论曰∶凡诸百邪之病,源起多途,其有种种形相示表癫邪之端,而见其病。或有默默
而不声,或复多言而漫说,或歌或哭或吟或笑或眠,坐沟渠啖食粪秽,或裸形露体,或昼夜
游走,或嗔骂无度,或者蜚蛊向导,手乱目急,如斯种类癫狂之人,今针灸与方药并主治之,
凡占风
扁鹊曰∶百邪所病,针有十三穴,凡针先从鬼宫起,次针鬼信,次至鬼垒,又至鬼心,
针至五六穴即可知矣。若是邪蛊之精便自言说,论其由男从左起针,女从右起针。若数处不
言便遍穴针也,仍须根据掌诀捻目而治之,万不失一。黄帝掌诀,别是术家秘要,第一针人中
名鬼宫,从左边下针右边出。第二针手大指爪甲下,名鬼信,入肉三分。第三针足大趾爪甲
下,名鬼垒,入肉二分。第四针掌后横纹,名鬼心,入肉半寸(即太渊穴也。)第五针外踝
下
白肉际足太阳,名鬼路,火针七针针三下(即申脉穴也。)第六针大椎上入发际一寸,名鬼
枕,
火针七针针三下。第七针耳前发际宛宛中,耳垂下五分,名鬼床,火针七针针三下。第八针
承浆,名鬼市,从左出右。第九针手横纹上三寸,两筋间,名鬼路(即劳宫穴也。)第十针
直
鼻上入发际一寸名鬼堂,火针七针针三下(即上星穴也。)第十一针阴下缝灸三壮,女人即
玉
门头,名鬼藏。第十二针尺泽横纹外头接白肉际,名鬼臣,火针七针针三下(即曲池穴也。)
第十三针舌头一寸,当舌中下缝,刺贯出舌上,名鬼封,仍以一板横口吻安针头令舌不得动。
以前若是手足皆相对针两穴,若是孤穴即单针之。邪鬼妄语,灸悬命十四壮(穴在口唇里中
央弦弦者是,一名鬼禄,又以刚力决断弦乃佳。)邪病卧瞑瞑不自知,风府主之(一名鬼穴。)
邪病大唤骂走,灸十指端去爪一分(一名鬼城。)邪病大唤骂走远,三里主之(一名鬼邪。)
邪
病鬼癫四肢重,囟上主之(一名鬼门,)邪病四肢重痛诸杂候,尺泽主之(尺中动脉一名鬼
受。)
邪病语不止及诸杂候
仓公法∶狂痫不识人,癫病眩乱,灸百会九壮。狂走掣 灸玉枕上三寸,一法项后一寸
灸百壮。狂邪鬼语,灸天窗九壮。狂走癫疾灸顶后二寸十二壮。或灸大幽百壮,狂言恍惚,
灸天枢百壮。狂走癫痫,灸季肋端三十壮,或灸河口五十壮(穴在腕后陷中动脉是)。狂痫
哭
泣,灸手逆注三十壮(穴在左右手腕后六寸)。狂癫风痫吐舌,灸胃脘百壮。狂邪发无常披
发
大唤欲杀人,不避水火及狂言妄语,灸间使三十壮(穴在腕后五寸,臂上两骨间亦治惊恐歌
哭。)狂走喜怒悲泣,灸臣觉(一作巨搅,穴在背上胛内侧反手所不及骨芒穴上捻之,痛者
是
也)。随年壮。狂邪鬼语,灸伏兔百壮。悲哭鬼语,灸天府五十壮。悲泣邪语鬼忙歌哭,灸
慈门五十壮。狂邪惊痫,灸承命三十壮(穴在内踝后上行三寸动脉上)。狂癫风惊厥逆心烦,
灸巨阳五十壮。狂癫鬼语,灸足太阳四十壮。狂走惊恍惚,灸足阳明三十壮。狂癫痫易疾,
灸足少阳,随年壮。狂走癫厥如死人,灸足大趾三毛中九壮(一云灸大敦)。狂走易骂,灸
八
会,(穴在阳明下五分。)随年壮。狂癫惊走恍惚嗔喜,笑骂歌哭鬼语,悉灸脑户、风池、手
阳明、太阳、太阴,足阳明、阳跷、少阳、太阴、阴跷、足跟,皆随年壮。惊怖心忪少力,
灸大横五十壮。狂疯骂詈挝斫人,名为热阳风,灸两吻边燕口处赤白际各一壮,又灸阴囊
缝三十壮,令人正卧核卵上灸之,勿近前中卵,恐伤阳气也。狂走刺人或欲死,骂詈不息,
称神鬼语,灸口吻头赤白际一壮,又灸两肘屈中五壮,又灸背胛中间三壮,报灸之(仓公
法神效。)鬼魅灸入发一寸百壮,又灸间使手心各五十壮。狐魅,合手大指缚,灸合间三七
