针灸法灵枢曰齿痛不恶清饮取足阳明上齿痛亦如之齿痛恶清饮取手阳明下齿痛亦如之○
手阳
明有入口偏齿者名曰大迎下齿龋取之足太阳有入口偏齿者名曰角孙上齿龋取之(得效)○手阳
明之别名曰偏历主齿寒痛宜取此(内经)○牙痛牙槽取太溪灸之治上牙齿痛二间灸之治下牙痛
委中针之又足内踝两尖灸之治上牙痛龙玄在列缺上青脉中灸之治下牙痛承浆风府合谷内庭治
上牙痛(纲目)○齿痛灸列缺七壮永不疼又灸肩 七壮又灸耳垂下牙尽骨上三壮(得效)○齿痛
以线量手中指至掌后横纹折为四分去三分将一分于横纹后臂中灸三壮随左右(得效)○牙疼屈
手大指本节后陷中灸三壮初灸觉牙疼再灸觉牙有声三灸疼止永不复作恐是阳溪穴也左疼灸右
右疼灸左(资生)○牙疼百药不效灸两耳当三壮立止(回春)○口齿蚀生疮灸承浆(正传)
针灸法喉闭少商合谷尺泽皆针之(丹心)○咽痹因恶血不散故也砭出恶血最为上策(纲目)
○咽
喉肿痹针风府主咽喉诸病及毒瓦斯归心等项恶证无不效又针少商咽喉肿痛皆治之又针合谷又针
上星治颊肿缠喉风等证又针足三里(得效)○喉痹刺手少阴即神门穴(纲目)○喉闭刺手足少阳
井即关冲窍阴(东垣)○喉痹乳蛾取少商照海大冲(东垣)○咽喉闭塞取照海(灵枢)○牙关不开
取阳灵穴出血即愈(得效)○喉痹取丰隆涌泉关冲少商隐白少冲(纲目)○累年喉痹男左女右手
大指甲第一节灸二三小壮(丹心)○根脚咽喉常发者耳垂珠下半寸近腮骨灸七壮二七尤妙(得
效)○足阳明之别名曰丰隆其病气逆则喉痹卒喑宜取之(灵枢)
《灵枢》记载的针灸治疗方法:牙齿疼痛且不怕喝冷饮的,取足阳明经穴;上牙疼痛也采用同样的方法。牙齿疼痛且怕喝冷饮的,取手阳明经穴;下牙疼痛也采用同样的方法。○ 手阳明经有一个进入口腔偏侧牙齿的穴位,名叫大迎,下牙龋齿(蛀牙)时取此穴。足太阳经有一个进入口腔偏侧牙齿的穴位,名叫角孙,上牙龋齿时取此穴(出自《备急千金要方·经验后方》)。○ 手阳明经的络穴别名偏历,主治牙齿寒冷疼痛,适宜取此穴(出自《黄帝内经》)。○ 治疗牙痛,牙槽部位取太溪穴并施灸,可治上牙痛;二间穴施灸可治下牙痛;委中穴针刺也可治疗。又取足内踝两侧尖部施灸,可治上牙痛;龙玄穴位于列缺穴上方青色脉络中,施灸可治下牙痛;承浆、风府、合谷、内庭等穴可治上牙痛(出自《本草纲目》)。○ 牙齿疼痛,灸列缺穴七壮,可永不复发疼痛;又灸肩髃穴七壮;又灸耳垂下方尽骨处三壮(出自《备急千金要方·经验后方》)。○ 治疗牙齿疼痛,用线量取手中指指尖至掌后横纹的距离,折成四份,去掉三份,将剩余的一份在横纹后的手臂中间施灸三壮,左右侧疼痛均按此法操作(出自《备急千金要方·经验后方》)。○ 牙疼,屈起手大拇指本节后的凹陷处施灸三壮,初灸时感觉牙疼加剧,再灸时感觉牙中有声响,三灸后疼痛停止且永不复发,这恐怕是阳溪穴,左侧疼灸右侧,右侧疼灸左侧(出自《资生经》)。○ 牙疼百药无效时,灸两耳垂下各三壮,立止疼痛(出自《医宗必读·回春》)。○ 口齿腐蚀生疮,灸承浆穴(出自《医学正传》)。
针灸治疗喉闭症:少商、合谷、尺泽穴皆进行针刺(出自《丹溪心法》)。○ 咽痹是因为恶血不散所致,用砭石刺破放出恶血是最上等的策略(出自《本草纲目》)。○ 咽喉肿痛痹阻,针刺风府穴,主治咽喉各类疾病及毒瓦斯归心等恶性证候,无不有效;又针刺少商穴,治疗咽喉肿痛;又针刺合谷穴;又针刺上星穴,治疗颊肿、缠喉风等证候;又针刺足三里穴(出自《备急千金要方·经验后方》)。○ 喉痹,针刺手少阴心经的神门穴(出自《本草纲目》)。○ 喉闭,针刺手足少阳经的井穴,即关冲穴、窍阴穴(出自李东垣著作)。○ 喉痹、乳蛾(扁桃体炎),取少商、照海、大冲穴(出自李东垣著作)。○ 咽喉闭塞,取照海穴(出自《灵枢》)。○ 牙关不开(张口困难),取阳灵穴放血即可痊愈(出自《备急千金要方·经验后方》)。○ 喉痹,取丰隆、涌泉、关冲、少商、隐白、少冲穴(出自《本草纲目》)。○ 多年反复发作的喉痹,男性灸左手大拇指指甲第一节二三小壮,女性灸右手(出自《丹溪心法》)。○ 根脚咽喉经常发作者,灸耳垂珠下半寸近腮骨处七壮,灸十四壮尤其妙效(出自《备急千金要方·经验后方》)。○ 足阳明胃经的络穴别名丰隆,其病表现为气逆则喉痹突然失音,适宜取此穴(出自《灵枢》)。
Acupuncture and Moxibustion methods from *Ling Shu*: For toothache not averse to drinking cold fluids, select points on the Foot Yangming Meridian; for upper toothache, apply the same method. For toothache averse to drinking cold fluids, select points on the Hand Yangming Meridian; for lower toothache, apply the same method. ○ The Hand Yangming Meridian has an acupoint entering the mouth to affect lateral teeth named Daying (Great Meeting); for lower tooth decay (dental caries), this point is selected. The Foot Taiyang Meridian has an acupoint entering the mouth to affect lateral teeth named Jiaosun (Corner Sun); for upper tooth decay, this point is selected (from *Beiji Qianjin Yaofang*). ○ The Luo-connecting point of the Hand Yangming Meridian, also known as Pianli (Oblique Network), primarily treats cold toothache and pain; it is appropriate to select this point (from *Huangdi Neijing*). ○ For toothache, moxibustion at Taixi (Supreme Stream) in the alveolar region treats upper toothache; moxibustion at Erjian (Second Intercalary) treats lower toothache; needle insertion at Weizhong (Bladder Pool) is also effective. Additionally, moxibustion at the two sharp points of the medial malleolus treats upper toothache; Longxuan (Dragon Mystery), located above Lieque (Broken Sequence) within the blue vein, treated with moxibustion, treats lower toothache; Chengjiang (Grasping Water), Fengfu (Wind Palace), Hegu (Joining Valley), and Neiting (Inner Court) treat upper toothache (from *Bencao Gangmu*). ○ For toothache, moxibustion at Lieque seven moxa cones ensures no recurrence of pain; additionally, moxibustion at Jianyu (Shoulder Bone) seven moxa cones; additionally, moxibustion three moxa cones below the earlobe on the bone