治脾风占候。声不出。或上下手。当灸手十指头。次灸人中。次大椎。次两耳门前脉。
去耳门上下行一寸是。次两大指节上下。各七壮。
治脾风。 穴脾俞。脊两边灸各五十壮。凡人脾俞无定所。随四季月应病。即灸藏俞。
是脾穴。此法甚妙。
治脾风者。总忽为八风猥腿风。半身不遂。失音不语者。 穴百会灸五百壮。次本神。
次承
浆。次风府。次肩 。次心俞。次手五里。次手髓孔。次手少阳。次足五里。次足髓孔。次
足阳明。各灸五百壮。
治中风。失喑不能言语。缓纵不随。及风痱不能语。手足不随。卒病欲死。不能语。肺
中风
不能言。 穴天窗。先灸五十壮(息火)。百会仍移灸五十壮毕。天窗还灸五十壮。若发先灸
百会。则风气不得泄。内攻五脏喜闭状。仍失音也。所以先灸天窗。次百会佳。一灸五十壮
悉泄火势。复灸之。视病轻重。重者。一处三百壮大效。凡中风服药益剧者。但是风穴。
悉皆灸三壮。无不愈。神良。决定勿疑。不至心者勿浪为灸。
巢氏云。脾脉络胃夹咽。连舌本。散舌下。心之别。脉系舌本。心脾受风邪。故舌强不
语。三阳之经并络入额颊。夹于口。诸阳为风寒所客。则筋急。故口噤不得开。
治卒中风口噤不得开。 机关(千金翼名颊车)二穴。各灸五壮即得语。又灸随年壮。僻
者逐僻左右灸。
治卒中风口 。 苇筒长五寸。以一头刺耳孔中。四畔以面蜜塞。勿令泄气。一头内大
豆一颗。并烧艾令燃灸七壮。瘥。右灸左。左灸右。千金不传。耳病亦灸之。
治中风口 。手交脉灸三壮。左灸右。右灸左。炷如鼠屎形。横安两头下火。
治口 。穴刺承泣。
治风中脉。口眼 斜(若久不治。亦传入脏。慎不可忽)。 穴听会 颊车 地仓
经验方云。自崇宁壬午年五月间。忽口眼 斜。灸听会等三穴即正。后右手足麻无力。
灸百
会发际等七穴得愈。癸未年八月间。气塞涎上不能语。取金虎丹加腻粉服至四十丸半。气不
通。涎不下。药从鼻中出。魂魄飞扬。如坠江湖中。顷刻欲绝。灸百会风池等。左右共十二
穴。气遂通。吐涎几一碗许。继又下十余行。伏枕半月余。遂平复。方觉意思惺快。每遇心
中愦乱。即灸百会风池等穴。无不立效。回知灸有神圣之功。非药所能及也。甲申十月既望
正思识。
治风中 。 穴列缺。二穴别走阳明者。灸三壮。患左灸右。患右灸左。
治风失音不语。 穴合谷。各灸三壮。
治不能言。 穴通里
治中风口 僻。口吻口横纹间灸。觉大热便去艾即愈。勿尽艾。则太过。若口左僻灸右
吻。右僻灸左吻。又手中指节上灸一炷。
治口 斜。耳垂下麦粒大。艾灸三壮。左灸右。右灸左。
治风寒之气客于脏间。滞而不能发。故喑不能言。及喉痹失音。皆风邪所为也。入脏皆
能杀人。 穴百会。灸百壮。针入三分。补之。
治中风卒失声。声噎不出。 穴大椎旁一寸五分。又刺耳下。停针之。
治风痱不能语。手足不遂。度病者。手小指内岐间。至指端为度。以置脐上直望心下。
以丹
注度上端毕。又作两度。续所注上合其下。开其上。取其本。度横置其开上。令三合其壮。
如到作某字形。男度左。女度右。手嫌不分了。故上丹注三处。同时起火灸之。各一百壮愈
治中风口噤。牙关不开。 刺水沟针入四分。次针颊车。令人侧卧。张口取之。针入四
分。得气即泻。
治中风不能语。 第二椎或第五椎上。灸五十壮。
治风入脏。使人喑哑。卒口眼相引。牙车急。舌不转。 僻者。口吻边横纹赤白际。逐
左右灸。随年壮报之。至三日不瘥。更报之。
治中风。气塞涎上。不语昏危者。穴百会 风池 大椎 肩井 曲池 间使 三里等七
穴。
左治右。右治左。以取尽风气。神清为度。其病并根据穴针灸或有不愈者。一则不中穴。二则
虽中穴。刺之不及其分。三则虽及其分。气不至出针。四则虽气至。不明补泻。故其病或有
随针而卒者。一则不知刺禁。假令刺中心即死之类是也。二则不明脉候。假令下痢。其脉忽
大者。死不可刺之。凡针灸者。先须详审脉候。观察病证。然后知其刺禁。辨其经络穴道远
近。气候息数。深浅分寸。然后知其病刺之。获时而愈矣。不可一途而取。不可一理而推之
治中风失音。刺任脉天突一穴。在结喉下一寸宛宛中。阴维之会。针入五分。次针手少
阴经
神门二穴。在掌后兑骨之端陷中。针入三分。次针手少阳经支沟二穴。
在腕后三寸两骨之间陷中。针入三分。次针足少
阳经涌泉二穴。在足心屈足卷指宛宛中。针入五分。如舌急不语。刺哑门一穴。在后顶中央
入发际五分宛宛中。仰头取之。针入二分。如舌缓不语。刺风府一穴在顶发际上一寸大筋内
宛宛中。针入三分。
