（计五十条）
一中风半身不遂，语言謇涩，乃肾气虚损也，灸关元五百壮。
一伤寒少阴证，六脉缓大，昏睡自语，身重如山，或生黑靥，噫气、吐痰、腹胀、足指冷过节，急灸关元
三百壮可保。
一伤寒太阴证，身凉足冷过节，六脉弦紧，发黄紫斑，多吐涎沫，发燥热，噫气，急灸关元、命关各三百壮。
伤寒惟此二证害人甚速，仲景只以舌干口燥为少阴，腹满自利为太阴，余皆归入阳证条中，故致害人。然
此二证若不早灸关元以救肾气，灸命关以固脾气，则难保性命。盖脾肾为人一身之根蒂，不可不早图也。（舌
干口燥乃少阴本热之证，仲景以大承气急下，但此理非身登仲景之堂者不能知，非神于仲景之法者不能用，盖
火热亢盛不用承制，则燎原之害炽而生化之机息，可不畏哉！设本热假而标阴伏，误用承气立见危亡矣。先生
灸法真保命全生之要，业医之士切须审察，不可卤莽而行之也。仲景盖以气化而用承气，若涉形藏，别有治法，
不可混辟。）
一脑疽发背，诸般疔疮恶毒须灸关元三百壮以保肾气。
一急喉痹、颐粗、颔肿、水谷不下，此乃胃气虚风寒客肺也，灸天突穴五十壮。（穴在结喉下四寸。）
一虚劳咳嗽潮热，咯血吐血六脉弦紧，此乃肾气损而欲脱也，急灸关元三百壮，内服保元丹可保性命。若
服知柏归地者，立死。盖苦寒重损其阳也。（虚劳而致六脉弦紧，即是肾气损脱。乃今之医治虚劳者，脉至微
细急疾，尚用寒凉，真视人如草芥也，此种人不知作何结果。）
一水肿膨胀、小便不通，气喘不卧，此乃脾气大损也，急灸命关二百壮，以救脾气，再灸关元三百壮，以
扶肾水，自运消矣。
一脾泄注下，乃脾肾气损，二三日能损人性命，亦灸命关、关元各二百壮。
一休息痢下五色脓者，乃脾气损也，半月间则损人性命，亦灸命关、关元各三百壮。
一霍乱吐泻，乃冷物伤胃，灸中脘五十壮，若四肢厥冷，六脉微细者，其阳欲脱也，急灸关元三百壮。
一疟疾乃冷物积滞而成，不过十口、半月自愈。若延绵不绝乃成脾疟，气虚也，久则元气脱尽而死，灸中
脘及左命关各百壮。
一黄胆眼目及遍身皆黄，小便赤色，乃冷物伤脾所致，灸左命关一百壮，忌服凉药。若兼黑疸乃房劳伤肾，
再灸命关三百壮。
一番胃，食已即吐，乃饮食失节，脾气损也，灸命关三百壮。（命关当作命门）
一尸厥不省人事，又名气厥，灸中脘五十壮。
一风狂妄语，乃心气不足，为风邪客于包络也，先服睡圣散，灸巨阙穴七十壮，灸疮发过，再灸三里五十壮。
一胁痛不止乃饮食伤脾，灸左命关一百壮。
一两胁连心痛乃恚怒伤肝脾肾三经，灸左命关二百壮，关元三百壮。
一肺寒胸膈胀，时吐酸，逆气上攻，食已作饱，困倦无力，口中如含冰雪，此名冷劳，又名膏肓病。乃冷
物伤肺，反服凉药，损其肺气，灸中府二穴各二百壮。
一咳嗽病，因形寒饮冷，冰消肺气，灸天突穴五十壮。
一久嗽不止，灸肺俞二穴各五十壮即止。若伤寒后或中年久嗽不止，恐成虚劳，当灸关元三百壮。
一疠风因卧风湿地处，受其毒瓦斯，中于五脏，令人面目庞起如黑云，或遍身如锥刺，或两手顽麻，灸五脏
俞穴。先灸肺俞，次心俞、脾俞，再次肝俞、肾俞，各五十壮，周而复始，病愈为度。
一暑月发燥热，乃冷物伤脾胃肾气所致，灸命关二百壮。或心膈胀闷作疼，灸左命关五十壮。若作中暑服
凉药即死矣。
一中风病方书灸百会、肩井、曲池、三里等穴多不效，此非黄帝正法。灸关元五百壮，百发百中。
一中风失音乃肺肾气损，金水不生，灸关元五百壮。
一肠癖下血，久不止，此饮食冷物损大肠气也，灸神阙穴三百壮。
一虚劳人及老人与病后大便不通，难服利药，灸神阙一百壮自通。
一小便下血乃房事劳损肾气，灸关元二百壮。
一砂石淋诸药不效，乃肾家虚火所凝也，灸关元三百壮。
一上消病日饮水三五升，乃心肺壅热，又吃冷物，伤肺肾之气，灸关元一百壮，可以免死。或春灸气海，
秋灸关元三百壮，口生津液。
一中消病多食而四肢羸瘦，困倦无力，乃脾胃肾虚也，当灸关元五百壮。
一腰足不仁，行步少力，乃房劳损肾，以致骨痿，急灸关元五百壮。
