肝热病者，小便先黄，腹痛多卧身热，热争则狂言及惊，胁满痛，手足躁，不得安卧，庚辛甚，甲乙大汗，
气逆则庚辛死，刺足厥阴少阳，其逆则头痛员
员，脉引冲头也。心热病者，先不乐，数日乃热，热争则卒心痛，烦闷善呕，头痛面赤无汗，壬癸甚，丙丁
大汗，气逆则壬癸死，刺手少阴太阳。脾热病者，先头重颊痛，烦心颜青，欲呕身热，热争则腰痛不可用俯仰，
腹满泄，两颔痛，甲乙甚，戊己大汗，气逆则甲乙死，刺足太阴阳明。肺热病者，先淅然厥，
起毫毛，恶风寒，舌上黄身热。热争则喘咳，痛走胸膺背，不得大息，头痛不堪，汗出而寒，丙丁甚，庚
辛大汗，气逆则丙丁死，刺手太阴阳明，出血如大豆，立已。肾热病者，先腰痛 ，苦渴数饮身热，热争
则项痛而强， 寒且 ，足下热，不欲言，其逆则项痛员员淡淡然，戊己甚，壬癸大汗，气逆则戊己死，
刺足少阴太阳，诸汗者，至其所胜日汗出也。肝热病者左颊先赤，心热病者颜先赤，脾热病者鼻先赤，肺热
病者右颊先赤，肾热病者颐先赤，病虽未发，见赤色者刺之，名曰治未病。热病从部所起者，至期而已；
其刺之反者，三周而已；重逆则死。诸当汗者，至其所胜日，汗大出也。
诸治热病，以饮之寒水乃刺之，必寒衣之，居止寒处，身寒而止也。热病先胸胁痛，手足躁，刺足少
阳，补足太阴，病甚者为五十九刺。热病始手臂痛
者，刺手阳明太阴而汗出止。热病始于头首者，刺项太阳而汗出止。热病始于足胫者，刺足阳明而汗出止。
热病先身重骨痛，耳聋好瞑，刺足少阴，病甚为五十九刺。热病先眩冒而热，胸胁满，刺足少阴
少阳。太阳之脉，色荣颧骨，热病也，荣未交，曰今且得汗，待时而已。与厥阴脉争见者，死期不过三日，
其热病内连肾，少阳之脉色也。少阳之脉，色荣颊前，热病也，荣未交，曰今且得汗，待时而已，与少阴脉
争见者，死期不过三日。热病气穴∶三椎
下间主胸中热，四椎下间主膈中热，五椎下间主肝热，六椎下间主脾热，七椎下间主肾热，荣在 也。项
上三椎，陷者中也。颊下逆颧为大瘕，下牙车为腹满，颧后为胁痛，颊上者膈上也。
Liver Heat Disease presents with urine turning yellow first, abdominal pain, excessive sleeping, and body heat. When pathogenic heat contends with healthy qi, there is incoherent speech and fright, distension and pain in the hypochondrium, restlessness of the hands and feet, and inability to lie down calmly. The condition worsens on Geng-Xin days (Metal days) and resolves with profuse sweating on Jia-Yi days (Wood days). If Qi rebels, death occurs on Geng-Xin days; treatment involves needling the Foot-Jueyin (Liver) and Foot-Shaoyang (Gallbladder) meridians. If Qi rebels, there is dizziness and headache due to meridian Qi rushing upward to the head.
Heart Heat Disease begins with a sense of unhappiness, followed by fever after several days. When pathogenic heat contends with healthy qi, there is sudden heart pain, vexation, frequent vomiting, headache, red face, and absence of sweat. The condition worsens on Ren-Gui days (Water days) and resolves with profuse sweating on Bing-Ding days (Fire days). If Qi rebels, death occurs on Ren-Gui days; treatment involves needling the Hand-Shaoyin (Heart) and Hand-Taiyang (Small Intestine) meridians.
Spleen Heat Disease begins with heavy head and cheek pain, mental distress, greenish complexion, desire to vomit, and body heat. When pathogenic heat contends with healthy qi, there is lower back pain preventing flexion and extension, abdominal fullness, diarrhea, and pain in both mandibles. The condition worsens on Jia-Yi days (Wood days) and resolves with profuse sweating on Wu-Ji days (Earth days). If Qi rebels, death occurs on Jia-Yi days; treatment involves needling the Foot-Taiyin (Spleen) and Foot-Yangming (Stomach) meridians.
