针灸法伤寒初得一二日头痛寒热宜灸巨阙上脘中脘各五十壮(得效)○伤寒大热不止取曲
池泻
绝骨补陷谷(出血)八阙大刺(十指间出血易老)○伤寒头痛刺合谷攒竹(纲目)○伤寒汗不出取
合谷(针五分遍身汗出即出针此穴发汗大妙)复溜泻商丘腕骨阳谷侠溪厉兑劳宫风池鱼际经渠
内庭又十二经荣穴皆可刺(纲目)○伤寒汗多不上眼内庭合谷复溜俱泻(纲目)○伤寒头痛太阳
证刺完骨京骨阳明证刺合谷冲阳少阳证刺阳池丘墟风府风池(云岐)○伤寒结胸先使人心蔽骨
下正痛处左畔揉之以毫针刺左畔支沟穴次刺左间使穴名曰双关刺次刺左行间穴左边结胸立效
上亦根据上法刺之慢慢呼吸停针立愈(纲目)○伤寒胸痛取期门大陵(纲目)○伤寒胁痛取支沟阳
陵泉(纲目)○伤寒阴证腹痛灸足小指外侧上纹尖各三壮男左女右(回春)○伤寒阴毒危极药
饵无功速灸脐中三百壮又灸气海关元各二三百壮以手足温暖为效(本事)○又法阴证已极玉茎
缩入速令人捉定急将艾丸绿豆大放在阴茎口上灸三壮其茎即出(回春)○伤寒手足厥冷取大都
(针入一分)○伤寒六脉俱无取复溜(补之大回六脉)合谷中极支沟(一寸半此穴和脉绝穴)巨阙
(二寸三分)气冲(灸七壮纲目)○伤寒热退后再发热取风门合谷行间绝骨(云岐)○伤寒热病五
十九刺法头上五行行五者以越诸阳热逆也谓头中行上星囟会前顶百会后顶五穴也两旁谓承光
通天络却玉枕天柱十穴也又两旁谓临泣目窗正营承灵脑空十穴也○大杼膺俞缺盆背俞此八者
以
泻胸中之热也○气街三里巨虚上下廉此八者以泻胃中之热也○云门 骨委中髓空此八者以泻
四肢之热也○五脏俞旁五此十者以泻五脏之热也(膺俞即中府穴背俞即风门穴 骨即肩 穴
髓空即腰俞穴也内经)○热病不可刺者有九一曰汗不出大颧发赤哕者死○二曰泄而腹满甚者
死○三曰目不明热不已者死○四曰老人婴儿热而腹满者死○五曰汗不出呕下血者死○六曰舌
本烂热不已者死○七曰咳而衄汗不出出不至足者死○八曰髓热者死○九曰热而痉者死痉者腰
折螈 齿噤 也(灵枢)
针灸治疗伤寒，初起一两天出现头痛、寒热症状，适宜灸巨阙穴、上脘穴、中脘穴，各灸五十壮（出自《得效方》）。○ 伤寒大热不退，取曲池穴用泻法，绝骨穴用补法，陷谷穴刺出血（出自《得效方》）；八邪穴深刺出血（出自《十便良方》，即易老之说）。○ 伤寒头痛，针刺合谷穴、攒竹穴（出自《纲目》）。○ 伤寒汗不出，取合谷穴（针入五分，遍身出汗后即出针，此穴发汗效果极佳）；复溜穴用泻法，商丘穴、腕骨穴、阳谷穴、侠溪穴、厉兑穴、劳宫穴、风池穴、鱼际穴、经渠穴、内庭穴均可刺（出自《纲目》）；又十二经的荥穴皆可刺（出自《纲目》）。○ 伤寒汗多且眼睛不能睁开，内庭穴、合谷穴、复溜穴均用泻法（出自《纲目》）。○ 伤寒头痛：太阳证针刺完骨穴、京骨穴；阳明证针刺合谷穴、冲阳穴；少阳证针刺阳池穴、丘墟穴、风府穴、风池穴（出自《云岐子》）。○ 伤寒结胸，先让人在心蔽骨下正痛处的左侧揉按，然后用毫针刺左侧支沟穴，接着刺左侧间使穴，名为“双关刺”，再刺左侧行间穴，左侧结胸立效；右侧也根据上述方法施治，慢慢呼吸，留针片刻即可痊愈（出自《纲目》）。○ 伤寒胸痛，取期门穴、大陵穴（出自《纲目》）。○ 伤寒胁痛，取支沟穴、阳陵泉穴（出自《纲目》）。○ 伤寒阴证腹痛，灸足小指外侧上纹尖端，每侧三壮，男性灸左侧，女性灸右侧（出自《回春集》）。○ 伤寒阴毒危重至极，药物无效时，速灸脐中三百壮，又灸气海穴、关元穴各二三百壮，以手足温暖为有效（出自《本事方》）。○ 另一法：阴证已极，阴茎缩入体内，速令人捉定，急将绿豆大的艾丸放在阴茎口上灸三壮，阴茎即伸出（出自《回春集》）。○ 伤寒手足厥冷，取大都穴（针入一分）。○ 伤寒六脉俱无，取复溜穴（补法可大回六脉），合谷穴、中极穴、支沟穴（针入一寸半，此穴为和脉绝之要穴），巨阙穴（针入二寸三分），气冲穴（灸七壮，出自《纲目》）。○ 伤寒热退后再发热，取风门穴、合谷穴、行间穴、绝骨穴（出自《云岐子》）。○ 伤寒热病五十九刺法：头上五行，每行五穴，用以发散诸阳经逆上的热邪。所谓头中行，指上星、囟会、前顶、百会、后顶五穴；两旁指承光、通天、络却、玉枕、天柱十穴；又两旁指临泣、目窗、正营、承灵、脑空十穴。○ 大杼穴、膺俞穴（即中府穴）、缺盆穴、背俞穴（即风门穴），这八穴用以泻胸中之热。○ 气街穴、三里穴、巨虚上廉穴、巨虚下廉穴，这八穴用以泻胃中之热。○ 云门穴、骨骱穴（即肩髃穴）、委中穴、髓空穴（即腰俞穴），这八穴用以泻四肢之热。○ 五脏俞旁五穴，这十穴用以泻五脏之热（出自《内经》）。○ 热病不可刺的情况有九种：一曰汗不出，大颧发赤，呃逆者死；二曰泄泻且腹部胀满严重者死；三曰目光不明，热势不退者死；四曰老人、婴儿发热且腹部胀满者死；五曰汗不出，呕吐并下血者死；六曰舌根腐烂，热势不退者死；七曰咳嗽兼鼻衄，汗不出或汗出不到足部者死；八曰髓热者死；九曰发热伴痉病者死。痉病表现为腰部反折、肢体抽搐、牙齿紧闭（出自《灵枢》）。
Acupuncture and moxibustion for the initial stage of Shanghan (Cold Damage), one to two days after onset, presenting with headache, aversion to cold, and fever, is suitable for moxibustion at Jueque (CV14, Pericardium Mu-Point), Shangwan (CV13, Upper Abdomen), and Zhongwan (CV12, Middle Abdomen), each fifty moxa cones (from *Defang Fang*). ○ For persistent high fever in Shanghan, reduce Quchi (LI11, Pool at the Crook); tonify Jiegu (GB39, Bone Gap); puncture Xangu (ST41, Valley of Depression) to bleed (from *Defang Fang*); deeply puncture Baxie (EX-UE8, Eight Holes) to bleed (from *Shibian Liangfang*, i.e., Yi Lao's method). ○ For headache due to Shanghan, needle Hegu (LI4, Union Valley) and Canzhu (BL2, Bamboo Gatherer) (from *Gangmu*). ○ For inability to sweat in Shanghan, select Hegu (LI4, Union Valley) (needle depth five