针灸法痔疾取足太阳即承山穴取督脉即长强穴(灵枢)○五痔便血灸春中百壮又灸回气百
壮
(得效)○治痔平立量脊与脐平处椎上灸七壮或年深更于椎骨两旁各一寸灸七壮除根(得效)○
痔痛取承筋飞阳委中承扶攒竹会阴商丘(甲乙)○治诸痔及肠风取脊十四椎下各开一寸灸之
久
痔尤效(入门)○脱肛取大肠俞百会长强肩井合谷气冲(纲目)○脱肛灸脐中随年壮又灸横骨百
壮
又灸脊穷骨上七壮(得效)○痔疮先取头垢捏成饼子安痔头上其上又安大蒜片以艾灸之(丹心)
○痔漏以附子末津唾和作饼子如钱大安漏上以艾灸令微热干则易新饼再灸明日又灸直至肉平
为效(丹心)○一人行路得痔疾状如胡瓜贯于肠头热如火僵仆不能起有人教之先以槐枝浓煎汤
洗患处以艾炷灸其上三五壮忽觉一道热气入肠中因泻鲜血虽一时暂痛其疾如失(本草)
杂病篇针灸
针灸法治中风莫如续命汤之类然此可扶持初病若欲要收全功火艾为良中风皆因脉道不利
血气
闭塞也灸则唤醒脉道而血气得通故可收全功(得效)○中风痰盛声如曳锯服药不下宜灸脐下气
海关元二三百壮亦可转死回生五脏气绝危证亦宜灸之(纲目)○凡人非时足胫上及手食指次指
忽酸疼麻痹良久方解此将中风之候急灸三里绝骨各三壮春秋报灸常令两脚有灸疮为妙(资生)
○凡人不信此法不肯灸忽然卒死是谓何病曰风入脏故也风病者不可不知(纲目)○凡觉手足或
麻或痛良久乃已此将风中府之候宜灸百会曲鬓肩 曲池风市三里绝骨(资生)○凡觉心中愦乱
神思不怡或手足麻痹此将风中藏之候宜灸百会风池大椎肩井曲池间使三里(资生)○治风七穴
百会耳前发际肩井风市三里绝骨曲池一方加有风池合谷肩 环跳凡九穴(资生)○凡中风皆灸
之○卒中风 斜诞塞不省宜灸听会颊车地仓百会肩 曲池风市三里绝骨耳前发际大椎风池凡
十二穴(事本)○中风目戴上不能视灸第二椎骨第五椎骨上各七壮一齐下火立愈(纲目)○口眼
斜宜灸听会颊车地仓又法 向右者灸左 陷中 向左者灸右 陷中各二七壮立愈(纲目)
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半身不遂宜灸百会囟会风池肩 曲池合谷环跳风市三里绝骨(资生)○口噤宜针人中颊车百会
承浆合谷翳风灸亦可(纲目)○失音不语宜针哑门人中天突涌泉神门支沟风府(纲目)○半身不
遂环跳为要穴(纲目)○治中风偏枯大接经从阳引阴至阴与涌泉中冲与关冲窍阴与大敦少商与
商阳厉兑与隐白少冲与少泽○大接经从阴引阳少商与商阳厉兑与隐白少冲与少泽至阴与涌泉
中冲与关冲窍阴与大敦凡此十二经井穴也罗谦甫治赵僧判中藏刺十二井穴愈又治张安抚中藏
灸十二井穴愈(鉴实)○骨痹取太溪委中筋痹取太冲阳陵泉脉痹取太陵少海肉痹取太白三里皮
痹取太渊合谷(纲目)○痹病宜燔针劫刺以知为数以痛为俞言针后以应效为度数痛处为俞穴非
取诸经定穴也(灵枢)○治历节风亦如上法但于痛处灸三七壮亦佳(千金)○百节酸疼实无所
知以三棱针刺绝骨出血立愈(东垣)
针灸治疗痔疮的方法：选取足太阳膀胱经的承山穴，选取督脉的长强穴（出自《灵枢》）。◎ 对于五种痔疮伴有便血的症状，在春季中宫部位灸一百壮，又灸回气穴一百壮（出自《扁鹊心书·得效方》）。◎ 治疗痔疮，患者平立，测量背部与肚脐齐平的椎骨处，在此椎上灸七壮；如果病程长久，再于该椎骨两旁各一寸处各灸七壮，可除根（出自《扁鹊心书·得效方》）。◎ 痔疮疼痛时，选取承筋、飞阳、委中、承扶、攒竹、会阴、商丘穴（出自《甲乙经》）。◎ 治疗各种痔疮及肠风下血，选取第十四椎骨下方左右各开一寸处进行艾灸，对久治不愈的痔疮尤其有效（出自《医学入门》）。◎ 脱肛时，选取大肠俞、百会、长强、肩井、合谷、气冲穴（出自《本草纲目》）。◎ 治疗脱肛，灸神阙穴（脐中），剂量根据患者年龄而定（随年壮）；又灸横骨穴一百壮；又灸尾骨尖端上方七壮（出自《扁鹊心书·得效方》）。◎ 痔疮初期，取头垢捏成饼状，放置在痔头上，其上再放置一片大蒜，用艾炷灸之（出自《丹溪心法》）。◎ 痔疮瘘管，用附子末加唾液调和做成如铜钱大小的饼，放在漏孔上，用艾炷灸至微热，干了就换新的饼继续灸，第二天再灸，直到患处肌肉平整为见效（出自《丹溪心法》）。◎ 有一人行路时得了痔疮，症状像胡瓜卡在肠头，发热如火，僵硬仆倒不能起身。有人教他先用浓煎的槐枝汤清洗患处，再用艾炷灸患处三五壮，忽然感觉一股热气进入肠中，随后泻出鲜血，虽然暂时有些疼痛，但疾病随即消失（出自《本草纲目》）。
杂病篇针灸
