(有补遗)
骨蒸寒热 蒸上则见喘咳痰血。唇焦面红。耳鸣目眩。肺痿肺痈。蒸中则见腹肋胀痛。
体倦肉瘦。多食而饥。蒸下则见遗精淋浊。泻泄燥急。腰疼脚瘦。阴茎自强。
肺俞 膏肓俞 足三里
四花穴 令病患平身正立用草一条纳长三四尺。一头与足中指端(一作大指)比齐。顺脚
心至
后跟贴肉直上。比至曲瞅大纹截断。次令病患正坐。解发分顶。却将此草自鼻尖量从头正中
。循项背贴肉垂下。至草尽处用墨点记。又取短草一条双折。按定鼻柱根左右分开至两口角
截断如人字样。展直取中。横加于背脊墨点上。两边草尽处为第一次应灸二穴。即五椎心俞
。心主血故灸之。随年纪多灸一壮。累效(如人三十岁灸三十一壮)又取前所量足之草中折。
正按结喉上。其草两头垂脊间。至尽处以墨点记。次以前所量短草亦如前法横加于墨点上。
两边草尽处为第二次应灸二穴。即七椎膈俞。HT 曰血会膈俞。盖骨蒸劳热。血虚火旺故灸之
崔知悌立四花穴法。而不指穴名。为粗工吉也。如妇人缠足者。以草自右膊肩 穴起。伸手
贴肉量至中指头截断。以代量足之法 凡男妇五五劳七伤肌肉削瘦。盗汗潮热。烦躁咳嗽吐
血等证。初灸七壮或二七壮。三七壮。再灸膏肓二穴。
(按类经图翼云四花上二穴。近五椎心俞。下二穴近九椎肝俞。而根据其法度之。未合大
成云。上二穴膈俞下二穴胆俞。根据其法度之亦不合。今与资生灸劳穴等法较正如上)
骨热不可治。前板齿干燥。
灸骨会大椎
真气不足
灸气海 足三里
注夏羸瘦 凡在夏初。而患头疼足软。体热食少者。名曰注夏(一作疰夏)
大椎 肺俞 膈俞 胃俞 中脘 传尸劳(有补遗)
第一代虫伤心 灸心俞。并上下如四花样。
(按四花穴。又有上下二穴之法。取心俞当点记五椎下。次用草一条双折按定鼻柱。根
分开
。比至两口角截断如人字样。展直取中。横放点处其左右草尽处即心俞二穴。又以此草取中
。点贴直放点处。上下草尽处亦为二穴合心俞共灸四穴如灸肺俞点记三椎下为法余仿此)
第二代 灸肺俞。四穴如前
第三代 灸肝俞。四穴如前
第四代 灸厥阴俞。四穴如前
第五代 灸肾俞。四穴如前
第六代 灸三焦俞。四穴如前
此症五日轻。五日重。轻日其虫大醉方可灸又须请普庵咒镇念之。
一凡取痨虫。可于三椎骨上一穴。并膏肓俞二穴。各灸七壮然后以饮食调理。方下取虫
药。
一灸腰眼穴法。于癸亥日二更后。将交夜半。乃六神皆聚之时。令病患解衣。举手向上
。略
转后些。则腰间有微陷是穴。正身直立。用墨点记。然后上床合面而卧。各灸七壮。或九壮
十一壮。其虫必从吐泻中而出。烧 远弃之。可免传染。此比四花等穴尤易取效。
（有补遗内容）
骨蒸劳热：热气上蒸则出现气喘、咳嗽、咳痰带血；嘴唇焦枯、面色发红；耳鸣、目眩。若导致肺痿或肺痈，热气中蒸则见腹部和胁肋胀痛，身体疲倦、肌肉消瘦，虽然吃得多却容易感到饥饿；热气下蒸则见遗精、小便浑浊淋漓，腹泻泄泻且伴有燥急感，腰部疼痛、小腿消瘦，阴茎异常勃起。
四花穴灸法：让病人平身正立，取一根长三四尺的草条，一头与足部中趾端（一说为大趾）对齐，顺着脚心至后脚跟紧贴皮肤直向上量，量到膝盖弯曲处的大横纹时截断草条。接着让病人正坐，解开头发分开头顶，再用这根草从鼻尖开始，沿头部正中，顺着颈背部紧贴皮肤垂下，在草条尽头处用墨点做记号。再取一根短草条对折，按住鼻梁根部向左右分开，量至两口角处截断，形状像“人”字。将其展直取中间点，横向放置在背部脊柱的墨点上，草条两端尽头处即为第一次应灸的两个穴位，即第五椎下的心俞穴。因为心主血，所以灸此穴以调血。艾灸壮数随年龄增加，每岁多灸一壮，屡验有效（例如三十岁的人灸三十一壮）。再取之前量的足部长草条对折，正按在喉结上方，草条两头垂落在脊柱两侧，到尽头处用墨点做记号。接着将之前量的短草条也按同样方法横向放在墨点上，草条两端尽头处为第二次应灸的两个穴位，即第七椎下的膈俞穴。《黄帝内经·灵枢》说：“血会膈俞”。大概是因为骨蒸劳热导致血虚火旺，所以灸此穴。