治疗脾风引起的占候症状。声音发不出。或者上下挥手。应当灸双手十个手指头。接着灸人中穴。接着灸大椎穴。接着灸两耳门前的经脉。距离耳门上下各一寸处是穴位。接着灸两个大拇指关节的上下方。每处各灸七壮。
治疗脾风。取穴脾俞穴。在脊柱两侧各灸五十壮。凡是人的脾俞穴位置不固定,随四季月份对应病症而定,就灸对应的脏俞穴。这就是脾穴。这种方法非常奇妙。
治疗脾风病。总括起来有八种风邪导致的腿脚痿软无力、半身不遂、失音不语等症状。取穴百会穴灸五百壮。接着灸本神穴。接着灸承浆穴。接着灸风府穴。接着灸肩髃穴。接着灸心俞穴。接着灸手五里穴。接着灸手髓孔穴(即手三里)。接着灸手少阳经相关穴位。接着灸足五里穴。接着灸足髓孔穴(即足三里)。接着灸足阳明经相关穴位。每穴各灸五百壮。
治疗中风。失音不能言语。肢体松弛不能随意运动。以及风痱病不能说话,手足不能随意运动。突然患病像要死一样,不能说话。肺中风不能说话。取穴天窗穴。先灸五十壮(熄灭艾火)。百会穴再移灸五十壮完毕。天窗穴再灸五十壮。如果先发灸百会穴,那么风气就不能泄出,向内攻伐五脏喜欢闭阻的状态,仍然会失音。所以先灸天窗穴,再灸百会穴较好。一灸五十壮可以完全泄去火势,然后再灸。根据病情轻重决定。病情重的,一处灸三百壮效果显著。凡是中风服药后病情加重的,只要是风穴,都灸三壮,没有不痊愈的。神效良验,决定不要怀疑。病邪未至心脏的不要胡乱施灸。
巢元方说。脾的脉络胃夹咽部,连接舌根,散布在舌下。心的别脉系于舌根。心和脾受到风邪侵袭,所以舌体僵硬不能说话。三阳经都络入额颊,夹于口旁。诸阳经被风寒邪气客居,导致筋脉拘急。所以牙关紧闭不能张开。
治疗卒中风口噤不能张开。取机关穴(《千金翼方》称为颊车穴)二穴。各灸五壮就能说话。又灸随年壮(患者年龄数)。面部歪斜的,向歪斜方向的左右侧施灸。
治疗卒中风口眼歪斜。用苇筒长五寸,将一头插入耳孔中,四周用面和蜜堵塞,不要让漏气。另一头放入大豆一颗,并燃烧艾绒令其燃烧灸七壮。病愈。右侧灸左侧,左侧灸右侧。这是千金方不传的秘法。耳病也灸此法。
治疗中风口眼歪斜。在手交脉处灸三壮。左病灸右,右病灸左。艾炷形状像老鼠屎,横向安放,两头点火。
治疗口眼歪斜。取穴刺承泣穴。
治疗风中经脉,口眼歪斜(如果久治不愈,也会传入内脏,千万不可轻视)。取穴听会、颊车、地仓。
经验方记载:自崇宁壬午年五月间,忽然口眼歪斜,灸听会等三穴即恢复正常。后来右手足麻木无力,灸百会、发际等七穴得以痊愈。癸未年八月间,气塞痰上涌不能说话。服用金虎丹加腻粉共四十丸半。气不通,痰不下,药从鼻中流出,魂魄飞扬,如同坠入江湖中,顷刻间快要断气。灸百会、风池等穴,左右共十二穴,气随即通畅,吐出涎液约一碗许。随后又腹泻十多次。卧床半月多,于是平复。这才觉得精神清爽愉快。每当遇到心中烦乱,就灸百会、风池等穴,无不立即见效。回想起来,针灸有神圣的功效,不是药物所能比及的。甲申十月十六日正思识。
治疗风中经脉。取穴列缺。二穴别走阳明经者,灸三壮。患左灸右,患右灸左。
治疗风邪导致的失音不语。取穴合谷。各灸三壮。
治疗不能说话。取穴通里。
治疗中风口眼歪斜。在口吻和口横纹之间施灸。感觉大热就去掉艾绒即愈。不要烧完艾绒,否则太过。如果口向左歪斜灸右口吻,向右歪斜灸左口吻。又在手中指节上灸一炷。
治疗口眼歪斜。在耳垂下方麦粒大小的地方,艾灸三壮。左病灸右,右病灸左。
治疗风寒之气客居于脏腑之间,停滞而不能发散,所以喑哑不能说话。以及喉痹失音,都是风邪所为。邪气入脏都能杀人。取穴百会。灸一百壮。针刺入三分,用补法。
治疗中风突然失声。声音哽咽发不出。取穴大椎旁一寸五分。又刺耳下。停留针在那里。
治疗风痱不能说话,手足不遂。测量病人的手小指内侧歧骨间到指尖的长度作为尺度,放在脐上直望心下。用朱砂标记尺度上端完毕。再做两个这样的尺度,接续刚才标记的上端合其下端,打开其上端,取其本源。将尺度横向放置在开口上方,令三个尺度合其壮实部分。如果到达某处做成“某”字形。男性测量左边,女性测量右边。因为手嫌分辨不清,所以在朱砂标记的三处同时起火灸之。各灸一百壮痊愈。
治疗中风口噤。牙关不开。针刺水沟穴,针入四分。接着针刺颊车穴。让人侧卧,张口取穴。针入四分。得气后即泻。
治疗中风不能说话。在第二椎或第五椎上,灸五十壮。
治疗风入脏,使人喑哑。突然口眼牵引,牙车紧急,舌头不转动。面部歪斜的,在口吻边横纹赤白交界处,逐左右施灸。按随年壮报复灸之。到三天不好,再报复灸。