针灸治疗中风，没有比续命汤之类的方剂更好的了，然而这些方法只能扶持初病阶段，如果想要取得完全疗效，火灸和艾灸才是良策。中风都是因为脉道不通利，气血闭塞所致。艾灸可以唤醒脉道，使气血得以通畅，因此能取得完全疗效（出自《扁鹊心书·得效方》）。◎ 中风痰涎壅盛，声音像拖锯一样，服药无法下咽，适宜灸脐下气海、关元穴二三百壮，也可以转死回生；即使是五脏气绝的危重证候，也适宜艾灸（出自《本草纲目》）。◎ 普通人非正常时节，足胫部及手食指、次指突然酸痛麻痹，很久才缓解，这是将发中风的征兆，应紧急灸足三里、悬钟穴各三壮；春秋两季定期施灸，常令双脚出现灸疮为佳（出自《资生经》）。◎ 凡人不相信此法，不肯艾灸，忽然猝死，这是什么病？答曰：风邪入脏所致。患风病的人不可不知道这一点（出自《本草纲目》）。◎ 凡是感觉手足或麻木或疼痛，很久才缓解，这是将发风中脏腑的征兆，适宜灸百会、曲鬓、肩井、曲池、风市、足三里、悬钟穴（出自《资生经》）。◎ 凡是感觉心中烦乱，神思不悦，或者手足麻痹，这是将发风中藏腑的征兆，适宜灸百会、风池、大椎、肩井、曲池、间使、足三里穴（出自《资生经》）。◎ 治疗风病的七个穴位：百会、耳前发际、肩井、风市、足三里、悬钟、曲池。一方加上风池、合谷、肩髎、环跳，共九个穴位（出自《资生经》）。◎ 凡是中风都灸这些穴位。◎ 卒然中风，口眼歪斜，堵塞不通，不省人事，适宜灸听会、颊车、地仓、百会、肩髎、曲池、风市、足三里、悬钟、耳前发际、大椎、风池，共十二个穴位（出自《事类赋注·事本》）。◎ 中风导致眼睛向上翻视，不能视物，灸第二椎骨、第五椎骨上方各七壮，同时点火，立即痊愈（出自《本草纲目》）。◎ 口眼歪斜，适宜灸听会、颊车、地仓。又一种方法：口角向右歪斜者，灸左侧颞肌凹陷处；向左歪斜者，灸右侧颞肌凹陷处，各十四壮，立即痊愈（出自《本草纲目》）。◎ 半身不遂，适宜灸百会、囟会、风池、肩髎、曲池、合谷、环跳、风市、足三里、悬钟穴（出自《资生经》）。◎ 牙关紧闭，适宜针刺人中、颊车、百会、承浆、合谷、翳风，艾灸也可以（出自《本草纲目》）。◎ 失音不语，适宜针刺哑门、人中、天突、涌泉、神门、支沟、风府穴（出自《本草纲目》）。◎ 治疗中风偏枯，环跳穴是关键穴位（出自《本草纲目》）。◎ 治疗中风偏枯的大接经法：从阳引阴，至阴穴与涌泉穴、中冲穴与关冲穴、窍阴穴与大敦穴、少商穴与商阳穴、厉兑穴与隐白穴、少冲穴与少泽穴相配。◎ 大接经从阴引阳：少商穴与商阳穴、厉兑穴与隐白穴、少冲穴与少泽穴、至阴穴与涌泉穴、中冲穴与关冲穴、窍阴穴与大敦穴相配。以上这十二经的井穴。罗谦甫治疗赵僧判中风中藏，刺十二井穴而愈；又治疗张安抚中风中藏，灸十二井穴而愈（出自《鉴真录·鉴实》）。◎ 骨痹，取太溪、委中穴；筋痹，取太冲、阳陵泉穴；脉痹，取太陵、少海穴；肉痹，取太白、足三里穴；皮痹，取太渊、合谷穴（出自《本草纲目》）。◎ 痹病适宜用燔针劫刺，以感觉到疗效为度，以痛处为俞穴。意思是针刺后以应效为度数，痛处即为俞穴，并非选取各经脉的固定穴位（出自《灵枢》）。◎ 治疗历节风也如上法，但在痛处灸二十一壮也很好（出自《千金方》）。◎ 全身关节酸痛，实在不知病因，用三棱针刺绝骨穴出血，立即痊愈（出自李东垣医案）。
Acupuncture and moxibustion methods for treating hemorrhoids: Select Chengshan (BL57) of the Foot-Taiyang Bladder Meridian, and Changqiang (GV1) of the Du Vessel (from *Ling Shu*). ◎ For the five types of hemorrhoids accompanied by blood in stool, moxa-burn one hundred *zhuang* at Chunzhong (CV12 area/Spring Center), and another one hundred *zhuang* at Huiqi (CV4 area/Returning Qi) (from *De Xiao Fang*). ◎ To treat hemorrhoids, have the patient stand upright and measure the vertebra level with the umbilicus; moxa-burn seven *zhuang* on this vertebra. If the condition is chronic, additionally moxa-burn seven *zhuang* on each side, one