人中、足三里，三棱针点刺出血。
大椎，火罐拔吸2分钟。
从印堂一百会-风池，梅花针弹刺出血。
【附方】
l、用三棱针在少商处放血。
2、用梅花针从肘窝－腕关节弹刺。
3、火罐沿脊柱两侧循经走罐3次。
【土方】
手指弯曲，用食、中二指第二指关节蘸水挟弹病人的印堂穴及颈部两侧和背部脊柱两旁的皮肤，直至皮下出现紫红色斑点为止．可用锋利物点刺微出血。
九、煤气中毒
在发现煤气中毒患者时，应立即把患者转移到新鲜空气处，注意保温。如停止呼吸者，应采用人工呼吸等抢救措施，当患者苏醒后可进行针刺放血。
【治疗】
人中、太阳，三棱针点刺放血。
大椎，火罐拔吸15分钟。
脊柱两侧，梅花针弹刺出血。
【附方】
梅花针重刺后颈部、头部百会－风池穴、骶骨。
【土方】
用手从患者肩臂抱推至十宣放血。
【古方】
在人中、大椎两穴点刺出血，患者即可苏醒。
十、食物及药物中毒
由于患者误吃了有毒食物、变质食品和有毒药物，产生昏迷，四肢无力，恶心呕吐。应立即进行抢救，最好立即进行催吐。将患者吃过的东西吐出，然后配合服中、西解毒药物，也可采用放血疗法治疗。
【治疗】
十宣、大椎，三棱针刺出血。
腹部，走罐拔吸10次。
脊柱、肘窝，梅花针弹刺出血。
【附方】
人中、十宣两穴用三棱针放血。
【古方】
1、然谷、上巨虚点刺出血。
2、委中穴，三棱针点刺出血。
第二节内科刺血
一、中风
病人平素正气不足，脏腑阴阳失调，肝肾阴虚，肝阳上亢；或情志郁结，饮食不节，肝失健运，痰热聚集。如血随气逆，风痰上扰，上冲于脑，则突然昏迷，为邪中脏腑；如风痰走窜经络，致使气血运行失调，则口眼㖞斜，半身不遂，为邪中经络。虚则补，实则泻。
【治疗】
人中、手十二井穴，三棱针刺出血。
大椎、命门，火罐拔吸5分钟。
后颈部、翳风、内关，梅花针弹刺出血。
【附方】
十宣、足三里，三棱针刺出血。
脊柱两侧，火罐循经走罐。
在患恻的有关经脉上沿经叩打，阳经与阴经交替施术。
【土方】
用柳条轻微抽打患侧或脊椎两测，肤红为度，然后用锋利物叩刺出微血。此法体弱者隔天一次，体强者每天一次。
【古方】
1、用三棱针刺手十指和十二井穴。
2、用三棱针刺委中、足三里。
刺络拔罐肩髃、环跳。
梅花针弹刺合谷、曲池、阳陵泉、悬钟等穴。
【病例】
甘XX，女，49岁，四川省江油公302厂工人，1982年4月19日初诊
主诉：一周前突然口眼歪斜，说话不清楚，右半身无力。
症状：口眼向右侧歪斜，面部皮肤麻木，语言失利，口角流诞，半身不遂，舌苔薄白，脉象浮数而弦。
诊断：中风（中经络）
治则：活血祛风，通经活络。
治法：三棱针点刺患侧百会、上星、地仓、太阳、少商等穴位；用梅花外弹刺印堂一百会－大椎穴10次，再从印堂－太阳－风池－肩并穴10次。火罐拔吸大椎、命门、肩髃，手心、脚心分别10分钟，另配合服用中药数剂，加强功能锻炼，经9次施术治疗，症状消失，获得治愈。
二、头痛
头痛是一种自觉症状，由于外感风寒，邪气上犯，寒凝血脉，脉络不通，或感受风热，邪气上扰；或外受湿邪，邪气上侵；或暴怒伤肝，肝失条达，郁而化火，上扰清窍；或饮食劳倦，损伤脾气，脾气不足，不能化生气血，气血亏虚，脑府失去充养等。此外因损伤头部，血瘀于脉络之中也可发病。体虚者配合用药．实证则多泻气血为主。
【治疗】
太阳、百会，三棱针点刺出血。
大椎、风门、肝俞，火罐拔吸5分钟。
额前、颈后部，梅花针弹刺出血。
【附方】
列缺、足三里，三棱针点刺出血。
神道、肺俞、脾俞，火罐拔吸5分钟。
梅花针沿肘窝横纹与腘窝横纹叩打。
【土方】
1、在头痛处用针刺出微血，然后用头巾包于额顶部，
以避邪风。
2、用带刺的树条在头痛处进行反复叩打，然后白酒洒
在头上进行摩擦，此法镇痛效果好。
【古方】
1、针刺百会微出血，头痛者立愈。
2、偏头痛者：梅花针沿印堂-太阳弹刺患侧，微出血。
额顶痛者:梅花针沿印堂-百会-大椎弹刺，微出血。
额后痛者：用梅花针从百会穴分别弹刺至肩并穴，微出血，可在大椎拔罐5分钟。
【病例】
曹XX，男，46岁，四川省沙州市兰田坝气矿工人，1981年10月9日初诊。
主诉：前天受凉，微觉发冷，昨日起开始头痛。
症状：头痛位于前额及两侧太阳穴区，有时后枕区亦痛，恶风寒，项背强，苔薄白，脉浮紧。
诊断；头痛（风寒）。
治则：疏风散寒。
治法：三棱针点刺太阳、百会穴出血，疼痛立止；梅花针沿印堂－百会－大椎弹刺，然后推揉此经穴，一日后痊愈。
【病例】
张XX，男，43岁，湖南省岳阳市农机厂工人，1980年4月13日初诊。
主诉：前额及两侧头痛1年余，影响工作。
症状：头痛发作较急，病势剧烈，时而恶寒发热，脉浮数。
诊断：风热头痛。
治则：疏风解表。
治法：用梅花针从印堂－百会－大椎；再从印堂－太阳－风池弹刺，然后两指提捏针刺部位微出血；三棱针刺行间，血出为淡红色；火罐拔吸大椎10分钟，另沿脊柱两侧走罐5次；用姜蘸白酒擦揉背部，肤热为度。术后患者汗出，头痛立愈。
三、胃痛
胃痛即胃脘痛，由于痛近心窝部，民间有称心窝痛，此痛多由忧郁，恼怒伤肝，肝气不舒，横逆犯胃，气机阻塞；或气滞日久，造成血脉凝涩，瘀血内结；或脾胃虚弱，阳气不足，中气下陷，内生虚寒，寒凝血脉，脉络不通。此外，过食生冷及湿热虫积等皆可形成。虚则放气，实则刺血。
【治疗】
足三里、膏肓，用三棱针点刺出血。
大椎、脾俞、胃俞，火罐拔吸10分钟。
腰背、胸腹部，梅花针弹刺出血。
【附方】
中脘、太冲，三棱针点刺出血。
中脘、梁门、身柱，火罐拔吸10分钟。
中脘、内关、足三里，梅花针弹刺出血。
【土方】
1、用手蘸酒拍打痛部，肤红为度，用大头针挑刺出血，立止。
2、前胸从腹正中线，后背从脊椎线，分别用梅花针由上至下循经叩刺至肚脐和命门。
【病例】
张XX，男，28岁，河南省南阳市卧龙岗街工人，1982年7月1日初诊。
主诉：胃部及胁部反复窜痛6年，今日疼痛更甚。
症状：胃脘胀满，有时痛连胁下，用手按熨感到舒适，时而呃逆，舌苦薄白、脉弦。
诊断：胃脘痛（肝气犯胃）。
治则：疏肝理气。
治法：用三棱针点刺太冲、足三里、少冲、二间出血；梅花针弹刺肝俞、胃俞、中脘区域，然后用火罐拔吸出血。一次治疗后，疼痛立愈。
四、腰痛
此病多由于年老体弱，或劳累过度，以致肾精亏虚，腰府失养；或居处潮湿；或因跌打损伤，血瘀于脉络；或涉水冒雨，感受寒湿之邪，造成经脉阻滞，气血运行不畅。虚则补气补血，实则泻气泻血。
