刺其足心各之所，按之无出血，病旋已，此病得之饮酒大醉"（《普济方·针灸》）。
王氏云，母久病，夏中脚忽肿，旧传夏不埋足，不敢著艾，漫以针火真（穴字头）令热，于三里穴刺之，微见血，凡数次，其肿如失去，热中素患脚疾，见此奇效（《普济方·针灸》）。
济方·针灸》）。
皮肤刺络拔罐法：名种关节炎，尤其是急性关节炎，均可用皮肤针叩刺，并在可以拔罐的部位加拨火罐。
在受伤局部用皮肤针叩刺至出血后加拔火罐，出血量中等。如拔罐困难可垫面饼后再拔罐。此法也同样用于踝部软组织损伤（《针灸治疗手册》。
试效方云：陕帅部巨济病偏枯，二指著足底不能伸，迎先师于京师治之。至则以长针刺委中，深至骨而不知痛，出血一二升，其色如黑，又且胶。刺之如是者六七次，服药三月，病良愈（《普济方·针灸》）。
经治急性扭伤32例，挫、砸伤18例。单用本法l～2次后，33例获效，16例改善，l例无效。方法：先揉搓按摩患处1～2分钟，找出压痛点；再在健侧对称部位进行揉压。当患处痛势缓解而健侧揉压处轻微疼痛时，则在患部经皮肤消毒后用三棱针点刺3～5针，挤压出血，伤处即感疼痛消失，活动自如（《浙江中医杂志》）。
三棱针加灸治疗腱鞘囊肿36例
局部取穴，单房性者在囊肿最高点垂直进针；多房性者在每个结节状的最高点进行．进针后将三棱针尖向四周作旋转式深刺，勿用力过猛，出针后及时用两拇指在针眼周围挤压，以出尽内容物为止，然后在进针处盖消毒干棉球，棉球上压硬币，用3一5厘米宽的胶布作环形加压固定。每天在针刺部位艾条灸，l次15分钟左右，7天后揭去胶布。结果：痊愈33例，复发3例（《中国针灸》）。
外踝尖，在外踝尖上三寸，主治外转筋。可灸七壮，或刺出血（《类经图翼》）。
刺血治愈骨与关节结核
曾治1例膝关节结核伴混合感染，用委中，阴交刺血一次后症状减轻，改足三里、委阳刺血，见肿痛大减，并能下床扶走，又相继行上巨虚、阴陵泉和阳陵泉、委中刺血后而愈，追访5年无复发。又治愈髋关节结核，胸椎结核伴伸展性截瘫及胸椎结核并发冷脓肿等病。方法：选择穴位或其周围显露血管，常现消毒，用小号三棱针刺人静脉血管壁，使之流出紫暗色瘀血约10－20毫升，血止拔罐，约3分钟去罐，继以2％碘酒棉球涂之（《新中医》）。
刺疟者，必先问其病之所先发者，先刺之。先足胫酸痛者，先刺足阳明十指间出血（《内经.刺疟篇》）。
八冲，奇穴，足趾歧缝间，两足共八穴。针l～3分，灸3～5壮。主治脚背红肿（针出血）（《针灸孔穴及其疗法便览》）。
外踝尖二穴，在足外踝骨尖上是穴，可灸七壮。治脚外廉转筋及治寒热脚气，宜三棱针出血（《针灸大成》）。
损伤：人有所堕坠，恶血留内腹中，腹满不得前后，先饮利药，此上伤厥阴之脉，下伤少阴之络，刺足踝下然骨之前出血。刺足附上动脉，不已，刺三毛，各一痏，见血立已。左刺右，右刺左，其脉坚强者生，小弱者死（《内经》）。
汉，济北王阿母，病患热厥，足热，淳于意刺足心，立愈（《针灸大成》）。
委中禁灸，四畔紫脉上皆可出血，弱者慎之。
环跳能治腿股风，居二髎穴认真攻，委中毒血更出尽，愈见医科神圣功。
脚背疼起丘墟穴，斜针出血即时轻，解溪再与商丘识，补泻行计要辨明。
倩尸痨病最难医，涌泉出血免灾危，痰多须向丰隆泻，气喘丹田亦可施（针灸大成·玉龙歌））。
东垣日：气在于臂，足取之，先去血脉，后深取足阳明之荣俞：内庭、陷谷。
方法：用三棱针经皮肤人患指掌指关节前横纹处的硬结（该硬结可随指伸屈而活动），沿肌腱走行上下挑划，当
挑划腱鞘时觉有咔吱声响。此时令患指伸屈活动时，便灵活自如，弹响声不再出现，立即拔针。报告1例，病期一年，施针一次治愈（《辽宁中医杂志》）。
刺血治疗肩关节周围炎30例报告
治法：主穴：尺泽，曲地、曲泽（任选一穴）；辅穴：肩贞、肩髃、肩前、肩后局部。取穴位及其周围有瘀血现象的静脉血管，以三棱针刺出血10～20毫升，血止后拔罐5分钟，每15－20天1次。治疗本病30例，经治1－3次，痊愈28例，基本痊愈2例（《陕西中医》）。
根据疼痛部位，按经络循行，在痛处上或下取l一2个阿是穴，常规消毒后，用梅花针叩刺（叩刺范围略大于火罐口）见皮肤出血后，即用闪火法将罐罩上、留罐5～10分钟，起罐后，用消毒草纸将血污擦净，再用艾条温和灸3－7分钟。隔2日治疗1次，5次为一疗程，疗程间隔5天．结果：痊愈43例，显效35例，好转11例，无效1例，总有效率98.9%（《中国针灸》）。
四横纹，奇穴。手食、中、无名、小指第一节接连手掌之横纹中央，一手计四穴。针刺出血，灸3－7壮。主治手生痈疮，五指尽痈；亦可解热（刺出血）（《针灸孔穴及其疗法便览》）。
四横纹
定位：位于手掌指侧缘，二、三、四、五指指根与掌相接之横纹中央。
皮肤针疗法；取穴：脊椎两侧、颈、胸、腰椎，关节局部，骶部。脊背自上而下叩刺，关节局部作环状叩刺。
割治疗法：取穴：如对腰腿关节痛，取长强穴上2寸。治疗时在长强穴向上2寸处，作横行切口长2～4厘米、深l一1.5厘米，切除皮下脂肪少许，并将切除的脂肪重新放入脂肪深层。
割点疗法：取穴：病变部位阿是穴（痛点）或经穴，每次仅选一穴。用手术刀割破皮肤，长约1～2寸，出极少血，涂白降丹少许，不用敷盖。三日割治一次，八次为一疗程，疗程间隔2～3周。
拔罐疗法：取穴：病变局部及循经取穴，一般脊背关节痛用走罐疗法；急性关节痛用闪火拔罐；局部扭伤，有瘀血者刺络拔罐（《实用针灸学》）。
