肝病者两胁下满引小腹,令人善怒,虚则目KT KT 无所见,耳无所闻,善恐,如人将捕之
。取
其经,厥阴与少阳气逆则头痛耳聋不聪,取血者,心病者胸中痛,胁支满,胁下痛,膺背肩
甲间痛,臂内痛,虚则胸腹大,胁下与腰相引而痛。取其经,少阴太阳舌下血者,其变病刺
中血者。脾病者身重,善饥肉痿,足不收行,善 脚下痛,虚则腹满肠鸣,飧泄食不化。
取其经太阳阳明少阴血者。肺病者喘咳逆气,肩背痛,汗出尻冷,阴股膝脾 足皆痛,虚
则少气不能报息,耳聋嗌干。取其经,太阴足太阳之外,厥阴内血者。肾病者腹大胫肿,喘
咳身重,寝,汗出憎风,虚则胸中痛,大腹小腹痛,清厥意不乐。取其经,少阴太阳血者。
太阳脏独至,厥喘虚气逆,是阴不足,阳有余也,表里俱当泻,取之下俞。阳明脏独至,是
阳气重并也当泻阳补阴,取下俞。少阳脏独至,是厥气也,跷前卒大。取之下俞,少阳独至
者,一阳之过也。太阴脏搏者,用心省真,五脉气少,胃气不平,三阴也,宜治其下俞。补
阳泻阴,一阳独啸,少阳厥也,阳并与上,四肢争张,气满于肾。宜治其经络,泻阳补阴,
一阴至厥阴之治也。真虚 心,厥气留薄,发为自汗,调食和药,治在下俞。五脏有疾,当
取十二原。十二原者,五脏之所禀,三百六十五节气味也。五脏有疾也,应出十二原。十二
原各有所出,明知其原,观其应而知五脏之害。阳中之少阴肺也,其原出于太渊,太渊二,
阳中之太阳心也,其原出于大陵,大陵二。阴中之少阳肝也。其原出于太冲,太冲二。阴中
之至阴脾也,其原出于太白,太白二。阴中之太阴肾也,其原出于太溪,太溪二,膏之原出
于鸠尾,鸠尾一,盲之原出于脖 ,脖 一。凡此十二原者,主治五脏六腑之有疾者也。
肝脏有病,表现为两侧胁肋部胀满并牵引至小腹,使人容易发怒;肝气虚弱时,则视物模糊不清,听觉减退,容易恐惧,感觉像有人要抓捕自己一样。治疗应选取肝经穴位,若厥阴经与少阳经之气上逆导致头痛、耳聋且听力不灵敏,应刺络放血。
心脏有病,表现为胸中疼痛,胁肋部支撑胀满,胁下疼痛,胸部、背部及肩胛骨间疼痛,手臂内侧疼痛;心气虚弱时,则胸腹部胀大,胁下与腰部相互牵引而痛。治疗应选取心经穴位,若手少阴经与手太阳经的舌下脉络有瘀血,或其变证出现针刺误伤血脉的情况,应处理相关血络。
脾脏有病,表现为身体沉重,容易饥饿但肌肉萎缩无力,足部弛缓不能收持行走,脚底疼痛;脾气虚弱时,则腹部胀满,肠鸣音亢进,完谷不化的泄泻。治疗应选取脾经穴位,若足太阳、足阳明、足少阴经的血络有异常,应进行相应处理。
肺脏有病,表现为气喘咳嗽、气机上逆,肩背疼痛,出汗,尾骶部寒冷,大腿内侧、膝盖、小腿及足部均疼痛;肺气虚弱时,则气短不足以接续呼吸,耳聋,咽喉干燥。治疗应选取肺经穴位,在足太阳经外侧、足厥阴经内侧的血络处施治。
肾脏有病,表现为腹部胀大,小腿肿胀,气喘咳嗽,身体沉重,睡眠不安,出汗且怕风;肾气虚弱时,则胸中疼痛,大腹和小腹疼痛,四肢厥冷,精神抑郁不乐。治疗应选取肾经穴位,若足少阴、足太阳经的血络有异常,应进行相应处理。
太阳经脏气独盛,出现厥逆、气喘、虚气上逆的症状,这是阴气不足、阳气有余的表现,表里两经都应当泻法,取用下肢的输穴。阳明经脏气独盛,是阳气重聚于内的表现,应当泻阳补阴,取用下肢的输穴。少阳经脏气独盛,是厥气所致,跷脉前方突然肿大。取用下肢的输穴。少阳经独盛,是一阳之气的过盛。太阴经脏气搏击(邪气盛实),需要用心审察真气,此时五脏脉气衰弱,胃气不平,属于三阴经病变,适宜治疗其下肢的输穴。采用补阳泻阴的方法。一阳之气独自啸动,是少阳厥逆,阳气并聚于上部,四肢争张,气满于肾。适宜治疗其经络,泻阳补阴。一阴之气至,是厥阴经的治疗。真元虚弱之心病,厥气停留结合,引发盗汗或自汗,需调理饮食和药物,治疗在下肢的输穴。
五脏发生疾病,应当取用十二原穴。十二原穴,是五脏精气所禀赋之处,也是三百六十五节气味汇聚的地方。五脏有病,反应会出现在十二原穴上。十二原穴各有出处,明确知道这些原穴,观察其反应就能知道五脏的损害情况。阳中的少阴是肺,其原穴出于太渊,双侧各一。阳中的太阳是心,其原穴出于大陵,双侧各一。阴中的少阳是肝,其原穴出于太冲,双侧各一。阴中的至阴是脾,其原穴出于太白,双侧各一。阴中的太阴是肾,其原穴出于太溪,双侧各一。膏之原穴出于鸠尾,单穴。盲之原穴出于脖胦(即石门穴),单穴。凡是这十二个原穴,主治五脏六腑的疾病。
When the Liver is diseased, there is fullness in the hypochondriac regions extending to the lower abdomen, causing irritability. When deficient, vision becomes blurred, hearing diminishes, fear arises easily, and one feels as if being pursued. Treatment should select points on the Liver Meridian. If Qi rebels upward in the Jueyin and Shaoyang meridians causing headache, deafness, and poor hearing, bloodletting should be performed.
