黄帝内经·灵枢·厥病

文摘   2024-11-17 13:02   重庆  

灵枢·厥病 Miraculous Pivot・Reversal Diseases

厥头痛,面若肿起而烦心,取之足阳明、太阴。For reversal headache with the face seeming to be swollen and the heart feeling vexed, the points on the Foot-Yangming and Foot-Taiyin Meridians should be selected for treatment.

经脉邪气上逆于头而引发的头痛为厥头痛,若表现为面部浮肿、心烦等症状,可以选取足阳明胃经和足太阴脾经的穴位针刺治疗。

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。For reversal headache with pain in the head vessels, a feeling of sadness in the heart, and a tendency to weep easily, and when observing that the head arteries are overly full, prick to let out all the blood, and then regulate the Foot-Jueyin Meridian.

厥头痛,若表现为头部血络胀痛,心情悲忧,常常哭泣,诊察其头部络脉搏动明显的实邪处,针刺放血,然后取足厥阴肝经的腧穴进行调和。

厥头痛,贞贞头重而痛,泻头上五行,行五,先取手少阴,后取足少阴。For reversal headache with a persistent heavy and painful feeling in the head, reduce the five lines on the head, with five points in each line. First select the Hand-Shaoyin Meridian, and then the Foot-Shaoyin Meridian.

厥头痛,若表现为头部眩晕并有沉重感,痛得厉害,应采用针刺的泻法,选取头上纵行排列的五条经脉(即:督脉、左右足太阳膀胱经、左右足少阴胆经)的穴位,每行在头部都有五个穴位,然后再先取手少阴心经腧穴、后取足少阴肾经腧穴进行调治。

厥头痛,意善忘,按之不得,取头面左右动脉,后取足太阴。For reversal headache with a tendency to forget easily and when the pain cannot be located by pressing, select the left and right arteries on the head and face, and then the Foot-Taiyin Meridian.

厥头痛,表现为记忆力减退,头痛时用手按头,却找不到疼痛的具体位置,治疗时可以取头面左右的动脉进行针刺,泻其邪气,然后可以再针刺足太阴脾经加以调理。

厥头痛,项先痛,腰脊为应,先取天柱,后取足太阳。For reversal headache with pain in the neck first and then a corresponding pain in the lumbar spine and back, first select the Tianzhu point, and then the Foot-Taiyang Meridian.

厥头痛,表现为项部先痛,随后腰脊相应作痛,治疗时应先以泻法针刺足太阳膀胱经的天柱穴,然后再取该经其他相应穴位治疗。

厥头痛,头痛甚,耳前后脉涌有热,泻出其血,后取足少阳。For reversal headache with severe headache and a surging and hot feeling in the arteries in front of and behind the ears, let out the blood by reducing, and then select the Foot-Shaoyang Meridian.

厥头痛,表现为头痛严重,耳前后的脉络发热,治疗时应先刺破脉络以放其血,然后取足少阳胆经的腧穴进行调治。

真头痛,头痛甚,脑尽痛,手足寒至节,死不治。For true headache with extremely severe headache, pain throughout the brain, and coldness reaching the joints of the hands and feet, it is incurable and will lead to death.

真头痛,疼痛剧烈,如果整个头都很痛,手足冰冷到肘膝关节的,为不治之死证。

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(侧的通假字)刺,不可远取也。For headache where acupoints cannot be selected for treatment, if there has been a fall or impact and there is stagnant blood inside, or if there is a muscle injury and the pain has not subsided, lateral needling can be done, but distant needling is not advisable.

头痛不可以取远端腧穴治疗的是,被击伤或摔伤,致使淤血在体内,如果是肌肉受伤而疼痛不止,在这种情况下可以在伤痛部位侧刺,不可选取远距离的腧穴刺治。

头痛不可刺者,大痹为恶,日作者,可令少愈,不可已。For headache that cannot be needled, if it is caused by severe arthralgia and it occurs daily, it can be made a little better, but it cannot be completely cured.

