先病而后逆者治其本。先逆而后病者治其本。先寒而后生病者治其本。先病而后生寒者治其本。先热而后生病者治
其本。先泄而后生他病者治其本。必且调之。乃治其他病。先病而后中满者治其标。先病后泄者治其本。先中满而后烦
心者治其本。有客气有同气。大小便不利治其标。大小便利治其本。病发而有余。本而标之。先治其本。后治其标。病
发而不足。标而本之。先治其标。后治其本。详察间甚。以意调之。间者并。行甚者独行。先小大便不利而后生他病者。
治其本也。
文本无奇。义亦甚浅。而造句坚洁。可喜客气同气并行。独行。真比精金百炼。
厥挟脊而痛者。至顶。头沉沉然。目 然。腰脊强。取足太阳 中血络。厥胸满。面肿。唇漯漯。HT 言难。甚则
不能言。取足阳明。厥气走喉。而不能言。手足清。大便不利。取足少阴。厥而腹向向然。多寒气。腹中HT HT 。
便溲难。取足太阴。嗌干。口中热。如胶。取足少阴。膝中痛。取犊鼻以员利针。发而间之。针大如 。刺膝无疑。喉
痹。不能言。取足阳明。能言。取手阳明。疟。不渴。间日而作。取足阳明。渴而日作。取手阳明。齿痛。不恶清饮。
取足阳明。恶清饮。取手阳明。聋而不痛者。取足少阳。聋而痛者。取手阳明。衄而不止。 血流。取足太阳。 血。（有
脱字疑脱不流二字）取手太阳。不已。刺宛骨下。不已。刺 中。出血。腰痛。痛上寒。取足太阳阳明。痛上热。取足
厥阴。不可以俯仰。取足少阳。中热而喘。取足少阴 中血络。喜怒而不欲食。言益小。刺足太阴。怒而多言。刺足少
阳。 痛。刺手阳明与 之盛脉。出血。项痛。不可俯仰。刺足太阳。不可以顾。刺手太阳也。小腹满大。上走胃。至
心。淅淅身时寒热。小便不利。取足厥阴。腹满。大便不利。腹大。亦上走胸嗌。喘息喝喝然。取足少阴。腹满。食不
化。腹向向然。不能大便。取足太阴。心痛引腰脊。欲呕。取足少阴。心痛。腹胀啬啬然。大便不利。取足太阴。心痛。
引背不得息。刺足少阴。不已。取手少阳。心痛。引小腹满。上下无常处。便溲难刺足厥阴。心痛。但短气不足以息。
刺手太阴。心痛当九节刺之。按已刺。按之。立已。不已。上下求之。得之立已。 痛。刺足阳明曲周动脉。见血。立
已。不已。按人迎于经。立已。气逆上。刺膺中陷者与下胸动脉。腹痛。刺脐左右动脉。已刺。按之。立已。不已。刺
气街。已。刺。按之。立已。痿厥。为四末束 。乃疾解之。日二不仁者。十日而知。无休。病已止。哕以草刺鼻嚏。
嚏而已。无息而疾迎引之。立已。大惊之。亦可已。（哕呃也下所叙皆寻常止呃之法原作岁误）
此篇条目极繁。独以老干无枝之笔行之。字字坚实纪事文正宗也。数篇刺法多系缪刺。今犹有传之者。
先出现疾病，随后出现气机逆乱（如呕吐、呃逆等气机上冲之症）的，治疗其根本病因。先出现气机逆乱，随后引发其他疾病的，治疗其根本病因。先感到寒冷，随后因寒致病者，治疗其根本病因。先有其他疾病，随后出现寒冷症状者，治疗其根本病因。先有发热，随后因热致病者，治疗其根本病因。先出现泄泻，随后引发其他疾病者，治疗其根本病因；必须先调理好泄泻，然后才能治疗其他疾病。先有其他疾病，随后出现腹部胀满（中满）的，治疗其标证（腹部胀满）。先有其他疾病，随后出现泄泻的，治疗其根本病因。先有腹部胀满，随后出现心烦的，治疗其根本病因（腹部胀满）。
所谓“客气”，指外感邪气；“同气”，指内生之气或同类邪气。大小便不利的，治疗其标证（通利二便）；大小便通畅的，治疗其根本病因。病势亢盛有余的，先治其本，后治其标；病势虚弱不足的，先治其标，后治其本。详细诊察病情的轻重缓急，用心灵活调治。病情轻浅的，标本兼治；病情严重的，单独治标或单独治本。如果是先出现大小便不利，随后引发其他疾病的，应当治疗其根本原因（即通利二便为本）。
这段文字没有奇特之处，义理也很浅显，但造句坚实简洁，令人喜爱。“客气”与“同气”、“并行”与“独行”的运用，确实如同经过百炼的精金一般精炼。
厥证伴有脊柱疼痛，痛感直达头顶，头部沉重，眼睛昏花不明，腰脊僵硬强直，取足太阳膀胱经在腘窝中的血络进行刺络放血。厥证表现为胸部胀满，面部浮肿，口唇湿润流涎，言语困难，严重时甚至不能说话，取足阳明胃经穴位治疗。厥气上冲咽喉，导致不能说话，手足发凉，大便不通，取足少阴肾经穴位治疗。厥证表现为腹部胀满有声，多伴寒气，腹中肠鸣辘辘，大小便困难，取足太阴脾经穴位治疗。咽干，口中发热，感觉像有胶状物粘滞，取足少阴肾经穴位治疗。膝部疼痛，取犊鼻穴，使用员利针，发作时施针，间隔一段时间再刺，针体粗细如牦牛毛，刺入膝部无疑。喉痹，不能说话，取足阳明胃经穴位；能说话的，取手阳明大肠经穴位。疟疾，口不渴，每隔一日发作一次，取足阳明胃经穴位；口渴，每日发作一次，取手阳明大肠经穴位。牙齿疼痛，不怕喝冷饮的，取足阳明胃经穴位；怕喝冷饮的，取手阳明大肠经穴位。耳聋但不痛的，取足少阳胆经穴位；耳聋且痛的，取手阳明大肠经穴位。鼻出血不止，血液大量流出，取足太阳膀胱经穴位；如果血液不流（此处原文疑有脱字，推测意为止血或局部瘀血），取手太阳小肠经穴位；若无效，刺委中穴下方；仍无效，刺郄中穴，放出血液。腰痛，疼痛部位感觉寒冷的，取足太阳膀胱经和足阳明胃经穴位；疼痛部位感觉发热的，取足厥阴肝经穴位；身体不能前俯后仰的，取足少阳胆经穴位。体内发热且喘息的，取足少阴肾经在腘窝中的血络。易怒且不想进食，说话声音越来越小，刺足太阴脾经穴位；发怒且多言，刺足少阳胆经穴位。肩胛部疼痛，刺手阳明大肠经及该处充盈的经脉，放出血液。颈部疼痛，不能前后俯仰，刺足太阳膀胱经穴位；不能左右回顾，刺手太阳小肠经穴位。小腹胀大，气向上走至胃部，到达心脏，身体时时感到寒冷和发热，小便不利，取足厥阴肝经穴位。腹部胀满，大便不通，腹部膨大，气也向上走至胸部和咽喉，喘息声粗重，取足少阴肾经穴位。腹部胀满，饮食不消化，腹部胀满有声，不能排便，取足太阴脾经穴位。心痛牵引腰脊，想要呕吐，取足少阴肾经穴位。心痛，腹部胀满且拘急不适，大便不通，取足太阴脾经穴位。心痛，牵引背部，呼吸困难，刺足少阴肾经穴位；若无效，取手少阳三焦经穴位。心痛，牵引小腹胀满，疼痛位置上下无常，大小便困难，刺足厥阴肝经穴位。心痛，仅感觉气短，呼吸不足，刺手太阴肺经穴位。心痛位于第九椎节处进行针刺，按揉已刺穴位，再按揉患处，疼痛立即停止；若未止，上下寻找痛点，找到后针刺，疼痛立即停止。胁肋疼痛，刺足阳明胃经曲周处的动脉，见血出，疼痛立即停止；若未止，按揉人迎穴所在的经脉，疼痛立即停止。气逆向上，刺胸中凹陷处及下胸部动脉。腹痛，刺脐旁左右动脉，已刺后按揉，疼痛立即停止；若未止，刺气街穴，已刺后按揉，疼痛立即停止。痿厥证，用带子捆绑四肢末端，然后迅速解开，每天两次；肢体麻木不仁的，十天后会有知觉，不要休息，直到病愈为止。呃逆，用草刺激鼻腔引起打喷嚏，打嗝即可停止；或者屏住呼吸并快速引导气息，呃逆立即停止；给予大惊吓，也可以停止呃逆。（注：哕即呃逆，下文所述皆为寻常止呃之法，原作“岁”字误。）
