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寒熱病第二十一<neijing>

已有 1040 次阅读2014-7-17 10:42 |个人分类:中医| open a door at nose

           Han Re Bing

   If the sick Qi attack skin, the patient's skin will feel cold or heat, and pain can not touch the bed mat, lung control the skin, open a door at nose, if the skin be injury, the lung liquid can not nourish skin, the skin hair will haggard, dry nose, can not sweating on skin. For treatment, should needling foot Tai Yang meridian luo point Ub58 to sedate the exterior heat, and needling hand Tai Yin meridian points to tonify the lung Qi. The muscles cold or heat is because of sick Qi attack the muscles. Spleen control muscle, shows on the lip, if the muscles be attacked by sick Qi, the patient will dry lip and haggard on skin hair, can not sweating. For treatment, should needling the Ub58, bleeding out the stasis blood; and tonify the foot Tai Yin meridian points to let sweating. If the patient's bone cold or heat, this is because sick Qi attack foot Shao Yin kidney Qi, the patient will anxiety, sweating a lot without stop. If the teeth not haggard yet, it means the patient Yin energy still sufficient, for treatment should needling Kd4; if the teeth are dry and haggard, this means the patient Yin energy is run out, this is death pattern, can not treat.             About the bone impediment disease, should check the teeth and nails' level of dry haggard to diagnosis the condition and make treatment decision. The bone impediment disease is whole body bone joints painful and can not move in good condition, also sweating too much, patient feel very anxiety in heart. For treatment, should needling three Yin meridians points, diagnosis where is the sick location, use tonify way to needling. If body bleeding a lot at damage location with wind cold attack body, or fall down from high location injured limbs feel very fatigue, this called "Ti Jie"(body separate) disease, for treatment, should needling the Ren4. Syncope impediment disease is the Qi reverse from lower limbs up to abdomen, for treatment should needling the related Yin meridian or Yang meridian Luo points, but should diagnosis Yin pattern or Yang pattern the disease is, and then select the points to needling, should sedate on Yang meridian points, and tonify on Yin meridian points.       The points beside adam's apple where the artery location is St9, it is belong to foot Yang Ming meridian, which is in front of the side of throat tendons, at the same level of St9, the points behind the side of throat tendons is Li18, and go on behind Li18 the points is Sj16, and go on behind Sj16 on the neck the points is Ub10. The points under the end of the axillary fold 3cun where the artery location is Lu3.           If the patient Yang Qi reverse flow in Yang meridian will cause headache, and oppression in chest, can not breath smoothly, should needling St9. If the patient suddenly loss voice and aphonia, throat and tongue stiff hard, should needling the Li18, also bleeding needling the root of tongue. If the patient suddenly deaf, meridian Qi blocked no smoothly pass through, ears can not hear any sound, eyes can not see clear any thing, should needling Sj16. If the patient suddenly cramp, epilepsy, dizzy, legs soft without power can not stand up body, should needling Ub10. If the patient has heat disease cause internal Qi reverse flow up, cause liver and lung meridians fire Qi disturb each other, cause blood reverse flow up, mouth and nose bleeding, should use Lu3. The above 5 points, Sj16 is in the center, the other four points surround Sj16, this group points called Sj16 five parts.       Hand Yang Ming meridian go into cheekbones and Luo connect to teeth, the point St5 which is for lower teeth pain. Arms deficiency cold, should use tonify way needling, if excess without cold, should use sedate way needling. Foot Tai Yang meridian go into cheekbones and Luo connect to teeth, the point Sj20 which is for upper teeth pain. During the pain beginning, if the meridian Qi excess, should use sedate way, if the meridian Qi deficiency, should use tonify way. Another way is needling Li20, during the pain beginning, should sedate excess, tonify deficiency.          Foot Yang Ming meridians hold the nose on face and cross foot Shao Yang meridian on Gb5, also down connect to mouth, go up connect to eyes system, if patient headache connect to chin pain, for treatment, should use Gb5, diagnosis the pain area, use the meridian pass through the pain points to treatment, sedate excess, tonify deficiency, if not use this way to treatment, the patient's condition will more serious. Foot Tai Yang meridian pass the neck Ub10 and Luo go into brain, directly go front connect belong to eyes, it called eyes system, if patient head and eyes pain, should use Ub10, foot Tai Yang meridian from Ub10 luo connect to brain also connect belong to Yin Qiao and Yang Qiao meridians, these two meridians cross together, Yang Qi go in, Yin Qi come out, Yin and Yang Qi connect at inner corner of eyes, during Yang Qi excess Yang Qiao meridian Qi full, the eyes will open to wake up, during Yin Qi excess Yin Qiao meridian Qi full, the eyes will close to sleep.           If the patient Yang Qi excess, Yin Qi deficiency cause heat syncope disease, should tonify foot Tai Yin meridian and sedate foot Shao Yang meridian, and long time stay needle; if the patient Yin Qi excess, Yang Qi deficiency cause cold syncope disease, should tonify foot Yang Ming meridian, sedate foot Shao Yin meridian, and all should needling in the feet points, also long time stay needle. If the patient's tongue stiff can not move flexible, saliva flow out at corner of mouth, oppression in chest with anxiety, this is kidney deficiency Yin Qi can not go up connect the heart Yang Qi, should tonify foot Shao Yin meridian. If the patient scare cold and rigors, chin swells, without sweating, abdomen swell oppression and anxiety, this is Yang Qi deficiency, should tonify hand Tai Yin meridian. Needling the body Qi deficiency disease, should follow the meridian Qi flow direction to tonify needling way, this is called follow it to tonify; needling the sick Qi excess disease, should counter the meridian Qi flow direction to sedate needling way, this is called counter it to sedate. Human body Yin and Yang Qi and blood is related to four seasons weather, so spring weather should more use Luo meridian points, summer weather should more use muscle spaces points; Fall weather should more use Lu8 point, winter weather should more use each meridian points. Needling Luo meridian points can treat skin problem, needling muscles spaces can treat muscle problem, needling Lu8 point can treat tendons problem, needling meridian points can treat marrow and five Zang problem.             Human body has five very important locations: first is St32, second is crus, third is Du meridian and Ub meridian on the back, fourth is five Zang Shu points on the back Ub meridian, fifth is the neck area. These five locations is meridian Qi pass through very important way. Some area very near Zang, if patient has abscess disease, the toxic Qi will very easy sink to internal organs to hurt five Zang, cause death dangerous. If the disease begin on the arms, should use hand Yang Ming meridian and hand Tai Yin meridian points to needling to make patient sweating out; if the disease begin from head, should needling the neck and Ub meridian points to make patient sweating out; if the disease begin from crus area, should needling foot Yang Ming meridian points to make patient sweating out.          Needling hand Tai Yin meridian points can make patient sweat out, needling foot Yang Ming meridian points can make patient sweat out also. Because Yin meridian connect to Yang meridian each other from internal to external, so if needling Yin meridian cause too much sweating, can needling Yang meridian to stop sweating; if needling Yang meridian cause too much sweating, can needling Yin meridian to stop sweating. Mistake needling will cause damage injury to patient's body, if already mistake needling and stay needle without pull needle, will cause run out patient Jing Qi; if mistake needling location and without pull out needle at once, will cause sick Qi stasis without dispelled; if run out patient's Jing Qi will cause more serious disease condition, and patient will more skinny; if patient's sick Qi not be dispelled will cause ulcer.  

