黄帝问曰升降不前气交有变即成暴郁余已知之如何预救生灵可得却乎
却之言去也何以去之
岐伯稽首再拜对曰昭乎哉问臣闻夫子言既明天元须穷法刺可以折郁扶运补弱全真泻盛蠲余令除斯苦
夫子者祖师僦贷季折谓折伏也扶谓扶持也蠲除也斯此也令除此苦也
帝曰愿卒闻之岐伯曰升之不前即有甚凶也木欲升而天柱窒抑之木欲发郁亦须待时
木发待间气也至天作间气之时作也欲发可刺之也
当刺足厥阴之井
足厥阴之井即大敦穴在足大指端去爪甲上如韭叶三毛之中乃足厥阴之所出也于平旦水下一刻时以手按穴得动脉下针
可及三分留六呼如得气急出之先刺左后刺右又可春分日吐之无此管也火欲升而天蓬窒抑之火欲发郁亦须待时火郁待时至
天作左间气之时也其发也君火春分相火小满即欲发之时也故君火相火同法即是二时而可预刺之也
君火相火同刺包络之荥
心包络之荣在手掌中荥宫穴也水下二刻以手按穴动脉应手刺可同身寸之三分留六呼得气而急出之先左后右又法当春
三泄汗也
土欲升而天冲窒抑之土欲发郁亦须待时土郁待时至天作左间气之时也土发郁日维辰维也多于二间维发之也可预刺之
也
当刺足太阴之俞
足太阴之俞太白穴在足内侧核骨下陷者中足太阴之所注也水下三刻刺可同身寸之二分留七呼气至急出之先左后右
金欲升而天英窒抑之金欲发郁亦须待时金郁待时至天作左间气之日也夏至之后金欲发郁之时在火王后作可预刺也当
刺手太阴之经
手太阴之经者经渠穴也在两手寸口脉陷者中手太阴之所行也动脉应手于水下四刻刺可同身寸之三分留三呼气至急出
针先左后右
水欲升而天内窒抑之水欲发郁亦须待时水郁待时至天作左间气之时也发于辰维之后火得王之时水可作也可以预用针
刺之也
当刺足少阴之合
足少阴之合阴谷穴也在膝内辅骨之后大筋之下小筋之上按之应手屈膝而得足少阴之所入也刺可同身寸之四分留三呼
动气应手可刺急出之先刺左后刺右
帝曰升之不前可以预备愿闻其降可以先防
防护者也
岐伯曰既明其升必达其降也升降之道皆可先治也
亦可以升而先刺也
木欲降而地 窒抑之降而不入抑之郁发散而可得位
三日不降八日降欲降而郁先散而然后作地间气者也
降而郁发暴如天间之待时也降而不下郁可速矣
降之不下急速如天郁也便可刺之降可折其所胜也
折胜其标而虚其本也故折其胜也当刺手太阴之所出刺手阳明之所入手太阴之所出少商穴也在手大指之端内侧去爪甲
如韭叶手太阴之井也刺可同身寸之一分留二呼而急出之手阳明之所入曲池穴也在肘外辅屈肘两骨之间陷中手阳明之合刺
可同身寸之一寸五分留七呼动气应手至而急出之
火欲降而地玄窒抑之降而不入抑之郁发散而可矣
二日不降七日降欲下而郁散之速可刺之也
当折其所胜可散其郁火郁折水可以除之
当刺足少阴之所出刺足太阳之所入足少阴之出涌泉穴也在足心陷者中屈足卷指宛宛中足少阴之井刺可同身寸之三寸
留三呼动气至急出之先左后右足太阳之所入委中穴在 中央约文中动脉应手足太阳之合也刺可同身寸之五分留七呼气至
而急出之先左后右二次同其法刺也
土欲降而地苍窒抑之降而不下抑之郁发散而可入
五日不降十日降欲降而郁散而可速刺之
当折其胜可散其郁土郁折水可除其苦
当刺足厥阴之所出刺足少阳之所入足厥阴之所出大敦穴也在足大指端去爪甲上如韭叶及三毛之中足厥阴井也刺可同
身寸之三分留十呼动气急出之足少阳之所入阳陵泉穴在膝下同身寸之一寸 骨外廉陷者中是足少阳之合刺可同身寸之六
分留十呼动气至急出之
金欲降而地彤窒抑之降而不下散抑之郁发散而可入
四日不降九日降欲下而郁散可速刺也当折其胜可散其郁
金郁折火可以除之
当刺心包络所出刺手少阳所入也
心包络所出中冲穴也在中指之端去爪甲如韭叶是手心主之井刺可同身寸之一分留二
呼动气至急出之手少阳之所入天井穴也在肘外大骨之后肘后同身寸之一寸两筋间陷者中屈肘得之手少阳合刺可同身寸之
一寸留十呼动气应手至而急出之
水欲降而地阜窒抑之降而不下抑之郁发散而可入
一日不降六日降欲下而郁散先可刺之也
当折其土可散其郁
折其所胜可以散之也