壮,当狐鸣即瘥。猝狂言鬼语,以甑带急合,缚定两手大指便灸左右胁下对屈肋头两处,火
齐起各七壮,须臾鬼自道姓名。乞去徐徐问之乃解其手。猝中邪魅恍惚振噤,灸鼻下人中及
两手足大指爪甲本,令艾丸半在爪上,半在肉上,各七壮,不止十四壮,炷如雀屎大。风邪
灸间使随年壮,又灸承浆七壮,又灸心俞七壮,又灸三里七壮。猝狂鬼魇,针其足大KT
趾爪甲下入少许即止。
(方二十三首)
论曰:大凡各种邪气致病,起因多种多样。那些呈现出种种异常形态,表现出癫狂邪病端倪的病症,可以通过观察其病状来诊断。有的患者沉默不语,有的则多言乱语;有的唱歌、哭泣、呻吟或大笑,有的睡卧在沟渠中吞食粪便污秽;有的裸露身体,有的昼夜不停游走;有的愤怒谩骂没有限度,有的仿佛被蛊毒驱使或受向导操控,手足躁动不安,眼神惊恐急迫。像这样种类的癫狂病人,现在用针灸和方药共同主治。
关于占风(预测风邪致病),扁鹊说:百种邪气所致的疾病,针刺有十三个穴位。凡是施针,先从鬼宫穴开始,接着针鬼信穴,再至鬼垒穴,又至鬼心穴,针刺到五六个穴位就可以知晓病情了。如果是邪蛊的精气作祟,患者便会自己说出缘由。治疗时,男子从左侧起针,女子从右侧起针。如果在多处询问仍不回答,就遍刺所有穴位。同时必须依据掌诀捻转眼睛而治之,万无一失。黄帝的掌诀,是术士们的秘要。第一针人中穴,名叫鬼宫,从左边进针右边出。第二针手大拇指指甲下,名叫鬼信,进肉三分。第三针足大脚趾指甲下,名叫鬼垒,进肉二分。第四针手腕横纹处,名叫鬼心,进肉半寸(即太渊穴)。第五针外踝下白肉际处的足太阳经,名叫鬼路,用火针七次,每下三针(即申脉穴)。第六针大椎穴上入发际一寸处,名叫鬼枕,用火针七次,每下三针。第七针耳前发际凹陷处,耳垂下五分,名叫鬼床,用火针七次,每下三针。第八针承浆穴,名叫鬼市,从左出右。第九针手腕横纹上三寸,两筋之间,名叫鬼路(即劳宫穴)。第十针直鼻上入发际一寸处,名叫鬼堂,用火针七次,每下三针(即上星穴)。第十一针阴部缝隙灸三壮,女性则在玉门头,名叫鬼藏。第十二针尺泽横纹外侧接白肉际处,名叫鬼臣,用火针七次,每下三针(即曲池穴)。第十三针舌头一寸处,位于舌中下缝,刺穿并伸出舌面,名叫鬼封,并用一块板横放于口角固定针头,使舌头不能动弹。以上若是手足相对的两个穴位,就同时针刺两穴;若是孤立的穴位,就单独针刺。邪鬼妄语,灸悬命穴十四壮(该穴在嘴唇里中央弦线处,一名鬼禄,最好用刚劲力切断弦线以增强疗效)。邪病昏沉不知人,由风府穴主治(一名鬼穴)。邪病大声呼叫、谩骂、奔走,灸十个手指端距指甲一分处(一名鬼城)。邪病大声呼叫、谩骂、奔走且远离,由三里穴主治(一名鬼邪)。邪病如鬼癫般四肢沉重,由囟上穴主治(一名鬼门)。邪病四肢重痛及各种杂症候,由尺泽穴主治(尺中动脉处一名鬼受)。邪病胡言乱语不止及诸杂症候……
仓公法:狂痫不识人,癫病眩晕混乱,灸百会穴九壮。狂走抽搐,灸玉枕穴上三寸,另一法是在项后一寸灸百壮。狂邪鬼语,灸天窗穴九壮。狂走癫疾,灸头顶后二寸十二壮。或者灸大幽穴百壮,狂言恍惚,灸天枢穴百壮。狂走癫痫,灸季肋端三十壮,或者灸河口穴五十壮(穴在腕后陷中的动脉处)。狂痫哭泣,灸手逆注穴三十壮(穴在左右手腕后六寸)。狂癫风痫吐舌,灸胃脘穴百壮。狂邪发作无常,披头散发大声呼叫欲杀人,不顾水火及狂言妄语,灸间使穴三十壮(穴在腕后五寸,臂上两骨间,也治疗惊恐、歌哭)。