灸骨蒸痨瘵若人初得此疾即便如此法灸之无不效者但医者多不得真穴以致有误也今具直格使
后学人一见了然无误岂非活人之心哉
先用细绳一条约三四尺以蜡抽之勿令展缩令病患平身正立以绳头男取左足女取右足从大拇指
头比齐从脚板底踏定引绳至脚跟中心向后直上脚肚贴肉至膝腕肉HT 中大横纹截断次令患人
解发分开两边要见头缝自囟门平
分至脑后乃平身正尘将
前截索子一头从鼻端齐按之引绳向上正循头缝至脑后贴肉垂下当脊骨引绳向下至蝇尽处当脊
骨以墨点记之(此墨点不是灸穴)别以稻秆心令病患合口将秆心按于口上两头至吻却勾起秆心
中心至鼻端根下如人中样齐两吻截断将此秆展直于先在脊以墨记之取中横墨勿令高下于秆心
两头以墨点记之中是灸穴名曰患门二穴初灸七壮累灸一百壮妙初只灸此二穴以令患人平身正
坐稍缩臂膊取一绳绕项向前平结喉骨后至大杼骨俱以点记向前两垂与尾鸠尾齐即截断
翻绳向后以绳原点结喉墨放大杼上大杼墨放结喉结喉放骨中双绳头齐会处以墨点记(此不是
灸穴)别取秆心令其人合口无得动唉横墨齐两吻截断之还于背上墨记处脊中横量两头点之此
是穴又将循脊直量上下点之此是灸穴名曰四花初灸七壮累灸至百壮迨疮愈疾未愈根据前法复穴
故云累灸至百壮俱当脊骨上两穴切宜少矣一次只可灸三五次多灸恐人蜷背凡灸此六穴亦要足
三里以泻火气为妙若女人缠帛裹足以至短少所第一次患门穴难以准量但取右手肩 穴贴肉量
至
中指为尽亦可不若只取膏肓穴灸之其穴备载于后次灸四花穴亦效予尝观人初有此疾即与根据法
灸之无有不效但恐病根深固根据此灸之
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此上二穴 名曰患门 下四穴名 四花故曰 四花六穴
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治痈疽骑竹马灸法 不问男女诸般发背痈疽奶痈并治
用竹片作圈仔阔二分顿在疮上将药填平以艾灸之第一先从男左女右臂腕中曲横纹起薄篾一条
量过中指肉尽处指甲不量剪断
第二以男左女右中指屈中节两纹头剪断为一寸此系同身寸法为则
先令病患脱去上下衣服以大竹杠一条跨定两人随徐徐扛起足要离地五寸许两傍更以两人扶定
母令摇动不稳却以前量长篾贴定竹杠竖起从尾 骨贴脊量至篾尽处以笔点记不是灸穴却用后
取同身寸篾取两寸平HT 自中穴横量束各一寸方是穴可灸三七壮此二穴专治痈疽恶疮发背瘰
诸风灸之立效
【定取四花穴法】
治疗骨蒸劳瘵(一种以午后潮热、盗汗、消瘦为特征的慢性消耗性疾病),如果人在初患此病时,即使按照这种方法施灸,没有不有效的。但是医生们大多找不到真正的穴位,从而导致误治。现在详细列出测量方法,使后学者一目了然,不再出错,这难道不是救人的心肠吗?
