平按∶此篇自篇首至末,见《素问》卷十六第六十《骨空论》篇。自督脉起少腹至治督脉,
见《甲乙经》卷二第二,又见本书《督脉》篇。
黄帝问于岐伯曰∶余闻风者百病之始也,以针治之奈何?岐伯曰∶风从外入,令人振寒、汗
出、头痛、身重、恶风寒,治在风府,调其阴阳,不足则补,有余则泻。(风为百病之源,风初
入身凡有五种∶一者振寒,二者汗出,三者头痛,四者身重,五者恶风寒。□观虚实,取之风府。
风府,受风要处也。平按∶《素问》无于岐伯三字,恶风寒作恶寒。注观上所缺一字,谨拟作须。)
大风颈项痛,刺风府,风府在上椎。(大风,谓眉鬓落,大风病也。在上椎者,大椎上入脑户而至
风府。)大风汗出,灸 , 在背下侠脊旁三寸所,厌之令病者呼 , 应手。从风增
风,刺眉头。(上 ,一之反,下 ,火之反,谓病声也。风起则风病发,故曰从风,皆取于攒
竹也。平按∶增风《素问》作憎风。)失枕,在肩上之横骨间。(失枕为病,可取肩上横骨间,谓
柱骨间。平按∶《素问》无之字。)折使揄臂齐肘,正灸脊中,除 络季胁引少腹而痛。(折使
中也,谓使引臂当肘,灸脊中,除 络季胁与少腹相引痛病也。平按∶《素问》 上无除字。)
胀,刺 。( 在足太阳,故大肠胀,刺 也。)腰痛不可以转摇,急引阴卵,刺九 与
痛上,九 在腰尻分间。(八 与腰输为九 ,此经 字音聊,空穴也。平按∶《素问》九 均
作八 。)鼠 寒热,
还刺寒府,寒府在膝外解营。(寒热府在膝外解之营穴也,名曰HT 关也。 音漏也。平按∶膝上
《素问》有附字。)取膝上外者使之拜,取足心者使之跪。(凡取膝上外解使拜者,屈膝伏也。
取涌泉者,屈膝至地,身不伏为跪也。平按∶使之跪下《素问》有“任脉者,起于中极之下,以
上毛际,循腹里上关元,至咽喉,上颐循面入目。冲脉者,起于气街,并少阴之经,侠齐上行,
至胸中而散。任脉为病,男子内结七疝,女子带下瘕聚。冲脉为病,逆气里急。督脉为病,脊强
反折”凡八十一字。)督脉起少腹以下骨中央,女子入系庭孔,其孔溺孔之端,(骨中,尻下大
骨空中也。下入骨空中,女子系尾穴端,男子循阴茎也。平按∶《素问》督脉下有者字,起下有于
字。)其络循阴器合纂间,绕纂后,别绕 ,至少阴与巨阳中络者,合少阴上股内后廉,贯脊属
肾,与太阳起于目内 ,(督脉络也。绕阴器合于纂间,绕纂后复合,然后亦分为二道,绕 至
足少阴及足太阳二络,合足少阴之经,上阴股后廉,至脊属肾,寻足太阳脉,从颃颡上至目内
而出也。)上额交巅上,入络脑,还出别下项,循肩 内,侠脊抵腰中,入循膂络肾而止;其男子,
循茎下至纂,与女子等;(从目内 出已,两道上额,至顶上相交已,左右入脑中,还出两箱别
下项,各循肩 之内,侠脊下至腰中,各循脊膂,还复络肾,从颃颡出兑端,上鼻上,下项,下
至骨,气发于穴,余行之处,并不发之穴也。平按∶《素问》颠作巅,络肾下无而止二字,纂
作篡,说见前。注上额至顶,顶袁刻作项,颃颡袁刻误作顽颡。)其少腹直上者,贯齐中央,上贯
心入喉,上颐环唇,上系两目之下中央。(有人见此少腹直上者,不细思审,谓此督脉以为任脉,
殊为未当也。)此
生病,从少腹上冲心而痛,不得前后,为冲疝。其女子不字, 痔遗溺嗌干,督脉生病治督脉,
(此八种病,循督脉而生,故疗督脉之穴也。平按∶《素问》不字作不孕。)治在骨上,甚者在齐
下营。(以下言疗督脉穴。骨上,量是 骨。骨上,督脉标也。齐下营者,督脉本也,营亦穴处
也。)其上气有音者,治其喉中央,在缺盆中者。(有音,上气喘鸣声也。喉中央,廉泉也。缺盆中
央,天突穴也。)其病上冲喉者治渐,渐者上侠颐。(上侠颐者,是大迎穴道也。平按∶《素问》
