(《素问·骨空论》)
灸寒热之法,先灸项大椎,以年为壮数,(此下灸寒热之法,多以虚劳为言,然当因病随经而取之也。大椎,督脉穴,
灸如患者之年数。)次灸橛骨,以年为壮数,(尾尽之穴曰橛骨,任脉穴也。橛音厥。)视背俞陷者灸之,(背俞,皆足太
阳经穴。陷下之处,即经气之不足者,故当灸之。)举臂肩上陷者灸之,(肩 也,手阳明经穴。)两季胁之间灸之,(足
少阳京门穴也。)外踝上绝骨之端灸之,(足少阳阳辅穴也。踝,胡寡切。)足小趾次趾间灸之,(足少阳侠溪穴也。) 下
陷脉灸之,(足太阳承山穴也。 音篆。)外踝后灸之,(足太阳昆仑穴也。)缺盆骨上切之坚动如筋者灸之,(此结聚也,
但随其所有而灸之,不必拘于俞穴。)膺中陷骨间灸之,(任脉之天突穴也。)掌束骨下灸之,(手少阳阳池穴也。)齐下关
元三寸灸之,(任脉之关元穴在齐下三寸。)毛际动脉灸之,(足阳明气冲穴也。)膝下三寸分间灸之,(足阳明三里穴也。)
足阳明跗上动脉灸之,(冲阳穴也。)巅上一灸之,(督脉之百会穴也。)犬所啮之处灸之三壮,即以犬伤病法灸之,(犬伤
令人寒热者,古有灸法如此,故云然也。啮,尼结切。)凡当灸二十九处。(自犬啮之上,共计二十九处。犬伤者无定所,
故不在数内。)伤食灸之。(伤食而发寒热者,如上法求阳明经穴灸之。)不已者,必视其经之过于阳者,数刺其俞而药之。
(过于阳者,阳邪之盛者也。刺可泻其阳,药可泻其阴,灸之不已,当变其治法如此。)
(出自《素问·骨空论》)
治疗寒热病的方法,首先灸项部的**大椎穴**,艾灸的壮数根据患者的年龄而定,(此处以下关于治疗寒热病的论述,多侧重于虚劳病症,但应当根据病情循经选取穴位。大椎穴是督脉的穴位,艾灸壮数如患者年龄之数。)其次灸尾骨尽端的**橛骨穴**,艾灸壮数同样依据患者年龄而定,(尾骨尽头处的穴位称为橛骨,属于任脉穴位。“橛”读音为“厥”。)观察背部俞穴处有凹陷的地方进行艾灸,(背部的俞穴,都是足太阳膀胱经的穴位。出现凹陷之处,即是经气不足的地方,所以应当施以艾灸。)抬起手臂,在肩部凹陷处进行艾灸,(即肩髃穴,属于手阳明大肠经的穴位。)在两胁侧之间进行艾灸,(即足少阳胆经的京门穴。)在外踝上方绝骨端的位置进行艾灸,(即足少阳胆经的阳辅穴。“踝”读音为“胡寡切”。)在足小趾与次趾(第二趾)之间进行艾灸,(即足少阳胆经的侠溪穴。)在下陷的经脉处进行艾灸,(即足太阳膀胱经的承山穴。“篆”音同“篆”。)在外踝后方进行艾灸,(即足太阳膀胱经的昆仑穴。)在锁骨上窝(缺盆)骨上,触摸到坚硬且跳动如筋结聚之处进行艾灸,(这是邪气结聚的地方,只需在其所在部位施灸,不必拘泥于特定的俞穴。)在胸中凹陷的骨缝间进行艾灸,(即任脉的天突穴。)在手掌束骨下方的凹陷处进行艾灸,(即手少阳三焦经的阳池穴。)在脐下三寸的关元穴进行艾灸,(任脉的关元穴位于脐下三寸处。)在阴毛边缘的动脉搏动处进行艾灸,(即足阳明胃经的气冲穴。)在膝下三寸的分肉间隙处进行艾灸,(即足阳明胃经的足三里穴。)在足阳明胃经足背上的动脉搏动处进行艾灸,(即冲阳穴。)在头顶百会穴处施灸一壮,(即督脉的百会穴。)被狗咬伤的部位施灸三壮,并随即按照治疗犬伤引发疾病的方法进行艾灸,(被狗咬伤导致出现寒热症状的情况,古代就有这样的灸法,所以说如此处理。“啮”读音为“尼结切”。)总共应当灸治二十九处。(从上述被狗咬伤的部位开始计算,共计二十九处。如果是单纯的犬伤,其受伤部位不固定,因此不计入这固定的二十九处之内。)因饮食积滞引起的寒热症进行艾灸。(因伤食而引发寒热症状的,按照上述方法寻找阳明经的穴位进行艾灸。)如果上述方法无效,必须观察哪条经脉的阳气过盛,多次针刺该经的俞穴,并配合药物治疗。(所谓“过于阳”,是指阳邪亢盛。针刺可以泻除阳邪,药物可以调理阴分,如果艾灸无效,就应当像这样改变治疗方法。)
(From *Suwen: Gu Kong Lun*)
The method for treating cold and heat disorders involves first moxibustion on the **Dazhui (GV14)** acupoint at the nape of the neck, with the number of moxa cones determined by the patient's age in years. (The following discussion on treating cold and heat often refers to deficiency consumptive diseases; however, acupoints should be selected according to the disease and the affected meridians. Dazhui is an acupoint of the Du Meridian; the number of moxa cones corresponds to the patient's age.) Next, moxibustion is applied to the **Juegu** acupoint at the end of the coccyx, again based on the patient's age. (The acupoint at the end of the tailbone is called Juegu; it belongs to the Ren Meridian. "Jue" is pronounced as 'jue'.) Observe the back Shu points; where there are depressions, apply moxibustion. (The back Shu points belong to the Foot-Taiyang Bladder Meridian. Depressions indicate a deficiency of meridian Qi, thus moxibustion is indicated.) Raise the arm and apply moxibustion to the depression in the shoulder. (This refers to Jianyu [LI15], an acupoint of the Hand-Yangming Large Intestine Meridian.) Apply moxibustion between the two hypochondriac regions. (This refers to Jingmen [GB25], an acupoint of the Foot-Shaoyang Gallbladder Meridian.) Apply moxibustion