足太阳脉令人腰痛，引项脊尻背如重状，刺其 中。太阳正经出血，春无见血。少阳令人腰痛，如以针刺
其皮中，循循然不可以俯仰，不可以顾，刺少阳成骨之端出血，成骨在膝外廉之骨独起者，夏无见血。阳明
令人腰痛，不可以顾，顾如有见者，善
悲，刺阳明于 前三 ，上下和之出血，秋无见血。足少阴令人腰痛，痛引脊内廉，刺少阴于内踝上二
，春无见血，出血太多，不可复也。厥阴之脉令人
腰痛，腰中如张弓弩弦，刺厥阴之脉，在 踵鱼腹之外，循之累累然，乃刺之，其病令人善言默默然不
慧，刺之三 。解脉令人腰痛，痛引肩，目KT KT 然，时遗溲，刺解脉，在膝筋肉分间 外廉之横脉出血，
血变而止。解脉令人腰痛如引带，常如折腰状，善恐，刺解脉，在 中结络如黍米，刺之血射以黑，见赤血而
已。同阴之脉，令人腰痛，痛如小锤居其中，
怫然肿，刺同阴之脉，在外踝上绝骨之端，为三 。阳维之脉令人腰痛，痛上怫然肿，刺阳维之脉，脉与
太阳合 下间，去地一尺所。衡络之脉令人腰痛，不可以俯仰，仰则恐仆，得之举重伤腰，衡络绝，恶血归
之，刺之在 阳、筋之间，上 数寸，衡居为二 出血。会阴之脉令人腰痛，痛上漯漯然汗出，汗干令
人欲饮，饮已欲走，刺直阳之脉上三 ，在跷上 下五寸横居，视其盛者出血。飞阳之脉令人腰痛，痛上
拂拂然，甚则悲以恐，刺飞阳之脉，在内踝上五寸，少阴之前，与阴维之会。昌阳之脉令人腰痛，痛引
膺，目KT KT 然，甚则反折，舌卷不能言，刺内筋为二 ，在内踝上大筋前太阴后，上踝二寸所。散脉令
人腰痛而热，热甚生烦，腰下如有横木居其中，甚则遗溲，刺散脉，在膝前骨肉分间，络外廉，束脉为三 。
肉里之脉令人腰痛，不可以咳，咳则筋缩急，刺肉里之脉为二 ，在太阳之外，少阳绝骨之后。腰痛侠脊而
痛至头KT KT 然，目KT KT 欲僵仆，刺足太阳
中出血。腰痛上寒，刺足太阳阳明；上热，刺足厥阴；不可以俯仰，刺足少阳；中热而喘，刺足少阴，
刺中出血。腰痛，上寒不可顾，刺足阳明；上热，刺足太阴；中热而喘，刺足少阴。大便难，刺足少阴。
少腹满，刺足厥阴。如折不可以俯仰，不可举，刺足太阳。引脊内廉，刺足少阴。腰痛引少腹控 ，不可以
仰，刺腰尻交者，两髁胂上，以月生死为 数，发针立已，左取右，右取左。
举痛论∶泣而（音涩）绌急（上丁骨切）
腹中论∶ （昨则切） 茹（上力居切，下音如）脖 （上蒲没切，下鸟郎切）喑（音阴）
刺腰痛论∶厌（于艳切）髁（苦瓦切） （音辽） 踵（丑用切）蠡沟（上卢启切，又落戈切）
嘿（音黑）小锤（直垂切）漯（他合切）撷（虎结切）眇（亡表切）
The meridians of the Foot-Taiyang Bladder cause low back pain, with pain radiating to the nape, spine, sacrum, and back, feeling as if bearing a heavy burden. Treatment involves needling the Weizhong (BL-40) point [in the center of the popliteal crease]. If bleeding from the main channel of the Foot-Taiyang is performed, it should not be done in Spring.
The meridians of the Foot-Shaoyang Gallbladder cause low back pain, with a sensation like needles pricking the skin, stiffness preventing flexion and extension, and inability to look left or right. Treatment involves needling the end of the "Chenggu" bone for bleeding. The "Chenggu" refers to the prominent bone on the lateral side of the knee (head of fibula). Bleeding should not be performed in Summer.
The meridians of the Foot-Yangming Stomach cause low back pain, with inability to look left or right; looking may induce visual hallucinations, and the patient is prone to sadness. Treatment involves needling the Zusanli (ST-36) point [three cun below the knee] on the Foot-Yangming, harmonizing upper and lower, then bleeding. Bleeding should not be performed in Autumn.
The meridians of the Foot-Shaoyin Kidney cause low back pain, with pain radiating to the medial aspect of the spine. Treatment involves needling the Fuliu (KI-7) point [two cun above the medial malleolus] on the Foot-Shaoyin. Bleeding should not be performed in Spring. Excessive bleeding cannot be recovered from.
The meridians of the Foot-Jueyin Liver cause low back pain, with the waist feeling tight like the string of a drawn bow. Treatment involves needling the meridians of the Foot-Jueyin, located lateral to the gastrocnemius muscle ("fish belly"), where nodules are palpable. This condition causes excessive talking but silent, dull demeanor. Three needle insertions are sufficient.
The Jie Mai (Resolving Vessels) cause low back pain, with pain radiating to the shoulder, blurred vision, and occasional urinary incontinence. Treatment involves needling the Jie Mai, specifically the transverse vessels at the lateral margin of the intermuscular space between the knee muscles, bleeding until the blood changes color (from dark to red).