治下有其字。)蹇膝伸不屈,治其楗。(伸不得屈,骨病。蹇,纪偃反。在髀辅骨以上,横骨以
下,名楗也。)坐而膝痛,治其机。(侠KT 骨相接之处,为机。)立而暑解,治其厌关。(人
立支节解处热,治其厌关。厌关,骸关也,□膝骨相属,屈伸之处也。平按∶厌关《素问》作骸
关。注骸关上袁刻脱关字。□膝骨相属袁刻作痛引膝骨,查原抄本膝骨上缺一字,膝骨下不缺,
袁刻将膝骨上所缺一字作痛引二字,又将膝骨下相字遗落,与原本不合。平拟将膝骨上所缺一字
作与,文义较顺。)膝痛,痛及母指,治其 。(母指,小母指也。足少阴、足太阳皆行 中至
足小指,故疗其 也。平按∶母指《素问》作拇指。)坐而膝痛如物隐者,治其关。( 上髀枢为
关也。)膝痛不可屈伸,治其背内;(背内,谓足太阳背输内也。)连 若折,治阳明中输 ;
(膝痛不得屈伸,连脚 其痛若折者,疗足阳明中输,谓是巨虚上廉也。 ,输穴也。平按∶《素
问》 作 ,输 作俞 。)若别,治巨阳少阳荥。(若 痛若别,可治足太阳、足少阳二脉荥
穴也。平按∶阳荥《素问》作阴荥。)淫泺不能久立,治少阳之维,在外踝上四寸。(泺,罗各
反。淫泺,膝 痹痛无力也。外踝上五寸,足少阳光明穴也;少阳维者,在四寸中也。平按∶《素
问》淫泺下有胫酸二字,外踝上四寸作
外上五寸。)辅骨上横骨下为楗,侠髋为机,膝解为骸关,侠膝之骨为患骸,骸下为辅,辅上为
, 上为关,项横骨为枕。(膝辅骨上横骨下为楗,当膝解处为骸也。项横骨,项上头后玉枕
也。髋,孔昆反,又音完。平按∶《素问》患骸作连骸,项作头。)水输五十七穴者,尻上五行,
行五,伏兔上两行,行五,左右各一行,行六穴。(前已言水输,今复重言者,此言水骨空,水
输主骨,故重言也。平按∶《素问》一行下有“行五,踝上各一行”七字。)髓空脑后三分,在
颅际兑骨之下,一在新纂下,一在项中复骨下,(平按∶三分赵府本《素问》作五分,脑上有在
字,兑作锐,新纂作龈基,项下有后字。)一在脊骨上空,在风府上,脊骨下空,在尻骨下空。
数髓空在面挟鼻,或骨空右口下当两肩。两 骨空,在 中之阳。臂骨空在阳,去踝四寸两骨之
间。(平按∶《素问》在阳作在背阳,两骨下有空字。)股骨上空在股阳,出上膝四寸。 骨空
在辅骨之上端。股际骨空在毛中动脉下。尻骨空在髀骨之后,相去四寸。遍骨有渗理,毋髓空,
易髓无空。(言骨上有空,五谷津液入此骨空,资脑髓也。此骨空种数所在难分,此皆可知者,不
可知者故置而不数也。两肩,有本为唇也。平按∶《素问》动下无脉字,遍骨作扁骨,渗理下有腠
字,毋髓空,空字作孔。)
【平按】:本篇从开头到结尾,见于《素问》卷十六第六十篇《骨空论》。从督脉起始于少腹至治疗督脉的内容,见于《甲乙经》卷二第二篇,也见于本书《督脉》篇。
黄帝问岐伯说:我听说风邪是各种疾病的开端,用针刺治疗它怎么样?岐伯回答说:风邪从外部侵入人体,使人出现寒战、出汗、头痛、身体沉重、怕风怕冷的症状,治疗应在风府穴进行,调节阴阳平衡,虚证用补法,实证用泻法。(风是百病的源头,风刚进入身体通常有五种表现:一是寒战,二是出汗,三是头痛,四是身体沉重,五是怕风怕冷。□观察虚实情况,取穴风府。风府,是受风的重要部位。平按:《素问》中没有“于岐伯”三个字,“恶风寒”写作“恶寒”。注:推测上面缺少的一个字,谨慎拟作“须”。)
患严重的风病导致颈项疼痛,针刺风府穴,风府穴位于上椎骨处。(所谓大风,是指眉毛鬓发脱落的大风病。位于上椎骨者,指大椎穴上方入脑户穴直至风府穴。)大风导致出汗,灸□穴,该穴在背部下方脊柱两侧各三寸处,按压此穴让病人呼喊□,手感应与声音相应。因风邪加重风病,针刺眉头(攒竹穴)。(上□,读作“一”的反切音;下□,读作“火”的反切音,指病人的病痛呻吟声。风邪起则风病发作,所以叫从风,都取用攒竹穴。平按:《素问》中“增风”写作“憎风”。)
