Library

[Underarm Odor]
For congenital underarm odor, first shave the axillary hair clean with a sharp knife. Then apply high-quality Dingfen (a topical astringent and antiperspirant powder) mixed with water to the armpits for six or seven days. Observe if any spot turns black; if it is as small as a needle hole or a hairpin tip, this is the "Qi aperture." Use moxa cones the size of a rice grain to moxibustion three or four treatments until cured.

(Addendum)
For sores and ulcers suitable for moxibustion or acupuncture, one must distinguish by meridian regions, the abundance or scarcity of blood and Qi, and the distance of acupoints. Either puncture with needles or apply moxibustion to drain pathogenic factors. If the sore emerges from the back, select from five points of the Foot-Taiyang Bladder Meridian: Zhiyin (BL67), Tonggu (BL65), Shugu (BL65), Kunlun (BL60), Weizhong (BL40). If it emerges from the temples, select from five points of the Foot-Shaoyang Gallbladder Meridian: Qiaoyin (GB44), Xiaxi (GB43), Linqi (GB41), Yangfu (GB38), Yanglingquan (GB34). If it emerges from the beard area, select from five points of the Foot-Yangming Stomach Meridian: Lidui (ST45), Neiting (ST44), Xangu (ST43), Chongyang (ST42), Jiexi (ST41). If it emerges from the back of the head, initially feeling unbearable headache and impending sore formation, moxibustion or acupuncture should be applied to Juegu (GB39). If the pulse is floating, select according to the aforementioned methods from the Foot-Taiyang Meridian; if the pulse is long, from the Foot-Yangming Meridian; if the pulse is wiry, from the Foot-Shaoyang Meridian. Jing-Well points govern subcostal fullness, with bluish sores; Ying-Spring points govern body heat, with reddish sores; Shu-Stream points govern heaviness and joint pain, with yellowish sores; Jing-River points govern cough and chills/fever, with whitish sores; He-Sea points govern rebellious Qi and diarrhea, with blackish sores. Depending on the meridian pathology presenting these symptoms, either moxibustion or acupuncture should be used to drain pathogenic factors.

When a sore feels slightly diffuse, swollen, and hard, with unchanged skin color, deep pulse, and no pain, external moxibustion should be applied to draw out pathogenic factors until cessation. If pus and fluid are already present, moxibustion is contraindicated; shallow puncture should be used instead. Superficial lesions should not be moxibusted.

Garlic-Separated Moxibustion Method: Peel a garlic bulb and cut it into slices approximately 3 fen thick. Place the slice on the sore and apply moxa cones on top of the garlic. Replace the garlic slice every five treatments. One may perform three to five, ten, or even one to two hundred treatments. If painful, moxibustion continues until pain ceases; if painless, continue until pain is felt (pain indicates healthy tissue; initial pain followed by loss of sensation indicates deep-seated toxin, requiring more moxibustion; initial painlessness followed by pain indicates lighter toxin, easier to drain). For large sores, crush garlic and spread it on the affected area, placing moxa on top to burn. Replace garlic when it spoils. This treats early-stage carbuncles and sores, whether painful, painless, or numb. It is especially suitable for Yin toxins presenting as purple-white, non-elevating, painless, and non-suppurative lesions. Concurrently administer formulas to support the interior and promote suppuration. If there is still no pain, suppuration, or elevation after moxibustion, it is incurable due to deficiency of Qi and Blood. For back carbuncles that are diffuse without a head, apply wet paper to the swelling; the first spot to dry marks the head of the sore, which should then be treated with the aforementioned method. Garlic is used for its pungent dispersing properties; moxa is used for its penetrating heat. After moxibustion causes ulceration, apply ointment for self-healing.

Mugwort-Cake Moxibustion Method: For ulcers where both Qi and Blood are deficient and cannot consolidate, or where Wind-Cold invasion prevents Qi and Blood from nourishing muscle growth, use processed Fuzi (Aconiti Lateralis Radix Praeparata), peeled and de-navelled, ground into powder. Mix with saliva to form cakes. Place the cake on the ulcer and apply moxa cones on top. Perform several treatments daily, ensuring only mild warmth without pain. If the cake dries, re-moisten with saliva. Continue until the ulcer appears moist and vibrant. Alternatively, slice processed Fuzi into 3-fen thick pieces and moxibustion as described above, concurrently administering major tonifying formulas for Qi and Blood until flesh levels out. If an old ulcer becomes a fistula with internal pus tubes, after several days of moxibustion, use Zhitousan (Needle Head Powder) to cauterize necrotic tissue. (Formula found in *Jingyue Quanshu*).

Bamboo-Horse Acupoint Moxibustion Method: Raise the left arm of males or the right arm of females. Take a thin bamboo strip, measure from the transverse crease of the wrist along the flesh to the tip of the middle finger, and cut at the end of the flesh as the standard. Measure another strip to determine two Cun (Chinese inches) of the middle finger. Set up two wooden stools about four to five Chi apart. Place a large bamboo pole across the stools. Have the patient undress and sit astride the pole, feet off the ground, supported by assistants to prevent bending (ancient methods carried the pole by two people, but stool support is more stable). Fix one end of the measured arm-strip to the pole, aligning it from the coccyx straight up the spine to the mark made by the strip's end. Take the two-Cun strip, fold it in half, and place it horizontally across the mark; the ends indicate the acupoints. Moxibustion seven treatments, or five times seven. These two points lie on the pathway of the Heart Meridian. All carbuncles and malignant sores are toxins stagnated by Heart Fire; moxibustion unblocks Heart Fire, causing toxins to dissipate.

Back Carbuncle: Jianjing (GB21), Bamboo-Horse Points, Pianzhen (Neck), Fengmen (BL12) [Moxibustion fourteen treatments].

