痛员员，澹澹然。（澹澹，精神短少貌，阴虚无气之候也。）戊己甚，壬癸大汗，气逆则戊己死。（戊己
土，克肾者也。壬癸水，肾所王也。）刺足少阴、太阳。（水脏之表里也。）诸汗者，至其所胜日汗出也。（
气王之日，即所胜也。王则胜邪，故汗出而病愈。）肝热病者，左颊先赤；（此下言面部五脏之色也。肝属
木，应在东方，故肝热者左颊当先赤。）心热病者，颜先赤；（心属火，其应南方。颜，额也，亦曰庭。）
脾热病者，鼻先赤；（脾属土，其应中央，故鼻先赤。）肺热病者，右颊先赤；（肺属金，其应在西，故右
颊先赤。）肾热病者，颐先赤。（肾属水，应在北。故两颐先赤。）病虽未发，见赤色者刺之，用药先及之，
名曰“治未病”。（病虽未见，而赤色已见于五部，则为病之先兆，当求其脏而预治之，所谓防于未然也。）
热病从部所起者，至期而已。（此下言诸热病并刺治之法也。从部所起者，至期而已，谓如肝色先见
于左颊，至甲乙日即当汗解之类是也。余脏同义。）其刺之反者，三周而已，药之亦然。（反，谓泻虚
补实也。病而反治，其病必甚，其愈反迟。三周者，谓三遇所胜之日而后已。）重逆则死。（一误者尚待三
周，再误者焉得不死。）诸治热病，以饮之寒水，乃制之，必寒衣之，居止寒处，身寒而止也。
（先饮寒水而后刺，欲其阴气自内达表而热泄于外也，故必寒衣寒处，皆外其避温就凉耳。用药方法，亦须
仿此。）热病先胸胁痛，手足躁，刺足少阳，补足太阴。（足少阳之脉下胸中，循胁里，故为胸胁痛。脾主
四肢而甲木乘之，则风淫末疾，故手足躁扰，木强土弱，所以当泻足少阳之实，补足太阴之虚。胸胁痛，止
墟主之，补足太阴之脉，当于井荣取之。）病甚者五十九刺。（五十九刺，其义别详。）热病始手臂痛者，刺手
阳明、太阴，而汗出止。（手臂痛，列缺主之。列缺者，手太阴之络也。欲汗出，商阳主之。商阳，手阳明
井也。）热病始于头首者，刺项
太阳，而汗出止。（天柱主之。）热病始于足胫者，刺足阳明，而汗出止。（足阳明止汗出，当刺内庭、陷
谷二穴。）热病先身重骨痛，耳聋好瞑，刺足少阴，病甚为五十九刺。（肾主骨，在窍为
耳，热邪居之，故为身重骨痛，耳聋。热伤真阴则志气昏倦，故好瞑。仲景曰∶“少阴之为病……但欲寐也。”
义与此同。刺足少阴者，本无正主，当补泻荣耳。苦其病甚，则当用五十九刺。）热病先眩冒而热，胸胁
满，刺足少阴、少阳。（头脑运转曰“眩”，脑者骨之充也。眼目蒙昧曰“冒”，瞳子者骨子精也，皆主
于肾。又足少阳之脉起目锐 ，循胁里，皆为此症，故当取足少阴、少阳而刺之，亦井荣也。）
太阳之脉，色荣颧骨，热病也。（此下言两感脉色之死期也。荣，发见也。太阳之脉起于目内 ，太
阳之筋下结于 ，故太阳热病者赤色当荣于颧骨。荣未交。）曰今且得汗，待时而已。（此“荣”字与上
节之“荣”不同，盖指荣卫而言。荣、营，古所通用也，荣未交者，谓邪犹在卫，未交于荣，其气不深，故
曰“今且得汗”，可“待时而已”也。如肝待甲乙，心待丙丁，脾待戊己，肺待庚辛，肾待壬癸，病必已矣。）
与厥阴脉争见者死，期不过三日。（脉义有二∶以寸口之脉言，则太阳之脉浮，厥阴之脉弦而细，以经脉之
病言，则太阳为头项痛，腰脊强；厥阴为烦满而囊缩。今以太阳热病与厥阴脉症争见者，阴阳俱病，当不过
三日而死矣。何也？盖此言两感之邪也。两感于寒者，一日则巨阳、少阴俱病，二日则阳明、太阴俱病，三
日则少阳、厥阴俱病。故六经热病之序，其始太阳，其终厥阴，今终始争见，则六经两感，俱已传遍，故当
三日而死。）其热病内连肾，少阳之脉色也。（此承上文而详言两感也。上文言太阳热病兼见厥阴之脉症，
此言肾经热病兼见少阳之脉色，皆两感也。盖太阳与少阴为表里，少阳与厥阴为表里，以太阳而见厥阴，
则未有不由少阴者，以肾病而见少阳，则未有不至厥阴者，详如下文。）少阳之脉，色荣颊
前，热病也。（足少阳之脉，下颊车，故其热病，赤色当荣于颊前。）荣未
交，曰今且得汗，待时而已。（义同前。）与少阴脉争见者死，期不过三日。（少阳之脉弦，少阴之脉沉
而微，少阳之症为胸胁痛而耳聋，少阴之症为口燥舌干而渴。今以少阳热病而与少阴脉症争见者，亦当三日
而死，皆两感传遍也。如上文言太阳、厥阴争见者，太阳为传表之始，厥阴为传里之终，自始而终也。此以
少阳、少阴争见者，少阳为传表之终，少阴为传里之始，自终而始也，言始言终；则六经无不遍矣，故不必
言阳明、太阴之争见也。）
热病气穴，三椎下间主胸中热，四椎下间主膈中热，五椎下间主肝热，六椎下间主脾热，七椎下间主
肾热，荣在 也。（此总言治热之脏俞也。椎，脊骨节也。荣，阴气也。 ，尾 也，即督脉之长强穴。
凡五脏俞旁之穴，三椎下者，魄户也；四椎下旁，膏盲也；五椎下旁，神堂也；六椎下旁， 也；七椎下
旁，膈关也。盖既取阳邪于上，仍当补阴于下，故曰“荣在 ”也。此节脏俞，皆不甚合，存其文。
知其概可也，不必与针灸家尽合也。）项上三椎，陷者中也。（此取脊椎之大法也，项上三椎者，乃项骨三
节，非脊椎也。三椎之下陷者中，方是第一节，穴名大椎。由此而下数之，则诸椎循次可得矣。）
颊下逆颧为大瘕，下牙车为腹满，颧后为胁痛，颊上者膈上也。（此以面部之色，察腹中之病也。）
疼痛呈环绕状，心中悸动不安。（“澹澹”指精神萎靡、元气不足的样子，是阴液亏虚、阳气衰少的征象。）逢戊己日病情加重，逢壬癸日大汗出，若气机上逆则致死。（戊己属土，土克水，即克制肾脏；壬癸属水，为肾气当令之时。）治疗应针刺足少阴经和足太阳经。（这是针对水脏及其表里经络的治疗。）凡是出汗的病症，会在其相克之日（即病邪被克制之日）汗出而愈。（气旺之日即是所胜之日。正气旺盛则能战胜邪气，因此汗出后疾病痊愈。）肝热病患者，左脸颊先发红；（以下论述面部五脏对应的色泽。肝属木，对应东方，所以肝热时左颊应先发红。）心热病患者，额头先发红；（心属火，对应南方。颜指额头，也称庭。）脾热病患者，鼻子先发红；（脾属土，对应中央，所以鼻部先发红。）肺热病患者，右脸颊先发红；（肺属金，对应西方，所以右颊先发红。）肾热病患者，下巴先发红。（肾属水，对应北方，所以两腮下颌处先发红。）即使疾病尚未发作，但见到相应部位出现赤色就进行针刺，用药也预先针对该脏腑，这叫做“治未病”。（虽然疾病症状未见，但赤色已出现在面部五脏对应区域，这是疾病的先兆，应当寻找病变脏腑并预先治疗，这就是所谓的防患于未然。）热病从面部特定部位开始发生的，到了相应的日期就会痊愈。（以下论述各种热病的针刺治疗方法。从特定部位起病，到相应日期痊愈，例如肝色先见于左颊，到甲乙日就会通过汗解而痊愈。其他脏腑同理。）如果针刺方法相反，则需要经过三个周期才能痊愈，用药也是如此。（“反”指虚证用泻法、实证用补法。病情与治疗相反，疾病必然加重，痊愈也会延迟。所谓“三周”，是指经历三次相克之日后才痊愈。）严重违背治疗原则会导致死亡。（一次误治尚需等待三个周期，再次误治怎能不死？）