《玉衡》曰∶东南卑湿，利用砭，以针刺放毒血，即用砭之道也。凡霍乱痧胀，邪
已入营，必刺出毒血。俾邪得外泄，然后据证用药，可以望生。
第一宜刺少商穴。刺时，扶病患坐直，男左女右，用力将其手臂从上捋下，捋其恶血聚于指
头
手并刺。若神昏不醒，刮刺不松者，为邪入心包络。获撑开病患之口，看舌底有黑筋三股，男
左女右，用竹箸嵌瓷锋，刺出恶血一点。两臂湾，名曲池穴。两膝湾，名委中穴。以手蘸温
水拍之，露出青筋红筋。若肌肤白皙者，则露紫筋，皆痧筋也。并用银针刺出紫黑毒血。其腿上大筋不可
刺，刺亦无毒血，反令人心烦。腿两边硬筋上筋不可刺，刺之恐令人筋吊。案谈往云∶崇祯
十六年，有疙瘩瘟、羊毛瘟等疫，呼病即亡，不留片刻，八九两月，死者数百万。十月间，
有闽人晓解病由，看膝湾后有筋突起，紫者无救，红则速刺出血可活。至霜雪渐繁，势始渐
杀。余谓此疫虽奇，杀人即速且多，然无非暑热毒瓦斯深入于络耳。故轻者刺之可活，而霜雪繁
，病自衰也。考嘉兴王肱枕《蚓庵琐语》，及桐乡陈松涛《灾荒记事》，皆云∶崇祯十四年
大旱，十五十六经年亢旱，通国奇荒，疫疠大作。合三书而观之，其为暑燥热毒之邪，深入营分无
疑矣。故委中之筋已突起，不待拍之而始露。详载之，以为留心民命者告。
《玉衡》又云∶一应刺法，不过针锋微微入肉，不必深入。又以诸穴非亲见不明白，故不具
载。而
不
。据云∶痧证头晕者，刺素 。穴在鼻柱上端准头，针入一寸。
头痛者，刺风府。穴在项后入发际一寸，大筋内宛宛中，针入一寸。
偏痛者，刺风池。穴在耳后颞 后，脑空下，发际陷中，针入一寸。
腹痛而吐者，刺上脘。穴在脐上五寸，针入一寸。
腹痛而泻者，刺下脘。穴在脐上二寸，针入一寸。
腹痛而欲吐不吐，欲泻不泻者，刺中脘。穴在脐上四寸，针入一寸即愈。
以上三穴，须用手竭力提起其皮而刺（切记），以上六穴，并不出血。
手螈者，刺少商。穴在手次指内侧，去爪甲如韭叶，出血立已。
足吊者，刺厉兑。穴在足次趾之端，去爪甲如韭叶，出血立已。
刺承筋。穴在胫后足跟上七寸，出血立已。
刺承山。穴在腿肚下分肉间，出血立已。但
牙关紧闭者，刺人迎。穴在结喉两旁一寸五分，大动脉应手处，刺之立开。
按张叟刺法，必有所授。荣棠得其传，故针痧极神。且荣棠之为人也，好善而率直，非牟利妄语
者流，故余甚信之。尝刊入业书，今备录此篇，以便穷乡僻壤，皆可按证而施治也。又《转
筋证治》云∶凡心口腰脊肾俞穴等处，切勿误听愚人妄施针刺，亲见一人因心口一针，立时
《玉衡》说：东南地区地势低洼潮湿，适宜使用砭石疗法，即用针刺破皮肤放出毒血，这就是运用砭法的原则。凡是霍乱、痧胀等病，邪气已经侵入营分，必须刺出毒血。使邪气得以向外宣泄，然后根据证候用药，才有希望存活。
第一应当刺少商穴。施刺时，让患者坐直，男性取左手，女性取右手，用力将手臂从上往下捋动，引导恶血聚集在手指末端，然后同时针刺。如果患者神志昏迷不醒，刮痧或针刺后症状未缓解的，说明邪气已陷入心包络。此时需撬开患者的嘴巴，查看舌底是否有三股黑筋，男性取左侧，女性取右侧，用竹筷夹住瓷锋（一种尖锐工具），刺出一点恶血。两肘弯曲处，名为曲池穴；两膝弯曲处，名为委中穴。用手蘸温水拍打这些部位，显露出青色和红色的筋脉。如果肌肤白皙的人，则显露紫色筋脉，这些都是“痧筋”。均用银针刺出紫黑色的毒血。大腿上的大筋不可刺，即使刺了也没有毒血流出，反而会使人心烦。腿两侧硬筋的上部也不可不刺，否则恐怕会导致筋脉拘挛抽搐。据传闻记载：崇祯十六年，发生了疙瘩瘟、羊毛瘟等瘟疫，病人刚呼喊病情就立即死亡，连片刻都不留，八月和九月两个月间，死者达数百万人。十月间，有位福建人知晓病因，发现膝盖后方有筋脉突起，颜色发紫的无法救治，颜色发红的迅速刺出血即可存活。直到霜雪逐渐增多，疫情势头才逐渐减弱。我认为这种瘟疫虽然奇特，杀人迅速且数量众多，但无非是暑热毒气深入经络罢了。所以轻症者刺之可活，而霜雪降临后，病情自然衰退。考证嘉兴王肱枕所著《蚓庵琐语》，以及桐乡陈松涛所著《灾荒记事》，都说：崇祯十四年大旱，十五年和十六年全年持续干旱，全国遭遇特大饥荒，疫病大规模爆发。综合这三本书来看，这无疑是暑燥热毒之邪深入营分所致。因此委中穴的筋脉已经突起，不需要拍打就能显露出来。详细记载这些内容，是为了告知关心百姓生命安危的人。
