凡用艾叶须陈久者,治令细软,谓之熟艾。若生艾灸火,则伤人肌脉。故孟子云∶七年
,求三年之艾,拣取净叶,捣去尘屑,石臼中木杵捣熟,罗去渣滓,取白者再捣至柔烂如绵
为度,用炷燥则灸火有力。
凡灸火者,宜用阳燧火珠,承日取太阳真火,其次钻槐取火为良。若急卒难备,则真麻
或蜡烛火,以艾茎烧点于炷,滋润灸疮,至愈而不痛也。其戛金击石钻燧八木之火,皆不可
用。邵子云∶火无体,因物以为体,金石之火,烈于草木之火,是矣。八木者,松火难瘥
;柏火伤神,多汗;桑火伤肌肉;柘火伤气脉;枣火伤内消血;橘火伤营卫经络;榆火伤骨
失志;竹火伤筋损目也。
凡痰火骨蒸,痨瘵梦遗,盗汗传尸等症,宜灸四花六穴,膏肓二穴,肾 二穴,肺 二
穴,足三里二穴,手合谷二穴,或膻中穴,但得穴真,无不验也。
崔氏灸骨蒸痨瘵,初得此疾,即如此法灸之,无不效者。但医多不得真穴,以致有误。
今具真格,使学人一见 然无误。
先用细绳一条,约三四尺,以蜡抽之,勿令展缩,以病患脚底贴肉量,男取左足,女取
,从足大拇指头齐起,从脚板底当脚根中心,向后引绳,循脚肚贴肉直上,至膝脘曲又中大
横纹截断。次令病患解发分开两边,全见头缝,自囟门平分至脑后,乃平身正坐。取前所截
绳子一头,从鸠尾齐引绳向上,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,(此墨不是灸穴。)别以稻秆心,令病患合口,将秆心按于口上,两头至吻,却
勾起秆心中心至鼻端根下,如人字样,齐两吻截断,将秆展直于先在脊中墨记处,取中横量
点之,此是灸穴,名曰患门二穴。初灸七壮,累灸至一百壮,妙。初只灸此二穴,次令其人
平身正坐,稍缩臂膊,取一绳绕项向前,平结喉骨,骨平大杼骨,俱以墨点记,向前双垂,
下与鸠尾齐截断,灸鸠尾穴,却翻绳向后,以绳头齐会处,以墨点记,(此亦不是灸穴。)别
取秆心,令其人合口,无得动笑,横量两吻,截断,还于背上墨记处,折中横量两头点之,
此是灸穴。又将其秆心循脊直量,上下点之,此是灸穴,名曰四花穴。初灸七壮,累灸至百
壮,迨疮疾愈。根据前法复灸至百壮,但当脊骨上两穴,切宜少灸。凡一次只灸三五壮,多灸
恐人蜷背。凡灸此穴,亦要灸足三里,以泻火气为妙。若妇人缠绵裹足,以至中短小,则
第一次患门穴难以量准,但取右手肩 穴贴肉量至中指为尽亦可,不若只取膏肓穴灸之,其
穴备于后,次灸四花穴,亦效。予常见人初有此疾,即与根据法灸之,无有不效,惟恐病根深
痼,亦根据此法灸之,亦有齐愈者,况初病者乎!