治疗中风,气塞痰上涌,不语昏危者。取穴百会、风池、大椎、肩井、曲池、间使、三里等七穴。
左病治右,右病治左。以取尽风气,神志清醒为度。其病都依据穴位针灸,如果有不愈的,一则是不中穴位,二则是虽然中穴位,针刺不及其分寸,三则是虽然及其分寸,气不至而出针,四则是虽然气至,不明补泻法,所以病有的随着针刺突然死亡。一则不知刺禁,假令刺中心即死之类是也。二则不明脉候,假如下痢,其脉忽然大者,死不可刺之。凡针灸者,先须详细审察脉候,观察病证,然后知道其刺禁,辨别其经络穴道远近,气候息数,深浅分寸,然后知道其病刺之,获得时机而痊愈了。不可单一途径求取,不可单一道理推断它。
治疗中风失音。刺任脉天突一穴。在结喉下一寸凹陷中。阴维之会。针入五分。接着针手少阴经神门二穴。在掌后兑骨之端陷中。针入三分。接着针手少阳经支沟二穴。在腕后三寸两骨之间陷中。针入三分。接着针足少阳经涌泉二穴。在足心屈足卷指凹陷中。针入五分。如果舌急不语,刺哑门一穴。在后顶中央入发际五分凹陷中。仰头取之。针入二分。如果舌缓不语,刺风府一穴。在顶发际上一寸大筋内凹陷中。针入三分。
Treatment for the prognostic signs of Spleen Wind (Spleen Wind). Inability to speak. Or waving hands up and down. Moxibustion should be applied to the tips of the ten fingers on both hands. Then moxibustion is applied to Ren-26 Shuigou (人中). Then to Du-14 Dazhui (大椎). Then to the meridians in front of both ears. The location is one cun above and below the ear gate (Ear Gate, 耳门). Then to the upper and lower aspects of the joints of the two thumbs. Each site receives seven moxa cones.
Treatment for Spleen Wind. Acupoint: BL-20 Pishu (脾俞). Moxibustion is applied fifty cones on each side of the spine. For everyone, the location of Pishu is not fixed; it corresponds to the disease according to the months of the four seasons, so one should moxa the corresponding Zang acupoints. This is the Spleen point. This method is very excellent.
Treatment for Spleen Wind diseases. Generally referring to eight types of winds causing flaccidity of the legs, hemiplegia, aphonia, and mutism. Acupoint: DU-20 Baihui (百会). Moxibustion of five hundred cones. Then Ben Shen (GB-13 本神). Then Cheng Jiang (CV-24 承浆). Then Feng Fu (DU-16 风府). Then Jian Yu (LI-15 肩髃). Then Xin Shu (BL-15 心俞). Then Shou Wu Li (PC-4 手五里). Then Shou Sui Kong (LI-10 手三里, also known as Hand Marrow Hole). Then the Hand Shaoyang meridian points. Then Zu Wu Li (ST-37 足五里). Then Zu Sui Kong (ST-36 足三里, also known as Foot Marrow Hole). Then the Foot Yangming meridian points. Each point receives five hundred cones.
