（《灵枢·终始篇》《癫狂篇》《杂病篇》《寒热病篇》《四时气篇》《素问·长刺节论》）
刺热厥者，留针反为寒；刺寒厥者，留针反为热。
（《灵枢·终始篇》。厥论曰∶阳气衰于下，则为寒厥；阴气衰于下，则为热厥。凡刺热厥者，久留其针则热气去，
故可反为寒。刺寒厥者，久留其针则寒气去，故可反为热。）刺热厥者，二阴一阳；刺寒厥者，二阳一阴。所谓二阴者，
二刺阴也；一阳者，一刺阳也。（二刺阴、一刺阳者，谓补其阴经二次，泻其阳经一次，则阴气盛而阳邪退，故可以治热
厥。其二阳一阴者，亦犹是也，故可以治寒厥。）
风逆，暴四肢肿，身漯漯，唏然时寒，饥则烦，饱则善变，取手太阴表里，足少阴、阳明之经，肉 取荥，骨 取
井、经也。
（《灵枢·癫狂篇》。风感于外，厥气内逆，是为风逆。身漯漯，皮毛寒栗也。唏然时寒，气咽抽息而噤也。饥则烦，
饱则变动不宁，风邪逆于内也。手太阴表里，肺与大肠也。足少阴，肾也。足阳明，胃也。 ，寒冷也。取荥取井取经，
即指四经诸穴为言。漯音磊。唏音希。 音倩。）厥逆为病也，足暴 ，胸若将裂，肠若将以刀切之，烦而不能食，脉大
小皆涩，暖取足少阴， 取足阳明， 则补之，温则泻之。（足暴 ，暴冷也。胸若将裂，肠若刀切，懊 痛楚也。烦不
能食，气逆于中也。脉大小皆涩，邪逆于经也。如身体温暖，则当取足少阴以泻之。身体清冷，则当取足阳明以补之。
按足少阴则涌泉、然谷，足阳明则厉兑、内庭、解溪、丰隆，皆主厥逆。）厥逆，腹胀满，肠鸣，胸满不得息，取之下胸
二胁咳而动手者，与背 以手按之立快者是也。（下胸二胁，谓胸之下，左右二胁之间也。盖即足厥阴之章门、期门，令
病患咳，其脉动而应手者，是其穴也。又当取之背 ，以手按之，其病立快者，乃其当刺之处，盖足太阳经肺 、膈
之间也。）内闭不得溲，刺足少阴、太阳与 上以长针。（此下四节，皆言厥逆兼证也。内闭不得溲者，病在水脏，故当
刺足少阴经之涌泉，筑宾，足太阳经之委阳、飞阳、仆参、金门等穴。 上，即督脉尾 骨之上，穴名长强。刺以长针，
第八针也。溲音搜。 音氐。）气逆，则取其太阴、阳明、厥阴，甚取少阴、阳明动者之经也。（太阴脾经，取隐白、公
孙。阳明胃经，取三里、解溪。厥阴肝经，取章门、期门。甚则兼少阴、阳明而取之。动者之经，谓察其所病之经而刺
之也。）少气，身漯漯也，言吸吸也，骨酸体重，懈惰不能动，补足少阴。（身漯漯，寒栗也。言吸吸，气怯也。此皆精
虚不能化气，故当补足少阴肾经。）短气，息短不属，动作气索，补足少阴，去血络也。（此亦气虚也，故宜补肾。但察
有血络，则当去之。按∶此二节皆属气虚，不补手太阴而补足少阴者，阳根于阴，气化于精也。治必求本，于此可见，
用针用药，其道皆然。）
厥，挟脊而痛者，至顶，头沉沉然，目KT KT 然，腰脊强，取足太阳 中血络。
（《灵枢·杂病篇》。厥在头顶腰脊者，膀胱经病也，故当取 中血络，即足太阳之委中穴。KT 音荒。）厥，胸满面
肿，唇漯漯然，暴言难，甚则不能言，取足阳明。（唇漯漯，肿起貌。病而在面在胸及不能言者，以胃脉行于 颊，挟口
环唇，循喉咙下胸膈也，故当取足阳明经穴以治之。）厥气走喉而不能言，手足 ，大便不利，取足少阴。（厥气走喉而
不能言者，肾脉循喉咙系舌本也。手足 者，肾主水，阴邪盛也。大便不利者，阴气不化也。故当取足少阴经穴。）厥而
腹向向然，多寒气，腹中HT HT ，便溲难，取足太阴。（腹向向然，寒气滞于脾也。又HT HT 然，水谷不分之声
也。便溲难，脾脉聚于阴器也。故当取足太阴经穴。HT 音斛。）
痿厥为四末束 ，乃疾解之，日二，不仁者十日而知，无休，病已止。（同前篇。四末，四肢也。束 ，挛束 乱也。
