转筋胫骨痛不可忍,灸屈膝下廉横筋上,三壮,腹胀转筋,灸脐上一寸,二七壮,
腰骨不便,转筋急痹筋挛,灸第二十一椎,随年壮。
转筋十指筋挛急,不得屈伸,灸脚外踝骨上,七壮。
仆参二穴,主转筋急,甲乙经云∶一名安耶,在跟骨下陷者中,拱足得之,太阳阳跷脉
所发,各灸七壮,炷如半枣核大。
转筋在两臂及胸中者,灸手掌白肉际,七壮,又灸膻中中府巨阙胃腕尺泽。
走哺转筋,灸踵踝白肉际,各三七壮,又灸小腹下横骨中央,随年壮。
转筋四厥,灸两乳根黑白际,各一壮。
转筋,灸涌泉六七壮,在足心下当拇趾大筋,又灸足大趾下约中,一壮。
转筋不止,灸足踵聚筋上白肉际,七壮立愈。
转筋入腹痛欲死,四人持手足,灸脐上一寸,十四壮,自不动,勿复持之,又灸股里大
筋,去阴一寸。
霍乱转筋,灸蹶心,当拇趾大聚筋上,六七壮,名涌泉,又灸足大趾下约中一壮。又灸
大趾爪甲际,七壮。
心痛短气,手掌烦热,或啼笑骂詈,悲思愁虑,面赤身热,其脉实大而数,此为可治,
春当刺中冲,夏刺劳宫,季夏刺大陵,皆补之,秋刺间使,冬刺曲泽,皆泻之,(此是手心
主包络经也)又当灸巨阙,五十壮,背第五椎,百壮。
肾心痛,先取京骨昆仑,针不已,取然谷。
胃心痛,取大都太白。
脾心痛,取然谷太溪。
肝心痛,取行间太冲。
肺心痛,取鱼际太渊。
心痛引腰脊,欲呕,刺足少阴。
心痛引背不得息,刺足少阴,不已取手少阴。
心痛腹胀,涩涩然,大便不利,取足太阴。
心痛少腹满,上下无常处,溲便难,刺足厥阴。
心痛,短气不足以息,刺手太阴。
心痛不可按,烦心,巨阙主之。
心痛有三虫,多涎不得反侧,上脘主之。
心痛身寒,难以俯仰,心疝冲冒,死不知人,中脘主之。
心腹中猝痛,石门主之。
心疝暴痛,取足太阴。
心懊 ,微痛烦逆,灸心俞百壮。
心痛如锥刀刺,气结,灸膈俞七壮。
心痛冷气上,灸龙颔百壮,在鸠尾头上行一寸半,不可刺。
心痛恶气上,胁急痛,灸通谷五十壮,在乳下二寸。
心痛暴恶风,灸巨阙百壮。
心痛坚烦气结,灸太仓百壮。
心痛,灸臂腕横纹,三七壮,又灸两虎口白肉际,七壮。
猝心痛,灸手中央长指端,三壮,又横度病患口折之,以度心厌下,灸度头三壮,心疝
激痛难忍,灸巨阙及左右一寸,并百壮,又以绳度颈及度脊如之,令正相对,凡灸六处,猝
心腹满痛,灸乳下一十七壮,又灸两手大拇指内边,爪后第一纹头,各一壮,又灸两手中央
长指爪下一壮,愈。
腹结,主绕脐痛抢心。
腹痛,针灸冲门,主寒气满腹中,积痛疼淫泺。
间使,主寒中少气。
隐白,主腹中寒冷气,胀喘。
复溜,主腹厥痛。
水分石门,主少腹中拘急痛。
巨阙上腕石门阴跷,主腹中满,暴痛汗出。
中极,主腹中热痛。
行间,主腹痛而热上拄心,心下满。
太溪,主腹中相引痛。
涌泉,主少腹痛。
丰隆,主胸痛如刺,腹若刀切痛。
转筋(小腿腓肠肌痉挛)伴有胫骨疼痛,痛感剧烈难以忍受,可艾灸屈膝时膝盖下方横纹处的横筋上,施灸三壮;若出现腹胀并伴转筋,可艾灸肚脐上一寸处,施灸十四壮(二七壮);若腰背部骨骼活动不便,出现转筋、拘急、痹痛及筋脉挛缩,可艾灸第二十一椎(第十一胸椎棘突下),施灸岁数相当的壮数。
转筋导致十指筋脉拘急,无法屈伸,可艾灸脚外踝骨上方,施灸七壮。
仆参穴,主治转筋拘急。《甲乙经》记载:该穴又名安耶,位于跟骨下方的凹陷中,拱起足部时可取到,属太阳阳跷脉所发之处,各施灸七壮,艾炷大小如半颗枣核。
转筋发生在两臂及胸中的,可艾灸手掌白肉边缘处,施灸七壮;另外还可艾灸膻中穴、中府穴、巨阙穴、胃脘部、尺泽穴。
走哺(呕吐食物后复能食)伴转筋的,可艾灸脚后跟与脚踝交界处白肉边缘,每处施灸二十一壮(三七壮);另外还可艾灸小腹下部横骨中央,施灸岁数相当的壮数。
转筋伴随四肢厥冷(四厥)的,可艾灸两侧乳根穴黑白皮肤交界处,每处施灸一壮。
