The Stomach Meridian of Foot-Yangming, Neiguan (PC6, Pericardium Luo-Connecting Point), Hegu (LI4, Yuan-Source Point of the Large Intestine Meridian) are treated with plum-blossom needle tapping to induce bleeding.

[folk remedy]

Use a large-headed needle or a three-edged needle to prick Chengjiang (CV24, located in the depression below the lower lip) to bleed (after pricking, squeeze the surrounding skin with both hands to facilitate bleeding).

[Ancient prescription]

Perform bloodletting at Jinjin and Yuye points (located on the sublingual veins on either side of the frenulum; left is Jinjin, right is Yuye).

18. Hematemesis (Vomiting Blood)

This syndrome is mostly caused by the imbalance of Yin and Yang in the Spleen, Stomach, and Liver meridians. It arises from excessive heat in the Stomach causing blood to float upwards, or from overthinking damaging the Spleen Qi so it fails to control blood, or from sudden anger injuring the Liver causing blood to follow rebellious Qi upward. When using bloodletting therapy for hematemesis, the main principles are to drain Stomach heat and calm Liver fire; the amount of blood let should not be excessive. Deficiency syndromes require tonification, while excess syndromes require draining.

[Treatment]

Neiting (ST44, Ying-Spring Point of the Stomach Meridian) and Weishu (BL21, Back-Shu Point of the Stomach) are pricked with a three-edged needle to bleed.

Geshu (BL17, Back-Shu Point of the Diaphragm), Qimen (LR14, Front-Mu Point of the Liver) are treated with cupping for 15 minutes.

Both sides of the spine are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Lidui (ST45, Jing-Well Point of the Stomach Meridian) and Fenglong (ST40, Luo-Connecting Point of the Stomach Meridian) are pricked with a three-edged needle to bleed.

Dazhui (GV14, Convergence Point of Yang Meridians) and Ganshu (BL18, Back-Shu Point of the Liver) are treated with cupping for 15 minutes.

The neck, Zusanli (ST36, He-Sea Point of the Stomach Meridian), Hegu (LI4), and Neiguan (PC6) are tapped with a plum-blossom needle to induce bleeding.

[Ancient prescription]

Prick Lidui, Zusanli, Weishu, and other acupoints to bleed.

19. Diarrhea

This disease is mostly caused by invasion of Wind, Cold, Dampness, or Heat pathogens, improper diet, Spleen and Stomach deficiency-cold, or failure of Kidney Yang to warm. For deficiency syndromes, little blood is let; for excess syndromes, more blood is drained. This is combined with Chinese and Western medicine treatment.

[Treatment]

Quchi (LI11, He-Sea Point of the Large Intestine Meridian), Neiting (ST44), and Renzhong (GV26) are pricked with a three-edged needle to bleed.

Dazhui (GV14), Ganshu (BL18), and Pishu (BL20, Back-Shu Point of the Spleen) are treated with cupping for 15 minutes.

Zusanli (ST36), Sanyinjiao (SP6), and Neiguan (PC6) are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Erjian (LI2, Ying-Spring Point of the Large Intestine Meridian) and Shangjuxu (ST37, Lower He-Sea Point of the Large Intestine Meridian) are pricked with a three-edged needle to bleed.

Shenzhu (GV12), Weishu (BL21), and Zhongwan (CV12) are treated with cupping for 15 minutes.

Both sides of the spine and the lower abdomen are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

Prick the four corners around the umbilicus (Shenque area) to bleed.

[Ancient prescription]

1. Prick Changqiang (GV1, Luo-Connecting Point of the Du Meridian) with a three-edged needle to bleed.
2. Apply cupping to the umbilicus for 15 minutes, then prick to bleed.

20. Jaundice

This syndrome is mostly caused by external seasonal pathogens and irregular diet, damaging the functions of the Liver, Gallbladder, Spleen, and Stomach, leading to retention of Dampness or accumulation of Damp-Heat. If the pathology leans towards Heat, it is Yang Jaundice; if it leans towards Cold, it is Yin Jaundice. Cold syndromes are mainly treated with cupping, while Heat syndromes are mainly treated with bloodletting.

[Treatment]

Xingjian (LR2, Ying-Spring Point of the Liver Meridian) and Danshu (BL19, Back-Shu Point of the Gallbladder) are pricked with a three-edged needle to bleed.

