厥头痛，面若肿，起而烦心，取之足阳明太阴。厥头痛头脉痛，心悲善泣，视头动脉反
盛者
，刺尽去血，后调足厥阴。厥头痛，头贞贞头重而痛，泻头上五行，行五，先取手少阴，后
取足少阴。厥头痛意善忘，按之不得，取头面左右动脉，后取足太阴。厥阴头项先痛，腰脊
为应，先取天柱，后取足太阳。厥头痛头痛甚，耳前后脉涌有热，（一云有动脉）泻出其血，
后取足少阳。真头痛，头痛甚，脑尽痛，手足寒至节，死不治。头痛不可取于俞者，有所击
堕，恶血在于内，若肉伤痛未已，可则刺不可远取也。头痛不可刺者，大痹为恶，日作者可
令少愈，不可已，头半寒痛，先取手少阳阳明，后取足少阳阳明。
帝曰∶五脏使人痿何也？岐伯曰∶肺主身之皮毛，心主身之血脉，肝主身之筋膜，脾主
身之
肌肉，肾主身之骨髓。故肺热叶焦，则皮毛虚，弱急薄着，则生痿 也；心气热则下脉厥而
上，上则下脉虚，虚则生脉痿，枢折挈胫纵，而不任地也；肝气热则胆泄口苦，筋膜干，筋
膜干则筋急而挛，发为筋痿；脾气热则胃干而渴，肌肉不仁，发为肉痿；肾气热则腰脊不举
，骨枯而髓减，发为骨痿。帝曰∶何以得之？曰∶肺者脏之长也，为心之盖也，有所失亡，
所求不得，则发肺鸣，鸣则肺热叶焦。故曰五脏因肺热叶焦，发为痿 ，此之谓也！悲哀太
甚，则胞络绝，胞络绝则阳气内动，发则心下崩，数溲血。故本病曰，大经空虚，发为肌痹
，传为脉痿。思想无穷，所愿不得，意淫于外，入房太甚，宗筋驰纵，发为筋痿、及为白淫
。故《下经》曰∶筋痿者生于肝，使内也。有渐于湿，以水为事，若有所留，居处相湿，肌
肉濡溃，痹而不仁，发为肉痿。故《下经》曰∶肉痿者，得之湿地也。有所远行劳倦。逢大
热而渴，渴则阳气内伐，内伐则热舍于肾。肾水脏也，今水不胜火，则骨柘而髓虚，故足不
任身，发为骨痿。故《下经》曰。骨痿者生于大热也。帝曰∶何以别之？曰∶肺热者，色白
而毛败；心热者，色赤而络脉溢；肝热者，色苍而爪枯；脾热者，色黄而肉蠕动；肾热者，
色黑而齿槁。帝曰∶如夫子言可矣，论言治痿者独取阳明何也？岐伯曰∶阳明者，五脏六腑
之海，主润宗筋，宗筋主束骨而利机关也。冲脉者，经脉之海也，主渗灌溪谷，与阳明合于
宗筋。阴阳总宗筋之会，会于气冲，而阳明为之长，皆属于带脉，而络于督脉。故阳明虚，
则宗筋纵，带脉不引，故足痿不用也。治之各补其荣，而通其俞，调其虚空，和其逆顺，筋
脉骨肉，各以其时受月，则病已矣。帝曰∶善！
厥阴经气逆乱导致的头痛，面部像浮肿一样，起身后感到心烦意乱，治疗应取足阳明胃经和足太阴脾经的穴位。厥阴经气逆乱导致的头痛，头部血脉疼痛，心情悲伤容易哭泣，观察头部跳动的动脉如果异常充盛，针刺放尽瘀血，之后调理足厥阴肝经。厥阴经气逆乱导致的头痛，头部持续沉重且疼痛，泻头上五行（每行五个穴位），先取手少阴心经穴位，后取足少阴肾经穴位。厥阴经气逆乱导致的头痛，意念健忘，按压头部找不到痛点，取头面左右两侧的动脉，后取足太阴脾经穴位。厥阴经气逆乱导致头项部先痛，腰背部相应部位也痛，先取天柱穴，后取足太阳膀胱经穴位。厥阴经气逆乱导致的头痛非常剧烈，耳前耳后的脉搏跳动急促且有热感（另一种说法是有动脉搏动明显），泻出其瘀血，后取足少阳胆经穴位。真头痛，头痛极其剧烈，整个脑部都痛，手脚冰冷直到关节，这是死证，无法治愈。头痛不能通过常规腧穴治疗的，是因为受到击打或坠落，恶血停留在体内，如果肌肉疼痛尚未停止，可以就近针刺，不可远取其他穴位。头痛不能针刺的，是大痹症引起的痛苦，每天发作的可以使其稍微好转，但不能痊愈。偏侧头痛寒冷疼痛，先取手少阳三焦经和手阳明大肠经穴位，后取足少阳胆经和足阳明胃经穴位。
黄帝问：五脏为什么会使人发生痿证？岐伯说：肺主管身体的皮毛，心主管身体的血脉，肝主管身体的筋膜，脾主管身体的肌肉，肾主管身体的骨髓。所以肺有热邪导致叶焦枯，则皮毛虚弱、紧缩变薄附着于骨，就会发生痿躄（四肢痿废不用）；心气有热则下部血脉厥逆而上行，上行则下部血脉空虚，空虚则发生脉痿，关节枢纽折断，小腿纵缓，不能站立于地；肝气有热则胆汁外泄口苦，筋膜干燥，筋膜干燥则筋脉拘急挛缩，发为筋痿；脾气有热则胃干口渴，肌肉麻木不仁，发为肉痿；肾气有热则腰脊不能举动，骨骼枯槁而髓液减少，发为骨痿。黄帝问：为什么会得这些病呢？岐伯说：肺是五脏之长，为心的覆盖物，如果有丧失亡失之事，所求不得，就会引发肺鸣（肺气上逆之声），肺鸣则肺热叶焦。所以说五脏因肺热叶焦，发为痿躄，说的就是这个道理！悲哀太过，则胞络隔绝，胞络隔绝则阳气在内扰动，发作时心下出血，频繁小便带血。所以《本病》篇说，大经脉空虚，发为肌痹，传变为脉痿。思虑无穷，愿望不得满足，意念淫逸于外，房事过度，宗筋弛缓纵散，发为筋痿，以及白淫（男子滑精、女子带下）。所以《下经》说：筋痿生于肝，由房事引起。逐渐感受湿邪，以水为业，如有所滞留，居住潮湿，肌肉濡润溃烂，麻痹而不仁，发为肉痿。所以《下经》说：肉痿，是由于居住在湿地造成的。如果有长途跋涉劳累，遇到大热而口渴，口渴则阳气在内攻伐，内攻伐则热邪留舍于肾。肾是水脏，现在水不胜火，则骨骼枯槁而髓虚，所以脚不能支撑身体，发为骨痿。所以《下经》说：骨痿生于大热。黄帝问：如何辨别它们？岐伯说：肺热的，面色白而毛发败坏；心热的，面色赤而络脉充盈溢出；肝热的，面色青苍而指甲枯槁；脾热的，面色黄而肌肉蠕动；肾热的，面色黑而牙齿干枯。黄帝说：像先生所说的那样就可以了，医论说治疗痿证只取阳明经，为什么呢？岐伯说：阳明经是五脏六腑的海，主要滋润宗筋，宗筋主束骨而利关节。冲脉是十二经脉的海，主要渗灌溪谷，与阳明经会合于宗筋。阴阳总汇于宗筋，会合于气冲穴，而阳明经为之统领，都隶属于带脉，并联络于督脉。所以阳明经虚弱，则宗筋弛缓，带脉不能牵引，所以足部痿废不能使用。治疗时分别补其荣穴，通其俞穴，调和虚实，顺其逆气，根据筋、脉、骨、肉在不同月份受气的特点进行治疗，病就好了。黄帝说：好！
