杂忌法有数端。经云。恶于针石者。不可与言于至巧。气血羸劣者。不可刺。久病笃危
者。
不可刺。大寒大热大风大雨大饥大饱大醉大劳皆不可刺。然大寒无刺。令病患于无风暖室中
啜以粥食。饮以醪酪。令病患无畏寒气。候气血调匀。然后可刺。如此刺之。无疾不愈。
余皆仿此而行之。经云。无刺漉漉之汗。无刺混混之脉。无刺 之热。此之谓也。
正月卯日。二月寅日。三月丑日。四月子日。五月亥日。六月戌日。七月酉日。八月申
日。九月未日。十月午日。十一月巳日。十二月辰日。
丁卯。庚午。甲戌。丙子。壬午。甲申。丁亥。辛卯。壬辰。丙申。戊戌。己亥。己未
庚
子。辛丑。甲辰。乙巳。丙午。戊申。壬子。癸丑。乙卯。丙辰。壬戌。丙戌。以上并吉。
又宜用除日。开日。天医要安。并吉。
甲不治头。乙不治喉。丙不治肩。丁不治心。戊不治腹。己不治脾。庚不治腰。辛不治
膝。壬不治胫。癸不治足。
甲日头。乙日耳。丙日肩。丁日背。戊己日腹、脾。庚日肺、腰。辛日膝。壬日肾经。
癸日手足。
千金方云。痈疽疔 。喉痹客忤。尤为急。凡作汤药。不可避凶日。觉病须臾即死便治
又
曰。凡卒暴得风。或中时气。凡百所苦。须急救疗。后皆难愈。此论甚当。夫急难之际。命
在须臾。必待吉日后治。已沦于鬼 矣。此所以不可拘避忌也。惟平居治病于未形。遇天德
月
德等日。服药及针灸可也。凡医者。若不能知此诸般禁忌。趋吉避凶。妄乱针灸。非惟不能
愈疾。甚者或致患人伤生丧命。为害非轻。若逢病患。年命厄会处。男女气怯下手至难。通
人达士。若遇卒急暴患。何暇选择避忌。即不可拘此。若是禁穴。诸般医疗不瘥。明堂经中
亦许灸一壮至十壮。更宜以意详之。
针灸的禁忌方法有几个方面。医经说：对针石感到厌恶的人，不能与他谈论高深的医术；气血虚弱衰败的人，不可针刺；久病且病情危重的人，不可针刺。遇到大寒、大热、大风、大雨、大饥、大饱、大醉、大劳等情况，都不可针刺。然而在大寒之时，不应立即针刺，应让患者在无风的温暖房间中喝粥进食，饮用酒乳类饮品，使患者不再畏惧寒气，等到气血调和均匀后，然后才可以针刺。这样进行针刺，没有治不好的疾病。其余情况都仿照这个原则执行。医经说：不要在汗出淋漓不止时针刺，不要在脉象浑浊混乱时针刺，不要在高热炽盛时针刺。说的就是这种情况。
正月对应卯日，二月对应寅日，三月对应丑日，四月子日，五月亥日，六月戌日，七月酉日，八月申日，九月未日，十月午日，十一月巳日，十二月辰日。
丁卯、庚午、甲戌、丙子、壬午、甲申、丁亥、辛卯、壬辰、丙申、戊戌、己亥、己未、庚子、辛丑、甲辰、乙巳、丙午、戊申、壬子、癸丑、乙卯、丙辰、壬戌、丙戌。以上这些日子都是吉日。又适宜使用除日、开日，以及天医要安的日子，均为吉利。
甲日不治疗头部，乙日不治疗喉部，丙日不治疗肩部，丁日不治疗心脏，戊日不治疗腹部，己日不治疗脾脏，庚日不治疗腰部，辛日不治疗膝盖，壬日不治疗小腿，癸日不治疗足部。
甲日对应头部，乙日对应耳部，丙日对应肩部，丁日对应背部，戊己日对应腹部、脾脏，庚日对应肺脏、腰部，辛日对应膝盖，壬日对应肾经，癸日对应手足。
《千金方》说：痈疽疔疮、喉痹客忤等病症，尤为紧急。凡是配制汤药，不可避开凶日，感觉生病片刻间若会死亡就应立即治疗。又说：凡是突然暴感风邪，或中暑气，各种痛苦，必须急救治疗，否则后来都难以治愈。这种论述非常恰当。在急难之际，生命就在顷刻之间，如果一定要等待吉日后才治疗，人已经陷入死亡了。这就是为什么不可以拘泥于避忌的原因。只有在平时治病于未发之时，遇到天德、月德等吉日，服药及针灸是可以的。凡是医生，如果不能知晓这些禁忌，趋吉避凶，胡乱进行针灸，不仅不能治愈疾病，严重的甚至会导致病人受伤丧命，危害不小。如果遇到病患，正值年命厄运交会之处，男女气虚胆怯，下手治疗极为困难。通达事理的人，如果遇到突然急迫的暴患，哪里有空闲去选择避忌？此时就不可以拘泥于此。如果是禁穴，各种医疗手段都不见效，《明堂经》中也允许灸一壮至十壮，更应当用心仔细斟酌。
There are several aspects to the contraindications for acupuncture and moxibustion. The Classics state: "For those who abhor needles and stones, one should not speak of supreme skill." Those with deficient and weak Qi and Blood (Qi Xue) should not be needled; those with chronic diseases in a critical condition should not be needled. In cases of extreme cold, extreme heat, strong wind, heavy rain, severe hunger, overeating, intoxication, or excessive labor, needling is prohibited. However, in cases of extreme cold, one should not needle immediately. Instead, allow the patient to reside in a warm room free from drafts, consume porridge and food, and drink fermented milk beverages, so that the patient no longer fears the cold. Wait until the Qi and Blood are harmonious and balanced before proceeding with needling. By doing so, no disease will remain uncured. All other situations should follow this principle. The Classics state: "Do not needle when sweat is dripping profusely; do not needle when the pulse is chaotic and turbid; do not needle when there is intense heat." This refers to such circumstances.
