古人灸艾炷大，便用洗法。其法以赤皮葱、薄荷煎汤，温洗疮周遭，约一时久，令驱逐
风邪于疮口出，更令经脉往来不涩，自然疾愈。若灸火退痂后，用东南桃枝青嫩皮煎汤温洗，能
护疮中诸风；若疮黑烂，加胡荽煎洗；若疼不可忍，加黄连煎神效。
灸后不可就饮茶，恐解火气；及食，恐滞经气，须少停一二时，即宜入室静卧，远人事
，远色欲，平心定气，凡百俱要宽解。尤忌大怒、大劳、大饥、大饱、受热、冒寒。至于生冷瓜
果，亦宜忌之。惟食茹淡养胃之物，使气血通流，艾火逐出病气。若过浓毒味，酗醉，致生
痰涎，阻滞病气矣。鲜鱼鸡羊，虽能发火，止可施于初灸，十数日之内，不可加于半月之后
。今人多不知恬养，虽灸何益？故因灸而反致害者，此也。徒责灸艾不效，何耶！
（杨氏）
乙卯岁，至建宁滕柯山，母患手臂不举，背恶寒而体倦困，虽盛暑喜穿棉袄，诸医俱作
虚冷治之。予诊其脉沉滑，此痰在经络也。予针肺俞、曲池、三里穴，是日即觉身轻手举，
寒亦不畏，棉袄不复着矣。后投除湿化痰之剂，至今康健，诸疾不发。若作虚寒，愈补而痰
愈结，可不慎欤！
戊午春，鸿胪吕小山，患结核在臂，大如柿，不红不痛。医云是肿毒。予曰∶此是痰核
结于皮里膜外，非药可愈。后针手曲池，行六阴数，更灸二七壮，以通其经气，不数日即平
妥矣。若作肿毒，用以托里之剂，岂不伤脾胃清纯之气耶？
己巳岁夏，文选李渐庵公祖夫人，患产后血厥，两足忽肿大如股，甚危急。徐、何二堂
尊召予视之，诊其脉芤而歇止，此必得之产后恶露未尽，兼风邪所乘，阳阴邪正激搏，是以
厥逆，不知人事，下体肿痛，病势虽危，针足三阴经，可以无虞。果如其言，针行饭顷而苏
，肿痛立消矣。
癸酉秋，大理李义河翁，患两腿痛十余载，诸药不能奏效。相公推予治之，诊其脉滑浮
，风湿入于筋骨，岂药力能愈，须针可痊。即取风市、阴市等穴针之。官至工部尚书，病不
甲戌夏，员外熊可山公，患痢兼吐血不止，身热咳嗽，绕脐一块痛至死，脉气将危绝。
众医云∶不可治矣。工部正郎隗月潭公素善，迎予视其脉虽危绝，而胸尚暖，脐中一块高起
如拳大，是日不宜针刺，不得已，急针气海，更灸至五十壮而苏，其块即散，痛即止。后治
痢，痢愈，治嗽血，以次调理得痊。次年升职方，公问其故。予曰∶病有标本，治有缓急，
若拘于日忌，而不针气海，则块何由而散？块既消散，则气得以疏通，而痛止脉复矣。正所
谓急则治标之意也。公体虽安，饮食后不可多怒气，以保和其本；否则正气乖而肝气盛，致
脾土受克，可计日而复矣。
辛未夏，刑部王念颐公，患咽嗌之疾，似有核上下于其间，此疾在肺膈，岂药饵所能愈
。东皋徐公推予针之，取膻中、气海，下取三里二穴，更灸数十壮，徐徐调之而痊。东皋名
医也，且才高识博，非不能疗，即东垣治妇人伤寒，热入血室，非针莫愈，必俟夫善刺者，
刺期门而愈。东皋之心，即东垣心也，而其德可并称焉。视今之嫉贤妒能者，为何如哉？然
妒匪斯今，畴昔然矣。予曾往磁洲，道经汤阴伏道路旁，有先师扁鹊墓焉，下马拜之。问其
故。曰∶鹊乃河间人也。针术擅天下，被秦医令李HT 刺死于道路之旁，故名曰伏道，实
可叹也。有传可考。
戊辰岁，给事杨后山公祖乃郎，患疳疾，药日服而人日瘦。同科郑湘溪公，迎予治之。
予曰∶此子形羸，虽是疳症，而腹内有积块，附于脾胃之旁，若徒治其疳，而不治其块，是
不求其本，而揣其末矣。治之之法，宜先取章门灸针，消散积块，后次第理治脾胃，是小人
己除，而君子得行其道于天下矣。果如其言，而针块中，灸章门，再以蟾蜍丸药兼用之，形
体渐盛，疳疾俱痊。
壬申岁，四川陈相公长孙，患胸前突起，此异疾也。人皆曰∶此非药力所能愈。钱诚翁
堂尊，推予治之，予曰∶此乃痰结肺经，而不能疏散，久而愈高，必早针俞府、膻中，后择
日针，行六阴之数，更灸五壮，令贴膏，痰出而平。乃翁编修公甚悦之。
辛未，武选王会泉公亚夫人，患危异之疾，半月不饮食，目闭不开久矣。六脉似有如无
，此疾非针不苏。同寅诸公，推予即针之，但人神所忌，如之何？若待吉日良时，则沦于鬼
矣。不得已，即针内关二穴，目即开，而即能食米饮，徐以乳汁调理而愈。同寅诸君，问
此何疾也？予曰∶天地之气，常则安，变则病，况人禀天地之气，五运迭侵于外，七情交战
于中，是以圣人啬气，如持至宝，庸人妄为，而伤太和，此轩岐所以论诸痛皆生于气，百病
皆生于气，遂有九窍不同之论也。而子和公亦尝论之详矣。然气本一也，因所触而为九，怒
、喜、悲、恐、寒、热、惊、思、劳也。盖怒气逆甚，则呕血及飧泄，故气逆上矣。怒则阳
气逆上，而肝木乘脾，故甚呕血及飧泄也。喜则气和志达，荣卫通和，故气缓矣。悲则心系
急，肺布叶举，而上焦不通，荣卫不散，热气在中，故气消矣。恐则精神上，则上焦闭，闭
则气逆，逆则下焦胀，故气不行矣。寒则腠理闭，气不行，故气收矣。热则腠理开，荣卫
通，汗大泄，故气泄。惊则心无所倚，神无所归，虑无所定，故气乱矣。劳则喘息汗出，内
外皆越，故气耗矣。思则心有所存，神有所归，正气流而不行，故气结矣。
抑尝考其为病之详，变化多端，如怒气所致，为呕血，为飧泄，为煎厥，为薄厥，为阳
