飧泄(完谷不化也。)补三阴之上。补阴陵泉。皆久留之。热行乃止。转筋于阳。治其阳
。转筋于阴。治其阴。皆卒刺之。(凡手足之外廉。皆属阳。经手足之内廉。皆属阴经。)徒 (
水同)先取环谷下三寸。(有水无风。故曰徒水。环谷。无所。考或即环跳穴。今曰环谷下三
寸。当作风市穴。)以铍针针之。间日一刺之。 尽乃止。饮闭药。(小便闭。须饮通闭之药
以利其水。)着痹不去。久寒不已。卒取其三里。(温补胃气。则寒湿散。)肠中不便。取三
。盛泻之。虚补之。(言大便不通者。由于邪气之盛。则泻之。由于正气之虚。则补之。)疠
风者。素刺其肿上。已刺。以锐针针其处。按出其恶气。肿尽乃止。常食方食。无食他食。
(疠音癞即大风也。素问长刺节论骨空论皆有刺法。)腹中常鸣。气上冲胸。喘不能久立。邪
在大肠。刺肓之原。(气海)巨虚上廉三里。小腹控睾。(音皋)引腰脊。上冲心。邪在小肠者
。连睾系。属于脊。贯肝肺。络心系。气盛则厥逆。上冲肠胃。熏肝。散于肓。结于脐。故
取之肓原以散之。(刺气海。散脐腹之结。)刺太阴以予之。(补肺经之虚。)取厥阴以下之。
(泻肝经之实。)取巨虚下廉以去之。(下巨虚。小肠之所属。)按其所过之经以调之。善呕。
呕有苦。长太息心中 。(心虚貌)恐人将捕之邪在胆。逆在胃。胆液泄。则口苦。胃气逆
。则呕苦。故曰呕胆。取三里以下胃气逆。侧刺少阳血络以闭胆逆。(闭止也。)却调其虚实
以去其邪。(其指胆胃两经。)饮食不下。膈塞不通。邪在胃脘。在上脘。则刺抑而下之。在
下脘。则散而去之。小腹肿痛。不得小便。邪在三焦约。(三焦下输出于委阳并足太阳之正
。入络膀胱约下焦也。)取之太阳大络。(飞扬)视其络脉。与厥阴小络结而血者。肿上。及
胃脘。取三里。
Sundry diarrhea (diarrhea with undigested food in the stool) should be treated by tonifying the upper part of the Three Yin meridians. Specifically, tonify Yinlingquan (SP9). Retain the needle for a long time in all cases, and remove it only when heat sensation spreads.
If spasms occur on the Yang aspect (lateral side), treat the Yang meridians; if spasms occur on the Yin aspect (medial side), treat the Yin meridians. In both cases, use the "Zu Ci" method (a rapid insertion and withdrawal technique). (Note: The lateral sides of the hands and feet belong to the Yang meridians; the medial sides belong to the Yin meridians.)
For "Tu Shui" (edema without wind pathogen, hence named 'Tu' meaning empty or bare because there is water but no wind), first puncture the point three cun below Huangu. ("Huangu" has no specific reference; it is考证 that it might refer to Huantiao (GB30). Currently, the point three cun below Huangu refers to Fengshi (GB31)). Puncture this area with a Pi needle (a sword-shaped needle). Puncture once every other day until cured. Simultaneously, administer medicine to promote urination. (Note: For urinary retention, one must drink diuretic medicines to facilitate water metabolism.)
For Zhu Bi (bi-syndrome characterized by heavy numbness due to dampness) that persists, accompanied by chronic cold, suddenly puncture Zusanli (ST36). (Note: Warming and tonifying Stomach Qi will dissipate cold-dampness.)
For intestinal obstruction and difficulty in defecation, select Shangjuxu (ST37) and Xiajuxu (ST39). Use reducing methods for excess patterns and tonifying methods for deficiency patterns. (Note: This refers to constipation. If caused by excess pathogenic factors, use reduction; if caused by deficiency of healthy Qi, use tonification.)
For Li Feng (leprosy, pronounced like 'Lai', also known as Great Wind disease; needling methods are recorded in *Su Wen: Chang Ci Jie Lun* and *Gu Kong Lun*), usually puncture the swollen areas. After puncturing, use a sharp needle at the site, press to expel evil qi, and stop when the swelling subsides. Maintain regular dietary habits and avoid consuming other types of food.
For frequent abdominal borborygmi, qi rushing upward to the chest, asthma preventing prolonged standing, the pathogen is in the Large Intestine. Puncture the Yuan-Source point of the Harem (Qihai, CV6), as well as Shangjuxu (ST37) and Zusanli (ST38).
For lower abdominal pain radiating to the testicles, pulling the waist and spine, with qi rushing upward to the heart, the pathogen is in the Small Intestine. This is because the Small Intestine connects to the testicles, belongs to the spine, penetrates the Liver and Lungs, and networks with the Heart system. When Qi is excessive, it leads to reversal, rushing upward to the Stomach and Intestines, steaming the Liver, spreading into the Harem, and knotting at the umbilicus. Therefore, select the Yuan-Source point of the Harem (Qihai) to dissipate the knot. Puncture the Taiyin Meridian to supplement it. Select the Jueyin Meridian to drain it. Select Xiajuxu (ST39) to eliminate the pathogen. (Note: Xiajuxu belongs to the Small Intestine Meridian.) Regulate according to the meridians traversed by the pathogen.
For frequent vomiting with bitter taste, frequent sighing, and a sense of fear as if being pursued, the pathogen is in the Gallbladder, with rebellious Qi in the Stomach. Bile fluid leaks, causing bitter taste; Stomach Qi rebels, causing vomiting of bitter fluid. Hence it is called "Gallbladder Vomiting." Select Zusanli (ST38) to descend rebellious Stomach Qi. Laterally puncture the blood collaterals of the Shaoyang Meridian to close the rebellion of Gallbladder Qi. (Note: "Bi" means to stop.) Subsequently, regulate the excess and deficiency of the Gallbladder and Stomach meridians to eliminate the pathogen.
For inability to eat, chest and diaphragm blockage, the pathogen is in the Epigastrium. If in the Upper Epigastrium, puncture to suppress and guide downward; if in the Lower Epigastrium, disperse and remove it.
For lower abdominal swelling and pain, inability to urinate, the pathogen is in the constraint of the Sanjiao. (Note: The lower output of the Sanjiao emerges at Weiyang (BL39) and connects with the main channel of the Foot-Taiyang Bladder Meridian, entering to network with the Bladder, constraining the Lower Jiao.) Select the large collateral of the Taiyang Meridian (Feiyang, BL58). Observe the collateral vessels; if they are knotted with the small collaterals of the Jueyin Meridian and contain blood stasis, puncture the swelling area and Zusanli (ST38) in the epigastrium.