脑空、窍阴、主鼻管疽发为厉鼻。(千)复留、主涎出。鼻中痛。巨 、治面风寒。
鼻上肿。壅痛。(铜)肝俞、主鼻中酸。(千)龈交、主额 中痛。(见 肉。)巨 、疗鼻准上肿痈痛。(见
口。)鬼击鼻出血,灸人中并水分。阴交。(见鬼击。)
神庭等、主鼻鼽。(千见鼻涕。)曲差等、主鼽衄有疮。(见鼻塞。)承灵、(铜同。)
风池、风门、 、后溪、主鼻衄窒喘息不通。中管、三间、偏历、厉兑、承筋、(铜同。)
京骨、昆仑、承山、飞扬、隐白、主头热鼽衄。京骨、(铜同。)申脉、主衄不止。淫泺。
门、主衄血呕血。隐白、委中、主衄血剧不止。涌泉、主衄不止。水沟、天牖、
主鼻鼽不得息。及衄不止。(甲乙)天府、治衄血不止。针四分。(铜)上 、后溪、风
哑门、治诸阳热气盛。衄血不止。通天、治衄血头重。禾 、兑端、劳宫、治衄血
。曲泉、隐白、 、(见肩背痛。)阴 、迎香、治衄血。(见 肉。)偏历、合谷、
上间、(明下同。)昆仑、通谷、(见目眩。)治鼽衄。曲泉、治衄血喘呼。小腹痛攻咽喉
。大溪、(见唾血。)隐白、(见腹胀。)风门、(见涕出。)兑端、脑空、疗衄血不止。
禾、(见鼻涕。)疗鼽衄有疮。(明)攒竹、疗鼽衄。(下见头风。)巨 、疗鼻准上肿痈
痛。(见口 。)治口鼻出血不止。名脑衄。灸上星五十壮。(集效)徐德占教衄者急灸
项后发际两筋间宛宛中三壮。立定。盖血自此入脑注鼻中。常人以绵勒颈后。尚可止衄。此
灸决效无疑。(良)脑衄。灸上星五十壮。(千见唾血。)
执中母氏忽患鼻衄。急取药服。凡平昔与人服有效者皆不效。因阅集效方。(本出千金
。)云口鼻出血不止。名脑衄。灸上星五十壮。尚疑头上不宜多灸。只灸七壮而止。次日复作。再灸
十四壮而愈。有人鼻常出脓血。予教灸囟会亦愈。则知囟会上星皆治鼻衄云。
鼻衄等、灸绝骨。(千见上气。)前谷、治衄血。(铜见咳。) 、治温疟。肩背痛
。目眩鼻衄。喘逆腹胀。肩膊内廉痛。不得俯仰。风门、治鼻鼽(见伤寒。)衄时痒痒。便灸足
大指节横理三毛中十壮。剧者百壮。衄不止灸之。并治阴卵肿。(千)又灸风府一穴四壮。
不止、又灸。或灸涌泉各百壮。
脑空穴、足少阳胆经窍阴穴,主治鼻管疽发作导致的厉鼻(严重的鼻部疾病)。(出自《千金方》)复溜穴,主治流涎、鼻中疼痛。巨髎穴,治疗面部受风寒侵袭引起的鼻上肿胀、壅滞疼痛。(出自《铜人腧穴针灸图经》)肝俞穴,主治鼻中酸楚感。(出自《千金方》)龈交穴,主治额颅部位疼痛。(见《肉证》篇)巨髎穴,治疗鼻尖(鼻准)上方肿胀痈痛。(见《口病》篇)鬼击病导致的鼻出血,灸人中穴和水分穴。阴交穴。(见《鬼击》篇)
神庭等穴,主治鼻鼽(过敏性鼻炎样症状,如打喷嚏、流清涕)。(《千金方》注:鼻涕多)曲差等穴,主治鼻鼽衄血伴有疮疡。(见《鼻塞》篇)承灵穴(《铜人》记载相同)、风池穴、风门穴、[缺字]、后溪穴,主治鼻衄导致呼吸窒塞、喘息不通。中脘穴、三间穴、偏历穴、厉兑穴、承筋穴(《铜人》记载相同)、京骨穴、昆仑穴、承山穴、飞扬穴、隐白穴,主治头部发热、鼻鼽及鼻衄。京骨穴(《铜人》记载相同)、申脉穴,主治鼻衄不止并伴有腿膝软弱无力(淫泺)。[缺字]门穴,主治鼻衄血、呕血。隐白穴、委中穴,主治鼻衄剧烈不止。涌泉穴,主治鼻衄不止。水沟穴、天牖穴,主治鼻鼽导致呼吸不畅,以及鼻衄不止。(出自《甲乙经》)天府穴,治疗鼻衄不止。针刺深度四分。(《铜人》)上星穴、后溪穴、风府穴(原文作“风哑门”,据理应为风府或类似穴位,此处保留原文语境但修正为常见配伍,若严格按原文则为风哑门,但中医无此穴,推测为风府之误或特定流派称呼,此处依文意译为风府/相关阳经穴位),治疗诸阳经热气盛导致的鼻衄不止。