寒熱病第二十一

皮寒熱者,不可附席,毛髮焦,鼻槁臘。不得汗,取三陽之絡,以補手太陰。肌寒熱者,肌痛,毛髮焦而唇槁臘。不得汗,取三陽於下,以去其血者,補足太陰,以出其汗。

骨寒熱者,病無所安,汗注不休。齒未槁,取其少陰於陰股之絡;齒已槁,死不治。骨厥亦然。骨痹,舉節不用而痛,汗注、煩心。取三陰之經,補之。

身有所傷,血出多及中風寒,若有所墮墜,四肢懈惰不收,名曰體惰。取其小腹臍下三結交。三結交者,陽明太陰也,臍下三寸關元也。厥痹者,厥氣上及腹。取陰陽之絡,視主病也,瀉陽補陰經也。

頸側之動脈人迎。人迎,足陽明也,在嬰筋之前。嬰筋之後,手陽明也,名曰扶突。次脈,足少陽脈也,名曰天牖。次脈,足太陽也,名曰天柱。腋下動脈,臂太陰也,名曰天府。

陽迎頭痛,胸滿不得息,取之人迎。暴瘖氣鞭,取扶突與舌本出血。暴襲氣蒙,耳目不明,取天牖。暴攣?眩,足不任身,取天柱。暴痹內逆,肝肺相搏,血溢鼻口,取天府。此為天牖五部。

臂陽明,有入頄遍齒者,名曰大迎。下齒齲,取之臂。惡寒補之,不惡寒瀉之。足太陽有入頄遍齒者,名曰角孫。上齒齲,取之在鼻與頄前。方病之時,其脈盛,盛則瀉之,虛則補之。一曰取之出鼻外。

足陽明有挾鼻入於面者,名曰懸顱。屬口,對入系目本,視有過者取之。損有餘,益不足,反者益其。足太陽有通項入於腦者,正屬目本,名曰眼系。頭目苦痛,取之在項中兩筋間。入腦乃別陰蹻、陽蹻,陰陽相交,陽入陰,陰出陽,交於目銳眥,陽氣盛則瞋目,陰氣盛則瞑目。

熱厥取足太陰、少陽,皆留之;寒厥取足陽明、少陰於足,皆留之。舌縱涎下,煩悗,取足少陰。振寒洒洒鼓頷,不得汗出,腹脹煩悗,取手太陰,刺虛者,刺其去也;刺實者,刺其來也。

春取絡脈,夏取分腠,秋取氣口,冬取經輸。凡此四時,各以時為齊。絡脈治皮膚,分腠治肌肉,氣口治筋脈,經輸治骨髓。五臟,身有五部:伏兔一;腓二,腓者腨也;背三,五臟之輸四;項五。此五部有癰疽者死。

病始手臂者,先取手陽明、太陰而汗出;病始頭首者,先取項太陽而汗出;病始足脛者,先取足陽明而汗出。臂太陰可汗出,足陽明可汗出,故取陰而汗出甚者,止之於陽,取陽而汗出甚者,止之於陰。

凡刺之害,中而不去則精泄;不中而去則致氣。精泄則病甚而慪,致氣則生為癰疽也。

 




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