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Whenever encountering severe cases of throat obstruction (Hou Bi), winding throat wind (Chan Hou Feng), white membrane throat (Bai Hou), sand disease (Sha Zheng), single tonsillar swelling (Dan E), double tonsillar swelling (Shuang E), or wind-fire throat (Feng Huo Hou), where medication fails to alleviate symptoms, and the patient presents with nausea, extreme mental exhaustion, coma, incoherent speech, and unbearable pain, acupuncture may be used to bleed the blue veins on both sides under the root of the tongue (a severe manifestation of Bai Hou). One must absolutely avoid puncturing the central blue vein. The needle depth should be approximately one fen. After releasing the foul blood, rinse the mouth thoroughly with cool water, then puncture the Shaoshang acupoint. Shaoshang is located on the radial side of the thumb nail, one fen away from the nail corner. During the procedure, forcefully pull down along the arm towards the tip of the thumb for forty to fifty repetitions. Once the thumb is reached, insert the needle into the acupoint, first piercing the medial side and then the lateral side, twisting to drain foul fluid. For males, start with the left hand; for females, start with the right hand. Both hands should be treated. If the tonsils are swollen, bleeding via acupuncture is also indicated. However, on the 5th day of the lunar month, when the Ren Shen (Person Spirit) is in the mouth, needling is contraindicated. On the 6th day, when Ren Shen is in the hands, needling Shaoshang is contraindicated. On the 15th day, when Ren Shen pervades the whole body, needling is contraindicated everywhere.

Shaoshang Acupoint: Belongs to the Hand-Taiyin Lung Meridian. Located on the medial side of the thumb, one fen from the nail corner. Puncture and retain for the duration of one breath before withdrawing.

Shangyang Acupoint: Belongs to the Hand-Yangming Large Intestine Meridian. Located on the medial side of the index finger, one fen from the nail corner. Insert one fen, retain for one breath, then withdraw.

Zhongchong Acupoint: Belongs to the Hand-Jueyin Pericardium Meridian. Located at the tip of the middle finger, one fen from the nail corner, in a depression of one fen. Retain for three breaths before withdrawing.

Guanchong Acupoint: Belongs to the Hand-Shaoyang Sanjiao Meridian. Located on the lateral side of the ring finger, one fen from the nail corner. Insert one fen, retain for three breaths before withdrawing.

Shaochong Acupoint: Belongs to the Hand-Taiyang Small Intestine Meridian. Located on the medial side of the little finger, one fen from the nail corner. Superficial insertion and withdrawal.

Jiache Acupoint: Belongs to the Foot-Yangming Stomach Meridian. Located eight fen below the ear, at the anterior end of the masseter muscle. With the mouth open, locate the depression. Insert three fen and withdraw.

Quchi Acupoint: Belongs to the Hand-Yangming Large Intestine Meridian. Located at the midpoint of the transverse crease at the lateral end of the elbow when the arm is flexed and the chest is embraced. Insert five fen, retain for seven breaths, then withdraw.

Hegu Acupoint: Belongs to the Hand-Yangming Large Intestine Meridian. Located in the depression between the metacarpal bones of the thumb and index finger. Insert three fen, retain for six breaths, then withdraw.

Daily locations of Ren Shen (Person Spirit): Day 1: big toe; Day 2: lateral malleolus; Day 3: inner thigh; Day 4: waist; Day 5: mouth; Day 6: hands; Day 7: medial malleolus; Day 8: wrist; Day 9: sacrum; Day 10: lower back; Day 11: nasal bridge; Day 12: hairline; Day 13: teeth; Day 14: epigastrium; Day 15: whole body; Day 16: stomach; Day 17: Qichong; Day 18: outer thigh; Day 19: foot; Day 20: lateral malleolus; Day 21: little finger of the hand; Day 22: ankle; Day 23: liver and feet; Day 24: Hand-Yangming meridian; Day 25: Foot-Yangming meridian; Day 26: chest; Day 27: knee; Day 28: yin region; Day 29: knee and shin; Day 30: dorsum of the foot.