《玉衡》又说：所有刺法，不过是针尖微微进入肌肉，不必深刺。又因为各个穴位的位置非亲眼所见难以明白，所以没有全部记载。然而据称：患痧证头晕的，刺素髎穴。该穴位于鼻柱上端正中鼻尖处，进针一寸。头痛的，刺风府穴。该穴位于项后入发际一寸，大筋内侧凹陷处，进针一寸。偏侧头痛的，刺风池穴。该穴位于耳后颞骨后方，脑空穴下方，发际线处的凹陷中，进针一寸。腹痛伴有呕吐的，刺上脘穴。该穴位于脐上五寸，进针一寸。腹痛伴有腹泻的，刺下脘穴。该穴位于脐上二寸，进针一寸。腹痛想吐吐不出，想拉拉不出的，刺中脘穴。该穴位于脐上四寸，进针一寸即愈。以上三个穴位，必须用手极力提起皮肤再刺（切记）；以上六个穴位，并不要求出血。
手足抽搐痉挛的，刺少商穴。该穴在手食指内侧，距离指甲边缘如韭菜叶宽处，出血后立即停止。足部抽筋的，刺厉兑穴。该穴在足第二趾尖端，距离指甲边缘如韭菜叶宽处，出血后立即停止。刺承筋穴。该穴在小腿后侧足跟上方七寸处，出血后立即停止。刺承山穴。该穴在小腿肚下方肌肉间隙中，出血后立即停止。但牙关紧闭的，刺人迎穴。该穴在喉结两旁一寸五分处，大动脉搏动应手的地方，刺之牙关立开。
按张叟的刺法，必定有所师承。荣棠得到了他的真传，所以针刺治疗痧证极其灵验。而且荣棠这个人，乐善好施且性格率直，不是那种为了牟利而妄言的人，所以我非常信任他。曾经将其刊印入医书，现在完整收录此篇，以便偏远乡村也能根据证候进行治疗。另外《转筋证治》中说：凡是心口、腰部、脊背肾俞穴等处，千万不要误听愚人的话妄加针刺，我曾亲眼见到一个人因在心口扎了一针，立刻……
According to *Yu Heng* (Jade Balance): In the southeast, where the terrain is low and damp, Bian stone therapy (Bian Shi Fa, a surgical technique using stone knives) is suitable. This involves pricking the skin to release toxic blood, which constitutes the principle of applying Bian methods. In cases of Huoluan (Cholera-like disease with sudden vomiting and diarrhea) and Sha Zhang (Sha distension), when pathogenic factors have entered the Ying (Nutritive) level, it is essential to prick and release toxic blood. This allows the pathogens to be vented outward, after which medication can be administered according to the syndrome, offering hope for survival.