Treatment for Stroke. Aphonia and inability to speak. Flaccidity and inability to move voluntarily. Also Feng Fei (Wind Paralysis) with inability to speak and involuntary movement of hands and feet. Sudden illness resembling death, inability to speak. Lung Wind Stroke with inability to speak. Acupoint: SI-16 Tianchuang (天窗). First, moxa fifty cones (extinguish the fire). Then move to Baihui and moxa fifty cones until finished. Then Tianchuang again moxa fifty cones. If Baihui is moxa first, the wind pathogen cannot dissipate and attacks the internal Zang organs, leading to a state of closure, resulting in persistent aphonia. Therefore, it is better to moxa Tianchuang first, then Baihui. One session of fifty cones completely dissipates the heat/fire. Then moxa again. Determine based on the severity of the disease. For severe cases, moxa three hundred cones at one site for significant effect. For those whose stroke worsens after taking medicine, apply three cones to any Wind acupoint. All will recover without exception. Divine efficacy, excellent result. Do not doubt. Do not blindly moxa if the pathogen has not reached the heart.
Chao Yuanfang stated: The Spleen meridian connects to the stomach, runs alongside the pharynx, attaches to the root of the tongue, and spreads under the tongue. The Heart's divergent meridian ties to the root of the tongue. When the Heart and Spleen are invaded by Wind pathogens, the tongue becomes stiff, causing aphonia. The Three Yang meridians all connect to the forehead and cheeks, surrounding the mouth. When the Yang meridians are occupied by Wind-Cold pathogens, the tendons become tense. Thus, trismus (lockjaw) occurs, and the mouth cannot open.
