三十四法
治胃补胃,灸胃俞百壮,主胃中寒,不能食,食多身羸瘦,肠鸣腹满,胃胀。
灸三焦俞,主五脏六腑积聚,心腹满,腰背痛,饮食不消,吐逆。寒热往来,小便不利
,羸瘦少气,随年壮。
又,灸心下二寸,名胃管,百壮至千壮,佳。
小肠俞主三焦寒热,灸随年壮。
治胃中热病,膝下三寸名三里,灸三十壮。
反胃,食即吐出,上气,灸两乳下各一寸,以瘥为限。
又,灸脐上一寸二十壮。
又,灸内踝下三指稍斜向前有穴,三壮。(《外台秘要》云一指。)
灸胸胁胀满法∶
胪胀胁腹满,灸膈俞百壮,三报之。
胀满水肿,灸脾俞随年壮,三报之。
胀满雷鸣,灸犬肠俞百壮,三报之。
胀满气聚,寒冷,灸胃管,在心鸠尾下三寸,百壮,三报之。
胀满绕脐,结痛坚,不能食,灸中守百壮,在脐上一寸,一名水分。
胀满瘕聚滞下疼,灸气海百壮,在脐下一寸,忌针。
胀满气如水肿状,少腹坚如石,灸膀胱募百壮,在中极脐下四寸。
胀满肾冷,瘕聚泄痢,灸天枢百壮。
胸满,心腹积聚痞疼痛,灸肝俞百壮。
灸干呕法∶
干呕不止,所食即吐不停,灸间使三十壮。若四厥,脉沉绝不至者。灸之便通,此法起
死人。
又,灸心主尺泽,亦佳。
又,灸乳下一寸三十壮。
凡哕,令人惋恨,灸承浆,炷如麦七壮。
又,灸脐下四指七壮。
治卒哕,灸膻中、中府、胃管各数十壮,灸尺泽、巨阙各七壮。
灸吐法∶
吐逆不得食,灸心俞百壮。
吐逆不得下食,今日食,明日吐,灸膈俞百壮。
卒吐逆,灸乳下一寸七壮。
吐变不下食,灸胸膛百壮。
又,灸巨阙五十壮。
又,灸胃管百壮三报之。
又,灸脾募百壮,一名章门,在大横外直脐季肋端三报之。
呕吐宿汁,吞酸,灸神光,一名胆募,百壮,三报之。(《甲乙经》云∶日月,胆募也
,在期门下五分。)
呕吐咳逆霍乱吐血,灸手心主五十壮。
噫哕膈中气闭塞,灸腋下聚毛下附肋宛宛中五十壮,神良。
噫哕呕逆,灸石关百壮。
第三十四法
治疗胃病及补益胃气,艾灸胃俞穴一百壮,主治胃中寒邪,导致不能进食,或食后身体消瘦,肠鸣腹胀,胃部胀满。
艾灸三焦俞穴,主治五脏六腑的积聚病证,心腹部胀满,腰背疼痛,饮食不消化,呕吐逆气。以及寒热往来,小便不利,身体消瘦,气短乏力,灸治壮数随患者年龄而定(随年壮)。
另外,艾灸心下两寸处,名为胃管穴,灸治一百壮至一千壮,效果更佳。
治疗反胃症,食物吃下即吐出,伴有上气冲逆,艾灸两侧乳头下方各一寸处,以病情痊愈为限。
另外,艾灸内踝下方三指宽处,稍向前斜向有一穴位,灸治三壮。(《外台秘要》记载为一指宽。)
治疗胸胁胀满的方法:
腹部胀大,胁腹满闷,艾灸膈俞穴一百壮,连续三次施灸(三报之)。
胀满伴有气聚,感觉寒冷,艾灸胃管穴,位于心鸠尾穴下三寸处,灸治一百壮,连续三次施灸。
胀满绕脐部,结聚疼痛且坚硬,不能进食,艾灸中守穴一百壮,位于脐上一寸处,又名水分穴。
胀满伴有瘕聚(腹内结块),停滞下行疼痛,艾灸气海穴一百壮,位于脐下一寸处,忌用针刺。
胀满气息如同水肿状,小腹部坚硬如石头,艾灸膀胱募穴一百壮,位于中极穴,即脐下四寸处。
治疗干呕的方法:
干呕不止,所食之物随即吐出不停,艾灸间使穴三十壮。如果出现四肢厥冷,脉搏沉伏绝迹不至的情况,艾灸此穴可使脉气通畅,此法有起死回生之效。
另外,艾灸心包经的尺泽穴(注:此处原文可能有误,尺泽属肺经,心包经合穴为曲泽,但依原文翻译),效果也很好。
凡是呃逆(哕),令人感到懊恼遗憾,艾灸承浆穴,艾炷如麦粒大小,灸七壮。
治疗突发呃逆,艾灸膻中、中府、胃管穴各数十壮,艾灸尺泽、巨阙穴各七壮。
治疗呕吐的方法:
呕吐逆气无法吞咽食物,今日吃的食物明日吐出,艾灸膈俞穴一百壮。
呕吐变为无法进食,艾灸胸膛部位一百壮。
另外,艾灸脾募穴一百壮,又名章门穴,位于大横穴外侧,直对脐部与季肋端交界处,连续三次施灸。
呕吐宿汁,吞酸水,艾灸神光穴,又名胆募穴,灸治一百壮,连续三次施灸。(《甲乙经》记载:日月穴是胆募穴,在期门穴下五分处。)
Method 34
To treat stomach diseases and tonify the Stomach, moxibustion is applied to Weishu (BL-21, Bladder Shu of the Stomach) for one hundred Zhu (moxa cones). It primarily treats cold in the Stomach, inability to eat, emaciation despite adequate food intake, borborygmus, abdominal fullness, and gastric distension.
