(有补遗)
五蛊毒注 中恶不能食
中脘 照海
凡人饮食后忽然腹中不快。或烦躁如狂。心腹搅痛欲吐不吐。蓦然仆晕。面目青黑。四
肢逆冷。涎唾沉水或嚼生豆而不知腥。或嚼生矾不涩者。是中蛊也。
(有补遗)
胁下积气
期门 章门 尺泽(治肺积) 行间(治肝积)
伏梁 环脐而痛
中脘
贲豚气 从少腹起。气上冲胸腹痛
肾俞 章门 气海 关元 中极
痞块 气壅塞为痞。凡人饮食无节。以致阳明胃气一有所逆。则阴寒之气得以乘之。而
脾不
及化则胃络所出之道以渐留滞。结成痞块。必在肠胃之外。膈膜之间。故宜用灸以拔其结络
之根。
上脘 中脘 通谷 期门 (灸积块在上者) 肾俞 天枢 章门 气海 关元 中极
(灸积块在下者) 脾俞 梁门 (灸诸痞块)。
凡灸宜先上而后下。皆先灸七壮。或十四壮以后渐次增加。多灸为妙。以上诸穴择宜用
之。
然有不可按穴者。如痞之最坚处。或头或尾。或突或动处。但察其脉络所由者。皆当灸之。
火力所到。则其坚聚之气。自然以渐解散。第灸痞之法。非一次便能必效须择其要处。至再
至三。连次陆续灸之。无有不愈者。
一治痞须灸痞根。在脊骨十三椎下当中点记。两旁各开三寸半。以指揣摸觉微有动脉。
此即
痞根也。多灸左边。或左右俱灸。或患左灸右。患右灸左。皆效 长桑君针积块 瘕法。先
于块中针之。甚者又于块头一针。块尾一针。讫以艾灸之立应(块头二七壮。块中三七壮块
尾七壮)。
（有补遗内容）
凡是人在饮食之后，突然感到腹部不适。或者烦躁不安如同发狂，心腹绞痛想要呕吐却吐不出来，突然昏倒晕厥，面色青黑，四肢逆冷，唾液滴入水中下沉，或者咀嚼生豆却不觉得腥味，或者咀嚼生明矾却不觉得涩口，这就是中了蛊毒。
（有补遗内容）
胁下积气：取穴期门、章门、尺泽（治疗肺积）、行间（治疗肝积）。
贲豚气：气从少腹向上冲撞至胸部，引起腹痛：取穴肾俞、章门、气海、关元、中极。
痞块：气机壅塞称为痞。凡是因为饮食没有节制，导致阳明胃气稍有逆乱，那么阴寒之气就能趁机侵袭，而脾脏不能及时运化，则胃络所经过的道路逐渐留滞，结成痞块。这一定发生在肠胃之外，膈膜之间，所以适宜用艾灸来拔除结络的根源。
取穴上脘、中脘、通谷、期门（灸治位于上方的积块）、肾俞、天枢、章门、气海、关元、中极（灸治位于下方的积块）、脾俞、梁门（灸治各种痞块）。
凡是施灸，应该先灸上部后灸下部。都先灸七壮，或者十四壮以后逐渐增加，多灸为好。以上各穴位根据情况选择使用。
然而有些情况不能拘泥于固定穴位。比如痞块最坚硬的地方，或者是头部或尾部，或者是突起或跳动的地方，只要观察其脉络的来源，都应当施灸。火力到达之处，那些坚聚的气自然会逐渐解散。只是灸治痞块的方法，不是一次就能见效，必须选择关键部位，反复多次，连续陆续地施灸，没有不痊愈的。
另外治疗痞块必须灸“痞根”穴。在脊椎骨第十三椎下方正中点做标记，两旁各开三寸半，用手指触摸感觉到微微有动脉跳动，这就是痞根穴。多灸左侧，或者左右都灸，或者患左灸右，患右灸左，都有效。
长桑君针刺积块、瘕病的法则：先在肿块中间针刺，严重的又在肿块头部刺一针，尾部刺一针，结束后用艾灸之，立刻见效（肿块头部灸十四壮，肿块中间灸二十一壮，肿块尾部灸七壮）。
(With supplementary material)
Five types of Gu poison transmission, sudden evil affecting the inability to eat: Acupoints Zhongwan (CV12), Zhaohai (KI6).
When a person suddenly feels discomfort in the abdomen after eating. Or becomes irritable and restless as if mad, experiencing severe pain in the heart and abdomen with an urge to vomit but unable to do so, suddenly collapsing into faintness. The face and eyes appear blue-black, limbs are cold and reversed. Saliva sinks when dropped into water, or chewing raw beans does not reveal a fishy smell, or chewing raw alum does not feel astringent. This indicates poisoning by Gu (Gu poison).
(With supplementary material)
Accumulation of Qi under the hypochondrium: Acupoints Qimen (LR14), Zhangmen (LR13), Chize (LU5) [for treating Lung accumulation], Xingjian (LR2) [for treating Liver accumulation].
Fuliang disease: Pain circling the navel: Acupoint Zhongwan (CV12).
Ben Tun Qi (Rushing Pig Qi): Qi rushes upward from the lower abdomen to the chest, causing abdominal pain: Acupoints Shenshu (BL23), Zhangmen (LR13), Qihai (CV6), Guanyuan (CV4), Zhongji (CV3).
Pi Ku (Plaque/Mass): Obstruction of Qi is termed Pi. Due to irregular diet, causing slight rebellion of Yangming Stomach Qi, Yin-Cold Qi can take advantage to invade. Since the Spleen fails to transform and transport in time, the pathways where the Stomach collaterals emerge gradually stagnate, forming Pi Ku (Plaque/Mass). This must occur outside the intestines and stomach, between the diaphragm and membrane. Therefore, moxibustion is suitable to extract the root of these obstructed collaterals.
Acupoints Shangwan (CV13), Zhongwan (CV12), Tonggu (ST37), Qimen (LR14) [for moxibustion on masses located upper]; Shenshu (BL23), Tianshu (ST25), Zhangmen (LR13), Qihai (CV6), Guanyuan (CV4), Zhongji (CV3) [for moxibustion on masses located lower]; Pishu (BL20), Liangmen (ST21) [for moxibustion on various Pi masses].
Generally, moxibustion should proceed from upper to lower. Start with seven moxa cones (zhuang), or fourteen zhuang, then gradually increase. More moxibustion is preferable. Select appropriate acupoints from the above based on conditions.
However, there are cases where fixed acupoints cannot be strictly followed. For instance, at the hardest part of the Pi mass, or at its head or tail, or at protruding or pulsating areas. As long as the source of the meridians/collaterals is identified, moxibustion should be applied there. When the heat power reaches the area, the condensed Qi will naturally disperse gradually. The method for moxibusting Pi requires more than one session to be effective; one must select key points and repeat them again and again, applying moxibustion continuously over sessions. There will be no case that does not heal.
Additionally, treating Pi requires moxibustion on the "Pi Gen" (Root of Pi) point. Mark the midpoint below the 13th thoracic vertebra on the spine. Measure three and a half cun laterally from this point. Palpate with fingers until a slight arterial pulse is felt. This is the Pi Gen point. Moxa the left side predominantly, or both sides, or treat the opposite side (left lesion treated by right moxibustion, right lesion by left). All methods are effective.
The method of Chang Sang Jun for needling accumulations and Jia (masses): First needle the center of the mass. In severe cases, also needle the head and the tail of the mass. After needling, apply moxibustion for immediate effect (Head of mass: 14 zhuang; Center of mass: 21 zhuang; Tail of mass: 7 zhuang).