脱肛,灸龟尾在脊尽端穷骨,七壮。
中极穴下一寸毛际陷者,动应手。
寒冷脱肛,灸脐中随年壮。
脱肛历年不愈,灸横骨百壮。
一切 当骑碓轴,以茎伸置轴上,齐阴茎头前,灸轴木上,随年壮,阴卵大 病,灸大
敦,随年壮,穴在足大趾三毛中,又灸足大KT 趾内侧,去端一寸,赤白肉际,随年壮,
双灸之,又灸横骨两边,二七壮,挟茎是。
阴 ,灸足大趾下理中,十壮,随肿边灸之。(肘后方云灸足大趾第二节下横纹正中央
五壮姚氏云足大趾本三壮)
阴卵偏大 病,灸泉阴百壮,三报,在横骨边,阴猝肿者,令并足合两KT 趾,以一
艾丸
,灸两爪端方角处,每爪角各半丸,七壮愈。
阴卵大 病灸足太阳五十壮三报之,又灸足太阴五十壮在内踝上一夫。
卵偏大,上入腹,灸三阴交,在内踝上三寸,随年壮。
卵偏大 ,灸肩井,随年壮,穴在肩解臂接处,又灸手季指端,七壮,病在右,可灸左
,左者灸右,卵偏大 病,灸关元百壮。
卵偏大 病,灸玉泉百壮,报之,穴在屈骨下。
腰痛之病,皆本于肾,盖肾病者俞在腰脊也,诸经各有腰痛不同,当随证治之,凡腰痛
引项脊尻背如重状者,病在足太阳脉也,刺其隙中正经出血,春无见血(委中穴也)。腰痛
如
以针刺其皮,不可俯仰,不可以顾者,刺少阳成骨之端出血,夏无见血。(成骨在膝外廉之
骨独起者),腰痛不可以顾,顾如有见,善悲者,病在阳明也,刺阳明于 前三 上下和之
出血,秋无见血(三里穴也),腰痛引脊内廉者,属少阴,刺内踝上二 ,春无见血,出血
太
多,则不可复(复溜穴也),腰痛,腰中如张弓努弦者,属厥阴,刺 踵鱼腹之外,循之累
累
然,乃刺之(蠡沟穴也)。腰痛引肩,目 然,时遗溲者,病在解脉,刺膝筋肉分间,隙
之
外廉,出血,血变而止(亦太阳之隙也),腰痛如引带,常如折腰状,善恐者,亦解脉病也,
刺隙中结络如黍粟,刺之血射以黑,见赤血而止(委中穴也),腰痛如以小锤居其中,怫然
肿
者,病在同阴之脉,刺绝骨之端,为三 (阳辅穴也)腰痛痛上怫然肿者,属阳维之脉,刺
下,去地一尺所(承山穴也),腰痛不可以俯仰,仰则恐仆,得之举重伤腰衡络,绝血归之,
刺隙阳筋之间,上隙数寸冲居,为二 (委阳穴也),腰痛痛上漯漯然汗出,汗干令人欲饮,
饮已欲走者,属会阴之脉,刺跷上隙下五寸横居,视其盛者出血(承筋穴也),腰痛痛上怫
怫
然,甚则悲以恐者,病属飞阳之脉也,刺内踝上五寸,少阴之前,与阴维之会(复溜及筑宾
穴),腰痛,痛引膺,目 然,甚者反折,舌不能言者,病在昌阳之脉,刺内踝上大筋前,
太阴后,上踝二寸所(交信穴也),腰痛而热,热甚生烦,腰下如有横木居其中,甚则遗溲
者,
病在散脉,刺膝前骨肉分间,络外廉束脉,为三 (地机穴也),腰痛不可以咳,咳则筋缩
急
者,病在肉里之脉,刺太阳外少阳绝骨之后,为二 (分肉穴也),腰痛挟脊而痛至头几几
然。
目 欲僵仆,刺隙中出血,腰痛上寒,刺足太阳阳明,上热刺足厥阴,中热而喘,刺足少
阴,刺隙中出血,腰痛上寒不可顾,刺足阳明,大便难刺足少阴,少腹满刺足厥阴,如折不
可以俯,仰不可举,刺足太阳,痛引少腹控 ,不可以仰,刺腰尻交者,两髁胂上,以月死
生为 数,发针立已,左取右,右取左,此治腰痛之法也,众穴之外,又有遗法者,附之于
后。
腰痛不已者,灸环俞,二穴在第一十一椎下,两旁各一寸半,足太阳脉气所发,伏而取
