味合则成毒,未必即杀人即病也,皆经久乃害耳。唯见朝食至暮无害,便谓书记非实,
甚可哀。
仓公述曰∶味合则成毒,毒合则成药,未必即杀人,及即病也,皆经久乃害耳。
堇汁,味甘寒无毒,主马毒疮,捣汁洗之并服之。堇,菜也。
仓公对黄帝曰∶大豆多食,令人身重。
丹砂,一名镇粉,烧朱砂作水银,上黑烟名也。
金牙,一名黄石牙。
薯蓣,一名土荼根,一名茅荼根。
牛膝,一名牛唇。
丹参,一名逐马,人病腰痛,服之则能起走逐马,故以名之。
天名精,一名天精,一名天无青。
酸浆,一名苦 子。
荠 ,一名鹿隐忍,根名也。
水 ,水中大马 ,一名马菜,一名马叶。
虾蟆,一名去甫,一名苦 ,一名仇道。
蓬 ,一名大莓
砺石,一名磨刀石。
牡蒙,一名王孙。
涉厘,水中粗苔也。
麦门冬,垣衣为使。
防葵多服,令人迷惑,恍惚如狂。
《经》说∶夫病以汤药救其内,针灸营其外。夫针术须师乃行,其灸则凡人便施。为师
解经者,针灸随手而行,非师所解文者,但根据图详文则可灸。野间无图不解文者,但遂病所
在便灸之,皆良法。但避其面目四肢显露处,以疮瘢为害耳。
黄帝曰∶灸不三分,是谓徒哑。解曰∶此为作炷欲令根下广三分为适也。减此为不覆孔
穴上,不中经脉,火气则不能远达。今江东及岭南地气湿(温),风寒少,当以二分以还,
极
一分半也,遂人形阔狭耳。婴儿以意作炷也。
凡八木之火,皆害人肌血盘脉骨髓,不可以灸也。大上用阳燧之火,其次KT 石之火,
天阴以槐木之火为良也。阳遂是火珠耀日取火也。天阴无日时,则钻槐木取火也。今世但令
避此八木之火耳,当用人间相传之火也。以摩膏布缠延之,以艾茎延之皆良也。相传之火者,
皆非临时钻截所得也,皆众薪杂木延之,已变以木势厉不复为害,是可用也。
《虾蟆经》云∶松木之火以灸即根难愈;柏木之火以灸即多汁;竹木之火以灸即伤筋,
多壮肉伤;橘木之火以灸即伤皮肌;榆木之火以灸即伤骨,多壮即骨枯;枳木之火以灸即陷
脉,多壮即脉淳;桑木之火以灸即伤肉;枣木之火灸即伤髓,多壮即髓消。
《黄帝经》曰∶禁不可灸者有十八处,而《明堂》说便不禁之,今别记之如下∶
头维,禁不可灸;
承光,禁不可灸;
脑户,禁不可灸;
风府,禁不可灸;
门,禁不可灸;
耳门,耳中有脓及适抵无灸;
人迎,禁不可灸;
丝竹空,灸之不幸,使人目小及盲;
承泣,禁不可灸;
脊中,禁不可灸;乳中,禁不可灸;
石门,女子禁不可灸;
气街,灸之不幸,不得息;
渊腋,灸之不幸,生肿蚀;
天府,禁不可灸;
经渠,禁不可灸;
地五会,禁不可灸;
伏兔,禁不可灸。
曹氏说不可灸者如下∶
玉枕者,人音声之所经从,无病不可灸,灸则声不能语。若有疾,可灸五十壮。
维角者,在眼后发际上至角脉上是也,人眼精之所,心通神为明者也。不可妄灸,灸则
令失明,此则头维也。
精明者,名为郎井,在眼本 隐中可容豆者,人眼神光之所归息也。无病不可灸,灸则
失明反赤;有病可灸七壮至十四壮。
舌根,在颐下廉泉之后,当结喉上仰着下颐当舌根下去结喉一寸,长人可一寸半,咽吞
口味时,按之有怒肉起是也,人声息之亭候。无病不可灸,灸则令气涩语不转;有病可灸七
壮至十四壮。
结喉,在颈下阴喉头突起 者也,人五脏荣卫之所统也。无病不可灸,灸则妖鸣语不
成音;有疾可灸七壮。
胡脉,在颈本边,主乳中脉上是也,一名荣听,人五脏血气之注处也。无病不可多灸,
灸熟则血气决泄不可止;有疾可灸五十壮。
天突者,名为天瞿,复名身道,是体精之衢路也。无病不可灸,灸则伤声反喑;有疾可
灸五十壮。
神府者,人神之明堂也。无病不可灸,灸则少气之短,使人无精守;有疾可灸百壮。此
则鸠尾,一名龙头是也。
臣揽者,名为神精,人筋脉之所交也。不可妄灸,灸则令人不能举臂;有疾可灸百壮。
关元者,下焦阴阳宗气之奥室也。妇人无疾不可妄灸,灸则断儿息;有疾可灸百壮。
血海者,名为冲使,在膝内骨上一夫陷中,人阴阳气之所由从也。无病不可灸,灸男则
阳气衰,女则绝产,不欲动摇肢节也;有疾可灸五十壮。
足太阴者,人阳精之房冲也。无病不可灸,灸男则阳气衰,女则令绝产;有疾可灸五十
壮。
丘墟者,名为蹄溪,在外踝下少耶近前是也,人声室之房源。无病不可灸,灸则气下不
能上通,令喑不能言;有疾可灸十四壮。
上二十穴,曹氏说云无病不可灸,灸则为害也。寻不病者,则不应徒然而灸,以痛苦为
玩者也,皆病至不获已灸耳,便是未详曹氏此说也。
师述曰∶孔穴去病,有近远也。头病即灸头穴,四肢病即灸四肢穴,心腹背胁亦然,是
以病其处即灸其穴,故言有病者可灸,此为近道法也。远道针灸法,头病皆灸手臂穴,心腹
病皆灸胫足穴,左病乃灸右,右病皆灸左,非其处病而灸其穴,故言无病不可灸也,非其身
都无病而徒灸者也。故言其穴所在之处无病不横为远道穴灸,苟犯其禁耳。意为如此,幸可
更详也。
