【附方】
【土方】
【古方】
【病例】
席XX，男，31岁，四川省蓬溪县康家渡席阁老大队社员，1983年1月25日初诊。
治法：用手推揉肩颈部位，三棱针点刺中渚穴，两指挤捏出血。然后指按此穴，患者摇头，另用火罐在肩颈部位走罐拔吸10次，术后即愈。
十二、扭挫伤
扭挫伤是指四肢关节或躯干部筋脉损伤，使经气运行受阻，气血壅滞于局部而成。多因剧烈运动或持重不当，强力扭转，牵拉压迫，或因不慎跌坠闪挫等因素引起筋脉关节损伤．常因风热寒湿之邪入侵而反复发作。
【治疗】
（一）肩部
（二）肘部
（三）腕部
腕部患处，火罐拔吸10分钟。
（四）腰部
腰部，梅花针弹刺出血。
（五）髀部
（六）膝部
膝部，梅花针弹刺出血。
（七）踝部
踝部，梅花针弹刺出血。
【土方】
【病例】
王，女，28岁，重庆市合川县商业局篮球队运动员，1983年3月19日初诊。
诊断：左踝扭伤。
治法：左踝部扭伤处，用三棱针点刺，火罐拔吸5分钟出血，血为紫黑色。外敷药：生大黄2克，丝瓜络10克，生葱白8克，生姜4克。3天后再次刺血，血出紫红色，并换用敷药。经两次治疗，扭伤痊愈。
第六章古今民间刺血疗法验方摘录
两睛红肿痛难熬，怕日羞明心自焦．只刺晴明、鱼尾穴，太阳出血自然消。
眼痛忽然血贯晴，羞明更涩最难睁，须得太阳针血出，不用金刀疾自平。
心血炎上两眼红，迎香穴内刺为通，若将毒血搐出后，目骨清凉始见功。
内迎香二穴，在鼻孔中，用芦叶或竹叶搐入鼻内，出血为妙．不愈再针合谷（《针灸大成·玉龙歌》）。
赤眼迎香出血奇，口舌生疮舌下窍．三棱刺血非精卤（舌下两边紫筋）（《医学入门》）。
东坦日：刺太阳、阳明出血，则目愈明。盖此经多血少气，故目翳与赤痛从内眦起，刺晴明、攒竹，以宣泄太阳之热（《针灸聚英》）
攒竹：两眉头陷中。《素注》针二分，留六呼，灸三壮。《铜人》禁灸，针一分，留三呼，泻三吸，徐徐出针。宣以细三棱针刺之，宣泄热气，三度刺，目大明。《明堂》宜细三棱针三分出血，灸一壮（《针灸大成》）。
虢太子尸厥，扁鹊取三阳五会，有间太子苏。唐高宗头痛，秦鸣鹤日，宜刺百会出血．武后曰：岂有至尊头上出血之理。已而之刺，微出血，立愈（《针灸大成》）。
（治喉蛾神方）将病头上看有红点．用外挑破即愈（《良朋汇集》）。
法门》）。
疗诀》）。
耳后静脉出血，治目疾，目赤痛俱效，亦即瘈脉之分枝（《福州民间针灸经验录》）。
赤目。眼睛红肿痛难熬，怕日羞明心自焦，但刺晴明鱼尾穴，太阳出血病全消（《扁鹊神应针灸玉龙经》）。
太阳二穴，在眉后陷中太阳紫脉上是穴，治眼红肿及头痛，宜用三棱针出血。出血之法用帛一条紧缠其项，紫脉即见，刺见血立愈。又法以手紧扭其领令紫脉见，却于紫脉上刺见血，立愈（《奇效良穴》）。
鼻准穴，在鼻柱尖上，专治鼻上生酒醉风，宜用三棱针出血（《针灸大成》）。
鼻准穴，鼻柱尖上，三棱针出血．治疗鼻上生酒渣风（《针灸输穴索引》）。
喉闭：竹纸渗巴豆令满，作纸捻点灯旋之，以烟熏喉间，即吐恶血而消。或刺入喉间出紫血亦愈。盖咽喉病发于六腑者，引手可探，及刺破喉血即已（《串准外编、熏法门》）。
目热。心血炎上两眼红，好将芦叶搐鼻中，若还血出真为美，目内清凉显妙功。内迎香，在鼻孔内，用芦叶或箬叶作卷搐之，血出为好，不愈再针合谷（《扁鹊神应针灸玉龙经》）。
内迎香，奇穴。鼻孔中上端。用长三棱针或长粗针轻刺出血。旧说取芦管子向鼻中刺出血。主治目暴赤肿痛（《针灸孔穴及其疗法便览》）。
鼻环，在鼻翼之半月形纹中间接面部之处是穴。主治疔疮、酒渣鼻。针二分，稍放血，不灸（《针灸经外奇穴治疗诀》）。
鼻环，奇穴，耳鼻半月形纹之中间，接面部之处。针二分，稍出血．主治酒渣鼻、疗疮；亦治颜面组织炎（《针灸孔穴及其疗法便览》）。
上腭穴，入口里边在上缝赤白脉是。针三锃，治蚂蟥黄疸，四时等病（《备急千金要方》）。
聚泉一穴，在舌上，当舌中，吐出舌出，直有缝陷中是穴。......治舌胎、舌强亦可治，用小针出血（《针灸大成》）。
翼》）。
海泉一穴，在舌下中央上是穴．治消渴。用三棱针出血（《针灸大成》）。
舌下中央系带上，金津、玉液之中间微后些，针二分，出血，主治消渴、呃逆（《中国针灸学》）。
治舌卒肿，满口溢出血如吹猪胞，气息不得通，须臾不治杀人方：刺舌下两边大脉出血，勿使刺著下中央脉，出血不止杀人。不愈，血出数升；则烧铁蓖令赤，慰疮数过以绝血也（《备急千金要方》）。
治舌强肿起如猪胞，但针刺舌下两边大脉，血出即消，切勿刺著中央脉，令人血不止，侧以火烧铜筋烙之，不止则杀人，或以釜下墨醋调敷．舌上下脱去再敷，须臾而消，此患人多不识，失治则死（《世医得效方》）。
在舌下两旁紫脉上是穴，卷舌取之，治重舌肿痛喉闭，用白汤煮三棱针出血（《针灸大成》）。
左金津，右玉液，在舌下两旁紫脉上，主治消渴、口疮、舌肿、喉痹，三棱针出血（《类经图翼》）。
一切新得哑巴症，必系舌硬。金津穴、玉液穴，此两穴在舌底下，俗名两大血管，须刺碎血管见血为要《《针法穴道记》）。
金津、玉液，口内舌下面正中舌系两侧之静脉上，左名金津，右名玉液，主治口疮、舌炎、消渴、扁桃腺炎、绞肠痧、喉痹，针二分出血（《针灸经外奇穴治疗诀）。
