三棱针疗法：取穴：在龈交穴处发现有一米粒大的小疙瘩，三棱针挑破，放出少量血液，或手术切除。
三棱针疗法：取穴：耳壳背面第二条小静脉。每次选耳背第二条小静脉2一3个刺激点，用三棱针点刺放血，每周治疗一次。
皮防针疗法：取穴：脊椎两侧（颈椎至尾骶部）、耳前、下颌部。
水气罐疗法：取穴：大椎与心俞上下左右各旁开二横指。配曲池，合谷、委中、血海、三阴交、足三里、中脘、内关。以大椎与心俞为标准，在其上下左右各拔四罐，而后在配穴及其上下二横指再拔两罐（《实用针灸学》）。
即用皮肤针在双侧眼睑周围、眉弓上部、前额部、两颞侧、耳廓前、后颈部，以及骶部进行叩打。由于叩打部位不同，叩打的方法也不一致，可用环形、横行、纵行的刺激方法进行，每个部位的刺激以4一5行（或圈）为宜。如喉部有阻塞感者，可加刺颈前甲状软骨周围皮肤。为了提高效果，在施术中需患者试用中度咳嗽，以期震动咽喉和气管的方法配合治疗（《新医药学杂志》）。
取天宗、灵台、中枢、身柱，消毒后用三棱针点刺，立即用中号火罐拔之，10分钟启下，可拨出深紫色的血液若干，然后再用酒精棉球擦净即可。重症可同时在委中穴的皮下浅静脉处放血3毫升，7例病人经一次治愈者3例，2次治愈者2例，3次治愈者2例（《哈尔滨中医》）。
操作方法是：先取梅花针一枚，沿着脊椎两侧（即膀胱经线上）自大椎处向下叩打，每针距离约1寸远，刺到第5腰椎处为止（针具与所刺激的皮肤均须消毒）。然后再取酒精棉球将叩打部位擦湿，用中号罐子一个投火后，立即叩在大椎旁的穴位上，将罐缓缓向下推动，状如虫行，推至第5腰椎处为止。两侧均如此操作，早晚各1次（《针灸处方集》）
并出少量血液，如加拔火罐，则效果更好。
用皮肤针叩刺或用辊刺筒辊刺局部至出血加拔火罐．急
性扭、挫伤出血量可稍多，慢性劳损出血最宜少些。如劳损部位比较广泛时，也可用馄刺拔罐法或走罐法。
刺至出血，再以排罐法拔火罐。根性坐骨神经痛可在夹脊穴处，干性坐骨神经痛可在腰骰部压痛点用皮肤针叩刺出血，再加投火罐．肋间神经痛可在痛部刺络拨罐。
用皮肤针或辊刺筒在肩胛间区到腰骶关节脊柱两侧距正中线0.5～3寸的区域内进行轻刺激，使局部皮肤潮红，亦可加拔罐（排罐法）。
局部用三棱然散刺或皮肤针叩刺，至局部微量出血，也可再加拔火罐。每天治疗1～2次。湿疹也可参照此法（《针灸治疗手册》）。
适用于病毒留连于卫气营血所致的发热不退，神疲嗜睡，皮肤干枯色晦，皮下隐约有斑疹，烦躁不安，全身酸胀和舌灰色等症。
部位：随经络穴位挑皮下黑褐色的小点或红色疹点，取穴方法与针灸相同，但也有不按经络穴位，而随病症部位所见疹点散挑的。
操作方法：选用大号缝衣针一枚，先把针具和所挑部位的皮肤进行消毒；随经络选挑穴位或病症出现严重的部位，用针挑皮下疹点的纤维，直至纤维挑尽时，再挤压挑口排血，至血色变鲜红为止，然后用酒精或生姜片涂擦伤口即可（《癌病民间疗法》）。
治肝疟，穴刺足厥阴见血。
史记扁鹊之言曰，疾居腠理，汤熨之所及也，在血脉，针石之所及也（《普济方·针灸》）。
委中放血
委中出血，却能解暑秽，消血毒，不仅善治霍乱之吐泻，即一切梅毒恶疮，针之出血，当亦能立见消散也（《针灸经穴图考》）。
针刺长强穴治疗癫痫证55例，近期有效率达90.5%。施术时患者取膝胸卧式，穴位消毒后以左手将穴位局部组织捏起，右手持三棱针重刺长强穴及其前后左右各一针，深达2～3分，呈梅花形，四点距长强穴各5分，然后挤压使局部出血，再用干棉球将血擦净。如此每周针刺一次，10次为一个疗程。等一个疗程后，休息一个月，如再犯继作第二个疗程，最多为三个疗程（《天津医药》）。
疟发身方热，刺跗上动脉，开其空，出其血，立寒（《内经、刺疟篇》）。
委中：主膝痛及拇指、腰狭脊沉沉然，软溺，腰重不能举体，小腹坚满，风痹，髀枢痛，可出血，痈疹皆愈。伤寒四肢热，热病汗不出，取其经血立愈。
内踝尖，在足内踝尖上。主治下牙痛、内廉转筋、脚气寒热。灸七壮，或针出血（《类经图翼》）。
外踝尖；位于足外踝最高点。左右计二穴。主治卒淋、脚气、脚外廉转筋、十趾拘挛、牙痛、淋病、小儿重舌、扁桃体炎、白虎历节风痛。针灸：针刺出血；灸3一7壮（《针灸经外奇穴图谱》）。
嗌中肿，不解内唾，时不能出唾者，刺然谷之前，出血立已，左刺右，右刺左（《内经、缪刺论》篇）。
