（《素问·长刺节论》《骨空论》《灵枢·寒热病篇》《热病篇》《厥病篇》《杂病篇》《终始篇》）
刺家不诊，听病者言。（《素问·长刺节论》。善刺者不必待诊，但听病者之言，则发无不中，此以得针之神者为言，非谓刺家概不必诊也。
今后世之士，针既不精，又不能诊，则虚实补泻，焉得无误？故《九针十二原篇》又曰∶凡将用针，必先诊脉，视气之
剧易，乃可以治。其义为可知矣。）在头头疾痛，为藏针之，（藏针之，藏言里也，即深入其针之谓。）刺至骨病已，上无
伤骨肉及皮，皮者道也。（头疾痛者其病深，故当刺至骨分则病已。然既刺至骨，何得上无伤骨肉及皮乎？盖谓无得妄施
补泻，谬伤骨肉皮分之气也，不过借皮肉为入针之道耳。）
颈侧之动脉人迎。人迎，足阳明也，在婴筋之前。
（《灵枢·寒热病篇》。颈前中行，任脉也。二行动脉，即足阳明之人迎穴。说文曰∶婴，颈KT 也。故颈侧之筋曰
婴筋。）婴筋之后，手阳明也，名曰扶突。（在颈之第三行。）次脉，足少阳脉也，名曰天牖。（在颈之第六行，手少阳脉
也。足字疑误。牖音有。）次脉，足太阳也，名曰天柱。（在颈之第七行。）腋下动脉，臂太阴也，名曰天府。（臂太阴，
即手太阴也。以上五穴，本输篇言之尤详，见经络类第十，即所以治下文之病者也。）阳迎头痛，胸满不得息，取之人迎。
（迎，逆也。阳邪逆于阳经而为头痛胸满者，当取之人迎也。）暴喑气硬，取扶突与舌本出血。（喑，声哑不能言也。气
硬，喉舌强硬也。当取手阳明之扶突穴，及出其舌本之血。凡言暴者，皆一时之气逆，非宿病也，故宜取此诸穴以治其
标。喑音音。 ，硬同。）暴聋气蒙，耳目不明，取天牖。（经气蒙蔽而耳目暴有不明者，当取天牖如上文也。）暴挛痫眩，
足不任身，取天柱。（挛，拘挛也。痫，癫痫也。眩，眩运也。合三证而足弱不能任身者，当取天柱如上文也。（痫音闲。）
暴瘅内逆，肝肺相搏，血溢鼻口，取天府。（瘅，热病也。暴热内逆，则肝肺之气相搏而血溢口鼻，当取天府如上文也。
瘅音丹，又上、去二声。）此为天牖五部。（此总结上文五穴为天牖五部者，以天牖居中，统前后上下而言也。）
臂阳明有入 遍齿者，名曰大迎，下齿龋取之，臂恶寒补之，不恶寒泻之。（手阳明脉有入 遍齿者，其道出于足阳
明之大迎，凡下齿龋痛者当取之，如商阳、二间、三间皆主齿痛。但臂恶寒者多虚，故宜补；不恶寒者多实，故宜泻。
音求，颧也。龋，曲主切。）
足太阳有入 遍齿者，名曰角孙，上齿龋取之，在鼻与 前，方病之时其脉盛，盛则泻之，虚则补之。（足太阳脉亦
有入 遍齿者，其道出于手少阳之角孙，凡上齿龋痛者当取之。又如鼻与 前者，乃足阳明地仓、巨 等穴，亦主齿痛，
以足阳明入上齿中也。但当于方病之时，察其盛衰而补泻之。）一曰取之出鼻外。（谓手阳明禾 、迎香等穴。）
足阳明有挟鼻入面者，名曰悬颅，属口对入击目本，视有过者取之，损有余，益不足，反者益其。（其当作甚。足阳
明之脉有挟鼻入于面者，道出于足少阳之悬颅，其下行者属于口，其上行者对口入系目本。或目或口，凡有过者，皆可
取之。然必察其有余不足以施补泻，若反用之，病必益甚。）
足太阳有通项入于脑者，正属目本，名曰眼系，头目苦痛取之，在项中两筋间。（足太阳之脉有通项入于脑者，即项
中两筋间玉枕穴也，头目痛者当取之。）入脑乃别，阴跷阳跷，阴阳相交，阳入阴，阴出阳，交于目锐 ，阳气盛则 目，
阴气盛则瞑目。（太阳经自项入脑，乃别属阴跷阳跷，而交合于目内 之睛明穴，阳跷气盛，则阴气不荣，故目张如 而
不得合。阴跷气盛，则阳气不荣，故目瞑而不能开也。按∶脉度篇言跷脉属目内 ，合于太阳。下文热病篇曰∶目中赤
痛，从内 始，取之阴跷。然则此云锐 者，当作内 也。详经络类二十八。跷有五音，跷、皎、乔、脚，又极虐切。
音嗔。瞑音明。又上声。）
其上气有音者治其喉中央，在缺盆中者
（《素问·骨空论》。谓气喘急而喉中有声也。喉中央者，两缺盆之中，任脉之天突穴也。）其病上冲喉者治其渐，渐
者上侠颐也。（气喘满而上冲于喉者，当治足阳明经侠颐之大迎穴。阳明之脉，由此渐上颐面，故名侠颐为渐也。）
