听会,二穴,在耳微前陷者中,张口有穴耳前陷中动脉宛宛中,侧卧张口取之。治耳聋
,耳中状如蝉声,牙车脱臼,日可灸五壮至三七壮止,十日报灸即愈,忌动风、生冷、猪鱼
等物。(《灸经》云∶日灸五壮至七壮止,可经十日许,还根据前灸之。慎冷食)
颊车,二穴,在耳下曲颊端陷中,侧卧张口取之。治牙关不开,口噤不语,失音,牙车
疼痛,颔颊肿,颈强不得回顾,日灸七壮至七七壮止,灸如大麦,忌如常法。
地仓,二穴,侠口吻傍四分外,如近下有脉微微动,跷脉手阳明之交。若久患风,其脉
亦有不动者,治偏风口 ,目不得开,失音不语,饮食不收,水浆漏落,眼 动不止,病左
治右,病右治左,日灸二七壮,重者七七壮,艾炷如粗叙脚大,若炷太大,口转 ,却灸承
浆七七壮即愈。(面并热食、房事等忌如常)
百会穴,在头顶中宛宛陷中。治小儿脱肛久不瘥,风痫,中风角弓反张,口吐涎沫,可
灸七壮至七七壮,头顶皮肤浅薄,凡灸不过七七壮。
肩 穴,在肩端两骨间陷者宛宛中,举臂取之。治偏风半身不遂,热风瘾疹,手臂挛急
,捉物不得,挽弓不开,臂细无力,筋骨酸疼,可七壮至二七壮,若偏风不遂,可七七壮止
曲池,二穴,臂相连处,以手拱胸取之,纹尽处是穴。治偏风半身不遂,刺风瘾疹,筋
缓捉物不得,挽弓不开,屈伸难,可灸三壮。(《针灸经》云∶日灸七壮至二百壮且停,十
余日更下火,还至二百壮罢。云云)
风市即中渎,二穴,在髀骨外膝上五寸分肉间陷中。治寒气客于分肉之间,痛攻上下,
筋痹不仁,可灸五壮。
足三里,二穴,在膝下三寸 外廉两筋间,举足取之。治胃中寒,心腹胀满,胃气不足
,闻食臭肠鸣,腹痛食不化,此穴诸病皆治,及疗食气水气,蛊毒 癖,四肢肿满,膝 酸
痛,目不明,五劳七伤,胸中瘀血,乳痈,可灸三壮,人年三十以上,皆宜灸此穴。(日灸
七壮至一百壮止)
绝骨,一穴,在足外踝上四寸。治风痹不仁,膝 酸,可灸三壮。
发际,即神庭穴,在直鼻上额入发际五分。治癫疾风痫,戴目上下不识人,及头风目眩
,鼻出清涕不止,惊悸不得安寝,可灸二壮至七七壮止,凡疗风灸多即伤,惟宜七壮至三七
壮,针即发狂。
大椎,一穴,在项后第一椎上陷中。治五劳七伤,颈项强不得回顾,风劳食气,灸以年
为壮。(或曰日灸七壮至七七壮)
风池,二穴,在脑后入发际陷中。治颈项痛不得回顾,腰佝偻引项,筋无力不收,可灸
七壮。
元符中一宗人得疾,逾年不瘥,谒医于王思和绎,思和具脉状云,病因惊恐,肝脏为邪
,邪来乘阳明之经,即胃是也,邪盛不畏胜我者,又来乘肺,肺缘久病气弱,金胜无能,受
肝凌侮,其病时复头眩,螈 搐掣,心胞伏涎,久之,则害脾气,要当平肝气使归经,则脾
不受克,脾为中州土,主四肢一体之事,脾气正则土生金,金旺则肺安矣,今疾欲作时,觉
气上冲者,是肝侮肺,肺不受侮,故有此上冲,肝胜则复受金克,故搐搦也,以热药治之,
则风愈甚,以冷药治之,则气已虚,肺属金,金为清化,便觉脏腑不调,今用中和温药,抑
肝补脾,渐可安愈,今心忪,非心忪也,胃之大络,名曰虚里,络胸膈及两乳间,虚而有痰
则动,更须时发一阵热者,是其候也,服下三方,一月而愈,思和名医。寓仪真时,人少知
者,后至都下,声名籍甚,为医官,政和中度为黄冠,终蕊珠侍宸。
听会穴,左右各一穴,位于耳屏前方微陷处,张口时穴位显现于耳前凹陷中动脉搏动宛宛之处,侧卧并张口取穴。主治耳聋、耳内鸣响如蝉声、下颌关节脱臼。每日可灸五壮至三七二十一壮为止,十日连续施灸即可痊愈。忌食动风之物、生冷食物以及猪肉、鱼类等。(《灸经》记载:每日灸五壮至七壮为止,可连续进行约十日,之后根据情况再次施灸。慎食冷物。)
颊车穴,左右各一穴,位于耳下曲颊骨端凹陷处,侧卧并张口取穴。主治牙关紧闭不开、口噤不能言语、失音、下颌关节疼痛、颧颊部肿胀、颈部僵硬无法回顾。每日可灸七壮至七七四十九壮为止,艾炷大小如大麦粒,禁忌事项同常规方法。
地仓穴,左右各一穴,位于口角旁开四分处,若近下方有脉搏微微跳动,此处为跷脉与手阳明大肠经的交会点。若是久患中风者,其脉搏也可能不跳动。主治口眼歪斜、眼睛不能睁开、失音不语、饮食无法吞咽、口水漏落不止、眼睑颤动不止。病在左侧治右侧,病在右侧治左侧。每日灸十四壮,重症者灸四十九壮,艾炷大小如粗线轴脚大。若艾炷太大导致嘴角歪斜加重,则改灸承浆穴四十九壮即可痊愈。(面部发热及房事等禁忌同常规。)
百会穴,位于头顶正中凹陷处。主治小儿脱肛久治不愈、风痫、中风角弓反张、口吐涎沫。可灸七壮至四十九壮。因头顶皮肤浅薄,凡灸此穴不超过四十九壮。
肩髃穴,位于肩端两骨之间凹陷宛宛处,举臂取穴。主治偏风半身不遂、热风瘾疹、手臂挛急、抓握物品无力、拉弓不能张开、手臂消瘦无力、筋骨酸痛。可灸七壮至十四壮,若为偏风半身不遂,可灸至四十九壮。
曲池穴,左右各一穴,位于肘臂相连处,以手拱胸取穴,屈肘横纹尽头处即是穴位。主治偏风半身不遂、刺风瘾疹、筋缓抓握无力、拉弓不能张开、屈伸困难。可灸三壮。(《针灸经》记载:每日灸七壮至二百壮且暂停,十余日后再施火灸,直至二百壮停止。如此类推。)
风市穴即中渎穴,左右各一穴,位于大腿外侧膝上五寸分肉之间的凹陷处。主治寒气客居于分肉之间,疼痛攻冲上下,筋痹麻木不仁。可灸五壮。
