厥头痛。面若肿。起而烦心。取之足阳明太阴。
此章论经气五脏厥逆为病。因以名篇。夫三阴三阳。天之六气也。木火土金水火。地之五行
也。在天呈象。在地成形。地之五行。化生五脏。天之六气。配合六经。是以五脏相通。移皆有次。
穴气旋转。上下循环。若不以次相传。则厥逆而为病矣。再按在天丹苍 素元之气。经于五方之分。
化生地之五行。地之五行。上呈三阴三阳之六气。此天地阴阳五运六气。互相生成者也。而人亦应
之。故曰东方生风。风生木。木生酸。酸生肝。南方生热。热生火。火生苦。苦生心。此五脏之形气。
生于地之五行。而本于天之六气。十二经脉。外合六气。而本于脏腑之所生。脏腑经气之相合也。
灵素经中。凡曰太阳少阳。阳明太阴。少阴厥阴。此论在六气。或有及于六经。若曰肝心脾肺肾。
此论有脏腑经脉。而或涉于六气。此阴阳离合之道也。夫阴阳出入。寒暑往来。皆从地而出。自足
而上。是以贤人上配天以养头。下象地以养足。中旁人事以养五脏。苟失其养。则气厥而为头痛。
脏厥而为心痛矣。阳明之气。上出于面。厥气上逆于头。故为头痛面肿。阳明是动。则病心欲动。
故起而心烦。此阳明之气。上逆于头而为厥头痛也。故当取之足阳明。阳明从中见太阴之化。故兼
取之太阴。此厥逆在气而不及于经也。
厥头痛。头脉痛。心悲善泣。视头动脉反盛者。刺尽去血。后调足厥阴。
此论厥阴之气。厥逆于上。转入于经。而为厥头痛也。夫三阴三阳之气。皆从下而上。有厥在
气而不及于经者。有厥在气而转入于经脉者。经气外内相通。可离而可合也。是以首节只论气厥。此
以下论气厥而上及于经脉焉。逆在脉。故头脉痛。厥阴为阖。阖折则气绝而喜悲。逆在气。故心
悲善泣。视头痛脉反盛者刺之。尽去其血。以泻脉厥。后调足厥阴。以通其气逆焉。
厥。头痛贞贞。头重而痛。泻头上五行。行五。先取手少阴。后取足少阴。
此少阴之气。厥逆于上。转及于太阳之经脉。而为厥头痛也。贞贞。固而不移也。头上五行。
取足太阳经之五处、承光、通天、络郗、玉枕。少阴太阳。主水火阴阳之气。上下标本相合。是以
先泻太阳。次取手少阴。后取足少阴也。沈氏曰。阴阳六气。只合六经。从足而手。故先取手而
后取足。尚氏曰。少阴之上。君火主之。故先取手而后取足。张开之曰。沈论六气合六经。而有手
足之上下。尚论六气有标本之上下。二说俱宜通晓。
厥头痛。意善忘。按之不得。取头面左右动脉。后取足太阴。
此太阴之气。厥逆于上。及于头面之脉。而为厥头痛也。经云。气并于上。乱而喜忘。脾藏意。
太阴之气厥逆。则脾脏之神志昏迷。故意喜忘也。头主天气。脾主地气。按之不得者。地气上乘于
天。入于头之内也。先取头面左右之动脉。以泻其逆气。后取足太阴以调之。莫云从曰。头面左右之
动脉。足阳明之脉也。
厥头痛。项先痛。腰脊为应。先取天柱。后取足太阳。
此太阳之气。上逆于头。而为厥头痛也。夫阴阳六气。皆循经而上。太阳之脉。从头项而下循
于腰脊。太阳之厥头痛。项先痛而腰脊为应。此逆在气而应于经也。故先取项上之天柱以泻其逆。
后取足太阳以调之。
厥头痛。头痛甚。耳前后脉涌。有热。泻出其血。后取足少阳。
此少阳之气。厥入于头项之经脉。而为厥头痛也。少阳之上。相火主之。火气上逆。故头痛甚。
而耳前后脉涌有热。先泻出其血。而后取其气焉。以上论三阴三阳之气。厥而为头痛。不因于外邪也。
真头痛。头痛甚。脑尽痛。手足寒至节。死不治。
真头痛者非六气之厥逆。乃客邪犯脑。故头痛甚。脑尽痛。头为诸阳之首。脑为精水之海。手
足寒至节。此真气为邪所伤。故死不治。
头痛不可取于 者。有所击堕。恶血在于内。若肉伤痛未已。可则刺。不可远取也。
此击堕伤头。而为头痛者。不可取之俞也。夫有所击堕。恶血在于内。若肉伤。痛未已。可则
在此痛处而刺之。不可远取之俞也。盖言痛在头而取之下者。乃在下之气。厥逆于上。经气上下交
通。若有所伤而痛者。非经气之谓也。
头痛不可刺者。大痹为恶。日作者。可令少愈。不可已。
此言大痹而为头痛者。亦不可刺其俞也。大痹者。风寒客于筋骨而为恶也。日作者。当取之筋
骨。可令少愈。如不止。不可已而再取之。此言风寒之邪。深入于筋骨。故不可取之俞。而亦不能即愈也。
头半寒痛。先取手少阳阳明。后取足少阳阳明。
此寒邪客于经脉而为偏头痛也。寒伤荣。故为寒痛。手足三阳之脉。上循于头。左者络左。右
者络右。伤于左则左痛。伤于右则右痛。非若厥气上逆。而通应于头也。手足少阳阳明之脉。皆分
络于头之左右。先取手而后取足者。手经之脉。上于头而交于足经者。不取太阳者。太阳之在中也。
按、灵素二经。凡论六气。后列经证一条。论六经。后列气证一则。此先圣之婆心。欲后学之体认。
沈亮宸曰。千般 难。不越三因。厥头痛者。内因之气厥也。真头痛者。淫邪犯脑也。大痹者。风
寒逆于脉外也。头半痛者。寒邪客于脉中也。此外因之疾也。有所击堕者。不内外因也。以此详之。
病由都尽。若人能慎养。内使血气和调。阴阳顺序。外使元真通畅。腠理固密。不令淫邪于忤。更能
保身忍性。无有击堕之虞。可永保其天年。而无夭枉之患矣。
