(跟股 胫 腿 髀枢 余见脚膝挛)
仆参、治足跟痛。不得履地。脚痿转筋。(铜)浮 、治脚股筋急。髀枢不仁。付阳
、治髀枢股 痛。(见风痹。)飞扬、治足指不屈伸。(见历节风。)经渠、治足心痛。(铜见
热病无汗。)筑宾、治足 痛。承筋、治脚 酸。(见转筋。)涌泉、疗心中结热。脚
底白肉际不得履地。明下云、疗足指尽疼。不得践地。千云、涌泉、然谷、主五指尽痛。足
不履地。三阴交、疗不能行。(千)三阴交、疗足痿不能行。(见膝脚痛。)上廉、疗脚
重不得履地。(见香港脚。)昆仑、疗脚重不得履地。昆仑、治 肿不得履地。然谷、治
足跗肿。不得履地。中都、主胫寒。(见足寒热。)绝骨、灸百壮。治风身重胫寒。(见
中风。)条口、(大溪同。)疗胫寒。(明见足麻。)梁丘、疗大惊胫痛。冷痹膝痛。不屈伸。
难经疏云、足胫寒者。肾主骨。有病先胫冷也。当以此求之。
然谷、主足不能安。胫酸不能久立。(千)涌泉、太冲、主胫酸。至阳、主胫疼。四
。少气难言。承山、承筋、(又见转筋。)主脚胫酸。脚急跟痛。脚筋急痛。环跳、内庭、
主胫痛。不可屈伸。阳关、主胫痹不仁。至阳、主胫酸。(铜见寒热。)膀胱俞、治胫
寒拘急。不得屈伸。丘墟、疗足腕不收。足胫偏细。(明)
复留、主胫寒。(千见足寒。)环跳、束骨、交信、阴交、阴谷、主髀枢中痛不可举。
泣、三阴交、主髀中痛。不得行。足外皮痛。凡髀枢中痛不可举。以毫针寒而留之。以月
生死为数。立已。丘墟、主髀枢脚痛。阳辅等、主髀枢不仁。(见足麻痹。)
膝以上病。宜灸环跳风市。膝及膝下病。宜灸犊鼻膝关三里阳陵泉。足踝以上病。宜灸
三阴交绝骨昆仑。足踝以下病。宜灸照海申脉。然须按其穴酸疼处灸之。方效。
(跟、股、胫、腿、髀枢等部位的病症,其余内容参见“脚膝挛”章节)
仆参穴,治疗足跟疼痛,导致无法着地行走。以及脚部痿软、筋脉拘挛抽搐。(《铜人腧穴针灸图经》记载)浮郄穴,治疗大腿及小腿部位筋脉拘急。髀枢(髋关节)部位感觉麻木迟钝。附阳穴,治疗髀枢及大腿部位疼痛。(参见“风痹”章节)飞扬穴,治疗足趾不能屈伸。(参见“历节风”章节)经渠穴,治疗足心痛。(《铜人腧穴针灸图经》记载见于热病无汗的情况)筑宾穴,治疗足部疼痛。承筋穴,治疗小腿肚酸痛。(参见“转筋”章节)涌泉穴,治疗心中郁结之热邪。脚底白肉际处疼痛,导致无法着地行走。《明堂》记载:治疗足趾全部疼痛,无法踏地行走。《千金方》记载:涌泉穴、然谷穴,主治五指全部疼痛,足部无法着地行走。三阴交穴,治疗下肢痿废不能行走。(《千金方》记载)三阴交穴,治疗足部痿软不能行走。(参见“膝脚痛”章节)上廉穴,治疗脚部沉重,无法着地行走。(参见“香港脚”,即脚气病)昆仑穴,治疗脚部沉重,无法着地行走。昆仑穴,治疗足部肿胀,无法着地行走。然谷穴,治疗足背肿胀,无法着地行走。中都穴,主治小腿寒冷。(参见“足寒热”章节)绝骨穴,艾灸一百壮。治疗风邪所致身体沉重、小腿寒冷。(参见“中风”章节)条口穴,(大溪穴功效相同),治疗小腿寒冷。(《明堂》记载见于足部麻木的情况)梁丘穴,治疗因大惊引起的小腿疼痛。冷痹所致膝盖疼痛,屈伸不利。《难经疏》说:足胫寒冷的情况,因为肾主骨,有病往往先从小腿发冷开始。应当据此来寻求病因。
然谷穴,主治足部不能安稳站立,小腿酸痛无法久立。(《千金方》记载)涌泉穴、太冲穴,主治小腿酸痛。至阳穴,主治小腿疼痛。四……(原文此处似有脱漏或指代不明,暂略)。少气难以言语。承山穴、承筋穴,(又见“转筋”章节),主治脚胫酸痛,脚急跟痛,脚筋拘急疼痛。环跳穴、内庭穴,主治小腿疼痛,不可屈伸。阳关穴,主治小腿痹证麻木不仁。至阳穴,主治小腿酸痛。(《铜人腧穴针灸图经》记载见于寒热症状)膀胱俞穴,治疗小腿寒冷拘急,无法屈伸。丘墟穴,治疗足踝松弛无力,足胫一侧偏细。(《明堂》记载)
复溜穴,主治小腿寒冷。(《千金方》记载见于足寒症状)环跳穴、束骨穴、交信穴、阴交穴、阴谷穴,主治髀枢中间疼痛,无法抬起肢体。泣……(原文此处似有脱漏或异体字,结合上下文推测可能为某穴名或误植,暂略),三阴交穴,主治大腿中部疼痛,无法行走,足外侧皮肤疼痛。凡是髀枢中间疼痛无法抬举的,用毫针进针后留针,待针下产生寒感时进行留针操作,以月亮的盈亏变化作为计算留针时间的依据,立即见效。丘墟穴,主治髀枢及足部疼痛。阳辅穴等,主治髀枢麻木不仁。(参见“足麻痹”章节)
膝盖以上的疾病,适宜艾灸环跳穴、风市穴。膝盖及膝盖以下的疾病,适宜艾灸犊鼻穴、膝关穴、足三里穴、阳陵泉穴。足踝以上的疾病,适宜艾灸三阴交穴、绝骨穴、昆仑穴。足踝以下的疾病,适宜艾灸照海穴、申脉穴。但是必须按压穴位找到酸疼之处再进行艾灸,才能见效。
(For conditions of the heel, thigh, tibia, leg, and hip joint [Bitu], refer to the section on "Spasm of Feet and Knees".)