失枕在肩上横骨间，（失枕者，风入颈项，疼痛不利，不能就枕也。刺在肩上横骨间，当是后肩骨上，手太阳之肩外
俞也。或为足少阳之肩井穴，亦主颈项之痛。若王氏云缺盆者，其脉皆行于前，恐不可以治失枕。）折使榆臂齐肘，正灸
脊中。（折，痛如折也。榆当作揄，引也。谓使病者引臂，下齐肘端以度脊中，乃其当灸之处，盖即督脉之阳关穴也。）
喉痹舌卷，口中干，烦心心痛，臂内廉痛，不可及头，取手小指次指爪甲下去端如韭叶。
（《灵枢·热病篇》。小指次指端，手少阳之关冲也。）
目中赤痛，从内 始，取之阴跷。（阴跷之脉属于目内 ，足少阴之照海，即阴跷之所生也，故当刺之。）耳聋无闻
取耳中
（《灵枢·厥病篇》。耳中，手太阳之听宫也。）
耳鸣，取耳前动脉。（耳前动脉，手少阳之耳门也。）
耳痛不可刺者，耳中有脓，若有干耵聍，耳无闻也。（耵聍，耳垢也。若耳中有脓及有干耵聍而或痛或无闻者，皆不可刺之，脓垢去而耳自愈矣。耵音顶。聍音宁，又去声。）
耳聋，取手小指次指爪甲上与肉交者，先取手，后取足。（手小指次指爪甲上者，手少阳之关冲也。后取足者，亦言小指次指，足少阳之窍阴也。）
耳鸣，取手中指爪甲上，左取右，右取左，先取手，后取足。（手中指爪甲上，手厥阴之中冲也。左鸣者取其右，右鸣者取其左。）
聋而不痛者，取足少阳；聋而痛者，取手阳明
（《灵枢·杂病篇》。足少阳之脉下耳后，支耳中，出耳前，手阳明之别者入耳，故当分痛与不痛而补泻之。）
嗌干，口中热如胶，取足少阴。（足少阴之脉，循喉咙系舌本。嗌干口热如胶者，阴不足也，故当取而补之。嗌音益。）
喉痹不能言，取足阳明；能言，取手阳明。（手足阳明之脉，皆循喉咙。能言者轻，但取之上；不能言者重，当泻其
下也。）
齿痛不恶 饮，取足阳明；恶 饮，取手阳明。（手足阳明之脉皆入齿中，然胃经多实热，故不畏寒饮者，当泻足阳
明；大肠经多虚寒，故畏寒饮者，当补手阳明也。此与上文臂阳明节义有所关，当互求之。 音倩。）
衄而不止， 血流，取足太阳； 血，取手太阳，不已，刺宛骨下，不已，刺 中出血。（鼻中出血曰衄，败血凝聚
色紫黑者曰 。 血成流，其去多也。下云 血，其聚而不流者也。血去多者，当取足太阳。去少者，当取手太阳。宛
骨下，即手太阳之腕骨穴。 中出血，即足太阳之委中穴也。衄，女六切。 ，普杯切。）
痛，刺手阳明与 之盛脉出血。（ ，鬓前两太阳也。手阳明之别者入耳合于宗脉，正出两 之间，故当刺之。与
之盛脉出血，即鬓前之血络。 音坎，又海敢切。） 痛，刺足阳明曲周动脉，见血立已，不已，按人迎于经立已。（足
阳明之脉，循颊车上耳前，过客主人，循发际至额颅，故 痛者当刺曲周，即颊车也。以其周绕曲颊，故曰曲周。见血
立已，如不已，当按人迎于本经而浅刺之，可立已也。）
项痛不可俯仰，刺足太阳；不可以顾，刺手太阳也。（不可俯仰者，痛在项后，故当刺足太阳经。不可以顾者，痛在
颈侧，故当刺手太阳经也。）
重舌，刺舌柱以铍针也。
（《灵枢·终始篇》。舌下生小舌，谓之重舌。舌柱，即舌下之筋如柱者也，当用第五针曰铍针者刺之。铍音披。）
（《素问·长刺节论》《骨空论》《灵枢·寒热病篇》《热病篇》《厥病篇》《杂病篇》《终始篇》）
善于针刺的医生不一定需要诊脉，只需听取病人的陈述即可。（《素问·长刺节论》。善于针刺的人不必等待诊脉，只要听取病人的描述，下针就能准确无误，这是称赞那些掌握针刺神妙技艺的人，并非说所有从事针刺的人都完全不需要诊脉。然而后世的一些医者，既不懂针刺技术，又不会诊脉，那么在虚实补泻上怎么能不出错呢？所以《九针十二原篇》又说：凡是准备使用针刺治疗，必须先诊察脉象，观察气机的盛衰难易，然后才可以进行治疗。其中的道理是很清楚的。）
头部出现头痛疾病，应当深入针刺。（“藏针之”，“藏”意为里，即深入针刺的意思。）针刺至骨部，病就好了，上方不要损伤骨肉和皮肤，皮肤只是进针的途径。（头部疼痛的疾病，病位较深，所以应当针刺至骨分才能痊愈。既然已经刺至骨部，怎么会不损伤骨肉和皮肤呢？意思是不得妄加补泻，错误地损伤骨肉皮分的气机，不过是借用皮肉作为进针的路径罢了。）
