先师秘传神应经。太乙通玄法最灵。句句言辞多典妙。万两黄金学也轻。每每不忘多效
验。
虚则宜补实宜泻。气应真时病绝根。气至如摆独龙尾。未至停针宜待气。凡用行针先得诀。
席弘玄妙分明说。气刺两乳求太渊。未应之时列缺针。列缺头疼及偏正。重泻太渊无不应。
耳聋气闭翳风穴。喘绵绵寻三里中。手挛脚背疼难忍。合骨仍须泻太冲。曲池主手不如意。
合谷针时宜仔细。心疼手颤少海间。欲要除根针阴市。若是伤寒两耳聋。耳门听会疾如风。
五般肘疼针尺泽。冷渊一刺有神功。手三里兮足三里。食痞气块兼能治。鸠尾独治五般痫。
若刺涌泉人不死。大凡 痞最宜针。穴法从来着意寻。以手按 无转动。随深随浅向中心。
胃中有积取璇玑。三里功深人不知。阴陵泉主胸中满。若刺承山饮食宜。大权若连长强取。
小肠气疼立可愈。气冲妙手要推寻。管取神针人见许。委中穴主腰疼痛。足膝肿时寻至阴。
干湿风毒并滞气。玄机如此更尤深。气攻腰痛不能立。横骨大都宜救急。流血攻注解若迟。
变为风证从此得。气海偏能治五淋。若补三里效如神。冷热两般皆治得。便浊痼疾可除根。
期门穴主伤寒患。七日过经尤未汗。但于乳下双肋间。刺入四分人力健。耳内蝉鸣腰欲折。
膝下分明三里穴。若能补泻五会中。切莫逢人容易说。牙风头痛孰能调。二间妙穴莫能逃。
更有三间神妙穴。若治肩背感风劳。合谷下针顺流注。脾内随针使气朝。冷病还须针合谷。
只宜脚下泻阴交。背脊俱疼针肩井。不泻三里令人闷。两臂并胛俱疼痛。金针一刺如圣神。
脚膝疼痛委中宜。更兼挛急锋针施。阴陵泉穴如寻得。轻行健步疾如飞。腰腹胀满治何难。
三里 肚针承山。更向太冲行补泻。指头麻木一时安。头痛转筋鱼腹肚。又治背疽及便毒。
再有妙穴阳陵泉。腿转筋急如神取。肠中疼痛阴陵沃。耳内蝉鸣听会招。更寻妙穴太 是。
医门行泻实为高。浮沉腹胀水分泻。气喘息粗泻三里。更于膝中阴谷针。小便淋漓皆消尽。
环跳能除腿股风。冷风膝痹疟疾同。最好风池寻的穴。间使双刺有神功。伤寒一日调风府。
少阳二穴风池取。三五七日病过经。根据此针之无不应。心疼呕吐上脘宜。丰隆两穴更无疑。
蛔虫并出伤寒病。金针宜刺显明医。男子 癖取少商。女人血气阴交当。虚盗二汗须宜补。
委中妙穴可传扬。项强肿痛屈伸难。更兼体重腰背瘫。宜向束骨三里取。教君顷刻便开颜。
闪挫脊膂腰难转。举步多难行重蹇。遍体游气生虚浮。复溜一刺人健羡。久患腰痛背胛劳。
但寻中注穴中调。行针用心须寻觅。管取从今见识高。腰背连脐痛不休。手中三里穴堪求。
神针未出急须泻。得气之时不用留。小腹便 最难医。气海中极间使宜。三里更须明补泻。
下针断不失毫厘。
上天元太乙歌。 仙所撰。今自神应经表录于此。
先师秘传的《神应经》，太乙通玄的针法最为灵验。书中的言辞句句经典精妙，即使花费万两黄金去学习也显得轻贱。每每回想这些内容，都记得非常牢固且多有实效。
虚证适宜用补法，实证适宜用泻法。当气机感应真实到来时，疾病就能断绝病根。气至的感觉就像摆动龙的尾巴一样（指得气时的脉动或针感）。如果气尚未到达，应当停止行针，等待气至。凡是运用行针手法，必须先掌握诀窍。
席弘对玄妙的针法说得十分明白：气滞刺痛在两乳之间，要取太渊穴；如果针后未见效，再针刺列缺穴。列缺穴主治头痛及偏正头痛；重泻太渊穴没有不奏效的。耳聋因气闭所致，取翳风穴；气喘绵绵不绝，寻找足三里穴。手臂拘挛、脚背疼痛难忍，合骨穴（即后溪穴）仍需泻太冲穴。曲池穴主治手部活动不利；针刺合谷穴时要仔细操作。心痛伴手颤，取少海穴；想要除根，针刺阴市穴。如果是伤寒引起的双耳耳聋，取耳门、听会穴，疗效疾如风。五种肘部疼痛，针刺尺泽穴；冷渊穴一刺就有神效。手三里和足三里，能治疗食积痞块和气结肿块。鸠尾穴单独治疗五种痫证；如果针刺涌泉穴，人就不会死。大凡痞证最适合针刺。