(卫生宝鉴)
必欲治病。莫如用针。巧运神机之妙。功开圣理之深。外取砭针。能蠲邪而扶正。中含
水火。善回阳而倒阴原夫络别支殊。经交错综。或沟池 谷以歧异。或山海丘陵而隙共斯流派以
难揆。在条纲而有统。理繁而昧。纵补泻以何功。法捷而明。自迎随而得用。且如行步难移
。太冲最奇。人中除脊膂之强痛。神门去心性之呆痴。风伤项急。始求于风府。头晕目眩。
要觅于风池。耳闭须听会而治也。眼痛则合谷以推之胸结身黄取涌泉而即可。脑昏目赤。泻
攒竹以偏宜。两肘拘挛。仗曲池而平扫。四肢懈惰。凭照海以消除。牙齿痛。吕细堪治(吕
细经外穴名又太 。别名)头项强承浆可保。太白宣导于气冲(脾家真土。能生肺金)阴陵开
通于水道(阴陵泉真水。能滋济万物)腹膨而胀。夺内庭兮休迟。筋转而疼。泻承山而在早。
大抵脚腕痛昆仑可愈。股膝疼阴市能医。痫发癫狂兮。凭后溪而疗理。疟生寒热兮仗间使以
扶持。期门刺胸满血膨而可已。劳宫退胃翻心痛亦何疑。稽夫大敦治七疝之偏坠王公谓此。
三里却五劳之羸瘦。华佗言之。腕骨祛黄。然谷泻肾。行问治膝肿目疾。尺泽去肘疼。筋紧
。目昏不见。二间宜求鼻窒无闻。迎香可引。肩井除两臂不任。丝竹疗头疼难忍。咳嗽寒痰
。列缺堪治。眵 冷泪临泣尤准。髋骨将腿痛以祛残(髋骨经外奇穴。梁丘穴两旁。杨氏注
。髋骨二穴在委中上三寸脾枢中。误)肾 把腰疼而泻尽。越人治尸厥于维会。随手而苏(
见
标幽赋)文伯泻死胎于阴交。应针而陨(宋时徐文伯视妇人临产危症。乃子死腹中。刺足三阴
交。又刺太冲效)圣人察麻与痛。分实与虚实则自外而入也。虚则自内而出诸。故济母而裨
其不足夺子而平其有余。观二十七之经络。一一明辨据四百四十病症。件件皆除。故得使夭
枉
都无。跻斯民于寿域几微已判。彰往古之元书。又闻心胸病。求掌后之太陵。肩背痛。责肘
前之三里。冷痹肾败取足阳明之土。(三里)连脐腹痛。泻足少阴之水。(阴谷)脊间心后者。
针中渚而立痊。胁下肋边者。刺阳陵而即止。头项痛。拟后溪以安然。腰脚疼。在委中而已
矣。
(《卫生宝鉴》指出)
想要治愈疾病,没有比使用针灸更好的方法了。巧妙地运用针刺的神妙机巧,功效在于深入领悟圣人的医理。体外取用砭石和针具,能够祛除病邪并扶助正气;体内蕴含水火之理,善于回阳救逆、纠正阴阳逆乱。
大抵经络分支殊异,经脉交错综合。有的像沟渠池塘一样分歧各异,有的像山海丘陵一样间隙相通。这些流派的源流难以揣测,但在条纲上却有统属。道理繁杂而晦涩,如果不懂补泻之法有什么功效,法度虽然快捷却不明朗;只有从迎随补泻的原则中才能得到应用。
况且如行走困难、步履艰难,太冲穴最为神奇;人中穴能解除脊柱强直疼痛;神门穴能去除心性呆痴。风邪伤及颈部导致拘急,开始应寻求风府穴;头晕目眩,要寻找风池穴治疗。耳闭听不见,须用听会穴来治;眼痛,则配合合谷穴推按。胸中结滞、身体发黄,取涌泉穴即可缓解;头脑昏沉、眼睛发红,泻攒竹穴更为适宜。两肘拘挛,依靠曲池穴来平复;四肢懈怠懒惰,凭借照海穴来消除。牙齿疼痛,吕细穴可以治疗(吕细是经外奇穴名,又为太溪的别名);头项强直,承浆穴可保平安;太白穴宣导气冲(脾属真土,能生肺金);阴陵泉开通水道(阴陵泉属真水,能滋济万物)。腹部膨胀而胀满,夺取内庭穴不要迟疑;筋脉转筋而疼痛,泻承山穴应当及早进行。
大抵脚腕疼痛,昆仑穴可以治愈;大腿膝盖疼痛,阴市穴能够医治。癫痫发作、癫狂病症,凭后溪穴来疗治;疟疾产生寒热症状,仗间使穴来扶持。期门穴刺治胸满血膨可以痊愈;劳宫穴退除胃翻心痛也没有疑问。
