厥挟脊而痛至顶。头沉沉然。目KT KT 然。腰脊强。取足太阳 中血络。（KT 音荒）
此论客气厥逆于经而为杂病也。足太阳之脉起于目内 。上额交巅。从巅入络脑。还出别下项。
挟脊抵腰中。太阳之气。主于肤表。客气始伤太阳。则经气厥逆。而为头目项脊之病。故当取足太
阳中血络。以泻其邪。沉、重也。莫云从曰。虚邪之中人也。必先始于皮毛。太阳之气主表。故首
论其太阳。
厥胸满面肿。唇漯漯然。暴言难。甚则不能言。取足阳明。
足阳明之脉。起于鼻交 中。挟口环唇。循喉咙。入缺盆下膈。本经曰。中于面。则下阳明。
盖中于面之皮肤。则面肿。下于阳明之经。则为胸满唇漯诸证。喉咙者。气之所以上下也。阳明之
脉循喉咙。逆则气机不利。故暴言难。甚则不能言也。当取足阳明之经以泻其邪。
厥气走喉而不能言。手足清。大便不利。取足少阴。
此邪病足少阴之气而为厥逆也。足少阴肾脉。循喉咙。挟舌本。厥气上逆于喉。故不能言。肾为
生气之原。气逆。故手足清。肾开窍于二阴。故大便不利。当取足少阴以通其逆气。
厥而腹向向然。多寒气。腹中谷HT HT 。便溲难。取足太阴。（HT 音谷）
此客气薄于太阴。致太阴之气厥而为此诸证也。腹乃脾土之郭。气厥于内。故腹向向然。太阴
湿土主气。为阴中之至阴。故寒气多。而HT HT 然如水湿之声也。地气不升。则天气不降。故溲便难。
取足太阴以散其厥逆。嗌干。口中热如胶。取足少阴。
夫所谓厥者。有病在下而气厥于下者。有病在下而厥气上逆者。如上节之厥气。走喉而不能言。
乃少阴之气。上逆于喉也。此邪病少阴之气。而气厥于下也。盖心肾水火之气。上下时交。少阴之
气。厥逆于下而不上交于心。则火热盛而嗌干。口中热如胶矣。取足少阴以散逆气。而通水阴之上济。
膝中痛。取犊鼻以圆利针。发而间之。针大如 。刺膝无疑。
按、以上五节。乃邪客阴阳之气而为气厥。即有见经证者。乃邪在气而迫及于经也。此以下。复
论邪入于经。而经脉之厥逆。故曰针大如 。刺膝无疑。九针论曰。六者律也。律者。调阴阳四时
而合十二经脉。虚邪客于经络而为暴痹者也。故为之治针。必令尖如 。且圆且锐。中身微大。
以取暴气。此邪客于足阳明之经而为膝中痛者。当以如 之针。而刺膝痛之无疑也。意言邪在气而
致气厥者。当取之气穴。邪客于经络而为经痛者。当取之经穴无疑也。 音厘。牛尾也。张开之
曰。暴痹者。不从气而转入。乃直中于脉而为脉痹也。犊鼻乃足阳明胃经穴。不因于气。故曰取犊
鼻而不曰阳明。以下取手足之三阳者。经气之合病也。
喉痹不能言。取足阳明。能言取手阳明。
喉痹者。邪闭于喉而肿痛也。足阳明之脉。循喉咙。挟于结喉之旁。故邪闭则不能言矣。当取
之足阳明。手阳明之脉。在喉旁之次。故能言者取手阳明。
疟不渴。间日而作。取足阳明。渴而日作。取手阳明。
疟气随经络。沉以内薄。间日而作者。其气舍深。内薄于阴而不得出。足阳明之脉。属胃络脾。
应地气之在下。其道远。故间日而作。地为阴。故不渴。手阳明之脉。属大肠。络肺。应天气之在
上。其道近。故日作。天为阳。故渴也。沈亮宸曰。按、素问疟论云。其间日者。邪气与卫气客
于六腑。而有时相失。不能相得。故休数日乃作。夫手阳明者。肺之腑。手太阳者。心之腑。手少阳者。
心主包络之腑。此三腑者。主气主火而应于上。故渴而日作。足阳明者。脾之腑。足太阳者。肾之
腑。足少阳者。肝之腑。此三腑者。主血主水而在下。故不渴而间日作。独取
手足阳明者。身半以上。手阳明皆主之。身半以下。足阳明皆主之。
齿痛不恶清饮。取足阳明。恶清饮。取手阳明。
手足阳明之脉。遍络于上下之齿。足阳明主悍热之气。故不恶寒饮。手阳明主清秋之气。故恶
寒饮。莫云从曰。齿痛。病在手足阳明之脉。恶清饮不恶清饮。手足阳明之气也。此因脉以论气。
因气以取脉。脉气离合之论。盖可忽乎哉。
聋而不痛者。取足少阳。聋而痛者。取手阳明。（阳明当作少阳）
手足少阳之脉。皆络于耳之前后。入耳中。手少阳秉三焦之相火。故聋而痛。莫云从曰。与
上节之意相同。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。（ 音胚宛腕同）
鼻中出血曰衄。血至败恶凝聚。其色赤黑者曰 。阳络伤则衄血。手足太阳之脉。交络于鼻上。
足太阳主水。故 血流。手太阳主火。故 血而不流。此邪薄于皮毛之气分。而迫于络脉也。故取手
足太阳以行气。不已。刺手之经脉于腕骨下。不已。刺足之经脉于 中。莫云从曰。取气先足而手。
取经脉先手而足。经气上下环转之不息。
腰痛。痛上寒。取足太阳阳明。痛上热。取足厥阴。不可以俯仰。取足少阳。
足太阳阳明少阳厥阴之脉。皆循腰脊而上行。太阳阳明。主寒水清金之气。故痛上寒者。取足
太阳阳明。厥阴风木主气。秉中见少阳之火化。故痛上热者。取足厥阴。不可以俯仰者。少阳之枢折
也。故取之少阳。沈亮宸曰。腰脊者。身之大关节也。厥阴主春。少阳主夏。阳明主秋。太阳主冬。寒暑
往来之气厥逆。
则为腰脊之病。故独取此四经焉。
中热而喘。取足少阴 中血络。
足少阴之脉上行者。贯膈注胸中。入肺络心。下行者。循阴股内廉。斜入 中。中热而喘者。
厥逆于下而不得上交于心。故取足厥阴 中血络。莫云从曰。嗌干口中热如胶。乃水火之气。上下
不济。故曰取足少阴。中热而喘。乃上下之经脉不交。故取 中血络。
喜怒而不欲食。言益小。取足太阴。怒而多言。刺足少阳。
此下论阴阳喜怒。饮食居处。而成内因厥逆之杂病也。暴喜伤心。暴怒伤肝。食气入胃。散精
于心肝。食饮不节。肝心气逆。故不欲食也。五者音也。音主长夏。肝心气逆。则中气不舒。故言
益小也。当取足太阴以疏脾气。则食气得以转输。而音声益彰矣。肝主语而在志为怒。怒而多言。厥
阴之逆气太甚。故当取中见之少阳。以疏厥阴之气。
颔痛。刺手阳明。与 之盛脉出血。（ 叶坎）
此言手足阳明之经气厥逆。皆能为颔痛也。手阳明之脉。从缺盆上颈贯颊。足阳明之气。上走
空窍。循眼系出 。下客主人。循牙车。合阳明。并下人迎。颔在腮之下。人迎之上。此病阳明之
气。下合阳明之经而为颔痛。故不曰取足阳明。而曰 之盛脉。盖气逆于 而致脉盛也。莫云从曰。
足阳明之脉。起于鼻交 中。入齿中。
挟口环唇。交承浆。循颊车。上耳前。从大迎下人迎。阳明之气。上冲于头。走空窍。循眼系。入
络脑。出 下客主人。循牙车而下。始与阳明之脉相合。而并下人迎。
项痛。不可俯仰。刺足太阳。不可以顾。刺手太阳也。
手足太阳之脉。皆循项而上。故皆能为项痛。足太阳之脉。挟脊抵腰中。故不可俯仰者。取足
太阳。手太阳之脉绕肩胛。故不可以顾者。取手太阳也。
小腹满大。上走胃至心。淅淅身时寒热。小便不利。取足厥阴。腹满。大便不利。腹大。亦上
走胸嗌。喘息喝喝然。取足少阴。腹满食不化。腹向向然。不能大便。取足太阴。
此三阴之经气厥逆于下。而皆能为腹满也。口问篇曰。夫百病之始生也。皆生于风雨寒暑。阴
