然谷、治脑痛不能食。(铜见痰。)丰隆、主不能食。中极、主饥不能食。胃俞、
主呕
吐筋挛。食不下。不能食。维道、主三焦有水气。不能食。鬲俞、主伤寒嗜卧。怠惰不
欲动。身湿不能食。(铜同。)石门、主不欲食。谷入不化。率谷、主醉酒风热发不能饮
食。呕吐。(甲)少商、疗不能食。腹中气满。吃食无味。(明)分水、(见腹痛。)疗不能
食。胃俞、疗烦满吐食。腹胀不能食。下云、疗胃中寒气不能食。胸胁满。身瘦不能食。
胸满。鬲上逆气闷热。灸大肠俞二七壮。小儿减之。(千)三里、疗腹满不能食。胃气不足
。反胃。(明不能饮食见肠 。脏腑积聚及饮食不消见寒热。涌泉主心痛不嗜食。咽中痛
不可内食见虚劳。脾俞胃俞治不嗜食。)
凡不嗜食。刺然谷多见血。使人立饥。(千)隐白、(见吐。)然谷、脾俞、内庭、主不
嗜食
。天枢、厉兑、内庭、主食不化。不嗜食。夹脐急。中封、主身黄有微热。不嗜食。
章门主食饮不化。入腹还出。热中不嗜食。苦吞而闻食臭伤饱。身黄酸疼羸瘦。肺俞、治
上气呕吐。支满不嗜食。(铜)胃俞、脾俞、治腹痛不嗜食。(见腹胀。)地机、阴陵泉、
水分、(并见水肿。)幽门、(见胸痛。)小肠俞、(见香港脚。)治不嗜食。下脘、治六腑气
寒不嗜食。(见腹痛。)下廉、(见飧泄。)悬钟、治胃热不嗜食。(见膝挛。)阴跷、疗病
饥不欲食。(明)悬钟、疗腹满。中焦客热不嗜食。(明下)又云、心腹胀满。胃热不嗜食。
阳纲、(见肠鸣。)疗不嗜食。分水、治胃虚胀不嗜食。(铜)
不嗜食有数端。有三焦客热不嗜食。有胃热不嗜食。有胃热不嗜食。有
六腑气寒不嗜食。固当随证用药治之。而针灸者亦当知补泻之法可也。
史记、阳虚侯病甚。众医皆以为蹶。太仓公诊脉以为痹。根在右胁下。大如覆杯。令人
喘逆
不能食。亦有患痹而得者。概曰胃有寒热。则不可也。
扁鹊曰、凡人心风、灸心俞肝俞主心风腹胀满。食不消化。四肢羸露不欲食。(见中风
。)曲泉、主不嗜食。(见无子。)
然谷穴,主治脑痛及不能进食。(《铜人腧穴针灸图经》记载:治疗痰证。)丰隆穴,主治不能进食。中极穴,主治有饥饿感但不能进食。胃俞穴,主治呕吐、筋脉挛急、食物难以下咽、不能进食。维道穴,主治三焦有水气停留、不能进食。膈俞穴,主治伤寒引起的嗜睡、倦怠懒动、身体湿重导致不能进食。(《铜人腧穴针灸图经》记载相同。)石门穴,主治不想进食、食物进入后不消化。率谷穴,主治因醉酒风热发作导致的不能饮水进食、呕吐。(《甲乙经》记载)少商穴,治疗不能进食、腹部胀满气滞、吃东西没有味道。(《明堂》记载)分水穴,(参见腹痛条目),治疗不能进食。胃俞穴,治疗烦闷胀满、呕吐食物、腹胀不能进食。下文又说,治疗胃中寒气导致的不能进食、胸胁胀满、身体消瘦不能进食、胸部胀满、膈上逆气闷热。灸大肠俞穴十四壮,小儿用量减半。(《千金方》记载)足三里穴,治疗腹部胀满不能进食、胃气不足、反胃。(《明堂》记载:不能饮食见于肠病;脏腑积聚及饮食不消见于寒热证;涌泉穴主治心痛且不喜欢进食;咽喉疼痛无法吞咽食物见于虚劳证;脾俞、胃俞治疗不喜欢进食。)
凡是喜欢进食的情况,针刺然谷穴多见出血,能使人立刻产生饥饿感。(《千金方》记载)隐白穴,(参见呕吐条目)、然谷穴、脾俞穴、内庭穴,主治不喜欢进食。天枢穴、厉兑穴、内庭穴,主治食物不消化、不喜欢进食、肚脐周围拘急。中封穴,主治身体发黄伴有微热、不喜欢进食。章门穴,主治饮食入腹后无法消化反而吐出、热中证导致不喜欢进食、苦于吞酸且闻到食物气味就因过饱而受伤、身体发黄酸痛、消瘦。肺俞穴,治疗上气呕吐、支撑胀满、不喜欢进食。(《铜人腧穴针灸图经》记载)胃俞穴、脾俞穴,治疗腹痛且不喜欢进食。(参见腹胀条目)地机穴、阴陵泉穴、水分穴,(并参见水肿条目)、幽门穴,(参见胸痛条目)、小肠俞穴,(参见脚气病条目),治疗不喜欢进食。下脘穴,治疗六腑气寒导致的不喜欢进食。(参见腹痛条目)下廉穴,(参见完谷不化泄泻)、悬钟穴,治疗胃热导致的不喜欢进食。(参见膝部挛急)阴跷穴,治疗病中感到饥饿但不想进食。(《明堂》记载)悬钟穴,治疗腹部胀满、中焦客热导致的不喜欢进食。(《明堂》下部记载)又说,心腹胀满、胃热导致的不喜欢进食。阳纲穴,(参见肠鸣)、治疗不喜欢进食。分水穴,治疗胃虚胀满导致的不喜欢进食。(《铜人腧穴针灸图经》记载)
不喜欢进食有多种情况。有三焦客热导致的不喜欢进食,有胃热导致的不喜欢进食,有胃热导致的不喜欢进食,有六腑气寒导致的不喜欢进食。应当根据症状用药治疗,而针灸治疗也应当懂得补泻的方法。
《史记》记载,阳虚侯病情严重,众医生都认为是厥证,太仓公诊脉认为是痹证,病根在右胁下,大如倒扣的杯子,导致人喘息逆气、不能进食。也有患痹证而导致这种情况的。概而言之,说是胃有寒热,是不可以的。
