某中外合资企业中方代丧某先牛，因眩晕时作前来就诊。其女儿、女婿均为西医主任医师，嘱其服用中药。余断为痰饮眩晕，投半夏天麻白术汤而收复杯即应之效。至是年仲夏，体表遍发红疹块，皮肤科诊断为夏季皮炎，涂以洗剂，数日后依然如故，再来余处诊治。余亦授以上方，一次外洗后，即觉清凉之气渗入肌肤之内，痛感、痒感、不适感渐次消散，翌晨自检皮疹已渐隐退，为巩固疗效计，又洗二次，以后未见复发。
(二)
龙眼核止血定痛功效殊胜，《便易经验集》中有李平西所传疗“金刃伤”方：
“龙眼核剥去光皮，其仁研极细，掺疮口即定痛止血。平西氏云：‘此药在西秦巴里营中，救愈多人。’按：龙眼核治金刃伤功效甚验，查《本草纲目》及其他本草书籍俱未记载。可见世上有用之材，自古迄今，湮没者不可胜汁矣。惜哉!惜哉。”
余自得此秘方后，立即收取龙眼核，如法研为细末。凡遇普通之金刃伤，俱以敷之，其止血定痛之效确非虚语。且废物利用，不化分文，遂作案头常备之药。有一日，一女病人前来就诊。其在一周前与弟媳斗口，及至动武，被对方咬伤手背。虽经外科多次治疗，依然溃烂腐化，不能收口。余为其洗净创面，掺以龙眼核粉并包扎之。次日换药，溃口已明显收敛，仅敷药粉两次便结痂而愈。痂脱之后肤上不留痕迹，表皮光洁如初。可见龙眼核之用，非仅止血定痛而已。
即此观之，龙眼核之为物，犹药中之璞玉也。无怪乎王孟英之曾祖于(重庆堂随笔)中亦盛赞其功：“其核研傅金疮磕跌诸伤，立即止血止痛，愈后无瘢，名骊珠散，真妙药也。”
针灸推拿气功类
耳中苦鸣辨治愈
一、客邪耳鸣
青年徒工乔某，于1974年初冒寒外出，忽觉寒风猛然吹过左耳，耳中嗡然一声，随即噪鸣不已。言语时耳中鸣响更甚，且觉有气自左耳中出。耳科未予结论，如此十余日不止，于3月3日就治于余。夫耳鸣一症原因多端，盖耳者肾之窍，肾虚于下，阳浮于上则耳鸣，治宜滋填镇摄。若兼见心肾不交者，又当参以菖蒲、远志，以开心火下降、肾水上达之路，此曹仁伯之临证心得也。相火寓于肝胆，游行三焦，三焦与胆皆属少阳之经，环绕于耳。肝胆风火相煽，循经上扰，必病耳中苦鸣，清泄之法，又不可废也。而乔某之症，与此内发之病不同，乃风寒入于少阳经中，闭阻经气而成上述见症，一经解散，病必自除。治当疏解少阳以达其邪，即以毫针刺左侧听宫及两手中渚，以捻转法泻之，针尚未出，耳中鸣声已失。
打字员徐某，素体康健。1975年春，已届中年，常觉耳鸣盛于左侧，入夜尤甚。夜愈静则鸣声愈噪，深以为苦。急急寻余为开耳聋左慈丸。余告之曰：耳鸣虽是小恙，治法亦宜分别，或虚或实，最须审辨清楚，否则投剂不确，效必不彰。无奈其执意甚坚，余思左慈丸即使误服，亦不致酿成大祸，若非事实教训，彼必不肯信服。即疏方予服左慈丸，凡三阅月耳鸣依旧，复问治于余。诊得其六脉不衰，反多弦象，舌苔正常。耳鸣作则如蝉声高噪，止则沓无影踪。发时以手指紧按耳孔，则按之愈重鸣声愈甚。平时耳之前下方下关穴处常有胀满不适。余曰：此乃肝经之风火上扰清空，是实证而非肾虚也。《经》曰：“虚则补之，实则泻之，不虚不实以经取之。”为取患侧之耳门、中渚、下关三穴，行捻转泻法，留针二十分钟，隔日一次。首次针后，耳中鸣声显然减轻。连针五次，不复再鸣。
按：耳鸣一症有虚实之分：客邪气闭、痰火上扰、肝胆火炽等皆为实证；中气虚惫、肾气不足、水不涵木而致虚阳上僭等则为虚证。临证之时务宜分别，辨证施治，可获良效。
余治此证取穴以局部及远端相结合，局部于耳门、听会中选取一穴，远端则取患侧之中渚。盖耳为手足少阳经绕络之地，听会属足少阳胆经，耳门中渚为手少阳三焦经之俞穴，两者相配善疏少阳经气，有治耳鸣之良好作用。病情严重者加针翳风、侠溪。如因外感而致者，加外关、合谷；气闭者加太冲；痰火内盛者加内关、丰隆；肝阳上亢加太冲、丘墟；气虚加百会、气海；肾虚加肾俞、关元，或加三阴交、太溪。
上述二例皆属实证，一因风寒自外而入，袭于少阳经中，不能自行解散；一因肝胆之火自内而发，由下冲上，循经而达于耳中。两者病因虽异，而胆经受病、经气被阻则一一也，故取穴相似而皆获良效。
针余琐谈
一、颈肌挛痛针即和
某纺织厂车间主任钱女士，余幼年同学之室也，年将半百而素来康健。乙亥(1995年)夏末，一日晨起，觉右侧颈肌疼痛，牵强不适。急趋劳保医院摄片，示颈椎第五、六、七椎骨质增生。施用多法治疗而症不解，遂急急赶至余处。余查见右颈胸锁乳突肌痉挛突起，按之痛甚。项后僵硬，头部转侧则掣痛异常。行走及上肢活动时，颈项不能协调动作。先为针足三里双穴，以三寸针刺入，得气后行捻转提插二分钟，然后留针。次刺患侧外关。最后刺颈肌部，于痉挛处上下端及中间各刺一针，均以30号一寸半针刺之，手法同上。留针三十分钟，其间各行针三次。起针后颈部即可转动，颈肌明显松弛，疼痛减轻过半。共针五次，痛解肌平，颈项活动自如。按：针经有“四总穴”诀曰：“肚腹三里留，腰背委中求，头项寻列缺，颜面合谷收。”颈椎病变所致之颈项不利或疼痛，若取列缺似不甚应，如针足三里，则颈部之紧张立可松弛，此余临证之所得也。
又按：颈椎病变时下患者甚众，治法虽多，仅能减轻症状，尚乏根治之术。忆昔余从杨永璇先生学习针灸时，先生自创一法：以皮肤针(即七星针)密叩患者颈部病变处之体表部位，使有轻微出血，然后以特制之紫铜质火罐拔之，拔去瘀血，颈可立松。每隔二、三日治疗一次，近期疗效颇佳。
先生为当代沪上针灸学术界一代天骄，惜仅有《针灸治验录》一书行世。七十年代初，余随先生学习，蒙师厚爱，赠末学一册，并以毛笔挥毫题签。余求先生加钤“香士医庐”印章，先生素自谨慎，余不敢相强而罢。今先生仙逝有年，每见先生遗物，末学无不肃然起敬而心怀忆念也。
二、胸部摒伤循经取
