凡胸满短气不得汗。皆针补手太阴以出汗。(千)少泽、复留、昆仑、主疟寒汗不出。
历、主风疟汗不出。少泽、治疟寒热汗不出。(铜)上星、治 疟振寒热汗不出。哑门
、治头痛风汗不出。心俞、(见狂明同。)曲差、治心中烦满。汗不出。(明同。)陶道、
治洒淅寒热。脊强汗不出。(明同。)胆俞、治振寒汗不出。(见头痛。)命门、治头痛如
破。身热如火。汗不出。上脘、治身热汗不出。(见霍乱。)至阴、(见头痛。)鱼际、(
见寒热。)曲泉、(见疝。)侠溪、(见胸胁满。)中膂俞、治汗不出。(见消渴。)偏历
、治风汗不出。窍阴、治手足烦热。汗不出转筋。命门、(见头痛。)肺俞、(见汗。)
疗汗不出。(明)曲泽、疗汗出不过肩。(见唾血。)曲泽、主汗出不过肩。(甲见伤寒寒
热。)鱼际、疗汗不出。(见寒热。)
大都、疗热病汗不出。手足逆冷。腹满善呕。目眩烦心。四肢肿。(明下)凡温病身热
以上。汗不出。刺太泉留针一时取针。若未满五日。禁刺。劳宫、主热病三日以往。不得
甲乙亦云、主热病烦满欲呕哕。三日以往不得汗。怵惕。
胸胁不可反侧。咳满。溺赤小便血。衄不止。呕吐血。气逆噫不止。嗌中痛。食
不下。善渴。口中烂。掌中热。欲呕。(千)孔最、主臂厥热痛。汗不出。(明云。热病汗
不出。)皆灸刺之。此穴可出汗。经渠、阳池、阳谷、合谷、(明下同。)前谷、内庭、后
溪、腕骨、支沟、(明下同。)厉兑、冲阳、解溪、主热病汗不出。中冲等、主热病汗不出
。(见伤寒诸病。)命门、膀胱俞、上管、曲差、上星、陶道、天柱、上 、悬厘、风池、
主烦满汗不出。飞扬、主下部寒热。汗不出。体重。玉枕、大杼、肝俞、心俞、鬲俞、
陶道、主汗不出。凄厥恶寒。光明、主腹足清。寒热汗不出。曲泉、主身热头痛。汗不
鱼际、主头痛不甚汗出。
尺泽、主气隔喜呕。鼓颔。不得汗。烦心身痛。掖门、中渚、通理、主热病先不乐。头
痛面热无汗。伤寒温病、善摇头颜清。汗出不过肩。曲泽主之。(甲)委中、治热病汗不
出云云。取其经血立愈。(铜)孔最、治热病汗不出。此穴可灸三壮。即汗出。(明下同。)
陷谷、厉兑、鬲俞、中渚、大都、(见腹满。)支沟、阳谷、(明同。)腕骨、前谷、治热病
汗不出。悬颅、治热病烦满。汗不出。(明同。)悬厘、治热病汗不出。头偏痛。烦心不
欲食。 、治热病汗不出。大杼、治伤寒汗不出。脊强。
经渠、治热病汗不出。暴痹喘。足(明作逆。)心痛。呕吐。商阳、治热病汗不出。(
明下同。)中冲、治热病汗不出。掌热。身如火。心痛烦满。舌强。太溪、治热病汗不出。
默默嗜卧。溺黄。消瘅。大便难。风池、治温病汗不出。目眩、苦头痛。太陵、治热病
汗不出。臂挛腋肿。善笑不休。心悬若饥。喜悲泣惊恐。目赤。小便如血。呕逆。狂言不乐
。劳宫、治热病三日汗不出。怵惕。胸胁痛不可转。大小便血。衄血不止。气逆呕哕。烦
渴。食饮不下。光明、治热病汗不出。卒狂。虚则痿痹坐不能起。实则足 热膝痛。身体
不仁。善啮颊。中冲、治热病烦闷。汗不出。掌热。身如火。心痛舌强。(明下云。身
热如火。头痛如破。)天池、疗热病汗不出。胸满颈痛。四肢不举。腋下肿。上气胸中有
声。喉喝。(明下相识患阴证伤寒。四肢厥冷不省。予与理中汤服。至第二服。汗出如雨
矣。神哉。)
凡是出现胸部胀满、呼吸短促且无法出汗的症状,都应针刺手太阴肺经的穴位并采用补法,以促使出汗。(出自《千金方》)少泽穴、复溜穴、昆仑穴,主治疟疾引起的寒战而无汗。历兑穴,主治风疟导致无汗。少泽穴,治疗疟疾寒热往来而无汗。(出自《铜人腧穴针灸图经》)上星穴,治疗疟疾寒战发热而无汗。哑门穴,治疗头痛受风而无汗。心俞穴(参见狂证条目),曲差穴,治疗心中烦闷胀满且无汗。(与《明堂》相同)陶道穴,治疗洒淅恶寒发热、脊背强直且无汗。(与《明堂》相同)胆俞穴,治疗寒战而无汗。(参见头痛条目)命门穴,治疗头痛剧烈如破裂感、身体发热如火烧且无汗。上脘穴,治疗身体发热而无汗。(参见霍乱条目)至阴穴(参见头痛条目)、鱼际穴(参见寒热条目)、曲泉穴(参见疝气条目)、侠溪穴(参见胸胁胀满条目)、中膂俞穴,治疗无汗。(参见消渴条目)偏历穴,治疗受风而无汗。窍阴穴,治疗手足烦热、无汗且发生转筋。命门穴(参见头痛条目)、肺俞穴(参见汗证条目),治疗无汗。(出自《明堂》)曲泽穴,治疗出汗仅限于肩部以下。(参见唾血条目)曲泽穴,主治出汗不过肩。(《甲乙经》见于伤寒寒热条目)鱼际穴,治疗无汗。(参见寒热条目)
大都穴,治疗热病无汗、手足逆冷、腹部胀满、容易呕吐、头晕目眩、心烦、四肢浮肿。(《明堂》下卷)凡是温病身体发热以上,无汗者,针刺太溪穴留针一个时辰后取针。如果病程未满五天,禁止针刺。劳宫穴,主治热病发病三天以后,不得汗出。《甲乙经》也说,主治热病烦闷胀满想呕吐呃逆,发病三天以后仍无汗,惊恐不安,胸胁部不能反侧翻身,咳嗽胀满,小便赤涩带血,鼻衄不止,呕吐鲜血,气逆呃逆不止,咽喉疼痛,饮食不下,容易口渴,口腔糜烂,手掌心发热,想呕吐。(出自《千金方》)孔最穴,主治手臂厥冷、热痛、无汗。(《明堂》说:热病无汗。)对此穴应艾灸或针刺。此穴可以促使出汗。经渠穴、阳池穴、阳谷穴、合谷穴(《明堂》下同)、前谷穴、内庭穴、后溪穴、腕骨穴、支沟穴(《明堂》下同)、厉兑穴、冲阳穴、解溪穴,主治热病无汗。中冲穴等,主治热病无汗。(参见伤寒诸病条目)命门穴、膀胱俞穴、上管穴(注:原文疑为“上脘”或特定穴名,此处依原文保留)、曲差穴、上星穴、陶道穴、天柱穴、上关穴(注:原文缺字,推测为关类穴)、悬厘穴、风池穴,主治烦闷胀满无汗。飞扬穴,主治下部寒热、无汗、身体沉重。玉枕穴、大杼穴、肝俞穴、心俞穴、膈俞穴、陶道穴,主治无汗、凄惨厥冷、恶寒。光明穴,主治腹部和足部清冷、寒热无汗。曲泉穴,主治身体发热头痛、无汗。鱼际穴,主治头痛轻微无汗。尺泽穴,主治气隔喜呕、鼓颔、不得汗、心烦身痛。掖门穴(注:疑为液门)、中渚穴、通里穴,主治热病先感到不快乐、头痛面热无汗。伤寒温病,喜欢摇头、面色清冷、出汗不过肩,由曲泽穴主治。(《甲乙经》)委中穴,治疗热病无汗等症,抽取其经脉之血可立即痊愈。(出自《铜人腧穴针灸图经》)孔最穴,治疗热病无汗。此穴可灸三壮,即可出汗。(《明堂》下同)陷谷穴、厉兑穴、膈俞穴、中渚穴、大都穴(参见腹满条目)、支沟穴、阳谷穴(《明堂》同)、腕骨穴、前谷穴,治疗热病无汗。悬颅穴,治疗热病烦闷无汗。(《明堂》同)悬厘穴,治疗热病无汗、头部偏侧疼痛、心烦不想进食。某穴(原文缺字,推测为头维或类似穴),治疗热病无汗。