"Fever can be moxibustion" and "heat can be moxibustion" are two different views of moxibustion, most doctors believe that it is suitable for moxibustion in the cold, and it is suitable for acupuncture in real heat. Although there are many advocates of "heat can be moxibustion", those who oppose the use of moxibustion for fever are more accustomed to the practice. The author analyzes these two formulations in the spirit of adhering to the ancient and not muddying the ancient.
! The theoretical basis for "fever can be moxibustion"
The original meaning of the "Cold Weather Without Thorns, Heavenly Temperature Without Moxibustion" is that when the weather is cold, acupuncture is not easy to get qi, so it should be appropriate to moxibustion, and when the weather is hot, the acupuncture is easier to get qi, the effect is improved, or because of the hot weather, the onset of moxibustion is often inconvenient, so it is not necessary to use moxibustion exclusively, not the meaning of "heaven temperature forbidden moxibustion". Later generations took "no moxibustion in the sky temperature" as the classic basis for "forbidden moxibustion for fever", which has full room for discussion. "Prepare for the Emergency" and "Qianjin Yifang" not only establish some basic principles of moxibustion from the theoretical and clinical point of view, but also expand the indications of moxibustion to treat pre-existing diseases, emergencies, fevers, etc. "Qianjin Yifang, Volume 28" Yun: "Where a person suffers from lumbar swelling, tarsal osteitis, carbuncle swelling, wind and heat swelling, ... That is, the immediate healing of emergency moxibustion"; the visceral evidence can be applied to moxibustion, "Preparation for emergency qianjin fang, volume 14" "small intestine is hot, moxibustion yin capital, with age and strength"; real heat moxibustion, "Beixi Qianjin fang , volume 22" "five showers, moxibustion Da Dun thirty strong"; yin deficiency internal heat moxibustion, "Beixi Qianjin fang ・ volume 19" "waist and back inconvenience, tendon cramps, hypothermia and internal cold, moxibustion twenty-second". All of the above shows that fever can be used with moxibustion.
Jin Liu Shouzhen believes that moxibustion has the effect of "attracting heat out" and "attracting heat down", and advocates moxibustion for fever. The moxibustion method for real fever belongs to the method of "heat induction and going out", and the method of moxibustion that refuses to use the cold heat grid belongs to the method of "heat induction downward". Yuan Zhu Danxi perfected the theory of "heat can be moxibustion", believing that heat includes real heat and hypothermia, and moxibustion has both offensive and complementary. And the role of moxibustion for fever is summarized into three aspects: "heat discharge and excretion", "fire expectorant", and "yin and heat removal". "The General Record of Saint Francis" "The heat inside the swelling is directed by the fire, and then it comes out". That is to say, moxibustion treatment is "guided by fire", so that the evil of heat poison moves deep and shallow, "with the fire", then the stagnation can be dispersed, and the heat poison swelling and pain can be eliminated. For those who have become pus, they can use moxibustion to induce pus and pull out pus. Yin deficiency inner heat can be moxibustion, "Danxi Heart Method" Yun: "Moxibustion Dantian, so tonic Yang, Yang Sheng is yin long also." Theoretically, it is expounded that its therapeutic mechanism is to help yin and void through Fuyang, so that the virtual fire can spontaneously descend to the yuan. "Young and Young Integration" believes that moxibustion can "relieve the wind and dissolve the table, perform qi and induce phlegm, and relieve depression and open the chest". The content elucidated in the "Moxibustion Endowment" summarizes the mechanism of "heat can be moxibustion": "Moxibustion for hypothermia, Yuan Qi circulation; real heat moxibustion, Depression heat energy therapy; epithermia moxibustion, sweating Yimou; Li heat moxibustion, guidance is excellent." Fire is good, ... Seek the same breath, open the door and chase away the thieves, and sail with the qi."
In recent years, modern medical research has provided a scientific basis for the treatment of fever by moxibustion. It has been believed that moxibustion can reduce fever, anti-shock, improve microcirculation, prevent damage to kidney function, and have antiviral and correct disorders of humoral factors caused by epidemic hemorrhagic fever. Moxibustion can adjust and enhance the body's immune function and can significantly increase the number of white blood cells. The mechanism of action of moxibustion in the treatment of fever is discussed from different perspectives.
2. Theoretical basis for "fever abstinence"
"Heat disease prohibition moxibustion" was first derived from the "Treatise on Typhoid Fever", and later generations advocated that people who banned moxibustion mostly followed this theory, and listed yang, fever, real disease, yin deficiency and even damp and hot diseases as forbidden moxibustion. For example, in the "Treatise on Typhoid Fever", many fever prohibitions are listed: "The pulse of the slight, the prudence can not be moxibustion, because the fire is evil, it is a rebellion, chasing after the truth, the blood is scattered in the vein, although the fire is slight, the internal attack is powerful, the scorched bones hurt the tendons, and the blood is difficult to recover." It is believed that the body of yin deficiency and internal heat should be avoided with moxibustion, because the fire is easy to hurt the liquid, and the yin blood is calloused and the serious consequences of scorched bone injuries are formed. Also known as "... Pulse floating, it is advisable to dissolve with sweat, use fire to moxibustion, evil has no way out"; '' "Pulse floating, hot even, and anti-moxibustion, this is true. If you are treated with emptiness, you will be moved by fire, and you will vomit blood in your throat." It is believed that the disease of yang deficiency and cold, the treatment of moxibustion, the effect is remarkable. The disease of yang and heat, anti-moxibustion, is really treated with false treatment, and blood follows fire inflammation. "Yang Ming disease, pulse floating and tight, dry throat and bitter mouth, full stomach and wheezing, fever and sweating, not cold, anti-heat, ... If you warm the needle, you will be irritable and sleepless", '', the article "The fire is reversed, because of the irritability of the needle burning, the lord of the keel oyster soup of the licorice of the laurel branch"; the disease of heat, if the warm needle is used, the fire is used to relieve the fire, and the fiery disturbs the mind, and it will cause irritability, palpitations, and sleeplessness. Later, in the Song Dynasty, the General Records of Saint Francis also praised "fever forbidden moxibustion": "The disease of yang disease, can not be moxibustion also", "If the yang disease moxibustion, it is a great reversal, ... Moxibustion people fire evil into the abdomen, dry the wrong five organs, and redouble their troubles."
3. Summary
Tracing back to the source, fever "moxibustion" and "forbidden moxibustion" have historical roots and theoretical basis. The ancients also did not have a positive conclusion about these two views, and there are sometimes diametrically opposed references in the same book, which is represented by the Acupuncture Question, "If the body is hot and cold, sometimes see restlessness, or the face is yellow, the mouth is dry, the mouth is dry, the tongue is yellow, the thirst is thirsty, the throat is painful, all are outside, but there are one or two diseases that are not suitable for moxibustion." Its veins must be counted, or counted, nor moxibustion, and the affliction of moxibustion will be immediate. But then go on to quote Gao Wu's words : "The Difficult Scriptures Cloud: Fever is included, ... For the yang to fall into the yin, take the yang qi through the heavens, and use the fire to guide it, which should also be moxibustion. ”
Because the scope of fever is very wide, whether it is "forbidden moxibustion" or "moxibustion", it should be treated separately according to the specific situation, and it cannot be absolutely defined, and those who advocate "no moxibustion" should not use moxibustion for all fevers, which limits the development of moxibustion. Those who advocate "moxibustion" should not expand its role excessively, so as to be conducive to the development of moxibustion.