肺泻尺泽补太渊,大肠二间曲池前,胃泻厉兑解 补,脾在商邱大都边,心先神门后少
冲,
胆泻阳辅补侠 ,肝泻行间补曲泉。(上穴俱泻针,下穴俱补针。)
太阳小肠足膀胱,阳明大肠足胃乡,少阳三焦足胆配,太阴手肺足脾当,少阴手心足为
肾,厥阴包络足肝方。(上皆是手,下皆是足。)
(横行为络)
小肠支正穴,膀胱飞扬中,大肠偏历是,胃络在丰隆,三焦在外关,胆经络光明,肺络
列缺
屏翳通,脾又有大络,大包乃厥终。
十五络穴,实则必现,虚则必下,求之不得,取之上下。
十五络脉者,十二经之别络,而相通焉者也。脾之大络,总统阴阳诸络,灌溉于脏腑者
也。
孟子曰∶七年之病,求三年之艾。丹 曰∶艾性至热,入火灸则上行,入药服则下行。
《千
云∶若要安,三里常不干,有风者尤宜。
《本草》云∶艾味苦,气微温,阴中之阳,无毒,主灸百病。五月五日,采曝干,陈久
良,入臼捣细,去尘屑,再焙,大燥用之,如润无功。田野生者可用,蕲艾更妙。
气盛泻之,气虚补之。针之所不能为者,则以艾灸之。针虽捷不如艾稳,艾虽稳不如针
捷。
泻速吹其火,以开其穴孔。又,灸疮必发,去病如把抓。
用\r泥钱\pd-d6.bmp\r五个,俱内空三分,周流换之,上着艾如楝子大,灸疼急方去,肉
有汗起
达气。若小儿,七日以上,周年以还,炷如雀粪可也。《短剧》曰∶腹背烂烧,四肢但去风
邪,不宜大炷。王节斋云∶面上灸炷须小,手足上犹可粗。
肺经的泻法取尺泽穴,补法取太渊穴;大肠经的泻法取二间穴,补法取曲池穴;胃经的泻法取厉兑穴,补法取解溪穴;脾经的补法在商丘穴和大都穴之间(注:此处原文可能有误或指特定操作,通常脾经补法多用太白或公孙,但依原文翻译为商丘、大都);心经先刺神门穴(泻),后刺少冲穴(补);胆经的泻法取阳辅穴,补法取侠溪穴;肝经的泻法取行间穴,补法取曲泉穴。(上排穴位均用泻针手法,下排穴位均用补针手法。)
太阳小肠经与足太阳膀胱经相表里,阳明大肠经与足阳明胃经相表里,少阳三焦经与足少阳胆经相配,太阴手太阴肺经与足太阴脾经相配,少阴手少阴心经与足少阴肾经相配,厥阴手厥阴心包经与足厥阴肝经相配。(以上都是手部经脉对应下部足部经脉。)
(横向行走的是络脉)
小肠经的络穴是支正穴,膀胱经的络穴是飞扬穴,大肠经的络穴是偏历穴,胃经的络穴在丰隆穴,三焦经的络穴在外关穴,胆经的络穴在光明穴,肺经的络穴是列缺穴,屏翳(即任脉之鸠尾,古称屏翳,此处可能指代特定络脉或笔误,按原文列出)相通,脾经又有一大络,名为大包,这是脾之大络的终结。
十五络穴,实证时必然显现,虚证时必然陷下,如果找不到,就取上下对应的穴位。
十五络脉,是十二经脉的别络,彼此相通。脾的大络,统率阴阳诸络,灌溉滋养脏腑。
孟子说:“七年的病,要寻求三年的陈艾。”丹波元简曰:“艾性极热,入火灸则药气上行,入药服则药气下行。”《千金方》云:“若要身体安,三里常不干”,有风邪者尤其适宜。
《本草纲目》云:“艾味苦,气微温,属阴中之阳,无毒,主治各种疾病需灸治的病证。五月五日采集晒干,陈久的更好,放入臼中捣细,去掉尘屑,再焙干,非常干燥时使用,如果湿润则无效。田野生长的艾可用,蕲艾更妙。”
气盛用泻法,气虚用补法。针刺不能达到的效果,就用艾灸来补充。针刺虽然快捷但不如艾灸稳妥,艾灸虽然稳妥但不如针刺快捷。
泻法时要快速吹火,以打开穴孔。另外,灸疮必须发出来,去病才能像抓东西一样彻底。
使用五个铜钱,中间空三分厚,轮流放置,上面放艾绒如楝子大小,感到疼痛急迫时才去掉,皮肤上有汗出即可达到行气的效果。如果是小儿,七日以上至一周岁,艾炷如雀粪大小即可。《短剧》说:“腹部背部烂烧,四肢只需祛除风邪,不宜用大艾炷。”王节斋说:“面部灸的艾炷必须小,手足上还可以稍粗。”
The reducing method for the Lung meridian takes Chize (LU-5), and the reinforcing method takes Taiyuan (LU-9). For the Large Intestine meridian, the reducing method takes Erjian (LI-2), and the reinforcing method takes Quchi (LI-11). For the Stomach meridian, the reducing method takes Lidui (ST-45), and the reinforcing method takes Jiexi (ST-41). For the Spleen meridian, the reinforcing method is associated with Shangqiu (SP-5) and Dadu (SP-2). For the Heart meridian, one first reduces Shenmen (HT-7) and then reinforces Shaochong (HT-9). For the Gallbladder meridian, the reducing method takes Yangfu (GB-38), and the reinforcing method takes Xiaxi (GB-43). For the Liver meridian, the reducing method takes Xingjian (LR-2), and the reinforcing method takes Ququan (LR-8). (The upper acupoints listed are all used with needle-reducing techniques, and the lower acupoints are all used with needle-reinforcing techniques.)
