中风无汗恶寒 宜针至阴出血 (穴在足小趾外侧爪甲角,针二分)昆仑举跷(穴在足外踝后跟骨,针透太 )。
中风有汗恶风 宜针风府(穴在项后入发一寸,针入三分,禁炙)。
已上二症,皆太阳经中风也。
中风有汗身热不恶寒 中风有汗身热不恶风 宜针陷谷(穴在足大趾次趾本节后陷中,针入五分),去阳明之
贼,兼刺厉兑(穴在足泻阳明之实。)
已上二症皆阳明经中风也。
中风无汗身凉 宜针隐白(穴在足大趾内爪甲角),去太阴之贼。
此太阴经中风也。
中风有汗无热 宜针太 (穴在足内踝后跟骨上陷中,刺透昆仑)。
此少阴经中风也。
中风六经混淆系之于少阳厥阴或肢节挛痛或麻木不仁 少阳之经绝骨(穴在外踝上三寸,灸五壮),灸以引其
热。
厥阴之井大敦 (穴在足大趾甲聚毛间),刺以通其经。(俱《明医指掌》)
分阴阳法 凡治中风,须分阴阳。阴中者,其色青,或黑或白,痰喘昏迷,眩冒多汗,甚者手足厥冷。阳中者,
面赤唇焦,牙关紧急,上视强直,掉眩烦渴。(《病机沙篆》)
急救法 用硫黄、麝香末填脐中,放葱饼于上,以熨斗盛火熨之,葱烂再易,得暖气入腹,渐醒为度。或以灰
炒暖,盛囊中熨心头,冷即易。数次后,若眼开,始进酒浆或米汤。如不醒,以艾灸门牙缝,候喊声出即可救矣。若不
先温其心即用火烘,冷与火搏必死。(《濒湖集简方》)
温脐法 用麝香、半夏、皂荚末一匙填脐中,将生姜切薄片贴之,放大艾火于姜片上蒸灸三七壮,灸关元、气
海二十壮,热通于中,逼寒出外,手足温暖则生。(《明医指掌》)
中寒无汗 芥菜子研末水调,填脐内,以热物隔衣熨之,取汗出妙。(《简便单方》)
中寒腹痛并绞肠痧 胡椒七粒,以布一层包裹,不拘自己或他人嚼碎,纳脐内,随以膏药粘贴,再以热手按之,
盖被而卧。少顷腹中作热,或有汗出,则寒气散而痛自愈矣。(《圣济总 》)
事后中寒腹痛 凡房事后,中寒腹痛,甚者以葱白头捣烂摊脐上,以艾灸之或熨之,得鼻尖有汗,其痛立止。
(《活人书》)
中风病表现为无汗且恶寒,适宜针刺至阴穴使其出血(该穴位位于足小趾外侧指甲角处,进针深度二分),并针刺昆仑穴以抬起脚背(该穴位位于足外踝后方跟骨处,针刺透向太溪穴)。
中风病表现为有汗且恶风,适宜针刺风府穴(该穴位位于项后发际上一寸处,进针三分,禁止艾灸)。
中风病表现为有汗、身热且不恶寒,或中风病表现为有汗、身热且不恶风,适宜针刺陷谷穴(该穴位位于足大趾与次趾本节后的凹陷中,进针五分),以祛除阳明经的邪气,同时兼刺厉兑穴(该穴位位于足部,用于泻除阳明经的实邪)。
中风病表现为无汗且身体发凉,适宜针刺隐白穴(该穴位位于足大趾内侧指甲角处),以祛除太阴经的邪气。
中风病表现为有汗但无发热,适宜针刺太溪穴(该穴位位于足内踝后方跟骨上方的凹陷中,针刺透向昆仑穴)。
中风病涉及六经混淆,归属于少阳经和厥阴经,症状或为肢节拘挛疼痛,或为麻木不仁。对于少阳经,可灸绝骨穴(该穴位位于外踝上三寸处,灸五壮),通过艾灸来引导热气。对于厥阴经的井穴大敦(该穴位位于足大趾指甲丛毛之间),通过针刺来疏通经络。(均出自《明医指掌》)
区分阴阳的方法:凡是治疗中风,必须区分阴阳。阴中者,面色青,或黑或白,伴有痰喘、昏迷、眩晕冒昧、多汗,严重的出现手足厥冷。阳中者,面红唇焦,牙关紧闭,眼球上翻、身体强直、震颤眩晕、烦躁口渴。(出自《病机沙篆》)
急救方法:用硫黄、麝香粉末填入脐中,上面放置葱饼,用熨斗盛火熨烫,葱烂了再更换新的,直到感到暖气进入腹部,患者逐渐苏醒为止。或者用灰炒热,装在袋中熨烫心口部位,冷了即更换。经过数次后,如果眼睛睁开,才开始给予酒浆或米汤饮用。如果不苏醒,用艾条灸门牙缝隙,等到喊声发出即可救治。如果不先温暖心脏部位而直接用火烘烤,寒气与热气相搏争,必然导致死亡。(出自《濒湖集简方》)
温脐法:用麝香、半夏、皂荚粉末一匙填入脐中,将生姜切成薄片贴在上面,在姜片上放艾火蒸灸二十一到二十七壮,再灸关元、气海穴各二十壮,热气通达于体内,逼迫寒气排出体外,手足温暖则能生还。(出自《明医指掌》)
中寒病表现为无汗:芥菜子研成粉末用水调匀,填入脐内,用热物隔着衣服熨烫,以取出汗为宜。(出自《简便单方》)
