见患者不断呕逆，并声大气粗，口角出涎沫，额两旁太阳穴处青筋暴露，貌若怒颜，眼睛呆视，汗出如珠，小便自遗，舌质谈少苔，面色红赤。
按盛夏季节及红赤面色应得“洪脉”今诊候得左、右寸口动脉将绝，仅关、尺部微微脉波似有若无。诊候得左、右人迎的动脉盛大之象达到四倍，寸、关二部脉象特盛而尺部较其次之。
根据脉象，笔者认为患者的三阴经脉将绝却由足阳明胃经“越轨”而脱出。虽然诊察得足阳明胃经之经气盛不可遏，却不可用泻盛调治，应当急切拯救足三阴的机能运动以挽回欲绝之阳以固守脱越。故急用补针法取左右阴陵泉及三阴交，由于未备艾灸条，速燃香烟而输流温针，同时用手指按压两足的内庭穴，以导引阳面的经气下降而转入阴经。按引阳济阴为宗旨治疗20分钟后，患者的各症好转病退大半，并能握着我手致谢，复察患者两寸口的关，尺部脉波微增，但两寸部仍无脉；其左、右人迎的脉力虽减但还盛大博指。
停止治疗观察20分钟以后，其患者的病症复发如故，再诊察病者的阴、阳动脉又复原来脉象。
笔者寻思其三阴经不能正运而竭绝于内的根源，主要是在反运动时由足阳明胃经逆越上脱所致，决定第二次治疗，采用强烈的火灸法猛转阳明胃经以进入太阴脾经。仍遵引阳济阴以加强脾经为目的，(还是在阴经取穴)因无艾条取用棉布裹成约1cm条状醮麻油燃烧施灸。先灸右阴陵泉，后灸左阴陵泉，如此反复三遍，最后灸太仓(中脘穴)二遍。经用直接灸法强烈刺激治疗后约10分钟病愈。复察患者脉象，两脉口的寸、关、尺三部脉出；两人迎之盛大脉象亦平。后走访患者病未再发，但灸疮发炎历经月余才愈。体会：此病症我在临床中初见，发病急骤，病情危重，乃急性“大厥”暴脱之证。《素问、调经论篇》云：“血之与气并走于上，则为大厥，厥则暴死，气复反则生，不反则死。”按此证开始就应当用强烈火灸法以“猛转气机回厥”治疗，故开始采用的温针补法，是多余的施治。
笔者如不明“十二经脉”的阴、阳、正、负之圆活机理，定不能正确的在足太阴“脾经”取穴而挽救这一危症，若不通过“脉口、人迎”之阴阳脉象的盛衰确诊，也难以挽回这一危症。因患者的症状在外观表现上：如面色红赤、气粗、出涎沫、呕吐等，全属“胃气上逆之”。症候，如果认为是胃气上逆而误取“足三里穴”来降逆和胃，此患者定会在“针刺得气之时”即使微弱的内三阴经气“向外绝尽”而亡。就违犯“五脏之气已绝于内，而用针者反实其外禁戒。所以救治阴、阳暴脱之危症，犹如火车将要越轨，是在生、死立判之际，施针灸者，必当按照明、阳经脉之正、负运动道理给予转化归正的调治，即能取得立杆见影之效。
后补充体会：以上病案是贫道初次治疗“大厥”暴脱症，尚缺乏治疗经验，故第一次用温针法取”三阴交”，是错误的取穴。因在当时认为，两脉口之阴脉将绝，温针“三阴交”以补充三阴经的经气。但之后醒悟到其“三阴交”穴位，低于足阳明胃经之“丰隆别穴”的水平线，故属错误的取穴。理当取“丰隆别穴”水平线以上的之“脾经俞穴，如地机、阴陵泉、血海穴等，才为正确的选穴。放第二次用“直接火灸法”未取三阴交的穴位，仅取阴陵泉中脘穴而治愈。按这种“大厥”暴脱急症，若不经过救治其患者必然死亡；但通过治疗若不能将“盛经之气转归于虚经”亦必然死亡。所以拯救这种“大厥”暴脱之症，必须要根据脉口、人迎之阴、阳脉象的盛衰现象而确定出治疗方法。
(二)例二
钱××，男，38岁，住太子坡。1985年9月4日就诊。患者自述于1985年8月18日发生疝气疼痛，两睾丸肿胀。经中、西医治疗半月无效，医治期间，医生曾用艾灸“大墩穴”治疗亦无效。并且两睾丸肿胀增加疼痛加剧。
脉候左右脉口的“寸部”独现紧涩脉象，而关、尺二部动脉缓和；左、右人迎的“尺部”独现紧涩脉象，而关、寸二部动脉缓和。前人经验：治疝气病用艾灸“大墩穴”固然疗效甚佳，根据贫道灸大墩穴治愈多例疝气病的脉象情况，其脉口动脉之尺部多为紧涩、紧迟、或紫细小等。今患者的左右脉口之关，尺二部动脉无紧象，可证明足厥阳经脉的下端无寒气凝滞。唯独在两寸部紧涩，证明足厥阴经脉的上端为寒所郁结。其人迎动脉的两尺部紧涩，能证明足少阳经脉之下端为寒凝阻。决定用灸法兼刺法调治。
艾灸地五会，窍阴(双)各三壮，次灸玉堂三壮，膻中一壮。后针鱼际穴(双)行补针法留针15分钟。针后静息10分钟复察左、右阴阳脉象、其脉口的寸部人迎的尺部之紧涩脉象转变缓和。二诊于1985年9月6日，经前日用针，灸法治疗之后，患者的睾丸疼痛，肿胀均减轻大半，诊察左右阴阳脉象，其两脉口的寸部及两人迎的尺部之紧涩脉象大有好转，还呈现轻微的紧涩现象。复遵前法用针、灸调治而愈再未复发。
体会：此病例调受病之足厥阳与足少阳，何以又用针刺调肺经的“鱼际穴”呢？因为足厥阴肝经之支脉上通肺经，《灵枢·经脉篇》云：“其支者、复从肝、别贯隔、上注肺。”故取手太阴之“鱼际穴”以导引肝气通于肺经可使肝经的经气流通无碍。然亦与用辛味之药物而疏肝同理，因辛味药品入肺反而能够流肝。从脉认证按理施法，放获捷效。
(三)例三
董××。男。28岁。浙江省雕刻工人。1983年7月
15日就诊。
病症：右睾丸疼痛、肿胀下坠，腰不能伸、伸即痛连小腹，舌苔薄白舌质淡红。患者发病后经西医治疗四天无效。
脉候：左寸口、左人迎的寸、关尺三部的阴阳动脉出入升降相等，脉波现二倍宽度兼紧象。右寸口的动脉、寸部浮紧而关、尺两部异常“紧小”右人迎寸关尺三部脉沉而紧。
历代医家论“疝气病邪”多在肝经。由于足厥阴的经脉：“循股阴人毛中、过阴器、抵小腹。”今患者的阴、阳动脉都现紧象，脉紧为寒。按右寸口的“尺部”独显“紧小”脉象故诊断为足厥阴的经脉、受寒气侵袭而病。
采用艾条施灸治疗，先灸右侧的行间与大墩穴10分钟，次灸右侧的液门与关冲穴2分钟。艾火与皮肤表面的距离，可近可远以病人能够感到温热适宜为度。温灸之后当时复诊脉，觉得右寸口尺部的“紧小”脉象，较前有所松缓。
如以上艾灸法每日一次，治疗三天后，该患者右睾丸的疼痛、肿胀逐日减轻，左右阴阳的紧脉象也逐日转化成缓象，最后经服一剂通经散寒行气利湿的中草药而收功。处方：土茯苓20克，制川乌5克玄胡、乌药、青皮、川牛膝、炒橘核、川楝子、各10克，桂枝9克，白茯苓15克。一星期后随访，患者自告全愈。
(四)例四
赵××，女，57岁，朝山香客。于1992年7月7日夜诊。
症状：患者在道协旅社睡眠之后突然发生腹痛难忍，心胸不安，继而上吐下泄。
脉候：诊得左右脉口的关、寸二部动脉往来明显，唯独两尺部涩滞少脉；诊右人迎的动脉尺大而寸小，左人迎的动脉寸大而尺小。乃阴阳气机运动失常而乱于肠胃、故表现以上脉症。
从足太阴经与足阳明经取穴用针法施治：取左右公孙穴、左右天枢穴；取右侧的人迎穴、左侧的足三里。共留针25分钟而诸症消失。静息10分钟复察阴阳动脉、两脉口与两人迎之寸、关、尺三部的脉象正反往来运动均衡。次日随访，患者言：经针疗后诸症好转，仅泻过一次而愈。
(五)例五
魏××。男。12岁。住河南省新乡市。1995年8月16日就诊。
症状：左侧面瘫，口向右歪，左眼闭合不全并流泪，饮食舌不能随意灵活。经本地医治三月有余疗效不佳而前来武当道教诊所求医。