新伤初起，以毫针刺之以疏通经气，即有卓效。针灸书谓承山穴治一身之震伤，固是先辈经验之谈，然亦有不必拘泥者。但依伤处所过经络，以经取之，每常应手取效。此举一例为证：青年夏某，掮物不慎，左胸摒伤，左乳上方疼痛不已，呼吸牵掣，上休转侧时其痛更甚。随即来余处就诊，余诊视伤处无瘀肿，叩之按之则疼痛较甚，是伤在左乳之上，乃是阳明胃经所过之地。遂取内关．以开胸中滞气，左侧丰隆，以通阳明经络，以毫针刺之，得气后捻旋数十下。然后使患者转侧俯仰及呼吸吐纳，皆无多大妨碍，疼痛已极轻微，仅略有不适而已，只针一次，翌日痛即消失。
医者以指甲重掐小儿穴位，以代替针刺治疗疾病，谓之“指针”。小儿肌肤柔嫩，穴位浅显，虽仅掐之以爪，亦已足够刺激量，虽不用针而病自去也。余临诊间未尝用此法，然曾目睹他人使用，且其功立见，故余记忆甚深。六十年代后期，已忘为何年，余方行医之初，夏月去故乡探望长辈，某日中午赤日炎炎，烁石流金，余正闲坐屋前树荫下休息，邻家一男孩，约七、八岁，赤膊跣足，行走于烈日之中，忽卒然倒地，手足抽搐，双目上翻。余意识此为热极而惊风急起。然未经历，身边又无针具，竟不知所措。其父闻讯，忙将患儿抱至树荫下，其母在侧以扇降温，并遣一青年速往邻村请一“掐惊”之人。少顷，来一农妇，年约三十余，有掐惊之特技，故远近闻名，有病必请。余欲得其治法，紧随其后细加观察，见其两手拇食两指，各捏起患儿一食指，以拇指指甲掐住穴位，约二分钟，患儿四肢已不抽搐，两目上视亦解。嘱多饮冷开水，莫再受热，不受谢仪而去。现此儿已及壮年，后亦未闻因惊而有他故。余所见之法极简，竟有如此大效，倘非亲临，孰能信之!而所贵者乃农妇也，作善不受人谢，其思想境界之高，已超然脱俗矣。
四、特殊针法亲验记
余曾见一医书，有以三寸针，直刺中脘，并向上下左右刺四针，以治肝硬化等顽疾之报道，然不见有能者。后拜访一针灸医师，偶见为一患者针中脘穴，以三寸32号不锈钢细针垂直刺入，三寸针体几乎全部刺入穴中，随即缓缓提至皮下，逐次向上下左右各刺一针，均刺入三寸深，不捻转，不提插，不行任何手法，亦不留针，如此深针竟不剌伤内脏。余先惊讶，继则产生兴趣，最后亦欲一试。即付与诊金，请作此针，彼欣然乐从，即为余照章办理。余觉针下仅有浅而成片之胀感，不如针四肢穴位针感往往成条索，并向远处放射。垂直下针时仅中脘有针感，向右刺时，则胀及右胁之下。斜向左胁刺则针感在于左胁之下，向上刺则在剑突下，向下刺则在脐上。针后中脘有轻松舒适感觉，余亦无他。余曾屡欲为病人针之而资研究，然医家对病人高度负责之责任心不容余作未有把握之事，故无经验可谈，仅记受针之始末如上，以供后来居上者参考。
肾虚感寒立时医
针书云：泻合谷、补复溜，可以止汗；补合谷、泻复溜，可以发汗。余曾以合谷配复溜治两例肾虚感寒者，俱以平补平泻而立竿见影。
例一凤某正当中年，体质素健。于1971年8月13日深夜一时许，遣人叩门邀诊。其时正值秋令燠热，而患者自裹棉被犹浑身颤抖，所卧之床随之格格作响。口中不时呻吟，且连连呼冷。询知数日前有洒淅之感，自恃体壮，未予留意。刻下则恶寒、头痛剧烈，虽复厚被而全无点滴汗气。切脉浮紧，无疟疾病史，亦无发热证候。余思此乃肾虚感寒，虽无房事损伤于先，而恶寒、头痛、无汗、脉浮紧诸症已具，是感受寒邪无疑。而不发热者，是正虚不能御邪之明征。但其恶寒若此之甚，是正气犹存，尚能勉力拒邪，故所见仍属阳证，否则，必入三阴之途。是时也，宜扶正以达邪，若仅解表无益也。为刺合谷、复溜，针甫下，患者颤抖立止，恶寒亦减。留针十五分钟，病去七、八，于是出针，嘱其安卧，至次晨则病去若失矣，以后亦未再发。
例二一中年男子，素体。肾精不充，形色衰惫。1989年秋房劳后即感畏寒、头痛，体温37．7℃，以感冒药治之不效，针曲池热亦不退。遂取合谷、复溜，平补平泻，夜间针一次，翌晨诸症全消。越数周，复病如前，再以上法刺之，又寻愈。以后亦未复作。
按：合谷配复溜治肾虚感寒效验卓著，而其机理诸书皆未详述。余昔年于夏宇仁先生案头，偶见“蜀彰明陈光昌景文先生”所著之《实用针灸学》，系1935年江阴承淡安先生“中国针灸学社”之油印本，为“东方针灸学社藏版”。书中对合谷、复溜配穴及治病之精义，阐发透辟，俾来学受益良多。余不敢自秘，录之于下，以飨同好。
“合谷复溜，二穴止汗发汗，书有明文，针家皆知之。而其所以能止汗发汗之理，则多未知也，试申言之。夫止汗补复溜者，以复溜属肾，能温肾中之阳、升膀胱之气，使达于周身而补卫自实也。泻合谷者，即所以清气分之热，热解则汗自止矣。发汗补合谷者，则以合谷属阳，清轻走表，故能发汗托邪，随汗出而解也。佐以泻复溜者，疏卫外之阳，而成其开皮毛之作用也。至若阳虚之自汗，阴虚之盗汗，固与外邪有别，而合谷复溜亦能止之者，盖亦以复溜非特能温肾中之阳，亦且以滋肾中之阴也。尤有进者，寒饮喘逆水肿等症，余推详其理，借用复溜以振阳行水，合谷以利气降逆，颇有奇效，可见此中变化无穷，学者当隅反之。”
点穴疗法愈儿疾
一、幼儿久泻仗点穴
知青马妹，余之亲戚也。于1975年5月15日自乡下来沪。其长女出生才四月，船中感受风寒，抵沪则发热、咳嗽、泄泻作矣。乃在附近市某医院儿科就诊，热退咳减而泻不止。诊治数次迁延一月，日仍大便五、六次，稀薄而夹有奶块。一日，遇余于戚家，余见此状，即照马秀裳点穴疗法为之试治。取合谷、足三里、内庭三穴，于早上先用平揉法，左右侧各穴均揉百次。再用按压法百次，继以点打法百次。晚间复施平揉一法，每穴各三百次。次日泄即全止，从此而愈。小儿肌肤稚嫩，经络浅显，故虽按摩于体表，而效则内应以脏腑，真有药石所不能及者。
