肩头 灸癣法八月八日。日出时。令病患。正当东向户长跪。平举。两手持户两边。取
肩头小垂际。骨解宛宛中。灸之两火俱下。各三壮。若七壮。十日愈。(千金)
按资生经。云。灸
愈。灸毕顷大痛。良久乃定。永不发。予亲病齿痛。百方治不验。用此瘥。
肩柱骨 肩端起骨尖上。(大成)
按与肩头穴同处。
巨阙俞 第四椎。名巨阙俞主胸膈中气。灸随年壮。(千翼)第四椎名厥阴俞。主胸中膈
气。积聚好吐随年壮灸之。(同上)
按与腹部巨阙同名异穴。千金曰。胸膈中气。灸阙 。注曰。扁鹊云。第四椎下。两旁
各一寸半。名阙 。详于背部二行中。
臣觉 背上甲内侧。反手所不及者。骨芒穴上。捻之。痛者是也。(千金)骨芒穴上六分
按千金注曰。臣觉亦作巨搅。千金翼云。狂走喜怒悲泣灸巨觉。而甲作侠。注曰。一云
巨阙俞又杂法篇作巨览。注曰。一作觉。千金头注曰。骨芒疑膏肓之误。
胃脘下俞三穴 治消渴咽喉干灸胃脘下 三穴。灸百壮。穴在背第八椎下。横三间寸。
灸之。(千金)
背甲中间 狂走刺人。或欲自死骂詈不息。称鬼神语。灸背甲中间三壮。报灸之。仓公法
。神效。(千金)
腰目 消渴小便数。灸腰目。在肾俞下三寸。亦挟脊骨。两旁。各一寸半。左右以指按
取。(千金)以指按陷中。(千翼)
按千金曰。消渴小便数。灸当脊梁中央解间一处。与腰目上。两处。凡三处。
腰目 腰痛。灸腰目 。七壮。在尻上约左右是。(千金)
腰眼 一名鬼眼。(大成)一名癸亥。(阿是要穴)令病患平眠。以笔于两腰眼宛宛中。点
二穴。各灸七壮。此穴诸书所无。而居家必用载之云。累试累验。(类经)
按腰目以下三穴。盖同穴也。针灸大成曰。鬼眼。专主痨虫。令病患举手向上略转后些
。则
腰上有两陷。居家必用云。治诸痨瘵。已深难治者。以癸亥日。二更尽入三更。令病患平眠
。以筋于两腰眼。点两穴。各灸七壮。累试累验。类经曰。癸亥二更后将交夜半。乃六神皆
聚
之时。勿使人知。令病者解去下衣举手。向上。略转后些。则腰间两旁。自有微陷。可见。是
名鬼眼穴。即俗人所谓腰眼也。正身直立用墨点记。然后上床合面而卧。用小艾炷。灸七壮
。
或九壮。十一壮尤好。其虫必于吐泻中而出。烧毁远弃之可免传染。比四花等穴。尤易。且
效。冈本。阿是要穴。一名癸亥。
顶椎(千金)
脊梁中央 消渴小便数。灸两手小指头。及足两小趾头。并灸顶椎佳。又灸当脊梁中央
解间一处。与腰目上两处。凡三处。(千金)
按千金翼。灸黄法。脊中椎上。七壮。盖同处。
督俞 一名高盖(资生)在六椎下。两旁各半寸。通灸。(资生入门)正坐取之。(金鉴)禁
针(资生)
按资生。背俞第二行。载此穴曰。铜人经。缺此穴。明堂经有之。今根据明堂入在此。恐
铜人
本不全也。类经。寸半作二寸。入门。灸三壮。主寒热心痛。腹痛。雷鸣。气逆。高盖。与
肾俞同名。
气海俞 在十五椎下。两旁各寸半。通灸。(资生入门)正坐取之。(大成)
按类经。寸半。作二寸。入门。入足太阳经。主腰痛痔漏。资生曰。明堂。有气海俞。
而铜人无之。恐铜人本不全。
关元俞 在十质椎下。两旁各寸半。通灸。(资生入门)伏而取之。(大成金鉴)
按类经。寸半。作二寸。入门。入足太阳经。主风劳腰痛。泄痢虚胀。小便难。妇人瘕
聚。诸疾。资生曰。明堂。有关元俞。而铜人无之。恐铜人本不全。
骨(次注新校正)见肩 下。
中枢(次注)
灵台(次注)
阳关(次注)
阙俞(千金) 一名厥阴俞(资生)
以上四穴。载背部中行部。
督脊 小儿惊痫。脊强反张。灸大椎。并灸诸脏 及督脊上当中从大椎至穷骨。中屈更
从大椎度之。灸度下头。是督脊也。右背部十二处。十日儿可灸三壮一月以上可灸五壮。(千金)
五 俞(素问) 见 下。
精宫(入门) 见志室下。
痞根 专治痞块。十三椎下。各开三寸半多灸左边。如左右俱有左右俱灸。(入门)以指
揣摸自有动处即点穴灸之。大约穴与脐平。(类经)
中空 从肾俞穴。量下三寸。各开三寸。是穴。此即膀胱经之中 也。(大成)
按不当中 。是注误。
下极俞 第十五椎。名下极俞。主腹中疾。腰痛膀胱寒 饮注下。随年壮灸之。(千翼)
按难经下极之 。滑寿曰。两阴之间。屏翳处也。不与此同。千金。无第十五椎及中字。
肩上 脾俞下四寸。挟脊梁。一寸半。二穴。(千翼)
脊背五穴(类经) 治大人癫。小儿惊痫法。灸背第二椎及下极骨两处。以绳度中折绳
端一处。是脊骨上也。凡三处毕。复断此绳作三折令各等。而三合如 字。以一角。注中央。灸
下二角。挟脊两边。便灸之。凡五处也。以丹注所灸。五处灸百壮。削竹为度。胜绳也。(
侠脊 治霍乱转筋。令病患正合面卧伸两手着身。以绳横两肘尖头。根据绳下挟脊骨两旁
。相去一寸半。灸一百无不瘥者。(千翼)
按注曰。肘后方云。此华佗法。
浊浴 挟胆 旁行相去五寸。(千金)
按千金曰。治胸中胆病。千金翼同。
下腰 八魁正中央。脊骨上。灸数多尤佳。三宗骨。是忌针。(千金)
按千金曰。泄痢久下。失气劳冷。灸下腰百壮。三报。千金翼。无央字。又按八魁三宗
骨未详。东医宝鉴。魁作 。稍通。
荣卫四穴 大小便不利。欲作腹痛。灸荣卫四穴。百壮。穴在背脊四面各一寸。(千金
。千翼)
按背脊四面。未知何处。恐脱语。医学纲目云。在背脊四面各一寸八分。腰眼下三寸。挟
脊相去四寸。两边各四穴。灸十壮至百壮。
回气 五痔便血失屎。灸回气百壮。穴在脊穷骨上。(千金)赤白肉下。(类经)
按千金翼回作 。曰五痔便血失屎。灸回气百壮在脊穷骨上。赤白下。灸穷骨。惟多为佳
。赤
白下。盖言下秽物。类经。加肉字曰脊穷骨上赤白肉下。更按穷骨上。似无赤白肉。果夫。
张氏之是乎。
团冈 腹热闭。时大小便难。腰痛连胸。灸团冈。百壮。穴在小肠俞下二寸。横三。间寸
。灸之。(千金)
按千金翼腹作腹中似中膂穴。医学纲目。东医宝鉴。作环冈。
后腋 治颈漏。背后两边。腋下后纹头。(类经。引千金。)腋后廉际两筋间。主腋外相
引而痛。手臂拘挛急不得上头。(外台)
按类经。作后腋下穴。阿是要穴曰。颈漏今所谓气肿。一曰瘰 漏也。
接脊 小儿痢下赤白。秋末脱肛。每厕肚疼。不可忍者。灸十二椎下节间名接脊穴。灸
一壮。如小麦大(明堂)
胛缝 背端骨下。直腋缝尖。及臂取二寸半。泻六吸。主治肩背痛连胛。(医纲)
按玉童赋曰。肩脊痛兮。五枢兼于背缝。宝鉴。无二寸半三字。
背篮 治疟如神。令病患跣足。于平正处。并脚立。用绳一条。自脚枝。周匝截断。却
于顶前
。般过背上两绳尽处。脊骨中。是穴。先点记。待将发。急以艾灸之三七壮。其寒热自止。此法
曾遇至人传授。妙不可言。名曰背篮穴也。(寿世保元)
尾翠 骨上三寸骨陷间。(明堂)
按与长强同名。骨上。盖言穷骨上。
身八邪穴 外科全书云。身八邪。
一肩井 在两颈侧。
二风门 挟脊对第四节。
三肺俞 挟脊对第五节。
四曲泽 在两臂曲。
按四节五节。当作二节三节。