中寒引起的腹痛并伴有绞肠痧:取胡椒七粒,用一层布包裹,不拘泥于是自己还是他人嚼碎,纳入脐内,随即用膏药粘贴,再用热手按压,盖上被子躺下。过了一会儿腹中发热,或者有汗出,那么寒气散开疼痛自然痊愈。(出自《圣济总录》)
房事后中寒腹痛:凡是房事之后,感受寒邪引起腹痛,严重的用葱白头捣烂摊在脐上,用艾条灸它或用热物熨烫它,等到鼻尖出汗,疼痛立即停止。(出自《活人书》)
For wind-stroke manifesting as anhidrosis and aversion to cold, it is appropriate to puncture Zhiyin (BL67, *Bladder 67*) to induce bleeding (located at the lateral corner of the nail of the fifth toe, needle depth 2 fen), and puncture Kunlun (BL60, *Bladder 60*) to lift the foot (located posterior to the lateral malleolus, near the calcaneus, needle through to Taixi).
For wind-stroke manifesting as diaphoresis and aversion to wind, it is appropriate to puncture Fengfu (GV16, *Governing Vessel 16*) (located one cun above the posterior hairline at the nape, needle depth 3 fen, moxibustion is contraindicated).
The above two conditions both belong to wind-stroke of the Taiyang (Greater Yang) channel.
For wind-stroke manifesting as diaphoresis, fever, and no aversion to cold, or wind-stroke manifesting as diaphoresis, fever, and no aversion to wind, it is appropriate to puncture Xangu (ST43, *Stomach 43*) (located in the depression distal to the metatarsophalangeal joint of the second toe, needle depth 5 fen) to eliminate the pathogen of the Yangming (Yang Brightness) channel, and simultaneously prick Lidi (ST45, *Stomach 45*) (located on the foot, to drain excess from the Yangming channel).
The above two conditions both belong to wind-stroke of the Yangming channel.
For wind-stroke manifesting as anhidrosis and cool body temperature, it is appropriate to puncture Yinbai (SP1, *Spleen 1*) (located at the medial corner of the nail of the great toe) to eliminate the pathogen of the Taiyin (Greater Yin) channel.