诸疟而脉不见，刺十指间出血，血去必已。先视身之赤如小豆者，尽取之（《内经·刺疟篇》）。
刺血法治疗急性嗜盐菌食物中毒752例
主穴：中冲（双）、少商（双）。配穴：神阙、水分、阴交、肓俞（双）。备用穴：足三里（双）。用三棱针点刺主穴深约0.3～0.5分。医者用拇食指从患者的腕部向指端方向推按顺压使之充分出血，血色由紫暗变淡红色。中毒较深加刺配穴深约l～4分，重度休克，神志昏迷可用直径0.7一0.9毫米粗针刺足三里穴，深度以有刺骨膜声为度。本组752例均以本法治疗1次后观察2小时内疗效。结果临床治愈（腹痛、腹泻、呕吐均消除，指点法毛细血管充盈时间在1秒之内，血压、体温、脉搏恢复正常）725例，有效（腹泻止，但仍存在以上其他症状之一者）24例，无效3例，总有效率99.6%，无1例死亡（《辽宁中医杂志》）。
凡初中风跌倒，卒暴昏沉，痰诞壅滞，不省人事，牙关紧闭，药水不下，急以三棱针刺手十指共十二井穴（《针灸大成》）。
针灸治疗脑溢血22例
除其他配穴外，若神志不请者，取百会、水沟放血，针刺手法分轻刺激与重刺激两种，病人体弱病重用轻刺激，反之用重刺激。一般先针刺患侧3次（每日三次），休息1一2日，然后再针刺患侧6～7次后，针健侧1次。共治疗22例，脑溢血10例，有效率占70%；脑溢血后遗症几例，有效率达91.6%（《哈尔滨中医》）。
用针挑治疗淋巴腺结核，收到了较好的效果。有效率占100%。针挑的方法是，先在患者的背部距脊椎骨两旁2寸处的范围内，上至肩胛骨下至腰椎附近，由下而上用手指轻擦皮肤5～10次，于是在擦过的皮肤处可出现米粒大的瘀血点，即是针挑的部位。每次可找出红点3一7个。这时将红点作上记号，进行消毒，然后用消毒过的粗针挑破红点，使局部略出点水或血，再以干棉球擦干即可。每隔7～10天挑一次，下一次操作仍要重新找出红点再挑（《中医杂志》）。
用截根的方法治疗瘰疬，效果亦较满意。操作的方法是，在臂臑穴处以奴夫卡因局麻后，用外科手术刀行横切口，长达1厘米，深至肌膜（以能用钩出肌纤维为度），每次用钩针钩出肌纤维束4－6根，以手术刀割断，撒上磺胺粉，再加入灭菌纱布以胶布固定。每周截根1次，第二次在原截根部位的左一根指处，第三次可在右一根指处。截根后一周左右，用圆利针或尾针在患处扎3一4针。先刺入瘰核中央1针，然后刺周围，如有脓者，可用注射器将脓抽出。一般两周内生效，3个月可痊愈（《哈尔滨中医》）。
用皮肤针叩刺局部，使皮肤充血，出少量血液，如加拔火罐则效果更好，1－2天一次。
在局部用皮肤针叩刺，有消炎止痛作用。
以局部针刺为主，可用粗针直刺破囊肿，并加挤压，经数次治疗，囊肿可缩小平软，但往往容易复发。因针刺治疗简单，不用外科处理。
局都可用皮肤针叩打，使少量出血，并可加拔火罐。叩针拔罐后，再涂敷药物，效果更好。每日或隔日一次（《针灸治疗手册》）。
放血法治疗痧病
适用于痧毒入血分引起的高热不退，头痛如劈，身痛如被杖，面红目赤，痧点显露，烦躁不安，胸腹胀满，舌质灰蓝，苔厚黄、唇焦烦渴和指甲青紫等危症。
用具：三棱针或大号缝衣针1枚。
操作方法：针具和针刺部位先用75%酒精进行消毒后，再用三棱针刺入痧筋显露部位，放出紫黑色血液少许，或至血色变红为止（《痧病民间疗法》）。
治诸疟而脉不见者，刺十指间出血。及看两舌下有紫肿红筋，亦须针去血，效，血去必已。先视身之赤如小豆者，尽取之（普济方.针灸》）。
十宣，奇穴,十指尖端，距瓜甲约一分处。三棱针或粗针刺出血。主治一切急性病之失神、吐泻、扁桃腺炎、高血压；兼针人中、大椎、鸠尾穴，治癫狂（《针灸孔穴及其疗法便览》）。
八关，奇穴，指爪甲基底之内部，刺出血，主治疟疾（《针灸孔穴及其疗法使览》）。
大指甲根，奇穴。大指爪甲后约一分处，赤白肉际。排刺3针（出血）。主治：双乳蛾，亦治口颊炎、喉头炎、颌下腺炎、脑充血（《针灸孔穴及其疗法便览》）。
老商：位于拇指尺侧缘，平爪甲根，指腹尺侧缘线与不甲尺侧角连线之中点．左右计二穴。主治：流行性感冒。针法：针刺后用手挤血（《针灸经外奇穴图谱》）。
中商：位于拇指背侧正中线，爪甲根后一分处，左右计二穴。主治：流行性感冒。针法：针刺后用手挤血（《针灸经外奇穴图谱》）。
