中风者,卒然中倒,人事无知,口眼 斜是也。方书有中经、中络、中脏、中腑之分。医之乏效者,必须用灸。或
未经疗治者,急灸无妨。当其国中之时,先灸百会,或灸尺泽。如口噤者,灸风池。左瘫右痪者,灸风市。如两额暴痛,
口眼歪斜,牙关紧闭,失音不语,灸客主人。如因痰而中者,灸环跳穴可也。
百会穴(从鼻直上入发际五令,旋毛陷中,可容指处。《医宗金鉴》云∶直上耳尖顶陷中是也。)
尺泽穴(肘中动脉处,即肘弯内横纹当中,屈肘纹见,《金鉴》云∶屈肘横纹筋骨罅中。)
风市穴(端立,垂手于股外,中指尖到处。)
客主人(两耳前骨工宛中间,开口即穴处。)
环跳穴(在髀枢中,侧卧,屈上足、伸下足取之。大腿曰股,股上曰髀,楗骨之下、大腿之上、两骨合缝之所曰髀
枢,当环跳穴处。)
风池穴(在耳后陷中,按之引耳内。)
《金鉴》云∶尸厥者,类中风之称也。谓其形厥而气不厥,口鼻无气,状类死尸,而脉自动也。延医不及,急宜灸
大敦穴。倘有四肢厥冷,宜灸内庭,又灸行间,不可误也。
大敦穴(足大指端,去爪韭菜许毛中《金鉴》云∶外侧聚毛中。)
内庭穴(足大指内,次指本节前歧骨外间陷中。)
行间(足大指次指歧骨缝间动脉应手陷中。)
中风,是指突然昏倒、人事不知、口眼歪斜的病证。医书中将中风分为中经、中络、中脏、中腑四种类型。对于治疗效果不佳的患者,必须使用灸法。如果是尚未接受治疗的病例,紧急施灸也无妨。在发病当时,先灸百会穴,或者灸尺泽穴。如果患者牙关紧闭(口噤),则灸风池穴。出现左侧瘫痪右侧肢体活动不利(左瘫右痪)者,灸风市穴。如果两侧额头突发疼痛,口眼歪斜,牙关紧闭,失音不语,则灸客主人穴。如果是因痰邪导致的中风,灸环跳穴即可。
百会穴(位置:从鼻梁直上至发际线五寸处,旋毛凹陷中,可容纳手指的地方。《医宗金鉴》记载:直上至耳尖头顶的凹陷处即是。)
尺泽穴(位置:肘窝中央动脉处,即肘弯内侧横纹正中,屈肘时纹路显现处,《医宗金鉴》记载:屈肘时横纹筋骨缝隙中。)
风市穴(位置:身体端正站立,双手自然下垂于大腿外侧,中指指尖到达之处。)
客主人穴(位置:两耳前方骨骼弯曲凹陷中间,张口时穴位显现处。)
环跳穴(位置:在髀枢中,侧卧位,屈曲上方腿、伸直下方腿以取穴。大腿称为股,股之上部称为髀,楗骨之下、大腿之上、两骨接缝之处称为髀枢,此处即为环跳穴所在。)
风池穴(位置:在耳后凹陷中,按压时感觉牵引至耳内。)
《医宗金鉴》记载:尸厥,是类似中风的称谓。指其形体呈厥冷状态但气息未绝,口鼻无呼吸,状如死尸,但脉搏仍在跳动。若延请医生不及,应紧急灸大敦穴。倘若出现四肢厥冷,宜灸内庭穴,再灸行间穴,不可误治。
大敦穴(位置:足大趾末端,距趾甲韭菜叶宽许的毛发丛中。《医宗金鉴》记载:外侧聚毛之中。)
内庭穴(位置:足大趾内侧,第二趾本节前歧骨外侧凹陷中。)
行间穴(位置:足大趾与第二趾之间歧骨缝隙间,动脉应手之凹陷中。)
Zhongfeng (Stroke), refers to the sudden collapse, loss of consciousness, and deviation of the mouth and eyes. Medical texts classify Zhongfeng into four categories: Zhongjing (Striking the Meridians), Zhongluo (Striking the Collaterals), Zhongzang (Striking the Zang Organs), and Zhongfu (Striking the Fu Organs). For patients with poor therapeutic effects, Moxibustion must be employed. For cases that have not yet been treated, urgent moxibustion is permissible. At the time of onset, first apply moxibustion to Baihui (GV20) or Chize (LU5). If the patient has lockjaw (Jin Kou), apply moxibustion to Fengchi (GB20). For hemiplegia affecting one side of the body (Zuo Tan You Huan), apply moxibustion to Fengshi (GB31). If there is sudden pain in both forehead regions, deviation of the mouth and eyes, lockjaw, aphonia, and inability to speak, apply moxibustion to Keyuzhuren (ST7). If the stroke is caused by Phlegm, applying moxibustion to Huantiao (GB30) is sufficient.
Baihui (GV20): Located five cun vertically above the nasal tip to the hairline, in the depression where the hair whorls converge, a space large enough to accommodate a finger. *Yizong Jinjian* states: "It is located in the depression at the vertex, directly above the tips of the ears."
Chize (LU5): Located at the arterial pulse in the center of the elbow crease, specifically in the middle of the transverse crease on the medial aspect of the elbow when flexed. *Jinjian* states: "In the gap between the tendons and bones within the transverse crease when the elbow is flexed."
Fengshi (GB31): Stand upright with arms hanging naturally at the sides; the location is where the tip of the middle finger reaches on the lateral aspect of the thigh.
Keyuzhuren (ST7): Located in the depression between the bones anterior to both ears; the acupoint becomes apparent upon opening the mouth.
Huantiao (GB30): Located in the Bitshu (hip joint). To locate it, lie on the side, flex the upper leg, and extend the lower leg. The thigh is called Gu; the upper part of the thigh is called Bi; the area below the Jian bone (greater trochanter), above the thigh, and at the junction of the two bones is called Bitshu. This is the location of Huantiao.
Fengchi (GB20): Located in the depression behind the ear; pressure here induces a sensation radiating into the ear.
*Yizong Jinjian* states: Shijue (Corpse-like Coma) is a term similar to Zhongfeng. It describes a condition where the body is cold and rigid (Jue) but Qi remains unextinguished; there is no respiration through the mouth and nose, resembling a corpse, yet the pulse continues to beat. If medical assistance cannot be obtained in time, urgently apply moxibustion to Dadun (LR1). If there is coldness of the four limbs, apply moxibustion to Neiting (ST44), and additionally to Xingjian (LR2); do not err in treatment.
Dadun (LR1): Located at the distal end of the great toe, in the hair cluster approximately the width of a leek leaf from the nail corner. *Jinjian* states: "In the central hair cluster on the lateral side."
Neiting (ST44): Located in the depression on the lateral side of the oblique bone between the proximal phalanx of the second toe and the medial side of the great toe.
Xingjian (LR2): Located in the depression where the arterial pulse is palpable, in the webbing between the great toe and the second toe.