(余见咳逆上气 喘 伤寒呕哕)
然谷、天泉、陷谷、胸堂、章门、曲泉、天突、云门、肺俞、临泣、肩井、风门、行间
、主
咳逆。(千)维道、主咳逆不止。大陵、主咳逆寒热发。大陵、少商、主咳逆喘。大
泉、主咳逆胸满。喘不得息。(明下同。)三里、主咳逆多吐。中府、主肺系急。咳辄胸
痛。前谷、主咳而胸满。经渠、行间、主喜咳。侠白、主咳。干呕烦满。支沟、主
咳。面赤而热。咳唾噫。善咳。气无所出。先取三里。后取太白、章门。(并千。)
孔最、天泉、(见心痛。)大溪、(见心痛。)行间、俞府、(见喘。)神封、(见胸满。)
腹结
、(见脐痛。)少商、(见善噫。)浮白、治咳逆。(铜)肝俞、治咳引两胁急痛。不得息。转
侧难橛胁下与脊相引而反折。目上视。目眩。循眉头痛。惊狂鼽衄。起则目KT KT 。目生白翳
。咳引胸中痛。寒疝小腹痛。唾血短气。明下云、疗咳逆。两胁满闷。鱼际、治咳引尻痛
。窍阴、治胁痛。咳逆不得息。浮白、疗咳逆。疝积胸满。不得喘息。胸瘵。(明)太
渊、疗咳逆烦心。不得卧。(下)灸咳逆法。乳下一指许。正与乳相直骨间陷中。妇人即屈
乳头度之。乳头齐处是穴。炷如小豆许。灸三壮。男左女右。只一处火到肌。即瘥。良方云
、族中有霍乱吐痢垂困。忽发咳逆。遂至危殆。与 延陈中裕病伤寒。咳逆甚。气已不属。
皆一灸而愈云。凡伤寒及久病。得咳逆、皆为恶候。投药不效者。灸之必瘥。若不瘥、则多
不救。(必用方云。哕者克逆也。见呕哕。)
咳病有十。曰风咳、寒咳、支咳、胆咳、厥阴咳、与五脏咳。千金载其刺法详矣。而伤
为恶证。施秘监尊人患伤寒咳甚。医告技穷。施检灸经。于结喉下灸三壮。即瘥。盖天突穴
也。神哉神哉。
(相关内容参见“咳逆上气”、“喘”、“伤寒呕哕”章节)
然谷穴、天泉穴、陷谷穴、胸堂穴、章门穴、曲泉穴、天突穴、云门穴、肺俞穴、临泣穴、肩井穴、风门穴、行间穴,主治咳逆。(出自《千金方》)
维道穴,主治咳逆不止。
大陵穴,主治咳逆伴有寒热发作。
大陵穴、少商穴,主治咳逆伴喘。
天泉穴,主治咳逆伴胸中胀满、气喘无法呼吸。(以下注明“明下同”者,均出自明代著作)
足三里穴,主治咳逆且多呕吐。
中府穴,主治肺系拘急,咳嗽时随即胸痛。
前谷穴,主治咳嗽伴胸中胀满。
经渠穴、行间穴,主治易发咳嗽。
侠白穴,主治咳嗽,干呕烦闷。
支沟穴,主治咳嗽,面色红赤发热,咳嗽吐沫嗳气,善咳,气机阻滞不出。先取足三里穴,后取太白穴、章门穴。(均出自《千金方》)
孔最穴、天泉穴(参见心痛章节)、大溪穴(即太溪穴,参见心痛章节)、行间穴、俞府穴(参见喘章节)、神封穴(参见胸满章节)、腹结穴(参见脐痛章节)、少商穴(参见善噫章节),浮白穴,治疗咳逆。(出自《铜人腧穴针灸图经》)
肝俞穴,治疗咳嗽牵引两侧胁肋拘急疼痛,呼吸困难,转身困难,胁下与脊柱相互牵引导致身体反折,眼球上视,头晕目眩,沿眉毛处头痛,惊恐狂乱,鼻渊鼻衄,起身则眼前昏花,眼睛生白翳,咳嗽牵引胸中疼痛,寒疝小腹痛,唾血短气。明代著作称其可治疗咳逆,两胁满闷。
鱼际穴,治疗咳嗽牵引尻部疼痛。
窍阴穴,治疗胁痛,咳逆呼吸困难。
浮白穴,治疗咳逆,疝气积聚胸中胀满,不能喘息,胸瘵。(出自明代著作)
太渊穴,治疗咳逆心烦,无法安卧。(出自下部文献)
灸治咳逆的方法:在乳头下一指宽处,正对乳头垂直方向的肋骨间隙凹陷中。妇女可用屈起的乳头度量,乳头齐平处即为穴位。艾炷如小豆大小,灸三壮。男性取左侧,女性取右侧。只要火气到达肌肉层,病即可痊愈。《良方》记载:族中有霍乱吐痢濒临危困之人,忽然发作咳逆,遂至危险境地;还有陈中裕患伤寒,咳逆严重,气息已不相续,都只灸了一处便痊愈了。凡是伤寒及久病,出现咳逆,都属于不良征候,用药无效时,施灸必定痊愈。如果灸后不愈,则大多难以救治。(《必用方》记载:哕即是咳逆,参见“呕哕”章节。)
咳嗽病症有十种:分别是风咳、寒咳、支咳、胆咳、厥阴咳,以及五脏咳。《千金方》详细记载了其刺法。而伤寒引发的咳嗽属于恶证。施秘监的父亲患伤寒咳嗽剧烈,医生技艺穷尽束手无策。施秘检阅灸经,在结喉下方灸三壮,立即痊愈。这大概就是天突穴。真是神奇啊!