金津玉液，奇穴。舌下正中系带两侧静脉上，左名金津，右名玉液，卷舌取之，针2一3分（出血），或用小三棱针刺出血，主治口疮、舌炎、扁桃腺炎、消渴；一说亦治重舌、喉闭（《针灸孔穴及其疗法便览》）。
重舌，刺青柱以排针《《针灸甲乙经》）。
舌下生小舌，谓之重舌，舌柱即舌下之筋如柱者也，当用第五针曰铍针者刺之（《类经》）。
唇里：主治肝病、齿龈炎、口噤、口臭、口腔炎、面颊肿、蚂蟥黄疸。针法：三棱针刺出血（《针灸经外奇穴图谱》）。
口角入颊肌内侧一寸处，针二分，出血。主治口疳齿龈溃烂、黄疸（《中国针灸学》）。
面八邪：承光穴，位于前头部，入前发际二寸五分，头顶正中线旁开各一寸五分处，计二穴。禾髎穴，位于面部，鼻翼外缘直下与人中沟中上1/3点相平，计二穴。人迎穴，位于颈部，颈动脉三角内，胸锁乳突肌前缘与甲状软骨上缘平，计二穴。主治：疠风。针法；砭刺出血《针灸经外奇穴图谱》）。
耳尖放血：治疗结膜炎（红眼）。方法：在耳尖上刺破上皮，挤出一点血；当放血后，患者会感到痛痒感减轻，还可以再在耳垂和耳垂中心用耳针，针刺留针30分钟（《卫生与健康报》）。
治疗11例，痊愈10例，有效1例；疗程约l一3个月。药物配制法：旱莲草20克，蒸20分钟，侯冷，加75%酒精200毫升浸泡（冬春3日，夏秋2日）后去渣取汁。用法：搽患处待干，用七星针轻叩打，而皮肤潮红为度。开始搽药每日3次，叩打2次。待新发增生时，改为每日搽药2次，叩打1次（《上海中医杂志》）。
齿龋，刺手阳明，不已，刺其脉入齿中，立已（《内经.缪刺论》）。
喉痹，刺手小指爪纹中，出三大豆许血，逐左右刺，皆须慎酒面毒物（《备急千金要方》）。
治疗30例，疗效满意。方法：用三棱针点刺少商、商阳、关冲，挤出2一3滴血；酌情配合针刺天容、合谷或内庭、曲池诸穴，留针10～30分钟，间歇运针（《上海中医药杂志》）。
面部穴位透刺，拔罐法和口服牵正散治疗面神经麻痹150例疗效观察
除在其穴位上针刺外，并在大椎穴点刺放血（主要用于中枢性面神经麻痹），起针后加拔火罐10分钟，再配制口服牵正散，每日晚饭后煎服1剂。治疗150例，结果属周围性者痊愈66例，基本痊愈44例，明显改善33例；属中枢性者好转5例，无效2例，总有效率为98.7%（《河南中医》）。
治法：主穴为太阳（双）、印堂，额痛加攒竹（双），巅顶痛加百会、四神聪，项强加风池（双），眩晕、眼花耳鸣加头维（双）。以刺血针或三棱针点刺各穴约0.2厘米深，每穴令出血5－6滴，体质壮实而头痛严重者可多至10余滴。每日或间日1次，10次为1疗程。结果：本组50例中，基本痊愈13例，显效17例，有效16例，无效4例，总有效率为92%，同时观察了病情相同的中药治疗组30例，总有效率为70%，西药治疗组30例，总有效率为67%。三组疗效比较以本组为优（《中国针灸》）。
寻找患处附近暗褐色，压之退色，大小不等的小点为挑治点，挑断肌纤维3～5根，再以轻、中、重手法（耐受为度）点刺5～7次，3日l次，每次换新挑治点2一3个，附1例青霉素治疗2月无效，改用本法3次治愈，随访年余未复发（《河南中医》）。
针挑和芥敷治疗面神经麻痹112例
用30%硼酸水含漱口腔后，于麻痹侧内颌线上，相当于第二臼齿及其前后各0．3～0．5厘米处3个挑刺点，及此3点上下各约0.5～1.O厘米平处3个挑刺点，由浅而深地每点雀啄挑20－30次，挑刺出血后漱口。以温水将芥末20一30克调成糊状，摊于纱布上，厚约0.5厘米，敷于地仓、颊车及下关穴位之间，20一24小时取下。结果：痊愈79例，好转22例，无效11例（《中华理疗杂志》）。
至于走马喉痹，生死人在反掌间，砭刺出血，则病已。当治一妇人，木舌胀，其舌满口，令人排针锐而小者砭之五七度，三日方平，计所出血几盈斗（《针灸聚英》）。
眼边忽然红肿发痒，名偷眼针，背上膏肓穴处，第三节骨两旁是有红点，用针挑破即愈。如不用针挑，用灯心一烧即愈。如不见点，用木梳背频频刮之，红点自现出也（《验方新编》）。
麦粒肿：位于背部正中线，左右旁开各三寸、平四五胸椎棘突之间点，附近有红点处。左右计二穴。取穴：膏肓穴附近有红点处。主治：麦粒肿。针灸：针破红点，或用艾条灸5－10分钟（《针灸经外奇穴图谱》）。
八关大刺，治眼痛欲出不可忍者，须刺十指缝中出血愈（《景岳全书》）。
大烦热、昼夜不息，刺十指间出血，谓之八关大刺。目疾，睛痛欲出、赤，大刺八关（《保命集》）。
八邪：位于手背，将手握起，每两个相邻掌骨小头之间是穴。第一二掌骨小头间者又名大都；第二三掌骨小头间者又名上都；第三四掌骨小头间者又名中都；第四五掌骨小头间者又名下都。主治；头风、牙痛、手臂红肿、痹。针法。针l一2分，或出血（《针灸经外奇穴图谱》）。
【附方】
【土方】
【古方】
【病例】
席XX，男，31岁，四川省蓬溪县康家渡席阁老大队社员，1983年1月25日初诊。
症状：颈部僵硬，不能转动。
治法：用手推揉肩颈部位，用三棱针点刺中渚穴，用两指挤捏出血。然后指按此穴，患者摇头，另用火罐在肩颈部位走罐拔吸10次，术后立即痊愈。
