（杨氏）
一论中风，但未中风时，一两月前，或三四个月前，不时足胫上发酸重麻，良久方解，
此将中风之候也。便宜急灸三里、绝骨四处，各三壮，后用生葱、薄荷、桃柳叶，四味煎汤
淋洗，灸令祛逐风气自疮口出。如春交夏时，夏交秋时，俱宜灸，常令二足有灸疮为妙。但
人不信此法，饮食不节，色酒过度，卒忽中风，可于七处一齐俱灸各三壮，偏左灸右，偏右
灸左，百会、耳前穴也。
〔第一〕阳症，中风不语，手足瘫痪者∶合谷 肩 手三里 百会 肩井 风市 环
跳足三里 委中 阳陵泉（先针无病手足，后针有病手足）
〔第二〕阴症，中风，半身不遂，拘急，手足拘挛，此是阴症也。亦根据治之，但先补后
〔第三〕中暑不省人事∶人中 合谷 内庭 百会 中极 气海
问曰∶中暑当六、七月间有此症，八、九月，十月亦有此症，从何而得？
答曰∶此症非一，医者不省，当以六、七月有之，如何八、九、十月亦有之？皆因先感
暑气，流入脾胃之中，串入经各，灌溉相并，或因怒气触动，或因过饮、恣欲伤体，或外感
风，至八、九月方发，乃难治也。六、七月受病浅，风疾未盛，气血未竭，体气未衰，此为
易治。复刺后穴∶中冲 行间 曲池 少泽
〔第四〕中风不省人事∶人中 中冲 合谷
问曰∶此病如何而来？以上穴法，针之不效，奈何？
答曰∶针力不到，补泻不明，气血错乱，或去针速，故不效也。前穴未效，复刺后穴
〔第五〕中风口噤不开∶颊车 人中 百会 承浆 合谷（俱宜泻）
问曰∶此症前穴不效，何也？
答曰∶此皆风痰灌注，气血错乱，阴阳不升降，致有此病，复刺后穴∶廉泉 人中
〔第六〕半身不遂，中风∶绝骨 昆仑 合谷 肩 曲池 手三里 足三里
问曰∶此症针后再发，何也？
答曰∶针不知分寸，补泻不明，不分虚实，其症再发。再针前穴，复刺后穴∶肩井 上
〔第七〕口眼 斜，中风∶地仓 颊车 人中 合谷
问曰∶此症用前穴针效，一月或半月复发，何也？
答曰∶必是不禁房劳，不节饮食，复刺后穴，无不效也。听会承浆 翳风
〔第八〕中风，左瘫右痪∶三里 阳溪 合谷 中渚 阳辅 昆仑 行间
问曰∶数穴针之不效，何也？
答曰∶风痰灌注经络，血气相搏，再受风寒湿气入内，凝滞不散，故刺不效，复刺后穴
。先针无病手足，后针有病手足。风市 丘墟 阳陵泉
〔第九〕正头大痛及脑顶痛∶百会 合谷 上星
问曰∶此症针后，一日、二日再发，甚于前，何也？
答曰∶诸阳聚会头上，合用先补后泻，宜补多泻少，其病再发，愈重如前，法宜泻之，
无不效也。复针后穴，真头痛，旦发夕死，夕发旦死，医者当用心救治，如不然，则难治。
〔第十〕偏正头风∶风池 合谷 丝竹空
问曰∶以上穴法，刺如不效，何也？
答曰∶亦有痰饮停滞胸膈，贼风串入脑户，偏正头风，发来连臂内痛，或手足沉冷，久
而不治，变为瘫痪，亦分阴阳针之。或针力不到，未效，可刺中脘，以疏其下疾，次针三里
，泻去其风，后针前穴。中脘 三里 解溪
〔第十一〕头风目眩∶解溪 丰隆
问曰∶此症刺效复发，何也？
答曰∶此乃房事过多，醉饱不避风寒而卧，贼风串入经络，冷症再发，复针后穴∶风池
〔第十二〕头风顶痛∶百会 后顶 合谷
问曰∶头顶痛针入不效者，再有何穴可治？
答曰∶头顶痛，乃阴阳不分，风邪串入脑户，刺故不效也。先取其痰，次取其风，自然
有效。中脘 三里 风池 合谷
〔第十三〕醉头风∶攒竹 印堂 三里
问曰∶此症前穴针之不效，何也？
答曰∶此症有痰饮停于胃脘，口吐清涎，眩晕，或三日、五日，不省人事，不进饮食，
名曰醉头风。先去其气，化痰调胃进食，然后去其风痛也。中脘 膻中 三里 风门
〔第十四〕目生翳膜∶睛明 合谷 四白
问曰∶以上穴法，刺之不效，何也？
答曰∶此症受病既深，未可一时便愈，须是二、三次针之，方可有效。复刺后穴∶太阳
光明 大骨空 小骨空
〔第十五〕迎风冷泪∶攒竹 大骨空 小骨空
问曰∶此症缘何而得？
答曰∶醉酒当风，或暴赤，或痛，不忌房事，恣意好餐，烧煎肉物；妇人多因产后不识
回避，当风坐视，贼风串入眼目中，或经事交感，秽气冲上头目，亦成此症。复刺后穴∶小
骨空（治男妇醉后当风） 三阴交（治妇人交感症） 泪孔上（米大艾七壮效） 中指半指尖（米
大艾三壮）
〔第十六〕目生内障∶瞳子 合谷 临泣 睛明
问曰∶此症从何而得？此数穴针之不效，何也？
答曰∶怒气伤肝，血不就舍，肾水枯竭，气血耗散，临患之时，不能节约，恣意房事，
用心过多，故得此症，亦难治疗。复针后穴∶光明 天府 风池
〔第十七〕目患外瘴∶小骨空 太阳 睛明 合谷
问曰∶此症缘何而得？
答曰∶头风灌注瞳人，血气涌溢，上盛下虚，故有此病。刺前不效，复刺后穴二三次方
愈。临泣 攒竹 三里 内 尖（灸五壮，即眼头尖上）
〔第十八〕风沿眼红涩烂∶睛明 四白 合谷 临泣 二间
问曰∶针之不效，何也？
答曰∶醉饱行房，血气凝滞，痒而不散，用手揩摸，贼风乘时串入，故得此症。刺前不
效，复刺后穴∶三里 光明
〔第十九〕眼赤暴痛∶合谷 三里 太阳 睛明
问曰∶此症从何而得？
答曰∶时气所作，血气壅滞，当风睡卧，饥饱劳役，故得此症。复刺后穴∶太阳 攒竹
丝竹空
〔第二十〕眼红肿痛∶睛明 合谷 四白 临泣
问曰∶此症从何而得？
答曰∶皆因肾水受亏，心火上炎，肝不能制，心肝二血不能归元，血气上壅，灌注瞳人
，赤脉贯睛，故不散。复刺后穴∶太溪 肾俞 行间 劳宫
〔第二十一〕 肉侵睛∶风池 睛明 合谷 太阳
问曰∶此症从何而得？
答曰∶或因伤寒未解，却有房室之事，上盛下虚，气血上壅；或头风不早治，血贯瞳人
；或暴下赤痛；或因气伤肝，心火炎上，故不散也。及妇人产后，怒气所伤，产后未满，房
事触动心肝二经，饮食不节，饥饱醉劳，皆有此症，非一时便可治疗，渐而为之，无不效也
。复针后穴∶风池 期门 行间 太阳
〔第二十二〕怕日羞明∶小骨空 合谷 攒竹 二间
问曰∶此症缘何而得？
答曰∶皆因暴痛未愈，在路迎风，串入眼中，血不就舍，肝不藏血，风毒贯入，睹灯光
冷泪自出，见日影干涩疼痛。复针后穴∶睛明 行间 光明
〔第二十三〕鼻窒不闻香臭∶迎香 上星 五处 禾
问曰∶此症缘何而得？针数穴皆不效。
答曰∶皆因伤寒不解，毒瓦斯冲脑，或生鼻痔，脑中大热，故得此症。复刺后穴∶水沟
风府 百劳 太渊
〔第二十四〕鼻流清涕∶上星 人中 风府
问曰∶此症缘何而得？
答曰∶此因伤风不解，食肉饮酒太早，表里不解，咳嗽痰涎，及脑寒疼痛，故得此症。
复针后穴∶百会 风池 风门 百劳
〔第二十五〕脑寒泻臭∶上星 曲差 合谷
