久冷五痔便血,灸脊中百壮。
五痔通,攒竹主之。
五痔痛,不得大小便,会阴主之。
五痔便血失屎,灸回气百壮,穴在脊穷骨上。
五痔骨蚀,商丘主之。
痔 痛,飞阳承筋及委中承扶主之。
诸痔疽灸回气三七壮,黄帝针经云∶穴在尾脆骨上一寸半,又连岗穴主之,在回气穴两
边相去三寸是也,各灸三七壮。
凡发背多于背两胛间起,初如粟米,或痛或痒,仍作赤色,日渐长大,不过十日,遂至
于死,善养生者,小觉背上痒痛,急取净土,以水和作饼子,浓二分,阔一寸半,以粗艾作
炷,连饼子,贴着疮上灸之,一炷一易,若粟米大时,可灸七饼,如榆荚大,可灸七七饼,
如钱大,可日夜灸之,不限饼数,仍服五香连翘汤,及铁浆等攻之。
凡痈疽始发,或小或大,或如米粒,此皆微候,急须攻之,若无医药处,即灸当头百壮
,一方云∶七八百壮,其大重者,灸四面,及中央,二三百壮,亦宜当头,以火针针入四分。
凡疽猝着五指筋急,不得屈伸者,灸踝骨中央,数十壮,或至百壮,发背痈肿,已溃未
溃,用香豉三升,以水和捣作饼子,浓三分,有孔勿复之,布豉饼,以艾列其上灸之,取温
热,勿令破肉,如热痛,急易之,一日两度灸,如有疮,以疮孔中汁出为度,,腋痈大热,
刺足少阳五刺,热不止,刺手心主三刺,痈疽不得顷时回。痈不知所,按之不应手,乍来乍
已,刺手太阴旁三 。与缨脉各二。
治痈肿者,刺痈上,视痈小大深浅,刺大者多而深之,必端纳针。
项肿不可俯仰,颊肿引耳后,完骨主之。
咽肿难言,天柱主之。
肿唇痈,颧 主之。
颊肿痛,天窗主之。
颈项痈肿,不能言,天容主之。
胸下满痛,膺肿,乳根主之。
马刀肿 ,渊腋章门支沟主之。
面肿目痈肿,刺陷谷出血,立已。
痈疽,窍阴主之。
头大浸潭(一作浸淫),间使主之。
管疽,商丘主之。
肠痈,灸两手后肘尖上,各一七壮,左右同,又灸两足大趾岐间,各三壮,兼主诸痈肿
病。
肠痈,屈两肘正,灸肘头锐骨,各百壮,下脓血即瘥。
大人小儿痈肿,灸两足大KT 趾奇中,仍随病左右。
久患寒邪所致的五种痔疮伴有大便出血,灸脊中穴一百壮。
五种痔疮并发,取攒竹穴主治。
五种痔疮疼痛,导致大小便不通,取会阴穴主治。
五种痔疮大便出血且失禁,灸回气穴一百壮,该穴位在脊柱末端尾骨之上。
五种痔疮导致骨骼腐蚀(痔核深入侵蚀骨骼),取商丘穴主治。
痔疮疼痛,取飞阳、承筋及委中、承扶穴主治。
各种痔疮及痈疽,灸回气穴三七二十一壮,《黄帝针经》记载:该穴位在尾骨尖端上一寸半处;另外连岗穴也可主治,位于回气穴两侧各三寸处,每穴均灸三七二十一壮。
凡是发背疮多在背部两肩胛之间发生,初起时如粟米大小,或痛或痒,呈现赤红色,日渐长大,若不及时治疗不过十天即可致死。善于养生的人,只要感觉背部轻微瘙痒疼痛,立即取洁净的泥土,用水调和做成饼状,厚度二分,直径一寸半,用粗艾绒做成艾炷,连同泥饼一起贴在疮口上施灸,燃尽一炷更换一个泥饼。如果疮疡如粟米大小时,可灸七个泥饼;如榆荚大小时,可灸四十九个泥饼;如铜钱大小时,可日夜连续施灸,不限泥饼数量,同时服用五香连翘汤,以及铁浆等药物攻逐毒邪。
凡是痈疽刚开始发作,无论大小,或如米粒般微小,这都是疾病的初期征兆,必须紧急攻治。如果没有医药可用,就灸患处正中心一百壮,另一说法是七八百壮。病情严重且范围大的,灸四周及中央部位,二三百壮,也应当以火针刺入正中部位四分深。
凡是疽病突然侵袭五指,导致筋脉拘急,不能屈伸者,灸踝骨中央部位,数十壮,或者至一百壮。对于发背痈肿,无论已经溃破还是未溃破,用香豉三升,用水调和捣烂做成饼状,厚度三分,如果有疮孔则不要覆盖,将豆饼敷在患处,上面排列艾炷施灸,使局部感到温热,但不要烫伤皮肤。如果感到灼热疼痛,立即更换。每天灸两次,如果有脓疮,以疮孔中有汁液流出为度。腋窝痈肿伴有高热,刺足少阳胆经五次,如果热势不退,刺手厥阴心包经三次,痈疽之病不可片刻延误。痈肿位置不明,按压时无明显反应,疼痛忽来忽去,刺手太阴肺经旁侧三次,以及缨脉(颈侧动脉)各两次。