This belongs to wind-stroke of the Taiyin channel.
For wind-stroke manifesting as diaphoresis without fever, it is appropriate to puncture Taixi (KI3, *Kidney 3*) (located in the depression between the medial malleolus and the Achilles tendon, needle through to Kunlun).
This belongs to wind-stroke of the Shaoyin (Lesser Yin) channel.
When wind-stroke involves confusion among the six channels, attributed to Shaoyang (Lesser Yang) and Jueyin (Terminal Yin), symptoms may include spasmodic pain in the limbs and joints or numbness and insensitivity. For the Shaoyang channel, Jiexu (GB39, *Gallbladder 39*) can be moxa-burned (located three cun above the lateral malleolus, five moxa cones) to guide heat outward. For the Jueyin channel's Jing-Well point Dazhun (LR1, *Liver 1*), located in the hairy area around the nail of the great toe, needling is used to unblock the channel. (Both from *Mingyi Zhizhang* / *Clear Medical Guidelines*).
Method for distinguishing Yin and Yang: In treating wind-stroke, one must distinguish between Yin and Yang. Yin-type stroke presents with a bluish, blackish, or pale complexion, phlegm-rattling, panting, coma, dizziness, profuse sweating, and in severe cases, cold extremities. Yang-type stroke presents with a red face, dry scorched lips, locked jaw, upward staring eyes, rigidity, tremors, vertigo, restlessness, and thirst. (From *Bingji Shazhuan* / *Sandbook of Pathogenesis*).
Emergency rescue method: Fill the umbilicus with powder of Realgar (*Realgar*) and Musk (*Moschus*), place a cake of scallion on top, and apply heat using a hot iron tool. Replace the scallion when it rots. Continue until warmth penetrates the abdomen and the patient gradually regains consciousness. Alternatively, stir-fry ashes until warm, place them in a bag, and apply to the heart region; replace when cool. After several applications, if the eyes open, administer wine or rice soup. If the patient does not regain consciousness, moxa-burn the gap between the incisors; rescue is possible once the patient cries out. Do not use direct fire heating before warming the heart region; otherwise, cold and heat will clash, leading to death. (From *Binhu Jijianfang* / *Linnaeus's Collected Simple Prescriptions*).
Umbilical warming method: Fill the umbilicus with one spoonful of powder composed of Musk (*Moschus*), Pinellia (*Pinelliae Rhizoma*), and Gleditsia Sinensis (*Gleditsiae Fructus*). Apply thin slices of fresh ginger on top. Perform moxa-burning on the ginger slice for 21–27 cones. Then moxa-burn Guanyuan (CV4, *Conception Vessel 4*) and Qihai (CV6, *Conception Vessel 6*) for twenty cones each. When warmth permeates the interior and expels cold, and the hands and feet become warm, survival is assured. (From *Mingyi Zhizhang* / *Clear Medical Guidelines*).
Cold invasion manifesting as anhidrosis: Grind mustard seeds into powder, mix with water, fill the umbilicus, and apply heat through clothing. The goal is to induce sweating. (From *Jianbian Danfang* / *Simple Single Prescriptions*).
Cold invasion causing abdominal pain and intestinal colic: Take seven grains of pepper, wrap them in a layer of cloth, chew thoroughly (by oneself or another person), place the mixture in the umbilicus, adhere a plaster over it, and press with warm hands. Cover with a blanket and lie down. Soon, warmth will arise in the abdomen, possibly accompanied by sweating, dispersing the cold and relieving pain. (From *Shengji Zonglu* / *General Records of Sacred Relief*).
Post-coital cold invasion causing abdominal pain: Following sexual intercourse, if cold invasion causes abdominal pain, especially severe cases, mash white parts of scallions and apply to the umbilicus. Moxa-burn or apply heat. When sweat appears on the tip of the nose, the pain stops immediately. (From *Huren Shu* / *Book of Saving Lives*).