【治疗】
腰俞、委中、三棱针刺出血。
阳关、阿是穴，火罐拔吸15分钟。
脊柱、腰背部，梅花针弹刺出血。
【附方】
肾俞、腰阳关，三棱针刺出血。
命门、肚脐，火罐拔吸10分钟。
腰两侧旁、环跳穴，梅花针弹刺出血。
【土方】
1、用酒拍打膝窝部，肤红为度，挑刺红点出血。
2、用树条或软竹条醮姜水，拍打腰部，然后用大头针点刺出血。
【古方】
昆仑、委中、承山放血，腰痛立止。
【病例】
林XX，男，32岁，贵州省遵义市八五厂工人，1981年4月23日初诊。
主诉：两月前抬重物时，不慎闪腰，当时卧地不起，经各种方法治疗，稍有好转。
症状：弯腰则痛如刺，不得转侧，脉沉涩。
诊断：血瘀腰痛。
治则：活血通络。
治法：用三棱针在委中、阿是穴放血，血为紫黑色。火罐再次拔吸出血，血为紫红色。大椎、命门、环跳、承山火罐拔吸l0分钟。另外敷药，再煎服加味四物汤。
3天以后，患者腰痛大减。用梅花针沿腰部弹刺，腰俞、环跳点刺留罐10分钟出血，血为紫红色。另用"海马追风膏"加外用散末外贴，一月后患者来信告之病愈。
五、胸痛
此病分为外感胸痛及内伤胸痛。外感胸痛，多为湿热犯肺；内伤胸痛，多为寒痰壅塞，水饮留积胸胁，心阳不足或心血瘀阻所致；亦有因肝火上犯所致者。虚则顺气宽胸，实则泻血通络。
【治疗】
心俞、膻中，三棱针点刺出血。
大椎、肺俞，火罐拔吸10分钟。
膻中、脊柱，梅花针弹刺出血。
【附方】
肺俞，三棱针点刺出血。
膻中、心俞，火罐拔吸5分钟。
足三里、三阴交，梅花针弹刺出血。
【土方】
胸痛用梅花针或大头针顺胸肋弹刺，并进行深呼吸，吸气弹刺。
【古方】
陷谷、期门针刺出血，胸痛立止。
【病例】
王XX，女，32岁，湖北省经阳县古隆中大队社员，1980年7月6日初诊。
主诉：有反复胸痛史，这次发病已两天，因感寒而起。
症状：胸部闷痛，有时有针刺样痛，严重时痛至背心，有时也连及肩臂，舌面有紫斑，舌苔薄白，脉略弦。
诊断：胸痛（气滞血瘀）。
治则：化瘀通络，活血理气。
治法：三棱针点刺十宣穴出血，梅花针弹刺心俞、膻中，用火罐拔吸出血。用手指点按内关、外关穴各l分钟。走罐法推运胸、背部10次，肤红力度。每日施术1次，经3次治疗，胸痛消失。
六、胁痛
肝脉布于两胁，七情郁结，肝气失其条达，络脉受阻，经气运行不畅，故发病多胁痛；亦有因经血亏损，血少不能濡养肝络；或因闪挫络脉停瘀等，均可导致胁痛。虚则用药配合，实则泻血补气。
【治疗】
阳陵泉、窍阴，三棱针点刺出血。
辄筋、期门，火罐拔吸10分钟。
胸胁痛部，梅花针弹刺出血。
【附方】
肝俞、行间，三棱针点刺出血。
肾俞、期门，火罐拔吸10分钟。
脊椎两旁，梅花针弹刺出血。
【土方】
1、用梅花针弹刺胁痛处，走罐10次，然后再弹刺出血。
2、术者双手指尖分别左右顺胸胁间，由慢到快，由轻
到重地推揉，肤红为度，然后大头针点刺红点出血。
【古方】
1、丰隆、厉兑、支沟等穴用三棱针点刺出血。
2、陷谷穴三棱针刺出血，胁痛立止。
3、大椎、肝俞、身柱、阿是穴等，用火罐拔吸15分钟。
【病例】
郑XX，男，33岁，家住河南省郑州市二七路纪念堂街，1982年7月9日初诊。
主诉：胁痛一日，逐渐加剧，有时左右走串不定，以胀痛为主。
症状：两胁下痛甚，伴有胸皖胀闷，有时呃逆，沉闷寡言，不欲饮食，苔薄白，脉弦。
诊断：胁痛（肝气郁结）。
治则：疏肝理气。
治法；用三棱针点刺阳陵泉、陷谷穴，胀痛立止；然后用梅花针弹刺期门、肝俞，加火罐拔吸出血。一次治疗后，病痊愈。
七、腹痛
腹痛多由暴怒伤肝，肝气郁结，以致腹中气机阻滞；或过吃生冷，寒邪内停，收引脉络；或脾阳不振，寒从中生，凝滞血脉；或因饮食不节，食滞中焦，气机不利等形成。亦有由虫积引起的。肠痈不包括在内。虚则放气，实则刺血。
【治疗】
足三里、厉兑，三棱针刺出血。
大椎、身柱、气海，火罐拔吸15分钟。
下腹部、天枢、关元，梅花针弹刺出血。
【附方】
下脘、天枢，三棱针点刺出血。
脾俞、气海，章门，火罐拔吸15分钟。
腰背一肚脐，梅花针弹刺10次出血。
【土方】
1、用手蘸酒拍打膝窝处，挑刺委中穴。
2、用手从大腿上方抱推往下至商丘，针刺放血，然后下推至厉兑，针刺放血。
【古方】
1、点刺神阙、公孙放血，痛立止。
2、三里、内庭放血，腹痛止。
【病例】
贺XX，女，18岁，四川省达县市蒲家公社四大队社员，1980年11月5日初诊。
主诉：小肚腹疼痛5天一直不好。
症状：脘腹胀痛，胸闷嗳气，喜怒，脉弦苔薄．
诊断：腹痛（血瘀气结）。
治则：理气祛瘀。
治法：在气海、阿是穴、足三里先用火罐拔吸10分钟，然后梅花针弹刺，再次拔罐出血，用手指点按内关、外关、合谷穴5分钟。另外贴膏药，服药3剂。经治疗2次痊愈。
八、痹证
痹证多因体质素虚，卫外不固，腠理空疏，汗出当风，涉水感寒，久卧湿地等而成。风寒湿邪侵入关节经络，痹阻于血脉，气血运行不畅而成风寒湿痹。有因经络先有蕴热，又遇风寒湿邪侵袭，里热为外邪所郁，气血失于宣通；或因风寒湿邪郁于肌肤脉络之间，留而不去，化成热。行痹、着痹，以放气除寒湿为主；痛痹、热痹，以刺止泻热镇痛为主。
（一）上肢
【治疗】
人中穴、足三里穴，用三棱针点刺出血。
大椎穴，用火罐拔吸2分钟。
从印堂穴到百会穴再到风池穴，用梅花针弹刺出血。
【附方】
1、用三棱针在少商穴处放血。
2、用梅花针从肘窝到腕关节进行弹刺。
3、火罐沿脊柱两侧循经走罐3次。
【土方】
手指弯曲，用食指和中指的第二指关节蘸水，挟弹病人的印堂穴及颈部两侧和背部脊柱两旁的皮肤，直至皮下出现紫红色斑点为止。可用锋利物点刺微出血。
九、煤气中毒
在发现煤气中毒患者时，应立即把患者转移到新鲜空气处，注意保温。如停止呼吸者，应采用人工呼吸等抢救措施，当患者苏醒后可进行针刺放血。
【治疗】
人中穴、太阳穴，用三棱针点刺放血。
大椎穴，用火罐拔吸15分钟。
脊柱两侧，用梅花针弹刺出血。
【附方】
梅花针重刺后颈部、头部百会穴至风池穴区域、骶骨。
【土方】
用手从患者肩臂抱推至十宣穴放血。
【古方】
在人中穴、大椎穴两穴点刺出血，患者即可苏醒。
十、食物及药物中毒
由于患者误吃了有毒食物、变质食品和有毒药物，产生昏迷，四肢无力，恶心呕吐。应立即进行抢救，最好立即进行催吐。将患者吃过的东西吐出，然后配合服中、西解毒药物，也可采用放血疗法治疗。
