脾胃及三焦不和上吐下泄胸腹痛闷是关格者不得吐泻也四关穴主之四关谓合谷太冲是也
霍乱闷乱即以柔物回缚男左女右之肩下臂上侧卧压缚臂入睡则即止效
又方脐中七壮下火即瘥又脐上三寸三壮三焦俞合谷太冲并缄关冲刺出血立瘥中脘针亦能
治霍乱吐泻
转筋霍乱手中关冲皆刺出血至阴绝骨太冲
霍乱心胸满痛吐食肠鸣中脘内关关冲出血列缺三阴交
暴泄大都昆仑期门阴陵泉中脘针
干呕间使七壮若不瘥更灸
霍乱遗矢下三里中脘针阴陵泉
霍乱头痛胸痛呼吸喘鸣人迎内关关冲三阴交下三里
霍乱已死而有暖气者承山在脚 肠中央分肉间去脚根七寸起死穴灸七壮
又方以盐填脐中灸二七壮仍灸气海穴百壮大敦穴
四节不摄荣卫不和之致或先寒后热者或先热后寒者或头痛引饮者或腰背先痛者或脚足先
痛者察其病源治之
疟病从头顶发者当痛日未发前一时预灸百会大椎尖头各三壮
从手臂发者预灸三间间使各三壮
从腰背发者肾俞百壮委中
一日一发于午前者邪在阳分也或间日或
温疟中脘针神效
疟谓老疟也作于子午卯酉者少阴疟也神道七壮绝骨三壮作于辰戌丑未者太阴疟也后溪
胆俞作于寅申己亥者厥阴疟也
诸疟先针间使仍针鬼邪十三等穴而虽勿用火 只用针刺累施神效
疟母痰水及瘀血成块腹胁胀而痛每上下弦日章门针后即灸三七壮
脾胃及三焦功能失调,出现上吐下泻、胸腹疼痛胀闷,这被称为“关格”;若表现为既不能呕吐也不能腹泻的闭阻状态,则取四关穴治疗。所谓四关穴,指的是合谷穴和太冲穴。
对于霍乱引起的烦闷扰乱,可以用柔软的物品将患者左肩(男性)或右肩(女性)下方的手臂侧卧压迫并束缚,使其入睡,症状即可停止,此法有效。
另一种方法:在脐中灸七壮,施以艾灸后病情即愈;或者在脐上三寸处灸三壮,同时配合三焦俞、合谷、太冲穴,并刺破关冲穴出血,立见疗效;针刺中脘穴也能治疗霍乱的呕吐和腹泻。
霍乱引起的转筋(肌肉痉挛),可针刺手中的关冲穴出血,以及至阴穴、绝骨穴、太冲穴。
霍乱导致心胸满痛、呕吐食物、肠鸣,可刺破关冲穴出血,并针刺列缺穴和三阴交穴。
霍乱伴有头痛、胸痛、呼吸急促且有哮鸣音,取人迎穴、内关穴、关冲穴、三阴交穴和足三里穴。
霍乱看似死亡但仍有微弱气息者,取承山穴(位于小腿腓肠肌两肌腹之间凹陷处,距离脚跟七寸),此为起死回生之穴,灸七壮。
又一方:用盐填满脐中,灸十四壮,然后再灸气海穴一百壮,以及大敦穴。
四肢约束无力,是营卫不和所致。有的先恶寒后发热,有的先发热后恶寒,有的头痛且想饮水,有的腰背先疼痛,有的脚足先疼痛。需察明病源进行治疗。
疟疾从头顶开始发作的,应在疼痛发作前一天的一小时,预先灸百会穴、大椎穴和尖头穴各三壮。
每隔一天发作一次且在午时前的,说明邪气在阳分。
所谓“老疟”,是指在子、午、卯、酉日发作的,称为少阴疟,灸神道穴七壮,绝骨穴三壮;在辰、戌、丑、未日发作的,称为太阴疟,灸后溪穴、胆俞穴;在寅、申、巳、亥日发作的,称为厥阴疟。
When the Spleen and Stomach (Pis-wei) and Sanjiao (Triple Burner, 三焦) are disharmonious, presenting with vomiting above and diarrhea below, along with chest and abdominal pain and distension, this is termed "Guan Ge" (Obstruction and Reversal, 关格). If it presents as a state where neither vomiting nor diarrhea can occur, the Si Guan (Four Passes, 四关) acupoints should be treated. The Si Guan refers to Hegu (LI4, 合谷) and Taichong (LR3, 太冲).
For Huoluan (Cholera-like syndrome characterized by sudden vomiting and diarrhea, 霍乱) causing mental restlessness and confusion, one may use a soft object to press and bind the side of the arm under the left shoulder (for males) or right shoulder (for females) while the patient lies on their side and falls asleep; the symptoms will then cease, which is effective.