问曰∶此症缘何而得？
答曰∶皆因鼻衄不止，用药吹入脑户，毒瓦斯攻上脑顶，故流鼻臭也。复刺后穴∶水沟
〔第二十六〕鼻渊鼻痔∶上星 风府
问曰∶针此穴未效，复刺何穴？
答曰∶更刺后穴∶禾 风池 人中 百会 百劳 风门
〔第二十七〕鼻衄不止∶合谷 上星 百劳 风府
问曰∶此症缘何而得？出血不止。
答曰∶血气上壅，阴阳不能升降，血不宿肝，肝主藏血，血热妄行，故血气不顺也。针
前不效，复刺后穴∶迎香 人中 印堂 京骨
〔第二十八〕口内生疮∶海泉 人中 承浆 合谷
问曰∶此症缘何而得？
答曰∶上盛于虚，心火上炎，脾胃俱败，故成此症。复刺后穴∶金津、玉液 长强
〔第二十九〕口眼 斜∶颊车 合谷 地仓 人中
问曰∶此症从何而得？
答曰∶醉后卧睡当风，贼风串入经络，痰饮流注，或因怒气伤肝，房事不节，故得此症
。复刺后穴∶承浆 百会 地仓 瞳子
〔第三十〕两颊红肿生疮（一名枯曹风、猪腮风）∶合谷 列缺 地仓 颊车
问曰∶此症从何而得？
答曰∶热气上壅，痰滞三焦，肿而不散，两腮红肿生疮，名曰枯曹风。复刺后穴；承浆
三里 金津、玉液
〔第三十一〕舌肿难语∶廉泉 金津、玉液
问曰∶此症从何而得？
答曰∶皆因酒痰滞于舌根，宿热相搏，不能言语，故令舌肿难言。复刺后穴∶天突 少
〔第三十二〕牙齿肿痛∶吕细 颊车 龙玄 合谷
〔第三十三〕上片牙疼∶吕细 太渊 人中
〔第三十四〕下片牙疼∶合谷 龙玄 承浆 颊车
问曰∶牙疼之症，缘何而得？
答曰∶皆因肾经虚败，上盛下虚，阴阳不升降，故得此症。复刺后穴∶肾俞 三间 二
〔第三十五〕耳内虚鸣∶肾俞 三里 合谷
问曰∶此症从何而得？
答曰∶皆因房事不节，肾经虚败，气血耗散，故得此症。复刺后穴∶太溪 听会 三里
〔第三十六〕耳红肿痛∶听会 合谷 颊车
问曰∶此症肿痛，何也？
答曰∶皆因热气上壅，或因缴耳触伤，热气不散，伤寒不解，故有此症。不可一例针灸
，须辨问端的，针之，无不效也。复刺后穴∶三里 合谷 翳风
〔第三十七〕 耳生疮，出脓水∶翳风 合谷 耳门
问曰∶ 耳生疮，出脓水，尝闻小儿有此症。
答曰∶洗浴水归耳内，故有。大人或因剔耳触动，耳黄有水误入耳内，故如此。复刺后
穴∶听会 三里
〔第三十八〕耳聋气闭∶听宫 听会 翳风
问曰∶此症从何而得？
答曰∶伤寒大热，汗闭，气不舒，故有此症。前针不效，复刺后穴∶三里 合谷
〔第三十九〕手臂麻木不仁∶肩 曲池 合谷
问曰∶此症从何而得？
答曰∶皆因寒湿相搏，气血凝滞，故麻木不仁也。复刺后穴∶肩井 列缺
〔第四十〕手臂冷风酸痛∶肩井 曲池 手三里 下廉
问曰∶此症从何而得？
答曰∶寒邪之气，流入经络，夜卧凉枕、竹簟、漆凳冷处睡着，不知风湿，流入经络，
故得此症。复刺后穴∶手五里 经渠 上廉
〔第四十一〕手臂红肿疼痛∶五里 曲池 通里 中渚
问曰∶此症缘何而得？
答曰∶气血壅滞，流而不散，闭塞经脉不通，故得此症。复刺后穴∶合谷 尺泽
〔第四十二〕手臂红肿及疽∶中渚 液门 曲池 合谷
问曰∶此症从何而得？
答曰∶血气壅滞，皮肤瘙痒，用热汤泡洗，而伤红肿，故得此症；久而不治，变成手背
疽。复刺后穴∶上都 阳池
〔第四十三〕手臂拘挛，两手筋紧不开∶阳池 合谷 尺泽 曲池 中渚
问曰∶此症从何而得？
答曰∶皆因湿气处卧，暑月夜行，风湿相搏，或酒醉行房之后，露天而眠，故得此症。
复针后穴∶肩 中渚 少商 手三里
〔第四十四〕肩背红肿疼痛∶肩 风门 中渚 大杼
问曰∶此症从何而得？
答曰∶皆因腠理不密，风邪串入皮肤，寒邪相搏，血气凝滞。复刺后穴∶膏肓 肺俞
〔第四十五〕心胸疼痛∶大陵 内关 曲泽
问曰∶心胸痛从何而得？
答曰∶皆因停积，或因食冷，胃脘冷积作楚。心痛有九种，有虫、食痛者，有心痹冷痛
者，有阴阳不升降者，有怒气冲心者，此症非一，推详其症治之。中脘 上脘 三里
〔第四十六〕胁肋疼痛∶支沟 章门 外关
问曰∶此症从何而得？
答曰∶皆因怒气伤肝，血不归元，触动肝经，肝藏血，怒气甚，肝血不归元，故得是症
。亦有伤寒后胁痛者，有挫闪而痛者，不可一例治也，宜推详治之。复刺后穴∶行间（泻肝
经，治怒气） 中封 期门（治伤寒后胁痛） 阳陵泉
〔第四十七〕腹内疼痛∶内关 三里 中脘
问曰∶腹内疼痛，如何治疗？
答曰∶失饥伤饱，血气相争，荣卫不调，五脏不安，寒湿中得此。或冒风被雨，饱醉行
房，饮食不化，亦有此症，必急治疗，为肾虚败，毒瓦斯冲归脐腹，故得此症。如不愈，复刺
后穴∶关元 水分 天枢（寒湿饥饱）
〔第四十八〕小腹胀满∶内庭 三里 三阴交
问曰∶此症针入穴法不效，何也？
答曰∶皆因停饮不化，腹胀。此症非一，有膀胱疝气，冷筑疼痛；小便不利，胀满疼痛
；大便虚结，胀满疼痛，推详治之。再刺后穴∶照海 大敦 中脘（先补后泻） 气海（专治
妇人血块攻筑疼痛，小便不利，妇人诸般气痛）
〔第四十九〕两足麻木∶阳辅 阳交 绝骨 行间
问曰∶此症因何而得？
答曰∶皆因湿气相搏，流入经络不散，或因酒后房事过多，寒暑失盖，致有此症。复针
后穴∶昆仑 绝骨 丘墟
〔第五十〕两膝红肿疼痛∶膝关 委中
问曰∶此症从何而来？
答曰∶皆因脾家受湿，痰饮流注，此疾非一，或因痢后寒邪入于经络。复刺后穴∶阳陵
（杨氏论述）
关于中风病的论述：在中风发作之前的一两个月，或三四个月前，足胫部时常出现酸、重、麻的感觉，过很久才能缓解，这是即将发生中风的征兆。此时应当紧急在足三里、绝骨四处施灸，每处三壮，之后用生葱、薄荷、桃叶、柳叶四味药煎汤淋洗患处，通过艾灸使风气从疮口排出。无论是春夏之交还是夏秋之交，都适宜施灸，常保持双足有灸疮为佳。但人们往往不相信这种方法，若因饮食不节制、房事和饮酒过度，突然突发中风，可同时在七处穴位施灸，每处三壮。若症状偏左则灸右侧，偏右则灸左侧，百会穴及耳前穴也在此列。
〔第一〕阳症中风，表现为言语不能、手足瘫痪者：取合谷、肩髃、手三里、百会、肩井、风市、环跳、足三里、委中、阳陵泉。（先针刺未患病侧的手足，后针刺患病侧的手足）
〔第二〕阴症中风，表现为半身不遂、肢体拘急、手足挛缩，这属于阴症。治疗方法同上，但应先补后泻。
〔第三〕中暑导致神志不清：取水沟、合谷、内庭、百会、中极、气海。
问：中暑通常在六、七月间出现此症，八、九、十月也有此症，病因从何而来？
