心经络应刺病,消渴背腹引腰疼,眩仆咳吐下泄气,热烦好笑善忘惊。
【注】[1]心经里之原穴神门,小肠表之络穴支正,二穴应刺之证:饮水即消,
背腹引腰作痛,眩晕仆倒,上咳吐,下泄气,热而心烦,好笑善忘,
多惊,皆心与小肠经病也(图六)
%
小肠原络应刺病,颧颔耳肿苦寒热,肩臑肘臂内外廉,痛不能转腰似折。
【注】[1]小肠表之原穴腕骨,心经里之络穴通里,二穴应刺之证即:
颧颔耳肿,苦寒热,肩、臑、肘、臂内外侧痛,不能转动,
腰痛似折,皆小肠,心经病也(图七)。
%
肾经原络应刺病,大小腹痛大便难,脐下气逆脊背痛,唾血渴热两足寒。
【注】[1]肾经里之原穴太溪,膀胱表之络穴飞扬,二穴应刺之证即:
大腹少腹脊背疼痛,大便结燥,脐下气逆上冲,口渴吐血,
两足寒冷,皆肾、膀胱经病也(见图八)。
%
膀胱原络应刺病,目脱激出头项疼,脐突大小腹胀痛,按之尿难溲血脓。
【注】[1]膀胱表之原穴京骨,肾经里之络穴大钟,二穴应刺之证即:
目胞脱陷泪出,头项疼痛,脐突大腹少腹胀痛,按之其尿难出,
而溲血脓,皆膀胱,肾经病也(图九)。
%
三焦原络应刺病,小指次指如废同,目眦耳后喉肿痛,自汗肩臑内外疼。
【注】[1]三焦表之原穴阳池,心包里之络穴内关,二穴应刺之证即:
手之小指次指如废而不能用,目眦、耳后、咽喉肿痛,自汗,
肩臑内外侧疼,皆三焦、包络经病也(见图一○)。
%
手少阴心经的络穴与里经原穴应当针刺治疗的病证,包括消渴、背部和腹部牵引腰部疼痛、眩晕仆倒、咳嗽吐血、腹泻气逆、发热心烦、喜笑无常以及容易遗忘和惊恐。
【注】[1] 心经(手少阴心经)里的原穴是神门,小肠经(手太阳小肠经)表的络穴是支正,这两个穴位应当针刺治疗的证候:饮水后立即感到口渴或水液代谢异常,背部和腹部牵引腰部产生疼痛,头晕目眩甚至仆倒,上部表现为咳嗽吐血,下部表现为泄泻气逆,身体发热且心中烦乱,喜欢无故发笑且容易健忘,经常受到惊吓,这些都是心经和小肠经的疾病(见图六)。
手太阳小肠经的原穴与表经络穴应当针刺治疗的病证,包括颧骨、下颌及耳朵肿胀,苦于寒热往来,肩臂肘部内外侧疼痛,疼痛剧烈导致腰部转动困难,腰痛感觉像要折断一样。
【注】[1] 小肠经(手太阳小肠经)表的原穴是腕骨,心经(手少阴心经)里的络穴是通里,这两个穴位应当针刺治疗的证候即:颧骨、下颌和耳朵肿胀,苦于恶寒发热交替出现,肩部、上臂、肘部和手臂的内侧和外侧疼痛,不能灵活转动,腰部疼痛感觉像要折断,这些都是小肠经和心经的疾病(见图七)。
足少阴肾经的原穴与里经络穴应当针刺治疗的病证,包括大腹和小腹疼痛、大便困难,脐下气机上逆、脊背疼痛,唾血、口渴发热以及双脚寒冷。
【注】[1] 肾经(足少阴肾经)里的原穴是太溪,膀胱经(足太阳膀胱经)表的络穴是飞扬,这两个穴位应当针刺治疗的证候即:大腹、小腹和脊背疼痛,大便干结燥硬,脐下气机逆乱上冲,口渴并伴有吐血,双脚寒冷,这些都是肾经和膀胱经的疾病(见图八)。
足太阳膀胱经的原穴与表经络穴应当针刺治疗的病证,包括眼睑脱陷、流泪、头项疼痛,肚脐突出、大腹和小腹胀痛,按压时排尿困难,尿液中带血或脓液。
【注】[1] 膀胱经(足太阳膀胱经)表的原穴是京骨,肾经(足少阴肾经)里的络穴是大钟,这两个穴位应当针刺治疗的证候即:眼睑脱陷且流泪,头部和颈部疼痛,肚脐突出,大腹和小腹胀痛,按压腹部时尿液难以排出,并且小便中有血或脓液,这些都是膀胱经和肾经的疾病(见图九)。
手少阳三焦经的原穴与表经络穴应当针刺治疗的病证,包括小指和次指(无名指)如同废用一般,眼角、耳后及咽喉肿痛,自汗,肩部和上臂内外侧疼痛。
【注】[1] 三焦经(手少阳三焦经)表的原穴是阳池,心包经(手厥阴心包经)里的络穴是内关,这两个穴位应当针刺治疗的证候即:手部的小指和次指如同废用而不能活动,眼角、耳后和咽喉部位肿痛,自汗出,肩部和上臂内外侧疼痛,这些都是三焦经和心包络经的疾病(见图一○)。
The diseases indicated for needling the Luo-connecting point of the Heart Meridian and the Yuan-Source point of its interior counterpart are: thirst with excessive fluid consumption (Xiao Ke), pain in the back and abdomen radiating to the waist, dizziness and sudden collapse, cough with hemoptysis, diarrhea with qi rebellion, fever with vexation, excessive laughter, forgetfulness, and惊悸 (palpitations/fright).