Dazhui (GV14), Ganshu (BL18), and Qimen (LR14) are treated with cupping for 15 minutes.

The chest and hypochondrium are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Ganshu (BL18) and Taichong (LR3, Yuan-Source Point of the Liver Meridian) are pricked with a three-edged needle to bleed.

Shenzhu (GV12), Danshu (BL19), and Pishu (BL20) are treated with cupping for 15 minutes.

Zusanli (ST36), Dazhui (GV14), and Hegu (LI4) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

On the back of the neck, use a plum-blossom needle to prick until bleeding, then apply 3 cups to draw out more blood.

[Ancient prescription]

1. Prick Jiali point with a three-edged needle to bleed.
2. Prick Bailao, Zusanli (ST36), and Zhongwan (CV12) to bleed.
3. Use a three-edged needle to prick Pishu (BL20) to bleed.

21. Impotence

This syndrome is mostly caused by early marriage and excessive sexual desire, leading to Kidney Qi deficiency, decline of Mingmen Fire, and exhaustion of Essence and Qi; or due to fear injuring the Kidney, all of which can lead to impotence. Deficiency syndromes should be tonified, while excess syndromes should be drained.

[Treatment]

Shenshu (BL23, Back-Shu Point of the Kidney) and Fuliou (KI7, Jing-River Point of the Kidney Meridian) are pricked with a three-edged needle to bleed.

Guanyuan (CV4) and Pangguangshu (BL28, Back-Shu Point of the Bladder) are treated with cupping for 15 minutes.

The lower back and groin are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Sanyinjiao (SP6) and Mingmen (GV4) are pricked with a three-edged needle to bleed.

Shenshu (BL23) and Qihai (CV6) are treated with cupping for 15 minutes.

The lower abdomen, Sanyinjiao (SP6), and Guanyuan (CV4) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

Tap the inner aspect of the groin with a plum-blossom needle to induce bleeding.

[Ancient prescription]

1. Perform bloodletting at Ran Gu (KI2, Ying-Spring Point of the Kidney Meridian).
2. Prick Dahe (KI12) to bleed, then apply cupping for 5 minutes.

22. Malaria

Malaria, commonly known as "shaking chills," occurs frequently in summer and autumn. It is caused by invasion of Wind, Cold, Summerheat, or Dampness pathogens, which lie latent between the interior and exterior. The Ying and Wei Qi contend, and the Healthy Qi fights the Pathogenic Qi, resulting in illness. If malaria persists without cure and recurs repeatedly, it consumes Qi and Blood, and Phlegm condenses under the hypochondrium, forming "Mamo" (splenomegaly).

[Treatment]

Daodao (GV11) and Yangfu (GB38, Jing-River Point of the Gallbladder Meridian) are pricked with a three-edged needle to bleed.

Dazhui (GV14) is treated with cupping for 15 minutes.

Both sides of the spine are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Houxi (SI3, Shu-Stream Point of the Small Intestine Meridian) and Dazhui (GV14) are pricked with a three-edged needle to bleed.

The back is treated with moving cupping for 20 strokes.

Quchi (LI11), Hegu (LI4), Jiashi (PC5, Jing-River Point of the Pericardium Meridian) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

Use a coarse sewing needle to prick red spots on the back to bleed.

[Ancient prescription]

1. Prick Shixuan points (tips of the ten fingers) with a three-edged needle to bleed.
2. Prick the Twelve Jing-Well points with a three-edged needle to bleed.

Section 4: Bloodletting in Gynecology

1. Menstrual Irregularities

Menstrual irregularities refer to changes in the cycle, volume, and color of menstruation, accompanied by other symptoms. This syndrome is mostly caused by anger and depression, excessive overthinking, damaging the Liver, Spleen, Chong Mai (Penetrating Vessel), and Ren Mai (Conception Vessel); or by Qi and Blood deficiency, or invasion of Cold and Heat pathogens into the Blood level. Common symptoms include early periods, late periods, or irregular timing. Deficiency syndromes primarily involve releasing Qi, while excess syndromes primarily involve draining Blood.

[Treatment]

Sanyinjiao (SP6) and Taichong (LR3) are pricked with a three-edged needle to bleed.

Tianshu (ST25) and Shenshu (BL23) are treated with cupping for 15 minutes.