凡是使用艾叶,必须选用陈年久存的,加工处理得细软,称为熟艾。如果用生艾进行艾灸或火疗,则会损伤人的肌肉和血脉。所以孟子说:“七年之病,求三年之艾。”要挑选干净的艾叶,捣碎并去除灰尘碎屑,在石臼中用木杵捣烂,筛去渣滓,只取白色的部分再次捣至柔软如棉絮的程度为止。制成的艾炷如果干燥,则灸治时火力强劲有力。
凡是用火灸治疗,适宜使用阳燧(古代取火工具)或火珠,承接日光以获取太阳的真火;其次用钻槐木取火也是很好的方法。如果紧急情况下难以备齐这些,则可以用真麻杆或蜡烛的火,点燃艾茎后再去点灸艾炷。这样能使灸疮滋润,直到痊愈且不会感到疼痛。那些通过敲击金属、撞击石头、钻木以及“八木”所取得的火,都不可使用。邵雍曾说:“火没有固定的形体,是依附于物体而显现形体的。”金石之火比草木之火猛烈,这话是对的。“八木”之火各有弊端:松木火难以治愈疾病;柏木火伤害精神,导致多汗;桑木火伤害肌肉;柘木火伤害气脉;枣木火导致内消血;橘木火伤害营卫经络;榆木火伤害骨骼,使人意志丧失;竹木火伤害筋脉,损害眼睛。
凡是患有痰火、骨蒸劳热、痨瘵、梦遗、盗汗、传尸等病症,适宜灸治四花穴和六穴。具体包括:膏肓二穴、肾俞二穴、肺俞二穴、足三里二穴、手合谷二穴,或者膻中穴。只要穴位找得准确,没有不灵验的。
崔氏治疗骨蒸痨瘵,刚得到这个疾病时,就按照这种方法灸治,没有不有效的。只是医生们大多找不到真正的穴位位置,以致造成误治。现在提供准确的测量方法,使学习者一看就能明白,不再有误。
先用一条细绳,大约三四尺长,用蜡浸渍过,防止其伸缩变形。让病人的脚底贴着肉量取,男子取左脚,女子取右脚。从大脚趾头齐平处开始,沿着脚底板正对脚跟中心的位置,向后引绳,顺着小腿肚贴着肉直上,直到膝盖弯曲处的中间横纹处截断绳子。接着让病人解开头发,向两边分开,完全露出头缝,从囟门平分到脑后,然后端正坐好。取前面截断的那根绳子的一头,从鸠尾穴(胸剑联合部)齐平处向上引绳,正循着头缝到脑后贴着肉垂下,顺着脊骨引绳向下,到绳子尽头时在脊骨上用墨点做记号(这个墨点不是灸穴)。另外取一根稻秆心,让病人闭口,将秆心按在嘴上,两端到达嘴角,然后将秆心的中心勾起抵住鼻根下方,形状像人字,在两个嘴角齐平处截断秆心。将秆心展直,放在先前在脊背上的墨记处,从中横向量取并点记,这就是灸穴,名叫患门二穴。初次灸七壮,累计灸至一百壮,效果奇妙。起初只灸这两个穴位。
接着让病人端正坐好,稍微收缩手臂,取一根绳子绕脖子向前,平结喉骨,与骨平齐的大杼骨,都用墨点做记号,向前双垂下来,下端与鸠尾穴齐平处截断绳子,灸鸠尾穴。然后将绳子翻向后方,以绳头汇合的地方,用墨点做记号(这也不是灸穴)。另外取一根秆心,让病人闭口,不要动也不要笑,横向量取两嘴角的距离,截断,再回到背上的墨记处,折中横向量取两头点记,这就是灸穴。再将这根秆心顺着脊骨直量,上下点记,这就是灸穴,名叫四花穴。初次灸七壮,累计灸至一百壮,直到疮疾痊愈。根据前面的方法再灸至一百壮,但脊骨上的两个穴位,务必少灸。每次只灸三五壮,灸多了恐怕人会弯腰驼背。凡灸这些穴位,也要灸足三里穴,以泻除火气为妙。如果是妇女长期缠足,导致身体短小,那么第一次测量患门穴难以准确,可以取右手肩井穴贴着肉量到中指末端为止也可以,但不如只灸膏肓穴,该穴的方法在后面有记载。其次灸四花穴,也有效。我常见有人初得此病,就按照本法灸治,没有不有效的。惟恐病情根深蒂固,也按照此法灸治,也有全部痊愈的,何况是初病患者呢!
When using mugwort leaves, one must select aged and stored ones, processing them until fine and soft, which is called "cooked mugwort" (Shu Ai). If raw mugwort is used for moxibustion or fire therapy, it will damage the muscles and meridians. Therefore, Mencius said: "For a disease of seven years, seek three-year-old mugwort." One should select clean leaves, pound them to remove dust and debris, place them in a stone mortar, and pound with a wooden pestle until cooked/soft. Sift out the dregs, take only the white parts, and pound again until soft and cotton-like. The prepared moxa cones, if dry, provide strong and effective heat during moxibustion.
