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Do not needle when the patient is in a state of great anger (the character "Da" is rendered as "Xin" in another version); do not allow anger after needling (the character "Yi" is rendered as "Xin" in another version). Do not needle immediately after sexual intercourse; do not engage in sexual intercourse after needling. Do not needle when the patient is exhausted (the character "Da" is rendered as "Xin" in another version); do not exert oneself after needling. Do not needle when the patient is heavily intoxicated; do not drink to intoxication after needling. Do not needle when the patient is overly full; do not eat to excess after needling. Do not needle when the patient is extremely hungry; do not starve after needling. Do not needle when the patient is extremely thirsty; do not remain dehydrated after needling. Do not needle a patient who has suffered a great fright; do not needle a patient with turbid heat symptoms; do not needle a patient with dripping sweat; do not needle a patient with a chaotic pulse. If the body heat is severe and Yin and Yang Qi are contending, do not needle. For those suitable for needling, take points urgently; if sweating does not occur, use purgation. The cases described as "do not needle" involve signs of death. Do not needle when the disease pattern contradicts the pulse. A master practitioner needles before the disease arises; a secondary practitioner needles before the disease peaks; a tertiary practitioner needles after the disease has declined. An incompetent practitioner acts contrary to these principles, which is called damaging the form (Cheng Xing). (From *Jiu Juan*)

In Taiyang disease, headache persists until the seventh day, at which point it should heal spontaneously, as the meridian's Qi returns to its normal state. If there is a tendency for the disease to transmit to the next meridian (Zai Jing), one should needle the Foot-Yangming meridian to prevent transmission and effect a cure. In Taiyang disease, if after initially taking Guizhi Tang (Cinnamon Twig Decoction) the patient becomes irritable and the condition does not resolve, one should first needle Fengchi (GB20) and Fengfu (GV16), then administer Guizhi Tang (Cinnamon Twig Decoction) again, resulting in a cure. In Shanghan (Cold Damage) disease, abdominal fullness accompanied by delirium, with a floating and tight pulse at the Cun Kou position, indicates Liver Qi overacting on the Spleen, termed "Zong" (Vertical Transmission); one should needle Qimen (LR14). In Shanghan disease, fever, shivering aversion to cold, extreme thirst desiring sour broth, abdominal fullness, spontaneous sweating, and free urination indicate that the disease is about to resolve; this represents Liver Qi overacting on the Lung, termed "Heng" (Horizontal Transmission). In Yangming disease, hematochezia (bleeding from the rectum) accompanied by delirium indicates Heat entering the Blood Chamber (Xue Shi). If only the head sweats, one should needle Qimen (LR14) and apply the reducing method according to the Excess pattern; general mild sweating indicates recovery. In women suffering from Fengzhong (Wind Strike) with fever and aversion to cold, whose menstruation has just begun, and after seven or eight days the fever subsides, pulse slows, body cools, but chest and hypochondriac fullness resembling Jie Xiong (Chest Binding) occurs, along with delirium, this is Heat entering the Blood Chamber (Xue Shi); one should needle Qimen (LR14) and treat according to Deficiency or Excess. (*Ping Bing* states: In Heat entering the Blood Chamber, do not violate Stomach Qi or the Upper Sanjiao. This contradicts the current text; does this refer to herbal medicine rather than needling?) When Taiyang and Shaoyang diseases combine, presenting with headache, stiff neck, dizziness, occasional Chest Binding-like symptoms, and epigastric hardness, one should needle Dazhu (BL11) at the first interspace, Feishu (BL13), and Ganshu (BL18). One must strictly avoid inducing sweating; inducing sweating leads to delirium and a wiry pulse. If delirium persists for five days without ceasing, needle Qimen (LR14). In Shaoyin disease with diarrhea and pus-blood in the stool, needling is permissible. In women with Shanghan disease who are pregnant, presenting with abdominal fullness, inability to urinate, and heaviness from the waist down resembling fluid retention, occurring at seven months of pregnancy when the Taiyin meridian should be nourishing but fails to do so, indicating Excess Heart Qi, one should needle and reduce Laogong (PC8) and Guanyuan (CV4); recovery occurs when urination becomes free. For Shanghan disease with Hou Bi (Sore Throat/Pharyngeal Obstruction), needle the Hand-Shaoyin meridian. The Shaoyin meridian is located at the wrist, behind the small finger where the artery beats. Insert the needle three fen deep and apply tonification.

