黄帝问于岐伯曰。周痹之在身也。上下移徙随脉。其上下左右相应。间不容空。愿闻此痛。在血脉之中邪。将在分
肉之间乎。何以致是。其痛之移也。间不及下针。其 痛之时。不及定治。而痛已止矣。何道使然。愿闻其故。（以上是
总冒上下左右并提周众不分下乃以左右上下分周众发之）岐伯答曰。此众痹也。非周痹也。黄帝曰。愿闻众痹。岐伯对
曰。此各在其处更发更止。更居更起。以右应左。以左应右。非能周也。更发更休也。黄帝曰。善刺之奈何。岐伯对曰。
刺此者。痛虽已止。必刺其处。勿令复起。帝曰。善。愿闻周痹何如。岐伯对曰。周痹者。在于血脉之中。随脉以上。
随脉以下。不能左右各当其所。黄帝曰。刺之奈何。岐伯对曰。痛从上下者。先刺其下以过之。后刺其上以脱之。痛从
下上者。先刺其上以过之。后刺其下以脱之。黄帝曰。善。此痛安生。何因而有名。岐伯对曰。风寒湿气客于外。分肉
之间。迫切而为沫。沫得寒则聚。聚则排分肉而分裂也。分裂则痛。痛则神归之。神归之则热。热则痛解。痛解则厥。
厥则他痹发。发则如是。帝曰。善。余已得其意矣。（当有未得其事也愿卒闻之岐伯对曰十三字）此内不在脏而外未发于
皮。独居分肉之间。真气不能周。故命曰。周痹故刺痹者。必先切循其下之六经。视其虚实。及大络之血结而不通。及
虚而脉陷空者。而调之。熨而通之。其螈坚转引而行之。黄帝曰。善余已得其意矣。亦得其事也。
笔气清畅。一往无前。左萦右拂。自饶情致。
黄帝向岐伯问道：周痹这种病发生在身上时，疼痛部位上下移动，随着经脉的走向而转移，身体上下的左右两侧相互呼应，疼痛发作紧密相连，中间没有空隙。我想知道这种疼痛是在血脉之中呢，还是在分肉（肌肉间隙）之间？为什么会这样？当疼痛转移时，时间短暂得来不及下针；当疼痛发作时，也来不及确定治疗方案，疼痛就已经停止了。是什么道理导致这种情况的呢？我希望了解其中的原因。（以上是总括性地提出上下左右并提周众不分下乃以左右上下分周众发之）
岐伯回答说：众痹各自发生在身体的特定部位，交替发作又停止，交替停留又兴起，右侧的症状对应左侧，左侧的症状对应右侧，并不能遍及全身，而是交替发作、交替休息。
岐伯回答说：针刺这种病，即使疼痛已经停止，也必须针刺疼痛曾经发生过的部位，以防止它再次复发。
岐伯回答说：周痹位于血脉之中，随着经脉向上或向下移动，不能像众痹那样左右各自对应其所在部位。
岐伯回答说：如果疼痛从上部向下部蔓延，先针刺下部以阻断病势，后针刺上部以祛除病邪；如果疼痛从下部向上部蔓延，先针刺上部以阻断病势，后针刺下部以祛除病邪。
岐伯回答说：风寒湿气侵袭体表，停留在分肉之间，逼迫津液凝结成沫。沫遇到寒气则聚集，聚集后就会排挤分肉使其分裂。分裂就会产生疼痛。疼痛产生后，精神意识会集中于患处，精神集中则局部发热，发热则疼痛缓解。疼痛缓解后会出现气机逆乱（厥），气机逆乱会导致其他部位的痹症发作，发作时就像这样。
黄帝说：好，我已经理解了其中的原理。（当有未得其事也愿卒闻之岐伯对曰十三字）
岐伯继续说道：这种病内不在脏腑，外未发于皮肤，独自居于分肉之间，导致真气不能周流全身，所以命名为周痹。因此，治疗痹症，必须先切按循摸下肢的六经，观察其虚实情况，以及大络中是否有血结不通，或者因虚而脉陷空的情况，然后进行调理。可以用熨法来疏通经络，对于筋脉拘挛、坚硬、扭转的情况，通过牵引引导来使之运行通畅。
黄帝说：好，我不仅理解了原理，也掌握了具体的操作方法。
笔气清畅，一往无前，左萦右拂，自饶情致。
The Yellow Emperor asked Qibo, saying: When Zhou Bi (Generalized Bi Syndrome) occurs in the body, the pain migrates up and down following the meridians. The symptoms on the upper and lower left and right sides correspond with each other, with no gap between them. I wish to know if this pain is within the blood vessels or between the fen rou (muscle intervals). What causes this? When the pain shifts, there is not enough time to insert the needle; when the pain arises, there is not enough time to determine the treatment, yet the pain has already ceased. What principle accounts for this? I wish to hear the reason. (The above section generally raises the topics of up, down, left, and right together, distinguishing Zhou Bi from Zhong Bi, and then analyzes the manifestation of Zhong Bi according to left/right and up/down.)
