（《灵枢·终始篇》《癫狂篇》《杂病篇》《寒热病篇》《四时气篇》《素问·长刺节论》）
刺热厥者，留针反为寒；刺寒厥者，留针反为热。
（《灵枢·终始篇》。厥论曰∶阳气衰于下，则为寒厥；阴气衰于下，则为热厥。凡刺热厥者，久留其针则热气去，
故可反为寒。刺寒厥者，久留其针则寒气去，故可反为热。）刺热厥者，二阴一阳；刺寒厥者，二阳一阴。所谓二阴者，
二刺阴也；一阳者，一刺阳也。（二刺阴、一刺阳者，谓补其阴经二次，泻其阳经一次，则阴气盛而阳邪退，故可以治热
厥。其二阳一阴者，亦犹是也，故可以治寒厥。）
风逆，暴四肢肿，身漯漯，唏然时寒，饥则烦，饱则善变，取手太阴表里，足少阴、阳明之经，肉 取荥，骨 取
井、经也。
（《灵枢·癫狂篇》。风感于外，厥气内逆，是为风逆。身漯漯，皮毛寒栗也。唏然时寒，气咽抽息而噤也。饥则烦，
饱则变动不宁，风邪逆于内也。手太阴表里，肺与大肠也。足少阴，肾也。足阳明，胃也。 ，寒冷也。取荥取井取经，
即指四经诸穴为言。漯音磊。唏音希。 音倩。）厥逆为病也，足暴 ，胸若将裂，肠若将以刀切之，烦而不能食，脉大
小皆涩，暖取足少阴， 取足阳明， 则补之，温则泻之。（足暴 ，暴冷也。胸若将裂，肠若刀切，懊 痛楚也。烦不
能食，气逆于中也。脉大小皆涩，邪逆于经也。如身体温暖，则当取足少阴以泻之。身体清冷，则当取足阳明以补之。
按足少阴则涌泉、然谷，足阳明则厉兑、内庭、解溪、丰隆，皆主厥逆。）厥逆，腹胀满，肠鸣，胸满不得息，取之下胸
二胁咳而动手者，与背 以手按之立快者是也。（下胸二胁，谓胸之下，左右二胁之间也。盖即足厥阴之章门、期门，令
病患咳，其脉动而应手者，是其穴也。又当取之背 ，以手按之，其病立快者，乃其当刺之处，盖足太阳经肺 、膈
之间也。）内闭不得溲，刺足少阴、太阳与 上以长针。（此下四节，皆言厥逆兼证也。内闭不得溲者，病在水脏，故当
刺足少阴经之涌泉，筑宾，足太阳经之委阳、飞阳、仆参、金门等穴。 上，即督脉尾 骨之上，穴名长强。刺以长针，
第八针也。溲音搜。 音氐。）气逆，则取其太阴、阳明、厥阴，甚取少阴、阳明动者之经也。（太阴脾经，取隐白、公
孙。阳明胃经，取三里、解溪。厥阴肝经，取章门、期门。甚则兼少阴、阳明而取之。动者之经，谓察其所病之经而刺
之也。）少气，身漯漯也，言吸吸也，骨酸体重，懈惰不能动，补足少阴。（身漯漯，寒栗也。言吸吸，气怯也。此皆精
虚不能化气，故当补足少阴肾经。）短气，息短不属，动作气索，补足少阴，去血络也。（此亦气虚也，故宜补肾。但察
有血络，则当去之。按∶此二节皆属气虚，不补手太阴而补足少阴者，阳根于阴，气化于精也。治必求本，于此可见，
用针用药，其道皆然。）
厥，挟脊而痛者，至顶，头沉沉然，目KT KT 然，腰脊强，取足太阳 中血络。
（《灵枢·杂病篇》。厥在头顶腰脊者，膀胱经病也，故当取 中血络，即足太阳之委中穴。KT 音荒。）厥，胸满面
肿，唇漯漯然，暴言难，甚则不能言，取足阳明。（唇漯漯，肿起貌。病而在面在胸及不能言者，以胃脉行于 颊，挟口
环唇，循喉咙下胸膈也，故当取足阳明经穴以治之。）厥气走喉而不能言，手足 ，大便不利，取足少阴。（厥气走喉而