Jueyin headache, with the face appearing swollen, and irritability upon rising; treat by selecting points from Foot-Yangming (Stomach) and Foot-Taiyin (Spleen). Jueyin headache with pulsating head pain, sadness, and propensity to weep; observe the pulsating arteries in the head. If they are excessively full,刺 (prick) to exhaust the blood, then regulate Foot-Jueyin (Liver). Jueyin headache with a persistent heavy sensation and pain in the head; drain the five rows of points on the head (five points per row), first select Hand-Shaoyin (Heart) points, then Foot-Shaoyin (Kidney) points. Jueyin headache with forgetfulness and inability to locate tenderness by palpation; select the pulsating arteries on the left and right sides of the head and face, then select Foot-Taiyin (Spleen) points. Jueyin headache starting with pain in the head and neck, with corresponding pain in the lower back and spine; first select Tianzhu (BL10), then select Foot-Taiyang (Bladder) points. Jueyin headache with severe pain, where the vessels around the ears are surging with heat (or distinct arterial pulsation); drain the blood, then select Foot-Shaoyang (Gallbladder) points. True headache (Zhen Toutong): severe headache with pain penetrating the brain, cold hands and feet extending to the joints; this is a fatal condition and cannot be treated. For headaches that cannot be treated via standard Shu points due to trauma (blows or falls) causing internal stasis of evil blood: if muscle pain persists, local needling is permissible, but distant points should not be selected. For headaches unsuitable for needling due to severe Bi syndrome (painful obstruction): daily attacks may be slightly alleviated but not cured. For half-head cold pain: first select Hand-Shaoyang (Sanjiao) and Hand-Yangming (Large Intestine) points, then Foot-Shaoyang (Gallbladder) and Foot-Yangming (Stomach) points.
