（《聚英》）
发热∶风寒客于皮肤，阳气拂郁所致，此表热也。阳气下陷入阴分蒸熏，此里热也。
汗不出，凄凄恶寒∶玉枕 大杼 肝俞 膈俞 陶道
身热恶寒∶后溪
身热汗出，足厥冷∶大都
身热头痛，食不下∶三焦俞
汗不出∶合谷 后溪 阳池 厉兑 解溪 风池
身热而喘∶三间
余热不尽∶曲池
烦满汗不出∶风池 命门
汗出寒热∶五处 攒竹 上脘
烦心好呕∶巨阙 商丘
身热头痛，汗不出∶曲泉 神道 关元 悬颅。
以上见《针经》。
六脉沉细，一息二三至∶气海（灸） 关元（灸）
少阴发热∶太溪（灸）
恶寒∶有热恶寒者发于肠，无热恶寒者发于阴。
背恶寒口中和∶关元（灸）
恶风∶有汗为中风，伤卫，无汗恶风为寒，伤荥。先刺风府、风池，后饮桂枝葛根汤。
胸胁满兼谵语∶邪气自表伤里，先胸胁，次入心。期门。
结胸∶脏气闭而不流布也。按之痛，为小结；不按自痛，为大结。期门（针） 肺俞（针）
妇人因血结胸，热入血室∶期门（针） 又以黄连、巴豆七粒作饼子，置脐中，以火灸之
咳逆∶胸中气不交也，水火相搏而有声。期门（针）。
小腹满∶上为气，下为溺，当出不出积而为满，或腹中急痛。刺委中。或夺命穴等处
烦躁∶邪气在里，烦为内不安，躁为外不安。伤寒六七日，脉微，手足厥冷，烦躁。灸
蓄血∶热毒流于下而瘀血。少阴症下利，便脓血。阳明症，下血谵语，必热入
血室，头汗出。刺期门。
呕吐∶表邪传里，里气上逆也。口中和，脉微涩弱。灸厥阴。
战栗∶战者，正气胜；栗者，邪气胜。邪与正争，心战而外栗，为病欲解也。邪
气内盛，正气太虚，心栗而鼓颔，身不战者，已而遂成寒逆者。灸鱼际。
四逆∶四肢逆冷，积冷成寒，六腑气绝于外，足胫寒逆少阴也。身寒者，厥阴也。灸气
海、肾俞、肝俞。
厥∶手足逆冷，阳气伏陷，热气逆伏，而手足冷也，刺之。脉促而厥者，灸之
郁冒∶郁为气不舒，冒为神不清，即昏迷也。多虚极乘寒所致，或吐下使然。刺太阳、
少阳井。
病头痛，或冒闷如结胸状，刺大椎、肺俞、肝俞，慎不可汗。
自利∶不经攻下自溏泄。脉微涩，呕而汗出，必更衣。反小者，当温上，灸之以消
阴。小便自利，手中不冷，反发热，脉不至。灸太溪。
少阴下利，便脓血，刺之通用。
霍乱∶上吐下利，挥霍撩乱，邪在中焦，胃气不治，阴阳乖隔，遂上吐下泄，躁扰烦乱
也。或腹中痛绞刺。针委中。
腹痛∶有实有虚，寒热燥，屎旧积，按之不痛为虚，痛为实，合灸；不灸，令病患冷结
，久而弥困。刺委中。
阴毒阴症∶阴病盛则微阳消于上，故沉重，四肢逆冷，脐腹筑痛，厥逆或冷，六脉沉细
。灸关元、气海。
太阳、少阳并病∶刺肺俞、肝俞。如头痛，刺大椎。
小便不利∶邪蓄于内，津液不行。阴寒甚，下闭者，灸之。
阴症∶小便不利阴囊缩，腹痛欲死者。灸石门。
不仁∶不柔和，痒痛寒，正气为邪气闭伏，郁而不散，血气虚少故也。若越
人诊虢太子尸厥，以郁冒不仁为可治，刺之而痊者，神医之诊也。设脉浮洪，汗如油，喘不休，体
不仁，越人岂能治哉？
以上见刘氏伤寒治例。
发热：风寒之邪侵袭皮肤，导致阳气被郁遏而不能宣发，这是表热。若阳气下陷进入阴分，蒸腾熏灼，这是里热。
身热且怕冷：取穴后溪。
身热且气喘：取穴三间。
余热未尽：取穴曲池。
身热头痛，无汗：取穴曲泉、神道、关元、悬颅。
以上记载见于《针经》。
六脉沉细，一呼一吸之间脉搏跳动二至或三至：气海（灸）、关元（灸）。
恶寒：有发热同时恶寒的，病发于肠；无发热仅恶寒的，病发于阴经。
