治虚热,小便利而多服石散,人虚热,当风取冷患香港脚,喜发动兼渴消肾,
阿胶(二挺) 麻子(一升) 附子(一枚) 干姜(二两) 远志(四两)
上五味为末,以水七升,煮取二升半,去滓,纳胶令烊,分三服。说云∶小便利多白,
日夜数十行至一石,频服五日良。
论曰∶凡消渴病经百日以上,不得灸刺,灸刺则于疮上漏脓水不歇,遂至痈疽羸瘦而死
。亦忌有所误伤,但作针许大疮,所饮之水,皆于疮中变成脓水而出。若水出不止必死,慎
之慎之。初得患者,可如方灸刺之。
治消渴咽喉干,灸胃脘下输三穴各百壮,穴在背第八椎下横三寸。(一云灸胸堂五十壮。
又灸足太阳五十壮。)
治消渴,口干不可忍者,灸小肠俞百壮,横三间寸灸之。
消渴口干烦闷,灸足厥阴百壮。
又灸阳池五十壮。
消渴咳逆,灸手厥阴,随年壮。
消渴小便数,灸两手小指头及两足小趾头,并灸项椎。
又灸当脊梁中央解间一处,与腰目上两处,凡三处。
又灸背上脾俞下四寸,当挟脊梁两处。凡诸灸,皆当随年壮。又灸肾俞二处。
又灸腰目,在肾俞下三寸,亦挟脊骨两旁各一寸半。左右以指按取关元一处。又两旁各
二寸二处。又阴市二处,在膝上,当伏兔上行三寸,临膝取之,或三二列灸,相去一寸,名
曰肾系者,(黄帝经云∶伏兔下一寸)。曲泉、阴谷、阴陵泉复溜,此诸穴断小便最佳,不损
阳气。又云∶止遗溺也。太溪、中封、然谷、太白、大都、趺阳、行间、大敦、隐白、涌泉,
凡此诸穴各一百壮,腹背两脚凡四十七处。其肾俞、腰目、关元、水道,此可灸三十壮,五
日一报,各得一百五十壮,佳。涌泉一处,可灸十壮,大敦、隐白、行间三处,可灸三壮,
余悉七壮,皆五日一报,满三灸可止也,若发,灸诸阴而不愈,宜灸诸阳,诸阳在脚表。并
灸肺俞募,按流注孔穴,壮数如灸阴家法。
小便数而少且难,用力辄失精者,令其人舒两手合掌,并两大命令齐急逼之,令两爪甲
相近,以一炷灸两爪甲本肉际。肉际方后自然有角令炷当角中,小侵入爪上,此两指共享一
炷也。亦灸脚大趾,与手同法,各三炷而已。经三日又灸之。
Treat deficiency-heat, where urination is clear and frequent, caused by excessive consumption of mineral powders (Shisan), leading to human deficiency-heat. It addresses Hongjiaojiao (Gouty arthritis/foot swelling) contracted from exposure to wind and cold or seeking coolness, which tends to flare up accompanied by thirst and Xiao Shen (Kidney involvement in Xiao Ke disease).
Ejiao (Donkey-hide gelatin, two sticks)
Hemp seed (Mazi, one sheng)
Prepared Aconite Root (Fuzi, one piece)
Dried Ginger (Ganjiang, two liang)
Polygala Root (Yuanzhi, four liang)
Grind the above five herbs into powder. Add seven sheng of water, boil until reduced to two and a half sheng, strain out the dregs, add the Ejiao to melt it, and divide into three doses. It is said: When urination is clear and frequent, occurring dozens of times a day and night, amounting to one dan, frequent administration for five days yields good results.
Discussion states: For patients with Xiao Ke disease (Diabetes mellitus-like condition) lasting more than one hundred days, moxibustion and acupuncture are contraindicated. If applied, pus and fluid will leak continuously from the sores, eventually leading to carbuncles and ulcers, emaciation, and death. One must also avoid accidental injury; even a wound as small as a needle prick will cause all ingested fluids to turn into pus and discharge from the wound. If the discharge does not stop, death is inevitable. Exercise utmost caution. For newly onset cases, moxibustion and acupuncture may be performed according to the prescription.
To treat Xiao Ke causing dry throat, moxa-burn the three points below Weiwanshu, each with one hundred moxa cones (Zhuang). The points are located three cun lateral to the spinous process of the eighth thoracic vertebra. (Another method suggests moxa-burning Xiongzhong fifty Zhuang. Additionally, moxa-burn Foot-Taiyang bladder meridian points fifty Zhuang.)
To treat Xiao Ke with unbearable dry mouth, moxa-burn Xiaochangshu with one hundred Zhuang, spaced three cun laterally.
For Xiao Ke with dry mouth and irritability, moxa-burn Foot-Jueyin liver meridian points with one hundred Zhuang.
Additionally, moxa-burn Yangchi with fifty Zhuang.
For Xiao Ke with cough and rebellious qi, moxa-burn Hand-Jueyin pericardium meridian points, with the number of Zhuang corresponding to the patient's age.
For Xiao Ke with frequent urination, moxa-burn the tips of both little fingers and both little toes, and moxa-burn the cervical spine area.
Additionally, moxa-burn one point at the center of the spinal column gap, and two points above Yaomu, totaling three sites.
Additionally, moxa-burn two points on either side of the spine, four cun below Pishu. All aforementioned moxibustions should use a number of Zhuang corresponding to the patient's age. Additionally, moxa-burn Shenshu at two locations.
Additionally, moxa-burn Yaomu, located three cun below Shenshu, also on both sides of the spine, one and a half cun lateral. Press with fingers to locate Guanyuan at one site. Additionally, two sites are located two cun lateral to these. Also, Yinshi at two sites, located three cun above the knee from Futu, near the knee. These can be arranged in two or three rows, one cun apart, named "Kidney System" (Huangdi Jing states: one cun below Futu). Ququan, Yinggu, Yinlingquan, and Fuliuxiu are excellent for stopping frequent urination without damaging Yang Qi. It is also said they treat enuresis. Taixi, Zhongfeng, RanGu, Taibai, Dada, Zuyang, Xingjian, Dadun, Yinbai, and Yongquan: each of these points is moxa-burned with one hundred Zhuang, totaling forty-seven sites on the abdomen, back, and feet. Among them, Shenshu, Yaomu, Guanyuan, and Shuidao can each be moxa-burned with thirty Zhuang, repeated every five days, reaching a total of one hundred fifty Zhuang, which is optimal. Yongquan (one site) can be moxa-burned with ten Zhuang; Dadun, Yinbai, and Xingjian (three sites) can each be moxa-burned with three Zhuang; all others with seven Zhuang. Repeat every five days. Stop after three courses of treatment. If symptoms recur and moxa-burning Yin meridian points fails, moxa-burn Yang meridian points, which are located on the dorsal surface of the foot. Also moxa-bear Feishu and its Mu point, following the flow-through acupoint method, with Zhuang counts similar to the Yin meridian moxibustion protocol.
For frequent, scanty, difficult urination accompanied by seminal emission upon exertion: Have the patient extend both hands and press palms together tightly, forcing the thumbs together until their nail beds are close. Moxa-burn the fleshy junction at the base of the thumbnails with one cone. The natural angle formed by the flesh should align with the cone, slightly penetrating the nail bed. Both thumbs share one cone. Similarly, moxa-burn the big toe of the foot using the same method, three cones each. Repeat this after three days.