【治疗】
十宣穴、大椎穴，用三棱针刺出血。
腹部，走罐拔吸10次。
脊柱、肘窝，用梅花针弹刺出血。
【附方】
人中穴、十宣穴两穴用三棱针放血。
【古方】
1、然谷穴、上巨虚穴点刺出血。
2、委中穴，用三棱针点刺出血。
第二节 内科刺血
一、中风
病人平素正气不足，脏腑阴阳失调，肝肾阴虚，肝阳上亢；或情志郁结，饮食不节，肝失健运，痰热聚集。如血随气逆，风痰上扰，上冲于脑，则突然昏迷，为邪中脏腑；如风痰走窜经络，致使气血运行失调，则口眼歪斜，半身不遂，为邪中经络。虚则补，实则泻。
【治疗】
人中穴、手十二井穴，用三棱针刺出血。
大椎穴、命门穴，用火罐拔吸5分钟。
后颈部、翳风穴、内关穴，用梅花针弹刺出血。
【附方】
十宣穴、足三里穴，用三棱针刺出血。
脊柱两侧，用火罐循经走罐。
在患侧的有关经脉上沿经叩打，阳经与阴经交替施术。
【土方】
用柳条轻微抽打患侧或脊椎两侧，肤红为度，然后用锋利物叩刺出微血。此法体弱者隔天一次，体强者每天一次。
【古方】
1、用三棱针刺手十指和十二井穴。
2、用三棱针刺委中穴、足三里穴。
刺络拔罐肩髃穴、环跳穴。
梅花针弹刺合谷穴、曲池穴、阳陵泉穴、悬钟穴等穴位。
【病例】
甘XX，女，49岁，四川省江油市302厂工人，1982年4月19日初诊。
主诉：一周前突然口眼歪斜，说话不清楚，右半身无力。
症状：口眼向右侧歪斜，面部皮肤麻木，语言失利，口角流涎，半身不遂，舌苔薄白，脉象浮数而弦。
诊断：中风（中经络）
治则：活血祛风，通经活络。
治法：用三棱针点刺患侧百会穴、上星穴、地仓穴、太阳穴、少商穴等穴位；用梅花针外弹刺印堂穴到百会穴到大椎穴区域10次，再从印堂穴到太阳穴到风池穴到肩髃穴10次。火罐拔吸大椎穴、命门穴、肩髃穴，手心、脚心分别拔吸10分钟，另配合服用中药数剂，加强功能锻炼，经9次施术治疗，症状消失，获得治愈。
二、头痛
头痛是一种自觉症状，由于外感风寒，邪气上犯，寒凝血脉，脉络不通，或感受风热，邪气上扰；或外受湿邪，邪气上侵；或暴怒伤肝，肝失条达，郁而化火，上扰清窍；或饮食劳倦，损伤脾气，脾气不足，不能化生气血，气血亏虚，脑府失去充养等。此外因损伤头部，血瘀于脉络之中也可发病。体虚者配合用药，实证则多泻气血为主。
【治疗】
太阳穴、百会穴，用三棱针点刺出血。
大椎穴、风门穴、肝俞穴，用火罐拔吸5分钟。
额前、颈后部，用梅花针弹刺出血。
【附方】
列缺穴、足三里穴，用三棱针点刺出血。
神道穴、肺俞穴、脾俞穴，用火罐拔吸5分钟。
梅花针沿肘窝横纹与腘窝横纹叩打。
【土方】
1、在头痛处用针刺出微血，然后用头巾包于额顶部，以避邪风。
2、用带刺的树条在头痛处进行反复叩打，然后白酒洒在头上进行摩擦，此法镇痛效果好。
【古方】
1、针刺百会穴微出血，头痛者立愈。
2、偏头痛者：梅花针沿印堂穴到太阳穴弹刺患侧，微出血。
额顶痛者：梅花针沿印堂穴到百会穴到大椎穴弹刺，微出血。
额后痛者：用梅花针从百会穴分别弹刺至肩髃穴，微出血，可在大椎穴拔罐5分钟。
【病例】
曹XX，男，46岁，四川省沙州市兰田坝气矿工人，1981年10月9日初诊。
主诉：前天受凉，微觉发冷，昨日起开始头痛。
症状：头痛位于前额及两侧太阳穴区，有时后枕区亦痛，恶风寒，项背强，苔薄白，脉浮紧。
诊断：头痛（风寒）。
治则：疏风散寒。
治法：用三棱针点刺太阳穴、百会穴出血，疼痛立止；梅花针沿印堂穴到百会穴到大椎穴弹刺，然后推揉此经穴，一日后痊愈。
【病例】
张XX，男，43岁，湖南省岳阳市农机厂工人，1980年4月13日初诊。
主诉：前额及两侧头痛1年余，影响工作。
症状：头痛发作较急，病势剧烈，时而恶寒发热，脉浮数。
诊断：风热头痛。
治则：疏风解表。
治法：用梅花针从印堂穴到百会穴到大椎穴；再从印堂穴到太阳穴到风池穴弹刺，然后两指提捏针刺部位微出血；用三棱针刺行间穴，血出为淡红色；火罐拔吸大椎穴10分钟，另沿脊柱两侧走罐5次；用姜蘸白酒擦揉背部，肤热为度。术后患者汗出，头痛立愈。
三、胃痛
胃痛即胃脘痛，由于痛近心窝部，民间有称心窝痛，此痛多由忧郁，恼怒伤肝，肝气不舒，横逆犯胃，气机阻塞；或气滞日久，造成血脉凝涩，瘀血内结；或脾胃虚弱，阳气不足，中气下陷，内生虚寒，寒凝血脉，脉络不通。此外，过食生冷及湿热虫积等皆可形成。虚则放气，实则刺血。
【治疗】
足三里穴、膏肓穴，用三棱针点刺出血。
大椎穴、脾俞穴、胃俞穴，用火罐拔吸10分钟。
腰背、胸腹部，用梅花针弹刺出血。
【附方】
中脘穴、太冲穴，用三棱针点刺出血。
中脘穴、梁门穴、身柱穴，用火罐拔吸10分钟。
中脘穴、内关穴、足三里穴，用梅花针弹刺出血。
【土方】
1、用手蘸酒拍打痛部，肤红为度，用大头针挑刺出血，立止。
2、前胸从腹正中线，后背从脊椎线，分别用梅花针由上至下循经叩刺至肚脐和命门穴。
【病例】
张XX，男，28岁，河南省南阳市卧龙岗街工人，1982年7月1日初诊。
主诉：胃部及胁部反复窜痛6年，今日疼痛更甚。
症状：胃脘胀满，有时痛连胁下，用手按熨感到舒适，时而呃逆，舌苔薄白、脉弦。
诊断：胃脘痛（肝气犯胃）。
治则：疏肝理气。
治法：用三棱针点刺太冲穴、足三里穴、少冲穴、二间穴出血；梅花针弹刺肝俞穴、胃俞穴、中脘区域，然后用火罐拔吸出血。一次治疗后，疼痛立愈。
四、腰痛
此病多由于年老体弱，或劳累过度，以致肾精亏虚，腰府失养；或居处潮湿；或因跌打损伤，血瘀于脉络；或涉水冒雨，感受寒湿之邪，造成经脉阻滞，气血运行不畅。虚则补气补血，实则泻气泻血。
【治疗】
腰俞穴、委中穴，用三棱针刺出血。
阳关穴、阿是穴，用火罐拔吸15分钟。
脊柱、腰背部，用梅花针弹刺出血。
【附方】
肾俞穴、腰阳关穴，用三棱针刺出血。
命门穴、肚脐，用火罐拔吸10分钟。
腰两侧旁、环跳穴，用梅花针弹刺出血。
【土方】
1、用酒拍打膝窝部，肤红为度，挑刺红点出血。
2、用树条或软竹条蘸姜水，拍打腰部，然后用大头针点刺出血。
【古方】
昆仑穴、委中穴、承山穴放血，腰痛立止。
【病例】
林XX，男，32岁，贵州省遵义市八五厂工人，1981年4月23日初诊。
主诉：两月前抬重物时，不慎闪腰，当时卧地不起，经各种方法治疗，稍有好转。
症状：弯腰则痛如刺，不得转侧，脉沉涩。
