医道闳邃,明其术者,可以保身利物,故名儒硕士,咸究肄焉。然治法有二∶曰针灸,曰方药。灸法从针,其在于
古,针之所不及者,而后区之为方,剂之以药,二者相辅而行,无偏废也。独其经络窍会,寻之为难。自汉唐以来,业
斯术者,方家能手。专主方药,而针灸之传阙如。《灵枢》明文,治法徒存,识者惜之。吾邑李君善述,好学问,擢秀六
堂,尝思所以利刺斯民者而未得也。固有志于此,主以黄岐,旁及诸家之说,按图披籍,盖揣摩者至五六年而后试手,
勤之至亦慎之至也。其试手又十余年,回生起 至于千百,阅历之久,间有神明于法之外者,所谓随气用巧,惟熟则然
也。君今以老,念针法之失传,爰取其揣摩所以,与阅历之验于己者,约为一业,名曰《针灸易学》。欲广其传,以登斯
世于仁寿之域,此亦仁人君子之用心矣。余嘉其志而乐道之,故于其将授梓也,为叙其事而弁之书首。
大清道光二十七年季春之望竹村许天锡谨序
针灸之法尚矣,惟圣于医者能得其全,下此而能因易入难,推所已知,及所未知,当其
应手
奥难窥,一入认穴,繁而且碎,句不可读,读不可记,指归要领,求之无从。兼怵其晕针之
说,手法不明,往往中止,业以难废,此惟不由其序之过也。先少学针灸六年,未尝一日少
懈,特无名师口授,总不信心,以为非吾能事也。至乾隆五十一年,先已五十一岁,时疟疾
十人而九,择其少壮医之,治三效一,更日治五效三,由此复究其书,而无不效矣。计二十
二日,获效四百三十七人。后学治杂症,有效有不效,用针多则内有约略,且更考核诸先生
之书,医十得三者有矣,医十得五、得七者有矣,此亦因易入难,推所已知而及所未知者也
。至于深远详细,吾未有得,惟圣者能之耳。兹将古法着之于前,愚见列之于后,浅而易知
,显而易明,名曰《针灸易学》,以为后之君子,便览之资云尔。
附书一则∶
先少学针灸,或止之曰穴难,不知难不在穴,在手法耳。明于穴而手法不明,终身不医
一病
五俞,易知也;八脉主穴,易知也。得一二穴,从此以尺量之,以类推之,由浅入深,因此
知彼,而医亦成矣。先习此首学手法,次学认症,而以寻穴为末务,盖所难不在此也。
嘉庆三年岁次戊午季春李守先善述氏识
医道宏大深邃,精通医术的人,可以保全自身、利益万物,所以著名的儒生和博学之士,都深入研习它。然而治疗方法主要有两种:一是针灸,二是方药。灸法依附于针法,在古代,当针刺效果达不到时,才将其单独划分为方剂,用药物来治疗。这两者相辅相成,没有偏废的。唯独经络穴位窍会,寻找起来十分困难。自汉唐以来,从事这门技艺的人,多是擅长方药的能手,而针灸的传承却缺失了。《灵枢》中明文记载的治疗方法徒然存在,有识之士对此感到惋惜。我们县的李善述君,喜好学问,在六堂考中秀才,曾经思考如何利于百姓施针治病的方法却未能找到。他本有志于此,以黄帝岐伯(中医始祖)的理论为主,旁及各家学说,对照图谱翻阅书籍,大概揣摩了五六年之后才开始动手实践,可谓勤奋至极,也谨慎至极。他实践又经过十余年,使死者复生、起死回生的案例达到千百例,阅历之久,偶尔有超越常规技法的神妙之处,这就是所谓的随着气机运用技巧,只有熟练才能做到这样。李君如今已老,考虑到针法可能失传,于是将他揣摩的心得以及自己实践中验证有效的经验,汇总整理为一册,命名为《针灸易学》。想要广泛传播,让世人进入仁爱与长寿的境界,这也是仁人君子的用心所在。我赞赏他的志向并乐于讲述此事,所以在他即将刻印此书时,为序其事写在书首。
大清道光二十七年三月十五日 竹村许天锡 谨序
针灸之法崇尚已久,只有达到圣境的大医者才能掌握其全貌,其次的人如果能由浅入深,推究已知的事物,进而触及未知的事物,就能应对自如。那些奥妙难懂的内容,一旦认准穴位,虽然繁杂琐碎,但句子不可读,读了也不可记,要找到要领,无从下手。再加上畏惧晕针的说法,手法不明确,往往中途停止,学业因此难以坚持而废弃,这仅仅是因为没有遵循正确顺序的缘故。我年少时学习针灸六年,未曾有一天松懈,只是没有名师口授心传,始终不自信,认为这不是我能做到的事。到了乾隆五十一年,我已经五十一岁,当时疟疾流行,十个人中有九个患病,我选择年轻力壮的人进行治疗,治三人有效一人,隔天治五人有效三人,由此我又深入研究相关书籍,之后就无无效的了。共计二十二天,获得疗效四百三十七人。后来治疗杂症,有的有效有的无效,使用针法较多时内心有些粗略把握,并且进一步考核各位先生的著作,医治十人得到三人有效的情况有了,医治十人得到五人或七人有效的情况也有了,这也是由易入难,推究已知而触及未知的结果。至于深远详细的内容,我没有心得,只有圣人才能做到罢了。现在将古法列在前面,愚见列在后面,浅显易懂,明显易明,命名为《针灸易学》,作为后世君子浏览学习的资料罢了。
附记一则:
我年少时学习针灸,有人劝阻说穴位难找,我不知道难点不在穴位,而在手法上。明白穴位而手法不明确,终身治不好一种病。五俞穴(井、荥、输、经、合),容易知道;八脉主穴,容易知道。得到一两个穴位,从此用尺子量取距离,用类推的方法,由浅入深,通过这个知道那个,那么医术也就成功了。我先学习手法,再学习辨认病症,最后才把寻找穴位当作次要任务,因为难点并不在这里。
嘉庆三年岁次戊午春季 李守先 字善述 记
The Way of Medicine is vast and profound. Those who master its techniques can preserve their own bodies and benefit all things; therefore, renowned scholars and erudite gentlemen all study it extensively. However, there are two main treatment methods: acupuncture and moxibustion (Zhenjiu), and herbal prescriptions (Fangyao). Moxibustion follows acupuncture. In ancient times, when acupuncture was insufficient, treatments were separately categorized into prescriptions, using herbs to treat diseases. The two complement each other and neither should be neglected. It is only the meridians, acupoints, and intersections that are difficult to locate. Since the Han and Tang dynasties, practitioners of this art have mostly been experts in herbal prescriptions, while the transmission of acupuncture and moxibustion has been lacking. The treatment methods clearly recorded in the *Ling Shu* (Spiritual Pivot) exist in vain, which is a pity for those with insight. Mr. Li Shanshu of our county loves learning and passed the imperial examinations at the Six Halls. He once pondered how to benefit the people through acupuncture but could not find the way. He had aspirations in this field, taking the theories of Huangdi and Qibo (mythical founders of Chinese medicine) as the main focus, and referring to various schools of thought. By consulting diagrams and reading books, he practiced after approximately five or six years of contemplation, demonstrating extreme diligence and caution. After more than ten years of practice, he revived hundreds or thousands of patients from near-death states. With such extensive experience, occasionally his methods transcended conventional