腹背宜灸五百壮,四肢则但去风邪,不宜多灸,七壮至七七壮止,不得过随年数。如巨
阙、鸠尾虽是胸腹之穴。灸不过七七壮,艾炷不须大,以竹箸头作炷,正当脉上灸之。若灸
胸腹,艾炷大灸多,令人永无心力。如头顶穴若灸多,令人失精神。臂脚穴灸多,令人血脉
枯竭,四肢细瘦无力。既复失精神,又加于细瘦,即脱人真气。
膝目四穴,膝内外目,一膝有二穴,各有犊鼻两旁陷者中,如猴狲眼者是也。
曲尺二穴,在一脚趺上,胫之下,接腕曲屈处,对大指歧,当踝前两筋中央陷中是也。
风府一穴,在项后发际下,小入发中,当两盘中央陷中是也。
大椎上节以上,属颈崇骨也。大椎与崇骨相接处,其节最高硕也。
巨阙,在龙头骨下一寸是也。
灸心痛方;
心懊 ,彻痛烦逆,灸心俞百壮。
心痛如刀刺,气结,灸鬲俞七壮。
心痛胸痹,灸膻中百壮。
心痛冷气上,灸龙头百壮。在心鸠尾头上行一寸半。
心痛恶气上,胁急痛,灸通谷五十壮。乳下二寸。
心痛暴绞急绝欲死,灸神府百壮。附心鸠尾正心,有忌。
心痛暴恶风,灸巨阙百壮。
心痛胸胁满,灸期门,随年壮。
心痛坚烦气结,灸大仓百壮。
大便闭塞,气结心满方。
灸石关百壮。
又方
灸足大都随年壮
治 方。
灸腋下聚毛中五十壮。
又方
灸石关穴五十壮。
泄利食不消,不作肌肤,灸脾俞,随年壮。
泄注便脓血,五色重下,灸小肠俞百壮。
泄利不禁,少腹绞痛,灸丹田穴百壮。在脐下二寸。
灸咳嗽法。
灸肩井穴百壮,在肩上陷解中大骨前。
又方
灸大杼穴随年壮,在项第一椎下两旁各一寸半陷者中。
又方
灸肺俞随年壮,在第三椎下两旁各一寸半。
又方
灸风门热府穴百壮,在第二椎下两旁各一寸半。
又方
灸天突穴五十壮,在结喉下五寸宛宛中。
又方
灸玉堂穴百壮,在紫宫下一寸六分。
又方
灸膻中穴五十壮,在玉堂下一寸六分,两乳间陷者中。
又方
灸云门穴五十壮,在巨骨下气户两旁各二寸陷者中,横去旋机旁六寸。
又方
灸中府穴五十壮,肺募也,在云门下一寸。
又方
灸巨阙穴五十壮,在鸠尾穴下五分。
又方
灸期门穴五十壮,在去巨阙五分,举臂取之。
又方
灸俞府穴,在旋机旁各二寸。
又方
灸或中穴,在输府下一寸六分。
又方
灸气户穴,在去旋机旁各四寸。
灸水病法。
灸膈俞百壮,三报。在第七椎下两旁一寸半。
又方
灸脾俞百壮,在十一椎下两旁一寸半。
又方
灸意舍百壮,在当脐孔中央是也。
眼 动,口唇动,偏 ,皆风入脉故也。
灸吻边横纹赤白际逐左右风乘不收处,灸随年壮,日日报之,三报且息。三日不效,复
三报之。
灸喑不能言方∶
天聪,在亚会后一寸半,前项穴也。
天窗,在前项前一寸半,亚会一名也。
百合。
卒狂言鬼语方。
以甑带急合缚两手父指,便灸左右胁下,对屈肘头,两火俱起,灸七壮。须臾鬼语自云
姓名,乞得去,徐徐诘问,乃解其手也。
狂 詈 打人方。
灸口两吻边燕丸处赤白际各一壮,并灸背胛间,名臣揽,三壮,三日一报之。
又方
灸阴囊下缝三十壮,女人者灸阴会也。
灸癫病狂病方∶
阴茎上宛宛中三壮。
大指上丛毛中七壮或九壮。
足小指本节前七壮。
囊下缝上二七壮。
背脉在直鼻中上灸三十壮,三报。
脊穷下尻骨头。
灸消渴法。
灸关元一处,又挟两旁各二寸二处,各灸三十壮,五日一报,至百五十壮。
灸腰痛法∶
令病患正 立,以竹杖柱地,度至脐,以度注地背,正灸脊骨上,随年壮。灸竟藏竹,
勿令人得之。灸丈夫痔下血及脱肛不入,及息下长泄利,妇人女子月崩去血,乍止乍发,及
滞下淋沥,长去赤白杂汁,皆灸此。
又挟两旁各一寸复灸之,为横三穴间一寸也。
又灸腰目,小耶在尻上左右陷处是也。
治霍乱呕哕吐逆,良久不止方。
灸巨阙并太仓各五十壮。
起死∶
吐且下利者,灸两乳连黑外近腹白肉际各七壮,亦可至二七壮。
若吐止而利不止者,灸脐一夫纳中七壮。
又云∶脐下一寸,二七壮。
若烦闷凑满者,灸心厌下三寸七壮,名胃管。
又方
以盐纳脐中,上灸二七壮。
若绕脐痛急者,灸脐下三寸三七壮,名关元,良。
灸黄胆法。
灸脾俞百壮,穴在第十一椎下两旁一寸半。
又方
灸手太阴,随年壮,穴在手小指端。
又方
灸钱孔百壮,穴度乳至齐中,屈肋头骨是。
又方
灸胃管百壮,穴在鸠尾齐中。
病石淋齐下三十六种病,不得小便方。
灸关元三十壮。
又方
灸大敦三十壮,在足大指端,去爪甲如韭叶。
又方
灸气门三十壮。
治淋病,不得小便,阴上绞痛方。
灸足太冲五十壮。在足太指本节后二寸。
又方
灸悬泉,一名中封,十四壮。中封在足内踝前一寸。
治小便不通方。
以盐满齐,灸上三壮。
治遗尿灸穴。
灸遗道,在挟玉泉五分,随年壮。
又方
灸阳陵泉、阴陵泉,随年壮。在膝下一寸。
治耳聋方。
灸听会穴,在耳前陷中。
男颓有肠颓、卵胀、有水颓、气颓四种。肠颓、卵胀难瘥,气颓、水颓针灸则易瘥也。
男阴卵偏大,颓方。
灸肩井并灸关元百壮。
又方
灸玉泉百壮,在关元下一寸。
又方
灸足太阳五十壮,并灸足太阴五十壮,有验。