十二、扭挫伤
扭挫伤是指四肢关节或躯干部位的筋脉损伤，导致经气运行受阻，气血壅滞于局部而形成。多因剧烈运动或持重不当，强力扭转，牵拉压迫，或因不慎跌坠闪挫等因素引起筋脉关节损伤。常因风热寒湿之邪入侵而反复发作。
【治疗】
（一）肩部
（二）肘部
（三）腕部
腕部患处，用火罐拔吸10分钟。
（四）腰部
腰部，用梅花针弹刺至出血。
（五）髀部（大腿部）
（六）膝部
膝部，用梅花针弹刺至出血。
（七）踝部
踝部，用梅花针弹刺至出血。
【土方】
凡是以上有瘀血的部位，应进行刺络（使用三棱针或梅花针）拔罐出血。
【病例】
王，女，28岁，重庆市合川县商业局篮球队运动员，1983年3月19日初诊。
诊断：左踝扭伤。
治法：在左踝部扭伤处，用三棱针点刺，用火罐拔吸5分钟出血，血色为紫黑色。外敷药：生大黄2克，丝瓜络10克，生葱白8克，生姜4克。3天后再次刺血，血色变为紫红色，并更换敷药。经过两次治疗，扭伤痊愈。
第六章 古今民间刺血疗法验方摘录
两眼红肿痛难忍，怕光羞明心中焦躁。只刺睛明、鱼尾穴，太阳穴出血自然消退。
眼痛突然血流满眼球，羞明且涩最难睁开，必须针刺太阳穴出血，不用金刀疾病自平。
心血炎上导致两眼红，迎香穴内刺通即可，若将毒血搐出后，目骨清凉始见功效。
内迎香二穴，位于鼻孔中，用芦叶或竹叶搐入鼻内，出血为妙。若不愈再针刺合谷（《针灸大成·玉龙歌》）。
赤眼取迎香穴出血奇效，口舌生疮取舌下窍。三棱针刺血非精卤（舌下两边紫筋）（《医学入门》）。
东垣曰：针刺太阳、阳明穴出血，则眼睛明亮。因为这两条经脉多血少气，所以目翳与赤痛从内眦起，针刺睛明、攒竹，以宣泄太阳之热（《针灸聚英》）。
攒竹：两眉头陷中。《素注》针二分，留六呼，灸三壮。《铜人》禁灸，针一分，留三呼，泻三吸，徐徐出针。宜用细三棱针刺之，宣泄热气，三次刺血，眼睛大亮。《明堂》宜用细三棱针三分出血，灸一壮（《针灸大成》）。
虢太子患尸厥，扁鹊取三阳五会穴，片刻后太子苏醒。唐高宗头痛，秦鸣鹤说，宜刺百会穴出血。武后说：哪有至尊头上出血的道理。随后为之刺，微出血，立即痊愈（《针灸大成》）。
（治喉蛾神方）看病头上是否有红点，用针外挑破即愈（《良朋汇集》）。
喉痹：寻找头上红疙瘩，用针挑破即愈（《串雅外编.针法门》）。
耳尖，以耳翼卷折，取耳尖上。主治沙眼，眼有翳膜。灸五壮。目疾久不愈，眼红肿者可刺血（《针灸经外奇穴治疗诀》）。
耳后静脉出血，治目疾，目赤痛俱效，亦即瘈脉之分枝（《福州民间针灸经验录》）。
赤目。眼睛红肿痛难忍，怕光羞明心中焦躁，但刺睛明鱼尾穴，太阳穴出血病全消（《扁鹊神应针灸玉龙经》）。
太阳二穴，在眉后陷中太阳紫脉上是穴，治眼红肿及头痛，宜用三棱针出血。出血之法用帛一条紧缠其项，紫脉即见，刺见血立愈。又法以手紧扭其领令紫脉见，却于紫脉上刺见血，立愈（《奇效良穴》）。
鼻准穴，在鼻柱尖上，专治鼻上生酒醉风，宜用三棱针出血（《针灸大成》）。
鼻准穴，鼻柱尖上，三棱针出血。治疗鼻上生酒渣风（《针灸输穴索引》）。
喉闭：竹纸渗巴豆令满，作纸捻点灯旋之，以烟熏喉间，即吐恶血而消。或刺入喉间出紫血亦愈。盖咽喉病发于六腑者，引手可探，及刺破喉血即已（《串准外编、熏法门》）。
目热。心血炎上两眼红，好将芦叶搐鼻中，若还血出真为美，目内清凉显妙功。内迎香，在鼻孔内，用芦叶或箬叶作卷搐之，血出为好，不愈再针合谷（《扁鹊神应针灸玉龙经》）。
内迎香，奇穴。鼻孔中上端。用长三棱针或长粗针轻刺出血。旧说取芦管子向鼻中刺出血。主治目暴赤肿痛（《针灸孔穴及其疗法便览》）。
鼻环，在鼻翼之半月形纹中间接面部之处是穴。主治疔疮、酒渣鼻。针二分，稍放血，不灸（《针灸经外奇穴治疗诀》）。
鼻环，奇穴，耳鼻半月形纹之中间，接面部之处。针二分，稍出血。主治酒渣鼻、疗疮；亦治颜面组织炎（《针灸孔穴及其疗法便览》）。
上腭穴，入口里边在上缝赤白脉是。针三锃，治蚂蟥黄疸，四时等病（《备急千金要方》）。
聚泉一穴，在舌上，当舌中，吐出舌出，直有缝陷中是穴。......治舌胎、舌强亦可治，用小针出血（《针灸大成》）。
海泉一穴，在舌下中央上是穴。治消渴。用三棱针出血（《针灸大成》）。
舌下中央系带上，金津、玉液之中间微后些，针二分，出血，主治消渴、呃逆（《中国针灸学》）。
治舌卒肿，满口溢出血如吹猪胞，气息不得通，须臾不治杀人方：刺舌下两边大脉出血，勿使刺著下中央脉，出血不止杀人。不愈，血出数升；则烧铁蓖令赤，慰疮数过以绝血也（《备急千金要方》）。
治舌强肿起如猪胞，但针刺舌下两边大脉，血出即消，切勿刺著中央脉，令人血不止，侧以火烧铜筋烙之，不止则杀人，或以釜下墨醋调敷。舌上下脱去再敷，须臾而消，此患人多不识，失治则死（《世医得效方》）。
在舌下两旁紫脉上是穴，卷舌取之，治重舌肿痛喉闭，用白汤煮三棱针出血（《针灸大成》）。
左金津，右玉液，在舌下两旁紫脉上，主治消渴、口疮、舌肿、喉痹，三棱针出血（《类经图翼》）。
一切新得哑巴症，必系舌硬。金津穴、玉液穴，此两穴在舌底下，俗名两大血管，须刺碎血管见血为要《《针法穴道记》）。