一昏默不省人事，饮食欲进不进，或卧或不卧，或行或不行，莫知病之所在，乃思虑太过，耗伤心血故也，
灸巨阙五十壮。
一脾病致黑色痿黄，饮食少进，灸左命关五十壮。
或兼黧色，乃损肾也，再灸关元二百壮。
一贼风入耳，口眼歪斜，随左右灸地仓穴五十壮，或二七壮。
一耳叶焦枯，面色渐黑，乃肾劳也，灸关元五百壮。
一中年以上之人，口干舌燥，乃肾水不生津液也，灸关元三百壮，若误服凉药，必伤脾胃而死。
一中年以上之人，腰腿骨节作疼，乃肾气虚惫也，风邪所乘之证，灸关元三百壮。若服辛温除风之药，则
肾水愈涸，难救。
一腿 间发赤肿，乃肾气风邪着骨，恐生附骨疽，灸关元二百壮。
一老人滑肠困重，乃阳气虚脱，小便不禁，灸神阙三百壮。
一老人气喘，乃肾虚气不归海，灸关元二百壮。
一老人大便不禁，乃脾肾气衰，灸左命关、关元各二百壮。
一两眼昏黑，欲成内障，乃脾肾气虚所致，灸关元三百壮。
一瘰 因忧郁伤肝，或食鼠涎之毒而成，于疮头上灸三七壮，以麻油润百花膏涂之，灸疮发过愈。
一破伤风，牙关紧急，项背强直，灸关元穴百壮。
一寒湿腰痛灸腰俞穴五十壮。
一行路忽上膝及腿如锥，乃风湿所袭，于痛处灸三十壮。
一香港脚少力或顽麻疼痛，灸涌泉穴五十壮。
一顽癣浸淫或小儿秃疮，皆汗出入水，湿淫皮毛而致也，于生疮处隔三寸灸三壮，出黄水愈。
凡灸大人，艾炷须如莲子，底阔三分，灸二十壮后却减一分，务要紧实。若灸四肢及小儿，艾炷如苍耳子
大。灸头面，艾炷如麦粒子大。其灰以鹅毛扫去，不可口吹。
如癫狂人不可灸，及膏粱人怕痛者，先服睡圣散，然后灸之。一服止可灸五十壮，醒后再服、再灸。
(Counting fifty items)
1. Hemiplegia and dysarthria caused by wind-stroke are due to deficiency and damage of Kidney Qi. Moxibustion should be applied to Guanyuan (CV-4) for 500 moxa cones.
2. Shaoyin syndrome in cold damage, characterized by slow and large pulses in all six positions, lethargy with muttering, heaviness of the body as if weighted down, or appearance of black spots on the skin, belching, expectoration, abdominal distension, and coldness of the toes extending beyond the joints, requires urgent moxibustion on Guanyuan (CV-4) for 300 moxa cones to ensure survival.
3. Taiyin syndrome in cold damage, characterized by cool body temperature and cold feet extending beyond the joints, wiry and tight pulses in all six positions, yellowing of the skin with purple spots, excessive salivation, irritability and fever, and belching, requires urgent moxibustion on Guanyuan (CV-4) and Mingguan (extra point, often referring to Pishu area) for 300 moxa cones each.