fen; when sweating covers the whole body, withdraw the needle; this point is excellent for inducing sweating); reduce Fuliou (KI7, Returning Stream), Shangqiu (SP5, Market Edge), Wanggu (SI4, Yang Valley), Xiaxi (GB43, Between the Streams), Lidui (ST45, Corner of the Mouth), Laogong (PC8, Palms Palace), Fengchi (GB20, Wind Pool), Yuji (LU10, Fish Border), Jingqu (LU8, Jing-River), and Neiting (ST44, Within the Court); all Ying-Spring points of the twelve meridians can be punctured (from *Gangmu*). ○ For excessive sweating in Shanghan accompanied by inability to open the eyes, reduce Neiting (ST44, Within the Court), Hegu (LI4, Union Valley), and Fuliou (KI7, Returning Stream) (from *Gangmu*). ○ For headache due to Shanghan: Taiyang syndrome, puncture Wangu (GB12, Complete Bone) and Jinggu (BL64, Jing-Bone); Yangming syndrome, puncture Hegu (LI4, Union Valley) and Chongyang (ST42, Restoring Yang); Shaoyang syndrome, puncture Yangchi (TE4, Yang Pool), Qiuxu (GB40, Gaping Void), Fengfu (GV16, Wind Mansion), and Fengchi (GB20, Wind Pool) (from *Yunqi Zi*). ○ For chest binding (Jie Xiong) due to Shanghan, first have the patient rub the left side of the exact painful spot below the heart cartilage. Then, use a fine needle to puncture the left ZhiGou (TE6, Branching Trough) acupoint, followed by the left JianShi (PC5, Intercourse Guard) acupoint, named "Double Guan Puncture". Next, puncture the left Xingjian (LR2, Moving Between) acupoint; left-sided chest binding will be immediately effective. Apply the same method to the right side. Instruct the patient to breathe slowly, retain the needle for a moment, and it will heal instantly (from *Gangmu*). ○ For chest pain due to Shanghan, select Qimen (LR14, Chest Gate) and Daling (PC7, Great Palace) (from *Gangmu*). ○ For hypochondriac pain due to Shanghan, select ZhiGou (TE6, Branching Trough) and Yanglingquan (GB34, Yang Mound Spring) (from *Gangmu*). ○ For abdominal pain due to Yin syndrome in Shanghan, moxa the tip of the outer edge of the little toe, three cones on each side; males on the left, females on the right (from *Huichun Ji*). ○ For critical Yin poison in Shanghan where medicinal herbs are ineffective, quickly moxa the umbilicus (Shenzhong, CV8) three hundred cones, and also moxa Qihai (CV6, Sea of Qi) and Guanyuan (CV4, Gate of Origin) two to three hundred cones each, until the hands and feet become warm (from *Benshi Fang*). ○ Another method: When Yin syndrome is extreme and the penis retracts, hold it firmly, place a moxa cone the size of a mung bean directly on the urethral orifice, and moxa three cones; the penis will extend (from *Huichun Ji*). ○ For cold extremities due to Shanghan, select Dadu (SP2, Great Metropolis) (needle depth one fen). ○ For absence of pulse in all six positions due to Shanghan, select Fuliou (KI7, Returning Stream) (tonification greatly