腑会中脘 脏会章门 筋会阳陵泉 髓会绝骨 血会鬲俞 骨会大杼 脉会太渊 气会
中
难经云。热病在内者。取会之气穴也。
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治痈疽恶疮发背。男左女右。臂腕中横纹起。用薄篾一条。量至中指齐肉尽处。不量爪
甲截
徐扛起。足要离地五寸许。两旁更以两人扶定。毋令动摇不稳。却以前量长篾。贴定竹杠竖
起。从尾 骨。贴脊量至篾尽处。以笔点记。此不是穴。却用后取同身寸篾。取两寸平折。
自中横量两头各一寸。方是灸穴。可灸三壮。
根据法量穴。在督脉脊中至阳、筋束二穴中外。太阳行背二行鬲俞、肝俞之内。非正当穴
也。
崔知悌云。灸骨蒸劳热。灸四花穴。以稻秆心量口缝如何阔。断其多少。以如此长。裁
纸四
却环在结喉下垂向背后。看稻秆止处。即以前小孔纸当中安。分为四花灸纸角也。可灸七壮
初疑四花穴。古人恐人不识点穴。故立此捷法。当必有合于五脏俞也。今根据此法点穴。
果合
旺。故取此以补之。胆者肝之府。藏血。故亦取是俞也。崔氏止言四花。而不言鬲俞、胆俞
四穴者。为粗工告也。今只根据揣摸脊骨鬲俞、胆俞为正。然人口有大小。阔狭不同。故四花
亦不准。
腑会穴是中脘,脏会穴是章门,筋会穴是阳陵泉,髓会穴是绝骨(悬钟),血会穴是膈俞,骨会穴是大杼,脉会穴是太渊,气会穴是膻中。
《难经》说:热病在体内的,取用会穴之气穴来治疗。
治疗痈疽、恶疮、发背等病症。男性取左侧,女性取右侧。从臂腕中间的横纹处开始,用一条薄竹篾,量至中指根部肌肉结束的地方,不测量指甲部分,由徐扛提出此法。测量时脚要离地约五寸,旁边再让两个人扶住固定,不要让它动摇不稳。然后用刚才量的长竹篾,贴紧竹杠竖起,从尾骨处,沿着脊柱向上量到竹篾尽头的位置,用笔做记号。这个位置不是穴位,接着用后面取同身寸的竹篾,取两寸长度平折,从中间向两头各量一寸,这才是灸穴的位置。可以灸三壮。
根据这种方法确定的穴位,位于督脉脊中的至阳穴和筋缩穴之外侧,足太阳膀胱经背部第二行线的膈俞穴和肝俞穴之内侧。这并不是正当的标准穴位。
崔知悌说:灸治骨蒸劳热,灸四花穴。用稻草秆的中心部分去量口缝有多宽,截断相应长度的稻草秆。以此长度为半径,裁出四张纸片,围在结喉下方垂向背后。看稻草秆停止的位置,即以前面小孔纸片的中心安放,将纸片分为四角进行艾灸,每角可灸七壮。起初怀疑四花穴,古人恐怕人们不认识点穴的方法,所以创立了这种简便方法。应当必定与五脏俞穴相合。现在根据这种方法点穴,果然符合旺气所在,所以取此法以补益之。胆是肝的府库,贮藏血液,所以也取胆俞穴。崔氏只说了四花穴,而没有提及膈俞、胆俞这四个穴位,这是粗疏工匠的告戒吧。现在只根据揣摸脊骨,认为膈俞、胆俞才是正确的。然而人的口部有大有小,宽窄不同,所以四花穴的定位也不准确。
The Hui-Coupling point of the Fu organs is Zhongwan (CV12); the Hui-Coupling point of the Zang organs is Zhangmen (LR13); the Hui-Coupling point of the sinews is Yanglingquan (GB34); the Hui-Coupling point of the marrow is Juegu (GB39, also known as Xuanzhong); the Hui-Coupling point of the blood is Geshu (BL17); the Hui-Coupling point of the bones is Dazhu (BL11); the Hui-Coupling point of the vessels is Taiyuan (LU9); the Hui-Coupling point of the Qi is Danzhong (CV17).
The *Nan Jing* (Classic of Difficult Issues) states: For heat diseases located internally, select the Qi-acupoints of the Hui-Coupling points.
To treat carbuncles, ulcers, malignant sores, and back abscesses: For males, use the left side; for females, the right side. Starting from the transverse crease in the middle of the wrist, use a thin bamboo strip to measure up to the point where the flesh ends at the base of the middle finger, excluding the nail. This method was proposed by Xu Kang. During measurement, the feet should be lifted off the ground by approximately five cun. Two assistants should hold the subject steady on both sides to prevent any shaking or instability. Then, take the measured long bamboo strip, press it vertically against a bamboo pole starting from the coccyx, and measure along the spine to the end of the strip. Mark this position with a pen. This marked position is not an acupoint. Next, use a bamboo strip designated for measuring "same-body cun" (proportional cun). Take a two-cun length, fold it in half flat. From the center, measure one cun towards each end. These are the moxibustion points. One may apply three moxa cones (zhuang) at each point.
According to this method, the determined points are located outside the Zhizhong (GV14) and Jinshu (GV12) acupoints on the Du Meridian (Governing Vessel) in the midline of the spine, and inside the Geshu (BL17) and Ganshu (BL18) acupoints on the second line of the Bladder Meridian running along the back. They are not standard, orthodox acupoints.
Cui Zhiti stated: To treat bone-steaming consumption fever, moxa the Four Flowers acupoints. Use the core of a rice straw to measure the width of the mouth opening. Cut the straw to match this width. Using this length as the radius, cut four pieces of paper. Arrange them in a ring around the laryngeal prominence (Adam's apple), hanging downwards towards the back. Observe where the rice straw stops. Place the center of the previously made small-hole paper at this location. Divide the paper into four corners for moxibustion. Apply seven moxa cones at each corner. Initially, there was doubt regarding the Four Flowers acupoints. The ancients likely established this expedient method because they feared people would not know how to locate acupoints accurately. It must correspond to the Shu-points of the Five Zang organs. Following this method to mark the points indeed aligns with the flourishing Qi, thus this method is adopted for tonification. The Gallbladder is the mansion of the Liver and stores blood; therefore, the Gallsbladder Shu-point is also selected. Cui only mentioned the Four Flowers but did not explicitly name the Geshu and Danshu acupoints; this omission serves as a warning to incompetent practitioners. Currently, based on palpating the spinal vertebrae, Geshu and Danshu are considered correct. However, since individuals vary in mouth size and width, the positioning of the Four Flowers acupoints is not precise.