转筋的,可艾灸涌泉穴六七壮,该穴位于足心下方,正当大脚趾的大筋处;另外还可艾灸足大趾下方横纹中间,施灸一壮。
转筋不止的,可艾灸足跟聚筋上方的白肉边缘处,施灸七壮即可立即痊愈。
转筋入腹,腹痛欲死,需四人固定住患者的手脚,艾灸肚脐上一寸处,十四壮后患者自会停止挣扎,此时不必再固定;另外还可艾灸大腿内侧大筋处,距离阴部一寸的位置。
霍乱伴转筋的,可艾灸蹶心穴,位于大脚趾大聚筋上方,施灸六七壮,此穴名为涌泉;另外还可艾灸足大趾下方横纹中间一壮;还可艾灸大脚趾指甲边缘,施灸七壮。
心痛伴有短气,手掌心烦热,或啼哭、大笑、骂人,悲伤思虑,面色红赤,身体发热,脉象实大而数,此为可治之症。春季应针刺中冲穴,夏季刺劳宫穴,长夏(季夏)刺大陵穴,均用补法;秋季刺间使穴,冬季刺曲泽穴,均用泻法。(这是手厥阴心包经的穴位)。另外还应艾灸巨阙穴五十壮,背部第五椎(第五胸椎棘突下)百壮。
心痛牵引背部,呼吸不畅,针刺足少阴肾经穴位,无效则取手少阴心经穴位。
心痛伴小腹胀满,疼痛上下无常处,小便困难,针刺足厥阴肝经穴位。
心痛伴有虫积,多涎唾,身体僵硬不能翻身侧卧,上脘穴为主治穴位。
心痛伴身寒,难以俯仰,心疝气冲撞头部,昏迷不省人事,中脘穴为主治穴位。
心痛因冷气上逆,艾灸龙颔穴百壮,该穴在鸠尾穴上方行一寸半处,不可针刺。
心痛因恶气上逆,胁肋拘急疼痛,艾灸通谷穴五十壮,该穴在乳头下方二寸处。
心痛,艾灸手臂腕部横纹处,二十一壮(三七壮);另外还可艾灸两手虎口白肉边缘处,七壮。
猝然心痛,艾灸手中指指尖端,三壮;另用绳子横量患者口宽,以此长度度量心窝下方,在度量线的末端施灸三壮。心疝激痛难忍,艾灸巨阙穴及左右各一寸处,均为百壮;又用绳子度量颈部及脊柱,方法同上,令正相对,共艾灸六处。猝然心腹胀满疼痛,艾灸乳下一十七壮;另外还可艾灸两手大拇指内侧,指甲后方第一纹头处,各一壮;还可艾灸两手中指指甲下方一壮,病即愈。
间使穴,主治寒邪入中导致少气。
复溜穴,主治腹部厥冷疼痛。
巨阙穴、上腕穴、石门穴、阴跷脉,主治腹中胀满,突发剧痛出汗。
太溪穴,主治腹部相互牵引作痛。
Tendon cramp (spasm of the gastrocnemius muscle) accompanied by unbearable pain in the tibia can be treated with moxibustion on the transverse tendon below the knee crease when the knee is flexed, three moxa cones. If abdominal distension and tendon cramp occur, moxibustion should be applied one cun above the umbilicus, fourteen moxa cones (two times seven). If there is stiffness in the lumbar vertebrae, accompanied by tendon cramp, urgency, bi-syndrome, and tendon contraction, moxibustion should be applied at the twenty-first vertebra (below the spinous process of the eleventh thoracic vertebra), with the number of moxa cones corresponding to the patient's age.