金津、玉液，口内舌下面正中舌系两侧之静脉上，左名金津，右名玉液，主治口疮、舌炎、消渴、扁桃腺炎、绞肠痧、喉痹，针二分出血（《针灸经外奇穴治疗诀》）。
金津玉液，奇穴。舌下正中系带两侧静脉上，左名金津，右名玉液，卷舌取之，针2一3分（出血），或用小三棱针刺出血，主治口疮、舌炎、扁桃腺炎、消渴；一说亦治重舌、喉闭（《针灸孔穴及其疗法便览》）。
重舌，刺青柱以排针（《针灸甲乙经》）。
舌下生小舌，谓之重舌，舌柱即舌下之筋如柱者也，当用第五针曰铍针者刺之（《类经》）。
唇里：主治肝病、齿龈炎、口噤、口臭、口腔炎、面颊肿、蚂蟥黄疸。针法：三棱针刺出血（《针灸经外奇穴图谱》）。
口角入颊肌内侧一寸处，针二分，出血。主治口疳齿龈溃烂、黄疸（《中国针灸学》）。
面八邪：承光穴，位于前头部，入前发际二寸五分，头顶正中线旁开各一寸五分处，计二穴。禾髎穴，位于面部，鼻翼外缘直下与人中沟中上1/3点相平，计二穴。人迎穴，位于颈部，颈动脉三角内，胸锁乳突肌前缘与甲状软骨上缘平，计二穴。主治：疠风。针法：砭刺出血（《针灸经外奇穴图谱》）。
耳尖放血：治疗结膜炎（红眼）。方法：在耳尖上刺破上皮，挤出一点血；当放血后，患者会感到痛痒感减轻，还可以再在耳垂和耳垂中心用耳针，针刺留针30分钟（《卫生与健康报》）。
治疗11例，痊愈10例，有效1例；疗程约1-3个月。药物配制法：旱莲草20克，蒸20分钟，侯冷，加75%酒精200毫升浸泡（冬春3日，夏秋2日）后去渣取汁。用法：搽患处待干，用七星针轻叩打，皮肤潮红为度。开始搽药每日3次，叩打2次。待新发增生时，改为每日搽药2次，叩打1次（《上海中医杂志》）。
齿龋，刺手阳明，不已，刺其脉入齿中，立已（《内经.缪刺论》）。
喉痹，刺手小指爪纹中，出三大豆许血，逐左右刺，皆须慎酒面毒物（《备急千金要方》）。
治疗30例，疗效满意。方法：用三棱针点刺少商、商阳、关冲，挤出2-3滴血；酌情配合针刺天容、合谷或内庭、曲池诸穴，留针10～30分钟，间歇运针（《上海中医药杂志》）。
面部穴位透刺，拔罐法和口服牵正散治疗面神经麻痹150例疗效观察
除在其穴位上针刺外，并在大椎穴点刺放血（主要用于中枢性面神经麻痹），起针后加拔火罐10分钟，再配制口服牵正散，每日晚饭后煎服1剂。治疗150例，结果属周围性者痊愈66例，基本痊愈44例，明显改善33例；属中枢性者好转5例，无效2例，总有效率为98.7%（《河南中医》）。
治法：主穴为太阳（双）、印堂，额痛加攒竹（双），巅顶痛加百会、四神聪，项强加风池（双），眩晕、眼花耳鸣加头维（双）。以刺血针或三棱针点刺各穴约0.2厘米深，每穴令出血5－6滴，体质壮实而头痛严重者可多至10余滴。每日或间日1次，10次为1疗程。结果：本组50例中，基本痊愈13例，显效17例，有效16例，无效4例，总有效率为92%，同时观察了病情相同的中药治疗组30例，总有效率为70%，西药治疗组30例，总有效率为67%。三组疗效比较以本组为优（《中国针灸》）。
寻找患处附近暗褐色，压之退色，大小不等的小点为挑治点，挑断肌纤维3～5根，再以轻、中、重手法（耐受为度）点刺5～7次，3日1次，每次换新挑治点2一3个，附1例青霉素治疗2月无效，改用本法3次治愈，随访年余未复发（《河南中医》）。
针挑和芥敷治疗面神经麻痹112例
用30%硼酸水含漱口腔后，于麻痹侧内颌线上，相当于第二臼齿及其前后各0．3～0．5厘米处3个挑刺点，及此3点上下各约0.5～1.O厘米平处3个挑刺点，由浅而深地每点雀啄挑20－30次，挑刺出血后漱口。以温水将芥末20一30克调成糊状，摊于纱布上，厚约0.5厘米，敷于地仓、颊车及下关穴位之间，20一24小时取下。结果：痊愈79例，好转22例，无效11例（《中华理疗杂志》）。
至于走马喉痹，生死人在反掌间，砭刺出血，则病已。当治一妇人，木舌胀，其舌满口，令人排针锐而小者砭之五七度，三日方平，计所出血几盈斗（《针灸聚英》）。
眼边忽然红肿发痒，名偷眼针，背上膏肓穴处，第三节骨两旁是有红点，用针挑破即愈。如不用针挑，用灯心一烧即愈。如不见点，用木梳背频频刮之，红点自现出也（《验方新编》）。
麦粒肿：位于背部正中线，左右旁开各三寸、平四五胸椎棘突之间点，附近有红点处。左右计二穴。取穴：膏肓穴附近有红点处。主治：麦粒肿。针灸：针破红点，或用艾条灸5－10分钟（《针灸经外奇穴图谱》）。
八关大刺，治眼痛欲出不可忍者，须刺十指缝中出血愈（《景岳全书》）。
大烦热、昼夜不息，刺十指间出血，谓之八关大刺。目疾，睛痛欲出、赤，大刺八关（《保命集》）。
八邪：位于手背，将手握起，每两个相邻掌骨小头之间是穴。第一二掌骨小头间者又名大都；第二三掌骨小头间者又名上都；第三四掌骨小头间者又名中都；第四五掌骨小头间者又名下都。主治：头风、牙痛、手臂红肿、痹。针法。针1一2分，或出血（《针灸经外奇穴图谱》）。
Dazhui (GV14), Jianwaishu (SI14), Fengmen (BL12): Apply fire cupping for suction for 15 minutes.
