十三法
针间使百息。
又，灸人中。
灸魇不觉法∶
灸两足大指聚毛中二十一壮。
治卒忤法∶
灸人中三十壮。
又，灸肩井百壮。
又，灸间使七壮。
又，灸巨阙百壮。
又，灸十指爪甲下各三壮。
治鬼击法∶
夫鬼击之为病，卒着人如刀刺状，胸胁及心腹绞切急痛不可按抑，或即吐血，或即鼻中
出血，或下血，一名鬼排，灸人中一壮，立愈。若不止，更加灸脐上一寸七壮。又灸脐下一
寸三壮。（一云七壮。）
中恶，灸胃管五十壮。
治蛇毒，灸毒上三七壮，无艾，以火头称疮孔大小 之。
治热 ，灸两乳头七壮。
治狂犬咬人，令人吮去恶血尽，灸百壮。以后，日日灸，一百日乃止。瘥，血不出，慎
酒猪肉，一生慎之。
用针法∶
凡用针者，虚则实之，满则泄之，宛陈则除之，邪胜则虚之。大要徐而疾则实，疾而徐
则虚。言实与虚，若有若无。察其后先，若存若立。为虚为实，若得若失。虚实之要，九针
最妙。补泻之时，以针为主。重则为补，轻则为泻。虽有分寸，得气即止，明堂偃侧，针讫
皆无不灸。凡病，皆由血气壅滞，不得宣通，针以开道之，灸以温暖之。灸已，好须将护，
生冷醋滑等，若不谨慎之，反增疾矣。
黄帝曰∶五脏、五行、五时，病何以故？岐伯曰∶假令春月和畅，条芳水渌，心荡意盈
，神乱于内而形病于外，卒有西方飘风，凛然毛耸，因腠理开，不复得散，便居孙脉，孙脉
满，流入络脉，络脉入大经，大经注腑，腑归脏，四时同然，故风病多归于心也。手心主灸，
刺
凡诸孔穴，名不徒设，皆有深意，故穴名近于木者属肝，穴名近于神者属心，穴名近于
金玉者属肺，穴名近于水者属肾，是以神之所藏，亦各有所属，穴名府者，神之所集；穴名
门户者，神之所出入；穴名宅舍者，神之所安；穴名台者，神所游观。穴名所主，皆有所况，
以推
凡孔穴者，是经络所行往来处，引气远入抽病也，故经云∶灸三壮者，即为足数也。
禁忌法∶
凡灸头与四肢，皆不欲少，须熟，宜令灸，计壮满三百，足以愈病。头手足肉薄，若并
灸，则血气绝于下，宜时歇。火气少时，令血气遂通，使火气流行，积数大足，自然邪除疾
瘥也，乃止火耳。本经多云刺入三分，灸三壮，兹乃举其大纲，未尽圣心。且手足皮薄，炷
小数少；腹背肉浓，炷大肉多，斯皆以意商量也，背欲热即为佳也。凡灸生熟，候人盛衰、
老少、肥盛灸之。
凡微数之脉及新汗后，并忌灸。
凡孔穴，皆遂人大小，取手中指第一节为寸，男左女右。一云三寸者，盖一中指也。人
年三十以上，若灸头不灸三里穴，令人气上眼暗，所以三里穴下气也。
一切病皆三里三壮，每日常灸下气，气止，停也。
凡灸法，先发于上，后发于下；先发于阳，后发于阴。凡针刺大法，在午时后，不欲午
时前。
治冷痹胫膝疼，腰脚挛急，足冷气上，不能久立。有时厌厌嗜卧，手脚沉重，日觉羸瘦
，此名复连病，令人极无情地，常愁不乐，健忘嗔喜，有如此候即宜灸之。当灸悬钟，穴在
足外踝上三指当骨上，各灸随年壮，一灸即愈，不得再灸也。取法以草从手指中纹横三指令
至两畔齐，将度外踝从下骨头与度齐，向上当骨点之两脚令三姓人灸之。候天晴日，午后在
门外四达道上灸之，神良。若年月久更发，依法更灸。若意便欲多者，七日外更灸七壮。
巨厥可百壮。
上管可二百壮。
中管可千壮。
下至五百壮。
下管可一百壮。
中守可一百壮。
阴交可三百壮。
中极可五百壮。
大椎可三百壮。
风门可二百壮。
魂门可五壮。
阳纲可五壮。
意舍可百壮。
肓门、胞门可各一百壮。
悬枢可五壮。
命门可七壮。
白环俞可三壮（又云一壮）。
心俞、肝俞、肺俞、脾俞、肾俞、小肠俞、胆俞、大肠俞、胃俞、膀胱俞、三焦俞、膈
俞
上五脏六腑俞皆得满一百壮。
肺募中府、心募巨阙、肝募期门、胆募日月、脾募章门、肾募京门、小肠募关元、三焦
募石门、大肠募天枢、膀胱募中极、胃募中管。
上五脏六腑募，亦得满百壮。
鸠尾三十三壮三报之，巨阙五十壮，上管、胃管、建里、下管、水分、脐中各五十壮三
报之，阴交、气海、石门、关元五十壮，中极五十壮。
上从鸠尾下第一行皆得百壮，以此为大率。自外诸穴，或中病乃止，或取随年壮，以意
商量也。
头维、脑户、风府、丝竹空、下关、耳中、螈脉、人迎、喑门、承泣、经渠、脊中、气
冲、鸠尾、地五会、阴市、阳关、乳中、泉腋、伏兔、承光、天府、白环俞、石门。（女人
忌灸。）
上二十四处，禁不可灸，大忌。
上关、左角、乳中、鸠尾、五里、承筋、复溜、颅息、缺盆、脐中、神庭、云门、伏兔
、三阳络、然谷。
上十五穴，禁不可刺，大凶。
玉枕、维角、睛明、舌根、结喉、胡脉、天窗、神符、巨览（一作觉）、血海、足太阴、
丘墟
上十二穴，无病不可灸刺。
十三法
用针刺间使穴，施针一百息（约指呼吸一百次的时间或次数）。
另外，艾灸人中穴。