Among cold damage syndromes, only these two are extremely rapid in causing harm. Zhang Zhongjing identified Shaoyin syndrome merely by dry tongue and mouth thirst, and Taiyin syndrome by abdominal fullness and spontaneous diarrhea, categorizing the rest under Yang syndromes, thus leading to fatal errors. However, if these two syndromes are not treated early with moxibustion on Guanyuan (CV-4) to rescue Kidney Qi, and on Mingguan to secure Spleen Qi, life cannot be preserved. The Spleen and Kidney are the roots of the entire body and must be attended to promptly. (Dry tongue and mouth thirst is essentially a heat syndrome of Shaoyin; Zhang Zhongjing used Da Cheng Qi Tang for urgent purgation. However, this principle can only be understood by those who have deeply studied Zhang's school and applied by those proficient in his methods. If fire and heat are rampant without control, they cause devastation like a prairie fire and stop the mechanism of generation; how can one not fear this? If there is false heat with latent true cold, using Cheng Qi Tang will immediately lead to danger and death. Mr. Dou's moxibustion method is truly essential for preserving life. Medical practitioners must examine carefully and not act rashly. Zhang Zhongjing used Cheng Qi Tang based on Qi transformation; if involving structural organs, there are other treatments, which must not be confused.)
4. Brain carbuncle, back carbuncle, and various malignant sores require moxibustion on Guanyuan (CV-4) for 300 moxa cones to protect Kidney Qi.
5. Acute throat obstruction, swelling of the chin and jaw, inability to swallow food and water, are caused by deficiency of Stomach Qi and invasion of Wind-Cold into the Lungs. Moxibustion should be applied to Tiantu (CV-22) for 50 moxa cones. (The acupoint is located four cun below the laryngeal prominence.)
6. Deficiency consumption with cough, tidal fever, hemoptysis, and hematemesis, with wiry and tight pulses in all six positions, indicates damage and impending collapse of Kidney Qi. Urgent moxibustion on Guanyuan (CV-4) for 300 moxa cones, combined with internal administration of Baoyuan Dan, can preserve life. Administration of Zhi Bai Di Huang Wan (Anemarrhena, Phellodendron, Rehmannia, and Achyranthes Pill) will cause immediate death because bitter-cold herbs severely damage Yang Qi. (Deficiency consumption resulting in wiry and tight pulses signifies loss of Kidney Qi. Nowadays, physicians treating deficiency consumption still use cold-cool herbs even when the pulse is minute, fine, and rapid, treating human lives as if they were grass. Such people do not know what their outcome will be.)
7. Edema and abdominal distension, urinary retention, asthma preventing lying flat, are caused by severe damage to Spleen Qi. Urgent moxibustion on Mingguan for 200 moxa cones to save Spleen Qi, followed by moxibustion on Guanyuan (CV-4) for 300 moxa cones to support Kidney Water, will allow natural metabolism and elimination.
8. Spleen diarrhea with watery stools, caused by damage to Spleen and Kidney Qi, can be fatal within two to three days. Moxibustion should be applied to Mingguan and Guanyuan for 200 moxa cones each.
9. Chronic dysentery with discharge of five-colored pus is caused by damage to Spleen Qi and can be fatal within half a month. Moxibustion should be applied to Mingguan and Guanyuan for 300 moxa cones each.
10. Cholera with vomiting and diarrhea is caused by cold substances injuring the Stomach. Moxibustion should be applied to Zhongwan (CV-12) for 50 moxa cones. If the limbs are cold and the six pulses are minute and fine, indicating impending collapse of Yang Qi, urgent moxibustion on Guanyuan (CV-4) for 300 moxa cones is required.
11. Malaria is formed by accumulation of cold substances and usually resolves spontaneously within ten days or half a month. If it persists, it becomes Spleen Malaria due to Qi deficiency, and prolonged cases lead to exhaustion of Yuan Qi and death. Moxibustion should be applied to Zhongwan (CV-12) and Left Mingguan for 100 moxa cones each.
12. Jaundice with yellowing of the eyes and whole body, and red urine, is caused by cold substances injuring the Spleen. Moxibustion should be applied to Left Mingguan for 100 moxa cones, and cooling medicines are contraindicated. If accompanied by Black Jaundice, it is due to sexual excess injuring the Kidneys, requiring additional moxibustion on Mingguan for 300 moxa cones.
13. Regurgitation (vomiting immediately after eating) is caused by irregular diet damaging Spleen Qi. Moxibustion should be applied to Mingguan for 300 moxa cones. (Mingguan here likely refers to Mingmen (GV-4).)
