苏恭云∶凡香港脚发有阴阳表里，当随状疗之，不可妄依古方也，惠阴疗阳，病表救里，
皆
为重虚实，危殆之甚也。若病从阴发，起两足大指内侧，上循胫内及膝里，顽痹不仁，或肿
先发于
壮，向
从绝骨
皆依
以
疮
云
阳陵泉（二穴在膝外侧骨下宛宛陷中是也） 绝骨（二穴在足外踝上骨绝头陷中又云一
尺
是也） 风市（二穴平立垂手当中指头髀两筋间是也黄帝三部针灸经无风市二穴此处恐是环
铫
风市疑其别名未详所出） 昆仑（二穴在足外踝后跟骨上陷中是也） 阳辅（二穴在绝骨前
半寸
少下是也徐云明堂无绝骨名有阳辅二穴在膝盖下外侧三寸傍廉骨当小指两筋间是也黄帝三部
针灸经丙卷阳辅二穴在足外踝上四寸辅骨前绝骨端前三分与此不同） 上廉（二穴在三里下
三
寸是也） 条口（二穴在上廉下二寸是也） 下廉（二穴在条口下一寸是也） 太冲（二穴
在足大
指本节后二寸
经
丙卷犊鼻二穴
灸
经无膝目二穴） 曲泉（二穴
是
也黄帝三部针灸经丙卷曲泉
穴在膝下内侧辅骨下宛宛中
帝
三部针灸经中 一名中都在
太
阴也） 复溜（二穴在内踝上
阳维（二穴在
内踝后一寸动筋中是徐同） 太阴（二穴在内踝上八寸骨下陷中是徐同） 太阴跷（二穴在
内踝下向宛宛中是黄
委中（二穴在膝后屈中央是徐苏同） 承筋（二
足
肠下分肉间陷中是徐苏同） 涌泉（二穴在脚心
上件穴并要，不可 能灸其穴，最要者有三里，绝骨承筋，大冲，昆仑，涌泉，有患者
可灸
其
三
帝
冬差
可
已
灸
所
不
苏恭云∶香港脚初发转筋者，灸承山承筋二穴，哕逆者灸涌泉。若从头至连背痛，寒热如
疟，及腰痛者，灸委中，头项背痛，随身痛即灸，不在正穴也。
又云若香港脚盛发时，自腰以上，并不得针灸，当引风气上则杀人，气歇以后，有余病者
，灸无妨，唯冬月得灸，春夏不可灸，自风市以下固宜佳耳。
又云∶若气上击心不退，急灸手心三七炷，气即便退；若未退即闷，兼煮豉酒热饮逐之
即瘥，不去即取乌特，牛尿一大升暖服，以利为止，纵至三服五服弥佳。
又若已灸脚而胸中气犹不下满闷者，宜灸间使五十炷，两手掌横文后，一云三寸两筋间
是也。
又若胸中气散，而心下有脉洪大跳，其数向下，分入两髀股内，令人心急，忪悸者，宜
以手
里二
又若心腹气定，而两髀外连膝闷者，宜灸膝眼七炷，在膝头骨下相接处，在筋之外陷中
是。若后更发，复灸三炷。
又凡人虽不患香港脚，但苦髀膝疼闷，灸此无不应手即愈，极为要穴，然不可针，亦不可
多灸，唯只灸七炷以下。
又若脚十指酸疼闷，渐入趺上者，宜灸指头正中甲肉际三疰，即愈。
又若大指或小指傍
侧疼闷，觉内有脉如流水，上入髀腹者，宜随指傍处灸三炷，即愈。（并出上卷中）
唐论。若手指本节间疼稍入臂者，宜灸指间疼处七炷，即定。
又若心胸气满，已炙身胫诸穴，及服汤药，而气犹不下，烦急欲死者，宜灸两足心下当
中陷处各七炷，气即下，此穴尤为极要，而不可数灸，但极急乃灸七炷耳，以前诸灸法并经
用，
门驱
苏恭说：凡是香港脚（一种以足胫肿重、软弱无力为主要表现的疾病）发作，有阴证和阳证、表证和里证的区别，应当根据具体症状进行治疗，不能盲目依照古方。如果阴证用治阳证的方法，表证用救里证的方法，都会导致虚实误判，造成极大的危险。
如果病从阴分发起，起始于两足大脚趾内侧，向上沿小腿内侧及膝部内部蔓延，出现皮肤僵硬麻木、不知痛痒，或者肿胀先出现在小腿肚（腨），然后向绝骨穴方向蔓延，都应当依据……（原文此处有缺漏，推测为“依穴灸之”或类似含义）。
穴位说明：
阳陵泉（两个穴位，位于膝盖外侧骨头下方的凹陷处）；
绝骨（两个穴位，位于足外踝上方骨头尽头处的凹陷中，又说距离绝骨上一尺处是也）；
风市（两个穴位，身体直立垂手时，中指指尖所触及的大腿外侧两筋之间的位置。《黄帝三部针灸经》中没有风市这两个穴位，这里恐怕是环跳穴的别名，来源不详）；
昆仑（两个穴位，位于足外踝后方跟骨上方的凹陷处）；
阳辅（两个穴位，位于绝骨前方半寸稍下的位置。徐氏《明堂经》中没有绝骨这个名称，只有阳辅两个穴位，位于膝盖下外侧三寸，傍着廉骨，在小趾两根筋之间。《黄帝三部针灸经》丙卷记载阳辅两个穴位在足外踝上四寸，辅骨前，绝骨端前三分，与此说法不同）；
上廉（两个穴位，在足三里穴下三寸处）；
条口（两个穴位，在上廉穴下二寸处）；
下廉（两个穴位，在条口穴下一寸处）；
太冲（两个穴位，在足大趾本节后二寸处，《黄帝三部针灸经》丙卷作犊鼻穴，两个穴位……《明堂经》没有膝目这两个穴位）；
曲泉（两个穴位……《黄帝三部针灸经》丙卷记载曲泉穴在膝下内侧辅骨下方的凹陷中，《黄帝三部针灸经》中又名中都，属于足太阴脾经）；
复溜（两个穴位，在内踝上……）；
