颈部、肘部、腕部，梅花针弹刺出血。
【附方】
从肩部向下走罐，肤红为度。
四指间放血，用梅花针沿腕弹刺手指。
【土方】
1、梅花针蘸上药水沿上臂循经弹刺上肢，在患处多重叩。
2、在肘部、腕部或患处用大头针点刺出血后，白酒擦揉，然后用艾火灸1分钟。
（二）肩背
【治疗】
肩部、脊柱，梅花针弹刺出血。
【附方】
沿肩胛呈圆形弹刺，梅花针弹刺出血。
【土方】
1、用有刺的树条抽打患部，肤微出血为度。
【治方】
脊柱两侧、患部，梅花针刺出血。
【附方】
腰部，梅花针刺出血。
【土方】
1、在膝窝处用大头针刺出血。
2、在膝窝处用刺条抽打出血，也可在腰部抽打出血。
3、火罐在腰、股痛处拔吸2分钟，然后针刺拔罐出血。
（四）下肢
【治疗】
膝部、踝部，梅花针弹刺出血。
【附方】
【土方】
1、用刺条蘸酒拍打患部，肤红微出血。
2、术者用手从大腿抱推至脚趾，然后脚趾放血。
【病例】
李XX，男，48岁，重庆塑料机械厂工程师，1983年4月23日初诊。
主诉：双肩关节痛4－5月，经多方治疗，臂仍不能抬举。
症状：上臂局部冷痛，得热则减，手臂不能上举，前后抬举则痛，右侧为甚。
治则：温经，通络，镇痛。
治法：（1）右臂用走罐法来回10次，肤红为度。梅花针弹刺阿是穴，另拨罐出血，血为紫红色。在大推、肩髃穴用三棱针点刺出血，血为紫红色。然后用祖师麻膏药加外用散末贴于痛处。（2）左臂先用推揉手法，然后用祖师麻膏药加外用散末外贴。
经过临床对照，3天后右臂疼痛大减，可以举臂。左臂痛稍减，仍不能举臂。
第二次治疗，双臂皆刺血。梅花针沿肩肿呈圆形弹刺后，顺经络弹刺至手指，用三棱针点刺肩髃、阿是穴出血，血出紫红色。外用祖师麻膏药加散末贴。并嘱患者进行功能锻炼。经5次放血治疗，两月后回访，举臂灵活，基本痊愈。
【病例】
孙XX，男，32岁；陕西耀县城东药王庙大队社员，1982年6月18日初诊。
治则：活络镇痛。
治法：三棱针刺厉兑、解溪、阴陵泉出血。用梅花针弹刺膝部，火罐拔吸出血。贴外用祖师麻膏药。经两次治疗，症状全消失。
九、痿证
此证多因热邪犯肺，耗伤肺津，筋脉失养：或因湿热之邪蕴蒸阳明，筋脉驰缓不用；或因久病体虚，房事过度，肝肾精血亏损，筋骨失养所致。虚则补，实则泻。
（一）上肢
【治疗】
脊柱两侧、腕部、四手指，梅花针弹刺出血。
【附方】
（二）下肢
【治疗】
【附方】
膝部、足踝部，梅花针弹刺出血。
【土方】
背部脊柱由上至下拿提，肤红为度，点刺出血。
【病例】
秦XX，男，28岁，湖北省十堰市四堰厂区工人，1980年8月13日初诊。
症状：上肢痿软无力，身重，小便浑浊，胸闷，两手心发热，苔黄腻。
诊断：痿症（湿热浸淫）。
治则：清热利湿。
治法：在大椎、肩贞、腕骨用三棱针点刺出血，梅花针弹刺肩髃和上臂阳经穴（循经）。火罐拔吸颈肩部走罐肤红为度，另配合膏药，4次治疗效果良好。
十、癫狂
癫征是属于神志失常的疾病，多因七情所伤，心神不能内守。癫证一般为情志不逐，谋虑太过，积忧久郁，损伤心脾，也可因气郁生痰，蒙蔽心窍所致。狂病多因暴怒，损伤肝胆，气逆化火挟痰，上蒙清窍；或因惊恐，神明不能自守而成。
【治疗】
【附方】
【古方】
将患者两大指绑上，然后用三棱针重刺少商穴出血。
【土方】
用针刺长强穴呈梅花形，然后挤压出血。
十一、眩晕
此证多因肝肾阳虚，肝阳土亢；或脾失健运，内生痰湿，阻遏清阳；或先天不足，劳伤过度，导致肾精亏损，精不生髓，脑府失充，或久病耗伤血气，或脾胃虚弱，导致气血两亏，气血不能上荣脑府等形成。虚则补气养血，实则泻血放气。
【治疗】
【附方】
脊柱两侧用梅花针弹刺。
【土方】
2、用手从肘部推至少商处放血。
【古方】
【案例】
曾XX，女，40岁，重庆市合川县东渡公社一大队社员，1983年4月11日初诊。
主诉：头晕眼花耳鸣已7天，看见房屋旋转，不敢睁目，不敢走动。
症状：头部胀痛，眩晕耳鸣，口干苦，心烦多梦，舌红苔黄，脉象弦数。
治法：用三棱针点刺百会、太阳、十宣放血。用梅花针弹刺脊柱两侧；火罐拔吸大椎、心俞、肝俞。配合服中草药。经5次治疗，症状消失。
十二、心悸
此证多因忧虑过度.饮食不节，损伤脾胃；或因突然受惊恐，致心神不安；或因失血过多和病后血气未复，致使气血不足，心失所养；或因痰火内扰，以致心气被阻；或因心阳不振，水停心下；此外尚有肾阴亏损，阴虚火旺等引起。虚则用补，实则宜泻。
【治疗】
【附方】
脊柱两侧，梅花针弹刺出血。
【土方】
【古方】
十三、不寐
此证多因思虑劳倦，脾气受损，生化不足，心血亏耗，心神失养；或因房劳伤肾，心肾不交，神志不宁；或因情志抑郁，心神不安等多种因素导致而成。虚则益气补血，实则放血活气。
【治疗】
【土方】
【土方】
1、用梅花针在头部循经弹刺，隔日1次。
2、用三棱针在足三里处挑刺出血。
【病例】
康xx，男，36岁，四川省仪陇县金城镇蔬菜五队社员，1983年9月3日初诊。
症状：失眠，胃脘不适，肠鸣腹胀，食纳减退，大便失调，脉弦滑，舌苔白腻。
治则：和胃安神。
