下经云、古来灸病。忌松柏枳橘榆枣桑竹八木。切宜避之。有火珠曜日。以艾承之得火
。次有火镜耀日。亦以艾引得火。此火皆良。诸蕃部落用镔铁击KT 石得火出。以艾引之。凡人卒
难备。即不如无木火。清麻油点灯。灯上烧艾茎点灸是也。兼滋润灸疮。至愈不疼痛。用蜡
良方云、凡取火者。宜敲石取火。(今舟行人以铁钝刀击石穴。以纸灰为火丸。在下承
之。亦得火。)或水精镜于日得太阳火为妙。天阴则以槐木取火。
下经云、凡着艾得疮发。所患即瘥。不得疮发。其疾不愈。甲乙经云、灸疮不发者。用
故履底灸令热。熨之。三日即发。今用赤皮葱三五茎去青。于 火中煨熟。拍破。热熨疮十余遍
。其疮三日自发。予见人灸不发者。频用生麻油渍之而发。亦有用皂角煎汤。候冷、频点之
而发。亦有恐气血衰不发。于灸前后煎四物汤服。以此汤滋养气血故也。盖不可一概论也。
予尝灸三里各七壮。数日过不发。再各灸两壮。右足发。左足不发。更灸左足一壮。遂发两
月。亦在人以知取之。若任其自然。则终不发矣。此人事所以当尽也。
凡着灸住火。便用赤皮葱薄荷煎汤。温洗疮周回约一二尺。令驱逐风气于疮口出。兼令
往来不滞。自然疮坏疾愈。(今人亦有恐水杀人。不用汤淋。)若灸疮退火痂后。用东南桃枝
青嫩柳皮煎汤温洗。能护疮中诸风。若疮内黑烂。加胡荽煎。若疮疼不可忍。多时不较。加黄连煎神效。
凡贴灸疮。春用柳絮。夏用竹膜。秋用新棉。冬用兔腹上白细毛。猫儿腹毛更佳。今人多以
膏药贴之。日三两易。全不疼。但以膏药贴。则易干尔。若要脓出多而疾除。不贴膏药尤佳。
The *Xia Jing* (Classic of Lower Antiquity) records: Since ancient times, when treating diseases with moxibustion, it is taboo to use the wood of eight types of trees: pine, cypress, zhi tree, orange, elm, jujube, mulberry, and bamboo. One must strictly avoid these woods. If there is a fire pearl focusing sunlight, mugwort placed beneath it can be ignited; alternatively, a fire mirror reflecting sunlight can also ignite mugwort. These sources of fire are all excellent. Various ethnic tribes strike Bangteng iron against Kong stone (a phosphorus-containing ore) to produce sparks, which are then used to ignite mugwort. Ordinary people find it difficult to prepare such tools at all times, so it is better not to use wood fires. Instead, one may light a lamp with pure sesame oil and burn the stem of mugwort on the lamp for moxibustion. This method moistens the moxa sore, ensuring no pain until healing is complete.
The *Yong La Liang Fang* (Good Prescription for Using Wax) records: For obtaining fire, it is advisable to strike stones to create fire. (Currently, boatmen strike a hole in a stone with a blunt iron knife and place paper ash pellets below to catch the spark, thereby obtaining fire.) Or, using a crystal lens to focus sunlight to obtain solar fire is optimal. On cloudy days, locust wood is used to obtain fire.
The *Xia Jing* records: Whenever moxibustion induces a sore, the afflicted disease will heal; if no sore develops, the disease will not resolve. The *Jia Yi Jing* (Classics of Jia Yi) records: For moxa sores that do not develop, apply a hot old shoe sole to the area by ironing it; the sore will emerge within three days. Currently, take three to five stalks of red-skin green onion, remove the green skin, roast them in fire until cooked, crush them, and apply them hot to the moxa sore for more than ten repetitions. The sore will naturally emerge within three days. I have seen cases where moxa sores did not develop despite treatment; frequent application of raw sesame oil to the area induced emergence. Others used decoction of Gleditsia sinensis (Tiao Ji Dao), cooled, and applied frequently to induce emergence. Some feared deficiency of qi and blood preventing sore development, so they administered Si Wu Tang (Four Substances Decoction) before and after moxibustion, as this decoction nourishes qi and blood. Generally, one cannot apply a uniform rule. I once moxicated both Zusanli (ST36) acupoints seven moxa cones each. After several days, no sore had developed, so I added two cones to each. The right foot developed a sore, but the left did not. I added one cone to the left foot, and both developed within two days. This depends on human adaptability and intervention. If left to nature, it would never develop. This is what human effort should strive to achieve.
After stopping moxibustion, one should immediately wash the area around the sore (approximately one or two chi) with a warm decoction of red-skin green onion and mint, to expel wind pathogens from the sore opening and ensure smooth circulation without stagnation, leading to natural ulceration and healing. (Some modern people fear water causes death and avoid washing with decoctions.) After the moxa sore crust falls off, wash with a warm decoction of peach branches from the southeast and tender willow bark to protect the sore from wind pathogens. If the sore becomes black and rotten inside, add Coriandrum sativum (Cilantro) to the decoction. If the pain is unbearable and persists for a long time, add Coptis chinensis (Huanglian) to the decoction for miraculous effect.
For dressing moxa sores: use willow catkins in spring, bamboo membrane in summer, new cotton in autumn, and white fine hair from rabbit bellies in winter; cat belly hair is even better. Nowadays, most people use medicated plasters, changing them two to three times daily, resulting in no pain. However, using only plasters tends to dry out the sore. To promote abundant pus discharge for disease resolution, it is especially better not to use plasters.