Fengchi (GB20), Waiguan (TE5): Use plum-blossom needle to tap until bleeding occurs.
[Attached Formula]
Lieque (LU7), Guanchong (TE1): Use a three-edged needle to prick until bleeding occurs.
Jianbing (Extra), Shenzhu (GV12), Dazhu (BL11): Apply fire cupping for suction for 15 minutes.
Shoulder region, posterior neck: Use plum-blossom needle to tap until bleeding occurs.
[Folk Formula]
At Zhongzhu (TE3) acupoint, use a three-edged needle to prick, then squeeze out blood with two fingers.
[Ancient Formula]
At Juegu (GB39) and Shaoze (SI1) acupoints, use a three-edged needle to prick until bleeding occurs.
[Case Report]
Xi XX, Male, 31 years old, member of Xi Gelao Brigade, Kangjiadu, Pengxi County, Sichuan Province. First consultation on January 25, 1983.
Chief Complaint: Neck discomfort upon waking up in the morning, pain when turning the head.
Symptoms: Neck stiffness, inability to turn the head.
Diagnosis: Stiff neck (Acute cervical sprain).
Treatment Principle: Expel wind-cold, unblock meridians.
Treatment Method: Push and knead the shoulder and neck area with hands. Prick Zhongzhu (TE3) acupoint with a three-edged needle and squeeze out blood with two fingers. Then press this acupoint with fingers while the patient shakes their head. Additionally, apply moving cupping (gliding cupping) on the shoulder and neck area for 10 times. The patient recovered immediately after the procedure.
Twelve. Sprains and Contusions
Sprains and contusions refer to injuries of the sinews and vessels in the joints of the four limbs or the trunk, causing obstruction of Jing-Qi (Meridian Qi) circulation and stagnation of Qi and Blood locally. They are mostly caused by strenuous exercise, improper lifting, forceful twisting, pulling, compression, or accidental falls and twists that damage the sinews and joints. They often recur due to invasion of Wind, Heat, Cold, and Dampness pathogens.
[Treatment]
(I) Shoulder Region
Jianyu (LI15), Jianzhen (SI9): Use a three-edged needle to prick until bleeding occurs.
Naoshu (SI16), Jianliao (TE14): Apply fire cupping for suction for 15 minutes.
Dazhui (GV14), Shoulder region: Use plum-blossom needle to tap until bleeding occurs.
(II) Elbow Region
Quchi (LI11), Xiaohai (SI8): Use a three-edged needle to prick until bleeding occurs.
Chize (LU5): Apply fire cupping for suction for 10 minutes.
Sanyangluo (TE6), Xiabai (LU2), Tianjing (TE10): Use plum-blossom needle to tap until bleeding occurs.
(III) Wrist Region
Yangchi (TE4), Shaoze (SI1): Use a three-edged needle to prick until bleeding occurs.
Affected wrist area: Apply fire cupping for suction for 10 minutes.
Yangxi (LI5), Hegu (LI4), Wanggu (SI4): Use plum-blossom needle to tap until bleeding occurs.
(IV) Lumbar Region
Guanyuanshu (BL23), Weizhong (BL40): Use a three-edged needle to prick until bleeding occurs.
Shenshu (BL23), Yaoyangguan (GV3): Apply fire cupping for suction for 20 minutes.
Lumbar region: Use plum-blossom needle to tap until bleeding occurs.
(V) Thigh Region
Zhibian (BL54), Qiaoyin (GB11): Use a three-edged needle to prick until bleeding occurs.
Huantiao (GB30), Chengfu (BL36): Apply fire cupping for suction for 20 minutes.
Huantiao (GB30): Use plum-blossom needle to tap until bleeding occurs.
(VI) Knee Region
Yanglingquan (GB34), Liangqiu (ST34): Use a three-edged needle to prick until bleeding occurs.
Yangguan (Extra), Ququan (LR8): Apply fire cupping for suction for 15 minutes.
Knee region: Use plum-blossom needle to tap until bleeding occurs.
(VII) Ankle Region
Kunlun (BL60), Qiuxu (GB40): Use a three-edged needle to prick until bleeding occurs.
Yongquan (KI1): Apply fire cupping for suction for 10 minutes.
Ankle region: Use plum-blossom needle to tap until bleeding occurs.
[Folk Formula]
For any areas mentioned above with blood stasis, perform collateral pricking (using a three-edged needle or plum-blossom needle) followed by cupping to induce bleeding.
[Case Report]
Wang, Female, 28 years old, athlete of the basketball team of the Commercial Bureau, Hechuan County, Chongqing Municipality. First consultation on March 19, 1983.
Symptoms: Redness, swelling, heat, and tenderness with refusal to be pressed in the left ankle.
Diagnosis: Left ankle sprain.
Treatment Principle: Reduce swelling, relieve pain, invigorate blood.
Treatment Method: At the site of the left ankle sprain, prick with a three-edged needle and apply fire cupping for suction for 5 minutes to bleed; the blood was dark purple-black. External application medicine: Raw Rhubarb (Rhei Radix et Rhizoma) 2g, Loofah Network (Luffae Fructus Retinervus) 10g, Raw White Part of Scallion (Allii Fistulosi Bulbus) 8g, Fresh Ginger (Zingiberis Recens Rhizoma) 4g. After 3 days, puncture again; the blood became purplish-red, and the dressing was changed. After two treatments, the sprain healed.
