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(Malaria differs among the Six Channels and the Five Zang organs. Therefore, needling methods vary accordingly.)

Malaria of the Foot-Taiyang Channel causes lower back pain and a heavy head. Coldness starts from the back, with chills preceding fever. Sweating occurs when the fever subsides, making it difficult to cure. (Needle Weizhong [BL60].)

Malaria of the Foot-Shaoyang Channel causes bodily flaccidity and weakness. Chills are not severe, nor is the fever. The patient dislikes seeing people and feels fearful upon contact. There is abundant sweating accompanying high fever. (Needle Xiaxi [GB41].)

Malaria of the Foot-Yangming Channel causes initial shivering and aversion to cold, which becomes severe. After a long time, fever sets in. Sweating occurs as the heat subsides. The patient prefers sunlight, moonlight, or fire; symptoms resolve upon exposure to such warmth. (Needle Chongyang [ST42].)

Malaria of the Foot-Taiyin Channel causes dissatisfaction and frequent sighing. Loss of appetite is present, along with alternating chills and fever and sweating. Upon onset, vomiting occurs; the condition improves after vomiting. (Needle Yinbai [SP1], Taibai [SP3], and Gongsun [SP4].)

Malaria of the Foot-Shaoyin Channel causes severe vomiting. There is alternating chills and fever, with more heat than cold. The patient desires to stay near open windows or doors. Although the illness seems to have abated... (Suitable to needle Taixi [KI3] and Dazhong [KI4]; the original text lacks specific needling instructions here, indicating missing text.)

Malaria of the Foot-Jueyin Channel causes lower back pain and fullness in the lower abdomen. Urination is difficult, resembling strangury but is not true strangury. Frequent urges to urinate accompanied by fear are present. Qi deficiency leads to a feeling of oppression in the abdomen. (Needle Taichong [LR3].)

Lung Malaria causes inner cold. When cold is severe, fever follows. During the interval between cold and heat, the patient is prone to fright and hallucinations. (Needle Lieque [LU7] and Hegu [LI4].)

Heart Malaria causes severe mental restlessness. The patient desires cold water but experiences more chills than fever. (Needle Shenmen [HT7].)

Liver Malaria causes a pale green complexion and frequent sighing. The appearance resembles that of someone dying. (Needle Zhongfeng [LR6].)

Spleen Malaria causes chills and abdominal pain. During fever, intestinal rumbling occurs, followed by sweating. (Needle Shangqiu [SP5].)

Kidney Malaria causes shivering coldness, lower back and spine pain, difficulty turning over, difficult defecation, blurred vision, and cold hands and feet. (Needle Jinmen [BL63] and Taixi [KI3].)

Stomach Malaria causes hunger at the onset of illness, yet the patient cannot eat. Eating leads to limb distension and abdominal enlargement. (Needle Lidui [ST45], Jiexi [ST41], and Zusanli [ST36]. Note: The text mentions "Taiyin's Shangqiu" in parentheses, likely an annotation or error, but standard treatment focuses on Stomach channel points.)

When malaria fever is just rising, needle the arterial pulse on the dorsum of the foot (Chongyang [ST42] of the Foot-Yangming Channel). Open the aperture and release blood; coldness will subside immediately. When malaria chills are about to begin, needle the Hand and Foot Yangming Channels and the Hand Taiyin Channel. (When malaria is about to start but has not yet started, one should needle the Jing-Well and Shu-Stream points of these four channels.)

If the malaria pulse is full, large, and urgent, needle the Back-Shu points on the back. Use a medium-sized needle, inserting one point into each of the five Shu points located laterally. Release blood according to the patient's leanness or robustness. (A full, large, and urgent pulse indicates excess Yang pathogen. The back is the residence of all Yang channels, so one should needle points like Pohu [BL42], Shentang [BL44], Geshu [BL17], Hunmen [BL47], etc. This aligns with the *Shu Re Xue Lun* regarding the five points beside the Zang Shu points to drain Zang heat. "Pang Wu" refers to points near the ribs. Releasing blood according to leanness/robustness means shallow needling and less blood for lean patients, and deep needling with more blood for robust patients.)

