治热病。先腰胫酸。喜渴数饮。身清。清则项痛而寒且酸。足热。不欲言。头痛颠颠然
先取涌泉及太阳井荥。热中少气厥寒。灸之热也。灸涌泉三壮。烦心不嗜食。灸涌泉热
去。四逆喘气。偏风身汗出而清。皆取侠溪。
治温病身热五日以上。汗不出。
刺大泉留针一时取针。若未满五日者。禁针。
凡好太息。不嗜食。多寒。热汗出。病至则喜呕。呕已乃衰。即取公孙井俞。实则肠中
切痛
厥头面肿。起烦心狂。多饮。不嗜卧。虚则鼓胀。腹中气大满。热痛不嗜食。霍乱。公孙
主之。
治热病烦心。足寒清。多汗。
先取然谷后取太溪(皆先补之)
资生经云。凡温病可针刺五十九穴。又身之穴六百五十有五。其三十六穴。灸之有害。
七十九穴。刺之为灾。
治温病。穴颞
灸阴毒伤寒法。其状不躁。不渴。唇青。腰背重。咽喉及目睛痛。心腹烦疼。舌缩面青
吃噫气喘。呕逆冷汗。向暗不语。
以生葱约十余茎。去根粗皮。颠倒纸卷。径阔二寸。勿令紧。欲通气。以快刀切。每一
饼子高半寸。安在脐心。用熨斗火熨葱。软易之。不过十余次。患人即苏。后服正气药。
灸结胸伤寒法。其状胸满短气。按之即痛。或吐逆满闷。或大便不通。诸药不能救者。
以巴豆七粒和皮。肥黄连七寸。去须。同捣烂作一丸。安在脐心上。以手按之。稍实。
捻
艾皂子大于药上灸。甚者。不过三五壮立愈。续用补药一二日。若病半月。微有气皆疗。
治气虚阳脱。体冷无脉。气息欲绝。不省人事。及伤寒阴厥。百药不效葱熨法。
以葱用索缠如盏许大。切去根及叶。惟存白。长二寸许。如大饼 。先以火 。一面令
通热
艾。勿令灼人。及以热处。搭病患脐连脐下。其上。以熨斗满贮火熨之。令葱饼中热气。熨
入肌肉中。须预作三四饼。一饼坏不可熨。又易一饼。良久。病患当渐醒。手足温。有汗则
瘥
更服四逆汤辈。温其内。万万无忧。王氏云。予伯兄病伤寒。冥冥不知人八日。四体坚冷
如石。药不复可入。用此遂瘥。集贤校理胡全夫。用此拯人之危。不可胜数。
初得病。或先头痛身寒热。或涩涩欲守火。或腰背强直。面目如饮酒状。此伤寒初得一
二日。但烈火灸心下三处。穴巨阙 上脘 胃脘
各灸五十壮。大人可五十壮。小儿可三壮。亦随其年灸之。大小以意酌量。
治伤寒若病者。三四日以上。
宜先灸胸上二十壮。又灸颞 二穴。又灸风池二穴。又灸太冲三十壮。神验。又灸肝愈
百壮
余处各二十壮。又以绳度鼻正。上尽发际。中屈绳断去半。便从发际入发中。灸绳头。名
曰天聪。
资生经云。凡伤寒惟阴证可灸。余皆当针。故千金方惟云。刺取。而素问亦云病甚者。
为五
十九刺。所以泻诸阳胸中胃中四肢五脏之热也。若温病身热五日以上。汗不出。可刺太泉。
未满五日。禁针。然而千金于头痛身寒热病。乃灸巨阙上中脘三处。岂亦是阴证耶。其状
盖云。或涩涩欲守火是也。医者当辨之。
治热病。卒心中懊 。数欠频伸。悲恐。目眩头痛。面赤而热。心悸肘臂 痛。实则支
肿。虚者不能言。若咽喉痹。少气遗溺。穴通里
疗天行伤寒。 穴中脘
治伤寒嗜卧。怠惰不欲动摇。身常湿。不能食。穴膈俞
治热病烦满。上气心痛。痰冷少气。悲恐善(一作喜)惊及掌热。胸痛。口热咽酸。乍寒
乍热。手挛不伸。引眼痛。穴少冲
治伤寒余疾。皮肤干燥。穴曲池
治热病先不乐数日。穴通里
治热病。振栗。鼓颔。腹满。阴痿色不变。穴鱼际 阳谷
治气膈善呕。鼓颔不得汗。穴尺泽
治头身热赤。振栗。腰中四肢淫泺。欲呕。穴肾俞
治气热身热。气喘寒热口干。身热喘息。目急痛。善惊。穴三间
治热病。寒栗。鼓颔。腹满。阴痿色不变。穴鱼际
治热病烦心。闷汗不出。掌中热。心痛。身热如火。舌本痛。穴中冲 少冲 关冲 劳
宫大陵 阳溪 天 间使
治热病。烦心喜哕。胸中澹澹。喜动而热。穴间使
治烦心喜呕。穴巨阙
治伤寒温病身热。烦心口干。穴曲泽
治热病先腰胫酸。喜渴数饮食。身热项强痛。振寒。寒热。颈项肿。实则肘挛头眩痛。
虚则生疣。小者如疥。穴支正 少海
治振寒颈项痛。穴天井
治热病挟脊痛。穴委中
治伤寒颈项强。目瞑多噎。鼻鼽出清涕。穴风门
王氏云。阴毒沉困。药饵难为工。但灸脐中三百壮。艾如半枣。手足不暖。不可治也。
或心
迷耳聋叫不应。因食冷得疾者。予以理中汤。救数人矣。若复渴。则煎五苓散与服。或煎人
参汤。服皆效。又云。伤寒多从风寒得之。始表中风。寒入里。则不消矣。未有温服。而不
消也。
治伤寒结胸。穴支沟 间使 行间
治伤寒在表。发热恶寒。头项痛。腰脊强无汗。尺寸俱浮。穴合谷
治伤寒饮水过多。腹胀气喘。心下痛不可忍。穴中脘 气海
治伤寒小腹上有气冲者。穴天枢 气冲 三里 三阴交
治伤寒手足逆冷。穴大都 内庭 太溪 行间
治伤寒交汗不出。穴风池 侠溪 鱼际 经渠 内庭
治伤寒胸中热不已。穴大杼 风门 中府 缺盆
治伤寒胃中热不已。穴中脘 三里 上廉 下廉 气冲治伤寒四肢热不已。穴云门 肩
委中 腰
治急食不通。并伤寒水结。穴三间 合谷 承山
治阴证伤寒。四肢厥冷。腹痛吐利。身强烦躁自汗。脉沉细。或面赤。
凡三阴中寒皆灸之。穴陷谷。灸三七壮。体温脉通汗出效。不尔。再灸加艾倍之。
治卒得食病似伤寒。其人但欲卧。七日不疗。杀人。又按其脊两边。当有陷处。正灸陷
处两头各七壮。则愈。
治伤寒始得一二日。
上便可灸顶三壮。又灸大椎三壮。各加至五炷益良。用之验。大椎平肩斜齐。高硕者是
也。
仍不得侵项分取之则非也。上接项骨。下齐肩。在椎骨节上是。余穴尽在节下。凡灸刺不得
失之毫厘。今崔氏不定高下。是以言之。出黄帝针灸经。
治断温病。令不相染着。及治时气瘴疫。
上用蜜艾灸病患床四角各一壮。不得令知之。佳也。
治阴毒伤寒灸法。
用干艾叶捣熟去灰。作艾炷。灸脐下一寸三分。名气海。二寸丹田。三寸关元。五十壮
至二三百壮。以手足渐温。人事稍苏为可治。
治阴证伤寒灸法。
于脐下一寸半气海穴。二七壮。小作艾炷于脐心。以盐填实。灸七壮立效。二寸丹田。
三寸关元。皆可灸。
治热病后发豌豆疮。灸两手腕砚子骨尖上三炷。男左女右。
治伤寒热盛烦呕。穴大椎
治热病偏头痛。引目外 。穴悬厘 鸠尾
治时气病起。诸复劳灸法。
男初觉。便灸阴三七壮。若已尽。甚至百壮即愈。眼无妨。阴道疮复常。
治伤寒热甚五十九刺。五十九刺者。为头上五行。以克越诸阳之热也。穴大杼 膺俞
缺盆
肾俞(此八者以泻胸中之热也) 气冲三里 巨虚 上下廉(此八者。泻胃中热也) 云门
巨骨 委中 脑空(此八者以泻四肢热也) 五脏俞傍五(此十者。以泻脏之热也)。凡此五十
九穴者。背之左右。故病甚者。当刺之。凡刺之法。吸则纳针。得气则泻。勿令迟缓。起似
