下，煎木瓜汤送下亦得；渐加至五十丸，空心食前服。
〔《济》〕麒麟竭散 治寒湿传于经络，疼痛不可忍。
血竭 南乳香 没药 白芍 当归（各六钱） 水蛭（杵碎，炒令烟尽） 麝香（各三钱） 虎胫
骨（酥炙黄，五钱）
上八味，为细末。和匀，每服三钱，食前温酒下。
〔丹〕趁痛散
乳香 没药 桃仁 红花 当归 地龙 五灵脂 牛膝（酒浸） 羌活（酒浸） 香附（便
浸） 生甘草
如痰热，加酒芩、酒柏。
痛风大法，苍术、南星、川芎、白芷、当归、酒芩。在上者，加羌活、威灵仙、桂枝；
在下者，加牛膝、防己、木通、黄柏。薄桂，治痛风。无味而薄者，独此能横行手臂，领南
星、苍术等至痛处。
上中下痛风方。
南星（二两） 台芎（一两） 白芷（五钱） 桃仁（五钱） 桂枝（三钱，横行手臂） 汉防己（半两，下行）
龙胆草（半两，下行） 苍术（米泔浸一宿二两） 黄柏（二两，酒炒） 红花（一钱半，酒洗） 神曲
（一两，炒） 羌活（三钱，通身走骨节） 威灵仙（二钱，去芦，上下行）
上为末，面糊丸。食前服一百丸。
〔世〕茯苓丸治臂痛如神（方见补遗）。控涎丹治肩背臂痛如神（方见行痹）。
控涎丹加去油木鳖子一两，桂五钱，治臂痛，每服二十丸，加至三十丸，妙。
〔丹〕治臂痛。
半夏（一钱） 陈皮（半钱） 茯苓（五分） 苍术（二钱） 威灵仙（三分） 酒芩（一钱） 白术（一钱） 南星（一钱） 香附（一钱） 甘草（少许）
〔世〕治臂痛。
红花（炒） 神曲（炒黄）俱为末。调服之。
姜黄散 治臂痛，非风非痰。
姜黄（四两） 甘草 羌活（各一两） 白术（二两）
腰以下痛者，加海桐皮、当归、芍药。
〔垣〕∶臂痛有六道经络，究其痛在何经络之间，以行本经药行其气血，血气通则愈矣。若
表上诸疼痛，便下之则不可，当详细辨之。
上东垣云∶臂痛有六道经络，以行本经药行其气血者，盖以两手伸直，其臂贴身垂下，
大指居前，小指居后而定之。而其臂 之前廉痛者，属阳明经，以升麻、白芷、干葛行
之。后廉痛者，属太阳经，以 本、羌活行之。外廉痛者，属少阳，以柴胡行之。内廉痛者
，属厥阴，以柴胡、青皮行之。内前廉痛者，属太阴，以升麻、白芷、葱白行之。内后廉痛
者，属少阴，以细辛、独活行之。并用针灸法，视其何经而取之也。
足痛，新病以痛风法治之，久病非香港脚，以鹤膝风治之，各自有门。痛风多属血虚，然
后寒热得以侵之。（治法并见血热血虚条）
〔丹〕张子元气血虚有痰，小便白浊，阴火间起，痛风时作。
人参（一两） 白术（二两） 熟地（二两） 川黄柏（炒，各二两） 山药 海石（好者，一两，炒） 锁
阳干姜（煨，半两） 南星（一两） 败龟板（二两，炙）
上粥为丸，如梧子大。淡盐汤下。
痛风，有痰带热，先以舟车丸或导水丸、神芎丸下之，后以趁痛散调血。如痰热，趁痛
散加酒芩、酒柏。治痛风方
糯米（一盏） 黄踯躅根（一把） 黑豆（半盏）
上件用酒水各一碗，煎半干，徐徐服之。大吐大泻，一服住，便能行动。
〔子和〕一男子六十余，病腰尻脊胯皆痛，数岁不愈，昼静夜躁，大痛往来，屡求自尽，
天旦则定，夕则痛作，必令人手槌击，至五更鸡鸣则渐减，向曙则痛止。戴人诊其脉，两手
皆沉滑坚劲有力，如张弓弦。谓之曰∶病虽瘦，难任。然腰尻脊胯皆痛者，必大便坚燥。其
左右曰∶有五七日，或八九日，见燥屎一两块，如弹丸，结硬不可言，浑身燥痒，皮肤皱揭
枯涩如麸片。戴人既得病之虚实，阴用大承气，以姜枣前之，加牵牛头末二钱，不敢言
是泻剂。盖病者闻暖则悦，闻寒则惧，说补则从，说泻则逆，此弊非一日也，而况一齐众楚
。于是药煎成，使稍热咽之，从少至多，累至三日，天且晚，脏腑下泄四五行，约半盆，以
灯视之，皆燥屎硬块，及瘀血杂脏腑，秽不可近，须臾痛减九分，昏睡，鼻息调如常人。睡
至明日，始觉饥而索粥，温凉与之，又困睡一二日，其痛尽去。次令饮食调养，日服导饮丸
、甘露散滑利便溺之药，四十余日及复。常仲明之妻，每遇冬寒两手热痛。戴人曰∶四肢诸
阳之本也，当时散越而不痛，及乎秋冬收敛则痛。以三花神 丸大下之，热遂去。
运气 痹有二∶
一曰湿。经云∶太阴司天，湿淫所胜，病 肿骨痛阴痹。阴痹者，按之不得，治以苦热是也。
二曰燥。经曰∶阳明所至，为尻阴股膝髀 足痛。又云∶岁金太过，燥气流
行，甚则尻阴股膝髀 足皆痛是也。
〔《内经》〕刺灸诸痛法，先明经脉，次别浅深。盖经脉者，为手足十二经脉也。
手前廉痛，属阴明。经云∶手阳明脉所生，病者肩前 痛，大指次指痛不用。后廉
痛属太阳。经云∶手太阳脉是动，则病肩似拔， 似折。所生病者，肩 肘臂外后廉
痛。外廉痛，取少阳。经云∶手少阳脉所生病者，耳后肩 肘臂外皆痛，小指次指不用
。又云∶邪客手少阳之络，令人臂外痛，手不及头，刺手中指次指爪甲上去端如韭叶各一 ，
左取右，右取左。内廉痛，取厥阴。经云∶手厥阴脉是动，则病手心热，肘臂挛急腋
经云∶足阳明脉所生病者，膝膑肿痛，循膺乳气街股伏兔 外廉足跗上皆痛，中指不
用。后廉痛，属太阳。经云∶足太阳脉是动，则病头痛，目似脱，项似拔脊痛，腰似折，髀
不可以曲， 如结， 如裂，是谓踝厥，所生病者，项背腰尻 脚背痛，
小指不用。外廉痛，属少阳。经云∶足少阳所生病者，胸胁肋髀膝，外至胫绝骨，外踝前及
诸节皆痛，小指次指不用。又云∶足髀不可举，侧而取之，在枢合中以员利针，大针不可刺
。又云∶邪客于足少阳之络，令人留于枢中，痛髀不可举，刺枢中以毫针，寒则久留针，以
月死生为数，立已。内廉痛，属太阴。经云∶足太阴脉所生病者，股膝内肿厥，足大指不用
。内后廉痛，属少阴。经云∶足少阴脉所生病者，脊股内后廉痛，足下热而痛。内前廉痛，
属厥阴。经云∶足厥阴脉是动，则病腰痛，不可以俯仰。
此十二经手足脉痛，皆视虚实寒热陷下，而施补泻疾留灸之法也。（以上全文，并见
针灸门十二经条。盛则泻之，虚则补之，热则疾之，寒则留之，陷下则灸之也）
浅深者，谓皮脉内筋骨之浅深也。病在皮，调之皮，盖取血络也。病在脉，调之脉，即
取前手足十二经之血脉也。病在肉，调之分肉。《内经》云∶病在肌肤，肌肤尽痛，名曰肌
痹。伤于寒湿，刺大分小分，多发针而深之，以为热故，无伤筋骨，伤筋骨痈发，若变诸分
，尽热病已止。病在筋，调之筋。经云∶病在筋，筋挛节痛，不可以行，名曰筋痹。刺筋上
为故，刺分肉间，不可中骨也。病在骨，调之骨。经云∶病在骨，骨重不可举，骨髓酸痛，
