禁灸穴道要先明,脑户囟会及神庭,络却玉枕角孙穴,颅息承泣随承灵,神道灵台膻中忌,水分神阙并
会阴,横骨气冲手五里,箕门承筋并青灵,更加臂上三阳络,二十二穴不可针。孕妇不宜针合谷,三阴交内亦
同论,石门针灸应须忌,女子终身无妊娠。外有云门并鸠尾,缺盆客主人莫深,肩井深时令闷倒,三里急补命还平。
禁灸之穴四十五,承光哑门并风府,天柱素 临泣上,睛明攒竹迎香数,禾 颧 丝竹空,头维下关与
脊中,肩贞心俞白环俞,天牖人迎共乳中,周荣渊液并鸠尾,腹哀少商鱼际同,经渠天府中冲位,阳关阳池地
五会,隐白漏谷阴陵泉,条口犊鼻并阴市,伏兔髀关及委中,殷门申脉承扶忌。
先说平针法,含针口内温,按揉令气散,掐穴故教深,持针安穴上,令他嗽一声,随嗽归天部。停针再
至人,次提针向病,针退天地人,补必随经刺,令他吹气频,随吹随左转,逐归天地人,待气停针久,三弹
更熨温,出针口吸气,急急闭其门。泻欲迎经取,吸则内其针,吸时须右转,根据次进天人,转针仍复吸,
根据法要停针,出针吹出气,摇动大其门。
汪绍达先生曰∶穴法歌传世已数百年,并未帮助何用,但云相应而已。昔尝举
以问老友濮云根据,据转述其师陆九芝先生云∶此针灸家一大秘密也。凡救晕针及拔
针不出种种危险,皆于此相应诸穴下针,但从未有注明何穴救晕针,何穴救吸针,
致后人无从措手。然果能明于各经脉中之气机,某经与某经互相贯通,此穴法歌中
所云某穴与某穴互相为应者,有如何关系,自不难由此例彼,推类而知也。愚按∶
吾师石屏先生于救晕针各穴,多至十余处,皆与此歌所云之各穴相符。盖吾师之针
法,传于异人聂君,聂君又传于济宁州之高僧,除传授针法外,尚须授以炼气运气
诸法,故能于极柔之金针,运以刚劲之真气,由孔穴以入经络,济危救急,指挥如意,又不仅在穴道之相应已也。
汪先生又云∶古法救晕针者,但取夺命穴救之。其穴在手膊上侧筋骨陷中,从
肩至肘正在当中,即是虾蟆儿上边也。今各穴相应之法,既经发明,救急之法益
广。愚按∶吾师石屏先生于百会、人中、曲池、合谷、足三里、三阴交,皆能随时
取以救治晕针之危急。信乎吾师门之所发明者,于古歌若合符节,尤足征渊源之有自矣。
承浆应风府,风池应合谷,迎香应上星,翳风应合谷,听会应合谷,哑门应人中,攒竹应大阳,大阴应
合谷、睛明,内迎香应合谷,人中应委中,肾 应委中,髋骨应风市,足三里应膏肓,肩井应足三里,阳陵泉
应支沟,昆仑应命门,昆仑应行间,申脉应合谷,太冲应昆仑,髋骨应曲池,肩井应支沟,尺泽应曲
池,肩 应髋骨,间使应百劳,关冲应支沟,中渚应人中,少冲应上星,后溪应百劳,神门应后溪,通里应心
,百劳应肺 ,膏肓应足三里,风门应列缺,照海应昆仑,鸠尾应神门,中极应
白环 ,天枢应脾 。
禁灸的穴位首先要明确:脑户、囟会以及神庭,络却、玉枕、角孙穴,颅息、承泣随同承灵,神道、灵台、膻中忌用,水分、神阙并会阴,横骨、气冲、手五里,箕门、承筋并青灵,再加上臂上的三阳络,共二十二个穴位不可施针。孕妇不宜针刺合谷,三阴交内也持相同观点,石门穴针灸应当忌讳,女子若受此影响终身无法受孕。另外有云门和鸠尾,缺盆、客主人莫要深刺,肩井深刺时会导致昏倒,足三里急补则性命平安。
禁灸的穴位有四十五个:承光、哑门并风府,天柱、素髎、临泣上星,睛明、攒竹、迎香数算,禾髎、颧髎、丝竹空,头维、下关与脊中,肩贞、心俞、白环俞,天牖、人迎共乳中,周荣、渊液并鸠尾,腹哀、少商、鱼际同列,经渠、天府、中冲位处,阳关、阳池、地五会,隐白、漏谷、阴陵泉,条口、犊鼻并阴市,伏兔、髀关及委中,殷门、申脉、承扶忌用。
先说平补平泻的针法:将针含在口中温热,按揉穴位令经气散开,掐定穴位故使进针深,持针安置于穴位之上,让患者咳嗽一声,随着咳嗽声将针退至天部(浅层)。停针片刻再进入人部(中层),接着提针向病所,针退时经过地、天、人三部。补法必须顺着经脉方向刺入,让患者频繁吹气,随着吹气向左旋转,逐渐回归地、天、人三部,待经气停留后久留针,弹针三次并用熨法温之,出针时患者吸气,急忙闭合针孔。泻法欲迎其经气而取,吸气时纳入针体,吸气时需向右旋转,依次进入天、人、地三部,转针仍配合吸气,根据法则要停针,出针时让患者吹出气,摇动扩大针孔。
