刺肌痹者,若得诸分肉间尽热,即病已也。平按∶痈发《甲乙》作寒发。)病在骨,骨重不可举,
骨髓 痛,寒气至,
名曰骨骨痹,深者刺无伤脉肉为故,至其大分小分,骨热病已。(骨痹刺,二十二也。邪客在骨,
骨重 痛,名曰骨痹,刺之无伤脉肉之部,至得刺其骨部大小分间也。平按∶痹上重骨字,《素问》、
《甲乙》不重,当系衍文。至其大分小分《素问》作其道大分小分,《甲乙》作其道大小分。病
已下《素问》、《甲乙》有止字。)
病在诸阳脉,且寒且热,诸分且寒且热,名曰狂,刺之虚脉,
视分分尽热,病已而止。(狂病刺,二十三也。阳并阳明太阳等,故曰诸阳脉。身及四肢诸分且
有寒热,名之为狂。刺法,补其虚阴,令分分皆热,得平病也。平按∶分字《素问》、《甲乙》
不重。)病初发盛,一发不治,日一发,不治,四五发,名曰癫病,刺诸其分诸脉,其尤寒者,以
针调之,病已止。(癫病刺,二十四也。一发不疗者,谓得癫病一盛发已,有经数时不发,不疗
之者,后更发时,有一日一发,不疗之者,后更发时,一日之中四五度发之,名曰癫病。刺法,待
其发已,刺诸分诸脉,以针补甚寒者,病已。有本为月一发也。平按∶《素问》、《甲乙》盛作
岁,日一发作月一发,四五发上有月字。“刺诸其分诸脉,其尤寒者,以针调之,病已止”《素
问》作“刺诸分诸脉,其无寒者,以针调之,病已止”,《甲乙》作“刺诸分,其脉尤寒者,以
针补之”。)病风且寒且炅汗出,一日数过,先刺诸分理络脉,汗出且寒且热,三日一刺,百日
而已。(寒热刺,二十五也。风成为寒热,一日数度寒热并汁,刺诸分腠络脉,复且寒且热,三
日一刺,分剂也。平按∶炅下袁刻脱汗出二字。炅上《素问》、《甲乙》有热字。)病大风,骨节
重,须
眉随落,名曰大风,刺肌肉为故,汗出百日,刺骨髓,汗出百日,凡二百日,须眉生而止。(大风
刺,二十六也。刺肌肉之部及骨髓部,各经百日,二百日已,以须眉生为限也。平按∶须眉随落
《素问》作须眉堕,《甲乙》作须眉坠。止下《素问》、《甲乙》有针字。)
针刺治疗肌痹的方法,如果使肌肉间隙全部感到发热,疾病就会痊愈。
病位在骨骼,感觉骨头沉重无法抬起,骨髓疼痛,寒气侵袭,这种病症称为骨痹。深刺时不要损伤血脉和肌肉,这是原则;针刺到骨骼的大分和小分之间,直到骨骼部位发热,疾病就会痊愈。(骨痹的针刺方法,是第二十二种。邪气客居于骨骼,导致骨头沉重疼痛,称为骨痹。针刺时不要损伤血脉和肌肉的部位,直到能够刺入骨骼部位大小分肉之间为止。)
病位在诸阳经脉,同时出现恶寒和发热的症状,全身及四肢的分肉间也同时出现恶寒和发热,这种病症称为狂病。针刺时要泻其脉中的实邪,观察分肉间全部发热后,疾病痊愈即停止针刺。(狂病的针刺方法,是第二十三种。阳气并入阳明、太阳等经脉,所以称为诸阳脉。身体及四肢各部分同时有寒热感,称之为狂。针刺法则,补益其虚损的阴气,使分肉间都感到发热,从而平复疾病。)
疾病初发时发作频繁,如果一次发作后不进行治疗,后来变成一天发作一次,如果不治疗,再后来变成四五次发作,这种病症称为癫病。针刺各个分肉和各条经脉,对于特别寒冷的部位,用针进行调理,疾病痊愈即停止。(癫病的针刺方法,是第二十四种。一次发作不治疗,是指得了癫病,一次盛发之后,经过一段时间不再发作;如果不治疗,后来再次发作时,变成一天发作一次;如果不治疗,后来再次发作时,一天之中发作四五次,称为癫病。针刺法则,等待其发作过后,针刺各个分肉和各条经脉,用针补益特别寒冷的部位,疾病痊愈即止。有的版本记载为一个月发作一次。)
患风病且恶寒且发热并出汗,一天多次发作。先针刺各个分肉的纹理和络脉,如果仍然恶寒发热,改为三天针刺一次,一百天后疾病痊愈。(寒热证的针刺方法,是第二十五种。风邪导致寒热交替,一天多次寒热并伴有汗出,针刺各个分肉的腠理和络脉,如果仍然寒热交替,三天针刺一次,这是治疗的剂量。有的版本在“炅”字下脱漏了“汗出”二字。)
患大风病,关节沉重,胡须眉毛脱落,这种病症称为大风(麻风)。以针刺肌肉为度,每天令其出汗,持续一百天;然后针刺骨髓部位,令其出汗,又持续一百天,总共二百天,直到胡须眉毛长出来才停止。(大风病的针刺方法,是第二十六种。针刺肌肉部位和骨髓部位,各经一百天,二百天后,以胡须眉毛长出作为停止的标准。)
To needle *Ji Bi* (Muscle Bi, a type of bi syndrome affecting muscles), if heat is felt throughout the intermuscular spaces, the disease will be cured.
