世有勤工力学之士。一心注意于事。久坐行立于湿地。不时动转。冷风来击。入于经络
。不
觉成病。故风毒中人。或先中手足十指。因汗毛孔开。腠理疏通。风如击箭。或先中足心。
或先中足趺。或先中膝以下 胫表里者。若欲使人不成病者。初觉即灸所觉处三二十壮。因
此即愈。不复发。（千）凡香港脚初得脚弱。便速灸之。并服竹沥汤。灸讫可服八风散。无
不瘥者。惟急速治之。若人但灸而不能服散。服散而不灸者。半瘥半死。虽得瘥者。或至一
二年后更发动。觉得便根据此法速灸之。及服散者。治十十愈。此病轻者、登时虽不即恶。治
之
不当。根源不除。久久杀人。不可不以为意。初灸风市、次灸伏兔、次犊鼻、次膝两眼、（
一法忌灸。）次三里、次上廉、次下廉、次绝骨。凡灸八处。一、风市百壮。多亦任人。轻
者不可减百壮。重乃至一处五六百壮。勿令顿灸。三报之佳。二、伏兔百壮。亦可五十壮。
三、犊鼻五十壮。有至百壮。四、膝眼。五、三里百壮。六、上廉百壮。七、下廉百壮。八
、绝骨。凡此诸穴。不必一顿灸尽壮数。可日日报灸之。三日之中。灸令尽壮数。为佳。
凡病一脚、则灸一脚。病两脚、则灸两脚。凡脚弱病、皆灸两脚。一方云、如觉脚恶。便灸
三里及绝骨各一处。两脚恶者。合四处灸之。多少随病轻重。大要、虽轻不可减百壮。不差
、速以次灸之。多多益佳。一说灸绝骨最要。人有患此脚弱不即治。及入腹、腹肿大上气。
于
是乃须大法灸。随诸俞及诸管关节腹背尽灸之。并服八风散。往往得瘥。觉病入腹。若病患
不堪痛。不能尽作大灸。但灸胸中心腹诸穴。及两脚诸穴。亦有得好瘥者。亦根据支法存旧法
。梁丘、犊鼻、三里、上廉、下廉、解溪、太冲、阳陵泉、绝骨、昆仑、阴陵泉、三阴交、
足太阴、复溜、然谷、涌泉、承山、束骨等凡十八穴。旧法多灸百会、风府。五脏六腑俞
募。顷来灸者。悉觉引气向上。所以不取其法。气不上者可用之。其要病已成恐不救者。悉须
灸之。其足十指去指奇一分。两足凡八穴。曹氏名曰八冲。极下气有效。其足十指端。名曰
气端。日灸三壮。并大神要。其八冲可日灸七壮。气下即止。凡灸八冲。艾柱小作。病者非
深相委悉。勿为灸。上廉、疗偏风 腿。脚不随重不得履地。香港脚刺风 风脚冷。（明）
肩井、治香港脚上攻。（铜）
千金云、香港脚一病最宜针。若针而不灸。灸而不针。非良医也。针灸而药。药不针灸。
亦非良医也。此论其当。
若始觉香港脚。速灸风市、三里、各一二百壮。以泻风湿毒瓦斯。若觉闷热者、不得灸。以
本有热。灸之则大助风生。食物大忌酒面海鲜。及忌房劳。不尔、服药无益。（指）
有同舍为予言。史载之谓香港脚有风湿二种。宜泻不宜补。只宜以沉香汤泻。（见既效方）
而不
。盖有所见也。凡灸香港脚。三里绝骨为要穴。而以爱护为第一。予旧有此疾。不履湿则数
岁不作。若履湿、则频作。自后常忌履湿。凡有水湿。不敢着鞋践之。或立润地。亦不敢
久。须频移足而后无患。此亦爱护之第二义也。有达官久患香港脚。多服八味丸愈。亦以香港脚
冲心。惟此药能治之。
世间有勤勉工作、致力学问的人。一心专注于事务，长时间坐立或行走在潮湿之地，不能经常活动身体。冷风侵袭，进入经络，不知不觉间便成了病。所以风毒中人，有时先侵犯手足十指，因为此时汗毛孔张开，腠理疏松，风邪如箭矢般射入；有时先侵犯足心；有时先侵犯足背；有时先侵犯膝盖以下小腿的表里部位。如果想要使人不发病，在刚感觉到不适时就灸治感觉到的部位三二十壮，因此就能痊愈，不再复发。（出自《千金方》）
大凡香港脚（脚气病）初起出现脚弱无力时，应立即速灸，并服用竹沥汤。灸完后可以服用八风散，没有不治愈的。只有迅速治疗才行。如果只灸而不服药散，或者服药散而不灸，病情就会半好半坏，甚至危及生命。即使治愈了，过一两年后可能再次发作。一旦感觉发作，就根据此法速灸，并服药散，这样治疗十个能治好十个。这种病虽然轻微，当时虽不立即显现严重恶象，但如果治疗不当，根源未除，久而久之会致人死亡，不可不重视。初次艾灸依次选取：风市穴、伏兔穴、犊鼻穴、膝眼穴（有一种方法忌讳灸此穴）、足三里穴、上廉穴、下廉穴、绝骨穴。凡是灸这八个穴位。一、风市穴灸一百壮，多灸也可以听任病人情况而定。轻症不可少于百壮，重症甚至在一个穴位灸五六百壮。不要一次性灸完，分三次灸较好。二、伏兔穴灸一百壮，也可以灸五十壮。三、犊鼻穴灸五十壮，有的灸到一百壮。四、膝眼穴。五、足三里穴灸一百壮。六、上廉穴灸一百壮。七、下廉穴灸一百壮。八、绝骨穴。凡是这些穴位，不必一次就把规定的壮数灸完，可以每天分批灸。三天之内，把规定的壮数灸完，是最好的。