Chapter 6 Excerpts of Effective Formulas from Ancient and Folk Bloodletting Therapies
Section 1 Bloodletting Formulas for Head and Neck Diseases
If both eyes are red, swollen, painful, intolerable, sensitive to light, and causing inner anxiety, only prick Jingming (BL1) and Yutou (Taiyang, EX-HN5) acupoints; bleeding from Taiyang will naturally subside the disease.
If eye pain suddenly causes blood to fill the eyeball, making it difficult to open due to sensitivity to light and dryness, one must prick Taiyang (EX-HN5) to bleed; the disease will subside without using a golden knife.
If Heart Fire flares upward causing red eyes, pricking Yingxiang (LI20) can unblock it; after extracting toxic blood, the bones of the eye will feel cool, showing efficacy.
Neiyingxiang (EX-HN9) consists of two acupoints located in the nostrils. Insert reed leaves or bamboo leaves into the nasal cavity; bleeding is ideal. If not cured, prick Hegu (LI4) again (from *Zhenjiu Dacheng · Yulong Ge*).
Bleeding from Yingxiang (LI20) is miraculous for red eyes; for mouth and tongue ulcers, target the sublingual orifices. Pricking the purple veins on both sides of the tongue with a three-edged needle is effective (from *Yixue Rumen*).
Dongyuan said: Bleeding from Taiyang and Yangming meridians clarifies vision. Since these meridians have abundant blood but scarce Qi, eye cataracts and red pain start from the inner canthus. Pricking Jingming (BL1) and Cuanzhu (BL2) dissipates the heat of Taiyang (from *Zhenjiu Juying*).
Cuanzhu: Located in the depression at the inner ends of the eyebrows. *Su Zhu* states: Needle 2 fen, retain for 6 breaths, moxa 3 moxibustions. *Tong Ren* prohibits moxibustion, needles 1 fen, retains for 3 breaths, reduces with 3 inhalations, withdraws slowly. It is suitable to prick with a fine three-edged needle to dissipate heat; pricking three times greatly brightens the eyes. *Ming Tang* suggests pricking 3 fen with a fine three-edged needle to bleed, moxa 1 moxibustion (from *Zhenjiu Dacheng*).
When the Crown Prince of Guo suffered from corpse-like fainting (Shijue), Bian Que selected Sanyang Wuhui (Baihui, GV20), and after a short while, the prince revived. When Emperor Gaozong of Tang had a headache, Qin Minghe said, "It is advisable to prick Baihui (GV20) to bleed." Empress Wu said, "How can there be bleeding from the head of the Supreme Sovereign?" Subsequently, they pricked him; slight bleeding occurred, and he recovered immediately (from *Zhenjiu Dacheng*).
(Miraculous Formula for Treating Throat Swelling) Look for red spots on the patient's head; prick them externally with a needle to cure (from *Liangpeng Huiji*).
Throat Bi (Sore throat): Find red bumps on the head, prick them with a needle to cure (from *Chuanyi Waibian · Zhen Famen*).
Ear Tip (Erjian, EX-HN2): Fold the ear wing to locate the tip. Mainly treats trachoma and eye membranes. Moxa 5 moxibustions. For chronic eye diseases, if eyes are red and swollen, bloodletting is applicable (from *Zhenjiu Jingwai Qixue Zhiliao Jue*).
Bleeding from the posterior auricular vein treats eye diseases, effectively curing red and painful eyes; this is also a branch of the Zhenmai meridian (from *Fuzhou Minjian Zhenjiu Jingyan Lu*).
Red Eyes. Eyes are red, swollen, painfully intolerable, sensitive to light, causing inner anxiety. Only prick Jingming (BL1) and Yutou (Taiyang, EX-HN5); bleeding from Taiyang cures the disease completely (from *Bianque Shenying Zhenjiu Yulong Jing*).
Taiyang (EX-HN5) consists of two acupoints located in the depression behind the eyebrows on the purple veins. It treats eye redness/swelling and headaches; bleeding with a three-edged needle is appropriate. To induce bleeding, tightly wrap a silk cloth around the neck so the purple veins appear, then prick until blood flows for immediate cure. Alternatively, tightly twist the collar to reveal the purple veins, then prick until blood flows for immediate cure (from *Qixiao Liangxue*).
Bizhun (EX-HN10): Located at the tip of the nasal bridge. Specifically treats rhinophyma (alcohol nose); bleeding with a three-edged needle is appropriate (from *Zhenjiu Dacheng*).
Bizhun (EX-HN10): Located at the tip of the nasal bridge. Bleeding with a three-edged needle treats rhinophyma (from *Zhenjiu Xuequ Suoyin*).
Throat Closure (Houbi): Soak bamboo paper with croton seeds until full, make a paper wick, light it, and smoke the throat with the smoke to expel bad blood and resolve the condition. Or prick into the throat to release purple blood for cure. Since throat diseases originating from the Six Fu Organs are accessible, probing and pricking the throat blood resolves it (from *Zhunwai Bian · Xun Famen*).
Eye Heat. Heart Fire flares upward causing red eyes; insert reed leaves into the nose. If blood comes out, it is truly excellent, and coolness inside the eyes shows miraculous effects. Neiyingxiang (EX-HN9) is inside the nostrils; roll reed leaves or bamboo leaves and insert them into the nose. Bleeding is good; if not cured, prick Hegu (LI4) again (from *Bianque Shenying Zhenjiu Yulong Jing*).
Neiyingxiang (EX-HN9), Extra Acupoint. Located at the upper end of the nostrils. Lightly prick with a long three-edged needle or thick needle to bleed. Old methods suggest inserting a reed tube into the nose to bleed. Mainly treats sudden acute red, swollen, and painful eyes (from *Zhenjiu Kongxue Ji Qili Fa Bianlan*).
Bihuan (EX-HN11): Located where the crescent-shaped wrinkle of the nasal ala meets the face. Treats carbuncles and rhinophyma. Needle 2 fen, allow slight bleeding, no moxibustion (from *Zhenjiu Jingwai Qixue Zhiliao Jue*).
