治丈夫五劳七伤六极。腰痛。大便难。小便淋沥。腹胀下利食泄(资生经)。穴中
治五劳羸瘦。七伤乏力(明堂云。五劳虚乏。四肢羸瘦)。穴三里
治五劳七伤。穴肩井
治五劳七伤。温疟 疟疰背膊急。胫项强。风劳食气。穴大椎
治寒热喘满。虚烦口干。传尸。骨蒸劳热。肺痿咳嗽。穴肺俞
治虚劳肺痿。劳损痿黄。五尸走注。项强及疗劳损虚乏。穴魄户
治五劳。四肢力弱虚乏(秦承祖法)。穴支正
治劳损虚乏不得睡。穴
治背痛身热。穴下焦俞
治但是虚乏冷极。灸曲泉
治冷病面黑。肌体羸瘦。四肢力弱。小腹气积聚。贲豚腹弱。绕肠欲死不知人。五脏气
逆上攻。穴气海
治羸瘦虚损。梦中失精。无所不疗。穴膏肓俞
治虚劳羸瘦。耳聋肾虚。水脏久冷。腰疼。心腹膨胀。胁满引小腹痛。目视KT KT 。少气
溺血
溲浊出精。阴痛五劳七伤。虚惫。脚膝拘急。好独卧。足寒如冰。头重身热。振栗。腰中
四肢淫泺。洞泄。食不化。身肿如水。又疗身寒热。食多身羸瘦。面黄黑。目KT KT 。及女人
久积冷气成劳。穴肾俞
治劳疾羸瘦体热。颈项强。穴脑空
治伤饱。身黄羸瘦。穴章门
治食不为肌肤。穴漏谷
治日见羸瘦。穴下脘
治羸瘦。穴下脘 胃俞 脾俞 下廉
治久劳怯。手足心壮热。多盗汗。精神困顿。骨节寒疼。咳嗽渐吐脓血。肌瘦面黄。减
食少力。
令身正直。用草一条。男左女右。自脚中指尖。量过脚心下。向上至曲 大横纹处截断。却
将此草。自鼻尖量从头正中。须分开头心发贴肉量至脊。以草尽处。用墨点记。别用草一条
令病患自捻合量口阔狭截断。却将此草于墨点上平折两头尽处是穴。灸随年多灸一壮(如
年三十。则当灸三十一壮。屡效)。
人患羸瘦。固瘵疾自有寒热等证。宜随证医治。若素来清 者。非有疾也。惟病后瘦甚
久
不复常。谓之形脱。与夫平昔充肥忽尔羸瘦。饮食减少者。或有他疾乘之。则难救疗。须辨
之早而着艾可也。然仲景论六极。必曰。精极令人气少无力。渐渐内虚。身无润泽。翕翕羸
瘦。眼无精光。且云。八味肾气差六极而差五劳。则是八味丸所当服肾俞等穴。尤所当灸也
治腹中气胀。引脊痛。食多身羸瘦。名曰食晦。先取脾俞。后取季肋。穴脾俞。大肠俞
治五脏六腑心腹满。腰背痛。饮食吐逆。寒热往来。小便不利。羸瘦少气。穴三焦俞。
灸随年壮。
治劳瘵。癸亥夜更六神皆聚之时。解去上体衣服。于腰下两旁微陷处。谓之腰眼。直身
平立
用笔点定。然后上床合面而卧。每灼小艾炷七壮。虫或吐出。或泻下即安。又法。膏肓肺
俞穴。每穴各灸九壮。乃根据前虫醉日。各穴俞多灸为妙。后百日忌煎爆生冷热物毒食。仍戒
房事。避风寒。减喜怒。安心静处。将息若一月后。犹觉未瘥于初穴上再灸。
治传尸伏连 。骨蒸 癖。鬼气恶寒。或如疟状。宜灸大椎上一穴。又灸大椎两旁近
下少
许。对椎节间各相去一寸五分二穴。又灸两胁下二穴。名章门。又灸当心脊骨上两旁。各相
去一寸二穴。以上七穴。日别灸。皆取正午时灸。各七壮。满百壮渐瘥。至五百壮。病除。
治骨蒸 癖。灸两肩井二穴。若人面热带赤色者。灸之即瘥。取穴之法。坐以手三指。
从膊
骨罅。向项筋上捺之中指下节是也。上廉二穴在膝外下三寸是。一云。三里下三寸是。下
二穴。在上 下三寸是。当心脊骨上平立。以物柱地。当心点记。回量脊上点即是穴。以上
七穴。灸之如前法。
治骨蒸 癖。令患者于板上平身正立。以杖柱板向上。度当脐点。杖记之。又回杖量脊
中点
之。又令患人合口别以物横口。两吻当中折之。以折处点灸。又两乳一大肋间二穴。总六穴
灸之。并如前法。凡量。皆取病者男左女右。无名指中节屈之为寸。又法。取男左女右手中
指以物从指本量至指端。仍将此度于趺跗上系鞋处。横纹当胫面上。量一度是穴。
治传尸 喜魇梦。穴商丘。二穴灸七壮。瘥乃止。厉兑二穴。灸一壮。大良。二间二
穴。灸三壮。以上六穴。商丘疗多卧。厉兑疗嗜卧怠惰。章门疗贲豚气胀。
治二十种骨蒸。崔知悌曰。骨蒸病者。亦名传尸。亦谓 。亦称复连。亦曰无辜。丈
精为根。女人以血为本。无问老少。多染此疾。凡取四花穴。以稻秆心量口缝如何阔。断其
长多少。以如此长裁纸四方。当中剪小孔。别用长稻秆踏脚下。前取脚大指为止。后取脚曲
横纹中为止。断了却环在结喉下垂向背后。看秆止处。即以前小孔纸。当中安分为四花。