techniques, achieving what is described as "skillfully utilizing Qi," which is possible only through mastery. Now that Mr. Li is old, fearing that the art of acupuncture might be lost, he compiled his insights and verified experiences into a single volume, titled *Zhenjiu Yixue* (Easy Learning of Acupuncture and Moxibustion). His aim is to widely disseminate it, bringing the world into an era of benevolence and longevity. This is indeed the intention of a benevolent gentleman. I appreciate his ambition and am pleased to recount this matter; thus, before the book is printed, I write this preface at the beginning.
Preface by Xu Tianxi of Zhucun, respectfully written on the full moon day of early spring in the 27th year of Daoguang, Great Qing.
The method of acupuncture and moxibustion has been esteemed since antiquity. Only physicians who have reached a sage-like level can grasp it completely. For others, if they can enter the difficult through the easy, deducing the unknown from the known, they can respond effectively. The profound and obscure aspects are hard to窥探 (peep into); once acupoints are correctly identified, although the details are numerous and fragmented, making sentences unreadable and unmemorable, finding the essence becomes impossible without guidance. Additionally, fear of syncope during needling (Yunzhen) and unclear manipulation techniques often lead to abandonment of practice due to perceived difficulty. This failure stems solely from not following the proper sequence. I studied acupuncture and moxibustion for six years in my youth without a single day of slackening, yet lacking oral instruction from a master, I lacked confidence, believing it beyond my capabilities. By the 51st year of Qianlong, I was fifty-one years old. At that time, malaria was prevalent, affecting nine out of ten people. I treated young and robust patients; among three treated, one recovered; among five treated on alternate days, three recovered. Thereafter, I further studied relevant texts, and subsequently achieved universal efficacy. Within twenty-two days, I obtained positive results for 437 individuals. Later, when treating miscellaneous diseases, results varied. With increased use of needles, I gained a rough internal grasp, and upon reviewing the works of various masters, I found that curing three out of ten cases became common, as did curing five or seven out of ten. This too represents entering the difficult through the easy, extending from the known to the unknown. As for profound and detailed matters, I have no personal attainment; only sages can achieve them. Herein, I present ancient methods first and my humble opinions later, aiming for clarity and ease of understanding, naming it *Zhenjiu Yixue*, to serve as a resource for future gentlemen to browse and learn.
Appendix Note:
When I was young and studying acupuncture, some advised against it, saying acupoints are difficult to locate. I realized the difficulty lies not in the points themselves, but in the manipulation techniques. If one understands the points but lacks clear manipulation skills, one cannot cure even a single disease throughout life. The Five Shu Points (Wushu: Jing-Well, Ying-Spring, Shu-Stream, Jing-River, He-Sea) are easy to know; the principal points of the Eight Extraordinary Vessels are easy to know. Once one or two points are mastered, one can measure distances with a ruler and apply analogy, progressing from shallow to deep, knowing the latter through the former, thereby achieving medical proficiency. My initial training focused first on manipulation techniques, then on symptom differentiation, leaving point location as a secondary task, because the true difficulty does not lie there.
Recorded by Li Shouxian, courtesy name Shanshu, in the spring of the Wuwu year of the Jiaqing reign.