中封、治身体不仁。(铜见痹。)少商、主手不仁。(千)肩贞、主手 小不举。内
、主四厥手足闷。列缺、主四肢厥。喜笑。曲池、支沟、 会、腕骨、肘 、主节痹。
曲池、天井、外关、主臂痿不仁。白环俞、疗手足不仁。(明下见脊。)曲池、主手不举
。又主手不可举重。腕急。肘中痛。难屈伸。间使、主手痛。阳溪、主臂腕外侧痛不举
。中冲、少冲、(明同。)劳宫、太泉、经渠、列缺、主手掌热。肘中痛。劳宫、疗手
掌浓疮痹。(铜云手痹。)手皮白屑起。(明)劳宫、治手痹。(铜)附分、治肘臂不仁。(
铜见风劳。)上廉、治手足不仁。(见偏风。)肘 、天井、疗肘臂不仁。(明下见肘痛。
有贵人手中指挛。已而无名指小指亦挛。医为灸肩髀曲池支沟而愈。支沟在腕后三寸。
或灸风疾。多有不灸支沟。只灸合谷云。
(手掣痛 余论见手麻)
养老、主手不得上下。(千)阴交、主手足拘挛。太陵、主手挛不伸。心俞、肝俞
筋急手相引。(见转筋。)少商、治手挛指痛。(铜)少府、治掌中热。股腋挛急。胸中痛
。手卷不伸。少冲、疗手卷不得伸。(明堂上云。治手挛不伸。引眼痛。)外关、疗肘
腕酸重。屈伸难。十指痛不得握。(明下)铜人云、治肘臂不得屈伸。五指痛。不能握物。
后溪、疗肘臂腕重。难屈伸。五指尽痛。不可掣。中渚、疗肘臂酸痛。手五指不握。尽痛
。铜人云、治咽肿肘臂痛。五指不得屈伸。腕骨、中渚、主五指掣。不可屈伸。太陵、
主手掣小偏。尺泽、主掣痛。手不可伸。治手足指掣痛不可忍。灸指端七壮。立瘥。
腕骨、治螈 。五指掣。(铜)扁骨、疗指臂痛。(明下见臂痛。)
中封穴,主治身体麻木不仁。(参考《铜人腧穴针灸图经》痹证篇。)少商穴,主治手部麻木不仁。(参考《千金方》。)肩贞穴,主治手臂及小指不能抬举。内关穴(原文“内”后缺字,据上下文及穴位功能推测为内关或间使,此处依原文保留“内”,但结合“四厥手足闷”通常对应内关或间使,鉴于后文有间使,且内关主胸胁支满、心悸等,此处暂译为内关,若严格按原文则需注明缺失),主治四肢厥冷、手足烦闷。列缺穴,主治四肢厥冷、喜笑。曲池穴、支沟穴、会宗穴(原文“ 会”推测为会宗)、腕骨穴、肘髎穴(原文“肘 ”推测为肘髎),主治关节痹痛。曲池穴、天井穴、外关穴,主治手臂痿软麻木。白环俞穴,治疗手足麻木不仁。(参考《明堂》下卷见脊部。)曲池穴,主治手臂不能抬举。又主治手臂不能提重物、手腕拘急、肘中疼痛、难以屈伸。间使穴,主治手部疼痛。阳溪穴,主治臂腕外侧疼痛、不能抬举。中冲穴、少冲穴(《明堂》记载相同)、劳宫穴、太渊穴(原文“太泉”即太渊)、经渠穴、列缺穴,主治手掌发热、肘中疼痛。劳宫穴,治疗手掌脓疮、痹证。(《铜人》称手痹。)手皮起白色皮屑。(《明堂》记载。)劳宫穴,治疗手痹。(《铜人》记载。)附分穴,治疗肘臂麻木不仁。(《铜人》见风劳篇。)上廉穴,治疗手足麻木不仁。(见偏风篇。)肘髎穴、天井穴,治疗肘臂麻木不仁。(《明堂》下卷见肘痛。曾有一位贵人手指拘挛,随后无名指和小指也发生拘挛。医生为他灸治肩髃、曲池、支沟而痊愈。支沟穴位于腕后三寸。或者有人灸治风疾时,多不灸支沟,只灸合谷穴。)
(手掣痛 我的论述见手麻篇)
养老穴,主治手臂不能上下活动。(《千金方》。)阴交穴,主治手足拘挛。太陵穴,主治手部拘挛不能伸展。心俞穴、肝俞穴,主治筋脉紧急、双手相互牵引。(见转筋篇。)少商穴,治疗手部拘挛、手指疼痛。(《铜人》。)少府穴,治疗掌心发热、大腿腋下拘急、胸中疼痛、手握拳不能伸展。少冲穴,治疗手握拳不能伸展。(《明堂》上卷云:治疗手部拘挛不能伸展,牵引眼痛。)外关穴,治疗肘腕酸重、屈伸困难、十指疼痛不能握物。(《明堂》下卷。)《铜人》云:治疗肘臂不能屈伸、五指疼痛、不能握物。后溪穴,治疗肘臂腕部沉重、难以屈伸、五指尽痛、不能牵拉。中渚穴,治疗肘臂酸痛、手部五指不能握物、尽痛。《铜人》云:治疗咽喉肿痛、肘臂疼痛、五指不能屈伸。腕骨穴、中渚穴,主治五指抽搐、不能屈伸。太陵穴,主治手部抽搐、小指偏斜。尺泽穴,主治抽搐疼痛、手臂不能伸展、治疗手足手指抽搐疼痛难忍,灸指尖七壮,立即痊愈。腕骨穴,治疗肌肉跳动、五指抽搐。(《铜人》。)扁骨穴(注:此名存疑,古籍中少见,或为别名/误写,此处直译),治疗手指和手臂疼痛。(《明堂》下卷见臂痛篇。)
Zhongfeng (KI7) treats numbness and insensitivity of the body. (See Bi Syndrome in *Tongren*.) Shaoshang (LU11) governs numbness of the hand. (See *Qianjin Fang*.) Jianzhen (SI9) governs inability to lift the arm and little finger. Neiguan (PC6, inferred from context "Nei..."), governs cold limbs and stuffiness in the hands and feet. Lieque (LU7) governs cold limbs and excessive laughter. Quchi (LI11), Zhigou (TE6), Huizong (TE7, inferred from "...Hui"), Wanggu (SI4), and Zhouliao (SI10, inferred from "Zhou..."), govern joint bi-syndrome. Quchi (LI11), Tianjing (TE10), Waiguan (TE5), govern flaccidity and numbness of the arm. Baihuan Shu (BL30) treats numbness and insensitivity of the hands and feet. (See *Mingtang*, lower volume, spine section.) Quchi (LI11) governs inability to lift the hand. It also governs inability to lift heavy objects, wrist stiffness, pain in the elbow center, and difficulty in flexion and extension. Jianshi (PC5) governs hand pain. Yangxi (LI5) governs pain on the lateral side of the forearm and wrist with inability to lift. Zhongchong (PC9), Shaochong (HT9) (*Mingtang* records are identical), Laogong (PC8), Taiyuan (LU9, original text "Tai Quan"), Jingqu (LU8), and Lieque (LU7) govern heat in the palm and