Treatment for sudden stroke with trismus and inability to open the mouth. Acupoints: Ji Guan (also called Che Jia/LI-6 in *Qianjin Yi Fang*). Moxa five cones at each point, and speech can be restored. Also, moxa "Sui Nian Zhuang" (moxa cones equal to the patient's age). For facial deviation, moxa on the left and right sides towards the deviated direction.
Treatment for sudden stroke with facial deviation. Use a reed tube five cun long. Insert one end into the ear canal. Seal the four sides with flour paste and honey to prevent air leakage. Place one large soybean at the other end. Burn moxa on the bean and apply seven cones. The disease heals. Moxa the right side for the left lesion, and the left side for the right lesion. This secret method from *Qianjin* is not widely transmitted. It is also used for ear diseases.
Treatment for stroke with facial deviation. Moxa the intersecting pulse on the hand for three cones. Moxa the opposite side: left for right, right for left. The moxa cone should be shaped like a rat droppings, placed horizontally, with fire applied at both ends.
Treatment for facial deviation. Acupoint: Ci Cheng Qi (ST-1 承泣).
Treatment for Wind invading the meridians, causing facial deviation (if untreated for a long time, it may transmit to the Zang organs; do not neglect this). Acupoints: Ting Hui (GB-2 听会), Jia Che (LI-6 颊车), Di Cang (ST-4 地仓).
Recorded empirical formula: In May of the Renwu year of Chongning era, suddenly developed facial deviation. After moxa Ting Hui and three other points, it corrected. Later, numbness and weakness in the right hand and foot. After moxa Baihui and seven points including the hairline, it recovered. In August of the Guiwei year, qi stagnation and phlegm rising caused inability to speak. Took Jin Hu Dan (Golden Tiger Pill) mixed with Ni Fen (Calomel) totaling forty and a half pills. Qi did not flow, phlegm did not descend, medicine exited through the nose. Soul seemed to fly, feeling like falling into a lake, nearly dying in an instant. Moxa Baihui, Feng Chi (GB-20), etc., twelve points on both sides. Qi then flowed freely, vomited/spat out about one bowl of phlegm. Followed by more than ten bowel movements. Lying in bed for over half a month, then recovered. Only then felt mentally clear and refreshed. Whenever feeling mentally confused, moxa Baihui, Feng Chi, etc., always effective immediately. Reflecting on this, I realized moxa has divine and sacred powers, beyond what medicine can achieve. Zheng Si recorded on the 16th day of the 10th month in the Jiashen year.
Treatment for Wind invading meridians. Acupoint: Lie Que (LU-7). Two points that diverge to the Yangming meridian. Moxa three cones. Moxa the opposite side: left for right, right for left.
Treatment for Wind-induced aphonia and mutism. Acupoint: He Gu (LI-4). Moxa three cones at each.
Treatment for inability to speak. Acupoint: Tong Li (HT-5).
Treatment for stroke with facial deviation. Moxa between the corner of the mouth and the horizontal wrinkle. Remove the moxa when feeling intense heat, and it will heal. Do not burn the entire cone, or it will be excessive. If the mouth deviates to the left, moxa the right corner of the mouth; if to the right, moxa the left corner. Also, moxa one cone on the joint of the middle finger.
Treatment for facial deviation. At the size of a wheat grain below the earlobe. Moxa three cones. Moxa the opposite side: left for right, right for left.
Treatment for Cold-Wind pathogens lodging between the Zang organs, stagnating and unable to disperse, causing aphonia and inability to speak. Also for throat obstruction (Hou Bi) with aphonia, all caused by Wind pathogens. Pathogens entering the Zang can be fatal. Acupoint: Baihui (DU-20). Moxa one hundred cones. Needle insert three fen, use tonification method.
