凡点灸时,若值阴雾大起,风雪忽降,猛雨炎暑,雷电虹 ,灸临时且停,候待晴明即
再下火灸。灸时不得伤饱大饥,饮酒大醉,食生硬物,兼忌思虑愁忧,恚怒呼骂,吁嗟叹息,
一切不祥,忌之大吉。
凡灸头四肢,皆不令多灸,缘人身有三百六十五络,皆归于头。头者,诸阳之会也。若
灸多令人头旋目眩,远视不明。缘头与四肢肌肉薄,若并灸则气血滞绝于炷下,宜歇火气少
时,令气血遂通,再使火气流行。候炷数足,自然除病,宜详察之。
凡灸发际,如是患人有发际整齐,根据明堂所说易取其穴。如是患人先因疾患后脱落尽
发际,或性本额项无发,难凭取穴。今定患人两眉中心直上三寸为发际,以此为准。
凡着灸疗病,历春夏秋冬不较者,灸炷虽然数足,得疮发脓坏,所患即瘥。如不得疮发
脓坏,其疾不愈。《甲乙经》云∶灸疮不发者,用故履底灸令热,熨之三日即发,脓出自然愈
疾。今用赤皮葱三五茎,去其葱青,于 灰火中煨熟,拍破,热熨灸疮十余遍,其疮三日
自发,立坏脓出疾愈。
凡着灸治病,才住火便用赤皮葱、薄荷二味煎汤,温温淋洗灸疮周回约一二尺,以来驱
令逐风气于疮口内出,兼令经脉往来不滞于疮下,自然疮坏疾愈。若灸疮退火痂后,用桃
树东南梢枝、青嫩柳枝皮二味等分煎汤,温温淋洗灸疮,此二味偏能护灸疮中诸风。若疮内
黑烂溃者,加胡荽三味等分煎汤,温温淋洗,灸疮自然生好肉也。若灸疮疼痛不可忍,多时
不较者,加黄连四味等分煎汤淋洗,立有神势。
When applying moxibustion, if there is heavy fog, sudden snow or wind, torrential rain, intense heat, thunderstorms, or rainbows, temporarily suspend the procedure and wait for clear weather before resuming. During moxibustion, one must not be overly full or extremely hungry, must not drink to intoxication, must not consume raw or hard foods, and should avoid excessive thinking, sorrow, anger, cursing, sighing, and all other inauspicious behaviors; strictly observing these taboos brings great auspiciousness.
When treating the head and limbs with moxibustion, one should not apply excessive amounts of moxa, because the human body has 365 collaterals (Luo vessels), all of which converge at the head. The head is the meeting point of all Yang meridians. Excessive moxibustion on the head can cause dizziness, vertigo, and blurred vision. Since the muscles of the head and limbs are thin, simultaneous heavy moxibustion may cause stagnation or interruption of Qi and Blood under the moxa cone. Therefore, one should pause briefly to allow Qi and Blood to flow freely again before continuing. Once the prescribed number of cones has been applied, the disease will naturally resolve; this requires careful observation.
When treating the hairline, if the patient has a neat hairline, acupoints can be easily located according to the descriptions in *Mingtang* (Illustrated Manual of Acupuncture Points). If the patient has lost their hairline due to illness or was born without hair on the forehead and nape, locating points based on the hairline is difficult. It is now stipulated that the hairline is defined as three cun directly above the midpoint between the two eyebrows, using this as the standard.
When using direct moxibustion to treat diseases, regardless of the season, if the correct number of cones is applied and the moxa sore develops pus and ulcerates, the disease will heal. If the moxa sore does not develop or discharge pus, the disease will not resolve. The *Jia Yi Jing* states: For moxa sores that do not develop, heat an old shoe sole and apply it as a hot compress for three days to induce suppuration; once pus flows, the disease heals naturally. Currently, use three to five stalks of red-skin scallions, remove the green tops, roast them in ash until warm, crush them, and apply the warm scallion to the moxa sore for about ten repetitions. The sore will naturally develop within three days, discharging pus and curing the disease quickly.
After stopping the fire during direct moxibustion treatment, immediately decoct red-skin scallions and Bohe (Menthae Haplocalycis Herba) in water. Warmly wash the area surrounding the moxa sore (approximately one to two chi) to drive out pathogenic Wind from the wound and ensure unobstructed circulation of meridians below the sore, leading to natural healing. After the scab falls off, decoct equal parts of branches from the southeast tip of a peach tree and the bark of young willow twigs. Warmly wash the sore with this decoction; these two herbs specifically protect the sore from Wind pathogens. If the sore is black, rotten, and ulcerated, add Hu Su (Coriandri Fructus) to make three ingredients; decoct and wash warmly to promote healthy granulation tissue growth. If the pain from the moxa sore is unbearable and persists, add Huang Lian (Coptidis Rhizoma) to make four ingredients; decoct and wash with this mixture for immediate and significant therapeutic effects.