落枕,取肩上横骨之间(柱骨间)。失枕这种病,可取肩上横骨之间,即柱骨之间。平按:《素问》中没有“之”字。
折断手臂使两臂与肘部齐平,正对脊中穴施灸,可消除络脉及季胁牵引少腹引起的疼痛。(折使中也,意思是使引臂当肘,灸脊中穴,以消除络脉、季胁与少腹相互牵引疼痛的病证。平按:《素问》中“除”字上没有字。)
大肠胀,刺□穴。(□穴在足太阳膀胱经,所以大肠胀,刺□穴。)腰痛不能转动摇晃,急迫地牵引阴囊疼痛,针刺九髎穴和疼痛部位,九髎穴位于腰尻骨节间隙中。(八髎穴加上腰部输穴共为九髎,此经文中的“髎”字读音为“聊”,意为空穴。平按:《素问》中“九髎”均写作“八髎”。)
鼠瘘伴寒热症状,还刺寒府穴,寒府穴在膝外侧关节的营穴处。(寒热府在膝外侧关节的营穴处,名为HT关穴。□音漏。平按:《素问》中膝上有“附”字。)
取膝上外侧穴位时让病人做拜的动作,取足心穴位时让病人跪着。(凡是取膝上外侧解穴让病人拜的,是屈膝伏身。取涌泉穴时,屈膝至地,身体不伏身称为跪。平按:在“使之跪”下面,《素问》有“任脉者,起于中极之下,以上毛际,循腹里上关元,至咽喉,上颐循面入目。冲脉者,起于气街,并少阴之经,侠齐上行,至胸中而散。任脉为病,男子内结七疝,女子带下瘕聚。冲脉为病,逆气里急。督脉为病,脊强反折”凡八十一字。)
督脉起于少腹以下骨中央,女子进入系连庭孔,其孔即溺孔的末端,(骨中,指尾骨下大骨的空中。向下进入骨空中,女子系连尾穴端,男子沿阴茎而行。平按:《素问》中督脉下有“者”字,起下有“于”字。)
督脉的络脉沿阴器合于纂间,绕纂后,别行绕□,至少阴经与巨阳经的中络处,汇合少阴经上行至大腿内侧后缘,贯穿脊柱属络于肾,与太阳经起于目内眦,(督脉络脉。绕阴器合于纂间,绕纂后复合,然后分为两道,绕□至足少阴及足太阳二络,汇合足少阴经,上行阴股后缘,至脊属肾,寻足太阳脉,从颃颡上行至目内眦而出。)
上行额部交于巅顶,入络于脑,复出别下行于项部,沿肩膊内侧,夹脊抵于腰中,入循膂络肾而止;对于男子,沿茎部下至纂,与女子相同;(从目内眦出已,两道上额,至头顶相交已,左右入脑中,复出两箱别下行项,各循肩膊之内,夹脊下至腰中,各循脊膂,还复络肾,从颃颡出兑端,上鼻上,下项,下至骨,气发于穴,其余行走之处,并不发之穴也。平按:《素问》中“颠”写作“巅”,“络肾”下无“而止”二字,“纂”写作“篡”,说法见前。注:上额至顶,袁刻本将“顶”误作“项”,“颃颡”袁刻误作“顽颡”。)
其直行的分支从少腹直上,贯脐中央,上贯心入喉,上颐环唇,上系两目之下中央。(有人见此少腹直上的路径,不仔细思考审察,认为这是督脉实为任脉,非常不当。)
此脉生病,气从少腹上冲心而痛,大小便不通,称为冲疝。女子不孕,痔疾,遗尿,咽干,督脉生病治疗督脉,(这八种病,循督脉而生,所以治疗督脉的穴位。平按:《素问》中“不字”写作“不孕”。)
治疗在骨上(耻骨),重症在脐下营穴。(以下言治疗督脉穴位。骨上,量度是耻骨。骨上,是督脉的标部。脐下营者,是督脉的本部,营也是穴处。)
其上气有声者,治疗喉中央,在缺盆中者。(有音,指上气喘鸣声。喉中央,是廉泉穴。缺盆中央,是天突穴。)
病气上冲喉者,治渐,渐者位于上挟颐处。(上挟颐者,是大迎穴道。平按:《素问》中“治”下有“其”字。)
膝盖僵硬伸展不利,治疗楗穴。(伸不得屈,属骨病。蹇,纪偃反切音。在大腿辅骨以上,横骨以下,名为楗。)
