霍乱挥霍撩乱也邪在上焦则吐。在下焦则泻。在中焦则吐泻交作。此湿霍乱易治。若不
能吐
利。邪不得出。壅遏正气。关格阴阳也。至于舌卷阳缩入腹者不治。又霍乱为胃气反逆。误
犯谷食米饮必死。
关冲 支沟 委中 承山 三阴交 公孙 太白 太 (吐泻神效) 夹脊穴
吐泻不止者 中脘 天枢 气海(或针或灸立愈)
霍乱将死者。以细白干盐填满脐中。艾灸七壮。立苏。
(哕病见补遗)
恶心 胃口有邪。见饮食便生畏恶。心下欲吐不吐。若寒气恶心者呕清水。痰火恶心呕
酸水。烦渴。
胃俞 幽门 中脘 商丘
呕吐 吐属太阳。有物无声。乃血病也。呕属阳明。有物有声。气血俱病也。
太渊 太陵 两乳穴(即乳根灸三壮) 中脘 气海 足三里 通谷
(有补遗)
翻胃 上焦吐者气上冲胸。食已即吐。中焦吐者胸中痞闷。或先痛后吐或先吐后痛。下
焦吐
者。朝食暮吐暮食朝吐四肢冷小便清。大便不通。或饮食后两日吐者。脾绝胃枯。不可治也。
隔俞 脾俞 上脘 中脘(各灸二七壮) 天枢 气海 三里 太白
噎病 忧噎胸中痞满。气逆时。呕食不下思噎。心悸善忘。气噎心下痞噎哕不食。胸
背痛。
劳噎。气上膈。支满背痛食噎。食急胸痛。不得喘息。噎是神思间病。惟内观静养者可治。
天突 胃俞 中脘 气海 三里 膏肓俞 脾俞(思噎更效) 膻中(治气噎) 膈俞(治
劳噎)
霍乱,是指发病突然、病情急剧紊乱的疾病。邪气位于上焦,则表现为呕吐;位于下焦,则表现为腹泻;位于中焦,则呕吐与腹泻同时发作。这属于湿霍乱,比较容易治疗。如果不能呕吐或腹泻,邪气就无法排出,从而壅遏正气,导致阴阳之气阻隔不通(关格)。至于出现舌体卷缩、睾丸内缩并陷入腹中的症状,则属于不治之症。另外,霍乱是由于胃气上逆所致,如果误食谷物、食物或米饮,必然导致死亡。
[穴位] 关冲、支沟、委中、承山、三阴交、公孙、太白、太冲(对吐泻有显著疗效)、夹脊穴。
若吐泻不止者,取中脘、天枢、气海(采用针刺或艾灸,可立即痊愈)。
霍乱濒临死亡者,用细白干盐填满肚脐,施以艾灸七壮,患者可立即苏醒。
(呃逆病症见本书补遗部分)
恶心:胃口受到邪气干扰,见到饮食便产生畏惧厌恶之心,心中感觉欲吐却吐不出来。如果是寒气引起的恶心,会呕吐清水;如果是痰火引起的恶心,会呕吐酸水,伴有烦躁和口渴。
[穴位] 胃俞、幽门、中脘、商丘。
呕吐:吐,归属于太阳经,是有物无声,属于血分病变;呕,归属于阳明经,是有物有声,属于气血共同病变。
[穴位] 太渊、太陵、两乳穴(即乳根穴,灸三壮)、中脘、气海、足三里、通谷。
(此部分有补遗内容)
翻胃(反胃):上焦呕吐者,气向上冲撞胸部,吃完食物后立即吐出;中焦呕吐者,胸中痞塞闷胀,或者先疼痛后呕吐,或者先呕吐后疼痛;下焦呕吐者,早晨吃晚上吐,晚上吃早上吐,四肢冰冷,小便清长,大便不通畅。或者是进食后两天才呕吐的,这是脾脏功能衰竭、胃气枯竭的表现,不可治愈。
[穴位] 膈俞、脾俞、上脘、中脘(各灸十四壮)、天枢、气海、足三里、太白。
噎病(噎膈):忧思导致的噎证,胸中痞塞满闷,气机逆乱时,想呕吐却吃不下东西,心中悸动,容易忘事;气滞导致的噎证,心下痞塞,呃逆不食,胸背疼痛。
劳损导致的噎证,气机上逆至膈部,支撑胀满,背痛,进食困难,进食急迫时胸痛,无法喘息。噎证是神志思维方面的疾病,只有通过内观静养才能治愈。
[穴位] 天突、胃俞、中脘、气海、足三里、膏肓俞、脾俞(对于忧思导致的噎证效果更佳)、膻中(治疗气滞噎证)、膈俞(治疗劳损噎证)。
Huo Luan (Cholera-like syndrome with sudden onset and chaotic symptoms) refers to a disease characterized by sudden onset and severe disorder. If the pathogenic factor is located in the Upper Jiao (Upper Burner), vomiting occurs; if in the Lower Jiao (Lower Burner), diarrhea occurs; if in the Middle Jiao (Middle Burner), both vomiting and diarrhea occur simultaneously. This type, known as Shi Huo Luan (Damp-type Cholera), is relatively easy to treat. If the patient is unable to vomit or have diarrhea, the pathogen cannot be expelled, leading to the stagnation of healthy Qi and resulting in Guan Ge (Obstruction and Rejection, where Yin and Yang energies block each other). Symptoms such as tongue retraction and testicular retraction into the abdomen indicate an incurable condition. Furthermore, Huo Luan is caused by the rebellion of Stomach Qi; ingesting food, grains, or drinks will inevitably lead to death.
