股际，阴股交会之际。股际骨空，在毛中动下，乃动脉之下，跨缝间也。
尻骨空，在髀骨之后，相去四寸。
尻骨，尾骨也。髀骨，臀侧骨也。髀骨之后，相去四寸，正当尻骨空之处。
扁骨，有渗理凑，无髓孔，易髓，无空。
扁骨，胸脊相交之肋骨也。渗，澹渗也。理，纹理也。凑，会合也。易，交易也。扁骨有澹渗之纹
理，凑会于胸脊，其内则无髓孔。申明渗理凑者，髓之交易也，无髓孔者，两头无空也。
灸寒热之法，先灸项大椎，以年为壮数，次灸橛骨，以年为壮数。
髓藏于骨，骨归于肾，骨髓内虚，则肾脏水毒，从经脉而上承，发为鼠 寒热之病。上文云∶鼠
寒热还刺寒府，夫有余则刺，不足则灸。故又言灸寒热之法，先灸项大椎，项大椎为脊骨之始，以年为壮数，
计其结核初起之年，以年数之多少而为灸之壮数。其次则灸橛骨，橛骨为脊骨之终，亦以年为壮数。
视背俞陷者灸之，举臂肩上陷者灸之。
五脏六腑之俞，皆在于背，故视背俞、其俞内陷者，则于左右
以灸之。视之之法、须举其臂肩，举臂肩而背上陷者，即灸之。
两季胁之间，灸之。
从肩背而及于胁，则两季胁之间，左右灸之。
外踝上绝骨之端灸之，足小趾次指间灸之。
经脉论云∶胆足少阳之脉，下抵绝骨之端、出外踝之前，循足
跗上，入小指次指之间，故外踝绝骨，小指次指间，各当灸之。
下陷脉灸之，外踝后灸之。
《经脉》论云∶膀胱足太阳之脉，下贯 内，出外踝之后，故 下陷脉及外踝后各当灸之。
缺盆骨上，切之，坚痛如筋者灸之。
缺盆骨上，与颈项之鼠 相近，故切之。坚痛如筋者，即于坚
痛上灸之。
膺中陷骨间灸之。
膺中陷骨间，乃胸之上喉之下，当膺之中，天突一穴。
掌束骨下灸之。
束骨，横骨也。掌束骨下，犹言掌下束骨，谓横骨缝中，大陵二穴。
齐下关元三寸，灸之。
脐下三寸，关元穴也。故曰脐下关元三寸。
毛际动脉，灸之。
毛际两旁气冲之动脉。
膝下三寸分间，灸之。
膝下三寸分肉之间，三里二穴。
足阳明跗上动脉，灸之。
跗上动脉，足阳明冲阳二穴。
巅上一，灸之。
巅上，百会穴也。
犬所啮之处，灸之三壮，即以犬伤病法治之。
啮，音业。此假犬啮以明当灸之穴，谓鼠 烂，形同犬伤也。犬所啮之处，腿上伏兔二穴也，狗
之啮人，从后而啮其腿下。犬之啮人，从前而啮其腿上。当于伏兔二穴，灸之三壮，上文以年
为壮数，此亦以年为壮数，年数虽少，肌肉深浓，灸之亦须三壮，即以犬伤病治法灸之。谓鼠 伤其肌肉，
犬啮亦伤肌肉，其病等也。
凡当灸二十九处，伤蚀，灸之。不已者，必视其经之过于阳者，数刺其俞而药之。
蚀，旧本讹食，今改。数，音朔。承上文而总结之，申明阳气下陷则灸，过于阳热，更当刺而药之
也。二十九处，谓大椎一，橛骨一，背俞二，季胁二，绝骨二，小指次指二， 下陷脉二，外踝
二，缺盆二，膺中一，掌骨二，关元一，毛际动脉二，膝下三寸
二，跗上二，巅上一，犬啮处二，凡当灸二十九处，乃伤烂如蚀，阳气下陷，则当灸之。若灸之而其病不
已者，乃过于阳热，非关下陷，故必视其经之过于阳者，数刺其阳热之俞，而用药以调之。斯
为治鼠 寒热之全法也。此一节，言精髓藏于骨空，精髓内虚，发为鼠 寒热，而有灸刺之法也。
大腿根部，是阴经与股部经脉交会的地方。大腿根部的骨空，位于阴毛中动脉下方，处于两腿缝隙之间。
尾骶骨的骨空，在髀骨（臀部外侧的骨头）后方，距离髀骨四寸处。
尾骶骨即尾骨。髀骨即臀部外侧的骨头。在髀骨后方，相距四寸的位置，正是尾骶骨骨空所在之处。
扁骨，具有渗灌纹理的会合处，没有容纳骨髓的孔洞，因此骨髓无法在此流通，也没有骨空。
扁骨是指胸廓与脊柱相交的肋骨。渗，指水液澹渗流动。理，指纹理。凑，指会合。易，指交易流通。扁骨具有澹渗的纹理，会合于胸脊之间，其内部没有容纳骨髓的孔洞。这里说明“渗理凑”是指骨髓的流通交换，“无髓孔”是指两头没有空隙。
治疗寒热病症的灸法，先灸项部的大椎穴，根据患者的年龄确定施灸的壮数（每岁一壮），接着灸橛骨（尾骨尖端），同样根据年龄确定施灸的壮数。
骨髓藏于骨中，骨归属于肾，如果骨髓内部空虚，则肾脏的水毒之气会沿着经脉向上逆行，引发鼠瘰（一种颈部淋巴结结核伴发寒热的疾病）。上文提到：鼠瘰寒热应当针刺寒府穴。对于实证应当针刺，虚证应当艾灸。所以又说明了治疗寒热病的灸法，先灸项部大椎穴，大椎穴是脊柱的起始部位，以患者年龄作为施灸壮数，计算淋巴结肿块初起时的年份，根据年数的多少来决定施灸的壮数。其次灸橛骨，橛骨是脊柱的末端，也以年龄作为施灸壮数。
观察背部俞穴凹陷的部位进行艾灸，举起手臂时肩部出现的凹陷处进行艾灸。
五脏六腑的俞穴都分布在背部，所以观察背部的俞穴，如果穴位内部凹陷，就在左右两侧进行艾灸。观察的方法是：必须举起手臂和肩膀，当举起手臂肩膀时，背上显现出的凹陷处，就对其进行艾灸。
从肩背延伸到胁肋，那么两侧季胁之间的部位，左右两侧都要进行艾灸。
外踝上方绝骨穴的端点处进行艾灸，足小趾和第二趾之间的部位进行艾灸。
《经脉论》说：足少阳胆经的经脉，向下到达绝骨的端点，出于外踝之前，沿着足背，进入小趾和第二趾之间。所以外踝处的绝骨、小趾和第二趾之间，各应当进行艾灸。
《经脉论》说：足太阳膀胱经的经脉，向下贯穿腘窝内，出于外踝之后。所以腘窝下陷的脉管及外踝后方各应当进行艾灸。
缺盆骨上方，按压检查，如果感觉坚硬且疼痛如筋结者，进行艾灸。
缺盆骨上方，与颈部的鼠瘰相近，所以要按压检查。如果感觉坚硬且疼痛如筋结，就在坚硬疼痛处进行艾灸。
胸部中间凹陷的骨间部位进行艾灸。
