者灸之。（太阳乃肾脏之寒府。故视太阳经之背俞陷者灸之。）举臂。肩上陷者灸之。（此手阳明经之肩 穴也。在肩端两
骨间。举臂有空。）两季胁之间灸之。（谓足少阳经之京门穴也。在腰中季胁间。乃肾之募。莫仲超曰。近时有灸肩井。
及经外穴之肘尖者。亦皆取少阳之经。）外踝上绝骨之端灸之。（系足少阳经之阳辅穴也。）足小指次指间灸之。（系足少
阳经之侠溪穴。） 下陷脉灸之。系足太阳经之承筋穴。外踝后灸之。（系足太阳经之昆仑穴。）缺盆骨上。切之坚痛如
筋者灸之。（按灵枢经脉篇。手太阳手足少阳阳明五脉。皆入于缺盆两骨之间。故不必论其何经。切之坚痛如筋者即灸之。
是鼠 之毒。出于颈项三阳之脉。其毒留之处。则累累如连珠。而所病之经脉。亦坚硬如筋也。）膺中陷骨间灸之。（系
任脉之天突穴。乃阴维之会。而任脉亦起于少阴胞中。）掌束骨下灸之。（系手少阳经之阳池穴。）齐下关元三寸灸之。（关
元穴属任脉。在脐下三寸。乃手太阳小肠之募。三阴任脉之会。）毛际动脉灸之。（系足阳明经之气冲穴。）膝下三寸分间
灸之。（系足阳明经之三里穴。）足阳明跗上动脉灸之。（系足阳明经之冲阳穴。）巅上一灸之。（系督脉之百会穴。以上共
计二十九处。后犬所啮之处。谓三阳之皮部。故曰灸之二壮。此在三阳之气分。而不涉于经脉。故不在于数内。王芳侯
曰。此经脉之邪。亦可从气分而出。）犬所啮之处灸之三壮。即以犬伤病法灸之。（啮音业此论鼠 之病。本于水脏之阴。
而交于戌火之阳。故为寒为热也。曰鼠曰犬者。谓子之天乙水邪。戌之包络火邪。相合而为患也。犬所啮之处。腿之鱼
腹间也。鱼腹之外侧。乃少阳之部署。少阳之上。相火主之。少阳之气。上与包络相合而为火也。故当于犬所啮之处灸
之。即以犬伤病法灸之者。盖犬伤者亦发寒热。谓鼠 之寒热。有如虫兽所伤之不内外因。非外感之寒热而欲治其表也。
即如开阖不得。寒气从之。陷脉为 。留连肉腠。此属外感风寒之 。而与其本在脏者之因不同也。再按灵枢经曰。目
中有赤脉上下贯瞳子。见一脉。一岁死。夫瞳子。水藏之精也。脉者。心包络之所主也。火为阳。水为阴。脉从上而下
贯瞳子。是为阴阳交者死不治。是鼠 之毒。为害最厉。故当先于大椎、橛骨、肩骨、胸膺二十九处。灸三阳之经脉。
以起肾脏之毒。复于犬所啮之处。以绝心包络之交焉。倪冲之曰。有一种肿痛溃烂者。乃外感风寒之 。此为易治。
如在颈腋之间。累累如连珠。不痛不肿者。其本在脏。后至破溃。而见赤脉者。死证也。）凡当灸二十九处。伤食灸之。
（此言鼠 之过于膺喉者。再以伤食之法灸之。夫鼠 之上出于颈项之间。乃太阳少阳之部署。如过于膺喉。则及于阳
明。而为马刀侠瘿矣。故又当以伤食之法。而灸其膺胸焉。张兆璜曰。太阳少阳之气。发原于下焦水脏。而阳明之气
出于中焦。故凡当二十九处。再以伤食之法。灸其胃脘。以清阳明之原。）不已者。必视其经之过于阳者。数刺其俞而药
之。（数音朔。夫鼠 之本。在于水之阴脏。而其病上出于颈腋三阳之间。今灸背俞。 中之太阳。肩背两胁之少阳。膝
下跗上之阳明。而又如犬所啮之病。及伤食之法。灸之不已者。此阴毒之气盛也。故当视其经之过于阳者之处。数刺其
俞而泄之。使阴脏之毒。与阳相绝。而再饮以解毒之药治其阴。此治鼠 寒热之全法也。高士宗曰。骨者。肾所主也。
此篇论骨空。故首论刺太阳。而曰还刺寒府。谓太阳乃肾脏寒水之府也。次论冲任督脉者。三脉皆发原于肾也。次论通
体之骨空髓空者。肾生骨髓。而髓乃肾之精也。论刺灸鼠 寒热者。鼠 之毒。本于肾脏也。）
（若有凹陷处）就施灸。（太阳经是肾脏寒气聚集的地方。所以观察太阳经背部俞穴中有凹陷的地方进行艾灸。）举起手臂，在肩部凹陷处施灸。（这是手阳明大肠经的肩髃穴。位于肩端两块骨头之间，举起手臂时会出现空隙。）在两胁侧部之间施灸。（指的是足少阳胆经的京门穴。位于腰部季胁之间，是肾的募穴。莫仲超说：近来有人灸肩井穴及经外穴肘尖，也都是取用少阳经的气机。）在外踝上绝骨末端施灸。（属于足少阳胆经的阳辅穴。）在小趾和第二趾之间施灸。（属于足少阳胆经的侠溪穴。）在下陷的脉管处施灸。（属于足太阳膀胱经的承筋穴。）在外踝后方施灸。（属于足太阳膀胱经的昆仑穴。）在缺盆骨上方，触摸到坚硬疼痛像筋一样的地方施灸。（按《灵枢·经脉篇》记载，手太阳、手足少阳、手足阳明五条经脉，都进入缺盆两骨之间，所以不必区分是哪条经脉，触摸到坚硬疼痛像筋一样的地方就施灸。这是鼠瘰的毒气，出于颈项三阳经脉，其毒气停留之处，则累累如连珠状，而所患病的经脉，也坚硬如筋一样。）在胸膺中凹陷骨间施灸。（属于任脉的天突穴，是阴维脉的交会穴，且任脉起于少阴胞宫。）在手掌束骨下方施灸。（属于手少阳三焦经的阳池穴。）在脐下关元三寸处施灸。（关元穴属任脉，在脐下三寸，是手太阳小肠的募穴，也是三阴经与任脉的交会穴。）在毛际动脉处施灸。（属于足阳明胃经的气冲穴。）在膝下三寸分肉间施灸。（属于足阳明胃经的足三里穴。）在足阳明经足背动脉处施灸。（属于足阳明胃经的冲阳穴。）在头顶百会处施灸。（属于督脉的百会穴。以上共计二十九处。被狗咬伤的地方，说是三阳经的皮部，所以说灸二壮。这在于三阳经的气分，而不涉及经脉，所以不在上述九处之内。王芳侯说：此处的经脉邪气，也可以从气分排出。）在被狗咬伤的地方施灸三壮，同时按照治疗犬伤的方法施灸。（“啮”音业。这段论述鼠瘰的病，本源于水脏之阴，而与戌火之阳相交，所以表现为寒热症状。称鼠瘰和犬伤者，是指子时的天乙水邪与戌时的包络火邪，相互结合而为害。被狗咬伤的地方，是大腿鱼腹部位。鱼腹的外侧，是少阳经的部署，少阳之上，由相火主事。少阳之气，上与心包络相合而为火。所以应当在被狗咬伤的地方施灸，并且按照治疗犬伤的方法来施灸。大概犬伤也会引发寒热，说明鼠瘰的寒热，如同虫兽所伤的“不内外因”，并非外感寒热而想要治疗表证。就像开阖功能失常，寒气随之侵入，陷入脉中形成瘰疬，留连于肌肉腠理，这属于外感风寒形成的瘰疬，与其根本在脏器的病因不同。再按《灵枢经》说：眼睛中有赤色的脉络上下贯穿瞳孔，见一条脉络，一年死。瞳孔是水脏的精气所在，脉络是心包络所主管的。火为阳，水为阴。脉络从上向下贯穿瞳孔，这是阴阳交争，属于死证不可治。因此鼠瘰的毒气，危害最为猛烈，所以应当先在大椎、橛骨、肩骨、胸膺等二十九处，灸三阳经脉，以引出肾脏的毒气；再在被狗咬伤的地方施灸，以断绝心包络的交争。倪冲之说：有一种肿痛溃烂的，是外感风寒引起的瘰疬，这种容易治疗。如果在颈腋之间，累累如连珠状，不痛不肿的，其根本在脏器，后来破溃并出现赤色脉络的，是死证。）凡是应当施灸的二十九处，如果是饮食损伤引起的，就按照伤食的方法施灸。（这里说鼠瘰如果过于胸膺咽喉部位，再用伤食的方法施灸。夫鼠瘰向上出于颈项之间，是太阳、少阳经的部署，如果过于胸膺咽喉，则波及阳明经，而形成马刀侠瘿。所以又应当用伤食的方法，灸其胸膺部位。张兆璜说：太阳、少阳之气，发源于下焦水脏，而阳明之气出于中焦，所以凡是应当施灸的二十九处，再用伤食的方法，灸其胃脘，以清阳明经的原气。）如果无效，必须观察经脉中阳气过盛的地方，多次针刺其俞穴并用药治疗。（“数”音朔。夫鼠瘰的根本，在于水之阴脏，而其病向上出于颈腋三阳经之间。现在灸背部俞穴中的太阳经，肩背两胁的少阳经，膝下足背上的阳明经，而又像犬伤那样的病症，以及用伤食的方法施灸，如果仍然无效，这是阴毒之气旺盛的缘故。所以应当观察经脉中阳气过盛的地方，多次针刺其俞穴以泄除邪气，使阴脏的毒气与阳气隔绝，然后再饮用解毒的药物来治疗阴脏。这是治疗鼠瘰寒热的完整方法。高士宗说：骨，是由肾所主管的。这篇论骨空，所以首先论述刺太阳经，而说还要刺寒府，意思是太阳经是肾脏寒水之府。其次论述冲脉、任脉、督脉，这三条经脉都发源于肾。其次论述通体的骨空髓空，肾生骨髓，而髓是肾的精气。论述刺灸治疗鼠瘰寒热，是因为鼠瘰的毒气，本源于肾脏。）
