平按∶此篇自篇首至末，见《素问》卷十六第六十《骨空论》篇，又见《甲乙》卷八第一上
篇。
灸寒热之法，先取项大椎，以年为壮数，（大椎穴，三阳督脉之会，故灸寒热气取。《明堂》
大椎有疗伤寒病，不疗寒热。平按∶先取《素问》作先灸。）次灸厥骨，以年为壮数，视背输陷
者灸之，（此脉中血寒而少，故取背输陷也。厥骨，脊 骨也。有本厥与骨通为一字，巨月反。平
按∶厥骨《素问》、《甲乙》作撅骨。注此脉袁刻误作此血。）与臂肩上陷者灸之，（臂肩亦取
脉陷，疗寒热之输，肩贞等穴也。平按∶《素问》、《甲乙》与作举。）两季胁之间灸之，（季胁
本挟脊京门穴也。）外踝之上绝骨之端灸之，（阳辅等穴。）足小趾次趾间灸之，（临泣等穴也。
平按∶小趾袁刻作少趾。） 下陷脉灸之，（承山等穴。平按∶ 下《甲乙》作 上。）外踝之
后灸之，（昆仑等穴也。）缺盆骨上切之坚痛如筋者灸之，（平按∶《甲乙》坚痛作坚动。）膺
中陷骨间灸之， 骨下灸之，（平按∶ 骨《素问》、《甲乙》作掌束骨。）脐下关元三寸
灸之，毛际动脉灸之，膝下三寸分间灸之，（平按∶膝下《甲乙》作脐下，三寸作二寸。）足阳
明灸之，跗上动
脉灸之，（平按∶足阳明下《素问》无灸之二字，新校正云∶“按《甲乙经》、全元起本足阳明
下有灸之二字，并跗上动脉是二穴。”据此则全本与本书相同，但今本《甲乙》仍无灸之二字。）
巅上动脉灸之，（平按∶《素问》、《甲乙》动脉作“一”字。）犬所 之处灸之三壮，即以犬
伤痛壮数灸也，凡当灸二十七处。（ 音干。 ，穴也，冲阳等穴也。题云灸寒热法，此总数
之二十七处中，有根据其输穴，亦取气指而灸之，不可为定，可量取也。平按∶ 《素问》作啮，
《甲乙》同，无三壮二字。痛壮数灸也《素问》作病法灸之，《甲乙》作病法三炷灸之。二十七
处《素问》、《甲乙》均作二十九处。）伤食灸不已者，必视其经之过于阳者，数刺之输血，药之
也。（伤食为病，灸之不得愈者，可刺之。刺法，可刺大经所过之络出血，及饮药调之阳络脉也。
平按∶《素问》灸下有之字，之输作其俞，血药作而药。）
平按：本篇从篇首到篇末，见于《素问》卷十六第六十《骨空论》篇，又见于《甲乙经》卷八第一上篇。
灸治寒热病的方法，先取大椎穴（督脉与手足三阳经交会穴），根据患者年龄决定施灸的壮数（每燃烧一个艾炷为一壮）。（大椎穴是手足三阳经与督脉的交会穴，因此治疗寒热之气选取此穴。《明堂经》记载大椎穴可治疗伤寒病，但不治疗一般的寒热病。平按注：此处“先取”在《素问》中作“先灸”。）其次灸治厥骨（指脊骨），同样根据年龄决定施灸壮数，观察背部俞穴中有凹陷的地方进行施灸。（这是因为该经脉中血液寒冷且量少，所以选取背部俞穴中凹陷处。厥骨即脊骨。有的版本将“厥”与“骨”通假为一个字，读音为巨月反。平按注：“厥骨”在《素问》和《甲乙经》中作“撅骨”。注释中的“此脉中血寒而少”刻本误作“此血”。）再灸治手臂肩膀上有凹陷的地方（手臂肩膀也选取经脉凹陷处，这是治疗寒热的俞穴，如肩贞等穴位。平按注：《素问》和《甲乙经》中“与”作“举”。）。在两胁之间施灸（两胁原本挟持着脊部的京门穴。）。在外踝上方绝骨（腓骨）末端施灸（如阳辅等穴位。）。在足小趾和第二趾之间施灸（如临泣等穴位。平按注：小趾在袁刻本中作“少趾”。）在下陷的脉管处施灸（如承山等穴位。平按注：“下”在《甲乙经》中作“上”。）。在外踝后方施灸（如昆仑等穴位。）。在缺盆骨上方按压感到坚硬疼痛如同筋结的地方施灸（平按注：《甲乙经》中“坚痛”作“坚动”）。在胸膺中骨骼间的凹陷处施灸，掌束骨下方施灸（平按注：“掌束骨”在《素问》和《甲乙经》中作“掌束骨”，原文此处可能有脱漏或异文，依注理解）。在脐下关元穴三寸处施灸，在阴毛边缘的动脉搏动处施灸，在膝下三寸的分肉间隙处施灸（平按注：膝下在《甲乙经》中作“脐下”，三寸作“二寸”）。在足阳明胃经施灸，在足背上的动脉搏动处施灸（平按注：足阳明之下，《素问》无“灸之”二字，新校正云：“按《甲乙经》、全元起本足阳明下有‘灸之’二字，并跗上动脉是两个穴位。”据此则全本与本书相同，但今本《甲乙经》仍无“灸之”二字。）。在头顶上的动脉搏动处施灸（平按注：《素问》和《甲乙经》中“动脉”作“一”字。）。在被狗咬伤的地方施灸三壮，即以被狗咬伤的疼痛程度对应的壮数来施灸，总共应当灸治二十七个部位。（“啮”音干。“啮”是穴位名，指冲阳等穴位。题目叫灸寒热法，这总数中的二十七个部位里，有的是根据俞穴，也有的是取气指而施灸，不可定为死法，可以衡量选取。平按注：《素问》作“啮”，《甲乙经》同，无“三壮”二字。“以犬伤痛壮数灸也”在《素问》中作“病法灸之”，《甲乙经》作“病法三炷灸之”。二十七个部位在《素问》和《甲乙经》中均作“二十九处”。）如果因伤食导致疾病，灸治后仍未痊愈的，必须观察其经脉中过于亢盛的阳经部分，多次针刺使其出血，并用药物调理。（因伤食致病，灸治不能痊愈的，可以针刺。刺法，可以针刺大经所经过的络脉使其出血，以及饮用药物调理阳络脉。平按注：《素问》中“灸”下有“之”字，“之输”作“其俞”，“血药”作“而药”。）
Ping An (Commentary): From the beginning to the end of this chapter, it is found in Volume 16, Chapter 60 "Gu Kong Lun" (Discussion on Bone Holes) of *Su Wen* (Basic Questions), and also in Volume 8, Part 1 Upper of *Jia Yi Jing* (The Systematic Classic of Acupuncture and Moxibustion).
