在耳后紫络上放血治疗喉蛾证，屡试屡验。耳后紫络，在耳廓背面上缘（即耳后的浅显静脉）。当咽喉红肿时，此络脉比较明显。操作时先用碘酒与酒精消毒，然后以锋针点刺，使其出血数滴即可，患左取左，患右取右（《针灸处方集》）。
用皮肤针轻叩头部痛处有止痛效果。较重者可选风池、太阳、阳白叩刺至少量出血后加拔火罐。
可在患侧地仓、禾髎、挟承浆、颊车、下关、阳白，四白、太阳、翳风等穴，用皮肤针刺使少量出血，用小口径火罐吸拔5一10分钟，隔天1次。此法在炎症期或后遗面部牵板有倒错现象时，效果较好（《针灸治疗手册》）。
前项寸五三阳前，甄权曾云一寸言，棱针出血头风愈，盐油楷根病自痊（《针灸大成·行计总要歌》）。
疗头风热痛，头肿大肿极，即以三棱针刺之绕寸已下，其头痛肿立瘥。穴前顶（《普济方·针灸》）。
治目梳梳，视物不明，眼中赤痛，及睑瞤动，又云，三度以细棱针刺之，目大明。穴攒竹（《普济方·针灸》）。
1957年，福建省厦门海堤工地的医务人员，用针刺耳背出血方法，医治麦粒肿、某些角膜炎等眼科疾患，也获得满意的效果（《针灸史漫话》）。
治舌卒肿，刺舌下两边，大脉血出，勿使刺着舌下中央，脉血出不止杀人，如上治不愈，或血出数升，则烧铁篱令赤，熨疮数过，以绝血也（《普济方·针灸》）。
治喉痹，如病甚，以小三棱针，藏于笔头中，狂以点药于喉中痹上，急刺之，则有紫血顿出，效。如不藏针，恐患人难以刺之（《普济方·针灸》）。
十宣十穴，在手10指头上，去爪甲一分，每一指各一穴，两手指共十穴，故名十宣。治乳蛾，用三棱针出血，大效（《针灸大成））》。
拿穴是以指重压心、肺、肾俞等穴后叩击命门，然后在背部沿膀胱经拔罐，自上而下每侧拔火罐四个，留罐半小时，再后捏拿安宁穴（颈两侧1/3，颈动脉搏动的后方l厘米处），并用大黄与精神安适药，有效率为91．68%（《交流资料》）。
目痛：刺以三棱针出血，以左手爪甲迎其针锋立愈（《普济方·针灸》）。
治颔肿如升，喉中闭塞，水粒不下，穴橘以三棱针，刺微出血，泄诸阳藏热，次针阳谷二穴而愈（《普济方·针灸》）。
治男子妇人，喉闭肿痛不能言者，刺少商穴出血立愈，如不愈，以温白汤，口中含漱，是以热导热也（《普济方.针灸》）。
治喉痹脅中暴逆（资生经）。先取冲脉，后取三里、云门，各泻之，又刺手小指端出血，立已（《普济方·针灸》）。
治急喉闭缠喉风，灸三里穴二七壮，有人嘗苦喉痹，虽水亦不能下咽，灸三里而愈，又随肿一边，于大指外边指甲下与根齐，针之，不问男女左右，只用人家常使针，血出即效。如大段危急，两大指都针尤妙（《普济方.针灸》）。
治口缓治牙关不开，则阳灵穴，应针各刺一刺出血（《普济方·针灸》）
癞：感天地间杀万之气，声哑者难治，针委中出血二三合，黑紫疙瘩处去恶血（《针灸聚英》）。
水气罐疗法取穴背部自风门至肝俞，每隔两横指拔一罐；内关、足三里、三阴交及其上下每隔两横指各拔一罐；外关、合谷、涌泉、太阳各拔一罐《实用针灸学》）。
用梅花针治疗青少年近视眼，叩打后颈部和眼区部位，风池、大椎、内关，一般每次叩打20一30次，用中等强度，隔日1次，15次为1疗程。在711例的1383只眼中，叩打颈部及眼区821只眼，近期治愈93只眼，显效352只眼，进步304只眼，无效者72只眼，近期有效率91.3%；叩打正光穴的562只眼，近期有效率为97.3%，略高于前者。通过半月至3年的随访得知，688例1319只眼中，停针后视力继续提高及保持原疗效者805只眼，占61%；视力减退，但仍高于治疗前水平的为423只眼，占32.l%；退至以前水平59只眼，占4.5%；较前更差者32只眼，占2.4%（《针灸研究进展》）。
急性结膜炎是一种急性眼病，中医称此病为暴风客热，俗称红眼，以疏泻风热为主，故多用速刺放血的方法，针刺治疗结膜炎获效较快。针新明1（在翳风穴前上5分）治疗结膜炎24例，用诱导手法，以捻转提插找到酸胀感觉后，不留针。结果治愈20例，显效2例，进步2例；用耳垂放血治疗17例，15例1次治愈，2例两次治愈（《针灸研究进展》）。
针刺太阳治疗35例，取患侧穴，用泻法，得气后留针15分钟，出针后挤出血少许，经1次治愈31例。2次治愈2例，两例化脓疗效不佳，经切口排脓而愈（《湖南医药》）。
让病人取坐位将患肢上举，用力向背后沿脊柱旁开1．5厘米处，以患者中指能摸到处为挑刺点；常规消毒后，术者左手握其皮肤，右手用三针棱挑刺出血，两手指一挤，用消毒干棉球拭净血液，贴上胶布，23例中，21例1次治愈（《烟台医药通讯》）。
在患者背部皮肤找豆疹状小红点为针刺点，左眼挑右背，右眼挑左背，用粗针直刺入l一2分深，强刺激不留针，逐刺完毕，起针后以出血为好；如无血，可用手挤压出血，然后用消毒棉球拭去血液，每天1次；43例中，治愈36例，好转5例，无效2例《医药卫生》。
急性扁桃体炎属实热症，针刺多采用泻法，取穴以合谷、颊车、少商为主，其他有取天柱、鱼际、郄上、东风（又称扁桃体穴，在下颌角下方）、平桃（廉泉上5分，旁开1寸）、喉开（角孙、颅息、联线后1／3）等。耳针取耳轮三穴、咽喉区，或耳背静脉点刺，或扁桃体反应区加喉反应区。有发热者加耳尖（耳轮最高点）放血或刺少商，一般用三棱针或粗针点刺出血，以泻实热。大多数病例经针治1一2次即愈。有报告治疗507例，486例痊愈，15例好转，6例无效。另有报告342例，针治1－3次，90%基本痊愈，针114例，治愈率98．2%。耳针治疗，耳背静脉点刺，都在2天左右取得满意疗效。针刺治疗多能立即止痛，针后体温及白细胞均降至正常，亦有先升后降者（《针灸研究进展》）。
梅花针治疗神经衰弱与癔症的效果均较好，因症而选用传统的治疗穴位；对神经衰弱用中度或轻度刺激，对癔症用较重刺激，放血则用中等刺激（《上海市精神病学文摘》）。
刺血疗法与激光疗法，用以治疗精神分裂症，也有报道。刺血疗法所用穴位以太阳与曲池为主，配以委中与丰隆等穴，刺破浅表静脉血管放血少许，对精神分裂症的实证与热症的有效率达70%（《针灸研究进展》）。
治法：前额头痛刺太阳（双）、印堂；偏头痛刺太阳（双）；头顶及后头痛刺大椎或百会。于所取穴周围显露
色），血止后拨火罐约5一10分钟，用2%碘酒棉球擦针孔；百会穴只放血不拔罐；7－10天治疗1次，3次为l疗程，每次出血总量3～50毫升。结果：治愈30例，显效14例，无效6例，总有效率88%。初次治疗无效及出血呈淡红或鲜红色，一般不再采用本法治疗（《陕西中医》）。