Bihuan (EX-HN11), Extra Acupoint. Located at the middle of the crescent-shaped wrinkle between the ear and nose, meeting the face. Needle 2 fen, allow slight bleeding. Treats rhinophyma, carbuncles; also treats facial cellulitis (from *Zhenjiu Kongxue Ji Qili Fa Bianlan*).
Shang'e Acupoint: Located inside the mouth on the red and white pulse line of the upper palate. Needle 3 fen, treats leech jaundice and seasonal diseases (from *Beiji Qianjin Yaofang*).
Juquan (EX-HN15), one acupoint, is on the tongue, at the center. When the tongue is extended, there is a straight groove/fissure here. ... Treats tongue coating and stiff tongue; use a small needle to bleed (from *Zhenjiu Dacheng*).
Haiquan (CV23), located on the central vein under the tongue, treats Xiao Ke (Wasting-Thirst Syndrome). Needle to bleed (from *Leijing Tuyi*).
Haiquan (CV23), one acupoint, is located at the center under the tongue. Treats Xiao Ke (Wasting-Thirst Syndrome). Bleed with a three-edged needle (from *Zhenjiu Dacheng*).
On the sublingual frenulum, slightly posterior to the midpoint between Jinjin (EX-HN15) and Yuye (EX-HN16), needle 2 fen, bleed. Treats Xiao Ke (Wasting-Thirst Syndrome) and hiccups (from *Zhongguo Zhenjiu Xue*).
To treat sudden tongue swelling, where the tongue fills the mouth like an inflated pig bladder, blocking breathing, which kills if not treated promptly: Prick the large veins on both sides under the tongue to bleed. Do not prick the central vein below, as continuous bleeding will kill. If not cured and several sheng of blood are lost; then heat an iron comb until red, cauterize the wound several times to stop bleeding (from *Beiji Qianjin Yaofang*).
To treat tongue stiffness and swelling like a pig bladder, prick the large veins on both sides under the tongue; bleeding stops the swelling. Do not prick the central vein, as it causes uncontrollable bleeding leading to death. Alternatively, burn a copper wire and cauterize; if bleeding continues, it is fatal. Or apply vinegar mixed with soot from the bottom of a pot. Apply repeatedly until the tongue subsides quickly. Many people do not recognize this condition; failure to treat leads to death (from *Shiyi Dexiao Fang*).
The acupoints on the purple veins on both sides under the tongue are located here; curl the tongue to access them. Treat double tongue (swollen tongue) pain and throat closure; boil a three-edged needle in water and bleed (from *Zhenjiu Dacheng*).
Left Jinjin (EX-HN15), Right Yuye (EX-HN16), located on the purple veins on both sides under the tongue. Treats Xiao Ke (Wasting-Thirst Syndrome), mouth ulcers, tongue swelling, and throat Bi (sore throat). Bleed with a three-edged needle (from *Leijing Tuyi*).
All new cases of muteness are necessarily due to a stiff tongue. Jinjin (EX-HN15) and Yuye (EX-HN16) are located under the tongue, commonly known as two major blood vessels. It is essential to pierce the vessels until blood appears (from *Zhenfa Xuedao Ji*).
Jinjin (EX-HN15) and Yuye (EX-HN16) are on the veins on both sides of the midline of the sublingual frenulum in the mouth. The left is named Jinjin, the right Yuye. Treats mouth ulcers, glossitis, Xiao Ke (Wasting-Thirst Syndrome), tonsillitis, intestinal colic, and throat Bi. Needle 2 fen to bleed (from *Zhenjiu Jingwai Qixue Zhiliao Jue*).
Jinjin Yuye, Extra Acupoints. Located on the veins on both sides of the midline of the sublingual frenulum. The left is Jinjin, the right Yuye. Curl the tongue to access. Needle 2-3 fen (to bleed), or use a small three-edged needle to bleed. Treats mouth ulcers, glossitis, tonsillitis, Xiao Ke (Wasting-Thirst Syndrome); some say it also treats double tongue and throat closure (from *Zhenjiu Kongxue Ji Qili Fa Bianlan*).
Double Tongue (Chongshe): Prick the lingual pillar with a Pai needle (from *Zhenjiu Jiayi Jing*).
A small tongue growing under the main tongue is called Double Tongue (Chongshe). The lingual pillar refers to the tendon under the tongue like a pillar. One should use the fifth needle, called the Pi needle (scalpel), to prick it (from *Leijing*).
Inside the Lips: Treats Liver disease, gingivitis, lockjaw, halitosis, stomatitis, cheek swelling, and leech jaundice. Needling method: Bleed with a three-edged needle (from *Zhenjiu Jingwai Qixue Tupu*).
One cun medial to the corner of the mouth entering the buccinator muscle, needle 2 fen, bleed. Treats mouth canker, gingival ulceration, and jaundice (from *Zhongguo Zhenjiu Xue*).
Mian Baye (Facial Eight Evils): Chengguang (GV7) is located on the anterior head, 2.5 cun above the anterior hairline, 1.5 cun lateral to the midline of the vertex, totaling two acupoints. Heliao (SI18) is located on the face, directly below the outer edge of the alae nasi, level with the upper 1/3 point of the philtrum, totaling two acupoints. Renying (ST9) is located in the neck, within the carotid triangle, at the anterior border of the sternocleidomastoid muscle, level with the upper border of the thyroid cartilage, totaling two acupoints. Treats Leprosy (Lifeng). Needling method: Bleed with a Bian stone (from *Zhenjiu Jingwai Qixue Tupu*).
Ear Tip Bloodletting: Treats conjunctivitis (red eye). Method: Pierce the epidermis at the ear tip and squeeze out a drop of blood; after bloodletting, the patient feels reduced pain and itching. Ear acupuncture can also be applied to the earlobe and center of the earlobe, retaining needles for 30 minutes (from *Weisheng Yu Jiankang Bao*).
Hanlian Tincture combined with Seven-Star Needle for Alopecia Areata
Treated 11 cases, 10 cured, 1 effective; course of treatment approx. 1-3 months. Drug preparation: Eclipta Herba (Hanliancao) 20g, steamed for 20 minutes, cooled, soaked in 200ml of 75% alcohol (3 days in winter/spring, 2 days in summer/autumn), then filtered. Usage: Apply to affected area until dry, lightly tap with seven-star needle until skin is flushed. Initially apply medicine 3 times daily, tap 2 times. When new hair grows, reduce to applying medicine 2 times daily, tapping 1 time (from *Shanghai Zhongyi Zazhi*).
