暴瘅内逆，肝肺相搏，血溢鼻口，取天府，此为胃之大 五部也（五部，按《灵枢》
云∶阳逆头痛，胸满不得息，取人迎。暴喑气哽，刺扶突与舌本出血。暴聋气蒙，耳目不明
，取天牖。暴拘挛痫 ，足不任身者，取天柱。暴痹内逆，肝肺相搏，血溢鼻口，取天府
，此为胃之五大俞五部也。今士安散作五穴于篇中，此特五部之一耳）。衄而不止，
血流，取足太阳；大衄 血，取手太阳；不已刺腕骨下；不已，刺 中出血。
鼻鼽衄，上星主之。先取噫嘻，后取天牖、风池。鼻管疽发为厉，脑空主之
。鼻鼽不利，窒洞气塞， 僻多 ，鼽衄有痈，迎香主之。鼽衄 出，中有悬痈
宿肉，窒洞不通，不知香臭，素 主之。鼻窒口僻，清 出不可止，鼽衄有
痈，禾 主之。鼻中息肉不利，鼻头额 中痛，鼻中有蚀疮，龈交主之。鼻鼽不得
息，不收 ，不知香臭，及衄不止，水沟主之。衄血不止，承浆及委中主之。鼻不利
，前谷主之。衄，腕骨主之。
喉痹不能言，取足阳明；能言，取手阳明。
喉痹，完骨及天容、气舍、天鼎、尺泽、合
谷、商阳、阳溪、中渚、前谷、商丘、然谷、阳交悉主之。喉痹咽肿，水浆不下，璇玑主之
。喉痹食不下，鸠尾主之。喉痹咽如梗，三间主之。喉痹不能言，温留及曲池主之。喉痹气
逆，口 ，喉咽如扼状，行间主之（《千金》作间使）。咽中痛，不可纳食，涌泉主之。
暴发性黄疸且气机内逆，导致肝肺之气相互搏结，血液溢出从鼻口而出，应取天府穴，这是胃经五大俞穴部位之一（关于“五部”，据《灵枢》记载：阳经气逆引起头痛、胸满、呼吸不畅，取人迎穴；突然失音伴气梗，刺扶突穴及舌根部出血；突然耳聋伴气蒙、耳目不明，取天牖穴；突然拘挛抽搐、足部无力不能支撑身体，取天柱穴；痹症突发且气机内逆，肝肺相搏，血溢鼻口，取天府穴，这属于胃经的五大俞穴部位。现今皇甫谧在书中将其散列为五个穴位，此处仅是五部中的一个）。鼻衄不止，血流不止，取足太阳膀胱经穴位；大量鼻衄，取手太阳小肠经穴位；若无效，刺腕骨下穴位；仍无效，刺郄中穴出血。
鼻渊流清涕及鼻衄，以上星穴为主治。先取噫嘻穴，后取天牖穴、风池穴。鼻管疽发作变为恶疮，以脑空穴为主治。鼻渊通气不利，鼻孔堵塞气息不通，面部歪斜多伴有浊涕，鼻渊鼻衄伴有痈肿，以迎香穴为主治。鼻渊流脓涕，中有悬雍垂状赘生物或宿肉，鼻孔堵塞不通，不知香臭，以素髎穴为主治。鼻塞口歪，清涕流出不可止住，鼻渊鼻衄伴有痈肿，以禾髎穴为主治。鼻中息肉导致通气不利，鼻头及额部疼痛，鼻中有腐蚀溃疡，以龈交穴为主治。鼻渊导致呼吸不畅，鼻涕不收，不知香臭，以及鼻衄不止，以水沟穴为主治。鼻衄血不止，以承浆穴及委中穴为主治。鼻部通气不利，以前谷穴为主治。鼻衄，以腕骨穴为主治。
喉痹导致不能言语，取足阳明胃经穴位；若能言语，取手阳明大肠经穴位。
喉痹，完骨穴、天容穴、气舍穴、天鼎穴、尺泽穴、合谷穴、商阳穴、阳溪穴、中渚穴、前谷穴、商丘穴、然谷穴、阳交穴均主治。喉痹咽部肿胀，饮食难下，以璇玑穴为主治。喉痹进食困难，以鸠尾穴为主治。喉痹咽喉如有异物梗阻感，以三间穴为主治。喉痹不能言语，以温溜穴及曲池穴为主治。喉痹气机上逆，口眼歪斜，咽喉如被扼住状，以行间穴为主治（《千金方》作间使穴）。咽喉疼痛，无法进食，以涌泉穴为主治。
Sudden onset of jaundice with internal reversal of qi, causing the qi of the Liver and Lung to struggle against each other, resulting in blood overflowing from the nose and mouth. Treat by selecting Tianfu (LI16); this is one of the five major acupoint regions of the Stomach meridian (Regarding the "five regions," according to *Ling Shu*: For headache due to Yang qi reversal accompanied by chest fullness and dyspnea, select Renying (ST9); for sudden aphonia with qi obstruction, puncture Futu (ST18) and the root of the tongue to bleed; for sudden deafness with mental clouding and unclear vision/hearing, select Tianyou (TE16); for sudden spasm and epilepsy where the legs cannot support the body, select Tianzhu (BL10); for sudden Bi syndrome with internal qi reversal, Liver-Lung struggle, and blood overflow from nose/mouth, select Tianfu (LI16), which belongs to the five major Shu points/regions of the Stomach meridian. Currently, Huangfu Mi disperses these into five specific points in the text, but this instance refers specifically to one of the five regions). If epistaxis does not stop and bleeding continues, select points on the Foot-Taiyang Bladder Meridian; for severe epistaxis, select points on the Hand-Taiyang Small Intestine Meridian; if ineffective, puncture below Wanggu (SI4); if still ineffective, puncture Xizhong (Bladder Xi-cleft point) to bleed.