汪绍达先生说:穴法歌传世已数百年,并未见有何实际帮助,只是说穴位相应罢了。昔日我曾以此问老友濮云根据,他转述其师陆九芝先生云:这是针灸家的一大秘密。凡是救治晕针及拔针不出种种危险,都在这些相应的穴位下针,但从未注明哪个穴位救晕针,哪个穴位救吸针(滞针),致使后人无从下手。然而如果能明白各经脉中的气机,某经与某经互相贯通,此穴法歌中所云某穴与某穴互相为应的关系,自不难由此例彼,推类而知。我按:我的老师石屏先生在救治晕针的各穴,多达十余处,都与这首歌所云的各穴相符。大概我的老师的针法,传自异人聂君,聂君又传给济宁州的高僧,除了传授针法外,还必须授以炼气运气诸法,所以能在极柔的金针上,运用刚劲的真气,由孔穴进入经络,济危救急,指挥如意,这不仅仅在于穴道的相应而已。汪先生又说:古法救晕针者,只取夺命穴来救治。该穴在手膊侧面筋骨陷中,从肩至肘正在当中,即是虾蟆儿上边。如今各穴相应之法既然已经阐明,急救的方法更加广泛。我按:我的老师石屏先生在百会、人中、曲池、合谷、足三里、三阴交,都能随时取用以救治晕针的危急。确实,我老师门下的发明,与古歌若合符节,更足以证明渊源有自了。
承浆对应风府,风池对应合谷,迎香对应上星,翳风对应合谷,听会对应合谷,哑门对应人中,攒竹对应太阳(此处原文“大阳”疑为太阳经或穴,依语境保留或指代相关部位,通常指太阳经气),大阴(此处原文“大阴”疑为太阴经或特定穴,依原文保留)对应合谷、睛明,内迎香对应合谷,人中对应委中,肾俞对应委中,髋骨对应风市,足三里对应膏肓,肩井对应足三里,阳陵泉对应支沟,昆仑对应命门,昆仑对应行间,申脉对应合谷,太冲对应昆仑,髋骨对应曲池,肩髃对应髋骨,间使对应百劳,关冲对应支沟,中渚对应人中,少冲对应上星,后溪对应百劳,神门对应后溪,通里对应心经,百劳对应肺经,膏肓对应足三里,风门对应列缺,照海对应昆仑,鸠尾对应神门,中极对应白环俞,天枢对应脾经。
The acupoints contraindicated for moxibustion must be clearly understood: Naohu (GV17), Xinhui (GV22), and Shenting (GV24); Luoque (BL9), Yuzhen (BL9), and Jiaosun (TE6); Luxi (SJ19), Chengqi (ST1), and Chengling (GB15); Shendao (GV11), Lingtai (GV10), and Danzhong (CV17) are forbidden; Shuifen (CV9), Shenque (CV8), and Huiyin (CV1) [are also contraindicated]; Henggu (KI12), Qichong (ST30), and Shiwuli (LI13); Jimen (SP8), Chengjin (BL56), and Qingling (HT8); plus Sanyangluo (TE7) on the arm. These twenty-two acupoints should not be needled. Pregnant women should avoid needling Hegu (LI4), and the same applies to Sanyinjiao (SP6). Mimen (CV5) must be avoided for both acupuncture and moxibustion; if affected, a woman may become infertile for life. Additionally, Yunmen (LU2) and Jiutui (CV15); Quepen (ST12) and Keren (EX-HN17) should not be needled deeply; deep needling of Jianjing (GB21) may cause fainting, while urgent tonification of Zusanli (ST36) can stabilize vital energy.
There are forty-five acupoints contraindicated for moxibustion: Chengguang (BL7), Yamen (GV15), and Fengfu (GV16); Tianzhu (BL10), Suliao (DU26), Linqi (Shangxing BL2 or GB15 context dependent, here likely referring to upper head points like Shangxing/BL2 or Gallbladder channel points), and Shangxing (BL2); Jingming (BL1), Cuanzhu (BL2), and Yingxiang (LI20); Heliao (LI19), Quanliao (SI18), and Sizhukong (TE23); Touwei (ST8), Xiaguan (ST7), and Jizhong (GV12); Jianzhen (SI9), Xinshu (BL15), and Baihuanxu (BL30); Tianyou (TE16), Renying (ST9), and Ruzhong (CV17); Zhourong (ST15), Yuanli (RN15 or similar, likely Yuanli ST15 variant or specific point), and Jiutui (CV15); Fu'ai (ST16), Shaoshang (LU11), and Yuji (LU10); Jingqu (LU8), Tianfu (LU3), and Zhongchong (PC9); Yangguan (EX-B7 or Du Mai point), Yangchi (TE4), and Diwuhui (EX-LE1); Yinbai (SP1), Lougu (SP9), and Yinlingquan (SP9); Tiaokou (ST38), Dubi (ST35), and Yinshi (ST32); Futu (ST37), Biguan (ST31), and Weizhong (BL40); Yinmen (BL37), Shenmai (BL62), and Chengfu (BL36) are contraindicated.
First, let us discuss the Ping Zhen method (neutral needle technique): Warm the needle in the mouth, massage the acupoint to disperse Qi, pinch the acupoint to ensure deep insertion, hold the needle above the acupoint, ask the patient to cough once, and upon the cough, withdraw the needle to the Heaven layer (superficial level). Pause, then insert to the Human layer (middle level), lift the needle towards the disease site, withdrawing through Earth, Heaven, and Human layers. For tonification, needle along the meridian direction, ask the patient to exhale frequently, rotate counter-clockwise with each exhalation, gradually returning through Earth, Heaven, and Human layers. After Qi settles, retain the needle for a long time, tap it three times, and apply warm moxa or heat. Upon withdrawal, have the patient inhale and immediately close the puncture. For sedation, intercept the meridian Qi, insert during inhalation, rotate clockwise during inhalation, sequentially entering Heaven, Human, and Earth layers. Continue rotating with inhalation, pause as per method, withdraw while the patient exhales, and shake the needle to enlarge the opening.
