（附论）
凡香港脚。发有阴阳表里。当随状疗之。不可妄根据古方。患阴疗阳。病表救里。皆为重虚
实。
危殆之甚也。若病从阴发起。两大指内侧上循胫内。及膝里。顽痹不仁。或肿先发于此者。
皆须随病灸复溜。中都。阴陵泉等诸穴。灸者。先从上始向下引其气。便各灸二十壮。向后
隔七日。灸七壮。取瘥止。余穴皆根据此。若病从阳起。两小指外侧。向上循胫外从骨至风市
顽痹不仁。或肿起。于此者。须灸阳绝骨。阳陵泉。风市等诸穴。灸数及上向下。皆根据前
法。若气毒兼行表里者。乃可量其轻重随灸膏以磨之上下遍发表里。各灸一二处。以此通泄
之。其用药内攻。各量病投药也。逐偏若处。常使灸疮不瘥为佳。风气都除。乃随疮瘥。瘥
后。瘢色赤者。风。卜毒已尽。青黑者。犹有毒瓦斯。仍灸勿止。待身体轻利。然后可休矣。
又一本云。常须灸三里。绝骨。勿令疮瘥。佳。
香港脚初发转筋者。灸承山承筋二穴。哕逆者。灸涌泉。若头连臂痛。寒热如疟。及腰痛
者。
灸委中。头项背痛。随身痛。即灸不在正穴也。又云。若香港脚盛发时。自腰以上。并不得针
灸。当引风气上则杀人。气歇以后。有余病者。灸无妨。准冬月得灸。春夏不可灸。自风市
以下。固宜灸耳。又云。若气上击心不退。急灸手心三七壮。气即便退。若未退。即兼闷者
豉酒热饮。逐以即瘥。不去。即取乌卜卜 牛尿一大升。暖服。以利为止。缘至三服五服
弥佳。又若已灸脚。而胸中气尤不下满闷者。宜灸间使五十炷。两手掌横纹后三寸两筋间是
也。又若胸中气散。而心下有脉。洪大跳其数向下分入两脾股内。令人心急。忪悸者。宜以
手按摄小腹下两傍。接脾大斜文。有脉跳动。盒饭文上灸。跳三七壮即定。灸毕。皆须用灸
三里二十炷。以引其气下也。又若心腹气既定。而两髀外连 服闷者。宜灸 服七炷。在
头骨下。相接处。在筋之外陷中是。若后更发。复灸五炷。又凡人虽不患香港脚。但若髀 疼闷。
灸此无不应手即愈。极为要穴。然不可不灸。亦不可多针。唯只灸七炷以下。又若脚十指酸
疼闷渐入跗上者。宜灸指头正中。甲肉际三炷即愈。又若大指或小指傍侧疼闷。觉内有脉如
流水。上入髀腹者。随指傍处灸三炷即愈。
患香港脚。皆春发夏甚。秋轻冬歇。大法。春秋宜灸。冬差可行。夏都不可灸。既疮败。
又不
得覆。风冷因入。反更增 。冬时血凝。又逆天理。争不得已。无药处可灸一二要穴。不可
遍身多灸。香港脚病大论。毒从下上。亦有从上向下者。或云灸上毒瓦斯便上。缪矣。此见毒瓦斯
攻处。疼痛如刺。随病即灸。火彻便瘳。不拘上下。凡毒瓦斯所冲。如贼欲出。得穴即出。岂在
门也。风毒所攻。亦复如是。此皆经试。万不失一。必不为误耳（苏同）。若手指本节间。疼
稍入臂者。宜灸指间疼处七炷即定。又若心胸气满。已灸身胫诸血。及服汤药而气犹不可烦
急欲死者。宜灸两足心下当中陷处。各七炷。气即下。此穴尤为极要。而不数灸。但急极
乃灸之七炷耳以前诸灸法并经用所试皆验。灸毕应时即愈。故具录记之。凡灸不废汤药。药
攻其内。灸泄其外。譬如开门驱贼。贼则易出。若闭门逐之。贼无出路。当反害人耳。世有
勤工力学之士。一心注意于事。久坐行立于湿地。不时动转。冷风来击入于经络。不觉成病
故风毒中人。或先中手足十指。因汗毛孔开。腠理疏通。风如击箭。或先中足心。或先中
足趺。或先中膝以下 胫表里者。若欲使人不成病者。初觉即灸所觉处三二十壮。因此即愈
不得发也。
法
治香港脚灸法。凡香港脚初得。脚弱宜灸之速。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。如此半瘥半死。虽瘥者。或至一二年得复
更发动。觉便根据此法速灸之。及服散者。治十一愈。此病轻者发时。虽不即愈。恶治之。当
根源不除。久久杀人。不可不以为意（资生经）。
初灸风市。次灸伏兔。次灸犊鼻。次灸两卜膝眼（一云忌灸）。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
中央指头髀大筋上是。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。令病患累股端坐。以病患手掩横膝上股下傍与曲膝头齐上
傍侧。股际当中央是。灸百壮。亦可五十壮。第三犊鼻穴。在膝头盖骨上际外骨边平处。以
手按之。得节解则是。一云在膝头下。近外三骨箕中踵动脚。以手按之得窟解是。灸之五十
壮。可至百壮。第四膝眼穴。在膝骨头下两傍陷者宛宛中是。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。在三里下一夫附胫骨外是。灸之百壮。第七下廉穴。在廉下一夫。一云附胫骨外是。
灸之百壮。第八绝骨穴。在骨外踝上一夫。一云四寸是。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。两脚则灸两脚。病两脚
弱亦皆灸两脚。又一方云。如觉脚恶。便灸三里及绝骨各一处。两脚恶。则合四处灸之。多少
随病轻重。大要随证。不可减百壮。不瘥。速以次灸之。多益佳。一说灸绝骨最要。人有患