The method for moxibustion treating cold-heat disorders: First, select Dazhui (GV14, Great Vertebra), determining the number of moxa cones based on the patient's age. (Dazhui is the intersection of the Du Meridian and the three Yang meridians of the hand and foot; therefore, it is selected for treating cold-heat qi. The *Ming Tang Jing* records that Dazhui treats Shanghan disease but not general cold-heat conditions. Ping An note: Here "Xian Qu" [First Select] is written as "Xian Jiu" [First Moxa] in *Su Wen*.) Next, moxa the Juegu (referring to the spinal column), again determining the number of cones by age. Observe the back Shu points; where there are depressions, apply moxa. (This is because the blood in these meridians is cold and scanty, so the depressed areas of the back Shu points are selected. Juegu refers to the spine. Some editions treat "Jue" and "Gu" as a combined character, pronounced Ju Yue fan. Ping An note: "Juegu" is written as "Juegu" [protruding bone] in *Su Wen* and *Jia Yi Jing*. The annotation "Ci Mai Zhong Xue Han Er Shao" [In this meridian, blood is cold and scanty] has a printing error in the Yuan edition making it "Ci Xue".) Then, moxa the depressed areas on the arms and shoulders. (The arms and shoulders also select meridian depressions, which are Shu points for treating cold-heat, such as Jianzhen SI9. Ping An note: "Yu" [And/With] is written as "Ju" [Lift] in *Su Wen* and *Jia Yi Jing*.) Moxa between the two hypochondriac regions. (The hypochondrium originally flanks the Jingmen GB25 point near the spine.) Moxa at the end of the Jiegu (fibula) above the lateral malleolus. (Such as Yangfu GB38.) Moxa between the little toe and the second toe. (Such as Linqi GB41. Ping An note: "Xiao Zhi" [Little Toe] is written as "Shao Zhi" in the Yuan edition.) Moxa the depressed vessels. (Such as Chengshan BL57. Ping An note: "Xia" [Below] is written as "Shang" [Above] in *Jia Yi Jing*.) Moxa behind the lateral malleolus. (Such as Kunlun BL60.) Moxa where pressing above the collarbone (Quepen area) feels hard and painful like a tendon. (Ping An note: *Jia Yi Jing* writes "Jian Tong" [Hard Pain] as "Jian Dong" [Hard Movement].) Moxa the depressed spaces between bones in the chest (Ying), and below the palm-bundle bone. (Ping An note: "Zhang Shu Gu" is consistent in *Su Wen* and *Jia Yi Jing*; the original text here may have omissions or variants, understood