干霍乱，胸腹搅痛，胀结闷乱，上欲吐而不能出，下欲泻而不能行，即今所谓绞肠痧，最为危急之症。以生白矾末3克，入滚汤内候冷灌之，如不止，将针刺十指出血，如治痧法。再将病人腿腕横纹上，蘸温水拍打有紫红纹见，以针刺出紫血立愈（《良方集腋》）。
十王，奇穴。手十根爪甲后正中赤白肉际。用三棱针或粗针刺出血，针头微向指关节方，刺入约1分。主治痹症、中暑、霍乱（《针灸孔穴及其疗法便览》）。
十二井穴：少商穴，位于手拇指远侧指节桡侧，当平齐桡侧指甲角与腹桡侧缘连线上中点处。商阳穴，位于手食指远侧指节桡侧，当平齐桡侧指甲角与指腹桡侧缘间之中点处。中冲穴，位于手中指端中央，去指甲游离缘约1分处。关冲穴，位于手环指远侧指节尺侧，当尺侧爪甲角与指腹尺侧缘间之中点处。少冲穴，位于手小指桡侧，当平齐桡侧指甲角与指腹桡侧缘间之中点处。少泽穴，位于手小指远侧指节尺侧，当平齐尺侧指甲角与指腹尺侧缘间之中点处。主治：一切痧暑急症、高血压。针法：浅刺出血（《针灸经外奇穴图谱》）。
少商：大指内侧，去爪甲角如韭叶。肺脉所出为井水。宜以三棱针刺之，微出血，泄诸脏热，凑不宜灸。
唐刺史成君绅，忽颔肿，大如升，喉中闭塞，水粒不下三日。甄权以三棱针刺（少商），微出血，立愈，泻脏热也（《针灸大成》）。
东垣曰：气在臂足取之，先去血脉，后深取手阳明之荣俞二间、三间（《针灸聚英》）。
凡初中风跌倒，卒暴昏沉，痰涎滞壅，不省人事，牙关紧闭，药水不下，急以三棱针，刺手指十二井穴，当去恶血。又治一因暴死恶候，不省人事，及绞肠痧，乃起死回生妙诀（《乾坤生意》）。
小指中节，奇穴。小指中节外侧横纹头。男友女右。针刺微出黄水。主治身上生瘤。据松心堂笔记载，针后不可洗手，洗则复发（《针灸孔穴及其疗法便览》）。
第五节小儿疾病的刺血验方
针刺四缝治疗小见疳症200例疗效报告
取四缝穴（位于食、中、无名指及小指的中节横纹中），上四缝（位于上述四指的第～节横纹中），下四缝（位于上述四指的第三节横纹中）。操作时用钢针1枚，刺上述各穴，（左右同刺）约1分深，以出黄色液体为度。每天1次，至痊愈为止，一般7一8次即可。220例病儿，痊愈者205例，未愈者15例。痊愈者以刺6～9次为最多，未愈者以刺l～2次者最多（《上海中医药杂志》）。
用毫针浅刺患侧行间穴，使其微出血，每隔3～7天针1次，治疗小儿疝气亦收到了较好的疗效。7岁以下的小儿疝气一般针3－7次即可愈（《针灸处方集》）。
乌沙惊：因生冷太过，或迎风食物，血变成沙，遍身乌黑是也。青筋过脸，肚腹膨胀，唇黑，五脏寒……。在遍身拭摩，从头往下推，引乌痧人脚，用针刺破，将火四心煅之（《针灸大成·治小儿诸惊推揉等法》）。
**Sanzhen (Three-edged Needle) Therapy:** Acupoint: If a millet-grain-sized nodule is found at the Yinjiao acupoint, puncture it with a Sanzhen to release a small amount of blood, or surgically excise it.
**Urticaria**
**Sanzhen Therapy:** Acupoint: The second small vein on the posterior surface of the auricle. Select 2-3 stimulation points on the second small vein of the ear back each time, puncture with a Sanzhen to release blood, and treat once a week.
**Pifang Zhen (Skin Prevention Needle) Therapy:** Acupoints: Both sides of the vertebral column (from cervical to sacrococcygeal region), anterior to the ear, and mandibular region.
