针法干霍乱刺委中(穴名)出血或十指头(诸经方穴)出血皆是良法(正传)○绞肠沙证手足
厥冷
腹痛不可忍者以手蘸温水于病者膝腕上拍打有紫黑点处以针刺去恶血即愈验○又法用麻弦
小
行弓蘸香油或热水刮手足胸背额项即愈验○干霍乱者乃寒湿太甚脾被绊而不能动气被郁而不
能行所以卒痛而手足厥冷俗名绞肠沙者盖言痛之甚也北方刺青筋以出气血南方刮胸背手足以
行气血俱能散病然出气血不如行气血之为愈也(丹心)○又治绞肠沙刺血法详见救急门(入门)
灸法霍乱转筋入腹手足厥冷气欲绝以盐填脐中大艾炷灸之不计壮数立效(得效)○霍
乱已死
而腹中有暖气者作上法灸之亦苏(医鉴)○又法灸气海二七壮妙(得效)○霍乱吐泻不止垂死灸
天枢气海中脘立愈(正传)○霍乱诸法不效灸大椎即效(纲目)○霍乱已死但有暖气者灸承筋
七壮立苏(纲目)
针灸法呕吐无度并干呕不止尺泽大陵皆灸三壮又灸乳下一寸三十壮又灸间使三十壮若四
肢厥
冷脉沉绝灸间使便通此回生起死之法(得效)○善呕呕有苦者邪在胆通在胃取三里阳陵泉(内
经)○吐食不化取上脘中脘下脘(东垣)○反胃神效膏肓俞灸百壮膻中三里各灸七壮(回春)○
又取劳宫中魁腕骨心俞中脘(纲目)○今日食明日吐取心俞膈俞膻中巨阙中脘(纲目)○五噎五
膈取天突膻中心俞上脘中脘下脘脾俞胃俞通关中魁大陵三里(纲目)○反胃灸肩井三壮即愈乃
神灸也(回春)○又取水分气海灸之(资生)
Acupuncture treatment for Gan Huoluan (Dry Cholera) involves pricking the Weizhong (BL40) acupoint to bleed, or pricking the tips of the ten fingers (Jing-Well points of all meridians) to bleed; both are excellent methods (from *Zhenjiu Zhengzhuan*).
For Jiaochangsha (Intestinal Colic Syndrome), characterized by cold extremities and unbearable abdominal pain, one may dip hands in warm water and slap the patient's knees and wrists. Where purple-black spots appear, prick with a needle to discharge evil blood; this cures it effectively.
Another method: use a small hemp bow dipped in sesame oil or hot water to scrape the patient's limbs, chest, back, forehead, and neck; this cures it effectively.
Gan Huoluan (Dry Cholera) occurs when cold-dampness is excessive, binding the Spleen so it cannot move, and stagnating Qi so it cannot flow, resulting in sudden severe pain and cold extremities. It is colloquially called Jiaochangsha, describing the severity of the pain. In northern regions, piercing blue veins to release blood and Qi is practiced; in southern regions, scraping the chest, back, limbs, and hands to promote the movement of Qi and Blood is used. Both can disperse pathogenic factors, yet promoting the movement of Qi and Blood is superior to merely releasing blood (from *Zhenjiu Danxin*).
Additionally, the bloodletting method for treating Jiaochangsha is detailed in the Emergency Rescue section of *Zhenjiu Rumeng*.
Moxibustion for Huoluan (Cholera) with tendon contraction pulling into the abdomen, cold extremities, and faint breath: fill the umbilicus with salt and apply large moxa cones; do not limit the number of moxibustions (Zhuang); immediate effect is seen (from *Zhenjiu Dexiao*).
If Huoluan appears fatal but warmth remains in the abdomen, applying the above moxibustion method will also revive the patient (from *Yijian*).
Another method: moxibustion on Qihai (CV6) for fourteen Zhuang yields miraculous results (from *Zhenjiu Dexiao*).
For Huoluan with incessant vomiting and diarrhea, nearing death, moxa the Tianshu (ST25), Qihai (CV6), and Zhongwan (CV12) acupoints; immediate recovery ensues (from *Zhenjiu Zhengzhuan*).
When various treatments for Huoluan fail, moxa the Dazhui (GV14) acupoint for effectiveness (from *Zhenjiu Gangmu*).
If Huoluan seems fatal but warmth remains, moxa the Chengjin (BL56) acupoint for seven Zhuang for immediate revival (from *Zhenjiu Gangmu*).
For acupuncture and moxibustion treatment of incessant vomiting and dry heaving: moxa the Chize (LU5) and Daling (PC7) acupoints, three Zhuang each; also moxa thirty Zhuang at one cun below the nipple; also moxa the Jianshi (PC5) acupoint thirty Zhuang. If extremities are cold and the pulse is deep and imperceptible, moxa Jianshi until bowel movements normalize; this is a life-saving method (from *Zhenjiu Dexiao*).
For frequent vomiting with bitter taste, indicating pathogen in the Gallbladder affecting the Stomach, select Zusanli (ST36) and Yanglingquan (GB34) (from *Huangdi Neijing*).
For vomiting undigested food, select Shangwan (CV13), Zhongwan (CV12), and Xiawan (CV10) (from Li Dongyuan).
For Fanwei (Reverse Flow/Stomach Reversal), Shenxiao: moxa Gongsun (BL43) one hundred Zhuang, and Danzhong (CV17) and Zusanli (ST36) seven Zhuang each (from *Zhenjiu Huichun*).
Alternatively, select Laogong (PC8), Zhongkui, Wangu, Xinxu (BL15), and Zhongwan (CV12) (from *Zhenjiu Gangmu*).
For vomiting today's food tomorrow, select Xinxu (BL15), Ge Shu (BL17), Danzhong (CV17), Juque (CV14), and Zhongwan (CV12) (from *Zhenjiu Gangmu*).
For Wu Ye (Five Dysphagias) and Wu Ge (Five Obstructions), select Tiantu (CV22), Danzhong (CV17), Xinxu (BL15), Shangwan (CV13), Zhongwan (CV12), Xiawan (CV10), Pishu (BL20), Weishu (BL21), Tongguan, Zhongkui, Daling (PC7), and Zusanli (ST36) (from *Zhenjiu Gangmu*).
For Fanwei (Stomach Reversal), moxa Jianjing (GB21) three Zhuang for immediate cure; this is considered a divine moxibustion (from *Zhenjiu Huichun*).
Alternatively, moxa Shuifen (CV9) and Qihai (CV6) (from *Zhenjiu Zisheng*).