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(Su Wen: Jue Lun, continuing from the previous chapter)
The Yellow Emperor said: I wish to hear about the symptoms and manifestations of Jue (reversal qi) in the six meridians. ("Neng" is synonymous with "Xing", meaning form or manifestation. The previous chapter discussed the root cause of pathological Jue, so here it asks again about the specific conditions of each meridian.) Qi Bo replied: When the Foot-Taiyang Bladder Meridian experiences Jue,
there will be swelling of the head, heaviness of the head, inability to walk on the feet, and sudden collapse ("Xuan" refers to dizziness and blurred vision. "Pu" refers to sudden falling. The Foot-Taiyang Bladder Meridian originates at the inner canthus of the eye, ascends to the forehead, intersects at the vertex, and enters the brain to connect with the brain network, thus causing head swelling, heaviness, and sudden collapse. Its descending branch merges in the popliteal fossa and penetrates the calf muscles, thus causing the inability to walk. "Xuan" sounds like "Xuan".) When the Foot-Yangming Stomach Meridian experiences Jue, one may suffer from manic-depressive illness, desire to run and shout, abdominal fullness, inability to lie down, red and hot face, delusions, and incoherent speech. (The Yangming Meridian is the stomach meridian, belonging to the category of abundant qi and blood. When qi rebels in the stomach, Yangming pathogenic factors become excessive, thus causing manic disorders and the desire to run and shout. Its meridian circulates within the abdomen, thus causing abdominal fullness. When the stomach is not harmonious, sleep is disturbed, thus causing the inability to lie down. The Yangming meridian runs on the face, thus causing a red and hot face. Excessive yang pathogenic factors disturb the spirit, thus causing delusions and incoherent speech.) When the Foot-Shaoyang Gallbladder Meridian experiences Jue, there will be sudden deafness, swelling and heat in the cheeks, hypochondriac pain, and immobility of the knees. (When the Foot-Shaoyang Meridian experiences Jue, its meridian enters the ear, thus causing sudden deafness; it descends to Jiache point, thus causing cheek swelling and heat; it descends past the axilla, along the chest side passing the lateral costal margin, thus causing hypochondriac pain; it descends out of the lateral knee, running anterior to the fibula, thus causing knee immobility. "Hang" sounds like "Kang".) When the Foot-Taiyin Spleen Meridian experiences Jue, there will be abdominal fullness and distension, difficulty in defecation, loss of appetite, vomiting after eating, and inability to lie down. (The Foot-Taiyin Spleen Meridian enters the abdomen, belongs to the spleen, and connects with the stomach, thus causing abdominal fullness during Jue. Rebellious qi in the spleen causes difficulty in bowel movements, loss of appetite, and vomiting after eating. The spleen and stomach are exterior-interior partners; when the stomach is not harmonious, sleep is disturbed, and the same applies to the spleen meridian.) When the Foot-Shaoyin Kidney Meridian experiences Jue, there will be dry mouth, red urine, abdominal fullness, and heart pain. (When the Foot-Shaoyin Meridian experiences Jue, its meridian circulates along the throat and clamps the base of the tongue, thus causing dry mouth. The kidney meridian connects with the bladder, thus causing red urine. Its straight branch ascends from the kidney through the liver and diaphragm; its branch emerges from the lung, connects with the heart, and pours into the chest, thus causing abdominal fullness and heart pain.) When the Foot-Jueyin Liver Meridian experiences Jue, there will be swelling and pain in the lower abdomen, abdominal distension, difficulty in urination and defecation, a preference for lying down with knees flexed, contraction and swelling of the genitals, and heat in the medial thigh. (The Foot-Jueyin Liver Meridian reaches the lower abdomen and flanks the stomach, thus causing lower abdominal swelling/pain and abdominal distension during Jue. Its meridian circles the genitalia, thus causing difficulty in urination/defecation and genital contraction/swelling. The liver governs tendons and is the root of endurance, thus causing weak legs, a preference for lying down, and knee flexion. Its descending part runs along the medial aspect of the lower leg, thus causing heat in the medial thigh. "Jing" sounds like "Jing", a river name. "Sou" sounds like "Sou".) For excess patterns, use draining methods; for deficiency patterns, use tonifying methods; for neither excess nor deficiency, treat by selecting points from the affected meridian. (Neither excess nor deficiency refers merely to rebellious qi in the meridian without regard to deficiency or excess, so one simply selects points from that meridian. The rationale is detailed in the first ten sections of this category.)