颓病,阴卒肿者方。
合并足,缚两大趾令爪相并,以艾丸灸两爪端方角处一丸,令顿在两爪角上也。令丸半
上爪上佳。灸七壮愈。
治 犬咬人方。
先嗍去恶血,乃须灸疮中十壮,明日以去日灸一壮,满百日乃止,忌酒。
治 狗啮人方。
嗽去其恶血,灸其处百壮,以后当日灸百壮。血不出者小刺伤之,灸百壮乃止。
味道相互混合就会形成毒性,但未必立即致人死亡或致病,都是经过长时间后才产生危害。只看到早上吃下去晚上没事,就认为医书记载不实,这非常可悲。
仓公(淳于意)叙述说:味道相互混合就会形成毒性,毒性相互结合就会成为药物,未必立即致人死亡,也未必立即致病,都是经过长时间后才产生危害。
堇汁,味甘性寒,无毒,主治马毒疮,捣取汁液清洗患处并服用。堇,是一种蔬菜。
金牙,又名黄石牙。
丹参,又名逐马,人患腰痛时,服用它就能起身行走追逐马匹,所以以此命名。
酸浆,又名苦 子。
虾蟆,又名去甫,又名苦 ,又名仇道。
蓬 ,又名大莓。
砺石,又名磨刀石。
牡蒙,又名王孙。
《经》说:疾病用汤药救治内部,用针灸调理外部。针刺技术必须跟随老师学习才能施行,而艾灸则普通人就可以实施。如果是老师讲解经文者,针灸可以随手而行;如果不是老师所解之文,只需根据图谱详细阅读文字即可施灸。野外没有图谱也不懂文字的人,只要顺着病症所在部位进行艾灸,都是好方法。只是要避开面部、眼睛、四肢等显露之处,以免留下疮疤造成美观上的损害。
黄帝说:艾灸如果不达到三分深,叫做徒劳无功。解释:这是指制作艾炷时,希望根部宽度达到三分才合适。如果减少这个深度,就不能覆盖穴位孔窍,不能对准经脉,火气就不能远达。现在江东及岭南地区气候潮湿(温暖),风寒较少,应当以二分左右为宜,极至一分半。这取决于人体形体的宽窄。婴儿则凭心意制作艾炷。
凡是八种树木燃烧的火,都会伤害人的肌肉、血液、脉络和骨髓,不可以用来艾灸。最好使用阳燧之火,其次是KT石之火,阴天时使用槐木之火为良。阳遂是用火珠对着太阳取火。阴天没有太阳时,则钻木取槐木之火。当今世人只需避开这八种树木的火罢了,应当使用人间相传之火。所谓相传之火,都不是临时钻截所得,而是用各种柴薪杂木延烧而成,已经改变了木材的猛烈性质,不再有害,这才可以使用。用摩膏涂抹包扎延长火势,用艾茎延长火势都是好方法。
《虾蟆经》说:松木之火用于艾灸,伤口根部难以愈合;柏木之火用于艾灸,会导致流脓多汁;竹木之火用于艾灸,会损伤筋脉,导致多壮肉伤;橘木之火用于艾灸,会损伤皮肌;榆木之火用于艾灸,会损伤骨骼,多壮即骨枯;枳木之火用于艾灸,会使脉陷,多壮即脉淳;桑木之火用于艾灸,会损伤肌肉;枣木之火用于艾灸,会损伤骨髓,多壮即髓消。
《黄帝经》说:禁止艾灸的部位有十八处,而《明堂》却说并不禁止,现在另外记录如下:
头维,禁止不可艾灸;
承光,禁止不可艾灸;
脑户,禁止不可艾灸;
风府,禁止不可艾灸;
门,禁止不可艾灸;
耳门,耳中有脓及刚受撞击时不可艾灸;
人迎,禁止不可艾灸;
丝竹空,艾灸不幸,会导致眼睛变小甚至失明;
承泣,禁止不可艾灸;
脊中,禁止不可艾灸;乳中,禁止不可艾灸;
石门,女子禁止不可艾灸;
气街,艾灸不幸,会导致呼吸困难;
渊腋,艾灸不幸,会长肿溃烂;
天府,禁止不可艾灸;
经渠,禁止不可艾灸;
地五会,禁止不可艾灸;
伏兔,禁止不可艾灸。
玉枕,是人声音发出的通道,无病不可艾灸,艾灸则声音不能言语。若有疾病,可灸五十壮。
维角,在眼后发际上至角脉处,是人眼精华所在,心通神为明。不可妄自艾灸,艾灸会导致失明,这就是头维穴。
精明,名为郎井,在眼本 隐中可容纳豆粒大小的地方,是人眼神光归息之处。无病不可艾灸,艾灸会导致失明且眼睛发红;有病可灸七壮至十四壮。
舌根,在颐下廉泉之后,当结喉上仰着下颐,当舌根下去结喉一寸,高个子可一寸半,咽吞口味时,按压有怒肉突起的就是这里,是人声息的亭候。无病不可艾灸,艾灸会导致气涩语不转;有病可灸七壮至十四壮。
结喉,在颈下阴喉头突起的地方,是人五脏荣卫所统摄之处。无病不可艾灸,艾灸会导致妖鸣语不成音;有疾可灸七壮。
胡脉,在颈本边,主乳中脉上,又名荣听,是人五脏血气灌注之处。无病不可多灸,灸熟则血气决泄不可止;有疾可灸五十壮。
天突,名为天瞿,复名身道,是体精之衢路。无病不可艾灸,艾灸会损伤声音反而失音;有疾可灸五十壮。
神府,是人神之明堂。无病不可艾灸,艾灸会导致少气短促,使人无精守;有疾可灸百壮。这就是鸠尾,又名龙头。
臣揽,名为神精,是人筋脉交会之处。不可妄自艾灸,艾灸会导致手臂不能举起;有疾可灸百壮。
关元,是下焦阴阳宗气的奥室。妇人无疾不可妄灸,艾灸会断绝胎儿气息;有疾可灸百壮。
血海,名为冲使,在膝内骨上一夫陷中,是人阴阳气所由从之处。无病不可艾灸,灸男则阳气衰,女则绝产,不欲动摇肢节;有疾可灸五十壮。
