三焦不和五脏津液焦渴水火不能交济之致也
消渴饮水人中兑端隐白承浆然谷神门内关三焦俞
肾虚消渴然谷肾俞腰俞肺俞中膂俞在第二十椎下两旁各二寸挟脊起肉端灸三壮
食渴中脘针三焦俞胃俞太渊列缺针皆泻
表气虚弱则自汗也寒气外束则无汗也肺主皮毛表虚则自汗是○吐血衄血皆因肺热心血妄
行皮肤须泻心肺热气也
转筋汗不出窍阴太渊孔最三壮阳陵泉胆俞两臂转筋穴互相加减用
烦心汗不出孔最三壮曲差心俞太渊神门巨阙又手足指间针
骨寒热汗注复溜下三里神门
汗出鼻衄承浆合谷昆仑上星神门太冲
身热如火汗不出命门中脘胆俞孔最三壮肺俞太溪合谷支沟
盗汗肺俞三壮阴都挟巨阙旁一寸五分直下又二寸灸二壮
虚汗合谷泻复溜下三里并补阴都曲泉并三壮照海鱼际
咳嗽汗不出鱼际窍阴胆俞商阳上星肺俞心俞肝俞曲泉三壮孔最三壮
冬伤于寒春伤病瘟
太阳经病一日二日发热恶寒头疼腰脊强痛尺脉俱浮属膀胱经
阳明经病二日三日身热目痛鼻干不得卧尺脉俱长属胃土
少阳经病三日四日胸胁痛而耳聋或口苦舌干或往来寒热而呕尺脉俱弦属胆木
太阴经病四日五日腹满咽干手足自湿或自痢而渴或腹痛尺脉俱沉细属脾土
少阴经病五日六日口燥舌干而恶寒尺脉俱沉属肾水
厥阴经病六日七日烦懑囊缩尺脉俱微缓属肝木
是三阴三阳症也○方书云初起只传足经不传手经
又云五行顺传者生逆传者亡○顺金生水水生木木生火火生土土生金逆金克木木克土土
克水水克火火克金
又云一曰治风府穴 二曰治三间穴 三曰治中渚临泣 四曰治少商隐白 五曰治神门太
溪六曰治灵道中封间使穴
在表主腑阳谷支沟阳溪阳辅在里主脏商丘复溜经渠灵道间使
病似中风症中湿症口噤反张又似痫症以伤寒逐日例行针
伤寒流注太冲内庭穴针此二穴总治能退寒热
在手太冲内庭手三里并针在足太冲内庭并针在背太冲内庭间使并针
在腹太冲内庭下三里并针
伤寒犯色发热饮食咽塞而还出鼻孔然谷针使之饮食即吞神效
阴症伤寒弥留不能退热乃中气不足之致脐中百壮不愈加灸五十壮或填盐炼脐
伤寒过六日不解者期门关元太冲下三里内庭
余热未尽曲池合谷太冲下三里内庭
伤寒悲恐太冲内庭少冲通里
挟脊痛大冲内庭委中昆仑
口干曲泽神门
项强目瞑风门委中太冲内庭下三里三阴交
热病烦心足寒多汗先针然谷太溪行间皆补
热病烦心汗不出中冲劳宫少冲关冲大陵阳溪曲泽孔最三壮至五壮即汗
又方五日以上汗不出太渊留针一时若未满五日曲泽穴禁针
热病极热头痛引饮三日以柔索缠肩下臂上左右尺泽穴上下青络血贯刺多出血弃如粪汁神
效出血与汗出同故也
虾蟆瘟兵乱之后杀气弥满触犯伤人瘟热大炽咽肿闭塞口噤不语不食颔下亦肿形如虾蟆
之颔气息
奄奄第三日而死故曰虾蟆瘟其热传染或作大头瘟或无病患传染者下必气绝或有作热仍成大肿
而毙者急以三棱针贯刺头额上当阳血络及太阳血络多出恶血继以细系其肩下 上即针刺左右
尺泽大小血络及委中血络并弃血如粪则不日而饮水神效
大头瘟形如赤丝之气如虹横带于额颡如一字样仍肿满面耳目口鼻顿无各体有同肉块不声
不语气息奄奄第六七日而死是热犯心肺也治法如上而并急治未危之前
三焦不和，导致五脏津液枯竭、焦渴，这是水火不能交济所致。
消渴（糖尿病样症状）伴饮水多：取人中、兑端、隐白、承浆、然谷、神门、内关、三焦俞。
肾虚型消渴：取然谷、肾俞、腰俞、肺俞、中膂俞（位于第二十椎下两旁各二寸，夹脊起肉处），灸三壮。
食后口渴：针中脘、三焦俞、胃俞、太渊、列缺，均用泻法。
表气虚弱则自汗；寒气外束则无汗。肺主皮毛，表虚则自汗。○吐血、衄血皆因肺热、心血妄行所致。皮肤需泻心肺之热气。
转筋（肌肉痉挛）、无汗：取窍阴、太渊、孔最，灸三壮；阳陵泉、胆俞。两臂转筋时穴位可互相加减使用。
心烦、无汗：取孔最，灸三壮；曲差、心俞、太渊、神门、巨阙。手足指间也可针刺。
骨寒热、大汗淋漓：取复溜、下三里、神门。
汗出、鼻衄：取承浆、合谷、昆仑、上星、神门、太冲。
