灸病必先候脉辨症脉得数实症见躁烦口干咽痛面赤火盛新得汗后以及阴虚内热等症俱不
臂脚穴灸多脱人真气令人血脉枯竭四肢削瘦无力人有病欲灸足三里者必年三十以上方许灸之
年少火盛伤目故凡灸头必灸足三里者以足三里能下火气也阴晦大风雷雨并人神所在忌日皆不
宜灸然有病当急遽之时又宜权变
凡用火补者勿吹其火必待其从容彻底自灭灸毕即可用膏贴之以养火气若欲报者直待报毕
可也用火泻者疾吹其火令火速灭须待灸疮溃发然后贴膏此补泻之法也灸疮七日不发是气血衰败症不可治
灸后气血宣通必须避风寒节饮食慎起居戒恼怒平心静气以养正祛邪寿世青编有五养说可以却病延年
一在养心心者万法之宗一身之主生死之本善恶之源与天地相通为神明之主宰而病否之所由系
也盖一念萌动于中六识流转于外不趋乎善则五内颠倒大疾缠身若夫达士则不然一心澄湛万祸
消除老子曰夫神好清而心扰之人心好静而欲牵之常能遗其欲而心自静澄其心而神自清自然六
欲不生三毒消灭孟子曰养心莫善于寡欲所以妄想成病神仙莫医正心之人鬼神亦惮养与不养故
也目无妄视耳无妄听口无妄言心无妄动贪嗔痴爱是非人我一切放下未事不可先迎遇事不宜过
扰既事不可留住听其来去应以自然忿 恐惧好乐忧患皆得其正此养心之法也
一在养肝肝者魂之处也其窍在目其位在震主春生发动之令也然木能动风故经曰诸风掉眩
属于肝又曰阳气者烦劳则张精绝辟积于夏使人煎厥春气方升而烦劳太过则气张于外精绝于内
春令邪辟之气积久不散至夏则火旺而真阴如煎火炎而虚气逆上故曰煎厥又曰肝气失治善怒者
名曰煎厥戒怒养阳使生生之气相生于无穷又曰大怒则形气绝而血菀于上使人薄厥菀结也怒气
伤肝肝为血海怒则气上气逆则绝所以血菀上焦相迫曰薄气逆曰厥气血俱乱故为薄厥积于上势
必厥而吐也薄厥者气血之多而盛者也所以肝藏血和则体泽衰则枯槁故养肝之要在于戒忿怒是
摄生之第一法也
一在养脾脾者后天之本人身之仓廪也脾应中宫之土土为万物之母如婴儿初生一日不再食
则饥
七日不食则肠胃涸绝而死经曰安谷则昌绝谷则亡盖谷气入胃漉陈六腑而气至和调五脏而血生
人之所资以为本者也然土恶湿而喜燥饮不可过过则湿重而不健食不可过过则壅滞而难化病由
是生矣故饮食所以养生而食无厌亦能害生物理论曰谷气胜元气其人肥而不寿养生之术常令谷
食气少则病不生谷气且然矧五味餍饫为五内害乎甚而广搜珍错争尚新奇恐其性味良毒与人脏
腑
宜忌尤未可晓故西方大法使人戒杀茹素本无异道人能戒杀则性慈而善念举茹素则心清而
肠胃浓无嗔无贪邪淫不犯此养脾在于节食不可不知
一在养肺肺者脏之长也心之华盖也其藏魄其主气统领一身之气者也经曰有所失亡所求不
得则
发肺鸣鸣则肺热叶焦充之则耐寒暑伤之则百邪易侵随事痿矣故怒则气上喜则气缓悲则气消恐
则气下惊则气乱劳则气耗思则气结七情之害皆气主之也直养无害而后得其浩然之正与天地相
通与道义相配先王以至日闭关养其微也慎言语节饮食防其耗也气之消息大矣哉
一在养肾肾者先天之本藏精与志之宅也仙经曰借问如何是元牝婴儿初生先两肾又曰元牝
之门是为天地根是故人未有此
身先生两肾盖婴儿未成先结胞胎其象中空一茎透起形如莲蕊一茎即脐带也莲蕊即两肾也为五
脏六腑之本十二脉之根呼吸之主三焦之原人资以为始岂非天地之根乎而命寓焉者故又曰命门
天一生水故曰坎水夫人欲念一起炽若炎火水火相克则水热火寒而灵台之焰藉此以灭矣使水先
枯涸而木无所养则肝病火炎则土燥而脾败脾败则肺金无资咳嗽之症成矣所谓五行受伤大本已