治疗魇寐不觉（梦魇导致意识不清）的方法：
在双脚大脚趾趾毛聚集处各灸二十一壮。
治疗卒忤（突然受邪气冲击而昏厥）的方法：
在人中穴灸三十壮。
另外，在肩井穴灸一百壮。
另外，在间使穴灸七壮。
另外，在巨阙穴灸一百壮。
另外，在十个手指甲下角各灸三壮。
治疗鬼击（一种突发剧烈疼痛、类似被鬼物击打的急症）的方法：
所谓鬼击这种病，患者突然遭受打击，感觉像被刀刺一样，胸胁部及心腹部绞痛剧烈且不可按压，有的立即吐血，有的立即鼻出血，有的便血。这种病又名鬼排。在人中穴灸一壮，立刻痊愈。如果出血不止，再加灸脐上一寸七壮。另外再灸脐下一寸三壮。（另一种说法是灸七壮。）
治疗中恶（突感秽浊邪气而发病）：
在胃管穴（即上脘穴）灸五十壮。
治疗蛇毒：
在毒疮上方灸三七二十一壮。如果没有艾草，就用火头根据疮口的大小来烧灼。
治疗热痹（此处指热邪闭阻经络引起的疼痛或痉挛）：
在两乳头处各灸七壮。
治疗狂犬咬伤：
让人用嘴吸吮伤口，将恶血吸尽，然后灸一百壮。此后每天灸一次，持续一百天为止。病愈后，禁止饮酒和吃猪肉，一生都要谨慎遵守。
用针法则：
凡是使用针灸的人，对于虚证要用补法使其充实，对于实证要用泻法使其泄除，对于瘀血陈积要清除它，对于邪气盛实要削弱它。大概的原则是：慢进快出为补（实），快进慢出为泻（虚）。谈论虚实的感觉，若有若无。观察病情的先后变化，若存若亡。判断虚实的要领，九针最为奇妙。补泻的时机，以针具为主。重手法为补，轻手法为泻。虽然有进针深浅分寸的规定，但得气后就应停止。明堂（面部穴位总称）偃侧（仰卧或侧卧），针刺完毕后都应配合艾灸。所有的病，都是由气血壅滞，不能宣通所致，用针是为了开通道路，用灸是为了温暖经络。灸治之后，必须好好调养护理，生冷、醋、滑腻等食物，如果不谨慎忌口，反而会加重疾病。
黄帝说：五脏、五行、五时，生病的原因是什么？
岐伯说：假如春气和畅，草木芬芳，水流清澈，人心神荡漾意满，神志在内紊乱而形体在外生病，突然遇到西方的狂风，凛然毛发竖起，因为腠理开泄，风邪不再散发，就停留在孙脉（细小的分支脉络），孙脉充满后，流入络脉，络脉进入大经脉，大经脉注入腑，腑归于脏，四季的情况都是如此，所以风病多归于心。手心主（心包经）宜灸，宜刺。
凡是各种孔穴，名称不是随意设立的，都有深意。所以穴名与“木”相关的属于肝，穴名与“神”相关的属于心，穴名与“金玉”相关的属于肺，穴名与“水”相关的属于肾。因此，神气所藏之处，也各有归属。穴名带“府”字的，是神气聚集的地方；穴名带“门户”字的，是神气出入的地方；穴名带“宅舍”字的，是神气安居的地方；穴名带“台”字的，是神气游观的地方。穴名的含义，都有所比喻，以此类推。
凡是孔穴，都是经络运行往来的地方，可以引导气机深入远处以抽取病邪。所以经文说：灸三壮，就是取足数的意思。
禁忌法：
凡是灸头部和四肢，都不宜少，必须灸熟，应当让灸量计算达到三百壮，足以治愈疾病。头手足部位肌肉薄，如果同时多处灸治，会导致下部气血断绝，应该适时休息。当火力稍减时，让气血重新通畅，使火气流行，积累到足够大的数量，自然邪气去除疾病痊愈，才停止用火。本经中多说刺入三分，灸三壮，这仅仅是举其大纲，并未穷尽圣人的用心。况且手足皮肤薄，艾炷小、壮数少；腹背肌肉厚，艾炷大、肉多，这都是凭心意斟酌决定的，背部欲热为佳。凡是灸生灸熟，要候察人体的盛衰、老少、肥瘦情况来决定。
凡是选取穴位尺寸，都依据人体大小，取手中指第一节横纹宽度为一寸，男性取左手，女性取右手。另一种说法是三寸，指的是一根中指的长度。人年过三十，如果灸头部而不灸足三里穴，会导致气机上逆、眼睛昏暗，所以足三里穴有下气的作用。
所有疾病都可以灸足三里三壮，每天常灸以引气下行，气降下来就停止。
凡是灸法，先发于上部，后发于下部；先发于阳经，后发于阴经。凡是针刺的大法，在午时之后进行，不要在午时之前。
治疗冷痹引起的小腿膝盖疼痛，腰脚拘挛紧急，足部冷气上冲，不能久立。有时精神萎靡嗜睡，手脚沉重，日渐消瘦，这名叫复连病，使人极度无情无义，常常忧愁不乐，健忘易怒喜怒无常，有这些症状就应该灸治。应当灸悬钟穴，该穴位于足外踝上三指宽，骨头之上，各灸随年龄定的壮数，灸一次即愈，不得再次灸治。取穴方法是用草从手指中间纹路横量三指宽直到两边齐平，用来度量外踝，从下方骨头向上量至齐平处，点在骨头上。请三个不同姓氏的人来灸。要在晴天午后，在门外四通八达的道路上灸之，效果神奇。如果多年以后复发，依法再灸。如果心里想多灸一些，七天后再灸七壮。
巨阙穴可灸一百壮。
上脘穴可灸二百壮。
中脘穴可灸一千壮。
下脘穴可灸五百壮。
建里穴可灸一百壮。
中守穴可灸一百壮。
阴交穴可灸三百壮。