扁鹊说,凡是人心风病,灸心俞、肝俞穴,主治心风引起的腹部胀满、食物不消化、四肢消瘦裸露、不想进食。(参见中风条目)曲泉穴,主治不喜欢进食。(参见无子条目)
Rangu (KI2), indicated for headache and inability to eat. (*Tongren* records: treats phlegm disorders.) Fenglong (ST40), indicated for inability to eat. Zhongji (CV3), indicated for sensation of hunger but inability to eat. Weishu (BL21), indicated for vomiting, muscle spasms, difficulty swallowing food, and inability to eat. Weidao (GB28), indicated for water qi accumulation in the Sanjiao (Triple Burner) and inability to eat. Geshu (BL17), indicated for lethargy due to Cold Damage (Shanghan), lassitude with reluctance to move, heaviness of the body leading to inability to eat. (*Tongren* records the same.) Shimen (CV5), indicated for anorexia and indigestion after food intake. Lvgu (GB8), indicated for inability to drink or eat due to wind-heat triggered by drunkenness, and vomiting. (*Jia Yi Jing* records) Shaoshang (LU11), treats inability to eat, abdominal fullness with Qi stagnation, and loss of taste. (*Mingtang* records) Fen shui (EX-EN6), (see Abdominal Pain entry), treats inability to eat. Weishu (BL21), treats irritability and fullness, vomiting of food, abdominal distension with inability to eat. The text further states it treats inability to eat due to cold qi in the Stomach, hypochondriac fullness, emaciation with inability to eat, chest fullness, and stifling heat from rebellious Qi above the diaphragm. Moxibustion on Dachangshu (BL25) for 14 moxa cones; dosage reduced for children. (*Qian Jin Fang* records) Zusanli (ST36), treats abdominal fullness with inability to eat, deficiency of Stomach Qi, and regurgitation. (*Mingtang* records: Inability to eat is seen in Intestine diseases; organ accumulations and indigestion are seen in chills and fever syndromes; Yongquan (KI1) indicates heart pain and aversion to eating; throat pain preventing swallowing is seen in Consumption syndromes; Pishu (BL20) and Weishu (BL21) treat aversion to eating.)