不能言者，肾脉循喉咙系舌本也。手足 者，肾主水，阴邪盛也。大便不利者，阴气不化也。故当取足少阴经穴。）厥而
腹向向然，多寒气，腹中HT HT ，便溲难，取足太阴。（腹向向然，寒气滞于脾也。又HT HT 然，水谷不分之声
也。便溲难，脾脉聚于阴器也。故当取足太阴经穴。HT 音斛。）
痿厥为四末束 ，乃疾解之，日二，不仁者十日而知，无休，病已止。（同前篇。四末，四肢也。束 ，挛束 乱也。
当刺四肢之穴，疾速解之，每日取之必二次。甚至有不仁而痛痒无觉者，解之十日，必渐有知。此法行之无休，待其病
已而后可止针。 ，美本切。）
热厥，取足太阴、少阳，皆留之；寒厥，取足阳明、少阴于足，皆留之。
（《灵枢·寒热病篇》。热厥者，阳邪有余，阴气不足也，故当取足太阴而补之，足少阳而泻之。寒厥者，阴邪有余，
阳气不足也，故当取足阳明而补之，足少阴而泻之。补者，补脾胃二经以实四肢；泻者，泻水火二经以泄邪气。然必皆
久留其针，则泻者可去，补者乃至矣。此当与上文首节二节终始篇义相参为用。）舌纵涎下烦 ，取足少阴。（此下三节，
皆兼寒热二厥而言也。舌纵不收及涎下烦闷者，肾阴不足，不能收摄也，故当取足少阴经而补之。）振寒洒洒，鼓颔不得
汗出，腹胀烦 ，取手太阴。（鼓颔，振寒鼓腮也。凡此诸证皆阳气不足之候，故当取手太阴肺经而补之。颔，何敢切。）
刺虚者，刺其去也；刺实者，刺其来也。（刺其去，追而济之也。刺其来，迎而夺之也。卫气行篇亦有此二句，详经络类
二十五。）
厥痹者，厥气上及腹，取阴阳之络，视主病也，泻阳补阴经也。（同前篇。厥必起于四肢，厥而兼痹，其气上及于腹
者，当取足太阴之络穴公孙，足阳明之络穴丰隆，以腹与四肢治在脾胃也。然必视其主病者，或阴或阳而取之。阳明多
实故宜泻，太阴多虚故宜补。）
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，病起筋炅病已止
（《素问·长刺节论》。筋上为故，病在筋上之故也。刺分肉间，刺其痛处筋肉分理之间也，刺筋者不可中骨。筋热
则气至，故病已而止针。炅，居永切，热气也。）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，以热为故，无伤筋骨，伤筋骨痈发若变，诸分尽热病已止。（肌痹者，痹在肉也。大分小分，大肉小肉之间也，即气
穴论肉之大会为谷、小会为溪之义。病在肌肉，其气散漫，故必多发针而深刺之也。无伤筋骨者，恐其太深致生他变。
如《终始篇》曰∶病浅针深，内伤良肉，皮肤为痈。正此之谓。诸分尽热者，阳气至而阴邪退也，故可已病而止针。）病
在骨，骨重不可举，骨髓酸痛，寒气至，名曰骨痹，深者刺无伤脉肉为故，其道大分小分，骨热病已止。（无伤脉肉为故，
其故在勿伤脉肉也。盖骨痹之邪最深，当直取之，无于脉分肉分妄泄其真气。但针入之道，由大分小分之间耳。必使骨
间气热，则止针也。）
骨痹，举节不用而痛，汗注烦心，取三阴之经补之。
（《灵枢·寒热病篇》。骨痹者，病在阴分也。支节不用而痛、汗注烦心者，亦病在阴分也。真阴不足，则邪气得留
于其间，故当取三阴之经，察病所在而补之也。按∶五邪篇曰∶邪在肾则病骨痛阴痹，取之涌泉、昆仑，视有血者尽取