所有治疗热病的方法，让患者喝冷水来制约热势，必须穿凉衣服，居住在凉爽的地方，直到身体变凉为止。（先喝冷水再针刺，是想让阴气从内部通达体表，使热邪从外部泄出，所以必须穿凉衣、住凉处，都是为了避开温热、趋向清凉。用药方法，也应仿照此理。）热病首先表现为胸胁疼痛、手足躁扰的，针刺足少阳经，补益足太阴经。（足少阳经脉下行穿过胸中，沿胁肋内侧行走，所以引起胸胁痛。脾主四肢，若甲木（肝/胆）乘袭脾土，则风邪淫溢导致四肢疾患，所以手足躁扰。木强土弱，所以应当泻足少阳经的实邪，补足太阴经的虚损。胸胁痛，主要取丘墟穴主治；补足太阴经的脉气，应当在井穴和荥穴选取穴位。）病情严重的采用五十九刺法。（五十九刺的具体含义另见详述。）热病起初手臂疼痛的，针刺手阳明经和手太阴经，直到汗出停止。（手臂痛，列缺穴主治。列缺是手太阴肺经的络穴。想要汗出，商阳穴主治。商阳是手阳明大肠经的井穴。）热病起初头部疼痛的，针刺项部的足太阳经，直到汗出停止。（天柱穴主治。）热病起初足胫疼痛的，针刺足阳明经，直到汗出停止。（足阳明经止汗，应当针刺内庭、陷谷两个穴位。）热病首先身体沉重、骨痛、耳聋、喜欢闭目嗜睡的，针刺足少阴经，病情严重的采用五十九刺法。（肾主骨，开窍于耳，热邪占据此处，所以导致身体沉重、骨痛、耳聋。热邪损伤真阴，导致志气昏倦，所以喜欢闭目睡觉。张仲景说：“少阴病的特征……只是想睡觉。”义理与此相同。针刺足少阴经，本无特定的主穴，应当在荣穴进行补泻。如果病情严重，则应当使用五十九刺法。）热病首先眩晕发热、胸胁满闷的，针刺足少阴经和足少阳经。（头脑运转感觉不清称为“眩”，脑是骨髓充养之处。眼睛蒙昧不清称为“冒”，瞳孔是精髓所在，这些都由肾主宰。另外足少阳经脉起于目锐眦，沿胁肋内侧行走，都导致这些症状，所以应当取足少阴经和足少阳经进行针刺，也是选取井穴和荥穴。）太阳经的脉色反映在颧骨上，是热病。（以下论述两感脉色的死期。“荣”意为显现。太阳经脉起于目内眦，太阳经筋下结于目，所以太阳热病患者赤色应当显现于颧骨。此时营卫之气尚未交合。）如果说现在如果能得汗，等到相应时日即可痊愈。（这里的“荣”字与上一节的“荣”不同，这里指营卫而言。荣、营古字通用。荣未交，指邪气还在卫分，未进入营分，病气不深，所以说“现在若能得汗”，可以“等到时日痊愈”。如肝病待甲乙日，心病待丙丁日，脾病待戊己日，肺病待庚辛日，肾病待壬癸日，病必痊愈。）如果与厥阴经的脉象同时出现则死亡，期限不超过三天。（脉象有两层含义：从寸口脉来看，太阳脉浮，厥阴脉弦而细；从经脉病症来看，太阳病表现为头项痛、腰脊强直；厥阴病表现为烦闷、囊缩。如今太阳热病与厥阴脉症同时出现，说明阴阳俱病，应当不超过三天而死。为什么呢？因为这说的是两感邪气。两感于寒邪，第一天巨阳（太阳）和少阴同病，第二天阳明和太阴同病，第三天少阳和厥阴同病。所以六经热病的传变顺序，起始于太阳，终结于厥阴。如今始终争见，说明六经两感，已经传遍全身，所以应当三天而死。）热病内连肾脏，兼见少阳经的脉色。（这是承接上文详细论述两感病。上文讲太阳热病兼见厥阴脉症，这里讲肾经热病兼见少阳脉色，都是两感病。因为太阳与少阴互为表里，少阳与厥阴互为表里，以太阳病见到厥阴症，没有不由少阴引起的；以肾病见到少阳症，没有不到达厥阴的，详情如下文。）少阳经的脉色反映在面颊前方，是热病。（足少阳经脉下行经过颊车穴，所以其热病，赤色应当显现于面颊前方。）营卫之气尚未交合，如果说现在如果能得汗，等到相应时日即可痊愈。（义理同前。）如果与少阴经的脉象同时出现则死亡，期限不超过三天。（少阳脉弦，少阴脉沉而微。少阳症为胸胁痛和耳聋，少阴症为口燥舌干而渴。如今少阳热病与少阴脉症同时出现，也应当三天而死，都是两感传遍所致。如上文所言太阳、厥阴争见，太阳是传表的开始，厥阴是传里的结束，自始而终。此处少阳、少阴争见，少阳是传表的结束，少阴是传里的开始，自终而始，言始言终，则六经无不遍及，所以不必再说阳明、太阴争见的情况。）热病的气穴，第三椎下方间隙主治胸中热，第四椎下方间隙主治膈中热，第五椎下方间隙主治肝热，第六椎下方间隙主治脾热，第七椎下方间隙主治肾热，阴气汇聚于尾骶部。（这是总述治疗五脏热的背俞穴。椎，指脊椎骨节。荣，指阴气。 ，指尾骶，即督脉的长强穴。凡五脏俞穴旁边的穴位，第三椎下旁是魄户穴；第四椎下旁是膏肓穴；第五椎下旁是神堂穴；第六椎下旁是 穴；第七椎下旁是膈关穴。既然在上部取阳邪，仍应在下部补阴，所以说“阴气汇聚于尾骶”。这一节关于脏俞的描述，与后世针灸学不完全吻合，保留原文。了解大概即可，不必与针灸家的说法完全一致。）项部以上第三椎，凹陷处正中是大椎穴。（这是取脊椎穴的大法。项上三椎，指的是颈部骨骼的三节，不是脊椎本身。第三椎下方的凹陷正中，才是第一节，穴名大椎。由此向下数，诸椎便可依次找到。）下巴逆向颧骨方向有大瘕（积聚），下牙车方向有腹满，颧骨后方有胁痛，脸颊上方有膈上病。（这是通过面部色泽来观察腹部疾病的方法。）
Pain is circumferential, and there is palpitation with a sense of insecurity. ("Dandan" refers to a state of mental fatigue and lack of vitality, indicating a condition of yin deficiency and qi depletion.) The condition worsens on Wu-Ji days (Earth days), and profuse sweating occurs on Ren-Gui days (Water days); if qi rebels upward, death ensues. (Wu-Ji corresponds to Earth, which overcomes Water, i.e., suppresses the Kidney; Ren-Gui corresponds to Water, when the Kidney qi is dominant.) Treatment involves needling the Foot-Shaoyin and Foot-Taiyang meridians. (This treats the Water organ and its interior-exterior relationship.) For all conditions involving sweating, recovery occurs on the day when the pathogenic factor is overcome by the host qi. (The day of