治法：在神门、行间穴用三棱针点刺出血。梅花针在头部循经弹刺。火罐拔吸足三里、大椎、中脘、肾俞穴各10分钟。另外，早服保和丸，晚服香砂养胃丸，半月后痊愈。
十四、感冒
感冒俗称伤风，多因正气不足，感受风寒或风热等邪气所致。邪气侵袭机体，多以表皮或口鼻而入，使胃气失宣或肺气不利，出现邪气束表或邪气犯肺等症状。寒则放气拔罐，热则刺络放血。
【治疗】
【附方】。
【土方】
1、用姜蘸莱油在患者背部抱刮肤红，或挑刺出血。
3、用梅花针弹刺脊柱两侧，肘窝，大、小鱼际、鼻部、风池、合谷、曲池、迎香穴等出血。
【古方】
【病例】
唐XX，男，34岁，四川省内江市火车站工人，1982年10月16日初诊。
症状：鼻塞流涕，全身不适，发烧口干咽痛，微咳无痰，面赤，舌淡苔薄白，脉象浮数。
诊断：感冒。
治法：用三棱针点刺少商、太阳出血；梅花针弹刺大椎、肺俞，然后拔罐出血；最后用走罐，顺脊柱两侧走罐10次，肤红为度；温灸大推、命门、合谷各5分钟，一次治愈。
十五、咳嗽
咳嗽为肺脏的常见病症，其致病原因有两方面：一为外感风寒或风热之邪，从口鼻及皮毛而入，致肺气壅遏不宣，清肃之令失常；二为其他脏腑有病影响及肺，或七情所伤郁久化火，肺中燥热或牌虚生痰，上塞于肺而成。虚则用药，实则刺血放气。
【治疗】
【附方】
【土方】
【古方】
2、梅花针沿肺经叩打出血。
【病例】
赵XX，男，61岁，四川省白沙工农区万福铁厂退休工人，1980年9月8周初诊。
诊断：热咳。
治法：在太冲、少商、丰隆穴用三棱针放血；用梅花针在大椎、肺俞、膻中等穴弹刺后火罐拔吸出血，经4次治疗痊愈。
十六、哮喘
此证可分虚实两类。虚证，主要指肺、肾，由于肺气虚，气无所主，则肃降失权。肾气虚，下元不固，则气失摄纳。实证，多由外感风寒或风热之邪，邪气犯肺，则宣降失职。或因饮食不节，脾失健运，积湿生痰，痰浊犯肺而成。虚则补气，实则刺血。
【治疗】
脊柱两侧、胸、背、腰胁部，梅花针弹刺出血。
【附方】
【土方】
在华盖、腹中穴用手指点揉200次，然后大头针点刺出血。
【古方】
十七、呕吐
此证多为忧郁恼怒伤肝，肝气犯胃，导致胃气上逆：或饮食不节，食滞中脘，胃失和降；或久病脾胃虚弱；或胃阳不足，胃纳失常；或因寒热之邪犯胃，胃气失和等形成。虚者宜补气为主，实则宜泻，刺血为主。虚实兼顾，配合药治。
【治疗】
腹部任脉，梅花针弹刺出血。
【附方】
颈部、肘部、腕部，用梅花针弹刺出血。
【附方】
从肩部向下走罐，以皮肤发红为度。
四指间放血，用梅花针沿手腕弹刺手指。
【土方】
1、梅花针蘸上药水沿上臂循经弹刺上肢，在患处多重叩击。
2、在肘部、腕部或患处用大头针点刺出血后，用白酒擦揉，然后用艾火灸1分钟。
（二）肩背
【治疗】
肩部、脊柱，用梅花针弹刺出血。
【附方】
沿肩胛呈圆形弹刺，用梅花针弹刺出血。
【土方】
1、用有刺的树条抽打患部，以皮肤微出血为度。
【治方】
脊柱两侧、患部，用梅花针刺出血。
【附方】
腰部，用梅花针刺出血。
【土方】
1、在膝窝处用大头针刺出血。
2、在膝窝处用刺条抽打出血，也可在腰部抽打出血。
3、火罐在腰、股痛处拔吸2分钟，然后针刺拔罐出血。
（四）下肢
【治疗】
膝部、踝部，用梅花针弹刺出血。
【附方】
【土方】
1、用刺条蘸酒拍打患部，以皮肤红微出血为度。
2、术者用手从大腿抱推至脚趾，然后脚趾放血。
【病例】
李XX，男，48岁，重庆塑料机械厂工程师，1983年4月23日初诊。
主诉：双肩关节痛4－5月，经多方治疗，臂仍不能抬举。
症状：上臂局部冷痛，得热则减，手臂不能上举，前后抬举则痛，右侧为甚。
治则：温经，通络，镇痛。
治法：（1）右臂用走罐法来回10次，以皮肤发红为度。梅花针弹刺阿是穴，另拨罐出血，血为紫红色。在大椎、肩髃穴用三棱针点刺出血，血为紫红色。然后用祖师麻膏药加外用散末贴于痛处。（2）左臂先用推揉手法，然后用祖师麻膏药加外用散末外贴。
经过临床对照，3天后右臂疼痛大减，可以举臂。左臂痛稍减，仍不能举臂。
第二次治疗，双臂皆刺血。梅花针沿肩胛呈圆形弹刺后，顺经络弹刺至手指，用三棱针点刺肩髃、阿是穴出血，血出紫红色。外用祖师麻膏药加散末贴。并嘱患者进行功能锻炼。经5次放血治疗，两月后回访，举臂灵活，基本痊愈。
【病例】
孙XX，男，32岁；陕西耀县城东药王庙大队社员，1982年6月18日初诊。
治则：活络镇痛。
治法：三棱针刺厉兑、解溪、阴陵泉出血。用梅花针弹刺膝部，火罐拔吸出血。贴外用祖师麻膏药。经两次治疗，症状全消失。
九、痿证
此证多因热邪犯肺，耗伤肺津，筋脉失养：或因湿热之邪蕴蒸阳明，筋脉驰缓不用；或因久病体虚，房事过度，肝肾精血亏损，筋骨失养所致。虚则补，实则泻。
（一）上肢
【治疗】
脊柱两侧、腕部、四手指，用梅花针弹刺出血。
【附方】
（二）下肢
【治疗】
【附方】
膝部、足踝部，用梅花针弹刺出血。
【土方】
背部脊柱由上至下拿提，以皮肤发红为度，点刺出血。
【病例】
秦XX，男，28岁，湖北省十堰市四堰厂区工人，1980年8月13日初诊。
症状：上肢痿软无力，身重，小便浑浊，胸闷，两手心发热，苔黄腻。
