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[Ping An]: This chapter appears in *Ling Shu* (Spiritual Pivot), Volume 5, Chapter 23 "Re Bi" (Heat Disease), and also in *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion), Volume 8, Part 1.

Men suffer from a condition resembling Gu (a disease caused by bewitchment or obsession, characterized by delirium and loss of reason), while women suffer from a condition resembling Da (a disease caused by bewitchment or obsession, characterized withering and emaciation). Their bodies feel as if their waist and spine are dislocated, they have no desire to eat. First, puncture Yongquan (KI-1) until bleeding occurs. Observe the dorsum of the foot; where the vessels are full, puncture them all until blood flows. ("Gu" is pronounced Gu. "Da" is pronounced Dan. When a woman bewitches a man, it is called Gu in men; its symptoms include madness, loss of rationality, inability to distinguish right from wrong, and being intoxicated by confusion. When a man bewitches a woman, it is called Da in women; its symptoms include sallow complexion, emaciation, and being intoxicated by confusion. Now, for men suffering from Gu-like illness and women suffering from Da-like illness, one can jointly select the Jing-well point of the Kidney meridian to alleviate diseases arising from mutual infatuation.) Question: Joy, anger, worry, and thought originate in the Heart. Is it not too indirect to treat them with acupuncture and moxibustion? Answer: Diseases arise from wind, cold, summer-heat, dampness, diet, and sexual activity. If they are not Heart diseases, they can be eliminated with needles, stones, decoctions, and pills. For diseases caused by joy, anger, worry, and thought damaging the Shen (Spirit), one must first use reasoning to clarify the mind and nature, eliminating these emotions, and then assist with needles and medicines. However, if using only needles and medicines... [text missing] ...additionally, when there are symptoms of the body and spine feeling dislocated and lack of appetite, first take the Yingquan acupoint on the sole of the Foot Shaoyin (Kidney) meridian to remove blood, and follow the Shaoyin meridian to the dorsum of the foot where the collaterals are full to remove blood. [Ping An: In *Ling Shu*, "Da" is written as "Da". There is a "Yin" (drink) character above "Shi" (eat). Yongquan is written as Yongquan in both *Ling Shu* and *Jia Yi Jing*.]

[Ping An]: From the beginning of this chapter to "thus causing people to develop Dian Ji" (Epilepsy/Mental Disorder), this text appears in *Su Wen* (Basic Questions), Volume 13, Chapter 47 "Qi Bing Lun" (Discussion on Uncommon Diseases), and also in *Jia Yi Jing*, Volume 11, Part 2. From "Dian Ji begins with unhappiness" to the end, it appears in *Ling Shu*, Volume 5, Chapter 22 "Dian Kuang" (Epilepsy and Mania), and *Jia Yi Jing* cites the same source.

Huang Di asked Qi Bo: People who are born with Dian Ji (epilepsy/mental disorder), what is the name of this disease? How is it acquired? Qi Bo answered: The disease is named Tai Ji (Fetal Disease). It is acquired while in the womb. At that time, the mother experienced great fright. The Qi ascended but did not descend, and Essence and Qi gathered together, thus causing the person to develop Dian Ji after birth. (When humans are born, at four months of gestation, if the mother is frightened by external objects, the Shen Qi ascends in fright and startles the fetus, so the disease manifests after birth. [Ping An: In *Su Wen* and *Jia Yi Jing*, the character "Mu" (mother) appears above "Fu Zhong" (in the abdomen). "Gu Ling Ren" is written as "Gu Ling Zi" (thus causing the son).])

When Dian Ji first begins, it initially presents as unhappiness, heavy head and pain, red eyes upon looking up, extreme agitation followed by vexation. Observe the face (Yan). Select Hand Taiyang, Hand Yangming, and Hand Taiyin meridians. Stop needling when the blood color changes. (The Hand Taiyang meridian travels to the head and connects to the Heart via the eye region; the Hand Yangming meridian connects to the Lung; the Hand Taiyin meridian communicates with the Hand Yangming meridian. Therefore, for symptoms of unhappiness, heavy head, red eyes, and vexation, these points are selected. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Qi Zuo Ji" is written as "Qi Zuo Shen". *Jia Yi Jing* lacks the characters "Yang Ming".])

When Dian Ji first starts, it draws the mouth, causes crying and calling, panting, and palpitations. Observe the Hand Yangming and Hand Taiyang meridians. If the right side is stiff, treat the right side; if the left side is stiff, treat the left side. Stop when the blood color changes. (The branch of the Hand Taiyang meridian separates at the cheek and goes up to the nose. The Hand Yangming meridian flanks the mouth. Therefore, for crying/calling and stiffness on either side, these points are taken. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Ji" has the character "Zhe". Both instances of "Jiang" (stiff) are written as "Qiang" (strong). "Zheng Qi You" is written as "Gong Qi Zuo", and "Zheng Qi Zuo" as "Gong Qi You". Also, according to the commentary "Jie Qu Zhi Ye" (all should be taken), the two characters "Zheng" are likely copyist errors for "Gong" (attack/treat).])

