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Zhang Zhongjing said: In Taiyang disease (a syndrome caused by pathogenic factors invading the Taiyang channel), headache that resolves spontaneously on the seventh day occurs because the pathogenic qi in that channel has exhausted itself. (The character "Jing" 竟 is written as "Jin" 尽 in Zhang Zhongjing's original text.) If the pathogen intends to transmit to another channel again, one should needle the foot-Yangming stomach channel to prevent transmission, thereby achieving cure. (Pang's commentary states: tonify the Zusanli acupoint.)

It is also stated: In Taiyang disease, if after the initial administration of Guizhi Tang (Cinnamon Twig Decoction) the patient instead experiences vexation and unresolved symptoms, one should first needle Fengchi (GB20) and Fengfu (GV16) acupoints, then administer Guizhi Tang (Cinnamon Twig Decoction) for recovery.

It is also stated: In Shanghan (Cold Damage) disease, abdominal fullness accompanied by delirium, with a floating and tight pulse at the Cun Kou position, indicates Liver Wood overacting on Spleen Earth, named "Zong" (Vertical Transmission). One should needle Qimen (LR14).

It is also stated: In Shanghan (Cold Damage) disease, fever, aversion to cold with shivering, extreme thirst desiring water or fluids, and inevitable abdominal fullness. If spontaneous sweating occurs and urination is free, the disease will resolve. This is Liver Wood overacting on Lung Metal, named "Heng" (Horizontal Transmission). One should needle Qimen (LR14).

It is also stated: In Yangming disease, hematochezia (bleeding from the rectum) accompanied by delirium indicates Heat entering the Blood Chamber (the uterus or organs storing blood). If only the head sweats, one should needle Qimen (LR14), draining excess according to the pattern, and recovery follows when generalized sweating occurs.

It is also stated: In women suffering from Wind Strike, with fever and aversion to cold, whose menstruation has just begun, and after seven or eight days the heat subsides, pulse becomes slow, body temperature normalizes, yet there is fullness below the chest and hypochondrium resembling Jie Xiong (Chest Binding) syndrome, along with delirium, this is Heat entering the Blood Chamber. One should needle Qimen (LR14), draining excess according to the pattern. Wang Shuhe stated: The Ping Bing chapter records that for Heat entering the Blood Chamber, one should not damage Stomach Qi or the Upper and Middle Jiao. Guo Yong commented: This contradicts acupuncture therapy; does it refer to herbs rather than needles?

It is also stated: When Taiyang and Shaoyang diseases occur simultaneously, presenting with headache, stiff neck and nape with vertigo, occasional sensation of Chest Binding, and epigastric stiffness and fullness, one should needle the first interspace of Dazhui (GV14), Feishu (BL13), and Ganshu (BL18). Sweating must be strictly avoided; inducing sweating leads to delirium and a wiry pulse. If this persists beyond five days, one should needle Qimen (LR14).

It is also stated: In Shaoyin disease, diarrhea with pus and blood in the stool can be treated with acupuncture.

It is also stated: In pregnant women suffering from Shanghan (Cold Damage), presenting with abdominal fullness and inability to urinate, heaviness from the waist downward resembling fluid retention. At seven months of pregnancy, when the Taiyin Spleen channel should nourish but fails to do so, resulting in Excess Heart Qi, one should needle and drain Laogong (PC8) and Guanyuan (CV4). Recovery occurs when urination becomes free.

It is also stated: For Shanghan (Cold Damage) with Hou Bi (sore throat and obstruction), needle the Hand-Shaoyin Heart channel at the wrist, specifically the artery behind the little finger. Insert three fen and apply tonification. The Su Wen states: There is a disease characterized by fever, sweating, and vexation unrelieved by sweating. What is this disease? Qibo answered: Fever with sweating indicates Wind; sweating with unrelieved vexation indicates Jue Ni (Rebellious Cold/Heat). The disease is named Feng Jue (Wind Jue). Ju Yang (Taiyang) governs the body's Qi and thus receives pathogens first. Shaoyin Kidney is exterior-interior related to Taiyang; receiving heat causes upward following, leading to Jue. Both exterior and interior channels should be needled, and herbal decoctions administered. Guo Yong commented: This is Feng Jue transformed from Shanghan due to abnormal pathogens. It is suitable to needle Taixi (KI3) and Kunlun (BL60), and administer Fuling Guizhi Gancao Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction).

The Ling Shu states: On the third day of Re Yi (Hot Disease), if the Ren Ying pulse is agitated while the Qi Kou pulse is calm, select points from the Yang channels using the Fifty-Nine Needling method to drain heat, induce sweating, and fill Yin to supplement deficiency. The Su Wen states: For severe cases, use the Fifty-Nine Needling method. The Ling Shu explains: The Fifty-Nine Needling points include three on each side of the hands' outer and inner aspects (twelve total), one between each of the five fingers (eight total), and similarly on the feet (eight total). One cun inside the hairline, three points on each side (six total); three cun inside the hairline, five points on each side (ten total); one point each before and behind the ears, below the mouth, and in the nape (six total); one point on the vertex, Xinhui (GV22), hairline margin, Lianquan (CV23), Fengchi (GB20), and Tianzhu (BL10) two points each. These sum to fifty-nine points.