第二十二椎两傍 主腰背不便。筋挛痹缩。虚热闭塞。灸随年壮。两旁。各一寸五分。
(千翼)
按脊椎二十一节。古今通说。今言二十二椎者。连数项骨者欤。恐有误。
四花患门 一名六花(幼幼新书)
苏沈良方曰灸三十种骨蒸法。崔丞相。灸劳法。外台秘要。崔相家传方。及。王宝臣经
验方
。悉编载。然皆差误。昆陵郡。有石刻。最详。余取诸本。悉校成此一书。此古方。极为委曲
。根据此治人。未尝不验。往往一灸而愈。予在宣城久病虚羸用此而愈。
唐中书侍郎崔知悌序曰。夫含灵受气禀之于五行(外台。作常同义)构生。申理降之以(
万安
方。作于。)六疾。岐黄广记蔚。(外台作抑)有旧经。攻灸兼行。显著斯术。骨蒸病者又名传
尸。又谓 。又称伏连(万安方。作死败)又曰无辜。(万安方。无此四字。)大夫以癖气为
根。妇人以血气为本。无问长(万安方作老。)少。多染此病。婴孺之流。传注更苦。其为状也
发干而耸。(而耸。万安方作露耳。)或聚或分。或腹中有块。或脑后两边有结。多者乃至五
六。或夜卧盗汗梦与鬼交。虽自(外台万安方。作目。)视分明。而四肢无力。或上气食少。
渐就沉羸。纵延日时。终于 尽。余昔忝洛(十药神书。作潞。)州司马。尝三十日。灸治(
外
台。万安。作活。)一十三人。前后瘥者数逾二百。至于狸骨獭肝。徙闻曩说。金牙铜鼻。
罕见其能未。若此方。扶危拯急。非止单攻骨蒸。又别疗气疗风。或瘴。或痨。或邪。或患状
既广。
灸治(万安。作活。)不可具述。略陈梗概。又恐传授讹谬。以误将来。今故具(万安。作具故
。)图形状。庶令览者易悉。使所有(外台。万安作在。)流布颐(外台。万安。作颅。)用家
藏。未暇外请名医。旁求上药。还魂返魄。何难之有。遇斯疾。可不务乎。(陈仕贤济世良
方曰。青囊经云。此四花穴法。医者图要精于点取。患者全在慎于保养。不然何能取效。男女五
劳七伤。气虚血弱骨蒸盗汗。形容憔悴。咳嗽痰喘。五心烦热。诸虚体衰。腹中积聚久病痼
疾。凡所有见。悉皆治之。)
取穴法
先定(万安方。作两。)穴。令患人平立正。取一细绳蜡之勿令展缩。(以上六字。圣济
总录。
万安。细注)顺脚底贴肉。坚蹈之。男左女右。(以上四字。圣济万安细注。)其绳前头与大
拇
指端齐。后头令当脚根(圣济万安。作跟)中心。向后引绳。循脚胫(万安。作肚。)贴肉直
上
至曲 (外台。作 )中大横纹截断又令患人解发分(济世良方有开字。)两边。令(济世良方
作
要。)见头缝。自囟门。平分至脑后。乃平身正坐取。向所截绳一头令与鼻端齐。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。以墨点记之(墨点不是
灸处)又取一绳子。令患人合口。将绳子按于口上。两头至(圣济有两字)吻。却抱(圣济万安
作钩。)起绳子中心至鼻柱根下。令如Λ。此便齐两吻。截断。将此绳展令直。于前来(医学
正
传。作量。)脊骨上墨点处。横量。取平。勿令高下绳子先中折当中。以墨记之。却展开绳
子
横量以绳子上墨点。正压脊骨上墨点为正。两头取平。勿令高下。于绳子两头以白圈记。白圈
是灸穴也。(以上六字。万安。细注。)
以上是第一次点二穴。
按大全曰是灸穴。名曰患门二穴。患门名创于此。入门曰。如妇人足小难以准量。可取右
手肩
穴。贴肉。量至中指头齐。亦可不若只取膏肓灸之亦妙。次灸四花。无有不效。类经。又载此
说
曰。庶乎得宜。然不当患门。不可从。又曰。妇人以膏肓穴代之。亦可也。不当患门。不可
从。十药神书曰。妇女缠脚者短小。非自然也。若以量脚绳子。加之首。必不及也。今移
附于右肩 穴。点定。引绳向下。至中指尽处。截断以代量足之用。
次二穴。令其人平身正坐。稍缩臂膊取一(济世良方有蜡字。)绳。绕项向前。双垂。与
鸠尾齐
。鸠尾是心岐骨。人有无心岐骨者。至从胸前两岐骨下。量取一寸即鸠尾也。即是双截断。
却皆(圣济。作脊)翻绳头。向顶后。以绳子中停取心。正令当喉咙结骨上其绳两头。挟项
双垂。循脊骨。以墨点记之。(墨点不是灸穴。)又取一绳子。令其人合口横量齐两吻。(济
良方。有如一字样之四字)截断。还于脊骨上(万安。有以字。)墨点。(圣济。有处字。)横
量始(圣济。作如上。)法。绳子两头。以白圈记之。白圈是灸穴处。(类经曰。是四花。左
以上是第二次点穴。通前。共四穴。同时灸。日别灸七壮。至二七壮。累灸至一百壮。
或一百五十壮。为妙。候灸疮欲瘥。又根据后法。灸二穴。
又次二穴。以第二次量口吻绳子。于第二次双绳头尽处墨点上。当脊骨。直上下。竖点
中。停(医学正传。令绳中停。作其绳子三字。)中心。在墨点上。于上下绳尽头。(正传。
作处)以白圈两穴。白圈是灸穴处。
以上是第三次。点两穴。谓之。四花。灸两穴。各百壮三次共六穴。各取离日。量度讫
。唯须三月三日艾最佳。病瘥百日内。忌饮食房室。安心静处。将息。若一月(圣济。作百
日)后。觉未瘥。复初穴上再灸。
肩头穴:治疗癣疾的灸法,在农历八月八日进行。日出时分,让患者面向东方门户长跪,双臂平举,双手抓住门框两侧。取肩头穴,位于小垂骨边缘、骨骼凹陷处,在此施灸,左右各三壮(或七壮),十日可愈。(出自《千金方》)
按:《资生经》记载,灸此穴可治愈。灸完后片刻会感到剧烈疼痛,许久才平息,且永不复发。我曾亲身患齿痛,用各种方法治疗无效,使用此法痊愈。
按:与肩头穴位置相同。
巨阙俞:位于第四胸椎下,名为巨阙俞,主治胸膈间气机阻滞,灸法用量为随年龄而定的壮数。(出自《千翼方》)第四胸椎下名为厥阴俞,主治胸中膈间气机阻滞、积聚及频繁呕吐,灸法用量为随年龄而定的壮数。(同上)
按:此穴与腹部的巨阙穴同名但位置不同。《千金方》说:“胸膈间气滞,灸阙俞。”注解说:“扁鹊云:第四椎下,两旁各一寸半,名阙俞。”详情见背部第二行穴位中。
臣觉穴:位于背上甲(棘突)内侧,反手难以触及之处,在骨芒穴上方,按压时感到疼痛即是该穴。(出自《千金方》)在骨芒穴上方六分处。
按:《千金方》注解说:“臣觉”也写作“巨搅”。《千金翼方》说:“狂走、喜怒悲泣,灸巨觉穴。”其中“甲”字作“侠”解。注解说:“一说为巨阙俞”,又《杂法篇》作“巨览”,注解说:“一作‘觉’”。《千金方·头部注》说:“骨芒疑为膏肓之误。”
胃脘下俞三穴:治疗消渴症、咽喉干燥,灸胃脘下三穴,每穴灸百壮。穴位在背部第八椎下,横向距离三寸。施灸。(出自《千金方》)
背甲中间:治疗狂躁奔走、刺人,或想要自杀、骂詈不停、自称鬼神附体者,灸背甲中间三壮,重复施灸。此为仓公之法,神效。(出自《千金方》)
腰目穴:治疗消渴症、小便频数,灸腰目穴。位于肾俞穴下三寸,也在脊柱两旁,各距脊骨一寸半,左右两侧用手指按压寻找凹陷处取穴。(出自《千金方》)用手指按压有凹陷处即为穴位。(出自《千翼方》)
按:《千金方》说:“消渴小便频数,应灸当脊梁中央解间一处,以及腰目穴上下两处,共三处。”