通天穴,治疗鼻衄伴头重感。禾髎穴、兑端穴、劳宫穴,治疗鼻衄。曲泉穴、隐白穴、[缺字](见肩背痛篇)、阴谷穴、迎香穴,治疗鼻衄。(见《肉证》篇)偏历穴、合谷穴、上间穴(《明堂》下同)、昆仑穴、通谷穴(见目眩篇),治疗鼻鼽鼻衄。曲泉穴,治疗鼻衄伴气喘呼叫、小腹痛攻冲咽喉。大溪穴(见唾血篇)、隐白穴(见腹胀篇)、风门穴(见涕出篇)、兑端穴、脑空穴,治疗鼻衄不止。禾髎穴(见鼻涕篇),治疗鼻鼽鼻衄伴有疮疡。(《明堂》)攒竹穴,治疗鼻鼽鼻衄。(下见头风篇)巨髎穴,治疗鼻尖上方肿胀痈痛。(见口病篇)治疗口鼻出血不止,称为“脑衄”。灸上星穴五十壮。(出自《集效方》)徐德占教导说,鼻衄患者应紧急灸项后发际两筋之间的凹陷处三壮,可立即止血。因为血液从此处入脑注入鼻中。普通人用棉带勒住颈后,尚可止住鼻衄,此灸法肯定有效无疑。(出自《良方》)脑衄,灸上星穴五十壮。(《千金方》注:见唾血篇)
王执中的母亲忽然患鼻衄,急忙取药服用。以往与人服药有效的方子,这次都不见效。于是查阅《集效方》(本出于《千金方》),书中说口鼻出血不止称为“脑衄”,灸上星穴五十壮。当时我还怀疑头上不宜多灸,只灸了七壮便停止。第二天病情复发,又灸十四壮才痊愈。有人鼻子经常流出脓血,我教他灸囟会穴也痊愈了。由此可知囟会、上星等穴都能治疗鼻衄。
鼻衄等症,灸绝骨穴。(《千金方》注:见上气篇)前谷穴,治疗鼻衄。(《铜人》注:见咳嗽篇)[缺字]穴,治疗温疟、肩背痛、目眩鼻衄、气喘逆乱、腹胀、肩膊内侧疼痛、不能俯仰。风门穴,治疗鼻鼽(见伤寒篇)。鼻衄时感到瘙痒,就灸足大趾节横纹三毛处的十壮;病情严重者灸百壮。鼻衄不止者灸此穴,并治疗阴囊肿胀。(《千金方》)又灸风府穴一穴四壮;若不止,再灸。或者灸涌泉穴各百壮。
Brain Kong (Naokong, GB17), Shao Yang (Qiaoyin, GB11) govern the severe nasal condition (Li Bi) resulting from the outbreak of nasal duct carbuncle (Bi Guan Ju). (From *Qian Jin Fang*). Fuliu (KI7) governs salivation and pain in the nose. Juliao (ST3) treats facial swelling and obstructive pain on the upper nose caused by wind-cold invasion. (From *Tong Ren Shu*). Ganshu (BL18) governs a sour sensation in the nose. (From *Qian Jin Fang*). Yinjiao (DU28) governs pain in the forehead region. (See *Rou Zheng* chapter). Juliao (ST3) treats swelling and carbuncle pain on the tip of the nose. (See *Kou Bing* chapter). For epistaxis caused by "Ghost Strike" (Gui Ji), moxibustion is applied to Renzhong (GV26) and Shuifen (CV9). Yinjiao (CV7). (See *Gui Ji* chapter).
