膏肓俞穴,无所不治,主羸瘦虚损,梦中失精,上气咳逆,狂或失志误。取穴之法,令
人正
上角摸索至胛骨下头,其间当有四肋三间,灸中间根据胛骨之里,肋间深处是穴。骨容侧指许
,摩肋肉之表筋骨空处,按之但觉牵引骨节动。灸两胛中各一穴,至六百壮,多至千壮,当
觉气下砻上然如若水状,亦当有所下出,非无停痰宿疾则无所下也。若病患已困不能正坐,
当
亦然。乃以前法灸之。若不能久正坐,常伸两臂,亦可伏衣袱上伸两臂。令人挽两胛骨,使相
离,不尔胛骨遮穴不可得也。所伏衣袱当令大小常定,不然则失其穴。此灸讫后,令人阳气康
盛,当消息以自补养,身体平复。其穴在五椎之上四椎之下,横去六寸许,相准望取之。论曰
∶昔秦缓不救晋侯之疾,以在膏之下肓之上,针药所不及,即此
也。孙真人笑其拙,不能求得此穴,所以宿 难遣。若能用心方便,必得灸之,无疾不愈矣
。具而明白备载于此,学人仔细详审,根据法取之,无不得其真穴也。一取穴法,医者先自坐
,以目平正,却于壁上以墨作一大圈,却令患者坐,常使其目视圈,无得斜视别处,此亦良
法也。令灸人正坐,曲脊伸臂根据法,医士以指揣颈后脊骨,一节为一寸,自一柱至五柱,
逐一墨点记,令上下端直分明。且人有颈骨者,亦有无者,当以平肩为一柱是也。以四柱至
五柱,用秆心比量两柱上下远近,折为三分,亦以墨界脊上柱间,取第四柱下二分微多,五
柱上一分微少,用笔点定,横过相去六寸之中,左右以为两穴,交下远近之准。大要两柱上
下,协议身寸一寸三分七缠微缩,有无大段长短不同,以参考《甲乙经》。自大杼至尾 ,
作二十一柱,量三尺之数分之。若柱节分明,纵之尺寸不同,穴以柱数为定。若人肥大背浓
,骨节难寻,当以平脐十四柱命门穴为准。上自大杼,下至命门,折为一十四柱,每柱一寸
三分,合其穴无不真矣。
\r取膏肓穴法图像一\ph-h29.bmp\r(此即钓股图法)
\r取膏肓穴法图像二\ph-h30.bmp\r
The Gohuangshu (Gao Huang Shu, BL43) acupoint is capable of treating all diseases. It primarily addresses emaciation and deficiency exhaustion, nocturnal seminal emission, rebellious Qi with coughing and counterflow, mania, or loss of mental clarity and errors in judgment. The method for locating the point is as follows: instruct the patient to sit upright. The practitioner palpates upwards until reaching the lower edge of the scapula. There should be four ribs and three intercostal spaces. The point is located deep within the intercostal space, adjacent to the medial border of the scapula. The space between bones accommodates approximately one finger's width. Palpating the empty space between tendons and bones on the surface of the intercostal muscles, pressure elicits a sensation of traction moving the vertebral joints. Moxibustion is applied to each of the two points located in the middle of the scapular regions, 600 moxa cones per point, up to 1,000 cones. One should feel the Qi sinking downward, resembling the flow of water, and pathological products such as phlegm should be expelled. If there are no stagnant phlegm or chronic ailments, nothing will be expelled. If the patient is too weak to sit upright, the same procedure applies. Use the aforementioned method for moxibustion. If the patient cannot sit upright for long periods, they may extend both arms frequently, or lie prone on a cloth pad with arms extended. An assistant should pull the scapulae apart to separate them; otherwise, the scapulae will obscure the point, making it inaccessible. The cloth pad used for lying prone must remain fixed in size and position; otherwise, the accurate location of the point will be lost. After this moxibustion treatment, the body's Yang Qi recovers and flourishes. The patient should adjust their diet and lifestyle to nourish themselves, leading to physical recovery. The point is located above the fifth thoracic vertebra and below the fourth thoracic vertebra, approximately six cun laterally from the spine. Locate it according to standard measurements. It is stated: In ancient times, Bian Que (Yi Huan) failed to cure the Marquis of Jin because his disease was located "below the gao (heart fat) and above the huang (diaphragm fat)," where acupuncture and herbs could not reach. This refers to that very situation. Sun Simiao mocked him for being inept and unable to locate this point, which is why his chronic ailments persisted. If one applies oneself diligently to find the correct method, one can surely locate and moxibustate this point, and no disease will remain uncured. This is detailed and clearly recorded here. Students should examine it carefully and locate the point according to the method; the true point will invariably be found. Another method for locating the Gohuang point: The practitioner first sits down, looking straight ahead, and draws a large circle on the wall. The patient then sits and is instructed to gaze steadily at the circle without looking elsewhere. This is also an effective method. The person receiving moxibustation sits upright, bends the spine, and extends the arms according to the method. The practitioner palpates the spinous processes of the cervical and upper thoracic spine. Each segment is considered one cun. From the first to the fifth vertebra, mark each with ink dots, ensuring they are straight and distinct. Note that some individuals have prominent cervical vertebrae, while others do not; use the level of the shoulders as the reference for the first vertebra. Using the center of a reed stalk to measure the distance between the fourth and fifth vertebrae, divide this distance into three parts. Mark these divisions on the spine with ink. Take a point slightly more than two-thirds down from the fourth vertebra and slightly less than one-third up from the fifth vertebra, and mark it with a pen. Horizontally, across the midpoint of the six-cun lateral distance, mark the left and right points as the two locations, serving as the standard for vertical and horizontal alignment. Generally, the measurement between two vertebrae is approximately 1.37 cun (body inch), though individual heights vary; refer to the *Jia Yi Jing* (Classic of Acupuncture and Moxibustion by Huang Di Neijing Jia Yi). From the Dazhu (BL11) acupoint to the coccyx, there are twenty-one segments, measured against a three-chi length. If the vertebral segments are distinct, regardless of slight variations in linear measurement, the point location is determined by the vertebral count. If the person is obese with a thick back, making bony landmarks difficult to find, use the Mingmen (GV4) acupoint at the level of the umbilicus, corresponding to the fourteenth vertebra, as the standard. From Dazhu (BL11) above to Mingmen (GV4) below, divide into fourteen segments. Each segment is 1.3 cun. The resulting point locations will be accurate.
[Image Placeholder: Diagram for Locating Gohuang Point 1, i.e., Fishing Thigh Method]
[Image Placeholder: Diagram for Locating Gohuang Point 2]