这一篇章条目极其繁多，唯独以老练干练、无枝蔓的笔法行文，字字坚实，是记事文的正宗。其中几篇提到的刺法多属于缪刺法，至今仍有流传。
If a disease occurs first, followed by Qi rebellion (such as vomiting or hiccups characterized by upward rushing of Qi), treat the root cause. If Qi rebellion occurs first, followed by other diseases, treat the root cause. If coldness appears first, leading to subsequent disease, treat the root cause. If other diseases appear first, followed by cold symptoms, treat the root cause. If heat appears first, leading to subsequent disease, treat the root cause. If diarrhea appears first, leading to other diseases, treat the root cause; one must first regulate the diarrhea before treating other diseases. If other diseases appear first, followed by abdominal fullness (Zhongman), treat the branch manifestation (abdominal fullness). If other diseases appear first, followed by diarrhea, treat the root cause. If abdominal fullness appears first, followed by vexation in the heart, treat the root cause (abdominal fullness).
The term "Ke Qi" refers to exogenous pathogenic factors, while "Tong Qi" refers to endogenous Qi or similar pathogens. In cases of difficulty with urination and defecation, treat the branch manifestation (promoting free flow of urine and stool); in cases where urination and defecation are unobstructed, treat the root cause. When the pathological condition is excess and vigorous, treat the root first and the branch later; when the condition is deficiency and weak, treat the branch first and the root later. Carefully observe the severity and mildness of the disease, and adjust treatment flexibly according to circumstances. For mild conditions, treat both root and branch simultaneously; for severe conditions, treat either the root or the branch exclusively. If difficulty with urination and defecation occurs first, followed by other diseases, treat the root cause (i.e., promoting free flow of urine and stool is considered the root).
This text contains no extraordinary elements, and its principles are quite simple, yet its phrasing is firm and concise, which is commendable. The usage of terms like "Ke Qi" and "Tong Qi," as well as "simultaneous action" and "exclusive action," is truly refined like hundred-times-refined gold.
In Jue syndrome accompanied by pain along the spine extending to the top of the head, with a heavy sensation in the head, blurred vision, and stiffness in the lower back and spine, puncture the blood collaterals at the popliteal fossa of the Foot-Taiyang Bladder Meridian. In Jue syndrome presenting with chest fullness, facial swelling, moist lips with drooling, difficulty speaking, and in severe cases inability to speak, select points on the Foot-Yangming Stomach Meridian. When Jue Qi rushes