治疗痈肿的方法,直接刺痈肿部位,根据痈肿的大小和深浅决定针刺深度,痈肿大的多刺且深刺,进针时必须端正。
颈部肿胀导致不能低头仰头,面颊肿胀牵引耳后疼痛,取完骨穴主治。
咽喉肿胀导致言语困难,取天柱穴主治。
嘴唇肿胀生痈,取颧髎穴主治。
面颊肿痛,取天窗穴主治。
颈项部痈肿,导致不能说话,取天容穴主治。
胸下胀满疼痛,胸部肿胀,取乳根穴主治。
马刀疮(瘰疬的一种)肿胀,取渊腋、章门、支沟穴主治。
面部肿胀及眼部痈肿,刺陷谷穴放血,症状立即停止。
痈疽,取窍阴穴主治。
头部大面积浸淫疮(一作浸淫),取间使穴主治。
管疽(指生于颈项部的痈疽),取商丘穴主治。
肠痈,灸两手肘尖后方,各灸七壮,左右相同;又灸两足大趾趾缝间,各三壮,兼治各种痈肿病。
肠痈,弯曲两肘正对前方,灸肘头锐骨处,各灸一百壮,排出脓血后即可痊愈。
成人及小儿痈肿,灸两足大趾外侧奇中穴,并根据病变部位在左侧或右侧进行施灸。
Long-standing cold-induced five types of hemorrhoids with hematochezia, moxibustion at Jizhong (GV14) for 100 moxa cones.
For the concurrent occurrence of the five types of hemorrhoids, Zanzhu (BL2) is indicated.
For pain caused by the five types of hemorrhoids accompanied by obstruction of urination and defecation, Huiyin (CV1) is indicated.
For the five types of hemorrhoids with hematochezia and fecal incontinence, moxibustion at Huiqi (EX-B3) for 100 moxa cones; this acupoint is located above the coccyx.
For bone erosion caused by the five types of hemorrhoids, Shangqiu (SP5) is indicated.
For hemorrhoid pain, Feiyang (BL58), Chengjin (BL57), Weizhong (BL40), and Chengfu (BL36) are indicated.
For various hemorrhoids and carbuncles, moxibustion at Huiqi (EX-B3) for 21 (3x7) moxa cones. The *Huangdi Zhenjing* states: "The point is located 1.5 cun above the tip of the coccyx." Additionally, Lianggang (EX-B4) is indicated, located 3 cun lateral to Huiqi on both sides, each receiving 21 moxa cones.
