风∶大率主血虚气虚,火与湿多痰。
中风∶神阙 风池 百会 曲池 翳风 风市 环跳 肩 皆可灸之以疏风,针
寒∶见伤寒。
阴寒及陷下脉绝者,宜灸之。
发热,有寒潮热,烦热,往来热。
热病汗不出∶商阳 合谷 阳谷 侠溪 厉兑 劳宫 腕骨 以导气。
热无度汗不止∶陷谷 以泄热。
腹痛∶有虚实,寒气滞,死血,积热,风湿,宿食,疮,痧,疝。
实痛宜泻∶太冲 太白 太渊 大陵 三阴交
邪客经络,药不能及,宜灸∶气海 关元 中脘
头痛∶有风热,痰,湿,寒,真头疼,手足青至节,死不治。
灸,疏散寒。脉
浮刺∶腕骨 京骨 脉长刺∶合谷 冲阳 脉弦刺∶阳池 风府 风池
腰痛∶有气虚,血虚,肾病,风湿,湿热,瘀,寒滞。
血滞于下∶刺委中(出血) 灸肾俞 昆仑
又用附子尖、乌头尖、南星、麝香、雄黄、樟脑、丁香 炼蜜丸,姜汁化成膏,放手内
胁痛∶肝火盛,木气实,有死血痰注,肝急。针丘墟 中渎
心痛∶有风寒,气血虚,食积热。针太溪 然谷 尺泽 行间 建里 大都 太白 中
牙疼∶主血热,胃口有热,风寒湿热,虫蛀。针合谷 内庭 浮白 阳白 三间
眼目∶主肝气实,风热,痰热,血瘀热,血实气壅。针上星 百会 神庭 前顶 攒竹
丝竹空 痛者∶针风池 合谷
大寒犯脑,连及目痛,或风湿相搏,有翳∶灸二间 合谷
小儿疳眼∶灸合谷(二穴) 各一壮。
泻痢∶气虚兼寒热食积,风邪,惊邪,热湿,阳气下陷,痰积,当分治,泻轻痢重。
陷下∶灸脾俞 关元 肾俞 复溜 腹哀 长强 太溪 三里 气舍 中脘 大肠俞
白痢∶灸大肠俞
赤痢∶灸小肠俞
疟∶有风暑,山岚瘴气,食老疟,寒湿痹,五脏疟,五腑疟。针合谷 曲池 公
孙先针,后灸大椎第一节,三七壮。
咳嗽∶有风、寒、火、劳、痰、肺胀、湿。灸天突 肺俞 肩井 少商 然谷 肝俞
期门 行间 廉泉 扶突 针曲泽(出血立已) 前谷
面赤热咳∶针支沟。
多唾∶针三里。
吐衄血∶身热是血虚,血温身热者,死不治。针隐白 脾俞 肝俞 上脘
下血∶主肠风,多在胃与大肠。针隐白 灸三里
诸气∶怒则气上,惊则气乱,恐则气下,劳则气散,悲则气消,喜则气缓,思则气结。
淋∶属热,热结,痰气不利,胞痹为寒,老人气虚。灸三阴交。
小水不禁∶灸阳陵泉 阴阳泉
喉痹∶针合谷 涌泉 天突 丰隆 初起旁灸之,使外泄气。
头肿∶针曲池。
诸疮∶
瘰 ∶灸肩井 曲池 大迎
缘唇疮∶刺唇去恶血。
疝∶有因寒,因气,因湿热,痰积流下。针太冲 大敦 绝骨 灸大敦 三阴交 小腹
下横纹斜尖,灸一壮。
香港脚∶有湿热,食积,流注,风湿,寒湿。针公孙 冲阳 灸足三里。
痿∶有湿热,有痰,有无血而虚,有气弱,有瘀血。针中渎 环跳(停针待气二时
方可) 灸三里 肺俞
喘∶有痰喘,气虚,阴虚。灸中府 云门 天府 华盖 肺俞
恶心∶因痰,热,虚。灸胃俞 幽门 商丘 中府 石门 膈俞 阳关
膈噎∶因血虚,气虚,热,痰火,血积,癖积。 针天突 石关 三里 胃俞 胃脘
膈俞 水分 气海 胃仓
水肿∶皮水,正水,石水,风水,因气湿食。针胃仓 合谷 石门 水沟 三里 复溜
臌胀∶气胀、寒胀,脾虚中满。针上脘 三里 章门 阴谷 关元 期门 行间 脾俞
头眩∶痰挟气,虚火动其痰。针上星 风池 天柱
痛风∶风热,风湿,血虚有痰。针百会 环跳
肩臂痛∶痰湿为主。灸肩 曲池
梦遗∶专主湿热相火。灸中极 曲骨 膏肓 肾俞
痫∶俱是痰火,不必分马牛六畜。灸百会 鸠尾 上脘 神门 阳跷(昼发) 阴跷(夜
癞∶感天地间杀厉之气,声哑者难治。针委中出血二三合。黑紫 塔上,亦去恶血。
以上见刘氏杂病治例。
疮疡
河间曰∶凡疮疡须分经络部分,血气多少,俞穴远近。从背出者,当从太阳五穴选用∶
至阴、通谷、束骨、昆仑、委中。从鬓出者,当从少阳五穴选用∶窍阴、侠溪、临泣、阳辅
、阳陵。从髭出者,当从阳明五穴选用∶厉兑、内庭、陷谷、冲阳、解溪。从胸出者∶绝骨
一穴。
《肠痈纂要》云∶千金灸法,屈两肘,正肘头锐骨,灸百壮,下脓血而安。按河间疮疡
,止论足三阳,而手足三阴、三阳未备,学人当引伸触类。又查《医学入门》杂病歌,痈疽
初起审其穴,只刺阳经不刺阴。录之以备通考。
Wind Pathogen: Generally arises from deficiency of Blood and Qi, often accompanied by Fire, Dampness, and Phlegm.