诊断：痿症（湿热浸淫）。
治则：清热利湿。
治法：在大椎、肩贞、腕骨用三棱针点刺出血，梅花针弹刺肩髃和上臂阳经穴（循经）。火罐拔吸颈肩部走罐肤红为度，另配合膏药，4次治疗效果良好。
十、癫狂
癫征是属于神志失常的疾病，多因七情所伤，心神不能内守。癫证一般为情志不遂，谋虑太过，积忧久郁，损伤心脾，也可因气郁生痰，蒙蔽心窍所致。狂病多因暴怒，损伤肝胆，气逆化火挟痰，上蒙清窍；或因惊恐，神明不能自守而成。
【治疗】
【附方】
【古方】
将患者两大指绑上，然后用三棱针重刺少商穴出血。
【土方】
用针刺长强穴呈梅花形，然后挤压出血。
十一、眩晕
此证多因肝肾阳虚，肝阳土亢；或脾失健运，内生痰湿，阻遏清阳；或先天不足，劳伤过度，导致肾精亏损，精不生髓，脑府失充，或久病耗伤血气，或脾胃虚弱，导致气血两亏，气血不能上荣脑府等形成。虚则补气养血，实则泻血放气。
【治疗】
【附方】
脊柱两侧用梅花针弹刺。
【土方】
2、用手从肘部推至少商处放血。
【古方】
【案例】
曾XX，女，40岁，重庆市合川县东渡公社一大队社员，1983年4月11日初诊。
主诉：头晕眼花耳鸣已7天，看见房屋旋转，不敢睁目，不敢走动。
症状：头部胀痛，眩晕耳鸣，口干苦，心烦多梦，舌红苔黄，脉象弦数。
治法：用三棱针点刺百会、太阳、十宣放血。用梅花针弹刺脊柱两侧；火罐拔吸大椎、心俞、肝俞。配合服中草药。经5次治疗，症状消失。
十二、心悸
此证多因忧虑过度.饮食不节，损伤脾胃；或因突然受惊恐，致心神不安；或因失血过多和病后血气未复，致使气血不足，心失所养；或因痰火内扰，以致心气被阻；或因心阳不振，水停心下；此外尚有肾阴亏损，阴虚火旺等引起。虚则用补，实则宜泻。
【治疗】
【附方】
脊柱两侧，用梅花针弹刺出血。
【土方】
【古方】
十三、不寐
此证多因思虑劳倦，脾气受损，生化不足，心血亏耗，心神失养；或因房劳伤肾，心肾不交，神志不宁；或因情志抑郁，心神不安等多种因素导致而成。虚则益气补血，实则放血活气。
【治疗】
【土方】
【土方】
1、用梅花针在头部循经弹刺，隔日1次。
2、用三棱针在足三里处挑刺出血。
【病例】
康xx，男，36岁，四川省仪陇县金城镇蔬菜五队社员，1983年9月3日初诊。
症状：失眠，胃脘不适，肠鸣腹胀，食纳减退，大便失调，脉弦滑，舌苔白腻。
治则：和胃安神。
治法：在神门、行间穴用三棱针点刺出血。梅花针在头部循经弹刺。火罐拔吸足三里、大椎、中脘、肾俞穴各10分钟。另外，早服保和丸，晚服香砂养胃丸，半月后痊愈。
十四、感冒
感冒俗称伤风，多因正气不足，感受风寒或风热等邪气所致。邪气侵袭机体，多以表皮或口鼻而入，使胃气失宣或肺气不利，出现邪气束表或邪气犯肺等症状。寒则放气拔罐，热则刺络放血。
【治疗】
【附方】。
【土方】
1、用姜蘸莱油在患者背部抱刮肤红，或挑刺出血。
3、用梅花针弹刺脊柱两侧，肘窝，大、小鱼际、鼻部、风池、合谷、曲池、迎香穴等出血。
【古方】
【病例】
唐XX，男，34岁，四川省内江市火车站工人，1982年10月16日初诊。
症状：鼻塞流涕，全身不适，发烧口干咽痛，微咳无痰，面赤，舌淡苔薄白，脉象浮数。
诊断：感冒。
治法：用三棱针点刺少商、太阳出血；梅花针弹刺大椎、肺俞，然后拔罐出血；最后用走罐，顺脊柱两侧走罐10次，肤红为度；温灸大椎、命门、合谷各5分钟，一次治愈。
十五、咳嗽
咳嗽为肺脏的常见病症，其致病原因有两方面：一为外感风寒或风热之邪，从口鼻及皮毛而入，致肺气壅遏不宣，清肃之令失常；二为其他脏腑有病影响及肺，或七情所伤郁久化火，肺中燥热或脾虚生痰，上塞于肺而成。虚则用药，实则刺血放气。
【治疗】
【附方】
【土方】
【古方】
2、梅花针沿肺经叩打出血。
【病例】
赵XX，男，61岁，四川省白沙工农区万福铁厂退休工人，1980年9月8周初诊。
诊断：热咳。
治法：在太冲、少商、丰隆穴用三棱针放血；用梅花针在大椎、肺俞、膻中等穴弹刺后火罐拔吸出血，经4次治疗痊愈。
十六、哮喘
此证可分虚实两类。虚证，主要指肺、肾，由于肺气虚，气无所主，则肃降失权。肾气虚，下元不固，则气失摄纳。实证，多由外感风寒或风热之邪，邪气犯肺，则宣降失职。或因饮食不节，脾失健运，积湿生痰，痰浊犯肺而成。虚则补气，实则刺血。
【治疗】
脊柱两侧、胸、背、腰胁部，用梅花针弹刺出血。
【附方】
【土方】
在华盖、腹中穴用手指点揉200次，然后大头针点刺出血。
【古方】
十七、呕吐
此证多为忧郁恼怒伤肝，肝气犯胃，导致胃气上逆：或饮食不节，食滞中脘，胃失和降；或久病脾胃虚弱；或胃阳不足，胃纳失常；或因寒热之邪犯胃，胃气失和等形成。虚者宜补气为主，实则宜泻，刺血为主。虚实兼顾，配合药治。
【治疗】
腹部任脉，用梅花针弹刺出血。
【附方】
Wangu (SI4), Hegu (LI4), Shousanli (LI10), and Chize (LU5) are pricked with a three-edged needle to bleed.