脉候：左右脉口三部的动脉往来和平，右人迎的动脉亦和，独诊得左人迎寸部的动脉：大而坚强有力，显三倍的现象。经云：“候虚实之所在者，能得病之高下”。证明病症与脉象都显现于左侧的上部。
即采取用针刺法以祛病邪，兼服“牵正散”为辅佐医疗。针刺左侧面部的四白、迎香、地仓、颊车，在得气的同时即行泻法出针。出针时随即用中指弹针眼五至七下、令针眼流出一滴血为宜；或用手指挤压针眼出一滴血，若见流出的血色紫黑可令出二、三滴血以泻病邪。每天针疗一次，经过五次用泻针法调治其各症基本消除，仅外观上只略有一点歪斜。复察左人迎寸部动脉其，大而坚强的脉象消失并趋向平衡。
经日：“能知虚石之坚软者、知补泻之所在”。今据左人迎寸部动脉的坚实脉象而取治左侧面部穴位，用泻针疗效甚速，由此可以说明古代圣人们对脉口人迎之阴、阳经脉的正确认识及运用。
经过二月后其患者的父亲前来相告，回家后七天左右面部的歪斜已恢复正常。
(六)例六
崔××，男，18岁，道教徒。干1984年9月20日初诊。症状：四年前因患黄疸肝炎后而留下后遗症，历经四年多来常有心热烦躁，左胁下满、时而腹痛，多汗口渴喜热饮，舌质深红苔微黄，大便正常，小便黄色。经过多方治疗无效而请我医治。阴、阳脉候：滑数，均呈一倍的动脉现象，唯独诊得左脉口之尺部、滑数有力；右人迎之尺部、滑数有力。断定左侧的肝经有蕴热，右侧的胆经有余热。采用用泻针法调治，先取左侧的太冲穴；后取右侧的阳陵泉与丘墟穴。针后静息10分钟复查患者的阴、阳动脉，其左脉口之“尺部”、右人迎之“尺部”的滑数有力脉象均有减退。按以上用泻针刺法调治五次，患者感觉诸症悉除。复查患者左右脉口、左右人迎的脉象，其阴阳四处的脉波往来和平。
针灸治病体会
贫道多年来在用针灸治病的实践中，定要根据阴阳脉象的盛衰现象，来作针灸施治的补、泻依据。故脉象独盛之部、当是实邪处；独衰之部、即是虚弱处。
治疗实邪当用泻针法治疗，调治之后静息片刻，(约10分钟左右)应复查其“盛坚脉波”、如有减退现象为有疗效。经云：“泻者益虚，虚者脉大如其故而不坚也……”若诊得依然像未经针调之前的“盛坚脉波”、为设有疗效。如果其病邪太甚，通过用针调治后、在当时复查脉象较以前减轻，但到次日查脉、症，依然复反如前亦为有效，乃病邪太甚之故，持久执行泻盛调治、则病邪必然衰退。所以调治实邪，必须治疗到其症、脉不再复炽并达到阴阳和平为全愈。
治疗虚弱处：应用补针法治疗，经调治之后，当复查其“虚弱脉波”、如有增强现象为有疗效。经云：“言补者必然若有得也……”若经调治后、其“虚弱脉波”依然如故为无疗效。如果某阴、阳经气虚甚，通过调治之后，在当时复查脉象有增强现象，但到次日查脉、症，依然虚如前亦为有效，乃该经太虚之故，持久执行补虚调治脉症必然恢复健康。故治疗虚弱处，定要调治到其脉、症不再退化、并且充足为全愈。所以用针灸调治虚、实等病，就没有一定之规，而是以愈为度。
用针灸法调治“虚弱的经脉”，又必须辨清：是阴经虚则阳经盛；是阳经虚则阴经盛。才可采用针灸法以补虚泻实来调和阴阳经脉。针疗时应遵古训，先补充其“虚经”、后泻其“盛经”以和之。如果诊察患者的阴、阳脉象双方平均下降衰退，即不应当采取针法施治。经云：“阴阳形气具不足，勿取以针，而调以甘药也。”故阴阳经气双虚的病人，当用“甘温药品”以补充阴阳气血；若强加于用针刺法治疗，易导致昏针或不良后果。
(七)例七
熊XX，男，29岁，住公安县红专三队。于1979年8月19日就诊。症状：两天前起病，右侧乳下肋间内部疼痛，吸气时疼痛更甚。其饮食及大、小便均如常。
脉候：诊得右脉口及右人迎的动脉、升降往来均衡。左脉口动脉的往来也比较和平，仅感到寸部微显浮象，左人迎寸、关二部的脉象也不太盛，唯独诊得“尺部沉大有力”。经云：“别于阳者知病处”所以在脉诊诊断中、凡是显现独特脉象之部位为患病之处。今患病者的疼痛在于“右侧”，其病脉现象却在于“左侧”。遵照古圣人的教导，用“右病取左”的“巨刺法”调治：针刺左侧足三里穴，采取“透天凉针法”泻之，针完患者的疼痛捎失。静息10分钟左右，复察患者左人迎的“尺部动脉”沉大有力之脉象消失转和。越三日走访患者，病未再发。此病例脉、症特殊，仅取一穴而愈，实有一定的临床指导意义。此症若不诊查人迎脉、便难诊断病在何经，更难采用“巨刺”治法。由此可见诊察人迎脉的重要性。
(八)附：针灸调治小结
以上病例，有的是多年前，我初发现“十二经脉”机理时，在缺乏现代医疗设备的条件下，采用土方土法按“十二经脉”的道理针灸施治，其它的病例，疗程期短。治法简要、易于记住，也是贫道在临床中所迂见的普通病例。因依据十二经脉的正、负机理来调治患者的左、右、上、下、阴、阳偏差，所以皆获良效。
见患者不断呕逆，并声大气粗，口角出涎沫，额两旁太阳穴处青筋暴露，貌若怒颜，眼睛呆视，汗出如珠，小便自遗，舌质淡少苔，面色红赤。
根据盛夏季节及红赤面色应得“洪脉”（夏季正常的脉象，来盛去衰），今诊候得左、右寸口动脉将绝，仅关、尺部微微脉波似有若无。诊候得左、右人迎的动脉盛大之象达到四倍，寸、关二部脉象特盛而尺部较其次之。
根据脉象，笔者认为患者的三阴经脉（足太阴脾经、足少阴肾经、足厥阴肝经）将绝却由足阳明胃经“越轨”而脱出。虽然诊察得足阳明胃经之经气盛不可遏，却不可用泻盛调治，应当急切拯救足三阴的机能运动以挽回欲绝之阳以固守脱越。故急用补针法取左右阴陵泉及三阴交，由于未备艾灸条，速燃香烟而输流温针，同时用手指按压两足的内庭穴，以导引阳面的经气下降而转入阴经。按引阳济阴为宗旨治疗20分钟后，患者的各症好转病退大半，并能握着我手致谢，复察患者两寸口的关，尺部脉波微增，但两寸部仍无脉；其左、右人迎的脉力虽减但还盛大博指。
停止治疗观察20分钟以后，其患者的病症复发如故，再诊察病者的阴、阳动脉又复原来脉象。
笔者寻思其三阴经不能正运而竭绝于内的根源，主要是在反运动时由足阳明胃经逆越上脱所致，决定第二次治疗，采用强烈的火灸法猛转阳明胃经以进入太阴脾经。仍遵引阳济阴以加强脾经为目的，(还是在阴经取穴)因无艾条取用棉布裹成约1cm条状醮麻油燃烧施灸。先灸右阴陵泉，后灸左阴陵泉，如此反复三遍，最后灸太仓(中脘穴)二遍。经用直接灸法强烈刺激治疗后约10分钟病愈。复察患者脉象，两脉口的寸、关、尺三部脉出；两人迎之盛大脉象亦平。后走访患者病未再发，但灸疮发炎历经月余才愈。体会：此病症我在临床中初见，发病急骤，病情危重，乃急性“大厥”暴脱之证。《素问、调经论篇》云：“血之与气并走于上，则为大厥，厥则暴死，气复反则生，不反则死。”按此证开始就应当用强烈火灸法以“猛转气机回厥”治疗，故开始采用的温针补法，是多余的施治。
