陈延之云∶《黄帝经禁》曰∶不可灸者有十八处,而《明堂》说便不禁之,今别之记如
下∶
中有
不可
天
又云∶曹氏说不可灸者如下(陈延之同∶)
玉枕者人音声之所经从,无病不可灸,灸则声不能语;若有疾可灸五十壮。维角者在眼
后发
精
赤
寸
气涩
也。
胡脉在颈本边主乳中脉上是也,一名荣听,人五脏血气之注处也,无病不可多多灸,熟
则血
天突者,名为天瞿,复名身道,是体精之衢路也,无病不可灸,灸则伤与声反喑;有疾
可灸
壮。此
能举臂
有疾可
血海者名为冲使,在膝内骨上一夫陷中,人阴阳气之所由从也,无病不可灸,灸男则气
衰,
灸,
也,
上二十穴,曹氏说云∶无病不可灸,灸则为害也。寻不病者则不应徒然而灸,以痛苦为
玩者
头病即
此为
病皆灸
之在
《素问》曰∶夫九针者,天地之大数,始于一而终于九。故曰∶一以法天,二以法地,
三以
又曰∶夫圣人之起天地之数也,一而九之,故以立九野,九而九之,九九八十一,以起
黄钟
针者,取法布针,去末半寸,卒兑之,长一寸六分,主热在头身也。二曰员针,取法
于絮
长三寸
主痈热
(利)针
曰毫针,
深邪远痹者。九曰大针,取法于锋针,其锋微圆,长四寸,主取大气不出关节者。针形毕此
九针小大
德贞常曰∶凡刺竟不得即灸,若拔针即灸者,内外热气相击,必变为异病也。若针处有
肿核
人也
用也
及风,皆用大员利针如KT 也,亦量肥瘦大小之宜。皆烧针过热紫色为佳,深浅量病大小
至病为度。针讫以烧钉赤,灸上七过佳也,毋钉灸上七壮而以引之佳也,不则大气伏留以为
肉痈也。若肉薄之处不灸,亦得大禁水入也。禁冷冻饮料食。疮不发者,欲不作瘢者,脓时 去
之。乍寒
孙思邈曰∶火针用锋针,以油为烧之,务在猛热,不热即于人有损也。隔日一报,三报
之后
陈延之说:《黄帝经禁》记载:有十八个部位禁止施灸,但《明堂》一书却说这些部位不禁灸。现在我将它们分别记录如下:
(原文此处文字残缺严重,仅存“中有”、“不可”、“天”等字,无法构成完整句意,故略过或译为片段)
玉枕穴是人声音发出的必经之路,若无疾病不可施灸,施灸则会导致声音嘶哑、不能言语;如果有疾病,可以施灸五十壮。维角穴位于眼后发际处……(原文残缺,涉及精、赤、寸、气涩等描述)。
胡脉位于颈部根部旁边,主管乳中脉,也就是荣听穴,这是人体五脏气血灌注的地方,若无疾病不可多施灸,否则血液会……(原文残缺)。
天突穴,名叫天瞿,又名身道,是身体精气通行的道路,若无疾病不可施灸,施灸则会损伤导致声音嘶哑失音;如果有疾病,可以施灸……壮。(原文残缺)。此穴能举臂……有疾可……血海穴名叫冲使,位于膝盖内侧骨头上一夫宽的凹陷处,是人体阴阳之气通行的地方,若无疾病不可施灸,施灸于男子则会导致气衰……(原文残缺)。
以上二十个穴位,曹氏说:若无疾病不可施灸,施灸会造成危害。寻找没有生病的人就不应该无缘无故地施灸,把痛苦当作玩乐的人……头部的疾病就……这是……所有的病都施灸……在……
《素问》说:九针是天地的最大数,从一数开始到九数结束。所以说:一以效法天,二以效法地……
又说:圣人建立天地的数理,从一到九,所以确立了九野,九乘以九,八十一,以此起算黄钟……
针的种类,取法于布针,去掉末端半寸,尖端锐利,长一寸六分,主治头部和身体的热症。二是员针,取法于棉絮……长三寸……主治痈热……(利)针……三是毫针……主治深部邪气和远端痹症。四是……五是……六是……七是……八是……九是大针,取法于锋针,其锋微圆,长四寸,主治关节内大气不出者。针的形状至此完备,九针大小……
德贞常说:凡是针刺完毕后不得立即施灸,如果拔针后立即施灸,内外热气相互冲击,必定变成怪病。如果针刺处有肿核……人也……用也……及风,都用大员利针如KT(注:此处原文可能有误或为特定符号)也,也要根据肥瘦大小适宜程度来决定。都烧针过热呈紫色为佳,深浅以病情的轻重为度。针刺完后用烧红的钉,在灸点上灸七次较好,不要只用七壮而用来引导它比较好,不然大气伏留成为肉痈。如果肌肉薄的地方不施灸,也要严禁冷水进入。禁止冷冻饮料食物。疮疡不发者,想要不留疤痕者,在化脓时去除它。乍寒……
Chen Yanzhi stated: The "Huangdi Jingjin" (Yellow Emperor's Classic of Prohibitions) records that there are eighteen locations where moxibustion is prohibited. However, the "Mingtang" (Bright Hall) text states that these locations are not prohibited for moxibustion. I hereby record them separately as follows:
(The original text here is severely fragmented, containing only fragments like "in the middle", "not allowed", "heaven", etc., lacking complete sentence structure, so they are omitted or translated as fragments.)