In cases of aversion to eating, needling Rangu (KI2) often results in bleeding, which can induce immediate hunger. (*Qian Jin Fang* records) Yinbai (SP1), (see Vomiting entry), Rangu (KI2), Pishu (BL20), Neiting (ST44), indicate aversion to eating. Tianshu (ST25), Lidui (ST45), Neiting (ST44), indicate indigestion, aversion to eating, and tightness around the umbilicus. Zhongfeng (LR4), indicates jaundice with slight fever and aversion to eating. Zhangmen (LR13), indicates inability to digest food and drink, causing them to be vomited back up after entering the abdomen; heat syndrome in the middle causes aversion to eating; bitter acid regurgitation and sensitivity to the smell of food due to overeating; jaundice, soreness, and emaciation. Feishu (BL13), treats upper Rebellious Qi and vomiting, distending fullness, and aversion to eating. (*Tongren* records) Weishu (BL21) and Pishu (BL20), treat abdominal pain with aversion to eating. (see Abdominal Distension entry) Diji (SP8), Yinlingquan (SP9), Fen shui (EX-EN6), (see Edema entry), Youmen (CV15), (see Chest Pain entry), Xiaochangshu (BL27), (see Hong Kong Foot/Gout entry), treat aversion to eating. Xiawan (CV10), treats aversion to eating due to cold qi in the Six Fu Organs. (see Abdominal Pain entry) Xialian (LI8), (see Undigested Food Diarrhea), Xuanzhong (GB39), treats aversion to eating due to Stomach heat. (see Knee Spasm entry) Yinqiao (EX-NC5), treats feeling hungry during illness but having no desire to eat. (*Mingtang* records) Xuanzhong (GB39), treats abdominal fullness and aversion to eating due to guest-heat in the Middle Jiao. (*Mingtang* lower section records) It also states: mental and abdominal fullness, and aversion to eating due to Stomach heat. Yanggang (BL16), (see Borborygmus), treats aversion to eating. Fen shui (EX-EN6), treats aversion to eating due to Stomach deficiency and distension. (*Tongren* records)
Aversion to eating has several categories. There is aversion to eating due to guest-heat in the Sanjiao (Triple Burner), aversion to eating due to Stomach heat, aversion to eating due to Stomach heat, and aversion to eating due to cold qi in the Six Fu Organs. One should prescribe medication according to the symptoms, and acupuncture treatment should also employ tonifying and reducing methods.
The *Records of the Grand Historian* (*Shi Ji*) records that the Marquis of Yangxu was severely ill. Most physicians diagnosed it as Jue syndrome (Fainting/Collapse). Cangtai Gong (Chunyu Yi) diagnosed the pulse as Bi syndrome (Obstruction), with the root located under the right hypochondrium, large like an inverted cup, causing wheezing, rebellious Qi, and inability to eat. This condition can also arise from Bi syndrome. Generally speaking, attributing it solely to cold or heat in the Stomach is incorrect.
Bian Que said: For Heart Wind syndrome, moxibustion on Xinshu (BL15) and Ganshu (BL18) treats Heart Wind causing abdominal fullness, indigestion, emaciated limbs, and anorexia. (see Stroke entry) Ququan (LR8), indicates aversion to eating. (see Infertility entry)