The original text of Su Wenzhi's Theory of Truth

The emperor said: I want to hear the pathogenesis. Qi Bo said: "All wind dizziness belongs to the liver; All cold diseases belong to the kidney; All qi stagnation belongs to the lung; All wet swelling belongs to the spleen; All the fiery corners of the eyes belong to fire; All pain and pain belong to the heart; All syncope and stagnation belong to the lower half; All kinds of flaccidity, asthma and vomiting belong to the genus; Where chestnuts are forbidden to drum, such as mourning, it belongs to fire; All spasms are strong and belong to dampness; All reversals are fire; Abdominal distension and heat; The more manic, it belongs to fire; All violent rigidity belongs to the wind; All diseases can be heard, and drums are like drums, which are all heat; All diseases, swelling, pain and fear belong to fire; Everything turns violent, and the water and liquid are turbid, all of which are heat; All diseases, cold, belong to cold; All acid spitting, sudden injection and downward pressure belong to heat.

These nineteen pathogenesis can be summarized as follows: five pathogenesis of five internal organs; The pathogenesis is up and down; Five fire; Four hot people; The pathogenesis of wind, cold and dampness is one respectively.

The following acupuncture prescriptions are made in this order and analyzed briefly.

1? All wind-induced dizziness belongs to the liver.

Descending and turning refer to convulsions, convulsions, tremors, etc. Dizziness, dizziness and blurred vision refer to dizziness. Liver is the dirty of wind wood, and wind diseases belong to liver. Liver governs discouragement and sexual pleasure is comfortable. The liver opens to the eyes, the liver meridian of foot Jue Yin opens to the eyes system, and the brain and du meridian open to the top, so vertigo is treated from the liver. If the emotions are exhausted, the fire turns to stagnation, the fire is full of wind, and the body fluid and blood are injured, then the limbs twitch and the servant is unconscious.

Treatment principle: calming wind and clearing heat, calming liver and suppressing yang.

Acupuncture prescription: Baihui, Fengchi, Waiguan, Zulinqi, Hegu and Taichong.

Interpretation: the wind is the evil of yang, and the head is the meeting of all yang. The syndrome of liver wind moving inside is the most likely to commit yang-clearing dizziness; Moreover, the upper eye system of the liver meridian and the du meridian will be at the top, so acupuncture will be used 100 times to dispel wind and soothe the nerves by clearing up the liver yang and treating dizziness; Fengchi is the intersection of the gallbladder meridian of foot shaoyang and the yang-defending pulse. Acupuncture can not only dispel wind and clear heat, but also reduce yang deficiency and gallbladder fire and relieve internal wind. Waiguan point and Zulinqi point belong to the intersection of eight veins, and the cross needle is taken by purging method, which can relieve shaoyang and clear the head. Taking the original point of Yangming meridian of the hand to fuse the heat of the head and face, aiming at the hyperactivity of liver yang, taking the original point of Taichong Jueyin liver meridian to directly break its fire. The combination of the two points is called opening four levels and opening and closing orifices, which has obvious curative effect on dizziness and hyperactivity of yang. If the wind and fire are disturbed by phlegm, and the breath is rough and gasping, it will blind the gods. In addition, he also pricked Jueyin acupoints between Chongdun and Datun, pricking blood and waking up. Those with liver and kidney yin deficiency in the later stage should take Taixi point and Sanyinjiao point to tonify the yin of liver and kidney.

2? All cold diseases belong to the kidney.

Import: import, import and export; Lead, lead, soft, slow. Describe limb joint contracture, unfavorable flexion and extension, or weakness. The kidney dominates the bones, and the kidney is full of qi, the bones are stretched and the steps are light. Osteopathy due to kidney deficiency is restrained hastily, or delayed. Cold is yin evil, and the nature is stagnant. Cold pathogen hurts people and flows into meridians and blood vessels, resulting in muscle damage and bone damage. Kidney is dirty with water, and the true yang in kidney can dispel cold and turn qi into water. Yin-cold deficiency syndrome is characterized by limb syncope, body cold, crouching, low back pain, diarrhea and weak pulse.

Governance: Return to Yang to save the inverse.

Acupuncture prescription: Shenshu, Mingmen, Guanyuan, Qihai and Zusanli.