腰目穴:治疗腰痛,灸腰目穴七壮。位于尻骨上方约略左右两侧。(出自《千金方》)
腰眼穴:又名鬼眼穴。(出自《针灸大成》)又名癸亥穴。(出自《阿是要穴》)让患者平躺,用笔在两腰眼凹陷处点出两个穴位,各灸七壮。此穴其他书籍未载,但《居家必用》中有记载,称屡试屡验。(出自《类经》)
按:腰目穴以下这三个穴位,大概是同一个穴位。《针灸大成》说:“鬼眼穴专主痨虫致病。”让患者举手向上略微向后转,则腰上有两个凹陷。《居家必用》说:“治疗各种深重难治的痨瘵病,在癸亥日,二更将尽进入三更时,让患者平躺,用细棍在两腰眼处点出两穴,各灸七壮,屡试屡验。”《类经》说:“癸亥日二更后将交夜半,是六神聚集之时,不要让他人知道。让病人解开下身衣物,举手向上,略微向后转,则腰间两旁自然有微陷,可见,这就是鬼眼穴,即俗人所说的腰眼穴。身体直立时用墨点记,然后上床俯卧,用小艾炷灸七壮,或九壮,十一壮更好。其中的虫子必定会在吐泻中排出,烧毁并远远丢弃即可避免传染。比四花等穴更容易且有效。”冈本氏《阿是要穴》说:“又名癸亥穴。”
脊梁中央:治疗消渴症、小便频数,灸两手小指头及足两小趾头,并灸顶椎佳。又灸当脊梁中央解间一处,以及腰目穴上下两处,共三处。(出自《千金方》)
按:《千金翼方》中的灸黄法,在脊中椎上灸七壮,大概是同一位置。
督俞穴:一名高盖穴。(出自《资生经》)位于第六椎下,两旁各半寸,通用灸法。(出自《资生入门》)正坐取穴。(出自《医宗金鉴》)禁针。(出自《资生经》)
按:《资生经》在背俞第二行记载此穴时说,《铜人腧穴针灸图经》缺此穴,《明堂经》有之,现在根据《明堂经》将其列入此处,恐怕《铜人》原本不全。《类经》中寸半作二寸。《入门》灸三壮,主治寒热心痛、腹痛、肠鸣、气逆。高盖穴与肾俞穴同名。
气海俞穴:位于第十五椎下,两旁各一寸半,通用灸法。(出自《资生入门》)正坐取穴。(出自《针灸大成》)
按:《类经》中寸半作二寸。《入门》入足太阳膀胱经,主治腰痛、痔漏。《资生经》说:《明堂经》有气海俞,而《铜人》无之,恐怕《铜人》原本不全。
关元俞穴:位于第十椎下,两旁各一寸半,通用灸法。(出自《资生入门》)伏身取穴。(出自《针灸大成》《医宗金鉴》)
按:《类经》中寸半作二寸。《入门》入足太阳膀胱经,主治风劳腰痛、泄痢虚胀、小便难、妇人癥瘕积聚诸疾。《资生经》说:《明堂经》有关元俞,而《铜人》无之,恐怕《铜人》原本不全。
骨(次注新校正):见肩井穴下。
中枢穴:(次注)
灵台穴:(次注)
阳关穴:(次注)
以上四穴,记载于背部正中线上。
督脊穴:治疗小儿惊痫、脊强反张,灸大椎穴,并灸诸脏俞穴及督脊上,从大椎至穷骨(尾骨),中间弯曲再从大椎度量,灸度量下的头部,这就是督脊穴。右侧背部十二处,十岁以下儿童可灸三壮,一个月以上可灸五壮。(出自《千金方》)
五 俞穴:(出自《素问》)见某穴下。
痞根穴:专治痞块。位于第十三椎下,各开三寸半,多灸左侧;如果左右都有,则左右都灸。(出自《入门》)用手指揣摸自有动处即点穴施灸。大约穴位与脐平齐。(出自《类经》)
中空穴:从肾俞穴量下三寸,各开三寸,就是此穴。此即膀胱经的中空穴。(出自《针灸大成》)
按:注解说“不当中”,是注解有误。
下极俞穴:第十五椎下,名下极俞,主治腹中疾病、腰痛、膀胱寒饮注下,灸法用量为随年龄而定的壮数。(出自《千翼方》)
按:《难经》中下极之...,滑寿说:“两阴之间,屏翳处也。”与此不同。《千金方》无第十五椎及中字。
肩上穴:脾俞穴下四寸,挟持脊梁,一寸半,共二穴。(出自《千翼方》)
脊背五穴:(出自《类经》)治疗大人癫狂、小儿惊痫的方法。灸背部第二椎及下极骨两处,用绳子度量中间折断绳端一处,这是脊骨上也。共三处完毕,再将此绳折成三等份,合起来如“丫”字,以一角注于中央,灸下二角,挟脊两边,便灸之。共五处。用丹砂标记所灸处,五处各灸百壮。削竹片作为度量工具,胜过绳子。(出自《千金方》引《外台秘要》等)
挟脊穴:治疗霍乱转筋,让患者正合面卧,伸两手着身,用绳子横量两肘尖头,根据绳子下挟脊骨两旁,相去一寸半,灸一百壮无不痊愈者。(出自《千翼方》)
按:注解说:“《肘后方》云:此华佗法。”
下腰穴:八魁正中央,脊骨上,灸数多尤佳。三宗骨,忌针。(出自《千金方》)
按:《千金方》说:泄痢久下、失气劳冷,灸下腰穴百壮,三次报灸。《千金翼方》无“央”字。又按:八魁、三宗骨不详。《东医宝鉴》中“魁”作“...”字,稍通顺。
荣卫四穴:大小便不利,欲作腹痛,灸荣卫四穴,百壮。穴位在背脊四面各一寸。(出自《千金方》《千翼方》)
按:背脊四面,不知何处,恐有脱文。《医学纲目》说:在背脊四面各一寸八分,腰眼下三寸,挟脊相去四寸,两边各四穴,灸十壮至百壮。
回气穴:治疗五痔便血、失屎,灸回气穴百壮。穴位在脊穷骨上。(出自《千金方》)赤白肉际下。(出自《类经》)
按:《千金翼方》“回”作“...”字,说:“五痔便血失屎,灸回气穴百壮,在脊穷骨上,赤白肉际下,灸穷骨,惟多为佳。”赤白肉际下,大概是指下秽物处。《类经》加“肉”字曰:“脊穷骨上赤白肉下。”再按:穷骨上,似乎没有赤白肉。果然,张氏之说是对的么?
团冈穴:治疗腹热闭、时而大小便难、腰痛连胸,灸团冈穴百壮。穴位在小肠俞下二寸,横三寸。施灸。(出自《千金方》)
按:《千金翼方》“腹”作“腹中”,似中膂穴。《医学纲目》《东医宝鉴》作“环冈”。
后腋穴:治疗颈漏,背后两边,腋下后纹头处。(出自《类经》引《千金方》)腋后廉际两筋间,主治腋外相引而痛、手臂拘挛急不得上头。(出自《外台秘要》)
按:《类经》作“后腋下穴”。《阿是要穴》说:“颈漏今所谓气肿,一曰瘰疬漏也。”
接脊穴:治疗小儿痢下赤白、秋末脱肛、每厕肚疼不可忍者,灸第十二椎下节间,名接脊穴,灸一壮,如小麦大。(出自《明堂经》)
胛缝穴:背端骨下,直腋缝尖,及臂取二寸半,泻六吸,主治肩背痛连胛。(出自《医纲》)
按:《玉童赋》说:“肩脊痛兮,五枢兼于背缝。”《宝鉴》无“二寸半”三字。
背篮穴:治疗疟疾如神。让患者赤足,在平正处,并脚站立,用一条绳子,自脚枝周匝截断,却于顶前般过背上两绳尽处,脊骨中,是穴。先点记,待将发,急以艾灸之三七壮,其寒热自止。此法曾遇至人传授,妙不可言,名曰背篮穴也。(出自《寿世保元》)
尾翠穴:骨上三寸骨陷间。(出自《明堂经》)
按:与长强穴同名。“骨上”大概指穷骨上。
一、肩井穴:在两颈侧。
四、曲泽穴:在两臂曲。
按:四节五节,当作二节三节。
第二十二椎两旁:主治腰背不便、筋挛痹缩、虚热闭塞,灸随年壮。两旁各一寸五分。(出自《千翼方》)
按:脊椎二十一节,古今通说。今言二十二椎者,是连数项骨吗?恐有误。
