先灸项大椎,以年为壮数。
次灸撅骨,(足穷骨也。)以年为壮数。
视背脸陷者,灸之。
举臂肩上陷者,灸之。( 穴也)
两季胁之间,灸之(章门穴也)
外踝上绝骨之端,灸之。(阳辅穴也)
足小趾次趾间,灸之。(侠溪穴也)
下陷脉,灸之(承筋穴也)
外踝后,灸之(昆仑穴也)
缺盆骨上,切之坚痛如筋者,灸之。(经阙其名)
膺中陷骨间,灸之。(天突穴也)
掌束骨下。灸之。(阳池穴也)
脐下三寸,灸之。(关元穴也)
毛际动脉,灸之。(气街穴也)
膝下三寸分间,灸之。(三里穴也)
足阳明跗上动脉,灸之。(冲阳穴也)
巅上一灸之。(百会穴也)
足太阳疟,令人腰痛头重,寒从背起,先寒后热,热止汗出,难已,刺隙中出血,足少
阳疟,令人身体解 ,寒不甚,热不甚,恶见人,见人心惕惕然,热多汗,刺足少阳,足阳
明疟,令人先寒,洒淅寒甚,久乃热,热去汗出,喜见日光火气,乃快然,刺足阳明脚趺上,
足太阴疟,令人不乐,好太息,不嗜食,多寒热,汗出病至则呕,呕已乃衰,即取之,足少
阴疟,令人吐呕甚,又寒热,热多寒少,欲闭户而处,其病难已,足厥阴疟,令人腰痛,少
腹满,小便不利,如癃状,非癃也,数小便,意恐惧,气不足,腹中悒悒,刺足厥阴,诸疟
而脉不见者,刺十指间出血,血去必已,先视身之赤如小豆者,尽取之。
肝疟刺足厥阴见血。
心疟刺手少阴。
脾疟刺足太阴。
肺疟刺手太阴阳明。
肾疟刺足少阴太阳。
胃疟刺足太阴阳明横脉出血。
尺泽二穴,主五脏疟,穴在肘中约上动脉中,甲乙经云∶手太阴之所入也,各灸三壮,
炷如半枣核大,发时灸。
凡灸疟者,必先问其病之所先发者,先灸之。
从头项发者,于未发前,预灸大椎尖头,渐灸,过时止,从腰脊发者,灸肾俞百壮,从
手臂发者,灸三间。
又灸上星,及大椎,至发时令满百壮,灸艾炷如黍米粒,若觉小异,即灸百会七壮,若
后更发,又七壮,极难愈者,不过三灸,以足踏地,以线围足一匝中折,从大椎向百会,灸
线头三七壮,炷如小豆。
又灸风池二穴三壮。
又正仰卧,以线量两乳间中屈,从乳向下灸度头,随年壮,男左女右。
疟上星主之,穴在鼻中央直发际一寸陷容豆是也,灸七壮,先取 ,后取天牖风池
,疟日西而发者。临泣主之,穴在目 上入发际五分陷者,灸七壮。
疟实则腰背痛,虚则鼽衄,飞阳主之,穴在外踝上七寸,灸七壮。
疟多汗,腰痛不能俯仰,目如脱,项如拔,昆仑主之,穴在另外踝后跟骨上陷中,灸三
壮。
又大开口,度上下唇,以绳度心头,灸此度下头百壮,又灸脊中央五十壮,过发时,灸
二十壮。
首先灸项部的大椎穴,施灸的壮数根据患者的年龄而定(即几岁灸几壮)。
其次灸尾骨端的撅骨穴(即尾穷骨),施灸的壮数根据患者的年龄而定。
观察背部有凹陷的地方,进行施灸。
举起手臂时肩部出现的凹陷处,进行施灸(这是肩髃穴)。
两侧季胁之间,进行施灸(这是章门穴)。
外踝上方绝骨穴的末端,进行施灸(这是阳辅穴)。
足小趾与次趾(第二趾)之间,进行施灸(这是侠溪穴)。
足后跟下方肌肉凹陷处的经脉,进行施灸(这是承筋穴)。
外踝后方,进行施灸(这是昆仑穴)。
锁骨上窝(缺盆)骨上方,触摸感觉坚硬且疼痛如筋结样的部位,进行施灸(原文缺失穴位名称)。
胸骨正中凹陷的骨缝间,进行施灸(这是天突穴)。
手掌横纹中央,掌骨下方的凹陷处,进行施灸(这是阳池穴)。
脐下三寸处,进行施灸(这是关元穴)。
阴毛边缘处的动脉搏动点,进行施灸(这是气街穴,即气冲穴)。
膝下三寸的分肉间隙中,进行施灸(这是足三里穴)。
足阳明胃经在足背上的动脉搏动处,进行施灸(这是冲阳穴)。
头顶正中央,进行施灸(这是百会穴)。
患足太阳经疟疾的人,会出现腰痛、头重,寒气从背部升起,先恶寒后发热,热退后出汗,病情难以痊愈,应刺委中穴出血。患足少阳经疟疾的人,身体懈怠无力,恶寒和发热都不严重,厌恶见人,见到人内心就感到惊恐不安,发热多而汗出,应刺足少阳经。患足阳明经疟疾的人,先感到寒冷,战栗甚为严重,很久之后才发热,热退后出汗,喜欢见到阳光和火气,感到舒适畅快,应刺足阳明经足背上的穴位。患足太阴经疟疾的人,情绪不乐,喜欢长叹息,食欲不振,寒热往来,出汗,病发时会呕吐,呕吐后病情减轻,应立即取穴治疗。患足少阴经疟疾的人,呕吐剧烈,又伴有寒热,热多寒少,想要关闭门窗独处,这种病难以痊愈。患足厥阴经疟疾的人,腰痛,小腹满胀,小便不利,像癃闭的症状但不是癃闭,频繁想小便,心中恐惧,气虚不足,腹部郁闷不舒,应刺足厥阴经。各种疟疾病人如果脉搏看不见(伏脉),应刺十指间出血,血流出后病必愈。先观察身上是否有像小豆一样红色的斑点,全部刺破取之。
肝疟,刺足厥阴经见血。
心疟,刺手少阴经。
脾疟,刺足太阴经。
肺疟,刺手太阴经和手阳明经。
肾疟,刺足少阴经和足太阳经。
胃疟,刺足太阴经和手阳明经,并在横脉处放血。