大杼穴,治疗伤寒无汗、脊背强直。经渠穴,治疗热病无汗、突发痹症气喘、足心痛(《明堂》作逆心痛)、呕吐。商阳穴,治疗热病无汗。(《明堂》下同)中冲穴,治疗热病无汗、手掌发热、身体如火烧、心痛烦闷、舌强。太溪穴,治疗热病无汗、沉默嗜卧、小便黄、消瘅、大便困难。风池穴,治疗温病无汗、头晕、痛苦性头痛。太陵穴,治疗热病无汗、手臂挛缩腋下肿、爱笑不止、心中空虚如饥、喜欢悲伤哭泣惊恐、眼睛发红、小便如血、呕逆、胡言乱语不乐。劳宫穴,治疗热病三天无汗、惊恐、胸胁痛不可转侧、大小便出血、鼻衄不止、气逆呕哕、烦渴、饮食不下。光明穴,治疗热病无汗、突然发狂。虚证则痿痹坐起不能,实证则足胫热膝痛、身体麻木不仁、喜欢咬脸颊。中冲穴,治疗热病烦闷、无汗、手掌发热、身体如火烧、心痛舌强。(《明堂》下卷说:身体发热如火烧、头痛如破裂。)天池穴,治疗热病无汗、胸部胀满颈部疼痛、四肢不能举动、气逆胸中有声音、喉喑。(《明堂》下卷记载我曾患阴证伤寒,四肢厥冷昏迷不醒,我给予理中汤服用,到第二服药时,汗出如雨。真是神奇啊。)
Whenever there is chest fullness, shortness of breath, and an inability to sweat, needle the Hand-Taiyin Lung meridian using the tonification method to induce sweating. (From *Qianjin Fang*) Shaose (SI1), Feiliu (KI7), and Kunlun (BL60) govern cold sweats in malaria with no perspiration. Lidui (ST45) governs wind-malaria with no perspiration. Shaose (SI1) treats malaria with alternating chills and fever and no perspiration. (From *Tongren Shuxue Zhenjiu Tujing*) Shangxing (GV23) treats malaria with shivering chills and fever and no perspiration. Yamen (GV15) treats headache due to wind with no perspiration. Xinshu (BL15) (see Mania entry), Qucha (GB7) treats mental vexation and fullness with no perspiration. (Same as *Mingtang*) Daodao (GV13) treats aversion to cold with shivering, stiffness of the spine, and no perspiration. (Same as *Mingtang*) Danshu (BL19) treats shivering chills with no perspiration. (See Headache entry) Mingmen (GV4) treats severe headache as if breaking, body heat like fire, and no perspiration. Shangwan (CV13) treats body heat with no perspiration. (See Cholera entry) Zhiyin (BL67) (see Headache entry), Yuji (LU10) (see Chills and Fever entry), Quanquan (LR8) (see Hernia entry), Xiaxi (GB43) (see Chest and Hypochondriac Fullness entry), Zhonglvshu (BL27) treat no perspiration. (See Xiao-ke entry) Pianli (SI6) treats wind-induced no perspiration. Guanyin (GB44) treats irritability in hands and feet, no perspiration, and muscle cramps. Mingmen (GV4) (see Headache entry), Feishu (BL13) (see Sweating entry), treat no perspiration. (From *Mingtang*) Quze (PC3) treats sweating limited to below the shoulders. (See Hemoptysis entry) Quze (PC3) governs sweating that does not extend beyond the shoulders. (*Jiayi Jing* under Cold Damage Chills and Fever entry) Yuji (LU10) treats no perspiration. (See Chills and Fever entry)