挑治疗法：挑治部位，背部自第七颈椎到第五腰椎两侧直至腋后线的范围内体表皮肤出现的疹点。疹点特征，似丘疹，针幅大火，稍突起，多是灰白、暗红、棕褐或浅红等色，压之不退色。操作方法，投治部位用碘酒、酒精消毒皮肤，左手将挑点捏紧，右手持缝衣针或三棱针将皮下纤维组织挑断、挑尽后，涂以龙胆紫，再用护创膏或消毒纱布封固。一周一次，以后再选点挑治。3～5天内，局部不用水洗，以防伤口感染（《针刺疗法》）。
第四节全身性疾病的刺血验方
挑闷疹子：分开顶门内，有红筋、红瘰、挑破即止（《串雅外编·针法门》）。
凡遇闷瘄（杭州一带称麻疹为暗），分其顶心细看，有红筋、红瘰、挑破即出（《麻疹阐注》）。
本法可疏通经络，调整气血和脏腑功能，促进恢复。取穴：①面瘫：人中、地仓、颊车、眉梢、承泣等穴。②上肢:肩、肘、腕关节区。③下肢；髋、膝、踝关节区。④中风八穴：太阳、曲池、风池、下曲地（双侧）。⑤放血：十宣、兑端、百会、八风、八邪。局部消毒后，用缝衣针穿过麻醉点，摆动几下，将皮下白色纤维挑出拉断或用刀割断。面部与肘、膝以下不宜挑深，因易出血，挑时避开血管（《辽宁中医杂志》）。
梅花针治疗高血压病150例疗效观察
根据具体症候，在不同部位和穴位进行治疗。分镇静缓解降压法：适于血压较高者，取颈部、骶部、乳突部、气管两侧，臀部的阳性反应区及内关、风池、三阴交；调整、巩固已降血压法：取脊柱两侧，重点刺激腰、骶部的阳性反应区、气管两侧及乳突部、足三里、小腿内侧。另加对症处治的部位和穴位。采用轻度或中等刺激，隔日1次。本组150例治疗7～114次后，35例显效，87例改善，28例无效（《浙江中医杂志》）。
刺疟者，必先问其病之所先发者，先刺之，先头痛及重者，先刺头上及两额两眉间出血（《内经·刺疟篇》）。
凡人无病，或坐卧，或酒后，陡然即死者，名旺痧。将本人口内，用铁器撬开，以银簪刺舌下小有筋，血出即活，不可刺正中。又方：以闷醋灌下，即刻治矣（《串难外编·起死门》）。
急痧将死：将口撑开，看其舌处有黑筋三股，男左女
右，刺出紫血一点，即愈。刺血忌用针，须用竹箸，嵌碎磁碗尖为妙，中间一筋，切不可刺。（《串雅外编·起死门》）
卒死，或先有病痛，或居常倒仆，奄忽而绝，皆是中恶之类。疗方：取葱刺鼻，令入数寸。须使目中出血乃佳，一云耳中血出佳，此扁鹊法（《外台秘要》）。
在承浆穴点刺放血，治疗热性呕吐证，获得了满意的效果。其操作方法是：选用长三棱针一枚，左手扶持穴位，右手持针施以点刺，刺后双手挤提穴位，令其出血（《针灸处方集》）。
先灸中脘，足三里5一10分钟，再用毫针点刺金津、玉液使之出血，轻者每日1次，重者每日2次，共治疗妊娠呕吐20例，症状消失者10例；症状减轻9例；1例无效（《中医杂志》）。
以针挑耳尖穴为主治疗急性结膜炎30例，痊愈15例：进步4例，无效1例。取穴以耳尖穴挑点为主（将耳向前折，挑耳尖之上方，挑破后挤出一些血来）。配上睑针挑点三处：上睑1，在上睑中部，正对瞳孔，距眼睑缘0.5厘米；上睑2，距上睑1内侧约1厘米处；上睑3。距上睑1外侧1厘米。操作时，如两侧眼疼，第一次取耳尖（双），配上睑1（双）；第二次耳尖（双），配上睑2（双）。上眼睑局部各针挑点交换使用，每天1次（《江苏中医》）。
凡被咬伤，应对伤口立即进行处理，宜用针刺出血，或用药筒拔之，使毒素外出（《串雅内编》）。
凡被蛇咬伤之后，应先在创口近心端进行结扎，阻止淋巴静脉血回流，以防毒液扩散，但须每隔20分钟左右放松一次，以免肢体因血液循环障碍发生坏死，一般在l一3小时后解除绑扎。其次立即用消毒针将伤口挑破，拔出毒液，并用手从肢体近端向远端挤出毒液或用吸器（如火罐）拔出毒液，然后用盐水冲洗伤口（《串雅外编·说明》）。
诸疮：瘰疬疮。灸肩井、曲池、大迎。针缘唇疮去恶血（《针灸聚英》）。
罐拔疗法：对于发热而不出汗者，刺大椎穴出血后再拔罐，或于背部风门、大杼拔闪罐，头两侧剧痛者，太阳穴刺络拔罐。
皮肤针疗法；取颈部结喉两侧，项背两侧沿膀跳经叩打至阳穴即可。颈部病灶区，在其周围呈环形叩刺。
割治疗法；取穴处方：①患者大椎穴处，有如针尖大之红色小点，又旁开了指下1寸，两侧也有同样小点，用头号针消毒后，斜刺红点3～4分，有5一6根白色纤维、用刀割断，挑3次。一周后再检查，第3－5胸椎如有红色点，同样割挑，而后贴上膏药（血竭15克，儿茶15克，冰片12克，乳香15克，没药15克，五倍子30克。上药研细，白蜜调匀，摊白布上，贴患处）。②让患者将脚洗净，涌泉穴常规消毒，局麻后用刀划破皮肤，2分深，l寸长，将皮内的小颗粒取净，戴上生肌药（珍珠0.5克，端香0.1克。血竭0.5克，乳香0.5克，京牛黄0.5克，共研极细末备用），再用绷带包扎。左病割左，右病割右，两侧病双侧割，两周方能走路，100天可痊愈。
挑治疗法：取穴：八髎、髎间。可分组挑治，如双上髎，双上髎间、双次髎、双次髎间，或找取背部红色疹点以及鸠尾穴挑治。
皮肤针疗法：叩打颈后、尾骶、气管两侧，及肢体不遂的局部，按自上而下，自内而外顺序叩。
拔罐疗法：取穴：背侧第一测线穴位及肩髃、曲池、合谷、承扶、委中、承筋、承山、昆仑、涌泉、申脉、足三里。根据症状选择穴位，一般拔6一8罐，每次留罐10一15分钟，每日一次。
挑治疗法：取穴：腺肿阿是穴。治疗时用左手将肿块提起，向肿块内稍压迫，使肿块皮肤稍紧张，皮肤消毒，用26～28号毫针快速从中央部穿过或刺入结节中心，并迅速出针，每针刺一次，七次为一疗程．切忌刺破血管，仅毫针在腺肿内轻轻挑动。
刺足心各穴位，按压后若无出血，病随即痊愈，这种病是由于饮酒大醉所致（《普济方·针灸》）。