qi dominance is the day of overcoming. When qi is strong, it defeats the pathogen, leading to sweating and cure.) In Liver Heat disease, redness appears first on the left cheek. (The following discusses the colors corresponding to the five zang organs on the face. The Liver belongs to Wood and corresponds to the East, so in Liver heat, redness should appear first on the left cheek.) In Heart Heat disease, redness appears first on the forehead. (The Heart belongs to Fire and corresponds to the South. "Yan" refers to the forehead, also called "Ting".) In Spleen Heat disease, redness appears first on the nose. (The Spleen belongs to Earth and corresponds to the Center, so redness appears first on the nose.) In Lung Heat disease, redness appears first on the right cheek. (The Lung belongs to Metal and corresponds to the West, so redness appears first on the right cheek.) In Kidney Heat disease, redness appears first on the chin. (The Kidney belongs to Water and corresponds to the North, so redness appears first on both cheeks/jawline.) Even if the disease has not yet manifested clinically, if redness is seen in the corresponding areas, one should needle and apply medication targeting that organ in advance; this is called "treating the disease before it arises." (Although symptoms are absent, the appearance of redness in the five facial zones indicates an early sign of disease. One should identify the affected organ and treat it preemptively, preventing the disease before it occurs.) If a heat disease originates from a specific facial zone, it will resolve on the corresponding day. (The following discusses treatment methods for various heat diseases. Originating from a specific zone and resolving on the corresponding day means, for example, if Liver color appears first on the left cheek, it will resolve via sweating on Jia-Yi days. The same applies to other organs.) If needling is performed contrary to principles, three cycles are required for recovery, and the same applies to medication. ("Fan" refers to draining deficiency and tonifying excess. Treating the condition inversely causes worsening and delayed recovery. "Three cycles" means waiting for three occurrences of the overcoming days until resolution.) Severe violation of treatment principles leads to death. (One error requires waiting three cycles; how can a second error not lead to death?) All treatments for heat disease involve having the patient drink cold water to restrain the heat, wearing cool clothing, residing in cool places, and continuing until the body feels cool. (Drinking cold water before needling aims to guide yin qi from the interior to the exterior, allowing heat to dissipate outward. Thus, cool clothing and residence are used to avoid warmth and seek coolness. Medication methods should follow this principle.) If heat