此脚弱不即治。及入腹。肿大上气。于是乃定大法。灸随诸 。及诸腕关节腹背。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
脚穴。亦有得好瘥者。凡量一夫之法。覆手并舒四指。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。灸四指为一夫也。亦根据支法存旧法。梁邱。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
觉引气向下。所以不取其法。气不止者。可用之。其要病已成。恐不救者。悉须灸之。其足
指去指奇一分。两足凡八穴。曹氏名曰。八冲。极下气有效。足十指端名曰气端。日灸三壮
并大神要其八冲。可日灸七壮。气下即止。凡八冲。艾炷须小作之。病者非深相委。勿为
灸。
治香港脚。穴阳陵泉 绝骨 风市 昆仑 阳辅 上廉 条口 下廉 太冲 犊鼻 膝眼
曲
泉阴陵泉 中都 三阴交 复溜 阳维 三阴交 委中 承筋 承山 涌泉 太阴 上件
穴并要。不可总能灸其穴。最要者。有三里。绝骨。承筋。太冲。昆仑。涌泉。有患者可灸
又谨按明堂。正当以立为正。取穴必须直立。膝膑骨坐立便即移动不定。故立取之。其寸
取病患中指上节为一寸。若取尺寸有长短。取穴必不着。又按奉承祖、华佗等取穴并云。三
指四指为准。取三里穴。四指指阔六分。四六二十四。只阔二寸四分。取穴如何得着。黄帝
为本诸说并可信。徐同灸风市。三里。绝骨三穴。未效。灸犊鼻。肩 。膝关日三壮。遇痛
深处。针亦效。
治患脚针后四穴。即能起行。穴环跳 阳陵泉 巨虚下廉 阳辅
其灸法孔穴亦甚多。恐人不能悉皆知处。今止疏要者。必先从上始。若直灸香港脚。上不
泄则
危矣。先灸大椎。在项上大节高起者。其上面一穴是。若香港脚可先灸百会五十壮。在头顶凹
中也。肩井各一百壮。在两肩小近头凹处。指掏之安。令正得中穴耳。次灸膻中五十壮。在
胸前两边对乳胸厌骨解间。指按香港脚。次灸巨阙。在心厌尖处穴凹下一寸。以尽度之。
凡灸以上部五穴。亦足治其香港脚。若能灸百会。风府。胃脘及五脏 则益佳。视病之宽
急耳。诸穴出灸经。不可不具载之。
次灸上廉一百壮。又三里下一夫。次灸下廉一百壮。又在上廉下一夫。次灸绝骨二百壮
在
外踝上三寸余。指端取踝骨上际。屈指头四寸便是。与下廉颇相对分二间穴也。此下一十八
穴。并是要穴。余伏兔。犊鼻穴。凡灸此灸壮数不必顿毕。三日中灸合尽。
灸香港脚法 于左右两脚十指上。用艾柱如麦粒大。各灸七壮。十壮。其效如神。穴在肉
甲之间。半着肉。半着甲。
灸香港脚 灸法如前。灸后。瘢色赤白如初风毒尽。色青黑者。毒仍在。更灸勿止。得肢
体清
利为佳。故人得此多是针灸。最忌用热药蒸泡。有僧普清。苦此症二十年。灸风市。肩 。
曲池三穴各二十壮。顿效。又云。若安三里莫教干。患风人宜常灸。盖三里一穴。为五脏六
腑之沟也。
若始觉香港脚。速灸风市三里各一二百壮。以泻风湿毒瓦斯。若觉闷热者。不得灸。以本热
灸
之。则大助风。生食物大忌。酒面海鲜及房劳不尔。服药无益。王氏云。有同合为予言。史
载之谓香港脚有风湿二种。宜泻不宜补。只宜以沉香汤泻。而不许其灸。千金方乃载灸法。如
此其详。岂虚人患香港脚方可灸之耶?故指迷方云。若觉闷热不得灸。盖有所见也。凡灸香港脚
三里。绝骨。为要穴。而以爱护为第一。予旧有此疾。不履湿。则数岁不作。若履湿。则
频作。自后常忌履湿。凡有水湿。不敢着鞋践之。或立润地。亦不敢久。须频移足。而后无
患。此亦爱护之第二义也。有达官久患香港脚。多服八味丸愈。亦以香港脚冲心。惟此药能治之
治香港脚上攻。穴肩井
千金云。香港脚最宜针而不宜灸。灸而不针。非良医也。针灸不药。药不针灸。亦非良医
也。此论甚当。
治香港脚偏风 腿。脚不随重。不得履地。刺风 风脚冷。穴上廉
澹寮方云。蔡元长知开封。日据案视事。忽觉如有蛊。自足心行至腰间。即坠笔晕绝。
久之
方苏。椽励云。此非俞山人不能疗。趣使呼而至。视之曰。香港脚也。此当灸风市。为灸一炷
当日安然复常。明日疾如初。再呼俞。俞曰。欲出病根。非千艾不可。从其言。灸五百壮
自此遂愈。仲冗文安公守姑苏。署舍卑湿。旋感足痹。痛掣不堪。服药不效。乃用所闻灸
风市肩 曲池三穴。终身不复作。僧普清。苦此二十年。每发率是两月。用此法灸二十一壮
实时痛止。其他蒙此利者。不一而足。
治香港脚肾气。穴阳跷
（附论）
凡是香港脚病，发病有阴证和阳证、表证和里证的区别，应当根据具体症状进行治疗。不可盲目依据古方，如果患的是阴证却按阳证治疗，病在表却去治里，都会造成严重的虚实误判，非常危险。如果病从阴经发起，两大脚趾内侧向上沿小腿内侧，直到膝窝，出现顽固性麻木不仁，或者肿胀先发于此处的，都必须根据病情灸复溜穴、中都穴、阴陵泉穴等穴位。施灸时，要先从上往下引导经气，每个穴位各灸二十壮。之后每隔七天，再灸七壮，直到痊愈为止。其他穴位的灸法都依据这个原则。如果病从阳经发起，两小脚趾外侧，向上沿小腿外侧腓骨至风市穴，出现顽固性麻木不仁，或者肿胀发生在此处的，必须灸阳绝骨穴、阳陵泉穴、风市穴等穴位。灸的剂量和方法也是从上往下，都依据前面的方法。如果气毒兼行于表里之间，才可以酌情量其轻重，随灸膏药磨擦上下遍发表里，各灸一二处，以此来通泄毒邪。内服药物攻治，也要根据病情投药。无论病变偏在哪一处，常使灸疮不愈合为佳，待风气全部祛除后，再让疮口愈合。疮口愈合后，如果瘢痕颜色发红，说明风毒已尽；如果呈青黑色，说明仍有毒瓦斯残留，应继续施灸不要停止，直到身体轻快便利，然后才可以休息。
