平按∶此篇自篇首至末,见《素问》卷十六第六十《骨空论》篇,又见《甲乙》卷八第一上
篇。
灸寒热之法,先取项大椎,以年为壮数,(大椎穴,三阳督脉之会,故灸寒热气取。《明堂》
大椎有疗伤寒病,不疗寒热。平按∶先取《素问》作先灸。)次灸厥骨,以年为壮数,视背输陷
者灸之,(此脉中血寒而少,故取背输陷也。厥骨,脊 骨也。有本厥与骨通为一字,巨月反。平
按∶厥骨《素问》、《甲乙》作撅骨。注此脉袁刻误作此血。)与臂肩上陷者灸之,(臂肩亦取
脉陷,疗寒热之输,肩贞等穴也。平按∶《素问》、《甲乙》与作举。)两季胁之间灸之,(季胁
本挟脊京门穴也。)外踝之上绝骨之端灸之,(阳辅等穴。)足小趾次趾间灸之,(临泣等穴也。
平按∶小趾袁刻作少趾。) 下陷脉灸之,(承山等穴。平按∶ 下《甲乙》作 上。)外踝之
后灸之,(昆仑等穴也。)缺盆骨上切之坚痛如筋者灸之,(平按∶《甲乙》坚痛作坚动。)膺
中陷骨间灸之, 骨下灸之,(平按∶ 骨《素问》、《甲乙》作掌束骨。)脐下关元三寸
灸之,毛际动脉灸之,膝下三寸分间灸之,(平按∶膝下《甲乙》作脐下,三寸作二寸。)足阳
明灸之,跗上动
脉灸之,(平按∶足阳明下《素问》无灸之二字,新校正云∶“按《甲乙经》、全元起本足阳明
下有灸之二字,并跗上动脉是二穴。”据此则全本与本书相同,但今本《甲乙》仍无灸之二字。)
巅上动脉灸之,(平按∶《素问》、《甲乙》动脉作“一”字。)犬所 之处灸之三壮,即以犬
伤痛壮数灸也,凡当灸二十七处。( 音干。 ,穴也,冲阳等穴也。题云灸寒热法,此总数
之二十七处中,有根据其输穴,亦取气指而灸之,不可为定,可量取也。平按∶ 《素问》作啮,
《甲乙》同,无三壮二字。痛壮数灸也《素问》作病法灸之,《甲乙》作病法三炷灸之。二十七
处《素问》、《甲乙》均作二十九处。)伤食灸不已者,必视其经之过于阳者,数刺之输血,药之
也。(伤食为病,灸之不得愈者,可刺之。刺法,可刺大经所过之络出血,及饮药调之阳络脉也。
平按∶《素问》灸下有之字,之输作其俞,血药作而药。)
Ping An (Commentary): From the beginning to the end of this chapter, it is found in Volume 16, Chapter 60 "Gu Kong Lun" (Discussion on Bone Holes) of *Su Wen* (Basic Questions), and also in Volume 8, Part 1 Upper of *Jia Yi Jing* (The Systematic Classic of Acupuncture and Moxibustion).
