太阳病以火劫汗邪风被火热血气流溢失其常度两阳相熏灼其身发黄云云
太阳病二日反躁反熨其背而大汗出大热人胃胃中水竭躁烦必发谵语云云
太阳病以火熏之不得汗其人必躁到经不解必围血名为火邪
微数之脉慎不可灸
脉浮宜以汗解用火灸之邪无从出因火而盛
少阴病得之二三日口中和其背恶寒者当灸之
常器之云足太阳鬲关二穴专灸背恶寒其背在第七椎下两旁相去各三寸陷中正坐取之灸五
壮
少阴病吐利手足不厥冷反发热者不死脉不至灸少阴七壮
常器之云当灸少阴太溪二穴经曰肾之原出于太溪其穴在内踝后跟骨动脉陷中
少阴病下利便脓血者可刺
常器之云可刺足少阴幽门交信二处
郭雍曰可灸考幽门二穴在鸠尾下一寸巨关两旁各五分陷者中治泻利脓血刺五分灸五壮交
信二穴在内踝上二寸少阴前太阴后廉筋骨间治泻利赤白刺四分留五呼灸三壮
少阴病下利脉微涩呕而汗出必数更衣反少者当温其上灸之
常器之云灸太冲郭雍云灸太溪此穴皆不治呕而汗出里急下利惟幽门主治干哕呕吐里急下
利亦当灸幽门为是
伤寒六七日脉微手足厥冷而烦躁灸厥阴厥不还者死常器之云可灸太冲以太冲二穴为足厥
阴之
所注凡病诊太冲脉可决人之生死其穴在足大指本节后二寸跗间陷者中动脉应手是其穴也灸三
壮
伤寒脉促厥逆者可灸之
常器之云太冲穴前条手足厥逆灸太冲此条亦手足厥逆亦当灸太冲
伤寒头痛身热灸
二间 合谷 神道 风池 期门 间使 足三里
伤寒汗不出目红耳聋胸痛颔肿口禁灸
侠溪 复溜
伤寒发热烦躁口干灸
曲泽 阴窍
呕吐气逆
曲泽
手足逆冷
大都
遍身发热
百劳
发狂
百会 间使 复溜 阴谷 足三里
阴症
期门 间使 气海 关元
聋哑
天突 期门
间使 耳聋
肾俞 偏历 听会
小便闭
阴谷 关元 阴陵泉
舌卷囊缩
天突 廉泉 肾俞 合谷 复溜 然谷 血海
腹胀
大白 复溜 足三里
余热
曲池 间使 后溪
妇人热入血室
期门
太阳病用火法强行发汗,邪风被火热逼迫,导致血气运行紊乱溢出常态,两阳(风与火)相互熏灼,身体出现发黄等症状。
太阳病发病两天后,反而出现烦躁,又用熨背的方法治疗,导致大汗出、大热入胃,胃中津液枯竭,出现烦躁并必然发生谵语等症状。
太阳病用火熏法治疗,若不得汗出,病人必然烦躁;若病情到经传变期仍未解除,必然发生衄血,这被称为“火邪”。
脉象微而数者,严禁使用灸法。
脉浮者适宜用发汗法解表,若用火灸法,邪气无从排出,反而因火而亢盛。
少阴病患病二三日,口中和润(无燥渴),背部感觉恶寒的,应当施灸。
常器之说:足太阳膀胱经的鬲关穴,专门用于灸治背部恶寒。该穴位在第七椎骨下两旁,距离正中线各三寸的凹陷处,取坐位定位,灸五壮。
少阴病出现呕吐、腹泻,手足不冰冷,反而发热者,预后良好(不死)。若脉搏摸不到,应灸少阴经穴位七壮。
常器之说:应当灸少阴肾经的太溪穴。经文说:“肾的原穴出于太溪。”该穴位在内踝后方,跟骨动脉处的凹陷中。
郭雍说:也可以施灸。考据幽门穴位于鸠尾穴下一寸,巨阙穴两旁各五分处的凹陷中,主治泻利脓血,针刺深度五分,灸五壮。交信穴位于内踝上二寸,少阴经之前,太阴经之后,筋骨之间的凹陷处,主治泻利赤白,针刺深度四分,留针五呼的时间,灸三壮。
少阴病出现腹泻,脉象微涩,呕吐且出汗,必然频繁更衣但排便量少者,应当温补上部,施灸。
常器之说:灸太冲穴。郭雍说:灸太溪穴。这两个穴位都不能治疗呕吐、出汗、里急后重和下利。只有幽门穴主治干哕、呕吐、里急后重和下利,所以应当灸幽门穴才是正确的。
伤寒病六七日,脉象微弱,手足厥冷且烦躁,应灸厥阴经穴位;若灸后手足仍不回暖者,预后不良(死)。常器之说:可灸太冲穴,因为太冲穴是足厥阴肝经的“输”穴。凡是疾病诊察太冲脉,可以判断人的生死。该穴位在足大趾本节后方二寸,足背间的凹陷处,按之有动脉应手,即是此穴,灸三壮。
常器之说:太冲穴。前一条提到手足厥逆灸太冲,这一条也是手足厥逆,也应当灸太冲穴。
伤寒头痛、身热,灸:
二间、合谷、神道、风池、期门、间使、足三里。
伤寒汗不出、眼睛发红、耳聋、胸痛、下巴肿胀、牙关紧闭,灸:
侠溪、复溜。
伤寒发热、烦躁、口干,灸:
曲泽、阴窍(注:此处原文疑为阴郄或类似穴位,依原文译作阴窍)。
Taiyang disease (Disease of the Taiyang channel) treated with fire methods to forcibly induce sweating causes pathogenic wind to be forced by heat, leading to chaotic and overflowing blood and qi that deviate from their normal state. The mutual scorching of two Yangs (wind and fire) results in symptoms such as jaundice.
