鱼际、疗胃气逆。(明)分水、治胃胀不调。(见腹痛。)铜云、胃虚胀不嗜食。鬲俞
、治胃脘暴痛。(铜见呕吐。)
下管、治腹胃不调腹痛。(明见腹坚。)肾俞、主胃寒胀。(千见食多。)胃俞、治胃
中寒
。(铜见腹胀。)水分、治胃虚胀。(见水肿。)三里、治胃中寒。心腹胀满。胃气不足。
恶闻食臭。肠鸣腹痛。食不化。(明下同。)下廉、(见飧泄。)悬钟、治胃热不嗜食。心
俞、疗胃中弱。食不下。(明下)太渊、(千见心痛。)疗胃气上逆。唾血。治胃补胃。胃
俞百壮。胃寒不能食。食多身瘦。肠鸣腹满。胃胀胃热。三里三十壮。反胃。食即吐。上
气。灸两乳下各一寸。(以瘥为期。)又脐上一寸二十壮。又内踝下三指稍斜向前穴三壮。(
外台云一指。千翼)
凡食饮不化。入腹还出。先取下管。后取三里泻之。章门、主食饮不化。入腹还出。
(见
不嗜食。)中庭、中府、主鬲寒食不下。呕吐还出。又主呕逆吐食不得出。中庭、疗胸
胁支满。心下满。(铜明同下。)食不下呕逆。吐食还出。三里、疗胃气不足。反胃。
胃俞、(见不能食。)疗吐食。意舍、疗吐食不留住。(下见背痛。)
吐逆食不住。胃管百壮。(千)吐呕逆不得下食。今日食、明日吐。灸鬲俞百壮。
有人久患反胃。予与镇灵丹服。更令服七气汤。遂能立食。若加以着艾。尤为佳也。有
老妇
人患反胃。饮食至晚即吐出。见其气绕脐而转。予为点水分气海并夹脐边两穴。既归、只灸
水分气海即愈。神效。
鱼际穴,治疗胃气上逆。(明代文献记载)分水穴,治疗胃胀气机不调。(参见腹痛章节)铜云(注:疑为穴位名或人名误植,此处依原文保留),用于胃虚引起的腹胀、食欲不振。膈俞穴,治疗胃脘部突发疼痛。(铜云见于呕吐章节)
下管穴,治疗腹部与胃部功能失调引起的腹痛。(明代文献见腹坚章节)肾俞穴,主治胃寒引起的腹胀。(千金方见食多章节)胃俞穴,治疗胃中寒冷。(铜云见于腹胀章节)水分穴,治疗胃虚引起的腹胀。(参见水肿章节)足三里穴,治疗胃中寒冷;心腹胀满;胃气不足;厌恶食物气味;肠鸣腹痛;饮食不消化。(明代文献下同)下廉穴,(参见飧泄章节)悬钟穴,治疗胃热导致的食欲不振。心俞穴,治疗胃气虚弱;饮食难以下咽。(明代文献下)太渊穴,(千金方见心痛章节)治疗胃气上逆;唾血;治疗胃病并补益胃气。胃俞穴灸一百壮,治疗胃寒不能进食;吃得多但身体消瘦;肠鸣腹胀;胃胀胃热。足三里穴灸三十壮,治疗反胃;进食后立即呕吐;气逆向上。灸两侧乳头下方各一寸处。(以痊愈为期限)又灸脐上一寸处二十壮。又灸内踝下三指宽稍向前斜的穴位三壮。(《外台秘要》说是一指宽,《千翼》)
凡是饮食无法消化,进入腹部后又吐出来。先取下管穴,后取足三里穴用泻法。章门穴,主治饮食不化,入腹还出。(参见食欲不振章节)中庭穴、中府穴,主治膈部寒冷导致的食物难以下咽;呕吐且吐出。又主治呕逆、吐食无法排出。中庭穴,治疗胸胁支撑胀满;心下部胀满。(铜云、明代文献同下)饮食不下、呕逆、吐食复出。足三里穴,治疗胃气不足;反胃。胃俞穴,(参见不能进食章节)治疗吐食。意舍穴,治疗吐食留不住。(下文见背痛章节)
呕吐逆气,食物留不住。胃管穴灸一百壮。(千金方)呕吐逆气,无法进食。今日吃的食物,明日吐出。灸膈俞穴一百壮。
有人长期患有反胃病,我给他服用镇灵丹,又让他服用七气汤,于是能够立即进食。如果再加上艾灸,效果更佳。有一位老妇人患反胃病,饮食到晚上就吐出来。看到她的气围绕肚脐旋转,我为她点刺水分、气海以及夹在肚脐两侧的两个穴位。回家后,只灸水分和气海穴就痊愈了,效果神奇。
Yuji (LU10) treats rebellious Stomach Qi. (Ming Dynasty texts) Shuifen (CV9) treats stomach distension and irregular qi mechanism. (See Abdominal Pain.) Tongyun, for stomach deficiency causing distension and lack of appetite. Geshu (BL17) treats sudden pain in the epigastrium. (Tongyun seen in Vomiting.) Xiaguan, treats abdominal pain due to disharmony between the abdomen and stomach. (Ming Dynasty texts see Abdominal Hardness.) Shenshu (BL23) governs stomach cold causing distension. (Qianjin Fang sees excessive eating.) Weishu (BL21) treats cold in the stomach. (Tongyun seen in abdominal distension.) Shuifen (CV9) treats stomach deficiency causing distension. (See Edema.) Zusanli (ST36) treats cold in the stomach; distension and fullness of the heart and abdomen; insufficiency of Stomach Qi; aversion to the smell of food; borborygmus and abdominal pain; undigested food. (Same as Ming Dynasty texts below.) Xiaolian, (see Sunchie / Diarrhea with undigested food) Xuanzhong (GB39) treats heat in the stomach causing