Both sides of the spine are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Xingjian (LR2) and Ganshu (BL18) are pricked with a three-edged needle to bleed.

Qimen (LR14) and Dazhui (GV14) are treated with cupping for 15 minutes.

Guanyuan (CV4), Zusanli (ST36), and Jiashi (PC5) are tapped with a plum-blossom needle to induce bleeding.

[Ancient prescription]

Tap Tianshu (ST25), Shimen (CV5), and Zhaohai (KI6) with a plum-blossom needle.

2. Dysmenorrhea

Dysmenorrhea refers to abdominal pain during menstruation, with main symptoms being cramping pain before or after menstruation or during the period. It is often caused by Cold pathogen invading the uterus (Bao Gong) and stagnating the meridians during menstruation; or by emotional tension, depression, or anger causing Qi stagnation and obstructed menstrual flow; or by constitutional weakness, post-illness Qi and Blood deficiency, leading to emptiness of the Sea of Blood and lack of nourishment to the uterine vessels, causing painful flow. Deficiency syndromes are treated with herbs, while excess syndromes involve draining Qi and Blood.

[Treatment]

Taichong (LR3) and Dadun (LR1, Jing-Well Point of the Liver Meridian) are pricked with a three-edged needle to bleed.

Dazhui (GV14), Guanyuan (CV4), and Zhongji (CV3) are treated with cupping for 10 minutes.

The thoracic and lumbar back, and groin are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Xingjian (LR2) and Sanyinjiao (SP6) are pricked with a three-edged needle to bleed.

Geshu (BL17), Ganshu (BL18), and Tianshu (ST25) are treated with cupping for 10 minutes.

Qihai (CV6), Sanyinjiao (SP6), and Qimen (LR14) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

Tap Ashi points (tender points) with a plum-blossom needle to induce bleeding.

[Ancient prescription]

Prick Diji (SP8, Xi-Cleft Point of the Spleen Meridian) and Ciliang (BL32) to bleed.

[Case Study]

Patient Zhou X, Female, 34 years old, cadre at a commune in Wudang District, Guiyang City, Guizhou Province. First visit: June 12, 1981.

Chief Complaint: Irregular menstruation for over half a year; severe lower abdominal pain during menstruation for the past two months.

Symptoms: Difficult menstrual flow, irritability and anger normally, chest tightness, distending pain in the lower abdomen before menstruation, tenderness upon pressure. Dull distension in the lower back. Tongue is bluish-purple, pulse is deep and choppy.

Diagnosis: Blood stasis dysmenorrhea.

Treatment Principle: Invigorate blood and resolve stasis, move Qi and relieve pain.

Treatment Method: Bleed Taichong (LR3) and Xingjian (LR2) with a three-edged needle; blood was bright red. Tap Guanyuan (CV4) and Zhongji (CV3) with a plum-blossom needle, apply cupping for 5 minutes to bleed; blood was purplish-red. Then rub Guanyuan, Yaoshu, and Dazhui with ginger dipped in wine. Apply Dog Skin Plaster with external powder to Guanyuan and Yaoshu. Internally administer Gexia Zhuyu Decoction for 5 doses. Instruct the patient to moxa the painful area twice daily for 5 minutes each time. Symptoms disappeared during the second menstruation, and the disease was cured.

3. Metrorrhagia and Metrostaxis (Beng Lou)

Metrorrhagia and metrostaxis are characterized by abnormal uterine bleeding, heavy volume, and occurring at irregular times. Causes include unresolved emotions causing Liver Qi stagnation turning into fire over time, with pathogenic heat forcing blood to bleed recklessly; or excessive sexual activity damaging Kidney Qi, leading to insecurity of the Chong and Ren vessels; or irregular diet and overthinking damaging Spleen Qi, causing Spleen deficiency and failure to control blood. It can also be caused by blood stasis in the uterus. Deficiency syndromes require tonification, while excess syndromes require draining.

[Treatment]

Sanyinjiao (SP6) and Taichong (LR3) are pricked with a three-edged needle to bleed.

Both sides of the spine are treated with moving cupping for 10 strokes.

The groin is tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Yinbai (SP1, Jing-Well Point of the Spleen Meridian) and Zusanli (ST36) are pricked with a three-edged needle to bleed.

