能知迎随。可令调之。调气之方。必别阴阳。阴阳者。知荣卫之流行逆顺。经脉往来终
始。
凡用针。顺经而刺之。为之补。迎经而夺之。为之泻。故迎而夺之。安得无虚。随而取之。
安得无实。此谓迎随补泻之法。
经云。其气始从中焦注手太阴阳明。注足阳明太阴。太阴注手少阴太阳。太阳注足太阳
少阴
少阴注手心主少阳。少阳注足少阳厥阴。厥阴注还于手太阴。如环无端。周流不息。昼夜
行流。与天同度。此法如气血所生之经络。于一经中井荣 经合。迎随补泻之法。亦用东方
实而西方虚。泻南方补北方是也。
春在左胁。秋在右胁。夏在脐。冬在腰。
一足大趾鼻小指。二踝发际外踝中。三股牙齿肝及足。四腰胃脘手阳明。五口遍身还在
手。
六手指间又在胸。七踝气冲并在膝。八脘股内及阴中。九尻在足胫膝经。十腰在背足趺中。
子日(在目孙氏云在肩口)。丑日(在耳及腰)。寅日(在胸又云在口)。卯日(在脾孙氏云
在鼻)
辰日(在腰)。巳日(在头口孙氏云在手)。午日(在心腹)。未日(在两足心孙云在足)。申日
(在肩及额又云头腰)。酉日(在胫孙氏云在背)。戌日(在咽喉孙氏云在头一作项)。亥日(在
背颈又在两膝孙氏云在项)。
又法
甲乙日(忌寅时不灸头)。丙丁日(忌辰时不灸耳)。戌巳日(忌午时不灸发顶。一云不灸
膝膑)。壬癸日(忌酉时。不灸足)。
又法
每月六日。十五日。十八日。二十二日。二十四日。小尽日。甲辰庚寅乙卯丙辰辛巳。
五辰五酉。五未八节日。前后各一日。若遇以上日并凶。不宜灸之。
又法
正月丑。二月戌。三月未。四月辰。五月丑。六月戌。七月未。八月辰。九月丑。十月
戌。十一月未。十二月辰。
又法
男忌 壬辰。甲辰。己巳。丙午。丁未。
女忌 甲寅。乙卯。乙酉。乙巳。丁巳。
又法
男忌戌(又云忌阴日)。女忌(孙氏云忌巳又云忌破日)。
又法
丙子日天子会。壬子日百王会。甲子日太子会。丁丑日三公会。丙辰日诸侯会。辛卯日
大夫会。癸卯日人臣会。乙亥日以上都会。
又法
木命人行年在木不宜针及服青药。
火命人行年在火不宜针及服赤药。
土命人行年在土不宜吐及服黄药。
金命人行年在金不宜灸及服白药。
水命人行年在水不宜下利及服黑药。
凡医者不知此法下药。若遇命厄会深者。下手即死。
又法
立春春分脾。立夏夏至肺。立秋秋分肝。立冬冬至心。四季十八日肾。
能够掌握迎随补泻的原则,就可以对气血进行调理。调理气机的方法,必须辨别阴阳。所谓阴阳,就是了解营卫之气的流行方向及其逆顺规律,以及经脉气血运行的始终路径。
凡是使用针刺时,顺着经脉循行方向进针,称为补法;逆着经脉循行方向进针并祛除邪气,称为泻法。因此,逆经而夺其气,怎么会不导致虚证呢?顺经而取气,怎么会不导致实证呢?这就叫做迎随补泻的方法。
《内经》说:人体之气起始于中焦,注入手太阴肺经和手阳明大肠经,再注入足阳明胃经和足太阴脾经;足太阴脾经注入手少阴心经和手太阳小肠经;手太阳小肠经注入足太阳膀胱经和足少阴肾经;足少阴肾经注入手厥阴心包经和手少阳三焦经;手少阳三焦经注入足少阳胆经和足厥阴肝经;足厥阴肝经又回流注入手太阴肺经。如此循环往复,没有尽头,周流不息,昼夜运行,与天体运行度数相同。这种规律如同气血所生之经络,在一经之中涉及井、荥、输、经、合五腧穴的迎随补泻之法,也遵循“东方实而西方虚,泻南方补北方”的原则。
春季病气在左胁,秋季在右胁,夏季在脐部,冬季在腰部。
(十二支人神所在部位歌诀):
一子日在人足大趾及小指缝间;二丑日在脚踝发际外踝中间;三寅日在大腿、牙齿、肝脏及足部;四卯日在腰部、胃脘部及手阳明经;五辰日在口部及遍身,仍归于手部;六巳日在手指间及胸部;七午日在脚踝、气冲穴及膝部;八未日在胃脘、大腿内侧及阴部;九申日在尻骨、小腿胫骨及膝经;十酉日在腰部、背部及足背;十一戌日在咽喉;十二亥日在背部、颈部及两膝。
(孙氏补充注释):
子日(孙氏认为在肩部和口部)。丑日(在耳朵及腰部)。寅日(在胸部,又说在口部)。卯日(在脾脏,孙氏认为在鼻子)。辰日(在腰部)。巳日(在头部和口部,孙氏认为在手部)。午日(在心腹部)。未日(在两足心,孙氏认为在足部)。申日(在肩部及额头,又说在头部和腰部)。酉日(在小腿,孙氏认为在背部)。戌日(在咽喉,孙氏认为在头部,一作项部)。亥日(在背部、颈部又在两膝,孙氏认为在项部)。
(又一种禁忌法):
甲乙日(忌讳寅时,不可灸头部)。丙丁日(忌讳辰时,不可灸耳部)。戊己日(忌讳午时,不可灸头顶发际处,一说不可灸膝盖髌骨)。壬癸日(忌讳酉时,不可灸足部)。
(又一种禁忌法):
每月的六日、十五日、十八日、二十二日、二十四日、小尽日(农历月尾不足三十天的日子),以及甲辰、庚寅、乙卯、丙辰、辛巳等干支日,还有五辰、五酉、五未、八节日的前后各一日,如果遇到以上日期都属凶日,不宜施灸。
(又一种禁忌法):
正月在丑位,二月在戌位,三月在未位,四月在辰位,五月在丑位,六月在戌位,七月在未位,八月在辰位,九月在丑位,十月在戌位,十一月在未位,十二月在辰位。
(又一种禁忌法):
男性忌讳:壬辰、甲辰、己巳、丙午、丁未日。
女性忌讳:甲寅、乙卯、乙酉、乙巳、丁巳日。
(又一种禁忌法):
男性忌讳戌日(又说忌讳阴日)。女性忌讳巳日(孙氏说忌讳巳日,又说忌讳破日)。
(又一种禁忌法):