中极穴可灸五百壮。
大椎穴可灸三百壮。
风门穴可灸二百壮。
魂门穴可灸五壮。
阳纲穴可灸五壮。
意舍穴可灸一百壮。
肓门、胞门穴可各灸一百壮。
悬枢穴可灸五壮。
命门穴可灸七壮。
白环俞穴可灸三壮（又说灸一壮）。
心俞、肝俞、肺俞、脾俞、肾俞、小肠俞、胆俞、大肠俞、胃俞、膀胱俞、三焦俞、膈俞。
以上五脏六腑的背俞穴，都可以灸满一百壮。
肺募中府穴、心募巨阙穴、肝募期门穴、胆募日月穴、脾募章门穴、肾募京门穴、小肠募关元穴、三焦募石门穴、大肠募天枢穴、膀胱募中极穴、胃募中脘穴。
以上五脏六腑的募穴，也可以灸满一百壮。
鸠尾穴灸三十三壮，分三次完成（三报之）；巨阙穴灸五十壮；上脘、胃管（上脘）、建里、下脘、水分、脐中各灸五十壮，分三次完成；阴交、气海、石门、关元各灸五十壮；中极穴灸五十壮。
以上从鸠尾往下第一行的穴位，都可以灸一百壮，以此作为大概的标准。除此之外的其他穴位，或者中病即止，或者取随年壮，凭心意斟酌决定。
头维、脑户、风府、丝竹空、下关、耳中、颧脉、人迎、喑门、承泣、经渠、脊中、气冲、鸠尾、地五会、阴市、阳关、乳中、泉腋（渊腋）、伏兔、承光、天府、白环俞、石门。（女性忌讳灸治。）
以上二十四处穴位，禁止艾灸，是大忌。
上关、左角、乳中、鸠尾、五里、承筋、复溜、颅息、缺盆、脐中、神庭、云门、伏兔、三阳络、然谷。
以上十五个穴位，禁止针刺，非常凶险。
玉枕、维角（维道/角孙？原文疑为特定别名或误写，依原文保留）、睛明、舌根、结喉、胡脉（浮脉/胡髎？依原文保留）、天窗、神符（神封/神藏？依原文保留）、巨览（巨阙/觉？依原文保留）、血海、足太阴（隐白？依原文保留）、丘墟。
以上十二个穴位，没有病症时不可灸刺。
Thirteen Methods
Needle the Jianshi (PC5) acupoint, performing the procedure for one hundred breaths.
Additionally, moxa the Renzhong (GV26) acupoint.
Method for treating sleep paralysis (nightmare-induced unconsciousness):
Moxa twenty-one cones at the center of the hair tuft on both big toes.
Method for treating sudden syncope due to evil qi invasion:
Moxa thirty cones at the Renzhong (GV26) acupoint.
Additionally, moxa one hundred cones at the Jianjing (GB21) acupoint.
Additionally, moxa seven cones at the Jianshi (PC5) acupoint.
Additionally, moxa one hundred cones at the Juque (CV14) acupoint.
Additionally, moxa three cones under each of the ten fingernails.
Method for treating "Ghost Strike" (a sudden acute condition characterized by severe pain as if stabbed by a knife):
The disease known as Ghost Strike strikes people suddenly, causing sensations like being stabbed by a knife, with twisting and cutting pain in the chest, hypochondrium, heart, and abdomen that cannot be pressed or suppressed. It may cause immediate hematemesis (vomiting blood), epistaxis (nosebleed), or hematochezia/melena. It is also called "Ghost Repulsion." Moxa one cone at the Renzhong (GV26) acupoint, and recovery will be immediate. If bleeding does not stop, add moxa seven cones at one cun above the umbilicus. Additionally, moxa three cones at one cun below the umbilicus. (Another version says seven cones.)