首先用一根细绳,长约三四尺,用蜡浸透处理,使其不会伸缩变形。让病人平身正立,将绳子的一端对准男性的左脚或女性的右脚的大脚趾头,从脚底板踏实地面引绳至脚跟中心,向后直上,沿小腿肚紧贴皮肤至膝盖横纹处截断。
其次,让病人解开头发,向两边分开,露出头缝。从囟门(婴儿头顶骨未合处)平分至脑后,然后让病人平身正坐。将刚才截断的绳子一头从鼻端齐平按住,引绳向上,正循着头缝至脑后,贴肉垂下,当对脊骨时,引绳向下至尾椎尽头处,用墨点标记(这个墨点不是灸穴)。
另外,取一根稻秆心,让病人闭口,将秆心按在嘴上,两端至嘴角处,然后将秆心中心勾起至鼻根下方,如同量人中穴那样,在两嘴角处截断。将此秆展直,放在先前在脊背上用墨标记的地方,取中间的横线,不要高于或低于秆心的两头,用墨点标记。中间的位置就是灸穴,名叫“患门”二穴。初次施灸七壮,累计施灸一百壮,效果奇妙。起初只灸这两个穴位,让病人平身正坐,稍微收缩手臂,取一根绳子绕颈部向前,平结于喉骨之后至大杼骨,都用墨点标记。向前两下垂线与鸠尾穴齐平时即截断。
翻转绳子向后,以绳子原点结喉处的墨点为大杼处的墨点,大杼处的墨点为结喉处的墨点,结喉处的墨点为骨中双绳头齐会之处,用墨点标记(这个也不是灸穴)。另取秆心,让病人闭口不得动,横向墨线对齐两嘴角截断之。再回到背上的墨记处,在脊正中横向量取两头点之。这就是穴位。又沿着脊骨直量上下点之。这就是灸穴,名叫“四花”。初次施灸七壮,累计施灸至一百壮。等到疮愈但疾病未愈,根据前法重新定位穴位,所以说累计施灸至一百壮。都在脊骨上的两个穴位,切宜少灸,一次只可灸三到五次,多灸恐怕使人驼背。凡灸这六个穴位,也要配合足三里穴以泻火气,这是妙法。如果是女性缠足裹足导致身体短小,第一次量的患门穴难以准确测量,但可取右手肩井穴贴肉量至中指尽头,也可以。如果不这样,只取膏肓穴施灸也可,该穴位详细记载在后面。其次灸四花穴也有效。我曾观察人初患此病就依据本法施灸,没有不有效的。但恐怕病根深固,依据此灸法……
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以上两穴名叫“患门”,下面四穴名叫“四花”,所以叫“四花六穴”。
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【治痈疽骑竹马灸法】
不问男女,各种发背、痈疽、奶痈都治疗。
用竹片做成圈,宽二分,顿在疮上,将药填平,用艾条灸之。
第一,先从男性左手腕或女性右手腕的曲横纹起,用薄篾一条量过中指肉尽处,指甲部分不量,剪断。
第二,以男性左手或女性右手中指屈曲的中节两纹头剪断,为一寸。这是同身寸法作为标准。
先让病人脱去上下衣服,用大竹杠一条跨定,两人慢慢扛起,脚要离地五寸许,两旁再以两人扶定,不要让竹杠摇动不稳。却用之前量的长篾贴定竹杠竖起,从尾骶骨贴脊量至篾尽处,用笔点记,这不是灸穴。却用后面取同身寸的篾,取两寸,平放,自中穴横向量束各一寸,这才是穴位,可灸三七壮。这两个穴位专门治疗痈疽恶疮、发背、瘰疬等风症,灸之立即见效。
[Method for Determining the Location of the Sihua Acupoints]
To treat bone-steaming consumption (Gu Zheng Lao Zhai, a chronic consumptive disease characterized by afternoon tidal fever, night sweats, and emaciation), if a person is treated with moxibustion according to this method at the onset of the disease, there will be no ineffective cases. However, many physicians fail to locate the true acupoints, leading to errors. Herein, the measurement method is detailed so that future practitioners may understand it clearly and avoid mistakes. Is this not a compassionate heart aimed at saving lives?
First, take a thin rope about three or four chi long, soak it in wax to prevent stretching or shrinking. Have the patient stand upright. Align one end of the rope with the big toe of the male's left foot or the female's right foot. Place the foot flat on the ground, extend the rope from the sole to the center of the heel, go straight up behind the calf紧贴 skin to the popliteal crease (knee joint flexure line), and cut the rope.
