素问岐伯曰,夫邪之客于形,必先入于皮毛,留而不去,入于孙络,又留而不去。入于
经脉,内连五脏,散于肠胃,阴阳俱感,五脏乃伤,此邪之从皮毛而入于五脏之次也。如此
则疗其经,今邪客于皮毛,入于孙络,留而不去,闭塞不通,不得入于经,溢于大络,而生
奇病
夫五脏六腑精灵之气,顺脉而出,附经而入,终而复始,如环无端,若越其数者,则伤
脉而损经,变为异病也。
岐伯曰,凡欲疗风,则用火灸,风性浮轻,色或赤或白,痒多者,风热也,寒性沉重,
色或青或黑,痛多者,寒也。湿性萎润,色黄鲜,瘀痹多者,湿也,此三种,本同而末异也,
风
宜从多以至少也。至多者,从三壮五壮七壮,又从三十五十七十壮,名曰从少至多也。灸寒
湿者,宜从多以至少也,从七十五十三十,又从七百五百三百,名曰从多以至少也。灸风
者,不得一顿满一百,若不灸者,亦可以蒸药熨之,灸寒湿者,不得一顿满千,若不灸亦可
蒸药熏之,风性浮轻则易散,故从少而至多也。寒性沉重则难消,故从多而至少也。
论疾手足腹背灸之多少及补泻八木火法
杨操音义云,凡手足内脉,皆是五脏之气所应也。手足外脉,皆是六腑之气所应也,四
肢者,身之支干也,其气系于五脏六腑出入,其灸疾不得过顿多也。宜依经数也,若顿多血
脉绝于火下,而火气不得行,随脉远去也。故云三壮五壮七壮者,经曰,乃更添灸,以瘥为
度,其手足外皆是阳脉也,不得过于二壮。腹中者,水谷之所盛,风寒之所结,灸之务欲多
也,脊者身之梁。太阳之所合,阴阳动作,冷气成疾,背又重浓,灸之宜多。经脉出入往来
之处。故灸能引火气,凡灸皆有补写,补者无吹其火,须炷自灭,写者疾吹其火,传其艾,
须其火至灭也,其艾炷根下,广三分,长三分,若减此不覆孔穴,不中经脉,火气不行,亦
不能除病也。
凡灸忌用松柏桑枣竹柿枫榆八木,以用灸人,害人肌肉筋脉骨髓,可用阳燧火珠,映日
取火,若阴无火,钻槐木以菊茎延火,亦可KT 石以艾蒸之,取火用灸,大良,又无此,
宜以香油布缠及艾茎,别引取火,则去疾不伤人,筋骨皆欲得触伤,其痛根疮若不坏。则病
不除
In the *Suwen* (Basic Questions), Qibo stated: When pathogenic factors invade the human body, they must first enter the skin and hair (mao pi). If they remain without departing, they enter the sun collateral vessels (sun luo); if they still remain without departing, they enter the main meridians (jing mai), internally connecting to the five zang organs, and externally dispersing into the stomach and intestines. At this point, both yin and yang qi are affected by pathogens, leading to injury of the five zang organs. This is the sequence by which pathogens enter from the skin and hair into the five zang organs. Since the pathogens have entered the meridians, treatment should target the meridians. However, if pathogens only lodge in the skin, hair, and sun collaterals, remaining without departing, causing blockage and obstruction, preventing them from entering the main meridians, but overflowing into the large collaterals (da luo), thereby generating strange diseases.
The essence and qi of the five zang and six fu organs flow out along the pulse channels and enter via the meridians, cycling endlessly like a ring without beginning or end. If this movement exceeds its normal limits, it will damage the pulses and meridians, transforming into abnormal diseases.
Qibo said: Whenever one intends to treat wind disorders, fire moxibustion should be used. The nature of wind is light and floating; its color may be red or white, and cases with much itching indicate wind-heat. The nature of cold is heavy and sinking; its color may be green or black, and cases with much pain indicate cold. The nature of dampness is withered and moist; its color is bright yellow, and cases with much stasis and bi-syndrome indicate dampness. These three pathogens share the same origin but differ in manifestation.
For wind pathogens, it is appropriate to use a method increasing from few to many moxa cones. "Many" refers to starting with 3, 5, or 7 cones, then increasing to 35, 50, or 70 cones; this is called "increasing from few to many." For cold-damp pathogens, it is appropriate to use a method decreasing from many to few, starting with high numbers (such as 75, 130, etc., noting textual ambiguity) and reducing to hundreds (e.g., 700, 500, 300); this is called "decreasing from many to few."
When moxibusting for wind, one must not exceed 100 cones in a single session. If moxibustion is not performed, herbal steam fomentation can be used instead. When moxibusting for cold-damp, one must not exceed 1,000 cones in a single session. If moxibustion is not performed, herbal steam fumigation can be used instead. Because wind is light and floating, it is easy to disperse, so the number of cones should increase from few to many. Because cold is heavy and sinking, it is difficult to eliminate, so the number of cones should decrease from many to few.
Discussion on the quantity of moxibustion for diseases of the hands, feet, abdomen, and back, and the eight methods of obtaining fire from wood for tonification and sedation.
Yang Cao, in his phonetic glosses, stated: The internal meridians of the hands and feet correspond to the qi of the five zang organs. The external meridians of the hands and feet correspond to the qi of the six fu organs. The four limbs are the branches and trunk of the body; their qi connects to the circulation of the five zang and six fu organs. Moxibustion for disease should not be excessive in a single session. One should follow the numerical standards of the meridians. If too many cones are used at once, the blood vessels below the fire may become depleted, and the fire qi cannot travel far along the meridians. Therefore, it is said that 3, 5, or 7 cones are used. The classics state: "Continue adding moxibustion until the disease is cured." The external parts of the hands and feet are all yang meridians; moxibustion should not exceed two cones. The abdomen is where water and grain accumulate and where wind-cold condenses; moxibustion here should be abundant. The spine is the beam of the body, harmonizing with the Taiyang meridian. When yin and yang movements are abnormal and cold qi causes disease, the back is thick and dense; moxibustion here should be plentiful. This is where meridians enter, exit, come, and go. Thus, moxibustion can guide fire qi. All moxibustion involves tonification and sedation: Tonification does not involve blowing the fire; the moxa cone must extinguish itself. Sedation involves rapidly blowing the fire and transferring the moxa heat until the cone is completely burnt out. The base of the moxa cone should be 3 fen wide and 3 fen long. If smaller than this, it will not cover the acupoint, fail to reach the meridian, prevent the fire qi from circulating, and thus fail to remove the disease.
Moxibustion should avoid using fire from pine, cypress, mulberry, jujube, bamboo, persimmon, maple, and elm woods. Using these fires for moxibustion harms the patient's muscles, sinews, vessels, and bone marrow. Instead, one can use a Yang Sui (bronze mirror for focusing sunlight) or a fire pearl to obtain fire from the sun. If there is no sunlight, one can drill huai wood to start a fire and extend it with chrysanthemum stems; or use Nao Shi (ammonium chloride mineral) steamed with mugwort to obtain fire for moxibustion, which is highly effective. If these are unavailable, wrap the moxa stem with oil-soaked cloth and ignite it separately to draw fire. This removes disease without harming the person. Sinews and bones are prone to injury; if the root of the pain and the sore do not ulcerate, the disease cannot be eradicated.