足临泣、治胸满。缺盆中及腋下肿。(明下同。)马刀疡 。善啮唇。天牖中肿。淫泺
眩。枕骨合颅痛。洒淅振寒。(铜)丘墟、治腋下肿。痿厥。坐不能起。髀枢中痛。目生翳
膜。腿 酸。转筋卒疝。小腹坚。寒热颈肿。 、治腋拘挛。暴脉急引胁痛。少府,
治股腋挛急。(见忧悲。)少海、治肘腋肿。小腹痛。少海、治肘挛、腋胁下痛。四肢不
举。支沟、治肩臂酸重。胁腋痛。四肢不举。天池、(见鬲痛。)胆俞、委阳、(见尸
厥。)阳辅、(见膝痛。)治腋下肿。间使、治掌中热。腋肿肘挛。(见狂。)地五会、
阳辅、申脉、委阳、天池、临泣、侠溪等、(见痿。)主腋下肿。太陵、主肘挛腋肿。临
泣、主腋下肿。胸中满。丘墟、阳跷、主腋下肿。寒热颈肿。少海、疗腋下瘰 。(见
瘰。)承筋等、主腋肿。(见痔。)
腋下肿痛。最不可忽。予屡见患疮疖人腋下或发疮。有至于不可救者。可不早治之乎。
曲池、腕骨等、主腕急。(千见臂痛。)阳溪、疗臂腕外侧痛不举。(明)列缺、疗腕
劳。
(上同。)臂肘痛。铜云、手腕无力。(下)偏历、疗臂膊肘腕酸痛。难伸屈。外关、疗
肘腕酸重。后溪、疗肘臂腕重。(并见手掣。)通里、疗肘腕酸重。
(肘挛 不仁)
前谷、后溪、阳溪、主肘挛。鱼际、灵道、主肘挛柱满。太陵、主肘挛腋肿。中
膂俞、 、主腋挛。
曲池、主肘中痛。(见臂。)曲池、腕骨、 会、支沟、肘 、主肘节痹。臂酸重。腋
急痛
。肘难屈伸。中冲等、主肘痛。(见臂痛。)关冲、主肘疼。不能自带衣。间使、主肘
内廉痛。曲池、三里、关冲、中渚、阳谷、尺泽、主肘痛时寒。曲池、主肘痛。(见四
肢厥。)肩外俞、主肘寒。(见肩背痛。)天宗、治臂肘外后廉痛。(铜)
天、治肩肘痛。(见肩背痛。)肘 、治肘节风痹。臂痛不可举。屈伸挛急。明下云
臂酸重。麻痹不仁。鱼际、治肘挛支满。灵道、(见心痛。)尺泽、少海、(见腋。)治肘
挛。(见风痹。)支正、内关、(见中风。)阳溪、治惊掣。肘臂不举。极泉、治臂肘厥寒
。窍阴、(见喉痹。)手三里、治手臂肘挛不伸。后溪、治臂肘挛急。附分、治臂肘
不仁。(见风劳。)腕骨、治偏枯。臂肘不得屈伸。五里、(见风劳。)天井、(见风痹。)下廉、治臂肘痛。
冲阳、(见口 。)曲池、治肘中痛。鱼际、疗肘挛支满。喉中焦干渴。痉上气。(
偏历、(见腕。)三里、疗肘臂酸重。屈伸难。(下)中渚、疗肘臂酸痛。(见手掣。)大
渊、疗肘痛。曲池、疗肘痛屈伸难。手不得举。偏风半身不遂。捉物不得。挽弓不开。肘
臂偏细。孔最、疗肘臂厥痛屈伸难。手不及头。不握。支正、疗肘臂挛。难屈伸。手不
握。十指尽痛。肘 、疗肘臂酸重。不可屈伸。麻痹不仁。天井、疗肘痛引肩。不可屈伸
。颈项及肩背痛。臂痿不仁。掖门、疗肘痛不能上下。列缺、主肘中痛。
甲乙经云、五里在肘上三寸大脉中。玉篇说肘云、臂节也。此臂之下节也。宓子贱使
书吏书、而掣其肘。盖其臂节也。当以此求之。
足临泣穴,治疗胸中胀满。缺盆中及腋下肿胀。(明代文献同此记载。)马刀疡(一种生于腋下的瘰疬疮疡)。喜欢咬嘴唇。天牖穴部位肿胀。身体懈惰无力伴眩晕。枕骨与颅骨连接处疼痛。洒淅恶寒战栗。(《铜人腧穴针灸图经》记载)丘墟穴,治疗腋下肿胀。痿厥证。坐起困难。髀枢(髋关节)部位疼痛。眼睛生翳膜。腿部酸痛。转筋(肌肉痉挛)突发疝气。小腹坚硬。寒热往来伴颈部肿胀。(某穴)治疗腋下拘挛。暴发性脉急牵引胁肋疼痛。少府穴,治疗大腿和腋下拘挛急痛。(参见“忧悲”条目)。少海穴,治疗肘部和腋下肿胀。小腹部疼痛。少海穴,治疗肘部拘挛、腋下及胁下疼痛。四肢不能抬举。支沟穴,治疗肩臂酸重。胁肋及腋下疼痛。四肢不能抬举。天池穴,(参见“膈痛”条目)。胆俞穴、委阳穴,(参见“尸厥”条目)。阳辅穴,(参见“膝痛”条目),治疗腋下肿胀。间使穴,治疗手掌发热。腋下肿胀伴肘部拘挛。(参见“狂证”条目)。地五会穴、阳辅穴、申脉穴、委阳穴、天池穴、足临泣穴、侠溪穴等,(参见“痿证”条目),主治腋下肿胀。太陵穴,主治肘部拘挛、腋下肿胀。足临泣穴,主治腋下肿胀、胸中胀满。丘墟穴、阳跷脉,主治腋下肿胀、寒热往来伴颈部肿胀。少海穴,治疗腋下瘰疬。(参见“瘰疬”条目)。承筋穴等,主治腋下肿胀。(参见“痔疮”条目)。
腋下肿痛,最不可轻视。我多次见到患疮疖的人,腋下或发生疮疡,有的甚至到了无法救治的地步。难道不应该尽早治疗吗?
曲池穴、腕骨穴等,主治手腕紧急拘急。(《千金方》在“臂痛”条目下记载)。阳溪穴,治疗手臂和手腕外侧疼痛且不能抬举。(明代文献同此记载)。列缺穴,治疗腕劳(手腕劳损疼痛)。
(上述记载相同)。手臂和肘部疼痛,《铜人腧穴针灸图经》记载:手腕无力。(下文记载)。偏历穴,治疗手臂、肘部、手腕酸痛。难以伸展屈曲。外关穴,治疗肘部和手腕酸重。后溪穴,治疗肘、臂、手腕沉重。(均参见“手掣”条目)。通里穴,治疗肘部和手腕酸重。
(肘部拘挛、麻木不仁)