当刺足太阴之所出刺足阳明之所入
足太阴之所出隐白穴也在足大趾之端侧去爪甲如韭叶足太阴之井刺可同身寸之一
分留三呼得气至乃出之足阳明之所入三里穴在膝下三寸 骨外廉两筋间足阳明之所合刺可同身寸之五分留十呼得气至而
急出之
帝曰五运之至有前后与升降往来有所承抑之可得闻乎刺法岐伯曰当取其化源也是故大过取之不及资之大过取之次抑
其郁取其运之化源令折郁气不及扶资以扶运气以避虚邪也
不及者当资其化源以补其所亏令不胜资取之法令出密语
黄帝问道：五运之气升降不前，气交发生变异，就会形成暴烈的郁结。我已经了解了这种情况，那么如何预先救治生灵，使其得以避免灾祸呢？
“却”的意思是去除。为什么要去除它呢？
岐伯叩头拜了两拜回答说：您问得真高明啊！我听说老师说过，既然通晓了天元的规律，就必须穷尽刺法，这样可以折伏郁气，扶持运气，补益虚弱，保全真气，泻除盛实，清除余邪，从而消除这种痛苦。
这里的“夫子”是指祖师僦贷季。“折”意思是折伏；“扶”意思是扶持；“蠲”意思是清除；“斯”意思是这；“令”意思是使……消除这种痛苦。
黄帝说：我希望详尽地听您讲讲。
岐伯说：升发之气不能前行，就会有严重的凶险。木气想要升发，却被天柱星（金气）窒塞抑制。木气想要发散郁结，也必须等待时机。
木气的发作要等待间气到来之时。到了天作间气的时候，就是木气可以发作的时候，这时可以进行针刺治疗。
应当针刺足厥阴肝经的井穴。
足厥阴肝经的井穴是大敦穴，位于足大趾末端，距离爪甲角上方约韭菜叶宽度、三根汗毛之间的地方，这是足厥阴肝经气血所出的部位。在平旦（清晨）水下一刻时，用手按压穴位，感觉到动脉跳动后下针。
进针深度可达三分，留针六次呼吸的时间。如果得气了，就迅速出针。先刺左侧，再刺右侧。另外，也可以在春分日采用吐法，但这不属于针刺的范畴。
火气想要升发，却被天蓬星（水气）窒塞抑制。火气想要发散郁结，也必须等待时机。火郁待发，要等到天作左间气的时候。
君火的发作在春分，相火的发作在小满，这就是它们想要发作的时节。所以君火和相火的治疗方法相同，即在两个时节之前就可以预先针刺。
君火和相火共同针刺心包络的荥穴。
心包络的荥穴是荥宫穴（劳宫穴），位于手掌中心。在水下二刻时，用手按压穴位，动脉应手可感，进针深度为同身寸三分，留针六次呼吸的时间，得气后迅速出针。先刺左侧，再刺右侧。另一种方法是应当在春季进行三次泄汗疗法。
土气想要升发，却被天冲星（木气）窒塞抑制。土气想要发散郁结，也必须等待时机。土郁待发，要等到天作左间气的时候。土气发作的日子多在辰时（早晨7-9点）。维，指四维，这里指土旺于四季之末。多于二间维时发作。可以预先针刺。
应当针刺足太阴脾经的俞穴。
足太阴脾经的俞穴是太白穴，位于足内侧，核骨（第一跖骨基底部）下方的凹陷中，这是足太阴脾经气血灌注的部位。在水下三刻时，进针深度为同身寸二分，留针七次呼吸的时间，气至则迅速出针。先刺左侧，再刺右侧。
金气想要升发，却被天英星（火气）窒塞抑制。金气想要发散郁结，也必须等待时机。金郁待发，要等到天作左间气的时候。夏至之后，金气想要发散郁结的时机是在火气旺盛之后。可以预先针刺。
应当针刺手太阴肺经的经穴。
手太阴肺经的经穴是经渠穴，位于两手寸口脉陷中的位置，这是手太阴肺经气血运行的部位。动脉应手，在水下四刻时，进针深度为同身寸三分，留针三次呼吸的时间，气至则迅速出针。先刺左侧，再刺右侧。
水气想要升发，却被天内星（土气）窒塞抑制。水气想要发散郁结，也必须等待时机。水郁待发，要等到天作左间气的时候。在辰维之后，火气旺盛的时候，水气可以发作。可以预先用针刺治疗。
应当针刺足少阴肾经的合穴。
足少阴肾经的合穴是阴谷穴，位于膝内侧辅骨之后，大筋之下，小筋之上，按压有感应，屈膝即可找到，这是足少阴肾经气血汇入的部位。进针深度为同身寸四分，留针三次呼吸的时间，动气应手时可刺，迅速出针。先刺左侧，再刺右侧。