三棱针疗法，处方分三组。一组：在耳下腮腺红肿处，上、中、下直线上，常规消毒，用三棱针点刺挤出血，拔火罐10～20分钟，起罐后贴拔毒膏一张。二组：在耳轮上、中、下三点，用三棱针点刺放血一次。三组：耳背第二条血管放血。
三棱针疗法：取穴：颈肿块局部。治疗时患者端坐稍仰头，用左手固定肿物，右手持三棱针（直径0．9～2毫米，长10～20厘米，根据肿物大小选用）向肿块腺体横刺，快速进针，以恰到对侧壁为宜，进针后不捻针、不提插，迅速退针至皮下，再向上下左右刺四针，深度均恰到对侧壁（即五针呈锥体形），每次拔针切忌偏斜，迅速出针后用消毒棉球压迫针孔3一5分钟，以防出血。每日针刺一次，7～10次为一疗程，疗程间隔休息3一7日（此法也适应于单纯性甲状腺肿）。
截根疗法：取穴；肺俞、心俞。穴位消毒后局麻，用小刀片切开穴位表皮，刀口长1厘米，并用三棱针挑断皮下纤维组织，深度0．3一0．5厘米即可，挑了3一4次后，外涂以碘酒，敷盖无菌纱布，胶布固定；每次治疗时取一穴，各穴交替运用，每7－10日截根一次。
皮肤针疗法取穴一组：颈后，脊椎两侧、耳颞前、颌下，眼或口周围；二组：痛点、耳前、耳下、太阳、鼻区、两手掌、十指端。
三棱针疗法取穴：患侧口腔粘膜（适宜初病者），三棱针放血或用刀片割治，使之出血。
皮肤针疗法取穴一组：脊椎两侧（以颈椎、胸椎l一5为主）、耳前、颞部、眶上、眶下、颌下；二组：后颈部、耳
前、颌下、颞部、眶上孔、眶下孔，配合谷。
选1－2个穴，用小号火罐，以投火或闪火法拔罐10分钟左右，或在穴位用皮肤针刺络后再拨罐，3日治疗一次，宜配合其他疗法，此法在炎症期或后遗面部有倒错现象时，效果明显。
闭证，宜宣闭开窍，降炎化痰，祛风行气；取十二井穴、督脉、足厥阳经穴为主，用三棱针刺出血，强刺激；井穴放血。
皮肤针疗法取穴：语言謇涩，哑门、风门、通里，翳风、廉泉、夹脊（胸5一6、胸8～骶5）等；偏瘫，夹脊（胸5一腰5－骶5）、手阳明、足阳明、少阳、太阳经循行路线。
拔罐疗法取穴：印堂、太阳、曲池，实证患者宜拨罐治疗，瘀血者刺络拔罐。
皮肤针疗法：取穴：大抒、大椎、肩井、肩外俞、风门、风池、颈l一4夹脊；自上而下，自内向外，沿穴位间连线叩刺，以红晕不出血为宜，1日治疗2次。
拔罐疗法：取穴：阿是穴（痛点）。先用皮肤针在痛点叩打，稍见出血点，拔火罐，出瘀血即可。
挑治疗法：若右眼患病，让患者左手伸掌从右肩上过，手紧贴于肩胛区，中指尖下三横指范围内，可找到1～3个红色疹点，挑破即可（左眼相反）。同时取洗碗叶（南方草药）和葱各等量，混合捣烂，包患眼同侧拇趾和对侧手拇指。两眼病，两肩红疹均挑治，两手亦同时包药。
皮肤针疗法：取穴：脊椎两侧、颈后、侧颈部、前颈及喉部、虎口、颌下三角区，配合三棱针疗法效果更明显。
第二节身躯部疾病的刺血验方
东垣日：脾胃虚弱，感湿成痿，汗大泄，妨食，三里，气街以三棱针出血。又曰：吐血多不愈，以三棱针于气街出血，立愈（《针灸聚英》）。
马蜞斑穴，红点在乳下二横指，针挑出血，治发班结核（《福州民间针灸经验录》）。
阳斑穴红点，在第五骨衕，用针挑出血，治背面发斑结核（《福州民间针灸经验录》）。
七步斑穴，在17椎骨衕有红点，用针挑出血，治结核发斑。芑州按：民间对于结核发斑，即疫病毒血凝结于胸背间，发为一粒粒红点，挑刺出血，可以活血败毒，颇有效验（《福州民间针灸经验录》）。
疟脉满大急，刺背俞，用五胠俞背俞各一，适行至于血止（《内经·刺疟篇》）。
1、以患侧乳腺的背部对应点为针刺点。
2、操作：先用碘酒、酒精棉球消毒，用三棱针或粗针头在对应点刺三下（刺到皮下），然后拔火罐，拔出少许血，约过15分钟取下火罐，再用酒精棉球盖针眼，用胶布固定1～2天即可（《卫生与健康报》）。
在耳后紫络上放血治疗喉蛾证，屡试屡验。耳后紫络，位于耳廓背面的上缘（即耳后的浅表静脉）。当咽喉出现红肿时，这条络脉比较明显。操作时先用碘酒和酒精消毒，然后用锋针点刺，使其出血几滴即可，左侧患病取左侧，右侧患病取右侧（《针灸处方集》）。
用皮肤针轻叩头部疼痛部位有止痛效果。病情较重者可选风池、太阳、阳白穴进行叩刺，至少量出血后加拔火罐。
可在患侧的地仓、禾髎、挟承浆、颊车、下关、阳白、四白、太阳、翳风等穴位，使用皮肤针刺使少量出血，用小口径火罐吸拔5至10分钟，隔天1次。此法在炎症期或后遗症出现面部肌肉牵拉倒错现象时，效果较好（《针灸治疗手册》）。
前项寸五三阳前，甄权曾云一寸言，棱针出血头风愈，盐油楷根病自痊（《针灸大成·行计总要歌》）。
治疗头风热痛，头部肿大极甚，即用三棱针刺之，环绕寸部以下，其头痛肿胀立即痊愈。穴位在前顶（《普济方·针灸》）。
治疗视物模糊不清，视力不明，眼中赤痛，以及眼睑跳动，又说，用细三棱针针刺三次，眼睛能重见光明。穴位在攒竹（《普济方·针灸》）。
1957年，福建省厦门海堤工地的医务人员，用针刺耳背出血的方法，医治麦粒肿、某些角膜炎等眼科疾病，也获得了满意的效果（《针灸史漫话》）。
治疗舌体突然肿胀，刺舌下两边的大脉，让血流出，不要刺到舌下中央，如果脉血不止会致死，如果上述方法无效，或者出血数升，则烧红铁篱笆，熨烫疮口数次，以止血（《普济方·针灸》）。
治疗喉痹，用贬针刺肿处，出血后立即见效（《普济方·针灸》）。
治疗喉痹，如果病情严重，用小三棱针，藏在笔头中，蘸药点在喉中痹塞处，急刺之，则有紫血顿时流出，有效。如果不藏针，恐怕患者难以配合针刺（《普济方·针灸》）。
十宣十穴，在手10个指头上，距离指甲一分处，每一指各一穴，两手指共十穴，故名十宣。治疗乳蛾，用三棱针出血，大效（《针灸大成》）。
拿穴是以指重压心俞、肺俞、肾俞等穴后叩击命门，然后在背部沿膀胱经拔罐，自上而下每侧拔火罐四个，留罐半小时，再后捏拿安宁穴（颈两侧1/3，颈动脉搏动后方1厘米处），并用大黄与精神安适药，有效率为91.68%（《交流资料》）。
目痛：刺以三棱针出血，以左手爪甲迎其针锋立愈（《普济方·针灸》）。
治疗下巴肿胀如升，喉中闭塞，水米不下，取橘穴以三棱针，刺微出血，泄诸阳经藏热，其次针刺阳谷二穴而愈（《普济方·针灸》）。
治疗男子妇人，喉闭肿痛不能说话者，刺少商穴出血立即痊愈，如不愈，用温白汤，口中含漱，是以热导热也（《普济方·针灸》）。