发机。故针经曰。热者疾之。
刺热病汗不出。夫伤寒热病汗不出者。荣卫不交。阴阳不和。故汗不出。当刺腹结。腹
舍通其经络。和其阴阳。令汗得出。
手阳明有商阳、合谷。手太阳有腕骨、阳谷。足少阳有侠溪。足阳明有厉兑。手厥阴有
劳宫。
凡此七穴。皆刺热病汗不出。随经辨脉。调其阴阳。合其荣卫。令得汗出。又十二经之
荣。皆治身热。为主身热皆南方火。故经曰。荣主身热。皆可刺也。
刺伤寒结胸痞气。
伤寒下后结胸痞气者。皆足三阴之终。手三阴之始。胸中结痞。过在足少阴肾。手厥阴
包络
刺两经之井原。以泻胸中之气。心中结痞。过在足太阴脾。手少阴心。刺两经之井原。以
泻心中之气。胃中结痞。过在足厥阴肝。手太阴肺。刺两经之井原。以泻胃中之气。或上腕
中腕下腕。应痞结而泻之。
治伤寒三阳头痛法。伤寒三阳头痛。何法刺之。答曰。手之三阳。足之三阳。皆会于头
者。谓诸阳之会。其受邪伏留而不去。故曰。三阳头痛。视其色脉。知在何经而取之。
如脉浮而头痛。过在手足太阳。刺 穴腕骨 京骨
如脉浮而长。过在手足阳明。刺 穴合谷 冲阳
如脉浮而弦。过在手足少阳。刺 穴阳池 丘墟 风府 风池 以上数穴。刺三阳之头
痛法也。
治伤寒三阴腹痛法。伤寒邪在三阴内。不得交通。故为腹痛。手足之经。皆会于腹。随
经取之。
如脉弦而腹痛。过在足厥阴肝。手太阴肺。刺 穴太冲 太渊 大陵
如脉沉而腹痛。过在足少阴肾。手厥阴心胞。刺 穴太溪 大陵
如脉细沉。而腹痛。过在足太阴脾。手少阴心。刺 穴太白 神门 三阴交
以上数穴。刺三阴腹痛之法也。
灸少阴原救脉法。
治伤寒阴病脉欲绝。当灸太溪穴。太溪者。足少阴肾之原。少阴病属水。阴气太盛。阳
气不
得营。故泻阴补阳。阴毒伤寒。体沉四肢俱重。腹痛脉微迟。当灸气海。或关元。脉属少阴
故同法泻阴补阳也。
辨伤寒药附针灸法。
伤寒经与表合。针与药自汗出。遂漏不止。刺风府风池。却与桂枝汤。伤寒经与里合。
灸太溪七壮。与通脉四逆汤。此太阳少阴表里之法。故表可针太阳也。里可灸少阴也。
伤寒刺期门。
太阳病头痛眩冒。心下痞者。刺肺俞肝俞。不可发汗。发汗则谵语不止。当刺期门穴。
头痛
冒眩。太阳经病。可发汗。心下痞满。邪传里也。不可发汗。刺肺俞夺其邪气。二穴皆在太
阳经也。是高下之刺也。妄发其汗。内亡津液。传属阳明。故谵语不止。未太实者。当泻肝
经。刺期门。恐传入于脾胃也。
伤寒腹满谵语。寸口脉浮而紧。此肝乘脾也。名曰。从刺期门。腹满谵语。太阴阳明经
也。脉浮而紧。肝脉也。故夫乘妻名曰从。当刺期门。
伤寒发热。啬啬恶寒。大渴欲水。其腹必满。自汗出。小便利。肝乘肺也。名曰横刺期
门。
发热。啬啬恶寒者。肺病也。大渴者。上焦有热也。自汗者。表虚也。小便利者。里和也。
妻来乘夫。名曰横。当刺期门。
灸伤寒咳逆法。
十便良方云。有患霍乱吐痢者。垂困。忽发咳逆。半日之间。遂至困。始有人云。有灸
咳逆
法。凡伤寒及患疾得咳逆。皆为恶候。投药皆不效者。灸之必愈。予遂令灸之。火至。咳逆
已定。其法。乳下一指许正与乳相直骨间陷中。妇人即屈乳头度之。乳头齐处是穴。艾炷
如小豆许。灸三壮。男灸左。女灸右。只一处。火到当即瘥。若不瘥。则多不救矣。
治脉微细不见。一时无脉者。
以圆利针。刺足少阴经复溜二穴。在内踝上二寸陷中。针至骨顺针往下刺之。候回阳脉
生大。乃出针。
治伤寒饮水过多。腹胀气喘。穴中脘
治热病身痹。洒淅振寒。季胁支满痛。穴刺陷谷。足先寒上至膝。乃出针。
治伤寒气热身热喘。穴三间
治伤寒过经不解。刺足厥阴经期门二穴。使经不传。凡治伤寒。辨其足三阴三阳经。审
而刺之。仲景伤寒传足经不传手经。此之谓也。
治疗热病。症状表现为先出现腰部和胫骨酸痛,喜欢口渴并频繁饮水,身体发冷。身体发冷时会出现颈部疼痛、恶寒且酸楚,足部发热,不想说话,头部昏沉作痛。
首先针刺涌泉穴及太阳经的井穴和荥穴。若为热邪内盛导致少气、四肢厥冷且寒冷,应施灸以产生热力。灸涌泉穴三壮。若心烦意乱、食欲不振,灸涌泉穴可去除热邪。若出现四肢逆冷、喘息气短,或偏风导致身体出汗且发冷,都应取侠溪穴。
治疗温病,身体发热五日以上,无汗。
针刺太渊穴(大泉),留针一个时辰后取针。如果未满五日,禁止针刺。
凡是喜欢长叹气,食欲不振,怕冷,热汗出,发病时喜欢呕吐,呕吐后病情减轻,应取公孙穴的井穴和俞穴。实证表现为肠中剧烈疼痛。
厥证表现为头面部肿胀,起病时心烦狂躁,多饮,不愿卧床休息;虚证表现为腹部鼓胀,腹中气机壅滞胀满,热痛,食欲不振。霍乱由公孙穴主治。
治疗热病心烦,足部寒冷清冷,多汗。
先取然谷穴,后取太溪穴(都要先施行补法)。
《资生经》说:凡是温病可以针刺五十九个穴位。另外全身穴位有六百五十五个,其中三十六个穴位施灸会有害处,七十九个穴位针刺会造成灾祸。
治疗温病,针刺颞穴(此处原文可能有误,通常指特定部位或穴位,依原文直译)。
治疗阴毒伤寒的灸法。其症状为不烦躁,不口渴,嘴唇青紫,腰背沉重,咽喉及眼球疼痛,心腹烦疼,舌体缩短,面色青紫,呃逆嗳气,气喘,呕吐逆气,冷汗,向暗处不语。
用生葱大约十余茎,去掉根部和粗皮,倒置在纸上卷起,直径宽二寸,不要卷得太紧,要留出通气孔。用快刀切开,做成每个厚半寸的葱饼。放在肚脐中心。用熨斗加热熨烫葱饼,变软后更换。不超过十几次,病人就会苏醒。之后服用调理正气的药物。
治疗结胸伤寒的灸法。其症状为胸部胀满,呼吸短促,按压即痛,或者呕吐逆气、胸闷,或者大便不通,各种药物无法救治的。
用巴豆七粒带皮,肥黄连七寸,去须,一起捣烂做成一个药丸。放在肚脐心上,用手按压,使其稍微坚实。
在药丸上放置比皂子大的艾炷进行艾灸。严重的,不过三五壮即可立即痊愈。随后服用补药一两天。如果患病半个月,只要有微弱气息都能治愈。
治疗气虚阳脱,身体冰冷无脉,气息将绝,神志不清,以及伤寒阴厥,百药无效的葱熨法。
用葱用绳子缠绕如盏口大小,切去根部和叶子,只保留白色部分,长约二寸,做成大饼状。先用火加热一面使其通热,放上艾草,不要烫伤病人。然后将其搭在病患脐部连及脐下上方。上面用熨斗装满火熨烫它,使葱饼中的热气熨入肌肉中。必须预先制作三四张葱饼,一张坏了不可再熨,就换一张。过了很久,病人应当逐渐醒来,手足温暖,有汗则病愈。
再服用四逆汤之类的药物,温补体内,万万无忧。王氏说:我的伯兄患伤寒,昏迷不知人事八天,四肢坚硬冰冷如石头,药物无法进入。用此法遂痊愈。集贤校理胡全夫,用此法挽救他人危难,不可胜数。