Treatment for sudden loss of voice in stroke. Voice choked and unable to emerge. Acupoint: One cun five fen lateral to Da Zhui (DU-14). Also needle below the ear. Retain the needle.
Treatment for Feng Fei with inability to speak and paralysis of limbs. Measure the distance from the inner web space of the little finger to the fingertip. Place this measurement vertically on the umbilicus looking towards the heart. Mark the upper end with cinnabar. Make two such measurements. Connect the upper end of the previous mark to the lower end of the new one. Open the upper end and take the original base. Place the measurement horizontally on the opened upper part, aligning three marks together. If it forms a certain shape. Measure on the left for males, on the right for females. Because the hand distinctions are unclear, mark three places with cinnabar. Simultaneously ignite moxa at these three places. Moxa one hundred cones at each to cure.
Treatment for stroke with trismus and inability to open the jaw. Needle Shui Gou (GV-26) insert four fen. Then needle Jia Che (LI-6). Have the person lie on their side, open the mouth to locate the point. Needle insert four fen. Upon obtaining De Qi, use seduction method.
Treatment for stroke with inability to speak. On the second or fifth thoracic vertebra. Moxa fifty cones.
Treatment for Wind entering the Zang, causing aphonia. Sudden pulling of the mouth and eyes, tightness of the jaw, immobility of the tongue. For facial deviation, moxa along the horizontal wrinkle at the junction of red and white skin at the corner of the mouth. Apply "Sui Nian Zhuang" (age-based moxa cones) to both sides. If not healed after three days, repeat the treatment.
Treatment for stroke with qi stagnation, phlegm rising, mutism, and critical condition. Acupoints: Baihui (DU-20), Feng Chi (GB-20), Da Zhui (DU-14), Jian Jing (GB-21), Qu Chi (LI-11), Jian Shi (PC-5), San Li (ST-36), seven points in total.
Moxa/needle the opposite side: left for right, right for left. Continue until wind pathogens are exhausted and mental clarity is restored. If the disease does not heal despite accurate acupuncture/moxibustion, it may be due to: 1. Missing the acupoint. 2. Hitting the acupoint but incorrect depth. 3. Reaching the correct depth but failing to wait for De Qi before withdrawing. 4. Obtaining De Qi but misunderstanding tonification and seduction methods. Thus, some patients may die suddenly after needling. Reasons include: 1. Ignoring contraindications, e.g., needling the heart leads to death. 2. Not understanding pulse conditions, e.g., in dysentery, if the pulse suddenly becomes large, it indicates death and should not be needled. For all acupuncture and moxibustion, one must first carefully examine the pulse and observe symptoms to know contraindications, distinguish meridians and acupoints, determine distances, climate and breath counts, and precise depths. Then treat the disease appropriately and achieve timely recovery. Do not rely on a single approach or theory.
Treatment for stroke with aphonia. Needle Ren Mai (Conception Vessel) Tian Tu (CV-22) one point. Located one cun below the Adam's apple in the depression. Intersection of Yin Wei Mai. Needle insert five fen. Then needle Shen Men (HT-7) two points of the Hand Shaoyin Meridian. In the depression at the end of the radial styloid process. Needle insert three fen. Then needle Zhi Gou (SJ-6) two points of the Hand Shaoyang Meridian. In the depression between the two bones three cun posterior to the wrist. Needle insert three fen. Then needle Yong Quan (KI-1) two points of the Foot Shaoyang Meridian (Note: Text says Shaoyang, but Yong Quan is Kidney/Jueyin; translation follows text structure but notes standard classification if necessary, here strictly translating text): In the depression of the sole when the foot is flexed and toes curled. Needle insert five fen. If the tongue is tense and mute, needle Ya Men (DU-15) one point. In the depression five fen inside the hairline at the center of the posterior neck. Locate with head extended. Needle insert two fen. If the tongue is flaccid and mute, needle Feng Fu (DU-16) one point. In the depression within the large tendon one cun above the posterior hairline. Needle insert three fen.