前谷穴、后溪穴、阳溪穴,主治肘部拘挛。鱼际穴、灵道穴,主治肘部拘挛伴胸部胀满。太陵穴,主治肘部拘挛、腋下肿胀。膂俞穴(注:原文此处可能有脱漏或异体字,依文意推测为背部穴位),主治腋下拘挛。
曲池穴,主治肘中部疼痛。(参见“臂痛”条目)。曲池穴、腕骨穴、会穴(注:原文可能有误,通常指天井或类似穴位)、支沟穴、肘髎穴,主治肘节痹证。手臂酸重。腋下急痛。肘部难以屈伸。中冲穴等,主治肘部疼痛。(参见“臂痛”条目)。关冲穴,主治肘部疼痛。不能自己穿衣。间使穴,主治肘内侧疼痛。曲池穴、足三里、关冲穴、中渚穴、阳谷穴、尺泽穴,主治肘部疼痛伴有发冷。曲池穴,主治肘部疼痛。(参见“四肢厥逆”条目)。肩外俞穴,主治肘部寒冷。(参见“肩背痛”条目)。天宗穴,治疗手臂、肘部外侧后方疼痛。(《铜人腧穴针灸图经》记载)。
天容穴(注:原文仅一字“天”,结合语境及常见配穴推测为天容或天窗,此处直译“天”),治疗肩肘疼痛。(参见“肩背痛”条目)。肘髎穴,治疗肘节风痹。手臂疼痛不能抬举。屈伸拘急。明代文献下文说:手臂酸重。麻痹麻木不仁。鱼际穴,治疗肘部拘挛伴胸部胀满。灵道穴,(参见“心痛”条目)。尺泽穴、少海穴,(参见“腋下”条目),治疗肘部拘挛。(参见“风痹”条目)。支正穴、内关穴,(参见“中风”条目)。阳溪穴,治疗惊悸抽搐。手臂和肘部不能抬举。极泉穴,治疗手臂和肘部厥冷寒凉。窍阴穴,(参见“喉痹”条目)。手三里穴,治疗手臂和肘部拘挛不能伸直。后溪穴,治疗手臂和肘部拘急。附分穴,治疗手臂和肘部麻木不仁。(参见“风劳”条目)。腕骨穴,治疗偏枯(半身不遂)。手臂和肘部不能屈伸。五里穴,(参见“风劳”条目)。天井穴,(参见“风痹”条目)。下廉穴,治疗手臂和肘部疼痛。
冲阳穴,(参见“口僻”条目)。曲池穴,治疗肘中部疼痛。鱼际穴,治疗肘部拘挛伴胸部胀满。喉咙中焦干燥口渴。痉病上气。(偏历穴,参见“腕劳”条目)。足三里,治疗肘臂酸重。屈伸困难。(下文记载)。中渚穴,治疗肘臂酸痛。(参见“手掣”条目)。大渊穴,治疗肘部疼痛。曲池穴,治疗肘部疼痛伴屈伸困难。手部不能抬举。偏风半身不遂。抓握物体无力。拉弓不能张开。肘臂一侧变细。孔最穴,治疗肘臂厥痛伴屈伸困难。手不能举过头顶。不能握物。支正穴,治疗肘臂拘挛。难以屈伸。手不能握。十个手指全部疼痛。肘髎穴,治疗肘臂酸重。不能屈伸。麻痹麻木不仁。天井穴,治疗肘部疼痛牵引至肩部。不能屈伸。颈项及肩背部疼痛。手臂痿废麻木不仁。掖门穴,治疗肘部疼痛不能上下活动。列缺穴,主治肘中部疼痛。
《甲乙经》记载:五里穴位于肘上三寸的大脉中。《玉篇》解释“肘”字说:是臂的关节。这是臂的下节。宓子贱让书吏写字,却拉扯他的肘部。这就是所说的臂节。应当以此来确定位置。
Zulinqi (GB41) treats chest fullness. Swelling in the supravacular fossa and axilla. (Same as Ming dynasty texts.) Machang yang (scrofulous ulcer of the axilla). Frequent lip biting. Swelling at Tianyou (TE16). Languor and dizziness. Pain at the junction of the occipital bone and skull. Chills and shivering. (From *Tongren Shuxue Zhenjiu Tujing*) Qiuxu (GB71) treats axillary swelling. Wei jue syndrome (weakness and coldness of limbs). Difficulty sitting up or rising. Pain in the hip joint (bitoshu). Epiblepharon or corneal opacity. Leg soreness. Sudden muscle cramps and hernia. Hardness of the lower abdomen. Alternating chills and fever with neck swelling. (Certain acupoint) treats axillary spasm. Sudden vessel urgency pulling into hypochondriac pain. Shaofu (HT8) treats spasm and urgency in the thigh and axilla. (See "Worry and Grief" entry.) Shaohai (HT3) treats swelling of