另一版本说：经常需要灸足三里穴、绝骨穴，不要让疮口愈合，这样效果才好。
香港脚初发出现转筋（肌肉痉挛）的，灸承山穴、承筋穴两个穴位。出现呃逆（打嗝）的，灸涌泉穴。如果头痛连及手臂痛，寒热往来像疟疾一样，以及腰痛的患者，灸委中穴。如果头项背痛，全身疼痛，就灸不在正穴位置的阿是穴（痛点）。又说，如果香港脚盛发时，腰部以上，都不可以针灸，因为引动风气上行会致人死亡。气势平息以后，还有余病的，施灸无妨。适宜在冬季施灸，春夏季节不可以施灸。自风市穴以下，本来就应该施灸。又说，如果气上冲心不退，急忙灸手心三七壮，气就会退去。如果气未退，并且伴有胸闷的，用豆豉酒热饮，随即痊愈。如果无效，就取乌牛尿一大升，温服，以利下为度，服用三到五次效果更好。又如果已经灸过脚，但胸中气依然不下、胀满闷痛的，宜灸间使穴五十炷，该穴位于两手掌横纹后三寸两筋之间。又如果胸中气散，而心下有脉搏洪大跳动，向下分入两脾股内，令人心急、心慌悸动的，宜用手按压摄小腹下两旁，接脾大斜纹，有脉跳动的地方，在脉文上施灸，跳动处灸三七壮即可安定。灸完后，都必须用艾条灸足三里穴二十炷，以引导经气下行。又如果心腹之气已安定，而两大腿外侧连及腹部闷痛的，宜灸腹部七炷，该穴在头骨下相接处，在筋之外的凹陷中。如果后来再次发作，再灸五炷。又普通人即使不患香港脚，但如果大腿疼痛闷胀，灸此穴没有不立即痊愈的，这是极为重要的穴位。然而不可不灸，也不可多针，只灸七炷以下即可。又如果脚十指酸痛闷胀逐渐进入足背的，宜灸指头正中，指甲与肉交界处的三炷即可痊愈。又如果大拇指或小指旁边疼痛闷胀，感觉内有脉搏如流水般，向上进入大腿腹部的，随手指旁边处灸三炷即可痊愈。
患香港脚病，都是春季发作，夏季加重，秋季减轻，冬季缓解。大法则是春秋适宜施灸，冬季稍差也可以施行，夏季完全不可以施灸。既然疮口溃败，又不能遮盖，风冷乘虚而入，反而更加增加痛苦。冬季血液凝滞，又违背天理，争不得已。在没有药物的地方可以灸一两个重要穴位，不可遍身多灸。关于香港脚病的大论，毒邪从下往上攻，也有从上往下的。有人说灸上部会使毒瓦斯上行，这是错误的。这里看到的是毒瓦斯攻击的部位，疼痛如针刺，随着病情施灸，火气透彻就能痊愈，不拘泥于上下部位。凡毒瓦斯所冲击的地方，如同贼人想要出去，遇到穴位就能出去，难道还在门那里吗？风毒所攻击的，也是这样。这都是经过临床验证的，万无一失，必定不会出错。（苏同注）如果手指本节间疼痛，稍微传入手臂的，宜灸指间疼痛处七炷即可安定。又如果心胸气满，已经灸过身体胫部诸血海穴，以及服用汤药而气依然不能消除，烦躁欲死的，宜灸两足心下当中凹陷处，各七炷，气就会下行。此穴尤为极其重要，但不常施灸，只是紧急极度时才灸七炷而已。以前各种灸法，都是经过使用验证有效的，灸完当时即愈，所以详细记录下来。凡是施灸不废弃汤药，药物攻治内部，施灸泄除外部，就像开门驱赶贼人，贼人就容易出去。如果闭门追逐，贼人没有出路，反而会伤害人。世上那些勤奋工作努力学习的人，一心专注于事务，久坐久立于潮湿之地，不时活动转动，冷风侵袭进入经络，不知不觉形成疾病，所以风毒中人。有时先中手足十指，因为汗毛孔张开，腠理疏通，风邪如箭射入；或先中足心，或先中足背，或先中膝盖以下小腿表里的部位。如果想让人不成病，初觉不适时就灸所觉之处三二十壮，因此即可痊愈，不再发作。
治疗方法
治疗香港脚的灸法。凡是刚得香港脚，脚弱宜迅速施灸，并服用竹沥汤。灸完后，可服用八风散，没有不痊愈的，只有迅速治疗才行。如果有人只施灸而不能服药散，服药散而不施灸，这样半好半坏，虽然痊愈，可能一两年后再次发动。觉察后立即根据此法迅速施灸，以及服药散的，治疗十一例能愈十例。此病较轻者发作时，虽然不立即痊愈，但也容易治疗。当根源不除，久而久之会杀人，不可忽视。（资生经注）
初灸风市穴，次灸伏兔穴，次灸犊鼻穴，次灸两膝眼穴（一说忌灸），次灸足三里穴，次灸上廉穴，次灸下廉穴，次灸绝骨穴。
