（骨热、骨蒸虽有浅深，皆可通用）
翰林待诏杨大邺问∶小儿日渐黄瘦衰弱，皮肤不润者为何？答曰∶因胎气虚损，筋脉衰弱，本因强行交会，
或成娠孕，事出偶然。或母有宿疾，久冷血海，气衰羸瘦，胎内自已亏伤，及至养得，自然 悴。此盖由父母
之遗气，若非巧凭按治之方，终也积为沉 ；其中或少乳、多哺咀嚼之食，肠胃转转干惨。儿少者俗号腑干；
长成者则呼为骨蒸。本孩子夭伤，盖不精明古始，通达圣情，不知自古迄今已论之也。
太医局生犀散 治小儿骨蒸肌瘦，颊赤口干，日晡潮热，夜有盗汗，五心烦躁，四肢困倦，饮食虽多，不生肌
肉。及大病瘥后，余毒不解；或伤寒病后，食羊肉体热不除，并宜服之。
羚羊角（镑） 地骨皮（去土） 秦艽（去苗并土） 麦门冬（去心） 枳壳（麸炒，去瓤） 大黄（蒸，切、
焙） 柴胡（去苗） 茯苓（去皮） 赤芍药
桑白皮（锉） 黄 （锉） 人参（去芦头） 鳖甲（汤煮去裙 ，涂醋炙黄）
上各等分，捣为粗末。每服二钱，水一盏，入青蒿少许，煎至六分。去滓温服，食后。儿小即分为二服。
《聚宝方》龙虎煎 治瘫痪风，并童男童女骨蒸劳气。
倒垂杨柳枝（筋粗者，东南上采，细锉匀） 槐角（不种者） 桑枝（如柳枝。三味各秤一斤。十月尽，
十二月上旬采） 天仙藤（半斤，细锉）
上四味合用。十岁以下童男小便二斗以来，同浸一宿；于净锅内入河水一斗，同小便熬，不得水耗，旋添
河水熬至晚倾出净，布袋内捩汁。再用文武火熬，柳篦子不住手搅，候熬至半，去了焰火，却便炭火直熬成
膏，净瓷罐盛、封闭。所有捩出者滓别收，要合金枝丸（方在后）。
《聚宝》又方金枝丸
川乌头（炮裂，去皮脐） 仙灵脾（细锉） 防风 牛膝（各去芦头） 晚蚕沙（微炒） 桑黄（锉） 桃
胶乌蛇（酒浸一宿，炙熟和骨用） 桃仁
（各一两。其桃仁用茱萸二两炒熟，和茱萸倾在瓦罐子，浓纸封口一昼夜。去茱萸，只用桃仁） 前药滓 干
黑桑椹（二两，不犯盐者）
上十一味为末，炼蜜丸如桐子大。每服用前药一起匕尖，温酒化之，吞下丸子二十丸，每日空心，日午、
临卧服之。
《聚宝方》国老散 治骨蒸日久，去三焦壅滞虚热，不思饮食。大人、小儿并可服之。
甘草（炙） 银州柴胡（去苗） 秦艽（去土） 大乌梅（取肉焙。各二两）
上四味为末，每日食后热汤点服。忌炙爆物。
《聚宝方》人参柴胡汤 解小儿肌体蒸热，长肌进饮食。
人参 柴胡（去苗） 白茯苓 川芎（各一两） 知母 川升麻 本（去土） 甘草（炙） 天门冬（
去心。各半两） 独活 柏子仁（各一分。研）
上十一味为细末。每服一钱，水半盏，生姜、青 各少许，同煎至三分，去滓，食后温服。五岁以上、十
五岁以下入醋炙鳖甲半两，同为末，加二钱，水一盏，煎六分。
《惠眼观证》柴胡丸 治疳劳，骨蒸发热，及上焦渴甚方。
柴胡 茯苓（各一两） 木香 桂心（一分） 枳壳（麸炒，去瓤） 大黄（微炙。各一分）
上为末，炼蜜为丸如此○大，每服七丸，熟水吞下。作散子亦得。
《刘氏家传》治童男蒸热。八仙饮子方
人参 地骨皮 茯苓 牛膝（酒浸） 菊花（各一两） 麦门冬（三两，去心） 甘草（炙） 远志（去心。各半
两）
上件 咀，衮匀。每服五钱匕，水两盏，煎至一盏，去滓温服。不计时候，日进二服。
《张氏家传》治小儿骨蒸体热，成劳倦。地黄散方
熟地黄（去土，洗） 当归 地骨皮（各洗） 枳壳（去瓤，麸炒） 柴胡 秦艽（各去芦） 知母 鳖
甲（去黑皮尽，醋炙黄。各等分）
上件为末。每服一钱半，水一盏、乌梅半个，煎七分，和梅热服。
《庄氏家传》治小儿骨蒸劳热，肌肤羸瘦，可思饮食，夜多盗汗及诸疳热。青蒿丸方
人参 茯苓 鳖甲（浸、去裙，醋炙） 柴胡 秦艽（各去苗） 绵黄 （各一两）
上取青蒿洗过，研滤自然汁一升，银石器内熬取三合，入蜜四两同再熬得所，捣、罗药末入，同忤一千下，
绿豆大丸之。米饮或麦门冬熟水下十丸，空心、米饮、日午。
《庄氏家传》治小儿骨蒸，及一切疳。煮鸡丸方
黄脚雌鸡（一只，去毛并肚肠） 柴胡 黄连（各四两）
上二味为粗末，用夹生绢袋盛，内鸡肚中缝合，煮令极烂漉出，去骨取药，相和焙干，捣为末。用酒面糊
丸如绿豆大，随儿大小自二十丸加减，熟水下，不拘时候。
《庄氏家传》治骨蒸唇红，颊赤气粗，口干，遍身壮热；或多虚汗，大肠秘涩，小便赤黄，饮食全少。猪肚丸
（出《博济方》）
鳖甲（醋炙黄） 柴胡（银州者） 木香 青蒿 生干地黄（各一两） 黄连（去须。二两） 青橘皮（去
白，半两）
上七味，为细末。用嫩小猪肚一枚，净洗去脂，入药末在内，系定，蒸令极软如泥，研为丸如绿豆大。每
服十五丸，温水下。食前、日午、临卧，日三服。忌湿面、毒物。
《庄氏家传》胡连丸 治骨蒸潮热，羸瘦，生肌消疳黄等方。
胡黄连 黄连（大者，去须，秤） 柴胡（去苗，秤。各一两） 乌犀（磨） 赤茯苓 使君子（去皮，
秤） 黄芩（细者） 鳖甲（炙令黄。各半两）
上为细末，猪胆面糊丸如绿豆大。每服十丸、二十丸，熟水下。
《庄氏家传》治小儿骨蒸发热，遍身如火，黄瘦虚汗，咳嗽心忪，日久不已者，只可一料好安。朱砂柴胡丸方
好朱砂（一两，细研，水飞过，晒过） 柴胡（去苗土，净洗，为末，二两）
上二味令匀，用 猪胆汁拌和匀湿，入一瓷合子内盖；于炊饮甑上蒸之，至饭熟为度取出，急和丸如小豆
大。每日空心、临卧，煎桃仁、乌梅汤放冷，下十丸。
唐中书侍郎崔知悌灸二十二种骨蒸法∶
