凡下火点灸,欲令艾炷根下赤辉广三分,若不三分,孔穴不中,不合得经络。缘荣卫经
脉,气血通流,各有所主,灸穴不中,即火气不能远达,而病未能愈矣。
古来用火灸病,忌八般木火,切宜避之。八木者,松木火难瘥增病,柏木火伤神多汗,
竹木
火伤荣卫经络。有火珠耀日,以艾丞之,遂得火出,此火灸病为良,凡人卒难备矣;次有火
照耀日,以引之便得火出,此火亦佳。若遇天色阴暗,遂难得火,今即不如无木火也,灸人
不犯诸忌,兼去久 ,清油点灯,灯上烧艾茎点灸是也;兼滋润灸后至疮愈已安。且无疼痛
;用蜡烛更佳。诸蕃部落,知此八木火之忌,用镔铁击KT 石得火出,以艾引之,遂乃着灸。
凡点灸时,若值阴雾大起,风雪忽降,猛雨炎暑,雷电虹霓,临时且停,候待晴明,即
再下火灸。灸时不得伤饱大饥,饮酒大醉,食生硬物。兼忌思虑愁忧,恚怒呼骂,吁嗟叹息,一
切不祥,忌之大吉。
凡灸头与四肢,皆不令多灸。缘人身有三百六十五络,皆归于头,头者,诸阴之会也。
若灸多,令人头旋目眩,远视不明。缘头与四肢肌肉薄,若并灸,则气血滞绝于炷下,宜歇火气
少时,令气血遂通,再使火气流行,候炷数足,自然除病,宜详察之。
凡灸发际,如是患人有发际整齐,根据明堂所说,易取其穴;如是患人,有因疾患后脱落
尽发际,或性本额项无发,难凭取穴,今定患人两眉中心,直上三寸为发际,后取大椎直上三寸
为发际,以此为准。
凡是进行艾灸操作,要使艾炷根部燃烧后的红晕宽度达到三分(约1厘米),如果达不到这个宽度,说明没有准确取中穴位,不符合经络的规律。因为荣卫经脉中气血通畅流动,各有其主治范围,如果艾灸穴位不准确,火气就不能远达病所,疾病也就无法痊愈了。
自古以来用火灸治病,忌讳八种木材燃烧的火,务必避开。这八种木材是:松木火难以治愈且会加重病情,柏木火会损伤神志导致多汗,竹木火会损伤荣卫经络。如果有火珠在阳光下闪耀,用艾草承接引燃,从而得到火种,这种火用来灸病效果很好,但普通人很难随时备齐;其次是用凸透镜等聚焦日光引火,这样得到的火也不错。如果遇到天气阴暗,很难取到火,现在这种情况下还不如不用明火,而是避免上述禁忌,使用清油点燃灯盏,在灯上烧灼艾茎来进行艾灸,这也是可以的;并且滋润性的灸法直到疮口愈合都平安无事,而且没有疼痛感;使用蜡烛效果更好。各个少数民族部落知道这八种木火的禁忌,用镔铁敲击碙石(燧石)打出火花,用艾草引燃,然后进行艾灸。
凡是施灸的时候,如果遇到大雾弥漫、风雪突然降临、暴雨或酷暑、雷电虹霓等情况,暂时停止施灸,等待天气晴朗明亮时,再进行艾灸。施灸时不得在过饱或极度饥饿的状态下进行,也不能在饮酒大醉后施灸,或者食用生冷坚硬的食物。同时忌讳思虑忧愁、愤怒呼骂、叹息叹气等一切不祥的情绪和行为,遵守这些禁忌大吉大利。
凡是艾灸头部和四肢,都不宜过多施灸。因为人体有三百六十五络脉,都汇聚于头部,头是诸阴经交会的地方。如果灸量过大,会导致头晕目眩,视物不清。因为头部和四肢的肌肉较薄,如果连续大量施灸,会导致穴位下方的气血阻滞甚至断绝,应该让火气稍作休息,使气血重新通畅,再让火气继续流行,等到艾炷数量足够,自然能去除疾病,应当仔细考察这一点。
凡是确定发际线位置,如果患者发际整齐,根据《明堂》所述,容易取得穴位;如果患者因疾病导致发际完全脱落,或者天生额头颈部无发,难以凭借常规方法取穴,现在确定患者的两眉中心直上三寸处为发际,后方以大椎穴直上三寸处为发际,以此作为标准。
Whenever moxibustion is performed, the red glow at the base of the moxa cone should spread to a width of three *fen* (approximately 1 cm). If it does not reach this width, the acupoint has not been accurately located, and it does not conform to the meridians. Since the Ying-Wei (Nutritive and Defensive) meridians allow for the smooth flow of Qi and Blood, each having its specific domain, if the moxibustion point is inaccurate, the fire energy cannot reach distant areas, and the disease will not be cured.
Since ancient times, when using fire for moxibustion, eight types of wood fires have been taboo and must be avoided. These eight woods are: Fire from pine wood is difficult to heal and may aggravate the disease; fire from cypress wood damages the Shen (Spirit) and causes excessive sweating; fire from bamboo wood damages the Ying-Wei meridians. If there is a "fire pearl" shining in the sun, and moxa is used to catch the heat to ignite it, thereby obtaining fire, this type of fire is excellent for moxibustion, although it is difficult for ordinary people to prepare such materials on demand; next best is focusing sunlight using a lens or mirror to ignite the moxa, which is also good. If the weather is cloudy and dark, making it hard to obtain fire by friction or reflection, it is better not to use open wood fires at all. Instead, one should avoid the aforementioned taboos, light a lamp with refined oil, burn the stem of the moxa over the lamp flame for moxibustion. This method is also acceptable; furthermore, moistening moxibustion ensures safety until the sore heals, without pain. Using candles is even better. Various ethnic tribes, aware of the taboos regarding these eight wood fires, strike Binxian iron against Kaishi (flint) to create sparks, use moxa to catch the spark, and then perform moxibustion.
When performing moxibustion, if heavy fog rises, wind and snow suddenly fall, heavy rain occurs, or there is intense heat, thunder, lightning, or rainbows, temporarily suspend the procedure. Wait for clear and bright weather before resuming moxibustion. One must not perform moxibustion when overly full or extremely hungry, nor after drinking to intoxication, or after consuming raw and hard foods. Also, one must avoid states of mind such as excessive thinking, sorrow, anger, cursing, sighing, and any other inauspicious emotions. Observing these taboos brings great auspiciousness.
When applying moxibustion to the head and four limbs, one should not apply excessive amounts. This is because the human body has 365 collaterals, all converging at the head, which is the meeting place of all Yin meridians. Excessive moxibustion on the head can cause dizziness, vertigo, and blurred vision. Since the muscles of the head and limbs are thin, continuous or excessive moxibustion may cause stagnation or interruption of Qi and Blood beneath the moxa cone. It is advisable to pause the application of heat to allow Qi and Blood to circulate freely again, then resume the flow of fire energy. Once the prescribed number of cones is completed, the disease will naturally be eliminated. This requires careful observation.
Regarding the determination of the hairline: if the patient has a neat hairline, acupoints can be easily located according to the descriptions in the *Mingtang*. However, if the patient has lost their hairline completely due to illness, or was born without hair on the forehead and neck, making standard location methods difficult, the following standard is now established: measure three *cun* vertically upward from the midpoint between the two eyebrows to define the anterior hairline; measure three *cun* vertically upward from Dazhui (GV14) to define the posterior hairline. This serves as the standard reference.