Dadu (SP3) treats heat disease with no perspiration, cold reversal of hands and feet, abdominal fullness, frequent vomiting, dizziness, mental vexation, and edema of the four limbs. (*Mingtang* Vol. 2) In all cases of warm disease where the body is hot above a certain level and there is no perspiration, needle Taichuan (KI3, i.e., Taixi), retain the needle for one *shi* (two hours), then remove it. If the illness has lasted less than five days, needling is prohibited. Laogong (PC8) governs heat disease occurring after three days, characterized by inability to sweat. *Jiayi Jing* also states it governs heat disease with mental vexation and fullness, desire to vomit or hiccup, inability to sweat after three days, fearfulness and palpitations, inability to turn the sides of the chest and hypochondrium, cough and fullness, red urine with blood, persistent epistaxis, hematemesis, rebellious Qi with incessant belching, throat pain, inability to eat, frequent thirst, oral ulcers, heat in the palms, and desire to vomit. (From *Qianjin Fang*) Kongzui (LU6) governs arm厥 (cold/numbness), heat pain, and no perspiration. (*Mingtang* says: Heat disease with no perspiration.) Moxibustion or needling this point can induce sweating. Jingqu (LU8), Yangchi (TE4), Yanggu (SI2), Hegu (LI4) (same as *Mingtang*), Qian gu (LI11), Neiting (ST44), Houxi (SI3), Wanggu (SI4), Zhigou (TE6) (same as *Mingtang*), Lidui (ST45), Chongyang (ST42), Jiexi (ST41) govern heat disease with no perspiration. Zhongchong (PC9) etc. govern heat disease with no perspiration. (See various Cold Damage diseases entries) Mingmen (GV4), Bladder Shu (BL28), Shangguan (likely Shangwan CV13 or similar), Qucha (GB7), Shangxing (GV23), Daodao (GV13), Tianzhu (BL10), Shangguan (likely missing character, inferred Guan point), Xuanli (GB5), Fengchi (GB20) govern mental vexation and fullness with no perspiration. Feiyang (BL58) governs lower body chills and fever, no perspiration, and heavy body. Yuzhen (BL9), Dazhu (BL11), Ganshu (BL18), Xinshu (BL15), Geshu (BL17), Daodao (GV13) govern no perspiration, despondent cold reversal, and aversion to cold. Guangming (GB37) governs cold abdomen and feet, chills, fever, and no perspiration. Quanquan (LR8) governs body heat, headache, and no perspiration. Yuji (LU10) governs headache with slight no persuation. ChiZe (LU5) governs Qi obstruction with desire to vomit, jaw clenching, inability to sweat, mental vexation, and body pain. Yemen (likely Yemen LI15 or similar, text unclear), Zhongzhu (TE3), Tongli (HT5) govern heat disease beginning with unhappiness, headache, facial heat, and no perspiration. Cold damage and warm disease, characterized by shaking head, clear/cold face, and sweating limited to below the shoulders, are treated by Quze (PC3). (*Jiayi Jing*) Weizhong (BL40) treats heat disease with no perspiration, etc. Drawing blood from its vessel leads to immediate recovery. (From *Tongren Shuxue Zhenjiu Tujing*) Kongzui (LU6) treats heat disease with no perspiration. This point can be moxibusted