肘后疗霍乱先腹痛者法。
灸脐上十四壮,名太仓,在心厌下四寸,更度之。(千金备急崔氏古今录验并同通按铜
人经中管一名太仓在脐上四寸胃募也)
又疗先洞下者法。
灸脐边二寸,男左女右十四壮,甚者至三十四十壮,名大肠募也。(千金备急崔氏古今
录验同)
又疗转筋者法。
灸脚心下名涌泉。
又灸当足大拇指聚筋上六七壮,神验。
又灸足大指下约中一壮。(千金及翼同)
又疗转筋入腹痛者法。
令四人捉手足,灸脐左二寸十四壮。
又灸股中大筋上去阴一寸。
又疗苦 方法。
灸手腕第一约理中七壮,名心主,当中指。
又疗下痢不止者法。
灸足大指本节内侧一寸白肉际,左右七壮,名大都。(千金同通按铜人经大都二穴在足
大指本节后陷中)
又疗吐且下痢者法。
灸两乳边连黑外,近腋白肉际,各七壮,可至二七壮。
又疗苦烦闷急满法。
灸心厌下三寸七壮,名胃管。(文仲同)
又法
以盐纳脐中,灸上二七壮。(文仲千金翼同)
又疗苦绕脐痛急者法。
灸脐下三寸三七壮,名关元良。(文仲同)
又疗先吐者方。
灸心下一寸十四壮,又并疗下痢不止,上气,灸五十壮,名巨阙,正心厌尖头下一寸是
也。(千金翼文仲崔氏备急同通按铜人经巨阙在鸠尾下一寸心之募也)
又疗霍乱神秘起死灸法。
以物横度病患口中,屈之从心鸠尾度以下灸度下头五壮,横度左右,复灸五壮,此三处
并当先灸中央毕,更横度左右也,又灸脊上以物围令正当心厌,又夹脊右上一寸各七壮,是
腹背各灸三处。(崔氏文仲同)
又华佗疗霍乱已死,上屋唤魂者,又以诸疗皆至,而犹不瘥者法。
捧病患覆卧之,伸臂对以绳度两肘尖头,依绳下夹背脊大骨空中,去脊各一寸,灸之百
壮,无不活者,所谓灸肘椎空,囊归,已试数百人,皆灸毕即起坐,佗以此术传其子孙,世
世皆秘之不传。(千金崔氏备急同并出第一卷中)
千金凡得霍乱,灸之或时虽未立瘥,终无死忧,不可逆灸或但先腹痛,或先下后吐,当
随病灸之。
又疗霍乱灸法。
灸谷门穴,在脐旁二寸,男左女右,一名大肠募,灸二七壮,不止,又灸如前数。(通
按甲乙针经天枢一名长 一名谷门夹脐两旁各二寸陷者中)
又疗吐下不禁两手三阴三阳脉俱疾数者法。
灸心厌骨下三寸,又灸脐下三寸,各六七十壮。
又疗干呕者法。
灸间使穴,在手掌后三寸两筋间,左右各灸七壮,不瘥,更灸如前数。(翼文仲肘后同)
又疗手足逆冷者法。
灸三阴交穴,在足内踝直上三寸廉骨际陷中,左右七壮,不瘥,更灸如前数。(肘后古
今录验同)
又疗转筋不止者法。
灸足踵聚筋上白肉际七壮,立愈。
又疗走哺转筋者法。
灸踝白肉际,左右各二十一壮,又灸小腹下横骨中央,随年壮。
又疗转筋四厥者法。
灸两乳根黑际各一壮。
又疗转筋在两胁及胸中法。
灸手掌白肉际七壮,又灸膻中中府巨关胃管尺泽以上,并疗筋拘头足挛急皆愈。
又疗转筋不止者法。
若是男子,手挽其阴牵之,女子挽其乳,逐左右边。
又疗转筋欲死者方。
令四人手持足,灸脐上一寸十四壮,自不动,勿复持之。
又疗霍乱泄痢所伤烦欲死者方。
灸慈宫各二十壮,慈宫在横骨两边各二寸半,横骨在脐下横门骨是也。(并出第二十卷
中通按甲乙针经衡门一名慈宫上去大横五寸在横骨两端约中动脉是)
救急疗霍乱心腹痛胀吐痢,烦闷不止则宜灸之方。
令病患覆卧,伸两臂膊,着身则以小绳正当两肘骨尖头,从背上量度,当脊骨中央绳下
点之,去度,又取绳量病患口,至两吻截断,便中折之,则以度向所点背下两边,各依度长
短点之,三处一时下火,灸绝便定神验,艾炷大稍加也。
又疗霍乱转筋不止,渐欲入腹凡转筋能杀人,起死之法。无过于灸,灸法唯三处要穴第
一承筋穴,在 股下际取穴法。
以绳从脚心下,度至脚踵便截断度,则回此度,从脚踵纵量向上尽度头,当 下际宛宛
中是穴,灸三七壮,则定。
又不止则灸涌泉,在足心下,当足大指中节后一寸半,正当大筋上是穴,又灸足跟后黑
白肉交际当中央,此三处要穴,灸之不过二三七壮,必定。(并出第一卷中)
《肘后备急方》治疗霍乱先出现腹痛的方法。