凡是病在一脚，就灸一脚；病在两脚，就灸两脚。凡是脚弱病，都灸两脚。有一方说，如果觉得脚部不适，就灸足三里和绝骨各一处。两脚都不适的，合起来灸四处。多少根据病情轻重而定。大原则是，即使是轻症也不可少于百壮。如果不愈，依次再灸其他穴位，灸得越多越好。另一种说法认为灸绝骨穴最重要。有人患此脚弱病不及时治疗，等到病邪入腹，导致腹部肿大、气逆上冲，这时才需要用大法灸治。随诸俞穴及诸管关节、腹部背部全部灸之，并服用八风散，往往能够治愈。觉得病邪入腹，如果病人不堪疼痛，不能完成大灸，只灸胸中心腹诸穴及两脚诸穴，也有得到很好疗效的。这也依据支法存的旧法。梁丘、犊鼻、足三里、上廉、下廉、解溪、太冲、阳陵泉、绝骨、昆仑、阴陵泉、三阴交、足太阴（此处疑为笔误或特指某穴，通常指三阴交或相关经穴，依原文保留）、复溜、然谷、涌泉、承山、束骨等共十八个穴位。旧法多灸百会穴、风府穴，五脏六腑的俞穴和募穴。近来灸这些穴位，都觉得引气向上，所以不采用这种方法。气不上冲者可以使用。其要病已成恐怕无法挽救的，都必须灸治。其足十趾距离趾尖奇一分处，两足共八个穴位，曹氏称为“八冲”，极善于降气有效。其足十趾端，名为“气端”，每日灸三壮，也是大神要的疗法。其“八冲”可每日灸七壮，气降下来就停止。凡是灸“八冲”，艾柱要做得小些。病人如果不是非常深入了解，不要随意施灸。上廉穴，治疗偏风腿痛，脚重不能着地，香港脚刺风，风脚冷。（出自《明堂针灸图》）肩井穴，治疗香港脚上攻。（出自《铜人腧穴针灸图经》）
《千金方》说，香港脚这一病最适合针刺。如果只针不灸，只灸不针，都不是良医。既针灸又用药，药不配合针灸，也不是良医。这个论述很恰当。
如果刚开始感觉香港脚，速灸风市穴、足三里穴，各一二百壮，以泻除风湿毒气。如果感觉闷热，不得灸，因为本来就有热，灸则会大助风生。食物大忌酒、面食、海鲜，以及忌房事劳累，否则，服药也无益。（出自《指迷方》）
有同舍的人告诉我，史载之说香港脚有风湿两种，宜泻不宜补，只宜用沉香汤泻。（见《济生方》）而没有（采纳？）。大概是有见识吧。凡是灸香港脚，足三里、绝骨是主要穴位，而以爱护身体为第一。我过去有此疾，不踩湿的地方则几年不发作。如果踩湿的地方，则频繁发作。从此常忌讳踩湿。凡是有水湿，不敢穿鞋践踏它。或者站在湿润的地面上，也不敢久站，必须频繁移动脚步然后才无祸患。这也是爱护身体的第二义。有一位达官贵人长期患香港脚，多次服用八味丸而痊愈，也是因为香港脚冲心，只有此药能治疗它。
There are scholars in the world who work diligently and study hard. They focus their minds on affairs, sitting or standing for long periods in damp places, and do not move frequently. Cold wind strikes and enters the meridians, and without realizing it, disease forms. Thus, wind-toxin attacks the human body; sometimes it first attacks the ten fingers of the hands and feet. Because at this time the sweat pores are open and the couli (interstices) are loose, the wind attacks like an arrow. Sometimes it first attacks the sole of the foot; sometimes it first attacks the dorsum of the foot; sometimes it first attacks the exterior and interior of the lower legs below the knees. If one wishes to prevent disease from forming, as soon as discomfort is felt, moxibustion should be applied to the affected area for 30-20 Zhu (units of moxa cone size/burns). Consequently, the person will recover and not relapse. (From *Qianjin Fang*)
