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The qi of the upper and lower parts is mutually connected. Therefore, when the jueqi (rebellious qi) of the Shaoyin (Lesser Yin) meridian ascends to the upper part, it causes unclear opening and closing, resulting in dianji (epilepsy or manic-depressive psychosis). Treatment should target the Taiyin (Greater Yin) and Yangming (Bright Yang) meridians. If the jueqi remains in the lower part, causing only lower jiao (lower burner) obstruction and difficult urination, the pathology lies solely in the Foot-Shaoyin and Foot-Taiyang (Greater Yang) meridians.

When qi rebels, select the Hand-Taiyin, Hand-Yangming, and Foot-Jueyin (Lesser Yin) meridians. In severe cases, select the moving vessels of the Shaoyin and Yangming meridians.

This passage discusses rebellious qi ascending to cause kuangji (mania), for which the Taiyin, Yangming, and Jueyin meridians are selected. When mania first arises, it is caused by worry and hunger; treatment involves selecting the Hand-Taiyin and Hand-Yangming meridians, as well as the Foot-Taiyin and Foot-Yangming meridians. This is because the qi of Shaoyin rebels upward into the Taiyin and Yangming meridians, initiating mania; thus, these meridians are selected. However, there are cases where the rebellious qi of the Foot-Shaoyin meridian ascends to the Heart, causing mania; in such instances, the Jueyin meridian is selected. This is because water qi transmits to Liver Wood, and Liver Wood transmits to Heart Fire. For newly onset mania that has not yet fully manifested, first puncture the pulsating arteries around Ququan (LR3). In severe cases, the rebellious qi is excessively strong; therefore, the primary meridian of the Foot-Shaoyin should be selected to drain the pathogen. The qi of Shaoyin combines with the Qi of Yangming; if Shaoyin qi is excessive, Yangming qi also becomes excessive. When the Yangming pulse is vigorous, the patient may curse incessantly; thus, the moving vessels of the Yangming meridian are simultaneously selected.

With shaoqi (deficiency of qi), the body trembles with cold (lei lei), breathing is short and weak (xi xi), bones feel heavy, and the limbs are flaccid and weak, unable to move. Treatment requires tonifying the Foot-Shaoyin meridian. ("Lei" sounds like "lei").

This indicates that the qi of the Foot-Shaoyin meridian is deficient and prone to deficiency-type rebellion. "Lei lei" describes the appearance of chills and trembling; "xi xi" describes the extension of short breaths. Since the Heart governs speech and the Lungs govern sound, vocalization relies on the moving qi between the Kidneys. With deficient Kidney qi, the qi of speech cannot connect continuously. The Kidneys are the source of generating qi and govern the bones; with deficient Kidney qi, the bones feel heavy, and the limbs are flaccid and unable to move. One should tonify the Foot-Shaoyin meridian to treat the initial stage.

With duanqi (shortness of breath), respiration is short and discontinuous, and movement leads to exhaustion of qi. Treatment requires tonifying the Foot-Shaoyin meridian and removing blood collaterals.

This indicates that deficiency qi is ascending and about to manifest as deficiency-type mania. "Shaoqi" refers to insufficient qi in the lower part; "duanqi" refers to qi rebelling upward and becoming short, hence respiration is short and discontinuous. Any movement causes further depletion of qi. One should tonify the deficiency of the Foot-Shaoyin meridian and remove the rebelling blood collaterals. The previous section treated the initial stage, so only the Shaoyin was tonified; this section addresses the impending onset, so blood collaterals are also removed. According to the text, the juebing (jue syndrome) of excess and deficiency in the Foot-Shaoyin meridian is the root of diankuang (dian and kuang disorders); thus, diankuang is discussed first, followed by juebing. A skilled practitioner examines the causes of upper and lower excess and deficiency, treating them separately, without failing to hit the precise point.