Pucan (BL60) treats pain in the heel, rendering the patient unable to place the foot on the ground. It also treats flaccidity of the foot and muscle cramps/spasms. (*Tongren Shuxue Zhenjiu Tujing* records): Fuxi (BL38) treats spasticity of the tendons in the thigh and leg. It treats numbness and insensitivity in the hip joint [Bitu]. Fuyang (BL59) treats pain in the hip joint [Bitu] and thigh. (See "Wind-Bi"). Feiyang (BL58) treats inability to flex and extend the toes. (See "Li Jie Feng" / Polyarthralgia). Jingqu (LU8) treats heart-ache of the foot. (*Tongren Shuxue Zhenjiu Tujing* notes this is seen in heat diseases with no sweat). Zhubin (KI9) treats foot pain. Chengjin (BL57) treats soreness in the calf. (See "Zhuan Jin" / Muscle Cramp). Yongquan (KI1) treats constrained heat in the heart. It treats pain at the white flesh margin of the sole, rendering the patient unable to walk. *Mingtang* records: it treats pain throughout all toes, preventing the foot from touching the ground. *Qianjin Fang* records: Yongquan (KI1) and Ran Gu (KI2) govern pain throughout all five toes, and the inability to place the foot on the ground. Sanyinjiao (SP6) treats inability to walk due to lower limb flaccidity. (*Qianjin Fang* records): Sanyinjiao (SP6) treats foot flaccidity and inability to walk. (See "Knee and Foot Pain"). Shanglian (ST34? Note: Context suggests a point for heavy legs, possibly referring to a specific location or typo in original text, but literally "Upper Liang") treats heaviness of the leg, preventing the foot from touching the ground. (See "Xianggang Jiao" / Beriberi). Kunlun (BL60) treats heaviness of the leg, preventing the foot from touching the ground. Kunlun (BL60) treats swelling of the foot, preventing the foot from touching the ground. Ran Gu (KI2) treats swelling of the dorsum of the foot, preventing the foot from touching the ground. Zhongdu (LR6) governs coldness in the shin. (See "Cold and Heat of Feet"). Jiegu (GB39), moxibustion 100 zhuang, treats wind-induced body heaviness and coldness in the shins. (See "Zhong Feng" / Stroke). Tiaokou (ST38), (Da Xi has the same effect), treats coldness in the shin. (*Mingtang* notes this is seen in numbness of the feet). Liangqiu (ST34) treats shin pain caused by great fright. It treats knee pain due to cold-bi, with inability to flex and extend. *Nanjing Shu* states: Regarding coldness in the lower legs/shins, since the Kidney governs the bones, disease often begins with coldness in the shins. One should seek the cause based on this principle.