cun lateral to this vertebra, to eradicate the root (from *De Xiao Fang*). ◎ For hemorrhoid pain, select Chengjin (BL56), Feiyang (BL58), Weizhong (BL40), Chengfu (BL36), Zanzhu (BL2), Huiyin (CV2), and Shangqiu (SP5) (from *Jia Yi Jing*). ◎ To treat various hemorrhoids and intestinal wind bleeding, moxa-burn at points one cun lateral to the lower border of the fourteenth thoracic vertebra; this is particularly effective for chronic hemorrhoids (from *Yi Xue Ru Men*). ◎ For rectal prolapse, select Dachangshu (BL25), Baihui (GV20), Changqiang (GV1), Jianjing (GB21), Hegu (LI4), and Qichong (ST30) (from *Ben Cao Gang Mu*). ◎ To treat rectal prolapse, moxa-burn Shenque (CV8/Umbilicus) according to the patient's age (*sui nian zhuang*); additionally moxa-burn Henggu (KI11) one hundred *zhuang*; and moxa-burn seven *zhuang* above the coccyx tip (from *De Xiao Fang*). ◎ In early-stage hemorrhoids, take head dandruff/scalp debris, shape it into a cake, place it on the hemorrhoid, then place a slice of garlic on top, and moxa-burn it (from *Dan Xi Xin Fa*). ◎ For hemorrhoidal fistulas, mix Aconiti Lateralis Radix Preparata powder with saliva to form a cake the size of a coin, place it over the fistula opening, and moxa-burn until slightly warm. Replace with a fresh cake when dry, continue moxa-burning the next day, until the tissue becomes flat and healed (from *Dan Xi Xin Fa*). ◎ One person contracted hemorrhoids while walking; the symptoms resembled a cucumber lodged in the intestine, with intense heat like fire, causing stiffness and collapse. Someone advised him to first wash the affected area with a strong decoction of Sophora branch, then moxa-burn the area three to five *zhuang*. Suddenly, he felt a stream of hot qi enter the intestine, followed by the discharge of bright red blood. Although there was temporary pain, the disease vanished instantly (from *Ben Cao Gang Mu*).