去欲求长生岂可得乎庄子曰人之大可畏者不知所戒也养生之要首先寡欲嗟乎元气有限情欲无
穷内经曰以酒为浆以欲为常醉以入房以竭其精此当戒也然人之有欲如木之有蠹蠹甚则木折欲
炽则身亡仙经曰无劳尔神无摇尔精无使尔思虑营营可以长生智者鉴之
灸治疾病之前,必须先诊察脉象、辨别症状。如果脉象数而实,症状表现为烦躁不安、口干、咽喉疼痛、面色红赤、火气旺盛,以及刚刚出汗之后,还有阴虚内热等症状,都不宜施灸。
如果在手臂和脚部的穴位上多施灸,会耗损人体的真气,导致血脉枯竭,四肢消瘦无力。有人想要灸足三里穴,必须年满三十岁以上才允许施灸。因为年少之人火气旺盛,施灸容易损伤眼睛,所以凡是灸头部,都必须配合灸足三里,因为足三里能够引火下行。在阴晦天气、大风雷雨之日,以及“人神”所在的方位和日期,都忌讳施灸。然而,如果遇到病情紧急需要迅速处理的情况,又应当灵活变通。
使用火补法时,不要吹火,必须等待火势从容地彻底自然熄灭。灸毕即可用膏药贴敷,以养护火气。如果想要进行“报灸”(即再次施灸),必须等到前一次灸疮完全愈合后才可以进行。使用火泻法时,要快速吹火,使火势迅速熄灭。必须等到灸疮溃烂化脓之后,才能贴敷膏药。这就是补泻的方法。如果灸疮七天后没有发作,说明气血衰败,这种病症是不可治愈的。
灸后气血宣通,必须避免风寒,节制饮食,谨慎起居,戒除恼怒,保持心情平静,以培养正气、祛除邪气。《寿世青编》中有“五养”的说法,可以用来祛病延年。
第一是养心。心是万法的宗源,一身的主宰,生死的根本,善恶的源头,与天地相通,是神明的主宰,也是疾病产生的关键所在。念头在心中萌动,六识在外流转,如果不趋向善良,就会五脏颠倒,大病缠身。至于通达事理的人则不然,内心清澈澄静,各种灾祸自然消除。老子说:“精神喜欢清静,但心常常扰乱它;人心喜欢安静,但欲望牵引着它。经常能抛弃欲望,心自然安静;澄清内心,精神自然清静。这样自然六欲不生,三毒消灭。”孟子说:“养心没有比减少欲望更好的了。”所以妄想会导致疾病,即使是神仙也无法医治。正心的人,鬼神也畏惧他。养与不养,原因就在这里。眼睛不看妄视之物,耳朵不听妄听之声,口不说妄言之语,心不起妄动之念。贪婪、嗔恨、痴迷、爱恋、是非、人我观念,一切放下。事情未发生前不要预先迎候,事情发生时不要过度干扰,事情发生后不要滞留心中,听任其自然来去,顺应自然。愤怒、恐惧、喜好、忧患都能得到中正的态度。这就是养心的方法。
第二是养肝。肝是魂居住的地方,其窍穴在眼睛,其方位对应八卦中的震卦,主管春季生发发动的时令。然而木能生风,所以医经说:“所有的风证、震颤、眩晕,都属于肝。”又说:“阳气在烦劳时会亢张,精气耗尽,累积到夏天,使人发生煎厥。”春季阳气方升,如果烦劳太过,则气张于外,精绝于内。春令的邪僻之气积久不散,到了夏天火旺之时,真阴如同被煎熬,火炎上而虚气逆上,所以称为煎厥。又说:“肝气失治,善于发怒的人,名叫煎厥。”戒除愤怒以保养阳气,使生生之气相生于无穷。又说:“大怒会使形体和气机断绝,血液郁结于上部,使人发生薄厥。”菀,就是郁结的意思。怒气伤肝,肝为血海,怒则气上,气逆则绝,所以血液郁结在上焦,相互逼迫,称为薄厥;气逆称为厥。气血俱乱,所以称为薄厥。积聚于上部,势必厥逆而呕吐。薄厥是气血多且盛的表现。所以肝藏血,调和则身体润泽,衰弱则干枯。因此养肝的关键在于戒除忿怒,这是摄生的第一法则。
