〔久痞〕
灸背脊中命门穴两旁各四指许是穴，痞在左灸右，在右灸左。
一法曰，凡治痞者，须治痞根，无不获效。其法于十三椎下，当脊中点墨为记，墨之两
旁，各开三寸半，以指揣摸，自有动处，即点穴灸之，大约穴与脐平，多灸左边，或左右俱灸，
此痞根也。或患左灸右，患右灸左，亦效。
上脘 中脘 幽门 通谷（结积留饮。） 梁门 天枢 期门（百壮，冶积气上奔甚急欲绝。） 章门
（一切积聚痞块。） 气海（百壮。冶一切气块。） 关元（百壮，治奔豚气逆，痛不可忍。） 脾
俞三焦俞
上穴皆灸积块，可按证选用。
〔肺积〕名息奔，在右胁下。
尺泽 章门 足三里
〔心积〕 名伏梁，起脐上，上至心下。
神门 后溪 巨阙 足三里
〔肝积〕名肥气，在左胁下。
肝俞（七壮。） 章门（三七壮。） 行间（七壮。）
〔脾积〕名痞气，横在脐上二寸。
脾俞 胃俞 肾俞 通谷 章门（二七壮。） 足三里（上俱七壮。）
〔肾积〕名奔豚，生脐下，或上下无时。
肾俞 关元（瘕癖。） 中极（脐下积聚疼痛。） 涌泉（四五壮，不可太过，炷如麦粒。）
〔气块〕
脾俞 胃俞 肾俞 梁门（疼痛。） 天枢
长桑君针积块 瘕，先于块上针之，甚者又于块首一针，块尾一针，针讫灸之立应。
[Chronic Epigastric Fullness]
Moxibustion is applied to the acupoints located approximately four finger-widths on both sides of Mingmen (GV4) along the midline of the back. If the fullness is on the left, moxibustion is applied to the right; if on the right, it is applied to the left.
Another method states that in treating epigastric fullness, one must treat the root cause of the fullness to ensure efficacy. This method involves marking a point with ink directly below the thirteenth thoracic vertebra at the center of the spine. On both sides of this ink mark, measure three and a half cun outward. By palpating with fingers, locate the area with distinct movement or sensitivity, mark this as the acupoint, and apply moxibustion. This point is approximately level with the umbilicus. Moxibustion is primarily applied to the left side, or to both sides, which constitutes treating the root of the fullness. Alternatively, treating the opposite side of the lesion also yields effective results.
Shangwan (CV13), Zhongwan (CV12), Youmen (KI21), Tonggu (BL39) [for accumulation of retained fluid], Liangmen (ST21), Tianshu (ST25), Qimen (LR14) [100 moxa cones, for severe upward rushing of accumulated qi almost leading to collapse], Zhangmen (LR13) [for all types of accumulations and masses], Qihai (CV6) [100 moxa cones, for all types of qi masses], Guanyuan (CV4) [100 moxa cones, for Ben Tun syndrome with rebellious Qi causing unbearable pain], Pishu (BL20), Sanjiaoshu (BL22).
The above acupoints are used for moxibustion treatment of accumulations and masses; select according to the specific syndrome.
[Lung Accumulation] Named Xiben, located under the right hypochondrium.
ChiZe (LU5), Zhangmen (LR13), Zusanli (ST36).
[Heart Accumulation] Named Fuliang, starting above the umbilicus and extending upwards to below the heart.
Shenmen (HT7), Houxi (SI3), Juque (CV14), Zusanli (ST36).
[Liver Accumulation] Named Feiqi, located under the left hypochondrium.
Ganshu (BL18) [7 moxa cones], Zhangmen (LR13) [21 moxa cones], Xingjian (LR2) [7 moxa cones].
[Spleen Accumulation] Named Piqi, lying horizontally two cun above the umbilicus.
Pishu (BL20), Weishu (BL21), Shenshu (BL23), Tonggu (BL39), Zhangmen (LR13) [14 moxa cones], Zusanli (ST36) [all the above points receive 7 moxa cones].
[Kidney Accumulation] Named Bentun, arising below the umbilicus, moving up and down without fixed timing.
Shenshu (BL23), Guanyuan (CV4) [for Jia Pi], Zhongji (CV3) [for pain from accumulations below the umbilicus], Yongquan (KI1) [4-5 moxa cones, do not exceed this amount; use cone size like a wheat grain].
[Qi Mass]
Pishu (BL20), Weishu (BL21), Shenshu (BL23), Liangmen (ST21) [for pain], Tianshu (ST25).
Changsang Jun's needling technique for accumulations and Jia: First needle directly on the mass. In severe cases, insert one needle at the head of the mass and one at the tail. After needling, apply moxibustion for immediate effect.