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Vomiting above and diarrhea below, with violent abdominal turmoil. The pathogenic factor is in the Middle Jiao (Middle Burner), causing dysfunction of Stomach Qi. Yin and Yang are mutually obstructed, leading to vomiting, diarrhea, restlessness, and confusion.

In cases of Gan Huoluan (Dry Cholera) or acute, stabbing abdominal pain, it is appropriate to needle Weizhong (BL40) and Mingming (Duoming) points.

There are excess patterns and deficiency patterns. Whether due to cold-heat, dry stool, or old accumulation, lack of pain upon palpation indicates a deficiency pattern, while pain indicates an excess pattern. If moxibustion should be applied but is not, it causes cold stagnation in the patient, worsening over time until Qi rushes to the heart, leading to death. In such cases, needle Kuo (referring to Weizhong BL40).

When Yin pathogens prevail, slight Yang dissipates upwards, resulting in heaviness and cold extremities. There is throbbing pain in the umbilical and abdominal regions, reversal cold (Jue Ni), or general coldness, with six pulses being deep and fine. For Yin Toxin syndromes, moxa Guanyuan (CV4) and Qihai (CV6).

Needle Feishu (BL13) and Ganshu (BL18); if there is headache, needle Dazhui (GV14).

Pathogens accumulate internally, preventing the circulation of Body Fluids. When Yin-Cold is severe and there is lower closure, moxibustion is indicated. In Yin syndromes with difficulty in urination, the scrotum necessarily retracts into the lower abdomen, causing excruciating pain nearly leading to death; moxa Shimen (CV5).

The limbs are not supple, and sensations of itching, pain, cold, and heat are absent. This is because Healthy Qi is blocked and trapped by Pathogenic Factors, becoming stagnant and unable to disperse, compounded by a deficiency of Blood and Qi.

If, like Bian Que diagnosing the Crown Prince of Guo's Corpse-Jue syndrome, one considers it treatable when there is depression, dizziness, and insensibility, and the patient recovers after needling, this demonstrates the diagnostic skill of a divine physician. However, if the pulse is floating and forceful, sweat flows like oil, panting does not cease, and the body is insensible, could Bian Que cure him? (Above from Liu's Examples of Treating Cold Damage)

Generally, these conditions are primarily due to Blood deficiency and Qi deficiency, Fire and Dampness, and excessive Phlegm.

For Wind-Stroke, Shenque (CV8), Fengchi (GB20), Baihui (GV20), Quchi (LI11), Yifeng (SJ17), Fengshi (GB31), Huantiao (GB30), and Jianyu (LI15) can all be treated with moxibustion to open orifices and dispel Wind. Additionally, needling can be used to guide Qi.

In cases of Cold Damage:

When there is Yin-Cold and collapsed or absent pulses, moxibustion is appropriate.

Symptoms include chills and fever, tidal fever, vexatious heat, and alternating chills and fever.

For Heat syndromes where sweat does not occur, Shangyang (LI1), Hegu (LI4), Yanggu (SI4), Xiaxi (GB43), Lijue (ST45), Laogong (PC8), and Wanggu (SI4) are used to guide Qi. If the heat is unrelenting, Xangu (GB41) is selected, and bloodletting is used to drain Heat.

(Abdominal pain) has excess and deficiency patterns. Etiologies include Cold-Qi, Qi stagnation, dead Blood, accumulated Heat, Wind-Dampness, Phlegm-Fright, Phlegm-Food retention, sores, Sha syndrome, and hernia.

Excess pain is suitable for draining via needling. Points include Taichong (LR3), Sanyinjiao (SP6), Taibai (SP3), Taiyuan (LU9), and Dalin (PC7). When pathogens lodge in the meridians where herbs cannot reach, moxibustion on Qihai (CV6), Guanyuan (CV4), and Zhongwan (CV12) is appropriate.