在脐上灸十四壮,穴位名为太仓,位于心厌(胸骨剑突)下方四寸处,需重新测量确认。(《千金要方·备急方》、崔氏《古今录验》均相同。通按:《铜人腧穴针灸图经》中管穴又名太仓,位于脐上四寸,是胃的募穴。)
又治疗先出现剧烈腹泻的方法。
在脐旁二寸处施灸,男性取左侧,女性取右侧,灸十四壮;病情严重者灸三四十壮,此穴名为大肠募穴。(《千金要方·备急方》、崔氏《古今录验》相同。)
又治疗转筋(肌肉痉挛)的方法。
灸脚心下方,穴位名为涌泉。
又灸足大拇指聚筋上方六七壮,效果神妙灵验。
又灸足大指下方褶皱中间一壮。(《千金要方》及《千金翼方》相同。)
又治疗转筋并伴有腹痛的方法。
让四个人分别握住患者的手脚,在脐左二寸处灸十四壮。
又灸大腿中部大筋上方,距离阴部一寸处。
又治疗烦闷痛苦的方法。
灸手腕第一道横纹处,穴位名为心主(内关),位于中指正对处,灸七壮。
又治疗下痢不止的方法。
灸足大指本节内侧一寸处的白肉边缘,左右各灸七壮,穴位名为大都。(《千金要方》相同。通按:《铜人腧穴针灸图经》记载大都穴位于足大指本节后凹陷中。)
又治疗呕吐且伴有下痢的方法。
灸两乳边缘外侧黑色皮肤与腋下白色皮肤交界处,每侧各灸七壮,最多可灸十四壮。
又治疗苦于烦闷、气急、腹部胀满的方法。
灸心厌下方三寸七壮,穴位名为胃管(中脘)。(《文仲方》相同。)
另一种方法:
将盐填入脐中,在盐上灸十四壮。(《文仲方》、《千金翼方》相同。)
又治疗苦于绕脐剧痛的方法。
灸脐下三寸三七壮,穴位名为关元良(关元)。(《文仲方》相同。)
又治疗先呕吐的方子。
灸心下一寸十四壮,同时也可治疗下痢不止、气逆上冲,灸五十壮,穴位名为巨阙,正位于心厌尖头下方一寸处。(《千金翼方》、《文仲方》、崔氏《备急方》相同。通按:《铜人腧穴针灸图经》记载巨阙穴位于鸠尾穴下一寸,是心的募穴。)
又治疗霍乱神秘起死回生的灸法。
用物体横向放置于患者口中,弯曲物体从心口鸠尾穴向下量度,在量度末端下方灸五壮;横向放置于身体左右两侧,再各灸五壮。这三处都应先灸中央部位,然后再横向放置于左右两侧。又在脊柱上方,用物体环绕身体使其正对心厌,再在脊柱右侧上一寸处各灸七壮,这是腹部和背部各灸三处。(崔氏、《文仲方》相同。)
又华佗治疗霍乱已死亡,需要上屋呼唤灵魂的人,以及所有治疗方法都用过但仍未痊愈的方法。
让患者俯卧,伸展双臂,用绳子测量两肘尖头的距离,依据绳子的长度,在背部夹脊大骨的空隙处,距离脊柱各一寸的地方施灸,共一百壮,没有不救活的。这就是所说的灸肘椎空穴,我将其装入囊中珍藏,已经尝试过数百人,都在灸完后起身坐立。华佗将此术传给子孙,世代保密不传外人。(《千金要方》、崔氏《备急方》相同,均出自第一卷。)
《千金要方》指出,凡是患上霍乱,施灸后有时虽然不能立即痊愈,但最终不会有死亡的危险。不可逆向施灸,或者仅针对先腹痛的情况,或者先腹泻后呕吐,应当根据病情随证施灸。
又治疗霍乱的灸法。
灸谷门穴,位于脐旁二寸,男性取左侧,女性取右侧,又名大肠募穴,灸十四壮;如果不止泻,再按前面的次数施灸。(通按:《甲乙经》记载天枢穴又名长强,又名谷门,位于夹脐两旁各二寸的凹陷中。)
又治疗呕吐腹泻无法控制,两手三阴三阳脉象都急促快速的方法。
灸心厌骨下三寸,又灸脐下三寸,每处各灸六七十壮。
又治疗干呕的方法。
灸间使穴,位于手掌后三寸两筋之间,左右各灸七壮;如果不愈,再按前面的次数施灸。(《千金翼方》、《文仲方》、《肘后方》相同。)
又治疗手足逆冷的方法。
灸三阴交穴,位于足内踝直上三寸胫骨边缘的凹陷中,左右各灸七壮;如果不愈,再按前面的次数施灸。(《肘后方》、《古今录验》相同。)
又治疗转筋不止的方法。
灸足跟聚筋上方的白肉边缘七壮,立即痊愈。
又治疗走哺(进食困难伴呕吐)并转筋的方法。
灸踝关节白肉边缘,左右各二十一壮;又灸小腹下方横骨中央,壮数随年龄而定。
又治疗转筋发生在两胁及胸中的方法。
灸手掌白肉边缘七壮;又灸膻中、中府、巨关、胃管、尺泽等穴以上,均可治疗筋脉拘挛、头足抽搐,都能痊愈。
又治疗转筋不止的方法。
如果是男子,用手牵引其阴部向左右两边拉扯;如果是女子,牵引其乳房向左右两边拉扯。
