黄帝问于岐伯曰。夫四时之气。各不同形。百病之起。皆有所生。灸刺之道。何者为定。岐伯答曰。四时之气。各
有所在。灸刺之道。得气穴为定。故春取经血脉分肉之间。甚者深刺之。间者浅刺之。夏取盛经孙络。取分间。绝皮肤。
秋取经 。邪在腑。取之合。冬取井荥。必深以留之。温疟。汗不出。为五十九 。风 肤胀。为五十七 。取皮肤之
血者。尽取之。飧泄。补三阴之上。补阴陵泉。皆久留之。热行乃止。转筋于阳。治其阳。转筋于阴。治其阴。皆卒刺
之。徒 。先取环谷下三寸。以铍针针之。已刺而 之而内之。入而复之。以尽其 。（中有脱文）必坚。来缓则烦 。
来急则安静。间日一刺之。 尽乃止。饮闭药。方刺之时。徒饮之。方饮无食。方食无饮。无食他食。百三十五日。着
痹不去久寒不已。卒取其三里。骨为干（三字是经脉篇文误衍于此）肠中不便取三里。盛泻之。虚补之。疠风者。素刺
其肿上。已刺。以锐针针其处。按出其恶气。肿尽乃止。常食。方食无食他食。腹中常鸣。气上冲胸。喘不能久立。邪
在大肠。刺肓之原。巨虚上廉三里。小腹控睾引腰脊。上冲心。邪在（甲乙经有小肠也三字）小肠者。连睾系。属于脊。
贯肝肺。络心系。气盛则厥逆。上冲肠胃。熏肝。散于肓。结于脐。故取之肓原以散之。刺太阴以予之。取厥阴以下之。
取巨虚下廉以去之。按其所过之经以调之。善呕。呕有苦。长太息心中 。恐人将捕之。邪在胆。逆在胃。胆液泄。
则口苦。胃气逆。则呕苦。故曰呕胆。取三里以下胃气。逆则刺少阳血络。以闭胆逆。却调其虚实。以去其邪。饮食不
下。膈塞不通。邪在胃脘。在上脘则刺抑而下之。在下脘则散而去之。小腹痛肿。不得小便。邪在三焦约。取之太阳大
络。视其络脉与厥阴小络结而血者肿。上及胃脘。取三里。睹其色。察其以。（以目之讹也古目字相近）知其散复者。视
其目色。以知病之存亡也。一其形。听其动静者。持气口人迎。以视其脉坚且盛且滑者。病日进。脉软者。病将下。诸
经实者。病三日已。气口候阴。人迎候阳也。
笔力坚卓。惟结末一段语意无属笔致。亦与上文不一律。
黄帝向岐伯问道：四季的气候，各自有不同的形态。各种疾病的发生，都有其产生的原因。艾灸和针刺的治疗方法，哪一个是确定的准则？
岐伯回答说：四季的邪气，各有其所在的部位。艾灸和针刺的方法，以取得气穴为确定准则。所以春季取经脉、血脉以及分肉之间的穴位；病情严重的深刺，病情轻浅的浅刺。夏季取盛满经气的经脉和孙络，选取分肉间隙，刺破皮肤。秋季取经穴；如果邪气在腑，取合穴。冬季取井穴和荥穴，必须深刺并留针。
对于温疟，汗不出，用五十九个穴位（指水热五十九穴）来治疗。对于风病引起的肤胀，用五十七个穴位（指头目五色五十七穴）来治疗。取皮肤中的血络放血，要全部取尽。对于飧泄（完谷不化的腹泻），补三阴经的上部穴位，补阴陵泉穴，都要长时间留针，直到热气运行后才停止。
如果是阳经转筋，治疗阳经；如果是阴经转筋，治疗阴经，都采用卒刺法（快进快出的刺法）。对于徒疰（一种寄生虫病或瘴气病，原文有脱文），先取环谷下三寸处，用铍针针刺。刺入后，进行提插捻转等手法，深入再退出，以排尽邪气。（此处原文有脱漏）必须使邪气坚实排出。如果脉来迟缓则感到烦闷，脉来紧急则感到安静。每隔一天刺一次，直到邪气尽除才停止。服药期间，要在施针时饮用封闭药方。刚施针时不要进食，刚进食时不要饮水，也不要吃其他食物，持续一百三十五天。
着痹如果不愈，久寒不去，突然取三里穴。骨为干（这三个字是《经脉篇》的文字误衍在此处）。肠中不便，取三里穴，实证泻之，虚证补之。对于疠风（麻风病），平时针刺肿胀部位，刺完后，用锐针针刺患处，按压排出恶气，直到肿胀消退才停止。饮食方面，正常进食，不要吃其他食物。
如果腹中常鸣响，气上冲胸，喘息不能久立，这是邪气在大肠。针刺肓之原穴（即神阙穴），以及巨虚上廉、三里穴。如果小腹牵引睾丸，牵连腰脊，向上冲击心脏，这是邪气在小肠（《甲乙经》中有“小肠也”三字）。小肠的经络连接睾丸系带，属于脊柱，贯穿肝肺，联络心系。气盛则发生厥逆，向上冲击肠胃，熏蒸肝脏，散于肓膜，结于脐部。所以取肓之原来消散邪气，刺足太阴脾经以给予正气，取足厥阴肝经以下降逆气，取巨虚下廉以去除邪气，按其所经过的经络来调理。
