滴沥涩痛谓之淋,急满不通谓之闭。五淋之别,虽有气、砂、血、膏、劳之异,然皆肾虚而膀胱生热也。若小便赤
涩,灸其下脘。小便痛沥,灸其关元。五淋之症,皆宜灸其中极。
下脘(见臌胀。)
关元(见心腹痛。)
中极(见疝气。)
经谓胞移热于膀胱则溺血,是症未有不本于热者。当灸关元数忙。
关元(见心腹痛。)
遗溺者,由于中气虚衰,不能摄固所致。老年下元不足,孩提脬气未固多有之。总当灸其三阴。若小便频数者灸大
敦,小儿遗尿者灸气海。
三阴(见痿症。)
大敦(见尸厥。)
气海(见劳伤。)
便血之症,有肠风,有脏毒。如下鲜血,大便燥结,名曰肠风。血色黯浊,大便溏泻,名曰脏毒。脏毒者灸肾俞,
肠风者灸会阳。
肾俞(见痹症。)
会阳(尾尻骨两旁,各开二寸,尻骨节上两旁,各开寸半亦可。)
肺与大肠相为表里,故肺热则肛藏,肺虚则肛脱。或因肠风痔漏,或因久痢久泻,或因产妇用力太早,或因小儿叫
啼伤气。总须上灸百会,下灸会阳。
百会(见中风。)
会阳(见便血。)
古人论痔,有牝、牡、虫、血之分。其实皆大肠积热所致。当灸会阳几壮,庶冀而安。
会阳(见便血。)
泄泻有五,乃脾虚、肾虚、湿寒、湿热、食积也。脾虚则食少便频,肾虚则五更作泻,湿寒则便溏溺白,湿热则下
利肠垢,食泻则吞酸嗳腐。在医家当分而治,在灸家先取天枢,其次会阳之穴。
天枢(见劳伤。)
会阳(见便血。)
Dribbling, difficult urination accompanied by astringent pain is termed Lin syndrome (Strangury). Sudden abdominal fullness and inability to pass urine is termed Bi syndrome (Urinary Retention). Although the five types of Lin syndrome (Qi Lin [Gas Strangury], Sha Lin [Gravel Strangury], Xue Lin [Blood Strangury], Gao Lin [Paste Strangury], Lao Lin [Labor Strangury]) differ in manifestation as gas, gravel, blood, paste, or labor-induced, their root cause is always Kidney deficiency with Heat generating in the Bladder. If urine is red and astringent, moxa the Xiawan (CV10) acupoint. If urination is painful and dribbling, moxa the Guanyuan (CV4) acupoint. For symptoms of the five Lin syndromes, it is advisable to moxa the Zhongji (CV3) acupoint.
Xiawan (See Drum Distension chapter).
Guanyuan (See Heart and Abdominal Pain chapter).
Zhongji (See Hernia chapter).
The Classics state that when Heat from the Bao (Uterus/Bladder) shifts to the Bladder, it causes hematuria; this condition invariably stems from Heat. One should moxa the Guanyuan (CV4) acupoint for several moxa cones.
Guanyuan (See Heart and Abdominal Pain chapter).
Enuresis results from deficiency and decline of Middle Qi, leading to an inability to consolidate and hold. Elderly individuals with insufficiency of the Lower Yuan, and infants whose Bladder Qi has not yet solidified, often suffer from this. Generally, one should moxa the Sanyinjiao (SP6) acupoint. If there is frequent urination, moxa the Dajun (LR1) acupoint; for children with enuresis, moxa the Qihai (CV6) acupoint.
Sanyinjiao (See Flaccidity Syndrome chapter).
Dajun (See Corpse-like Coma chapter).
Qihai (See Labor Injury chapter).
Hematochezia includes Changfeng (Intestinal Wind) and Zangdu (Visceral Toxin). If fresh red blood is passed and stools are dry and constipated, it is named Changfeng. If the blood color is dark and turbid and stools are loose, it is named Zangdu. For Zangdu, moxa the Shenshu (BL23) acupoint; for Changfeng, moxa the Huiyang (BL35) acupoint.
Shenshu (See Bi Syndrome chapter).
Huiyang (Located on both sides of the coccyx, two cun lateral; alternatively, one and a half cun lateral to the upper side of the coccygeal joint).
The Lung and Large Intestine are exterior-interior partners. Thus, Lung Heat causes anal constriction, while Lung Deficiency causes anal prolapse. This may also be due to intestinal wind and hemorrhoidal fistulas, chronic dysentery or diarrhea, premature exertion by parturient women, or Qi injury from prolonged crying in infants. Generally, one must moxa Baihui (GV20) above and Huiyang (BL35) below.
Baihui (See Stroke chapter).
Huiyang (See Hematochezia chapter).
Ancients discussed hemorrhoids, distinguishing between Pin (Female), Mu (Male), Chong (Worm), and Xue (Blood) types. In reality, all are caused by accumulated Heat in the Large Intestine. One should moxa the Huiyang (BL35) acupoint for several moxa cones, hoping for peace and relief.
Huiyang (See Hematochezia chapter).
There are five types of Diarrhea: Spleen Deficiency, Kidney Deficiency, Damp-Cold, Damp-Heat, and Food Stagnation. Spleen Deficiency leads to poor appetite and frequent bowel movements; Kidney Deficiency leads to dawn diarrhea; Damp-Cold leads to loose stools and clear urine; Damp-Heat leads to passage of foul-smelling intestinal mucus; Food Stagnation leads to acid regurgitation and belching of rotten food. Physicians should treat them according to differentiation; Moxibustion practitioners should first select the Tianshu (ST25) acupoint, followed by the Huiyang (BL35) acupoint.
Tianshu (See Labor Injury chapter).
Huiyang (See Hematochezia chapter).