取穴方法向来需要用心寻找。用手按压穴位处无转动感，根据深浅向中心进针。胃中有积滞，取璇玑穴；足三里的功效深厚却鲜为人知。阴陵泉穴主治胸中胀满；如果针刺承山穴，饮食就会适宜（指促进消化）。大肠气痛连及长强穴，小肠气疼痛立刻可以痊愈。气冲穴需要巧妙的手法去推寻，保证神针能让人们赞许。委中穴主治腰部疼痛；足膝肿胀时寻找至阴穴。干湿风毒以及滞气，其中的玄机如此更加深远。气攻腰痛导致不能站立，横骨、大都穴适宜急救。流血攻注（指血瘀或出血性疾病），注解若迟缓，就会转变为风证而由此产生。气海穴偏能治疗五淋；如果补益足三里，效果如神。冷热两种情况都能治疗，便浊等顽固疾病可以除根。期门穴主治伤寒患病；七日过后，邪气已传变经络但仍未发汗。只要在乳头下方的双肋间，刺入四分深，人力强健（指正气恢复）。耳朵内蝉鸣、腰欲折断，膝下分明是三里穴。如果能进行补泻五会穴（此处疑为笔误或特指某穴，结合上下文可能指特定部位或泛指头部穴位，原文作“五会”，暂译作Wuhui acupoints），千万不要轻易对人说起。牙风头痛谁能调理？二间穴妙处不能逃脱。更有三间穴神妙，如果治疗肩背感受风邪劳损。合谷下针顺应气血流注方向，脾经随针使气朝聚。冷病还需要针刺合谷；只适宜在脚下泻阴交穴。背脊全部疼痛，针刺肩井穴；不泻足三里令人胸闷。两臂并肩胛俱疼痛，金针一刺如同神圣。脚膝疼痛适宜委中穴；更兼拘急，使用锋针施治。如果找到阴陵泉穴，轻快健步疾如飞。腰腹胀满治疗有什么困难？三里、肚脐旁针刺承山。再向太冲穴行补泻，手指头麻木一时安宁。头痛转筋、鱼腹肚（小腿腓肠肌部位），又治疗背疽及便毒。再有妙穴阳陵泉，腿转筋急如神取。肠中疼痛阴陵泉滋润。耳内蝉鸣听会穴招引。再寻找妙穴太...（原文此处有缺字，推测为太溪或类似穴位，依原文保留空缺或意译为Tai... acupoint），医门行泻实为高。浮沉腹胀泻水分穴；气喘息粗泻三里穴；再于膝中阴谷穴针刺，小便淋漓皆消尽。环跳穴能去除腿股风；冷风膝痹疟疾同治。最好风池穴寻准位置，间使双刺有神功。伤寒一日调风府穴；少阳病二日取风池穴。三五七日病过经络，根据此法针刺无不奏效。心疼呕吐上脘穴适宜；丰隆两穴更无疑。蛔虫并出伤寒病，金针宜刺显明医。男子癖块取少商穴；女人血气病阴交穴恰当。虚盗二汗须宜补法；委中妙穴可传扬。项强肿痛屈伸困难，更兼体重腰背瘫软。宜向束骨、三里穴取，教君顷刻便开颜。闪挫脊膂腰难转，举步多难行重蹇（行走艰难）。遍体游气生虚浮，复溜穴一刺人健羡。久患腰痛背胛劳，但寻中注穴中调。行针用心须寻觅，保证从今见识高。腰背连脐痛不休，手中三里穴堪求。神针未出急须泻，得气之时不用留。小腹便...（原文此处有缺字，推测为便秘或便溏）最难医，气海、中极、间使适宜。三里更须明补泻，下针断不失毫厘。
上天元太乙歌，由仙人所撰。现在从《神应经》中摘录于此。
The Divine Response Classic (Shenying Jing) was secretly transmitted by my former master. The Taiyi Tongxuan acupuncture method is the most efficacious. Every word in it is elegant and profound; learning it would make even ten thousand taels of gold seem light (implying the value of knowledge or the difficulty of mastery). I never forget its many verified effects.