治疗喉痹胁中暴逆（资生经）。先取冲脉，后取足三里、云门，各泻之，又刺手小指端出血，立即痊愈（《普济方·针灸》）。
治疗急喉闭缠喉风，灸足三里穴二七壮（28壮），有人曾苦于喉痹，虽水亦不能下咽，灸足三里而愈，又随肿一边，于大拇指外边指甲下与根齐处，针之，不问男女左右，只用人家常使针，血出即效。如大段危急，两大指都针尤妙（《普济方·针灸》）。
治疗口缓治牙关不开，则阳灵穴，应针各刺一刺出血（《普济方·针灸》）
癞：感天地间杀万之气，声哑者难治，针委中出血二三合，黑紫疙瘩处去恶血（《针灸聚英》）。
水气罐疗法取穴背部自风门至肝俞，每隔两横指拔一罐；内关、足三里、三阴交及其上下每隔两横指各拔一罐；外关、合谷、涌泉、太阳各拔一罐（《实用针灸学》）。
用梅花针治疗青少年近视眼，叩打后颈部和眼区部位，风池、大椎、内关，一般每次叩打20至30次，用中等强度，隔日1次，15次为1疗程。在711例的1383只眼中，叩打颈部及眼区821只眼，近期治愈93只眼，显效352只眼，进步304只眼，无效者72只眼，近期有效率91.3%；叩打正光穴的562只眼，近期有效率为97.3%，略高于前者。通过半月至3年的随访得知，688例1319只眼中，停针后视力继续提高及保持原疗效者805只眼，占61%；视力减退，但仍高于治疗前水平的为423只眼，占32.1%；退至以前水平59只眼，占4.5%；较前更差者32只眼，占2.4%（《针灸研究进展》）。
急性结膜炎是一种急性眼病，中医称此病为暴风客热，俗称红眼，以疏泻风热为主，故多用速刺放血的方法，针刺治疗结膜炎获效较快。针新明1（在翳风穴前上5分）治疗结膜炎24例，用诱导手法，以捻转提插找到酸胀感觉后，不留针。结果治愈20例，显效2例，进步2例；用耳垂放血治疗17例，15例1次治愈，2例两次治愈（《针灸研究进展》）。
针刺太阳治疗35例，取患侧穴，用泻法，得气后留针15分钟，出针后挤出血少许，经1次治愈31例。2次治愈2例，两例化脓疗效不佳，经切口排脓而愈（《湖南医药》）。
让病人取坐位将患肢上举，用力向背后沿脊柱旁开1.5厘米处，以患者中指能摸到处为挑刺点；常规消毒后，术者左手握其皮肤，右手用三棱针挑刺出血，两手指一挤，用消毒干棉球拭净血液，贴上胶布，23例中，21例1次治愈（《烟台医药通讯》）。
在患者背部皮肤找豆疹状小红点为针刺点，左眼挑右背，右眼挑左背，用粗针直刺入1至2分深，强刺激不留针，逐刺完毕，起针后以出血为好；如无血，可用手挤压出血，然后用消毒棉球拭去血液，每天1次；43例中，治愈36例，好转5例，无效2例（《医药卫生》）。
急性扁桃体炎属实热症，针刺多采用泻法，取穴以合谷、颊车、少商为主，其他有取天柱、鱼际、郄上、东风（又称扁桃体穴，在下颌角下方）、平桃（廉泉上5分，旁开1寸）、喉开（角孙、颅息连线后1/3）等。耳针取耳轮三穴、咽喉区，或耳背静脉点刺，或扁桃体反应区加喉反应区。有发热者加耳尖（耳轮最高点）放血或刺少商，一般用三棱针或粗针点刺出血，以泻实热。大多数病例经针治1至2次即愈。有报告治疗507例，486例痊愈，15例好转，6例无效。另有报告342例，针治1至3次，90%基本痊愈，针114例，治愈率98.2%。耳针治疗，耳背静脉点刺，都在2天左右取得满意疗效。针刺治疗多能立即止痛，针后体温及白细胞均降至正常，亦有先升后降者（《针灸研究进展》）。
梅花针治疗神经衰弱与癔症的效果均较好，因症而选用传统的治疗穴位；对神经衰弱用中度或轻度刺激，对癔症用较重刺激，放血则用中等刺激（《上海市精神病学文摘》）。
刺血疗法与激光疗法，用以治疗精神分裂症，也有报道。刺血疗法所用穴位以太阳与曲池为主，配以委中与丰隆等穴，刺破浅表静脉血管放血少许，对精神分裂症的实证与热症的有效率达70%（《针灸研究进展》）。
治法：前额头痛刺太阳（双）、印堂；偏头痛刺太阳（双）；头顶及后头痛刺大椎或百会。于所取穴周围显露静脉的部位常规消毒，用小号三棱针刺入血管放血（呈暗紫色），血止后拨火罐约5至10分钟，用2%碘酒棉球擦针孔；百会穴只放血不拔罐；7至10天治疗1次，3次为1疗程，每次出血总量3至50毫升。结果：治愈30例，显效14例，无效6例，总有效率88%。初次治疗无效及出血呈淡红或鲜红色，一般不再采用本法治疗（《陕西中医》）。
三棱针疗法，处方分三组。一组：在耳下腮腺红肿处，上、中、下直线上，常规消毒，用三棱针点刺挤出血，拔火罐10至20分钟，起罐后贴拔毒膏一张。二组：在耳轮上、中、下三点，用三棱针点刺放血一次。三组：耳背第二条血管放血。
三棱针疗法：取穴：颈肿块局部。治疗时患者端坐稍仰头，用左手固定肿物，右手持三棱针（直径0.9至2毫米，长10至20厘米，根据肿物大小选用）向肿块腺体横刺，快速进针，以恰到对侧壁为宜，进针后不捻针、不提插，迅速退针至皮下，再向上下左右刺四针，深度均恰到对侧壁（即五针呈锥体形），每次拔针切忌偏斜，迅速出针后用消毒棉球压迫针孔3至5分钟，以防出血。每日针刺一次，7至10次为一疗程，疗程间隔休息3至7日（此法也适应于单纯性甲状腺肿）。
截根疗法：取穴：肺俞、心俞。穴位消毒后局麻，用小刀片切开穴位表皮，刀口长1厘米，并用三棱针挑断皮下纤维组织，深度0.3至0.5厘米即可，挑了3至4次后，外涂以碘酒，敷盖无菌纱布，胶布固定；每次治疗时取一穴，各穴交替运用，每7至10日截根一次。
皮肤针疗法取穴一组：颈后，脊椎两侧、耳颞前、颌下，眼或口周围；二组：痛点、耳前、耳下、太阳、鼻区、两手掌、十指端。
三棱针疗法取穴：患侧口腔粘膜（适宜初病者），三棱针放血或用刀片割治，使之出血。
皮肤针疗法取穴一组：脊椎两侧（以颈椎、胸椎1至5为主）、耳前、颞部、眶上、眶下、颌下；二组：后颈部、耳前、颌下、颞部、眶上孔、眶下孔，配合谷。
拔罐疗法取穴：下关、牵正、太阳、阳白，均患侧。每次选1至2个穴，用小号火罐，以投火或闪火法拔罐10分钟左右，或在穴位用皮肤针刺络后再拨罐，3日治疗一次，宜配合其他疗法，此法在炎症期或后遗面部有倒错现象时，效果明显。
闭证，宜宣闭开窍，降炎化痰，祛风行气；取十二井穴、督脉、足厥阳经穴为主，用三棱针刺出血，强刺激；井穴放血。
皮肤针疗法取穴：语言謇涩，哑门、风门、通里，翳风、廉泉、夹脊（胸5至6、胸8至骶5）等；偏瘫，夹脊（胸5至腰5至骶5）、手阳明、足阳明、少阳、太阳经循行路线。
