厥头痛。面若肿。起而烦心。取之足阳明太阴。厥头痛头脉痛。心悲。善泣。视头动脉及盛者。刺尽去血。后调足
厥阴。厥头痛。贞贞头重而痛。泻头上五行。行五。先取手少阴。后取足少阴。厥头痛。意善忘。按之不得。取头面左
右动脉。后取足太阴。厥头痛。项先痛。腰脊为应。先取天柱。后取足太阳。厥头痛。头痛甚。耳前后脉涌。有热。泻
出其血。后取足少阳。真头痛。头痛甚。脑尽痛。手足寒至节。死不治。头痛不可取于 者。有所击堕。恶血在于内。
若肉伤。痛未已。可则刺。不可远取也。头痛不可刺者。大痹为恶。日作者。可令少愈。不可已。头半寒痛。先取手少
阳阳明。后取足少阳阳明。厥心痛。与背相控。善螈。如从后触其心。伛偻者。肾心痛也。先取京骨昆仑。发针。不已。
取然谷。厥心痛。腹胀。胸满。心尤痛甚。胃心痛也。取之大都太白。厥心痛。痛如以锥针刺其心。心痛甚者。脾心痛
也。取之然谷太溪。厥心痛色苍苍如死状。终日不得太息。肝心痛也。取之行间太冲。厥心痛。卧若徒居。心痛间。动
作痛益甚。（言但可卧或无事自坐也若痛时动作其痛益甚矣）色不变。肺心痛也。取之鱼际太渊。真心痛。手足清至节。
心痛甚。旦发夕死。夕发旦死。心痛不可刺者。中有盛聚。不可取于 。肠中有虫瘕及蛟 。皆不可取以小针。心肠痛
。作痛。（当是心腹懊 作痛）肿聚往来。上下行。痛有休止。腹热。喜渴。涎出者。是蛟 也。以手聚按而坚持之。
无令得移。以大针刺之。久持之。虫不动。乃出针也。 腹 痛。形中上者。（谓满腹 痛必正刺其肿聚往来之形上也）
耳聋无闻。取耳中。耳鸣。取耳前动脉。耳痛不可刺者。耳中有脓。若有干耵聍。耳无闻也。耳聋。取手小指次指爪甲
上与肉交者。先取手。后取足。耳鸣。取手中指爪甲上。左取右。右取左。先取手。后取足。足髀不可举。侧而取之。
在枢合中。以员利针。大针不可刺。病注下血。取曲泉。风痹淫泺。病不可已者。足如履冰。时如入涿中。股胫淫泺。
烦心。头痛。时呕。时 眩。已汗出。久则目眩。悲以喜恐。短气。不出三年。死也。（淫泺洗洗然 疼而无力也）
以头痛心痛为主。耳痛各病附之气焰。不及前篇。而亦有风樯阵马之势。叙事文能见气势。即马班亦难之。
Jue Tou Tong (Jue-type Headache). The face appears swollen. Upon rising, the patient feels vexed and irritable. Treatment involves selecting points from the Foot-Yangming and Foot-Taiyin meridians.
Jue Tou Tong (Jue-type Headache). The head vessels are painful. The patient feels sorrowful and prone to weeping. Observe the pulsating arteries in the head; puncture the ones that are full and excessive to drain all the blood. Subsequently, regulate the Foot-Jueyin meridian.
Jue Tou Tong (Jue-type Headhood). The head feels persistently heavy and painful. Discharge the five rows of points on the head (referring to the Du vessel and the two Bladder channels on either side), taking five points per row. First select points from the Hand-Shaoyin meridian, then from the Foot-Shaoyin meridian.
Jue Tou Tong (Jue-type Headache). The patient suffers from forgetfulness. Palpation of the head yields no specific tender point. Select the arterial pulses on the left and right sides of the head and face. Subsequently select points from the Foot-Taiyin meridian.
Jue Tou Tong (Jue-type Headache). Neck pain precedes the headache, with corresponding pain in the lower back and spine. First select Tianzhu (BL11), then select points from the Foot-Taiyang meridian.
Jue Tou Tong (Jue-type Headache). The headache is severe. The pulses around the ears surge and are prominent, accompanied by heat. Drain the blood. Subsequently select points from the Foot-Shaoyang meridian.