笔者如不明“十二经脉”的阴、阳、正、负之圆活机理，定不能正确的在足太阴“脾经”取穴而挽救这一危症，若不通过“脉口、人迎”之阴阳脉象的盛衰确诊，也难以挽回这一危症。因患者的症状在外观表现上：如面色红赤、气粗、出涎沫、呕吐等，全属“胃气上逆之”。症候，如果认为是胃气上逆而误取“足三里穴”来降逆和胃，此患者定会在“针刺得气之时”即使微弱的内三阴经气“向外绝尽”而亡。就违犯“五脏之气已绝于内，而用针者反实其外禁戒。所以救治阴、阳暴脱之危症，犹如火车将要越轨，是在生、死立判之际，施针灸者，必当按照明、阳经脉之正、负运动道理给予转化归正的调治，即能取得立杆见影之效。
后补充体会：以上病案是贫道初次治疗“大厥”暴脱症，尚缺乏治疗经验，故第一次用温针法取”三阴交”，是错误的取穴。因在当时认为，两脉口之阴脉将绝，温针“三阴交”以补充三阴经的经气。但之后醒悟到其“三阴交”穴位，低于足阳明胃经之“丰隆别穴”的水平线，故属错误的取穴。理当取“丰隆别穴”水平线以上的之“脾经俞穴，如地机、阴陵泉、血海穴等，才为正确的选穴。放第二次用“直接火灸法”未取三阴交的穴位，仅取阴陵泉中脘穴而治愈。按这种“大厥”暴脱急症，若不经过救治其患者必然死亡；但通过治疗若不能将“盛经之气转归于虚经”亦必然死亡。所以拯救这种“大厥”暴脱之症，必须要根据脉口、人迎之阴、阳脉象的盛衰现象而确定出治疗方法。
(二)例二
钱××，男，38岁，住太子坡。1985年9月4日就诊。患者自述于1985年8月18日发生疝气疼痛，两睾丸肿胀。经中、西医治疗半月无效，医治期间，医生曾用艾灸“大墩穴”治疗亦无效。并且两睾丸肿胀增加疼痛加剧。
脉候左右脉口的“寸部”独现紧涩脉象，而关、尺二部动脉缓和；左、右人迎的“尺部”独现紧涩脉象，而关、寸二部动脉缓和。前人经验：治疝气病用艾灸“大墩穴”固然疗效甚佳，根据贫道灸大墩穴治愈多例疝气病的脉象情况，其脉口动脉之尺部多为紧涩、紧迟、或紫细小等。今患者的左右脉口之关，尺二部动脉无紧象，可证明足厥阳经脉的下端无寒气凝滞。唯独在两寸部紧涩，证明足厥阴经脉的上端为寒所郁结。其人迎动脉的两尺部紧涩，能证明足少阳经脉之下端为寒凝阻。决定用灸法兼刺法调治。
艾灸地五会，窍阴(双)各三壮，次灸玉堂三壮，膻中一壮。后针鱼际穴(双)行补针法留针15分钟。针后静息10分钟复察左、右阴阳脉象、其脉口的寸部人迎的尺部之紧涩脉象转变缓和。二诊于1985年9月6日，经前日用针，灸法治疗之后，患者的睾丸疼痛，肿胀均减轻大半，诊察左右阴阳脉象，其两脉口的寸部及两人迎的尺部之紧涩脉象大有好转，还呈现轻微的紧涩现象。复遵前法用针、灸调治而愈再未复发。
体会：此病例调受病之足厥阳与足少阳，何以又用针刺调肺经的“鱼际穴”呢？因为足厥阴肝经之支脉上通肺经，《灵枢·经脉篇》云：“其支者、复从肝、别贯隔、上注肺。”故取手太阴之“鱼际穴”以导引肝气通于肺经可使肝经的经气流通无碍。然亦与用辛味之药物而疏肝同理，因辛味药品入肺反而能够流肝。从脉认证按理施法，放获捷效。
(三)例三
董××。男。28岁。浙江省雕刻工人。1983年7月
15日就诊。
病症：右睾丸疼痛、肿胀下坠，腰不能伸、伸即痛连小腹，舌苔薄白舌质淡红。患者发病后经西医治疗四天无效。
脉候：左寸口、左人迎的寸、关尺三部的阴阳动脉出入升降相等，脉波现二倍宽度兼紧象。右寸口的动脉、寸部浮紧而关、尺两部异常“紧小”右人迎寸关尺三部脉沉而紧。
历代医家论“疝气病邪”多在肝经。由于足厥阴的经脉：“循股阴人毛中、过阴器、抵小腹。”今患者的阴、阳动脉都现紧象，脉紧为寒。按右寸口的“尺部”独显“紧小”脉象故诊断为足厥阴的经脉、受寒气侵袭而病。
采用艾条施灸治疗，先灸右侧的行间与大墩穴10分钟，次灸右侧的液门与关冲穴2分钟。艾火与皮肤表面的距离，可近可远以病人能够感到温热适宜为度。温灸之后当时复诊脉，觉得右寸口尺部的“紧小”脉象，较前有所松缓。
如以上艾灸法每日一次，治疗三天后，该患者右睾丸的疼痛、肿胀逐日减轻，左右阴阳的紧脉象也逐日转化成缓象，最后经服一剂通经散寒行气利湿的中草药而收功。处方：土茯苓20克，制川乌5克玄胡、乌药、青皮、川牛膝、炒橘核、川楝子、各10克，桂枝9克，白茯苓15克。一星期后随访，患者自告全愈。
(四)例四
赵××，女，57岁，朝山香客。于1992年7月7日夜诊。
症状：患者在道协旅社睡眠之后突然发生腹痛难忍，心胸不安，继而上吐下泄。
脉候：诊得左右脉口的关、寸二部动脉往来明显，唯独两尺部涩滞少脉；诊右人迎的动脉尺大而寸小，左人迎的动脉寸大而尺小。乃阴阳气机运动失常而乱于肠胃、故表现以上脉症。
从足太阴经与足阳明经取穴用针法施治：取左右公孙穴、左右天枢穴；取右侧的人迎穴、左侧的足三里。共留针25分钟而诸症消失。静息10分钟复察阴阳动脉、两脉口与两人迎之寸、关、尺三部的脉象正反往来运动均衡。次日随访，患者言：经针疗后诸症好转，仅泻过一次而愈。
(五)例五
魏××。男。12岁。住河南省新乡市。1995年8月16日就诊。
症状：左侧面瘫，口向右歪，左眼闭合不全并流泪，饮食舌不能随意灵活。经本地医治三月有余疗效不佳而前来武当道教诊所求医。
脉候：左右脉口三部的动脉往来和平，右人迎的动脉亦和，独诊得左人迎寸部的动脉：大而坚强有力，显三倍的现象。经云：“候虚实之所在者，能得病之高下”。证明病症与脉象都显现于左侧的上部。
即采取用针刺法以祛病邪，兼服“牵正散”为辅佐医疗。针刺左侧面部的四白、迎香、地仓、颊车，在得气的同时即行泻法出针。出针时随即用中指弹针眼五至七下、令针眼流出一滴血为宜；或用手指挤压针眼出一滴血，若见流出的血色紫黑可令出二、三滴血以泻病邪。每天针疗一次，经过五次用泻针法调治其各症基本消除，仅外观上只略有一点歪斜。复察左人迎寸部动脉其，大而坚强的脉象消失并趋向平衡。
经日：“能知虚石之坚软者、知补泻之所在”。今据左人迎寸部动脉的坚实脉象而取治左侧面部穴位，用泻针疗效甚速，由此可以说明古代圣人们对脉口人迎之阴、阳经脉的正确认识及运用。
经过二月后其患者的父亲前来相告，回家后七天左右面部的歪斜已恢复正常。
(六)例六
崔××，男，18岁，道教徒。干1984年9月20日初诊。症状：四年前因患黄疸肝炎后而留下后遗症，历经四年多来常有心热烦躁，左胁下满、时而腹痛，多汗口渴喜热饮，舌质深红苔微黄，大便正常，小便黄色。经过多方治疗无效而请我医治。阴、阳脉候：滑数，均呈一倍的动脉现象，唯独诊得左脉口之尺部、滑数有力；右人迎之尺部、滑数有力。断定左侧的肝经有蕴热，右侧的胆经有余热。采用用泻针法调治，先取左侧的太冲穴；后取右侧的阳陵泉与丘墟穴。针后静息10分钟复查患者的阴、阳动脉，其左脉口之“尺部”、右人迎之“尺部”的滑数有力脉象均有减退。按以上用泻针刺法调治五次，患者感觉诸症悉除。复查患者左右脉口、左右人迎的脉象，其阴阳四处的脉波往来和平。
针灸治病体会
贫道多年来在用针灸治病的实践中，定要根据阴阳脉象的盛衰现象，来作针灸施治的补、泻依据。故脉象独盛之部、当是实邪处；独衰之部、即是虚弱处。