足太阴,是人阳精之房冲。无病不可艾灸,灸男则阳气衰,女则令绝产;有疾可灸五十壮。
丘墟,名为蹄溪,在外踝下少耶近前处,是人声室之房源。无病不可艾灸,艾灸则气下不能上通,令喑不能言;有疾可灸十四壮。
以上二十穴,曹氏说无病不可艾灸,艾灸则为害。寻思不病者,就不应徒然艾灸,以痛苦为玩弄,都是病至不得已才艾灸,这便是未详曹氏此说之意。
老师说:穴位去病,有近有远。头病就灸头部穴位,四肢病就灸四肢穴位,心腹背胁也是如此,所以在病处就灸其穴,所以说有病者可灸,这是近道法。远道针灸法,头病都灸手臂穴位,心腹病都灸胫足穴位,左病乃灸右,右病皆灸左,非其处病而灸其穴,所以说无病不可灸,并非全身都无病而徒然艾灸。所以说其穴所在之处无病不横为远道穴灸,苟犯其禁而已。意为如此,希望能更详细考察。
腹背宜灸五百壮,四肢则只去风邪,不宜多灸,七壮至七七壮止,不得超过随年数。如巨阙、鸠尾虽是胸腹之穴,灸不过七七壮,艾炷不需大,以竹箸头作炷,正当脉上灸之。若灸胸腹,艾炷大灸多,令人永无心力。如头顶穴若灸多,令人失精神。臂脚穴灸多,令人血脉枯竭,四肢细瘦无力。既复失精神,又加于细瘦,即脱人真气。
膝目四穴,膝内外目,一膝有二穴,各有犊鼻两旁陷者中,如猴狲眼者是也。
曲尺二穴,在一脚趺上,胫之下,接腕曲屈处,对大指歧,当踝前两筋中央陷中是也。
灸心痛方:
心懊 ,彻痛烦逆,灸心俞百壮。
心痛如刀刺,气结,灸鬲俞七壮。
心痛胸痹,灸膻中百壮。
心痛冷气上,灸龙头百壮。在心鸠尾头上行一寸半。
心痛恶气上,胁急痛,灸通谷五十壮。乳下二寸。
心痛暴绞急绝欲死,灸神府百壮。附心鸠尾正心,有忌。
心痛暴恶风,灸巨阙百壮。
心痛胸胁满,灸期门,随年壮。
心痛坚烦气结,灸大仓百壮。
泄利食不消,不作肌肤,灸脾俞,随年壮。
泄注便脓血,五色重下,灸小肠俞百壮。
泄利不禁,少腹绞痛,灸丹田穴百壮。在脐下二寸。
灸咳嗽法:
灸肩井穴百壮,在肩上陷解中大骨前。
又方
灸大杼穴随年壮,在项第一椎下两旁各一寸半陷者中。
又方
灸肺俞随年壮,在第三椎下两旁各一寸半。
又方
灸风门热府穴百壮,在第二椎下两旁各一寸半。
又方
灸天突穴五十壮,在结喉下五寸宛宛中。
又方
灸玉堂穴百壮,在紫宫下一寸六分。
又方
灸膻中穴五十壮,在玉堂下一寸六分,两乳间陷者中。
又方
灸云门穴五十壮,在巨骨下气户两旁各二寸陷者中,横去旋机旁六寸。
又方
灸中府穴五十壮,肺募也,在云门下一寸。
又方
灸巨阙穴五十壮,在鸠尾穴下五分。
又方
灸期门穴五十壮,在去巨阙五分,举臂取之。
又方
灸俞府穴,在旋机旁各二寸。
又方
灸或中穴,在输府下一寸六分。
又方
灸气户穴,在去旋机旁各四寸。
灸水病法:
灸膈俞百壮,三报。在第七椎下两旁一寸半。
又方
灸脾俞百壮,在十一椎下两旁一寸半。
又方
灸意舍百壮,在当脐孔中央是也。
眼 动,口唇动,偏 ,皆风入脉故也。
灸吻边横纹赤白际逐左右风乘不收处,灸随年壮,日日报之,三报且息。三日不效,复三报之。
灸喑不能言方:
天聪,在亚会后一寸半,前项穴也。
天窗,在前项前一寸半,亚会一名也。
百合。
卒狂言鬼语方:
以甑带急合缚两手父指,便灸左右胁下,对屈肘头,两火俱起,灸七壮。须臾鬼语自云姓名,乞得去,徐徐诘问,乃解其手也。
狂 詈 打人方:
灸口两吻边燕丸处赤白际各一壮,并灸背胛间,名臣揽,三壮,三日一报之。
又方
灸阴囊下缝三十壮,女人者灸阴会也。
灸癫病狂病方:
阴茎上宛宛中三壮。
大指上丛毛中七壮或九壮。
足小指本节前七壮。
囊下缝上二七壮。
背脉在直鼻中上灸三十壮,三报。
脊穷下尻骨头。
灸消渴法:
灸关元一处,又挟两旁各二寸二处,各灸三十壮,五日一报,至百五十壮。
灸腰痛法:
令病患正 立,以竹杖柱地,度至脐,以度注地背,正灸脊骨上,随年壮。灸竟藏竹,勿令人得之。灸丈夫痔下血及脱肛不入,及息下长泄利,妇人女子月崩去血,乍止乍发,及滞下淋沥,长去赤白杂汁,皆灸此。
又挟两旁各一寸复灸之,为横三穴间一寸也。
又灸腰目,小耶在尻上左右陷处是也。
起死:
吐且下利者,灸两乳连黑外近腹白肉际各七壮,亦可至二七壮。
若吐止而利不止者,灸脐一夫纳中七壮。
又云:脐下一寸,二七壮。
若烦闷凑满者,灸心厌下三寸七壮,名胃管。
又方
以盐纳脐中,上灸二七壮。
若绕脐痛急者,灸脐下三寸三七壮,名关元,良。
灸黄胆法:
灸脾俞百壮,穴在第十一椎下两旁一寸半。
又方
灸手太阴,随年壮,穴在手小指端。
又方
灸钱孔百壮,穴度乳至齐中,屈肋头骨是。
又方
灸胃管百壮,穴在鸠尾齐中。
病石淋齐下三十六种病,不得小便方:
灸关元三十壮。
又方
灸大敦三十壮,在足大指端,去爪甲如韭叶。
又方
灸气门三十壮。
治淋病,不得小便,阴上绞痛方:
灸足太冲五十壮。在足太指本节后二寸。