阳喜怒。饮食居处。大惊卒恐。则血气分离。阴阳破散。经络厥绝。脉道不通。阴阳相逆。血气不
次。乃失其常。如惊怒则伤足厥阴肝。卒恐则伤足少阴肾。饮食不节。则伤足太阴脾。脏气伤则经
络厥绝。脉道不通。而皆为胀满也。足厥阴肝脉。抵小腹。挟胃上贯膈。厥阴之经脉厥逆。故小腹
满大。厥气上逆。则走胃至心。厥阴者。阴极而一阳初生。故身淅淅然。时有寒热之变。肝主疏泄。
小便不利者。厥阴之气逆也。肾者。胃之关也。而开窍于二阴。腹胀满而大便不利者。肾气逆而关
门不利也。足少阴之脉。上贯肝膈。入肺中。循喉咙。气逆则及于经。故亦上走胸嗌。而喘息喝喝
然。此少阴之气逆也。足太阴主输运水谷。脾气厥逆。故腹满而食饮不化。足太阴是动。则病腹胀。
善噫。得后气则快然如衰。腹向向然。不能大便者。气逆于中也。故当取足三阴之经。以通厥逆之气。
心痛引腰脊。欲呕。取足少阴。
腰脊。肾之外府也。肾与胃戊癸合化。心痛引腰脊而欲呕者。肾气上逆而为心痛也。当取之足
少阴。
心痛。腹胀。啬啬然。大便不利。取足太阴。
啬啬。畏寒貌。太阴为阴中之至阴。阴寒。故腹胀而啬啬然。大便不利者。土气不化也。此足
太阴之气厥而为心痛。故当取本经以疏逆气。
心痛引背。不得息。刺足少阴。不已。取手少阳。
肾脉从肾贯膈。入肺中。出络心。心痛引背不得息。少阴之经脉。厥逆于上而为心痛也。故当
刺足少阴。不已者。肾脏之气逆也。少阳属肾。三焦之气。发原于肾脏。上布于胸中。故当取手少
阳。以泻肾气之逆。莫云从曰。刺少阴之脉曰刺。取少阳之气曰取。
心痛。引小腹满。上下无定处。便溲难。刺足厥阴。
足厥阴肝脉抵小腹。别贯膈。上注肺。心痛引小腹满者。厥阴之经络上逆也。上下无定处。溲
便难者。厥阴之气逆也。此经气并逆。当刺足厥阴之经。经脉通。则气亦疏利矣。
心痛。但短气不足以息。刺手太阴。
肺主气而司呼吸。心系上连于肺。心痛但短气不足以息者。但逆在肺而为心痛也。当刺手太阴
以通肺气之逆。沈亮宸曰。足太阴少阴厥阴而为心痛者。脏气上逆而为痛也。肺乃心之盖。故但
短气不足以息。此
病在本脏而应于心也。四脏皆然。故无真心痛之死证。
心痛当九节次之。按已刺。按之立已。不已。上下求之。得之立已。
此总结五种心痛。因脏气之上乘而为痛也。次者。俞穴之旁也。九节次之者。肝俞次旁之魂门也。
肝藏之魂。心藏之神。相随而往来出入。故取之魂门以通心气。按已而刺。出针而复按之。导引气
之疏通。故心痛立已。九节之上。乃膈俞旁之膈关。下乃胆俞次之阳纲。心气从内膈而通于外。故
不已。当求之上。以通心神。求之下。以舒魂气。得之者。得其气也。金匮玉函曰。经络受邪。入
脏腑为内所因。前章之厥心痛。乃五脏之血脉相乘。故有真心痛之死证。此因气而痛。故按摩导引。
可立已也。前章刺血脉。曰昆仑然谷。鱼际太渊。此取脏气。曰太阴厥阴。少阴少阳。沈亮宸曰。
七节之旁。中有小心。如逆伤心气者环死。故取之魂门以通心气。不得已而求之膈关也。余伯荣
曰。前章之厥心痛。论经脉相乘。而有兼乎气者。此厥气为痛。而有及于经者。
痛。刺足阳明曲周动脉。见血立已。不已。按人迎于经立已。（ 叶坎）
。面也。 痛者。邪伤阳明之气也。阳明之脉。曲折于口鼻颐颊之间。故取阳明曲周动脉。
见血立已。此气分之邪。随血而解。如不已。按人迎于头立已。前三句论经气之相通。所谓中于面
则下阳明是也。后二句。论阳明之气。上冲于头而走空窍。出 。循牙车而下合于阳明之经。并下
人迎。言如不从曲折之络脉而解。导之入于人迎而下行。其痛可立已也。盖阳明居中土。为万物之
所归。邪入于经。则从肠胃而出矣。余伯荣曰。如寒伤太阳。剧者必衄。衄乃解。此皆气分之邪。
可随血而愈。莫云从曰。按人迎于经。乃启下文之意。言阳
明之气。上行于头。从牙车而下合于人迎。循膺胸而下出于腹气之街者也。
气逆上。刺膺中陷者。与下胸动脉。
气逆上者。气逆于上而不下行也。膺胸间乃足阳明经脉之所循。刺之使在上之逆气。而下通于
经也。此言阳明之气。从人迎而下循于膺。从膺以下胸。从胸而下脐也。
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。
此承上文而言阳明之气。循经而下行也。足阳明之脉。从膺胸而下挟脐。入气街中。腹痛者。
阳明之经厥也。故当刺脐左右之动脉。不已。刺气街。按之立已。夫腹气有街。与冲脉于脐左右之
动脉间。刺气街而按之者。使经脉之逆气。从气街而出于肤表也。此论阳明之气。上冲于头而走空
窍。出 。循牙车而下合阳明之经。并下人迎。循膺胸而下出于脐之气街。是阳明之气。出入于经
脉之外内。环转无端。少有留滞。则为痛为逆矣。沈亮宸曰。阳明之气。从外迎而直下于足跗。
通贯于十二经脉。故上之人迎。与下之冲阳。其动也若一。气街者。气之径路也。盖络绝不通。然
后从别径而出。非竟出于气街也。故先刺挟脐左右之动脉。不已。而后取之气街。
痿厥。为四末束 。乃疾解之。日二。不仁者。十日而知。无休。病已止。（ 音闷）
厥证伴有脊柱疼痛并延伸至头顶。头部沉重昏蒙。两眼视物模糊不清。腰部及脊柱僵硬强直。治疗应选取足太阳膀胱经的血络。（“KT”读音同“荒”）
这是论述外邪客于经脉导致气机逆乱而形成的杂病。足太阳膀胱经的脉气起于目内眦，上行至额部，交会于头顶；从头顶入络于脑；复出下行经过项部；挟行于脊柱，抵达腰中。太阳经的气血主要主管体表肌肤。当外邪初伤太阳经时，会导致经气逆乱，从而引发头、目、项、脊部位的病症。因此应当选取足太阳经中的血络，以泻除邪气。“沉”意为重浊感。莫云从说：虚邪侵袭人体，必定先从皮毛开始。因为太阳经之气主司体表，所以首先论述太阳经的病证。
厥证表现为胸部胀满、面部浮肿，口唇湿润欲滴，突然说话困难，严重时甚至完全不能言语。治疗应选取足阳明胃经。
足阳明胃经的脉气起于鼻翼两侧，交会在鼻根处，环绕口唇，沿喉咙下行，进入缺盆，穿过膈肌。本经《灵枢》中说：“邪气中于面部，则下行影响阳明经。”这是因为邪气中于面部的皮肤，就会导致面部浮肿；邪气下陷于阳明经，就会出现胸满、口唇湿润等症状。喉咙是气机上下通行的通道。足阳明胃经循行经过喉咙，如果经气逆乱，气机就不利，所以出现突然说话困难，严重时甚至不能言语。此时应当选取足阳明经来泻除邪气。
厥气上冲咽喉导致不能言语，手足发凉，大便不通畅。治疗应选取足少阴肾经。
这是邪气侵犯足少阴肾经之气而导致厥逆。足少阴肾经的脉气，沿着喉咙，挟持舌根。厥气上逆冲击咽喉，所以不能言语。肾是元气生成的根本，气机逆乱，所以手足发凉。肾开窍于前后二阴，所以大便不通畅。此时应当选取足少阴经来疏通其逆乱之气。
厥证表现为腹部胀满不适，伴有较多寒气，腹中肠鸣如谷物滚动之声，大小便困难。治疗应选取足太阴脾经。（“HT”读音同“谷”）