如果善于呕吐，呕吐物有苦味，经常叹气，心中恐惧，好像有人要抓捕自己，这是邪气在胆，逆气在胃。胆汁外泄则口苦，胃气上逆则呕吐苦水，所以称为“呕胆”。取三里穴以降胃气上逆，如果胃气逆则刺少阳经的血络，以遏制胆气上逆，进而调理虚实，以去除邪气。
如果饮食不下，膈塞不通，这是邪气在胃脘。邪在上脘则针刺以抑制并引导下行，邪在下脘则消散并去除邪气。小腹痛肿，不能小便，这是邪气在三焦约结。取太阳经的大络，观察络脉与厥阴经的小络结合而有瘀血者，肿胀上及胃脘，取三里穴。
观察患者的面色，察视其眼神（“以”是“目”的讹误，古“目”字相近），知道病邪的消散与复聚情况。通过观察眼睛的颜色，来了解疾病的存亡。统一形体，听取动静，持守气口和人迎脉，以观察脉搏。如果脉象坚硬、盛大且滑利，说明病情日益进展；脉象柔软，说明病情将向下缓解。各经实证，三天可愈。气口候察阴分，人迎候察阳分。
这段文字笔力坚卓，但结尾一段语意无属，笔致也与上文不一致。
Huangdi asked Qibo: The qi of the four seasons has different forms. The onset of all diseases arises from specific causes. Regarding the methods of moxibustion and acupuncture, which one is the fixed standard?
Qibo replied: The qi of the four seasons resides in specific locations. The method of moxibustion and acupuncture is determined by obtaining qi at the acupoints. Therefore, in spring, select points on the Jing (Main) vessels, blood vessels, and between the muscles. For severe cases, use deep insertion; for mild cases, use shallow insertion. In summer, select the Sheng (Abundant) Jing vessels and Sun Luo (Branch Collaterals), selecting the spaces between muscles, penetrating the skin. In autumn, select the Jing (Spring) points; if the pathogen is in the Fu organs, select the He (Sea) points. In winter, select the Jing-Well and Ying-Spring points, requiring deep insertion and retention of the needle.
For Warm Malaria (Wen Nue) with no sweating, treat using the 59 Acupoints (referring to the Water-Heat 59 points). For Wind-induced Skin Distension (Feng Pi Zhang), treat using the 57 Acupoints (referring to the Head/Eye/Color 57 points). When extracting blood from the skin collaterals, extract it completely. For Sundiarrhea (Sun Xie, undigested food in stool), tonify the upper part of the Three Yin meridians and Yinlingquan (SP9); retain the needle for a long time until heat sensation spreads, then remove it.
