(有补遗)
腰重痛不可忍。转侧起卧不便。脚膝挛痹。屈伸不利。灸两脚曲 两纹头。四处一齐灸
各三壮用两人两边同吹至火灭。若午时灸了。至晚或脏腑鸣。或行一二次愈。
腰痛不可俯仰。令患人正立以竹杖拄地。平脐点记。乃用度脊中。灸随年壮。灸讫藏竹
。勿令人知。
凡腰痛不能立者须刺 人中
凡腰痛身之前。刺足阳明原(冲阳)身之后。刺足太阳原(京骨)身之侧刺足少阳原(丘墟)
通治腰痛穴
肾俞 白环俞 腰俞 委中 昆仑
心痛 心痛在岐骨陷中。胸痛则横满膈间。胃脘痛在。心之下。(有补遗)
曲泽 内关 太陵 神门 中脘
诸心痛者。皆少阴厥气上冲也。有热厥心痛者。甚则烦躁而吐。额自汗出知为热也。其
脉洪
大。当灸太 昆仑各三壮。谓表里俱泻之。热病汗不出。引热下行。表汗通身出者愈也。
又心痛针 涌泉 太冲
胸胁痛(有补遗)
支沟 天井 太陵 期门 三里 章门 丘墟 阳辅 行间
腋下痛或肿
阳辅 丘墟 临泣
胃脘痛 胃之上口曰贲门。与心相连。故胃脘。当心而痛。亦由痰食积气郁遏清阳浊阴
不降
。阻碍道路而为痛其或满胀。或呕吐噎气吞酸不能食。或大便难或泻痢不止。或面浮面黄。
本病与客邪杂见也。
内关 膈俞 胃俞 商丘
腹痛(有补遗)
内关 膈俞 脾俞 肾俞 中脘 三里 陷谷 太白 商丘 行间
绕脐痛
天枢 气海 水分
小腹胀满痛
阴交 气海(凡脐下三十六疾小腹痛甚欲死者。灸之即生) 三里 内庭 太白 大敦
中封
阴寒腹痛欲死 人有房事之后。或起居犯寒。致脐腹痛极者。急用大附子为末。唾和作
饼如
钱浓。置脐上以大艾炷灸之。如仓卒难得大附。即用生姜或葱白头切片代之。若药饼焦。或
以津唾和之。或另换之。宜待灸至汗出体温而止。或更于气海丹田关元各灸二七壮。使阳气
内通。逼寒外出。手足温脉息起。则阴消而阳复矣。
(有补遗内容)
腰部沉重疼痛,难以忍受。转身、侧卧、起床和躺下都不方便。脚部和膝盖拘挛麻木,屈伸不灵活。艾灸双脚的阳陵泉穴(位于膝外侧,腓骨小头前下方凹陷处)和阴陵泉穴(位于膝内侧,胫骨内侧髁后下方凹陷处),这四个部位同时施灸,每处各灸三壮。需要两个人从两边对着艾火吹气,直到火熄灭。如果在中午施灸,到了晚上可能会听到脏腑鸣响,或者排便一两次后即可痊愈。
腰痛导致无法弯腰或仰身。让患者直立,用竹杖拄地,在齐平肚脐的位置做标记。然后用尺子测量到脊柱中线的距离,以此确定穴位,按照患者的年龄决定灸的壮数(随年壮)。灸完后收起竹杖,不要让他人知道。
凡是腰痛涉及身体前面的,针刺足阳明胃经的原穴冲阳穴;身体后面的,针刺足太阳膀胱经的原穴京骨穴;身体侧面的,针刺足少阳胆经的原穴丘墟穴。
心痛:心痛发生在歧骨(剑突)下方的凹陷处。胸痛则表现为横贯膈间的胀满感。胃脘痛位于心窝之下。(有补遗内容)
治疗心痛的穴位:曲泽、内关、太陵、神门、中脘。
各种类型的心痛,都是少阴经的厥逆之气上冲所致。其中有热厥心痛者,严重时会出现烦躁并呕吐,额头自然出汗,据此可知属于热证。其脉象洪大。应当艾灸太溪穴和昆仑穴各三壮,这叫做表里双泻。对于热病汗不出者,可引导热邪下行,使全身通身出汗即可痊愈。
另外,心痛也可针刺涌泉穴和太冲穴。
胸胁痛(有补遗内容)
治疗胸胁痛的穴位:支沟、天井、太陵、期门、足三里、章门、丘墟、阳辅、行间。
胃脘痛:胃的上口称为贲门,与心脏相连,所以胃脘痛往往在心口窝处感到疼痛。这也是由于痰湿、食积、气郁阻碍了清阳上升和浊阴下降,阻滞道路而引发的疼痛。或者出现胀满、呕吐、噎气、吞酸、不能进食,或者大便困难,或者腹泻痢疾不止,或者面部浮肿、面色萎黄。这是本病与外感客邪夹杂出现的症状。
治疗穴位:内关、膈俞、胃俞、商丘。
腹痛(有补遗内容)
治疗腹痛的穴位:内关、膈俞、脾俞、肾俞、中脘、足三里、陷谷、太白、商丘、行间。
小腹胀满疼痛
治疗穴位:阴交、气海(凡是脐下三十六种疾病中小腹疼痛剧烈欲死者,灸此穴即可生还)、足三里、内庭、太白、大敦、中封。
阴寒性腹痛,疼痛剧烈欲死:有人在房事之后,或者起居不慎受寒,导致脐腹部剧痛时,紧急使用大附子研成粉末,用唾液调和做成如铜钱厚度的饼状,放置在肚脐上,用大艾炷进行灸治。如果匆忙间得不到大附子,就用生姜或葱白切片代替。如果药饼烤焦了,可以用唾液湿润它,或者更换新的药饼。适宜等到灸至患者出汗、体温回升时停止。或者再在气海穴、丹田穴、关元穴各灸十四壮(二七壮),使阳气在内通达,逼迫寒气外出,手足温暖,脉搏呼吸恢复,那么阴寒消退而阳气恢复。
(With supplementary additions)
The waist feels heavy and painful to the point of intolerance. Turning, side-lying, rising, and lying down are inconvenient. The feet and knees are spasmodic and numb, with difficulty in flexion and extension. Moxibustion is applied to Yanglingquan (GB34, located anterior and inferior to the head of the fibula on the lateral aspect of the knee) and Yinlingquan (SP9, located posterior and inferior to the medial condyle of the tibia on the medial aspect of the knee) on both feet. These four points are moxibusted simultaneously, three moxa cones at each point. Two people should blow towards the moxa fire from both sides until it extinguishes. If moxibustion is performed at noon, by evening, bowel sounds may be heard, or after one or two defecations, recovery occurs.
