治诸虚不足,及新病暴虚,津液不固,体常自汗,夜卧即甚,久而不止,羸瘠
枯瘦,心忪惊惕,短气烦倦。
黄 (去苗、土) 麻黄根(洗) 牡蛎(米泔浸,刷去土,火烧通赤,各一两)
上三味为粗散。每服三钱,水一盏半,小麦百余粒,同煎至八分,去渣,热服,日二服
不拘时候。
主灸百病。
陈久黄艾(不以多少,择取叶入臼内,用木杵轻捣令熟,以细筛隔去青渣,再捣再筛,
如此三次,别以马尾罗子隔之,更再捣,罗,候柔细黄熟为度)
上主灸百病。世人着灸,多无法度,徒忍痛楚,罕能愈疾,今于《圣惠》、《千金》、
《外台》等方内,摭取点穴分寸、作炷大小、壮数多少等法于后。
定分寸法∶取病患男左、女右中指第二节内,度两横纹相去为一寸,应取穴及作炷分寸,
并依此法。
点灸穴法∶凡点穴时,须得身体平直,四肢毋令拳缩,坐点毋令俯仰,立点毋令倾侧,
灸时孔穴不正,无益于事,徒烧肌肉,虚忍痛楚。若坐点,则坐灸之;卧点,则卧灸之;立
点,则立灸之。反此亦不得其穴。
作艾炷法∶凡下火点灸,须令艾柱根下,广三分,长亦三分。若减此,不复孔穴,不中
经脉,火气不行,亦不能除病。强壮人亦可稍增令大。周岁以里小儿,可如小麦大。
点火法∶古来用火灸病,忌八般木火。今即不用木火灸人,不犯诸患,兼去久 。以清
油点灯,灯上烧艾茎点灸,兼滋润灸疮,至愈以来,且无疼痛,用蜡烛更佳。又火珠耀日,
以艾承之,遂得火出,此火灸病为良。次有火照耀日,以艾引之,便得火出,此火亦佳。
下火灸时法∶皆以日正午以后,乃可下火灸之,时谓阴气未至,灸无不着。午前平旦,
谷气虚,令人颠眩,不可卧灸,慎之,慎之。其大法如此,卒急者不可用此例。若遇阴雾,
天起风雪,忽降猛雨,炎暑、雷电、虹霓暂时且停。候待清明,即再下火灸。灸时不得伤饱
、太饥、饮酒、食生硬物,兼忌思虑愁忧,怒呼骂叫,吁嗟叹息,一切不祥,忌之大吉。
治灸疮不发法∶凡着灸疗病,历春、夏、秋、冬不较者,灸炷虽然数足,得疮发脓出,
所患即瘥。如不得疮发脓出,其疾不愈。《甲乙经》云∶灸疮不发者,用故履底灸令热熨之
,三日即发,脓出自然愈疾。今用赤皮葱三、五茎,去其葱青,于 灰火中煨熟拍破,热熨
灸疮十余遍,其疮三日自发,立坏,脓出疾愈。
淋洗灸疮法∶凡着灸治病,才住火,便用赤皮葱、薄荷二味煎汤,温温淋洗灸疮周回约
一、二寸已来,令驱逐风气于疮口内出。兼令经脉往来,不滞于疮下,自然疮坏疾愈。若灸
疮退火痂后,用桃树东南枝、稍青嫩桃皮二味等分煎汤,温温淋洗灸疮,此二味偏能护灸疮
中诸风。若疮内黑烂溃者,加胡荽,三味等分煎汤,温温淋洗,灸疮自然生好肉也。若灸疮
疼痛不可忍,多时不较者,加黄连,四味等分煎汤淋洗,立有神效。
壮数多少法∶《千金方》云∶“凡言壮数者,若丁壮遇疾,病根深笃者,可倍多于方数
其人老小羸瘦者,可复减半。依扁鹊灸法,有至五百壮、千壮者,皆临时消息之。”
推人神所在法∶一日足大指,二日外踝,三日股内,四日腰,五日口、舌、咽、悬雍,
六日足小指,七日内踝,八日足腕,九日尻,十日背、腰,十一日鼻柱,十二日发际,十三
日牙齿,十四日胃脘,十五日遍身,十六日胸、乳,十七日气冲,十八日腹内,十九日足趺
,二十日膝下,二十一日手小指,二十二日伏兔,二十三日肝俞,二十四日手阳明、两胁,
二十五日足阳明,二十六日手、足,二十七日膝,二十八日阴,二十九日膝、胫、颞、 ,
三十日关元下至足心。以上上神所在之日,禁忌着灸。若遇病急切,不拘此例。
【牡蛎散】
治疗各种虚损不足,以及新近患病导致的突然虚弱,津液固摄无力,身体经常自汗,夜间睡眠时出汗更严重,若长期不止,会导致身体消瘦枯槁,心悸惊惕,气短烦倦。
黄芪(去苗、土) 麻黄根(洗净) 牡蛎(用米泔水浸泡,刷去泥土,火烧至通红,各一两)
以上三味药捣成粗散剂。每次服用三钱,加水一盏半,小麦百余粒,共同煎煮至八分满,滤去药渣,趁热服用,每日两次,不限具体时间。
【法制熟艾】
主治灸疗百病。
陈年黄艾(用量不限,选取叶片放入臼中,用木杵轻轻捣烂,用细筛过滤去除青色残渣,再次捣碎并再次筛选,如此重复三次,另外再用马尾罗过滤,再捣碎、过筛,直到质地柔细、颜色黄熟为止)
以上处理好的艾绒主要用于灸疗百病。世人进行灸疗,大多没有规范法度,只是徒然忍受痛苦,很少能治愈疾病。现在从《圣惠方》、《千金方》、《外台秘要》等医方中,摘录选取穴位分寸、制作艾炷大小、壮数多少等方法如下:
确定分寸的方法:取患者男性左手或女性右手中指第二节内侧,度量两横纹之间的距离为一寸,所有选取穴位及制作艾炷的分寸,都依据此法。
点穴的方法:凡是点穴时,必须使身体保持平直,四肢不要蜷缩,坐着点穴时不要前俯后仰,站着点穴时不要倾斜偏侧。如果灸时的孔穴位置不正,对治病无益,只会烧灼肌肉,白白忍受痛苦。如果是坐着点的穴,就坐着灸;躺着点的穴,就躺着灸;站着点的穴,就站着灸。与此相反则找不到正确的穴位。
制作艾炷的方法:凡是下火施灸,必须使艾炷根部宽度为三分,长度也为三分。如果小于这个尺寸,就不能通达孔穴,不中经脉,火气不能运行,也不能除去疾病。体质强壮的人也可以稍微增大一些。周岁以内的小儿,可以做成如小麦大小的艾炷。
