尸厥,死不知人,脉动如故,隐白及大敦主之。恍惚尸厥,头痛,中极及仆参主之。尸
厥暴死,金门主之。
霍乱刺俞傍五、足阳明及上傍三。
呕吐烦满,魄户主之。阳逆霍乱,刺人迎,刺入四
分,不幸杀人。霍乱,泄出不自知,先取太溪,后取太仓之原。霍乱,巨阙、关冲、支沟、
公孙(《千金》又取阴陵泉)解溪主之。霍乱泄注,期门主之。厥逆霍乱,府舍主之。胃逆
霍乱,鱼际主之。霍乱逆气,鱼际及太白主之。霍乱遗矢气,三里主之。暴霍乱,仆参主之
。霍乱转筋,金门、仆参、承山、承筋主之。霍乱胫痹不仁(《千金》云∶主
螈脚酸),承筋主之。
转筋于阳理其阳,转筋于阴理其阴,皆卒刺之。
春伤于风,夏生飧泄,肠 。久风为飧泄。飧泄而脉小,手足寒者,难已;飧泄而脉大
,手足温者,易已。黄帝问曰∶肠 便血何如?岐伯对曰∶身热则死,寒则生。曰∶肠 下
白沫何如?曰∶脉沉则生,浮则死。曰∶肠 下脓血何如?曰∶悬绝则死,滑大则生。曰∶肠
之属,身不热,脉不悬绝何如?曰∶脉滑大皆生;悬涩皆死,以脏期之。
飧泄,补三阴交,上补阴陵泉,皆久留之,热行乃止。
病注下血,取曲泉、五里。肠中有寒热,泄注肠 便血,会阳主之。肠鸣 泄,下
主之。肠 泄切痛,四满主之。便
脓血,寒中,食不化,腹中痛,腹哀主之。绕脐痛抢心,膝寒注利,腹哀主之。溏瘕,
腹中痛,脏痹,地机主之。飧泄,太冲主之。溏不化食,寒热不节,阴陵泉主之。肠 ,
中主之。飧泄大肠痛,巨虚上廉主之。
尸厥证,患者昏迷不省人事,但脉搏跳动如常,治疗取隐白穴和大敦穴。出现恍惚、类似尸厥的症状并伴有头痛,治疗取中极穴和仆参穴。尸厥导致突然昏死,治疗取金门穴。
霍乱病,针刺背俞穴旁五穴、足阳明胃经穴位以及上髎旁三穴。呕吐伴心烦胀满,治疗取魄户穴。阳气逆乱导致的霍乱,针刺人迎穴,进针深度四分,若操作不当可能致死。霍乱吐泻不止且患者自己不知晓,先取太溪穴,后取太仓之原(即足三里穴)。霍乱,取巨阙、关冲、支沟、公孙穴治疗(《千金方》还加取阴陵泉穴)、解溪穴主治。霍乱腹泻如水注下,取期门穴主治。四肢厥冷兼霍乱,取府舍穴主治。胃气上逆兼霍乱,取鱼际穴主治。霍乱气逆,取鱼际穴和白虎穴主治。霍乱失禁矢气,取足三里穴主治。突发霍乱,取仆参穴主治。霍乱转筋,取金门、仆参、承山、承筋穴主治。霍乱小腿痹痛麻木不仁(《千金方》记载:主治抽搐、脚部酸痛),取承筋穴主治。
转筋发生在阳经部位则调理阳经,转筋发生在阴经部位则调理阴经,均采用急刺法。
春季感受风邪,夏季发生完谷不化的泄泻,这是肠澼。长期受风邪侵袭会导致完谷不化的泄泻。完谷不化泄泻且脉象细小、手足寒冷的,难以治愈;完谷不化泄泻且脉象盛大、手足温暖的,容易治愈。黄帝问道:患肠澼便血的情况如何?岐伯回答说:身体发热的预后不良(死),体温正常的预后良好(生)。又问:肠澼排出白色黏液的情况如何?回答说:脉象沉伏的预后良好,脉象浮大的预后不良。又问:肠澼排出脓血的情况如何?回答说:脉象悬绝无根的预后不良,脉象滑大有力的预后良好。又问:属于肠澼一类疾病,身体不发烫,脉象也不悬绝的情况如何?回答说:脉象滑大者预后良好;脉象悬涩者预后不良,可根据脏腑之气衰竭的时间来推断死亡期限。
完谷不化泄泻,补益三阴交穴,向上补益阴陵泉穴,都要长时间留针,直到局部产生热感为止。
患病腹泻下血,取曲泉穴、五里穴。肠道中有寒热错杂,泄泻、肠澼便血,取会阳穴主治。肠鸣泄泻,取某穴主治(原文此处可能有脱漏或指代不明,依原文直译)。肠澼泄泻且腹部切痛,取四满穴主治。大便脓血,脾胃虚寒,食物不消化,腹部疼痛,取腹哀穴主治。脐周疼痛牵引心胸,膝盖寒冷并伴有泄利,取腹哀穴主治。溏瘕(腹部痞块伴稀便),腹部疼痛,脏腑痹阻,取地机穴主治。完谷不化泄泻,取太冲穴主治。大便稀薄且不消化食物,寒热不调,取阴陵泉穴主治。肠澼,取某穴主治(原文此处可能有脱漏)。完谷不化伴大肠疼痛,取巨虚上廉穴主治。
Shi Jue (Corpse-like Coma), where the patient is unconscious and unaware of their surroundings, yet the pulse beats normally as usual. Treatment involves Yinbai (SP1) and Dadjun (LR1). For恍惚 (trance-like state) resembling Shi Jue accompanied by headache, Zhongji (CV3) and Puxuan (BL60) are indicated. For sudden death due to Shi Jue, Jinmen (BL63) is indicated.