夫含灵受气禀之于五行，摄生乖理降之以六疾。若岐黄广记，蔚有旧经；攻灸兼行，显著斯术。骨蒸病者，
亦名传尸，亦谓 ，亦称复连，亦曰无辜。丈夫以癖气为根，妇人以血气为本。无问少长，多染此疾；婴孺
之流，传注更苦。其为状也，发干而耸，或聚或分，或腹中有块，或脑后两边有小结，多者乃至五六。或夜卧
盗汗，梦与鬼交，虽目视分明而四肢无力，上气食少，渐就沉羸，纵延日时，终于 尽。予昔忝洛州司马，尝
三十日灸活一十三人，前后瘥者，数逾二百。至于狸骨、獭肝，徒闻曩说；金牙、铜鼻，罕见其能。未若此方，
扶危极急。非止单攻骨蒸，又别疗气疗风，或瘴或劳，或邪或癖，患状既广，灸活者不可具录。略陈梗概，
又恐传授讹谬，以误将来。今故具图形状，庶令览者易悉。使所在流布，颇用家藏，未暇外请名医，傍求上药，
还魂返魄，何难之有？遇疾者可不务乎。
取穴法∶先两穴，令患人平身正立，取一细绳（蜡之勿令展缩，顺脚底贴肉坚踏之（男左女右），其绳前头与大
拇指端齐，
后头令当脚跟中心，向后引绳循脚肚贴肉，直上至曲KT 中大横纹截断。又令患人解发分两边，令见头缝，自囟
门平分至脑后；乃平身正坐，取向所截绳一头，令与鼻端齐，引绳向上，正循头缝至脑后贴肉垂下，循脊骨引
绳向下至绳尽处，当脊骨以墨点记之（墨点不是灸处）。又取一绳子，令患人合口将绳子按于口上，两头至吻却钩起绳子
中心，至鼻柱根下如“△”字，便齐两吻截断，将此绳展令直，于前来脊骨上墨点处横量取平，勿令高下。（绳
子先中折，当中以墨记之，却展开绳子横量，以绳子上墨点正压脊骨上墨点为正，两头取平，勿令高下。）于
绳子两头以白圈记。（白圈是灸穴。）
以上是第一次点二穴。
次二穴，令其人平身正坐，稍缩臂膊，取一绳绕项向前双垂与鸠尾齐（鸠尾是心岐骨，人有无心岐骨者，
至心胸前两岐骨下量
取一寸即是鸠尾也）即双截断，却背翻绳头向项后，以绳子中停取心正，令当喉咙结骨上其绳两头夹项双垂，循脊骨以
墨点记之（墨点不是灸处）。又取一绳子，令其人合口横量齐两吻截断，还于脊骨上墨点横量如法，绳子两头以白圈记
之。（白圈是灸处。）
以上是第二次点穴，通前共四穴，同时灸，日别各七壮至二七壮，累灸至一百或一百五十壮为妙，候疮欲
瘥，又根据后法灸二穴。
又次二穴，以第二次量口吻绳子，于第二次双绳头尽处墨点上，当脊骨直上下直点，令绳中停中心在墨点
上，于上下绳尽头以白圈记两穴。（白圈是灸处。）
以上是第三次点两穴，谓之四花。灸两穴各百壮，三次共六穴，各取离日量度，度讫即下火，准须三月三
日又最佳。疾瘥百日内慎饮食、房室，安心静处将息，若一月后觉未瘥，复初穴上再灸。
以上六穴名六花。
今具崔知悌点穴图∶
\r图\p03-b12a71.bmp\r
自大拇指端当
脚跟向后至曲
KT 大横纹当中
\r图\p03-b12a72.bmp\r
自鼻端量向上循头缝
至脑后（灸脑门禁穴）
\r图\p03-b12a73.bmp\r
循脊骨引绳头向下至绳
尽处当脊骨以墨点之
\r图\p03-b12a74.bmp\r
合口以绳子按于口上钩
起绳子中心至鼻柱下便
齐两吻截断
\r图\p03-b12a75.bmp\r
将量口吻绳子展直于前来脊骨上
墨点处横量两头以白圈记(白圈记是)
（灸穴墨点处不是灸穴）
以上第一次点二穴。
\r图\p03-b12a76.bmp\r
取一绳绕项向前双垂与鸠尾齐
\r图\p03-b12a77.bmp\r
翻绳头向项后以绳两头
夹项双垂循脊骨向下至
两绳头尽处以墨点记之
\r图\p03-b12a78.bmp\r
以绳子令人合口横量齐
两吻截断
\r图\p03-b12a79.bmp\r
用量口吻绳子于脊骨墨
点上横量两头以白圈记
（白圈记是灸穴墨点不是灸穴）
\r图\p03-b12a80.bmp\r
以第二次量口吻绳
子于第二次双绳头
尽处墨点上直上一
直量尽头用白圈记
\r图\p03-b12a81.bmp\r
以上是第二次点二穴。
此系已点成四花
凡骨蒸之候所起，辨验有二十二种，并根据上项灸之。
一，胞蒸（小便赤黄 ）
二，玉房蒸（男遗尿失精，女月漏不调）
三，脑蒸（头眩热闷）
四，髓蒸（觉髓沸热）
五，骨蒸（齿黑）
六，筋蒸（甲热）
七，血蒸（发赤）
八，脉蒸（急缓不调）
九、肝蒸（或时眼前昏暗）
十，心蒸（舌焦或疮，或时胸满）
十一，脾蒸（唇焦热或口疮）
十二，肺蒸（口干生疮）
十三，肾蒸（耳干焦）
十四，膀胱蒸（右耳焦）
十五，胆蒸（眼目失光）
十六，胃蒸（舌下痛）
十七，小肠蒸（下沥不禁）
十八，大肠蒸（右鼻孔痛）
十九，三焦蒸（乍寒乍热）
二十，肉蒸（别人觉热自觉冷）
二十一，皮蒸（皮肉生鸡肉起）
二十二，气蒸（遍身壮热，不自安息）
用尺寸取穴法∶凡孔穴尺寸，皆髓人身形大小，须男左女右量手指中心一节，两横纹中心为一寸。
艾炷大小法∶凡艾炷须令足三分，若不足三分，恐覆孔穴不备，穴中经脉火气不行，即不能抽邪气、引正
气，虽小儿必以中指取穴为准。
艾法∶端午日，日未出，以艾中以意求其似人者，辄拮之以灸殊有效。幼时见一书中云∶尔忘其为何书也，
艾未有真似人者，于明暗间苟以意命之而已。万法皆妄无一真者，此何疑耶？
用火法∶黄帝曰∶松柏柿桑枣榆柳竹等木用火，灸必害肌血，慎不可用。凡取火者，宜敲石取火，或水
晶镜子于日得太阳火为妙，天阴则以槐木取火亦良。