恶风：有汗出者为中风，损伤卫气；无汗且恶风者为伤寒，损伤营气。先针刺风府、风池，随后服用桂枝葛根汤。
胸胁胀满兼见胡言乱语：邪气从体表传入体内，先伤胸胁，进而入心。取穴期门。
结胸证：脏腑之气闭塞，不能流通布散。按压才痛的，为小结胸；不按压也自痛的，为大结胸。取穴期门（针）、肺俞（针）。
妇人因血结胸，热邪陷入血室：取穴期门（针）。另外用黄连、巴豆各七粒做成饼状，置于脐中，用火灸之。
咳逆：胸中气机不相交通，水火之气相搏而发出声音。取穴期门（针）。
小腹胀满：上部为气滞，下部为小便不通，应当排出却排不出，积聚而成胀满，或者腹中急痛。针刺委中。或者选取夺命穴等穴位。
烦躁：邪气在里，“烦”指内部不安宁，“躁”指外部肢体躁动。伤寒病六七天，脉象微细，手足厥冷，烦躁不安。宜施灸法。
蓄血证：热毒流注于下焦导致瘀血。少阴病出现下利，大便带脓血；阳明病出现便血、胡言乱语，必定是热邪陷入血室，头部出汗。针刺期门。
呕吐：表邪传入体内，导致里气上逆。口中平和，脉象微涩弱。灸治厥阴经。
战栗：“战”代表正气胜邪；“栗”代表邪气胜正。邪气与正气相争，心中惊惧而体外颤抖，这是疾病将要解除的表现。若邪气内盛，正气极度虚弱，心中战栗且咬牙打颤，身体不颤抖的，随后就会形成寒逆证。灸鱼际。
四逆证：四肢逆冷，积冷成寒，六腑之气绝于外，足胫寒冷逆冷，属少阴病。身体寒冷，属厥阴病。灸气海、肾俞、肝俞。
厥证：手足逆冷，阳气伏陷，热气逆伏，导致手足寒冷，可针刺治疗。脉象急促而见厥冷的，宜施灸法。
郁冒：郁指气机不畅，冒指神志不清，即昏迷状态。多因极度虚弱受寒所致，或因吐下法使用不当引起。针刺太阳经、少阳经的井穴。
患头痛，或头昏闷如同结胸证的样子，针刺大椎、肺俞、肝俞，切记不可发汗。
自利：未经攻下治疗而自行溏泄。脉象微涩，呕吐且出汗，必定要再次排便。如果小便反而变少，应当温补上部，施灸以消散阴寒。若小便自利，手中不冷，反而发热，脉象摸不到，灸太溪。
霍乱：上吐下泻，挥霍撩乱，邪气在中焦，胃气失和，阴阳乖隔，于是上吐下泄，躁扰烦乱。或者腹中绞痛如刺。针刺委中。
腹痛：有实证也有虚证，涉及寒、热、燥及宿便积滞。按压不痛为虚证，痛为实证，应配合灸法；若不灸，会导致病患冷结，久而久之更加困顿。针刺委中。
阴毒阴症：阴病盛则微弱的阳气在上部消退，故身体沉重，四肢逆冷，脐腹部阵发性疼痛，厥逆或寒冷，六脉沉细。灸关元、气海。
小便不利：邪气蓄积于内，津液运行不畅。阴寒极盛，下部闭塞的，宜施灸法。
不仁：肢体不柔和，感觉痒、痛、寒，这是因为正气被邪气闭伏，郁结而不散，气血虚少的缘故。如果像越人诊断虢太子尸厥那样，将郁冒不仁视为可治之症，针刺后痊愈，这是神医的诊断。假如脉象浮洪，汗出如油，喘息不止，身体麻木不仁，越人难道能治愈吗？
以上见于刘氏伤寒治例。
(From *Zhenjiu Juying*)
Fever: Caused by wind-cold pathogens invading the skin and causing Yang Qi to be constrained and unable to diffuse; this is exterior heat. If Yang Qi sinks into the Yin compartments and steams/burns from within, this is interior heat.