刚得病时,有的先头痛身寒热,有的瑟瑟发抖想靠近火源,有的腰背强直,面目像饮酒后的样子。这是伤寒初得一两天的症状,只需烈火灸心下三处穴位:巨阙、上脘、胃脘。
各灸五十壮。成人可灸五十壮,小儿可灸三壮,也随年龄调整灸量。大小根据情况斟酌衡量。
治疗伤寒若患病者,三四日以上。
宜先灸胸上二十壮。又灸颞穴二穴。又灸风池穴二穴。又灸太冲穴三十壮,神验。又灸肝俞穴百壮,其余各处各二十壮。又以绳子测量鼻端正,向上至发际,中间弯曲绳子断去一半,便从发际进入发中,灸绳头,名叫天聪。
《资生经》说:凡是伤寒只有阴证可以灸,其余都应当针刺。所以《千金方》只说“刺取”,而《素问》也说病重的,用五十九刺,来泻诸阳、胸中、胃中、四肢、五脏的热邪。如果温病身体发热五日以上,无汗,可刺太渊穴。未满五日,禁止针刺。然而《千金方》对于头痛身寒热的病,却灸巨阙、上中脘三处。难道这也是阴证吗?其症状大概说是“瑟瑟发抖想靠近火源”就是。医者应当辨别。
治疗热病,突然心中懊恼,频频打哈欠伸懒腰,悲伤恐惧,目眩头痛,面赤发热,心悸肘臂疼痛。实证表现为肢体肿胀,虚证不能说话。如果咽喉痹阻,少气遗尿,取通里穴。
治疗热病烦闷,上气心痛,痰冷少气,悲伤恐惧容易受惊及手掌发热,胸痛,口热咽酸,忽冷忽热,手部痉挛不能伸展,牵引眼痛,取少冲穴。
治疗热病,战栗,咬牙,腹部胀满,阳痿颜色不变,取鱼际穴、阳谷穴。
治疗气热身热,气喘寒热口干,身热喘息,眼睛急痛,容易受惊,取三间穴。
治疗热病心烦,闷汗不出,掌中热,心痛,身热如火,舌根痛,取中冲、少冲、关冲、劳宫、大陵、阳溪、天井、间使穴。
治疗热病,心烦喜欢呃逆,心中澹澹不安,喜欢动而且热,取间使穴。
治疗热病先腰胫酸,喜欢口渴多次饮食,身体热项强痛,振寒,寒热,颈项肿,实证则肘挛头眩痛,虚则生疣,小的如疥疮,取支正、少海穴。
王氏说:阴毒沉困,药物难以奏效,只灸脐中三百壮,艾炷如半枣大小,手足不暖,不可治。
或者心迷耳聋叫不应,因吃冷物得病的,我用理中汤,救了几个人。如果再渴,就煎五苓散给病人服用,或者煎人参汤,服用都有效。又说:伤寒多从风寒得来,开始是表中风寒,寒入里,就不能消散了。没有温服而不消散的。
治疗伤寒在表,发热恶寒,头项痛,腰脊强无汗,尺寸脉俱浮,取合谷穴。
治疗阴证伤寒,四肢厥冷,腹痛吐利,身强烦躁自汗,脉沉细,或面赤。
凡三阴中寒都灸之,取陷谷穴,灸三七壮。体温脉通汗出有效,否则,再灸加倍艾量。
治疗突然得食病似伤寒,其人只想睡觉,七日不治疗会杀人。又按其脊两边,应当有凹陷处,正灸陷处两头各七壮,则痊愈。
治疗伤寒始得一二日。
上面可灸顶三壮。又灸大椎三壮,各加至五炷更好。使用验证有效。大椎平肩斜齐,高硕者是。
仍不得侵犯项分取之则非也。上接项骨,下齐肩,在椎骨节上是。其余穴位尽在节下。凡灸刺不得失之毫厘,现在崔氏不定高下,所以这样说。出自《黄帝针灸经》。
治疗断绝温病,令不相传染。及治疗时气瘴疫。
上用蜜艾灸病患床四角各一壮,不要让病人知道,最好。
治疗阴毒伤寒灸法。
用干艾叶捣熟去灰,做艾炷,灸脐下一寸三分,名气海。二寸丹田。三寸关元。五十壮至二三百壮,以手足渐温,人事稍苏为可治。
治疗阴证伤寒灸法。
于脐下一寸半气海穴。二七壮。小做艾炷于脐心。以盐填实。灸七壮立效。二寸丹田。三寸关元。皆可灸。
治疗时气病起,诸复劳灸法。
男初觉,便灸阴三七壮。若已尽,甚至百壮即愈。眼无妨。阴道疮复常。
治疗伤寒热甚五十九刺。五十九刺者,为头上五行,以克越诸阳之热也。穴大杼、膺俞、缺盆、肾俞(这八个用来泻胸中之热)、气冲、三里、巨虚上下廉(这八个,泻胃中热)、云门、巨骨、委中、脑空(这八个以泻四肢热)、五脏俞傍五(这十个,以泻脏之热)。凡此五十九穴者,背之左右,故病甚者,当刺之。凡刺之法,吸则纳针,得气则泻,勿令迟缓,起似发机。故《针经》曰:热者疾之。
刺热病汗不出。夫伤寒热病汗不出者,营卫不交,阴阳不和,故汗不出。当刺腹结、腹舍通其经络,和其阴阳,令汗得出。
手阳明有商阳、合谷。手太阳有腕骨、阳谷。足少阳有侠溪。足阳明有厉兑。手厥阴有劳宫。
凡此七穴,皆刺热病汗不出。随经辨脉,调其阴阳,合其荣卫,令得汗出。又十二经之荣,皆治身热,为主身热皆南方火,故经曰:荣主身热,皆可刺也。
刺伤寒结胸痞气。
伤寒下后结胸痞气者,皆足三阴之终,手三阴之始,胸中结痞,过在足少阴肾、手厥阴包络。
刺两经之井原,以泻胸中之气。心中结痞,过在足太阴脾、手少阴心。刺两经之井原,以泻心中之气。胃中结痞,过在足厥阴肝、手太阴肺。刺两经之井原,以泻胃中之气。或上腕、中腕、下腕,应痞结而泻之。
治疗伤寒三阳头痛法。伤寒三阳头痛,何法刺之?答曰:手之三阳,足之三阳,皆会于头者,谓诸阳之会。其受邪伏留而不去,故曰:三阳头痛。视其色脉,知在何经而取之。
如脉浮而头痛,过在手足太阳,刺腕骨、京骨穴。
如脉浮而长,过在手足阳明,刺合谷、冲阳穴。
如脉浮而弦,过在手足少阳,刺阳池、丘墟、风府、风池。以上数穴,刺三阳之头痛法也。
治疗伤寒三阴腹痛法。伤寒邪在三阴内,不得交通,故为腹痛。手足之经,皆会于腹。随经取之。
如脉弦而腹痛,过在足厥阴肝、手太阴肺,刺太冲、太渊、大陵穴。
如脉沉而腹痛,过在足少阴肾、手厥阴心胞,刺太溪、大陵穴。
如脉细沉,而腹痛,过在足太阴脾、手少阴心,刺太白、神门、三阴交穴。
以上数穴,刺三阴腹痛之法也。
灸少阴原救脉法。
治伤寒阴病脉欲绝,当灸太溪穴。太溪者,足少阴肾之原。少阴病属水,阴气太盛,阳气不得营,故泻阴补阳。阴毒伤寒,体沉四肢俱重,腹痛脉微迟,当灸气海,或关元。脉属少阴,故同法泻阴补阳也。
辨伤寒药附针灸法。
伤寒经与表合,针与药自汗出,遂漏不止,刺风府、风池,却与桂枝汤。伤寒经与里合,灸太溪七壮,与通脉四逆汤。此太阳少阴表里之法,故表可针太阳也,里可灸少阴也。
伤寒刺期门。
太阳病头痛眩冒,心下痞者,刺肺俞、肝俞,不可发汗,发汗则谵语不止,当刺期门穴。
头痛冒眩,太阳经病,可发汗。心下痞满,邪传里也,不可发汗。刺肺俞夺其邪气,二穴皆在太阳经也。是高下之刺也。妄发其汗,内亡津液,传属阳明,故谵语不止。未太实者,当泻肝经,刺期门,恐传入于脾胃也。
伤寒腹满谵语,寸口脉浮而紧,此肝乘脾也,名曰从。刺期门。腹满谵语,太阴阳明经也。脉浮而紧,肝脉也。故夫乘妻名曰从,当刺期门。