Moxibustion is applied to any depressed areas. (The Taiyang channel is the cold reservoir of the Kidney. Therefore, observe the back-Shu points of the Taiyang channel; where there are depressions, apply moxibustion.) Raise the arm and apply moxibustion to the depression on the shoulder. (This is the Jianyu [LI15] point of the Hand-Yangming Large Intestine channel. It is located between the two bones at the end of the shoulder, creating a hollow space when the arm is raised.) Apply moxibustion between the hypochondriac regions. (This refers to the Jingmen [GB25] point of the Foot-Shaoyang Gallbladder channel. It is located in the lumbar region between the floating ribs and is the Front-Mu point of the Kidney. Mo Zhongchao stated: In recent times, some practitioners apply moxibustion to the Jianjing [GB21] point and the Jingwai Xue Zhi Jianshao [EX-UE9] point, which also draw upon the Qi mechanism of the Shaoyang channel.) Apply moxibustion at the end of the Jiegu bone above the lateral malleolus. (This is the Yangfu [GB38] point of the Foot-Shaoyang Gallbladder channel.) Apply moxibustion between the little toe and the second toe. (This is the Xiaxi [GB43] point of the Foot-Shaoyang Gallbladder channel.) Apply moxibustion to the depressed vessels. (This is the Chengjin [BL56] point of the Foot-Taiyang Bladder channel.) Apply moxibustion behind the lateral malleolus. (This is the Kunlun [BL60] point of the Foot-Taiyang Bladder channel.) On the supraclavicular fossa, if palpation reveals hardness and pain resembling a tendon, apply moxibustion. (According to the *Ling Shu · Jing Mai* chapter, the Hand-Taiyang, Hand-Shaoyang, Foot-Shaoyang, Hand-Yangming, and Foot-Yangming channels all enter the space between the two bones of the supraclavicular fossa. Therefore, it is unnecessary to distinguish which specific channel is affected; simply apply moxustion where palpation reveals hardness and pain resembling a tendon. This indicates that the toxin of Scrofula originates from the three Yang channels of the neck and nape. Where the toxin accumulates, it presents as bead-like clusters, and the affected meridians become hard like tendons.) Apply moxibustion to the depression between the bones in the chest. (This is the Tiantu [CV22] point of the Ren Mai (Conception Vessel), which is the meeting point of the Yin Wei Mai (Linking Vessel). The Ren Mai also originates from the Baozhong [uterus/sea of blood].) Apply moxibustion below the bundled bones of the palm. (This is the Yangchi [TE4] point of the Hand-Shaoyang Sanjiao channel.) Apply moxibustion three cun below the umbilicus at the Guanyuan point. (The Guanyuan [CV4] point belongs to the Ren Mai, located three cun below the umbilicus. It is the Front-Mu point of the Hand-Taiyang Small Intestine and the