Dazhui (GV14) and Jianzhen (SI9) are treated with cupping for 15 minutes.
The neck, elbow, and wrist areas are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Quchi (LI11), Waiguan (TE5), and Yangxi (LI5) are pricked with a three-edged needle to bleed.
Cupping is moved from the shoulder downwards until the skin turns red.
Bloodletting is performed between the four fingers; the fingers are tapped along the wrist with a plum-blossom needle.
[Folk Remedy]
1. A plum-blossom needle dipped in medicinal water is used to tap the upper limbs along the meridians, with multiple tapping on the affected area.
2. After pricking the elbow, wrist, or affected area with a large-headed needle to bleed, rub with white liquor, then moxa for 1 minute.
3. After bleeding with a plum-blossom needle, wash several times with a mixture of ginger and mugwort leaves (Artemisiae Argyi Folium).
(II) Shoulder and Back
[Treatment]
Dazhui (GV14) and Jianyu (LI15) are pricked with a three-edged needle to bleed.
Jianwaishu (SI14) and Shenzhu (GV12) are treated with cupping for 15 minutes.
The shoulders and spine are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Jianjing (GB21) and Renzhong (GV26) are pricked with a three-edged needle to bleed.
Dazhui (GV14) and Jianyu (LI15) are treated with cupping for 15 minutes.
Tapping is performed in a circular pattern along the scapula with a plum-blossom needle to bleed.
[Folk Remedy]
1. The affected area is whipped with a thorny branch until slight bleeding occurs.
2. Jianyu (LI15) is pricked with a large-headed needle, followed by cupping to bleed.
[Prescription]
Yaoshu (GV2) and Weizhong (BL40) are pricked with a three-edged needle to bleed.
Mingmen (GV4), Zhibian (BL54), and Yinmen (BL37) are treated with cupping for 20 minutes.
The sides of the spine and the affected area are needled with a plum-blossom needle to bleed.
[Supplementary Prescription]
Baliao (BL31-34) and Kunlun (BL60) are pricked with a three-edged needle to bleed.
Dazhui (GV14) and Huantiao (GB30) are treated with cupping for 15 minutes.
The waist is needled with a plum-blossom needle to bleed.