厥，为胸满痛，食则气逆而不下，为喘渴烦心，为肥气，为目暴盲，耳暴闭，筋缓，发于外
为痈疽也。喜气所致，为笑不休，为毛发焦，为肉病，为阳气不收，甚则为狂也。悲气所致
，为阴缩，为筋挛，为肌痹，为脉痿，男为数弱，女为血崩，为酸鼻辛颐，为目昏，为少气
不能息，为泣，为臂麻也。恐气所致，为破 脱肉，为骨酸痿厥，为暴下清水，为
面热肤急，为阴痿，为惧而脱颐也。惊气所致，为潮涎，为目HT ，为癫痫，为不省人事
僵仆，久则为痿痹也。劳气所致，为嗌噎，为喘促，为嗽血，为腰痛骨痿，为肺鸣，为高骨
坏，为阴痿，为唾血，为瞑目，为耳闭，男为少精，女为不月，衰甚则溃溃乎若坏，泪泪乎
不可上也。思气所致，为不眠，为嗜卧，为昏瞀，为中痞，三焦闭塞，为咽嗌不利，为胆
瘅呕苦，为筋痿，为白淫，为不嗜食也。寒气所致，为上下所出水液澄清冷，下痢青白等症
也。热气所致，为喘呕吐酸，暴注下迫等病也。
窃又稽之《内经》治法，但以五行相胜之理，互相为治。如怒伤肝，肝属木，怒则气并
于肝，而脾土受邪，木太过则肝亦自病。喜伤心，心属火，喜则气并于心，而肺金受邪，火
太过，则心亦自病。悲伤肺，肺属金，悲则气并于肺，而肝木受邪，金太过则肺亦自病。
恐伤肾，肾属水，恐则气并于肾，而心火受邪，水太过，则肾亦自病。思伤脾，脾属土，思
则气并于脾，而肾水受邪，土太过，则脾亦自病。寒伤形，形属阴，寒胜热，则阳受病，寒
太过，则阴亦自病矣。热伤气，气属阳，热胜寒，则阴受病，热太过，则阳亦自病矣。凡此
数者，更相为治，故悲可以治怒也，以怆恻苦楚之言感之。喜可以治悲也，以谑浪亵狎之言
娱之。恐可以治喜也，以遽迫死亡之言怖之。怒可以治思也，以污辱欺罔之言触之。思可以
治恐也，以虑彼忘此之言夺之。凡此五者，必诡诈谲怪，无所不至，然后可以动人耳目
，易人视听，若胸中无才器之人，亦不能用此法也。热可以治寒，寒可以治热，逸可以治劳
，习可以治惊。经曰∶惊者平之。夫惊以其卒然而临之也，使习见习闻，则不惊矣。如丹溪
治女人许婚后，夫经商三年不归，因不食，困卧如痴，他无所病，但向里床坐，此思气结也
。药难独治，得喜可解；不然令其怒，俾激之大怒，而哭之三时，令人解之，举药一贴，即
求食矣。盖脾主思，思过则脾气结而不食，怒属肝木，木能克土，木气冲发而脾上开矣。又
如子和治一妇，久思而不眠，令触其怒，是夕果困睡，捷于影响。惟劳而气耗，恐而气夺者
，为难治也。又同寅谢公，治妇人丧妹甚悲，而不饮食，令以亲家之女陪欢，仍用解郁之
药，即能饮食。又闻庄公治喜劳之极而病，切脉乃失音症也，令恐惧即愈。然喜者之人少病
，盖其百脉舒和故耳。经云∶恐胜喜，可谓得玄关者也。凡此之症，《内经》自有治法，业
医者，废而不行，何哉？附录宜知所从事焉。
己巳岁，尚书王西翁乃爱，颈项患核肿痛，药不愈，召予问其故？曰∶项颈之疾，自有
各经原络井俞会合之处，取其原穴以刺之。后果刺，随针而愈，更灸数壮，永不见发。大抵
颈项，乃横肉之地，经脉会聚之所，凡有核肿，非吉兆也。若不究其根，以灸刺之，则流串
之势，理所必致矣。患者慎之。
戊寅冬，张相公长孙，患泻痢半载，诸药不效，相公命予治之，曰∶昔翰林时，患肚腹
之疾，不能饮食，诸药不效，灸中脘、章门即饮食，其针灸之神如此。今长孙患泻痢，不
能进食，可针灸乎？予对曰∶泻痢日久，体貌已变，须元气稍复，择日针灸可也。华岑公子
云∶事已危笃矣，望即治之，不俟再择日期，即针灸中脘、章门，果能饮食。
丁丑夏，锦衣张少泉公夫人，患痫症二十余载，曾经医数十，俱未验。来告予，诊其脉
，知病入经络，故手足牵引，眼目黑瞀，入心则搐叫，须根据理取穴，方保得痊。张公善书而
知医，非常人也。悉听予言，取鸠尾、中脘，快其脾胃，取肩 、曲池等穴，理其经络
，疏其痰气，使气血流通，而痫自定矣。次日即平妥，然后以法制化痰健脾之药，每
戊辰岁，吏部观政李邃麓公，胃旁一痞块如覆杯，形体羸瘦，药勿愈。予视之曰∶
既有形于内，岂药力所能除，必针灸可消，详取块中。用以盘针之法，更灸食仓、中脘穴而
愈。邃麓公问曰∶人之生痞，与 癖、积聚、 瘕是如何？曰∶痞者否也，如《易》所
谓天地不交之否，内柔外刚，万物不通之义也。物不可以终否，故痞久则成胀满，而莫能疗
焉。 癖者，悬绝隐僻，又玄妙莫测之名也。积者迹也，挟痰血以成形迹，亦郁积至久之谓
尔。聚者绪也，根据元气为端绪，亦聚散不常之意云。 者征也，又精也，以其有所征
验，及久而成精萃也。瘕者假也，又遐也，以其假借气血成形，及历年遐远之谓也。大抵
痞与 癖，乃胸膈之候，积与聚，为腹内之疾，其为上、中二焦之病，故多见于男子。其
与瘕，独见于脐下，是为下焦之候，故常见于妇人。大凡腹中有块，不问男妇积聚、
瘕，俱为恶症，切勿视为寻常。初起而不求早治，若待痞疾胀满，已成胸腹鼓急，虽扁
鹊复生，亦莫能救其万一，有斯疾者，可不惧乎！李公深以为然。
戊辰岁，户部王缙庵公乃弟，患心痫疾数载矣。徐堂翁召予视之，须行八法开阖方可，
公如其言。而刺照海、列缺，灸心俞等穴，其针待气至，乃行生成之数而愈。凡治此症，须
分五痫，此卷前载之详矣，兹不悉录。