The Hand-Taiyang Small Intestine meridian corresponds to the Foot-Taiyang Bladder meridian; the Hand-Yangming Large Intestine meridian corresponds to the Foot-Yangming Stomach meridian; the Hand-Shaoyang Sanjiao meridian pairs with the Foot-Shaoyang Gallbladder meridian; the Hand-Taiyin Lung meridian pairs with the Foot-Taiyin Spleen meridian; the Hand-Shaoyin Heart meridian pairs with the Foot-Shaoyin Kidney meridian; and the Hand-Jueyin Pericardium meridian pairs with the Foot-Jueyin Liver meridian. (All above refer to hand meridians corresponding to their paired foot meridians.)
(The horizontal pathways are the Luo-connecting vessels.)
The Luo-point of the Small Intestine meridian is Zhizheng (SI-7); that of the Bladder meridian is Feiyang (BL-58); that of the Large Intestine meridian is Pianli (LI-6); the Luo-point of the Stomach meridian is Fenglong (ST-40); that of the Sanjiao meridian is Waiguan (TE-5); that of the Gallbladder meridian is Guangming (GB-37); that of the Lung meridian is Lieque (LU-7); Pingyi (referring to Jiuwei CV-15 or a specific connection) connects through; the Spleen meridian also has a major Luo-vessel, named Dabao (SP-21), which is the termination of the Spleen's major Luo.
When the fifteen Luo-points are in excess conditions, they manifest visibly; when deficient, they sink inward. If they cannot be found, seek them in the upper and lower corresponding areas.
The fifteen Luo-vessels are the divergent collaterals of the twelve regular meridians, communicating with each other. The major Luo-vessel of the Spleen governs all yin and yang Luo-vessels and irrigates the Zang-fu organs.
Mencius said: "For a disease lasting seven years, seek three-year-old mugwort." Danbo Yuanjian stated: "Mugwort is extremely hot in nature; when moxibusted, its qi ascends; when taken as medicine, its qi descends." *Qianjin Fang* says: "If you wish to be safe and sound, keep Zusanli (ST-36) constantly moistened [with blisters]; this is especially suitable for those with wind pathogens."
*Benscao Gangmu* states: "Mugwort tastes bitter and is slightly warm in nature, belonging to yang within yin, non-toxic, and mainly indicated for moxibustion treatment of various diseases. It should be harvested on the fifth day of the fifth lunar month and dried. Aged mugwort is superior. It should be pounded in a mortar until fine, dust removed, and then roasted to be very dry before use; if moist, it is ineffective. Wild mugwort from fields can be used, but Qi mugwort is even better."
Excess qi requires reducing methods; deficient qi requires reinforcing methods. Where acupuncture cannot achieve the desired effect, moxibustion is employed. Acupuncture is swift but less stable than moxibustion; moxibustion is stable but less swift than acupuncture.
For reducing methods, blow rapidly on the fire to open the acupoint pores. Furthermore, moxa sores must erupt to thoroughly eliminate the disease, like grasping something firmly.
Use five copper coins, each hollowed out by three fen in thickness, rotating them during application. Place moxa cones the size of a nut on top. Remove only when pain becomes urgent. Sweat appearing on the skin indicates that qi circulation has been achieved. For infants aged over seven days up to one year, moxa cones should be the size of a sparrow's droppings. *Duanju* states: "For burning lesions on the abdomen and back, only remove wind pathogens from the limbs; large moxa cones are not suitable." Wang Jiezhai said: "Moxa cones on the face must be small; those on the hands and feet may be coarser."