凡是灸这八个部位。第一风市穴，可以让患者起身，正身平立，垂下两臂伸直，舒展十个手指盖住两大腿，便点按在手中央指头髀大筋上的位置。灸之百壮，多灸更好。轻症不可少于百壮，重症甚至一处灸五六百壮，不要一次性灸完，分三次灸较好。第二伏兔穴，让患者累股端坐，以患者的手掩横膝上股下旁侧与曲膝头齐上傍侧，股际当中央的位置。灸百壮，也可灸五十壮。第三犊鼻穴，在膝头盖骨上际外骨边平处，用手按之，感到关节缝隙即是。一说在膝头下，近外三骨箕中踵动脚，用手按之感到窟窿缝隙即是。灸之五十壮，可至百壮。第四膝眼穴，在膝骨头下两旁凹陷宛宛中。第五三里穴，在膝头骨节下一夫距离附着胫骨外侧。一说在膝头骨节下三寸，人的长短大小，应当以患者的手“夫”来度量取穴。灸之百壮。第六上廉穴，在三里下一夫距离附着胫骨外侧。灸之百壮。第七下廉穴，在廉下一夫，一说附着胫骨外侧。灸之百壮。第八绝骨穴，在骨外踝上一夫距离，一说四寸。凡这些穴位施灸，不必一次性灸完壮数，可以每天分次灸，三日之中灸完所有壮数为佳。凡是病一只脚，则灸一只脚，两只脚则灸两只脚。病两只脚弱也都灸两只脚。又一方案说，如果觉得脚恶，便灸足三里及绝骨各一处，两脚恶，则合四处灸之，多少随病情轻重，大要随证，不可少于百壮。不愈，迅速依次灸之，多灸更好。一说灸绝骨最重要。有人患此脚弱不及时治疗，及至入腹，肿大上气，于是确定大法，灸随诸穴及诸腕关节腹背，全部灸之，并服用八风散，往往得以痊愈。觉得病入腹，如果患者不堪疼痛，不能尽作大灸，只灸胸心腹诸穴及两脚穴，也有获得良好疗效的。凡度量一夫的方法，覆手并舒四指，对度四指上中节上，横过为一夫。夫有两种，有三指为一夫的，此脚弱，灸四指为一夫也。也依据支法存旧法。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，共十八个穴位。旧法多灸百会、风府、五脏六腑俞穴、募穴，近来施灸者，都觉得引气向下，所以不采用这种方法。气不止者，可以使用。其要病已成，恐怕救不回来的，都必须施灸。其足趾去趾奇一分，两足共八穴，曹氏名为八冲，极下气有效。足十指端名为气端，日灸三壮并大神要其八冲，可日灸七壮，气下即止。凡八冲，艾炷须小做。病患者非深相委托，不要为其施灸。
治疗香港脚，穴位：阳陵泉、绝骨、风市、昆仑、阳辅、上廉、条口、下廉、太冲、犊鼻、膝眼、曲泉、阴陵泉、中都、三阴交、复溜、阳维、三阴交、委中、承筋、承山、涌泉、太阴。上述穴位都是重要的，不可全部都能灸其穴。最重要的是：三里、绝骨、承筋、太冲、昆仑、涌泉。有患者可灸。
又谨按明堂，正当以直立为正，取穴必须直立，膝膑骨坐立便会移动不定，所以站立取穴。其寸取患者中指上节为一寸。如果取尺寸有长短，取穴必不着。又按奉承祖、华佗等取穴都说，三指四指为准，取三里穴，四指指阔六分，四六二十四，只阔二寸四分，取穴如何得着？黄帝为本诸说并可信。徐同灸风市、三里、绝骨三穴，未效，灸犊鼻、肩髃、膝关日三壮，遇痛深处，针亦效。
治疗患脚针后四穴，即能起行。穴位：环跳、阳陵泉、巨虚下廉、阳辅。
其灸法孔穴也很多，恐人不能悉皆知处，今只疏列重要的。必须先从上始，如果直灸香港脚，上不泄则危矣。先灸大椎穴，在项上大节高起者，其上面一穴是。如果香港脚可先灸百会五十壮，在头顶凹中也。肩井各一百壮，在两肩小近头凹处，指掏之安，令正得中穴耳。次灸膻中五十壮，在胸前两边对乳胸厌骨解间，指按香港脚。次灸巨阙，在心厌尖处穴凹下一寸，以尽度之。凡灸以上部五穴，亦足治其香港脚。若能灸百会、风府、胃脘及五脏俞则益佳，视病之宽急耳。诸穴出灸经，不可不具载之。
次灸上廉一百壮，又在三里下一夫。次灸下廉一百壮，又在上廉下一夫。次灸绝骨二百壮，在外踝上三寸余，指端取踝骨上际，屈指头四寸便是，与下廉颇相对分二间穴也。此下一十八穴，并是要穴。余伏兔、犊鼻穴，凡灸此灸壮数不必顿毕，三日中灸合尽。
灸香港脚法，于左右两脚十指上，用艾柱如麦粒大，各灸七壮、十壮，其效如神。穴在肉甲之间，半着肉，半着甲。
灸香港脚灸法如前。灸后，瘢痕色赤白如初，风毒尽；色青黑者，毒仍在，更灸勿止，得肢体清利为佳。故人得此多是针灸，最忌用热药蒸泡。有僧普清，苦此症二十年，灸风市、肩髃、曲池三穴各二十壮，顿效。又云，若安三里莫教干，患风人宜常灸。盖三里一穴，为五脏六腑之沟也。
如果始觉香港脚，速灸风市、三里各一二百壮，以泻风湿毒瓦斯。如果觉闷热者，不得灸，以本热灸之，则大助风，生食物大忌，酒面海鲜及房劳不尔，服药无益。王氏云，有同合为予言，史载之谓香港脚有风湿二种，宜泻不宜补，只宜以沉香汤泻，而不许其灸。千金方乃载灸法，如此其详，岂虚人患香港脚方可灸之耶？故指迷方云，若觉闷热不得灸，盖有所见也。凡灸香港脚，三里、绝骨，为要穴，而以爱护为第一。予旧有此疾，不履湿，则数岁不作，若履湿，则频作。自后常忌履湿，凡有水湿，不敢着鞋践之，或立润地，亦不敢久，须频移足，而后无患，此亦爱护之第二义也。有达官久患香港脚，多服八味丸愈，亦以香港脚冲心，惟此药能治之。
治疗香港脚上攻，穴位：肩井。
千金云，香港脚最宜针而不宜灸，灸而不针，非良医也。针灸不药，药不针灸，亦非良医也。此论甚当。
治疗香港脚偏风腿，脚不随重，不得履地，刺风 风脚冷，穴位：上廉。
澹寮方云，蔡元长知开封，日据案视事，忽觉如有蛊，自足心行至腰间，即坠笔晕绝，久之方苏。椽励云，此非俞山人不能疗，趣使呼而至，视之曰，香港脚也，此当灸风市，为灸一炷当日安然复常。明日疾如初，再呼俞，俞曰，欲出病根，非千艾不可，从其言，灸五百壮自此遂愈。仲冗文安公守姑苏，署舍卑湿，旋感足痹，痛掣不堪，服药不效，乃用所闻灸风市、肩髃、曲池三穴，终身不复作。僧普清，苦此二十年，每发率是两月，用此法灸二十一壮实时痛止，其他蒙此利者，不一而足。