胸部中间凹陷的骨间部位，位于胸的上部、喉的下部，正当胸部中央的天突穴。
手掌横骨下方进行艾灸。
束骨即横骨。掌束骨下，意指手掌下的束骨处，指的是横骨缝中的大陵穴等两个穴位。
阴毛际旁的动脉处，进行艾灸。
阴毛际两旁气冲穴处的动脉。
膝下三寸分肉之间，进行艾灸。
膝下三寸分肉之间，是足三里穴等两个穴位。
头顶正中一处，进行艾灸。
头顶正中是百会穴。
被狗咬伤的部位，艾灸三壮，随后按照犬咬伤的治疗方法进行处理。
啮，读音为业。此处借用狗咬来阐明应当艾灸的穴位，意思是鼠瘰溃烂，形态如同犬咬伤一样。被狗咬伤的部位，指的是腿上的伏兔穴等两个穴位。狗咬人，是从后面咬人的小腿后侧；而此处比喻的“犬”，是从前面咬人的大腿前侧。应当在伏兔穴等两个穴位，艾灸三壮。上文提到以年龄决定壮数，此处虽然年数较少，但肌肉深厚浓密，艾灸也须用三壮，并按照犬咬伤的治疗法则进行艾灸。意思是鼠瘰损伤了肌肉，犬咬也损伤肌肉，病情是相同的。
凡是应当艾灸的部位共有二十九处，如果是疮疡溃烂腐蚀的情况，也进行艾灸。如果艾灸后病不愈，必须观察经脉中阳气过盛的部分，多次针刺相应的俞穴并配合药物治疗。
蚀，旧版书本误作“食”，今改正。数，读音为朔。承接上文进行总结，申明阳气下陷则用灸法，如果阳气过于亢盛发热，更应当针刺并用药治疗。这二十九处包括：大椎一穴，橛骨一穴，背俞二穴，季胁二穴，绝骨二穴，小趾次指间二穴，腘下陷脉二穴，外踝二穴，缺盆二穴，膺中一穴，掌骨二穴，关元一穴，毛际动脉二穴，膝下三寸二穴，跗上二穴，巅上一穴，犬咬处二穴，总共应当艾灸二十九处。这是针对疮疡溃烂如腐蚀状，因阳气下陷而应当采用灸法的情况。如果艾灸后病情仍未痊愈，那是由于阳气过于亢盛发热，并非阳气下陷所致，所以必须观察经脉中阳气过盛的部分，多次针刺那些属于阳热性质的俞穴，并用药物来调理。这才是治疗鼠瘰寒热的完整方法。这一节内容，阐述了精髓藏于骨空之中，若精髓内部空虚，就会引发鼠瘰寒热，并介绍了相应的灸法和刺法。
The root of the thigh is where the Yin meridians and the thigh channels intersect. The bone cavity at the root of the thigh is located below the pulsating artery in the pubic hair area, situated between the clefts of the legs.
The bone cavity of the sacrococcygeal region is located posterior to the femur (the lateral bone of the buttock), four cun away from it.
The sacrococcygeal bone refers to the coccyx. The femur here refers to the lateral bone of the buttock. Posterior to the femur, at a distance of four cun, lies precisely the location of the sacrococcygeal bone cavity.
Flat bones possess permeable textures for convergence but lack marrow cavities; thus, marrow cannot circulate through them, and they have no openings.
Flat bones refer to the ribs that intersect between the thorax and the spine. "Permeable" refers to the seeping flow of fluids. "Texture" refers to grain or pattern. "Convergence" refers to meeting or joining. "Exchange" refers to circulation and transformation. Flat bones have permeable textures that converge at the thoracic spine; internally, they lack marrow cavities. This explains that "permeable texture convergence" signifies the circulation and exchange of marrow, while "lack of marrow cavities" means there are no openings at either end.
For treating cold-heat disorders via moxibustion, first moxa the Dazhui (GV14) point on the neck, using the patient's age as the number of moxa cones (one cone per year). Next, moxa the Juegu (tip of the coccyx), also using the age as the number of moxa cones.