pain in the elbow center. Laogong (PC8) treats suppurative sores and bi-syndrome of the palm. (*Tongren* refers to hand bi-syndrome.) White scales appearing on the skin of the hand. (*Mingtang* record.) Laogong (PC8) treats hand bi-syndrome. (*Tongren* record.) Fufen (BL17) treats numbness and insensitivity of the elbow and arm. (See Wind-Lao section in *Tongren*.) Shanglian (LI10) treats numbness and insensitivity of the hands and feet. (See Pian Feng section.) Zhouliao (SI10) and Tianjing (TE10) treat numbness and insensitivity of the elbow and arm. (*Mingtang* lower volume sees elbow pain. A nobleman once had cramping of the middle finger, which subsequently affected the ring and little fingers. The physician cured him by moxibustion on Jianyu (LI15), Quchi (LI11), and Zhigou (TE6). Zhigou is located three cun posterior to the wrist. Some practitioners treating wind diseases often do not moxa Zhigou, but only Hegu (LI4).*
(Hand spasms and pain; my discussion is found in the Hand Numbness section.)
Yanglao (SI6) governs inability to move the hand up and down. (*Qianjin Fang*.) Yinjiao (RN15) governs contracture of the hands and feet. Tailing (PC7) governs hand contracture with inability to extend. Xinshu (BL15) and Ganshu (BL18) govern tendon tension with mutual pulling of the hands. (See Tendon Cramp section.) Shaoshang (LU11) treats hand contracture and finger pain. (*Tongren*.) Shaofu (HT8) treats heat in the palm, contracture and urgency in the thigh and axilla, chest pain, and hand curling with inability to extend. Shaochong (HT9) treats hand curling with inability to extend. (*Mingtang* upper volume states: treats hand contracture with inability to extend, drawing eye pain.) Waiguan (TE5) treats soreness and heaviness of the elbow and wrist, difficulty in flexion and extension, and pain in the ten fingers with inability to grasp. (*Mingtang* lower volume.) *Tongren* states: treats inability to flex and extend the elbow and arm, pain in the five fingers, and inability to grasp objects. Houxi (SI3) treats heaviness of the elbow, arm, and wrist, difficulty in flexion and extension, pain in all five fingers, and inability to pull. Zhongzhu (TE3) treats soreness and pain of the elbow and arm, inability of the five fingers of the hand to grasp, and pain throughout. *Tongren* states: treats swollen throat, elbow and arm pain, and inability of the five fingers to flex and extend. Wanggu (SI4) and Zhongzhu (TE3) govern spasms of the five fingers with inability to flex and extend. Tailing (PC7) governs hand spasms with deviation of the little finger. Chize (LU5) governs spasm and pain, inability to extend the hand, and treats unbearable spasming pain of the fingers of the hands and feet. Moxa seven grains at the tip of the finger for immediate recovery. Wanggu (SI4) treats muscle twitching and spasms of the five fingers. (*Tongren*.) Bangu (Note: Name uncertain/rare, literal translation), treats pain of the fingers and arm. (*Mingtang* lower volume sees arm pain section.)