肩头 灸癣法八月八日。日出时。令病患。正当东向户长跪。平举。两手持户两边。取
肩头小垂际。骨解宛宛中。灸之两火俱下。各三壮。若七壮。十日愈。(千金)
按资生经。云。灸
愈。灸毕顷大痛。良久乃定。永不发。予亲病齿痛。百方治不验。用此瘥。
肩柱骨 肩端起骨尖上。(大成)
按与肩头穴同处。
巨阙俞 第四椎。名巨阙俞主胸膈中气。灸随年壮。(千翼)第四椎名厥阴俞。主胸中膈
气。积聚好吐随年壮灸之。(同上)
按与腹部巨阙同名异穴。千金曰。胸膈中气。灸阙 。注曰。扁鹊云。第四椎下。两旁
各一寸半。名阙 。详于背部二行中。
臣觉 背上甲内侧。反手所不及者。骨芒穴上。捻之。痛者是也。(千金)骨芒穴上六分
按千金注曰。臣觉亦作巨搅。千金翼云。狂走喜怒悲泣灸巨觉。而甲作侠。注曰。一云
巨阙俞又杂法篇作巨览。注曰。一作觉。千金头注曰。骨芒疑膏肓之误。
胃脘下俞三穴 治消渴咽喉干灸胃脘下 三穴。灸百壮。穴在背第八椎下。横三间寸。
灸之。(千金)
背甲中间 狂走刺人。或欲自死骂詈不息。称鬼神语。灸背甲中间三壮。报灸之。仓公法
。神效。(千金)
腰目 消渴小便数。灸腰目。在肾俞下三寸。亦挟脊骨。两旁。各一寸半。左右以指按
取。(千金)以指按陷中。(千翼)
按千金曰。消渴小便数。灸当脊梁中央解间一处。与腰目上。两处。凡三处。
腰目 腰痛。灸腰目 。七壮。在尻上约左右是。(千金)
腰眼 一名鬼眼。(大成)一名癸亥。(阿是要穴)令病患平眠。以笔于两腰眼宛宛中。点
二穴。各灸七壮。此穴诸书所无。而居家必用载之云。累试累验。(类经)
按腰目以下三穴。盖同穴也。针灸大成曰。鬼眼。专主痨虫。令病患举手向上略转后些
。则
腰上有两陷。居家必用云。治诸痨瘵。已深难治者。以癸亥日。二更尽入三更。令病患平眠
。以筋于两腰眼。点两穴。各灸七壮。累试累验。类经曰。癸亥二更后将交夜半。乃六神皆
聚
之时。勿使人知。令病者解去下衣举手。向上。略转后些。则腰间两旁。自有微陷。可见。是
名鬼眼穴。即俗人所谓腰眼也。正身直立用墨点记。然后上床合面而卧。用小艾炷。灸七壮
。
或九壮。十一壮尤好。其虫必于吐泻中而出。烧毁远弃之可免传染。比四花等穴。尤易。且
效。冈本。阿是要穴。一名癸亥。
顶椎(千金)
脊梁中央 消渴小便数。灸两手小指头。及足两小趾头。并灸顶椎佳。又灸当脊梁中央
解间一处。与腰目上两处。凡三处。(千金)
按千金翼。灸黄法。脊中椎上。七壮。盖同处。
督俞 一名高盖(资生)在六椎下。两旁各半寸。通灸。(资生入门)正坐取之。(金鉴)禁
针(资生)
按资生。背俞第二行。载此穴曰。铜人经。缺此穴。明堂经有之。今根据明堂入在此。恐
铜人
本不全也。类经。寸半作二寸。入门。灸三壮。主寒热心痛。腹痛。雷鸣。气逆。高盖。与
肾俞同名。
气海俞 在十五椎下。两旁各寸半。通灸。(资生入门)正坐取之。(大成)
按类经。寸半。作二寸。入门。入足太阳经。主腰痛痔漏。资生曰。明堂。有气海俞。
而铜人无之。恐铜人本不全。
关元俞 在十质椎下。两旁各寸半。通灸。(资生入门)伏而取之。(大成金鉴)
按类经。寸半。作二寸。入门。入足太阳经。主风劳腰痛。泄痢虚胀。小便难。妇人瘕
聚。诸疾。资生曰。明堂。有关元俞。而铜人无之。恐铜人本不全。
骨(次注新校正)见肩 下。
中枢(次注)
灵台(次注)
阳关(次注)
阙俞(千金) 一名厥阴俞(资生)
以上四穴。载背部中行部。
督脊 小儿惊痫。脊强反张。灸大椎。并灸诸脏 及督脊上当中从大椎至穷骨。中屈更
从大椎度之。灸度下头。是督脊也。右背部十二处。十日儿可灸三壮一月以上可灸五壮。(千金)
五 俞(素问) 见 下。
精宫(入门) 见志室下。
痞根 专治痞块。十三椎下。各开三寸半多灸左边。如左右俱有左右俱灸。(入门)以指
揣摸自有动处即点穴灸之。大约穴与脐平。(类经)
中空 从肾俞穴。量下三寸。各开三寸。是穴。此即膀胱经之中 也。(大成)
按不当中 。是注误。
下极俞 第十五椎。名下极俞。主腹中疾。腰痛膀胱寒 饮注下。随年壮灸之。(千翼)
按难经下极之 。滑寿曰。两阴之间。屏翳处也。不与此同。千金。无第十五椎及中字。
肩上 脾俞下四寸。挟脊梁。一寸半。二穴。(千翼)
脊背五穴(类经) 治大人癫。小儿惊痫法。灸背第二椎及下极骨两处。以绳度中折绳
端一处。是脊骨上也。凡三处毕。复断此绳作三折令各等。而三合如 字。以一角。注中央。灸
下二角。挟脊两边。便灸之。凡五处也。以丹注所灸。五处灸百壮。削竹为度。胜绳也。(