拔罐疗法取穴：印堂、太阳、曲池，实证患者宜拨罐治疗，瘀血者刺络拔罐。
皮肤针疗法：取穴：大抒、大椎、肩井、肩外俞、风门、风池、颈1至4夹脊；自上而下，自内向外，沿穴位间连线叩刺，以红晕不出血为宜，1日治疗2次。
拔罐疗法：取穴：阿是穴（痛点）。先用皮肤针在痛点叩打，稍见出血点，拔火罐，出瘀血即可。
挑治疗法：若右眼患病，让患者左手伸掌从右肩上过，手紧贴于肩胛区，中指尖下三横指范围内，可找到1至3个红色疹点，挑破即可（左眼相反）。同时取洗碗叶（南方草药）和葱各等量，混合捣烂，包患眼同侧拇趾和对侧手拇指。两眼病，两肩红疹均挑治，两手亦同时包药。
皮肤针疗法：取穴：脊椎两侧、颈后、侧颈部、前颈及喉部、虎口、颌下三角区，配合三棱针疗法效果更明显。
皮肤针疗法：取穴：颈椎两侧、耳前、大小鱼际，虎口、牙痛阿是穴。
第二节身躯部疾病的刺血验方
东垣曰：脾胃虚弱，感湿成痿，汗大泄，妨食，三里，气街以三棱针出血。又曰：吐血多不愈，以三棱针于气街出血，立愈（《针灸聚英》）。
马蜞斑穴，红点在乳下二横指，针挑出血，治发班结核（《福州民间针灸经验录》）。
阳斑穴红点，在第五骨衕，用针挑出血，治背面发斑结核（《福州民间针灸经验录》）。
七步斑穴，在17椎骨衕有红点，用针挑出血，治结核发斑。芑州按：民间对于结核发斑，即疫病毒血凝结于胸背间，发为一粒粒红点，挑刺出血，可以活血败毒，颇有效验（《福州民间针灸经验录》）。
疟脉满大急，刺背俞，用五胠俞背俞各一，适行至于血止（《内经·刺疟篇》）。
1、以患侧乳腺的背部对应点为针刺点。
2、操作：先用碘酒、酒精棉球消毒，用三棱针或粗针头在对应点刺三下（刺到皮下），然后拔火罐，拔出少许血，约过15分钟取下火罐，再用酒精棉球盖针眼，用胶布固定1至2天即可（《卫生与健康报》）。
Bloodletting on the purple collaterals behind the ear for treating throat polyps (tonsillitis) has proven effective in repeated trials. The purple collaterals behind the ear are located on the upper edge of the back surface of the auricle (i.e., superficial veins behind the ear). When the throat is red and swollen, these collaterals become more prominent. During operation, disinfect first with iodine tincture and alcohol, then puncture with a three-edged needle (Sanzhen, 三棱针), allowing a few drops of blood to flow out. Treat the left side if the disease is on the left, and the right side if on the right (*Zhenjiu Chufang Ji*).
Headache
Lightly tapping painful areas of the head with a plum-blossom needle (Meihua Zhen, 梅花针) has an analgesic effect. For more severe cases, select Fengchi (GB20, Wind Pool), Taiyang (EX-HN5, Temporalis), and Yangbai (GB14, Above Pupil) for tapping until slight bleeding occurs, followed by cupping.
Facial Nerve Paralysis
On the affected side, use a plum-blossom needle to puncture acupoints such as Dicang (ST4, Corner of Mouth), Heliao (SI18, Before Earlobe), Jia Chengjiang (EX-UE10, Flanking Chin), Jiache (ST6, Jawbone), Xiaguan (ST7, Below Joint), Yangbai (GB14, Above Pupil), Sibai (ST2, Below Pupil), Taiyang (EX-HN5, Temporalis), and Yifeng (TE17, Behind Earlobe) to induce slight bleeding. Apply small-sized cups for suction for 5 to 10 minutes, once every other day. This method yields good results during the inflammatory phase or when sequelae involve facial muscle traction and inversion phenomena (*Zhenjiu Zhiliao Shouce*).
"Before the anterior aspect of the neck at one cun five san yang qian, Zhen Quan once said: 'One cun,' [with] three-edged needle bleeding, head wind resolves; salt oil rubs the root, illness naturally heals" (*Zhenjiu Dacheng · Xingji Zongyao Ge*).
