上下相通者也。是以少阴之厥气上乘。则开阖不清而成癫疾。故当取之太阴阳明。如厥气在下。只
病下之闭癃。其过只在足少阴太阳矣。
气逆。则取其太阴阳明厥阴。甚取少阴阳明动者之经也。
此言逆气上乘而为狂疾者。则取其太阴阳明厥阴也。夫狂始生。得之忧饥。治之取手太阴阳
明。及取足太阴阳明。盖少阴之气。上逆于太阴阳明而始生狂疾。故则取其太阴阳明。然又有足少
阴之逆气。上乘于心而为狂疾者。则取其厥阴也。盖水气传于肝木。肝木传于心火。是以狂而新发。
未应如是者。先取曲泉左右之动脉也。甚者。逆气太盛也。故当取足少阴之本经以泻之。少阴之
气。上与阳明相合。少阴气甚。则阳明亦甚矣。阳明脉盛。则骂詈不休。故并取阳明动者之经。
少气。身漯漯也。言吸吸也。骨 体重。懈惰不能动。补足少阴。（漯音垒）
此足少阴之气少。而欲为虚逆也。漯漯。寒栗貌。吸吸。引伸也。盖心主言。肺主声。藉肾间
之动气而后发。肾气少。故言语之气。不接续也。肾为生气之原而主骨。肾气少。故骨 体重。懈
惰不能动。当补足少阴。以治其始蒙。
短气。息短不属。动作气索。补足少阴。去血络也。
此虚气上乘而将作虚狂也。所谓少气者。气不足于下也。短气者。气上而短。故息短而不能连
属。若有动作。则气更消索矣。当补足少阴之不足。而去其上逆之血络焉。上节治其始蒙。故只补其少
阴。此将
欲始作。故兼去其血络。按足少阴虚实之厥逆。为癫狂之原始。故首论癫狂。后论厥逆。善治者。
审其上下虚实之因。分别调治。未有不中乎肯綮者矣。
上下经脉之气是相互贯通的。因此，当少阴经的厥逆之气上乘于心时，会导致心神开阖失司而发为癫疾。治疗时应当选取太阴经和阳明经的穴位。如果厥逆之气停留在下部，只引起下焦闭塞不通和小便不利等症状，那么病邪仅仅在于足少阴经和足太阳经。
若气机逆乱，则应选取手太阴、手阳明及足厥阴经的穴位；病情严重的，应选取少阴经和阳明经中气血涌动明显的经脉进行针刺。
这段文字论述的是因逆气上乘而导致狂疾的情况，治疗时应选取太阴、阳明及厥阴经。狂证初起，多由忧思和饥饿所致，治疗时选取手太阴、手阳明经，以及足太阴、足阳明经。这是因为少阴之气上逆于太阴、阳明经，从而引发狂疾，所以取这两组经脉。然而，又有足少阴经的逆气上乘于心导致狂疾的情况，这时应选取厥阴经。这是因为肾水之气传于肝木，肝木之气再传于心火，所以对于新发的狂证，且症状尚未完全显现者，先选取曲泉穴左右搏动明显的动脉处进行针刺。如果病情严重，说明逆气过于亢盛，应当选取足少阴经的本经穴位以泻其邪气。少阴之气与阳明经气相合，少阴之气过盛，阳明之气也会随之亢盛。阳明经脉气血旺盛，患者会出现骂人不停的症状，因此同时选取阳明经中气血涌动明显的经脉。
少气，身体战栗寒冷，呼吸短促微弱，骨骼沉重，肢体懈怠无力不能活动，治疗应补益足少阴经。（“漯”音同“垒”）
这是足少阴经气不足，即将产生虚性逆乱的表现。“漯漯”，形容寒战发抖的样子；“吸吸”，形容呼吸短促牵引的样子。因为心主言语，肺主声音，言语发声依赖于肾间动气的激发。肾气不足，所以言语之气无法接续。肾是生气之源并主管骨骼，肾气不足，所以感觉骨骼沉重，肢体懈怠无力不能活动。此时应当补益足少阴经，以治疗其初期的萌芽状态。
短气，呼吸短促不连贯，稍一动作气息就耗散殆尽，治疗应补益足少阴经，并刺破瘀阻的血络放血。
这是虚气上乘即将发展为虚性狂躁的表现。所谓“少气”，是指下部正气不足；“短气”，是指气机上逆而短促，所以呼吸短促而不能连贯。如果有动作，气息就会更加耗散。此时应当补益足少阴经的不足，并去除其上逆的瘀血络脉。上一节论述的是治疗初期的萌芽状态，所以只补益少阴经；本节论述的是即将发作的状态，所以兼去瘀血络脉。按足少阴经虚实导致的厥逆，是癫狂证的根源，所以首先论述癫狂，随后论述厥逆。善于治疗的人，会审察上下虚实的原因，分别进行调治，没有不能切中要害的。
The qi of the upper and lower parts is mutually connected. Therefore, when the jueqi (rebellious qi) of the Shaoyin (Lesser Yin) meridian ascends to the upper part, it causes unclear opening and closing, resulting in dianji (epilepsy or manic-depressive psychosis). Treatment should target the Taiyin (Greater Yin) and Yangming (Bright Yang) meridians. If the jueqi remains in the lower part, causing only lower jiao (lower burner) obstruction and difficult urination, the pathology lies solely in the Foot-Shaoyin and Foot-Taiyang (Greater Yang) meridians.