(Attached Discussion)
Generally, Hong Kong Jiao (Gouty Arthritis / Podagra) presents with Yin and Yang, Exterior and Interior patterns. Treatment must follow the specific manifestations. One must not blindly rely on ancient prescriptions; treating a Yin pattern as Yang, or an Exterior disease by addressing the Interior, will lead to severe misjudgment of Deficiency and Excess, resulting in extreme danger. If the disease originates from the Yin channels, starting from the inner side of the two big toes, ascending along the inner tibia to the popliteal fossa, presenting with stubborn numbness and insensitivity, or swelling beginning here, one must moxa points such as Fuliu (KI7), Zhongdu (LR6), and Yinlingquan (SP9) according to the condition. During moxibustion, qi should be guided downward from top to bottom first. Each point is moxaed for twenty cones. Thereafter, every seven days, moxa seven more cones until recovery. The moxibustion for other points follows this principle. If the disease originates from the Yang channels, starting from the outer side of the two little toes, ascending along the outer tibia fibula to Fengshi (GB31), presenting with stubborn numbness and insensitivity, or swelling occurring here, one must moxa points such as Yangjuegu (GB39), Yanglingquan (GB34), and Fengshi (GB31). The dosage and method of moxibustion are also from top to bottom, following the previous methods. If Qi toxin acts simultaneously in the Exterior and Interior, one may measure the severity and apply moxa paste, rubbing it up and down over the Exterior and Interior, moxaing one or two areas each, to unblock and drain the pathogen. Internal medication should be administered according to the disease. Regardless of where the lesion is biased, it is best to keep the moxa sores open until all wind pathogens are eliminated, after which the sores can heal. After healing, if the scar color is red, the wind toxin is exhausted; if greenish-black, toxic vapors remain, so continue moxibustion without stopping until the body feels light and agile, then rest.