治疗实邪当用泻针法治疗，调治之后静息片刻，(约10分钟左右)应复查其“盛坚脉波”、如有减退现象为有疗效。经云：“泻者益虚，虚者脉大如其故而不坚也……”若诊得依然像未经针调之前的“盛坚脉波”、为设有疗效。如果其病邪太甚，通过用针调治后、在当时复查脉象较以前减轻，但到次日查脉、症，依然复反如前亦为有效，乃病邪太甚之故，持久执行泻盛调治、则病邪必然衰退。所以调治实邪，必须治疗到其症、脉不再复炽并达到阴阳和平为全愈。
治疗虚弱处：应用补针法治疗，经调治之后，当复查其“虚弱脉波”、如有增强现象为有疗效。经云：“言补者必然若有得也……”若经调治后、其“虚弱脉波”依然如故为无疗效。如果某阴、阳经气虚甚，通过调治之后，在当时复查脉象有增强现象，但到次日查脉、症，依然虚如前亦为有效，乃该经太虚之故，持久执行补虚调治脉症必然恢复健康。故治疗虚弱处，定要调治到其脉、症不再退化、并且充足为全愈。所以用针灸调治虚、实等病，就没有一定之规，而是以愈为度。
用针灸法调治“虚弱的经脉”，又必须辨清：是阴经虚则阳经盛；是阳经虚则阴经盛。才可采用针灸法以补虚泻实来调和阴阳经脉。针疗时应遵古训，先补充其“虚经”、后泻其“盛经”以和之。如果诊察患者的阴、阳脉象双方平均下降衰退，即不应当采取针法施治。经云：“阴阳形气具不足，勿取以针，而调以甘药也。”故阴阳经气双虚的病人，当用“甘温药品”以补充阴阳气血；若强加于用针刺法治疗，易导致昏针或不良后果。
(七)例七
熊XX，男，29岁，住公安县红专三队。于1979年8月19日就诊。症状：两天前起病，右侧乳下肋间内部疼痛，吸气时疼痛更甚。其饮食及大、小便均如常。
脉候：诊得右脉口及右人迎的动脉、升降往来均衡。左脉口动脉的往来也比较和平，仅感到寸部微显浮象，左人迎寸、关二部的脉象也不太盛，唯独诊得“尺部沉大有力”。经云：“别于阳者知病处”所以在脉诊诊断中、凡是显现独特脉象之部位为患病之处。今患病者的疼痛在于“右侧”，其病脉现象却在于“左侧”。遵照古圣人的教导，用“右病取左”的“巨刺法”调治：针刺左侧足三里穴，采取“透天凉针法”泻之，针完患者的疼痛捎失。静息10分钟左右，复察患者左人迎的“尺部动脉”沉大有力之脉象消失转和。越三日走访患者，病未再发。此病例脉、症特殊，仅取一穴而愈，实有一定的临床指导意义。此症若不诊查人迎脉、便难诊断病在何经，更难采用“巨刺”治法。由此可见诊察人迎脉的重要性。
(八)附：针灸调治小结
以上病例，有的是多年前，我初发现“十二经脉”机理时，在缺乏现代医疗设备的条件下，采用土方土法按“十二经脉”的道理针灸施治，其它的病例，疗程期短。治法简要、易于记住，也是贫道在临床中所迂见的普通病例。因依据十二经脉的正、负机理来调治患者的左、右、上、下、阴、阳偏差，所以皆获良效。
Upon observing the patient, there was continuous vomiting and retching, accompanied by loud breathing and coarse voice, saliva flowing from the corners of the mouth, distended blue veins at the temples on both sides of the forehead, a facial expression resembling anger, fixed gaze, sweating like beads, involuntary urination, a pale tongue with little coating, and a red complexion.
According to the midsummer season and the red complexion, one should expect a "Hong pulse" (a normal summer pulse characterized by being vigorous at the beginning and weak at the end). However, upon palpation, the radial artery pulses at the Cun Kou (Radial Pulse Position) on both left and right sides were nearly absent; only slight pulse waves were faintly perceptible at the Guan (Middle) and Chi (Cunaminal) positions. The carotid artery pulses at the Ren Ying (Carotid Pulse Position) on both left and right sides exhibited a magnificent image reaching four times the normal strength. The pulse images at the Cun and Guan positions were particularly strong, while the Chi position was comparatively weaker.
Based on the pulse diagnosis, this practitioner believes that the patient's Three Yin Meridians (Foot-Taiyin Spleen Meridian, Foot-Shaoyin Kidney Meridian, Foot-Jueyin Liver Meridian) are on the verge of exhaustion but have deviated and escaped due to the "overstepping" of the Foot-Yangming Stomach Meridian. Although the meridian qi of the Foot-Yangming Stomach Meridian is observed to be excessively vigorous and unstoppable, it should not be treated by draining excess. Instead, urgent measures must be taken to rescue the functional movement of the Foot-Three Yin Meridians to retrieve the Yang Qi about to perish and secure the escaping essence. Therefore, tonification needle techniques were urgently