苏沈良方曰:灸三十种骨蒸法,崔丞相灸劳法,《外台秘要》、崔相家传方及王宝臣经验方,悉编载,然皆差误。昆陵郡有石刻,最详。余取诸本,悉校成此书。此古方极为委曲,根据此治人,未尝不验,往往一灸而愈。予在宣城久病虚羸,用此而愈。
唐中书侍郎崔知悌序曰:夫含灵受气禀之于五行(《外台》作“常同义”),构生,申理降之以(《万安方》作“于”)六疾,岐黄广记蔚(《外台》作“抑”)。有旧经,攻灸兼行,显著斯术。骨蒸病者又名传尸,又谓...,又称伏连(《万安方》作“死败”),又曰无辜(《万安方》无此四字)。大夫以癖气为根,妇人以血气为本,无问长(《万安方》作“老”)少,多染此病。婴孺之流,传注更苦。其为状也,发干而耸(《万安方》作“露耳”),或聚或分,或腹中有块,或脑后两边有结,多者乃至五六,或夜卧盗汗梦与鬼交,虽自(《外台》《万安方》作“目”)视分明,而四肢无力,或上气食少,渐就沉羸,纵延日时,终于...尽。余昔忝洛(《十药神书》作“潞”)州司马,尝三十日灸治(《外台》《万安》作“活”)一十三人,前后瘥者数逾二百。至于狸骨獭肝,徙闻曩说,金牙铜鼻,罕见其能。未若此方,扶危拯急,非止单攻骨蒸,又别疗气疗风,或瘴,或痨,或邪,或患状既广,灸治(《万安方》作“活”)不可具述。略陈梗概,又恐传授讹谬,以误将来,今故具(《万安方》作“具故”)图形状,庶令览者易悉,使所有(《外台》《万安》作“在”)流布颐(《外台》《万安》作“颅”)用,家藏未暇外请名医,旁求上药,还魂返魄,何难之有。遇斯疾,可不务乎?(陈仕贤《济世良方》曰:青囊经云,此四花穴法,医者图要精于点取,患者全在慎于保养,不然何能取效。男女五劳七伤,气虚血弱,骨蒸盗汗,形容憔悴,咳嗽痰喘,五心烦热,诸虚体衰,腹中积聚久病痼疾,凡所有见,悉皆治之。)
取穴法:
先定(《万安方》作“两”)穴,令患人平立正,取一细绳蜡之勿令展缩(以上六字,《圣济总录》《万安》细注)。顺脚底贴肉,坚蹈之,男左女右(以上四字,《圣济》《万安》细注)。其绳前头与大拇指端齐,后头令当脚跟(《圣济》《万安》作“跟”)中心,向后引绳,循脚胫(《万安》作“肚”)贴肉直上至曲(《外台》作“...”)中大横纹截断。又令患人解发分(《济世良方》有“开”字)两边,令(《济世良方》作“要”)见头缝,自囟门平分至脑后,乃平身正坐取。向所截绳一头令与鼻端齐,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,以墨点记之(墨点不是灸处)。又取一绳子,令患人合口,将绳子按于口上,两头至(《圣济》有两字)吻,却抱(《圣济》《万安》作“钩”)起绳子中心至鼻柱根下,令如Λ,此便齐两吻,截断。将此绳展令直,于前来(《医学正传》作“量”)脊骨上墨点处,横量,取平,勿令高下。绳子先中折当中,以墨记之。却展开绳子横量,以绳子上墨点正压脊骨上墨点为正,两头取平,勿令高下。于绳子两头以白圈记,白圈是灸穴也(以上六字,《万安》细注)。
以上是第一次点二穴。
按:《大全》曰:是灸穴,名曰患门二穴,患门名创于此。《入门》曰:如妇人足小难以准量,可取右手肩穴,贴肉量至中指头齐,亦可不若只取膏肓灸之亦妙。次灸四花,无有不效。《类经》又载此说曰:庶乎得宜,然不当患门,不可从。又曰:妇人以膏肓穴代之,亦可也,不当患门,不可从。《十药神书》曰:妇女缠脚者短小,非自然也。若以量脚绳子加之首,必不及也。今移附于右肩穴,点定,引绳向下,至中指尽处,截断以代量足之用。
次二穴,令其人平身正坐,稍缩臂膊,取一(《济世良方》有“蜡”字)绳,绕项向前,双垂,与鸠尾齐。鸠尾是心岐骨,人有无心岐骨者,至从胸前两岐骨下量取一寸即鸠尾也。即是双截断,却皆(《圣济》作“脊”)翻绳头,向顶后,以绳子中停取心,正令当喉咙结骨上,其绳两头挟项双垂,循脊骨,以墨点记之(墨点不是灸穴)。又取一绳子,令其人合口横量齐两吻(《济良方》有如一字样之四字),截断,还于脊骨上(《万安》有“以”字)墨点(《圣济》有“处”字)横量,始(《圣济》作“如上”)法,绳子两头以白圈记之,白圈是灸穴处(《类经》曰:是四花,左...)。
以上是第二次点穴,通前共四穴,同时灸,日别灸七壮,至二七壮,累灸至一百壮,或一百五十壮,为妙。候灸疮欲瘥,又根据后法,灸二穴。
又次二穴,以第二次量口吻绳子,于第二次双绳头尽处墨点上,当脊骨,直上下,竖点中停(《医学正传》令绳中停,作“其绳子三字”)中心,在墨点上,于上下绳尽头(《正传》作“处”)以白圈两穴,白圈是灸穴处。
以上是第三次,点两穴,谓之四花。灸两穴,各百壮,三次共六穴,各取离日,量度讫,唯须三月三日艾最佳。病瘥百日内,忌饮食房室,安心静处,将息。若一月(《圣济》作“百日”)后,觉未瘥,复初穴上再灸。
Jiantou (Shoulder Head) Acupoint: Moxibustion method for treating tinea, performed on the eighth day of the eighth lunar month. At sunrise, have the patient kneel facing east towards a door, raise arms horizontally, and grasp both sides of the door frame with hands. Locate the Jiantou acupoint at the edge of the small hanging bone, within the depression of the bone joint. Apply moxibustion here; apply three cones (or seven cones) on each side. The condition will heal in ten days. (From *Qianjin Fang*)
Note: *Zisheng Jing* records that moxibustion on this point cures the disease. Immediately after moxibustion, severe pain occurs, which subsides after a long time, and the disease never recurs. I personally suffered from toothache, which was unresponsive to various treatments, but was cured using this method.