伤寒发热,啬啬恶寒,大渴欲水,其腹必满,自汗出,小便利,肝乘肺也,名曰横。刺期门。
发热,啬啬恶寒者,肺病也。大渴者,上焦有热也。自汗者,表虚也。小便利者,里和也。妻来乘夫,名曰横,当刺期门。
灸伤寒咳逆法。
《十便良方》云:有患霍乱吐痢者,垂困,忽发咳逆,半日之间,遂至困。始有人云:有灸咳逆法。凡伤寒及患疾得咳逆,皆为恶候,投药皆不效者,灸之必愈。予遂令灸之,火至,咳逆已定。其法:乳下一指许正与乳相直骨间陷中,妇人即屈乳头度之,乳头齐处是穴。艾炷如小豆许,灸三壮,男灸左,女灸右,只一处,火到当即瘥。若不瘥,则多不救矣。
治疗脉微细不见,一时无脉者。
以圆利针,刺足少阴经复溜二穴,在内踝上二寸陷中,针至骨顺针往下刺之,候回阳脉生大,乃出针。
治疗热病身痹,洒淅振寒,季胁支满痛,取刺陷谷穴,足先寒上至膝,乃出针。
治疗伤寒过经不解,刺足厥阴经期门二穴,使经不传。凡治伤寒,辨其足三阴三阳经,审而刺之。仲景伤寒传足经不传手经,此之谓也。
Treating febrile diseases. The symptoms manifest initially as soreness and pain in the lower back and shins, with a preference for thirst and frequent drinking. The body feels cold; when cold, there is neck pain, aversion to cold, and soreness. The feet feel hot, there is a reluctance to speak, and the head feels heavy and painful.
First, needle Yongquan (KI 1) and the Jing-River points of the Taiyang channel. If there is heat within causing shortness of breath, cold limbs, and cold sensations, moxibustion should be applied to generate heat. Moxa three cones on Yongquan (KI 1). If there is vexation in the heart and lack of appetite, moxa on Yongquan (KI 1) removes the heat. If there are inverted cold limbs, panting, and shortness of breath, or hemiplegia causing sweating and chills, Xiashi (GB 43) should be selected.
Treating warm diseases where the body has been feverish for more than five days without sweat.
Needle Taiyuan (LU 9), retain the needle for one shichen (two hours), then remove it. If less than five days have passed, needling is prohibited.
For those who frequently sigh, lack appetite, feel much cold, sweat with heat, and tend to vomit upon onset of illness, with improvement after vomiting, select Gongsun (SP 4) at its Jing-Well and Shu-Stream points. Excess patterns present as severe cutting pain in the intestines.
Jue syndromes manifest as swelling of the head and face, initial vexation and mania, polydipsia, and unwillingness to lie down; deficiency patterns present as abdominal distension like a drum, excessive qi fullness in the abdomen, hot pain, and lack of appetite. Huoluan (cholera-like disorder) is primarily treated by Gongsun (SP 4).
Treating febrile diseases with vexation in the heart, cold and clear coldness in the feet, and profuse sweating.
First select RanGu (KI 2), then select TaiXi (KI 3) (both require tonification first).
The *Zisheng Jing* states: For all warm diseases, fifty-nine acupoints may be needled. Furthermore, there are six hundred and fifty-five acupoints on the body; thirty-six are harmful if moxa is applied, and seventy-nine are disastrous if needled.
Treating warm diseases, needle the temporal region (Note: Text implies specific points, translated literally as 'temporal point').