按：《实用针灸学》曰：合谷三里“二穴皆属阳明，一手一足上下相应。合谷为大肠原穴，能升能降，能宣能通。三里为土中真土，补之益气升清，泻之通阳降浊。二穴相合，肠胃并调。若清阳下陷，胃气虚弱，纳谷不畅者，则补三里，应合谷以升下陷之阳，俾胃气升而食自进。”土厚清升，则泄泻自止矣。内庭为胃经之荥穴。极善止泻，奈何诸书皆不及此。内庭具益中气，升胃阳，化水湿之功，与合谷三里相伍，则善能协调畅达肠胃气机，运转升降枢纽，分清别浊中土自厚，何虑泄泻之不止哉!
二、点穴治愈荨麻疹
某中外合资企业中方代表丧先生，因眩晕反复发作前来就诊。其女儿、女婿均为西医主任医师，嘱咐他服用中药。我诊断为痰饮眩晕（由痰湿水饮停聚引起的眩晕），投用半夏天麻白术汤（半夏、天麻、白术组成的方剂），收到即服即效的效果。到了同年仲夏，他体表遍发红疹块，皮肤科诊断为夏季皮炎，涂抹洗剂，数日后依然如故，再次来我这里诊治。我也给他用上方的药渣煎汤外洗，一次外洗后，即觉清凉之气渗入肌肤之内，痛感、痒感、不适感渐次消散，第二天早晨自检皮疹已逐渐隐退，为了巩固疗效，又洗了两次，以后未见复发。
(二)
龙眼核具有止血定痛的功效非常显著，《便易经验集》中有李平西所传的疗治“金刃伤”（金属利器造成的创伤）的方子：
“龙眼核剥去光皮，将仁研成极细粉末，撒在疮口上即可定痛止血。平西氏说：‘此药在西秦巴里军营中，救愈多人。’按语：龙眼核治疗金刃伤功效非常灵验，查阅《本草纲目》及其他本草书籍均未记载。可见世上有用的材料，自古迄今，被埋没的不可胜数啊。可惜啊！可惜啊。”
我得到这个秘方后，立即收集龙眼核，按照方法研为细末。凡是遇到普通的金刃伤，都用它敷贴，其止血定痛的功效确实不是虚言。而且废物利用，不花一分钱，于是成为案头常备的药物。有一天，一位女病人前来就诊。她在一周前与弟媳争吵，进而动武，被对方咬伤手背。虽然经过外科多次治疗，依然溃烂腐化，不能收口。我为她洗净创面，撒上龙眼核粉并包扎。次日换药，溃口已明显收敛，仅敷药粉两次便结痂而愈。痂脱之后皮肤上不留痕迹，表皮光洁如初。可见龙眼核的作用，不仅仅在于止血定痛而已。
由此看来，龙眼核这种东西，犹如药中的璞玉。难怪王孟英的曾祖在《重庆堂随笔》中也盛赞其功效：“其核研碎敷贴金疮磕跌等各种损伤，立即止血止痛，愈合后无瘢痕，名叫骊珠散，真是妙药啊。”
针灸推拿气功类
耳中苦鸣辨治愈
一、客邪耳鸣
青年徒工乔某，于1974年初冒寒外出，忽然觉得寒风猛然吹过左耳，耳中嗡然一声，随即噪鸣不已。言语时耳中鸣响更甚，且觉得有气从左耳中出。耳科未予结论，如此十余日不止，于3月3日就治于我。夫耳鸣一症原因多端，盖耳者肾之窍，肾虚于下，阳浮于上则耳鸣，治宜滋填镇摄（滋补肾脏、镇压浮阳）。若兼见心肾不交者，又当参以菖蒲、远志，以开心火下降、肾水上达之路，这是曹仁伯的临证心得也。相火寓于肝胆，游行三焦，三焦与胆皆属少阳之经，环绕于耳。肝胆风火相煽，循经上扰，必病耳中苦鸣，清泄之法，又不可废也。而乔某之症，与此内发之病不同，乃风寒入于少阳经中，闭阻经气而成上述见症，一经解散，病必自除。治当疏解少阳以达其邪，即以毫针刺左侧听宫及两手中渚穴，以捻转法泻之，针尚未出，耳中鸣声已消失。
打字员徐某，素体康健。1975年春，已届中年，常觉耳鸣盛于左侧，入夜尤甚。夜愈静则鸣声愈噪，深以为苦。急急寻我为开耳聋左慈丸。我告诉他说：耳鸣虽是小恙，治法亦宜分别，或虚或实，最须审辨清楚，否则投剂不确，效必不彰。无奈其执意甚坚，我思左慈丸即使误服，亦不致酿成大祸，若非事实教训，彼必不肯信服。即疏方予服左慈丸，凡三阅月耳鸣依旧，复问治于我。诊得其六脉不衰，反多弦象，舌苔正常。耳鸣作则如蝉声高噪，止则杳无影踪。发时以手指紧按耳孔，则按之愈重鸣声愈甚。平时耳之前下方下关穴处常有胀满不适。我说：此乃肝经之风火上扰清空，是实证而非肾虚也。《经》曰：“虚则补之，实则泻之，不虚不实以经取之。”为取患侧之耳门、中渚、下关三穴，行捻转泻法，留针二十分钟，隔日一次。首次针后，耳中鸣声显然减轻。连针五次，不复再鸣。
按语：耳鸣一症有虚实之分：客邪气闭、痰火上扰、肝胆火炽等皆为实证；中气虚惫、肾气不足、水不涵木而致虚阳上僭等则为虚证。临证之时务宜分别，辨证施治，可获良效。
我治此证取穴以局部及远端相结合，局部于耳门、听会中选取一穴，远端则取患侧之中渚。盖耳为手足少阳经绕络之地，听会属足少阳胆经，耳门中渚为手少阳三焦经之俞穴，两者相配善疏少阳经气，有治耳鸣之良好作用。病情严重者加针翳风、侠溪。如因外感而致者，加外关、合谷；气闭者加太冲；痰火内盛者加内关、丰隆；肝阳上亢加太冲、丘墟；气虚加百会、气海；肾虚加肾俞、关元，或加三阴交、太溪。
上述二例皆属实证，一因风寒自外而入，袭于少阳经中，不能自行解散；一因肝胆之火自内而发，由下冲上，循经而达于耳中。两者病因虽异，而胆经受病、经气被阻则一也，故取穴相似而皆获良效。
针余琐谈
一、颈肌挛痛针即和
某纺织厂车间主任钱女士，是我幼年同学的妻子，年将半百而素来康健。乙亥(1995年)夏末，一日晨起，觉右侧颈肌疼痛，牵强不适。急趋劳保医院摄片，示颈椎第五、六、七椎骨质增生。施用多法治疗而症不解，遂急急赶至我处。我查见右颈胸锁乳突肌痉挛突起，按之痛甚。项后僵硬，头部转侧则掣痛异常。行走及上肢活动时，颈项不能协调动作。先为针足三里双穴，以三寸针刺入，得气后行捻转提插二分钟，然后留针。次刺患侧外关。最后刺颈肌部，于痉挛处上下端及中间各刺一针，均以30号一寸半针刺之，手法同上。留针三十分钟，其间各行针三次。起针后颈部即可转动，颈肌明显松弛，疼痛减轻过半。共针五次，痛解肌平，颈项活动自如。按语：《针经》有“四总穴”诀曰：“肚腹三里留，腰背委中求，头项寻列缺，颜面合谷收。”颈椎病变所致之颈项不利或疼痛，若取列缺似不甚应，如针足三里，则颈部之紧张立可松弛，这是我临证之所得也。