又方
灸悬泉,一名中封,十四壮。中封在足内踝前一寸。
治遗尿灸穴:
灸遗道,在挟玉泉五分,随年壮。
又方
灸阳陵泉、阴陵泉,随年壮。在膝下一寸。
男颓有肠颓、卵胀、有水颓、气颓四种。肠颓、卵胀难瘥,气颓、水颓针灸则易瘥也。
男阴卵偏大,颓方:
灸肩井并灸关元百壮。
又方
灸玉泉百壮,在关元下一寸。
又方
灸足太阳五十壮,并灸足太阴五十壮,有验。
颓病,阴卒肿者方:
合并足,缚两大趾令爪相并,以艾丸灸两爪端方角处一丸,令顿在两爪角上也。令丸半上爪上佳。灸七壮愈。
When flavors combine, they form toxicity, but this does not necessarily lead to immediate death or disease; harm typically manifests only after a prolonged period. It is lamentable that some observe no adverse effects from morning consumption until evening and conclude that medical texts are inaccurate.
Cang Gong (Chunyu Yi) stated: When flavors combine, they form toxicity; when toxicity combines, it becomes medicine. This does not necessarily cause immediate death or disease; harm usually appears only after long-term accumulation.
Jin juice (Juice of *Viola* species): Sweet in taste, cold in nature, non-toxic. It treats horse poison sores. Apply the crushed juice externally for washing and take it internally. Jin refers to a vegetable.
Cang Gong replied to the Yellow Emperor: Consuming excessive amounts of soybeans causes heaviness in the body.
Dantian (Cinnabar): Also known as Zhenfen. It is produced by heating cinnabar to obtain mercury; the black smoke rising above is referred to as such.
Jinya (Gold Tooth): Also known as Huangshiya (Yellow Stone Tooth).
Shuyu (Dioscorea opposita): Also known as Tutugen or Maotugen.
Niuxi (Achyranthes bidentata): Also known as Niuchun.
Danshen (Salvia miltiorrhiza): Also known as Zhuma. It is named thus because patients with lower back pain who take it can rise and walk swiftly enough to chase horses.
Tianmingjing (Platycodon grandiflorus root or *Ligularia fischeri*): Also known as Tianjing or Tianwuqing.
Suanjiang (Physalis alkekengi): Also known as Ku .
Qie (Shepherd's purse): Also known as Luyinren; this name refers specifically to its root.
Shui (Water plant): A large water plant found in water bodies, also known as Maicai or Maye.
Xama (Toad): Also known as Qufu, Ku , or Choudao.