via notes.) Moxa three cun below Guan Yuan CV4, and at the pulsating artery at the pubic hairline. Moxa in the space three cun below the knee. (Ping An note: "Xia Xi" [Below Knee] is written as "Qi Xia" [Below Navel] in *Jia Yi Jing*, and "San Cun" [Three Cun] as "Er Cun" [Two Cun].) Moxa the Foot-Yangming Meridian, and the pulsating artery on the dorsum of the foot. (Ping An note: Below "Foot-Yangming", *Su Wen* lacks the characters "Jiu Zhi" [Moxa]. Xin Zheng Jiao states: "According to *Jia Yi Jing* and Quan Yuanqi's edition, 'Jiu Zhi' appears after Foot-Yangming, indicating 'Fu Shang Dong Mai' [Pulsating Artery on Dorsum] are two separate points. Thus the complete version matches this book, though current *Jia Yi Jing* still lacks 'Jiu Zhi'.") Moxa the pulsating artery on the vertex (Dian). (Ping An note: *Su Wen* and *Jia Yi Jing* write "Dong Mai" [Pulsating Artery] as the character "Yi" [One].) Moxa three cones at the site bitten by a dog, using the number of cones corresponding to the pain/severity of the bite. In total, twenty-seven sites should be moxaed. ("Nie" sounds like Gan. "Nie" is an acupoint name, referring to Chongyang ST42 etc. The title is Method of Moxa for Cold-Heat. Among these twenty-seven sites, some are based on Shu points, others are taken by Qi indication for moxa; it is not fixed, but can be measured and selected. Ping An note: *Su Wen* writes "Nie" [Bite], same as *Jia Yi Jing*, without "San Zhuang" [Three Cones]. "Yi Quan Shang Tong Zhuang Shu Jiu Ye" [Moxa according to dog bite pain cone count] is written as "Bing Fa Jiu Zhi" [Disease Method Moxa] in *Su Wen*, and "Bing Fa San Zhu Jiu Zhi" [Disease Method Three Moxa Cones] in *Jia Yi Jing*. Twenty-seven sites are written as "Twenty-Nine Sites" in both *Su Wen* and *Jia Yi Jing*.) If food stagnation causes illness and moxa fails to cure, one must observe the meridians where Yang is excessive, puncture multiple times to bleed from the Shu points, and use medication. (Illness caused by food stagnation, if moxa does not cure, can be treated with acupuncture. The needling method involves puncturing the collateral vessels passing through the main meridians to cause bleeding, and drinking medication to regulate the Yang collateral vessels. Ping An note: *Su Wen* adds "Zhi" after "Jiu", writes "Zhi Shu" as "Qi Shu" [Its Shu], and "Xue Yao" [Blood Medicine] as "Er Yao" [And Medicine].)