to the throat causing inability to speak, cold hands and feet, and constipation, select points on the Foot-Shaoyin Kidney Meridian. In Jue syndrome presenting with abdominal distension with sound, excessive cold qi, rumbling intestines, and difficulty in urination and defecation, select points on the Foot-Taiyin Spleen Meridian. For dry throat, heat in the mouth, and a sticky sensation like glue, select points on the Foot-Shaoyin Kidney Meridian. For knee pain, use the Dubi (ST35) point with a Yuanli needle; puncture during an attack and then at intervals. The needle should be as thick as a hair; puncturing the knee is without doubt. For Bi syndrome of the throat with inability to speak, select points on the Foot-Yangming Stomach Meridian; if speech is possible, select points on the Hand-Yangming Large Intestine Meridian. For malaria without thirst occurring every other day, select points on the Foot-Yangming Stomach Meridian; for malaria with thirst occurring daily, select points on the Hand-Yangming Large Intestine Meridian. For toothache without aversion to cold drinks, select points on the Foot-Yangming Stomach Meridian; for toothache with aversion to cold drinks, select points on the Hand-Yangming Large Intestine Meridian. For deafness without pain, select points on the Foot-Shaoyang Gallbladder Meridian; for deafness with pain, select points on the Hand-Yangming Large Intestine Meridian. For persistent epistaxis with profuse bleeding, select points on the Foot-Taiyang Bladder Meridian; if blood does not flow (text likely missing characters implying stasis or hemostasis), select points on the Hand-Taiyang Small Intestine Meridian. If ineffective, puncture below the Weizhong (BL40) point; if still ineffective, puncture the Xi Zhong point and release blood. For low back pain with cold sensations at the painful site, select points on the Foot-Taiyang Bladder and Foot-Yangming Stomach meridians; for heat sensations at the painful site, select points on the Foot-Jueyin Liver Meridian; for inability to bend forward or backward, select points on the Foot-Shaoyang Gallbladder Meridian. For internal heat with panting, puncture the blood collaterals at the popliteal fossa of the Foot-Shaoyin Kidney Meridian. For irritability, loss of appetite, and decreasing voice volume, puncture the Foot-Taiyin Spleen Meridian; for anger with excessive talking, puncture the Foot-Shaoyang Gallbladder Meridian. For scapular pain, puncture the Hand-Yangming Large Intestine Meridian and its full vessels to release blood. For neck pain with inability to look up or down, puncture the Foot-Taiyang Bladder Meridian; for inability to turn the head left or right, puncture the Hand-Taiyang Small Intestine Meridian. For lower abdominal distension extending upwards to the stomach