(《灵枢·五禁篇》全)
黄帝问于岐伯曰∶余闻刺有五禁,何谓五禁?岐伯曰∶禁其不可刺也。黄帝曰∶余闻刺有五夺。岐伯曰∶无泻其不
可夺者也。黄帝曰∶余闻刺有五过。岐伯曰∶补泻无过其度。黄帝曰∶余闻刺有五逆。岐伯曰∶病与脉相逆,命曰五逆。
黄帝曰∶余闻刺有九宜。岐伯曰∶明知九针之论,是谓九宜。(补之过度,资其邪气,泻之过度,竭其正气,是五过也。
九宜义见本类前第四,余如下文。)黄帝曰∶何谓五禁?愿闻其不可刺之时。岐伯曰∶甲乙日自乘,无刺头,无发蒙于
耳
内。丙丁日自乘,无振埃于肩喉廉泉。戊己日自乘四季,无刺腹去爪泻水。庚辛日自乘,无刺关节于股膝。壬癸日自乘,
无刺足胫。是谓五禁。(天干之合人身者,甲乙应头,丙丁应肩喉,戊己及四季应腹与四肢,庚辛应关节股膝,壬癸应
足
胫。日自乘者,言其日之所直也。皆不可刺,是谓五禁。发蒙、振埃义见本类前三十二。)黄帝曰∶何谓五夺?岐伯曰∶
形肉已夺,是一夺也;大夺血之后,是二夺也;大汗出之后,是三夺也;大泄之后,是四夺也;新产及大血之后,是五
夺也。此皆不可泻。(此五夺者,皆元气之大虚者也,若再泻之,必置于殆,不惟用针,用药亦然。)黄帝曰∶何谓五逆?
岐伯曰∶热病脉静,汗已出,脉盛躁,是一逆也;病泄,脉洪大,是二逆也;着痹不移, 肉破,身热,脉偏绝,是三
逆也;淫而夺形身热,色夭然白,及后下血 ,血 笃重,是谓四逆也;寒热夺形,脉坚搏,是谓五逆也。(热病脉静,
阳证得阴脉也。汗已出、脉躁盛,真阴败竭也。病泄脉宜静,而反洪大者,孤阳邪胜也。着痹破 身热而脉偏绝者,元
有所脱也。淫而夺形身热下血 者,精血去而亡阴发热也。寒热夺形而脉坚搏者,脾阴大伤而真脏见也。凡此五逆者,
皆阴虚之病。故《本神篇》曰∶阴虚则无气,无气则死矣。是皆不可刺者也。 ,渠允切。 ,普杯切。)
《灵枢·五禁篇》全文
黄帝向岐伯问道:我听说针刺有五种禁忌,什么是五种禁忌?岐伯回答说:禁止对不可针刺的情况进行针刺。黄帝说:我听说针刺有五种“夺”(指正气严重耗损的情况)。岐伯回答说:不要对不可耗损的正气进行泻法治疗。黄帝说:我听说针刺有五种过失。岐伯回答说:补法和泻法不能超过适当的限度。黄帝说:我听说针刺有五种逆证。岐伯回答说:病症与脉象相违背,称为五种逆证。黄帝说:我听说针刺有九种适宜的原则。岐伯回答说:明确知晓九针的理论,就称为九种适宜。(补法过度,会资助邪气;泻法过度,会耗尽正气,这就是五种过失。九宜的含义见本类前第四部分,其余如下文所述。)黄帝说:什么是五种禁忌?希望听听不可针刺的时机。岐伯回答说:甲日和乙日干支自乘(即天干相同的日子),不可针刺头部,不可施行“发蒙”(一种治疗耳目疾患的针刺手法)于耳内。丙日和丁日干支自乘,不可施行“振埃”(一种清除头面邪气的针刺手法)于肩部和喉部廉泉穴。戊日和己日干支自乘并对应四季之末,不可针刺腹部以去除爪甲部位的瘀滞或泻水。庚日和辛日干支自乘,不可针刺大腿和膝盖的关节部位。壬日和癸日干支自乘,不可针刺小腿胫骨部位。这叫做五种禁忌。(十天干与人体部位相应:甲乙对应头部,丙丁对应肩部和喉部,戊己及四季对应腹部和四肢,庚辛对应关节、大腿和膝盖,壬癸对应足部和小腿胫骨。“日自乘”是指该日的天干值日。这些情况都不可针刺,称为五种禁忌。发蒙、振埃的含义见本类前三十二篇。)黄帝说:什么是五种“夺”?岐伯回答说:形体肌肉已经极度消瘦,这是第一种夺;大量失血之后,这是第二种夺;大汗出之后,这是第三种夺;严重腹泻之后,这是第四种夺;刚分娩后及大量出血之后,这是第五种夺。这些情况都不可用泻法。(这五种夺的情况,都是元气极度虚弱的表现,如果再用泻法,必然导致危险,不仅针刺如此,用药也是如此。)黄帝说:什么是五种逆证?岐伯回答说:热病患者脉象安静,出汗后脉象反而盛大躁动,这是第一种逆证;患泄泻病,脉象却洪大,这是第二种逆证;着痹(湿邪偏重的痹症)疼痛固定不移,肌肉溃破,身体发热,脉象一侧断绝,这是第三种逆证;因房劳过度而形体消瘦,身体发热,面色枯槁苍白,以及随后便血,血色深黑且病情沉重,这叫第四种逆证;寒热往来导致形体消瘦,脉象坚硬搏指,这叫第五种逆证。(热病脉静,是阳证出现阴脉。出汗后脉象躁盛,是真阴败竭的表现。患泄泻病脉象宜静,反而洪大,是孤阳邪胜的表现。着痹肌肉溃破、身体发热而脉象一侧断绝,是元气有所脱失的表现。因淫欲过度而形体消瘦、身体发热、便血,是精血亏耗而亡阴发热。寒热往来导致形体消瘦而脉象坚硬搏指,是脾阴大伤而真脏脉显现。凡是这五种逆证,都是阴虚的病证。所以《本神篇》说:阴虚则无气,无气则死。这些都是不可针刺的情况。[注:原文中两个生僻字注音分别为渠允切、普杯切,此处略去注音细节,仅保留语义]。)
The full text of the "Five Prohibitions" chapter from Ling Shu (Spiritual Pivot)
Yellow Emperor asked Qibo: I have heard that there are five prohibitions in acupuncture. What are these five prohibitions? Qibo replied: These refer to prohibiting needling when it is inadvisable. Yellow Emperor said: I have heard that there are five "depletions" (conditions where vital qi is severely exhausted) in acupuncture. Qibo replied: One should not apply reducing methods to conditions where depletion should not occur. Yellow Emperor said: I have heard that there are five errors in acupuncture. Qibo replied: The tonifying and reducing methods must not exceed appropriate limits. Yellow Emperor said: I have heard that there are five counter-indications (reverse patterns) in acupuncture. Qibo replied: When the disease presentation contradicts the pulse, it is called a reverse pattern. Yellow Emperor said: I have heard that there are nine适宜 (appropriate indications) in acupuncture. Qibo replied: To clearly understand the theory of the Nine Needles constitutes the nine appropriate indications. (Excessive tonification aids pathogenic qi; excessive reduction exhausts healthy qi; this constitutes the five errors. The meaning of the nine appropriate indications is found in Part 4 of this category earlier; the rest follows below.)
