（手寒 手清 手心热）
小儿食时头痛。及五心热。灸 各一壮。（明下）内关、主手中风热。（千）中冲、
少冲
、太泉、（明下同。）劳宫、经渠、列缺、主手掌热。肘痛。大溪、主手足寒至节。曲泽
、主手清逆气。巨阙、主手清。经渠、列缺、（见偏风。）少冲、（见伤寒。）中冲、（见
心
痛。）间使、（见狂。）太渊、治掌中热。间使、治掌中热。（见狂。）中冲、治掌热。（见伤
寒无汗。）阳陵泉、治脚冷。（见膝。）大都、治手足逆冷。（见腹满。）少商、治掌热
。（见指挛。）丰隆、治厥逆。（见尸厥。）
内庭、章门、治厥逆。行间、治四肢冷。曲池等、肩外俞、主肘寒。（千见肘。）
大溪、治手足冷。（见腹胁痛。）
五心之热。小儿伤食证也。大人亦然。若手足寒清过节。证恶可知。当早随证针灸之。
毋使至于此极方可。清、犹寒也。礼记言、冬温而夏清。是已。针灸法见四肢厥。
至阴、主风寒从足小指起。脉痹上下。（千）阴陵泉、主足痹痛。中都、主足湿痹不
能行
。阳辅、阳交、阳陵泉、主髀枢膝骨痹不仁。阳关、环跳、承筋、主胫痹不仁。腰俞
、风府、主足不仁。膀胱俞、大溪、次 、主足清不仁。阳关、主胫痹不仁。（见足杂
病。）浮 、治髀枢不仁。（铜见足杂病。）膀胱俞、治脚足不仁。（见腰脚。）白环俞
、
疗手足不仁。（明下见脊。）上廉、治手足不仁。（铜见偏风。）犊鼻、髀关、阳陵泉、主
膝不仁。（千见腰痛。）
列子载偃师造偈云、废其肾则足不能行。是足之不能行。盖肾有病也。当灸肾俞。或一
再灸
而不效。宜灸环跳风市犊鼻膝关阳陵泉阴陵泉三里绝骨等穴。但按略酸疼。即是受病处。灸
之无不效也。
（手寒 手清 手心热）
小儿在进食时出现头痛。以及五心发热，灸内关穴各一壮。（出自《明堂》）内关穴，主治手中风热。（出自《千金方》）中冲穴、少冲穴、太渊穴（《明堂》中与此相同）、劳宫穴、经渠穴、列缺穴，主治手掌发热。肘部疼痛，灸大溪穴，主治手足寒冷至关节。曲泽穴，主治手部发冷及气逆。巨阙穴，主治手部发冷。经渠穴、列缺穴（见偏风条目），少冲穴（见伤寒条目），中冲穴（见心痛条目），间使穴（见狂证条目），太渊穴，治疗掌心发热。间使穴，治疗掌心发热（见狂证条目）。中冲穴，治疗掌热（见伤寒无汗条目）。阳陵泉穴，治疗脚冷（见膝部条目）。大都穴，治疗手足逆冷（见腹满条目）。少商穴，治疗掌热（见手指挛急条目）。丰隆穴，治疗厥逆（见尸厥条目）。内庭穴、章门穴，治疗厥逆。行间穴，治疗四肢寒冷。曲池穴等、肩外俞穴，主治肘部寒冷（《千金方》见肘部条目）。大溪穴，治疗手足寒冷（见腹胁痛条目）。
五心发热，是小儿伤食的症状。大人也是如此。如果手足寒冷超过关节，病情严重可知。应当尽早根据症状进行针灸治疗，不要等到发展到这种极端程度才处理。“清”，就是寒冷的意思。《礼记》中说：“冬天温暖而夏天清凉。”说的就是这个道理。具体的针灸方法参见“四肢厥”条目。
至阴穴，主治风寒从足小趾开始引起的脉痹上下行（出自《千金方》）。阴陵泉穴，主治足部痹痛。中都穴，主治足部湿痹不能行走。阳辅穴、阳交穴、阳陵泉穴，主治大腿枢轴及膝骨痹症麻木不仁。阳关穴、环跳穴、承筋穴，主治小腿痹症麻木不仁。腰俞穴、风府穴，主治足部麻木不仁。膀胱俞穴、大溪穴、次髎穴，主治足部寒冷麻木不仁。阳关穴，主治小腿痹症麻木不仁（见足部杂病条目）。浮郄穴，治疗大腿枢轴麻木不仁（《铜人腧穴针灸图经》见足部杂病条目）。膀胱俞穴，治疗脚足麻木不仁（见腰脚条目）。白环俞穴，治疗手足麻木不仁（《明堂》下部见脊柱条目）。上廉穴，治疗手足麻木不仁（《铜人腧穴针灸图经》见偏风条目）。犊鼻穴、髀关穴、阳陵泉穴，主治膝部麻木不仁（《千金方》见腰痛条目）。
《列子》记载偃师造偃师的故事说：毁坏他的肾脏，脚就不能行走。所以脚不能行走，大概是肾脏有病。应当灸肾俞穴。如果灸了一两次没有效果，适宜灸环跳穴、风市穴、犊鼻穴、膝关穴、阳陵泉穴、阴陵泉穴、足三里穴、绝骨穴等穴位。只要按压感到略微酸痛，那就是受病的部位，灸治这些穴位没有不有效的。
(Hand Cold, Hand Chilly, Palm Heat)
Infants experience headache during meals. For five-center heat (heat sensation in the palms, soles, and chest), moxibustion is applied to Neiguan (PC6) with one moxa cone for each side. (From *Mingtang*) Neiguan (PC6) governs wind-heat in the hands. (From *Qianjin Fang*) Zhongchong (PC9), Shaochong (HT9), Taiyuan (LU9) (same as in *Mingtang*), Laogong (PC8), Jingqu (LU8), Lieque (LU7) govern palm heat. For elbow pain, Daxi (KI4) is moxibusted, governing cold of the hands and feet extending to the joints. Quze (PC3) governs hand chilliness and rebellious Qi. Juque (CV14) governs hand chilliness. Jingqu (LU8), Lieque (LU7) (see Biased Wind), Shaochong (HT9) (see Cold Damage), Zhongchong (PC9) (see Heart Pain), Jianshi (PC5) (see Mania), Taiyuan (LU9) treats palm heat. Jianshi (PC5) treats palm heat (see Mania). Zhongchong (PC9) treats palm heat (see Cold Damage without sweating). Yanglingquan (GB34) treats cold feet (see Knee). Dadu (SP2) treats reversed coldness of the hands and feet (see Abdominal Fullness). Shaoshang (LU11) treats palm heat (see Finger Spasm). Fenglong (ST40) treats Jue-ni (collapse/loss of consciousness) (see Corpse-like Collapse). Neiting (ST44), Zhangmen (LR13) treat Jue-ni. Xingjian (LR2) treats coldness of the four limbs. Quchi (LI11) and other points, Jianwaiyu (SI14) govern elbow coldness (*Qianjin* see Elbow). Daxi (KI4) treats coldness of the hands and feet (see Abdomen and Hypochondriac Pain).