狂走喜怒悲泣,灸臣觉穴(一作巨搅,穴在背上胛内侧反手所不及的骨芒穴上,按压疼痛的是此穴)。随年龄决定壮数。狂邪鬼语,灸伏兔穴百壮。悲哭鬼语,灸天府穴五十壮。悲泣邪语鬼忙歌哭,灸慈门穴五十壮。狂邪惊痫,灸承命穴三十壮(穴在内踝后上行三寸动脉上)。狂癫风惊厥逆心烦,灸巨阳穴五十壮。狂癫鬼语,灸足太阳穴四十壮。狂走惊恍惚,灸足阳明穴三十壮。狂癫痫易疾,灸足少阳穴,随年龄决定壮数。狂走癫厥如死人,灸足大趾三毛中九壮(一说灸大敦穴)。狂走易骂,灸八会穴(穴在阳明下五分),随年龄决定壮数。狂癫惊走恍惚嗔喜,笑骂歌哭鬼语,全部灸脑户、风池、手阳明、太阳、太阴,足阳明、阳跷、少阳、太阴、阴跷、足跟,皆随年龄决定壮数。惊怖心慌少力,灸大横穴五十壮。狂疯骂詈殴打人,名为热阳风,灸两嘴角燕口处赤白交界各一壮,又灸阴囊缝三十壮,让人正卧,将睾丸放在上面灸,不要靠近前方中间伤及睾丸,恐怕损伤阳气。狂走刺人或欲死,骂詈不息,称神鬼语,灸口吻头赤白交界处一壮,又灸两肘屈中五壮,又灸背胛中间三壮,重复灸之(仓公法神效)。鬼魅灸入发际一寸百壮,又灸间使穴和手心各五十壮。狐魅,合拢大拇指捆绑,灸合谷间三七壮,听到狐狸叫声就好了。猝然狂言鬼语,用甑带紧急合拢,绑紧两手大拇指便灸左右胁下对屈肋头两处,火齐起各七壮,一会儿鬼自报姓名。乞求离去,慢慢问它才解开手。猝然中邪魅恍惚振颤咬牙,灸鼻下人中及两手足大指爪甲根部,令艾丸一半在爪上,一半在肉上,各七壮,不止则十四壮,艾炷如雀屎大。风邪灸间使穴随年龄决定壮数,又灸承浆七壮,又灸心俞七壮,又灸三里七壮。猝然狂鬼魇,针其足大趾爪甲下入少许即止。
Translation:
It is said that various diseases caused by evil pathogens have diverse origins. Those presenting with various abnormal forms and showing the beginnings of manic-epileptic disorders can be diagnosed by observing their symptoms. Some patients remain silent without speaking, while others talk excessively and ramble; some sing, cry, moan, or laugh; some sleep in ditches and eat feces and filth; some expose their naked bodies, while others wander day and night without rest; some curse endlessly, and some seem driven by gu poison or guided by spirits, with restless hands and feet and anxious, fearful eyes. For such types of manic and epileptic patients, acupuncture and herbal medicine are now used together for treatment.
