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The acupoint located at the junction of the nail and flesh on the side of the second finger (index finger), needle one point on each side. The patient should hold their breath for a moment, and recovery will be immediate; sweating will stop instantly. If accompanied by coughing, keep the patient warm with clothing and diet, and recovery will occur within one day. The needling principle is to treat the left side by needling the right, and the right side by needling the left. The disease will resolve immediately; if not, repeat the needling according to this method.

The *Jingmai* (Meridian) chapter states: The meridian of Foot-Shaoyang Gallbladder converges at Quepen (LI 15) and descends into the chest, following the interior of the hypochondrium. When pathogenic factors invade the collaterals of Foot-Shaoyang, they follow the hypochondrium, causing pain in the hypochondrium. Because the meridian converges at Quepen and descends into the chest, it causes dyspnea (difficulty breathing). Dyspnea leads to coughing; when dyspnea is accompanied by coughing, sweating occurs during coughing. One should needle the junction of the nail and flesh on the second finger next to the little toe, which is the Jing-Well point Yaojin (GB 44) of Foot-Shaoyang. Needle one point on the left and one on the right. Dyspnea should resolve immediately, and sweating should stop immediately. If the cough does not resolve, it is said that those with coughing should keep their clothes and food warm, avoiding cold exposure and cold drinks. Within one day, as the Qi mechanism circulates, the cough can be resolved. If the hypochondriac pain persists, Miao Needling (counterpart needling) should be used: needle the right for left-sided pain, and the left for right-sided pain. The pain should resolve immediately; if not, repeat Miao Needling following the same principle.

When pathogenic factors invade the collaterals of Foot-Shaoyin Kidney, it causes sore throat, inability to swallow food, spontaneous anger, and Qi rushing upward to the upper part of Ben (cardia/epigastrium). Needle the vessels in the center of the sole, three times on each side, totaling six needles, and the condition will resolve immediately. [Note: The characters "needle left treat right, treat right needle left" are redundant]. If there is swelling in the throat, inability to swallow saliva, or frequent attempts to expectorate without success, needle anterior to Ran Gu (KI 2), induce bleeding, and the condition will resolve immediately. Apply counterpart needling: left for right, right for left.

"Nei" sounds like "Na". "Ben" sounds like "Ben". The six characters "needle left treat right, treat right needle left" in the text are redundant. The *Jingmai* chapter states: The meridian of Foot-Shaoyin Kidney ascends from the kidney, passes through the liver and diaphragm, and enters the lung. Disease manifests as hunger but lack of desire to eat, Qi rushing upward, dry and painful throat. Pathogenic factors invading the collaterals of Foot-Shaoyin cause sore throat, i.e., dry and painful throat; inability to eat means hunger without desire to eat; spontaneous anger corresponds to Qi passing through the liver and diaphragm; Qi moving upward corresponds to entering the lung; "Ben Shang" refers to Qi rushing upward. For such conditions, needle the vessel in the center of the sole, which is Yong Quan (KI 1), the Jing-Well point of Foot-Shaoyin. Center, anterior to center, and posterior to center, three times on each side, totaling six needles, and the condition will resolve immediately. If sore throat persists leading to swelling, preventing swallowing ("Nei" implies swallowing), and inability to expectorate, needle anterior to Ran Gu (KI 2) of Foot-Shaoyin, which is the Ran Gu bone area, induce bleeding, and the condition will resolve. Since pathogens reside in the Shaoyin collaterals, apply counterpart needling: left for right, right for left, using Miao Needling.

When pathogenic factors invade the collaterals of Foot-Taiyin Spleen, it causes lower back pain radiating to the lower abdomen, pulling and stiffness, making supine breathing difficult. Needle the cleft of the lumbosacral region and above the two Sheng (buttock muscles); this is Yaoshu (BL 23). Determine the number of needle insertions based on the waxing and waning of the moon. Recovery follows immediately upon insertion. Apply counterpart needling: left for right, right for left.

