热病而 者,腰反折,螈 ,齿噤 。
张仲景曰∶太阳病,其证备,其身体强,KT KT 然,脉反沉迟者,此为 。夫 脉
来,按之筑筑而弦,直上下行。刚 为病,胸满口噤,卧不着席,脚挛急,其人必
齿。病发热,脉沉细为 。 家其脉伏坚,直上下。太阳病,发热无汗恶寒,此为刚 。
太阳病,发热汗出不
,其脉沉,与筋平。太阳痛,无汗,小便少,气上冲胸,口噤不能语,欲作刚 。然
刚
针灸为嘉。治之以药者,可服葛根汤。
风 身反折,先取太阳及 中及血络出血。 ,中有寒,取三里。 取之阴
跷及三毛上及血络出血。
取囟会、百会,及天柱、鬲俞、上关,光明主之。 目不 ,刺脑户。
脊强反折螈 ,癫疾头重,五处主之。 互引善惊,太冲主之。
反折,心痛,形气短尻 涩,小便黄闭,长强主之。 脊强互引,恶风时振
栗,喉痹,大气满,喘,胸中郁郁,气热,KT KT ,项强,寒热,偃仆不能久立,
烦满里急,身不安席,大椎主之。 筋痛急互引,肝俞主之。热 ,脾俞及肾俞主之。
热互引,汗不出反折,尻臂内痛似瘅疟状,膀胱俞主之。 反折互引,腹胀腋
挛,背中怏怏,引胁痛,内引心,中膂内,肺俞主之。又刺阳明,从项而数背椎侠脊膂而
痛,按
反目憎风,刺丝竹空主之。 互引,唇吻强,兑端主之。 烦满,龈交主之。
口噤,互引口干,小便赤黄,或时不禁,承浆主之。 口噤,大迎主之。
不能言,翳风主之。 先取太溪,后取太仓之原主之。 脊强里紧,腹中拘痛,水
分主之。 脊强,口不开,多唾,大便难,石关主之。 脊强反折,京门主之。
腹大坚不得息,期门主之。 上气,鱼际主之。 互引,腕骨主之。热
病汗不出,善呕苦, 身反折,口噤,善鼓颔,腰痛不可以顾,顾而有似拔者,善悲,
上下取之出血,见血立已。 身反折,口噤喉痹不能言,三里主之。 惊互
引,脚如结, 如裂,束骨主之。 目反白多,鼻不通利,涕黄更衣(一本作便出
血),京骨主之。 脊强,项眩痛,脚如结, 如裂,昆仑主之。 互折
,飞扬主之。
When heat disease presents with convulsions, the waist hyperextends backward, limbs twitch (spasm), and teeth are clenched.
Zhang Zhongjing stated: In Taiyang disease (Disease of the Bladder and Small Intestine channels), when all symptoms are present, the body is stiff and rigid, the neck and back feel tight and uncomfortable, and the pulse is instead deep and slow, this is termed Gang Jing (Rigid Spasm). If the pulse arrives, feeling pounding and wiry upon pressure, running straight up and down, it indicates Gang Jing. When Gang Jing occurs, there is chest fullness, inability to open the mouth (trismus), inability to lie flat on the back due to opisthotonos, leg cramps, and the patient will necessarily grind their teeth. If fever is present with a deep and fine pulse, it is Rou Jing (Flaccid Spasm). The pulse of spasm patients is hidden and firm, running straight up and down. In Taiyang disease, fever without sweat and aversion to cold constitutes Gang Jing. In Taiyang disease, fever with sweating but no aversion to wind, with a deep pulse, corresponds to a state where sinews are relaxed. In Taiyang pain, without sweat, scanty urination, qi rushing upward to the chest, trismus preventing speech, this is impending Gang Jing. However, acupuncture is excellent for treating Gang Jing. For pharmacological treatment, Gegen Tang (Kudzu Decoction) can be administered.
For Feng Jing (Wind Spasm) causing the body to hyperextend backward, first bleed the Taiyang channel, Weizhong (BL30), and collateral vessels. For cold in the middle jiao, take Zusanli (ST36). Take Yinqiao (KI6) and the hair tuft above the big toe (Yinbai SP1 area) along with collateral vessels for bleeding.
Xinhui (DU22), Baihui (DU20), Tianzhu (BL10), Geshu (BL17), and Shangguan (ST7) are indicated; Guangming (GB37) governs them. For eyes unable to move, puncture Naohu (DU16).
For spinal rigidity, hyperextension, and convulsions, or epilepsy with heavy head, Wuchu (EX-HN4) governs them. For traction spasms prone to fright, Taichong (LR3) governs them.
For hyperextension, heart pain, shortness of breath and qi deficiency,涩 (stagnation) at the coccyx, yellow and obstructed urine, Changqiang (DU1) governs them. For spinal rigidity with mutual traction, aversion to wind with frequent chills, throat obstruction (bi), excess qi, wheezing, chest depression, internal heat, neck stiffness, alternating chills and fever, inability to stand long while lying supine, irritability and fullness with internal tension, restlessness on the bed, Dazhui (DU14) governs them. For painful and urgent sinew traction, Ganshu (BL18) governs them. For heat-induced spasms, Pishu (BL20) and Shenshu (BL23) govern them.
For heat-induced mutual traction, anhidrosis, hyperextension, pain in the coccyx and inner arms resembling Dan Malaria, Bladdershushu (BL28) governs them. For hyperextension with mutual traction, abdominal distension, axillary cramps, chest oppression, radiating costal pain, internal traction to the heart, located within the spine, Feishu (BL13) governs them. Also puncture the Yangming channel; for pain from the neck down along the paravertebral muscles, pressing... [text incomplete].
For eyes looking upward with aversion to wind, Sizhukong (TE23) governs them. For traction spasms and strong lip contraction, Duanduan (CV15) governs them. For irritability and fullness, Yinjiao (CV24) governs them.
For trismus, traction spasms, dry mouth, red and yellow urine, or occasional incontinence, Chengjiang (CV24) governs them. For trismus, Daying (ST5) governs them.
For inability to speak, Yifeng (TE17) governs them. First take Taixi (KI3), then the Yuan-source point of Taicang (Stomach 36/Zusanli) governs them. For spinal rigidity with internal tightness and abdominal cramping pain, Shuifen (CV9) governs them. For spinal rigidity, inability to open the mouth, excessive saliva, and difficult defecation, Shiguan (KI18) governs them. For spinal rigidity and hyperextension, Jingmen (GB25) governs them.
For large and hard abdomen with breathing difficulty, Qimen (LR14) governs them. For ascending qi, Yuji (LU10) governs them. For traction spasms, Wanggu (SI4) governs them. For heat disease with anhidrosis, frequent bitter vomiting, hyperextension, trismus, frequent jaw clenching, low back pain with inability to look back (feeling like pulling out), frequent sadness, bleeding from upper and lower collaterals stops the condition immediately upon seeing blood. For hyperextension, trismus, throat obstruction, and inability to speak, Zusanli (ST36) governs them. For fright with mutual traction, legs feeling bound, thighs feeling torn, Shugu (BL65) governs them. For eyes looking upward with excessive white sclera, nasal obstruction, yellow discharge, or bloody stool (alternative text says bloody stool), Jinggu (BL64) governs them. For spinal rigidity, dizziness and pain in the neck, legs feeling bound, thighs feeling torn, Kunlun (BL60) governs them. For traction and hyperextension, Feiyang (BL58) governs them.