灵枢经·杂病 Miscellaneous Diseases

When reversal causes pain flanking the spine, reaching to the crown of the head, with a heavy, sinking sensation in the head, dimness of vision, and stiffness of the lower back and spine, select the network vessels in the popliteal fossa on the Foot Taiyang channel, letting blood.

When reversal causes fullness of the chest and swelling of the face, with the lips moist and drooping, sudden difficulty speaking, and in severe cases inability to speak at all, select the Foot Yangming channel.

When reversal qi rushes to the throat causing inability to speak, with cold hands and feet and difficult defecation, select the Foot Shaoyin channel.

When reversal causes rumbling fullness of the abdomen, with abundant cold qi, gurgling sounds within the abdomen, and difficulty in urination and defecation, select the Foot Taiyin channel.

For dryness of the throat, with the mouth hot as though filled with glue, select the Foot Shaoyin channel.

For pain within the knee, select Dubi, using the round-sharp needle, releasing it and treating at intervals. The needle should be as thick as a coarse hair — needle the knee without hesitation.

For throat impediment with inability to speak, select the Foot Yangming channel; if speech is still possible, select the Hand Yangming channel.

For malarial disorder without thirst, occurring every other day, select the Foot Yangming channel; if there is thirst and it occurs daily, select the Hand Yangming channel.

For toothache without aversion to cold drinks, select the Foot Yangming channel; with aversion to cold drinks, select the Hand Yangming channel.

For deafness without pain, select the Foot Shaoyang channel; for deafness with pain, select the Hand Yangming channel.

For nosebleed that will not stop, with blood flowing freely, select the Foot Taiyang channel; for lesser nosebleed, select the Hand Taiyang channel. If it does not stop, needle below the wrist bone (Wangu); if it still does not stop, needle the popliteal fossa to let blood.

For lower back pain, if there is cold above the site of pain, select the Foot Taiyang and Yangming channels; if there is heat above the site of pain, select the Foot Jueyin channel. If the patient cannot bend forward or backward, select the Foot Shaoyang channel. If there is heat within with panting, select the network vessels in the popliteal fossa on the Foot Shaoyin channel.

For irritability with no desire to eat, and speech becoming ever fainter, needle the Foot Taiyin channel; for anger with excessive talking, needle the Foot Shaoyang channel.

For pain of the cheek and jaw, needle the Hand Yangming channel and the forceful vessel of the cheek to let blood.

For pain of the nape that prevents bending forward or backward, needle the Foot Taiyang channel; if the patient cannot turn to look back, needle the Hand Taiyang channel.

For fullness and distension of the lower abdomen, rushing upward to the stomach and reaching the heart, with a shivering sensation and periodic chills and fever, and difficulty urinating, select the Foot Jueyin channel.

For abdominal fullness with difficult defecation, distension of the abdomen that likewise rushes upward to the chest and throat, with wheezing, rasping breath, select the Foot Shaoyin channel.

For abdominal fullness with undigested food, rumbling fullness of the abdomen, and inability to defecate, select the Foot Taiyin channel.

For heart pain pulling toward the lower back and spine, with a desire to vomit, select the Foot Shaoyin channel.

For heart pain with abdominal distension, a wall-like tautness within, and difficult defecation, select the Foot Taiyin channel.

For heart pain pulling toward the back so that the patient cannot breathe freely, needle the Foot Shaoyin channel; if it does not resolve, select the Hand Shaoyang channel.

For heart pain pulling toward a full lower abdomen, with the site shifting without fixed location above or below, and difficulty in urination and defecation, needle the Foot Jueyin channel.

For heart pain with only shortness of breath, insufficient to sustain respiration, needle the Hand Taiyin channel.

For heart pain, needle at the ninth vertebra, then press; once needled and pressed, it will resolve at once. If it does not resolve, search above and below for the point — once found, it will resolve at once.

For pain of the cheek and jaw, needle the pulsing vessel at the curve of the jaw on the Foot Yangming channel until blood appears, and it will resolve at once. If it does not resolve, press Renying along the channel, and it will resolve at once.

For qi that rebels upward, needle the depression in the center of the chest, and the pulsing vessel below the chest.

For abdominal pain, needle the pulsing vessels to the left and right of the navel; once needled, press, and it will resolve at once. If it does not resolve, needle Qijie; once needled, press, and it will resolve at once.

For wilting and reversal causing binding oppression of the four extremities, one should promptly loosen this binding, twice daily; where there is numbness, improvement will come within ten days if treatment continues without interruption, until the disease has ceased.

Alternatively, use a straw to tickle the nose so as to induce sneezing; sneezing will bring resolution. If breath fails to stir, one should quickly draw and guide it, and this will resolve it at once; a great fright may also resolve it.