To treat head wind heat pain and extreme swelling of the head, puncture with a three-edged needle around below the one-cun mark; the headache and swelling will immediately subside. Acupoint: Qian Ding (GV20, Front Vertex) (*Puji Fang · Zhenjiu*).
To treat blurred vision, unclear sight, red and painful eyes, and eyelid twitching, it is also said that puncturing three times with a fine three-edged needle restores clear vision. Acupoint: Cuanzhu (BL2, Groove at Inner End of Eyebrow) (*Puji Fang · Zhenjiu*).
In 1957, medical staff at the Xiamen Sea Dyke construction site in Fujian Province used the method of needle-pricking the back of the ear to bleed for treating hordeolum (stye), certain keratitis, and other ophthalmic diseases, achieving satisfactory results (*Zhenjiu Shi Manhua*).
To treat sudden tongue swelling, prick the large vessels on both sides under the tongue to let blood out. Do not prick the center under the tongue; if vessel blood flows incessantly, it can be fatal. If the above treatment fails, or if several sheng (a unit of volume) of blood are lost, heat an iron fence until red-hot and apply it to the wound several times to stop the bleeding (*Puji Fang · Zhenjiu*).
To treat throat obstruction (Hou Bi, 喉痹), prick the swollen area with a Bian needle (Bian Zhen, 砭针), and relief comes immediately upon bleeding (*Puji Fang · Zhenjiu*).
To treat throat obstruction, if the condition is severe, hide a small three-edged needle inside the tip of a pen, dip medicine on the throat obstruction, and urgently prick it. Purple blood will suddenly emerge, which is effective. If the needle is not hidden, it may be difficult for the patient to cooperate with the pricking (*Puji Fang · Zhenjiu*).
The Ten Xuanshi (Shixuan, 十宣) ten acupoints are located on the tips of the ten fingers, one fen away from the nail beds. Each finger has one point, totaling ten points on both hands, hence the name Ten Xuanshi. To treat tonsillitis, bleeding via a three-edged needle is highly effective (*Zhenjiu Dacheng*).
Clinical Observation of 50 Cases of Mental Illness Treated with Na-Acupoint Cupping Therapy
Na-acupoint therapy involves pressing heavily on acupoints such as Xinshu (BL15, Heart Shu), Feishu (BL13, Lung Shu), and Shen shu (BL23, Kidney Shu) with fingers, then striking Mingmen (GV4, Gate of Life). Then, apply cups along the Bladder Meridian on the back, four cups on each side from top to bottom, retaining for half an hour. Afterwards, knead the Anning acupoint (located 1 cm posterior to the pulsation of the carotid artery at the middle third of the neck), and administer Rhubarb (Dahuang, 大黄) and mental tranquility herbs. The effective rate was 91.68% (*Jiaoliu Ziliao*).