No sweating, aversion to cold with shivering: Points Yuzhen (BL16), Dazhu (BL11), Ganshu (BL18), Geshu (BL17), Daodao (DU13).
Body fever with aversion to cold: Point Houxi (SI3).
Body fever with sweating, but cold feet: Point Dadu (SP2).
Body fever, headache, inability to eat: Point Sanjiaoshu (BL22).
No sweating: Points Hegu (LI4), Houxi (SI3), Yangchi (TE4), Lidui (ST45), Jiexi (ST41), Fengchi (GB20).
Body fever with panting/asthma: Point Sanjian (LI3).
Residual heat not fully cleared: Point Quchi (LI11).
Vexation, fullness, and no sweating: Points Fengchi (GB20), Mingmen (DU4).
Sweating with alternating chills and fever: Points Wuchu (BL9), Cuanzhu (BL2), Shangwan (CV13).
Vexation of heart and tendency to vomit: Points Juque (CV14), Shangqiu (SP5).
Body fever, headache, no sweating: Points Ququan (LR8), Shendao (DU11), Guanyuan (CV4), Xuanlu (GB7).
The above are recorded in *Zhenjing* (Needle Classic).
Six pulses deep and fine, two or three beats per respiration: Points Qihai (CV6) [moxibustion], Guanyuan (CV4) [moxibustion].
Shaoyin disease with fever: Point Taixi (KI3) [moxibustion].
Aversion to cold: Those with fever and aversion to cold originate from the intestines; those without fever and only aversion to cold originate from the Yin channels.
Aversion to cold on the back with a normal mouth sensation (no dryness/thirst): Point Guanyuan (CV4) [moxibustion].
Aversion to wind: With sweating indicates Wind Strike, damaging Wei Qi; without sweating and aversion to wind indicates Cold Damage, damaging Ying Qi. First needle Fengfu (DU16) and Fengchi (GB20), then administer Guizhi Gegen Tang (Cinnamon Twig and Pueraria Decoction).
Fullness in chest and hypochondrium accompanied by delirium: Pathogenic factors move from exterior to interior, first injuring chest/hypochondrium, then entering the Heart. Point Qimen (LR14).
Jie Xiong (Chest Binding Syndrome): Closure of Zang-Fu Qi preventing circulation. Pain upon pressure indicates Minor Jie Xiong; spontaneous pain without pressure indicates Major Jie Xiong. Points Qimen (LR14) [needle], Feishu (BL13) [needle].
Women with blood-binding Jie Xiong and Heat entering the Blood Chamber: Point Qimen (LR14) [needle]. Additionally, make a cake from seven grains each of Huanglian (Coptidis Rhizoma) and Badou (Crotonis Fructus), place it on the umbilicus, and apply moxibustion.
Ke Ni (Hiccup/Rebellious Qi): Disharmony of Qi in the chest, sound produced by conflict between Water and Fire. Point Qimen (LR14) [needle].
Fullness in lower abdomen: Upper part relates to Qi stagnation, lower part to urinary retention. When urine should exit but does not, accumulation causes fullness, or there is urgent abdominal pain. Needle Weizhong (BL40). Or select points such as Duoming (EX-UE11).
Fan Zao (Restlessness/Vexation): Pathogen is in the interior. "Fan" refers to internal unrest; "Zao" refers to external restlessness. In Shaoyin disease after six or seven days, with faint pulse and cold extremities, accompanied by vexation and restlessness, apply moxibustion.
Xu Xue (Accumulated Blood): Heat toxin flows downward causing blood stasis. Shaoyin syndrome with diarrhea and pus/blood in stool; Yangming syndrome with bloody stool and delirium, indicating Heat has entered the Blood Chamber, with sweating only on the head. Needle Qimen (LR14).
