针灸法癃闭取阴跷(即照海穴)大敦委阳太钟行间委中阴陵泉石门(甲乙)○小便淋闭关元
(八
分)三阴交(三分即透)阴谷阴陵泉气海太溪阴交(纲目)○石淋取关元气门大敦(东垣)○血淋
取气海关元(东垣)○热淋阴陵泉关元气冲(东垣)○小便滑数中极灸肾俞阴陵泉气海阴谷三
阴
交(纲目)○遗尿不禁取阴陵泉阳陵泉大敦曲骨(东垣)○茎中痛行间(灸三十壮)又取中极太溪
三阴交复溜(资生)○白浊灸肾俞又取章门曲泉关元三阴交(纲目)○妇人转脬不得尿取曲骨关
元(甲乙)○妇人阴中痛取阴陵泉(甲乙)
针灸法大渴饮水多为滑泄水入即泄泄而复饮此无药当灸大椎三五壮(易老)○泄泻三五年
不愈
灸百会五七壮即愈(医养)○久泄痢灸天枢气海大能止泄(丹溪)○泄痢不止灸神阙七壮(一云
三七壮)关元三十壮(得效)○溏泄灸脐中为第一三阴交次之(资生)○泄痢灸脾俞随年壮脐
中二十壮关元百壮三报二七壮(得效)○飧泄取阴陵泉然谷巨虚上廉大冲(纲目)○泄泻如水手
足冷脉欲绝脐腹痛渐渐短气灸气海百壮(得效)○下痢腹痛便脓血取丹田复溜小肠 天枢腹哀
(东垣)○冷痢关元穷谷各灸五十壮(东垣)○里急后重取合谷外关(东垣)○痢不止取合谷三里
阴陵泉中脘关元天枢神阙中极(纲目)○诸下痢皆可灸大都五壮商丘阴陵泉各三壮(纲目)○大
便秘涩取照海(针入五分补三呼泻六吸立通)支沟(针半寸泻三吸)太白(泻之纲目)○大便不通
取二间承山太白大钟三里涌泉昆仑照海章门气海(纲目)○大小便不通取大都环岗水道(纲目)
关格吐逆而小便不通先灸气海天枢各三七壮吐止然后用益元散以利小便(正传)○妇人产后腹
胀大小便不通取气海足三里关元三阴交阴谷(纲目)
外形篇针灸
针灸治疗癃闭(小便不通)选取阴跷穴(即照海穴)、大敦、委阳、太钟、行间、委中、阴陵泉、石门穴。○ 治疗小便淋沥疼痛选取关元穴(灸八分)、三阴交穴(灸三分,或透刺)、阴谷、阴陵泉、气海、太溪、阴交穴。○ 治疗石淋选取关元、气门、大敦穴。○ 治疗血淋选取气海、关元穴。○ 治疗热淋选取阴陵泉、关元、气冲穴。○ 治疗小便频数滑利选取中极穴并灸肾俞、阴陵泉、气海、阴谷、三阴交穴。○ 治疗遗尿不禁选取阴陵泉、阳陵泉、大敦、曲骨穴。○ 治疗茎中疼痛选取行间穴(灸三十壮),又取中极、太溪、三阴交、复溜穴。○ 治疗白浊(尿道口流出白色分泌物)灸肾俞,又取章门、曲泉、关元、三阴交穴。○ 妇人转脬(膀胱扭转导致尿潴留)不得排尿选取曲骨、关元穴。○ 妇人阴中疼痛选取阴陵泉穴。
针灸治疗大渴饮水多为滑泄(水入即泻,泻后复饮),此症无药可治,应当灸大椎穴三五壮。○ 治疗泄泻三五年不愈,灸百会穴五七壮即可痊愈。○ 久泄痢灸天枢、气海穴,能显著止泻。○ 泄痢不止,灸神阙穴七壮(一说三七壮),关元穴三十壮。○ 溏泄(大便稀薄如水)灸脐中为第一法,三阴交穴次之。○ 泄痢灸脾俞穴随年壮,脐中二十壮,关元穴一百壮,分三次施灸共十四壮。○ 飧泄(完谷不化的泄泻)选取阴陵泉、然谷、巨虚上廉、大冲穴。○ 泄泻如水、手足冷、脉欲绝、脐腹痛渐渐短气,灸气海穴一百壮。○ 下痢腹痛、便脓血选取丹田、复溜、小肠、天枢、腹哀穴。○ 冷痢灸关元、穷谷穴各五十壮。○ 里急后重选取合谷、外关穴。○ 痢疾不止选取合谷、三里、阴陵泉、中脘、关元、天枢、神阙、中极穴。○ 各种下痢皆可灸大都穴五壮,商丘、阴陵泉穴各三壮。○ 大便秘涩选取照海穴(针入五分,补三呼泻六吸,立通)、支沟穴(针半寸,泻三吸)、太白穴(泻之)。○ 大便不通选取二间、承山、太白、大钟、三里、涌泉、昆仑、照海、章门、气海穴。○ 大小便不通选取大都、环岗、水道穴。○ 关格(吐逆而小便不通)先灸气海、天枢穴各三七壮,呕吐停止后然后用益元散以利小便。○ 妇人产后腹胀、大小便不通选取气海、足三里、关元、三阴交、阴谷穴。
Acupuncture and moxibustion methods for treating strangury (urinary retention) select Yinqiao (i.e., Zhaohai, KI6), Dadun (LR1), Weiyang (BL39), Taizhong (KI4), Xingjian (LR2), Weizhong (BL40), Yinlingquan (SP9), and Shimen (CV5). ○ For treating painful urinary dribbling (Lin syndrome), select Guanyuan (CV4, moxa 8 fen), Sanyinjiao (SP6, moxa 3 fen or transverse insertion), Yinggu (KI10), Yinlingquan (SP9), Qihai (CV6), Taixi (KI3), and Yinjiao (CV7). ○ For treating stone Lin syndrome, select Guanyuan (CV4), Qimen (LR14), and Dadun (LR1). ○ For treating bloody Lin syndrome, select Qihai (CV6) and Guanyuan (CV4). ○ For treating heat Lin syndrome, select Yinlingquan (SP9), Guanyuan (CV4), and Qichong (ST30). ○ For treating frequent and slippery urination, select Zhongji (CV3) and moxa Shenshu (BL23), Yinlingquan (SP9), Qihai (CV6), Yinggu (KI10), and Sanyinjiao (SP6). ○ For treating enuresis and incontinence, select Yinlingquan (SP9), Yanglingquan (GB34), Dadun (LR1), and Qugu (CV2). ○ For treating pain in the glans penis, select Xingjian (LR2, moxa 30 zhuang); additionally select Zhongji (CV3), Taixi (KI3), Sanyinjiao (SP6), and Fuliou (KI7). ○ For treating leukorrhea (white turbid discharge), moxa Shenshu (BL23); additionally select Zhangmen (LR13), Ququan (LR8), Guanyuan (CV4), and Sanyinjiao (SP6). ○ For women with bladder torsion causing inability to urinate, select Qugu (CV2) and Guanyuan (CV4). ○ For women with pain in the vagina, select Yinlingquan (SP9).
