之气主表。邪伤太阳。则表气虚而恶风。故宜泻太阳之邪。） 痛甚。按之不可。名曰 髓病。以 针针绝骨出血。立
已。（ 下敬切 音酸 音附 音谗。此风邪深入于骨髓中者。宜刺足少阳之绝骨穴。盖少阳之气主骨也。 、足骨。 、
足面也。风邪入伤骨髓。故 痛不可按。 针、九针之第一。主泻阳热之气者也。绝骨在足外踝上三寸动脉中。针二分。
留七呼。倪仲宣曰。足 乃阳明之部分。此风木之邪。贼伤胃土。故名曰 髓病。）身体小痛。刺至阴。（此言风疟之病。
身体痛者。宜取至阴之经也。脾为阴中之至阴。而外主四肢肌肉。故经云。脾络实则一身尽痛。是以身体小痛者。宜刺
脾脏之经。盖亦风木之邪。贼伤脾土也。）诸阴之井无出血。间日一刺。（此承上文而言手足三阴之井穴。不宜出血。盖
井穴乃经气之交。故邪在阳之气分者。宜泻出其血。病在阴之经而宜取阴之井者。可间日一刺。则邪气自泄。不必至于
出血。以泄真阴之气。张兆璜曰。此申明上文之所谓刺至阴者。当刺至阴之井穴。并申明所谓至阴者。非太阳之至阴也。）
疟不渴。间日而作。刺足太阳。渴而间日作。刺足少阳。（此言疟之渴与不渴者。又有水火寒热之气化也。太阳之上。寒
水主之。故不渴者。取足太阳。少阳之上。相火主之。故渴者。取足少阳。间日者。邪入于里也。夫邪入于里则渴。是
以间二日或间数日者。有阴阳更胜之或甚或不甚。若阳分之邪入里。则有水火寒热之或渴或不渴也。）温疟汗不出。为
五十九刺。（温疟者。得之冬中于风寒。病气藏于肾。若汗不出。是邪不能出之于阳。故当为五十九刺。五十九
刺者。以第四针刺骨也。）
The Qi of the Foot-Taiyang (Bladder) channel governs the exterior. When pathogenic factors injure the Taiyang, the exterior Qi becomes deficient, leading to aversion to wind; therefore, it is appropriate to drain the pathogenic factors from the Taiyang channel.) Severe pain that cannot be pressed indicates a disease of the Marrow (bone marrow pathology). Use a Chan needle (the first of the Nine Needles, shaped like an arrowhead for superficial pricking and bleeding) to puncture the Jiegu (GB39) acupoint until bleeding occurs, and the condition will cease immediately. ("Suan" sounds like "Chan". This refers to wind pathogens penetrating deeply into the bone marrow, where it is suitable to puncture the Jiegu acupoint of the Foot-Shaoyang (Gallbladder) channel, as the Shaoyang Qi governs the bones. "Sui" refers to the foot bones; "Tong" refers to pain on the dorsum of the foot. Since wind pathogens invade and injure the bone marrow, the pain is severe and intolerable to pressure. The Chan needle is the first of the Nine Needles, primarily used to drain Yang-heat Qi. Jiegu is located three cun above the lateral malleolus in the arterial pulse; insert two fen deep, retain for seven breaths. Ni Zhongxuan stated: The lateral aspect of the foot belongs to the region governed by the Foot-Yangming (Stomach) channel. Here, wind-Wood pathogenic factors harm the Stomach-Earth, hence it is named a disease of the Marrow.) Mild body pain should be treated by puncturing Zhiyin (BL66). (This discusses Wind-Malaria with body pain, for which it is suitable to select the Zhiyin channel. The Spleen is known as the Ultimate Yin within Yin, and externally governs the muscles of the four limbs; thus, the Classic states: Fullness in the Spleen collaterals causes pain throughout the body. Therefore, for mild body pain, it is suitable to puncture the channel of the Spleen organ, as this is also due to wind-Wood pathogenic factors harming the Spleen-Earth.) Do not bleed the Jing-Well points of all Yin channels; puncture once every other day. (This continues the previous discussion to explain that the Jing-Well points of the Hand and Foot Three-Yin channels are not suitable for bleeding. Since Jing-Well points are intersections of channel Qi, when pathogens are in the Qi aspect of the Yang, it is suitable to drain their blood; however, when the disease is in the Yin channels and the Yin Jing-Well points are indicated, one may puncture once every other day so that pathogenic Qi naturally dissipates, without needing to cause bleeding, thereby avoiding the depletion of True Yin Qi. Zhang Zhaohuang stated: This clarifies that the previously mentioned "puncturing Zhiyin" refers to puncturing the Zhiyin Jing-Well point, and further clarifies that the term "Zhiyin" here does not refer to the Zhiyin point of the Taiyang channel, but rather to the Zhiyin point of the Spleen channel.) In malaria without thirst occurring every other day, puncture the Foot-Taiyang (Bladder) channel; in malaria with thirst occurring every other day, puncture the Foot-Shaoyang (Gallbladder) channel. (This discusses the distinction between thirst and no thirst in malaria, involving the transformational Qi of Water-Fire and Cold-Heat. Above the Taiyang, Cold-Water governs; thus, those without thirst are treated via the Foot-Taiyang channel. Above the Shaoyang, Ministerial Fire governs; thus, those with thirst are treated via the Foot-Shaoyang channel. Occurring every other day indicates the pathogen has entered the interior. Pathogens entering the interior lead to thirst; therefore, those occurring every two days or several days involve alternating dominance of Yin and Yang, varying in severity. If Yang-pathogens enter the interior, thirst or lack thereof depends on the specific Cold-Heat dynamics.) For Warm-Malaria without sweating, apply the Fifty-Nine Acupoints needling method. (Warm-Malaria arises from contracting wind-cold in winter, with pathogenic Qi hiding in the Kidney. If there is no sweat, it indicates the pathogen cannot exit to the Yang aspect; therefore, the Fifty-Nine Acupoints method should be applied. The Fifty-Nine Acupoints method involves using the fourth type of needle to puncture the bone region to vent the pathogen.)