（附论）
夫霍乱灸之。或虽未能立瘥。终无死忧。不可逆灸。或但先腹痛。或先下后吐。当随病
状灸
法
治先心痛。及先吐者。（出肘后方）
灸巨阙七壮。在心下一寸。不效更灸。如前数。外台秘要。疗下痢不止。上气。灸五十
壮。
治吐下不禁。两手阴阳脉。俱疾数者。
灸心厌骨下三寸。又灸脐下三寸。各六七十壮。
治下痢者。
灸谷门三七壮。在脐旁二寸。男左女右。一名大肠募。不瘥更灸。如前数。甲乙针经。
天枢
治下痢不止者。（出肘后方）
灸大敦七壮。在足大指本节后。内侧白肉际。
治先腹痛者。
灸太仓二七壮。穴在心厌下四寸。脐上一寸。不止更灸。前数。
治苦绕脐痛急。
灸脐下三寸。二七壮。名关元。良。
疗霍乱心腹痛胀。吐痢。烦闷不止。则宜灸之。
令病患覆卧。伸两擘膊着手。则以小绳正当两肘骨尖头。从背上量度。当脊骨中间。绳
下点
短点
治泄痢所伤。烦欲死者。
灸慈宫三七壮。柱横骨两边。各二寸半。横骨在横脐下。横门骨是。转筋在两臂。及胸
中者
灼艾法（出仁存方） 治霍乱转筋。欲死绝。惟腹中有暖气者。灸承筋七壮。取绳量围足。
从
趾至跟。匝捻取。等折一半。以度令一头至跟踏地处。引绳上至度头即是穴。起死人。又以
盐纳脐中令实。就盐上灸二七壮。一方灸气海穴。脐下一寸半。二七壮妙。
疗霍乱。神秘起死。（出济生方）
用物横度病患口中。屈之。从心鸠尾。度以下头五壮。横度左右。复灸五壮。此三处。
并当
是
疗霍乱已死。上屋唤魂者。
又以诸疗皆至。而犹不瘥。捧病患覆卧之。伸臂对以绳。度两肘尖头。根据绳下夹背脊。
大骨
起坐
疗手足逆冷者。
灸三阴交穴。在足内踝。直上三寸。 骨际陷中。左右七壮。不瘥更灸。如前数。
治手足逆冷。（出肘后方）
灸大指上。爪甲际。七壮。
治干呕者。
灸间使各七壮。在手腕后三寸。两筋间。不瘥。更灸之。
治干呕者。
灸心主各七壮。在掌腕上约纹中。吐不止更灸。如前数。
疗苦烦闷胀满。
灸心厌下三寸七壮。名胃管。
治转筋四逆。
灸两乳根。黑白际各一壮。外台秘要。灸两乳边连黑。外近腋白肉际各七壮。可至二七
壮。
治走哺转筋。
灸踵踝白肉际。各三七壮。及灸小腹下。横骨中央。如前数。
治转筋。
灸涌泉六七壮。在足心下。当拇趾大筋上。又灸足大趾下。约中一壮。
治转筋不止。
灸足踵聚筋上。白肉际七壮。立愈。
治筋入腹。痛欲死。（出肘后方）
四人持手足。灸脐上一寸。十四壮。身不动。勿复伤之。又灸股里大筋。去一寸一分半。
脐
治霍乱转筋。
令病患合面并卧。伸两手着身。以绳横量两肘尖头。根据绳下夹脊骨两边。相去各一寸半。
灸
主霍乱脚转筋。及入腹。
以手拗所患脚大拇趾。灸当脚心下急筋上七壮。
疗霍乱转筋不止。渐欲入腹。
凡转筋能杀人。起死之法。无过于灸。灸法。惟三处要穴。第一承筋穴。在脚 下际。
取穴
际。宛宛中。是穴。灸三七壮。则定。又不止。则灸涌泉。在足心下。当足大指中节后一寸
半。正当大筋上是穴。又灸足跟后。黑白肉交际当中央。此三处要穴。灸之不过二三七壮必
定。
疗转筋在两臂。苦胸胁者。
灸手掌白肉际七壮。
疗转筋。十指筋挛急。不得屈伸。
灸手踝骨上七壮良。
扁鹊疗筋胫骨痛不可忍。
灸屈膝下 。横筋上三壮。
腹肠转筋。
灸脐上一寸。十四壮。
（附论）
对于霍乱患者进行艾灸治疗。即使不能立即痊愈，最终也不会导致死亡的危险。不可采用逆向施灸的方法。有的患者先出现腹痛，有的患者先腹泻后呕吐，应当根据病症表现选择灸法。
治疗先心痛，以及先呕吐的患者。（出自《肘后方》）
灸巨阙穴七壮。该穴位于心下一寸处。如果无效，再按前面的次数施灸。《外台秘要》记载，治疗下痢不止、气逆上冲，灸五十壮。
治疗呕吐和腹泻无法控制，两手阴阳脉象都疾速数动的情况。
灸心厌骨下三寸处，又灸脐下三寸处，每处各六七十壮。
治疗下痢的患者。
灸谷门穴三七壮。该穴位于脐旁二寸处，男性取左侧，女性取右侧，又名大肠募穴。如果不愈，再按前面的次数施灸。出自《甲乙经》，穴位名为天枢。
治疗下痢不止的患者。（出自《肘后方》）
灸大敦穴七壮。该穴位于足大趾本节后内侧白肉际处。
治疗先腹痛的患者。
灸太仓穴十四壮。该穴位于心厌下四寸，脐上一寸处。如果症状未止，再按前面的次数施灸。
治疗因绕脐疼痛剧烈而痛苦的情况。
灸脐下三寸处十四壮，此穴名为关元，效果良好。
治疗霍乱引起的心腹疼痛胀满，呕吐腹泻，烦闷不止的情况，适宜进行艾灸。
让病患俯卧，伸展两臂使手着地。然后用小绳正对两肘骨尖头，从背上量度，当脊骨中间，在绳下的点做标记。
治疗因泄痢损伤，烦闷欲死的情况。
灸慈宫穴三七壮。柱状艾炷置于横骨两边，各距二寸半。横骨位于横脐之下，即横门骨所在。转筋发生在两臂及胸中的情况。
灼艾法（出自《仁存方》）
治疗霍乱转筋，濒于死亡，只有腹中还有暖气的人，灸承筋穴七壮。取绳子测量围住足部，从脚趾到脚跟，环绕捻转取量，折成一半长度，用这个长度让一头至脚跟踏地处，引绳向上至度量头处即是穴位。可救活死人。另外将盐填入脐中使其充实，就在盐上灸十四壮。另一方法灸气海穴，位于脐下一寸半，十四壮效果奇妙。
治疗霍乱，神秘起死回生之法。（出自《济生方》）
用物体横向度量患者口中，弯曲它，从心鸠尾处，向下量度至头部五壮。横向度量左右两侧，再各灸五壮。这三个部位，都应当是。