Zhen Tou Tong (True Headache). The headache is extremely severe, penetrating the entire brain. The hands and feet are cold up to the joints. This is a fatal condition and cannot be treated.
Headache caused by being struck or fallen, resulting in evil blood retained inside, or muscle injury where pain persists: local acupuncture may be applied; distal point selection is not appropriate.
Headache that cannot be needled refers to severe Bi syndrome (obstruction). If it occurs daily, symptoms may slightly improve, but it cannot be cured.
Cold pain on one side of the head: first select points from the Hand-Shaoyang and Hand-Yangming meridians, then from the Foot-Shaoyang and Foot-Yangming meridians.
Jue Xin Tong (Jue-type Heart Pain). Pain radiates to the back. There is frequent twitching/spasm. It feels as if someone is touching the heart from behind, causing the patient to stoop. This is Kidney Jue Xin Tong. First select Jinggu (BL64) and Kunlun (BL60). After removing the needles, if there is no improvement, select Ran Gu (KI2).
Jue Xin Tong (Jue-type Heart Pain). Abdominal distension, chest fullness, and severe heart pain. This is Stomach Jue Xin Tong. Select Dadu (SP2) and Taibai (SP3).
Jue Xin Tong (Jue-type Heart Pain). Pain feels like being pierced by an awl or needle. Severe heart pain. This is Spleen Jue Xin Tong. Select Ran Gu (KI2) and Taixi (KI3).
Jue Xin Tong (Jue-type Heart Pain). The complexion is pale green, resembling death. The patient cannot take deep breaths throughout the day. This is Liver Jue Xin Tong. Select Xingjian (LR2) and Taichong (LR3).
Jue Xin Tong (Jue-type Heart Pain). Heart pain alleviates when lying down or sitting still. Pain worsens significantly upon movement. The complexion does not change. This is Lung Jue Xin Tong. Select Yuji (LU10) and Taiyuan (LU9).
Zhen Xin Tong (True Heart Pain). Hands and feet are cold up to the joints. Severe heart pain. Onset in the morning leads to death in the evening; onset in the evening leads to death in the morning.
Heart pain that cannot be needled indicates the presence of excessive accumulation inside. [Text missing/unclear]. Intestinal parasites (Chong Jia) and Jiao Wu (a type of parasitic worm) cannot be treated with small needles. Heart and abdominal pain, feeling of stifling discomfort and pain. Swelling and masses move up and down. Pain has intervals. Abdominal heat, thirst, and salivation indicate Jiao Wu disease. Press firmly with the hand to fix the mass in place. Use a large needle. Retain the needle for a long time until the parasite stops moving, then remove it.
Abdominal pain where the swelling is located in the upper part of the abdomen: [Commentary: When the whole abdomen hurts, one must directly needle the area of the moving mass].
Deafness and inability to hear: select Er Zhong (TE21). Tinnitus: select the arterial pulse in front of the ear. Ear pain that cannot be needled indicates pus in the ear or dry cerumen (earwax), resulting in hearing loss. Deafness: select the corner of the nail at the junction of flesh on the fourth finger of the hand (Guanchong, TE1). First select hand points, then foot points. Tinnitus: select the corner of the nail on the middle finger (Zhongchong, PC9). Treat left with right, right with left. First select hand points, then foot points.
Inability to lift the thigh: select the point while the patient is in a lateral position. The point is located in the depression between the greater trochanter and the sacrum (Huantiao, GB30). Use a Yuanli needle (Round-sharp needle). Large needles should not be used here.
Disease manifesting as urgent lower bleeding: select Ququan (LR8).
Wind-Bi and Yinluo (weakness and limpness of legs). Incurable cases: feet feel like walking on ice, sometimes sinking into mud. Thighs and calves feel weak and limp. Vexation, headache, occasional vomiting, occasional dizziness. After sweating, long-term effects include visual vertigo, emotional instability (sorrow, joy, fear), and shortness of breath. Death will occur within three years. [Commentary: Yinluo describes a sensation of shivering pain and weakness].
This text focuses mainly on headache and heart pain, with ear pain and other conditions appended. Its momentum is less than the previous chapter, yet it possesses the force of wind-driven sails and charging horses. Narrative prose demonstrating such momentum is difficult even for Sima Qian or Ban Gu.