点火的方法:自古以来用火灸病,忌讳八种木材的火。现在不使用木火灸人,就不会犯诸般祸患,并且能去除久年的病痛。用清油点灯,在灯上烧艾茎来点灸,兼有滋润灸疮的作用,直到痊愈之前,都没有疼痛感,使用蜡烛更好。还有用火珠对着太阳,将艾草承接在上面,就能引出火来,这种火灸病效果良好。其次是用火照耀太阳,引导艾草引火,也能得到火,这种火也不错。
下火灸的时间方法:都在日正午以后,才可以下火施灸,此时称为阴气未至,灸疗没有不成功的。午前清晨,谷气虚弱,令人头晕目眩,不可卧位施灸,务必谨慎,务必谨慎。大体原则如此,紧急情况下不可拘泥于此例。如果遇到阴雨雾气,天起风雪,忽然降下猛雨,炎热酷暑、雷电、虹霓等暂时情况,且暂停施灸。等待天气清明,再重新下火施灸。施灸时不得在过饱、太饥、饮酒、吃生冷坚硬食物后进行,同时忌讳思虑愁忧、怒骂呼叫、叹息等一切不祥之事,禁忌这些是大吉大利的。
治疗灸疮不发脓的方法:凡是施灸治疗疾病,经历春夏秋冬季节都不计较(指不急于求成或不立即见效)的,虽然艾炷数量足,但得疮发脓出,所患疾病就会痊愈。如果不能得疮发脓出,疾病就不会痊愈。《甲乙经》说:灸疮不发脓的,用旧的鞋底加热熨烫它,三天就会发脓,脓出自然疾病痊愈。现在用赤皮葱三、五根,去掉葱青部分,在灰火中煨熟拍破,趁热熨烫灸疮十余遍,其疮三天自发,立刻溃破,脓出疾病迅速痊愈。
淋洗灸疮的方法:凡是施灸治病,刚停火,就用赤皮葱、薄荷两味药煎汤,温温地淋洗灸疮周围约一、二寸左右,令风气从疮口内排出。兼令经脉往来通畅,不滞留在疮下,自然疮坏疾病痊愈。如果灸疮退去火痂后,用桃树东南枝、稍青嫩的桃皮两味药等分煎汤,温温地淋洗灸疮,这两味药特别能保护灸疮中的风邪。如果疮内黑烂溃破的,加胡荽,三味药等分煎汤,温温地淋洗,灸疮自然生长好肉。如果灸疮疼痛难忍,长时间不愈的,加黄连,四味药等分煎汤淋洗,立刻有神效。
壮数多少的方法:《千金方》说:“凡是说壮数的,如果身体强壮的人遇到疾病,病根深重的,可以加倍多于方书规定的数量;其人年老幼小瘦弱的,可以再减半。依照扁鹊灸法,有的达到五百壮、一千壮的,都是根据临时情况斟酌决定的。”
推求人神所在的方法:一日在大脚趾,二日在外踝,三日在股内,四日在腰,五日在口、舌、咽、悬雍,六日在小脚趾,七日内踝,八日在足腕,九日在尻,十日在背、腰,十一日在鼻柱,十二日在发际,十三日在牙齿,十四日在胃脘,十五日在遍身,十六日在胸、乳,十七日在气冲,十八日在腹内,十九日在足背,二十日在膝下,二十一日在手小指,二十二日在伏兔,二十三日在肝俞,二十四日在手阳明经、两胁,二十五日在足阳明经,二十六日在手、足,二十七日在膝,二十八日在阴部,二十九日在膝、胫、颞、鬓,三十日在关元下至足心。以上是上神所在的日子,禁忌施灸。如果遇到病情急切,不拘泥于此例。
[Muli San (Oyster Shell Powder)]
Treats various deficiencies and insufficiencies, as well as sudden debility resulting from recent illness. It addresses the failure of Jin Ye (Body Fluids) to be secured, frequent spontaneous sweating during daily activities, which worsens at night during sleep. If prolonged without cessation, it leads to emaciation and wasting, palpitations with fright and timidity, shortness of breath, and irritability with fatigue.
Huangqi (Astragali Radix, remove sprouts and soil) Mahuanggen (Ephedrae Radicis Caulis, wash) Muli (Ostreae Concha, soak in rice-washing water, brush off soil, burn with fire until thoroughly red, each one tael).
The above three ingredients are processed into a coarse powder. For each dose, take three qian, add one dan and a half of water, and over one hundred grains of Xiaomai (Tritici Fructus), decoct together until reduced to eight fen. Strain the dregs, and take hot. Take twice daily, at any time.
[Fazhi Shuai Ai (Processed Matured Mugwort)]
Mainly used for moxibustion to treat all diseases.