当刺四肢之穴，疾速解之，每日取之必二次。甚至有不仁而痛痒无觉者，解之十日，必渐有知。此法行之无休，待其病
已而后可止针。 ，美本切。）
热厥，取足太阴、少阳，皆留之；寒厥，取足阳明、少阴于足，皆留之。
（《灵枢·寒热病篇》。热厥者，阳邪有余，阴气不足也，故当取足太阴而补之，足少阳而泻之。寒厥者，阴邪有余，
阳气不足也，故当取足阳明而补之，足少阴而泻之。补者，补脾胃二经以实四肢；泻者，泻水火二经以泄邪气。然必皆
久留其针，则泻者可去，补者乃至矣。此当与上文首节二节终始篇义相参为用。）舌纵涎下烦 ，取足少阴。（此下三节，
皆兼寒热二厥而言也。舌纵不收及涎下烦闷者，肾阴不足，不能收摄也，故当取足少阴经而补之。）振寒洒洒，鼓颔不得
汗出，腹胀烦 ，取手太阴。（鼓颔，振寒鼓腮也。凡此诸证皆阳气不足之候，故当取手太阴肺经而补之。颔，何敢切。）
刺虚者，刺其去也；刺实者，刺其来也。（刺其去，追而济之也。刺其来，迎而夺之也。卫气行篇亦有此二句，详经络类
二十五。）
厥痹者，厥气上及腹，取阴阳之络，视主病也，泻阳补阴经也。（同前篇。厥必起于四肢，厥而兼痹，其气上及于腹
者，当取足太阴之络穴公孙，足阳明之络穴丰隆，以腹与四肢治在脾胃也。然必视其主病者，或阴或阳而取之。阳明多
实故宜泻，太阴多虚故宜补。）
病在筋，筋挛节痛，不可以行，名曰筋痹，刺筋上为故，刺分肉间，不可中骨也，病起筋炅病已止
（《素问·长刺节论》。筋上为故，病在筋上之故也。刺分肉间，刺其痛处筋肉分理之间也，刺筋者不可中骨。筋热
则气至，故病已而止针。炅，居永切，热气也。）病在肌肤，肌肤尽痛，名曰肌痹，伤于寒湿，刺大分小分，多发针而深
之，以热为故，无伤筋骨，伤筋骨痈发若变，诸分尽热病已止。（肌痹者，痹在肉也。大分小分，大肉小肉之间也，即气
穴论肉之大会为谷、小会为溪之义。病在肌肉，其气散漫，故必多发针而深刺之也。无伤筋骨者，恐其太深致生他变。
如《终始篇》曰∶病浅针深，内伤良肉，皮肤为痈。正此之谓。诸分尽热者，阳气至而阴邪退也，故可已病而止针。）病
在骨，骨重不可举，骨髓酸痛，寒气至，名曰骨痹，深者刺无伤脉肉为故，其道大分小分，骨热病已止。（无伤脉肉为故，
其故在勿伤脉肉也。盖骨痹之邪最深，当直取之，无于脉分肉分妄泄其真气。但针入之道，由大分小分之间耳。必使骨
间气热，则止针也。）
骨痹，举节不用而痛，汗注烦心，取三阴之经补之。
（《灵枢·寒热病篇》。骨痹者，病在阴分也。支节不用而痛、汗注烦心者，亦病在阴分也。真阴不足，则邪气得留
于其间，故当取三阴之经，察病所在而补之也。按∶五邪篇曰∶邪在肾则病骨痛阴痹，取之涌泉、昆仑，视有血者尽取
之。与此互有发明，所当参阅，详本类前二十五。）
着痹不去，久寒不已，卒取三里
（《灵枢·四时气篇》。痹论曰∶湿气胜者为着痹。谓其重着难动，故云不去。若寒湿相搏，久而不已，当猝取足阳
明之三里穴，温补胃气，则寒湿散而痹可愈也。）
(From *Lingshu: Zhongshi Pian*, *Diankuang Pian*, *Zabing Pian*, *Hanre Bing Pian*, *Sishi Qi Pian* and *Suwen: Changci Jie Lun*)
When needling for Rejue (Heat Jue), leaving the needle in place for too long may conversely induce cold; when needling for Hanjue (Cold Jue), leaving the needle in place for too long may conversely induce heat.
