千金云。欲行针灸。先知行年宜忌。及人神所在。不与禁忌相应即可。故男忌除。女忌
破。
部年人神。有九部旁通人神。有杂忌旁通人神。有血支血忌之类。凡医者不能知此避忌。若
逢病患厄会。男女气怯。下手至困。通人达士。岂拘此哉。若遇卒急暴患。不拘此法。许希
亦云。卒暴之疾。须速灸疗。一日之间。止忌一时是也。千金云。痈疽疔肿喉痹客忤。尤为
急。凡作汤药。不可避凶日。觉病须臾。即宜便治。又曰。凡人卒暴得风。中时气。凡百所
苦。须急救疗。久后皆难愈。此论甚当。夫急难之际。命在须臾。必待吉日后治。已沦于鬼
录。此所以不可拘忌也。惟平居治病于未形。选天德月德等日。服药针灸可也。
千金方云。凡点灸法。坐点穴则坐灸。卧点穴则卧灸。立点穴则立灸。须四体平直。毋
令倾侧。若倾侧穴不正。徒破好肉耳。
明堂云。须得身体平直。毋令蜷缩。坐点毋令俯仰。立点毋令倾侧。
资生云。千金方言。凡灸当先阳后阴。言从头向左而渐下。次从头向右而渐下。先上后
下。
先灸下后灸上。
针经曰。太乙日游。以冬至之日。始居叶蛰之宫。从其宫数所在。日游一处。至九日复
反于
日。编次成图。始自入节得主之日。从其宫至所在之处。首一终九。日徙一宫。至九日复反
于一。周而复始。如是次而行之。计每宫各得五日。九之则一节之日悉备。今予一条次。备
细开具于逐宫之内。使观者临图。即见逐节太乙所直之日在何宫内。乃知人之身体所忌之处
。庶使行针之士。知回避之。俾人无忤犯太乙之凶。乃仆之本意也。
《千金方》说：施行针灸前，必须预先知道当年的宜忌之日，以及“人神”所在的具体位置。只要不与这些禁忌相冲突即可。因此，男子忌讳“除日”，女子忌讳“破日”。
关于“年人神”的推算，有九部旁通的人神，有杂忌旁通的人神，还有血支、血忌等禁忌。大凡医生如果不知道这些避忌之法，一旦遇到病患气运衰败之时，若患者男女体质虚弱，施针时就会感到十分困难。通达事理的人，难道会拘泥于这些禁忌吗？如果遇到突然发生的急症暴病，就不必拘泥于此法。许希也说：“突发的急症，必须迅速进行艾灸治疗。一天之中，只忌讳一个时辰。”《千金方》又说：“痈疽、疔肿、喉痹、客忤等病症，尤为紧急。凡是配制汤药，不可避开凶日。感觉生病后片刻之间，就应当立即治疗。”又说：“凡人突然中风或感受时行邪气，无论有什么痛苦，都必须急救治疗。拖延久了都难以痊愈。”这种论述非常恰当。在危急关头，生命只在顷刻之间，如果一定要等待吉日再治疗，病人恐怕早已死亡。这就是为什么不可以拘泥于禁忌的原因。只有在平时未发病时治病，或者选择天德、月德等吉日，服用药物或进行针灸才是合适的。
《千金方》说：凡是施灸的方法，坐位点穴就要坐着灸，卧位点穴就要躺着灸，立位点穴就要站着灸。必须使四肢身体保持平直，不要让它倾斜偏侧。如果身体倾斜偏侧，穴位就不准确，只是白白地损伤好肉罢了。
《明堂经》说：必须使身体保持平直，不要蜷缩。坐位点穴不要低头仰头，立位点穴不要倾斜偏侧。
《资生经》引用《千金方》的话说：凡是施灸，应当先阳后阴。意思是先从头部向左逐渐向下灸，接着从头部向右逐渐向下灸；先灸上部，后灸下部。
《针经》说：太乙日游的规律是，以冬至这一天开始，太乙神居于叶蛰宫。按照该宫的序数所在，太乙神每天移动一个宫位，到第九天又返回到起始的宫位。将其编次绘制成图，从进入节气且由太乙主事的那一天开始，从该宫到所在的位置，序号从一到九，每天迁移一个宫位，到第九天又返回到一号宫位，循环往复。像这样依次运行，计算每个宫位各得五日，九个宫位共四十五日，一个节气的日子就全部具备了。现在我逐一列出，详细开列在每个宫位之内，使观看者面对图表，就能立刻看到每个节气太乙所值的日子在哪个宫内，从而知道人体所忌讳的部位，以便从事针灸的人知道回避，使人们不触犯太乙的凶煞，这是我的本意。
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) states: Before performing acupuncture and moxibustion, one must first know the auspicious and inauspicious days of the current year, as well as the location of the *Renshen* (Human Spirit). As long as these do not conflict with the taboos, it is acceptable. Therefore, men should avoid "Chu" days (Days of Removal), and women should avoid "Po" days (Days of Destruction).