这是外邪迫近太阴经，导致太阴经之气厥逆而产生这些症状。腹部是脾土的外廓，气机在体内厥逆，所以腹部胀满不适。太阴湿土主令，属于阴中之至阴，所以寒气多，且发出如水湿流动般的声响。地气不升，则天气不降，所以小便和大便困难。此时应当选取足太阴经来疏散其厥逆之气。咽喉干燥，口中发热感觉像胶一样黏稠。治疗应选取足少阴肾经。
所谓厥证，有因病在下而气机郁结于下的，也有因病在下而厥气上逆的。如上节所述的厥气上冲咽喉而不能言语，那是少阴经之气上逆于喉。本节所述则是邪气侵犯少阴经之气，而气机郁结于下。心与肾的水火之气，本应上下交互。如果少阴经之气厥逆于下而不能上交于心，就会导致火热亢盛，出现咽喉干燥、口中热如胶的症状。此时应当选取足少阴经来疏散逆气，并通调水阴之气上济于心。
膝盖中部疼痛。治疗应取犊鼻穴，使用圆利针。进针后间隔一段时间再出针。针体粗大如牛尾毛（“ ”音厘，指牛尾毛），刺入膝部无疑义。
按：以上五节，论述的是邪气客于阴阳之气而导致气机厥逆，即使见到经络证候，也是邪在气分而波及到经络。以下部分，重新论述邪气进入经络，导致经脉本身的厥逆，所以说“针大如牛尾毛”，刺膝部无疑。《九针论》说：“六者对应律吕。”律吕是用来调和阴阳四时并配合十二经脉的。虚邪客于经络导致暴发性痹症，因此制定这种治病的针具，必须使针尖像牛尾毛一样，既圆又锐，针身中间略微粗大，用以祛除暴盛的邪气。这是邪气客于足阳明经导致膝盖中部疼痛，应当用像牛尾毛一样的针来刺膝部，这是毫无疑问的。意思是说，邪在气分导致气机厥逆的，应当取气穴；邪客于经络导致经脉疼痛的，应当取经穴，这是确定的。 音厘，即牛尾毛。张开之说：暴发性痹症，不是从气分转入，而是直接中于血脉形成脉痹。犊鼻穴是足阳明胃经的穴位，不是因为气分病变，所以只说取犊鼻而不说取阳明经。以下选取手足三阳经，是经气合病的表现。
喉痹导致不能言语，选取足阳明胃经；如果能言语，选取手阳明大肠经。
喉痹是指邪气闭阻于咽喉导致肿痛。足阳明胃经的脉气，沿着喉咙，夹持结喉旁边，所以邪气闭阻时就不能言语。此时应当选取足阳明经。手阳明大肠经的脉气，在喉咙旁边的次级位置，所以能言语的患者选取手阳明经。
疟疾不口渴，每隔一天发作一次，选取足阳明胃经；口渴且每天发作，选取手阳明大肠经。
疟邪之气随着经络深入体内。每隔一天发作一次的，是因为邪气潜伏较深，内迫于阴分而不能外出。足阳明胃经，属胃络脾，对应地气在下，路径遥远，所以每隔一天发作。地为阴，所以不口渴。手阳明大肠经，属大肠络肺，对应天气在上，路径近，所以每天发作。天为阳，所以口渴。沈亮宸说：按《素问·疟论》记载，那些隔日发作的，是因为邪气与卫气客居在六腑，有时错开，不能相遇，所以要休息几天才发作。手阳明大肠经是肺之腑，手太阳小肠经是心之腑，手少阳三焦经是心包之腑。这三腑主气主火而应于上部，所以口渴且每天发作。足阳明胃经是脾之腑，足太阳膀胱经是肾之腑，足少阳胆经是肝之腑。这三腑主血主水而在下部，所以不口渴且隔日发作。唯独选取手足阳明经，是因为上半身的手阳明经都主司之，下半身的足阳明经也都主司之。
牙齿疼痛，不讨厌喝冷饮的，选取足阳明胃经；讨厌喝冷饮的，选取手阳明大肠经。
手足阳明经的脉气，遍布联络上下牙齿。足阳明胃经主司悍热之气，所以不讨厌寒饮。手阳明大肠经主司清秋之气，所以讨厌寒饮。莫云从说：牙痛，病在手足阳明经。是否讨厌冷饮，取决于手足阳明经的气性。这是通过脉象来论述气，通过气来选择脉，关于脉气离合的理论，怎么可以忽视呢？
耳聋但不痛的，选取足少阳胆经；耳聋且痛的，选取手阳明大肠经。（此处“阳明”当作“少阳”）
手足少阳经的脉气，都联络于耳的前后，进入耳中。手少阳三焦经秉受相火，所以耳聋且痛。莫云从说：这与上一节的意旨相同。
鼻出血不止，血色紫暗凝滞呈黑红色的，选取足太阳膀胱经；血色鲜红流动的，选取手太阳小肠经；如果不止，刺腕骨穴下方；如果还不停止，刺 中出血。（“ ”音胚，同“宛”，指手腕）
鼻中出血称为衄血。血液败坏凝聚，颜色赤黑的称为 。阳络受伤则导致衄血。手足太阳经的脉气，交络于鼻上方。足太阳膀胱经主水，所以血液紫暗凝滞流出。手太阳小肠经主火，所以血液鲜红但不易流出。这是邪气迫近皮毛的气分，进而逼迫络脉。所以选取手足太阳经以行气。如果不止，刺手部的经脉于腕骨穴下方；如果还不停止，刺足部的经脉于 中。莫云从说：取气先取足经后取手经，取经脉先取手经后取足经。经气上下环转不息。
腰痛，疼痛部位感觉寒冷的，选取足太阳膀胱经和足阳明胃经；疼痛部位感觉热的，选取足厥阴肝经；身体不能前俯后仰的，选取足少阳胆经。
足太阳、阳明、少阳、厥阴经的脉气，都沿着腰脊上行。足太阳和阳明经，主司寒水和清金之气，所以疼痛部位感觉寒冷的，选取足太阳和阳明经。厥阴风木主令，禀受中见少阳的火化，所以疼痛部位感觉热的，选取足厥阴经。身体不能前俯后仰，是因为少阳枢机折损，所以选取少阳经。沈亮宸说：腰脊是人体的大关节。厥阴主春，少阳主夏，阳明主秋，太阳主冬。寒暑往来的气机逆乱，就会成为腰脊的病症。所以唯独选取这四条经。
体内发热且气喘，选取足少阴肾经 中的血络。
足少阴肾经向上行走的分支，穿过膈肌注入胸中，进入肺部络于心；向下行走的分支，沿着大腿内侧，斜入 中。体内发热且气喘，是因为气机厥逆于下而不能上交于心。所以选取足厥阴肝经 中的血络。（注：原文此处可能有误，前文讲足少阴，此处解为足厥阴，或指足少阴别络，依原文翻译）莫云从说：咽喉干燥、口中热如胶，是水火之气上下不济，所以说取足少阴。体内发热且气喘，是上下经脉不交，所以取 中的血络。
喜怒无常且不想吃东西，说话声音越来越小，选取足太阴脾经；发怒且多言，刺足少阳胆经。
以下论述因阴阳失调、喜怒过度、饮食起居不当而形成的内因厥逆杂病。暴喜伤心，暴怒伤肝。食物进入胃中，精气散布于心肝。如果饮食不节制，导致肝心之气逆乱，所以不想吃东西。五音对应长夏。肝心之气逆乱，则中气不舒，所以说话声音越来越小。此时应当选取足太阴经来疏理脾气，那么食气得以转输，声音就能增强。肝主发声且在志为怒，发怒且多言，说明厥阴经的逆气太甚，所以应当选取中见的少阳经，来疏泄厥阴经之气。
下颌疼痛，刺手阳明大肠经，并在 处的盛脉出血。（“ ”音坎）
这是说手足阳明经的气机厥逆，都能导致下颌疼痛。手阳明大肠经的脉气，从缺盆上行经过颈部贯穿面颊。足阳明胃经的气，上行走空窍，沿着眼系出于 ，下行过客主人穴，沿牙车，汇合于阳明经，并下行过人迎穴。下颌位于腮之下，人迎之上。这是阳明经的气，下合阳明经而导致下颌疼痛，所以不说取足阳明经，而说刺 处的盛脉。这是因为气逆于 而导致脉盛。莫云从说：足阳明胃经的脉气，起于鼻翼交 中，进入齿中，夹口环绕嘴唇，交于承浆，沿颊车，上行至耳前，从大迎下行过人迎。阳明经的气，上冲于头，走空窍，沿眼系，入络于脑，出于 ，下行过客主人，沿牙车而下，始与阳明经相合，并下行过人迎。
颈项疼痛，不能前俯后仰的，刺足太阳膀胱经；不能回顾的，刺手太阳小肠经。
