以直 先量患人尺泽穴横纹比起循肉至中指端截断令患人解衣裙露体骑坐于直竹之上瘦
人用
细竹肥人用大竹当尾穷骨可堪接坐然后将其先量 从脊竖立于坐竹之上 端尽处脊上点记此
则非灸穴也更用禾秆量
病患男左女右中指中节两纹为一寸又加一寸合为二寸将其二寸中折墨记着于先点脊上横布秆
两端尽处是灸穴也各灸七壮止不可多灸以此法灸之则不愈者盖此二穴心脉所过凡痈疽之疾皆
由于心气留滞故生此毒灸此则心脉流通实时安愈可以起死回生矣
诸危恶症目直视摸衣鱼口气喘命难全病患气实则易治虚则难治凡肿不热不痛不高低陷破
烂肉色紫黑为内发肉先死必死之疾也
察眼目白睛黑眼胞约小一逆纳药呕吐二逆腹痛渴甚三逆肩项不便四逆声嘶色脱或痢疾五
逆无此五逆者顺也
肺痈胸胁引痛呼吸喘促身热如火咳嗽唾痰不能饮食昼歇夜剧即灸骑竹马穴七壮尺泽太渊
内关神
门并针刺通气以泄毒瓦斯若不愈更灸骑竹马穴七壮肿脉宜洪紧数滑欲知脓计自初痛日过四十五
十日后察病患眼目白睛无精采亦微苍黑细如丝赤血络纵横乱缠于白睛则已脓矣即以边刃大针
刺破痛边乳旁腋下向前肋间使之出脓后即插纸捻插与拔逐日行之使不塞孔兼用石衣岩上青白
苔是不拘多少浓煎连服限瘥○脉虾游脉雀啄脉皆危脉也危病则难治
阴肿或臀肿或脚肉色如常而渐至浮大者或有微浮者苦痛于骨肉之间昼歇夜剧不省人事几
至四
五十日而成脓然而夏月则易脓冬月则不易脓外见其痛处形如赤丝粗细血络纵横乱铺于其上则
是熟脓矣人或未详其脓先以细针刺试未及脓境而抽针脓汁缘何而出乎自谓不脓抑曰此湿痰凝滞
万方治疗终不见效迁延日月渐至回骨而死须针未危之前用手之法以边刃大针先刺皮肤渐渐深
插至其脓境针锋易入如陷虚空已入脓处然后仍举针锋裂破而出使之出脓脓汁既歇即以纸捻插
于针孔使不闭孔逐日拔插使出恶汁恶肉自腐新肉自生则纸捻渐至减入自出黄汁然后获痊矣虽
至苏境慎勿发怒与酒色不然则更作肿痛○肿脉宜滑数急紧最危者虾游脉雀啄脉二动一止三动
一止者不数日死
Take a straight bamboo pole. First, measure from the transverse crease of the patient's Chize (LU-5) acupoint, following the muscle down to the tip of the middle finger, and cut off this segment. Instruct the patient to unbutton their clothes, expose their body, and straddle sit on the straight bamboo pole. Use a thin bamboo for slender individuals and a thick bamboo for robust individuals; the tailbone area should be comfortable to sit on. Then, place the previously cut segment of bamboo vertically upright on the end of the sitting bamboo, marking the spot on the spine at the highest point. This marked point is not an acupoint for moxibustion. Next, use a stalk of Setaria italica (Heegan) to measure: for males, take the left hand; for females, take the right hand. Measure the width of the two transverse creases on the middle phalanx of the middle finger as one cun, add another cun, totaling two cun. Fold these two cun in half, mark the midpoint with ink, and transfer this mark to the previously indicated spot on the spine. The ends of the Setaria italica stalk correspond to the moxibustion acupoints. Moxibustion each acupoint seven moxa cones (Zhuang); do not exceed this number. If the disease does not heal after using this method, it is because these two acupoints are pathways of the Heart Meridian (Xin Mai). All sores and carbuncles (Yongju) arise from the stagnation of Heart Qi generating toxic heat. Moxibustion here promotes the flow of Heart Qi, leading to immediate recovery, potentially rescuing patients from death.
