(有补遗)
中风风邪入脏。以致气塞涎壅。不语昏危
百会 风池 大椎 肩井 曲池 间使 足三里
凡觉心中愦乱。神思不怡。或手足顽麻。将有中风之候。速针灸以上穴。
中风卒倒不醒
神阙 用净盐炒干。纳于脐中令满。上加浓姜一片灸百壮。至五百壮姜焦则易之。或以
川椒代盐。或用椒于下。上盖以盐。再盖以姜。灸之亦佳。
丹田 气海 二穴俱连命门。实为生气之海。经脉之本灸之皆有大效。
目戴上 足太阳之证。目上视。上视之甚而定直不动者。名戴眼也。
神庭 丝竹空 人中(景岳全书曰治目睛直视)
脊骨三椎。并五椎上各灸七壮。齐下火立效
背反张 风气乘虚入于诸阳之经。则腰脊反折挛急如角弓之状。一名角弓反张也。
百会 神门 间使 太冲 仆参 又法针 哑门 风府
口噤 手三阳之筋结入于颔颊。足阳明之筋上夹于口。风寒乘虚而入。其筋则挛。故令
牙关急而口噤也。
人中 承浆 颊车 合谷
口眼 斜 此由邪犯阳明少阳经络
水沟 承浆 颊车(针向地仓) 地仓(针向颊车) 听会 客主人 合谷
凡口 向右者。是左脉中风而缓也。宜灸左 陷中二七壮。艾炷如麦粒。 向左者。是
右脉中风而缓也。宜灸右 陷中二七壮。
喑哑 心受风。故舌强不语。风寒客于会厌。故卒然无音。又有肾脉不上循喉咙挟舌本
。则不能言。此肾虚热痰。
灵道 鱼际 阴谷 复溜 丰隆
中风无汗恶寒 针至阴(出血) 昆仑 阳跷
中风有汗恶风 针风府 (以上二症太阳经中风也)
中风无汗。身热不恶寒。中风有汗。身热不恶风
针陷谷。去阳明之贼 针厉兑。泻阳明经之实热。(以上二症阳明经中风也)
中风无汗身凉。针隐白。去太阴经之贼也。(此症太阴经中风也)
中风有汗无热。针太 (此症少阴经中风也)
中风六症混淆。系之于少阳厥阴。或肢节挛痛。或木不仁者。厥阴之井大敦。针以通其
经。少阳经之绝骨。灸以引其热也。
凡国中风跌倒。卒暴昏沉。痰涎壅滞。牙关紧闭者。急以针刺手指上十二井穴。去恶血
。又治一切暴死恶候。及绞肠痧症
少商二穴 商阳二穴 中冲二穴 关冲二穴 少冲二穴 少泽二穴
瘫痪 此由将息失宜。心火暴甚。肾水虚不能制之。则阴虚阳实。而热气怫郁。心神昏
冒。筋骨不用。而卒倒无知也。
肩井 肩 曲池 阳 合谷 中渚 风市 阳陵泉 阳辅 昆仑 足三里
半身不遂 此由气血不周。一名偏枯是也。或但手不举口不能言。而无他症者。此中经
也。各随其经络俞穴而针灸之。兼用药补血养筋。方能有效。
百会 肩井 肩 曲池 手三里 列缺 风市 绝骨 足三里
以上穴。先针无病手足。后针有病手足。
(有补遗内容)
中风病,风邪侵入脏腑。导致气机闭塞、痰涎壅盛。出现不能言语、神志昏迷等危重症状。
取穴:百会、风池、大椎、肩井、曲池、间使、足三里。
凡是感觉心中烦乱、精神不悦,或者手足麻木,将有中风先兆时,迅速针灸上述穴位。
中风突然昏倒、不省人事。
神阙穴:用干净的盐炒干,填入脐中使其填满,上面加一片厚姜,灸一百壮,直到五百壮,如果姜烧焦了就更换。或者用川椒代替盐,或者将椒放在下面,上面盖盐,再盖姜,灸治也很好。
丹田穴、气海穴:这两个穴位都连通命门穴,实为生气之海,经脉的根本,灸治都有很大疗效。
目戴上(戴眼):这是足太阳膀胱经的证候。眼睛向上视,向上视得很厉害且固定不动的,称为戴眼。
取穴:神庭、丝竹空、人中(《景岳全书》说治疗眼睛直视)。
脊柱第三椎和第五椎上方各灸七壮,火气齐下,立刻见效。
背反张(角弓反张):风气乘虚侵入诸阳经,导致腰脊向后反折、拘挛紧急,像角弓的形状一样。一名角弓反张。
取穴:百会、神门、间使、太冲、仆参。另一种方法针刺哑门、风府。
口噤(牙关紧闭):手三阳经的筋结入于下颌脸颊,足阳明经的筋上行夹持于口部。风寒乘虚而入,导致筋脉拘挛,所以牙关紧急而口噤不开。
取穴:人中、承浆、颊车、合谷。
口眼歪斜:这是由于邪气侵犯阳明、少阳经络所致。
取穴:水沟、承浆、颊车(针向地仓方向)、地仓(针向颊车方向)、听会、客主人、合谷。
凡是口歪向右的,是左侧脉络中风而松弛,宜灸左侧陷谷穴二七壮,艾炷如麦粒大小。口歪向左的,是右侧脉络中风而松弛,宜灸右侧陷谷穴二七壮。
喑哑(失音):心受风邪,所以舌强不语。风寒客居于会厌,所以突然没有声音。又有肾脉不上循喉咙挟持舌本,则不能说话,这是肾虚热痰所致。
取穴:灵道、鱼际、阴谷、复溜、丰隆。
中风无汗、恶寒:针刺至阴穴(出血)、昆仑穴、阳跷脉。
中风有汗、恶风:针刺风府穴。(以上两种症状属于太阳经中风)
中风无汗、身热、不恶寒;中风有汗、身热、不恶风:
针刺陷谷穴,去除阳明经的邪气;针刺厉兑穴,泻除阳明经的实热。(以上两种症状属于阳明经中风)
中风无汗、身凉:针刺隐白穴,去除太阴经的邪气。(此症状属于太阴经中风)
中风六症混淆,归属于少阳、厥阴经。或者肢节拘挛疼痛,或者麻木不仁的,针刺厥阴经的井穴大敦,以疏通其经脉;灸少阳经的绝骨穴,以引泄其热。
凡是国内中风跌倒,突然暴烈昏沉,痰涎壅滞,牙关紧闭者,急以针刺手指上的十二井穴,祛除恶血。又治疗一切暴死恶候,以及绞肠痧症。
穴位:少商(两穴)、商阳(两穴)、中冲(两穴)、关冲(两穴)、少冲(两穴)、少泽(两穴)。
瘫痪:这是由于调养失当,心火暴盛,肾水虚弱不能制约它,导致阴虚阳实,热气郁结,心神昏冒,筋骨不用,从而突然昏倒无知觉。