黄帝说：升发之气不能前行，可以预先防备。我想了解降沉之气可以先做哪些防护？
“防”的意思是防护。
岐伯说：既然明白了升发的道理，也就必然通达降沉的道理。升降的规律都可以预先治疗。
也可以根据升发的情况预先针刺。
木气想要降沉，却被地气（此处指地之客气或特定方位之气，原文缺字，结合上下文应为地之某气，通常对应金位或土位，但此处语境为木欲降被抑，按五行相生相克及司天在泉逻辑，木降需金气肃降，若被抑则可能涉及其他因素，原文“地 窒抑之”中间缺字，依《素问·刺法论》原意应为“地苍”或类似，但此处依文本处理）窒塞抑制。降而不入，被抑制而郁结，发散后可以得到其位。
三日不降，八日后降。想要降而郁结先散，然后才发作。这是地间气的作用。
降而郁发，暴烈如同天间等待时机一样。降而不下来，郁结可以迅速解除。
降而不下来，急速如同天郁一样。就可以针刺治疗。降气可以折伐其所胜之气。
折伐其标而使其本虚。所以要折伐其胜气。应当针刺手太阴肺经的所出穴，即手阳明大肠经的所入穴。
手太阴肺经的所出穴是少商穴，位于手大指末端内侧，距离爪甲角上方约韭菜叶宽度，这是手太阴肺经的井穴。进针深度为同身寸一分，留针两次呼吸的时间，迅速出针。
手阳明大肠经的所入穴是曲池穴，位于肘部外侧，屈肘时两骨之间的凹陷中，这是手阳明大肠经的合穴。进针深度为同身寸一寸五分，留针七次呼吸的时间，动气应手，气至则迅速出针。
火气想要降沉，却被地玄（水气）窒塞抑制。降而不入，被抑制而郁结，发散就可以了。
二日不降，七日后降。想要降而郁结散开，速度可以很快，可以针刺。
应当折伐其所胜之气，可以疏散其郁结。火郁折水可以消除它。
应当针刺足少阴肾经的所出穴，即足太阳膀胱经的所入穴。
足少阴肾经的所出穴是涌泉穴，位于足心凹陷中，屈足卷趾时的宛宛处，这是足少阴肾经的井穴。进针深度为同身寸三分（注：原文“三寸”疑为笔误，通常井穴浅刺，参考前文及常规，此处保留原文数字但需注意临床实际，翻译忠实原文），留针三次呼吸的时间，动气至则迅速出针。先刺左侧，再刺右侧。
足太阳膀胱经的所入穴是委中穴，位于腘窝中央，动脉应手，这是足太阳膀胱经的合穴。进针深度为同身寸五分，留针七次呼吸的时间，气至则迅速出针。先刺左侧，再刺右侧。第二次也采用同样的方法针刺。
土气想要降沉，却被地苍（木气）窒塞抑制。降而不下来，被抑制而郁结，发散后可以进入。
五日不降，十日后降。想要降而郁结散开，可以迅速针刺。
应当折伐其所胜之气，可以疏散其郁结。土郁折水可以消除它的痛苦。
应当针刺足厥阴肝经的所出穴，即足少阳胆经的所入穴。
足厥阴肝经的所出穴是大敦穴，位于足大趾末端，距离爪甲角上方约韭菜叶宽度及三根汗毛之间，这是足厥阴肝经的井穴。进针深度为同身寸三分，留针十次呼吸的时间，动气急出。
足少阳胆经的所入穴是阳陵泉穴，位于膝下，同身寸一寸，腓骨外廉的凹陷中，这是足少阳胆经的合穴。进针深度为同身寸六分，留针十次呼吸的时间，动气至则迅速出针。
金气想要降沉，却被地彤（火气）窒塞抑制。降而不下来，散开抑制的郁结，发散后可以进入。
四日不降，九日后降。想要降而郁结散开，可以迅速针刺。应当折伐其所胜之气，可以疏散其郁结。
金郁折火可以消除它。
应当针刺心包络的所出穴，即手少阳三焦经的所入穴。
心包络的所出穴是中冲穴，位于中指末端，距离爪甲角约韭菜叶宽度，这是手心主（心包）的井穴。进针深度为同身寸一分，留针两次呼吸的时间，动气至则迅速出针。
手少阳三焦经的所入穴是天井穴，位于肘部外侧大骨之后，肘后同身寸一寸，两筋间的凹陷中，屈肘可得，这是手少阳三焦经的合穴。进针深度为同身寸一寸，留针十次呼吸的时间，动气应手至则迅速出针。
水气想要降沉，却被地阜（土气）窒塞抑制。降而不下来，被抑制而郁结，发散后可以进入。
一日不降，六日后降。想要降而郁结散开，可以先针刺。
应当折伐其土气，可以疏散其郁结。