足三里穴,左右各一穴,位于膝眼下三寸胫骨外廉两筋之间,举足取穴。主治胃中寒邪、心腹胀满、胃气不足、闻食臭肠鸣、腹痛消化不良。此穴可治诸病,并能治疗食气、水气、蛊毒积聚癖块、四肢肿满、膝部酸痛、视力不明、五劳七伤、胸中瘀血、乳痈。可灸三壮。人年三十以上,皆适宜灸此穴。(每日灸七壮至一百壮为止。)
绝骨穴,一穴,位于足外踝上四寸。主治风痹麻木不仁、膝部酸痛。可灸三壮。
发际穴即神庭穴,位于直鼻向上额头发际五分处。主治癫疾风痫、戴目(眼球上翻)上下不识人、头风目眩、鼻出清涕不止、惊悸不得安寝。可灸二壮至四十九壮为止。凡治疗风病灸法过多则易受伤,只宜灸七壮至二十一世壮,若用针则会导致发狂。
大椎穴,一穴,位于项后第一椎上凹陷处。主治五劳七伤、颈项僵硬无法回顾、风劳食气。灸法以年龄数为壮数。(有人说每日灸七壮至四十九壮。)
风池穴,左右各一穴,位于脑后入发际凹陷处。主治颈项疼痛无法回顾、腰背弯曲牵引颈部、筋无力收摄。可灸七壮。
元符年间,我宗族一人患病,超过一年未愈,向医生王思和绎求诊。思和详细陈述脉状说:病因惊恐所致,肝脏受邪,邪气来侵犯阳明经,也就是胃。邪气盛而不畏惧克制它的五行,又来侵犯肺脏。肺因久病气弱,金气胜而无力,受到肝木的凌侮。其病症时常出现头晕、抽搐掣动。心包伏留痰涎,日久则伤害脾气。应当平抑肝气使其回归经脉,则脾不受克伐。脾属中州土,主管四肢一体之事。脾气正则土生金,金旺则肺安矣。如今疾病欲发作时,感觉气上冲,这是肝侮肺,肺不受侮,故有此上冲感;肝胜则复受金克,故发生搐搦。用热药治疗,则风邪更甚;用冷药治疗,则气已虚。肺属金,金为清化之气,便觉脏腑不调。如今使用中和温药,抑制肝气补益脾气,逐渐可以安康痊愈。现在的心悸(心忪),并非真正的心悸,而是胃的大络,名叫虚里,联络胸膈及两乳之间,虚而有痰则跳动。更须时时发作一阵热者,就是这一征候。服用以下三方,一个月而痊愈。思和是名医。我寓居仪真时,很少有人知道他,后来到了都城,声名显赫,担任医官。政和年间出家为道士,最终成为蕊珠侍宸。
Tinghui (Auditory Meeting), two acupoints, located in the slight depression anterior to the ear. When the mouth is open, the point appears in the depression anterior to the ear where the artery throbs gently. It is accessed by lying on the side with the mouth open. It treats deafness, tinnitus sounding like cicadas, and dislocation of the mandible. One may moxa five to twenty-one (3x7) moxa cones per day, stopping after ten days of continuous treatment for recovery. Avoid wind-inducing foods, raw and cold foods, as well as pork and fish. (The *Moxibustion Classic* states: Moxa five to seven cones daily, continuing for about ten days, then resume based on prior treatment. Avoid cold food.)
Jiache (Chebone), two acupoints, located in the depression at the end of the curved jawbone below the ear. Accessed by lying on the side with the mouth open. It treats trismus (lockjaw), inability to speak due to locked jaws, loss of voice, pain in the mandible, swelling of the cheek and jaw, neck stiffness preventing looking back. One may moxa seven to forty-nine (7x7) moxa cones per day, with cones the size of a large barley grain. Taboos follow standard methods.