厥心痛。与背相控。善 。如从后触其心。伛偻者。肾心痛也。先取京骨昆仑。发针不已。取
然谷。
此论五脏之经气厥逆。而为厥心痛也。脏真通于心。心藏血脉之气也。是以四脏之气厥逆。皆
从脉而上乘于心。背为阳。心为阳中之太阳。故与背相控而痛。心与背相应也。心脉急甚为 。如
从后触其心者。肾附于脊。肾气从背而上注于心也。心痛故伛偻而不能仰。此肾脏之气。逆于心下
而为痛也。先取膀胱经之京骨昆仑。从腑阳而泻其阴脏之逆气。如发针不已。再取肾经之然谷。此
脏气厥逆。从经脉相乘。与六气无涉。故不曰太阳少阴。而曰昆仑然谷。
厥心痛。腹胀胸满。心尤痛甚。胃心痛也。取之大都太白。
胃气上逆。故腹胀胸满。胃气上通于心。故心痛尤甚。脾与胃以膜相连。而为胃之转输。故取脾
经之大都太白。以输胃之逆气。尚御公曰。上节从腑泻脏。此复从脏泻腑。皆雌雄相合。经气交通
之妙用。夫五脏之血气。皆从胃腑而生。故经中凡论五脏。多兼论其胃焉。
厥心痛。痛如以锥针刺其心。心痛甚者。脾心痛也。取之然谷太溪。
脾脉上膈注心中。故痛如以锥刺其心。然谷当作漏谷。太溪当作天溪。盖上古之文。不无鲁鱼
之误。
厥心痛。色苍苍如死状。终日不得太息。肝心痛也。取之行间太冲。
肝主色而属春生之气。肝气厥逆。故色苍苍如死状。肝病则胆气亦逆。故终日不得太息。此肝
气逆乘于心。而为肝心痛也。取本经之行间太冲以疏逆气。
厥心痛。卧若徒居。心痛间。动作痛益甚。色不变。肺心痛也。取之鱼际太渊。
夫肺主周身之气。卧若徒然居于此者。气逆于内。而不运用于形身也。动作则逆气内动。故痛。
或少间。而动则益甚也。夫心之合脉也。其荣色也。肺者心之盖。此从上而逆于下。故心气不上出
于面而色不变也。取肺经之鱼际太渊以泻其逆。
真心痛。手足青至节。心痛甚。旦发夕死。夕发旦死。
夫四脏厥逆而为心痛者。从经脉而薄于心之分也。心为君主之官。神明出焉。故心不受邪。若伤其
脏真而为真心痛者。不竟日而死矣。盖心乃太阳之火。应一日而绕地一周。心气伤。故不终日而死。夫寒
热。天之气也。青赤。五行之色也。故真头痛者。寒至节。真心痛者。青至节。
心痛不可刺者。中有盛聚。不可取于俞。
此言心痛之因于气者。不可取之俞也。盛聚者。五脏之逆气太盛。聚于中而为心痛。非循脉之
上乘也。此节论五脏之经脉厥逆。而末结气证一条。盖以证明经气之各有别也。故只曰不可取于俞。
而不言其治法。
肠中有虫瘕。及蛟 。皆不可取以小针。心肠痛。 作痛。肿聚往来上下行。痛有休止。腹热
喜渴。涎出者。是蛟 也。以手聚按而坚持之。无令得移。以大针刺之。久持之。虫不动乃出针也。
腹 痛。形中上者。（ 音烹中平声）
此言虫瘕蛟 。而亦能为心痛也。虫瘕者。 瘕而成形也。蛟 者。蛔虫也。蛟 生于肠胃
之中。蛟 而为心痛者。六腑之气。亦上通于心也。虫瘕积于肠胃之外。虫瘕而为心痛者。心主神
明正大。端居于上。即宫城郛郭之间。亦不容其邪也。皆不取以小针者。谓不涉于经络皮肤也。
者。懊 不安也。肿聚者。虫聚而壅于胸腹之间。上行则痛。归下则安。故痛有休止也。虫瘕蛟 。
皆感湿热以生聚。故腹热。虫欲饮。故喜渴。虫动则廉泉开。故涎下也。见此诸证。是蛟 也。以
手聚按而坚持之。无令得移。以大针刺之。久持之。虫不动则虫已毙。而乃出针也。若腹 满而
心中懊 作痛者。乃瘕聚之形类。从中而上者也。沈亮宸曰。此与上节之击堕。下节之干耵聍。
皆不涉于经气者也。
耳聋无闻。取耳中。耳鸣。取耳前动脉。耳痛不可刺者。耳中有脓。若有干
耵聍。耳无闻也。耳聋取手小指次指爪
甲上与肉交者。先取手。后取足。耳鸣取手中指爪甲上。左取右。右取左。先取手。后取足。
此言经气之厥逆。从经而气。从足而手。自下而上也。故逆在上之经络。而为耳聋耳鸣者。即
从耳间之络脉以取之。若气之上逆而为耳聋耳鸣者。当取手足之指井。先取手而后取足。盖六气止
合六经。其逆盛而躁者在手。故阴阳二气。厥逆而为耳聋耳鸣者。从足而手。手而头也。若有脓而
痛者。有干耵聍。而耳聋无闻者。此又与经气无涉。故不可刺耳间之络脉。及手足之指井也。按小指
次指者。乃手少阳之关冲。手中指者。乃手厥阴之中冲。后取足者。乃足厥阴之大敦。手足三阴之
脉。皆不上循于头。亦非左络右而右络左。此因气之上逆。而为耳聋耳鸣也。盖耳者肾之窍。厥阴
主春。少阳乃初生之气。皆生于肾脏之水中。所生气之厥逆。则母脏之外窍不通。是以取手足之指
井。乃经气之所出也。夫首论厥头痛者。因气厥而及于经。次论厥心痛者。因脏厥以及于脉。乃脏
腑经气之相通也。此复论厥在经络者。即取之络。厥在气分者。即取手足之指井以疏其气。此经气
离合之道也。阴阳出入。寒暑往来。皆从地而出。自足而上。是以先取阳而后取阴。气自下而上也。
先取手而后取足。气从足而手也。沈亮宸曰。此论人经气上下。脏腑阴阳。各有分别。
足髀不可举。侧而取之。在枢合中。以圆利针。大针不可刺。病注下血。取曲泉。
此承上文而言经气之厥逆于下者。即从下而取之也。夫阴阳之气。虽从下而生。然上下升降。环
