(《乾坤生意》)
天星秘诀少人知,此法专分前后施,若是胃中停宿食,后寻三里起璇玑。脾病血气先合
,后刺三阴交莫迟,如中鬼邪先间使,手臂挛痹取肩 。脚若转筋并眼花,先针承山次内踝
,香港脚酸疼肩井先,次寻三里、阳陵泉;如是小肠连脐痛,先刺阴陵后涌泉。耳鸣腰痛先五
会,次针耳门、三里内。小肠气痛先长强,后刺大敦不要忙,足缓难行先绝骨,次寻条口及
冲阳。牙疼头痛兼喉痹,先刺二间后三里,胸膈痞满先阴交,针到承山饮食喜;肚腹浮肿胀
膨膨,先针水分泻建里。伤寒过经不出汗,期门、通里先后看,寒疟面肿及肠鸣,先取合谷
后内庭。冷风湿痹针何处?先取环跳次阳陵,指痛挛急少商好,根据法施之无不灵。此是桑君
真口诀,时医莫作等闲轻。
三里、内庭穴,曲池、合谷接,委中配承山,太冲、昆仑穴,环跳与阳陵,通里并列缺
。合担用法担,合截用法截,三百六十穴,不出十二诀。治病如神灵,浑如汤泼雪,北斗降
真机,金锁教开彻,至人可传授,匪人莫浪说。
其一∶三里膝眼下,三寸两筋间。能通心腹胀,善治胃中寒,肠鸣并泄泻,腿肿膝 酸
,伤寒羸瘦损,气蛊及诸般。年过三旬后,针灸眼便宽。取穴当审的,八分三壮安。
其二∶内庭次指外,本属足阳明。能治四肢厥,喜静恶闻声,瘾疹咽喉痛,数欠及牙疼
,疟疾不能食,针着便惺惺。针三分,灸三壮。
其三∶曲池拱手取,屈肘骨边求。善治肘中痛,偏风手不收,挽弓开不得,筋缓莫梳头
,喉闭促欲死,发热更无休,遍身风癣癞,针着实时瘳(针五分,灸三壮)。
其四∶合谷在虎口,两指歧骨间。头疼并面肿,疟病热还寒,齿龋鼻衄血,口噤不开言
。针入五分深,令人即便安(灸三壮)。
其五∶委中曲 里,横纹脉中央。腰痛不能举,沉沉引脊梁,酸疼筋莫展,风痹复无常
,膝头难伸屈,针入即安康(针五分,禁灸)。
其六∶承山名鱼腹, 肠分肉间。善治腰疼痛,痔疾大便难,香港脚并膝肿,辗转战疼酸
,霍乱及转筋,穴中刺便安(针七分,灸五壮)。
其七∶太冲足大趾,节后二寸中。动脉知生死,能医惊痫风,咽喉并心胀,两足不能行
,七疝偏坠肿,眼目似云朦,亦能疗腰痛,针下有神功(针三分,灸三壮)。
其八∶昆仑足外踝,跟骨上边寻。转筋腰尻痛,暴喘满冲心,举步行不得,一动即呻吟
,若欲求安乐,须于此穴针(针五分,灸三壮)。
其九∶环跳在髀枢,侧卧屈足取。折腰莫能顾,冷风并湿痹,腿胯连 痛,转侧重欷
。若人针灸后,顷刻病消除(针二寸,灸五壮)。
其十∶阳陵居膝下,外 一寸中。膝肿并麻木,冷痹及偏风,举足不能起,坐卧似衰翁
,针入六分止,神功妙不同(灸三壮)。
其十一∶通里腕侧后,去腕一寸中。欲言声不出,懊恼及怔忡,实则四肢重,头腮面颊
红,虚则不能食,暴喑面无容,毫针微微刺,方信有神功(针三分,灸三壮)。
其十二∶列缺腕侧上,次指手交叉。善疗偏头患,遍身风痹麻,痰涎频壅上,口噤不开
牙,若能明补泻,应手即如拿(针三分,灸五壮)。
(出自《乾坤生意》)
天星穴的秘诀很少有人知晓,此法专门区分前部与后部的施治顺序。如果是胃中停滞了未消化的食物,应先寻找足三里,再取璇玑穴。脾病涉及血气时,先针刺合谷穴,随后再刺三阴交穴,不要迟疑;若是中了鬼邪(指突发的精神异常或急症),先针间使穴;手臂挛缩麻痹,选取肩髃穴。脚部若发生转筋并伴有眼花,先针承山穴,再针内踝附近的太溪穴;下肢肿胀疼痛(香港脚),先取肩井穴,再寻足三里、阳陵泉;如果是小肠牵连脐部疼痛,先刺阴陵泉,后刺涌泉穴。耳鸣腰痛,先取五会穴(此处指头维等头部穴位,或泛指头部诸穴,结合上下文及常见歌诀,通常指头维、率谷等,但原文仅写“五会”,依原文直译),再针耳门穴和足三里。小肠气痛,先针长强穴,后刺大敦穴,不要慌张;足部痿软难行,先取绝骨穴(悬钟),再寻条口穴及冲阳穴。牙疼头痛兼咽喉肿痛,先刺二间穴,后刺足三里;胸膈痞闷胀满,先针阴交穴,针刺到承山穴则食欲好转;腹部浮肿胀大膨隆,先针水分穴,泻建里穴。伤寒病程已过经界却不出汗,先看期门穴、通里穴的先后次序;寒疟面肿及肠鸣,先取合谷穴,后取内庭穴。冷风湿痹应针何处?先取环跳穴,次取阳陵泉;手指疼痛挛急,少商穴很好,按照这种方法施治,无不灵验。这是桑君(马丹阳师承长桑君)的真口诀,当时的医生不要把它当作平常之事而轻视。
足三里、内庭穴,曲池、合谷相接,委中配承山,太冲、昆仑穴,环跳与阳陵泉,通里并列缺。该担当(补益)用法就担当,该截断(泻实)用法就截断,三百六十穴,不出这十二个诀。治病如神灵一般,就像热汤泼在雪上(迅速见效),北斗星降下真机,金锁教人彻底打开,只有至德之人可以传授,对非正道之人不要随意乱说。