Marrow is stored in the bones, and bones belong to the Kidney. If the internal marrow becomes deficient, water-toxin from the Kidney may ascend along the meridians, leading to Shulou (scrofula, a condition characterized by cervical lymph node tuberculosis accompanied by chills and fever). As mentioned earlier: Shulou with cold-heat symptoms should be treated by needling the Hanfu point. For excess conditions, needling is used; for deficiency conditions, moxibustion is applied. Therefore, the method for treating cold-heat disorders via moxibustion is described: first, moxa the Dazhui point on the neck, which is the starting point of the spinal column. The number of moxa cones corresponds to the patient's age, calculated based on the year when the lymphatic nodules first appeared. Second, moxa the Juegu (coccyx tip), which is the end of the spinal column, again using the age as the number of moxa cones.
Observe the sunken areas of the Back-Shu points and apply moxibustion there. Observe the depressions that appear on the shoulder when the arm is raised, and apply moxibustion to these areas.
The Shu points of the Zang and Fu organs are all located on the back. Therefore, observe the Back-Shu points; if any appear sunken internally, apply moxibustion bilaterally. The method for observation requires raising the arm and shoulder; when the arm and shoulder are raised, the depressions appearing on the back should be moxaed.
Apply moxibustion to the area between the two hypochondriac regions.
Extending from the shoulder and back to the hypochondrium, apply moxibustion bilaterally to the area between the two hypochondriac regions.
Apply moxibustion to the end of the Jiegu point above the lateral malleolus, and to the space between the fourth toe and the fifth toe.
According to the *Meridian Treatise*: The Foot-Shaoyang Gallbladder Meridian descends to the end of the Jiegu, emerges anterior to the lateral malleolus, follows the dorsum of the foot, and enters the space between the fourth and fifth toes. Therefore, moxibustion should be applied to the Jiegu near the lateral malleolus and to the space between the fourth and fifth toes.