寒气至骨，名曰骨痹。深者刺无伤脉肉为故，其道大分小分，骨热病已止。又云∶邪在肾，
则病骨痛阴痹。阴痹者，按之不得，取之涌泉、昆仑。有血者，尽取之。又云∶骨痹举节不
用而痛，汗注烦心，取三阳之经补之（一作三阴）。
此皮脉肉筋骨之浅深，随其处取之也。
又久痹不去身者，视其血络，尽出其血。
痛痹久，而入脏腑为病，刺法见诸痹条。
〔《玉》〕浑身疼痛，但于痛处针，不拘经穴，须避筋骨，穴名天应穴。
〔《撮》〕臂膊疼痛∶肩 手三里 外关
〔《摘》〕臂膊疼痛，并麻痹∶肩 肩井 曲池
〔《集》〕臂膊麻痹疼痛∶肩 曲池 手上廉 合谷 不应再取∶肩井 列缺
〔《玉》〕臂痛连腕∶液门（沿皮向后透阳池泻） 中渚（沿皮透腕骨泻）
〔《撮》〕臂内廉痛∶经渠（一分，忌灸） 灵道（一分，卧针，向前三分） 少海（五分）〔东〕臂酸
挛∶肘 窍阴 尺泽 前谷 后溪
〔《甲》〕手臂不得上头，尺泽主之。臂不可举，头项痛，咽肿不可咽，前谷主之。肘臂
腕中痛，颈肿不可以顾，头项急痛眩，淫泺肩胛，小指痛，前谷主之。肘痛不能自带衣起，
头眩颔痛，面黑，恶风，肩痛不可顾，关冲主之。肘痛引肩，不可屈伸，寒热，颈项肩背痛
，痿痹不仁，天井主之（《千金》云∶肩肉麻木）。肘中濯濯，臂内廉痛，不可及头，外关主
之。肘痛，尺泽主之。
〔《撮》〕腕痛∶阳溪 曲池
〔《玉》〕腕无力并痛∶腕骨（横针入三分，痛则泻，无力则补） 曲池（补泻同上）
〔《撮》〕五指拘挛∶三间（一分，先泻后补炙之） 前谷（一分，泻之，灸） 五指皆痛∶阳池
外关 合谷 胯痛腿支风∶环跳（在髀枢中，侧卧，伸下足，屈上足，方可针。可入三寸
半，补少泻多，留八吸） 居 （一寸二分，留八吸，泻之） 委中出血
〔《标幽》〕胯痛蹶足∶环跳 悬钟（《摘英》作丘墟，针五分，留三呼，灸三壮）
〔《集》〕胯痛腿支风，不能转侧，举动艰难∶环跳（三寸半灸七七壮） 风市（灸二七壮）
、居 （三寸半灸，五七壮） 委中 昆仑 三里 阳陵泉；不已取下穴∶五枢 阳辅 腰
脚痛∶委中 昆仑 人中
〔桑〕侧脚风∶绝骨 太冲
〔东〕脾枢痛，足胫寒热，足外廉皮骨痛∶临泣（一分） 足三阴（寸半），阳辅
〔《甲》〕髀枢中痛，不可举，以毫针寒留之，以月死生为 数，（一作息数）立已，
长针亦可。腰胁相引痛急，痹筋 胫痛，不可屈伸，痹不仁，环跳主之。
〔东〕髀筋急胫痛，纵缓痿痹， 疼膝冷，外廉不可屈伸，湿痹流肿∶风市 中渎
阳关 悬钟 腿痛∶阳陵泉 三里 伏兔 阴市 腿膝拘挛，痛引胁，或青或焦，或黧，或
枯如腐木状∶风市（灸） 阳陵泉 曲泉 昆仑 腿膝外廉痛，股肿 酸，转痿痹，或膝
胫热，不能行动∶侠溪（五分） 髀关 光明（各一寸） 髀痹引膝股外廉急痛，胫酸，摇动有声，
诸节酸不能行∶阴陵泉 绝骨 中封
〔《甲》〕膝外廉痛，热病汗不出，目外 赤痛，头眩两额痛，逆寒泣出，耳鸣，多汗，
目痒，胸中痛不可反侧，痛无常处，侠溪主之∶膝外廉，痛不可屈伸，胫痹不仁，阳关主之
；髀痹引膝股外廉痛不仁，筋急，阳陵泉主之；膝内廉痛引髌，不可屈伸，连腹，引咽喉痛，膝关主之。
〔东〕腿膝内廉痛引髌，不可屈伸，连腹，引咽喉痛∶太冲（五分） 中封 膝关 胫酸寒，
足下热，不能久立，湿痹不仁∶中都 冲阳 承山 承筋 胫寒四肢重，少气难言，不得卧
∶至阳 三阴交
〔《甲》〕痹胫重，足 不收，跟痛，巨虚不廉主之。胫痛，足缓失履，湿痹，足下
热，不能久立，条口主之。胫苕苕苦痹，膝不能屈伸，不可以行，梁丘主之。
〔《玉》〕草鞋风，昆仑（泻，留六呼） 太溪（泻，留六呼） 申脉（五分，补少泻多，留二吸，忌灸）
〔《撮》〕草鞋风，足腕痛∶昆仑（透太溪） 丘墟 商丘（各寸半，泻，灸）
〔《集》〕又法∶昆仑 丘墟 商丘 照海（不已取后穴） 太冲 解溪 足腕不用痿 ，坐不起，髀脚痛∶光
明（沿皮五分） 丘墟（直五分） 腕缓不收，覆足不任胫酸∶然谷 浮白 昆仑
〔《撮》〕外踝红肿痛∶申脉（半寸泻。）
〔《摘》〕绕踝风∶曲池（如绕外踝痛，兼刺孙络足少阳小指间三分。如绕内踝痛，兼刺大都三分。如腕前廉痛，刺行
间六分）
〔《集》〕又法∶太冲 临泣 行间 内庭 不已。取下穴∶昆仑 丘墟
〔《撮》〕大拇指本节前骨疼∶太冲（弹针出血） 足五指尽痛，不得践地∶涌泉（二分） 然谷（一分）
〔《甲》〕风寒从足小指起，脉痹上下，带胸胁，痛无常处，至阴主之。足下热痛，不能
久坐，湿痹不能行，三阴交主之。骨痹烦满，商丘主之。肤痛痿痹，外丘主之。寒气在分肉
间痛，上下痹不仁，中渎主之。
（接上文）若病情较轻，可煎煮木瓜汤送服；逐渐增加剂量至五十丸，空腹、进食前服用。
〔《济生方》〕麒麟竭散：治疗寒湿之邪传入经络，疼痛剧烈难以忍受。
配方：血竭、南乳香、没药、白芍、当归（各六钱）、水蛭（捣碎，炒至烟尽）、麝香（各三钱）、虎胫骨（用酥油炙烤至黄色，五钱）。
以上八味药，研成细末，混合均匀。每次服用三钱，饭前用温酒送服。
〔朱丹溪〕趁痛散：
配方：乳香、没药、桃仁、红花、当归、地龙、五灵脂、牛膝（酒浸）、羌活（酒浸）、香附（小便浸）、生甘草。
若伴有痰热，加入酒黄芩、酒黄柏。
治疗痛风的通用法则：使用苍术、天南星、川芎、白芷、当归、酒黄芩。病位在上肢者，加羌活、威灵仙、桂枝；病位在下肢者，加牛膝、防己、木通、黄柏。薄桂（指肉桂中皮薄味淡者），用于治疗痛风。无味而皮薄的肉桂，唯独它能横行于手臂，引领天南星、苍术等药物到达疼痛部位。
上、中、下三焦痛风通用方：
配方：天南星（二两）、台芎（川芎的一种，一两）、白芷（五钱）、桃仁（五钱）、桂枝（三钱，用于横行手臂）、汉防己（半两，引药下行）、龙胆草（半两，引药下行）、苍术（米泔水浸泡一夜，二两）、黄柏（二两，酒炒）、红花（一钱半，酒洗）、神曲（一两，炒制）、羌活（三钱，通行全身骨节）、威灵仙（二钱，去芦头，上下通行）。
以上药物研为细末，用面糊制成丸剂。饭前服用一百丸。
〔世医方〕茯苓丸：治疗臂痛效果如神（方剂见补遗部分）。控涎丹：治疗肩背臂痛效果如神（方剂见行痹部分）。
在控涎丹中加入去油的木鳖子一两、桂枝五钱，治疗臂痛，每次服用二十丸，逐渐增加至三十丸，效果奇妙。
〔朱丹溪〕治疗臂痛：