转无端。故有从下而逆于上者。有从上而逆于下者。皆随其所逆而取之也。足髀不可举者。少阳之
气厥于下也。侧而取之者。侧卧而取之也。合枢中。乃髀枢中之环跳穴。必深取而后得之。以圆利
针。而大针不可刺者。此逆在
气而不在经。故当浅刺于肤腠之间以疏气。不必深取之经穴也。病注下血者。此厥在气而入于经也。
厥阴肝经主血。此厥阴之气厥于经。故当取本经之曲泉以止血。夫气为阳。血为阴。上为阳。下为
阴。故气从下而上逆于经络者。则为气闭之耳聋耳鸣。气从上而下逆于经络者。则为病注下血。
风痹淫泺。病不可已者。足如履冰。时如入汤中。股胫淫泺。烦心头痛。时呕时闷。眩已汗出。
久则目眩。悲以喜恐。短气不乐。不出三年死也。
此论厥气之分乘于上下也。风痹淫泺。乃痹逆之风邪。淫泺于上下。盖风之善行而数变也。夫
阴阳之道。分则为三阴三阳。应于经脉。则又有手足之分。合而论之。总归于阴阳二气。水火者。
阴阳之征兆也。心肾者。水火之形脏也。风邪淫泺于上下。故病不可已。盖寒之则伤心主之火。热
之则伤肾脏之阴。病不可治。故不可已也。淫泺于下。故足如履冰。感寒水之气也。时或淫泺于上。
则如入汤中。感火热之气也。股胫淫泺。淫及于下之足胫。烦心头痛。淫及于上之头首也。时呕时
闷。有时而逆于中也。诸脉皆会于目。眩者。淫于经脉之血分也。毛腠疏则汗出。汗出者。淫于毛
腠之气分也。水之精为志。火之精为神。志与心精。共凑于目。故久则目眩也。喜为心志。恐为肾
志。心悲名曰志悲。悲以喜恐者。心肾之神志伤而悲泣也。肾为生气之原。短气者。伤其肾气也。
不乐者。伤其心气也。夫日以应火。月以应水。周天三百六十五度四分度之一。岁三百六十五日
有奇。日月一周天而复大会。不出三年死者。不过尽水火阴阳之数周而终也。此篇论厥逆为病。有
[Jue Lun Chapter 24 (Part 1/2)]
Jue headache. The face appears swollen, and upon rising, the patient feels vexed and irritable. Treatment should involve selecting points from the Foot-Yangming and Foot-Taiyin meridians.
This chapter discusses diseases caused by the rebellion of meridian qi and the five zang organs, hence the title "Jue" (Rebellion). The Three Yin and Three Yang correspond to the Six Qi of Heaven; Wood, Fire, Earth, Metal, and Water correspond to the Five Elements of Earth. In Heaven, they manifest as phenomena; on Earth, they form shapes. The Five Elements of Earth generate the Five Zang organs, while the Six Qi of Heaven coordinate with the Six Meridians. Thus, the Five Zang organs are interconnected, and the transmission of pathogenic factors follows a specific sequence. Acupoint qi rotates and circulates continuously up and down. If this sequence is disrupted, Jue (rebellion) occurs, leading to disease. Furthermore, the Qi of colors (cyan, white, red, black, yellow) in Heaven distributes across the five directions, generating the Five Elements of Earth; the Five Elements of Earth then manifest upward as the Six Qi of Three Yin and Three Yang. This is the mutual generation of Heaven and Earth's Yin-Yang, Wu Yun (Five Movements), and Liu Qi (Six Qi). Humans also resonate with this pattern. Thus it is