飧泄(完谷不化也。)补三阴之上。补阴陵泉。皆久留之。热行乃止。转筋于阳。治其阳
。转筋于阴。治其阴。皆卒刺之。(凡手足之外廉。皆属阳。经手足之内廉。皆属阴经。)徒 (
水同)先取环谷下三寸。(有水无风。故曰徒水。环谷。无所。考或即环跳穴。今曰环谷下三
寸。当作风市穴。)以铍针针之。间日一刺之。 尽乃止。饮闭药。(小便闭。须饮通闭之药
以利其水。)着痹不去。久寒不已。卒取其三里。(温补胃气。则寒湿散。)肠中不便。取三
。盛泻之。虚补之。(言大便不通者。由于邪气之盛。则泻之。由于正气之虚。则补之。)疠
风者。素刺其肿上。已刺。以锐针针其处。按出其恶气。肿尽乃止。常食方食。无食他食。
(疠音癞即大风也。素问长刺节论骨空论皆有刺法。)腹中常鸣。气上冲胸。喘不能久立。邪
在大肠。刺肓之原。(气海)巨虚上廉三里。小腹控睾。(音皋)引腰脊。上冲心。邪在小肠者
。连睾系。属于脊。贯肝肺。络心系。气盛则厥逆。上冲肠胃。熏肝。散于肓。结于脐。故
取之肓原以散之。(刺气海。散脐腹之结。)刺太阴以予之。(补肺经之虚。)取厥阴以下之。
(泻肝经之实。)取巨虚下廉以去之。(下巨虚。小肠之所属。)按其所过之经以调之。善呕。
呕有苦。长太息心中 。(心虚貌)恐人将捕之邪在胆。逆在胃。胆液泄。则口苦。胃气逆
。则呕苦。故曰呕胆。取三里以下胃气逆。侧刺少阳血络以闭胆逆。(闭止也。)却调其虚实
以去其邪。(其指胆胃两经。)饮食不下。膈塞不通。邪在胃脘。在上脘。则刺抑而下之。在
下脘。则散而去之。小腹肿痛。不得小便。邪在三焦约。(三焦下输出于委阳并足太阳之正
。入络膀胱约下焦也。)取之太阳大络。(飞扬)视其络脉。与厥阴小络结而血者。肿上。及
胃脘。取三里。
飧泄(指大便中夹杂未消化食物,即完谷不化),应补益三阴经的上部穴位。具体取穴为阴陵泉。针刺后均须长时间留针,待体内热气运行通畅后方可起针。
如果小腿外侧发生转筋(肌肉痉挛),治疗其阳经;如果小腿内侧发生转筋,治疗其阴经。这两种情况都采用“卒刺”法(一种快速进针、迅速出针的刺法)。(注:凡手足的外侧,都属于阳经;凡手足的内侧,都属于阴经。)
如果是徒水(水肿病,因有水湿停滞而无风邪所致,故称徒水),先取环谷下三寸处的穴位。(注:“环谷”无所指,考证认为可能即环跳穴。现在所说的环谷下三寸,应当是风市穴。)用铍针(一种形如剑刃的针具)针刺该处。每隔一天针刺一次,直到痊愈为止。同时服用通利小便的药物。(注:小便闭塞不通,必须饮用通闭利尿的药物以消除水湿。)
如果是着痹(湿气偏盛、肢体沉重麻木的痹证)久治不愈,寒气长期存在,应突然取三里穴进行针刺。(注:温补胃气,则寒湿之气自然消散。)
如果肠中气机不畅、大便不通,取上巨虚和下巨虚穴。实证用泻法,虚证用补法。(注:这是说大便不通,如果是由于邪气盛实所致,就用泻法;如果是由于正气虚弱所致,就用补法。)
对于疠风(麻风病,音同“癞”,即大风病,《素问·长刺节论》和《骨空论》中都有记载刺法),平时要针刺肿块部位。针刺完毕后,再用锐针在患处针刺,按压排出恶气,直到肿块消退为止。患者日常饮食应保持规律,不要食用其他异类食物。
如果腹中经常鸣响,气向上冲至胸部,气喘且不能久立,这是邪气在大肠。应针刺肓之原穴(即气海穴),以及巨虚上廉(上巨虚)和三里穴。
如果小腹牵引睾丸疼痛,并牵连腰脊,气向上冲击心脏,这是邪气在小肠。因为小肠系连睾丸,归属于脊柱,贯穿肝肺,联络心系。如果气盛则发生厥逆,向上冲击肠胃,熏蒸肝脏,散布于肓膜,结聚于脐部。因此取肓原穴(气海)来消散结聚。针刺太阴经以补益肺气。取厥阴经以泻除肝气之实。取巨虚下廉(下巨虚)以祛除病邪。(注:下巨虚是小肠经所属的穴位。)按照邪气所经过的经脉来调理气血。
如果容易呕吐,呕吐物带有苦味,经常叹息,心中恐惧,好像有人要抓捕自己一样,这是邪气在胆,逆乱之气在胃。胆汁外泄,所以口苦;胃气上逆,所以呕吐苦水。因此称为“呕胆”。取三里穴以降逆胃气。侧向针刺少阳经的血络以遏制胆气上逆。(注:“闭”意为制止。)随后调理胆胃两经的虚实以祛除邪气。
如果饮食不下,胸膈堵塞不通,这是邪气在胃脘。如果邪气在上脘,则针刺以抑制并引导气机下行;如果邪气在下脘,则散除病邪。
如果小腹胀痛肿胀,无法小便,这是邪气在三焦约束之处。(注:三焦的下行出口出于委阳穴,并与足太阳膀胱经的正脉相连,入络膀胱,约束下焦。)应取太阳经的大络穴(飞扬穴)。观察其络脉,如果与厥阴经的小络脉结聚且有瘀血,则在肿胀处及胃脘部取三里穴进行治疗。
Sundry diarrhea (diarrhea with undigested food in the stool) should be treated by tonifying the upper part of the Three Yin meridians. Specifically, tonify Yinlingquan (SP9). Retain the needle for a long time in all cases, and remove it only when heat sensation spreads.