又治疗转筋欲死的方子。
让四个人手持住患者的手脚,灸脐上一寸十四壮,直到患者不再抽动,不要再强行扶持。
又治疗霍乱泄痢所伤,烦闷欲死的方子。
灸慈宫穴各二十壮,慈宫穴位于横骨两边各二寸半处,横骨即脐下的横形骨头。(均出自第二十卷。通按:《甲乙经》记载衡门又名慈宫,距离大横穴五寸,位于横骨两端约中的动脉处。)
急救治疗霍乱心腹疼痛胀满、呕吐下痢,烦闷不止宜施灸的方子。
让患者俯卧,伸展两臂,贴紧身体,用小绳子正好对准两肘骨尖头,从背上量度,当脊骨中央绳子下方的点做标记,去掉绳子;再取绳子测量患者的嘴,到两个嘴角截断,然后从中折断,用它来量度刚才标记的背下两边,各自依长度做标记,三处同时点火施灸,灸完症状便安定,效果神妙灵验,艾炷可以稍大一些。
又治疗霍乱转筋不止,逐渐侵入腹部。凡转筋能致人死亡,起死回生的方法,没有比艾灸更好的了。艾灸的关键在于三个重要穴位。
第一个是承筋穴,在大腿下际取穴方法。
用绳子从脚心下方,量至脚踵便截断作为长度,然后用这个长度,从脚踵纵向向上量尽长度,正当大腿下际凹陷处就是穴位,灸二十一壮,即可安定。
如果仍不止,则灸涌泉穴,位于足心下方,正当足大指中节后一寸半,正当大筋上是穴位;又灸足跟后黑白肉交际的正中央。这三个关键穴位,施灸不过二三七壮,必定痊愈。(均出自第一卷。)
The *Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) method for treating Huoluan (Cholera-like disease) presenting with abdominal pain first.
Moxibustion is applied fourteen moxa cones above the umbilicus, at the acupoint named Taicang (Grand Granary), which is located four cun below the xiphoid process (Jiannan), requiring re-measurement. (*Qianjin Yaofang: Beiji Fang*, Cui Shi's *Gujin Luyuan* are identical. Tong An notes: In the *Tongren Shuxue Zhenjiu Tujing* (Illustrated Manual of Acupoints and Meridians on Bronze Figures), Guanzhong is also named Taicang, located four cun above the umbilicus, and is the Front-Mu point of the Stomach.)
Another method for treating Huoluan presenting with severe diarrhea first.
Moxibustion is applied two cun to the side of the umbilicus, on the left for males and the right for females, fourteen moxa cones; for severe cases, thirty to forty moxa cones. This acupoint is named the Front-Mu point of the Large Intestine. (*Qianjin Yaofang: Beiji Fang*, Cui Shi's *Gujin Luyuan* are identical.)
Another method for treating muscle cramps (Zhuanjin).
