昔者黄帝同岐伯少俞等六臣互相讨论开医学之源传灵枢素问即内经也灵枢所论者营卫血
气之
阳寒暑之推迁饮食居处之得失五运生制之胜复六气时序之逆顺察其脉色以明病所由生也然考
其治病针灸最详自仲景圣着伤寒方论针灸亦有不可阙者如刺风池风府期门灸少阴厥阴之类嗣
后名家踵起方书益盛而针灸亦兼及焉今医独事方药视针灸为小技而忽诸则灵素书虽存而知刺
法者鲜矣(学川)不揣孤陋较灵素甲乙经穴之异同参伤寒杂病方书之辨论编为针灸逢源六卷所
集灵素特揭经脉刺法诸篇以补医林传诵所阙其脏象脉要疾病诸论无针灸者置之弗录盖欲以别
集合而读之也第学人检钞不便兹复采录灵素四十余篇并载集中大要与汪认庵类纂略同而注稍
详今并授诸剞劂略述原委千卷端重望世之高明诲余不逮云尔。
道光壬午春闰三月李学川三源氏题于棣华草堂
一灵枢素问论脏腑经络表里相应详列 穴针法开医道之原第全经浩繁近有素灵类纂医经
等读本皆删就简要兹集灵素经文揭针灸之要以便读者而注解从王氏马氏吴氏及张景岳类经参较而约取之。
一明堂针灸图三卷论人身 穴及灼灸禁忌传自黄帝之书至宋仁宗诏王维德考订针灸之法铸铜
人为式分十二经主治有铜人针灸图三卷王叔雅资生经取三百六十穴背面颠末行分类别以穴属
病并千金外台之法合而为一滑伯仁十四经发挥详具开阖流注交别之要通考六百五十有七穴
今较正十二经左右六百一十八穴任督二脉五十二穴共计六百七十穴凡穴名三百六十有一又奇
九十六穴凡穴名三十有五。
一针灸大成刻本其辞繁杂法有舛误学人难为考据兹集首录灵素兼采诸家较正铜人经穴参
详论证治法编次为六卷较诸针灸大成略同而异。
一小儿体脆神怯肠胃柔弱针灸未可遽试汤液或不能投故赘推拿一法以资所不逮。
一兹集针灸证治悉本前书录就简要参合指归以期临症无误病情无乖古法集中节目章句不
尽详书名姓氏者省文也间有附意处用按字别之第识见浅陋惟。
高明正教之
邓尉山人李学川识
【序言】
从前,黄帝与岐伯、少俞等六位臣子互相讨论,开启了医学的源头。《灵枢》和《素问》,就是《内经》。《灵枢》所论述的,是营卫气血的运行,寒暑气候的推移变化,饮食起居的得失利弊,五运六气生克制化的胜复规律,以及六气时序的逆顺变化;通过观察脉象和面色,来明确疾病产生的原因。然而考察其治疗疾病的方法,针灸最为详尽。自从张仲景撰写了《伤寒论》及方论之后,针灸也是不可缺少的内容,例如针刺风池、风府、期门穴,艾灸少阴经、厥阴经穴位之类。此后名医相继涌现,医书日益兴盛,针灸也兼收并蓄其中。现在的医生只专注于方药,视针灸为小技而忽视它,那么虽然《灵枢》《素问》之书尚存,但懂得刺法的人就很少了。(我)李学川不顾自己学识浅陋,比较《灵枢》《素问》与《甲乙经》中穴位的异同,参考《伤寒杂病论》及各方书的辨论,编纂成《针灸逢源》六卷。书中特别摘取《灵枢》《素问》中关于经脉和刺法的篇章,以补充医学界流传中的缺失。至于脏腑象数、脉诊要领、疾病理论等没有涉及针灸的内容,则不予收录,目的是为了让读者能专门集合阅读针灸部分。只是考虑到初学者查阅抄录不便,这次又采录了《灵枢》《素问》四十多篇,并载入其中的要点,这与汪讱庵的《类纂》大致相同,但注释稍详细些。现在一并交付刻印,略述编写原委,希望世上的高明之士能教导我的不足之处。
道光壬午年(1822年)春闰三月,李学川三源氏题写于棣华草堂。
【凡例】
一、《灵枢》《素问》论述脏腑经络表里相应关系,详细列出穴位和针法,开启了医道的源头。但全书浩繁,近期有《素灵类纂》《医经》等读本都已删减变得简要。本集摘录《灵枢》《素问》经文,揭示针灸的要领,以便读者阅读;注解参照王冰、马莳、吴崑及张景岳《类经》等进行比较后简约选取。
二、《明堂针灸图》三卷,论述人身穴位及灼灸禁忌,传承自黄帝的著作。到了宋仁宗时期,下诏让王维德考订针灸之法,铸造铜人作为标准模型,分为十二经主治,有《铜人针灸图》三卷。王叔雅《资生经》选取三百六十个穴位,按背面从头到尾进行分类,将穴位归属于病症,并结合《千金方》《外台秘要》的方法合为一编。滑伯仁《十四经发挥》详细具备开阖流注交会别络的要旨,通考六百五十七个穴位。现在校正十二经左右共六百一十八个穴位,任脉、督脉共五十二个穴位,共计六百七十穴。其中正经穴位名三百零一个,奇经穴位九十六个,穴名三十五个。
三、《针灸大成》刻本文字繁杂,方法有误,初学者难以考证依据。本集首先收录《灵枢》《素问》,兼采各家学说,校正铜人经穴,参考论证治疗方法,编排为六卷,与《针灸大成》大致相同但有差异。
四、小儿身体脆嫩,神气怯弱,肠胃柔弱,针灸不可以轻易尝试;汤药有时也不能投服,所以增加推拿一种方法,以弥补不足。
五、本集针灸证治完全依据前代书籍,摘录变得简要,参考合并指归,以期临症无误,病情不违背古法。集中章节句子不尽详细,省略书名姓氏的是为了精简文字。间或有附带的见解处,用“按”字加以区别。只是见识浅陋,惟望高明之士指正教导。
邓尉山人李学川识
[Preface]