颈侧的动脉是人迎穴。人迎穴属于足阳明胃经，位于婴筋之前。（《灵枢·寒热病篇》。颈部正中是任脉。两条跳动的动脉，就是足阳明胃经的人迎穴。《说文解字》说：“婴”，指颈部的筋。所以颈侧的筋称为婴筋。）婴筋之后，是手阳明大肠经，名叫扶突穴。（位于颈部的第三行。）再往后的脉，是足少阳胆经，名叫天牖穴。（位于颈部的第六行，属于手少阳三焦经。“足”字可能是误写。“牖”音yǒu。）再往后的脉，是足太阳膀胱经，名叫天柱穴。（位于颈部的第七行。）腋下的动脉，是臂太阴肺经，名叫天府穴。（臂太阴，即手太阴肺经。以上五个穴位，《本输篇》讲得非常详细，见经络类第十，是用来治疗下文所述疾病的。）阳气逆乱导致的头痛，胸部胀满，呼吸不畅，取用人迎穴。（“迎”，意为逆。阳邪逆乱于阳经导致头痛、胸满的，应当取用人迎穴。）突然失音，喉舌强硬，取用扶突穴并刺破舌根出血。（“喑”，声音嘶哑不能说话。“气硬”，指喉舌僵硬。应当取用手阳明大肠经的扶突穴，以及刺出舌根的血液。凡是说“暴”的，都是一时之气逆乱，不是久病，所以适宜取这些穴位来治标。“喑”音yīn，“硬”同“梗”。）突然耳聋，气机蒙蔽，耳目不明，取用天牖穴。（经气蒙蔽导致耳目突然不明，应当像上文那样取用天牖穴。）突然拘挛、癫痫、眩晕，脚弱不能支撑身体，取用天柱穴。（“挛”，拘挛。“痫”，癫痫。“眩”，眩晕。这三种症状同时出现且脚弱不能支撑身体的，应当像上文那样取用天柱穴。“痫”音xián。）突然的热病，气机内逆，肝肺之气相搏，血液从口鼻溢出，取用天府穴。（“瘅”，热病。突然的热病气机内逆，导致肝肺之气相搏而血液从口鼻溢出，应当像上文那样取用天府穴。“瘅”音dān，又读去声。）这被称为天牖五部。（这里总结上文提到的五个穴位为天牖五部，因为天牖穴居中，统摄前后上下而言。）
手阳明大肠经有进入牙齿遍布齿龈的分支，名叫大迎穴，下齿龋痛取此穴，手臂恶寒用补法，不恶寒用泻法。（手阳明大肠经有进入牙齿遍布齿龈的分支，其路径出于足阳明胃经的大迎穴，凡下齿龋痛的应当取此穴，如商阳、二间、三间等穴都主治齿痛。但手臂恶寒的多为虚证，所以宜用补法；不恶寒的多为实证，所以宜用泻法。“颧”音qiú，指颧骨。“龋”，音qǔ。）
足太阳膀胱经有进入牙齿遍布齿龈的分支，名叫角孙穴，上齿龋痛取此穴，在鼻翼与颧骨前，发病时脉象盛大，盛大则用泻法，虚弱则用补法。（足太阳膀胱经也有进入牙齿遍布齿龈的分支，其路径出于手少阳三焦经的角孙穴，凡上齿龋痛的应当取此穴。又如鼻翼与颧骨前的部位，是足阳明胃经的地仓、巨髎等穴，也主治齿痛，因为足阳明胃经进入上齿中。但在发病时，必须观察脉象的盛衰来进行补泻。）另一种说法是取鼻外的穴位。（指手阳明大肠经的禾髎、迎香等穴。）
足阳明胃经有挟持鼻子进入面部的分支，名叫悬颅穴，归属于口部并向上进入目内眦，视其有过盛的经脉取之，损其有余，补其不足，如果反着做，病情必定加重。（“甚”当作“其”。足阳明胃经的脉有挟持鼻子进入面部的，路径出于足少阳胆经的悬颅穴，其下行者属于口，上行者对口进入系于目本。无论是目还是口，凡有过盛的，都可以取用。但必须观察其有余或不足来施行补泻，如果反着用，病一定会加重。）
足太阳膀胱经有通过项部进入脑部的分支，正对目本，名叫眼系，头目痛苦取此穴，位于项部两筋之间。（足太阳膀胱经的脉有通过项部进入脑部的，即项部两筋之间的玉枕穴，头目痛的应当取此穴。）进入脑部后分开，分别属阴跷脉和阳跷脉，阴阳相交，阳入阴，阴出阳，交汇于目锐眦，阳气盛则睁眼，阴气盛则闭眼。（太阳经自项部入脑，然后别属阴跷脉和阳跷脉，并在目内眦的睛明穴交合。阳跷气盛，则阴气不能荣养，所以眼睛张开如怒视而不能闭合。阴跷气盛，则阳气不能荣养，所以眼睛闭合而不能睁开。按：《脉度篇》说跷脉属于目内眦，合于太阳。下文《热病篇》说：目中赤痛，从目内眦开始，取阴跷脉。那么这里说的“锐眦”，应当作“内眦”。详见经络类二十八。“跷”有五音：qiāo、jiǎo、qiáo、jiǎo，又读jí nüè。“瞋”音chēn。“瞑”音míng，又读去声。）