Jianzhugu (Shoulder Column Bone): Located on the bony prominence at the beginning of the shoulder. (From *Zhenjiu Dacheng*)
Note: Same location as the Jiantou acupoint.
Juque Shu (Giant Abdomen Back-Shu): Located below the fourth thoracic vertebra, named Juque Shu. It governs qi stagnation in the chest and diaphragm. Moxibustion dosage is based on the patient's age (Sui Nian Zhuang). (From *Qianyi Fang*) Below the fourth thoracic vertebra is also named Jueyin Shu. It governs qi stagnation in the chest and diaphragm, accumulation, and frequent vomiting. Moxibustion dosage is based on the patient's age. (Ibid.)
Note: This acupoint shares the same name as Juque in the abdomen but is a different point. *Qianjin Fang* states: "Qi stagnation in the chest and diaphragm, moxa Que Shu." The annotation says: "Bian Que said: Below the fourth vertebra, one and a half cun on each side, named Que Shu." Details are found in the second row of back acupoints.
Chenjue (Minister Awakening) Acupoint: Located on the inner side of the dorsal spinous processes, where it is difficult to reach with the back of the hand. Above the Gumang acupoint, press to find the tender spot. (From *Qianjin Fang*) Six fen above the Gumang acupoint.
Note: *Qianjin Fang* annotation states: "Chenjue" is also written as "Jujiao". *Qianjin Yi Fang* says: "For manic running, anger, joy, sadness, and weeping, moxa Ju Jue acupoint." Here "Jia" is interpreted as "Xia". Annotation says: "One theory is Juque Shu." In *Zafa Pian*, it is written as "Julan", annotated as "Also written as 'Jue'". *Qianjin Fang* Head Annotation says: "Gumang is suspected to be an error for Gaohuang."
Weiwuanxia Shu (Lower Stomach Back-Shu) Three Points: Treats Xiao Ke (Wasting-Thirst syndrome) and dry throat. Moxa the three Weiwuanxia points, 100 cones per point. The acupoints are located below the eighth thoracic vertebra, three cun apart horizontally. Apply moxibustion. (From *Qianjin Fang*)
Back Jia Middle: Treats manic running, stabbing others, suicidal tendencies, incessant cursing, and claiming to be possessed by gods or ghosts. Moxa the middle of the dorsal spinous processes three times, repeat moxibustion. This is the method of Cang Gong, highly effective. (From *Qianjin Fang*)
Yaomu (Waist Eye) Acupoint: Treats Xiao Ke (Wasting-Thirst syndrome) and frequent urination. Moxa Yaomu acupoint. Located three cun below Shenshu (BL23), also on both sides of the spine, one and a half cun from the midline. Locate by pressing with fingers to find depressions. (From *Qianjin Fang*) Press with fingers to find the depression. (From *Qianyi Fang*)
Note: *Qianjin Fang* states: "For Xiao Ke with frequent urination, moxa one point at the central intervertebral space of the spine, and two points above and below Yaomu, totaling three points."
