论曰∶凡用灸刺，当先别其所宜，有偏宜刺者，若天柱素 禾胶肩贞乳中周荣腹哀中冲
阴陵泉条口犊鼻髀关申脉中门承扶等三十一穴是也，有偏宜灸者，若络却玉枕承灵角孙神道
膏肓会阴横骨青灵渊等一十六穴是也，其他并欲通行灸刺，亦有不宜灸刺者，皆在所禁，若
神庭脑户颅囟承泣膻中神阙气冲五里三阳络承筋之类，皆不可刺，脑户风府哑门承光素 攒
竹睛明迎香头维下关脊中心俞白环俞天牖人迎渊腋少商经渠天府阳池地五会阳关伏兔之类，
皆不可灸，又有鸠尾，虽在可刺，更宜精详之，石门虽在可刺，在妇女则为大禁，肩 本不
禁灸，亦不宜多灸，四肢虽亦可灸，在法唯宜少灸，此数者皆灸刺之先务，不可不知也，若
不当灸而灸，不当刺而刺，皆有所伤，内经所谓刺禁，其法曰∶刺头中脑户立死，刺面中溜
脉，不幸为盲，刺客主人内陷，及刺目上陷骨中脉，为内漏而聋，刺舌下中脉太过，血出不
止为喑，刺缺盆中内陷气泄，令人喘咳逆，刺乳上中乳房为肿，根蚀，刺膺中陷，中脉，为
喘逆仰息，刺腋下胁间内陷，令人咳，刺脊间中髓，为伛，刺臂太阴脉，出血多，立死，刺
肘中内陷，气归之，为不屈伸，刺手鱼腹内陷，为肿，刺气街中脉，血不出为肿鼠溪，刺少
腹中膀胱，溺出，令人少腹满，刺足少阴脉，重虚出血，为舌难以言，刺阴股中大脉，血出
不止，死，刺阴股下三寸内陷，令人遗溺，刺膝膑出液，为跛，刺隙中大脉，令人仆，脱色，
刺关节中液出，不得屈伸，刺 肠内陷，为肿，刺跗上中大脉，血出不止，死，刺足下布络
中脉，血不出为肿，刺中五脏皆死，又有大禁二十五者。即五里穴也，所谓迎之五里中道而
止是也，其次无刺大醉，令人气乱，无刺大怒，令人逆气，故曰大醉无刺，已刺无醉，大怒
无刺，已刺无怒，以至大劳新饱大饥大渴大警大恐，皆在切禁，若误犯之，各有可救之理，
具如后云。
论述说：凡是使用灸法和刺法，应当首先辨别其适宜的情况。有偏宜于针刺的穴位，如天柱、素髎、禾髎、肩贞、乳中、周荣、腹哀、中冲、阴陵泉、条口、犊鼻、髀关、申脉、中门、承扶等三十一穴；有偏宜于艾灸的穴位，如络却、玉枕、承灵、角孙、神道、膏肓、会阴、横骨、青灵、渊液等一十六穴。其余穴位则既可以灸也可以刺。也有不宜进行灸刺的穴位，都在禁忌之列。
如神庭、脑户、囟会（颅囟）、承泣、膻中、神阙、气冲、五里、三阳络、承筋等穴位，都不可针刺。脑户、风府、哑门、承光、素髎、攒竹、睛明、迎香、头维、下关、脊中、心俞、白环俞、天牖、人迎、渊腋、少商、经渠、天府、阳池、地五会、阳关、伏兔等穴位，都不可艾灸。还有鸠尾穴，虽然可以针刺，但需要更加精细详慎；石门穴虽然可以针刺，但对于妇女则是大忌；肩井穴不禁灸，但也不宜多灸；四肢部位虽然也可以艾灸，但在法则上只宜少量艾灸。这些情况都是施灸和针刺前必须掌握的重点，不可不知道。如果不应当灸而灸，不应当刺而刺，都会造成伤害。《内经》所说的刺禁，其法则指出：针刺头部正中入脑户穴，会导致立即死亡；针刺面部正中溜脉，不幸会导致失明；针刺客主人穴（上关）向内陷深，以及针刺眼睛上方陷骨中的血脉，会导致内部漏脓并耳聋；针刺舌下中央血脉太过，血液不止会导致失音；针刺缺盆穴向内陷深，导致气泄，使人喘咳气逆；针刺乳房上方伤及乳房，会导致肿胀，根部溃烂；针刺胸膺部向内陷深，伤及血脉，会导致喘逆仰面呼吸；针刺腋下胁间向内陷深，使人咳嗽；针刺脊柱间伤及脊髓，会导致驼背；针刺手太阴肺经血脉，出血过多，立即死亡；针刺肘窝向内陷深，气聚于此，导致手臂不能屈伸；针刺手掌大鱼际处向内陷深，会导致肿胀；针刺气街（腹股沟动脉）中的血脉，血不出会导致鼠蹊部肿胀；针刺小腹正中伤及膀胱，尿液流出，使人小腹胀满；针刺足少阴肾经血脉，在重虚的情况下出血，会导致舌头僵硬难以言语；针刺大腿内侧的大血脉，血液不止，会导致死亡；针刺大腿内侧下方三寸处向内陷深，使人遗尿；针刺膝盖骨处使关节液流出，会导致跛行；针刺腘窝（委中）中的大血脉，使人跌倒，面色脱失；针刺关节中使关节液流出，导致关节不能屈伸；针刺大肠（此处疑为“肠”或特定部位，原文作“ 