黄帝问曰∶刺疟奈何?岐伯对曰∶疟疾,《素问》分各经。危氏刺指,(即十宣穴也。)舌红
紫,出舌下紫血筋也。
足太阳,先寒后热,腰疼头重,汗出不止∶刺委中,三分五壮。
足少阳,寒热不甚,见人心惕,汗多∶刺侠 ,二分三壮。
足阳明,寒久乃热生,汗出,喜见日光火光∶刺冲阳,三分三壮。
足太阴,寒热善呕,呕已乃衰∶刺公孙,四分三壮。
足少阴,热多寒少,呕吐,甚欲闭户∶刺大钟,二分。
足厥阴,小腹满,小便不利∶刺太冲,二分三壮。
心疟神门,肝疟中封,脾疟商邱,肺疟列缺,肾疟太 ,胃疟厉兑。
歌曰∶疟疾将针刺曲池,经渠合谷共相宜。五分针刺于二穴,疟疾缠身便得离。未愈更
加三间刺,五分深刺莫忧疑。又兼气痛憎寒热,间使行针莫要迟。
伤寒一日刺风府,阴阳分经次第取。
一日太阳风府∶督脉。二日阳明之荣∶大肠二间,胃内庭。三日少阳之俞∶胆临泣,三
焦中
中封,包络间使。在表刺三阳经穴,在里刺三阴经穴,六日过经未汗,刺期门、三里,古法
也。惟阴症灸关元穴为妙。
汗、吐、下法非有他,合谷、内关、阴交杵。
汗法∶针合谷,入二分。行九九数,搓数十次,男左搓,女右搓,得汗,行泻法。汗止
,身温出针。如汗不止,针阴市,补合谷。
吐法∶针内关,入三分。先补六次,泻三次,行子午捣臼法三次,提气上行,又推战一
病患多呼几次即止。如吐不止,补九阳数,调匀呼吸三十六度。吐止,徐出针,急扪穴。吐
不止,补足三里。
下法∶针三阴交,入三分。男左女右,以针盘旋右转,六阴数毕,用口鼻闭气,吞鼓腹中。
将泻,插一下其人即泄。鼻吸手泻三十六遍,方开口鼻之气,插针即泄。如泄不止,针合谷
,升九阳数。凡汗吐下,仍分阴阳补泻。
寒头痛∶合谷、攒竹、太阳。 无汗∶内庭、合谷、复溜、百劳。 胸胁痛∶大陵、期门、
膻中、劳宫。 狂不识尊卑∶曲池、绝骨、百劳、涌泉。 大热不退∶曲池、绝骨、三里、大
椎、涌泉、合谷俱泻。 退后余热∶风门、合谷、行间、绝骨。 汗多∶内庭、合谷、复溜
、百劳。 大便不通∶章门、照海、支沟、太白。 小便不通∶阴谷、阴陵泉。 六脉俱无
∶合谷、复溜、中极。 发痉不省人事∶曲池、合谷、人中、复溜。 发黄∶腕骨、申脉、
外关、涌泉。 胁痛∶支沟、章门、阳陵泉、委中。 过经不汗∶期门。 如四肢厥逆冷∶
复溜顺骨刺之。 如脉浮∶寒补绝骨,热泻绝骨。 如浮洪∶泻之。 如沉细∶补之。 口
噤目闭药不下∶合谷。 狐惑口生疮∶黄连犀角汤。 虫在内食∶地仓。 伤寒吐蛔∶乌梅
汤、灸中脘。 痞结胁积疼∶期门。 当汗不汗∶合谷。 自汗∶复溜。 牙关紧急,项强
反张,目直视∶列缺。 如痞气结胸,两目昏黄,汗不通∶涌泉三分出汗。
Yellow Emperor asked: How should malaria be treated with acupuncture? Qibo replied: Regarding malaria, *Suwen* classifies it by the various meridians. Wei Shi used finger pricking (i.e., Shixuan points [Ten Exclamations]); if the tongue is red and purple, prick the purple blood vessels under the tongue to bleed.
Malaria of Foot-Taiyang presents with chills first followed by fever, lower back pain, heavy head, and incessant sweating: Prick Weizhong (BL60), depth 3 fen, moxa 5 zhuang.
Malaria of Foot-Shaoyang presents with mild chills and fever, palpitations/fearfulness, and profuse sweating: Prick Xiaxi (GB43), depth 2 fen, moxa 3 zhuang.
Malaria of Foot-Yangming presents with prolonged chills before heat arises, sweating, and a preference for sunlight or firelight: Prick Chongyang (ST42), depth 3 fen, moxa 3 zhuang.
Malaria of Foot-Taiyin presents with alternating chills and fever, frequent vomiting, which subsides after vomiting: Prick Gongsun (SP4), depth 4 fen, moxa 3 zhuang.
Malaria of Foot-Shaoyin presents with more heat than cold, vomiting, and in severe cases, a desire to close doors/windows: Prick Dazhong (KI4), depth 2 fen.
Malaria of Foot-Jueyin presents with fullness in the lower abdomen and difficulty urinating: Prick Taichong (LR3), depth 2 fen, moxa 3 zhuang.
Heart malaria: Prick Shenmen (HT7). Liver malaria: Prick Zhongfeng (LR4). Spleen malaria: Prick Shangqiu (SP5). Lung malaria: Prick Lieque (LU7). Kidney malaria: Prick Taixi (KI3). Stomach malaria: Prick Lidui (ST45).