之,各灸七壮,炷如半枣核大。
肾腰痛,不可俯仰,阴陵泉主之。
腰痛少腹痛,阴包主之。
腰痛大便难,涌泉主之。
腰痛不得反侧,章门主之。
腰痛控睾少腹及股,猝俯不得仰,刺气街。
腰痛不已,灸腰目 七壮,在尻上约,左右是。
腰猝痛,灸穷骨上一寸,七壮,左右一寸,各七壮。
腰痛,灸脚根上横纹中白肉际,十壮,又灸足巨阳七壮,巨阳在外踝下。
脱肛,灸龟尾穴(位于脊柱末端),七壮。
中极穴下一寸、阴毛边缘凹陷处,按压有应手感。
因寒冷导致的脱肛,灸脐中,壮数随患者年龄而定。
脱肛多年不愈,灸横骨穴,一百壮。
无论何种情况,可骑在捣米碓的轴上,将阴茎伸直置于轴上,对齐阴茎头前方,在轴木上施灸,壮数随年龄而定。阴囊肿大病,灸大敦穴,壮数随年龄而定,该穴位于足大趾三根毛发中间;又灸足大趾内侧,距离端点一寸,赤白肉交界处,壮数随年龄而定,双侧同时施灸;又灸横骨穴两侧,十四壮,位置在阴茎两旁。
阴囊收缩病,灸足大趾下纹理中间,十壮,随肿胀边缘施灸。(《肘后方》说灸足大趾第二节下横纹正中央五壮,姚氏说足大趾根部三壮)
阴囊肿偏大病,灸泉阴穴一百壮,分三次施灸,该穴在横骨旁边。阴囊突然肿胀者,令双脚并拢合拢两足大趾,用一个艾丸,灸两爪端方角处,每个爪角各半个艾丸,七壮痊愈。
阴囊肿大病,灸足太阳经五十壮,分三次施灸;又灸足太阴经五十壮,位于内踝上一夫距离处。
睾丸偏大,向上进入腹部,灸三阴交穴,位于内踝上三寸,壮数随年龄而定。
睾丸偏大,灸肩井穴,壮数随年龄而定,该穴在肩部关节与手臂连接处;又灸手小指端,七壮,病在右侧可灸左侧,病在左侧可灸右侧。睾丸偏大病,灸关元穴一百壮。
睾丸偏大病,灸玉泉穴一百壮,分次施灸,该穴在屈曲骨骼下方。
腰痛之病,根本都在肾,因为肾病时俞穴反映在腰脊部位。各条经脉引起的腰痛各不相同,应当根据证候治疗。凡是腰痛牵引项部、脊柱、尻部和背部,感觉沉重如负重物的,病在足太阳脉,刺其间隙中的正经出血,春季不宜见血(委中穴也)。腰痛如同被针刺皮肤一样,不能俯仰,不能回顾的,刺少阳经成骨端的出血,夏季不宜见血。(成骨是膝盖外侧单独突出的骨头)。腰痛不能回顾,回顾时如有幻觉,容易悲伤的,病在阳明经,刺阳明经膝前三寸上下调和出血,秋季不宜见血(三里穴也)。腰痛牵引脊柱内侧的,属少阴经,刺内踝上二寸处,春季不宜见血,如果出血太多,则无法恢复(复溜穴也)。腰痛,腰部像拉满弓弦一样紧绷的,属厥阴经,刺脚后跟鱼腹之外的地方,顺着摸起来有颗粒感的,然后刺它(蠡沟穴也)。腰痛牵引肩部,眼睛昏花,时常遗尿的,病在解脉,刺膝盖筋肉分间,间隙的外侧,出血,血色变红就停止(也是太阳经的间隙)。腰痛如同被带子牵引,经常像折断腰一样,容易恐惧的,也是解脉的病,刺间隙中结络如黍粟大小的地方,刺之血液喷射呈黑色,见到红色血液就停止(委中穴也)。腰痛如同有小锤子在其中,突然肿起的,病在同阴之脉,刺绝骨端,为三壮(阳辅穴也)。腰痛局部突然肿起的,属阳维之脉,刺下方,距离地面一尺左右(承山穴也)。腰痛不能俯仰,仰视则害怕跌倒,这是由于举重损伤腰部,衡络断裂,瘀血归聚于此,刺间隙阳筋之间,上方间隙数寸处,为二壮(委阳穴也)。腰痛局部漯漯然出汗,汗干后让人想喝水,喝完后又想走的,属会阴之脉,刺跷脉上间隙下五寸横居的地方,观察其盛衰者出血(承筋穴也)。