《素问·缪刺论》曰∶人有所堕坠,恶血留内,腹中满胀,不得前后,先饮利药。此上伤厥阴之脉,下伤
少阴之络,刺足内踝之下,然谷之前血脉出血,刺足跗上动脉。不已,刺三毛各一 ,见血立已。左刺右,右
刺左。
【注】此言恶血为病,有缪刺之法也。人因堕坠,致恶血留内,腹中满胀,前后不通,当先用利药。如上伤
厥阴肝经之脉,下伤少阴肾经之络,当刺内踝之下,然谷之前,有血脉令出血者,盖以此属少阴之别络,而交
通乎厥阴也,兼刺足跗上动脉,即冲阳穴,乃胃经之原也。如病不已,更刺三毛上大敦穴左右各一 ,见血立
已。缪刺者,左刺右大敦,右刺左大敦也。但足跗动脉,上关冲脉,少阴阳明三经,只宜浅刺,不可出血不已也。
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《灵枢经·寒热病篇》曰∶身有所伤,血出多,及中风寒,若有所堕坠,四支懈惰不收,名曰体惰,取其小
腹脐下三结交。三结交者,阳明太阴也,脐下三寸关元也。
【注】此言身有所伤,血出多者,及中风寒者,破伤风之属也。或因堕坠,不必血出,
而四支懈惰不收者,皆名体惰也。关元任脉穴名,又足阳明、太阴之脉皆结于此,故为三结交也。
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《灵枢经·厥病论》曰∶头痛不可取于 者,有所击堕,恶血在内,伤痛未已,可侧刺不可远取之也。
【注】经言恶血在内,头痛不可取其 者,盖头痛取 ,以泄其气,则头痛可愈也。若有所击堕,恶血在
内,而取 以泄其气,则是血病治气矣,故勿取其 焉。若所击仆之 肉伤痛不已,虽用刺法,亦只于所伤附
近之侧刺之,以出在内之恶血而已。若仍按经远取诸 ,以疗头痛,则不可也。
《素问·缪刺论》说:人如果从高处坠落,导致瘀血滞留体内,腹部胀满,大小便不通,应当先服用通利大便的药物。这是因为上部损伤了厥阴经的脉络,下部损伤了少阴经的络脉,应针刺足内踝下方的然谷穴前方的血脉使其出血,并针刺足背上的动脉(冲阳穴)。如果症状未缓解,再针刺大敦穴各一针,见血即愈。左侧病变针刺右侧,右侧病变针刺左侧。
【注】这里讲的是瘀血致病,采用缪刺法治疗。人因坠落导致瘀血留滞体内,腹部胀满,二便不通,应当先用通利药物。如果上部损伤了厥阴肝经的脉络,下部损伤了少阴肾经的络脉,应当针刺内踝下方、然谷穴前方有血脉处令其出血,因为此处属于少阴经的别络,并与厥阴经相通;同时兼刺足背上的动脉,即冲阳穴,这是胃经的原穴。如果病仍未愈,再针刺大敦穴左右各一针,见血立即痊愈。所谓缪刺,就是左病刺右大敦,右病刺左大敦。但是足背动脉关联冲脉,涉及少阴、阳明三经,只宜浅刺,不可令出血过多不止。
《灵枢经·寒热病篇》说:身体受到外伤,出血较多,以及感受风寒,或者因坠落受伤,四肢懈怠无力不能收持,称为“体惰”,应取小腹脐下的三结交穴。所谓三结交,是指足阳明胃经和足太阴脾经在此交会,穴位是脐下三寸的关元穴。
【注】这里讲的是身体受外伤出血多,或感受风寒,属于破伤风之类。或因坠落受伤,不一定出血,但出现四肢懈怠无力的,都称为“体惰”。关元是任脉的穴位,且足阳明、足太阴经脉都结聚于此,所以称为三结交。
《灵枢经·厥病论》说:头痛不可以针刺合谷穴的情况,是因为有被击打或坠落导致的瘀血在体内,伤痛未止,可以侧身针刺患处附近,不可以远取他处穴位。
【注】经文说瘀血在体内引起的头痛,不可以针刺合谷穴,是因为针刺合谷穴是为了泄气,从而治愈头痛。如果有击打坠落导致瘀血在体内,此时若取合谷穴泄气,就是治气而忽略了血病,所以不要针刺合谷穴。如果是被击打坠落处的肌肉伤痛不止,虽然使用针刺疗法,也只应在受伤部位附近的侧面进行针刺,以排出体内的瘀血即可。如果仍然按照经络理论远取其他穴位来治疗头痛,是不可以的。
The *Suwen: Mi Ci Lun* (Treatise on Acupuncture at Crossed Points in the Plain Questions) states: If a person falls from a height, causing blood stasis to remain internally, resulting in abdominal fullness and distension, and inability to pass stool or urine, one should first administer purgative herbs. This is because the injury damages the meridians of the Jueyin (Liver) above and the collaterals of the Shaoyin (Kidney) below. One should puncture the blood vessels anterior to the Ran Gu (KI 2) point below the medial malleolus of the foot to induce bleeding, and also puncture the arterial pulse on the dorsum of the foot. If the condition does not improve, puncture the Da Dun (LR 1) point on each side once; bleeding will immediately cure it. Puncture the right side for left-sided lesions, and the left side for right-sided lesions.