Deficiency syndromes are suitable for tonification, while excess syndromes are suitable for sedation. When the Qi sensation is authentic, the root of the disease is severed. The arrival of Qi feels like the tail of a swinging dragon (describing a strong pulse or needle sensation); if Qi has not arrived, stop manipulating the needle and wait for Qi. Whenever using needle manipulation, one must first grasp the key principles.
Xi Hong explained the mysteries clearly: For Qi stagnation piercing the chest and breasts, seek the Taiyuan (LU-9) point. If the sensation does not arrive, needle the Lieque (LU-7) point. Lieque treats headache and hemi-cephalgia (one-sided or bilateral headache); heavily sedating Taiyuan yields no failure. For deafness due to Qi blockage, use the Yifeng (TE-17) point. For continuous wheezing, seek the Zusanli (ST-36) point. For hand spasm and unbearable dorsal foot pain, Hegu (LI-4) still requires sedating Taichong (LR-3). Quchi (LI-11) governs arm dysfunction. Needling Hegu requires careful operation. For heartache with hand tremors, take Shaohai (HT-3). To eradicate the root, needle Yinshi (ST-33). If deafness in both ears is caused by Cold Damage (Shanghan), Ear Gate (TE-21) and Hearing Meeting (GB-2) act swiftly like wind. For five types of elbow pain, needle Chize (LU-5). A single insertion into Lengyuan (SI-10) yields miraculous results. Shousanli (LI-10) and Zusanli (ST-36) can treat food stagnation masses and Qi-stagnation lumps. Jiutui (CV-15) alone treats five types of epilepsy. If Yongquan (KI-1) is needled, the person will not die. Generally, masses (Pi) are best treated with acupuncture. Acupoint selection always requires attentive searching. Press the mass with your hand; if there is no movement, needle towards the center at varying depths. For gastric accumulation, take Xuanji (CV-15). The profound efficacy of Zusanli (ST-36) is unknown to many. Yinlingquan (SP-9) governs chest fullness; needling Chengshan (BL-57) relates to dietary appropriateness (or improves diet-related symptoms). Using Daquan (BL-48) combined with Changqiang (GV-1) cures intestinal Qi pain instantly. Qichong (ST-30) requires skillful manipulation; surely the divine needle will be praised by people. Weizhong (BL-40) governs waist pain; when feet and knees swell, seek Zhiyin (BL-67). Dryness, dampness, wind-toxin, and stagnant Qi have such profound mysteries. For Qi-attacking waist pain preventing standing, Henggu (KI-12) and Dadu (SP-13) are suitable for emergency rescue. For bleeding attacks (blood stasis or hemorrhagic conditions), if interpretation is delayed, it may transform into Wind syndromes. Qihai (CV-6) specifically treats the Five Lin syndromes (five types of dysuria); tonifying Zusanli (ST-36) is as effective as a god. It treats both cold and heat conditions, eradicating stubborn turbid discharge diseases. Qimen (LR-14) governs Cold Damage cases; after seven days, if meridians have transferred and sweating has not occurred, only between the double ribs below the nipple, insert four fen deep; those with strong constitution find it easy. For cicada-like ringing in ears and waist feeling like breaking, the point clearly below the knee is Zusanli (ST-36). If you can tonify and sedate within Wuhui (CV-13), do not easily tell others. Who can regulate tooth-wind headache? Erjian (LI-2) cannot escape. Furthermore, Sanjian (LI-3) is a miraculous point; if