尺泽穴有两个,主治五脏疟疾。该穴位于肘中约上动脉处,《甲乙经》记载:“这是手太阴肺经所入的合穴。”各灸三壮,艾炷大小如半颗枣核大,在疟疾发作时施灸。
凡是灸治疟疾的人,必须先询问病症最先发作的部位,先灸那个部位。
从头项开始发作的,在未发作前,预先灸大椎穴的尖端,逐渐增加灸量,过了发作时间停止。从腰脊开始发作的,灸肾俞穴一百壮。从手臂开始发作的,灸三间穴。
又灸上星穴和大椎穴,到发作时令灸量达到一百壮,艾炷如黍米粒大小。如果觉得症状稍有不同,就灸百会穴七壮。如果后来再次发作,再灸七壮。极难治愈的,不超过三次施灸。让患者足踏地面,用线围脚一圈,从中折断,从大椎穴向百会穴方向,灸折线头端三七二十一壮,艾炷如小豆大小。
又灸风池穴两穴,每穴三壮。
又正仰卧,用线量两乳之间的中点并弯曲,从乳头向下测量线的长度,以此为度施灸,壮数随年龄而定,男性灸左侧,女性灸右侧。
疟疾,上星穴主治。该穴在鼻中央直对发际一寸处,凹陷能容纳一颗豆子,灸七壮。先取[原文此处似有脱漏或指代不明,结合下文推测可能指特定穴位或泛指],后取天牖穴和风池穴,适用于傍晚发作的疟疾。
临泣穴主治。该穴在目外眦上方入发际五分处的凹陷中,灸七壮。
疟疾实证表现为腰背痛,虚证表现为鼻塞流涕或鼻出血,飞阳穴主治。该穴在外踝上七寸处,灸七壮。
疟疾多汗,腰痛不能俯仰,眼睛像要脱出,脖子像被拔起,昆仑穴主治。该穴在外踝后方跟骨上方的凹陷中,灸三壮。
又张大嘴巴,测量上下唇之间的距离,用绳子度量心头(心口窝)到下巴的距离,灸这个距离下的头部穴位一百壮,又灸脊柱中央五十壮,过了发作时间,灸二十壮。
First, moxa is applied to the Dazhui (Great Vertebra) acupoint on the neck. The number of moxa cones (Zhuang) corresponds to the patient's age in years.
Next, moxa is applied to the Juegu (Tailbone) acupoint at the end of the coccyx. The number of moxa cones corresponds to the patient's age in years.
Observe any depressions in the back and apply moxa there.
Apply moxa to the depression appearing on the shoulder when the arm is raised (this is the Jianyu acupoint).
Apply moxa between the two hypochondriac regions (this is the Zhangmen acupoint).
Apply moxa at the end of the Jiegu bone above the lateral malleolus (this is the Yangfu acupoint).
Apply moxa between the little toe and the second toe (this is the Xiaxi acupoint).
Apply moxa to the pulse in the depression below the foot heel (this is the Chengjin acupoint).
Apply moxa behind the lateral malleolus (this is the Kunlun acupoint).
On the bone above the Keyuan (Clavicular Fossa), if palpation reveals hardness and pain resembling a tendon knot, apply moxa there (the acupoint name is missing in the original text).
Apply moxa in the depression between the bones in the center of the chest (this is the Tiantu acupoint).
Apply moxa below the metacarpal bones where the palm binds (this is the Yangchi acupoint).
Apply moxa three cun below the umbilicus (this is the Guanyuan acupoint).