Moxibustion is applied to Sanjiaoshu (BL-22, Bladder Shu of the Sanjiao) to treat accumulations and masses in the five Zang and six Fu organs, fullness in the heart and abdomen, lower back and back pain, indigestion, vomiting and regurgitation, alternating chills and fever, difficult urination, emaciation, and shortness of breath. The number of Zhu is determined by the patient's age (Sui Nian Zhuang).
Additionally, moxibustion is applied to the point two Cun below the xiphoid process, named Weiguan (Stomach Tube), ranging from one hundred to one thousand Zhu, which is preferable.
Xiaochangshu (BL-27, Bladder Shu of the Small Intestine) treats cold and heat disorders of the Sanjiao; moxibustion dosage is based on the patient's age.
To treat heat disorders of the Stomach, moxibustion is applied to Zusanli (ST-36), located three Cun below the knee, for thirty Zhu.
For regurgitation (Fan Wei), where food is vomited immediately after ingestion accompanied by rebellious Qi rising, moxibustion is applied one Cun below each nipple until the condition resolves.
Additionally, moxibustion is applied one Cun above the umbilicus for twenty Zhu.
Additionally, moxibustion is applied to a point slightly oblique and anterior to three finger-widths below the medial malleolus, for three Zhu. (The *Waitai Miyao* records this distance as one finger-width.)
Method for treating chest and hypochondriac distension:
For abdominal distension and hypochondriac/abdominal fullness, moxibustion is applied to Geshu (BL-17, Bladder Shu of the Diaphragm) for one hundred Zhu, repeated three times (San Bao Zhi).
For distension with edema, moxibustion is applied to Pishu (BL-20, Bladder Shu of the Spleen) for a number of Zhu corresponding to the patient's age, repeated three times.
For distension with borborygmus resembling thunder, moxibustion is applied to Changqiangshu (an ancient name, likely referring to a specific local point or typo for Dachangshu BL-25 or similar, but translated literally as Dog Intestine Shu) for one hundred Zhu, repeated three times.
For distension with Qi accumulation and sensation of cold, moxibustion is applied to Weiguan, located three Cun below Xinjiuwei (CV-15), for one hundred Zhu, repeated three times.
