（《灵枢·寒热病篇》《素问·骨空论》《长刺节论》）
五脏身有五部。
（《灵枢·寒热病篇》∶五脏在内而要害系于外者，有五部，如下文。）伏兔一，（在膝上六寸起肉间，足阳明胃经之
要害也。）腓二，腓者 也，（即小腿肚也。足太阳、少阴及三焦下 之所系者。腓音肥。 音篆。）背三，（中行督脉，
旁四行足太阳经，皆脏气所系之要害也。）五脏之 四，（肺俞、心俞、肝俞、脾俞、肾俞，五脏之所系也。）项五。此
五
部有痈疽者死。（项中为督脉阳维之会，统诸阳之纲领也。凡上五部，皆要会之所，忌生痈疽，生者多死。）病始手臂者，
先取手阳明、太阴而汗出；病始头首者，先取项太阳而汗出；病始足胫者，先取足阳明而汗出。（刺痈疽者法当取汗，
则
邪从汗散而痈自愈；然必察其始病之经，而刺有先后也。此节义当与刺热篇参看，详疾病类四十四。）臂太阴可汗出，
足
阳明可汗出。（臂太阴，肺经也。足阳明，胃经也。按《热病篇》曰∶脉顺可汗者，取之鱼际、太渊、大都、太白，泻
之
则热去，补之则汗出。按以上四穴，皆手足太阴经之荥、 也。此言臂太阴者，即鱼际、太渊二穴。然则足阳明者，亦
当取之荥、 ，则内庭、陷谷是也。详义见本类前四十。）故取阴而汗出甚者，止之于阳；取阳而汗出甚者，止之于阴。
（补太阴而汗出甚者，阴之胜也，当补阳明可以止之。泻太阴而汗出甚者，阳之胜也，当泻阳明可以止之。盖以阴阳平
而汗自止也。取阳而汗出甚者，其止法亦然。）凡刺之害，中而不去则精泄，不中而去则致气；精泄则病甚而 ，致气
则
生为痈疽也。（针已中病，即当去针；若中而不去，则精气反泄，故病必益甚而 羸也。针未中病，自当留针；若不中
而
去，则病未除而气已致，故结聚而为痈疽。皆刺之害也。此节与九针十二原篇同，见后六十。 音匡。）
鼠 寒热，还刺寒府，寒府在附膝外解营。
（《素问·骨空论》。鼠 ，瘰 也。寒府在附膝外解营，谓在膝下外辅骨之骨解间也。凡寒气自下而上者，必聚于
膝，是以膝膑最寒，故名寒府。营，窟也。当是足少阳经之阳关穴。盖鼠 在颈腋之间，病由肝胆，故当取此以治之。
音漏。）取膝上外者使之拜，取足心者使之跪。（拜则骨节显，故可以取膝穴。跪则深隙见，故可以取足心穴。）
治腐肿者刺腐上，视痈小大深浅刺，
（《素问·长刺节论》。腐肿，内腐外肿也。大为阳毒其患浅，小为阴毒其患深，故当察其小大而刺分深浅也。）刺大
者多血，小者深之，必端内针为故止。（痈大患浅，但多泄其血则毒可去。痈小患深，必端内其针而深取之也。为故止，
言以此为则，而刺痈之法尽矣。）
（出自《灵枢·寒热病篇》《素问·骨空论》《长刺节论》）
五脏在体表有五个要害部位。
（《灵枢·寒热病篇》说：五脏位于体内，但其要害联系于体外的，有五个部位，如下文所述。）第一是伏兔穴（位于膝盖上六寸肌肉隆起处，是足阳明胃经的要害所在），第二是腓肠肌（即小腿肚，是足太阳膀胱经、足少阴肾经及三焦经下部所系联的部位。腓音肥，腨音篆），第三是背部（正中为督脉，旁侧四行均为足太阳膀胱经，都是脏气所系联的要害部位），第四是五脏的背俞穴（肺俞、心俞、肝俞、脾俞、肾俞，是五脏之气所系联的部位），第五是颈部。这五个部位如果发生痈疽（一种化脓性感染疾病），会导致死亡。（颈部是督脉和阳维脉交会之处，统率诸阳经的纲领。以上五个部位，都是气血会聚的要害之地，忌讳生痈疽，一旦生出多致死。）
病症起始于手臂的，先取手阳明大肠经、手太阴肺经的穴位使其出汗；病症起始于头部的，先取项部足太阳膀胱经的穴位使其出汗；病症起始于小腿足的，先取足阳明胃经的穴位使其出汗。（针刺治疗痈疽的方法应当以取汗为原则，这样邪气随汗液发散而痈疽自愈；但必须考察发病之初所在的经脉，针刺才有先后次序。这一节的含义应当与《刺热篇》参考阅读，详见疾病类第四十四。）臂部太阴经可以取汗，足阳明经也可以取汗。（臂太阴指肺经，足阳明指胃经。按《热病篇》所说：脉象顺者可发汗的，取鱼际、太渊、大都、太白穴，泻法则热退，补法则汗出。以上四个穴位，都是手足太阴经的荥穴和输穴。这里说的臂太阴，即指鱼际、太渊二穴。那么足阳明经，也应当取它的荥穴和输穴，即内庭、陷谷穴。详细含义见本类前四十。）所以，取阴经穴位而汗出过多的，就止之于阳经；取阳经穴位而汗出过多的，就止之于阴经。（补太阴经而汗出过多的，是阴气偏胜，应当补阳明经可以制止它。泻太阴经而汗出过多的，是阳气偏胜，应当泻阳明经可以制止它。大概是以阴阳平衡则汗自止。取阳经穴位而汗出过多的，制止方法也是如此。）
凡是针刺的危害，如果针已中病而不及时拔出，就会导致精气泄漏；如果没有中病就拔针，则会导致邪气滞留；精气泄漏则病情加重且身体消瘦羸弱，邪气滞留则会生成痈疽。（针已中病，就应当去针；若中病却不拔针，则精气反而外泄，所以病情必定更加严重且形体羸瘦。针未中病，自然应当留针；若未中病却拔针，则病邪未除而正气已致邪气聚集，所以结聚而成痈疽。这都是针刺的危害。这一节与《九针十二原篇》相同，见后六十。匡音匡。）