头痛不能使用针刺方法治疗的是,严重的痹证造成的头痛,若是每天都发作,针刺之后可以暂时缓解症状,但是不能根治。

头半寒痛,先取手少阳、阳明,后取足少阳、阳明。For headache with coldness and pain on one side of the head, first select the Hand-Shaoyang and Hand-Yangming Meridians, and then the Foot-Shaoyang and Foot-Yangming Meridians.

头一侧发冷的偏头痛,而治疗时可以先选取手少阳三焦经、手阳明大肠经的腧穴,再选取足少阳胆经、足阳明胃经的腧穴针刺治疗。

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。For reversal heart pain that is related to the back, with a tendency to have convulsions, as if something is touching the heart from behind, and with a hunched posture, it is kidney heart pain. First select the Jinggu and Kunlun points; if the mania does not stop, select the Ran-gu point.

由五脏气冲逆所致的为厥心痛,牵引到后背,拘急抽掣,如同从背后撞击心脏一样,病人痛得弯腰曲背,这是肾经邪气上犯于心的心痛病,故名为肾心痛,治疗应先取足太阳膀胱经的京骨穴和昆仑穴;若针后痛仍不止,再取足少阴肾经的然谷穴。

厥心痛,腹胀胸满,心尤痛甚,胃心痛也,取之大都、大(别本作太)白。For reversal heart pain with abdominal distension and fullness of the chest, and especially severe pain in the heart, it is stomach heart pain. Select the Dadu and Taibai points.

厥心痛,腹胀,胸中满闷,心痛十分严重的,属于胃经的邪气犯心的病症,故名胃心痛,治疗应取足太阴脾经的大都、太白二穴。

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。For reversal heart pain with pain as if being stabbed in the heart by a awl, and especially severe pain in the heart, it is spleen heart pain. Select the Ran-gu and Taixi points.

厥心痛,其痛如同锥子刺心一般剧烈,心痛十分严重,这是脾气犯心所致,故名为脾心痛,治疗应取足少阴肾经的然谷、太溪两穴。

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。For reversal heart pain with a pale complexion like a dying state, unable to take a deep breath all day long, it is liver heart pain. Select the Xingjian and Taichong points.

厥心痛,面色苍青如同死灰一般,不能深呼吸,这是肝气犯心所致,故名为肝心痛,治疗应取足厥阴肝经的行间、太冲二穴。

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。For reversal heart pain where the pain is intermittent when lying down as if just resting, but the pain gets worse when moving, and the complexion does not change, it is lung heart pain. Select the Yuji and Taiyuan points.

厥心痛,卧床休息或是闲暇安静的时候疼痛不甚,一旦有所动作,疼痛就会加剧,面色不变,这是肺气逆乱犯心所致,故名为肺心痛,治疗时应取手太阴肺经的鱼际、太渊穴。

真心痛,手足清至节,心痛甚,旦发夕死,夕发旦死。For true heart pain with coldness reaching the joints of the hands and feet and extremely severe pain in the heart, death will occur in the morning if it occurs in the evening, and death will occur in the evening if it occurs in the morning.

真心痛,发作的时候手足冰冷,直至肘膝部位,心痛极其严重,经常是早上发作到晚上就死亡,或者晚上发作早上就死亡了。

心痛不可刺者,中有盛聚,不可取于腧。For heart pain that cannot be needled, if there is a mass or congestion inside, acupoints cannot be selected for treatment.

心痛但不能使用针刺疗法的症候是,体内有瘀血和积聚的实证,为有形的实邪,不能用针刺腧穴以调理经气的方法来治疗。

肠中有虫瘕及蛟蛕,皆不可取以小针。For the presence of intestinal parasites such as ascariasis and oxyuriasis, small needles should not be used for treatment.

