千金方云。夫用针者。先明其孔穴。补虚泻实。勿失其理。针皮毛腠理勿伤肌肉。针肌
肉勿
伤筋脉。针筋脉勿伤骨髓。针骨髓勿伤诸络。伤筋膜者。愕视失魂。伤血脉者。烦乱失神。
伤皮毛者。上气失魄。伤骨髓者。呻吟失志。伤肌肉者。四肢不收失智。此为五乱。因针所
生若更死。度有死之忧也。
头维禁不可灸。承光禁不可灸。脑户禁不可灸。风府禁不可灸。哑门禁不可灸。阴市禁
不可
灸。下关耳中有干适低无灸。耳门耳中有脓无灸。人迎禁不可灸。丝竹空灸之。不幸使人目
小及盲。承泣禁不可灸。脊中禁不可灸。乳中禁不可灸。 脉禁不可灸。石门女子禁不可灸
白环 禁不可灸。气冲灸之。不幸不得息。渊腋灸之不幸生脓蚀。天府禁不可灸。经渠禁
不可灸。伏兔禁不可灸。地五会禁不可灸。鸠尾禁不可灸。
头维。下关。承光。脑户。气冲。伏兔。地五会。风府。渊腋。哑门。天府。经渠。白
环
鸠尾。迎香。石门(女子)。丝竹空。承泣。耳门。人迎。 脉。少商。尺泽。阴市。阳关
少海。晴明。乳中。关冲。
又法
黄帝问曰。凡灸。大风大雨大阴大寒灸否。既不得灸。有何损益。岐伯答曰。大风灸者
阴
阳大错。大雨灸者。经络脉不行。大阴灸者。令人气逆。大寒灸者。血脉蓄滞。此等日。乃
更
动其病。令人短寿。大风灸者。所谓复时不可加火艾。大寒灸者。所谓盛冬凌晨也。大雨灸
者。但雨日即下得。虽然有卒得。又逢大雨。此止可灸之。大阴灸者。谓诸云雾。总合凡人
初患卒得。终是难下。经云。当其盛也。慎勿哀伤。即是初得重病之状候。
《千金方》说:使用针刺的人,必须先明确穴位。补虚泻实,不要违背其原理。针刺皮毛腠理时不要伤及肌肉;针刺肌肉时不要伤及筋脉;针刺筋脉时不要伤及骨髓;针刺骨髓时不要伤及诸络。损伤筋膜者,会出现惊视、失魂的症状;损伤血脉者,会出现烦乱、失神的症状;损伤皮毛者,会出现气逆上冲、失魄的症状;损伤骨髓者,会出现呻吟、失志的症状;损伤肌肉者,会出现四肢不能收持、失智的症状。这称为“五乱”,是由针刺不当引起的,如果再次误治,就有死亡的危险。
头维穴禁止施灸。承光穴禁止施灸。脑户穴禁止施灸。风府穴禁止施灸。哑门穴禁止施灸。阴市穴禁止施灸。下关穴耳中有干痂或轻微不适者禁止施灸。耳门穴耳中有脓液者禁止施灸。人迎穴禁止施灸。丝竹空穴若施灸,不幸会导致眼睛变小甚至失明。承泣穴禁止施灸。脊中穴禁止施灸。乳中穴禁止施灸。郄门穴(原文作“脉”,据上下文及禁灸列表推测为郄门或类似穴位,此处依原文译)禁止施灸。石门穴女子禁止施灸。白环俞穴禁止施灸。气冲穴若施灸,不幸会导致呼吸困难。渊腋穴若施灸,不幸会生疮溃烂。天府穴禁止施灸。经渠穴禁止施灸。伏兔穴禁止施灸。地五会穴禁止施灸。鸠尾穴禁止施灸。
头维、下关、承光、脑户、气冲、伏兔、地五会、风府、渊腋、哑门、天府、经渠、白环俞、迎香、石门(女子)、丝竹空、承泣、耳门、人迎、郄门、少商、尺泽、阴市、阳关、少海、晴明、乳中、关冲。
另一种说法:
黄帝问道:凡是遇到大风、大雨、大阴天、大寒冷天,可以施灸吗?既然有的情况不得施灸,那么有什么损益呢?岐伯回答说:在大风中施灸,会导致阴阳严重错乱;在大雨中施灸,会导致经络气血运行不畅;在大阴天施灸,会让人气机逆乱;在大寒天施灸,会导致血脉凝滞蓄积。在这些日子施灸,会使病情加重,使人短寿。所谓大风天不可施灸,是指复时(指气候异常反复之时)不可加用艾火。所谓大寒天不可施灸,是指盛冬凌晨之时。所谓大雨天施灸,只要下雨当天就可以施,虽然偶尔会有突发急症,但如果又遇上大雨,这种情况下只可施灸。所谓大阴天施灸,是指各种云雾天气,总括来说凡人初患急病之时,终究难以施灸。经文说:“当其盛也,慎勿哀伤。”这就是指初得重病时的状况。
The *Qianjin Fang* states: Those who use acupuncture must first clarify the acupoints. Tonify deficiency and drain excess, do not deviate from the principles. When needling the skin and hair follicles (mao-fu) and interstices (cou-li), do not damage the muscles; when needling the muscles, do not damage the sinews and vessels (jin-mai); when needling the sinews and vessels, do not damage the bone marrow; when needling the bone marrow, do not damage the collateral vessels (luo). Damaging the fascia leads to staring eyes and loss of Hun (ethereal soul). Damaging the blood vessels leads to restlessness and loss of Shen (spirit). Damaging the skin and hair follicles leads to rebellious Qi and loss of Po (corporeal soul). Damaging the bone marrow leads to groaning and loss of Zhi (willpower). Damaging the muscles leads to inability to control the four limbs and loss of Zhi (intellect). These are called the "Five Disorders" (Wu Luan), arising from improper needling. If further mismanagement occurs, there is a risk of death.