手足太阳经的脉气，都沿着颈项上行，所以都能导致颈项疼痛。足太阳膀胱经的脉气，挟脊抵腰中，所以不能前俯后仰的，取足太阳经。手太阳小肠经的脉气，绕肩胛，所以不能回顾的，取手太阳经。
小腹胀满肿大，气向上走到胃部和心脏，身体时时感到寒冷和发热，小便不利，选取足厥阴肝经。腹部胀满，大便不利，腹部胀大，也向上走到胸部和咽喉，喘息声粗重，选取足少阴肾经。腹部胀满，食物不消化，腹部胀满不适，不能大便，选取足太阴脾经。
这三条阴经的气机厥逆于下，都能导致腹部胀满。《口问篇》说：各种疾病的发生，都源于风雨寒暑、阴阳喜怒、饮食起居、大惊卒恐等，导致血气分离，阴阳破散，经络厥绝，脉道不通，阴阳相逆，血气无序，失去常态。如惊怒则损伤足厥阴肝经，卒恐则损伤足少阴肾经，饮食不节则损伤足太阴脾经。脏气受伤则经络厥绝，脉道不通，从而都表现为胀满。足厥阴肝经，抵小腹，挟胃上贯膈。厥阴经脉气机厥逆，所以小腹胀满肿大。厥气上逆，则向上走到胃和心。厥阴是阴极而一阳初生，所以身体时时感到寒冷和发热。肝主疏泄，小便不利是因为厥阴之气逆乱。肾是胃的关口，开窍于前后二阴。腹胀满而大便不利，是肾气逆乱导致关门不利。足少阴肾经，上贯肝膈，入肺中，沿喉咙。气逆则波及经络，所以也向上走到胸部和咽喉，出现喘息声粗重。这是少阴经之气逆乱。足太阴脾经主输运水谷，脾气厥逆，所以腹部胀满且饮食不消化。足太阴经发生变动，则病腹胀，容易嗳气，得后气（放屁或排便）则感觉轻松减轻。腹部胀满不适，不能大便，是气逆于中。所以应当选取足三阴经，来疏通厥逆之气。
心痛牵引腰脊，想呕吐，选取足少阴肾经。
腰脊是肾之外府。肾与胃戊癸合化。心痛牵引腰脊且想呕吐，是肾气上逆导致心痛。应当选取足少阴经。
心痛，腹部胀满，畏寒，大便不利，选取足太阴脾经。
啬啬，是畏寒的样子。太阴为阴中之至阴，阴寒盛，所以腹部胀满且畏寒。大便不利，是土气不化。这是足太阴经之气厥逆导致心痛，所以应当选取本经来疏泄逆气。
心痛牵引背部，呼吸不畅，刺足少阴肾经；如果无效，选取手少阳三焦经。
肾脉从肾脏穿过膈肌，进入肺部，出来络于心。心痛牵引背部且呼吸不畅，是少阴经脉气机厥逆于上导致心痛。所以应当刺足少阴经。如果无效，是肾脏之气逆乱。少阳隶属于肾，三焦之气发源于肾脏，上布于胸中。所以应当选取手少阳经，以泻除肾气的逆乱。莫云从说：刺少阴的脉叫“刺”，取少阳的气叫“取”。
心痛，牵引小腹胀满，疼痛位置上下不定，大小便困难，刺足厥阴肝经。
足厥阴肝经，抵小腹，别行穿过膈肌，上注于肺。心痛牵引小腹胀满，是厥阴经络气机上逆。疼痛位置上下不定，大小便困难，是厥阴之气逆乱。这是经气并逆，应当刺足厥阴经，经脉通畅，气机也就疏利了。
心痛，只是短气不足以呼吸，刺手太阴肺经。
肺主气而司呼吸。心系上连于肺。心痛只是短气不足以呼吸，是气逆在肺导致心痛。应当刺手太阴经以通调肺气的逆乱。沈亮宸说：足太阴、少阴、厥阴导致的心痛，是脏气上逆导致的疼痛。肺是心的盖子，所以只是短气不足以呼吸。这是病在本脏而反映在心。其他四脏也是这样，所以没有真心痛那样的死证。
心痛应当在第九节脊椎旁针刺。已经针刺并按压，疼痛立即停止；如果不停止，上下寻找穴位，找到合适的按压即可停止。
这是总结五种心痛，是因为脏气上乘导致疼痛。“次”是指俞穴的旁边。“九节次之”是指第九节脊椎旁的魂门穴。肝藏魂，心藏神，魂神相随往来出入，所以取魂门穴来通调心气。针刺后按压，出针后再按压，引导气机疏通，所以心痛立即停止。第九节之上，是膈俞旁的膈关；之下是胆俞旁的阳纲。心气从内膈通于外，如果无效，应当向上寻求以通调心神，向下寻求以舒展魂气。“得之”是指得其气机。《金匮玉函》说：经络受邪，进入脏腑为内因。前章的厥心痛，是五脏血脉相乘，所以有真心痛之死证。此章是因气而痛，所以按摩导引可以立即停止。前章刺血脉，提到昆仑、然谷、鱼际、太渊；此章取脏气，提到太阴、厥阴、少阴、少阳。沈亮宸说：第七节脊椎旁边，有心神所在。如果逆乱伤害心气，环绕一周就会死亡，所以取魂门穴来通调心气。不得已时才寻求膈关。余伯荣说：前章的厥心痛，论述经脉相乘，兼有气的影响；此章厥气为痛，涉及经络。
面颊疼痛，刺足阳明胃经曲周处的动脉，见血立即停止；如果不停止，按压人迎穴所在的经脉，立即停止。（“ ”音坎，指面颊）
指面颊。 痛，是邪气损伤阳明经的气。阳明经的脉气，曲折于口、鼻、颐、颊之间，所以取阳明经曲周处的动脉，见血立即停止。这是气分的邪气，随血而解。如果不停止，按压头部的的人迎穴即可停止。前三句论述经气的相通，所谓“中于面则下阳明”就是这种情况。后两句论述阳明经的气，上冲于头而走空窍，出于 ，沿牙车而下合于阳明经，并下行过人迎。意思是如果不从曲折的络脉解除，引导其进入人迎穴下行，疼痛可立即停止。因为阳明居中土，是万物所归，邪气进入经，就从肠胃而出。余伯荣说：如寒邪伤太阳，严重时必须衄血，衄血才能解，这都是气分的邪气，可随血而愈。莫云从说：按压人迎穴所在的经脉，是开启下文的意思，说明阳明经的气，上行于头，从牙车而下合于人迎，沿膺胸而下出于腹部的气街。
气逆向上，刺膺中凹陷处，以及下胸部的动脉。
气逆向上，是气逆于上而不向下行。膺胸间是足阳明经脉循行的部位，刺之使在上部的逆气，向下通达于经脉。这是说阳明经的气，从人迎下行循行于膺，从膺以下行至胸，从胸以下至脐。
腹痛，刺脐部左右的动脉，已刺并按压，疼痛立即停止；如果不停止，刺气街穴，已刺并按压，疼痛立即停止。
这是承接上文论述阳明经的气，循经下行。足阳明胃经，从膺胸下行挟脐，进入气街中。腹痛，是阳明经气机厥逆。所以应当刺脐部左右的动脉。如果不停止，刺气街穴。按压即可停止。腹气有气街，与冲脉在脐部左右的动脉之间。刺气街并按压，是使经脉的逆气，从气街出于体表。这是论述阳明经的气，上冲于头而走空窍，出于 ，沿牙车而下合于阳明经，并下行过人迎，循膺胸而下出于脐的气街。这是阳明经的气，出入于经脉的内外部，环转无端，稍有留滞，就成为痛或逆。沈亮宸说：阳明经的气，从外迎直下于足背，贯通于十二经脉，所以上部的人迎和下部的冲阳，其搏动是一致的。气街是气的路径。只有络脉隔绝不通，然后从别径而出，并非竟出于气街。所以先刺挟脐左右的动脉，如果不停止，而后取气街。
痿厥，用带子束缚四肢末端，然后迅速解开，每天两次。肢体麻木不仁的，十天后知觉恢复，不要休息，病好了就停止。（“ ”音闷，指束带的结）
Jue syndrome accompanied by pain in the spine extending to the vertex. The head feels heavy and dull. The eyes are blurred and unclear. The waist and spine are stiff and rigid. Treatment should select the blood collaterals of the Foot-Taiyang Bladder Channel. ("KT" is pronounced like "Huang").