In various critical and malignant conditions, patients with fixed gaze, picking at imaginary objects, fish-mouth breath, and panting face imminent death. If the pathogenic Qi is Excess, treatment is easier; if Deficient, it is difficult. Any swelling that is not hot, not painful, not elevated, sunken, ulcerated, with purple-black flesh indicates internal onset where muscle tissue dies first; this is invariably fatal.
Observation of the eyes: shrinking of the white sclera and black pupil by about one cun constitutes the first "Ni" (Reversal/Adverse sign); vomiting after taking medicine is the second; abdominal pain with extreme thirst is the third; stiffness and inconvenience in the shoulders and neck is the fourth; hoarseness, sallow complexion, or dysentery is the fifth. Absence of these five adverse signs indicates a favorable prognosis ("Shun").
Lung abscess (Fei Yong) presents with pulling pain in the chest and hypochondrium, rapid breathing and panting, high fever like fire, coughing with expectoration, inability to eat, symptoms alleviating during the day and worsening at night. Moxibustion should be applied to the Qizhumaxue (Bamboo-Riding Acupoint) seven times. Additionally, needle Chize (LU-5), Taiyuan (LU-9), Neiguan (PC-6), and Shenmen (HT-7) to promote Qi circulation and drain toxic vapors. If there is no improvement, apply moxibustion to Qizhumaxue again seven times. The pulse should be洪 (Surging), 紧 (Tight), 数 (Rapid), or 滑 (Slippery). To determine if pus has formed, count forty to fifty days from the onset of pain. Observe the patient's eyes: if the white sclera lacks luster, appears slightly grayish-black, and fine red blood vessels crisscross chaotically over the sclera, pus has matured. Immediately puncture the edge of the pain, near the breast, or in the axilla extending forward to the intercostal space with a large-bladed needle to drain the pus. Insert a paper wick into the wound; withdraw and re-insert it daily to prevent the hole from closing. Concurrently, decoct a large amount of green-white moss found on rocky cliffs and administer orally until cure. ○ Pulses such as Shaxou (Shrimp Swimming) and Quezhuo (Sparrow Pecking) are critical pulses indicating severe illness that is difficult to treat.
Swelling of the yin region, buttocks, or feet where the skin color remains normal but gradually becomes edematous or slightly swollen, accompanied by deep bone/muscle pain, alleviation during the day, worsening at night, and loss of consciousness, typically forms pus after forty to fifty days. Pus formation is easier in summer and harder in winter. Externally, the painful area may show red thread-like patterns with crisscrossing blood vessels, indicating mature pus. If uncertain about pus presence, test with a fine needle; if withdrawn before the pus cavity is reached, no pus will emerge. Misdiagnosing this as stagnant damp-phlegm leads to ineffective treatments, prolonged suffering, and eventual death from bone involvement. Before the condition becomes critical, use manual technique: insert a large-bladed needle through the skin, gradually deepening until entering the pus cavity, feeling as if sinking into empty space. Once inside, split the needle tip to drain the pus. After drainage ceases, insert a paper wick to keep the pore open, withdrawing and re-inserting daily to expel foul fluid and necrotic tissue, promoting new flesh growth. Gradually reduce the depth of the wick until removal; yellow discharge indicates recovery. Even during convalescence, avoid anger, alcohol, and sexual activity to prevent recurrence of swelling and pain. ○ For swelling, the pulse should be 滑 (Slippery), 数 (Rapid), 急 (Urgent), or 紧 (Tight). The most dangerous are Shaxou and Quezhuo pulses, characterized by irregular stops (e.g., one beat then stop, or three beats then stop), indicating death within a few days.