(有补遗)
腰重痛不可忍。转侧起卧不便。脚膝挛痹。屈伸不利。灸两脚曲 两纹头。四处一齐灸
各三壮用两人两边同吹至火灭。若午时灸了。至晚或脏腑鸣。或行一二次愈。
腰痛不可俯仰。令患人正立以竹杖拄地。平脐点记。乃用度脊中。灸随年壮。灸讫藏竹
。勿令人知。
凡腰痛不能立者须刺 人中
凡腰痛身之前。刺足阳明原(冲阳)身之后。刺足太阳原(京骨)身之侧刺足少阳原(丘墟)
通治腰痛穴
肾俞 白环俞 腰俞 委中 昆仑
心痛 心痛在岐骨陷中。胸痛则横满膈间。胃脘痛在。心之下。(有补遗)
曲泽 内关 太陵 神门 中脘
诸心痛者。皆少阴厥气上冲也。有热厥心痛者。甚则烦躁而吐。额自汗出知为热也。其
脉洪
大。当灸太 昆仑各三壮。谓表里俱泻之。热病汗不出。引热下行。表汗通身出者愈也。
又心痛针 涌泉 太冲
胸胁痛(有补遗)
支沟 天井 太陵 期门 三里 章门 丘墟 阳辅 行间
腋下痛或肿
阳辅 丘墟 临泣
胃脘痛 胃之上口曰贲门。与心相连。故胃脘。当心而痛。亦由痰食积气郁遏清阳浊阴
不降
。阻碍道路而为痛其或满胀。或呕吐噎气吞酸不能食。或大便难或泻痢不止。或面浮面黄。
本病与客邪杂见也。
内关 膈俞 胃俞 商丘
腹痛(有补遗)
内关 膈俞 脾俞 肾俞 中脘 三里 陷谷 太白 商丘 行间
绕脐痛
天枢 气海 水分
小腹胀满痛
阴交 气海(凡脐下三十六疾小腹痛甚欲死者。灸之即生) 三里 内庭 太白 大敦
中封
阴寒腹痛欲死 人有房事之后。或起居犯寒。致脐腹痛极者。急用大附子为末。唾和作
饼如
钱浓。置脐上以大艾炷灸之。如仓卒难得大附。即用生姜或葱白头切片代之。若药饼焦。或
以津唾和之。或另换之。宜待灸至汗出体温而止。或更于气海丹田关元各灸二七壮。使阳气
内通。逼寒外出。手足温脉息起。则阴消而阳复矣。
(With supplementary additions)
The waist feels heavy and painful to the point of intolerance. Turning, side-lying, rising, and lying down are inconvenient. The feet and knees are spasmodic and numb, with difficulty in flexion and extension. Moxibustion is applied to Yanglingquan (GB34, located anterior and inferior to the head of the fibula on the lateral aspect of the knee) and Yinlingquan (SP9, located posterior and inferior to the medial condyle of the tibia on the medial aspect of the knee) on both feet. These four points are moxibusted simultaneously, three moxa cones at each point. Two people should blow towards the moxa fire from both sides until it extinguishes. If moxibustion is performed at noon, by evening, bowel sounds may be heard, or after one or two defecations, recovery occurs.
For low back pain preventing flexion and extension, have the patient stand upright and prop a bamboo cane on the ground. Mark the level corresponding to the umbilicus. Then measure the distance to the midline of the spine using this measurement as a guide. Apply moxibustion according to the patient's age (moxa cones equal to the patient's age). After moxibustion, hide the bamboo cane so others do not know.
For low back pain where standing is impossible, needle Renzhong (GV26).
For low back pain affecting the anterior body, needle Chongyang (ST42), the Yuan-Source point of the Foot-Yangming Stomach Meridian; for the posterior body, Jinggu (BL64), the Yuan-Source point of the Foot-Taiyang Bladder Meridian; for the lateral body, Qiuxu (GB40), the Yuan-Source point of the Foot-Shaoyang Gallbladder Meridian.
