狂始生，先自悲也，喜忘，苦怒，善恐者，得之忧饥。取手太阴、阳明，血变而止，及取足太阴、阳明。
狂病始生，而先自悲、喜忘、苦怒、善恐者，得之贫乏忧饥，抑郁久而勃发也。故取肺与大肠经以通郁
气，又调脾胃经以和阴阳也。
狂始发，少卧不饥，自高贤也，自辨智也，自尊贵也，善骂詈，日夜不休。治之取手阳明、太阳、太阴、
舌下少阴，视之盛者，皆取之，不盛，释之也。
不卧、不饥、骂詈等证，皆阳邪独盛也。视其血脉之盛者，皆取之以泄邪；如不盛，不必取而释之。其取
大小肠、肺、肾、心经者，以阳邪亢盛，而从上下阴阳通泄之也。
狂言，惊，善笑，好歌乐，妄行不休者，得之大恐。治之取手阳明、太阳、太阴。
此因恐而伤动心、肝二脏，风火鸱张，故现诸证。取肺与大肠经，通金气以制木邪，取小肠腑以泄心脏之
火也。
狂，目妄见，耳妄闻，善呼者，少气之所生也。治之取手太阳、太阴、阳明、足太阴、头两 。
由元气衰少，劳心神散，而妄见妄闻，气不宽舒，而口善呼，治之通其经，以调气安神也。
狂者多食，善见鬼神，善笑，而不发于外者，得之有所大喜。治之取足太阴、太阳、阳明，后取手太阴、
太阳、阳明。
喜则气缓，过喜则心神放逸，以至于狂，其气之散漫更甚矣。取六经表里，以调阴阳之气，使其平也。
狂而新发，未应如此者，先取曲泉左右动脉及盛者，见血有顷已；不已，以法取之，灸 骨二十壮。
狂病新发，其势不应如此之重而重者，内挟肝风炽盛之故，当先取足厥阴经之曲泉穴左右动脉，及他脉之
盛动者，刺之出血，少顷即已；如不已者，再如法刺之，并灸 骨，以通督脉之阳。
When mania (Kuang) first begins, the patient initially exhibits sadness, forgetfulness, distress and anger, and frequent fear. This arises from prolonged poverty, worry, and hunger. Treatment involves selecting points on the Hand Taiyin Lung Meridian and Hand Yangming Large Intestine Meridian until the blood changes color (from dark to bright red), followed by selecting points on the Foot Taiyin Spleen Meridian and Foot Yangming Stomach Meridian.
When mania first begins, presenting with initial sadness, forgetfulness, distress and anger, and susceptibility to fear, it results from long-term poverty, worry, and hunger leading to depression that suddenly erupts after a long period. Therefore, points on the Lung and Large Intestine meridians are selected to unblock stagnant Qi, and points on the Spleen and Stomach meridians are adjusted to harmonize Yin and Yang.
When mania erupts, the patient sleeps little, feels no hunger, considers themselves virtuous, wise, and noble, abuses others, and does so day and night without rest. Treatment involves selecting points on the Hand Yangming Large Intestine Meridian, Hand Taiyang Small Intestine Meridian, Hand Taiyin Lung Meridian, and the Shaoyin Kidney Meridian under the tongue. Observe the vessels; if they are full and vigorous, puncture them; if not full, leave them alone.
Symptoms such as inability to sleep, lack of appetite, and abusive speech are all manifestations of excessive Yang pathogenic factors. Puncture the vessels that appear full to drain the pathogen; if they do not appear full, do not puncture and abandon the treatment. The selection of the Large Intestine, Small Intestine, Lung, Kidney, and Heart meridians is because Yang pathogens are hyperactive, and treatment aims to drain the pathogen through the upper and lower Yin-Yang meridians.
Patients with mania who speak nonsense, are easily startled, laugh excessively, enjoy singing and music, and walk aimlessly without stopping, have contracted this due to great fright. Treatment involves selecting points on the Hand Yangming Large Intestine Meridian, Hand Taiyang Small Intestine Meridian, and Hand Taiyin Lung Meridian.
This condition arises because fright injures and disturbs the Heart and Liver organs, causing wind and fire to rage wildly, thus manifesting these symptoms. Points on the Lung and Large Intestine meridians are selected to promote Metal Qi to restrain Wood pathogen (Liver), and the Small Intestine Fu organ is targeted to drain Fire from the Heart.
Manic patients who see things that are not there, hear sounds that are not there, and frequently shout, suffer from a deficiency of Qi. Treatment involves selecting points on the Hand Taiyang Small Intestine Meridian, Hand Taiyin Lung Meridian, Hand Yangming Large Intestine Meridian, Foot Taiyin Spleen Meridian, and bilateral points on the head.
Due to the decline of Yuan Qi (Original Qi) and the scattering of the Shen (Spirit) caused by mental overexertion, hallucinations occur. The Qi fails to circulate smoothly, leading to frequent shouting. Treatment involves unblocking the meridians to regulate Qi and calm the Spirit.
Manic patients who eat large amounts, often see spirits or ghosts, laugh frequently, but keep their emotions inwardly suppressed, have contracted this due to excessive joy. Treatment involves selecting points on the Foot Taiyin Spleen Meridian, Foot Taiyang Bladder Meridian, and Foot Yangming Stomach Meridian, followed by points on the Hand Taiyin Lung Meridian, Hand Taiyang Small Intestine Meridian, and Hand Yangming Large Intestine Meridian.
Joy causes Qi to relax; excessive joy leads to the dissipation of Heart Shen, resulting in mania, where the dispersion of Qi is even more severe than usual. Points on the exterior and interior of the Six Meridians are selected to regulate Yin and Yang Qi and restore balance.
If mania has recently onset but presents with severity disproportionate to its newness, first select the arterial pulses at Ququan (LR8) on both sides and other vessels showing vigorous pulsation. Puncture to bleed; the condition should subside shortly. If it does not cease, apply further treatment according to method, and moxa the patella area for 20 moxibustion units (zhuang).
When mania newly appears but becomes severe despite being recent, it is due to internal flourishing of Liver Wind. One should first select the arterial pulse at Ququan (LR8) of the Foot Jueyin Liver Meridian on both sides, and other vessels with vigorous pulsation, puncturing to bleed. The condition should subside shortly. If it does not stop, puncture again according to method, and moxa the patella bone to unblock the Yang of the Du Mai (Governing Vessel).