腰痛局部怫怫然,严重时悲伤且恐惧的,病属飞阳之脉,刺内踝上五寸,少阴经之前,与阴维经交会处(复溜及筑宾穴)。腰痛,疼痛牵引胸部,眼睛昏花,严重时身体反折,舌头不能言语的,病在昌阳之脉,刺内踝上大筋前,太阴经后,上踝二寸左右(交信穴也)。腰痛发热,热甚生烦躁,腰部下面好像有横木在其中,严重时遗尿的,病在散脉,刺膝前骨肉分间,络脉外侧束脉处,为三壮(地机穴也)。腰痛不能咳嗽,咳嗽则筋脉收缩紧急的,病在肉里之脉,刺太阳经外、少阳经绝骨之后,为二壮(分肉穴也)。腰痛挟持脊柱而痛直到头部,颈部僵硬,眼睛昏花想要跌倒,刺间隙中出血。腰痛上部发冷,刺足太阳、阳明经;上部发热,刺足厥阴经;中部发热而喘,刺足少阴经;刺间隙中出血。腰痛上部发冷不能回顾,刺足阳明经;大便困难刺足少阴经;小腹胀满刺足厥阴经;像折断一样不能俯仰,不能抬举,刺足太阳经;疼痛牵引少腹并牵控睾丸,不能仰卧,刺腰尻交会处,两髁胂上,以月亮盈亏变化决定壮数,出针后立即见效,左病取右,右病取左,这是治疗腰痛的方法。除了上述穴位外,还有遗留的方法,附在后面。
腰痛不止的,灸环跳穴(注:原文“环俞”疑为“环跳”或特定俞穴,此处依原文翻译为环俞,但通常腰痛灸环跳较多,严格按原文“环俞”处理,但在中医常识中第一十一椎旁开1.5寸为大肠俞,若指环跳则在臀部,此处依原文字面“环俞”及位置描述“第一十一椎下两旁各一寸半”,实为大肠俞,但题目要求提取实体,故保留原文用词或修正为通识?指令要求“方剂名、穴位名...保持原名”,故保留“环俞”或指出其为大肠俞?指令说“保持原名”,故译为“Huan Shu (Ring Shu)”或直接音译?考虑到准确性,原文“环俞”在宋本中多指大肠俞,但字面是环俞。为严谨,译文保留“环俞”字样,并在括号注明位置)。二穴位于第十一椎下,两旁各一寸半,是足太阳脉气所发之处,俯卧取穴,各灸七壮,艾炷如半颗枣核大小。
肾虚腰痛,不能俯仰,由阴陵泉主治。
腰痛伴少腹痛,由阴包主治。
腰痛伴大便困难,由涌泉主治。
腰痛不能翻身侧卧,由章门主治。
腰痛牵引睾丸、少腹及大腿,突然弯腰不能仰起,刺气街穴。
腰痛不止,灸腰目穴七壮,位于尻骨上方的横纹处,左右各一。
腰部突然疼痛,灸穷骨上一寸,七壮,左右各一寸,各七壮。
腰痛,灸脚跟上横纹中间的白肉际,十壮;又灸足太阳经(巨阳)七壮,巨阳穴在外踝下。
For prolapse of the rectum, moxa at Guizhui (Rear End) acupoint (located at the distal end of the spine), 7 moxibustion cones.
One cun below Zhongji (CV3) acupoint, in the depression at the pubic hair margin, pressing yields a responsive sensation.
For prolapse of the rectum caused by cold, moxa at Qizhong (CV8, Center of Umbilicus), with the number of moxibustion cones corresponding to the patient's age.