[Folk Remedy]
1. Bleeding is induced at the popliteal fossa using a large-headed needle.
2. Bleeding is induced by whipping the popliteal fossa or the waist with a thorny strip.
3. Cupping is applied to the painful areas of the waist and thigh for 2 minutes, followed by needling and cupping to bleed.
(IV) Lower Limbs
[Treatment]
Lidui (ST45), Jiexi (ST41), and Yinlingquan (SP9) are pricked with a three-edged needle to bleed.
Chengshan (BL57) and Yongquan (KI1) are treated with cupping for 15 minutes.
The knees and ankles are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Qiuxu (GB40), Yinlingquan (SP9), and Kunlun (BL60) are pricked with a three-edged needle to bleed.
Mingmen (GV4), Dazhui (GV14), and Chengshan (BL57) are treated with cupping for 15 minutes.
Ashi points (Ah-shih points) are tapped with a plum-blossom needle to bleed.
[Folk Remedy]
1. The affected area is slapped with a thorny strip dipped in wine until the skin turns red with slight bleeding.
2. The practitioner pushes from the thigh down to the toes with their hands, followed by bloodletting at the toes.
[Case Report]
Li XX, male, 48 years old, engineer at Chongqing Plastic Machinery Factory, first seen on April 23, 1983.
Chief Complaint: Pain in both shoulder joints for 4-5 months; despite various treatments, the arms cannot be raised.
Symptoms: Localized cold pain in the upper arms, relieved by heat; inability to raise the arms; pain upon anterior and posterior elevation, more severe on the right side.
Diagnosis: Bi Syndrome (Painful Bi) [Periarthritis of Shoulder].
Treatment Principle: Warm the meridians, unblock collaterals, relieve pain.
Treatment Method: (1) Moving cupping is applied to the right arm 10 times back and forth until the skin turns red. Ashi points (Ah-shih points) are tapped with a plum-blossom needle, followed by cupping to bleed; the blood is purple-red. Dazhui (GV14) and Jianyu (LI15) are pricked with a three-edged needle to bleed; the blood is purple-red. Then, Zushimai plaster mixed with external powder is applied to the painful area. (2) For the left arm, pushing and kneading techniques are used first, followed by application of Zushimai plaster mixed with external powder.
After clinical observation, right arm pain decreased significantly after 3 days, and the arm could be raised. Left arm pain decreased slightly, but the arm still could not be raised.
Second treatment: Bloodletting was performed on both arms. Tapping was done in a circular pattern along the scapula with a plum-blossom needle, then along the meridians to the fingers. Jianyu (LI15) and Ashi points (Ah-shih points) were pricked with a three-edged needle to bleed; the blood was purple-red. External Zushimai plaster with powder was applied. The patient was instructed to perform functional exercises. After 5 bloodletting sessions, follow-up two months later showed flexible arm raising and near-complete recovery.
[Case Report]
Sun XX, male, 32 years old; member of Yaowangmiao Brigade, Chengdong, Yao County, Shaanxi, first seen on June 18, 1982.
Chief Complaint: Pain in both knee joints for over 1 year; weakness when walking.
Symptoms: Invasion of wind-cold-dampness pathogens into the four limbs; pain, soreness, and weakness in hands and feet; preference for warmth and fear of cold.
Diagnosis: Bi Syndrome (Painful Bi).
Treatment Principle: Unblock collaterals and relieve pain.
Treatment Method: Lidui (ST45), Jiexi (ST41), and Yinlingquan (SP9) were pricked with a three-edged needle to bleed. Knees were tapped with a plum-blossom needle, followed by cupping to bleed. External Zushimai plaster was applied. Symptoms completely disappeared after two treatments.
IX. Wei Syndrome (Flaccidity Syndrome)
This syndrome is mostly caused by heat pathogens invading the lungs, consuming lung fluids, leading to malnourishment of sinews and vessels; or by damp-heat pathogens steaming in the Yangming meridians, causing flaccidity and immobility of sinews and vessels; or due to chronic illness and physical deficiency, excessive sexual activity, leading to depletion of essence and blood in the liver and kidneys, resulting in malnourishment of sinews and bones. Deficiency is tonified, excess is drained.
(I) Upper Limbs
[Treatment]
Wangu (SI4) and Jianzhen (SI9) are needled with a three-edged needle to bleed.
Dazhui (GV14) and Jianyu (LI15) are treated with cupping for 20 minutes.
The sides of the spine, wrists, and four fingers are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Quchi (LI11) and Dazhui (GV14) are pricked with a three-edged needle to bleed.
Shenzhu (GV12) and Dazhu (BL11) are treated with cupping for 15 minutes.
The neck and shoulders, and Waiguan (TE5) point are tapped with a plum-blossom needle to bleed.
(II) Lower Limbs
[Treatment]
Qiaoyin (GB44), Xuanzhong (GB39), and Zusanli (ST36) are pricked with a three-edged needle to bleed.
Yaoshu (GV2) and Mingmen (GV4) are treated with cupping for 15 minutes.
Yangguan (EX-LE6) and Sanyinjiao (SP6) are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Xiajuxu (ST39) and Kunlun (BL60) are pricked with a three-edged needle to bleed.
Huantiao (GB30) and Chengshan (BL57) are treated with cupping for 15 minutes.
The knees and ankles are tapped with a plum-blossom needle to bleed.
[Folk Remedy]
The spinal column on the back is grasped and lifted from top to bottom until the skin turns red, followed by pricking to bleed.