侠脊 治霍乱转筋。令病患正合面卧伸两手着身。以绳横两肘尖头。根据绳下挟脊骨两旁
。相去一寸半。灸一百无不瘥者。(千翼)
按注曰。肘后方云。此华佗法。
浊浴 挟胆 旁行相去五寸。(千金)
按千金曰。治胸中胆病。千金翼同。
下腰 八魁正中央。脊骨上。灸数多尤佳。三宗骨。是忌针。(千金)
按千金曰。泄痢久下。失气劳冷。灸下腰百壮。三报。千金翼。无央字。又按八魁三宗
骨未详。东医宝鉴。魁作 。稍通。
荣卫四穴 大小便不利。欲作腹痛。灸荣卫四穴。百壮。穴在背脊四面各一寸。(千金
。千翼)
按背脊四面。未知何处。恐脱语。医学纲目云。在背脊四面各一寸八分。腰眼下三寸。挟
脊相去四寸。两边各四穴。灸十壮至百壮。
回气 五痔便血失屎。灸回气百壮。穴在脊穷骨上。(千金)赤白肉下。(类经)
按千金翼回作 。曰五痔便血失屎。灸回气百壮在脊穷骨上。赤白下。灸穷骨。惟多为佳
。赤
白下。盖言下秽物。类经。加肉字曰脊穷骨上赤白肉下。更按穷骨上。似无赤白肉。果夫。
张氏之是乎。
团冈 腹热闭。时大小便难。腰痛连胸。灸团冈。百壮。穴在小肠俞下二寸。横三。间寸
。灸之。(千金)
按千金翼腹作腹中似中膂穴。医学纲目。东医宝鉴。作环冈。
后腋 治颈漏。背后两边。腋下后纹头。(类经。引千金。)腋后廉际两筋间。主腋外相
引而痛。手臂拘挛急不得上头。(外台)
按类经。作后腋下穴。阿是要穴曰。颈漏今所谓气肿。一曰瘰 漏也。
接脊 小儿痢下赤白。秋末脱肛。每厕肚疼。不可忍者。灸十二椎下节间名接脊穴。灸
一壮。如小麦大(明堂)
胛缝 背端骨下。直腋缝尖。及臂取二寸半。泻六吸。主治肩背痛连胛。(医纲)
按玉童赋曰。肩脊痛兮。五枢兼于背缝。宝鉴。无二寸半三字。
背篮 治疟如神。令病患跣足。于平正处。并脚立。用绳一条。自脚枝。周匝截断。却
于顶前
。般过背上两绳尽处。脊骨中。是穴。先点记。待将发。急以艾灸之三七壮。其寒热自止。此法
曾遇至人传授。妙不可言。名曰背篮穴也。(寿世保元)
尾翠 骨上三寸骨陷间。(明堂)
按与长强同名。骨上。盖言穷骨上。
身八邪穴 外科全书云。身八邪。
一肩井 在两颈侧。
二风门 挟脊对第四节。
三肺俞 挟脊对第五节。
四曲泽 在两臂曲。
按四节五节。当作二节三节。
第二十二椎两傍 主腰背不便。筋挛痹缩。虚热闭塞。灸随年壮。两旁。各一寸五分。
(千翼)
按脊椎二十一节。古今通说。今言二十二椎者。连数项骨者欤。恐有误。
四花患门 一名六花(幼幼新书)
苏沈良方曰灸三十种骨蒸法。崔丞相。灸劳法。外台秘要。崔相家传方。及。王宝臣经
验方
。悉编载。然皆差误。昆陵郡。有石刻。最详。余取诸本。悉校成此一书。此古方。极为委曲
。根据此治人。未尝不验。往往一灸而愈。予在宣城久病虚羸用此而愈。
唐中书侍郎崔知悌序曰。夫含灵受气禀之于五行(外台。作常同义)构生。申理降之以(
万安
方。作于。)六疾。岐黄广记蔚。(外台作抑)有旧经。攻灸兼行。显著斯术。骨蒸病者又名传
尸。又谓 。又称伏连(万安方。作死败)又曰无辜。(万安方。无此四字。)大夫以癖气为
根。妇人以血气为本。无问长(万安方作老。)少。多染此病。婴孺之流。传注更苦。其为状也
发干而耸。(而耸。万安方作露耳。)或聚或分。或腹中有块。或脑后两边有结。多者乃至五
六。或夜卧盗汗梦与鬼交。虽自(外台万安方。作目。)视分明。而四肢无力。或上气食少。
渐就沉羸。纵延日时。终于 尽。余昔忝洛(十药神书。作潞。)州司马。尝三十日。灸治(
外
台。万安。作活。)一十三人。前后瘥者数逾二百。至于狸骨獭肝。徙闻曩说。金牙铜鼻。
罕见其能未。若此方。扶危拯急。非止单攻骨蒸。又别疗气疗风。或瘴。或痨。或邪。或患状
既广。
灸治(万安。作活。)不可具述。略陈梗概。又恐传授讹谬。以误将来。今故具(万安。作具故
。)图形状。庶令览者易悉。使所有(外台。万安作在。)流布颐(外台。万安。作颅。)用家
藏。未暇外请名医。旁求上药。还魂返魄。何难之有。遇斯疾。可不务乎。(陈仕贤济世良
方曰。青囊经云。此四花穴法。医者图要精于点取。患者全在慎于保养。不然何能取效。男女五
劳七伤。气虚血弱骨蒸盗汗。形容憔悴。咳嗽痰喘。五心烦热。诸虚体衰。腹中积聚久病痼
疾。凡所有见。悉皆治之。)
取穴法
先定(万安方。作两。)穴。令患人平立正。取一细绳蜡之勿令展缩。(以上六字。圣济
总录。
万安。细注)顺脚底贴肉。坚蹈之。男左女右。(以上四字。圣济万安细注。)其绳前头与大
拇
指端齐。后头令当脚根(圣济万安。作跟)中心。向后引绳。循脚胫(万安。作肚。)贴肉直
