平按∶此篇自篇首至按之立已，见《灵枢》卷五第二十六《杂病》篇。自腹暴至末，
见《素问》卷八第二十八《通评虚实论》篇。又自篇首至足厥阴，见《甲乙经》卷九第
九。自腹满大便不利至末，见《甲乙经》卷九第七。
少腹满大，上走胃至心， 身时寒热，小便不利，取足厥阴。（水气聚于少腹，
上走至于心下， 恶寒寒热，小便不利，下热也。是足厥阴所由，故取其输穴也。平
按∶《灵枢》少腹作小腹。走胃《甲乙》作走胸。 《灵枢》作淅淅，《甲乙》作索
索然。）腹满，大便不利，腹大，上走胸嗌，喘息喝喝然，取足少阴。（此皆足少阴脉
所行之处，故取其脉之输穴。有本少阴为少阳。平按∶上走《灵枢》作亦上走。《甲乙》
无喘息二字，注云∶”《灵枢》有喘息二字。”足少阴《甲乙》作足少阳。）腹满食不化，
腹向向然不便，取足太阴。（腹满食不化，腹虚胀不大便，皆足太阴脉所主，故取之输
穴也。平按∶《甲乙》化下无腹字。不便《灵枢》作不能大便，《甲乙》作不得大便。
足太阴《甲乙》作足太阳。）腹痛，刺脐左右动脉，已刺按之，立已；不已，刺气街，
已刺按之，立已。（腹痛，足阳明脉所主，故脐左右动脉，足阳明动也。气街亦是足阳
明动脉，故不已取之也。平按∶《甲乙》气街下无已刺二字。）腹暴满，按之不下，取
太阳经络。经络者，则人募者也。少阴输，去脊椎三寸，旁五，用员利针。（足太阳与足
少阴为表里。足少阴上行贯肝膈，发腹诸穴，故腹暴满，故取太阳经络。经脉络脉，人
之盛募之气。腹满亦取足少阴之输，夹脊相去三寸，输旁五取之，作员利针。募，有本
为幕也。平按∶《甲乙》暴下有痛字。《素问》太阳上有手字，经络二字不重，则人募
者也作胃之募也，《甲乙》作取太阳经络血者则已，无人募者也四字，少阴上有又刺二
字。《素问》王注云∶“太阳为手太阳经络之所生，故取中脘穴，即胃之募也。”新校
正云∶“杨上善注云足太阳，其说各不同，未知孰是。”）
平按：本篇从篇首到“按之立已”，见于《灵枢》卷五第二十六《杂病》篇。从“腹暴”到末尾，见于《素问》卷八第二十八《通评虚实论》篇。另外从篇首到“足厥阴”，见于《甲乙经》卷九第九。从“腹满大便不利”到末尾，见于《甲乙经》卷九第七。
少腹部胀满且肿大，气向上冲至胃部和心脏区域，身体时而恶寒时而发热，小便不通利，治疗应选取足厥阴肝经的穴位。（这是因为水气聚集于少腹，向上冲至心下部位，伴有恶寒和寒热往来，以及小便不利的症状，这是下焦有热的表现。由于这些症状与足厥阴肝经有关，所以选取该经的输穴进行治疗。平按：《灵枢》中“少腹”写作“小腹”。《甲乙经》中“走胃”写作“走胸”。《灵枢》中形容寒战为“淅淅”，《甲乙经》中写作“索索然”。）
腹部胀满，大便不通畅，腹部膨大，气向上冲至胸部和咽喉，呼吸急促发出喝喝的声音，治疗应选取足少阴肾经的穴位。（这些都是足少阴肾经循行经过的部位，所以选取该经脉的输穴。有的版本认为此处应为足少阳胆经。平按：《灵枢》中“上走”前多一“亦”字。《甲乙经》中没有“喘息”二字，注释说：“《灵枢》中有‘喘息’二字。”《甲乙经》中“足少阴”写作“足少阳”。）
腹部胀满，食物不消化，腹部空虚胀满且排便困难，治疗应选取足太阴脾经的穴位。（腹部胀满、食物不消化、腹部虚胀且不大便，都是足太阴脾经所主司的功能失调，所以选取该经的输穴进行治疗。平按：《甲乙经》中“化”字下没有“腹”字。“不便”在《灵枢》中写作“不能大便”，在《甲乙经》中写作“不得大便”。《甲乙经》中“足太阴”写作“足太阳”。）
腹痛，针刺肚脐左右的动脉，针刺后按压患处，疼痛立即停止；如果未止，针刺气街穴，针刺后按压患处，疼痛立即停止。（腹痛由足阳明胃经所主，所以肚脐左右的动脉是足阳明胃经的搏动处。气街也是足阳明胃经的动脉，所以如果疼痛不止，就选取此穴。平按：《甲乙经》中“气街”下没有“已刺”二字。）
腹部突然胀满，按压时感觉坚硬不下陷，治疗应选取足太阳膀胱经的络穴。所谓络穴，就是进入募穴的途径。足少阴肾经的输穴，距离脊椎三寸，旁开五寸，使用员利针进行针刺。（足太阳膀胱经与足少阴肾经互为表里。足少阴肾经上行贯穿肝脏和膈肌，发散至腹部的各个穴位，所以出现腹部突然胀满，就选取足太阳膀胱经的络穴。经络中的络脉，连接人体盛满的募气。腹部胀满也可以选取足少阴肾经的输穴，该穴位于夹脊两侧相距三寸处，在输穴旁开五寸处取穴，使用员利针。募，有的版本写作“幕”。平按：《甲乙经》中“暴”字下有“痛”字。《素问》中“太阳”前有“手”字，“经络”二字不重复，“则人募者也”写作“胃之募也”，《甲乙经》中写作“取太阳经络血者则已”，没有“无人募者也”这四个字，少阴前有“又刺”二字。《素问》王冰注云：“太阳是指手太阳经络所生之处，所以选取中脘穴，即胃的募穴。”新校正云：“杨上善注解说的是足太阳，说法各不相同，不知道谁是对的。”）
Ping An (Commentary on textual variants): This section from the beginning of the chapter to "pressing it stops immediately" is found in *Ling Shu* (Spiritual Pivot), Volume 5, Chapter 26, "Miscellaneous Diseases". From "sudden abdominal fullness" to the end, it is found in *Su Wen* (Basic Questions), Volume 8, Chapter 28, "Discussion on Excess and Deficiency". Furthermore, from the beginning of the chapter to "Foot Jueyin", it is found in *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion), Volume 9, Chapter 9. From "abdominal fullness with difficulty in defecation" to the end, it is found in *Jia Yi Jing*, Volume 9, Chapter 7.