meeting point of the Three Yin channels and the Ren Mai.) Apply moxibustion to the arterial pulse at the pubic hairline. (This is the Qichong [ST30] point of the Foot-Yangming Stomach channel.) Apply moxibustion three cun below the knee in the intermuscular space. (This is the Zusanli [ST36] point of the Foot-Yangming Stomach channel.) Apply moxibustion to the arterial pulse on the dorsum of the foot of the Foot-Yangming channel. (This is the Chongyang [ST42] point of the Foot-Yangming Stomach channel.) Apply moxibustion to the vertex. (This is the Baihui [GV20] point of the Du Mai (Governor Vessel). There are twenty-nine locations in total mentioned above. The site bitten by a dog is considered part of the skin regions of the three Yang channels, hence "apply two moxa cones." This pertains to the Qi level of the three Yang channels and does not involve the meridians directly, so it is not included in the count of twenty-nine. Wang Fanghou stated: The pathogenic factors in these meridians can also exit through the Qi level.) Apply three moxa cones to the site bitten by the dog, and simultaneously treat it according to the method for canine injuries. ("Nye" [bite] is pronounced 'ye'. This discussion posits that the pathology of Scrofula originates from the Yin of the Water Organ [Kidney] and interacts with the Yang of the Xu Fire [Pericardium/Sanjiu fire association], thus manifesting as alternating chills and fever. The terms "Scrofula" and "Dog Bite" refer to the Tianyi Water pathogen of Zi [Rat hour/sub] combining with the Pericardium Fire pathogen of Xu [Dog hour/xu] to cause disease. The site bitten by the dog corresponds to the fish-belly area of the thigh. The lateral side of the fish-belly is the domain of the Shaoyang channel, governed by Ministerial Fire. The Qi of Shaoyang combines upward with the Pericardium to form Fire. Therefore, moxibustion should be applied to the bite site using the canine injury treatment method. Canine injuries also induce chills and fever, suggesting that the chills and fever of Scrofula are akin to the "neither external nor internal" causes caused by insect or beast bites, rather than exterior patterns of exogenous chills and fever requiring surface resolution. For instance, when opening and closing mechanisms fail, Cold Qi enters, sinking into the vessels to form nodules lingering in the muscle layers. This belongs to exogenous Wind-Cold forming nodules, which differs from the root cause residing in the Zang organs. Furthermore, the *Ling Shu* states: "If red vessels in the eye penetrate the pupil vertically, seeing one vessel predicts death within one year." The pupil is the essence of the Water Organ [Kidney], while vessels are governed by the Pericardium. Fire is Yang, Water is Yin. A vessel penetrating the pupil from top to bottom represents an intersection of Yin and Yang, indicating a fatal, incurable condition. Thus, the toxin of Scrofula is extremely severe. One must first apply moxibustion to twenty-nine locations