General acupoints for treating low back pain: Shenshu (BL23), Baihuanshu (BL30), Yaoshu (DU19), Weizhong (BL40), Kunlun (BL60).
Heart pain: Heart pain occurs in the depression below the xiphoid process (Qigu). Chest pain presents as fullness across the diaphragm. Epigastric pain is located below the heart region. (With supplementary additions)
Acupoints for heart pain: Quze (PC3), Neiguan (PC6), Tailing (PC7), Shenmen (HT7), Zhongwan (CV12).
Various types of heart pain are caused by the rebellious qi of the Shaoyin meridian rushing upward. In cases of Heat-Jue heart pain, severe symptoms include irritability and vomiting, with spontaneous sweating on the forehead, indicating a heat pattern. The pulse is洪大 (Hongda, flooding and large). Moxibustion should be applied to Taixi (KI3) and Kunlun (BL60), three cones each, representing the simultaneous draining of the interior and exterior. For heat diseases without sweating, guiding the heat downward allows general sweating to occur, leading to recovery.
Additionally, for heart pain, Yongquan (KI1) and Taichong (LR3) can be needled.
Hypochondriac pain (With supplementary additions)
Acupoints for hypochondriac pain: Zhigou (TE6), Tianjing (TE10), Tailing (PC7), Qimen (LR14), Zusanli (ST36), Zhangmen (LR13), Qiuxu (GB40), Yangfu (GB38), Xingjian (LR2).
Pain or swelling in the axilla
Acupoints: Yangfu (GB38), Qiuxu (GB40), Zulinqi (GB41).
Epigastric pain: The upper opening of the stomach is called the贲门 (Benmen, cardiac orifice), which connects to the heart; thus, epigastric pain often manifests as pain in the heart pit. This is also caused by phlegm-dampness, food stagnation, and qi stagnation obstructing the descent of turbid yin and the ascent of clear yang, blocking the pathways and causing pain. Symptoms may include distension, vomiting, hiccups, acid regurgitation, inability to eat, difficult defecation, persistent diarrhea or dysentery, facial edema, or sallow complexion. This represents a combination of the root disease and exogenous pathogenic factors.
Acupoints: Neiguan (PC6), Geshu (BL17), Weishu (BL21), Shangqiu (SP5).
Abdominal pain (With supplementary additions)
Acupoints for abdominal pain: Neiguan (PC6), Geshu (BL17), Pishu (BL20), Shenshu (BL23), Zhongwan (CV12), Zusanli (ST36), Xian Gu (ST43), Taibai (SP3), Shangqiu (SP5), Xingjian (LR2).
Periumbilical pain
Acupoints: Tianshu (ST25), Qihai (CV6), Shuifen (CV9).
Lower abdominal distension and pain
Acupoints: Yinjiao (CV7), Qihai (CV6) [Note: For thirty-six diseases below the umbilicus with severe lower abdominal pain threatening life, moxibustion here brings survival], Zusanli (ST36), Neiting (ST44), Taibai (SP3), Dadun (LR1), Zhongfeng (LR4).
Yin-cold abdominal pain, severe enough to cause death-like suffering: After sexual intercourse, or due to exposure to cold during daily activities, if extreme periumbilical abdominal pain occurs, urgently use large Fuzi (Aconiti Lateralis Radix Preparata) powder mixed with saliva to form a cake as thick as a coin. Place it on the umbilicus and apply large moxa cones. If large Fuzi is unavailable in haste, substitute with slices of fresh ginger or white parts of green onion. If the medicinal cake burns, moisten it with saliva or replace it. Continue until the patient sweats and body temperature rises. Alternatively, apply fourteen moxa cones (two sets of seven) to Qihai (CV6), Dantian (CV12), and Guanyuan (CV4) to allow internal circulation of yang qi, forcing cold outward. When hands and feet become warm and pulse/respiration recover, yin cold dissipates and yang qi returns.