论曰∶凡霍乱,灸之或虽未能立瘥,终无死忧,不可逆灸。或但先腹痛或先下吐后,当
随病状灸之。若先心痛及先吐者,灸巨阙七壮,在心下一寸。不效,更灸如前数。若先腹痛
者,灸太仓二七壮,穴在心厌下四寸,脐上一夫,不止,更灸如前数。若吐下不禁,两手阴
阳脉俱疾数者,灸心蔽骨下三寸,又脐下三寸,各六七十壮。若干呕者,灸间使各七壮,在
手腕后三寸,两
止,更灸如前数。若手足逆冷,灸三阴交各七壮,在足内踝直上三寸,廉骨际,末瘥,更灸
如前数。若先下利者,灸谷门二七壮,在脐旁二寸,男左女右,一名大肠募。不瘥,更灸如
前数。若下不止者,灸大都七壮,足大趾本节后内侧白肉际。若泄利所伤,烦欲死者,灸慈
宫二十七壮,在横骨两边各二寸半,横骨在脐下,横门骨是,转筋在两臂及胸中者,灸手掌
白肉际七壮,又灸膻中、中府、巨阙、胃脘、尺泽,并治筋拘头及足皆愈。走哺转筋,灸踵
踝白肉际各三七壮。又灸小腹下横骨中央,随年壮。
转筋四厥,灸两乳根黑白际各一壮。转筋,灸涌泉六七壮,在足心下当KT 趾大筋上。
又大
手足,灸脐上一寸十四壮,自不动,勿复持之。又灸股里大筋,去阴一寸。霍乱转筋,令病
人合面正卧,伸两手着身,以绳横量两肘尖,头根据绳下,挟脊骨两边相去各一寸半,灸一百
壮,无不瘥此华佗法。霍乱已死有暖气者,灸承筋七壮。起死人,取绳量围足从趾至跟,
捻取等折一半以度,令一头至跟踏地处,引 上至度,头即是穴。又以盐纳脐中,灸二七壮。
Discussion states: In cases of Huoluan (Cholera-like syndrome with sudden vomiting and diarrhea), moxibustion may not bring about immediate cure, but it ultimately prevents death; one must avoid reverse moxibustion (moxibustion applied contrary to the disease's progression). If symptoms present as abdominal pain first, or vomiting followed by diarrhea, moxibustion should be applied according to the specific manifestations. If heart pain occurs first along with vomiting, moxibustiate Jueque (CV14, Pericardium Master Point) with seven moxa cones; this acupoint is located one cun below the heart region. If ineffective, repeat moxibustion with the same number of cones. If abdominal pain occurs first, moxibustiate Taicang (RN10, Water Gate) with fourteen moxa cones; this acupoint is located four cun below the xiphoid process, one fu (span) above the umbilicus. If symptoms persist, repeat moxibustion with the same number of cones. If vomiting and diarrhea are uncontrollable, and both yin and yang pulses in both hands are rapid and chaotic, moxibustiate three cun below the xiphoid cartilage and three cun below the umbilicus, each with sixty to seventy moxa cones. For dry heaving, moxibustiate Jianshi (PC5, Intertendinous Point) on both sides with seven moxa cones; this acupoint is located three cun proximal to the wrist crease, between the two tendons. If symptoms persist, repeat moxibustion with the same number of cones. For cold extremities, moxibustiate Sanyinjiao (SP6, Three Yin Intersection) on both sides with seven moxa cones; this acupoint is located three cun directly above the medial malleolus, at the posterior border of the tibia. If not cured, repeat moxibustion with the same number of cones. If diarrhea occurs first, moxibustiate Gumen (ST25, Grain Gate) with fourteen moxa cones; this acupoint is located two cun lateral to the umbilicus, left side for males and right side for females, also known as the Front-Mu point of the Large Intestine. If not cured, repeat moxibustion with the same number of cones. If diarrhea is unceasing, moxibustiate Dadu (SP2, Great Metropolis) with seven moxa cones; this acupoint is located on the medial aspect of the white skin margin, distal to the metatarsophalangeal joint of the great toe. If debility from vomiting and diarrhea leads to severe irritability and a sensation of impending death, moxibustiate Cigong (CV13, Heart Palace) with twenty-seven moxa cones; this acupoint is located two and a half cun lateral to the Henggu (CV12, Horizontal Bone) on both sides. Henggu is located below the umbilicus, corresponding to the superior border of the pubic symphysis. For muscle spasms (cramps) occurring in the arms and chest, moxibustiate the white skin margin of the palm with seven moxa cones, and additionally moxibustiate Danzhong (CV17, Chest Center), Zhongfu (LU1, Middle Palace), Jueque (CV14), Weiwannan (Ren-12 equivalent area or ST-related point depending on context, here likely referring to epigastric region), and ChiZe (LU5, Cubit Marsh); these treat tendon constriction, and symptoms in the head and feet will resolve. For Qi rebellion with cramps, moxibustiate the white skin margin of the calcaneal ankle with twenty-one moxa cones on each side. Additionally, moxibustiate the center of the lower abdomen at the Henggu, with the number of cones determined by the patient's age.
For cramps accompanied by cold limbs, moxibustiate the junction of black and white skin at both Rugen (ST18, Root of Breast) points with one moxa cone each. For cramps, moxibustiate Yongquan (KI1, Gushing Spring) with six or seven moxa cones; this acupoint is located in the depression of the sole, anterior to the midpoint between the second and third toes, on the plantar aponeurosis. Also moxibustiate the hands and feet; moxibustiate one cun above the umbilicus with fourteen moxa cones, until movement ceases, then do not hold or restrain the limbs. Additionally, moxibustiate the large tendon in the inner thigh, one cun away from the genitalia. For Huoluan-induced cramps, have the patient lie prone in a straight position, extend both hands along the body. Measure the distance between the tips of the two elbows horizontally with a rope. Align the head with the end of the rope. Moxibustiate one and a half cun lateral to the spinous processes of the spine, with one hundred moxa cones; this method of Hua Tuo ensures recovery. For those who appear dead from Huoluan but still have faint breath, moxibustiate Chengjin (BL57, Supporting Muscle) with seven moxa cones. To revive the seemingly dead, take a rope and measure the circumference of the foot from the toes to the heel. Fold the rope in half. Place one end at the heel where it touches the ground, and extend the other end upwards to the length of the folded rope; the tip indicates the acupoint. Additionally, fill the umbilicus with salt and moxibustiate with fourteen cones.