宜戊辰,己巳,庚午,壬申,乙亥,戊寅,甲申,丙戌,辛卯,乙未,丙午,丁未,辛
亥,己未。除开破日,忌辛未,乃扁鹊死日。
宜丁卯,庚午,甲戌,丙子,丁丑,壬午,甲申,丙戌,丁亥,辛卯,壬辰,癸丑,乙
卯,丙辰,己未,壬戌,乙亥,戌申,戊戌,壬子,丙申,甲辰,丙午。
天医、天巫、天解,要安生气活曜,天月二德,二德合日。服药,忌扁鹊死日,男忌除
,女忌破日。针灸,忌人所在,白虎、黑道、月厌、月杀、独火、受死、人别、血支、血忌人隔
每月六日、十五、十八、二十三、二十八、小尽,疗病令人长病不安。
夫含灵受气,禀之于五行;摄生乘理,降之于六疾。若岐黄广起蔚旨,旧经攻灸兼行,
显著
气为本,无问少长,多染此病。婴孺之流,传注更苦。其为患也,发干而耸,或聚或分;或
腹中有块,或脑后两边有小结,多者乃至五六;或夜卧盗汗,梦与鬼交,虽目视分明,而四
肢无力;或上气食少,渐就沉羸,纵延时日,终于 尽。
予昔忝洛州司马,尝三十日灸活一十三人,前后差者,数逾二百。至于狸骨、獭犴,徒
闻曩
劳,或邪或癖。患或壮广,灸活者不可具录,略陈梗概,又恐传授讹谬,以误将来。今故具
图取状,庶令览者易悉,使所在流布,须用家藏,未暇外请名医、傍求上栾。还魂返魄,何
难之有?遇斯疾者,可不知所务乎!
唐中书侍郎崔知悌序。
取穴法
先两穴,令患人平身立正,取一细绳,遏之勿令展缩,顺脚底贴肉紧踏之,男左女右。
其绳前头与大拇指端齐,后头令当脚跟中心,向后引绳,循脚肚贴肉,宜上至曲膂中大横纹截断
又令患人解发,分两边令见头缝,自囟门平分至脑后,乃平身正坐,取向所截一头,令
与鼻
记之。墨点不是灸处。
又取一绳子,令患人合口,将绳子按于口上两吻,却勾起绳子中心,至鼻柱根下。如今
此样,便齐两吻,截断。将此绳展令直,于前来脊骨上墨点处,横量取平,勿令高下。绳子先用
中指,当中以墨记之。却展开绳子,横量,以绳子上墨点正压脊骨上墨点为正,两头取平,
勿令高下。于绳子两头以白圈记,白圈是灸处。
以上是第一次,点二穴。
次二穴,令其人平身正坐,稍缩臂膊,取一绳,绕项向前,双垂与鸠尾齐(鸠尾是心歧
骨。人有无心歧骨者,双胸前两歧骨下量取一寸,即是鸠尾也)。即双截断,却背翻绳头,向后
以绳子中停取心,正令当喉咙结骨上。其绳两头夹项双垂,循脊骨以墨点记之。墨点不是灸
又取一绳子,令患人合口横量,齐两吻,截断。还于脊骨上,以墨点处横量如法。绳子
两头以白圈记之。白圈即是灸处。
以上第二次点火。通前共四穴,同时灸,曰别各七壮。累灸至一百壮,或一百五十壮为
妙。候疮欲瘥,又根据后法灸二穴。
又次二穴,以第二穴量口吻绳子,于第二次双绳头尽处墨点上,于上下绳头尽处,以白
圈两穴。白圈是灸处。
以上第三次,点两穴。谓之四花穴。灸两穴,各百壮。三次共六花穴。
各取离日,量度讫。即下火。唯须三月三日艾最佳。疾瘥,百日以内慎饮食房事,安息
静处将息。若一月后,觉未瘥,复根据初穴上再灸。
图形壮具于后。
凡骨蒸之后所起,辨验有二十二种,并根据上项灸之。
一、胞蒸,小便赤黄。
二、房欲蒸,男女遗尿失精,女人月水不调。
三、脑蒸,头眩热闷。
四、髓蒸,觉沸热。
五、骨蒸,齿黑。
六 、筋蒸,甲焦。
七、血蒸,发焦。
八、脉蒸,缓急不调。
九、肝蒸,或时眼前昏花。
十、心蒸,舌焦或疮,或时胸满。
十一、脾蒸,唇焦所,或口疮。
十二、肺蒸,口干生疮。
十三、肾蒸,耳干焦。
十四、膀胱蒸,右耳热。
十六、胃蒸,舌下痛。
十七、小肠蒸,下泄不禁。
十八、大肠蒸,右鼻孔痛。
十九、三焦蒸,乍寒乍热。
二十、肉蒸,别人觉热,自觉冷。
二十一、皮蒸,肉生鸡粟起,是皮蒸。
二十二、气蒸,遍身壮热,不自安息。
宜选用的日子有:戊辰、己巳、庚午、壬申、乙亥、戊寅、甲申、丙戌、辛卯、乙未、丙午、丁未、辛亥、己未。要避开“开日”和“破日”,忌讳辛未日,因为那是扁鹊去世的日子。
宜选用的日子有:丁卯、庚午、甲戌、丙子、丁丑、壬午、甲申、丙戌、丁亥、辛卯、壬辰、癸丑、乙卯、丙辰、己未、壬戌、乙亥、戊申(原文误作“戌申”)、戊戌、壬子、丙申、甲辰、丙午。
天医、天巫、天解等吉神,以及安生气、活曜、天德、月德等吉星,特别是天德与月德相合的日子,适宜服药。忌讳扁鹊去世的日子;男子忌讳“除日”,女子忌讳“破日”。进行针灸时,忌讳患者所在方位的凶神恶煞,包括白虎、黑道、月厌、月杀、独火、受死、人别、血支、血忌等神煞,以及每月的初六、十五、十八、二十三、二十八日及小尽日(农历每月最后一天)。在这些日子治疗疾病,会导致病情迁延不愈,使人长期不安。
