用干艾叶揉熟,去灰作艾炷。取脐下一寸五分名气海,二寸丹田,三寸关元,灸五十壮
至二、三百壮。以手足渐温,人事稍苏为可治。
阴毒手足厥冷,不省人事者,此法行之。
手足不自温也,受气于中而后温;里有阴寒,故手足厥冷;阳气明,阴气昏,不省人事
者,乃阴盛而失神明之官也。《甲乙经》曰∶气海、丹田,任脉所发;关元,足三阴、任脉
之会,是任脉实贯三阴,而三阴之脉皆会于任脉也。故阴毒中于三阴者,取而灸之,有寒谷
回春之妙!
叠青布数重,新水渍之,稍捩去水,搭于患人胸上,须臾蒸热,又以别浸冷布易之,频
换新水;热稍退,可进阳毒药。
阳毒渐深,脉洪大,内外结热,舌卷焦黑,鼻如烟煤者,此法行之。
阳毒者,三阳热证之毒也。由表入里,故曰渐深;洪大皆阳脉,表邪未去,里热又甚,
故曰内外皆热,此由失汗之所致也;舌卷者,热燥华池而筋缩急也;舌焦而黑,鼻如烟煤,
此火极而兼水化,亢龙有悔之象也。行此法者,水可以灭火,寒可以却热,外可以安内。经
曰∶行水渍之,和其中外,可使毕已。此之谓也。
少阴,即太溪穴也,在两足内踝后跟骨上动脉陷中。灸七壮。
少阴吐利,手足不冷,反发热,脉不至者,此法行之。
少阴,肾也。寒中少阴,阴寒格阳上逆,故吐;少阴主二便,病寒故利;阴在内,拒阳
于外,故手足不冷而反发热;脉不至者,阴盛于内而脉沉陷也。太溪,肾之俞也,干焉而灸
之,所以引外格之阳,使之归原,如《易》所谓不远之复也。
用干燥的艾叶揉搓至熟软,去除杂质灰烬制成艾炷。选取脐下1.5寸处的气海穴(经外奇穴,位于任脉上),2寸处的丹田穴(经外奇穴,位于任脉上),3寸处的关元穴(任脉穴位),每个穴位灸五十壮,直至二、三百壮。以患者手足逐渐转温,神志稍微清醒作为可以救治的标准。
对于阴毒证出现手足厥冷、不省人事的患者,使用此法治疗。
手足不能自行回暖,是因为阳气需从中焦获得才能温暖四肢;体内有阴寒之邪,所以手足厥冷;阳气主明亮,阴气主昏沉,不省人事是由于阴气过盛而扰乱了心神(神明之官)。《甲乙经》记载:气海、丹田是任脉发出的穴位;关元是足三阴经与任脉交会之处,这说明任脉实际上贯穿了三阴经,而三阴经的经脉都汇聚于任脉。因此,阴毒邪气侵袭三阴经时,选取这些穴位进行艾灸,具有使寒冷山谷重现春意的奇妙疗效!