肠”，结合语境可能指肠道或特定腧穴区域，暂译作肠道/腹部相关）向内陷深，会导致肿胀；针刺足背上中大血脉，血液不止，会导致死亡；针刺足底布散的血络中的血脉，血不出会导致肿胀；针刺中五脏皆死。又有二十五种大禁，即五里穴，所谓迎着经气走向的五里穴，中途而止即可。其次，不要在大醉时针刺，会使人气机紊乱；不要在大怒时针刺，会使人气机逆乱。所以说大醉时不可针刺，已刺后不可再醉；大怒时不可针刺，已刺后不可再怒。以至于极度疲劳、刚吃饱、极度饥饿、极度口渴、极度惊恐、极度恐惧等情况，都在严格禁忌之列。如果误犯这些禁忌，各有可以救治的道理，具体详见下文所述。
It is stated that when applying moxibustion and acupuncture, one must first distinguish their appropriate indications. There are acupoints particularly suitable for needling, such as Tianzhu (BL10), Su Liao (DU26), He Liao (SI19), Jian Zhen (SI9), Ru Zhong (RN12), Zhou Rong (ST24), Fu Ai (ST17), Zhong Chong (PC9), Yin Ling Quan (SP9), Tiao Kou (ST38), Du Bi (ST35), Bi Guan (ST31), Shen Mai (BL62), Zhong Men (not a standard point, possibly referring to a specific location or typo in original text, kept as Zhong Men), Cheng Fu (BL36), etc., totaling thirty-one points. There are acupoints particularly suitable for moxibustion, such as Luo Que (BL18), Yu Zhen (BL9), Cheng Ling (BL17), Jiao Sun (TE20), Shen Dao (DU11), Gao Huang (BL43), Hui Yin (CV1), Heng Gu (CV12), Qing Ling (HT9), Yuan Lin (HT11), etc., totaling sixteen points. Other points can generally undergo both moxibustion and needling. However, there are also points where both moxibustion and needling are contraindicated, which fall under the prohibitions.
