是动病
耳聋浑浑 嗌肿喉痹主气
所生病
汗出目锐皆痛耳后肩 肘臂外皆痛小指次指不用
是动病
舌本强食则呕胃脘痛腹胀善噫得后与气则快然如衰身体皆重主脾
所生病
舌本痛体不能动摇食不下烦心心下急痛寒疟溏瘕泄水闭黄胆不能卧强立股膝内肿厥足大指不用
少商(井) 鱼际(荥) 太渊(俞) 经渠(经) 尺泽(合)
○少商二穴木也在手大指端内侧去爪甲角如韭叶手太阴之脉所出也为井治烦心善哕心下满汗出而寒咳逆 疟振寒腹
满唾沫唇干引饮不下膨膨手挛指痛寒栗鼓颔喉中鸣以三棱针刺之微出血泄藏热凑唐刺史成君绰忽腮颔肿大如升喉中闭塞
水粒不下三日甄权针之立愈不宜灸
○鱼际二穴火也在手大指本节后内侧散脉中手太阴脉之所流也为荥治酒病恶风寒虚热舌上黄身热头痛咳嗽汗不出痹
走胸背痛不得息目眩烦心少气腹痛不下食肘挛肢满喉中干燥寒栗鼓颔咳引尻痛溺出呕血心痹悲恐针入二分留三呼
○太渊二穴土也在手掌后陷中手太阴脉之所注也为 治胸痹逆气寒厥善哕呕饮水咳嗽烦怨不得卧肺胀满膨膨臂内廉
痛目生白翳眼 赤筋缺盆中引痛掌中热数欠喘不得息噫气上逆心痛呕血振寒咽干狂言口 可灸三壮针入二分
○经渠二穴金也在寸口陷中手太阴脉之所行也为经治疟寒热胸背拘急胸满膨膨喉痹掌中热咳嗽上气数欠热病汗不出
暴痹喘促心痛呕吐针入二分留三呼禁不可灸灸即伤人神
○尺泽二穴水也在肘中约上动脉中手太阴脉之所入也为合治风痹肘挛手臂不得举喉痹上气口干咳嗽唾浊四支暴肿臂
寒短气针入三分灸五壮
【是动病】
耳聋,听觉模糊不清;咽喉肿痛,喉部痹阻不通。主要主治气机病变。
【所生病】
汗出,目外眦疼痛,耳后、肩部、肘部、臂外侧均疼痛,小指与次指(无名指)不能随意运动。
【是动病】
舌根僵硬,进食则呕吐,胃脘疼痛,腹部胀满,容易嗳气,大小便通畅或排气后感觉轻松舒缓,身体沉重。主要主治脾脏病变。
【所生病】
舌根疼痛,身体无法动摇,饮食难以下咽,心烦意乱,心窝处急痛,寒性疟疾,大便溏泄,腹内结块(瘕),水液代谢障碍导致小便闭塞,黄疸,不能平卧,强行站立时股部和膝内侧肿胀,足部厥冷,大脚趾不能随意运动。
少商穴(井穴)、鱼际穴(荥穴)、太渊穴(输穴)、经渠穴(经穴)、尺泽穴(合穴)。
○ 少商穴:左右两穴,属木。位于手大拇指末端内侧,距离指甲角如韭菜叶宽度处。为手太阴肺经气血所出之处,称为“井”。主治心烦、易呃逆、心下胀满、汗出而恶寒、咳嗽气逆、疟疾发冷、腹部胀满、唾沫多、嘴唇干燥想喝水但饮不下、腹部膨隆、手指拘挛疼痛、寒战咬牙、喉咙中有鸣响。用三棱针刺入,微量出血以泻除脏腑热邪。例如唐刺史成君绰,突然腮帮子和下巴肿大如升,喉咙闭塞,水和食物都无法咽下,三天后甄权为他针刺此穴,立即痊愈。不宜施灸。
○ 鱼际穴:左右两穴,属火。位于手大拇指本节后方内侧的散在脉管中。为手太阴肺经气血所流经之处,称为“荥”。主治饮酒过度之病、恶风寒、虚热、舌苔黄、身热头痛、咳嗽无汗、痹症游走于胸背疼痛、呼吸急促、目眩、心烦、气短、腹痛、食欲不振、肘部拘挛、四肢胀满、喉咙干燥、寒战咬牙、咳嗽牵引臀部疼痛、尿血、呕血、心痹、悲伤恐惧。进针二分,留针三次呼吸的时间。
○ 太渊穴:左右两穴,属土。位于手掌后方凹陷处。为手太阴肺经气血灌注之处,称为“输”(原文缺字,依上下文补为输/俞)。主治胸痹、气逆、寒厥、易呃逆、呕吐饮水、咳嗽、烦躁怨恨、不得安卧、肺胀满、腹部膨隆、手臂内侧疼痛、眼睛生白翳、眼红、筋脉疼痛、缺盆中牵引作痛、掌心发热、频繁呵欠、气喘呼吸不畅、嗳气上逆、心痛、呕血、寒战、咽干、胡言乱语。可施灸三壮。进针二分。
○ 经渠穴:左右两穴,属金。位于寸口凹陷处。为手太阴肺经气血所运行之处,称为“经”。主治疟疾寒热、胸背部拘急、胸部胀满、腹部膨隆、咽喉痹阻、掌心发热、咳嗽气逆、频繁呵欠、热病无汗、突发痹症、气喘急促、心痛、呕吐。进针二分,留针三次呼吸的时间。禁止施灸,若施灸会损伤人的神气。
○ 尺泽穴:左右两穴,属水。位于肘横纹中动脉跳动处。为手太阴肺经气血汇入之处,称为“合”。主治风痹、肘部拘挛、手臂不能举起、咽喉痹阻、气逆、口干、咳嗽吐浊痰、四肢突发肿胀、手臂寒冷、气短。进针三分,施灸五壮。
[Pathologies of the Moving Meridian]
Deafness with muffled hearing; swelling of the throat and pharyngeal obstruction (hou bi). Primarily governs Qi disorders.
