内经治咳之法,治脏者治其俞,治腑者治其合,浮肿者治其经,以穴考之,各有定处,
诸咳而喘息有音,甚则唾血者,太渊主之,浮肿则治在经渠,咳而两胁下痛不可转者,太冲
主之,浮肿则治在中封,咳而右 下痛,阴阴引肩背,甚则不可动者,太白主之,浮肿则治
在商丘,咳而腰背相引痛,甚则咳涎者,太溪主之,浮肿则治在复溜,咳而心痛,喉仲介介
如鲠,甚则咽肿喉痹者,神门主之,浮肿则治在灵道,咳而遗矢者,曲池主之,浮肿则治在
阳溪,咳而失气者,小海主之,浮肿则治在阳谷,咳而遗溺者,委中主之,浮肿则治在昆仑,
咳而呕,呕甚则长虫出者,三里主之,浮肿则治在解溪,咳而呕苦汁者,阳陵泉主之,浮肿
则治在阳辅,久咳不已,咳而腹满者,天井主之,浮肿则治在支沟,凡此五脏六腑之咳,治
之常也,俞合之外,别有遗法,附之于后云。
上气咳嗽短气,气满食不下,灸肺募五十壮。
上气咳逆短气,风劳百病,灸肩井二百壮。
上气短气咳逆,胸背痛,灸风门热府百壮。
上气咳逆短气,胸满多唾冷痰,灸肺俞五十壮。
上气气闭咳逆,咽冷声破,灸天突五十壮,一名天瞿。
上气胸满,短气咳逆,灸云门五十壮。
上气咳逆,胸痹背痛,灸胸堂百壮。
上气咳逆,胸满短气牵背痛,灸巨阙期门各五十壮。
逆气虚劳寒损,忧恚,筋骨挛痛,咳逆泄注,腹满喉痹,颈项强,肠痔逆气,痔血阴急
,鼻衄骨痛,大小便涩,鼻中干,烦满狂走,凡此诸病,皆灸绝骨五十壮,穴在内踝上三寸
宛宛中。
上气咳逆,灸膻中三壮,穴在两乳间,甲乙经云∶一名元儿,在玉堂下一寸六分,直乳
两间陷中,任脉气所发,炷如半枣核大。
上气,灸三里二穴,甲乙经云∶在膝下三寸, 外廉,足阳明脉之所入也,各灸三壮,
外台秘要云,人年三十以上,若不灸三里穴,令人气上两眼昏暗,三里所以下气也。
咳嗽,灸心俞穴,甲乙经云∶在背第五椎下,两边各一寸半,各灸五壮,炷如半枣核大。
嗽,灸手屈臂中有横纹,外骨捻头得痛处,十四壮。
嗽,灸两乳下黑白际,各百壮,又以薄当乳头,周匝围身,令前后正平,当脊骨解中,
灸十壮,又以绳横量口中折绳,从脊灸绳两头,各八十壮,三报之,三日毕,又灸从大椎数
,下行第五节下,第六节上,穴在中间,随年壮,并主上气。(此即神道穴)
The *Neijing* (Inner Canon) methods for treating cough involve treating the Shu-Stream points (Shu points, 腧穴) for Zang organ disorders, the He-Sea points (He points, 合穴) for Fu organ disorders, and the Jing-River points (Jing points, 经穴) for edema. Examination of the acupoints reveals fixed locations for each.
For cough accompanied by wheezing with sound, progressing to expectoration of blood, Taiyuan (LU9, Ta Yuan) is indicated; if edema is present, Jingqu (LU8, Jing Qu) is treated. For cough with pain in both hypochondriac regions and inability to turn the body, Taichong (LR3, Tai Chong) is indicated; if edema is present, Zhongfeng (LR4, Zhong Feng) is treated. For cough with pain in the right hypochondrium radiating faintly to the shoulder and back, progressing to immobility, Taibai (SP3, Tai Bai) is indicated; if edema is present, Shangqiu (SP5, Shang Qiu) is treated. For cough with mutual pulling pain between the waist and back, progressing to expectoration of saliva, Taixi (KI3, Tai Xi) is indicated; if edema is present, Fuliou (KI7, Fu Liu) is treated. For cough with heart pain, a sensation of a foreign body stuck in the throat (like a fishbone), progressing to sore throat and throat obstruction (Hou Bi, 喉痹), Shenmen (HT7, Shen Men) is indicated; if edema is present, Lingdao (HT4, Ling Dao) is treated. For cough with fecal incontinence, Quchi (LI11, Qu Chi) is indicated; if edema is present, Yangxi (LI5, Yang Xi) is treated. For cough with flatus, Xiaohai (SI8, Xiao Hai) is indicated; if edema is present, Yanggu (SI4, Yang Gu) is treated. For cough with urinary incontinence, Weizhong (BL40, Wei Zhong) is indicated; if edema is present, Kunlun (BL60, Kun Lun) is treated. For cough with vomiting, progressing to expulsion of long worms (Ascaris lumbricoides, Chang Chong, 长虫), Zusanli (ST36, Zu San Li) is indicated; if edema is present, Jiexi (ST41, Jie Xi) is treated. For cough with vomiting of bitter fluid, Yanglingquan (GB34, Yang Ling Quan) is indicated; if edema is present, Yangfu (GB38, Yang Fu) is treated. For chronic persistent cough with abdominal fullness, Tianjing (TE10, Tian Jing) is indicated; if edema is present, Zhigou (TE6, Zhi Gou) is treated. These are the standard treatments for coughs of the five Zang and six Fu organs. Beyond the Shu and He points, there are other residual methods, which are appended below.