之。与此互有发明，所当参阅，详本类前二十五。）
着痹不去，久寒不已，卒取三里
（《灵枢·四时气篇》。痹论曰∶湿气胜者为着痹。谓其重着难动，故云不去。若寒湿相搏，久而不已，当猝取足阳
明之三里穴，温补胃气，则寒湿散而痹可愈也。）
（出自《灵枢·终始篇》《癫狂篇》《杂病篇》《寒热病篇》《四时气篇》及《素问·长刺节论》）
针刺治疗热厥证，若留针时间过长，反而会导致寒冷；针刺治疗寒厥证，若留针时间过长，反而会导致发热。
（《灵枢·终始篇》记载：厥论说，阳气在下部衰微，就会形成寒厥；阴气在下部衰微，就会形成热厥。凡是针刺治疗热厥的，长时间留针则热气散去，所以可以反转为寒凉。针刺治疗寒厥的，长时间留针则寒气散去，所以可以反转为温热。）针刺治疗热厥，采用“二阴一阳”的方法；针刺治疗寒厥，采用“二阳一阴”的方法。所谓“二阴”，是指两次针刺阴经；“一阳”，是指一次针刺阳经。（所谓“二刺阴、一刺阳”，意思是补益其阴经两次，泻除其阳经一次，这样阴气旺盛而阳邪退去，因此可以治疗热厥。至于“二阳一阴”，也是同样的道理，因此可以治疗寒厥。）
风邪侵袭导致气机逆乱（风逆），突然四肢肿胀，身体瑟瑟发冷，时常呵欠并伴有寒战，饥饿时感到心烦，饱食后则变动不宁。治疗应取手太阴肺经及其表里经手阳明大肠经，以及足少阴肾经、足阳明胃经的经脉。肌肉层面的病变取荥穴，骨骼层面的病变取井穴和经穴。
（《灵枢·癫狂篇》记载：风邪感受于外，厥气内逆，这就叫作风逆。身漯漯，指皮毛寒栗。唏然时寒，指气咽抽息且牙齿打颤。饥饿时心烦，饱食后变动不宁，是风邪逆乱于体内所致。手太阴表里，指肺与大肠。足少阴，指肾。足阳明，指胃。漯音磊。唏音希。 音倩。）厥逆这种病症，双脚突然冰冷，胸部好像要裂开一样，肠道好像被刀切一样疼痛，心烦且不能进食，脉象无论大小都呈现涩象。如果身体温暖，就取足少阴经穴；如果身体清冷，就取足阳明经穴；如果是虚证则用补法，实证则用泻法。（足暴 ，指突然发冷。胸若将裂，肠若刀切，指懊恼痛苦的痛楚感。烦不能食，指气逆于中焦。脉大小皆涩，指邪气逆乱于经脉。如身体温暖，则应当取足少阴经以泻之。身体清冷，则应当取足阳明经以补之。按：足少阴经有涌泉、然谷等穴，足阳明经有厉兑、内庭、解溪、丰隆等穴，这些穴位都主治厥逆。）厥逆症见腹部胀满，肠鸣，胸部满闷且呼吸不畅，应取位于下胸部两侧胁肋间咳嗽时手部按压脉搏跳动明显的穴位，以及背部脊柱旁用手按压后病情立即缓解的穴位。（下胸二胁，指胸部下方、左右两胁之间。这指的是足厥阴肝经的章门、期门穴，让病人咳嗽，若脉搏跳动且手指能感觉到，就是这些穴位。又应当取背部的穴位，用手按压，若病痛立即减轻，那就是应当针刺的地方，这大概是足太阳膀胱经肺俞、膈俞之间的区域。）内部闭塞导致小便不通，应针刺足少阴肾经、足太阳膀胱经以及督脉上长强穴，使用长针。（以下四节，都是讲述厥逆兼夹证候。内闭不得溲，指病在水脏，故当针刺足少阴经的涌泉、筑宾，足太阳经的委阳、飞阳、仆参、金门等穴。 上，即督脉尾骨之上的长强穴。刺以长针，这是第八种针具。溲音搜。 音氐。）气机逆乱，则取手太阴肺经、手阳明大肠经、足厥阴肝经，严重时取足少阴肾经、足阳明胃经中脉搏跳动的经脉。（太阴脾经，取隐白、公孙。