又按语：颈椎病变时下患者甚众，治法虽多，仅能减轻症状，尚乏根治之术。忆昔我从杨永璇先生学习针灸时，先生自创一法：以皮肤针(即七星针)密叩患者颈部病变处之体表部位，使有轻微出血，然后以特制之紫铜质火罐拔之，拔去瘀血，颈可立松。每隔二、三日治疗一次，近期疗效颇佳。
先生为当代沪上针灸学术界一代天骄，惜仅有《针灸治验录》一书行世。七十年代初，我随先生学习，蒙师厚爱，赠末学一册，并以毛笔挥毫题签。我求先生加钤“香士医庐”印章，先生素自谨慎，我不敢相强而罢。今先生仙逝有年，每见先生遗物，末学无不肃然起敬而心怀忆念也。
二、胸部摒伤循经取
新伤初起，以毫针刺之以疏通经气，即有卓效。针灸书谓承山穴治一身之震伤，固是先辈经验之谈，然亦有不必拘泥者。但依伤处所过经络，以经取之，每常应手取效。此举一例为证：青年夏某，掮物不慎，左胸摒伤，左乳上方疼痛不已，呼吸牵掣，上体转侧时其痛更甚。随即来我处就诊，我诊视伤处无瘀肿，叩之按之则疼痛较甚，是伤在左乳之上，乃是阳明胃经所过之地。遂取内关，以开胸中滞气，左侧丰隆，以通阳明经络，以毫针刺之，得气后捻旋数十下。然后使患者转侧俯仰及呼吸吐纳，皆无多大妨碍，疼痛已极轻微，仅略有不适而已，只针一次，翌日痛即消失。
医者以指甲重掐小儿穴位，以代替针刺治疗疾病，谓之“指针”。小儿肌肤柔嫩，穴位浅显，虽仅掐之以爪，亦已足够刺激量，虽不用针而病自去也。我临诊间未尝用此法，然曾目睹他人使用，且其功立见，故我记忆甚深。六十年代后期，已忘为何年，我方行医之初，夏月去故乡探望长辈，某日中午赤日炎炎，烁石流金，我正闲坐屋前树荫下休息，邻家一男孩，约七、八岁，赤膊跣足，行走于烈日之中，忽卒然倒地，手足抽搐，双目上翻。我意识此为热极而惊风急起。然未经历，身边又无针具，竟不知所措。其父闻讯，忙将患儿抱至树荫下，其母在侧以扇降温，并遣一青年速往邻村请一“掐惊”之人。少顷，来一农妇，年约三十余，有掐惊之特技，故远近闻名，有病必请。我欲得其治法，紧随其后细加观察，见其两手拇食两指，各捏起患儿一食指，以拇指指甲掐住穴位，约二分钟，患儿四肢已不抽搐，两目上视亦解。嘱多饮冷开水，莫再受热，不受谢仪而去。现此儿已及壮年，后亦未闻因惊而有他故。我所见之法极简，竟有如此大效，倘非亲临，孰能信之!而所贵者乃农妇也，作善不受人谢，其思想境界之高，已超然脱俗矣。
四、特殊针法亲验记
我曾见一医书，有以三寸针，直刺中脘，并向上下左右刺四针，以治肝硬化等顽疾之报道，然不见有能者。后拜访一针灸医师，偶见为一患者针中脘穴，以三寸32号不锈钢细针垂直刺入，三寸针体几乎全部刺入穴中，随即缓缓提至皮下，逐次向上下左右各刺一针，均刺入三寸深，不捻转，不提插，不行任何手法，亦不留针，如此深针竟不刺伤内脏。我先惊讶，继则产生兴趣，最后亦欲一试。即付与诊金，请作此针，彼欣然乐从，即为余照章办理。我觉针下仅有浅而成片之胀感，不如针四肢穴位针感往往成条索，并向远处放射。垂直下针时仅中脘有针感，向右刺时，则胀及右胁之下。斜向左胁刺则针感在于左胁之下，向上刺则在剑突下，向下刺则在脐上。针后中脘有轻松舒适感觉，我亦无他。我曾屡欲为病人针之而资研究，然医家对病人高度负责之责任心不容我作未有把握之事，故无经验可谈，仅记受针之始末如上，以供后来居上者参考。
肾虚感寒立时医
针书云：泻合谷、补复溜，可以止汗；补合谷、泻复溜，可以发汗。我曾以合谷配复溜治两例肾虚感寒者，俱以平补平泻而立竿见影。
例一凤某正当中年，体质素健。于1971年8月13日深夜一时许，遣人叩门邀诊。其时正值秋令燠热，而患者自裹棉被犹浑身颤抖，所卧之床随之格格作响。口中不时呻吟，且连连呼冷。询知数日前有洒淅之感，自恃体壮，未予留意。刻下则恶寒、头痛剧烈，虽复厚被而全无点滴汗气。切脉浮紧，无疟疾病史，亦无发热证候。我思此乃肾虚感寒，虽无房事损伤于先，而恶寒、头痛、无汗、脉浮紧诸症已具，是感受寒邪无疑。而不发热者，是正虚不能御邪之明征。但其恶寒若此之甚，是正气犹存，尚能勉力拒邪，故所见仍属阳证，否则，必入三阴之途。是时也，宜扶正以达邪，若仅解表无益也。为刺合谷、复溜，针甫下，患者颤抖立止，恶寒亦减。留针十五分钟，病去七、八，于是出针，嘱其安卧，至次晨则病去若失矣，以后亦未再发。
例二一中年男子，素体肾精不充，形色衰惫。1989年秋房劳后即感畏寒、头痛，体温37．7℃，以感冒药治之不效，针曲池热亦不退。遂取合谷、复溜，平补平泻，夜间针一次，翌晨诸症全消。越数周，复病如前，再以上法刺之，又寻愈。以后亦未复作。
按语：合谷配复溜治肾虚感寒效验卓著，而其机理诸书皆未详述。我昔年于夏宇仁先生案头，偶见“蜀彰明陈光昌景文先生”所著之《实用针灸学》，系1935年江阴承淡安先生“中国针灸学社”之油印本，为“东方针灸学社藏版”。书中对合谷、复溜配穴及治病之精义，阐发透辟，俾来学受益良多。我不敢自秘，录之于下，以飨同好。
“合谷复溜，二穴止汗发汗，书有明文，针家皆知之。而其所以能止汗发汗之理，则多未知也，试申言之。夫止汗补复溜者，以复溜属肾，能温肾中之阳、升膀胱之气，使达于周身而补卫自实也。泻合谷者，即所以清气分之热，热解则汗自止矣。发汗补合谷者，则以合谷属阳，清轻走表，故能发汗托邪，随汗出而解也。佐以泻复溜者，疏卫外之阳，而成其开皮毛之作用也。至若阳虚之自汗，阴虚之盗汗，固与外邪有别，而合谷复溜亦能止之者，盖亦以复溜非特能温肾中之阳，亦且以滋肾中之阴也。尤有进者，寒饮喘逆水肿等症，余推详其理，借用复溜以振阳行水，合谷以利气降逆，颇有奇效，可见此中变化无穷，学者当隅反之。”
点穴疗法愈儿疾
一、幼儿久泻仗点穴
