太阳头痛经七日。不愈再传成大疾。法中当刺足阳明。可使不传邪气出。(仲景玉函云。太阳病。头痛至七日。自当
愈。其经竞。故也。若欲再传者。刺足阳明。使经不传则愈也。)桂枝服了烦不解。风府风池刺无失。(仲景云。太阳病。
服桂枝汤。而反烦不解者。当先刺风池风府。却与桂枝汤服之。则愈也。)经来经断刺期门。正恐热邪居血室。(仲景云。
妇人中风。经水适来。又云。经水适断。热入血室者。刺期门。随其虚实而取之。)项强当刺大椎间。脉有纵横肝募吉。
(仲景云。太阳与少阳并病。心下痞。头项强而眩。当刺大椎第一间。又曰。肝乘脾。名纵。肝乘肺。名横。皆当刺期
门。期门肝募也。)妇人怀身及七月。从腰以下如水溢。当刺劳宫及关元。以利小便去心实。(仲景玉函云。妇人伤寒怀
身。腹满。从腰以下。重如水气状。怀身七月。太阴当养不养。此心实。当刺劳宫及关元穴。小便利则愈。)大怒大劳并
大醉。大饱大饥刺之逆。 之热漉漉汗。浑浑之脉安可失。(素问云。无刺 之热。漉漉之汗。浑浑之脉。)浅深分
寸自根据经。此道相传休秘密。
大抵冬宜热药温。(大法冬宜服温热药。)下利少阴有二门。(仲景云。法中可温者。有九证。皆下利与少阴两家而已。)
腹满身痛先救里。(仲景云。病发热头痛。脉反沉。若不瘥。身体更疼痛用救其里。四逆汤。又云。下利腹满。身体疼痛。
先温其里。宜四逆汤。)脉来迟紧痛仍存。(仲景云。下利脉迟紧。而痛未止者。当温之。得冷者。满而硬。肠垢。)少阴
膈上有寒饮。(仲景云。少阴病。其人饮食入。则吐。心中温温欲吐。复不得吐。始得之。手足寒。脉弦迟。若膈上有寒
饮。干哕者。切不可吐。当温之。)或加呕利病难分。脉沉微涩如斯证。四逆理中汤可温。(仲景云。少阴下利。脉微涩
者。即呕。行者必数更衣。反少。当温之。又云。脉沉者。急当温之。宜以四逆汤。仲景玉函云。诸温者。可与理中。
四逆。附子汤。热药治之。)
Headache caused by Taiyang disease, if it persists for seven days without resolution, may transmit further and become a severe illness. According to treatment principles, one should needle the Foot-Yangming meridian to prevent transmission and expel the pathogenic factor. (Zhang Zhongjing in *Shanghan Lun Yuyan* states: In Taiyang disease with headache, recovery is expected by the seventh day as the channel qi has exhausted. If transmission is anticipated, needling the Foot-Yangming channel prevents transmission and leads to cure.) After administering Guizhi Tang (Cinnamon Twig Decoction), if vexation remains unresolved, one must not miss the opportunity to needle Fengfu (GV16) and Fengchi (GB20). (Zhang Zhongjing states: In Taiyang disease, if vexation worsens or persists after taking Guizhi Tang, one should first needle Fengchi (GB20) and Fengfu (GV16), then administer Guizhi Tang (Cinnamon Twig Decoction) for cure.) When menstruation begins or ends, if there is fear of heat pathogens residing in the Blood Chamber (Xueshi), one should needle Qimen (LR14). (Zhang Zhongjing states: In women with Wind-Strike, if menstruation happens to begin or end, and heat enters the Blood Chamber, needle Qimen (LR14) according to deficiency or excess.) For neck stiffness, one should needle between Dazhui (GV14); regarding pulse patterns of "Zong" (vertical/longitudinal) and "Heng" (horizontal/lateral), needling the Liver's Mu-Alarm point, Qimen (LR14), is auspicious. (Zhang Zhongjing states: In concurrent Taiyang and Shaoyang disease with epigastric fullness, neck stiffness, and dizziness, needle the first interspace of Dazhui (GV14). Also, Liver overacting on Spleen is called "Zong," and Liver overacting on Lung is called "Heng"; both require needling Qimen (LR14), which is the Mu-Alarm point of the Liver.) For pregnant women at seven months presenting with edema-like heaviness below the waist, one should needle Laogong (PC8) and Guanyuan (CV4) to promote urination and drain Heart excess. (Zhang Zhongjing in *Shanghan Lun Yuyan* states: In pregnant women with Cold Damage presenting with abdominal fullness and heaviness below the waist resembling water accumulation, occurring at the seventh month when the Taiyin channel fails to nourish, this indicates Heart excess; needle Laogong (PC8) and Guanyuan (CV4), and cure follows urination.) Do not needle during states of great anger, great fatigue, great drunkenness, great satiety, or great hunger, as these are contraindicated. Regarding intense heat, profuse sweating, and chaotic pulses, one must not miss these prohibitions. (*Suwen* states: Do not needle intense heat, profuse sweating, or chaotic pulses.) Needle depth and distance should be based on meridian theory; this knowledge is passed down and should not be kept secret.
Generally, winter favors hot medicines for warming. (The general rule is that warm-hot medicines are suitable in winter.) Diarrhea cases involve two main pathways related to Shaoyin. (Zhang Zhongjing states: Among the nine conditions suitable for warming therapy, they all pertain to diarrhea and Shaoyin disease.) When there is abdominal fullness and body pain, prioritize rescuing the interior. (Zhang Zhongjing states: If fever, headache, and a contrary deep pulse persist, accompanied by worsening body pain, use Sini Tang (Frigid Extremities Decoction) to rescue the interior. Also, for diarrhea with abdominal fullness and body pain, warm the interior first with Sini Tang (Frigid Extremities Decoction)). If the pulse is slow and tight with persistent pain, warming is indicated. (Zhang Zhongjing states: In diarrhea with a slow and tight pulse where pain persists, warming is required. Cold-induced cases present with fullness, hardness, and intestinal mucus.) In Shaoyin disease, if cold-fluid retention exists above the diaphragm... (Zhang Zhongjing states: In Shaoyin disease, if food intake triggers vomiting, a sense of warmth and nausea in the heart without ability to vomit, initial cold hands and feet, and a string-tight slow pulse, indicating cold-fluid retention above the diaphragm causing dry retching, do not induce vomiting but warm instead.) Or when vomiting and diarrhea are difficult to distinguish, and the pulse is deep, faint, and choppy, Sini Tang (Frigid Extremities Decoction) or Lizhong Tang (Regulate the Middle Decoction) can be used for warming. (Zhang Zhongjing states: In Shaoyin diarrhea with a faint and choppy pulse, vomiting occurs, and frequent bowel movements yield little stool; warming is required. Also, a deep pulse requires urgent warming with Sini Tang (Frigid Extremities Decoction). *Shanghan Lun Yuyan* states: Various conditions requiring warming can be treated with Lizhong Tang (Regulate the Middle Decoction), Sini Tang (Frigid Extremities Decoction), or Fuzi Tang (Aconite Decoction) using hot medicines.)