Another version states: One should frequently moxa Zusanli (ST36) and Yangjuegu (GB39), preventing the sores from healing, which is beneficial.
When Hong Kong Jiao initially presents with muscle spasms (Zhuanjin), moxa Chengshan (BL57) and Chengjin (BL56). For hiccups (Yue Ni), moxa Yongquan (KI1). For headache radiating to the arm, chills and fever resembling malaria, and lower back pain, moxa Weizhong (BL40). For head, neck, back, and generalized body pain, moxa Ashi points (painful spots not on standard acupoints). It is also said that when Hong Kong Jiao flares severely, no acupuncture or moxibustion should be performed above the waist, as drawing wind qi upward can be fatal. After the acute phase subsides, if residual symptoms remain, moxibustion is permissible. Moxibustion is suitable in winter but contraindicated in spring and summer. From Fengshi (GB31) downward, moxibustion is appropriate. It is also said that if Qi rushes to the heart and does not recede, urgently moxa the center of the palm for three-seven cones; the Qi will subside. If the Qi does not recede and chest oppression occurs, drink hot fermented soybean wine; recovery follows immediately. If ineffective, take one Sheng (approx. 2 liters) of black ox urine, warm and ingest, stopping when diarrhea occurs; taking three to five doses is better. If the feet have been moxaed but chest Qi remains stagnant and oppressive, moxa Jianshi (PC5) fifty cones; this point is located three Cun posterior to the wrist crease between the two tendons. If chest Qi disperses but there is a pulse under the heart that is surging and beating rapidly, descending into the thighs causing anxiety and palpitations, press the lower abdomen sides along the oblique lines of the spleen/stomach area where the pulse beats. Moxa on the pulse wave; moxa three-seven cones at the beating spot to stabilize. Afterward, always moxa Zusanli (ST36) twenty cones to guide Qi downward. If Heart and Abdominal Qi is stabilized but the outer thighs and abdomen feel oppressed, moxa the abdomen seven cones; this point is below the skull at the junction, in the depression outside the tendon. If it recurs later, moxa five more cones. Even people not suffering from Hong Kong Jiao, if experiencing thigh pain and oppression, moxaing this point brings immediate cure; it is a crucial point. However, do not neglect moxibustion, nor use excessive needles; only moxa seven cones or less. If ten toes ache and feel oppressed, gradually spreading to the dorsum of the foot, moxa the center of the toe tip, at the junction of nail and flesh, three cones for cure. If the big toe or little toe side aches and feels oppressed, sensing a pulse like flowing water ascending to the thigh and abdomen, moxa three cones at the adjacent side of the toe for cure.
Hong Kong Jiao typically flares in spring, worsens in summer, lightens in autumn, and rests in winter. The general rule is: moxibustion is suitable in spring and autumn, acceptable in winter, and completely contraindicated in summer. Since sores are broken and cannot be covered, wind-cold enters easily, worsening the condition. In winter, blood coagulates, violating natural laws; thus, moxibustion is a last resort. In places without medicine, moxa one or two key points, not the whole body. Regarding the major theory of Hong Kong Jiao, toxins attack upward from below, or sometimes downward. Some say moxaing the upper body causes toxins to ascend, which is wrong. This refers to the site attacked by toxins, painful as if pierced; moxa according to the disease, and once heat penetrates, recovery ensues, regardless of upper or lower. Wherever toxins strike, like a thief trying to escape, encountering an acupoint allows exit; it is not confined to doors. Wind-toxin attacks similarly. These are clinically verified, infallible, and never erroneous. (Note by Su Tong) If pain starts between the proximal phalanges of fingers and slightly enters the arm, moxa the painful spot between fingers seven cones to stabilize. If chest and heart Qi is full, and after moxaing various blood sea points on legs/shins and taking decoctions, Qi still persists causing severe irritability and despair, moxa the central depression below both sole centers, seven cones each; Qi descends. This point is extremely important but rarely used, only in emergencies for seven cones. All previous moxibustion methods have been tested and proven effective, curing instantly upon completion; thus recorded in detail. Moxibustion should not replace herbal medicine; herbs treat internally, moxa drains externally, like opening a door to drive out thieves; closing the door traps them, harming the host. Scholars working hard, sitting/standing long in dampness, moving infrequently, allow cold wind to invade meridians unknowingly, causing wind-toxin invasion. Sometimes invading ten fingers first due to open pores and loose interstices, wind strikes like arrows; or invading sole, dorsum, or below knee/tibia interior/exterior. To prevent disease, moxa the perceived area thirty-twenty cones immediately, ensuring cure and prevention of onset.