For Huoluan (Cholera-like disorder with vomiting and diarrhea), needle five points beside the Back-Shu points, Foot-Yangming (Stomach Meridian) points, and three points beside Shangbang (likely referring to Lishu or similar paravertebral points). For vomiting accompanied by vexation and fullness, Pohu (BL42) is indicated. For Huoluan caused by rebellious Yang Qi, needle Renying (ST9); insert depth four fen; if mishandled, it may cause death. For Huoluan where discharge occurs without the patient's awareness, first select Taixi (KI3), then select Tai Cang Zhi Yuan (Foot三里 ST36). For Huoluan, Juque (CV14), Guanchong (TE1), Zhigou (TE6), Gongsun (SP4) [Qianjin Fang also adds Yinlingquan (SP9)], and Jiexi (ST41) are indicated. For Huoluan with watery diarrhea, Qimen (LR14) is indicated. For Jue Ni (Cold Extremities) combined with Huoluan, Fushé (LR13) is indicated. For Stomach Qi rebellion combined with Huoluan, Yuji (LU10) is indicated. For Huoluan with rebellious Qi, Yuji (LU10) and Taibai (SP3) are indicated. For Huoluan with involuntary passage of flatus, Zusanli (ST36) is indicated. For acute Huoluan, Puxuan (BL60) is indicated. For Huoluan with muscle cramps, Jinmen (BL63), Puxuan (BL60), Chengshan (BL57), and Chengjin (BL56) are indicated. For Huoluan with bi-syndrome in the lower legs and numbness [Qianjin Fang states: indicates convulsions and soreness of the feet], Chengjin (BL56) is indicated.
For cramps occurring on the Yang aspect, regulate the Yang meridians; for cramps on the Yin aspect, regulate the Yin meridians; in both cases, use rapid pricking methods.
Wind injury in Spring leads to Sund Xie (undigested food diarrhea) in Summer, known as Chang Pi (Intestinal Dysentery/Pus-Blood Disorder). Long-term wind pathogen causes Sund Xie. In Sund Xie, if the pulse is small and hands/feet are cold, it is difficult to cure; if the pulse is large and hands/feet are warm, it is easy to cure. The Yellow Emperor asked: What about Chang Pi with bloody stool? Qibo replied: If the body is hot, prognosis is poor (death); if the body temperature is normal, prognosis is good (survival). Asked: What about Chang Pi with white mucus discharge? Replied: If the pulse is deep, survival; if floating, death. Asked: What about Chang Pi with pus and blood discharge? Replied: If the pulse is suspended and severed (extreme abnormality), death; if slippery and large, survival. Asked: Regarding Chang Pi category, if the body is not hot and the pulse is not suspended/severed, what happens? Replied: Slippery and large pulses indicate survival; suspended and choppy pulses indicate death, predicting the time of death based on the affected Zang organ.
For Sund Xie, tonify Sanyinjiao (SP6) and Yinlingquan (SP9); retain needles for a long time until warmth spreads, then remove.
For disease with bloody diarrhea, select Ququan (LR8) and Wuli (ST37). For cold and heat in the intestines, with diarrhea, Chang Pi, and bloody stool, Huiyang (BL35) is indicated. For intestinal rumbling and diarrhea, [point missing in text] is indicated. For Chang Pi diarrhea with cutting pain, Siman (KI25) is indicated. For pus and blood in stool, cold in the middle jiao, undigested food, and abdominal pain, Fu'ai (SP15) is indicated. For periumbilical pain radiating to the heart, cold knees with diarrhea, Fu'ai (SP15) is indicated. For Tang Jia (soft masses with loose stools), abdominal pain, and Zang Bi syndrome, Diji (SP8) is indicated. For Sund Xie, Taichong (LR3) is indicated. For unformed stool with undigested food and irregular cold/heat, Yinlingquan (SP9) is indicated. For Chang Pi, [point missing in text] is indicated. For Sund Xie with Large Intestine pain, Juxu Shanglian (ST37) is indicated.