答：此症成因不一，医者若不明了，便不知为何八、九、十月也会有此症。这都是因为先前感受暑气，侵入脾胃之中，窜入经络，灌溉全身；或因怒气触动，或因过量饮酒、纵欲损伤身体，或外感风邪，到了八、九月才发作，这就难以治疗了。若在六、七月受病，病情较浅，风疾未盛，气血未竭，体质未衰，此为易治。再针刺以下穴位：中冲、行间、曲池、少泽。
〔第四〕中风导致神志不清：取水沟、中冲、合谷。
问：此病如何得来？以上穴位针刺无效，怎么办？
答：这是因为针力未达到病所，补泻手法不明，气血错乱，或者起针太快，所以无效。若前穴无效，再针刺以下穴位。
〔第五〕中风牙关紧闭不开：取颊车、水沟、百会、承浆、合谷（均宜用泻法）。
问：此症用前穴无效，为什么？
答：这都是因为风痰灌注，气血错乱，阴阳之气不能升降，导致此病。再针刺以下穴位：廉泉、水沟。
〔第六〕半身不遂，中风：取绝骨、昆仑、合谷、肩髃、曲池、手三里、足三里。
问：此症针刺后又复发，为什么？
答：这是因为针刺不知分寸，补泻不明，不分虚实，导致病症复发。再针刺前穴，并复刺以下穴位：肩井、上……（原文此处截断，推测为后续穴位）。
〔第七〕口眼歪斜，中风：取地仓、颊车、水沟、合谷。
问：此症用前穴针刺有效，但一月或半月后复发，为什么？
答：必定是因为不禁房劳，饮食不节制。再针刺以下穴位，没有无效的。听会、承浆、翳风。
〔第八〕中风，左侧瘫痪右侧痿废（左瘫右痪）：取足三里、阳溪、合谷、中渚、阳辅、昆仑、行间。
问：数穴针刺无效，为什么？
答：风痰灌注经络，血气相搏，又受风寒湿气入内，凝滞不散，所以针刺无效。再针刺以下穴位。先针刺未患病侧的手足，后针刺患病侧的手足。风市、丘墟、阳陵泉。
〔第九〕正头痛及头顶痛：取百会、合谷、上星。
问：此症针刺后，一两天再次发作，比之前更严重，为什么？
答：诸阳经聚会于头部，应当先用补法后用泻法，宜多补少泻。若病症复发且加重，法则应用泻法，没有无效的。再针刺以下穴位。若是真头痛，早晨发病晚上死，晚上发病早晨死，医者应当用心救治，否则难治。
〔第十〕偏头痛或正头痛：取风池、合谷、丝竹空。
问：以上穴位针刺无效，为什么？
答：也有痰饮停滞胸膈，贼风窜入脑户，偏正头痛发作时牵连手臂内侧疼痛，或手足沉冷，久治不愈变为瘫痪，也应分阴阳进行针刺。若是针力未到，未见效，可刺中脘穴，以疏导下部疾患，其次针刺足三里，泻去风邪，然后再针刺前穴。中脘、足三里、解溪。
〔第十一〕头风目眩：取解溪、丰隆。
问：此症针刺有效后复发，为什么？
答：这是由于房事过多，醉饱后不注意避风寒而卧，贼风窜入经络，冷症再次发作。再针刺以下穴位：风池。
〔第十二〕头风头顶痛：取百会、后顶、合谷。
问：头顶痛针刺无效，还有什么穴位可以治疗？
答：头顶痛，是阴阳不分，风邪窜入脑户，所以针刺无效。先祛除其痰，再祛除其风，自然有效。中脘、足三里、风池、合谷。
〔第十三〕醉头风：取攒竹、印堂、足三里。
问：此症用前穴针刺无效，为什么？
答：此症有痰饮停于胃脘，口吐清涎，眩晕，或三日、五日神志不清，不进饮食，名为醉头风。先去其气，化痰调胃进食，然后去除风痛。中脘、膻中、足三里、风门。
〔第十四〕目生翳膜：取睛明、合谷、四白。
问：以上穴位针刺无效，为什么？
答：此症受病已深，不可一时痊愈，必须针刺二、三次，方可有效。再针刺以下穴位：太阳、光明、大骨空、小骨空。
〔第十五〕迎风冷泪：取攒竹、大骨空、小骨空。
问：此症缘何得来？
答：醉酒当风，或眼睛暴赤肿痛，或不忌房事，恣意食用烧煎肉类食物；妇人多因产后不知回避，当风坐视，贼风窜入眼目中，或经期行房，秽气冲上头目，也成此症。再针刺以下穴位：小骨空（治疗男女醉后当风）、三阴交（治疗妇人交感症）、泪孔上（米粒大艾炷七壮有效）、中指半指尖（米粒大艾炷三壮）。
〔第十六〕目生内障：取瞳子髎、合谷、临泣、睛明。
问：此症从何得来？这几穴针刺无效，为什么？
答：怒气伤肝，血不归舍，肾水枯竭，气血耗散，患病之时不能节制，恣意房事，用心过多，故得此症，也难治疗。再针刺以下穴位：光明、天府、风池。
〔第十七〕目患外障：取小骨空、太阳、睛明、合谷。
问：此症缘何得来？
答：头风灌注瞳人，血气涌溢，上盛下虚，故有此病。针刺前穴无效，再针刺以下穴位二三次方可痊愈。临泣、攒竹、足三里、内尖（即眼头尖上，灸五壮）。
〔第十八〕风沿眼红涩烂：取睛明、四白、合谷、临泣、二间。
问：针刺无效，为什么？
答：醉饱行房，血气凝滞，痒而不散，用手揩摸，贼风乘时窜入，故得此症。针刺前穴无效，再针刺以下穴位：足三里、光明。
〔第十九〕眼赤暴痛：取合谷、足三里、太阳、睛明。
问：此症从何得来？
答：由时气所致，血气壅滞，当风睡卧，饥饱劳役，故得此症。再针刺以下穴位：太阳、攒竹、丝竹空。
〔第二十〕眼红肿痛：取睛明、合谷、四白、临泣。
问：此症从何得来？
答：皆因肾水受亏，心火上炎，肝不能制约，心肝二血不能归元，血气上壅，灌注瞳人，赤脉贯睛，故不散。再针刺以下穴位：太溪、肾俞、行间、劳宫。
〔第二十一〕肉攀睛：取风池、睛明、合谷、太阳。
问：此症从何得来？
答：或因伤寒未解，却有房室之事，上盛下虚，气血上壅；或头风不早治，血贯瞳人；或暴下赤痛；或因气伤肝，心火炎上，故不散也。以及妇人产后，怒气所伤，产后未满，房事触动心肝二经，饮食不节，饥饱醉劳，皆有此症，非一时便可治疗，渐而为之，无不效也。再针刺以下穴位：风池、期门、行间、太阳。
〔第二十二〕怕日羞明：取小骨空、合谷、攒竹、二间。
问：此症缘何得来？
答：皆因暴痛未愈，在路迎风，串入眼中，血不就舍，肝不藏血，风毒贯入，睹灯光冷泪自出，见日影干涩疼痛。再针刺以下穴位：睛明、行间、光明。
〔第二十三〕鼻窒不闻香臭：取迎香、上星、五处、禾髎。
问：此症缘何得来？针刺数穴皆无效。
答：皆因伤寒不解，毒瓦斯冲脑，或生鼻痔，脑中大热，故得此症。再针刺以下穴位：水沟、风府、百劳、太渊。
〔第二十四〕鼻流清涕：取上星、水沟、风府。
问：此症缘何得来？
答：此因伤风不解，食肉饮酒太早，表里不解，咳嗽痰涎，及脑寒疼痛，故得此症。再针刺以下穴位：百会、风池、风门、百劳。
〔第二十五〕脑寒泻臭：取上星、曲差、合谷。
问：此症缘何得来？
答：皆因鼻衄不止，用药吹入脑户，毒瓦斯攻上脑顶，故流鼻臭也。再针刺以下穴位：水沟。
〔第二十六〕鼻渊鼻痔：取上星、风府。
问：针刺此穴未效，复刺何穴？
答：更刺以下穴位：禾髎、风池、水沟、百会、百劳、风门。
〔第二十七〕鼻衄不止：取合谷、上星、百劳、风府。