诊断：血瘀腰痛。
治则：活血通络。
治法：用三棱针在委中穴、阿是穴放血，血为紫黑色。火罐再次拔吸出血，血为紫红色。大椎穴、命门穴、环跳穴、承山穴火罐拔吸10分钟。另外敷药，再煎服加味四物汤。
3天以后，患者腰痛大减。用梅花针沿腰部弹刺，腰俞穴、环跳穴点刺留罐10分钟出血，血为紫红色。另用“海马追风膏”加外用散末外贴，一月后患者来信告之病愈。
五、胸痛
此病分为外感胸痛及内伤胸痛。外感胸痛，多为湿热犯肺；内伤胸痛，多为寒痰壅塞，水饮留积胸胁，心阳不足或心血瘀阻所致；亦有因肝火上犯所致者。虚则顺气宽胸，实则泻血通络。
【治疗】
心俞穴、膻中穴，用三棱针点刺出血。
大椎穴、肺俞穴，用火罐拔吸10分钟。
膻中穴、脊柱，用梅花针弹刺出血。
【附方】
肺俞穴，用三棱针点刺出血。
膻中穴、心俞穴，用火罐拔吸5分钟。
足三里穴、三阴交穴，用梅花针弹刺出血。
【土方】
胸痛用梅花针或大头针顺胸肋弹刺，并进行深呼吸，吸气弹刺。
【古方】
陷谷穴、期门穴针刺出血，胸痛立止。
【病例】
王XX，女，32岁，湖北省经阳县古隆中大队社员，1980年7月6日初诊。
主诉：有反复胸痛史，这次发病已两天，因感寒而起。
症状：胸部闷痛，有时有针刺样痛，严重时痛至背心，有时也连及肩臂，舌面有紫斑，舌苔薄白，脉略弦。
诊断：胸痛（气滞血瘀）。
治则：化瘀通络，活血理气。
治法：用三棱针点刺十宣穴出血，梅花针弹刺心俞穴、膻中穴，用火罐拔吸出血。用手指点按内关穴、外关穴各1分钟。走罐法推运胸、背部10次，肤红力度。每日施术1次，经3次治疗，胸痛消失。
六、胁痛
肝脉布于两胁，七情郁结，肝气失其条达，络脉受阻，经气运行不畅，故发病多胁痛；亦有因经血亏损，血少不能濡养肝络；或因闪挫络脉停瘀等，均可导致胁痛。虚则用药配合，实则泻血补气。
【治疗】
阳陵泉穴、窍阴穴，用三棱针点刺出血。
辄筋穴、期门穴，用火罐拔吸10分钟。
胸胁痛部，用梅花针弹刺出血。
【附方】
肝俞穴、行间穴，用三棱针点刺出血。
肾俞穴、期门穴，用火罐拔吸10分钟。
脊椎两旁，用梅花针弹刺出血。
【土方】
1、用梅花针弹刺胁痛处，走罐10次，然后再弹刺出血。
2、术者双手指尖分别左右顺胸胁间，由慢到快，由轻到重地推揉，肤红为度，然后大头针点刺红点出血。
【古方】
1、丰隆穴、厉兑穴、支沟穴等穴用三棱针点刺出血。
2、陷谷穴用三棱针刺出血，胁痛立止。
3、大椎穴、肝俞穴、身柱穴、阿是穴等，用火罐拔吸15分钟。
【病例】
郑XX，男，33岁，家住河南省郑州市二七路纪念堂街，1982年7月9日初诊。
主诉：胁痛一日，逐渐加剧，有时左右走串不定，以胀痛为主。
症状：两胁下痛甚，伴有胸皖胀闷，有时呃逆，沉闷寡言，不欲饮食，苔薄白，脉弦。
诊断：胁痛（肝气郁结）。
治则：疏肝理气。
治法：用三棱针点刺阳陵泉穴、陷谷穴，胀痛立止；然后用梅花针弹刺期门穴、肝俞穴，加火罐拔吸出血。一次治疗后，病痊愈。
七、腹痛
腹痛多由暴怒伤肝，肝气郁结，以致腹中气机阻滞；或过吃生冷，寒邪内停，收引脉络；或脾阳不振，寒从中生，凝滞血脉；或因饮食不节，食滞中焦，气机不利等形成。亦有由虫积引起的。肠痈不包括在内。虚则放气，实则刺血。
【治疗】
足三里穴、厉兑穴，用三棱针刺出血。
大椎穴、身柱穴、气海穴，用火罐拔吸15分钟。
下腹部、天枢穴、关元穴，用梅花针弹刺出血。
【附方】
下脘穴、天枢穴，用三棱针点刺出血。
脾俞穴、气海穴、章门穴，用火罐拔吸15分钟。
腰背到肚脐，用梅花针弹刺10次出血。
【土方】
1、用手蘸酒拍打膝窝处，挑刺委中穴。
2、用手从大腿上方抱推往下至商丘穴，针刺放血，然后下推至厉兑穴，针刺放血。
【古方】
1、点刺神阙穴、公孙穴放血，痛立止。
2、足三里穴、内庭穴放血，腹痛止。
【病例】
贺XX，女，18岁，四川省达县市蒲家公社四大队社员，1980年11月5日初诊。
主诉：小肚腹疼痛5天一直不好。
症状：脘腹胀痛，胸闷嗳气，喜怒，脉弦苔薄。
诊断：腹痛（血瘀气结）。
治则：理气祛瘀。
治法：在气海穴、阿是穴、足三里穴先用火罐拔吸10分钟，然后梅花针弹刺，再次拔罐出血，用手指点按内关穴、外关穴、合谷穴5分钟。另外贴膏药，服药3剂。经治疗2次痊愈。
八、痹证
痹证多因体质素虚，卫外不固，腠理空疏，汗出当风，涉水感寒，久卧湿地等而成。风寒湿邪侵入关节经络，痹阻于血脉，气血运行不畅而成风寒湿痹。有因经络先有蕴热，又遇风寒湿邪侵袭，里热为外邪所郁，气血失于宣通；或因风寒湿邪郁于肌肤脉络之间，留而不去，化成热。行痹、着痹，以放气除寒湿为主；痛痹、热痹，以刺止泻热镇痛为主。
（一）上肢
【治疗】
Ren Zhong (Renzhong, GV26), Zusanli (ST36): Pricked with a three-edged needle to bleed.
Dazhui (GV14): Cupping applied for suction for 2 minutes.
From Yintang (EX-HN3) to Baihui (GV20) to Fengchi (GB20): Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
1. Bleeding at Shaoshang (LU11) using a three-edged needle.
2. Tapping from the cubital fossa to the wrist joint using a plum-blossom needle.
3. Moving cupping along both sides of the spine following the meridians, 3 times.
[Folk Remedies]
Flex the fingers. Dip the second phalangeal joints of the index and middle fingers in water. Pinch-tap the skin of the patient's Yintang (EX-HN3) acupoint, as well as the bilateral neck and paravertebral regions of the back, until purplish-red spots appear subcutaneously. Puncture slightly with a sharp object to induce minor bleeding.