14. Corpse syncope (loss of consciousness), also known as Qi syncope, requires moxibustion on Zhongwan (CV-12) for 50 moxa cones.
15. Wind-induced madness and delirious speech are caused by insufficiency of Heart Qi and invasion of Wind pathogen into the Pericardium. First administer Shuisheng San, then moxibustion on Jueque (CV-14) for 70 moxa cones. After the moxa blister heals, apply moxibustion to Zusanli (ST-36) for 50 moxa cones.
16. Unremitting hypochondriac pain is caused by dietary injury to the Spleen. Moxibustion should be applied to Left Mingguan for 100 moxa cones.
17. Pain connecting both hypochondria and the heart is caused by anger injuring the Liver, Spleen, and Kidney meridians. Moxibustion should be applied to Left Mingguan for 200 moxa cones and Guanyuan (CV-4) for 300 moxa cones.
18. Lung Cold with chest and diaphragm distension, frequent regurgitation of acid, counterflow Qi attacking upward, feeling full after eating, fatigue and weakness, and sensation of holding ice and snow in the mouth, is named Cold Consumption or Gaohuang Disease. It is caused by cold substances injuring the Lungs and subsequent administration of cooling medicines damaging Lung Qi. Moxibustion should be applied to Zhongfu (LU-1) bilaterally for 200 moxa cones each.
19. Cough disease caused by exposure to cold and drinking cold liquids, which dissipates Lung Qi, requires moxibustion on Tiantu (CV-22) for 50 moxa cones.
20. Persistent chronic cough stops after moxibustion on Feishu (BL-13) bilaterally for 50 moxa cones each. If cough persists long-term after cold damage or in middle age, fearing progression to deficiency consumption, moxibustion should be applied to Guanyuan (CV-4) for 300 moxa cones.
21. Leprosy is caused by sleeping in damp and windy places, absorbing toxic vapors that enter the five Zang organs, causing facial swelling like dark clouds, prickling sensations over the whole body, or numbness in both hands. Moxibustion should be applied to the Five Shu points of the Zang organs. Start with Feishu (BL-13), then Xinshu (BL-15), Pishu (BL-20), Ganshu (BL-18), and Shenshu (BL-23), 50 moxa cones each, cycling repeatedly until cured.
22. Dry heat occurring in summer months is caused by cold substances injuring Spleen, Stomach, and Kidney Qi. Moxibustion should be applied to Mingguan for 200 moxa cones. If there is chest oppression and pain, moxibustion should be applied to Left Mingguan for 50 moxa cones. Administering cooling medicines for suspected heatstroke will cause death.
23. Formulas for wind-stroke often recommend moxibustion on Baihui (GV-20), Jianjing (GB-21), Quchi (LI-11), and Zusanli (ST-36) with little effect; this is not the orthodox method of Yellow Emperor. Moxibustion on Guanyuan (CV-4) for 500 moxa cones is infallible.
24. Aphonia in wind-stroke is caused by damage to Lung and Kidney Qi, failing to generate Metal and Water. Moxibustion should be applied to Guanyuan (CV-4) for 500 moxa cones.
25. Intestinal bleeding persisting for a long time is caused by cold food damaging Large Intestine Qi. Moxibustion should be applied to Shenque (CV-8) for 300 moxa cones.
26. Constipation in deficiency consumption patients, the elderly, and post-illness patients, where laxatives are difficult to tolerate, resolves naturally after moxibustion on Shenque (CV-8) for 100 moxa cones.
27. Hematuria is caused by sexual exertion damaging Kidney Qi. Moxibustion should be applied to Guanyuan (CV-4) for 200 moxa cones.
28. Gravel stranguria unresponsive to other medicines is caused by deficiency fire in the Kidneys condensing. Moxibustion should be applied to Guanyuan (CV-4) for 300 moxa cones.
29. Shang Xiao (Upper Wasting-Thirst) involves drinking three to five sheng of water daily. It is caused by congestion and heat in the Heart and Lungs, compounded by cold food injuring Lung and Kidney Qi. Moxibustion on Guanyuan (CV-4) for 100 moxa cones can prevent death. Alternatively, moxibustion on Qihai (CV-6) in spring and Guanyuan (CV-4) for 300 moxa cones in autumn generates saliva.