In ancient times, the Yellow Emperor (Huangdi) and his ministers Qibo, Shaoyu, and four others engaged in mutual discussion, thereby initiating the source of medicine. The *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions) constitute the *Nei Jing* (Inner Canon). The *Ling Shu* discusses the circulation of Ying (Nutritive) and Wei (Defensive) Qi and Blood, the shifting of cold and heat seasons, the gains and losses in diet and lifestyle, the winning and losing cycles of the Five Movements (Wu Yun) and Six Qi (Liu Qi), and the compliance or deviation of the six climatic factors according to their seasonal order; by observing pulse and complexion, it clarifies the origin of diseases. However, examining its therapeutic methods, acupuncture and moxibustion are described most extensively. Since Zhang Zhongjing authored the *Shang Han Lun* (Treatise on Cold Damage) and related formulas, acupuncture remained indispensable, such as needling Fengchi (GB20), Fengfu (GV16), and Qimen (LR14), and moxibustion on the Shaoyin and Jueyin meridians. Subsequently, renowned physicians emerged one after another, medical texts flourished, and acupuncture was incorporated therein. Modern physicians focus solely on herbal decoctions, regarding acupuncture and moxibustion as minor skills and neglecting them; thus, although the books of *Ling Shu* and *Su Wen* survive, few know the needling techniques. I, Li Xuechuan, disregarding my own ignorance, compared the similarities and differences of acupoints in the *Ling Shu*, *Su Wen*, and *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion), and referenced discussions from the *Shang Han Za Bing Fang Shu* (Treatise on Cold Damage and Miscellaneous Diseases) and other formula texts, compiling them into six volumes of *Zhen Jiu Feng Yuan* (Source of Acupuncture and Moxibustion). This work specifically highlights chapters on meridians and needling methods from the *Ling Shu* and *Su Wen* to fill gaps in medical transmission. Discussions on Zang-Fu organ manifestations, essential pulse diagnosis, and disease theories that do not involve acupuncture are excluded, aiming to facilitate focused reading on acupuncture. Considering the inconvenience for students in checking and copying, this edition also extracts over forty articles from the *Ling Shu* and *Su Wen*, including their main points, similar to Wang Ren'an's *Lei Cuan*, but with slightly more detailed annotations. These are now submitted for printing, briefly stating the original intent, hoping that eminent scholars will instruct me on my shortcomings.