For treating Zhong E (sudden illness from foul miasma):
Moxa fifty cones at the Weiguan (Shangwan, CV13) acupoint.
For treating snake venom:
Moxa twenty-one cones (three times seven) directly on the venomous wound. If mugwort is unavailable, use the fire head to cauterize according to the size of the wound opening.
For treating Heat Bi (heat obstruction in collaterals):
Moxa seven cones at each nipple.
For treating rabies bites:
Have someone suck out the toxic blood completely, then moxa one hundred cones. Thereafter, moxa daily for one hundred days until cessation. After recovery, strictly avoid alcohol and pork for life.
Principles of Needling:
In general, when using needles, tonify deficiency to make it solid, drain excess to reduce it, remove stasis and old blood, and weaken pathogenic excess. The general rule is: slow insertion and rapid withdrawal tonifies; rapid insertion and slow withdrawal drains. The sensation of tonification and drainage feels as if something is there or gone. Observe the sequence of symptoms, which may seem present or absent. The key to distinguishing deficiency and excess lies in the Nine Needles. The timing of tonification and drainage depends primarily on the needle. Heavy manipulation constitutes tonification; light manipulation constitutes drainage. Although there are depth measurements, stop upon obtaining Deqi (arrival of qi). For supine or lateral positions in Mingtang (facial area), moxibustion should follow needling. All diseases arise from the stagnation and lack of free flow of Qi and Blood. Needles open pathways, while moxibustion warms them. After moxibustion, proper care is essential. Failure to be cautious with cold, raw, sour, or slippery foods will exacerbate the disease.