applied to select Yinlingquan (SP9) and Sanyinjiao (SP6) on both sides. Due to the lack of moxa sticks, incense smoke was quickly ignited to deliver warm needle therapy. Simultaneously, the Neiting (ST44) acupoints on both feet were pressed with fingers to guide the meridian qi of the Yang aspect downward and into the Yin meridians. Following the principle of guiding Yang to assist Yin, after 20 minutes of treatment, the patient's symptoms improved significantly, with more than half of the illness receding. The patient could hold my hand to express gratitude. Re-examination of the pulse at the Cun Kou showed slightly increased pulse waves at the Guan and Chi positions, but no pulse remained at the Cun positions. Although the strength of the Ren Ying pulses had decreased, they remained magnificently filling the finger.
After stopping treatment and observing for 20 minutes, the patient's symptoms relapsed as before. Re-palpation of the Yin and Yang arteries revealed the original pulse images again.
This practitioner pondered the root cause of the Three Yin Meridians' inability to function normally and their internal exhaustion, which was mainly caused by the counter-movement where the Foot-Yangming Stomach Meridian reversed and escaped upward. A second treatment was decided upon, employing intense fire moxibustion to forcefully redirect the Yangming Stomach Meridian qi into the Taiyin Spleen Meridian. Still adhering to the principle of guiding Yang to assist Yin to strengthen the Spleen Meridian (selecting points on Yin meridians), and lacking moxa sticks, cotton cloth was wrapped into strips approximately 1 cm thick, dipped in sesame oil, and burned for moxibustion. Right Yinlingquan was moxibusted first, followed by left Yinlingquan, repeated three times. Finally, Taicang (Zhongwan, CV12) was moxibusted twice. After intense stimulation using direct moxibustion for about 10 minutes, the illness was cured. Re-examination of the pulse showed that the Cun, Guan, and Chi positions at both pulse ports emerged; the magnified pulse images at both Ren Ying positions also normalized. Subsequent follow-up visits confirmed the illness did not recur, although the moxibustion sores became inflamed and took over a month to heal. Reflection: This condition was encountered for the first time in clinical practice; it onset abruptly and was critical, representing an acute case of "Da Jue" (Great Syncope) and sudden collapse. The *Su Wen, Tiao Jing Lun* states: "When blood and Qi move together upwards, it is called Da Jue. In syncope, there is sudden death; if Qi returns, life is preserved; if it does not return, death occurs." According to this syndrome, intense fire moxibustion should have been used from the start to "forcefully reverse the Qi mechanism to restore syncope." Thus, the warm needle tonification method initially adopted was superfluous treatment.
