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(The "bone spaces" refer to the apertures through which marrow circulates.)

Wind is the beginning of all diseases. When wind pathogen enters from the exterior, it causes chills, sweating, headache, heaviness of the body, and aversion to cold. Treatment should focus on Fengfu (GV16) to regulate Yin and Yang. If there is a deficiency, tonification is applied; if there is an excess of pathogenic factors, sedation is applied. (Excess of pathogenic factors)

For neck and nape pain caused by severe wind, puncture Fengfu (GV16). For sweating caused by severe wind, moxa Yixi (BL48). Yixi (BL48) is located three cun lateral to the spine. Press this area and ask the patient to exclaim "Yi Xi"; the acupoint will respond with a sensation. For aversion to wind due to wind invasion, puncture Zanzhu (BL2) at the eyebrow. For stiff neck (Shi Zhen), the location is between the transverse bones above the shoulder, i.e., Quepen (ST12). To treat, guide the patient's arm downward so that the elbow aligns with the middle of the spine. Moxa directly opposite the spine at this level. ("Yu" is a variant of "You," meaning to draw or pull. This refers to guiding the patient's arm down to measure the midpoint of the spine, which is the appropriate site for moxibustion, likely corresponding to Yangguan, an extra point on the Du Meridian.)

If the collateral vessels are affected by pathology in the hypochondrium, pulling pain and distension occur in the lower abdomen. Puncture Yixi (BL48). (Yixi is located in the soft hollows on both sides of the spine.) For low back pain where turning and shaking are impossible, with acute traction pain in the genitalia, puncture the Baliao points and the painful area. The Baliao points are located in the interspaces of the sacrococcygeal region. For Shulou (scrofula/lymphatic tuberculosis, also known as Shu Lue, believed to be caused by the retention of cold-heat toxic pathogens in the meridians), puncture Hanfu (Cold Mansion). Hanfu is located at the coldest part of the lateral knee popliteal fossa, hence the name Hanfu, also called Yingku. Shulou is located between the neck and axilla, with etiology involving the Liver and Gallbladder; select Yangguan (GB33) of the Foot-Shaoyang Gallbladder Meridian.

To locate points on the upper lateral knee, have the patient perform a bowing motion. To locate points on the sole of the foot, have the patient kneel.

Diseases of the Ren Mai (Conception Vessel): In men, internal knotting of the Seven Hernias (including Cold Water, Sinew-Blood-Qi, and Fox Hernias); in women, leukorrhea and Jia Ju masses (Leukorrhea refers to white or red vaginal discharge; Jia Ju refers to intermittent abdominal pain due to Qi stagnation). Diseases of the Chong Mai (Penetrating Vessel): Rebellious Qi and abdominal urgency (Excess Qi leads to rebellion; Blood deficiency leads to tension/spasm). Diseases of the Du Mai (Governing Vessel): Stiffness and rigidity of the spine, opisthotonos.

The Du Mai originates below the lower abdomen at the central bone. In women, it enters and connects to the Ting Kong. This aperture is the opening of the urethra (the aperture of the Yin Ting). Its collaterals circulate around the external genitalia, meeting at the perineum (between the two yins), and winding behind the anus. Branches wind around the buttocks, reaching the Shaoyin channel, merging with the middle collateral of the Taiyang channel, and combining with the middle collateral of the Shaoyin channel. It ascends along the posterior medial aspect of the thigh, pierces the spine, and attaches to the Kidney. It joins with the Taiyang channel, originating at the inner canthus of the eye, ascending to the forehead, crossing at the vertex, entering to connect with the brain, emerging again to descend separately to the nape, following the interior of the shoulder blades, flanking the spine to reach the middle of the waist, entering the deep muscles, and connecting with the Kidney. In men, it follows the penis down to the perineum, identical to the female pathway. (This describes the Du Mai running parallel with the Taiyang Meridian.)

The branch of the Du Mai rising straight from the lower abdomen passes through the umbilicus, ascends through the heart, enters the throat, ascends to the chin, circles the lips, and ascends to tie into the center below the eyes. (This describes the Du Mai running parallel with the Ren Mai.)

Pathologies arising here include: Qi rushing up from the lower abdomen to the heart causing pain, accompanied by inability to pass stool or urine, termed Chong Hernia. Women may experience infertility, strangury, hemorrhoids, urinary incontinence, and dryness of the throat. (The Chong, Du, and Ren meridians share a common origin but diverge into three. The Chong Mai originates in the Bao Zhong [uterus], so pathology leads to infertility. The Du Mai connects to the Ting Kong, circulates the genitalia, meets at the perineum, and winds behind it, leading to strangury and hemorrhoids. The Chong Mai runs parallel with the Shaoyin, leading to urinary incontinence. The Shaoyin meridian circulates the throat, leading to dryness of the throat.)

