鬼哭穴,以两手大指相并缚定,用艾柱骑缝灸之,令两甲角后肉四处着火,一处无火
则不效。
治男子妇人五劳七伤,气血虚弱,骨蒸潮热,咳嗽痰喘,五心烦热,四肢困
倦,形容憔悴,并宜治之。
先二穴,令患人平分,正直立定,取一线绳蜡之,勿令展缩,于男左女右,脚底贴
肉坚踏之。其绳前与大拇指端齐,后头循当脚根中心向后引绳,从脚端肚贴肉直上,
至膂曲中大横纹(即委中穴)截断,次令患人解发分两边,令见头缝,自囟门平分至脑后
脚,平身正坐,取向所截绳一头,令与鼻端齐,引绳向上,正循头缝至脑后,贴肉垂下,
循脊内引绳向下,至绳尽处当脊骨中,以墨点记之。(墨点不是灸处。)又取一绳子,令
患人合口,将绳子按于口上,上两头至吻,却钧起绳子中心至鼻柱根下,如 三角样,
下二角齐两吻截断,将此绳令尽处是穴,以白圈记之。(若妇人缠脚短小,非自然也。
若以量脚,索子加之于首,必不及也。今移下于肩 穴点定,引绳向下,至中指尽处截断,
以代量足之用。)以上是第一次点二穴。
次二穴,令患人平身正坐,稍缩臂膊,取一绷绕项向前,双垂头与鸠尾齐。(胸前及
骨间之尽处是也。双头齐截断,却翻双绳头向后,以绳子中心按于喉咙结骨上,其绳两头
相垂,循脊骨以墨点记之。(墨点不是灸穴。)又取一绳,令患人合口,横量,齐两吻截
断,远于脊骨上墨点,横量如法,绳子两头以白圈记之,此是灸穴。以上是第二次
点二穴。
前四穴同时灸之,各三七壮,累灸至百壮,候灸疮将瘥,又根据后法灸二穴。
又二穴,以第二次量口吻绳,于第二次双绳头尽处墨点上,当脊骨直下起点,其
绳子中心放在墨点上,于上下绳头尽处以白圈记之,此是灸处。以上是第三次点二穴。
通前共六穴,择取离日、火日灸之,百日内宜忌房室劳思,将息调养,饮食
应时,寒热得中。未愈者,如前再灸一翻,无有不愈。
按∶《资生经》灸骨蒸劳瘵,取上二穴,合五椎两旁开三寸,乃心俞二穴是也。
心主血,劳为血病,故灸之。崔知悌取四花穴灸劳,按其量法《节要》中备载之,先比
口吻阔狭样式,度裁纸四方,中煎一孔,取脊中墨点以纸中孔按上,其纸四角平取四
花,是其膈俞、胆俞之四穴也。经曰∶血会膈俞。疏曰∶血病,治此。盖骨
蒸劳热,血虚火盛,故取此以补之。胆为肝之腑脏血,故亦取之。崔氏止言四花,不言
膈、胆俞四穴,为粗工告也。今世以四花科取其误也,故多不效。根据平取之,然要合三
俞穴,方准有效。今以传讹,春甫一旦厘正,恐人不信,故载斜穴于前,而辨其误于
后。知者审而用之,幸毋踵其误焉可也。
鬼哭穴的取法:将两手大拇指并拢捆扎固定,在拇指指甲缝隙处骑缝施灸艾炷。必须使两个指甲角后方的肉际四处都受到艾灸热力,如果有一处没有受热,则疗效不佳。
此法主治男女因五劳七伤导致的气血虚弱、骨蒸潮热(阴虚内热)、咳嗽痰喘、五心烦热(手心、脚心及心胸烦热)、四肢倦怠无力、形体消瘦憔悴等症状,均适宜使用本法治疗。
第一次取两穴的方法:让患者端正站立,平分身体重心。取一根线绳,用蜡浸透以防伸缩。在男性左侧、女性右侧,将线绳一端紧贴脚底皮肤坚踏住。线绳前端与大拇指尖端齐平,后端沿脚跟中心向后引出,从脚前部贴肉直上,至腘窝横纹中央(即委中穴)处截断。接着让患者解开头发分为两边,露出头缝,从囟门正中平分至脑后发际处,保持身体端正坐姿。取刚才截断的那根线绳的一端,使其与鼻尖齐平,向上引绳,正循头缝至脑后,贴肉垂下,沿脊柱内侧向下引绳,至线绳尽头处对应脊柱正中,用墨点标记。(注:此墨点并非艾灸部位。)再取一根绳子,让患者闭口,将绳子横按于口唇上,两端至嘴角,然后将绳子中心提起至鼻梁根部下方,形成三角形。剪去下方两个角,使两端齐平。将此绳子两端所指之处即为穴位,用白圈标记。(注:若妇女缠足过小,非自然之态。若用量脚的绳子加于头部测量,必然不够长。现改为移至肩井穴定点,引绳向下,至中指末端截断,以此代替量足之用。)以上是第一次确定的两个穴位。