Yaomu (Waist Eye) Acupoint: Treats lower back pain. Moxa Yaomu acupoint seven times. Located above the sacrum, approximately on the left and right sides. (From *Qianjin Fang*)
Yaoyan (Waist Eye) Acupoint: Also known as Guiyan (Ghost Eye). (From *Zhenjiu Dacheng*) Also known as Guihai. (From *A Shi Yao Xue*) Have the patient lie flat. Mark two points in the depressions of the waist eyes with a pen. Moxa seven cones at each point. This point is not recorded in other books but is documented in *Jujia Biyong*, stating it has been tested repeatedly with success. (From *Leijing*)
Note: The three points below Yaomu are likely the same point. *Zhenjiu Dacheng* states: "Guiyan acupoint specifically treats tuberculosis worms." Have the patient raise their arms upward and turn slightly backward; two depressions will appear on the waist. *Jujia Biyong* states: "To treat severe and difficult-to-cure consumption diseases, on the Guihai day, just before the third watch of the night, have the patient lie flat. Use a thin stick to mark two points in the waist eyes. Moxa seven cones at each point, tested repeatedly with success." *Leijing* states: "On the Guihai day, just before midnight, when the six spirits gather, do not let others know. Have the patient remove lower garments, raise arms upward, and turn slightly backward; slight depressions will naturally appear on both sides of the waist. This is called the Ghost Eye acupoint, commonly known as the Waist Eye. Stand upright, mark with ink, then lie face down on the bed. Moxa seven cones with small moxa cones, or nine, or eleven cones is best. The worms will be expelled through vomiting or diarrhea. Burn and discard them far away to avoid infection. This is easier and more effective than the Sihua points." Okamoto's *A Shi Yao Xue* states: "Also known as Guihai."
Dingzhui (Vertex Vertebra): (From *Qianjin Fang*)
Spinal Central: Treats Xiao Ke (Wasting-Thirst syndrome) and frequent urination. Moxa the tips of the little fingers of both hands and the little toes of both feet, and Dingzhui is good. Also moxa one point at the central intervertebral space of the spine, and two points above and below Yaomu, totaling three points. (From *Qianjin Fang*)
Note: *Qianjin Yi Fang*'s Huang Moxibustion method involves moxing seven cones above the Zhiji vertebra, likely the same location.
Dushu (Governor Back-Shu) Acupoint: Also known as Gaogai. (From *Zisheng Jing*) Located below the sixth thoracic vertebra, half a cun on each side. General moxibustion. (From *Zisheng Rumen*) Locate while sitting upright. (From *Yizhong Jinjian*) Contraindicated for acupuncture. (From *Zisheng Jing*)
Note: *Zisheng Jing*, in the second row of Back-Shu points, notes that *Tongren Jing* lacks this point, but *Mingtang Jing* has it. It is now included based on *Mingtang Jing*, suggesting *Tongren* might be incomplete. *Leijing* records one and a half cun as two cun. *Rumen* suggests moxing three cones, governing cold-heat heart pain, abdominal pain, borborygmus, and rebellious qi. Gaogai shares the name with Shenshu.
Qihai Shu (Sea of Qi Back-Shu) Acupoint: Located below the fifteenth thoracic vertebra, one and a half cun on each side. General moxibustion. (From *Zisheng Rumen*) Locate while sitting upright. (From *Zhenjiu Dacheng*)
Note: *Leijing* records one and a half cun as two cun. *Rumen* enters the Foot-Taiyang Bladder Meridian, governing lower back pain and hemorrhoids/fistulas. *Zisheng Jing* states: *Mingtang Jing* has Qihai Shu, but *Tongren* does not, suggesting *Tongren* might be incomplete.
Guanyuan Shu (Gate of Origin Back-Shu) Acupoint: Located below the tenth thoracic vertebra, one and a half cun on each side. General moxibustion. (From *Zisheng Rumen*) Locate while lying prone. (From *Zhenjiu Dacheng* *Yizhong Jinjian*)
Note: *Leijing* records one and a half cun as two cun. *Rumen* enters the Foot-Taiyang Bladder Meridian, governing wind-lao lower back pain, diarrhea/dysentery with distension, difficulty urinating, and various gynecological disorders like masses. *Zisheng Jing* states: *Mingtang Jing* has Guanyuan Shu, but *Tongren* does not, suggesting *Tongren* might be incomplete.
Gu (Bone) (Secondary Note New Correction): See Jiawei (Shoulder Well) below.
Zhongshu (Central Pivot) Acupoint: (Secondary Note)
Lingtai (Spirit Platform) Acupoint: (Secondary Note)
Yangguan (Yang Gate) Acupoint: (Secondary Note)
Que Shu (Palace Gate Back-Shu) Acupoint: (From *Qianjin Fang*) Also known as Jueyin Shu. (From *Zisheng Jing*)
The above four acupoints are recorded on the midline of the back.
Duji (Governor Spine) Acupoint: Treats pediatric convulsions and opisthotonos. Moxa Dazhui (GV14), all Zang Back-Shu points, and Duji along the governor vessel from Dazhui to the coccyx. Measure from Dazhui to the coccyx, considering the curvature. Moxa the head of the measured length. These are twelve points on the right back. For children under ten years old, moxa three cones; for those over one month, moxa five cones. (From *Qianjin Fang*)
Wu Shu (Five Back-Shu) Acupoints: (From *Suwen*) See below [Acupoint Name].
Jinggong (Essence Palace) Acupoint: (From *Rumen*) See below Zhishi (BL52).
Pigen (Root of Masses) Acupoint: Specifically treats abdominal masses. Located below the thirteenth thoracic vertebra, three and a half cun lateral. Moxa heavily on the left side; if present on both sides, moxa both. (From *Rumen*) Locate by palpating for movement. Approximately level with the umbilicus. (From *Leijing*)
Zhongkong (Hollow Center) Acupoint: Measure three cun down from Shenshu (BL23), three cun lateral on each side. This is the Zhongkong point of the Bladder Meridian. (From *Zhenjiu Dacheng*)
Note: The annotation "not in the center" is incorrect.
Xiaji Shu (Lower Pole Back-Shu) Acupoint: Below the fifteenth thoracic vertebra, named Xiaji Shu. Governs abdominal diseases, lower back pain, bladder cold-fluid retention flowing downward. Moxa based on the patient's age. (From *Qianyi Fang*)
Note: *Nanjing* mentions "Lower Pole..." Huashou stated: "Between the two yin, the place of Pingyi." This differs from the current context. *Qianjin Fang* lacks the fifteenth vertebra and the character "Zhong".