配方：半夏（一钱）、陈皮（半钱）、茯苓（五分）、苍术（二钱）、威灵仙（三分）、酒黄芩（一钱）、白术（一钱）、天南星（一钱）、香附（一钱）、甘草（少许）。
〔世医方〕治疗臂痛：
配方：红花（炒制）、神曲（炒至微黄），均研为细末。调服即可。
姜黄散：治疗臂痛，病因非风邪亦非痰饮所致。
配方：姜黄（四两）、甘草、羌活（各一两）、白术（二两）。
若腰部以下疼痛，加海桐皮、当归、芍药。
〔李东垣〕说：臂痛涉及六道经络，必须探究疼痛位于哪条经络之间，然后使用调理本经气血的药物，气血通畅则痊愈。如果表证的各种疼痛，误用泻下法则是不可取的，应当详细辨证。
上述李东垣所言“臂痛有六道经络，以调理本经药物行其气血”，是指将两手伸直，手臂贴身垂下，大拇指在前，小指在后来确定经络位置。
手臂前侧疼痛，属于阳明经，使用升麻、白芷、干葛来调理。
手臂后侧疼痛，属于太阳经，使用藁本、羌活来调理。
手臂外侧疼痛，属于少阳经，使用柴胡来调理。
手臂内侧疼痛，属于厥阴经，使用柴胡、青皮来调理。
手臂内侧前侧疼痛，属于太阴经，使用升麻、白芷、葱白来调理。
手臂内侧后侧疼痛，属于少阴经，使用细辛、独活来调理。
并配合针灸疗法，根据所属经络选取穴位进行治疗。
足部疼痛，新发病症按痛风法治，久病若非香港脚（痛风性关节炎），则按鹤膝风治疗，各自有专门的治疗门类。痛风多属于血虚，因此寒热之邪得以侵入。（治法详见血热、血虚条目）
〔朱丹溪〕张子元气血虚弱且有痰浊，小便浑浊，阴火间歇发作，痛风时常发作。
配方：人参（一两）、白术（二两）、熟地黄（二两）、川黄柏（炒制，各二两）、山药、海浮石（优质的，一两，炒制）、锁阳、干姜（煨制，半两）、天南星（一两）、败龟板（二两，炙制）。
以上药物用米粥制作丸剂，如梧桐子大小。淡盐汤送服。
痛风伴有痰热者，先用舟车丸或导水丸、神芎丸攻下，随后用趁痛散调和血液。若有痰热，趁痛散中加入酒黄芩、酒黄柏。
治疗痛风的另一方：
配方：糯米（一盏）、黄踯躅根（一把）、黑豆（半盏）。
以上药材用水和酒各一碗，煎至半干，慢慢服用。服药后会出现大吐大泻，一次服用后即可停止痛苦，能够行动。
〔刘完素/戴人〕一名六十多岁的男子，腰尻、脊柱、胯部皆痛，数年不愈，白天安静夜晚躁动，剧烈疼痛反复发作，多次想要自杀，天亮时症状缓解，傍晚疼痛发作，必须让人用手捶打，直到五更鸡鸣时分才逐渐减轻，接近天亮时疼痛停止。戴人诊察其脉象，两手脉象皆沉滑坚劲有力，像拉开的弓弦一样。对他说：“病人虽然消瘦，但体质尚能承受攻下。”然而腰尻脊胯皆痛，必然大便坚硬燥结。旁人回答说：“有五到七天，或八九天，排出干燥粪便一两块，如弹丸般，结硬难言，浑身燥痒，皮肤皱缩枯涩如麸片。”戴人既已明确病情的虚实，便采用阴法（攻下法），以大承气汤为主，加入姜枣引导，另加牵牛头末二钱，不敢直言这是泻剂。因为病人听到温热之说则喜悦，听到寒凉之说则恐惧，听说补益则顺从，听说泻下则抵触，这种弊端并非一日形成，何况众人众口纷纭。于是药煎成后，使其稍热咽下，从少量到多量，连续三天，天色将晚时，脏腑排泄四五次，约半盆之多，用灯照看，皆是干燥坚硬的粪块，以及瘀血混杂脏腑秽物，气味恶臭不可近闻。片刻之后，疼痛减轻了十分之九，昏睡，呼吸平稳如常人。睡到第二天，才开始感到饥饿索要粥食，给予温凉适中的食物，又困睡了一两天，疼痛完全去除。随后令其饮食调养，每日服用导饮丸、甘露散等滑利二便的药物，四十余日后恢复健康。常仲明的妻子，每逢冬季寒冷时双手发热疼痛。戴人说：“四肢是诸阳之本，当时阳气发散而不痛，等到秋冬季节阳气收敛则疼痛。”用三花神佑丸大力攻下，热邪随即去除。
运气学说中，痹证分为两种：
一是湿痹。《内经》云：“太阴司天，湿气淫胜，导致身体浮肿、骨痛、阴痹。”所谓阴痹，就是按压时感觉不到痛点，治疗应用苦热之法。
二是燥痹。经文说：“阳明之气所至，会导致尻阴、股、膝、髀、足疼痛。”又说：“岁金太过，燥气流行，严重时尻阴、股、膝、髀、足皆痛。”
〔《黄帝内经》〕刺灸治疗各种疼痛的方法，首先要明辨经脉，其次辨别深浅。所谓经脉，是指手足十二经脉。
手前侧疼痛，属阳明经。经文云：“手阳明脉所生病，患者肩前痛，大拇指和食指疼痛且功能受限。”
手后侧疼痛，属太阳经。经文云：“手太阳脉发生变动，则病肩似拔除，肘似折断。”所生的疾病，表现为肩、肘、臂外后侧疼痛。
手外侧疼痛，取少阳经。经文云：“手少阳脉所生的疾病，耳后、肩、肘、臂外侧皆痛，小指和无名指功能受限。”又说：“邪气客居手少阳之络，使人臂外侧痛，手不能举过头顶，针刺手中指和无名指爪甲角上方如韭菜叶宽处各一针，左病取右，右病取左。”
手内侧疼痛，取厥阴经。经文云：“手厥阴脉发生变动，则病手心热，肘臂挛急腋肿。”
经文云：“足阳明脉所生的疾病，膝膑肿痛，沿胸部、乳部、气街、大腿伏兔穴外侧、足背皆痛，中指功能受限。”
足后侧疼痛，属太阳经。经文云：“足太阳脉发生变动，则病头痛，目似脱出，项似拔除，脊痛，腰似折断，大腿不能弯曲，腘窝如捆绑，小腿如撕裂，这叫踝厥。”所生的疾病，表现为项、背、腰、尻、脚背痛，小指功能受限。
足外侧疼痛，属少阳经。经文云：“足少阳脉所生的疾病，胸胁肋、髀、膝，外侧至胫骨绝骨、外踝前及各个关节皆痛，小指和无名指功能受限。”又说：“足大腿不能抬起，侧身取穴，在枢合中（环跳穴），用员利针，大针不可刺入。”又说：“邪气客居足少阳之络，使人留滞于枢中，髀部疼痛不能抬起，针刺枢中以毫针，寒证则久留针，以月亮盈亏变化决定留针时间，立竿见影。”
足内侧疼痛，属太阴经。经文云：“足太阴脉所生的疾病，股膝内侧肿胀厥冷，足大拇指功能受限。”
足内侧后侧疼痛，属少阴经。经文云：“足少阴脉所生的疾病，脊股内侧后侧疼痛，足底发热而痛。”
足内侧前侧疼痛，属厥阴经。经文云：“足厥阴脉发生变动，则病腰痛，不可以俯仰。”
这十二条经脉手足脉痛，都要视其虚实寒热陷下情况，而施以补泻、疾留、灸法等治疗方法。（以上内容全文，并见于针灸门十二经条。盛则泻之，虚则补之，热则疾之，寒则留之，陷下则灸之也。）