**Shuiqi Guan (Water-Qi Cupping) Therapy:** Acupoints: Two finger-widths lateral to the upper, lower, left, and right of Dazhui (GV14) and Xinshu (BL15). Combined with Quchi (LI11), Hegu (LI4), Weizhong (BL40), Xuehai (SP10), Sanyinjiao (SP6), Zusanli (ST36), Zhongwan (CV12), and Neiguan (PC6). Using Dazhui and Xinshu as standards, apply four cups above, below, left, and right of them, then apply two more cups above and below the combined acupoints (two finger-widths distance) (Practical Acupuncture).
**Skin Needle Treatment for Pregnancy Vomiting**
Use a skin needle to tap around both eyelids, upper supraorbital ridge, forehead, bilateral temporal regions, anterior and posterior to the auricle, and the sacral region. Due to different tapping sites, methods vary; circular, horizontal, or vertical stimulation methods can be used. Each site should be stimulated for 4-5 rows (or circles). If there is a sensation of obstruction in the throat, add needling to the skin around the anterior thyroid cartilage. To improve efficacy, ask the patient to cough moderately during treatment to vibrate the pharynx and trachea, aiding therapy (New Medical Journal).
**Introduction to Needling and Cupping for Multiple Furuncles (7 Cases)**
Select Tianzong (SI11), Lingtai (GV10), Zhongshu (GV10 - *Note: Text likely refers to a specific point or typo, usually Lingtai/GV10*), Shenzhu (GV12). After disinfection, puncture with a Sanzhen and immediately apply a medium-sized fire cup. Remove after 10 minutes; dark purple blood may be drawn out. Clean with an alcohol cotton ball. For severe cases, simultaneously release 3 ml of blood from the subcutaneous superficial veins at Weizhong (BL40). Among 7 patients, 3 were cured in one session, 2 in two sessions, and 2 in three sessions (Harbin Traditional Chinese Medicine).