Upon discovering a patient with carbon monoxide poisoning, immediately transfer the patient to an area with fresh air and pay attention to keeping warm. If breathing has stopped, adopt rescue measures such as artificial respiration. Once the patient regains consciousness, acupuncture bloodletting can be performed.
[Treatment]
Ren Zhong (Renzhong, GV26), Taiyang (EX-HN5): Pricked with a three-edged needle to bleed.
Dazhui (GV14): Cupping applied for suction for 15 minutes.
Both sides of the spine: Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Heavy tapping of the posterior neck, the region from Baihui (GV20) to Fengchi (GB20) on the head, and the sacrum using a plum-blossom needle.
[Folk Remedies]
Push from the patient's shoulder and arm down to Shixuan (EX-UE13) to bleed.
[Ancient Formulas]
Pricking Renzhong (Renzhong, GV26) and Dazhui (GV14) to bleed will cause the patient to regain consciousness.
Due to the accidental ingestion of toxic food, spoiled food, or toxic drugs, the patient experiences coma, weakness in the four limbs, nausea, and vomiting. Rescue should be carried out immediately, preferably inducing vomiting immediately. Expel what the patient has eaten, then administer Chinese and Western antidotes. Bloodletting therapy can also be adopted for treatment.
[Treatment]
Shixuan (EX-UE13), Dazhui (GV14): Pricked with a three-edged needle to bleed.
Abdomen: Moving cupping applied for suction 10 times.
Spine, cubital fossa: Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Bleeding at Renzhong (Renzhong, GV26) and Shixuan (EX-UE13) using a three-edged needle.
[Ancient Formulas]
1. Pricking Ran Gu (KI2) and Shangjuxu (ST37) to bleed.
2. Pricking Weizhong (BL40) with a three-edged needle to bleed.
Section 2: Internal Medicine Bloodletting
I. Stroke
Patients usually have insufficient healthy Qi (Vital Energy), imbalance of Yin and Yang in the Zang-Fu organs, Yin deficiency of the Liver and Kidney, and Hyperactivity of Liver Yang; or emotional depression, irregular diet leading to impaired transport and transformation of the Liver, resulting in accumulation of Phlegm-Heat. If Blood follows rebellious Qi, Wind-Phlegm disturbs upwards, rushing to the brain, sudden coma occurs, which is Evil invading the Zang-Fu organs; if Wind-Phlegm wanders through the collaterals, causing dysfunction of Qi and Blood circulation, facial deviation and hemiplegia occur, which is Evil invading the meridians. Deficiency is tonified, Excess is drained.