If the malaria pulse is small, solid, and urgent, moxa the Shaoyin points on the lower leg and needle the Jing-Well points. (A small, solid, and urgent pulse indicates Yin pathogen excess. Yin excess generates internal cold, so moxa Fuliou [KI7] of the Foot-Shaoyin Channel to disperse cold, and needle Zhiyin [BL67] of the Foot-Taiyang Channel to tonify Yang.)

If the malaria pulse is slow, large, and deficient, medication is suitable, but needling is not. If the pulse is imperceptible in various malaria cases, bleed the tips of the ten fingers; the disease will cease once blood flows. First, identify any red spots like mung beans on the body and treat them all. (Yang hyperactivity causing a hidden pulse requires this method to drain Yang.)

The twelve types of malaria differ in their timing of onset. Observe the symptom patterns to determine which channel is affected. Needle approximately the duration of a meal before the onset. One needle insertion reduces the pathogen; two insertions alleviate symptoms; three insertions cure the disease. If it does not cure, bleed the two vessels under the tongue (Jinjin [EX-HN12] on the left, Yuye [EX-HN13] on the right). If still uncured, bleed the full collaterals at Weizhong [BL60]. Then needle the points below the neck along the spine (Dazhu [BL11], Fengmen [BL12]); this will surely cure. The two vessels under the tongue are Lianquan [CV23] (located below the root of the tongue where the泉 vessels lie).

When treating malaria, first ask where the symptoms began and needle that area first. If headache and heaviness are primary, bleed the top of the head (Baihui [GV20], Shangxing [GV23]) and the temples (Touwei [ST8]) and between the eyebrows (Cuanzhu [BL2]). If neck and back pain are primary, needle Fengchi [GB20], Fengfu [GV16], Dazhu [BL11], and Shendao [GV11]. If lower back and spine pain are primary, bleed Weizhong [BL60]. If arm pain is primary, first needle Hand Shaoyin (Shaochong [HT9]) and Hand Yangming (Shangyang [LI1]), and the ten fingertips (according to the affected channel; if lower leg pain, needle Foot Yangming Lidui [ST45] and bleed fingertips). Drain the Jing-Well points based on the location of the pathogen.

Wind Malaria presents with sweating and aversion to wind during attacks. Bleed the Back-Shu points of the Three Yang Channels (Bladder Shu, Stomach Shu, Gallbladder Shu of the Foot-Taiyang Channel; bleed the superficial collaterals).

Fusui Bing (Marrow Disease) involves severe soreness and pain that worsens with pressure. It is named so because the pathogen is deeply entrenched. Needling Jiexu (Guanggu [GB39]) with a lancet to release blood cures it immediately.

For mild body pain, needle Zhiyin [BL67] and the Jing-Well points of all Yin channels without bleeding. Needle every other day. (The pathogen is weak; thus, needling Zhiyin [BL67] of the Taiyang channel and other Yin Jing-Well points without bleeding, every other day, allows the pathogen to dissipate.)

For malaria without thirst occurring every other day, needle the Foot-Taiyang Channel (Pathogen is in the exterior. The *Za Bing Pian* suggests taking the Foot-Yangming Channel). For malaria with thirst occurring every other day, needle the Foot-Shaoyang Channel (Pathogen is between exterior and interior. The *Za Bing Pian* suggests taking the Hand-Yangming Channel for daily-thirsty malaria). For Warm Malaria without sweating, perform the Fifty-Nine Points needling (Initial heat followed by cold, no sweating indicates exterior excess. Thus, use the fifty-nine points to drain exterior excess; see *Re Bing Pian* and *Shu Re Xue Lun*).