站立时膝关节解处发热,治疗厌关穴。(人站立支节解处热,治其厌关。厌关,即骸关,□膝骨相属,屈伸之处。平按:《素问》中“厌关”写作“骸关”。注:骸关上袁刻脱“关”字。□膝骨相属袁刻作“痛引膝骨”,查原抄本膝骨上缺一字,膝骨下不缺,袁刻将膝骨上所缺一字作“痛引”二字,又将膝骨下“相”字遗落,与原本不合。平拟将膝骨上所缺一字作“与”,文义较顺。)
膝盖疼痛,痛及小母指,治疗□穴。(母指,即小母指。足少阴、足太阳皆行□中至足小指,所以治疗其□。平按:《素问》中“母指”写作“拇指”。)
坐位时膝盖疼痛如物隐藏感,治疗关穴。(□上髀枢为关。)
膝盖疼痛不可屈伸,治疗背内;(背内,谓足太阳背输穴内。)
连脚□若折断感,治疗阳明经中输穴□;(膝痛不得屈伸,连脚□其痛若折者,疗足阳明中输,即是巨虚上廉穴。□,输穴。平按:《素问》中□作□,输□作俞。)
若疼痛感觉像分离一样,治疗巨阳、少阳的荥穴。(若□痛若别,可治足太阳、足少阳二脉荥穴。平按:《素问》中“阳荥”写作“阴荥”。)
淫泺无力不能久立,治疗少阳之维脉,在外踝上四寸。(泺,罗各反切音。淫泺,膝□痹痛无力。外踝上五寸,足少阳光明穴;少阳维者,在四寸中。平按:《素问》中“淫泺”下有“胫酸”二字,外踝上四寸作外上五寸。)
辅骨上横骨下为楗,侠髋为机,膝解为骸关,侠膝之骨为患骸,骸下为辅,辅上为□,□上为关,项横骨为枕。(膝辅骨上横骨下为楗,当膝解处为骸。项横骨,项上头后玉枕也。髋,孔昆反切音,又音完。平按:《素问》中“患骸”写作“连骸”,“项”写作“头”。)
水输五十七穴者,尻上五行,每行五穴,伏兔上两行,每行五穴,左右各一行,每行六穴。(前面已言水输,现在重复言者,此言水骨空,水输主骨,所以重言。平按:《素问》中一行下有“行五,踝上各一行”七字。)
髓空在脑后三分,在颅际兑骨之下,一个在新纂下,一个在项中复骨下,(平按:三分赵府本《素问》作五分,脑上有“在”字,兑作锐,新纂作龈基,项下有“后”字。)
一个在脊骨上空,在风府上,脊骨下空,在尻骨下空。数髓空在面挟鼻,或骨空右口下当两肩。两□骨空,在□中之阳。臂骨空在阳,去踝四寸两骨之间。(平按:《素问》中“在阳”作“在背阳”,两骨下有“空”字。)
股骨上空在股阳,出上膝四寸。□骨空在辅骨之上端。股际骨空在毛中动脉下。尻骨空在髀骨之后,相去四寸。遍骨有渗理,毋髓空,易髓无空。(言骨上有空,五谷津液入此骨空,资脑髓也。此骨空种数所在难分,此皆可知者,不知者故置而不数也。两肩,有本为唇也。平按:《素问》中“动”下无“脉”字,“遍骨”作“扁骨”,“渗理”下有“腠”字,“毋髓空”,“空”字作“孔”。)
[Ping An]: This chapter, from the beginning to the end, is found in Volume 16, Chapter 60 of *Suwen* (Plain Questions), titled "Gu Kong Lun" (Treatise on Bone Cavities). The content starting from the Du Meridian originating at the lower abdomen up to the treatment of the Du Meridian is found in Volume 2, Chapter 2 of *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion), and also in the "Du Mai" (Du Vessel) chapter of this book.