问：此症缘何得来？出血不止。
答：血气上壅，阴阳不能升降，血不宿肝，肝主藏血，血热妄行，故血气不顺也。针刺前穴无效，再针刺以下穴位：迎香、水沟、印堂、京骨。
〔第二十八〕口内生疮：取海泉、水沟、承浆、合谷。
问：此症缘何得来？
答：上盛下虚，心火上炎，脾胃俱败，故成此症。再针刺以下穴位：金津、玉液、长强。
〔第二十九〕口眼歪斜：取颊车、合谷、地仓、水沟。
问：此症从何得来？
答：醉后卧睡当风，贼风串入经络，痰饮流注，或因怒气伤肝，房事不节，故得此症。再针刺以下穴位：承浆、百会、地仓、瞳子髎。
〔第三十〕两颊红肿生疮（一名枯曹风、猪腮风）：取合谷、列缺、地仓、颊车。
问：此症从何得来？
答：热气上壅，痰滞三焦，肿而不散，两腮红肿生疮，名曰枯曹风。再针刺以下穴位：承浆、足三里、金津、玉液。
〔第三十一〕舌肿难语：取廉泉、金津、玉液。
问：此症从何得来？
答：皆因酒痰滞于舌根，宿热相搏，不能言语，故令舌肿难言。再针刺以下穴位：天突、少……（原文此处截断，推测为后续穴位如少商等）。
〔第三十四〕下片牙疼：取合谷、龙玄、承浆、颊车。
问：牙疼之症，缘何得来？
答：皆因肾经虚败，上盛下虚，阴阳不升降，故得此症。再针刺以下穴位：肾俞、三间、二……（原文此处截断，推测为后续穴位如二间等）。
〔第三十五〕耳内虚鸣：取肾俞、足三里、合谷。
问：此症从何得来？
答：皆因房事不节，肾经虚败，气血耗散，故得此症。再针刺以下穴位：太溪、听会、足三里。
〔第三十六〕耳红肿痛：取听会、合谷、颊车。
问：此症肿痛，为什么？
答：皆因热气上壅，或因掏耳触伤，热气不散，伤寒不解，故有此症。不可一例针灸，须辨问确切原因，针刺，没有无效的。再针刺以下穴位：足三里、合谷、翳风。
〔第三十七〕耳生疮，出脓水：取翳风、合谷、耳门。
问：耳生疮，出脓水，常听说小儿有此症。
答：洗浴水归耳内，故有。大人或因剔耳触动，耳垢有水误入耳内，故如此。再针刺以下穴位：听会、足三里。
〔第三十八〕耳聋气闭：取听宫、听会、翳风。
问：此症从何得来？
答：伤寒大热，汗闭，气不舒，故有此症。前针无效，再针刺以下穴位：足三里、合谷。
〔第三十九〕手臂麻木不仁：取肩髃、曲池、合谷。
问：此症从何得来？
答：皆因寒湿相搏，气血凝滞，故麻木不仁也。再针刺以下穴位：肩井、列缺。
〔第四十〕手臂冷风酸痛：取肩井、曲池、手三里、下廉。
问：此症从何得来？
答：寒邪之气，流入经络，夜卧凉枕、竹簟、漆凳冷处睡着，不知风湿，流入经络，故得此症。再针刺以下穴位：手五里、经渠、上廉。
〔第四十一〕手臂红肿疼痛：取五里、曲池、通里、中渚。
问：此症缘何得来？
答：气血壅滞，流而不散，闭塞经脉不通，故得此症。再针刺以下穴位：合谷、尺泽。
〔第四十二〕手臂红肿及疽：取中渚、液门、曲池、合谷。
问：此症从何得来？
答：血气壅滞，皮肤瘙痒，用热汤泡洗，而伤红肿，故得此症；久而不治，变成手背疽。再针刺以下穴位：上都、阳池。
〔第四十三〕手臂拘挛，两手筋紧不开：取阳池、合谷、尺泽、曲池、中渚。
问：此症从何得来？
答：皆因湿气处卧，暑月夜行，风湿相搏，或酒醉行房之后，露天而眠，故得此症。再针刺以下穴位：肩髃、中渚、少商、手三里。
〔第四十四〕肩背红肿疼痛：取肩髃、风门、中渚、大杼。
问：此症从何得来？
答：皆因腠理不密，风邪串入皮肤，寒邪相搏，血气凝滞。再针刺以下穴位：膏肓、肺俞。
〔第四十五〕心胸疼痛：取大陵、内关、曲泽。
问：心胸痛从何得来？
答：皆因停积，或因食冷，胃脘冷积作楚。心痛有九种，有虫、食痛者，有心痹冷痛者，有阴阳不升降者，有怒气冲心者，此症非一，推详其症治之。中脘、上脘、足三里。
〔第四十六〕胁肋疼痛：取支沟、章门、外关。
问：此症从何得来？
答：皆因怒气伤肝，血不归元，触动肝经，肝藏血，怒气甚，肝血不归元，故得是症。亦有伤寒后胁痛者，有挫闪而痛者，不可一例治也，宜推详治之。再针刺以下穴位：行间（泻肝经，治怒气）、中封、期门（治伤寒后胁痛）、阳陵泉。
〔第四十七〕腹内疼痛：取内关、足三里、中脘。
问：腹内疼痛，如何治疗？
答：失饥伤饱，血气相争，荣卫不调，五脏不安，寒湿中得此。或冒风被雨，饱醉行房，饮食不化，亦有此症，必急治疗，为肾虚败，毒瓦斯冲归脐腹，故得此症。如不愈，再针刺以下穴位：关元、水分、天枢（针对寒湿饥饱）。
〔第四十八〕小腹胀满：取内庭、足三里、三阴交。
问：此症针刺穴位无效，为什么？
答：皆因停饮不化，腹胀。此症非一，有膀胱疝气，冷筑疼痛；小便不利，胀满疼痛；大便虚结，胀满疼痛，推详治之。再刺以下穴位：照海、大敦、中脘（先补后泻）、气海（专治妇人血块攻筑疼痛，小便不利，妇人诸般气痛）。
〔第四十九〕两足麻木：取阳辅、阳交、绝骨、行间。
问：此症因何得来？
答：皆因湿气相搏，流入经络不散，或因酒后房事过多，寒暑失盖，致有此症。再针刺以下穴位：昆仑、绝骨、丘墟。
〔第五十〕两膝红肿疼痛：取膝关、委中。
问：此症从何而来？
答：皆因脾家受湿，痰饮流注，此疾非一，或因痢后寒邪入于经络。再针刺以下穴位：阳陵……（原文此处截断）。
(From Yang's Discourse)
On the discussion of Stroke (Zhong Feng): Before the onset of stroke, one or two months, or three to four months in advance, the lower legs and shins frequently present with sensations of soreness, heaviness, and numbness, which resolve only after a long time. This is a sign that stroke is imminent. At this time, moxibustion should be urgently applied to Zusanli (ST36) and Jinggu (GB39), four points in total, three moxa cones each. Afterwards, decoct raw green onion, mint, peach leaves, and willow leaves, and wash