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四時氣第十九

已有 920 次阅读2014-7-17 11:30 |个人分类:中医

  Si Shi Qi

Huang Di asked Qi Bo: there are different weathers by the four seasons' changing, human body diseases are related to the four season's weather changing, how to decide the acupuncture treatment principle by those changing? Qi Bo answered: four seasons weather changing will affect the human body condition, each season has its disease location on human body, acupuncture treatment principle should based on those different weather on different points. Spring acupuncture should needling the meridian, blood vessel and muscle space location, if the condition heavy, should use deep needling way, if the condition light, should use shallow needling way. Summer should needling the hand and foot three Yang meridians' Luo branch meridian location which is between skin and muscle, or needling the muscle space and shallow needling the space just under the skin. Fall should needling each meridians' Shu stream points, if sick Qi on six Fu, should needling Yang meridians' He sea points. Winter should needling each meridians' Jing well and Ying spring points, but must deep needling and longer time retention needling.          If the patient get warm malaria but not sweating, should use 59 heat disease points to treat. If the patient get wind edema skin swell, should use 57 edema disease points to treat, if the patient has blood swelling on skin, should use bleeding needle to sedate the blood. If the patient spleen deficiency with cold syndrome cause diarrhea, should use needling Sp6 use tonify way, same time use tonify the spleen He sea point Sp9, same long time retention needling, until patient feel heat under the needles. If patient cramp at lateral side, should use three Yang meridians points to treat, if the patient cramp at medial side, should use three Yin meridians points to treat, also can use fire needling way to treat.             If the patient has edema without wind syndromes, first should use Pi Zhen needling on Ren4, then use a needle tube needling on Ren4 area to sedate water out, repeat needling this way, to recover the stomach muscle stronger than edema soft muscle condition, and use a belt tie the patient's waist and stomach, if tie too loose, the patient will feel oppressive uncomfortable, so tie the patient tight will make patient feel comfortable and quiet, use this needling way to sedate water should do treatment once a day until no more edema on stomach.  The patient also need take the herbal formula of sooth urination, but should not eat food during take herbal medicine, or should not take herbal medicine on eating food time, and forbidden eat anything hurt spleen cause dampness food during the 135 days.           If the patient dampness too much cause damp arthralgia for long time, this is because cold dampness stay inside body long time, should use fast needling way, needling St36. If the patient stomach and intestine be injured, the digestion function will be irregular, should use St36, if sick Qi excess should sedate it, if body Qi deficiency, should use tonify it. If the patient has leprosy, usually should needling the swelling location. After needling, then use sharp needling stab the sick location, then use hands press out the sick toxic Qi and bad blood, until no more swell. After treatment, the patient should pay attention food and nutrition to supply body, should eat the regular foods, not eat the foods which easy cause toxic or wind.          If the patient often borborygmus, Qi reversed flow up, rush to chest, dyspnea can not stand, this is because sick Qi stay in large intestine, the treatment way is needling Ren6, above St37 area and St36. If the patient lower abdomen pain cause genital pain with lower back spine pain, and the pain rush to heart chest, this is because sick Qi stay in small intestine. Because small intestine connect to genital and back spine, also its meridian pass through liver and lungs, surround heart system, so if the small intestine sick Qi excess, its Qi will reverse flow up to stomach, affect to liver, spread to diaphragm, gather under the belly button, so should needling the Ren6 to dispel the sick Qi of belly button, also need needling the hand Tai Yin meridian to tonify the lung deficiency, and needling the foot Jue Yin meridian to sedate liver excess, also needling the St39 to dispel the small intestine sick Qi, and also need massage the small intestine meridian to adjust its Qi.          If the patient often vomit with bitter water, and often sighing, feel scare at heart feel like somebody will catch him/her, this is because sick Qi stay in gallbladder, and Yang Qi reverse up to stomach, after the gallbladder liquid come out, its Qi flow up, so the patient's mouth taste is bitter, during the stomach Qi reverse up, the patient will vomit bitter liquid, this called gallbladder vomit disease. For treatment, should use St36 to sink the stomach Qi down and stop vomit,  and needling the foot Shao Yang meridian location's blood Luo meridian, to restrain the gallbladder Qi reverse up, also need based on the condition of excess or deficiency to do the treatment to dispel the sick Qi. If the patient can not swallow the food or feel obstruct in diaphragm and chest, this is because sick Qi stay in the stomach area. If the sick Qi on upper stomach area, should needling the Ren13 to restrain the stomach Qi reverse up, if the sick Qi on the lower stomach area, should warm up and dispel the cold Qi stasis. If the patient lower abdomen swell pain, urination not smooth, this is because the sick Qi stay in San Jiao, for treatment, should needling the foot Tai Yang meridian Ub39, and check the foot Tai Yang Luo meridians and foot Jue Yin meridian small Luo meridians' condition, if there are blood stasis, should needling bleeding to sedate the blood stasis, if the lower abdomen swell pain connect to stomach area, should needling the St36. During the needling, should check the patient face color and eyes Shen condition, will know the patient's body Qi condition good or bad, body Qi lost or recover condition; check the patient's eyes color condition, will know the patient's sick Qi stay or dispelled. Check the patient's body condition, quiet or movement, and diagnosis pulse of Lu8 and St9, if the pulse are hard strong and surging with slippery, this means the illness become more heavy; if pulse become soft and weak with harmony, this means the illness condition become better. If the meridians pulse force powerful, this means body Qi excess, and sick Qi deficiency, and the patient will cured in three days. Lu8 is lung pulse, control internal condition, which is for diagnosis the Yin conditions of each hand and foot meridians; St9 is stomach pulse, control external condition, which is for diagnosis the Yang condition of each hand and foot meridians. 