Moxibustion method for Yin-Du Cold Damage (Yin Toxin Shanghan). The condition presents as no restlessness, no thirst, blue lips, heaviness of the waist and back, pain in the throat and eyeballs, vexing pain in the heart and abdomen, retracted tongue, blue complexion, hiccuping and belching, panting, vomiting and counterflow, cold sweat, muteness facing darkness.
Use approximately ten fresh green onions, remove roots and coarse skin, roll them upside down on paper to a diameter of two cun, not too tight, allowing air passage. Cut quickly with a sharp knife into cakes half an cun high. Place on the center of the umbilicus. Use a moxa iron to heat the onion cake, replacing it when soft. No more than ten times, and the patient will revive. Afterwards, administer medicines to support healthy qi.
Moxibustion method for Jie-Xiong (Knotting Chest) Cold Damage. Symptoms include chest fullness, shortness of breath, pain upon pressure, vomiting and counterflow with chest oppression, or constipation, where all medicines fail.
Take seven bitter almonds (Ba Dou) with skin, seven cun of thick Coptis Rhizome (Huang Lian), remove threads, pound together into one pill. Place on the center of the umbilicus, press firmly with hand.
Place a moxa cone larger than a soap bean on the medicine and moxa. For severe cases, three to five cones will cure immediately. Follow with tonic medicines for one to two days. If ill for half a month, even with faint qi, it can be cured.
Treating Qi deficiency and Yang collapse, cold body without pulse, breath nearly exhausted, unconsciousness, as well as Yin-Jue Cold Damage unresponsive to hundreds of medicines, use the Green Onion Ironing Method.
Tie green onions with rope to the size of a cup, cut off roots and leaves, keeping only the white part, about two cun long, forming large cakes. Heat one side with fire until thoroughly warm, add mugwort, ensuring it does not burn the patient. Place over the patient's umbilicus extending downwards. Fill the moxa iron with fire and iron over it, driving the heat from the onion cake into the muscles. Prepare three or four cakes in advance; replace when one is damaged. After a while, the patient should gradually awaken, hands and feet become warm, and sweating indicates recovery.
Subsequently administer Si Ni Tang (Frigid Extremities Decoction) or similar formulas to warm the interior, with absolute safety. Wang Shi said: My elder brother suffered from Cold Damage, unconscious for eight days, limbs hard and cold as stone, medicines could not enter. Using this method, he recovered. Scholar Hu Quanfu used this method to save countless lives in crisis.