the area with the soup. The moxibustion allows the pathogenic wind and qi to exit through the moxa sores. Whether during the transition from spring to summer or from summer to autumn, moxibustion is suitable; it is ideal to maintain moxa sores on both feet constantly. However, people often do not believe in this method. If sudden stroke occurs due to unregulated diet, excessive sexual activity, and alcohol consumption, moxibustion can be simultaneously applied to seven points, three moxa cones each. If symptoms are on the left, moxa the right side; if on the right, moxa the left side. Baihui (GV20) and the point anterior to the ear are included.
[1] Yang-type Stroke presenting with aphasia and paralysis of hands and feet: Select Hegu (LI4), Jianyu (LI15), Shousanli (LI10), Baihui (GV20), Jianjing (GB21), Fengshi (GB31), Huantiao (GB30), Zusanli (ST36), Weizhong (BL40), and Yanglingquan (GB34). (Needle the unaffected limbs first, then the affected limbs.)
[2] Yin-type Stroke presenting with hemiplegia, limb stiffness, and spasm of hands and feet belongs to Yin syndrome. The treatment follows the same principle, but employ tonification first and sedation second.
[3] Heatstroke leading to loss of consciousness: Select Shuigou (GV26), Hegu (LI4), Neiting (ST44), Baihui (GV20), Zhongji (CV3), and Qihai (CV6).
Question: This symptom usually appears in the sixth and seventh lunar months, but also in the eighth, ninth, and tenth months. What is the etiology?
Answer: The etiology varies. If physicians are unaware, they cannot explain why it occurs in the eighth, ninth, and tenth months. It is caused by prior exposure to summer-heat, which enters the Spleen and Stomach, penetrates the meridians, and irrigates the body. It may be triggered by anger, excessive drinking, indulgence in sex damaging the body, or external wind invasion, manifesting in the eighth or ninth month, making it difficult to treat. If contracted in the sixth or seventh month, the disease is shallow, wind-pathogen is not vigorous, Qi and Blood are not exhausted, and constitution is not weak, making it easy to treat. Additionally needle: Zhongchong (PC9), Xingjian (LR2), Quchi (LI11), and Xiaose (SI1).
[4] Stroke leading to loss of consciousness: Select Shuigou (GV26), Zhongchong (PC9), and Hegu (LI4).
Question: How does this disease arise? Why is there no effect when needling the above points?
Answer: This is because the needle force did not reach the disease site, tonification and sedation were unclear, Qi and Blood were disordered, or the needles were removed too quickly. If the previous points are ineffective, needle the following points again.