[Treatment]
Renzhong (Renzhong, GV26), Twelve Well Acupoints of the Hand: Pricked with a three-edged needle to bleed.
Dazhui (GV14), Mingmen (GV4): Cupping applied for suction for 5 minutes.
Posterior neck, Yifeng (TE17), Neiguan (PC6): Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Shixuan (EX-UE13), Zusanli (ST36): Pricked with a three-edged needle to bleed.
Both sides of the spine: Moving cupping following the meridians.
Tap along the relevant meridians on the affected side, alternating between Yang and Yin meridians.
[Folk Remedies]
Lightly whip the affected side or both sides of the spine with a willow branch until the skin turns red, then tap with a sharp object to induce minor bleeding. This method is performed every other day for those with weak constitutions, and once daily for those with strong constitutions.
[Ancient Formulas]
1. Pricking the ten fingers and the Twelve Well Acupoints with a three-edged needle.
2. Pricking Weizhong (BL40) and Zusanli (ST36) with a three-edged needle.
Bloodletting cupping at Jianyu (LI15), Huantiao (GB30).
Tapping Hegu (LI4), Quchi (LI11), Yanglingquan (GB34), Xuanzhong (GB39) and other acupoints with a plum-blossom needle.
[Case Study]
Patient Gan XX, Female, 49 years old, Worker at Factory 302, Jiangyou City, Sichuan Province. First visit on April 19, 1982.
Chief Complaint: Sudden facial deviation and slurred speech, right-sided weakness starting one week ago.
Symptoms: Facial deviation to the right, numbness of facial skin, speech difficulty, drooling at the corner of the mouth, hemiplegia, thin white tongue coating, floating, rapid, and wiry pulse.
Diagnosis: Stroke (Invading Meridians)
Treatment Principle: Invigorate Blood, dispel Wind, unblock meridians and activate collaterals.
Treatment Method: Prick Baihui (GV20), Shangxing (GV23), Dicang (ST4), Taiyang (EX-HN5), Shaoshang (LU11) and other acupoints on the affected side with a three-edged needle; tap externally with a plum-blossom needle from Yintang (EX-HN3) to Baihui (GV20) to Dazhui (GV14) 10 times, then from Yintang (EX-HN3) to Taiyang (EX-HN5) to Fengchi (GB20) to Jianyu (LI15) 10 times. Cupping suction at Dazhui (GV14), Mingmen (GV4), Jianyu (LI15); palms and soles each for 10 minutes. Additionally, prescribe several doses of Chinese herbal medicine, strengthen functional exercise. After 9 treatments, symptoms disappeared, and cure was achieved.
II. Headache
Headache is a subjective symptom caused by external invasion of Wind-Cold, where pathogenic factors attack upwards, Cold congeals blood vessels, and meridians are blocked; or invasion of Wind-Heat, where pathogenic factors disturb upwards; or external invasion of Dampness, where pathogenic factors invade upwards; or violent anger injuring the Liver, causing Liver Qi stagnation and transformation into Fire, disturbing clear orifices upwards; or dietary fatigue damaging Spleen Qi, leading to insufficiency of Spleen Qi, inability to generate Qi and Blood, resulting in Qi and Blood deficiency, and lack of nourishment to the Brain Mansion. Additionally, head trauma causing Blood Stasis in the meridians can also cause disease. Those with deficiency combine medication; Excess patterns mainly drain Qi and Blood.
[Treatment]
Taiyang (EX-HN5), Baihui (GV20): Pricked with a three-edged needle to bleed.
Dazhui (GV14), Fengmen (BL12), Ganshu (BL18): Cupping applied for suction for 5 minutes.
Forehead, posterior neck: Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Lieque (LU7), Zusanli (ST36): Pricked with a three-edged needle to bleed.
Shendao (GV11), Feishu (BL13), Pishu (BL20): Cupping applied for suction for 5 minutes.
Tapping along the transverse crease of the cubital fossa and popliteal fossa with a plum-blossom needle.
[Folk Remedies]
1. Prick the headache site to induce minor bleeding, then wrap a headscarf around the top of the forehead to avoid evil Wind.
2. Repeatedly tap the headache site with a thorny tree branch, then rub alcohol onto the head. This method has good analgesic effects.
[Ancient Formulas]
1. Pricking Baihui (GV20) to induce minor bleeding cures headache immediately.
2. For Migraine: Tap the affected side from Yintang (EX-HN3) to Taiyang (EX-HN5) with a plum-blossom needle to induce minor bleeding.
For Frontal Vertex Pain: Tap from Yintang (EX-HN3) to Baihui (GV20) to Dazhui (GV14) with a plum-blossom needle to induce minor bleeding.
For Occipitofrontal Pain: Tap from Baihui (GV20) to Jianyu (LI15) with a plum-blossom needle to induce minor bleeding; cupping at Dazhui (GV14) for 5 minutes is also applicable.
[Case Study]
Patient Cao XX, Male, 46 years old, Worker at Lantianba Gas Mine, Shazhou City, Sichuan Province. First visit on October 9, 1981.
Chief Complaint: Caught cold two days ago, felt slightly chilly, headache started yesterday.
Symptoms: Headache located in the forehead and bilateral temporal regions, sometimes occipital pain, aversion to Wind and Cold, stiffness of neck and back, thin white tongue coating, floating and tight pulse.
Diagnosis: Headache (Wind-Cold).
Treatment Principle: Dispel Wind and scatter Cold.
Treatment Method: Prick Taiyang (EX-HN5) and Baihui (GV20) with a three-edged needle to bleed, pain stops immediately; tap from Yintang (EX-HN3) to Baihui (GV20) to Dazhui (GV14) with a plum-blossom needle, then push and knead these meridian points. Cured after one day.
[Case Study]
Patient Zhang XX, Male, 43 years old, Worker at Agricultural Machinery Factory, Yueyang City, Hunan Province. First visit on April 13, 1980.
Chief Complaint: Forehead and bilateral headache for over 1 year, affecting work.
Symptoms: Headache attacks are acute and severe, occasional chills and fever, floating and rapid pulse.
Diagnosis: Wind-Heat Headache.
Treatment Principle: Dispel Wind and release the exterior.
Treatment Method: Tap from Yintang (EX-HN3) to Baihui (GV20) to Dazhui (GV14); then from Yintang (EX-HN3) to Taiyang (EX-HN5) to Fengchi (GB20) with a plum-blossom needle, then pinch the needled sites with two fingers to induce minor bleeding; prick Xingjian (LR2) with a three-edged needle, blood comes out pale red; cupping suction at Dazhui (GV14) for 10 minutes, plus moving cupping 5 times along both sides of the spine; rub the back with Ginger dipped in Baijiu (White Liquor) until the skin feels hot. After the procedure, the patient sweated, and the headache cured immediately.
