论云∶凡香港脚初转筋者，灸承筋承山二穴。
《龙门方》疗脚转筋及入腹方∶
取木瓜子根茎煮汤服，并验。
又云∶疗转脚筋及入腹方∶手构随所患脚大拇指，灸当脚心急筋上七壮。
又云∶筋已入腹者，令患人伏地，以绳绊两脚趺上踝下，两脚中间出系柱，去地稍高，
患者
《华佗方》治转筋方∶
以白戢煮粉令一沸，因以洗足腓，至足立愈。（《短剧方》同之。）
苏唐云∶凡香港脚发有阴阳表里，随状疗之。不可要依古方也，患阳疗阴，病表救里，皆
为重
先发
下，
足小
泉、风
摩之。若上下遍发，不知的处者，宜灸上廉、下廉、条口、三里，各灸一二处，以通泄之。
其用药
色赤者
三里、
阳陵泉二穴∶在膝外侧骨下宛宛陷中是。（苏徐）。
绝骨二穴∶在外踝正上寻小骨头绝陷中是。（同前）。
风市二穴∶平立垂手当中指头 中两筋间是。（同前）。
昆仑二穴∶在外踝后跟骨上陷中是。（同前）。
阳辅二穴∶在绝骨前半寸少下是。（苏徐云∶明堂无绝骨名，有阳辅）。
上廉二穴∶在三里下三寸是。（苏徐）。
下廉二穴∶在条口下一寸是。（苏徐）。
条口二穴∶在上廉下二寸是。（苏徐）。
大冲二穴∶在足大指本节后二寸是。或云一寸半。（苏徐）。
犊鼻二穴∶在膝盖上外角宛宛中是。（苏徐）。
膝目二穴∶在膝盖下两边宛宛中是。（苏）。
三里二穴∶在膝盖骨头侧下骨外三寸下宛宛。
曲泉二穴∶在膝内屈纹头是。
阴陵泉二穴∶在伸脚膝内侧骨下宛宛中是。（苏徐）。
中都二穴∶在阴陵泉三交中间是。（苏）。
三交二穴∶在内踝上三寸是。（苏徐云∶名大阴）。
复留二穴∶在内踝上三寸是。（苏徐云∶名承命）。
少阳二穴∶在内踝后一寸，动筋中是。（徐）。
三阴二穴∶在内踝上八寸，骨下陷中是。（徐）。
阴跷二穴∶在内踝下向前宛宛中是。（徐）。
委中二穴∶在膝后屈中央是。（苏徐）。
承筋二穴∶在 当中心满中是。（苏徐）。
承山二穴∶在 肠下际分肉间陷中是。（苏徐）。
涌泉二穴∶在脚心是。（苏徐）。
上件穴并要不 能灸，其最要有三里、绝骨、承筋、大冲、昆仑、涌泉。患者不可不灸。
凡患香港脚，法皆是春发、夏甚、秋轻、冬歇，大法春秋宜灸，冬瘥可行，夏都不可。夏
既疮
灸一
凡香港脚病大论毒从下上，亦从上向下者，或云灸上毒便止，误矣。比见毒瓦斯攻处，疼痛
如刺
凡所冲如贼欲出，得穴即出，岂在大门也。风气所攻，亦复如是，皆此经试，万不失一，
必
《葛氏方》云∶其灸法，孔穴亦甚多，恐人不能悉知。处今止疏要者，必先从上始，若
直灸
大椎一穴（灸百壮），肩井二穴（各灸百壮），膻中一穴（灸五十壮），巨阙一穴（灸百
壮）。
凡灸此上部五穴，亦足以泄其气。若能灸百会、风府、胃脘及五藏俞亦佳。视病之宽急
耳。
次∶风市二穴（灸百壮），三里二穴（灸二百壮），上廉二穴（灸百壮），下廉二穴（灸
百壮），绝
凡此下部十穴并至要，犹余伏菟、犊鼻耳。凡灸此壮数不必顿毕，三日中报之令竟。
《千金方》云∶凡病一脚，则灸一脚；病两脚，便灸两脚也。
又云∶初得脚弱便速灸之，并服竹沥汤，灸讫可服八风散，无不瘥者，唯急速治之。若
人但灸而不服散，服散而不灸，如此者，有半瘥半死。虽得瘥者，或至一二年度复更发动。
觉得便依此法速灸之。服散者，治十十愈。竹沥汤八风散在上。
《医经论述》说：凡是香港脚（足部疾患，类似现代的风湿性关节炎或痛风等）初起出现转筋（肌肉痉挛）的情况，应当灸承筋、承山两个穴位。
《龙门方》治疗脚部转筋及筋脉拘急入腹的方子：
取木瓜子根茎煮汤服用，疗效确切。
又说：治疗脚筋转急及入腹的方子：用手勾住患病脚的大脚趾，灸在脚心凹陷处筋上的位置，共七壮。
又说：如果筋脉已经拘急入腹，让患者俯卧在地，用绳子绊住两脚脚背脚踝下方，使两脚中间高出地面系在柱子上，离地稍高一些，
患者……
《华佗方》治疗转筋的方子：
用白戢（一种植物，此处疑为“白蔹”或特定草药，原文作“白戢”，暂保留原名或注为白蔹之误，但按规则保留原名）煮粉使其煮沸一次，然后用此水清洗小腿肚（腓肠肌），直到能站立为止即可痊愈。（《短剧方》与此相同。）
苏唐说：凡是香港脚发作都有阴阳表里的区别，应根据症状进行治疗。不能一味拘泥于古方。患阳证而治阴证，病在表而救里，都会导致病情加重。
先发……
下，
足小……
泉、风……
摩之。如果上下全身都发作，不知道具体部位的人，适宜灸上廉、下廉、条口、足三里四个穴位，每个穴位灸一到两处，以疏通泄邪。
其用药……
色赤者……
三里、
阳陵泉二穴：位于膝盖外侧骨头下方的凹陷处。（苏徐记载）。
绝骨二穴：在外踝正上方寻找小骨头断陷处即是。（同上）。
风市二穴：身体直立垂手时，中指指尖所在的两筋之间即是。（同上）。
昆仑二穴：在外踝后方跟骨上方的凹陷处即是。（同上）。
阳辅二穴：在绝骨前半寸稍下方即是。（苏徐说：《明堂经》中没有绝骨这个名称，只有阳辅）。
上廉二穴：在足三里下三寸处即是。（苏徐记载）。
下廉二穴：在条口下一寸处即是。（苏徐记载）。
条口二穴：在上廉下二寸处即是。（苏徐记载）。
大冲二穴：在足大趾本节后二寸处即是。有人说是一寸半。（苏徐记载）。
犊鼻二穴：在膝盖上外角凹陷处即是。（苏徐记载）。
膝目二穴：在膝盖下两边凹陷处即是。（苏记载）。
三里二穴：在膝盖骨头侧下骨外三寸下的凹陷处。
