凡用灸者,所以散寒邪,除阴毒,开郁破滞,助气回阳,火力若到,功非浅鲜。故古人灸
法,有二报、三报,以至连年不绝者,前后相催,其效尤速,或自三壮、五壮,以至百壮、千壮
者,由渐而增,多多益善也。然灸头面者,艾炷宜小,亦不宜多,灸手足者稍倍之,灸腹背者
又倍之。若上下俱灸,必须先上而后下,不可先下后上也。凡用火补者,勿吹其火,必待其
从容彻底自灭,灸毕即可用膏贴之,以养火气,若欲报者,直待报毕贴之可也;用火泻者,可
吹其火,传其艾,宜于迅速,须待灸疮溃发,然复贴膏,此补泻之法也。其有脉数躁烦,口干
咽痛,面赤火盛,阴虚内热等证,俱不宜灸,反以助火,不当灸而灸之,灾害立至矣。图翼四
卷,有针灸诸则,所当并察。
〔中脏气塞痰上,昏危不省人事〕
百会 风池 大椎 肩井 间使 曲池 足三里
凡觉手足挛痹,心神昏乱,将有中风之候,不论是风与气,可根据次灸此七穴则愈。
合谷 风市 手三里 昆仑 申脉
神阙 凡卒中风者,神阙最佳。罗天益曰∶中风服药,只可扶持,要收全功,艾火为良。
盖不惟逐散风邪,宣通血脉,其于回阳益气之功,真有莫能尽述者。详见本穴。
〔偏风半身不遂〕(左患灸右,右患灸左。)
肩 百会 肩井 客主人(主口歪。) 列缺 手三里 风市 曲池 阳陵泉 环跳
足三里 绝骨 昆仑 申脉
〔口眼 斜〕
颊车 地仓 水沟 承浆(偏风口 。) 听会 合谷
凡口 向右者,是左脉中风而缓也,宜灸左 陷中二七壮; 向左者,是右脉中风而缓
也,宜灸右 陷中二七壮。艾炷如麦粒可矣。
〔口噤不开〕
颊车 承浆 合谷
〔喑哑〕
天突 灵道 阴谷 复溜 丰隆 然谷
〔戴眼〕
神庭
脊骨三椎、五椎,各灸五七壮,齐下火,立效。
〔瘫痪〕
肩井 肩 曲池 中渚 合谷 阳辅 阳溪 足三里 昆仑
〔角弓反张〕
百会 神门 间使 仆参(七壮。) 命门 太冲
〔风痹不仁〕
天井 尺泽 少海 阳辅 中渚 环跳 太冲
凡是使用灸法,是为了疏散寒邪,清除阴毒,开通郁结破除滞气,帮助正气恢复阳气。只要火力能够到达病所,其功效是非常显著的。所以古人的灸法,有“二报”、“三报”,甚至连续多年不断进行的,前后相继催促疗效,效果尤其迅速;有的从三壮、五壮开始,增加到百壮、千壮,逐渐递增,越多越好。然而,灸头面部时,艾炷宜小,也不宜多;灸手足部时,艾炷数量稍加倍;灸腹部和背部时,又再加倍。如果上下都进行灸治,必须先灸上部后灸下部,不可先下后上。凡是用火补法时,不要吹火,必须等待艾火从容彻底自然熄灭,灸毕即可用膏药贴敷,以养护火气;如果是为了“报”(即再次施灸),则待再次灸毕后再贴膏药即可;用火泻法时,可以吹火,传递艾火,宜于迅速,必须等待灸疮溃烂发作,然后再贴膏药,这就是补法和泻法的区别。那些脉象数急躁动烦闷,口干咽痛,面色红赤火气旺盛,阴虚内热等证候,都不适宜灸治,否则反而助长火势,不当灸而灸之,灾祸立刻就会到来。《图翼》第四卷中,有关于针灸的各种法则,应当一并考察。
〔中脏气机闭塞,痰浊上逆,昏迷危急不省人事〕
百会 风池 大椎 肩井 间使 曲池 足三里
凡是感觉手足拘挛麻痹,心神昏乱,将有中风征兆的,不论是风邪还是气滞所致,可根据上述次序灸这七个穴位即可痊愈。
合谷 风市 手三里 昆仑 申脉
神阙 凡是突然中风的,神阙穴最佳。罗天益说:治疗中风服药,只能起到扶持作用,若要取得完全疗效,艾灸是最好的。因为艾灸不仅能驱散风邪,宣通血脉,其在回阳益气方面的功效,实在难以尽述。详见本穴条目。
〔偏瘫半身不遂〕(左侧患病灸右侧,右侧患病灸左侧。)
肩髃 百会 肩井 客主人(主治口眼歪斜。) 列缺 手三里 风市 曲池 阳陵泉 环跳
足三里 绝骨 昆仑 申脉
〔口眼歪斜〕
颊车 地仓 水沟 承浆(治疗偏风口歪。) 听会 合谷
凡是口角向右歪斜的,是左侧经脉中风而松弛所致,宜灸左侧颧髎陷中十四壮;向左歪斜的,是右侧经脉中风而松弛所致,宜灸右侧颧髎陷中十四壮。艾炷如麦粒大小即可。
〔牙关紧闭不开〕
颊车 承浆 合谷
〔失音哑巴〕
天突 灵道 阴谷 复溜 丰隆 然谷
〔戴眼(眼球固定向上凝视)〕
神庭
脊柱第三椎、第五椎,各灸七壮,同时点火,立即见效。
〔瘫痪〕
肩井 肩髃 曲池 中渚 合谷 阳辅 阳溪 足三里 昆仑
〔角弓反张〕
百会 神门 间使 仆参(七壮。) 命门 太冲
〔风痹肌肤麻木不仁〕
天井 尺泽 少海 阳辅 中渚 环跳 太冲
Whenever moxibustion is employed, its purpose is to disperse cold pathogens, eliminate yin toxins, open up stagnation and break through obstruction, assist qi recovery, and restore yang. Once the heat power reaches the target area, its efficacy is significant. Therefore, ancient practitioners of moxibustion utilized methods such as "two reports" (secondary applications) and "three reports," continuing even for years without interruption. With successive applications accelerating the effect, it was particularly rapid. Some started with three or five moxa cones and gradually increased to hundreds or thousands, advocating that more is better. However, when moxibusting the head and face, the moxa cone should be small and not numerous; for the hands and feet, the quantity should be slightly doubled; for the abdomen and back, it should be doubled again. If moxibustion is applied to both upper and lower parts, one must start from the upper body and proceed downwards, never starting from the bottom up. For the tonification method using fire, do not blow on the fire; wait for it to extinguish naturally and thoroughly. After moxibustion, apply a plaster immediately to nourish the fire energy. If secondary application ("report") is desired, apply the plaster only after the secondary session is complete. For the sedation method using fire, one may blow on the fire to accelerate it, ensuring rapid transmission of the heat. One must wait until the moxa blister