凡是有灵性的生命,其禀受的气源自五行;养生需顺应生理规律,否则易患六种疾病。如果像岐伯、黄帝那样广泛探究深奥的道理,遵循旧有的经典,采用灸法兼行治疗,以气为本体,无论老少,大多会感染这种病证。婴幼儿这类人群,通过传染会使病情更加痛苦。这种病患的表现是:头发干枯竖起,或者聚集成团,或者分散开来;或者腹中有肿块,或者脑后两边有小结节,多的甚至达到五六个;或者夜间睡觉盗汗,梦中与鬼魅交合,虽然眼睛视力清晰,但四肢无力;或者上气喘息、食欲减少,逐渐变得消瘦衰弱,即使拖延时日,最终也会死亡。
我过去曾任洛州司马,曾在一个三十天的月份里用灸法治活了十三个人,前后治愈的人数超过二百。至于使用狸骨、獭犴等药物,只是从前听说过那些劳苦,或者是针对邪气或癖积之症。患病情况如果严重且广泛,被灸法治愈的人无法全部记录,这里只略述大概,又担心传授过程中出现错误谬误,从而误导后人。因此现在详细绘制图形并说明取穴状况,希望让阅读者容易理解,使这些方法在当地流传普及。需要使用时只需查阅家藏书籍,不必急于向外请教名医,也不必四处寻求高深的方术。让人还魂返魄,有什么困难呢?遇到这种疾病的人,能不知道必须重视吗!
唐代中书侍郎崔知悌作序。
取穴方法:
首先确定两个穴位,让患者平身站立端正,取一根细绳,捏住不要让它伸缩,顺着脚底贴着肉紧踏,男性取左脚,女性取右脚。绳子前端与大脚趾尖端齐平,后端对准脚跟中心,将绳子向后引,沿着小腿肚贴着肉向上,直到腘窝横纹处截断,并在该处做标记。注意:墨点标记的位置不是施灸的地方。
再取一根绳子,让患者闭口,将绳子按在嘴唇两角之间,然后将绳子中心勾起,直到鼻梁根部下方。就像这样对齐两唇角后截断。将这根绳子拉直,在前面背部脊柱上的墨点处,横向测量保持水平,不要高低不平。绳子先用中指定位,中间用墨汁做记号。然后展开绳子,横向测量,以绳子中间的墨点正压住脊柱上的墨点为基准,两端保持水平,不要高低不平。在绳子的两头用白圈标记,白圈标记的位置才是施灸的地方。
以上是第一次,确定两个穴位。
其次确定两个穴位,让患者平身端正坐着,稍微收缩手臂,取一根绳子,绕着脖子向前,双股下垂与鸠尾穴齐平(鸠尾穴位于心下歧骨处。有的人没有明显的心下歧骨,则在双胸前两歧骨下方量取一寸处,即是鸠尾穴)。将绳子双股截断,翻转到背后,以绳子中间点对准心脏位置,正好对准喉咙结骨上方。绳子两头夹住脖子双股下垂,沿着脊柱用墨汁做标记。注意:墨点标记的位置不是施灸的地方。
再取一根绳子,让患者闭口横向测量,对齐两唇角截断。然后在脊柱上,以之前的墨点处横向测量,方法同上。绳子两头用白圈标记。白圈即是施灸的地方。
以上第二次点火。总共四个穴位,同时施灸,每个穴位各七壮。连续施灸至一百壮,或者一百五十壮为妙。等到疮口快要愈合时,再根据后面的方法灸另外两个穴位。
再次确定两个穴位,用之前量口唇的那根绳子,在第二次双绳头尽头的墨点处,在上下绳头尽头处,用白圈标记两个穴位。白圈是施灸的地方。
以上第三次,确定两个穴位。称为四花穴。灸这两个穴位,各一百壮。三次共六个花穴。
分别选取离日(干支历中的离卦日),度量完毕后,即开始施灸。最好使用三月三日采集的艾草。疾病痊愈后,一百天内要谨慎饮食和房事,在安静舒适的地方调养休息。如果一个月后,感觉还没有痊愈,再根据最初的穴位重新施灸。
图形和壮数详情在后面。
凡是骨蒸病之后引发的症状,辨别验证有二十二种,都根据上述方法进行灸治。
一、胞蒸,小便赤黄。
二、房欲蒸,男女遗尿失精,女人月经不调。
三、脑蒸,头晕发热闷胀。
四、髓蒸,感觉沸腾般的热。
五、骨蒸,牙齿发黑。
六、筋蒸,指甲焦枯。
七、血蒸,头发焦枯。
八、脉蒸,脉搏缓急不调。
九、肝蒸,有时眼前昏花。
十、心蒸,舌头焦枯或有疮疡,有时胸部满闷。
十一、脾蒸,嘴唇焦枯,或者有口疮。
十二、肺蒸,口干生疮。
十三、肾蒸,耳朵干燥焦枯。
十四、膀胱蒸,右耳发热。
十六、胃蒸,舌下疼痛。
十七、小肠蒸,腹泻不止。
十八、大肠蒸,右鼻孔疼痛。
十九、三焦蒸,忽冷忽热。
二十、肉蒸,别人觉得热,自己却感觉冷。
二十一、皮蒸,皮肤长出鸡皮疙瘩,这是皮蒸。
二十二、气蒸,全身壮热,不能安宁休息。
The auspicious days are: Wuchen, Jisi, Gengwu, Renshen, Yihai, Wuyin, Jiashen, Bingxu, Xinmao, Yiwei, Bingwu, Dingwei, Xinhai, Jiwei. Avoid the "Kai" (Opening) and "Po" (Breaking) days. The day of Xinsi is taboo as it is the death day of Bian Que.