阳维（两个穴位，在内踝后一寸动筋之中，与徐氏相同）；
太阴（两个穴位，在内踝上八寸骨头下方的凹陷中，与徐氏相同）；
太阴跷（两个穴位，在内踝下向前方的凹陷中，与黄氏相同）；
委中（两个穴位，在膝后弯曲的中央，与徐氏、苏氏相同）；
承筋（两个穴位，在……足肠下分肉间的凹陷中，与徐氏、苏氏相同）；
涌泉（两个穴位，在脚心……）。
上述穴位都是重要的，不能随意施灸。其中最重要的是足三里、绝骨、承筋、太冲、昆仑、涌泉这六个穴位。患者可以灸这些穴位。
苏恭说：香港脚初发出现转筋（肌肉痉挛）的，灸承山、承筋两个穴位；出现呃逆（打嗝）的，灸涌泉穴。如果疼痛从头连到背部，伴有寒热往来像疟疾一样，以及腰痛的，灸委中穴；头项背痛，伴随全身疼痛的就施灸，不一定拘泥于正穴。
又说：如果香港脚严重发作时，腰部以上的部位，都不可以进行针灸，因为引风气上行会致人死亡。待气机平息之后，如果还有余病未除，施灸无妨。只有在冬季可以施灸，春夏季节不可施灸，从风市穴以下的穴位适宜施灸。
又说：如果气机上冲击心且不退散，紧急灸手心三七二十一炷，气就会退散；如果气未退散反而感到闷窒，同时煮豆豉酒热饮服用以驱逐病邪，即可痊愈；如果病邪不去，就取牛尿一大升，温热服用，以利下排泄为度，即使服用三服五服更好。
又如果已经灸了脚部，但胸中气机仍然不下行，感到胀满闷窒的，宜灸间使穴五十炷，该穴在两手掌横纹后，一说在三寸两筋之间。
又如果胸中气机散乱，而心下有脉搏洪大跳动，其数向下，分散进入两大腿内侧，令人心急慌乱的，宜用手……（原文此处有缺漏，推测为按压或特定手法）足三里二穴……
又如果心腹气机安定，但两大腿外侧连及膝盖感到闷窒的，宜灸膝眼穴七炷，位于膝头骨下相接处，在筋之外的凹陷中。如果以后再次发作，再灸三炷。
又普通人虽然不患香港脚，但如果苦于大腿膝盖疼痛闷窒，灸此穴没有不立即痊愈的，这是极为重要的穴位。然而不可针刺，也不可多灸，只灸七炷以下。
又如果脚十个脚趾酸痛闷窒，逐渐蔓延到足背上的，宜灸指头正中指甲与肉交界处的三疰（注：此处可能指特定位置或数量，原文表述较简略），即可痊愈。
又如果大脚趾或小脚趾旁边侧疼痛闷窒，感觉内有脉象如流水般流动，向上进入大腿腹部的，宜随手指旁边的位置灸三炷，即可痊愈。（以上均出自上卷）
唐代论述：如果手指本节间疼痛并稍微蔓延到手臂的，宜灸指间疼痛处七炷，即可定止。
又如果心胸气满，已经灸过身胫各穴，以及服用汤药，但气机仍然不下行，烦躁急切欲死的，宜灸两足心下当中的凹陷处各七炷，气就会下行。这个穴位尤为极其重要，但不能频繁施灸，只有在极度紧急时才灸七炷而已。以前的各种灸法都已经使用过……（原文结尾不完整，推测为“门驱邪”之类）。
Su Gong stated: Whenever Hongjiaojiao (a disease characterized by swelling and weakness of the lower legs and feet) occurs, it presents with Yin and Yang, Exterior and Interior patterns. Treatment must be tailored to the specific symptoms; one should not blindly follow ancient prescriptions. Treating a Yin pattern as if it were Yang, or addressing an Exterior condition by rescuing the Interior, will lead to misjudgment of deficiency and excess, resulting in grave danger.
If the disease originates from the Yin aspect, it begins at the medial side of the big toes of both feet, ascending along the medial aspect of the shins and into the knee interior. It manifests as stiff numbness and insensitivity, or swelling that first appears in the calf muscles (Shuan), then spreads toward the Juegu point. All such cases should be treated according to... [text missing, likely referring to acupoint moxibustion].