Dicang (Earth Granary), two acupoints, located four fen lateral to the corner of the mouth. If there is a slight pulse movement nearby inferiorly, this is the intersection of the Qiao vessels and the Hand-Yangming Large Intestine channel. In cases of long-standing wind stroke, the pulse may not be palpable. It treats facial paralysis (deviated mouth and eyes), inability to open the eyes, loss of voice, inability to swallow food or fluids, drooling, and continuous eyelid twitching. Treat the right side for left-sided disease, and the left side for right-sided disease. Moxa fourteen (2x7) cones daily, or forty-nine (7x7) cones for severe cases. The moxa cone should be the size of a coarse spindle foot. If the cone is too large and causes worsening deviation of the mouth, moxa Chengjiang (Confluence of Springs) forty-nine cones for recovery. (Taboos regarding facial heat and sexual intercourse follow standard methods.)
Baihui (Hundred Convergences), one acupoint, located in the central depression of the top of the head. It treats prolapsed rectum in children that has persisted for a long time, wind epilepsy, opisthotonos from wind stroke, and spitting of saliva. One may moxa seven to forty-nine cones. Since the skin on the top of the head is thin, moxibustion here should not exceed forty-nine cones.
Jianyu (Shoulder Bone), one acupoint, located in the depression between the two bones at the shoulder tip. Accessed by raising the arm. It treats hemiplegia from partial wind, wind-heat urticaria, spasm and urgency of the arm and hand, inability to grasp objects, inability to draw a bow, emaciation and weakness of the arm, and soreness and pain of tendons and bones. One may moxa seven to fourteen cones. For hemiplegia from partial wind, one may moxa up to forty-nine cones.
Quchi (Pool at the Curve), two acupoints, located at the junction of the arm and elbow. Accessed by arching the hands to the chest; the point is at the end of the transverse crease. It treats hemiplegia from partial wind, wind-heat urticaria, flaccidity of tendons with inability to grasp, inability to draw a bow, and difficulty in flexion and extension. One may moxa three cones. (The *Acupuncture and Moxibustion Classic* states: Moxa seven to two hundred cones daily and pause, resume fire moxibustion after more than ten days, up to two hundred cones. And so on.)
