凡香港脚初得脚弱,宜速灸之。并服竹沥汤,灸讫,可服八风散,无不瘥者,惟速治之,
若人但灸而不能服散,服散而不灸,如此者半瘥半死,虽得瘥者,或至一二年,复更发动,
觉得便根据此法,速灸之及服散者,治十十俞。
初灸风市 次灸伏兔 次灸犊鼻 次灸膝两眼 次灸三里 次灸上廉 次灸下廉 次灸
绝骨
凡灸八处,第一风市穴,可令病患起,正身平立,垂两臂直下,舒十指,掩着两髀,便
点当手中央指头,髀大箸上是,灸之百壮,多亦佳,轻者不可减百壮,重者乃至一处五六百
壮,勿令顿灸,三报之,佳,第二伏兔穴,令病患累夫端坐,以病患手夫,掩横膝上,夫下
傍与曲膝头齐,上傍侧夫际,当中央是,灸百壮,亦可五十壮,第三犊鼻穴,在膝头盖头上
际外骨边平处,以手按之,得节解则是,一云∶在膝头下近外三骨箕踵中,动脚以手按之,
得窟解是,灸之五十壮,可至百壮,第四膝眼穴,在膝头骨下两旁陷者宛宛中是,第五三里
穴,在膝头骨节下一夫,附胫骨外是,一云∶在膝头骨节下三寸,人长短大小,当以病患手
夫度取,灸之百壮,第六上廉穴,在三里下一夫,亦附胫骨外是,灸之百壮,第七下廉穴,
在上廉下一夫,一云∶附胫骨外是,灸之百壮,第八绝骨穴,在脚外踝上一夫,亦云四寸是,
凡此诸穴,灸不必一顿灸尽壮数,可日日报灸之,三日之中,灸令尽壮数为佳,凡病一脚,
则灸一脚,病两脚,则灸两脚,凡脚弱病皆多两脚,又一方云∶如觉脚恶,便灸三里及绝骨
各一处,两脚恶者,合四处灸之,多少随病轻重,大要虽轻不可减百壮,不瘥速以次灸之,
多多益佳,一说灸绝骨最要,人有患此脚弱,不即治,及入腹,腹大上气,于是乃须大法灸,
随诸 及诸脘关节腹背,尽灸之,并服八风散,往往得瘥,觉病入腹,若病患不堪痛,不能
尽作大灸,但灸胸心腹诸穴,及两脚诸穴,亦有得好瘥者,凡量一夫之法,复手并舒四指,
对度四指上中节上,横过为一夫,夫有两种,有三指为一夫者,此脚弱灸以四指为一夫也,
亦根据支法存旧法,梁丘犊鼻三里上廉下廉解溪太冲阳陵泉绝骨昆仑阴陵泉三阴交足太阴复溜
然谷涌泉承山束骨等,凡一十八穴,旧法多灸百会风府,五脏六腑俞募,顷来灸者,悉觉引
气向上,所以不取其法,气不上者可用之,其要病已成恐不救者,悉须灸之,其足十指去指
奇一分,两足凡八穴,曹氏名曰八冲,极下气有效,其足十趾端,名曰气端,日灸三壮,并
大神耍,其八冲可日灸七壮,气下即止,凡灸八冲,艾炷须小作之。
凡是香港脚(足部肿痛、软弱无力之病)初起出现脚弱症状时,应当迅速进行艾灸治疗。同时服用竹沥汤,灸治结束后,可以服用八风散,没有不痊愈的,关键在于迅速治疗。如果病人只接受艾灸而不能服用药散,或者只服用药散而不进行艾灸,像这样的情况,病情会半愈半危;即使暂时痊愈,也可能在一两年后再次发作。如果感觉不适便依据此法,迅速艾灸并服用药散的人,治疗十个能治好十个。
初次艾灸的顺序是:先灸风市穴,其次灸伏兔穴,其次灸犊鼻穴,其次灸膝眼穴,其次灸足三里穴,其次灸上廉穴,其次灸下廉穴,最后灸绝骨穴。
凡是艾灸这八个穴位:第一是风市穴,可以让病人起身,端正身体平立,双臂自然下垂,舒展十指,覆盖在大腿上,此时手的中指尖所指之处,即大腿粗大处(髀)上的位置,就是该穴,在此处艾灸一百壮,多灸一些也很好,轻症不可少于百壮,重症甚至在一个穴位上灸五六百壮,不要一次性灸完,分三次完成较好。第二是伏兔穴,让病人端坐,用病人的手覆盖在横置的膝盖上,手下边缘与屈膝时的膝头齐平,手的上边缘侧向手指际处,正中间即是该穴,艾灸一百壮,也可以灸五十壮。第三是犊鼻穴,在膝盖骨盖头上缘外侧骨头边的平坦处,用手按压,感到有缝隙关节即是;另一种说法是:在膝盖下方靠近外侧三根骨头之间,活动脚踝时用手按压,感到有空洞感即是,艾灸五十壮,可增至百壮。第四是膝眼穴,在膝盖骨下方两旁凹陷宛曲之中。第五是足三里穴,在膝盖骨节下一夫(中医量取穴位的单位,通常以患者中指中节四横指宽度为准),紧贴胫骨外侧;另一种说法是:在膝盖骨节下三寸,人的长短大小不同,应当以病人的手来度量取穴,艾灸一百壮。第六是上廉穴,在足三里穴下一夫,也紧贴胫骨外侧,艾灸一百壮。第七是下廉穴,在上廉穴下一夫,另一种说法是:紧贴胫骨外侧,艾灸一百壮。第八是绝骨穴,在外踝上一夫,也有说是四寸。