第二次取两穴的方法:让患者端正坐姿,稍微收缩手臂。取一根绷带绕颈向前,双垂的头端与鸠尾穴齐平。(胸前肋骨下端尽处是鸠尾穴。将双头齐平截断,翻转双绳头向后,以绳子中心按于喉结骨上,其绳两头下垂,沿脊柱向下,用墨点标记。(注:此墨点并非艾灸穴位。)再取一根绳子,让患者闭口,横向测量,齐两嘴角截断。从脊柱上的墨点向两侧横向测量,方法同上,绳子两端所指之处用白圈标记,此处才是艾灸穴位。以上是第二次确定的两个穴位。
前四个穴位同时施灸,每穴各灸三七二十一壮,累计灸至一百壮。待灸疮即将愈合时,再根据后续方法灸另外两个穴位。
第三次取两穴的方法:用第二次量口唇的绳子,放在第二次双绳头尽头的墨点上,当脊柱直下的起点处,将绳子中心放在墨点上,在上下绳头尽头处以白圈标记,此处为艾灸部位。以上是第三次确定的两个穴位。
以上共六个穴位,选择离日、火日进行艾灸。百日内应禁忌房事和过度思虑,注意调养休息,饮食顺应时节,寒热适中。未痊愈者,可如前法再灸一次,无不治愈的。
按语:《资生经》记载灸治骨蒸劳瘵,取上述前两个穴位,加上第五椎两旁开三寸的心俞二穴。心主血,劳损属于血病,所以灸治这些穴位。崔知悌取四花穴灸治劳损,按其测量方法,《节要》中有详细记载:先比照口唇宽窄样式,裁剪四方纸片,中间剪一孔,取脊柱中间的墨点,将纸片中间孔按在墨点上,纸片四个角平取的位置就是四花穴,即膈俞、胆俞这四个穴位。医经说:“血会膈俞。”注释说:“血病,治疗此穴。”因为骨蒸劳热是由于血虚火盛,所以取此穴以补益。胆为肝之腑,与血相关,所以也取此穴。崔氏只说四花,不说膈俞、胆俞四穴,这是粗疏工匠的告谬。当今世人以“四花”之名随意取穴导致错误,所以大多无效。应当根据平取之法,且必须配合三俞穴,才准确有效。如今流传讹误,我徐春甫今日予以厘清纠正,恐怕人们不信,所以在前面记载斜穴取法,在后面辨析其错误。明智者审察后使用,希望不要重蹈覆辙即可。
Guiku Acupoint (Crying Ghost Point): Bind the two thumbs together and secure them. Apply moxa cones on the seam between the nails, ensuring that heat is applied to the flesh at the posterior corners of both nail angles. If one side does not receive heat, the treatment will be ineffective.
This method treats Qi and Blood deficiency caused by the Five Exhaustions and Seven Injuries in men and women, including bone-steaming tidal fever (bone-steaming sensation with afternoon/evening fever), cough with phlegm and wheezing, five-palm heat (heat sensation in palms, soles, and chest), limb fatigue and weakness, emaciation, and haggard appearance. It is suitable for all these conditions.
