孙思邈云∶经云∶云门刺不可深。今则都忌不刺,学人宜详悉之。
大寒无刺;月生无泻;月满无补;月廓空无治;新内无刺;已刺无内;大怒无刺;已刺
无怒
无饥
乘车来者,卧而休之如食顷,乃刺之;步行来者,坐而休之如行十里顷乃刺之;大惊大
怒,
五日死,其动为欠;刺中脾,十五日死,其动为吞;刺中肾,三日死,其动为嚏;刺中胆,
一日半死,其动为呕;刺中膈为伤中,不过一岁必死;刺中趺大脉,血出不止死,趺上大
脉,动脉也;刺阴股中大脉,血出不止死;刺面中溜脉,不辜为盲;刺客主人内陷中脉,为
内漏为聋;刺项中脑户,入脑立死;刺膝膑出液为跛;刺舌下中脉大过,血不止为喑;刺臂
太阴脉,出血多立死,手太阴经渠不可出血,血出立死。按∶此臂之太阴脉总不得出血也;
刺足下布络中脉,血不出为肿,布络是足少阴脉皮部络也;刺足少阴脉重虚出血,为舌难以
言,足少阴至舌本,若其脉先虚又刺出血即为重虚,故为语难也;刺 中大脉令人仆、脱色
,刺诸 当空刺之,不可中于大络也;刺膺中陷中肺,为喘逆仰息,一名中府,肺募也;刺
街中脉,血不出为肿鼠鼷。
刺肘中内陷气归之,为不屈伸;刺脊间中髓为伛;刺阴股下阴三寸内陷,令人遗尿,阴
股下
刺
刺
神庭禁大不可刺;上关刺不可深;缺盆刺不可深;颅息刺不可多出血。
左角刺不可久留;云门刺不可深;五里禁不可刺。
脐中禁不可刺。
伏兔禁不可刺;三阳络不可刺;复留刺无多见血;承筋禁不可刺;然谷刺无多见血。
孙思邈说:医经中记载:针刺云门穴不可过深。现在则完全忌讳针刺该穴,学习针灸的人应当详细了解这一点。
大寒天气时禁止针刺;月亮初生时不可用泻法;月亮圆满时不可用补法;月亮亏缺无光时不宜进行治疗;刚行房事后禁止针刺;已经针刺后禁止再次行房事;大怒时禁止针刺;已经针刺后禁止发怒。
饥饿时(禁止针刺)。
乘车前来就诊的患者,让其躺下休息约一顿饭的时间,然后再进行针刺;步行前来就诊的患者,让其坐下休息相当于行走十里路所需的时间,然后再进行针刺。
如果因大惊大怒而误刺,患者五日后会死亡,其表现为呵欠;如果误刺脾脏,十五日后会死亡,其表现为吞咽动作异常;如果误刺肾脏,三日后会死亡,其表现为打喷嚏;如果误刺胆腑,一日半后会死亡,其表现为呕吐;如果误刺膈肌,会损伤中气,不超过一年必定死亡;如果误刺足背的大脉,出血不止会导致死亡,所谓“趺上大脉”,即动脉;如果误刺大腿内侧的大脉,出血不止会导致死亡;如果误刺面部流动之脉,会导致无辜失明(此处指非眼部病变导致的失明);如果误刺头维穴且进针过深伤及脉络,会导致内部漏泄并耳聋;如果误刺项部脑户穴,针入脑部立即死亡;如果误刺膝盖髌骨处导致关节液流出,会导致跛行;如果误刺舌下大脉且出血不止,会导致失音;如果误刺手太阴肺经的经脉,出血过多会立即死亡,手太阴经的经渠穴不可出血,一旦出血立即死亡。按语:此处的臂部太阴脉总归是不能出血的;如果误刺足底分布的络脉中的血管,血液不出会导致肿胀,所谓的“布络”是足少阴肾经皮部的络脉;如果误刺足少阴肾经且患者本就虚损又见出血,会导致舌头僵硬难以言语,因为足少阴肾经连系到舌根,如果脉象先已虚弱再被刺出血,就称为双重虚损,所以导致言语困难;如果误刺腹部大脉,使人跌倒、面色苍白,针刺诸处穴位时应当避开空处直接刺入,不可刺中大络;如果误刺胸中且进针过深伤及肺脏,会导致气喘逆乱、仰卧呼吸,此穴又名中府,是肺的募穴;如果误刺腹股沟中的脉管,血液不出会导致鼠鼷部位肿胀。
如果误刺肘中且进针过深使气陷入其中,会导致手臂不能屈伸;如果误刺脊柱间隙伤及脊髓,会导致驼背;如果误刺大腿内侧下方三寸处且进针过深,会导致遗尿。
神庭穴严禁大幅针刺;上关穴针刺不可过深;缺盆穴针刺不可过深;颅息穴针刺不可多出血。
脐中穴严禁针刺。
Sun Simiao stated: The medical classics record: "Needling Yunmen (Cloud Gate, LU-2) must not be deep." Currently, it is strictly taboo to needle this point; students of acupuncture should be thoroughly familiar with this.
