《明堂下经》曰∶古来灸病,忌松、柏、枳、橘、榆、枣、桑、竹八木火,切宜避之。
有火珠耀日,以艾承之,得火为上。次有火镜耀日,亦以艾引得火,此火皆良。诸番部用镔铁击
石得火,以艾引之。凡仓卒难备,则不如无木火,清麻油点灯上烧艾茎,点灸,兼滋润灸
疮,至愈不疼,用蜡烛更佳。
《千金》云∶凡言壮数者,若丁壮病根深笃,可倍于方数,老少羸弱可减半。扁鹊灸法
,有至三五百壮、千壮,此亦太过。曹氏灸法,有百壮,有五十壮。《短剧》诸方亦然。惟《明
堂本经》云∶针入六分,灸三壮,更无余论。故后人不准,惟以病之轻重而增损之。
凡灸头项,止于七壮,积至七七壮止。
《铜人》治风,灸上星、前顶、百会,至二百壮,腹背灸五百壮。若鸠尾、巨阙,亦不
宜多灸,灸多则四肢细而无力。《千金方》于足三里穴,乃云多至三百壮。心俞禁灸。若中风则
急灸至百壮。皆视其病之轻重而用之,不可泥一说,而不通其变也。
《千金方》云∶凡灸法,坐点穴,则坐灸;卧点穴,则卧灸;立点穴,则立灸,须四体
平直,毋令倾侧。若倾侧穴不正,徒破好肉耳。
《明堂》云∶须得身体平直,毋令蜷缩,坐点毋令俯仰,立点毋令倾侧。
《资生》云∶凡灸当先阳后阴,言从头向左而渐下,次从头向右而渐下,先上后下。
《明堂》云∶先灸上,后灸下,先灸少,后灸多,皆宜审之。王节斋曰∶灸火须自上而
下,不可先灸下,后灸上。
《明堂下经》说:自古以来,艾灸治病时,忌讳使用松、柏、枳、橘、榆、枣、桑、竹这八种树木燃烧产生的火,务必避开。
最好是用火珠对着太阳聚焦,用艾草承接聚光引燃,这是最好的火。其次是用火镜对着太阳,也用艾草引燃取火,这些火都是良好的。各少数民族地区用镔铁敲击石头取火,再用艾草引燃。凡是仓促之间难以准备上述火源时,则不如不用木柴之火,可用清麻油点灯,在灯焰上烧灼艾茎进行艾灸,这样既能滋润灸疮,直到痊愈也不疼痛,使用蜡烛效果更佳。
《千金方》说:凡是提到施灸的壮数(每燃烧一个艾炷为一壮),如果是身体强壮、病根深重的人,可以比规定的壮数加倍;老人、小孩及身体虚弱的人,可以减少一半。扁鹊的灸法中,有施灸三五百壮甚至千壮的,这也太过分了。曹氏的灸法,有的是一百壮,有的是五十壮。《短剧》中的各方也是如此。只有《明堂本经》说:针刺入六分深,艾灸三壮,没有其他更多的论述。所以后人没有固定的标准,只是根据病情的轻重来增减壮数。
凡是艾灸头部和颈部,最多七壮,累计到七七四十九壮为止。
《铜人腧穴针灸图经》治疗风证时,艾灸上星穴、前顶穴、百会穴,可达二百壮,腹部和背部艾灸可达五百壮。如果灸鸠尾穴、巨阙穴,也不宜多灸,灸多了会导致四肢细弱无力。《千金方》对于足三里穴,却说可以多至三百壮。心俞穴禁止艾灸。如果是中风急症,则紧急艾灸至一百壮。这都是视病情的轻重来决定用量,不可拘泥于一种说法,而不知变通。
《千金方》说:凡是艾灸的方法,坐着定位穴位,就坐着艾灸;躺着定位穴位,就躺着艾灸;站着定位穴位,就站着艾灸。必须使四肢躯干平直,不要使其倾斜侧歪。如果倾斜侧歪导致穴位定位不准,只会白白损伤好肉罢了。
《明堂》说:必须保持身体平直,不要蜷缩,坐着定位时不要低头仰头,站着定位时不要倾斜侧歪。
《资生经》说:凡是艾灸应当先阳后阴,即先从头部向左逐渐向下,再从头部向右逐渐向下,先上部后下部。
《明堂》说:先灸上部,后灸下部,先灸少壮,后灸多壮,这些都应当仔细审察。王节斋说:艾灸的火势应当从上往下,不可先灸下部,后灸上部。
The *Mingtang Xiajing* states: Since ancient times, when treating diseases with moxibustion, one must avoid the fire from eight types of wood: pine (Pinus), cypress (Cupressus), zhi (Zanthoxylum), orange (Citrus), elm (Ulmus), jujube (Ziziphus), mulberry (Morus), and bamboo (Bambusoideae). It is crucial to steer clear of these.