[5] Stroke with locked jaw (Trismus): Select Jiache (ST6), Shuigou (GV26), Baihui (GV20), Chengjiang (CV24), and Hegu (LI4). (All should use sedation.)
Question: Why is there no effect with the previous points for this symptom?
Answer: This is due to the accumulation of Wind-Phlegm, disorder of Qi and Blood, and failure of Yin and Yang to ascend and descend. Needle the following points again: Lianquan (CV23) and Shuigou (GV26).
[6] Hemiplegia and Stroke: Select Jinggu (GB39), Kunlun (BL60), Hegu (LI4), Jianyu (LI15), Quchi (LI11), Shousanli (LI10), and Zusanli (ST36).
Question: Why does the symptom recur after needling?
Answer: This is because the depth of insertion was unknown, tonification and sedation were unclear, and deficiency and excess were not distinguished. Needle the previous points again, and additionally needle: Jianjing (GB21)... (Text cuts off here).
[7] Facial Paralysis (Deviation of Mouth and Eye) and Stroke: Select Dicang (ST4), Jiache (ST6), Shuigou (GV26), and Hegu (LI4).
Question: Why does the symptom recur one or half a month after initial effective needling?
Answer: It must be due to lack of restraint in sexual activity and unregulated diet. Needle the following points again, and there will be no ineffectiveness: Tinghui (GB2), Chengjiang (CV24), and Yifeng (TE17).
[8] Stroke with Left Hemiplegia and Right Flaccidity: Select Zusanli (ST36), Yangxi (LI5), Hegu (LI4), Zhongzhu (TE3), Yangfu (GB38), Kunlun (BL60), and Xingjian (LR2).
Question: Why is there no effect after needling several points?
Answer: Wind-Phlegm has accumulated in the meridians, Qi and Blood are fighting, and Cold-Damp-Wind pathogens have entered internally, causing stagnation. Needle the following points again. Needle the unaffected limbs first, then the affected limbs. Fengshi (GB31), Qiuxu (GB40), and Yanglingquan (GB34).
[9] Central Headache and Vertex Pain: Select Baihui (GV20), Hegu (LI4), and Shangxing (GV23).
Question: Why does the symptom recur one or two days after needling, worse than before?
Answer: All Yang meridians converge at the head. One should initially use tonification followed by sedation, emphasizing more tonification and less sedation. If the disease recurs and worsens, the method should be sedation, which will be effective. Needle the following points again. For True Headache (Zhen Tou Tong), morning onset leads to evening death, and evening onset leads to morning death; physicians must treat with care, otherwise it is difficult to treat.
[10] Migraine or Central Headache: Select Fengchi (GB20), Hegu (LI4), and Sizhukong (TE23).
Question: Why is there no effect after needling the above points?
Answer: There may be Phlegm-Fluid retention in the chest and diaphragm, and "Thief Wind" penetrating into Naohu (Brain Gate). When migraine or central headache occurs, pain radiates to the inner arm, or hands and feet feel heavy and cold. If untreated for a long time, it becomes paralysis. It should also be treated by distinguishing Yin and Yang. If needle force is insufficient and ineffective, needle Zhongwan (CV12) to drain lower pathology, then Zusanli (ST36) to dispel wind, and finally the previous points. Zhongwan (CV12), Zusanli (ST36), Jiexi (ST41).
[11] Headache with Dizziness: Select Jiexi (ST41) and Fenglong (ST40).
Question: Why does the symptom recur after initial effectiveness?
Answer: This is due to excessive sexual activity, lying down while drunk and full without avoiding wind and cold, allowing Thief Wind to penetrate the meridians, causing recurrence of cold symptoms. Needle the following points again: Fengchi (GB20).
[12] Headache at Vertex: Select Baihui (GV20), Houding (GV19), and Hegu (LI4).
Question: If needling for vertex headache is ineffective, what other points can treat it?
Answer: Vertex headache is caused by indistinct Yin and Yang, with Wind Pathogen penetrating into Naohu (Brain Gate), hence ineffectiveness. First remove Phlegm, then remove Wind, and it will naturally be effective. Zhongwan (CV12), Zusanli (ST36), Fengchi (GB20), Hegu (LI4).
[13] Drunken Headache: Select Cuanzhu (BL2), Yintang (EX-HN3), and Zusanli (ST36).
Question: Why is there no effect with the previous points?
Answer: This condition involves Phlegm-Fluid retention in the stomach cavity, vomiting clear saliva, dizziness, or unconsciousness for three to five days, refusing food and drink, named Drunken Headache. First regulate Qi, transform Phlegm, harmonize the Stomach, and restore appetite, then dispel Wind-Pain. Zhongwan (CV12), Danzhong (CV17), Zusanli (ST36), Fengmen (BL12).
[14] Corneal Opacity: Select Jingming (BL1), Hegu (LI4), and Sibai (ST2).
Question: Why is there no effect after needling the above points?
Answer: The disease is deep-seated and cannot be cured instantly. Needling two or three times is required for effectiveness. Additionally needle: Taiyang (EX-HN5), Guangming (GB37), Dagukong (EX-UE1), and Xiaogukong (EX-UE2).
[15] Cold Tearing in Wind: Select Cuanzhu (BL2), Dagukong (EX-UE1), and Xiaogukong (EX-UE2).
Question: What is the etiology?
Answer: Exposure to wind while drunk, or acute red eye, or pain, without abstaining from sex, or indulging in fried meats. Women often suffer this due to failing to avoid wind after childbirth, sitting facing the wind, allowing Thief Wind to enter the eyes, or having intercourse during menstruation, causing turbid Qi to rush to the head and eyes. Additionally needle: Xiaogukong (EX-UE2) (for drunken wind exposure in men and women), Sanyinjiao (SP6) (for post-coital symptoms in women), Leikong Shang (above tear duct, 7 moxa cones, rice-sized, effective), and Zhongzhi Ban Zhijian (half-way to fingertip of middle finger, 3 moxa cones, rice-sized).
[16] Internal Cataract: Select Tongziliao (GB1), Hegu (LI4), Linqi (GB14), and Jingming (BL1).
Question: What is the etiology? Why is there no effect with these points?
Answer: Anger injures the Liver, blood fails to return to its residence, Kidney Water is exhausted, and Qi and Blood dissipate. During illness, lack of restraint, excessive sex, and overuse of mind cause this, making it difficult to treat. Additionally needle: Guangming (GB37), Tianfu (LU3), and Fengchi (GB20).
[17] External Eye Obstruction: Select Xiaogukong (EX-UE2), Taiyang (EX-HN5), Jingming (BL1), and Hegu (LI4).
Question: What is the etiology?
Answer: Headache pathogens penetrate the pupil, Qi and Blood surge, upper excess and lower deficiency occur. If previous needling is ineffective, needle the following points two or three times for cure: Linqi (GB14), Cuanzhu (BL2), Zusanli (ST36), and Neijian (inner tip, i.e., corner of the eye, 5 moxa cones).