Eye Pain: Bleed using a three-edged needle; immediate cure is achieved by meeting the needle tip with the fingernail of the left hand (*Puji Fang · Zhenjiu*).
To treat chin swelling like a jug, throat blockage, inability to swallow water or grain, take the Ju acupoint, prick with a three-edged needle to cause slight bleeding, venting heat from all Yang organ stores. Subsequently, needle Yanggu (SI2, Yang Valley) twice for recovery (*Puji Fang · Zhenjiu*).
For men and women suffering from throat closure with swelling and pain unable to speak, bleed Shaoshang (LU11, Lesser Shang) acupoint for immediate cure. If ineffective, gargle with Warm White Decoction (Wen Bai Tang, 温白汤); this uses heat to conduct heat away (*Puji Fang · Zhenjiu*).
To treat throat obstruction with sudden rebellion in the hypochondrium (*Zisheng Jing*), first select the Chong Mai (Penetrating Vessel), then Sanli (ST36, Three Li) and Yunmen (LU2, Cloud Gate), reducing both. Also prick the tip of the little finger to bleed for immediate resolution (*Puji Fang · Zhenjiu*).
To treat acute throat closure and winding wind, moxa Sanli (ST36, Three Li) for 27 moxa cones. Someone who suffered from throat obstruction, unable to swallow even water, was cured by moxa Sanli. Also, on the side of the swelling, prick between the outer edge of the big toe nail and its root. Regardless of gender or side, use common household needles; bleeding brings efficacy. In critical cases, pricking both big toes is especially excellent (*Puji Fang · Zhenjiu*).
To treat cough and asthma, select Quze (PC3, Marsh Valley); bleeding leads to immediate resolution (*Puji Fang · Zhenjiu*).
To treat facial swelling and eye carbuncles, prick Xangu (likely referring to a specific point or typo for Xuehai/other, context implies orbital bone area) to bleed for immediate resolution (*Puji Fang · Zhenjiu*).
To treat mouth flaccidity and locked jaw, needle Yangling acupoint, pricking once to bleed (*Puji Fang · Zhenjiu*).
Leprosy: Infected by the killing qi of heaven and earth, those with hoarse voices are difficult to treat. Needle Weizhong (BL40, Center of Popliteal Fossa) to bleed 2-3 he (a unit of volume); remove evil blood from black-purple nodules (*Zhenjiu Juying*).
Neurasthenia
Cutting Therapy selects Hand Palm Cutting Area 2 and Hand Palm Cutting Area 5.
Water-Qi Cupping Therapy selects points from Fengmen (BL12, Wind Gate) to Ganshu (BL18, Liver Shu) on the back, applying one cup every two finger-widths; Neiguan (PC6, Inner Pass), Zusanli (ST36, Three Mile), Sanyinjiao (SP6, Three Yin Intersection) and their upper/lower areas, one cup every two finger-widths; Waiguan (TE5, Outer Pass), Hegu (LI4, Joining Stream), Yongquan (KI1, Gushing Spring), and Taiyang (EX-HN5, Temporalis) each receive one cup (*Shiyong Zhenjiu Xue*).
Using a Plum-Blossom Needle to treat juvenile myopia, tap the posterior neck and eye area acupoints Fengchi (GB20, Wind Pool), Dazhui (GV11, Great Vertebra), and Neiguan (PC6, Inner Pass). Generally, tap 20-30 times per session with moderate intensity, once every other day, with 15 sessions constituting one course. Among 1383 eyes in 711 cases, 821 eyes had neck and eye area tapped: 93 cured recently, 352 markedly effective, 304 improved, 72 ineffective; recent effective rate 91.3%. 562 eyes had Zhengguang acupoint tapped: recent effective rate 97.3%, slightly higher than the former. Follow-up from half a month to 3 years showed that among 1319 eyes in 688 cases, 805 eyes (61%) continued to improve or maintain original efficacy after stopping needling; 423 eyes (32.1%) declined but remained above pre-treatment levels; 59 eyes (4.5%) regressed to previous levels; 32 eyes (2.4%) were worse than before (*Zhenjiu Yanjiu Jinzhan*).
Acute conjunctivitis is an acute eye disease, known in TCM as Storm Guest Heat (Baofeng Ke Re, 暴风客热), commonly called Red Eye. Treatment mainly focuses on dispersing and draining wind-heat, thus rapid pricking bloodletting methods are often used, yielding faster results. Needling Xinming 1 (located 5 fen anterior-superior to Yifeng TE17) treated 24 cases of conjunctivitis using induction techniques; after finding sour-distending sensation via twisting and lifting-thrusting, needles were retained. Results: 20 cured, 2 markedly effective, 2 improved. Bloodletting from the earlobe treated 17 cases: 15 cured in one session, 2 cured in two sessions (*Zhenjiu Yanjiu Jinzhan*).
Needling Taiyang Acupoint to Treat Hordeolum (Stye)
Needling Taiyang (EX-HN5, Temporalis) treated 35 cases. Selected the affected side, used reducing method, retained needles for 15 minutes after Deqi (arrival of Qi), squeezed out a small amount of blood upon withdrawal. 31 cases cured in one session, 2 in two sessions. Two cases with suppuration had poor efficacy and were cured after incision and drainage (*Hunan Yiyao*).
Pricking-Threading to Treat Hordeolum (Stye)
Have the patient sit and raise the affected limb, force towards the back along 1.5 cm lateral to the spine; the point where the patient's middle finger can touch is the pricking-threading point. After routine disinfection, the operator holds the skin with the left hand and uses a three-edged needle to prick-thread and bleed with the right hand. Squeeze with two fingers, wipe clean with sterile dry cotton ball, apply adhesive tape. Of 23 cases, 21 were cured in one session (*Yantai Yiyao Tongxun*).