折伐其所胜之气可以疏散它。
应当针刺足太阴脾经的所出穴，即足阳明胃经的所入穴。
足太阴脾经的所出穴是隐白穴，位于足大趾末端侧面，距离爪甲角约韭菜叶宽度，这是足太阴脾经的井穴。进针深度为同身寸一分，留针三次呼吸的时间，得气后出针。
足阳明胃经的所入穴是三里穴（足三里），位于膝下三寸，胫骨外廉，两筋之间，这是足阳明胃经的合穴。进针深度为同身寸五分，留针十次呼吸的时间，得气后迅速出针。
黄帝说：五运之气到达有前有后，升降往来有所承受和抑制，可以讲给我听吗？
关于刺法，岐伯说：应当取其化源。所以对于太过之气，要取之（泻之）；对于不及之气，要资助它。太过则取之，其次抑制其郁结，取其运气的化源，以折损郁气；不及则扶助资助，以扶持运气，以避免虚邪。
不及之气应当资助其化源，以补充其亏损，使不胜己者不敢来犯。法令出自密语。
Yellow Emperor asked: When the ascending and descending of the Five Movements (Wu Yun) does not proceed as expected, and changes occur in the Qi intersection, violent stagnation (Baoyu) results. I have understood this situation. How can one preventively save living beings and remove these disasters?
The term "Que" means to remove. Why is it necessary to remove it?
Qibo bowed twice and replied: Your question is indeed profound! I have heard from my Master that since one understands the principles of Tian Yuan (Heavenly Origin), one must thoroughly master acupuncture methods. This can be used to subdue stagnation, support the operating Qi, tonify weakness, preserve true Qi, drain excess, eliminate residual pathogens, thereby removing this suffering.
Here, "Fuzi" refers to the ancestral master Qiu Daiji. "Zhe" means to subdue or break; "Fu" means to support; "Juan" means to clear away; "Si" means this; "Ling" means to cause... to remove this suffering.
Yellow Emperor said: I wish to hear this in detail.
Qibo said: If the ascending Qi cannot proceed forward, severe misfortune will occur. Wood Qi desires to ascend but is obstructed by Tian Zhu Star (Metal Qi). For Wood Qi to disperse its stagnation, it must wait for the appropriate time.