(For related content, see sections on "Ke Ni Shang Qi" (Coughing and Reverse Flow of Qi), "Chuan" (Wheezing/Asthma), and "Shang Han Ou Yue" (Vomiting and Hiccups in Cold Damage).)
Rangu (KI2), Tianquan (HT10), Xian Gu (ST43), Xiong Tang (EX-UE7), Zhangmen (LR13), Ququan (LR8), Tiantu (CV22), Yunmen (LU2), Feishu (BL13), Linqi (GB41), Jianjing (GB21), Fengmen (BL12), Xingjian (LR2) treat Ke Ni (Coughing and Reverse Flow of Qi). (Source: *Qianjin Fang*)
Weidao (GB28) treats persistent Ke Ni.
Daling (PC7) treats Ke Ni accompanied by alternating chills and fever.
Daling (PC7) and Shaoshang (LU11) treat Ke Ni accompanied by wheezing.
Tianquan (HT10) treats Ke Ni with chest fullness and inability to breathe due to panting. (Note: "Ming tong xia" indicates subsequent references are from Ming dynasty texts.)
Zusanli (ST36) treats Ke Ni with frequent vomiting.
Zhongfu (LU1) treats spasm of the lung system, where coughing is immediately followed by chest pain.
Qian Gu (SI2) treats cough with chest fullness.
Jingqu (LU8) and Xingjian (LR2) treat frequent coughing.
Xiabai (LU2) treats cough, dry retching, and irritability/fullness.
Zhigou (TE6) treats cough with red and hot face, coughing up saliva and belching, propensity to cough, and obstruction of qi flow. First select Zusanli (ST36), then select Taibai (SP3) and Zhangmen (LR13). (Sources: *Qianjin Fang*)
Kongzui (LU6), Tianquan (HT10) (see Heart Pain section), Daxi (i.e., Taixi KI3) (see Heart Pain section), Xingjian (LR2), Yufu (BL23) (see Wheezing section), Shenfeng (BL19) (see Chest Fullness section), Fujie (ST25) (see Umbilical Pain section), Shaoshang (LU11) (see Frequent Belching section), Fu Bai (GB12) treat Ke Ni. (Source: *Tongren Shuxue Zhenjiu Tujing*)
Ganshu (BL18) treats cough radiating to acute pain in both hypochondria, dyspnea, difficulty turning the body, pulling sensation between the hypochondrium and spine causing opisthotonos, upward deviation of the eyes, vertigo, headache along the eyebrows,惊狂 (panic and mania), rhinorrhea, and epistaxis. Upon rising, vision becomes blurred ("KT KT"), and leukoma develops. Cough radiates to chest pain, cold hernia with lower abdominal pain, hemoptysis, and shortness of breath. Ming dynasty texts state it treats Ke Ni and fullness/stuffiness in both hypochondria.
Yuji (LU10) treats cough radiating to pain in the sacrum.
Qiaoyin (GB44) treats hypochondriac pain and Ke Ni with dyspnea.
Fu Bai (GB12) treats Ke Ni, hernia accumulation with chest fullness, inability to breathe, and chest phthisis. (Source: Ming dynasty text)
Taiyuan (LU9) treats Ke Ni with irritability and inability to lie down. (Source: Lower volume text)
**Moxibustion Method for Ke Ni:**
One finger-breadth below the nipple, in the depression of the intercostal space directly aligned with the nipple. For women, measure using a flexed nipple; the point aligns with the nipple tip. Use an moxa cone the size of a small bean, apply three moxibustions (Zhuang). Treat the left side for men and the right side for women. As long as the heat penetrates to the muscle layer, the disease will resolve.
*Li Fang* records: A clan member suffering from cholera-like vomiting and diarrhea was near death when sudden Ke Ni occurred, leading to critical danger. Another case involves Chen Zhongyu suffering from severe Ke Ni due to Cold Damage, with disconnected breath. Both were cured after a single application of moxibustion. Generally, Ke Ni appearing in Cold Damage or chronic diseases is a ominous sign. If medicinal treatment fails, moxibustion will surely cure it. If moxibustion fails, recovery is unlikely. (*Bi Yong Fang* notes: "Yue" refers to Ke Ni; see Vomiting and Hiccups section.)
There are ten types of cough: Wind Cough, Cold Cough, Branch Cough, Gallbladder Cough, Jueyin Cough, and Five-Zang Cough. *Qianjin Fang* details their acupuncture methods. However, cough arising from Cold Damage is a malignant syndrome. The father of Supervisor Shi suffered from severe cough due to Cold Damage; physicians exhausted their skills. Supervisor Shi consulted the acupuncture classics and applied three moxibustions below the laryngeal prominence (Jie Hou), resulting in immediate recovery. This point is likely Tiantu (CV22). Truly miraculous!