Peng : Also known as Damei.
Lishi (Grindstone): Also known as Modaoshi (Whetstone).
Mumeng (Peucedanum praeruptorum): Also known as Wangsun.
Sheli: Coarse moss found in water.
Mendong (Ophiopogon japonicus): Uses Yuanyi (moss growing on walls) as an adjuvant.
Fangkui (Bupleurum scorzonerifolium): Excessive consumption causes confusion and delirium resembling madness.
The Classics state: Diseases are treated internally with decoctions and regulated externally with acupuncture and moxibustion. Acupuncture requires instruction from a master to perform correctly, whereas moxibustion can be performed by laypersons. If one understands the classics through a teacher, acupuncture and moxibustion can be applied flexibly. If not instructed by a teacher, one should follow diagrams and textual descriptions carefully. In remote areas without diagrams or literacy, applying moxibustion directly to the affected area is also an effective method. However, one must avoid moxibustion on exposed areas such as the face, eyes, and limbs to prevent unsightly scars.
The Yellow Emperor said: Moxibustion not reaching a depth of three fen is considered futile. Explanation: This refers to making the base of the moxa cone wide enough to cover three fen. If reduced below this, it fails to cover the acupoint aperture and align with the meridians, preventing the fire qi from penetrating deeply. In Jiangdong and Lingnan regions, where the climate is humid and warm with less wind-cold, a depth of two fen is appropriate, down to one and a half fen at minimum, depending on the patient's body size. For infants, the size of the moxa cone should be adjusted intuitively.
Fire from eight specific types of wood harms muscles, blood, vessels, and bone marrow and should not be used for moxibustion. The best is fire from Yangsui (fire lens), followed by KT stone fire. On cloudy days, fire from locust wood (Huaimu) is preferred. Yangsui uses a crystal lens to focus sunlight to ignite fire. On cloudy days without sun, drilling locust wood generates fire. Currently, people are advised to avoid fire from these eight woods and instead use traditional household fire. Traditional fire is not obtained by immediate drilling but is sustained from various kindling and mixed woods, having lost its original harshness, making it safe. Applying massage ointment and bandaging to extend the heat, or using moxa stems to prolong the flame, are both good methods.
The *Xama Jing* states: Fire from pine wood makes wound roots difficult to heal; cypress wood causes excessive pus discharge; bamboo wood damages sinews and flesh with excessive moxa doses; orange wood damages skin and muscle; elm wood damages bones, leading to bone depletion with excessive doses; ziziphus wood sinks into vessels, causing vessel thickening with excessive doses; mulberry wood damages flesh; jujube wood damages marrow, leading to marrow depletion with excessive doses.
The *Huangdi Jing* lists eighteen acupoints where moxibustion is contraindicated, although the *Mingtang* does not prohibit them. These are recorded below:
Touwei (ST8): Contraindicated.
Chenguang (BL7): Contraindicated.
Naohu (DU17): Contraindicated.
Fengfu (DU16): Contraindicated.
Men (Unspecified point, likely related to head/neck): Contraindicated.
Ermen (TE21): Contraindicated if there is pus in the ear or recent trauma.
Renying (ST9): Contraindicated.
Sizhukong (TE23): Moxibustion may cause microphthalmia or blindness.
Chengqi (ST1): Contraindicated.
Jizhong (DU12): Contraindicated.
Ruzhong (RN17): Contraindicated.
Shimen (RN5): Contraindicated for women.
Qichong (ST30): Moxibustion may cause dyspnea.
Yuanxi (GB41): Moxibustion may cause swelling and ulceration.
Tianfu (LU3): Contraindicated.
Jingqu (LU8): Contraindicated.
Diwuhui (SP13): Contraindicated.
Futu (ST32): Contraindicated.
Cao Shi lists additional points where moxibustion is generally contraindicated unless pathology exists:
Yuzhen (GB15): Passage for voice. Contraindicated in health; if diseased, 50 moxa cones.
Weijiao: Located behind the eye at the hairline angle. Site of eye essence and spirit connection. Contraindicated; may cause blindness. This corresponds to Touwei.
Jingming (BL1): Named Langjing. Located in the depression near the inner canthus. Site of spirit light. Contraindicated in health; may cause blindness and redness. If diseased, 7-14 cones.
Shegen (Root of tongue): Behind Lianquan, above the hyoid bone. Site of voice regulation. Contraindicated in health; may cause speech impediment. If diseased, 7-14 cones.
Jiehoutu (Thyroid cartilage prominence): Site of organ nourishment and defense. Contraindicated in health; may cause hoarseness. If diseased, 7 cones.
Huma (Neck artery): Site of blood and qi circulation. Contraindicated in health; excessive moxa may cause uncontrolled bleeding. If diseased, 50 cones.
Tiantu (RN22): Pathway for vital essence. Contraindicated in health; may damage voice. If diseased, 50 cones.
Shenfu (Heart Palace): Corresponds to Jiweiu (CV15). Contraindicated in health; may cause shortness of breath and loss of spirit. If diseased, 100 cones.
Chenlan: Intersection of sinews and vessels. Contraindicated; may impair arm movement. If diseased, 100 cones.
Guanyuan (RN4): Repository of lower jiao yin-yang and ancestral qi. Contraindicated for healthy women; may affect fertility. If diseased, 100 cones.
Xuehai (SP10): Source of yin-yang qi. Contraindicated in health; may deplete yang in men and stop menstruation/fertility in women. If diseased, 50 cones.
Zutaiyin (Foot Taiyin Spleen Meridian points): Contraindicated in health; similar effects to Xuehai. If diseased, 50 cones.