第三是养脾。脾是后天之本,是人身的仓廪。脾对应中宫的土,土是万物的母亲。如婴儿初生,一天不再进食就会饥饿,七天不进食肠胃就会枯竭而死。医经说:“能安受谷气则昌盛,断绝谷气则灭亡。”盖谷气进入胃中,流布陈腐于六腑,气机调和,五脏的血由此产生,这是人所依赖的根本。然而土厌恶湿气而喜欢干燥,饮水不可过多,过多则湿气重而不健运;食物不可过量,过量则壅滞而难消化,病由此产生。所以饮食虽然可以养生,但贪食无厌也能害命。《生理论》说:“谷气胜过元气,人就会肥胖但不长寿。”养生的技术常让谷气少一些,则病不生。谷气尚且如此,何况五味过饱对五脏的伤害呢?甚至广泛搜求珍奇错杂的食物,争相崇尚新奇,恐怕其性味良毒与人脏腑的宜忌还未必清楚。所以西方大法让人戒杀茹素,本来与道人能戒杀则性情慈悲而善念升起,茹素则心清而肠胃浓稠,无嗔无贪,邪淫不犯,没有什么不同。这养脾在于节制饮食,不可不知道。
第四是养肺。肺是脏之长,心的华盖。它藏魄,主气,统领一身之气。医经说:“有所失亡,所求不得,就会引发肺鸣,鸣则肺热叶焦。”充实它就能耐寒暑,伤害它则百邪易侵,随之痿弱。所以怒则气上,喜则气缓,悲则气消,恐则气下,惊则气乱,劳则气耗,思则气结。七情的危害,都是由气主导的。只有直养而无损害,才能获得浩然正气,与天地相通,与道义相配。先王在冬至日闭关,以养护微弱的阳气;慎言语、节饮食,以防耗散。气的消长变化太大了啊!
第五是养肾。肾是先天之本,是藏精与志的宅舍。仙经说:“借问什么是元牝?婴儿初生时先有两肾。”又说:“元牝之门,是为天地根。”所以人未有此身之前,先生两肾。大概婴儿未成之前先结成胞胎,其形象中空,一茎透起,形状像莲蕊。一茎就是脐带,莲蕊就是两肾。它是五脏六腑的本源,十二经脉的根基,呼吸的主宰,三焦的原动力。人依靠它作为开始,难道不是天地的根吗?而生命寄托于此。所以又说:“命门,天一生水。”所以称为坎水。夫人的欲望一起,炽热若炎火,水火相克,则水热火寒,灵台的火焰借此熄灭。如果水先枯竭,木无所养,则肝病;火炎则土燥而脾败;脾败则肺金无资,咳嗽之症形成。所谓五行受伤,大本已去,想求得长生,怎么可能呢?庄子说:“人最可怕的是不知道警戒。”养生的关键首先在于寡欲。唉!元气有限,情欲无穷。《内经》说:“把酒当浆喝,把房事当常态,醉酒后行房,竭尽精气。”这些应当戒除。然而人的欲望就像木头有蛀虫,蛀虫严重则木头折断,欲望炽盛则身体灭亡。仙经说:“不要劳累你的精神,不要动摇你的精气,不要让你的思虑营营扰扰,这样可以长生。”聪明的人以此为鉴。
Before moxibustion for disease, one must first observe the pulse and differentiate symptoms. If the pulse is rapid and excess, and symptoms manifest as restlessness, dry mouth, sore throat, red face, excessive fire, or if it is immediately after sweating, or in cases of yin deficiency with internal heat, moxibustion is contraindicated.
