脑虚冷、脑衄、风寒入脑。久远头疼等。亦宜灸囟会。
予年逾壮。 寒夜观书。每觉脑冷。饮酒过量。脑亦疼甚。后因灸此穴而愈。有兵士患
鼻衄
闻香臭等疾而已。故予书此。以补其治疗之阙。然以脑户不宜针观之。囟会亦不宜针。针经
止云、八岁以下不宜针。恐未尽也。
凡饮食不思。心腹膨胀。面色萎黄。世谓之脾肾病者。宜灸中脘。
诸葛亮夙兴夜寐。罚至二十皆亲览。而所啖食不至数升。司马仲达知其将死。既而亮卒
。仲
。曰、吾便料生。不便料死故也。其曰料生。盖料其事多而食不如前。死之兆也。食不如前
。仲达且知诸葛之且死。今人饮食减少。是胃气将绝。不可久生矣。方且常食肚石。使愈难
克化。服峻补药。使脾胃反热。愈不能食。初不知灸中脘等穴以壮脾胃。亦惑之甚也。（难
经论四时皆以胃气为本。释者曰。言五脏皆以胃气为本。胃者水谷之府。人须仰胃气为主也
。然则欲全生者。宜灸胃脘。）
久冷伤惫脏腑。泄利不止。中风不省人事等疾。宜灸神阙。
旧传有人年老而颜如童子者。盖每岁以鼠粪灸脐中一壮故也。予尝久患溏利。一夕灸三
。则次日不如厕。连数夕灸。则数日不如厕。足见经言主泄利不止之验也。又予年逾壮。觉
左手足无力。偶灸此而愈。后见同官说中风人多灸此。或百壮或三五百壮皆愈。而经不言主
脏气虚惫。真气不足。一切气疾。久不瘥者。宜灸气海。（铜）
人身有四海。气海血海照海髓海是也。而气海为第一。气海者、元气之海也。人以元气
为本。元气不伤。虽疾不害。一伤元气。无疾而死矣。宜频灸此穴。以壮元阳。若必待疾作而后
腑脏虚乏。下元冷惫等疾。宜灸丹田。
人有常言。七七之数。是旁太岁压本命。六十有一。是太岁压本命。人值此年。多有不
者。是固然矣。然传不云吉人吉其凶者乎。常观素问以六八之数为精髓竭之年。是当节其欲
矣。（千金云。五十者一月一泄。要之。四十八盒饭根据此。）千金载素女论、六十者闭精勿泄
。是欲当绝矣。宜节不知节。宜绝不能绝。坐此而丧生。盖自取之。岂岁之罪哉。人无罪岁
。则虽有孽。犹可违矣。所谓吉其凶者如此。虽不灸丹田可也。（丹田可灸七七壮或三五百
阳气虚惫。失精绝子。宜灸中极。
中极一名气原。盖气之原也。人之阳气虚惫者。可不灸此以实其气耶。（按难经云。丹
名大中极。言丹田取人之身上下四向最为中间也。故名为极。此亦曰中极。其去丹田只一寸
。虽未若丹田之最中。然不中不远矣。）
三里、治胃寒。心腹胀满。胃气不足。恶闻食臭。肠鸣腹痛。食不化。（铜）秦承祖云
、诸
病皆治。华佗云、疗五劳羸瘦。七伤虚乏。胸中瘀血。乳痈。（外台）明堂云、人年三十以
上。若不灸三里。令气上冲目。（明下云眼暗。）千云、主阴气不足。小腹坚。热病汗不出
。口苦壮热。身反折。口噤。腰痛不可顾。胃气不足。久泄利。食不化。胁下注满。不能久
立。狂言狂歌妄笑。恐怒大骂。霍乱。遗尿失气。阳厥凄凄恶寒云云。凡此等疾。皆刺灸之
。多至五百壮。少至二三百壮。
短剧云、四肢但去风邪。不宜多灸。七壮至七七壮止。不得过随年数。故铜人于三里穴
止云
灸三壮针五分而已。明堂上经乃云日灸七壮。止百壮。亦未为多也。至千金方则云多至五百
壮。少至二三百壮。何其多耶。要之、日灸七壮。或艾炷甚小。可至二七壮。数日灸至七七
壮止。灸疮既干。则又报灸之。以合乎若要安、丹田三里不曾干之说可也。必如千金之壮数
。恐犯短剧之所戒也。予旧有香港脚疾。遇春则足稍肿。夏中尤甚。至冬肿渐消。偶夏间根据素
问注所说穴之所在。以温针微刺之。翌日肿消。其神效有如此者。谬刺且尔。况于灸乎。有
此疾者。不可不知。此不止治足肿。诸疾皆治云。
涌泉治心痛不嗜食。妇人无子。男子如蛊。女子如妊娠。（千作如阻。）五指端尽痛。足
不得
履地。宜针灸。（铜）千云、主忽忽喜忘。身体腰脊如解。大便难。小便不利。足中清至膝
。咽中痛。不可内食。喑不能言。衄不止云云。
千金于诸穴皆分主之。独于膏肓三里涌泉穴特云治杂病。是三穴者，无所不治也。但明
堂云、若灸、废人行动尔。既欲愈疾。虽不行动数日。未为害也。
脾俞、治食多身瘦。泄利体重。四肢不收。腹痛不嗜食。（铜）
胃俞、治胃寒腹胀。不嗜食。羸瘦。（铜）
人之言曰、血气未动者。瘠甚而不害。血气既竭者。虽肥而死矣。则身之羸瘦。若未足
为人
之害者。殊不知人之羸瘦。必其饮食不进者也。饮食不进。则无以生荣卫。荣卫无以生。则
气血因之以衰。终于必亡而已。故难经疏云、人仰胃气为主。是人资胃气以生矣。五脏论云
、脾不磨食不消。是脾不壮、食无自而消矣。既资胃气以生。又资脾以消食。其可使脾胃一
日不壮哉。必欲脾胃之壮。当灸脾胃俞等穴可也。
心中风、狂走发痫语悲泣。心胸闷乱。咳唾血。宜针心俞。（铜）
难经疏言心为脏腑之主。法不受病。病则神去气竭。故手足为之清。（手足节冷。）名真
心痛
。旦发夕死。手足温者。名厥心痛。可急治也。故千金言心中风者、急灸心俞百壮。服续命
汤。必泥心俞不可灸之说。则无策矣。但心俞虽可针。若刺中心、一日必死。又岂易针耶。
必欲无此患。平居当养其心。使之和平。忧愁思虑。不使伤其神。乃策之上。必不免此。亦
当服镇心丹等药补助。乃其次也。