Chenjiu Huang Ai (Old yellow mugwort, quantity not limited): Select leaves, place in a mortar, and gently pound with a wooden pestle until soft. Pass through a fine sieve to remove green residues. Pound again and sieve again. Repeat this process three times. Then pass through a horsehair sieve, pound again, and sieve again, until the texture is soft, fine, and the color is yellow and mature.
The above processed mugwort is mainly used for moxibustion to treat all diseases. People performing moxibustion often lack standard procedures, merely enduring pain, rarely curing diseases. Now, extracting methods for selecting acupoint measurements, making moxa cone sizes, and the number of moxibustion units (Zhuang) from medical texts such as *Shenghui Fang*, *Qianjin Fang*, and *Waitai Mi Yao*, as follows:
Method for determining measurements: Take the inner side of the second joint of the middle finger of male patients' left hand or female patients' right hand. Measure the distance between the two transverse creases as one cun. All selected acupoints and moxa cone measurements should follow this method.
Method for marking acupoints: When marking acupoints, the body must be kept straight. The four limbs should not be curled up. When marking while sitting, do not lean forward or backward; when marking while standing, do not tilt. If the acupoint position during moxibustion is incorrect, it will be of no benefit to treating the disease, only burning muscle tissue and causing unnecessary pain. If marked while sitting, perform moxibustion while sitting; if marked while lying down, perform moxibustion while lying down; if marked while standing, perform moxibustion while standing. Doing otherwise will result in missing the correct acupoint.
Method for making moxa cones: When applying fire for moxibustion, the base of the moxa cone must have a width of three fen and a length of three fen. If smaller than this, it will not reach the acupoint, fail to penetrate the meridians, prevent the movement of fire qi, and thus cannot eliminate the disease. For robust individuals, the size can be slightly increased. For infants under one year old, make them the size of wheat grains.
