结而不通,故其状若尸也。以其从厥而生,故或曰尸厥。)刺其足大趾内侧爪甲上,去端如韭叶,(谓隐白
穴,足太阴之井也。刺一分,留三呼,灸三壮。)后刺足心,(谓涌泉
穴,足少阴之井也。刺同取涌泉法。)后刺足中趾爪甲上各一 ,(谓第二指足阳明之井也,刺同取厉兑法。)
后刺手大指内侧,去端如韭叶,(谓少商穴,手太阴之井也。刺一分,留三呼,灸三壮。)后刺手心主,(谓
中冲穴,手心主之井也。刺一分,留三呼,灸一壮。按∶新校正云∶“甲乙经不刺手心主,详此五络之数亦不
及手心主,而此刺之,是有六络,王冰相随注之,不为明辨之语,殊可异也。”)少阴锐骨之端各一 ,立已。
(谓神门穴,在掌后锐骨之端,陷者中,手少阴之俞也。刺三分,留三呼,灸三壮。)不已,以竹管吹其两耳,
(言使气入耳中,内助五络,令气复通也。当内管入耳,以手密 之,勿令气泄而极吹之,气蹙然后络脉通也。
按∶新校正云∶“陶隐居云∶吹其左耳极三度,复吹其右耳极三度。”乃救厥良法。) 其左角之发方一寸燔
治,饮以美酒一杯,不能饮者灌之,立已。(左角之发,是五络血之余,故 之燔治,饮之以美酒也。酒者
所以行药势,又炎上而内走于心,心主脉,故以美酒服之。按∶ 与 同,以刀削发也。)凡刺之数,先视其
经脉,切而从之,审其虚实而调之,不调者经刺之,有痛而经不病者缪刺之,因视其皮部有血络者尽取之,
此缪刺之数也。
气血郁结而运行不畅,所以患者的状态看起来像尸体一样。(因为这种病是从厥逆产生的,所以有时称为尸厥。)针刺足大趾内侧指甲角旁,距离甲角如韭菜叶宽的地方,(指的是隐白穴,是足太阴脾经的井穴。刺入一分深,留针三个呼吸的时间,艾灸三壮。)随后针刺足心,(指的是涌泉穴,是足少阴肾经的井穴。针刺方法同取用涌泉穴的方法。)随后针刺足中趾指甲角旁各一针,(指的是第二趾,即足阳明胃经的井穴,针刺方法同取用厉兑穴的方法。)随后针刺手大指内侧,距离甲角如韭菜叶宽的地方,(指的是少商穴,是手太阴肺经的井穴。刺入一分深,留针三个呼吸的时间,艾灸三壮。)随后针刺手心主经,(指的是中冲穴,是手心主心包经的井穴。刺入一分深,留针三个呼吸的时间,艾灸一壮。按:新校正说:“《甲乙经》不刺手心主,详查这五络的数量也不包括手心主,而这里却针刺它,这就有了六络,王冰跟随并注释它,没有做出明确的辨析,实在令人奇怪。”)以及手少阴心经锐骨之端各一针,立即见效。(指的是神门穴,位于手腕后锐骨端的凹陷处,是手少阴心经的输穴。刺入三分深,留针三个呼吸的时间,艾灸三壮。)如果不见效,用竹管向双耳吹气,(意思是使气流进入耳中,内助五络之气,让气机重新通畅。应当将管子插入耳中,用手紧紧密封住,不要让气体泄漏,并且用力吹气,气息急促然后络脉才能通畅。按:新校正说:“陶隐居说:‘极用力吹左耳三次,再极用力吹右耳三次。’这是救治厥证的良法。”)剪取左侧头角处方圆一寸的头发烧焦研末,用一杯美酒送服,不能喝酒的人强行灌下,立即见效。(左侧头角的头发,是五络血液的余绪,所以烧焦研末,用美酒送服。酒是用来行药势的,又因其性炎上且内走于心,心主血脉,所以用美酒送服。按:“燔”与“焚”同义,用刀削发之意。)凡是针刺的原则,先观察其经脉,切按并顺着经脉走向,仔细辨别虚实并进行调理,如果不调和就用经刺法,如果有疼痛但经脉本身没有病变的就用缪刺法,同时观察其皮部有血络的地方全部刺破放血,这就是缪刺的原则。
Qi and blood become knotted and fail to circulate, thus the patient's condition resembles that of a corpse. (Since this arises from Jue [reversal cold/loss of consciousness], it is sometimes called Shi Jue [Corpse Jue].) Puncture the medial side of the big toe, at the corner of the nail, approximately as wide as a leek leaf from the end. (This refers to Yinbai [SP1], the Jing-Well point of the Foot-Taiyin Spleen Meridian. Insert one fen deep, retain for three breaths, moxa three zhu.) Subsequently puncture the sole of the foot. (This refers to Yongquan [KI1], the Jing-Well point of the Foot-Shaoyin Kidney Meridian. The puncturing method is the same as that for Yongquan.) Subsequently puncture each of the nails on the middle toe of the foot once. (This refers to the second toe, which corresponds to the Jing-Well point of the Foot-Yangming Stomach Meridian; the puncturing method is the same as that for Lidui [ST45].) Subsequently puncture the medial side of the thumb, approximately as wide as a leek leaf from the end. (This refers to Shaoshang [LU11], the Jing-Well point of the Hand-Taiyin Lung Meridian. Insert one fen deep, retain for three breaths, moxa three