其上气有声的，治疗喉中央，位于缺盆中的穴位。（《素问·骨空论》。指气喘急促且喉中有声音。喉中央，即两缺盆之中，任脉的天突穴。）病气上冲喉咙的，治疗渐穴，渐穴位于上颌两旁。（气喘满闷而上冲于喉咙的，应当治疗足阳明胃经侠颐部位的大迎穴。阳明经的脉，由此逐渐上达颐面部，所以称侠颐为渐。）
落枕在肩上横骨之间，（落枕，是风邪侵入颈项，疼痛不利，不能就枕。针刺在肩上横骨之间，应当是后肩骨上的手太阳小肠经的肩外俞穴。或者是足少阳胆经的肩井穴，也主治颈项痛。如果王冰说是缺盆穴，其脉都行于前方，恐怕不可以治疗落枕。）让病人伸展手臂齐平肘端，正对灸脊中的穴位。（“折”，痛如折断。“榆”当作“揄”，牵引。指让病人引臂，下齐肘端以度量脊中，那就是应当施灸的地方，大概是督脉的阳关穴。）
喉痹失音，舌头卷缩，口中干燥，心烦心痛，手臂内侧疼痛，手不能举过头顶，取用小指次指爪甲下距离指尖如韭菜叶宽处。（《灵枢·热病篇》。小指次指端，是手少阳三焦经的关冲穴。）
眼中赤痛，从目内眦开始，取用阴跷脉。（阴跷脉属于目内眦，足少阴肾经的照海穴，就是阴跷脉所生之处，所以应当刺此穴。）
耳聋听不见，取耳中的穴位。（《灵枢·厥病篇》。耳中，是手太阳小肠经的听宫穴。）
耳痛不可针刺的，是耳中有脓，或者有干耵聍，耳朵听不见。（耵聍，耳垢。如果耳中有脓及有干耵聍而或者痛或者听不见的，都不可针刺，脓垢去除后耳朵自然痊愈。“耵”音dīng。“聍”音níng，又读去声。）
耳聋，取用小指次指爪甲上与肉交界处，先取手部穴位，后取足部穴位。（小指次指爪甲上，是手少阳三焦经的关冲穴。后取足部，也是指小指次指，足少阳胆经的窍阴穴。）
耳鸣，取用手中指爪甲上，左鸣取右，右鸣取左，先取手部穴位，后取足部穴位。（手中指爪甲上，是手厥阴心包经的中冲穴。左耳鸣取右手穴，右耳鸣取左手穴。）
聋而不痛的，取足少阳胆经；聋而痛的，取手阳明大肠经。（《灵枢·杂病篇》。足少阳胆经的脉下耳后，支入耳中，出耳前，手阳明大肠经的别络入耳，所以应当区分痛与不痛来施行补泻。）
咽喉干燥，口中热如胶状，取用足少阴肾经。（足少阴肾经的脉，循喉咙系舌本。咽喉干燥口热如胶的，是阴不足，所以应当取用并补益它。“嗌”音yì。）
喉痹不能说话的，取用足阳明胃经；能说话的，取用手阳明大肠经。（手足阳明经的脉，都循喉咙。能说话的病轻，只取上部穴位；不能说话的病重，应当泻下部穴位。）
齿痛不畏惧冷饮的，取用足阳明胃经；畏惧冷饮的，取用手阳明大肠经。（手足阳明经的脉都进入齿中，但胃经多实热，所以不畏寒饮的，当泻足阳明；大肠经多虚寒，所以畏寒饮的，当补手阳明。这与上文手阳明节的意义有关联，应当互相参考。“啜”音chuò。）
鼻出血不止，败血流出，取用足太阳膀胱经；瘀血凝聚，取用手太阳小肠经，不止，刺腕骨穴下，还不止，刺委中穴出血。（鼻中出血叫衄，败血凝聚色紫黑的叫瘀。瘀血成流，流失较多。下文说的瘀血，是聚而不流的。血流失多的，当取足太阳。流失少的，当取手太阳。腕骨穴下，即手太阳小肠经的腕骨穴。委中穴出血，即足太阳膀胱经的委中穴。“衄”，音nǜ。“瘀”，音yū。）
颊痛，刺手阳明经和鬓前的盛脉出血。（“颔”，鬓前两太阳穴。手阳明大肠经的别络入耳合于宗脉，正出两颔之间，所以应当刺此穴。与颔部的盛脉出血，即鬓前的血络。“颔”音kǎn，又读hǎi gǎn切。）
牙痛，刺足阳明经曲周处的动脉，见血立愈，不已，按压人迎穴在本经浅刺可立愈。（足阳明胃经的脉，循颊车上耳前，过客主人穴，循发际至额颅，所以牙痛者当刺曲周，即颊车穴。因为它周绕曲颊，所以叫曲周。见血立愈，如不已，应当按压人迎穴在本经浅刺，可立愈。）
项痛不可俯仰，刺足太阳膀胱经；不可以回顾，刺手太阳小肠经。（不可俯仰，痛在项后，所以当刺足太阳经。不可以回顾，痛在颈侧，所以当刺手太阳经。）
重舌，用铍针刺舌柱。（《灵枢·终始篇》。舌下生小舌，叫做重舌。舌柱，即舌下的筋如柱子一样，应当用第五种针叫铍针来刺它。“铍”音pī。）