treating shoulder and back wind-labor, inserting Hegu (LI-4) follows the flow of Qi circulation, guiding Qi to the Spleen meridian. For cold diseases, Hegu (LI-4) is still needed; only sedate Yinjiao (SP-6) on the foot. For whole back and spine pain, needle Jianjing (GB-21); failing to sedate Zusanli (ST-36) causes chest stuffiness. For pain in both arms and scapulae, one golden needle insertion is like a sage. For foot and knee pain, Weizhong (BL-40) is suitable; for accompanying spasms, apply the Fengzhen (sharp needle). If Yinlingquan (SP-9) is found, walking lightly and briskly becomes swift as flying. How difficult is it to treat waist and abdominal fullness? Needle Zusanli (ST-36), near the navel, and Chengshan (BL-57). Further perform tonification and sedation on Taichong (LR-3); finger numbness is relieved instantly. Headache with tendon spasm in the calf belly (gastrocnemius) also treats back carbuncles and groin abscesses. Another miraculous point is Yanglingquan (GB-34); for leg tendon spasms, it works miraculously. Intestinal pain is irrigated by Yinlingquan (SP-9); ear ringing is summoned by Tinghui (GB-2). Seek the miraculous point Taixi (KI-3); in medical practice, sedating excess is superior. For floating and sinking abdominal distension, seduate Shuifen (CV-9). For rapid breathing and coarse breath, sedate Zusanli (ST-36). Further needle Yinval (KI-10) in the knee; dribbling urination disappears completely. Huantiao (GB-30) removes thigh and leg wind; cold wind knee bi syndrome and malaria are similar. The best point to find accurately is Fengchi (GB-20); bilateral needling of Jianshi (PC-5) has divine power. For Cold Damage on day one, regulate Fengfu (GV-16). For Shaoyang on day two, take Fengchi (GB-20). On days three, five, or seven, if the disease has passed through meridians, following this acupuncture method ensures no failure. For heartache and vomiting, Shangwan (CV-13) is suitable; Fenglong (ST-40) points leave no doubt. Roundworms emerging from Cold Damage; golden needles should be used to reveal the clear doctor. For men's lateral masses (Pipi), take Shaoshang (LU-11); for women's blood and Qi disorders, Yinjiao (SP-6) is appropriate. For deficiency and night sweats, tonification is necessary; Weizhong (BL-40) is a miraculous point worth spreading. For stiff neck, swelling, pain, and difficulty bending/extending, accompanied by heavy body and waist-back paralysis, take Shugu (BL-65) and Zusanli (ST-36); teach you to smile instantly. For sprain and contusion of the spine making waist rotation difficult, and walking hard with heavy gait; wandering Qi throughout the body causing void floating, a single insertion into Fuliu (KI-7) makes people envious. For long-term waist pain and back labor, simply seek Zhongzhu (GB-25) for regulation. Use care when manipulating the needle; surely your insight will be high from now on. For unceasing waist and back pain connected to the navel, Shousanli (LI-10) in the hand is worthy of seeking. Before the divine needle comes out, urgently sedate; when Qi arrives, do not retain. Lower abdominal hardness is hardest to cure; Qihai (CV-6), Zhongji (CV-3), and Jianshi (PC-5) are suitable. Zusanli (ST-36) further requires clear tonification and sedation; needle insertion must not miss by a hair's breadth.
The Shangtian Yuanshi Taiyi Song was composed by an Immortal. It is now recorded here from the Shenying Jing.