Fullness and distension in the lower abdomen extending upwards to the stomach and heart region, accompanied by alternating chills and fever, and difficult urination, should be treated by selecting points on the Foot Jueyin Liver Meridian (Zú Juéyīn Gān Jīng). (This indicates that water qi accumulates in the lower abdomen, rising to the epigastrium, causing aversion to cold, alternating chills and fever, and difficult urination, which reflects heat in the lower jiao. Since these symptoms are associated with the Foot Jueyin, its Shu-stream points are selected. Ping An: In *Ling Shu*, "lower abdomen" is written as "small abdomen". In *Jia Yi Jing*, "moving to the stomach" is written as "moving to the chest". *Ling Shu* describes the shivering as "xixi", while *Jia Yi Jing* writes it as "suosuo ran".)
Abdominal fullness, difficulty in defecation, abdominal distension, qi rushing upwards to the chest and throat, with rapid breathing and a "hehe" sound, should be treated by selecting points on the Foot Shaoyin Kidney Meridian (Zú Shàoyīn Shèn Jīng). (These are areas traversed by the Foot Shaoyin meridian, so its Shu-stream points are selected. Some versions suggest this should be the Foot Shaoyang Gallbladder Meridian. Ping An: In *Ling Shu*, there is an additional "yi" before "shang zou". *Jia Yi Jing* lacks the characters for "panting", noting in commentary that "*Ling Shu* contains 'panting'". *Jia Yi Jing* writes "Foot Shaoyin" as "Foot Shaoyang".)
Abdominal fullness with undigested food, empty abdominal distension with constipation, should be treated by selecting points on the Foot Taiyin Spleen Meridian (Zú Tàiyīn Pí Jīng). (Abdominal fullness, indigestion, empty distension, and inability to pass stool are all governed by the Foot Taiyin Spleen Meridian, so its Shu-stream points are selected. Ping An: In *Jia Yi Jing*, the character "fu" is absent after "hua". "Bian bu" is written as "bu neng da bian" in *Ling Shu* and "bu de da bian" in *Jia Yi Jing*. *Jia Yi Jing* writes "Foot Taiyin" as "Foot Taiyang".)
For abdominal pain, puncture the arterial pulses on the left and right of the umbilicus; after needling, press the area, and the pain will cease immediately. If it does not cease, puncture the Qichie (Street of Qi) point; after needling, press the area, and the pain will cease immediately. (Abdominal pain is governed by the Foot Yangming Stomach Meridian (Zú Yángmíng Wèi Jīng); thus, the arterial pulses around the umbilicus belong to the Foot Yangming. Qichie is also an arterial pulse of the Foot Yangming, so it is selected if the pain persists. Ping An: In *Jia Yi Jing*, the characters "yi ci" are absent after "Qichie".)
Sudden severe abdominal fullness that feels hard upon pressure and does not yield, should be treated by selecting the Luo-connecting points of the Foot Taiyang Bladder Meridian (Zú Tàiyàng Pángguāng Jīng). The Luo-connecting points serve as pathways entering the Mu-Alarm points. The Shu-stream point of the Foot Shaoyin is located three cun from the spine, five cun laterally; use a Yuanli needle. (The Foot Taiyang Bladder Meridian and the Foot Shaoyin Kidney Meridian are interior-exteriorly related. The Foot Shaoyin ascends through the liver and diaphragm, dispersing into various abdominal points; therefore, for sudden abdominal fullness, the Luo-connecting points of the Foot Taiyang are selected. The network vessels of the meridians connect to the abundant qi of the Mu-Alarm points. Abdominal fullness can also be treated by selecting the Shu-stream point of the Foot Shaoyin, located three cun apart flanking the spine, taking points five cun lateral to the Shu-stream point, using a Yuanli needle. "Mu" is written as "mu" (curtain) in some versions. Ping An: In *Jia Yi Jing*, the character "tong" (pain) appears after "bao". In *Su Wen*, "Hand" precedes "Taiyang", "Luo-jing" is not repeated, and "ze ren mu zhe ye" is written as "wei zhi mu zhe ye" (is the Mu point of the Stomach). *Jia Yi Jing* writes "qu Taiyang luojing xue zhe ze yi" (if blood is taken from the Taiyang Luo-connecting points, it will stop), omitting the four characters "wu ren mu zhe ye", and adds "you ci" (also puncture) before Shaoyin. Commentary by Wang Bing in *Su Wen* states: "Taiyang refers to the generation of the Hand Taiyang Luo-connecting vessel, so select Zhongwan point, which is the Mu point of the Stomach." New Correction states: "Yang Shangshan's commentary refers to Foot Taiyang; interpretations vary, and it is unclear which is correct.")