脾俞(治胀,随年壮灸之)、肝俞(治胀,灸百壮)、三焦俞(治心腹胀满,饮食减少,小
便不利,羸瘦少气)、分水(治腹胀绕脐结痛,不能食。若是水病,尤宜灸之)、神阙(主水肿
膨胀,肠鸣如水之声,极效)、石门(主水肿水行皮中,小便黄)、足三里(主水肿腹胀)、水
沟(主一切水肿)。
按∶水肿证惟得针水沟,若针余穴,水尽即死,此《明堂》《铜人》所戒也。庸医多为
人针分水,误人多矣。若其他穴,或有因针得瘥者,特幸焉耳。大抵水肿禁针,不可为法。
廓清饮(新和十三) 四苓散(和一八七) 四君子汤(补一) 神香散(新和二十) 平胃散
(和十七) 五苓散(和一八二) 五君子煎(新热六) 胃苓汤(和百九十) 二陈汤(和一) 六
君子汤(补五) 五淋散(寒百十七) 五皮散(和六八) 正柴胡饮(新散六) 参苏饮(散三四)
排气饮(新和六) 小柴胡汤(散十九) 理中汤(热一) 理阴煎(新热三) 大和中饮(新和
七) 归脾汤(补三二) 温胃饮(新热五) 小和中饮(新和八) 解肝煎(新和十一) 实脾散(
热百四) 严氏实脾散(热百五) 六味汤(补百二十) 八味汤(补一二一) 金匮肾气汤(补一
二四) 四磨饮(和五二) 流气饮(和四六) 金水六君煎(新和一) 败毒散(散三六) 疏凿
饮(和五三) 加减一阴煎(新补九) 白虎汤(寒二) 十枣汤(攻二八) 葛根葱白汤(散三二)
禹功散(攻四一) 浚川散(攻四二) 导水茯苓汤(和六二) 神佑丸(攻四八) 导水丸(攻
七一) 芍药清肝散(寒六一) 舟车丸(攻七十) 赤金豆(新攻二) 龙胆泻肝汤(寒六三)
大柴胡汤(攻七) 百顺丸(新攻六) 大承气汤(攻一)
脾俞穴(治疗胀满,根据患者年龄决定艾灸的壮数)、肝俞穴(治疗胀满,艾灸一百壮)、三焦俞穴(治疗心腹部胀满、饮食减少、小便不通利、身体消瘦且气短)、分水穴(治疗腹胀伴有脐周结聚疼痛、无法进食。如果是水湿病证,尤其适宜艾灸)、神阙穴(主治水肿膨胀,肠鸣音如水声,效果极佳)、石门穴(主治水肿,水液在皮肤间流动,小便色黄)、足三里穴(主治水肿和腹胀)、水沟穴(主治各种类型的水肿)。
按语:水肿证候只有针刺水沟穴是可行的,如果针刺其他穴位,一旦水邪排尽人就会死亡,这是《明堂》和《铜人》针灸书中告诫的内容。庸医常常为他人针刺分水穴,误人的情况很多。至于其他穴位,或许有因为针刺而痊愈的,那只是侥幸罢了。大抵来说,水肿证禁止针刺,不可作为常规法则。
廓清饮(新编和剂篇第十三方) 四苓散(和剂篇一八七方) 四君子汤(补益篇一) 神香散(新编和剂篇二十方) 平胃散(和剂篇十七方) 五苓散(和剂篇一八二方) 五君子煎(新编热病篇六方) 胃苓汤(和剂篇百九十方) 二陈汤(和剂篇一) 六君子汤(补益篇五方) 五淋散(寒凉篇百十七方) 五皮散(和剂篇六八方) 正柴胡饮(新编散剂篇六方) 参苏饮(散剂篇三四方) 排气饮(新编和剂篇六方) 小柴胡汤(散剂篇十九方) 理中汤(热病篇一) 理阴煎(新编热病三方) 大和中饮(新编和剂篇七方) 归脾汤(补益篇三十二方) 温胃饮(新编热病五方) 小和中饮(新编和剂篇八方) 解肝煎(新编和剂篇十一方) 实脾散(热病篇百四方) 严氏实脾散(热病篇百五方) 六味汤(补益篇百二十方) 八味汤(补益篇一二一方) 金匮肾气汤(补益篇一二四方) 四磨饮(和剂篇五二方) 流气饮(和剂篇四六方) 金水六君煎(新编和剂篇一) 败毒散(散剂篇三六方) 疏凿饮(和剂篇五三方) 加减一阴煎(新编补益篇九方) 白虎汤(寒凉篇二) 十枣汤(攻下篇二八方) 葛根葱白汤(散剂篇三二方) 禹功散(攻下篇四一方) 浚川散(攻下篇四二方) 导水茯苓汤(和剂篇六二方) 神佑丸(攻下篇四八方) 导水丸(攻下篇七一方) 芍药清肝散(寒凉篇六一方) 舟车丸(攻下篇七十方) 赤金豆(新编攻下方二) 龙胆泻肝汤(寒凉篇六三方) 大柴胡汤(攻下篇七方) 百顺丸(新编攻下方六) 大承气汤(攻下一方)
Shenshu (BL20) [SP Shenshu] (treats distension, moxibustion dosage is determined by the patient's age in "zhuang" units), Ganshu (BL18) [LV Ganshu] (treats distension, moxibustion of one hundred zhuang), Sanjiaoshu (BL22) [SJ Sanjiaoshu] (treats epigastric and abdominal fullness, decreased appetite, difficult urination, emaciation, and shortness of breath), Fenshui (CV9) [CV Fenshui] (treats abdominal distension with knotty pain around the umbilicus and inability to eat. For water-dampness diseases, moxibustion is especially suitable), Shenque (CV8) [CV Shenque] (mainly treats edema and abdominal distension, borborygmus sounding like water, with excellent efficacy), Shimai (CV5) [CV Shimai] (mainly treats edema where water flows within the skin, and yellow urine), Zusanli (ST36) [ST Zusanli] (mainly treats edema and abdominal distension), Shuigou (GV26) [GV Shuigou] (mainly treats all types of edema).
