针法干霍乱刺委中(穴名)出血或十指头(诸经方穴)出血皆是良法(正传)○绞肠沙证手足
厥冷
腹痛不可忍者以手蘸温水于病者膝腕上拍打有紫黑点处以针刺去恶血即愈验○又法用麻弦
小
行弓蘸香油或热水刮手足胸背额项即愈验○干霍乱者乃寒湿太甚脾被绊而不能动气被郁而不
能行所以卒痛而手足厥冷俗名绞肠沙者盖言痛之甚也北方刺青筋以出气血南方刮胸背手足以
行气血俱能散病然出气血不如行气血之为愈也(丹心)○又治绞肠沙刺血法详见救急门(入门)
灸法霍乱转筋入腹手足厥冷气欲绝以盐填脐中大艾炷灸之不计壮数立效(得效)○霍
乱已死
而腹中有暖气者作上法灸之亦苏(医鉴)○又法灸气海二七壮妙(得效)○霍乱吐泻不止垂死灸
天枢气海中脘立愈(正传)○霍乱诸法不效灸大椎即效(纲目)○霍乱已死但有暖气者灸承筋
七壮立苏(纲目)
针灸法呕吐无度并干呕不止尺泽大陵皆灸三壮又灸乳下一寸三十壮又灸间使三十壮若四
肢厥
冷脉沉绝灸间使便通此回生起死之法(得效)○善呕呕有苦者邪在胆通在胃取三里阳陵泉(内
经)○吐食不化取上脘中脘下脘(东垣)○反胃神效膏肓俞灸百壮膻中三里各灸七壮(回春)○
又取劳宫中魁腕骨心俞中脘(纲目)○今日食明日吐取心俞膈俞膻中巨阙中脘(纲目)○五噎五
膈取天突膻中心俞上脘中脘下脘脾俞胃俞通关中魁大陵三里(纲目)○反胃灸肩井三壮即愈乃
神灸也(回春)○又取水分气海灸之(资生)
针灸治疗干霍乱，可针刺委中穴出血，或刺十指尖端（各经井穴）出血，都是良法（出自《针灸正传》）。
绞肠沙证候表现为手足厥冷、腹痛剧烈难以忍受。可用手蘸温水在患者膝部和腕部拍打，若出现紫黑色斑点，用针刺破放出恶血即可痊愈，疗效确切。
另一种方法：用麻线小弓蘸取香油或热水，刮拭患者的手足、胸背、额头及颈部，即可痊愈，疗效确切。
所谓干霍乱，是因为寒湿之气过重，脾脏被束缚而不能运化，气机被郁滞而不能运行，所以突然发生剧痛且手足厥冷。俗称“绞肠沙”，是形容疼痛之剧烈。北方地区通过刺破青筋放血以疏通气血，南方地区通过刮拭胸背手足以行气活血，都能散除病邪。然而，放出瘀血不如行气活血的效果更好（出自《针灸丹心》）。
艾灸治疗霍乱转筋（肌肉痉挛），牵引至腹部，手足厥冷，气息微弱欲绝者，用盐填满脐中，用大艾炷施灸，不限壮数，立竿见影（出自《针灸得效集》）。
霍乱看似死亡但腹中尚有暖气者，采用上述方法施灸，也能苏醒（出自《医鉴》）。
另一种方法：灸气海穴十四壮，效果奇妙（出自《针灸得效集》）。
霍乱吐泻不止，濒临死亡者，灸天枢、气海、中脘穴，可立即痊愈（出自《针灸正传》）。
霍乱的各种治疗方法无效时，灸大椎穴即见效（出自《针灸纲目》）。
霍乱已死但尚有暖气者，灸承筋穴七壮，立即苏醒（出自《针灸纲目》）。
针灸治疗呕吐无度并伴有干呕不止，可灸尺泽、大陵穴各三壮；又灸乳下一寸处三十壮；又灸间使穴三十壮。若四肢厥冷、脉象沉伏摸不到，灸间使穴后大便通畅，这是起死回生的方法（出自《针灸得效集》）。
善于呕吐，呕吐物有苦味，说明邪气在胆，影响胃腑，取足三里、阳陵泉穴（出自《黄帝内经》）。
反胃症，神效膏肓俞穴灸百壮，膻中、足三里各灸七壮（出自《针灸回春》）。
今日吃的食物明日吐出，取心俞、膈俞、膻中、巨阙、中脘穴（出自《针灸纲目》）。
Acupuncture treatment for Gan Huoluan (Dry Cholera) involves pricking the Weizhong (BL40) acupoint to bleed, or pricking the tips of the ten fingers (Jing-Well points of all meridians) to bleed; both are excellent methods (from *Zhenjiu Zhengzhuan*).