For upward rushing Qi, cough, shortness of breath, Qi stagnation, and inability to eat, moxa the Mu-Alarm point of the Lung (Fei Mu, 肺募) for 50 moxibustion units (Zhuang, 壮).
For upward rushing Qi, cough with rebellious Qi, shortness of breath, wind-lao (Wind-Lao, 风劳), and various diseases, moxa Jianjing (GB21, Jian Jing) for 200 Zhuang.
For upward rushing Qi, shortness of breath, cough with rebellious Qi, chest and back pain, moxa Fengmen (BL12, Feng Men) and Refu (Thermal Palace, 热府) for 100 Zhuang each.
For upward rushing Qi, cough with rebellious Qi, shortness of breath, chest fullness, and profuse cold phlegm, moxa Feishu (BL13, Fei Shu) for 50 Zhuang.
For rebellious Qi, Qi obstruction, cough with rebellious Qi, cold throat, and hoarse voice, moxa Tiantu (CV22, Tian Tu) for 50 Zhuang, also known as Tianqu.
For upward rushing Qi, chest fullness, shortness of breath, and cough with rebellious Qi, moxa Yunmen (LU2, Yun Men) for 50 Zhuang.
For upward rushing Qi, cough with rebellious Qi, chest bi-syndrome (Chest Obstruction, Xiong Bi, 胸痹), and back pain, moxa Xiong tang (Chest Hall, 胸堂) for 100 Zhuang.
For upward rushing Qi, cough with rebellious Qi, chest fullness, shortness of breath, and back pain radiating from the chest, moxa Jueque (CV14, Jue Que) and Qimen (LR14, Qi Men) for 50 Zhuang each.
For rebellious Qi, deficiency-lao (Deficiency-Lao, 虚劳), cold damage, sorrow and indignation, tendon and bone spasms and pain, cough with rebellious Qi, diarrhea, abdominal fullness, throat obstruction, stiff neck and nape, intestinal hemorrhoids with rebellious Qi, hemorrhoidal bleeding, genital urgency, epistaxis, bone pain, difficulty in urination and defecation, dry nose, irritability, fullness, mania, and running about, moxa Jiegu (GB39, Jie Gu) for 50 Zhuang for all these conditions. The point is located three cun above the medial malleolus in the depression.
For upward rushing Qi and cough with rebellious Qi, moxa Danzhong (CV17, Dan Zhong) for 3 Zhuang. The point is located between the two nipples. The *Jia Yi Jing* states: also known as Yuan'er, it is 1.6 cun below Yutang (CV19), directly in the depression between the breasts, where the Qi of the Ren Mai (Conception Vessel, 任脉) emerges. The moxa cone should be the size of half a jujube pit.
For upward rushing Qi, moxa bilateral Zusanli (ST36, Zu San Li) points. The *Jia Yi Jing* states: they are located three cun below the knee, on the lateral aspect of the tibia, where the Foot-Yangming Stomach Meridian enters. Moxa 3 Zhuang at each point. The *Waitai Mi Yao* states: for persons over thirty years old, failure to moxa Zusanli leads to upward rushing Qi and dim vision. Zusanli functions to descend Qi.
For cough, moxa Xinshu (BL15, Xin Shu). The *Jia Yi Jing* states: it is located below the fifth thoracic vertebra, one and a half cun lateral to the spine on both sides. Moxa 5 Zhuang at each point, with a moxa cone the size of half a jujube pit.
For cough, moxa the painful spot found by pressing the transverse crease when the arm is flexed, on the lateral bone prominence, for 14 Zhuang.
For cough, moxa the junction of black and white skin below both nipples, 100 Zhuang at each site. Additionally, place a thin board against the nipple, wrap it around the body to ensure anterior-posterior balance, align it with the midpoint of the spinal interspace, and moxa 10 Zhuang. Furthermore, measure a length of string across the mouth, fold it, and from the spine, extend the ends of the string downwards, moxing 80 Zhuang at each end. Repeat this process three times over three days. Also, count down from Dazhui (GV14, Da Zhui); at the space between the fifth and sixth vertebral segments, locate the point in the middle, and moxa according to the patient's age in Zhuang. This also treats upward rushing Qi. (This is Shendao, GV11, Shen Dao).