Yellow Emperor asked: What are the five prohibitions? I wish to hear about the times when needling is inadvisable. Qibo replied: On Jia and Yi days (days where the Heavenly Stem repeats itself), do not needle the head, and do not perform "Fa Meng" (a technique for treating sensory disorders of the eyes and ears) inside the ear. On Bing and Ding days, do not perform "Zhen Ai" (a technique for clearing turbid qi from the head and face) on the shoulders or at Lianquan (CV23). On Wu and Ji days, which correspond to the transitions of the four seasons, do not needle the abdomen to drain fluid or treat the nails. On Geng and Xin days, do not needle the joints of the thighs and knees. On Ren and Gui days, do not needle the lower legs (shins). This is called the five prohibitions. (The ten Heavenly Stems correspond to body parts: Jia and Yi correspond to the head; Bing and Ding to the shoulders and throat; Wu, Ji, and the four seasons to the abdomen and limbs; Geng and Xin to the joints, thighs, and knees; Ren and Gui to the feet and shins. "Day self-multiplying" refers to the day's dominant Heavenly Stem. All these situations are contraindications for needling, hence the term five prohibitions. The meanings of Fa Meng and Zhen Ai are found in Part 32 of this category earlier.)
Yellow Emperor asked: What are the five depletions? Qibo replied: When the form and flesh are already severely wasted, this is the first depletion; after massive blood loss, this is the second depletion; after profuse sweating, this is the third depletion; after severe diarrhea, this is the fourth depletion; after childbirth and massive bleeding, this is the fifth depletion. None of these should be treated with reducing methods. (These five depletions represent extreme deficiency of Yuan Qi (Original Qi). If reducing methods are applied again, danger will ensue. This applies not only to acupuncture but also to herbal medicine.)
Yellow Emperor asked: What are the five reverse patterns? Qibo replied: In febrile diseases, if the pulse is quiet, but becomes rapid and restless after sweating, this is the first reverse pattern; if the patient has diarrhea but the pulse is洪大 (surging and large), this is the second reverse pattern; in Zhuo Bi (Damp-Bi syndrome with fixed pain), if muscles ulcerate, the body is hot, and the pulse is absent on one side, this is the third reverse pattern; if due to sexual excess the form is wasted, the body is hot, the complexion is dull and pale, and subsequently there is hematochezia with dark, heavy blood, this is the fourth reverse pattern; if alternating chills and fever lead to wasting of the form and the pulse is firm and bounding, this is the fifth reverse pattern. (A quiet pulse in a febrile disease indicates Yin pulse appearing in a Yang condition. A rapid and restless pulse after sweating indicates exhaustion of True Yin. A surging and large pulse in diarrhea indicates lone Yang and pathogenic excess. Fixed pain in Bi syndrome with muscle ulceration, fever, and unilateral pulse absence indicates loss of Yuan Qi. Sexual excess leading to wasting, fever, and bloody stool indicates loss of essence and blood with Yin collapse and heat. Alternating chills and fever with wasting and a firm, bounding pulse indicates severe injury to Spleen Yin and manifestation of the Zang organ pulse. All these five reverse patterns are diseases of Yin deficiency. Therefore, the "Ben Shen" chapter states: Yin deficiency leads to lack of Qi; lack of Qi leads to death. All these are contraindications for needling.)