said: The East generates Wind, Wind generates Wood, Wood generates Sour flavor, Sour flavor nourishes the Liver; the South generates Heat, Heat generates Fire, Fire generates Bitter flavor, Bitter flavor nourishes the Heart. These are the form and Qi of the Five Zang organs, born from the Five Elements of Earth but rooted in the Six Qi of Heaven. The Twelve Meridians externally coordinate with the Six Qi and are rooted in the generation of the Zang-Fu organs. This is the integration of Zang-Fu and Meridian Qi. In the *Ling Shu* and *Su Wen*, mentions of Taiyang, Shaoyang, Yangming, Taiyin, Shaoyin, and Jueyin refer to the Six Qi, sometimes extending to the Six Meridians. Mentions of Liver, Heart, Spleen, Lung, and Kidney refer to the Zang-Fu and Meridians, sometimes involving the Six Qi. This is the Dao of Yin-Yang separation and union. The entry and exit of Yin-Yang, the coming and going of Cold and Heat, all originate from the Earth and move upward from the feet. Therefore, the wise person models the Head after Heaven to nourish it, the Feet after Earth to nourish them, and the Middle region after human affairs to nourish the Five Zang organs. If this nourishment is neglected, Qi will rebel causing headache, and Zang Qi will rebel causing heart pain. Yangming Qi ascends to the face; rebellious Qi rushes upward to the head, causing headache and facial swelling. When Yangming undergoes change, it causes palpitations, so upon rising, the patient feels vexed. This is Yangming Qi rebelling upward to the head, causing Jue headache. Therefore, one should select points from the Foot-Yangming meridian. Yangming derives its transformation from the interiorly-exteriorly paired Taiyin; thus, points from the Foot-Taiyin are also selected. This indicates that the rebellion is in the Qi level and has not yet affected the meridians.
Jue headache. Pain in the head's vessels, sadness, and frequent weeping. Observe the pulsating arteries in the head; if they appear excessively full, puncture to exhaust the blood, then regulate the Foot-Jueyin meridian.
