痹者,即俗称为风气也,症由风寒湿之气杂合为病。益风胜为行痹,寒胜为痛痹,湿胜为着痹,往往蔓延不愈。倘
三气痹痛,灸环跳,兼灸脾俞、肾俞。足痹不仁,灸腰俞。如手臂作痛,不能提举,灸尺泽。两腿麻木,不能步履,灸
风市。按图而灸,庶乎肢体自若耳。
环跳(见中风。)
脾俞(十脊骨下,各开二寸。)
肾俞(十三脊下,各开二寸,亦有一寸半。《金鉴》云∶与脐平。)
腰俞(尾尻骨节上 间。)
尺泽、风市(皆见中风。)
五劳者,烦冗劳心,谋虑劳肝,过思劳脾,过忧劳肺,色欲劳损。七伤者,久视伤血,久行伤筋,久坐伤肉,久卧
伤气,久立伤骨,房劳思虑伤心肾也。至于骨蒸劳热,药石乏效者,先灸大椎,并灸胆俞。久嗽劳热者,灸肺俞。久虚
不食者,灸上脘。真气虚弱者,灸气海。男子血损者,灸天枢。女子阴虚,灸足三里。凡有一切虚损劳瘵,及至形神大
惫,惟灸膏肓穴,可冀挽回,否则无救矣。
大椎(三节颈项下,第一脊骨上间。)
胆俞(第九脊下,各开二寸。《金鉴》云∶各俞皆去脊中二寸,故不从寸半之说。)
肺俞(三椎骨下,两旁各开一寸五分。《金鉴》云∶以手搭肩,左取右,右取左,当中指末处。)
上脘(脐上五寸。)
气海(脐下一寸五分。)
天枢(脐两旁,各开二寸许陷中。)
足三里(见痿症。)
膏肓(四椎骨下,两旁各开三寸五分,《金鉴》云∶正坐曲脊,从髀骨上角,摸索至髀骨下头,其间当有四肋三间。
按其中一间空处,是其穴也。)
痹症,即民间俗称的风气,其病因是风、寒、湿三种邪气混杂侵袭人体所致。其中,风气偏胜的称为行痹(以游走性疼痛为特征),寒气偏胜的称为痛痹(以剧烈疼痛为特征),湿气偏胜的称为着痹(以肢体沉重固定不移为特征),这些病症往往蔓延难愈。如果因风、寒、湿三气导致的痹痛,应艾灸环跳穴,同时兼灸脾俞穴和肾俞穴。下肢痹症导致麻木不仁的,艾灸腰俞穴。如果手臂疼痛,无法提举,艾灸尺泽穴。双腿麻木,无法行走,艾灸风市穴。按照穴位图进行艾灸,肢体功能自然就能恢复自如。
五劳,是指:过度烦扰劳累心神,谋虑过度劳累肝脏,思虑过度劳累脾脏,忧愁过度劳累肺脏,房事过度损伤肾脏。七伤,是指:长时间用眼损伤血液,长时间行走损伤筋脉,长时间坐着损伤肌肉,长时间躺卧损伤元气,长时间站立损伤骨骼,房事过度和思虑过度损伤心肾。至于骨蒸劳热(一种阴虚发热的症状),药物难以奏效的,先艾灸大椎穴,并兼灸胆俞穴。长期咳嗽伴有虚热的,艾灸肺俞穴。长期虚弱不想进食的,艾灸上脘穴。真气虚弱的,艾灸气海穴。男子血分受损的,艾灸天枢穴。女子阴虚的,艾灸足三里穴。凡是各种虚损劳瘵(慢性消耗性疾病),以及形体和精神极度疲惫的情况,只有艾灸膏肓穴,才有望挽回生机,否则就无法救治了。
大椎穴(位于颈部第三节下方,第一胸椎棘突间隙中。)
脾俞穴(第十胸椎棘突下,旁开二寸。)
肾俞穴(第十三胸椎棘突下,旁开二寸,也有一寸半的说法。《医宗金鉴》说:与肚脐平齐。)
腰俞穴(尾骶骨节上方的空隙中。)
尺泽穴、风市穴(均在中风章节中有记载。)
大椎穴(在颈项下方第三节处,第一胸椎棘突间隙中。)
胆俞穴(第九胸椎棘突下,旁开二寸。《医宗金鉴》说:所有背俞穴都距离脊柱中线二寸,所以不采用一寸半的说法。)
肺俞穴(第三胸椎棘突下,两旁各开一寸五分。《医宗金鉴》说:用手搭肩,左手搭右肩取左侧,右手搭左肩取右侧,正好对应中指指尖处。)
上脘穴(肚脐上方五寸。)
气海穴(肚脐下方一寸五分。)
天枢穴(肚脐两旁,各开约二寸的凹陷处。)
足三里穴(见痿症章节。)
膏肓穴(第四胸椎棘突下,两旁各开三寸五分。《医宗金鉴》说:正坐弯曲脊背,从髀骨上角摸索至髀骨下头,中间有四根肋骨三个间隙。按压其中一间空处,就是该穴位。)
Bi syndrome, commonly known as "wind qi" in folk terminology, is caused by the mixed invasion of wind, cold, and dampness pathogenic factors. When wind predominates, it is called Xing Bi (Wandering Bi, characterized by migratory pain); when cold predominates, it is called Tong Bi (Painful Bi, characterized by severe pain); when dampness predominates, it is called Zhuo Bi (Fixed Bi, characterized by heaviness and fixed sensation). These conditions often persist and spread without healing. For Bi pain caused by the three pathogens (wind, cold, dampness), moxibustion should be applied to Huantiao (GB30), combined with Spleen Shu (BL20) and Kidney Shu (BL23). For lower limb Bi syndrome causing numbness and loss of sensation, Moxibustion should be applied to Yaoshu (DU19). If the arms are painful and cannot be lifted, Moxibustion should be applied to Chize (LU5). If both legs are numb and walking is impossible, Moxibustion should be applied to Fengshi (GB31). Following the acupoint map for moxibustion will allow the limbs to regain normal function.
Huantiao (See Stroke.)
Spleen Shu (Below the spinous process of the 10th thoracic vertebra, 2 cun lateral to the midline.)
