神藏二穴,治呕吐不止,甲乙经云∶穴在 中下一寸六分陷者中,足少阴脉气所发,仰
而取之,各灸五壮,炷用竹箸为之。
呕吐气逆不得下食,灸心俞百壮。
吐呕气逆不得下食,今日食,明日吐者,灸膈俞百壮。
吐逆不得下食,灸胸堂百壮,又灸巨阙五十壮,又灸胃脘百壮,三报。
吐逆饮食却出,灸脾募百壮,三报。(章门穴也)
吐呕宿汁吞酸,灸神光,一名胆募,百壮三报。(甲乙亦在日月胆募经云期门下五分)
吐逆霍乱吐血,灸手心主五十壮。
反胃食即吐出,上气,灸两乳下各一寸又灸脐上一寸,二十壮,又灸内踝下,三指稍斜
向前有穴,三壮。
干呕不止,粥食汤药,皆吐不停,灸手间使三十壮,若四肢厥,脉沉绝不至者,灸之便
通,此起死人法,又灸心主尺泽,亦佳。
少商二穴主哕,甲乙经云∶在手大指内侧,去爪甲如韭叶,手太阴脉之所出也,各灸三
壮,炷如小麦大。
哕噫膈中气闭塞,灸腋下聚毛下附肋宛宛中,五十壮。
哕噫呕逆,灸石关百壮。
哕灸承浆七壮,炷如麦大,又灸脐下四指,七壮。
呕 灸心主各七壮,在掌腕上约中,吐不止,更灸如前数。
呕哕而手足逆冷者,灸三阴交各七壮,在足内踝直上三寸廉骨际,未瘥更灸如前数。
神藏穴有两个,用于治疗呕吐不止。《甲乙经》记载:该穴位位于中府穴下一寸六分的凹陷处,是足少阴肾经经气所发之处,取穴时需仰卧并抬头,每侧各灸五壮,艾炷用竹筷制作。
对于吐呕、气逆导致无法进食,且今天吃的食物明天吐出者,灸膈俞穴一百壮。
对于吐逆导致无法进食,灸胸堂穴一百壮,再灸巨阙穴五十壮,又灸胃脘穴一百壮,重复三次(三报)。
对于吐呕宿汁、吞酸,灸神光穴,又名胆募穴,一百壮,重复三次。(《甲乙经》也记载在日月穴下五分,为胆募穴,《经云》记载为期门下五分)
对于反胃、食入即吐、上气,灸两乳下各一寸处,再灸脐上一寸处,二十壮,又灸内踝下,向内踝上方斜向前方约三指宽处有穴位,灸三壮。
对于干呕不止,喝粥、吃饭、喝汤药都吐个不停,灸手厥阴心包经间使穴三十壮。如果四肢厥冷,脉象沉伏绝至,灸此穴即可通脉,这是起死回生的方法,又灸手厥阴心包经尺泽穴,也很好。
少商穴有两个,主治呃逆。《甲乙经》记载:位于手大指内侧,距离指甲边缘如韭菜叶宽度处,是手太阴肺经经气所出之处,每侧各灸三壮,艾炷大小如小麦粒。
呃逆、嗳气、膈中气机闭塞,灸腋下聚毛下方附肋处的宛宛中穴,五十壮。
Shencang (2 points) is indicated for intractable vomiting. The *Jia Yi Jing* states: The point is located 1.5 cun below Zhongfu, in the depression; it is where the Qi of the Foot-Shaoyin Kidney Meridian emerges. The patient should lie supine with the head raised to locate the point. Moxibustion of 5 cones is applied to each side. The moxa cone should be made from bamboo chopsticks.
For vomiting with rebellious Qi and inability to take food, moxibustion of 100 cones is applied to Xinshu (BL-15).
For vomiting with rebellious Qi and inability to take food, specifically where food eaten today is vomited tomorrow, moxibustion of 100 cones is applied to Geshu (BL-17).
For regurgitation and inability to take food, moxibustion of 100 cones is applied to Xiong Tang (an extra point), followed by 50 cones to Juque (CV-14), and 100 cones to Weiwuan (an extra point). This regimen is repeated three times (san bao).
For regurgitation of food and fluids, moxibustion of 100 cones is applied to the Front-Mu point of the Spleen, repeated three times. (This refers to Zhangmen, LR-13).
For vomiting old fluid and acid regurgitation, moxibustion of 100 cones is applied to Shenguang, also known as the Front-Mu point of the Gallbladder, repeated three times. (*Jia Yi Jing* also records this location as 0.5 cun below Riyue, the Front-Mu point of the Gallbladder; *Jing Yun* records it as 0.5 cun below Qimen).
For regurgitation, cholera-like disorder, and hematemesis, moxibustion of 50 cones is applied to the Pericardium Meridian source point (Shou Xin Zhu / Neiguan or Laogong contextually, but literally "Hand Heart Master").
For retroflexion of the stomach (fan wei) with immediate vomiting after eating and rebellious Qi, moxibustion of 20 cones is applied to 1 cun below each nipple, and 1 cun above the umbilicus. Additionally, 3 cones are applied to a point slightly obliquely forward from below the medial malleolus, approximately three finger-widths away.
For intractable dry heaving, where porridge, solid food, soups, and medicines are all vomited up continuously, moxibustion of 30 cones is applied to Jianshi (PC-5). If the four limbs are cold and the pulse is deep, faint, or absent, moxibustion will restore the pulse; this is a method to revive the dying. Moxibustion on Chize (LU-5) of the Pericardium Meridian is also beneficial.
Shaoshang (2 points) primarily treats hiccups. The *Jia Yi Jing* states: Located on the radial side of the thumb, at the corner of the nail bed, width of a leek leaf; it is the exit point of the Hand-Taiyin Lung Meridian. Moxibustion of 3 cones is applied to each side, with the cone size comparable to a wheat grain.
For hiccups, belching, and Qi blockage in the diaphragm, moxibustion of 50 cones is applied to Wanwanzhong, located under the pubic hair in the axilla, adjacent to the ribs.
For hiccups, belching, and vomiting with rebellious Qi, moxibustion of 100 cones is applied to Shiguan (KI-18).
For hiccups, moxibustion of 7 cones is applied to Chengjiang (CV-24), with the cone size comparable to a wheat grain. Additionally, 7 cones are applied to 4 finger-widths below the umbilicus.
For vomiting, moxibustion of 7 cones is applied to the Pericardium Meridian points, located at the midpoint of the wrist crease. If vomiting persists, repeat the previous number of cones.
For vomiting and hiccups accompanied by cold extremities, moxibustion of 7 cones is applied to Sanyinjiao (SP-6) on both sides, located 3 cun directly above the tip of the medial malleolus, at the posterior border of the tibia. If not cured, repeat the previous number of cones.