Acupoint Descriptions:
Yanglingquan (BL34): Two points located in the depression below the lateral condyle of the tibia.
Juegu (GB39): Two points located in the depression at the end of the bone above the lateral malleolus; alternatively described as one cun above Juegu.
Fengshi (GB31): Two points located between the two tendons on the lateral aspect of the thigh, where the tip of the middle finger touches when standing upright with arms hanging down. The *Huangdi Sanbu Zhenjiu Jing* does not list Fengshi; this may be an alias for Huantiao (GB30), though its origin is unclear.
Kunlun (BL60): Two points located in the depression behind the lateral malleolus and above the calcaneus.
Yangfu (GB38): Two points located half a cun anterior and slightly inferior to Juegu. Xu’s *Mingtang Jing* does not list Juegu but lists Yangfu: two points three cun below the knee, lateral to the fibula, between the tendons of the little toe. The *Huangdi Sanbu Zhenjiu Jing*, Volume Bing, describes Yangfu as four cun above the lateral malleolus, anterior to the fibular head, three fen anterior to the end of Juegu, which differs from the above description.
Shanglian (ST35 variant/extra point): Two points three cun below Zusanli (ST36).
Tiaokou (ST38): Two points two cun below Shanglian.
Xialian (ST37 variant/extra point): Two points one cun below Tiaokou.
Taichong (LR3): Two points two cun proximal to the metatarsophalangeal joint of the big toe. The *Huangdi Sanbu Zhenjiu Jing*, Volume Bing, refers to Dubi (ST35)... The *Mingtang Jing* does not list Ximu.
Ququan (LR8): Two points... The *Huangdi Sanbu Zhenjiu Jing*, Volume Bing, locates Ququan in the depression medial to the tibia below the knee. In the *Huangdi Sanbu Zhenjiu Jing*, it is also known as Zhongdu (SP7) and belongs to the Foot-Taiyin Spleen Meridian.
