上吐下利。挥霍撩乱。邪在中焦。胃气不治。阴阳乖隔。遂上吐下利。躁扰烦乱也。
干霍乱或腹中急痛绞刺。宜刺委中及夺命穴。
有实有虚。寒热燥屎旧积。按之不痛为虚。痛为实。合灸不灸。令病患冷结。久而弥困
。气冲心而死。刺括委中穴。
阴病盛。则微阳消于上。故沉重。四肢逆冷。脐腹筑痛。厥逆或冷。六脉沉细。
阴毒灸关元、气海。
邪蓄于内。津液不行。
阴寒甚。下闭者。灸之。阴证。小便不利。必阴囊缩入小腹。痛欲死者。灸石门。
不柔和。痒痛寒热皆不知。正气为邪气闭伏。郁而不散。血气虚少故也。
若越人入诊虢太子尸厥。以郁冒不仁为可治。刺之而济痊者。神医之诊也。设脉浮洪。
汗如油。喘不休。体不仁。越人其能治哉。（以上见刘氏伤寒治例）
大率主血虚气虚。火与湿。多痰。
中风神阙、风池、百会、曲池、翳风、风市、环跳、肩 。皆可灸之。以凿窍疏风。又
针以道气。
有寒热、潮热、烦热、往来热。
热病汗不出。商阳、合谷、阳谷、侠 、厉兑、劳宫、腕骨以导气。热无度不止。陷谷
。血以泄热。
有实有虚。有寒气、滞、死血、积热、风湿、痰惊、痰食、疮、痧、疝。
实痛宜刺泻之。太冲、三阴交、太白、太渊、大陵。邪客经络。药不能及者。宜灸气海
、关元、中脘。
上吐下泻，腹部剧烈搅动混乱，病邪位于中焦，导致胃气失调。阴阳之气相互格拒，于是出现上吐下泻、躁动烦乱的症状。
（腹痛）有实证也有虚证。若是寒热、燥屎或陈旧积滞，按压时不痛为虚证，疼痛为实证。若该灸而不灸，会导致病患体内冷结，病情日久更加困顿，甚至气冲心胸而死亡。此时应针刺括（即委中）穴。
阴寒病盛，则微弱的阳气在上部消亡，故身体沉重，四肢逆冷，脐腹部阵发性剧痛，厥逆或寒冷，六脉沉细。阴毒证宜灸关元穴、气海穴。
邪气蓄积于体内，津液运行不畅。阴寒极盛，下部闭塞者，宜用灸法。阴证见小便不利，必然阴囊收缩入小腹，疼痛欲死，宜灸石门穴。
肢体不柔和，痒、痛、寒、热均感觉不到，这是正气被邪气闭伏，郁结而不能发散，加之气血虚少的缘故。
如果像扁鹊诊断虢太子尸厥那样，以郁冒、不知人事但尚可救治的情况来看，通过针刺得以痊愈，这是神医的诊断水平。假如脉象浮洪，汗出如油，喘息不止，身体麻木不仁，扁鹊又能治愈吗？（以上见于刘氏《伤寒治例》）
中风病的神阙、风池、百会、曲池、翳风、风市、环跳、肩髃穴，皆可施灸，以开凿孔窍、疏泄风邪。又可用针法来引导气机。
见到伤寒病。
热病汗不出者，取商阳、合谷、阳谷、侠溪、厉兑、劳宫、腕骨穴以疏导气机。若热势无度不止，取陷谷穴，放血以泄热。
Vomiting above and diarrhea below, with violent abdominal turmoil. The pathogenic factor is in the Middle Jiao (Middle Burner), causing dysfunction of Stomach Qi. Yin and Yang are mutually obstructed, leading to vomiting, diarrhea, restlessness, and confusion.
In cases of Gan Huoluan (Dry Cholera) or acute, stabbing abdominal pain, it is appropriate to needle Weizhong (BL40) and Mingming (Duoming) points.
There are excess patterns and deficiency patterns. Whether due to cold-heat, dry stool, or old accumulation, lack of pain upon palpation indicates a deficiency pattern, while pain indicates an excess pattern. If moxibustion should be applied but is not, it causes cold stagnation in the patient, worsening over time until Qi rushes to the heart, leading to death. In such cases, needle Kuo (referring to Weizhong BL40).
When Yin pathogens prevail, slight Yang dissipates upwards, resulting in heaviness and cold extremities. There is throbbing pain in the umbilical and abdominal regions, reversal cold (Jue Ni), or general coldness, with six pulses being deep and fine. For Yin Toxin syndromes, moxa Guanyuan (CV4) and Qihai (CV6).
Needle Feishu (BL13) and Ganshu (BL18); if there is headache, needle Dazhui (GV14).
Pathogens accumulate internally, preventing the circulation of Body Fluids. When Yin-Cold is severe and there is lower closure, moxibustion is indicated. In Yin syndromes with difficulty in urination, the scrotum necessarily retracts into the lower abdomen, causing excruciating pain nearly leading to death; moxa Shimen (CV5).
The limbs are not supple, and sensations of itching, pain, cold, and heat are absent. This is because Healthy Qi is blocked and trapped by Pathogenic Factors, becoming stagnant and unable to disperse, compounded by a deficiency of Blood and Qi.
If, like Bian Que diagnosing the Crown Prince of Guo's Corpse-Jue syndrome, one considers it treatable when there is depression, dizziness, and insensibility, and the patient recovers after needling, this demonstrates the diagnostic skill of a divine physician. However, if the pulse is floating and forceful, sweat flows like oil, panting does not cease, and the body is insensible, could Bian Que cure him? (Above from Liu's Examples of Treating Cold Damage)
Generally, these conditions are primarily due to Blood deficiency and Qi deficiency, Fire and Dampness, and excessive Phlegm.
For Wind-Stroke, Shenque (CV8), Fengchi (GB20), Baihui (GV20), Quchi (LI11), Yifeng (SJ17), Fengshi (GB31), Huantiao (GB30), and Jianyu (LI15) can all be treated with moxibustion to open orifices and dispel Wind. Additionally, needling can be used to guide Qi.
In cases of Cold Damage:
When there is Yin-Cold and collapsed or absent pulses, moxibustion is appropriate.
Symptoms include chills and fever, tidal fever, vexatious heat, and alternating chills and fever.
For Heat syndromes where sweat does not occur, Shangyang (LI1), Hegu (LI4), Yanggu (SI4), Xiaxi (GB43), Lijue (ST45), Laogong (PC8), and Wanggu (SI4) are used to guide Qi. If the heat is unrelenting, Xangu (GB41) is selected, and bloodletting is used to drain Heat.
(Abdominal pain) has excess and deficiency patterns. Etiologies include Cold-Qi, Qi stagnation, dead Blood, accumulated Heat, Wind-Dampness, Phlegm-Fright, Phlegm-Food retention, sores, Sha syndrome, and hernia.
Excess pain is suitable for draining via needling. Points include Taichong (LR3), Sanyinjiao (SP6), Taibai (SP3), Taiyuan (LU9), and Dalin (PC7). When pathogens lodge in the meridians where herbs cannot reach, moxibustion on Qihai (CV6), Guanyuan (CV4), and Zhongwan (CV12) is appropriate.