Mr. Wang Shaoda stated: The Acupoint Correspondence Song has been passed down for centuries but offers little practical help, merely stating correspondence. I once asked my old friend Pu Yungen about it, who relayed that his teacher, Mr. Lu Jiuzhi, said this is a great secret of acupuncture. All dangers such as syncope from needling or retained needles are resolved by needling these corresponding acupoints, yet no one specifies which acupoint treats syncope or which treats retained needles, leaving later generations at a loss. However, if one understands the Qi mechanism of the meridians, how they interconnect, and the relationships between corresponding acupoints mentioned in the song, one can easily infer others by analogy. I note: My teacher, Mr. Shiping, used over ten acupoints to treat syncope, all matching those in the song. His technique was transmitted from an extraordinary person, Mr. Nie, who passed it to a high monk in Jining Prefecture. Besides needle techniques, he taught Qi cultivation and circulation methods, allowing him to wield rigid True Qi with the extremely flexible golden needle, entering meridians via acupoints to save lives in emergencies with ease, going far beyond mere acupoint correspondence. Mr. Wang also said: Ancient methods for treating syncope only used the Duoming acupoint. This point is located in the depression between tendons and bones on the lateral side of the forearm, midway from shoulder to elbow, just above the "toad's child" area. Now that the method of acupoint correspondence is clarified, emergency treatments are more extensive. I note: My teacher Mr. Shiping could use Baihui (GV20), Renzhong (GV26), Quchi (LI11), Hegu (LI4), Zusanli (ST36), and Sanyinjiao (SP6) at any time to treat acute syncope. Indeed, the innovations of my teacher's school align perfectly with the ancient song, further proving its authentic lineage.
Chengjiang (CV24) corresponds to Fengfu (GV16); Fengchi (GB20) corresponds to Hegu (LI4); Yingxiang (LI20) corresponds to Shangxing (BL2); Yifeng (TE17) corresponds to Hegu (LI4); Tinghui (GB2) corresponds to Hegu (LI4); Yamen (GV15) corresponds to Renzhong (GV26); Cuanzhu (BL2) corresponds to Taiyang (Bladder/Gallbladder channel or related points); Taiyin (Lung/Spleen channel or related points) corresponds to Hegu (LI4) and Jingming (BL1); Neiyingxiang corresponds to Hegu (LI4); Renzhong (GV26) corresponds to Weizhong (BL40); Shenshu (BL23) corresponds to Weizhong (BL40); Kuangu (Hip bone area) corresponds to Fengshi (GB31); Zusanli (ST36) corresponds to Gao Huang (BL43); Jianjing (GB21) corresponds to Zusanli (ST36); Yanglingquan (GB34) corresponds to Zhigou (TE6); Kunlun (BL60) corresponds to Mingmen (GV4); Kunlun (BL60) corresponds to Xingjian (LR2); Shenmai (BL62) corresponds to Hegu (LI4); Taichong (LR3) corresponds to Kunlun (BL60); Kuangu corresponds to Quchi (LI11); Jianyu (LI15) corresponds to Kuangu; Jianshi (PC5) corresponds to Bailao (EX-B1); Guanchong (TE1) corresponds to Zhigou (TE6); Zhongzhu (TE3) corresponds to Renzhong (GV26); Shaochong (PC9) corresponds to Shangxing (BL2); Houxi (SI3) corresponds to Bailao (EX-B1); Shenmen (HT7) corresponds to Houxi (SI3); Tongli (HT5) corresponds to Heart meridian; Bailao (EX-B1) corresponds to Lung meridian; Gao Huang (BL43) corresponds to Zusanli (ST36); Fengmen (BL12) corresponds to Lieque (LU7); Zhaohai (KI6) corresponds to Kunlun (BL60); Jiutui (CV15) corresponds to Shenmen (HT7); Zhongji (CV3) corresponds to Baihuanxu (BL30); Tianshu (ST25) corresponds to Spleen meridian.