In Taiyang disease, if restlessness appears on the second day, and back moxibustion is applied, causing profuse sweating and high fever entering the Stomach, the fluids in the Stomach are depleted. This leads to restlessness and inevitably delirious speech.
If Taiyang disease is treated with fire fumigation and sweat is not induced, the patient will inevitably become irritable. If the condition persists until the end of the transmission cycle without resolution, epistaxis (nosebleed) must occur; this is termed "Fire Pathogen" (Huo Xie).
For a pulse that is slightly rapid (Wei Shu), moxibustion must strictly be avoided.
When the pulse is floating, sweating should be used to resolve the exterior. If moxibustion is applied, the pathogen has no outlet and becomes exacerbated due to the fire.
In Shaoyin disease, occurring two or three days after onset, if the mouth feels neutral (no dryness or thirst) and there is aversion to cold in the back, moxibustion should be applied.
Chang Qizhi stated: The Gai Guan (BL17) point of the Foot-Taiyang Bladder channel is specifically indicated for moxibustion to treat back aversion to cold. This point is located in the depression 3 cun lateral to the midline, below the seventh thoracic vertebra. It is located in a sitting position, and five moxa cones (Zhuang) are applied.
In Shaoyin disease, if vomiting and diarrhea occur, but the hands and feet are not cold and instead there is fever, the prognosis is good (not fatal). If the pulse is imperceptible, seven moxa cones should be applied to the Shaoyin channel points.
Chang Qizhi stated: One should moxa the Taixi (KI3) point of the Foot-Shaoyin Kidney channel. The Classic states: "The Yuan-Source point of the Kidney originates at Taixi." This point is located in the depression behind the medial malleolus, where the posterior tibial artery beats.
In Shaoyin disease, if diarrhea with pus and blood in the stool occurs, acupuncture may be used.
Chang Qizhi stated: The Youmen (KI21) and Jiaoxin (KI8) points of the Foot-Shaoyin Kidney channel can be needled.