This discusses miscellaneous diseases caused by pathogenic qi invading the channels leading to Qi rebellion (Qi Ni). The meridian of the Foot-Taiyang Bladder Channel originates at the inner canthus, ascends to the forehead, intersects at the vertex; from the vertex it enters to connect with the brain; re-emerges descending separately through the nape; runs alongside the spine, reaching the middle of the waist. The Qi of the Taiyang channel primarily governs the skin and surface. When external pathogens initially injure the Taiyang channel, it causes meridian Qi rebellion, resulting in diseases of the head, eyes, nape, and spine. Therefore, one should select the blood collaterals within the Foot-Taiyang channel to drain the pathogen. "Chen" (heavy) implies a sensation of heaviness. Mo Yuncong stated: Deficient pathogens invade humans, first starting at the hair follicles and skin. Since the Qi of the Taiyang channel governs the exterior, its disorders are discussed first.
Jue syndrome manifests as chest fullness and facial swelling, lips moist and dripping, sudden difficulty in speaking, and in severe cases, complete inability to speak. Treatment should select the Foot-Yangming Stomach Channel.
The meridian of the Foot-Yangming Stomach Channel originates at the sides of the nose, intersects at the root of the nose, circles the lips, follows the throat, enters the clavicular fossa (Quepen), passes through the diaphragm. The classic states: "If pathogens strike the face, they descend to the Yangming channel." This is because pathogens striking the skin of the face cause facial swelling; descending into the Yangming channel results in symptoms such as chest fullness and moist lips. The throat is the passage for Qi to ascend and descend. The Foot-Yangming meridian follows the throat; if Qi rebels, the Qi mechanism becomes obstructed, causing sudden difficulty in speaking or even total inability to speak. At this time, one should select the Foot-Yangming channel to drain the pathogen.
Jue Qi rushing to the throat causing inability to speak, cold hands and feet, and difficult defecation. Treatment should select the Foot-Shaoyin Kidney Channel.
This describes Jue reversal caused by pathogens invading the Qi of the Foot-Shaoyin Kidney Channel. The meridian of the Foot-Shaoyin Kidney Channel follows the throat and flanks the base of the tongue. Jue Qi rebelling upward to the throat causes inability to speak. The Kidney is the source of generating Qi; Qi rebellion causes cold hands and feet. The Kidney opens into the two yin orifices (anterior and posterior), causing difficult defecation. One should select the Foot-Shaoyin channel to unblock the rebellious Qi.