Method for igniting: Historically, using wood fire for moxibustion was taboo due to eight types of wood. Currently, do not use wood fire on humans to avoid various afflictions and to treat chronic ailments. Use pure oil to light a lamp, burn the stem of mugwort on the lamp flame to ignite it for moxibustion. This also moistens the moxibustion sore, ensuring no pain until healing. Using candles is even better. Another method is using a crystal lens to focus sunlight onto mugwort to generate fire; this type of fire is excellent for moxibustion. Alternatively, reflecting sunlight with a mirror to ignite mugwort is also good.
Timing for applying moxibustion fire: Perform moxibustion after solar noon. This time is referred to as "Yin Qi has not yet arrived," and moxibustion performed then is invariably effective. In the morning before noon, Gu Qi (Grain Qi) is weak, which can cause dizziness and vertigo. Do not perform moxibustion while lying down at this time; be extremely cautious. These are the general principles, but urgent cases should not be bound by these rules. If encountering foggy rain, snow, wind, sudden heavy rain, extreme heat, thunderstorms, or rainbows, pause temporarily. Wait for clear weather to resume moxibustion. During moxibustion, do not perform it when overly full, excessively hungry, intoxicated, or after eating raw/hard foods. Also, avoid mental states such as excessive thinking, sorrow, anger, shouting, cursing, sighing, and other inauspicious behaviors. Observing these taboos brings great auspiciousness.
Method for treating moxibustion sores that do not suppurate: When treating diseases with moxibustion, regardless of the season, although the number of moxa cones may be sufficient, if the sore does not develop pus, the disease will not heal. *Jia Yi Jing* states: For moxibustion sores that do not suppurate, heat an old shoe sole and apply it as a warm compress. After three days, suppuration will occur, and the disease will naturally heal. Currently, use three to five stalks of red-skin scallions, remove the green tops, roast them in ash fire until cooked, crush them, and apply as a hot compress to the moxibustion sore for about ten repetitions. The sore will spontaneously open within three days, burst, release pus, and the disease will quickly heal.
Method for washing moxibustion sores: Immediately after stopping moxibustion, decoct red-skin scallions and Bohe (Menthae Haplocalycis Herba) in water. Warmly wash the area around the moxibustion sore (approximately one to two cun) to expel wind pathogens from the sore opening. This also promotes the flow of meridians, preventing stagnation below the sore, allowing the sore to heal naturally. After the moxibustion sore sheds its scab, decoct branches from the southeast side of a peach tree and tender green peach bark in equal parts. Warmly wash the sore with this decoction. These two ingredients specifically protect against wind pathogens in the moxibustion sore. If the sore inside is black, rotten, and ulcerated, add Xusu (Coriandri Fructus) and decoct the three ingredients in equal parts. Warmly wash the sore, and healthy flesh will naturally grow. If the moxibustion sore causes unbearable pain and persists for a long time, add Huanglian (Coptidis Rhizoma) and decoct the four ingredients in equal parts. Wash with this decoction for immediate miraculous effect.
Method for determining the number of moxibustion units (Zhuang): *Qianjin Fang* states: "Regarding the number of Zhuang: for robust individuals with deep-rooted diseases, the number can be doubled compared to standard prescriptions; for elderly, young, or emaciated individuals, the number can be halved. According to Bian Que's moxibustion method, some cases involve up to five hundred or one thousand Zhuang, all determined based on temporary conditions."
Method for deducing the location of Ren Shen (Human Spirit): Day 1: Big toe; Day 2: Lateral malleolus; Day 3: Inner thigh; Day 4: Waist; Day 5: Mouth, tongue, pharynx, uvula; Day 6: Little toe; Day 7: Medial malleolus; Day 8: Ankle; Day 9: Sacrum; Day 10: Back, waist; Day 11: Nasal bridge; Day 12: Hairline; Day 13: Teeth; Day 14: Epigastrium; Day 15: Whole body; Day 16: Chest, breasts; Day 17: Qichong (ST30); Day 18: Abdomen interior; Day 19: Dorsum of foot; Day 20: Below knee; Day 21: Little finger of hand; Day 22: Futu (ST32); Day 23: Ganshu (BL18); Day 24: Hand Yangming Meridian, lateral hypochondrium; Day 25: Foot Yangming Meridian; Day 26: Hands, feet; Day 27: Knee; Day 28: Genitals; Day 29: Knee, calf, temple, hairline; Day 30: From Guanyuan (CV4) down to the sole of the foot. On these days when Ren Shen is located, moxibustion is contraindicated. However, in urgent pathological conditions, these rules do not apply.