Moxibustion is applied below the sole of the foot, at the acupoint named Yongquan (Gushing Spring).
Also, six or seven moxa cones are applied above the tendons gathered at the big toe of the foot; this is spiritually effective.
Also, one moxa cone is applied in the middle of the crease below the big toe of the foot. (*Qianjin Yaofang* and *Qianjin Yifang* are identical.)
Another method for treating muscle cramps accompanied by abdominal pain.
Four people hold the patient's hands and feet. Moxibustion is applied fourteen moxa cones two cun to the left of the umbilicus.
Also, moxibustion is applied to the large tendon in the middle of the thigh, one cun above the genitalia.
Another method for treating suffering from irritability and distress.
Moxibustion is applied seven moxa cones at the first crease of the wrist, at the acupoint named Xin Zhu (Heart Master, i.e., Neiguan), directly opposite the middle finger.
Another method for treating persistent dysentery.
Moxibustion is applied seven moxa cones on each side, one cun medial to the base of the big toe at the junction of white skin, at the acupoint named Dada (Great Great). (*Qianjin Yaofang* is identical. Tong An notes: The *Tongren Shuxue Zhenjiu Tujing* records that the Dada acupoint is located in the depression behind the first phalanx of the big toe.)
Another method for treating vomiting accompanied by dysentery.
Moxibustion is applied seven moxa cones on each side at the lateral edge of both breasts, near the junction of black skin and white skin close to the armpit; up to fourteen moxa cones may be applied.
Another method for treating suffering from irritability, urgency, and abdominal fullness.
Moxibustion is applied seven moxa cones three cun below the xiphoid process, at the acupoint named Weiguan (Stomach Tube, i.e., Zhongwan). (*Wenzhong Fang* is identical.)
Another method:
Salt is placed in the umbilicus, and fourteen moxa cones are applied on top of the salt. (*Wenzhong Fang*, *Qianjin Yifang* are identical.)
Another method for treating suffering from urgent pain encircling the umbilicus.
Moxibustion is applied twenty-one moxa cones three cun below the umbilicus, at the acupoint named Guan Yuan Liang (Guan Yuan). (*Wenzhong Fang* is identical.)
Another prescription for treating vomiting first.
Moxibustion is applied fourteen moxa cones one cun below the heart (epigastric region); this also treats persistent dysentery and rebellious Qi ascending, applying fifty moxa cones at the acupoint named Juque (Giant Tomb), which is exactly one cun below the tip of the xiphoid process. (*Qianjin Yifang*, *Wenzhong Fang*, Cui Shi's *Beiji Fang* are identical. Tong An notes: The *Tongren Shuxue Zhenjiu Tujing* records that Juque is one cun below Jiwei and is the Front-Mu point of the Heart.)
Another mysterious moxibustion method for Huoluan to revive the dead.
An object is placed horizontally across the patient's mouth, bent, and measured from the Xinqi/Jiwei area downwards. Five moxa cones are applied five units below the end of this measurement. It is then placed horizontally to the left and right, and five moxa cones are applied again. These three locations should all have the central one moxibusted first, then the horizontal measurements to the left and right. Also, moxibustion is applied on the upper spine, using an object to circle the body so it aligns with the Xinqi, and then seven moxa cones are applied one cun above and to the right of the spine. This constitutes three locations on the abdomen and three on the back. (Cui Shi, *Wenzhong Fang* are identical.)
Another method from Hua Tuo for treating Huoluan where the patient appears dead and requires calling the soul from the roof, or when all other treatments have failed without improvement.
Hold the patient in a prone position, extend the arms, and use a rope to measure the distance between the tips of the two elbows. Based on this rope length, apply moxibustion in the hollow space between the large spinal bones on the back, one cun away from the spine on each side, for one hundred moxa cones. There is no case that does not recover. This is known as moxibustion at the Kouzhui Kong (Elbow Vertebra Hollow). I kept it in a pouch. Having tested it on hundreds of people, all recovered and sat up immediately after treatment. Hua Tuo passed this technique to his descendants, who kept it secret and did not transmit it. (*Qianjin Yaofang*, Cui Shi's *Beiji Fang* are identical, both from Volume 1.)
*Qianjin Yaofang* states that for any case of Huoluan, moxibustion may not always bring immediate recovery, but ultimately there is no fear of death. One should not apply moxibustion in reverse order, nor only address pre-existing abdominal pain, nor only treat cases where diarrhea precedes vomiting; rather, one should follow the symptoms and apply moxibustion accordingly.