[Annotation] This describes the treatment of blood stasis using the Mi Ci (Crossed Point Acupuncture) method. Due to a fall, blood stasis remains internally, causing abdominal fullness and obstruction of bowel and bladder movements. One should first use purgative methods. If the upper body injures the meridian of the Jueyin Liver, and the lower body injures the collateral of the Shaoyin Kidney, one should puncture below the medial malleolus, anterior to Ran Gu (KI 2), where there are blood vessels, to induce bleeding. This area belongs to the divergent collateral of the Shaoyin and connects with the Jueyin. Simultaneously puncture the arterial pulse on the dorsum of the foot, which is Chong Yang (ST 42), the Yuan-Source point of the Stomach Meridian. If the disease persists, further puncture Da Dun (LR 1) on both sides once; seeing blood will immediately resolve it. Mi Ci refers to puncturing the right Da Dun (LR 1) for left-sided issues, and the left Da Dun (LR 1) for right-sided issues. However, the arterial pulse on the dorsum of the foot relates to the Chong Mai (Penetrating Vessel) and involves the Shaoyin and Yangming meridians; shallow puncture is appropriate, and excessive bleeding should be avoided.
The *Ling Shu Jing: Han Re Bing Pian* (Chapter on Cold and Heat Diseases in the Spiritual Pivot) states: When the body suffers trauma with significant blood loss, or contracts wind-cold, or suffers a fall, leading to flaccidity and weakness of the four limbs that cannot be controlled, this is termed "Ti Duo" (Body Flaccidity). One should select the San Jie Jiao (Three Intersections) point located below the umbilicus in the lower abdomen. The San Jie Jiao refers to the intersection of the Yangming (Stomach) and Taiyin (Spleen) meridians, specifically the Guan Yuan (CV 4) point, three cun below the umbilicus.
[Annotation] This discusses cases of significant blood loss from trauma, contraction of wind-cold (such as tetanus), or falls without necessarily bleeding but presenting with limb flaccidity, all termed "Ti Duo". Guan Yuan (CV 4) is an acupoint of the Ren Mai (Conception Vessel), and since the meridians of the Foot-Yangming Stomach and Foot-Taiyin Spleen both converge here, it is called the San Jie Jiao.
The *Ling Shu Jing: Jue Bing Lun* (Treatise on Jue Diseases in the Spiritual Pivot) states: Headache caused by being struck or fallen upon, with blood stasis remaining internally and pain persisting, should not be treated by selecting He Gu (LI 4). Instead, lateral puncture near the site of injury is indicated; distant points should not be selected.
[Annotation] The classic states that for headache due to internal blood stasis, He Gu (LI 4) should not be selected. Generally, He Gu (LI 4) is used to drain Qi to cure headache. However, if the headache results from trauma with internal blood stasis, treating with He Gu (LI 4) to drain Qi addresses the Qi rather than the Blood pathology; therefore, He Gu (LI 4) should not be used. If the muscle pain from the strike or fall persists, although acupuncture is employed, one should only puncture laterally near the injured site to expel the internal blood stasis. It is incorrect to follow meridian theory to select distant points to treat such headaches.