(*Lingshu: Zhongshi Pian* states: The *Juelun* says that if Yang Qi is deficient at the lower part, it results in Hanjue (Cold Jue); if Yin Qi is deficient at the lower part, it results in Rejue (Heat Jue). In all cases of needling for Rejue, prolonged retention of the needle dissipates Heat Qi, thus converting the condition to cold. For Hanjue, prolonged retention dissipates Cold Qi, thus converting the condition to heat.) When needling for Rejue (Heat Jue), employ the method of "Two Yin and One Yang"; when needling for Hanjue (Cold Jue), employ the method of "Two Yang and One Yin". The term "Two Yin" refers to needling the Yin meridians twice; "One Yang" refers to needling the Yang meridians once. ("Two Yin and One Yang" means tonifying the Yin meridians twice and draining the Yang meridians once, thereby strengthening Yin Qi and retreating Yang pathogenic factors, thus treating Rejue. Similarly, "Two Yang and One Yin" applies the same logic to treat Hanjue.)
Wind-Ni (Wind Counterflow) presents with sudden swelling of the four limbs, a sensation of shivering coldness (*Sheluo*), frequent yawning accompanied by chills, irritability when hungry, and restlessness after eating. Treatment should select the Hand Taiyin Lung Meridian and its interior-exterior paired Hand Yangming Large Intestine Meridian, as well as the Foot Shaoyin Kidney Meridian and Foot Yangming Stomach Meridian. For pathology in the muscles, select Ying-Spring points; for pathology in the bones, select Jing-Well and Jing-River points.
(*Lingshu: Diankuang Pian* explains: Wind pathogen affects the exterior, while Jue Qi counterflows internally, constituting Wind-Ni. *Sheluo* refers to aversion to cold and shivering of skin and hair. Frequent yawning with chills indicates gasping breath and jaw clenching. Irritability when hungry and restlessness after eating indicate wind pathogen counterflowing internally. Hand Taiyin interior-exterior refers to the Lung and Large Intestine. Foot Shaoyin refers to the Kidney. Foot Yangming refers to the Stomach. *Sheluo* sounds like 'lei'. *Xi* sounds like 'xi'. [Character] sounds like 'qian'.) Hanjue (Cold Jue) disease presents with sudden coldness of the feet, a sensation of chest splitting, intestinal pain as if cut by a knife, irritability, and inability to eat. The pulse is choppy regardless of size. If the body is warm, select Foot Shaoyin points; if the body is cold, select Foot Yangming points; use tonification for deficiency and sedation for excess. (Sudden foot coldness indicates acute cold. Chest splitting and intestinal cutting pain indicate agonizing suffering. Irritability and inability to eat indicate Qi counterflow in the middle jiao. Choppy pulse indicates pathogenic counterflow in the meridians. If the body is warm, sedate Foot Shaoyin. If cold, tonify Foot Yangming. Note: Foot Shaoyin includes Yongquan and Ranggu; Foot Yangming includes Lidui, Neiting, Jiexi, and Fenglong; all treat Jue Ni.) Jue Ni presenting with abdominal distension, borborygmus, chest fullness, and dyspnea should be treated by selecting points below the chest between the two hypochondria where the pulse beats visibly upon coughing, and points on the back that provide immediate relief upon palpation. (Below the chest between the two hypochondria refers to the area below the chest, between the left and right ribs. These are Zhangmen and Qimen of the Foot Jueyin Liver Meridian. Ask the patient to cough; if the pulse moves and is felt by hand, these are the points. Also select back-Shu points; press with hand, if relief occurs, these are the needling sites, likely between Feishu and Geshu of the Foot Taiyang Bladder Meridian.) Internal obstruction with urinary retention requires needling the Foot Shaoyin, Foot Taiyang, and the Changqiang point on the Du Mai using a long needle. (The following four sections discuss Jue Ni complications. Internal obstruction with urinary retention indicates pathology in the Water Zang organ, requiring needling Yongquan and Zubin of Foot Shaoyin, Weiyang, Feiyang, Pucan, and