麝香(五分) 胆矾(一钱) 朱砂(三钱) 没药(三钱) 郁金(三钱) 川芎(三钱) 归尾(三钱)
磁石(一两) 石斛(二分) 皂角(二钱) 穿山甲(三钱) 甘草节(五钱) 沉香末(五钱) 北细辛(三
钱)
以上诸药。能引气味入针内。
任脉起于会阴。循腹上行会于咽喉。至承浆止。凡二十四穴。是科只用璇玑。天突。廉泉承浆。四穴。(后载
会阴一穴云凡喉风禁针故不列入总条)
承浆(一名天池,一名悬浆) 在颐前下唇棱下陷中。经云。足阳明任脉之会。刺二分。留五呼。灸三壮。主
治口眼 斜。口噤不开。暴喑不能言。偏风半身不遂。刺三分。徐徐引气而出。一云疗偏风口 面肿。消渴饮水不
休。口齿疳蚀生疮。灸之亦佳。日可七壮。至七七壮止。即血脉宣通。其风应时立愈。艾炷不必大。但令当脉即能
愈疾。千金云。小儿唇紧。灸三壮。百症赋云。泻牙痛而即移。通元赋云。治头项强。
廉泉(一名本池 一名舌水)在颔下结喉上中央舌本下。仰面取之。经云阴维任脉之会。按刺疟论所载云。舌
下两脉者。廉泉也。气府论曰。足少阴舌下各一。卫气篇曰。足少阴之标。在背 与舌下两脉。然则廉泉非一穴。
当是舌根下之左右泉脉而且为足少阴之会也。刺三分。留三呼。灸三壮。主治咳嗽喘息。上气吐沫。舌纵舌下肿难
言。舌根缩急不食涎退场门疮。
百证赋云。兼刺中冲穴。堪攻舌下肿痛。
天突(一名玉户) 在结喉下三寸宛宛中。阴维任脉之会。刺五分。留三呼。灸二壮。低头取之。主治上气哮
喘。咳嗽喉痹。五噎肺痈。吐咯脓血。咽肿暴喑。身寒热咽干。舌下急。不得下食等症。
璇玑 在天突下一寸陷中。仰头取之。刺三分,灸五壮。主治胸胁满。咳逆上气。喘不能言。喉痹咽肿。水饮
不下。实症。
会阴(一名屏翳) 在大便前小便后。两阴之间。任脉别络。侠督脉波脉之会。任督冲三脉所起任由此而行腹。
督由此而行背。冲由此而行少阴之分。宜灸不宜针。主治阴寒阴中诸病。凡喉风禁针。
麝香(五分) 胆矾(一钱) 朱砂(三钱) 没药(三钱) 郁金(三钱) 川芎(三钱) 当归尾(三钱)
磁石(一两) 石斛(二分) 皂角(二钱) 穿山甲(三钱) 甘草节(五钱) 沉香末(五钱) 北细辛(三钱)
以上各种药物,能够引导药气进入针内。
任脉(Ren Mai, Conception Vessel)起始于会阴穴,沿腹部上行至咽喉部汇合,终止于承浆穴。共有二十四个穴位。本科(喉科)仅使用璇玑、天突、廉泉、承浆这四个穴位。(后文记载会阴穴,说凡是喉风病症禁止针刺,故不列入总条中)
承浆(又名天池,又名悬浆)位于下巴前下方下唇棱下的凹陷处。《内经》记载:这里是足阳明胃经与任脉的交会穴。针刺深度二分,留针时间相当于五次呼吸的时间,艾灸三壮。主治口眼歪斜,牙关紧闭不能张开,突然失音不能说话,偏瘫半身不遂。也可刺三分,徐徐引气而出。另一种说法治疗偏风口面肿胀,消渴症饮水不止,口齿疳蚀生疮,艾灸效果也很好。每天可灸七壮,直到四十九壮为止。这样血脉宣通,风邪立时痊愈。艾炷不必太大,只要对准经脉就能治愈疾病。《千金方》说:小儿嘴唇紧缩,灸三壮。《百症赋》说:泻牙痛而即刻缓解。《通元赋》说:治疗头项强直。
廉泉(又名本池,又名舌水)位于下巴下结喉上方中央,舌根下方。仰面取穴。《内经》记载:这里是阴维脉与任脉的交会穴。按《刺疟论》所载:舌下两条脉络,就是廉泉。《气府论》说:足少阴肾经在舌下各有一穴。《卫气篇》说:足少阴肾经的标部,在背部与舌下两条脉络。那么廉泉并非只有一个穴位,应当是舌根下方的左右两脉,并且是足少阴肾经的交会穴。针刺三分,留针三次呼吸的时间,艾灸三壮。主治咳嗽喘息,上气吐沫,舌体松弛或舌下肿胀难以言语,舌根收缩紧急不想进食,涎液退去,肠门生疮。
《百症赋》说:兼刺中冲穴,可以攻治舌下肿痛。
天突(又名玉户)位于结喉下方三寸的凹陷处。这里是阴维脉与任脉的交会穴。针刺五分,留针三次呼吸的时间,艾灸二壮。低头取穴。主治上气喘逆,咳嗽喉痹,五噎肺痈,吐血咯脓血,咽喉肿痛突然失音,身体寒热咽干,舌下拘急,不能进食等症状。
璇玑位于天突穴下一寸的凹陷处。仰头取穴。针刺三分,艾灸五壮。主治胸胁胀满,咳逆上气,气喘不能说话,喉痹咽肿,水饮不下,实证。
会阴(又名屏翳)位于大便前小便后,两阴之间。是任脉的别络,夹督脉波脉的交会处。任脉、督脉、冲脉三条脉都由此发起,任脉由此行于腹,督脉由此行于背,冲脉由此行于少阴之分。适宜艾灸而不宜针刺。主治阴寒及阴中各种病症。凡是喉风病症禁止针刺。
Musk (5 fen) Alum (1 qian) Cinnabar (3 qian) Myrrh (3 qian) Curcuma Aromatica Rhizome (3 qian) Ligusticum Chuanxiong Rhizome (3 qan) Angelica Sinensis Radix Tail (3 qian)
Magnetite (1 liang) Dendrobium Stem (2 fen) Gleditsia Sinensis Fruit (2 qian) Pangolin Scales (3 qian) Licorice Root Nodes (5 qian) Agarwood Powder (5 qian) Asarum Root (Northern variety) (3 qian)
The above various herbs can guide the medicinal qi into the acupuncture needles.