Apoplexy (Stroke): Moxibustion can be applied to Shenque (CV 8), Fengchi (GB 20), Baihui (GV 20), Quchi (LI 11), Yifeng (SJ 17), Fengshi (GB 31), Huantiao (GB 30), and Jianliao (SI 9) to disperse Wind. For acupuncture treatment, refer to the "Shanghan" chapter.
Cold Syndrome: In cases of Yin-Cold excess or pulselessness due to collapse, moxibustion is indicated.
Fever: Includes aversion-to-cold with fever, tidal fever, vexatious heat, and alternating chills and fever.
Heat Disease with No Sweating: Acupuncture at Shangyang (LI 1), Hegu (LI 4), Yanggu (SI 5), Xiaxi (GB 43), Lidui (ST 45), Laogong (PC 8), and Wanggu (SI 4) to guide Qi.
Unremitting Heat with Profuse Sweating: Acupuncture at Xian Gu (ST 43) to drain Heat.
Abdominal Pain: Can be Excess or Deficiency. Causes include Cold stagnation, fixed blood (blood stasis), accumulated Heat, Wind-Dampness, retained food, sores, Sha syndrome, and hernia.
Excess pain should be treated with draining methods: Acupuncture at Taichong (LR 3), Taibai (SP 3), Taiyuan (LU 9), Daling (PC 7), and Sanyinjiao (SP 6).
When pathogens lodge in the meridians where herbs cannot reach, moxibustion is indicated: Moxibustion on Qihai (CV 6), Guanyuan (CV 4), and Zhongwan (CV 12).
Headache: Causes include Wind-Heat, Phlegm, Dampness, Cold, and True Headache (where hands and feet turn blue up to the joints, a fatal condition difficult to treat). Moxibustion disperses Cold.
Floating Needle Technique: Acupuncture at Wanggu (SI 4) and Jinggu (BL 64).
Long Pulse Needle Technique: Acupuncture at Hegu (LI 4) and Chongyang (ST 42).
String-like Pulse Needle Technique: Acupuncture at Yangchi (SJ 4), Fengfu (GV 16), and Fengchi (GB 20).
Lumbar Pain: Causes include Qi deficiency, Blood deficiency, Kidney disease, Wind-Dampness, Damp-Heat, blood stasis, and Cold stagnation.
Blood Stagnation in the Lower Jiao: Bleed Weizhong (BL 40); apply moxibustion to Shenshu (BL 23) and Kunlun (BL 60).
Additionally, use tips of Fuzi (Aconiti Lateralis Radix Preparata), Wutou (Aconiti Radix), Nanxing (Arisaematis Rhizoma), Shexiang (Moschus), Xionghuang (Realgar), Zhangnao (Camphora), and Dingxiang (Caryophylli Flos), refined with honey into pills, dissolved in ginger juice to form a paste, applied to the palm.
Hypochondriac Pain: Due to Liver Fire excess, Wood Qi excess, fixed blood, Phlegm obstruction, or Liver tension. Acupuncture at Qiuxu (LR 4) and Zhongdu (GB 37).
Heart Pain: Causes include Wind-Cold invasion, Qi and Blood deficiency, and food retention transforming into Heat. Acupuncture at Taixi (KI 3), Ran gu (KI 2), Chize (LU 5), Xingjian (LR 2), Jianli (CV 11), Dadao (SP 2), Taibai (SP 3), and Zhongwan (CV 12).
Toothache: Mainly due to Blood Heat, Stomach Heat, Wind-Cold-Damp-Heat invasion, or tooth decay. Acupuncture at Hegu (LI 4), Neiting (ST 44), Fu bai (GB 12), Yang bai (GB 14), and San jian (LI 3).