阳明胃经，取三里、解溪。厥阴肝经，取章门、期门。严重时兼取少阴、阳明经。动者之经，指观察其所患病的经脉进行针刺。）气短，身体瑟瑟发冷，说话气息微弱，骨骼酸痛、身体沉重，懈怠懒惰不能活动，应补益足少阴肾经。（身漯漯，指寒栗。言吸吸，指气怯。这些都是精气虚弱不能化生元气，故应当补足少阴肾经。）短气，呼吸浅促不连续，活动时气息衰竭，应补益足少阴肾经，若有血络瘀滞则去除之。（这也是气虚的表现，故宜补肾。但需检查是否有血络，若有则应当去除。按：这两节都属于气虚，不补手太阴而补足少阴的原因，是因为阳气根源于阴精，气化依赖于精血。治病必求其本，从这里可以看出，用针用药，道理都是一样的。）
厥逆，疼痛沿着脊柱向上直达头顶，头部沉沉作重，眼睛昏花不明，腰脊僵硬强直，应取足太阳膀胱经委中穴的血络进行点刺。
（《灵枢·杂病篇》记载：厥气在头顶和腰脊部位，属于膀胱经病变，故应当取委中穴的血络。KT 音荒。）厥逆，胸部和面部肿胀，嘴唇浮肿流涎，突然说话困难，严重时甚至不能言语，应取足阳明胃经的穴位。
（唇漯漯，指肿胀的样子。病症表现在面、胸及不能言语，是因为胃脉行于颊车，挟口环唇，循喉咙下行至胸膈，故应当取足阳明经穴来治疗。）厥气冲撞咽喉导致不能言语，手足拘挛或麻木，大便不通利，应取足少阴肾经的穴位。
（厥气走喉而不能言，是因为肾脉循喉咙系舌本。手足 者，因为肾主水，阴邪盛实。大便不利，是因为阴气不能化行。故应当取足少阴经穴。）厥逆且腹部胀满有声，多伴寒气，腹中漉漉作响，大小便困难，应取足太阴脾经的穴位。
（腹向向然，指寒气停滞于脾。又HT HT 然，是水谷不分的声音。便溲难，是因为脾脉聚于阴器。故应当取足太阴经穴。HT 音斛。）
痿厥证，用带子束紧四肢末端，然后迅速解开，每天进行两次，如果不感觉麻木，十天后就会有知觉，此法要坚持不懈，直到病愈停止。
（同前篇。四末，指四肢。束 ，指用带子束缚肢体使其气血郁滞。应当针刺四肢的穴位，快速解除束缚，每天必须操作两次。甚至出现不仁、痛痒无觉的情况，解开束缚十日后，必然逐渐恢复知觉。此法施行不停止，待疾病痊愈后方可停针。 ，美本切。）
热厥，取足太阴脾经、足少阳胆经，都要留针；寒厥，取足阳明胃经、足少阴肾经的足部穴位，都要留针。
（《灵枢·寒热病篇》记载。热厥，是阳邪有余，阴气不足，故应当取足太阴经补之，足少阳经泻之。寒厥，是阴邪有余，阳气不足，故应当取足阳明经补之，足少阴经泻之。补法，是补益脾胃二经以充实四肢；泻法，是泻除水火二经以泄除邪气。然而都必须长时间留针，这样泻法可以去邪，补法才能奏效。这一点应当与上文首节及《终始篇》的第二节义理相互参照运用。）舌体纵缓不收、流口水、心烦胸闷，取足少阴肾经。
（以下三节，都是兼述寒热两种厥逆而言。舌纵不收及涎下烦闷，是肾阴不足，不能收摄所致，故应当取足少阴经而补之。）恶寒战栗，下巴抖动，无汗，腹部胀满，心烦胸闷，取手太阴肺经。
（鼓颔，指恶寒战栗且腮帮抖动。凡此诸证都是阳气不足的征候，故应当取手太阴肺经而补之。颔，何敢切。）
针刺虚证，要顺着经气离去的方向针刺（追而济之）；针刺实证，要迎着经气来的方向针刺（迎而夺之）。
