陈延之曰∶经说∶夫病以汤药救其内,针灸营其外。夫针术须师乃行。其灸则凡人便施,
为
所
张仲景述∶夫病其脉大者不宜灸也。
凡欲灸者,当详所宜,审应灸处疏孔穴名,应灸壮数,出之以疏临图像,依注明寸数量
度灸
凡灸之腥说熟,宜视其人盛衰所在,大熟则伤衰腥,少则不能愈疾。是以宜节度随盛衰
也。
凡男女之体,同以腰上为阳,以腰下为阴也。男以背为阴,腹为阳。女以腹为阴,背为
阳。
凡灸法当先发于上,然后灸下。先发于阳,然后灸阴,则为顺也。
凡灸诸俞皆令如经也,不如经者徒病无益。灸得脓坏,风寒乃出,不坏病则不除也。
凡肾气有风冷,令人如邪鬼状,但数报灸令熟,风寒除自愈。
凡头者人神所治气之精也,病则气虚精散。夫灸头必令当病使火气足,却邪则止火也。
足而不止,则神出不得入,伤精明营卫衰损也;未足而止,则邪微有余,喜因天阴阳而发也。
四肢者,身之枝KT 也,其气系于五脏随血脉出入养四肢也,其分度浅易达也。是以灸头
精神气微,得火则冷气散。且背膂重浓,灸宜熟,务多善也。
愈皆令如经也,不如经者徒痛无益。灸得脓坏风寒乃出,不坏病则不除也。凡肾气有风
冷,
《太素经》云∶手中指本节至其末,长四寸半。注云∶从本节端至中指未合四寸半,今
人取
孙思邈曰∶凡孔穴在身此皆脏腑营卫血脉流通,表里往来各有所生,临时救难,必在审
详,
寸之
取手
又以肌肉纹理节解缝会宛臼之中,又以手按之,病者快然,如此仔细安详用心者,乃能
得之
凡经言横三间寸者,则是三灸而间。间一寸有三灸,灸有三分,三壮之处即为一寸。凡
言数
有至
百壮
直,
之,
凡灸当先阳后阴,先上后下,皆以日正午后,乃可下火。午前,平旦谷气令人癫眩,不
可针
杨玄操曰∶灸疮得脓坏,其病乃出;不坏则病不除。《甲乙·丙卷》云∶灸不发者灸
KT熨之
《苏敬香港脚论》云∶灸疮瘥后,KT 色赤者风毒尽;青黑者犹有毒瓦斯,仍灸勿止,待
身体轻利
《扁鹊针灸经》云∶凡灸因火生疮,长润,久久不瘥。变成火疽,取桃树东边皮一寸以
上煮
Chen Yanzhi stated: Medical classics record that diseases should be treated internally with herbal decoctions and regulated externally with acupuncture and moxibustion. Acupuncture techniques must be learned from a master before practice. However, moxibustion can be performed by ordinary people directly.
Zhang Zhongjing discussed: For conditions where the pulse is large, moxibustion is not suitable.
For those intending to perform moxibustion, one must carefully examine the appropriate acupoints, clarify the names of the points to be moxaed, determine the number of moxa cones (zhuang), and produce diagrams for reference, adhering to standard measurements of cun.
Regarding the intensity of moxibustion, the moxa fire should be allowed to burn thoroughly, but one must observe the patient's constitution (excess or deficiency). If the fire is too intense, it will damage the healthy qi; if insufficient, it will fail to cure the disease. Therefore, regulation should follow the patient's condition of excess or deficiency.
Generally, for both men and women, the area above the waist is Yang, and the area below the waist is Yin. For men, the back is Yin and the abdomen is Yang; for women, the abdomen is Yin and the back is Yang.
The method of moxibustion should generally start from the upper body and then proceed to the lower body. Moxa on Yang areas first, then Yin areas, follows the principle of harmony.
When moxaing various Shu points, one must follow the classics. Deviating from the classics only causes pain without benefit. If the moxibustion leads to suppuration and ulceration, wind-cold pathogens are expelled; if no ulceration occurs, the disease remains.
If Kidney Qi is affected by wind-cold, causing symptoms resembling possession by evil spirits, repeated moxibustion until thorough penetration will expel the wind-cold, leading to spontaneous recovery.
The head is where the Spirit resides and essence gathers. Disease here causes Qi deficiency and scattering of essence. When moxaing the head, sufficient fire energy must be applied to the pathology to expel evil, after which the fire should be stopped. If sufficient heat is applied but continued, the Spirit may escape and fail to return, damaging clarity and depleting Ying and Wei Qi. If stopped prematurely due to insufficient heat, residual pathogens remain, prone to recurrence due to changes in Heaven and Earth's Yin-Yang.
The four limbs are the branches of the body. Their Qi connects to the Zang-Fu organs, circulating through blood vessels to nourish the limbs. The distribution is superficial and easily reached. Thus, when moxaing the head, if the spirit and Qi are weak, fire disperses cold. Since the muscles along the back and spine are thick, moxibustion should be thorough and abundant.
(Repeated text in source): All treatments must follow the classics; deviation only causes pain without benefit. Suppuration from moxibustion expels wind-cold; lack thereof leaves the disease intact. For Kidney Qi affected by wind-cold...
The *Tai Su Jing* states: From the proximal interphalangeal joint of the middle finger to its tip measures 4.5 cun. The annotation notes: From the end of the proximal joint to the tip of the middle finger is 4.5 cun. Current practitioners take...
Sun Simiao said: Acupoints on the body are sites where Zang-Fu, Ying-Wei, and blood vessels circulate, connecting interior and exterior. In emergencies, precise selection is required.
To locate hand acupoints...
One must also consider muscle fibers, joint gaps, and depressions. Pressing with the hand where the patient feels relief indicates the correct point. Only through careful and calm attention can these points be accurately found.
When texts mention "three intervals of one cun," it means three moxa applications separated by one cun. One cun contains three moxa applications, each measuring three fen. Three zhuang constitute one cun. Regarding quantity...
Some cases involve up to one hundred zhuang.
Straight...
Of...
Moxibustion should prioritize Yang over Yin, and upper over lower. Fire should be applied only after solar noon. Before noon, during dawn when Gu Qi is abundant, it may cause dizziness and mania; acupuncture is contraindicated...
Yang Xuancuo said: When a moxa sore suppurates and ulcerates, the disease exits; if it does not ulcerate, the disease persists. The *Jia Yi Jing, Volume Bing* states: For moxibustion that fails to produce sores, apply heat compresses...
Su Jing's *Treatise on Hong Jiao (Gout/Podagra)* states: After the moxa sore heals, if the skin is red, wind-toxin is exhausted; if blue-black, toxic vapors remain. Continue moxibustion without stopping until the body feels light and agile...
The *Bian Que Zhen Jiu Jing* states: Moxibustion-induced sores, if kept moist, may heal slowly. They may transform into fire abscesses. Take peach bark from the east side of the tree, at least one cun long, and boil...