考察大敦穴治疗七疝引起的偏坠,王公对此有所论述;足三里穴克服五劳导致的羸瘦,华佗曾言及;腕骨穴祛除黄疸,然谷穴泻肾火;行间穴治疗膝肿和目疾,尺泽穴去除肘疼和筋紧、目昏看不见;二间穴宜求治鼻窒闻不到气味,迎香穴可引通鼻塞;肩井穴除去双臂不能承受重负,丝竹空穴治疗头疼难忍;咳嗽有寒痰,列缺穴可以治疗;眵泪冷泪,临泣穴尤为准确;髋骨穴将腿痛以祛除残疾(髋骨是经外奇穴,位于梁丘穴两旁,杨氏注:髋骨二穴在委中上三寸脾枢中,有误);肾俞穴把腰疼而泻尽。越人(扁鹊)治疗尸厥于维会穴,随手而苏醒(见《标幽赋》);文伯泻死胎于阴交穴,应针而堕(宋代徐文伯诊治妇人临产危症,乃是子死腹中,刺足三阴交,又刺太冲见效)。
圣人观察麻木与疼痛,区分实证与虚证。实证是自外而入,虚证是自内而出。所以补益母脏以弥补其不足,削弱子脏以平抑其有余。观察二十七条经络,一一明辨;依据四百四十种病症,件件皆除。因此能使夭折枉死之人不再发生,使百姓达到长寿的境界。几微的道理已经判定,彰显古代的经典著作。
又听说心胸病,求取手掌后方之太陵穴;肩背痛,责求肘前之足三里穴;冷痹肾败,取足阳明经之土穴(足三里);连脐腹痛,泻足少阴经之水穴(阴谷);脊间心后疼痛,针中渚穴立刻痊愈;胁下肋边疼痛,刺阳陵泉即刻停止;头项疼痛,拟后溪穴使其安然;腰脚疼痛,在委中穴而已。
(As stated in *Weisheng Baojian*)
If one desires to cure diseases, there is no method superior to acupuncture. Skillfully manipulating the divine mechanism of needle insertion, its efficacy lies in profoundly understanding the sage's medical principles. Externally utilizing bian stones and needles can eliminate pathogenic factors and support healthy qi; internally containing the principles of water and fire, it is adept at restoring yang and reversing yin deviations.
Generally speaking, collaterals branch out differently, and meridians intersect and integrate. Some are like ditches and ponds, diverging into various paths; others are like mountains, seas, hills, and valleys, with gaps connecting them. The origins of these lineages are difficult to fathom, yet they have a unified framework. The principles are complex and obscure; without knowing the efficacy of tonification and sedation techniques, the methods may be swift but unclear. Only through the application of following and opposing (Ying-Sui) principles can they be effectively utilized.