This section discusses Jueyin Qi rebelling upward and entering the meridians, resulting in Jue headache. The Qi of the Three Yin and Three Yang all moves upward from below. Some rebellions remain at the Qi level without affecting the meridians, while others enter the meridians. Meridian Qi connects internally and externally, capable of separating and merging. Hence, the first section only discusses Qi rebellion; from here onward, it discusses Qi rebellion extending to the meridians. Since the rebellion is in the vessels, there is pain in the head's vessels. Jueyin governs "closing" (He); if closing fails, Qi severs, leading to sadness. Since the rebellion is in the Qi, the patient feels sad and weeps easily. Observe the head pain area where the pulse is excessively full; puncture to exhaust the blood, thereby draining the vessel rebellion. Then regulate the Foot-Jueyin to unblock the rebellious Qi.
Jue headache. Persistent, fixed pain; heavy head and pain. Drain the five rows of acupoints on the head, five points per row. First select Hand-Shaoyin points, then Foot-Shaoyin points.
This section discusses Shaoyin Qi rebelling upward and affecting the Taiyang meridian, causing Jue headache. "Zhenzhen" means firm and immovable. The five rows on the head refer to the five points of the Foot-Taiyang bladder meridian: Wuchu, Chengguang, Tongtian, Luoque, and Yuzhen. Shaoyin and Taiyang govern Water and Fire, Yin and Yang Qi, combining upper and lower biao-ben. Thus, one first drains Taiyang, then selects Hand-Shaoyin, and finally Foot-Shaoyin. Mr. Shen states: The Six Qi of Yin-Yang combine only with the Six Meridians, moving from Foot to Hand, hence selecting Hand first then Foot. Mr. Shang states: Above Shaoyin, Ministerial Fire dominates, hence selecting Hand first then Foot. Zhang Kaizhi says: Shen discusses Six Qi combining with Six Meridians regarding Hand/Foot hierarchy; Shang discusses Six Qi regarding Biao-Ben hierarchy. Both views should be understood.
Jue headache. Forgetfulness; pressing yields no tenderness. Select arterial pulses on the left and right sides of the head and face, then select Foot-Taiyin points.
This section discusses Taiyin Qi rebelling upward and affecting the head and face meridians, causing Jue headache. The classic states: Qi aggregating in the upper part causes confusion and forgetfulness. The Spleen houses Yi (Intellect). Taiyin Qi rebellion causes the spirit of the Spleen to become confused, leading to forgetfulness. The Head governs Heavenly Qi; the Spleen governs Earthly Qi. Pressing finds no pain because Earthly Qi rises to Heaven, entering the interior of the head. First select arterial pulses on the head and face to drain rebellious Qi, then select Foot-Taiyin to regulate. Mo Yuncong says: The arterial pulses on the left and right of the head belong to the Foot-Yangming stomach meridian.
Jue headache. Neck pain precedes, with corresponding pain in the waist and spine. First select Tianzhu (BL10), then select Foot-Taiyang points.
This section discusses Taiyang Qi rebelling upward to the head, causing Jue headache. The Six Qi of Yin-Yang all ascend along the meridians. The Taiyang meridian runs from the head and neck down to the waist and spine. In Taiyang Jue headache, neck pain precedes, with corresponding pain in the waist and spine. This is rebellion in Qi manifesting in the meridians. Thus, first select Tianzhu at the neck to drain rebellious Qi, then select Foot-Taiyang to regulate.
Jue headache. Severe headache; surging pulses around the ears with heat sensation. Drain the blood, then select Foot-Shaoyang points.
This section discusses Shaoyang Qi rebelling into the head and neck meridians, causing Jue headache. Above Shaoyang, Ministerial Fire dominates. Fire Qi rebels upward, causing severe headache and surging, hot pulses around the ears. First drain the blood, then regulate the Qi. The above sections discuss how Qi of the Three Yin and Three Yang rebels to cause headache, not due to external pathogens.
True headache. Extremely severe headache; pain throughout the brain; cold hands and feet reaching the joints. This is a fatal condition, untreatable.
True headache is not a rebellion of the Six Qi, but rather an invading pathogen attacking the brain, causing severe, whole-brain pain. The head is the meeting place of all Yang meridians; the brain is the sea of essence and water. Cold hands and feet reaching the joints indicate that True Qi is damaged by pathogens, making it fatal and untreatable.
Headache cannot be treated by selecting distant acupoints if caused by trauma or falling, with bad blood retained internally. If muscle injury persists and pain remains, needle the local painful area; do not select distant points.
