灸寒热之法∶先灸大椎,以年为壮数,次灸撅骨,以年为壮数。视背俞陷者灸之,臂肩
上陷
者灸之,两季胁之间灸之,外踝上绝骨之端灸之,足小趾次趾间灸之, 下陷脉灸之,外踝
后灸之,缺盆骨上切之坚动如筋者灸之,膺中陷骨间灸之,脐下关元三寸灸之,毛际动脉
灸之,膝下三寸分间灸之,足阳明跗上动脉灸上。巅上一穴灸之。
《资生》云∶凡着艾得疮发,所患即瘥,若不发,其病不愈。《甲乙经》云∶灸疮不发
者,用故履底灸令热,熨之,三日即发。今人用赤皮葱三五茎去青,于 火中煨熟,拍破,热熨
疮上十余遍,其疮三日遂发。又以生麻油渍之而发,亦有用皂角煎汤,候冷频点之而发亦有
恐血气衰不发,服四物汤,滋养血气,不可一概论也。有复灸一二壮遂发,有食热灸之物,
如烧鱼、煎豆腐、羊肉之类而发,在人以意取助,不可顺其自然,终不发矣。
古人贴灸疮,不用膏药,要得脓出多而疾除。《资生》云∶春用柳絮,夏用竹膜,秋用
新绵,冬用兔腹下白细毛,或猫腹毛。今人多以膏药贴之,日两三易。而欲其速愈,此非治疾之
本意也。但今世贴膏药,亦取其便,不可易速,若膏药不坏,惟久久贴之可也。若速易,即速
愈,恐病根未尽除也。
用白芷、金星草、淡竹叶、芩、连、乳香、当归、川芎、薄荷、葱白等,炒铅粉、香油
煎膏贴。如用别膏不对症。倘疮口易收,而病气不得出也。如用别物,干燥作疼,亦且不便。
灸治寒热病的方法:先灸大椎穴,壮数根据患者年龄而定(即几岁灸几壮),接着灸尾骨端的撅骨穴,壮数同样根据年龄而定。观察背部膀胱经背俞穴中凹陷的部位进行施灸,手臂肩部有凹陷的部位施灸,两侧季胁之间施灸,外踝上方绝骨穴的末端施灸,足小趾与次趾(第二趾)之间施灸,脉象下陷的部位施灸,外踝后方施灸,缺盆骨上触摸感觉坚硬且跳动如筋脉的部位施灸,胸膺部凹陷及骨骼间隙处施灸,脐下关元穴(任脉穴位,位于前正中线上,脐下三寸)向下三寸处施灸,阴毛边缘处的动脉部位施灸,膝下三寸的分肉间隙处施灸,足阳明胃经在足背部的动脉处施灸。头顶上一穴(百会穴)施灸。
《资生经》说:凡是艾灸后疮口发作(指出现灸疮、化脓等反应),所患的疾病就会痊愈;如果灸后不发疮,疾病就不会痊愈。《甲乙经》说:灸后疮口不发的,用旧的鞋底加热,熨烫患处,三天后疮口就会发作。现在的人用赤皮葱三五根,去掉青皮,在火中烤熟,拍破,趁热熨烫灸疮十余遍,三天后疮口就会发作。也可以用生麻油浸泡患处促使发作,也有用皂角煎汤,待冷却后频繁点涂患处促使发作。也有人担心气血衰弱导致不发,服用四物汤以滋养血气,这种情况不能一概而论。有的再灸一两壮就发作了,有的食用热的灸后食物,如烤鱼、煎豆腐、羊肉等而发作,这需要根据个人情况灵活辅助,不可顺其自然,否则最终可能不会发作。
古人贴敷灸疮,不使用膏药,目的是让脓液排出多以便疾病去除。《资生经》说:春季用柳絮,夏季用竹膜,秋季用新棉,冬季用兔子腹下的白色细毛,或者猫腹毛。现在的人多用膏药贴敷,每天更换两三次。想要它快速愈合,这不符合治疗疾病的本意。只是现在世人贴膏药也是图个方便,不能追求速愈,如果膏药没有破损,只需长久贴敷即可。如果频繁更换,伤口就会快速愈合,恐怕病根未能彻底清除。
使用白芷、金星草、淡竹叶、黄芩、黄连、乳香、当归、川芎、薄荷、葱白等药材,配合炒铅粉和香油煎制成膏药贴敷。如果使用其他膏药不对症,倘若疮口容易收敛闭合,而病邪之气无法排出。如果使用其他药物,会导致干燥疼痛,也不方便。
Methods for moxibustion treating cold-heat disorders: First, moxa the Dazhui (GV14) acupoint, with the number of moxa cones (zhuang) corresponding to the patient's age in years. Next, moxa the Jugu (end of the coccyx) point, with the number of moxa cones also corresponding to the age in years. Moxa the depressed areas of the Back-Shu points on the back; moxa the depressed areas of the arms and shoulders; moxa between the two hypochondriac regions; moxa the end of the Juegu (GB39) at the upper aspect of the lateral malleolus; moxa between the little toe and the second toe; moxa the vessels that appear depressed; moxa the posterior aspect of the lateral malleolus; moxa the area above the Collarbone (Quepen) bone where palpation reveals hardness and pulsation resembling a tendon; moxa the depressed areas in the chest (Yingzhong) and interosseous spaces; moxa three cun below the umbilicus at the Guanyuan (CV4) acupoint; moxa the arterial pulse at the pubic hairline; moxa the space between muscles three cun below the knee; moxa the arterial pulse on the dorsum of the foot belonging to the Foot-Yangming Stomach Meridian. Moxa one acupoint on the vertex of the head.