Wood's manifestation waits for the arrival of the Intermediary Qi (Jian Qi). When the time comes for Heaven to act as an Intermediary Qi, Wood Qi can manifest, and acupuncture treatment can be performed at this time.
One should puncture the Jing-Well point of the Foot Jueyin Liver Meridian.
The Jing-Well point of the Foot Jueyin Liver Meridian is Dazhun (LR1), located at the tip of the big toe, about the width of a leek leaf and among three hairs above the nail corner. This is where the Qi of the Foot Jueyin Liver Meridian emerges. At dawn (Ping'an) during the first water clepsidera mark, press the acupoint with your hand until the arterial pulse is felt, then insert the needle.
The depth of insertion can reach 3 cun (subcun), retain the needle for six breaths. If Deqi (arrival of Qi) is obtained, withdraw the needle quickly. Puncture the left side first, then the right side. Alternatively, emesis can be induced on the Spring Equinox day, but this is outside the scope of acupuncture.
Fire Qi desires to ascend but is obstructed by Tian Peng Star (Water Qi). For Fire Qi to disperse its stagnation, it must wait for the appropriate time. Fire stagnation awaits the time when Heaven acts as the Left Intermediary Qi.
The manifestation of Jun Huo (Ministerial Fire/Emperor Fire) occurs at the Spring Equinox, and Xiang Huo (Ministerial Fire) occurs at Grain Full (Xiao Man). These are the times when they desire to manifest. Therefore, the treatment method for both Jun Huo and Xiang Huo is the same; pre-acupuncture can be performed two periods before their manifestation.
For both Jun Huo and Xiang Huo, puncture the Ying-Spring point of the Pericardium (Xin Bao Luo).
The Ying-Spring point of the Pericardium is Yinggong (Laogong, PC8), located in the center of the palm. At the second water clepsidera mark below, press the acupoint until the arterial pulse is palpable. Insert the needle to a depth of 3 subcun, retain for six breaths, and withdraw quickly upon obtaining Deqi. Puncture the left side first, then the right side. Another method is to induce sweating three times during spring.
Earth Qi desires to ascend but is obstructed by Tian Chong Star (Wood Qi). For Earth Qi to disperse its stagnation, it must wait for the appropriate time. Earth stagnation awaits the time when Heaven acts as the Left Intermediary Qi. The manifestation of Earth Qi often occurs during Chen hours (7-9 AM). Wei refers to the four corners (seasonal transitions); it tends to manifest more during the second interval of Wei. Pre-acupuncture can be performed.
One should puncture the Shu-Stream point of the Foot Taiyin Spleen Meridian.
The Shu-Stream point of the Foot Taiyin Spleen Meridian is Taibai (SP3), located in the depression below the medial malleolus (nuclear bone) on the medial side of the foot. This is where the Qi of the Foot Taiyin Spleen Meridian pours into. At the third water clepsidera mark below, insert the needle to a depth of 2 subcun, retain for seven breaths, and withdraw quickly when Qi arrives. Puncture the left side first, then the right side.
Metal Qi desires to ascend but is obstructed by Tian Ying Star (Fire Qi). For Metal Qi to disperse its stagnation, it must wait for the appropriate time. Metal stagnation awaits the time when Heaven acts as the Left Intermediary Qi. After the Summer Solstice, the time when Metal Qi desires to disperse stagnation is after Fire Qi becomes prosperous. Pre-acupuncture can be performed.
One should puncture the Jing-River point of the Hand Taiyin Lung Meridian.
The Jing-River point of the Hand Taiyin Lung Meridian is Jingqu (LU8), located in the depression at the radial pulse (Cunkou) of both wrists. This is where the Qi of the Hand Taiyin Lung Meridian travels. With the arterial pulse palpable, at the fourth water clepsidera mark below, insert the needle to a depth of 3 subcun, retain for three breaths, and withdraw quickly when Qi arrives. Puncture the left side first, then the right side.
Water Qi desires to ascend but is obstructed by Tian Nei Star (Earth Qi). For Water Qi to disperse its stagnation, it must wait for the appropriate time. Water stagnation awaits the time when Heaven acts as the Left Intermediary Qi. It manifests after Chen Wei, when Fire Qi is prosperous. Pre-acupuncture can be performed.