灸后宜服治劳地黄丸。
地黄丸方
生地黄（汁） 青蒿（汁） 薄荷（汁） 童子小便 好酒（各二升，同煎成膏入） 柴胡（去芦） 鳖
甲（醋炙） 秦艽（各一两） 朱砂 麝香（各
半两，研）
上五味为末，入膏和为丸如桐子大。每服十五至二十丸，温酒下。切忌生冷物。
翰林待诏杨大邺问道：小儿日渐面色萎黄、身体消瘦衰弱，皮肤缺乏润泽，这是什么原因？回答说：这是因为胎气虚损，筋脉衰弱。根本原因在于父母受孕时强行行房，或是怀孕之事纯属偶然。或者母亲原有旧疾，胞宫久寒血海寒冷，气血衰败、形体羸瘦，胎儿在母体内已经受到亏耗损伤，等到出生养育后，自然显得憔悴。这大概是由于父母遗传之气所致，如果不是凭借巧妙有效的治疗方剂，最终也会积滞成为沉疴痼疾；其中如果哺乳较少、多喂咀嚼过的食物，肠胃就会逐渐变得干燥惨烈。幼儿时期俗称“腑干”；长大成人后则称为“骨蒸”。这本是孩童夭折受伤的疾病，盖因我不精通古始之道，未能通达圣人之意，不知道自古以来至今已有相关论述。
太医局生犀散：治疗小儿骨蒸肌肉消瘦，两颊发红口干，傍晚时分潮热，夜间有盗汗，五心（两手心、两足心及心胸）烦躁，四肢困倦，虽然饮食较多，但不能长养肌肉。以及大病初愈后，余毒未清；或伤寒病后，吃羊肉导致体热不退，都适宜服用此药。
羚羊角（镑片）、地骨皮（去土）、秦艽（去苗并土）、麦门冬（去心）、枳壳（麸炒，去瓤）、大黄（蒸，切，焙）、柴胡（去苗）、茯苓（去皮）、赤芍药、桑白皮（锉碎）、黄芪（锉碎）、人参（去芦头）、鳖甲（汤煮去裙边，涂醋炙至黄色）。以上各等分，捣成粗末。每次服用二钱，加水一盏，放入少许青蒿，煎至六分。去渣温服，饭后服用。幼儿可将药量分为两次服用。
倒垂杨柳枝（选筋粗的，从东南方向采摘，细锉均匀）、槐角（非人工种植的）、桑枝（如柳枝粗细。这三味药各称一斤。在十月结束、十二月上旬采集）、天仙藤（半斤，细锉）。以上四味药合用。十岁以下男童的小便二斗以内，同药浸泡一夜；在干净的锅内加入河水一斗，连同小便一起熬煮，不能让水消耗过多，随时添加河水熬到晚上，倒出澄清液体，用布袋拧出汁液。再用文火武火交替熬制，用柳条棍不停搅拌，等到熬剩一半时，撤去猛火，改用炭火直接熬成膏状，装入干净的瓷罐密封保存。所有拧出的药渣另外收好，用于制作金枝丸（方剂在后面）。
《聚宝方》又方金枝丸：
川乌头（炮裂，去皮脐）、仙灵脾（细锉）、防风、牛膝（各去芦头）、晚蚕沙（微炒）、桑黄（锉碎）、桃胶、乌蛇（酒浸一夜，炙熟和骨一起使用）、桃仁（各一两。其中桃仁需用茱萸二两炒熟，将桃仁和茱萸倒入瓦罐中，用厚纸封口一天一夜。去掉茱萸，只用桃仁）、前药的药渣、干黑桑椹（二两，不沾盐的）。以上十一味药研为细末，炼蜜制成梧桐子大小的丸药。每次服用时用前药的一起匕尖的量，用温酒化开，吞服丸子二十丸，每日空腹、中午、睡前服用。
《聚宝方》国老散：治疗骨蒸日久，去除三焦壅滞引起的虚热，不思饮食。大人、小儿均可服用。
甘草（炙）、银州柴胡（去苗）、秦艽（去土）、大乌梅（取肉焙干。各二两）。以上四味药研为细末，每日饭后用热开水冲服。忌食烤爆之物。
《聚宝方》人参柴胡汤：解除小儿肌体蒸热，促进肌肉生长，增进饮食。
人参、柴胡（去苗）、白茯苓、川芎（各一两）、知母、川升麻、藁本（去土）、甘草（炙）、天门冬（去心。各半两）、独活、柏子仁（各一分，研碎）。以上十一味药研为细末。每次服用一钱，加水半盏，生姜、青葱各少许，同煎至三分，去渣，饭后温服。五岁以上、十五岁以下的儿童，加入醋炙鳖甲半两，一同研为细末，加二钱，加水一盏，煎至六分。
《惠眼观证》柴胡丸：治疗疳劳，骨蒸发热，以及上焦极度口渴的方剂。
柴胡、茯苓（各一两）、木香、桂心（一分）、枳壳（麸炒，去瓤）、大黄（微炙。各一分）。以上研为细末，炼蜜制成如弹子大小的丸药，每次服用七丸，用温水送下。做成散剂也可以。
人参、地骨皮、茯苓、牛膝（酒浸）、菊花（各一两）、麦门冬（三两，去心）、甘草（炙）、远志（去心。各半两）。以上药材切碎拌匀。每次服用五钱匕，加水两盏，煎至一盏，去渣温服。不限时候，每日进服两次。
熟地黄（去土，洗）、当归、地骨皮（各洗）、枳壳（去瓤，麸炒）、柴胡、秦艽（各去芦）、知母、鳖甲（去黑皮尽，醋炙黄。各等分）。以上研为细末。每次服用一钱半，加水一盏、乌梅半个，煎至七分，连梅一起热服。
《庄氏家传》治疗小儿骨蒸劳热，肌肤羸瘦，思食，夜间多盗汗及诸疳热。青蒿丸方：
人参、茯苓、鳖甲（浸，去裙，醋炙）、柴胡、秦艽（各去苗）、绵黄芪（各一两）。以上取青蒿洗净，研磨过滤取自然汁一升，在银石器内熬取三合，加入蜂蜜四两再熬至适当程度，捣碎、过筛药末加入，共同捣一千下，制成绿豆大小的丸药。用米饮或麦门冬熟水送下十丸，空腹、米饮、中午服用。
黄脚雌鸡（一只，去毛及肚肠）、柴胡、黄连（各四两）。以上两味药研为粗末，用夹生绢袋盛装，放入鸡肚中缝合，煮至极烂捞出，去骨取药，混合焙干，研为细末。用酒面糊制成绿豆大小的丸药，根据孩子大小自行调整从二十丸加减，用熟水送下，不拘时候。
《庄氏家传》治疗骨蒸唇红，两颊发红气粗，口干，遍身壮热；或多虚汗，大肠便秘涩滞，小便赤黄，饮食极少。猪肚丸（出自《博济方》）：