For tendon cramp causing spasm and inability to flex or extend the ten fingers, moxibustion should be applied above the lateral malleolus of the foot, seven moxa cones.
Pusen (BL64) treats acute tendon cramp. The *Jia Yi Jing* states: also known as Anye, located in the depression below the calcaneus, accessible by arching the foot; it is a point where the Taiyang Yangqiao Vessel emerges. Apply seven moxa cones to each side, with moxa cones the size of half a jujube pit.
For tendon cramp affecting both arms and the chest, moxibustion should be applied at the white flesh margin of the palm, seven moxa cones. Additionally, moxibustion can be applied to Danzhong (CV17), Zhongfu (LU1), Jueque (CV14), the epigastric region, and Chize (LU5).
For vomiting followed by ability to eat again (Zoubu) accompanied by tendon cramp, moxibustion should be applied at the white flesh margin between the heel and ankle, twenty-one moxa cones (three times seven) to each site. Additionally, moxibustion can be applied to the center of the lower abdomen below the transverse bone, with the number of moxa cones corresponding to the patient's age.
For tendon cramp accompanied by cold limbs (Sijue), moxibustion should be applied at the junction of black and white skin on both sides of Rugen (ST18), one moxa cone to each side.
For tendon cramp, moxibustion should be applied to Yongquan (KI1), six to seven moxa cones. This point is located in the depression of the sole of the foot, directly below the large tendon of the great toe. Additionally, moxibustion can be applied to the center of the crease below the great toe, one moxa cone.
For persistent tendon cramp, moxibustion should be applied at the white flesh margin above the gathered tendons at the heel; seven moxa cones will lead to immediate recovery.
For tendon cramp entering the abdomen with severe abdominal pain, four people should hold the patient's limbs. Moxibustion should be applied one cun above the umbilicus, fourteen moxa cones. The patient will stop struggling spontaneously; do not continue holding them. Additionally, moxibustion can be applied to the large tendon inside the thigh, one cun from the yin region.
For cholera accompanied by tendon cramp, moxibustion should be applied to Juexin, located above the gathered large tendon of the great toe, six to seven moxa cones; this point is named Yongquan (KI1). Additionally, moxibustion can be applied to the center of the crease below the great toe, one moxa cone. Furthermore, moxibustion can be applied to the margin of the nail of the great toe, seven moxa cones.
Heartache with shortness of breath, vexation and heat in the palms, or crying, laughing, cursing, sadness, red face, body heat, and a pulse that is excess, large, and rapid indicates a treatable condition. In spring, puncture Zhongchong (PC9); in summer, Laogong (PC8); in late summer, Daling (PC7), all using the tonifying method. In autumn, Jianshi (PC5); in winter, Quze (PC3), all using the draining method. (These are points of the Pericardium Channel of Hand-Jueyin). Additionally, moxibustion should be applied to Jueque (CV14), fifty moxa cones, and to the fifth vertebra of the back (below the spinous process of the fifth thoracic vertebra), one hundred moxa cones.
Kidney heartache: first select Jinggu (BL64) and Kunlun (BL60); if needling is ineffective, select Ranggu (KI2).
Stomach heartache: select Dadu (SP2) and Taibai (SP3).
Spleen heartache: select Ranggu (KI2) and Taixi (KI3).
Liver heartache: select Xingjian (LR2) and Taichong (LR3).
