(附论)
灸刺法论曰。内经治咳之法。治脏者治其 。治腑者治其合。浮肿者治其经。以穴考之
各
有定处。诸咳而喘息。有音甚则唾血者。太渊主之。浮肿者。治在经渠。咳而两胁下痛。不
可转者。太冲主之。浮肿则治在中封。咳而右胁下痛。隐隐引肩背痛甚则不可动者。太白主
之。浮肿则治在商丘。咳而腰背相引痛甚者。咳涎者。太溪主之。浮肿则治在复溜。咳而心
痛。喉仲介介如鲠。甚则咽肿喉痹者。神门主之。浮肿则治在灵道。咳而失血者。曲池主之
浮肿。则治在阳溪。咳而失气者。小海主之。浮肿则治在阳谷。咳而遗溺者。委中主之。
浮肿则治在昆仑。咳而呕呕甚。则长虫出者。三里主之。浮肿则治在解溪。咳而呕苦汁者。
阳陵泉主之。浮肿则治在阳辅。久咳不已。咳而腹满者。天井主之。浮肿则治在支沟。凡此
五脏六腑之咳。治之常法也。 合之外。别有遗法。附之于后云。
治久喘嗽。咯脓血。有痰不愈者。
上用白表纸数重折之。于凉水内浸湿了。然后燃艾炷。仍蘸些许雄黄末同燃。或艾炷子
放在舌头上正中为妙。下手灸人。拿着一个铜匙头于患人口内。上脬
一小块。压下。仍用秫米粥饮之。其灸炷
治咳嗽多喘(资生经)。穴三里
治咳嗽。穴缺盆 膻中 巨阙
治咳嗽喘。又疗肺心痛。咳引尻溺出。穴鱼际
治肺嗽。穴肺俞
治咳嗽。穴少泽 心俞 库房
治咳嗽上气。噎。胸中气喉内。如水鸡声。穴天突
治咳嗽少气。穴廉泉
治咳嗽上气气短。穴膻中
治咳逆上气。穴经渠
治上气咳嗽。胸中气满喉鸣。四肢不举。腋下肿。穴天池
治上气咳嗽。喘息。及腹中鸣。积气上下行。穴解溪
治咳嗽。穴鱼际 列缺 少泽 缺盆
治咳嗽喘渴。穴尺泽
治咳嗽上气唾血。穴肩中俞
治风劳气咳嗽。穴大杼
治喘气卧不安。穴风门
治肺痿咳嗽。穴肺俞
治肺气咳嗽。穴膻中
治咳嗽衄血项颈痛。穴前谷
治 癖咳嗽。不嗜食。上气咳嗽。穴肺募。灸五十壮。
治嗽。手屈臂中有横纹之外骨头捻得痛处。灸十四壮良。又灸两乳下黑白际。各百壮即
瘥。又以绳当乳头周匝围身。令前后正平。当脊骨解中灸十壮。
治咳嗽。穴廉泉 天井 太渊
王氏云。久嗽最宜灸膏肓穴。其次则宜灸肺俞等穴。各随证治之。若暴嗽。则不必灸也
有
男子忽气出不绝声。病数日矣。以手按其膻中穴而应。微以冷针频频刺之而愈。初不之灸。
何其神也。
治十二种风。入肺则咳逆气短。肝咳刺足太冲。心咳刺神门。脾咳刺太白。肺咳刺太渊
治喘嗽(出危氏方)。穴肺俞。灸各十一壮。穴天突。灸七壮。立效。
治嗽。穴胸前对乳一处灸随年壮。又用绳横量乳中。折绳从脊。灸绳两头。各八十壮。
三报之。三日毕。
治咳嗽。穴心俞。灸五壮。炷如半枣核大。
(附论)
灸刺法论述说:《内经》治疗咳嗽的方法,治疗五脏病证时取用井穴,治疗六腑病证时取用合穴,出现浮肿症状时取用经穴。通过穴位来考察,各有固定的位置。凡是咳嗽且伴有喘息、声音沉重甚至咳血的,由太渊穴主治。若伴有浮肿,则治疗在经渠穴。咳嗽且两侧胁下疼痛、身体不能转动的,由太冲穴主治。若伴有浮肿,则治疗在中封穴。咳嗽且右侧胁下疼痛,隐隐牵连肩背疼痛,严重时甚至无法动弹的,由太白穴主治。若伴有浮肿,则治疗在商丘穴。咳嗽且腰背相互牵引疼痛剧烈的,咳吐涎沫的,由太溪穴主治。若伴有浮肿,则治疗在复溜穴。咳嗽且心痛,喉咙中有异物感如鲠在喉,严重时咽喉肿痛、喉痹的,由神门穴主治。若伴有浮肿,则治疗在灵道穴。咳嗽且失血(此处指咳血或鼻衄等出血症)的,由曲池穴主治。若伴有浮肿,则治疗在阳溪穴。咳嗽且排气(放屁)的,由小海穴主治。若伴有浮肿,则治疗在阳谷穴。咳嗽且遗尿的,由委中穴主治。若伴有浮肿,则治疗在昆仑穴。咳嗽且呕吐剧烈,甚至吐出蛔虫的,由足三里穴主治。若伴有浮肿,则治疗在解溪穴。咳嗽且呕吐苦味汁液的,由阳陵泉穴主治。若伴有浮肿,则治疗在阳辅穴。久咳不止,咳嗽且腹部胀满的,由天井穴主治。若伴有浮肿,则治疗在支沟穴。以上这些是五脏六腑咳嗽治疗的常规方法。除了合穴之外,还有其他的遗留疗法,附在后面如下:
治疗久喘咳嗽,咯出脓血,有痰久治不愈的:
取多层白表纸,在凉水中浸湿,然后点燃艾炷,仍蘸少许雄黄末一同燃烧。或者将艾炷放在舌头正中,这是最巧妙的做法。施灸的人,拿着一个铜匙头放入患者口中,压住一小块肉(防止烫伤),然后再让患者喝些秫米粥。
治疗咳嗽多喘(出自《资生经》):取足三里穴。
治疗咳嗽:取缺盆、膻中、巨阙穴。
治疗咳嗽气喘,又治疗肺心痛,咳嗽牵引肛门并导致小便失禁:取鱼际穴。
治疗肺嗽:取肺俞穴。
治疗咳嗽:取少泽、心俞、库房穴。
治疗咳嗽上气,噎阻,胸中及喉内有如水鸡叫声:取天突穴。
治疗咳嗽少气:取廉泉穴。
治疗咳嗽上气、气短:取膻中穴。
治疗咳逆上气:取经渠穴。
治疗上气咳嗽,胸中气满、喉鸣,四肢不能举动,腋下肿胀:取天池穴。
治疗上气咳嗽,喘息,以及腹中肠鸣,积气上下运行:取解溪穴。
治疗咳嗽:取鱼际、列缺、少泽、缺盆穴。
治疗咳嗽气喘口渴:取尺泽穴。
治疗咳嗽上气、咳血:取肩中俞穴。
治疗风劳气咳嗽:取大杼穴。
治疗喘气卧睡不安:取风门穴。
治疗肺痿咳嗽:取肺俞穴。
治疗肺气咳嗽:取膻中穴。
治疗咳嗽衄血、项颈痛:取前谷穴。
治疗癖块咳嗽,食欲不振,上气咳嗽:取肺募穴,灸五十壮。
治疗咳嗽:在手屈臂时有横纹外侧骨头处,按压感到疼痛的地方,灸十四壮效果好。另外灸两乳头下方黑白交界处,各一百壮即可痊愈。又用绳子围绕乳头周长绕身,使前后正平,对准脊柱骨节中间的位置灸十壮。
治疗咳嗽:取廉泉、天井、太渊穴。
王氏说:久嗽最适合灸膏肓穴,其次适宜灸肺俞等穴,各自根据证候治疗。如果是暴嗽,则不必灸。
有一男子忽然气息不断出声,患病数日了。用手按压其膻中穴有反应,用微冷的针频频针刺而痊愈。起初没有使用灸法,为何如此神奇呢?
治疗十二种风邪入肺导致的咳逆气短:肝咳刺足太冲穴,心咳刺神门穴,脾咳刺太白穴,肺咳刺太渊穴。
治疗喘嗽(出自危氏方):取肺俞穴,每穴灸十一壮;取天突穴,灸七壮,立即见效。
治疗咳嗽:在胸前对应乳头的一处灸随年壮(即按年龄决定壮数)。又用绳子横向测量两乳中距离,折断绳子从背部量至脊柱,灸绳子两头对应的部位,各八十壮。分三次进行,三天完成。
治疗咳嗽:取心俞穴,灸五壮,艾炷大小如半个枣核大。
(Attached Treatise)