鳖甲（醋炙黄）、柴胡（银州产者）、木香、青蒿、生干地黄（各一两）、黄连（去须。二两）、青橘皮（去白，半两）。以上七味药研为细末。用嫩小猪肚一枚，洗净去脂，将药末放入在内，系紧，蒸至极软如泥，研为丸药如绿豆大小。每次服用十五丸，温水送下。饭前、中午、睡前，每日三次服用。忌湿面、毒物。
胡黄连、黄连（大的，去须，称重）、柴胡（去苗，称重。各一两）、乌犀（磨粉）、赤茯苓、使君子（去皮，称重）、黄芩（细的）、鳖甲（炙令黄。各半两）。以上研为细末，用猪胆面和糊制成绿豆大小的丸药。每次服用十丸、二十丸，用熟水送下。
《庄氏家传》治疗小儿骨蒸发热，遍身如火，黄瘦虚汗，咳嗽心悸，日久不愈者，只可一料好药安顿。朱砂柴胡丸方：
好朱砂（一两，细研，水飞，晒干）、柴胡（去苗土，净洗，为末，二两）。以上两味药拌匀，用猪胆汁拌和均匀湿润，放入一个瓷盒内盖上；放在做饭的甑上蒸，直到饭熟为止取出，迅速和丸如小豆大小。每日空腹、睡前，煎桃仁、乌梅汤放冷，送下十丸。
凡是有灵性的生物受气禀赋于五行，养生违背道理就会招致六种疾病。如果参考岐伯、黄帝的广泛记载，蔚然有成旧的经书；攻治与艾灸并行，显著展现这种技术。骨蒸病，也叫传尸，也称鬼注，也称复连，也称无辜。男子以癖气为根，女子以血气为本。无论老少，大多感染此病；婴幼儿这类人群，传染更痛苦。其症状表现，头发干枯竖起，或聚拢或分散，或腹中有肿块，或脑后两边有小结节，多的甚至达到五六处。或夜间盗汗，梦中与鬼交合，虽然眼睛视力分明但四肢无力，气逆食少，逐渐陷入沉重羸弱，即使拖延时日，最终也会耗尽生命。我以前担任洛州司马时，曾三十天内通过艾灸救活十三人，前后治愈的人数超过二百。至于狸骨、獭肝，只是听说过去的说法；金牙、铜鼻，很少见到其功效。不如这个方子，扶持危重极其紧急。不仅单独治疗骨蒸，又分别治疗气病、风病，或瘴气或劳损，或邪气或癖块，患病状况既广泛，被艾灸救活的人不可全部记录。简略陈述梗概，又恐怕传授有误，误导后来者。所以现在详细绘制图形形状，希望让阅览者容易知晓。使其到处流传，颇有家藏秘方，不必急于向外请教名医，旁边寻求上等药物，还魂返魄，有什么难的？遇到疾病的人能不致力于此吗。
取穴方法：先定两个穴位，让病人平身正立，取一根细绳（蜡封以防伸缩，顺脚底贴肉坚踏之（男左女右），绳子前头与大脚趾端齐平，后头对准脚跟中心，向后引绳沿小腿肚贴肉，直上至腘窝大横纹处截断。又让病人解开头发分两边，露出头缝，自囟门平分至脑后；然后平身正坐，取刚才截断的绳子一头，让其与鼻尖齐平，引绳向上，正循头缝至脑后贴肉垂下，沿脊骨引绳向下至绳子尽头处，当脊骨处以墨点标记（墨点不是灸处）。又取一根绳子，让病人合口将绳子按在嘴上，两头至嘴角却钩起绳子中心，至鼻梁根下呈“△”字形，便齐两嘴角截断，将此绳展直，在刚才脊骨上墨点处横向测量取平，不要高低不一。（绳子先中间折叠，中间以墨记之，再展开绳子横向测量，以绳子上墨点正压脊骨上墨点为正，两头取平，不要高低不一。）在绳子两头以白圈标记。（白圈是灸穴。）以上是第一次点两个穴。
第二次两个穴，让病人平身正坐，稍微缩臂膊，取一根绳子绕项向前双垂与鸠尾穴齐平（鸠尾是心蔽骨，有人无心蔽骨者，至心胸前两歧骨下量取一寸即是鸠尾也）即双截断，反过来背翻绳头向项后，以绳子中间停取心正，让当喉咙结骨上其绳两头夹项双垂，沿脊骨以墨点标记（墨点不是灸处）。又取一根绳子，让病人合口横向测量齐两嘴角截断，还在脊骨上墨点处横向测量如法，绳子两头以白圈标记。（白圈是灸处。）以上是第二次点穴，通前共四个穴，同时灸，每天各七壮至十四壮，累计灸至一百或一百五十壮为妙，等到疮快要愈合，又根据后法灸两个穴。
再次两个穴，以第二次量口吻的绳子，在第二次双绳头尽处的墨点上，当脊骨直上下直点，让绳子中间中心在墨点上，于上下绳尽头以白圈标记两个穴。（白圈是灸处。）以上是第三次点两穴，称为四花。灸两穴各百壮，三次共六穴，各取离日量度，量完即下火，准时需三月三日又最佳。疾病痊愈百日内慎饮食、房事，安心静处调养，如果一个月后觉得未痊愈，再在原穴上灸。以上六个穴名六花。
现在具列崔知悌点穴图：
[图] 自大拇指端当脚跟向后至腘窝大横纹当中
[图] 自鼻端量向上循头缝至脑后（灸脑门禁穴）
[图] 循脊骨引绳头向下至绳尽处当脊骨以墨点之
[图] 合口以绳子按于口上钩起绳子中心至鼻柱下便齐两吻截断
[图] 将量口吻绳子展直于前来脊骨上墨点处横量两头以白圈记(白圈记是)（灸穴墨点处不是灸穴）以上第一次点二穴。
[图] 取一绳绕项向前双垂与鸠尾齐
[图] 翻绳头向项后以绳两头夹项双垂循脊骨向下至两绳头尽处以墨点记之
[图] 以绳子令人合口横量齐两吻截断
[图] 用量口吻绳子于脊骨墨点上横量两头以白圈记（白圈记是灸穴墨点不是灸穴）
[图] 以第二次量口吻绳子于第二次双绳头尽处墨点上直上一一直量尽头用白圈记
[图] 以上是第二次点二穴。此系已点成四花。
凡骨蒸之候所起，辨验有二十二种，并根据上项灸之。
一，胞蒸（小便赤黄）
二，玉房蒸（男遗尿失精，女月漏不调）
三，脑蒸（头眩热闷）
四，髓蒸（觉髓沸热）
五，骨蒸（齿黑）
六，筋蒸（指甲热）
七，血蒸（发赤）
八，脉蒸（急缓不调）
九、肝蒸（或时眼前昏暗）
十，心蒸（舌焦或疮，或时胸满）
十一，脾蒸（唇焦热或口疮）
十二，肺蒸（口干生疮）
十三，肾蒸（耳干焦）
十四，膀胱蒸（右耳焦）
十五，胆蒸（眼目失光）
十六，胃蒸（舌下痛）
