霍乱挥霍撩乱也邪在上焦则吐。在下焦则泻。在中焦则吐泻交作。此湿霍乱易治。若不
能吐
利。邪不得出。壅遏正气。关格阴阳也。至于舌卷阳缩入腹者不治。又霍乱为胃气反逆。误
犯谷食米饮必死。
关冲 支沟 委中 承山 三阴交 公孙 太白 太 (吐泻神效) 夹脊穴
吐泻不止者 中脘 天枢 气海(或针或灸立愈)
霍乱将死者。以细白干盐填满脐中。艾灸七壮。立苏。
(哕病见补遗)
恶心 胃口有邪。见饮食便生畏恶。心下欲吐不吐。若寒气恶心者呕清水。痰火恶心呕
酸水。烦渴。
胃俞 幽门 中脘 商丘
呕吐 吐属太阳。有物无声。乃血病也。呕属阳明。有物有声。气血俱病也。
太渊 太陵 两乳穴(即乳根灸三壮) 中脘 气海 足三里 通谷
(有补遗)
翻胃 上焦吐者气上冲胸。食已即吐。中焦吐者胸中痞闷。或先痛后吐或先吐后痛。下
焦吐
者。朝食暮吐暮食朝吐四肢冷小便清。大便不通。或饮食后两日吐者。脾绝胃枯。不可治也。
隔俞 脾俞 上脘 中脘(各灸二七壮) 天枢 气海 三里 太白
噎病 忧噎胸中痞满。气逆时。呕食不下思噎。心悸善忘。气噎心下痞噎哕不食。胸
背痛。
劳噎。气上膈。支满背痛食噎。食急胸痛。不得喘息。噎是神思间病。惟内观静养者可治。
天突 胃俞 中脘 气海 三里 膏肓俞 脾俞(思噎更效) 膻中(治气噎) 膈俞(治
劳噎)
Huo Luan (Cholera-like syndrome with sudden onset and chaotic symptoms) refers to a disease characterized by sudden onset and severe disorder. If the pathogenic factor is located in the Upper Jiao (Upper Burner), vomiting occurs; if in the Lower Jiao (Lower Burner), diarrhea occurs; if in the Middle Jiao (Middle Burner), both vomiting and diarrhea occur simultaneously. This type, known as Shi Huo Luan (Damp-type Cholera), is relatively easy to treat. If the patient is unable to vomit or have diarrhea, the pathogen cannot be expelled, leading to the stagnation of healthy Qi and resulting in Guan Ge (Obstruction and Rejection, where Yin and Yang energies block each other). Symptoms such as tongue retraction and testicular retraction into the abdomen indicate an incurable condition. Furthermore, Huo Luan is caused by the rebellion of Stomach Qi; ingesting food, grains, or drinks will inevitably lead to death.
[Acupoints] Guanzhong (TE1), Zhigou (TE6), Weizhong (BL40), Chengshan (BL57), Sanyinjiao (SP6), Gongsun (SP4), Taibai (SP3), Taichong (LR3) [highly effective for vomiting and diarrhea], Jiaji (EX-B2).
For persistent vomiting and diarrhea: Zhongwan (CV12), Tianshu (ST25), Qihai (CV6) [acupuncture or moxibustion can bring immediate cure].
For patients near death from Huo Luan: Fill the umbilicus with fine white dry salt and apply moxibustion for seven moxa cones (Zhuang); the patient will revive immediately.
(See Supplementary Material for Emetic disorders/Yue Bing)
Nausea: Pathogenic factors in the stomach area cause aversion to seeing food. There is a sensation of wanting to vomit but being unable to do so. If caused by Cold-evil, clear water is vomited; if caused by Phlegm-Fire, sour fluid is vomited, accompanied by irritability and thirst.
[Acupoints] Weishu (BL21), Youmen (KI21), Zhongwan (CV12), Shangqiu (SP5).
Vomiting: "Tu" (spitting out without sound) belongs to the Taiyang channel; it involves material expulsion without sound and indicates a Blood pathology. "Ou" (vomiting with sound) belongs to the Yangming channel; it involves material expulsion with sound and indicates a pathology involving both Qi and Blood.
[Acupoints] Taiyuan (LU9), Taoling (PC3), Liangru Xue (Points between breasts, specifically Rugen ST18, moxibustion 7 cones), Zhongwan (CV12), Qihai (CV6), Zusanli (ST36), Tonggu (BL65).
(Supplementary material exists for this section)
Fan Wei (Reverse Stomach/Regurgitation): Vomiting from the Upper Jiao involves Qi rushing upward to the chest, with immediate regurgitation after eating. Vomiting from the Middle Jiao involves chest stuffiness and oppression, sometimes pain precedes vomiting, or vomiting precedes pain. Vomiting from the Lower Jiao involves morning food eaten at night, or evening food eaten in the morning, cold limbs, clear urine, and constipation. Or, if vomiting occurs two days after eating, it indicates the exhaustion of Spleen function and depletion of Stomach Qi, which is incurable.
[Acupoints] Ge Shu (BL17), Pishu (BL20), Shangwan (CV13), Zhongwan (CV12) [each moxibusted for 14 cones], Tianshu (ST25), Qihai (CV6), Zusanli (ST36), Taibai (SP3).
Ye Bing (Choking/Dysphagia): You Ye (Worry-induced Choking) involves chest stuffiness and fullness. When Qi rebels, there is an urge to vomit but inability to eat, palpitations, and forgetfulness. Qi Ye (Qi-stagnation Choking) involves epigastric stuffiness, hiccups, refusal to eat, and chest/back pain. Lao Ye (Labor/Fatigue-induced Choking) involves Qi rising to the diaphragm, distension and back pain, difficulty eating, chest pain when eating hastily, and inability to breathe deeply. Ye Bing is a disorder of the Shen (Spirit/Mind) and thought processes; only internal observation and quiet nourishment can cure it.
[Acupoints] Tiantu (CV22), Weishu (BL21), Zhongwan (CV12), Qihai (CV6), Zusanli (ST36), Gaohuangshu (BL43), Pishu (BL20) [more effective for You Ye], Danzhong (CV17) [treats Qi Ye], Ge Shu (BL17) [treats Lao Ye].