问∶灸穴须按经取穴,其气易连而其病易除,然人身三百六十五络,皆归于头,头可多
灸欤?灸良已,间有不发者,当用何法发之?
尝谓穴之在人身也,有不一之名,而灸之在吾人也,有至一之会。盖不知其名,则昏谬
无措,无以得其周身之理,不观其会,则散漫靡要,何以达其贯通之原。故名也者,所以尽
乎周身之穴也,固不失之太繁;会也者,所以贯乎周身之穴也,亦不失之太简。人而知乎此
焉,则执简可以御繁,观会可以得要,而按经治疾之余,尚何疾之有不愈,而不足以仁寿斯
执事发策,而以求穴在乎按经,首阳不可多灸及所以发灸之术,下询承学,是诚究心于
民瘼者。愚虽不敏,敢不掇述所闻以对。尝观吾人一身之气,周流于百骸之间,而统之则有
其宗,犹化工一元之气,磅因礴于乾坤之内,而会之则有其要。故仰观于天,其星辰之奠丽,
不知其几也,而求其要,则惟以七宿为经,二十四曜为纬;俯察于地,其山川之流峙,不知
其几也,而求其要则惟以五岳为宗,四渎为委,而其他咸弗之求也。天地且然,而况人之一
身?内而五脏六腑,外而四体百形,表里相应,脉络相通,其所以生息不穷,而肖形于天地
者,宁无所网维统纪于其间耶!故三百六十五络,所以言其烦也,而非要也;十二经穴,所
以言其法也,而非会也。总而会之,则人身之气有阴阳,而阴阳之运有经络,循其经而按
之,则气有连属,而穴无不正,疾无不除。譬之庖丁解牛,会则其凑,通则其虚,无假斤斫
之劳,而顷刻无全牛焉。何也?彼固得其要也。故不得其要,虽取穴之多,亦无以济人;苟
得其要,则虽会通之简,亦足以成功,惟在善灸者加之意焉耳。自今观之,如灸风而取诸风
池、百会,灸劳而取诸膏肓、百劳;灸气而取诸气海;灸水而取诸水分;欲去腹中之病,则
灸三里;欲治头目之疾,则灸合谷;欲愈腰腿,则取环跳、风市;欲拯手臂,则取肩
、曲池。其他病以人殊,治以疾异,所以得之心而应之手者,罔不昭然,有经络在焉。而得
之则为良医,失之则为粗工,凡以辨诸此也。至于首为诸阳之会,百脉之宗,人之受病固多
,而吾之施灸宜别,若不察其机而多灸之,其能免夫头目旋眩、还视不明之咎乎?不审其地
而并灸之,其能免夫气血滞绝、肌肉单薄之忌乎?是百脉之皆归于头,而头之不可多灸,尤
按经取穴者之所当究心也。若夫灸之宜发,或发之有速而有迟,固虽系于人之强弱不同,而
吾所以治之者,可不为之所耶?观东垣灸三里七壮不发,而复灸以五壮即发,秋夫灸中脘九
壮不发,而渍以露水,熨以热履, 以赤葱,即万无不发之理,此其见之《图经》《玉
枢》诸书,盖班班具载可考而知者。吾能按经以求其原,而又多方以致其发,自无患乎气之
不连,疾之不疗,而于灼艾之理,斯过半矣。抑愚又有说焉,按经者法也,而所以神明之者
心也。苏子有言∶一人饮食起居,无异于常人,而愀然不乐,问其所苦,且不能自言,此庸
医之所谓无足忧,而扁鹊、仓公之所望而惊焉者。彼惊之者何也?病无显情,而心有默识,
诚非常人思虑所能测者。今之人徒曰∶吾能按经,吾能取穴。而不于心焉求之,譬诸刻舟而
求剑,胶柱而鼓瑟,其疗人之所不能疗者,吾见亦罕矣。然则善灸者奈何?静养以虚此心,
观变以运此心,旁求博采以旷此心,使吾心与造化相通,而于病之隐显,昭然无遁情焉。则
由是而求孔穴之开合,由是而察气候之疾徐,由是而明呼吸补泻之宜,由是而达迎随出入之
机,由是而酌从卫取气,从荣置气之要,不将从手应心,得鱼兔而忘筌蹄也哉!此又岐黄之
秘术,所谓百尺竿头进一步者,不识执事以为何如?
Question: Moxibustion acupoints must be selected according to the meridians, so that the Qi can easily connect and the disease can be easily eliminated. However, all 365 collaterals of the human body converge at the head; can the head be frequently moxibusted? If the moxa does not blister after application, what method should be used to induce blistering?
I have said that acupoints on the body have various names, while for the practitioner performing moxibustion, there is a supreme unity in understanding. If one does not know the names, one becomes confused and at a loss, unable to grasp the principles of the whole body; if one does not observe their convergence, one becomes scattered and misses the essentials, how can one reach the source of integration? Therefore, "names" are used to exhaustively cover all acupoints of the body, without being overly complex; "convergence" is used to integrate all acupoints of the body, without being overly simple. If one understands this, one can manage complexity with simplicity and grasp essentials through convergence. Thus, beyond treating diseases according to the meridians, what disease would remain incurable, failing to achieve benevolence and longevity?