治疗霍乱已死，上屋唤魂的情况。
又如果各种疗法都用到了，但仍然不愈，捧扶病患俯卧，伸展手臂相对以绳度量两肘尖头，根据绳下夹背脊的大骨处，让患者起坐。
治疗手足逆冷的情况。
灸三阴交穴。该穴位于足内踝直上三寸，胫骨后缘陷中，左右各七壮。如果不愈，再按前面的次数施灸。
治疗手足逆冷。（出自《肘后方》）
灸大指上，爪甲际处，七壮。
治疗干呕的情况。
灸间使穴各七壮。该穴位于手腕后三寸，两筋之间。如果不愈，再灸。
治疗干呕的情况。
灸心主穴各七壮。该穴位于掌腕上约纹中。如果呕吐不止，再按前面的次数施灸。
治疗转筋四肢厥逆的情况。
灸两乳根处，黑白际各一壮，《外台秘要》记载灸两乳边连黑处，外侧近腋白肉际各七壮，可至十四壮。
治疗走哺转筋的情况。
灸踵踝白肉际处，各三七壮，以及灸小腹下，横骨中央处，按前面的次数。
治疗转筋的情况。
灸涌泉穴六七壮。该穴位于足心下，当拇趾大筋上。又灸足大趾下，约纹中一壮。
治疗转筋不止的情况。
灸足踵聚筋上，白肉际处七壮，立即可愈。
治疗筋入腹，疼痛欲死的情况。（出自《肘后方》）
四人扶持手足，灸脐上一寸，十四壮。身体不动，不要再伤害它。又灸股里大筋，去一寸一分半处。
治疗霍乱转筋。
让病患合面并卧，伸展两手着身，以绳横向量两肘尖头，根据绳下夹脊骨两边，相距各一寸半处，施灸。
主治霍乱脚转筋，以及筋入腹。
用手拗动患脚的大拇趾，灸当脚心下急筋上七壮。
治疗霍乱转筋不止，逐渐欲入腹的情况。
凡是转筋能致人死亡，起死回生的方法，没有超过艾灸的。灸法中，只有三个重要穴位。第一是承筋穴，在脚下际，宛宛中，是穴位。灸三七壮，则定。如果不止，则灸涌泉，在足心下，当足大指中节后一寸半，正当大筋上是穴位。又灸足跟后，黑白肉交际当中央。这三个重要穴位，灸之不过二三七壮必定有效。
治疗转筋在两臂，苦于胸胁部的情况。
灸手掌白肉际七壮。
治疗转筋，十指筋挛急，不得屈伸的情况。
灸手踝骨上七壮，效果良好。
扁鹊治疗筋胫骨痛不可忍受的情况。
灸屈膝下，横筋上三壮。
腹肠转筋。
灸脐上一寸，十四壮。
(Attached Discussion)
For patients with Huoluan (Acute Gastroenteritis), moxibustion treatment can be applied. Even if immediate recovery is not achieved, there will ultimately be no risk of death. Reverse moxibustion should not be performed. Some patients present with abdominal pain first, while others have diarrhea followed by vomiting; the moxibustion method should be selected according to the specific symptoms.
Treating cases where heart pain occurs first, or vomiting occurs first. (From *Zhouhou Fang*)
Moxibustion at Jueque (CV14): 7 moxa cones. The point is located one cun below the heart area. If ineffective, repeat moxibustion as previously described. *Waitai Miyao* records treating persistent dysentery and rebellious Qi ascending with 50 moxa cones.
Treating uncontrollable vomiting and diarrhea, where both Yin and Yang pulses in both hands are rapid and frequent.
Moxibustion at three cun below the Xinyan bone, and three cun below the umbilicus, 60-70 moxa cones for each location.
Treating dysentery.
Moxibustion at Gumen: 21 moxa cones. The point is located two cun lateral to the umbilicus, left side for males and right side for females, also known as the Front-Mu point of the Large Intestine. If not cured, repeat moxibustion as previously described. From *Jia Yi Zhen Jing*, the acupoint name is Tianshu (ST25).