with three cones, inducing sweat immediately. (Same as *Mingtang*) Xangu (ST43), Lidui (ST45), Geshu (BL17), Zhongzhu (TE3), Dadu (SP3) (see Abdominal Fullness entry), Zhigou (TE6), Yanggu (SI2) (same as *Mingtang*), Wanggu (SI4), Qian gu (LI11) treat heat disease with no perspiration. Xuanlu (GB5) treats heat disease with mental vexation and fullness and no perspiration. (Same as *Mingtang*) Xuanli (GB5) treats heat disease with no perspiration, unilateral headache, mental vexation, and loss of appetite. [Missing Character] treats heat disease with no perspiration. Dazhu (BL11) treats cold damage with no perspiration and spinal stiffness. Jingqu (LU8) treats heat disease with no perspiration, sudden bi-syndrome with panting, foot heart pain ( *Mingtang* reads reverse heart pain), and vomiting. Shangyang (LI1) treats heat disease with no perspiration. (Same as *Mingtang*) Zhongchong (PC9) treats heat disease with no perspiration, palm heat, body heat like fire, heart pain, mental vexation, and stiff tongue. Taixi (KI3) treats heat disease with no perspiration, silence and desire to sleep, yellow urine, xiao-dan (wasting-thirst), and difficult defecation. Fengchi (GB20) treats warm disease with no perspiration, dizziness, and painful headache. Tailing (PC7) treats heat disease with no perspiration, arm spasm and axillary swelling, excessive laughter, feeling of emptiness in the heart as if hungry, propensity for sadness, weeping, fear, and panic, red eyes, urine like blood, vomiting and rebellion, delirious speech, and unhappiness. Laogong (PC8) treats heat disease with no perspiration after three days, fearfulness, chest and hypochondriac pain preventing turning, bleeding from large and small intestines, persistent epistaxis, rebellious Qi with vomiting and hiccups, vexation and thirst, and inability to eat or drink. Guangming (GB37) treats heat disease with no perspiration, sudden mania. Deficiency syndrome presents as wei-bi (flaccidity) inability to sit up; excess syndrome presents with heat in the legs and knees, body numbness, and biting cheeks. Zhongchong (PC9) treats heat disease with mental stuffiness, no perspiration, palm heat, body heat like fire, heart pain, and stiff tongue. (*Mingtang* Vol. 2 adds: Body heat like fire, headache as if breaking.) Tianchi (PC1) treats heat disease with no perspiration, chest fullness and neck pain, inability to move four limbs, rebellious Qi with sounds in the chest, and hoarseness. (*Mingtang* Vol. 2 records: I once suffered from Yin-cold damage, with cold reversal of limbs and unconsciousness. I administered Lizhong Tang. After the second dose, sweat poured out like rain. Truly miraculous.)