Five-center heat is a symptom of food injury in infants. Adults are the same. If the hands and feet are chilly and cold beyond the joints, the severity of the condition is evident. One should promptly apply acupuncture and moxibustion according to the syndrome, rather than waiting until it reaches this extreme state. "Chilly" (Qing) means cold. The *Book of Rites* states: "Warm in winter and chilly in summer." This refers to this concept. See the section on Four Limbs Jue-ni for specific methods.
Zhiyin (BL67) governs wind-cold starting from the little toe of the foot, causing Mai-bi (pulse obstruction) moving up and down. (From *Qianjin Fang*) Yinlingquan (SP9) governs bi-pain in the foot. Zhongdu (LR6) governs damp-bi in the foot preventing walking. Yangfu (GB38), Yangjiao (GB35), Yanglingquan (GB34) govern bi-syndrome with numbness and insensitivity in the hip pivot and knee bones. Yangguan (EX-B7), Huantiao (GB30), Chengjin (BL56) govern bi-syndrome with numbness and insensitivity in the shank. Yaoshu (BL23), Fengfu (GV16) govern numbness and insensitivity of the foot. Pangguangshu (BL28), Daxi (KI4), Cishi (BL32) govern coldness and numbness of the foot. Yangguan (EX-B7) governs bi-syndrome with numbness and insensitivity in the shank (see Miscellaneous Foot Diseases). Fuxi (BL37) treats numbness and insensitivity of the hip pivot (*Tongren* see Miscellaneous Foot Diseases). Pangguangshu (BL28) treats numbness and insensitivity of the feet (see Waist and Feet). Baihuanxu (BL30) treats numbness and insensitivity of the hands and feet (*Mingtang* lower part see Spine). Shanglian (ST37) treats numbness and insensitivity of the hands and feet (*Tongren* see Biased Wind). Dubi (ST35), Biguan (ST31), Yanglingquan (GB34) govern numbness and insensitivity of the knee (*Qianjin* see Lower Back Pain).
The *Liezi* records that Yan Shi said: "Destroy his kidneys, and the feet cannot walk." Thus, the inability to walk is due to kidney disease. One should moxibustion the Shenshu (BL23) point. If there is no effect after one or two applications, it is advisable to moxibustion points such as Huantiao (GB30), Fengshi (GB31), Dubi (ST35), Xiguan (EX-LE4), Yanglingquan (GB34), Yinlingquan (SP9), Zusanli (ST36), and Jiexi (GB41). Wherever slight soreness and pain are felt upon pressing, that is the affected site; moxibustion at these sites will invariably be effective.