Question: What is the cause of a condition where the patient sweats but remains febrile and irritable, with irritability not resolving through sweating? Answer: Sweating with fever indicates Wind pathogen; sweating with unresolved irritability indicates Jue Ni (Rebellious Qi). This disease is named Feng Jue (Wind Jue). Taiyang governs the exterior Qi and thus receives the pathogen first; Shaoyin is interiorly-exteriorly related to Taiyang. Upon receiving Heat, Shaoyin Qi follows upward, leading to Jue. Treatment involves needling both the exterior and interior meridians and administering herbal decoctions. In Re Bing (Heat Disease) on the third day, if the Qi Kou pulse is quiet while the Ren Ying pulse is restless, apply the Fifty-Nine Needles technique to the Yang meridians to drain Heat, induce sweating, and tonify Yin to address deficiency. The "Fifty-Nine Needles" consist of: three points on each side of the hands (inner and outer), totaling twelve; one point between each of the five fingers, totaling eight. The feet follow the same pattern. On the head, three points one cun inside the hairline and three fen lateral, totaling six; ten points three cun inside the hairline on both sides. One point each anterior and posterior to the ears, below the mouth, and at the nape, totaling six. One point at the vertex. For Heat Disease starting with skin pain, nasal congestion, and facial flushing, treat the Skin layer using the First Type Needle combined with the Fifty-Nine Needles technique. For Ke Zhen Bi (a nasal disorder), seek the Skin in the Lung; do not seek Fire, which corresponds to the Heart. For Heat Disease with dry throat, polydipsia, frequent fright, and restlessness, treat the Muscle layer using the Sixth Type Needle combined with the Fifty-Nine Needles technique. For red eyes, seek the Muscle in the Spleen; do not seek Wood, which corresponds to the Liver. For Heat Disease with chest/hypochondriac pain and restless limbs, treat the Sinew layer using the Fourth Type Needle at Si Da (or Ni) tendons, seeking the Sinew in the Liver; do not seek Metal, which corresponds to the Lung. For Heat Disease with frequent惊悸 (palpitations/fright), convulsions, and mania, treat the Vessel/Blood layer using the Fourth Type Needle to urgently drain Excess; for Dian Ji (Epilepsy/Madness) with hair loss, seek Blood in the Heart; do not seek Water, which corresponds to the Kidney. For Heat Disease with heavy body, bone pain, deafness, and preference for closing eyes, treat the Bone layer using the Fourth Type Needle combined with the Fifty-Nine Needles technique. For Bone Disease with teeth grinding and clear hearing, seek Bone in the Kidney; do not seek Earth, which corresponds to the Spleen.

For Heat Disease starting with body stiffness and leaning (Yi in *Tai Su*), irritability, dry lips, and dry throat, treat the Skin layer using the First Type Needle combined with the Fifty-Nine Needles technique. For Fu Zhang (Skin Distension), dry mouth, and cold sweat.
For Heat Disease with headache, temporal tension (She as Nie), tight eye vessels, and frequent epistaxis, this is Jue Re (Rebellious Heat); use the Third Type Needle, assessing Excess or Deficiency to treat Cold-Heat disorders.
For Heat Disease with heavy body and intestinal heat, use the Fourth Type Needle at the Shu points and between the toes, seeking Qi in the Stomach collaterals until De Qi is obtained.
For Heat Disease with pain/tightness flanking the umbilicus and chest/hypochondriac distension, use Yongquan (KI1) and Taiyin/Yangming meridians (one version says Yinlingquan SP9), using the Fourth Type Needle inserted deeply into the throat area.
For Heat Disease where sweat is about to emerge but the pulse suggests sweating is appropriate, use Yuji (LU10), Taiyuan (LU9), Dadu (SP2), and Taibai (SP3). Reducing drains Heat; Tonifying induces sweat. For excessive sweating, use the transverse crease above the ankle to stop it.
For Heat Disease on the seventh or eighth day, with moving Qi Kou pulse, wheezing, and dizziness, needle urgently. If sweat is about to emerge naturally, shallowly needle the space between the big toe and second toe.
For Heat Disease starting with chest/hypochondriac pain and restless limbs, needle Foot-Shaoyang and tonify Hand-Taiyin; if severe, use the Fifty-Nine Needles technique.
For Heat Disease starting with arm pain, needle Hand-Yangming and Hand-Taiyin until sweat stops.
For Heat Disease starting in the head, needle the Taiyang meridian in the neck until sweat stops.
For Heat Disease starting with heavy body, bone pain, deafness, and closed eyes, needle Foot-Shaoyin; if severe, use the Fifty-Nine Needles technique (one version says Shaoyang).
For Heat Disease starting with vertigo/dizziness followed by fever and chest/hypochondriac fullness, needle Foot-Shaoyin and Foot-Shaoyang.
For Heat Disease starting in the lower legs, first needle Foot-Yangming until sweat stops.