肾俞、治虚劳羸瘦。肾虚水藏久冷。小便浊、出精。阴中疼。五劳七伤虚惫。足寒如冰
。身肿如水。（铜）
难经疏云、夹脊骨有二肾。在左为肾。在右为命门。言命门者。性命之根本也。其穴与
脐平
。凡灸肾俞者、在平处立。以杖子约量至脐。又以此杖子当背脊骨上量之。知是与脐平处也
。然后相去各寸半取其穴。则是肾俞穴也。更以手按其陷中。而后灸之。则不失穴所在矣。
凡灸、以随年为壮。灸固有功。亦在人滋养之如何尔。人当爱护丹田。吾既于既效方论之详
矣。而妻外家之残害。盖未之及也。君子偕老之序曰、夫人淫乱。失事君子之道。故陈人君之
德。服饰之盛。宜与君子偕老也。宜偕老而不至偕老。夫人之罪多矣。故诗人以是刺之。意
可见也。至于士夫志得意满。不期骄而骄至。侍外家数十人。少亦三五辈。淫言亵语。不绝于
耳。不能自克。而淫纵其欲者多矣。为内子者。恬不之怪。人有问之者。则曰、自母言之。
则为贤母。自我言之。未免为妒妇人也。人或以此多之。其夫亦以为贤而不妒。孰知其不
妒
乃所以为祸之欤。虽然、二南之化。至于无妒忌而止。今而言此。岂求异于诗人耶。是不然
。古人十日一御。荀子、彼其不妒者。盖使媵外家得备十日一御之数尔。不妒则同。所以不妒
则异。吾故表而出之。以为夫妇之戒。固非求异于诗人也。
曲骨、主失精。五脏虚竭。灸五十壮。（千）明下云、但是虚乏冷极。皆宜灸。
骨髓冷疼。灸上廉七十壮。（千）
难经疏八会曰、腑会中管。治腑之病。脏会章门。脏病治此。筋会阳陵泉。筋病治此。
髓会
绝骨。髓病治此。血会鬲俞。血病治此。骨会大杼。（禁灸。）骨病治此。脉会太渊。脉病治
此。气会膻中。气病治此。然则、骨髓有病。当先大杼绝骨。而后上廉可也。
膀胱三焦津液少。大小肠寒热。（见腰痛。）或三焦寒热。灸小肠俞五十壮。三焦膀胱
肾中热气。灸水道随年。（千）
膏肓俞、主无所不疗。羸瘦虚损。梦中失精。上气咳逆。发狂健忘等疾。
膏肓俞无所不疗。而古人不能求其穴。是以晋景公有疾。秦医曰缓者视之曰、在肓之上
之下。攻之不可。达之不及。药不至焉。不可为也。晋侯以为良医。而孙真人乃笑其拙。为
不能寻其穴而灸之也。若季子豫之赤龙丹。又能治其膏肓上五音下之鬼。无待于灸也。是缓
非特拙于不能灸。亦无杀鬼药矣。其亦技止于此哉。
Brain deficiency cold, brain nasal bleeding (nosebleed originating from the head/brain area), wind-cold invading the brain, and long-standing headache, etc. Moxibustion at Xinhui (CV22) is also suitable.
When I was past my prime, reading books on cold nights, I often felt my brain was cold; after drinking excessively, my brain would also hurt severely. Later, I was cured by moxibustion at this acupoint. A soldier suffered from nosebleeds and loss of smell/taste, so I recorded this to supplement the gaps in treatment. However, considering that Naohu (GV16) should not be needled, Xinhui (CV22) should also not be needled. The *Needling Classic* (*Zhenjing*) only states that children under eight years old should not be needled here, which I fear is not comprehensive enough.
For those who have no appetite for food, abdominal distension, sallow complexion, commonly referred to as Spleen-Kidney disease, moxibustion at Zhongwan (CV12) is suitable.