This section discusses headache caused by head trauma from blows or falls. Do not select standard acupoints. Due to trauma, bad blood is retained internally. If muscle injury persists with pain, needle the local painful area; do not select distant acupoints. This implies that selecting lower points for headache addresses Qi rebellion from below ascending upward, as meridian Qi connects vertically. Traumatic pain is not a matter of meridian Qi dynamics.
Headache cannot be needled if caused by severe Bi syndrome (obstruction). Daily attacks may be slightly alleviated but not cured.
This section states that headache caused by severe Bi syndrome also cannot be treated by needling acupoints. Severe Bi involves Wind-Cold pathogens lodging in sinews and bones, causing severe pathology. Daily attacks should be treated by addressing sinews and bones to achieve slight improvement. If unresolved, it cannot be cured immediately. This indicates Wind-Cold pathogens have penetrated deeply into sinews and bones; thus, acupoints are not suitable, and immediate cure is impossible.
Half-head cold pain. First select Hand-Shaoyang and Hand-Yangming points, then select Foot-Shaoyang and Foot-Yangming points.
This section discusses hemi-cephalgia caused by Cold pathogens lodging in meridians. Cold injures Ying (Nutrient) Blood, causing cold pain. The meridians of the three Yang limbs ascend to the head; left ones connect to the left, right ones to the right. Injury on the left causes left-sided pain, and vice versa, unlike Qi rebellion which affects the head generally. Hand and Foot Shaoyang and Yangming meridians connect to both sides of the head. Selecting Hand first then Foot is because Hand meridian Qi ascends to the head and intersects with Foot meridians. Taiyang is not selected because it occupies the central position.
Note: In the *Ling Shu* and *Su Wen*, discussions of Six Qi are followed by one meridian syndrome; discussions of Six Meridians are followed by one Qi syndrome. This is the sages' compassion, hoping students will comprehend. Shen Liangchen says: Among thousands of disasters, none exceed the Three Causes. Jue headache is internal Qi rebellion; True headache is invasive pathogens attacking the brain; Severe Bi is Wind-Cold reversing outside the vessels; Half-head pain is Cold pathogens lodging inside the vessels. These are external causes. Trauma is neither internal nor external. Analyzing these, all causes are exhausted. If one carefully nurtures oneself, harmonizing internal Blood and Qi, ordering Yin-Yang, ensuring external Yuan Zhen (Original Qi) flows freely, securing cou li (pores), preventing invasive pathogens, preserving the body and tempering nature, avoiding trauma, one can preserve natural lifespan without premature death.
Jue heart pain. Pain radiating to the back, spasms, feeling as if touched from behind, stooping posture. This is Kidney heart pain. First select Jinggu (BL64) and Kunlun (BL60). If ineffective after needling, select Ran Gu (KI3).
This section discusses rebellion of the Five Zang meridian Qi causing Jue heart pain. The True Qi of the Zang connects to the Heart, which houses the Qi of Blood vessels. Thus, rebellion of the other four Zang Qi ascends via meridians to the Heart. The Back is Yang; the Heart is Yang within Yang (Taiyang). Hence, pain radiates to the back, correlating Heart and Back. Extreme tension in Heart vessels causes spasms, feeling like being touched from behind. The Kidneys attach to the spine; Kidney Qi ascends from the back to the Heart. Due to heart pain, the patient stoops and cannot straighten up. This is Kidney Qi rebelling downward to the Heart causing pain. First select Jinggu and Kunlun of the Bladder meridian to drain the Yin Zang's rebellious Qi via the Yang Fu. If ineffective, select Ran Gu of the Kidney meridian. This is Zang Qi rebellion transmitting via meridians, unrelated to Six Qi; hence, names are Kunlun and Ran Gu, not Taiyang and Shaoyin.
Jue heart pain. Abdominal distension, chest fullness, especially severe heart pain. This is Stomach heart pain. Select Dadu (SP2) and Taibai (SP3).
Stomach Qi rebels upward, causing abdominal distension and chest fullness. Stomach Qi connects upward to the Heart, causing severe heart pain. The Spleen and Stomach are connected by membranes, serving as the transport hub for the Stomach. Thus, select Dadu and Taibai of the Spleen meridian to vent Stomach rebellious Qi. Mr. Shang Yugong says: The previous section drained Zang via Fu; this section vents Fu via Zang. Both utilize the subtle interaction of Yin-Yang and meridian Qi. The Blood and Qi of the Five Zang are generated by the Stomach Fu; hence, discussions of the Five Zang often include the Stomach.
Jue heart pain. Pain like needle pricks in the heart, extremely severe. This is Spleen heart pain. Select Ran Gu (KI3) and Taixi (KI3).
