热病而 者,腰反折,螈 ,齿噤 。
张仲景曰∶太阳病,其证备,其身体强,KT KT 然,脉反沉迟者,此为 。夫 脉
来,按之筑筑而弦,直上下行。刚 为病,胸满口噤,卧不着席,脚挛急,其人必
齿。病发热,脉沉细为 。 家其脉伏坚,直上下。太阳病,发热无汗恶寒,此为刚 。
太阳病,发热汗出不
,其脉沉,与筋平。太阳痛,无汗,小便少,气上冲胸,口噤不能语,欲作刚 。然
刚
针灸为嘉。治之以药者,可服葛根汤。
风 身反折,先取太阳及 中及血络出血。 ,中有寒,取三里。 取之阴
跷及三毛上及血络出血。
取囟会、百会,及天柱、鬲俞、上关,光明主之。 目不 ,刺脑户。
脊强反折螈 ,癫疾头重,五处主之。 互引善惊,太冲主之。
反折,心痛,形气短尻 涩,小便黄闭,长强主之。 脊强互引,恶风时振
栗,喉痹,大气满,喘,胸中郁郁,气热,KT KT ,项强,寒热,偃仆不能久立,
烦满里急,身不安席,大椎主之。 筋痛急互引,肝俞主之。热 ,脾俞及肾俞主之。
热互引,汗不出反折,尻臂内痛似瘅疟状,膀胱俞主之。 反折互引,腹胀腋
挛,背中怏怏,引胁痛,内引心,中膂内,肺俞主之。又刺阳明,从项而数背椎侠脊膂而
痛,按
反目憎风,刺丝竹空主之。 互引,唇吻强,兑端主之。 烦满,龈交主之。
口噤,互引口干,小便赤黄,或时不禁,承浆主之。 口噤,大迎主之。
不能言,翳风主之。 先取太溪,后取太仓之原主之。 脊强里紧,腹中拘痛,水
分主之。 脊强,口不开,多唾,大便难,石关主之。 脊强反折,京门主之。
腹大坚不得息,期门主之。 上气,鱼际主之。 互引,腕骨主之。热
病汗不出,善呕苦, 身反折,口噤,善鼓颔,腰痛不可以顾,顾而有似拔者,善悲,
上下取之出血,见血立已。 身反折,口噤喉痹不能言,三里主之。 惊互
引,脚如结, 如裂,束骨主之。 目反白多,鼻不通利,涕黄更衣(一本作便出
血),京骨主之。 脊强,项眩痛,脚如结, 如裂,昆仑主之。 互折
,飞扬主之。
张仲景说:太阳病,其证候具备,身体僵硬强直,颈项部拘急不舒的样子,脉象反而沉迟的,这称为刚痉。如果脉象来势,重按时感觉筑筑跳动且弦硬,脉道挺直上下行走。刚痉发病时,胸部胀满,口噤不能言语,卧床时背部不能着席(角弓反张),脚部挛急,患者必定会出现磨牙的症状。患病发热,脉象沉细的为柔痉。痓病患者其脉伏而坚,挺直上下行。太阳病,发热无汗恶寒,这称为刚痉。太阳病,发热汗出不恶风,其脉沉,与筋脉平调的状态相符。太阳病疼痛,无汗,小便少,气上冲胸,口噤不能言语,这是即将发生刚痉的迹象。然而刚痉用针灸治疗是最佳的。如果用药物治疗,可以服用葛根汤。
风痉导致身体向后反折,先取太阳经及委中穴和血络出血。寒邪在体内,取足三里穴。取阴跷穴及大趾爪甲后丛毛处(隐白穴附近)及血络出血。
取囟会、百会穴,以及天柱、膈俞、上关穴,由光明穴主治。眼睛不能转动,刺脑户穴。
脊背强直向后反折并抽搐,癫疾头部沉重,由五处穴主治。牵引抽搐容易受惊,由太冲穴主治。
身体向后反折,心痛,形体气息短促,尾闾部位涩滞不通,小便黄闭,由长强穴主治。脊背强直相互牵引,恶风时常战栗,喉痹,大气壅盛,气喘,心中郁郁不乐,气热,颈项拘急不舒,寒热往来,仰卧起坐不能久立,烦闷里急,身体不安于床席,由大椎穴主治。筋脉疼痛紧急相互牵引,由肝俞穴主治。热邪导致的抽搐,由脾俞及肾俞穴主治。
热邪相互牵引,汗不出身体向后反折,尾闾和手臂内侧疼痛类似瘅疟的症状,由膀胱俞穴主治。身体向后反折相互牵引,腹胀腋下挛急,背部郁郁不乐,牵引胁痛,向内牵引心脏,位于脊柱内部,由肺俞穴主治。又刺阳明经,从颈部沿背部脊椎两侧挟脊肌肉疼痛,按压时……(原文此处有缺漏或错简,推测为按压疼痛加剧或特定反应)。
眼睛反视憎风,由丝竹空穴主治。牵引抽搐,嘴唇咬紧,由兑端穴主治。烦闷,由龈交穴主治。
口噤,牵引抽搐口干,小便赤黄,有时不禁控,由承浆穴主治。口噤,由大迎穴主治。
不能言语,由翳风穴主治。先取太溪穴,后取太仓之原穴(即足三里穴)主治。脊背强直内部紧绷,腹部拘急疼痛,由水分穴主治。脊背强直,口不能张开,多唾沫,大便困难,由石关穴主治。脊背强直向后反折,由京门穴主治。
腹部胀大坚硬呼吸困难,为期门穴主治。气逆上冲,由鱼际穴主治。牵引抽搐,由腕骨穴主治。热病汗不出,容易呕吐苦水,身体向后反折,口噤,容易鼓动脸颊,腰痛不能回顾,回顾时感觉像被拔除一样,容易悲伤,上下部位取血络出血,见到血流出立刻痊愈。身体向后反折,口噤喉痹不能言语,由足三里穴主治。惊恐相互牵引,脚像结聚一样,大腿像撕裂一样,由束骨穴主治。眼睛反视白多黑少,鼻窍不通利,鼻涕黄或大便出血(另一版本作便出血),由京骨穴主治。脊背强直,颈部眩晕疼痛,脚像结聚一样,大腿像撕裂一样,由昆仑穴主治。牵引反折,由飞扬穴主治。
When heat disease presents with convulsions, the waist hyperextends backward, limbs twitch (spasm), and teeth are clenched.
