厥头痛,面若肿,起而烦心,取之足阳明太阴。厥头痛头脉痛,心悲善泣,视头动脉反
盛者
,刺尽去血,后调足厥阴。厥头痛,头贞贞头重而痛,泻头上五行,行五,先取手少阴,后
取足少阴。厥头痛意善忘,按之不得,取头面左右动脉,后取足太阴。厥阴头项先痛,腰脊
为应,先取天柱,后取足太阳。厥头痛头痛甚,耳前后脉涌有热,(一云有动脉)泻出其血,
后取足少阳。真头痛,头痛甚,脑尽痛,手足寒至节,死不治。头痛不可取于俞者,有所击
堕,恶血在于内,若肉伤痛未已,可则刺不可远取也。头痛不可刺者,大痹为恶,日作者可
令少愈,不可已,头半寒痛,先取手少阳阳明,后取足少阳阳明。
帝曰∶五脏使人痿何也?岐伯曰∶肺主身之皮毛,心主身之血脉,肝主身之筋膜,脾主
身之
肌肉,肾主身之骨髓。故肺热叶焦,则皮毛虚,弱急薄着,则生痿 也;心气热则下脉厥而
上,上则下脉虚,虚则生脉痿,枢折挈胫纵,而不任地也;肝气热则胆泄口苦,筋膜干,筋
膜干则筋急而挛,发为筋痿;脾气热则胃干而渴,肌肉不仁,发为肉痿;肾气热则腰脊不举
,骨枯而髓减,发为骨痿。帝曰∶何以得之?曰∶肺者脏之长也,为心之盖也,有所失亡,
所求不得,则发肺鸣,鸣则肺热叶焦。故曰五脏因肺热叶焦,发为痿 ,此之谓也!悲哀太
甚,则胞络绝,胞络绝则阳气内动,发则心下崩,数溲血。故本病曰,大经空虚,发为肌痹
,传为脉痿。思想无穷,所愿不得,意淫于外,入房太甚,宗筋驰纵,发为筋痿、及为白淫
。故《下经》曰∶筋痿者生于肝,使内也。有渐于湿,以水为事,若有所留,居处相湿,肌
肉濡溃,痹而不仁,发为肉痿。故《下经》曰∶肉痿者,得之湿地也。有所远行劳倦。逢大
热而渴,渴则阳气内伐,内伐则热舍于肾。肾水脏也,今水不胜火,则骨柘而髓虚,故足不
任身,发为骨痿。故《下经》曰。骨痿者生于大热也。帝曰∶何以别之?曰∶肺热者,色白
而毛败;心热者,色赤而络脉溢;肝热者,色苍而爪枯;脾热者,色黄而肉蠕动;肾热者,
色黑而齿槁。帝曰∶如夫子言可矣,论言治痿者独取阳明何也?岐伯曰∶阳明者,五脏六腑
之海,主润宗筋,宗筋主束骨而利机关也。冲脉者,经脉之海也,主渗灌溪谷,与阳明合于
宗筋。阴阳总宗筋之会,会于气冲,而阳明为之长,皆属于带脉,而络于督脉。故阳明虚,
则宗筋纵,带脉不引,故足痿不用也。治之各补其荣,而通其俞,调其虚空,和其逆顺,筋
脉骨肉,各以其时受月,则病已矣。帝曰∶善!
Jueyin headache, with the face appearing swollen, and irritability upon rising; treat by selecting points from Foot-Yangming (Stomach) and Foot-Taiyin (Spleen). Jueyin headache with pulsating head pain, sadness, and propensity to weep; observe the pulsating arteries in the head. If they are excessively full,刺 (prick) to exhaust the blood, then regulate Foot-Jueyin (Liver). Jueyin headache with a persistent heavy sensation and pain in the head; drain the five rows of points on the head (five points per row), first select Hand-Shaoyin (Heart) points, then Foot-Shaoyin (Kidney) points. Jueyin headache with forgetfulness and inability to locate tenderness by palpation; select the pulsating arteries on the left and right sides of the head and face, then select Foot-Taiyin (Spleen) points. Jueyin headache starting with pain in the head and neck, with corresponding pain in the lower back and spine; first select Tianzhu (BL10), then select Foot-Taiyang (Bladder) points. Jueyin headache with severe pain, where the vessels around the ears are surging with heat (or distinct arterial pulsation); drain the blood, then select Foot-Shaoyang (Gallbladder) points. True headache (Zhen Toutong): severe headache with pain penetrating the brain, cold hands and feet extending to the joints; this is a fatal condition and cannot be treated. For headaches that cannot be treated via standard Shu points due to trauma (blows or falls) causing internal stasis of evil blood: if muscle pain persists, local needling is permissible, but distant points should not be selected. For headaches unsuitable for needling due to severe Bi syndrome (painful obstruction): daily attacks may be slightly alleviated but not cured. For half-head cold pain: first select Hand-Shaoyang (Sanjiao) and Hand-Yangming (Large Intestine) points, then Foot-Shaoyang (Gallbladder) and Foot-Yangming (Stomach) points.