**Plum-blossom Needle and Cupping Combination for Wind Rash**
Operation method: First, take a plum-blossom needle and tap downwards along both sides of the vertebral column (Bladder Meridian line) starting from Dazhui (GV14) to the 5th lumbar vertebra, with approximately 1 cun distance between needles (both needle and skin must be disinfected). Then, moisten the tapped area with an alcohol cotton ball, apply a medium-sized cup after fire-cupping, and place it immediately on the acupoint next to Dazhui. Slide the cup slowly downwards like a crawling insect until reaching the 5th lumbar vertebra. Perform on both sides, once in the morning and once in the evening (Acupuncture Prescription Collection).
**Stiff Neck**
**Skin Needle and Bloodletting Cupping Method:** Tap the local skin with a skin needle until it turns red and bleeds slightly. Adding fire cupping enhances the effect.
**Acute Lumbar Sprain**
Tap locally with a skin needle or roll-stick cylinder until bleeding occurs, then apply fire cupping. Bleeding volume can be slightly higher for acute sprains/contusions, but should be minimal for chronic strain. If the strain area is extensive, rolling-stick cupping or sliding cupping can be used.
**Sciatica**
For primary sciatica, tap along the tender points of the sciatic nerve pathway until bleeding occurs, then apply row cupping (Paiguan) with fire cups. For radicular sciatica, use a skin needle to tap the Jiaji acupoints until bleeding; for trunk sciatica, tap the tender points in the lumbosacral region until bleeding, then apply fire cups. Intercostal neuralgia can be treated by bloodletting and cupping at the painful site.
**Neurasthenia**
Use a skin needle or roll-stick cylinder to lightly stimulate the area on both sides of the spine from the interscapular region to the lumbosacral junction, 0.5-3 cun from the midline, until local skin reddens. Row cupping can be added.
**Erysipelas**
Locally puncture diffusely with a Sanzhen or tap with a skin needle until slight bleeding occurs, then add fire cupping. Treat 1-2 times daily. Eczema can follow this method (Acupuncture Treatment Manual).
**Tiao Sha (Picking Sand) Method**
Applicable to fever that does not subside due to viruses lingering in Wei, Qi, Ying, and Blood levels, accompanied by mental fatigue, drowsiness, dry and dull skin, faint macules under the skin, restlessness, generalized soreness, and gray tongue coating.
**Site:** Pick black-brown spots or red rashes under the skin according to meridians and acupoints. Point selection is similar to acupuncture, but sometimes random picking based on visible rashes at symptom sites is used without following meridians.
**Operation Method:** Use a large sewing needle. Disinfect the needle and skin. Select acupoints along meridians or severe symptom areas. Pick the fibers of subcutaneous rashes with the needle until fibers are exhausted, then squeeze the puncture site to drain blood until the blood color becomes bright red. Wipe the wound with alcohol or ginger slice (Folk Cancer Therapy).
To treat Liver Malaria, puncture the Foot Jueyin meridian until blood appears.
To treat Stomach Malaria, puncture the transverse vessels of the Foot Taiyang and Yangming meridians until blood appears (Puji Fang · Acupuncture).
Simian Bianque said: Diseases located in the Couli (interstices) are accessible to decoction and warming; those in the blood vessels are accessible to needles and stones (Puji Fang · Acupuncture).
**Weizhong Bloodletting**
Bleeding from Weizhong can resolve summer heat and turbidity, eliminate blood toxins, and effectively treat cholera-like vomiting and diarrhea. It can also rapidly dissipate all kinds of syphilitic ulcers when bled (Acupuncture Meridian Map Examination).
**Clinical Observation of Needling Changqiang for Epilepsy (55 Cases)**
Needling Changqiang (GV1) for epilepsy showed a short-term effective rate of 90.5%. During treatment, the patient assumes a knee-chest position. After disinfecting the acupoint, lift the local tissue with the left hand. With the right hand, heavily puncture Changqiang and one needle each anteriorly, posteriorly, left, and right, to a depth of 2-3 fen, forming a plum-blossom shape. The four points are 5 fen away from Changqiang. Squeeze to induce bleeding, then wipe clean with a dry cotton ball. Needling once a week constitutes one course of 10 sessions. Rest for one month after a course; if symptoms recur, start a second course, up to three courses maximum (Tianjin Medical Journal).
When malaria causes body heat, puncture the dorsal artery of the foot, open the aperture, release blood, and cold will immediately subside (Neijing · Ci Ma Pian).