Jinmen of Foot Taiyang. Changqiang is located above the coccyx on the Du Mai. Use a long needle, which is the eighth type of needle. *Sou* sounds like 'sou'. [Character] sounds like 'di'.) Qi counterflow requires selecting the Hand Taiyin, Hand Yangming, and Foot Jueyin meridians; in severe cases, select the Foot Shaoyin and Foot Yangming meridians where the pulse is active. (For Spleen Taiyin, select Yinbai and Gongson. For Stomach Yangming, select Zusanli and Jiexi. For Liver Jueyin, select Zhangmen and Qimen. Severe cases involve both Shaoyin and Yangming. Active meridians refer to those exhibiting pathological pulsation.) Shortness of Qi, shivering coldness, weak speech, bone soreness, heaviness, and lethargy require tonifying the Foot Shaoyin Kidney Meridian. (Shivering indicates cold chills. Weak speech indicates Qi deficiency. These indicate essence deficiency failing to transform into Qi, thus tonifying Foot Shaoyin is necessary.) Shortness of Qi with shallow, discontinuous breathing, exhaustion upon movement, requires tonifying the Foot Shaoyin Kidney Meridian and removing blood stasis from collateral vessels. (This also indicates Qi deficiency, suitable for kidney tonification. However, check for collateral blood stasis and remove it if present. Note: These two sections belong to Qi deficiency. Not tonifying Hand Taiyin but tonifying Foot Shaoyin is because Yang roots in Yin, and Qi transformation relies on Essence. Treating the root is evident here; this principle applies to both acupuncture and herbal medicine.)
Jue Ni with pain along the spine extending to the vertex, heavy head, blurred vision, and stiff lumbar spine requires pricking the blood collaterals at Weizhong of the Foot Taiyang Bladder Meridian.
(*Lingshu: Zabing Pian* states: Jue affecting the vertex and lumbar spine is a Bladder Meridian disorder, thus prick the blood collateral at Weizhong. *Kuang* sounds like 'huang'.) Jue with chest and facial swelling, swollen lips with drooling, difficulty speaking suddenly, or inability to speak in severe cases, requires selecting Foot Yangming Stomach Meridian points. (Swollen lips indicate edema. Pathology in the face, chest, and aphasia occurs because the Stomach Meridian passes through the cheek, encircles the mouth, follows the throat, and descends to the chest/diaphragm; thus, Foot Yangming points are indicated.) Jue Qi rushing to the throat causing aphasia, spasticity/numbness of hands and feet, and constipation requires selecting Foot Shaoyin Kidney Meridian points. (Aphasia due to Jue Qi in the throat occurs because the Kidney Meridian follows the throat and connects to the tongue base. Spasticity/numbness occurs because the Kidney governs Water and Yin pathogens are abundant. Constipation occurs because Yin Qi fails to transform; thus, Foot Shaoyin points are indicated.) Jue with abdominal distension and gurgling, excessive cold qi, borborygmus, and difficult urination/defecation requires selecting Foot Taiyin Spleen Meridian points. (Abdominal gurgling indicates cold stagnation in the Spleen. Borborygmus indicates failure to separate clear and turbid. Difficult urination/defecation occurs because the Spleen Meridian gathers at the genitalia; thus, Foot Taiyin points are indicated. *Hu* sounds like 'hu'.)
Wei-Jue (Atrophy-Jue) treated by binding the four extremities tightly and then quickly releasing them, twice daily. If numbness persists, perception returns within ten days. Continue without rest until recovery.
(Same chapter. Four extremities refer to the limbs. Binding causes constriction and disruption of Qi/Blood. Needle limb points and release quickly, twice daily. Even if insensate to pain/itch, release for ten days to restore sensation. Practice continuously until cured.)
Rejue (Heat Jue) requires selecting Foot Taiyin Spleen and Foot Shaoyang Gallbladder meridians, retaining the needles. Hanjue (Cold Jue) requires selecting Foot Yangming Stomach and Foot Shaoyin Kidney meridian points on the foot, retaining the needles.