四時氣第十九

黃帝問於岐伯曰:夫四時之氣,各不同形,百病之起,皆有所生,灸刺之道,何者為定?岐伯答曰:四時之氣,各有所在,灸刺之道,得氣穴為定。故春取經、血脈、分肉之間,甚者,深刺之,間者,淺刺之;夏取盛經孫絡,取分間絕皮膚;秋取經俞。邪在腑,取之合;冬取井滎,必深以留之。

溫瘧汗不出,為五十九痏,風(疒水)膚脹,為五十痏。取皮膚之血者,盡取之。飧泄補三陰之上,補陰陵泉,皆久留之,熱行乃止。

轉筋於陽,治其陽;轉筋於陰,治其陰。皆卒刺之。徒(疒水)先取環谷下三寸,以鈹針針之,已刺而筩之,而內之,入而復之,以盡其(疒水),必堅。來緩則煩悗,來急則安靜,間日一刺之,(疒水)盡乃止。飲閉藥,方刺之時徒飲之,方飲無食,方食無飲,無食他食,百三十五日。

著痹不去,久寒不已,卒取其三里。骨為干。腸中不便,取三里,盛瀉之,虛補之。癘風者,素刺其腫上。已刺,以銳針針其處,按出其惡氣,腫盡乃止。常食方食,無食他食。

腹中常鳴,氣上沖胸,喘不能久立。邪在大腸,刺肓之原,巨虛上廉、三里。小腹控睪,引腰脊,上衝心。邪在小腸者,連睪系,屬於脊,貫肝肺,絡心系。氣盛則厥逆,上沖腸胃,熏肝,散於肓,結於臍,故取之肓原以散之,刺太陰以予之,取厥陰以下之,取巨虛下廉以去之,按其所過之經以調之。

善嘔,嘔有苦,長太息,心中憺憺,恐人將捕之;邪在膽,逆在胃,膽液泄,則口苦,胃氣逆,則嘔苦,故曰嘔膽。取三里以下。胃氣逆,則刺少陽血絡,以閉膽逆,卻調其虛實,以去其邪。

飲食不下,膈塞不通,邪在胃脘,在上脘,則刺抑而下之,在下脘,則散而去之。小腹痛腫,不得小便,邪在三焦,約取之太陽大絡,視其絡脈與厥陰小絡結而血者,腫上及胃脘,取三里。

睹其色,察其以,知其散復者,視其目色,以知病之存亡也。一其形,聽其動靜者,持氣口人迎以視其脈,堅且盛且滑者,病日進,脈軟者,病將下,諸經實者,病三日已。氣口候陰,人迎候陽也。


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