Lung heartache: select Yuji (LU10) and Taiyuan (LU9).
Heartache radiating to the waist and spine with urge to vomit: puncture the Foot-Shaoyin Kidney Channel.
Heartache radiating to the back with dyspnea: puncture the Foot-Shaoyin Kidney Channel; if ineffective, select the Hand-Shaoyin Heart Channel.
Heartache with abdominal distension, abdominal discomfort, and difficulty in defecation: select the Foot-Taiyin Spleen Channel.
Heartache with lower abdominal fullness, pain moving up and down without fixed location, and difficulty in urination: puncture the Foot-Jueyin Liver Channel.
Heartache with shortness of breath and inability to breathe fully: puncture the Hand-Taiyin Lung Channel.
Heartache that cannot be pressed, accompanied by vexation: Jueque (CV14) is the primary point.
Heartache with parasites, excessive saliva, and inability to turn over: Shangwan (CV13) is the primary point.
Heartache with chills, difficulty in bending and stretching, Xinhan striking the head, unconsciousness: Zhongwan (CV12) is the primary point.
Sudden severe pain in the heart and abdomen: Shimen (CV5) is the primary point.
Sudden severe pain of Xinhan: select the Foot-Taiyin Spleen Channel.
Mental restlessness with slight pain and vexation: moxibustion on Xinshu (BL15), one hundred moxa cones.
Heartache like stabbing with a awl or knife, with qi stagnation: moxibustion on Ge shu (BL17), seven moxa cones.
Heartache due to cold qi rising: moxibustion on Longhan, one hundred moxa cones. Located one and a half cun above Jiutui (CV15); do not needle.
Heartache due to evil qi rising, with hypochondriac tension and pain: moxibustion on Tonggu, fifty moxa cones. Located two cun below the nipple.
Sudden aversion to wind in heartache: moxibustion on Jueque (CV14), one hundred moxa cones.
Hardness, vexation, and qi stagnation in heartache: moxibustion on Taicang (Zhongwan, CV12), one hundred moxa cones.
Heartache: moxibustion at the wrist crease of the arm, twenty-one moxa cones (three times seven); additionally, moxibustion at the white flesh margin of both tiger mouths, seven moxa cones.
Sudden heartache: moxibustion at the tip of the middle finger of the hand, three moxa cones. Alternatively, measure the width of the patient's mouth horizontally, use this length to measure below the xiphoid process, and apply three moxa cones at the end of the measurement. For unbearable sharp pain of Xinhan: moxibustion on Jueque (CV14) and one cun to its left and right, one hundred moxa cones each. Also, measure the neck and spine with a rope in the same manner, aligning them positively, totaling six moxibustion sites. For sudden fullness and pain in the heart and abdomen: moxibustion one cun below the nipple, seventeen moxa cones; additionally, moxibustion on the inner side of the thumbs of both hands, at the first wrinkle behind the nail, one moxa cone each; additionally, moxibustion below the nails of the middle fingers of both hands, one moxa cone; this leads to recovery.
Fujie (ST29) treats periumbilical pain radiating to the heart.
Abdominal pain: acupuncture and moxibustion on Chongmen (SP12) treat cold qi filling the abdomen and accumulating pain wandering throughout.
Jianshi (PC5) treats cold invading the interior leading to deficiency of qi.
Yinbai (SP1) treats cold qi in the abdomen, distension, and wheezing.
Fuliu (KI7) treats abdominal cold and pain.
Shuifen (CV9) and Shimen (CV5) treat spasmodic pain in the lower abdomen.
Jueque (CV14), Shangwan (CV13), Shimen (CV5), and Yinqiao Mai treat abdominal fullness and sudden severe pain with sweating.
Zhongji (CV3) treats heat pain in the abdomen.
Xingjian (LR2) treats abdominal pain with heat rushing to the heart and fullness below the heart.
Taixi (KI3) treats pulling pain in the abdomen.
Yongquan (KI1) treats lower abdominal pain.
Fenglong (ST40) treats chest pain like stabbing and abdominal pain like being cut by a knife.