壬申岁，大尹夏梅源公，行次至蛾眉庵寓，患伤寒，同寅诸公，迎视六脉微细，阳症得
阴脉。经云，阳脉见于阴经，其生也可知；阴脉见于阳经，其死也可许。予居玉河坊，正值
考绩，不暇往返之劳，若辞而不治，此公在远方客邸，且莅政清苦，予甚恻之。先与柴胡加
减之剂，少效，其脉尚未合症，予竭精殚思，又易别药，更针内关，六脉转阳矣。遂次第进
以汤散而愈。后转升户部，今为正郎。
壬戌岁，吏部许敬庵公，寓灵济宫，患腰痛之甚。同乡董龙山公推予视之。诊其脉，尺
部沉数有力。然男子尺脉固宜沉实，但带数有力，是湿热所致，有余之疾也。医作不足治之
，则非矣。性畏针，遂以手指于肾俞穴行补泻之法，痛稍减，空心再与除湿行气之剂，一服
而安。公曰∶手法代针，已觉痛减，何乃再服渗利之药乎？予曰∶针能劫病，公性畏针
，故不得已，而用手指之法，岂能驱除其病根，不过暂减其痛而已。若欲全可，须针肾俞穴
，今既不针，是用渗利之剂也。岂不闻前贤云∶腰乃肾之府，一身之大关节。脉沉数者，多
是湿热壅滞，须宜渗利之，不可用补剂。今人不分虚实，一概误用，多致绵缠，痛疼不休（
出玉机中）。大抵喜补恶攻，人之恒情也。邪湿去而新血生，此非攻中有补存焉者乎？
壬申岁，行人虞绍东翁，患膈气之疾，形体羸瘦，药饵难愈。召予视之，六脉沉涩，须
取膻中，以调和其膈，再取气海，以保养其源，而元气充实，脉息自盛矣。后择时针上穴，
行六阴之数，下穴行九阳之数，各灸七壮，遂全愈。今任扬州府太守。庚辰过扬，复睹形体
壬申夏，户部尚书王疏翁，患痰火炽盛，手臂难伸，予见形体强壮，多是湿痰流注经络
古人施灸时艾炷较大，因此采用洗法。具体方法是：用赤皮葱和薄荷煎煮汤水，待温度适宜后清洗疮口周围，大约持续一个时辰（两小时），目的是让风邪从疮口排出，同时使经脉气血运行通畅不滞涩，疾病自然痊愈。如果在灸火退去痂皮后，用东南方向生长的桃树枝嫩皮煎汤温洗，能够保护疮口免受风邪侵袭；如果疮口发黑溃烂，加入胡荽（香菜）煎汤清洗；如果疼痛难以忍受，加入黄连煎汤清洗，效果神妙。
灸后不宜立即饮茶，因为茶可能解掉艾灸的温热之气；也不宜立即进食，以免阻碍经气运行。应当稍作休息一两个时辰，然后进入室内安静躺卧，远离世俗人事，远离色欲，保持心境平和、气息安定，凡事都要放宽心态。特别忌讳大怒、过度劳累、极度饥饿、暴饮暴食、受热或受寒。至于生冷瓜果，也应当禁忌。饮食应以清淡、养胃的食物为主，使气血流通，借助艾火的温热之力将病气驱逐出去。如果食用过于浓烈辛辣有毒味的食物，或者酗酒，会导致痰涎生成，阻滞病气。鲜鱼、鸡肉、羊肉虽然容易助火生热，但只可在初次施灸时使用，在十几天内可以食用，半个月之后就不宜再吃。现在的人大多不懂得恬淡修养，即使施灸又有什么益处呢？所以有些人反而因为施灸而受害，原因就在这里。只责怪艾灸没有疗效，为什么呢？
（杨氏医案）
乙卯年，我来到建宁滕柯山，看到一位母亲患手臂无法抬起，背部怕冷且身体疲倦困乏，即使在盛夏也喜欢穿棉袄，各位医生都将其作为虚寒证治疗。我诊察她的脉象沉滑，判断这是痰湿阻滞经络所致。我针刺了肺俞、曲池、足三里穴，当天她就觉得身体轻松，手臂能抬起来了，也不怕冷了，不再穿棉袄了。后来投用除湿化痰的药物，至今身体健康，各种疾病都没有复发。如果当作虚寒证治疗，越补益痰湿就越凝结，能不谨慎吗！
戊午年春天，鸿胪寺官员吕小山，患有臂部结核，大小像柿子，不红不痛。医生说这是肿毒。我说：这是痰核结聚在皮肤与肌肉之间的膜外，不是药物能治愈的。后来针刺手部的曲池穴，施行六阴数的泻法，又艾灸十四壮，以疏通经络之气，没过几天就平复痊愈了。如果当作肿毒治疗，使用托里透脓的药物，难道不会损伤脾胃清纯之气吗？
己巳年夏天，文选司李渐庵大人的夫人，患产后血厥症，双腿突然肿大如大腿般粗细，情况非常危急。徐、何两位同僚邀请我去诊治，我诊察她的脉象芤脉且有间歇，这一定是因为产后恶露未尽，兼受风邪侵袭，阴阳邪正之气相互搏击，导致厥逆，神志不清，下体肿痛。病情虽然危险，但针刺足三阴经穴位，就可以无忧。果然如我所言，针刺不到一顿饭的功夫她就苏醒了，肿痛立刻消除。
癸酉年秋天，大理寺卿李义河老先生，患双腿疼痛十多年，各种药物都不能见效。宰相推荐我来治疗，我诊察他的脉象滑浮，判断是风湿之邪侵入筋骨，岂是药力所能治愈的，必须通过针刺才能痊愈。随即取风市、阴市等穴位进行针刺。（注：原文此处有缺漏，推测为治疗后痊愈，官至工部尚书。）
甲戌年夏天，员外郎熊可山公，患痢疾兼吐血不止，身体发热咳嗽，肚脐周围有一块肿块疼痛剧烈甚至危及生命，脉气即将危绝。众医生说：治不好了。工部正郎隗月潭公与我交好，迎接我去诊治。我诊察他的脉象虽然危绝，但胸部尚暖，肚脐中有一块高起如拳头大的肿块。当天不宜针刺，不得已，紧急针刺气海穴，又艾灸五十壮，病人苏醒，肿块消散，疼痛停止。后来治疗痢疾，痢疾痊愈；再治疗咳嗽吐血，依次调理得以康复。次年他升职为职方司官员，他问我其中的缘故。我说：治病有标本之分，治疗有缓急之别。如果拘泥于日忌，而不针刺气海穴，那么肿块凭什么消散？肿块既然消散，气机就能疏通，疼痛停止，脉象恢复。这就是所谓的“急则治其标”的意思。您身体虽然安好，但在饮食之后不可多生气，以保养根本；否则正气乖乱而肝气旺盛，导致脾土受克，恐怕很快又会复发。
