条文:
点穴坐卧立直正,炷用蕲艾火珠良,灸病古忌入木火,今时通行一炷香。
注:[1]凡灸法,坐点穴则坐灸,卧点穴则卧灸,立点穴则立灸。
[2]须四体平直,毌令倾侧,若倾侧穴即不正。
[3]其炷所用之艾,必用蕲艾,艾令干燥,入臼捣去净尘屑,作炷坚实,
置穴上,用葱涎粘固。
[4]上古用火珠映日取火点之,忌松、柏、枳、橘、榆、束、桑、竹,
八木之火;今时惟用香火灼艾,亦通行简便之法也。
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条文:
灸法温暖宜于午,上下阳阴先后分,脉数新愈不宜灸,欲灸三里过三旬。
注:[1]凡灸百病,原为温暖经络,宜在午时阳盛之时,火气易行,
必分上下先后:上下经皆灸者,先灸上,后灸下;
阴阳经皆灸者,先灸阳,后灸阴。
[2]若脉数有热,新愈气虚,俱不宜灸,恐伤气血。
[3]但人有病,欲灸足三里者,须三十年以上,方许灸之,
恐年少盛伤目。
[4]故凡灸头,必灸足三里者,以三里能下火气也。
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条文:
头骨手足皮薄瘦,巨阙鸠尾小少宜,背腹脐下皮肉厚,大多方能起痼疾。
注:[1]凡灸诸病,必火足气到,始能求愈。
[2]然头与四肢,皮肉浅薄,若并灸之,恐肌骨气血难堪,必分日灸之,
或隔日灸之,其炷宜小,壮数宜少。
[3]百病必当灸巨阙、鸠尾二穴者,必不可过三壮,艾炷如小麦,
恐火气伤心也。
[4]背腹下皮肉深厚,艾炷宜大,壮数宜多,使火气到,
始能去痼冷之疾也。
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条文:
选取穴位时,身体需保持坐、卧、站立或直立时的端正姿态;艾炷应选用蕲地出产的艾绒,以火珠点燃效果最佳。古代灸病忌讳使用松、柏等八种木材燃烧产生的火焰,如今通行做法是点燃一炷香进行施灸。
注:[1] 凡是施行灸法,如果是坐着取穴就坐着施灸,躺着取穴就躺着施灸,站着取穴就站着施灸。
[2] 必须使四肢躯干保持平直,不要倾斜侧歪,如果身体倾斜,穴位位置就不准确了。
[3] 所使用的艾炷,必须用蕲艾制作,将艾叶晒干后放入臼中捣碎,去除干净的灰尘和杂质,做成坚实的艾炷,放置在穴位上,用葱汁粘附固定。
[4] 上古时期用火珠反射日光取火来点燃艾炷,忌讳使用松、柏、枳、橘、榆、束(荆条)、桑、竹这八种树木燃烧的火焰;现在只使用香火灼烧艾炷,这也是通行且简便的方法。
条文:
灸法具有温暖作用,适宜在中午时分进行,施灸时要区分上下部位和阴阳经脉的先后顺序。如果脉象数急或有发热症状,或者疾病刚愈正气虚弱,都不适宜灸治;如果想要灸足三里穴,建议年龄在三旬(三十岁)以上的人方可施灸。
注:[1] 凡是灸治各种疾病,原本是为了温暖经络,适宜在午时阳气旺盛的时候进行,此时火气容易运行。必须区分上下和先后的顺序:如果上下经脉都要灸,先灸上部,后灸下部;如果阴阳经脉都要灸,先灸阳经,后灸阴经。
[2] 如果脉象数急伴有热象,或者新近痊愈导致气虚,都不适宜灸治,恐怕会损伤气血。
[3] 但是人如果有病,想要灸足三里穴的,必须年满三十年以上,才允许施灸,恐怕年轻人气血旺盛,施灸会损伤眼睛视力。
[4] 所以凡是灸头部,一定要配合灸足三里穴,因为足三里穴能够引火气下行。
条文:
头骨、手足部位的皮肤较薄且消瘦,巨阙穴、鸠尾穴以及少腹部不宜多灸;背部、腹部及脐下部位皮肉深厚,艾炷可以较大,壮数可以多些,这样才能治愈顽固性疾病。
注:[1] 凡是灸治各种疾病,必须做到火力充足、气至病所,才能求得痊愈。
[2] 然而头部与四肢,皮肉浅薄,如果同时施灸,恐怕肌肉骨骼和气血难以承受,必须分天施灸,或者隔天施灸,艾炷宜小,壮数宜少。
[3] 治疗百病如果必须灸巨阙、鸠尾这两个穴位,绝不能超过三壮,艾炷大小如小麦粒,恐怕火气会伤害心脏。
[4] 背部和腹部的皮肉深厚,艾炷宜大,壮数宜多,使火气到达深处,才能去除顽固寒冷的疾病。
Passage:
When selecting acupoints, the body must maintain an upright posture whether sitting, lying down, standing, or erect. The moxa cones should be made from mugwort produced in Qichun (Qiai), and ignition using a fire lens is considered optimal. In ancient times, it was taboo to use fire from eight types of wood for moxibustion; nowadays, lighting a single incense stick is the common practice for ignition.
