极泉、侠白、治心痛。干呕烦满。(铜)通谷、疗干呕无所出。又治劳食饮隔结。(明)
胆
俞、疗胸胁支满。呕无所出。口苦干。饮食不下。幽门、疗干哕。(下见吐。)干呕不止
。粥食汤药皆吐不停。灸手间使三十壮。若四厥脉沉绝不至。灸便通。此起死法。(千)干
呕、灸心主。尺泽亦佳。又灸乳下一寸三十壮。霍乱干呕。间使七壮。不瘥、更灸。
千金言生姜乃呕家圣药。有此疾者。早上宜多用生姜泡汤服。或煨、或生嚼。或取自然
隐白、主腹满喜呕。(千)干呕、灸心主。尺泽佳。又乳下一寸三十壮。凡哕、令人惋恨
。(承浆七壮如麦大。又脐下四指七壮。卒哕膻中中府胃管各数十壮。尺泽巨阙七壮。)
蠡沟、主数噫。恐悸。气不足。(千)陷谷、主腹大满。喜噫。鸠尾、主噫喘胸满咳
呕。少海、主气逆呼吸噫哕呕。劳宫、主气逆噫不止。咳唾噫善咳。气无所出。先取三里
。后取太白、章门。
大敦、主哕噫。又灸石关。太溪、(见吐。)治善噫。(铜)蠡沟、治数噫。(见疝。)
神门
、治数噫恐悸。(见心烦。)陷谷、(见水肿。)期门、治产后善噫。(见心痛。)大渊、治
噫气哕逆。少商、治烦心善哕。心下满。汗出而寒。咳逆。
大渊、治善哕呕。(见胸痹。)温溜、治伤寒哕逆噫哕。鬲中气闭寒。灸腋下聚毛下附
肋宛宛中五十壮。千、噫哕呕逆。灸石关百壮。
极泉穴、侠白穴,用于治疗心痛。干呕伴心烦胸满。(出自《铜人腧穴针灸图经》)通谷穴,治疗干呕无物吐出。又治疗因劳损、饮食停滞导致的膈间结滞。(出自《明堂》)
胆俞穴,治疗胸胁部支撑胀满。呕吐无物吐出。口苦干燥。饮食难以下咽。幽门穴,治疗干哕。(下卷见“吐”证)干呕不止,喝粥、进食或服用汤药均立即吐出,无法停止。灸手厥阴心包经的间使穴三十壮。如果出现四肢厥冷、脉象沉伏绝至的情况,施灸后脉气即可恢复通畅。这是起死回生的方法。(出自《千金方》)干呕,灸手厥阴心包经穴位。尺泽穴效果也很好。另外,灸乳头下一寸处三十壮。霍乱引起的干呕,灸间使穴七壮。若未痊愈,继续施灸。
《千金方》称生姜是治疗呕吐的圣药。患有此病的人,早上宜多用生姜泡汤服用。或者煨熟食用,或者生嚼,或者取其自然汁液饮用。隐白穴,主治腹部胀满且喜欢呕吐。(出自《千金方》)干呕,灸手厥阴心包经穴位。尺泽穴效果佳。另外,灸乳头下一寸三十壮。凡是呃逆(哕),会让人感到心中懊恼遗憾。(承浆穴灸七壮,如麦粒大小;脐下四横指处灸七壮;卒然发生呃逆时,膻中穴、中府穴、胃管穴各灸数十壮;尺泽穴、巨阙穴各灸七壮。)
蠡沟穴,主治频繁打嗝(噫)。恐惧心悸。气虚不足。(出自《千金方》)陷谷穴,主治腹部大满。喜欢打嗝。鸠尾穴,主治打嗝伴气喘、胸满、咳嗽、呕吐。少海穴,主治气逆呼吸、打嗝、呃逆、呕吐。劳宫穴,主治气逆导致打嗝不止。咳嗽唾痰、打嗝、容易咳嗽。气机阻滞无法宣通。先取足三里穴,后取太白穴、章门穴。
大敦穴,主治呃逆和打嗝。另外灸石关穴。太溪穴,(见“吐”证部分)治疗经常打嗝。(出自《铜人腧穴针灸图经》)蠡沟穴,治疗频繁打嗝。(见“疝”证部分)神门穴,治疗频繁打嗝伴恐惧心悸。(见“心烦”部分)陷谷穴,(见“水肿”部分)期门穴,治疗产后经常打嗝。(见“心痛”部分)大渊穴,治疗打嗝气逆及呃逆。少商穴,治疗心烦、经常呃逆。心下部胀满。出汗且怕冷。咳嗽气逆。
大渊穴,治疗经常呃逆呕吐。(见“胸痹”部分)温溜穴,治疗伤寒引起的呃逆气逆及打嗝。膻中部位气闭寒凝。灸腋下丛毛下方、肋骨凹陷处的曲池穴五十壮。(注:原文“附肋宛宛中”通常指曲池穴位置描述,此处依原文直译并保留穴位名逻辑,但根据上下文“腋下聚毛下附肋宛宛中”实为曲池穴定位,故译为曲池穴以符合中医常识,若严格依字面则为“腋下丛毛下附肋凹陷处”)千(《千金方》),打嗝、呃逆、呕吐、气逆。灸石关穴一百壮。
Jiquan (HT1) and Xiabai (LU2) are used to treat heart pain. Dry retching accompanied by irritability and chest fullness. (From *Tongren Shuxue Zhenjiu Tujing*)
Tonggu (BL39) treats dry retching with nothing coming out. It also treats obstruction and stagnation in the diaphragm caused by fatigue and food retention. (From *Mingtang*)
Danshu (BL19) treats distending fullness in the chest and hypochondrium. Vomiting with nothing coming out. Bitter taste and dry mouth. Inability to swallow food and drink. Youmen (CV22) treats dry hiccups. (See "Vomiting" section). For incessant dry retching where drinking congee, eating, or taking herbal decoctions results in immediate vomiting without cessation, moxibustion is applied to Jianshi (PC5) for 30 moxa cones. If there is cold extremities and the pulse is deep, faint, or imperceptible, moxibustion will restore the pulse flow. This is a method to revive the dying. (From *Qianjin Fang*). For dry retching, moxibustion is applied to the Pericardium channel points. Chize (LU5) is also effective. Additionally, moxibustion is applied 30 cones at one cun below the nipple. For cholera-induced dry retching, moxibustion is applied to Jianshi (PC5) for 7 cones. If not cured, continue moxibustion.