曲泉二穴：在膝内侧屈纹头处。
阴陵泉二穴：在伸脚时膝盖内侧骨头下方的凹陷处即是。（苏徐记载）。
中都二穴：在阴陵泉与三交穴中间即是。（苏记载）。
三交二穴：在内踝上三寸处即是。（苏徐说：名为大阴）。
复留二穴：在内踝上三寸处即是。（苏徐说：名为承命）。
少阳二穴：在内踝后一寸，动筋之中即是。（徐记载）。
三阴二穴：在内踝上八寸，骨头下凹陷处即是。（徐记载）。
阴跷二穴：在内踝下向前凹陷处即是。（徐记载）。
委中二穴：在膝后弯曲中央处即是。（苏徐记载）。
承筋二穴：在……当中心满处即是。（苏徐记载）。
承山二穴：在……腓肠肌下际分肉间凹陷处即是。（苏徐记载）。
涌泉二穴：在脚心处即是。（苏徐记载）。
上述穴位都可以进行艾灸，其中最重要的是足三里、绝骨、承筋、大冲、昆仑、涌泉。患者不可不灸这些穴位。
凡是患有香港脚，规律通常是春季发作、夏季严重、秋季减轻、冬季停止，大法则是春秋宜灸，冬季缓解时可以行动，夏季则完全不可以（灸或行？原文语境似指夏季不宜剧烈活动或施治，结合下文“夏既疮”推测夏季易发疮疡或不宜灸，此处依文意译为夏季皆不可为/不宜）。夏季既然……
灸一……
凡是香港脚病的总论认为毒气从下往上攻，也有从上往下的，有人说灸上面的毒气就会停止，这是错误的。近来见到毒瓦斯攻击的部位，疼痛
如针刺一般……
凡所冲击如同贼寇欲出，遇到穴位就能排出，岂止在大门呢。风气所攻，也是这样，都是这条经络验证过的，万无一失，
必……
《葛氏方》说：其灸法，孔穴也非常多，恐怕人们不能完全知晓。现在只列出重要的，必须先从上开始，如果
直接灸……
大椎一穴（灸一百壮），肩井二穴（各灸一百壮），膻中一穴（灸五十壮），巨阙一穴（灸百
壮）。
凡是灸这上部五个穴位，也足以泄其邪气。如果能灸百会、风府、胃脘及五脏俞穴也很好。视病情的轻重缓急而定。
其次：风市二穴（灸一百壮），足三里二穴（灸二百壮），上廉二穴（灸一百壮），下廉二穴（灸
一百壮），绝骨……
凡是这下部十个穴位都非常重要，还有伏兔、犊鼻穴。凡是灸这些穴位的壮数不必一次性完成，三天内报数令其完成。
《千金方》说：凡是病一只脚，就灸一只脚；病两只脚，便灸两只脚。
又说：刚得到脚弱症就要迅速灸治，并服用竹沥汤，灸完后可以服用八风散，没有不好的，唯有急速治疗。如果
人只是灸而不服散，服散而不灸，像这样的人，有一半痊愈一半死亡。即使得愈，也可能过一两年再次发动。
觉得不适就依照此法迅速灸治。服用散剂者，治疗十个痊愈十个。竹沥汤和八风散见上文。
The medical treatise states: For Hong Kong foot (a term for lower limb disorders, resembling modern rheumatoid arthritis or gout) initially presenting with tendon spasm (muscle cramp), moxibustion should be applied to the Chengjin (BL57) and Chengshan (BL57) acupoints.
The *Longmen Fang* prescription for treating leg tendon spasms and tendons drawing inward toward the abdomen:
Decoct the roots and stems of *Gmelina abutilon* (Mugua, 木瓜) root/stem in water and drink it; this is verified as effective.
It also states: For treating foot tendon spasms and drawing inward toward the abdomen: Use the hand to hook the big toe of the affected foot, and apply seven moxa cones on the tendon at the depression in the center of the sole of the foot.
It further states: If the tendons have already drawn inward toward the abdomen, have the patient lie prone on the ground, tie a rope around the dorsum of both feet below the ankles, so that the space between the two feet is elevated and tied to a pillar, keeping it slightly high off the ground,
the patient...
The *Hua Tuo Fang* prescription for treating tendon spasms:
