灸脾俞百壮。又灸三焦俞百壮。又灸肾俞百壮。又灸章门百壮,在季肋端。
治腰痛小便不利,苦胞转方∶
灸玉泉七壮,穴在关元下一寸,大人从心下度,取八寸是玉泉穴,小儿斟酌取之。又灸
第十五椎五十壮。又灸脐下一寸。又灸脐下四寸,各随年壮。
(论一首)
论曰∶夫三焦者,一名三关也。上焦名三管反射,中焦名霍乱,下焦名走哺。合而为一
,有名无形,主五脏六腑往还神道,周身贯体,可闻而不可见,和利精气,决通水道,息气
肠胃之间,不可不知也。三焦名中清之腑,别号玉海。水道出属膀胱合者,虽合而不同。上
中下三焦同号为孤腑,而营出中焦,卫出上焦。营者络脉之气道也,卫者经脉之气道也。其
三焦形相浓薄大小,并同膀胱之形云。
三焦病者,腹胀气满,少腹尤坚不得小便,窘急溢则为水,留则为胀,候在足太阳之外
大络,在太阳少阳之间亦见于脉,取委阳。
小腹肿痛不得小便,邪在三焦,约取太阳大络视其结脉,与厥阴小络结而血者,肿上及
胃脘,取三里。
三焦胀者,气满于皮肤,壳壳而不坚疼(一云壳壳而坚)。久咳不已传之三焦,咳而
腹
手少阳之脉,起于小指次指之端,上出两指之间,循手表腕出臂外两骨之间,上贯肘循
外上肩,而交出足少阳之后,入缺盆交膻中,散络心包下膈,遍属三焦。其支者,从膻中
上出缺盆,上项,挟耳后,直上出耳上角,以屈下额至 。其支者,从耳后入耳中,出走耳
前,过客主人前,交颊至目锐 。是动则病,耳聋 ,咽肿喉痹。是主气所生病者,
汗出目锐 痛。颊肿,耳后肩 肘臂外皆痛,小指次指不用。为此诸病盛则泻之,虚则补之,
热则疾之,寒则留之,陷下则灸之,不盛不虚以经取之。盛者人迎大再倍于寸口,虚者人迎
反小于寸口也。
Moxibustion is applied to the Pishu (BL20) acupoint for 100 moxa cones. Moxibustion is also applied to the Sanjiaoshu (BL22) acupoint for 100 moxa cones. Moxibustion is further applied to the Shenshu (BL23) acupoint for 100 moxa cones. Moxibustion is additionally applied to the Zhangmen (LR13) acupoint for 100 moxa cones; this point is located at the end of the floating rib.
Formula for treating lower back pain with difficult urination and severe discomfort due to bladder torsion (Baopzhuan):
Apply moxibustion to the Yuquan (EX-CA3) acupoint for 7 moxa cones. The acupoint is located one cun below the Guanyuan (CV4) acupoint. For adults, measure eight cun downwards from the epigastrium to locate the Yuquan acupoint; for children, adjust the dosage accordingly. Apply moxibustion to the side of the fifteenth thoracic vertebra for 50 moxa cones. Apply moxibustion one cun below the umbilicus. Apply moxibustion four cun below the umbilicus; the number of moxa cones should be adjusted according to the patient's age.
(One Treatise)
The treatise states: The Sanjiao (Triple Burner), also known as the Three Passes, comprises three parts. The Upper Jiao is named "San Guan Fan She" (Three Tubes Reflection), the Middle Jiao is named Huoluan (Cholera-like disorder), and the Lower Jiao is named Zoubu (Wasting away). Together they form one entity, having a name but no fixed form. They govern the circulation of Shen (Spirit/Essence) between the Five Zang and Six Fu organs, penetrating the entire body. Their function can be perceived but not seen. They harmonize Jing-Qi (Essence and Qi), unblock water passages, and regulate Qi within the intestines and stomach. These principles must be understood. The Sanjiao is referred to as the "Clear Fu Organ" and is alternatively called the Jade Sea. Although the water passages connect to the Pangguang (Urinary Bladder), they are distinct in function. The Upper, Middle, and Lower Jiao are collectively termed the "Solitary Fu Organ." Ying Qi (Nutritive Qi) originates from the Middle Jiao, while Wei Qi (Defensive Qi) originates from the Upper Jiao. Ying Qi is the Qi pathway within the Luo (Connecting) vessels, and Wei Qi is the Qi pathway within the Jing (Main) vessels. The shape, thickness, and size of the Sanjiao are said to resemble those of the Pangguang (Urinary Bladder).
When disease occurs in the Sanjiao, abdominal distension and Qi stagnation manifest, with the lower abdomen becoming particularly hard, leading to urinary retention. If fluid overflows, it becomes edema; if it remains stagnant, it causes distension. The diagnostic sign appears in the large Luo vessel outside the Foot-Taiyang channel, and can also be observed in the pulse between the Taiyang and Shaoyang channels. Treatment involves selecting the Weiyang (BL39) acupoint.
If there is swelling and pain in the lower abdomen with inability to urinate, the pathogenic factor is in the Sanjiao. One should select the large Luo vessel of the Taiyang channel and observe its knotted pulses. If there is knotting in the small Luo vessels of the Jueyin channel accompanied by blood stasis, and the swelling extends upward to the epigastrium, select the Zusanli (ST36) acupoint.
In cases of Sanjiao distension, Qi fills the subcutaneous tissue, feeling taut and non-firmly painful (another version describes it as taut and firm). Chronic cough that transmits to the Sanjiao results in coughing accompanied by abdominal...
The Hand-Shaoyang Sanjiao Meridian originates at the tip of the fourth finger (ring finger), ascends between the fingers, emerges on the dorsal aspect of the wrist, runs between the two bones of the forearm, ascends through the elbow, continues along the lateral aspect of the upper arm to the shoulder, crosses posterior to the Foot-Shaoyang Gallbladder Meridian, enters the supraclavicular fossa (Quepen), connects with the Danzhong (Chest Center), disperses to and links with the Xinbao (Pericardium), passes downward through the diaphragm, and extensively belongs to the Sanjiao. A branch arises from the Danzhong, ascends to emerge from the supraclavicular fossa, goes up the neck, flanks the ear, ascends straight out above the ear to the apex, then curves down to the cheekbone reaching the outer canthus. Another branch enters the ear from behind the ear, emerges anterior to the ear, passes anterior to the Shangguan (Guest Master) acupoint, crosses the cheek, and reaches the outer canthus. When this meridian is disturbed, pathology manifests as deafness, sore throat, and pharyngeal obstruction. This meridian governs diseases arising from Qi, characterized by sweating, pain in the outer canthus, cheek swelling, and pain in the area behind the ear, shoulder, elbow, and lateral arm, with dysfunction of the fourth finger. For these conditions, excess patterns are treated with draining methods, deficiency patterns with tonifying methods, heat patterns with rapid needle manipulation, cold patterns with retained needle manipulation, sinking Yang with moxibustion, and neither-excess-nor-deficiency patterns are treated by selecting points from the same meridian. In excess patterns, the Renying (ST9) pulse is more than twice as strong as the Cunkou (Radial) pulse; in deficiency patterns, the Renying pulse is weaker than the Cunkou pulse.