Apply moxa to the arterial pulse at the pubic hairline (this is the Qijie acupoint, also known as Qichong).
Apply moxa in the space three cun below the knee (this is the Zusanli acupoint).
Apply moxa to the arterial pulse on the dorsum of the foot belonging to the Foot-Yangming meridian (this is the Chongyang acupoint).
Apply moxa to the apex of the head (this is the Baihui acupoint).
Patients with Taiyang malaria experience lower back pain and heaviness of the head, coldness rising from the back, initial chills followed by fever, sweating upon cessation of fever, and the condition is difficult to cure; bleed the Xizhong (Weizhong) acupoint. Patients with Shaoyang malaria experience bodily laxity, mild chills and fever, aversion to seeing people, and inner apprehension upon seeing others, with profuse heat and sweating; puncture the Foot-Shaoyang meridian. Patients with Yangming malaria experience initial severe chills and shivering, followed by fever after a long time, and sweating upon resolution of fever; they feel comforted by sunlight and fire; puncture the acupoints on the dorsum of the foot of the Foot-Yangming meridian. Patients with Taiyin malaria experience unhappiness, frequent sighing, loss of appetite, alternating chills and fever, sweating, vomiting upon onset of illness, and improvement after vomiting; treat immediately. Patients with Shaoyin malaria experience severe vomiting, alternating chills and fever with more heat than cold, desire to stay indoors with doors closed, and the condition is difficult to cure. Patients with Jueyin malaria experience lower back pain, fullness in the lower abdomen, difficulty urinating resembling strangury but not strangury, frequent urination, fear, Qi deficiency, and abdominal oppression; puncture the Foot-Jueyin meridian. For various types of malaria where the pulse is imperceptible, prick the spaces between the ten fingers to bleed; once blood flows, the disease will surely resolve. First observe the body for red spots like small beans and treat all of them.
For Liver Malaria, puncture the Foot-Jueyin meridian until blood appears.
For Heart Malaria, puncture the Hand-Shaoyin meridian.
For Spleen Malaria, puncture the Foot-Taiyin meridian.
For Lung Malaria, puncture the Hand-Taiyin and Hand-Yangming meridians.
For Kidney Malaria, puncture the Foot-Shaoyin and Foot-Taiyang meridians.
For Stomach Malaria, puncture the Foot-Taiyin and Hand-Yangming meridians and bleed the transverse vessels.
The Shize acupoints (two points) govern five-organ malaria. Located in the elbow crease at the arterial pulse, the *Jia Yi Jing* states: "This is the He-Sea point where the Hand-Taiyin enters." Apply three moxa cones per side, with cones the size of half a jujube pit, during the malaria attack.
When treating malaria with moxibustion, one must first ask where the symptoms began initially and moxa that site first.
If symptoms start from the head and neck, pre-moxa the tip of the Dazhui acupoint before the attack, gradually increasing dosage, stopping after the attack time passes. If symptoms start from the waist and spine, moxa the Shenshu acupoint for one hundred Zhuang. If symptoms start from the arms, moxa the Sanjian acupoint.
Also moxa the Shangxing and Dazhui acupoints; by the time of the attack, accumulate one hundred Zhuang, using cones the size of millet grains. If symptoms feel slightly different, moxa the Baihui acupoint for seven Zhuang. If it recurs, add another seven Zhuang. For extremely difficult cases, do not exceed three treatments. Have the patient stand with feet flat, wrap a thread around the foot once, break it in the middle, and from Dazhui towards Baihui, moxa the end of the thread segment for twenty-one (3x7) Zhuang, using cones the size of a small bean.
Also moxa the Fengchi acupoints (two points), three Zhuang each.
Lie supine, measure the distance between the nipples, bend the thread, and from the nipple downwards, use this length as the guide for moxa application, with Zhuang count according to age; males on the left, females on the right.
Malaria is primarily treated by Shangxing. This acupoint is located one cun directly above the anterior hairline in the center of the nose, in a depression capable of holding a bean; moxa seven Zhuang. First select [text unclear/missing], then select Tianyou and Fengchi; this applies to malaria occurring in the late afternoon.
Linqi treats malaria. This acupoint is located five fen above the outer canthus into the hairline, in a depression; moxa seven Zhuang.
Excess malaria presents with lower back and limb pain; deficiency malaria presents with nasal congestion or epistaxis; Feiyang treats these. This acupoint is seven cun above the lateral malleolus; moxa seven Zhuang.
Malaria with excessive sweating, lower back pain preventing bending or stretching, eyes feeling like they are protruding, and neck feeling like being pulled, is treated by Kunlun. This acupoint is in the depression behind the lateral malleolus above the calcaneus; moxa three Zhuang.
Open the mouth wide, measure the distance between the upper and lower lips, use a string to measure from the heart center to the chin, and moxa the head area corresponding to this measurement for one hundred Zhuang. Also moxa fifty Zhuang to the center of the spine. After the attack time has passed, moxa twenty Zhuang.