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> 中医 > 针灸 > 任脉

名医类案·卷三·上热下寒

罗谦甫治上热下寒灸气海三里案

Location of cavities

Effects of Governance

Cave details

症状：头面耳肿而疼，耳前后肿尤甚，胸中烦闷，咽嗌不利，身半以下皆寒，足胫尤甚

辨证：上热下寒，热壅于上，阳虚于下

取穴：肿上约五十余刺出血，气海中大艾炷灸百壮，三里二穴各灸三七壮，既济解毒汤

操作：先刺肿处出血，次灸气海百壮助下焦阳虚，再灸三里三七壮引导热气下行

结果：投剂之后肿消痛减，大便利，不旬日良愈

原文

罗谦甫治中书右丞姚公茂六旬有七宿有时毒至元戊辰春因酒再发头面耳肿而疼耳前后肿尤甚胸中烦闷咽嗌不利身半以下皆寒足胫尤甚遂于肿上约五十余刺其血紫黑顷时肿痛消散又于气海中大艾炷灸百壮乃助下焦阳虚退其阴寒次于三里二穴各灸三七壮治足胻冷亦引导热气下行故也遂处既济解毒汤不旬日良愈