For instance, for difficulty in walking, Taichong (LR3) is most miraculous; Renzhong (GV26) relieves stiffness and pain in the spine; Shenmen (HT7) removes mental dullness and dementia. When wind pathogens injure the neck causing stiffness, one should initially seek Fengfu (GV16); for dizziness and blurred vision, one should look for Fengchi (GB20). For ear blockage and hearing loss, Tinghui (GB2) must be used; for eye pain, Hegu (LI4) is combined for treatment. For chest stagnation and jaundice, Ququan (KI1) can provide relief; for brain dizziness and red eyes, draining Zanzhu (BL2) is more suitable. For spasms in both elbows, Quchi (LI11) relies on to smooth them out; for limb flaccidity and lethargy, Zhaohai (KI6) depends on to eliminate them. For toothache, Lüxi (an extra point, also known as Taixi KI3) is capable of treatment; for head and neck stiffness, Chengjiang (CV24) can ensure safety; Taibai (SP3) guides Qi Chong (ST30) [Spleen belongs to true Earth, generating Lung Metal]; Yinlingquan (SP9) opens the water pathways [Yinlingquan belongs to true Water, nourishing all things]. For abdominal distension and bloating, seizing Neiting (ST44) should not be delayed; for muscle cramps and pain, draining Chengshan (BL57) should be done early.
Generally, for ankle pain, Kunlun (BL60) can heal; for thigh and knee pain, Yinshi (ST32) can treat. For epilepsy and mania, Houxi (SI3) relies on for therapy; for malaria with chills and fever, Jianshi (PC5) supports. Qimen (LR14) needling treats chest fullness and blood distension, leading to recovery; Laogong (PC8) retreats stomach reversal and heart pain without doubt.
Examining Dadun (LR1), it treats hernias causing unilateral descent, as noted by Wang Gong; Zusanli (ST36) overcomes emaciation from five labors, as spoken of by Hua Tuo; Wan Gu (SI4) dispels jaundice; Ran Gu (KI2) drains kidney fire; Xingjian (LR2) treats knee swelling and eye diseases; Chi Ze (LU5) removes elbow pain, tendon tightness, and blurred vision; Er Jian (LI2) is sought for nasal obstruction and loss of smell; Ying Xiang (LI20) can guide unblocking; Jian Jing (GB21) removes the inability of both arms to bear weight; Si Zhu Kong (SJ23) treats unbearable headaches; Lie Que (LU7) is capable of treating cough with cold phlegm; Lin Qi (BL1) is particularly accurate for eye discharge and cold tears; Huagu (an extra point beside Liangqiu ST34) eliminates residual leg pain [Note: Huagu two points are three cun above Weizhong BL40 in the Spleen Pivot, error in Yang's annotation]; Shenshu (BL23) drains away lower back pain. Yue Ren (Bian Que) treated corpse-like fainting at Weihui (likely referring to a combination or specific technique involving Dimao GV14 or similar, text cites *Biao You Fu*), reviving instantly upon needle insertion; Wen Bo sedated dead fetus at Yinjiao (CV7), resulting in expulsion upon needle insertion [Song Dynasty Xu Wenbo treated a critical labor case where the fetus died in the womb, needling the intersection of the three foot yin meridians and Taichong LR3 with effect].
The sages observe numbness and pain, distinguishing between excess and deficiency. Excess enters from the exterior; deficiency emerges from the interior. Therefore, tonifying the mother organ supplements insufficiency, while reducing the child organ balances surplus. Observing the twenty-seven meridians, each is clearly distinguished; according to four hundred and forty disease manifestations, each is removed. Thus, premature death is prevented, bringing people to an age of longevity. The subtle principles are judged, manifesting the ancient classics.
It is also heard that for heart and chest diseases, seek Taoling (PC7) behind the palm; for shoulder and back pain, blame Zusanli (ST36) before the elbow; for cold bi syndrome and kidney failure, take the Earth point of the Foot Yangming Meridian (Zusanli ST36); for periumbilical abdominal pain, drain the Water point of the Foot Shaoyin Meridian (Yingu KI10); for pain in the interscapular region radiating to the heart posterior, needle Zhongzhu (TE3) for immediate recovery; for pain under the ribs and along the costal margin, puncture Yanglingquan (GB34) for immediate cessation; for head and neck pain, propose Houxi (SI3) for peace; for waist and foot pain, rely on Weizhong (BL40).