王氏说，母亲久病，夏天脚突然肿胀，旧传说夏天不能灸脚，不敢用艾炷灸，随意用针火在“真”穴（穴字头）令其发热，在足三里穴刺之，微微见血，反复数次，肿胀如消失一般。他素来患有脚疾，见此奇效（《普济方·针灸》）。
治疗膝盖不能屈伸，取该经的瘀血，立时痊愈（《资生经》），穴位是委中（《普济方·针灸》）。
刺络拔罐法治疗关节炎：各种关节炎，尤其是急性关节炎，均可用皮肤针叩刺，并在可以拔罐的部位加拔火罐。
膝部软组织损伤刺络拔罐法：在受伤局部用皮肤针叩刺至出血后加拔火罐，出血量中等。如果拔罐困难，可垫上面饼后再拔罐。此法同样适用于踝部软组织损伤（《针灸治疗手册》）。
《试效方》记载：陕帅部巨济患偏枯症，两脚趾着地不能伸展，迎请先师在京师治疗。到达后用长针刺委中穴，深至骨部而不知痛，出血一二升，血色黑且粘稠。像这样刺了六七次，服药三个月，病完全痊愈（《普济方·针灸》）。
按揉放血法治疗扭挫伤：经治急性扭伤32例，挫伤、砸伤18例。单用本法1～2次后，33例获效，16例改善，1例无效。方法：先揉搓按摩患处1～2分钟，找出压痛点；再在健侧对称部位进行揉压。当患处痛势缓解而健侧揉压处轻微疼痛时，则在患部经皮肤消毒后用三棱针点刺3～5针，挤压出血，伤处即感疼痛消失，活动自如（《浙江中医杂志》）。
三棱针加灸治疗腱鞘囊肿36例：局部取穴，单房性者在囊肿最高点垂直进针；多房性者在每个结节状的最高点进行。进针后将三棱针尖向四周作旋转式深刺，勿用力过猛，出针后及时用两拇指在针眼周围挤压，以出尽内容物为止，然后在进针处盖消毒干棉球，棉球上压硬币，用3～5厘米宽的胶布作环形加压固定。每天在针刺部位用艾条灸，每次15分钟左右，7天后揭去胶布。结果：痊愈33例，复发3例（《中国针灸》）。
外踝尖穴，在外踝尖上三寸，主治外转筋。可灸七壮，或刺出血（《类经图翼》）。
刺血治愈骨与关节结核：曾治1例膝关节结核伴混合感染，用委中、阴交刺血一次后症状减轻，改足三里、委阳刺血，见肿痛大减，并能下床扶走，又相继行上巨虚、阴陵泉和阳陵泉、委中刺血后而愈，追访5年无复发。又治愈髋关节结核、胸椎结核伴伸展性截瘫及胸椎结核并发冷脓肿等病。方法：选择穴位或其周围显露血管，常规消毒，用小号三棱针刺入静脉血管壁，使之流出紫暗色瘀血约10～20毫升，血止拔罐，约3分钟去罐，继以2％碘酒棉球涂之（《新中医》）。
刺疟疾者，必须先问其病所先发之处，先刺之。先出现足胫酸痛者，先刺足阳明经十指间出血（《内经·刺疟篇》）。
八冲穴，奇穴，位于足趾歧缝间，两足共八穴。针1～3分，灸3～5壮。主治脚背红肿（针出血）（《针灸孔穴及其疗法便览》）。
外踝尖二穴，在足外踝骨尖上是穴，可灸七壮。治脚外廉转筋及治寒热脚气，宜三棱针出血（《针灸大成》）。
损伤：人有所堕坠，恶血留内腹中，腹满不得前后，先饮利药，此上伤厥阴之脉，下伤少阴之络，刺足踝下然骨之前出血。刺足附上动脉，不已，刺三毛，各一痏，见血立已。左刺右，右刺左，其脉坚强者生，小弱者死（《内经》）。
汉代，济北王阿母，病患热厥，足热，淳于意刺足心，立愈（《针灸大成》）。
委中禁灸，四畔紫脉上皆可出血，弱者慎之。
环跳能治腿股风，居髎、二髎穴认真攻，委中毒血更出尽，愈见医科神圣功。
脚背疼起丘墟穴，斜针出血即时轻，解溪再与商丘识，补泻行计要辨明。
倩尸痨病最难医，涌泉出血免灾危，痰多须向丰隆泻，气喘丹田亦可施（《针灸大成·玉龙歌》）。
东垣曰：气在于臂，足取之，先去血脉，后深取足阳明之荣俞：内庭、陷谷。
三棱针挑治弹响指：方法：用三棱针经皮肤入患指掌指关节前横纹处的硬结（该硬结可随指伸屈而活动），沿肌腱走行上下挑划，当挑划腱鞘时觉有咔吱声响。此时令患指伸屈活动时，便灵活自如，弹响声不再出现，立即拔针。报告1例，病期一年，施针一次治愈（《辽宁中医杂志》）。
刺血治疗肩关节周围炎30例报告：治法：主穴：尺泽、曲池、曲泽（任选一穴）；辅穴：肩贞、肩髃、肩前、肩后局部。取穴位及其周围有瘀血现象的静脉血管，以三棱针刺出血10～20毫升，血止后拔罐5分钟，每15～20天1次。治疗本病30例，经治1～3次，痊愈28例，基本痊愈2例（《陕西中医》）。
梅花针及拔罐加灸治疗痹证90例：根据疼痛部位，按经络循行，在痛处上或下取1～2个阿是穴，常规消毒后，用梅花针叩刺（叩刺范围略大于火罐口）见皮肤出血后，即用闪火法将罐罩上、留罐5～10分钟，起罐后，用消毒草纸将血污擦净，再用艾条温和灸3～7分钟。隔2日治疗1次，5次为一疗程，疗程间隔5天。结果：痊愈43例，显效35例，好转11例，无效1例，总有效率98.9%（《中国针灸》）。
四横纹，奇穴。手食、中、无名、小指第一节接连手掌之横纹中央，一手计四穴。针刺出血，灸3～7壮。主治手生痈疮，五指尽痈；亦可解热（刺出血）（《针灸孔穴及其疗法便览》）。
四横纹定位：位于手掌指侧缘，二、三、四、五指指根与掌相接之横纹中央。主治：手生痈疮，五指尽痛、解热、呕吐腹痛。针灸：针刺出血，灸3～7壮（《针灸经外奇穴图谱》）。
关节痛：皮肤针疗法；取穴：脊椎两侧、颈、胸、腰椎，关节局部，骶部。脊背自上而下叩刺，关节局部作环状叩刺。割治疗法：取穴：如对腰腿关节痛，取长强穴上2寸。治疗时在长强穴向上2寸处，作横行切口长2～4厘米、深1～1.5厘米，切除皮下脂肪少许，并将切除的脂肪重新放入脂肪深层。割点疗法：取穴：病变部位阿是穴（痛点）或经穴，每次仅选一穴。用手术刀割破皮肤，长约1～2寸，出极少血，涂白降丹少许，不用敷盖。三日割治一次，八次为一疗程，疗程间隔2～3周。拔罐疗法：取穴：病变局部及循经取穴，一般脊背关节痛用走罐疗法；急性关节痛用闪火拔罐；局部扭伤，有瘀血者刺络拔罐（《实用针灸学》）。