肠中有虫聚集成块或有蛔虫病者,治疗的时候不能使用小针;

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。For intestinal and heart pain with a burning pain, swelling and mass formation, pain that moves up and down, with intermittent pain, abdominal heat, a tendency to thirst, and salivation, it is likely to be oxyuriasis.

寄生虫病引起的心腹疼痛,表现为心中烦闷不舒,或者腹中有积聚之肿块,可以上下移动,时痛时止,腹内发热,口渴而流涎,是肠中有蛔虫活动所致。

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。Press firmly with the hand to hold the area without allowing it to move, and then needle with a large needle. Hold the needle for a long time until the parasite does not move, and then withdraw the needle. For abdominal pain that is burning and painful and seems to be moving upward, it is also of this type.

治疗时,用手按住肿块或者疼痛的地方,使蛔虫不能移动,用大针刺入,直到蛔虫不再动了之后再拔出针。只要出现满腹疼痛,烦闷不舒,腹中肿物上下移动的病症,就用这种方法治疗。

耳聋无闻,取耳中。耳鸣,取耳前动脉。For deafness with no hearing, select the point in the ear. For tinnitus, select the artery in front of the ear.

耳聋,听不到声音,针刺位于耳中的穴位。耳鸣,针刺耳前动脉。

耳痛不可刺者,耳中有脓。若有干耵聍,耳无闻也。For ear pain that cannot be needled, there is pus in the ear. If there is dry earwax, there will also be no hearing.

耳痛而不能针刺的情况是,耳中有脓。如果耳垢太多堵塞耳道,也会导致听不到声音。

耳聋取手小指、次指爪甲上与肉交者,先取手,后取足。For deafness, select the area where the fingernail and the flesh meet on the little finger and the second finger of the hand. First select the hand, and then the foot.

治疗耳聋应针刺手足无名指指甲上方与肉交界处的穴位,先刺手上的穴位,后刺足部的穴位。

耳鸣取手中指爪甲上,左取右,右取左,先取手,后取足。For tinnitus, select the area where the fingernail of the middle finger of the hand meets the flesh. For the left side, select the right side, and for the right side, select the left side. First select the hand, and then the foot.

耳鸣应取手足中趾的趾甲上方的穴位,左耳鸣取右侧手足穴位,右耳鸣取左侧手足穴位,先取手上的穴位,后取足部的穴位。

足髀不可举,侧而取之,在枢合中,以员利针,大针不可刺。For inability to lift the thigh, select the point on the side, in the area of the joint. Use a yuanli needle. A large needle should not be used for needling.

脚及大腿不能屈伸活动,令病人侧卧,取大转子处的环跳穴,使用九针中的员利针,不要使用大针。

病注下血,取曲泉。For a disease with bloody stools, select the Ququan point.

因肝不藏血而便血如注的,针刺曲泉穴治疗。

风痹淫砾(别本作泺),病不可已者,足如履冰,时如入汤中。For wind arthralgia that cannot be cured, with the feet feeling as if walking on ice at times and as if stepping into hot water at times.

下肢风痹而酸痛无力,发展到不可治愈的情况,双足就会有时像踏在冰块上一样寒冷,有时又像浸泡在滚烫的热水中一样。

股胫淫砾(别本作泺),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。With pain in the thighs and shins, a feeling of vexation, headache, occasional vomiting, occasional restlessness, dizziness followed by sweating, long-term dizziness, a feeling of sadness, joy, fear, shortness of breath, and unhappiness, death will occur within three years.

下肢的酸痛无力不可久立的症状,厥气上逆还会出现心烦、头痛、呕吐、满闷的症状,还有目眩之后马上出汗,时间长了目眩更甚,情绪波动,有时悲伤,有时喜悦,有时恐惧,有时气短,心中不悦。这种情况是风痹病情严重,影响了人体的气血运行和脏腑功能,从中医整体观念来看,人体的阴阳气血已经紊乱,脏腑功能失调,所以不出三年,就会死亡。

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