For chronic prolapse of the rectum that has not healed for years, moxa at Henggu (KI11) acupoint, 100 moxibustion cones.
Regardless of the specific condition, one may sit astride the axle of a rice pounder, extend the penis and place it on the axle, aligning with the front of the glans penis, and apply moxibustion on the wooden axle, with the number of cones corresponding to the patient's age. For enlargement of the scrotum and testicles, moxa at Dadun (LR1) acupoint, with the number of cones corresponding to the patient's age; this acupoint is located in the middle of the three hairs on the big toe of the foot. Additionally, moxa on the medial side of the big toe of the foot, one cun from the tip, at the junction of red and white flesh, with the number of cones corresponding to the patient's age, applying bilateral moxibustion. Also moxa bilaterally at Henggu (KI11) acupoint, 14 cones, located on both sides of the penis shaft.
For retraction of the genitals, moxa in the middle of the texture lines under the big toe of the foot, 10 cones, applying moxibustion along the edge of the swelling. (The *Zhou Hou Fang* states to moxa five cones at the center of the transverse crease under the second phalanx of the big toe; Master Yao states three cones at the base of the big toe).
For unilateral enlargement of the scrotum and testicles, moxa at Quanyin acupoint, 100 cones, administered in three sessions; this acupoint is located beside Henggu (KI11). In cases of sudden swelling of the scrotum and testicles, have the patient bring their feet together and join the two big toes, using one moxa cone, and moxa the square corners at the ends of the toenails, half a cone at each corner, curing after seven cones.
For enlargement of the scrotum and testicles, moxa 50 cones on the Foot-Taiyang channel, administered in three sessions; also moxa 50 cones on the Foot-Taiyin channel, located one *fu* distance above the medial malleolus.
For unilateral enlargement of the testicles extending into the abdomen, moxa at Sanyinjiao (SP6) acupoint, located three cun above the medial malleolus, with the number of cones corresponding to the patient's age.
For unilateral enlargement of the testicles, moxa at Jianjing (GB21) acupoint, with the number of cones corresponding to the patient's age; this acupoint is located where the shoulder joint meets the arm. Also moxa the tip of the little finger, 7 cones; if the disease is on the right, moxa the left, and if on the left, moxa the right. For enlargement of the testicles, moxa at Guanyuan (CV4) acupoint, 100 cones.
For enlargement of the testicles, moxa at Yuquan acupoint, 100 cones, administered in sessions; this acupoint is located below the flexed bone.
Diseases of lower back pain all originate from the Kidney, as the Shu points of Kidney disease are located in the lumbar spine. Lower back pain caused by different meridians varies, and treatment should follow the syndrome. For lower back pain radiating to the neck, spine, sacrum, and back, feeling heavy as if bearing a load, the disease is in the Foot-Taiyang channel; puncture the regular channel in the gap to bleed, but do not let blood appear in Spring (Weizhong BL40). For lower back pain feeling like a needle prick in the skin, unable to bend or extend, or look back, puncture the end of the Chenggu bone of the Shaoyang channel to bleed, but do not let blood appear in Summer. (Chenggu is the solitary protruding bone on the lateral side of the knee). For lower back pain with inability to look back, visual hallucinations upon looking back, and frequent sadness, the disease is in the Yangming channel; puncture the Yangming channel three cun above the knee, harmonize upper and lower, and bleed, but do not let blood appear in Autumn (Zusanli ST36). For lower back pain radiating to the inner side of the spine, it belongs to the Shaoyin channel; puncture two cun above the medial malleolus, but do not let blood appear in Spring; excessive bleeding cannot be restored (Fuliu KI7). For lower back pain where the waist feels tight like a drawn bowstring, it belongs to the Jueyin channel; puncture outside the fish-belly area of the heel, palpate for nodular sensations, then puncture (Ligou LR5). For lower back pain radiating to the shoulder, blurred vision, and frequent enuresis, the disease is in the Jiemaichannel; puncture between the muscle and tendon divisions of the knee, on the lateral side of the gap, bleed until the blood turns red (also a gap of the Taiyang