太阳病。头痛至七日以上自愈者。以行其经尽故也。若欲再作经者。针足阳明。使经不
传则
愈。(七日。太阳一经行尽之期而日再作经者。太阳过经不解。复病阳明而为并病也。当刺
足阳明之厉兑陷谷冲阳等穴。如太阳病脉浮头痛。刺宛骨京骨。头疼恶寒发热。刺合谷。以
解太阳之余邪也。)
太阳病。初服桂枝汤。反烦不解者。先刺风池风府。却与桂枝汤则愈。(风邪不仅在卫
。而在太阳之经。故刺之以解其结。)
阳明病。(脉长。身热目疼。鼻干。不得卧。)下血谵语者。此为热入血室。但头汗出者
。刺
期门。(阳明热盛。侵及血室。血室不藏。溢出前阴故下血。刺期门。则中焦营气之结滞易
散。)妇人中风。发热恶寒。经水适来。得之七八日热除而脉迟胸胁下满。如结胸状。谵语
者。此为热入血室也。当刺期门。随其实而泻之。(热入血室属阳明经男女皆有之。)
太阳少阳并病脉弦。头项强痛。或眩冒。时如结胸。心下痞硬。当刺大椎肺俞肝俞。(
肺主气。肝主血。此调其气血也。)慎不可发汗。发汗则谵语若谵语不止。当刺期门。
少阴病。(脉沉口燥舌干而渴。)吐利。手足不逆冷反发热者不死。脉不至者灸少阴七壮
。(灸太 复溜。能还大脉。若太 脉绝则死矣。)
伤寒六七日。脉微。手足厥冷。烦躁。灸厥阴厥不还者死。(按聚英云。伤寒。烦躁者
灸厥阴俞。即太冲穴。)
病者手足厥冷。言我不结胸。小腹满。按之痛者。此冷结在膀胱关元也。(灸关元穴。)
下利。手足逆冷无脉者灸之。(少阴经太 。任脉气海丹田。各灸七壮。可救万一。)不
温。若脉不还。反微喘者死。 下利后。脉绝。手足厥逆。 时脉还手足温者生。脉不还者
死。
伤寒腹满。谵语。寸口脉浮而紧。此肝乘脾也。名曰纵。刺期门。伤寒发汗。啬啬恶寒
。大
渴欲饮水。其腹必满。此肝乘肺也。名曰横刺期门。(肝乘脾曰纵者。放纵不收克其所胜。
其病难愈。肝乘肺曰横者。木反乘金。横犯其所不胜。其病易安。刺期门。皆所以泄肝之盛
气也)
太阳病。头痛持续七天以上而自愈的,是因为邪气在太阳经运行周期已尽的缘故。如果打算再次传变到其他经,针刺足阳明经的穴位,使邪气不传变就能痊愈。(七天是太阳一经邪气行尽的期限,如果此时病情复发并传入他经,说明太阳经邪气未解,进而与阳明经合并发病。应当针刺足阳明经的厉兑、陷谷、冲阳等穴位。如果是太阳病出现脉浮、头痛,可刺腕骨穴和京骨穴;如果头痛、恶寒、发热,可刺合谷穴,以解除太阳经残留的邪气。)
太阳病。初次服用桂枝汤后,反而出现烦闷不解的症状,应先针刺风池穴和风府穴,然后再给予桂枝汤服用就能痊愈。(风邪不仅侵犯卫分,还郁结在太阳经脉,所以通过针刺来解开郁结。)
阳明病。(脉象长,身体发热,眼睛疼痛,鼻子干燥,无法安卧。)如果出现下血和说胡话(谵语),这是热邪侵入血室的表现。只有头部出汗的,针刺期门穴。(阳明热盛,侵及血室,导致血室不能藏血,血液溢出前阴而下血。针刺期门穴,可以消散中焦营气的郁滞。)妇女患中风,发热恶寒,月经正好来潮,患病七八天后,热退但脉迟,胸胁下胀满,像结胸证的样子,并且说胡话,这是热邪侵入血室。应当针刺期门穴,根据实证的情况采用泻法。(热入血室属于阳明经病变,男女都可能发生。)
太阳经和少阳经同时发病,脉象弦,头项强痛,有时眩晕昏蒙,有时感觉像结胸证,心下部痞塞硬满,应当针刺大椎穴、肺俞穴和肝俞穴。(肺主气,肝主血,这是为了调和气血。)千万不可发汗,如果发汗则会出现说胡话,如果说胡话不止,应当针刺期门穴。
少阴病。(脉沉,口燥舌干而渴。)出现呕吐腹泻,手足不逆冷反而发热的,不会死亡。如果脉搏摸不到的,灸少阴经穴位七壮。(灸太溪穴和复溜穴,能够恢复大脉。如果太溪脉绝则死。)
伤寒六七天,脉微细,手足厥冷,烦躁不安,灸厥阴经穴位,如果阳气不还复则死。(按《针灸聚英》记载:伤寒出现烦躁症状,灸厥阴俞穴,即太冲穴。)
病人手足厥冷,说自己没有结胸证,小腹胀满,按压疼痛的,这是寒气凝结在膀胱关元部位。(灸关元穴。)
下利(腹泻),手足逆冷且无脉搏的,进行艾灸救治。(少阴经的太溪穴,任脉的气海穴、丹田穴,各灸七壮,可以挽救万一的机会。)如果身体不温暖,如果脉搏不恢复,反而轻微喘息的,死亡。下利之后,脉搏消失,手足厥冷逆乱,经过一段时间脉搏恢复、手足温暖的,存活;脉搏不恢复的,死亡。
伤寒腹部胀满,说胡话,寸口脉浮而紧,这是肝气乘袭脾脏,名叫“纵”。针刺期门穴。伤寒发汗后,啬啬怕冷,极度口渴想喝水,腹部必然胀满,这是肝气乘袭肺脏,名叫“横”,针刺期门穴。(肝气乘袭脾脏叫“纵”,意思是放纵不收,克制其所胜之脏,病情难愈;肝气乘袭肺脏叫“横”,意思是木反克金,横犯其所不胜之脏,病情容易安定。针刺期门穴,都是为了泄除肝的盛气。)
Taiyang disease. If headache persists for more than seven days and resolves spontaneously, it is because the pathogenic factor has completed its course in the Taiyang channel. If transmission to another channel is anticipated, needling the Foot-Yangming channel can prevent transmission and lead to recovery. (Seven days mark the completion of the Taiyang channel's cycle. Recurrence implies unresolved Taiyang pathogens transferring to Yangming, resulting in concurrent disease. Points such as Lidui, Xangu, and Chongyang on the Foot-Yangming should be needled. For Taiyang disease with floating pulse and headache, Wangu and Jinggu may be needled; for headache, aversion to cold, and fever, Hegu may be needled to resolve residual Taiyang pathogens.)
Taiyang disease. If after the initial administration of Guizhi Tang (Cinnamon Twig Decoction), vexation worsens or fails to resolve, first needle Fengchi and Fengfu points, then administer Guizhi Tang to achieve recovery. (Wind pathogens not only affect the Wei level but also stagnate in the Taiyang channel; needling resolves this stagnation.)