III. Stomachache
Stomachache refers to epigastric pain. Since the pain is near the heart pit, it is colloquially called heart pit pain. This pain is mostly caused by melancholy and anger injuring the Liver, causing Liver Qi stagnation, rebelling horizontally to invade the Stomach, blocking Qi mechanism; or long-term Qi stagnation causing blood vessel condensation and internal Blood Stasis; or Spleen and Stomach weakness, insufficient Yang Qi, sinking of Middle Qi, generating internal Deficiency-Cold, Cold congealing blood vessels, and meridian blockage. Additionally, excessive consumption of raw and cold foods, Damp-Heat, and parasite accumulation can all form this condition. Deficiency releases Qi, Excess involves bloodletting.
[Treatment]
Zusanli (ST36), Gaohuang (BL43): Pricked with a three-edged needle to bleed.
Dazhui (GV14), Pishu (BL20), Weishu (BL21): Cupping applied for suction for 10 minutes.
Lower back, chest and abdomen: Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Zhongwan (CV12), Taichong (LR3): Pricked with a three-edged needle to bleed.
Zhongwan (CV12), Liangmen (ST21), Shenzhu (DU12): Cupping applied for suction for 10 minutes.
Zhongwan (CV12), Neiguan (PC6), Zusanli (ST36): Tapped with a plum-blossom needle to bleed.
[Folk Remedies]
1. Pat the painful area with hand dipped in wine until skin turns red, pick with a large-headed needle to bleed, pain stops immediately.
2. From the anterior midline of the chest and the spinal line of the back, tap downwards along the meridians with a plum-blossom needle to the umbilicus and Mingmen (GV4).
[Case Study]
Patient Zhang XX, Male, 28 years old, Worker at Wolonggang Street, Nanyang City, Henan Province. First visit on July 1, 1982.
Chief Complaint: Recurrent wandering pain in stomach and hypochondrium for 6 years, pain worsened today.
Symptoms: Epigastric distension and fullness, sometimes pain radiating to hypochondrium, comfortable with pressing and warming, occasional hiccups, thin white tongue coating, wiry pulse.
Diagnosis: Epigastric Pain (Liver Qi Invading Stomach).
Treatment Principle: Soothe Liver and regulate Qi.
Treatment Method: Prick Taichong (LR3), Zusanli (ST36), Shaochong (HT9), Erjian (LI2) with a three-edged needle to bleed; tap Ganshu (BL18), Weishu (BL21), and Zhongwan (CV12) region with a plum-blossom needle, then apply cupping to bleed. After one treatment, pain stopped immediately.
IV. Lower Back Pain
This disease is mostly due to old age and physical weakness, or excessive labor, leading to depletion of Kidney Essence and loss of nourishment to the waist; or living in damp places; or due to falls and injuries causing Blood Stasis in the meridians; or wading in water and exposure to rain, contracting Cold-Damp pathogens, causing meridian obstruction and poor circulation of Qi and Blood. Deficiency tonifies Qi and Blood, Excess drains Qi and Blood.
[Treatment]
Yaoshu (BL23), Weizhong (BL40): Pricked with a three-edged needle to bleed.
Yangguan (Extradot), Ashi Points: Cupping applied for suction for 15 minutes.
Spine, lower back: Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Shenshu (BL23), Yaoyangguan (GV3): Pricked with a three-edged needle to bleed.
Mingmen (GV4), Umbilicus: Cupping applied for suction for 10 minutes.
Sides of the waist, Huantiao (GB30): Tapped with a plum-blossom needle to bleed.
[Folk Remedies]
1. Pat the popliteal fossa with wine until skin turns red, pick red dots to bleed.
2. Pat the lower back with a tree branch or soft bamboo branch dipped in Ginger water, then prick with a large-headed needle to bleed.
[Ancient Formulas]
Bleeding Kunlun (BL60), Weizhong (BL40), Chengshan (BL57) stops lower back pain immediately.
[Case Study]
Patient Lin XX, Male, 32 years old, Worker at Factory 85, Zunyi City, Guizhou Province. First visit on April 23, 1981.
Chief Complaint: Sprained lower back accidentally while lifting heavy objects two months ago, unable to get up at that time, slight improvement after various treatments.
Symptoms: Pain like stabbing when bending, unable to turn sideways, deep and choppy pulse.
Diagnosis: Blood Stasis Lower Back Pain.
Treatment Principle: Invigorate Blood and unblock collaterals.
Treatment Method: Bleed at Weizhong (BL40) and Ashi points with a three-edged needle, blood is purple-black. Apply cupping again to bleed, blood is purple-red. Cupping suction at Dazhui (GV14), Mingmen (GV4), Huantiao (GB30), Chengshan (BL57) for 10 minutes. Additionally, apply medicated plaster, decoct and drink Modified Siwu Decoction.
After 3 days, the patient's lower back pain decreased significantly. Tap along the waist with a plum-blossom needle, prick Yaoshu (BL23) and Huantiao (GB30) and leave cupping for 10 minutes to bleed, blood is purple-red. Additionally, apply "Haima Zhuifeng Plaster" mixed with external powder. One month later, the patient wrote stating recovery.
V. Chest Pain
This disease is divided into External Invasion Chest Pain and Internal Injury Chest Pain. External Invasion Chest Pain is mostly caused by Damp-Heat invading the Lung; Internal Injury Chest Pain is mostly caused by Cold-Phlegm congestion, accumulation of fluid retention in the chest and hypochondrium, insufficient Heart Yang, or Blood Stasis obstructing the Heart; some are also caused by Liver Fire attacking upwards. Deficiency regulates Qi and broadens the chest, Excess drains Blood and unblocks collaterals.
[Treatment]
Xinshu (BL15), Danzhong (CV17): Pricked with a three-edged needle to bleed.
Dazhui (GV14), Feishu (BL13): Cupping applied for suction for 10 minutes.
Danzhong (CV17), Spine: Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Feishu (BL13): Pricked with a three-edged needle to bleed.
Danzhong (CV17), Xinshu (BL15): Cupping applied for suction for 5 minutes.
Zusanli (ST36), Sanyinjiao (SP6): Tapped with a plum-blossom needle to bleed.
[Folk Remedies]
Chest pain: Tap along the ribs with a plum-blossom needle or large-headed needle, perform deep breathing, tap during inhalation.
[Ancient Formulas]
Pricking Xangu (ST43) and Qimen (LR14) to bleed stops chest pain immediately.
[Case Study]
Patient Wang XX, Female, 32 years old, Member of Gulongzhong Brigade, Jingyang County, Hubei Province. First visit on July 6, 1980.
Chief Complaint: History of recurrent chest pain, this episode lasted two days, triggered by cold exposure.
Symptoms: Chest stuffiness and pain, sometimes needle-like pain, severe pain radiating to the back, sometimes involving shoulders and arms, purple spots on tongue surface, thin white tongue coating, slightly wiry pulse.