Excessive moxibustion on the arms and legs depletes the body's true qi (Zhen Qi), leading to exhaustion of blood vessels and emaciation and weakness of the four limbs. For those wishing to moxibustate Zusanli (ST-36), they must be over thirty years old. This is because young people have excessive fire, and moxibustion may damage the eyes; therefore, whenever moxibustation is applied to the head, Zusanli (ST-36) must also be treated, as Zusanli (ST-36) can descend fire qi. Moxibustion is taboo during gloomy weather, strong winds, thunderstorms, and on days when the "Ren Shen" (Human Spirit) resides. However, in emergencies requiring urgent treatment, flexibility should be exercised.
For fire tonification (Bu), do not blow on the fire; wait for it to extinguish naturally and completely. After moxibustion, apply a plaster to nourish the fire qi. If "reporting moxibustion" (re-treatment) is desired, wait until the previous moxa blister has fully healed before proceeding. For fire sedation (Xie), blow vigorously on the fire to extinguish it quickly. Only after the moxa blister has ulcerated and suppurated should a plaster be applied. This is the method of tonification and sedation. If the moxa blister does not develop within seven days, it indicates depletion of qi and blood, and the condition is incurable.
After moxibustion, qi and blood are unblocked; one must avoid wind and cold, regulate diet, be cautious with daily routines, abstain from anger, maintain a calm mind, and cultivate righteous qi to dispel evil. The *Shoushi Qingbian* presents the "Five Nourishments" to prevent disease and prolong life.
The first is nourishing the Heart. The Heart is the master of all methods, the ruler of the body, the root of life and death, and the source of good and evil. It connects with Heaven and Earth and is the主宰 (master) of spirit (Shen). Disease arises from its state. When thoughts arise internally and the six senses flow externally, failing to pursue goodness leads to inversion of the five zang organs and serious illness. The enlightened person, however, keeps the mind clear and still, eliminating disasters. Laozi said: "Spirit prefers clarity but is disturbed by the mind; the mind prefers quietness but is dragged by desires. By abandoning desires, the mind becomes quiet; by clarifying the mind, the spirit becomes pure. Thus, the six desires do not arise, and the three poisons are eliminated." Mencius said: "Nothing is better for nourishing the heart than reducing desires." Thus, delusions cause illness, which even immortals cannot cure. A rectified mind is feared even by ghosts and gods. This is the difference between nourishing and not nourishing. Do not look at improper sights, listen to improper sounds, speak improper words, or move improperly in thought. Let go of greed, anger, ignorance, love, right/wrong, self/other. Do not anticipate events before they happen, do not disturb them excessively when they occur, and do not dwell on them after they pass. Allow things to come and go naturally. Regulate anger, fear, joy, and sorrow to achieve balance. This is the method of nourishing the Heart.
The second is nourishing the Liver. The Liver houses the Hun (Ethereal Soul), opens into the eyes, corresponds to the Zhen trigram, and governs the spring season of growth and movement. Wood generates wind; thus, the classics state: "All wind syndromes involving tremors and vertigo belong to the Liver." Also: "When yang qi is fatigued and labored, it expands; when essence is exhausted and accumulates into summer, it causes 'Jian Jue' (Frying Collapse)." In spring, yang qi rises; excessive labor causes qi to expand outward and essence to deplete inward. Pathogenic qi from spring accumulates; by summer, when fire is prosperous, true yin is like being fried. Fire flares up, and deficient qi rebels upward, hence "Jian Jue." Also: "Liver qi out of control, prone to anger, is named Jian Jue." Abandon anger to nourish yang, allowing the generative qi to continue infinitely. Also: "Great anger causes form and qi to sever, and blood stagnates above, causing 'Bo Jue' (Thin Collapse)." 'Wan' means stagnation. Anger injures the Liver; the Liver is the sea of blood. Anger causes qi to ascend; qi rebellion causes severance, so blood stagnates in the upper jiao, pressing against each other, called Bo Jue. Qi rebellion is called Jue. Qi and blood are chaotic, hence Bo Jue. Accumulating above, it inevitably leads to collapse and vomiting. Bo Jue involves abundant and vigorous qi and blood. The Liver stores blood; harmonious blood makes the body lustrous, deficient blood makes it withered. Thus, nourishing the Liver requires abstinence from anger, which is the primary method of health preservation.