Zhuge Liang rose early and slept late, personally reviewing even punishments of twenty strokes, yet his food intake did not reach several sheng (a unit of volume). Sima Zhida knew he was about to die. Soon after, Liang died. Zhida said, "I can predict his life, but not his death." By saying he could predict his life, it implies predicting that his affairs were numerous while his diet was less than before, which is a sign of impending death. Since Sima Zhida knew Zhuge Liang was dying because his diet decreased, now if people eat less, it indicates their Stomach Qi is about to perish, and they cannot survive long. Yet, they continue to eat hard-to-digest foods and take harsh tonifying medicines, causing the Spleen and Stomach to become hot and further reducing appetite. They initially do not know to moxa Zhongwan and other points to strengthen the Spleen and Stomach; this is indeed very confusing. The *Nan Jing* discusses that all four seasons rely on Stomach Qi as the root. Explainers say this means all five Zang organs rely on Stomach Qi as the root. The Stomach is the sea of water and grain; humans must rely primarily on Stomach Qi. Therefore, those who wish to preserve life should moxa the stomach region.
For chronic cold damaging the Zang-Fu organs, incessant diarrhea, stroke with loss of consciousness, etc., moxibustion at Shenque (CV8) is suitable.
Old legends say someone remained youthful in appearance despite old age, likely due to moxibustion with rat feces at the navel (Shenque) once per year. I once suffered from loose stools for a long time. After three moxa cones one night, I didn't need to use the toilet the next day. Moxaing for several consecutive nights meant I didn't need to go for several days. This fully verifies the classic's statement that it treats incessant diarrhea. Additionally, when I was past my prime, I felt weakness in my left hand and foot. I accidentally moxa this point and recovered. Later, colleagues told me many stroke patients were cured by moxaing this point, either 100 or 300-500 cones. However, the classics do not state it treats Zang Qi deficiency and exhaustion, true Qi insufficiency, all Qi disorders, and chronic conditions not healing. [The *Bronze Man* states:] For these, moxibustion at Qihai (CV6) is suitable.