Generally, when Hong Kong Jiao (Foot Qi Disease/Jiaji) initially presents with weakness in the feet, moxibustion should be performed immediately, and Zhuli Tang (Bamboo Sap Decoction) should be taken. After moxibustion, Bafeng San (Eight Winds Powder) can be taken; there is no case that does not heal. Rapid treatment is essential. If one only performs moxibustion but does not take the powder, or takes the powder but does not perform moxibustion, the condition will be half-healed and half-dead (severe). Even if healed, it may relapse after one or two years. Once a relapse is felt, follow this method for rapid moxibustion and take the powder; treating ten cases results in ten cures. Although this disease is mild and may not show immediate severe symptoms, if treated improperly and the root cause is not eliminated, it will eventually kill over time. It must not be ignored. Initial moxibustion points are selected in order: Fengshi (GB31), Futu (ST32), Dubi (ST35), Xiyan (EX-LE5), Zusanli (ST36), Shanglian (ST37), Xialian (ST38), and Jiexu (GB39). Moxibustion is applied to these eight points. 1. Fengshi (GB31): 100 Zhu. More is permissible depending on the patient's tolerance. For mild cases, do not reduce below 100 Zhu; for severe cases, up to 500-600 Zhu on one point. Do not apply all at once; applying in three sessions is better. 2. Futu (ST32): 100 Zhu, or 50 Zhu. 3. Dubi (ST35): 50 Zhu, up to 100 Zhu. 4. Xiyan (EX-LE5). 5. Zusanli (ST36): 100 Zhu. 6. Shanglian (ST37): 100 Zhu. 7. Xialian (ST38): 100 Zhu. 8. Jiexu (GB39). For these points, it is not necessary to complete the total number of Zhu in one session; they can be applied daily in batches. Completing the total Zhu count within three days is optimal.
