先灸项大椎,以年为壮数。
次灸撅骨,(足穷骨也。)以年为壮数。
视背脸陷者,灸之。
举臂肩上陷者,灸之。( 穴也)
两季胁之间,灸之(章门穴也)
外踝上绝骨之端,灸之。(阳辅穴也)
足小趾次趾间,灸之。(侠溪穴也)
下陷脉,灸之(承筋穴也)
外踝后,灸之(昆仑穴也)
缺盆骨上,切之坚痛如筋者,灸之。(经阙其名)
膺中陷骨间,灸之。(天突穴也)
掌束骨下。灸之。(阳池穴也)
脐下三寸,灸之。(关元穴也)
毛际动脉,灸之。(气街穴也)
膝下三寸分间,灸之。(三里穴也)
足阳明跗上动脉,灸之。(冲阳穴也)
巅上一灸之。(百会穴也)
足太阳疟,令人腰痛头重,寒从背起,先寒后热,热止汗出,难已,刺隙中出血,足少
阳疟,令人身体解 ,寒不甚,热不甚,恶见人,见人心惕惕然,热多汗,刺足少阳,足阳
明疟,令人先寒,洒淅寒甚,久乃热,热去汗出,喜见日光火气,乃快然,刺足阳明脚趺上,
足太阴疟,令人不乐,好太息,不嗜食,多寒热,汗出病至则呕,呕已乃衰,即取之,足少
阴疟,令人吐呕甚,又寒热,热多寒少,欲闭户而处,其病难已,足厥阴疟,令人腰痛,少
腹满,小便不利,如癃状,非癃也,数小便,意恐惧,气不足,腹中悒悒,刺足厥阴,诸疟
而脉不见者,刺十指间出血,血去必已,先视身之赤如小豆者,尽取之。
肝疟刺足厥阴见血。
心疟刺手少阴。
脾疟刺足太阴。
肺疟刺手太阴阳明。
肾疟刺足少阴太阳。
胃疟刺足太阴阳明横脉出血。
尺泽二穴,主五脏疟,穴在肘中约上动脉中,甲乙经云∶手太阴之所入也,各灸三壮,
炷如半枣核大,发时灸。
凡灸疟者,必先问其病之所先发者,先灸之。
从头项发者,于未发前,预灸大椎尖头,渐灸,过时止,从腰脊发者,灸肾俞百壮,从
手臂发者,灸三间。
又灸上星,及大椎,至发时令满百壮,灸艾炷如黍米粒,若觉小异,即灸百会七壮,若
后更发,又七壮,极难愈者,不过三灸,以足踏地,以线围足一匝中折,从大椎向百会,灸
线头三七壮,炷如小豆。
又灸风池二穴三壮。
又正仰卧,以线量两乳间中屈,从乳向下灸度头,随年壮,男左女右。
疟上星主之,穴在鼻中央直发际一寸陷容豆是也,灸七壮,先取 ,后取天牖风池
,疟日西而发者。临泣主之,穴在目 上入发际五分陷者,灸七壮。
疟实则腰背痛,虚则鼽衄,飞阳主之,穴在外踝上七寸,灸七壮。
疟多汗,腰痛不能俯仰,目如脱,项如拔,昆仑主之,穴在另外踝后跟骨上陷中,灸三
壮。
又大开口,度上下唇,以绳度心头,灸此度下头百壮,又灸脊中央五十壮,过发时,灸
二十壮。
First, moxa is applied to the Dazhui (Great Vertebra) acupoint on the neck. The number of moxa cones (Zhuang) corresponds to the patient's age in years.
Next, moxa is applied to the Juegu (Tailbone) acupoint at the end of the coccyx. The number of moxa cones corresponds to the patient's age in years.
Observe any depressions in the back and apply moxa there.
Apply moxa to the depression appearing on the shoulder when the arm is raised (this is the Jianyu acupoint).
Apply moxa between the two hypochondriac regions (this is the Zhangmen acupoint).
Apply moxa at the end of the Jiegu bone above the lateral malleolus (this is the Yangfu acupoint).
Apply moxa between the little toe and the second toe (this is the Xiaxi acupoint).
Apply moxa to the pulse in the depression below the foot heel (this is the Chengjin acupoint).
Apply moxa behind the lateral malleolus (this is the Kunlun acupoint).
On the bone above the Keyuan (Clavicular Fossa), if palpation reveals hardness and pain resembling a tendon knot, apply moxa there (the acupoint name is missing in the original text).
Apply moxa in the depression between the bones in the center of the chest (this is the Tiantu acupoint).
Apply moxa below the metacarpal bones where the palm binds (this is the Yangchi acupoint).
Apply moxa three cun below the umbilicus (this is the Guanyuan acupoint).
Apply moxa to the arterial pulse at the pubic hairline (this is the Qijie acupoint, also known as Qichong).
