（手寒 手清 手心热）
小儿食时头痛。及五心热。灸 各一壮。（明下）内关、主手中风热。（千）中冲、
少冲
、太泉、（明下同。）劳宫、经渠、列缺、主手掌热。肘痛。大溪、主手足寒至节。曲泽
、主手清逆气。巨阙、主手清。经渠、列缺、（见偏风。）少冲、（见伤寒。）中冲、（见
心
痛。）间使、（见狂。）太渊、治掌中热。间使、治掌中热。（见狂。）中冲、治掌热。（见伤
寒无汗。）阳陵泉、治脚冷。（见膝。）大都、治手足逆冷。（见腹满。）少商、治掌热
。（见指挛。）丰隆、治厥逆。（见尸厥。）
内庭、章门、治厥逆。行间、治四肢冷。曲池等、肩外俞、主肘寒。（千见肘。）
大溪、治手足冷。（见腹胁痛。）
五心之热。小儿伤食证也。大人亦然。若手足寒清过节。证恶可知。当早随证针灸之。
毋使至于此极方可。清、犹寒也。礼记言、冬温而夏清。是已。针灸法见四肢厥。
至阴、主风寒从足小指起。脉痹上下。（千）阴陵泉、主足痹痛。中都、主足湿痹不
能行
。阳辅、阳交、阳陵泉、主髀枢膝骨痹不仁。阳关、环跳、承筋、主胫痹不仁。腰俞
、风府、主足不仁。膀胱俞、大溪、次 、主足清不仁。阳关、主胫痹不仁。（见足杂
病。）浮 、治髀枢不仁。（铜见足杂病。）膀胱俞、治脚足不仁。（见腰脚。）白环俞
、
疗手足不仁。（明下见脊。）上廉、治手足不仁。（铜见偏风。）犊鼻、髀关、阳陵泉、主
膝不仁。（千见腰痛。）
列子载偃师造偈云、废其肾则足不能行。是足之不能行。盖肾有病也。当灸肾俞。或一
再灸
而不效。宜灸环跳风市犊鼻膝关阳陵泉阴陵泉三里绝骨等穴。但按略酸疼。即是受病处。灸
之无不效也。
(Hand Cold, Hand Chilly, Palm Heat)
Infants experience headache during meals. For five-center heat (heat sensation in the palms, soles, and chest), moxibustion is applied to Neiguan (PC6) with one moxa cone for each side. (From *Mingtang*) Neiguan (PC6) governs wind-heat in the hands. (From *Qianjin Fang*) Zhongchong (PC9), Shaochong (HT9), Taiyuan (LU9) (same as in *Mingtang*), Laogong (PC8), Jingqu (LU8), Lieque (LU7) govern palm heat. For elbow pain, Daxi (KI4) is moxibusted, governing cold of the hands and feet extending to the joints. Quze (PC3) governs hand chilliness and rebellious Qi. Juque (CV14) governs hand chilliness. Jingqu (LU8), Lieque (LU7) (see Biased Wind), Shaochong (HT9) (see Cold Damage), Zhongchong (PC9) (see Heart Pain), Jianshi (PC5) (see Mania), Taiyuan (LU9) treats palm heat. Jianshi (PC5) treats palm heat (see Mania). Zhongchong (PC9) treats palm heat (see Cold Damage without sweating). Yanglingquan (GB34) treats cold feet (see Knee). Dadu (SP2) treats reversed coldness of the hands and feet (see Abdominal Fullness). Shaoshang (LU11) treats palm heat (see Finger Spasm). Fenglong (ST40) treats Jue-ni (collapse/loss of consciousness) (see Corpse-like Collapse). Neiting (ST44), Zhangmen (LR13) treat Jue-ni. Xingjian (LR2) treats coldness of the four limbs. Quchi (LI11) and other points, Jianwaiyu (SI14) govern elbow coldness (*Qianjin* see Elbow). Daxi (KI4) treats coldness of the hands and feet (see Abdomen and Hypochondriac Pain).
Five-center heat is a symptom of food injury in infants. Adults are the same. If the hands and feet are chilly and cold beyond the joints, the severity of the condition is evident. One should promptly apply acupuncture and moxibustion according to the syndrome, rather than waiting until it reaches this extreme state. "Chilly" (Qing) means cold. The *Book of Rites* states: "Warm in winter and chilly in summer." This refers to this concept. See the section on Four Limbs Jue-ni for specific methods.
Zhiyin (BL67) governs wind-cold starting from the little toe of the foot, causing Mai-bi (pulse obstruction) moving up and down. (From *Qianjin Fang*) Yinlingquan (SP9) governs bi-pain in the foot. Zhongdu (LR6) governs damp-bi in the foot preventing walking. Yangfu (GB38), Yangjiao (GB35), Yanglingquan (GB34) govern bi-syndrome with numbness and insensitivity in the hip pivot and knee bones. Yangguan (EX-B7), Huantiao (GB30), Chengjin (BL56) govern bi-syndrome with numbness and insensitivity in the shank. Yaoshu (BL23), Fengfu (GV16) govern numbness and insensitivity of the foot. Pangguangshu (BL28), Daxi (KI4), Cishi (BL32) govern coldness and numbness of the foot. Yangguan (EX-B7) governs bi-syndrome with numbness and insensitivity in the shank (see Miscellaneous Foot Diseases). Fuxi (BL37) treats numbness and insensitivity of the hip pivot (*Tongren* see Miscellaneous Foot Diseases). Pangguangshu (BL28) treats numbness and insensitivity of the feet (see Waist and Feet). Baihuanxu (BL30) treats numbness and insensitivity of the hands and feet (*Mingtang* lower part see Spine). Shanglian (ST37) treats numbness and insensitivity of the hands and feet (*Tongren* see Biased Wind). Dubi (ST35), Biguan (ST31), Yanglingquan (GB34) govern numbness and insensitivity of the knee (*Qianjin* see Lower Back Pain).
The *Liezi* records that Yan Shi said: "Destroy his kidneys, and the feet cannot walk." Thus, the inability to walk is due to kidney disease. One should moxibustion the Shenshu (BL23) point. If there is no effect after one or two applications, it is advisable to moxibustion points such as Huantiao (GB30), Fengshi (GB31), Dubi (ST35), Xiguan (EX-LE4), Yanglingquan (GB34), Yinlingquan (SP9), Zusanli (ST36), and Jiexi (GB41). Wherever slight soreness and pain are felt upon pressing, that is the affected site; moxibustion at these sites will invariably be effective.