Qibo replied: This is Zhong Bi (Clustered Bi Syndrome), not Zhou Bi.
The Yellow Emperor said: I wish to hear about Zhong Bi.
Qibo answered: Zhong Bi occurs at specific locations in the body. It alternates in onset and cessation, alternates in staying and rising. Symptoms on the right correspond to the left, and symptoms on the left correspond to the right. It does not circulate throughout the whole body but rather alternates in attack and rest.
The Yellow Emperor said: How should it be treated with acupuncture?
Qibo replied: To treat this condition, even if the pain has ceased, one must still needle the site where the pain occurred, so as to prevent recurrence.
The Yellow Emperor said: Excellent. I wish to know what Zhou Bi is like.
Qibo replied: Zhou Bi resides within the blood vessels, moving upward along the meridians or downward along the meridians. It cannot correspond to specific locations on the left and right sides independently like Zhong Bi.
The Yellow Emperor said: How should it be treated with acupuncture?
Qibo replied: If the pain moves from the upper part to the lower part, first needle the lower part to intercept the pathogenic factor, and subsequently needle the upper part to eliminate the disease. If the pain moves from the lower part to the upper part, first needle the upper part to intercept the pathogenic factor, and subsequently needle the lower part to eliminate the disease.
The Yellow Emperor said: Excellent. How is this pain generated? Why does it bear this name?
Qibo replied: Wind, cold, and dampness pathogens invade the exterior and lodge between the fen rou (muscle intervals). They press upon the fluids, causing them to condense into foam (mo). When this foam encounters cold, it aggregates. Aggregation exerts pressure on the fen rou, causing them to split. Splitting results in pain. When pain occurs, the spirit (shen) concentrates on the affected area. Concentration of the spirit generates heat. Heat alleviates the pain. Once the pain is alleviated, qi stagnation or reversal (jue) occurs. Qi reversal leads to the emergence of Bi syndrome in other areas, manifesting in this manner.
The Yellow Emperor said: Excellent. I have grasped its underlying principle. (Note: There may be thirteen characters missing here: "There are matters not yet understood; I wish to hear them completely." Qibo replied...)
Qibo continued: This pathology is internally not within the zang-fu organs and externally has not manifested in the skin. It resides solely between the fen rou, preventing the true qi (zhen qi) from circulating fully throughout the body. Therefore, it is named Zhou Bi. Thus, when treating Bi syndrome, one must first palpate and trace the six meridians of the lower limbs, observe their deficiency or excess conditions, and check for large collaterals where blood is knotted and obstructed, or where the pulse is sunken and empty due to deficiency. Then, regulate these conditions. Apply warming moxibustion or hot compresses (wu) to unblock the meridians. For cases involving muscle twitching, hardness, or twisting, employ traction and guidance to promote smooth flow.
The Yellow Emperor said: Excellent. I have grasped both the principle and the practical methods.
The writing style is clear and fluent, proceeding forward without hesitation, swirling left and right with elegance, rich in expressive charm.