You raise this inquiry, emphasizing that acupoint selection must follow the meridians, stressing that the head should not be frequently moxibusted, and asking about methods to induce blistering from moxibustion, questioning scholars. This truly reflects a concern for the people's ailments. Though I am not intelligent, how dare I not recount what I have heard in response?
I have observed that the Qi of our body circulates among the hundred bones, yet it has a central master; just as the primordial Qi of creation surges within heaven and earth, its convergence has key points. Looking up at the sky, the distribution of stars is countless, but seeking the essence, we take the Seven Mansions as the longitude and the Twenty-four Lunar Lodges as the latitude. Looking down at the earth, the flow and standing of mountains and rivers are countless, but seeking the essence, we take the Five Great Mountains as the center and the Four Rivers as the tributaries, ignoring others. Even heaven and earth are thus, let alone the human body! Internally, the Zang-Fu organs; externally, the four limbs and forms. The exterior and interior correspond, and the meridians connect. Why do they generate endlessly and mirror heaven and earth? Is there no network or discipline governing them? Thus, the 365 collaterals describe complexity, not essence; the twelve meridian acupoints describe rules, not convergence. Summarizing, the Qi of the body has Yin and Yang, and the movement of Yin and Yang involves the meridians. Following the meridians and pressing them ensures Qi connectivity and correct acupoint placement, eliminating diseases. It is like Cook Ding carving an ox: following the natural gaps, he needs no axe, and in an instant, the ox is disassembled. Why? Because he grasped the essence. Without the essence, even many acupoints cannot save people; with the essence, even simple convergence suffices for success. It depends only on the skilled moxibustionist paying attention.
From current perspectives: for wind, select Fengchi (GB20) and Baihui (GV20); for consumptive disorders, select Gao Huang (BL43) and Bailao (EX-B1); for Qi disorders, select Qihai (CV6); for Water disorders, select Shuifen (CV9); to remove abdominal diseases, moxify Zusanli (ST36); to treat head and eye diseases, moxify Hegu (LI4); to cure waist and leg issues, select Huantiao (GB30) and Fengshi (GB31); to rescue arm issues, select Jianliao (TE14/SJ14) and Quchi (LI11). Other diseases vary by person and treatment varies by illness. What is understood in the mind manifests in the hand, clearly due to the meridians. Grasping this makes one a good physician; losing it makes one a crude worker. As for the head being the convergence of all Yang meridians and the ancestor of all vessels, although diseases are numerous, our moxibustion should be distinct. If one does not examine the mechanism and frequently moxibusts the head, can one avoid dizziness and blurred vision? If one does not examine the location and applies moxibustion indiscriminately, can one avoid the taboos of stagnant Qi and blood and thin muscles? Therefore, although all vessels converge at the head, the head should not be frequently moxibusted, which is what those selecting acupoints by meridians should study deeply.
Regarding the induction of blistering, whether fast or slow depends on the patient's strength, but our treatment methods should not be neglected. Li Dongyuan moxified Zusanli (ST36) for seven burns without blistering, then added five more burns, causing blistering. Qiufu moxified Zhongwan (CV12) for nine burns without blistering, then soaked it in dew, warmed it with hot shoes, and applied crushed red scallions, ensuring blistering. These are recorded in *Tu Jing* and *Yu Shu*, clearly documented and verifiable. If I seek the origin according to the meridians and use various methods to induce blistering, I need not worry about unconnected Qi or untreated diseases, mastering half the principles of moxibustion.
Furthermore, I have another view: following meridians is the rule, but the mind is what makes it divine. Su Zi said: A person lives normally but is sorrowful; asking where they hurt, they cannot say. This is considered harmless by mediocre physicians but alarming to Bian Que and Cang Gong. Why alarming? The disease has no obvious signs, but the mind recognizes it silently, beyond ordinary thought. Now people say: I can follow meridians, I can select acupoints. But they do not seek in the mind. This is like carving the boat to find the sword or gluing the tuning pegs to play the lute. Rarely do I see them curing what others cannot. So what should a skilled moxibustionist do? Cultivate stillness to empty the mind, observe changes to utilize the mind, and seek widely to broaden the mind. Let the mind connect with creation, clearly perceiving the hidden and manifest aspects of disease. Then, by seeking the opening and closing of acupoints, observing the speed of climate/Qi, clarifying the appropriateness of respiratory tonification and sedation, reaching the mechanism of following and opposing insertion, and weighing the essentials of taking Qi from Wei and placing Qi from Ying, will one not achieve hand-mind correspondence and forget the trap after catching the fish? This is the secret art of Qi Bo and Huang Di, stepping forward from the top of a hundred-foot pole. I wonder what you think?