Chapter 1 Jiu Zhen Shi Er Yuan (II)
英文 - Yellow Empero’s Canon Internal Medicine----Spiritu
“In the nine kinds of needle, each of them has the different shape. The first kind is called the sagital needle of which the length is 1.6 inches; the second kind is called the ovoid-tip needle of which the length is 1.6 inches; the third kind is called the blunt-tip needle of which the length is 3.5 inches, the fourth kind is called the ensiform needle of which the length is 1.6 inches; the fifth kind is called the sword-shaped needle of which is 4 inches in length and 0.25 inches in width; the sixth kind is called the round-sharp needle of which the length is 1.6 inches; the seventh kind is called the filiform needle of which the length is 3.6 inches; the eighth kind is called the long needle of which the length is 7inches; the ninth kind is called the large needle of which the length is 4 inches. The sagital needle is large and sharp which is used in shallow pricking for to excrete the heat of the skin; the point of the ovoid-tip needle is like an egg, it is used to rub between the muscles which not only do no harm to the muscles, but also can disperse the evil energy of the muscles; the point of the blunt-tip needle is somewhat round like glutinous millet, it is used to press the channel for inducing the healthy energy and excreting the evil energy; the ensiform needle has blades on its three sides for treating the protracted and refractory diseases; the point of the sword-shaped needle is sharp like the point of a sword which is used to prick the carbuncle and discharge the pus; the point of the round-sharp needle is long and sharp like hair, the body of the needle is somewhat thick which can be used to treat the bi-syndrome; the point of the filiform needle is like the proboscis of a mosquito, when the needle is inserted slowly into the skin and retains inside, it can repose one’s mind, it can be used to treat the cold-type arthralgia also; the point of the long needle is sharp and the body of the needle is rather long which can be used to treat the protracted bi-syndrome; the point of the large needle is like the bamboo stubble and is somewhat round which can be used to excrete the accumulated water which accumulated in the joint. These are the conditions of the nine kinds of needle.”
“As to the channel-energy of human body, the evil energy of Yang is usually on the upper part of the body, the drossy energy usually stays in the middle and the cold-wetness remains in the lower part, thus, the pricking position must not be the same. Such as, when pricking the bone cavity in the cave in of the head, it will cause the evil energy of Yang to come out; when pricking the Yangming channel, it will cause the drossy energy to come out, when the disease is in the superficies and the pricking is too deep, it will cause the evil energy to go inside and aggravate the disease. Since the skin, muscle, tendon and channel are all having their own positions, the diseases are all having their points for residing, and the conditions of diseases are different, the pricking must be cautious. One must not invigorate the sthenic disease and must not purge the asthenic disease, as any measure of injuring the deficiency or profit the surplus will aggravate the pain of the patient, and causes the disease becoming even more severe. When pricking the acupoints of the five solid organs of the patient whose refined energy is debilitative, it may cause the death of the patient, when pricking the acupoints of the three Yang’s channel, it may cause the patient to become cowardly; when the Yin channel is injured, the patient may contract the jue-syndrome, when the Yang channel is injured, the patient may contract mania. In pricking, one must wait for the patient to get the acupuncture feeling, if the feeling is not felt after pricking, it must be kept waiting until it comes, disregard of the times of the patient’s respiration; when the acupuncture feeling is felt, the needle can be pulled out and no more pricking is necessary. The nine kinds of needle have different functions and they are different in shapes, in acupuncture, the kind of needle have different functions and they are different in shapes, in acupuncture, the kind of needle should be selected according to the different conditions of the disease respectively. The most important thing in acupuncture is to get the acupuncture feeling, when it appears, the curative effect will appear in the wake of it, and the curative effect is so reliable as the blue sky appearing when the clouds are blown away by the wind. These are the principles of acupuncture.”
Yellow Emperor said: “I hope to hear the exits of the channel-energy of the viscera.” Qibo said: “In each channel of the five solid organs, there are the five acupoints of Jing, Xing, Shu, Jing and He, they are altogether twenty five acupoints; in each channel of the six hollow organs, there are six acupoints of Jing, Xing, Shu, Yuan, Jing and He, they are altogether thirty six acupoints. In each of the twelve channels of the viscera, there is a collateral branch, together with each collateral branch on the Ren, Du and spleen channels, they are fifteen collateral branches. The energies of the twenty-seven channels (of twelve channels and fifteen collateral branches) circulate around the whole body, going out and coming in between the upper and the lower extremities. The channel-energy turns from weak to strong gradually and finally enters into the He point, which is the so called ‘the energy initiates from the Jing point, flows to the Xing point, pours into the Shu point, passes through the Jing point, and enters into the He point’. The twenty-seven energies flow and pour into the five acupoints unceasingly day and night. There are three hundred and sixty five acupoints where the joints of the human body connect, they are all the locations where the energy and blood going out and coming in and the places where the channel-energy permeate the joints, they are not the bone joints. When one knows the essentials, it can be concluded by a single sentence, if knows not, it will be slack and irrelevant.”
In the course of pricking, one must inspect the patient’s complexion and the eyes’ expression to survey the dispersion and the restoration of the patient’s blood and energy, differentiate the strong or weak physique of the patient, listen to the volume of the voice to infer the healthy energy, evil energy, asthenia and sthenia of the patient, insert the needle with the right hand and guard the needle with the left hand, when getting the acupuncture feeling after the pricking, the needle should be pulled out. Before pricking, one must observe and know whether the channel-energy is harmonious or not. If one invigorates the Yang energy outside of the patient whose visceral energy is already severed inside and who is of Yin-deficiency, his Yang energy will be even more abundant and his Yin energy will become even more debilitative, in this condition, it is called the double exhaustion, and the patient with double exhaustion will die, when he dies, he appears to be calm, this is because the physician runs against the channel-energy to become debilitative and exhausting. If one invigorates the internal Yin energy of the patient whose visceral energy is debilitative outside and who is of Yang-deficiency, the Yin energy will become even more abundant and the Yang energy becomes even more debilitative to cause cold extremities, it is called the adverse jue-syndrome, the patient with adverse jue-syndrome will die, and when he dies, he appears to be irritable. This is because the physician pricks the tips of the patient’s four limbs causing the exhaustion of the Yang energy.”