Interpretation: Nurturing is yin and nurturing is yang. Take Shenshu point and the point on the back of bladder meridian, and use acupuncture to supplement the method, which is the place where yin disease can promote yang, tonify kidney and replenish qi; Moxibustion Guanyuan small intestine to collect points, warming Yuanyang, and making water with strong fire; Moreover, these two acupoints belong to the Shu-Mu acupoint matching method, which stimulates the function of zang-fu organs and eliminates cold. Take Renmai Qihai point, and match Dumai Mingmen point. Moxibustion can replenish fire, replenish qi, dredge the two meridians of Ren Du and regulate yin and yang. Take Zusanli Weijie point, use acupuncture to supplement the method, nourish the stomach and replenish qi, and cooperate with each point to strengthen the foundation of heaven and earth. In addition, body pain can cooperate with broken bones and Yanglingquan to relax tendons and activate collaterals; Lower extremity swelling plus Sanjiaoshu, Bladder Shu and Yinlingquan for dispelling cold and promoting diuresis.

3? All qi stagnation belongs to the lungs.

It's better to be angry than fur if you have difficulty breathing. Shuowen Jiezi refers to "evil forms", such as skin brown spots, purpura and moles; Depression, qi stagnation can not be expressed, that is, new boredom is unreasonable. The lung resides in the chest, controlling qi and breathing, and enclosing fur, so some skin diseases should be treated from the lung. The lung governs qi, and the qi of the five internal organs is above the lung, so treating qi is the focus of this paper. When you are sick, your qi will go against phlegm and blood stasis, and your lungs will gasp because of lung heat cough or phlegm turbidity. You can see that your lungs and kidneys are deficient in qi for a long time.

Treatment principle: clearing lung and resolving phlegm; Or strengthen the spleen and remove turbidity.

Acupuncture prescription: Shu Fei, Dazhui, Quchi and Akazawa; Or Taibai, Fenglong, Zusanli and Yinlingquan.

Interpretation: Take Shu Fei point to puncture and cupping to bleed, clear lung heat, relieve cough and asthma; Take Dazhui needle to clear away heat and eliminate evil by purging method, and cooperate with Quchi Hand Yangming Large Intestine Meridian to lead out heat evil and help lung fall; Treating Fei Jing to uncover points and acupuncture to purge lung heat; If the lung heat is strong, add Hegu point and Lieque point to clear heat, disperse lung and relieve cough; For those with excessive phlegm and shortness of breath, puncture bleeding at Shaoshang point should be combined with thenar to relieve asthma, clear lung and resolve phlegm. For chronic cough with excessive phlegm, the original point of spleen meridian is too white, and the original point of stomach meridian is rich, which is the method of matching points with the original collaterals in the exterior and interior of viscera, and has the functions of invigorating spleen, eliminating dampness, resolving phlegm and relieving cough; Yinlingquan and Zusanli are two economic coordination points of the spleen and stomach, which combine the main qi to vent, strengthen the spleen to remove turbidity and dampness; If the patient has kidney deficiency for a long time, Shenshu, Mingmen, Qihai and Taixi points should be added to strengthen the foundation.

4? All wet swelling belongs to the spleen.

Swelling refers to edema of skin or limbs; Full refers to abdominal distension. The moisture stops completely, and the water can't go down if it stops inside. Those who are wet, or top-heavy, or have diarrhea due to heat, or are sleepy all over, or are addicted to phlegm, belong to the soil that does not control water. Spleen governs the transport of water and dampness. Whether it is wet outside or inside, it is easy to make the water wet stop and see swelling.

Treatment principle: warming the middle warmer, drying dampness, strengthening the spleen and promoting diuresis.

Acupuncture prescription: Pishu, Shu Wei, Zhongwan, Zusanli and Yinlingquan.

Interpretation: Take the Pishu and Shu Wei points on the back of the bladder meridian, which are important points for "Yin disease rising yang", which can tonify the middle energizer, nourish the stomach and strengthen the spleen; Regulating stomach and nourishing points is a method of regulating points to stimulate the function of zang-fu organs, warm and promote diuresis; Followed by Zusanli, epigastric pain, Yinlingquan, and spleen Ji Jie, they treat qi discharge, strengthen the stomach and reduce swelling, and induce diuresis to reduce swelling.

If the ascending and descending of the middle energizer is abnormal, with symptoms of abdominal distension and pain in the chest and hypochondrium, Gongsun, Taiyin Spleen Meridian and Hand Jueyin Pericardium Meridian Collateral Points can be added, and the two points can be combined with eight methods to make the chest and abdomen move, and the effect is satisfactory. If kidney deficiency and water overflow are seen at the same time, Shenshu, Guanyuan and Bladder Meridian should be added to warm yang and promote diuresis.

5? All pain and pain belong to the heart.

All kinds of sores and toxins, blood coagulation blocking qi, blood-qi fighting pain, blood heat with wind itching, all belong to heart meridian and blood diseases. Therefore, all painful skin diseases should be treated from the heart. The heart governs the blood, where the monarch lives. The pulse of heat stagnation, qi and blood stagnation, mild itching, severe pain. Generally, sores with redness, swelling and heat pain belong to yang; If the phlegm due to yang deficiency is coagulated, it means that the patient with gangrene is yin, white but not red, swollen and painless, so it can be identified.