Yellow Emperor asked: What is the reason for diseases related to the Five Zang organs, Five Elements, and Five Seasons?
Qibo answered: Suppose the spring weather is mild, fragrant plants flourish, and waters are clear. The heart's spirit becomes agitated internally, leading to external physical illness. Suddenly, a west wind blows fiercely, causing hairs to stand on end. Because the pores open, the wind cannot dissipate and enters the Sun vessels (fine branches). When Sun vessels are full, it flows into Luo vessels, then into the Great Channels (main meridians), which connect to the Fu organs, and finally return to the Zang organs. This applies to all four seasons; thus, Wind diseases often relate to the Heart. The Pericardium Meridian (Hand Jueyin) should be treated with moxibustion and needling.
All acupoints have names that are not arbitrary but carry deep meaning. Acupoints with names related to "Wood" belong to the Liver; those related to "Spirit" belong to the Heart; those related to "Metal/Jade" belong to the Lungs; and those related to "Water" belong to the Kidneys. Thus, where the Spirit resides, it has specific associations. Points named "Fu" are where Spirit gathers; points named "Gate/Portal" are where Spirit enters and exits; points named "House/Dwelling" are where Spirit rests; points named "Terrace/Pavilion" are where Spirit tours. The meanings of point names serve as metaphors for deduction.
Acupoints are locations where meridians travel and circulate, guiding Qi far away to extract disease. Hence, the classic states: "Moxa three cones," implying a complete number.
Contraindications:
When moxaing the head and limbs, do not use few cones; ensure thorough penetration. Ideally, accumulate up to three hundred cones to cure the disease. Since flesh on the head and extremities is thin, simultaneous moxibustion on multiple sites may cut off Qi and Blood flow below; therefore, pause intermittently. Allow Qi and Blood to reconnect when heat subsides, letting the fire energy circulate until sufficient quantity accumulates, naturally expelling pathogens and curing the disease. The classics mention inserting needles three fen and moxaing three cones as a general guideline, not the exhaustive wisdom. Extremities have thin skin, requiring small cones and fewer counts; the abdomen and back have thick flesh, requiring larger cones and more counts. These decisions depend on judgment regarding the patient's strength, age, and body type. Heat in the back is desirable. Adjust moxa intensity based on the patient's constitution, age, and obesity.
Moxibustion is contraindicated in cases of faint and rapid pulses, or immediately after profuse sweating.
To measure acupoint distances, use the width of the first segment of the middle finger as one cun. Men use the left hand, women use the right hand. Another view states three cun refers to the length of one middle finger. For individuals over thirty years old, if the head is moxaed without moxaing Zusanli (ST36), Qi may rise causing visual impairment; thus, Zusanli directs Qi downward.
For all diseases, moxa Zusanli three cones daily to direct Qi downward; stop when Qi descends.
General Moxibustion Order: Begin from upper parts to lower parts; begin from Yang meridians to Yin meridians. General Needling Timing: Perform after noon (Wu hour), not before.
Treatment for Cold Bi causing knee/calf pain, leg cramps, ascending cold Qi from feet, inability to stand long, lethargy, heavy limbs, wasting, melancholy, irritability, and forgetfulness (called Fulian Disease):
Moxa Xuanzhong (GB39), located three finger-widths above the lateral malleolus on the bone. Moxa according to age in cones. One session suffices; do not repeat. To locate: Use a grass blade measuring three finger-widths across the palm crease to span the lateral malleolus from the lower bone upward. Have three people of different surnames perform the moxa. Do this on a sunny day after noon on an open road outside the gate for best results. If recurrence occurs later, repeat the method. If desired, moxa seven additional cones after seven days.
Juque (CV14): Up to 100 cones.
Shangwan (CV13): Up to 200 cones.