The third is nourishing the Spleen. The Spleen is the foundation of acquired constitution and the granary of the body. It corresponds to the Earth of the Central Palace, the mother of all things. Like an infant, if not fed for one day, it hungers; if not fed for seven days, the intestines and stomach dry up and death ensues. The classics say: "Abundant grain qi leads to prosperity; absent grain qi leads to demise." Grain qi enters the stomach, circulates through the six fu organs, harmonizes qi, and generates blood in the five zang organs, serving as the human foundation. Earth dislikes dampness and likes dryness. Drinking too much water increases dampness and impairs function; eating too much food causes stagnation and difficult digestion, leading to disease. Although diet nourishes life, gluttony harms it. The *Lishilun* states: "If grain qi exceeds yuan qi, the person becomes fat but short-lived." Health preservation techniques suggest keeping grain qi low to prevent disease. If grain qi affects health this way, how much more do the five flavors harm the five zang organs when consumed in excess? Searching for exotic delicacies and novelty may involve unknown toxicities or incompatibilities with organ preferences. Therefore, Western great laws advocate vegetarianism and abstaining from killing. Abstaining from killing fosters compassion and good thoughts; vegetarianism clears the mind and thickens intestinal fluids, eliminating anger, greed, and lust. Nourishing the Spleen lies in dietary restraint, which must be known.
The fourth is nourishing the Lung. The Lung is the chief of the zang organs and the canopy of the Heart. It houses the Po (Corporeal Soul), governs qi, and commands the body's qi. The classics say: "Loss, unfulfilled desires, cause lung resonance; resonance leads to lung heat and scorched leaves." Filling it allows resistance to cold and heat; injuring it invites myriad pathogens and leads to flaccidity. Thus, anger causes qi to ascend, joy slows qi, grief dissipates qi, fear sinks qi, shock scatters qi, fatigue consumes qi, and worry knots qi. The harm of the seven emotions is governed by qi. Only by direct nourishment without harm can one obtain the vast righteous qi, connecting with Heaven and Earth and matching Dao and righteousness. Ancient kings closed doors on winter solstice to nurture subtle yang; they guarded speech and regulated diet to prevent consumption. The rise and fall of qi are significant!
The fifth is nourishing the Kidney. The Kidney is the foundation of congenital constitution, housing essence and will. The Immortal Classics ask: "What is the Yuan Pin?" Answer: "In the newborn, the two kidneys appear first." Also: "The gate of Yuan Pin is the root of Heaven and Earth." Before the body forms, the two kidneys exist. Before the embryo forms, the placenta binds; it is hollow in the middle with a stem rising, resembling a lotus stamen. The stem is the umbilical cord; the stamen is the two kidneys. They are the root of the five zang and six fu, the root of the twelve meridians, the master of respiration, and the origin of the San Jiao. Humans rely on them for beginning, making them the root of Heaven and Earth, where life resides. Thus, it is said: "Mingmen, Heaven generates Water." Hence, Kan Water. When desire arises, it burns like fire. Water and Fire clash; if water dries first, Wood lacks nourishment, causing Liver disease; Fire flares, drying Earth and ruining the Spleen; Spleen ruin deprives Lung Metal, causing cough. With Five Elements injured and the Great Root lost, longevity is impossible. Zhuangzi said: "Man's greatest fear is lack of caution." The key to health preservation is reducing desires. Alas! Yuan Qi is finite, desires are infinite. The *Neijing* warns: "Using wine as water, treating lust as routine, having intercourse while drunk, exhausting essence." These must be avoided. Human desire is like termites in wood; severe termite damage breaks the wood, intense desire kills the body. The Immortal Classics say: "Do not exhaust your spirit, do not shake your essence, do not let your thoughts run rampant." This allows longevity. The wise take heed.