知青马妹，是我的亲戚。于1975年5月15日自乡下来沪。其长女出生才四月，船中感受风寒，抵沪则发热、咳嗽、泄泻作矣。乃在附近市某医院儿科就诊，热退咳减而泻不止。诊治数次迁延一月，日仍大便五、六次，稀薄而夹有奶块。一日，遇余于戚家，我见此状，即照马秀裳点穴疗法为之试治。取合谷、足三里、内庭三穴，于早上先用平揉法，左右侧各穴均揉百次。再用按压法百次，继以点打法百次。晚间复施平揉一法，每穴各三百次。次日泄即全止，从此而愈。小儿肌肤稚嫩，经络浅显，故虽按摩于体表，而效则内应以脏腑，真有药石所不能及者。
按语：《实用针灸学》曰：合谷三里“二穴皆属阳明，一手一足上下相应。合谷为大肠原穴，能升能降，能宣能通。三里为土中真土，补之益气升清，泻之通阳降浊。二穴相合，肠胃并调。若清阳下陷，胃气虚弱，纳谷不畅者，则补三里，应合谷以升下陷之阳，俾胃气升而食自进。”土厚清升，则泄泻自止矣。内庭为胃经之荥穴。极善止泻，奈何诸书皆不及此。内庭具益中气，升胃阳，化水湿之功，与合谷三里相伍，则善能协调畅达肠胃气机，运转升降枢纽，分清别浊中土自厚，何虑泄泻之不止哉!
二、点穴治愈荨麻疹
Mr. Sang, a Chinese representative in a Sino-foreign joint venture enterprise, came for consultation due to recurrent vertigo. His daughter and son-in-law were both chief physicians of Western medicine, who advised him to take Chinese herbal medicine. I diagnosed his condition as Phlegm-Fluid Vertigo (vertigo caused by the accumulation of phlegm and fluid), and prescribed Banxia Tianma Baizhu Tang (Decoction of Pinellia, Gastrodia, and Atractodes). The effect was immediate upon administration. By midsummer of that year, he developed widespread red rashes on his body. The dermatology department diagnosed it as Summer Dermatitis and applied a lotion, but after several days, there was no improvement. He came to me again for treatment. I prescribed the same formula for external washing. After just one wash, he felt a cooling sensation penetrating into his skin; the pain, itching, and discomfort gradually dissipated. The next morning, upon self-examination, he found the rash had receded. To consolidate the therapeutic effect, he washed twice more, and there was no recurrence thereafter.
(II)
Longan seed possesses remarkable hemostatic and analgesic efficacy. In *Bianyi Jingyan Ji* (Collection of Convenient Empirical Experiences), there is a prescription transmitted by Li Pingxi for treating "Metal Blade Wounds" (trauma caused by metal instruments):
"Peel off the smooth skin of the longan seed, grind the kernel into an extremely fine powder, and sprinkle it onto the wound to stop bleeding and relieve pain immediately. Mr. Pingxi said: 'This medicine saved many lives in the military camps in Shaanxi and Bashu.' Commentary: The efficacy of longan seed in treating metal blade wounds is very reliable. However, consulting *Bencao Gangmu* (Compendium of Materia Medica) and other materia medica books reveals no record of this. It can be seen that useful materials in the world have been buried and forgotten since ancient times without number. Alas! Alas!"