Upon initial onset of illness, some present with headache, alternating chills and fever, trembling desire to seek fire, or stiff back and neck, facial appearance resembling drunkenness. This is Cold Damage in the first or second day. Apply fierce fire moxa to three points below the heart: Juque (CV 14), Shangwan (CV 13), and Weiwann (CV 12).
Moxa fifty cones at each point. Adults may receive fifty cones, children three cones, adjusted by age. Determine quantity according to circumstances.
For treating Cold Damage patients after three or four days.
It is appropriate to first moxa twenty cones on the upper chest. Then moxa two points at the temporal region. Then moxa Fengchi (GB 20) twice. Then moxa Taichong (LR 3) thirty cones, which is miraculous. Also moxa Ganshu (BL 18) one hundred cones, and twenty cones at other locations. Measure from the nose tip straight up to the hairline, fold the string in half and break it. Enter the hair from the hairline and moxa the end of the string, named Tiancong.
The *Zisheng Jing* states: For all Cold Damage, only Yin patterns may be moxa-ed; others should be needled. Thus, *Qianjin Fang* only mentions "needling," and *Suwen* also states that for severe diseases, use the Fifty-Nine Needles to drain heat from the Yang channels, chest, stomach, limbs, and five zang organs. If warm disease causes fever for five days or more without sweat, Taiyuan (LU 9) may be needled. Less than five days, needling is prohibited. However, *Qianjin Fang* moxas Juque (CV 14), Zhongwan (CV 12), and Shangwan (CV 13) for headache and alternating chills/fever. Is this also a Yin pattern? The symptom described as "trembling desire to seek fire" indicates this. Physicians must differentiate.
Treating febrile diseases with sudden mental distress (Ao Nao), frequent yawning and stretching, sadness and fear, dizziness, headache, red and hot face, palpitations, and elbow/arm pain. Excess patterns present with limb swelling; deficiency patterns present with inability to speak. If there is throat obstruction, shortness of breath, and urinary incontinence, select Tongli (HT 5).
Treating epidemic Cold Damage, select Zhongwan (CV 12).
Treating Cold Damage with somnolence, lethargy, unwillingness to move, constant dampness, and inability to eat, select Ge Shu (BL 17).
Treating febrile diseases with vexation and fullness, rising qi, heart pain, phlegm-cold, shortness of breath, sadness, fear, and susceptibility to fright, along with palm heat, chest pain, hot mouth, sour throat, alternating chills and fever, hand spasm unable to extend, and eye pain牵引, select Shaochong (HT 9).
Treating residual Cold Damage diseases with dry skin, select Quchi (LI 11).
Treating febrile diseases starting with several days of unhappiness, select Tongli (HT 5).
Treating febrile diseases with tremors, grinding teeth, abdominal fullness, impotence with unchanged color, select Yuji (LU 10) and Yanggu (SI 5).
Treating Qi obstruction with frequent vomiting, grinding teeth without sweat, select Chize (LU 5).
Treating head and body heat/redness, tremors, laxity of waist and limbs, desire to vomit, select Shenshu (BL 23).
Treating Qi-heat and body heat, panting with chills/fever, dry mouth, body heat with panting, urgent eye pain, susceptibility to fright, select Sanjian (LI 3).
Treating febrile diseases with chills, grinding teeth, abdominal fullness, impotence with unchanged color, select Yuji (LU 10).
Treating febrile diseases with vexation in the heart, stifled sweat, palm heat, heart pain, body heat like fire, and root of tongue pain, select Zhongchong (PC 9), Shaochong (HT 9), Guanchong (SJ 1), Laogong (PC 8), Daling (PC 7), Yangxi (LI 5), Tianjing (SJ 10), Neiguan (PC 6).
Treating febrile diseases with vexation and tendency to hiccups, calm feeling in the chest, restlessness with heat, select Neiguan (PC 6).
Treating vexation and tendency to vomiting, select Juque (CV 14).
Treating Cold Damage and warm diseases with body heat, vexation, and dry mouth, select Quze (PC 3).
Treating febrile diseases starting with shin soreness, thirst with frequent eating/drinking, body heat with stiff neck pain, tremors, chills/fever, neck swelling. Excess patterns cause elbow spasm and dizziness/headache; deficiency patterns cause warts, small ones like scabies. Select Zhengjing (SI 7) and Shaohai (HT 3).
Treating tremors and neck pain, select Tianjing (TE 10).
Treating febrile diseases with spine pain, select Weizhong (BL 40).
Treating Cold Damage with stiff neck, frequent swallowing difficulty, nasal discharge of clear fluid, select Fengmen (BL 12).
Wang Shi said: Yin-Du is deep and debilitating, medicines are difficult to work. Only moxa the umbilicus three hundred cones, moxa cones the size of half a date. If hands and feet are not warm, it is incurable.
Or if there is heart confusion, deafness, shouting without response, caused by eating cold foods, I have used Lizhong Tang (Regulate the Middle Decoction) to save several people. If thirsty, decoct Wuling San (Five-Ingredient Powder with Poria) to drink, or decoct Ginseng Tang. All are effective. It is also said: Cold Damage mostly arises from wind-cold. Initially, wind-cold enters the exterior; once cold enters the interior, it cannot dissipate. There is no case where warm administration fails to dissipate it.
Treating Cold Damage Jie-Xiong (Knotting Chest), select Zhigou (TE 6), Neiguan (PC 6), and Xingjian (LR 2).
Treating Cold Damage at the exterior, with fever, aversion to cold, headache and neck pain, stiff back and spine, no sweat, floating pulse at Cun and Chi positions, select Hegu (LI 4).
Treating Cold Damage from excessive water intake, abdominal distension, panting, unbearable epigastric pain, select Zhongwan (CV 12) and Qihai (CV 6).
Treating Cold Damage with Qi rushing in the lower abdomen, select Tianshu (ST 25), Qichong (ST 30), Zusanli (ST 36), and Sanyinjiao (SP 6).
Treating Cold Damage with inverted cold limbs, select Dadu (SP 2), Neiting (ST 44), TaiXi (KI 3), and Xingjian (LR 2).
Treating Cold Damage with intermingled sweat failure, select Fengchi (GB 20), Xiashi (GB 43), Yuji (LU 10), Jingqu (LU 8), and Neiting (ST 44).
