古人以赤痢为湿热,伤于血分;白痢为湿寒,伤于气分。凡初患赤白痢积者,法当灸其天枢,兼之中脘。如日久不
愈,脾肾两伤者,当灸脾俞,兼之会阳也。
天枢(见劳伤。)
中脘(见喘症。)
脾俞(见痹症。)
会阳(见便血。)
伤寒者,由冬令伤于寒邪,法当辛散。其误治也,变为结胸,宜灸期门。若妇人经水适来,邪热入于血室,昼则明
了,夜则谵语,亦灸期门之穴。若饮水过多腹胀者,灸其中脘。余热解不尽者,当灸曲池可也。
期门(见咳嗽。)
中脘(见喘症。)
曲池(见偏风。)
经曰∶冬伤于寒,春必病温,至夏为热病。热病者,皆伤寒之类也。当用辛凉之剂。设未效者,当灸上脘。若烦闷
者,须灸行间。
上脘(见劳伤。)
行间(见尸厥。)
疟疾之病,由夏令先受暑邪,至秋时发为疟疾。秋风欲入,伏暑欲出,表里交争,寒热成矣。连日发者则浅,隔日
发者则深,隔两日发者则更深矣。诸般疟疾,法当先灸大椎。痰盛之体,灸其尺泽。日久不已,灸其内庭。按穴灸之,
则疟自遁。
大椎(见劳伤。)
尺泽(见中风。)
内庭(见尸厥。)
黄胆有五,曰阳黄、阴黄、酒疸、谷疸及女劳疸。其病本皆不离乎湿也。应灸之穴有四,即上脘、肝俞、胆俞、脾
俞是也。
上脘(见劳伤。)
肝俞(见眩晕。)
胆俞(见劳伤。)
脾俞(见痹症。)
古人认为,赤痢(大便带血的痢疾)是由于湿热之邪损伤了血分;白痢(大便呈白色或脓液的痢疾)是由于湿寒之邪损伤了气分。凡是初患赤白痢且伴有积滞的患者,治疗法则应当艾灸天枢穴,同时配合中脘穴。如果病程日久不愈,导致脾肾两脏受损的,应当艾灸脾俞穴,同时配合会阳穴。
伤寒病,是由于冬季感受寒邪所致,治疗法则应当使用辛温发散的方法。如果误治,病情演变为结胸证(邪热与痰水互结于胸膈),适宜艾灸期门穴。如果是妇女月经适来之际,邪热侵入血室(指肝脏及冲脉等与月经相关的生理系统),白天神志清醒,夜晚出现胡言乱语的症状,也应当艾灸期门穴。如果因饮水过多导致腹胀的,艾灸其中脘穴。如果余热未能完全清除的,应当艾灸曲池穴即可。
医经说:冬季感受寒邪,春季必定发生温病,到了夏季则发展为热病。热病,都属于伤寒的范畴。应当使用辛凉性质的方剂进行治疗。如果服用药物后未见疗效,应当艾灸上脘穴。如果出现烦闷症状的,必须艾灸行间穴。
疟疾病,是由于夏季先感受暑邪,到了秋季发作而成疟疾。秋风欲入体内,潜伏的暑热欲出体外,表里相互交争,从而形成寒热往来的症状。连续每日发作的,病位较浅;隔日发作的,病位较深;隔两日发作的,病位更深。各种类型的疟疾,治疗法则应当先艾灸大椎穴。痰湿盛重的体质,艾灸其尺泽穴。病程日久不止的,艾灸其内庭穴。按照穴位进行艾灸,疟疾自然就会消退。
黄疸有五种,分别是阳黄、阴黄、酒疸(因饮酒过度引起的黄疸)、谷疸(因饮食失节引起的黄疸)以及女劳疸(因房劳过度引起的黄疸)。这些疾病的根本原因都不脱离湿邪的影响。应当艾灸的穴位有四个,即上脘穴、肝俞穴、胆俞穴、脾俞穴。
The ancients held that red dysentery (dysentery with blood in the stool) was caused by damp-heat damaging the Blood level; white dysentery (dysentery with white or purulent stool) was caused by damp-cold damaging the Qi level. For patients newly afflicted with red and white dysentery accompanied by accumulation, the therapeutic method is to moxa the Tianshu (ST25) acupoint, combined with Zhongwan (CV12). If the condition persists for a long time without healing, resulting in damage to both the Spleen and Kidney, one should moxa the Pishu (BL20) acupoint, combined with Huiyang (BL36).
Shanghan disease (Cold Damage) arises from contracting cold pathogens during winter. The therapeutic method should involve pungent dispersing techniques. If mismanaged, it may transform into Jie Xiong syndrome (chest binding), which is suitable for moxibustion at Qimen (LR14). In women whose menstruation has just begun, if pathogenic heat enters the Blood Chamber (referring to the Liver and Chong Mai related to menstruation), presenting with clear consciousness during the day and delirium at night, moxibustion at the Qimen (LR14) acupoint is also indicated. If abdominal distension occurs due to excessive water intake, moxa Zhongwan (CV12). If residual heat remains unresolved, moxa Quchi (LI11).
The Classics state: "If cold is injured in winter, warm diseases will inevitably occur in spring, developing into heat diseases by summer." Heat diseases all belong to the category of Shanghan. One should employ pungent-cooling agents. If there is no effect, one should moxa Shangwan (CV13). If there is irritability and oppression, one must moxa Xingjian (LR2).
Malaria is caused by first contracting summer-heat pathogens in summer, manifesting as malaria in autumn. As autumn wind attempts to enter and latent summer-heat attempts to exit, interior and exterior struggle against each other, resulting in alternating chills and fever. Daily continuous attacks indicate shallow pathology; every-other-day attacks indicate deeper pathology; attacks every two days indicate even deeper pathology. For various types of malaria, the initial therapeutic method is to moxa Dazhui (GV14). For constitutions with abundant phlegm, moxa Chize (LU5). If the condition persists for a long time, moxa Neiting (ST44). By moxa-ing according to these acupoints, malaria will naturally recede.
Jaundice has five types: Yang Jaundice, Yin Jaundice, Wine Jaundice (Jiu Dan, jaundice caused by excessive alcohol consumption), Grain Jaundice (Gu Dan, jaundice caused by dietary irregularities), and Female Labor Jaundice (Nü Lao Dan, jaundice caused by sexual exhaustion). The root of these diseases lies not apart from dampness. There are four acupoints indicated for moxibustion: Shangwan (CV13), Ganshu (BL18), Danshu (BL19), and Pishu (BL20).