The *Jingmai* chapter states: The large collateral of the Spleen is named Dabao, originating from Yuanli, distributing across the chest and hypochondrium. Excess causes generalized body pain; deficiency causes flaccidity of all joints. Pathogenic factors invading the collaterals of Foot-Taiyin manifest as lower back pain radiating to the lower abdomen, implying generalized pain. Pulling stiffness and difficulty with supine breathing imply distribution in the chest/hypochondrium and joint flaccidity. For these excess-deficiency disorders of the collaterals, needle the cleft of the lumbosacral region and above the two Sheng. "Jie" refers to bone fissures. "Sheng Shang" refers to above the knee-thigh area, i.e., the thigh. This clarifies that the cleft of the lumbosacral region and above the two Sheng refer to Yaoshu (BL 23). Specifically, the cleft belongs to Yaoshu, and above the two Sheng refers to the area below and lateral to Yaoshu. The needling method should determine the number of insertions based on the lunar cycle. Recovery follows immediately. Since pathogens reside in the collaterals, apply counterpart needling: left for right, right for left, using Miao Needling.

When pathogenic factors invade the collaterals of Foot-Taiyang Bladder, it causes spasms and back stiffness, radiating to the hypochondrium with pain. Needling should start from the neck, count the vertebrae, along the spine, press firmly where tenderness is felt upon palpation, and needle there. Insert three needles on each side adjacent to the tender spot. Recovery follows immediately.

"Shu" is pronounced with the rising tone. Previously, it was stated that pathogens in Foot-Taiyang collaterals cause head, neck, and shoulder pain. Here, besides head/neck/shoulder pain, there is back spasm/stiffness radiating to the hypochondrium. Previously, needling was done below the lateral malleolus; here, needling starts from the neck, counting vertebrae, along the spine, needling the upper areas. Previously, the Jing-Well point of the little toe was needled; here, needling is done at the responsive tender spot. Previously, three needles were inserted below the lateral malleolus with Miao Needling; here, three needles are inserted beside the spine without Miao Needling. This difference serves as an example for other cases.

When pathogenic factors invade the collaterals of Foot-Shaoyang Gallbladder, pathogens remain in the Shu Zhong (hip pivot), causing hip pain and inability to lift the leg. Needle Shu Zhong using a filiform needle. In cold patterns, retain the needle for a long time. Determine the number of insertions based on the lunar cycle. Recovery follows immediately.

Previously, for pathogens in Foot-Shaoyang collaterals, the Jing-Well point was needled. Here, for pathogens in Foot-Shaoyang collaterals, needling is done at the site of pain, again serving as an example. Shaoyang governs the pivot and runs along the side of the body; its meridian follows the costal margin and descends to combine with the hip hinge. Pathogens in Foot-Shaoyang collaterals cause stagnation in the pivot, hip pain, and inability to lift the leg, indicating disharmony of the Shaoyang meridian and impaired pivot function. Therefore, needle the pivot directly. Shu Zhong refers to the hip pivot. Use a filiform needle to treat the collateral. In cold patterns, retain the needle long-term, addressing the meridian. Shaoyang governs the nascent Qi, so use the lunar cycle to determine needle counts. Pain should resolve immediately.

For treating various meridians, if the meridian pathway itself is not diseased, apply Miao Needling.

This summarizes the intent of the previous needling methods. "Treating various meridians" means treating diseases of the meridians by direct needling. "The pathway is not diseased" means the main meridian pathways are not invaded by pathogens. Since the meridians are unaffected, the pathology lies only in the collaterals; thus, Miao Needling is applied. This explains why the previously mentioned needling points differ from standard bilateral cross-needling.

When pathogens invade between the five Zang organs, the disease manifests as pulling pain along the vessels, coming and going intermittently. Observe the condition and apply Miao Needling. Observe the collateral vessels on the nails of the hands and feet, induce bleeding, and needle every other day. If one session is ineffective, five sessions will suffice.