丙子日是天子会,壬子日是百王会,甲子日是太子会,丁丑日是三公会,丙辰日是诸侯会,辛卯日是大夫会,癸卯日是人臣会,乙亥日是以上所有都会。
(又一种禁忌法):
木命之人,流年行运在木,不宜针刺及服用青色药物。
火命之人,流年行运在火,不宜针刺及服用赤色药物。
土命之人,流年行运在土,不宜催吐及服用黄色药物。
金命之人,流年行运在金,不宜艾灸及服用白色药物。
水命之人,流年行运在水,不宜攻下通便及服用黑色药物。
凡是不懂这些方法的医生,如果遇到命厄交会深重的日子就下药施治,病人下手即死。
(又一种禁忌法):
立春、春分日病气在脾;立夏、夏至日病气在肺;立秋、秋分日病气在肝;立冬、冬至日病气在心;四季末各十八日病气在肾。
If one can understand the principles of Ying (meeting/opposing) and Sui (following), one can regulate the Qi. The method for regulating Qi must distinguish between Yin and Yang. Yin and Yang refer to knowing the circulation direction and sequence of Ying (Nutrient) and Wei (Defensive) Qi, as well as the beginning and end pathways of the meridians.
When using acupuncture, inserting the needle in the direction of the meridian's flow constitutes the Tonification (Bu) method; inserting it against the flow to drain pathogenic factors constitutes the Sedation (Xie) method. Therefore, opposing the flow to drain Qi inevitably leads to Deficiency; following the flow to gather Qi inevitably leads to Excess. This is called the method of Ying-Sui Tonification and Sedation.
The Classics state: Qi originates from the Middle Jiao, enters the Hand-Taiyin Lung and Hand-Yangming Large Intestine meridians, then flows into the Foot-Yangming Stomach and Foot-Taiyin Spleen meridians; the Foot-Taiyin Spleen meridian flows into the Hand-Shaoyin Heart and Hand-Taiyang Small Intestine meridians; the Hand-Taiyang Small Intestine meridian flows into the Foot-Taiyang Bladder and Foot-Shaoyin Kidney meridians; the Foot-Shaoyin Kidney meridian flows into the Hand-Jueyin Pericardium and Hand-Shaoyang Sanjiao meridians; the Hand-Shaoyang Sanjiao meridian flows into the Foot-Shaoyang Gallbladder and Foot-Jueyin Liver meridians; the Foot-Jueyin Liver meridian returns to flow into the Hand-Taiyin Lung meridian. Like a ring without end, it circulates continuously, day and night, in accordance with the celestial movements. This principle applies to the Ying-Sui Tonification and Sedation methods within the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea acupoints of any single meridian, also adhering to the principle of "East is Excess and West is Deficient, draining the South and tonifying the North."