ending the jaw (from *Beiji Qianjin Yaofang*). ○ To treat toothache, measure the distance from the tip of the middle finger to the distal palmar crease with a thread, fold it into four parts, discard three parts, and use the remaining one part to locate a point on the arm behind the crease for moxibustion of three moxa cones, applied bilaterally according to the side of pain (from *Beiji Qianjin Yaofang*). ○ For toothache, moxibustion three moxa cones in the depression posterior to the base of the thumb when flexed; initially, pain increases upon first application, sound is heard in the teeth upon second application, and pain ceases permanently after third application; this is likely the Yangxi (Yang Stream) point, applying left-side treatment for right-side pain and vice versa (from *Zisheng Jing*). ○ For toothache unresponsive to all medicines, moxibustion three moxa cones under both earlobes stops pain immediately (from *Yizong Bidu*). ○ For oral ulcers and erosions, moxibustion at Chengjiang (Grasping Water) (from *Yixue Zhengchuan*).
Acupuncture and Moxibustion methods for throat obstruction: Needle insertion at Shaoshang (Lesser Shang), Hegu (Joining Valley), and Chize (Elbow Marsh) (from *Danxi Xinfa*). ○ Pharyngeal bi syndrome is caused by stagnant evil blood; using bian stones to release evil blood is the best strategy (from *Bencao Gangmu*). ○ For swelling and bi syndrome of the throat and pharynx, needle insertion at Fengfu (Wind Palace) treats various throat diseases and severe conditions such as toxic vapors returning to the heart, proving universally effective; additionally, needle insertion at Shaoshang (Lesser Shang) treats throat swelling and pain; additionally, needle insertion at Hegu (Joining Valley); additionally, needle insertion at Shangxing (Upper Star) treats cheek swelling and strangling wind throat; additionally, needle insertion at Zusanli (Leg Three Miles) (from *Beiji Qianjin Yaofang*). ○ For throat bi, needle insertion at Shenmen (Spirit Gate), the Shu-stream point of the Hand Shaoyin Heart Meridian (from *Bencao Gangmu*). ○ For throat obstruction, needle insertion at the Jing-well points of the Hand and Foot Shaoyang meridians, namely Guanchong (Gate Conveyance) and Xiaoyin (Small Yin) (from Li Dongyuan's works). ○ For throat bi and tonsillitis (millet-like swelling), select Shaoshang (Lesser Shang), Zhaohai (Shining Sea), and Dachong (Great Surge) (from Li Dongyuan's works). ○ For throat blockage, select Zhaohai (Shining Sea) (from *Ling Shu*). ○ For trismus (lockjaw), bleeding from Yangling (Yang Spring) leads to immediate recovery (from *Beiji Qianjin Yaofang*). ○ For throat bi, select Fenglong (Abundant Bulge), Yongquan (Gushing Spring), Guanchong (Gate Conveyance), Shaoshang (Lesser Shang), Yinbai (Hidden White), and Shaochong (Lesser Convergence) (from *Bencao Gangmu*). ○ For chronic recurrent throat bi, males are moxibusted on the first segment of the left thumb nail bed with two or three small moxa cones, while females are treated on the right hand (from *Danxi Xinfa*). ○ For recurrent root-of-throat conditions, moxibustion seven moxa cones half a cun below the earlobe near the zygomatic bone; fourteen moxa cones are particularly effective (from *Beiji Qianjin Yaofang*). ○ The Luo-connecting point of the Foot Yangming Stomach Meridian, also known as Fenglong (Abundant Bulge), manifests as qi rebellion causing sudden throat bi and aphonia; it is appropriate to select this point (from *Ling Shu*).