（刺其去，指追随着经气离去的方向施针以资助正气。刺其来，指迎着经气到来的方向施针以夺取邪气。《卫气行篇》也有这两句话，详见经络类二十五。）
厥痹，厥气上冲至腹部，应取阴阳两经的络穴，视主要病位而定，泻阳经之实，补阴经之虚。
（同前篇。厥逆必起于四肢，厥逆兼夹痹证，其气上及于腹部，应当取足太阴脾经的络穴公孙，足阳明胃经的络穴丰隆，因为腹部与四肢的治疗关键在于脾胃。然而必须视其主要病位，或阴或阳而取穴。阳明多实故宜泻，太阴多虚故宜补。）
病在筋，筋脉拘挛关节疼痛，不能行走，名叫筋痹，针刺筋上的部位作为标准，针刺分肉之间，不可刺中骨头，病起于筋热，病好就停针。
（《素问·长刺节论》记载。筋上为故，指病在筋上的缘故。刺分肉间，指针刺疼痛处筋肉纹理之间。刺筋不可中骨。筋热则气至，故病愈而止针。炅，居永切，指热气。）病在肌肤，全身肌肤疼痛，名叫肌痹，因寒湿所伤，针刺大分小分（大肌肉和小肌肉之间），多下针且深刺，以局部产生热感为标准，不要损伤筋骨，若损伤筋骨会引起痈肿或其他变证，各分肉间都产生热感，病好就停针。
（肌痹，指痹证在肌肉。大分小分，指大肉小肉之间，即《气穴论》所说的肉之大会为谷、小会为溪的意思。病在肌肉，其气散漫，所以必须多下针且深刺。无伤筋骨，是担心太深导致其他变证。如《终始篇》说：病浅针深，内伤良肉，皮肤化为痈。正是这个意思。诸分尽热，指阳气到达而阴邪退去，故可病愈而止针。）病在骨，骨重沉重无法抬起，骨髓酸痛，寒气侵袭，名叫骨痹，深刺而不损伤脉肉作为标准，进针途径经过大分小分，使骨间产生热感，病好就停针。
（无伤脉肉为故，其意在于不要损伤脉肉。因为骨痹的病邪最深，应当直接取之，不要在脉分和肉分妄泄真气。但进针之道，是由大分小分之间进入。必须使骨间气热，才停止针刺。）
骨痹，关节活动受限且疼痛，出汗不止，心烦，取三条阴经的穴位进行补益。
（《灵枢·寒热病篇》记载。骨痹，病在阴分。支节不用而痛、汗注烦心，也是病在阴分。真阴不足，则邪气得以停留其间，故应当取三条阴经的穴位，观察病变所在而补之。按：《五邪篇》说：邪在肾则病骨痛阴痹，取涌泉、昆仑，视有血者尽取之。与此互相发明，应当参阅，详见本类前二十五。）
着痹不去，久寒不已，突然取足三里穴。
（《灵枢·四时气篇》记载。《痹论》说：湿气胜者为着痹。指其重着难动，所以说“不去”。若寒湿相搏，久而不已，应当猝然取足阳明胃经的三里穴，温补胃气，则寒湿散而痹可愈也。）
(From *Lingshu: Zhongshi Pian*, *Diankuang Pian*, *Zabing Pian*, *Hanre Bing Pian*, *Sishi Qi Pian* and *Suwen: Changci Jie Lun*)
When needling for Rejue (Heat Jue), leaving the needle in place for too long may conversely induce cold; when needling for Hanjue (Cold Jue), leaving the needle in place for too long may conversely induce heat.