The best method is to use a crystal lens (huozhu) focusing sunlight onto mugwort (Artemisia argyi) to ignite it. Next best is using a bronze mirror (huojing) to focus sunlight to ignite the mugwort; both methods yield excellent fire. Various ethnic groups strike bintie (wrought iron) against stone to create sparks and ignite the mugwort. In emergencies where these are unavailable, it is better not to use wood fire at all. Instead, light a lamp with pure sesame oil (Sesami Oleum), burn the stem of the mugwort over the flame for moxibustion. This also moistens the moxa sore, preventing pain until healing is complete. Using candles is even better.
The *Qianjin Fang* states: Regarding the number of moxa cones (zhuang, each cone burned counts as one zhuang), if the patient is robust and the disease root is deep-seated, the number may be doubled compared to the standard prescription. For the elderly, children, or those who are frail and weak, the number should be halved. Bian Que’s moxibustion methods include up to three or five hundred zhuang, or even a thousand zhuang, which is excessive. Cao Shi’s methods involve one hundred or fifty zhuang. The prescriptions in the *Duanju* are similar. Only the *Mingtang Benjing* specifies: needle insertion depth of six fen, moxibustion of three zhuang, with no further discussion. Therefore, later generations had no fixed standard, adjusting the number of zhuang according to the severity of the disease.
For moxibustion on the head and neck, limit to seven zhuang, accumulating up to forty-nine zhuang (seven times seven) as the maximum.
The *Tongren* text, when treating wind disorders, recommends moxibustion on Shangxing (GV23), Qian Ding (GV21), and Baihui (GV20) up to two hundred zhuang, and on the abdomen and back up to five hundred zhuang. However, Jiawei (CV15) and Juque (CV14) should not be excessively moxibusted; too much moxibustion here leads to thin and weak limbs. The *Qianjin Fang* mentions that Zusanli (ST36) can receive up to three hundred zhuang. Xinshu (BL15) is contraindicated for moxibustion. In cases of acute stroke, emergency moxibustion up to one hundred zhuang is indicated. All applications depend on the severity of the disease; one must not rigidly adhere to a single theory but must adapt flexibly.
The *Qianjin Fang* states: Regarding moxibustion technique, if the acupoint is located while sitting, perform moxibustion while sitting; if located while lying down, perform it while lying down; if located while standing, perform it while standing. The body and limbs must be kept straight and level, avoiding any tilting or leaning. If tilted, the acupoint location will be inaccurate, resulting in unnecessary damage to healthy flesh.
The *Mingtang* states: The body must remain straight and not curled up. When locating points while sitting, avoid bending forward or backward; when locating points while standing, avoid tilting sideways.
The *Zisheng Jing* states: Moxibustion should generally follow the order of Yang before Yin, meaning starting from the head and moving downwards gradually to the left, then to the right, prioritizing the upper body before the lower body.
The *Mingtang* states: Moxabust the upper parts first, then the lower parts; apply fewer zhuang first, then more. These principles require careful consideration. Wang Jiezhai stated: The heat of moxibustion should proceed from top to bottom; do not moxabust the lower parts first and then the upper parts.