上
至曲 (外台。作 )中大横纹截断又令患人解发分(济世良方有开字。)两边。令(济世良方
作
要。)见头缝。自囟门。平分至脑后。乃平身正坐取。向所截绳一头令与鼻端齐。引绳向上。正
循头缝。至脑后。贴肉垂下循脊骨。引绳向下。至绳尽处。当脊骨。以墨点记之(墨点不是
灸处)又取一绳子。令患人合口。将绳子按于口上。两头至(圣济有两字)吻。却抱(圣济万安
作钩。)起绳子中心至鼻柱根下。令如Λ。此便齐两吻。截断。将此绳展令直。于前来(医学
正
传。作量。)脊骨上墨点处。横量。取平。勿令高下绳子先中折当中。以墨记之。却展开绳
子
横量以绳子上墨点。正压脊骨上墨点为正。两头取平。勿令高下。于绳子两头以白圈记。白圈
是灸穴也。(以上六字。万安。细注。)
以上是第一次点二穴。
按大全曰是灸穴。名曰患门二穴。患门名创于此。入门曰。如妇人足小难以准量。可取右
手肩
穴。贴肉。量至中指头齐。亦可不若只取膏肓灸之亦妙。次灸四花。无有不效。类经。又载此
说
曰。庶乎得宜。然不当患门。不可从。又曰。妇人以膏肓穴代之。亦可也。不当患门。不可
从。十药神书曰。妇女缠脚者短小。非自然也。若以量脚绳子。加之首。必不及也。今移
附于右肩 穴。点定。引绳向下。至中指尽处。截断以代量足之用。
次二穴。令其人平身正坐。稍缩臂膊取一(济世良方有蜡字。)绳。绕项向前。双垂。与
鸠尾齐
。鸠尾是心岐骨。人有无心岐骨者。至从胸前两岐骨下。量取一寸即鸠尾也。即是双截断。
却皆(圣济。作脊)翻绳头。向顶后。以绳子中停取心。正令当喉咙结骨上其绳两头。挟项
双垂。循脊骨。以墨点记之。(墨点不是灸穴。)又取一绳子。令其人合口横量齐两吻。(济
良方。有如一字样之四字)截断。还于脊骨上(万安。有以字。)墨点。(圣济。有处字。)横
量始(圣济。作如上。)法。绳子两头。以白圈记之。白圈是灸穴处。(类经曰。是四花。左
以上是第二次点穴。通前。共四穴。同时灸。日别灸七壮。至二七壮。累灸至一百壮。
或一百五十壮。为妙。候灸疮欲瘥。又根据后法。灸二穴。
又次二穴。以第二次量口吻绳子。于第二次双绳头尽处墨点上。当脊骨。直上下。竖点
中。停(医学正传。令绳中停。作其绳子三字。)中心。在墨点上。于上下绳尽头。(正传。
作处)以白圈两穴。白圈是灸穴处。
以上是第三次。点两穴。谓之。四花。灸两穴。各百壮三次共六穴。各取离日。量度讫
。唯须三月三日艾最佳。病瘥百日内。忌饮食房室。安心静处。将息。若一月(圣济。作百
日)后。觉未瘥。复初穴上再灸。
Jiantou (Shoulder Head) Acupoint: Moxibustion method for treating tinea, performed on the eighth day of the eighth lunar month. At sunrise, have the patient kneel facing east towards a door, raise arms horizontally, and grasp both sides of the door frame with hands. Locate the Jiantou acupoint at the edge of the small hanging bone, within the depression of the bone joint. Apply moxibustion here; apply three cones (or seven cones) on each side. The condition will heal in ten days. (From *Qianjin Fang*)
Note: *Zisheng Jing* records that moxibustion on this point cures the disease. Immediately after moxibustion, severe pain occurs, which subsides after a long time, and the disease never recurs. I personally suffered from toothache, which was unresponsive to various treatments, but was cured using this method.