[18] Blepharitis (Red, Dry, Ulcerated Eyelids): Select Jingming (BL1), Sibai (ST2), Hegu (LI4), Linqi (GB14), and Erjian (LI2).
Question: Why is there no effect after needling?
Answer: Sex after eating/drinking causes Qi and Blood stagnation, itching without dispersion. Rubbing allows Thief Wind to enter seasonally. Additionally needle: Zusanli (ST36) and Guangming (GB37).
[19] Acute Red Eye Pain: Select Hegu (LI4), Zusanli (ST36), Taiyang (EX-HN5), and Jingming (BL1).
Question: What is the etiology?
Answer: Caused by seasonal pathogens, Qi and Blood stagnation, sleeping in the wind, irregular meals, and labor. Additionally needle: Taiyang (EX-HN5), Cuanzhu (BL2), and Sizhukong (TE23).
[20] Red and Swollen Eye Pain: Select Jingming (BL1), Hegu (LI4), Sibai (ST2), and Linqi (GB14).
Question: What is the etiology?
Answer: Due to Kidney Water deficiency, Heart Fire flaring up, Liver failing to control, Heart and Liver blood failing to return to origin, Qi and Blood congesting upward, penetrating the pupil, red vessels crossing the eyeball, hence not dispersing. Additionally needle: Taixi (KI3), Shenshu (BL23), Xingjian (LR2), and Laogong (PC8).
[21] Pterygium: Select Fengchi (GB20), Jingming (BL1), Hegu (LI4), and Taiyang (EX-HN5).
Question: What is the etiology?
Answer: Due to unresolved Cold Damage combined with sexual activity, upper excess and lower deficiency, Qi and Blood congesting upward; or untreated headache, blood penetrating the pupil; or acute red pain; or Qi injuring Liver, Heart Fire flaring up. Also in women postpartum, anger injury, sexual activity within the confinement period disturbing Heart and Liver meridians, irregular diet, hunger/fullness, drunkenness, and fatigue all cause this. It is not curable instantly; gradual treatment is effective. Additionally needle: Fengchi (GB20), Qimen (LR14), Xingjian (LR2), and Taiyang (EX-HN5).
[22] Photophobia: Select Xiaogukong (EX-UE2), Hegu (LI4), Cuanzhu (BL2), and Erjian (LI2).
Question: What is the etiology?
Answer: Acute pain not healed, exposure to wind while traveling, penetration into the eye, blood not returning to residence, Liver failing to store blood, Wind-Toxin penetrating, causing cold tears under light and dry painful eyes in sunlight. Additionally needle: Jingming (BL1), Xingjian (LR2), and Guangming (GB37).
[23] Nasal Congestion with Loss of Smell: Select Yingxiang (LI20), Shangxing (GV23), Wuchu (BL3), and Heliao (LI19).
Question: What is the etiology? Why are multiple points ineffective?
Answer: Unresolved Cold Damage, toxic vapors rushing to the brain, or nasal polyps, with great heat in the brain. Additionally needle: Shuigou (GV26), Fengfu (GV16), Bailao (EX-B1), and Taiyuan (LU9).
[24] Runny Nose (Clear Discharge): Select Shangxing (GV23), Shuigou (GV26), and Fengfu (GV16).
Question: What is the etiology?
Answer: Unresolved Wind-Cold, early consumption of meat and alcohol, exterior and interior not resolved, coughing with phlegm, and cold pain in the brain. Additionally needle: Baihui (GV20), Fengchi (GB20), Fengmen (BL12), and Bailao (EX-B1).
[25) Cold Brain with Foul Discharge: Select Shangxing (GV23), Qucha (BL5), and Hegu (LI4).
Question: What is the etiology?
Answer: Continuous epistaxis, medication blown into Naohu (Brain Gate), toxic vapors attacking the top of the brain, causing foul nasal discharge. Additionally needle: Shuigou (GV26).
[26] Rhinorrhea and Nasal Polyps: Select Shangxing (GV23) and Fengfu (GV16).
Question: If needling these points is ineffective, what else to needle?
Answer: Additionally needle: Heliao (LI19), Fengchi (GB20), Shuigou (GV26), Baihui (GV20), Bailao (EX-B1), and Fengmen (BL12).
[27) Persistent Epistaxis: Select Hegu (LI4), Shangxing (GV23), Bailao (EX-B1), and Fengfu (GV16).
Question: What is the etiology? Continuous bleeding.
Answer: Qi and Blood congesting upward, Yin and Yang failing to ascend and descend, blood not residing in the Liver (which stores blood), heat forcing blood to move recklessly, causing Qi and Blood disharmony. Additionally needle: Yingxiang (LI20), Shuigou (GV26), Yintang (EX-HN3), and Jinggu (BL64).
[28) Oral Ulcers: Select Haiquan (CV23), Shuigou (GV26), Chengjiang (CV24), and Hegu (LI4).
Question: What is the etiology?
Answer: Upper excess and lower deficiency, Heart Fire flaring up, Spleen and Stomach failing, causing this. Additionally needle: Jinjin, Yuye (tongue veins), and Changqiang (GV1).
[29) Facial Paralysis (Deviation of Mouth and Eye): Select Jiache (ST6), Hegu (LI4), Dicang (ST4), and Shuigou (GV26).
Question: What is the etiology?
Answer: Sleeping in the wind after drunkenness, Thief Wind penetrating meridians, Phlegm-Fluid flowing, or anger injuring Liver, unrestrained sex. Additionally needle: Chengjiang (CV24), Baihui (GV20), Dicang (ST4), and Tongziliao (GB1).
[30) Red Swelling and Ulcers on Both Cheeks (also known as Ku Cao Feng or Pig Cheek Wind): Select Hegu (LI4), Lieque (LU7), Dicang (ST4), and Jiache (ST6).
Question: What is the etiology?
Answer: Heat congesting upward, Phlegm stagnating in Sanjiao, swelling not dispersing, red swelling and ulcers on cheeks, named Ku Cao Feng. Additionally needle: Chengjiang (CV24), Zusanli (ST36), Jinjin, and Yuye.
[31) Swollen Tongue with Difficulty Speaking: Select Lianquan (CV23), Jinjin, and Yuye.
Question: What is the etiology?
Answer: Wine-Phlegm stagnating at the tongue root, conflicting with old heat, preventing speech, causing swollen tongue and difficulty speaking. Additionally needle: Tiantu (CV22), Shao... (Text cuts off).
[32) Tooth Swelling and Pain: Select Lvxi (KI6), Jiache (ST6), Longxuan (EX-SD1), and Hegu (LI4).
[33) Upper Jaw Toothache: Select Lvxi (KI6), Taiyuan (LU9), and Shuigou (GV26).
[34) Lower Jaw Toothache: Select Hegu (LI4), Longxuan (EX-SD1), Chengjiang (CV24), and Jiache (ST6).
Question: What is the etiology of toothache?