For Jiaochangsha (Intestinal Colic Syndrome), characterized by cold extremities and unbearable abdominal pain, one may dip hands in warm water and slap the patient's knees and wrists. Where purple-black spots appear, prick with a needle to discharge evil blood; this cures it effectively.
Another method: use a small hemp bow dipped in sesame oil or hot water to scrape the patient's limbs, chest, back, forehead, and neck; this cures it effectively.
Gan Huoluan (Dry Cholera) occurs when cold-dampness is excessive, binding the Spleen so it cannot move, and stagnating Qi so it cannot flow, resulting in sudden severe pain and cold extremities. It is colloquially called Jiaochangsha, describing the severity of the pain. In northern regions, piercing blue veins to release blood and Qi is practiced; in southern regions, scraping the chest, back, limbs, and hands to promote the movement of Qi and Blood is used. Both can disperse pathogenic factors, yet promoting the movement of Qi and Blood is superior to merely releasing blood (from *Zhenjiu Danxin*).
Additionally, the bloodletting method for treating Jiaochangsha is detailed in the Emergency Rescue section of *Zhenjiu Rumeng*.
Moxibustion for Huoluan (Cholera) with tendon contraction pulling into the abdomen, cold extremities, and faint breath: fill the umbilicus with salt and apply large moxa cones; do not limit the number of moxibustions (Zhuang); immediate effect is seen (from *Zhenjiu Dexiao*).
If Huoluan appears fatal but warmth remains in the abdomen, applying the above moxibustion method will also revive the patient (from *Yijian*).
Another method: moxibustion on Qihai (CV6) for fourteen Zhuang yields miraculous results (from *Zhenjiu Dexiao*).
For Huoluan with incessant vomiting and diarrhea, nearing death, moxa the Tianshu (ST25), Qihai (CV6), and Zhongwan (CV12) acupoints; immediate recovery ensues (from *Zhenjiu Zhengzhuan*).
When various treatments for Huoluan fail, moxa the Dazhui (GV14) acupoint for effectiveness (from *Zhenjiu Gangmu*).
If Huoluan seems fatal but warmth remains, moxa the Chengjin (BL56) acupoint for seven Zhuang for immediate revival (from *Zhenjiu Gangmu*).
For acupuncture and moxibustion treatment of incessant vomiting and dry heaving: moxa the Chize (LU5) and Daling (PC7) acupoints, three Zhuang each; also moxa thirty Zhuang at one cun below the nipple; also moxa the Jianshi (PC5) acupoint thirty Zhuang. If extremities are cold and the pulse is deep and imperceptible, moxa Jianshi until bowel movements normalize; this is a life-saving method (from *Zhenjiu Dexiao*).
For frequent vomiting with bitter taste, indicating pathogen in the Gallbladder affecting the Stomach, select Zusanli (ST36) and Yanglingquan (GB34) (from *Huangdi Neijing*).
For vomiting undigested food, select Shangwan (CV13), Zhongwan (CV12), and Xiawan (CV10) (from Li Dongyuan).
For Fanwei (Reverse Flow/Stomach Reversal), Shenxiao: moxa Gongsun (BL43) one hundred Zhuang, and Danzhong (CV17) and Zusanli (ST36) seven Zhuang each (from *Zhenjiu Huichun*).
Alternatively, select Laogong (PC8), Zhongkui, Wangu, Xinxu (BL15), and Zhongwan (CV12) (from *Zhenjiu Gangmu*).
For vomiting today's food tomorrow, select Xinxu (BL15), Ge Shu (BL17), Danzhong (CV17), Juque (CV14), and Zhongwan (CV12) (from *Zhenjiu Gangmu*).
For Wu Ye (Five Dysphagias) and Wu Ge (Five Obstructions), select Tiantu (CV22), Danzhong (CV17), Xinxu (BL15), Shangwan (CV13), Zhongwan (CV12), Xiawan (CV10), Pishu (BL20), Weishu (BL21), Tongguan, Zhongkui, Daling (PC7), and Zusanli (ST36) (from *Zhenjiu Gangmu*).
For Fanwei (Stomach Reversal), moxa Jianjing (GB21) three Zhuang for immediate cure; this is considered a divine moxibustion (from *Zhenjiu Huichun*).
Alternatively, moxa Shuifen (CV9) and Qihai (CV6) (from *Zhenjiu Zisheng*).