怕损伤生气。“人神”常在心区,春季在左胁是因为肝主升发,秋季在右胁是因为肺主肃降,冬季在腰部是因为肾主闭藏,夏季在脐部是因为脾主运化。
第一天在足大趾外侧和外踝,第三天在大腿内侧,第四天在腰部,第五天在口部,第六天在手部,第七天在内踝,第八天在手腕,第九天在尾骶部,第十天在背部和腰部,第十一天在鼻梁柱,第十二天在发际,第三天在牙齿,第四天在胃脘,第五天遍布全身,第六天在胸部,第七天在气冲穴,第八天在大腿内侧,第九天在足部,第十天在内踝寻找,第二十一天在手小趾外侧和外踝,第二天在肝脏(此处原文可能有误或特指某流派,通常人神歌诀为循环,此处依原文翻译),第三天在足部,第四天在手阳明经,第五天在足部,第六天在胸部,第七天在膝盖,第八天在前阴,第九天在小腿,第十天在月尽之时停止于足背骨缝处。
【注】“足大”,指的是足的大趾。“气”,指的是气冲穴。“手小”,指的是手的小指。“手明”,指的是手阳明大肠经。“足”,指的是足阳明胃经。“阴”,指的是男女前阴部位。“晦”,指的是农历每月的最后一天。“趺”,指的是足十趾之间的歧骨(跖骨间隙)。
Scutellariae Radix (Huangqin), Scutellariae Baicalensis Radix (Huanglian), Angelicae Dahuricae Radix (Baizhi), and Jinxingcao, along with Frankincense (Ruxiang), Danzhuye (or related parts of Bambusa textilis/Dendrocalamus as "Dan Zhu"), and Angelicae Sinensis Radix (Danggui) are all suitable. Menthae Haplocalycis Herba (Bohe), Ligusticum Chuanxiong Rhizoma (Chuanxiong), and Allii Fistulosi Bulbus (Congbai) are used together. The herbs are decocted in Sesame Oil (Xiangyou), the dregs are filtered out, and then Lead Carbonate (Qianfen) is added to boil into a plaster.
[Note] The above medicinal ingredients are taken in equal proportions. Decoct the herbs in Sesame Oil, filter out the dregs, then add Lead Carbonate and continue boiling until it forms a plaster. It is specifically applied to moxibustion sores.
When performing needle manipulation, avoid rainy days and strong winds. Also avoid states of hunger, fullness, drunkenness, anger, thirst, fatigue, or fright. Men should abstain from sexual intercourse, women should avoid going out, and one must also check the location of the "Ren Shen" (Human Spirit) to avoid conflict. Although such precautions for needle manipulation exist, one must also consider the urgency of the disease: for chronic conditions, select an auspicious day for needling; for acute conditions, do not delay needling at all.
[Note] Regarding precautions for needle manipulation, prior to insertion, if there is wind, rain, or darkness, the patient's Qi and Blood may become stagnant and unharmonious. Extreme hunger leads to deficient Qi, recent fullness to abundant Qi, drunkenness to chaotic Qi, anger to rebellious Qi, extreme thirst to depleted fluids, severe fatigue to exhausted Qi, and shock to scattered Qi. In all these cases, the pulse is disordered and Qi is scattered; needle manipulation must be avoided until the patient is clear, calm, and focused to ensure accuracy. After needling, extra caution is required. For men, avoiding internal loss (abstaining from sex); for women, avoiding external exposure (avoiding labor/exposure). "Avoiding external" means firmly resisting outward leakage (of essence/energy); "avoiding internal" means carefully guarding against inward invasion (of pathogens). Thus, pathogenic Qi departs, and healthy Qi recovers; this is called "Deqi" (arrival of Qi), which is the natural principle. However, there are flexible methods: chronic conditions require selecting auspicious times, but how can acute conditions wait?
The locations of "Ren Shen" (Human Spirit) in the four seasons are contraindicated for random acupuncture and moxibustion: in Spring, it is in the left hypochondrium; in Autumn, in the right hypochondrium; in Winter, in the waist; in Summer, in the umbilicus.
[Note] The locations of "Ren Shen" in the four seasons refer to where the body's vital spirit initially moves, similar to celestial circulation. Acupuncture and moxibustion are prohibited there to prevent damaging the vital energy. "Ren Shen" is often in the Heart region. In Spring, it is in the left hypochondrium because the Liver governs ascending; in Autumn, in the right hypochondrium because the Lung governs descending; in Winter, in the waist because the Kidney governs storing; in Summer, in the umbilicus because the Spleen governs transformation.
On the 1st day, it is at the big toe of the foot, lateral side, and outer ankle; on the 3rd day, in the medial thigh; on the 4th day, in the waist; on the 5th day, in the mouth; on the 6th day, in the hand; on the 7th day, in the inner ankle; on the 8th day, in the wrist; on the 9th day, in the sacrum/coccyx; on the 10th day, in the back and waist; on the 11th day, in the nasal bridge; on the 12th day, in the hairline; on the 3rd day (cycle repeats/variant), in the teeth; on the 4th day, in the Stomach; on the 5th day, throughout the body; on the 6th day, in the chest; on the 7th day, in Qichong (ST30); on the 8th day, in the medial thigh; on the 9th day, in the foot; on the 10th day, seek the inner ankle; on the 21st day, in the little finger of the hand, lateral side, and outer ankle; on the 2nd day (variant), in the Liver; on the 3rd day, in the foot; on the 4th day, in the Hand Yangming (Large Intestine) meridian; on the 5th day, in the foot; on the 6th day, in the chest; on the 7th day, in the knee; on the 8th day, in the external genitalia; on the 9th day, in the calf; on the 10th day (Hui/Month's end), stop at the dorsal foot bones.
[Note] "Zu Da" refers to the big toe of the foot. "Qi" refers to Qichong (ST30). "Shou Xiao" refers to the little finger of the hand. "Shou Ming" refers to the Hand Yangming Large Intestine Meridian. "Zu" refers to the Foot Yangming Stomach Meridian. "Yin" refers to the external genitalia of both males and females. "Hui" refers to the last day of the lunar month. "Fu" refers to the intermetatarsal bones (clefts between the toes) of the foot.