十七，小肠蒸（下沥不禁）
十八，大肠蒸（右鼻孔痛）
十九，三焦蒸（乍寒乍热）
二十，肉蒸（别人觉热自觉冷）
二十一，皮蒸（皮肉生鸡肉起）
二十二，气蒸（遍身壮热，不自安息）
用尺寸取穴法：凡孔穴尺寸，皆随人身形大小，须男左女右量手指中心一节，两横纹中心为一寸。
艾炷大小法：凡艾炷须令足三分，若不足三分，恐覆盖孔穴不备，穴中经脉火气不行，即不能抽邪气、引正气，虽小儿必以中指取穴为准。
艾法：端午日，日出之前，以艾草中以意求其似人者，辄拮之以灸殊有效。幼时见一书中云：尔忘其为何书也，艾未有真似人者，于明暗间苟以意命之而已。万法皆妄无一真者，此何疑耶？
用火法：黄帝曰：松柏柿桑枣榆柳竹等木用火，灸必害肌血，慎不可用。凡取火者，宜敲石取火，或水晶镜子于日得太阳火为妙，天阴则以槐木取火亦良。
灸后宜服治劳地黄丸。
地黄丸方：
生地黄（汁）、青蒿（汁）、薄荷（汁）、童子小便、好酒（各二升，同煎成膏入）、柴胡（去芦）、鳖甲（醋炙）、秦艽（各一两）、朱砂、麝香（各半两，研）。以上五味药为末，入膏和为丸如桐子大。每服十五至二十丸，温酒下。切忌生冷物。
(Although bone heat and bone steaming vary in severity, the following prescriptions are generally applicable.)
Hanlin Daizhao Yang Daye asked: "Why does a child gradually become sallow, emaciated, weak, with skin lacking luster?" The answer is: This is due to deficiency and damage of fetal qi, and weakness of tendons and vessels. The root cause lies in forced sexual intercourse at conception, or pregnancy occurring by chance. Or the mother had pre-existing diseases, with a cold uterus and cold blood sea, leading to deficient qi and blood, emaciation, causing the fetus to be injured within the womb from the start. Upon birth and upbringing, the child naturally appears haggard. This stems from the inherited qi of the parents. Without effective treatment methods, it will eventually accumulate into chronic illness. Among these, if there is less breastfeeding and more consumption of chewed food, the intestines and stomach will gradually become dry and harsh. In infancy, this is commonly called 'Fu Gan' (Visceral Dryness); when grown up, it is called 'Bone Steaming'. This is originally a disease causing infant mortality. I, being unversed in ancient wisdom and unable to fully comprehend sage understanding, was unaware that such discussions have existed since ancient times.
Ta Yi Ju Sheng Xi San (Raw Rhinoceros Horn Powder): Treats pediatric bone steaming with muscle wasting, flushed cheeks, dry mouth, tidal fever in the late afternoon, night sweats, irritability in the five centers (palms, soles, and chest), limb fatigue, and inability to gain weight despite good appetite. It is also suitable for residual toxins after severe illness, or persistent body heat after typhoid fever caused by eating mutton.