Weizhong: Mainly treats knee pain, thumb issues, heavy/sinking sensation in the waist and narrow spine, soft urination, heavy waist unable to move the body, firm/full lower abdomen, wind-bi, hip joint pain. Bleeding can cure sores and rashes. For Shanghan with limb heat or heat disease with no sweat, taking the meridian blood leads to immediate recovery.
Weizhong is the Blood Xi-Cleft point. For severe wind causing eyebrow loss, puncture and bleed (Zhenjiu Dacheng).
Inner Ankle Tip: Located above the tip of the medial malleolus. Mainly treats lower toothache, internal cramping, and jiaqi with chills/fever. Moxibustion 7 moxa cones, or needle to bleed (Leijing Tuyi).
Outer Ankle Tip: Located at the highest point of the lateral malleolus. Two points total. Mainly treats sudden strangury, jiaqi, external cramping of the foot, ten-toe spasms, toothache, gonorrhea, pediatric double tongue, tonsillitis, and white tiger rheumatism. Acupuncture: Needle to bleed; Moxa 3-7 cones (Acupuncture Extraordinary Points Atlas).
Swelling in the throat, inability to swallow saliva, occasional inability to spit: Puncture anterior to RanGu (KI3), bleed immediately. Left side affected, needle right; right side affected, needle left (Neijing · Miao Ci Lun).
For all malaria cases where the pulse is not visible, prick between the ten fingers to bleed; once blood is removed, the disease will certainly cease. First, look for red spots on the body like small beans and treat all of them (Neijing · Ci Ma Pian).
**Bloodletting for Acute Vibrio Parahaemolyticus Food Poisoning (752 Cases)**
Main Acupoints: Zhongchong (PC9, bilateral), Shao Shang (LU11, bilateral). Combined Acupoints: Shenque (CV8), Shuifen (CV9), Yinjiao (CV7), Huangshu (KI16, bilateral). Backup Acupoint: Zusanli (ST36, bilateral). Puncture main points with a Sanzhen to a depth of 0.3-0.5 fen. The practitioner pushes and presses from the patient's wrist towards the fingertips to ensure full bleeding, changing blood color from dark purple to light red. For deeper poisoning, add combined points to a depth of 1-4 fen. For severe shock or coma, use a coarse needle (0.7-0.9 mm diameter) to needle Zusanli, depth determined by the sound of hitting the periosteum. All 752 cases were observed for efficacy within 2 hours after one treatment. Results: Clinically cured (abdominal pain, diarrhea, vomiting eliminated, capillary refill <1 sec, BP/temp/pulse normalized) 725 cases; Effective (diarrhea stopped, other symptoms remain) 24 cases; Ineffective 3 cases. Total effective rate 99.6%, zero deaths (Liaoning Journal of TCM).
In cases of initial stroke or fall, sudden unconsciousness, phlegm obstruction, loss of consciousness, locked jaw, and inability to take medicine, urgently prick the twelve Jing-Well points of the hands with a Sanzhen (Zhenjiu Dacheng).
**Acupuncture and Cupping for Cerebral Hemorrhage (22 Cases)**
In addition to other combined points, for patients with unclear consciousness, bleed Baihui (GV20) and Shuigou (GV26). Needling techniques include light and heavy stimulation. Weak patients with severe illness receive light stimulation; otherwise, heavy stimulation is used. Generally, needle the affected side 3 times (three times daily), rest 1-2 days, then needle the affected side 6-7 times, followed by one needle on the healthy side. Total 22 cases: 10 cerebral hemorrhages, 70% effective rate; several sequelae cases, 91.6% effective rate (Harbin Traditional Chinese Medicine).
**Preliminary Report on Needle Picking for Lymph Node Tuberculosis**
Needle picking showed good results with a 100% effective rate. Method: On the patient's back, within 2 cun of the spine, from shoulder blades to lumbar vertebrae, rub the skin lightly upwards with fingers 5-10 times. Millet-grain-sized bruised spots appear on the rubbed skin, marking the picking sites. Identify 3-7 red spots per session. Mark them, disinfect, and pick the red spot with a sterilized coarse needle to release a little fluid or blood. Dry with a cotton ball. Pick every 7-10 days, re-identifying red spots for the next session (Chinese Journal of TCM).