After obtaining this secret recipe, I immediately collected longan seeds and ground them into fine powder according to the method. Whenever encountering ordinary metal blade wounds, I used this powder for application. Its hemostatic and analgesic effects are indeed not empty words. Moreover, it utilizes waste material at no cost, so it became a constant standby medicine on my desk. One day, a female patient came for consultation. A week prior, she had an argument with her sister-in-law which escalated into a physical altercation, resulting in her hand back being bitten. Despite multiple treatments by the surgical department, the wound remained ulcerated and necrotic, failing to heal. I cleaned the wound surface for her, sprinkled longan seed powder, and bandaged it. Upon changing the dressing the next day, the ulcer had significantly contracted. After only two applications of the powder, it scabbed over and healed. After the scab fell off, no trace remained on the skin, and the epidermis was smooth and bright as before. This shows that the utility of longan seed extends beyond merely stopping bleeding and relieving pain.
From this perspective, the longan seed is like uncut jade among medicines. No wonder Wang Mengying's great-grandfather also praised its efficacy highly in *Chongtang Suibi* (Random Notes from Chongtang Hall): "Grinding the seed and applying it externally to metal blade wounds, falls, and other injuries stops bleeding and pain immediately, and heals without scars. Named Lizhu San (Pearl Powder), it is truly a miraculous medicine."
Acupuncture, Tuina, and Qigong Category
Differentiation and Cure for Tinnitus
I. External Pathogenic Tinnitus
Qiao, a young apprentice, went out braving the cold in early 1974. Suddenly, he felt a cold wind blowing sharply past his left ear, followed by a buzzing sound and incessant tinnitus. The ringing intensified when speaking, and he felt air escaping from his left ear. The ENT department could not reach a conclusion. This persisted for over ten days until he sought my treatment on March 3rd. Tinnitus has various causes. The ear is the orifice of the Kidney. If Kidney deficiency exists below and Yang floats above, tinnitus occurs; treatment should focus on nourishing and anchoring. If accompanied by Heart-Kidney non-interaction, adding Shichangpu (Acorus) and Yuanzhi (Polygala) helps open the pathways for Heart Fire to descend and Kidney Water to ascend, which is the clinical insight of Cao Renbo. Ministerial Fire resides in the Liver and Gallbladder, circulating through the Sanjiao. Both the Sanjiao and Gallbladder belong to the Shaoyang meridians, which encircle the ear. Wind and fire from the Liver and Gallbladder stirring each other and disturbing upwards along the meridians will cause severe tinnitus; clearing and draining methods cannot be neglected. However, Qiao's condition differs from these internally generated diseases. It was caused by Wind-Cold entering the Shaoyang meridian, blocking the flow of meridian Qi, resulting in the aforementioned symptoms. Once released, the disease will naturally resolve. Treatment should focus on dispersing the Shaoyang to expel the pathogen. I used filiform needles to puncture Tinggong (SI 19) on the left side and Zhongzhu (TE 3) on both hands, using the rotating-reducing manipulation. Before the needles were withdrawn, the tinnitus had already disappeared.
II. Wind-Fire Tinnitus
Xu, a typist, was generally healthy. In the spring of 1975, now middle-aged, he often felt tinnitus was more intense on the left side, especially worse at night. The quieter the night, the louder the ringing, causing him deep distress. He urgently sought me to prescribe Erlong Zuoci Wan (Left-Ear-Liberating Pill). I told him: Although tinnitus is a minor ailment, treatment methods must be differentiated between deficiency and excess. Clarity in diagnosis is essential; otherwise, inaccurate prescriptions will yield poor results. Unyielding in his insistence, I thought that even if Zuoci Wan was taken incorrectly, it would not cause major harm. Without a factual lesson, he would never believe otherwise. So, I prescribed Zuoci Wan. After three months, the tinnitus remained unchanged. He returned for further treatment. His six pulses were not weak but rather wiry. Tongue coating was normal. When tinnitus occurred, it sounded like loud cicadas; when it stopped, it vanished completely. Pressing tightly on the ear canal with fingers made the ringing worse with greater pressure. Usually, there was distension and discomfort at Xiaguan (ST 7), located below and anterior to the ear. I said: This is Wind-Fire from the Liver Meridian disturbing the clear orifices. It is an Excess pattern, not Kidney Deficiency. The Classic states: "Tonify deficiency, drain excess, and treat according to the meridian if neither deficient nor excessive." I selected Ear Gate (TE 21), Zhongzhu (TE 3), and Xiaguan (ST 7) on the affected side, performed rotating-reducing manipulation, and retained the needles for twenty minutes, once every other day. After the first session, the tinnitus noticeably decreased. After five sessions, it ceased completely.
Commentary: Tinnitus is divided into excess and deficiency patterns. Obstruction by external pathogens, disturbance by Phlegm-Fire, and blazing Liver-Gallbladder Fire are all Excess patterns. Exhaustion of Middle Qi, insufficiency of Kidney Qi, and floating Yang due to Water failing to nourish Wood are Deficiency patterns. During clinical practice, differentiation is crucial for effective treatment.
In treating this condition, I combine local and distal points. Locally, I select one point from Ear Gate (TE 21) or Tinghui (GB 2). Distally, I select Zhongzhu (TE 3) on the affected side. The ear is where the Hand and Foot Shaoyang meridians interlace. Tinghui belongs to the Foot Shaoyang Gallbladder Meridian, while Ear Gate and Zhongzhu are Shu-stream points of the Hand Shaoyang Sanjiao Meridian. Their combination effectively disperses Shaoyang meridian Qi and treats tinnitus well. For severe cases, add Yifeng (TE 17) and Xiaxi (GB 43). If caused by external contraction, add Waiguan (TE 5) and Hegu (LI 4); for Qi obstruction, add Taichong (LR 3); for internal Phlegm-Fire abundance, add Neiguan (PC 6) and Fenglong (ST 40); for Liver Yang rising, add Taichong (LR 3) and Qiu Xu (GB 40); for Qi deficiency, add Baihui (GV 20) and Qihai (CV 6); for Kidney deficiency, add Shenshu (BL 23), Guanyuan (CV 4), or Sanyinjiao (SP 6) and Taixi (KI 3).
Both cases above were Excess patterns. One was due to Wind-Cold entering from outside and attacking the Shaoyang meridian, unable to disperse spontaneously. The other was due to Liver-Gallbladder Fire originating internally, rushing upward along the meridian to the ear. Although the etiologies differed, both involved pathology of the Gallbladder meridian and blockage of meridian Qi, hence similar point selection yielded good results.