类风湿性关节炎：挑治疗法：挑治部位，背部自第七颈椎到第五腰椎两侧直至腋后线的范围内体表皮肤出现的疹点。疹点特征，似丘疹，针幅大火，稍突起，多是灰白、暗红、棕褐或浅红等色，压之不退色。操作方法，挑治部位用碘酒、酒精消毒皮肤，左手将挑点捏紧，右手持缝衣针或三棱针将皮下纤维组织挑断、挑尽后，涂以龙胆紫，再用护创膏或消毒纱布封固。一周一次，以后再选点挑治。3～5天内，局部不用水洗，以防伤口感染（《针刺疗法》）。
第四节全身性疾病的刺血验方：挑闷疹子：分开顶门内，有红筋、红瘰、挑破即止（《串雅外编·针法门》）。凡遇闷瘄（杭州一带称麻疹为暗），分其顶心细看，有红筋、红瘰、挑破即出（《麻疹阐注》）。
针挑治疗偏瘫：本法可疏通经络，调整气血和脏腑功能，促进恢复。取穴：①面瘫：人中、地仓、颊车、眉梢、承泣等穴。②上肢：肩、肘、腕关节区。③下肢：髋、膝、踝关节区。④中风八穴：太阳、曲池、风池、下曲池（双侧）。⑤放血：十宣、兑端、百会、八风、八邪。局部消毒后，用缝衣针穿过麻醉点，摆动几下，将皮下白色纤维挑出拉断或用刀割断。面部与肘、膝以下不宜挑深，因易出血，挑时避开血管（《辽宁中医杂志》）。
梅花针治疗高血压病150例疗效观察：根据具体症候，在不同部位和穴位进行治疗。分镇静缓解降压法：适于血压较高者，取颈部、骶部、乳突部、气管两侧，臀部的阳性反应区及内关、风池、三阴交；调整、巩固已降血压法：取脊柱两侧，重点刺激腰、骶部的阳性反应区、气管两侧及乳突部、足三里、小腿内侧。另加对症处治的部位和穴位。采用轻度或中等刺激，隔日1次。本组150例治疗7～114次后，35例显效，87例改善，28例无效（《浙江中医杂志》）。
刺疟疾者，必须先问其病所先发之处，先刺之，先头痛及重者，先刺头上及两额两眉间出血（《内经·刺疟篇》）。
凡人无病，或坐卧，或酒后，陡然即死者，名旺痧。将本人口内，用铁器撬开，以银簪刺舌下小有筋，血出即活，不可刺正中。又方：以闷醋灌下，即刻治矣（《串雅外编·起死门》）。
急痧将死：将口撑开，看其舌处有黑筋三股，男左女右，刺出紫血一点，即愈。刺血忌用针，须用竹箸，嵌碎磁碗尖为妙，中间一筋，切不可刺。（《串雅外编·起死门》）。
卒死，或先有病痛，或居常倒仆，奄忽而绝，皆是中恶之类。疗方：取葱刺鼻，令入数寸。须使目中出血乃佳，一云耳中血出佳，此扁鹊法（《外台秘要》）。
粗长针点刺承浆穴治疗热性呕吐证：在承浆穴点刺放血，治疗热性呕吐证，获得了满意的效果。其操作方法是：选用长三棱针一枚，左手扶持穴位，右手持针施以点刺，刺后双手挤提穴位，令其出血（《针灸处方集》）。
针灸治疗妊娠呕吐有较：先灸中脘，足三里5～10分钟，再用毫针点刺金津、玉液使之出血，轻者每日1次，重者每日2次，共治疗妊娠呕吐20例，症状消失者10例；症状减轻9例；1例无效（《中医杂志》）。
针挑耳尖穴治疗急性结膜炎30例初步报告：以针挑耳尖穴为主治疗急性结膜炎30例，痊愈15例；进步4例，无效1例。取穴以耳尖穴挑点为主（将耳向前折，挑耳尖之上方，挑破后挤出一些血来）。配上睑针挑点三处：上睑1，在上睑中部，正对瞳孔，距眼睑缘0.5厘米；上睑2，距上睑1内侧约1厘米处；上睑3，距上睑1外侧1厘米。操作时，如两侧眼疼，第一次取耳尖（双），配上睑1（双）；第二次耳尖（双），配上睑2（双）。上眼睑局部各针挑点交换使用，每天1次（《江苏中医》）。
凡被咬伤，应对伤口立即进行处理，宜用针刺出血，或用药筒拔之，使毒素外出（《串雅内编》）。
凡被蛇咬伤之后，应先在创口近心端进行结扎，阻止淋巴静脉血回流，以防毒液扩散，但须每隔20分钟左右放松一次，以免肢体因血液循环障碍发生坏死，一般在1～3小时后解除绑扎。其次立即用消毒针将伤口挑破，拔出毒液，并用手从肢体近端向远端挤出毒液或用吸器（如火罐）拔出毒液，然后用盐水冲洗伤口（《串雅外编·说明》）。
诸疮：瘰疬疮。灸肩井、曲池、大迎。针缘唇疮去恶血（《针灸聚英》）。
流行性感冒：皮肤针疗法：对于发热而汗不出者，沿背部膀胱经进行扣打。罐拔疗法：对于发热而不出汗者，刺大椎穴出血后再拔罐，或于背部风门、大杼拔闪罐，头两侧剧痛者，太阳穴刺络拔罐。
颈淋巴结结核：皮肤针疗法；取颈部结喉两侧，项背两侧沿膀胱经叩打至阳穴即可。颈部病灶区，在其周围呈环形叩刺。割治疗法；取穴处方：①患者大椎穴处，有如针尖大之红色小点，又旁开了指下1寸，两侧也有同样小点，用头号针消毒后，斜刺红点3～4分，有5～6根白色纤维、用刀割断，挑3次。一周后再检查，第3～5胸椎如有红色点，同样割挑，而后贴上膏药（血竭15克，儿茶15克，冰片12克，乳香15克，没药15克，五倍子30克。上药研细，白蜜调匀，摊白布上，贴患处）。②让患者将脚洗净，涌泉穴常规消毒，局麻后用刀划破皮肤，2分深，1寸长，将皮内的小颗粒取净，戴上生肌药（珍珠0.5克，麝香0.1克。血竭0.5克，乳香0.5克，京牛黄0.5克，共研极细末备用），再用绷带包扎。左病割左，右病割右，两侧病双侧割，两周方能走路，100天可痊愈。挑治疗法：取穴：八髎、髎间。可分组挑治，如双上髎，双上髎间、双次髎、双次髎间，或找取背部红色疹点以及鸠尾穴挑治。
高血压及高血压性心脏病：皮肤针疗法：叩打颈后、尾骶、气管两侧，及肢体不遂的局部，按自上而下，自内而外顺序叩。拔罐疗法：取穴：背侧第一侧线穴位及肩髃、曲池、合谷、承扶、委中、承筋、承山、昆仑、涌泉、申脉、足三里。根据症状选择穴位，一般拔6～8罐，每次留罐10～15分钟，每日一次。