Yellow Emperor asked Qibo: I have heard that wind pathogens are the beginning of all diseases. How should they be treated with acupuncture? Qibo replied: When wind pathogens enter from the exterior, they cause chills (Zhen Han), sweating (Han Chu), headache (Tou Tong), heaviness of the body (Shen Zhong), and aversion to wind and cold (E Feng Han). Treatment should be conducted at Fengfu (GV18) acupoint, regulating Yin and Yang. For deficiency patterns, apply tonification; for excess patterns, apply sedation. (Wind is the source of a hundred diseases. When wind first enters the body, there are five manifestations: one is chills, two is sweating, three is headache, four is body heaviness, five is aversion to wind and cold. □ Observe the deficiency or excess, and select Fengfu acupoint. Fengfu is an important site for receiving wind. Ping An: *Suwen* lacks the characters "Yu Qibo"; "E Feng Han" is written as "E Han". Note: The missing character above is tentatively proposed as "Xu" [must].)
Severe wind disease causing neck and nape pain: puncture Fengfu acupoint, which is located at the upper vertebra. (Severe wind refers to the disease characterized by loss of eyebrows and hair. "Located at the upper vertebra" means from Dazhui (GV14) upwards into Naohu (GV17) reaching Fengfu.) Severe wind causing sweating: moxibustion on □ acupoint, located three cun lateral to the lower spine on the back. Press this point and ask the patient to call out □; the hand sensation should correspond to the sound. If wind exacerbates wind disease, puncture the eyebrow center (Cuanzhu, BL2). (The upper □ is pronounced with the reverse cut of "Yi", the lower □ with the reverse cut of "Huo", referring to the patient's pain groans. When wind arises, wind disease erupts, hence called "Cong Feng"; all are treated by taking Cuanzhu. Ping An: *Suwen* writes "Zeng Feng" as "Zeng Han".)
Stiff neck (Shi Zhen): treat the transverse bone between the shoulders. Stiff neck can be treated at the space between the transverse bones of the shoulder, i.e., between the cervical vertebrae. Ping An: *Suwen* lacks the character "Zhi".
If the arm is fractured/bent so that the arms align with the elbows, moxa directly on Jizhong (GV12) to eliminate pain radiating from the collateral vessels and hypochondrium to the lower abdomen. (Bending the arm makes it align with the elbow; moxa Jizhong to eliminate the condition where collaterals, hypochondrium, and lower abdomen pull each other in pain. Ping An: *Suwen* has no character before "Chu".)
Intestinal distension: puncture □ acupoint. (□ acupoint is on the Foot-Taiyang Bladder Meridian; thus, for intestinal distension, puncture □.) Lower back pain with inability to turn or sway, urgently pulling on the scrotum/testicles: puncture the Nine Liao (Jiu Liao) acupoints and the painful area. The Nine Liao are located in the interspaces of the sacrum. (Eight Liao plus the lumbar Shu points constitute the Nine Liao. The character "Liao" in this text is pronounced "Liao", meaning empty cavity. Ping An: *Suwen* writes "Jiu Liao" as "Ba Liao".)
Plague-like cold-heat syndrome (Shu Lou): still puncture the Cold Palace (Han Fu). The Cold Palace is at the Ying acupoint outside the knee joint. (The Cold-Heat Palace is at the Ying acupoint outside the knee joint, named Guan. □ is pronounced "Lou". Ping An: *Suwen* has the character "Fu" above the knee.)
To access the acupoint on the upper outer knee, have the patient perform a bowing motion. To access the sole acupoint, have the patient kneel. (To take the outer solution point above the knee, the patient bows, bending the knees and leaning forward. To take Yongquan (KI1), the patient bends knees to the ground without leaning the body forward, which is kneeling. Ping An: Below "Shi Zhi Gui", *Suwen* contains eighty-one characters describing the Ren, Chong, and Du meridians.)