取穴:肩井、肩髃、曲池、阳溪、合谷、中渚、风市、阳陵泉、阳辅、昆仑、足三里。
半身不遂:这是由于气血运行不周,一名偏枯。或者只是手不能举、口不能言,而没有其他症状的,这属于中经。各自根据其所处的经络俞穴进行针灸,兼用药物补血养筋,才能有效。
取穴:百会、肩井、肩髃、曲池、手三里、列缺、风市、绝骨、足三里。
以上穴位,先针刺健康侧的手足,后针刺患病侧的手足。
(With supplementary additions)
Apoplexy (Zhong Feng): Wind pathogen enters the Zang organs, leading to Qi obstruction and phlegm-fluid accumulation. This results in aphasia (loss of speech), coma, and critical condition.
Acupoints: Baihui (GV20), Fengchi (GB20), Dazhui (GV14), Jianjing (GB21), Quchi (LI11), Jiashi (PC5), Zusanli (ST36).
Whenever one feels mental confusion and dispiritedness, or experiences numbness and stiffness in the limbs, indicating impending apoplexy, rapidly apply acupuncture and moxibustion to the aforementioned acupoints.
Sudden collapse and unconsciousness due to apoplexy.
Shenque (CV8): Use clean salt, stir-fried until dry, fill the umbilicus completely. Place a thick slice of ginger on top and moxibustion for 100 Zhu (units of moxa cone size/burns), up to 500 Zhu. Replace the ginger when it burns. Alternatively, use Sichuan pepper (Chuanjiao) instead of salt, placing the pepper at the bottom, covered by salt, then covered by ginger; moxibustion is also effective.
Dantian (CV11) and Qihai (CV6): Both acupoints connect with Mingmen (GV4), truly being the sea of vital Qi and the root of meridians. Moxibustion on these points yields significant efficacy.
Daiyan (Staring upwards/Eyes fixed upward): A syndrome of the Foot-Taiyang Bladder Meridian. The eyes look upward. When looking upward severely and remaining fixed and motionless, it is named Daiyan.
Acupoints: Shenting (GV24), Sizhukong (TE23), Renzhong (GV26) [Jingyue Quanshu states it treats staring eyes].
Moxibustion on the third and fifth thoracic vertebrae above each with 7 Zhu. With fire applied simultaneously, immediate effect is observed.
Backward arching (Opisthotonos/Angong Fanzhang): Wind-Qi enters the Yang meridians due to deficiency, causing the waist and spine to arch backward and spasm tightly like a bow. Also known as Opisthotonos.
Acupoints: Baihui (GV20), Shenmen (HT7), Jiashi (PC5), Taichong (LR3), Puxan (BL61). Another method: Acupuncture at Yamen (GV15) and Fengfu (GV16).