When the Foot-Taiyin Spleen Meridian experiences Jue, there is cramping and spasm of the calf, heart pain radiating to the abdomen; treatment should target the primary disease site. (The following also discusses the Foot Six Meridians. The Foot-Taiyin Spleen Meridian ascends into the calf, runs posterior to the tibia, thus causing calf cramping. It enters the abdomen and pours into the heart, thus causing heart pain radiating to the abdomen. "Treating the primary disease site" means that for the left, right, upper, and lower aspects of this meridian, as well as Yuan and Shu points, there are appropriate points to use; one must examine what is primarily affected and needle accordingly. The rest follows this principle. Note: The Jue of the Six Meridians was already covered above; the reason for repeating it is that, according to Quan Yuanqi's edition, starting from this section, it appears separately in Volume 9. They likely explain each other and originally belonged to two different chapters, which Wang Bing reclassified here, rather than being a repetition in this chapter.) When the Foot-Shaoyin Kidney Meridian experiences Jue, there is false fullness, vomiting with changes, and passage of clear watery stool; treatment should target the primary disease site. (The kidney is the gate of the stomach; thus, when Shaoyin experiences Jue, the lower jiao fails to transform, leading to false fullness and vomiting with changes. Kidney disease leads to decline of Mingmen (Gate of Life) yang qi, thus causing passage of cold, clear stool.) When the Foot-Jueyin Liver Meridian experiences Jue, there is spasmodic lumbar pain, false fullness, anterior closure (urinary retention), and delirious speech; treatment should target the primary disease site. (The Jueyin meridian connects with various tendons, thus causing spasms and lumbar pain. Liver pathogenic factors invade spleen-earth, thus causing false fullness. The liver meridian circles the genitalia, thus causing anterior closure/blockage. The liver stores the Hun (Ethereal Soul); when Jue occurs in the liver, the Hun becomes chaotic, thus causing delirious speech.) When all three Yin meridians experience Jue simultaneously, there is obstruction of both anterior and posterior orifices (urination and defecation), causing cold limbs; death occurs within three days. (Obstruction of anterior and posterior orifices refers to either blockage or incontinence, deviating from normal function. Simultaneous Jue of the Three Yin meridians leads to exhaustion of Zang organ qi. The Yangming Maijie Pian states: If Jue connects to the meridians, life is preserved; if it connects to the Zang organs, death ensues. This is what is meant.) When the Foot-Taiyang Bladder Meridian experiences Jue, there is stiffness and collapse, hematemesis, and frequent epistaxis; treatment should target the primary disease site. (The Foot-Taiyang Bladder Meridian originates at the inner canthus, enters the brain from the vertex, runs along the spine and loins, penetrates the calf, and is the great meridian of the Three Yangs, thus governing stiffness, collapse, and epistaxis. However, the Back-Shu points of the Five Zang organs are all connected to this meridian; thus, when this meridian experiences Jue, hematemesis should occur. "Nu" sounds like "Nüliuqie".) When the Foot-Shaoyang Gallbladder Meridian experiences Jue, joint mobility is impaired. Those with impaired joint mobility cannot walk with their waist or look back with their neck. (The Foot-Shaoyang Meridian is the Gallbladder Meridian. "Guanji" (joints/mechanisms) refers to the convergence of sinews and bones. The Gallbladder corresponds to sinews; Shaoyang Jue leads to sinus dysfunction, thus causing these waist and neck disorders.) If intestinal abscess develops, it is incurable; if convulsions/fright occur, death ensues. (Intestinal abscess developing from Shaoyang Jue is due to the accumulation of toxic fire-ministerial fire, thus incurable. If fright occurs, the toxin has connected to the Zang organs, thus leading to death.) When the Foot-Yangming Stomach Meridian experiences Jue, there is wheezing and cough, body heat, susceptibility to fright, epistaxis, and hematemesis. (The Yangming meridian circulates along the throat, enters the clavicular fossa, and descends through the diaphragm, thus causing wheezing and cough. Yangming governs the muscles, thus causing body heat. Wind-wood pathogenic factors induce fright, which the stomach fears, thus causing susceptibility to fright. The Yangming meridian originates at the nose and belongs to the stomach; when qi rebels, it causes epistaxis and hematemesis.)

When the Hand-Taiyin Lung Meridian experiences Jue, there is false fullness and cough, and frequent vomiting of frothy saliva; treatment should target the primary disease site. (The following discusses Jue of the Hand Six Meridians. The Hand-Taiyin Lung Meridian originates in the middle jiao, circulates around the stomach opening, ascends through the diaphragm, and belongs to the lung, thus producing such symptoms.) When the Hand-Jueyin Pericardium Meridian and Hand-Shaoyin Heart Meridian experience Jue, there is heart pain radiating to the throat and body heat; this is fatal and incurable. (The Hand-Jueyin Pericardium Meridian originates in the chest and emerges to belong to the Pericardium; the Hand-Shaoyin Heart Meridian ascends from the Heart System to clamp the pharynx; both cause heart pain radiating to the throat. These two meridians belong to Fire and govern blood vessels, thus causing body heat. The Heart is the Great Master of the Five Zang and Six Fu organs; thus, when it rebels, it is fatal and incurable.) When the Hand-Taiyang Small Intestine Meridian experiences Jue, there is deafness and tearing, inability to look back with the neck, and inability to bend or extend the waist; treatment should target the primary disease site. (The Hand-Taiyang Small Intestine Meridian reaches the inner and outer canthi and enters the ear, thus causing deafness and tearing during Jue. Its branch from the clavicular fossa circulates along the neck, thus causing inability to look back. Additionally, the Six Seasons Qi Pian states: Pathogens in the Small Intestine connect to the testicular cords and belong to the spine. Thus, the waist cannot bend or extend.) When the Hand-Yangming Large Intestine Meridian and Hand-Shaoyang Sanjiao Meridian experience Jue, there is development of Hou Bi (throat obstruction) and throat swelling, and arm spasms; treatment should target the primary disease site. (The Hand-Yangming Large Intestine Meridian ascends from the clavicular fossa to the neck and passes through the cheek; the Hand-Shaoyang Sanjiao Meridian emerges from the clavicular fossa to the neck; thus, both cause Hou Bi and throat swelling. According to Quan Yuanqi's edition, " " is written as "Jing", referring to rigidity of the arms, shoulders, and neck. "Chi" sounds like "Chi". "Jing" sounds like "Jing".)