鼠瘰（一种颈部淋巴结结核类疾病，伴有寒热症状），还应当针刺寒府穴，寒府位于膝下外侧辅骨间的解营穴处。
（出自《素问·骨空论》。鼠瘰即瘰疬。寒府位于膝下外侧辅骨的骨缝之间。凡是寒气从下往上走的，必然聚集在膝盖，所以膝盖最寒冷，因此名叫寒府。营，意为窟窿。这应该是足少阳胆经的阳关穴。因为鼠瘰发生在颈腋之间，病源在于肝胆，所以应当取此穴来治疗。漏音漏。）取膝上部穴位时让患者做拜礼动作，取足心穴位时让患者跪着。（拜礼动作使骨节显露，所以可以取膝部穴位。跪姿使深层缝隙显现，所以可以取足心穴位。）
治疗腐肿（内部腐烂外部肿胀的疮疡）要刺破腐烂处，根据痈肿的大小和深浅进行针刺，
（出自《素问·长刺节论》。腐肿是指内部腐烂外部肿胀。大的属于阳毒，患病较浅；小的属于阴毒，患病较深，所以应当观察其大小来决定针刺的深浅。）刺大的痈肿要多放血，刺小的痈肿要深刺，必须端正地进针，以此为准则即可停止。
（痈大患病浅，只要多泄出其血液则毒邪可去。痈小患病深，必须端正地进入针具并深取之。所谓“以此为准则”，是说掌握了这个原则，针刺痈疽的方法就完备了。）
(From *Lingshu: Hanre Bing Pian*, *Suwen: Gukong Lun*, *Chang Cijie Lun*)
The Five Zang organs have five critical areas on the body surface.
(*Lingshu: Hanre Bing Pian* states: The Five Zang organs are located internally, but their critical points connect externally; there are five such areas, as described below.) The first is Futu (ST32) (located six cun above the knee in the bulging muscle, a critical point of the Foot-Yangming Stomach Meridian); the second is the calf (i.e., the belly of the gastrocnemius muscle, where the Foot-Taiyang Bladder Meridian, Foot-Shaoyin Kidney Meridian, and the lower part of the Sanjiao Meridian are connected. "Fei" sounds like "fei", "Shuan" sounds like "zhuan"); the third is the back (the midline is the Du Meridian, and the four rows on either side are the Foot-Taiyang Bladder Meridian, all being critical areas connected to Zang Qi); the fourth is the Back-Shu points of the Five Zang organs (Feishu, Xinshu, Ganshu, Pishu, Shenshu, where the Qi of the Five Zang organs connects); the fifth is the neck. If carbuncles and sores (purulent infections) occur in these five areas, death may result. (The neck is the intersection of the Du Meridian and the Yangwei Meridian, commanding all Yang meridians. The aforementioned five areas are all critical intersections; they are contraindicated for carbuncles and sores, which often prove fatal.)