深浅，是指皮、脉、肉、筋、骨的浅深程度。病在皮，调理皮，即选取血络。病在脉，调理脉，即选取手足十二经的血脉。病在肉，调理分肉。《内经》云：“病在肌肤，肌肤尽痛，名叫肌痹。”伤于寒湿，刺大分小分，多发针并深刺，以此产生热感，不要损伤筋骨，若损伤筋骨会引发痈肿，若改变各分部的热度，待病热消退即止。病在筋，调理筋。经文云：“病在筋，筋挛节痛，不可以行走，名叫筋痹。”刺筋上为度，刺分肉间，不可刺中骨头。病在骨，调理骨。经文云：“病在骨，骨重不可举起，骨髓酸痛，寒气至骨，名叫骨痹。”深刺不要损伤脉肉为度，其道在大分小分，骨热病退即止。又说：“邪在肾，则病骨痛阴痹。”阴痹者，按压不得，取涌泉、昆仑穴。有瘀血的，全部刺出。又说：“骨痹关节不能用且痛，汗出心烦，取三阳经补之（一作三阴经）。”
这是皮、脉、肉、筋、骨的深浅，随其部位取穴治疗。
另外，久痹不去身者，观察其血络，全部刺出其血。
痛痹日久，深入脏腑致病，刺法见诸痹条。
〔《玉龙歌》〕浑身疼痛，只需在疼痛处针刺，不拘泥于特定经穴，须避开筋骨，穴位名为天应穴（阿是穴）。
〔《集成》〕臂膊麻痹疼痛：肩髃、曲池、手上廉、合谷。若不效再取：肩井、列缺。
〔《玉龙歌》〕臂痛连腕：液门（沿皮向后透刺阳池，泻法）、中渚（沿皮透刺腕骨，泻法）。
〔《撮要》〕臂内廉痛：经渠（一分，忌灸）、灵道（一分，卧针，向前三分）、少海（五分）。
〔《甲乙经》〕手臂不能上头，尺泽主之。臂不可举，头项痛，咽肿不可咽，前谷主之。肘臂腕中痛，颈肿不可以顾，头项急痛眩，淫泺肩胛，小指痛，前谷主之。肘痛不能自带衣起，头眩颔痛，面黑，恶风，肩痛不可顾，关冲主之。肘痛引肩，不可屈伸，寒热，颈项肩背痛，痿痹不仁，天井主之（《千金方》云：肩肉麻木）。肘中濯濯，臂内廉痛，不可及头，外关主之。肘痛，尺泽主之。
〔《玉龙歌》〕腕无力并痛：腕骨（横针入三分，痛则泻，无力则补）、曲池（补泻同上）。
〔《撮要》〕五指拘挛：三间（一分，先泻后补灸之）、前谷（一分，泻之，灸）。五指皆痛：阳池、外关、合谷。
胯痛腿支风：环跳（在髀枢中，侧卧，伸下足，屈上足，方可针。可入三寸半，补少泻多，留八吸）、居髎（一寸二分，留八吸，泻之）、委中出血。
〔《标幽赋》〕胯痛蹶足：环跳、悬钟（《摘英》作丘墟，针五分，留三呼，灸三壮）。
〔《集成》〕胯痛腿支风，不能转侧，举动艰难：环跳（三寸半灸七七壮）、风市（灸二七壮）、居髎（三寸半灸，五七壮）、委中、昆仑、三里、阳陵泉；不愈取下穴：五枢、阳辅。
〔李东垣〕脾枢痛，足胫寒热，足外廉皮骨痛：临泣（一分）、足三阴（寸半）、阳辅。
〔《甲乙经》〕髀枢中痛，不可举，以毫针寒留之，以月死生为数（一作息数）立已，长针亦可。腰胁相引痛急，痹筋胫痛，不可屈伸，痹不仁，环跳主之。
〔李东垣〕髀筋急胫痛，纵缓痿痹，疼膝冷，外廉不可屈伸，湿痹流肿：风市、中渎、阳关、悬钟。
腿膝拘挛，痛引胁，或青或焦，或黧，或枯如腐木状：风市（灸）、阳陵泉、曲泉、昆仑。
腿膝外廉痛，股肿酸，转痿痹，或膝胫热，不能行动：侠溪（五分）、髀关、光明（各一寸）。
髀痹引膝股外廉急痛，胫酸，摇动有声，诸节酸不能行：阴陵泉、绝骨、中封。
〔《甲乙经》〕膝外廉痛，热病汗不出，目外眦赤痛，头眩两额痛，逆寒泣出，耳鸣，多汗，目痒，胸中痛不可反侧，痛无常处，侠溪主之。膝外廉，痛不可屈伸，胫痹不仁，阳关主之。髀痹引膝股外廉痛不仁，筋急，阳陵泉主之。膝内廉痛引髌，不可屈伸，连腹，引咽喉痛，膝关主之。
〔李东垣〕腿膝内廉痛引髌，不可屈伸，连腹，引咽喉痛：太冲（五分）、中封、膝关。
胫酸寒，足下热，不能久立，湿痹不仁：中都、冲阳、承山、承筋。
〔《甲乙经》〕痹胫重，足不收，跟痛，巨虚不廉主之。胫痛，足缓失履，湿痹，足下热，不能久立，条口主之。胫苕苕苦痹，膝不能屈伸，不可以行，梁丘主之。
〔《玉龙歌》〕草鞋风：昆仑（泻，留六呼）、太溪（泻，留六呼）、申脉（五分，补少泻多，留二吸，忌灸）。
〔《撮要》〕草鞋风，足腕痛：昆仑（透太溪）、丘墟、商丘（各寸半，泻，灸）。
〔《集成》〕又法：昆仑、丘墟、商丘、照海（不愈取后穴）、太冲、解溪。
足腕不用痿，坐不起，髀脚痛：光明（沿皮五分）、丘墟（直五分）。
〔《摘英》〕绕踝风：曲池（如绕外踝痛，兼刺孙络足少阳小指间三分。如绕内踝痛，兼刺大都三分。如腕前廉痛，刺行间六分）。
〔《集成》〕又法：太冲、临泣、行间、内庭。不愈取下穴：昆仑、丘墟。
〔《甲乙经〕风寒从足小指起，脉痹上下，带胸胁，痛无常处，至阴主之。足下热痛，不能久坐，湿痹不能行，三阴交主之。骨痹烦满，商丘主之。肤痛痿痹，外丘主之。寒气在分肉间痛，上下痹不仁，中渎主之。
(Continuing from the previous text) If the condition is mild, one may decoct a Quince Soup (Mugua Tang) for administration; gradually increase the dosage to fifty pills, taken on an empty stomach before meals.
[Jisheng Fang] Qilin Jie San (Kylin Blood Powder): Treats cold-dampness invading the meridians, causing unbearable pain.
Formula: Xuejie (Dragon's Blood), Nan Ruxiang (Southern Frankincense), Moyao (Myrrh), Baishao (White Peony Root), Danggui (Angelica Sinensis) (each 6 qian); Shizhi (Leech) (crushed and stir-fried until smoke ceases); Shexiang (Musk) (each 3 qian); Hu Jinggu (Tiger Tibia Bone) (roasted with butter until yellow, 5 qian).
The above eight ingredients are ground into a fine powder, mixed evenly. Take 3 qian per dose, administered with warm wine before meals.