Ding Sores (Hard Chancre): Initially like millet grains, later like red beans, with a concave, hard apex, possibly painful, itchy, or numb, accompanied by chills, fever, or headache.
(Face/Mouth): Hegu (LI4); (Hand): Quchi (LI11); (Back): Jianjing (GB21), Weizhong (BL40), Zusanli (ST36).
Apply Garlic-Separated Moxibustion to all Ding sores. For severe cases, smear garlic paste around the periphery, exposing only the toxic apex. Apply moxa directly to the flesh until it pops. Non-popping cases are difficult to cure; increase to one hundred treatments for guaranteed recovery.

Initial treatment of Ding sores requires piercing the center with a Bi needle (four to five fen deep) to sever the root and release foul blood. Hardness like iron upon insertion indicates a favorable prognosis; softness and insensitivity indicate unfavorable prognosis. Lesions above the neck belong to the Three Yang meridians and are contraindicated for moxibustion. Ding sores arising on Fire days are also contraindicated for moxibustion. If untreated initially, or due to sexual excess, seminal emission, or consumption of stimulating foods (peppers, alcohol, chicken, fish, pork heads) leading to internal toxin attack and "Zouhuang" (spreading poison), the sore will collapse. Search along the meridian for a single thorn-like projection, the "Ding seed." Immediately pierce to release foul blood, then apply three treatments of moxibustion at the site to disperse residual toxins.

Breast Abscess (Ru Yong): Redness, swelling, heat, and pain in the breast, suppurating within fourteen days.
Breast Gangrene (Ru Ju): Initial chills and fever, hardness and numbness/pain in the breast, suppurating after over a month.
(The breast belongs to the Foot-Yangming Stomach Meridian; the nipple belongs to the Foot-Jueyin Liver Meridian. In men, sexual excess and anger injure the Liver and Kidney; in women, childbirth and depression injure the Liver and Spleen, both causing this condition. For severe heat and pain, Garlic-Separated Moxibustion is indicated.)

Breast Cancer (Ru Yan): Depression obstructs Spleen Qi and causes Liver Qi rebellion, forming hidden nodules that are painless and itchless. They ulcerate after one to two years, or show external purple-black swelling and internal rot after five to six years. Some ulcerate years later with sinking. All are called Ru Yan and are extremely difficult to treat.

Shoulder: Lingdao (HT4) [14 treatments each], Wenliu (LI7) [Adults 14, Children 7], Zusanli (ST36), Tiaokou (ST38) [Treats sores], Xiaju Xu (ST39) [14 treatments each], Zulinqi (GB41).

Stomach Abscess: Left-sided is called Weikou Ju; Right-sided is called Weikou Yong.
Quchi (LI11) [21 treatments], Neiguan (PC6) [7 treatments].

Kidney Abscess: Originates from Shenshu (BL23).
Huiyang (BL35) [14 treatments].

Intestinal Abscess: Heavy stiffness in the lower abdomen, painful on pressure, urination resembling strangury, sweating with aversion to cold, skin resembling armor scales, abdominal wall tense as if swollen. A surging and rapid pulse indicates pus formation. Pus and blood in stool indicates Rectal Abscess, which is easy to treat. Sores around the umbilicus or pus from the umbilicus indicate Disc Intestinal Abscess, which is difficult to treat. (One formula uses raw vegetable oil taken several times daily, effective for promoting bowel movement and detoxification.)
Dachangshu (BL25), Xangu (ST43), Taibai (SP3).
*Qianjin Fang*: Flex elbows to align with the sharp bone of the elbow tip, moxibustion one hundred treatments to discharge pus and blood and bring relief (Taiyang meridian connects to Quchi, Small Intestine meridian connects to Xiaohai, hence this point).

Flowing Injection (Liuzhu): Occurs in limbs/joints or chest/abdomen/waist/buttocks. Initially diffuse swelling without redness. Finely chop green onion heads, pound into paste, fry, and apply hot compress to the site. If cold, use hot objects to iron/warm the area; repeated warming is ideal. Alternatively, apply moxibustion. If heat and pain progress to a red spot, puncture with a needle to drain pus.

Beetle Bore (Yi Lang Zhu / Jiang Lang Zhu): Hard swelling of finger joints, shaped like a cicada belly, without redness or swelling, difficult flexion/extension, becoming numb after a long time. Caused by damp-phlegm and cold-Qi stagnation in deficient constitutions. Initially administer Liujunzi Tang. Externally apply Yangsui Ding (Fire-Gathering Cone) to the hard area via moxibustion to resolve it. If neglected, hard swelling rots, producing clear watery pus, and fails to heal after prolonged ulceration.

Yangsui Ding Formula: Chan Su (Toad Venom, powder), Zhusha (Cinnabar, powder), Chuan Wu (Sichuan Aconite Root, powder), Cao Wu (Kusnezoff Monkshood Root, powder) [each 5 fen], Zhi Jiang Can (Silkworm, 1 piece, powder).
Place Liu Huang (Sulfur, 1 liang 5 qian) in a spoon and melt over low fire. Add the previous powders and stir evenly. Add She Xiang (Musk, 2 fen) and Bing Pian (Borneol, 1 fen) and stir. Pour immediately into a wet porcelain basin and swirl rapidly to form sheets. Cool and store in a porcelain jar. To use, take a piece the size of a sweet melon seed, attach with jujube meat to the moxibustion site. Ignite a rush light dipped in oil to quench the cone on the site. Moxibustion 5, 7, or 9 treatments. When small blisters appear, pierce with a thread needle to drain yellow fluid. Apply Wanying Gao (All-Effective Plaster) to eliminate toxicity. For Wind-Damp pain, press between bones with a chopstick to find tender spots, mark with ink, and moxibustion.