灵枢经·厥病 Reversal Disease

第 24 篇 / 共 81 篇

厥头痛,面若肿起而烦心,取之足阳明太阴。厥头痛,头脉痛,心悲,善泣,视头动脉反盛者,刺尽去血,后调足厥阴。

厥头痛,贞贞头重而痛,写头上五行,行五,先取手少阴,后取足少阴。厥头痛,意善忘,按之不得,取头面左右动脉,后取足太阴。

厥头痛,项先痛,腰脊为应,先取天柱,后取足太阳。厥头痛,头痛甚,耳前后脉涌有热,写出其血,后取足少阳。

真头痛,头痛甚,脑尽痛,手足寒至节,死不治。

头痛不可取于腧者,有所击堕,恶血在于内,若肉伤,痛未已,可则刺,不可远取也。头痛不可刺者,大痹为恶,日作者,可令少愈,不可已。头半寒痛,先取手少阳阳明,后取足少阳阳明。

厥心痛,与背相控,善瘈,如从后触其心,伛偻者,肾心痛也,先取京骨、昆仑,发狂不已,取然谷。厥心痛,腹胀胸满,心尤痛甚,胃心痛也,取之大都、大白。

厥心痛,痛如以锥针刺其心,心痛甚者,脾心痛也,取之然谷、太溪。

厥心痛,色苍苍如死状,终日不得太息,肝心痛也,取之行间、太冲。

厥心痛,卧若徒居,心痛间,动作,痛益甚,色不变,肺心痛也,取之鱼际、太渊。

真心痛,手足清至节,心痛甚,日发夕死,夕发旦死。心痛不可刺者,中有盛聚,不可取于腧。

肠中有虫瘕及蛟蛕,皆不可取以小针;心肠痛,憹作痛,肿聚,往来上下行,痛有休止,腹热喜渴涎出者,是蛟蛕也。以手聚按而坚持之,无令得移,以大针刺之,久持之,虫不动,乃出针也。㤣腹憹痛,形中上者。

耳聋无闻,取耳中;耳鸣,取耳前动脉;耳痛不可刺者,耳中有脓,若有乾聆聊,耳无闻也;耳聋取手小指次指爪甲上与肉交者,先取手,后取足;耳鸣取手中指爪甲上,左取右,右取左,先取手,后取足.

足髀不可举,侧而取之,在枢合中,以员利针,大针不可刺。病注下血,取曲泉。

风痹淫砾,病不可已者,足如履冰,时如入汤中,股胫淫砾,烦心头痛,时呕时悗,眩已汗出,久则目眩,悲以喜恐,短气,不乐,不出三年死也。

In reversal headache, when the face seems swollen and there is vexation of the heart, select the Foot Yangming and Taiyin channels. In reversal headache with pain in the head's vessels, sorrow of the heart, and frequent weeping, if the pulsing vessels of the head are observed to be abnormally forceful, needle thoroughly to remove the blood, and afterward regulate the Foot Jueyin channel.

In reversal headache with a steady, persistent heaviness and aching of the head, drain the five rows atop the head, five points to each row; first select the Hand Shaoyin channel, then the Foot Shaoyin channel. In reversal headache with forgetfulness, where pressing fails to locate the source, select the pulsing vessels to the left and right of the head and face, then select the Foot Taiyin channel.

In reversal headache where the nape of the neck aches first, with the lower back and spine responding in kind, first select Tianzhu, then the Foot Taiyang channel. In reversal headache with severe head pain, and the vessels in front of and behind the ears surging with heat, drain them to let blood, then select the Foot Shaoyang channel.

In true headache, the pain is severe, with the entire brain aching, and coldness of the hands and feet reaching to the joints — this is fatal and cannot be treated.

Headache that should not be treated at the transport points is that caused by a blow or a fall, where malign blood remains lodged within, or where the flesh has been injured and the pain has not subsided — in such cases one may needle, but not at distant points. Headache that should not be needled at all is that of severe impediment turned malignant; if it recurs daily, needling can bring some slight improvement, but cannot cure it entirely. For headache with cold affecting one half of the head, first select the Hand Shaoyang and Yangming channels, then the Foot Shaoyang and Yangming channels.

In reversal heart pain that pulls against the back, with frequent convulsions, as though something were reaching from behind to touch the heart, and the body stooped and hunched — this is kidney heart pain; first select Jinggu and Kunlun. If mania develops and does not subside, select Rangu. In reversal heart pain with abdominal distension and chest fullness, the heart pain being especially severe — this is stomach heart pain; select Dadu and Taibai.

In reversal heart pain where the pain feels as though the heart were being pierced with an awl or needle, and the heart pain is severe — this is spleen heart pain; select Rangu and Taixi.

In reversal heart pain where the complexion is ashen, as though lifeless, and the patient cannot sigh deeply throughout the day — this is liver heart pain; select Xingjian and Taichong.

In reversal heart pain where, lying down or sitting still, the heart pain eases, but upon moving the pain grows worse, while the complexion remains unchanged — this is lung heart pain; select Yuji and Taiyuan.

In true heart pain, the hands and feet are cold to the joints, and the heart pain is severe — if it arises in the morning, death comes by evening; if it arises in the evening, death comes by morning. Heart pain that must not be needled is that in which there is a substantial accumulation within; in such a case one must not select the transport points.

When there are worm concretions or coiling roundworms within the intestines, none of these should be treated with the fine needle. When there is pain of the heart region and intestines, with gnawing pain, swelling accumulations moving up and down, pain that comes and goes, abdominal heat, a tendency to thirst, and drooling — this is caused by coiling roundworms. Press and hold the area firmly with the hands, not allowing it to shift, then needle it with the large needle, holding it in place for a long while; once the worms cease moving, withdraw the needle. As for gnawing, aching abdominal pain, this applies where the mass is located in the upper body.

For deafness with no hearing at all, select within the ear. For tinnitus, select the pulsing vessel in front of the ear. Ears that should not be needled are those with pus within, or with dry blockage — in such cases there is no hearing at all. For deafness, select the point where the nail of the fourth finger meets the flesh, first on the hand side, then on the foot side. For tinnitus, select the point on the nail of the middle finger — for the left ear select the right hand, for the right ear select the left hand — first on the hand side, then on the foot side.

When the thigh cannot be lifted, treat it by lying the patient on the side, needling at the joining of the hip socket, using the round-sharp needle — the large needle must not be used here. For disease with pouring downward of blood, select Ququan.

In wind impediment with numb, gritty sensations that cannot be cured, the feet feel as though treading on ice, at times as though immersed in scalding water; the thighs and shins feel numb and gritty; there is vexation of the heart and headache, alternating with vomiting and oppression; after dizziness, sweating appears, and in time this leads to blurred vision, sorrow alternating with fear and fright, shortness of breath, and lack of joy — death will occur within three years.