中极、疗脐下块如覆杯。(明见淋。)铜云、结如覆杯。(见淋。)关元、治脐下 痛。
赤涩。不觉遗沥。小便处痛状如散火。溺血。暴疝痛。脐下结血、状如覆杯。(明同。)转胞
不得。(铜)阴交、治脐下 痛。女子月事不绝。带下。产后恶露不止。绕脐冷痛。中封
、(见疟。)水分、(见水肿。)神阙(见泻。)治绕脐痛。曲泉、主痛引脐中。(千见疝。)
予旧苦脐中疼。则欲溏泻。常以手中指按之少止。或正泻下。亦按之。则不疼。它日灸
脐中。遂不疼矣。后又尝溏利不已。灸之则止。凡脐疼者。宜灸神阙。
关门、治气游走。夹脐急。(见积气。)下脘、治脐上厥气动。(见腹痛。)气海、治
脐下冷气上冲心。血结成块。状如覆杯。小便赤涩。腹结、治绕脐痛。上抢心。(千同。)腹寒
。泄利咳逆。天枢、治夹脐切痛。时上冲心烦满。呕吐霍乱。明下云、冷气脐痛。(见
冷气。)千云、冬感寒脐痛。(见泻。)外陵、主心如悬。下引脐腹痛。(千见腹痛。)上
廉、治夹脐腹痛。(见胁痛。)四满、治脐下切痛。(见积聚。)分水、疗水肿绕脐痛。(
小儿脐肿。灸腰后对脐骨节间三壮。然谷、主儿脐风口不开。(铜同。)善惊。绕脐
绞痛
。灸天枢百壮。(千见 瘕。)脐下绞痛。灸关元百壮。(见腹寒热。)脐中、石门等、主
疝绕脐。脐中、石门、天枢、主脐疝绕脐。蠡沟、疗脐中积气。(千并见疝。)
中极穴,治疗脐下肿块如倒扣的杯子。(见于淋证。)铜云(指《铜人腧穴针灸图经》)记载:结块如倒扣的杯子。(见于淋证。)关元穴,治疗脐下疼痛、小便赤涩、不觉遗沥、小便处疼痛状如火散、尿血、暴发性疝痛、脐下积血结块状如倒扣的杯子。(与明同观点一致。)转胞不得(指膀胱扭转导致排尿困难)。(见《铜人腧穴针灸图经》)。阴交穴,治疗脐下疼痛。女子月经淋漓不尽、带下病、产后恶露不止、绕脐冷痛。中封穴(见于疟疾)。水分穴(见于水肿)。神阙穴(见于泄泻),治疗绕脐疼痛。曲泉穴,主治疼痛牵引至脐中。(千见疝,指《千金方》见于疝气)。
我过去常受脐中疼痛之苦,此时就想发生溏泻。常用手中指按压脐部稍能缓解。有时正在腹泻时,也按压它,疼痛就不发作了。后来在脐中施灸,便不再疼痛了。之后又曾患溏利不止,施灸后停止。凡是脐部疼痛者,适宜灸神阙穴。
关门穴,治疗气机游走、夹脐拘急。(见于积气证)。下脘穴,治疗脐上厥气上冲。(见于腹痛)。气海穴,治疗脐下冷气上冲至心、血结成块状如倒扣的杯子、小便赤涩。腹结穴,治疗绕脐疼痛、气上抢心。(与《千金方》观点一致)。腹部寒冷、泄利咳逆。天枢穴,治疗夹脐剧烈疼痛、时常上冲致心烦满闷、呕吐霍乱。明下云(指《明堂经》下方注语):冷气所致脐痛。(见于冷气证)。千云(指《千金方》):冬季感受寒邪所致脐痛。(见于泄泻)。外陵穴,主治心如悬空感、向下牵引至脐腹痛。(千见腹痛,指《千金方》见于腹痛)。上廉穴,治疗夹脐腹痛。(见于胁痛)。四满穴,治疗脐下剧烈疼痛。(见于积聚)。分水穴,治疗水肿伴绕脐疼痛。(小儿脐肿,灸腰后对脐骨节间三壮。然谷穴,主治小儿脐风口不开(指新生儿破伤风或脐风导致牙关紧闭)。(与《铜人腧穴针灸图经》观点一致)。易受惊吓、绕脐绞痛。灸天枢穴一百壮。(千见瘕,指《千金方》见于癥瘕)。脐下绞痛,灸关元穴一百壮。(见于腹寒热证)。脐中、石门等穴,主治疝气绕脐。脐中、石门、天枢穴,主治脐疝绕脐。蠡沟穴,治疗脐中积气。(千并见疝,指《千金方》并见于疝气)。
Zhongji (CV3) treats lumps under the umbilicus resembling an inverted cup. (Seen in strangury.) Tong Ren (referring to *The Illustrated Manual of Acupuncture Points and Moxibustion*) records: nodules resembling an inverted cup. (Seen in strangury.) Guanyuan (CV4) treats pain below the umbilicus, red and scanty urination, involuntary dribbling after urination, pain at the urethral orifice resembling scattered fire, hematuria, acute hernia pain, and blood stasis below the umbilicus forming a lump like an inverted cup. (Consistent with Ming's view.) Retention of urine due to bladder torsion. (See *Tong Ren*). Yinjiao (CV7) treats pain below the umbilicus. In women, it treats continuous menstruation, leukorrhea, postpartum lochia retention, and cold pain encircling the umbilicus. Zhongfeng (LR4) (seen in malaria). Shuifen (CV9) (seen in edema). Shenque (CV8) (seen in diarrhea), treats pain encircling the umbilicus. Ququan (LR8) governs pain radiating to the center of the umbilicus. (Qian sees this in hernia.)
