太白、主肠痛。(甲见肠鸣。)陷谷等、主肠痛。(千见肠鸣。)商曲、治肠切痛。(铜见
积聚。)建里、疗肠中疼。呕逆上气。心痛身肿。(明)气冲、治肠中之热。(铜见上气。
肠痛亦多端。若疼甚者、乃肠痈。急宜服内补十全散等药。其它宜随证灸之。有老妪大肠中
常若里急后重。甚苦之。自言人必无老新妇此奇疾也。为按其大肠俞疼甚。令归灸之而愈。
痈为病。小肠重。小便数似淋。或绕脐生疮。或脓从脐出。大便出脓血。屈两肘正灸肘头锐
骨各百壮。则下脓止。止瘥。
胡权内补十全散治肠痈神效。
不容、治腹虚鸣。(铜见 癖。)三间、主胸满肠鸣。(千)胃俞、主腹满而鸣。(明
腹中鸣。)脐中、主肠中常鸣。上冲于心。天枢、主腹胀肠鸣。气上冲胸。(又主妇人。
)阴都、主心满气逆肠鸣。太白、公孙、大肠俞、三焦俞等、(见泻)主肠鸣。阴交
、主肠鸣濯濯。有如水声。上廉、主肠鸣相追逐。漏谷、主肠鸣。强欠。心悲气逆。
膺窗、主肠鸣泄注。陷谷、温留、漏谷、复留、阳纲、主肠鸣而痛。下 、主妇人肠鸣
注泄。胸胁胀、肠鸣切痛。太白主之。(甲)三里(见胃。)三间、京门、(见泻。)关门
、(见积气。)三阴交、(见腹胀。)陷谷、水分、神阙、(并见水肿。)承满、温溜、三焦俞、
大肠俞、胃俞、(腹胀。)天枢、(月事。)治肠鸣。(铜)章门、治肠鸣盈盈然。(千同。)
食不化。胁痛不得卧。烦热口干。不嗜食。胸胁支满。喘息心痛。腰(下经有背胁。)痛不得
转侧。上廉、治肠鸣气走疰痛。商丘、治腹胀肠鸣不便。脾虚令人不乐。身寒善太息。
心悲气逆。复溜、治腹雷鸣。(见鼓胀。)督俞、疗腹痛雷鸣。(明见腹痛。)承满、疗
肠鸣腹胀。上喘气逆。(下)阳纲、疗食饮不下。腹中雷鸣。腹满 胀。大便泄。消渴。身
热面目黄。不嗜食。怠惰。(下)千云、主肠鸣。(见大便不禁。)三焦俞、疗腹胀肠鸣。肠
中雷鸣相逐痢下。灸承满五十壮。(千)天枢、主腹胀肠鸣。气上冲胸。不能久立。腹痛濯
濯。冬日重感于寒则泄。(见泄泻。)食不化。嗜食身肿。夹脐急。腹中雷鸣。灸太冲无限
壮数。(千见上气。)
太白穴,主治肠痈。(《甲乙经》在肠鸣条下记载。)陷谷等穴,主治肠痈。(《千金方》在肠鸣条下记载。)商曲穴,治疗肠道剧烈疼痛。(《铜人腧穴针灸图经》在积聚条下记载。)建里穴,治疗肠中疼痛、呕吐逆气、心痛及身体浮肿。(《明堂》)气冲穴,治疗肠中热邪。(《铜人》在上气及肠痈条下记载。)
肠痈的病症表现多种多样。如果疼痛剧烈,那就是肠痈(肠道化脓性病变),应当立即服用内补十全散等药物。其他情况适宜根据证候进行艾灸治疗。有一位老妇人,大肠中常常感觉里急后重(想排便但排不出或排不尽感),非常痛苦。她自称世上没有比老年妇女患此奇疾更奇怪的了。为她诊察时发现大肠俞穴处压痛明显,让她回去艾灸该穴而痊愈。
肠痈作为疾病,表现为小肠沉重,小便频数似淋病,或者围绕肚脐生疮,或者脓液从脐部流出,大便排出脓血。弯曲两肘,正对肘尖锐骨处各灸一百壮,则下脓停止,病情痊愈。
不容穴,治疗腹部虚性鸣响。(《铜人》在癖块条下记载。)三间穴,主治胸满肠鸣。(《千金方》)胃俞穴,主治腹部胀满且鸣响。(《明堂》腹中鸣条。)脐中穴,主治肠中经常鸣响,气上冲至心脏。天枢穴,主治腹胀肠鸣,气上冲胸部。(又主治妇人病。)阴都穴,主治心下痞满、气逆肠鸣。太白穴、公孙穴、大肠俞穴、三焦俞穴等,(见泻法条)主治肠鸣。阴交穴,主治肠鸣声濯濯(如水声)。上廉穴,主治肠鸣声相互追逐。漏谷穴,主治肠鸣、强直欠伸、心中悲伤、气逆。膺窗穴,主治肠鸣泄泻。陷谷穴、温留穴、漏谷穴、复溜穴、阳纲穴,主治肠鸣且痛。下巨虚穴,主治妇人肠鸣泄泻、胸胁胀满、肠鸣剧痛,由太白穴主治。(《甲乙经》)足三里穴(见胃经条)、三间穴、京门穴(见泻法条)、关门穴(见积气条)、三阴交穴(见腹胀条)、陷谷穴、水分穴、神阙穴(并见水肿条)、承满穴、温溜穴、三焦俞穴、大肠俞穴、胃俞穴(腹胀条)、天枢穴(月事条),治疗肠鸣。(《铜人》)章门穴,治疗肠鸣声盈盈然。(《千金方》同。)伴有食物不消化、胁痛不能卧、烦热口干、食欲不振、胸胁支撑胀满、喘息心痛、腰痛(下经有背胁痛)不能转侧。上廉穴,治疗肠鸣气走注痛。商丘穴,治疗腹胀肠鸣不便,脾虚使人情绪低落、身寒喜叹息、心中悲伤气逆。复溜穴,治疗腹中雷鸣。(见鼓胀条。)督俞穴,治疗腹痛雷鸣。(《明堂》见腹痛条。)承满穴,治疗肠鸣腹胀、上气喘逆。(下经)阳纲穴,治疗饮食不下、腹中雷鸣、腹部胀满、大便泄泻、消渴、身热面目黄、食欲不振、倦怠。(下经)《千金方》说,主治肠鸣。(见大便不禁条。)三焦俞穴,治疗腹胀肠鸣,肠中雷鸣相逐、痢疾下利,灸承满穴五十壮。(《千金方》)天枢穴,主治腹胀肠鸣,气上冲胸,不能久立,腹痛濯濯,冬日再次受寒则泄泻。(见泄泻条。)食物不消化,嗜食但身体浮肿,夹脐拘急,腹中雷鸣,灸太冲穴不限壮数。(《千金方》见上气条。)