身热如火、无汗：取命门、中脘、胆俞、孔最，灸三壮；肺俞、太溪、合谷、支沟。
盗汗：取肺俞，灸三壮；阴都（在巨阙旁一寸五分，直下又二寸处），灸二壮。
虚汗：泻合谷，补复溜、下三里，并补阴都、曲泉，均灸三壮；照海、鱼际。
咳嗽、无汗：取鱼际、窍阴、胆俞、商阳、上星、肺俞、心俞、肝俞、曲泉，灸三壮；孔最，灸三壮。
冬季感受寒邪，春季易患温病（瘟疫）。
太阳经病：第一、二日，发热恶寒，头痛，腰脊强痛，尺脉俱浮，属膀胱经。
阳明经病：第二、三日，身热，目痛，鼻干，不得卧，尺脉俱长，属胃土。
少阳经病：第三、四日，胸胁痛而耳聋，或口苦舌干，或往来寒热而呕，尺脉俱弦，属胆木。
太阴经病：第四、五日，腹满，咽干，手足自湿，或自痢而渴，或腹痛，尺脉俱沉细，属脾土。
少阴经病：第五、六日，口燥舌干而恶寒，尺脉俱沉，属肾水。
厥阴经病：第六、七日，烦闷，囊缩，尺脉俱微缓，属肝木。
这是三阴三阳的病症。○方书说：初起只传足经，不传手经。
又说：五行顺传者生，逆传者亡。○顺传：金生水，水生木，木生火，火生土，土生金。逆传：金克木，木克土，土克水，水克火，火克金。
又说：第一日治风府穴；第二日治三间穴；第三日治中渚、临泣；第四日治少商、隐白；第五日治神门、太溪；第六日治灵道、中封、间使穴。
在表主腑：取阳谷、支沟、阳溪、阳辅。在里主脏：取商丘、复溜、经渠、灵道、间使。
病似中风症、中湿症（口噤反张），又似痫症，按伤寒逐日例行针刺。
伤寒流注：取太冲、内庭穴，针刺此二穴总治能退寒热。
在手部：取太冲、内庭、手三里，并针。在足部：取太冲、内庭，并针。在背部：取太冲、内庭、间使，并针。在腹部：取太冲、内庭、下三里，并针。
伤寒犯色（房劳伤肾）、发热、饮食咽塞而还出鼻孔：取然谷，针之使之饮食即吞，神效。
阴症伤寒，缠绵不退热，乃中气不足所致。脐中灸百壮，不愈加灸五十壮，或填盐灸脐。
伤寒过六日不解者：取期门、关元、太冲、下三里、内庭。
余热未尽：取曲池、合谷、太冲、下三里、内庭。
伤寒悲恐：取太冲、内庭、少冲、通里。
挟脊痛：取大冲、内庭、委中、昆仑。
口干：取曲泽、神门。
项强、目瞑：取风门、委中、太冲、内庭、下三里、三阴交。
热病心烦、足寒、多汗：先针然谷、太溪、行间，均用补法。
热病心烦、无汗：取中冲、劳宫、少冲、关冲、大陵、阳溪、曲泽、孔最，灸三壮至五壮，即出汗。
又一方：五日以上无汗，取太渊留针一时辰。若未满五日，曲泽穴禁针。
热病极热、头痛引饮：三日以柔索缠肩下臂上左右尺泽穴上下青络血贯刺，多出血，弃如粪汁，神效。出血与汗出同故也。
虾蟆瘟：兵乱之后，杀气弥满，触犯伤人，瘟热大炽，咽肿闭塞，口噤不语，不食，颔下亦肿，形如虾蟆之颔，气息奄奄，第三日而死，故曰虾蟆瘟。其热传染，或作大头瘟，或无病患传染者下必气绝，或有作热仍成大肿而毙者。急以三棱针贯刺头额上当阳血络及太阳血络，多出恶血，继以细线系其肩下，上即针刺左右尺泽大小血络及委中血络，并弃血如粪，则不日而饮水，神效。
大头瘟：形如赤丝之气，如虹横带于额颡如一字样，仍肿满面，耳目口鼻顿无，各体有同肉块，不声不语气息奄奄，第六七日而死，是热犯心肺也。治法如上，而并急治未危之前。
Blood stasis in the chest: Select Jueque (CV14), Xiasanli, Feishu (BL13), Gaohuangshu (BL43), Neiguan (PC6).
Disorder of the Sanjiao (Triple Burner) leads to dryness and thirst due to exhaustion of the five Zang organs' fluids; this is caused by the failure of Water and Fire to interact harmoniously.