The human body has four seas: Qihai (Sea of Qi), Xuehai (Sea of Blood), Zhaohai (KI6), and Suihai (Sea of Marrow). Qihai is the first. Qihai is the sea of Yuan Qi (Original Qi). Humans take Yuan Qi as their root. If Yuan Qi is unharmed, disease does not harm; if Yuan Qi is injured, one dies even without disease. It is suitable to frequently moxa this point to strengthen Yuan Yang (Original Yang). If one waits until illness arises to treat Zang-Fu deficiency and lower Yuan coldness/exhaustion, it is too late.
People often say that age 49 (7x7) is when the Sidereal Year suppresses the Life Branch, and age 61 is when the Sidereal Year suppresses the Life Branch. People encountering these years often suffer misfortune, which is natural. But isn't it said that auspicious people turn misfortune into good? Frequently consulting the *Su Wen*, age 48 (6x8) is the year essence and marrow exhaust; one should restrain desires then. (*Qian Jin Fang* says those over 50 should have intercourse once a month; essentially, one should follow this principle at 48.) *Qian Jin Fang* records the *Su Nu Lun*: those over 60 should retain essence and not ejaculate; desire should be cut off. If one fails to restrain when one should, or cannot cut off when one should, and loses life because of this, it is self-inflicted. Is it the fault of the year? If one does not blame the year, even if there is disaster, it can be avoided. This is what is meant by turning misfortune into good. Even without moxaing Dantian, this applies. [Dantian can be moxaed with 49 or 300-500 cones.]
For Yang Qi deficiency and exhaustion, seminal emission, and infertility, moxibustion at Zhongji (CV3) is suitable.
Zhongji is also named Qiyuan (Source of Qi), as it is the origin of Qi. For those with deficient and exhausted Yang Qi, is it not advisable to moxa this point to replenish Qi? ([Note: The *Nan Jing* says Dantian is also called Da Zhongji, meaning Dantian is located centrally relative to the upper/lower and four directions. Hence 'Ji' (Extreme/Pole). This point is also called Zhongji, only one cun away from Dantian. Although not the absolute center like Dantian, it is not far from the center.])
Zusanli (ST36) treats Stomach cold, abdominal distension/fullness, insufficient Stomach Qi, aversion to the smell of food, borborygmus and abdominal pain, and indigestion. (*Bronze Man*). Qin Chengzu said it treats all diseases. Hua Tuo said it treats Five Exhaustions and emaciation, Seven Injuries and deficiency, chest stasis, and mastitis. (*Wai Tai Mi Yao*). *Mingtang Jing* says: For people over thirty, if Zusanli is not moxaed, Qi will rush upward to the eyes. (*Mingtang Xia Jing* says this leads to dim vision). *Qian Jin Fang* says it treats Yin Qi insufficiency, hardness of the lower abdomen, heat diseases with no sweat, bitter taste and high fever, body opisthotonos, lockjaw, severe back pain preventing looking back, insufficient Stomach Qi, chronic diarrhea, indigestion, hypochondriac fullness, inability to stand long, delirious speech, wild singing and laughing, fear, anger, cursing, cholera, enuresis, and incontinence of gas, Yang reversal with chilliness, etc. All such diseases can be treated with acupuncture and moxibustion, using up to 500 cones or as few as 200-300.