Ou Tu (Vomiting): Exterior pathogen transmits to the interior, causing rebellious Qi rising. Normal mouth sensation, faint, choppy, and weak pulse. Moxa the Jueyin channel.
Zhan Li (Shivering/Trembling): "Zhan" (shaking) indicates Righteous Qi overcoming the pathogen; "Li" (trembling) indicates the pathogen overcoming Righteous Qi. Conflict between pathogen and Righteous Qi causes mental fear and external trembling, indicating the disease is about to resolve. If pathogen is internally excessive and Righteous Qi is extremely deficient, causing mental trembling and jaw clenching without body shaking, it will subsequently develop into Cold Reversal. Moxa Yuji (LU10).
Si Ni (Four Reversals/Cold Extremities): Cold extremities due to accumulated cold becoming severe, Six Fu organs' Qi failing externally, cold/reversal in calves/shins belongs to Shaoyin. Body coldness belongs to Jueyin. Moxa Qihai (CV6), Shenshu (BL23), Ganshu (BL18).
Jue (Reversal/Cold Extremities): Cold extremities due to latent/sunken Yang Qi and rebellious trapped heat causing cold hands/feet; can be treated with needling. For rapid pulse with reversal, apply moxibustion.
Yu Mao (Depression/Dizziness/Coma): "Yu" means Qi constraint; "Mao" means unclear spirit, i.e., coma. Often caused by extreme deficiency combined with cold, or induced by vomiting/purging. Needle Jing-well points of Taiyang and Shaoyang channels.
Headache illness, or dizziness/heaviness resembling Jie Xiong: Needle Dazhui (DU14), Feishu (BL13), Ganshu (BL18). Strictly avoid diaphoresis (sweating therapy).
Zi Li (Spontaneous Diarrhea): Loose stools occurring without prior purgative treatment. Faint and choppy pulse, vomiting with sweating, likely to defecate again. If urine volume decreases instead, warm the upper jiao and apply moxibustion to dissipate Yin Cold. If urine flows freely, hands are not cold, but fever occurs and pulse is imperceptible, moxa Taixi (KI3).
Shaoyin diarrhea with pus and blood in stool: General needling method applies.
Huo Luan (Cholera-like Syndrome): Sudden vomiting and diarrhea, chaotic disturbance. Pathogen in Middle Jiao, Stomach Qi disordered, Yin-Yang separation, leading to vomiting, diarrhea, agitation, and confusion. Or twisting abdominal pain like stabbing. Needle Weizhong (BL40).
Abdominal Pain: Can be Excess or Deficiency, involving Cold, Heat, Dryness, or old fecal accumulation. No pain on pressure indicates Deficiency; pain indicates Excess, requiring combined moxibustion. Without moxibustion, cold accumulation may persist, worsening the condition over time. Needle Weizhong (BL40).
Yin Du / Yin Zheng (Yin Toxin / Yin Syndrome): Yin pathology dominates, causing slight Yang to diminish at the top, resulting in heaviness, cold extremities, throbbing pain in navel/abdomen, reversal/cold limbs, and six pulses deep and fine. Moxa Guanyuan (CV4), Qihai (CV6).
Taiyang and Shaoyang Concurrent Disease: Needle Feishu (BL13), Ganshu (BL18). If headache occurs, needle Dazhui (DU14).
Xiao Bian Bu Li (Difficult Urination): Pathogen retained internally, Jin Ye (Body Fluids) not circulating. Severe Yin-Cold with lower closure: apply moxibustion.
Yin Zheng (Yin Syndrome): Difficult urination, retracted scrotum, agonizing abdominal pain. Moxa Shimen (CV5).
Bu Ren (Numbness/Loss of Sensation): Lack of flexibility, sensations of itching, pain, or cold. Caused by Righteous Qi being blocked by pathogens, stagnating and not dispersing, due to deficiency of Blood and Qi. As Yu Ren diagnosed the Crown Prince of Guo's corpse-like syncope, treating depression/dizziness/numbness as curable, and achieving recovery through needling, this was the diagnosis of a divine physician. However, if the pulse is floating and large, sweat is like oil, panting is unceasing, and the body is numb, could Yu Ren have cured it?
The above is seen in Liu Shi Shanghan Zhili (Liu's Treatment Examples for Cold Damage).