Experience Introduction to Needling Treatment of Hordeolum (Stye)
Find bean-rash-like small red spots on the patient's back skin as needling points. Prick the right back for the left eye, and the left back for the right eye. Use a coarse needle to straight insert 1-2 fen deep, strong stimulation without retention. Upon completion, bleeding is preferred; if no blood, squeeze manually to bleed, then wipe with sterile cotton ball. Once daily. Of 43 cases, 36 cured, 5 improved, 2 ineffective (*Yiwei Yiyao*).
Acute tonsillitis belongs to excess-heat syndrome. Needling mostly uses reducing methods. Main acupoints include Hegu (LI4, Joining Stream), Jiache (ST6, Jawbone), and Shaoshang (LU11, Lesser Shang). Others include Tianzhu (BL10, Heavenly Pillar), Yuji (LU10, Fish Border), Xi Shang, Dongfeng (also called Tonsil Acupoint, below the angle of the mandible), Pingtao (5 fen above Lianquan, 1 cun lateral), Houkai (posterior 1/3 of the line connecting Jiaosun TE17 and Luxi GB19). Auricular acupuncture selects three points on the ear helix, pharynx-larynx area, or pricks the auricular back vein, or adds the tonsil reaction area and pharynx reaction area. For fever, add bloodletting from Erjian (Ear Apex, highest point of helix) or needle Shaoshang. Generally, use a three-edged needle or coarse needle to prick and bleed to drain excess heat. Most cases resolve after 1-2 treatments. One report treated 507 cases: 486 cured, 15 improved, 6 ineffective. Another report of 342 cases: 90% basically cured after 1-3 treatments. Of 114 cases needled, cure rate was 98.2%. Auricular treatment, specifically auricular back vein pricking, achieved satisfactory results within about 2 days. Needling treatment often provides immediate pain relief; post-needling body temperature and white blood cell counts drop to normal, though some rise first then fall (*Zhenjiu Yanjiu Jinzhan*).
Plum-blossom needle treatment shows good effects for neurasthenia and hysteria. Traditional therapeutic acupoints are selected based on symptoms. Moderate or light stimulation is used for neurasthenia, heavier stimulation for hysteria, and medium stimulation for bloodletting (*Shanghai Jingshenbingxue Wenzhai*).
Bloodletting therapy and laser therapy have been reported for treating schizophrenia. Bloodletting therapy primarily uses Taiyang (EX-HN5, Temporalis) and Quchi (LI11, Pool at the Crook), supplemented by Weizhong (BL40, Center of Popliteal Fossa) and Fenglong (ST40, Abundant Bulge) etc. Pricking superficial veins to release a small amount of blood achieves a 70% effective rate for excess and heat syndromes in schizophrenia (*Zhenjiu Yanjiu Jinzhan*).
Collateral Bloodletting and Cupping for Refractory Headache: 50 Cases
Treatment Method: Anterior forehead headache needles Taiyang (bilateral) and Yintang (EX-HN3, Hall of Impression); temporal headache needles Taiyang (bilateral); vertex and occipital headache needles Dazhui (GV11, Great Vertebra) or Baihui (GV20, Hundred Convergences). Routine disinfection of areas showing veins around selected acupoints. Insert small three-edged needle into vessel to bleed (blood appears dark purple). After bleeding stops, apply cup for 5-10 minutes. Wipe needle hole with 2% iodine cotton ball. Baihui (GV20) only bleeds, no cupping. Treatment once every 7-10 days, 3 sessions constitute one course, total blood loss per session 3-50 ml. Results: 30 cured, 14 markedly effective, 6 ineffective; total effective rate 88%. Initial treatment ineffective and blood appearing pale red or bright red generally do not adopt this method again (*Shaanxi Zhongyi*).
Mumps
Three-edged needle therapy, prescription divided into three groups. Group 1: On the red-swollen parotid gland below the ear, on the vertical line of upper, middle, lower, routine disinfection, prick with three-edged needle and squeeze blood, cup for 10-20 minutes, apply detoxication paste after removing cup. Group 2: Three points on the upper, middle, lower ear helix, prick and bleed once with three-edged needle. Group 3: Bleed the second vessel on the back of the ear.
Hyperthyroidism
Three-edged needle therapy: Select local neck mass. Patient sits upright with head slightly tilted back. Left hand fixes the mass, right hand holds three-edged needle (diameter 0.9-2 mm, length 10-20 cm, selected according to mass size) to transversely pierce the mass gland. Rapid insertion, appropriate depth reaching the opposite wall. After insertion, no twisting or lifting-thrusting. Quickly withdraw needle to subcutaneous tissue, then prick four times up, down, left, right, depth appropriately reaching opposite wall (five needles form a cone shape). Avoid deviation when withdrawing needles. Quickly withdraw and compress needle hole with sterile cotton ball for 3-5 minutes to prevent bleeding. Daily needling, 7-10 sessions per course, rest 3-7 days between courses (this method is also suitable for simple goiter).
Root-Cutting Therapy: Select Feishu (BL13, Lung Shu) and Xinshu (BL15, Heart Shu). After acupoint disinfection and local anesthesia, cut epidermis with small blade, incision length 1 cm. Use three-edged needle to cut subcutaneous fibrous tissue, depth 0.3-0.5 cm. Cut 3-4 times, apply iodine externally, cover with sterile gauze, fix with tape. Select one acupoint per treatment, alternate acupoints, root-cut once every 7-10 days.
Trigeminal Neuralgia
Plum-blossom needle therapy selects Group 1: Posterior neck, bilateral spine, pre-auricular-temporal, submandibular, periocular or perioral; Group 2: Pain points, pre-auricular, post-auricular, Taiyang (EX-HN5, Temporalis), nasal area, both palms, fingertips.
Facial Nerve Paralysis
Three-edged needle therapy selects: Affected side oral mucosa (suitable for early stage), bleed with three-edged needle or cut with blade to induce bleeding.
Plum-blossom needle therapy selects Group 1: Bilateral spine (mainly cervical and thoracic vertebrae 1-5), pre-auricular, temporal, supraorbital, infraorbital, submandibular; Group 2: Posterior neck, pre-auricular, submandibular, temporal, supraorbital foramen, infraorbital foramen, combined with Hegu (LI4, Joining Stream).