*Duan Ju* says: For limbs, only expel wind pathogen; do not moxa excessively. Limit to 7 to 49 cones, not exceeding the number corresponding to age. Thus, the *Bronze Man* only states for Zusanli: moxa 3 cones, needle 5 fen. *Mingtang Shang Jing* says daily moxa 7 cones, up to 100 cones, which is not excessive. But *Qian Jin Fang* says up to 500, down to 200-300. Why so many? Essentially, daily moxa 7 cones, or if cones are very small, up to 14 cones; over several days up to 49 cones. Once the moxa blister dries, re-moxa to comply with the saying "To maintain health, Dantian and Zusanli should never dry [heal completely]." If following *Qian Jin Fang*'s numbers, one might violate the warning in *Duan Ju*. I previously had gouty arthritis (Hong Kong jiao), with slight swelling in spring, worse in summer, subsiding in winter. One summer, following the acupoint location described in the *Su Wen* commentary, I used warm needle micro-acupuncture. The next day, the swelling disappeared. The effect was miraculous. Even Miao Ci (counter-point needling) works thus, let alone moxibustion. Those with this condition must know this. It treats not just foot swelling, but various diseases.
Yongquan (KI1) treats heart pain, anorexia, female infertility, male gu disease (parasitic wasting), and female pregnancy-like symptoms. (*Qian Jin* reads "like obstruction"). Pain at the tips of all five toes, inability to walk on feet. Acupuncture and moxibustion are suitable. (*Bronze Man*). *Qian Jin Fang* says it treats sudden forgetfulness, body and spine feeling like disintegration, difficult defecation, difficult urination, coldness from mid-foot to knee, throat pain, inability to swallow, aphonia, incessant nosebleed, etc.
*Qian Jin Fang* assigns specific indications to most points, but specifically states Gaohuang, Zusanli, and Yongquan treat miscellaneous diseases, implying these three points treat everything. However, *Mingtang Jing* warns: if moxaed, it may impair mobility. Since the goal is to cure disease, being immobile for a few days is not harmful.
Pishu (BL20) treats polyphagia with emaciation, diarrhea with heaviness, flaccidity of limbs, abdominal pain, and anorexia. (*Bronze Man*).
Weishu (BL21) treats Stomach cold with abdominal distension, anorexia, and emaciation. (*Bronze Man*).
People say: Those whose blood and Qi are undisturbed remain thin but healthy; those whose blood and Qi are exhausted die even if fat. Thus, emaciation itself may not seem harmful. However, emaciation inevitably stems from poor dietary intake. Poor intake prevents the generation of Ying and Wei (Nutritive and Defensive Qi). Without Ying and Wei, Qi and Blood decline, leading eventually to death. Thus, *Nan Jing Shu* says humans rely on Stomach Qi for life; humans derive life from Stomach Qi. *Wu Zang Lun* says: If the Spleen does not digest food, food is not transformed; if the Spleen is not strong, food has no way to transform. Since we rely on Stomach Qi for life and Spleen for digestion, how can we allow the Spleen and Stomach to be weak for a day? To strengthen them, one should moxa Pishu and Weishu, etc.
Heart Wind Stroke presents with manic running, epilepsy, crying/singing, chest oppression/confusion, coughing/spitting blood. Needling Xinshu (BL15) is suitable. (*Bronze Man*).
*Nan Jing Shu* states the Heart is the master of Zang-Fu and generally does not get diseased; if it does, Spirit departs and Qi exhausts, causing cold extremities. This is called True Heartache; onset in morning leads to death by evening. If extremities are warm, it is called Reversed Heartache, which can be urgently treated. Thus, *Qian Jin Fang* says for Heart Wind Stroke, urgently moxa Xinshu 100 cones and administer Xuming Tang. If one sticks to the theory that Xinshu cannot be moxaed, there is no solution. However, although Xinshu can be needled, piercing the Heart directly causes death within a day; is it easy to needle? To avoid this, one should nurture the Heart in daily life, keeping it peaceful, avoiding sorrow and worry that damage the Spirit. This is the best strategy. If unavoidable, taking Zhenxin Dan (Calming Heart Pill) and other medicines is the secondary strategy.
Shenshu (BL23) treats consumptive fatigue and emaciation, Kidney deficiency with chronic cold in the Water Storage (Kidney), turbid urine, seminal emission, genital pain, Five Exhaustions and Seven Injuries with deficiency/exhaustion, cold feet like ice, and edema like water. (*Bronze Man*).