ulcerates before applying the plaster. This constitutes the distinction between tonification and sedation methods. Conditions such as rapid and restless pulse, dry mouth and sore throat, red face with excessive fire, and internal heat due to yin deficiency are all unsuitable for moxibustion. Applying moxibustion in these cases would instead exacerbate the fire, leading to immediate adverse consequences if improperly indicated. Volume Four of *Tu Yi* contains various principles regarding acupuncture and moxibustion, which should be consulted together.
[Obstruction of zang organ qi with phlegm rushing upward, causing critical coma and loss of consciousness]
Baihui (DU20), Fengchi (GB20), Dazhui (DU14), Jianjing (GB21), Jianshi (PC5), Quchi (LI11), Zusanli (ST36).
Whenever there is a sensation of spasm and numbness in the limbs, mental confusion, and signs indicating an impending stroke, regardless of whether caused by wind or qi stagnation, moxibustion applied to these seven acupoints in sequence will result in recovery.
Hegu (LI4), Fengshi (GB31), Shousanli (EX-UE10), Kunlun (BL60), Shenmai (BL62).
Shenque (CV8) is optimal for sudden stroke. Luo Tianyi stated: Medication for stroke can only provide support; to achieve complete recovery, moxibustion is superior. Moxibustion not only disperses wind pathogens and unblocks blood vessels but also possesses profound effects in restoring yang and boosting qi, which are difficult to fully describe. See the entry for this acupoint for details.
[Hemiplegia/Paralysis of half the body] (Moxa the healthy side if the affected side is on the left, and vice versa.)
Jianyu (LI15), Baihui (DU20), Jianjing (GB21), Kerenren (Ex-HN17) [treats facial deviation], Lieque (LU7), Shousanli (EX-UE10), Fengshi (GB31), Quchi (LI11), Yanglingquan (GB34), Huantiao (GB30), Zusanli (ST36), Juegu (GB39), Kunlun (BL60), Shenmai (BL62).
[Facial Paralysis/Drooping Mouth and Eye]
Jiache (ST6), Dicang (ST4), Shuigou (DU26), Chengjiang (CV24) [treats facial deviation], Tinghui (GB2), Hegu (LI4).
If the mouth deviates to the right, it indicates wind-stroke affecting the left meridian causing flaccidity; moxibustion should be applied to the depression near Quanliao (SI18) on the left side for fourteen cones. If it deviates to the left, it indicates wind-stroke affecting the right meridian causing flaccidity; moxibustion should be applied to the depression near Quanliao (SI18) on the right side for fourteen cones. The moxa cone should be the size of a wheat grain.
[Trismus/Jaw Lock]
Jiache (ST6), Chengjiang (CV24), Hegu (LI4).
[Aphonia/Loss of Voice]
Tiantu (CV22), Lingdao (HT4), YinGu (KI10), Fuliou (KI7), Fenglong (ST40), RanGu (KI2).
[Daiyan/Eyes Fixed Upward]
Shenting (DU24).
Moxibustion applied to the third and fifth thoracic vertebrae, seven cones each, ignited simultaneously, yields immediate results.
[Paralysis]
Jianjing (GB21), Jianyu (LI15), Quchi (LI11), Zhongzhu (TE3), Hegu (LI4), Yangfu (GB38), Yangxi (LI5), Zusanli (ST36), Kunlun (BL60).
[Opisthotonos/Arched Back]
Baihui (DU20), Shenmen (HT7), Jianshi (PC5), Pusen (BL61) [seven cones], Mingmen (DU4), Taichong (LR3).
[Fengbi/Skin Numbness due to Wind-Bi]
Tianjing (TE10), Chize (LU5), Shaohai (HT3), Yangfu (GB38), Zhongzhu (TE3), Huantiao (GB30), Taichong (LR3).