Yangming disease. (Pulse is long, body heat, eye pain, nasal dryness, inability to sleep.) If hematochezia and delirium occur, this indicates Heat entering the Blood Chamber. If only head sweating occurs, needle Qimen. (Excessive Yangming heat invades the Blood Chamber, causing blood to overflow from the anterior yin. Needling Qimen dissipates stagnation in the Middle Jiao Ying Qi.) In women with Wind-stroke presenting fever and aversion to cold, whose menstruation coincides with onset, if after seven to eight days the fever subsides but the pulse becomes slow, accompanied by hypochondriac fullness resembling chest binding and delirium, this is Heat entering the Blood Chamber. Needle Qimen and apply draining method according to excess patterns. (Heat entering the Blood Chamber involves the Yangming channel and can affect both men and women.)
Concurrent Taiyang and Shaoyang disease presents with a string-taut pulse, stiffness and pain in the head and neck, occasional vertigo or dizziness, sensations resembling chest binding, and epigastric hardness and fullness. Needle Dazhui, Feishu, and Ganshu. (The Lung governs Qi and the Liver governs Blood; this regulates Qi and Blood.) Strictly avoid sweating therapy. If sweating induces delirium that persists, needle Qimen.
Shaoyin disease. (Pulse is deep, mouth dry, tongue parched, thirst.) If vomiting and diarrhea occur but hands and feet are not cold and there is fever, the prognosis is favorable. If the pulse is imperceptible, moxa the Shaoyin channel points for seven moxa cones. (Moxa Taixi and Fuli to restore the pulse; if Taixi pulse is absent, death ensues.)
In Shanghan (Cold Damage) lasting six to seven days, if the pulse is faint, hands and feet are cold, and there is restlessness, moxa the Jueyin channel points. If Yang Qi does not return, death ensues. (According to Zhenjiu Jiaying: for Shanghan with restlessness, moxa Jueyin Shu, which is Taichong.)
If a patient presents with cold hands and feet, denies chest binding, and has lower abdominal fullness and tenderness upon pressure, this indicates Cold binding at the Bladder and Guanyuan area. (Moxa Guanyuan.)
For diarrhea with cold hands and feet and absent pulse, apply moxibustion. (Moxa Taixi of the Shaoyin channel, and Qihai and Tiandian of the Ren channel, seven cones each, to save the critical case.) If the body remains cold, pulse does not return, and slight panting occurs, death ensues. After diarrhea, if the pulse vanishes and hands/feet are cold, but the pulse returns and hands/feet warm over time, survival is indicated; if the pulse does not return, death ensues.
Shanghan with abdominal fullness and delirium, with a floating and tight pulse at the Cun Kou position, indicates Liver Qi invading the Spleen, termed "Zong" (Vertical). Needle Qimen. If Shanghan sweating leads to shivering chills and extreme thirst for water, resulting in abdominal fullness, this indicates Liver Qi invading the Lung, termed "Heng" (Horizontal). Needle Qimen. (Liver invading Spleen is "Zong," meaning uncontrolled restriction of the conquered element, leading to difficult recovery. Liver invading Lung is "Heng," meaning Wood counter-attacking Metal, the unconquered element, leading to easier resolution. Needling Qimen drains excessive Liver Qi in both cases.)