(湿痹不仁 又见手足痹不仁)
鬲俞、(明同。)治身常湿。(铜见 癖。)丰隆、主身湿。(千)曲池、列缺、主身
。时时寒。中封、主痿厥。身体不仁。少气湿重。合阳、主膝股重。漏谷、主久湿痹
不能行。铜云、不能久立。悬钟、主湿痹不肿。髀筋急 胫痛。绝骨、主髀躯痛。膝胫骨
摇。酸痹不仁。筋缩。诸节酸折。临泣、主身痹。洗淅振寒。商丘、主骨痹
烦满。凡身体不仁。先取京骨。后取中封、绝骨。皆泻之。中封、主痿厥。身体不仁。
少气湿重。膝肿。风市、主缓纵痿痹。 肠疼冷不仁。中渎、主寒气在分肉间痛。苦痹
不仁。阳关、主膝外廉痛。不可屈伸。胫痹不仁。绝骨、主酸痹不仁。又主身重。(见
上。)环跳、治冷风湿痹。(铜见腰痛。)条口、(见膝痛。)治湿痹。下 、治寒湿内
。(见月事。)委中、疗风湿痹。(明见脚弱。)下廉、疗偏风热风冷痹不遂。风湿痹。灸
疮瘥。冷痹即已。鱼际、疗痹走胸背。(明见寒热。铜同。)
治冷痹胫膝疼。腰脚挛急。足冷气上。不能久立。有时厌厌嗜卧。手足沉重。日觉羸瘦
名复连病。令人极无情地。常愁不乐。健忘嗔喜。有如此候。即当灸悬钟绝骨随年。一灸即
愈。不得再灸也。若年月久更发。根据法更灸。若意便欲多者。七日外更七壮。(千翼)虚损论
曰∶疾之所起。生自五劳。五劳既用。二脏先损。心肾受邪。即生六极。一曰气极。气极令
。五脏不足。外受邪气。多寒湿痹云云。又曰∶五劳六极七伤。七气积聚。变为病者。甚则
令人得大风缓急湿痹不仁。偏枯筋缩。四肢拘挛。令人无子云云。
(湿痹导致的肢体麻木不仁,又见于手足痹证麻木不仁)
鬲俞穴、(《明堂》记载相同。)治疗身体常感潮湿。(《铜人腧穴针灸图经》记载用于癖积。)丰隆穴,主治身体湿气重。(《千金方》记载)曲池穴、列缺穴,主治身体……时时发冷。中封穴,主治痿厥证。身体麻木不仁。气短且身体沉重湿滞。合阳穴,主治膝部和股部沉重。漏谷穴,主治久患湿痹导致无法行走。《铜人》说:不能久立。悬钟穴,主治湿痹但不肿胀。髀部筋脉拘急,小腿疼痛。绝骨穴,主治大腿和躯干疼痛。膝胫骨动摇。酸痛痹阻且麻木不仁。筋脉收缩。各个关节酸痛折断感。临泣穴,主治全身痹证。恶寒战栗。商丘穴,主治骨痹伴烦闷胀满。凡是身体麻木不仁的,先取京骨穴,后取中封穴、绝骨穴。均用泻法。中封穴,主治痿厥证。身体麻木不仁。气短且身体沉重湿滞。膝部肿胀。风市穴,主治弛缓纵软之痿痹。肠痛寒冷且麻木不仁。中渎穴,主治寒气在分肉间引起的疼痛。苦痹麻木不仁。阳关穴,主治膝外侧疼痛。不能屈伸。小腿痹证麻木不仁。绝骨穴,主治酸痛痹阻且麻木不仁。又主治身体沉重。(见上文。)环跳穴,治疗冷风湿痹。(《铜人》记载用于腰痛。)条口穴、(见膝痛条目。)治疗湿痹。下……(此处原文可能有脱字或指代不明,结合上下文推测为特定穴位或部位),治疗寒湿内侵。(见月事条目。)委中穴,治疗风湿痹证。(《明堂》记载用于脚弱。)下廉穴,治疗偏风、热风、冷痹导致的不遂。风湿痹证。灸疮痊愈后,冷痹即愈。鱼际穴,治疗痹证游走于胸背。(《明堂》记载用于寒热,《铜人》记载相同。)治疗冷痹引起的小腿膝盖疼痛。腰脚拘挛紧急。足部冷气上冲。不能久立。有时精神萎靡嗜睡。手足沉重。日渐消瘦称为“复连病”。使人极度无情无义。常常忧愁不乐。健忘且喜怒无常。有如此症状,就应当灸悬钟穴、绝骨穴,每年各灸一次(随年壮)。灸一次即可痊愈,不得再灸。如果年月久远再次发作,根据方法重新施灸。如果心意想要多灸,则在七日后更灸七壮。(《千金翼方》)虚损论说:疾病的发生,源于五劳。五劳既已产生,心肾两脏最先受损。心肾受邪,就会产生六极。一曰气极。气极使人……五脏不足,外受邪气,多有寒湿痹等病症云云。又说:五劳六极七伤,七气积聚,变生疾病者,严重时令人患上大风、缓急、湿痹麻木不仁、偏枯、筋缩、四肢拘挛,使人无子嗣云云。
(For Bi syndrome due to dampness leading to numbness and insensitivity, also seen in numbness and insensitivity of the hands and feet)
Geshu (BL17), (recorded identically in *Mingtang*): Treats a constant sensation of dampness on the body. (*Tongren* records it for Pi accumulation.) Fenglong (ST40): Governs excessive dampness in the body. (*Qianjin*) Quchi (LI11), Lieque (LU7): Govern the body... frequent chills. Zhongfeng (KI7): Governs Wei-Jue syndrome (flaccidity and cold extremities). Numbness and insensitivity of the body. Shortness of breath with heavy, damp sensations. Heyang (BL56): Governs heaviness in the knees and thighs. Loubu (SP9): Governs long-standing Damp-Bi preventing walking. *Tongren* states: inability to stand for long periods. Xuanzhong (GB39): Governs Damp-Bi without swelling. Spasm of the thigh tendons and pain in the lower leg. Juegu (GB39, alias Xuanzhong): Governs pain in the thighs and trunk. Shaking of the knee and shin bones. Sour pain, Bi obstruction, and numbness. Tendon contraction. Soreness and breaking sensations in all joints. Linqi (GB41): Governs general Bi syndrome. Chills and shivering. Shangqiu (SP5): Governs Bone-Bi accompanied by irritability and fullness. For any case of