disease begins with chest and hypochondriac pain and restlessness of the hands and feet, needle the Foot-Shaoyang meridian and tonify the Foot-Taiyin meridian. (The Foot-Shaoyang meridian descends through the chest and follows the hypochondrium, causing chest and hypochondriac pain. The Spleen governs the four limbs; if Wood overacts on Earth, wind pathogens cause limb disorders, leading to restlessness. Due to Wood excess and Earth deficiency, one should drain the excess of the Foot-Shaoyang and tonify the deficiency of the Foot-Taiyin. For chest and hypochondriac pain, Qiuxu (GB40) is the primary point. To tonify the Foot-Taiyin, select points from the Jing-Well and Ying-Spring categories.) For severe cases, use the Fifty-Nine Points Needling method. (The details of the Fifty-Nine Points are discussed elsewhere.) If heat disease begins with arm and hand pain, needle the Hand-Yangming and Hand-Taiyin meridians until sweating stops. (For arm pain, Lieque (LU7) is indicated. Lieque is the Luo-Connecting point of the Hand-Taiyin Lung meridian. To induce sweating, Shangyang (LI1) is indicated. Shangyang is the Jing-Well point of the Hand-Yangming Large Intestine meridian.) If heat disease begins with head pain, needle the Foot-Taiyang meridian at the nape until sweating stops. (Tianzhu (BL10) is indicated.) If heat disease begins with leg and shin pain, needle the Foot-Yangming meridian until sweating stops. (To stop sweating in the Foot-Yangming meridian, needle Neiting (ST44) and Xangu (ST43).) If heat disease begins with heavy body, bone pain, deafness, and a desire to close the eyes and sleep, needle the Foot-Shaoyin meridian; for severe cases, use the Fifty-Nine Points Needling method. (The Kidney governs bones and opens into the ears. Heat pathogens occupying these areas cause heaviness, bone pain, and deafness. Heat damaging true yin leads to mental fatigue and a desire to sleep. Zhang Zhongjing stated: "The characteristic of Shaoyin disease... is merely wanting to sleep." The meaning is consistent here. For needling the Foot-Shaoyin, there is no single primary point; one should tonify or drain the Ying-Spring points. If the condition is severe, use the Fifty-Nine Points Needling method.) If heat disease begins with dizziness, fever, and chest/hypochondriac fullness, needle the Foot-Shaoyin and Foot-Shaoyang meridians. ("Xuan" refers to spinning dizziness; the brain is filled with marrow. "Mao" refers to visual blurriness; the pupil contains essence. Both are governed by the Kidney. Additionally, the Foot-Shaoyang meridian starts at the outer canthus and follows the hypochondrium, causing these symptoms. Therefore, needle the Foot-Shaoyin and Foot-Shaoyang meridians, specifically the Jing-Well and Ying-Spring points.) When the pulse color of the Taiyang meridian manifests on the