将多层青布叠好,用新汲的水浸湿,稍微拧去水分,敷在患者的胸部,片刻后布料变热,再用另外浸泡在冷水中的布替换,频繁更换新水;待热势稍退,可以服用阳毒药。
阳毒证逐渐深入,脉象洪大,内外皆结聚热邪,舌体卷缩且焦黑,鼻孔如烟煤般颜色者,使用此法治疗。
阳毒是三阳经热证的毒邪。由表入里,所以说逐渐深入;洪大脉都是阳脉,表邪未去,里热又很严重,所以说内外皆热,这是因失于发汗所致;舌体卷缩,是因为热燥伤了津液(华池)导致筋脉收缩紧急;舌焦黑,鼻孔如烟煤,这是火极盛而兼有水化现象,是亢龙有悔(物极必反)的征象。施行此法,用水可以灭火,寒性可以驱除热邪,在外可以安内。经文说:行水渍法,调和其内外,可以使病愈。说的就是这个道理。
少阴经对应的穴位即太溪穴,位于两足内踝后方跟骨上方的动脉凹陷处。灸七壮。
少阴病出现呕吐腹泻,手足不冷,反而发热,脉搏摸不到的情况,使用此法治疗。
少阴对应肾脏。寒邪中伤少阴,阴寒格拒阳气上逆,所以呕吐;少阴主管大小便,患病为寒证所以腹泻;阴气在内,格拒阳气于外,所以手足不冷反而发热;脉搏摸不到,是因为阴气盛于内导致脉象沉陷。太溪是肾的背俞穴(此处指原穴,为肾气输注之处),在此施灸,是为了引导被格拒在外的阳气回归本源,正如《易经》所说的“不远复”(没有走远就返回)。
Use dried mugwort leaves (Artemisia argyi), rub them until soft, remove ash and impurities to make moxa cones. Select Qihai (Sea of Qi, an extra point on the Ren vessel) 1.5 cun below the umbilicus, Dantian (Elixir Field, an extra point on the Ren vessel) 2 cun below the umbilicus, and Guanyuan (Gate of Origin, a Ren vessel point) 3 cun below the umbilicus. Moxibustion is applied for fifty burns (zhuang) at each point, up to two or three hundred burns. The condition is considered treatable when the hands and feet gradually become warm and consciousness slightly returns.
This method is used for Yin Toxin syndrome presenting with cold extremities and loss of consciousness.
The extremities do not warm themselves because Yang Qi must be obtained from the Middle Jiao to warm the limbs; internal Yin-Cold causes cold extremities. Yang Qi brings brightness, while Yin Qi brings dimness; loss of consciousness occurs due to excessive Yin disturbing the organ of Spirit (Shen Ming). The *Jia Yi Jing* states: Qihai and Dantian are points where the Ren Mai (Conception Vessel) originates; Guanyuan is the intersection of the Three Yin Meridians of the Foot and the Ren Mai. This indicates that the Ren Mai penetrates the Three Yin meridians, and all Three Yin meridians converge on the Ren Mai. Therefore, when Yin Toxin attacks the Three Yin meridians, selecting these points for moxibustion has the wonderful effect of bringing spring back to a valley of cold!
Stack several layers of green cloth, soak them in fresh water, wring out slightly, and place on the patient's chest. After a moment, the cloth becomes hot, then replace it with another piece soaked in cold water, frequently changing with fresh water. Once the heat subsides slightly, Yang-toxic medicines can be administered.
This method is used for Yang Toxin syndrome that has gradually deepened, characterized by a surging and large pulse, internal and external binding heat, a curled and scorched black tongue, and nostrils resembling soot.
Yang Toxin is the toxin of Heat syndromes in the Three Yang meridians. Entering from the exterior to the interior, it is said to deepen gradually. Surging and large pulses are both Yang pulses; since the exterior pathogen has not been expelled and the interior heat is severe, it is described as heat in both interior and exterior, caused by failure to induce sweating. A curled tongue results from heat drying the fluids (Hua Chi) causing tendon contraction and urgency. A scorched black tongue and nostrils like soot indicate extreme Fire transforming into Water characteristics, representing the phenomenon of "the soaring dragon repents" (extremes turn to their opposites). Applying this method, water extinguishes fire, cold dispels heat, and external cooling stabilizes the interior. The classic says: Apply water soaking to harmonize the interior and exterior, making the disease cease. This refers to such methods.
Shaoyin corresponds to the Taixi acupoint, located in the depression above the posterior aspect of the medial malleolus where the arterial pulse is felt. Apply seven burns of moxibustion.
This method is used for Shaoyin disease presenting with vomiting and diarrhea, without cold extremities but rather fever, and an imperceptible pulse.
Shaoyin corresponds to the Kidney. Cold invading Shaoyin causes Yin-Cold to reject Yang Qi upward, leading to vomiting; Shaoyin governs urination and defecation, so cold pathology leads to diarrhea. Yin residing internally rejects Yang externally, hence extremities are not cold but rather febrile. An imperceptible pulse indicates Yin excess internally causing the pulse to sink and depress. Taixi is the Shu-stream point of the Kidney. Moxibustion here serves to guide the Yang Qi rejected externally back to its origin, akin to the concept of "returning quickly" in the *I Ching*.