先贤论咳嗽,以有声为咳,有痰为嗽,有声有痰为咳嗽。其初起多因于风寒,延久多成于虚损。若咳甚欲吐,灸身
柱。因痰而嗽,灸足三里。气促咳逆,觉从左升,易于动怒者,灸肝俞。咳嗽见血者,灸肺俞,或灸行间。吐脓者,灸
期门。日久成劳者,灸膏肓弗误。
身柱(大椎穴下三节骨下间,按其 中。)
足三里(见痿症。)
肝俞(见眩晕。)
肺俞(见劳伤。)
行间(见尸厥。)
期门(两乳下,第二肋骨端。)
膏肓(见劳伤。)
喘病之因有四∶有因寒邪入肺而喘者,有因病阻肺气而喘者,有因水停心下而喘者,有因肾不纳气而喘者。统宜先
灸天突,次灸中脘,甚则兼灸肺俞。所有哮喘不得卧者,须灸灵台。行动遂喘急者,须灸气海。得能按穴灸之,去沉
犹拔刺耳。
天突(结喉下二寸陷中。)
中脘(脐上四寸。)
肺俞(见劳伤。)
灵台(六节骨下 中。)
气海(见劳伤。)
书谓∶吐血成升斗者属胃血也,其余咯血属心,呕血属肝,咳血属肺,唾血属肾。凡有一概血症,总当先灸胆俞。
血痰灸其上脘。咯血喉中有声,灸其天突。如五劳七伤,诸虚百损而患血者,灸其膏肓,弗可缓也。据(管见),暴患之
血症,实火为多,不宜辄灸;灸患之血症,虚火不少,用灸无妨,切须辨之。
胆俞、上脘(并见劳伤。)
天突(见喘症。)
膏肓(见劳伤。)
The sages discussed cough, stating that sound alone is "ke" (cough), phlegm alone is "sou" (expectoration), and both sound and phlegm together constitute "késou" (cough with expectoration). The initial onset is often due to Wind-Cold pathogenic factors, while prolonged duration often results in Deficiency and Damage syndromes. If the cough is severe enough to induce vomiting, moxa should be applied to Shenzhu (GV12). For cough caused by phlegm, moxa should be applied to Zusanli (ST36). For shortness of breath, reverse flow of Qi causing cough, where Qi sensation rises from the left side and anger is easily provoked, moxa should be applied to Ganshu (BL18). For coughing up blood, moxa should be applied to Feishu (BL13) or Xingjian (LR2). For expectorating pus, moxa should be applied to Qimen (LR14). For chronic conditions developing into consumption (Lao), moxa should be applied to Gaohuang (BL43) without error.
Shenzhu (Located in the interspace below the spinous process of the third thoracic vertebra, beneath Dazhui GV14, at the midpoint upon palpation.)
Zusanli (See Wei Syndrome chapter.)
Ganshu (See Xuan Yun [Vertigo] chapter.)
Feishu (See Lao Shang [Consumption Injury] chapter.)
Xingjian (See Shi Jue [Corpse-like Coma] chapter.)
Qimen (Located below the nipples, at the lateral end of the second rib.)
Gaohuang (See Lao Shang [Consumption Injury] chapter.)
There are four causes for Asthma (Chuan Bing): one is asthma due to Cold-Evil invading the Lungs; another is asthma due to pathological obstruction of Lung Qi; a third is asthma due to Water retention under the Heart; and the fourth is asthma due to the Kidneys failing to grasp Qi. Generally, it is advisable to first apply moxa to Tiantu (CV22), then to Zhongwan (CV12), and in severe cases, additionally to Feishu (BL13). For all cases of Asthma where the patient cannot lie flat, Lingtai (GV10) must be moxibusted. For those who experience rapid panting upon movement, Qihai (CV6) must be moxibusted. By accurately applying moxa to these acupoints, removing deep-seated pathogens is as easy as pulling a thorn from the ear.
Tiantu (Located in the depression two cun below the laryngeal prominence.)
Zhongwan (Four cun above the umbilicus.)
Feishu (See Lao Shang [Consumption Injury] chapter.)
Lingtai (In the center below the spinous process of the sixth thoracic vertebra.)
Qihai (See Lao Shang [Consumption Injury] chapter.)
Texts state: Hematemesis reaching sheng or dou volumes belongs to Stomach Blood; other forms of hemoptysis belong to the Heart; vomiting blood belongs to the Liver; coughing blood belongs to the Lungs; and spitting blood belongs to the Kidneys. For any general Blood Disorder, one should generally first apply moxa to Danshu (BL19). For bloody phlegm, apply moxa to Shangwan (CV13). For hemoptysis with sound in the throat, apply moxa to Tiantu (CV22). In cases of Five Wastes and Seven Injuries, involving various deficiencies and damages leading to bleeding, apply moxa to Gaohuang (BL43); this should not be delayed. According to my personal insight, acute onset of Blood Disorders is mostly due to Excess Fire and should not be treated with moxa arbitrarily; however, chronic or recurrent Blood Disorders often involve Deficient Fire, and using moxa is permissible. Careful differentiation is essential.
Danshu and Shangwan (Both see Lao Shang [Consumption Injury] chapter.)
Tiantu (See Chuan Zheng [Asthma Syndrome] chapter.)
Gaohuang (See Lao Shang [Consumption Injury] chapter.)