(*Lingshu: Zhongshi Pian* states: The *Juelun* says that if Yang Qi is deficient at the lower part, it results in Hanjue (Cold Jue); if Yin Qi is deficient at the lower part, it results in Rejue (Heat Jue). In all cases of needling for Rejue, prolonged retention of the needle dissipates Heat Qi, thus converting the condition to cold. For Hanjue, prolonged retention dissipates Cold Qi, thus converting the condition to heat.) When needling for Rejue (Heat Jue), employ the method of "Two Yin and One Yang"; when needling for Hanjue (Cold Jue), employ the method of "Two Yang and One Yin". The term "Two Yin" refers to needling the Yin meridians twice; "One Yang" refers to needling the Yang meridians once. ("Two Yin and One Yang" means tonifying the Yin meridians twice and draining the Yang meridians once, thereby strengthening Yin Qi and retreating Yang pathogenic factors, thus treating Rejue. Similarly, "Two Yang and One Yin" applies the same logic to treat Hanjue.)
Wind-Ni (Wind Counterflow) presents with sudden swelling of the four limbs, a sensation of shivering coldness (*Sheluo*), frequent yawning accompanied by chills, irritability when hungry, and restlessness after eating. Treatment should select the Hand Taiyin Lung Meridian and its interior-exterior paired Hand Yangming Large Intestine Meridian, as well as the Foot Shaoyin Kidney Meridian and Foot Yangming Stomach Meridian. For pathology in the muscles, select Ying-Spring points; for pathology in the bones, select Jing-Well and Jing-River points.
(*Lingshu: Diankuang Pian* explains: Wind pathogen affects the exterior, while Jue Qi counterflows internally, constituting Wind-Ni. *Sheluo* refers to aversion to cold and shivering of skin and hair. Frequent yawning with chills indicates gasping breath and jaw clenching. Irritability when hungry and restlessness after eating indicate wind pathogen counterflowing internally. Hand Taiyin interior-exterior refers to the Lung and Large Intestine. Foot Shaoyin refers to the Kidney. Foot Yangming refers to the Stomach. *Sheluo* sounds like 'lei'. *Xi* sounds like 'xi'. [Character] sounds like 'qian'.) Hanjue (Cold Jue) disease presents with sudden coldness of the feet, a sensation of chest splitting, intestinal pain as if cut by a knife, irritability, and inability to eat. The pulse is choppy regardless of size. If the body is warm, select Foot Shaoyin points; if the body is cold, select Foot Yangming points; use tonification for deficiency and sedation for excess. (Sudden foot coldness indicates acute cold. Chest splitting and intestinal cutting pain indicate agonizing suffering. Irritability and inability to eat indicate Qi counterflow in the middle jiao. Choppy pulse indicates pathogenic counterflow in the meridians. If the body is warm, sedate Foot Shaoyin. If cold, tonify Foot Yangming. Note: Foot Shaoyin includes Yongquan and Ranggu; Foot Yangming includes Lidui, Neiting, Jiexi, and Fenglong; all treat Jue Ni.) Jue Ni presenting with abdominal distension, borborygmus, chest fullness, and dyspnea should be treated by selecting points below the chest between the two hypochondria where the pulse beats visibly upon coughing, and points on the back that provide immediate relief upon palpation. (Below the chest between the two hypochondria refers to the area below the chest, between the left and right ribs. These are Zhangmen and Qimen of the Foot Jueyin Liver Meridian. Ask the patient to cough; if the pulse moves and is felt by hand, these are the points. Also select back-Shu points; press with hand, if relief occurs, these are the needling sites, likely between Feishu and Geshu of the Foot Taiyang Bladder Meridian.) Internal obstruction with urinary retention requires needling the Foot Shaoyin, Foot Taiyang, and the Changqiang point on the Du Mai using a long needle. (The following four sections discuss Jue Ni complications. Internal obstruction with urinary retention indicates pathology in the Water Zang organ, requiring needling Yongquan and Zubin of Foot Shaoyin, Weiyang, Feiyang, Pucan, and