[Acupoints] Guanzhong (TE1), Zhigou (TE6), Weizhong (BL40), Chengshan (BL57), Sanyinjiao (SP6), Gongsun (SP4), Taibai (SP3), Taichong (LR3) [highly effective for vomiting and diarrhea], Jiaji (EX-B2).
For persistent vomiting and diarrhea: Zhongwan (CV12), Tianshu (ST25), Qihai (CV6) [acupuncture or moxibustion can bring immediate cure].
For patients near death from Huo Luan: Fill the umbilicus with fine white dry salt and apply moxibustion for seven moxa cones (Zhuang); the patient will revive immediately.
(See Supplementary Material for Emetic disorders/Yue Bing)
Nausea: Pathogenic factors in the stomach area cause aversion to seeing food. There is a sensation of wanting to vomit but being unable to do so. If caused by Cold-evil, clear water is vomited; if caused by Phlegm-Fire, sour fluid is vomited, accompanied by irritability and thirst.
[Acupoints] Weishu (BL21), Youmen (KI21), Zhongwan (CV12), Shangqiu (SP5).
Vomiting: "Tu" (spitting out without sound) belongs to the Taiyang channel; it involves material expulsion without sound and indicates a Blood pathology. "Ou" (vomiting with sound) belongs to the Yangming channel; it involves material expulsion with sound and indicates a pathology involving both Qi and Blood.
[Acupoints] Taiyuan (LU9), Taoling (PC3), Liangru Xue (Points between breasts, specifically Rugen ST18, moxibustion 7 cones), Zhongwan (CV12), Qihai (CV6), Zusanli (ST36), Tonggu (BL65).
(Supplementary material exists for this section)
Fan Wei (Reverse Stomach/Regurgitation): Vomiting from the Upper Jiao involves Qi rushing upward to the chest, with immediate regurgitation after eating. Vomiting from the Middle Jiao involves chest stuffiness and oppression, sometimes pain precedes vomiting, or vomiting precedes pain. Vomiting from the Lower Jiao involves morning food eaten at night, or evening food eaten in the morning, cold limbs, clear urine, and constipation. Or, if vomiting occurs two days after eating, it indicates the exhaustion of Spleen function and depletion of Stomach Qi, which is incurable.
[Acupoints] Ge Shu (BL17), Pishu (BL20), Shangwan (CV13), Zhongwan (CV12) [each moxibusted for 14 cones], Tianshu (ST25), Qihai (CV6), Zusanli (ST36), Taibai (SP3).
Ye Bing (Choking/Dysphagia): You Ye (Worry-induced Choking) involves chest stuffiness and fullness. When Qi rebels, there is an urge to vomit but inability to eat, palpitations, and forgetfulness. Qi Ye (Qi-stagnation Choking) involves epigastric stuffiness, hiccups, refusal to eat, and chest/back pain. Lao Ye (Labor/Fatigue-induced Choking) involves Qi rising to the diaphragm, distension and back pain, difficulty eating, chest pain when eating hastily, and inability to breathe deeply. Ye Bing is a disorder of the Shen (Spirit/Mind) and thought processes; only internal observation and quiet nourishment can cure it.
[Acupoints] Tiantu (CV22), Weishu (BL21), Zhongwan (CV12), Qihai (CV6), Zusanli (ST36), Gaohuangshu (BL43), Pishu (BL20) [more effective for You Ye], Danzhong (CV17) [treats Qi Ye], Ge Shu (BL17) [treats Lao Ye].