篇名:上编 外治法
分类:经义
属性:『灵枢经·寒热病篇』曰:身有所伤,血出多,及中风寒,若有所堕坠,
四支懈惰不收,名曰体惰。取其小腹脐下三结交。三结交者,阳明太阴也
,脐下三寸关元也。
按、方剂:
注:[1]此言身有所伤,血出多者,及中风寒者,破伤风之属也。
[2]或因堕坠,不必出血,而四支懈惰不收者,皆名体惰也。
[3]关元任脉穴名,又足阳明、太阴之脉皆结于此,故为三结交也。
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篇名:上编 外治法
分类:经义
属性:『灵枢经·厥病论』曰:头痛不可取于腧者,有所击堕,恶血在内,伤痛
未已,可侧刺不可远取之也。
按、方剂:
注:[1]经言恶血在内,头痛不可取其腧者,盖头痛取腧,以泄其气,则头痛
可愈也。
[2]若有所击堕,恶血在内,而取腧以泄其气,则是血病治气矣,故勿取
其腧焉。
[3]若所击扑之□肉伤痛不已,虽用刺法,亦只于所伤附近之侧刺之,以
出在内之恶血而已。
[4]若仍按经远取诸腧,以疗头痛,则不可也。
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篇名:上编 外治法
分类:经义
属性:『灵枢经·邪气脏腑病形篇』曰 :有所击扑,若醉入房,汗出当风,则
伤脾。
按、方剂:
注:[1]有所击扑,乃伤其外体也。
[2]如醉后入房,或汗出不知避忌当风,则邪客于肌肤,伤其内体矣。
[3]是皆伤脾之因也。
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[Upper Compilation: External Treatment Methods - Classic Principles]
The *Ling Shu Jing (Spiritual Pivot)*, Chapter "Han Re Bing Pian" (Cold and Heat Diseases), states: When the body sustains trauma with excessive blood loss, or is affected by wind-cold pathogens, or suffers a fall, resulting in flaccidity and weakness of the four limbs that cannot be controlled, this condition is termed "Ti Duo" (Body Languor). Treatment should involve needling the "San Jie Jiao" (Three Intersections) located three cun below the umbilicus on the lower abdomen. The "San Jie Jiao" refers to the convergence point of the Foot-Yangming Stomach Meridian and the Foot-Taiyin Spleen Meridian; this acupoint is Guan Yuan (CV-4), located three cun below the umbilicus.
Note: Formulas section omitted.
Annotation [1]: The text describes conditions where the body sustains trauma with excessive bleeding and is affected by wind-cold, which falls under categories such as Traumatic Tetanus (Po Shang Feng).
[2]: Alternatively, due to a fall without necessarily bleeding, if there is flaccidity and weakness of the four limbs, it is also termed "Ti Duo".
[3]: Guan Yuan is the name of an acupoint on the Ren Mai (Conception Vessel). Since the meridians of the Foot-Yangming Stomach and Foot-Taiyin Spleen both converge here, it is called "San Jie Jiao".
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[Upper Compilation: External Treatment Methods - Classic Principles]
The *Ling Shu Jing*, Chapter "Jue Bing Lun" (Treatise on Jue Diseases), states: For headaches that cannot be treated by selecting standard acupoints, it is because there has been a history of being struck or fallen, leading to the retention of "E Xue" (Malignant Blood/Stasis) inside, and the pain has not yet subsided. In such cases, one should needle nearby laterally at the site of injury rather than selecting distant acupoints.
Note: Formulas section omitted.
Annotation [1]: The classic mentions that when malignant blood is retained internally, standard acupoints should not be selected for headache. This is because normally, selecting acupoints for headache aims to drain pathogenic qi, thereby curing the headache.
[2]: However, if there is internal stasis due to trauma from striking or falling, selecting acupoints to drain qi would constitute treating a blood disorder with a method for qi disorders; therefore, those acupoints should not be selected.
[3]: If the muscle pain from the strike persists, even if acupuncture is used, it should only be performed by lateral needling near the injured area to expel the internal malignant blood.
[4]: It is inadvisable to continue selecting distant acupoints according to meridian theory to treat the headache.
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[Upper Compilation: External Treatment Methods - Classic Principles]
The *Ling Shu Jing*, Chapter "Xie Qi Zang Fu Bing Xing Pian" (Chapter on Pathogenic Factors and Manifestations of Zang-Fu Diseases), states: Being struck or bruised, engaging in sexual intercourse after intoxication, or exposing sweating skin to wind, are all causes that injure the Spleen.
Note: Formulas section omitted.
Annotation [1]: Being struck or bruised injures the exterior of the body.
[2]: Engaging in sexual intercourse while intoxicated, or failing to avoid wind exposure while sweating, allows pathogenic factors to lodge in the skin and muscles, thereby injuring the interior organs.
[3]: These are all causes of Spleen injury.