The Du Meridian originates from the central bone below the lower abdomen. In women, it enters and connects to the Ting Kong (Court Aperture); this aperture is the end of the urinary aperture. (Bone middle refers to the hollow space below the coccyx. Descending into the bone hollow, in women it connects to the tailbone tip; in men, it follows the penis. Ping An: *Suwen* adds "Zhe" after Du Mai and "Yu" after Qi.)
Its collateral follows the genitalia, meeting at the perineum (Cuan Jian), circling behind the perineum, then diverging to □, reaching the Shaoyin and Taiyang middle collaterals, merging with the Shaoyin meridian ascending along the posterior medial aspect of the thigh, penetrating the spine and connecting to the Kidney. It joins the Taiyang meridian originating at the inner canthus. (Du collateral. Circling genitalia meeting at Cuan Jian, circling behind Cuan, then recombining and dividing into two paths, circling □ to the Foot-Shaoyin and Foot-Taiyang collaterals, merging with Foot-Shaoyin, ascending the posterior medial thigh, reaching the spine connecting to Kidney. Tracing Foot-Taiyang, it goes from Xiang Sang to the inner canthus.)
Ascending the forehead, crossing at the vertex (Dian), entering to network the brain, emerging again to descend separately down the nape, following the medial side of the shoulder blades, flanking the spine to reach the waist center, entering to follow the Diaphragm muscle, networking the Kidney, and stopping; for men, it follows the penis down to the perineum, identical to women. (From the inner canthus, two paths ascend the forehead, cross at the vertex, enter the brain left and right, emerge again descending separately down the nape, each following the interior of the shoulder blades, flanking the spine down to the waist, each following the spinal muscles, returning to network the Kidney, exiting from Xiang Sang to Dui Duan, ascending the nose, descending the nape, down to the bone. Qi emanates from acupoints; places traveled otherwise do not emit from acupoints. Ping An: *Suwen* writes "Dian" as "Dian"; "Luo Shen" lacks "Er Zhi"; "Cuan" writes as "Cuan". Note: "Shang E" to top, Yuan edition mistakenly wrote "Xiang" for "Ding"; "Xiang Sang" mistakenly wrote "Wan Sang".)
The branch rising straight from the lower abdomen penetrates the center of the umbilicus, ascends through the Heart, enters the throat, ascends to the chin, circles the lips, and ascends to connect to the center below both eyes. (Some people seeing this path rising straight from the lower abdomen, without careful thought, mistake this Du Meridian for the Ren Meridian, which is highly inappropriate.)
Diseases of this meridian include Qi rushing from the lower abdomen to the heart causing pain, with inability to pass stool or urine, termed Chong Hernia. In women: infertility (Bu Zi), hemorrhoids, enuresis, and dryness of the throat. Diseases of the Du Meridian are treated by treating the Du Meridian. (These eight types of diseases arise along the Du Meridian, hence treating Du Meridian acupoints. Ping An: *Suwen* writes "Bu Zi" as "Bu Yun".)
Treatment is at the Gu Shang (Bone Above, likely Pubic Symphysis area); severe cases are at the Qi Xia Ying (Camp Below Umbilicus). (Below discusses treating Du Meridian acupoints. Gu Shang measures the pubic bone. Gu Shang is the Biao aspect of the Du Meridian. Qi Xia Ying is the Ben aspect of the Du Meridian; Ying also refers to an acupoint location.)
For upper Qi with noisy breathing, treat the center of the throat, located in the center of the Quepen (Clavicular Fossa). (You Yin refers to the sound of upper Qi wheezing. Center of throat is Lianquan (CV23). Center of Quepen is Tiantu (CV22).)
For disease Qi rushing up the throat, treat Jian. Jian is located above and flanking the chin. (Above flanking chin is Daying (ST5). Ping An: *Suwen* has "Qi" after "Zhi".)
Stiff knee unable to extend or flex, treat the Jian acupoint. (Unable to extend and flex is a bone disease. Jian, pronounced Ji Yan. Located above the femoral accessory bone and below the transverse bone, named Jian.)
Knee pain while sitting, treat the Ji acupoint. (The junction flanking the KT bone is called Ji.)
Knee pain while standing with heat at the joint resolution, treat the Yan Guan acupoint. (When standing, heat at the joint resolution is treated at Yan Guan. Yan Guan is Hai Guan, □ knee bones joining, the place of flexion and extension. Ping An: *Suwen* writes "Yan Guan" as "Hai Guan". Note: Yuan edition missed "Guan" after "Hai Guan". □ Knee bones joining Yuan edition wrote as "Tong Yin Xi Gu"; checking original manuscript, one character is missing above "Xi Gu", none below. Yuan edition filled the missing character as "Tong Yin" and omitted "Xiang" below, inconsistent with original. Ping proposes filling the missing character as "Yu" for smoother meaning.)
