(余见咳逆上气 喘 伤寒呕哕)
然谷、天泉、陷谷、胸堂、章门、曲泉、天突、云门、肺俞、临泣、肩井、风门、行间
、主
咳逆。(千)维道、主咳逆不止。大陵、主咳逆寒热发。大陵、少商、主咳逆喘。大
泉、主咳逆胸满。喘不得息。(明下同。)三里、主咳逆多吐。中府、主肺系急。咳辄胸
痛。前谷、主咳而胸满。经渠、行间、主喜咳。侠白、主咳。干呕烦满。支沟、主
咳。面赤而热。咳唾噫。善咳。气无所出。先取三里。后取太白、章门。(并千。)
孔最、天泉、(见心痛。)大溪、(见心痛。)行间、俞府、(见喘。)神封、(见胸满。)
腹结
、(见脐痛。)少商、(见善噫。)浮白、治咳逆。(铜)肝俞、治咳引两胁急痛。不得息。转
侧难橛胁下与脊相引而反折。目上视。目眩。循眉头痛。惊狂鼽衄。起则目KT KT 。目生白翳
。咳引胸中痛。寒疝小腹痛。唾血短气。明下云、疗咳逆。两胁满闷。鱼际、治咳引尻痛
。窍阴、治胁痛。咳逆不得息。浮白、疗咳逆。疝积胸满。不得喘息。胸瘵。(明)太
渊、疗咳逆烦心。不得卧。(下)灸咳逆法。乳下一指许。正与乳相直骨间陷中。妇人即屈
乳头度之。乳头齐处是穴。炷如小豆许。灸三壮。男左女右。只一处火到肌。即瘥。良方云
、族中有霍乱吐痢垂困。忽发咳逆。遂至危殆。与 延陈中裕病伤寒。咳逆甚。气已不属。
皆一灸而愈云。凡伤寒及久病。得咳逆、皆为恶候。投药不效者。灸之必瘥。若不瘥、则多
不救。(必用方云。哕者克逆也。见呕哕。)
咳病有十。曰风咳、寒咳、支咳、胆咳、厥阴咳、与五脏咳。千金载其刺法详矣。而伤
为恶证。施秘监尊人患伤寒咳甚。医告技穷。施检灸经。于结喉下灸三壮。即瘥。盖天突穴
也。神哉神哉。
(For related content, see sections on "Ke Ni Shang Qi" (Coughing and Reverse Flow of Qi), "Chuan" (Wheezing/Asthma), and "Shang Han Ou Yue" (Vomiting and Hiccups in Cold Damage).)
Rangu (KI2), Tianquan (HT10), Xian Gu (ST43), Xiong Tang (EX-UE7), Zhangmen (LR13), Ququan (LR8), Tiantu (CV22), Yunmen (LU2), Feishu (BL13), Linqi (GB41), Jianjing (GB21), Fengmen (BL12), Xingjian (LR2) treat Ke Ni (Coughing and Reverse Flow of Qi). (Source: *Qianjin Fang*)
Weidao (GB28) treats persistent Ke Ni.
Daling (PC7) treats Ke Ni accompanied by alternating chills and fever.
Daling (PC7) and Shaoshang (LU11) treat Ke Ni accompanied by wheezing.
Tianquan (HT10) treats Ke Ni with chest fullness and inability to breathe due to panting. (Note: "Ming tong xia" indicates subsequent references are from Ming dynasty texts.)
Zusanli (ST36) treats Ke Ni with frequent vomiting.
Zhongfu (LU1) treats spasm of the lung system, where coughing is immediately followed by chest pain.
Qian Gu (SI2) treats cough with chest fullness.
Jingqu (LU8) and Xingjian (LR2) treat frequent coughing.
Xiabai (LU2) treats cough, dry retching, and irritability/fullness.
Zhigou (TE6) treats cough with red and hot face, coughing up saliva and belching, propensity to cough, and obstruction of qi flow. First select Zusanli (ST36), then select Taibai (SP3) and Zhangmen (LR13). (Sources: *Qianjin Fang*)
Kongzui (LU6), Tianquan (HT10) (see Heart Pain section), Daxi (i.e., Taixi KI3) (see Heart Pain section), Xingjian (LR2), Yufu (BL23) (see Wheezing section), Shenfeng (BL19) (see Chest Fullness section), Fujie (ST25) (see Umbilical Pain section), Shaoshang (LU11) (see Frequent Belching section), Fu Bai (GB12) treat Ke Ni. (Source: *Tongren Shuxue Zhenjiu Tujing*)
Ganshu (BL18) treats cough radiating to acute pain in both hypochondria, dyspnea, difficulty turning the body, pulling sensation between the hypochondrium and spine causing opisthotonos, upward deviation of the eyes, vertigo, headache along the eyebrows,惊狂 (panic and mania), rhinorrhea, and epistaxis. Upon rising, vision becomes blurred ("KT KT"), and leukoma develops. Cough radiates to chest pain, cold hernia with lower abdominal pain, hemoptysis, and shortness of breath. Ming dynasty texts state it treats Ke Ni and fullness/stuffiness in both hypochondria.
Yuji (LU10) treats cough radiating to pain in the sacrum.
Qiaoyin (GB44) treats hypochondriac pain and Ke Ni with dyspnea.
Fu Bai (GB12) treats Ke Ni, hernia accumulation with chest fullness, inability to breathe, and chest phthisis. (Source: Ming dynasty text)
Taiyuan (LU9) treats Ke Ni with irritability and inability to lie down. (Source: Lower volume text)
**Moxibustion Method for Ke Ni:**
One finger-breadth below the nipple, in the depression of the intercostal space directly aligned with the nipple. For women, measure using a flexed nipple; the point aligns with the nipple tip. Use an moxa cone the size of a small bean, apply three moxibustions (Zhuang). Treat the left side for men and the right side for women. As long as the heat penetrates to the muscle layer, the disease will resolve.
*Li Fang* records: A clan member suffering from cholera-like vomiting and diarrhea was near death when sudden Ke Ni occurred, leading to critical danger. Another case involves Chen Zhongyu suffering from severe Ke Ni due to Cold Damage, with disconnected breath. Both were cured after a single application of moxibustion. Generally, Ke Ni appearing in Cold Damage or chronic diseases is a ominous sign. If medicinal treatment fails, moxibustion will surely cure it. If moxibustion fails, recovery is unlikely. (*Bi Yong Fang* notes: "Yue" refers to Ke Ni; see Vomiting and Hiccups section.)
There are ten types of cough: Wind Cough, Cold Cough, Branch Cough, Gallbladder Cough, Jueyin Cough, and Five-Zang Cough. *Qianjin Fang* details their acupuncture methods. However, cough arising from Cold Damage is a malignant syndrome. The father of Supervisor Shi suffered from severe cough due to Cold Damage; physicians exhausted their skills. Supervisor Shi consulted the acupuncture classics and applied three moxibustions below the laryngeal prominence (Jie Hou), resulting in immediate recovery. This point is likely Tiantu (CV22). Truly miraculous!