Auspicious days include: Dingmao, Gengwu, Jiaxu, Bingzi, Dingchou, Renwu, Jiashen, Bingxu, Dinghai, Xinmao, Renchén, Guichou, Yimao, Bingchen, Jiwei, Renxu, Yihai, Wushen (original text error: "Xu Shen"), Wuxu, Renzi, Bingshen, Jiachen, Bingwu.
Days associated with Tianyi, Tianwu, Tianjie, Anqi Sheng, Huoyao, Tiande (Heavenly Virtue), and Yue De (Monthly Virtue), especially when Tiande and Yue De coincide, are suitable for taking medicine. It is taboo to take medicine on the death day of Bian Que; men should avoid the "Chu" (Elimination) day, and women should avoid the "Po" (Breaking) day. For acupuncture and moxibustion, avoid the directions where malevolent spirits reside, such as Baihu (White Tiger), Heidao (Black Path), Yueyan (Monthly Disgust), Yuesha (Monthly Killer), Duhuo (Solitary Fire), Shousi (Receiving Death), Renbie (Human Separation), Xuezhi (Blood Support), and Xueji (Blood Taboo), as well as the 6th, 15th, 18th, 23rd, 28th days of the lunar month and the Xiaojin (last day of a short month). Treating illness on these days will cause the disease to linger and make the patient uneasy for a long time.
All sentient beings receive their Qi from the Five Elements; preserving life requires following physiological principles, otherwise one falls ill with the Six Diseases. If one extensively explores profound principles like Qibo and Huangdi, follows ancient classics, and combines acupuncture with moxibustion, prioritizing Qi as the root, regardless of age, many will contract this disease. Infants and children, through transmission, suffer even more bitterly. The manifestations of this affliction include: dry and erect hair, which may clump together or scatter; lumps in the abdomen or small nodules on both sides of the back of the head, sometimes up to five or six; night sweats during sleep, dreams of intercourse with ghosts, clear vision but weak limbs; upper Qi rebellion, poor appetite, gradual emaciation, and eventual death despite prolonged duration.