Jue syndrome manifesting as abdominal distension and discomfort, accompanied by excessive cold Qi, borborygmus sounding like grain rolling, and difficult urination and defecation. Treatment should select the Foot-Taiyin Spleen Channel. ("HT" is pronounced like "Gu").
This describes external pathogens pressing upon the Taiyin channel, causing Taiyin Qi to rebel and produce these symptoms. The abdomen is the enclosure of Spleen Earth; Qi rebelling internally causes abdominal distension. Taiyin damp-earth governs the Qi, being the extreme Yin within Yin, hence there is much cold Qi and sounds like flowing water/moisture. If Earth Qi does not ascend, Heaven Qi does not descend, causing difficult urination and defecation. One should select the Foot-Taiyin channel to dissipate the rebellious Qi. Dry throat, heat in the mouth feeling like sticky glue. Treatment should select the Foot-Shaoyin Kidney Channel.
The term "Jue" refers to conditions where disease is below but Qi rebels below, or disease is below but Jue Qi rebels upward. As in the previous section, Jue Qi rushing to the throat causing inability to speak is Shaoyin Qi rebelling upward to the throat. Here, pathogens invade Shaoyin Qi, and Qi rebels/stagnates below. The Water and Fire Qi of Heart and Kidney should intersect上下 (up and down). If Shaoyin Qi rebels below and fails to intersect with the Heart, Fire-Heat becomes excessive, causing dry throat and heat in the mouth like sticky glue. One should select the Foot-Shaoyin channel to dissipate rebellious Qi and facilitate the ascent of Water-Yin to nourish the Heart.
Pain in the middle of the knee. Treatment should take the Dubi (ST35) acupoint using a Yuanli needle. After inserting, leave it in for an interval before removing. The needle body is thick, resembling ox tail hair (" " pronounced Li, referring to ox tail hair), inserting into the knee without doubt.
Note: The above five sections discuss pathogens invading Yin and Yang Qi causing Qi rebellion. Even if meridian symptoms appear, the pathogen is in the Qi level affecting the meridians. The following sections re-discuss pathogens entering the meridians, causing meridian Jue reversal. Hence, "needle thick as ox tail hair," inserting into the knee is certain. The *Treatise on Nine Needles* states: "The six correspond to musical pitches." Pitches regulate Yin-Yang and the four seasons, aligning with the twelve meridians. When deficient pathogens invade the meridians causing acute Bi syndrome, the therapeutic needle must have a tip like ox tail hair, round yet sharp, slightly thicker in the middle, to extract acute pathogenic Qi. This describes pathogens invading the Foot-Yangming channel causing knee pain; using a needle like ox tail hair to puncture the knee is undoubtedly correct. It means that when pathogens are in the Qi level causing Qi rebellion, one should select Qi points; when pathogens invade the meridians causing meridian pain, one should select Meridian points. " " (Li) refers to ox tail hair. Zhang Kai said: Acute Bi syndrome does not transfer from the Qi level but directly strikes the vessels forming Vessel Bi. Dubi is an acupoint of the Foot-Yangming Stomach Channel; since it is not due to Qi-level pathology, it says "select Dubi" rather than "select Yangming." Selecting the Three Yang channels of the hand and foot below represents combined meridian Qi disorders.
Throat Bi causing inability to speak, select the Foot-Yangming Stomach Channel; if able to speak, select the Hand-Yangming Large Intestine Channel.
Throat Bi refers to pathogens blocking the throat causing swelling and pain. The Foot-Yangming meridian follows the throat, flanking the larynx; thus, when pathogens block it, speech is impossible. One should select the Foot-Yangming channel. The Hand-Yangming meridian is located next to the side of the throat; thus, those who can speak should select the Hand-Yangming channel.
Malaria without thirst, occurring every other day, select the Foot-Yangming Stomach Channel; with thirst and occurring daily, select the Hand-Yangming Large Intestine Channel.
Malarial Qi follows the meridians, sinking and internally pressing. Occurring every other day indicates the Qi resides deeply, internally pressing into Yin without emerging. The Foot-Yangming Stomach Channel belongs to the Stomach and connects to the Spleen, corresponding to Earth Qi below, with a long pathway, hence occurring every other day. Earth is Yin, hence no thirst. The Hand-Yangming Large Intestine Channel belongs to the Large Intestine and connects to the Lung, corresponding to Heaven Qi above, with a short pathway, hence occurring daily. Heaven is Yang, hence thirst. Shen Liangchen stated: According to the *Suwen Malaria Treatise*, those occurring every other day occur because pathogenic Qi and Wei Qi reside in the Six Fu organs, sometimes missing each other and failing to interact, so rest lasts several days until onset. The Hand-Yangming is the Fu organ of the Lung; Hand-Taiyang is the Fu organ of the Heart; Hand-Shaoyang is the Fu organ of the Pericardium. These three Fu organs govern Qi and Fire, responding to the upper part, hence thirst and daily onset. Foot-Yangming is the Fu organ of the Spleen; Foot-Taiyang is the Fu organ of the Kidney; Foot-Shaoyang is the Fu organ of the Liver. These three Fu organs govern Blood and Water, residing below, hence no thirst and every-other-day onset. Uniquely selecting Hand and Foot Yangming channels is because the Hand-Yangming governs the upper half of the body, and the Foot-Yangming governs the lower half.
Toothache not disliking cold drinks, select the Foot-Yangming Stomach Channel; disliking cold drinks, select the Hand-Yangming Large Intestine Channel.
The meridians of Hand and Foot Yangming extensively connect to the upper and lower teeth. Foot-Yangming governs vigorous Heat Qi, hence not disliking cold drinks. Hand-Yangming governs clear Autumn Qi, hence disliking cold drinks. Mo Yuncong stated: Toothache is a disease of the Hand and Foot Yangming meridians. Whether one dislikes cold drinks depends on the Qi nature of Hand and Foot Yangming. This discusses Qi via the meridians, and selects meridians via Qi. How can the theory of meridian Qi separation and combination be ignored?
Deafness without pain, select the Foot-Shaoyang Gallbladder Channel; deafness with pain, select the Hand-Yangming Large Intestine Channel. (Note: "Yangming" here should likely be "Shaoyang").
The meridians of Hand and Foot Shaoyang both connect to the front and back of the ear, entering the ear canal. Hand-Shaoyang Sanjiao embodies Ministerial Fire, hence deafness with pain. Mo Yuncong stated: This shares the same intent as the previous section.
Epistaxis not stopping, with dark coagulated blood, select the Foot-Taiyang Bladder Channel; with bright red flowing blood, select the Hand-Taiyang Small Intestine Channel; if not stopping, puncture below the Wangu (SI4) acupoint; if still not stopping, puncture [the vessel] in the wrist area to bleed. (" " pronounced Pei, same as "Wan", referring to the wrist).
Bleeding from the nose is called Epistaxis. When blood becomes foul and coagulates, appearing dark red/black, it is called [dark blood]. Injury to Yang collaterals causes epistaxis. The meridians of Hand and Foot Taiyang intersect and connect above the nose. Foot-Taiyang governs Water, hence dark coagulated blood flows. Hand-Taiyang governs Fire, hence bright red blood but does not flow easily. This is pathogens pressing on the Qi level of the skin/hair and forcing the collaterals. Thus, select Hand and Foot Taiyang to move Qi. If not stopping, puncture the Hand meridian below Wangu; if still not stopping, puncture the Foot meridian in the wrist area. Mo Yuncong stated: To take Qi, start with Foot channels then Hand channels; to take meridians, start with Hand channels then Foot channels. Meridian Qi circulates endlessly up and down.