When qi rebels, select the Hand-Taiyin, Hand-Yangming, and Foot-Jueyin (Lesser Yin) meridians. In severe cases, select the moving vessels of the Shaoyin and Yangming meridians.
This passage discusses rebellious qi ascending to cause kuangji (mania), for which the Taiyin, Yangming, and Jueyin meridians are selected. When mania first arises, it is caused by worry and hunger; treatment involves selecting the Hand-Taiyin and Hand-Yangming meridians, as well as the Foot-Taiyin and Foot-Yangming meridians. This is because the qi of Shaoyin rebels upward into the Taiyin and Yangming meridians, initiating mania; thus, these meridians are selected. However, there are cases where the rebellious qi of the Foot-Shaoyin meridian ascends to the Heart, causing mania; in such instances, the Jueyin meridian is selected. This is because water qi transmits to Liver Wood, and Liver Wood transmits to Heart Fire. For newly onset mania that has not yet fully manifested, first puncture the pulsating arteries around Ququan (LR3). In severe cases, the rebellious qi is excessively strong; therefore, the primary meridian of the Foot-Shaoyin should be selected to drain the pathogen. The qi of Shaoyin combines with the Qi of Yangming; if Shaoyin qi is excessive, Yangming qi also becomes excessive. When the Yangming pulse is vigorous, the patient may curse incessantly; thus, the moving vessels of the Yangming meridian are simultaneously selected.
With shaoqi (deficiency of qi), the body trembles with cold (lei lei), breathing is short and weak (xi xi), bones feel heavy, and the limbs are flaccid and weak, unable to move. Treatment requires tonifying the Foot-Shaoyin meridian. ("Lei" sounds like "lei").
This indicates that the qi of the Foot-Shaoyin meridian is deficient and prone to deficiency-type rebellion. "Lei lei" describes the appearance of chills and trembling; "xi xi" describes the extension of short breaths. Since the Heart governs speech and the Lungs govern sound, vocalization relies on the moving qi between the Kidneys. With deficient Kidney qi, the qi of speech cannot connect continuously. The Kidneys are the source of generating qi and govern the bones; with deficient Kidney qi, the bones feel heavy, and the limbs are flaccid and unable to move. One should tonify the Foot-Shaoyin meridian to treat the initial stage.
With duanqi (shortness of breath), respiration is short and discontinuous, and movement leads to exhaustion of qi. Treatment requires tonifying the Foot-Shaoyin meridian and removing blood collaterals.
This indicates that deficiency qi is ascending and about to manifest as deficiency-type mania. "Shaoqi" refers to insufficient qi in the lower part; "duanqi" refers to qi rebelling upward and becoming short, hence respiration is short and discontinuous. Any movement causes further depletion of qi. One should tonify the deficiency of the Foot-Shaoyin meridian and remove the rebelling blood collaterals. The previous section treated the initial stage, so only the Shaoyin was tonified; this section addresses the impending onset, so blood collaterals are also removed. According to the text, the juebing (jue syndrome) of excess and deficiency in the Foot-Shaoyin meridian is the root of diankuang (dian and kuang disorders); thus, diankuang is discussed first, followed by juebing. A skilled practitioner examines the causes of upper and lower excess and deficiency, treating them separately, without failing to hit the precise point.