Jinmen of Foot Taiyang. Changqiang is located above the coccyx on the Du Mai. Use a long needle, which is the eighth type of needle. *Sou* sounds like 'sou'. [Character] sounds like 'di'.) Qi counterflow requires selecting the Hand Taiyin, Hand Yangming, and Foot Jueyin meridians; in severe cases, select the Foot Shaoyin and Foot Yangming meridians where the pulse is active. (For Spleen Taiyin, select Yinbai and Gongson. For Stomach Yangming, select Zusanli and Jiexi. For Liver Jueyin, select Zhangmen and Qimen. Severe cases involve both Shaoyin and Yangming. Active meridians refer to those exhibiting pathological pulsation.) Shortness of Qi, shivering coldness, weak speech, bone soreness, heaviness, and lethargy require tonifying the Foot Shaoyin Kidney Meridian. (Shivering indicates cold chills. Weak speech indicates Qi deficiency. These indicate essence deficiency failing to transform into Qi, thus tonifying Foot Shaoyin is necessary.) Shortness of Qi with shallow, discontinuous breathing, exhaustion upon movement, requires tonifying the Foot Shaoyin Kidney Meridian and removing blood stasis from collateral vessels. (This also indicates Qi deficiency, suitable for kidney tonification. However, check for collateral blood stasis and remove it if present. Note: These two sections belong to Qi deficiency. Not tonifying Hand Taiyin but tonifying Foot Shaoyin is because Yang roots in Yin, and Qi transformation relies on Essence. Treating the root is evident here; this principle applies to both acupuncture and herbal medicine.)
Jue Ni with pain along the spine extending to the vertex, heavy head, blurred vision, and stiff lumbar spine requires pricking the blood collaterals at Weizhong of the Foot Taiyang Bladder Meridian.
(*Lingshu: Zabing Pian* states: Jue affecting the vertex and lumbar spine is a Bladder Meridian disorder, thus prick the blood collateral at Weizhong. *Kuang* sounds like 'huang'.) Jue with chest and facial swelling, swollen lips with drooling, difficulty speaking suddenly, or inability to speak in severe cases, requires selecting Foot Yangming Stomach Meridian points. (Swollen lips indicate edema. Pathology in the face, chest, and aphasia occurs because the Stomach Meridian passes through the cheek, encircles the mouth, follows the throat, and descends to the chest/diaphragm; thus, Foot Yangming points are indicated.) Jue Qi rushing to the throat causing aphasia, spasticity/numbness of hands and feet, and constipation requires selecting Foot Shaoyin Kidney Meridian points. (Aphasia due to Jue Qi in the throat occurs because the Kidney Meridian follows the throat and connects to the tongue base. Spasticity/numbness occurs because the Kidney governs Water and Yin pathogens are abundant. Constipation occurs because Yin Qi fails to transform; thus, Foot Shaoyin points are indicated.) Jue with abdominal distension and gurgling, excessive cold qi, borborygmus, and difficult urination/defecation requires selecting Foot Taiyin Spleen Meridian points. (Abdominal gurgling indicates cold stagnation in the Spleen. Borborygmus indicates failure to separate clear and turbid. Difficult urination/defecation occurs because the Spleen Meridian gathers at the genitalia; thus, Foot Taiyin points are indicated. *Hu* sounds like 'hu'.)
Wei-Jue (Atrophy-Jue) treated by binding the four extremities tightly and then quickly releasing them, twice daily. If numbness persists, perception returns within ten days. Continue without rest until recovery.
(Same chapter. Four extremities refer to the limbs. Binding causes constriction and disruption of Qi/Blood. Needle limb points and release quickly, twice daily. Even if insensate to pain/itch, release for ten days to restore sensation. Practice continuously until cured.)
Rejue (Heat Jue) requires selecting Foot Taiyin Spleen and Foot Shaoyang Gallbladder meridians, retaining the needles. Hanjue (Cold Jue) requires selecting Foot Yangming Stomach and Foot Shaoyin Kidney meridian points on the foot, retaining the needles.