For instance, points such as Shen Ting (DU24), Nao Hu (DU16), Xin Hui (DU22, referred to as Lu Xun in text), Cheng Qi (BL1), Dan Zhong (CV17), Shen Que (CV8), Qi Chong (ST30), Wu Li (LR13), San Yang Luo (TE7), Cheng Jin (BL56) should not be needled. Points such as Nao Hu (DU16), Feng Fu (DU16 - note: Nao Hu and Feng Fu are distinct but close, text lists both), Ya Men (DU15), Cheng Guang (BL7), Su Liao (DU26), Zan Zhu (BL2), Jing Ming (BL1), Ying Xiang (LI20), Tou Wei (ST8), Xia Guan (ST7), Ji Zhong (DU12), Xin Shu (BL15), Bai Huan Shu (BL30), Tian You (TE16), Ren Ying (ST9), Yuan Ye (GB24), Shao Shang (LU11), Jing Qu (LU8), Tian Fu (LU31), Yang Chi (TE4), Di Wu Hui (not a standard point, kept as Di Wu Hui), Yang Guan (EX-LE7), Fu Tu (ST32) should not be moxaed. Additionally, the Jiu Wei (CV15) point, although it can be needled, requires extreme precision and caution; the Shi Men (CV5) point, although it can be needled, is a major prohibition for women; the Jian Jing (GB21) point is not prohibited for moxibustion, but excessive moxibustion is not advisable; although the limbs can be moxaed, the method dictates only minimal moxibustion. These matters are priorities before performing moxibustion and needling and must not be ignored. Performing moxibustion or needling when inappropriate will cause injury. The *Nei Jing* (Inner Canon) states the prohibitions of needling: Needling the center of the head into the Nao Hu point leads to immediate death; needling the Liu Mai in the face may unfortunately result in blindness; needling the Ke Zhu Ren (Shang Guan GB3) too deeply inward, or needling the vessels in the depression above the eye into the bone, leads to internal leakage and deafness; needling the vessel in the center of the sublingual area excessively, with unceasing bleeding, results in aphonia; needling the Que Pen (ST12) too deeply inward causes qi leakage, leading to wheezing, coughing, and counterflow qi; needling above the breast damaging the mammary gland causes swelling and root erosion; needling the Ying Zhong (chest area) too deeply inward, damaging vessels, causes wheezing, counterflow, and difficulty breathing while lying supine; needling the axilla and intercostal area too deeply inward causes coughing; needling the space between the vertebrae damaging the spinal marrow causes kyphosis (hunchback); needling the Tai Yin pulse of the arm with excessive bleeding leads to immediate death; needling the elbow pit too deeply inward causes qi to gather there, resulting in inability to flex or extend; needling the interior of the fish belly (thenar eminence) too deeply inward causes swelling; needling the Qi Chong (ST30) vessel without blood flow causing swelling in the Shu Xi (inguinal region); needling the middle of the lower abdomen damaging the bladder causes urine discharge and lower abdominal fullness; needling the Shao Yin pulse of the foot with heavy deficiency and bleeding causes tongue stiffness and difficulty speaking; needling the large vessel in the medial thigh with unceasing bleeding leads to death; needling three cun below the medial thigh too deeply inward causes urinary incontinence; needling the patella causing effusion leads to limping; needling the large vessel in the Xi Zhong (popliteal fossa) causes collapse and loss of complexion; needling the joint causing effusion leads to inability to flex or extend; needling the intestine/chamber too deeply inward causes swelling; needling the large vessel on the dorsum of the foot with unceasing bleeding leads to death; needling the vessels in the Bu Luo (network vessels) on the sole without blood flow causes swelling; needling the five zang organs leads to death. There are also twenty-five major prohibitions, specifically referring to the Wu Li (LR13) point, meaning one should stop midway when approaching the Wu Li point. Furthermore, one should not needle someone who is heavily intoxicated, as this disturbs qi dynamics; one should not needle someone who is extremely angry, as this causes qi counterflow. Therefore, it is said: do not needle when heavily intoxicated, and if needled, do not become intoxicated again; do not needle when extremely angry, and if needled, do not become angry again. Similarly, extreme fatigue, recent fullness, extreme hunger, extreme thirst, extreme alarm, and extreme fear are all strictly prohibited. If these are mistakenly violated, there are principles for rescue, as detailed below.