Jianzhugu (Shoulder Column Bone): Located on the bony prominence at the beginning of the shoulder. (From *Zhenjiu Dacheng*)
Note: Same location as the Jiantou acupoint.
Juque Shu (Giant Abdomen Back-Shu): Located below the fourth thoracic vertebra, named Juque Shu. It governs qi stagnation in the chest and diaphragm. Moxibustion dosage is based on the patient's age (Sui Nian Zhuang). (From *Qianyi Fang*) Below the fourth thoracic vertebra is also named Jueyin Shu. It governs qi stagnation in the chest and diaphragm, accumulation, and frequent vomiting. Moxibustion dosage is based on the patient's age. (Ibid.)
Note: This acupoint shares the same name as Juque in the abdomen but is a different point. *Qianjin Fang* states: "Qi stagnation in the chest and diaphragm, moxa Que Shu." The annotation says: "Bian Que said: Below the fourth vertebra, one and a half cun on each side, named Que Shu." Details are found in the second row of back acupoints.
Chenjue (Minister Awakening) Acupoint: Located on the inner side of the dorsal spinous processes, where it is difficult to reach with the back of the hand. Above the Gumang acupoint, press to find the tender spot. (From *Qianjin Fang*) Six fen above the Gumang acupoint.
Note: *Qianjin Fang* annotation states: "Chenjue" is also written as "Jujiao". *Qianjin Yi Fang* says: "For manic running, anger, joy, sadness, and weeping, moxa Ju Jue acupoint." Here "Jia" is interpreted as "Xia". Annotation says: "One theory is Juque Shu." In *Zafa Pian*, it is written as "Julan", annotated as "Also written as 'Jue'". *Qianjin Fang* Head Annotation says: "Gumang is suspected to be an error for Gaohuang."
Weiwuanxia Shu (Lower Stomach Back-Shu) Three Points: Treats Xiao Ke (Wasting-Thirst syndrome) and dry throat. Moxa the three Weiwuanxia points, 100 cones per point. The acupoints are located below the eighth thoracic vertebra, three cun apart horizontally. Apply moxibustion. (From *Qianjin Fang*)
Back Jia Middle: Treats manic running, stabbing others, suicidal tendencies, incessant cursing, and claiming to be possessed by gods or ghosts. Moxa the middle of the dorsal spinous processes three times, repeat moxibustion. This is the method of Cang Gong, highly effective. (From *Qianjin Fang*)
Yaomu (Waist Eye) Acupoint: Treats Xiao Ke (Wasting-Thirst syndrome) and frequent urination. Moxa Yaomu acupoint. Located three cun below Shenshu (BL23), also on both sides of the spine, one and a half cun from the midline. Locate by pressing with fingers to find depressions. (From *Qianjin Fang*) Press with fingers to find the depression. (From *Qianyi Fang*)
Note: *Qianjin Fang* states: "For Xiao Ke with frequent urination, moxa one point at the central intervertebral space of the spine, and two points above and below Yaomu, totaling three points."
Yaomu (Waist Eye) Acupoint: Treats lower back pain. Moxa Yaomu acupoint seven times. Located above the sacrum, approximately on the left and right sides. (From *Qianjin Fang*)
Yaoyan (Waist Eye) Acupoint: Also known as Guiyan (Ghost Eye). (From *Zhenjiu Dacheng*) Also known as Guihai. (From *A Shi Yao Xue*) Have the patient lie flat. Mark two points in the depressions of the waist eyes with a pen. Moxa seven cones at each point. This point is not recorded in other books but is documented in *Jujia Biyong*, stating it has been tested repeatedly with success. (From *Leijing*)
Note: The three points below Yaomu are likely the same point. *Zhenjiu Dacheng* states: "Guiyan acupoint specifically treats tuberculosis worms." Have the patient raise their arms upward and turn slightly backward; two depressions will appear on the waist. *Jujia Biyong* states: "To treat severe and difficult-to-cure consumption diseases, on the Guihai day, just before the third watch of the night, have the patient lie flat. Use a thin stick to mark two points in the waist eyes. Moxa seven cones at each point, tested repeatedly with success." *Leijing* states: "On the Guihai day, just before midnight, when the six spirits gather, do not let others know. Have the patient remove lower garments, raise arms upward, and turn slightly backward; slight depressions will naturally appear on both sides of the waist. This is called the Ghost Eye acupoint, commonly known as the Waist Eye. Stand upright, mark with ink, then lie face down on the bed. Moxa seven cones with small moxa cones, or nine, or eleven cones is best. The worms will be expelled through vomiting or diarrhea. Burn and discard them far away to avoid infection. This is easier and more effective than the Sihua points." Okamoto's *A Shi Yao Xue* states: "Also known as Guihai."