Acupuncture and moxibustion methods: Excessive thirst with drinking water often leads to watery diarrhea (water enters and immediately exits; after evacuation, drinking resumes again). This condition has no medicinal cure; one should moxa Dazhui (GV14) for 3-5 zhuang. ○ For chronic diarrhea lasting three to five years that does not heal, moxa Baihui (GV20) for 5-7 zhuang, which will lead to recovery. ○ For chronic diarrhea and dysentery, moxa Tianshu (ST25) and Qihai (CV6), which can effectively stop diarrhea. ○ For persistent diarrhea and dysentery, moxa Shenque (CV8) for 7 zhuang (or 37 zhuang), and Guanyuan (CV4) for 30 zhuang. ○ For loose stools (watery diarrhea), moxing the umbilicus is the primary method, followed by Sanyinjiao (SP6). ○ For diarrhea and dysentery, moxa Pishu (BL20) according to the patient's age in zhuang, the umbilicus for 20 zhuang, and Guanyuan (CV4) for 100 zhuang, administered in three sessions totaling 14 zhuang. ○ For wind diarrhea (undigested food in stool), select Yinlingquan (SP9), RanGu (KI2), Shanglian of Large Intestine (ST37), and Dachong (LR5). ○ For diarrhea like water, cold limbs, impending pulse disappearance, abdominal pain around the navel, and gradual shortness of breath, moxa Qihai (CV6) for 100 zhuang. ○ For dysentery with abdominal pain and pus/blood in stool, select Dantian (CV6), Fuliou (KI7), Xiaochang (BL27), Tianshu (ST25), and Fu'ai (SP16). ○ For cold dysentery, moxa Guanyuan (CV4) and Qionggu (KI10) each for 50 zhuang. ○ For tenesmus (urgent need to defecate with heavy sensation in the rectum), select Hegu (LI4) and Waiguan (TE5). ○ For persistent dysentery, select Hegu (LI4), Zusanli (ST36), Yinlingquan (SP9), Zhongwan (CV12), Guanyuan (CV4), Tianshu (ST25), Shenque (CV8), and Zhongji (CV3). ○ For various types of dysentery, moxa Dadu (SP2) for 5 zhuang, and Shangqiu (SP5), Yinlingquan (SP9) each for 3 zhuang. ○ For severe constipation with dryness, select Zhaohai (KI6, needle 5 fen, tonify 3 exhales, sedate 6 inhales for immediate relief), Zhigou (TE6, needle 0.5 cun, sedate 3 inhales), and Taibai (SP3, sedation). ○ For fecal impaction, select Erjian (LI2), Chengshan (BL57), Taibai (SP3), Daizhong (KI4), Zusanli (ST36), Yongquan (KI1), Kunlun (BL60), Zhaohai (KI6), Zhangmen (LR13), and Qihai (CV6). ○ For simultaneous obstruction of urination and defecation, select Dadu (SP2), Huangan (likely a typo for Huan Tiao GB30 or similar, but text says Huangan), Shuidao (ST28). ○ For Guan Ge syndrome (vomiting/regurgitation with urinary obstruction), first moxa Qihai (CV6) and Tianshu (ST25) each for 37 zhuang; once vomiting stops, administer Yiyuan San to promote urination. ○ For postpartum women with abdominal distension and obstruction of both urination and defecation, select Qihai (CV6), Zusanli (ST36), Guanyuan (CV4), Sanyinjiao (SP6), and Yinggu (KI10).