单纯性甲状腺肿：挑治疗法：取穴：腺肿阿是穴。治疗时用左手将肿块提起，向肿块内稍压迫，使肿块皮肤稍紧张，皮肤消毒，用26～28号毫针快速从中央部穿过或刺入结节中心，并迅速出针，每针刺一次，七次为一疗程。切忌刺破血管，仅毫针在腺肿内轻轻挑动。
癫痫：皮肤针疗法：取穴：十宣、手足心、后颈腰骶部。挑治疗法：取穴：长强上5分、1寸、1.5寸处3穴。挑皮下组织，每周批治1次，3次为一疗程。
Puncture the various points on the sole of the foot; if no blood flows out after pressing, the disease will subside immediately. This disease is caused by excessive drinking and drunkenness (Puji Fang · Zhen Jiu).
Wang said that his mother had been ill for a long time, and her feet suddenly swelled in summer. According to old traditions, one should not moxa the feet in summer, so he dared not use mugwort moxibustion. He casually used needle-fire to heat the "Zhen" point (with the character 'Xue' as the radical) and punctured the Zusanli (ST36) point until slight bleeding occurred. After repeating this several times, the swelling disappeared as if it had never existed. He had previously suffered from foot ailments and witnessed this miraculous effect (Puji Fang · Zhen Jiu).
To treat knee stiffness and inability to flex or extend, take the blood from the affected meridian, and recovery will be immediate (Zisheng Jing). The acupoint is Weizhong (BL40) (Puji Fang · Zhen Jiu).
Bloodletting with cupping therapy for arthritis: Various types of arthritis, especially acute arthritis, can be treated by tapping with a plum-blossom needle, followed by fire cupping on suitable areas.
Bloodletting with cupping therapy for soft tissue injury of the knee: Tap the injured area with a plum-blossom needle until bleeding occurs, then apply fire cups. The amount of bleeding should be moderate. If cupping is difficult, place a piece of flatbread under the cup before applying it. This method is also applicable to soft tissue injuries of the ankle (Zhenjiu Zhiliao Shouce).
The Shixiao Fang records: Juji, an official in Shaanxi, suffered from hemiplegia, with both toes touching the ground and unable to extend. He invited my master to treat him in the capital. Upon arrival, the master used a long needle to puncture Weizhong (BL40), inserting it deeply to the bone without causing pain. One to two sheng of black, viscous blood was drawn. This was repeated six or seven times, along with herbal medicine for three months, resulting in complete recovery (Puji Fang · Zhen Jiu).