For diseases of the Du Mai, treat the Du Mai. Mild cases are treated at the bone above (Qugu, CV2). Severe cases are treated at the Ying area below the umbilicus (Yinjiao, CV13). If there is rebellious Qi with sound, treat the center of the throat, at Tian Tu (CV22) in the suprasternal fossa. If the pathological Qi rushes up to the throat, treat the Jian (Gradual) area, which is located on either side of the chin. (The Yangming meridian qi rises gradually from Daying (ST5) on the side of the chin to the face, hence "side of the chin" is referred to as Jian.)

For stiff knees that cannot extend or flex properly, treat the Jian (femur). (Knee pain where one can extend but not flex while lying supine; take the area above the auxiliary bone and below the transverse bone as Jian, which refers to the femur.) For knee pain while sitting, treat the Ji (hip joint). (The area beside the hip is Ji.) For standing with heat accumulation in the bone joints, treat the Haiguan. (See note below.) For knee pain radiating to the big toe (text says small toe, logically big toe or general toes), treat the corresponding point. For knee pain while sitting feeling like a hidden object (pathogen adhering, hidden within), treat the Guan (knee joint aperture). (The knee joint separation is the Qigu; the bone above laterally is Lianhe, below is Fugu; above Fugu is Guan.) For knee pain with inability to flex or extend, treat the interior back points (Qi points of the Taiyang Meridian).

For swelling and pain in the thigh resembling a fracture, treat the Zhongshu points of the Yangming Meridian. (Select the appropriate point among the Jing-River, Ying-Spring, Shu-Stream, Yuan-Source, Jing-River, and He-Sea points of the Yangming Meridian.) If the pain branches out, treat Tonggu (BL65) of the Foot-Taiyang Bladder Meridian and Ran Gu (KI2) of the Foot-Shaoyin Kidney Meridian.

For weakness and soreness in the calves, inability to stand for long periods (Yin Luo, describing a sensation of soreness and weakness), treat the Shaoyang Wei Mai (Linking Vessel) at Guang Ming (GB37), five cun above the lateral malleolus. (Note: Where meridians intersect is called Wei. The Shaoyang Wei is Yangjiao (GB35), which should be seven cun above the lateral malleolus.)

For treating cold-heat disorders via moxibustion: First, moxa Dazhui (GV14) at the nape, using a number of moxa cones equal to the patient's age. Second, moxa the coccyx (Wei Qiong), using a number of moxa cones equal to the patient's age.

Observe sunken areas on the back Shu points and apply moxibustion. (Inspect the Shu points; apply moxa to those that are depressed.) With arms raised, moxa the depression on the shoulder (Jian Yu, LI15). Moxa between the two hypochondriac regions (Jing Men, GB25). Moxa the end of the Juegu (fibula head) above the lateral malleolus (Yang Fu, GB38). Moxa between the fourth and fifth toes (Xia Xi, GB43). Moxa the depressed vessel below Cheng Shan (BL57). Moxa behind the lateral malleolus (Kun Lun, BL60). Palpate above the clavicle in the Quepen area; if hard and painful like a tendon, moxa it. (This refers to subcutaneous nodules.) Moxa the depression in the chest between the bones (Tian Tu, CV22). Moxa below the tendons binding the bones of the palm (Yin Gu, KI10). Moxa Guanyuan (CV4), three cun below the umbilicus. Moxa the arterial pulse at the pubic hairline (Qie Street, ST30). Moxa the interspace three cun below the knee (Zusan Li, ST36). Moxa the arterial pulse on the dorsum of the foot of the Foot-Yangming Meridian (Chong Yang, ST42). Moxa Bai Hui (GV20) on the vertex with one cone.

Moxa the site of a dog bite with three cones, then follow the method for treating dog bites. (This implies that dog bites cause cold-heat symptoms, and ancient texts prescribe moxibustion for this.)

In total, twenty-nine locations should be moxaed. (Summary of the above)

For food stagnation causing cold-heat, apply moxibustion (as described above for food stagnation-induced cold-heat). If the condition does not improve, inspect the meridians for excess Yang, puncture their Shu points multiple times, and administer herbal medicine. (Puncture to drain excess Yang; herbs to harmonize Yin.)