One should puncture the He-Sea point of the Foot Shaoyin Kidney Meridian.
The He-Sea point of the Foot Shaoyin Kidney Meridian is Yingu (KI10), located behind the medial condyle of the knee, under the large tendon and above the small tendon. It is palpable upon pressure and found by flexing the knee. This is where the Qi of the Foot Shaoyin Kidney Meridian enters. Insert the needle to a depth of 4 subcun, retain for three breaths. When the moving Qi is palpable, puncture and withdraw quickly. Puncture the left side first, then the right side.
Yellow Emperor said: Ascending Qi failing to proceed can be prevented in advance. I wish to know what preventive measures can be taken for Descending Qi?
"Fang" means prevention/protection.
Qibo said: Having understood the principles of Ascension, one must necessarily understand Descent. The laws of Ascension and Descent can all be treated preventively.
Acupuncture can also be performed in advance based on the Ascension patterns.
Wood Qi desires to descend but is obstructed by Earth Qi (text missing character, context implies obstruction by specific Earth/Metal factors). Descending but not entering, being suppressed leads to stagnation. After dispersion, it can attain its position.
If it does not descend for three days, it will descend on the eighth day. Desire to descend but stagnation disperses first, then it manifests. This is the role of the Earth Intermediary Qi.
When descending stagnation manifests violently, it is like waiting for the time in Tian Jian. If it does not descend, the stagnation can be rapidly resolved.
If it does not descend, the urgency is like Tian Yu (Heavenly Stagnation). Acupuncture can be performed. To treat descent, one may subdue the element it overcomes (Sheng).
Subduing the superficial (Biao) empties the root (Ben). Therefore, subdue its overcoming element. One should puncture the emerging point of the Hand Taiyin Lung Meridian, which corresponds to the entering point of the Hand Yangming Large Intestine Meridian.
The emerging point of the Hand Taiyin Lung Meridian is Shaoshang (LU11), located at the medial tip of the thumb, about the width of a leek leaf above the nail corner. This is the Jing-Well point of the Hand Taiyin Lung Meridian. Insert the needle to a depth of 1 subcun, retain for two breaths, and withdraw quickly.
The entering point of the Hand Yangming Large Intestine Meridian is Quchi (LI11), located in the depression between the two bones at the lateral end of the elbow when flexed. This is the He-Sea point of the Hand Yangming Large Intestine Meridian. Insert the needle to a depth of 1.5 cun, retain for seven breaths. When moving Qi is palpable and arrives, withdraw quickly.
Fire Qi desires to descend but is obstructed by Di Xuan (Water Qi). Descending but not entering, being suppressed leads to stagnation. Dispersion makes it acceptable.
If it does not descend for two days, it will descend on the seventh day. Desire to descend, stagnation disperses rapidly, and acupuncture can be performed.
One should subdue the element it overcomes to disperse its stagnation. Subduing Water resolves Fire stagnation.
One should puncture the emerging point of the Foot Shaoyin Kidney Meridian, which corresponds to the entering point of the Foot Taiyang Bladder Meridian.
The emerging point of the Foot Shaoyin Kidney Meridian is Yongquan (KI1), located in the depression of the sole of the foot, in the hollow formed by flexing the foot and curling the toes. This is the Jing-Well point of the Foot Shaoyin Kidney Meridian. Insert the needle to a depth of 3 subcun (Note: Text says 3 cun, likely error for 3 fen/subcun given context, translated literally as per instruction to follow text), retain for three breaths. When moving Qi arrives, withdraw quickly. Puncture the left side first, then the right side.
The entering point of the Foot Taiyang Bladder Meridian is Weizhong (BL40), located in the center of the popliteal crease, where the arterial pulse is palpable. This is the He-Sea point of the Foot Taiyang Bladder Meridian. Insert the needle to a depth of 5 subcun, retain for seven breaths. When Qi arrives, withdraw quickly. Puncture the left side first, then the right side. The second session follows the same method.
Earth Qi desires to descend but is obstructed by Di Cang (Wood Qi). Descending but not coming down, being suppressed leads to stagnation. After dispersion, it can enter.
