禁针穴道要先明。脑户囟会及神庭。络却玉枕角孙穴。颅HT 承泣随承灵。神道灵台膻中忌
。水
妇不宜针合谷。三阴交内亦通论。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。肩井深时人闷倒。三里急补人还平。
禁灸之穴四十五。承光哑门及风府。天柱素 临泣上。睛明攒竹迎香数。和 颧 丝竹
空。
经渠天府及中冲。阳关阳池地五会。隐白漏谷阴陵泉。伏兔髀关委中穴。殷门申脉承扶忌。
或针风。先向风门气海中。或针水。水分夹脐脐边取。或针结。针着大肠泻水穴。或针
劳。
须用灸。或针痰。先针中脘三里间。或针吐。中脘气海膻中补。翻胃吐食一般针。针中有妙
少人知。
行针补泻分寒热。泻寒补热须分别。捻针向外泻之方。捻针向内补之诀。泻左须将大指
前。
补泻又要识迎随。随则为补迎为泄。古人补泻左右分。今人乃为男女别。男女经脉一般生。
昼夜循环无暂歇。两手阳经上走头。阴经胸走手指辍。两足阳经头走足。阴经足走腹中结。
随则针头随经行。迎则针头迎经夺。更有补泻定呼吸。吸泻呼补真奇绝。补则呼出却入针。
要知针用三飞法。气至出针吸气入。疾而一退急扪穴。泻则吸气方入针。要知阻气通身达。
气至出针呼气出。徐而三退穴开禁。莫向人前容易说。
禁针的穴位首先要明确。包括脑户、囟会以及神庭穴。还有络却、玉枕和角孙穴。颅息、承泣跟随承灵穴（均不宜深刺或禁针）。神道、灵台、膻中穴忌讳针刺。妇女不宜针刺合谷穴。三阴交穴在通经活络方面也有普遍的说法（孕妇慎用）。石门穴针灸应当忌讳，女子若施针会导致终身无法怀孕。此外还有云门穴和鸠尾穴。缺盆穴和客主人穴不可深刺。肩井穴如果针刺过深，人会昏倒。足三里穴急需补法时，人才能恢复平稳。
禁止艾灸的穴位有四十五个。包括承光、哑门以及风府穴。天柱、素髎、足临泣穴在上部。睛明、攒竹、迎香穴数量较多（均需慎灸）。禾髎、颧髎、丝竹空穴等。经渠、天府以及中冲穴。阳关、阳池、地五会穴。隐白、漏谷、阴陵泉穴。伏兔、髀关、委中穴。殷门、申脉、承扶穴忌讳艾灸。
如果要针刺治疗风邪，先取风门穴和气海穴。如果要针刺治疗水液代谢障碍，取水分穴，位于脐旁。如果要针刺治疗气结阻滞，针刺大肠募穴天枢以泻水湿。如果要针刺治疗虚劳，必须使用艾灸。如果要针刺治疗痰证，先针刺中脘穴和三里穴之间。如果要针刺治疗呕吐，对中脘、气海、膻中穴采用补法。翻胃吐食的症状采用同样的针刺方法。针刺中有奥妙之处，很少人知道。
行针时的补泻要区分寒热。治疗寒证用泻法，治疗热证用补法，必须分别清楚。捻转针柄向外是泻法的方法。捻转针柄向内是补法的诀窍。向左捻针（逆时针）须将大拇指向前推。补泻又要识别迎随手法。顺着经脉走向为补，逆着经脉走向为泄。古人补泻分左右手操作，今人则根据男女区别对待。其实男女的经脉生成是一样的，昼夜循环没有片刻停歇。两手的阳经向上走到头部，阴经从胸部走向手指末端。两足的阳经从头部走向足部，阴经从足部走向腹部汇聚。顺着则为针尖随着经脉气血运行方向进针。迎着则为针尖逆着经脉气血运行方向以夺其邪气。更有通过呼吸定补泻的方法，吸气时泻，呼气时补，真是奇妙绝伦。补法是在呼气时出针，吸气时入针。要知道“三飞”针法，气至后出针，吸气时入针，快速退针并急按针孔。泻法是在吸气时方入针。要知道阻遏正气使邪气通达全身。气至后出针在呼气时进行，缓慢分三次退针，开大针孔不禁闭。这种秘密不要在人前轻易说出口。
The acupoints contraindicated for needling must be clearly understood first. These include Naohu (GV17), Xinhui (GV22), and Shenting (GV24). Also Luoque (BL8), Yuzhen (BL9), and Jiaosun (TE6). Luxi (TE5), Chengqi (ST1), and Chengling (GB15) [are also to be avoided or treated with caution]. Shendao (GV11), Lingtai (GV10), and Danzhong (CV17) are taboo for needling. Women should not be needled at Hegu (LI4). Sanyinjiao (SP6) is also generally discussed [with caution in pregnancy]. Shimai (CV5) must be avoided for both needling and moxibustion; if needled, women will be unable to conceive for life. Additionally, Yunmen (LU2) and Jiutui (CV15) [are contraindicated]. Qufen (SI19) and Keyuren (ST7) must not be needled deeply. If Jianjing (GB21) is needled too deeply, the person may faint. Zusanli (ST36) requires urgent tonification to restore stability.
