《千金方》云∶宦游吴蜀,体上常须三两处灸之,切令疮暂瘥,则瘴疠温疟毒不能着
人,故吴蜀多行灸法。故云∶若要安,三里常不干。有风者,尤宜留意。
《宝鉴》云∶气不至而不效,灸亦不发。盖十二经应十二时,其气各以时而至,故不知
经络气血多少,应至之候,而灸之者,则疮不发,世医莫之知也。
《医统》
《本草》云∶艾味苦,气微温,阴中之阳,无毒,主灸百病。三月三日,五月五日,采
曝干,陈久者良,避恶杀鬼。又采艾之法,五月五日,灼艾有效。制艾先要如法∶令干燥,入臼
捣之,以细筛去尘屑,每入石臼,捣取洁白为上,须令焙大燥,则灸有力,火易燃,如润无
《证类本草》云∶出明州。《图经》云∶旧不着所出,但云生田野,今在处有之。惟蕲
州叶浓而干高,果气味之大,用之甚效。
孟子曰∶七年之病,求三年之艾。丹溪曰∶艾性至热,入火灸则上行,入药服则下行。
气盛则泻之,虚则补之。
针所不为,灸之所宜。阴阳皆虚,火自当之。经陷下者,火则当之。经络坚紧,火所治
之。陷下则灸之。
络满经虚,灸阴刺阳。经满络虚,刺阴灸阳。
以火补者,毋吹其火,须待自灭,即按其穴。以火泻者,速吹其火,开其穴也。
黄帝曰∶灸不三分,是谓徒冤,炷务大也。小弱乃小作之。又曰∶小儿七日以上,周年
以还,炷如雀粪。
《明堂下经》云∶凡灸欲炷下广三分,若不三分,则火气不达,病未能愈,则是灸炷欲
其大,惟头与四肢欲小耳。《明堂上经》乃曰∶艾炷根据小箸头作,其病脉粗细,状如细线,但令
当脉灸之。雀粪大炷,亦能愈疾。又有一途,如腹胀、疝瘕、 癖、伏梁气等,须大艾炷。
故《短剧》曰∶腹背烂烧,四肢但去风邪而已,不宜大炷。如巨阙、鸠尾,灸之不过四五壮
。炷根据竹箸头大,但令正当脉上灸之,艾炷若
大,复灸多,其人永无心力。如头上灸多,令人失精神;背脚灸多,令人血脉枯竭,四肢细
而无力,既失精神,又加细节,令人短寿。王节斋云∶面上灸炷须小,手足上犹可粗。
《千金方》记载:在吴蜀地区外出做官的人,身体上常需对三四处穴位进行艾灸,务必使灸疮暂时愈合,这样瘴气、疠气、温疟等毒邪就不能侵袭人体,所以吴蜀地区多流行艾灸疗法。因此说:若要身体安康,足三里穴应经常保持化脓(不干)。有风邪侵袭者,尤其应当留意这一点。
《针灸宝鉴》记载:如果经气不能到达施灸部位,就不会见效,艾灸也不会发泡。因为十二经脉对应十二个时辰,经气各在其对应的时辰到达。所以如果不了解经络气血的多少以及经气应至的时辰而盲目施灸,灸疮就不会发出,世间的医生大多不知道这个道理。
《医统》引用《本草》记载:艾草味苦,性微温,属于阴中之阳,无毒,主治各种疾病需用艾灸治疗的病症。三月三日和五月五日采集并晒干,陈久的艾草效果好,能避邪驱鬼。另外采集艾草的方法中,五月五日采集并灼烧艾草效果显著。制作艾绒要先按规范操作:令其干燥,放入石臼中捣碎,用细筛去掉灰尘碎屑,每次放入石臼捣取洁白者为上品,必须使其焙烤得极度干燥,这样艾灸时热力强劲,火容易燃烧;如果湿润则……(原文此处似有缺漏或语意未完,依上下文推断为效果不佳)。
《证类本草》记载:艾草出产于明州。《图经》记载:旧籍未注明产地,只说生长在田野,现在各地都有生长。只有蕲州的艾草叶厚且茎干高,果实气味浓郁,使用它非常有效。
孟子说:七年的老病,需要求取存放三年的陈艾。朱丹溪说:艾的性质极热,入火艾灸则药力上行,入药服用则药力下行。
经气盛实就用泻法,经气虚弱就用补法。
针刺所不能达到的地方,是艾灸适宜的地方。阴阳两虚,自然应当用火疗。经脉下陷的,用火疗来治疗。经络坚紧的,由火疗来治理。经脉下陷就应当施灸。
络脉满实而经脉虚弱,灸阴经刺阳经。经脉满实而络脉虚弱,刺阴经灸阳经。
用火的补法,不要吹火,须等待火自灭,然后按压穴位。用火的泻法,快速吹火,并开放穴位。
黄帝说:艾灸如果不达到三分深,这叫白白受罪,艾炷务必做大。体质弱小的人可以稍微小一点。又说:出生七天以上到一周岁的婴儿,艾炷大小如麻雀粪。
《明堂下经》记载:凡是艾灸,希望艾炷底部直径达到三分,如果不达三分,则火气不能通达,病不能痊愈,所以艾灸的艾炷希望大一些,只有头部和四肢希望小一些。《明堂上经》却说:艾炷根据小筷子的头大小制作,病情脉象粗细,状如细线,只要让艾炷对准经脉施灸即可。如麻雀粪大小的艾炷,也能治愈疾病。又有一种情况,如腹胀、疝气、癥瘕、癖积、伏梁气等,必须用大的艾炷。
所以《短剧》说:腹部和背部可以烂烧(指化脓灸),四肢只需祛除风邪而已,不应用大艾炷。如巨阙、鸠尾穴,艾灸不超过四五壮。艾炷根据竹筷子头的大小,只要让艾炷正当经脉上施灸,如果艾炷过大,又灸得多,这个人永远会没有心力。如果在头上灸得多,使人丧失精神;在背脚灸得多,使人血脉枯竭,四肢细小无力,既丧失精神,又增加细节(此处疑为“结滞”或类似含义,指病理产物堆积),使人短寿。王节斋说:面部艾灸艾炷必须小,手足上还可以稍粗。
According to the *Qianjin Fang* (Prescriptions Worth a Thousand Gold): For those traveling for official duties in the regions of Wu and Shu, moxibustion should be applied to two or three areas of the body. It is essential to ensure that the resulting moxa blisters (moxa sores) temporarily heal; this prevents pathogenic factors such as miasma (shān qì), leprosy-causing pathogens (lì qì), warm malaria (wēn nüè), and other toxins from attaching to the person. Therefore, moxibustion is widely practiced in the Wu and Shu regions. Hence it is said: "If one wishes to remain healthy, the Zusanli (ST36) acupoint should always be kept moist (suppurating)." Those susceptible to wind pathogens should pay particular attention to this.
