皮水、正水、石水、风水、因气湿食。
刺胃仓、合谷、石门、水沟、三里、复溜、曲泉、四满。
气胀、寒胀、脾虚中满。
针上脘、三里、章门、阴谷、关元、期门、行间、脾俞、悬钟、承满。
俱是痰火。不必分牛马六畜。
灸百会、鸠尾、上脘、神门、阳跷、(昼发)阴跷。(夜发)
感天地间杀厉之气。声哑者难治。
针委中出血二三合。黑紫疙瘩处亦去恶血。(以上见刘氏杂病治例)
河间曰。凡疮疡须分经络部分。血气多少。俞穴远近。从背出者。当从太阳五穴。选用
至阴
陵泉。从髭出者。当从阳明五穴。选用厉兑、内庭、陷谷、冲阳、解 。从胸出者。则以绝
骨一穴。
肠痈纂要云。千金灸法。曲两肘。正肘头锐骨灸百壮。下脓血而安。武按。河间疮疡止
论足三阳。而手足三阴三阳未备。学人当引伸而触类。
千金方曰。寒咳。肝咳。刺足太冲。心咳。刺手神门。脾咳。刺足太白。肺咳。刺手太
渊。
有心主而无三焦。然已发其秘矣。惜乎胃、大小肠、膀胱咳及针治。皆略之而不议。千金云
。咳者。灸两乳下黑白际。各数十壮即瘥。又以蒲当乳头周匝围身。令前后正中。当脊骨灸
十壮。上气咳逆。嗽。短气气满。食不下。灸肺募五十壮。上气咳逆。短气。风劳病。灸肩
井二百壮。上气咳逆。短气胸满。多唾。唾恶冷痰。灸肺俞五十壮。
皮水、正水、石水、风水,以及因气滞、湿邪、食积引起的病症。
针刺胃仓穴、合谷穴、石门穴、水沟穴、足三里穴、复溜穴、曲泉穴、四满穴。
气胀、寒胀、脾虚导致的中焦痞满。
针治上脘穴、足三里穴、章门穴、阴谷穴、关元穴、期门穴、行间穴、脾俞穴、悬钟穴、承满穴。
痰浊挟带气机逆乱。虚火扰动体内的痰浊。
针治上星穴、风池穴、天柱穴。
专门针对湿热相火(指湿热蕴结所致的虚火)。
艾灸中极穴、曲骨穴、膏肓穴、肾俞穴。
以上皆属于痰火为患。不必像区分牛马六畜那样过分纠结于细微差别。
艾灸百会穴、鸠尾穴、上脘穴、神门穴、阳跷脉(白天发作时)、阴跷脉(夜间发作时)。
感受天地间具有杀伤力的疫疠之气。声音嘶哑者难以治疗。
针刺委中穴放血二三合。黑紫色的瘀血疙瘩处也要去除恶血。(以上内容见于刘氏杂病治例)
刘河间说:凡是疮疡,必须分辨其所属的经络部位,气血的多少,腧穴的远近。从背部发出的疮疡,应当从太阳经的五穴中选用至阴穴、阴陵泉穴。从口唇胡须周围发出的疮疡,应当从阳明经的五穴中选用厉兑穴、内庭穴、陷谷穴、冲阳穴、解溪穴。从胸部发出的疮疡,则选取绝骨穴这一穴位。
《肠痈纂要》记载:《千金灸法》中提到,弯曲两肘,正对肘头锐骨处艾灸一百壮,排出脓血后即可安宁。高武按语:刘河间论及疮疡只讨论了足三阳经,而手足三阴三阳经的内容尚未完备。学习的人应当由此引申,触类旁通。
《千金方》说:寒咳,肝咳,针刺足太冲穴。心咳,针刺手神门穴。脾咳,针刺足太白穴。肺咳,针刺手太渊穴。
(此处)有心主(心包络)而没有三焦,然而已经揭示了其中的奥秘。可惜对于胃咳、大小肠咳、膀胱咳以及相应的针治方法,都简略而未加讨论。《千金方》说:咳嗽的人,艾灸两乳下黑白皮肤交界处,各数十壮即可痊愈。又用蒲草围绕乳头周长绕身,使前后正中点对准脊骨,在此处艾灸十壮。气逆咳嗽,气喘,短气胸满,饮食不下,艾灸肺募穴五十壮。气逆咳嗽,短气,风劳病,艾灸肩井穴二百壮。气逆咳嗽,短气胸满,多唾,吐出寒冷性质的痰液,艾灸肺俞穴五十壮。
Pi Shui (Edema due to Water-Dampness), Zheng Shui (True Water Edema), Shi Shui (Stone Water Edema), Feng Shui (Wind Water Edema), as well as conditions caused by Qi stagnation, Dampness pathogen, and Food retention.