Cupping therapy selects Xiaguan (ST7, Below Joint), Qianzheng (EX-HN8, Straightening Face), Taiyang (EX-HN5, Temporalis), Yangbai (GB14, Above Pupil), all on affected side. Select 1-2 acupoints each time, use small cup, apply by fire-dropping or flash-cupping method for about 10 minutes, or prick collateral with plum-blossom needle at acupoint then cup. Treatment once every 3 days, should combine with other therapies. This method shows obvious effects during inflammation or when sequelae involve facial inversion phenomena.
Cerebrovascular Accident
Closed syndrome: Should open orifices, reduce inflammation and resolve phlegm, dispel wind and regulate Qi. Primarily select Twelve Well Acupoints, Du Meridian, and Foot Jueyin Meridian acupoints. Use three-edged needle to bleed with strong stimulation; well acupoint bloodletting.
Plum-blossom needle therapy selects: For speech dysarthria, Yamen (GV15, Gate of Silence), Fengmen (BL12, Wind Gate), Tongli (HT5, Connecting River), Yifeng (TE17, Behind Earlobe), Lianquan (RN23, Central Swamp), Jiaji (Extraspinal points, Thoracic 5-6, Thoracic 8-Sacral 5) etc.; for hemiplegia, Jiaji (Thoracic 5-Lumbar 5-Sacral 5), Hand Yangming, Foot Yangming, Shaoyang, Taiyang meridian pathways.
Headache
Plum-blossom needle therapy selects: Bilateral spine, mainly cervical and sacral regions; Ashi points (pain points) on the head.
Cutting Therapy selects: Hand Palm Cutting Area 3, Hand Palm Cutting Area 4.
Cupping Therapy selects Yintang (EX-HN3, Hall of Impression), Taiyang (EX-HN5, Temporalis), Quchi (LI11, Pool at the Crook). Excess syndrome patients should undergo cupping; blood stasis patients should undergo collateral bloodletting and cupping.
Stiff Neck
Plum-blossom needle therapy: Select Dashu (BL11, Great Shu), Dazhui (GV11, Great Vertebra), Jianjing (GB21, Shoulder Well), Jianwaiyu (SI14, Shoulder Outer Shu), Fengmen (BL12, Wind Gate), Fengchi (GB20, Wind Pool), Cervical 1-4 Jiaji. Tap from top to bottom, inside to outside, along lines connecting acupoints, aiming for erythema without bleeding. Twice daily.
Cupping Therapy: Select Ashi points (pain points). First tap pain point with plum-blossom needle until slight bleeding points appear, then apply cup to draw out blood stasis.
Cataract
Threading-Therapy: If the right eye is diseased, have the patient extend the left palm over the right shoulder, hand tightly against the scapular region. Within three finger-widths below the tip of the middle finger, 1-3 red rash points can be found; prick them open (reverse for left eye). Simultaneously take equal amounts of Xiwanye (Southern herbal medicine) and green onion, mix and mash, wrap around the big toe of the same side as the affected eye and the thumb of the opposite hand. For bilateral eye disease, prick red rashes on both shoulders, and wrap medicine on both hands simultaneously.
Acute Tonsillitis
Three-edged needle therapy: Select Shaoshang (LU11, Lesser Shang), Shangyang (LI1, Upper Yang), Chize (LU5, Marsh Elbow), Quchi (LI11, Pool at the Crook).
Plum-blossom needle therapy: Select bilateral spine, posterior neck, lateral neck, anterior neck and pharynx, Tiger's Mouth (between thumb and index finger), submandibular triangle area. Combined with three-edged needle therapy, effects are more obvious.
Toothache
After needling Xiaguan (ST7, Below Joint), apply cup. Prick Shangyang (LI1, Upper Yang) with three-edged needle to bleed.
Plum-blossom needle therapy: Select bilateral cervical spine, pre-auricular, thenar and hypothenar eminences, Tiger's Mouth, toothache Ashi points.
Auricular back vein bloodletting, remaining acupoints needled once daily (*Shiyong Zhenjiu Xue*).
Section 2: Verified Formulas for Bloodletting in Trunk Diseases
Dong Yuan said: Spleen and stomach weakness, dampness transforms into flaccidity, profuse sweating, difficulty eating. Sanli (ST36, Three Mile) and Qijie (ST30, Qi Street) bleed with three-edged needle. He also said: Hematemesis often does not heal; bleed Qijie (ST30, Qi Street) with three-edged needle for immediate cure (*Zhenjiu Juying*).
Maxie Ban Acupoint: Red spot two finger-widths below the breast. Prick-thread to bleed, treats eruptive tuberculosis (*Fuzhou Minjian Zhenjiu Jingyan Lu*).
Yangban Acupoint Red Spot: Located at the fifth rib intercostal space. Prick-thread to bleed, treats back eruptive tuberculosis (*Fuzhou Minjian Zhenjiu Jingyan Lu*).
Qibu Ban Acupoint: Red spot at the 17th vertebral interspace. Prick-thread to bleed, treats tuberculous eruption. Qizhou noted: Folk practice for tuberculous eruption, i.e., epidemic virus blood coagulating between chest and back, erupting as granular red points, prick-threading to bleed can invigorate blood and defeat toxin, quite effective (*Fuzhou Minjian Zhenjiu Jingyan Lu*).
Malaria pulse full, large, and urgent: Prick Back-Shu points. Use five axillary Shu and Back-Shu, one each, move appropriately until bleeding stops (*Neijing · Ci Miao Pian*).
Acupuncture and Cupping for Acute Mastitis
1. Use the corresponding point on the back of the affected breast as the needling point.
2. Operation: Disinfect first with iodine and alcohol cotton balls. Prick the corresponding point three times with a three-edged needle or coarse needle head (to subcutaneous level), then apply cup to draw out a small amount of blood. Remove cup after about 15 minutes, cover needle eye with alcohol cotton ball, fix with tape for 1-2 days (*Weisheng Yu Jiankang Bao*).
Treating Severe Hyperemesis Gravidarum with Acupoint Suction Device