辛未年夏天，刑部王念颐公，患咽喉疾病，感觉似有异物核团上下移动，此病在肺膈之间，岂是药物所能治愈的。东皋徐公推荐我来针刺，取膻中、气海穴，向下取足三里二穴，又艾灸数十壮，慢慢调理而痊愈。东皋是位名医，而且才高识博，并非不能治疗。就像李东垣治疗妇人伤寒，热入血室，非针刺不能愈，必定等待善于刺针的人，刺期门穴而痊愈。东皋的心意，就是李东垣的心意，他们的德行可以并称。看看现在那些嫉妒贤能的人，又是怎样的呢？然而嫉妒贤能并非当今才有，过去也是如此。我曾前往磁州，路经汤阴伏道旁，那里有先师扁鹊的墓，我下马拜祭。询问其原因。回答说：扁鹊是河间人。他的针术擅长天下，被秦国的医令李醯在道路旁刺杀致死，所以名叫伏道，实在令人叹息。有传记可以考证。
戊辰年，给事杨后山大人的公子，患疳积疾病，每天服药但身体日渐消瘦。同科郑湘溪公，邀请我来治疗。我说：这孩子形体羸弱，虽然是疳症，但腹内有积块，附着在脾胃旁边，如果只治疗疳症，而不治疗积块，这是不求根本而只关注末节。治疗方法，应该先取章门穴进行灸疗和针刺，消散积块，然后依次调理脾胃，这就好比小人已被清除，君子得以在天下推行其道。果然如我所言，针刺积块部位，灸章门穴，再配合使用蟾蜍丸药，形体逐渐强壮，疳疾全部痊愈。
壬申年，四川陈相公的长孙，患胸前突起，这是异疾。人们都说：这不是药力所能治愈的。钱诚翁堂尊，推荐我来治疗，我说：这是痰结聚在肺经，不能疏散，时间久了就会越来越高，必须尽早针刺俞府、膻中穴，随后择日针刺，施行六阴数，又艾灸五壮，令其贴膏药，痰出而平复。他的父亲编修公对此非常满意。
辛未年，武选司王会泉公的次夫人，患危重奇异之疾，半个月不饮食，眼睛闭合已久。六脉似有若无，此病非针刺不能苏醒。同僚诸公，推荐我立即针刺，但是担心触犯人神所忌，怎么办？如果等待吉日良时，病人就会死去了。不得已，立即针刺内关二穴，眼睛立刻睁开，并且能吃米饮，慢慢用乳汁调理而痊愈。同僚诸位问这是什么病？我说：天地之气，常态则安，变化则病。何况人禀受天地之气，五运交替侵扰于外，七情交战于内，所以圣人爱惜精气，如同持有至宝；庸人妄为，伤害太和之气。这就是黄帝、岐伯论述各种疼痛皆生于气，百病皆生于气，于是有九窍不同的理论。而张子和公也曾详细论述过。然而气本是一体的，因触动不同而分为九种：怒、喜、悲、恐、寒、热、惊、思、劳。大概怒气上逆严重，就会呕血及完谷不化的泄泻，所以气逆上了。怒则阳气逆上，肝木乘袭脾土，所以严重时会呕血及完谷不化的泄泻。喜则气和顺、意志通达，营卫通调和谐，所以气舒缓。悲则心系紧急，肺叶举布，而上焦不通，营卫不散，热气在中，所以气消耗。恐则精神内敛，上焦闭塞，闭塞则气逆，气逆则下焦胀满，所以气不行。寒则腠理闭塞，气不行，所以气收敛。热则腠理开泄，营卫通，汗大泄，所以气外泄。惊则心无所倚，神无所归，虑无所定，所以气紊乱。劳则喘息汗出，内外皆越，所以气耗散。思则心有所存，神有所归，正气流行但不行，所以气结聚。
我又考察这些病症的详细变化，多种多样。如怒气所致，表现为呕血、飧泄、煎厥、薄厥、阳厥、胸满痛、食则气逆不下、喘渴烦心、肥气、目暴盲、耳暴闭、筋缓，发于外则为痈疽。喜气所致，表现为笑不休、毛发焦枯、肉病、阳气不收，严重时则为狂症。悲气所致，表现为阴缩、筋挛、肌痹、脉痿，男子表现为精少虚弱，女子表现为血崩、酸鼻辛颐、目昏、少气不能息、哭泣、手臂麻木。恐气所致，表现为破腘脱肉、骨酸痿厥、暴下清水、面热肤急、阴痿、惧而脱颐。惊气所致，表现为潮涎、目瞤、癫痫、不省人事僵仆，久则成为痿痹。劳气所致，表现为噎膈、喘促、嗽血、腰痛骨痿、肺鸣、高骨坏、阴痿、唾血、瞑目、耳闭，男子精少，女子闭经，衰败严重时则溃烂若坏，泪泪乎不可上也。思气所致，表现为不眠、嗜卧、昏瞀、中痞、三焦闭塞、咽嗌不利、胆瘅呕苦、筋痿、白淫、不嗜食。寒气所致，表现为上下所出水液澄清冷、下痢青白等症状。热气所致，表现为喘呕吐酸、暴注下迫等疾病。
我私下又考证《内经》的治法，只是利用五行相胜的道理，互相为治。如怒伤肝，肝属木，怒则气并聚于肝，而脾土受邪，木太过则肝亦自病。喜伤心，心属火，喜则气并聚于心，而肺金受邪，火太过，则心亦自病。悲伤肺，肺属金，悲则气并聚于肺，而肝木受邪，金太过则肺亦自病。恐伤肾，肾属水，恐则气并聚于肾，而心火受邪，水太过，则肾亦自病。思伤脾，脾属土，思则气并聚于脾，而肾水受邪，土太过，则脾亦自病。寒伤形，形属阴，寒胜热，则阳受病，寒太过，则阴亦自病。热伤气，气属阳，热胜寒，则阴受病，热太过，则阳亦自病。凡此数者，更相为治，所以悲可以治怒，用凄惨苦楚的话感动他；喜可以治悲，用戏谑轻佻的话娱乐他；恐可以治喜，用紧迫死亡的话恐吓他；怒可以治思，用污辱欺骗的话触动他；思可以治恐，用考虑彼处忘记此处的话转移他的注意力。