凡五尸者,飞尸、遁尸、风尸、沉尸、尸疰也,今皆取一方兼治之,其状腹痛胀急不
得气息,上冲心胸旁攻两胁,或块垒踊起,或挛引腰背,治之之法,灸乳后三寸,男左女右,
可二七壮。不止者,多其壮数,取愈止。
又灸两手大拇指头各七壮。
又灸心下三寸十壮。
又灸乳下一寸,随病左右多壮数。
又以细绳量患人两乳头内,即裁断中屈之,又从乳头向外量使当肋KT 于绳头,灸三
壮
卒疰忤攻心胸,灸第七椎随年壮。
又灸心下一寸三壮。
又灸手肘纹,随年壮。
一切病食疰,灸手小指头随年壮,男左女右。
五毒疰不能饮食百病,灸心下三寸胃脘十壮。
水疰(口中涌水),经云∶肺来乘肾,食后吐水,灸肺俞。
又灸三阴交。
又灸期门,穴在乳下二肋间。泻肺补肾也,各随年壮。
一切疰无新久,先仰卧灸两乳边斜下三寸,第三肋间,随年壮,可至三百壮。又治诸气
,神良。一名疰。
(凡七类)
论曰∶大肠腑者,主肺也,鼻柱中央,是其候也,肺合气于大肠。大肠者,为行道传泻
之腑也,号监仓掾。重二斤十二两,长一丈二尺,广六寸,当脐右回叠积还反十二曲,贮水
谷一斗二升。主十二时,定血脉,和利精神。(《千金》、《明堂》、《外台》同。《难经》云,
右手关前寸口阳绝者,无大肠脉也,若少气心下有水气,立秋节即咳,刺手太阴。治阴
,在鱼际间。
右手关前寸口阳实者,大肠实也。若肠中切痛如针刀所刺,无休息时,刺手阳明。治阳
,在手腕中泻之。
大肠病者,肠中切痛而鸣濯濯。冬日重感于寒,则泄,当脐而痛,不能久立与胃同。候
取巨虚上廉。
肠中雷鸣,气上冲胸,喘不能久立,邪在大肠,刺盲之原,巨虚、上廉、三里。
大肠胀者肠鸣而痛,寒则泄,食不化。
大肠有寒 溏,有热便肠垢。
大肠有宿食,寒 发热,有时如疟状。
肺前受病移于大肠,肺咳不已,咳则遗矢便利,厥气客于大肠则梦田野。
肺应皮,皮浓者大肠浓;皮薄者大肠薄;皮缓腹裹大者,大肠缓而长;皮急者,大肠急
而短;皮滑者,大肠直;皮肉不相离者,大肠结。
扁鹊云∶手太阴与阳明为表里。大肠若病实则伤热,热则胀满不通,口为生疮。食下入
肠,肠实而胃虚,食下胃,胃实而肠虚,所以实而不满,乍实乍虚乍来乍去,虚则伤寒,寒
则肠中雷鸣,泄青白之痢而发于气,水根在大肠,(方在治水篇中。
大肠绝不治,何以知之?泄利无度,利绝则死。
手阳明之脉,起于大指次指之端外侧,循指上廉,出合谷两骨之间,上入两筋之中,循
臂上
膈,属大肠。其支者,从缺盆直而上颈,贯颊入下齿缝中,还出挟口交人中,左之右,右之
左,上挟鼻孔。是动则病齿痛颊肿,是主津液所生病者,目黄口干鼽衄喉痹,肩前 痛,大
指次指痛不用。气盛有余,则当脉所过者热肿,虚则寒 不复盛者,则人迎大三倍于寸口,
虚者则人迎反小于寸口也。
All five types of corpse diseases (Shi Bing), namely Feishi (Flying Corpse), Dunshi (Escaping Corpse), Fengshi (Wind Corpse), Chenshi (Sinking Corpse), and Shizhu (Corpse Transmission), are now treated with a single combined prescription. The manifestations include abdominal pain, distension, and urgency, leading to dyspnea; rebellious Qi rushing upward to the chest and heart, attacking laterally to both hypochondriac regions; or the formation of palpable masses, or spasmodic traction affecting the waist and back. The treatment method involves moxibustion at a point three cun posterior to the nipple, on the left side for males and the right side for females, applying fourteen moxa cones (Erqi Zhuang). If symptoms persist, increase the number of moxa cones until recovery is achieved.
Additionally, apply seven moxa cones to the tips of both thumbs.
Apply ten moxa cones three cun below the epigastrium.
Apply moxibustion one cun below the nipple, on the affected side (left or right), with the number of cones determined by the severity of the illness.
Use a fine string to measure the distance between the patient's two nipples, cut it, and fold it in half. Then, measure outward from the nipple along the rib cage until the end of the string reaches the costal margin, and apply three moxa cones at this location.
For acute transmission of corpse pathogenic factors attacking the chest and heart, moxibustion is applied at the spinous process of the seventh thoracic vertebra, with the number of cones corresponding to the patient's age (Suinian Zhuang).
Apply three moxa cones one cun below the epigastrium.
Apply moxibustion at the elbow crease, with the number of cones corresponding to the patient's age.
For all cases of food-related corpse transmission, apply moxibustion to the tip of the little finger, with the number of cones corresponding to the patient's age, on the left side for males and the right side for females.
For Wudu Zhu (Five Poisons Transmission) causing inability to eat and various ailments, apply ten moxa cones three cun below the epigastrium at the Weiyuan region.