restores the pulse); Hegu (LI4, Union Valley), Zhongji (CV3, Central Pole), ZhiGou (TE6, Branching Trough) (needle depth one cun half; this point harmonizes pulse arrest), Jueque (CV14, Pericardium Mu-Point) (needle depth two cun three fen), and Qichong (ST30, Qi Rush) (moxa seven cones, from *Gangmu*). ○ For recurrent fever after heat subsides in Shanghan, select Fengmen (BL12, Wind Gate), Hegu (LI4, Union Valley), Xingjian (LR2, Moving Between), and Jiegu (GB39, Bone Gap) (from *Yunqi Zi*). ○ The Fifty-Nine Acupoints for treating heat diseases: Five rows of five points on the head are used to dissipate rebellious heat from all Yang meridians. The central row refers to Shangxing (GV23, Upper Star), Xinhui (GV22, Confluence of Fontanelles), Qiding (GV21, Frontal Vertex), Baihui (GV20, Hundred Convergences), and Houding (GV19, Posterior Vertex). The lateral sides refer to Chengguang (BL9, Receiving Light), Tongtian (BL7, Communicating Heaven), Luoque (BL8, Connecting Back), Yuzhen (BL9, Jade Pillow), and Tianzhu (BL10, Heavenly Pillar). The further lateral sides refer to Linqidao (GB15, Approaching Light), Mucuang (GB16, Eye Window), Zhengying (GB17, Correctly Nourishing), Chengling (GB18, Supporting Spirit), and Naokong (GB19, Brain Hollow). ○ Dashu (BL11, Greater Thigh), Ying Shu (Zhongfu LU1, Lung Front-Mu), Quepen (ST12, Missing Basin), and Bei Shu (Fengmen BL12, Wind Gate)—these eight points are used to drain heat from the chest. ○ Qijie (ST13, Qi Street), Sanli (ST36, Three Li), Shangjuxu (ST37, Upper Great Deficiency), and Xiaguxu (ST39, Lower Great Deficiency)—these eight points are used to drain heat from the stomach. ○ Yunmen (LU2, Cloud Gate), Goubu (shoulder joint area, likely referring to Jianyu LI15 or similar), Weizhong (BL40, Center of the Crease), and Suikong (Yaoshu GV2, Spine Hollow)—these eight points are used to drain heat from the four limbs. ○ The five points beside the Five Zang Back-Shu points—these ten points are used to drain heat from the Five Zang organs (Ying Shu refers to Zhongfu LU1; Bei Shu refers to Fengmen BL12; Goubu refers to Jianyu LI15; Suikong refers to Yaoshu GV2; from *Neijing*). ○ There are nine conditions of Heat Disease where acupuncture is contraindicated: 1. No sweating, redness of the cheekbones, and hiccups indicate death. 2. Diarrhea with severe abdominal fullness indicates death. 3. Unclear vision with unceasing heat indicates death. 4. Fever with abdominal fullness in the elderly and infants indicates death. 5. No sweating, vomiting, and hematochezia indicate death. 6. Ulceration of the tongue root with unceasing heat indicates death. 7. Cough with epistaxis, no sweating, or sweating that does not reach the feet indicates death. 8. Marrow heat indicates death. 9. Fever with spasms indicates death. Spasms involve opisthotonos, convulsions, and trismus (from *Lingshu*).