Regarding the calculation of the annual *Renshen*, there are nine-part side-passing *Renshen*, miscellaneous taboo side-passing *Renshen*, and other taboos such as *Xuezhi* (Blood Branch) and *Xueji* (Blood Taboo). Generally, if physicians do not know these avoidance rules, when encountering patients at a juncture of bad luck or misfortune, especially if the male or female patient has weak Qi, the treatment will be difficult to perform effectively. How could enlightened scholars be bound by such taboos? If sudden acute diseases occur, one need not adhere to this method. Xu Xi also stated: "For sudden acute illnesses, moxibustion therapy must be administered quickly. Within a day, only one specific time period is taboo." *Qianjin Fang* further states: "For conditions such as carbuncles, sores, furuncles, throat obstruction, and external shock, urgency is particularly critical. When preparing herbal decoctions, one must not avoid inauspicious days. Upon feeling the onset of illness, even for a moment, immediate treatment should be initiated." It also says: "When people suddenly contract wind pathogens or seasonal epidemic Qi, regardless of their suffering, emergency treatment is required. Delayed treatment becomes difficult to cure later." This argument is very appropriate. In times of crisis, life hangs in the balance; if one waits for an auspicious day to treat, the patient may have already died. This is why one cannot rigidly adhere to taboos. However, when treating latent diseases before they manifest, or selecting auspicious days such as those governed by Tiande (Heavenly Virtue) and Yuede (Monthly Virtue), taking medicine or undergoing acupuncture and moxibustion is permissible.
*Qianjin Fang* states: Regarding the method of point selection and moxibustion, if points are selected while sitting, moxibustion should be performed while sitting; if selected while lying down, moxibustion should be performed while lying down; if selected while standing, moxibustion should be performed while standing. The limbs and body must remain straight and level, without tilting. If the body tilts, the acupoints will not be accurate, resulting in merely damaging healthy flesh in vain.
*Mingtang Jing* (Classic of the Bright Hall) states: The body must be kept straight and not curled up. When selecting points while sitting, one must not bow forward or look up; when selecting points while standing, one must not tilt sideways.
*Zisheng Jing* (Auspicious Life Classic) cites *Qianjin Fang*: "Generally, moxibustion should follow Yang first and Yin second. This means starting from the head, moving leftward and gradually downward, then from the head, moving rightward and gradually downward; treating the upper part first and the lower part later."
*Zhenjing* (Classic of Acupuncture) states: The rule for the daily movement of Taiyi (Great One) is that on the day of the Winter Solstice, Taiyi resides in the Yezhe Palace. Following the numerical sequence of the palaces, Taiyi moves to one palace per day, returning to the starting palace on the ninth day. These are compiled into charts, starting from the day a solar term begins and Taiyi takes charge. From the initial palace to its destination, the sequence goes from one to nine, shifting one palace daily, and returning to one on the ninth day, cycling continuously. Proceeding in this manner, each palace corresponds to five days. Multiplying by nine covers all days of a solar term. I now list them sequentially, detailing them within each respective palace, so that viewers consulting the chart can immediately see which palace Taiyi occupies on the day corresponding to each solar term. Thus, they will know the areas of the human body to avoid, enabling practitioners of acupuncture to observe these precautions, thereby preventing people from offending the inauspicious influence of Taiyi. This is my original intention.