Taibai (SP3), indicated for intestinal abscess. (*Jia Yi Jing* records this under the section on abdominal borborygmus.) Xangu (ST41) and other points, indicated for intestinal abscess. (*Qian Jin Fang* records this under the section on abdominal borborygmus.) Shangqu (ST20), treats severe cutting pain in the intestines. (*Tong Ren Shu* records this under the section on accumulations.) Jianli (CV11), treats pain in the intestines, vomiting with counterflow of qi, heart pain, and bodily swelling. (*Ming Tang*) Qichong (ST30), treats heat in the intestines. (*Tong Ren Shu* records this under the sections on counterflow of qi and intestinal abscess.)
The manifestations of intestinal abscess are diverse. If the pain is severe, it is an intestinal abscess (purulent lesion of the intestine). One should immediately administer herbs such as Neibu Shiquan San (Internal Nourishing Ten-Ingredient Decoction). Other conditions should be treated with moxibustion according to the syndrome. An old woman often felt a sensation of tenesmus in her large intestine, which caused her great suffering. She claimed that no elderly woman would suffer from such a strange disease. Upon palpation, severe tenderness was found at Dachangshu (BL25). She was instructed to moxa this point at home and recovered.
As a disease, intestinal abscess presents with heaviness in the small intestine, frequent urination resembling strangury, sores developing around the umbilicus, pus discharging from the umbilicus, and passage of pus and blood in the stool. Bend both elbows and moxa directly on the sharp bone at the tip of each elbow for one hundred moxa cones; then the discharge of pus will stop, and the condition will heal.