For Shui Zhu (Water Transmission), characterized by gurgling water in the mouth, the Classics state: "Lung Metal overacting on Kidney Water." Symptoms include vomiting clear fluid after eating. Moxibustion is applied to Feishu (BL13).
Additionally, moxibustion is applied to Sanyinjiao (SP6).
Additionally, moxibustion is applied to Qimen (LR14), located in the intercostal space below the nipple, second rib. This method aims to drain Lung heat and tonify Kidney essence, with the number of cones corresponding to the patient's age.
For all cases of corpse transmission, regardless of whether they are new or old, have the patient lie supine and apply moxibustion three cun obliquely downward from the sides of both breasts, in the third intercostal space. The number of cones corresponds to the patient's age, up to three hundred cones. This method is also effective for treating various Qi disorders and is known as Zhu disease.
(Seven categories in total)
Discussion states: The Large Intestine Fu organ is paired with the Lung. The central part of the nasal bridge serves as its external diagnostic indicator, as Lung Qi harmonizes with the Large Intestine. The Large Intestine is the Fu organ responsible for conducting and excreting waste, referred to as "Jian Cang Yuan" (Manager of Granaries). It weighs two jin and twelve liang, is one zhang and two chi long, six cun wide, located to the right of the umbilicus, with twelve folds and curves, capable of storing one dou and two sheng of water and grain. It governs the Qi circulation of the twelve double-hours, regulates blood vessels, and harmonizes spirit and vitality. (Records in *Qianjin Fang*, *Mingtang Jing*, and *Waitai Miyao* are consistent. *Nan Jing* states: If the Yang pulse at the Cun position before the Guan on the right hand is absent, it indicates no pulse in the Large Intestine. If there is shortness of breath and fluid retention in the epigastrium, coughing will occur at the Start of Autumn; needle the Hand Taiyin Lung Meridian. To treat Yin deficiency, select Yuji (LU10).
If the Yang pulse at the Cun position before the Guan on the right hand is excess, it indicates Large Intestine Excess Syndrome. If there is severe cutting pain in the intestines like needle stabs without relief, needle the Hand Yangming Large Intestine Meridian. To treat Yang excess, apply draining technique at the wrist.
In Large Intestine disease, there is severe intestinal pain and borborygmus. If exposed to cold in winter, diarrhea occurs, with pain at the umbilicus, and inability to stand for long periods, similar to Stomach disease. Diagnosis can be taken at Shangliao (ST37).
Borborygmus in the intestines, Qi rushing upward to the chest, wheezing, and inability to stand for long periods indicate pathogenic factors in the Large Intestine. Needle the Yuan source point of the Blindness (Huangyuan), specifically Shangliao (ST37) and Zusanli (ST36).
Large Intestine distension presents with borborygmus and pain; cold causes diarrhea and undigested food in stool.
Cold in the Large Intestine leads to loose stools; Heat in the Large Intestine leads to passage of intestinal mucus/pus.
Food stagnation in the Large Intestine causes aversion to cold and fever, resembling malaria paroxysms.
If the Lung is first affected by disease and transmits it to the Large Intestine, persistent lung cough results in involuntary defecation during coughing. If Jue Qi invades the Large Intestine, dreams of fields occur.
The Lung corresponds to the skin: thick skin indicates thick Large Intestine; thin skin indicates thin Large Intestine; lax skin with a large abdomen indicates a lax and long Large Intestine; tight skin indicates a contracted and short Large Intestine; smooth skin indicates a straight Large Intestine; closely adhered skin and muscle indicate knotted Large Intestine.
Bian Que stated: The Hand Taiyin and Hand Yangming meridians are exterior-interior pairs. If the Large Intestine suffers from excess syndrome, it injures with Heat, leading to distension and obstruction, and oral ulcers. When food enters the intestine, if the Intestine is excess and the Stomach is deficient, or when food enters the Stomach, if the Stomach is excess and the Intestine is deficient, thus the Large Intestine is "full but not stuffed," alternating between excess and deficiency, coming and going. Deficiency leads to Cold invasion; Cold causes borborygmus, passage of green-white dysentery, and Qi rebellion. The root of water metabolism lies in the Large Intestine (Formulas see Water Treatment Chapter).
If Large Intestine function fails and cannot be treated, how is it diagnosed? Profuse diarrhea without limit; if diarrhea ceases due to exhaustion of Zheng Qi, death ensues.
The Hand Yangming Large Intestine Meridian originates from the radial end of the index finger, runs along the radial border of the finger, emerges between the bones at Hegu (LI4), ascends between the two tendons, runs up the arm, passes through the diaphragm, and connects to the Large Intestine. Its branch rises straight from the Supraclavicular Fossa to the neck, penetrates the cheek, enters the lower gum, returns to cross at the Philtrum, left crossing to right, right crossing to left, ascending alongside the nostrils. Abnormal movement of this meridian causes toothache and cheek swelling. It governs diseases related to body fluids, such as yellow eyes, dry mouth, nasal congestion/epistaxis, throat bi, pain in the anterior shoulder, and pain/uselessness of the index finger. If Qi is excessive, heat and swelling occur along the meridian pathway; if deficient, there is cold intolerance. If deficiency is severe and does not recover, the Renying (ST9) pulse is three times larger than the Cunkou (Radial) pulse; in true deficiency, Renying is smaller than Cunkou.