黄帝治热之穴。五十九 。头上五行。行五。谓督脉所过者。上星、囟会、前顶、百会
、后
顶共五穴。为一行。两旁各一行。谓五处、承光、通天、络却、玉枕、各二。共十穴。又次
两旁各一行。谓临泣、目HT 、正营、承灵、脑空等各二。共十穴。凡二十五穴。以越诸阳之
热逆也。大柱、膺俞、缺盆、背 。此八者。以泻胸中之热也。大柱、属足太阳。膺 、即
中府。属手太阴。缺盆、在肩上。属手阳明。背 、即风门热府。属足太阳。气街、三里、
巨虚、上下廉。此八者。以泻胃中之热也。八穴并属足阳明。经云。云门、 骨、委中、髓
空。此八者。以泻四时之热也。云门、系手足太阳。 骨、即肩 。系手阳明跷脉之会。委
中。 中央,系足太阳。髓空即俞系督脉五脏 旁五。此十者。以泻五脏之热也。谓魄户、
神堂、魂门、意舍、志室等各二。系足太阳经也。上五十九穴者。皆热之左右也。故病热
则刺之。又有刺热之法。肝热、则刺足厥阴少阳。心热、则刺手少阴太阳。
脾热、则刺足太阴阳明。肺热、则刺手太阴阳明。肾热、则刺足少阴太阳。
凡热病未发。但见赤
色来。皆热诊也。在颜为心热。在颐为肾热。在鼻为脾热。在左颊为肝热。在右颊为肺热。
见赤色当急刺之。审其井荣经 之分。在阴则补阳泻阴。在阳则补阴泻阳。刺热之大法也。
热穴之外。别有遗法。备载于后。
黄帝治疗热病的穴位,共有五十九个。头部五行,每行五个穴位,指的是督脉经过的部位:上星、囟会、前顶、百会、后顶,共五个穴位,构成一行。两旁各有一行,指的是五处、承光、通天、络却、玉枕,左右各一,共十个穴位。再往两旁各有一行,指的是临泣、目窗(原文“目HT”应为目窗之误)、正营、承灵、脑空,左右各一,共十个穴位。以上共计二十五个穴位,用来发散诸阳经的热邪逆乱。大杼、膺俞、缺盆、背腧,这八个穴位,用来泻除胸中的热邪。大杼属于足太阳膀胱经;膺俞即中府穴,属于手太阴肺经;缺盆位于肩上,属于手阳明大肠经;背腧即风门穴(又称热府),属于足太阳膀胱经。气街、三里、巨虚上廉、巨虚下廉,这八个穴位,用来泻除胃中的热邪。这八个穴位均属于足阳明胃经。医经记载:云门、骨骱(原文“ 骨”疑为骨骱或肩髃等穴,此处依文意保留)、委中、髓空,这八个穴位,用来泻除四时的热邪。云门属于手足太阳经交会之处(注:原文表述有误,云门属手太阴,此处依原文翻译);骨骱即肩髃穴,是手阳明与跷脉的交会处;委中位于腘窝中央,属于足太阳膀胱经;髓空即五脏俞穴旁开五寸处的穴位(注:原文“俞系督脉五脏 旁五”语意晦涩,通常指背部膀胱经第一侧线上的脏腑背俞穴,此处依原文直译)。这十个穴位,用来泻除五脏的热邪。指的是魄户、神堂、魂门、意舍、志室,左右各一,共十个穴位,均属于足太阳膀胱经。上述头部的五十九个穴位,都是治疗热病的常用穴位,所以患热病时就针刺这些穴位。另外还有治疗热病的方法:肝热,则针刺足厥阴肝经和足少阳胆经的穴位;心热,则针刺手少阴心经和手太阳小肠经的穴位;脾热,则针刺足太阴脾经和足阳明胃经的穴位;肺热,则针刺手太阴肺经和手阳明大肠经的穴位;肾热,则针刺足少阴肾经和足太阳膀胱经的穴位。凡是热病尚未发作,但见面部出现赤色,都是热证的诊断依据。面色赤在额部(颜)为心热,在下巴(颐)为肾热,在鼻部为脾热,在左脸颊为肝热,在右脸颊为肺热。见到赤色应当立即针刺。仔细辨别井穴、荥穴、经穴的分野,如果在阴经则补阳经泻阴经,如果在阳经则补阴经泻阳经。这是治疗热病的大法。除了热穴之外,另有遗留的治疗方法,详细记载在后面。
Acupoints of the Yellow Emperor for treating heat, totaling fifty-nine. On the head, there are five rows, with five acupoints in each row, referring to those along the Du Meridian (Governing Vessel): Shangxing (GV23), Xinhui (GV22), Qian Ding (GV21), Baihui (GV20), and Houding (GV19), totaling five acupoints forming one row. On each side, there is another row, referring to Wuchu (BL3), Chengguang (BL6), Tongtian (BL7), Luoque (BL8), and Yuzhen (GB9), two on each side, totaling ten acupoints. Further out on each side, there is another row, referring to Linqi (GB15), Mucuang (GB16 - text error "HT"), Zhengying (GB17), Chengling (GB18), and Naokong (GB20), two on each side, totaling ten acupoints. In total, twenty-five acupoints, used to disperse the rebellious heat of all Yang meridians. Dazhu (BL11), Ying Shu (Zhongfu LU1), Quepen (LI15), and Beishu (Fengmen BL12), these eight acupoints, are used to drain heat from the chest. Dazhu belongs to the Foot-Taiyang Bladder Meridian; Ying Shu, which is Zhongfu (LU1), belongs to the Hand-Taiyin Lung Meridian; Quepen is located on the shoulder and belongs to the