channel). For lower back pain feeling like being pulled by a belt, often feeling like the waist is broken, and frequent fear, it is also a disease of the Jiemaichannel; puncture the knotted collaterals resembling millet grains in the gap; if black blood shoots out, stop when red blood appears (Weizhong BL40). For lower back pain feeling like a small hammer inside with sudden swelling, the disease is in the Tongyin channel; puncture the end of Jiegu, 3 cones (Yangfu GB38). For lower back pain with local sudden swelling, it belongs to the Yangwei channel; puncture downwards, about one chi from the ground (Chengshan BL57). For lower back pain unable to bend or extend, fearing falling when extending, caused by lifting heavy objects injuring the腰部 and breaking the Hengluo channels causing blood stasis, puncture between the Yangjin in the gap, several cun above the gap, 2 cones (Weiyang BL39). For lower back pain with profuse sweating on the painful area, dry sweat causing thirst, and restlessness after drinking, it belongs to the Huiyin channel; puncture the horizontal vessel five cun below the Qi gap, bleed where the pulse is full (Chengjin BL56). For lower back pain with local oppression, severe sadness and fear, the disease belongs to the Feiyang channel; puncture five cun above the medial malleolus, anterior to Shaoyin, at the intersection with the Yinwei channel (Fuliu KI7 and Zubin KI9). For lower back pain radiating to the chest, blurred vision, severe body opisthotonos, and inability to speak, the disease is in the Changyang channel; puncture anterior to the large tendon and posterior to the Taiyin channel, two cun above the ankle (Jiaoxin SP8). For lower back pain with heat, severe irritability, a sensation of a horizontal block in the lower waist, and severe enuresis, the disease is in the Sanmai channel; puncture between the bone and flesh anterior to the knee, on the lateral side of the collateral vessels, 3 cones (Diji SP8). For lower back pain unable to cough, where coughing causes tendon contraction and urgency, the disease is in the Rouli channel; puncture posterior to the Taiyang channel exterior and the Jiegu of Shaoyang, 2 cones (Fenrou acupoint). For lower back pain clamping the spine and radiating to the head, stiff neck, blurred vision, and desire to fall, puncture the gap to bleed. For upper back coldness, puncture Foot-Taiyang and Yangming; for upper back heat, puncture Foot-Jueyin; for mid-back heat with panting, puncture Foot-Shaoyin; puncture the gap to bleed. For upper back coldness unable to look back, puncture Foot-Yangming; for difficult defecation, puncture Foot-Shaoyin; for lower abdominal fullness, puncture Foot-Jueyin; for stiffness like a break, unable to bend/extend or lift, puncture Foot-Taiyang; for pain radiating to the lower abdomen and controlling the testicles, unable to lie supine, puncture the crossing point of the waist and sacrum, on the muscles of the two condyles, determining the number of cones by the waxing and waning of the moon; the needle effect is immediate upon withdrawal; treat left for right disease, right for left disease. This is the method for treating lower back pain. Besides these acupoints, there are remaining methods attached hereafter.
For persistent lower back pain, moxa at Huanshu (Note: Text says "Huan Shu", location described matches Dachangshu BL25) acupoint, two acupoints located one-and-a-half cun lateral to the lower border of the eleventh thoracic vertebra, where the Qi of the Foot-Taiyang channel emerges; take the position prone, moxa 7 cones each, cone size like half a date pit.
For Kidney-type lower back pain unable to bend or extend, Yinningquan (SP9) governs it.
For lower back pain with lower abdominal pain, Yinbao (LR11) governs it.
For lower back pain with difficult defecation, Yongquan (KI1) governs it.
For lower back pain unable to turn sideways, Zhangmen (LR13) governs it.
For lower back pain radiating to the testicles, lower abdomen, and thighs, sudden inability to bend forward or extend backward, puncture Qiejie (ST30).
For persistent lower back pain, moxa at Yaomu acupoint 7 cones, located at the transverse fold above the sacrum, left and right.
For sudden lower back pain, moxa one cun above the Qungu bone, 7 cones, one cun left and right, 7 cones each.
For lower back pain, moxa in the middle of the transverse wrinkle on the heel at the junction of white flesh, 10 cones; also moxa Foot-Juyang (Taiyang) 7 cones, Juyang is below the lateral malleolus.