**BiNao Acupoint Root-Cutting for Scrofula**
Root-cutting for scrofula yields satisfactory results. Operation: Local anesthesia with Novocaine at BiNao (SI12). Make a 1 cm horizontal incision down to the muscle fascia. Hook out 4-6 muscle fiber bundles with a hook needle, cut them with a scalpel, sprinkle sulfanilamide powder, cover with sterile gauze, and fix with tape. Cut roots once a week. Second time at one finger-width left of the previous site, third time one finger-width right. About a week after cutting, prick the lesion 3-4 times with a Yuanli needle or tail needle. One needle into the center of the lymph node mass, then surrounding ones. If pus exists, aspirate with a syringe. Effective within two weeks, cured in 3 months (Harbin Traditional Chinese Medicine).
**Elbow Pain**
Tap locally with a skin needle to cause congestion and slight bleeding. Adding fire cupping improves efficacy. Treat every 1-2 days.
**Wrist Tenosynovitis**
Tap locally with a skin needle for anti-inflammatory and analgesic effects.
**Ganglion Cyst**
Primarily local needling. Puncture the cyst directly with a coarse needle and squeeze. After several treatments, the cyst shrinks and softens but often recurs. Needling is simple and avoids surgical intervention.
**Neurodermatitis**
Tap locally with a skin needle to cause slight bleeding, adding fire cupping. Applying medication after needling and cupping enhances efficacy. Treat daily or every other day (Acupuncture Treatment Manual).
**Bloodletting for Sha Disease**
Applicable to critical conditions caused by Sha toxin entering the Blood level: persistent high fever, splitting headache, body pain like being beaten, red face and eyes, visible Sha spots, restlessness, chest/abdominal distension, gray-blue tongue body, thick yellow coating, dry scorched lips/thirst, and cyanotic nails.
**Sites:** ShiXuan (EX-UE11), Weizhong (BL40), and sublingual veins.
**Tools:** Sanzhen or one large sewing needle.
**Operation Method:** Disinfect needle and site with 75% alcohol. Puncture exposed Sha veins with a Sanzhen to release a small amount of dark purple-black blood, or until blood turns red (Sha Disease Folk Therapy).
For all malaria cases where the pulse is not visible, prick between the ten fingers to bleed. Also, if purple-swollen red veins are seen under the tongue, needle to remove blood; efficacy is certain once blood is gone. First, treat all red spots on the body like small beans (Puji Fang · Acupuncture).
**ShiXuan:** Extra point, tips of the ten fingers, about 1 fen from the nail. Prick with Sanzhen or coarse needle to bleed. Mainly treats loss of spirit in acute diseases, vomiting/diarrhea, tonsillitis, hypertension. Combined with RenZhong (GV26), Dazhui (GV14), JiWei (CV15) to treat mania (Acupuncture Points and Therapy Guide).
**BaGuan:** Extra point, inside the base of the fingernails. Prick to bleed. Mainly treats malaria (Acupuncture Points and Therapy Guide).
**Big Nail Root:** Extra point. About 1 fen behind the big toenail, at the junction of red and white flesh. Row puncture 3 needles (bleed). Mainly treats double tonsillitis, also stomatitis, laryngitis, submandibular gland inflammation, cerebral congestion (Acupuncture Points and Therapy Guide).
**LaoShang:** Located on the radial border of the thumb, level with the nail root, midpoint of the line connecting the radial border of the pulp and the radial corner of the nail. Two points. Mainly treats influenza. Technique: Squeeze blood after needling (Acupuncture Extraordinary Points Atlas).
**ZhongShang:** Located on the midline of the dorsal thumb, 1 fen behind the nail root. Two points. Mainly treats influenza. Technique: Squeeze blood after needling (Acupuncture Extraordinary Points Atlas).
**Dry Cholera:** Abdominal twisting pain, bloating, stifling confusion, desire to vomit but cannot, desire to defecate but cannot. This is "Intestinal Twisting Sha," a critical condition. Administer 3g raw alum powder in boiling water, cool, and drink. If ineffective, prick ten fingers to bleed as in Sha treatment. Then, dip warm water on the patient's ankle crease, pat until purple-red lines appear, and prick to release purple blood for immediate cure (Liangfang Jiye).
