论曰∶膏肓俞无所不治,主羸瘦虚损,梦中失精,上气咳逆,狂惑忘误,取穴法,令人
正坐曲脊,伸两手以臂着膝前,令正直手大指与膝头齐,以物支肘,勿令臂得摇动,从胛骨
上角摸索至胛骨下头,其间当有四肋三间,灸中间根据胛骨之里肋间空去胛骨容侧指许摩
KT膂肉之表肋间空处,按之自觉牵引胸户中,灸两胛中各一处至六百壮,多至千壮,当觉
气下
砻砻然如流水状。亦当有所下处,若无停痰宿疾则无所下也。若病患已困,不能正坐,当令
侧卧,挽上臂令前求取穴灸之。求穴大较以右手从右肩上住,指头表所不及者是也。左手亦
然,乃以前法灸之。若不能久正坐,当伸两臂者,亦可伏衣袱上伸两臂,令人挽两胛骨,使
相离,不尔胛骨覆穴不可得也。所伏衣袱当令大小常定,不尔则失其穴也。此灸讫后令人阳
气壮旺,当消息以自补养,取身体平复,其穴近第五椎相准望取之。(当以四椎下二分为准。)
论曰∶夫昔秦缓不救晋侯之疾,以其在膏之下,肓之上,针药所不能及者,此穴是也。
时人拙不能求得此穴,所以宿 难遣,若能用心方便求得,灸之无疾不愈矣。
三里∶
主腹中寒胀满,肠鸣腹痛,胸腹中瘀血,小腹胀皮肿,阴气不足,小腹坚,热病汗不出
。喜呕口苦,壮热身反折,口噤鼓颔,腰痛不可以顾,顾而有所见,喜悲上下求之。口僻乳
肿,喉痹不能言。胃气不足久泄痢,食不化,胁下柱满,不能久立,膝痿寒热中,消谷,苦
饥腹热,身烦狂言,乳痈,喜噫,恶闻食臭,狂歌妄笑,恐怒大骂,霍乱遗尿,失气阳厥,
凄凄恶寒头眩,小便不利,喜哕凡此等疾,皆灸刺之,多至五百壮,少至二三百壮。
涌泉∶
主喜喘喉痹,身热痛,脊胁相引,忽忽喜忘,阴痹腹胀,腰痛大便难,肩背颈项痛,时
眩,男子如蛊,女子如阻,身体腰脊如解,不欲食,喘逆,足下清至膝,咽中痛不可纳食,
喑不能言,小便不利,小腹痛风入肠中癫疾,挟脊痛急,胸胁柱满,痛衄不止,五疝,指端
尽痛,足不践地,凡此诸疾皆主之。
论述说:膏肓俞穴没有治不好的病,主要治疗身体消瘦、虚损,梦中遗精,气逆咳嗽,神志狂乱、迷惑、健忘失误。取穴方法:让患者端正坐好,弯曲脊柱,伸直双手将手臂放在膝盖前,使大拇指与膝盖头齐平,用物体支撑手肘,不要使手臂晃动。从肩胛骨上角摸索到肩胛骨下角,其间应当有四根肋骨、三个间隙,在中间根据靠近脊柱的肋骨间的空隙,距离脊柱约能容纳侧指宽度的地方,即脊柱旁肌肉表面的肋骨间空隙处,按压时自觉牵引到胸户中,灸两侧肩胛骨中间各一处,每处灸至六百壮,多则灸至千壮,应当感觉到热气向下流动,像流水一样的感觉。也应当有邪气排出的部位,如果没有停积的痰饮和旧疾,就没有邪气排出。如果病人已经困倦,不能端正坐好,应当让病人侧卧,挽起上臂以便向前寻找穴位进行艾灸。寻找穴位的大致方法是:用右手从右肩上方按住,手指头触及不到的地方就是穴位。左手也是如此,然后用前面的方法艾灸。如果不能长时间端正坐好并伸直双臂,也可以趴在衣袱上伸直双臂,让人挽起两肩胛骨,使其分开,否则肩胛骨会覆盖穴位,无法找到。所趴的衣袱大小应当固定,否则就会失去准确的穴位。此穴灸完后,使人阳气壮盛旺盛,应当斟酌情况以自我补养,使身体恢复平衡。该穴位置接近第五椎,参照寻找。(应当以第四椎下二分作为标准。)
论述说:从前秦缓没能治好晋侯的病,因为病位在膏之下、肓之上,是针药所不能达到的地方,这个穴位就是(针对这种情况的)。当时的人笨拙,不能找到这个穴位,所以宿疾难以遣除。如果能用心方便地找到它,灸治它,没有治不好的病。
三里穴:
主治腹中寒胀满,肠鸣腹痛,胸腹中有瘀血,小腹胀皮肿,阴气不足,小腹坚硬,热病汗不出。喜欢呕吐、口苦,身体壮热且背部反折,牙关紧闭、下巴颤抖,腰痛不能回头看,回头看时视物不清,喜欢悲伤,上下求索。口眼歪斜、乳房肿胀,喉痹不能说话。胃气不足导致的久泄痢,食物不消化,胁下支柱感胀满,不能久站,膝痿寒热交替,消化谷食,痛苦饥饿伴腹部发热,身体烦躁、胡言乱语,乳痈,喜欢打嗝,厌恶食物的气味,狂歌妄笑,恐惧愤怒、大声骂人,霍乱遗尿,失气阳厥,凄凄怕冷、头晕目眩,小便不利,喜欢呃逆。凡这些疾病,都可以通过艾灸或针刺治疗,多则灸五百壮,少则二三百壮。
涌泉穴:
主治喜欢喘息、喉痹,身体发热疼痛,脊胁相互牵引,恍惚健忘,阴痹腹胀,腰痛大便困难,肩背颈项痛,时常眩晕,男子如蛊病状,女子如阻滞状,身体腰脊像散架一样,不想吃东西,气喘逆上,足底冷至膝盖,咽喉痛不能进食,失音不能说话,小便不利,小腹痛风入肠中癫疾,挟脊疼痛急迫,胸胁支柱感胀满,疼痛鼻衄不止,五疝,指尖尽头疼痛,脚不能踩地。凡这些疾病都由本穴主治。
It is stated: The Gohuangshu (Bladder 43) acupoint can treat all diseases. It primarily manages emaciation and deficiency, nocturnal emission in dreams, upward rushing of qi with coughing and reversing, mania, confusion, and forgetfulness. The method for locating the acupoint is as follows: Have the patient sit upright with the spine curved, extend both hands and place the arms in front of the knees, aligning the thumb with the knee cap. Support the elbow with an object to prevent arm movement. Palpate from the upper angle of the scapula down to the lower end of the scapula. Between these points, there are four ribs and three intercostal spaces. In the middle, locate the space between the ribs adjacent to the spine, approximately one finger's width away from the spine, on the surface of the paraspinal muscles. When pressed, a sensation should be felt pulling towards the chest. Moxibustion is applied to one point in the middle of each scapula, up to 600 moxa cones per side, or up to 1,000 if necessary. One should feel the qi moving downward like flowing water. There may also be a discharge site; if there is no retained phlegm or chronic disease, there will be no discharge. If the patient is too weak to sit upright, they should lie on their side, with the upper arm pulled forward to facilitate locating the acupoint for moxibustion. The general method for locating the acupoint is to use the right hand to press from above the right shoulder; the spot beyond the reach of the fingertips