凡此五种方法，必须诡诈奇特，无所不用其极，然后才能打动人的耳目，改变人的视听，如果胸中没有才器的人，也不能使用这种方法。热可以治寒，寒可以治热，逸可以治劳，习可以治惊。经文说：惊者平之。惊是因为突然面临它，使其习惯见到听到，就不会惊了。如朱丹溪治疗一位女子许婚后，丈夫经商三年不归，因不吃饭，困卧如痴，没有其他病，只是面向里床坐着，这是思气结聚。药物难独治，得喜可解；不然让她发怒，激她大怒，哭三个时辰，让人解开，喝一帖药，就求食了。因为脾主思，思过则脾气结而不食，怒属肝木，木能克土，木气冲发而脾土开矣。又如张子和治疗一妇人，久思而不眠，令她触怒，当晚果然困睡，见效极快。只有劳而气耗，恐而气夺的，为难治。又同僚谢公，治疗妇人丧妹甚悲，而不饮食，令亲家之女陪欢，仍用解郁之药，即能饮食。又听说庄公治疗喜劳之极而病，切脉乃是失音症，令恐惧即愈。然而喜好喜乐的人少生病，因为百脉舒和的缘故。经文说：恐胜喜，可谓得玄关者也。凡此之症，《内经》自有治法，从业者废弃而不实行，为什么呢？附录于此，宜知所从事焉。
己巳年，尚书王西翁的爱子，颈项患核肿痛，药物无效，召我问缘故？我说：颈项的疾病，自有各经原穴、络穴、井穴、俞穴、会合之处，取其原穴来刺之。后果然针刺，随针而愈，又灸数壮，永远不再发作。大抵颈项，是横肉之地，经脉会聚之所，凡有核肿，都不是吉兆。如果不究其根源，以灸刺治疗，则流窜之势，是理所必致的。患者要谨慎。
戊寅年冬天，张相公的长孙，患泻痢半年，各种药物无效，相公命我治疗，说：昔日我在翰林院时，患肚腹之疾，不能饮食，各种药物无效，灸中脘、章门穴即能饮食，针灸的神效如此。现在长孙患泻痢，不能进食，可以针灸吗？我回答说：泻痢日久，体貌已变，须元气稍复，择日针灸即可。华岑公子说：事情已经危笃了，希望立即治疗，不等待再择日期，即针灸中脘、章门穴，果然能饮食。
丁丑年夏天，锦衣卫张少泉公夫人，患痫症二十多年，曾经医治几十位医生，都不见效。来告诉我，我诊察她的脉象，知道病入经络，所以手足牵引，眼目黑蒙，入心则抽搐叫喊，必须根据道理取穴，才能保证痊愈。张公善书法且懂医，是非常人。完全听从我，取鸠尾、中脘穴，快其脾胃；取肩髃、曲池等穴，理其经络，疏其痰气，使气血流通，而痫症自定。次日即平复安稳，然后用法制化痰健脾之药。
戊辰年，吏部观政李邃麓公，胃旁有一痞块如倒扣的杯子，形体羸瘦，药物无效。我看后说：既有形于内，岂是药力所能除，必须针灸可消，详细取块中。用以盘针之法，又灸食仓、中脘穴而愈。邃麓公问：人之生痞，与癖、积聚、瘕是如何？我说：痞者否也，如《易经》所谓天地不交之否卦，内柔外刚，万物不通之义。物不可以终否，故痞久则成胀满，而莫能疗焉。癖者，悬绝隐僻，又玄妙莫测之名。积者迹也，挟痰血以成形迹，亦郁积至久之谓尔。聚者绪也，根据元气为端绪，亦聚散不常之意云。 者征也，又精也，以其有所征验，及久而成精萃也。瘕者假也，又遐也，以其假借气血成形，及历年遐远之谓也。大抵痞与癖，乃胸膈之候，积与聚，为腹内之疾，其为上、中二焦之病，故多见于男子。其与瘕，独见于脐下，是为下焦之候，故常见于妇人。大凡腹中有块，不问男妇积聚、瘕，俱为恶症，切勿视为寻常。初起而不求早治，若待痞疾胀满，已成胸腹鼓急，虽扁鹊复生，亦莫能救其万一，有斯疾者，可不惧乎！李公深以为然。
戊辰年，户部王缙庵公的弟弟，患心痫疾数年。徐堂翁召我诊治，须行八法开阖方可，公如其言。而刺照海、列缺穴，灸心俞等穴，其针待气至，乃行生成之数而愈。凡治此症，须分五痫，此卷前载之详矣，兹不悉录。
壬申年，大尹夏梅源公，行次至蛾眉庵寓，患伤寒，同僚诸公，迎视六脉微细，阳症得阴脉。经文说，阳脉见于阴经，其生也可知；阴脉见于阳经，其死也可许。我居住在玉河坊，正值考绩，不暇往返之劳，如果辞而不治，这位公在远方客邸，且莅政清苦，我很同情他。先给予柴胡加减之剂，稍有效，其脉尚未合症，我竭精殚思，又换别药，更针内关穴，六脉转阳矣。遂次第进以汤散而愈。后转升户部，今为正郎。
壬戌年，吏部许敬庵公，寓灵济宫，患腰痛之甚。同乡董龙山公推荐我诊治。诊察他的脉象，尺部沉数有力。然而男子尺脉固宜沉实，但带数有力，是湿热所致，有余之疾。医生作不足治之，则非矣。他性畏针，遂以手指于肾俞穴行补泻之法，痛稍减，空心再与除湿行气之剂，一服而安。公曰：手法代针，已觉痛减，何乃再服渗利之药乎？我说：针能劫病，公性畏针，故不得已，而用手指之法，岂能驱除其病根，不过暂减其痛而已。若欲全可，须针肾俞穴，今既不针，是用渗利之剂也。岂不闻前贤云：腰乃肾之府，一身之大关节。脉沉数者，多是湿热壅滞，须宜渗利之，不可用补剂。今人不分虚实，一概误用，多致绵缠，痛疼不休（出自《玉机真脏论》）。大抵喜补恶攻，人之恒情也。邪湿去而新血生，此非攻中有补存焉者乎？
壬申年，行人虞绍东翁，患膈气之疾，形体羸瘦，药物难愈。召我诊治，六脉沉涩，须取膻中，以调和其膈，再取气海，以保养其源，而元气充实，脉息自盛矣。后择时针上穴，行六阴之数，下穴行九阳之数，各灸七壮，遂全愈。今任扬州府太守。庚辰年过扬州，复睹形体...
