(偏枯 半身不遂)
岐伯答黄帝灸中风半身不遂。(明下见中风。)列缺、治偏风口 。手腕无力。(明下
劳。)半身不随。(明同。)咳嗽。掌中热。口噤不开。(铜)下关、治偏风。口目 。牙车
脱臼。上关、治偏风口眼 。(明云眼 通睛。)耳中如蝉声。(明同。)完骨、治偏风。
口面 。颈项痛不得顾。小便赤黄。喉痹颊肿。承浆、疗偏风口 面肿。(明同。)冲
阳、(见口 。)地仓、治偏风口 。(见口 。)迎香、治偏风口 。面痒浮肿。风动叶叶
状如虫行。或唇肿痛。(明同。)环跳、治冷风湿痹风疹。偏风半身不遂。腰胯痛不得转。
(明下同。)肩 、治偏风半身不遂。热风瘾疹。手臂挛急。(明云。手不得向头。)捉物
不得。挽弓不开。臂细无力。筋骨酸疼。若灸偏风。可七七壮。不宜多。曲池、疗偏风半
身
不遂。刺风疹疼痛冷缓。捉物不得。挽弓不开。屈身难隐。脉风臂肘细无力。阳陵泉、环
跳、(并见膝痛。)曲池、治偏风半身不遂。(明下同。)照海、治大风偏枯。半身不遂。
(明同。)上廉、治偏风。腰腿手足不仁。(并铜明下同。)下昆仑、(见腰脚。)委中、疗
半身不遂。(明)地仓、(见口 。)承山、(见脚弱。)上廉、(见香港脚。)下廉、(见湿痹。)
疗偏风。阴跷、疗手足偏枯。(见月事。)猥腿风。半身不遂。失音。灸百会。(千见中
半身不遂。男女皆有此患。但男尤忌左。女尤忌右尔。若得此疾后。风药不宜暂阙。常
令身上有灸疮可也。最忌房室。或能如道释修养。方能保其无他。若灸则当先百会囟会。次风池
肩曲池合谷环跳风市三里绝骨。不必拘旧经病左灸右。病右灸左之说。但按酸疼处灸之。
若两边灸亦佳。但当自上而下灸之。
(偏枯,即半身不遂)
岐伯回答黄帝关于灸治中风导致半身不遂的方法。(详见“中风”篇。)列缺穴,治疗口眼歪斜。手腕无力。(详见“劳损”篇。)半身不遂。(同上。)咳嗽。手掌心发热。牙关紧闭,口不能张开。(出自《铜人腧穴针灸图经》)下关穴,治疗偏风。口眼歪斜。下颌关节脱臼。上关穴,治疗口眼歪斜。(明代文献记载,“眼歪斜”与“通睛”相通。)耳中如蝉鸣声。(同上。)完骨穴,治疗偏风。口面歪斜。颈项疼痛,无法回顾。小便颜色深黄。喉痹,脸颊肿胀。承浆穴,治疗口面歪斜及面部浮肿。(同上。)冲阳穴,(参见“口眼歪斜”。)地仓穴,治疗口眼歪斜。(参见“口眼歪斜”。)迎香穴,治疗口眼歪斜。面部瘙痒浮肿。皮肤感觉异常,如有虫爬行状。或者嘴唇肿痛。(同上。)环跳穴,治疗冷风湿痹、风疹。偏风导致的半身不遂。腰胯疼痛,无法转动。(同上。)肩髃穴,治疗偏风导致的半身不遂。热风引起的瘾疹。手臂拘挛紧急。(明代文献记载:“手无法举过头顶”。)抓握物体困难。拉不开弓。手臂消瘦无力。筋骨酸痛。如果灸治偏风,可灸七十七壮,不宜过多。曲池穴,治疗偏风导致的半身不遂。刺治风疹疼痛、肢体寒冷弛缓。抓握物体困难。拉不开弓。弯腰困难。脉风导致手臂肘部消瘦无力。阳陵泉穴、环跳穴,(均见于“膝痛”篇。)曲池穴,治疗偏风导致的半身不遂。(同上。)照海穴,治疗大风导致的偏枯。半身不遂。(同上。)上廉穴,治疗偏风。腰腿手足麻木不仁。(均出自《铜人》和《明堂》,同上。)下昆仑穴,(参见“腰脚痛”。)委中穴,治疗半身不遂。(同上。)地仓穴,(参见“口眼歪斜”。)承山穴,(参见“脚弱”。)上廉穴,(参见“香港脚”。)下廉穴,(参见“湿痹”。)治疗偏风。阴跷穴,治疗手足偏枯。(参见“月经病”。)猥腿风。半身不遂。失音。灸百会穴。(千氏见于“中风半身不遂”,男女皆有此患,但男性尤其忌讳左侧患病,女性尤其忌讳右侧患病。如果得了这种病后,祛风药物不宜暂时停用,常令身上有灸疮才好。最忌讳房事。如果能像道家或佛家那样修养身心,才能保全身体无其他变故。如果进行灸治,应当先灸百会穴、囟会穴,其次灸风池、肩髃、曲池、合谷、环跳、风市、足三里、绝骨穴。不必拘泥于旧经书中“病在左灸右,病在右灸左”的说法,只要按压到有酸疼的地方进行灸治即可。如果两边都灸也很好,但应当从上往下灸。)
(Oblique withering, i.e., hemiplegia)
Qibo answered the Yellow Emperor regarding moxibustion for stroke-induced hemiplegia. (See "Zhongfeng" [Stroke].) Lieque (LU7), treats facial paralysis (Kouyan Pianxi). Weakness of the wrist. (See "Lao" [Strain].) Hemiplegia. (Same as above.) Cough. Heat in the center of the palm. Trismus (Jaw lock), inability to open the mouth. (From *Tongren Shuxue Zhenjiu Tujing* [Illustrated Manual of Acupoints and Moxibustion of the Copper Man].) Xiaguan (ST7), treats wind-stroke. Facial paralysis. Temporomandibular joint dislocation. Shangguan (ST3), treats facial paralysis. (Ming dynasty texts state that "facial paralysis" is synonymous with "strabismus".) Tinnitus sounding like cicadas. (Same as above.) Wanggu (GB12), treats wind-stroke. Facial paralysis. Neck and nape pain, inability to look back. Dark yellow urine. Throat obstruction (Houbi), cheek swelling. Chengjiang (CV24), treats facial paralysis and facial edema. (Same as above.) Chongyang (ST42), (See "Facial Paralysis".) Dicang (ST4), treats facial paralysis. (See "Facial Paralysis".) Yingxiang (LI20), treats facial paralysis. Facial