Jianshang (Above Shoulder) Acupoint: Four cun below Pishu (BL20), flanking the spine, one and a half cun. Two points. (From *Qianyi Fang*)
Jibei Wu Xue (Five Back Acupoints): (From *Leijing*) Method for treating adult mania and pediatric convulsions. Moxa the second thoracic vertebra and the lower pole bone, two points. Measure the middle with a string and break it at one end; this is on the spinal bone. Total three points. Then fold this string into three equal parts, combining them like a 'Y' shape. Place one corner at the center, moxa the lower two corners, flanking the spine. Total five points. Mark the moxa sites with cinnabar. Moxa 100 cones at each of the five points. Bamboo splints are better than strings for measurement. (From *Qianjin Fang* citing *Waitai Mi Yao*)
Jiaji (Flanking Spine) Acupoint: Treats cholera with muscle cramps. Have the patient lie face down, extend arms along the body. Measure horizontally between the elbows with a string. Below the string, flank the spine, one and a half cun apart. Moxa 100 cones; no case fails to heal. (From *Qianyi Fang*)
Note: Annotation states: "*Zhouhou Fang* says: This is Hua Tuo's method."
Zhuoyu (Turbid Bath) Acupoint: Flanking Danshu (GB19), five cun apart. (From *Qianjin Fang*)
Note: *Qianjin Fang* states: Treats gallbladder disease in the chest. *Qianjin Yi Fang* agrees.
Xiaoyao (Lower Waist) Acupoint: In the center of Bagui, on the spinal bone. More moxa is better. Sanzonggu (Three Ancestral Bones) contraindicates acupuncture. (From *Qianjin Fang*)
Note: *Qianjin Fang* states: For chronic dysentery, loss of gas, and cold due to labor, moxify Xiaoyao 100 cones, repeated three times. *Qianjin Yi Fang* lacks the character "Yang". Also, Bagui and Sanzonggu are unclear. *Dongyi Bojian* writes "Kui" as "...", which makes slightly more sense.
Rongwei Si Xue (Four Ying-Wei Acupoints): Treats difficulty in urination and defecation, impending abdominal pain. Moxa the four Rongwei acupoints, 100 cones. Located one cun on four sides of the spinal column. (From *Qianjin Fang* *Qianyi Fang*)
Note: "Four sides of the spinal column" is unclear, possibly a textual error. *Yixue Gangmu* states: One cun eight fen on four sides of the spinal column, three cun below the waist eye, four cun apart flanking the spine, four points on each side. Moxa 10 to 100 cones.
Huiqi (Returning Qi) Acupoint: Treats five types of hemorrhoids with blood in stool and fecal incontinence. Moxa Huiqi 100 cones. Located above the coccyx. (From *Qianjin Fang*) Below the junction of red and white skin. (From *Leijing*)
Note: *Qianjin Yi Fang* writes "Hui" as "...", stating: "For five types of hemorrhoids with blood in stool and fecal incontinence, moxa Huiqi 100 cones, above the coccyx, below the junction of red and white skin. Moxa the coccyx; more is better." The junction of red and white skin likely refers to the area of excrement. *Leijing* adds "skin", stating: "Above the coccyx, below the junction of red and white skin." Further note: There seems to be no junction of red and white skin directly above the coccyx. Is Zhang's view correct?
Tuangang (Round Hill) Acupoint: Treats abdominal heat obstruction, intermittent difficulty in urination and defecation, lower back pain radiating to the chest. Moxa Tuangang 100 cones. Located two cun below Xiaochangshu (BL27), three cun horizontally. Apply moxibustion. (From *Qianjin Fang*)
Note: *Qianjin Yi Fang* writes "Fu" as "Fuzhong", similar to Zhonglv acupoint. *Yixue Gangmu* and *Dongyi Bojian* write "Huangan".
Houye (Posterior Axilla) Acupoint: Treats neck fistula. On both sides of the back, at the posterior axillary fold. (From *Leijing* citing *Qianjin Fang*) Between the two tendons at the posterior axillary margin, governing pain radiating from the lateral axilla and arm spasm preventing overhead movement. (From *Waitai Mi Yao*)
Note: *Leijing* writes "Houye Xia Xue". *A Shi Yao Xue* states: "Neck fistula is what is now called goiter, or scrofula fistula."
Jieji (Connecting Spine) Acupoint: Treats pediatric dysentery with red and white discharge, rectal prolapse in late autumn, and unbearable abdominal pain during defecation. Moxa the interspace below the twelfth thoracic vertebra, named Jieji acupoint. Moxa one cone, size of a wheat grain. (From *Mingtang Jing*)
Jiafeng (Scapular Seam) Acupoint: Below the end of the back bones, directly below the tip of the axillary seam, and two and a half cun down the arm. Reduce by six breaths. Governs shoulder and back pain radiating to the scapula. (From *Yigang*)
Note: *Yutong Fu* states: "Shoulder and back pain, Wushu combined with Beifeng." *Baojian* lacks "two and a half cun".
Beilan (Back Basket) Acupoint: Highly effective for malaria. Have the patient stand barefoot on a flat surface, feet together. Use a rope, measure around the ankles, cut it. Pass it over the top of the head, across the back to the ends of the two ropes, at the spinal bone. This is the acupoint. Mark it first. When the fever is about to start, urgently moxa 21-30 cones. The chills and fever will stop spontaneously. This method was taught by a master, miraculous and indescribable, named Beilan acupoint. (From *Shoushi Baoyuan*)
Weicui (Tail Emerald) Acupoint: Three cun above the coccyx, in the bony depression. (From *Mingtang Jing*)
Note: Same as Changqiang (GV1). "Above the bone" likely refers to above the coccyx.
Shen Baxie Xue (Eight Evil Acupoints of the Body): *Waike Quanshu* states: Eight Evils of the Body.
1. Jianjing (GB21): On both sides of the neck.
2. Fengmen (BL12): Flanking the spine, opposite the fourth thoracic vertebra.
3. Feishu (BL13): Flanking the spine, opposite the fifth thoracic vertebra.
4. Quze (PC3): In the crease of both arms.
Note: Fourth and fifth segments should be second and third segments.
Twenty-Second Thoracic Vertebra Sides: Governs stiffness and inconvenience of the waist and back, tendon spasms and bi-syndrome contraction, deficiency heat and obstruction. Moxa based on the patient's age. One and a half cun on each side. (From *Qianyi Fang*)
Note: The spine has twenty-one vertebrae, according to ancient and modern consensus. If it says twenty-two, is it counting the cervical vertebrae? Likely an error.
Sihuan Hunmen (Four Flowers Patient Gate) Acupoint: Also known as Liuhua. (From *Youyou Xinshu*)
Su Shen Liangfang states: Thirty methods of moxibustion for bone-steaming, Cui Chengxiang's moxibustion for lao, *Waitai Mi Yao*, Cui Xiang family prescription, and Wang Baochen's experience prescriptions are all compiled, but contain errors. A stone inscription in Kunling Commandery is the most detailed. I collected various texts and collated this book. This ancient prescription is very precise. Treating people according to this has never failed, often curing with a single session. I suffered from chronic deficiency and emaciation in Xuancheng and was cured using this.