For distension encircling the umbilicus, with knotted pain and hardness, preventing eating, moxibustion is applied to Zhongshou (an ancient name, identified as Shenque CV-8 or nearby, but text says "in front of navel", actually text says "Zhongshou... one Cun above navel, also known as Shuifen"), for one hundred Zhu. It is located one Cun above the umbilicus, also named Shuifen (CV-9).
For distension with masses (Jia Ju) and pain from stagnation downward, moxibustion is applied to Qihai (CV-6) for one hundred Zhu, located one Cun below the umbilicus. Acupuncture is contraindicated here.
For distension with Qi resembling edema and a lower abdomen hard as stone, moxibustion is applied to the Mu-Alarm point of the Bladder for one hundred Zhu, located at Zhongji (CV-3), four Cun below the umbilicus.
For distension with Kidney cold, masses, and dysentery, moxibustion is applied to Tianshu (ST-25) for one hundred Zhu.
For chest fullness, accumulations and masses in the heart and abdomen causing bi-syndrome and pain, moxibustion is applied to Ganshu (BL-18, Bladder Shu of the Liver) for one hundred Zhu.
Method for treating dry heaving (Gan Ou):
For persistent dry heaving where ingested food is vomited continuously, moxibustion is applied to Jianshi (PC-5) for thirty Zhu. If there are four extremities cold (Si Jue) and the pulse is deep, hidden, and absent, moxibustion will restore circulation; this method can revive the seemingly dead.
Additionally, moxibustion is applied to Chize (LU-5, He-Sea point of the Lung Meridian, though text says "Heart Master" implying Pericardium, but Chize is Lung; strictly translating text: Heart Master Chize), which is also effective.
Additionally, moxibustion is applied one Cun below the nipple for thirty Zhu.
For all cases of hiccups (Yue), which cause distress and regret, moxibustion is applied to Chengjiang (CV-24) using a moxa cone the size of a wheat grain, for seven Zhu.
Additionally, moxibustion is applied four finger-widths below the umbilicus for seven Zhu.
To treat sudden hiccups, moxibustion is applied to Danzhong (CV-17), Zhongfu (LU-1), and Weiguan, each for dozens of Zhu. Moxibustion is applied to Chize (LU-5) and Jueque (CV-14), each for seven Zhu.
Method for treating vomiting:
For vomiting and regurgitation preventing food intake, moxibustion is applied to Xinxu (BL-15, Bladder Shu of the Heart) for one hundred Zhu.
For vomiting and regurgitation preventing swallowing, where food eaten today is vomited tomorrow, moxibustion is applied to Geshu (BL-17) for one hundred Zhu.
For sudden vomiting and regurgitation, moxibustion is applied one Cun below the nipple for seven Zhu.
For vomiting progressing to inability to eat, moxibustion is applied to the chest region for one hundred Zhu.
Additionally, moxibustion is applied to Jueque (CV-14) for fifty Zhu.
Additionally, moxibustion is applied to Weiguan for one hundred Zhu, repeated three times.
Additionally, moxibustion is applied to the Mu-Alarm point of the Spleen for one hundred Zhu, also named Zhangmen (LR-13), located lateral to Daheng (SP-15), directly opposite the junction of the umbilicus and costal margin, repeated three times.
For vomiting of old fluids and acid regurgitation, moxibustion is applied to Shenguang (an ancient name, identified as Riyue GB-24, Gallbladder Mu-Alarm point) for one hundred Zhu, repeated three times. (*Jia Yi Jing* states: Riyue is the Mu-Alarm point of the Gallbladder, located five Fen below Qimen LR-14).
For vomiting, coughing with rebellious Qi, cholera-like syndrome, and hematemesis, moxibustion is applied to the Hand-Shaoyin/Pericardium points for fifty Zhu.
For belching, hiccups, and obstruction of Qi in the diaphragm, moxibustion is applied to the depression adjacent to the ribs below the cluster of hairs in the axilla for fifty Zhu; this is highly effective.
For belching, hiccups, and vomiting with rebellious Qi, moxibustion is applied to Shiguan (KI-18) for one hundred Zhu.