Jaw lock (Trismus/Kou Jin): The tendons of the Hand-Yangming and other Yang meridians knot into the mandible and cheeks; the tendon of the Foot-Yangming Stomach Meridian ascends flanking the mouth. Wind-Cold enters due to deficiency, causing tendon spasms, resulting in tight jaw and trismus.
Acupoints: Renzhong (GV26), Chengjiang (CV24), Jiache (ST6), Hegu (LI4).
Facial paralysis (Kou Yan Xie/Wry mouth and eye): Caused by pathogenic factors invading the Yangming and Shaoyang meridians.
Acupoints: Shuigou (GV26), Chengjiang (CV24), Jiache (ST6) [needle towards Dicang], Dicang (ST4) [needle towards Jiache], Tinghui (GB2), Kerenren (ST7), Hegu (LI4).
For wry mouth turning to the right, it indicates Left Meridian apoplexy with flaccidity; moxibustion should be applied to the left Xianggu (ST43) for 14 Zhu, with moxa cones the size of wheat grains. For wry mouth turning to the left, it indicates Right Meridian apoplexy with flaccidity; moxibustion should be applied to the right Xianggu (ST43) for 14 Zhu.
Aphonia (Yin Ya): Heart affected by wind causes stiff tongue and inability to speak. Wind-Cold lodging in the epiglottis causes sudden loss of voice. Additionally, if the Kidney meridian does not ascend along the throat to flank the root of the tongue, speech is impossible; this is due to Kidney deficiency with hot phlegm.
Acupoints: Lingdao (HT4), Yuji (LU10), Yinggu (KI10), Fuliu (KI7), Fenglong (ST40).
Apoplexy with no sweat and aversion to cold: Acupuncture Zhiyin (BL67) [to bleed], Kunlun (BL60), Yangqiao Mai.
Apoplexy with sweat and aversion to wind: Acupuncture Fengfu (GV16). (The above two syndromes are Apoplexy of the Taiyang Meridian).
Apoplexy with no sweat, body heat, and no aversion to cold; Apoplexy with sweat, body heat, and no aversion to wind:
Acupuncture Xiangu (ST41) to eliminate the 'thief' of the Yangming Meridian; Acupuncture Lidui (ST45) to drain excess heat from the Yangming Meridian. (The above two syndromes are Apoplexy of the Yangming Meridian).
Apoplexy with no sweat and cool body: Acupuncture Yinbai (SP1) to eliminate the 'thief' of the Taiyin Meridian. (This syndrome is Apoplexy of the Taiyin Meridian).
Apoplexy with sweat but no fever: Acupuncture Taixi (KI3) [Text says "Tai", inferred as Taixi based on context of Shaoyin]. (This syndrome is Apoplexy of the Shaoyin Meridian).
When the six symptoms of apoplexy are confused, they relate to the Shaoyang and Jueyin meridians. If there is joint spasm and pain, or numbness and insensitivity, needle the Jing-Well point Daturun (LR1) of the Jueyin Meridian to unblock the meridian; moxibustion on the Juegu (GB39) of the Shaoyang Meridian to draw out the heat.
In cases of sudden fall and coma due to apoplexy, with phlegm-fluid obstruction and locked jaw, urgently prick the Twelve Jing-Well points on the fingers to remove evil blood. This also treats all sudden death conditions and intestinal colic/Sha disease.
Points: Shaoshang (LU11, bilateral), Shangyang (LI1, bilateral), Zhongchong (PC9, bilateral), Guanchong (TE1, bilateral), Shaochong (HT9, bilateral), Shaoze (SI1, bilateral).
Paralysis (Tan Huan): Caused by improper lifestyle/regimen, violent excess of Heart Fire, and deficiency of Kidney Water failing to control it, leading to Yin deficiency and Yang excess. Heat qi stagnates, confusing the Heart Spirit, rendering sinews and bones useless, resulting in sudden collapse and unconsciousness.
Acupoints: Jianjing (GB21), Jianyu (LI15), Quchi (LI11), Yangxi (LI5), Hegu (LI4), Zhongzhu (TE3), Fengshi (GB31), Yanglingquan (GB34), Yangfu (GB38), Kunlun (BL60), Zusanli (ST36).
Hemiplegia (Ban Shen Bu Sui): Caused by uneven circulation of Qi and Blood, also known as Pian Ku. If only the hand cannot lift and the mouth cannot speak, without other symptoms, this is "Zhong Jing" (Meridian stroke). Treat according to the respective meridian Shu points with acupuncture and moxibustion, combined with herbal medicine to tonify blood and nourish sinews for efficacy.
Acupoints: Baihui (GV20), Jianjing (GB21), Jianyu (LI15), Quchi (LI11), Shousanli (LI10), Lieque (LU7), Fengshi (GB31), Juegu (GB39), Zusanli (ST36).
For the above points, first needle the healthy side hands and feet, then needle the affected side hands and feet.