(*Lingshu: Hanre Bing Pian* states: Rejue involves excess Yang pathogen and deficient Yin Qi; thus, tonify Foot Taiyin and sedate Foot Shaoyang. Hanjue involves excess Yin pathogen and deficient Yang Qi; thus, tonify Foot Yangming and sedate Foot Shaoyin. Tonification strengthens Spleen/Stomach to fill the limbs; sedation drains Water/Fire to expel pathogens. Long needle retention is essential for efficacy. This complements the principles in *Zhongshi Pian*.) Tongue flaccidity with drooling and irritability requires selecting Foot Shaoyin Kidney Meridian. (These three sections discuss mixed Cold/Heat Jue. Tongue flaccidity, drooling, and irritability indicate Kidney Yin deficiency failing to secure fluids; thus, tonify Foot Shaoyin.) Chills with shaking, jaw quivering, anhidrosis, abdominal distension, and irritability require selecting Hand Taiyin Lung Meridian. (Jaw quivering indicates chills. These signs indicate Yang Qi deficiency; thus, tonify Hand Taiyin. *Han* sounds like 'hegan'.)
Needling deficiency syndromes requires following the direction of Qi departure (chasing to assist); needling excess syndromes requires opposing the direction of Qi arrival (meeting to seize).
(Chasing departure assists Zheng Qi; meeting arrival seizes Xie Qi. See *Weiqi Xing Pian* and Meridian Class 25.)
Jue-Bi (Jue Bi) where Jue Qi ascends to the abdomen requires selecting Luo-Connecting points of Yin and Yang meridians, based on the primary pathology, sedating Yang and tonifying Yin.
(Same chapter. Jue originates in limbs; combined with Bi, ascending to abdomen requires selecting Gongsun (Foot Taiyin Luo) and Fenglong (Foot Yangming Luo), as abdomen and limbs relate to Spleen/Stomach. Select based on primary pathology. Yangming is often excess (sedate); Taiyin is often deficiency (tonify).)
Pathology in sinews with spasms and joint pain preventing walking is named Sinew-Bi. Needle the sinews directly, between muscle compartments, avoiding bone. Stop when heat arises in the sinew and symptoms resolve.
(*Suwen: Changci Jie Lun* states: "Sinew location" refers to pathology in sinews. Needle between muscle compartments, not penetrating bone. Sinew heat indicates Qi arrival; stop when cured. *Jiong* sounds like 'juyong', meaning heat.) Pathology in skin and muscle with generalized pain is named Muscle-Bi, caused by cold-damp. Needle large and small muscle divisions deeply with multiple needles, aiming for local heat. Do not damage sinews/bones, as this may cause abscesses or changes. Stop when all divisions feel hot and disease resolves.
(Muscle-Bi is Bi in flesh. Large/small divisions refer to major/minor muscle masses (valleys/creeks). Qi is diffuse in muscle, requiring deep, multiple needling. Avoid depth damaging sinews/bones to prevent abscesses, as warned in *Zhongshi Pian*. Heat in all divisions indicates Yang arrival and Yin retreat; stop when cured.) Pathology in bone with heaviness, inability to lift, marrow soreness, and cold invasion is named Bone-Bi. Deep needle without damaging vessels/muscles, passing through muscle divisions. Stop when heat arises in the bone and disease resolves.
("No damage to vessels/muscles" is the standard. Bone-Bi pathogen is deepest; needle directly without leaking true Qi via vessels/muscles. Enter through muscle divisions. Stop when bone heat arises.)
Bone-Bi with joint immobility and pain, profuse sweating, and irritability requires tonifying the Three Yin meridians.
(*Lingshu: Hanre Bing Pian* states: Bone-Bi is pathology in Yin. Joint immobility, sweating, and irritability indicate Yin pathology. True Yin deficiency allows pathogen retention; thus, tonify Three Yin meridians at the site. Note: *Wuxie Pian* states: Pathogen in Kidney causes Bone Pain/Yin Bi, select Yongquan/Kunlun, bleed if visible. Cross-reference recommended.)
Stubborn-Bi persisting with chronic cold requires sudden selection of Zusanli.
(*Lingshu: Sishi Qi Pian* states: *Bilun* says dampness dominance causes Stubborn-Bi, characterized by heaviness and immobility. If cold-damp bind chronically, urgently select Zusanli of Foot Yangming Stomach Meridian to warm/tonify Stomach Qi, dispersing cold-damp and resolving Bi.)