*Nan Jing Shu* says there are two Kidneys flanking the spine; the left is the Kidney, the right is Mingmen (Gate of Life). Mingmen is the root of life and destiny. Its level aligns with the umbilicus. When moxaing Shenshu, stand upright, measure from the umbilicus with a stick, then measure on the spine to find the level aligned with the umbilicus. Then mark 1.5 cun lateral to the spine; this is Shenshu. Press the depression to confirm the point before moxaing. Always use the number of cones corresponding to age. Moxibustion has merit, but depends on how one nurtures oneself. One must protect Dantian; I discussed this in detail in *Ji Xiao Fang*. Regarding the harm caused by concubines and outsiders, I have not touched upon it. The Preface to *Junzi Xiela* in the *Shi Jing* says: A woman engaging in licentiousness loses the way of serving her gentleman. Thus, it describes the virtue of the ruler and the grandeur of attire, implying she should live with her gentleman until old age. Failing to do so brings great sin to the woman, hence the poet satirizes her. The intent is clear. As for scholars who are satisfied with their ambitions, pride comes uninvited. Serving dozens of concubines/outside women, speaking lewd words constantly, unable to control themselves, indulging in lust—this is common. Wives tolerate this silently. When asked, they say, "From a mother's view, I am virtuous; from my own, I am jealous." Some praise this; husbands think she is virtuous and non-jealous. Who knows that her lack of jealousy is the cause of disaster? Although the transformation of *Er Nan* aims for non-jealousy, discussing this now is not to differ from the poets. No. Ancients practiced cohabitation once every ten days. Xunzi said his non-jealousy allowed concubines to fulfill this quota. Non-jealousy is similar in name but different in practice. I highlight this as a warning for couples, not to differ from poets.
Qugu (CV2) mainly treats seminal emission and extreme deficiency of the Five Zang organs. Moxa 50 cones. (*Qian Jin*). *Mingtang Xia Jing* says: For any deficiency, exhaustion, and extreme cold, moxibustion is suitable.
Cold pain in bone marrow: Moxa Shanglian (ST34? Note: Context suggests a point for bone/marrow, possibly referring to a specific local point or typo in source, but translated literally as Shanglian) 70 cones. (*Qian Jin*).
*Nan Jing Shu* Eight Hui Points: Fu-Hui Zhongwan (CV12) treats Fu diseases; Zang-Hui Zhangmen (LR13) treats Zang diseases; Jin-Hui Yanglingquan (GB34) treats Sinew diseases; Sui-Hui Jiexi (GB39) treats Marrow diseases; Xue-Hui Geshu (BL17) treats Blood diseases; Gu-Hui Dazhu (BL11) [Contraindicated for Moxa] treats Bone diseases; Mai-Hui Taiyuan (LU9) treats Vessel diseases; Qi-Hui Tanzhong (CV17) treats Qi diseases. Therefore, for bone/marrow diseases, one should first use Dazhu and Jiexi, then Shanglian.
Bladder and Sanjiao fluid deficiency, Cold-Heat of Large and Small Intestines. (See Lower Back Pain section). Or Cold-Heat of Sanjiao: Moxa Xiaochangshu (BL27) 50 cones. Heat in Sanjiao, Bladder, and Kidney: Moxa Shuidao (ST28) according to age. (*Qian Jin*).
Gaohuangshu (BL43) mainly treats everything. Emaciation and deficiency, nocturnal emissions, rebellious Qi with cough, mania, and forgetfulness.
Gaohuangshu treats everything, yet ancients could not locate its point. Thus, Duke Jing of Jin was ill. The Qin physician said: "Huan looked and said: It is above the Gaohuang, below the Gaohuang. Attack (acupuncture) cannot reach it, penetration (medicine) cannot reach it, drugs do not arrive. It is incurable." The Duke considered him a good doctor, but Sun Simiao laughed at his clumsiness for failing to locate the point for moxibustion. If Jizi Yu's Chilogdan could treat the ghosts above and below the Gaohuang, no moxibustion would be needed. Huan was not only clumsy in not moxaing but also lacked ghost-killing medicine. Was his skill limited to this?