30. Zhong Xiao (Middle Wasting-Thirst) involves polyphagia with emaciated limbs, fatigue, and weakness, caused by Spleen and Kidney deficiency. Moxibustion should be applied to Guanyuan (CV-4) for 500 moxa cones.
31. Numbness of waist and legs and lack of strength in walking are caused by sexual excess damaging the Kidneys, leading to bone萎 (bone atrophy/osteoporosis). Urgent moxibustion on Guanyuan (CV-4) for 500 moxa cones is required.
32. Dullness and loss of consciousness, indecision in eating, alternating between lying and sitting, walking and standing, with unknown pathology, is caused by excessive thinking consuming Heart Blood. Moxibustion should be applied to Jueque (CV-14) for 50 moxa cones.
33. Spleen disease causing dark yellow complexion and poor appetite requires moxibustion on Left Mingguan for 50 moxa cones.
If accompanied by sallow-dark color, it indicates Kidney damage, requiring additional moxibustion on Guanyuan (CV-4) for 200 moxa cones.
34. Thief-Wind entering the ear causing deviation of the mouth and eye requires moxibustion on Dicang (ST-4) on the affected side for 50 moxa cones, or 14 moxa cones.
35. Scorched and withered ears and gradually darkening face are caused by Kidney exhaustion. Moxibustion should be applied to Guanyuan (CV-4) for 500 moxa cones.
36. In persons above middle age, dry mouth and tongue are caused by Kidney Water failing to generate fluids. Moxibustion should be applied to Guanyuan (CV-4) for 300 moxa cones. Misadministration of cooling medicines will injure the Spleen and Stomach and cause death.
37. In persons above middle age, pain in the waist, legs, and joints is a sign of exhausted Kidney Qi invaded by Wind pathogen. Moxibustion should be applied to Guanyuan (CV-4) for 300 moxa cones. Administration of pungent-warm wind-dispelling drugs will further deplete Kidney Water and become incurable.
38. Red and swollen thighs are caused by Wind pathogen attaching to bones due to Kidney Qi deficiency, fearing development of osteomyelitis (bone abscess). Moxibustion should be applied to Guanyuan (CV-4) for 200 moxa cones.
39. Elderly patients with loose bowels, heaviness, Yang Qi collapse, and urinary incontinence require moxibustion on Shenque (CV-8) for 300 moxa cones.
40. Asthma in the elderly is caused by Kidney deficiency failing to anchor Qi. Moxibustion should be applied to Guanyuan (CV-4) for 200 moxa cones.
41. Fecal incontinence in the elderly is caused by decline of Spleen and Kidney Qi. Moxibustion should be applied to Left Mingguan and Guanyuan (CV-4) for 200 moxa cones each.
42. Blurred vision threatening internal cataracts is caused by Spleen and Kidney Qi deficiency. Moxibustion should be applied to Guanyuan (CV-4) for 300 moxa cones.
43. Scrofula caused by depression injuring the Liver or toxicity from rat saliva requires moxibustion of 21 cones on the sore head, followed by application of Baihua Gao lubricated with sesame oil. Cure occurs after the moxa blister heals.
44. Tetanus with locked jaw and stiff neck and back requires moxibustion on Guanyuan (CV-4) for 100 moxa cones.
45. Cold-damp lower back pain requires moxibustion on Yaoshu (GV-2) for 50 moxa cones.
46. Sudden stabbing pain in knees and legs while walking is caused by Wind-Damp invasion. Apply 30 moxa cones to the painful spot.
47. Podagra (Gout/Foot Qi) with weakness, numbness, or pain requires moxibustion on Yongquan (KI-1) for 50 moxa cones.
48. Stubborn eczema spreading or infantile tinea capitis are caused by sweating and entering water, allowing dampness to invade the skin and hair. Apply 3 moxa cones separated by three cun at the lesion site; cure occurs upon discharge of yellow fluid.
When moxibusting adults, the moxa cone should be the size of a lotus seed, with a base width of three fen. After 20 cones, reduce the size by one fen, ensuring it is tightly packed. For extremities and children, the cone should be the size of a cocklebur. For head and face, the cone should be the size of a wheat grain. Ash should be swept away with a goose feather, never blown off by mouth.
Moxibustion is contraindicated for manic-depressive patients. For those accustomed to rich diets who fear pain, administer Shuisheng San first, then moxibustate. One dose allows for 50 cones; after waking, administer another dose and continue moxibustation.