治 癖。穴内踝后宛中。随年壮。气海百壮。
治久冷。及妇人 瘕。肠鸣泄利。绕脐绞痛。穴天枢。灸百壮。三报之。勿针。
治溏瘕。穴地机
治疝瘕。穴阴陵泉 太溪 阴
治疝瘕。穴不容 中极
治小腹坚大如盘。胸腹胀满。饮食不消。妇人瘕聚瘦瘠。三焦俞。灸百壮。内踝后宛宛
中。随年壮。气海百壮。
治瘕癖左右相随。患左灸左。患右灸右。第一屈肋头。近第二肋下是灸处。第二肋头。
近第
三肋头下。向肉翅前。亦是灸处。初日灸三壮。次日五壮。后七壮至十壮止。周而复始(忌
大蒜)。又关元五十壮。脐下四指五十壮。
治积聚坚满痛。穴章门。灸百壮。
治 。穴三焦
治结积留饮。癖囊。胸满。饮食不消。穴通谷。灸五十壮。
治 癖闪癖。令患人平坐。取麻线一条。绕项。向前垂线头至鸠尾。横截断。即回线向
后当
脊取线尽头。即点记。又别横度口吻外截。却即取度吻线中折。于脊骨点处中心。上下分之
各点小两头通前合灸三处。其所灸处。日别灸至七壮以上。十壮以下。满十日。即停。看
患人食稍得味。即去线一二分亦可。若患人未去。可停二十日外。还根据前灸之。仍灸季肋头
二百壮。其灸季肋之早晚。与灸脊上同时下火也。
治闪癖。其癖有根。其根有着背者。有着膊上者。遣所患人平坐。熟看癖头。仍将手从
癖头
向上按之。当有脉筑筑然向上。细细寻至膊上。至筑筑头当膊下。即下火还与前壮数无别。
王丞云。背上恐不得过多下火。只可细细。日别七炷。
治疗癖积。取穴在内踝后方凹陷处。灸量随患者年龄而定,每岁一壮。气海穴灸一百壮。
治疗久寒之证,以及妇女的瘕积。症状表现为肠鸣、泄泻、绕脐部绞痛。取穴天枢。灸一百壮,分三次施灸(三报之),不可针刺。
治疗溏瘕。取穴地机。
治疗疝瘕。取穴阴陵泉、太溪、阴谷(原文“阴”后缺字,结合上下文及穴位配伍,通常指阴谷或阴市,此处依原文仅列“阴”,但根据中医针灸常规,阴陵泉常配阴谷,且阴谷位于膝内侧,符合语境;若严格按原文提取实体,则只写“阴”,但为了翻译通顺,此处暂按常见配伍理解,但在实体提取时严格遵循原文)。*注:原文“阴”字后似有脱漏,通常指阴谷穴。*
治疗疝瘕。取穴不容、中极。
治疗小腹坚硬肿大如盘状,胸腹胀满,饮食不消化。妇女瘕聚、消瘦羸弱。取穴三焦俞。灸一百壮。内踝后方凹陷处,随年龄定壮数。气海穴灸一百壮。
治疗瘕癖左右交替发作。患左侧灸左侧,患右侧灸右侧。第一处灸点在屈曲肋骨的头端,靠近第二肋骨下方是施灸部位。第二处灸点在第二肋骨头端,靠近第三肋骨头端下方,向肉翅前方,也是施灸部位。第一天灸三壮,第二天五壮,之后七壮直至十壮为止,循环往复(忌食大蒜)。另外,关元穴灸五十壮,脐下四横指处灸五十壮。
治疗积聚坚硬胀满疼痛。取穴章门。灸一百壮。
治疗[原文缺失病名]。取穴三焦俞。
治疗结积留饮、癖囊、胸满、饮食不消化。取穴通谷。灸五十壮。
治疗[原文缺失前缀]癖、闪癖。令患者平坐,取一根麻线,绕颈部,向前垂下线头至鸠尾穴处,横向截断。然后将线向后折,对准脊柱,取线的尽头做标记。再另取一根线横向度量口吻外侧并截断,将此线对折,以脊柱上的标记点为中心,上下平分,在两端及中间共三点施灸,这三处需同时灸治。每日每处灸七壮以上,十壮以下,连续十天,然后停止。观察患者食欲是否稍恢复且有滋味,若未完全痊愈,可暂停二十天后,再按前述方法施灸。另外,季肋头端灸二百壮。灸季肋的时间与灸脊柱的时间同时进行。
治疗闪癖。这种癖积有根,其根部有的附着在背部,有的附着在胳膊上。让患病者平坐,仔细查看癖积的头部。用手从癖积头部向上按压,应当能感觉到脉搏筑筑然向上跳动,细细寻找到胳膊上,直到搏动最明显处在胳膊下方,即在此处施灸,壮数与前法相同。王丞说,背部恐怕不宜过多施灸,只能细细地,每天每处七炷。
Treating Pi accumulation (Pi accumulation: a type of abdominal mass characterized by fixed location and pain). The acupoint is located in the depression behind the medial malleolus. The moxibustion dosage follows the patient's age, one moxa cone per year of age. Qihai (CV6) is moxibusted with 100 cones.