If this practitioner had not understood the flexible mechanism of Yin/Yang and Positive/Negative movements of the "Twelve Meridians," correct point selection on the Foot-Taiyin Spleen Meridian to save this critical condition would have been impossible. Without confirming the decline or excess of Yin/Yang pulse images at the "Mai Kou" (Radial Pulse) and "Ren Ying" (Carotid Pulse), rescuing this critical condition would also have been difficult. Because the patient's external symptoms—such as red complexion, coarse breath, saliva discharge, and vomiting—all belong to the syndrome of "Stomach Qi rebelling upward." If one mistakenly identifies this as Stomach Qi rebelling upward and incorrectly selects Zusanli (ST36) to descend rebellion and harmonize the Stomach, the patient would surely die as the weak internal Three Yin meridian qi "completely cuts off outwardly" upon obtaining Deqi (needle sensation). This would violate the prohibition: "When the Qi of the Five Zang organs is exhausted internally, but the practitioner instead reinforces the exterior." Therefore, treating critical conditions of sudden Yin/Yang collapse is like a train about to derail; at the moment of life and death judgment, the acupuncture and moxibustion practitioner must apply transformation and correction treatments according to the principles of positive/negative movements of Yin/Yang meridians to achieve immediate results.
Supplementary reflection: The above case was my first treatment of "Da Jue" sudden collapse, lacking experience. Thus, using warm needle therapy to select Sanyinjiao (SP6) the first time was incorrect point selection. At that time, I believed that since the Yin pulses at both pulse ports were nearing extinction, warm needling Sanyinjiao would supplement the meridian qi of the Three Yin Meridians. Later, I realized that the Sanyinjiao acupoint is below the horizontal line of the Fenglong (ST40) divergent branch of the Foot-Yangming Stomach Meridian, making it an incorrect selection. Proper selection should be Spleen Meridian Shu points above the horizontal line of the Fenglong divergent branch, such as Diji (SP8), Yinlingquan (SP9), and Xuehai (SP10). The second treatment using "direct fire moxibustion" did not use Sanyinjiao, only selecting Yinlingquan and Zhongwan, resulting in a cure. For such acute emergencies of "Da Jue" sudden collapse, without rescue, the patient will inevitably die; however, through treatment, if the Qi of the Excessive Meridian is not redirected to the Deficient Meridian, death is also inevitable. Therefore, saving such cases of "Da Jue" sudden collapse requires determining treatment methods based on the excess/decline phenomena of Yin/Yang pulse images at the Mai Kou and Ren Ying.
(II) Case Two
Qian XX, Male, 38 years old, residing at Taizi Po. Consulted on September 4, 1985. The patient reported experiencing hernia pain and swelling of both testicles starting August 18, 1985. Treatment with Chinese and Western medicine for half a month was ineffective. During treatment, the doctor also used moxibustion on Dadun (LR1) acupoint, which was also ineffective. Furthermore, the swelling of both testicles increased, and pain intensified.
Pulse examination: The Cun position of the Mai Kou (Radial Pulse) on both left and right sides exclusively showed a tight and choppy pulse image, while the Guan and Chi positions showed relaxed arterial pulses. The Chi position of the Ren Ying (Carotid Pulse) on both left and right sides exclusively showed a tight and choppy pulse image, while the Guan and Cun positions showed relaxed arterial pulses. Previous experience: Using moxibustion on Dadun (LR1) for hernia disease is indeed very effective. Based on this practitioner's observation of pulse images after curing multiple hernia cases via Dadun moxibustion, the Chi position of the Mai Kou arterial pulse is mostly tight/choppy, tight/slow, or purple/small/thin. Currently, the Guan and Chi positions of the Mai Kou arterial pulses on both sides show no tightness, proving that the lower end of the Foot-Jueyin Liver Meridian has no cold stagnation. Only the tightness/choppiness at both Cun positions proves that the upper end of the Foot-Jueyin Liver Meridian is constrained by cold. The tightness/choppiness at the two Chi positions of the Ren Ying arterial pulse proves that the lower end of the Foot-Shaoyang Gallbladder Meridian is obstructed by cold stagnation. It was decided to use moxibustion combined with acupuncture for regulation.
Moxibustion was applied to Diwuhui (GB29) and Qiaoyin (GB44) (bilateral), three moxa cones each. Next, Yutang (CV19) was moxibusted three cones, and Danzhong (CV17) one cone. Then, Yuji (LU10) (bilateral) was needled using tonification technique, retaining the needles for 15 minutes. After resting for 10 minutes post-needling, the left and right Yin/Yang pulse images were re-examined; the tight/choppy pulse images at the Cun position of the Mai Kou and the Chi position of the Ren Ying transformed into relaxation. Second consultation on September 6, 1985. After the previous day's acupuncture and moxibustion treatment, the patient's testicular pain and swelling reduced by more than half. Palpation of the left and right Yin/Yang pulse images showed significant improvement in the tight/choppy pulse images at the Cun positions of both Mai Kou and the Chi positions of both Ren Ying, though slight tightness/choppiness remained. Adhering to the previous method of acupuncture and moxibustion regulation resulted in a cure with no recurrence.
Reflection: This case involved the Foot-Jueyin and Foot-Shaoyang meridians. Why was the Yuji (LU10) acupoint of the Lung Meridian needled? Because the branch of the Foot-Jueyin Liver Meridian connects upwards to the Lung Meridian. The *Ling Shu, Jing Mai* states: "Its branch separates from the Liver, pierces the diaphragm, and flows into the Lung." Therefore, selecting the Hand-Taiyin Lung Meridian's Yuji (LU10) acupoint guides Liver Qi to connect with the Lung Meridian, ensuring unobstructed flow of Liver Meridian Qi. This is analogous to using pungent-flavor herbs to soothe the Liver, because pungent herbs enter the Lung and can consequently flow through the Liver. Confirming the syndrome via pulse and applying treatment according to reason yielded rapid results.