Another method: Moxibustion of seven moxa cones at Shenque (CV8, 脐中) will cure the condition immediately. Alternatively, three moxa cones at Zhongwan (CV12, 脐上三寸), combined with Shisanjiaoshu (BL22, 三焦俞), Hegu (LI4, 合谷), and Taichong (LR3, 太冲), along with pricking Guanchong (SJ1, 关冲) to bleed, yields immediate results. Needling Zhongwan (CV12, 中脘) also treats Huoluan with vomiting and diarrhea.
For Huoluan accompanied by muscle cramps (Zhuangjin, 转筋), prick Guanchong (SJ1, 关冲) in the hand to bleed, as well as Zhiyin (BL67, 至阴), Juegu (GB39, 绝骨), and Taichong (LR3, 太冲).
For Huoluan causing chest and heart fullness and pain, vomiting of food, and borborygmus, prick Guanchong (SJ1, 关冲) to bleed, and needle Lieque (LU7, 列缺) and Sanyinjiao (SP6, 三阴交).
For sudden diarrhea, needle Dadu (SP2, 大都), Kunlun (BL60, 昆仑), Qimen (LR14, 期门), Yinlingquan (SP9, 阴陵泉), and Zhongwan (CV12, 中脘).
For dry heaving, moxibustion of seven cones at Neiguan (PC6, 间使); if not cured, continue moxibustion.
For Huoluan with involuntary defecation, needle Zusanli (ST36, 足三里), Zhongwan (CV12, 中脘), and Yinlingquan (SP9, 阴陵泉).
For Huoluan with headache, chest pain, rapid breathing, and wheezing, select Renying (ST9, 人迎), Neiguan (PC6, 内关), Guanchong (SJ1, 关冲), Sanyinjiao (SP6, 三阴交), and Zusanli (ST36, 足三里).
For Huoluan where death appears imminent but faint breath remains, select Chengshan (BL57, 承山), located in the fleshy part between the gastrocnemius muscles, seven cun from the heel root. This is the "Qi Si Xue" (Acupoint for Reviving the Dead, 起死穴); moxibustion of seven cones is indicated.
Another prescription: Fill the umbilicus with salt and apply moxibustion of fourteen cones (two sevens), followed by moxibustion of one hundred cones at Qihai (CV6, 气海) and Dazhun (LR1, 大敦).
Impaired control of the four limbs results from disharmony of Ying (Nutrient Qi, 营) and Wei (Defensive Qi, 卫). Some cases present with chills preceding fever, others with fever preceding chills; some have headache and desire to drink; some have prior pain in the lower back; others have prior pain in the feet. Treatment should be based on observing the source of the disease.
For Malaria (Nue, 疟病) originating from the top of the head, pre-moxibustion of three cones each at Baihui (GV20, 百会), Dazhui (GV14, 大椎), and Jianteau (尖头) should be performed one hour before the expected onset of pain.
For Malaria originating from the arms, pre-moxibustion of three cones each at Sanjian (LI3, 三间) and Neiguan (PC6, 间使).
For Malaria originating from the lower back, moxibustion of one hundred cones at Shenshu (BL23, 肾俞) and Weizhong (BL40, 委中).
If occurring every other day before noon, the pathogen is in the Yang aspect.
For Warm Malaria (Wen Nue, 温疟), needling Zhongwan (CV12, 中脘) is highly effective.
The term "Old Malaria" (Lao Nue, 老疟) refers to malaria occurring on Zi, Wu, Mao, You days, known as Shaoyin Malaria (Shao Yin Nue, 少阴疟); moxibustion of seven cones at Shendao (GV11, 神道) and three cones at Juegu (GB39, 绝骨). Malaria occurring on Chen, Xu, Chou, Wei days is known as Taiyin Malaria (Tai Yin Nue, 太阴疟); moxibustion at Houxi (SI3, 后溪) and Danshu (BL19, 胆俞). Malaria occurring on Yin, Shen, Si, Hai days is known as Jueyin Malaria (Jue Yin Nue, 厥阴疟).
For various types of Malaria, first needle Neiguan (PC6, 间使), then needle the thirteen Guixie (Ghost Evil, 鬼邪) points. Although fire moxibustion is not used, relying solely on needle manipulation yields miraculous effects upon repeated application.
For Nuomu (Malarial Mass, 疟母), formed by phlegm-fluids and blood stasis resulting in masses causing abdominal and hypochondriac distension and pain, needle Zhangmen (LR13, 章门) on the days of the waxing and waning moon, followed by moxibustion of twenty-one cones (three sevens).