太阳病。头痛至七日以上自愈者。以行其经尽故也。若欲再作经者。针足阳明。使经不
传则
愈。(七日。太阳一经行尽之期而日再作经者。太阳过经不解。复病阳明而为并病也。当刺
足阳明之厉兑陷谷冲阳等穴。如太阳病脉浮头痛。刺宛骨京骨。头疼恶寒发热。刺合谷。以
解太阳之余邪也。)
太阳病。初服桂枝汤。反烦不解者。先刺风池风府。却与桂枝汤则愈。(风邪不仅在卫
。而在太阳之经。故刺之以解其结。)
阳明病。(脉长。身热目疼。鼻干。不得卧。)下血谵语者。此为热入血室。但头汗出者
。刺
期门。(阳明热盛。侵及血室。血室不藏。溢出前阴故下血。刺期门。则中焦营气之结滞易
散。)妇人中风。发热恶寒。经水适来。得之七八日热除而脉迟胸胁下满。如结胸状。谵语
者。此为热入血室也。当刺期门。随其实而泻之。(热入血室属阳明经男女皆有之。)
太阳少阳并病脉弦。头项强痛。或眩冒。时如结胸。心下痞硬。当刺大椎肺俞肝俞。(
肺主气。肝主血。此调其气血也。)慎不可发汗。发汗则谵语若谵语不止。当刺期门。
少阴病。(脉沉口燥舌干而渴。)吐利。手足不逆冷反发热者不死。脉不至者灸少阴七壮
。(灸太 复溜。能还大脉。若太 脉绝则死矣。)
伤寒六七日。脉微。手足厥冷。烦躁。灸厥阴厥不还者死。(按聚英云。伤寒。烦躁者
灸厥阴俞。即太冲穴。)
病者手足厥冷。言我不结胸。小腹满。按之痛者。此冷结在膀胱关元也。(灸关元穴。)
下利。手足逆冷无脉者灸之。(少阴经太 。任脉气海丹田。各灸七壮。可救万一。)不
温。若脉不还。反微喘者死。 下利后。脉绝。手足厥逆。 时脉还手足温者生。脉不还者
死。
伤寒腹满。谵语。寸口脉浮而紧。此肝乘脾也。名曰纵。刺期门。伤寒发汗。啬啬恶寒
。大
渴欲饮水。其腹必满。此肝乘肺也。名曰横刺期门。(肝乘脾曰纵者。放纵不收克其所胜。
其病难愈。肝乘肺曰横者。木反乘金。横犯其所不胜。其病易安。刺期门。皆所以泄肝之盛
气也)
Taiyang disease. If headache persists for more than seven days and resolves spontaneously, it is because the pathogenic factor has completed its course in the Taiyang channel. If transmission to another channel is anticipated, needling the Foot-Yangming channel can prevent transmission and lead to recovery. (Seven days mark the completion of the Taiyang channel's cycle. Recurrence implies unresolved Taiyang pathogens transferring to Yangming, resulting in concurrent disease. Points such as Lidui, Xangu, and Chongyang on the Foot-Yangming should be needled. For Taiyang disease with floating pulse and headache, Wangu and Jinggu may be needled; for headache, aversion to cold, and fever, Hegu may be needled to resolve residual Taiyang pathogens.)
Taiyang disease. If after the initial administration of Guizhi Tang (Cinnamon Twig Decoction), vexation worsens or fails to resolve, first needle Fengchi and Fengfu points, then administer Guizhi Tang to achieve recovery. (Wind pathogens not only affect the Wei level but also stagnate in the Taiyang channel; needling resolves this stagnation.)
Yangming disease. (Pulse is long, body heat, eye pain, nasal dryness, inability to sleep.) If hematochezia and delirium occur, this indicates Heat entering the Blood Chamber. If only head sweating occurs, needle Qimen. (Excessive Yangming heat invades the Blood Chamber, causing blood to overflow from the anterior yin. Needling Qimen dissipates stagnation in the Middle Jiao Ying Qi.) In women with Wind-stroke presenting fever and aversion to cold, whose menstruation coincides with onset, if after seven to eight days the fever subsides but the pulse becomes slow, accompanied by hypochondriac fullness resembling chest binding and delirium, this is Heat entering the Blood Chamber. Needle Qimen and apply draining method according to excess patterns. (Heat entering the Blood Chamber involves the Yangming channel and can affect both men and women.)
Concurrent Taiyang and Shaoyang disease presents with a string-taut pulse, stiffness and pain in the head and neck, occasional vertigo or dizziness, sensations resembling chest binding, and epigastric hardness and fullness. Needle Dazhui, Feishu, and Ganshu. (The Lung governs Qi and the Liver governs Blood; this regulates Qi and Blood.) Strictly avoid sweating therapy. If sweating induces delirium that persists, needle Qimen.
Shaoyin disease. (Pulse is deep, mouth dry, tongue parched, thirst.) If vomiting and diarrhea occur but hands and feet are not cold and there is fever, the prognosis is favorable. If the pulse is imperceptible, moxa the Shaoyin channel points for seven moxa cones. (Moxa Taixi and Fuli to restore the pulse; if Taixi pulse is absent, death ensues.)
In Shanghan (Cold Damage) lasting six to seven days, if the pulse is faint, hands and feet are cold, and there is restlessness, moxa the Jueyin channel points. If Yang Qi does not return, death ensues. (According to Zhenjiu Jiaying: for Shanghan with restlessness, moxa Jueyin Shu, which is Taichong.)
If a patient presents with cold hands and feet, denies chest binding, and has lower abdominal fullness and tenderness upon pressure, this indicates Cold binding at the Bladder and Guanyuan area. (Moxa Guanyuan.)
For diarrhea with cold hands and feet and absent pulse, apply moxibustion. (Moxa Taixi of the Shaoyin channel, and Qihai and Tiandian of the Ren channel, seven cones each, to save the critical case.) If the body remains cold, pulse does not return, and slight panting occurs, death ensues. After diarrhea, if the pulse vanishes and hands/feet are cold, but the pulse returns and hands/feet warm over time, survival is indicated; if the pulse does not return, death ensues.
Shanghan with abdominal fullness and delirium, with a floating and tight pulse at the Cun Kou position, indicates Liver Qi invading the Spleen, termed "Zong" (Vertical). Needle Qimen. If Shanghan sweating leads to shivering chills and extreme thirst for water, resulting in abdominal fullness, this indicates Liver Qi invading the Lung, termed "Heng" (Horizontal). Needle Qimen. (Liver invading Spleen is "Zong," meaning uncontrolled restriction of the conquered element, leading to difficult recovery. Liver invading Lung is "Heng," meaning Wood counter-attacking Metal, the unconquered element, leading to easier resolution. Needling Qimen drains excessive Liver Qi in both cases.)