Qiuxu (GB40): Source of voice chamber. Contraindicated in health; may cause qi stagnation and aphonia. If diseased, 14 cones.
These twenty points are listed by Cao Shi as contraindicated in health. Healthy individuals should not undergo moxibustion merely for play or curiosity; it is reserved for unavoidable pathological conditions.
Teachers explain that acupoints have near and far applications. Head diseases are treated with head points; limb diseases with limb points. This is the "near method." The "far method" involves treating head diseases with arm/hand points and abdominal diseases with leg/foot points, or treating left-sided diseases with right-side points. This explains why some say "no disease means no moxibustion," referring to avoiding distant points on healthy tissue rather than prohibiting all moxibustion on healthy bodies.
For the abdomen and back, up to 500 cones may be used. For limbs, only enough to dispel wind-cold is needed, typically 7 to 49 cones, not exceeding the patient's age in years. Points like Juque and Jiweiu on the chest/abdomen should not exceed 49 cones. Use small cones made from bamboo sticks placed directly on the meridian. Excessive moxa on the chest/abdomen depletes heart-lung energy; excessive moxa on the head depletes spirit; excessive moxa on arms/legs depletes blood and qi, leading to emaciation and weakness.
Kemu Four Points: Located at the outer and inner aspects of the knee, specifically in the depressions beside Dubi (ST35), resembling monkey eyes.
Quchi Two Points: Located on the dorsum of the foot, below the tibia, at the wrist-flexion junction, opposite the big toe gap, in the depression between the two tendons anterior to the ankle.
Fengfu One Point: Below the nape hairline, entering the hair, in the central depression between the scapular bones.
Dazhui (GV14): Above the upper segment belongs to the cervical vertebrae. The junction between Dazhui and the cervical spine is the highest prominence.
Juque (CV14): One cun below the xiphisternum (Longtou bone).
Formulas for Heart Pain:
Heart agitation with severe pain and irritability: Moxibustion Xinshu (BL15), 100 cones.
Heart pain like knife stabbing with qi stagnation: Moxibustion Geshu (BL17), 7 cones.
Heart pain with chest bi: Moxibustion Danzhong (CV17), 100 cones.
Cold qi ascending causing heart pain: Moxibustion Longtou (Jiweiu/CV15), 100 cones. Move 1.5 cun upward from Jiweiu.
Bad qi ascending with rib pain: Moxibustion Tonggu (BL40? Text says Tonggu, likely Tongsu BL44 or similar, context implies back shu), 50 cones. 2 cun below nipple.
Sudden severe heart pain nearing death: Moxibustion Shenfu (Jiweiu/CV15), 100 cones. Caution near heart.
Sudden wind-cold heart pain: Moxibustion Juque (CV14), 100 cones.
Heart pain with chest/flank fullness: Moxibustion Qimen (LR14), age-dependent cones.
Hard heart pain with irritability and qi knot: Moxibustion Tacang (Zhongwan/CV12?), 100 cones.
Formula for Constipation with Qi Stagnation and Chest Fullness:
Moxibustion Shiguan (KI18), 100 cones.
Alternative: Moxibustion Dadu (SP2), age-dependent cones.
Formula for [Missing Condition]:
Moxibustion 50 cones in the center of axillary hair.
Alternative: Moxibustion Shiguan (KI18), 50 cones.
Diarrhea with undigested food and poor nutrition: Moxibustion Pishu (BL20), age-dependent cones.
Dysentery with pus/blood and multi-colored discharge: Moxibustion Xiaochangshu (BL27), 100 cones.
Incontinence with lower abdominal cramping: Moxibustion Dantian (CV4), 100 cones. 2 cun below umbilicus.
Methods for Cough:
Moxibustion Jianjing (GB21), 100 cones. Depression on shoulder before clavicle.
Alternative: Moxibustion Dazhu (BL11), age-dependent cones. 1.5 cun lateral to first thoracic vertebra.
Alternative: Moxibustion Feishu (BL13), age-dependent cones. 1.5 cun lateral to third thoracic vertebra.
Alternative: Moxibustion Fengmen (BL12) and Refu, 100 cones. 1.5 cun lateral to second thoracic vertebra.
Alternative: Moxibustion Tiantu (CV22), 50 cones. 5 cun below laryngeal prominence.
Alternative: Moxibustion Yutang (CV19), 100 cones. 1.6 cun below Zigong (CV20).
Alternative: Moxibustion Danzhong (CV17), 50 cones. 1.6 cun below Yutang, between nipples.
Alternative: Moxibustion Yunmen (LU2), 50 cones. Below Jugu, 2 cun lateral to Qihu, 6 cun lateral from Xuanji.
Alternative: Moxibustion Zhongfu (LU1), Lung Mu, 50 cones. 1 cun below Yunmen.
Alternative: Moxibustion Juque (CV14), 50 cones. 0.5 cun below Jiweiu.
Alternative: Moxibustion Qimen (LR14), 50 cones. 0.5 cun from Juque, arms raised.
Alternative: Moxibustion Yufu (BL12? Text says Yufu, likely Feishu or similar), 2 cun lateral to Xuanji.
Alternative: Moxibustion Huozhong (Shufu?), 1.6 cun below Shufu.
Alternative: Moxibustion Qihu (ST15), 4 cun lateral to Xuanji.
Methods for Water Retention (Edema):
Moxibustion Geshu (BL17), 100 cones, repeated three times. 1.5 cun lateral to seventh thoracic vertebra.
Alternative: Moxibustion Pishu (BL20), 100 cones. 1.5 cun lateral to eleventh thoracic vertebra.
Alternative: Moxibustion Yishe (BL21), 100 cones. Aligned with umbilicus.