崔知悌创立了四花穴的取穴法，但没有指出具体穴名，这是为了不让粗浅的医生轻易掌握吧。如果是缠足的妇女，可以用草条从右侧肩膀肩髃穴起，伸手贴肉量到中指尖截断，以此代替量足的方法。
凡是男女因五劳七伤导致肌肉削瘦，出现盗汗、潮热、烦躁、咳嗽、吐血等症状，先灸七壮或十四壮、二十一壮，然后再灸膏肓二穴。
（按《类经图翼》记载：四花穴的上两个穴位靠近第五椎的心俞穴，下两个穴位靠近第九椎的肝俞穴，但根据本法度推算，并不完全符合《大成》的说法。《大成》认为上两个是膈俞，下两个是胆俞，根据本法度推算也不吻合。现在参照《资生灸劳穴》等法度，如上所述。）
注夏羸瘦：凡在夏初，患头痛、足软、身体发热、食欲减退的，名叫注夏（一作疰夏）。
穴位：大椎穴、肺俞穴、膈俞穴、胃俞穴、中脘穴。
传尸劳（有补遗内容）：
第一代虫伤心：灸心俞穴，并上下如四花样排列的穴位。
（按：四花穴还有上下两穴的取法。取心俞穴当点在第五椎下方，其次用一根草条对折，按住鼻梁根部向左右分开，量至两口角截断，形状像“人”字。展直取中间点，横向放置于标记处，其左右草条尽头处即心俞二穴。又以此草条取中间点，垂直贴放于标记处，上下草条尽头处也为二穴，合心俞共灸四穴。如果灸肺俞，则点记在第三椎下方，其余仿照此法。）
第二代：灸肺俞穴，四穴如前法。
第三代：灸肝俞穴，四穴如前法。
第四代：灸厥阴俞穴，四穴如前法。
第五代：灸肾俞穴，四穴如前法。
第六代：灸三焦俞穴，四穴如前法。
此症五日轻，五日重。在轻的日子，虫子处于大醉状态时才可行灸。同时必须请普庵咒来镇念。
一、凡要取出痨虫，可在第三椎骨上一穴，以及膏肓俞二穴，各灸七壮，然后用饮食调理，方予服用取虫药。
一、灸腰眼穴法：在癸亥日二更之后，即将交半夜之时，此时六神皆聚集。令病人解衣，举手向上，稍微向后转，则腰间有微陷之处即是该穴。正身直立，用墨点做记号。然后上床俯卧，各灸七壮，或九壮、十一壮。虫子必定会从呕吐或腹泻中排出，烧掉并远远丢弃，可以避免传染。这比四花等穴更容易见效。
(With supplementary notes)
**Bone-steaming tidal fever:** When the heat steams upward, symptoms include panting, coughing, and hemoptysis (coughing up blood); dry lips, red face; tinnitus, and vertigo. If it leads to Lung萎 (Lung atrophy) or Lung abscess, when the heat steams in the middle, there is abdominal and hypochondriac distension and pain, physical fatigue, emaciation, polyphagia with hunger. When the heat steams downward, there is seminal emission, cloudy and profuse urination, diarrhea with a sensation of dryness and urgency, lower back pain, thin calves, and spontaneous erection of the penis.
Acupoints: Feishu (BL13), Gaohuangshu (BL43), Zusanli (ST36).