Rhinoceronis Cornu (Bangpian) [Rhino Horn], Goubi Cortex (Digupi, de-soiled), Gastrodiae Rhizoma (Qinjiao, de-radicle and de-soiled), Ophiopogonis Radix (Maidong, de-core), Aurantii Fructus (Zhike, bran-fried, de-albedo), Rheum Radix et Rhizoma (Dahuang, steamed, sliced, dried), Bupleuri Radix (Chaihu, de-radicle), Poria (Fuling, de-bark), Paeoniae Radix Rubra (Chishao), Mori Cortex (Sangbaipi, chopped), Astragali Radix (Huangqi, chopped), Ginseng Radix (Renshen, de-stolon), Testudinis et Chelonis Carapax et Plastrum (Biejia, boiled, de-marginal scute, vinegar-fried until yellow). All ingredients in equal parts, pounded into coarse powder. Take 2 qian per dose, add one cup of water and a little Qinghao (Artemisiae Annuae Herba), decoct until six-tenths remains. Strain and take warm after meals. For infants, divide into two doses.
Ju Bao Fang Long Hu Jian (Tiger-Dragon Decoction): Treats paralysis due to wind pathogen, and bone-steaming consumptive qi in boys and girls.
Salix Matsudana Branches (Daochui Yangliuzhi - select thick-veined branches harvested from the southeast direction, finely chopped), Sophorae Fructus (Huaijiao - non-cultivated), Mori Ramulus (Sangzhi - similar thickness to willow branches. Weigh 1 jin each of these three. Harvest at the end of October or early December), Aristolochiae Vitis (Tianxianteng - 0.5 jin, finely chopped). Combine the four ingredients. Soak overnight with urine from boys under ten years old (up to 2 dou). Add one dou of river water to a clean pot, boil together with the urine. Do not let the water evaporate too much; add river water as needed. Boil until evening, pour out the clear liquid, and wring out the juice using a cloth bag. Continue boiling with alternating mild and strong fire, stirring constantly with a willow stick. When reduced by half, remove intense fire and switch to charcoal fire to boil into a paste. Store in a clean porcelain jar and seal tightly. Reserve the dregs for making Jin Zhi Wan (prescription follows).
Ju Bao Fang Jin Zhi Wan (Golden Branch Pill):
Aconiti Lateralis Radix Praeparata (Chuan Wutou, processed, de-skin and navel), Epimedii Folium (Xianlingpi, finely chopped), Saposhnikoviae Radix (Fangfeng), Achyranthis Bidentatae Radix (Niuxi, de-radicle all in equal parts), Bombyx Batryticatus (Wan Can Sha, lightly fried), Phellodendri Cortex (Sanghuang, chopped), Persicae Gummi (Taojiao), Daboia Munroi (Wushe, soaked in wine overnight, roasted and used with bones), Pruni Semen (Taoren - 1 liang each. Taoren must be stir-fried with 2 liang of Corni Fructus (Shanzhuyu). Place Taoren and Shanzhuyu in a clay pot, seal tightly with thick paper for 24 hours. Remove Shanzhuyu, use only Taoren), Dregs of previous medicine, Morus Alba Fruit (Gan Hei Sangshen - 2 liang, unsalted). Pound eleven ingredients into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take one spoon-tip of the previous medicine dregs mixed with 20 pills, dissolved in warm wine. Take on an empty stomach, at noon, and before bed daily.
Ju Bao Fang Gu Lao San (National Elder Powder): Treats long-standing bone steaming, clearing stagnation and deficient heat in the Triple Burner, and loss of appetite. Suitable for adults and children.
Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), Bupleuri Radix Yinzhouensis (Yinzhou Chaihu, de-radicle), Gastrodiae Rhizoma (Qinjiao, de-soiled), Pruni Mume Fructus (Da Wumei - take flesh and bake. Each 2 liang). Pound four ingredients into fine powder. Take after meals with hot water daily. Avoid roasted and fried foods.
Ju Bao Fang Renshen Chaihu Tang (Ginseng and Bupleurum Decoction): Resolves pediatric muscular steaming heat, promotes muscle growth and appetite.
Ginseng Radix (Renshen), Bupleuri Radix (Chaihu, de-radicle), Poria (Baifuling), Ligusticum Chuanxiong Rhizoma (Chuanxiong) - each 1 liang, Anemarrhenae Rhizoma (Zhimu), Cimicifugae Rhizoma (Chuan Shengma), Libanotis Rhizoma (Benluo, de-soiled), Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), Asparagi Radix (Tianmendong, de-core) - each 0.5 liang, Angelicae Pubescentis Radix (Duohuo), Biota Semen (Baiziren) - each 1 fen, crushed. Pound eleven ingredients into fine powder. Take 1 qian per dose, add half cup of water, a little fresh ginger and green onion. Decoct until three-tenths remains. Strain and take warm after meals. For children aged 5-15, add 0.5 liang of vinegar-fried Testudinis et Chelonis Carapax et Plastrum (Biejia), pound together into powder, add 2 qian, add one cup of water, decoct until six-tenths remains.
Hui Yan Guan Zheng Chaihu Wan (Bupleurum Pill): Treats childhood malnutrition consumption (Gan Lao), bone-steaming fever, and excessive thirst in the Upper Jiao.
Bupleuri Radix (Chaihu), Poria (Fuling) - each 1 liang, Aucklandiae Radix (Muxiang), Cinnamomi Cortex (Guixin) - 1 fen, Aurantii Fructus (Zhike, bran-fried, de-albedo), Rheum Radix et Rhizoma (Dahuang, lightly roasted) - 1 fen each. Pound into powder. Mix with refined honey to make pills the size of a bullet. Take 7 pills with warm water. Powder form is also acceptable.
Liu Shi Jia Chuan Ba Xian Yin Zi (Eight Immortals Infusion): Treats male youth steaming heat.
Ginseng Radix (Renshen), Lycii Cortex (Digupi), Poria (Fuling), Achyranthis Bidentatae Radix (Niuxi, wine-soaked), Chrysanthemi Flos (Juhua) - each 1 liang, Ophiopogonis Radix (Maidong, 3 liang, de-core), Glycyrrhizae Radix et Rhizoma (Zhi Gancao, honey-fried), Polygalae Radix (Yuanzhi, de-core) - each 0.5 liang. Cut ingredients evenly. Take 5 qian per dose, add two cups of water, decoct until one cup remains. Strain and take warm. No specific timing, take twice daily.
Zhang Shi Jia Chuan Dihuang San (Rehmannia Powder): Treats pediatric bone steaming heat leading to consumptive fatigue.