at the end of the Jiegu bone above the lateral malleolus. (This refers to Yangfu [GB38], an acupoint of the Foot-Shaoyang Gallbladder Meridian. "Huai" is pronounced as 'hu gua qie'.) Apply moxibustion between the little toe and the second toe. (This refers to Xiaxi [GB43], an acupoint of the Foot-Shaoyang Gallbladder Meridian.) Apply moxibustion to the depressed vessels. (This refers to Chengshan [BL57], an acupoint of the Foot-Taiyang Bladder Meridian. "Zhuan" sounds like 'zhuan'.) Apply moxibustion posterior to the lateral malleolus. (This refers to Kunlun [BL60], an acupoint of the Foot-Taiyang Bladder Meridian.) In the supraclavicular fossa (Quepen), if a firm, tendon-like pulsating mass is palpated on the bone, apply moxibustion to it. (This indicates a collection of pathogenic factors; moxibustion should be applied directly to the site, without being restricted to specific Shu points.) Apply moxibustion to the depression between the bones in the chest. (This refers to Tiantu [CV22], an acupoint of the Ren Meridian.) Apply moxibustion below the wrist bones where the tendons bind. (This refers to Yangchi [TE4], an acupoint of the Hand-Shaoyang Sanjiao Meridian.) Apply moxibustion to Guan Yuan [CV4], located three cun below the umbilicus. (Guan Yuan of the Ren Meridian is situated three cun inferior to the umbilicus.) Apply moxibustion to the arterial pulse at the pubic hairline. (This refers to Qichong [ST30], an acupoint of the Foot-Yangming Stomach Meridian.) Apply moxibustion three cun below the knee, in the intermuscular space. (This refers to Zusanli [ST36], an acupoint of the Foot-Yangming Stomach Meridian.) Apply moxibustion to the arterial pulse on the dorsum of the foot along the Foot-Yangming Stomach Meridian. (This refers to Chongyang [ST42].) Apply one moxa cone to Bai Hui [GV20] on the vertex. (Bai Hui is an acupoint of the Du Meridian.) For areas bitten by dogs, apply three moxa cones, and subsequently treat according to the methods for dog bites. (Dog bites causing cold and heat symptoms have been treated with such moxibustion since ancient times, hence this statement. "Nie" is pronounced as 'ni jie qie'.) In total, twenty-nine sites should be treated. (Counting from the dog bite site mentioned above, there are twenty-nine sites in total. Dog bite locations vary, so they are not included in this fixed count.) For disorders caused by food stagnation, apply moxibustion. (For cold and heat arising from food injury, seek acupoints of the Yangming Meridian and apply moxibustion as described above.) If these measures are ineffective, examine which meridian exhibits excess Yang, puncture its Shu points multiple times, and administer herbal medicine. ("Excess Yang" refers to the predominance of Yang pathogens. Puncture can drain Yang, while herbs can regulate Yin. If moxibustion fails, the treatment strategy should be altered as follows.)