[Note] [1] The Yuan-Source point of the interior Heart Meridian is Shenmen (HT7), and the Luo-connecting point of the exterior Small Intestine Meridian is Zhizheng (SI7). The conditions indicated for needling these two points include: drinking water followed by immediate thirst or impaired fluid metabolism; pain in the back and abdomen radiating to the waist; dizziness leading to fainting or collapse; upper symptoms such as cough with hemoptysis; lower symptoms such as diarrhea with qi rebellion; fever accompanied by mental restlessness; pathological laughter; susceptibility to forgetfulness; and frequent fright. These are all diseases of the Heart and Small Intestine meridians (Figure 6).
The diseases indicated for needling the Yuan-Source point of the Small Intestine Meridian and the Luo-connecting point of its exterior counterpart are: swelling of the zygomatic region, jaw, and ears; aversion to cold alternating with fever; pain on the medial and lateral aspects of the shoulder, arm, elbow, and forearm; inability to turn due to pain; and severe low back pain as if broken.
[Note] [1] The Yuan-Source point of the exterior Small Intestine Meridian is Wangu (SI4), and the Luo-connecting point of the interior Heart Meridian is Tongli (HT5). The conditions indicated for needling these two points include: swelling of the zygomatic bone, mandible, and ears; aversion to cold alternating with fever; pain on the medial and lateral sides of the shoulder, brachium, elbow, and forearm, limiting movement; low back pain feeling as if fractured. These are all diseases of the Small Intestine and Heart meridians (Figure 7).
The diseases indicated for needling the Yuan-Source point of the Kidney Meridian and the Luo-connecting point of its interior counterpart are: pain in the greater and lesser abdomen; difficulty in defecation; rebellious qi below the umbilicus; pain in the spine and back; hemoptysis in saliva; thirst with fever; and coldness in both feet.
[Note] [1] The Yuan-Source point of the interior Kidney Meridian is Taixi (KI3), and the Luo-connecting point of the exterior Bladder Meridian is Feiyang (BL58). The conditions indicated for needling these two points include: pain in the greater abdomen, lesser abdomen, and spine/back; dry and hard stool; rebellious qi rising from below the umbilicus; thirst accompanied by hemoptysis; and coldness in both feet. These are all diseases of the Kidney and Bladder meridians (Figure 8).
The diseases indicated for needling the Yuan-Source point of the Bladder Meridian and the Luo-connecting point of its exterior counterpart are: prolapse of the eyelids with tearing; pain in the head and neck; protrusion of the umbilicus; distending pain in the greater and lesser abdomen; difficulty in urination upon pressure; and hematuria or pyuria.
[Note] [1] The Yuan-Source point of the exterior Bladder Meridian is Jinggu (BL64), and the Luo-connecting point of the interior Kidney Meridian is Dazhong (KI4). The conditions indicated for needling these two points include: prolapsed eyelids with tearing; pain in the head and neck; protruding umbilicus; distending pain in the greater and lesser abdomen; difficulty in passing urine when pressing the abdomen; and blood or pus in the urine. These are all diseases of the Bladder and Kidney meridians (Figure 9).
The diseases indicated for needling the Yuan-Source point of the Sanjiao (Triple Energizer) Meridian and the Luo-connecting point of its exterior counterpart are: functional impairment resembling paralysis of the little finger and the ring finger; swelling and pain in the canthi, behind the ears, and throat; spontaneous sweating; and pain on the medial and lateral aspects of the shoulder and brachium.
[Note] [1] The Yuan-Source point of the exterior Sanjiao Meridian is Yangchi (TE4), and the Luo-connecting point of the interior Pericardium Meridian is Neiguan (PC6). The conditions indicated for needling these two points include: functional loss or paralysis-like state of the little and ring fingers; swelling and pain in the canthi, retroauricular area, and pharynx/larynx; spontaneous sweating; and pain on the medial and lateral sides of the shoulder and brachium. These are all diseases of the Sanjiao and Pericardium meridians (Figure 10).