Massage and bloodletting therapy for sprains and contusions: Treated 32 cases of acute sprains and 18 cases of contusions/crush injuries. After 1-2 sessions using this method alone, 33 cases showed improvement, 16 cases improved, and 1 case was ineffective. Method: First, massage the affected area for 1-2 minutes to locate tender points; then massage the symmetric area on the healthy side. When the pain in the affected area subsides and mild pain appears at the massaged site on the healthy side, disinfect the skin of the affected area and puncture 3-5 times with a three-edged needle. Squeeze out the blood, and the pain will disappear immediately, restoring free movement (Zhejiang Zhongyi Zazhi).
Three-edged needle plus moxibustion for treating ganglion cysts (36 cases): Local acupoints are selected. For unilocular cysts, insert the needle vertically at the highest point of the cyst; for multilocular cysts, insert at the highest point of each nodule. After insertion, rotate the tip of the three-edged needle deeply towards all directions without excessive force. After removing the needle, use both thumbs to squeeze around the puncture sites until all contents are expelled. Cover the puncture site with a sterile dry cotton ball, press a coin on top, and secure with a 3-5 cm wide adhesive tape ring. Apply moxibustion with a moxa stick at the puncture site daily for about 15 minutes. Remove the tape after 7 days. Results: 33 cases cured, 3 recurrences (Zhongguo Zhenjiu).
Waianjian (Exterior Malleolus Tip) is located three cun above the tip of the lateral malleolus. It treats external muscle spasms. It can be moxaed for seven moxa cones or punctured to bleed (Leijing Tuyi).
Bloodletting cured osteoarticular tuberculosis: One case of knee joint tuberculosis with mixed infection was treated. Symptoms alleviated after one session of bloodletting at Weizhong (BL40) and Yinjiao (RN7). Switching to Zusanli (ST36) and Weiyang (BL39) bloodletting significantly reduced swelling and pain, allowing the patient to walk with support. Subsequent bloodletting at Shangjuxu (ST37), Yinlingquan (SP9), Yanglingquan (GB34), and Weizhong (BL40) led to full recovery. No recurrence was observed during a 5-year follow-up. Other cured conditions included hip joint tuberculosis, thoracic spinal tuberculosis with extensor paraplegia, and cold abscesses complicating thoracic spinal tuberculosis. Method: Select acupoints or visible veins around them, disinfect routinely, and pierce the venous wall with a small three-edged needle to drain 10-20 ml of dark purple stasis blood. Apply cupping after bleeding stops, remove after 3 minutes, and apply 2% iodine tincture with a cotton ball (Xin Zhongyi).
When treating malaria by bloodletting, first ask where the symptoms started, and puncture that area first. If leg and shin soreness appears first, puncture the ten spaces between the toes of the Foot-Yangming Meridian to bleed (Neijing · Cima Pian).
Bachong (Eight Rushes) is an extra point located in the webbing between the toes, totaling eight points on both feet. Needle depth 1-3 fen, moxa 3-5 cones. Treats redness and swelling of the dorsum of the foot (puncture to bleed) (Zhenjiu Kongxue Ji Qili Fa Bianlan).
Waianjian Er Xu (Two Points at Exterior Malleolus Tip) are located at the tip of the lateral malleolus. They can be moxaed for seven cones. Treats external muscle spasms of the foot and cold-heat gout; puncture with a three-edged needle to bleed (Zhenjiu Dacheng).
Trauma: Falling causes evil blood to accumulate in the abdomen, leading to abdominal fullness and inability to urinate or defecate. First administer purgatives. This injures the Jueyin meridian above and the Shaoyin collateral below. Puncture the area anterior to Ran Gu (BL64) below the ankle to bleed. If this does not work, puncture the arterial pulse on the dorsum of the foot. If still ineffective, puncture San Mao (LU11), making one wound each, and stop bleeding immediately. Puncture the right side for left-sided issues and vice versa. A strong pulse indicates survival; a weak pulse indicates death (Neijing).
In the Han Dynasty, the wet nurse of King A of Jibu suffered from hot jue syndrome with hot feet. Chunyu Yi punctured the sole of the foot, resulting in immediate recovery (Zhenjiu Dacheng).
Weizhong (BL40) is contraindicated for moxibustion. Blood can be drawn from the purple veins surrounding it, but caution is advised for weak patients.
Huantiao (GB30) treats wind in the legs and thighs. Carefully attack Juliao (GB29) and Erbiao (BL34/35). Ensure all toxic blood is removed from Weizhong (BL40); this demonstrates the divine skill of the physician.
For pain on the dorsum of the foot, start at Qiuxu (GB40). Diagonal needle puncture to bleed brings immediate relief. Recognize Jie Xi (ST41) and Shangqiu (SP5); distinguish tonification and sedation techniques clearly.
Qian Shi Lao (Corpse Consumption Disease) is difficult to treat. Bleeding Yongquan (KI1) avoids disaster. For excessive phlegm, sedate Fenglong (ST40). For asthma, moxa Dantian (CV17/CV6). (Zhenjiu Dacheng · Yulong Ge).
Dong Yuan said: If qi stagnates in the arm and leg, select points there. First remove blood from the vessels, then deeply stimulate the Ying-Spring and Shu-Stream points of the Foot-Yangming Meridian: Neiting (ST44) and Xian Gu (ST43).
Puncturing the large vessel at Weizhong (BL40) may cause fainting and pallor (Zhenjiu Juying).
Three-edged needle picking for triggering finger: Method: Insert a three-edged needle through the skin into the nodule at the transverse crease anterior to the metacarpophalangeal joint of the affected finger (the nodule moves with finger flexion/extension). Pick up and down along the tendon path. When picking the tendon sheath, a clicking sound is felt. At this moment, when the patient flexes and extends the finger, it moves freely without clicking. Remove the needle immediately. One case reported, one-year duration, cured after one session (Liaoning Zhongyi Zazhi).
Bloodletting for periarthritis of the shoulder (30 cases report): Treatment: Main points: Chize (LU5), Quchi (LI11), Quze (PC3) (choose one); Auxiliary points: Jianzhen (SI9), Jianyu (LI15), Jianqian (Extra), Jianhou (SI19) locally. Select veins showing stasis around the acupoints and puncture with a three-edged needle to bleed 10-20 ml. Apply cupping for 5 minutes after bleeding stops. Once every 15-20 days. Treated 30 cases, 1-3 sessions: 28 cured, 2 basically cured (Shaanxi Zhongyi).