Treating persistent dysentery. (From *Zhouhou Fang*)
Moxibustion at Dadun (LR1): 7 moxa cones. The point is located on the medial side of the white flesh margin, distal to the metatarsophalangeal joint of the big toe.
Treating cases where abdominal pain occurs first.
Moxibustion at Taicang (CV11): 14 moxa cones. The point is located four cun below the Xinyan and one cun above the umbilicus. If symptoms persist, repeat moxibustion as previously described.
Treating severe pain winding around the umbilicus.
Moxibustion at three cun below the umbilicus: 14 moxa cones. This point is named Guanyuan (CV4), which is effective.
Treating Huoluan causing heart and abdominal pain, distension, vomiting, dysentery, and persistent restlessness; moxibustion is suitable.
Have the patient lie prone with arms extended and hands placed on the ground. Use a small string aligned with the tips of both elbows, measuring from the back along the middle of the spinal column. Mark the point under the string.
Treating damage caused by dysentery, leading to extreme restlessness and near-death state.
Moxibustion at Cigong: 21 moxa cones. Place the moxa cone on both sides of the Henggu bone, each 2.5 cun away. The Henggu bone is located below the horizontal level of the umbilicus, corresponding to the Hengmen bone. For spasms occurring in both arms and the chest.
Scorching Moxa Method (From *Ren Cun Fang*)
Treating Huoluan with spasms, nearing death, but where warmth remains in the abdomen. Moxibustion at Chengjin (BL56): 7 moxa cones. Take a rope to measure the circumference of the foot, from the toes to the heel, wrapping around. Fold the measured length in half. Use this length to place one end at the heel's contact point with the ground, and extend the rope upwards to the mark; this indicates the acupoint. It can revive the dead. Alternatively, fill the umbilicus with salt until solid, and apply 14 moxa cones directly on the salt. Another method is to moxibustion Qihai (CV6), located 1.5 cun below the umbilicus, 14 moxa cones is excellent.