[Zhu Danxi] Chentong San (Pain-Relieving Powder):
Formula: Ruxiang (Frankincense), Moyao (Myrrh), Taoren (Peach Seed), Honghua (Safflower), Danggui (Angelica Sinensis), Dilong (Earthworm), Wulingzhi (Trogopterus Feces), Niuxi (Achyranthes Root) (soaked in wine), Qianghuo (Notopterygium Rhizome) (soaked in wine), Xiangfu (Cyperus Rhizome) (soaked in urine), Sheng Gancao (Raw Licorice Root).
If phlegm-heat is present, add Jiuhuangqin (Wine-processed Scutellaria Root) and Jiuhuangbai (Wine-processed Phellodendron Bark).
General principles for treating Tongfeng (Gouty Arthritis): Use Cangzhu (Atractylodes Rhizome), Nanting (Arisaema Rhizome), Chuanxiong (Ligusticum Rhizome), Baizhi (Angelica Dahurica), Danggui (Angelica Sinensis), Jiuhuangqin (Wine-processed Scutellaria Root). For conditions located in the upper body, add Qianghuo (Notopterygium Rhizome), Weilingxian (Salvia Miltiorrhiza or Clematis Root), Guizhi (Cinnamon Twig). For conditions located in the lower body, add Niuxi (Achyranthes Root), Fangji (Stephania Root), Mutong (Akebia Stem), Huangbai (Phellodendron Bark). Bo Gui (Thin Cinnamon Bark), used for Tongfeng, is odorless and thin; uniquely, it can travel horizontally through the arms, guiding Nanting and Cangzhu to the site of pain.
Upper, Middle, and Lower Jiao Tongfeng General Formula:
Formula: Nanting (Arisaema Rhizome, 2 liang), Taixiong (Ligusticum Chuanxiong, 1 liang), Baizhi (Angelica Dahurica, 5 qian), Taoren (Peach Seed, 5 qian), Guizhi (Cinnamon Twig, 3 qian, for horizontal movement in arms), Han Fangji (Stephania Tetrandra, half liang, for descending action), Longdancao (Gentiana Root, half liang, for descending action), Cangzhu (Atractylodes Rhizome, soaked in rice water overnight, 2 liang), Huangbai (Phellodendron Bark, 2 liang, wine-fried), Honghua (Safflower, 1.5 qian, wine-washed), Shenqu (Medicated Leaven, 1 liang, fried), Qianghuo (Notopterygium Rhizome, 3 qian, for circulating through all bone joints), Weilingxian (Clematis Root, 2 qian, remove rhizome, for ascending and descending action).
Grind the above into powder, make pills with wheat paste. Take 100 pills before meals.
[Shiyi Fang] Fuling Wan (Poria Pill): Treats arm pain with miraculous effect (formula see Supplement). Kongyan Dan (Controlling Phlegm Fluid Pill): Treats shoulder, back, and arm pain with miraculous effect (formula see Xingbi section).
Add 1 liang of de-oiled Moguizi (Momordica Seed) and 5 qian of Guizhi (Cinnamon Twig) to Kongyan Dan to treat arm pain. Take 20 pills initially, increasing to 30 pills, which is effective.
