膀胱有寒三焦热结小便不利关格不通者邪在六腑则阳脉盛邪在五脏则阴脉盛合谷太冲
大小便不通膀胱俞三壮丹田二七壮胞门五十壮营冲在足内踝前后陷中三壮经中穴在脐下
寸半两旁各三寸灸百壮大肠俞三壮
大小便不利大肠俞营冲三壮小肠俞三壮经中在脐下寸半两旁各三寸灸百壮中
小便黄赤不禁腕骨膀胱俞三焦俞承浆小肠俞
小便状如散火关元百壮复溜五壮
小便不通脐下冷膀胱俞胞门丹田神阙营冲皆灸
小便难灸对脐脊骨上三壮
小便色变青取涌泉赤取然谷黄取太溪白取复溜列缺黑取阴谷
尻重百会委中
尿血胃俞关元曲泉劳宫三焦俞肾俞气海年壮壮太冲三壮少府三壮膀胱俞小肠俞
肠鸣溏泄腹痛神阙百壮三阴交三壮
心肾受邪水火不能交济积聚缓急周痹不仁偏枯四肢拘挛致令无子邪实则痛虚则痒
身有四海气海血海照海髓海谓绝骨穴也脏气虚惫真气不足一切气疾皆灸气海
身体不仁先取京骨后取中封绝骨皆针泻之
痹胸背鱼际烦满商丘反折肝俞
瘫痪合谷曲池下三里昆仑太冲
周痹膈俞临泣振寒足临泣穴如解涌泉脾俞
嗜卧太溪照海天井脾俞肝俞三阴交
痹风市昆仑○须宜元穴及诸症穴参考加减
心腹痛而呕者寒热或痰饮客于肠胃也凡呕吐阴气上逆而阳不胜故也
上吐下闭关格宜泻四关穴谓合谷太冲是
呕吐中脘内关并针三阴交留针神效
干呕尺泽章门间使关冲中诸隐白乳下一寸三壮
吐血鱼际天枢劳宫行间神门大陵尺泽上星七壮○加症后录
烦心间使神门鱼际寒热心俞绝骨脾俞上气肺俞天突即灸哮喘套颈法神效气膈膈俞膻中间
使肠鸣曲池大肠俞闷乱虎口三焦俞大陵嗜卧照海不吐心俞呕噎阴交虚者补气海穴
呕吐乍寒乍热心烦中脘商丘大椎中冲胆俞绝骨
膀胱受寒且三焦热邪郁结,导致小便不通、关格证(大小便闭塞不通)的患者,若病邪在六腑则阳脉盛,病邪在五脏则阴脉盛。取合谷穴、太冲穴。
大小便完全不通:灸膀胱俞穴三壮,丹田穴十四壮,胞门穴五十壮。营冲穴位于足内踝前后凹陷处,灸三壮;经中穴位于脐下寸半,两旁各三寸处,灸一百壮。灸大肠俞穴三壮。
大小便不利:灸大肠俞穴、营冲穴各三壮;灸小肠俞穴三壮。经中穴位于脐下寸半,两旁各三寸处,灸一百壮。
小便黄赤且失禁:灸腕骨穴、膀胱俞穴、三焦俞穴、承浆穴、小肠俞穴。
小便状如散火(形容小便浑浊或排尿异常):灸关元穴一百壮,复溜穴五壮。
小便不通且脐下寒冷:灸膀胱俞穴、胞门穴、丹田穴、神阙穴、营冲穴。
小便困难:灸对脐脊骨上三壮(指命门或相应背俞穴区域)。
根据小便颜色变化取穴:色青取涌泉穴,色赤取然谷穴,色黄取太溪穴,色白取复溜穴和列缺穴,色黑取阴谷穴。
尿血:灸胃俞穴、关元穴、曲泉穴、劳宫穴、三焦俞穴、肾俞穴、气海穴(年壮壮此处疑为衍文或特定剂量描述,依原文保留),太冲穴三壮,少府穴三壮,膀胱俞穴,小肠俞穴。
心肾受邪,水火不能交济,出现积聚、缓急、周痹、不仁、偏枯、四肢拘挛,甚至导致无子。实证则痛,虚证则痒。
身体有四海之说:气海、血海、照海、髓海(指绝骨穴)。脏气虚惫、真气不足,一切气疾皆可灸气海穴。
周痹:取膈俞穴、临泣穴。振寒:取足临泣穴(如解涌泉之意?原文表述略晦涩,依字面翻译),脾俞穴。
痹证:取风市穴、昆仑穴○须宜元穴及诸症穴参考加减(意为需结合原穴及其他症状穴位参考加减)。
心腹痛伴呕吐者,因寒热或痰饮客于肠胃所致。凡呕吐皆因阴气上逆而阳气不胜。
干呕:取尺泽穴、章门穴、间使穴、关冲穴、中诸穴(中渚之误?依原文)、隐白穴,乳下一寸处灸三壮。
吐血:取鱼际穴、天枢穴、劳宫穴、行间穴、神门穴、大陵穴、尺泽穴、上星穴(灸七壮)。○加症后录(意为后续添加症状记录)。
烦心:取间使穴、神门穴、鱼际穴。寒热:取心俞穴、绝骨穴、脾俞穴。上气:取肺俞穴、天突穴(即灸哮喘套颈法,疗效神奇)。气膈:取膈俞穴、膻中穴。
使(治疗导致/用于)肠鸣:取曲池穴、大肠俞穴。闷乱:取虎口(合谷)、三焦俞穴、大陵穴。嗜卧:取照海穴。不吐:取心俞穴。呕噎:取阴交穴。虚者:补气海穴。
