条文:
点穴坐卧立直正,炷用蕲艾火珠良,灸病古忌入木火,今时通行一炷香。
注:[1]凡灸法,坐点穴则坐灸,卧点穴则卧灸,立点穴则立灸。
[2]须四体平直,毌令倾侧,若倾侧穴即不正。
[3]其炷所用之艾,必用蕲艾,艾令干燥,入臼捣去净尘屑,作炷坚实,
置穴上,用葱涎粘固。
[4]上古用火珠映日取火点之,忌松、柏、枳、橘、榆、束、桑、竹,
八木之火;今时惟用香火灼艾,亦通行简便之法也。
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条文:
灸法温暖宜于午,上下阳阴先后分,脉数新愈不宜灸,欲灸三里过三旬。
注:[1]凡灸百病,原为温暖经络,宜在午时阳盛之时,火气易行,
必分上下先后:上下经皆灸者,先灸上,后灸下;
阴阳经皆灸者,先灸阳,后灸阴。
[2]若脉数有热,新愈气虚,俱不宜灸,恐伤气血。
[3]但人有病,欲灸足三里者,须三十年以上,方许灸之,
恐年少盛伤目。
[4]故凡灸头,必灸足三里者,以三里能下火气也。
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条文:
头骨手足皮薄瘦,巨阙鸠尾小少宜,背腹脐下皮肉厚,大多方能起痼疾。
注:[1]凡灸诸病,必火足气到,始能求愈。
[2]然头与四肢,皮肉浅薄,若并灸之,恐肌骨气血难堪,必分日灸之,
或隔日灸之,其炷宜小,壮数宜少。
[3]百病必当灸巨阙、鸠尾二穴者,必不可过三壮,艾炷如小麦,
恐火气伤心也。
[4]背腹下皮肉深厚,艾炷宜大,壮数宜多,使火气到,
始能去痼冷之疾也。
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Passage:
When selecting acupoints, the body must maintain an upright posture whether sitting, lying down, standing, or erect. The moxa cones should be made from mugwort produced in Qichun (Qiai), and ignition using a fire lens is considered optimal. In ancient times, it was taboo to use fire from eight types of wood for moxibustion; nowadays, lighting a single incense stick is the common practice for ignition.
Note: [1] For all moxibustion procedures, if the acupoint is located while sitting, the patient should remain seated during treatment; if located while lying down, they should lie down; if located while standing, they should stand.
[2] The limbs and trunk must be kept straight and level, avoiding any tilting or leaning, as deviation will result in inaccurate acupoint placement.
[3] The mugwort used for the cones must be Qiai (Mugwort from Qi Prefecture). It should be dried, pounded in a mortar to remove dust and impurities, and formed into firm cones. Place the cone on the acupoint and secure it with onion juice.
[4] In antiquity, fire was obtained by reflecting sunlight through a crystal lens to ignite the moxa, and it was forbidden to use fire from pine, cypress, zanthoxylum, orange, elm, jujube, mulberry, and bamboo. Currently, burning incense sticks to ignite the moxa is the standard and convenient method.
Passage:
Moxibustion provides warmth and is best performed at noon when Yang energy is abundant. One must distinguish the sequence between upper and lower parts, and between Yin and Yang meridians. Moxibustion is contraindicated if the pulse is rapid or if there is heat, or if the patient has recently recovered and suffers from Qi deficiency. Moxibustion of Zusanli (ST36) is recommended only for those over thirty years of age.
Note: [1] Generally, moxibustion aims to warm the meridians and is suitable for the Wu hour (noon) when Yang Qi is at its peak, facilitating the flow of fire energy. A specific order must be observed: if treating both upper and lower meridians, treat the upper first, then the lower; if treating both Yin and Yang meridians, treat the Yang first, then the Yin.
[2] If the pulse is rapid accompanied by heat, or if the patient is newly recovered with deficient Qi, moxibustion is not advisable as it may damage Qi and Blood.
[3] However, for patients requiring moxibustion on Zusanli (ST36), it is permitted only for individuals aged thirty or above, to prevent potential damage to vision due to vigorous Qi and Blood in youth.
[4] Therefore, whenever moxibustion is applied to the head, it should be combined with Zusanli (ST36), as this point helps to guide the fire energy downward.
Passage:
The skin on the skull and extremities is thin and lean, making them unsuitable for heavy moxibustion. The Jueque (CV14) and Jiutui (CV15) acupoints, along with the Shaofu region, should receive little moxibustion. Conversely, the back, abdomen, and area below the navel have thick flesh and fat, allowing for larger cones and more moxibustion units (Zhuang), which is necessary to cure chronic diseases.
Note: [1] For all moxibustion treatments, sufficient heat and arrival of Qi at the affected area are required to achieve recovery.
[2] However, since the skin and flesh on the head and four limbs are shallow and thin, simultaneous moxibustion may overwhelm the muscles, bones, Qi, and Blood. Treatment should be spaced out over different days or every other day, using smaller cones and fewer Zhuang (units of moxibustion).
[3] If Jueque (CV14) and Jiutui (CV15) must be treated for various ailments, the dose must not exceed three Zhuang, with cones sized like wheat grains, to avoid damaging the Heart with excessive fire energy.
[4] The back and abdomen have deep and thick flesh; therefore, larger cones and more Zhuang are appropriate to ensure the fire energy penetrates deeply enough to eliminate chronic cold conditions.