For moxibustion, it is appropriate to use a Yang Sui (ancient solar fire mirror) or fire crystal to capture the true fire of the sun by focusing sunlight; alternatively, drilling locust wood to generate fire is also excellent. In urgent situations where these are unavailable, one may use the flame from dried hemp stems or candles to ignite the mugwort stem, which then lights the moxa cone. This method keeps the moxa sore moist, allowing it to heal without pain. Fires obtained from striking metal, hitting stones, drilling wood, or the "Eight Woods" should not be used. Shao Yong stated: "Fire has no fixed form; it takes form through objects." Fire from metal and stone is more intense than that from grass and trees, which is correct. The fires from the Eight Woods have specific drawbacks: Pine fire is difficult to cure diseases with; Cypress fire damages the spirit and causes excessive sweating; Mulberry fire damages muscles; Tzu tree fire damages Qi and vessels; Jujube fire causes internal blood depletion; Orange fire damages Ying and Wei (Nutritive and Defensive) meridians; Elm fire damages bones and causes loss of will; Bamboo fire damages tendons and harms the eyes.
For conditions such as phlegm-fire, bone-steaming consumption, tuberculosis (Lao Zhai), nocturnal emission, night sweats, and corpse-transmission diseases, it is suitable to moxibustate the Four Flowers acupoints and the Six Acupoints. Specifically: Gao Huang (BL43) bilateral, Shen Shu (BL23) bilateral, Fei Shu (BL13) bilateral, Zu San Li (ST36) bilateral, He Gu (LI4) bilateral, or Dan Zhong (CV17). As long as the acupoints are located accurately, there is no instance of ineffectiveness.
Cui treated bone-steaming consumption by applying this method immediately upon diagnosis, achieving universal efficacy. However, many physicians fail to locate the true acupoint positions, leading to errors. Herein is provided the accurate measurement method so that learners can understand at a glance without error.
First, take a thin string, approximately three to four chi long, impregnated with wax to prevent stretching or shrinking. Measure against the patient's sole, taking the left foot for males and the right foot for females. Start from the level of the big toe, along the center of the sole corresponding to the heel, extend backward along the calf紧贴 the flesh upwards to the middle horizontal crease of the knee bend, and cut the string. Then, have the patient untie their hair, parting it to both sides to fully expose the head seam. From the fontanelle (Baihui area), divide equally to the back of the head, and sit upright. Take one end of the previously cut string, align it with the Jiu Wei point (Xin Jian Lian He / xiphoid process), pull it upwards along the head seam to the back of the head, let it hang down紧贴 the flesh, and follow the spine downwards. Mark the point on the spine where the string ends with ink (this ink mark is not an acupoint). Alternatively, take a rice straw core. Have the patient close their mouth, place the straw horizontally across the mouth, extending to the corners of the lips. Lift the center of the straw to touch the root of the nose, forming a 'human' character shape. Cut the straw at the level of the two lip corners. Straighten the straw and place it horizontally on the previous ink mark on the spine. Measure from the center and mark both ends; these are the moxibustion points, named Huan Men (Gate of Illness) bilateral. Initially moxibustate 7 zhuang, accumulating up to 100 zhuang for excellent results. Initially, moxibustate only these two points.
Next, have the patient sit upright, slightly retracting the arms. Take a rope, wrap it around the neck forward, level with the Adam's apple (Jie Hou), and mark the Da Zhu (BL11) bone level with ink. Let the rope hang down doubly forward, cutting it at the level of the Jiu Wei point. Moxibustate the Jiu Wei point. Then flip the rope backward. Mark the point where the rope ends meet with ink (this is also not an acupoint). Take another rice straw core. Have the patient close their mouth, remaining still and without smiling. Measure horizontally across the two lip corners, cut the straw, and return to the ink mark on the back. Fold it in half and measure horizontally to mark both ends; these are the moxibustion points. Extend the straw vertically along the spine to mark upper and lower points; these are the moxibustion points, named Si Hua (Four Flowers). Initially moxibustate 7 zhuang, accumulating up to 100 zhuang until the sores heal. Repeat the previous method to moxibustate up to 100 zhuang, but for the two points on the spine, moxibustation must be minimal. Moxxibustate only 3-5 zhuang per session; excessive moxibustation may cause the person to hunch their back. When moxibustating these points, it is also advisable to moxibustate Zu San Li (ST36) to drain fire energy. For women who have bound their feet tightly, resulting in short stature, measuring the Huan Men points initially may be inaccurate. Instead, one may measure from the Jian Jing (GB21) point on the right shoulder紧贴 the flesh to the tip of the middle finger. However, it is better to simply moxibustate the Gao Huang (BL43) point, whose method is detailed later. Subsequently moxibustating the Si Hua points is also effective. I often see patients with early-stage illness who, when treated according to this method, achieve universal efficacy. Even for those with deep-rooted and entrenched diseases, following this method has led to complete recovery, let alone those in the early stages!