Treating Cold Damage with persistent heat in the chest, select Dazhu (BL 11), Fengmen (BL 12), Zhongfu (LU 1), and Quepen (CV 15).
Treating Cold Damage with persistent heat in the stomach, select Zhongwan (CV 12), Zusanli (ST 36), Shanglian (ST 37), Xialian (ST 39), and Qichong (ST 30).
Treating Cold Damage with persistent heat in the four limbs, select Yunmen (LU 2), Jianliao (TE 14), Weizhong (BL 40), and Yaoshu (BL 23).
Treating acute food stagnation and Cold Damage water accumulation, select Sanjian (LI 3), Hegu (LI 4), and Chengshan (BL 57).
Treating Yin-pattern Cold Damage with cold limbs, abdominal pain, vomiting and diarrhea, stiff body, restlessness, spontaneous sweating, fine and deep pulse, or red face.
All Three-Yin internal cold should be moxa-ed. Select Xangu (ST 43), moxa twenty-one cones. If body temperature rises, pulse flows, and sweat appears, it is effective. Otherwise, moxa again with double the mugwort.
Treating sudden food poisoning resembling Cold Damage, where the person only wants to sleep. If untreated for seven days, it is fatal. Press both sides of the spine; there should be depressions. Moxa seven cones at each end of the depression, then it heals.
Treating Cold Damage just acquired in one or two days.
One may moxa the vertex three cones. Also moxa Dazhui (GV 14) three cones, adding up to five cones is better. Verified efficacy. Dazhui aligns with shoulders, slanting, prominent.
Do not invade the neck division to take points, which is incorrect. Above connects to the neck bone, below aligns with shoulders, located on the vertebral joint. Other points are all below the joints. Moxa and needle techniques must not err by a hair's breadth. Currently, Cui Shi does not fix heights, hence this statement. From *Huangdi Zhenjiu Jing*.
To prevent Warm Disease transmission and treat seasonal miasma epidemics.
Use honey-moxa on the four corners of the patient's bed, one cone each, without letting the patient know. This is best.
Moxibustion method for Yin-Du Cold Damage.
Use dried mugwort leaves, pounded熟 and ash removed, form moxa cones. Moxa Yihuaxia (below umbilicus) one cun three fen, named Qihai (CV 6). Two cun is Dantian (CV 12). Three cun is Guanyuan (CV 4). Fifty to two or three hundred cones. When hands and feet gradually warm and consciousness slightly returns, it is treatable.
Moxibustion method for Yin-pattern Cold Damage.
At Qihai (CV 6), one cun half below the umbilicus. Moxa fourteen cones. Make small moxa cones on the umbilicus center. Fill with salt. Moxa seven cones for immediate effect. Dantian (CV 12) two cun and Guanyuan (CV 4) three cun can also be moxa-ed.
Treating pea-pox appearing after febrile diseases, moxa three cones on the styloid process of both wrists, left for males, right for females.
Treating Cold Damage with intense heat, vexation, and vomiting, select Dazhui (GV 14).
Treating febrile diseases with lateral headache drawing pain to the outer canthus, select Xuanli (GB 5) and Jiawei (CV 15).
Treatment for recurring fatigue after seasonal Qi disorders begins.
For males, upon initial sensation, moxa Yin (perineum) fourteen cones. If insufficient, up to one hundred cones will cure. Eyes are unaffected. Genital ulcers return to normal.
Treating severe Cold Damage heat with the Fifty-Nine Needles. The Fifty-Nine Needles refer to five rows on the head to overcome heat in all Yang channels. Points: Dazhu (BL 11), Ying Shu (likely Feishu BL 13 or similar chest points), Quepen (CV 15), Shenshu (BL 23) (these eight drain chest heat); Qichong (ST 30), Zusanli (ST 36), Shangjuxu (ST 37), Xiajuxu (ST 39) (these eight drain stomach heat); Yunmen (LU 2), Jugu (SI 1), Weizhong (BL 40), Naokong (GB 13) (these eight drain limb heat); Five flanking points of the Five Zang Shu (BL 15-21) (these ten drain organ heat). These fifty-nine points are on the left and right of the back. For severe diseases, they should be needled. The method of needling: inhale to insert needle, drain upon obtaining Deqi, do not delay. Withdraw like releasing a trigger. Thus, *Zhenjing* says: For heat, hasten it.
Needling febrile diseases without sweat. In Cold Damage and febrile diseases, lack of sweat is due to non-interaction of Ying and Wei, and disharmony of Yin and Yang. Therefore, no sweat. One should needle Fujie (ST 26) and Fushhe (ST 25) to unblock meridians, harmonize Yin and Yang, and induce sweat.
Hand-Yangming has Shangyang (LI 1) and Hegu (LI 4). Hand-Taiyang has Wangu (SI 4) and Yanggu (SI 5). Foot-Shaoyang has Xiashi (GB 43). Foot-Yangming has Lidui (ST 45). Hand-Jueyin has Laogong (PC 8).
These seven points all treat febrile diseases without sweat. Differentiate pulse by channel, regulate Yin and Yang, combine Ying and Wei, to allow sweat. The Ying-Spring points of the twelve channels all treat body heat, as body heat is primarily Southern Fire. Thus, the classics say: Ying governs body heat; all may be needled.
Needling Cold Damage Jie-Xiong (Knotting Chest) and Pi-Qi (Stagnant Qi).
After purgation in Cold Damage, Jie-Xiong and Pi-Qi arise. These are the endings of the Three Foot-Yin channels and beginnings of the Three Hand-Yin channels. Chest knotting and stagnation relate to Foot-Shaoyin Kidney and Hand-Jueyin Pericardium.
Needle the Jing-Well and Yuan-Source points of these two channels to drain Qi in the chest. Heart knotting and stagnation relate to Foot-Taiyin Spleen and Hand-Shaoyin Heart. Needle the Jing-Well and Yuan-Source points of these two channels to drain Qi in the heart. Stomach knotting and stagnation relate to Foot-Jueyin Liver and Hand-Taiyin Lung. Needle the Jing-Well and Yuan-Source points of these two channels to drain Qi in the stomach. Or at Upper, Middle, and Lower Guan (likely referring to wrist areas), drain corresponding stagnation.