Plum-blossom needle, cupping, and moxibustion for Bi Syndrome (90 cases): Based on pain location and meridian pathways, select 1-2 Ashi points above or below the pain. Disinfect, tap with a plum-blossom needle (area slightly larger than the cup mouth) until skin bleeds. Immediately apply fire cupping, leave for 5-10 minutes. After removing the cup, wipe blood with sterile paper, then apply mild moxibustion with a moxa stick for 3-7 minutes. Treatment every 2 days, 5 sessions per course, 5-day interval. Results: 43 cured, 35 marked improvement, 11 improved, 1 ineffective. Total effective rate 98.9% (Zhongguo Zhenjiu).
Si Heng Wen (Four Horizontal Creases) is an extra point. Located at the center of the transverse creases connecting the proximal phalanges of the index, middle, ring, and little fingers to the palm, four points per hand. Puncture to bleed, moxa 3-7 cones. Treats carbuncles on the hand and pain in all five fingers; also clears heat (puncture to bleed) (Zhenjiu Kongxue Ji Qili Fa Bianlan).
Si Heng Wen Location: On the radial/ulnar sides of the palm, at the center of the transverse creases where the bases of the second, third, fourth, and fifth fingers meet the palm. Indications: Carbuncles on the hand, pain in all five fingers, clearing heat, vomiting, abdominal pain. Acupuncture: Puncture to bleed, moxa 3-7 cones (Zhenjiu Jingwai Qixue Putu).
Joint Pain: Plum-blossom needle therapy: Acupoints: Both sides of the spine, cervical, thoracic, lumbar vertebrae, local joints, sacrum. Tap the back from top to bottom, and circularly tap local joints. Cutting therapy: Acupoints: For low back/leg/joint pain, select 2 cun above Changqiang (GV1). Make a horizontal incision 2-4 cm long, 1-1.5 cm deep at this point, remove a small amount of subcutaneous fat, and reinsert it into the deeper fat layer. Cutting-point therapy: Acupoints: Ashi points (tender points) or regular acupoints at the lesion site, selecting only one point per session. Cut the skin with a scalpel, about 1-2 cun long, causing minimal bleeding. Apply a small amount of Baijiang Dan (White Mercury Powder), no dressing needed. Treatment every 3 days, 8 sessions per course, 2-3 week interval. Cupping therapy: Acupoints: Local lesion and meridian-based points. Generally, walking cupping for back/joint pain; flash cupping for acute joint pain; bloodletting cupping for local sprains with stasis (Shiyong Zhenjiu Xue).
Rheumatoid Arthritis: Picking therapy: Area: Skin rash points appearing on the body surface from both sides of the 7th cervical vertebra to the 5th lumbar vertebra, extending to the posterior axillary line. Rash characteristics: Papule-like, slightly raised, gray-white, dark red, brown, or light red, non-blanching on pressure. Operation: Disinfect the picking area with iodine and alcohol. Pinch the picked point with the left hand, use a sewing needle or three-edged needle in the right hand to pick and break subcutaneous fibrous tissue completely. Apply Gentian Violet, cover with a protective plaster or sterile gauze. Once a week, select new points later. Avoid washing the local area for 3-5 days to prevent infection (Zhen Ci Liao Fa).
Section 4: Proven Bloodletting Prescriptions for Systemic Diseases: Picking闷疹 (Muggy Rash): Part the hair at the vertex. If red veins or red nodules are seen, prick them to stop the condition (Chuan Ya Wai Bian · Zhen Fa Men). Whenever encountering闷瘄 (Measles called 'An' in Hangzhou), examine the vertex carefully. If red veins or nodules are seen, prick them to release the pathogen (Ma Zhen Chan Zhu).
Needle picking for hemiplegia: This method unblocks meridians, regulates Qi and Blood, and adjusts Zang-Fu functions to promote recovery. Acupoints: ① Facial paralysis: Renzhong (GV26), Dicang (ST4), Jiache (ST6), Meichao (Extra), Chengqi (ST1). ② Upper limbs: Shoulder, elbow, wrist joint areas. ③ Lower limbs: Hip, knee, ankle joint areas. ④ Eight Stroke Points: Taiyang (EX-HN5), Quchi (LI11), Fengchi (GB20, lower part), Quze (PC3) (bilateral). ⑤ Bloodletting: Shixuan (EX-UE11), Duanduan (CV23), Baihui (GV20), Bafeng (EX-UE12), Baxie (EX-UE9). After local disinfection, pass a sewing needle through the anesthesia point, swing it a few times to pull out and break white subcutaneous fibers, or cut them with a knife. Do not pick deeply on the face or below the elbows/knees due to bleeding risk; avoid blood vessels during picking (Liaoning Zhongyi Zazhi).
Observation of efficacy of plum-blossom needle for hypertension (150 cases): Treat based on specific symptoms at different sites and acupoints. Sedation and relaxation for lowering BP: Suitable for high BP, select neck, sacrum, mastoid process, both sides of trachea, positive reaction areas on buttocks, Neiguan (PC6), Fengchi (GB20), Sanyinjiao (SP6). Adjustment and consolidation of lowered BP: Select both sides of the spine, focusing on positive reaction areas in lumbar/sacral regions, both sides of trachea, mastoid process, Zusanli (ST36), medial lower leg. Add symptomatic points. Use mild or moderate stimulation, every other day. In this group of 150 cases, after 7-114 treatments, 35 were markedly effective, 87 improved, 28 ineffective (Zhejiang Zhongyi Zazhi).
When treating malaria by bloodletting, first ask where symptoms started, and puncture that area first. If headache and heaviness appear first, puncture the head, temples, and between the eyebrows to bleed (Neijing · Cima Pian).
If a person dies suddenly while sitting, lying down, or after drinking, despite having no prior illness, it is called Wang Sha (Prosperous Sha). Pry open the mouth with an iron tool, and prick the small vein under the tongue with a silver hairpin. If blood flows, life returns. Do not prick the center. Another method: Pour sour vinegar down the throat to treat immediately (Chuan Ya Wai Bian · Qi Si Men).
Acute Sha near death: Open the mouth, look for three black veins on the tongue. For men, prick the left; for women, the right. Draw out a drop of purple blood, and recovery follows. Avoid needles for bloodletting; use a bamboo chopstick with the tip of a broken porcelain bowl embedded, which is ideal. Do not prick the central vein. (Chuan Ya Wai Bian · Qi Si Men).