Xiaoke (Wasting-thirst / Diabetes-like symptoms) with excessive drinking: Select Renzhong (GV26), Duanduan (GV27), Yinbai (SP1), Chengjiang (CV24), RanGu (KI2), Shenmen (HT7), Neiguan (PC6), Sanjiaoshu (BL22).
Kidney deficiency type Xiaoke: Select RanGu (KI2), Shenshu (BL23), Yaoshu (GV3), Feishu (BL13), Zhonglvshu (BL27, located two cun lateral to the spine below the 20th thoracic vertebra on the raised muscle tissue), moxa three Zhu.
Thirst after eating: Needle Zhongwan (CV12), Sanjiaoshu (BL22), Weishu (BL21), Taiyuan (LU9), Lieque (LU7), all using the reducing method.
Deficiency of Wei Qi (Defensive Qi) causes spontaneous sweating; external constraint by Cold pathogen causes absence of sweating. The Lung governs the skin and hair; exterior deficiency leads to spontaneous sweating. ○ Hematemesis (vomiting blood) and epistaxis (nosebleed) are both caused by Lung heat and reckless movement of Heart blood. For skin conditions, reduce Heat from the Heart and Lungs.
Tetany (muscle spasm) with no sweating: Select Qiaoyin (GB44), Taiyuan (LU9), Kongzui (LU6), moxa three Zhu; Yanglingquan (GB34), Danshu (BL19). For spasms of both arms, acupoints can be adjusted mutually.
Vexation in the heart with no sweating: Select Kongzui (LU6), moxa three Zhu; Qucha (GV7), Xinxu (BL15), Taiyuan (LU9), Shenmen (HT7), Jueque (CV14). Points between the fingers of hands and feet can also be needled.
Bone cold-heat with profuse sweating: Select Fuliu (KI7), Xiasanli, Shenmen (HT7).