In ancient times, moxa cones were large, so a washing method was used. The method involves decocting red-skin scallions and mint in water, and using the warm solution to wash around the moxibustion sore for about one shi (two hours). This aims to expel wind pathogens from the sore and ensure the smooth flow of qi and blood in the meridians, leading to natural recovery. After the moxibustion fire subsides and the scab falls off, washing with a decoction of tender bark from peach branches grown in the southeast can protect the sore from wind pathogens; if the sore turns black and ulcerates, adding coriander (Hu Su) to the decoction is effective; if the pain is unbearable, adding Coptis Rhizome (Huang Lian) to the decoction yields miraculous results.
After moxibustion, one should not drink tea immediately, as it may dissipate the warming qi of the moxa; nor should one eat immediately, as it may obstruct the flow of meridian qi. One should rest for one or two shi, then enter a room to lie quietly, distancing oneself from worldly affairs and sexual desires, maintaining a calm mind and steady breath, and keeping all matters relaxed. It is especially taboo to be extremely angry, overexerted, starving, overly full, overheated, or chilled. Raw and cold fruits and vegetables should also be avoided. Diet should consist of bland, stomach-nourishing foods to promote the free flow of qi and blood, allowing the heat of the moxa to drive out pathogenic qi. Consuming overly strong, pungent, or toxic foods, or indulging in alcohol, can generate phlegm and turbidity, blocking pathogenic qi. Fresh fish, chicken, and mutton, although they can stimulate fire, are only suitable for use during initial moxibustion treatments; they should not be consumed after half a month. Nowadays, most people do not know how to cultivate tranquility, so what benefit is there in moxibustion? Thus, some suffer harm due to moxibustion, which is the reason why some merely blame the ineffectiveness of moxa. Why is this?
(Master Yang's Cases)
In the year Yimao, I arrived at Tengkeshan in Jianning. A mother suffered from an inability to raise her arm, aversion to cold in the back, and bodily fatigue. Even in midsummer, she preferred wearing cotton-padded jackets. Various physicians treated her as a deficiency-cold syndrome. Upon palpating her pulse, which was deep and slippery, I diagnosed Phlegm-Dampness obstructing the meridians. I needled Feishu (BL13), Quchi (LI11), and Zusanli (ST36). On that day, she felt lighter, could raise her arm, no longer feared cold, and stopped wearing the jacket. Later, I prescribed herbs to resolve dampness and transform phlegm. She has remained healthy since, with no recurrence of diseases. If treated as deficiency-cold, tonification would only cause more phlegm condensation. How important caution is!
In the spring of the year Wuwu, Lu Xiaoshan, an official at the Court of State Ceremonial, had a tubercle in his arm, the size of a persimmon, neither red nor painful. Physicians claimed it was a swelling toxin. I said: "This is a Phlegm-Nodule condensed outside the fascia between skin and muscle, not curable by herbs alone." I then needled Quchi (LI11) on the hand, applying the Six Yin number technique (reduction), and moxibusted fourteen cones to unblock meridian qi. Within a few days, it flattened and healed. If treated as a swelling toxin using formulas to support the interior and expel pus, wouldn't this damage the pure qi of the spleen and stomach?
In the summer of the year Jisi, the wife of Li Jian'an, a selection official, suffered from postpartum Blood-Jue syndrome. Her legs suddenly swelled to the size of her thighs, a critical condition. Colleagues Xu and He invited me to treat her. Her pulse was hollow (Kou) with interruptions. This indicated incomplete expulsion of lochia postpartum, compounded by wind-pathogen invasion. The conflict between yin-yang pathogens and righteous qi caused Jue, unconsciousness, and lower body swelling/pain. Although critical, needling the Three Yin meridians of the foot would ensure safety. As predicted, she revived within the time it takes to eat a meal, and the swelling and pain vanished instantly.
In the autumn of the Guiyou year, Elder Li Yihe, Minister of Justice, suffered from bilateral leg pain for over ten years, unresponsive to various medicines. The Chancellor recommended me. His pulse was slippery and floating, indicating Wind-Dampness invading the sinews and bones. Medicine alone cannot cure this; needling is required. I needled Fengshi (GB31) and Yinshi (ST32). (Note: Text implies successful treatment leading to his promotion to Minister of Works.)
In the summer of the Jiawu year, Xiong Keshan, Vice Director, suffered from dysentery accompanied by continuous hematemesis, fever, cough, and severe pain from a mass around the navel, with a critical pulse nearing extinction. Physicians declared it incurable. Wei Yuetan, a Director in the Ministry of Works and my friend, summoned me. Although the pulse was critical, his chest was still warm. There was a mass around the navel raised like a fist. Since needling was contraindicated that day, I urgently needled Qihai (CV6) and moxibusted fifty cones. He revived, the mass dissipated, and pain ceased. Subsequently, treating the dysentery cured it; treating the cough and hematemesis through sequential regulation led to recovery. When he asked about the rationale later, I explained: "Disease has root and branch; treatment has urgency and slackness. If we adhere strictly to taboos and did not needle Qihai, how would the mass disperse? Once dispersed, qi flows freely, pain stops, and pulse recovers. This is the meaning of 'treat the branch in emergencies.' Although your body recovered, avoid anger after meals to preserve the root; otherwise, righteous qi will be disrupted, liver qi will flourish, and spleen earth will be overcome, leading to relapse."
In the summer of the Xinwei year, Wang Nianyi of the Ministry of Justice suffered from a throat disorder, feeling a lump moving up and down. This disease lies in the lung and diaphragm, uncurable by herbs alone. Xu Donggao recommended me to needle. I selected Danzhong (CV17) and Qihai (CV6), plus Zusanli (ST36) below, and moxibusted dozens of cones, slowly regulating until recovery. Donggao was a renowned physician with high talent and broad knowledge. Just as Li Dongyuan treated women with Cold Damage where heat entered the Blood Chamber, requiring needling to heal, specifically needling Qimen (LR14), Donggao's intent mirrors Dongyuan's. Their virtues are comparable. Contrast this with today's jealous individuals. However, jealousy is not new. I once visited Ci Zhou, passing Fudao in Tangyin, where the tomb of Master Bian Que lies. I dismounted and bowed. Asked why, I was told: "Bian Que was from Hejian. His acupuncture skills were unparalleled. He was assassinated by Li Xi, the Medical Commissioner of Qin, beside the road, hence the name Fudao (Hidden Road). It is truly lamentable, recorded in history."