盖灸纸四角也。又一医传一法。先横量口吻取长短。以所量草。向背上三椎骨下直量至草尽
处。两头用笔点。再量中指长短为准。却将量中指草。横直量两头。用笔圈四角。其圈者是
穴。不圈不是穴。可灸七七壮止。王氏云。三十日灸活十三人。前后瘥者数逾二百。非止单
攻骨蒸。又别疗气风。或瘴或劳。或邪或癖。病状既广。灸活者不可具录。灸后。宜服治劳
地黄丸良。
卫生宝鉴方云。昔按察副使奥屯周卿子。年二十三岁。至元戊寅三月间。病发热。肌肉
消瘦
四肢困倦。嗜卧盗汗。大便溏泄。肠鸣。不思饮食。舌不知味。懒于语言。时来时去。约
半载余。请予治之。诊其脉浮数。按之无力。正应王叔和浮脉歌云。脏中积冷荣中热。欲得
生精要补虚。先灸中脘乃胃之纪也。引清气上行肥腠理。又灸气海穴。乃生发元气。滋荣百
脉。长养肌肉。又灸三里。乃胃之合穴。亦助胃气。散上热使下达于阴分。以甘寒之剂泻热
火。佐以甘温。养其中气。又食粳米羊肉之类。固其胃气。戒以慎言语。节饮食。惩忿窒欲
病气日减。数月气得平复。逮二年肥盛倍常。或者曰。世医治虚劳病。多用苦寒之剂。君
用甘寒之药。羊肉治发热。人皆忌之。今食羊肉粳米之类。请详析之。予曰。内经有云。火
位之主。其泻以甘。藏气法时论曰。心苦缓。急食酸以收之。甘以泻之。泻热补气。非甘寒
不可。若以苦寒。以泻其土。使脾土愈虚。火邪愈盛。又云。形不足者。温之以气。精不足
者。补之以味。劳者温之。损者益之。十剂云。补可以去弱。人参羊肉之属是也。先师亦云
人参能补气虚。羊肉能补血虚。虚损之病。食羊肉之类。何不可之有哉。或者叹曰。洁古
之学。有自来矣。
治五劳七伤。及山岚瘴气。背膊烦重。心痛注忤气羸。食不生肌肤。寒热邪气。颈项强
面
色黑黄。精神昏倦。积年淋沥。积癖鬼气。传尸骨蒸等疾。穴胃俞。二穴灸七壮止。或至一
百壮。量病轻重加灸。又穴肾俞。二穴灸七七壮。病深者。日灸七壮。至百壮佳。又章门二
穴可灸七壮。日灸渐至七七壮。同前法。又太冲二穴。灸五壮。渐加日灸如前法。
凡取膏肓二穴。令病患坐。曲背伸两臂着膝。令直手大指抵膝齐。以物抵肘勿令臂动。从膊
骨上角摩捺至膊骨下头。其间当有四肋三间。灸中间。根据转膊骨之里。去膊骨容侧指许。摩
膂肉之表肋间灸处捺之。自觉牵引胸肩中。灸两膊骨内各一处。五百壮。多至千壮。气下如
水。若无停痰宿水。必有所下也。灸法无所不治。若病困。即令侧卧。挽臂令前取穴。或正
坐伸臂。令人挽之使两臂骨相远。不尔。膊骨覆穴即难取也。其穴近五椎。相望求之。又肝
俞二穴。在第六椎下两傍。各一寸五分。日灸七壮。病深者至百壮佳。又神堂穴。在第五椎
下两傍各三寸陷中。正坐取穴。宜灸七壮。至七七壮。如前法。以上七名。总灸四穴。若不
能遍灸。当取紧者灸之。其紧者。即膏肓。胃俞。章门。肾俞。太冲是也。若能根据次第灸之
各满百壮尤妙。凡量穴法。不拘病患肥瘦长短。取病患男左女右。手中指度两横纹为寸。
是为同身寸也。凡灸皆取正午时佳。若早起空腹灸。即伤人气。又令人血虚。若至晚食后灸
则病气难去。若治至卒病风气。即不在此例。
Treats men with Five Exhaustions (Wu Lao), Seven Injuries (Qi Shang), and Six Extremes (Liu Ji). Lower back pain. Difficulty in defecation. Dribbling urination. Abdominal distension with diarrhea and food-induced diarrhea (from *Zisheng Jing*). Acupoint: Zhongwan (CV12, Middle Elixir).
Treats Five Exhaustions leading to emaciation and weakness. Seven Injuries leading to fatigue (*Mingtang Jing* records: Five Exhaustions cause deficiency and fatigue, with emaciated limbs). Acupoint: Zusanli (ST36, Leg Three Li).