The Ren Mai (Conception Vessel) originates at Huiyin (CV-1), ascends along the abdomen to converge at the throat, and terminates at Chengjiang (CV-24). There are twenty-four acupoints in total. This specialty (Throat Department) uses only four acupoints: Xuanji (CV-21), Tiantu (CV-22), Lianquan (CV-23), and Chengjiang (CV-24). (Later it is recorded that Huiyin (CV-1) is mentioned, stating that for all cases of Houfeng [Wind affecting the throat], needling is prohibited, thus it is not included in the general list.)
Chengjiang (CV-24) (also known as Tianchi or Xuanjiang) is located in the depression anterior to the chin, below the lower lip ridge. The *Classic of Acupuncture* states: "It is the intersection of the Foot-Yangming Stomach Meridian and the Ren Mai." Needle depth: 2 fen; retain needle for five breaths; moxa: 3 zhuang. Indications: facial paralysis with deviation of mouth and eye, trismus (lockjaw), sudden aphonia (inability to speak), hemiplegia due to wind-stroke. It may also be needled to a depth of 3 fen, slowly guiding the qi out. Another theory suggests it treats facial swelling due to wind-stroke, polydipsia (excessive drinking due to thirst), and canker sores/ulcers in the mouth and teeth caused by gum erosion; moxibustion is also beneficial. One may perform 7 zhuang daily, up to 49 zhuang. This will unblock the blood vessels, and the wind pathogen will be cured immediately. The moxa cone need not be large; aligning it with the meridian is sufficient to cure the disease. *Qianjin Fang* states: For infants with tight lips, perform 3 zhuang. *Baizheng Fu* states: Draining toothache brings immediate relief. *Tongyuan Fu* states: Treats stiffness of the head and neck.
Lianquan (CV-23) (also known as Benchi or Sheshui) is located in the center above the hyoid bone under the chin, below the root of the tongue. Take this point with the patient looking upward. The *Classic of Acupuncture* states: "It is the intersection of the Yinwei Mai and the Ren Mai." According to *Cimai Lun*: "The two vessels under the tongue are Lianquan." *Qifu Lun* states: "Foot-Shaoyin Kidney Meridian has one vessel on each side under the tongue." *Weiqi Pian* states: "The biao (mark) of the Foot-Shaoyin is in the back and the two vessels under the tongue." Therefore, Lianquan is not a single point; it should be considered the left and right vessels under the root of the tongue, and is the intersection of the Foot-Shaoyin Kidney Meridian. Needle depth: 3 fen; retain needle for three breaths; moxa: 3 zhuang. Indications: cough and wheezing, rising qi with frothy expectoration, flaccid tongue or swollen sublingual area making speech difficult, retracted and stiff tongue root causing anorexia, reduction of saliva, ulcers at the anal opening.
*Baizheng Fu* states: Needling Zhongchong (PC-9) concurrently can attack swelling and pain under the tongue.
Tiantu (CV-22) (also known as Yuhu) is located in the depression 3 cun below the laryngeal prominence. It is the intersection of the Yinwei Mai and the Ren Mai. Needle depth: 5 fen; retain needle for three breaths; moxa: 2 zhuang. Take this point with the head bent forward. Indications: asthma with rising qi, cough, throat obstruction (Houbi), five types of dysphagia (Wuye), lung abscess, vomiting or spitting pus and blood, acute sore throat with aphonia, alternating chills and fever with dry throat, sublingual tension, inability to swallow food, etc.
Xuanji (CV-21) is located in the depression 1 cun below Tiantu (CV-22). Take this point with the head extended. Needle depth: 3 fen; moxa: 5 zhuang. Indications: fullness in the chest and hypochondrium, rebellious qi with cough, asthma with inability to speak, throat obstruction with sore throat, inability to ingest fluids/water, excess syndrome.
Huiyin (CV-1) (also knowning Pingyi) is located between the anus and the scrotum/genitals. It is a collateral branch of the Ren Mai and the intersection of the Du Mai and Bo Mai. The Ren, Du, and Chong meridians all originate here; the Ren Mai travels through the abdomen from here, the Du Mai travels through the back from here, and the Chong Mai travels through the Shaoyin region from here. Moxibustion is suitable, but needling is contraindicated. Indications: cold syndromes and various diseases of the yin organs. For all cases of Houfeng [Wind affecting the throat], needling is prohibited.