Treating chronic cold conditions, as well as Jia masses (Jia masses: fixed abdominal masses often associated with blood stasis) in women. Symptoms include borborygmus (intestinal rumbling), diarrhea, and colicky pain around the umbilicus. The acupoint is Tianshu (ST25). Moxibustion with 100 cones, administered in three sessions (San Bao Zhi), acupuncture is contraindicated.
Treating Tang Jia (Tang Jia: a type of soft abdominal mass associated with dampness or loose stools). The acupoint is Diji (SP8).
Treating Shan Jia (Shan Jia: hernia-like masses or abdominal masses related to liver channel disorders). The acupoints are Yinlingquan (SP9), Taixi (KI3), and Yin [Gu] (Yin Gu: KI7, implied by context though text says "Yin").
Treating Shan Jia. The acupoints are Burong (ST17) and Zhongji (CV3).
Treating hardness and enlargement of the lower abdomen resembling a plate, chest and abdominal distension, and indigestion. In women, it treats Jia Ju (Jia Ju: gynecological masses) and emaciation. The acupoint is Sanjiaoshu (BL22). Moxibustion with 100 cones. The point behind the medial malleolus is treated according to age. Qihai (CV6) is moxibusted with 100 cones.
Treating Jia Pi (Jia Pi: alternating abdominal masses) that move left and right. If the affliction is on the left, moxibustion is applied to the left; if on the right, to the right. The first moxibustion site is at the head of the flexed rib, near the lower edge of the second rib. The second site is at the head of the second rib, near the lower edge of the third rib, towards the anterior aspect of the muscle wing. On the first day, 3 cones are used; on the second day, 5 cones; subsequently, 7 to 10 cones, cycling repeatedly (Garlic is contraindicated). Additionally, Guanyuan (CV4) is moxibusted with 50 cones, and the area four finger-breadths below the umbilicus is moxibusted with 50 cones.
Treating Ji Ju (Ji Ju: accumulated masses that are hard and painful) with hardness, fullness, and pain. The acupoint is Zhangmen (LR13). Moxibustion with 100 cones.
Treating [Text missing]. The acupoint is Sanjiaoshu (BL22).
Treating accumulated fluid retention, Pi Nang (Pi Nang: a condition involving phlegm-fluid accumulation forming a cyst-like mass), chest fullness, and indigestion. The acupoint is Tonggu (BL65). Moxibustion with 50 cones.
Treating [Text missing] Pi and Shan Pi (Shan Pi: sudden onset of abdominal masses or pain). Have the patient sit flat. Take a hemp thread, wrap it around the neck, let the end hang down forward to the Jiwei (CV15) point, and cut it horizontally. Then fold the thread backward to align with the spine, mark the end of the thread. Take another thread horizontally across the outside of the mouth corners and cut it. Fold this mouth-measuring thread in half. Using the spinal mark as the center, divide it equally up and down. Mark the two ends and the center. Apply moxibustion simultaneously at these three points along the spine. Each point receives between 7 and 10 cones daily for ten days, then stop. Observe if the patient's appetite improves and food tastes better. If not fully cured, pause for twenty days, then resume the previous moxibustion protocol. Additionally, moxibustion with 200 cones is applied to the tip of the costal margin (Ji Li Tou). The timing of moxibustion on the costal margin should coincide with that on the spine.
Treating Shan Pi. This type of Pi has a root; the root may attach to the back or the arm. Have the patient sit flat and carefully examine the head of the Pi mass. Press upward from the head of the mass with your hand. There should be a pulsating sensation moving upward. Trace this pulse finely to the arm until the strongest pulsation is found below the arm. Apply moxibustion here, using the same number of cones as previously described. Wang Cheng stated that excessive moxibustion on the back is dangerous; it should be done carefully, with seven cones per session daily.