Ran Gu (KI2) governs the inability to stand steadily and shin soreness that prevents prolonged standing. (*Qianjin Fang* records): Yongquan (KI1) and Taichong (LR3) govern shin soreness. Zhiyang (GV9) governs shin pain. Si... (Text fragment/omission here). Shortness of breath and difficulty speaking. Chengshan (BL57) and Chengjin (BL57), (also see "Zhuan Jin"), govern shin soreness, acute heel pain, and painful spasticity of the foot tendons. Huantiao (GB30) and Neiting (ST44) govern shin pain with inability to flex and extend. Yangguan (EX-LE4) governs bi-syndrome numbness in the shins. Zhiyang (GV9) governs shin soreness. (*Tongren Shuxue Zhenjiu Tujing* notes this is seen in chills and fever). Pangguangshu (BL28) treats coldness and spasticity in the shins, with inability to flex and extend. Qiuxu (GB40) treats laxity of the ankle joint and thinning of one side of the lower leg. (*Mingtang* records): Fuliu (KI7) governs coldness in the shin. (*Qianjin Fang* notes this is seen in cold feet). Huantiao (GB30), Shugu (GB43), Jiaoxin (KI8), Yinjiao (RN7), and Yinggu (KI10) govern pain in the center of the hip joint [Bitu] that prevents lifting the limb. Qi... (Text fragment/typo here), Sanyinjiao (SP6) governs pain in the middle of the thigh, inability to walk, and pain on the outer skin of the foot. For any pain in the center of the hip joint [Bitu] that prevents lifting the limb, use a fine needle, insert it, and retain it until a cold sensation is achieved. Use the waxing and waning of the moon as the number/count for retention time. The condition will be resolved immediately. Qiuxu (GB40) governs pain in the hip joint [Bitu] and foot. Yangfu (GB38) etc., govern numbness and insensitivity in the hip joint [Bitu]. (See "Foot Paralysis").
For diseases above the knee, moxibustion of Huantiao (GB30) and Fengshi (GB31) is suitable. For diseases involving the knee and below the knee, moxibustion of Dubi (ST35), Xiguan (EX-LE4), Zusanli (ST36), and Yanglingquan (GB34) is suitable. For diseases above the ankle, moxibustion of Sanyinjiao (SP6), Jiegu (GB39), and Kunlun (BL60) is suitable. For diseases below the ankle, moxibustion of Zhaohai (KI6) and Shenmai (BL62) is suitable. However, one must press the acupoint to find the tender/sore spot before performing moxibustion for it to be effective.