针灸法项强取承浆风府(纲目)○颈项强痛取通天百会风池完骨哑门大杼(甲乙)○颈项痛
取后溪(纲目)○颈肿取手阳明
针灸法脊膂强痛取人中(纲目)○肩背疼取手三里(纲目)○背痛连胛取五枢昆仑悬钟肩井
及胛
缝穴在背端骨下直腋缝尖及臂取二寸半泻六吸(纲目)○背疼乃作劳所致惟膏肓为要穴或背上
先疼遂牵引肩上而疼者乃膏肓为患当灸膏肓俞及肩井可愈(资生)
针灸法九种心痛取间使灵道公孙大冲足三里阴陵泉(纲目)○卒心痛取然谷上脘气海涌泉
间使
支沟足三里大敦独阴(纲目)○胃脘痛取足三里(灵枢)○病在膺必灸刺魂门(资生)○阴维为病
苦心痛取内关(难经)○手足主之病实则心痛取内关(纲目)○心痛引背取京骨昆仑不已取然谷
委阳(灵枢)○心脾痛取巨阙上脘中脘(纲目)○厥心痛即肾心痛也先取京骨昆仑不已取然谷
大都太白太溪行间大冲鱼际太渊(灵枢)○虫心痛灸上脘中脘阴都(得效)○血心痛取期门(纲
目)○伤寒结胸先使人心蔽骨下正痛处左畔揉之以毫针刺左畔支沟穴次刺左间使名曰双关刺
次刺左行间左一壁结胸立效右畔根据上法刺之慢慢呼吸停针实时愈(纲目)○心胸痞涌泉太溪
中
冲太陵隐白太白少冲神门(纲目)○结胸身黄取涌泉(纲目)○结胸灸法巴豆十粒去皮研细黄连
末一
钱上以津唾和成饼填脐中以艾灸其上腹中有声其病去矣不拘壮数病去为度灸了温阳浸手帕拭
之恐生疮(纲目)○一切心腹胸胁腰背苦痛川椒为细末醋和为饼贴痛处用熟艾 饼上发火烧艾
痛即止(医鉴)
针灸治疗项部强直,选取承浆穴、风府穴(出自《纲目》)。○颈项强痛,选取通天穴、百会穴、风池穴、完骨穴、哑门穴、大杼穴(出自《甲乙经》)。○颈项疼痛,选取后溪穴(出自《纲目》)。○颈部肿胀,选取手阳明大肠经穴位。
针灸治疗脊背强痛,选取人中穴(出自《纲目》)。○肩背部疼痛,选取手三里穴(出自《纲目》)。○背痛牵连肩胛,选取五枢穴、昆仑穴、悬钟穴、肩井穴,以及位于肩胛缝隙的穴位;该穴位在背部末端骨骼下方,正对腋缝尖端,取臂部二寸半处,采用泻法,留针六次呼吸的时间(出自《纲目》)。○背痛多因劳累所致,膏肓穴是重要穴位;若背上先疼痛,进而牵引至肩部疼痛,这是膏肓穴受患,应当艾灸膏肓俞穴及肩井穴即可痊愈(出自《资生篇》)。
针灸治疗九种心痛,选取间使穴、灵道穴、公孙穴、太冲穴、足三里穴、阴陵泉穴(出自《纲目》)。○突发心痛,选取然谷穴、上脘穴、气海穴、涌泉穴、间使穴、支沟穴、足三里穴、大敦穴、独阴穴(出自《纲目》)。○胃脘疼痛,选取足三里穴(出自《灵枢》)。○病位在胸膺部,必须艾灸或针刺魂门穴(出自《资生篇》)。○阴维脉为病,苦于心痛,选取内关穴(出自《难经》)。○手足厥逆为主症时,若表现为实证心痛,选取内关穴(出自《纲目》)。○心痛牵引背部,先取京骨穴、昆仑穴,若无好转,再取然谷穴、委阳穴(出自《灵枢》)。○心脾疼痛,选取巨阙穴、上脘穴、中脘穴(出自《纲目》)。○厥心痛即肾心痛,先取京骨穴、昆仑穴,若无好转,再取然谷穴、大都穴、太白穴、太溪穴、行间穴、太冲穴、鱼际穴、太渊穴(出自《灵枢》)。○虫积所致心痛,艾灸上脘穴、中脘穴、阴都穴(出自《得效方》)。○血瘀所致心痛,选取期门穴(出自《纲目》)。○伤寒导致的结胸证,起初使人感到鸠骨下正中偏左处剧烈疼痛,先用毫针刺左侧支沟穴,接着刺左侧间使穴,称为“双关刺”,再刺左侧行间穴,结胸立见疗效;右侧则依此法施治,患者需缓慢呼吸,留针片刻,病即痊愈(出自《纲目》)。○心胸痞满,选取涌泉穴、太溪穴、中冲穴、太陵穴、隐白穴、太白穴、少冲穴、神门穴(出自《纲目》)。○结胸伴身黄,选取涌泉穴(出自《纲目》)。○结胸证的灸法:用巴豆十粒,去皮研细,加入黄连末一钱,用唾液调和成饼状,填入脐中,在药饼上施灸,腹中有响声,病即去除,不限壮数,以病去为度。灸毕后用温热的湿毛巾擦拭,以防生疮(出自《纲目》)。○一切心腹胸胁腰背苦痛,将川椒研为细末,用醋调和成饼,贴于痛处,在药饼上放置熟艾点燃烧灼,疼痛即止(出自《医鉴》)。
Acupuncture treatment for neck stiffness selects Chengjiang (CV24) and Fengfu (GV16) (from *Gangmu*). ○ For neck and nape stiffness and pain, select Tongtian (BL7), Baihui (GV20), Fengchi (GB20), Wanggu (GB12), Yamen (GV15), and Dazhu (BL11) (from *Jia Yi Jing*). ○ For neck pain, select Houxi (SI3) (from *Gangmu*). ○ For neck swelling, select points from the Hand-Yangming Large Intestine Meridian.