zhu.) Subsequently puncture the Pericardium Meridian of the Hand-Jueyin. (This refers to Zhongchong [PC9], the Jing-Well point of the Hand-Jueyin Pericardium Meridian. Insert one fen deep, retain for three breaths, moxa one zhu. Note: The New Corrections state: "The *Jia Yi Jing* does not mention puncturing the Hand-Jueyin Pericardium. Examining the count of these five collaterals, it also does not include the Hand-Jueyin Pericardium, yet here it is punctured, resulting in six collaterals. Wang Bing followed and annotated this without clear differentiation, which is quite strange.") And puncture each end of the sharp bone of the Hand-Shaoyin Heart Meridian once. (This refers to Shenmen [HT7], located in the depression at the end of the styloid process of the ulna, the Shu-Stream point of the Hand-Shaoyin Heart Meridian. Insert three fen deep, retain for three breaths, moxa three zhu.) Effect will be immediate. If there is no improvement, blow air into both ears using a bamboo tube. (This means to introduce air into the ears to internally assist the Qi of the five collaterals, allowing the Qi to flow freely again. One should insert the tube into the ear, seal it tightly with the hand to prevent leakage, and blow forcefully until the Qi becomes compressed, thereby unblocking the collateral vessels. Note: The New Corrections state: "Tao Hongjing said: 'Blow forcefully into the left ear three times, then forcefully into the right ear three times.' This is an excellent method for treating Jue.") Burn and powder one square cun of hair from the left corner of the head, and drink it down with one cup of fine wine. If the patient cannot drink, force-feed it. Effect will be immediate. (Hair from the left corner of the head is the surplus of blood from the five collaterals; hence it is burned and powdered, and taken with fine wine. Wine is used to promote the action of medicine; its nature is ascending and it enters the Heart internally. Since the Heart governs the vessels, fine wine is used to administer it. Note: "Fan" is synonymous with "fen," meaning to shave or cut hair with a knife.) In all cases of acupuncture, first observe the meridians, palpate and follow their course, carefully assess their excess or deficiency, and regulate them accordingly. If they remain unregulated, use Jing-Meridian needling. If there is pain but the meridian itself shows no pathological signs, use Miao-Stimulation (Miao Ci). Simultaneously, observe the skin regions for any blood collaterals and puncture them all to release blood. This is the principle of Miao-Stimulation.