Eye Disorders: Mainly due to Liver Qi excess, Wind-Heat, Phlegm-Heat, Blood stasis with Heat, Blood excess with Qi congestion. Acupuncture at Shang xing (GV 23), Baihui (GV 20), Shenting (GV 24), Qian ding (GV 21), Zanzhu (BL 2), and Sizhukong (TE 23).
If painful: Acupuncture at Fengchi (GB 20) and Hegu (LI 4).
Severe Cold invading the brain causing eye pain, or Wind-Dampness binding causing visual opacity: Moxibustion at Erjian (LI 2) and Hegu (LI 4).
Pediatric Gan Eye Disease (Malnutrition-related eye disorder): Moxibustion at Hegu (LI 4) bilaterally, one moxa cone per point.
Diarrhea and Dysentery: Causes include Qi deficiency combined with Cold/Heat, food retention, Wind pathogen, Shock pathogen, Damp-Heat, sinking of Yang Qi, and Phlegm accumulation. Treatment must differentiate patterns; mild dysentery uses draining methods, severe requires caution.
Sinking Pulse: Moxibustion on Pishu (BL 20), Guanyuan (CV 4), Shenshu (BL 23), Fuli u (KI 7), Fu ai (ST 25), Changqiang (GV 1), Taixi (KI 3), Zusanli (ST 36), Qishe (ST 11), Zhongwan (CV 12), and Dachangshu (BL 25).
White Dysentery: Moxibustion on Dachangshu (BL 25).
Red Dysentery: Moxibustion on Xiaochangshu (BL 27).
Malaria: Causes include Wind-Heat, Mountain Miasma, chronic malaria, Cold-Damp Bi, Five Zang Malaria, and Six Fu Malaria. First needle Gongsun (SP 4), then moxibustion on the first segment of Dazhui (GV 14), 21 cones.
Cough: Causes include Wind, Cold, Fire, Consumption, Phlegm, Lung Distension, and Dampness. Moxibustion on Tiantu (CV 22), Feishu (BL 13), Jianjing (GB 21), Shaoshang (LU 11), Rang u (KI 2), Ganshu (BL 18), Qimen (LR 14), Xingjian (LR 2), Lianquan (CV 23), Futu (LI 18); Acupuncture on Quze (PC 3) (bleeding cures immediately), and Qian gu (SI 11).
Facial Redness with Hot Cough: Acupuncture at Zhigou (SJ 6).
Excessive Salivation: Acupuncture at Zusanli (ST 36).
Hematemesis and Epistaxis: Body heat indicates Blood deficiency. If blood is warm and body is hot, it is a fatal condition difficult to treat. Acupuncture at Yinbai (SP 1), Pishu (BL 20), Ganshu (BL 18), and Shangwan (CV 13).
Lower Bleeding: Mainly due to Intestinal Wind, located in the Stomach and Large Intestine. Acupuncture at Yinbai (SP 1), Moxibustion on Zusanli (ST 36).
Various Qi Disorders: Anger causes Qi to rise; Shock causes Qi to become chaotic; Fear causes Qi to sink; Labor causes Qi to scatter; Grief causes Qi to consume; Joy causes Qi to relax; Thought causes Qi to knot.
Lin Syndrome (Dysuria): Belongs to Heat, due to Heat binding, Phlegm-Qi obstruction, Cold Bi of the Bladder, or Qi deficiency in the elderly. Moxibustion on Sanyinjiao (SP 6).
Incontinence of Urine: Moxibustion on Yanglingquan (GB 34) and Yangyin quan (Note: Text says Yangyin quan, likely referring to Yinlingquan SP 9 or specific pairing).
Bi-throat (Sore Throat): Acupuncture at Hegu (LI 4), Yongquan (KI 1), Tiantu (CV 22), and Fenglong (ST 40). At onset, apply moxibustion laterally to allow external release of Qi.
Head Swelling: Acupuncture at Quchi (LI 11).
Various Sores and Ulcers:
Scrofula: Moxibustion on Jianjing (GB 21), Quchi (LI 11), and Daying (ST 5).
Perioral Sores: Prick the lip to release evil blood.
Hernia: Causes include Cold, Qi stagnation, Damp-Heat, and Phlegm accumulation flowing downward. Acupuncture at Taichong (LR 3), Dadun (LR 1), and Jiegu (GB 39); Moxibustion on Dadun (LR 1) and Sanyinjiao (SP 6). On the oblique tip below the transverse crease of the lower abdomen, apply one moxa cone.
Beriberi (Jiaoqi): Causes include Damp-Heat, food retention, fluid retention, Wind-Dampness, and Cold-Dampness. Acupuncture at Gongsun (SP 4) and Chongyang (ST 42); Moxibustion on Zusanli (ST 36).