Treatment Methods
For treating Hong Kong Jiao via moxibustion: Upon initial onset with weak legs, moxa quickly and take Zhu Li Tang (Bamboo Juice Decoction). After moxa, take Ba Feng San (Eight Winds Powder); no case fails if treated swiftly. If one moxaes but does not take powder, or takes powder but does not moxa, results are half-recovery, half-death. Even if recovered, relapse may occur in one to two years. Upon sensation, moxa quickly per this method and take powder; eleven cases yield ten cures. Mild cases, though not instantly cured, are easy to treat. If root cause is not removed, death follows eventually; do not ignore this. (Note from Zisheng Jing)
First moxa Fengshi (GB31), then Futu (ST32), then Dubi (ST35), then two Xiyan (Knee Eyes) points (one opinion forbids moxa), then Zusanli (ST36), then Shanglian (ST34), then Xialian (ST37), then Yangjuegu (GB39).
Moxa these eight sites. First, Fengshi (GB31): Have patient stand upright, arms hanging straight, fingers covering thighs. Mark the point on the large tendon of the thigh aligned with the middle finger tip. Moxa hundred cones; more is good. Mild cases no less than hundred cones; severe cases up to five-six hundred cones per site. Do not moxa all at once; divide into three sessions. Second, Futu (ST32): Patient sits with legs bent. Place hand across knee on upper thigh beside the bent knee head. Mark the center of the thigh gap. Moxa hundred cones, or fifty. Third, Dubi (ST35): On the lateral border of the patella, level with the suprapatellar fat pad. Press to feel joint gap. Or below knee, near three bones, pressing feels hollow. Moxa fifty cones, up to hundred. Fourth, Xiyan (Knee Eye): In depressions on both sides below the patellar ligament. Fifth, Zusanli (ST36): One Fu distance below the knee joint, lateral to tibia. Or three Cun below knee joint. Measure using patient's hand width (Fu). Moxa hundred cones. Sixth, Shanglian (ST34): One Fu below Zusanli, lateral to tibia. Moxa hundred cones. Seventh, Xialian (ST37): One Fu below Shanglian, lateral to tibia. Moxa hundred cones. Eighth, Yangjuegu (GB39): One Fu above lateral malleolus, or four Cun. Do not moxa all cones at once; spread over three days. Treat one leg for one leg disease, both legs for both legs disease. Alternative prescription: If feet feel bad, moxa Zusanli and Yangjuegu on each side (four sites total). Dosage depends on severity, minimum hundred cones. If no cure, proceed sequentially; more is better. One opinion says Yangjuegu is most critical. Untreated leg weakness leading to abdominal distension and Qi rushing up requires comprehensive moxaing of joints, abdomen, back, plus Ba Feng San. If patient cannot tolerate heavy moxa, moxa chest, heart, abdomen, and leg points; often effective. Definition of "Fu": Four fingers spread horizontally across middle phalanx equals one Fu. For leg weakness, use four-finger Fu. Points include Liangqiu (ST34), Dubi (ST35), Zusanli (ST36), Shanglian (ST34), Xialian (ST37), Jiexi (ST41), Taichong (LR3), Yanglingquan (GB34), Yangjuegu (GB39), Kunlun (BL60), Yinlingquan (SP9), Sanyinjiao (SP6), Fuliu (KI7), RanGu (KI2), Yongquan (KI1), Chengshan (BL57), Shugu (BL65), totaling eighteen points. Old methods moxa Baihui (GV20), Fengfu (GV16), Back-Shu and Front-Mu points; recent practice finds this draws Qi downward, so avoided unless Qi stagnation persists. For critical cases, moxa all. Eight points at toe tips, one Fen away, named Bachong by Cao family, effective for descending Qi. Ten toe tips named Qiduan, moxa three cones daily, or Bachong seven cones daily until Qi descends. Use small cones for Bachong; only perform if deeply committed.
Treating Hong Kong Jiao, points: Yanglingquan (GB34), Yangjuegu (GB39), Fengshi (GB31), Kunlun (BL60), Yangfu (GB38), Shanglian (ST34), Tiaokou (ST38), Xialian (ST37), Taichong (LR3), Dubi (ST35), Xiyan (Knee Eye), Ququan (LR8), Yinlingquan (SP9), Zhongdu (LR6), Sanyinjiao (SP6), Fuliu (KI7), Yangwei (GB59 - likely typo for Yangjuegu or similar), Sanyinjiao (SP6), Weizhong (BL40), Chengjin (BL56), Chengshan (BL57), Yongquan (KI1), Taiyin (SP6 - likely Sanyinjiao or similar). All are key points; do not moxa all indiscriminately. Most important: Zusanli (ST36), Yangjuegu (GB39), Chengjin (BL56), Taichong (LR3), Kunlun (BL60), Yongquan (KI1). Moxa if indicated.