Answer: Kidney Meridian deficiency and failure, upper excess and lower deficiency, Yin and Yang failing to ascend and descend. Additionally needle: Shenshu (BL23), Sanjian (LI3), Er... (Text cuts off).
[35) Tinnitus (Deficiency Type): Select Shenshu (BL23), Zusanli (ST36), and Hegu (LI4).
Question: What is the etiology?
Answer: Unrestrained sex, Kidney Meridian deficiency and failure, Qi and Blood dissipation. Additionally needle: Taixi (KI3), Tinghui (GB2), and Zusanli (ST36).
[36) Red Swollen and Painful Ears: Select Tinghui (GB2), Hegu (LI4), and Jiache (ST6).
Question: Why is there swelling and pain?
Answer: Heat congesting upward, or injury from ear picking, heat not dispersing, unresolved Cold Damage. Do not treat uniformly; ascertain the cause precisely before needling, which will be effective. Additionally needle: Zusanli (ST36), Hegu (LI4), and Yifeng (TE17).
[37) Ear Ulcer with Pus: Select Yifeng (TE17), Hegu (LI4), and Ermen (TE21).
Question: Ear ulcers with pus are common in children.
Answer: Bath water entering the ear causes this. In adults, it may be due to ear picking injury or earwax mixed with water entering the ear. Additionally needle: Tinghui (GB2) and Zusanli (ST36).
[38) Deafness and Qi Blockage: Select Tinggong (SI19), Tinghui (GB2), and Yifeng (TE17).
Question: What is the etiology?
Answer: Severe heat from Cold Damage, closed sweat pores, stagnant Qi. If previous needling is ineffective, additionally needle: Zusanli (ST36) and Hegu (LI4).
[39) Numbness and Anesthesia of Arms: Select Jianyu (LI15), Quchi (LI11), and Hegu (LI4).
Question: What is the etiology?
Answer: Cold and Dampness fighting, Qi and Blood stagnation causing numbness. Additionally needle: Jianjing (GB21) and Lieque (LU7).
[40) Cold Wind Aching Pain in Arms: Select Jianjing (GB21), Quchi (LI11), Shousanli (LI10), and Xialian (LI9).
Question: What is the etiology?
Answer: Cold Pathogen entering meridians, sleeping on cool pillows, bamboo mats, or lacquered stools at night, unknowingly allowing Wind-Dampness to enter meridians. Additionally needle: Shouwuli (LI13), Jingqu (LU8), and Shanglian (LI10).
[41) Red Swelling and Pain in Arms: Select Wuli (LI13), Quchi (LI11), Tongli (HT5), and Zhongzhu (TE3).
Question: What is the etiology?
Answer: Qi and Blood stagnation, flowing but not dispersing, blocking meridians. Additionally needle: Hegu (LI4) and Chize (LU5).
[42) Red Swelling and Carbuncles in Arms: Select Zhongzhu (TE3), Yemen (TE2), Quchi (LI11), and Hegu (LI4).
Question: What is the etiology?
Answer: Qi and Blood stagnation, skin itching, washing with hot water causing injury and red swelling. If untreated, it becomes a dorsal hand carbuncle. Additionally needle: Shangdu (EX-UE3) and Yangchi (TE4).
[43) Arm Spasm and Tight Tendons in Hands: Select Yangchi (TE4), Hegu (LI4), Chize (LU5), Quchi (LI11), and Zhongzhu (TE3).
Question: What is the etiology?
Answer: Sleeping in dampness, walking at night in summer, Wind-Dampness fighting, or sleeping outdoors after drunken sex. Additionally needle: Jianyu (LI15), Zhongzhu (TE3), Shaoshang (LU11), and Shousanli (LI10).
[44) Red Swelling and Pain in Shoulder and Back: Select Jianyu (LI15), Fengmen (BL12), Zhongzhu (TE3), and Dazhu (BL11).
Question: What is the etiology?
Answer: Loose interstices, Wind Pathogen penetrating skin, Cold Pathogen fighting, Qi and Blood stagnation. Additionally needle: Gaohuang (BL43) and Feishu (BL13).
[45) Chest and Heart Pain: Select Daling (PC7), Neiguan (PC6), and Quze (PC3).
Question: What is the etiology of chest and heart pain?
Answer: Accumulation, or consuming cold causing cold accumulation in the Stomach cavity causing pain. There are nine types of heart pain: worm pain, food pain, heart bi cold pain, Yin-Yang ascent-descent failure, anger rushing to heart. Analyze the symptoms to treat. Zhongwan (CV12), Shangwan (CV13), Zusanli (ST36).
[46) Hypochondriac Pain: Select Zhigou (TE6), Zhangmen (LR13), and Waiguan (TE5).
Question: What is the etiology?
Answer: Anger injuring Liver, blood not returning to origin, disturbing Liver Meridian. Liver stores blood; severe anger prevents blood return. Also hypochondriac pain after Cold Damage or sprain/injury. Treat according to analysis. Additionally needle: Xingjian (LR2) (sedate Liver, treat anger), Zhongfeng (LR4), Qimen (LR14) (treat post-Cold Damage pain), and Yanglingquan (GB34).
[47) Abdominal Pain: Select Neiguan (PC6), Zusanli (ST36), and Zhongwan (CV12).
Question: How to treat abdominal pain?
Answer: Irregular meals cause Qi and Blood conflict, Wei and Ying disharmony, Five Zang unrest, obtained from Cold-Damp. Or exposure to wind/rain, drunken sex after full meal, undigested food. Must treat urgently as Kidney deficiency allows toxic vapors to rush to umbilicus/abdomen. If ineffective, additionally needle: Guanyuan (CV4), Shuifen (CV9), and Tianshu (ST25) (for Cold-Damp and irregular meals).
[48) Lower Abdominal Distension: Select Neiting (ST44), Zusanli (ST36), and Sanyinjiao (SP6).
Question: Why is needling ineffective?
Answer: Retained fluids not transforming causing distension. Etiologies vary: Bladder hernia with cold stabbing pain; dysuria with distending pain; constipation with distending pain. Analyze and treat. Additionally needle: Zhaohai (KI6), Dadun (LR1), Zhongwan (CV12) (tonify first, sedate second), and Qihai (CV6) (specifically for women's blood masses stabbing pain, dysuria, and various Qi pains in women).
[49) Numbness in Both Legs: Select Yangfu (GB38), Yangjiao (GB35), Jinggu (GB39), and Xingjian (LR2).
Question: What is the etiology?
Answer: Dampness fighting, entering meridians not dispersing, or excessive sex after drinking, exposure to Cold/Heat. Additionally needle: Kunlun (BL60), Jinggu (GB39), and Qiuxu (GB40).
[50) Red Swelling and Pain in Knees: Select Xiguan (EX-LE2) and Weizhong (BL40).
Question: What is the etiology?
Answer: Spleen affected by Dampness, Phlegm-Fluid flowing. Etiologies vary: Cold Pathogen entering meridians after dysentery. Additionally needle: Yanglingquan (GB34)... (Text cuts off).