Kidney Shu (Below the spinous process of the 13th thoracic vertebra, 2 cun lateral to the midline; some sources say 1.5 cun. *Yi Zong Jin Jian* states: Level with the umbilicus.)
Yaoshu (In the gap above the sacrococcygeal joint.)
Chize, Fengshi (Both recorded in the Stroke section.)
The Five Exhaustions refer to: excessive mental worry exhausting the Heart-Mind; excessive planning and deliberation exhausting the Liver; excessive thinking exhausting the Spleen; excessive sorrow/worry exhausting the Lungs; and excessive sexual activity damaging the Kidneys. The Seven Injuries refer to: prolonged visual strain injuring Blood; prolonged walking injuring Sinews; prolonged sitting injuring Flesh; prolonged lying down injuring Qi; prolonged standing injuring Bones; and excessive sexual activity combined with mental worry injuring the Heart and Kidneys. Regarding Gu Zheng Lao Re (Bone-steaming consumption fever), where medicinal therapy fails, first apply Moxibustion to Dazhui (DU14), combined with Gallbladder Shu (BL19). For chronic cough with consumption fever, apply Moxibustion to Lung Shu (BL13). For chronic weakness and anorexia, apply Moxibustion to Shangwan (CV13). For deficiency of True Qi, apply Moxibustion to Qihai (CV6). For men with blood damage, apply Moxibustion to Tianshu (ST25). For women with Yin deficiency, apply Moxibustion to Zusanli (ST36). For all types of deficiency consumptive diseases, and even when physical and mental exhaustion is extreme, only Moxibustion on Gaohuang (BL43) offers hope of recovery; otherwise, there is no cure.
Dazhui (Below the third cervical segment, in the interspace of the first thoracic spinous process.)
Gallbladder Shu (Below the spinous process of the 9th thoracic vertebra, 2 cun lateral to the midline. *Yi Zong Jin Jian* states: All Back-Shu points are 2 cun from the spinal midline, thus not following the 1.5 cun theory.)
Lung Shu (Below the spinous process of the 3rd thoracic vertebra, 1.5 cun lateral to the midline on both sides. *Yi Zong Jin Jian* states: Place hands on shoulders; left hand on right shoulder to locate the left point, right hand on left shoulder to locate the right point, corresponding to the tip of the middle finger.)
Shangwan (5 cun above the umbilicus.)
Qihai (1.5 cun below the umbilicus.)
Tianshu (Approximately 2 cun lateral to the umbilicus, in the depression.)
Zusanli (See Flaccidity Syndrome section.)
Gaohuang (Below the spinous process of the 4th thoracic vertebra, 3.5 cun lateral to the midline. *Yi Zong Jin Jian* states: Sit upright and curve the back; feel from the upper angle of the hip bone to the lower head of the hip bone; there are four ribs and three intercostal spaces. Press the empty space in one of the middle intervals; this is the acupoint.)