Fengshi (Wind Market), also known as Zhongdu, two acupoints, located in the depression between the muscles five cun above the knee on the lateral aspect of the thigh bone. It treats cold pathogen lodging between the muscle layers, pain attacking up and down, numbness and bi-syndrome of the tendons. One may moxa five cones.
Zusanli (Leg Three Miles), two acupoints, located three cun below the knee, between the two tendons on the lateral aspect of the tibia. Accessed by lifting the foot. It treats cold in the stomach, abdominal distension and fullness, deficiency of stomach qi, borborygmus upon smelling food odor, abdominal pain and indigestion. This acupoint treats various diseases, and also treats food qi, water qi, gu-toxin accumulation, swelling and fullness of the four limbs, knee soreness and pain, blurred vision, five exhausters and seven injuries, blood stasis in the chest, breast abscess. One may moxa three cones. Individuals over thirty years old are suitable for moxibustion at this acupoint. (Moxa seven to one hundred cones daily.)
Jiegu (Bone Abscission), one acupoint, located four cun above the lateral malleolus. It treats numbness from wind-bi syndrome and knee soreness. One may moxa three cones.
Faji (Hair Margin), also known as Shenting (Spirit Court), one acupoint, located five fen into the hairline directly above the nose. It treats epilepsy and wind epilepsy, staring upward with inability to recognize people, headache with vertigo, continuous clear nasal discharge, palpitations and insomnia. One may moxa two to forty-nine cones. Generally, excessive moxibustion for wind disorders causes injury; only seven to twenty-one cones are appropriate. Acupuncture may induce mania.
Dazhui (Great Vertebra), one acupoint, located in the depression above the first cervical vertebra at the nape. It treats five exhausters and seven injuries, neck stiffness preventing looking back, wind-labor and food qi. Moxibustion dosage is based on age in number of cones. (Some say moxa seven to forty-nine cones daily.)
Fengchi (Wind Pool), two acupoints, located in the depression entering the hairline at the back of the head. It treats neck and shoulder pain preventing looking back, lumbar curvature pulling the neck, tendon weakness and laxity. One may moxa seven cones.
During the Yuanfu era, a clansman of mine fell ill and did not recover for over a year. He sought medical advice from Wang Sihe Yi. Sihe described the pulse condition thus: The cause was fright and terror, leading to evil affecting the Liver. The evil came to invade the Yangming channel, which is the Stomach. The evil was strong and did not fear the element that conquers it, so it invaded the Lungs. Because the Lungs were weak from chronic illness, Metal was strong but powerless, suffering humiliation from Wood (Liver). The symptoms included recurrent dizziness, convulsions, and spasms. Phlegm-fluid stagnated in the Pericardium. Over time, it harmed the Spleen Qi. One must calm the Liver Qi to return it to its channel, so the Spleen is not overacted upon. The Spleen belongs to Earth in the Central Region, governing the limbs and body. When Spleen Qi is regular, Earth generates Metal; when Metal is prosperous, the Lungs are peaceful. Now, when the disease is about to manifest, feeling Qi rushing upward indicates Liver insulting Lung. Since the Lung does not accept the insult, there is this upward rush. When Liver is excessive, it is again conquered by Metal, causing spasms. Using hot medicines would exacerbate the wind; using cold medicines would further deplete the already deficient Qi. The Lung belongs to Metal, which is clear and transforming; thus, internal organs feel discordant. Now, using neutral and warm medicines to suppress the Liver and tonify the Spleen will gradually lead to recovery. The current palpitations (Xin Song) are not true heart palpitations; they arise from the Great Luo of the Stomach, named Xuli (Empty Li), which connects the chest, diaphragm, and between the breasts. Deficiency with phlegm causes movement. Additionally, occasional bursts of fever are signs of this condition. Taking the following three formulas led to recovery within one month. Sihe was a renowned physician. When I resided in Yizhen, few knew him. Later, in the capital, his fame spread widely, and he served as an Imperial Physician. During the Zhenghe era, he became a Daoist priest, eventually attaining the title Ruizhu Shichen.