Dingzhui (Vertex Vertebra): (From *Qianjin Fang*)
Spinal Central: Treats Xiao Ke (Wasting-Thirst syndrome) and frequent urination. Moxa the tips of the little fingers of both hands and the little toes of both feet, and Dingzhui is good. Also moxa one point at the central intervertebral space of the spine, and two points above and below Yaomu, totaling three points. (From *Qianjin Fang*)
Note: *Qianjin Yi Fang*'s Huang Moxibustion method involves moxing seven cones above the Zhiji vertebra, likely the same location.
Dushu (Governor Back-Shu) Acupoint: Also known as Gaogai. (From *Zisheng Jing*) Located below the sixth thoracic vertebra, half a cun on each side. General moxibustion. (From *Zisheng Rumen*) Locate while sitting upright. (From *Yizhong Jinjian*) Contraindicated for acupuncture. (From *Zisheng Jing*)
Note: *Zisheng Jing*, in the second row of Back-Shu points, notes that *Tongren Jing* lacks this point, but *Mingtang Jing* has it. It is now included based on *Mingtang Jing*, suggesting *Tongren* might be incomplete. *Leijing* records one and a half cun as two cun. *Rumen* suggests moxing three cones, governing cold-heat heart pain, abdominal pain, borborygmus, and rebellious qi. Gaogai shares the name with Shenshu.
Qihai Shu (Sea of Qi Back-Shu) Acupoint: Located below the fifteenth thoracic vertebra, one and a half cun on each side. General moxibustion. (From *Zisheng Rumen*) Locate while sitting upright. (From *Zhenjiu Dacheng*)
Note: *Leijing* records one and a half cun as two cun. *Rumen* enters the Foot-Taiyang Bladder Meridian, governing lower back pain and hemorrhoids/fistulas. *Zisheng Jing* states: *Mingtang Jing* has Qihai Shu, but *Tongren* does not, suggesting *Tongren* might be incomplete.
Guanyuan Shu (Gate of Origin Back-Shu) Acupoint: Located below the tenth thoracic vertebra, one and a half cun on each side. General moxibustion. (From *Zisheng Rumen*) Locate while lying prone. (From *Zhenjiu Dacheng* *Yizhong Jinjian*)
Note: *Leijing* records one and a half cun as two cun. *Rumen* enters the Foot-Taiyang Bladder Meridian, governing wind-lao lower back pain, diarrhea/dysentery with distension, difficulty urinating, and various gynecological disorders like masses. *Zisheng Jing* states: *Mingtang Jing* has Guanyuan Shu, but *Tongren* does not, suggesting *Tongren* might be incomplete.
Gu (Bone) (Secondary Note New Correction): See Jiawei (Shoulder Well) below.
Zhongshu (Central Pivot) Acupoint: (Secondary Note)
Lingtai (Spirit Platform) Acupoint: (Secondary Note)
Yangguan (Yang Gate) Acupoint: (Secondary Note)
Que Shu (Palace Gate Back-Shu) Acupoint: (From *Qianjin Fang*) Also known as Jueyin Shu. (From *Zisheng Jing*)
The above four acupoints are recorded on the midline of the back.
Duji (Governor Spine) Acupoint: Treats pediatric convulsions and opisthotonos. Moxa Dazhui (GV14), all Zang Back-Shu points, and Duji along the governor vessel from Dazhui to the coccyx. Measure from Dazhui to the coccyx, considering the curvature. Moxa the head of the measured length. These are twelve points on the right back. For children under ten years old, moxa three cones; for those over one month, moxa five cones. (From *Qianjin Fang*)
Wu Shu (Five Back-Shu) Acupoints: (From *Suwen*) See below [Acupoint Name].
Jinggong (Essence Palace) Acupoint: (From *Rumen*) See below Zhishi (BL52).
Pigen (Root of Masses) Acupoint: Specifically treats abdominal masses. Located below the thirteenth thoracic vertebra, three and a half cun lateral. Moxa heavily on the left side; if present on both sides, moxa both. (From *Rumen*) Locate by palpating for movement. Approximately level with the umbilicus. (From *Leijing*)
Zhongkong (Hollow Center) Acupoint: Measure three cun down from Shenshu (BL23), three cun lateral on each side. This is the Zhongkong point of the Bladder Meridian. (From *Zhenjiu Dacheng*)
Note: The annotation "not in the center" is incorrect.
