太阳病,头痛至七日,自当愈,其经竟故也,若欲作再经者,宜刺足阳明,使经不传则
愈。
太阳病,初服桂枝汤,而反烦不解,宜先刺风池,风府,乃却与桂枝汤则愈。
伤寒,腹满而谵语,寸口脉浮而紧者,此为肝乘脾,名曰纵,宜刺期门。
伤寒发热,涩涩恶寒,其人大渴,欲饮 浆者,其腹必满,而自汗出,小便利,其病欲
解,此为肝乘肺,名曰横,宜刺期门。
阳明病,下血而谵语,此为热入血室,但头汗出者,刺期门,随其实而泻之。
太阳与少阳合病,心下痞坚,颈项强而眩,宜刺大椎、肺俞、肝俞,勿下之。
妇人伤寒怀身,腹满,不得小便,加从腰以下重,如有水气状,怀身七月,太阴当养不
养,此心气实,宜刺泻劳宫及关元,小便利则愈。
伤寒喉痹,刺手少阴穴,在腕当小指后动脉是也,针入三分补之。
少阴病,下利便脓血者,宜刺。
发汗后,饮水多者,必喘,以水灌之亦喘。
下利,其脉浮大,此为虚,以强下之故也,设脉浮革,因尔肠鸣,当温之,与水必哕。
太阳病,小便利者,为水多,心下必悸。
太阳病,发汗后,若大汗出,胃中干燥烦不得眠,其人欲饮水,当稍饮之,令胃气和则
愈。
厥阴渴欲饮水,与饮之,即愈。
呕而吐,膈上者,必思煮饼,急思水者,与五苓散饮之,水亦得也。
太阳病,头痛持续至第七日,应当自愈,因为该经的病程已经结束;如果病情有向下一经传变的趋势,适宜针刺足阳明经,使病邪不致传变即可痊愈。
太阳病,初次服用桂枝汤后,反而出现烦闷不解的症状,适宜先针刺风池穴、风府穴,然后再给予桂枝汤服用,即可痊愈。
伤寒病,腹部胀满且胡言乱语,寸口脉象浮而紧的,这是肝气乘袭脾土,称为“纵”,适宜针刺期门穴。
伤寒发热,身体涩滞且恶寒,患者极度口渴,想要喝稀粥或汤水,其腹部必然胀满,同时自汗出,小便通畅,这是病情即将解除的表现,这是因为肝气乘袭肺金,称为“横”,适宜针刺期门穴。
阳明病,便血且胡言乱语,这是热邪侵入血室,仅头部出汗的,针刺期门穴,根据其实证情况采用泻法。
太阳病与少阳病合病,心下部位痞塞坚硬,颈项强直且眩晕,适宜针刺大椎穴、肺俞穴、肝俞穴,不可使用攻下法。
妇女患伤寒且怀孕,腹部胀满,小便不通,加上腰部以下沉重,如有水气停留之状,怀孕七月时,太阴脾经当养胎却未能正常养胎,这是心气实盛所致,适宜针刺并泻劳宫穴及关元穴,小便通畅后即可痊愈。
伤寒导致的喉痹(咽喉肿痛闭塞),针刺手少阴心经的穴位,位于手腕处小指后方动脉跳动的位置,进针三分并采用补法。
发汗之后,饮水过多者,必定会出现气喘,因用水冲洗身体也会导致气喘。
腹泻,脉象浮大,这是虚证,是因为强行攻下所致;如果脉象浮而革(外坚中空),因此出现肠鸣音,应当温补,若给水饮用必会导致呃逆。
太阳病,小便通畅的,说明体内水湿较多,心下部位必定会有悸动感。
太阳病,发汗之后,如果大汗出,导致胃中干燥、烦闷不得安眠,患者想要饮水,应当稍微给予饮水,使胃气调和即可痊愈。
呕吐且吐物在膈上者,必定想吃煮饼(面条类食物);急切想喝水的,给予五苓散饮用,直接饮水也可以。
Taiyang disease (disease of the Taiyang channel), with headache persisting for seven days, should naturally resolve because the course of that channel has ended. If there is a tendency for the disease to transmit to the next channel, it is appropriate to puncture the Foot-Yangming channel so that the pathogen does not transmit and the patient recovers.
In Taiyang disease, after initially taking Guizhi Tang (Cinnamon Twig Decoction), if vexation persists without relief, it is appropriate to first puncture Fengchi (GB20) and Fengfu (GV16), then administer Guizhi Tang (Cinnamon Twig Decoction) thereafter, leading to recovery.
In Shanghan (Cold Damage) disease, with abdominal fullness and delirium, and a Cun (inch) pulse that is floating and tight, this is Liver Qi invading the Spleen, termed "Zong" (Vertical Transmission). It is appropriate to puncture Qimen (LR14).
In Shanghan (Cold Damage) disease, with fever, a rough sensation and aversion to cold, where the patient is extremely thirsty and desires to drink gruel or soup, the abdomen will necessarily be full. With spontaneous sweating and free urination, the disease is about to resolve. This is Liver Qi invading the Lung, termed "Heng" (Horizontal Transmission). It is appropriate to puncture Qimen (LR14).
Yangming disease, with hematochezia (blood in stool) and delirium, indicates Heat entering the Blood Chamber. With sweating only on the head, puncture Qimen (LR14) and apply the reducing method according to its excess condition.
Combined Taiyang and Shaoyang disease, with hardness and stuffiness below the heart, stiff neck, and dizziness, is appropriate for puncturing Dazhui (GV14), Feishu (BL13), and Ganshu (BL18). Do not use purgation.
A woman suffering from Shanghan (Cold Damage) while pregnant, with abdominal fullness, inability to urinate, and heaviness from the waist down resembling water retention. At seven months of pregnancy, when the Taiyin Spleen should nourish the fetus but fails to do so, this is due to Excess Heart Qi. It is appropriate to puncture and reduce Laogong (PC8) and Guanyuan (CV4); recovery occurs when urination becomes free.
Shanghan (Cold Damage) causing Hou Bi (sore throat with obstruction), puncture the Hand-Shaoyin acupoint located at the wrist behind the ulnar artery. Insert the needle three fen and apply the tonifying method.
Shaoyin disease, with diarrhea and pus and blood in the stool, is appropriate for acupuncture treatment.
After inducing sweating, excessive water intake will inevitably cause wheezing; bathing with water also causes wheezing.
With diarrhea, a floating and large pulse indicates deficiency caused by forced purgation. If the pulse is floating and wiry (ge), accompanied by borborygmus (bowel sounds), warming therapy is indicated; giving water will likely cause hiccups.
In Taiyang disease, free urination indicates excessive water retention, leading to palpitations below the heart.
In Taiyang disease, after sweating, if profuse sweating occurs causing dryness in the Stomach, vexation, and insomnia, and the patient desires water, give small amounts of water to harmonize the Stomach Qi, leading to recovery.
Jueyin disease with thirst desiring water: giving water leads to recovery.
For vomiting with regurgitation above the diaphragm, the patient will crave cooked noodles (zhu bing). For urgent thirst, administer Wuling San (Five-Ingredient Powder with Poria) to drink; drinking plain water is also acceptable.