Eye twitching, lip twitching, facial deviation are caused by wind entering the vessels.
Moxibustion at the red-white border of the mouth corners, targeting wind invasion sites. Age-dependent cones. Daily application for three sessions then rest. If ineffective after three days, repeat three sessions.
Formula for Aphonia:
Tiancong: 1.5 cun behind Yahui (Tiantu/RN22?).
Tianchuang: 1.5 cun anterior to previous point, also called Yahui.
Baihe.
Formula for Sudden Mania/Ghost Speech:
Tie hands together with steamer strap. Moxibustion under both armpits, opposite elbow heads. Light both sides simultaneously, 7 cones. Ghost speech will reveal name and beg release. Question slowly then release.
Formula for Violent Mania/Beating:
Moxibustion 1 cone at red-white border of mouth corners. Moxibustion Chenlan (between shoulder blades), 3 cones. Repeat every three days.
Alternative: Moxibustion 30 cones in scrotal raphe. Women: Yinhuai (CV2).
Formula for Epilepsy/Mania:
3 cones in the depression of the penis.
7 or 9 cones in the hair tuft of the big toe.
7 cones anterior to the base of the little toe.
14 cones above the scrotal raphe.
30 cones on the back midline above the nose, repeated three times. End at the coccyx.
Method for Xiao Ke (Wasting-Thirst):
Moxibustion Guanyuan (CV4), plus two points 2 cun lateral to it. 30 cones each. Repeat every five days, up to 150 cones total.
Method for Lower Back Pain:
Patient stands upright. Place bamboo stick vertically to measure height to umbilicus. Mark back at this height. Moxibustion directly on the spine at this mark. Age-dependent cones. Hide the stick afterward. Treats hemorrhoids, prolapse, chronic diarrhea, uterine bleeding, leukorrhea.
Also moxa 1 cun lateral to the spine on both sides (three horizontal points, 1 cun apart).
Also moxa Yaomu (Shenshu BL23?): Depressions above the sacrum on both sides.
Formula for Cholera/Vomiting/Diarrhea persisting for a long time:
Moxibustion Juque (CV14) and Tacang (Zhongwan CV12), 50 cones each.
Resuscitation Methods:
If vomiting and diarrhea occur: Moxibustion 7 cones (or 14) at the white skin edge near the abdomen, connecting the two nipples.
If vomiting stops but diarrhea continues: Moxibustion 7 cones in the center of the umbilicus.
Alternatively: 1 cun below umbilicus, 14 cones.
If chest oppression/fullness: Moxibustion 7 cones 3 cun below the heart pit, named Weiguan.
Alternative: Fill umbilicus with salt, moxa 14 cones above it.
If periumbilical pain is urgent: Moxibustion 21 cones 3 cun below umbilicus, named Guanyuan. Good result.
Method for Jaundice:
Moxibustion Pishu (BL20), 100 cones. 1.5 cun lateral to eleventh thoracic vertebra.
Alternative: Moxibustion Hand Taiyin (Lung Meridian end), age-dependent cones. At tip of little finger.
Alternative: Moxibustion Qiankong, 100 cones. Measure from nipple to middle of umbilicus, bend rib head bone.
Alternative: Moxibustion Weiguan, 100 cones. At level of Jiweiu.
Formula for Shi Lin (Stone Strangury) and 36 other urinary retention diseases:
Moxibustion Guanyuan (CV4), 30 cones.
Alternative: Moxibustion Dadun (LR1), 30 cones. At tip of big toe, distance equal to leek leaf width from nail.
Alternative: Moxibustion Qimen (LR14? Text says Qimen, likely a different point for urine, possibly Qihai or similar, but text says Qimen), 30 cones.
Formula for Lin Disease with Urinary Retention and Genital Cramping:
Moxibustion Taichong (LR3), 50 cones. 2 cun posterior to the metatarsophalangeal joint of the big toe.
Alternative: Moxibustion Xuanquan/Zhongfeng (SP4), 14 cones. 1 cun anterior to medial malleolus.
Formula for Urinary Retention:
Fill umbilicus with salt, moxa 3 cones above it.
Acupoints for Enuresis:
Moxibustion Yidao, 0.5 cun lateral to Yuquan. Age-dependent cones.
Alternative: Moxibustion Yanglingquan (GB34) and Yinlingquan (SP9), age-dependent cones. 1 cun below knee.
Formula for Deafness:
Moxibustion Tinghui (GB2), depression anterior to ear.
Male genital disorders include Changtui (Intestinal Hernia), Luanzhang (Scrotal Swelling), Shuitui (Hydrocele), and Qitui (Aerocele). Intestinal and scrotal swellings are hard to cure; Aerocele and Hydrocele respond well to acupuncture/moxibustion.
Formula for Asymmetrical Scrotal Enlargement:
Moxibustion Jianjing (GB21) and Guanyuan (CV4), 100 cones each.
Alternative: Moxibustion Yuquan, 100 cones. 1 cun below Guanyuan.
Alternative: Moxibustion Foot Taiyang and Foot Taiyin meridians, 50 cones each. Effective.
Formula for Sudden Scrotal Swelling:
Bind feet together, tying big toes. Apply moxa ball to the corner of the toenails. Let the ball rest on the nail corner. Best if half covers the nail. 7 cones cures.
Treatment for Dog Bite:
Suck out bad blood first. Then moxa the wound 10 cones. Next day, 1 cone per day until 100 days complete. Avoid alcohol.
Treatment for Dog Bite (Alternative):
Suck out bad blood. Moxa the site 100 cones. Continue daily 100 cones. If blood does not flow, prick slightly to bleed, then moxa 100 cones.