(Suwen: Changci Jie Lun, Gukong Lun; Ling shu: Hanre Bing Pian, Rebing Pian, Juebing Pian, Zabing Pian, Zhongshi Pian)
Expert acupuncturists may not necessarily require pulse diagnosis; they can rely on the patient's description of symptoms. (Suwen: Changci Jie Lun. Those skilled in acupuncture need not wait for pulse diagnosis; by listening to the patient's account, their needle insertions will be accurate. This statement praises those who have mastered the divine skill of acupuncture and does not imply that all practitioners should completely disregard diagnosis. However, later generations of physicians, lacking both acupuncture proficiency and diagnostic skills, inevitably make errors in tonifying deficiency and reducing excess. Therefore, the Jiuzhen Shier Yuan chapter states: "Before using needles, one must first diagnose the pulse, observe the severity and ease of the Qi condition, and only then proceed with treatment." The meaning is clear.)
For headache located in the head, deep insertion of the needle is required. ("Cang zhen zhi" implies inserting the needle deeply into the interior.) Insert until reaching the bone; once the disease is resolved, ensure there is no damage to the muscle, bone, or skin above, as the skin merely serves as the pathway for needle entry. (Headaches indicate a deep pathological location, so needling to the bone level resolves the disease. Although reaching the bone might seem to risk damaging superficial tissues, the instruction means avoiding reckless tonification or reduction that would erroneously damage the Qi of the skin, muscle, and bone layers; the skin and muscle are simply utilized as the access route for the needle.)