Zhongwan (CV12): Up to 1000 cones.
Xiaowan (CV10): Up to 500 cones.
Jianli (CV11): Up to 100 cones.
Zhongshou (CV15? Note: Text likely refers to specific points, possibly typo for others, keeping literal): Up to 100 cones.
Yinjiao (CV7): Up to 300 cones.
Zhongji (CV3): Up to 500 cones.
Dazhui (GV14): Up to 300 cones.
Fengmen (BL12): Up to 200 cones.
Hunmen (BL47): 5 cones.
Yanggang (BL48): 5 cones.
Yishe (BL49): 100 cones.
Huangmen (BL52), Baomen (BL52? Likely distinct or typo): 100 cones each.
Xianshu (DU6): 5 cones.
Mingmen (DU4): 7 cones.
Baihuan Shu (BL30): 3 cones (or 1 cone).
Xin Shu, Gan Shu, Fei Shu, Pi Shu, Shen Shu, Xiaochang Shu, Dan Shu, Dachang Shu, Wei Shu, Pangguang Shu, Sanjiao Shu, Ge Shu.
All Back-Shu points of the Five Zang and Six Fu organs can receive up to 100 cones.
Front-Mu Points:
Fei Mu: Zhongfu (LU1); Xin Mu: Juque (CV14); Gan Mu: Qimen (LR14); Dan Mu: Riyue (GB24); Pi Mu: Zhangmen (LR13); Shen Mu: Jingmen (GB25); Xiaochang Mu: Guanyuan (CV4); Sanjiao Mu: Shimen (CV5); Dachang Mu: Tianshu (ST25); Pangguang Mu: Zhongji (CV3); Wei Mu: Zhongwan (CV12).
All Front-Mu points of the Five Zang and Six Fu organs can receive up to 100 cones.
Jiuwei (CV15): 33 cones, divided into three sessions.
Juque (CV14): 50 cones.
Shangwan (CV13), Weiguan (Shangwan), Jianli (CV11), Xiawan (Xiaowan, CV10), Shuifen (CV9), Qizhong (CV8): Each 50 cones, divided into three sessions.
Yinjiao (CV7), Qihai (CV6), Shimen (CV5), Guanyuan (CV4): Each 50 cones.
Zhongji (CV3): 50 cones.
The first row from Jiuwei downwards generally allows up to 100 cones as a standard. Other points may be stopped when the disease is cured or adjusted by age.
Prohibited for Moxibustion (Major Taboos):
Touwei (ST8), Naohu (DU17), Fengfu (DU16), Sizhukong (TE23), Xiaguan (ST7), Erzhong (SI16?), Quanmai (SI17?), Renying (ST9), Yanmen (CV23?), Chengqi (ST1), Jingqu (LU8), Jizhong (DU11), Qichong (ST30), Jiuwei (CV15), Di Wuhui (SP13), Yanshi (ST31), Yangguan (BL7), Ruzhong (RN16), Quanye (Yuanye, SI11?), Futu (ST32), Chengguang (BL9), Tianfu (LU3), Baihuan Shu (BL30), Shimen (CV5). (Contraindicated for women.)
These 24 locations are strictly forbidden for moxibustion.
Prohibited for Needling (Highly Dangerous):
Shangguan (GB3), Zuojiao (Left Corner - likely referring to specific dangerous areas or typos for points like Toulinqi etc., keeping literal), Ruzhong (RN16), Jiuwei (CV15), Wuli (LI13), Chengjin (BL56), Fuliu (KI7), Luxi (TE4), Quepen (ST12), Qizhong (CV8), Shenting (DU24), Yunmen (LU2), Futu (ST32), Sanyangluo (TE7), RanGu (KI2).
These 15 points are strictly forbidden for needling.
Points Forbidden for Needling/Moxibustion Unless Diseased:
Yuzhen (BL59), Weijiao (Weidao/JS15?), Jingming (BL1), Shegen (Base of Tongue), Jiehoutu (Adam's Apple), Humai (Huliao BL46?), Tianchuang (SI16), Shenfu (Shenfeng/Shencang?), Julan (Juque/Jue?), Xuehai (SP10), Zuyintaiyin (Yinbai SP1?), Qiuxu (GB40).
These 12 points should not be needled or moxaed unless there is a specific disease.