The treatise on moxibustion and acupuncture states: The methods for treating cough in the *Neijing* (Inner Canon of the Yellow Emperor) are as follows: For diseases of the Zang organs, treat their Jing-well points; for diseases of the Fu organs, treat their He-sea points; for conditions with edema, treat their Jing-river points. Examining by acupoints, each has a fixed location. For all cases of cough accompanied by panting, loud voice, and even hemoptysis, Taiyuan (LU-9) is the primary point. If accompanied by edema, treat at Jingqu (LU-8). For cough with pain under both hypochondria and inability to turn the body, Taichong (LR-3) is the primary point. If accompanied by edema, treat at Zhongfeng (LR-4). For cough with pain under the right hypochondrium, faintly radiating to shoulder and back pain, severe enough to prevent movement, Taibai (SP-3) is the primary point. If accompanied by edema, treat at Shangqiu (SP-5). For cough with severe mutual pulling pain between waist and back, and expectoration of saliva, Taixi (KI-3) is the primary point. If accompanied by edema, treat at Fuliou (KI-7). For cough with heart pain, a sensation of obstruction in the throat like a fishbone, and severe swelling of the throat or throat bi syndrome, Shenmen (HT-7) is the primary point. If accompanied by edema, treat at Lingdao (HT-4). For cough with blood loss (hemorrhage), Quchi (LI-11) is the primary point. If accompanied by edema, treat at Yangxi (LI-5). For cough with flatus, Xiaohai (SI-8) is the primary point. If accompanied by edema, treat at Yanggu (SI-5). For cough with urinary incontinence, Weizhong (BL-40) is the primary point. If accompanied by edema, treat at Kunlun (BL-60). For cough with severe vomiting, even expelling roundworms, Zusanli (ST-36) is the primary point. If accompanied by edema, treat at Jiexi (ST-41). For cough with vomiting of bitter fluid, Yanglingquan (GB-34) is the primary point. If accompanied by edema, treat at Yangfu (GB-38). For chronic cough that does not cease, accompanied by abdominal fullness, Tianjing (TE-10) is the primary point. If accompanied by edema, treat at Zhigou (TE-6). These are the common methods for treating coughs of the five Zang and six Fu organs. Besides the He-sea points, there are other residual methods, attached below:
For treating chronic panting and cough, expectoration of pus and blood, and phlegm that does not resolve:
Take several layers of white paper, soak them in cold water until wet, then ignite the moxa cone. Dip it slightly in realgar powder while burning. Alternatively, placing the moxa cone on the center of the tongue is optimal. The practitioner holds the head of a copper spoon inside the patient's mouth to press down a small piece of flesh (to prevent injury), and then has the patient drink millet porridge.