itching and edema. Paresthesia, feeling like insects crawling on the skin. Or lip swelling and pain. (Same as above.) Huantiao (GB30), treats cold-damp bi-syndrome and wind-rash. Wind-stroke causing hemiplegia. Pain in the waist and hips, inability to turn. (Same as above.) Jianyu (LI15), treats wind-stroke causing hemiplegia. Wind-heat causing urticaria. Spasticity and urgency of the arm. (Ming dynasty text: "Hand cannot reach over the head.") Difficulty grasping objects. Inability to draw a bow. Emaciation and weakness of the arm. Soreness and pain of sinews and bones. If treating wind-stroke with moxibustion, 77 moxa cones are acceptable; do not use too many. Quchi (LI11), treats wind-stroke causing hemiplegia. Needling treats wind-rash pain, cold and flaccid limbs. Difficulty grasping objects. Inability to draw a bow. Difficulty bending the body. Pulse-wind causes emaciation and weakness of the arm and elbow. Yanglingquan (GB34), Huantiao (GB30), (Both seen in "Xi Tong" [Knee Pain].) Quchi (LI11), treats wind-stroke causing hemiplegia. (Same as above.) Zhaohai (KI6), treats severe wind causing oblique withering. Hemiplegia. (Same as above.) Shanglian (LI9), treats wind-stroke. Numbness and lack of sensation in the waist, legs, hands, and feet. (Both from *Tongren* and *Mingtang*, same as above.) Xia Kunlun (BL60), (See "Yao Jiao" [Waist and Foot Pain].) Weizhong (BL40), treats hemiplegia. (Same as above.) Dicang (ST4), (See "Facial Paralysis".) Chengshan (BL57), (See "Jiao Ruo" [Weak Legs].) Shanglian (LI9), (See "Xianggang Jiao" [Hong Kong Foot/Varicose Veins]). Xialian (LI10), (See "Shi Bi" [Damp Bi]). Treats wind-stroke. Yinqiao (KI6), treats hemiplegia of hands and feet. (See "Yue Shi" [Menstrual Disorders].) Wei Tui Feng. Hemiplegia. Aphasia. Moxa Baihui (GV20). (Qian's work seen in "Zhong Feng Ban Shen Bu Sui" [Stroke Hemiplegia]; both men and women suffer this, but men especially should avoid left-sided affliction, and women especially should avoid right-sided affliction. After contracting this disease, wind-dispelling herbs should not be temporarily omitted; it is best if moxa sores persist on the body. Sexual intercourse is strictly contraindicated. Only by cultivating oneself like Daoists or Buddhists can one ensure no other complications. If performing moxibustion, one should first moxa Baihui (GV20) and Xinhui (GV22), then Fengchi (GB20), Jianyu (LI15), Quchi (LI11), Hegu (LI4), Huantiao (GB30), Fengshi (GB31), Zusanli (ST36), and Jiegu (GB39). One need not adhere to the old classic saying of "treating the left by moxa-ing the right, and treating the right by moxa-ing the left"; simply moxa where tenderness is felt upon pressing. Moxa-ing both sides is also good, but one should proceed from top to bottom.)