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[Ping An]: This section appears in Chapter 22 "Dian Kuang" (Mania and Epilepsy) of Volume 5 of the *Ling Shu* (Spiritual Pivot), and also in Volume 11, Chapter 7 of the *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion).

Sha Qi (Deficiency of Vital Qi): The body feels cold and shivering (luo luo); speech is characterized by weak, intermittent inhalation (xi xi); bones feel heavy; limbs are flaccid and unable to move. Treatment involves tonifying the Foot-Shaoyin Kidney Meridian. (Note: "Luo luo" and "xi xi" both describe states of deficiency and weakness. Heavy bones and flaccidity are due to Kidney Qi deficiency. Therefore, one should tonify the Foot-Shaoyin meridian by applying the tonification method at the affected acupoints. [Ping An]: In the *Ling Shu* and *Jia Yi Jing*, "xie" (flaccid) is written as "xie duo" (sluggish/lazy), and "Shao Yin" is preceded by "Zu" (Foot).)

Duan Qi (Shortness of Breath): Respiration is rapid and discontinuous; physical activity exacerbates the depletion of Qi. Treatment involves tonifying the Foot-Shaoyin Kidney Meridian and selecting blood collaterals for bleeding. (Note: "Shu" means connection. "Suo" means extraction or depletion. This is also a sign of Kidney Qi deficiency; thus, one should tonify the primary Foot-Shaoyin meridian and drain the stasis from the Shaoyyin collateral vessels. [Ping An]: Yuan's edition mistakenly writes "Shao Qi" instead of "Duan Qi". In the *Ling Shu* and *Jia Yi Jing*, "Zu" (Foot) precedes "Shao Yin", and "Qu" (select) is written as "Qu" (remove/exclude).)

[Ping An]: From the beginning of this chapter up to "dong mai" (pulsating vessel), this section appears in Chapter 26 "Za Bing" (Miscellaneous Diseases) of Volume 5 of the *Ling Shu*, and also in Volume 9, Chapter 4 of the *Jia Yi Jing*. From "qi man" (Qi fullness) to "qi xia nai zhi" (until Qi descends), it appears in Chapter 23 "Re Bing" (Heat Diseases) of Volume 5 of the *Ling Shu*.

When Qi rebels upward, puncture the depressed areas in the chest and the pulsating vessels below the chest. (Note: The pulsating vessels below the chest can be located by measuring according to points such as Zhongfu (LU-1). [Ping An]: In the *Jia Yi Jing*, "xia xiong" (below chest) is written as "xie xia" (below hypochondrium). The annotation "xiong xia dong mai" in Yuan's edition reads "xiong ying qi xia dong mai"; the original manuscript lacks the characters "ying qi".)

For fullness of Qi in the chest causing panting, select the end of the great toe of the Foot-Taiyin Spleen Meridian, approximately the width of a leek leaf away from the tip. If the condition is Cold, retain the needle for a longer duration; if Heat, remove it quickly. Stop treatment once the Qi descends. (Note: The Foot-Taiyin Spleen Meridian originates at the Yinbai point (SP-1) at the medial end of the great toe. [Ping An]: In the *Ling Shu*, "jiu" (leek) is written as "xie" (shallot).)

[Ping An]: This section appears in Chapter 26 "Za Bing" (Miscellaneous Diseases) of Volume 5 of the *Ling Shu*, and also in Volume 12, Chapter 1 of the *Jia Yi Jing*.

For Yue (Hiccups/Stomach Qi Rebellious Upward), stimulate the nose with grass to induce sneezing, which will resolve the condition; hold the breath and rapidly guide/attract the Qi, and it will stop immediately; sudden surprise can also cure it. (Note: "Ji ying yin zhi" refers to stimulating the nose with grass to induce breath-holding, then rapidly stimulating again to induce surprise, thereby curing hiccups. [Ping An]: In the *Ling Shu* and *Jia Yi Jing*, the character "yi" (already) follows "yi ke" (also can). The original text has a missing character after "ling" (cause); the original manuscript notes "dong" (move) on the left margin; I tentatively supplement it as "dong". Yuan's edition leaves three spaces blank, which is non-standard.)