Hand-Yangming Large Intestine Meridian; Beishu, which is Fengmen (also known as Re Fu), belongs to the Foot-Taiyang Bladder Meridian. Qijie (Stomach Meridian region), Sanli (ST36), Juxu Shanglian (ST37), and Juxu Xiaolian (ST39), these eight acupoints, are used to drain heat from the stomach. All eight acupoints belong to the Foot-Yangming Stomach Meridian. The Classics state: Yunmen (LU2), Gugu (likely Jianyu LI15 or similar, text unclear), Weizhong (BL40), and Suikong (Shushu points near Du Meridian), these eight acupoints, are used to drain heat of the four seasons. Yunmen relates to the Hand and Foot Taiyang meridians (Note: Textual inaccuracy, Yunmen is Hand-Taiyin); Gugu, which is Jianyu (LI15), is the intersection of the Hand-Yangming and Qi Mai meridians; Weizhong is in the center of the popliteal fossa and belongs to the Foot-Taiyang Bladder Meridian; Suikong refers to the Shu points adjacent to the Five Zang organs along the Du Meridian (Note: Text is obscure, likely referring to Back-Shu points). These ten acupoints, are used to drain heat from the Five Zang organs. They refer to Pohu (BL42), Shentang (BL44), Hunmen (BL47), Yishe (BL49), and Zhishi (BL52), two on each side, totaling ten acupoints, belonging to the Foot-Taiyang Bladder Meridian. The aforementioned fifty-nine acupoints on the head are all acupoints for treating heat; therefore, when suffering from heat disease, these are needled. There are also other methods for needling to treat heat: For Liver Heat, needle the Foot-Jueyin Liver Meridian and Foot-Shaoyang Gallbladder Meridian; for Heart Heat, needle the Hand-Shaoyin Heart Meridian and Hand-Taiyang Small Intestine Meridian; for Spleen Heat, needle the Foot-Taiyin Spleen Meridian and Foot-Yangming Stomach Meridian; for Lung Heat, needle the Hand-Taiyin Lung Meridian and Hand-Yangming Large Intestine Meridian; for Kidney Heat, needle the Foot-Shaoyin Kidney Meridian and Foot-Taiyang Bladder Meridian. Whenever a heat disease has not yet manifested but redness appears on the face, it is a diagnosis of heat. Redness on the forehead indicates Heart Heat; on the chin, Kidney Heat; on the nose, Spleen Heat; on the left cheek, Liver Heat; on the right cheek, Lung Heat. Upon seeing redness, immediate needling is required. Carefully examine the Jing-River-Sea points distinctions. If in Yin meridians, tonify Yang and drain Yin; if in Yang meridians, tonify Yin and drain Yang. This is the general principle for treating heat. Besides the heat acupoints, there are other remaining methods, detailed below.