The Yellow Emperor asked: "How do the Five Zang organs cause Wei syndrome?" Qibo replied: "The Lung governs the skin and hair of the body; the Heart governs the blood vessels; the Liver governs the sinews and fascia; the Spleen governs the muscles; the Kidney governs the bone marrow. Therefore, if Lung heat causes the leaves to scorch and dry, the skin and hair become weak, thin, and adherent to the bones, leading to Wei Bi (flaccidity syndrome of the limbs); if Heart Qi is hot, the lower vessels reverse and ascend, causing deficiency in the lower vessels, leading to Mai Wei (vessel flaccidity), where the joint pivot breaks, the shins hang limp, and one cannot stand; if Liver Qi is hot, bile leaks causing bitter taste, the fascia dries, leading to tendon contraction and spasms, developing into Jin Wei (sinew flaccidity); if Spleen Qi is hot, the stomach becomes dry and thirsty, muscles become insensible, developing into Rou Wei (muscle flaccidity); if Kidney Qi is hot, the waist and spine cannot move, bones become withered and marrow decreases, developing into Gu Wei (bone flaccidity). The Yellow Emperor asked: "How are these conditions acquired?" Qibo said: "The Lung is the chief of the Zang organs and the cover of the Heart. Loss or unfulfilled desires cause Lung Ming (lung resonance/whistling sound), which leads to Lung heat and scorched leaves. Thus, it is said that Wei Bi arises from Lung heat affecting the Five Zang organs." Excessive grief severs the Bao Luo (pericardium collaterals); when severed, Yang Qi moves internally, causing bleeding from the heart region and frequent hematuria. Thus, the Ben Bing chapter states that emptiness of the large meridians leads to Ji Bi (muscle painful obstruction), which transmits to Mai Wei. Endless thinking and unfulfilled wishes, with mind wandering externally and excessive sexual activity, cause the Zong Jin (major sinews) to relax and sag, leading to Jin Wei and Bai Yin (seminal emission or leukorrhea). Thus, the Xia Jing states: 'Jin Wei originates from the Liver due to sexual indulgence.' Gradual exposure to dampness, working with water, or living in humid environments causes muscles to become sodden and ulcerated, leading to numbness and Bi, developing into Rou Wei. Thus, the Xia Jing states: 'Rou Wei is caused by dwelling in damp places.' Long journeys and fatigue, encountering extreme heat and thirst, cause Yang Qi to attack internally; this heat lodges in the Kidney. As the Kidney is the Water organ, if Water fails to overcome Fire, bones become withered and marrow deficient, so the feet cannot support the body, developing into Gu Wei. Thus, the Xia Jing states: 'Gu Wei originates from extreme heat.' The Yellow Emperor asked: "How can they be distinguished?" Qibo said: "Lung heat presents with white complexion and damaged hair; Heart heat with red complexion and overflowing collateral vessels; Liver heat with dark-green complexion and withered nails; Spleen heat with yellow complexion and twitching muscles; Kidney heat with black complexion and dry teeth." The Yellow Emperor said: "Your explanation is sufficient. Why does medical theory state that treating Wei syndrome requires focusing solely on the Yangming meridian?" Qibo said: "Yangming is the sea of the Five Zang and Six Fu organs, primarily nourishing the Zong Jin. The Zong Jin binds the bones and facilitates joint movement. Chong Mai (Penetrating Vessel) is the sea of the Twelve Primary Meridians, primarily infiltrating the Xi Gu (valleys between muscles), and merges with Yangming at the Zong Jin. Yin and Yang converge at the Zong Jin, meeting at Qichong (ST30), with Yangming as their leader. All are connected to the Dai Mai (Girdle Vessel) and linked to the Du Mai (Governor Vessel). Therefore, if Yangming is deficient, the Zong Jin sags, the Dai Mai fails to draw, and the legs become flaccid and unusable. Treatment involves tonifying the Ying (Spring) points and unblocking the Shu (Stream) points of each meridian, regulating deficiency and excess, harmonizing reversal and smooth flow, and treating the sinews, vessels, bones, and flesh according to the months when they are most receptive. Then the disease will resolve." The Yellow Emperor said: "Excellent!"