Note: [1] For all moxibustion procedures, if the acupoint is located while sitting, the patient should remain seated during treatment; if located while lying down, they should lie down; if located while standing, they should stand.
[2] The limbs and trunk must be kept straight and level, avoiding any tilting or leaning, as deviation will result in inaccurate acupoint placement.
[3] The mugwort used for the cones must be Qiai (Mugwort from Qi Prefecture). It should be dried, pounded in a mortar to remove dust and impurities, and formed into firm cones. Place the cone on the acupoint and secure it with onion juice.
[4] In antiquity, fire was obtained by reflecting sunlight through a crystal lens to ignite the moxa, and it was forbidden to use fire from pine, cypress, zanthoxylum, orange, elm, jujube, mulberry, and bamboo. Currently, burning incense sticks to ignite the moxa is the standard and convenient method.
Passage:
Moxibustion provides warmth and is best performed at noon when Yang energy is abundant. One must distinguish the sequence between upper and lower parts, and between Yin and Yang meridians. Moxibustion is contraindicated if the pulse is rapid or if there is heat, or if the patient has recently recovered and suffers from Qi deficiency. Moxibustion of Zusanli (ST36) is recommended only for those over thirty years of age.
Note: [1] Generally, moxibustion aims to warm the meridians and is suitable for the Wu hour (noon) when Yang Qi is at its peak, facilitating the flow of fire energy. A specific order must be observed: if treating both upper and lower meridians, treat the upper first, then the lower; if treating both Yin and Yang meridians, treat the Yang first, then the Yin.
[2] If the pulse is rapid accompanied by heat, or if the patient is newly recovered with deficient Qi, moxibustion is not advisable as it may damage Qi and Blood.
[3] However, for patients requiring moxibustion on Zusanli (ST36), it is permitted only for individuals aged thirty or above, to prevent potential damage to vision due to vigorous Qi and Blood in youth.
[4] Therefore, whenever moxibustion is applied to the head, it should be combined with Zusanli (ST36), as this point helps to guide the fire energy downward.
Passage:
The skin on the skull and extremities is thin and lean, making them unsuitable for heavy moxibustion. The Jueque (CV14) and Jiutui (CV15) acupoints, along with the Shaofu region, should receive little moxibustion. Conversely, the back, abdomen, and area below the navel have thick flesh and fat, allowing for larger cones and more moxibustion units (Zhuang), which is necessary to cure chronic diseases.
Note: [1] For all moxibustion treatments, sufficient heat and arrival of Qi at the affected area are required to achieve recovery.
[2] However, since the skin and flesh on the head and four limbs are shallow and thin, simultaneous moxibustion may overwhelm the muscles, bones, Qi, and Blood. Treatment should be spaced out over different days or every other day, using smaller cones and fewer Zhuang (units of moxibustion).
[3] If Jueque (CV14) and Jiutui (CV15) must be treated for various ailments, the dose must not exceed three Zhuang, with cones sized like wheat grains, to avoid damaging the Heart with excessive fire energy.
[4] The back and abdomen have deep and thick flesh; therefore, larger cones and more Zhuang are appropriate to ensure the fire energy penetrates deeply enough to eliminate chronic cold conditions.