Spleen meridians pass through the diaphragm to the Heart, causing pain like needle pricks. Ran Gu should be Lougu, and Taixi should be Tianxi. Ancient texts often contain transcription errors.
Jue heart pain. Complexion cyanotic like a corpse, unable to sigh deeply all day. This is Liver heart pain. Select Xingjian (LR2) and Taichong (LR3).
The Liver governs color and belongs to Spring Wood Qi. Liver Qi rebellion causes a cyanotic complexion resembling death. Liver disease causes Gallbladder Qi to rebel, leading to inability to sigh deeply all day. This is Liver Qi rebelling against the Heart, causing Liver heart pain. Select Xingjian and Taichong of the same meridian to soothe rebellious Qi.
Jue heart pain. Pain relieves when lying still or sitting quietly, worsens with movement, complexion unchanged. This is Lung heart pain. Select Yuji (LU10) and Taiyuan (LU9).
The Lung governs Qi throughout the body. Lying still keeps Qi rebellious internally, not utilizing the body. Movement stirs internal rebellious Qi, causing pain. It may briefly relieve but worsens with activity. The Heart matches the vessels; its luster is in the complexion. The Lung is the canopy of the Heart. Rebellion from above downward prevents Heart Qi from ascending to the face, leaving the complexion unchanged. Select Yuji and Taiyuan of the Lung meridian to drain rebellious Qi.
True heart pain. Hands and feet turn cyanotic to the joints, severe heart pain. Death if onset in morning, death by evening; death if onset in evening, death by next morning.
Heart pain from the four Zang rebellion approaches the Heart via meridians. The Heart is the Monarch, housing Shen (Spirit); thus, it does not accept pathogens. If True Zang is injured causing True heart pain, death occurs within less than a day. The Heart corresponds to Solar Fire, circling the earth once a day. Heart Qi injury leads to death within a day. Cold and Heat are Qi of Heaven; Cyan and Red are Colors of the Five Elements. Thus, True headache presents with cold to joints; True heart pain presents with cyanosis to joints.
Heart pain cannot be needled if there is excessive accumulation internally; do not select acupoints.
This section states that heart pain caused by Qi issues cannot be treated by acupoints. Excessive accumulation refers to overly strong rebellious Qi of the Five Zang aggregating in the middle, causing heart pain, not ascending via meridians. This section discusses Five Zang meridian rebellion, concluding with a Qi syndrome to prove distinct meridian Qi characteristics. Hence, it only states "do not select acupoints" without specifying treatment methods.
Roundworms or abdominal masses in the intestines cannot be treated with small needles. If heart and intestinal pain occur, with cramping pain, migratory swelling, intermittent pain, abdominal heat, thirst, and salivation, these are roundworms. Press firmly to immobilize the mass, insert a large needle, hold for a long time until the worm stops moving, then remove the needle.
Abdominal pain with a raised middle shape. (Pronunciation note provided in original).
This section discusses how roundworms and masses can also cause heart pain. Roundworms form masses in the intestines. Roundworms causing heart pain occur because Fu Qi connects upward to the Heart. Masses accumulating outside the intestines cause heart pain because the Heart, governing Shen, resides centrally and high up, excluding pathogens. Small needles are not used because this does not involve meridians or skin.
"Aonao" refers to inner restlessness. Swelling and aggregation result from worms clogging the chest and abdomen; ascending causes pain, descending brings relief, hence intermittent pain. Roundworms arise from Damp-Heat, causing abdominal heat. Thirst arises as worms seek water. Worm movement opens Lianquan, causing salivation. These symptoms indicate roundworms. Press firmly, insert large needle, hold until worms die, then remove. Abdominal fullness with inner restlessness and pain indicates a mass type rising from the middle. Shen Liangchen says: Like the previous section on trauma and the next on cerumen, these do not involve meridian Qi.
Deafness and hearing loss: select acupoints in the ear. Tinnitus: select arterial pulse in front of the ear. Ear pain cannot be needled if there is pus or dry cerumen causing deafness. For deafness, select the point between the nail and flesh at the tip of the fourth finger of the hand. First select Hand meridian, then Foot meridian. For tinnitus, select the point on the nail of the middle finger of the hand. Left side treats right, right side treats left. First select Hand meridian, then Foot meridian.