Apply moxa in the space three cun below the knee (this is the Zusanli acupoint).
Apply moxa to the arterial pulse on the dorsum of the foot belonging to the Foot-Yangming meridian (this is the Chongyang acupoint).
Apply moxa to the apex of the head (this is the Baihui acupoint).
Patients with Taiyang malaria experience lower back pain and heaviness of the head, coldness rising from the back, initial chills followed by fever, sweating upon cessation of fever, and the condition is difficult to cure; bleed the Xizhong (Weizhong) acupoint. Patients with Shaoyang malaria experience bodily laxity, mild chills and fever, aversion to seeing people, and inner apprehension upon seeing others, with profuse heat and sweating; puncture the Foot-Shaoyang meridian. Patients with Yangming malaria experience initial severe chills and shivering, followed by fever after a long time, and sweating upon resolution of fever; they feel comforted by sunlight and fire; puncture the acupoints on the dorsum of the foot of the Foot-Yangming meridian. Patients with Taiyin malaria experience unhappiness, frequent sighing, loss of appetite, alternating chills and fever, sweating, vomiting upon onset of illness, and improvement after vomiting; treat immediately. Patients with Shaoyin malaria experience severe vomiting, alternating chills and fever with more heat than cold, desire to stay indoors with doors closed, and the condition is difficult to cure. Patients with Jueyin malaria experience lower back pain, fullness in the lower abdomen, difficulty urinating resembling strangury but not strangury, frequent urination, fear, Qi deficiency, and abdominal oppression; puncture the Foot-Jueyin meridian. For various types of malaria where the pulse is imperceptible, prick the spaces between the ten fingers to bleed; once blood flows, the disease will surely resolve. First observe the body for red spots like small beans and treat all of them.
For Liver Malaria, puncture the Foot-Jueyin meridian until blood appears.
For Heart Malaria, puncture the Hand-Shaoyin meridian.
For Spleen Malaria, puncture the Foot-Taiyin meridian.
For Lung Malaria, puncture the Hand-Taiyin and Hand-Yangming meridians.
For Kidney Malaria, puncture the Foot-Shaoyin and Foot-Taiyang meridians.
For Stomach Malaria, puncture the Foot-Taiyin and Hand-Yangming meridians and bleed the transverse vessels.
The Shize acupoints (two points) govern five-organ malaria. Located in the elbow crease at the arterial pulse, the *Jia Yi Jing* states: "This is the He-Sea point where the Hand-Taiyin enters." Apply three moxa cones per side, with cones the size of half a jujube pit, during the malaria attack.
When treating malaria with moxibustion, one must first ask where the symptoms began initially and moxa that site first.
If symptoms start from the head and neck, pre-moxa the tip of the Dazhui acupoint before the attack, gradually increasing dosage, stopping after the attack time passes. If symptoms start from the waist and spine, moxa the Shenshu acupoint for one hundred Zhuang. If symptoms start from the arms, moxa the Sanjian acupoint.
Also moxa the Shangxing and Dazhui acupoints; by the time of the attack, accumulate one hundred Zhuang, using cones the size of millet grains. If symptoms feel slightly different, moxa the Baihui acupoint for seven Zhuang. If it recurs, add another seven Zhuang. For extremely difficult cases, do not exceed three treatments. Have the patient stand with feet flat, wrap a thread around the foot once, break it in the middle, and from Dazhui towards Baihui, moxa the end of the thread segment for twenty-one (3x7) Zhuang, using cones the size of a small bean.
Also moxa the Fengchi acupoints (two points), three Zhuang each.
Lie supine, measure the distance between the nipples, bend the thread, and from the nipple downwards, use this length as the guide for moxa application, with Zhuang count according to age; males on the left, females on the right.
Malaria is primarily treated by Shangxing. This acupoint is located one cun directly above the anterior hairline in the center of the nose, in a depression capable of holding a bean; moxa seven Zhuang. First select [text unclear/missing], then select Tianyou and Fengchi; this applies to malaria occurring in the late afternoon.
Linqi treats malaria. This acupoint is located five fen above the outer canthus into the hairline, in a depression; moxa seven Zhuang.
Excess malaria presents with lower back and limb pain; deficiency malaria presents with nasal congestion or epistaxis; Feiyang treats these. This acupoint is seven cun above the lateral malleolus; moxa seven Zhuang.
Malaria with excessive sweating, lower back pain preventing bending or stretching, eyes feeling like they are protruding, and neck feeling like being pulled, is treated by Kunlun. This acupoint is in the depression behind the lateral malleolus above the calcaneus; moxa three Zhuang.
Open the mouth wide, measure the distance between the upper and lower lips, use a string to measure from the heart center to the chin, and moxa the head area corresponding to this measurement for one hundred Zhuang. Also moxa fifty Zhuang to the center of the spine. After the attack time has passed, moxa twenty Zhuang.