Knee pain extending to the little toe, treat the □ acupoint. (Mu Zhi refers to the little toe. Foot-Shaoyin and Foot-Taiyang both travel through □ to the little toe, hence treating its □. Ping An: *Suwen* writes "Mu Zhi" as "Mu Zhi".)
Sitting knee pain feeling like a hidden object, treat the Guan acupoint. (□ above the hip pivot is Guan.)
Knee pain unable to flex or extend, treat the Bei Nei (Inner Back); (Bei Nei refers to the inner aspect of the Foot-Taiyang Back Shu points.)
Pain connecting to the foot □ feeling like fracture, treat the Middle Shu acupoint □ of the Yangming Meridian; (Knee pain unable to flex/extend, connecting to foot □ pain like fracture, treat Foot-Yangming Middle Shu, namely Jubo Shanglian (ST37). □ is a Shu acupoint. Ping An: *Suwen* writes □ as □, Shu □ as Yu.)
If the pain feels like separation, treat the Ying-Rest acupoints of Juyang and Shaoyang. (If □ pain feels like separation, treat Ying-Rest acupoints of Foot-Taiyang and Foot-Shaoyang. Ping An: *Suwen* writes "Yang Ying" as "Yin Ying".)
Weakness and inability to stand long (Yin Luo), treat the Wei-Vessel of Shaoyang, four cun above the lateral malleolus. (Luo, pronounced Luo Ge. Yin Luo means knee □ bi-pain and weakness. Five cun above lateral malleolus is Guangming (GB37) of Foot-Shaoyang; Shaoyang Wei is at four cun. Ping An: *Suwen* adds "Jing Suan" after "Yin Luo"; four cun above lateral malleolus is written as five cun above lateral.)
Accessory bone above and transverse bone below is Jian; flanking the hip is Ji; knee resolution is Hai Guan; flanking the knee bone is Huan Hai; below Hai is Fu; above Fu is □; above □ is Guan; transverse bone of the nape is Zhen. (Accessory bone above and transverse bone below is Jian; at knee resolution is Hai. Transverse bone of nape is Yuzhen at the back of the head. Kua, pronounced Kun, also Wan. Ping An: *Suwen* writes "Huan Hai" as "Lian Hai", "Xiang" as "Tou".)
Water Shu fifty-seven acupoints: five rows above the sacrum, five per row; two rows above Futu, five per row; one row on each side, six per row. (Previously mentioned Water Shu, now repeated: this speaks of Water Bone Cavities. Water Shu governs bones, hence repeated. Ping An: *Suwen* adds seven characters "Xing Wu, Huai Shang Ge Yi Hang" after one row.)
Marrow cavities are three fen behind the brain, below the frontal bone at the skull margin; one below the new gum line, one below the occipital bone in the neck; (Ping An: Three fen Zhao Fu edition *Suwen* writes five fen; "Zai" above brain; Rui instead of Dui; Yinji instead of Xin Cuan; Hou below neck.)
One above the empty space of the spinal bone, above Fengfu; one below the empty space of the spinal bone, below the sacral bone. Counting marrow cavities on the face flanking the nose, or bone cavities below the mouth corresponding to both shoulders. Two □ bone cavities, at Yang within □. Arm bone cavity is at Yang, four cun from the ankle between two bones. (Ping An: *Suwen* writes "Zai Yang" as "Zai Bei Yang"; "Kong" below two bones.)
Thigh bone cavity above is at Guyang, four cun above the knee. □ bone cavity is at the upper end of the accessory bone. Thigh interstice bone cavity is below the pulsating artery in the hair region. Sacral bone cavity is behind the femoral bone, four cun apart. All bones have seeping pores; no marrow cavity, changing marrow has no cavity. (Speaking of emptiness in bones, fluids from grains enter these bone cavities to nourish brain marrow. The number and location of these bone cavities are difficult to distinguish; those known are listed, unknown ones are omitted. Both shoulders, some editions read as Lips. Ping An: *Suwen* lacks "Mai" under "Dong"; Bian Gu writes Pian Gu; "Cou" below "Shen Li"; "Kong" writes "Kong" in "Wu Sui Kong".)