《千金》云∶人有老少，体有长短，肤有肥瘦，皆须精思斟量，准而折之。又以肌肉文
理、节解、缝会、宛陷之中，及以手按之，病者快然，如此仔细安详，用心者乃能得之耳。又云
∶或身短而手长，或身长而手短，或胸腹长或胸腹短，或大或小，又不可以一概而论也。凡
点穴
立点则立灸。反此一动，则不得真穴矣。凡灸先阳后阴，先上后下，先少后多，皆宜审之。
黄帝曰∶灸不三分，是谓徒冤，炷务大也，小弱也乃小作之。凡小儿七日以上，周年以
还，
炷欲大，惟头与四肢欲小耳，但去风邪而已。
《千金》云∶凡言壮数者，若丁壮病根深笃，可倍于方数。老少羸弱，可减半。扁鹊灸
法，
入六分灸三壮，更无余论。故后人不准，惟以病之重轻而增损之。凡灸头顶，上于七壮，积
至七七壮之。《铜人》若治风，则灸上星、前顶、百会，皆至二百壮。腹背宜灸五百壮，若
鸠尾、巨阙亦不宜灸多，多灸则四肢细而无力。又足三里穴乃云∶多至三二百壮。心俞禁灸
，若中风则急灸至百壮，皆视其病之轻重而用之，不可泥一说，而又不知其有一说也。下经
只云若是禁灸穴，《明堂》亦许灸一壮至三壮，恐未尽也。斯所谓五百壮、千壮，岂可一日
而尽，必待三、五、七日，以至三年、五年，以尽其数乃可得也。
《千金方》说：人有老少之分，身体有长有短，皮肤有肥有瘦，都必须精心思考、仔细衡量，以准确为标准来折算确定。又要根据肌肉的纹理、骨节缝隙、筋腱交会处、凹陷部位，以及用手按压时患者感到舒适（病邪被驱散或缓解）的感觉，如此仔细安详地用心操作，才能找到穴位。又说：有的人身材矮小但手臂长，有的人身材高大但手臂短，有的人胸腹长，有的人胸腹短，有的大，有的小，又不能一概而论。凡是点穴，确立穴位后立即施灸。如果反其道而行之，移动了位置，就找不到真正的穴位了。凡是施灸，先阳经后阴经，先上部后下部，先少壮后多壮，都应当审慎对待。
黄帝说：艾灸艾炷如果不达到三分厚，就是白白让病人受苦，艾炷务必做大些；如果体质弱小，就做得小一些。凡是出生七天以上、周岁以内的婴儿，艾炷要做得大些，只有头部和四肢的艾炷要做得小些，目的是祛除风邪罢了。
《千金方》说：凡是说到“壮”的数量，如果是身强力壮的人，病根深重笃实，艾炷数量可以加倍于常规处方数量。老人和身体羸弱的人，可以减少一半。扁鹊的灸法，进针六分深灸三壮，没有其他的论述。所以后人不再遵循固定标准，只根据病情的轻重来增加或减少。凡是灸头顶，最多七壮，累积到七七四十九壮。《铜人腧穴针灸图经》若治疗风病，则灸上星、前顶、百会穴，都达到二百壮。腹部和背部适宜灸五百壮，但如果灸鸠尾、巨阙穴也不宜过多，灸多了会导致四肢细弱无力。又说足三里穴，多至二三百壮。心俞穴禁止施灸，如果是中风，则紧急灸至一百壮，都是视病情的轻重而使用，不可拘泥于一种说法，而又不知道还有另一种说法。《下经》只说如果是禁灸穴，《明堂》也允许灸一壮到三壮，恐怕不全面。这所谓的五百壮、千壮，难道可以在一天内完成吗？必须等待三、五、七天，以至三年、五年，用尽这个数量才可以做到。
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: People vary in age (young and old), body length (tall and short), and physique (fat and thin). One must carefully ponder and measure, using accuracy as the standard for determination. Furthermore, one should consider the muscle fibers, joint fissures, tendon intersections, and depressions. By pressing with the hand, if the patient feels relief or comfort (indicating the pathogen is being addressed), such meticulous and serene attention allows one to locate the acupoint. It also states: Some individuals are short in stature but long in arms; some are tall but short in arms; some have long chests and abdomens, others short; some large, some small. These cannot be generalized. When marking an acupoint, moxibustion should be applied immediately after marking. If this sequence is reversed or the position shifts, the true acupoint will not be found. In general, moxibustion should follow the order of Yang meridians before Yin meridians, upper body before lower body, and fewer applications before more applications; all these should be examined prudently.
The Yellow Emperor said: If the moxa cone does not reach a thickness of three fen, it is considered a futile suffering for the patient; the moxa cone should be made large. For those with weak constitutions, it should be made smaller. For infants older than seven days but under one year old, the moxa cones should be large, except on the head and four limbs, where they should be small, solely to dispel wind pathogens.
The *Qianjin Fang* states: Regarding the number of "zhuang" (moxa cones/cones burned): If the patient is robust and the disease root is deep and severe, the number can be doubled compared to the standard prescription. For the elderly and the emaciated/weak, the number can be halved. Bian Que’s moxibustion method involves inserting the needle six fen deep and burning three zhuang, with no further discussion. Therefore, later generations did not adhere to fixed standards but increased or decreased the dosage based on the severity of the illness. For moxibustion on the top of the head, up to seven zhuang are used, accumulating to forty-nine zhuang (7 x 7). The *Tongren* (Illustrated Manual of Acupoints and Meridians) states that for treating wind diseases, points Shangxing (GV23), Qding (GV21), and Baihui (GV20) are moxibusted up to two hundred zhuang. The abdomen and back are suitable for five hundred zhuang. However, for Jiwei (CV15) and Jueque (CV14), excessive moxibustion should be avoided, as too much may cause the four limbs to become thin and weak. It is also stated that for Zusanli (ST36), the number can reach two to three hundred zhuang. Xinshu (BL15) is contraindicated for moxibustion; however, in cases of stroke, emergency moxibustion up to one hundred zhuang is applied. All depend on the severity of the illness. One must not rigidly adhere to one saying while ignoring another. The *Xia Jing* (Lower Classic) only states that for contraindicated points, the *Mingtang* (Hall of Brightness) permits one to three zhuang, which may be incomplete. How can hundreds or thousands of zhuang be completed in one day? It requires waiting three, five, or seven days, or even three to five years, to exhaust the total number.