Regarding the prediction of wind-pathogen diseases, Bian Que stated: For diseases caused by a hundred types of evil pathogens, there are thirteen acupuncture points. When needling, one should start from the Guigong (Ghost Palace) point, then needle the Guixin (Ghost Trust) point, proceed to the Guilou (Ghost Fortress) point, and then to the Guixin (Ghost Heart) point. After needling five or six points, the condition can be ascertained. If the disease is caused by the essence of evil gu, the patient will speak about its origin themselves. In treatment, for men, needling starts from the left side; for women, it starts from the right side. If the patient does not respond after multiple inquiries, all points should be needled. Additionally, one must treat according to the palm formula by twisting the eyes, ensuring absolute accuracy. The Yellow Emperor's Palm Formula is a secret technique of practitioners. The first point is Renzhong (Human Middle), named Guigong (Ghost Palace); insert from the left and exit on the right. The second point is under the nail of the thumb, named Guixin (Ghost Trust); insert three fen into the flesh. The third point is under the nail of the big toe, named Guilou (Ghost Fortress); insert two fen into the flesh. The fourth point is at the wrist crease, named Guixin (Ghost Heart); insert half cun into the flesh (i.e., Taiyuan LU9). The fifth point is at the white flesh boundary below the lateral malleolus on the Foot-Taiyang channel, named Guilu (Ghost Road); use fire needles seven times, inserting three times each (i.e., Shenmai BL62). The sixth point is one cun above the hairline up from Dazhui GV14, named Guizhen (Ghost Pillow); use fire needles seven times, inserting three times each. The seventh point is in the depression at the hairline anterior to the ear, five fen below the earlobe, named Guichuang (Ghost Bed); use fire needles seven times, inserting three times each. The eighth point is Chengjiang CV24, named Guishi (Ghost Market); insert from left and exit on right. The ninth point is three cun above the wrist crease between the two tendons, named Guilu (Ghost Road) [Note: Text repeats name, likely error in source or distinct point]; this is Laogong PC8. The tenth point is one cun above the hairline straight up from the nose, named Guitang (Ghost Hall); use fire needles seven times, inserting three times each (i.e., Shangxing GV23). The eleventh point is in the genital cleft, moxa three zhu; for women, it is Yumen Tou; named Guicang (Ghost Storehouse). The twelfth point is at the outer edge of the Chize crease connecting to the white flesh boundary, named Guichen (Ghost Minister); use fire needles seven times, inserting three times each (i.e., Quchi LI11). The thirteenth point is one cun on the tongue, at the lower seam of the middle of the tongue, pierce through to the top of the tongue, named Guifeng (Ghost Seal); place a board horizontally across the mouth corners to fix the needle head so the tongue cannot move. If the previous points are paired opposites on hands and feet, needle both; if isolated, needle singly. For delirious speech caused by evil ghosts, moxibustion on Xuanming (fourteen zhu) is used (the point is in the center of the lips where the muscle fibers converge, also named Guilu; cutting the fiber with force is better). For stupor and unconsciousness due to evil disease, Fengfu GV16 is the main point (also named Guixue). For shouting, cursing, and running away due to evil disease, moxibustion on the ten finger ends, one fen from the nails, is used (also named Guicheng). For shouting, cursing, and running far away due to evil disease, Zusanli ST36 is the main point (also named Guixie). For heaviness of the four limbs like ghost mania, Xingshang is the main point (also named Guimen). For heaviness, pain in the four limbs, and various miscellaneous symptoms, Chize LU5 is the main point (the radial artery at Cun Guan is also named Guishou). For incessant babbling and various miscellaneous symptoms...