For low back pain preventing flexion and extension, have the patient stand upright and prop a bamboo cane on the ground. Mark the level corresponding to the umbilicus. Then measure the distance to the midline of the spine using this measurement as a guide. Apply moxibustion according to the patient's age (moxa cones equal to the patient's age). After moxibustion, hide the bamboo cane so others do not know.
For low back pain where standing is impossible, needle Renzhong (GV26).
For low back pain affecting the anterior body, needle Chongyang (ST42), the Yuan-Source point of the Foot-Yangming Stomach Meridian; for the posterior body, Jinggu (BL64), the Yuan-Source point of the Foot-Taiyang Bladder Meridian; for the lateral body, Qiuxu (GB40), the Yuan-Source point of the Foot-Shaoyang Gallbladder Meridian.
General acupoints for treating low back pain: Shenshu (BL23), Baihuanshu (BL30), Yaoshu (DU19), Weizhong (BL40), Kunlun (BL60).
Heart pain: Heart pain occurs in the depression below the xiphoid process (Qigu). Chest pain presents as fullness across the diaphragm. Epigastric pain is located below the heart region. (With supplementary additions)
Acupoints for heart pain: Quze (PC3), Neiguan (PC6), Tailing (PC7), Shenmen (HT7), Zhongwan (CV12).
Various types of heart pain are caused by the rebellious qi of the Shaoyin meridian rushing upward. In cases of Heat-Jue heart pain, severe symptoms include irritability and vomiting, with spontaneous sweating on the forehead, indicating a heat pattern. The pulse is洪大 (Hongda, flooding and large). Moxibustion should be applied to Taixi (KI3) and Kunlun (BL60), three cones each, representing the simultaneous draining of the interior and exterior. For heat diseases without sweating, guiding the heat downward allows general sweating to occur, leading to recovery.
Additionally, for heart pain, Yongquan (KI1) and Taichong (LR3) can be needled.
Hypochondriac pain (With supplementary additions)
Acupoints for hypochondriac pain: Zhigou (TE6), Tianjing (TE10), Tailing (PC7), Qimen (LR14), Zusanli (ST36), Zhangmen (LR13), Qiuxu (GB40), Yangfu (GB38), Xingjian (LR2).
Pain or swelling in the axilla
Acupoints: Yangfu (GB38), Qiuxu (GB40), Zulinqi (GB41).
Epigastric pain: The upper opening of the stomach is called the贲门 (Benmen, cardiac orifice), which connects to the heart; thus, epigastric pain often manifests as pain in the heart pit. This is also caused by phlegm-dampness, food stagnation, and qi stagnation obstructing the descent of turbid yin and the ascent of clear yang, blocking the pathways and causing pain. Symptoms may include distension, vomiting, hiccups, acid regurgitation, inability to eat, difficult defecation, persistent diarrhea or dysentery, facial edema, or sallow complexion. This represents a combination of the root disease and exogenous pathogenic factors.
Acupoints: Neiguan (PC6), Geshu (BL17), Weishu (BL21), Shangqiu (SP5).
Abdominal pain (With supplementary additions)
Acupoints for abdominal pain: Neiguan (PC6), Geshu (BL17), Pishu (BL20), Shenshu (BL23), Zhongwan (CV12), Zusanli (ST36), Xian Gu (ST43), Taibai (SP3), Shangqiu (SP5), Xingjian (LR2).
Periumbilical pain
Acupoints: Tianshu (ST25), Qihai (CV6), Shuifen (CV9).
Lower abdominal distension and pain
Acupoints: Yinjiao (CV7), Qihai (CV6) [Note: For thirty-six diseases below the umbilicus with severe lower abdominal pain threatening life, moxibustion here brings survival], Zusanli (ST36), Neiting (ST44), Taibai (SP3), Dadun (LR1), Zhongfeng (LR4).
Yin-cold abdominal pain, severe enough to cause death-like suffering: After sexual intercourse, or due to exposure to cold during daily activities, if extreme periumbilical abdominal pain occurs, urgently use large Fuzi (Aconiti Lateralis Radix Preparata) powder mixed with saliva to form a cake as thick as a coin. Place it on the umbilicus and apply large moxa cones. If large Fuzi is unavailable in haste, substitute with slices of fresh ginger or white parts of green onion. If the medicinal cake burns, moisten it with saliva or replace it. Continue until the patient sweats and body temperature rises. Alternatively, apply fourteen moxa cones (two sets of seven) to Qihai (CV6), Dantian (CV12), and Guanyuan (CV4) to allow internal circulation of yang qi, forcing cold outward. When hands and feet become warm and pulse/respiration recover, yin cold dissipates and yang qi returns.