Xiaji Shu (Lower Pole Back-Shu) Acupoint: Below the fifteenth thoracic vertebra, named Xiaji Shu. Governs abdominal diseases, lower back pain, bladder cold-fluid retention flowing downward. Moxa based on the patient's age. (From *Qianyi Fang*)
Note: *Nanjing* mentions "Lower Pole..." Huashou stated: "Between the two yin, the place of Pingyi." This differs from the current context. *Qianjin Fang* lacks the fifteenth vertebra and the character "Zhong".
Jianshang (Above Shoulder) Acupoint: Four cun below Pishu (BL20), flanking the spine, one and a half cun. Two points. (From *Qianyi Fang*)
Jibei Wu Xue (Five Back Acupoints): (From *Leijing*) Method for treating adult mania and pediatric convulsions. Moxa the second thoracic vertebra and the lower pole bone, two points. Measure the middle with a string and break it at one end; this is on the spinal bone. Total three points. Then fold this string into three equal parts, combining them like a 'Y' shape. Place one corner at the center, moxa the lower two corners, flanking the spine. Total five points. Mark the moxa sites with cinnabar. Moxa 100 cones at each of the five points. Bamboo splints are better than strings for measurement. (From *Qianjin Fang* citing *Waitai Mi Yao*)
Jiaji (Flanking Spine) Acupoint: Treats cholera with muscle cramps. Have the patient lie face down, extend arms along the body. Measure horizontally between the elbows with a string. Below the string, flank the spine, one and a half cun apart. Moxa 100 cones; no case fails to heal. (From *Qianyi Fang*)
Note: Annotation states: "*Zhouhou Fang* says: This is Hua Tuo's method."
Zhuoyu (Turbid Bath) Acupoint: Flanking Danshu (GB19), five cun apart. (From *Qianjin Fang*)
Note: *Qianjin Fang* states: Treats gallbladder disease in the chest. *Qianjin Yi Fang* agrees.
Xiaoyao (Lower Waist) Acupoint: In the center of Bagui, on the spinal bone. More moxa is better. Sanzonggu (Three Ancestral Bones) contraindicates acupuncture. (From *Qianjin Fang*)
Note: *Qianjin Fang* states: For chronic dysentery, loss of gas, and cold due to labor, moxify Xiaoyao 100 cones, repeated three times. *Qianjin Yi Fang* lacks the character "Yang". Also, Bagui and Sanzonggu are unclear. *Dongyi Bojian* writes "Kui" as "...", which makes slightly more sense.
Rongwei Si Xue (Four Ying-Wei Acupoints): Treats difficulty in urination and defecation, impending abdominal pain. Moxa the four Rongwei acupoints, 100 cones. Located one cun on four sides of the spinal column. (From *Qianjin Fang* *Qianyi Fang*)
Note: "Four sides of the spinal column" is unclear, possibly a textual error. *Yixue Gangmu* states: One cun eight fen on four sides of the spinal column, three cun below the waist eye, four cun apart flanking the spine, four points on each side. Moxa 10 to 100 cones.
Huiqi (Returning Qi) Acupoint: Treats five types of hemorrhoids with blood in stool and fecal incontinence. Moxa Huiqi 100 cones. Located above the coccyx. (From *Qianjin Fang*) Below the junction of red and white skin. (From *Leijing*)
Note: *Qianjin Yi Fang* writes "Hui" as "...", stating: "For five types of hemorrhoids with blood in stool and fecal incontinence, moxa Huiqi 100 cones, above the coccyx, below the junction of red and white skin. Moxa the coccyx; more is better." The junction of red and white skin likely refers to the area of excrement. *Leijing* adds "skin", stating: "Above the coccyx, below the junction of red and white skin." Further note: There seems to be no junction of red and white skin directly above the coccyx. Is Zhang's view correct?
Tuangang (Round Hill) Acupoint: Treats abdominal heat obstruction, intermittent difficulty in urination and defecation, lower back pain radiating to the chest. Moxa Tuangang 100 cones. Located two cun below Xiaochangshu (BL27), three cun horizontally. Apply moxibustion. (From *Qianjin Fang*)
Note: *Qianjin Yi Fang* writes "Fu" as "Fuzhong", similar to Zhonglv acupoint. *Yixue Gangmu* and *Dongyi Bojian* write "Huangan".
Houye (Posterior Axilla) Acupoint: Treats neck fistula. On both sides of the back, at the posterior axillary fold. (From *Leijing* citing *Qianjin Fang*) Between the two tendons at the posterior axillary margin, governing pain radiating from the lateral axilla and arm spasm preventing overhead movement. (From *Waitai Mi Yao*)
Note: *Leijing* writes "Houye Xia Xue". *A Shi Yao Xue* states: "Neck fistula is what is now called goiter, or scrofula fistula."
