每日午前皮上揭,有似烧汤前涌热。
若要寒时皮底寻,不枉交人皮破裂。
午前要知寒与热,左捻为补右为泻。
提针是热插针寒,此是先贤真妙诀。
午后右补左为泻,怎生此法寒与热。(妇人反此)
插针为热提针寒,女人反此要分别。
顺入为左逆为右,不是知人休与说。
补法 凡用九阳数,行四九三十六也。
泻法 行六阴数也,行三六一十八也。
补泻提针 此法用之大有验。
假令此穴合针五分,先针入二分,候得气,再入二分,至四分,候得气,更针一分,撞
五分止,然后急出其针,便以左手大指按其针穴,勿令出血,是为补法。
假令此穴合针五分,便针入五分,候得气,便起针二分,少停又起二分,少停候得气,
又起针慢出,不用左手闭针孔,令其气出,是为泻法。
禁针穴俞古今留,囟会神庭脑户由。
神道灵台膻中穴,石门神阙水分休。
气穴阴会手五里,阳络青灵承泣收。
横骨承筋若有病,禁针用灸疾须瘳。
孕妇休针合谷穴,三阴若针堕胎忧。
关元胎死不能下,子母俱亡切莫投。
门风府及承光,攒竹睛明与少商。
天牖头维下关穴,系堂天府及迎香。
叶 鸠尾阳关定,心俞经渠阴市当。
渊液白环并五会,当阳伏兔脊中藏。
禁灸人迎条口穴,乳中殷门髀关乡。
避灸穴中二十九,用针补泻即安康。
每日上午在皮肤表面进行揭按操作,患者会有类似被沸水浇淋前的灼热感。
若要寻找寒证时的反应部位,应在皮下仔细探寻,切勿随意乱刺导致皮肤破裂。
上午施针要辨别寒热属性:向左捻转针具为补法,向右捻转为泻法。
向上提针产生热感,向下插针产生寒感,这是先贤留下的真正妙诀。
下午施针则相反:向右捻转为补法,向左捻转为泻法,如何区分寒热呢?(女性患者的操作与此相反)
向下插针产生热感,向上提针产生寒感,女性患者需特别注意区分。
顺经方向进针为左(补),逆经方向进针为右(泻),如果不是精通此道的人,不要随意告知。
补法:凡使用九的阳数,施行四九三十六次操作。
泻法:施行六的阴数,即三六一十八次操作。
补泻提针法:这种方法应用起来非常有效。
假如某个穴位适宜针刺深度为五分,先将针插入二分,等待得气后,再深入二分,达到四分时,再次等待得气,然后继续深入一分,总共五分为止,随后迅速拔出针具,立即用左手大拇指按压针孔,不让出血,这就是补法。
假如某个穴位适宜针刺深度为五分,直接将针插入五分,等待得气后,随即退针二分,稍作停顿后又退针二分,稍作停顿待得气后,又缓慢退针,不用左手封闭针孔,让邪气排出,这就是泻法。
禁止针刺的穴位古今都有记载,如囟会、神庭、脑户等穴。
神道、灵台、膻中穴,石门、神阙、水分穴也禁止针刺。
气穴、阴交、手五里,阳络、青灵、承泣穴亦在禁列。
横骨、承筋若有病症,禁止针刺而改用艾灸,疾病即可痊愈。
孕妇禁止针刺合谷穴,若针刺三阴交会导致堕胎之忧。
关元穴若误治导致胎死腹中无法产出,母子俱亡,切勿投药或施针。
风府、承光穴,攒竹、睛明与少商穴。
天牖、头维、下关穴,系堂、天府及迎香穴。
鸠尾、阳关穴定,心俞、经渠、阴市穴当禁。
渊液、白环俞并五会穴,当阳、伏兔、脊中穴藏禁。
人迎、条口穴禁止艾灸,乳中、殷门、髀关穴亦在避灸之列。
避开这些禁灸穴位共二十九处,运用正确的针刺补泻手法,身体即可安康。
In the morning, manipulating the skin surface by lifting and pressing induces a sensation of heat similar to that before being scalded by boiling water.