This section discusses Qi rebellion moving from meridian to Qi, from Foot to Hand, upward from below. For deafness/tinnitus due to rebellion in upper meridians, select collateral vessels near the ear. For Qi rebellion causing deafness/tinnitus, select Jing-Well points of hands and feet. First Hand, then Foot. Because Six Qi combine with Six Meridians, and vigorous/rebellious Qi is in the Hand meridians, Yin-Yang rebellion causing deafness/tinnitus moves from Foot to Hand, Hand to Head. If pus or cerumen causes deafness/pain, it is unrelated to meridian Qi; thus, do not needle ear collaterals or finger Jing-Well points. Note: The fourth finger tip is Guanchong (TE1, Hand-Shaoyang); the middle finger tip is Zhongchong (PC9, Hand-Jueyin). The Foot meridian selected is Dazhun (LR1, Foot-Jueyin). The Three Yin meridians of Hand and Foot do not ascend to the head, nor do they cross laterally. This is due to Qi rebellion causing deafness/tinnitus. The ear is the orifice of the Kidney. Jueyin governs Spring; Shaoyang is initial Life Qi; both arise from Kidney Water. Rebellion of generated Qi blocks the mother organ's external orifice. Thus, selecting finger Jing-Well points accesses the source of meridian Qi. The first section discussed Jue headache (Qi rebellion affecting meridians); the second discussed Jue heart pain (Zang rebellion affecting meridians), showing Zang-Fu-Meridian connection. This section discusses rebellion in meridians (select collaterals) and Qi (select Jing-Well points), illustrating the separation and union of meridian Qi. Yin-Yang entry/exit, Cold/Heat cycles originate from Earth, moving upward. Hence, select Yang before Yin (Qi moves upward); select Hand before Foot (Qi moves from Foot to Hand). Shen Liangchen says: This section distinguishes the vertical flow of meridian Qi and the differentiation of Zang-Fu Yin-Yang.
Inability to lift the thigh: select while lying on side. Point is in the pivot joint (Huantiao GB30). Use a Yuanli needle; Da needle is contraindicated. For urgent bloody diarrhea, select Ququan (LR8).
This continues the discussion on Qi rebellion in the lower body, treating from below. Yin-Yang Qi originates below but circulates endlessly up and down. Rebellion can be upward or downward; treat according to direction. Inability to lift the thigh is Shaoyang Qi rebelling below. Side-lying selection refers to lateral recumbency. "He Shu Zhong" refers to Huantiao in the hip pivot. Deep insertion is required. Use Yuanli needle; Da needle is contraindicated because rebellion is in Qi, not the meridian itself. Superficial needling in the cou li suffices to disperse Qi; deep meridian needling is unnecessary. Urgent bloody diarrhea indicates Qi rebellion entering the meridian. Jueyin Liver governs Blood; Jueyin Qi rebellion in the meridian requires selecting Ququan of the same meridian to stop bleeding. Qi is Yang, Blood is Yin; Upper is Yang, Lower is Yin. Qi rebelling upward from below causes Qi-closure deafness/tinnitus; Qi rebelling downward from above causes urgent bloody diarrhea.
Wind-Bi with Yinluo (limb weakness/pain), incurable. Feet feel like walking on ice; sometimes feel like entering hot soup. Thighs and calves suffer Yinluo; vexation, headache, occasional vomiting and stifling, dizziness with sweating. Long-term: blurred vision, alternating sadness/fear, shortness of breath, depression. Death within three years.
This section discusses Jue Qi attacking upper and lower regions. Wind-Bi Yinluo is obstructive Wind pathogen moving up and down, characterized by Wind's mobility and variability. Yin-Yang splits into Three Yin and Three Yang, corresponding to Hand/Foot meridians, but fundamentally unites as Yin-Yang. Water and Fire are manifestations of Yin-Yang; Heart and Kidneys are their formative Zang organs. Wind pathogen moving up and down makes the condition incurable. Cooling damages Heart Fire; heating damages Kidney Yin. Unincurable. Yinluo below causes feet feeling like ice (Cold/Water Qi). Yinluo above causes feeling like hot soup (Heat/Fire Qi). Thigh/calf Yinluo affects lower limbs. Vexation/headache affects upper head. Vomiting/stifling affects middle jiao. All meridians converge at the eyes; dizziness indicates invasion of Blood level. Loose cou li causes sweating (Qi level invasion). Water's essence is Zhi (Will); Fire's essence is Shen (Spirit). Both gather at the eyes; long-term leads to blurred vision. Joy is Heart Will; Fear is Kidney Will. Sadness combined with joy/fear indicates Heart-Kidney Spirit damage. Kidney is root of Qi; shortness of breath indicates Kidney Qi injury. Depression indicates Heart Qi injury. Sun corresponds to Fire; Moon to Water. A celestial cycle is 365.25 degrees; a year is 365+ days. Sun and Moon reunite after one cycle. Death within three years signifies exhaustion of Water-Fire Yin-Yang cycles. This chapter discusses Jue rebellion diseases, including...