Lung Heat Disease begins with chills, erection of hair follicles, aversion to wind and cold, yellow tongue coating, and body heat. When pathogenic heat contends with healthy qi, there is wheezing and coughing, pain radiating to the chest, epigastrium, and back, inability to take deep breaths, unbearable headache, sweating followed by chills. The condition worsens on Bing-Ding days (Fire days) and resolves with profuse sweating on Geng-Xin days (Metal days). If Qi rebels, death occurs on Bing-Ding days; treatment involves needling the Hand-Taiyin (Lung) and Hand-Yangming (Large Intestine) meridians. Bleeding like the size of a soybean stops the symptoms immediately.
Kidney Heat Disease begins with lower back pain, bitter thirst with frequent drinking, and body heat. When pathogenic heat contends with healthy qi, there is neck pain and stiffness, chills with tremors, heat in the soles of the feet, and reluctance to speak. If Qi rebels, there is dizziness and vague neck pain. The condition worsens on Wu-Ji days (Earth days) and resolves with profuse sweating on Ren-Gui days (Water days). If Qi rebels, death occurs on Wu-Ji days; treatment involves needling the Foot-Shaoyin (Kidney) and Foot-Taiyang (Bladder) meridians. In all cases of sweating in heat diseases, sweating occurs on the day that overcomes the disease's associated element.
In Liver Heat Disease, the left cheek becomes red first. In Heart Heat Disease, the forehead becomes red first. In Spleen Heat Disease, the nose becomes red first. In Lung Heat Disease, the right cheek becomes red first. In Kidney Heat Disease, the chin becomes red first. Even if the disease has not yet fully manifested, if these areas show redness, needling should be performed; this is called "treating disease before it arises" (Zhi Wei Bing). Heat diseases originating from specific facial regions resolve by their corresponding time; if needling is contraindicated or incorrect, resolution takes three cycles; severe violation leads to death. All heat diseases requiring sweating will resolve with profuse sweating on their overcoming day.
All treatments for heat diseases involve having the patient drink cold water, then performing needling; the patient must wear light clothing and reside in cool places until the body cools. For heat disease starting with chest/hypochondriac pain and restlessness of limbs, needle the Foot-Shaoyang (Gallbladder) meridian and tonify the Foot-Taiyin (Spleen) meridian; for severe cases, use the Fifty-Nine Acupoints for Heat. For heat disease starting with arm pain, needle the Hand-Yangming (Large Intestine) and Hand-Taiyin (Lung) meridians to induce sweating. For heat disease starting with head pain, needle the Taiyang points in the nape to induce sweating. For heat disease starting with leg pain, needle the Foot-Yangming (Stomach) meridian to induce sweating. For heat disease starting with heavy body, bone pain, deafness, and desire to close eyes, needle the Foot-Shaoyin (Kidney) meridian; for severe cases, use the Fifty-Nine Acupoints for Heat. For heat disease starting with vertigo, fever, and chest/hypochondriac fullness, needle the Foot-Shaoyin (Kidney) and Foot-Shaoyang (Gallbladder) meridians.
If the color of the Foot-Taiyang (Bladder) meridian appears on the zygomatic bone, it indicates heat disease. If this redness has not yet intersected with other facial colors, it indicates that sweating will occur today, and one should wait for the appropriate time for resolution. If it appears simultaneously with the Foot-Jueyin (Liver) meridian signs, death will occur within three days, as the heat disease internally connects to the Kidney and shows Shaoyang meridian color. If the color of the Foot-Shaoyang (Gallbladder) meridian appears on the front of the cheek, it indicates heat disease. If this redness has not yet intersected with other facial colors, it indicates that sweating will occur today, and one should wait for the appropriate time for resolution. If it appears simultaneously with the Foot-Shaoyin (Kidney) meridian signs, death will occur within three days.
Acupoints for Heat Diseases: The space below the third thoracic vertebra treats heat in the chest; the space below the fourth thoracic vertebra treats heat in the diaphragm; the space below the fifth thoracic vertebra treats Liver heat; the space below the sixth thoracic vertebra treats Spleen heat; the space below the seventh thoracic vertebra treats Kidney heat. This redness reflects on the zygomatic bone. The third vertebra in the neck refers to the depression. Below the cheek, against the zygoma, indicates large accumulation (Da Jia); towards the lower jaw indicates abdominal fullness; behind the zygoma indicates hypochondriac pain; above the cheek indicates upper diaphragm pathology.