Treatment for Zhong E (Sudden Evil): Pierce the yellow center of green onion into the nostril. Recovery follows bleeding (Beiji Qianjin Yaofang).
Sudden death, whether preceded by pain or occurring normally, is a type of Zhong E. Treatment: Pierce the nose with green onion, inserting several inches. Ideally, blood should flow from the eyes; alternatively, blood from the ears is good. This is the method of Bian Que (Waitai Miyao).
Coarse long needle puncturing Chengjiang (CV24) for treating heat-type vomiting: Bloodletting at Chengjiang achieved satisfactory results for heat-type vomiting. Operation: Select a long three-edged needle. Support the acupoint with the left hand, puncture with the right hand. After puncture, squeeze and lift the acupoint with both hands to induce bleeding (Zhenjiu Chufang Ji).
Acupuncture for pregnancy vomiting: Moxa Zhongwan (CV12) and Zusanli (ST36) for 5-10 minutes first. Then puncture Jinjin (EX-HN12) and Yuye (EX-HN13) with filiform needles to bleed. Mild cases once daily, severe cases twice daily. Treated 20 cases of pregnancy vomiting: 10 symptom-free, 9 improved, 1 ineffective (Zhongyi Zazhi).
Needle picking Ear Apex (Erjian) for acute conjunctivitis (30 cases preliminary report): Primarily picking Erjian (Ear Apex) to treat 30 cases of acute conjunctivitis: 15 cured, 4 improved, 1 ineffective. Main point is Erjian (fold ear forward, pick above the apex, prick and squeeze out some blood). Accompany with three picking points on the upper eyelid: Upper Eyelid 1, middle of upper lid, opposite pupil, 0.5 cm from lid margin; Upper Eyelid 2, ~1 cm medial to Upper Eyelid 1; Upper Eyelid 3, 1 cm lateral to Upper Eyelid 1. Operation: If both eyes hurt, first session picks Erjian (bilateral) + Upper Eyelid 1 (bilateral); second session picks Erjian (bilateral) + Upper Eyelid 2 (bilateral). Rotate upper eyelid points daily (Jiangsu Zhongyi).
For any bite wound, handle immediately. Puncture to bleed or use medicinal cupping to expel toxins (Chuan Ya Nei Bian).
After snakebite, ligate the proximal end of the wound to block lymphatic and venous return, preventing toxin spread. Loosen every 20 minutes to prevent necrosis from circulatory obstruction. Usually remove binding after 1-3 hours. Next, immediately prick the wound with a sterilized needle to draw out venom, squeeze venom from proximal to distal ends with hands, or use suction devices (like cups). Rinse wound with saline water (Chuan Ya Wai Bian · Shuo Ming).
Various Sores: Scrofula sores. Moxa Jianjing (GB21), Quchi (LI11), Daying (ST5). Puncture lip sores to remove evil blood (Zhenjiu Juying).
Influenza: Plum-blossom needle therapy: For fever with no sweat, tap along the Bladder Meridian on the back. Cupping therapy: For fever with no sweat, puncture Dazhui (GV14) to bleed then cup, or flash cup Fengmen (BL12) and Dazhu (BL11) on the back. For severe pain on both sides of the head, bloodletting cupping at Taiyang (EX-HN5) (Shiyong Zhenjiu Xue).
Cervical Lymph Node Tuberculosis: Plum-blossom needle therapy: Tap both sides of the larynx in the neck, and along the Bladder Meridian on the nape/back to Zhiyang (GV12). Circularly tap the neck lesion area. Cutting therapy: Prescription: ① At Dazhui (GV14), if a pinhead-sized red dot appears, and another 1 cun lateral on both sides, disinfect a large needle, obliquely puncture the red dots 3-4 fen deep. If 5-6 white fibers are found, cut them with a knife, pick 3 times. Recheck after one week. If red dots appear at T3-T5, cut/pick similarly, then apply plaster (Xuejie 15g, Ercha 15g, Bingpian 12g, Ruxiang 15g, Moyao 15g, Wubeizi 30g. Grind fine, mix with white honey, spread on white cloth, apply to lesion). ② Wash patient's feet, disinfect Yongquan (KI1) routinely. Under local anesthesia, cut skin 2 fen deep, 1 cun long. Remove intradermal granules completely. Apply Shengji Medicine (Zhenzhu 0.5g, Shexiang 0.1g, Xuejie 0.5g, Ruxiang 0.5g, Jing Niuhuang 0.5g. Grind extremely fine, set aside). Bandage. Left disease cuts left, right cuts right, bilateral cuts bilateral. Can walk in 2 weeks, cured in 100 days. Picking therapy: Acupoints: Babiao (Eight Sacral Foramina), intervals between them. Can pick in groups, e.g., Double Shangbiao, between Double Shangbiao, Double Cibi, between Double Cibi, or find red rashes on the back and pick Jiwei (CV15).
Hypertension and Hypertensive Heart Disease: Plum-blossom needle therapy: Tap back of neck, coccyx, both sides of trachea, and local areas of limb paralysis, tapping from top to bottom, inside to outside. Cupping therapy: Acupoints: First lateral line of the back, Jianyu (LI15), Quchi (LI11), Hegu (LI4), Chengfu (BL36), Weizhong (BL40), Chengjin (BL57), Chengshan (BL57), Kunlun (BL60), Yongquan (KI1), Shenmai (BL62), Zusanli (ST36). Select points based on symptoms, generally 6-8 cups, retain 10-15 minutes each time, once daily.
Simple Goiter: Picking therapy: Acupoints: Ashi point at the goiter. Lift the mass with the left hand, press slightly inward to tense the skin. Disinfect. Quickly pass a No. 26-28 filiform needle through the center or into the nodule center, and withdraw rapidly. Seven needle sticks constitute one course. Avoid piercing blood vessels; gently pick within the goiter with the needle only.
Epilepsy: Plum-blossom needle therapy: Acupoints: Shixuan (EX-UE11), palms and soles, back of neck, lumbosacral region. Picking therapy: Acupoints: Three points 5 fen, 1 cun, 1.5 cun above Changqiang (GV1). Pick subcutaneous tissue, once a week, 3 sessions per course.