the elbow and axilla. Lower abdominal pain. Shaohai (HT3) treats elbow spasm, pain in the axilla and hypochondrium. Inability to raise the four limbs. Zhigou (TE6) treats soreness and heaviness of the shoulder and arm. Hypochondriac and axillary pain. Inability to raise the four limbs. Tianchi (PC1). (See "Diaphragm Pain" entry.) Danyu (BL18), Weiyang (BL39). (See "Shijue" entry.) Yangfu (GB38). (See "Knee Pain" entry.) Treats axillary swelling. Jianshi (PC5) treats heat in the palm. Axillary swelling with elbow spasm. (See "Mania" entry.) Diwuhui (BL62), Yangfu (GB38), Shenmai (BL62), Weiyang (BL39), Tianchi (PC1), Zulinqi (GB41), Xiaxi (GB43), etc. (See "Wei Syndrome" entry.) Mainly treat axillary swelling. Tailing (PC7) mainly treats elbow spasm and axillary swelling. Zulinqi (GB41) mainly treats axillary swelling and chest fullness. Qiuxu (GB71), Yangqiao Mai, mainly treat axillary swelling. Alternating chills and fever with neck swelling. Shaohai (HT3) treats scrofula in the axilla. (See "Scrofula" entry.) Chengjin (BL56), etc., mainly treat axillary swelling. (See "Hemorrhoids" entry.)
Axillary swelling and pain should never be neglected. I have often seen patients with sores and boils develop lesions in the axilla, some reaching a point of no return. Should they not be treated early?
Quchi (LI11), Wanggu (SI4), etc., mainly treat wrist stiffness. (Seen in "Arm Pain" entry from *Qianjin Fang*). Yangxi (LI5) treats pain on the lateral side of the arm and wrist with inability to lift. (Same as Ming dynasty texts.) Lieque (LU7) treats wrist lao (chronic strain/pain). (Same as above.) Arm and elbow pain. *Tongren* records: wrist weakness. (Next text.) Pianli (SI8) treats soreness and pain in the arm, elbow, and wrist with difficulty in flexion and extension. Waiguan (TE5) treats soreness and heaviness of the elbow and wrist. Houxi (SI3) treats heaviness of the elbow, arm, and wrist. (Both see "Hand Jerking" entry.) Tongli (HT5) treats soreness and heaviness of the elbow and wrist.
