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(Suwen: Lun Jing Mai Bie)

When the Qi of the Taiyang (Greater Yang) organ is exclusively excessive, symptoms such as Jue Ni (cold extremities/reversal), panting, and rebellious empty Qi rising occur. This indicates a deficiency of Yin and an excess of Yang. Both the exterior and interior meridians should be treated with reducing methods, selecting the Lower He-Sea points or Shu-stream points located below. (This passage discusses disharmony of organ Qi where one organ is excessively strong; its Qi must be exclusively prevalent, presenting different symptoms requiring different acupuncture treatments. Taiyang refers to the Bladder Meridian. When Taiyang Qi is exclusively excessive, it leads to Jue Ni, panting, and rebellious Qi rushing upward. Since the Bladder and Kidney are exterior-interior pairs and both are Water organs, if only Yang Qi is excessive in a Water organ, it signifies excess Yang and deficient Yin. One should select the Lower Shu points of both meridians: Shugu (BL65) for the Bladder and Taixi (KI3) for the Kidney. Even though Kidney Yin is deficient, it is also reduced because the pathogenic Yang is overwhelmingly strong; thus, simultaneous reduction of both exterior and interior is necessary to curb the pathological momentum.)

When the Qi of the Yangming (Yang Brightness) organ is exclusively excessive, it represents a heavy accumulation of Yang Qi. The treatment should involve reducing Yang and tonifying Yin, by selecting the Lower Shu points. (Yangming refers to the Foot-Yangming Stomach Meridian. Yangming is the Sea of the Twelve Meridians and circulates Qi among the Three Yang meridians. If it becomes exclusively excessive, Yang Qi accumulates heavily in its own organ due to pathogenic factors. Therefore, one should reduce the Yang of the Stomach and tonify the Yin of the Spleen, selecting the Lower Shu points. Xiangu (ST41) is the Shu point of the Yangming meridian, and Taibai (SP3) is the Shu point of the Taiyin meridian.)

When the Qi of the Shaoyang (Lesser Yang) organ is exclusively excessive, it is caused by Jue Qi (rebellious Qi). There is a sudden enlargement at the front of the Qiao vessel; treat by selecting the Lower Shu point. (Shaoyang refers to the Foot-Shaoyang Gallbladder Meridian. Diseases of the Gallbladder meridian connect to the Liver, and its Qi tends to rebel. Thus, when Shaoyang Qi is exclusively excessive, it constitutes Jue Qi. However, Jue Qi always originates from the sole of the foot, so it is observed at the front of the Qiao vessel. "Qiao" refers to the Yang Qiao vessel, which belongs to Shenmai (BL62) of the Foot-Taiyang Bladder Meridian. The area anterior to the Yang Qiao is where the Shaoyang meridian runs. When Shaoyang Qi is excessive, there is a sudden swelling/enlargement anterior to the Qiao vessel. Therefore, one should select the Lower Shu point of the Shaoyang meridian, Linqi (GB41). "Zu" (卒) is synonymous with "Cu" (sudden). "Qiao" has five pronunciations: qiao, jiao, qiao, jiao, and ji nüe qie.)

When Shaoyang Qi is exclusively excessive, it is the fault of One Yang (Shaoyang). (This explains the meaning of "exclusively excessive," referring to the excess of one organ. By citing Shaoyang, it can be inferred that the exclusive excess of Taiyang and Yangming corresponds to the excess of Three Yang and Two Yang, respectively. "One Yang" refers to Shaoyang. The order of the Six Meridians is detailed in Disease Category VII.)

When the Qi of the Taiyin (Greater Yin) organ is pulsating strongly, one must carefully examine the True Qi. The Qi of the Five Pulses is diminished, and the Stomach Qi is unbalanced; this concerns the Three Yin (Taiyin). It is appropriate to treat the Lower Shu points, tonifying Yang and reducing Yin. (Taiyin refers to the Foot-Taiyin Spleen Meridian. "Bo" (pulsating strongly) means firm and hard, as described later as "Fu Gu" (deep and drum-like). The pulse of the Taiyin Spleen should ideally be harmonious and slow; seeing a drum-like pulsation resembles the True Zang pulse. If the True Zang pulse truly appears, the condition is untreatable; hence, one must carefully discern if it is indeed the True Zang pulse. Now, Taiyin Qi pulsating strongly indicates the exclusive excess of Taiyin Qi. When Taiyin is exclusively excessive, the Qi of the pulses of all five Zang organs diminishes, and Stomach Qi becomes unbalanced, representing an excess of the Three Yin. Therefore, one should treat the Lower Shu points: tonifying Xian Gu (ST41) of the Foot-Yangming meridian and reducing Tai Bai (SP3) of the Foot-Taiyin meridian.)

