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When the Spleen and Stomach (Pis-wei) and Sanjiao (Triple Burner, 三焦) are disharmonious, presenting with vomiting above and diarrhea below, along with chest and abdominal pain and distension, this is termed "Guan Ge" (Obstruction and Reversal, 关格). If it presents as a state where neither vomiting nor diarrhea can occur, the Si Guan (Four Passes, 四关) acupoints should be treated. The Si Guan refers to Hegu (LI4, 合谷) and Taichong (LR3, 太冲).

For Huoluan (Cholera-like syndrome characterized by sudden vomiting and diarrhea, 霍乱) causing mental restlessness and confusion, one may use a soft object to press and bind the side of the arm under the left shoulder (for males) or right shoulder (for females) while the patient lies on their side and falls asleep; the symptoms will then cease, which is effective.

Another method: Moxibustion of seven moxa cones at Shenque (CV8, 脐中) will cure the condition immediately. Alternatively, three moxa cones at Zhongwan (CV12, 脐上三寸), combined with Shisanjiaoshu (BL22, 三焦俞), Hegu (LI4, 合谷), and Taichong (LR3, 太冲), along with pricking Guanchong (SJ1, 关冲) to bleed, yields immediate results. Needling Zhongwan (CV12, 中脘) also treats Huoluan with vomiting and diarrhea.

For Huoluan accompanied by muscle cramps (Zhuangjin, 转筋), prick Guanchong (SJ1, 关冲) in the hand to bleed, as well as Zhiyin (BL67, 至阴), Juegu (GB39, 绝骨), and Taichong (LR3, 太冲).

For Huoluan causing chest and heart fullness and pain, vomiting of food, and borborygmus, prick Guanchong (SJ1, 关冲) to bleed, and needle Lieque (LU7, 列缺) and Sanyinjiao (SP6, 三阴交).

For sudden diarrhea, needle Dadu (SP2, 大都), Kunlun (BL60, 昆仑), Qimen (LR14, 期门), Yinlingquan (SP9, 阴陵泉), and Zhongwan (CV12, 中脘).

For dry heaving, moxibustion of seven cones at Neiguan (PC6, 间使); if not cured, continue moxibustion.

For Huoluan with involuntary defecation, needle Zusanli (ST36, 足三里), Zhongwan (CV12, 中脘), and Yinlingquan (SP9, 阴陵泉).

For Huoluan with headache, chest pain, rapid breathing, and wheezing, select Renying (ST9, 人迎), Neiguan (PC6, 内关), Guanchong (SJ1, 关冲), Sanyinjiao (SP6, 三阴交), and Zusanli (ST36, 足三里).

For Huoluan where death appears imminent but faint breath remains, select Chengshan (BL57, 承山), located in the fleshy part between the gastrocnemius muscles, seven cun from the heel root. This is the "Qi Si Xue" (Acupoint for Reviving the Dead, 起死穴); moxibustion of seven cones is indicated.

Another prescription: Fill the umbilicus with salt and apply moxibustion of fourteen cones (two sevens), followed by moxibustion of one hundred cones at Qihai (CV6, 气海) and Dazhun (LR1, 大敦).

Impaired control of the four limbs results from disharmony of Ying (Nutrient Qi, 营) and Wei (Defensive Qi, 卫). Some cases present with chills preceding fever, others with fever preceding chills; some have headache and desire to drink; some have prior pain in the lower back; others have prior pain in the feet. Treatment should be based on observing the source of the disease.

For Malaria (Nue, 疟病) originating from the top of the head, pre-moxibustion of three cones each at Baihui (GV20, 百会), Dazhui (GV14, 大椎), and Jianteau (尖头) should be performed one hour before the expected onset of pain.

For Malaria originating from the arms, pre-moxibustion of three cones each at Sanjian (LI3, 三间) and Neiguan (PC6, 间使).

For Malaria originating from the lower back, moxibustion of one hundred cones at Shenshu (BL23, 肾俞) and Weizhong (BL40, 委中).

If occurring every other day before noon, the pathogen is in the Yang aspect.

For Warm Malaria (Wen Nue, 温疟), needling Zhongwan (CV12, 中脘) is highly effective.

The term "Old Malaria" (Lao Nue, 老疟) refers to malaria occurring on Zi, Wu, Mao, You days, known as Shaoyin Malaria (Shao Yin Nue, 少阴疟); moxibustion of seven cones at Shendao (GV11, 神道) and three cones at Juegu (GB39, 绝骨). Malaria occurring on Chen, Xu, Chou, Wei days is known as Taiyin Malaria (Tai Yin Nue, 太阴疟); moxibustion at Houxi (SI3, 后溪) and Danshu (BL19, 胆俞). Malaria occurring on Yin, Shen, Si, Hai days is known as Jueyin Malaria (Jue Yin Nue, 厥阴疟).

For various types of Malaria, first needle Neiguan (PC6, 间使), then needle the thirteen Guixie (Ghost Evil, 鬼邪) points. Although fire moxibustion is not used, relying solely on needle manipulation yields miraculous effects upon repeated application.

For Nuomu (Malarial Mass, 疟母), formed by phlegm-fluids and blood stasis resulting in masses causing abdominal and hypochondriac distension and pain, needle Zhangmen (LR13, 章门) on the days of the waxing and waning moon, followed by moxibustion of twenty-one cones (three sevens).