(Elbow spasm and numbness)
Qiangu (SI2), Houxi (SI3), Yangxi (LI5) mainly treat elbow spasm. Yuji (LU10), Lingdao (HT4) mainly treat elbow spasm with chest fullness. Tailing (PC7) mainly treats elbow spasm and axillary swelling. Zhulvshu (BL56 - note: text likely implies a back-shu point, context suggests Bladder meridian). Mainly treats axillary spasm.
Quchi (LI11) mainly treats pain in the center of the elbow. (See "Arm Pain" entry.) Quchi (LI11), Wanggu (SI4), [Missing Character], Zhigou (TE6), Zhoule (SI10) mainly treat elbow bi syndrome. Arm soreness and heaviness. Axillary urgent pain. Elbow difficult to flex and extend. Zhongchong (PC9), etc., mainly treat elbow pain. (See "Arm Pain" entry.) Guanchong (TE1) mainly treats elbow pain. Inability to dress oneself. Jianshi (PC5) mainly treats pain on the medial aspect of the elbow. Quchi (LI11), Zusanli (ST36), Guanchong (TE1), Zhongzhu (TE3), Yanggu (SI5), Chize (LU5) mainly treat elbow pain accompanied by coldness. Quchi (LI11) mainly treats elbow pain. (See "Four Limbs Cold" entry.) Jianwaiyu (SI14) mainly treats elbow coldness. (See "Shoulder and Back Pain" entry.) Tianzong (SI11) treats pain on the posterior-lateral aspect of the arm and elbow. (*Tongren* record).
[Tian] treats shoulder and elbow pain. (See "Shoulder and Back Pain" entry.) Zhoule (SI10) treats wind-bi of the elbow joint. Arm pain with inability to lift. Flexion and extension spasm. Ming dynasty text below says: arm soreness and heaviness. Numbness and insensitivity. Yuji (LU10) treats elbow spasm with chest fullness. Lingdao (HT4). (See "Heart Pain" entry.) Chize (LU5), Shaohai (HT3). (See "Axilla" entry.) Treats elbow spasm. (See "Wind-Bi" entry.) Zhengzheng (SI7), Neiguan (PC6). (See "Stroke" entry.) Yangxi (LI5) treats惊che (startle and jerking). Inability to lift arm and elbow. Jiquan (HT1) treats coldness and cold sensation in the arm and elbow. Qiaoyin (GB44). (See "Throat Bi" entry.) Shousanli (LI10) treats arm and elbow spasm with inability to extend. Houxi (SI3) treats arm and elbow spasm and urgency. Fufen (BL17) treats arm and elbow numbness. (See "Wind-Lao" entry.) Wanggu (SI4) treats pianku (hemiplegia). Inability to flex and extend arm and elbow. Wuli (LI13). (See "Wind-Lao" entry.) Tianjing (TE10). (See "Wind-Bi" entry.) Xialian (LI8) treats arm and elbow pain.
Chongyang (ST42). (See "Mouth Deviation" entry.) Quchi (LI11) treats pain in the center of the elbow. Yuji (LU10) treats elbow spasm with chest fullness. Dryness and thirst in the throat and jiao. Jing syndrome with upward qi. (Pianli (SI8). See "Wrist Lao" entry.) Zusanli (ST36) treats soreness and heaviness of the elbow and arm. Difficulty in flexion and extension. (Next text.) Zhongzhu (TE3) treats soreness and pain of the elbow and arm. (See "Hand Jerking" entry.) Dayuan (LU4) treats elbow pain. Quchi (LI11) treats elbow pain with difficulty in flexion and extension. Inability to raise the hand. Pianfeng hemiplegia. Inability to grasp objects. Inability to draw a bow. Atrophy of one side of the elbow and arm. Kongzui (LU6) treats jue pain of the elbow and arm with difficulty in flexion and extension. Hand cannot reach the head. Inability to grip. Zhengzheng (SI7) treats elbow and arm spasm. Difficulty in flexion and extension. Inability to grip. Pain in all ten fingers. Zhoule (SI10) treats soreness and heaviness of the elbow and arm. Inability to flex and extend. Numbness and insensitivity. Tianjing (TE10) treats elbow pain radiating to the shoulder. Inability to flex and extend. Neck, nape, and shoulder-back pain. Arm wei (atrophy) and numbness. Yemen (Extra point) treats elbow pain with inability to move up and down. Lieque (LU7) mainly treats pain in the center of the elbow.
The *Jia Yi Jing* states: Wuli is located three cun above the elbow, in the large vessel. The *Yu Pian* explains the character "elbow": it is the joint of the arm. This is the lower segment of the arm. Mi Zijian ordered clerks to write, but pulled their elbows. This refers to the arm joint. One should seek its location based on this description.