Dazhui (GV14) is treated with cupping for 15 minutes.

The sacral region and Sanyinjiao (SP6) are tapped with a plum-blossom needle to induce bleeding.

[Ancient prescription]

1. Prick Baihui (GV20) and Shuiquan (KI5, Xi-Cleft Point of the Kidney Meridian) with a three-edged needle to bleed.
2. Tap Xuehai (SP10) and Shuiquan (KI5) with a plum-blossom needle to induce bleeding.

4. Prolonged Labor

This syndrome is mostly caused by nervousness in first-time mothers, or premature labor leading to early rupture of membranes and excessive blood loss; or due to weak constitution and insufficient Qi and Blood. Herbal medicine can be used in combination.

[Treatment]

Zhiyin (BL67, Jing-Well Point of the Bladder Meridian) and Sanyinjiao (SP6) are pricked with a three-edged needle to bleed.

Dazhui (GV14) is treated with cupping for 15 minutes.

Both sides of the spine are tapped externally with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Taichong (LR3) and Zhiyin (BL67) are pricked with a three-edged needle to bleed.

Shenzhu (GV12) is treated with cupping for 15 minutes.

Hegu (LI4), Kunlun (BL60, Jing-River Point of the Bladder Meridian), and Zusanli (ST36) are tapped with a plum-blossom needle to induce bleeding.

[Ancient prescription]

1. Prick Duyin point (Extra point) with a three-edged needle to bleed.
2. Tap Jianjing (GB21) with a plum-blossom needle to induce bleeding.

5. Morning Sickness (E Zu)

This syndrome is mostly caused by cessation of menstruation after conception, leading to stagnant heat in the Liver meridian and rebellious Qi rising; or because the pregnant woman has internal heat, which accumulates in the Stomach after conception, causing Stomach Qi to rebel upward; or due to insufficiency of Kidney Yin and floating deficient Yang. It can also be caused by Spleen and Stomach weakness and retention of Phlegm-Dampness. Deficiency syndromes primarily involve releasing Qi, while excess syndromes primarily involve draining Blood.

[Treatment]

Sanyinjiao (SP6), Zhiyin (BL67), and Chengjiang (CV24) are pricked with a three-edged needle to bleed.

Ganshu (BL18) and Qimen (LR14) are treated with cupping for 15 minutes.

Dazhui (GV14) and Mingmen (GV4) are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Taichong (LR3) and Xingjian (LR2) are pricked with a three-edged needle to bleed.

Weishu (BL21) and Zhongwan (CV12) are treated with cupping for 15 minutes.

Zusanli (ST36) and Neiguan (PC6) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

Prick Jinjin and Yuye with a large-headed needle to bleed; mild cases once daily, severe cases twice daily.

[Ancient prescription]

Perform bloodletting at Lidui (ST45) and Gongsun (SP4, Luo-Connecting Point of the Spleen Meridian).

6. Postpartum Syncope (Blood Fainting)

This syndrome is mostly caused by excessive blood loss after childbirth; or by maternal weakness and Qi/Blood deficiency during pregnancy, combined with mental fatigue during delivery, leading to failure of Qi and Blood to ascend. Deficiency syndromes are treated with herbs and releasing Qi, while excess syndromes involve draining Blood and smoothing Qi.

[Treatment]

Renzhong (GV26) and Baihui (GV20) are pricked with a three-edged needle to bleed.

Pishu (BL20) is treated with cupping for 10 minutes.

Both sides of the spine are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Zhongchong (PC9, Jing-Well Point of the Pericardium Meridian) and Zusanli (ST36) are pricked with a three-edged needle to bleed.

Zhangmen (LR13, Front-Mu Point of the Liver) is treated with cupping for 10 minutes.

Dazhui (GV14) and Fenglong (ST40) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

Tap the area between the eyebrows with a plum-blossom needle or large-headed needle to bleed.

[Ancient prescription]

Perform bloodletting at the protruding part of the Taiyang point with a three-edged needle.

[Case Study]

Patient Jiang X, Female, 27 years old, employee at Changhang Guesthouse, Wanxian County, Sichuan Province. First visit: January 16, 1980.

Chief Complaint: Persistent headache for 8 months postpartum.

Symptoms: Weak constitution and Qi, mental fatigue during delivery, headache, dizziness, weak pulse.