In Spring, the vital spirit resides in the left hypochondrium; in Autumn, in the right hypochondrium; in Summer, at the umbilicus; in Winter, at the waist.
[Song regarding the location of the Vital Spirit in the Twelve Earthly Branches]:
1. Zi day: Big toe and little toe.
2. Chou day: Outer ankle hairline and middle of outer ankle.
3. Yin day: Thighs, teeth, liver, and feet.
4. Mao day: Waist, epigastrium, and Hand-Yangming meridian.
5. Chen day: Mouth and whole body, returning to the hands.
6. Si day: Between fingers and chest.
7. Wu day: Ankles, Qichong acupoint, and knees.
8. Wei day: Epigastrium, inner thighs, and yin region.
9. Shen day: Sacrum, lower leg shins, and knee meridians.
10. You day: Waist, back, and dorsum of foot.
11. Xu day: Throat.
12. Hai day: Back, neck, and both knees.
[Sun Shi's Additional Notes]:
Zi day (Sun Shi says: shoulders and mouth). Chou day (ears and waist). Yin day (chest, or said to be mouth). Mao day (spleen, Sun Shi says: nose). Chen day (waist). Si day (head and mouth, Sun Shi says: hands). Wu day (heart and abdomen). Wei day (soles of both feet, Sun Shi says: feet). Shen day (shoulders and forehead, or said to be head and waist). You day (shins, Sun Shi says: back). Xu day (throat, Sun Shi says: head, alternatively nape). Hai day (back, neck, and both knees, Sun Shi says: nape).
[Another Method of Taboo]:
Jia and Yi days (avoid Yin hour; do not moxa the head). Bing and Ding days (avoid Chen hour; do not moxa the ears). Wu and Ji days (avoid Wu hour; do not moxa the vertex of the head, or alternatively, do not moxa the patella). Ren and Gui days (avoid You hour; do not moxa the feet).
[Another Method of Taboo]:
The 6th, 15th, 18th, 22nd, 24th days of each lunar month, the last day of a short month, and the Ganzhi days such as Jia-Chen, Geng-Yin, Yi-Mao, Bing-Chen, Xin-Si. Also the five Chen hours, five You hours, five Wei hours, and the eight solar terms' preceding and following days are all considered inauspicious and should not undergo moxibustion.
[Another Method of Taboo]:
1st Month: Chou position. 2nd Month: Xu position. 3rd Month: Wei position. 4th Month: Chen position. 5th Month: Chou position. 6th Month: Xu position. 7th Month: Wei position. 8th Month: Chen position. 9th Month: Chou position. 10th Month: Xu position. 11th Month: Wei position. 12th Month: Chen position.
[Another Method of Taboo]:
Men avoid: Ren-Chen, Jia-Chen, Ji-Si, Bing-Wu, Ding-Wei days.
Women avoid: Jia-Yin, Yi-Mao, Yi-You, Yi-Si, Ding-Si days.
[Another Method of Taboo]:
Men avoid Xu days (or said to avoid Yin days). Women avoid Si days (Sun Shi says avoid Si days, or said to avoid Po days).
[Another Method of Taboo]:
Bing-Zi day: Emperor's Assembly. Ren-Zi day: Hundred Kings' Assembly. Jia-Zi day: Crown Prince's Assembly. Ding-Chou day: Three Dukes' Assembly. Bing-Chen day: Feudal Lords' Assembly. Xin-Mao day: Ministers' Assembly. Gui-Mao day: Subjects' Assembly. Yi-Hai day: General Assembly of all above.
[Another Method of Taboo]:
Individuals with Wood destiny whose annual luck falls on Wood should avoid acupuncture and taking green-colored medicines.
Individuals with Fire destiny whose annual luck falls on Fire should avoid acupuncture and taking red-colored medicines.
Individuals with Earth destiny whose annual luck falls on Earth should avoid emesis and taking yellow-colored medicines.
Individuals with Metal destiny whose annual luck falls on Metal should avoid moxibustion and taking white-colored medicines.
Individuals with Water destiny whose annual luck falls on Water should avoid purgatives/laxatives and taking black-colored medicines.
Physicians who do not know these methods may cause death if they apply treatment during deep intersections of fate and misfortune.
[Another Method of Taboo]:
Lichun (Start of Spring) and Chunfen (Spring Equinox): Spleen. Lixia (Start of Summer) and Xiazhi (Summer Solstice): Lungs. Liqiu (Start of Autumn) and Qiufen (Autumn Equinox): Liver. Lidong (Start of Winter) and Dongzhi (Winter Solstice): Heart. The eighteen days at the end of each season: Kidneys.