Preface by Cui Zhi Ti, Vice Director of the Secretariat in Tang Dynasty: All living beings receive qi from the Five Elements (*Waitai* writes "always same meaning"), form life, and decline due to six illnesses (*Wan'an Fang* writes "yu"). Qi and Huang record extensively (*Waitai* writes "suppress"). Ancient classics advocate both attacking and moxibustion, highlighting this technique. Bone-steaming disease is also called Chuan Shi (Transmitting Corpse), also known as..., also called Fu Lian (*Wan'an Fang* writes "Si Bai"), also known as Wu Gu (*Wan'an Fang* lacks these four characters). Men root in stubborn qi, women root in blood and qi. Regardless of age (*Wan'an Fang* writes "old"), many contract this disease. Infants and children suffer more from transmission. Symptoms include dry and erect hair (*Wan'an Fang* writes "exposed ears"), clustering or dispersing, abdominal masses, or lumps on both sides of the back of the head, up to five or six. Night sweats, dreams of intercourse with ghosts, clear vision but weak limbs, upper jiao qi rebellion, poor appetite, gradual emaciation. Even if prolonged, eventually leads to... death. I once served as Sima of Luo Prefecture and treated thirteen people in thirty days with moxibustion, with over two hundred recovering. As for fox bone and otter liver, only heard of past sayings; gold teeth and copper noses rarely show efficacy. This prescription, however, supports the critical and saves the urgent, not just targeting bone-steaming, but also treating qi, wind, miasma, lao, evil, etc. The symptoms are broad, and moxibustion treatment (*Wan'an Fang* writes "live") cannot be fully described. Briefly outlining the general idea, fearing transmission errors misleading future generations, I now provide diagrams and shapes so readers can easily understand, allowing dissemination and home use without needing to seek famous doctors or expensive medicines. Returning souls and reviving spirits, how difficult is it? Encountering such diseases, how can one neglect it? (Chen Shixian *Jishi Liangfang* states: Qingnang Jing says, for this Sihua acupoint method, physicians must be precise in locating points, patients must be cautious in maintenance, otherwise how can it be effective? Male and female five labors and seven injuries, qi deficiency and blood weakness, bone-steaming and night sweats, haggard appearance, cough with phlegm and wheezing, five centers vexing heat, various deficiencies and frailty, abdominal accumulations and chronic stubborn diseases, whatever is seen, all are treated.)
Acupoint Location Method:
First, determine (Wan'an Fang writes "two") points. Have the patient stand straight. Take a thin rope, wax it to prevent stretching or shrinking (above six characters, *Shengji Zonglu* *Wan'an* fine note). Place it against the sole of the foot, step firmly on it. Left for men, right for women (above four characters, *Shengji* *Wan'an* fine note). Align the front end of the rope with the tip of the big toe, align the back end with the center of the heel (*Shengji* *Wan'an* writes "gen"). Pull the rope backward, along the calf (*Wan'an* writes "du"), sticking to the skin, straight up to the transverse crease in the popliteal fossa (Waitai writes "..."), and cut. Have the patient untie their hair, part it on both sides, revealing the head suture (*Jishi Liangfang* has "open"). Let (Jishi Liangfang writes "must") see the head suture. From the fontanelle, divide equally to the back of the head. Sit upright. Take one end of the previously cut rope, align with the tip of the nose. Pull the rope upward, following the head suture to the back of the head, hang down against the skin, follow the spinal bone, pull the rope downward to the end of the rope. Mark the point on the spinal bone with ink (ink mark is not the moxa site). Take another rope. Have the patient close their mouth. Place the rope on the mouth, ends reaching (Shengji has two characters) the lips. Bend (Shengji Wan'an writes "hook") the center of the rope to the root of the nasal bridge, forming a lambda shape. This aligns with the lips. Cut. Straighten this rope. Measure horizontally from the previous ink mark on the spinal bone (Yixue Zhengchuan writes "measure"). Take level, do not allow high or low. Fold the rope in half in the middle, mark with ink. Unfold and measure horizontally. Align the ink mark on the rope with the ink mark on the spinal bone. Level both ends. Do not allow high or low. Mark the two ends of the rope with white circles. White circles are the moxa points (above six characters, Wan'an fine note).
This is the first time marking two points.
Note: *Daquan* states: These are moxa points, named Huanmen two points. Huanmen originated here. *Rumen* states: If women have small feet making measurement difficult, take the right Jianjing acupoint, measure against the skin to the tip of the middle finger. Alternatively, moxa Gaohuang, which is also excellent. Next moxa Sihua, nothing is ineffective. *Leijing* cites this saying: Ideally suitable, but not Huanmen, cannot follow. Also states: Women can substitute with Gaohuang, also acceptable, but not Huanmen, cannot follow. *Shiyao Shenshu* states: Women with bound feet are short/small, not natural. If adding the foot-measuring rope to the head, it will definitely fall short. Now attach to the right Jianjing acupoint, mark, pull rope down to the tip of the middle finger, cut to replace foot measurement.
Next two points: Have the person sit upright, slightly retract arms. Take one (Jishi Liangfang has "wax") rope, wrap around the neck forward, hanging double, level with Jiawei. Jiawei is the xiphoid process. Some people lack a distinct xiphoid process; measure one cun down from the bifurcation of the anterior chest ribs to find Jiawei. Double cut the rope. Turn (Shengji writes "spine") the rope ends toward the back of the head. Find the center of the rope, align exactly with the thyroid cartilage (laryngeal prominence). Hang the two ends of the rope along the neck, follow the spinal bone, mark with ink (ink mark is not the moxa point). Take another rope. Have the person close their mouth, measure horizontally across the lips (Jiliangfang has four characters resembling a symbol). Cut. Return to the spinal bone (Wan'an has "yi") ink mark (Shengji has "chu") and measure horizontally, starting (Shengji writes "as above") method. Mark the two ends of the rope with white circles. White circles are the moxa points (Leijing states: This is Sihua, left...).
This is the second time marking points. Total four points including previous ones. Moxa simultaneously. Seven cones daily, up to fourteen cones. Accumulate moxa to 100 cones, or 150 cones is wonderful. Wait until the moxa blisters are about to heal, then follow the later method to moxa two points.
Next two points: Using the rope used in the second step to measure the lips, at the end of the double rope heads from the second step, on the ink mark, directly above and below the spinal bone, vertically mark the center (Yixue Zhengchuan lets rope center stop, writes "its rope three characters"). Center on the ink mark. At the ends of the upper and lower ropes (Zhengchuan writes "place"), mark two points with white circles. White circles are the moxa points.
This is the third time, marking two points, called Sihua. Moxa two points, 100 cones each. Three times total six points. Each taken on a Li day. After measurement, only March 3rd mugwort is best. Within 100 days of recovery, avoid food, drink, and sexual activity. Stay calm and quiet, rest properly. If after one month (Shengji writes "100 days") still not healed, re-moxa the initial points.