五处、身柱、委中、委阳、昆仑、主脊强反折。螈 癫疾。(千)。鬲关等、主脊强。
背痛。)昆仑、主脊强。背尻骨重。京门、石关、主脊 反折。阴谷、主脊内廉痛。
至阳、疗脊急强。(明)章门、(见水肿。)鬲俞、(背痛。)胃仓、(腹胀。)大肠俞、
治脊强不得俯仰。(铜)胃俞、治脊痛。(铜见腹胀。明下同。)脾俞、大肠俞、主腹中气
胀引脊痛。食多身瘦。名曰食晦。先取脾俞。后取季肋。(千)膀胱俞、疗脊急强。(见腰
脊。)赤白泄洞利。腰脊痛。小肠俞五十壮。(见寒热。)气穴、治贲气上下。引腰脊痛
。(见月事。)腰俞、主月闭。溺赤。脊强互引反折。汗不出。中膂俞、治肾虚消渴。腰
脊不得俯仰。(见消渴。)明下云、夹脊膂痛。上下按之应者。从项后至此穴皆灸之。立愈。
(见腰脊。)
附分、治肩背急。风冷客于腠。颈项强痛。不得顾。阳白、治背腠寒栗。重衣不得温
。(铜)次 、治背腠寒。肝俞、疗腠中痛。(明下)次 、疗腰下至足不仁。背腠寒。小
便赤淋。心下坚胀。(见疝。)
史记扁鹊之言曰疾居腠理汤熨之所及也在血脉针石之所及也。在肠胃酒醪之所及也
。其在骨
髓、虽司命无奈之何也。夫疾之在骨髓。盖始于居腠理也。使居腠理而能治。虽非圣人之治
于无病。亦贤
者治将病也。齐元侯乃以医为好利。欲治不疾以为功。而卒至于不可救。不特齐侯为然。人
皆然也。吾故载扁鹊之言于腠理之末以戒人。亦使医者当治人于将病焉耳。
Wuchu (Excess Point, BL3), Shenzhu (Du12), Weizhong (BL40), Weiyang (BL39), and Kunlun (BL60) govern spinal stiffness and body opisthotonos. They treat muscle twitching (spasms) and epilepsy. (From *Qianjin Fang*). Heguan (SI12) and related points govern spinal stiffness and back pain. Kunlun (BL60) governs spinal stiffness and heaviness in the back and sacrum. Jingmen (GB25) and Shiguan (ST18) govern spinal opisthotonos. YinGu (KI10) governs pain along the medial aspect of the spine.
Zhiyang (Du9) treats acute spinal stiffness. (From *Mingtang Jing*). Zhangmen (LR13), (see Edema). Geshu (BL17), (see Back Pain). Weicang (BL50), (see Abdominal Distension). Dachangshu (BL25) treats spinal stiffness with inability to flex or extend. (From *Tongren Yuxue Zhenjiu Tujing*). Weishu (BL21) treats spinal pain. (*Tongren* also mentions abdominal distension; *Mingtang* agrees). Pishu (BL20) and Dachangshu (BL25) govern abdominal qi distension radiating to spinal pain, excessive eating with emaciation, a condition named "Shihui" (Food Obscurity). First select Pishu (BL20), then select the costal margin area. (From *Qianjin Fang*). Pangguangshu (BL28) treats acute spinal stiffness. (See Lumbar and Spine). It treats bloody and white dysentery, diarrhea, lumbar and spinal pain. Moxibustion on Xiaochangshu (BL36) for 50 moxa cones. (See Cold and Heat). Qixue (KI16) treats Benqi (rushing qi) moving up and down, radiating to lumbar and spinal pain. (See Menstruation). Yaoshu (Du2) governs amenorrhea, dark urine, spinal stiffness with mutual traction causing opisthotonos, and absence of sweating. Zhonglvshu (BL27) treats Kidney Deficiency Xiao Ke (wasting-thirst syndrome) and inability to flex or extend the lumbar and spine. (See Xiao Ke). The later text of *Mingtang Jing* states: For pain in the paravertebral muscles, if pressure from above and below elicits a response at the point, apply moxibustion from the nape of the neck down to this point, and it will heal immediately. (See Lumbar and Spine).
Fufen (BL17) treats shoulder and back stiffness. When wind-cold pathogens lodge in the Couli (interstices/skin pores), it causes stiff and painful neck and head, with inability to look back. Yangbai (GB14) treats cold shivering in the dorsal Couli, where wearing heavy clothes does not bring warmth. (From *Tongren Yuxue Zhenjiu Tujing*). Cishi (BL56) treats cold in the dorsal Couli. Ganshu (BL18) treats pain within the Couli. (Later text of *Mingtang Jing*). Cishi (BL56) treats numbness and insensitivity from the lower waist to the feet, cold in the dorsal Couli, dark and difficult urination, and hardness and distension in the epigastrium. (See Hernia).
The *Records of the Grand Historian* records Bian Que's words: Diseases residing in the Couli are accessible to herbal decoctions and hot compresses; those in the blood vessels are accessible to acupuncture and stone needles; those in the stomach and intestines are accessible to wine-based medicinal preparations; but if they reach the bone marrow, even the Lord of Life cannot do anything about them. Diseases in the bone marrow generally begin by lodging in the Couli. If one can treat them while they reside in the Couli, although this is not the treatment of sages who prevent disease before it arises, it is indeed the treatment of worthy individuals who treat disease before it fully forms. Duke Yuan of Qi regarded physicians as profit-seekers, desiring to claim credit for treating illnesses that had not yet occurred, and ultimately reached an incurable state. This was not unique to Duke Qi; people are generally like this. Therefore, I record Bian Que's words regarding the Couli at the end of the Couli chapter to warn people, and to make physicians treat patients when disease is merely impending.