It is also said: The locations prohibited for moxibustion according to Cao Shi are as follows (Chen Yanzhi agrees):
The Yuzhen (Jade Pillow) acupoint is the pathway through which human voice originates. If one is free from disease, moxibustion should not be performed; if performed, it may cause hoarseness or inability to speak. If there is a disease, fifty moxa cones (Zhuang) may be applied. The Weijiao (Corner of the Hairline) acupoint is located behind the eyes at the hairline... [Text fragmentary, involving descriptions of essence, redness, cun, and qi stagnation].
The Hu Mai (Hu Pulse), located beside the root of the neck, governs the Ru Zhong (Central Breast) pulse, also known as the Rong Ting (Auditory Reception) point. This is the place where the Qi and Blood of the five Zang organs pour forth. If one is free from disease, excessive moxibustion should not be performed, otherwise the blood will... [Text fragmentary].
The Tiantu (Heavenly Prominence) acupoint, named Tian Qu (Heavenly Eye), also called Shen Dao (Body Pathway), is the thoroughfare for the body's essential essence. If one is free from disease, moxibustion should not be performed; if performed, it may cause injury leading to hoarseness and aphonia. If there is a disease, ... Zhuang may be applied. [Text fragmentary]. This point relates to raising the arm... If there is a disease... The Xuehai (Sea of Blood) acupoint, named Chong Shi (Pulse Envoy), is located in the depression one Cun above the inner knee bone, which is the pathway for the Yin and Yang Qi of humans. If one is free from disease, moxibustion should not be performed; if performed on men, it may lead to Qi deficiency... [Text fragmentary].
Regarding the above twenty acupoints, Cao Shi stated: If one is free from disease, moxibustion should not be performed, as it causes harm. One should not perform moxibustion aimlessly on healthy individuals; those who treat pain as amusement... Head diseases... This is... All diseases undergo moxibustion... Located in...
The "Suwen" (Basic Questions) states: The Nine Needles represent the great numbers of Heaven and Earth, starting from one and ending at nine. Thus it is said: One corresponds to Heaven, Two corresponds to Earth...
It is also said: The Sage established the numbers of Heaven and Earth from one to nine, thereby establishing the Nine Fields (Jiu Ye). Nine times nine equals eighty-one, used to calculate the Huangzhong pitch pipe...
Types of needles:
1. The first needle takes its form from the Bu Needle (Cloth Needle). Removing half an inch from the tip, making it sharp, with a length of 1.6 Cun, it primarily treats heat in the head and body.
2. The second is the Yuan Needle (Round Needle), taking its form from cotton wool... Length three Cun... Primarily treating carbuncle heat...
3. The Li Needle...
4. The Hao Needle (Filiform Needle)... Treating deep pathogens and distant bi-syndrome.
5-8. [Text missing]
9. The Da Needle (Large Needle), taking its form from the Feng Needle (Sharp Needle), with a slightly rounded tip, four Cun long, primarily treating stagnant Qi within the joints. The forms of the needles are thus completed, covering the sizes of the Nine Needles...
De Zhen often said: After acupuncture is completed, moxibustion must not be performed immediately. If moxibustion is applied right after needle removal, the internal and external heat energies will clash, inevitably transforming into anomalous diseases. If there are swollen nodules at the acupuncture site... For people... Use... And wind, all use the Large Round Sharp Needle (Da Yuan Li Zhen)... Also, measure the appropriateness based on fat/thin and large/small constitutions. Burning the needle until it is overly hot and purple is ideal. Depth should be determined by the severity of the disease. After needling, using a red-hot pin to apply moxibustion seven times on the site is good. It is better not to just apply seven moxa cones but to guide the Qi; otherwise, the Great Qi may stagnate and become flesh abscesses. Do not apply moxibustion on areas with thin muscle, and strictly prohibit water entry. Prohibit cold drinks and food. For ulcers that do not erupt, if one wishes to avoid scarring, remove the pus during suppuration. Alternating chills...
Sun Simiao stated: Fire needles use the Feng Needle (Sharp Needle), heated with oil. The heating must be intense; if not hot enough, it will harm the human body. Treatment is conducted every other day. After three treatments...