When Dian Ji first starts, the body becomes rigid/stiff, accompanied by spinal pain. Observe the Foot Taiyang, Foot Yangming, and Hand Taiyang meridians. Stop when the blood color changes. (The Foot Taiyang meridian flanks the spine. The Foot Yangming meridian goes from the front of the ear up to the forehead and skull. The Hand Taiyang meridian circles the scapula and crosses on the shoulder. Therefore, for rigidity and spinal pain, these points are selected. [Ping An: In *Ling Shu*, "Er Fan Jiang" is written as "Xian Fan Jiang". After "Yang Ming", the characters "Tai Yin" appear.])

To treat Dian Ji, one should reside with the patient frequently, observing the appropriate points to be selected. When the disease strikes, observe the patient; if there is excess, drain it. Place the extracted blood into a gourd vessel. When the paroxysm occurs, the blood will move independently. If it does not move, moxa the Qiong Gu (bottom bone) for 25 moxa cones. Qiong Gu refers to the Zhi Gu (coccyx/sacrum). (For excess in the disease, observe the diseased area of the collateral vessels, needle to extract pathological blood, and store it in a gourd vessel. When the paroxysm occurs, the blood moves naturally. If it does not move, moxa the Qiong Gu. [Ping An: 25 cones is written as 20 cones in *Ling Shu* and 30 cones in *Jia Yi Jing*. Zhi Gu is written as Wei Gu (tailbone) in *Jia Yi Jing*.])

Bone Dian Ji: The mandible, teeth, various Shu points, and intermuscular spaces are all full/distended. Sweat issues from the bones. There is vexation, vomiting with much saliva/phlegm, and Qi leaking downward. This is untreatable. ("Ju" means location/state. Bone Dian Ji has eight untreatable signs: distension of the mandible, teeth, Shu points, and intermuscular spaces; sweating from the bones; vexation; vomiting with much saliva/phlegm; and Qi leaking downward. Having these eight signs indicates Bone Dian Ji, a fatal untreatable condition. [Ping An: In *Ling Shu*, "Han" is written as a specific character. In *Jia Yi Jing*, "Er Gu Ju" is written as "Er Gu Ju Qiang Zhi" (and bone stays rigid), and the specific character is written as "Men" (oppressed). In *Ling Shu*, "Xian Mo" is written as "Wo Mo". The note "You Ci Ba Hou" (having these eight signs) was mistakenly printed as "Si" (death) in Yuan's edition.])

Sinew Dian Ji: The body curls, contracts, and becomes large/tense. Needle the Da Shu (BL-11) pulse of the major meridians in the neck. If there is vomiting with much fluid/phlegm and Qi leaking downward, it is untreatable. (Body curling, contracting, and tensing indicates a Foot Taiyang disease. One should needle the Da Shu acupoint of the Foot Taiyang meridian in the neck. If there is vomiting of fluid/phlegm and Qi leaking downward, it is a fatal untreatable condition. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Ji" has the character "Zhe". "Juan" is written as "Juan" (tired) in *Ling Shu*. In *Jia Yi Jing*, "Ji" has the character "Mai" (pulse), and "Zhu" lacks the character "Mai". "Ye" is written as "Wo" in *Ling Shu* and "Xian" in *Jia Yi Jing*.])

Vessel Dian Ji: Sudden collapse/falling. The pulses of the four limbs are all swollen and relaxed/flaccid. The pulses are full. Puncture all to bleed. If not full, moxa the Taiyang meridian beside the neck. Moxa the Dai Mai (Girdle Vessel) three cun away on the waist, and the Ben Shu (original Shu) points of the various intermuscular spaces. If there is vomiting with much phlegm-fluid and Qi leaking downward, it is untreatable. (Sudden forward collapse in Dian Ji, with pulses of the four limbs swollen and flaccid, can be treated by puncturing to remove blood. If not swollen/full, moxa the Taiyang meridian at the neck to treat the main disease. Also moxa... [text missing] ...three cun away from the 14th vertebra, between the intermuscular spaces, to treat the Shu points governing Dian Ji. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Dian Ji" has the character "Zhe". "Xia" has the character "Zhi". In *Ling Shu*, "Xia" is written as "Xie". In *Jia Yi Jing*, "Moxa Dai Mai" has the character "You" (again). "Wo" is written as "Xian". The two characters below "Moxa" in the note were originally incomplete; examining the remnants suggests "Dai Mai" (Girdle Vessel). Yuan's edition wrote "Yao Qu" (waist selection), which is likely incorrect; based on the text, it should be "Dai Mai".])

To treat Dian Ji, if the onset resembles Kuang (Mania), it is a fatal untreatable condition. (Stiff falling and collapsing without awareness is called Dian. Running wildly and speaking nonsense is called Kuang. Now, if Dian Ji onset resembles Kuang, the disease is severe, hence fatal and untreatable. [Ping An: In *Ling Shu*, there is no "Zhi" (treat) before "Dian". "Bing" (disease) is written as "Ji" (disorder).])