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Clear Qi circulates in the Yin aspects, while Turbid Qi circulates in the Yang aspects. Ying (Nutrient) Qi flows smoothly along the meridians, whereas Wei (Defensive) Qi moves in reverse. When Clear and Turbid Qi interfere with each other and become disordered in the chest and heart region, it is termed "Da Man" (severe mental confusion and oppression).

Therefore, if Qi becomes disordered in the Heart, one experiences vexation, silence, a desire to bow the head and remain still. If Qi becomes disordered in the Lung, one suffers from dyspnea and wheezing, often pressing the hands against the chest to aid respiration. If Qi becomes disordered in the Stomach and Intestines, Huoluan (acute gastroenteritis with vomiting and diarrhea) occurs. If Qi becomes disordered in the arms and legs, Si Jue (cold extremities) results. If Qi becomes disordered in the head, Jue Ni (reversal of Qi leading to fainting) occurs, characterized by heavy head, dizziness, and collapse.

A question was asked: Regarding these five types of Qi disorder, is there a principle for acupuncture? The answer was: There is a way for insertion and a way for withdrawal. To carefully understand this way is considered the treasure of the body.

Another question arose: I wish to hear the details. The answer was: For Qi disorder in the Heart, select the Shu (Stream) points of the Hand Shaoyin Heart Meridian and the Hand Jueyin Pericardium Meridian. For Qi disorder in the Lung, select the Ying (Spring) point of the Hand Taiyin Lung Meridian and the Shu (Stream) point of the Foot Shaoyin Kidney Meridian. For Qi disorder in the Stomach and Intestines, select the Foot Taiyin Spleen Meridian; if ineffective, select Zusanli (ST36). For Qi disorder in the Head, select Tianzhu (BL10) and Dazhu (BL11); if ineffective, select the Ying (Spring) and Shu (Stream) points of the Foot Taiyang Bladder Meridian. For Qi disorder in the arms and feet, first puncture the collateral vessels to release blood, then select the Ying (Spring) and Shu (Stream) points of the Yangming and Shaoyang meridians.

Another question arose: How are tonification and sedation performed? The answer was: Slow insertion and slow withdrawal is called "Dao Qi" (guiding Qi). Tonification and sedation without distinct external forms are called "Tong Jing" (harmonizing Essence). This is not due to excess or deficiency of Zheng Qi (Upright Qi), but rather due to the counterflow of disordered Qi.

In the upper part of the Foot Yangming Stomach Meridian, abundant Blood and Qi result in beautiful and long facial hair; less Blood and more Qi result in short hair; less Qi and more Blood result in sparse hair; both deficient Blood and Qi result in no hair, with the corners of the mouth often bare. In the lower part of the Foot Yangming Stomach Meridian, abundant Blood and Qi result in beautiful pubic hair extending to the chest; more Blood and less Qi result in pubic hair extending only to the umbilicus, with a tendency to lift the feet high when walking, thin toes, and cold feet; less Blood and more Qi result in emaciated muscles prone to chilblains; both deficient Blood and Qi result in no pubic hair, or if present, sparse, dry, and withered hair, predisposing to Wei syndrome (flaccidity), Jue Ni, and Bi syndrome (pain/numbness) of the foot.

In the upper part of the Foot Shaoyang Gallbladder Meridian, abundant Blood and Qi result in beautiful and long beard hair; more Blood and less Qi result in short beard hair; less Blood and more Qi result in sparse beard hair; both deficient Blood and Qi result in no beard hair, and susceptibility to Bi syndrome with bone pain and dry nails upon exposure to Cold-Damp. In the lower part of the Foot Shaoyang Gallbladder Meridian, abundant Blood and Qi result in beautiful and long leg hair and a full lateral malleolus; more Blood and less Qi result in short leg hair and thick, hard skin at the lateral malleolus; less Blood and more Qi result in sparse leg hair and thin, soft skin at the lateral malleolus; both deficient Blood and Qi result in no leg hair and a thin, fleshless lateral malleolus.

In the upper part of the Foot Taiyang Bladder Meridian, abundant Blood and Qi result in beautiful eyebrows with terminal hairs; more Blood and less Qi result in ugly eyebrows and many facial wrinkles; less Blood and more Qi result in fleshy faces; harmonious Blood and Qi result in a beautiful complexion. In the lower part of the Foot Taiyin Spleen Meridian, abundant Blood and Qi result in full heel flesh and firm heels; less Qi and more Blood result in thin, hollow heels; both deficient Blood and Qi result in frequent muscle cramps and pain under the heels.

In the upper part of the Hand Yangming Large Intestine Meridian, abundant Blood and Qi result in beautiful mustaches; less Blood and more Qi result in ugly mustaches; both deficient Blood and Qi result in no mustaches. In the lower part of the Hand Yangming Large Intestine Meridian, abundant Blood and Qi result in beautiful axillary hair and warm thenar eminences; both deficient Blood and Qi result in thin, cold hands.

In the upper part of the Hand Shaoyang Sanjiao Meridian, abundant Blood and Qi result in beautiful, long eyebrows and healthy ear color; both deficient Blood and Qi result in dry, dull ears. In the lower part of the Hand Shaoyang Sanjiao Meridian, abundant Blood and Qi result in fleshy, warm hands; both deficient Blood and Qi result in cold, thin hands; less Qi and more Blood result in thin hands with prominent veins.

In the upper part of the Hand Taiyang Small Intestine Meridian, abundant Blood and Qi result in abundant facial hair and smooth, fleshy faces; both deficient Blood and Qi result in thin, dull-faced appearances. In the lower part of the Hand Taiyang Small Intestine Meridian, abundant Blood and Qi result in full palm flesh; both deficient Blood and Qi result in thin, cold palms.

A question was asked: Is there a concise principle for acupuncture? The answer was: Beautiful eyebrows indicate abundant Qi and Blood in the Foot Taiyang Bladder Meridian; ugly eyebrows indicate deficient Qi and Blood. Those who are fat and lustrous have excess Blood and Qi; those who are fat but not lustrous have excess Qi but deficient Blood; those who are thin and not lustrous have both Qi and Blood deficient. By examining the form and Qi for excess or deficiency and regulating accordingly, one can understand the favorable and unfavorable prognoses.

Another question arose: Do women lack Qi and Blood because they do not grow beards? The answer was: The Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) both originate in the Bao Zhong (uterus), ascend along the interior of the back, and serve as the Sea of the Meridians. Their superficial branches ascend along the right side of the abdomen, meet at the throat, and branch out to connect with the lips and mouth. Abundant Blood and Qi nourish the skin and warm the muscles; if Blood is particularly abundant, it渗 (seeps) into the skin and generates fine hair. Women, however, have excess Qi but deficient Blood due to frequent blood loss (menstruation). Since the Chong and Ren meridians do not directly nourish the lips and mouth, beards do not grow.

Another question arose: Why do men who have injured their genitals, causing the Zong Jin (confluence of tendons) to fail to erect and function, yet retain their beards? And why do eunuchs not grow beards? The answer was: Eunuchs have had their Zong Jin removed and their Chong Mai damaged, causing blood loss that does not recover. Internal adhesion of the skin prevents nourishment of the lips and mouth, so beards do not grow.

Another question arose: What about "Tian Huan" (heavenly eunuchs/congenitally barren men) who have suffered no injury, lost no blood, yet do not grow beards? The answer was: This is due to congenital insufficiency. Their Ren and Chong meridians are not vigorous, the Zong Jin fails to develop, there is Qi but no sufficient Blood, and the lips and mouth are not nourished, so beards do not grow.