cheekbones, it indicates heat disease. (The following discusses the fatal prognosis of simultaneous involvement of exterior and interior meridians. "Rong" means manifestation. The Taiyang meridian starts at the inner canthus, and its sinews connect to the eye area; thus, in Taiyang heat disease, redness manifests on the cheekbones. This indicates that Ying and Wei qi have not yet interpenetrated.) If it is said that sweating can be achieved now, recovery will occur after waiting for the appropriate time. (The character "Rong" here differs from the previous section; it refers to Ying and Wei qi. "Rong" and "Ying" were used interchangeably in ancient texts. "Rong not interpenetrated" means the pathogen is still in the Wei level and has not entered the Ying level, so the disease is shallow. Thus, "if sweating can be achieved now," one can "wait for the time." For example, Liver disease resolves on Jia-Yi days, Heart on Bing-Ding, Spleen on Wu-Ji, Lung on Geng-Xin, and Kidney on Ren-Gui.) If the pulse of the Jueyin meridian appears simultaneously, death occurs within three days. (There are two meanings of pulse: regarding the Cun-Kou pulse, Taiyang is floating, and Jueyin is wiry and fine; regarding meridian symptoms, Taiyang presents with headache, stiff neck, and back stiffness, while Jueyin presents with irritability, fullness, and retraction of the genitals. If Taiyang heat disease and Jueyin symptoms/pulse appear simultaneously, both yin and yang are diseased, and death occurs within three days. Why? This refers to "Liang Gan" (simultaneous contraction of exterior and interior meridians). In Liang Gan from cold, on day one, Taiyang and Shaoyin are both diseased; on day two, Yangming and Taiyin are both diseased; on day three, Shaoyang and Jueyin are both diseased. The sequence of six-meridian heat disease starts with Taiyang and ends with Jueyin. If the beginning and end appear simultaneously, all six meridians are involved in Liang Gan, hence death within three days.) If heat disease internally connects to the Kidney and shows the pulse color of the Shaoyang meridian. (This continues the discussion on Liang Gan. The previous text described Taiyang heat with Jueyin signs; this describes Kidney heat with Shaoyang signs, both being Liang Gan. Since Taiyang and Shaoyin are interior-exterior pairs, and Shaoyang and Jueyin are interior-exterior pairs, seeing Jueyin signs in Taiyang disease implies Shaoyin involvement; seeing Shaoyang signs in Kidney disease implies Jueyin involvement, as detailed below.) When the pulse color of the Shaoyang meridian manifests on the front of the cheek, it indicates heat disease. (The Foot-Shaoyang meridian descends past Jiache; thus, in its heat disease, redness manifests on the front of the cheek.) If Ying and Wei qi have not yet interpenetrated, and it is said