lack of appetite. Xinshu (BL15) treats weakness in the stomach; difficulty swallowing food. (Ming Dynasty texts below.) Taiyuan (LU9), (Qianjin Fang sees Heartache) treats rebellious Stomach Qi; spitting blood; treats stomach diseases and tonifies Stomach Qi. Weishu (BL21) moxibustion 100 zhuang treats inability to eat due to stomach cold; eating much but becoming thin; borborygmus and abdominal fullness; stomach distension and heat. Zusanli (ST36) moxibustion 30 zhuang treats regurgitation (Fanwei); vomiting immediately after eating; upward rushing of Qi. Moxa on both points one cun below the nipples. (Until recovery is achieved.) Also moxa twenty zhuang at one cun above the umbilicus. Also moxa three zhuang at a point slightly obliquely forward from three finger-widths below the medial malleolus. (Waitai Mi Yao says one finger-width, Qianyi.)
Whenever food and drink are not digested and come out again after entering the abdomen, first reduce Xiaguan, then reduce Zusanli. Zhangmen (LR13) governs undigested food coming out after entering the abdomen. (See Lack of Appetite.) Zhongting (CV14) and Zhongfu (LU1) govern cold in the diaphragm causing inability to swallow food; vomiting and regurgitation. They also govern retching, vomiting food that cannot be expelled. Zhongting (CV14) treats distension and fullness supporting the chest and hypochondrium; fullness under the heart. (Tongyun and Ming Dynasty texts same below.) Inability to eat, retching, vomiting food regurgitating. Zusanli (ST36) treats insufficiency of Stomach Qi; regurgitation (Fanwei). Weishu (BL21), (see inability to eat) treats vomiting food. Yishe (BL21) treats vomiting food that does not stay. (Below see Backache.)
Vomiting and retching with food not staying. Weiguan (CV12) moxibustion 100 zhuang. (Qianjin Fang) Vomiting and retching preventing food intake. Food eaten today vomited tomorrow. Moxa Geshu (BL17) 100 zhuang.
A person suffered from chronic regurgitation (Fanwei). I administered Zhenling Dan to him, and further instructed him to take Qiqi Tang, after which he could eat immediately. If combined with moxibustion, it would be even better. An old woman suffered from regurgitation (Fanwei), vomiting her diet by evening. Observing her Qi rotating around the umbilicus, I punctured Shuifen (CV9), Qihai (CV6), and two points on either side of the umbilicus. Upon returning home, she only moxibusted Shuifen (CV9) and Qihai (CV6) and was cured. Miraculous effect.