[Zhu Danxi] Treating Arm Pain:
Formula: Banxia (Pinellia Tuber, 1 qian), Chenpi (Citrus Peel, half qian), Fuling (Poria, 5 fen), Cangzhu (Atractylodes Rhizome, 2 qian), Weilingxian (Clematis Root, 3 fen), Jiuhuangqin (Wine-processed Scutellaria Root, 1 qian), Baizhu (Atractylodes Macrocephala, 1 qian), Nanting (Arisaema Rhizome, 1 qian), Xiangfu (Cyperus Rhizome, 1 qian), Gancao (Licorice Root, a little).
[Shiyi Fang] Treating Arm Pain:
Formula: Honghua (Safflower, fried), Shenqu (Medicated Leaven, fried to light yellow), both ground into powder. Mix and take.
Jianghuang San (Curcuma Powder): Treats arm pain caused neither by wind nor phlegm.
Formula: Jianghuang (Curcuma Longa Rhizome, 4 liang), Gancao (Licorice Root), Qianghuo (Notopterygium Rhizome) (each 1 liang), Baizhu (Atractylodes Macrocephala, 2 liang).
For pain below the waist, add Haitongpi (Sarcandla Bark), Danggui (Angelica Sinensis), Shaoyao (Peony Root).
[Li Dongyuan] states: Arm pain involves six meridians. One must determine which meridian the pain resides in, then use herbs belonging to that meridian to regulate Qi and Blood. When Qi and Blood flow freely, the condition resolves. If superficial pains are treated with purgatives, it is incorrect; detailed differentiation is required.
Regarding Li Dongyuan's statement "Arm pain involves six meridians, using meridian-specific herbs to move Qi and Blood": This is determined by extending both arms straight down along the sides of the body, with the thumb forward and the little finger backward.
Pain on the anterior aspect of the arm belongs to the Yangming Meridian, treated with Shengma (Cimicifuga Rhizome), Baizhi (Angelica Dahurica), Gange (Pueraria Root).
Pain on the posterior aspect belongs to the Taiyang Meridian, treated with Gaoben (Ligusticum Wallichii Rhizome), Qianghuo (Notopterygium Rhizome).
Pain on the lateral aspect belongs to the Shaoyang Meridian, treated with Chaihu (Bupleurum Root).
Pain on the medial aspect belongs to the Jueyin Meridian, treated with Chaihu (Bupleurum Root), Qingpi (Aurantii Fructus Perforatus).
Pain on the anteromedial aspect belongs to the Taiyin Meridian, treated with Shengma (Cimicifuga Rhizome), Baizhi (Angelica Dahurica), Congbai (Scallion White).
Pain on the posteromedial aspect belongs to the Shaoyin Meridian, treated with Xixin (Asarum Root), Duhuo (Angelica Pubescens).
Acupuncture and moxibustion should be combined, selecting points based on the affected meridian.
Foot pain: New onset is treated as Tongfeng (Gouty Arthritis); chronic cases, if not Hongkong Foot (Gouty Arthritis affecting the foot), are treated as Hexikeng Feng (Crane's Knee Wind/Osteoarthritis). Each has its own category. Tongfeng often stems from Blood deficiency, allowing Cold and Heat pathogens to invade. (Treatment methods see Blood Heat and Blood Deficiency sections).
[Zhu Danxi] Zhang Ziyuan suffers from Qi and Blood deficiency with Phlegm, turbid white urine, intermittent Yin Fire, and recurrent Tongfeng (Gouty Arthritis).
Formula: Renshen (Ginseng Root, 1 liang), Baizhu (Atractylodes Macrocephala, 2 liang), Shudi (Prepared Rehmannia Root, 2 liang), Chuan Huangbai (Phellodendron Bark, fried, each 2 liang), Shanyao (Dioscorea Rhizome), Haishi (Calcitum/Floating Calcium, high quality, 1 liang, fried), Suoyang (Cynomorium Herb), Ganjiang (Dried Ginger, baked, half liang), Nanting (Arisaema Rhizome, 1 liang), Baiguiban (Testudo Carapace, 2 liang, roasted).
Make pills using congee, size of wutong seeds. Take with light salt water.
For Tongfeng (Gouty Arthritis) with Phlegm-Heat, first purge with Zhouche Wan (Boat Vehicle Pill), Daoshui Wan (Water-Guiding Pill), or Shenxiong Wan (Miraculous Xiong Pill), then regulate Blood with Chentong San (Pain-Relieving Powder). If Phlegm-Heat is present, add Jiuhuangqin (Wine-processed Scutellaria Root) and Jiuhuangbai (Wine-processed Phellodendron Bark) to Chentong San.
Another formula for Tongfeng:
Formula: Nuomi (Glutinous Rice, 1 zhan), Huangzhizhu Gen (Rhododendron Root, 1 bunch), Heidou (Black Soybean, half zhan).
Decoct the above with one bowl of water and one bowl of wine until half dry. Drink slowly. It induces severe vomiting and diarrhea; after one dose, pain stops, and mobility returns.
[Dairen/Liu Wansu] A man over sixty suffered pain in the lower back, sacrum, spine, and hips for years without cure. He was calm during the day but restless at night, experiencing recurring severe pain, leading to suicidal thoughts. Symptoms subsided at dawn and flared at dusk, requiring manual pounding of the painful areas. Pain gradually decreased after the rooster crowed in the fifth watch and ceased near sunrise. Dairen palpated his pulse: both hands were deep, slippery, firm, strong, and tense like a drawn bowstring. He said, "Although the patient is emaciated, he can tolerate treatment." However, pain in the lower back, sacrum, spine, and hips indicates hard, dry stool. Others reported: "Every five to seven days, or eight to nine days, he passes one or two pieces of dry stool, hard as pellets, accompanied by whole-body itching, wrinkled, dry skin resembling bran." Having determined the excess nature of the disease, Dairen employed a Yin method (purging), using Dachengqi Tang (Major Order the Qi Decoction) with Ginger and Jujube as guides, adding 2 qian of Qianniu Toumo (Front-end Powder of Morning Glory Seed). He dared not call it a purgative directly. Patients prefer warmth and fear cold, accept tonification but resist purgation. This bias is long-standing, compounded by conflicting opinions. The decoction was given warm, starting with small amounts and increasing over three days. By evening, four to five bowel movements occurred, filling about half a basin. Inspection revealed hard, dry fecal masses mixed with stagnant blood and visceral waste, foul-smelling. Within moments, pain reduced by ninety percent. The patient fell into a deep sleep, breathing normally. Upon waking the next day, he felt hungry and asked for porridge. After consuming lukewarm food and sleeping another day or two, the pain completely resolved. Dietary therapy followed, with daily doses of Dao Yin Wan (Guiding and Pulling Pill) and Ganlu San (Sweet Dew Powder) to lubricate the bowels. Recovery took over forty days. Chang Zhongming's wife experienced hot, painful hands every winter. Dairen said, "The four limbs are the root of all Yang meridians. When Yang disperses in summer, there is no pain; when Yang converges in autumn/winter, pain occurs." He purged heavily with Sanhua Shenyao Wan (Three Flowers Miraculous Aid Pill), and the heat cleared.