The first point to prick is Shao Shang (LU-11). During needling, support the patient in an upright sitting position. For males, use the left hand; for females, the right. Vigorously stroke the arm from top to bottom to guide stagnant blood to accumulate at the fingertip, then prick simultaneously. If the patient is comatose or unresponsive, and scraping or needling fails to relieve symptoms, it indicates that the pathogen has penetrated into the Pericardium Collateral. In this case, pry open the patient's mouth and inspect the underside of the tongue for three black veins. For males, select the left side; for females, the right. Use a bamboo chopstick to hold a porcelain shard (a sharp tool) and prick out a drop of stagnant blood. The creases of both elbows are named Qu Chi (LI-11). The creases of both knees are named Wei Zhong (BL-40). Dab these areas with warm water and pat them to reveal blue-green and red veins. In individuals with fair skin, purple veins may appear; these are all "Sha veins." Prick all of them with silver needles to release purple-black toxic blood. Do not prick the large tendons on the thighs; even if pricked, no toxic blood will emerge, and it may instead cause mental restlessness. Do not prick the upper part of the hard tendons on either side of the legs, as this may lead to tendon spasms. Historical accounts state: In the 16th year of the Chongzhen reign, epidemics such as "Geda Wen" (Nodular Plague) and "Yangmao Wen" (Wool Plague) occurred. Patients died immediately upon calling out their illness, without lingering. In August and September, millions perished. In October, a Fujian native understood the etiology, observing protruding veins behind the knee. Cases with purple veins were incurable, but those with red veins could survive if blood was rapidly released by pricking. The epidemic subsided only when frost and snow became frequent. I believe that although this plague was peculiar and caused rapid, massive mortality, it was nothing more than summer-heat toxic vapors penetrating deeply into the collaterals. Thus, mild cases could be saved by pricking, and the disease naturally waned with the arrival of heavy frost and snow. Examining Wang Gongzhen's *Yin An Suo Yu* from Jiaxing and Chen Songtao's *Zaihuang Jishi* from Tongxiang, both record: severe drought in the 14th year of Chongzhen, followed by continuous drought throughout the 15th and 16th years, causing nationwide famine and widespread epidemics. Synthesizing these three texts, it is undeniable that the pathogen was summer-dryness heat-toxin penetrating deeply into the Ying level. Therefore, the veins at Wei Zhong (BL-40) were already protruding and visible without the need for patting. These details are recorded to inform those concerned with public health.
*Yu Heng* further states: All needling techniques should involve only slight penetration of the needle tip into the flesh, avoiding deep insertion. Furthermore, since the locations of various acupoints cannot be clearly understood without personal observation, they are not fully documented here. However, it is reported that: For Sha syndrome accompanied by dizziness, prick Su Liao (GV-27). This point is located at the upper end of the nasal column, directly above the tip of the nose; insert the needle one cun. For headache, prick Feng Fu (DU-16). This point is located one cun above the posterior hairline, within the depression medial to the major tendon of the neck; insert the needle one cun. For unilateral headache, prick Feng Chi (GB-20). This point is located behind the ear, posterior to the temporal bone, below Nao Kong (GB-19), in the depression at the hairline; insert the needle one cun. For abdominal pain with vomiting, prick Shang Wan (CV-13). This point is located five cun above the umbilicus; insert the needle one cun. For abdominal pain with diarrhea, prick Xia Wan (CV-10). This point is located two cun above the umbilicus; insert the needle one cun. For abdominal pain with the urge to vomit but inability to do so, or the urge to defecate but inability to do so, prick Zhong Wan (CV-12). This point is located four cun above the umbilicus; insert the needle one cun to achieve recovery. For the above three points, the skin must be lifted vigorously by hand before needling (remember this well); for the above six points, bleeding is not required.
For spasms of the hands and feet, prick Shao Shang (LU-11). This point is on the medial side of the index finger, approximately the width of a leek leaf from the nail edge; release blood to stop the spasm immediately. For foot cramps, prick Li Dui (ST-45). This point is at the tip of the second toe, approximately the width of a leek leaf from the nail edge; release blood to stop the cramp immediately. To prick Cheng Jin (BL-57), located seven cun posterior to the heel on the lower leg; release blood to stop the condition immediately. To prick Cheng Shan (BL-57), located in the muscle gap below the calf; release blood to stop the condition immediately. For trismus (lockjaw), prick Ren Ying (ST-9). This point is located one cun and five fen lateral to the laryngeal prominence, where the carotid artery pulse is palpable; needling will immediately relieve the lockjaw.
Regarding Master Zhang's needling method, it must have been transmitted from a specific lineage. Rong Tang inherited this transmission, hence his needle treatment for Sha syndrome is extremely effective. Moreover, Rong Tang is benevolent and straightforward, not one of those who speak falsely for profit; thus, I trust him greatly. His work was previously published in medical books. Now, I reproduce this section in full so that remote villages can also treat patients according to their syndromes. Additionally, *Zhuanjin Zhengzhi* (Treatment of Tendon Spasms) states: At points such as Xin Kou (heart region), Yao Ji (waist and spine), and Shen Shu (BL-23), never heedlessly follow fools' advice to apply random needling. I personally witnessed one person who, after receiving a single needle at the heart region, instantly...