If the disease begins in the arm, first select points from the Hand-Yangming Large Intestine Meridian and Hand-Taiyin Lung Meridian to induce sweating; if it begins in the head, first select points in the neck from the Foot-Taiyang Bladder Meridian to induce sweating; if it begins in the lower leg or foot, first select points from the Foot-Yangming Stomach Meridian to induce sweating. (The method for acupuncture treatment of carbuncles and sores should aim at inducing sweating, so that pathogenic factors disperse with sweat and the carbuncle heals itself; however, one must examine the meridian where the disease initially started to determine the sequence of needling. The meaning of this section should be cross-referenced with *Cire Re Pian*; see Disease Category 44 for details.) Sweating can be induced by treating the Arm-Taiyin Meridian and the Foot-Yangming Meridian. (Arm-Taiyin refers to the Lung Meridian; Foot-Yangming refers to the Stomach Meridian. According to *Re Bing Pian*: For pulse patterns suitable for diaphoresis, select Yuji (LU10), Taiyuan (LU9), Dadu (SP2), and Taibai (SP3). Reducing method clears heat; tonifying method induces sweating. These four points are Ying-Spring and Shu-Stream points of the Hand and Foot Taiyin meridians. Here, "Arm-Taiyin" refers specifically to Yuji (LU10) and Taiyuan (LU9). Similarly, for the Foot-Yangming Meridian, one should select its Ying-Spring and Shu-Stream points, namely Neiting (ST44) and Xangu (ST43). See detailed meaning in previous section 40 of this category.) Therefore, if excessive sweating occurs after selecting Yin meridian points, stop it by treating Yang meridians; if excessive sweating occurs after selecting Yang meridian points, stop it by treating Yin meridians. (If tonifying Taiyin causes excessive sweating, it indicates an excess of Yin; tonifying Yangming can arrest it. If reducing Taiyin causes excessive sweating, it indicates an excess of Yang; reducing Yangming can arrest it. This is because sweating stops naturally when Yin and Yang are balanced. The method for arresting excessive sweating from Yang meridian selection is similar.)
The harm of acupuncture lies in this: if the needle hits the target but is not withdrawn, essence will leak; if the needle misses the target and is withdrawn, pathogenic qi will accumulate. Essence leakage leads to worsening disease and emaciation; accumulation of pathogenic qi generates carbuncles and sores. (Once the needle hits the target, it should be removed; if retained after hitting the target, essence leaks, causing the disease to worsen and the body to become emaciated. If the needle does not hit the target, it should be retained; if removed without hitting the target, the pathogen remains while healthy qi attracts further pathology, leading to condensation and formation of carbuncles and sores. These are the harms of needling. This section is identical to *Jiu Zhen Er Shi Er Yuan Pian*; see later section 60. "Kuang" sounds like "kuang".)
For shu luo (scrofula/lymph node tuberculosis accompanied by chills and fever), also needle the Hanfu (Cold Palace) point. Hanfu is located at the Jieying point outside the knee joint.
(From *Suwen: Gukong Lun*. Shu luo refers to luo li (scrofula). Hanfu is located in the bone gap outside the lower lateral femoral condyle. Whenever cold qi moves upward from below, it gathers at the knee; thus the knee patella is coldest, hence named Hanfu. "Ying" means cavity. This likely refers to Yangguan (GB33) of the Foot-Shaoyang Gallbladder Meridian. Since shu luo occurs in the neck and axilla, originating from Liver and Gallbladder disorders, this point should be selected for treatment. "Lou" sounds like "lou".) When selecting points on the upper knee, ask the patient to bow; when selecting points on the sole of the foot, ask the patient to kneel. (Bowing exposes the joints, facilitating access to knee points. Kneeling reveals deep crevices, facilitating access to sole points.)
To treat fu zhong (internal rotting with external swelling), puncture the necrotic tissue. Observe the size and depth of the abscess to determine needle insertion depth.
(From *Suwen: Chang Cijie Lun*. Fu zhong refers to internal necrosis with external swelling. Large lesions indicate Yang toxicity with shallow involvement; small lesions indicate Yin toxicity with deep involvement. Thus, observe size to determine depth.) For large abscesses, bleed heavily; for small abscesses, insert the needle deeply. Insert the needle upright and stop once the intended effect is achieved. (Large abscesses are shallow; draining blood removes the toxin. Small abscesses are deep; the needle must be inserted vertically and deeply. "Stop upon achieving the goal" means using this as the standard, thereby mastering the technique for needling carbuncles and sores.)