Fuliu (KI7): Two points above the medial malleolus...
Yangwei (Extra point): Two points one cun posterior to the medial malleolus, within the pulsating tendon, consistent with Xu’s description.
Taiyin (SP6 variant?): Two points eight cun above the medial malleolus, in the depression below the bone, consistent with Xu’s description.
Taiyin Qiao (Extra point): Two points in the depression anterior to the medial malleolus, consistent with Huang’s description.
Weizhong (BL40): Two points in the center of the popliteal crease, consistent with Xu and Su’s descriptions.
Chengjin (BL57): Two points in the depression between the muscle bellies of the gastrocnemius... consistent with Xu and Su’s descriptions.
Yongquan (KI1): Two points in the sole of the foot...
The aforementioned acupoints are essential and should not be moxaed arbitrarily. The most critical ones are Zusanli (ST36), Juegu (GB39), Chengjin (BL57), Taichong (LR3), Kunlun (BL60), and Yongquan (KI1). Patients may undergo moxibustion on these points.
Su Gong stated: For early-stage Hongjiaojiao presenting with muscle spasms (Zhuanjin), moxa Chengshan (BL57) and Chengjin (BL57). For hiccups (Yueni), moxa Yongquan (KI1). If pain radiates from the head to the back, accompanied by chills and fever resembling malaria, or if there is lumbar pain, moxa Weizhong (BL40). For headache, neck stiffness, and back pain accompanying general body pain, apply moxibustion; strict adherence to standard acupoint locations is not required.
Furthermore, during severe exacerbations of Hongjiaojiao, moxibustion and acupuncture are contraindicated on the upper body (waist and above), as drawing pathogenic wind upward can be fatal. After the acute qi disturbance subsides, if residual symptoms remain, moxibustion is permissible. Moxibustion is only suitable in winter; it is contraindicated in spring and summer. Acupoints below Fengshi (GB31) are appropriate for moxibustion.
Additionally, if rebellious qi strikes the heart and does not recede, urgently moxa the palm 21 moxa cones (3 x 7); the qi will subside. If the qi does not recede and suffocation occurs, drink hot fermented soybean wine to expel the pathogen, which will cure the condition. If the pathogen persists, administer one sheng (approx. 200ml) of warm cow urine until diarrhea ensues. Even three to five doses are beneficial.
If moxibustion has been applied to the feet but chest qi remains stagnant causing fullness and oppression, moxa Jianshi (PC5) 50 cones. This point is located two cun distal to the transverse wrist crease, between the two tendons.
If chest qi is scattered and a bounding, jumping pulse is felt below the heart, descending and branching into the medial thighs, causing anxiety and palpitations, use manual manipulation on... [text missing] Zusanli (ST36)...
If heart and abdominal qi stabilize but the lateral thighs and knees feel oppressed, moxa Xiyan (EX-LE5) 7 cones. This point is located in the depression lateral to the patellar ligament, below the knee cap. If recurrence occurs, moxa 3 additional cones.
Even individuals not suffering from Hongjiaojiao who experience thigh and knee pain and oppression will find immediate relief from moxibustion on this point. It is a highly effective point but should not needled or over-moxaed; limit to 7 cones or fewer.
If soreness and pain affect all ten toes and spread to the dorsum of the foot, moxa the midpoint of the nail bed margin of each toe 3 cones for immediate resolution.
If pain and oppression occur on the sides of the big or little toes, with a sensation of flowing pulse ascending into the thigh and abdomen, moxa 3 cones adjacent to the affected toe for immediate resolution. (All extracted from Volume Upper).
Tang Dynasty Commentary: If pain starts at the interphalangeal joints of the fingers and extends slightly into the arm, moxa the painful area between the fingers 7 cones to stop the pain.
If chest and heart qi are full, and despite moxibustion on body and leg acupoints and herbal decoction intake, the qi still fails to descend, causing extreme irritability and a sense of impending death, moxa the central depression below the soles of both feet 7 cones each. The qi will descend. This point is extremely critical; do not moxa frequently. Only apply 7 cones in extreme emergencies. The aforementioned moxibustion methods have been utilized... [text ends abruptly].