The pulsating artery on the lateral neck is Renying (ST 9). Renying belongs to the Foot-Yangming Stomach Meridian and is located anterior to the Yingjin (neck tendon). (Lingshu: Hanre Bing Pian. The midline of the neck corresponds to the Ren Mai (Conception Vessel). The two pulsating arteries refer to the Renying point of the Foot-Yangming Stomach Meridian. The Shuowen Jiezi defines "Ying" as the neck tendon; thus, the tendons on the side of the neck are called Yingjin.) Posterior to the Yingjin lies the Hand-Yangming Large Intestine Meridian, named Futu (SI 16). (Located in the third row of the neck.) The next vessel posteriorly is the Foot-Shaoyang Gallbladder Meridian, named Tianyou (TE 16). (Located in the sixth row of the neck; it belongs to the Hand-Shaoyang Sanjiao Meridian. The character "Foot" is likely an error. "You" is pronounced yǒu.) The subsequent vessel is the Foot-Taiyang Bladder Meridian, named Tianzhu (BL 10). (Located in the seventh row of the neck.) The arterial pulse in the axilla belongs to the Arm-Taiyin Lung Meridian, named Tianfu (LU 3). ("Arm-Taiyin" refers to the Hand-Taiyin Lung Meridian. These five points are detailed in the Benshu chapter, see Meridians Category 10, and are used to treat the conditions described below.) For headache caused by rebellious Yang Qi, accompanied by chest fullness and dyspnea, select Renying (ST 9). ("Ying" means rebellious. When pathogenic Yang Qi rebels within the Yang meridians causing headache and chest fullness, Renying should be selected.) For sudden aphonia and stiff throat/tongue, select Futu (SI 16) and bleed the base of the tongue. ("Yin" denotes hoarseness or inability to speak. "Qi ying" refers to stiffness of the throat and tongue. One should select Futu of the Hand-Yangming Large Intestine Meridian and bleed the root of the tongue. Conditions described as "sudden" (bao) result from acute Qi rebellion rather than chronic disease, so these points are indicated to treat the branch/symptoms. "Yin" is pronounced yīn; "ying" is synonymous with "geng".) For sudden deafness, mental clouding, and unclear vision/hearing, select Tianyou (TE 16). (When meridian Qi is obstructed causing sudden impairment of vision and hearing, Tianyou should be selected as described above.) For sudden spasms, epilepsy, vertigo, and lower limb weakness unable to support the body, select Tianzhu (BL 10). ("Luan" refers to spasms; "xian" refers to epilepsy; "xuan" refers to vertigo. When these three conditions present with lower limb weakness, Tianzhu should be selected as described above. "Xian" is pronounced xián.) For sudden heat disease with internal Qi rebellion, where Liver and Lung Qi clash causing hemorrhage from the nose and mouth, select Tianfu (LU 3). ("Dan" refers to heat disease. Sudden internal heat rebellion causes Liver and Lung Qi to clash, leading to blood溢 (overflow/hemorrhage) from the mouth and nose; Tianfu should be selected as described above. "Dan" is pronounced dān, also read as qùshēng.) These five points constitute the "Tianyou Five Regions." (This summarizes the aforementioned five points as the Tianyou Five Regions, with Tianyou at the center governing the anterior, posterior, superior, and inferior areas.)
The Hand-Yangming Large Intestine Meridian has a branch entering and distributing throughout the teeth, emerging at Daying (ST 5). For mandibular tooth decay/pain, select this point. If the arm feels aversion to cold, apply tonification; if not, apply reduction. (The Hand-Yangming Large Intestine Meridian has branches entering the teeth. Its pathway emerges at Daying of the Foot-Yangming Stomach Meridian. For mandibular toothache, Daying should be selected, along with Shangyang (LI 1), Erjian (LI 2), and Sanjian (LI 3), which all treat toothache. However, aversion to cold in the arm indicates deficiency, warranting tonification; absence of aversion to cold indicates excess, warranting reduction. "Quan" refers to the cheekbone; "qu" refers to dental caries/decay.)
The Foot-Taiyang Bladder Meridian has a branch entering and distributing throughout the teeth, emerging at Jiaosun (SJ 7). For maxillary tooth decay/pain, select this point. It is located between the nose and the cheekbone. During the acute phase of the disease, if the pulse is vigorous, apply reduction; if deficient, apply tonification. (The Foot-Taiyang Bladder Meridian also has branches entering the teeth, emerging from Jiaosun of the Hand-Shaoyang Sanjiao Meridian. For maxillary toothache, this point should be selected. Additionally, points such as Dicang (ST 4) and Juliao (ST 3) between the nose and cheekbone, belonging to the Foot-Yangming Stomach Meridian which enters the upper teeth, also treat toothache. Treatment must be guided by observing pulse excess or deficiency during the acute phase.) Alternatively, select points outside the nose (such as Heliao (LI 18) and Yingxiang (LI 20) of the Hand-Yangming Large Intestine Meridian).
The Foot-Yangming Stomach Meridian has a branch flanking the nose and entering the face, associated with Xuanlu (GB 6). It connects to the mouth and ascends to the root of the eye. Select points showing pathology, reduce excess, and tonify deficiency. If treated incorrectly, the condition will worsen. (The character "qi" should likely be "shen" [severe]. The Foot-Yangming Stomach Meridian has a branch flanking the nose into the face, originating from Xuanlu of the Foot-Shaoyang Gallbladder Meridian. Its descending branch connects to the mouth, and its ascending branch enters the root of the eye. Pathology in either the eye or mouth can be treated. However, one must assess excess or deficiency to apply tonification or reduction; reversing this approach will exacerbate the disease.)