Treating Huoluan, a mysterious method to revive the dead. (From *Jisheng Fang*)
Place an object horizontally across the patient's mouth, bend it, measure from Xinjiuweil down to the head: 5 moxa cones. Measure horizontally to the left and right, then moxibustion 5 moxa cones each. These three locations should all be treated.
Treating cases of apparent death from Huoluan, calling for the soul from the roof.
If all treatments have been applied but the patient does not recover, hold the patient prone, extend arms opposite each other, measure between the elbow tips with a rope, align with the spine under the rope at the large bone, and help the patient sit up.
Treating cold extremities (Reversal Cold).
Moxibustion at Sanyinjiao (SP6). The point is located three cun directly above the medial malleolus, in the depression behind the tibia. 7 moxa cones on each side. If not cured, repeat as previously described.
Treating cold extremities. (From *Zhouhou Fang*)
Moxibustion at the edge of the nail on the big toe: 7 moxa cones.
Treating dry heaving.
Moxibustion at Jianshi (PC4): 7 moxa cones each. The point is located three cun proximal to the wrist crease, between the two tendons. If not cured, moxibustion again.
Treating dry heaving.
Moxibustion at Xinzhujie (Pericardium Master): 7 moxa cones each. The point is located in the crease of the palm and wrist. If vomiting persists, repeat moxibustion as previously described.
Treating severe restlessness and distension/fullness.
Moxibustion at three cun below the Xinyan: 7 moxa cones. This point is named Weiguan.
Treating spasms and four-extremity reversal cold.
Moxibustion at Rugen (ST17) on both breasts, at the junction of black and white skin: 1 moxa cone each. *Waitai Miyao* records moxibustion at the sides of both breasts connected to the dark skin, near the axilla white flesh margin: 7 moxa cones each, up to 14 moxa cones.
Treating food entering the stomach improperly with spasms.
Moxibustion at the white flesh margin of the ankle calcaneus: 21 moxa cones each. Also moxibustion at the center of the lower abdomen, below the transverse bone, as previously described.
Treating spasms.
Moxibustion at Yongquan (KI1): 6-7 moxa cones. The point is located on the sole of the foot, when the big toe is flexed, on the tendon. Also moxibustion at the crease below the big toe: 1 moxa cone.
Treating persistent spasms.
Moxibustion at the upper part of the gathered tendons at the heel, at the white flesh margin: 7 moxa cones. Immediate relief.
Treating sinews entering the abdomen, pain so severe it feels like death. (From *Zhouhou Fang*)
Four people hold the limbs. Moxibustion at one cun above the umbilicus: 14 moxa cones. Do not move the body to avoid further injury. Also moxibustion at the large tendon inside the thigh, 1.15 cun away.
Treating Huoluan with spasms.
Have the patient lie face down with hands extended along the body. Measure horizontally between the tips of both elbows with a rope. Align with the spine on both sides under the rope, 1.5 cun apart each side, and apply moxibustion.
Mainly treating Huoluan leg spasms and sinews entering the abdomen.
Manually twist the big toe of the affected foot. Moxibustion at the urgent tendon under the sole of the foot: 7 moxa cones.
Treating persistent Huoluan spasms gradually entering the abdomen.
Spasms can be fatal. The method to revive the dead is superior to moxibustion. Among moxibustion methods, only three key acupoints are essential. First is Chengjin (BL56), located at the lower margin of the calf, in the depression. Moxibustion 21 moxa cones stabilizes the condition. If spasms persist, moxibustion Yongquan (KI1), located on the sole, 1.5 cun distal to the midpoint of the second metatarsophalangeal joint, on the large tendon. Also moxibustion at the center of the posterior heel, at the junction of black and white skin. These three key points, with 2-3 sets of 7 moxa cones, will definitely be effective.
Treating spasms in both arms, suffering from chest and hypochondriac pain.
Moxibustion at the white flesh margin of the palm: 7 moxa cones.
Treating spasms, ten fingers with tendon cramping, unable to flex or extend.
Moxibustion at the upper part of the wrist bone: 7 moxa cones, which is effective.
Bian Que treats unbearable pain in the tendons, calves, and bones.
Moxibustion at three moxa cones on the transverse tendon below the flexed knee.
Abdominal and intestinal spasms.
Moxibustion at one cun above the umbilicus: 14 moxa cones.