Method for treating Three-Yang headaches in Cold Damage. How to needle Three-Yang headaches in Cold Damage? Answer: The Three Hand-Yang and Three Foot-Yang channels all converge at the head, called the Meeting of All Yang. Pathogens lodge and remain, thus called Three-Yang headache. Observe color and pulse to determine which channel and select points.
If pulse is floating with headache, the pathogen is in Hand and Foot Taiyang. Needle Wangu (SI 4) and Jinggu (BL 64).
If pulse is floating and long, the pathogen is in Hand and Foot Yangming. Needle Hegu (LI 4) and Chongyang (ST 42).
If pulse is floating and wiry, the pathogen is in Hand and Foot Shaoyang. Needle Yangchi (TE 4), Qiuxu (GB 40), Fengfu (GV 16), and Fengchi (GB 20). The above points constitute the method for needling Three-Yang headaches.
Method for treating Three-Yin abdominal pain in Cold Damage. Pathogens in the Three Yin fail to communicate, causing abdominal pain. Hand and Foot channels all converge at the abdomen. Select points according to the channel.
If pulse is wiry with abdominal pain, the pathogen is in Foot-Jueyin Liver and Hand-Taiyin Lung. Needle Taichong (LR 3), Taiyuan (LU 9), and Daling (PC 7).
If pulse is deep with abdominal pain, the pathogen is in Foot-Shaoyin Kidney and Hand-Jueyin Pericardium. Needle TaiXi (KI 3) and Daling (PC 7).
If pulse is fine and deep with abdominal pain, the pathogen is in Foot-Taiyin Spleen and Hand-Shaoyin Heart. Needle Taibai (SP 3), Shenmen (HT 7), and Sanyinjiao (SP 6).
The above points constitute the method for needling Three-Yin abdominal pain.
Moxa-Shaoyuan Rescue Pulse Method.
Treating Cold Damage Yin disease with pulse nearing exhaustion, one should moxa TaiXi (KI 3). TaiXi is the Yuan-Source point of Foot-Shaoyin Kidney. Shaoyin disease belongs to Water. Yin Qi is too abundant, Yang Qi cannot circulate. Thus, drain Yin and tonify Yang. Yin-Du Cold Damage presents with heavy body, heavy limbs, abdominal pain, faint and slow pulse. One should moxa Qihai (CV 6) or Guanyuan (CV 4). Since the pulse belongs to Shaoyin, the same method of draining Yin and tonifying Yang applies.
Differentiating Cold Damage Medicines and Attaching Acupuncture Methods.
When Cold Damage channels combine with the exterior, needles and medicines cause spontaneous sweating, leading to continuous leakage. Needle Fengfu (GV 16) and Fengchi (GB 20), then administer Guizhi Tang (Cinnamon Twig Decoction). When Cold Damage channels combine with the interior, moxa TaiXi (KI 3) seven cones, then administer Tongmai Sini Tang (Pulse-Recovering Frigid Extremities Decoction). This is the Exterior-Interior method of Taiyang and Shaoyin. Thus, the exterior may be needled at Taiyang, and the interior moxa-ed at Shaoyin.
Cold Damage needling Qimen (LR 14).
Taiyang disease with headache, dizziness, and epigastric fullness: needle Feishu (BL 13) and Ganshu (BL 18). Do not induce sweating. Sweating will cause incessant delirious speech. One should needle Qimen (LR 14).
Headache and dizziness are Taiyang channel diseases, sweating is permissible. Epigastric fullness indicates pathogen transmitting to the interior; sweating is forbidden. Needle Feishu (BL 13) to seize the pathogen. Both points are in the Taiyang channel. This is high-low needling. Reckless sweating depletes interior fluids, transmitting to Yangming, causing incessant delirious speech. If not yet fully solidified, drain the Liver channel by needling Qimen (LR 14), fearing transmission to Spleen and Stomach.
Cold Damage with abdominal fullness and delirious speech, Cun and Kou pulses floating and tight. This is Liver overacting on Spleen, named Cong (Following). Needle Qimen (LR 14). Abdominal fullness and delirious speech involve Taiyin and Yangming channels. Floating and tight pulse is Liver pulse. Thus, wife overcoming husband is named Cong; needle Qimen (LR 14).
Cold Damage with fever, slight aversion to cold, great thirst wanting water, abdominal fullness, spontaneous sweating, and free urination. This is Liver overacting on Lung, named Heng (Horizontal). Needle Qimen (LR 14).
Fever and slight aversion to cold indicate Lung disease. Great thirst indicates heat in the Upper Jiao. Spontaneous sweating indicates exterior deficiency. Free urination indicates interior harmony. Wife overcoming husband is named Heng; needle Qimen (LR 14).
Moxibustion method for Cold Damage cough and counterflow.
*Shibian Liangfang* states: Patients with Huoluan vomiting and diarrhea, near death, suddenly develop cough and counterflow. Within half a day, they reach critical condition. Someone said there is a moxa method for cough and counterflow. For all Cold Damage and diseases developing cough and counterflow, it is a bad omen. If medicines fail, moxa will surely cure. I ordered moxa. Upon fire arrival, cough and counterflow settled. The method: One finger width below the nipple, directly aligned with the nipple, in the bony depression. For women, bend the nipple to measure; the level of the nipple tip is the point. Moxa cone the size of a small bean, three cones. Males moxa left, females moxa right, only one site. Upon fire arrival, it heals immediately. If not healed, it is mostly incurable.
Treating faint and thin pulse, or absent pulse temporarily.
Use a round-pointed needle to needle Fuliu (KI 7) of the Foot-Shaoyin channel, in the depression two cun above the medial malleolus. Insert needle to the bone, follow the needle downward. Wait for the returning Yang pulse to become large, then remove the needle.
Treating Cold Damage from excessive water intake, abdominal distension, and panting, select Zhongwan (CV 12).
Treating febrile diseases with body numbness, chilliness, and hypochondriac fullness/pain, needle Xangu (ST 43). Feet feel cold ascending to the knee, then remove the needle.
Treating Cold Damage with Qi-heat, body heat, and panting, select Sanjian (LI 3).
Treating Cold Damage passing stages without resolution, needle Qimen (LR 14) twice on the Foot-Jueyin channel to prevent transmission. In treating Cold Damage, differentiate the Foot Three-Yin and Three-Yang channels, examine carefully, and needle. Zhang Zhongjing's Cold Damage transmits through Foot channels, not Hand channels; this is what is meant.