Written in the spring intercalary third month of the Renwu year of Daoguang (1822) by Li Xuechuan, courtesy name Sanyuan, at Dihua Caotang.
[General Rules]
1. The *Ling Shu* and *Su Wen* discuss the correspondence between Zang-Fu organs and meridians, interior-exterior relationships, and detail acupoints and needling methods, opening the source of medical practice. However, the complete classics are voluminous. Recent editions such as *Su Ling Lei Cuan* and *Yi Jing* have been abridged for brevity. This collection extracts relevant scriptures from the *Ling Shu* and *Su Wen*, highlighting the essentials of acupuncture and moxibustion for readers' convenience. Annotations are selected concisely after comparing those of Wang Bing, Ma Shi, Wu Kun, and Zhang Jingyue's *Lei Jing*.
2. The *Ming Tang Zhen Jiu Tu* (Illustrations of the Bright Hall for Acupuncture and Moxibustion), three volumes, discusses human acupoints and contraindications for cauterization, tracing back to the Yellow Emperor's teachings. During the reign of Emperor Renzong of Song, a decree ordered Wang Weide to verify acupuncture methods, casting bronze models as standards, categorizing treatments by the twelve meridians, resulting in the *Tong Ren Zhen Jiu Tu* (Bronze Man Acupuncture Illustrations), three volumes. Wang Shuya's *Zi Sheng Jing* (Classic of Nourishing Life) selected 360 acupoints, classifying them by front/back and head/tail, associating points with diseases, and integrating methods from the *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) and *Wai Tai Mi Yao* (Prescriptions from the Outer Cabinet). Hua Borun's *Shi Si Jing Fa Hui* (Elucidation of the Fourteen Meridians) detailed the essentials of opening/closing, flow/transmission, intersection, and divergence, comprehensively covering 657 acupoints. This edition corrects the count to 618 acupoints on the left and right of the twelve regular meridians, and 52 acupoints on the Ren and Du vessels, totaling 670 acupoints. Among these, there are 301 named acupoints in the regular meridians, and 96 acupoints in the extraordinary vessels, with 35 specific names.
3. The printed edition of *Zhen Jiu Da Cheng* (Great Compendium of Acupuncture and Moxibustion) is verbose and contains methodological errors, making verification difficult for students. This collection first records the *Ling Shu* and *Su Wen*, incorporates various schools of thought, corrects the acupoints based on the Bronze Man classic, and references arguments on treatment methods, organized into six volumes. It is largely similar to the *Zhen Jiu Da Cheng* but differs in details.
4. Children have fragile bodies, timid spirit, and weak intestines and stomachs; acupuncture and moxibustion should not be attempted hastily. Herbal decoctions may also not always be suitable. Therefore, massage (Tui Na) is added to supplement these limitations.
5. The syndrome differentiation and treatment in this collection are entirely based on previous texts, abridged and integrated for clarity, aiming to ensure accuracy in clinical practice and adherence to ancient methods. Some chapter headings and sentences are not fully detailed, and author names are omitted for conciseness. Occasional personal insights are marked with "An" (Comment). Due to limited insight, I only hope for correction and instruction from eminent scholars.
Recorded by Li Xuechuan, Mountain Dweller of Dengwei.