素问·长刺节论 Treatise on Extended Needling Regimens

第 55 篇 / 共 81 篇

刺家不诊,听病者言在头,头疾痛,为藏针之,刺至骨病已,上无伤骨肉及皮,皮者道也。

阴刺,入一傍四处。治寒热。深专者,刺大藏,迫藏刺背,背俞也。刺之迫藏,藏会,腹中寒热去而止,与刺之要,发针而浅出血。

治腐肿者刺腐上,视痈小大深浅刺,刺大者多血,小者深之,必端内针为故止。

病在少腹有积,刺皮𩩻以下,至少腹而止,刺侠脊两傍四椎闲,刺两髂髎季脇肋闲,导腹中气热下已。

病在少腹,腹痛不得大小便,病名曰疝,得之寒,刺少腹两股闲,刺腰髁骨闲,刺而多之,尽炅病已。

病在筋,筋挛节痛,不可以行,名曰筋痹,刺筋上为故,刺分肉闲,不可中骨也,病起筋炅,病已止。

病在肌肤,肌肤尽痛,名曰肌痹,伤于寒湿,刺大分小分,多发针而深之,以热为故,无伤筋骨,伤筋骨,痈发若变,诸分尽热,病已止。

病在骨,骨重不可举,骨髓酸痛,寒气至,名曰骨痹,深者刺无伤脉肉为故,其道大分小分,骨热病已止。

病在诸阳脉,且寒且热,诸分且寒且热,名曰狂,刺之虚脉,视分尽热,病已止。

病初发,岁一发,不治月一发,不治,月四五发,名曰癫病,刺诸分诸脉,其无寒者以针调之,病止。

病风且寒且热,炅汗出,一日数过,先刺诸分理络脉,汗出且寒且热,三日一刺,百日而已。

病大风,骨节重,须眉堕,名曰大风,刺肌肉为故,汗出百日,刺骨髓,汗出百日,凡二百日,须眉生而止针。

The needling specialist does not diagnose but simply listens as the patient reports the pain lying in the head. When there is disease of the head with pain, insert the needle deeply, needling until it reaches the bone, and the disease will end — yet one must not injure the bone, flesh, or skin above; the skin is merely the pathway through which the needle passes.

In yin needling, one needle is inserted at the center and four more around it; this treats cold and heat. When the disease lies deep and concentrated, needle the great viscera; to approach the viscera, needle the back — at the back transport-points. When needling to approach the viscera, at the meeting-points of the viscera, stop once the cold and heat in the abdomen have been dispelled; the essential of this needling is to withdraw the needle so that blood escapes only shallowly.

In treating festering swellings, needle above the festering site; observe whether the abscess is large or small and needle shallow or deep accordingly — for a large one, let out much blood; for a small one, needle deeply. One must insert the needle straight and true, and stop only once this has been properly accomplished.

When the disease lies in the lower abdomen with an accumulation, needle below the pubic region downward, stopping at the lower abdomen; needle the points flanking the spine between the fourth vertebrae, and needle between the iliac points and the free ribs, so as to conduct the hot qi of the abdomen downward until it is dispelled.

When the disease lies in the lower abdomen, with abdominal pain and inability to urinate or defecate, the disease is called shan; it is contracted from cold. Needle between the lower abdomen and the two thighs, and needle between the bones of the lumbar region, needling repeatedly until warmth pervades throughout and the disease ends.

When the disease lies in the sinews, with sinew spasm and joint pain that prevents walking, it is called sinew impediment. Needle above the sinews as the rule, needling between the muscle divisions without striking the bone; the disease resolves once the sinews grow warm, and then one stops.

When the disease lies in the flesh and skin, with all the flesh and skin aching, it is called flesh impediment, arising from injury by cold and dampness. Needle the large and small muscle divisions, inserting the needle repeatedly and deeply, taking warmth as the guide, without injuring sinew or bone — for if sinew or bone is injured, an abscess or other ill transformation may arise. Once all the divisions have grown thoroughly warm, the disease ends and one stops.

When the disease lies in the bones, with the bones so heavy they cannot be lifted and the marrow aching upon the arrival of cold qi, it is called bone impediment. Needle deeply without injuring vessel or flesh as the rule, proceeding along the large and small muscle divisions; once the bones grow warm, the disease ends and one stops.

When the disease lies among the yang vessels generally, with alternating cold and heat, and all the muscle divisions likewise alternating between cold and heat, it is called mania. Needle so as to deplete the vessels; once all the divisions have grown thoroughly warm, the disease ends and one stops.

When the disease first arises, it occurs once a year; if untreated, once a month; if still untreated, four or five times a month — this is called epilepsy. Needle all the muscle divisions and vessels; where there is no cold, regulate with the needle, and the disease stops.

When the disease is wind, with alternating cold and heat and profuse sweating occurring several times a day, first needle the muscle divisions to regulate the connecting vessels; while the sweating with alternating cold and heat continues, needle once every three days, and after a hundred days it will end.

When the disease is great wind, with the bones and joints heavy and the beard and eyebrows falling out, it is called great wind. Needle the flesh and muscles as the rule until sweating occurs, continuing for a hundred days; then needle the bones and marrow until sweating occurs, for another hundred days — two hundred days in all — and when the beard and eyebrows have regrown, cease the needling.