The Yellow Emperor asked: "How do the Five Zang organs cause Wei syndrome?" Qibo replied: "The Lung governs the skin and hair of the body; the Heart governs the blood vessels; the Liver governs the sinews and fascia; the Spleen governs the muscles; the Kidney governs the bone marrow. Therefore, if Lung heat causes the leaves to scorch and dry, the skin and hair become weak, thin, and adherent to the bones, leading to Wei Bi (flaccidity syndrome of the limbs); if Heart Qi is hot, the lower vessels reverse and ascend, causing deficiency in the lower vessels, leading to Mai Wei (vessel flaccidity), where the joint pivot breaks, the shins hang limp, and one cannot stand; if Liver Qi is hot, bile leaks causing bitter taste, the fascia dries, leading to tendon contraction and spasms, developing into Jin Wei (sinew flaccidity); if Spleen Qi is hot, the stomach becomes dry and thirsty, muscles become insensible, developing into Rou Wei (muscle flaccidity); if Kidney Qi is hot, the waist and spine cannot move, bones become withered and marrow decreases, developing into Gu Wei (bone flaccidity). The Yellow Emperor asked: "How are these conditions acquired?" Qibo said: "The Lung is the chief of the Zang organs and the cover of the Heart. Loss or unfulfilled desires cause Lung Ming (lung resonance/whistling sound), which leads to Lung heat and scorched leaves. Thus, it is said that Wei Bi arises from Lung heat affecting the Five Zang organs." Excessive grief severs the Bao Luo (pericardium collaterals); when severed, Yang Qi moves internally, causing bleeding from the heart region and frequent hematuria. Thus, the Ben Bing chapter states that emptiness of the large meridians leads to Ji Bi (muscle painful obstruction), which transmits to Mai Wei. Endless thinking and unfulfilled wishes, with mind wandering externally and excessive sexual activity, cause the Zong Jin (major sinews) to relax and sag, leading to Jin Wei and Bai Yin (seminal emission or leukorrhea). Thus, the Xia Jing states: 'Jin Wei originates from the Liver due to sexual indulgence.' Gradual exposure to dampness, working with water, or living in humid environments causes muscles to become sodden and ulcerated, leading to numbness and Bi, developing into Rou Wei. Thus, the Xia Jing states: 'Rou Wei is caused by dwelling in damp places.' Long journeys and fatigue, encountering extreme heat and thirst, cause Yang Qi to attack internally; this heat lodges in the Kidney. As the Kidney is the Water organ, if Water fails to overcome Fire, bones become withered and marrow deficient, so the feet cannot support the body, developing into Gu Wei. Thus, the Xia Jing states: 'Gu Wei originates from extreme heat.' The Yellow Emperor asked: "How can they be distinguished?" Qibo said: "Lung heat presents with white complexion and damaged hair; Heart heat with red complexion and overflowing collateral vessels; Liver heat with dark-green complexion and withered nails; Spleen heat with yellow complexion and twitching muscles; Kidney heat with black complexion and dry teeth." The Yellow Emperor said: "Your explanation is sufficient. Why does medical theory state that treating Wei syndrome requires focusing solely on the Yangming meridian?" Qibo said: "Yangming is the sea of the Five Zang and Six Fu organs, primarily nourishing the Zong Jin. The Zong Jin binds the bones and facilitates joint movement. Chong Mai (Penetrating Vessel) is the sea of the Twelve Primary Meridians, primarily infiltrating the Xi Gu (valleys between muscles), and merges with Yangming at the Zong Jin. Yin and Yang converge at the Zong Jin, meeting at Qichong (ST30), with Yangming as their leader. All are connected to the Dai Mai (Girdle Vessel) and linked to the Du Mai (Governor Vessel). Therefore, if Yangming is deficient, the Zong Jin sags, the Dai Mai fails to draw, and the legs become flaccid and unusable. Treatment involves tonifying the Ying (Spring) points and unblocking the Shu (Stream) points of each meridian, regulating deficiency and excess, harmonizing reversal and smooth flow, and treating the sinews, vessels, bones, and flesh according to the months when they are most receptive. Then the disease will resolve." The Yellow Emperor said: "Excellent!"