"One Yang" exclusively roaring indicates Shaoyang Jue Ni (reversal); Yang Qi merges into the upper body, causing the four other pulses to compete and expand, while the Qi returns to the Kidney. Treatment should focus on the meridians, reducing Yang and tonifying Yin. ("One Yang" should read "Two Yin," and "Shaoyang" should read "Shaoyin." Reviewing the text: the upper part clarifies the Three Yang, and the lower part clarifies the Three Yin. Here, mentioning Shaoyang again without Shaoyin suggests an error, as suspected by the New Correction. Previously, Taiyin was mentioned, followed by Jueyin; this section mentions Qi returning to the Kidney, and the final section mentions the pulsation of Two Yin. Additionally, Quan Yuanqi's edition states it as Shaoyin Jue. Combining these four points, it is undoubtedly an error for Two Yin/Shaoyin. "Two Yin" refers to the Foot-Shaoyin Kidney Meridian. "Du Xiao" (exclusive roaring) means exclusively blazing. Roaring is emitted by Yang Qi; Yang emerges from within Yin, and Minister Fire flares upward, resulting in Shaoyin Heat Jue Ni with Yang merging into the upper body. Consequently, the pulses of the Heart, Liver, Spleen, and Lung compete and expand, while the Qi returns to the Kidney, hence "exclusive roaring." One should treat the exterior-interior meridians, reducing the Foot-Taiyang meridian and tonifying the Foot-Shaoyin meridian. Kunlun (BL60) is the meridian point of the Taiyang meridian, Feiyang (BL58) is its Luo-connecting point. Fuliou (KI7) is the meridian point of the Shaoyin meridian, Dazhong (KI4) is its Luo-connecting point.)

When "One Yin" arrives, it pertains to the treatment of Jueyin. The True Qi is deficient, causing heart pain; Jue Qi remains stagnant, leading to white sweat. Diet and medicine should be regulated, and treatment applied at the Lower Shu points. ("One Yin" refers to the Foot-Jueyin Liver Meridian. "Arrives" means exclusively excessive. "Treatment" implies the governing principle. When Liver pathogen is exclusively excessive, True Qi must be deficient, and Wood-Fire interfere, causing heart pain. Jue Qi is rebellious Qi. If rebellious Qi does not dissipate, it stagnates in the meridians. Due to Qi deficiency and failure to secure the exterior, white sweat occurs. Regulating diet and medicine aims for appropriateness; acupuncture treatment is applied at the Lower Shu point. Taichong (LR3) is the Shu point of the Jueyin meridian. Note: How do we know this passage refers only to the Foot meridians? The term "Lower Shu" indicates this, similar to how the *Re Lun* chapter on Cold Damage mentions only Foot meridians. Also, while other meridians discuss tonification and reduction, Shaoyang and One Yin do not explicitly state them here because Shaoyang follows the Three Yang, and One Yin follows the Three Yin; the logic connects forward and backward, implying the same principle of tonifying deficiency and reducing excess. The phrase "One Yin regulates diet and medicine" likely summarizes the preceding context and applies generally, not just to this one meridian. Ancient classics are often concise; one must grasp the underlying meaning. "Yuan" sounds like "yuan," meaning sour ache.)

The Emperor asked: What is the image of the Taiyang organ? Qibo replied: Its image is like Three Yang, floating. The Emperor asked: What is the image of the Shaoyang organ? Qibo replied: Its image is like One Yang; the pulse of One Yang is slippery but not solid. The Emperor asked: What is the image of the Yangming organ? Qibo replied: Its image is extremely floating. (This section further clarifies the pulse images of the exclusive excess of the Six Meridians. The image of Taiyang resembling Three Yang indicates that Yang travels on the exterior, reaching the extreme of Yang, hence the pulse floats externally. The image of Shaoyang resembling One Yang indicates that Shaoyang is the interior of Yang and the exterior of Yin, known as half-exterior half-interior, representing weak Yang; thus, although slippery, it is not solid. Yangming, although interior to Taiyang, is indeed exterior to Shaoyang; compared to the slippery-but-not-solid pulse, it appears large and floating. Zhang Zhongjing stated: If pulses at Cun and Chi positions are both floating, it is Taiyang disease. If both are long, it is Yangming disease. If both are wiry, it is Shaoyang disease. These principles should be cross-referenced.)

Taiyin organ pulsation refers to a deep, submerged, and drum-like quality. (This explains the meaning of Taiyin organ pulsation mentioned earlier. "Fu Gu" means deep/submerged and drum-like, i.e., firm and hard. Zhang Zhongjing stated: If pulses at Cun and Chi positions are both deep and fine, it is Taiyin disease.)

Two Yin pulsation arriving means the Kidney pulse is deep and not floating. (Two Yin refers to the Shaoyin Kidney Meridian. Two Yin pulsating and arriving exclusively means the Kidney pulse is only deep and not floating. Detailed analysis shows this clearly states the pulse of Two Yin, yet there was no mention of Two Yin arriving earlier; there was mention of One Yin arriving earlier, but no corresponding One Yin pulse here. This confirms a lacuna in the ancient classic. The error regarding "One Yang/Shaoyang" in the previous text is found in this very section. Zhang Zhongjing stated: If pulses at Cun and Chi positions are both deep, it is Shaoyin disease. If both are faint and moderate, it is Jueyin disease.)