(针灸大全)
凡欲行针须审穴。要明补泻迎随诀。胸背左右不相同。呼吸阴阳男女别。气刺两乳求太
渊。未
应之时泻列缺列缺头疼及偏正。重泻太渊无不应。耳聋气否听会针。迎香穴泻功如神。谁知
天
突治喉风。虚喘须寻三里中。手连肩脊痛难忍。合谷针时及太冲。曲池两手不如意合谷下针
宜仔细。心疼手颤少海间。若要除根觅阴市。但患伤寒两耳聋。耳门听会疾如风。五般肘痛
寻尺泽。冷渊针后却收功。手足上下针三里。食癖气块凭此取。鸠尾能治五般痫。若下涌泉
人不
死。胃中有积刺璇玑。三里功多人不知。阴陵泉治心胸满。针到承山饮食思。大抒若连长强
寻。
小肠气痛即行针。委中专治腰间痛。脚膝肿时寻至阴。气滞腰疼不能立。横骨大都堪救急。
气海专能治五淋。更针三里随呼吸。睛明治眼未效时。合谷光明安可缺。人中治癫功最高。
水肿水分气海消。冷嗽先宜补合谷。却须针泻三阴交。牙疼腰痛并咽痹。二间阳 疾怎逃。
更有三间肾俞妙。善除肩背浮风劳。若针肩井须三里。不刺之时气未调。最是阳陵泉一穴。
膝
间疼痛用针烧。脚疼膝肿针三里。悬钟二陵三阴交。更向太冲须引气。指头麻木自轻飘。转
筋承山昆仑刺。鱼际目眩立便消。肚疼须是公孙妙。内关相应必然瘳。冷风冷痹疾难愈。环跳
腰(足太阳经八 )针与烧。伤寒二日寻风府。呕吐还须上脘疗。妇人心痛丰隆穴(大成作
心俞) 瘕 癖三里高。小便不禁关元好。大便秘涩大敦烧。髋骨腿疼三里泻。复溜气滞便
离腰。若逢七疝小腹痛。照海阴交曲泉针。仍不应时求气海。关元同泻效如神。小肠气结痛
连脐。速泻阴交莫再迟。良久涌泉针取气。此中玄妙少人知。小儿脱肛患多时。先灸百会次
尾(大成作鸠尾误)久患伤寒肩背痛。但针中渚得其宜。肩上痛连脐不休。手中三里便须求
。下针麻重即须泻。得气之时不用留。咽喉最急先百会。太冲照海及阴交。噎不住时气海灸。
定泻三里一时消。逼针泻气须令吸。若补随呼气自调。
凡是准备施行针刺，必须仔细审查穴位。要明白补法和泻法中“迎随”的诀窍。胸部和背部的取穴左右有所不同。呼吸、阴阳以及男女之间的区别也需辨别清楚。气机阻滞于两乳部位，应寻求太渊穴；若未见效，则泻列缺穴。列缺穴可治疗头痛及偏正头痛。重泻太渊穴，没有不奏效的。耳聋且气机闭塞，针刺听会穴；泻迎香穴，功效如神一般灵验。谁知道天突穴能治疗喉风病？虚性气喘须寻找足三里穴。手臂牵连肩脊疼痛难忍，针刺合谷穴并配合太冲穴。两手活动不利，针刺曲池穴；下针时合谷穴需仔细斟酌。心区疼痛伴手部颤抖，在少海穴间施治；若要除根，需寻找阴市穴。凡是患伤寒导致双耳失聪，取耳门穴和听会穴，疗效疾如风。五种类型的肘部疼痛，寻找尺泽穴；针刺冷渊穴后便能收功。手足上下部位的病症，针刺足三里穴；食积癖块之气，凭此穴即可选取。鸠尾穴能治疗五种痫证；若误向下针刺涌泉穴，人便无法存活（注：此处原文意指涌泉为禁深刺或特定禁忌，或指误治后果，依文意直译）。胃中有积滞，针刺璇玑穴；足三里功效巨大却鲜为人知。阴陵泉穴治疗心胸胀满；针刺到承山穴，食欲便会恢复。大杼穴若与长强穴连用，小肠气痛即刻行针缓解。委中穴专门治疗腰部疼痛；脚膝肿胀时寻找至阴穴。气滞引起的腰痛不能站立，横骨穴和大都穴可以急救。气海穴专门治疗五种淋证；再针刺足三里穴，配合呼吸手法。睛明穴治疗眼病未见效时，合谷穴和光明穴怎可缺少？人中穴治疗癫证功效最高；水肿通过水分穴和气海穴消除。冷嗽先宜补合谷穴；却须针刺泻三阴交穴。牙疼、腰痛并伴有咽痹，二间穴和阳溪穴怎能逃脱（治疗）？更有三间穴和肾俞穴妙用，善于去除肩背部的浮风劳损。若针刺肩井穴，须配合足三里穴；若不刺足三里，气机未能调和。最妙的是阳陵泉这一穴，膝间疼痛可用针烧（温针）治疗。脚疼膝肿针刺足三里；悬钟、二陵（阳陵泉、阴陵泉）、三阴交穴同用。再向太冲穴引导经气，手指头麻木自然轻松飘散。转筋（抽筋）针刺承山穴和昆仑穴；鱼际穴治疗目眩立即消除。肚疼必须是公孙穴妙用；内关穴相应，必然痊愈。冷风冷痹疾病难以痊愈，环跳穴（属足太阳膀胱经八穴之一，此处疑为笔误或特指，环跳属胆经，但依原文保留）针刺并配合温烧。伤寒第二天寻找风府穴；呕吐还需上脘穴治疗。妇人心痛取丰隆穴（《针灸大成》作心俞穴）；瘕癖积聚取足三里穴高位。小便不禁取关元穴好；大便秘涩灸大敦穴。髋骨腿疼泻足三里穴；复溜穴治疗气滞导致的腰离（腰痛）。若逢七疝小腹痛，取照海、阴交、曲泉穴针刺。如果仍不见效，求取气海穴；关元穴一同泻之，效果如神。小肠气结痛连脐部，速泻阴交穴不要再迟。良久之后针刺涌泉穴以取气，其中的玄妙很少有人知道。小儿脱肛患病多时，先灸百会穴，次灸尾骶（《针灸大成》作鸠尾穴，此为误）；久患伤寒肩背痛，只针刺中渚穴得其适宜。肩上疼痛牵连腹部疼痛不止，手中三里穴便须寻求。下针后出现麻重感即须用泻法；得气的时候不用留针。咽喉最紧急的情况先取百会穴；太冲、照海及阴交穴配合使用。噎膈不止时灸气海穴；定泻足三里穴一时消除。逼针泻气须令患者吸气；若用补法，随呼气自调。
(Ancient Text from *Zhenjiu Daquan*)
Whenever one intends to perform acupuncture, one must carefully examine the acupoints. It is essential to understand the techniques of tonification and sedation, specifically the "Ying-Sui" (Following and Opposing) principles. The selection of points on the chest and back differs between the left and right sides. Distinctions must be made regarding respiration, Yin and Yang, as well as gender. For qi stagnation in both breasts, seek the Taiyuan (LU-9) point. If there is no response, sedate