Diagnosis: Chest Pain (Qi Stagnation and Blood Stasis).
Treatment Principle: Resolve Stasis and unblock collaterals, invigorate Blood and regulate Qi.
Treatment Method: Prick Shixuan (EX-UE13) to bleed with a three-edged needle, tap Xinshu (BL15) and Danzhong (CV17) with a plum-blossom needle, apply cupping to bleed. Press Neiguan (PC6) and Waiguan (TE5) with fingers for 1 minute each. Push chest and back 10 times using moving cupping, until skin turns red. Perform treatment once daily. After 3 treatments, chest pain disappeared.
The Liver Meridian distributes across the hypochondrium. Emotional depression causes Liver Qi to lose its free flow, collaterals are blocked, and meridian Qi circulation is unsmooth, thus the disease often presents as hypochondriac pain; there are also cases due to depletion of meridian blood, insufficient blood failing to nourish Liver collaterals; or due to sprains causing collateral stasis, all of which can lead to hypochondriac pain. Deficiency combines medication, Excess drains Blood and tonifies Qi.
[Treatment]
Yanglingquan (GB34), Xiaoyin (GB44): Pricked with a three-edged needle to bleed.
Zhejin (Extra), Qimen (LR14): Cupping applied for suction for 10 minutes.
Hypochondriac pain area: Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Ganshu (BL18), Xingjian (LR2): Pricked with a three-edged needle to bleed.
Shenshu (BL23), Qimen (LR14): Cupping applied for suction for 10 minutes.
Both sides of the spine: Tapped with a plum-blossom needle to bleed.
[Folk Remedies]
1. Tap the hypochondriac pain area with a plum-blossom needle, move cupping 10 times, then tap to bleed.
2. The practitioner uses fingertips to push and knead along the intercostal spaces from left to right, slowly to fast, lightly to heavily, until skin turns red, then prick red dots with a large-headed needle to bleed.
[Ancient Formulas]
1. Pricking Fenglong (ST40), Lidui (ST45), Zhigou (TE6) and other acupoints with a three-edged needle to bleed.
2. Pricking Xangu (ST43) with a three-edged needle to bleed stops hypochondriac pain immediately.
3. Cupping suction at Dazhui (GV14), Ganshu (BL18), Shenzhu (DU12), Ashi points etc. for 15 minutes.
[Case Study]
Patient Zheng XX, Male, 33 years old, Resident of Jiniantang Street, Erqi Road, Zhengzhou City, Henan Province. First visit on July 9, 1982.
Chief Complaint: Hypochondriac pain for one day, gradually worsening, sometimes wandering left and right, mainly distending pain.
Symptoms: Severe pain under both hypochondria, accompanied by chest and epigastric distension and stuffiness, occasional hiccups, depressed and taciturn, poor appetite, thin white tongue coating, wiry pulse.
Diagnosis: Hypochondriac Pain (Liver Qi Depression).
Treatment Principle: Soothe Liver and regulate Qi.
Treatment Method: Prick Yanglingquan (GB34) and Xangu (ST43) with a three-edged needle, distending pain stops immediately; then tap Qimen (LR14) and Ganshu (BL18) with a plum-blossom needle, add cupping suction to bleed. After one treatment, the illness was cured.
VII. Abdominal Pain
Abdominal pain is mostly caused by violent anger injuring the Liver, Liver Qi depression, causing Qi mechanism blockage in the abdomen; or excessive eating of raw and cold foods, Cold Evil stopping internally, contracting meridians; or Spleen Yang not rising, Cold generating internally, condensing blood vessels; or irregular diet causing Food Stagnation in the Middle Jiao, unfavorable Qi mechanism, etc. It can also be caused by parasite accumulation. Intestinal Abscess is excluded. Deficiency releases Qi, Excess involves bloodletting.
[Treatment]
Zusanli (ST36), Lidui (ST45): Pricked with a three-edged needle to bleed.
Dazhui (GV14), Shenzhu (DU12), Qihai (CV6): Cupping applied for suction for 15 minutes.
Lower abdomen, Tianshu (ST25), Guanyuan (CV4): Tapped with a plum-blossom needle to bleed.
[Attached Formulas]
Xiawan (CV10), Tianshu (ST25): Pricked with a three-edged needle to bleed.
Pishu (BL20), Qihai (CV6), Zhangmen (LR13): Cupping applied for suction for 15 minutes.
Lower back to umbilicus: Tapped with a plum-blossom needle 10 times to bleed.
[Folk Remedies]
1. Pat the popliteal fossa with hand dipped in wine, prick Weizhong (BL40).
2. Push from the upper thigh downwards to Shangqiu (SP5), prick to bleed, then push downwards to Lidui (ST45), prick to bleed.
[Ancient Formulas]
1. Pricking Shenque (CV8) and Gongsun (SP4) to bleed stops pain immediately.
2. Bleeding Zusanli (ST36) and Neiting (ST44) stops abdominal pain.
[Case Study]
Patient He XX, Female, 18 years old, Member of Fourth Brigade, Puja Commune, Daxian City, Sichuan Province. First visit on November 5, 1980.
Chief Complaint: Lower abdominal pain for 5 days, not improving.
Symptoms: Epigastric and abdominal distension and pain, chest stuffiness and belching, mood swings, wiry pulse, thin tongue coating.
Diagnosis: Abdominal Pain (Blood Stasis and Qi Knot).
Treatment Principle: Regulate Qi and remove Stasis.
Treatment Method: Apply cupping suction for 10 minutes at Qihai (CV6), Ashi points, and Zusanli (ST36), then tap with a plum-blossom needle, apply cupping again to bleed, press Neiguan (PC6), Waiguan (TE5), and Hegu (LI4) with fingers for 5 minutes. Additionally, apply medicated plaster, take 3 doses of medicine. Cured after 2 treatments.
VIII. Bi Syndrome
Bi Syndrome is mostly formed due to inherent constitutional deficiency, insecure Wei Defensive Qi, loose pores, sweating exposed to wind, wading in water and contracting cold, lying on damp ground for a long time, etc. Wind-Cold-Damp pathogens invade joints and meridians, obstructing blood vessels, causing poor circulation of Qi and Blood, forming Wind-Cold-Damp Bi. There are cases where meridians first have accumulated Heat, then encounter Wind-Cold-Damp invasion, interior Heat is constrained by exterior pathogens, losing Qi and Blood circulation; or Wind-Cold-Damp pathogens stay in skin and collaterals without leaving, transforming into Heat. Xing Bi (Wandering Bi) and Zhuo Bi (Fixed Bi) mainly use Qi release to eliminate Cold-Damp; Tong Bi (Painful Bi) and Re Bi (Hot Bi) mainly use pricking to stop pain and drain Heat.
(I) Upper Limb
[Treatment]