The *Zisheng Jing* states: Whenever moxibustion induces a sore (moxa sore), the disease will be cured; if no sore develops, the disease will not heal. The *Jiayi Jing* states: For moxa sores that do not develop, apply a heated old shoe sole to the area by ironing it; the sore will develop within three days. Currently, people use three to five stalks of red-skin scallions, removing the green parts, roasting them until cooked over fire, crushing them, and applying them hot to the moxa sore for more than ten times, causing the sore to develop within three days. Alternatively, soaking the area in raw sesame oil can induce development; some use decoctions of Gleditsia sinensis (Zaojiao), cooling it and frequently dabbing it to induce development. Some fear that declining Qi and Blood prevent development and take Siwu Tang (Four Substances Decoction) to nourish Qi and Blood; this cannot be generalized. Some develop sores after additional one or two cones of moxa; some develop sores after consuming hot foods suitable for post-moxibustion care, such as roasted fish, fried tofu, mutton, etc. One must flexibly assist according to circumstances and not leave it to nature, otherwise the sore may never develop.
In ancient times, moxa sores were dressed without plasters, aiming for abundant pus discharge to ensure disease elimination. The *Zisheng Jing* states: Use willow catkins in spring, bamboo membrane in summer, new cotton in autumn, and white fine wool from rabbit bellies or cat bellies in winter. Nowadays, people mostly use medicated plasters, changing them two to three times daily. Seeking rapid healing is contrary to the original intent of treating the disease. However, modern use of plasters is for convenience; one should not seek speed. If the plaster remains intact, long-term application is sufficient. Frequent changes lead to rapid healing, which may prevent the complete removal of the disease root.
Use Angelica dahurica (Baizhi), Venus grass (Jinxingcao), Lophatherum gracile (Dan Zhuye), Scutellaria baicalensis (Huangqin), Coptis chinensis (Lian), Frankincense (Ruxiang), Angelica sinensis (Danggui), Ligusticum chuanxiong (Chuanxiong), Mentha haplocalyx (Bohe), and scallion whites, stir-fried with calcined lead powder and sesame oil to prepare a plaster for application. If other plasters are used that do not match the syndrome, and the sore mouth heals easily while pathogenic Qi cannot exit, it is problematic. If other substances are used, they cause dryness and pain, and are inconvenient.