篇名：上编 外治法
分类：经义
属性：『灵枢经·寒热病篇』曰：身有所伤，血出多，及中风寒，若有所堕坠，
四支懈惰不收，名曰体惰。取其小腹脐下三结交。三结交者，阳明太阴也
，脐下三寸关元也。
按、方剂：
注：[1]此言身有所伤，血出多者，及中风寒者，破伤风之属也。
[2]或因堕坠，不必出血，而四支懈惰不收者，皆名体惰也。
[3]关元任脉穴名，又足阳明、太阴之脉皆结于此，故为三结交也。
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篇名：上编 外治法
分类：经义
属性：『灵枢经·厥病论』曰：头痛不可取于腧者，有所击堕，恶血在内，伤痛
未已，可侧刺不可远取之也。
按、方剂：
注：[1]经言恶血在内，头痛不可取其腧者，盖头痛取腧，以泄其气，则头痛
可愈也。
[2]若有所击堕，恶血在内，而取腧以泄其气，则是血病治气矣，故勿取
其腧焉。
[3]若所击扑之□肉伤痛不已，虽用刺法，亦只于所伤附近之侧刺之，以
出在内之恶血而已。
[4]若仍按经远取诸腧，以疗头痛，则不可也。
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篇名：上编 外治法
分类：经义
属性：『灵枢经·邪气脏腑病形篇』曰 ：有所击扑，若醉入房，汗出当风，则
伤脾。
按、方剂：
注：[1]有所击扑，乃伤其外体也。
[2]如醉后入房，或汗出不知避忌当风，则邪客于肌肤，伤其内体矣。
[3]是皆伤脾之因也。
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【上编 外治法 - 经义】
《灵枢经·寒热病篇》说：身体受到外伤，出血过多，以及感受风邪寒气，或者从高处坠落受伤，导致四肢懈怠无力、不能收持，这种病症称为“体惰”。治疗时应取小腹脐下三寸的“三结交”穴。所谓“三结交”，是指足阳明胃经和足太阴脾经在此处交会，该穴位即脐下三寸的关元穴。
按语：方剂部分略。
注释：[1] 这里所说的身体受外伤且出血过多，以及感受风邪寒气，属于破伤风等范畴。
[2] 或者是由于坠落受伤，不一定有出血，但出现四肢懈怠无力的症状，都称为“体惰”。
[3] 关元是任脉的穴位名称，同时足阳明胃经和足太阴脾经的经脉也都结聚于此，所以称为“三结交”。
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【上编 外治法 - 经义】
《灵枢经·厥病论》说：对于头痛不可选取常规腧穴治疗的，是因为有被击打或坠落的经历，体内有恶血（瘀血）停留，伤痛尚未停止，此时只能就近侧刺患处，不可远端取穴。
按语：方剂部分略。
注释：[1] 经文说体内有恶血停留，头痛时不可选取常规腧穴，这是因为通常头痛取腧穴是为了泄除邪气，从而治愈头痛。
[2] 如果有被击打或坠落的情况，体内有恶血停留，此时若选取腧穴来泄气，就是以治气的方法来治疗血病，因此不要选取那些腧穴。
[3] 如果因击打造成的肌肉伤痛不止，即使使用针刺疗法，也只在受伤部位附近的侧面进行针刺，以排出体内的恶血罢了。
[4] 如果仍然按照经络理论远端选取各腧穴来治疗头痛，那是不可取的。
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【上编 外治法 - 经义】
《灵枢经·邪气脏腑病形篇》说：遭受击打扑跌，或者酒后行房事，出汗后对着风吹，这些情况都会损伤脾脏。
按语：方剂部分略。
注释：[1] 遭受击打扑跌，是损伤了体表。
[2] 如醉酒后行房事，或者出汗后不知道避忌而对着风吹，那么邪气就会客居在肌肤之间，损伤内脏。
[3] 这些都是损伤脾脏的原因。
[Upper Compilation: External Treatment Methods - Classic Principles]
The *Ling Shu Jing (Spiritual Pivot)*, Chapter "Han Re Bing Pian" (Cold and Heat Diseases), states: When the body sustains trauma with excessive blood loss, or is affected by wind-cold pathogens, or suffers a fall, resulting in flaccidity and weakness of the four limbs that cannot be controlled, this condition is termed "Ti Duo" (Body Languor). Treatment should involve needling the "San Jie Jiao" (Three Intersections) located three cun below the umbilicus on the lower abdomen. The "San Jie Jiao" refers to the convergence point of the Foot-Yangming Stomach Meridian and the Foot-Taiyin Spleen Meridian; this acupoint is Guan Yuan (CV-4), located three cun below the umbilicus.
Note: Formulas section omitted.
Annotation [1]: The text describes conditions where the body sustains trauma with excessive bleeding and is affected by wind-cold, which falls under categories such as Traumatic Tetanus (Po Shang Feng).
[2]: Alternatively, due to a fall without necessarily bleeding, if there is flaccidity and weakness of the four limbs, it is also termed "Ti Duo".
[3]: Guan Yuan is the name of an acupoint on the Ren Mai (Conception Vessel). Since the meridians of the Foot-Yangming Stomach and Foot-Taiyin Spleen both converge here, it is called "San Jie Jiao".
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[Upper Compilation: External Treatment Methods - Classic Principles]
The *Ling Shu Jing*, Chapter "Jue Bing Lun" (Treatise on Jue Diseases), states: For headaches that cannot be treated by selecting standard acupoints, it is because there has been a history of being struck or fallen, leading to the retention of "E Xue" (Malignant Blood/Stasis) inside, and the pain has not yet subsided. In such cases, one should needle nearby laterally at the site of injury rather than selecting distant acupoints.
Note: Formulas section omitted.
Annotation [1]: The classic mentions that when malignant blood is retained internally, standard acupoints should not be selected for headache. This is because normally, selecting acupoints for headache aims to drain pathogenic qi, thereby curing the headache.
[2]: However, if there is internal stasis due to trauma from striking or falling, selecting acupoints to drain qi would constitute treating a blood disorder with a method for qi disorders; therefore, those acupoints should not be selected.
[3]: If the muscle pain from the strike persists, even if acupuncture is used, it should only be performed by lateral needling near the injured area to expel the internal malignant blood.
[4]: It is inadvisable to continue selecting distant acupoints according to meridian theory to treat the headache.
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[Upper Compilation: External Treatment Methods - Classic Principles]
The *Ling Shu Jing*, Chapter "Xie Qi Zang Fu Bing Xing Pian" (Chapter on Pathogenic Factors and Manifestations of Zang-Fu Diseases), states: Being struck or bruised, engaging in sexual intercourse after intoxication, or exposing sweating skin to wind, are all causes that injure the Spleen.
Note: Formulas section omitted.
Annotation [1]: Being struck or bruised injures the exterior of the body.
[2]: Engaging in sexual intercourse while intoxicated, or failing to avoid wind exposure while sweating, allows pathogenic factors to lodge in the skin and muscles, thereby injuring the interior organs.
[3]: These are all causes of Spleen injury.