If the disease is in one foot, moxibustion is applied to one foot; if in both feet, to both feet. For Foot Weakness disease, both feet are always moxibusted. One prescription states: if foot discomfort is felt, moxibustion is applied to one location each on Zusanli (ST36) and Jiexu (GB39). If both feet are uncomfortable, four locations are moxibusted in total. The quantity depends on the severity of the disease. The general principle is that even for mild cases, the dose should not be less than 100 Zhu. If ineffective, proceed to moxibust other points in sequence; more is better. Another opinion holds that moxibustion on Jiexu (GB39) is most important. Some patients suffer from Foot Weakness and do not treat it promptly until the pathogen enters the abdomen, causing abdominal swelling and rebellious Qi. At this stage, major moxibustion therapy is required, covering various Shu points, joints, and the abdomen and back, combined with Bafeng San (Eight Winds Powder), often resulting in recovery. If the pathogen has entered the abdomen and the patient cannot tolerate pain for major moxibustion, moxibustion can be limited to points on the chest, heart, abdomen, and feet, which also yields good results. This follows the old method of Zhi Facun. Points include Liangqiu (ST34), Dubi (ST35), Zusanli (ST36), Shanglian (ST37), Xialian (ST38), Jiexi (ST41), Taichong (LR3), Yanglingquan (GB34), Jiexu (GB39), Kunlun (BL60), Yinlingquan (SP9), Sanyinjiao (SP6), Feixi (KI7 - *Note: Text says "Zu Taiyin" likely referring to Sanyinjiao or similar, but lists specific names later*), Fuliu (KI7), Ran Gu (KI2), Yongquan (KI1), Chengshan (BL57), Shugu (BL65), etc., totaling eighteen points. Old methods often moxibusted Baihui (GV20) and Fengfu (GV16), and the Shu and Mu points of the Zang-Fu organs. Recently, practitioners found that moxibusting these points draws Qi upward, so this method is not adopted. It can be used if Qi does not rise. For critical cases where the disease is established and rescue seems unlikely, all these points must be moxibusted. On the ten toes, one fen away from the tip, there are eight points on both feet, named "Ba Chong" by Cao Shi, which are extremely effective in descending Qi. The tips of the ten toes are named "Qi Duan", moxibusted with 3 Zhu daily, also a key method. Ba Chong can be moxibusted with 7 Zhu daily, stopping when Qi descends. When moxibusting Ba Chong, the moxa cones should be small. Patients who do not deeply understand this should not undergo this moxibustion. Shanglian (ST37) treats Bi syndrome (Pian Feng) of the leg, heaviness preventing walking, Hong Kong Jiao piercing wind, and cold wind feet. (From *Ming Tang Zhen Jiu Tu*) Jianjing (GB21) treats Hong Kong Jiao attacking upwards. (From *Tong Ren Shu Xue Zhen Jiu Tu Jing*)
*Qian Jin Fang* states that Hong Kong Jiao is best treated with acupuncture. If one uses acupuncture but not moxibustion, or moxibustion but not acupuncture, they are not a good physician. Using both acupuncture/moxibustion and medicine, but medicine without acupuncture/moxibustion, is also not a good physician. This argument is appropriate.
If Hong Kong Jiao is just beginning, rapidly moxibust Fengshi (GB31) and Zusanli (ST36), 100-200 Zhu each, to drain Wind-Damp-Toxin. If feeling hot and stifling, do not moxibust, as heat already exists; moxibustion would greatly assist the generation of wind. Diet strictly forbids alcohol, wheat products, seafood, and sexual exertion. Otherwise, taking medicine is useless. (From *Zhi Mi Fang*)
A roommate told me that Shi Zaizhi said Hong Kong Jiao has Wind-Damp and Damp-Wind types, suitable for draining rather than tonifying, and should only be treated with Chenxiang Tang (Agarwood Decoction) for draining. (See *Ji Xiao Fang*). This implies a certain insight. Generally, for moxibusting Hong Kong Jiao, Zusanli (ST36) and Jiexu (GB39) are key points, with self-care being paramount. I previously suffered from this disease; if I avoided dampness, it did not recur for several years. If I stepped in dampness, it recurred frequently. Since then, I have always avoided dampness. I dare not step in water or wet ground with shoes, nor stand on wet ground for long, moving my feet frequently to avoid trouble. This is the second aspect of self-care. A high official suffered from Hong Kong Jiao for a long time and recovered after taking Babai Wan (Eight-Tonics Pill) multiple times, because Hong Kong Jiao attacking the heart can only be treated by this medicine.