瘟疫六七日不解。以致热入血室。发黄身如烟熏。目如金色。口燥而热结砭刺曲池
出恶血。或用锋针刺肘中曲泽之大络。使邪毒随恶血而出。极效。
大头瘟 因风热时邪。凡憎寒发热。咽喉肿痛头目面部肿及于耳。结块则止。不散必出
脓而后愈。外科有时毒证即此也。甚至项肩俱肿。状如虾蟆。故又名虾蟆瘟也。(有补遗)
大迎 曲池 合谷
(证治详见刺疟论篇此特通用刺灸要穴)
痰疟寒热
合谷 曲池 后溪
久疟热多寒少
间使 太 丘墟(治振寒)
久疟不食
公孙 内庭 商丘(治呕)
疟由寒湿饮食伤脾若久不愈。黄瘦无力者。灸脾 (七壮)凡治疟先针。而后灸大椎(三
七壮。一日三壮愈)
又灸三椎骨脊上(三壮)
(有补遗)
中暑 暑乃天之气。所以中手少阴心经。初病即渴其脉虚弱。
人中 中脘 气海 曲池 合谷 中冲 三里 内庭
暑郁中焦。腹痛上下攻绞。不得吐泻。用生熟水调白矾三钱。少顷。探吐去其暑毒。如
胸背四肢发红点者。以菜油灯火遍淬之。
黑痧腹痛头疼。发热恶寒。腰背强痛。白痧腹痛吐泻。四肢厥冷。十指甲黑。不得睡卧
。黑白痧头疼发汗。口渴泄泻。恶寒肢冷。不得睡卧。或肠鸣腹响。名绞肠痧也。
百劳 列缺 十宣 委中(以上刺痧通用) 天府(黑痧兼刺之) 太陵 大敦(白痧兼刺
之) 窍阴(黑白痧兼刺之) 中脘 丹田(治小腹绞痛)
又痧有青筋紫筋。或现于数处或现于一处。必用针刺放去其毒血。或有误饮热汤。则青
紫筋
反隐而不现即放之毒血不流。此当急饮冷水以解之。然后再放而血流。再刮而痧出。或有痧
毒方发。而为食物积滞所阻。此当先消食积而再放刮。或有痧毒方发。兼遇恼怒气逆。则愈
作胀。此当先用破气药以顺之。而再放刮。则痧可渐消也。若刮已到。放已尽。而不愈。则
是痧毒惟在肠胃肝脾肾二阴经络。必须据症用药。
放痧有十
头顶心(百会穴) 印堂 两太阳穴 喉中两旁 舌下两旁 两乳 两手十指头(十宣穴)
两臂弯 两腿弯 两足十指头
瘟疫病经过六七天仍未解除，导致热邪陷入血室，身体发黄如同烟熏，眼睛呈现金色，口燥且体内有热结。此时可用砭石刺破曲池穴，放出恶血；或者用锋针刺入肘部的曲泽穴及其大络，使邪毒随着恶血排出，效果极佳。
大头瘟：由于风热时邪所致。凡是出现怕冷发热、咽喉肿痛、头目面部肿胀直至耳朵，肿块聚集一处则停止扩散，若不消散必须出脓后才能痊愈。外科所说的“时毒”证就是这种病。甚至项部和肩部都肿胀，形状像蛤蟆，所以又被称为蛤蟆瘟。（有补遗内容）
常用穴位：大迎、曲池、合谷。
（具体证治详见《刺疟论》篇，此处仅列出通用的刺灸要穴）
痰疟（寒热往来）：取穴合谷、曲池、后溪。
久疟（热多寒少）：取穴间使、太冲、丘墟（用于治疗发冷颤抖）。
久疟不食：取穴公孙、内庭、商丘（用于治疗呕吐）。
疟疾由寒湿及饮食损伤脾脏引起，如果长久不愈，出现面色萎黄、消瘦无力的情况，可艾灸脾俞穴（七壮）。凡治疗疟疾先进行针刺，然后艾灸大椎穴（三七壮，每天三壮即可痊愈）。
另外艾灸第三椎骨脊上位置（三壮）。
（有补遗内容）
中暑：暑气是天时的气候，所以容易侵犯手少阴心经。初发病即口渴，脉象虚弱。
常用穴位：人中、中脘、气海、曲池、合谷、中冲、足三里、内庭。
暑气郁结在中焦，腹痛上下攻绞，不能吐泻。用生水和熟水调匀白矾三钱，过一会儿，探喉催吐以去除暑毒。如果胸背四肢出现红色斑点，用菜油灯火遍灼这些部位。
黑痧症：腹痛头疼，发热恶寒，腰背强痛。
白痧症：腹痛吐泻，四肢厥冷，十指甲变黑，无法安睡。
黑白痧症：头疼需发汗，口渴泄泻，恶寒肢冷，无法安睡，或肠鸣腹响，称为绞肠痧。
常用穴位：百劳、列缺、十宣、委中（以上为刺痧通用穴位）、天府（黑痧兼刺）、太陵、大敦（白痧兼刺）、窍阴（黑白痧兼刺）、中脘、丹田（治疗小腹绞痛）。
另外，痧症有青筋紫筋显现，或出现在几处，或出现在一处，必须用针刺放去其中的毒血。如果有误饮热汤的情况，青紫筋反而隐藏不现，即使放针毒血也不流出，这应当紧急饮用冷水来化解它，然后再放针血流出来，再刮痧痧毒就会出来。或者有痧毒刚发作，却被食物积滞所阻碍，这应当先消除食积然后再放针刮痧。或者有痧毒刚发作，又遇到恼怒导致气逆，则肿胀加剧，这应当先用破气药顺气，然后再放针刮痧，痧毒就可以逐渐消除。如果刮痧已到位，放血已尽，但病情仍未好转，那么是痧毒只在肠胃以及肝、脾、肾、二阴的经络中，必须根据症状用药。
放痧的部位有十个：
头顶心（百会穴）、印堂、两太阳穴、喉中两旁、舌下两旁、两乳、两手十指头（十宣穴）、两臂弯、两腿弯、两足十指头。
Plague (Yiwen) persisting for six or seven days without resolution leads to heat entering the Blood Chamber (Xue Shi), causing jaundice where the body appears yellow like smoked tobacco, and eyes appearing golden. With dry mouth and internal heat accumulation, Bian stone (Bian shi, a stone tool for bloodletting) should be used to puncture Quchi (LI11) to discharge foul blood. Alternatively, a sharp needle may pierce the large collaterals at Quze (PC3) in the elbow to allow pathogenic toxins to exit with the foul blood; this is extremely effective.