**ShiWang:** Extra point. Midline of the red-white flesh junction behind the ten fingernails. Prick with Sanzhen or coarse needle to bleed, needle head angled slightly towards the interphalangeal joint, depth approx. 1 fen. Mainly treats Bi syndrome, heatstroke, cholera (Acupuncture Points and Therapy Guide).
**Twelve Jing-Well Points:**
* **Shao Shang (LU11):** Radial side of the distal phalanx of the thumb, midpoint of the line connecting the radial nail angle and the radial pulp border.
* **Shang Yang (LI11):** Radial side of the distal phalanx of the index finger, midpoint of the line connecting the radial nail angle and the radial pulp border.
* **Zhong Chong (PC9):** Center of the middle finger tip, approx. 1 fen from the free edge of the nail.
* **Guan Chong (SJ1):** Ulnar side of the distal phalanx of the ring finger, midpoint of the line connecting the ulnar nail angle and the ulnar pulp border.
* **Shao Chong (HT9):** Radial side of the little finger, midpoint of the line connecting the radial nail angle and the radial pulp border.
* **Shao Ze (SI1):** Ulnar side of the distal phalanx of the little finger, midpoint of the line connecting the ulnar nail angle and the ulnar pulp border.
Mainly treats all acute Sha/heat emergencies, hypertension. Technique: Superficial needle to bleed (Acupuncture Extraordinary Points Atlas).
**Shao Shang:** Inner side of the thumb, width of a leek leaf from the nail angle. Lung meridian Jing-Water point. Best pricked with a Sanzhen to release slight blood, draining heat from all organs. Not suitable for moxibustion.
Chancellor Cheng Junshen of Tang suddenly had a swollen chin, size of a jug, throat blocked, unable to eat or drink for three days. Zhen Quan pricked Shao Shang with a Sanzhen, released slight blood, and he recovered immediately, draining organ heat (Zhenjiu Dacheng).
Dongyuan said: For Qi issues in arms and legs, first remove blood from vessels, then deeply needle Erjian (LI2) and Sanjian (LI3), the Ying-Spring and Shu-Stream points of the Hand Yangming (Zhenjiu Juying).
In cases of initial stroke or fall, sudden unconsciousness, phlegm obstruction, loss of consciousness, locked jaw, and inability to take medicine, urgently prick the twelve Jing-Well points of the fingers with a Sanzhen to remove evil blood. Also treats sudden death-like conditions, loss of consciousness, and intestinal twisting Sha, a miraculous method for reviving the dying (Qiankun Shengyi).
**Middle Phalanx of Little Finger:** Extra point. Head of the transverse crease on the lateral side of the middle phalanx of the little finger. Male left, female right. Needle to release slight yellow fluid. Mainly treats tumors on the body. According to Songxintang Notes, do not wash hands after needling, or it will recur (Acupuncture Points and Therapy Guide).
**Section 5: Bloodletting Prescriptions for Pediatric Diseases**
**Clinical Report on Needling SiFeng for Pediatric Malnutrition (200 Cases)**
Select SiFeng (center of transverse creases of middle phalanges of index, middle, ring, and little fingers), Upper SiFeng (transverse creases of proximal phalanges), and Lower SiFeng (transverse creases of distal phalanges). Use a steel needle to prick these points (bilateral), depth approx. 1 fen, until yellow fluid appears. Once daily until cured, generally 7-8 sessions suffice. Of 220 children, 205 were cured, 15 not. Most cured cases required 6-9 sessions; most uncured cases only received 1-2 sessions (Shanghai Journal of TCM).
**Bleeding from Xingjian for Pediatric Hernia**
Superficially needle Xingjian (LR2) on the affected side with a filiform needle to cause slight bleeding. Needle once every 3-7 days. Good efficacy for pediatric hernia. Children under 7 years old generally recover after 3-7 sessions (Acupuncture Prescription Collection).
**Wu Sha Jing:** Caused by excessive cold/raw food or wind-exposure, turning blood into "Sha," resulting in blackened body. Blue veins over face, abdominal distension, black lips, cold of five zang organs... Rub the whole body, pushing from head to feet to guide Wu Sha into the feet, prick with needles, and roast with fire at four heart centers (Zhenjiu Dacheng · Treating Pediatric Jings, Pushing and Rubbing Methods).