In the Wuchen year, the son of Yang Houshan, a Censor, suffered from Gan disease (childhood malnutrition/parasitism). Despite daily medication, he grew thinner. Zheng Xiangxi invited me. I said: "The child is emaciated. Although it is Gan disease, there is an accumulation mass in the abdomen attached to the spleen and stomach. Treating only the Gan disease without addressing the mass is seeking the tip but ignoring the root. We must first needle and moxa Zhangmen (LR13) to dissipate the mass, then sequentially regulate the spleen and stomach. This is like removing villains so the gentleman may govern." Following this, needling the mass, moxa Zhangmen, and using Toad Pill (Chanshu Wan) resulted in gradual strengthening and complete recovery.
In the Renshen year, the eldest grandson of Chancellor Chen of Sichuan had a protrusion on his chest, an unusual ailment. People said medicine couldn't cure it. Qian Chengweng recommended me. I said: "This is Phlegm condensed in the Lung Meridian, unable to disperse. Over time it rises higher. We must early needle Shufu (BL10) and Danzhong (CV17). Then select a day to needle, apply the Six Yin number, and moxa five cones, followed by plaster application. Phlegm will exit and flatten." The father, a Compiler, was very pleased.
In the Xinwei year, the second wife of Wang Huiquan, Military Selection Official, suffered a critical, strange illness. She hadn't eaten for half a month and kept her eyes closed for a long time. The six pulses were faint, almost non-existent. This illness requires needling to revive. Colleagues urged immediate needling but worried about offending spiritual taboos. Waiting for an auspicious day might lead to death. Reluctantly, I needled Neiguan (PC6) bilaterally. Her eyes opened immediately, and she could consume rice water. Slowly regulated with milk, she recovered. Colleagues asked the diagnosis. I explained: "Heaven and Earth Qi are stable in normalcy and diseased in change. Humans inherit this Qi. Five Movements invade externally; Seven Emotions battle internally. Sages cherish Qi like treasure; fools waste it, harming Taihe Qi. Hence Huangdi and Qibo stated all pains arise from Qi, and hundred diseases arise from Qi, leading to discussions on nine orifices. Zhang Hezi also detailed this. Qi is one, but manifests as nine due to triggers: Anger, Joy, Sorrow, Fear, Cold, Heat, Startle, Thought, Labor. Severe Anger causes Qi to rise, leading to hematemesis and undigested diarrhea (Sunxie). Joy harmonizes Qi, spreads will, and balances Ying-Wei, slowing Qi. Sorrow tightens the Heart Tie, lifts Lung leaves, blocks Upper Jiao, prevents Ying-Wei dispersion, traps heat, and consumes Qi. Fear gathers spirit, closes Upper Jiao, causes Qi reversal and Lower Jiao distension, stopping Qi flow. Cold closes pores, stops Qi, contracting Qi. Heat opens pores, allows Ying-Wei flow, causes profuse sweating, leaking Qi. Startle leaves heart unsupported, spirit unanchored, thoughts unsettled, chaotic Qi. Labor causes panting and sweating, internal and external leakage, depleting Qi. Thought fixes mind and spirit, stagnating Zheng Qi, causing Qi knotting."
"I further examined the pathological changes. Anger causes: hematemesis, Sunxie, Jian Jue, Bo Jue, Yang Jue, chest fullness/pain, food regurgitation, panting/thirst/irritability, Fei Qi (mass under left hypochondrium), sudden blindness/deafness, flaccid sinews, and external carbuncles. Joy causes: incessant laughter, dry hair, flesh disorders, unrestrained Yang Qi, and mania. Sorrow causes: Yin retraction, sinew spasm, muscle Bi, vessel flaccidity, male seminal weakness, female metrorrhagia, sour nose/acrid cheeks, blurred vision, shortness of breath, weeping, arm numbness. Fear causes: ruptured popliteal space/muscle wasting, bone ache/flaccidity/cold limbs, sudden watery diarrhea, hot face/tight skin, impotence, jaw dropping from fear. Startle causes: tidal salivation, eye twitching, epilepsy, unconscious collapse, and chronic flaccidity/Bi. Labor causes: dysphagia, panting, hemoptysis, lumbar pain/bone flaccidity, lung rales, high bone destruction, impotence, spitting blood, closing eyes, deafness, male low sperm/female amenorrhea, severe decay. Thought causes: insomnia, lethargy, dizziness, epigastric fullness, Triple Burner blockage, throat obstruction, gallbladder heat/bitter vomiting, sinew flaccidity, white discharge, loss of appetite. Cold causes: clear/cold fluids, green-white dysentery. Heat causes: panting/vomiting acid, sudden violent diarrhea/tenesmus."
"Consulting the *Neijing*, treatments use the principle of Five Elements overcoming each other. Anger injures Liver (Wood); Qi gathers in Liver, injuring Spleen (Earth). Excess Wood harms Liver. Joy injures Heart (Fire); Qi gathers in Heart, injuring Lung (Metal). Excess Fire harms Heart. Sorrow injures Lung (Metal); Qi gathers in Lung, injuring Liver (Wood). Excess Metal harms Lung. Fear injures Kidney (Water); Qi gathers in Kidney, injuring Heart (Fire). Excess Water harms Kidney. Thought injures Spleen (Earth); Qi gathers in Spleen, injuring Kidney (Water). Excess Earth harms Spleen. Cold injures Form (Yin); Cold defeats Heat, harming Yang. Excess Cold harms Yin. Heat injures Qi (Yang); Heat defeats Cold, harming Yin. Excess Heat harms Yang. These counteract each other: Sorrow treats Anger (using sad words); Joy treats Sorrow (using playful words); Fear treats Joy (using threats of death); Anger treats Thought (using insulting words); Thought treats Fear (using distracting worries). These methods require cunning to alter perception. Those without talent cannot use them. Heat treats Cold; Cold treats Heat; Rest treats Labor; Habituation treats Startle. *Jing* says: 'Startle is treated by leveling.' Startle comes from suddenness; habituation removes fear. Danyu treated a woman whose husband traveled for three years; she stopped eating, lay facing the bed, suffering from Thought-knotting. Medicine failed; Joy resolved it. Provoking anger broke the knot (Wood overcomes Earth), restoring appetite. Zhang Hezi treated a woman sleeping poorly due to thought by provoking anger; she slept soundly that night. Only Labor-depletion and Fear-exhaustion are hard to treat. Xie Gong treated a grieving widow by having relatives cheer her up and using depression-resolving herbs. Zhuang Gong treated excessive Joy-Labor causing aphonia by inducing fear, curing it. Joyful people rarely get sick because their vessels are harmonious. *Jing* says: 'Fear overcomes Joy,' revealing the secret. These cases are in *Neijing*; why do practitioners ignore them? Note this for practice."