Treats Five Exhaustions and Seven Injuries. Acupoint: Jianjing (GB21, Shoulder Well).
Treats Five Exhaustions, Seven Injuries, Warm Malaria (Wen Nue), Malaria (Nue), and Zhu Disease (Zhu Zhu) causing stiffness in the back and shoulders, rigidity of the calves and neck, Wind-Lao (Feng Lao), and Food-Qi disease. Acupoint: Dazhui (GV14, Great Vertebra).
Treats alternating chills and fever, wheezing and chest fullness, deficiency vexation and dry mouth, Transmitted Corpse (Chuan Shi) consumption, Bone-steaming Consumption (Gu Zheng Lao Re), Lung Atrophy (Fei Wei), and cough. Acupoint: Feishu (BL13, Lung Shu).
Treats Deficiency Consumption (Xu Lao) and Lung Atrophy, damage from exhaustion leading to sallow complexion, Five Corpses (Wu Shi) migrating and striking, neck rigidity, and treating damage from exhaustion and deficiency. Acupoint: Pohu (BL42, Soul Mansion).
Treats Five Exhaustions, weakness and deficiency in the four limbs (Qin Chengzu's method). Acupoint: Zhengzheng (SI7, Correctly Upright).
Treats damage from exhaustion and deficiency causing insomnia. Acupoint: [Original text missing].
Treats back pain and body heat. Acupoint: Xiajiaoshu (BL27, Lower Jiao Shu).
For cases of deficiency, fatigue, and extreme cold, moxa Qubian (KI7, Curved Spring).
Treats cold diseases with dark facial complexion, emaciated body, weak limbs, accumulation of Qi in the lower abdomen, Ben Tun (Rushing Pig) with weak abdomen, pain winding around the intestines leading to unconsciousness, and counterflow attack of Qi from the five zang organs. Acupoint: Qihai (CV6, Sea of Qi).
Treats emaciation and deficiency, nocturnal emission during dreams, curing all ailments. Acupoint: Gaohuangshu (BL43, Supreme Humility Shu).