The method for moxibustion treating cold-heat disorders: First, select Dazhui (GV14, Great Vertebra), determining the number of moxa cones based on the patient's age. (Dazhui is the intersection of the Du Meridian and the three Yang meridians of the hand and foot; therefore, it is selected for treating cold-heat qi. The *Ming Tang Jing* records that Dazhui treats Shanghan disease but not general cold-heat conditions. Ping An note: Here "Xian Qu" [First Select] is written as "Xian Jiu" [First Moxa] in *Su Wen*.) Next, moxa the Juegu (referring to the spinal column), again determining the number of cones by age. Observe the back Shu points; where there are depressions, apply moxa. (This is because the blood in these meridians is cold and scanty, so the depressed areas of the back Shu points are selected. Juegu refers to the spine. Some editions treat "Jue" and "Gu" as a combined character, pronounced Ju Yue fan. Ping An note: "Juegu" is written as "Juegu" [protruding bone] in *Su Wen* and *Jia Yi Jing*. The annotation "Ci Mai Zhong Xue Han Er Shao" [In this meridian, blood is cold and scanty] has a printing error in the Yuan edition making it "Ci Xue".) Then, moxa the depressed areas on the arms and shoulders. (The arms and shoulders also select meridian depressions, which are Shu points for treating cold-heat, such as Jianzhen SI9. Ping An note: "Yu" [And/With] is written as "Ju" [Lift] in *Su Wen* and *Jia Yi Jing*.) Moxa between the two hypochondriac regions. (The hypochondrium originally flanks the Jingmen GB25 point near the spine.) Moxa at the end of the Jiegu (fibula) above the lateral malleolus. (Such as Yangfu GB38.) Moxa between the little toe and the second toe. (Such as Linqi GB41. Ping An note: "Xiao Zhi" [Little Toe] is written as "Shao Zhi" in the Yuan edition.) Moxa the depressed vessels. (Such as Chengshan BL57. Ping An note: "Xia" [Below] is written as "Shang" [Above] in *Jia Yi Jing*.) Moxa behind the lateral malleolus. (Such as Kunlun BL60.) Moxa where pressing above the collarbone (Quepen area) feels hard and painful like a tendon. (Ping An note: *Jia Yi Jing* writes "Jian Tong" [Hard Pain] as "Jian Dong" [Hard Movement].) Moxa the depressed spaces between bones in the chest (Ying), and below the palm-bundle bone. (Ping An note: "Zhang Shu Gu" is consistent in *Su Wen* and *Jia Yi Jing*; the original text here may have omissions or variants, understood via notes.) Moxa three cun below Guan Yuan CV4, and at the pulsating artery at the pubic hairline. Moxa in the space three cun below the knee. (Ping An note: "Xia Xi" [Below Knee] is written as "Qi Xia" [Below Navel] in *Jia Yi Jing*, and "San Cun" [Three Cun] as "Er Cun" [Two Cun].) Moxa the Foot-Yangming Meridian, and the pulsating artery on the dorsum of the foot. (Ping An note: Below "Foot-Yangming", *Su Wen* lacks the characters "Jiu Zhi" [Moxa]. Xin Zheng Jiao states: "According to *Jia Yi Jing* and Quan Yuanqi's edition, 'Jiu Zhi' appears after Foot-Yangming, indicating 'Fu Shang Dong Mai' [Pulsating Artery on Dorsum] are two separate points. Thus the complete version matches this book, though current *Jia Yi Jing* still lacks 'Jiu Zhi'.") Moxa the pulsating artery on the vertex (Dian). (Ping An note: *Su Wen* and *Jia Yi Jing* write "Dong Mai" [Pulsating Artery] as the character "Yi" [One].) Moxa three cones at the site bitten by a dog, using the number of cones corresponding to the pain/severity of the bite. In total, twenty-seven sites should be moxaed. ("Nie" sounds like Gan. "Nie" is an acupoint name, referring to Chongyang ST42 etc. The title is Method of Moxa for Cold-Heat. Among these twenty-seven sites, some are based on Shu points, others are taken by Qi indication for moxa; it is not fixed, but can be measured and selected. Ping An note: *Su Wen* writes "Nie" [Bite], same as *Jia Yi Jing*, without "San Zhuang" [Three Cones]. "Yi Quan Shang Tong Zhuang Shu Jiu Ye" [Moxa according to dog bite pain cone count] is written as "Bing Fa Jiu Zhi" [Disease Method Moxa] in *Su Wen*, and "Bing Fa San Zhu Jiu Zhi" [Disease Method Three Moxa Cones] in *Jia Yi Jing*. Twenty-seven sites are written as "Twenty-Nine Sites" in both *Su Wen* and *Jia Yi Jing*.) If food stagnation causes illness and moxa fails to cure, one must observe the meridians where Yang is excessive, puncture multiple times to bleed from the Shu points, and use medication. (Illness caused by food stagnation, if moxa does not cure, can be treated with acupuncture. The needling method involves puncturing the collateral vessels passing through the main meridians to cause bleeding, and drinking medication to regulate the Yang collateral vessels. Ping An note: *Su Wen* adds "Zhi" after "Jiu", writes "Zhi Shu" as "Qi Shu" [Its Shu], and "Xue Yao" [Blood Medicine] as "Er Yao" [And Medicine].)