Guo Yong commented: The Fifty-Nine Needling method originates from these two classics and appears in the works of Zhang Zhongjing and Wang Shuhe, yet few are known to utilize it effectively. Ancients preserved it without daring to discard ancient methods. Later, the eleven syndromes in the Ling Shu were often difficult to interpret, but the method could not be discarded.

The Ling Shu states: For Re Yi (Hot Disease) starting with skin pain, nasal congestion, and facial flushing, treat the Skin layer using the First Needle combined with the Fifty-Nine Needling method. Severe nasal obstruction requires seeking Qi in the Lung (Skin layer); if unsuccessful, seek Fire (Heart). Fire corresponds to the Heart.

It is also stated: For Re Yi (Hot Disease) with dry throat, polydipsia, irritability, and restlessness in bed, treat the Muscle layer using the Sixth Needle combined with the Fifty-Nine Needling method. Cyan eyes require seeking Qi in the Spleen (Muscle layer); if unsuccessful, seek Wood (Liver). Wood corresponds to the Liver.

It is also stated: For Re Yi (Hot Disease) with cyan complexion, headache, and restless extremities, treat the Sinew layer using the Fourth Needle at Si Ni (Bilateral Hegu LI4 or similar distal points depending on interpretation, here likely referring to specific sinew points). Tendon spasms and visual impairment require seeking Qi in the Liver (Sinew layer); if unsuccessful, seek Metal (Lung). Metal corresponds to the Lung.

It is also stated: For Re Yi (Hot Disease) with frequent fright, convulsions, and mania, treat the Vessel/Blood layer using the Fourth Needle to urgently drain excess. Epilepsy with hair loss requires seeking Blood/Qi in the Heart; if unsuccessful, seek Water (Kidney). Water corresponds to the Kidney.

It is also stated: For Re Yi (Hot Disease) with heavy body, bone pain, deafness, and desire to close eyes, treat the Bone layer using the Fourth Needle combined with the Fifty-Nine Needling method. Bone disease involving teeth grinding and cyan ears requires seeking Qi in the Kidney (Bone layer); if unsuccessful, seek Earth (Spleen). Earth corresponds to the Spleen.

It is also stated: For Re Yi (Hot Disease) starting with lateral body stiffness, vexation, dry lips and throat, treat the Vessel layer using the First Needle combined with the Fifty-Nine Needling method. Skin distension, dry mouth, and alternating chills and fever require seeking Qi in the Heart (Vessel layer); if unsuccessful, seek Water (Kidney). Water corresponds to the Kidney.

It is also stated: For Re Yi (Hot Disease) with headache, temporal pain, eye vessel pain, and frequent epistaxis, this is Jue Re Yi (Jue Hot Disease). Use the Third Needle, assessing excess or deficiency, treating chills, heat, and hemorrhoids.

It is also stated: For Re Yi (Hot Disease) with severe internal pathology and intestinal heat, use the Fourth Needle at specific locations and between toes. Seek Qi in the Stomach network upon obtaining De Qi.

It is also stated: For Re Yi (Hot Disease) with urgent pain beside the umbilicus and chest/hypochondriac fullness, select Yongquan (KI1) and the Taiyin and Yangming channels (text mentions Yinlingquan SP9). Use the Fourth Needle at the throat interior.

It is also stated: For Re Yi (Hot Disease) where sweat is about to emerge, and the pulse indicates sweating is appropriate, select Yuji (LU10), Taiyuan (LU9), Dadu (SP2), and Taibai (SP3). Draining reduces heat; tonifying induces sweating. For excessive sweating, select the transverse crease above the medial malleolus to stop it.

It is also stated: For Re Yi (Hot Disease) on the seventh or eighth day, with pulsating, panting, and short pulse, combine needling. Sweat will emerge spontaneously; lightly needle the space between the thumb and index finger.

The Su Wen states: For Re Yi (Hot Disease) starting with chest/hypochondriac pain and restless extremities, needle Foot-Shaoyin Kidney and tonify Foot-Taiyin Spleen. For severe cases, use the Fifty-Nine Needling method. Wang Bing noted: Select Qiuxu (GB40) of Foot-Shaoyang Gallbladder.

It is also stated: For Re Yi (Hot Disease) starting with arm pain, needle Hand-Yangming Large Intestine and Hand-Taiyang Small Intestine until sweating stops. Wang Bing noted: Lieque (LU7) treats arm pain; Shangqiu (SP5) induces sweating.

It is also stated: For Re Yi (Hot Disease) starting in the head, needle the Neck Taiyang channel until sweating stops. Wang Bing noted: Tianzhu (BL10) of Foot-Taiyang Bladder treats this.

It is also stated: For Re Yi (Hot Disease) starting with heavy body, bone pain, deafness, and desire to close eyes, needle Foot-Shaoyang Gallbladder. For severe cases, use the Fifty-Nine Needling method.

It is also stated: For Re Yi (Hot Disease) starting with dizziness, vertigo, fever, and chest/hypochondriac fullness, needle Foot-Shaoyin Kidney and Foot-Shaoyang Gallbladder.

It is also stated: For Re Yi (Hot Disease) starting in the lower legs, needle Foot-Yangming Stomach until sweating stops. This excerpt comes from the Jia Yi Jing.