I formerly suffered from pain in the center of the umbilicus, which was accompanied by loose stools. I often used my middle finger to press the area, which provided slight relief. Even when diarrhea was occurring, pressing it prevented pain. Later, I moxa the center of the umbilicus, and the pain ceased. Subsequently, I experienced persistent loose stools, which stopped after moxibustion. For any umbilical pain, moxibustion on Shenque is appropriate.
Guanmen (ST25) treats wandering qi and cramping beside the umbilicus. (Seen in accumulated qi.) Xiawan (RN10) treats rebellious qi rising from above the umbilicus. (Seen in abdominal pain.) Qihai (RN6) treats cold qi rising from below the umbilicus to the heart, blood coagulating into lumps resembling an inverted cup, and red, scanty urination. Fujie (SP15) treats pain encircling the umbilicus and qi rushing upward to the heart. (Consistent with *Qian Jin Fang*). Abdominal coldness, diarrhea with coughing and reverse flow. Tianshu (ST25) treats severe pain beside the umbilicus, frequently rising upward causing vexation, fullness, vomiting, and cholera-like symptoms. The lower note in *Ming Tang* states: umbilical pain caused by cold qi. (Seen in cold qi syndrome.) *Qian Jin Fang* states: umbilical pain caused by contracting cold in winter. (Seen in diarrhea). Wailing (ST26) governs a sensation of the heart hanging empty, with downward radiation to umbilical and abdominal pain. (Qian sees this in abdominal pain). Shanglian (ST34) treats abdominal pain beside the umbilicus. (Seen in hypochondriac pain). Siman (KI13) treats severe pain below the umbilicus. (Seen in accumulations and masses). Fen shui (BL33? Note: Context suggests a point for water metabolism, possibly referring to a specific classical reference not standardly named "Fenshui" in modern lists, but treated as per text) treats edema with pain encircling the umbilicus. (For infantile umbilical swelling, moxa three burns between the lumbar vertebrae opposite the umbilicus. Ran gu (KI2) governs infantile wind-lock of the umbilicus where the mouth does not open. (Consistent with *Tong Ren*). Easily startled, severe绞痛 (cramping pain) encircling the umbilicus. Moxa Tianshu one hundred burns. (Qian sees this in zheng jia masses). Cramping pain below the umbilicus, moxa Guanyuan one hundred burns. (Seen in abdominal cold-heat disorders). Shenque, Shimen, etc., govern hernias encircling the umbilicus. Shenque, Shimen, and Tianshu govern umbilical hernias encircling the umbilicus. Ligou (LR5) treats accumulated qi in the umbilicus. (Qian sees this concurrently in hernia).