Miscellaneous Notes on Acupuncture
I. Neck Muscle Spasm Pain Relieved Immediately by Needling
Ms. Qian, workshop director at a textile factory and wife of my childhood classmate, was nearly fifty but generally healthy. In late summer of the Yi Hai year (1995), upon waking one morning, she felt pain and stiffness in the right neck muscles. She rushed to the labor protection hospital for an X-ray, which showed osteophyte hyperplasia at cervical vertebrae C5, C6, and C7. Multiple treatments failed to relieve symptoms, so she hurriedly came to me. Examination revealed spasm and protrusion of the right sternocleidomastoid muscle, with severe pain upon palpation. The back of the neck was stiff, and turning the head caused sharp pain. Coordination between the neck and upper limbs was impaired during walking and arm movement. First, I needled bilateral Zusanli (ST 36) with three-cun needles. After achieving Deqi, I performed rotating and lifting-thrusting manipulations for two minutes, then retained the needles. Next, I needled Waiguan (TE 5) on the affected side. Finally, I needled the neck muscles, inserting one needle at the upper end, lower end, and center of the spasm area using 30-gauge, one-and-a-half-cun needles, with the same manipulation. Needles were retained for thirty minutes, with manual stimulation three times during retention. After needle removal, the neck could turn, muscles relaxed significantly, and pain reduced by more than half. After five sessions, pain resolved, muscles flattened, and neck movement became free. Commentary: The *Needle Classic* contains the "Four General Points" rhyme: "For abdomen and intestines, retain Zusanli; for waist and back, seek Weizhong; for head and neck, find Lieque; for face, gather Hegu." For neck stiffness or pain caused by cervical spine lesions, Lieque may not be very effective. However, needling Zusanli can instantly relax neck tension, which is my clinical experience.
Another Commentary: Patients with cervical spine lesions are numerous nowadays. Although many treatments exist, they only alleviate symptoms and lack radical cure. I recall learning acupuncture from Mr. Yang Yongxuan, who created a unique method: densely tapping the affected skin area of the neck with a Skin Needle (Seven-Star Needle) until slight bleeding occurred, then applying a specially made purple copper cupping jar to remove blood stasis. The neck would relax immediately. Treatment every two to three days yielded excellent short-term results.
Mr. Yang was a leading figure in Shanghai's acupuncture academic circle. Regrettably, only one book, *Jiuzhi Zhiyan Lu* (Record of Acupuncture Curative Cases), was published. In the early 1970s, I studied under him. Out of his kindness, he gifted me a copy, inscribed with his brushwork. I asked him to stamp it with the "Xiangshi Yilu" seal, but he was usually cautious, so I did not insist. Now that he has passed away, seeing his belongings always fills me with solemn respect and remembrance.
II. Chest Trauma Treated by Meridian Selection
For fresh injuries, immediate needling with filiform needles to unblock meridian Qi yields outstanding effects. Acupuncture texts state that Chengshan (BL 57) treats whole-body contusions, which is indeed ancestral experience. However, one should not be rigidly bound by this. Generally, selecting points based on the meridian passing through the injury site often yields immediate results. Here is an example: Xia, a young man, accidentally injured his left chest while carrying heavy objects. Severe pain occurred above the left breast, exacerbated by breathing and twisting the upper body. He came to me for consultation. Inspection showed no bruising or swelling at the injury site, but percussion and palpation elicited significant pain. The injury was above the left breast, in the area traversed by the Yangming Stomach Meridian. I selected Neiguan (PC 6) to open stagnant Qi in the chest, and Fenglong (ST 40) on the left to unblock the Yangming meridian. Using filiform needles, after achieving Deqi, I rotated the needles dozens of times. Then, I instructed the patient to twist, bend, and breathe deeply. There was little hindrance, and pain became minimal, with only slight discomfort. After only one session, the pain disappeared the next day.
III. Fingernail Pressure on Shangyang for Acute Convulsions
Using fingernails to press pediatric acupoints instead of needle insertion is called "Pointer Manipulation." Children's skin is tender, and acupoints are superficial. Even pressing with nails provides sufficient stimulation, curing the disease without needles. I rarely used this method clinically, but having witnessed others use it with immediate results, I remember it vividly. In the late 1960s, early in my medical career, I visited relatives in my hometown during summer. One noon, under the scorching sun, I was resting in the shade. A neighbor boy, about seven or eight years old, barefoot and shirtless, suddenly collapsed while walking in the sun, convulsing with eyes rolling up. I realized this was acute convulsion due to extreme heat. Lacking experience and needles, I was at a loss. His father carried him to the shade. His mother fanned him to cool down and sent a youth to invite a "convulsion-queller" from the neighboring village. Soon, a woman in her thirties arrived, famous for this skill. I followed closely to observe her technique. She pinched the index finger of each hand with her thumb and index finger, pressing the acupoint with her thumbnail for about two minutes. The child's limb convulsions stopped, and his eyes returned to normal. She advised drinking cold boiled water and avoiding heat, refusing any reward. The child grew up healthy, and no further convulsions were reported. The method I saw was simple yet highly effective. Only personal observation makes one believe it. The farmer woman is admirable; doing good without seeking thanks reflects a high spiritual realm transcending the mundane.
IV. Record of Personal Experience with Special Needling Techniques
I once read a medical book reporting the use of a three-cun needle inserted vertically into Zhongwan (CV 12), with four additional needles inserted up, down, left, and right to treat stubborn diseases like liver cirrhosis, but no skilled practitioner was found. Later, visiting an acupuncturist, I偶然ly saw him treat a patient. He used a three-cun, 32-gauge stainless steel fine needle, inserted it vertically into Zhongwan until almost the entire shaft entered, then slowly withdrew to the subcutaneous layer. He then inserted needles up, down, left, and right, each three cun deep, without rotation, lifting-thrusting, or any manipulation, and did not retain the needles. Such deep needling did not injure internal organs. I was surprised, then interested, and finally wanted to try it myself. I paid the fee, and he agreed. I felt only a shallow, patchy distension, unlike the cord-like sensation radiating from limb points. Vertical insertion produced sensation only at Zhongwan; rightward insertion caused distension in the right hypochondrium; oblique leftward insertion caused sensation in the left hypochondrium; upward insertion caused sensation below the xiphoid process; downward insertion caused sensation above the umbilicus. After needling, Zhongwan felt relaxed and comfortable, and I had no other adverse reactions. I often wanted to study this technique on patients, but a doctor's responsibility prevents me from attempting uncertain procedures. Thus, I have no experience to share, only recording this personal experience for future practitioners.