Flaccidity Syndrome (Wei): Causes include Damp-Heat, Phlegm, Blood deficiency, Qi weakness, and blood stasis. Acupuncture at Zhongdu (GB 37) and Huantiao (GB 30) (retain needle for two hours until Qi arrives); Moxibustion on Zusanli (ST 36) and Feishu (BL 13).
Wheezing/Asthma: Includes Phlegm-wheezing, Qi-deficiency wheezing, and Yin-deficiency wheezing. Moxibustion on Zhongfu (LU 1), Yunmen (LU 2), Tianfu (LU 3), Huagai (RN 16), and Feishu (BL 13).
Nausea: Due to Phlegm, Heat, or Deficiency. Moxibustion on Weishu (BL 21), Youmen (KI 2), Shangqiu (SP 5), Zhongfu (LU 1), Shimen (CV 5), Ge shu (BL 17), and Yangguan (GV 3).
Dysphagia (Ge Ye): Due to Blood deficiency, Qi deficiency, Heat, Phlegm-Fire, Blood accumulation, and Mass accumulation. Acupuncture at Tiantu (CV 22), Shiguan (ST 53), Zusanli (ST 36), Weishu (BL 21), Weiwan Shu (EX-B3), Geshu (BL 17), Shuifen (CV 9), Qihai (CV 6), and Weicang (BL 21).
Edema: Classified as Pi Water, Zheng Water, Shi Water, and Feng Water, caused by Qi stagnation, Dampness, and diet. Acupuncture at Weicang (BL 21), Hegu (LI 4), Shimen (CV 5), Shuigou (GV 26), Zusanli (ST 36), and Fuli u (KI 7).
Tympanites (Gu Zhang): Includes Qi distension and Cold distension, mainly due to Spleen deficiency and middle fullness. Acupuncture at Shangwan (CV 13), Zusanli (ST 36), Zhangmen (LR 13), Yinggu (KI 10), Guanyuan (CV 4), Qimen (LR 14), Xingjian (LR 2), and Pishu (BL 20).
Vertigo/Dizziness: Phlegm carrying Qi stagnation, with deficient Fire stirring Phlegm. Acupuncture at Shang xing (GV 23), Fengchi (GB 20), and Tianzhu (BL 10).
Gout: Causes include Wind-Heat, Wind-Dampness, and Blood deficiency with Phlegm. Acupuncture at Baihui (GV 20) and Huantiao (GB 30).
Shoulder and Arm Pain: Mainly due to Phlegm-Dampness. Moxibustion on Jianliao (SI 9) and Quchi (LI 11).
Nocturnal Emission: Specifically due to Damp-Heat and Minister Fire hyperactivity. Moxibustion on Zhongji (CV 3), Qugu (CV 2), Gaohuang (BL 43), and Shenshu (BL 23).
Epilepsy (Xian): All caused by Phlegm-Fire; no need to distinguish between horse, cow, etc., types. Moxibustion on Baihui (GV 20), Jiawei (CV 15), Shangwan (CV 13), Shenmen (HT 7), Yang Qiao Mai (daytime attacks), and Yin Qiao Mai (nighttime attacks).
Leprosy/Nasty Sores: Caused by killing qi of heaven and earth; hoarseness indicates difficult treatment. Bleed Weizhong (BL 40) by 2-3 liang. Black-purple blood on towers also removes evil blood.
The above are examples of treating miscellaneous diseases from Master Liu.
Sores and Ulcers
Hejian stated: All sores and ulcers must be differentiated by meridian distribution, abundance or scarcity of Blood and Qi, and distance of acupoints. Those emerging from the back should select from the five Taiyang points: Zhiyin (BL 67), Tonggu (BL 65), Shugu (BL 60), Kunlun (BL 60), and Weizhong (BL 40). Those emerging from the temples should select from the five Shaoyang points: Qiaoyin (GB 44), Xiaxi (GB 43), Linqid (GB 41), Yangfu (GB 38), and Yanglingquan (GB 34). Those emerging from the mustache area should select from the five Yangming points: Lidui (ST 45), Neiting (ST 44), Xian Gu (ST 43), Chongyang (ST 42), and Jie xi (ST 41). Those emerging from the chest: select Guigu (GB 39).
"Compilation of Intestinal Abscess" states: The Qianjin Moxibustion method involves flexing both elbows, aligning the sharp bone of the elbow tip, and applying 100 moxa cones; pus and blood will discharge, bringing peace. According to Hejian's discussion on sores and ulcers, only the three Yang meridians of the foot are discussed, while the three Yin and three Yang meridians of the hand are incomplete. Students should extend and infer by analogy. Also, checking the "Miscellaneous Diseases Song" in "Medical Beginner": "For early-stage carbuncles and sores, examine the acupoint; only prick Yang meridians, not Yin." Recorded here for comprehensive reference.