When the pathology is in the bones, the patient feels heavy in the bones and cannot lift them, experiences pain in the bone marrow, and is affected by cold qi; this condition is named *Gu Bi* (Bone Bi). Deep needling should not damage the vessels and flesh as the primary principle; needle until the large and small divisions of the bone are reached, and when heat is felt in the bone, the disease will be cured. (Needling for Bone Bi is the twenty-second method. When pathogenic factors lodge in the bones, causing heaviness and pain, it is called Bone Bi. Needling should avoid damaging the areas of vessels and flesh, proceeding until the large and small divisions between the bone parts are needled.)
When the pathology is in the various Yang meridians, accompanied by alternating chills and fever, and the various intermuscular spaces of the body and limbs also exhibit alternating chills and fever, this condition is named *Kuang* (Mania). Needling should reduce the pulse; observe until all intermuscular spaces become hot, then stop needling once the disease is cured. (Needling for Mania is the twenty-third method. Yang qi merges with the Yangming and Taiyang meridians, hence termed "various Yang meridians." The body and limbs experiencing simultaneous chills and fever is termed Mania. The needling method involves tonifying deficient Yin, causing all intermuscular spaces to feel hot, thereby restoring balance.)
If the disease initially presents with frequent attacks, and one attack is left untreated, followed by an attack once a day, and if left untreated again, progressing to four or five attacks, this condition is named *Dian Bing* (Epilepsy/Dian Syndrome). Needle the various intermuscular spaces and meridians; for those parts that are particularly cold, regulate them with needles, and stop when the disease is cured. (Needling for Dian Syndrome is the twenty-fourth method. Leaving one attack untreated refers to: after an initial severe attack of Dian, there is a period without recurrence. If untreated, subsequent attacks may occur once a day. If still untreated, they may occur four or five times within a single day, termed Dian Syndrome. The needling method waits for the attack to subside before needling the various intermuscular spaces and meridians, using needles to tonify the particularly cold areas, stopping upon cure. Some texts record this as occurring once a month.)
In wind diseases presenting with alternating chills and fever accompanied by sweating, occurring multiple times a day, first needle the textures of the intermuscular spaces and collateral vessels. If chills and fever persist, needle once every three days; the disease will be cured after one hundred days. (Needling for alternating chills and fever is the twenty-fifth method. Wind causes alternating chills and fever with sweating multiple times daily. Needle the cutaneous pores and collaterals of the intermuscular spaces. If chills and fever persist, needle once every three days; this constitutes the dosage regimen.)
In severe wind diseases (*Da Feng*, often referring to leprosy), where joints feel heavy and eyebrows and beard fall out, this condition is named *Da Feng*. Needle the muscles until sweating occurs, continuing for one hundred days; then needle the bone marrow until sweating occurs, continuing for another one hundred days. In total, two hundred days are required, stopping only when the eyebrows and beard have regrown. (Needling for Da Feng is the twenty-sixth method. Needling the muscle regions and bone marrow regions, each for one hundred days, totaling two hundred days, with the regrowth of eyebrows and beard as the endpoint.)