Prepared Rehmanniae Radix (Shu Dihuang, de-soiled, washed), Angelicae Sinensis Radix (Danggui), Lycii Cortex (Digupi, washed), Aurantii Fructus (Zhike, de-albedo, bran-fried), Bupleuri Radix (Chaihu), Gastrodiae Rhizoma (Qinjiao, de-radicle all in equal parts), Anemarrhenae Rhizoma (Zhimu), Testudinis et Chelonis Carapax et Plastrum (Biejia, remove black skin completely, vinegar-fried until yellow). Pound into powder. Take 1.5 qian per dose, add one cup of water and half a Pruni Mume Fructus (Wumei). Decoct until seven-tenths remains. Take hot with the plum.
Zhuang Shi Jia Chuan Qinghao Wan (Artemisia Pill): Treats pediatric bone-steaming heat, emaciation, desire for food, night sweats, and various Gan fevers.
Ginseng Radix (Renshen), Poria (Fuling), Testudinis et Chelonis Carapax et Plastrum (Biejia, soaked, de-marginal scute, vinegar-fried), Bupleuri Radix (Chaihu), Gastrodiae Rhizoma (Qinjiao, de-radicle all in equal parts), Astragali Radix (Mian Huangqi) - each 1 liang. Wash Qinghao (Artemisiae Annuae Herba), grind and filter to obtain 1 sheng of natural juice. Boil in a silver/copper vessel to reduce to 3 he. Add 4 liang of honey and boil appropriately. Pound and sieve medicinal powder, mix in, and beat 1000 times. Make pills the size of mung beans. Take 10 pills with rice drink or Ophiopogon熟水, on an empty stomach, with rice drink, at noon.
Zhuang Shi Jia Chuan Zhu Ji Wan (Boiled Chicken Pill): Treats pediatric bone steaming and all Gan diseases.
Yellow-legged hen (one, plucked and eviscerated), Bupleuri Radix (Chaihu), Coptidis Rhizoma (Huanglian) - each 4 liang. Pound two ingredients into coarse powder. Place in a raw silk bag, insert into chicken stomach, sew shut. Boil until very soft, strain, remove bones, take medicine, mix and bake dry. Pound into powder. Use wine and flour paste to make pills the size of mung beans. Adjust dosage from 20 pills based on child's size. Take with warm water, no specific timing.
Zhuang Shi Jia Chuan Zhu Du Wan (Pig Stomach Pill): Treats bone steaming with red lips, flushed cheeks, rough breathing, dry mouth, generalized high fever, frequent spontaneous sweating, constipation, dark yellow urine, and poor appetite. (From Bo Ji Fang).
Testudinis et Chelonis Carapax et Plastrum (Biejia, vinegar-fried until yellow), Bupleuri Radix (Chaihu - Yinzhou variety), Aucklandiae Radix (Muxiang), Artemisiae Annuae Herba (Qinghao), Rehmanniae Radix (Sheng Gan Dihuang) - each 1 liang, Coptidis Rhizoma (Huanglian, de-fibers) - 2 liang, Citri Reticulatae Pericarpium Viride (Qing Ju Pi, de-albedo) - 0.5 liang. Pound seven ingredients into fine powder. Take one young pig stomach, clean and remove fat. Insert powder inside, tie securely. Steam until soft like mud. Grind into pills the size of mung beans. Take 15 pills with warm water. Before meals, at noon, before bed. Three times daily. Avoid wet noodles and toxic foods.
Zhuang Shi Jia Chuan Hu Lian Wan (Picrorhiza Pill): Treats bone-steaming tidal fever, emaciation, promoting muscle growth, resolving Gan jaundice.
Picrorhizae Rhizoma (Huhuanglian), Coptidis Rhizoma (Huanglian - large ones, de-fibers, weighed), Bupleuri Radix (Chaihu, de-radicle, weighed) - each 1 liang, Rhinoceronis Cornu (Wuxi, ground), Polyporus (Chifuling), Quisqualis Fructus (Shijunzi, de-skin, weighed), Scutellariae Radix (Huangqin - thin ones), Testudinis et Chelonis Carapax et Plastrum (Biejia, roasted until yellow) - each 0.5 liang. Pound into fine powder. Use pig bile and flour paste to make pills the size of mung beans. Take 10-20 pills with warm water.
Zhuang Shi Jia Chuan Zhusha Chaihu Wan (Cinnabar and Bupleurum Pill): Treats pediatric bone-steaming fever, body feeling like fire, sallow emaciation with spontaneous sweating, cough, palpitations, lasting long without cure. One dose of good medicine can settle it.
High-quality Cinnabar (Zhusha - 1 liang, finely ground, water-washed, sun-dried), Bupleuri Radix (Chaihu - de-radicle and soil, clean wash, powdered, 2 liang). Mix evenly. Moisten with pig bile. Place in a porcelain box and cover. Steam over a rice cooker until rice is cooked. Remove and quickly make pills the size of small beans. Take 10 pills on an empty stomach and before bed, with cooled Peach Kernel and Pruni Mume Fructus decoction.
Tang Dynasty Zhongshu Shilang Cui Zhit Ti's Moxibustion Method for 22 Types of Bone Steaming:
All living beings receive Qi from the Five Elements. Improper health management leads to six diseases. Referencing Qi Bo and Huang Di's records, there are established classics. Combining attack and moxibustion highlights this technique. Bone steaming is also called Chuan Shi (Transmitting Corpse), Gui Zhu (Ghost Note), Fu Lian (Repeated Connection), or Wu Gu (Innocent). Men root in Pi Qi (accumulated mass), women root in Blood and Qi. Regardless of age, many contract this disease; infants suffer more from transmission. Symptoms include dry, erect hair, clustered or scattered nodules, abdominal masses, or small knots on both sides of the back of the head, up to five or six. Night sweats, dreams of ghost intercourse, clear vision but weak limbs, upward Qi rebellion, poor appetite, gradual decline into severe emaciation. Even if prolonged, it ends in exhaustion. I once served as Sima of Luozhou, saving 13 people in 30 days through moxibustion, with over 200 cured previously. Tales of狸骨 (Fox Bone) and 獭肝 (Otter Liver) are heard, but Gold Teeth and Copper Noses rarely show efficacy. This method is superior for critical rescue. It treats not just bone steaming, but also Qi disorders, Wind, Miasma, Consumption, Evil, and Pi masses. The conditions are broad, and those saved by moxibustion cannot be fully recorded. Briefly stating the outline, fearing transmission errors misleading future generations, I provide diagrams for clarity. Let it circulate widely. With home secrets, no need to seek famous doctors or expensive drugs. Reviving the dead is easy. Should not those with disease strive for this?