For spasms in the Yang meridians, treat the Yang meridians; for spasms in the Yin meridians, treat the Yin meridians, using Su Ci (sudden/pricking needling). For Tu Zhu (a parasitic or miasma disease, text missing), first needle three cun below Huangu, using a Bi Zhen (sword needle). After insertion, perform manipulation, inserting deeply and withdrawing repeatedly to exhaust the pathogen. (Text missing here) The pathogen must be solidified for expulsion. If the pulse comes slowly, there is irritability; if it comes urgently, there is calmness. Needle every other day until the pathogen is exhausted, then stop. During medication, drink the "closing medicine" formula at the time of needling. Do not eat when just needled; do not drink when just eating; do not eat other foods, for 135 days.
If Zhu Bi (Fixed Bi syndrome) persists due to chronic cold, suddenly select Zusanli (ST36). "Bone as the dry frame" (these three characters are erroneously derived from the Meridian Chapter). For intestinal obstruction, select Zusanli (ST36); excess conditions are drained, deficiency conditions are tonified. For Li Feng (Leprosy), normally needle the swollen area. After needling, use a sharp needle at the site, press to expel evil qi, stopping only when swelling subsides. Diet should be normal, avoiding other foods.
If there is constant borborygmus, qi rushing up to the chest, panting unable to stand long, this is pathogen in the Large Intestine. Needle the Yuan of Huang (Shenque, CV8), Juxu Shanglian (ST37), and Zusanli (ST36). If lower abdominal pain radiates to the testicles, drawing the waist and spine, rushing up to the heart, this is pathogen in the Small Intestine (Jia Yi Jing adds "Small Intestine"). The Small Intestine meridian connects to the spermatic cord, belongs to the spine, penetrates the Liver and Lungs, and links to the Heart system. Excess qi leads to Jue Ni (rebellious qi), rushing up to the Stomach and Intestines, steaming the Liver, dispersing into the Huang membrane, and knotting at the umbilicus. Therefore, select the Yuan of Huang to dissipate it, needle the Taiyin (Spleen) to provide qi, select the Jueyin (Liver) to descend rebellious qi, select Juxu Xiaolian (ST39) to remove pathogen, and regulate according to the meridians traversed.
If prone to vomiting with bitter taste, frequent sighing, fear in the heart, feeling like being chased, this is pathogen in the Gallbladder, rebellion in the Stomach. Bile fluid leaking causes bitter mouth; Stomach qi rebelling causes vomiting of bitter fluid, termed "Gallbladder Vomiting." Select Zusanli (ST36) to descend Stomach qi; if Stomach qi rebels, needle the Shaoyang blood collaterals to close Gallbladder rebellion, then regulate excess and deficiency to remove pathogen.
If food cannot go down, chest diaphragm blocked, this is pathogen in the Stomach Wan (Epigastrium). If in the Upper Wan, needle to suppress and guide downward; if in the Lower Wan, dissipate and remove pathogen. Lower abdominal pain and swelling, inability to urinate, this is pathogen in the Sanjiao (Triple Burner) constraint. Select the Da Luo (Great Collateral) of the Taiyang meridian, observe collaterals where Taiyang and Jueyin small collaterals knot with blood stasis; if swelling reaches the epigastrium, select Zusanli (ST36).
Observe the complexion and inspect the eyes ("Yi" is an error for "Mu", eye), knowing the dispersion and recurrence of pathogen. By viewing eye color, know the survival or death of the disease. Unify the form, listen to movement and stillness, hold the Qi Kou (Radial artery) and Ren Ying (Carotid artery) to view the pulse. If the pulse is firm, large, and slippery, the disease progresses daily; if soft, the disease will subside. All meridians' excess conditions resolve in three days. Qi Kou inspects Yin; Ren Ying inspects Yang.
The writing style is firm and outstanding, but the concluding paragraph lacks coherence and differs in style from the preceding text.