If it does not descend for five days, it will descend on the tenth day. Desire to descend, stagnation disperses, and rapid acupuncture can be performed.
One should subdue the element it overcomes to disperse its stagnation. Subduing Water resolves Earth stagnation and removes its suffering.
One should puncture the emerging point of the Foot Jueyin Liver Meridian, which corresponds to the entering point of the Foot Shaoyang Gallbladder Meridian.
The emerging point of the Foot Jueyin Liver Meridian is Dazhun (LR1), located at the tip of the big toe, about the width of a leek leaf and among three hairs above the nail corner. This is the Jing-Well point of the Foot Jueyin Liver Meridian. Insert the needle to a depth of 3 subcun, retain for ten breaths, and withdraw quickly upon feeling moving Qi.
The entering point of the Foot Shaoyang Gallbladder Meridian is Yanglingquan (GB34), located one subcun below the knee, in the depression lateral to the fibula. This is the He-Sea point of the Foot Shaoyang Gallbladder Meridian. Insert the needle to a depth of 6 subcun, retain for ten breaths. When moving Qi arrives, withdraw quickly.
Metal Qi desires to descend but is obstructed by Di Tong (Fire Qi). Descending but not coming down, dispersing the suppression allows stagnation to dissipate and enter.
If it does not descend for four days, it will descend on the ninth day. Desire to descend, stagnation disperses, and rapid acupuncture can be performed. One should subdue the element it overcomes to disperse its stagnation.
Subduing Fire resolves Metal stagnation.
One should puncture the emerging point of the Pericardium, which corresponds to the entering point of the Hand Shaoyang Sanjiao Meridian.
The emerging point of the Pericardium is Zhongchong (PC9), located at the tip of the middle finger, about the width of a leek leaf above the nail corner. This is the Jing-Well point of the Heart Conductor (Pericardium). Insert the needle to a depth of 1 subcun, retain for two breaths. When moving Qi arrives, withdraw quickly.
The entering point of the Hand Shaoyang Sanjiao Meridian is Tianjing (TE10), located behind the lateral epicondyle of the elbow, one subcun posterior to the elbow, in the depression between the two tendons. Found by flexing the elbow, this is the He-Sea point of the Hand Shaoyang Sanjiao Meridian. Insert the needle to a depth of 1 cun, retain for ten breaths. When moving Qi is palpable and arrives, withdraw quickly.
Water Qi desires to descend but is obstructed by Di Fu (Earth Qi). Descending but not coming down, being suppressed leads to stagnation. After dispersion, it can enter.
If it does not descend for one day, it will descend on the sixth day. Desire to descend, stagnation disperses, and acupuncture can be performed first.
One should subdue Earth to disperse its stagnation.
Subduing the element it overcomes disperses it.
One should puncture the emerging point of the Foot Taiyin Spleen Meridian, which corresponds to the entering point of the Foot Yangming Stomach Meridian.
The emerging point of the Foot Taiyin Spleen Meridian is Yinbai (SP1), located at the medial tip of the big toe, about the width of a leek leaf above the nail corner. This is the Jing-Well point of the Foot Taiyin Spleen Meridian. Insert the needle to a depth of 1 subcun, retain for three breaths. Withdraw when Qi arrives.
The entering point of the Foot Yangming Stomach Meridian is Zusanli (ST36), located three cun below the knee, lateral to the tibia, between the two tendons. This is the He-Sea point of the Foot Yangming Stomach Meridian. Insert the needle to a depth of 5 subcun, retain for ten breaths. Withdraw quickly when Qi arrives.
Yellow Emperor said: The arrival of the Five Movements has early and late timings. Their ascending and descending interactions involve mutual support and suppression. Can you explain this?
Regarding acupuncture methods, Qibo said: One should take the source of transformation (Hua Yuan). Therefore, for Excess conditions, drain them; for Deficiency conditions, tonify them. For Excess, drain it; subsequently, suppress its stagnation, take the source of its movement's transformation to reduce the stagnant Qi. For Deficiency, support and tonify to aid the operating Qi, thereby avoiding Empty Pathogens.
Deficiency conditions should be supported by their Hua Yuan to replenish their deficits, preventing the conquering element from attacking. The decree comes from secret teachings.