When the Heart is diseased, there is pain in the chest, distension and fullness in the hypochondria, pain under the ribs, pain in the chest, back, and between the scapulae, and pain in the medial aspect of the arm. When deficient, the chest and abdomen become distended, and pain is felt with traction between the hypochondria and the waist. Treatment should select points on the Heart Meridian. For cases involving sublingual blood vessels of the Shaoyin and Taiyang meridians, or complications from accidental vessel injury during needling, appropriate blood management is required.
When the Spleen is diseased, the body feels heavy, hunger is frequent but muscles are atrophic and weak, the feet are flaccid and difficult to lift for walking, and there is pain in the soles. When deficient, abdominal fullness, borborygmus, and undigested stool diarrhea occur. Treatment should select points on the Spleen Meridian; if abnormalities exist in the blood vessels of the Foot-Taiyang, Foot-Yangming, and Foot-Shaoyin meridians, corresponding treatment is applied.
When the Lungs are diseased, there is wheezing, coughing, rebellious Qi, shoulder and back pain, sweating, coldness in the sacral region, and pain in the inner thigh, knee, calf, and foot. When deficient, there is shortness of breath, inability to complete inhalation, deafness, and dry throat. Treatment should select points on the Lung Meridian, specifically targeting blood vessels located lateral to the Foot-Taiyang meridian and medial to the Foot-Jueyin meridian.
When the Kidneys are diseased, there is abdominal distension, swelling of the calves, wheezing, coughing, heaviness of the body, restless sleep, sweating with aversion to wind. When deficient, there is pain in the chest, distending pain in the greater and lesser abdomen, cold extremities (Jue), and mental depression. Treatment should select points on the Kidney Meridian; if abnormalities exist in the blood vessels of the Foot-Shaoyin and Foot-Taiyang meridians, corresponding treatment is applied.
If the Taiyang organ Qi is exclusively excessive, presenting with Jue-ni (rebellious Qi), wheezing, and upward rushing of deficient Qi, this indicates Yin deficiency and Yang excess. Both exterior and interior meridians should be reduced, using the Shu-Stream points of the lower limbs. If the Yangming organ Qi is exclusively excessive, indicating a concentration of Yang Qi internally, Yang should be reduced and Yin supplemented, using the Shu-Stream points of the lower limbs. If the Shaoyang organ Qi is exclusively excessive, indicating Jue Qi, sudden swelling occurs anterior to the Qiao vessels. The Shu-Stream points of the lower limbs should be selected. Exclusive excess in Shaoyang represents an overabundance of One-Yang. If the Taiyin organ Qi is combative (excessive pathogenic factor), careful examination of True Qi is needed; when Qi of the five pulses is scanty and Stomach Qi is unbalanced, it is a disease of the Three-Yin meridians, suitable for treating the lower Shu-Stream points. Use tonification of Yang and reduction of Yin. "One-Yang whistling alone" indicates Shaoyang Jue, where Yang Qi merges upward, causing tension in the four limbs and Qi filling the Kidneys. Treating the meridians with reduction of Yang and tonification of Yin is indicated. Arrival of One-Yin pertains to the treatment of Jueyin. For True Deficiency affecting the Heart, where Jue Qi lingers and combines, causing spontaneous sweating, diet and herbs should be regulated, and treatment focused on the lower Shu-Stream points.
When diseases affect the Five Zang organs, the Twelve Yuan-Source points should be selected. The Twelve Yuan-Source points are where the Qi of the Five Zang organs is endowed and where the Qi and flavor of the 365 acupoints converge. When the Five Zang organs are diseased, reactions manifest at the Twelve Yuan-Source points. Each Yuan-Source point has its specific origin. Knowing these origins and observing their reactions allows one to understand damage to the Five Zang organs. The Lesser Yin within Yang is the Lung, its Yuan-Source point is Taiyuan (LU9), bilateral. The Greater Yang within Yang is the Heart, its Yuan-Source point is Daling (PC7), bilateral. The Lesser Yang within Yin is the Liver, its Yuan-Source point is Taichong (LR3), bilateral. The Supreme Yin within Yin is the Spleen, its Yuan-Source point is Taibai (SP3), bilateral. The Greater Yin within Yin is the Kidney, its Yuan-Source point is Taixi (KI3), bilateral. The Yuan-Source of the Gao (Epigastrium) is Jiugwei (CV15), single. The Yuan-Source of the Mang (Blind area/Metabolism) is Bozhong (ST15/Shimen KI5 context dependent, here referred to as Bó Yīng), single. These Twelve Yuan-Source points govern diseases of the Five Zang and Six Fu organs.