The Foot-Taiyang Bladder Meridian has a pathway passing through the nape into the brain, directly connecting to the root of the eye, known as the Eye System (Yanxi). For severe headache and eye pain, select this point, located between the two tendons in the nape. (The Foot-Taiyang Bladder Meridian passes through the nape into the brain via Yuzhen (BL 9), located between the two tendons in the nape; this point should be selected for headache and eye pain.) Upon entering the brain, the meridian diverges to connect with the Yin Qiao and Yang Qiao vessels. Yin and Yang intersect; Yang enters Yin, and Yin exits Yang, meeting at the inner canthus. When Yang Qi is excessive, the eyes open wide; when Yin Qi is excessive, the eyes close. (The Taiyang meridian enters the brain from the nape and diverges to the Yin and Yang Qiao vessels, intersecting at Jingming (BL 1) in the inner canthus. Excess Yang Qiao Qi prevents Yin from nourishing, causing the eyes to remain open and unable to close. Excess Yin Qiao Qi prevents Yang from nourishing, causing the eyes to remain closed and unable to open. Note: The Maidu chapter states the Qiao vessels belong to the inner canthus and merge with Taiyang. The Rebing chapter states: "Redness and pain in the eyes starting from the inner canthus should be treated by the Yin Qiao." Thus, "outer canthus" (ruixie) in this text is likely a textual error for "inner canthus" (neixie). See Meridians Category 28. "Qiao" has multiple pronunciations: qiāo, jiǎo, qiáo, jiǎo, and jí nüè. "Chen" is pronounced chēn; "ming" is pronounced míng, also read as qùshēng.)
For upper jiao Qi rebellion with audible sounds, treat the center of the throat, specifically the Tantu (RN 22) point located in the suprasternal fossa. (Suwen: Gukong Lun. This refers to rapid breathing with audible stridor in the throat. The center of the throat corresponds to Tantu (RN 22) of the Ren Mai, located between the clavicles.) For disease Qi rushing up to the throat, treat the Jian point, which is located alongside the jaw. (When Qi stagnation rushes up to the throat, treat Daying (ST 5) of the Foot-Yangming Stomach Meridian, which runs alongside the jaw. The Yangming meridian gradually ascends from here to the face, hence "Jian" refers to the area alongside the jaw.)
Stiff neck (Shizhen) is treated in the transverse bone region of the shoulder. (Stiff neck results from wind invading the neck, causing pain and limited mobility preventing comfortable resting on a pillow. Needling should be performed in the transverse bone region of the shoulder, likely referring to Jianwaiyu (SI 15) of the Hand-Taiyang Small Intestine Meridian on the posterior shoulder bone. Alternatively, Jianjing (GB 21) of the Foot-Shaoyang Gallbladder Meridian may be used for neck pain. If Wang Bing suggests Quepen (ST 12), its meridian runs anteriorly and is unlikely to be effective for stiff neck.) Have the patient extend their arms parallel to the elbows to measure the spine, then moxa the corresponding point on the Du Mai, which is Yangguan (DU 13). ("Zhe" means pain like breaking; "Yu" should be "You," meaning to draw/pull. Instruct the patient to extend their arms to align with the elbow ends to locate the spinal level for moxibustion, likely Yangguan (DU 13) of the Du Mai.)
For throat obstruction with aphonia, rolled tongue, dry mouth, irritability, heart pain, and pain along the medial aspect of the arm extending to the head, select the point on the nail bed of the fourth finger (ring finger), approximately one grain of wheat width from the corner. (Lingshu: Rebing Pian. The tip of the fourth finger corresponds to Guanchong (TE 1) of the Hand-Shaoyang Sanjiao Meridian.)
For redness and pain in the eyes starting from the inner canthus, select the Yin Qiao vessel. (The Yin Qiao vessel belongs to the inner canthus; Zhaohai (KI 6) of the Foot-Shaoyin Kidney Meridian is the source of the Yin Qiao, so this point should be needled.)
For deafness and inability to hear, select Tinggong (SI 19) in the ear. (Lingshu: Juebing Pian. "Ear middle" refers to Tinggong (SI 19) of the Hand-Taiyang Small Intestine Meridian.)
For tinnitus, select the arterial pulse anterior to the ear, Ermen (TE 2). (Ermen is located at the arterial pulse anterior to the ear, belonging to the Hand-Shaoyang Sanjiao Meridian.)
If ear pain precludes needling due to pus or dry cerumen (earwax) in the ear canal causing hearing loss, do not needle. (Cerumen is earwax. If there is pus or dry cerumen causing pain or hearing loss, needling is contraindicated; removal of the pus and wax will allow the ear to heal naturally. "Ding" is pronounced dīng; "ning" is pronounced níng, also read as qùshēng.)