[Case Report]
Qin XX, male, 28 years old, worker at Siyan Factory Area, Shiyan City, Hubei Province, first seen on August 13, 1980.
Chief Complaint: Flaccidity and weakness in the upper limbs half a year after an illness; usual irritability.
Symptoms: Flaccidity and weakness in the upper limbs, heavy body, turbid urine, chest tightness, hot palms, yellow greasy tongue coating.
Diagnosis: Wei Syndrome (Damp-Heat Infestation).
Treatment Principle: Clear heat and promote diuresis to remove dampness.
Treatment Method: Dazhui (GV14), Jianzhen (SI9), and Wangu (SI4) were pricked with a three-edged needle to bleed. Jianyu (LI15) and yang meridian points of the upper arm (along the meridian) were tapped with a plum-blossom needle. Moving cupping was applied to the neck and shoulders until the skin turned red. Combined with plaster, good results were achieved after 4 treatments.
X. Dian Kuang (Manic-Depressive Psychosis)
Dian Zheng (Manic-Depressive Disorder) is a disease characterized by mental disorder, mostly caused by emotional injury, where the heart spirit cannot remain within. Dian Syndrome is generally due to unsatisfied emotions, excessive deliberation, long-term worry and depression, damaging the heart and spleen; it can also be caused by qi stagnation generating phlegm, obscuring the heart orifices. Kuang Bing (Mania) is mostly caused by violent anger, damaging the liver and gallbladder, with qi counterflow transforming into fire carrying phlegm, obscuring the clear orifices upwards; or due to fright, where the spirit cannot guard itself.
[Treatment]
Shaoshang (LU11) and Renzhong (GV26) are pricked with a three-edged needle to bleed.
Ganshu (BL18) and Dazhui (GV14) are treated with cupping for 15 minutes.
The back of the neck, sacrum, and Neiguan (PC6) are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Baihui (GV20) and Twelve Jing Well points are pricked with a three-edged needle to bleed.
Danzhong (CV17), Xinshu (BL15), and Yongquan (KI1) are treated with cupping for 20 minutes.
The sides of the spine, head, and Xingjian (LR2) are tapped with a plum-blossom needle to bleed.
[Ancient Prescription]
Bind the patient's two thumbs, then heavily prick Shaoshang (LU11) with a three-edged needle to bleed.
[Folk Remedy]
Needle Changqiang (GV1) in a plum-blossom pattern, then squeeze to bleed.
XI. Xuan Yun (Vertigo and Dizziness)
This syndrome is mostly caused by liver and kidney yang deficiency with hyperactive liver yang; or spleen failing in transportation, generating internal phlegm-dampness, obstructing clear yang; or congenital insufficiency, excessive labor, leading to kidney essence depletion, essence failing to generate marrow, and brain loss of nourishment; or chronic illness consuming blood and qi, or spleen and stomach weakness leading to dual deficiency of blood and qi, preventing blood and qi from nourishing the brain upwards. Deficiency requires tonifying qi and blood; excess requires draining blood and releasing qi.
[Treatment]
Baihui (GV20) and Taiyang (EX-HN5) are needled with a three-edged needle to bleed.
Dazhui (GV14), Xinshu (BL15), and Ganshu (BL18) are treated with cupping for 15 minutes.
From Dazhui (GV14) to Fengchi (GB20), tapping is performed with a plum-blossom needle to bleed.
[Supplementary Prescription]
Zusanli (ST36), Shangqiu (SP5), and Taichong (LR3) are needled with a three-edged needle to bleed.
Shenzhu (GV12), Shendao (GV11), and Shenshu (BL23) are treated with cupping for 15 minutes.
The sides of the spine are tapped with a plum-blossom needle.
[Folk Remedy]
1. Bloodletting at Renzhong (GV26) and Shixuan (EX-UE11).
2. Pushing from the elbow to Shaoshang (LU11) with hands to release blood.
[Ancient Prescription]
Bloodletting at Yintang (EX-HN3), Taiyang (EX-HN5), and Baihui (GV20) treats vertigo.
[Case Report]
Zeng XX, female, 40 years old, member of Dadui Brigade, Dongdu Commune, Hechuan County, Chongqing City, first seen on April 11, 1983.
Chief Complaint: Dizziness, blurred vision, and tinnitus for 7 days; seeing houses rotating, afraid to open eyes or walk.
Symptoms: Distending headache, vertigo and tinnitus, dry mouth and bitter taste, irritability and frequent dreams, red tongue with yellow coating, wiry and rapid pulse.
Diagnosis: Vertigo (Hyperactive Liver Yang).
Treatment Principle: Drain heat and extinguish wind, calm liver and subdue yang.
Treatment Method: Baihui (GV20), Taiyang (EX-HN5), and Shixuan (EX-UE11) were pricked with a three-edged needle to bleed. Sides of the spine were tapped with a plum-blossom needle; Dazhui (GV14), Xinshu (BL15), and Ganshu (BL18) were treated with cupping. Combined with Chinese herbal medicine. Symptoms disappeared after 5 treatments.
XII. Xin Ji (Palpitations)
This syndrome is mostly caused by excessive worry and irregular diet damaging the spleen and stomach; or sudden fright causing unrest of the heart spirit; or excessive blood loss and incomplete recovery of blood and qi after illness, leading to insufficiency of blood and qi and malnourishment of the heart; or internal disturbance by phlegm-fire blocking heart qi; or weak heart yang with water retention below the heart; additionally, kidney yin deficiency with deficient fire flaming upward can cause it. Deficiency requires tonification; excess requires drainage.