According to the *Zhenjiu Baojian* (Mirror of Acupuncture and Moxibustion): If the Qi does not reach the treatment site, there will be no effect, and the moxibustion will not produce blisters. The twelve meridians correspond to the twelve double-hours of the day; the Qi of each meridian arrives at its specific time. Therefore, if one does not understand the abundance or scarcity of Qi and Blood in the meridians, nor the timing of their arrival, and proceeds with moxibustion blindly, the moxa sores will not form. Most physicians in the world are unaware of this principle.
The *Yitong* cites the *Bencao* (Materia Medica): Mugwort (Ai Ye) has a bitter taste and a slightly warm nature; it belongs to Yang within Yin, is non-toxic, and is indicated for moxibustion treatment of various diseases. It should be harvested on the third day of the third lunar month and the fifth day of the fifth lunar month, then dried in the sun. Old, aged mugwort is superior, as it can ward off evil spirits and ghosts. Regarding the method of harvesting mugwort, using mugwort burned on the fifth day of the fifth lunar month is effective. The preparation of mugwort wool must follow proper procedures: allow it to dry, pound it in a mortar, sift out dust and debris with a fine sieve, and repeatedly pound in a stone mortar until the finest, whitest fibers are obtained. It must be baked until extremely dry; otherwise, the moxibustion will lack potency, and the fire will not ignite easily. If it is damp... [text implies poor efficacy].
The *Zhenglei Bencao* states: Mugwort originates from Mingzhou. The *Tujing* (Illustrated Canon) notes: Older texts do not specify the origin, only stating it grows in fields; now it is found everywhere. However, mugwort from Qizhou has thick leaves and tall stems, possesses strong aroma and flavor, and is very effective when used.
Mencius said: "For a disease lasting seven years, seek three-year-old mugwort." Zhu Danxi stated: "Mugwort is extremely hot in nature. When used in moxibustion, its action moves upward; when taken as medicine orally, its action moves downward."
When Qi is excess, apply draining methods; when deficient, apply tonifying methods.
Where acupuncture cannot reach, moxibustion is appropriate. When both Yin and Yang are deficient, fire therapy (moxibustion) is indicated. When meridians are sunken/collapsed, fire therapy is indicated. When meridians are firm and tight, fire therapy treats them. When meridians are sunken, apply moxibustion.
When collaterals are full and meridians are deficient, moxa the Yin meridians and needle the Yang meridians. When meridians are full and collaterals are deficient, needle the Yin meridians and moxa the Yang meridians.
For the tonifying method of fire: Do not blow on the fire; wait for it to extinguish naturally, then press the acupoint. For the draining method of fire: Blow quickly on the fire, and leave the acupoint open.
The Yellow Emperor said: "If moxibustion does not penetrate three fen deep, it is a waste of suffering; the moxa cone must be large. For weak constitutions, make it smaller." He also said: "For infants older than seven days up to one year old, the moxa cone should be the size of a sparrow's droppings."
The *Mingtang Xiajing* (Lower Classic of the Bright Hall) states: In all moxibustion, the base of the moxa cone should be three fen wide. If not three fen, the fire energy will not penetrate, and the disease will not heal. Thus, moxa cones should generally be large, except for the head and limbs, where they should be small. The *Mingtang Shangjing* (Upper Classic of the Bright Hall) states: Make the moxa cone the size of the head of a small chopstick. If the pulse condition is thin like a fine thread, simply apply the moxa directly onto the vessel. Even moxa cones the size of sparrow droppings can cure diseases. There is another category: for conditions such as abdominal distension, hernia, zheng/jia masses, pi accumulations, and fuliang qi, large moxa cones are required.
Therefore, the *Duanju* states: The abdomen and back can be cauterized deeply (to suppuration); the limbs only need to dispel wind pathogens and should not use large cones. For points such as Juque (CV14) and Jiutui (CV15), moxibustion should not exceed four or five cones. The moxa cone should be the size of a bamboo chopstick head, applied precisely on the meridian. If the moxa cone is too large and the number of cones is excessive, the patient will permanently suffer from a lack of heart-mind energy. Excessive moxibustion on the head causes loss of spirit; excessive moxibustion on the back and feet leads to exhaustion of blood vessels, making the limbs thin and weak, causing loss of spirit and accumulation of pathological factors, leading to a short lifespan. Wang Jiezhai said: Moxa cones on the face must be small; on the hands and feet, they can be slightly larger.