including Dazhui, Jiegu, shoulder bones, and chest areas to vent the toxin from the Kidneys via the three Yang meridians, and then apply moxibustion to the dog bite site to sever the interaction with the Pericardium. Ni Chongzhi stated: There is a type characterized by swelling, pain, and ulceration caused by exogenous Wind-Cold, which is easy to treat. However, if there are bead-like clusters in the neck or axilla that are neither painful nor swollen, the root lies in the Zang organs. If these later ulcerate and show red vessels, it is a sign of death.] For all twenty-nine locations indicated for moxibustion, if the condition arises from dietary injury, apply moxibustion according to the method for dietary stagnation. (This implies that if Scrofula extends beyond the chest and throat, one should use the dietary injury method. Scrofula ascending to the neck and nape involves the Taiyang and Shaoyang deployments; if it extends further to the chest and throat, it affects the Yangming channel, potentially forming "Horse Knife" or "Cross Goiter" conditions. Therefore, one should apply moxibustion to the chest and epigastrium using the dietary injury method. Zhang Zhuohuang stated: The Qi of Taiyang and Shaoyang originates from the Lower Jiao Water Organ, while the Qi of Yangming emerges from the Middle Jiao. Thus, for the twenty-nine locations, applying moxibustion to the stomach region via the dietary injury method clears the source of the Yangming channel.) If ineffective, one must observe where the meridians exhibit excess Yang, frequently needle the Shu points, and administer medication. ("Shuo" [frequently] is pronounced 'shuo'. The root of Scrofula lies in the Yin Zang of Water, but the pathology manifests upward in the neck, axilla, and three Yang channels. Having moxibusted the Back-Shu points of the Taiyang, the Shaoyang of the shoulders/back/hypochondrium, and the Yangming below the knee and on the dorsum of the foot, along with treating dog-bite-like symptoms and using dietary methods, if still ineffective, this indicates excessive Yin-Toxin. Therefore, one must identify where the meridians show excess Yang, frequently needle the Shu points to drain the pathogen, isolating the Yin-Zang toxin from Yang, and then administer detoxifying herbs to treat the Yin aspect. This constitutes the complete method for treating the chills and fever of Scrofula. Gao Shizong stated: Bones are governed by the Kidney. This chapter discusses Bone Holes, beginning with needling the Taiyang channel and stating to also needle the Cold Reservoir, meaning the Taiyang channel is the reservoir of Kidney Cold-Water. Next, it discusses the Chong, Ren, and Du meridians, all originating from the Kidney. Then it discusses the bone and marrow holes throughout the body; the Kidney generates Marrow, which is the essence of the Kidney. The discussion on needling and moxibustion for Scrofula chills and fever exists because the toxin of Scrofula fundamentally originates from the Kidney.)