凡霍乱泄出不自知。先取太溪。后取太仓之原。(千)三里、主霍乱遗失失气。期门
、主
霍乱泄注。尺泽、主呕泄上下出胁下痛。太白、主腹胀食不化。喜呕泄有脓血。关冲
、治霍乱胸中气噎。不嗜食。臂肘痛不举。(铜)人迎、治吐逆霍乱。胸满喘呼不得息。
期门、治胸中烦热。贲豚上下。目青而呕。霍乱泄利。腹坚硬。大喘不得卧。胁下积气。
上脘、治霍乱吐利。身热汗不出。隐白、治吐泄。(见腹胀。)中脘、治霍乱出泄不自知。
支沟、天枢、治呕吐霍乱。(见脐痛。)太白、治气逆霍乱腹痛。又吐泄脓血。(见腹胀。)
阴、治心痛霍乱。胸满。上管、治霍乱心痛。不可卧。吐利。(明)
巨阙、治胸胁满。霍乱吐利不止。困顿不知人。(下)吐逆霍乱。吐血。灸手心主五十
壮。
(千)凡霍乱先心痛及先吐。灸巨阙七壮。若先腹痛。太仓二七壮。若先下利。灸大肠募。
(脐旁二寸。)男左女右。若吐下不禁。两手脉疾数。灸蔽骨下三寸。又脐下三寸。各七十壮
。若下不止。太都七壮。若泄利伤烦欲死。慈宫二七壮。
霍乱吐泻。尤当速治。宜服来复丹镇灵丹等药。以多为贵。尤宜灸上管、中脘、神阙、
关元等穴。若水分穴。尤不可缓。盖水谷不分而后泄泻。此穴一名分水。能分水谷故也。或兼灸
中管穴。须先中管而后水分可也。
凡是霍乱患者,泻出物无法自知。治疗时先针刺太溪穴,后针刺太仓的原穴(即足三里)。足三里主治霍乱导致的大小便失禁及矢气失控。期门穴主治霍乱引起的急骤泄泻。尺泽穴主治呕吐、泄泻,以及上下同时排出秽物、胁下疼痛的症状。太白穴主治腹胀、食物不消化,喜欢呕吐且大便中有脓血。关冲穴治疗霍乱导致的胸中气机阻塞、食欲不振、手臂肘部疼痛且抬举困难。人迎穴治疗呕吐逆乱和霍乱,伴有胸部胀满、喘息呼叫、呼吸不畅的症状。期门穴治疗胸中烦热、奔豚气上下冲逆、眼睛发青并呕吐、霍乱泄泻、腹部坚硬、剧烈喘息无法平卧、胁下有积聚之气。上脘穴治疗霍乱的呕吐和泄利,身体发热但无汗。隐白穴治疗呕吐和泄泻(伴随腹胀症状)。中脘穴治疗霍乱导致泻出物无法自知。支沟穴、天枢穴治疗呕吐和霍乱(伴随脐部疼痛症状)。太白穴治疗气逆引起的霍乱腹痛,以及呕吐泄泻伴有脓血(伴随腹胀症状)。阴郄穴(原文“阴”指阴郄)治疗心痛和霍乱,伴有胸部胀满。上管(即上脘)治疗霍乱引起的心痛,无法平卧,伴有呕吐和泄利。巨阙穴治疗胸胁胀满,霍乱呕吐泄利不止,精神困顿昏迷不知人事。对于呕吐逆乱和霍乱吐血,艾灸手厥阴心包经的原穴(劳宫/大陵区域,原文指手心主经相关穴位)五十壮。
凡是霍乱,如果先出现心痛或先呕吐,灸巨阙穴七壮。如果先出现腹痛,灸太仓(中脘)十四壮。如果先出现下利,灸大肠的募穴(天枢,位于脐旁二寸),男性取左侧,女性取右侧。如果吐泻不止,两手脉搏急促快速,艾灸鸠尾骨下方三寸处,以及脐下三寸处(关元),各灸七十壮。如果腹泻不止,灸太都(即太溪,此处可能为古称异名或传抄差异,结合语境及前文太溪治霍乱,此处暂按原文提取,但在现代针灸中太溪非止泻要穴,然依原文忠实翻译)七壮。如果泄泻严重导致烦躁欲死,灸慈宫(即神阙,古称或误写,通常神阙治泄泻危症,此处依原文保留名称或注为神阙之误,但任务要求忠实原文,故译为慈宫/神阙位置)十四壮。
霍乱吐泻,尤其应当迅速治疗。适宜服用来复丹、镇灵丹等药物,以剂量大为宜。尤其适宜艾灸上脘、中脘、神阙、关元等穴位。如果是水分穴,尤其不可延误。因为水谷不分才会导致泄泻,此穴又名分水穴,能够分离水谷的缘故。或者兼灸中管穴(中脘),必须先用中管穴,然后再用水分穴。
Whenever a patient suffers from Huoluan (cholera-like syndrome with vomiting and diarrhea) and is unaware of the evacuation, first needle Taixi (KI3), then needle the Yuan-Source point of Taicang (Zongjing), which is Zusanli (ST36). Zusanli treats Huoluan with incontinence of urine and feces, and loss of control over flatus. Qimen (LR14) treats Huoluan with urgent diarrhea. Chize (LU5) treats vomiting and diarrhea, simultaneous discharge from above and below, and pain under the ribs. Taibai (SP3) treats abdominal distension, food stagnation, frequent vomiting, and diarrhea containing pus and blood. Guanchong (TE1) treats Huoluan with chest qi obstruction, lack of appetite, and arm/elbow pain with inability to lift. Renying (ST9) treats regurgitation, Huoluan, chest fullness, panting, and dyspnea. Qimen (LR14) also treats chest irritability and heat, running piglet syndrome (Ben Tun) moving up and down, cyanosis of the eyes with vomiting, Huoluan with diarrhea, hard abdomen, severe panting preventing lying down, and accumulated qi under the ribs. Shangwan (CV13) treats Huoluan with vomiting and diarrhea, fever, and absence of sweating. Yinbai (SP1) treats vomiting and diarrhea (accompanied by abdominal distension). Zhongwan (CV12) treats Huoluan where the patient is unaware of the evacuation. Zhigou (TE6) and Tianshu (ST25) treat vomiting and Huoluan (accompanied by umbilical pain). Taibai (SP3) treats Qi-reversal Huoluan with abdominal pain, and vomiting/diarrhea with pus and blood (accompanied by abdominal distension). Yinxi (HT6) treats heart pain and Huoluan with chest fulliness. Shangguan (Shangwan, CV13) treats Huoluan-induced heart pain, inability to lie down, vomiting, and diarrhea. Juque (CV14) treats chest and hypochondriac fullness, persistent Huoluan with vomiting and diarrhea, lethargy, and unconsciousness. For regurgitation, Huoluan, and hematemesis, moxibustion on the Heart Pericardium channel (specifically the palm center area, often referring to Laogong PC8 or Daling PC7 contextually as "Heart Master") for 50 moxa cones.
Generally, for Huoluan: if heart pain occurs first or vomiting occurs first, moxibustion on Juque (CV14) for 7 cones. If abdominal pain occurs first, moxibustion on Taicang (Zhongwan, CV12) for 14 cones (two sevens). If diarrhea occurs first, moxibustion on the Front-Mu point of the Large Intestine (Tianshu, ST25, located 2 cun lateral to the umbilicus), left side for males and right side for females. If vomiting and diarrhea are uncontrollable and the pulse at both wrists is rapid and hurried, moxibustion on the point 3 cun below the xiphoid process (Jiuwei, CV15) and 3 cun below the umbilicus (Guanyuan, CV4), 70 cones each. If diarrhea persists, moxibustion on Tai Du (Taixi, KI3, note: text says Tai Du, likely variant or error for Taixi or another point, but translated as per source) for 7 cones. If diarrhea causes severe distress and feeling of impending death, moxibustion on Ci Gong (Shenque, CV8, note: Ci Gong is an alternative name or typo for Shenque in some contexts, or refers to a specific location, here translated as Ci Gong/Shenque) for 14 cones.
Huoluan with vomiting and diarrhea requires prompt treatment. It is advisable to take large doses of Laifu Dan (Reviving Pill) and Zhenling Dan (Spirit-Calming Pill). Moxibustion on Shangwan (CV13), Zhongwan (CV12), Shenque (CV8), and Guanyuan (CV4) is particularly suitable. The Shuifen (CV9) point should not be delayed. Since diarrhea results from the failure to distinguish between water and grain, this point, also known as Fen Shui (Separating Water), can separate water and grain. Alternatively, one may combine moxibustion on Zhongguan (Zhongwan, CV12); it is necessary to moxibustion Zhongguan first, followed by Shuifen.