Fa Bei (Back Carbuncle) typically arises between the two scapulae on the back. Initially, it resembles a millet grain, presenting with pain or itching and redness. If untreated, it enlarges daily and can be fatal within ten days. Those skilled in health preservation should, upon feeling slight itching or pain on the back, immediately take clean earth, mix it with water to form a cake, approximately 0.2 cun thick and 1.5 cun wide. Using coarse mugwort cones placed over the mud cake applied directly to the lesion, perform moxibustion, replacing one cake per cone. When the lesion is the size of a millet grain, seven cakes may be used; when the size of a elm seed, forty-nine cakes; when the size of a coin, continuous day-and-night moxibustion without limit on the number of cakes is permitted. Concurrently, administer Wuxiang Liaoqiao Tang (Five-Spice Forsythia Decoction) and Tiejiang (Iron Slag Water) to attack the pathogenic factors.
When any carbuncle or ulcer first appears, whether small or large, or as minute as a rice grain, these are subtle signs requiring urgent treatment. In the absence of medicinal resources, moxibustion should be performed at the center of the lesion for 100 cones (another source suggests 700-800 cones). For severe and extensive cases, moxibustion should be applied to the four quadrants and the center, totaling 200-300 cones. It is also appropriate to use fire needling to penetrate 0.4 cun into the center.
When Ju (deep-seated abscess) suddenly affects the tendons of the five fingers, causing stiffness and inability to flex or extend, moxibustion at the center of the ankle bone for dozens to 100 cones is indicated. For Fa Bei (Back Carbuncle), whether ulcerated or not, use 3 sheng of Fermented Soybean (Douchi), mix with water, pound into a paste, and form cakes 0.3 cun thick. Do not cover existing ulcers. Place the bean cake on the lesion, arrange mugwort cones on top, and moxibustate until warm but not burning the skin. If painful or too hot, replace immediately. Perform twice daily. For suppurating lesions, continue until exudate flows from the ulcer. For axillary abscess with high fever, apply five punctures to the Foot-Shaoyang Gallbladder Channel; if fever persists, apply three punctures to the Hand-Jueyin Pericardium Channel. Carbuncles and ulcers must not be delayed even for an instant. If the location of a carbuncle is unknown, unresponsive to palpation, and pain comes and goes intermittently, puncture three times on the lateral side of the Hand-Taiyin Lung Channel and twice on Yingmai (Jugular Vein).
To treat swelling and carbuncles, puncture the lesion directly. Assess the size and depth; for larger lesions, puncture deeply and frequently, ensuring the needle is inserted straight.
For neck swelling preventing flexion and extension, and cheek swelling radiating to behind the ear, Wanggu (GB12) is indicated.
For throat swelling causing difficulty in speech, Tianzhu (BL10) is indicated.
For lip swelling and carbuncle, Quanliao (SI18) is indicated.
For cheek swelling and pain, Tianchuang (SI16) is indicated.
For neck and nape swelling preventing speech, Tianrong (SI17) is indicated.
For fullness and pain below the chest, and anterior chest swelling, Rugen (ST18) is indicated.
For Madao swelling (scrofula/chain-like lumps), Yuanye (GB24), Zhangmen (LR13), and Zhigou (SJ6) are indicated.
For facial swelling and eye abscess, puncture Xian Gu (ST43) to bleed; symptoms will cease immediately.
For carbuncles and ulcers, Qiaoyin (GB11) is indicated.
For large-scale spreading sores on the head (Jin Yin), Jianshi (PC5) is indicated.
For Guan Ju (neck abscess), Shangqiu (SP5) is indicated.
For Chang Yong (Intestinal Abscess), moxibustion at the tips of both elbows posteriorly, 7 cones each side, same for left and right; additionally, moxibustion at the space between the big toes of both feet, 3 cones each, which also treats various swelling diseases.
For Intestinal Abscess, flex elbows forward, moxibustion at the sharp bone of the elbow heads, 100 cones each; discharge of pus and blood leads to recovery.
For adult and pediatric carbuncles and swellings, moxibustion at Qizhong (EX-LE5) on the lateral aspect of the big toe of both feet, treating according to the affected side.