Sweating with epistaxis: Select Chengjiang (CV24), Hegu (LI4), Kunlun (BL60), Shangxing (GV23), Shenmen (HT7), Taichong (LR3).
Body heat like fire with no sweating: Select Mingmen (GV4), Zhongwan (CV12), Danshu (BL19), Kongzui (LU6), moxa three Zhu; Feishu (BL13), Taixi (KI3), Hegu (LI4), Zhigou (TE6).
Night sweats: Select Feishu (BL13), moxa three Zhu; Yindu (SP15, one and a half cun lateral to Jueque, two cun further down vertically), moxa two Zhu.
Deficient sweating: Reduce Hegu (LI4); tonify Fuliu (KI7), Xiasanli, Yindu (SP15), Ququan (LR8), all moxa three Zhu; Zhaohai (KI6), Yuji (LU10).
Cough with no sweating: Select Yuji (LU10), Qiaoyin (GB44), Danshu (BL19), Shangyang (LI1), Shangxing (GV23), Feishu (BL13), Xinxu (BL15), Ganshu (BL18), Ququan (LR8), moxa three Zhu; Kongzui (LU6), moxa three Zhu.
Winter injury by Cold leads to Spring Warm diseases (Epidemics).
Taiyang Meridian disease: On the first or second day, fever and aversion to cold, headache, stiffness and pain in the waist and spine, radial pulses at the Chi position are floating, belonging to the Bladder meridian.
Yangming Meridian disease: On the second or third day, body heat, eye pain, nasal dryness, inability to lie down, radial pulses at the Chi position are long, belonging to Stomach Earth.
Shaoyang Meridian disease: On the third or fourth day, pain in the chest and hypochondrium with deafness, or bitter taste in the mouth and dry tongue, or alternating chills and fever with vomiting, radial pulses at the Chi position are wiry, belonging to Gallbladder Wood.
Taiyin Meridian disease: On the fourth or fifth day, abdominal fullness, dry throat, dampness in hands and feet, or spontaneous diarrhea with thirst, or abdominal pain, radial pulses at the Chi position are deep and fine, belonging to Spleen Earth.
Shaoyin Meridian disease: On the fifth or sixth day, dry mouth and tongue with aversion to cold, radial pulses at the Chi position are deep, belonging to Kidney Water.
Jueyin Meridian disease: On the sixth or seventh day, vexation and distension, retraction of the testicles, radial pulses at the Chi position are faint and slow, belonging to Liver Wood.
These are the syndromes of the Three Yin and Three Yang meridians. ○ Medical texts state: At the onset, transmission occurs only through the Foot meridians, not the Hand meridians.
It is also said: Transmission following the generation cycle of the Five Elements leads to survival; transmission following the overcoming cycle leads to death. ○ Generation cycle: Metal generates Water, Water generates Wood, Wood generates Fire, Fire generates Earth, Earth generates Metal. Overcoming cycle: Metal overcomes Wood, Wood overcomes Earth, Earth overcomes Water, Water overcomes Fire, Fire overcomes Metal.
It is also said: On the first day, treat Fengfu (GV16); on the second day, treat Sanjian (LI3); on the third day, treat Zhongzhu (TE3) and Linqi (GB41); on the fourth day, treat Shaoshang (LU11) and Yinbai (SP1); on the fifth day, treat Shenmen (HT7) and Taixi (KI3); on the sixth day, treat Lingdao (HT4), Zhongfeng (LR4), and Jianshi (PC5).
Exterior disorders affecting the Fu organs: Select Yanggu (SI2), Zhigou (TE6), Yangxi (LI5), Yangfu (GB38). Interior disorders affecting the Zang organs: Select Shangqiu (SP5), Fuliu (KI7), Jingqu (LU8), Lingdao (HT4), Jianshi (PC5).