Boil Baiji (Baiji, 白戢 - likely a textual variant for Bai Lian, *Ampelopsis japonica*) powder once, then use it to wash the calf muscles (gastrocnemius); the patient will be able to stand and recover immediately. (*Duanju Fang* agrees with this.)
Su Tang said: All cases of Hong Kong foot present with Yin/Yang and Exterior/Interior distinctions, and treatment should follow the symptoms. One must not rigidly adhere to ancient prescriptions. Treating Yang syndromes with Yin methods, or addressing Interior conditions when the disease is in the Exterior, will all lead to severe deterioration.
Initial onset...
Below,
Little Toe...
Quan, Feng...
Massage. If the condition manifests throughout the upper and lower body without a specific location, it is appropriate to moxibustion the Shanglian (ST34), Xialian (ST35), Tiaokou (ST36), and Zusanli (ST36) acupoints, applying one to two cones to each, to unblock and drain the pathogenic factors.
Regarding medication...
Those with red color...
Zusanli,
Yanglingquan (GB34) two acupoints: Located in the depression below the lateral condyle of the knee. (Recorded by Su Xu).
Juegu (GB39) two acupoints: Located directly above the external malleolus, in the depression where the small bone ends. (Same as above).
Fengshi (GB31) two acupoints: When standing upright with arms hanging down, located between the two tendons where the tip of the middle finger reaches. (Same as above).
Kunlun (BL60) two acupoints: Located in the depression behind the external malleolus, on the calcaneus. (Same as above).
Yangfu (GB38) two acupoints: Located half a cun slightly below Juegu. (Su Xu says: The *Mingtang Jing* does not list Juegu, only Yangfu).
Shanglian (ST34) two acupoints: Located three cun below Zusanli. (Su Xu).
Xialian (ST35) two acupoints: Located one cun below Tiaokou. (Su Xu).
Tiaokou (ST36) two acupoints: Located two cun below Shanglian. (Su Xu).
Da Chong (LR2) two acupoints: Located two cun posterior to the base of the big toe. Some say one and a half cun. (Su Xu).
Dubbi (ST34) two acupoints: Located in the depression at the outer corner of the kneecap. (Su Xu).