is the location. The same applies to the left side. Then apply moxibustion using the previous method. If the patient cannot sit upright and extend both arms for long, they may lie prone on a cloth pad with arms extended, while someone pulls the two scapulae apart. Otherwise, the scapulae will cover the acupoint, making it inaccessible. The size of the cloth pad must remain constant, otherwise, the accurate location will be lost. After this moxibustion, the patient's yang qi becomes robust. They should adjust their lifestyle for self-nourishment until the body returns to balance. The acupoint is located near the fifth thoracic vertebra. (The standard reference is 2 cun below the fourth thoracic vertebra.)
It is stated: In ancient times, Qin Huan failed to cure the Marquis of Jin because his illness was located "below the gao (heart fat) and above the huang (diaphragm)," areas unreachable by acupuncture and herbs. This acupoint addresses such conditions. People of that time were inept at locating this acupoint, so chronic ailments persisted. If one makes a concerted effort to locate it accurately and applies moxibustion, no disease will remain uncured.
Sanli (Stomach 36):
Indicated for cold distension and fullness in the abdomen, borborygmus and abdominal pain, blood stasis in the chest and abdomen, swelling of the skin in the lower abdomen, insufficiency of yin qi, hardness of the lower abdomen, inability to sweat during febrile diseases, frequent vomiting, bitter taste in the mouth, high fever with opisthotonos, trismus and masseter spasm, low back pain preventing turning the head, visual disturbances when looking back, frequent sadness, restlessness. Also indicated for facial paralysis, breast swelling, dysphagia due to throat obstruction, chronic diarrhea and dysentery due to insufficient stomach qi, indigestion, rib-side distension resembling a pillar, inability to stand for long periods, knee weakness with alternating cold and heat, excessive digestion of food, painful hunger with abdominal heat, physical restlessness and delirium, mastitis, frequent belching, aversion to food odors, manic singing and laughing, fear and anger with loud cursing, cholera with urinary incontinence, loss of qi with yang collapse, shivering aversion to cold with dizziness, difficult urination, and frequent hiccups. All these conditions can be treated with moxibustion or acupuncture, applying between 200-300 to 500 moxa cones.
Yongquan (Kidney 1):
Indicated for frequent panting, throat obstruction, body heat and pain,牵引 (pulling sensation) between the spine and ribs, mental fogginess and forgetfulness, yin bi with abdominal distension, low back pain with difficulty in defecation, pain in the shoulder, back, neck, and nape, frequent dizziness, men presenting with symptoms similar to gu disease, women presenting with symptoms similar to obstruction, feeling as if the waist and spine are dislocated, anorexia, wheezing and rebellious qi, coldness extending from the soles to the knees, severe throat pain preventing swallowing, aphonia, difficult urination, lower abdominal pain with wind entering the intestines leading to epilepsy, acute pain along the spine, chest and rib-side distension, continuous epistaxis, five types of hernia, pain at the tips of the fingers, inability to walk on the feet. All these diseases are primarily managed by this acupoint.