(III) Case Three
Dong XX. Male. 28 years old. Carving worker from Zhejiang Province. Consulted on July 15, 1983.
Symptoms: Pain, swelling, and heaviness in the right testicle; inability to extend the waist, with pain radiating to the lower abdomen upon extension; thin white tongue coating and pale-red tongue body. The patient underwent Western medicine treatment for four days after onset with no effect.
Pulse examination: The Yin/Yang arterial pulses at the Cun, Guan, and Chi positions of the left Mai Kou and left Ren Ying showed equal entry/existence and ascending/descending movements, with pulse waves showing double width and a tight image. The arterial pulse at the right Mai Kou: the Cun position was floating and tight, while the Guan and Chi positions were abnormally "tight and small." The Ren Ying pulses at the Cun, Guan, and Chi positions on the right side were deep and tight.
Historical medical experts discuss "hernia pathogenic factors" mostly in the Liver Meridian. Since the Foot-Jueyin Meridian: "follows the inner thigh, enters the pubic hair region, passes through the genitalia, and reaches the lower abdomen." Currently, the Yin and Yang arterial pulses all show tight images; a tight pulse indicates cold. According to the exclusive appearance of the "tight and small" pulse image at the Chi position of the right Mai Kou, the diagnosis is that the Foot-Jueyin Meridian is afflicted by cold invasion.
Treatment with moxa stick moxibustion was employed. First, Xingjian (LR2) and Dadun (LR1) on the right side were moxibusted for 10 minutes. Next, Limen (SJ2) and Guanchong (SJ1) on the right side were moxibusted for 2 minutes. The distance between the moxa fire and the skin surface could be near or far, adjusted until the patient felt comfortable warmth. After warm moxibustion, immediate pulse re-examination revealed that the "tight and small" pulse image at the Chi position of the right Mai Kou had loosened compared to before.
Following the above moxibustion method once daily, after three days of treatment, the patient's right testicular pain and swelling gradually decreased day by day. The tight pulse images of the left and right Yin/Yang also transformed into relaxed images day by day. Finally, after taking one dose of the Chinese herbal medicine formula Tongjing Sanhan Xingqi Lishi (Meridian-Unblocking Cold-Dispersing Qi-Moving Dampness-Draining), the treatment concluded successfully. Prescription: Tufuling (Smilax Glabra Rhizome) 20g, Zhi Chuanwu (Aconitum Carmichaelii Radix Preparata) 5g, Xuanhu (Corydalis Rhizoma), Wuyao (Lindera Root), Qingpi (Citrus Reticulata Pericarpium Viride), Chuan Niuxi (Achyranthes Bidentatae Radix), Chao Juhe (Citrus Aurantium Fructus Immaturus Preparatus), Chuanlianzi (Evodiae Fructus), each 10g, Guizhi (Cinnamon Twig) 9g, Bai Fuling (Poria) 15g. One week later follow-up, the patient reported complete recovery.
(IV) Case Four
Zhao XX, Female, 57 years old, mountain pilgrim. Night consultation on July 7, 1992.
Symptoms: After sleeping at the Daoxie Hostel, the patient suddenly experienced unbearable abdominal pain, chest discomfort, followed by vomiting and diarrhea.
Pulse examination: The arterial pulses at the Guan and Cun positions of the Mai Kou (Radial Pulse) on both left and right sides were distinct in their coming and going, but the two Chi positions were choppy and lacked pulse; the Ren Ying (Carotid Pulse) on the right side showed a large Chi position and small Cun position, while the Ren Ying on the left side showed a large Cun position and small Chi position. This indicates abnormal movement of Yin/Yang Qi mechanisms disordering the intestines and stomach, thus manifesting the above pulse and symptom complex.
Acupuncture treatment was performed by selecting points from the Foot-Taiyin Spleen Meridian and Foot-Yangming Stomach Meridian: Gongsun (SP4) on both left and right, Tianshu (ST25) on both left and right; Ren Ying (ST9) on the right side, Zusanli (ST36) on the left side. Needles were retained for a total of 25 minutes, after which all symptoms disappeared. After resting for 10 minutes, the Yin/Yang arterial pulses were re-examined; the pulse images at the Cun, Guan, and Chi positions of both Mai Kou and both Ren Ying showed balanced opposing movements. Follow-up the next day, the patient stated that symptoms improved after acupuncture, with only one episode of diarrhea before recovery.
(V) Case Five
Wei XX. Male. 12 years old. Residing in Xinxiang City, Henan Province. Consulted on August 16, 1995.
Symptoms: Left-sided facial paralysis, mouth deviated to the right, incomplete closure of the left eye with tearing, inability to move the tongue flexibly during eating and drinking. Local treatment for over three months yielded poor results, leading to seeking medical care at the Wudang Taoist Clinic.
Pulse examination: The arterial pulses at the three positions of the Mai Kou on both left and right sides were peaceful in their coming and going; the Ren Ying pulse on the right side was also harmonious. Uniquely, the arterial pulse at the Cun position of the left Ren Ying was large, firm, and powerful, appearing three times stronger. The classics state: "Those who examine the location of deficiency and excess can determine the height and depth of the disease." This proves that both the disease and pulse image manifest in the upper left side.
Acupuncture was immediately employed to dispel pathogenic factors, supplemented by oral administration of "Qianzheng San" (Straightening Powder). Acupuncture was performed on Sibai (ST2), Yingxiang (LI20), Dicang (ST4), and Jiache (ST6) on the left side of the face. Upon obtaining Deqi, the sedation technique was applied, and needles were withdrawn. Immediately upon withdrawal, five to seven taps were made on the needle hole with the middle finger to allow one drop of blood to flow out; alternatively, fingers could squeeze the needle hole to release one drop of blood. If the blood appeared dark purple/black, two or three drops could be released to drain pathogenic factors. Acupuncture was performed once daily. After five sessions of sedation technique regulation, most symptoms were basically eliminated, with only slight deviation remaining externally. Re-examination of the arterial pulse at the Cun position of the left Ren Ying showed that the large and firm pulse image had disappeared and tended toward balance.
The classics say: "Those who know the hardness and softness of deficiency and excess know where tonification and sedation lie." Now, based on the firm pulse image at the Cun position of the left Ren Ying, treating the left facial acupoints with sedation technique yielded very rapid results. This illustrates the ancient sages' correct understanding and application of the Yin/Yang meridians at the Mai Kou and Ren Ying.
Two months later, the patient's father came to inform that about seven days after returning home, the facial deviation had returned to normal.