One must not needle during extreme cold; one must not apply the reducing method when the moon is waxing; one must not apply the reinforcing method when the moon is full; one should not treat when the moon's light is waning and empty; one must not needle immediately after sexual intercourse; one must not engage in sexual intercourse immediately after needling; one must not needle when extremely angry; one must not become angry immediately after needling. One must not needle when hungry.
For patients who arrived by carriage, let them lie down and rest for the time it takes to finish a meal before needling; for patients who arrived on foot, let them sit and rest for the time equivalent to walking ten *li* before needling.
If needling is performed due to sudden fright or extreme anger, death will occur within five days, manifested by yawning; if the spleen is accidentally punctured, death will occur within fifteen days, manifested by abnormal swallowing movements; if the kidney is accidentally punctured, death will occur within three days, manifested by sneezing; if the gallbladder is accidentally punctured, death will occur within half a day, manifested by vomiting; if the diaphragm is accidentally punctured, the middle qi is injured, and death will certainly occur within a year; if the large artery at the dorsum pedis is accidentally punctured and bleeding does not stop, death ensues; the "large artery at the dorsum pedis" refers to the arterial pulse; if the large vessel in the medial thigh is accidentally punctured and bleeding does not stop, death ensues; if a flowing vessel in the face is accidentally punctured, innocent blindness occurs; if Qucheng (Chengman, ST-1) is needled too deeply into the main vessel, internal leakage and deafness result; if Naohu (DU-16) in the nape is needled and the needle enters the brain, death is immediate; if fluid leaks from the knee patella due to accidental needling, limping results; if the large vessel under the tongue is accidentally punctured and bleeding does not stop, aphonia results; if the vessels of the Hand Taiyin Lung Meridian are accidentally punctured and excessive blood is lost, death is immediate; Jingqu (LU-8) of the Hand Taiyin Meridian must not bleed, and if it bleeds, death is immediate. Commentary: The Taiyin vessels of the arm generally must not bleed; if the network vessels distributed under the sole are accidentally punctured and blood does not come out, swelling occurs; "Buluo" refers to the network vessels of the skin portion of the Foot Shaoyin Kidney Meridian; if the Foot Shaoyin Kidney Meridian is needled in a patient with pre-existing deficiency and bleeding occurs, it results in double deficiency, causing difficulty in speech, because the Foot Shaoyin Meridian connects to the root of the tongue; if the large vessel in the abdomen is accidentally punctured, the person falls and loses color; when needling various points, one should avoid empty spaces and not strike the large collaterals; if the chest is needled too deeply injuring the lung, panting, counterflow breathing, and orthopnea result; this point is also known as Zhongfu (LU-1), the Front-Mu point of the Lung; if the vessel in the groin area is accidentally punctured and blood does not come out, swelling of the inguinal region (rat groin) occurs.
If Qi enters deeply into the elbow due to accidental needling, flexion and extension of the limb become impossible; if the spinal marrow is accidentally punctured between the vertebrae, kyphosis results; if the area three *cun* below the medial thigh is needled too deeply, enuresis results.
Shenting (DU-24) is strictly forbidden for deep needling; Shangguan (ST-3) must not be needled deeply; Quepen (ST-12) must not be needled deeply; Luxi (TE-19) must not bleed excessively.
Zuojiao (EX-HN1) must not retain the needle for long; Yunmen (LU-2) must not be needled deeply; Wuli (LI-13) is strictly forbidden for needling.
Qihui (CV-8) is strictly forbidden for needling.
Futu (ST-32) is strictly forbidden for needling; Sanyangluo (TE-7) is strictly forbidden for needling; Fuliu (KI-7) must not cause excessive bleeding; Chengjin (BL-57) is strictly forbidden for needling; RanGu (KI-2) must not cause excessive bleeding.