针灸之法,捷于用药,夫人而知之矣。于医乎,《针灸大全》、《针灸大成》遍行于世
,而
搓、循逆顺之法,所谓刮、战、摇、按、摄、弹、搓、搜者,无不明白分晓,令医者一目了然
,先明乎此,然后习气上升阳、气下升阴,热中取凉、凉中取热,温多取冷、冷多取温,及
左补右泻,穴道远近,呼吸度数、浅深分寸,可次第而降矣。吾愿世之医病者取此书而立复
之。按针中浮沉迟数之法,斟酌左病取右、右病取左、病上取下、病下取上之妙而消息之,
庶不失活人之志云尔,是所望于世之行针者。是为序。
时维 道光丙申桃月下浣吉旦
古 吉詹景炎氏八十二岁灯下书
论医人针灸,不识何经受病,妄行取穴,又不知伐上升阳之法,又不知气下升阴之法,
令患人病疾,楚楚之苦不得愈者,何也?
答曰∶一则,不中穴,不知气行。二则,不知左补右泻,更不知其分寸。三则,不知气
下升
吐、下三法。六则,又不知腹部盘盘针法,专行补泻,令人气血不散。七则,不知移疼注痛
,又不知热中取凉、凉中取热,温多取冷、冷多取温,又不知左瘫而取右,右瘫而取左,又
不知上部有病而下部取,下部有病而上部取也。八则,不明针中浮沉迟数紧涩,不知病者何
生,又不知补生泻成之息数,左补右泻,何能治之。先须审其八般手法治之,明其刺禁,辨
经络穴道远近、各人呼吸度数、浅深分寸,用之无不愈矣。不可补泻而取出针,又不可一律
而推之,务在调匀。家明其真师口诀,手法秘要亲传,不得错矣。
针灸疗法,见效比用药更快,这是人人都知道的。在医学领域,《针灸大全》和《针灸大成》在世间广泛流传,其中关于搓、循(顺着经络推按)、逆顺的手法,以及所谓的刮、战、摇、按、摄、弹、搓、搜等手法,都解释得明白清楚,让医者一目了然。先明了这些,然后才能掌握气上升属阳、气下降属阴,热中取凉、凉中取热,温多取冷、冷多取温,以及左补右泻,穴道远近,呼吸度数、浅深分寸等知识,并依次学习。我希望世上治病的人能选取这本书来研习它。按照针刺中浮、沉、迟、数的手法,斟酌左病取右、右病取左、病上取下、病下取上的妙处并加以运用,或许就不会违背救人的志向罢了,这是对世上行针者的期望。这就是序言。
时间是道光丙申年(1836年)三月下旬的吉日。
古吉詹景炎氏八十二岁于灯下书写
谈论医生进行针灸时,如果不识是何经受病,胡乱选取穴位,又不知道伐(抑制/引导)上升阳的方法,也不知道气下升阴的方法,导致患者病痛痛苦不堪却无法痊愈,为什么呢?
回答说:一是不中穴位,不懂气行;二是不懂左补右泻,更不懂分寸;三是不懂气下升吐、下三法;六是不懂腹部盘盘针法,专行补泻,使人气血不散;七是不懂移疼注痛,又不懂热中取凉、凉中取热,温多取冷、冷多取温,又不懂左瘫取右,右瘫取左,又不懂上部有病下部取,下部有病上部取;八是不明针中浮沉迟数紧涩,不知病者何生,又不懂补生泻成的息数,左补右泻,怎么能治好。必须先审察这八种手法来治疗,明确刺禁,辨别经络穴道远近、各人呼吸度数、浅深分寸,使用没有不愈的。不可该补泻时却取出针,也不可一律推行,务必在于调匀。家师明白其真师口诀,手法秘要亲传,不得出错。
Acupuncture and moxibustion therapy acts more swiftly than medication, a fact known to all. In the field of medicine, *Zhenjiu Daquan* (Complete Collection of Acupuncture and Moxibustion) and *Zhenjiu Dacheng* (Great Compendium of Acupuncture and Moxibustion) are widely circulated in the world. The methods of rubbing (Cuo), following along the meridians (Xun), and moving against or with the flow (Ni Shun), as well as the so-called scraping (Gua), trembling (Zhan), shaking (Yao), pressing (An), grasping (She), flicking (Dan), rubbing (Cuo), and searching (Sou) techniques, are all explained clearly and distinctly, allowing practitioners to understand them at a glance. Once these are understood, one can then learn that qi rising belongs to Yang, qi descending belongs to Yin; cooling within heat, warming within cold; taking more cold for excessive warmth, and more warmth for excessive cold; left-side tonification and right-side sedation; the distance between acupoints; the number of breaths; and the degrees of depth and shallowness, studying them in sequence. I wish that those who treat diseases in the world would select this book to study it. By applying the methods of floating, sinking, slow, and rapid needle manipulation, and by carefully considering the subtleties of treating the right side for left-sided disease, the left for the right, the upper for the lower, and the lower for the upper, one may perhaps not deviate from the aspiration to save lives. This is the hope for those who practice acupuncture in the world. This is the preface.
The time is the auspicious day of the latter ten days of the third month in the Bing Shen year of the Daoguang reign (1836).
Written under the lamp by Zhan Jingyan, aged eighty-two, from Guji.
When discussing doctors performing acupuncture and moxibustion, if they do not recognize which meridian is diseased, arbitrarily select acupoints, and do not know the method of restraining guiding ascending Yang, nor the method of descending Qi into Yin, causing patients to suffer painfully without recovery, why is this?
The answer is: First, missing the acupoint and not understanding Qi movement. Second, not understanding left-side tonification and right-side sedation, and even less knowing the degrees of depth. Third, not understanding the methods of descending Qi, spitting, and the three lower methods. Sixth, not understanding the abdominal coiling needle method, exclusively using tonification and sedation, causing Qi and Blood to scatter. Seventh, not understanding shifting pain and focusing soreness, nor understanding cooling within heat, warming within cold, taking more cold for excess warmth, and more warmth for excess cold; nor understanding treating the right side for left hemiplegia, the left for the right; nor understanding treating the lower part for upper diseases, and the upper for lower diseases. Eighth, not clarifying the floating, sinking, slow, rapid, tight, and choppy sensations in the needle, not knowing the origin of the patient's illness, nor understanding the breath counts for tonification generating and sedation completing, how can left-side tonification and right-side sedation cure it? One must first examine these eight hand techniques to treat, clarify the contraindications of needling, distinguish the distances of meridians and acupoints, the breath counts of each individual, and the degrees of depth and shallowness; using them will result in no failure to heal. One must not withdraw the needle when tonification or sedation is required, nor apply a uniform approach indiscriminately; the key lies in harmonization. My master understands the true secret formulas of his genuine teacher, and the secret essentials of hand techniques were transmitted personally; errors must not occur.