Lower back pain. If the painful area feels cold, select Foot-Taiyang Bladder and Foot-Yangming Stomach channels. If the painful area feels hot, select Foot-Jueyin Liver channel. If unable to bend or extend, select Foot-Shaoyang Gallbladder channel.
The meridians of Foot-Taiyang, Yangming, Shaoyang, and Jueyin all follow the lumbar spine upwards. Foot-Taiyang and Yangming govern Cold Water and Clear Metal Qi, hence for cold pain, select Foot-Taiyang and Yangming. Jueyin Wind-Wood governs Qi, embodying the Fire transformation of intermediate Shaoyang, hence for hot pain, select Foot-Jueyin. Inability to bend or extend indicates a fracture of the Shaoyang pivot, hence select Shaoyang. Shen Liangchen stated: The lumbar spine is the major joint of the body. Jueyin governs Spring, Shaoyang Summer, Yangming Autumn, Taiyang Winter. Reversal of Qi from cold and heat changes leads to lumbar spine diseases. Hence, uniquely select these four channels.
Internal heat with panting, select the blood collaterals in the [popliteal/femoral region] of the Foot-Shaoyin Kidney Channel.
The ascending branch of the Foot-Shaoyin Kidney Channel pierces the diaphragm, injects into the chest, enters the Lung and connects to the Heart. The descending branch follows the medial thigh, obliquely entering the [popliteal/femoral region]. Internal heat with panting occurs because Qi rebels below and cannot ascend to intersect with the Heart. Therefore, select the blood collaterals of the Foot-Jueyin Liver Channel [in the popliteal/femoral region]. Mo Yuncong stated: Dry throat and heat in the mouth like glue indicate Water and Fire Qi failing to intersect上下, hence select Foot-Shaoyin. Internal heat with panting indicates upper and lower meridians failing to intersect, hence select the blood collaterals in the [popliteal/femoral region].
Excessive joy/anger, desire to eat nothing, speech becoming quieter, select Foot-Taiyin Spleen channel. Anger with excessive talking, puncture Foot-Shaoyang Gallbladder channel.
The following discusses miscellaneous diseases of internal Jue reversal caused by Yin-Yang imbalance, excessive joy/anger, diet, and lifestyle. Excessive joy injures the Heart; excessive anger injures the Liver. Food Qi enters the Stomach, distributing essence to Heart and Liver. Irregular diet causes Liver and Heart Qi to rebel, hence lack of appetite. The Five Tones correspond to Late Summer. Liver and Heart Qi rebellion causes Middle Qi stagnation, hence speech becomes quieter. One should select Foot-Taiyin to soothe Spleen Qi, allowing food Qi to transform and transport, making voice clearer. The Liver governs speech and its emotion is anger. Anger with excessive talking indicates Jueyin rebellious Qi is too severe; thus, select the intermediate Shaoyang to soothe Jueyin Qi.
Mandible pain, puncture Hand-Yangming Large Intestine channel, and bleed from the full vessels in the [cheek/jaw area]. (" " pronounced Kan).
This states that Qi rebellion of Hand and Foot Yangming meridians can both cause mandible pain. The Hand-Yangming meridian ascends from Quepen, passes through the neck, and penetrates the cheek. The Qi of Foot-Yangming ascends to the orifices, follows the eye system, emerges from [the temple], descends past Guest Master (Xiaguan), follows the jawbone, merges with Yangming, and descends together through Renying. The mandible is below the cheek and above Renying. This is Yangming Qi merging downward with the Yangming meridian causing mandible pain; hence it says "puncture the full vessels in the [cheek]" rather than "select Foot-Yangming." This is because Qi rebels in the [cheek] causing vessel fullness. Mo Yuncong stated: The Foot-Yangming meridian originates at the nose crossing [the bridge], enters the teeth, flanks the mouth circling the lips, crosses Chengjiang, follows Jiache, ascends before the ear, descends from Daying through Renying. Yangming Qi rushes upward to the head, travels to the orifices, follows the eye system, enters the brain, emerges from [the temple], descends past Guest Master, follows the jawbone downward, finally merging with the Yangming meridian and descending together through Renying.
Nape pain, unable to bend or extend, puncture Foot-Taiyang Bladder channel; unable to look back, puncture Hand-Taiyang Small Intestine channel.
The meridians of Hand and Foot Taiyang both follow the nape upwards, hence both can cause nape pain. The Foot-Taiyang meridian flanks the spine reaching the waist; hence inability to bend/extend requires selecting Foot-Taiyang. The Hand-Taiyang meridian winds around the scapula; hence inability to look back requires selecting Hand-Taiyang.
Lower abdominal fullness and enlargement, Qi moving upward to the Stomach and Heart, chills and fever alternating, difficult urination, select Foot-Jueyin Liver channel. Abdominal fullness, difficult defecation, abdominal enlargement, also moving upward to the chest and throat, panting with loud breathing, select Foot-Shaoyin Kidney channel. Abdominal fullness, undigested food, abdominal distension/discomfort, inability to defecate, select Foot-Taiyin Spleen channel.
The Qi of these three Yin channels rebels below, all causing abdominal fullness. The *Kouwen Chapter* states: All diseases begin from wind, rain, cold, heat, Yin-Yang, joy/anger, diet, lifestyle, great fright, or sudden fear, causing blood and Qi separation, Yin-Yang disruption, meridian Jue obstruction, vessel blockage, Yin-Yang reversal, blood and Qi disorder, losing normalcy. Fright/anger injures Foot-Jueyin Liver; sudden fear injures Foot-Shaoyin Kidney; irregular diet injures Foot-Taiyin Spleen. Organ Qi injury leads to meridian Jue obstruction and vessel blockage, resulting in distension/fullness. Foot-Jueyin Liver meridian reaches the lower abdomen, flanks the Stomach, pierces the diaphragm. Jueyin meridian Qi rebellion causes lower abdominal fullness/enlargement. Rebellious Qi moves upward to Stomach and Heart. Jueyin is Extreme Yin with initial generation of Yang, hence chills and fever variations. Liver governs free flow; difficult urination is due to Jueyin Qi rebellion. The Kidney is the gate of the Stomach, opening to the two orifices. Abdominal fullness and difficult defecation result from Kidney Qi rebellion blocking the gate. Foot-Shaoyin Kidney meridian pierces Liver/Diaphragm, enters Lung, follows throat. Qi rebellion affects the meridian, moving upward to chest/throat, causing loud panting. This is Shaoyin Qi rebellion. Foot-Taiyin governs transport of water and grain; Spleen Qi rebellion causes abdominal fullness and undigested food. Foot-Taiyin movement disease causes abdominal fullness, frequent belching, relief after passing gas/stool. Abdominal distension and inability to defecate indicate Qi rebellion in the center. Thus, select Foot Three Yin channels to unblock rebellious Qi.
Heart pain radiating to lumbar spine, desire to vomit, select Foot-Shaoyin Kidney channel.
The lumbar spine is the external mansion of the Kidney. Kidney and Stomach combine Wu-Gui. Heart pain radiating to lumbar spine with desire to vomit is Kidney Qi rebelling upward causing heart pain. Select Foot-Shaoyin.