Another moxibustion method for Huoluan.
Moxibustion is applied to the Gumen acupoint, located two cun to the side of the umbilicus, on the left for males and the right for females, also known as the Front-Mu point of the Large Intestine. Apply fourteen moxa cones; if diarrhea persists, apply the same number as before. (Tong An notes: *Jiayi Zhenjing* records that Tianshu is also named Changqiang and Gumen, located in the depression two cun to either side of the umbilicus.)
Another method for treating uncontrollable vomiting and diarrhea, where the pulses of the three Yin and three Yang meridians of both hands are rapid and frequent.
Moxibustion is applied six to seventy moxa cones three cun below the xiphoid bone, and six to seventy moxa cones three cun below the umbilicus.
Another method for treating dry heaving.
Moxibustion is applied seven moxa cones on each side at the Jianshi acupoint, located three cun posterior to the palm between the two tendons. If not cured, apply the same number as before. (*Qianjin Yifang*, *Wenzhong Fang*, *Zhouhou Fang* are identical.)
Another method for treating cold extremities.
Moxibustion is applied seven moxa cones on each side at the Sanyinjiao acupoint, located in the depression three cun directly above the medial malleolus at the margin of the tibia. If not cured, apply the same number as before. (*Zhouhou Fang*, *Gujin Luyuan* are identical.)
Another method for treating persistent muscle cramps.
Moxibustion is applied seven moxa cones at the junction of white skin above the tendons gathered at the heel, resulting in immediate recovery.
Another method for treating Zoubu (difficulty swallowing/vomiting food) and muscle cramps.
Moxibustion is applied twenty-one moxa cones on each side at the white skin margin of the ankle; also, moxibustion is applied at the center of the transverse bone below the lower abdomen, with the number of cones corresponding to the patient's age.
Another method for treating muscle cramps leading to cold limbs.
Moxibustion is applied one moxa cone at the black margin of each breast root.
Another method for treating muscle cramps occurring in the hypochondrium and chest.
Moxibustion is applied seven moxa cones at the white skin margin of the palm; also, moxibustion is applied at Danzhong, Zhongfu, Juguan, Weiguan, ChiZe, and above. These can all treat tendon spasms and convulsions of the head and feet, leading to recovery.
Another method for treating persistent muscle cramps.
For males, pull their genitals towards the left and right sides; for females, pull their breasts towards the left and right sides.
Another prescription for treating muscle cramps nearing death.
Have four people hold the patient's hands and feet. Apply fourteen moxa cones one cun above the umbilicus. Once the movements stop, do not continue holding them.
Another prescription for Huoluan caused by diarrhea/dysentery injury, with extreme irritability nearing death.
Apply twenty moxa cones to each Ci Gong acupoint. Ci Gong is located two and a half cun to either side of the Henggu (transverse bone), which is the horizontal bone below the umbilicus. (Both from Volume 20. Tong An notes: *Jiayi Zhenjing* records that Hengmen is also named Ci Gong, five cun above Dahuang, located in the middle of the artery at both ends of the transverse bone.)
An emergency prescription for Huoluan with abdominal pain, distension, vomiting, dysentery, and persistent irritability, suitable for moxibustion.
Have the patient lie prone, extend both arms along the body. Place a small string exactly at the tips of the elbow bones. Measure from the back, marking the point on the spine directly below the string. Remove the string. Take another string to measure the patient's mouth from corner to corner, cut it, and fold it in half. Use this folded string to measure from the marked point on the back to both sides. Mark these points according to the length. Apply fire to all three locations simultaneously. The symptoms will stabilize upon completion. This is spiritually effective. The moxa cones may be slightly larger.
Another method for Huoluan with persistent muscle cramps gradually entering the abdomen. Muscle cramps can be fatal. The method to revive the dead is superior to moxibustion. Among moxibustion methods, the key acupoints are three.
The first is Chengjin acupoint. Method for locating it at the lower margin of the thigh:
Use a string from below the sole of the foot to the heel, cut it to length. Return this length, and measure longitudinally upward from the heel to the end of the string. The point in the depression at the lower margin of the thigh is the acupoint. Apply twenty-one moxa cones to stabilize.
If it still does not stop, apply moxibustion to Yongquan, located below the sole of the foot, one and a half cun posterior to the middle joint of the big toe, directly on the large tendon. Also apply moxibustion to the center of the junction of black and white skin at the back of the heel. These three key acupoints, if moxibusted with no more than twenty-one to seventy-two cones, will certainly cure the condition. (Both from Volume 1.)