Acupuncture treatment for spinal and back stiffness and pain selects Renzhong (GV26) (from *Gangmu*). ○ For shoulder and back pain, select Shousanli (LI10) (from *Gangmu*). ○ For back pain radiating to the scapula, select Wushu (GB26), Kunlun (BL60), Xuanzhong (GB39), Jianjing (GB21), and points located in the scapular fissure; this point is below the end of the dorsal bone, directly opposite the tip of the axillary fold, taken at 2.5 cun on the arm, using the reducing method, retaining the needle for six breaths (from *Gangmu*). ○ Back pain is often caused by overexertion; Gao Huang (BL43) is a crucial point. If pain starts in the back and then radiates to the shoulder, it is a disorder of Gao Huang; moxibustion on Gao Huangshu (BL43) and Jianjing (GB21) can lead to recovery (from *Zisheng Pian*).
Acupuncture treatment for nine types of heart pain selects Jianshi (PC5), Lingdao (HT4), Gong Sun (SP4), Taichong (LR3), Zusanli (ST36), and Yinlingquan (SP9) (from *Gangmu*). ○ For sudden heart pain, select Ran Gu (KI2), Shangwan (CV13), Qihai (CV6), Yongquan (KI1), Jianshi (PC5), Zhigou (TE6), Zusanli (ST36), Dadun (LR1), and Duyin (EX-HP1) (from *Gangmu*). ○ For epigastric pain, select Zusanli (ST36) (from *Ling Shu*). ○ When the disease is located in the chest and pectoral region, one must moxa or needle Hunmen (BL47) (from *Zisheng Pian*). ○ When the Yin Linking Vessel (Yin Wei Mai) is diseased, suffering from heart pain, select Neiguan (PC6) (from *Nan Jing*). ○ When hand and foot conditions are primary, if manifesting as excess-type heart pain, select Neiguan (PC6) (from *Gangmu*). ○ For heart pain radiating to the back, first select Jinggu (BL64) and Kunlun (BL60); if ineffective, then select Ran Gu (KI2) and Weiyang (BL39) (from *Ling Shu*). ○ For heart-spleen pain, select Juque (CV14), Shangwan (CV13), and Zhongwan (CV12) (from *Gangmu*). ○ Jue Heart Pain is also known as Kidney Heart Pain; first select Jinggu (BL64) and Kunlun (BL60); if ineffective, then select Ran Gu (KI2), Dabu (SP2), Taibai (SP3), Taixi (KI3), Xingjian (LR2), Taichong (LR3), Yuji (LU10), and Taiyuan (LU9) (from *Ling Shu*). ○ For heart pain caused by parasites, moxa Shangwan (CV13), Zhongwan (CV12), and Yindu (SP19) (from *De Xiao Fang*). ○ For blood stasis heart pain, select Qimen (LR14) (from *Gangmu*). ○ For Jie Xiong (Chest Binding) caused by Cold Damage, initially causing severe pain to the left side of the midpoint below the xiphoid process, first needle the left Zhigou (TE6) with a filiform needle, then needle the left Jianshi (PC5), named "Double Guan Needle," then needle the left Xingjian (LR2); Jie Xiong will show immediate effect. For the right side, follow the same method; the patient should breathe slowly, retain the needle for a moment, and the illness will be cured immediately (from *Gangmu*). ○ For chest and heart stuffiness, select Yongquan (KI1), Taixi (KI3), Zhongchong (PC9), Taoling (PC7), Yinbai (SP1), Taibai (SP3), Shaochong (HT9), and Shenmen (HT7) (from *Gangmu*). ○ For Jie Xiong with yellow complexion, select Yongquan (KI1) (from *Gangmu*). ○ Moxibustion method for Jie Xiong: Take ten bitter beans (Baiduo, *Crotonis Fructus*), peel them, grind into fine powder, add one qian of Coptidis Rhizoma (*Huanglian*) powder, mix with saliva to form a cake, fill it into the umbilicus, and apply moxibustion on top. If there is a sound in the abdomen, the disease is gone. The number of moxa cones is not limited; stop when the disease is resolved. After moxibustion, wipe with a warm damp towel to prevent sores (from *Gangmu*). ○ For all kinds of bitter pain in the heart, abdomen, chest, hypochondrium, waist, and back, grind Sichuan pepper (*Chuanjiao*, *Zanthoxyli Pericarpium*) into fine powder, mix with vinegar to form a cake, apply to the painful area, place prepared mugwort (*Ai Ye*, *Artemisiae Argyi Folium*) on the cake and ignite; the pain will cease immediately (from *Yi Jian*).