Diagnosis: Postpartum syncope.

Treatment Principle: Tonify Qi and secure collapse.

Treatment Method: Lightly tap Renzhong (GV26), Baihui (GV20), Zhongchong (PC9), and Fenglong (ST40) with a plum-blossom needle, then pinch to bleed; apply cupping to Mingmen (GV4) for 10 minutes; internally administer 3 doses of Chinese herbal medicine. Basically cured after 7 days.

7. Low Lactation

Due to the mother's weak constitution or excessive blood loss during delivery leading to Qi and Blood deficiency, inability to generate milk is considered deficiency; if emotional dysfunction causes Qi mechanism obstruction and meridian stagnation leading to lack of milk flow, it is considered excess. Deficiency syndromes require tonification, while excess syndromes require draining.

[Treatment]

Shaoze (SI1, Jing-Well Point of the Small Intestine Meridian) and Zusanli (ST36) are pricked with a three-edged needle to bleed.

Qimen (LR14) and Dazhui (GV14) are treated with cupping for 15 minutes.

Both sides of the spine are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Taibai (SP3, Yuan-Source Point of the Spleen Meridian) and Taichong (LR3) are pricked with a three-edged needle to bleed.

Danzhong (CV17) and Pishu (BL20) are treated with cupping for 15 minutes.

Ren Mai (Conception Vessel) and Foot-Shaoyin Kidney Meridian are tapped along the meridian with a plum-blossom needle to induce bleeding.

[Ancient prescription]

Prick Danzhong (CV17), Shaoze (SI1), and Taichong (LR3) to induce slight bleeding.

[Folk remedy]

Tap Rugen (ST18) with a plum-blossom needle.

[Case Study]

Patient Zhong XX, Female, 29 years old, employee at Dongdajie Department Store, Yibin City, Sichuan Province. First visit: October 7, 1981.

Chief Complaint: Argued with family several times after giving birth to a girl 3 months ago; subsequently had low milk supply and gradual redness, swelling, and pain in the breasts.

Symptoms: Redness, swelling, and pain in both breasts, emotional dysfunction, Qi mechanism obstruction, meridian stagnation.

Diagnosis: Low lactation.

Treatment Principle: Unblock lactation and activate collaterals.

Treatment Method: Tap below the breasts with a plum-blossom needle to induce bleeding; apply cupping to Qimen (LR14), Dazhui (GV14), and Ganshu (BL18); combine with 3 doses of Chinese herbal medicine. After 3 treatments, milk flow normalized, and swelling/pain disappeared.

8. Zang Zao (Visceral Agitation)

Often caused by frequent mood swings and Liver Qi stagnation turning into fire over time, disturbing the Spirit; or by overthinking damaging the Spleen, failing to transform and transport, leading to Heart Blood deficiency and Heart-Spleen dual deficiency; or by internal Phlegm-Heat disturbing the Spirit. Deficiency syndromes involve moving Qi, pricking collaterals, and cupping; excess syndromes involve invigorating blood and draining blood.

[Treatment]

Dadun (LR1) and Baihui (GV20) are pricked with a three-edged needle to bleed.

Dazhui (GV14) and Shenzhu (GV12) are treated with cupping for 10 minutes.

Both sides of the spine and the hypochondrium are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Taichong (LR3), Xingjian (LR2), and Shaochong (HT9, Jing-Well Point of the Heart Meridian) are pricked with a three-edged needle to bleed.

Ganshu (BL18) and Qimen (LR14) are treated with cupping for 10 minutes.

Xinshu (BL15, Back-Shu Point of the Heart), Zusanli (ST36), and Fenglong (ST40) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]

Perform bloodletting at Shaochong (HT9).

[Ancient prescription]

Prick or tap Baihui (GV20) and Renzhong (GV26) with a three-edged needle.

[Case Study]

Patient Gong XX, Female, 42 years old, cadre at Wuhan Iron and Steel Plant, Hubei Province. First visit: May 25, 1990.

Companion reports: Prone to temper tantrums and poor sleep for over 4 years.

Symptoms: Uncontrollable crying and laughing, mental depression, irritability, hypochondriac pain and abdominal distension, bitter taste in mouth, dry stool, yellow urine, red tongue, wiry and rapid pulse.

Diagnosis: Zang Zao.