For deafness, select the junction of the nail and flesh on the fourth finger (Guanchong TE 1), first treating the Hand meridian, then the Foot meridian (Quanguan GB 44). (The point on the nail of the fourth finger is Guanchong (TE 1) of the Hand-Shaoyang Sanjiao Meridian. Treating the Foot meridian subsequently refers to Quanguan (GB 44) of the Foot-Shaoyang Gallbladder Meridian, also located on the fourth toe/finger digit.)
For tinnitus, select Zhongchong (PC 9) on the nail of the middle finger. Treat the right side for left-sided tinnitus, and the left side for right-sided tinnitus. First treat the Hand meridian, then the Foot meridian. (Zhongchong is on the nail of the middle finger, belonging to the Hand-Jueyin Pericardium Meridian. Cross-needling applies: left tinnitus treated on the right, right tinnitus on the left.)
For deafness without pain, select the Foot-Shaoyang Gallbladder Meridian; for deafness with pain, select the Hand-Yangming Large Intestine Meridian. (Lingshu: Zabing Pian. The Foot-Shaoyang Gallbladder Meridian descends behind the ear, branches into the ear, and emerges anterior to the ear. The collateral of the Hand-Yangming Large Intestine Meridian enters the ear. Differentiate based on presence or absence of pain to apply tonification or reduction.)
For dry throat and mouth feeling hot like glue, select the Foot-Shaoyin Kidney Meridian. (The Foot-Shaoyin Kidney Meridian follows the throat and connects to the root of the tongue. Dry throat and sticky heat in the mouth indicate Yin deficiency; therefore, tonification is required. "Yi" is pronounced yì.)
For throat obstruction with inability to speak, select the Foot-Yangming Stomach Meridian; if speech is possible, select the Hand-Yangming Large Intestine Meridian. (Both Hand and Foot Yangming meridians follow the throat. Ability to speak indicates mild condition, treat upper points; inability to speak indicates severe condition, reduce lower points.)
For toothache not aggravated by cold drinks, select the Foot-Yangming Stomach Meridian; for toothache aggravated by cold drinks, select the Hand-Yangming Large Intestine Meridian. (Both meridians enter the teeth. The Stomach Meridian often involves excess heat, so avoid cold drinks indicates excess, requiring reduction of Foot-Yangming. The Large Intestine Meridian often involves deficiency cold, so aversion to cold drinks indicates deficiency, requiring tonification of Hand-Yangming. This relates to the previous section on Hand-Yangming and should be cross-referenced. "Chuo" is pronounced chuò.)
For persistent epistaxis (nu) and dark stagnant blood flow, select the Foot-Taiyang Bladder Meridian; for coagulated blood (yu), select the Hand-Taiyang Small Intestine Meridian. If bleeding persists, needle Wan'gu (SI 4); if still persisting, bleed Weizhong (BL 40). (Nosebleed is called nu; dark purple-black coagulated blood is called yu. Flowing blood indicates significant loss, treated by Foot-Taiyang. Coagulated blood indicates less loss, treated by Hand-Taiyang. Wan'gu under the wrist is SI 4. Bleeding Weizhong refers to BL 40. "Nu" is pronounced nǜ; "yu" is pronounced yū.)
For cheek pain, bleed the abundant collaterals of the Hand-Yangming Large Intestine Meridian and the temples (han). (The temples are the two solar regions on either side of the hairline. The collateral of the Hand-Yangming Large Intestine Meridian enters the ear and merges with the Zong vessels, exiting between the temples. Bleed the prominent collaterals in the temple region. "Han" is pronounced kǎn, also hǎi gǎn.)
For jaw pain, needle the curved arterial pulse of the Foot-Yangming Stomach Meridian (Jiache ST 6). Bleeding stops the pain immediately; if not, press Renying (ST 9) and lightly needle the meridian for immediate relief. (The Foot-Yangming Stomach Meridian follows the cheekbone up to the ear anteriorly, passes through Chengman (ST 7), follows the hairline to the forehead. For jaw pain, needle Jiache (ST 6), so named because it curves around the jaw. Bleeding provides immediate relief; otherwise, press Renying and lightly needle the meridian for immediate relief.)
For neck pain limiting flexion and extension, needle the Foot-Taiyang Bladder Meridian; for neck pain limiting turning the head, needle the Hand-Taiyang Small Intestine Meridian. (Inability to flex/extend indicates pain in the posterior neck, treated by Foot-Taiyang. Inability to turn the head indicates pain on the lateral neck, treated by Hand-Taiyang.)
For double tongue (chong she), use a Bi needle to puncture the tongue pillar. (Lingshu: Zhongshi Pian. A small tongue growing beneath the main tongue is called double tongue. The tongue pillar refers to the tendon-like structure under the tongue. Use the fifth type of needle, the Bi needle, to puncture it. "Pi" is pronounced pī.)