其一:足三里位于膝眼下,距离三寸两筋之间。能疏通心腹胀满,善于治疗胃中寒冷,肠鸣并泄泻,腿部肿胀膝盖酸痛,伤寒导致的消瘦虚弱,气蛊及各种病症。年龄超过三十岁后,针灸眼疾便能放宽(缓解)。取穴应当仔细确认,进针八分,灸三壮即可安愈。
其二:内庭穴在第二趾外侧,本属于足阳明胃经。能治疗四肢厥冷,喜欢安静厌恶听到声音,瘾疹咽喉痛,频繁打哈欠及牙疼,疟疾导致不能进食,针刺后便清醒舒适。进针三分,灸三壮。
其三:曲池穴拱手取穴,屈肘时在骨头边缘寻找。善于治疗肘部疼痛,偏瘫手部不能收拢,拉弓开不得力,筋脉松弛无法梳头,喉闭紧迫欲死,发热不停止,遍身风癣癞疮,针刺后立即痊愈(进针五分,灸三壮)。
其四:合谷穴在虎口,两指歧骨之间。治疗头疼及面部肿胀,疟病忽冷忽热,牙齿龋坏鼻出血,口噤不能说话。进针五分深,让人立刻安宁(灸三壮)。
其五:委中穴在腘窝横纹中央。治疗腰痛不能起身,沉重牵引脊梁,酸痛筋脉不能舒展,风痹反复发作无常,膝盖难以伸屈,针刺进入即刻安康(进针五分,禁止艾灸)。
其六:承山穴名鱼腹,位于腓肠肌两筋分肉之间。善于治疗腰部疼痛,痔疾大便困难,下肢肿胀及膝盖肿大,辗转反侧战栗疼痛酸楚,霍乱及转筋,在穴中针刺便安愈(进针七分,灸五壮)。
其七:太冲穴在足大趾后方,节后二寸处。通过动脉搏动可知生死,能医治惊痫风证,咽喉肿痛及心腹胀满,双脚不能行走,七疝偏坠肿胀,眼睛模糊似有云蒙,也能治疗腰痛,针刺下有神效(进针三分,灸三壮)。
其八:昆仑穴在足外踝,跟骨上方寻找。治疗转筋腰尻痛,突发气喘胸闷冲心,举步不能行走,一动就呻吟,若想求得安乐,必须在此穴针刺(进针五分,灸三壮)。
其九:环跳穴在髀枢(髋关节),侧卧屈足取穴。折腰不能回顾,冷风及湿痹,腿胯连及臀部疼痛,转身困难叹息。如果人针灸后,顷刻间病痛消除(进针二寸,灸五壮)。
其十:阳陵泉居于膝下,外膝眼下一寸中。治疗膝盖肿胀及麻木,冷痹及偏瘫,抬脚不能提起,坐卧像衰老的老翁,进针六分停止,神功妙用不同(灸三壮)。
其十一:通里穴在腕侧后方,距离腕横纹一寸中。想要说话却发不出声音,懊恼及心悸怔忡,实证表现为四肢沉重,头腮面颊红赤,虚证表现为不能进食,突然失音面色无华,毫针微微刺入,才相信有神效(进针三分,灸三壮)。
其十二:列缺穴在腕侧上方,两手食指交叉时指尖所指处。善于治疗偏头痛,遍身风痹麻木,痰涎频繁壅塞于上,口噤不开牙关,若能明白补泻手法,应手即如拿住病根一样迅速见效(进针三分,灸五壮)。
(From "Qiankun Shengyi")
The secret of the Tianxing (Heavenly Star) acupoints is known by few. This method specifically distinguishes the application order between anterior and posterior points. If there is retained food in the stomach, first locate Zusanli (ST36), then select Xuanji (CV15). For spleen diseases involving blood and qi, first needle Hegu (LI4), then Sanjinyiao (SP6) without delay; if afflicted by "ghost evil" (sudden mental aberration or acute crisis), first needle Jianshi (PC5); for arm contracture and numbness, select Jianyu (LI15). If the legs suffer from muscle twitching accompanied by blurred vision, first needle Chengshan (BL57), then Taixi (KI3) near the medial malleolus; for lower limb swelling and pain (podagra/leg swelling), first select Jianjing (GB21), then seek Zusanli (ST36) and Yanglingquan (GB34); if small intestine pain radiates to the umbilicus, first needle Yinlingquan (SP9), then Yongquan (KI1). For tinnitus and lumbar pain, first select Wuhui (Head points, often referring to Touwei ST8 or similar head points in this context), then Ermen (TE21) and Zusanli (ST36). For abdominal hernia pain, first needle Changqiang (GV1), then Dadun (LR1) without panic; for foot weakness and difficulty walking, first select Guanshu (EX-LE5/Xuanshong), then Tiaokou (ST38) and Chongyang (ST42). For toothache, headache, and sore throat, first needle Erjian (LI2), then Zusanli (ST36); for chest and diaphragm fullness and distension, first needle Yinjiao (CV13); needling Chengshan (BL57) improves appetite; for abdominal edema and massive distension, first needle Shuifen (CV9), and drain Jianli (CV11). For cold damage that has passed its meridian stage yet lacks sweating, consider Qimen (LR14) and Tongli (HT5) in sequence; for cold malaria with facial swelling and borborygmus, first select Hegu (LI4), then Neiting (ST44). Where to needle for cold wind-damp bi syndrome? First select Huantiao (GB30), then Yanglingquan (GB34); for finger pain and contracture, Shaoshang (LU11) is effective. Applying this method ensures efficacy. These are the true mantras of Master Sang (Ma Danyang's lineage from Changsang Jun); contemporary physicians must not treat them lightly.
Zusanli (ST36) and Neiting (ST44), Quchi (LI11) and Hegu (LI4) connect; Weizhong (BL40) pairs with Chengshan (BL57); Taichong (LR3) and Kunlun (BL60); Huantiao (GB30) and Yanglingquan (GB34); Tongli (HT5) stands with Lieque (LU7). When tonification is required, apply tonification; when sedation is required, apply sedation. Among 360 acupoints, these twelve mantras suffice. Treating disease is like a spirit, as effective as hot soup poured on snow. The Big Dipper reveals the true mechanism; the golden lock teaches thorough opening. Only those of supreme virtue can transmit this; do not speak it rashly to the unworthy.