凡是这些穴位,艾灸不必一次性灸完规定的壮数,可以每天分次艾灸,三天之内灸完规定的壮数为佳。凡是病在一只脚,就灸一只脚;病在两脚,就灸两脚。凡是脚弱病大多涉及双脚。又一方说:如果觉得脚部不适,就灸足三里和绝骨各一处,双脚都不适的,合起来灸四处,多少根据病情轻重而定,大体上即使病情轻也不可不减百壮,若不痊愈则依次继续艾灸,灸得越多越好。另一种说法认为灸绝骨最重要,有人患这种脚弱病,不及时治疗,导致病邪入腹,腹部胀大且气逆上冲,这时才需要采用大法艾灸,随诸经及诸脘关节、腹背部位,全部艾灸,并服用八风散,往往能够痊愈。觉得病邪入腹,如果病人不能忍受疼痛,不能完成全身的大灸,只灸胸、心、腹部的穴位以及双脚的穴位,也有获得良好疗效的。
凡是度量一夫的方法,将手并拢舒展四指,对度四指上中节的上缘,横向跨越为一夫。夫有两种,有三指为一夫的,但此脚弱病艾灸以四指为一夫。也依据支法存旧法,包括梁丘、犊鼻、足三里、上廉、下廉、解溪、太冲、阳陵泉、绝骨、昆仑、阴陵泉、三阴交、足太阴复溜、然谷、涌泉、承山、束骨等,共十八个穴位。旧法多灸百会、风府穴,五脏六腑的俞穴和募穴,近来艾灸的人,都感觉引动气向上行,所以不采用这种方法,气不上逆者可以使用。其要害疾病已成恐难救治者,都必须艾灸。其足十趾距离趾尖奇一分处,两足共八个穴位,曹氏称为“八冲”,极具有降气功效。其足十趾尖端,名为“气端”,每日灸三壮,并用大神耍(注:此处原文可能有误或为特定手法/方名,依原文直译),其八冲穴可每日灸七壮,气下行后即停止。凡是灸八冲穴,艾炷必须做得小一些。
Whenever Hong Kong Foot (a disease characterized by swelling, pain, and weakness in the feet) initially presents with foot weakness, moxibustion should be performed promptly. Concurrently administer Zhuli Tang (Bamboo Juice Decoction). After moxibustion, Bafeng San (Eight Winds Powder) may be taken; there are no cases that do not recover, provided treatment is swift. If a patient undergoes only moxibustion without taking the powder, or takes the powder without moxibustion, the condition will be half-recovered and half-critical. Even if recovery occurs, it may relapse after one to two years. Those who feel discomfort and immediately follow this method—performing prompt moxibustion and taking the powder—will see ten out of ten cured.
The sequence for initial moxibustion is: first Fengshi (GB31), then Fubu (ST32), then Dubi (ST35), then Xiyan (EX-LE5), then Zusanli (ST36), then Shanglian (EX-LE9), then Xiaolian (EX-LE10), and finally Jieggu (GB39).