[Pathologies of the Affected Meridian]
Sweating, pain at the outer canthus of the eyes, pain along the posterior ear, shoulder, elbow, and lateral aspect of the arm; inability to use the little finger and the ring finger.
[Pathologies of the Moving Meridian]
Stiffness of the tongue root, vomiting upon eating, epigastric pain, abdominal distension, frequent belching, feeling of relief after defecation or passing flatus, heaviness of the body. Primarily governs Spleen disorders.
[Pathologies of the Affected Meridian]
Pain at the tongue root, inability to move the body, difficulty in swallowing food, restlessness, urgency and pain in the epigastrium, cold malaria, loose stools, abdominal masses (jia), urinary retention due to water metabolism disorder, jaundice, inability to lie down, swelling of the medial thigh and knee when standing forcibly, coldness of the foot, inability to use the great toe.
Shaoshang (Jing-Well point), Yuji (Ying-Spring point), Taiyuan (Shu-Stream point), Jingqu (Jing-River point), Chize (He-Sea point).
○ Shaoshang: Two acupoints, Wood element. Located at the radial side of the tip of the thumb, approximately the width of a leek leaf from the corner of the nail. It is where the Lung Meridian of Hand-Taiyin emerges, classified as the Jing-Well point. Indications include restlessness, frequent hiccups, fullness below the heart, sweating with aversion to cold, cough and rebellious Qi, malaria with chills, abdominal distension, excessive salivation, dry lips with thirst but inability to swallow, abdominal bloating, spasm and pain of the fingers, cold shivering with jaw clenching, and buzzing sounds in the throat. Puncture with a three-edged needle to release a few drops of blood to drain internal heat. Case record: Cheng Junchuo, Prefect of Tang, suddenly suffered from massive swelling of the cheeks and chin, throat obstruction, and inability to ingest water or food for three days. Zhen Quan punctured this point, resulting in immediate recovery. Moxibustion is contraindicated.
○ Yuji: Two acupoints, Fire element. Located on the medial side of the thenar eminence, in the depressions among the dispersed vessels proximal to the first metacarpophalangeal joint. It is where the Lung Meridian of Hand-Taiyin flows, classified as the Ying-Spring point. Indications include alcohol-induced disorders, aversion to wind and cold, deficiency-heat, yellow tongue coating, fever, headache, cough without sweat, migratory bi-syndrome causing chest and back pain, dyspnea, dizziness, restlessness, shortness of breath, abdominal pain, anorexia, elbow spasm, limb fullness, dry throat, cold shivering, cough radiating to the sacrum, hematuria, hematemesis, heart bi-syndrome, sadness, and fear. Insert depth 2 cun, retain for three respiratory cycles.
○ Taiyuan: Two acupoints, Earth element. Located in the depression at the wrist crease. It is where the Lung Meridian of Hand-Taiyin pours, classified as the Shu-Stream point. Indications include chest bi-restriction, rebellious Qi, cold extremities, frequent hiccups, vomiting with drinking, cough, irritability, insomnia, lung distension, abdominal bloating, pain along the medial arm, leukoma, red eyes, tendon pain, pain radiating from the supraclavicular fossa, warm palms, frequent yawning, asthma and dyspnea, belching, heart pain, hematemesis, chills, dry throat, and delirium. Moxibustion: 3 moxa cones. Insert depth 2 cun.
○ Jingqu: Two acupoints, Metal element. Located in the depression at the radial pulse (Cunkou). It is where the Lung Meridian of Hand-Taiyin travels, classified as the Jing-River point. Indications include malaria with alternating chills and fever, stiffness of the chest and back, chest fullness, abdominal bloating, throat obstruction, warm palms, cough with rebellious Qi, frequent yawning, febrile diseases without sweat, sudden bi-syndrome, rapid breathing, heart pain, and vomiting. Insert depth 2 cun, retain for three respiratory cycles. Moxibustion is strictly prohibited; applying moxibustion will damage the Shen (Spirit).
○ Chize: Two acupoints, Water element. Located in the center of the cubital crease, in the depression where the artery beats. It is where the Lung Meridian of Hand-Taiyin enters, classified as the He-Sea point. Indications include wind-bi syndrome, elbow spasm, inability to raise the arm, throat obstruction, rebellious Qi, dry mouth, cough with turbid sputum, sudden swelling of the four limbs, coldness of the arms, and shortness of breath. Insert depth 3 cun, apply 5 moxa cones.