the Lieque (LU-7) point. Lieque treats headache and lateral or frontal headaches. Heavily sedating Taiyuan yields effective results without exception. For deafness accompanied by qi obstruction, needle the Tinghui (GB-2) point; sedating the Yingxiang (LI-20) point yields miraculous efficacy. Who knows that the Tiantu (CV-22) point can treat throat wind? For deficiency-type asthma, one must seek the Zusanli (ST-36) point. When arm pain radiates to the shoulder and spine, causing unbearable suffering, needle Hegu (LI-4) combined with Taichong (LR-3). For dysfunction of both hands, needle Quchi (LI-11); when needling Hegu, care must be taken. For heart pain accompanied by hand tremors, treat within Shaohai (HT-3); to eradicate the root cause, seek Yinshi (SP-8). Whenever typhoid fever causes bilateral deafness, use Ear Gate (TE-21) and Tinghui (GB-2), with effects swift as wind. For five types of elbow pain, seek Chize (LU-5); after needling Lengyuan (SI-10), success is achieved. For disorders of the upper and lower limbs, needle Zusanli (ST-36); for food accumulation and qi masses, this point is selected. Jiutui (CV-15) can treat five types of epilepsy; however, needling Yongquan (KI-1) deeply may lead to death (Note: Context implies caution or contraindication). For gastric accumulation, needle Xuanji (CV-15); Zusanli (ST-36) has great merit but is often unknown. Yinlingquan (SP-9) treats chest and abdominal fullness; upon needling Chengshan (BL-57), appetite returns. Connecting Dashu (BL-11) with Changqiang (GV-1), needle immediately for small intestine qi pain. Weizhong (BL-40) specializes in treating waist pain; for swollen feet and knees, seek Zhiyin (BL-67). For waist pain due to qi stagnation preventing standing, Henggu (KI-12) and Dadu (SP-13) can provide emergency relief. Qihai (CV-6) specifically treats five types of strangury; additionally, needle Zusanli (ST-36) coordinated with respiration. When Jingming (BL-1) fails to treat eye diseases, how can Hegu (LI-4) and Guangming (GB-37) be omitted? Renzhong (GV-26) has the highest efficacy in treating epilepsy; edema is resolved through Shuifen (CV-9) and Qihai (CV-6). For cold coughs, first tonify Hegu (LI-4); then sedate Sanyinjiao (SP-6) via needling. For toothache, lower back pain, and pharyngeal obstruction, Erjian (LI-2) and Yangxi (LI-5) cannot escape treatment. Furthermore, Sanjian (LI-3) and Shenshu (BL-23) are excellent for removing floating wind and labor from the shoulder and back. If needling Jianjing (GB-21), one must also use Zusanli (ST-36); otherwise, qi