Zhang Zhongjing stated: In Taiyang disease (Disease of the Bladder and Small Intestine channels), when all symptoms are present, the body is stiff and rigid, the neck and back feel tight and uncomfortable, and the pulse is instead deep and slow, this is termed Gang Jing (Rigid Spasm). If the pulse arrives, feeling pounding and wiry upon pressure, running straight up and down, it indicates Gang Jing. When Gang Jing occurs, there is chest fullness, inability to open the mouth (trismus), inability to lie flat on the back due to opisthotonos, leg cramps, and the patient will necessarily grind their teeth. If fever is present with a deep and fine pulse, it is Rou Jing (Flaccid Spasm). The pulse of spasm patients is hidden and firm, running straight up and down. In Taiyang disease, fever without sweat and aversion to cold constitutes Gang Jing. In Taiyang disease, fever with sweating but no aversion to wind, with a deep pulse, corresponds to a state where sinews are relaxed. In Taiyang pain, without sweat, scanty urination, qi rushing upward to the chest, trismus preventing speech, this is impending Gang Jing. However, acupuncture is excellent for treating Gang Jing. For pharmacological treatment, Gegen Tang (Kudzu Decoction) can be administered.
For Feng Jing (Wind Spasm) causing the body to hyperextend backward, first bleed the Taiyang channel, Weizhong (BL30), and collateral vessels. For cold in the middle jiao, take Zusanli (ST36). Take Yinqiao (KI6) and the hair tuft above the big toe (Yinbai SP1 area) along with collateral vessels for bleeding.
Xinhui (DU22), Baihui (DU20), Tianzhu (BL10), Geshu (BL17), and Shangguan (ST7) are indicated; Guangming (GB37) governs them. For eyes unable to move, puncture Naohu (DU16).
For spinal rigidity, hyperextension, and convulsions, or epilepsy with heavy head, Wuchu (EX-HN4) governs them. For traction spasms prone to fright, Taichong (LR3) governs them.
For hyperextension, heart pain, shortness of breath and qi deficiency,涩 (stagnation) at the coccyx, yellow and obstructed urine, Changqiang (DU1) governs them. For spinal rigidity with mutual traction, aversion to wind with frequent chills, throat obstruction (bi), excess qi, wheezing, chest depression, internal heat, neck stiffness, alternating chills and fever, inability to stand long while lying supine, irritability and fullness with internal tension, restlessness on the bed, Dazhui (DU14) governs them. For painful and urgent sinew traction, Ganshu (BL18) governs them. For heat-induced spasms, Pishu (BL20) and Shenshu (BL23) govern them.
For heat-induced mutual traction, anhidrosis, hyperextension, pain in the coccyx and inner arms resembling Dan Malaria, Bladdershushu (BL28) governs them. For hyperextension with mutual traction, abdominal distension, axillary cramps, chest oppression, radiating costal pain, internal traction to the heart, located within the spine, Feishu (BL13) governs them. Also puncture the Yangming channel; for pain from the neck down along the paravertebral muscles, pressing... [text incomplete].
For eyes looking upward with aversion to wind, Sizhukong (TE23) governs them. For traction spasms and strong lip contraction, Duanduan (CV15) governs them. For irritability and fullness, Yinjiao (CV24) governs them.
For trismus, traction spasms, dry mouth, red and yellow urine, or occasional incontinence, Chengjiang (CV24) governs them. For trismus, Daying (ST5) governs them.
For inability to speak, Yifeng (TE17) governs them. First take Taixi (KI3), then the Yuan-source point of Taicang (Stomach 36/Zusanli) governs them. For spinal rigidity with internal tightness and abdominal cramping pain, Shuifen (CV9) governs them. For spinal rigidity, inability to open the mouth, excessive saliva, and difficult defecation, Shiguan (KI18) governs them. For spinal rigidity and hyperextension, Jingmen (GB25) governs them.
For large and hard abdomen with breathing difficulty, Qimen (LR14) governs them. For ascending qi, Yuji (LU10) governs them. For traction spasms, Wanggu (SI4) governs them. For heat disease with anhidrosis, frequent bitter vomiting, hyperextension, trismus, frequent jaw clenching, low back pain with inability to look back (feeling like pulling out), frequent sadness, bleeding from upper and lower collaterals stops the condition immediately upon seeing blood. For hyperextension, trismus, throat obstruction, and inability to speak, Zusanli (ST36) governs them. For fright with mutual traction, legs feeling bound, thighs feeling torn, Shugu (BL65) governs them. For eyes looking upward with excessive white sclera, nasal obstruction, yellow discharge, or bloody stool (alternative text says bloody stool), Jinggu (BL64) governs them. For spinal rigidity, dizziness and pain in the neck, legs feeling bound, thighs feeling torn, Kunlun (BL60) governs them. For traction and hyperextension, Feiyang (BL58) governs them.