Neibu Shiquan San (Internal Nourishing Ten-Ingredient Decoction) by Hu Quan is miraculously effective in treating intestinal abscess.
Burong (ST19), treats empty borborygmus in the abdomen. (*Tong Ren Shu* records this under the section on masses.) Sanjian (LI3), indicates chest fullness and intestinal borborygmus. (*Qian Jin Fang*) Weishu (BL21), indicates abdominal fullness with borborygmus. (*Ming Tang* section on abdominal borborygmus.) Shenque (CV8), indicates constant borborygmus in the intestines with qi rushing upward to the heart. Tianshu (ST25), indicates abdominal distension and borborygmus, with qi rushing upward to the chest. (Also indicates gynecological disorders.) Yindu (KI15), indicates epigastric fullness, counterflow of qi, and intestinal borborygmus. Taibai (SP3), Gongsun (SP4), Dachangshu (BL25), and Sanjiaoshu (BL22), etc., (see draining method), indicate intestinal borborygmus. Yinjiao (CV7), indicates borborygmus sounding like water flowing. Shanglian (SI9), indicates borborygmus sounds chasing each other. Loubu (SP9), indicates intestinal borborygmus, stiffness with yawning, sadness, and counterflow of qi. Yingchuang (ST16), indicates intestinal borborygmus with diarrhea. Xangu (ST41), Wenliu (ST44), Loubu (SP9), Fuliou (KI7), and Yanggang (BL35), indicate intestinal borborygmus accompanied by pain. Xiabaidao (BL39), indicates intestinal borborygmus and diarrhea in women, chest and hypochondriac distension, and severe cutting pain in the intestines, primarily treated by Taibai (SP3). (*Jia Yi Jing*) Zusanli (ST36) (see Stomach meridian), Sanjian (LI3), Jingmen (GB25) (see draining method), Guanmen (ST22) (see accumulation of qi), Sanyinjiao (SP6) (see abdominal distension), Xangu (ST41), Shuifen (CV9), Shenque (CV8) (all see edema), Chengman (ST21), Wenliu (ST44), Sanyiaoshu (BL22), Dachangshu (BL25), Weishu (BL21) (abdominal distension), Tianshu (ST25) (menstruation), treat intestinal borborygmus. (*Tong Ren*) Zhangmen (LR13), treats borborygmus sounding "ying ying". (*Qian Jin Fang* agrees). Accompanied by undigested food, hypochondriac pain preventing lying down, irritability, fever, dry mouth, loss of appetite, chest and hypochondriac distension, panting, heart pain, lower back pain (lower classics mention back and hypochondriac pain) preventing turning over. Shanglian (SI9), treats intestinal borborygmus with qi moving to cause numbing pain. Shangqiu (SP5), treats abdominal distension, intestinal borborygmus, and difficulty in defecation; spleen deficiency causing low spirits, cold body, frequent sighing, sadness, and counterflow of qi. Fuliou (KI7), treats rumbling in the abdomen like thunder. (See drum-like distension.) Dushu (BL16), treats abdominal pain with rumbling. (*Ming Tang* see abdominal pain.) Chengman (ST21), treats intestinal borborygmus, abdominal distension, and upper asthma with counterflow of qi. (Lower classics) Yanggang (BL35), treats inability to swallow food and drink, rumbling in the abdomen, abdominal distension, diarrhea, thirst with wasting and fluid depletion, fever, yellow complexion, loss of appetite, and lethargy. (Lower classics) *Qian Jin Fang* states: indicates intestinal borborygmus. (See involuntary defecation.) Sanyiaoshu (BL22), treats abdominal distension and intestinal borborygmus, with rumbling in the intestines chasing each other and dysentery; moxa Chengman (ST21) for fifty cones. (*Qian Jin Fang*) Tianshu (ST25), indicates abdominal distension and borborygmus, qi rushing upward to the chest, inability to stand for long periods, abdominal pain sounding like water, and diarrhea if exposed to cold again in winter. (See diarrhea) Undigested food, craving food but with bodily swelling, tightness beside the navel, rumbling in the abdomen; moxa Taichong (LR3) without limiting the number of cones. (*Qian Jin Fang* see counterflow of qi.)