Jie Mai also cause low back pain, feeling like being pulled by a belt, often as if the waist were broken, accompanied by fearfulness. Treatment involves needling the Jie Mai, targeting the collateral networks clustered like millet seeds in the center of the popliteal fossa. Black blood shooting out indicates the correct vessel; stop when red blood appears.
The Tongyin Mai (Same Yin Vessel) cause low back pain, with a sensation like a small hammer lodged inside, accompanied by local swelling. Treatment involves needling the Tongyin Mai at the end of the Jiegu bone (fibular head) above the lateral malleolus, three needle insertions.
The Yangwei Mai (Yang Linking Vessel) cause low back pain, with swelling at the painful site. Treatment involves needling the Yangwei Mai where it joins the Foot-Taiyang Bladder meridian, approximately one chi below the gluteal fold (Chengfu BL-36 area).
The Hengluo Mai (Horizontal Collaterals) cause low back pain, preventing flexion and extension; extending the body may cause fear of falling. This results from lifting heavy objects causing injury to the waist, severing the horizontal collaterals, leading to accumulation of evil blood. Treatment involves needling between the Feiyang (BL-58) point and the tendons, several cun upward, targeting two horizontally arranged points for bleeding.
The Huiyin Mai (Meeting Yin Vessel) cause low back pain, with profuse sweating at the painful site. After sweat dries, thirst arises, followed by an urge to walk. Treatment involves needling the Shuyang Mai (Direct Yang Vessel) three cun above, located five cun above the Qiao Mai (Heel Vessel), horizontally arranged. Bleed where the vessels are full and distended.
The Feiyang Mai (Flying Yang Vessel) cause low back pain, with a fluttering discomfort; severe cases involve sorrow and fear. Treatment involves needling the Feiyang Mai, located five cun above the medial malleolus, anterior to the Foot-Shaoyin Kidney meridian, at the intersection with the Yinwei Mai.
The Changyang Mai (Rising Yang Vessel) cause low back pain, radiating to the chest, with blurred vision. Severe cases involve opisthotonos (body arching backward), tongue retraction, and inability to speak. Treatment involves needling the inner tendon twice, located anterior to the large tendon above the medial malleolus, posterior to the Foot-Taiyin Spleen meridian, two cun above the ankle.
The San Mai (Scattered Vessels) cause low back pain with heat; severe heat leads to irritability. A sensation of a horizontal blockage exists below the waist, potentially leading to urinary incontinence. Treatment involves needling the San Mai at the intermuscular space anterior to the knee, along the lateral margin of the collaterals, three needle insertions at the Shu Mai (Binding Vessel).
The Rouli Mai (Muscle Interior Vessel) cause low back pain, aggravated by coughing which leads to tendon spasm. Treatment involves needling the Rouli Mai twice, located lateral to the Foot-Taiyang Bladder meridian and posterior to the Jiegu bone of the Foot-Shaoyang Gallbladder meridian.
Low back pain flanking the spine radiating to the head, with blurred vision and impending collapse, is treated by bleeding the Weizhong (BL-40) point of the Foot-Taiyang Bladder meridian.
For low back pain with coldness in the upper part, needle the Foot-Taiyang Bladder and Foot-Yangming Stomach meridians; for heat in the upper part, needle the Foot-Jueyin Liver meridian; for inability to flex/extend, needle the Foot-Shaoyang Gallbladder meridian; for heat in the middle part with panting, needle the Foot-Shaoyin Kidney meridian and bleed at Weizhong.
For low back pain with coldness in the upper part preventing looking around, needle the Foot-Yangming Stomach meridian; for heat in the upper part, needle the Foot-Taiyin Spleen meridian; for heat in the middle part with panting, needle the Foot-Shaoyin Kidney meridian. For difficulty defecating, needle the Foot-Shaoyin Kidney meridian. For abdominal fullness, needle the Foot-Jueyin Liver meridian. For low back pain feeling like a fracture, preventing flexion/extension and lifting, needle the Foot-Taiyang Bladder meridian. For pain radiating to the medial spine, needle the Foot-Shaoyin Kidney meridian. For low back pain radiating to the hypochondrium/groin and testicles, preventing extension, needle the intersection of the lumbar and sacral regions (Baliao points or crossed Weizhong), specifically above the muscles of the lateral condyles. The number of needle insertions is determined by the waxing and waning of the moon. The disease stops immediately upon insertion. Use Left-Mirroring-Right (Mu Ci) technique: treat left side by needling right, and vice versa.
*Ju Tong Lun* (Treatise on Pain Caused by Lifting): "Qi" sounds like "Se"; "Chu Ji" is pronounced "Ding Gu Qie".
*Fu Zhong Lun* (Treatise on the Abdominal Center): "Dan" is pronounced "Zuo Ze Qie"; "Ru" is pronounced "Li Ju Qie"; "Bo Dan" is pronounced "Pu Mo Qie" and "Niao Lang Qie"; "Yin" sounds like "Yin".
*Ci Yao Tong Lun* (Treatise on Needling for Low Back Pain): "Ya Ke" is pronounced "Yu Yan Qie" and "Ku Wa Qie"; "Liao" sounds like "Liao"; "Zhong" is pronounced "Chou Yong Qie"; "Ligou" is pronounced "Lu Qi Qie" or "Luo Ge Qie"; "Mo" sounds like "Hei"; "Xiao Chui" is pronounced "Zhi Chui Qie"; "Ta" is pronounced "Ta He Qie"; "Xie" is pronounced "Hu Jie Qie"; "Miao" is pronounced "Wang Biao Qie".