Treats deficiency consumption and emaciation, deafness due to Kidney deficiency, long-standing cold in the Water Organ (Kidney), lower back pain, abdominal distension, hypochondriac fullness radiating to lower abdominal pain, blurred vision, shortness of breath, hematuria, turbid urine with sperm leakage, genital pain, Five Exhaustions and Seven Injuries, extreme debility, spasticity of legs and knees, preference for lying alone, cold feet like ice, heavy head with body heat, tremors, soreness and weakness in waist and limbs, profuse diarrhea, undigested food, edema like water, also treats alternating chills and fever, eating much but remaining emaciated, sallow and dark face, blurred vision, and women suffering from labor caused by long-standing accumulation of cold Qi. Acupoint: Shenshu (BL23, Kidney Shu).
Treats consumption diseases with emaciation and body heat, neck rigidity. Acupoint: Naokong (GB15, Brain Empty).
Treats overeating injury, yellow skin and emaciation. Acupoint: Zhangmen (LR13, Gate of the Rib).
Treats food failing to nourish the flesh. Acupoint: Lougu (SP9, Leaking Valley).
Treats progressive emaciation. Acupoint: Xiawan (CV10, Lower Stomach).
Treats emaciation. Acupoints: Xiawan (CV10), Weishu (BL21, Stomach Shu), Pishu (BL20, Spleen Shu), Xialian (ST38, Lower Li).
Treats chronic consumption weakness, intense heat in palms and soles, frequent night sweats, mental fatigue, cold pain in bone joints, gradual expectoration of pus and blood with cough, muscle wasting and sallow face, reduced appetite and strength.
Have the patient stand upright. Use a stalk of grass. For men, use the left side; for women, the right. Measure from the middle fingertip of the foot, across the sole, upwards to the popliteal crease, and cut the grass at this length. Then, using this grass, measure from the tip of the nose, over the midline of the head, parting the hair to touch the skin, down to the spine. Mark the end of the grass with ink. Take another stalk of grass, have the patient pinch their mouth width, cut it to that width. Place this grass on the ink mark on the spine, fold it flat so both ends meet; the ends indicate the acupoints. Moxa one additional unit (zhuang) for each year of age (e.g., if 30 years old, moxa 31 units; repeatedly effective).
When people suffer from emaciation, it is indeed due to consumption diseases presenting with chills and fever, etc., which should be treated according to symptoms. If someone was naturally thin, they are not ill. But if after illness, they remain emaciated for a long time without returning to normal, it is called "Form Depletion" (Xing Tuo). Similarly, if someone previously plump suddenly becomes emaciated with reduced diet, other diseases may have attacked, making them difficult to save. Early differentiation and application of moxibustion are necessary. However, Zhang Zhongjing discusses the Six Extremes, stating: "Jing Extreme causes lack of Qi and strength, gradually leading to internal deficiency, lack of luster, slight emaciation, and dull eyes." He also states that Bawei Shenqi Wan can treat five of the six extremes and five exhaustions; thus, Bawei Wan should be taken, and acupoints such as Shenshu should especially be moxaed.
Treats abdominal Qi distension radiating to back pain, eating much but becoming emaciated, named "Shi Hui" (Food Obscurity). First select Pishu, then select the costal margin. Acupoints: Pishu (BL20), Dachangshu (BL25, Large Intestine Shu).
Treats fullness in the heart and abdomen of the five zang and six fu organs, lower back and back pain, vomiting and regurgitation of food, alternating chills and fever, difficulty in urination, emaciation and shortness of breath. Acupoint: Sanjiaoshu (BL22, Triple Energizer Shu). Moxa according to age units (Sui Nian Zhuang).
Treats consumption (Lao Zhai). During the Gui Hai night watch when the six spirits gather, remove upper body clothing. Locate the slight depressions on both sides of the lower back, called Yaoyan (Waist Eyes). Stand upright and mark with a pen. Then lie prone on the bed. Moxa seven small moxa cones per point. Relief occurs upon expulsion of parasites via vomiting or defecation. Another method: Moxa Gaohuang and Feishu points, nine units per point. This follows the previous "Parasite Drunken Day" method; moxa more at these points is excellent. Afterward, avoid fried, roasted, raw, cold, and toxic foods for 100 days. Abstain from sexual activity, avoid wind and cold, reduce anger and joy, stay calm and quiet, and recuperate. If still unwell after one month, re-moxa the initial points.