**First Pair of Points:** Have the patient stand upright with weight evenly distributed. Take a waxed thread to prevent stretching or shrinking. Place one end firmly against the sole of the foot on the left side for males and the right side for females. Align the front end of the thread with the tip of the big toe. Extend the rear end from the center of the heel backward, then straight up along the sole to the middle of the transverse crease in the popliteal fossa (Weizhong BL-40). Cut the thread here. Next, have the patient untie their hair, parting it to reveal the midline suture of the scalp. From the anterior fontanelle (Xinmen), divide equally to the back of the head. Have the patient sit upright. Take one end of the previously cut thread and align it with the tip of the nose. Extend the thread upward along the midline suture to the back of the head, let it hang down against the skin, and guide it downward along the inner aspect of the spine. Mark the point on the midline of the spine where the thread ends with ink. (Note: This ink mark is not the moxibustion site.) Take another thread. Ask the patient to close their mouth and place the thread horizontally across the lips, reaching the corners of the mouth. Lift the center of the thread to below the root of the nasal bridge, forming a triangle shape. Cut off the lower two corners so they are even. The ends of this thread indicate the acupoints; mark them with white circles. (Note: If a woman has bound feet which are abnormally small, this is unnatural. Measuring with a foot-length thread on the head would be insufficient. Instead, transfer the measurement to Jianjing GB-21, extend downward to the tip of the middle finger, and cut to substitute for measuring the foot.) These are the first pair of points.
**Second Pair of Points:** Have the patient sit upright with arms slightly retracted. Take a bandage, wrap it around the neck forward, letting the double ends hang down level with Jiwei CV-15. (Jiwei is the lower end of the sternum/xiphoid process. Cut the double ends evenly. Flip the double ends backward. Place the center of the thread on the laryngeal prominence (Adam's apple). Let the two ends hang down along the spine and mark the position on the midline of the spine with ink. (Note: This ink mark is not the moxibustion point.) Take another thread. Ask the patient to close their mouth and measure horizontally across the lips, cutting at the corners. From the ink mark on the spine, measure horizontally outward using the same method. Mark the ends of the thread with white circles; these are the moxibustion points. These are the second pair of points.
Moxibustion should be applied to the first four points simultaneously, 21 moxa cones per point, accumulating up to 100 cones. Wait until the moxibustion blisters are about to heal, then apply moxibustion to the next two points according to the following method.
**Third Pair of Points:** Use the thread used to measure the lips in the second step. Place it on the ink marks at the ends of the double threads from the second step, starting directly down from the spine. Place the center of the thread on the ink mark. Mark the upper and lower ends of the thread with white circles; these are the moxibustion sites. These are the third pair of points.
In total, there are six points. Choose days associated with Fire (Li day or Fire day) for moxibustion. For 100 days, avoid sexual activity and excessive mental labor, rest properly, eat seasonally appropriate foods, and maintain thermal balance. If not cured, repeat the moxibustion as before; there will be no case that is not cured.
**Commentary:** *Zisheng Jing* records that for treating bone-steaming consumption, one should take the above two points plus Xinshu BL-15 (Heart Shu), located three cun lateral to the spinous process of the fifth thoracic vertebra. The Heart governs Blood, and consumptive diseases involve Blood pathology, hence these points are moxibusted. Cui Zhiti took the "Four Flowers" points for treating consumption. According to the measurement method detailed in *Jieyao*, one first compares the width of the mouth, cuts a square piece of paper with a hole in the center, places the hole over the midline ink mark on the spine, and the four corners of the paper indicate the "Four Flowers," which are Geshu BL-17 (Diaphragm Shu) and Danshu BL-19 (Gallbladder Shu). The Classics state: "Blood meets at Geshu." Commentaries say: "For blood diseases, treat this point." Since bone-steaming fever is due to Blood deficiency and hyperactive fire, these points are taken to tonify. The Gallbladder is the interior-exterior partner of the Liver and relates to Blood, hence it is also selected. Cui only mentioned "Four Flowers" without specifying Geshu and Danshu, which is an error by crude practitioners. Modern people mistakenly select points based on the name "Four Flowers," leading to frequent ineffectiveness. One must use the correct horizontal measurement method and combine them with the Three Shu points for accuracy. Today, I, Chunfu, clarify and correct this error. To ensure belief, I present the slanted point method first and explain the error later. Wise practitioners should examine and use this correctly, avoiding past mistakes.