Ximu (EX-LE4) two acupoints: Located in the depressions on both sides below the kneecap. (Su).
Zusanli (ST36) two acupoints: Located three cun below the lateral side of the patella, in the depression outside the bone.
Ququan (LR8) two acupoints: Located at the head of the transverse popliteal crease on the medial side of the knee.
Yinlingquan (SP9) two acupoints: Located in the depression below the medial condyle of the tibia when the leg is extended. (Su Xu).
Zhongdu (LR6) two acupoints: Located midway between Yinlingquan and Sanjiao. (Su).
Sanjiao (SP8) two acupoints: Located three cun above the internal malleolus. (Su Xu says: Named Dàyīn).
Fuliu (KI7) two acupoints: Located three cun above the internal malleolus. (Su Xu says: Named Chengming).
Shaoyang (EX-LE7?) two acupoints: Located one cun behind the internal malleolus, within the moving tendon. (Xu).
Sanyin (EX-LE8?) two acupoints: Located eight cun above the internal malleolus, in the depression below the bone. (Xu).
Yinqiao (KI6) two acupoints: Located in the depression forward from below the internal malleolus. (Xu).
Weizhong (BL40) two acupoints: Located in the center of the popliteal crease behind the knee. (Su Xu).
Chengjin (BL57) two acupoints: Located in the fullness of the center of the calf. (Su Xu).
Chengshan (BL57) two acupoints: Located in the depression between the muscle bellies at the lower border of the gastrocnemius. (Su Xu).
Yongquan (KI1) two acupoints: Located in the center of the sole of the foot. (Su Xu).
All the aforementioned acupoints can be treated with moxibustion. The most important ones are Zusanli (ST36), Juegu (GB39), Chengjin (BL57), Da Chong (LR2), Kunlun (BL60), and Yongquan (KI1). Patients must undergo moxibustion on these points.
Generally, Hong Kong foot follows a pattern of spring onset, summer exacerbation, autumn mildness, and winter remission. The general rule is that moxibustion is suitable in spring and autumn; movement is permissible in winter when it remits, but in summer, it is generally contraindicated (or activities are restricted). Since in summer...
Apply one...
In the general discussion of Hong Kong foot, it is stated that toxic heat ascends from below, or descends from above. Some claim that moxibustion on the upper part stops the toxicity, which is erroneous. Recently, I have seen the site attacked by toxic vapors, with pain
like needle刺刺ing...
Whatever attacks like a thief trying to escape, upon encountering an acupoint, it exits. It is not limited to the main gate. Wind pathogens attack in the same way. This meridian has been tested, never failing,
must...
The *Ge Shi Fang* states: Regarding moxibustion methods, there are many acupoints, which may be difficult for people to know completely. Here we only list the essential ones. One must start from the top. If
directly moxibustion...
Dazhui (GV14) one acupoint (moxibustion 100 cones), Jianjing (GB21) two acupoints (100 cones each), Danzhong (CV17) one acupoint (moxibustion 50 cones), Juque (CV14) one acupoint (moxibustion 100
cones).
Moxibustion on these five upper acupoints is sufficient to vent the pathogenic qi. Moxibustion on Baihui (GV20), Fengfu (GV16), Weiwuan (CV12?), and the Back-Shu points of the Five Zang organs is also excellent. This depends on the severity and urgency of the disease.
Next: Fengshi (GB31) two acupoints (moxibustion 100 cones), Zusanli (ST36) two acupoints (moxibustion 200 cones), Shanglian (ST34) two acupoints (moxibustion 100 cones), Xialian (ST35) two acupoints (moxibustion 100 cones), Juegu...
All ten lower acupoints mentioned here are extremely important, along with Futu (ST32) and Dubbi (ST34). The number of moxa cones for these points need not be completed all at once; report the total over three days to complete the course.
The *Qianjin Fang* states: If the disease affects one foot, moxibustion one foot; if it affects both feet, moxibustion both feet.
It also states: Upon the initial onset of leg weakness, moxibustion should be performed quickly, and Zhuli Tang (Bamboo Sap Decoction) should be taken. After moxibustion, Bafeng San (Eight Winds Powder) can be taken. There are no failures; only rapid treatment works. If
one only performs moxibustion without taking the powder, or takes the powder without moxibustion, such patients will have half recover and half die. Even those who recover may experience recurrence after one or two years.
Upon feeling discomfort, follow this method and perform moxibustion quickly. Those who take the powder achieve ten cures out of ten. Zhuli Tang and Bafeng San are described above.