First: Zusanli is located below the knee, three cun between the two tendons. It unblocks heart and abdominal fullness, effectively treats cold in the stomach, intestinal murmurs and diarrhea, leg swelling and knee soreness, emaciation due to cold damage, Qi distension, and various ailments. After age thirty, acupuncture for eye conditions brings relief. Verify the point location carefully; needle eight fen, moxa three cones for safety.
Second: Neiting is on the lateral side of the second toe, belonging to the Foot-Yangming Stomach Meridian. It treats cold extremities, preference for quietness and aversion to sound, urticaria, sore throat, frequent yawning, and toothache. It treats malaria with anorexia; after needling, the patient becomes clear and comfortable. Needle three fen, moxa three cones.
Third: Quchi is obtained by bending the arm, sought at the edge of the elbow bone. It effectively treats elbow pain, hemiplegia with inability to retract the hand, inability to draw a bow, flaccid sinews preventing hair combing, critical throat closure with suffocation, persistent fever, and widespread skin sores and leprosy-like lesions; needling brings immediate cure (needle five fen, moxa three cones).
Fourth: Hegu is in the tiger's mouth, between the divergent bones of the thumb and index finger. It treats headache and facial swelling, malaria with alternating chills and fever, dental caries and epistaxis, and trismus preventing speech. Insert the needle five fen deep, bringing immediate peace (moxa three cones).
Fifth: Weizhong is at the center of the popliteal crease. It treats lumbar pain preventing rising, heaviness pulling on the spine, soreness with stiff sinews, recurrent wind-bi, and knee stiffness; needling brings health immediately (needle five fen, moxibustion prohibited).
Sixth: Chengshan, named Fish Belly, is located between the bellies of the gastrocnemius muscles. It effectively treats lumbar pain, hemorrhoids with difficult defecation, lower limb swelling and knee enlargement, restlessness with trembling and soreness, cholera with convulsions; needling brings immediate relief (needle seven fen, moxa five cones).
Seventh: Taichong is behind the big toe, two cun posterior to the metatarsophalangeal joint. Pulse palpation here indicates life and death; it treats epilepsy and wind-stroke, sore throat and cardiac distension, inability to walk on both feet, seven types of hernias with unilateral swelling, cloudy vision, and lumbar pain; needling demonstrates divine efficacy (needle three fen, moxa three cones).
Eighth: Kunlun is found above the calcaneus at the lateral malleolus. It treats convulsions, lumbosacral pain, sudden asthma with chest oppression, inability to walk, and pain upon movement; for peace, one must needle this point (needle five fen, moxa three cones).
Ninth: Huantiao is at the hip joint (greater trochanter region); take the position lying on the side with the leg flexed. It treats inability to look back due to waist injury, cold wind and damp-bi, pain radiating from the thigh to the buttock, and difficulty turning with sighing; after acupuncture, the illness vanishes instantly (needle two cun, moxa five cones).
Tenth: Yanglingquan is located below the knee, one cun lateral to the knee depression. It treats knee swelling and numbness, cold-bi and hemiplegia, inability to lift the foot, and a seated posture resembling a frail old man; insert the needle six fen deep; its divine function is unique (moxa three cones).
Eleventh: Tongli is on the posterior aspect of the wrist, one cun from the wrist crease. It treats aphonia (inability to speak despite desire to), restlessness and palpitations; excess patterns present with heavy limbs and redness of the head, cheeks, and face; deficiency patterns present with anorexia and sudden loss of voice with pale complexion; gently insert the filiform needle, believing in its divine efficacy (needle three fen, moxa three cones).
Twelfth: Lieque is on the radial side of the wrist, indicated where the index fingers cross when hands are interlaced. It effectively treats migraines, generalized wind-bi numbness, frequent phlegm obstruction in the upper jiao, and trismus; if one understands tonification and sedation techniques, the effect is immediate as if grasping the disease (needle three fen, moxa five cones).