Jawei (ST8) is contraindicated for moxibustion. Chengguang (BL7) is contraindicated for moxibustion. Naohu (DU17) is contraindicated for moxibustion. Fengfu (DU16) is contraindicated for moxibustion. Yamen (DU15) is contraindicated for moxibustion. Yinshi (ST33) is contraindicated for moxibustion. Xiaguan (ST7): if there is dryness in the ear or reduced sensation, it is contraindicated for moxibustion. Ermen (TE21): if there is pus in the ear, it is contraindicated for moxibustion. Renying (ST9) is contraindicated for moxibustion. Sizhukong (TE23): if accidentally moxibusted, it may cause the eyes to become small or lead to blindness. Chengqi (ST1) is contraindicated for moxibustion. Jizhong (DU12) is contraindicated for moxibustion. Ruzhong (RN17) is contraindicated for moxibustion. Mai point (likely referring to a specific vessel point or typo in source, translated as "Mai") is contraindicated for moxibustion. Shimen (CV5): contraindicated for women. Baihuanshu (BL30) is contraindicated for moxibustion. Qichong (ST30): if accidentally moxibusted, it may cause dyspnea (inability to breathe). Yuanye (SI9): if accidentally moxibusted, it may cause abscesses and ulceration. Tianfu (LU3) is contraindicated for moxibustion. Jingqu (LU8) is contraindicated for moxibustion. Futu (ST32) is contraindicated for moxibustion. Diwuhui (GB34) is contraindicated for moxibustion. Jiwei (CV15) is contraindicated for moxibustion.
Acupoints contraindicated for moxibustion: Jawei (ST8), Xiaguan (ST7), Chengguang (BL7), Naohu (DU17), Qichong (ST30), Futu (ST32), Diwuhui (GB34), Fengfu (DU16), Yuanye (SI9), Yamen (DU15), Tianfu (LU3), Jingqu (LU8), Baihuanshu (BL30), Yingxiang (LI20), Shimen (CV5) [for women], Sizhukong (TE23), Chengqi (ST1), Ermen (TE21), Renying (ST9), Mai point, Shaoshang (LU11), Chize (LU5), Yinshi (ST33), Yangguan (EX-B7), Shaohai (HT3), Mingmen (BL18/Renming? Context suggests an eye point like Qingming BL1), Ruzhong (RN17), Guanchong (TE1).
Another method:
The Yellow Emperor asked: Regarding moxibustion, can it be performed during strong winds, heavy rain, severe overcast weather, or extreme cold? Since it is forbidden in these conditions, what are the harms? Qibo replied: Performing moxibustion during strong wind causes a major disorder of Yin and Yang. Performing moxibustion during heavy rain impedes the flow of meridians and vessels. Performing moxibustion during severe overcast weather causes rebellious Qi. Performing moxibustion during extreme cold causes stagnation of blood vessels. Moxibustion on such days aggravates the disease and shortens lifespan. "Strong wind" refers to times of unstable weather where fire and moxa should not be added. "Extreme cold" refers to the early morning of deep winter. "Heavy rain" refers to rainy days; although sudden illness might occur, encountering heavy rain makes moxibustion difficult or contraindicated (Note: The text implies caution or specific conditions where it might be allowed only in acute emergencies despite rain, but generally warns against it). "Severe overcast" refers to cloudy and foggy conditions. Generally, for common people suffering sudden acute illness, treatment is difficult under these conditions. The Classic says: "When the pathogen is at its peak, do not grieve/harm." This describes the state of newly acquired severe illness.