[Treatment]
Xinshu (BL15) and Shenmen (HT7) are pricked with a three-edged needle to bleed.
The sides of the spine are treated with moving cupping 10 times.
Neiguan (PC6) and Danzhong (CV17) are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Zusanli (ST36) and Sanyinjiao (SP6) are picked with a three-edged needle to bleed.
Dazhui (GV14) and Zhongwan (CV12) are treated with cupping for 15 minutes.
The sides of the spine are tapped with a plum-blossom needle to bleed.
[Folk Remedy]
Continuous pricking with a large-headed needle at Shixuan (EX-UE11) to bleed, progressing from light to heavy.
[Ancient Prescription]
1. Picking at Xinshu (BL15) to bleed; Sanyinjiao (SP6) tapped with a plum-blossom needle.
2. Pricking Shenmen (HT7), Shaochong (HT9), Ran Gu (KI2), and Yanglingquan (GB34) to bleed.
XIII. Bu Mei (Insomnia)
This syndrome is mostly caused by overthinking and fatigue damaging spleen qi, insufficient production and transformation, consumption of heart blood, and malnourishment of the heart spirit; or sexual exhaustion damaging kidneys, failure of heart-kidney interaction, and restless spirit; or emotional depression causing unrest of the heart spirit, among other factors. Deficiency requires boosting qi and blood; excess requires bloodletting to activate qi.
[Treatment]
Shenmen (HT7) and Xingjian (LR2) are pricked with a three-edged needle to bleed.
Dazhui (GV14), Shendao (GV11), and Zhongwan (CV12) are treated with cupping for 15 minutes.
The sides of the spine, sacrum, and head are tapped with a plum-blossom needle to bleed.
[Folk Remedy]
Touqiaoyin (GB19) and Baihui (GV20) are pricked with a three-edged needle to bleed.
Shenzhu (GV12), Xinshu (BL15), and Shenshu (BL23) are treated with cupping for 15 minutes.
Dazhui (GV14), Zhongwan (CV12), and Guanyuan (CV4) are tapped with a plum-blossom needle to bleed.
[Folk Remedy]
1. Tapping along the meridians on the head with a plum-blossom needle, every other day.
2. Picking at Zusanli (ST36) with a three-edged needle to bleed.
[Case Report]
Kang xx, male, 36 years old, member of Vegetable Team 5, Jincheng Town, Yilong County, Sichuan Province, first seen on September 3, 1983.
Chief Complaint: Insomnia for several months, distension and discomfort in the epigastrium, dry heaving, poor bowel movements.
Symptoms: Insomnia, epigastric discomfort, borborygmus and abdominal distension, reduced appetite, irregular bowel movements, wiry and slippery pulse, white greasy tongue coating.
Diagnosis: Insomnia (Stomach Qi Disharmony).
Treatment Principle: Harmonize stomach and calm spirit.
Treatment Method: Shenmen (HT7) and Xingjian (LR2) were pricked with a three-edged needle to bleed. Head was tapped along meridians with a plum-blossom needle. Cupping was applied to Zusanli (ST36), Dazhui (GV14), Zhongwan (CV12), and Shenshu (BL23) for 10 minutes each. Additionally, Baohe Wan was taken in the morning, and Xiangsha Yangwei Wan in the evening; recovered after half a month.
XIV. Gan Mao (Common Cold)
Gan Mao, commonly known as Shang Feng (Wind-Cold), is mostly caused by deficiency of healthy qi and invasion of wind-cold or wind-heat pathogens. Pathogens invade the body through the skin or nose/mouth, causing failure of stomach qi to diffuse or lung qi to flow smoothly, presenting symptoms such as pathogen binding the exterior or pathogen attacking the lungs. Cold requires releasing qi and cupping; heat requires collateral pricking and bloodletting.
[Treatment]
Shaoshang (LU11) and Taiyang (EX-HN5) are pricked with a three-edged needle to bleed.
Feishu (BL13) and Dazhui (GV14) are treated with cupping for 15 minutes.
Tapping along the Lung Meridian with a plum-blossom needle to bleed.
[Supplementary Prescription].
Dazhui (GV14) and Baihui (GV20) are pricked with a three-edged needle to bleed.
Zhongfu (LU1) and Dazhui (GV14) are treated with cupping for 15 minutes.
Bladder Meridian is tapped with a plum-blossom needle to bleed.
[Folk Remedy]
1. Rubbing the patient's back with ginger dipped in rapeseed oil until red, or picking to bleed.
2. Rubbing alcohol on the lung area (Feishu BL13) until red, then picking with a large-headed needle to bleed.
3. Tapping the sides of the spine, cubital fossa, thenar and hypothenar eminences, nose, Fengchi (GB20), Hegu (LI4), Quchi (LI11), and Yingxiang (LI20) with a plum-blossom needle to bleed.
[Ancient Prescription]
1. Picking Dazhui (GV14) to bleed, followed by cupping.
2. Pricking Ran Gu (KI2) with a three-edged needle to bleed.
[Case Report]
Tang XX, male, 34 years old, worker at Railway Station, Neijiang City, Sichuan Province, first seen on October 16, 1982.
Chief Complaint: Caught cold 2 days ago; nasal congestion, headache, runny nose, general malaise.
Symptoms: Nasal congestion and runny nose, general malaise, fever, dry mouth, sore throat, slight cough without sputum, flushed face, pale tongue with thin white coating, floating and rapid pulse.