I formerly served as Sima of Luozhou and once cured thirteen people with moxibustion within thirty days; the total number of cured patients exceeded two hundred. Regarding the use of fox bone or otter flesh, I had only heard of them in the past for treating evil qi or fixed masses. If the illness is severe and widespread, the number of cured patients cannot be fully recorded. Here, I briefly outline the general principles, fearing that errors in transmission might mislead future generations. Therefore, I have detailed the diagrams and acupoint locations so that readers may easily understand and disseminate these methods locally. One need not urgently seek famous doctors or search for superior prescriptions elsewhere. Restoring souls and reviving spirits—what difficulty is there? Those encountering this disease should certainly pay attention!
Preface by Cui Zhiti, Vice Director of the Secretariat of the Tang Dynasty.
Acupoint Location Method:
First, determine two acupoints. Have the patient stand upright. Take a thin string, hold it firmly without stretching or shrinking, place it flat against the sole of the foot, pressing tightly. For males, use the left foot; for females, the right foot. Align the front end of the string with the tip of the big toe, and the rear end with the center of the heel. Extend the string backward along the calf muscle until the popliteal crease, then cut it at this point and mark it. Note: The ink mark is not the moxibustion site.
Take another string. Have the patient close their mouth, place the string across the corners of the lips, lift the center of the string to the root of the nose bridge. Cut the string when it aligns with the lip corners. Straighten this string. On the previously marked spot on the spine, measure horizontally to ensure levelness. Mark the center of the string with ink using the middle finger. Unfold the string horizontally, placing the central ink mark exactly over the spinal ink mark, ensuring both ends are level. Mark the two ends of the string with white circles; these white circles indicate the moxibustion sites.
This completes the first set, locating two acupoints.
Next, locate two more acupoints. Have the patient sit upright with arms slightly retracted. Take a string, wrap it around the neck forward, letting both ends hang down level with the Jiawei acupoint (Jiawei is located at the xiphoid process. If the xiphoid process is indistinct, measure one cun below the junction of the two costal cartilages at the chest). Cut both strands. Flip the string to the back, aligning the midpoint with the heart position, directly opposite the Adam's apple. Let the two ends hang down along the neck, parallel to the spine, and mark the spine with ink. Note: The ink mark is not the moxibustion site.
Take another string, have the patient close their mouth and measure horizontally across the lip corners, then cut. Place this string horizontally on the spine relative to the previous ink mark, following the same method. Mark the two ends of the string with white circles. These white circles are the moxibustion sites.
This completes the second set. In total, four acupoints are treated simultaneously, each receiving seven moxa cones. Continue moxibustion until reaching one hundred or one hundred fifty cones, which is ideal. When the sores are about to heal, treat two additional acupoints according to the following method.
For the next two acupoints, use the string that measured the lip corners. At the endpoints of the double-string marks from the second step, mark two points with white circles at the ends of the upper and lower strings. These white circles are the moxibustion sites.
This completes the third set, totaling two acupoints. These are called the Sihua Acupoints. Moxibustion is applied to these two points, one hundred cones each. In total, six Sihua points are treated across three sessions.
Select Li days (days corresponding to the Li trigram in the sexagenary cycle) for treatment after measurement. Apply fire immediately. Moxa collected on the third day of the third lunar month is best. After recovery, strictly control diet and sexual activity for one hundred days, and rest in a quiet environment. If symptoms persist after one month, repeat moxibustion on the initial acupoints.
Diagrams and cone counts are provided subsequently.
Symptoms arising after Bone Steaming can be identified in twenty-two types, all treated with the above moxibustion method.
1. Bladder Steaming: Red and yellow urine.
2. Sexual Desire Steaming: Nocturnal emission and spermatorrhea in men and women; irregular menstruation in women.
3. Brain Steaming: Dizziness, heat, and stuffiness in the head.
4. Marrow Steaming: Sensation of boiling heat.
5. Bone Steaming: Blackening of teeth.
6. Tendon Steaming: Brittle and scorched nails.
7. Blood Steaming: Scorched and brittle hair.
8. Pulse Steaming: Irregular pulse rhythm.
9. Liver Steaming: Occasional blurred vision.
10. Heart Steaming: Scorched tongue or ulcers, occasional chest fullness.
11. Spleen Steaming: Scorched lips or oral ulcers.
12. Lung Steaming: Dry mouth with ulcers.
13. Kidney Steaming: Dry and scorched ears.
14. Bladder Steaming: Heat in the right ear.
16. Stomach Steaming: Pain under the tongue.
17. Small Intestine Steaming: Incontinence of diarrhea.
18. Large Intestine Steaming: Pain in the right nostril.
19. Sanjiao Steaming: Alternating chills and fever.
20. Flesh Steaming: Others feel heat, but the patient feels cold.
21. Skin Steaming: Skin develops gooseflesh-like bumps.
22. Qi Steaming: Generalized high fever and inability to rest peacefully.