For treating cough with frequent panting (from *Zisheng Jing*): Use Zusanli (ST-36).
For treating cough: Use Quepen (ST-12), Danzhong (CV-17), Juque (CV-14).
For treating cough and panting, also treating Lung Heart Pain, where cough pulls to the anus causing urinary incontinence: Use Yuji (LU-10).
For treating Lung cough: Use Feishu (BL-13).
For treating cough: Use Shaoze (SI-1), Xinshu (BL-15), Kufang (ST-14).
For treating cough with rebellious Qi, choking sensation, and sound like a water frog in the chest and throat: Use Tiantu (CV-22).
For treating cough with shortness of Qi: Use Lianquan (CV-23).
For treating cough with rebellious Qi and shortness of breath: Use Danzhong (CV-17).
For treating cough with rebellious Qi: Use Jingqu (LU-8).
For treating rebellious Qi and cough, chest fullness, throat wheezing, inability to move limbs, and axillary swelling: Use Tianchi (PC-1).
For treating rebellious Qi and cough, panting, abdominal borborygmi, and moving accumulated Qi up and down: Use Jiexi (ST-41).
For treating cough: Use Yuji (LU-10), Lieque (LU-7), Shaoze (SI-1), Quepen (ST-12).
For treating cough, panting, and thirst: Use Chize (LU-5).
For treating cough with rebellious Qi and hemoptysis: Use Jianzhongshu (BL-11).
For treating wind-labor Qi cough: Use Dazhu (BL-11).
For treating panting and restless sleep: Use Fengmen (BL-12).
For treating lung萎 (flaccidity) and cough: Use Feishu (BL-13).
For treating Lung Qi cough: Use Danzhong (CV-17).
For treating cough with epistaxis and neck pain: Use QianGu (SI-3).
For treating Pi masses cough, lack of appetite, and rebellious Qi cough: Use Feimu (BL-13, Back-Shu point of Lung), moxa 50 cones.
For treating cough: Find the painful spot when pressing the bone outside the transverse crease of the flexed arm, moxa 14 cones for good effect. Also moxa the boundary between black and white skin below both nipples, 100 cones each, which will cure. Additionally, use a string to measure around the nipple circumference, wrap it around the body ensuring front and back alignment, and moxa the point corresponding to the middle of the spinal vertebrae, 10 cones.
For treating cough: Use Lianquan (CV-23), Tianjing (TE-10), Taiyuan (LU-9).
Wang Shi said: Chronic cough is best treated by moxa Gao Huang (BL-43), followed by Feishu (BL-13) and other points, treating according to the syndrome. For acute cough, moxibustion is not necessary.
A man suddenly had continuous exhalation sounds, ill for several days. Pressing his Danzhong (CV-17) point yielded a response. Puncturing frequently with a slightly cold needle cured him. Initially no moxibustion was used, how miraculous!
For treating twelve types of wind entering the Lung causing cough, rebellious Qi, and shortness of breath: Liver cough puncture Zu Taichong (LR-3); Heart cough puncture Shenmen (HT-7); Spleen cough puncture Taibai (SP-3); Lung cough puncture Taiyuan (LU-9).
For treating panting and cough (from Wei Shi Fang): Use Feishu (BL-13), moxa 11 cones per point; use Tiantu (CV-22), moxa 7 cones, immediate effect.
For treating cough: Moxa one point opposite the nipple on the chest for "Sui Nian Zhuang" (cones equal to age). Also measure horizontally across the midpoint of the breasts, fold the string from the spine, and moxa the two ends of the string, 80 cones each. Do this in three sessions, completed over three days.
For treating cough: Use Xinshu (BL-15), moxa 5 cones, cone size half that of a jujube pit.