that sweating can be achieved now, recovery will occur after waiting for the appropriate time. (Meaning is the same as above.) If the pulse of the Shaoyin meridian appears simultaneously, death occurs within three days. (Shaoyang pulse is wiry; Shaoyin pulse is deep and faint. Shaoyang symptoms include chest/hypochondriac pain and deafness; Shaoyin symptoms include dry mouth, tongue, and thirst. If Shaoyang heat disease and Shaoyin signs/pulse appear simultaneously, death occurs within three days due to complete transmission of Liang Gan. As mentioned earlier, Taiyang-Jueyin simultaneous appearance represents the start of exterior transmission and the end of interior transmission (from start to end). Here, Shaoyang-Shaoyin simultaneous appearance represents the end of exterior transmission and the start of interior transmission (from end to start). Mentioning start and end covers all six meridians, so there is no need to mention Yangming-Taiyin simultaneous appearance.) Acupoints for heat qi: The space below the third vertebra treats chest heat; the space below the fourth vertebra treats diaphragm heat; the space below the fifth vertebra treats Liver heat; the space below the sixth vertebra treats Spleen heat; the space below the seventh vertebra treats Kidney heat; yin qi gathers at the coccyx. (This summarizes the Back-Shu points for treating heat in the five zang organs. "Zhui" refers to vertebral segments. "Rong" refers to yin qi. "Wei" refers to the coccyx, specifically Changqiang (GV1) of the Du meridian. The points beside the Zang Shu points are: below the third vertebra side is Pohu (BL42); below the fourth is Gaohuang (BL43); below the fifth is Shentang (BL44); below the sixth is [missing character]; below the seventh is Ge Guan (BL18). Since yang pathogens are drained from above, yin must be tonified from below, hence "yin qi gathers at the coccyx." These descriptions of Zang Shu points do not fully align with later acupuncture standards; the text is preserved for reference. Understanding the general principle is sufficient; strict adherence to later acupuncture classifications is not required.) The depression in the center of the third vertebra from the neck is Dazhui (GV14). (This is the general method for locating spinal points. The "three vertebrae from the neck" refers to the cervical vertebrae, not the thoracic spine. The depression below the third cervical vertebra is the first segment, named Dazhui. Counting downwards from here allows identification of subsequent vertebrae.) A large mass (Jia) extends from the chin towards the cheekbones; abdominal fullness is indicated by changes toward the mandible; hypochondriac pain is indicated behind the cheekbones; upper diaphragm disease is indicated on the upper cheeks. (This uses facial coloration to diagnose abdominal diseases.)