For rhinorrhea and epistaxis, Shangxing (GV23) is the primary point. First select Yixi (BL13), then select Tianyou (TE16) and Fengchi (GB20). For nasal duct carbuncle developing into malignant sores, Naokong (GB13) is the primary point. For rhinorrhea with poor ventilation, nasal obstruction, facial deviation with excessive turbid discharge, rhinorrhea/epistaxis accompanied by abscesses, Yingxiang (LI20) is the primary point. For purulent rhinorrhea, presence of polyps or old flesh, nasal blockage, loss of smell, Su Liao (GV25) is the primary point. For nasal congestion with facial deviation, uncontrollable clear rhinorrhea, rhinorrhea/epistaxis with abscesses, He Liao (LI19) is the primary point. For nasal polyps causing obstruction, pain at the nasal tip and forehead, and corrosive ulcers in the nose, Yinjiao (DU28) is the primary point. For rhinorrhea causing breathing difficulty, inability to control secretions, loss of smell, and unceasing epistaxis, Shuigou (GV26) is the primary point. For unceasing epistaxis, Chengjiang (CV24) and Weizhong (BL40) are the primary points. For nasal obstruction, Qian Gu (SI3) is the primary point. For epistaxis, Wanggu (SI4) is the primary point.
For pharyngolaryngeal obstruction (Hou Bi) preventing speech, select points on the Foot-Yangming Stomach Meridian; if speech is possible, select points on the Hand-Yangming Large Intestine Meridian.
For Hou Bi, Wangu (GB12), Tianrong (SI17), Qishe (ST11), Tianding (SI17), Chize (LU5), Hegu (LI4), Shangyang (LI1), Yangxi (LI5), Zhongzhu (TE3), Qian Gu (SI3), Shangqiu (SP5), Ran Gu (KI2), and Yangjiao (GB35) all treat it. For Hou Bi with throat swelling and inability to swallow fluids, Xuanji (CV15) is the primary point. For Hou Bi with difficulty eating, Jiutui (CV15) is the primary point. For Hou Bi with a sensation of obstruction in the throat, San Jian (LI3) is the primary point. For Hou Bi preventing speech, Wen Liu (LI7) and Quchi (LI11) are the primary points. For Hou Bi with rebellious qi, facial deviation, and a feeling of strangulation in the throat/pharynx, Xingjian (LR2) is the primary point (*Qian Jin Fang* reads Jianshi PC5). For sore throat preventing food intake, Yongquan (KI1) is the primary point.