Puncture Weicang (ST16), Hegu (LI4), Shimen (CV5), Shuigou (GV26), Zusanli (ST36), Fuliu (KI7), Ququan (LR8), Siman (CV4).
Qi distension, Cold distension, Middle Jiao fullness due to Spleen deficiency.
Needle Shangwan (CV13), Zusanli (ST36), Zhangmen (LR13), Yinggu (KI10), Guanyuan (CV4), Qimen (LR14), Xingjian (LR2), Pishu (BL20), Xuanzhong (GB39), Chengman (ST19).
Phlegm combined with rebellious Qi. Deficient Fire stirring up Phlegm within the body.
Needle Shangxing (GV23), Fengchi (GB20), Tianzhu (BL10).
Wind-Heat, Wind-Dampness, or Blood deficiency with concomitant Phlegm.
Needle Baihui (GV20), Huantiao (GB30).
With Phlegm-Dampness as the primary pathogenesis.
Moxibustion Jianjing (GB21), Quchi (LI11).
Specifically targeting Damp-Heat and Ministerial Fire (deficient fire generated by damp-heat accumulation).
Moxibustion Zhongji (CV3), Qugu (CV2), Gaohuang (BL43), Shenshu (BL23).
All of these are disorders of Phlegm-Fire. There is no need to distinguish them excessively as if differentiating between cattle, horses, and livestock.
Moxibustion Baihui (GV20), Jiutui (CV15), Shangwan (CV13), Shenmen (HT7), Yangqiao Mai (Yang Heel Vessel) [for daytime onset], Yinqiao Mai (Yin Heel Vessel) [for nighttime onset].
Contracting killing and virulent Qi from heaven and earth. Those with hoarseness are difficult to treat.
Puncture Weizhong (BL40) to bleed two or three he. Also remove evil blood from black-purple nodules. (The above content is seen in Liu's Examples for Treating Miscellaneous Diseases).
He Jian (Liu Wansu) said: For all sores and ulcers, one must differentiate the meridian and region involved, the abundance or scarcity of Qi and Blood, and the proximity of the Shu points. Sores emerging from the back should be selected from the five points of the Taiyang meridian, specifically choosing Zhiyin (BL67) and Yinlingquan (SP9). Sores emerging from the area of whiskers and lips should be selected from the five points of the Yangming meridian, specifically choosing Lidui (ST45), Neiting (ST44), Xangu (ST43), Chongyang (ST42), and Xiangu (ST41). Sores emerging from the chest should utilize the point Jiegu (GB39).
*Zhang Yong Zuan Yao* states: *Qianjin Jiu Fa* mentions: Bend both elbows, and moxa exactly at the sharp bone of the elbow tip for one hundred zhuang; pus and blood will discharge, and the patient will be at peace. Gao Wu notes: He Jian’s discussion on sores and ulcers only covers the Foot Three Yang meridians, while the Hand and Foot Three Yin and Three Yang meridians are not fully prepared. Students should extend this knowledge and apply it by analogy.
*Qianjin Fang* says: For Cold Cough and Liver Cough, puncture Zutaichong (LR3). For Heart Cough, puncture Shoushenmen (HT7). For Spleen Cough, punctur Zu Taibai (SP3). For Lung Cough, puncture Shoutaiyuan (LU9).
(Here) there is Xin Zhu (Pericardium) but no Sanjiao, yet the secret has been revealed. It is a pity that Stomach Cough, Large Intestine Cough, Small Intestine Cough, Bladder Cough, and their corresponding needle treatments are omitted without discussion. *Qianjin Fang* says: For coughing, moxa the junction of black and white skin below both nipples, each for dozens of zhuang, and the condition will heal. Alternatively, use cattail reeds to measure the circumference around the nipple and wrap it around the body, aligning the front and back midpoints with the spine, and moxa ten zhuang at this spot. For rebellious Qi and cough, wheezing, shortness of breath, chest fullness, and inability to eat, moxa Fei Mu (Front-Mu point of the Lung) for fifty zhuang. For rebellious Qi and cough, shortness of breath, wind-labor disease, moxa Jianjing (GB21) for two hundred zhuang. For rebellious Qi and cough, shortness of breath, chest fullness, excessive salivation, and expectoration of cold phlegm, moxa Feishu (BL13) for fifty zhuang.