When the Bladder is cold and the Sanjiao (Triple Burner) has heat accumulation, leading to difficult urination and Guan Ge syndrome (obstruction of both upper and lower orifices), if the pathogen is in the Six Fu-organs, the Yang pulses will be vigorous; if in the Five Zang-organs, the Yin pulses will be vigorous. Acupoints Hegu (LI4) and Taichong (LR3) are indicated.
For complete obstruction of both stool and urine: Moxibustion on Shenshu (BL23? Note: Text says Pangguangshu BL28) three moxa cones, Dantian (CV4) fourteen moxa cones, Baomen (EX-CA1) fifty moxa cones. Yingchong is located in the depression anterior and posterior to the medial malleolus, three moxa cones. Jingzhong is located 1.5 cun below the umbilicus, three cun lateral to the midline on both sides, one hundred moxa cones. Moxibustion on Dachangshu (BL25) three moxa cones.
For difficulty in passing stool and urine: Moxibustion on Dachangshu (BL25) and Yingchong, three moxa cones each; Xiaochangshu (BL27) three moxa cones. Jingzhong is located 1.5 cun below the umbilicus, three cun lateral to the midline on both sides, one hundred moxa cones.
For yellow-red urine with incontinence: Moxibustion on Wangu (SI4), Pangguangshu (BL28), Sanjiaoshu (BL22), Chengjiang (CV24), and Xiaochangshu (BL27).
For urine resembling scattered fire (abnormal discharge): Moxibustion on Guanyuan (CV4) one hundred moxa cones, Fuliou (KI7) five moxa cones.
For urinary retention with coldness below the umbilicus: Moxibustion on Pangguangshu (BL28), Baomen (EX-CA1), Dantian (CV4), Shenque (CV8), and Yingchong.
For dysuria: Moxibustion on three cones above the spinous process opposite the umbilicus.
Selection based on urine color: For blue-green, select Yongquan (KI1); for red, RanGu (KI2); for yellow, Taixi (KI3); for white, Fuliou (KI7) and Lieque (LU7); for black, YinGu (KI10).
For heaviness in the sacrum: Moxibustion on Baihui (GV20) and Weizhong (BL40).