Treats Transmitted Corpse (Chuan Shi), Fu Lian (Connected Corpse), Bone-steaming (Gu Zheng), Pi Mass (Pi Ke), Ghost Qi with aversion to cold, or malaria-like symptoms. Moxa one point above Dazhui. Also moxa two points slightly below on both sides of Dazhui, aligned with vertebral segments, 1.5 cun apart. Also moxa two points under both hypochondria, named Zhangmen. Also moxa two points on both sides of the spine directly behind the heart, 1 cun apart. Total seven points. Moxa separately each day, preferably at noon, seven units each. Gradual recovery after 100 units; disease eradicated after 500 units.
Treats Bone-steaming and Pi Mass. Moxa both Jianjing points (GB21). If the face has a red hue, moxa leads to cure. To locate: Sit, place three fingers in the clavicular gap, press towards the neck tendons; the point is below the middle joint of the middle finger. Shanglian (Upper Li) points are 3 cun below the lateral knee. One source says 3 cun below Zusanli. The lower two points are 3 cun below Shanglian. Stand upright behind the heart on the spine, prop with an object, mark the center, measure back up the spine to find the point. Total seven points. Moxa as before.
Treats Bone-steaming and Pi Mass. Have the patient stand upright on a board. Prop a stick upward against the board, mark the navel level. Measure back to the midpoint of the spine. Have the patient close their mouth and place an object horizontally between the lips, fold it at the center, and mark the moxa point. Also moxa two points in the intercostal space between the nipples. Total six points. Moxa as before. All measurements use the patient's male-left/female-right ring finger middle phalanx flexion as 1 cun. Another method: Measure the middle finger from base to tip for males (left) or females (right). Apply this measurement horizontally on the dorsum of the foot at the shoelace cross-line on the tibial surface; this distance indicates the point.
Treats Transmitted Corpse, nightmare susceptibility. Acupoint: Shangqiu (SP5, Market Mound). Two points, moxa seven units until cured. Lidui (ST45, Corner of the Mouth). Two points, moxa one unit, highly effective. Erjian (LI2, Second Gap). Two points, moxa three units. Total six points. Shangqiu treats excessive sleepiness; Lidui treats lethargy and laziness; Zhangmen treats Ben Tun Qi distension.
Treats twenty types of Bone-steaming. Cui Zhitì said: Bone-steaming is also called Transmitted Corpse, also called Lao Zhai, also called Fu Lian, also called Wugu. Men root in essence; women root in blood. Regardless of age, many contract this disease. To locate the Four Flowers points (Sihua Xue): Measure the mouth width with a rice straw core, cut to that length. Cut paper into squares of that size, punch a small hole in the center. Step on a long rice straw with the foot, measuring from the big toe to the heel crease. Hang this straw from the Adam's apple down the back. Where it stops, place the paper with the hole, dividing it into four flowers, moxaing the four corners of the paper. Another doctor's method: Horizontally measure the mouth width with grass. From the third vertebra below the back, measure straight down to the end of the grass. Mark both ends. Measure the middle finger length. Use this grass to measure horizontally and vertically from the marks, circling four corners with a pen. The circled points are the acupoints; uncircled are not. Moxa 49 units (7x7). Wang Shi said: In thirty days, thirteen were saved; over two hundred recovered overall. It treats not only bone-steaming but also Qi-Wind, miasma, labor, evil pathogens, and masses. The conditions are broad, and survivors cannot be fully recorded. After moxa, take Di Huang Wan for Consumption.