Diagnosis: Common Cold.
Treatment Principle: Release exterior and dispel pathogens, unblock meridians.
Treatment Method: Shaoshang (LU11) and Taiyang (EX-HN5) were pricked with a three-edged needle to bleed; Dazhui (GV14) and Feishu (BL13) were tapped with a plum-blossom needle, followed by cupping to bleed; finally, moving cupping was applied along the sides of the spine 10 times until red; warm moxibustion was applied to Dazhui (GV14), Mingmen (GV4), and Hegu (LI4) for 5 minutes each; cured in one session.
XV. Ke Sou (Cough)
Ke Sou is a common disease of the lungs, with two causes: First, external wind-cold or wind-heat pathogens entering from the nose/mouth and skin, causing lung qi obstruction and failure of diffusion, disrupting clear descending function; Second, diseases in other organs affecting the lungs, or long-term emotional depression transforming into fire, causing dry heat in the lungs or spleen deficiency generating phlegm that blocks the lungs upwards. Deficiency requires medication; excess requires bloodletting and qi release.
[Treatment]
Taichong (LR3) and Feishu (BL13) are pricked with a three-edged needle to bleed.
Dazhui (GV14) and Danzhong (CV17) are treated with cupping for 15 minutes.
Sides of the trachea in the neck, Zhongwan (CV12), Neiguan (PC6), and Taiyuan (LU9) are tapped with a plum-blossom needle.
[Supplementary Prescription]
Shaoshang (LU11), Fenglong (ST40), and Fengmen (BL12) are pricked with a three-edged needle to bleed.
Feishu (BL13) is treated with cupping for 15 minutes.
Back of neck, chest, back, and waist are tapped with a plum-blossom needle to bleed.
[Folk Remedy]
Pricking and cupping at Feishu (BL13) and Danzhong (CV17) to bleed.
[Ancient Prescription]
1. Needling Lieque (LU7) and Shaoshang (LU11) to bleed.
2. Tapping along the Lung Meridian with a plum-blossom needle to bleed.
[Case Report]
Zhao XX, male, 61 years old, retired worker at Wanfu Iron Works, Baisha Gongnong District, Sichuan Province, first seen on September 8, 1980.
Chief Complaint: Fever, cough, runny nose; cough persisted after 4 days of medication, with dull chest pain during coughing.
Symptoms: Persistent cough, flushed face, dry mouth and fever, red tongue with thin yellow coating, deep and rapid pulse.
Diagnosis: Heat Cough.
Treatment Principle: Clear heat and dispel pathogens, diffuse lungs and stop cough.
Treatment Method: Taichong (LR3), Shaoshang (LU11), and Fenglong (ST40) were bled with a three-edged needle; Dazhui (GV14), Feishu (BL13), and Danzhong (CV17) were tapped with a plum-blossom needle, followed by cupping to bleed; cured after 4 treatments.
XVI. Xiao Chuan (Asthma)
This syndrome can be divided into deficiency and excess types. Deficiency mainly involves lungs and kidneys; due to lung qi deficiency, qi has no master, leading to loss of descending authority. Kidney qi deficiency leads to insecurity of the lower origin, causing loss of qi reception. Excess is mostly caused by external wind-cold or wind-heat pathogens attacking the lungs, leading to failure of diffusion and descent. Or due to irregular diet, spleen failing transportation, accumulating dampness and generating phlegm, which attacks the lungs. Deficiency requires tonifying qi; excess requires bloodletting.
[Treatment]
Lieque (LU7) and Feishu (BL13) are pricked with a three-edged needle to bleed.
Dazhui (GV14) and Zhongfu (LU1) are treated with cupping for 15 minutes.
Sides of the spine, chest, back, and hypochondrium are tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Danzhong (CV17) and Fenglong (ST40) are pricked with a three-edged needle to bleed.
Shenzhu (GV12), Gaohuang (BL43), and Zhongwan (CV12) are treated with cupping for 15 minutes.
Submandibular area, sides of the trachea, and Danzhong (CV17) are tapped with a plum-blossom needle to bleed.
[Folk Remedy]
Pressing and rubbing Huagai (RN18) and Fuzhong (CV12) with fingers 200 times, then pricking with a large-headed needle to bleed.
[Ancient Prescription]
Picking Feishu (BL13) and Tiantu (CV22) to bleed.
XVII. Ou Tu (Vomiting)
This syndrome is mostly caused by depression and anger injuring the liver, liver qi invading the stomach, leading to rebellious stomach qi; or irregular diet causing food stagnation in Zhongwan, stomach losing harmony and descending; or chronic illness causing spleen and stomach weakness; or insufficient stomach yang causing abnormal appetite; or cold-heat pathogens attacking the stomach causing disharmony of stomach qi. Deficiency should primarily tonify qi; excess should drain, primarily with bloodletting. Balance deficiency and excess, combined with medication.
[Treatment]
Zusanli (ST36) and Gongsun (SP4) are pricked with a three-edged needle to bleed.
Zhongwan (CV12) and Weishu (BL21) are treated with cupping for 15 minutes.
Ren Meridian on the abdomen is tapped with a plum-blossom needle to bleed.
[Supplementary Prescription]
Dazhui (GV14) and Pishu (BL20) are pricked with a three-edged needle to bleed.
Tianshu (ST25) and Xiawan (CV10) are treated with cupping for 15 minutes.