For hematuria: Moxibustion on Weishu (BL21), Guanyuan (CV4), Ququan (LR8), Laogong (PC8), Sanjiaoshu (BL22), Shenshu (BL23), Qihai (CV6), Taichong (LR3) three moxa cones, Shaofu (HT8) three moxa cones, Pangguangshu (BL28), and Xiaochangshu (BL27).
For borborygmus, loose stools, and abdominal pain: Moxibustion on Shenque (CV8) one hundred moxa cones, Sanyinjiao (SP6) three moxa cones.
When Heart and Kidney are affected by pathogens, Water and Fire fail to interact, leading to accumulations, alternating tightness and relaxation, generalized Bi-syndrome, numbness, hemiplegia, limb spasms, and even infertility. Excess patterns manifest as pain; deficiency patterns manifest as itching.
The body has four Seas: Qihai (CV6), Xuehai (SP10/Zhagong?), Zhaohai (KI6), and Suishai (defined here as Juegu/Gallbladder 39). For deficient Zang-qi and insufficient True Qi, causing all types of Qi disorders, moxibustion on Qihai (CV6) is indicated.
For bodily numbness: First select Jinggu (BL64), then Zhongfeng (LR4) and Juegu (GB39), all treated with needle reduction method.
For Bi-syndrome involving chest/back, Yuji (LU10), fullness and irritability, Shangqiu (SP5), torticollis/spasm, Ganshu (BL18).
For paralysis: Select Hegu (LI4), Quchi (LI11), Xià Sānlǐ (ST36), Kunlun (BL60), and Taichong (LR3).
For generalized Bi-syndrome: Ge Shu (BL17), Lin Qi (GB41). For chills: Zu Lin Qi (GB41), Pishu (BL20).
For excessive sleepiness: Taixi (KI3), Zhaohai (KI6), Tianjing (SJ10), Pishu (BL20), Ganshu (BL18), Sanyinjiao (SP6).
For Bi-syndrome: Fengshi (GB31), Kunlun (BL60). ○ Must refer to Yuan-source points and other symptom-specific points for modification.
Heart and abdominal pain with vomiting indicates Cold-Heat or Phlegm-Fluid lodging in the Stomach and Intestines. All vomiting results from rebellious Yin Qi overcoming Yang Qi.
For upper vomiting and lower constipation (Guan Ge syndrome): Reduce the Four Gates (Hegu LI4 and Taichong LR3).
For vomiting: Needle Zhongwan (CV12) and Neiguan (PC6), along with Sanyinjiao (SP6), retain the needle for miraculous effect.
For dry heaving: Select Chize (LU5), Zhangmen (LR13), Jianshi (PC5), Guanchong (SJ1), Zhongzhu (SJ3 - text says Zhongzhu/Zhongzhu), Yinbai (SP1), and three moxa cones one cun below the nipple.
For hematemesis: Select Yuji (LU10), Tianshu (ST25), Laogong (PC8), Xingjian (LR2), Shenmen (HT7), Daling (PC7), Chize (LU5), Shangxing (GV23) seven moxa cones. ○ Add symptoms later.
For vexation: Select Jianshi (PC5), Shenmen (HT7), Yuji (LU10). For Cold-Heat: Xinshu (BL15), Juegu (GB39), Pishu (BL20). For rising Qi: Feishu (BL13), Tiantu (CV22) [Moxibustion on Tiantu is effective for asthma]. For Qi Obstruction: Geshu (BL17), Danzhong (CV17).
For borborygmus: Quchi (LI11), Dachangshu (BL25). For mental restlessness: Hukou (Hegu LI4), Sanjiaoshu (BL22), Daling (PC7). For lethargy: Zhaohai (KI6). For inability to vomit: Xinshu (BL15). For vomiting and dysphagia: Yinjiao (CV7). For deficiency: Tonify Qihai (CV6).
For vomiting with alternating chills and fever, and vexation: Select Zhongwan (CV12), Shangqiu (SP5), Dazhui (GV14), Zhongchong (PC9), Danshu (BL18), Juegu (GB39).