**Sihua Acupoint Moxibustion Method:** Have the patient stand upright. Take a grass stalk three to four chi long. Align one end with the tip of the middle toe of the foot (or alternatively, the great toe). Follow the sole of the foot upwards along the heel, keeping it close to the skin, until reaching the major crease of the knee joint, then cut the stalk. Next, have the patient sit upright, part their hair at the crown. Take this grass stalk from the tip of the nose, along the midline of the head, down the neck and back, keeping it close to the skin. Mark the end point with ink. Take another short grass stalk, fold it in half. Press it against the root of the nasal bridge, spreading it left and right to the corners of the mouth, cutting it like the character "人" (person). Straighten it and find the midpoint. Place it horizontally on the ink mark on the spine. The ends of the grass stalks on both sides indicate the first pair of acupoints to be moxibusted, which are Xinshu (BL15) located below the fifth thoracic vertebra. Since the Heart governs blood, moxibustion here regulates blood. The number of moxa cones increases with age, adding one cone per year, which has proven effective repeatedly (e.g., a 30-year-old receives 31 cones). Take the previously measured long grass stalk for the leg, fold it in half, and press it against the laryngeal prominence. Let the two ends hang down along the spine. Mark the endpoint with ink. Then place the previously measured short grass stalk horizontally on this ink mark as before. The ends of the grass stalks on both sides indicate the second pair of acupoints to be moxibusted, which are Geshu (BL17) located below the seventh thoracic vertebra. The *Huangdi Neijing Ling Shu* states: "Blood converges at Geshu." This is because bone-steaming consumptive fever causes blood deficiency and hyperactive fire, hence moxibustion is applied here.
Cui Zhiti established the method for Sihua acupoints but did not specify the acupoint names, likely to prevent unskilled practitioners from easily mastering it. For women with bound feet, measure from the Jianyu (LI15) acupoint on the right shoulder, extending the arm and measuring along the skin to the tip of the middle finger, cutting the stalk to substitute for measuring the foot.
For any man or woman suffering from muscle emaciation due to the Five Injuries and Seven Damages, presenting with night sweats, tidal fever, irritability, cough, and hemoptysis, first moxibustion of seven cones, or fourteen, or twenty-one cones, followed by moxibustion of the two Gaohuangshu (BL43) acupoints.
(Note: According to *Leijing Tuyi*, the upper two Sihua points are near Xinshu (BL15) at the fifth thoracic vertebra, and the lower two are near Ganshu (BL18) at the ninth thoracic vertebra. However, calculating according to this method does not fully align with the *Da Cheng*. The *Da Cheng* states the upper two are Geshu (BL17) and the lower two are Danshu (BL19), which also does not align when calculated by this method. Currently, comparing with methods such as those in *Zisheng Jiu Lao Xue*, as described above.)
Bone heat is difficult to treat; the anterior plate teeth are dry.
Moxibustion on Dazhui (GV14), the Bone Meeting point.
**Deficiency of True Qi:**
Moxibustion on Qihai (CV6), Zusanli (ST36).
**Summer Malaise (Zhu Xia) with Emaciation:** Occurring in early summer, characterized by headache, weak legs, body heat, and poor appetite, is named Zhu Xia (also written as Zhu Xia).
Acupoints: Dazhui (GV14), Feishu (BL13), Geshu (BL17), Weishu (BL21), Zhongwan (CV12).
**Chuan Shi Lao (Passing-Through Consumptive Disease) (With supplementary notes):**
First generation: Worm affects the Heart. Moxibustion on Xinshu (BL15), and the surrounding points arranged in the Sihua pattern.
(Note: There is another method for the upper and lower two points of Sihua. Locate Xinshu (BL15) below the fifth thoracic vertebra. Take a grass stalk, fold it in half, press against the root of the nasal bridge, spread left and right to the mouth corners, cut like "人". Straighten and find the midpoint. Place horizontally on the mark. The ends indicate the two Xinshu points. Take the midpoint of this stalk, place it vertically on the mark. The upper and lower ends indicate two more points. Together with Xinshu, moxibustion four points. For Feishu (BL13), mark below the third thoracic vertebra, and so on.)
Second generation: Moxibustion on Feishu (BL13), four points as before.
Third generation: Moxibustion on Ganshu (BL18), four points as before.
Fourth generation: Moxibustion on Jueyinshu (BL20), four points as before.
Fifth generation: Moxibustion on Shenshu (BL23), four points as before.
Sixth generation: Moxibustion on Sanjiaoshu (BL22), four points as before.
This condition alternates between mild and severe every five days. Moxibustion should only be performed on the mild days when the "worm" is considered deeply intoxicated. One must also chant the Pu'an Mantra for protection.
One: To extract the consumptive worm, moxibustion can be applied to one point above the third thoracic vertebra, and the two Gaohuangshu (BL43) points, seven cones each. Afterward, regulate with diet, then administer medicine to extract the worm.
One: Moxibustion on Yaoyan (Waist Eye) Acupoint Method: On the day of Guihai, after the second watch (approx. 9-11 PM), just before midnight, when the Six Spirits gather. Have the patient undress, raise arms upward, and turn slightly backward. A slight depression in the waist indicates the acupoint. Stand upright and mark with ink. Then lie prone on the bed. Moxibustion of seven, nine, or eleven cones. The worm will surely be expelled through vomiting or diarrhea. Burn and discard far away to avoid contagion. This method is easier and more effective than Sihua and other acupoints.