To locate the area for cold syndromes, seek beneath the skin; do not recklessly pierce the skin causing it to rupture.
In the morning, one must discern cold and heat: twisting the needle to the left constitutes tonification (Bu), while twisting to the right constitutes sedation (Xie).
Lifting the needle generates heat, inserting the needle generates cold; this is the true secret passed down by ancient sages.
In the afternoon, the method reverses: twisting to the right is tonification, twisting to the left is sedation. How to distinguish cold and heat? (For women, the methods are reversed.)
Inserting the needle generates heat, lifting the needle generates cold; women require careful distinction.
Advancing with the meridian flow is considered "left" (tonification), advancing against the flow is "right" (sedation); do not share this with those who do not understand.
Tonification Method: Utilize the Yang number nine, performing four sets of nine, totaling thirty-six manipulations.
Sedation Method: Perform the Yin number six, specifically three sets of six, totaling eighteen manipulations.
The technique of lifting and inserting for tonification and sedation is highly effective when applied.
Suppose an acupoint requires a depth of five fen. First, insert the needle two fen. Wait for Deqi (arrival of qi), then insert another two fen to reach four fen. Wait for Deqi again, then insert the final one fen to reach five fen. Subsequently, withdraw the needle rapidly and immediately press the acupoint with the thumb of the left hand to prevent bleeding; this is the Tonification Method.
Suppose an acupoint requires a depth of five fen. Insert the needle directly to five fen. Wait for Deqi, then withdraw the needle two fen. Pause briefly, withdraw another two fen. Pause briefly, wait for Deqi, then slowly withdraw the needle completely. Do not use the left hand to close the needle hole, allowing the pathogenic Qi to exit; this is the Sedation Method.
Acupoints forbidden for needling have been recorded since ancient times, such as Xinhui (B15), Shenting (GV24), and Naohu (GV16).
Shendao (GV11), Lingtai (GV10), and Danzhong (CV17) are forbidden.
Shimen (CV5), Shenque (CV8), and Shuifen (CV9) are also forbidden.
Qixue (KI13), Yinjiao (RN7), and Wuli (LI7) are included.
Yangluo (SI8), Qingling (HT9), and Chengqi (ST1) are also restricted.
If Henggu (KI12) or Chengjin (BL56) present pathology, avoid needling and use moxibustion instead for recovery.
Pregnant women should avoid needling Hegu (LI4); needling Sanyinjiao (SP6) may cause miscarriage.
Mistreatment of Guanyuan (CV4) may lead to retained dead fetus, resulting in the death of both mother and child; never apply needles or herbs in such cases.
Fengfu (GV16) and Chengguang (GB9) are restricted.
Zanzhu (BL2), Jingming (BL1), and Shaoshang (LU11) are restricted.
Tianyou (TE16), Touwei (ST8), and Xiaguan (ST7) are restricted.
Xitong (not standard, likely typo for Xiliao SI9 or similar context dependent, but text says Xitong Tianfu Yingxiang - assuming specific local points or typos in source, translating literally as named points if recognized or generic description), Tianfu (LU3), and Yingxiang (LI20) are restricted.
Jiuwei (CV15) and Yangguan (DU3) are restricted.
Xinshu (BL15), Jingqu (LU8), and Ynshi (ST33) are restricted.
Yuanli (HT14), Baihuanxu (BL30), and Wuhui (CV13) are restricted.
Dangyang (EX-HN4), Fubu (ST32), and Jizhong (GV12) are restricted.
Renying (ST9) and Tiaokou (ST38) are forbidden for moxibustion.
Ruzhong (CV17), Yinmen (BL37), and Biguan (ST31) are also avoided for moxibustion.
There are twenty-nine acupoints to avoid for moxibustion; applying correct needle tonification and sedation techniques ensures health and peace.