Shenting (GV24) and other points govern Nose Qi (Biu, allergic rhinitis-like symptoms with sneezing and clear discharge). (*Qian Jin Fang* note: excessive nasal mucus). Qucha (EX-HN4) and other points govern Biu and Epistaxis accompanied by sores. (See *Bi Sai* chapter). Chengling (GB19) (Same as *Tong Ren*), Fengchi (GB20), Fengmen (BL12), [Missing Character], Houxi (SI3) govern Epistaxis causing nasal obstruction, panting, and inability to breathe smoothly. Zhongwan (CV12), Sanjian (LI3), Pianli (SI6), Lidui (ST45), Chengjin (BL56) (Same as *Tong Ren*), Jinggu (BL64), Kunlun (BL60), Chengshan (BL57), Feiyang (BL58), Yinbai (SP1) govern Head Heat, Biu, and Epistaxis. Jinggu (BL64) (Same as *Tong Ren*), Shenmai (BL62) govern persistent Epistaxis accompanied by weakness in the legs and knees (Yin Luo). [Missing Character] Men point governs Epistaxis and Hematemesis. Yinbai (SP1), Weizhong (BL40) govern severe, unceasing Epistaxis. Yongquan (KI1) governs persistent Epistaxis. Shuigou (GV26), Tianyou (TE16) govern Nose Qi causing respiratory difficulty, as well as persistent Epistaxis. (From *Jia Yi Jing*). Tianfu (LU3) treats persistent Epistaxis. Needle depth: 4 fen. (*Tong Ren*). Shangxing (GV23), Houxi (SI3), Fengfu (GV16) [Text says Feng Ya Men, likely error for Fengfu or related Yang meridian point], treat persistent Epistaxis caused by excess heat in the Yang meridians. Tongtian (BL3) treats Epistaxis with heavy head sensation. Heliao (LI18), Duanduan (GV26), Laogong (PC8) treat Epistaxis. Ququan (LR8), Yinbai (SP1), [Missing Character] (See Shoulder and Back Pain chapter), Yingu (LR10), Yingxiang (LI20) treat Epistaxis. (See *Rou Zheng* chapter). Pianli (SI6), Hegu (LI4), Shangjian (LI2) (Same as *Ming Tang*), Kunlun (BL60), Tonggu (BL65) (See Dizziness chapter) treat Biu and Epistaxis. Ququan (LR8) treats Epistaxis with panting and shouting, lower abdominal pain attacking the throat. Daxi (KI3) (See Hemoptysis), Yinbai (SP1) (See Abdominal Distension), Fengmen (BL12) (See Runny Nose), Duanduan (GV26), Naokong (GB17) treat persistent Epistaxis. Heliao (LI18) (See Nasal Mucus) treat Biu and Epistaxis with sores. (*Ming Tang*). Cuanzhu (BL2) treat Biu and Epistaxis. (See Tou Feng chapter below). Juliao (ST3) treat swelling and carbuncle pain on the upper tip of the nose. (See Kou Bing chapter). Treat unceasing bleeding from mouth and nose, named "Brain Epistaxis" (Nao Nu). Moxibustion: 50 moxa cones on Shangxing (GV23). (From *Ji Xiao Fang*). Xu De Zhan taught that for Epistaxis, urgently moxibustion three cones at the depression between the two tendons behind the hairline of the nape. This stops it immediately. Because blood enters the brain from here and pours into the nose. Ordinary people can stop Epistaxis by tying cotton around the back of the neck; this moxibustion method is undoubtedly effective. (From *Liang Fang*). Brain Epistaxis: Moxibustion 50 cones on Shangxing (GV23). (*Qian Jin Fang* note: See Hemoptysis chapter).
My mother suddenly suffered from Epistaxis. I urgently fetched medicine for her to take. All prescriptions that were effective for others in the past proved ineffective. Therefore, I consulted the *Ji Xiao Fang* (Originally from *Qian Jin Fang*), which states that unceasing bleeding from the mouth and nose is named "Brain Epistaxis," and one should moxibustion 50 cones on Shangxing. At that time, I still doubted that excessive moxibustion on the head was advisable, so I only performed seven cones and stopped. The next day, the bleeding recurred. I then performed fourteen more cones, and she recovered. Someone whose nose frequently oozed pus and blood was cured when I instructed them to moxibustion Xinhui (GV22). Thus, we know that Xinhui and Shangxing both treat Epistaxis.
For Epistaxis and similar conditions, moxibustion Jieguxue (Gongsun, SP4 / Gallbladder 39? Context suggests GB39 Xiaoxu or SP4 Gongsun, but text says Jiegu which usually refers to GB39 or SP4 depending on era, here likely referring to a specific point for stopping bleeding, often associated with Xiyan or similar, but strictly translating "Jiegu"): Moxibustion Jiegu. (*Qian Jin Fang* note: See Shang Qi chapter). Qiangu (SI2) treats Epistaxis. (*Tong Ren* note: See Cough chapter). [Missing Character] treats Warm Malaria, shoulder and back pain, dizziness and Epistaxis, panting and rebellion, abdominal distension, pain on the inner aspect of the shoulder and arm, inability to bend or extend. Fengmen (BL12) treats Nose Qi (See Shang Han chapter). When Epistaxis is accompanied by itching, moxibustion ten cones in the hair tuft at the transverse crease of the big toe joint; for severe cases, 100 cones. Mothiscuation if Epistaxis does not stop. It also treats scrotal swelling. (*Qian Jin Fang*). Also moxibustion Fengfu (GV16) one point, four cones; if it does not stop, moxibustion again. Or moxibustion Yongquan (KI1), each 100 cones.