Acupoint Location Method: First two points. Have patient stand upright. Take a thin string (waxed to prevent stretching/shrinking). Place flat against sole (Male Left, Female Right). Front end aligns with big toe tip. Back end aligns with center of heel. Pull string backward along calf紧贴 skin, straight up to the popliteal crease (QuKT - likely referring to Weizhong BL40 area). Cut string. Have patient untie hair, parting sides to see midline. From Fontanelle (Xinmen), divide equally to back of head. Sit upright. Take one end of cut string, align with nose tip. Pull string up along midline to back of head, hang down紧贴 skin along spine to end of string. Mark spine with ink at string end (Mark is NOT moxa site). Take another string. Have patient close mouth, place string across mouth. Ends reach corners of mouth. Hook center of string up to base of nasal bridge forming a triangle shape. Cut at corners of mouth. Straighten this string. Measure horizontally from previous spine mark. Keep level. (Fold string in middle, mark center. Unfold and measure horizontally. Center mark presses exactly on spine mark. Ends level). Mark ends with white circles (White circle IS moxa site). These are the first two points.
Second two points. Patient sits upright, arms slightly tucked. String around neck hanging forward to Jiuwei (CV15) level. Jiuwei is xiphoid process. If absent, measure 1 cun below xiphisternal junction. Cut double. Flip string back behind neck. Center aligns with heart. Ends hang down neck,紧贴 spine. Mark spine with ink (Mark is NOT moxa site). Take another string. Patient closes mouth, measures across corners of mouth. Cut. Measure horizontally on spine mark again. Mark ends with white circles (White circle IS moxa site). These are the second two points. Total four points. Moxa simultaneously. 7-14 moxa cones per session. Accumulate to 100-150 cones. When sores heal, follow next method for two more points.
Next two points. Use the mouth-measuring string from the second step. At the end marks of the double string from the second step on the spine, draw a vertical line up and down. Center of string on mark. Mark ends with white circles (White circle IS moxa site). These are the third two points, called Si Hua (Four Flowers). Moxa 100 cones per point. Total six points. Measure distance from sun. Apply fire immediately after measurement. Best date is March 3rd. After cure, avoid heavy diet and sex for 100 days. Rest quietly. If not cured after one month, re-moxa original points. These six points are called Liu Hua (Six Flowers).
[Cui Zhit Ti Acupoint Diagrams]
[Image] From big toe to heel to popliteal crease center.
[Image] From nose tip up along midline to back of head (Moxa Naomen GV19).
[Image] Along spine down to string end, mark spine with ink.
[Image] Close mouth, string across mouth, hook center to nasal base, cut at corners.
[Image] Straighten mouth-string, measure horizontally on spine mark, mark ends with white circles (Circle IS site, Ink is NOT). First two points.
[Image] String around neck hanging to Jiuwei level.
[Image] Flip string back behind neck, hang down spine, mark ends with ink.
[Image] String across closed mouth, cut at corners.
[Image] Mouth-string horizontal on spine mark, mark ends with white circles (Circle IS site, Ink is NOT).
[Image] Second mouth-string vertical on second spine mark, extend to end, mark with white circle.
[Image] Second two points. This forms Four Flowers.
There are 22 types of bone steaming symptoms to distinguish and treat with the above moxibustion:
1. Bladder Steaming (Dark yellow urine)
2. Jade Chamber Steaming (Nocturnal emission/incontinence in men, irregular menstruation in women)
3. Brain Steaming (Dizziness, heat, stuffiness)
4. Marrow Steaming (Feeling marrow boiling heat)
5. Bone Steaming (Black teeth)
6. Tendon Steaming (Hot nails)
7. Blood Steaming (Red hair)
8. Pulse Steaming (Irregular pulse)
9. Liver Steaming (Blurred vision)
10. Heart Steaming (Dry/scaly tongue or ulcers, chest fullness)
11. Spleen Steaming (Dry/hot lips or mouth ulcers)
12. Lung Steaming (Dry mouth, ulcers)
13. Kidney Steaming (Dry/scaly ears)
14. Bladder Steaming (Right ear scaly)
15. Gallbladder Steaming (Loss of eyesight)
16. Stomach Steaming (Pain under tongue)
17. Small Intestine Steaming (Uncontrollable diarrhea)
18. Large Intestine Steaming (Right nostril pain)
19. Triple Burner Steaming (Alternating chills and fever)
20. Flesh Steaming (Others feel heat, patient feels cold)
21. Skin Steaming (Skin/muscle looks like chicken skin)
22. Qi Steaming (Generalized high fever, restlessness)
Measurement Method: Acupoint sizes depend on body size. Male Left, Female Right. Measure one segment of finger center, between two transverse creases = 1 cun.
Moxa Cone Size: Cones must be 3 fen thick. If thinner, coverage is insufficient, meridian Qi won't flow, failing to expel evil and attract righteous Qi. Even for children, use middle finger for measurement.
Moxa Material: On Dragon Boat Festival (Duanwu), before sunrise, find mugwort resembling human form. Moxa is highly effective. A book mentioned finding human-like mugwort is doubtful; it's merely imaginative. Most methods are false.
Fire Method: Huang Di said: Do not use wood from Pine, Cypress, Persimmon, Mulberry, Date, Elm, Willow, Bamboo for moxa fire; it harms muscles and blood. Use flint or crystal mirror to catch sunlight. On cloudy days, use Locust wood.
After moxibustion, take Diligence Rehmannia Pill (Zhi Lao Dihuang Wan).
Dihuang Wan Formula:
Fresh Rehmanniae Radix Juice (Sheng Dihuang Zhi), Artemisiae Annuae Herba Juice (Qinghao Zhi), Menthae Haplocalycis Herba Juice (Bohe Zhi), Boy's Urine, Good Wine (Each 2 sheng, decoct into paste). Bupleuri Radix (Chaihu, de-stolon), Testudinis et Chelonis Carapax et Plastrum (Biejia, vinegar-fried), Gastrodiae Rhizoma (Qinjiao) - each 1 liang, Cinnabar (Zhusha), Moschus (Shexiang) - each 0.5 liang, ground. Pound five ingredients into powder. Mix with paste to make paulownia seed-sized pills. Take 15-20 pills with warm wine. Strictly avoid cold/raw foods.