Note: For edema syndromes, only needling Shuigou (GV26) is permissible; if other acupoints are needled, death will occur once the pathogenic water is exhausted. This warning is found in the *Mingtang* and *Tongren* texts. Quack doctors often needle Fenshui (CV9) for others, causing much harm. As for other acupoints, although some may recover due to needling, this is merely a stroke of luck. Generally, edema is contraindicated for needling and should not be adopted as a standard practice.
Qingqing Yin (New Harmonizing Formulas, No. 13) Siling San (Harmonizing Formulas, No. 187) Sijunzi Tang (Tonifying Formulas, No. 1) Shenxiang San (New Harmonizing Formulas, No. 20) Pingwei San (Harmonizing Formulas, No. 17) Wuling San (Harmonizing Formulas, No. 182) Wu Junzi Jian (New Heat-Related Formulas, No. 6) Weiling Tang (Harmonizing Formulas, No. 190) Erchen Tang (Harmonizing Formulas, No. 1) Liujunzi Tang (Tonifying Formulas, No. 5) Wulin San (Cold-Clearing Formulas, No. 117) Wupi San (Harmonizing Formulas, No. 68) Zhengchaihu Yin (New Dispersing Formulas, No. 6) Rensu Yin (Dispersing Formulas, No. 34) Paoqi Yin (New Harmonizing Formulas, No. 6) Xiao Chaihu Tang (Dispersing Formulas, No. 19) Lizhong Tang (Heat-Related Formulas, No. 1) Liyin Jian (New Heat-Related Formulas, No. 3) Dahezhong Yin (New Harmonizing Formulas, No. 7) Guipi Tang (Tonifying Formulas, No. 32) Wenwei Yin (New Heat-Related Formulas, No. 5) Xiaohezhong Yin (New Harmonizing Formulas, No. 8) Jiegan Jian (New Harmonizing Formulas, No. 11) Shipi San (Heat-Related Formulas, No. 104) Yanshi Shipi San (Heat-Related Formulas, No. 105) Liuwei Tang (Tonifying Formulas, No. 120) Bawei Tang (Tonifying Formulas, No. 121) Jin Gui Shenqi Tang (Tonifying Formulas, No. 124) Simo Yin (Harmonizing Formulas, No. 52) Liqi Yin (Harmonizing Formulas, No. 46) Jinshui Lujun Jian (New Harmonizing Formulas, No. 1) Baidu San (Dispersing Formulas, No. 36) Shuzao Yin (Harmonizing Formulas, No. 53) Jiayi Yiyin Jian (New Tonifying Formulas, No. 9) Baihu Tang (Cold-Clearing Formulas, No. 2) Shizao Tang (Purgative Formulas, No. 28) Gegen Congbai Tang (Dispersing Formulas, No. 32) Yugong San (Purgative Formulas, No. 41) Xunchuan San (Purgative Formulas, No. 42) Daoshui Fuling Tang (Harmonizing Formulas, No. 62) Shenyao Wan (Purgative Formulas, No. 48) Daoshui Wan (Purgative Formulas, No. 71) Shaoyao Qinggan San (Cold-Clearing Formulas, No. 61) Zhouche Wan (Purgative Formulas, No. 70) Chijin Dou (New Purgative Formulas, No. 2) Longdan Xiegan Tang (Cold-Clearing Formulas, No. 63) Da Chaihu Tang (Purgative Formulas, No. 7) Baishun Wan (New Purgative Formulas, No. 6) Dachengqi Tang (Purgative Formulas, No. 1)