Guo Yong stated: Moxibustion can also be used. Examining the Youmen point, it is located one cun below the Jiuwei (CV15) point, in the depression 0.5 cun lateral to the Juque (CV14) point. It treats dysentery with pus and blood; needle depth is 0.5 cun, and five moxa cones are applied. The Jiaoxin point is located 2 cun above the medial malleolus, between the anterior aspect of the Shaoyin channel and the posterior aspect of the Taiyin channel, in the depression between the bone and tendon. It treats dysentery with red and white discharge; needle depth is 0.4 cun, retain the needle for five breaths, and apply three moxa cones.
In Shaoyin disease, if diarrhea occurs with a faint and choppy pulse, accompanied by vomiting, sweating, frequent defecation attempts with little output, the upper body should be warmed with moxibustion.
Chang Qizhi stated: Moxa the Taichong (LR3) point. Guo Yong stated: Moxa the Taixi (KI3) point. Neither of these points treats vomiting, sweating, tenesmus, and diarrhea. Only the Youmen point treats hiccups, vomiting, tenesmus, and diarrhea; therefore, moxa to Youmen is correct.
In Shanghan disease, six or seven days after onset, if the pulse is faint, the hands and feet are cold, and there is irritability, moxa the Jueyin channel points. If the hands and feet do not warm up after moxibustion, the prognosis is fatal. Chang Qizhi stated: One can moxa the Taichong (LR3) point, as it is the Shu-Stream point of the Foot-Jueyin Liver channel. In all diseases, examining the Taichong pulse can determine life or death. This point is located 2 cun distal to the metatarsophalangeal joint of the great toe, in the depression of the dorsum pedis where the dorsal pedal artery is palpable. Apply three moxa cones.
In Shanghan disease, if the pulse is hurried and there is cold extremities, moxibustion can be applied.
Chang Qizhi stated: Taichong point. The previous clause mentioned moxaing Taichong for cold extremities; this clause also involves cold extremities, so Taichong should also be moxaed.
For Shanghan disease with headache and fever, moxa: Erjian (LI2), Hegu (LI4), Shendao (GV11), Fengchi (GB20), Qimen (LR14), Neiguan (PC6 - *Note: Text says Jianshi PC5*), Zusanli (ST36).
For Shanghan disease with inability to sweat, red eyes, deafness, chest pain, submandibular swelling, and trismus, moxa: Xiaxi (GB43), Fuliou (BL60 - *Note: Text says Fuliu KI7*).
For Shanghan disease with fever, irritability, and dry mouth, moxa: Quze (PC3), Yinqiao (*Text says Yinqiao, likely a typo for Yinlingquan SP9 or similar, translated literally as Yinqiao*).
For vomiting and rebellious Qi, moxa: Quze (PC3).
For cold extremities, moxa: Dabu (SP4).
For generalized fever, moxa: Bailao (EX-B1).
For mania, moxa: Baihui (GV20), Neiguan (PC6 - *Text says Jianshi PC5*), Fuliou (KI7), Yinggu (KI10), Zusanli (ST36).
For Yin syndrome, moxa: Qimen (LR14), Neiguan (PC6 - *Text says Jianshi PC5*), Qihai (CV6), Guanyuan (CV4).
For deaf-mutism, moxa: Tiantu (CV22), Qimen (LR14).
For Jianshi (PC5) and deafness, moxa: Shenshu (BL23), Pianli (TE6), Tinghui (GB2).
For urinary retention, moxa: Yinggu (KI10), Guanyuan (CV4), Yinlingquan (SP9).
For tongue retraction and testicular contraction, moxa: Tiantu (CV22), Lianquan (CV23), Shenshu (BL23), Hegu (LI4), Fuliou (KI7), Ran gu (KI2), Xuehai (SP10).
For abdominal distension, moxa: Dabai (SP15), Fuliou (KI7), Zusanli (ST36).
For residual heat, moxa: Quchi (LI11), Neiguan (PC6 - *Text says Jianshi PC5*), Houxi (SI3).
For women with Heat entering the Blood Chamber, moxa: Qimen (LR14).