粤稽古昔疗民疾病有医药而无方书素问辨症论治经络详明灵枢多言针灸温凉补泻法
密而用神
自秦汉以下方书出而针灸之治鲜有传人原针有九视病之轻重虚实用以手法刺浅刺深呼吸运动
之
间须要医者与病患息息相通方能愈病非神而明之者莫能窥其奥旨灸法要在明症审穴症不明则
无以知其病之在阳在阴穴不审则多有误于伤气伤血必精心体究然后可收灸治之全功而见愈病
之神
速也凡人之血气精神所以奉生而周于性命者也气有阻逆则阳脉不和而神无所守血有凝滞则阴
脉不和而精日有亏内伤于七情外感于六气皆足为气血病灸者温暖经络宣通气血使逆者得顺滞
者得行诚前圣之妙用而惠人于无穷也且有风寒卒中危在须臾用药有所不及灸得其要立可回生
医家取效见功莫过于此者后人难在取穴遂与针法并废而不
究心至病有可生而无生之之法任其枉死良可悲也夫灸取于火以火性热而至速体柔而用
刚能消阴翳走而不守善人脏腑取艾之辛香作炷能通十二经入三阴理气血以治百病效如反掌学
者不可不知也
凡物多用新鲜惟艾取陈久者良以艾性纯阳新者气味辛烈用以灸病恐伤血脉故必随时
收蓄风干
净去尘垢捣成熟艾待三年之后燥气解性温和方可取用用时复以手细揉坚团作炷或大或小临症
随宜酌用庶无有误
我考察古代,治疗百姓疾病时只有医药而没有方书,《素问》辨析症状并论述治法,经络理论详尽明确;《灵枢》多讲述针灸及温、凉、补、泻等手法,精妙且运用神奇。
自秦汉以后,方书出现,而针灸的治疗技术很少有传承下来。原来的“九针”是根据病情的轻重、虚实来使用的,采用手法在刺入深浅、深呼吸运动的间隙进行操作,必须要求医生与病患气息相通,才能治愈疾病,如果不是神明通达的人,不能窥探其中的奥妙旨意。
灸法的关键在于明辨症状和审察穴位。症状不明确,就无法知道病邪是在阳经还是阴经;穴位不审察清楚,就容易误伤气血。必须精心体会研究,然后才能收到灸治的全部功效,并看到治愈疾病的迅速神效。
凡是人的血气精神,是用来奉养生命并周流于性命之中的。如果气有阻逆,则阳脉不和,神志就无所守持;如果血有凝滞,则阴脉不和,精气就会日渐亏损。内伤于七情(喜、怒、忧、思、悲、恐、惊),外感于六气(风、寒、暑、湿、燥、火),都足以导致气血病变。灸法能够温暖经络,宣通气血,使逆乱之气得以顺行,凝滞之血得以流通,这确实是前代圣人的妙用,能无穷地惠及世人。
况且有风寒猝中(突然遭受风寒侵袭)的危重情况,危急就在片刻之间,用药有时来不及见效,如果灸法用得恰当,立刻可以挽回生命。医家追求疗效,没有比这更显著的了。后人因为取穴困难,于是将灸法与针法一并废弃而不用心研究,以至于有病可救却没有救治的方法,任由患者枉死,实在令人悲哀啊。
灸法取自火,火的性质热而作用迅速,体性柔顺但功用刚强,能消除阴邪阴影,游走而不固守。善于使用它可以调理脏腑,选取艾草的辛香制成艾炷,能贯通十二经脉,进入三阴经,调理气血以治疗百病,效果如同翻手掌一样容易。学者不可以不知道这些道理。
大凡物品大多喜欢新鲜,只有艾草喜欢陈久的才良善。因为艾的性质纯阳,新采的艾气味辛辣猛烈,用来灸病恐怕会损伤血脉,所以必须随时收集、风干,干净地去除尘垢,捣制成熟艾。等到三年之后,燥气消散,性质温和,才可以取用。使用时再用手细细揉搓,结成坚硬的团块作为艾炷,或大或小,根据病症酌情选用,这样就不会有误。
I have examined the ancient times, where people were treated for diseases with medicine and herbs but without prescription books. The *Suwen* (Basic Questions) analyzes symptoms and discusses treatments, detailing the meridians clearly; the *Lingshu* (Spiritual Pivot) frequently discusses acupuncture and moxibustion, as well as methods of warming, cooling, tonifying, and reducing, which are subtle and divinely effective in use.
Since the Qin and Han dynasties, prescription books emerged, and the treatment techniques of acupuncture and moxibustion were rarely passed down. The original "Nine Needles" were used according to the severity and deficiency or excess of the disease, employing manual techniques during the intervals of shallow insertion and deep breathing movements. It was essential for the physician and the patient to be connected breath-by-breath to cure the disease; only those who are spiritually enlightened could fathom its profound principles.
The key to moxibustion lies in clearly identifying the syndrome and carefully selecting the acupoints. If the syndrome is not clear, one cannot know whether the disease is in the Yang or Yin meridians; if the acupoints are not carefully selected, there is a risk of mistakenly damaging Qi and Blood. Only through careful contemplation and investigation can the full efficacy of moxibustion be achieved, demonstrating the miraculous speed of curing diseases.
The blood, Qi, and spirit of humans are what sustain life and circulate through existence. If Qi encounters obstruction and rebellion, the Yang meridians become disharmonious, and the Spirit has no abode; if Blood becomes stagnant, the Yin meridians become disharmonious, and Essence diminishes daily. Internal injury from the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) and external contraction of the Six Qi (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) are sufficient to cause disorders of Qi and Blood. Moxibustion warms the meridians and promotes the free flow of Qi and Blood, allowing rebellious Qi to become smooth and stagnant Blood to move. This is indeed the wonderful application of former sages, benefiting humanity infinitely.
Moreover, in critical cases of sudden attack by Wind-Cold, where death may occur in an instant, medicinal prescriptions may be too slow to take effect. If moxibustion is applied correctly, life can be restored immediately. There is nothing more effective for physicians than this. Later generations, finding the selection of acupoints difficult, abandoned both acupuncture and moxibustion without further study. Consequently, there were conditions that could have been cured but lacked the method, leading patients to die in vain, which is truly lamentable.
Moxibustion utilizes fire. The nature of fire is hot and rapid, its body is soft yet its function is firm; it eliminates Yin shadows and moves freely without staying fixed. Skillful use can regulate the Zang-Fu organs. By using the pungent and aromatic properties of Mugwort (*Artemisia argyi*) to make moxa cones, it can penetrate the Twelve Primary Meridians and enter the Three Yin meridians, regulating Qi and Blood to treat hundreds of diseases with ease like turning a hand. Scholars must not ignore this knowledge.
Generally, most things prefer freshness, but Moxa is best when aged. This is because Moxa is purely Yang in nature; fresh Moxa has a pungent and fierce odor, and using it for moxibustion may damage the vessels and blood. Therefore, it must be collected at any time, air-dried, cleaned of dust and impurities, and pounded into ripe moxa. After three years, when the dryness dissipates and the nature becomes mild, it can be used. When in use, it should be finely rubbed by hand into firm balls to form moxa cones, varying in size according to the specific condition, so as to avoid errors.