Cang Gong's Method: For mania and epilepsy with loss of recognition, and vertigo/confusion due to dian disease, moxa Baihui GV20 nine zhu. For violent running and convulsions, moxa Yuzhen GB15 three cun above, or another method is moxa one cun behind the neck one hundred zhu. For manic evil ghost speech, moxa Tianchuang SI16 nine zhu. For manic running and epilepsy, moxa two cun behind the vertex twelve zhu. Or moxa Dayou one hundred zhu; for rambling and trance, moxa Tianshu ST25 one hundred zhu. For manic running and epilepsy, moxa the end of the costal margin thirty zhu, or moxa Hekou fifty zhu (point in the depression behind the wrist at the arterial pulse). For manic epilepsy weeping, moxa Shou Nizhu thirty zhu (six cun behind the wrist on both sides). For manic epilepsy with tongue protrusion, moxa Weiwuan one hundred zhu. For sudden manic attacks, unkempt hair, loud screaming wanting to kill, disregarding fire and water, and delirious speech, moxa Jianshi PC5 thirty zhu (five cun behind the wrist, between the two bones of the arm; also treats fright, crying, and singing). For manic running, joy, anger, sadness, and weeping, moxa Chenjue (also written Ju Jiao, located on the inner back of the scapula where the hand cannot reach, on the bone spine; press to find tenderness). Moxa according to age. For manic evil ghost speech, moxa Futu ST32 one hundred zhu. For weeping and ghost speech, moxa Tianfu LU3 fifty zhu. For weeping, evil speech, and frantic singing/crying, moxa Cimen fifty zhu. For manic fright and epilepsy, moxa Chengming thirty zhu (three cun above the posterior medial malleolus on the arterial pulse). For manic epilepsy, wind, fright, reversal, and vexation, moxa Juyang fifty zhu. For manic ghost speech, moxa Foot-Taiyang forty zhu. For manic running and fright/trance, moxa Foot-Yangming thirty zhu. For frequent manic epilepsy, moxa Foot-Shaoyang, according to age. For manic fainting resembling death, moxa the hair tuft on the big toe nine zhu (some say Dadun LR1). For manic cursing, moxa Bahui (five fen below Yangming), according to age. For manic epilepsy, fright, running, trance, anger/joy, laughing, cursing, singing, crying, and ghost speech, moxa Naohu GV17, Fengchi GB20, Hand-Yangming, Taiyang, Taiyin, Foot-Yangming, Yangqiao, Shaoyang, Taiyin, Yinqiao, and heel, all according to age. For fright, palpitations, and weakness, moxa Daheng SP15 fifty zhu. For manic cursing and beating people, named Re Yang Feng, moxa one zhu at the red-white junction at the corners of the mouth (Yankou), and thirty zhu in the scrotal suture. Have the patient lie supine and moxa over the testicles, but do not touch the front middle to avoid damaging yang qi. For stabbing or near-death due to manic running, incessant cursing, and claiming to be gods/spirits, moxa one zhu at the red-white junction of the mouth corner, five zhu in the flexion of both elbows, and three zhu in the middle of the shoulder blades. Repeat moxa (Cang Gong's method is miraculous). For ghost possession, moxa one cun into the hairline one hundred zhu, and moxa Jianshi PC5 and palm fifty zhu each. For fox spirit possession, bind the thumbs together, moxa Hegu LI4 interstice twenty-one zhu; cure when fox sounds cease. For sudden manic rambling and ghost speech, tightly bind with a steamer belt, secure both thumbs, and moxa two points opposite at the flexed rib heads under the armpits, seven zhu each; soon the ghost will state its name. Ask it to leave slowly, then release the hands. For sudden possession causing trance, tremors, and teeth chattering, moxa Renzhong GV26 and the roots of the nails on both big toes. Place half the moxa cone on the nail and half on the flesh, seven zhu each; if ineffective, fourteen zhu. Cone size like a sparrow droppings. For wind evil, moxa Jianshi PC5 according to age, plus Chengjiang CV24 seven zhu, Xinshu BL15 seven zhu, and Zusanli ST36 seven zhu. For sudden manic ghost oppression, needle slightly under the nail of the big toe and stop.
(23 Formulas)