will not be regulated. Most notably, the Yanglingquan (GB-34) point is used for knee pain via needle-moxibustion (burning). For foot pain and knee swelling, needle Zusanli (ST-36); combine Xuanzhong (GB-39), Erling (Yanglingquan GB-34 and Yinlingquan SP-9), and Sanyinjiao (SP-6). Further guide qi to Taichong (LR-3), and numbness in the fingertips will naturally dissipate. For muscle spasms, pierce Chengshan (BL-57) and Kunlun (BL-60); Yuji (LU-10) instantly eliminates dizziness. For abdominal pain, Gongsun (SP-4) is exquisite; Neiguan (PC-6) corresponds and ensures cure. Cold wind and cold bi syndromes are difficult to heal; Huantiao (GB-30) [Text notes: Eight points of Foot-Taiyang Bladder Meridian - likely a textual error in source as Huantiao is Gallbladder] should be needled and burned. For typhoid on the second day, seek Fengfu (GV-16); for vomiting, Shangwan (CV-13) is required. For women's heart pain, use Fenglong (ST-40) [Dacheng text says Xinshu BL-15]; for jia and pi masses, the high position of Zusanli (ST-36) is used. For involuntary urination, Guanyuan (CV-4) is good; for severe constipation, moxa Dajun (LR-14). For hip and leg pain, sedate Zusanli (ST-36); Fuliu (KI-7) treats qi stagnation causing lumbar separation/pain. If encountering seven types of hernia with lower abdominal pain, needle Zhaohai (KI-6), Yinjiao (RN-7), and Ququan (LR-8). If still ineffective, seek Qihai (CV-6); simultaneously sedating Guanyuan (CV-4) yields divine efficacy. Small intestine qi knotting causes pain radiating to the navel; quickly sedate Yinjiao (RN-7) without delay. After some time, needle Yongquan (KI-1) to retrieve qi; the profound mystery here is known by few. For pediatric rectal prolapse persisting for a long time, first moxa Baihui (GV-20), then moxa the tailbone [Dacheng text says Jiutui CV-15, which is an error]. For chronic typhoid with shoulder and back pain, only needle Zhongzhu (TE-3) to achieve appropriateness. For shoulder pain radiating to unceasing abdominal pain, seek Hand-Zusanli (LI-10/extra point context or ST-36 reference). Upon needling, if numbness and heaviness occur, apply sedation immediately; do not retain the needle when Deqi (arrival of qi) is obtained. For most urgent throat conditions, first use Baihui (GV-20); combine with Taichong (LR-3), Zhaohai (KI-6), and Yinjiao (RN-7). For persistent dysphagia, moxa Qihai (CV-6); sedating Zusanli (ST-36) resolves it instantly. To force qi out during sedation, require the patient to inhale; for tonification, follow exhalation to self-regulate.