"Jian" is pronounced with the departing tone. Continuing from the previous discussion on pathogens in meridians and collaterals, it states that the whole-body meridians do not exceed the five Zang. Thus, the five Zang and their five collaterals are cited to conclude the meaning of Miao Needling. The meridians of the five Zang run throughout the body. Pathogens between the five Zang cause pulling pain due to interaction between Jing and Luo vessels. Sometimes pathogens emerge into the Luo vessels, sometimes remaining in the Jing meridians, hence the intermittent nature. If the pathology is in the Luo vessels, apply Miao Needling. Further, observe the Sun-Luo vessels on the nails and induce bleeding. If pathogens reside in the Zang meridians, needle every other day. If one session fails, after five sessions, the Qi of the five Zang will circulate completely, and the disease will resolve.

When pathogens invade the collaterals of Hand-Foot Shaoyin, Hand-Foot Taiyin, and Foot-Yangming, these five collaterals all converge in the ear and ascend to connect with the left corner of the head. If these five collaterals are exhausted, the pulses of the body may move, but the form becomes insensible, resembling a corpse, known as Shi Jue (Corpse Coma). Needle the inner side of the big toe, on the nail, about the width of a leek leaf away from the corner (Yinbai SP 1). Then needle the middle toe of the foot, on the nail, one point each side (Lidui ST 45). Then needle the inner side of the thumb, about the width of a leek leaf from the corner (Shaoshang LU 11). Then needle the end of the sharp bone of the Hand Conductor (Pericardium), one point each side (Daling PC 7). Recovery follows immediately. If not, blow air into both ears using a bamboo tube. Shave a square inch of hair from the left corner of the head, burn it, and drink it mixed with a cup of fine wine. If the patient cannot drink, force-feed them. Recovery follows immediately.

"Tì" is synonymous with "Tī", commonly written as Tì. Continuing from the previous mention of pathogens in the five Zang, it states that the five collaterals converge in the ear and travel with Wei Qi in the skin. Hand-Foot Shaoyin (Heart/Kidney) are the water-fire collaterals; Hand-Foot Taiyin (Lung/Spleen) are the heaven-earth collaterals; Foot-Yangming (Stomach) is the central earth collateral. Heart and Kidney open into the ears, analogous to heaven, earth, water, and fire converging in the center. Thus, these five collaterals converge in the ear and ascend to the left corner. If all five are exhausted and fail to intersect, the body's pulses may move while the form remains insensible, resembling a corpse, called Shi Jue. Needle Yinbai (SP 1), the Jing-Well point of Foot-Taiyin Spleen, on the inner big toe nail. Then needle Yong Quan (KI 1), the Jing-Well point of Foot-Shaoyin Kidney, at the sole. Then needle Lidui (ST 45), the Jing-Well point of Foot-Yangming Stomach, on the middle toe nail. Then needle Shaoshang (LU 11), the Jing-Well point of Hand-Taiyin Lung, on the inner thumb. Then needle Daling (PC 7), the Shu-Stream point of Hand-Shaoyin Pericardium, at the proximal wrist crease. The Heart is the ruler's palace, hence "Heart Master." Needling these five collaterals should resolve the disease immediately. If not, blow into the ears with a bamboo tube to open the convergence in the ear; shave and burn the hair from the left corner to connect the ear collaterals to the left head corner; drink wine to promote circulation of Luo vessels and Wei Qi throughout the body and skin, resolving the disease.

In general needling principles, first examine the meridians, palpate and follow them, assess excess and deficiency, and regulate accordingly. If regulation fails, use Jing Needling (direct meridian needling). If there is pain but the meridian itself is not diseased, use Miao Needling. Furthermore, observe the skin regions for blood vessels; if present, drain them all. This constitutes the principles of Miao Needling.

This section outlines needling principles to summarize Miao Needling. Jing Meridians are deep, Luo Collaterals are intermediate, and Sun Collaterals are superficial. Therefore, in needling, first examine the deep Jing meridians, palpate them, assess excess/deficiency, and regulate. If unregulated, needle the Jing Meridians (Jing Needling). If pain exists in the collaterals but not the meridians, apply Miao Needling. If the pathology is in the Sun Collaterals, observe the skin regions for visible blood vessels and drain them all. This is the principle of Miao Needling.