Jieji (Connecting Spine) Acupoint: Treats pediatric dysentery with red and white discharge, rectal prolapse in late autumn, and unbearable abdominal pain during defecation. Moxa the interspace below the twelfth thoracic vertebra, named Jieji acupoint. Moxa one cone, size of a wheat grain. (From *Mingtang Jing*)
Jiafeng (Scapular Seam) Acupoint: Below the end of the back bones, directly below the tip of the axillary seam, and two and a half cun down the arm. Reduce by six breaths. Governs shoulder and back pain radiating to the scapula. (From *Yigang*)
Note: *Yutong Fu* states: "Shoulder and back pain, Wushu combined with Beifeng." *Baojian* lacks "two and a half cun".
Beilan (Back Basket) Acupoint: Highly effective for malaria. Have the patient stand barefoot on a flat surface, feet together. Use a rope, measure around the ankles, cut it. Pass it over the top of the head, across the back to the ends of the two ropes, at the spinal bone. This is the acupoint. Mark it first. When the fever is about to start, urgently moxa 21-30 cones. The chills and fever will stop spontaneously. This method was taught by a master, miraculous and indescribable, named Beilan acupoint. (From *Shoushi Baoyuan*)
Weicui (Tail Emerald) Acupoint: Three cun above the coccyx, in the bony depression. (From *Mingtang Jing*)
Note: Same as Changqiang (GV1). "Above the bone" likely refers to above the coccyx.
Shen Baxie Xue (Eight Evil Acupoints of the Body): *Waike Quanshu* states: Eight Evils of the Body.
1. Jianjing (GB21): On both sides of the neck.
2. Fengmen (BL12): Flanking the spine, opposite the fourth thoracic vertebra.
3. Feishu (BL13): Flanking the spine, opposite the fifth thoracic vertebra.
4. Quze (PC3): In the crease of both arms.
Note: Fourth and fifth segments should be second and third segments.
Twenty-Second Thoracic Vertebra Sides: Governs stiffness and inconvenience of the waist and back, tendon spasms and bi-syndrome contraction, deficiency heat and obstruction. Moxa based on the patient's age. One and a half cun on each side. (From *Qianyi Fang*)
Note: The spine has twenty-one vertebrae, according to ancient and modern consensus. If it says twenty-two, is it counting the cervical vertebrae? Likely an error.
Sihuan Hunmen (Four Flowers Patient Gate) Acupoint: Also known as Liuhua. (From *Youyou Xinshu*)
Su Shen Liangfang states: Thirty methods of moxibustion for bone-steaming, Cui Chengxiang's moxibustion for lao, *Waitai Mi Yao*, Cui Xiang family prescription, and Wang Baochen's experience prescriptions are all compiled, but contain errors. A stone inscription in Kunling Commandery is the most detailed. I collected various texts and collated this book. This ancient prescription is very precise. Treating people according to this has never failed, often curing with a single session. I suffered from chronic deficiency and emaciation in Xuancheng and was cured using this.
Preface by Cui Zhi Ti, Vice Director of the Secretariat in Tang Dynasty: All living beings receive qi from the Five Elements (*Waitai* writes "always same meaning"), form life, and decline due to six illnesses (*Wan'an Fang* writes "yu"). Qi and Huang record extensively (*Waitai* writes "suppress"). Ancient classics advocate both attacking and moxibustion, highlighting this technique. Bone-steaming disease is also called Chuan Shi (Transmitting Corpse), also known as..., also called Fu Lian (*Wan'an Fang* writes "Si Bai"), also known as Wu Gu (*Wan'an Fang* lacks these four characters). Men root in stubborn qi, women root in blood and qi. Regardless of age (*Wan'an Fang* writes "old"), many contract this disease. Infants and children suffer more from transmission. Symptoms include dry and erect hair (*Wan'an Fang* writes "exposed ears"), clustering or dispersing, abdominal masses, or lumps on both sides of the back of the head, up to five or six. Night sweats, dreams of intercourse with ghosts, clear vision but weak limbs, upper jiao qi rebellion, poor appetite, gradual emaciation. Even if prolonged, eventually leads to... death. I once served as Sima of Luo Prefecture and treated thirteen people in thirty days with moxibustion, with over two hundred recovering. As for fox bone and otter liver, only heard of past sayings; gold teeth and copper noses rarely show efficacy. This prescription, however, supports the critical and saves the urgent, not just targeting bone-steaming, but also treating qi, wind, miasma, lao, evil, etc. The symptoms are broad, and moxibustion treatment (*Wan'an Fang* writes "live") cannot be fully described. Briefly outlining the general idea, fearing transmission errors misleading future generations, I now provide diagrams and shapes so readers can easily understand, allowing dissemination and home use without needing to seek famous doctors or expensive medicines. Returning souls and reviving spirits, how difficult is it? Encountering such diseases, how can one neglect it? (Chen Shixian *Jishi Liangfang* states: Qingnang Jing says, for this Sihua acupoint method, physicians must be precise in locating points, patients must be cautious in maintenance, otherwise how can it be effective? Male and female five labors and seven injuries, qi deficiency and blood weakness, bone-steaming and night sweats, haggard appearance, cough with phlegm and wheezing, five centers vexing heat, various deficiencies and frailty, abdominal accumulations and chronic stubborn diseases, whatever is seen, all are treated.)