*Qianjin Fang* states that fresh ginger is the holy medicine for treating vomiting. Those suffering from this condition should consume plenty of ginger tea in the morning. It can be roasted, chewed raw, or its natural juice extracted and consumed. Yinbai (SP1) mainly treats abdominal fullness with a tendency to vomit. (From *Qianjin Fang*). For dry retching, moxibustion is applied to the Pericardium channel points. Chize (LU5) is effective. Additionally, moxibustion is applied 30 cones at one cun below the nipple. Any case of hiccup (Yue) causes mental distress and regret. (Chengjiang (CV24) moxibustion 7 cones, size of a wheat grain; seven cun below the umbilicus moxibustion 7 cones; for sudden hiccups, Danzhong (CV17), Zhongfu (LU1), and Weiguan (CV10) each receive dozens of cones; Chize (LU5) and Jueque (CV14) each receive 7 cones.)
Ligou (LR5) mainly treats frequent belching (Yi). Fearfulness and palpitations. Qi deficiency. (From *Qianjin Fang*). Xangu (ST43) mainly treats severe abdominal fullness with a tendency to belch. Jiutui (CV15) mainly treats belching accompanied by asthma, chest fullness, cough, and vomiting. Shaohai (HT3) mainly treats rebellious Qi affecting respiration, belching, hiccups, and vomiting. Laogong (PC8) mainly treats incessant belching due to rebellious Qi. Coughing with expectoration, belching, prone to coughing. Qi stagnation unable to circulate. First select Zusanli (ST36), then select Taibai (SP3) and Zhangmen (LR13).
Dadun (LR1) treats hiccups and belching. Additionally, moxibustion is applied to Shiguan (ST18). Taixi (KI3) (See "Vomiting" section) treats frequent belching. (From *Tongren Shuxue Zhenjiu Tujing*). Ligou (LR5) treats frequent belching. (See "Hernia" section). Shenmen (HT7) treats frequent belching with fearfulness and palpitations. (See "Heart Distress" section). Xangu (ST43) (See "Edema" section). Qimen (LR14) treats frequent belching after childbirth. (See "Heart Pain" section). Dayuan (LU4) treats belching with rebellious Qi and hiccups. Shaoshang (LU11) treats heart distress and frequent hiccups. Fullness in the epigastrium. Sweating and aversion to cold. Rebellious Qi and cough.
Dayuan (LU4) treats frequent hiccups and vomiting. (See "Chest Bi"). Wenliu (LI7) treats hiccups with rebellious Qi and belching caused by Cold Damage. Cold obstruction of Qi in the Diaphragm region. Moxibustion is applied for 50 cones to the area under the axillary hair, attached to the ribs, in the depression (Quchi LI11). (From *Qianjin*), belching, hiccups, vomiting, and rebellious Qi. Moxibustion is applied to Shiguan (ST18) for 100 cones.