The first month corresponds to Mao days; the second month to Yin days; the third month to Chou days; the fourth month to Zi days; the fifth month to Hai days; the sixth month to Xu days; the seventh month to You days; the eighth month to Shen days; the ninth month to Wei days; the tenth month to Wu days; the eleventh month to Si days; the twelfth month to Chen days.
Ding-Mao, Geng-Wu, Jia-Xu, Bing-Zi, Ren-Wu, Jia-Shen, Ding-Hai, Xin-Mao, Ren-Chen, Bing-Shen, Wu-Xu, Ji-Hai, Ji-Wei, Geng-Zi, Xin-Chou, Jia-Chen, Yi-Si, Bing-Wu, Wu-Shen, Ren-Zi, Gui-Chou, Yi-Mao, Bing-Chen, Ren-Xu, Bing-Xu. All the above are auspicious days. It is also suitable to use Chu days (Exclusion days), Kai days (Opening days), and Tianyi Ya'an days, all of which are auspicious.
On Jia days, do not treat the head; on Yi days, do not treat the throat; on Bing days, do not treat the shoulder; on Ding days, do not treat the Heart; on Wu days, do not treat the abdomen; on Ji days, do not treat the Spleen; on Geng days, do not treat the waist; on Xin days, do not treat the knees; on Ren days, do not treat the shins; on Gui days, do not treat the feet.
Jia days correspond to the head; Yi days to the ears; Bing days to the shoulders; Ding days to the back; Wu and Ji days to the abdomen and Spleen; Geng days to the Lungs and waist; Xin days to the knees; Ren days to the Kidney Meridian; Gui days to the hands and feet.
The *Qianjin Fang* states: Conditions such as carbuncles, sores, ding sores, sore throat, and sudden fright are particularly urgent. When preparing decoctions, one must not avoid inauspicious days; if illness arises and death seems imminent within moments, treatment must begin immediately. It further states: For any sudden onset of wind pathogen, seasonal qi invasion, or various ailments, emergency treatment is required; otherwise, subsequent cure will be difficult. This argument is highly appropriate. In times of urgency, life hangs by a thread; if one waits for an auspicious day to treat, the patient would have already perished. This is why one should not rigidly adhere to taboos. Only when treating potential illnesses before they manifest, or on days like Tiande and Yuede, is it appropriate to administer medication, acupuncture, or moxibustion. Physicians who fail to understand these various contraindications and fail to seek auspiciousness and avoid misfortune, resorting to reckless acupuncture and moxibustion, will not only fail to cure the disease but may even cause injury or death to the patient, resulting in grave harm. If encountering a patient whose age destiny coincides with a period of tribulation, or if the patient's Qi is weak and timid, treatment is extremely difficult to initiate. A wise and enlightened person, facing sudden acute emergencies, has no time to select auspicious dates or avoid taboos; thus, rigidity is not applicable here. Regarding forbidden acupoints, if various medical treatments fail to improve the condition, the *Mingtang Jing* permits moxibustion from one to ten moxa cones. One should deliberate carefully based on judgment.