Heart pain, abdominal fullness, aversion to cold, difficult defecation, select Foot-Taiyin Spleen channel.
"Sese" describes aversion to cold. Taiyin is Extreme Yin within Yin; excess Yin-Cold causes abdominal fullness and aversion to cold. Difficult defecation is due to failure of Earth Qi to transform. This is Foot-Taiyin Qi rebellion causing heart pain; select the home channel to soothe rebellious Qi.
Heart pain radiating to back, dyspnea, puncture Foot-Shaoyin Kidney channel; if ineffective, select Hand-Shaoyang Sanjiao channel.
Kidney meridian from Kidney pierces diaphragm, enters Lung, emerges connecting to Heart. Heart pain radiating to back with dyspnea is Shaoyin meridian Qi rebelling upward causing heart pain. Puncture Foot-Shaoyin. If ineffective, it is Kidney Qi rebellion. Shaoyang is affiliated with Kidney; Sanjiao Qi originates in Kidney, spreading to chest. Select Hand-Shaoyang to drain rebellious Kidney Qi. Mo Yuncong stated: Puncturing Shaoyin meridian is called "puncture"; taking Shaoyang Qi is called "select".
Heart pain, radiating to lower abdominal fullness, moving up and down without fixed location, difficult urination and defecation, puncture Foot-Jueyin Liver channel.
Foot-Jueyin Liver meridian reaches lower abdomen, branches piercing diaphragm, ascends injecting into Lung. Heart pain radiating to lower abdominal fullness is Jueyin meridian Qi rebelling upward. Moving up/down without fixed location and difficult urination/defecation indicate Jueyin Qi rebellion. This is combined meridian Qi rebellion; puncture Foot-Jueyin meridian. Once meridians are open, Qi will be smooth.
Heart pain, only shortness of breath and insufficient respiration, puncture Hand-Taiyin Lung channel.
Lung governs Qi and respiration. Heart connection ascends to Lung. Heart pain with only shortness of breath indicates Qi rebellion in Lung causing heart pain. Puncture Hand-Taiyin to unblock rebellious Lung Qi. Shen Liangchen stated: Heart pain from Foot-Taiyin, Shaoyin, Jueyin is caused by organ Qi rebelling upward. Lung is the canopy of the Heart, hence only shortness of breath. This is disease in the Zang organ reflecting to the Heart. The same applies to the other four Zang organs, hence no fatal "True Heart Pain".
For heart pain, puncture at the side of the ninth vertebral segment. After puncturing and pressing, pain stops immediately; if not, seek above and below, finding the spot stops pain immediately.
This summarizes five types of heart pain caused by organ Qi overacting. "Ci" refers to the side of Shu points. "Ninth segment side" refers to Hunmen (BL47) beside Liver Shu. Liver stores Hun (Ethereal Soul); Heart stores Shen (Spirit). Hun and Shen accompany each other entering and exiting; thus, select Hunmen to unblock Heart Qi. Puncture then press; after withdrawing needle, press again to guide Qi smoothing, stopping heart pain immediately. Above the ninth segment is Geshuan (BL18) beside Diaphragm Shu; below is Yanggang (BL16) beside Gallbladder Shu. Heart Qi communicates externally from internal diaphragm; if ineffective, seek above to unblock Heart Spirit, below to soothe Hun Qi. "De zhi" means obtaining the Qi. *Jinkui Yuhan* states: Pathogens entering meridians and moving to Zang-Fu are internal causes. Previous chapter's Jue Heart Pain involves mutual overaction of Five Zang blood vessels, hence fatal True Heart Pain. This chapter involves Qi pain, so massage and guidance can stop it immediately. Previous chapter punctured blood vessels: Kunlun, Ran Gu, Yu Ji, Tai Yuan. This chapter takes Zang Qi: Taiyin, Jueyin, Shaoyin, Shaoyang. Shen Liangchen stated: Beside the seventh segment lies the "Small Heart". If rebellious Qi injures Heart Qi, circling leads to death; thus select Hunmen to unblock Heart Qi. Only if necessary seek Geshuan. Yu Borong stated: Previous chapter's Jue Heart Pain discusses meridian mutual overaction with Qi involvement; this chapter's Jue Qi pain involves meridians.
Cheek/Jaw pain, puncture Foot-Yangming Stomach channel at the curved artery, bleeding stops immediately; if not, press Renying on the meridian, stops immediately. (" " pronounced Kan, referring to cheek).
" " refers to the cheek. Cheek pain is pathogen injuring Yangming Qi. Yangming meridian curves between mouth, nose, chin, and cheek; thus select the curved artery of Yangming, bleeding stops immediately. This is Qi-level pathogen resolving with blood. If not, pressing Renying on the head stops it. The first three sentences discuss meridian Qi connectivity ("striking face descends to Yangming"). The last two discuss Yangming Qi rushing to head/orifices, emerging from [temple], following jawbone merging with Yangming, descending through Renying. Meaning: if not resolving from curved collaterals, guide into Renying descending, pain stops. Yangming centers in Earth, gathering all things; pathogens entering meridians exit via intestines/stomach. Yu Borong stated: Like Cold injuring Taiyang, severe cases require epistaxis to resolve; these are Qi-level pathogens resolving with blood. Mo Yuncong stated: Pressing Renying on the meridian initiates the following text, stating Yangming Qi ascends to head, descends from jawbone merging at Renying, following chest/abdomen Qi Street.
Qi rebelling upward, puncture depressions in the Ying (chest) and arteries in the lower chest.
Qi rebelling upward means Qi rises above without descending. The Ying-Chest area is where Foot-Yangming meridian runs. Puncturing makes upper rebellious Qi descend through the meridian. This states Yangming Qi descends from Renying to Ying, from Ying to lower chest, from lower chest to umbilicus.
Abdominal pain, puncture arteries left and right of umbilicus. After puncturing and pressing, pain stops; if not, puncture Qijie (Stomach Channel). After puncturing and pressing, pain stops.
Continuing above, discussing Yangming Qi descending along meridians. Foot-Yangming meridian descends from Ying-Chest, flanking umbilicus, entering Qijie. Abdominal pain is Yangming meridian Jue. Puncture arteries left/right of umbilicus. If not, puncture Qijie. Pressing stops it. Abdominal Qi has streets, interacting with Chong Mai at arteries left/right of umbilicus. Puncturing Qijie and pressing makes meridian rebellious Qi exit Qijie to the surface. This discusses Yangming Qi rushing to head/orifices, emerging from [temple], following jawbone merging with Yangming, descending through Renying, following Ying-Chest to Qijie at umbilicus. Yangming Qi enters/exits meridians internally/externally, circulating endlessly; slight stagnation causes pain/rebellion. Shen Liangchen stated: Yangming Qi descends directly from outer Renying to foot dorsum, penetrating twelve meridians; thus upper Renying and lower Chongyang pulsations are identical. Qijie is the path of Qi. Only when collaterals are blocked does Qi take alternate paths, not exclusively exiting Qijie. Hence first puncture arteries left/right of umbilicus; if not, then select Qijie.
Wei Jue (Atrophy-Reversal), bind the four extremities tightly, then quickly release. Twice daily. For numbness,知觉 returns in ten days. Do not rest; stop when cured. (" " pronounced Men, referring to binding knot).