Verse says: To treat malaria, needle Quchi (LI11); Jingqu (LU8) and Hegu (LI4) are suitable together. Needle these two acupoints at a depth of 5 fen, and the malaria will depart. If not cured, add Sanjian (LI3); do not hesitate to needle deeply at 5 fen. If accompanied by Qi pain and aversion to cold/heat, needle Neiguan (PC6) without delay.
In Shaoyang disease on the first day, needle Fengfu (GV16), selecting acupoints according to the sequence of Yin and Yang meridians.
Day 1 Taiyang: Fengfu (GV16) — Du Meridian. Day 2 Yangming: Ying-Spring points — Dachang Erjian (LI2), Weijing Neiting (ST44). Day 3 Shaoyang: Shu-Stream points — Dan Linqi (GB41), Sanjiao Zhongzhu (TE3), Xinbao Jianshi (PC5) [Note: Text mentions Zhongfeng here but attributes to Pericardium/Jianshi]. Treat exterior by needling the three Yang meridian points; treat interior by needling the three Yin meridian points. On the sixth day, if the disease has passed through its cycle without sweating, needle Qimen (LR14) and Zusanli (ST36); this is the ancient method. For Yin syndromes only, moxibustion of Guanyuan (CV4) is excellent.
The methods of sweating, vomiting, and purging have no other secrets; they rely on Hegu (LI4), Neiguan (PC6), and Yinjiao (CV7).
Sweating method: Needle Hegu (LI4), depth 2 fen. Perform the Jiujiu (9x9=81) manipulation, rubbing/twisting dozens of times. Males twist left, females twist right. Once sweat appears, apply reducing method. When sweating stops and body temperature warms, remove the needle. If sweating does not stop, needle Yinshi (ST31) and tonify Hegu (LI4).
Vomiting method: Needle Neiguan (PC6), depth 3 fen. Tonify six times, reduce three times. Perform Zi-Wu Daojiu (Midnight-Noon Ebb-Flow) method three times to raise Qi upward. Push/manipulate to induce shivering; let the patient call out several times until it stops. If vomiting continues, apply Nine Yang numbers (tonification), regulate breathing thirty-six times. When vomiting stops, slowly remove the needle and quickly press the point. If vomiting persists, tonify Zusanli (ST36).
Purging method: Needle Sanyinjiao (SP6), depth 3 fen. Males use left side, females use right side. Rotate the needle clockwise. Complete the Six Yin numbers. Hold breath with mouth and nose, swallow and distend the abdomen. Before purging, insert the needle once, and the patient will defecate. Inhale thirty-six times while applying manual reduction. Then release breath, re-insert needle, and defecation occurs. If diarrhea persists, needle Hegu (LI4) and apply Nine Yang numbers (tonification). All sweating, vomiting, and purging methods still require distinguishing Yin/Yang and applying tonification/reduction.
Cold headache: Hegu (LI4), Cuanzhu (BL2), Taiyang (EX-HN5). No sweat: Neiting (ST44), Hegu (LI4), Fuliou (KI7), Bailao (EX-HN2). Chest and hypochondriac pain: Daling (PC7), Qimen (LR14), Tanzhong (CV17), Laogong (PC8). Mania disregarding status/hierarchy: Quchi (LI11), Jiegu (GB39), Bailao (EX-HN2), Yongquan (KI1). Persistent high fever: Reduce Quchi (LI11), Jiegu (GB39), Zusanli (ST36), Dazhui (GV14), Yongquan (KI1), Hegu (LI4). Residual heat after fever breaks: Fengmen (BL12), Hegu (LI4), Xingjian (LR2), Jiegu (GB39). Profuse sweating: Neiting (ST44), Hegu (LI4), Fuliou (KI7), Bailao (EX-HN2). Constipation: Zhangmen (LR13), Zhaohai (KI6), Zhigou (TE6), Taibai (SP3). Urinary retention: Yinggu (KI10), Yinlingquan (SP9). Absence of all six pulses: Hegu (LI4), Fuliou (KI7), Zhongji (CV3). Spasm and unconsciousness: Quchi (LI11), Hegu (LI4), Renzhong (GV26), Fuliou (KI7). Jaundice: Wanggu (SI4), Shenmai (BL62), Waiguan (TE5), Yongquan (KI1). Hypochondriac pain: Zhigou (TE6), Zhangmen (LR14), Yanglingquan (GB34), Weizhong (BL40). Passed cycle without sweating: Qimen (LR14). Cold limbs (Jue-ni): Needle Fuliou (KI7) along the bone direction. Floating pulse: Tonify Jiegu (GB39) for cold, reduce Jiegu (GB39) for heat. Floating and surging pulse: Reduce. Deep and fine pulse: Tonify. Locked jaw, closed eyes, inability to take medicine: Hegu (LI4). Hu-huo syndrome with oral ulcers: Huanglian Xijiao Tang (Coptis and Rhinoceros Horn Decoction). Parasites eating inside: Dicang (ST4). Shaoyang vomiting roundworms: Wumei Tang (Mume Decoction), moxa Zhongwan (CV12). Epigastric fullness and hypochondriac mass pain: Qimen (LR14). Should have sweated but did not: Hegu (LI4). Spontaneous sweating: Fuliou (KI7). Jaw stiffness, neck rigidity with opisthotonos, fixed gaze: Lieque (LU7). Epigastric fullness with chest binding, yellowish dim vision, no sweat: Needle Yongquan (KI1) at 3 fen to induce sweating.