In the theory of Six Qi (Yunqi), Bi Syndrome (Obstruction Syndrome) is divided into two types:
First, Damp-Bi. The Classic states: "When Taiyin governs the year, excessive dampness causes swelling, bone pain, and Yin-Bi." Yin-Bi is characterized by tenderness that cannot be pinpointed by pressure; it is treated with bitter-hot herbs.
Second, Dry-Bi. The Classic states: "When Yangming arrives, it causes pain in the sacrum, yin region, thighs, knees, thighs (thighs), and feet." It also states: "When Metal Qi is excessive, Dryness flows widely, causing severe pain in the sacrum, yin region, thighs, knees, thighs, and feet."
[Huangdi Neijing] Methods of acupuncture and moxibustion for various pains require first clarifying the meridians, then distinguishing depth. The meridians refer to the twelve meridians of the hands and feet.
Pain on the anterior aspect of the hand belongs to the Yangming Meridian. The Classic states: "Diseases generated by the Hand-Yangming Meridian include pain in the front of the shoulder, and pain/uselessness of the thumb and index finger."
Pain on the posterior aspect belongs to the Taiyang Meridian. The Classic states: "When the Hand-Taiyang Meridian moves, diseases include shoulder pain as if pulled out, elbow pain as if broken." Generated diseases include pain in the shoulder, elbow, and outer-posterior aspect of the arm.
Pain on the lateral aspect takes the Shaoyang Meridian. The Classic states: "Diseases generated by the Hand-Shaoyang Meridian include pain behind the ear, shoulder, elbow, and outer arm, and uselessness of the ring and little fingers." It also states: "When pathogenic factors lodge in the collaterals of the Hand-Shaoyang, they cause pain in the outer arm, inability to raise the hand to the head. Puncture one cun above the nail corner of the middle and ring fingers, left side treating right, right side treating left."
Pain on the medial aspect takes the Jueyin Meridian. The Classic states: "When the Hand-Jueyin Meridian moves, diseases include heat in the palm, spasm of the elbow and arm, and axillary swelling."
The Classic states: "Diseases generated by the Foot-Yangming Meridian include swelling and pain of the knee patella, pain along the chest, breast, Qichong point, outer thigh (Futu area), dorsum of the foot, and uselessness of the middle toe."
Pain on the posterior aspect of the foot belongs to the Taiyang Meridian. The Classic states: "When the Foot-Taiyang Meridian moves, diseases include headache, eyes feeling as if falling out, neck feeling as if pulled, spinal pain, waist feeling as if broken, inability to bend the thigh, popliteal fossa feeling bound, calf feeling torn. This is called Anjue. Generated diseases include pain in the neck, back, waist, sacrum, calf, and sole, and uselessness of the little toe."
Pain on the lateral aspect belongs to the Shaoyang Meridian. The Classic states: "Diseases generated by the Foot-Shaoyang Meridian include pain in the chest, hypochondrium, ribs, hip, knee, extending to the outer leg, Jiegu point, anterior to the lateral malleolus, and all joints, with uselessness of the ring and little toes." It also states: "If the thigh cannot be lifted, take the point laterally, in Shu Zhong (Huantiao), using Yuanli Needle; large needles should not be used." It also states: "When pathogenic factors lodge in the collateral of the Foot-Shaoyang, they cause stagnation in Shu Zhong, pain in the hip preventing lifting. Puncture Shu Zhong with a filiform needle. In cold patterns, retain the needle for a long time, counting according to the waxing and waning of the moon, for immediate relief."
Pain on the medial aspect belongs to the Taiyin Meridian. The Classic states: "Diseases generated by the Foot-Taiyin Meridian include swelling and coldness of the inner thigh and knee, and uselessness of the big toe."
Pain on the posteromedial aspect belongs to the Shaoyin Meridian. The Classic states: "Diseases generated by the Foot-Shaoyin Meridian include pain in the inner-posterior spine and thigh, and heat/pain in the sole."
Pain on the anteromedial aspect belongs to the Jueyin Meridian. The Classic states: "When the Foot-Jueyin Meridian moves, diseases include lower back pain, inability to bend or extend."
For pain in these twelve meridians of the hands and feet, apply tonification, sedation, rapid retention, or moxibustion based on excess/deficiency, cold/heat, and sinking conditions. (Full text above is found in the Acupuncture Section, Twelve Meridian Articles. Excess sedate, deficiency tonify, heat treat rapidly, cold retain, sinking moxa.)
Depth refers to the layers of skin, vessels, flesh, sinews, and bones. Disease in the skin is regulated by treating the skin, i.e., selecting blood collaterals. Disease in the vessels is regulated by treating the vessels, i.e., selecting the blood vessels of the twelve hand and foot meridians. Disease in the flesh is regulated by treating the muscle spaces. The Neijing states: "Disease in skin and muscle with widespread pain is named Ji-Bi (Muscle Bi). Caused by cold-damp, puncture large and small muscle spaces, use multiple needles deeply to generate heat. Do not injure sinews and bones; injury leads to abscess. If altering the heat in various parts, stop when the disease heat clears." Disease in sinews is regulated by treating sinews. The Classic states: "Disease in sinews with spasms and joint pain, inability to walk, is named Jin-Bi (Sinew Bi). Puncture up to the sinew, between muscle spaces, do not strike the bone." Disease in bones is regulated by treating bones. The Classic states: "Disease in bones with heaviness, inability to lift, soreness in marrow, cold qi reaching bones, is named Gu-Bi (Bone Bi). Deep puncture without injuring vessels or flesh. Pathway through large and small muscle spaces. Stop when bone heat clears." It also states: "Evil in Kidney causes bone pain and Yin-Bi. Yin-Bi cannot be pressed to find tenderness. Take Yongquan and Kunlun. If blood stasis exists, drain it all." It also states: "Gu-Bi with joint immobility and pain, sweating, vexation, take Three-Yang meridians to tonify (or Three-Yin)."
This addresses the depth of skin, vessels, flesh, sinews, and bones, taking points according to location.
Furthermore, for chronic Bi remaining in the body, observe blood collaterals and drain all stagnant blood.
Chronic Tongbi (Painful Bi) entering organs and bowels: Acupuncture methods see the Various Bis section.
[Yulong Ge] Whole-body pain: Puncture only at the painful spot, regardless of specific meridian points, avoiding sinews and bones. These are called Tianying Points (Ah Shi points).
[Cuoyao] Arm pain: Jianyu, Shousanli, Waiguan.
[Zhaoying] Arm pain and numbness: Jianyu, Jianjing, Quchi.
[Jicheng] Arm numbness and pain: Jianyu, Quchi, Shou Shanglian, Hegu. If ineffective, add: Jianjing, Lieque.
[Yulong Ge] Arm pain radiating to wrist: Yemen (parallel needling backwards to Yangchi, sedation), Zhongzhu (parallel needling to Wangu, sedation).
[Cuoyao] Medial arm pain: Jingqu (1 fen, avoid moxa), Lingdao (1 fen, supine needle, forward 3 fen), Shaohai (5 fen).