Treatment Principle: Soothe the Liver and relieve depression, nourish Blood and calm the Spirit.

Treatment Method: Prick Taichong (LR3) and Baihui (GV20) with a three-edged needle, pinch these points with two fingers to bleed; tap Ganshu (BL18), Qimen (LR14), and Dazhui (GV14) with a plum-blossom needle, add cupping for 10 minutes to bleed; blood was bright red. Additionally prescribe Chinese herbs: Licorice Root 15g, Herba Siegesbeckiae 3g; Jujube 30g, Hualianyun Medicine 30g, Acorus Tatarinowii Rhizome 15g, Shizaozi 30g, Floating Wheat 30g.

After 3 bloodletting sessions and taking over 20 doses of herbs, the patient recovered after 1 month.

Section 4: Bloodletting in Pediatrics

1. Pediatric Fever

This syndrome is mostly caused by children contracting Wind-Cold, pathogenic factors binding the exterior, and Lung losing its dispersing and descending function; or by irregular diet, overeating, food retention internally transforming into heat. Deficiency syndromes require tonification, while excess syndromes require draining.

[Treatment]

Shangyang (LI1, Jing-Well Point of the Large Intestine Meridian) and Guanzhong (TE6, Jing-Well Point of the Sanjiao Meridian) are pricked with a three-edged needle to bleed.

Dazhui (GV14) is treated with cupping for 5 minutes.

Hand-Taiyin Lung Meridian is tapped along the meridian with a plum-blossom needle.

[Supplementary prescription]

Taibai (SP3) and Lidui (ST45) are pricked with a three-edged needle to bleed.

Zhongwan (CV12) and Feishu (BL13, Back-Shu Point of the Lung) are treated with cupping for 5 minutes.

Ren Mai (Conception Vessel) and Foot-Yangming Stomach Meridian are tapped along the meridian with a plum-blossom needle.

[Folk remedy]

Prick Sifeng points (Extra points on the palmar aspect of the 2nd-5th fingers at the proximal interphalangeal joint creases) with a three-edged needle or large-headed needle to bleed (prick the veins at the Sifeng points).

[Ancient prescription]

1. Prick the Ten Well Points of the Hand (Shaoshang, Shangyang, Zhongchong, Guanzhong, Shaoze bilaterally) with a three-edged needle to bleed.
2. Plum-blossom needle can lightly tap Neiguan (PC6) and Zusanli (ST36) to induce bleeding for pediatric fever with loss of appetite.
3. For pediatric fever with constipation, prick Renzhong (GV26) and Zhaohai (KI6) with a three-edged needle to bleed.

[Case Study]

Patient Liu, Female, 5 years old, lives at East Street, Bazhou Town, Bazhong County, Sichuan Province. First visit: August 4, 1981.

Parents report: High fever has persisted for several days without subsiding, and appetite is poor.

Symptoms: Fever and aversion to cold, no sweat, nasal congestion, cough with runny nose, headache, white coating, floating pulse.

Diagnosis: Pediatric fever.

Treatment Principle: Release the exterior and clear heat.

Treatment Method: Prick Shaoshang, Shangyang, Zhongchong, Guanzhong, Shaoze, and Sifeng points respectively with a three-edged needle, using quick pricks to induce bleeding. Fever subsided after two treatments.

2. Acute Convulsive Disorder (Ji Jing Feng)

Children have delicate Yang constitutions and are easily affected by external pathogens. Often, external Wind-Cold pathogens enter the interior, transform into heat, and generate wind; or it is caused by Phlegm-Heat or fright. Symptoms include limb convulsions, lockjaw, and opisthotonos. Due to the rapid onset and acute severity, it is called Acute Convulsive Disorder, mostly seen in children under 3 years old.

[Treatment]

Shixuan and Renzhong (GV26) are pricked with a three-edged needle to bleed.

Dazhui (GV14) is treated with cupping for 10 minutes.

Antecubital fossa and popliteal fossa are tapped with a plum-blossom needle to induce bleeding.

[Supplementary prescription]

Baihui (GV20) and Yintang (Extra point) are pricked with a three-edged needle to bleed.

Danzhong (CV17) is treated with cupping for 10 minutes.

Dazhui (GV14) and Hegu (LI4) are tapped with a plum-blossom needle to induce bleeding.

[Folk remedy]