Regarding these eight acupoints:
First, Fengshi (GB31): Have the patient stand upright with arms hanging straight down, fingers spread, covering the thighs. The tip of the middle finger indicates the point on the large thigh muscle. Moxibustion of 100 moxa cones (Zhuang) is recommended; more is acceptable. For mild cases, do not reduce below 100 Zhuang; for severe cases, up to 500–600 Zhuang at one site. Do not apply all cones at once; divide into three sessions for better results.
Second, Fubu (ST32): Have the patient sit upright. Place the patient's hand across the bent knee. The lower edge of the hand aligns with the knee cap, and the upper edge side corresponds to the center. Moxibustion of 100 Zhuang, or alternatively 50 Zhuang.
Third, Dubi (ST35): Located at the lateral border of the patella, on the flat area outside the bone edge. Pressing with the hand reveals a joint gap. Alternatively, located below the knee, between the three lateral bones near the heel; pressing while moving the ankle reveals a hollow sensation. Moxibustion of 50 Zhuang, up to 100 Zhuang.
Fourth, Xiyan (EX-LE5): Located in the depressions on both sides below the knee cap.
Fifth, Zusanli (ST36): Located one Fu (a traditional measurement unit based on the patient's hand span) below the knee joint, adjacent to the outer tibia. Alternatively, three cun below the knee joint. Measurement should be based on the patient's hand size. Moxibustion of 100 Zhuang.
Sixth, Shanglian (EX-LE9): Located one Fu below Zusanli (ST36), also adjacent to the outer tibia. Moxibustion of 100 Zhuang.
Seventh, Xiaolian (EX-LE10): Located one Fu below Shanglian (EX-LE9), also adjacent to the outer tibia. Moxibustion of 100 Zhuang.
Eighth, Jieggu (GB39): Located one Fu above the lateral malleolus, or alternatively four cun.
For these points, moxibustion need not be completed in one session. It is advisable to perform daily sessions over three days to complete the prescribed number of Zhuang. Treat one foot if the disease is unilateral; treat both feet if bilateral. Foot weakness often affects both feet. Another prescription suggests: upon feeling foot discomfort, moxibustate Zusanli (ST36) and Jieggu (GB39) at one site each; if both feet are affected, treat four sites total. The quantity depends on severity, but generally, even mild cases require no less than 100 Zhuang. If ineffective, proceed sequentially; more is better. Another view holds that moxibustation of Jieggu (GB39) is most critical. If foot weakness is untreated and pathogens enter the abdomen causing abdominal distension and Qi rebellion, a major moxibustion protocol is required, treating various meridians, joints, and abdominal/back areas, combined with Bafeng San (Eight Winds Powder), often resulting in recovery. If the patient cannot tolerate full-body major moxibustation due to pain, moxibustating chest, heart, abdominal, and foot acupoints can still yield good results.
The measurement of "one Fu" is defined as the width of four extended fingers placed together, measured across the proximal interphalangeal joints. There are two types of Fu measurements; while some use three fingers, foot weakness moxibustation uses four fingers. This follows the old methods preserved by Zhi Facun. Other relevant acupoints include Liangqiu (ST34), Dubi (ST35), Zusanli (ST36), Shanglian (EX-LE9), Xiaolian (EX-LE10), Jiexi (ST41), Taichong (LR3), Yanglingquan (GB34), Jieggu (GB39), Kunlun (BL60), Yinlingquan (SP9), Sanyinjiao (SP6), Fuliu (KI7), Ran Gu (KI2), Yongquan (KI1), Chengshan (BL57), and Shugu (BL65), totaling eighteen acupoints. Old methods often included Baihui (GV20) and Fengfu (GV16), along with Back-Shu and Front-Mu points of the Zang-Fu organs. However, recent practitioners report that these induce upward Qi movement, so they are avoided unless Qi does not rise abnormally. In critical cases where the disease is established and difficult to save, all these points must be treated.
The eight points located one fen away from the tips of the ten toes on both feet (totaling sixteen points? Text says "two feet total eight points", likely referring to specific pairs or a typo in source, but text says "Ba Chong") are named "Ba Chong" (Eight Rushes) by Cao Shi, effective for descending Qi. The tips of the ten toes are named Qiduan (Qi Endings); moxibustate 3 Zhuang daily using Dashen Yao (Great Spirit Ritual/Method). Ba Chong can be moxibustated with 7 Zhuang daily until Qi descends, then stop. When moxibustating Ba Chong, the moxa cones must be made small.