Kidney Deficiency with Cold Invasion: Immediate Cure by Acupuncture
Acupuncture texts state: Reducing Hegu (LI 4) and Tonifying Fuliu (KI 7) can stop sweating; Tonifying Hegu and Reducing Fuliu can induce sweating. I treated two cases of Kidney Deficiency with Cold Invasion using Hegu paired with Fuliu, achieving immediate results with Equal Tonification and Reduction manipulation.
Case 1: Feng, middle-aged and generally healthy. At 1:00 AM on August 13, 1971, someone knocked on his door inviting me to consult. It was autumn, unusually hot, yet the patient shivered violently under thick cotton quilts, making his bed creak. He groaned and repeatedly complained of cold. Inquiry revealed chills a few days prior, which he ignored due to robust health. Currently, he had severe aversion to cold and headache, no sweat despite thick coverings. Pulse was floating and tight. No history of malaria or fever. I reasoned this was Kidney Deficiency with Cold Invasion. Although no sexual exhaustion preceded it, the symptoms of aversion to cold, severe headache, anhidrosis, and floating-tight pulse confirmed cold pathogen invasion. The absence of fever indicated deficiency of Righteous Qi unable to resist the pathogen. However, such severe aversion to cold suggested Righteous Qi still existed, struggling to repel the pathogen, thus remaining a Yang pattern; otherwise, it would have entered the Three Yin stages. At this time, tonifying Righteous Qi to expel the pathogen was necessary; mere exterior release would be ineffective. I needled Hegu and Fuliu. As soon as the needles were inserted, the shaking stopped, and aversion to cold decreased. After retaining needles for fifteen minutes, the illness improved by 70-80%. Upon withdrawal, I advised rest. By the next morning, the illness had vanished, and there was no recurrence.
Case 2: A middle-aged man with insufficient Kidney Essence, appearing frail. In autumn 1989, after sexual activity, he felt aversion to cold and headache, with a temperature of 37.7°C. Cold medicine was ineffective, and needling Quchi (LI 11) did not reduce fever. I selected Hegu and Fuliu, using Equal Tonification and Reduction. One night session resulted in complete resolution of symptoms by the next morning. Weeks later, the illness recurred. Repeating the same method cured him again, with no further recurrence.
Commentary: The pairing of Hegu and Fuliu for Kidney Deficiency with Cold Invasion is highly effective, yet its mechanism is not detailed in most books. Years ago, at Mr. Xia Yuren's desk, I偶然ly saw *Shiyong Zhenjiu Xue* (Practical Acupuncture) by Mr. Chen Guangchang Jingwen of Zhangming, Sichuan. It was an oil-printed edition from 1935 by Mr. Cheng Dan'an's "China Acupuncture Society," stored by the "Oriental Acupuncture Society." The book elucidates the essence of pairing Hegu and Fuliu thoroughly, benefiting learners greatly. I dare not keep this secret, so I record it here for enthusiasts.
"Hegu and Fuliu, two points for stopping and inducing sweat, are clearly stated in books and known by acupuncturists. However, the rationale is often unknown. Let me explain. To stop sweat, tonifying Fuliu works because Fuliu belongs to the Kidney, warming Kidney Yang and ascending Bladder Qi, reaching the whole body to strengthen Wei (Defensive) Qi. Reducing Hegu clears Heat in the Qi level; once Heat resolves, sweat stops. To induce sweat, tonifying Hegu works because Hegu belongs to Yang, light and clear, moving to the exterior to induce sweat and expel pathogens. Assisting with reducing Fuliu disperses Wei Yang outside, facilitating the opening of pores. Regarding spontaneous sweating from Yang deficiency and night sweats from Yin deficiency, although different from external pathogens, Hegu and Fuliu can also stop them because Fuliu not only warms Kidney Yang but also nourishes Kidney Yin. Furthermore, regarding conditions like cold-fluid wheezing and edema, I deduce their mechanisms: borrowing Fuliu to振奋 Yang and move water, and Hegu to promote Qi descent, yields remarkable effects. Thus, changes within this pairing are infinite; students should infer accordingly."
Point-Pressing Therapy Cures Pediatric Diseases
I. Infantile Chronic Diarrhea Treated by Point-Pressing
Ma Mei, a educated youth and my relative, came to Shanghai from the countryside on May 15, 1975. Her eldest daughter, only four months old, caught Wind-Cold during the boat journey. Upon arrival in Shanghai, she developed fever, cough, and diarrhea. She consulted pediatrics at a nearby city hospital. Fever subsided and cough decreased, but diarrhea persisted. After several treatments lasting a month, she still had five to six loose stools daily containing milk curds. One day, I met her at a relative's house. Seeing her condition, I tried Ma Xiushang's Point-Pressing Therapy. I selected Hegu (LI 4), Zusanli (ST 36), and Neiting (ST 44). In the morning, I used the flat-rubbing method, rubbing each point on both sides one hundred times. Then, pressing manipulation one hundred times, followed by point-striking manipulation one hundred times. In the evening, I repeated the flat-rubbing method, three hundred times per point. The next day, diarrhea stopped completely, and she recovered. Children's skin is tender, and meridians are superficial. Thus, although massage is applied to the body surface, the effect resonates internally with the Zang-Fu organs, achieving what herbs and needles cannot.
Commentary: *Shiyong Zhenjiu Xue* states: "Hegu and Zusanli both belong to the Yangming meridian, corresponding hand and foot, upper and lower. Hegu is the Yuan-Source point of the Large Intestine, capable of ascending and descending, disseminating and unblocking. Zusanli is the true Earth within Earth; tonifying it boosts Qi and ascends Clear Yang, while reducing it unblocks Yang and descends Turbid Yin. Together, they regulate the stomach and intestines. If Clear Yang sinks and Stomach Qi is weak, causing poor appetite, tonify Zusanli and correspond with Hegu to raise sinking Yang, allowing Stomach Qi to ascend and food intake to improve." When Earth is thick and Clear Yang ascends, diarrhea stops naturally. Neiting is the Ying-Spring point of the Stomach Meridian, excellent for stopping diarrhea, yet omitted in many books. Neiting benefits Middle Qi, raises Stomach Yang, and transforms Dampness. Paired with Hegu and Zusanli, it coordinates intestinal Qi mechanism, regulates the pivot of ascent and descent, separates Clear from Turbid, thickens the Middle Jiao, ensuring diarrhea ceases.
II. Urticaria Cured by Point-Pressing