"In the Jisi year, the beloved son of Minister Wang Xi had swollen, painful nodules on the neck, unresponsive to medicine. I said: "Neck diseases correspond to specific Yuan, Luo, Jing, Shu, and Hui points of the meridians. Needling the Yuan point cures it." Indeed, needling cured it, followed by moxa, preventing recurrence. The neck is a place of transverse muscles and meridian convergence; nodules here are ill omens. Without investigating the root and treating with moxa/needling, spread is inevitable. Patients beware."
"In the winter of the Wuyin year, the eldest grandson of Chancellor Zhang suffered from dysentery for half a year, unresponsive to medicine. The Chancellor asked if acupuncture could help, citing his own past success with Zhongwan (CV12) and Zhangmen (LR13) for similar issues. I replied: "Long-term dysentery alters the physique. Wait for slight Qi recovery, then select a day for acupuncture." Huacen Zi insisted on immediate treatment. I needled Zhongwan and Zhangmen, and he could eat immediately."
"In the summer of Dingchou year, Madam Zhang, wife of Zhang Shaoquan of the Imperial Guard, suffered from Epilepsy for over twenty years, unresponsive to dozens of doctors. Her pulse indicated disease in the meridians, causing limb traction, visual obscurity, and convulsions/shouting when affecting the Heart. I selected Jiawei (CV15) and Zhongwan (CV12) to regulate Spleen/Stomach; Jianyu (LI15) and Quchi (LI11) to regulate meridians and disperse Phlegm-Qi, promoting circulation. She stabilized the next day, then took phlegm-resolving and spleen-tonifying herbs."
"In the Wuchen year, Li Sulu, a government observer in the Ministry of Personnel, had a痞 (Pi - stuffiness/mass) near the stomach, shaped like an inverted cup, with emaciation, unresponsive to medicine. I said: "Internal masses cannot be removed by herbs alone; acupuncture and moxibustion are needed." Using a coiled needle technique and moxa Shicang (SP15) and Zhongwan (CV12), it healed. Li asked about the difference between Pi, Pi (癖 - hidden accumulation), Ji (积 - fixed mass), Ju (聚 - mobile mass), and Jia (瘕 - shifting mass). I explained: "Pi means obstruction (like the Hexagram Pi in I Ching), internal softness/external hardness, blockage. Long-term Pi becomes distension. Pi (癖) refers to hidden, mysterious accumulations. Ji (积) is trace-like, formed by Phlegm-Blood, long-standing. Ju (聚) is thread-like, based on Yuan Qi, gathering/scattering irregularly. Lei (疰) is evidence/refinement, becoming concentrated over time. Jia (瘕) is false/provisional, borrowing Qi-Blood to form, lasting long. Generally, Pi and Pi are chest/diaphragm signs; Ji and Ju are abdominal diseases of Upper/Middle Jiao, common in men. Lei and Jia appear below the navel (Lower Jiao), common in women. Abdominal masses in both sexes are serious. Early treatment is crucial. If waiting until distension and drum-tight abdomen occurs, even Bian Que reborn cannot save. Beware!" Li agreed deeply."
"In the Wuchen year, the brother of Wang Jin'an from the Ministry of Revenue suffered from Heart-Epilepsy for years. Xu Tangweng summoned me. I applied the Eight Methods of Opening/Closing, needling Zhaohai (KI6) and Lieque (LU7), and moxa Xinshu (BL15). Waiting for Qi arrival, I applied Generation/Destruction numbers, and he recovered. Treatment requires distinguishing the Five Types of Epilepsy, detailed earlier in this volume."
"In the Renshen year, Xia Meiyuan, a County Magistrate, stayed at Emei Nunnery and contracted Cold Damage. Colleagues noted fine, weak pulses (Yin pulse in Yang disease). *Jing* states: Yin pulse in Yang channel suggests death; Yang pulse in Yin channel suggests life. Living nearby during evaluation, I felt pity for his remote lodging and frugal governance. I gave modified Chai Hu formula with slight effect, but pulse didn't match symptoms. Exhausting my thoughts, I changed herbs and needled Neiguan (PC6). Pulses turned Yang. Sequential decoctions cured him. He later promoted to Department Director."
"In the Renxu year, Xu Jing'an from the Ministry of Personnel, staying at Lingji Palace, suffered severe lower back pain. Colleague Dong Longshan recommended me. Pulse: Chi position deep, rapid, forceful. Male Chi pulse should be deep/solid, but rapid/forceful indicates Damp-Heat excess. Physicians treating it as deficiency were wrong. He feared needles, so I used finger acupressure on Shenshu (BL23) with tonification/reduction, reducing pain slightly. Given empty-stomach damp-draining/Qi-moving herbs, he settled. He asked why add draining herbs after finger therapy. I said: "Needles forcefully remove disease. Your fear necessitated finger therapy, which only temporarily reduces pain, not curing the root. For full cure, Shenshu needling is needed. Since not done, draining herbs are necessary. As ancients said: 'Waist is the mansion of Kidneys, major joint of the body.' Deep-rapid pulses indicate Damp-Heat stagnation, requiring draining, not tonifying. Moderns confuse deficiency/excess, misusing tonics, causing chronic pain. Most prefer tonifying over attacking. Removing pathogenic Damp generates new Blood; isn't attack containing tonification?"
"In the Renshen year, Yu Shaodong, a Herald, suffered from Ge Qi (Diaphragmatic Qi stagnation), emaciated, unresponsive to medicine. Pulse: deep, choppy. I selected Danzhong (CV17) to harmonize the diaphragm, and Qihai (CV6) to nourish the source, filling Yuan Qi and strengthening pulse. Selecting a day, I needled upper points (Six Yin number) and lower points (Nine Yang number), moxa seven cones each. Fully recovered. Now Prefect of Yangzhou. In Gengchen year, visiting Yangzhou, I saw his restored physique..."
"In the summer of Renshen year, Wang Shuweng, Minister of Revenue, suffered from intense Phlegm-Fire, unable to extend arms. Seeing his strong physique, I diagnosed Wet-Phlegm flowing into meridians..."