Tooth decay: Prick Hand-Yangming meridians; if ineffective, prick the vessels entering the teeth, immediate relief (from *Neijing · Miuci Lun*).
Throat Bi (Sore throat): Prick the crease at the nail of the little finger of the Hand-Shaoyin meridian, extract blood equivalent to three soybeans, prick alternately left and right; avoid alcohol, wheat, and toxic foods (from *Beiji Qianjin Yaofang*).
Clinical Observation of Well-Acupoint Pricking for Acute Tonsillitis
Treated 30 cases, satisfactory results. Method: Prick Shaoshang (LU11), Shangyang (LI1), and Guanchong (TE1) with a three-edged needle, squeeze out 2-3 drops of blood; optionally combine with needling Tianrong (SI17), Hegu (LI4), or Neiting (ST44), Quchi (LI11), retain needles for 10-30 minutes, manipulate intermittently (from *Shanghai Zhongyiyao Zazhi*).
Observation of Transcutaneous Needling of Facial Acupoints, Cupping, and Oral Qianzheng San for Facial Paralysis (150 Cases)
In addition to needling acupoints, bleed at Dazhui (GV14) (mainly for central facial paralysis). After removing needles, apply fire cupping for 10 minutes, then prepare oral Qianzheng San, decoct and take one dose daily after dinner. Treated 150 cases; results: Peripheral type - 66 cured, 44 basically cured, 33 significantly improved; Central type - 5 improved, 2 ineffective. Total effective rate 98.7% (from *Henan Zhongyi*).
Observation of Bloodletting at Taiyang Acupoint for Hypertension Headache
Treatment Method: Main acupoints are Taiyang (EX-HN5, bilateral) and Yintang (EX-HN3). Add Cuanzhu (BL2, bilateral) for frontal headache; add Baihui (GV20) and Sibashong (EX-HN1, bilateral) for vertex headache; add Fengchi (GB20, bilateral) for neck stiffness; add Touwei (ST8, bilateral) for dizziness, blurred vision, tinnitus. Prick each acupoint about 0.2 cm deep with a bloodletting needle or three-edged needle, allowing 5-6 drops of blood per acupoint. For robust patients with severe headaches, up to 10+ drops. Once daily or every other day, 10 sessions per course. Results: In this group of 50 cases, 13 basically cured, 17 markedly effective, 16 effective, 4 ineffective; total effective rate 92%. Simultaneously observed 30 cases treated with Chinese medicine (total effective rate 70%) and 30 cases treated with Western medicine (total effective rate 67%). Comparison shows this group is superior (from *Zhongguo Zhenjiu*).
Pricking Therapy for Posterior Cervical Folliculitis
Find dark brown spots near the affected area that fade upon pressure, varying in size, as pricking points. Cut 3-5 muscle fibers, then prick 5-7 times with light, medium, or heavy techniques (tolerable limit). Once every 3 days, change 2-3 new pricking points each time. Attached case: A patient ineffective after 2 months of penicillin was cured in 3 sessions using this method, with no recurrence during over a year of follow-up (from *Henan Zhongyi*).
Needle Pricking and Mustard Plaster for Facial Paralysis (112 Cases)
After rinsing the oral cavity with 30% boric acid water, on the paralyzed side along the mandibular line, identify 3 pricking points corresponding to the second molar and 0.3-0.5 cm anterior/posterior to it, and 3 more points 0.5-1.0 cm above/below these. Sparrow-peck prick each point 20-30 times from shallow to deep, rinse mouth after bleeding. Mix 20-30g mustard powder with warm water into a paste, spread on gauze 0.5cm thick, apply between Dicang (ST4), Jiache (ST6), and Xiaguan (ST7) acupoints, remove after 20-24 hours. Results: 79 cured, 22 improved, 11 ineffective (from *Zhonghua Liliao Zazhi*).
Regarding "Running Horse Throat Bi" (rapidly progressing sore throat), life and death depend on a flip of the hand; bleeding via Bian stone pricking cures the disease. When treating a woman with wooden tongue swelling filling the mouth, use sharp, small Pai needles to prick 5-7 times; it took three days to subside, and the blood loss amounted to nearly a bushel (from *Zhenjiu Juying*).
Sudden redness, swelling, and itching at the eye corner is called "Stealing Eye Needle". On the back at the Gao Huang (BL43) acupoint, beside the third thoracic vertebra, there are red spots; prick them with a needle to cure. If not pricked, burning with rush pith cures it. If no spots are seen, frequently scrape with the back of a wooden comb until red spots appear (from *Yanfang Xinbian*).
Stye (Hordeolum): Located on the dorsal midline, 3 cun lateral to the left and right, between the spinous processes of the 4th and 5th thoracic vertebrae, near red spots. Two acupoints total. Selection: Red spots near Gao Huang (BL43). Treatment: Hordeolum. Acupuncture/Moxibustion: Prick the red spot, or moxa with moxa stick for 5-10 minutes (from *Zhenjiu Jingwai Qixue Tupu*).
Ba Guan Da Ci (Eight Passages Great Pricking): Treats unbearable eye pain threatening to burst; must prick the spaces between the ten fingers to bleed for cure (from *Jingyue Quanshu*).
Severe fever, day and night incessant: Prick between the ten fingers to bleed, called Ba Guan Da Ci. For eye diseases, eye pain threatening to burst, redness: Greatly prick Ba Guan (from *Baoming Ji*).
Ba Xie (Eight Evils): Located on the dorsum of the hand, between the heads of adjacent metacarpals when the hand is clenched. Between the 1st and 2nd metacarpal heads is also called Da Du; between 2nd and 3rd is Shang Du; between 3rd and 4th is Zhong Du; between 4th and 5th is Xia Du. Treats Head Wind, toothache, arm/hand redness/swelling, Bi syndrome. Needling: Needle 1-2 fen, or bleed (from *Zhenjiu Jingwai Qixue Tupu*).
Needling Taixi (KI3) to Treat Throat Bi
Lei Quanshan once treated a man with Throat Bi, pricking Taixi (KI3) to extract half a cup of black blood, resulting in cure (from *Jiyin Gangmu*).
Bloodletting at the Posterior Auricular Area to Treat Throat Swelling (Hou'e)