and heart, with alternating chills and fever, and dysuria, select points on the Foot-Jueyin Liver Meridian. For abdominal fullness, constipation, abdominal enlargement, Qi rushing to the chest and throat, and coarse breathing, select points on the Foot-Shaoyin Kidney Meridian. For abdominal fullness, indigestion, rumbling abdomen, and inability to defecate, select points on the Foot-Taiyin Spleen Meridian. For heart pain radiating to the lower back and spine with urge to vomit, select points on the Foot-Shaoyin Kidney Meridian. For heart pain with abdominal fullness and tightness, and constipation, select points on the Foot-Taiyin Spleen Meridian. For heart pain radiating to the back with dyspnea, puncture the Foot-Shaoyin Kidney Meridian; if ineffective, select points on the Hand-Shaoyang Sanjiao Meridian. For heart pain radiating to lower abdominal fullness with wandering pain location and difficulty in urination/defecation, puncture the Foot-Jueyin Liver Meridian. For heart pain with only shortness of breath and insufficient respiration, puncture the Hand-Taiyin Lung Meridian. For heart pain located at the ninth vertebral segment, puncture there; after needling, massage the acupoint and the affected area; pain stops immediately. If not relieved, search above and below for the tender point, needle it, and pain stops immediately. For hypochondriac pain, puncture the arterial pulse at the Quzhou area of the Foot-Yangming Stomach Meridian until blood appears; pain stops immediately. If not relieved, massage the Renying (ST9) point along the meridian; pain stops immediately. For rebellious Qi moving upward, puncture depressions in the chest and arterial pulses in the lower chest. For abdominal pain, puncture the arterial pulses on the left and right of the umbilicus; after needling, massage; pain stops immediately. If not relieved, puncture the Qichuan (ST30) point; after needling, massage; pain stops immediately. For Wei-Jue syndrome (flaccidity and cold limbs), bind the extremities tightly, then quickly release them; do this twice daily. For numbness, perception returns within ten days; do not rest until recovery. For hiccups, stimulate the nasal cavity with grass to induce sneezing; hiccups stop. Alternatively, hold breath and rapidly guide Qi; hiccups stop immediately. A sudden fright can also stop hiccups. (Note: Yue refers to hiccups; the following describes common methods to stop hiccups; the original character 'Sui' is an error.)
This chapter contains numerous entries but is written in a mature, streamlined style without superfluous details, making each word solid and representative of authentic narrative prose. Many of the acupuncture methods described in these chapters belong to Miu Ci (lateral needling), which is still transmitted today.