Miscellaneous Diseases Chapter: Acupuncture and Moxibustion
For acupuncture and moxibustion treatment of stroke, nothing is better than formulas such as Xuming Tang. However, these can only support the initial stage of illness; if one desires complete recovery, fire therapy and moxibustion are superior. Stroke is caused by obstructed meridians and blocked qi and blood. Moxibustion can awaken the meridians and unblock qi and blood, thus achieving complete efficacy (from *De Xiao Fang*). ◎ In cases of stroke with excessive phlegm, where the voice sounds like a sawing motion and medication cannot be swallowed, it is suitable to moxa-burn Qihai (CV6) and Guanyuan (CV4) below the umbilicus for two to three hundred *zhuang*, which can reverse death and restore life. Even in critical conditions of five-zang qi exhaustion, moxibustion is suitable (from *Ben Cao Gang Mu*). ◎ When ordinary people experience sudden soreness, pain, numbness, and paralysis in the calves/shins or the index and middle fingers of the hands during non-standard seasons, which resolves only after a long time, this is a precursor sign of impending stroke. Urgently moxa-burn Zusanli (ST36) and Xuanzhong (GB39) three *zhuang* each. Regularly moxa-burn in spring and autumn, ideally resulting in moxa-blister scars on both feet (from *Zi Sheng Jing*). ◎ Those who do not believe in this method and refuse moxibustion may suddenly die; what disease is this? Answer: Wind entering the zang organs. Those suffering from wind diseases must know this (from *Ben Cao Gang Mu*). ◎ Whenever one feels numbness or pain in the limbs that lasts for a long time before resolving, this is a precursor sign of wind striking the fu-zang; it is suitable to moxa-burn Baihui (GV20), Qubin (GB7), Jianjing (GB21), Quchi (LI11), Fengshi (GB31), Zusanli (ST36), and Xuanzhong (GB39) (from *Zi Sheng Jing*). ◎ Whenever one feels mental confusion and dissatisfaction, or numbness and paralysis in the limbs, this is a precursor sign of wind striking the internal organs; it is suitable to moxa-burn Baihui (GV20), Fengchi (GB20), Dazhui (GV14), Jianjing (GB21), Quchi (LI11), Jianshi (PC5), and Zusanli (ST36) (from *Zi Sheng Jing*). ◎ Seven acupoints for treating wind: Baihui (GV20), hairline anterior to the ear, Jianjing (GB21), Fengshi (GB31), Zusanli (ST36), Xuanzhong (GB39), Quchi (LI11). Another prescription adds Fengchi (GB20), Hegu (LI4), Jianliao (TE14), and Huantiao (GB30), totaling nine points (from *Zi Sheng Jing*). ◎ All stroke cases should be treated with moxibustion on these points. ◎ For acute stroke with facial deviation, blockage, and unconsciousness, it is suitable to moxa-burn Tinghui (GB2), Jiache (ST6), Dicang (ST4), Baihui (GV20), Jianliao (TE14), Quchi (LI11), Fengshi (GB31), Zusanli (ST36), Xuanzhong (GB39), anterior hairline of the ear, Dazhui (GV14), and Fengchi (GB20), totaling twelve points (from *Shi Ben*). ◎ For stroke causing upward gaze and inability to see, moxa-burn seven *zhuang* above the second and fifth thoracic vertebrae simultaneously; immediate