Big Head Plague (Datou Wen): Caused by wind-heat seasonal pathogens. Symptoms include aversion to cold and fever, sore and swollen throat, swelling of the head, eyes, face extending to the ears. Swelling gathers in one area and stops spreading; if it does not dissipate, pus must form before recovery. This corresponds to "Shi Du" (Time Poison) in surgery. In severe cases, the neck and shoulders swell, resembling a toad, hence also called Toad Plague (Hamawen). (Supplementary text exists.)
Acupoints: Daying (ST5), Quchi (LI11), Hegu (LI4).
(Detailed syndrome differentiation and treatment are detailed in the *Treatise on Acupuncture for Malaria*; these are general essential points for acupuncture and moxibustion.)
Phlegm Malaria (Tan Nüe) with alternating chills and fever: Hegu (LI4), Quchi (LI11), Houxi (SI3).
Chronic Malaria with more heat than cold: Jianshi (PC5), Taichong (LR3), Qiuxu (GB40) [to treat rigors].
Chronic Malaria with loss of appetite: Gongsun (SP4), Neiting (ST44), Shangqiu (SP5) [to treat vomiting].
Malaria caused by cold-dampness and dietary injury to the Spleen, which persists chronically leading to sallow complexion, emaciation, and weakness, can be treated with moxibustion on Pishu (BL20) (7 moxa cones). Generally, treat malaria by needling first, then moxibustion on Dazhui (GV14) (21 moxa cones total, 3 per day until cured).
Additionally, moxibustion on the upper aspect of the third thoracic vertebra (3 moxa cones).
(Supplementary text exists.)
Heatstroke (Zhong Shu): Summer heat is the qi of heaven, thus affecting the Hand-Shaoyin Heart Meridian. Initial symptoms include thirst and a weak pulse.
Acupoints: Renzhong (GV26), Zhongwan (CV12), Qihai (CV6), Quchi (LI11), Hegu (LI4), Zhongchong (PC9), Zusanli (ST36), Neiting (ST44).
Summer heat stagnating in the Middle Jiao causes abdominal pain twisting up and down, inability to vomit or diarrhea. Mix 3 qian of alum (Bai Fan) with raw and cooked water. After a short while, induce vomiting to expel summer heat toxins. If red spots appear on the chest, back, and limbs, scald them thoroughly with a lamp wick dipped in vegetable oil.
Black Sha Syndrome: Abdominal pain, headache, fever, aversion to cold, stiffness and pain in the waist and back.
White Sha Syndrome: Abdominal pain, vomiting, diarrhea, cold extremities, black fingernails/toenails, insomnia.
Black-and-White Sha Syndrome: Headache requiring sweating, thirst, diarrhea, aversion to cold, cold extremities, insomnia, or borborygmus and abdominal rumbling, known as Intestine-Twisting Sha (Jiaochang Sha).
Acupoints: Bailao (EX-B1), Lieque (LU7), Shixuan (EX-UE11), Weizhong (BL40) [General for Sha]; Tianfu (LU3) [for Black Sha]; Tailing (PC7), Dadun (LR1) [for White Sha]; Xiaoyin (GB44) [for Black-and-White Sha]; Zhongwan (CV12), Dantian (CV12 or CV4 depending on context, here likely CV12/CV4 region for lower abdomen) [for severe lower abdominal colic].
Furthermore, Sha may present as blue or purple veins visible in several places or one place. Needles must be used to release toxic blood. If hot soup was mistakenly ingested, the blue/purple veins may hide and blood will not flow upon needling. In this case, urgently drink cold water to resolve it, then needle to release blood, followed by scraping to bring out Sha toxins. If Sha toxins are blocked by food stagnation, resolve the food stagnation first, then needle and scrape. If Sha toxins coincide with anger and rebellious Qi causing increased distension, use Qi-moving herbs first, then needle and scrape to gradually eliminate Sha. If scraping and bleeding are complete but the condition persists, the Sha toxin resides only in the meridians of the Stomach, Intestines, Liver, Spleen, Kidneys, and Yin openings. Medication must be prescribed based on symptoms.
Ten sites for bloodletting/scraping (Fang Sha):
Vertex (Baihui GV20), Yintang (EX-HN3), both Temples (Taiyang EX-HN5), both sides of the throat, both sides under the tongue, both breasts, tips of ten fingers (Shixuan EX-UE11), both antecubital fossae, both popliteal fossae, tips of ten toes.