Apply moxibustion to the depressed vessels and to the posterior aspect of the lateral malleolus.
According to the *Meridian Treatise*: The Foot-Taiyang Bladder Meridian descends through the popliteal fossa, emerges posterior to the lateral malleolus. Therefore, moxibustion should be applied to the depressed vessels in the popliteal area and to the posterior aspect of the lateral malleolus.
Press the area above the Clavicular Fossa (Quepen); if it feels hard and painful like a tendon knot, apply moxibustion.
The area above the Clavicular Fossa is close to the Shulou nodes in the neck, so it should be pressed. If it feels hard and painful like a tendon knot, apply moxibustion directly to the hard and painful area.
Apply moxibustion to the depression between the bones in the center of the chest.
The depression between the bones in the center of the chest is located in the upper chest, below the throat, at the Tiantu (CV22) point.
Apply moxibustion below the transverse bone of the palm.
Shugu refers to the transverse bone. "Below the transverse bone of the palm" refers to the space within the crease of the transverse bone, specifically the Daling (PC7) point and others.
Apply moxibustion three cun below the umbilicus, at the Guanyuan (CV4) point.
Three cun below the umbilicus is the Guanyuan point. Hence, it is stated as three cun below the umbilicus at Guanyuan.
Apply moxibustion to the pulsating artery at the pubic margin.
This refers to the pulsating artery at the Qichong (ST30) point on both sides of the pubic margin.
Apply moxibustion in the intermuscular space three cun below the knee.
The intermuscular space three cun below the knee contains the Zusanli (ST36) point and others.
Apply moxibustion to the pulsating artery on the dorsum of the foot belonging to the Foot-Yangming Stomach Meridian.
The pulsating artery on the dorsum of the foot corresponds to the Chongyang (ST42) point of the Foot-Yangming Stomach Meridian.
Apply moxibustion to one point on the vertex of the head.
The vertex of the head is the Baihui (GV20) point.
For the site bitten by a dog, apply three moxa cones, and then treat it according to the methods for dog bite injuries.
"Nie" is pronounced "ye." This uses the metaphor of a dog bite to clarify the appropriate acupoints for moxibustion, implying that the ulceration of Shulou resembles a dog bite. The site bitten by a dog refers to the Futu (ST32) points on the leg. A dog biting a person typically bites the lower leg from behind; however, in this metaphorical context, the "dog" bites the front of the thigh. Apply three moxa cones to the Futu points. Although the age-based calculation might suggest fewer cones, the muscle tissue here is deep and dense, so three cones are still required, following the treatment principles for dog bites. This implies that just as Shulou damages muscle tissue, a dog bite also damages muscle tissue, and the pathology is similar.
There are twenty-nine locations in total that require moxibustion. If there are ulcerative erosions, apply moxibustion. If the condition does not resolve after moxibustion, examine the meridians for signs of excessive Yang heat, repeatedly needle the corresponding Shu points, and administer herbal medicine.
"Erosion" was erroneously printed as "food" in old editions; it is corrected here. "Shuo" is pronounced "shuo." This concludes the previous discussion, clarifying that moxibustion is indicated for sinking Yang Qi, while excessive Yang heat requires needling and medication. The twenty-nine locations include: Dazhui (1), Juegu (1), Back-Shu points (2), Hypochondriac regions (2), Jiegu (2), Space between fourth and fifth toes (2), Depressed vessels in popliteal area (2), Posterior lateral malleolus (2), Clavicular Fossa (2), Center of chest (1), Transverse bone of palm (2), Guanyuan (1), Pubic arterial pulse (2), Three cun below knee (2), Dorsum of foot (2), Vertex (1), Dog bite sites (2), totaling twenty-nine locations for moxibustion. This applies to ulcerative erosions caused by sinking Yang Qi. If moxibustion fails to resolve the condition, it indicates excessive Yang heat rather than sinking Qi. Therefore, one must identify the meridians with excessive Yang heat, repeatedly needle the relevant Shu points associated with Yang heat, and use herbs to regulate the body. This constitutes the complete method for treating Shulou with cold-heat symptoms. This section explains that essence and marrow are stored in the bone cavities; internal deficiency of essence and marrow leads to Shulou with cold-heat symptoms, and describes the corresponding moxibustion and needling techniques.