Syndromes resembling Wind-stroke, Dampness invasion (lockjaw and opisthotonos), or epilepsy should be treated according to the daily acupuncture protocol for Cold damage.
Cold damage flow and distribution: Select Taichong (LR3) and Neiting (ST44); needling these two points generally controls and reduces chills and fever.
On the hand: Select Taichong (LR3), Neiting (ST44), Shousanli (LI10), needle together. On the foot: Select Taichong (LR3), Neiting (ST44), needle together. On the back: Select Taichong (LR3), Neiting (ST44), Jianshi (PC5), needle together. On the abdomen: Select Taichong (LR3), Neiting (ST44), Xiasanli, needle together.
Cold damage involving sexual misconduct, fever, food regurgitation from the mouth and nose: Select RanGu (KI2); needling enables swallowing of food immediately, miraculous effect.
Yin syndrome Cold damage lingering with unresolved fever is due to insufficiency of Middle Qi. Moxa the navel for one hundred Zhu; if ineffective, add fifty Zhu, or fill the navel with salt and moxa.
For Cold damage unresolved after six days: Select Qimen (LR14), Guanyuan (CV4), Taichong (LR3), Xiasanli, Neiting (ST44).
Residual heat not yet exhausted: Select Quchi (LI11), Hegu (LI4), Taichong (LR3), Xiasanli, Neiting (ST44).
Cold damage with grief and fear: Select Taichong (LR3), Neiting (ST44), Shaochong (HT9), Tongli (HT5).
Pain along the spine: Select Dachong (LR3 - likely typo for Taichong in source context or specific point), Neiting (ST44), Weizhong (BL40), Kunlun (BL60).
Dry mouth: Select Quze (PC3), Shenmen (HT7).
Stiff neck and closed eyes: Select Fengmen (BL12), Weizhong (BL40), Taichong (LR3), Neiting (ST44), Xiasanli, Sanyinjiao (SP6).
Heat disease with vexation in the heart, cold feet, and excessive sweating: First needle RanGu (KI2), Taixi (KI3), Xingjian (LR2), all using the tonifying method.
Heat disease with vexation in the heart and no sweating: Select Zhongchong (PC9), Laogong (PC8), Shaochong (HT9), Guanchong (TE17), Daling (PC7), Yangxi (LI5), Quze (PC3), Kongzui (LU6), moxa three to five Zhu, sweating ensues immediately.
Another prescription: For no sweating after five days, select Taiyuan (LU9) and retain the needle for one shichen (two hours). If less than five days have passed, Quze (PC3) is contraindicated for needling.
Heat disease with extreme heat, headache, and desire to drink: After three days, tie a soft cord around the upper arm below the shoulder at the Qingluo (blue collaterals) above and below the Chize (LU5) point on both left and right sides, puncture deeply to bleed heavily, discarding blood like feces, miraculous effect. Bleeding is equivalent to sweating.
Toad plague: After military conflicts, pervasive killing energy touches and injures people, causing intense epidemic heat, swollen and blocked throat, lockjaw, inability to speak or eat, swelling under the chin resembling a toad's throat, gasping breath, death on the third day, hence called Toad plague. Its heat is contagious; it may manifest as Big Head Plague, or infect healthy individuals leading to sudden qi collapse, or cause severe swelling and death from heat. Urgently use a three-edged needle to pierce the Yang blood collaterals on the forehead and the Taiyang blood collaterals, releasing much evil blood. Then tie a thin thread below the shoulders, immediately needle the large and small blood collaterals at Chize (LU5) bilaterally and the blood collaterals at Weizhong (BL40), discarding blood like feces, then drinking water returns within a few days, miraculous effect.
Big Head Plague: Appearance like red silk vapor, rainbow-like band across the forehead and temples in a horizontal line, still swelling the whole face, ears, eyes, mouth, and nose disappear into a lump of flesh, silent and gasping, death on the sixth or seventh day, caused by Heat invading the Heart and Lungs. Treatment method is as above, but urgently treat before critical condition.