*Weisheng Baojian* records: The son of Vice-Inspector Aotun Zhouqing, aged 23, in March of the Wuyin year of Zhiyuan, suffered fever, muscle wasting, limb fatigue, somnolence, night sweats, loose stools, borborygmus, loss of appetite, loss of taste, reluctance to speak, intermittent symptoms for over half a year. I treated him. Pulse was floating and rapid, weak upon pressure, matching Wang Shuhe's Floating Pulse Song: "Cold accumulates in the zang, heat in the ying; to generate essence, tonify deficiency is key." First moxa Zhongwan (CV12), the hub of the Stomach, to guide clear Qi upward to fatten the collaterals. Then moxa Qihai (CV6) to generate primal Qi, nourish the hundred vessels, and grow muscles. Then moxa Zusanli (ST36), the He-Sea point of the Stomach, to assist Stomach Qi, scatter upper heat downward to the Yin divisions. Use sweet-cold agents to drain fire, assisted by sweet-warm agents to nourish middle Qi. Eat millet and mutton to consolidate Stomach Qi. Advise caution in speech, moderation in diet, restraining anger, and blocking desires. Disease qi decreased daily; within months, Qi recovered. Two years later, weight doubled. Someone asked: Worldly doctors use bitter-cold agents for deficiency consumption; you use sweet-cold medicine and mutton for fever, which people usually avoid. Please explain. I said: *Neijing* states: "For Fire dominance, drain with sweet." *Zangqi Fashi Lun* says: "The Heart dislikes flaccidity; quickly eat sour to astringe, sweet to drain." Draining heat and tonifying Qi requires sweet-cold. If bitter-cold is used to drain Earth, the Spleen Earth becomes weaker, and Fire pathogen stronger. Also: "For insufficient form, warm with Qi; for insufficient essence, tonify with flavor." For labor, warm it; for damage, benefit it. *Shi Ji* states: "Tonification removes weakness," exemplified by Ginseng and Mutton. My master also said: Ginseng tonifies Qi deficiency; Mutton tonifies Blood deficiency. For deficiency-damage diseases, eating mutton is acceptable. The person sighed: Jiegu's learning has its origins.
Treats Five Exhaustions and Seven Injuries, mountain miasma, heaviness in back and shoulders, heart pain with Qi invasion and emaciation, food failing to nourish flesh, chills and fever from evil Qi, neck rigidity, dark-yellow face, mental fatigue, chronic dribbling, accumulated masses and Ghost Qi, Transmitted Corpse and Bone-steaming. Acupoint: Weishu (BL21). Two points, moxa seven units, or up to 100 units depending on severity. Also Shenshu (BL23), two points, moxa 49 units; for deep disease, moxa seven units daily up to 100 units. Also Zhangmen (LR13), two points, moxa seven units, gradually increasing to 49 units daily, same method. Also Taichong (LR3), two points, moxa five units, gradually increasing daily as before.
To locate Gaohuang (BL43): Have patient sit, bend back, extend arms touching knees, thumb reaching knee. Prop elbow with object to prevent movement. Massage from upper angle of scapula to lower head. There are four ribs and three spaces in between; moxa the middle. Inside the rotating scapula, about the width of a side finger away from the bone, massage the surface of the erector spinae muscle at the intercostal moxa site; sensation pulls to chest and shoulder. Moxa one spot inside each scapula, 500 units, up to 1000. Qi descends like water; if no retained phlegm or old fluid, there will be discharge. Moxa cures all. If critically ill, lie on side, pull arm forward to locate. Or sit upright, extend arm, have someone pull to separate scapular bones; otherwise, scapula covers the point, making it hard to locate. Point is near the fifth thoracic vertebra. Also Ganshu (BL18, Liver Shu), two points, below sixth vertebra, 1.5 cun lateral. Moxa seven units daily, up to 100 for deep disease. Also Shentang (BL44, Spirit Hall), below fifth vertebra, 3 cun lateral in depression. Sit upright to locate. Moxa seven units, up to 49. Total four points among these seven names. If unable to moxa all, prioritize the "tight" ones: Gaohuang, Weishu, Zhangmen, Shenshu, Taichong. If possible, moxa in order, 100 units each, is best. Measurement method: Ignore patient's fat/thin or height. Use male-left/female-right middle finger two transverse creases as 1 cun, known as "Same Body Cun". Moxa best at noon. Moxa on empty stomach early morning damages Qi and causes Blood deficiency. Moxa after evening meal makes pathogen Qi hard to expel. Exception: acute Wind diseases do not follow this rule.