According to Mingtang, standing is the correct posture for locating points; sitting/moving shifts patella, making measurement unstable. Measure one Cun using the middle finger proximal interphalangeal joint width. If measurements vary, accuracy suffers. Feng Chengzu and Hua Tuo state using three or four fingers as standard; four fingers span approx. 2.4 Cun. Huangdi's theories are trustworthy. Xu Tong moxaed Fengshi, Zusanli, Yangjuegu without effect; moxaed Dubi, Jianyu (LI15), Xiguan (EX-LE5) three cones daily; needling deep pain spots was also effective.
Four points for post-acupuncture ambulation: Huantiao (GB30), Yanglingquan (GB34), Xiajuxu (ST39), Yangfu (GB38).
Many moxa points exist; listing only essential ones. Must start from top; direct moxaing of Hong Kong Jiao without draining upward leads to danger. First moxa Dazhui (GV14), prominent vertebra at neck base, upper point. For Hong Kong Jiao, first moxa Baihui (GV20) fifty cones, in vertex depression. Jianjing (GB21) one hundred cones each, in depression near shoulder/head junction, centered by finger. Tanzhong (CV17) fifty cones, between breasts at sternum. Juque (CV14) one Cun below heart apex depression. Moxaing these five upper points suffices for Hong Kong Jiao. Adding Baihui, Fengfu, Weiwuan, and Zang-Fu Shu points is better, depending on urgency. Points cited from Moxa Classics.
Next, moxa Shanglian one hundred cones, one Fu below Zusanli. Next, moxa Xialian one hundred cones, one Fu below Shanglian. Next, moxa Yangjuegu two hundred cones, approx. three Cun above lateral malleolus, measured from ankle bone edge, four Cun flexed. Opposite Xialian. These eighteen points are key. Remaining Futu, Dubi: Do not moxa all cones at once; complete within three days.
Moxibustion for Hong Kong Jiao: On ten toes of both feet, use wheat-grain-sized moxa cones, moxa seven or ten cones each; efficacy is miraculous. Point is between flesh and nail.
Moxibustion method as above. Post-moxa, red-white scars indicate toxin exhausted; green-black indicates remaining toxin, continue moxaing until limbs feel clear and agile. People often suffer this via acupuncture/moxa; strictly avoid hot steam baths. Monk Puqing suffered twenty years; moxaed Fengshi, Jianyu, Quchi (LI11) twenty cones each, instant relief. Also, keep Zusanli moist (sores open); wind patients should frequently moxa. Zusanli is the ditch for Zang-Fu organs.
If Hong Kong Jiao is sensed early, quickly moxa Fengshi and Zusanli one-two hundred cones each to drain wind-damp toxin. If feeling hot/oppressive, do not moxa; adding heat to existing heat aids wind. Dietary taboos: spicy food, alcohol, noodles, seafood, sexual excess. Without these, medicine is useless. Wang Shi stated: Shi Zaizhi distinguished wind-damp types, advocating draining not tonifying, using Chenxiang Tang, forbidding moxa. Qian Jin Fang details moxa methods extensively. Is moxa only for deficient persons? Zhi Mi Fang says if hot/oppressive, do not moxa, showing insight. Key points for Hong Kong Jiao moxa are Zusanli and Yangjuegu; protection is primary. I had this disease; avoiding dampness prevented recurrence for years; stepping in wetness caused frequent attacks. Avoid shoes in wetness, standing in dampness briefly, shifting feet frequently. This is secondary protection. An official cured chronic Hong Kong Jiao by taking Bawei Wan (Eight Flavor Pill), as it treats Hong Kong Jiao attacking the heart.
Treating Hong Kong Jiao attacking upward, point: Jianjing (GB21).
Qian Jin Fang states: Acupuncture is preferred over moxa for Hong Kong Jiao; moxa without acupuncture is not skilled. Acupuncture/moxa without medicine, or medicine without acupuncture/moxa, is not skilled. This view is sound.
Treating Hong Kong Jiao with hemiplegic leg, heaviness, inability to walk, piercing pain, cold feet, point: Shanglian (ST34).
Dan Liao Fang states: Cai Yuanzhang, Prefect of Kaifeng, felt a sensation like a bug rising from sole to waist, fainted. Yu Shanshan diagnosed Hong Kong Jiao, moxaed Fengshi one cone, recovered next day. Relapsed next day. Yu said removing root required thousand cones. Moaxed five hundred cones, cured permanently. Wen An Gong, Governor of Gusu, lived in damp quarters, developed foot numbness/pain, drugs failed. Moxaed Fengshi, Jianyu, Quchi three points, cured lifelong. Monk Puqing, suffered twenty years, attacks every two months, moxaed twenty-one cones, pain stopped instantly. Many benefited.
Treating Hong Kong Jiao Kidney Qi, point: Yangqiao (BL59).