Next, have the patient untie their hair and part it to both sides to expose the midline suture of the scalp. From the fontanelle (anterior fontanelle) divide equally to the back of the head. Then, have the patient sit upright. Press one end of the previously cut rope against the tip of the nose, extend it upwards along the midline suture to the back of the head, let it hang down贴着 skin, and when it aligns with the spine, extend it downwards to the end of the coccyx. Mark this point with ink (this ink mark is not the moxa point).
Separately, take a stalk of rice straw. Have the patient close their mouth and place the straw horizontally across the mouth, extending to the corners of the lips. Then, lift the center of the straw up to the root of the nose, similar to measuring the Renzhong point, and cut it at the level of the two lip corners. Straighten this straw and place it on the previous ink mark on the spine. Take the middle transverse line, ensuring it is neither higher nor lower than the two ends of the straw, and mark it with ink. The center point is the moxa point, named "Huanmen" (Patient's Gate), consisting of two points. Initially moxa seven moxa-cones, cumulatively moxa up to one hundred cones for excellent results. Initially, only moxa these two points. Have the patient sit upright, slightly retract the arms, take a rope, wrap it around the neck forward, tie it level behind the laryngeal prominence (Adam's apple) to the Dazhu bone (BL11), marking both places with ink. Extend downwards; when the two hanging ends align with the Jiwei point (CV15), cut the rope.
Flip the rope backwards. Use the original point (laryngeal prominence mark) as the reference for the Dazhu mark, and the Dazhu mark as the reference for the laryngeal prominence mark. Where the two rope ends meet in the center of the bone, mark with ink (this is also not a moxa point). Take another rice straw, have the patient close their mouth without moving, measure horizontally aligned with the two lip corners, and cut. Return to the ink mark on the back, measure horizontally across the midline of the spine, and mark the two ends. This is the acupoint. Also measure vertically along the spine to mark points. These are the moxa points named "Sihua" (Four Flowers). Initially moxa seven cones, cumulatively up to one hundred cones. If the sores heal but the disease persists, re-locate the points according to the previous method. Hence, it is said to cumulatively moxa up to one hundred cones. All points are located on the spine. Caution: moxa sparingly. Only moxa three to five times per session; excessive moxa may cause kyphosis (hunchback). When moxa these six points, it is also advisable to moxa Zusanli (ST36) to drain fire qi, which is a brilliant method. For women with bound feet causing short stature, the initial measurement for Huanmen may be inaccurate. Instead, one can measure from Jianjing (GB21) on the right shoulder贴着 skin to the tip of the middle finger. Alternatively, simply moxa Gohuang (BL43); details of this point are recorded later. Moxa of Sihua is also effective. I have observed that treating patients with this method at the onset of the disease yields consistent results. However, if the disease root is deep-seated, adhering to this moxa method...
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The upper two points are named "Huanmen", the lower four points are named "Sihua", hence called "Six Points of Sihua".
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[Qizhumaxi Moxibustion Method for Treating Carbuncles and Ulcers]
Regardless of gender, this treats various types of back carbuncles, ulcers, and breast abscesses.
Make a ring from a bamboo slice, width two fen, place it on the sore, fill with medicine, and apply moxibustion.
First, starting from the transverse crease of the male's left wrist or female's right wrist, use a thin bamboo strip to measure past the fleshy end of the middle finger, excluding the nail bed, and cut.
Second, for the male's left or female's right middle finger, measure the distance between the two creases of the middle phalanx when flexed, cutting it to one cun. This uses the "same-body cun" method as the standard.
Have the patient remove upper and lower garments. Straddle a large bamboo pole. Two people slowly lift the patient so that the feet are about five cun off the ground. Two other people support the sides to ensure stability and prevent shaking. Use the previously measured long bamboo strip, hold it vertically against the bamboo pole, measure from the sacrococcygeal joint贴着 the spine to the end of the strip, and mark with a pen (this is not the moxa point). Then, use the bamboo strip used for measuring same-body cuns, take two cuns, place it horizontally, measure one cun transversely from the Zhongshu point (GV9) to each side. These are the correct points, suitable for moxa thirty-seven cones. These two points specifically treat carbuncles, malignant sores, back carbuncles, scrofula, and wind disorders; moxibustion brings immediate relief.