bodily numbness and insensitivity, first select Jinggu (BL64), then select Zhongfeng (KI7) and Juegu (GB39). All should be reduced. Zhongfeng (KI7): Governs Wei-Jue syndrome. Numbness and insensitivity of the body. Shortness of breath with heavy, damp sensations. Swelling of the knees. Fengshi (GB31): Governs flaccid, lax Wei-Bi. Cold intestines causing pain and numbness. Zhongdu (GB38): Governs pain caused by cold qi residing between the muscle layers. Bitter Bi with numbness and insensitivity. Yangguan (GB33): Governs pain on the lateral aspect of the knee. Inability to flex or extend. Numbness and insensitivity in the lower leg Bi. Juegu (GB39): Governs sour Bi with numbness and insensitivity. Also governs heaviness of the body. (See above.) Huantiao (GB30): Treats Cold-Wind-Damp Bi. (*Tongren* records it for lower back pain.) Taikou (ST38): (See Knee Pain entry.) Treats Damp-Bi. Xia [missing character/context]: Treats internal invasion of Cold-Damp. (See Menstruation entry.) Weizhong (BL40): Treats Wind-Damp Bi. (*Mingtang* records it for weak legs.) Xialian (ST37): Treats unilateral Wind, Wind-Heat, and Cold-Bi leading to paralysis. Wind-Damp Bi. After the healing of moxa scars, Cold-Bi resolves immediately. Yuji (LU10): Treats Bi wandering to the chest and back. (*Mingtang* records it for chills and fever, *Tongren* agrees.) Treats Cold-Bi causing pain in the calves and knees. Spasm and urgency of the waist and feet. Ascending cold qi from the feet. Inability to stand for long periods. Sometimes listlessness and drowsiness. Heaviness of the hands and feet. Gradual emaciation is called "Fulian Disease." It makes people extremely devoid of affection. Often sorrowful and unhappy. Forgetfulness with erratic joy and anger. If such symptoms occur, one should moxa Xuanzhong (GB39) and Juegu (GB39) according to age (one moxa cone per year of age). One application cures it; do not moxa again. If it recurs after many years, apply moxa again according to the method. If one desires more moxa, apply seven cones after seven days. (*Qianjin Yifang*) The Treatise on Deficiency and Damage states: Diseases arise from the Five Labors. Once the Five Labors are established, the Heart and Kidney are damaged first. When the Heart and Kidney are invaded by pathogenic factors, the Six Extremes arise. The first is Qi Extreme. Qi Extreme causes... insufficiency of the five zang organs, external invasion of pathogenic factors, often resulting in Cold-Damp Bi, etc. It also states: The Five Labors, Six Extremes, and Seven Injuries, along with the Seven Emotions and accumulations, when transforming into disease, can severely cause Great Wind, laxity and urgency, Damp-Bi with numbness and insensitivity, hemiplegia, tendon contraction, spasm of the four limbs, and infertility, etc.