If spasms occur on the Yang aspect (lateral side), treat the Yang meridians; if spasms occur on the Yin aspect (medial side), treat the Yin meridians. In both cases, use the "Zu Ci" method (a rapid insertion and withdrawal technique). (Note: The lateral sides of the hands and feet belong to the Yang meridians; the medial sides belong to the Yin meridians.)
For "Tu Shui" (edema without wind pathogen, hence named 'Tu' meaning empty or bare because there is water but no wind), first puncture the point three cun below Huangu. ("Huangu" has no specific reference; it is考证 that it might refer to Huantiao (GB30). Currently, the point three cun below Huangu refers to Fengshi (GB31)). Puncture this area with a Pi needle (a sword-shaped needle). Puncture once every other day until cured. Simultaneously, administer medicine to promote urination. (Note: For urinary retention, one must drink diuretic medicines to facilitate water metabolism.)
For Zhu Bi (bi-syndrome characterized by heavy numbness due to dampness) that persists, accompanied by chronic cold, suddenly puncture Zusanli (ST36). (Note: Warming and tonifying Stomach Qi will dissipate cold-dampness.)
For intestinal obstruction and difficulty in defecation, select Shangjuxu (ST37) and Xiajuxu (ST39). Use reducing methods for excess patterns and tonifying methods for deficiency patterns. (Note: This refers to constipation. If caused by excess pathogenic factors, use reduction; if caused by deficiency of healthy Qi, use tonification.)
For Li Feng (leprosy, pronounced like 'Lai', also known as Great Wind disease; needling methods are recorded in *Su Wen: Chang Ci Jie Lun* and *Gu Kong Lun*), usually puncture the swollen areas. After puncturing, use a sharp needle at the site, press to expel evil qi, and stop when the swelling subsides. Maintain regular dietary habits and avoid consuming other types of food.
For frequent abdominal borborygmi, qi rushing upward to the chest, asthma preventing prolonged standing, the pathogen is in the Large Intestine. Puncture the Yuan-Source point of the Harem (Qihai, CV6), as well as Shangjuxu (ST37) and Zusanli (ST38).
For lower abdominal pain radiating to the testicles, pulling the waist and spine, with qi rushing upward to the heart, the pathogen is in the Small Intestine. This is because the Small Intestine connects to the testicles, belongs to the spine, penetrates the Liver and Lungs, and networks with the Heart system. When Qi is excessive, it leads to reversal, rushing upward to the Stomach and Intestines, steaming the Liver, spreading into the Harem, and knotting at the umbilicus. Therefore, select the Yuan-Source point of the Harem (Qihai) to dissipate the knot. Puncture the Taiyin Meridian to supplement it. Select the Jueyin Meridian to drain it. Select Xiajuxu (ST39) to eliminate the pathogen. (Note: Xiajuxu belongs to the Small Intestine Meridian.) Regulate according to the meridians traversed by the pathogen.
For frequent vomiting with bitter taste, frequent sighing, and a sense of fear as if being pursued, the pathogen is in the Gallbladder, with rebellious Qi in the Stomach. Bile fluid leaks, causing bitter taste; Stomach Qi rebels, causing vomiting of bitter fluid. Hence it is called "Gallbladder Vomiting." Select Zusanli (ST38) to descend rebellious Stomach Qi. Laterally puncture the blood collaterals of the Shaoyang Meridian to close the rebellion of Gallbladder Qi. (Note: "Bi" means to stop.) Subsequently, regulate the excess and deficiency of the Gallbladder and Stomach meridians to eliminate the pathogen.
For inability to eat, chest and diaphragm blockage, the pathogen is in the Epigastrium. If in the Upper Epigastrium, puncture to suppress and guide downward; if in the Lower Epigastrium, disperse and remove it.
For lower abdominal swelling and pain, inability to urinate, the pathogen is in the constraint of the Sanjiao. (Note: The lower output of the Sanjiao emerges at Weiyang (BL39) and connects with the main channel of the Foot-Taiyang Bladder Meridian, entering to network with the Bladder, constraining the Lower Jiao.) Select the large collateral of the Taiyang Meridian (Feiyang, BL58). Observe the collateral vessels; if they are knotted with the small collaterals of the Jueyin Meridian and contain blood stasis, puncture the swelling area and Zusanli (ST38) in the epigastrium.