(VI) Case Six
Cui XX, Male, 18 years old, Taoist disciple. Initial consultation on September 20, 1984. Symptoms: Sequelae left after suffering from jaundice hepatitis four years ago. For over four years, frequently experienced heart heat and irritability, fullness under the left hypochondrium, occasional abdominal pain, excessive sweating, thirst preferring hot drinks, deep red tongue body with slightly yellow coating, normal bowel movements, and yellow urine. Multiple treatments were ineffective, prompting a request for my treatment. Yin/Yang pulse examination: Slippery and rapid, both presenting arterial phenomena of one times intensity. Uniquely, the Chi position of the left Mai Kou was slippery, rapid, and powerful; the Chi position of the right Ren Ying was slippery, rapid, and powerful. It was determined that the Liver Meridian on the left contained accumulated heat, and the Gallbladder Meridian on the right had residual heat. Sedation technique regulation was adopted. First, Taichong (LR3) on the left side was selected; then, Yanglingquan (GB34) and Qiuxu (GB40) on the right side were selected. After resting for 10 minutes post-needling, the Yin/Yang arterial pulses were re-examined; the slippery, rapid, and powerful pulse images at the "Chi position" of the left Mai Kou and the "Chi position" of the right Ren Ying both decreased. Following the above sedation needle technique regulation five times, the patient felt all symptoms were completely removed. Re-examination of the Mai Kou and Ren Ying pulses on both left and right sides showed that the pulse waves at the four Yin/Yang locations were peaceful in their coming and going.
Reflections on Treating Disease with Acupuncture and Moxibustion
In my many years of clinical practice using acupuncture and moxibustion, I must base the tonification and sedation of acupuncture treatment on the excess and decline phenomena of Yin/Yang pulse images. Therefore, the part of the pulse image that is exclusively excessive is where the Excess Pathogen lies; the part that is exclusively declined is where the Deficiency lies.
Treating Excess Pathogens requires the sedation needle technique. After regulation, resting for a short period (about 10 minutes), one should re-examine the "vigorous and firm pulse wave." If there is a decrease, it indicates efficacy. The classics state: "Sedation benefits the deficient; if the deficient person's pulse remains large as before but not firm..." If the pulse still resembles the "vigorous and firm pulse wave" before needle regulation, it indicates no efficacy. If the pathogenic factor is too severe, and although the pulse image shows reduction upon immediate re-examination after needle regulation, if the pulse and symptoms revert to the previous state the next day, it is still considered effective, due to the severity of the pathogen. Persistently executing sedation of excess regulation will inevitably cause the pathogen to recede. Therefore, treating Excess Pathogens requires continuing treatment until the symptoms and pulse no longer flare up and reach Yin/Yang harmony for a cure.
Treating Deficiency areas: Tonification needle technique should be applied. After regulation, one should re-examine the "deficient pulse wave." If there is an enhancement, it indicates efficacy. The classics state: "Speaking of tonification, there must be a sense of acquisition..." If after regulation the "deficient pulse wave" remains unchanged, it indicates no efficacy. If a certain Yin or Yang meridian Qi is extremely deficient, and although the pulse image shows enhancement upon immediate re-examination after regulation, if the pulse and symptoms remain deficient as before the next day, it is still considered effective, due to the extreme deficiency of that meridian. Persistently executing tonification of deficiency regulation will inevitably restore health. Therefore, treating deficiency areas requires continuing treatment until the pulse and symptoms no longer deteriorate and become sufficient for a cure. Thus, using acupuncture and moxibustion to treat deficiency and excess diseases has no fixed rule, but rather aims for cure as the standard.
Using acupuncture and moxibustion to regulate "deficient meridians" also requires clear differentiation: whether Yin meridian deficiency leads to Yang meridian excess, or Yang meridian deficiency leads to Yin meridian excess. Only then can acupuncture and moxibustion be used to tonify deficiency and sedate excess to harmonize Yin/Yang meridians. During needle therapy, one should follow ancient teachings: first tonify the "deficient meridian," then sedate the "excessive meridian" to harmonize it. If the Yin and Yang pulse images of the patient both decline evenly, needle treatment should not be adopted. The classics state: "When Yin and Yang form and Qi are both insufficient, do not use needles, but regulate with sweet medicines." Therefore, patients with dual deficiency of Yin and Yang meridian Qi should use "sweet-warm medicines" to supplement Yin/Yang Qi and Blood; forcibly applying needle treatment may easily lead to fainting from needles or adverse consequences.
(VII) Case Seven
Xiong XX, Male, 29 years old, residing at Hongzhuan Third Team, Gong'an County. Consulted on August 19, 1979. Symptoms: Illness began two days prior, with internal pain in the intercostal area below the right breast, worsening upon inhalation. Diet and bowel/bladder functions were normal.
Pulse examination: The arterial pulses at the right Mai Kou and right Ren Ying showed balanced ascending/descending and coming/going movements. The arterial pulse at the left Mai Kou was also relatively peaceful, with only the Cun position slightly showing a floating image. The pulse images at the Cun and Guan positions of the left Ren Ying were not particularly strong, but uniquely, the "Chi position was deep, large, and powerful." The classics state: "Differentiating from Yang allows knowing the location of disease." Therefore, in pulse diagnosis, any position exhibiting a unique pulse image is the site of disease. Currently, the patient's pain is located on the "right side," but the pathological pulse phenomenon is on the "left side." Following the guidance of ancient sages, the "Giant Puncture Method" (Ju Ci Fa) of "treating the right side by selecting the left" was used for regulation: Zusanli (ST36) on the left side was needled, employing the "Penetrating Heaven Cool" needle technique to sedate it. After needling, the patient's pain disappeared. Resting for about 10 minutes, the deep, large, and powerful pulse image of the "Chi position arterial pulse" at the left Ren Ying disappeared and transformed into harmony. Visiting the patient three days later, the illness had not recurred. This case had special pulse and symptom characteristics, cured by selecting only one acupoint, possessing certain clinical guiding significance. For this syndrome, without examining the Ren Ying pulse, it would be difficult to diagnose which meridian is diseased, let alone adopt the "Giant Puncture" treatment method. This demonstrates the importance of examining the Ren Ying pulse.
(VIII) Appendix: Summary of Acupuncture and Moxibustion Regulation
The above cases include some from many years ago when I first discovered the mechanism of the "Twelve Meridians," treating with local folk methods based on the principles of the "Twelve Meridians" under conditions lacking modern medical equipment. Other cases had short treatment courses. The treatment methods were concise and easy to remember, representing ordinary cases encountered in clinical practice. Because treatment regulated the patient's left/right, upper/lower, Yin/Yang deviations based on the positive/negative mechanisms of the Twelve Meridians, all achieved good effects.