There are forty-five acupoints contraindicated for moxibustion. These include Chengguang (BL7), Yamen (GV15), and Fengfu (GV16). Tianzhu (BL10), Suliao (DU26), and Zulinqi (GB41) are located superiorly. Jingming (BL1), Cuanzhu (BL2), and Yingxiang (LI20) are numerous [requiring caution]. He liao (SI19), Quanliao (SI18), and Sizhukong (TE23) [are also included]. Jingqu (LU8), Tianfu (LU3), and Zhongchong (PC9). Yangguan (GV3), Yangchi (TE4), and Diwuhui (GB29). Yinbai (SP1), Lougu (SP9), and Yinlingquan (SP9). Futu (ST32), Biguan (ST31), and Weizhong (BL40). Yinmen (BL37), Shenmai (BL62), and Chengfu (BL36) are taboo for moxibustion.
If one needs to needle for Wind syndrome, first select Fengmen (BL12) and Qihai (CV6). If one needs to needle for Water retention disorders, select Shuifen (CV9), located beside the umbilicus. If one needs to needle for Qi stagnation/knots, needle Tianshu (ST25), the Front-Mu point of the Large Intestine, to drain dampness/water. If one needs to needle for Deficiency-Lao (consumptive disease), moxibustion must be used. If one needs to needle for Phlegm syndrome, first needle between Zhongwan (CV12) and Zusanli (ST36). If one needs to needle for Vomiting, apply tonification to Zhongwan (CV12), Qihai (CV6), and Danzhong (CV17). Fanwei (regurgitation/vomiting) and food vomiting are treated with the same needling method. There are profound secrets in needling that few people know.
When performing needling, tonification and sedation must distinguish between Cold and Heat. To treat Cold, use sedation; to treat Heat, use tonification; these must be distinguished clearly. Rotating the needle handle outward is the method for sedation. Rotating the needle handle inward is the secret for tonification. For left-sided manipulation, pushing the thumb forward [counter-clockwise] constitutes sedation. One must also understand the Ying-Sui (Following and Opposing) techniques. Following the meridian flow is tonification; opposing it is sedation. Ancients divided tonification and sedation by left and right hand operations; modern practitioners differentiate by gender. However, the meridians of men and women are generated similarly, circulating day and night without pause. The Yang meridians of the hands ascend to the head; the Yin meridians descend from the chest to the fingertips. The Yang meridians of the feet descend from the head to the feet; the Yin meridians ascend from the feet to the abdomen where they converge. "Sui" means the needle tip follows the direction of the meridian's Qi flow. "Ying" means the needle tip opposes the meridian's flow to seize/drive out pathogenic factors. Furthermore, there is a method of determining tonification and sedation by respiration: sedation during inhalation, tonification during exhalation, which is truly extraordinary. For tonification, withdraw the needle during exhalation and insert during inhalation. One must know the "San Fei" (Three Flights) technique: when Qi arrives, withdraw the needle; insert during inhalation; withdraw rapidly and press the acupoint immediately. For sedation, insert the needle only during inhalation. One must understand how to block healthy Qi to allow pathogenic Qi to reach the whole body. When Qi arrives, withdraw the needle during exhalation; withdraw slowly in three stages, leaving the acupoint open without closing it. Do not easily reveal this secret to others.