Acupoint Location Method:
First, determine (Wan'an Fang writes "two") points. Have the patient stand straight. Take a thin rope, wax it to prevent stretching or shrinking (above six characters, *Shengji Zonglu* *Wan'an* fine note). Place it against the sole of the foot, step firmly on it. Left for men, right for women (above four characters, *Shengji* *Wan'an* fine note). Align the front end of the rope with the tip of the big toe, align the back end with the center of the heel (*Shengji* *Wan'an* writes "gen"). Pull the rope backward, along the calf (*Wan'an* writes "du"), sticking to the skin, straight up to the transverse crease in the popliteal fossa (Waitai writes "..."), and cut. Have the patient untie their hair, part it on both sides, revealing the head suture (*Jishi Liangfang* has "open"). Let (Jishi Liangfang writes "must") see the head suture. From the fontanelle, divide equally to the back of the head. Sit upright. Take one end of the previously cut rope, align with the tip of the nose. Pull the rope upward, following the head suture to the back of the head, hang down against the skin, follow the spinal bone, pull the rope downward to the end of the rope. Mark the point on the spinal bone with ink (ink mark is not the moxa site). Take another rope. Have the patient close their mouth. Place the rope on the mouth, ends reaching (Shengji has two characters) the lips. Bend (Shengji Wan'an writes "hook") the center of the rope to the root of the nasal bridge, forming a lambda shape. This aligns with the lips. Cut. Straighten this rope. Measure horizontally from the previous ink mark on the spinal bone (Yixue Zhengchuan writes "measure"). Take level, do not allow high or low. Fold the rope in half in the middle, mark with ink. Unfold and measure horizontally. Align the ink mark on the rope with the ink mark on the spinal bone. Level both ends. Do not allow high or low. Mark the two ends of the rope with white circles. White circles are the moxa points (above six characters, Wan'an fine note).
This is the first time marking two points.
Note: *Daquan* states: These are moxa points, named Huanmen two points. Huanmen originated here. *Rumen* states: If women have small feet making measurement difficult, take the right Jianjing acupoint, measure against the skin to the tip of the middle finger. Alternatively, moxa Gaohuang, which is also excellent. Next moxa Sihua, nothing is ineffective. *Leijing* cites this saying: Ideally suitable, but not Huanmen, cannot follow. Also states: Women can substitute with Gaohuang, also acceptable, but not Huanmen, cannot follow. *Shiyao Shenshu* states: Women with bound feet are short/small, not natural. If adding the foot-measuring rope to the head, it will definitely fall short. Now attach to the right Jianjing acupoint, mark, pull rope down to the tip of the middle finger, cut to replace foot measurement.
Next two points: Have the person sit upright, slightly retract arms. Take one (Jishi Liangfang has "wax") rope, wrap around the neck forward, hanging double, level with Jiawei. Jiawei is the xiphoid process. Some people lack a distinct xiphoid process; measure one cun down from the bifurcation of the anterior chest ribs to find Jiawei. Double cut the rope. Turn (Shengji writes "spine") the rope ends toward the back of the head. Find the center of the rope, align exactly with the thyroid cartilage (laryngeal prominence). Hang the two ends of the rope along the neck, follow the spinal bone, mark with ink (ink mark is not the moxa point). Take another rope. Have the person close their mouth, measure horizontally across the lips (Jiliangfang has four characters resembling a symbol). Cut. Return to the spinal bone (Wan'an has "yi") ink mark (Shengji has "chu") and measure horizontally, starting (Shengji writes "as above") method. Mark the two ends of the rope with white circles. White circles are the moxa points (Leijing states: This is Sihua, left...).
This is the second time marking points. Total four points including previous ones. Moxa simultaneously. Seven cones daily, up to fourteen cones. Accumulate moxa to 100 cones, or 150 cones is wonderful. Wait until the moxa blisters are about to heal, then follow the later method to moxa two points.
Next two points: Using the rope used in the second step to measure the lips, at the end of the double rope heads from the second step, on the ink mark, directly above and below the spinal bone, vertically mark the center (Yixue Zhengchuan lets rope center stop, writes "its rope three characters"). Center on the ink mark. At the ends of the upper and lower ropes (Zhengchuan writes "place"), mark two points with white circles. White circles are the moxa points.
This is the third time, marking two points, called Sihua. Moxa two points, 100 cones each. Three times total six points. Each taken on a Li day. After measurement, only March 3rd mugwort is best. Within 100 days of recovery, avoid food, drink, and sexual activity. Stay calm and quiet, rest properly. If after one month (Shengji writes "100 days") still not healed, re-moxa the initial points.