(*Lingshu: Hanre Bing Pian* states: Rejue involves excess Yang pathogen and deficient Yin Qi; thus, tonify Foot Taiyin and sedate Foot Shaoyang. Hanjue involves excess Yin pathogen and deficient Yang Qi; thus, tonify Foot Yangming and sedate Foot Shaoyin. Tonification strengthens Spleen/Stomach to fill the limbs; sedation drains Water/Fire to expel pathogens. Long needle retention is essential for efficacy. This complements the principles in *Zhongshi Pian*.) Tongue flaccidity with drooling and irritability requires selecting Foot Shaoyin Kidney Meridian. (These three sections discuss mixed Cold/Heat Jue. Tongue flaccidity, drooling, and irritability indicate Kidney Yin deficiency failing to secure fluids; thus, tonify Foot Shaoyin.) Chills with shaking, jaw quivering, anhidrosis, abdominal distension, and irritability require selecting Hand Taiyin Lung Meridian. (Jaw quivering indicates chills. These signs indicate Yang Qi deficiency; thus, tonify Hand Taiyin. *Han* sounds like 'hegan'.)
Needling deficiency syndromes requires following the direction of Qi departure (chasing to assist); needling excess syndromes requires opposing the direction of Qi arrival (meeting to seize).
(Chasing departure assists Zheng Qi; meeting arrival seizes Xie Qi. See *Weiqi Xing Pian* and Meridian Class 25.)
Jue-Bi (Jue Bi) where Jue Qi ascends to the abdomen requires selecting Luo-Connecting points of Yin and Yang meridians, based on the primary pathology, sedating Yang and tonifying Yin.
(Same chapter. Jue originates in limbs; combined with Bi, ascending to abdomen requires selecting Gongsun (Foot Taiyin Luo) and Fenglong (Foot Yangming Luo), as abdomen and limbs relate to Spleen/Stomach. Select based on primary pathology. Yangming is often excess (sedate); Taiyin is often deficiency (tonify).)
Pathology in sinews with spasms and joint pain preventing walking is named Sinew-Bi. Needle the sinews directly, between muscle compartments, avoiding bone. Stop when heat arises in the sinew and symptoms resolve.
(*Suwen: Changci Jie Lun* states: "Sinew location" refers to pathology in sinews. Needle between muscle compartments, not penetrating bone. Sinew heat indicates Qi arrival; stop when cured. *Jiong* sounds like 'juyong', meaning heat.) Pathology in skin and muscle with generalized pain is named Muscle-Bi, caused by cold-damp. Needle large and small muscle divisions deeply with multiple needles, aiming for local heat. Do not damage sinews/bones, as this may cause abscesses or changes. Stop when all divisions feel hot and disease resolves.
(Muscle-Bi is Bi in flesh. Large/small divisions refer to major/minor muscle masses (valleys/creeks). Qi is diffuse in muscle, requiring deep, multiple needling. Avoid depth damaging sinews/bones to prevent abscesses, as warned in *Zhongshi Pian*. Heat in all divisions indicates Yang arrival and Yin retreat; stop when cured.) Pathology in bone with heaviness, inability to lift, marrow soreness, and cold invasion is named Bone-Bi. Deep needle without damaging vessels/muscles, passing through muscle divisions. Stop when heat arises in the bone and disease resolves.
("No damage to vessels/muscles" is the standard. Bone-Bi pathogen is deepest; needle directly without leaking true Qi via vessels/muscles. Enter through muscle divisions. Stop when bone heat arises.)
Bone-Bi with joint immobility and pain, profuse sweating, and irritability requires tonifying the Three Yin meridians.
(*Lingshu: Hanre Bing Pian* states: Bone-Bi is pathology in Yin. Joint immobility, sweating, and irritability indicate Yin pathology. True Yin deficiency allows pathogen retention; thus, tonify Three Yin meridians at the site. Note: *Wuxie Pian* states: Pathogen in Kidney causes Bone Pain/Yin Bi, select Yongquan/Kunlun, bleed if visible. Cross-reference recommended.)
Stubborn-Bi persisting with chronic cold requires sudden selection of Zusanli.
(*Lingshu: Sishi Qi Pian* states: *Bilun* says dampness dominance causes Stubborn-Bi, characterized by heaviness and immobility. If cold-damp bind chronically, urgently select Zusanli of Foot Yangming Stomach Meridian to warm/tonify Stomach Qi, dispersing cold-damp and resolving Bi.)