[Li Dongyuan] Arm soreness and spasm: Zhouleou, Xiaoyin, Chize, Qian Gu, Houxi.
[Jiaying Jing] Arm unable to reach head: Chize governs. Arm unable to lift, head/neck pain, swollen throat unable to swallow: Qiangu governs. Elbow/arm/wrist pain, neck swelling unable to turn head, urgent head/neck pain/dizziness, heavy shoulders/scapula, little finger pain: Qiangu governs. Elbow pain unable to dress oneself, dizziness, chin pain, dark face, aversion to wind, shoulder pain unable to turn: Guanchong governs. Elbow pain radiating to shoulder, inability to flex/extend, chills/fever, neck/shoulder/back pain, wasting-thirst numbness: Tianjing governs (Qianjin Fang says: scapular muscle numbness). Swishing sensation in elbow, medial arm pain unable to reach head: Waiguan governs. Elbow pain: Chize governs.
[Cuoyao] Wrist pain: Yangxi, Quchi.
[Yulong Ge] Wrist weakness and pain: Wangu (horizontal insertion 3 fen, sedate if painful, tonify if weak), Quchi (same tonification/sedation).
[Cuoyao] Five finger contracture: Sanjian (1 fen, sedate then tonify/moxa), Qiangu (1 fen, sedate/moxa). All five fingers painful: Yangchi, Waiguan, Hegu.
Hip pain and leg wind: Huantiao (in hip pivot, lie on side, extend lower leg, flex upper leg to needle. Depth 3.5 cun, more sedation than tonification, retain 8 breaths). Juliao (1.2 cun, retain 8 breaths, sedate). Weizhong bleeding.
[Biaoyou Fu] Hip pain and foot inversion: Huantiao, Xuanzhong (Zhaoying calls it Qiuxu, needle 5 fen, retain 3 breaths, moxa 3 cones).
[Jicheng] Hip pain and leg wind, inability to turn, difficult movement: Huantiao (3.5 cun moxa 77 cones), Fengshi (moxa 14 cones), Juliao (3.5 cun moxa 35 cones), Weizhong, Kunlun, Zusanli, Yanglingquan. If ineffective, take lower points: Wushu, Yangfu.
Waist and foot pain: Weizhong, Kunlun, Renzhong.
[Sang] Side leg wind: Jiegu, Taichong.
[Li Dongyuan] Spleen pivot pain, cold/heat in calves, pain on outer skin/bone of foot: Linqi (1 fen), Foot Three Yin (1.5 cun), Yangfu.
[Jiaying Jing] Pain in hip pivot, unable to lift, needle with filiform needle, retain according to moon phases (or breath counts) for immediate relief, long needle also works. Waist and hypochondrium pulling pain, stiff sinews/calf pain, inability to flex/extend, numbness: Huantiao governs.
[Li Dongyuan] Tight hip sinews and calf pain, flaccid wasting-numbness, cold knees, outer aspect unable to flex/extend, damp-bi with swelling: Fengshi, Zhongdu, Yangguan, Xuanzhong.
Leg pain: Yanglingquan, Zusanli, Futu, Yinshi.
Knee/leg spasm, pain radiating to hypochondrium, discoloration (blue, black, sallow, or withered like rotten wood): Fengshi (moxa), Yanglingquan, Ququan, Kunlun.
Outer knee/leg pain, thigh swelling/soreness, turning to wasting-numbness, or knee/calf heat, inability to walk: Xiaxi (5 fen), Biguan, Guangming (each 1 cun).
Hip Bi radiating to outer knee/thigh acute pain, calf soreness, audible shaking, joint soreness inability to walk: Yinlingquan, Jiegu, Zhongfeng.
[Jiaying Jing] Outer knee pain, heat disease no sweat, outer eye red/pain, dizziness, bilateral forehead pain, reverse cold/tears, tinnitus, hyperhidrosis, eye itch, chest pain unable to turn, pain moving locations: Xiaxi governs. Outer knee pain unable to flex/extend, calf Bi numbness: Yangguan governs. Hip Bi radiating to outer knee/thigh pain/numbness, tendon tightness: Yanglingquan governs. Inner knee pain radiating to patella, unable to flex/extend, connecting to abdomen, radiating to throat pain: Xiguan governs.
[Li Dongyuan] Inner knee/leg pain radiating to patella, unable to flex/extend, connecting to abdomen, radiating to throat pain: Taichong (5 fen), Zhongfeng, Xiguan.
Calf soreness/cold, heat in soles, inability to stand long, damp-Bi numbness: Zhongdu, Chongyang, Chengshan, Chengjin.
Calf cold, heavy limbs, shortness of breath, difficulty speaking, inability to lie flat: Zhiyang, Sanyinjiao.
[Jiaying Jing] Bi-heavy calf, foot collapse, heel pain: Jubu Bulian (Feiyang?) governs. Calf pain, foot weakness losing footing, damp-Bi, heat in soles, inability to stand long: Tiaokou governs. Calf soreness/severe Bi, knee unable to flex/extend, unable to walk: Liangqiu governs.
[Yulong Ge] Straw-shoe wind: Kunlun (sedate, retain 6 breaths), Taixi (sedate, retain 6 breaths), Shenmai (5 fen, more sedation than tonification, retain 2 breaths, avoid moxa).
[Cuoyao] Straw-shoe wind, ankle pain: Kunlun (penetrate Taixi), Qiuxu, Shangqiu (each 1.5 cun, sedate/moxa).
[Jicheng] Another method: Kunlun, Qiuxu, Shangqiu, Zhaohai (if ineffective, take posterior points), Taichong, Jiexi.
Ankle useless/wasting, unable to sit/get up, hip/foot pain: Guangming (parallel 5 fen), Qiuxu (straight 5 fen).
Wrist loose/unable to hold, inverted foot unable to bear calf soreness: Ran Gu, Fubai, Kunlun.
[Cuoyao] Lateral malleolus red/swollen/painful: Shenmai (0.5 cun sedate).
[Zhaoying] Ankle encircling wind: Quchi (if lateral ankle pain, additionally puncture Sun Luo Foot-Shaoyang between little toe 3 fen. If medial ankle pain, additionally puncture Dadu 3 fen. If anterior wrist pain, puncture Xingjian 6 fen).
[Jicheng] Another method: Taichong, Linqi, Xingjian, Neiting. If ineffective, take lower points: Kunlun, Qiuxu.
[Cuoyao] Pain at bone before base of big toe: Taichong (pluck needle to bleed).
All five toes painful, unable to touch ground: Yongquan (2 fen), Ran Gu (1 fen).
[Jiaying Jing] Wind-cold starting from little toe, vessel Bi up/down, involving chest/hypochondrium, pain moving locations: Zhiyin governs. Heat/pain in soles, unable to sit long, damp-Bi unable to walk: Sanyinjiao governs. Bone Bi vexation/fullness: Shangqiu governs. Skin pain/wasting-numbness: Waiqiu governs. Cold qi in muscle spaces causing pain, upper/lower Bi numbness: Zhongdu governs.