Treatment: clearing away heat and toxic materials, clearing away heart fire.

Acupuncture prescriptions: Juque, Xinshu, Neiguan, Quchi, Hegu and Shu Ge.

Interpretation: Juque selects acupoints for the heart meridian, and matches the bladder meridian with the back Shu point and the heart Shu point, which belongs to the method of selecting acupoints and matching acupoints, so the power of removing evil from the heart pulse is greatly increased, detoxification and clearing fire; Neiguan is the collateral point of pericardium meridian, which cooperates with the original point of Gudongchang meridian and the point of Quchi large intestine meridian to guide toxic fire and pathogenic heat downward; Because of sores, blood heat, rotten meat and pus, blood heat. Therefore, if you join the meeting on blood and puncture bleeding in Shu Ge, the heat toxin in the blood can be removed.

Pressing: vulvar gangrene is a multiple abscess that occurs in deep muscles. It is characterized by swelling and pain, and the skin color is as usual. Every time it doesn't heal here, it rises there, which is difficult to heal. Most of them are caused by the decline of qi and blood, blood stasis and yin stagnation in the depths of muscles.

6? All syncope and stagnation belong to the lower half.

Syncope has two meanings, one is cold syncope, the other is fainting; Solid, abdominal abscess, cold hernia, constipation; Drainage has unlimited benefits; The lower finger refers to the liver and kidney. Kidney governs water, kidney yang deficiency is cold, yang deficiency loses warmth and diarrhea, and water does not turn into qi, so it is cold and solid. It is advisable to warm yang and benefit water. The liver stores blood, and its pulse and governor pulse will be disrupted. Liver-qi adverse syncope; Liver yang is hyperactive, and the wind attacks the brain collaterals, as stated in Su Wen's Anger at God: "Anger leads to loss of qi, and blood accumulates in the abdomen, which makes you faint." Treatment should distinguish between yin and yang deficiency and excess.

Treatment principle of apoplexy with closed syndrome: clearing liver-fire, inducing resuscitation and waking up.

Acupuncture prescription: Renzhong, Zhongchong and Yongquan points; Neiguan, Hegu and Taichong.

Interpretation: take a person in the middle, middle and spring, puncture and bleed; If necessary, Neiguan, Hegu and Taichong should be added, and purging method should be used for acupuncture.

Principle of syndrome differentiation and treatment of apoplexy: restoring yang to save inverse.

Acupuncture prescription: Renzhong, Baihui and Zusanli; Guanyuan, Qihai and Shenque.

Interpretation: When removing dandruff, acupuncture Zhongwan, Baihui and Zusanli, and then moxibustion Guanyuan, Qihai and Shenque to restore yang and consolidate desquamation. If the syndrome belongs to kidney-yang deficiency, water does not turn into qi, and fixation fails, it is often manifested as frequent urination, kidney deficiency and spleen deficiency, and spleen loses health, so loose stool; Or yang deficiency and cold coagulation, turbid pathogen occupying large intestine, weak conduction, obstruction of fu-organs and qi, warming yang and moistening intestines to relieve constipation.

Treatment of kidney deficiency and frequent urination: tonifying kidney, warming yang and consolidating body fluid.

Acupuncture prescriptions: Baihui, Zhongwan, Qihai and Guanyuan.

Interpretation: Take Baihui and Zhongwan, and use acupuncture to supplement the method; Moxibustion on Qihai and Guanyuan points, warming and tonifying kidney-yang, benefiting the source of fire, and eliminating yin and healthy qi. Adding Taixi, the original point of the kidney meridian, to stimulate kidney qi, the original point of the spleen meridian is too white, strengthen the spleen and absorb fluid, and Zusanli nourish the stomach and strengthen the spleen, which is also a recipe for nourishing soil and benefiting water.

Treatment of constipation due to kidney deficiency: warming kidney and benefiting qi, nourishing blood and moistening intestine.

Acupuncture prescription: Zhongwan, Qihai, Dachangshu and Shangjuxu.

Interpretation: Take Wanxue and Renmai points in the stomach-seeking points, benefiting qi and dredging the sea, and benefiting qi and vitality; Matching Dachangshu, which belongs to Shumu point, coordinates the function of zang-fu organs, promotes the conduction of large intestine, and selects the upper and lower points of large intestine to relieve fu-organs and regulate intestine; Adding the original point of spleen meridian is too white, and the original point of stomach meridian is prosperous, which is the method of matching points between subject and object, coordinating spleen with stomach and promoting body fluid circulation.

Acupoint selection based on syndrome differentiation, each person's physique is different, and the acupoint selection scheme is different.