cure follows (from *Ben Cao Gang Mu*). ◎ For facial deviation, it is suitable to moxa-burn Tinghui (GB2), Jiache (ST6), and Dicang (ST4). Another method: if the mouth deviates to the right, moxa-burn the depression on the left temporal region; if to the left, moxa-burn the depression on the right temporal region, fourteen *zhuang* each, leading to immediate cure (from *Ben Cao Gang Mu*). ◎ For hemiplegia, it is suitable to moxa-burn Baihui (GV20), Xinhui (GV22), Fengchi (GB20), Jianliao (TE14), Quchi (LI11), Hegu (LI4), Huantiao (GB30), Fengshi (GB31), Zusanli (ST36), and Xuanzhong (GB39) (from *Zi Sheng Jing*). ◎ For lockjaw, needle Renzhong (GV26), Jiache (ST6), Baihui (GV20), Chengjiang (CV24), Hegu (LI4), and Yifeng (TE17); moxibustion is also applicable (from *Ben Cao Gang Mu*). ◎ For aphonia and inability to speak, needle Yamens (GV15), Renzhong (GV26), Tiantu (CV22), Yongquan (KI1), Shenmen (HT7), Zhigou (TE6), and Fengfu (GV16) (from *Ben Cao Gang Mu*). ◎ For stroke-induced hemiplegia, Huantiao (GB30) is the essential point (from *Ben Cao Gang Mu*). ◎ For treating stroke-induced hemiplegia, use the Great Connecting Meridian method: "From Yang guiding Yin," connect Zhiyin (BL67) with Yongquan (KI1), Zhongchong (PC9) with Guanchong (TE1), Xiaoyin (GB43) with Dadun (LR1), Shaoshang (LU11) with Shangyang (LI1), Lidui (ST45) with Yinbai (SP1), Shaochong (HT9) with Shaoze (SI1). ◎ The Great Connecting Meridian "From Yin guiding Yang": connect Shaoshang (LU11) with Shangyang (LI1), Lidui (ST45) with Yinbai (SP1), Shaochong (HT9) with Shaoze (SI1), Zhiyin (BL67) with Yongquan (KI1), Zhongchong (PC9) with Guanchong (TE1), Xiaoyin (GB43) with Dadun (LR1). These are the Jing-Well points of the twelve meridians. Luo Qianfu cured Zhao Sengpan's stroke affecting the zang organs by needling the twelve Jing-Well points, and cured Zhang Anfu's stroke affecting the zang organs by moxa-burning the twelve Jing-Well points (from *Jian Shi*). ◎ For bone bi syndrome, select Taixi (KI3) and Weizhong (BL40); for tendon bi, select Taichong (LR3) and Yanglingquan (GB34); for vessel bi, select Tailing (PC5) and Shaohai (HT3); for muscle bi, select Taibai (SP3) and Zusanli (ST36); for skin bi, select Taiyuan (LU9) and Hegu (LI4) (from *Ben Cao Gang Mu*). ◎ Bi syndrome is suitably treated with burning needles (fire needles) for rapid stimulation, using the sensation of efficacy as the dosage standard and the painful area as the Shu point. This means that after needling, the degree of treatment is determined by the therapeutic response, and the painful site serves as the Shu point, rather than selecting fixed points from specific meridians (from *Ling Shu*). ◎ To treat Li Jie Feng (rheumatoid arthritis/joint pain), use the same method as above, but moxa-burn twenty-one *zhuang* at the painful site, which is also excellent (from *Qian Jin Fang*). ◎ For generalized joint soreness and pain with unknown etiology, puncture Xuanzhong (GB39) with a three-edged needle to release blood for immediate cure (from Dong Yuan).