厥阴有余病阴痹，不足病生热痹，滑则病狐疝
风，涩则病少腹积气。少阴有余病皮痹隐轸，不足病肺痹，滑则病肺风疝，涩则病积溲血。太阴有余病肉
痹寒中，不足病脾痹，滑则病脾风疝，涩则病积心腹时满。阳明有余病脉痹身时热，不足病心痹，滑则病心
风疝，涩则病积时善惊。太阳有余病骨痹身重，不足病肾痹，滑则病肾风疝，涩则病积善时巅疾。少阳有余
病筋痹胁满，不足病肝痹，滑则病肝风疝，涩则病积时筋急目痛。是故春气在经脉，夏气在孙络，长夏气在肌
肉，秋气在皮肤，冬气在骨髓中。帝曰∶余愿闻其故。岐伯曰∶春者，天气始开，
地气始泄，冻解冰释，水行经通，故人气在脉。夏者，经满气溢，入孙络受血，皮肤充实。长夏者，经络皆
盛，内溢肌中。秋者，天气始收，腠理闭塞，皮肤引急。冬者盖藏，血气在中，内着骨髓，通于五脏。是
故邪气者，常随四时之气血而入客也，至其变化不可为度，然必从其经气，辟除其邪，除其邪则乱气不生。帝曰∶
逆四时而生乱气奈何？岐伯曰∶春刺络脉，血气外溢，令人少气；春刺肌肉，血气环逆，令人上气；春刺筋骨，
血气内着，令人腹胀。夏刺经脉，血气乃竭，令人解 ；夏刺肌肉，血气内却，令人善恐；夏刺筋骨，血气
上逆，令人善怒。秋刺经脉，血气上逆，令人善忘；秋刺络脉，气不外行，令人卧
不欲动；秋刺筋骨，血气内散，令人寒栗。冬刺经脉，血气皆脱，令人目不明；冬刺络脉，内气外泄，留
为大痹；冬刺肌肉，阳气竭绝，令人善忘。凡此四时刺者，大逆之病，不可不从也，反之，则生乱气相淫病
焉。故刺不知四时之经，病之所生，以从为逆，正气内乱，与精相薄，必审九候，正气不乱，精气不转。
帝曰∶善。刺五脏，中心一日死，其动为噫。中肝五日死，其动为语。中肺三日死，其动为咳。中肾六日死，
其动为嚏欠。中脾十日死，其动为吞。
刺伤人五脏必死，其动，则根据其脏之所变候知其死也。
厥阴经气有余，会引发阴痹；经气不足，会生热痹；脉滑则病狐疝风，脉涩则病少腹积气。少阴经气有余，会引发皮痹隐轸（皮肤麻木瘙痒）；经气不足，会病肺痹；脉滑则病肺风疝，脉涩则病积聚、小便带血。太阴经气有余，会引发肉痹寒中（肌肉痹痛伴脾胃虚寒）；经气不足，会病脾痹；脉滑则病脾风疝，脉涩则病积聚、心腹部时常胀满。阳明经气有余，会引发脉痹、身体时常发热；经气不足，会病心痹；脉滑则病心风疝，脉涩则病积聚、时常惊恐。太阳经气有余，会引发骨痹、身体沉重；经气不足，会病肾痹；脉滑则病肾风疝，脉涩则病积聚、时常发生巅顶部位的疾病。少阳经气有余，会引发筋痹、胁肋胀满；经气不足，会病肝痹；脉滑则病肝风疝，脉涩则病积聚、时常筋脉拘急、眼睛疼痛。
因此，春日的正气在经脉，夏日的正气在孙络（细小的络脉），长夏（夏季最后一个月份或指湿气最盛之时）的正气在肌肉，秋日的正气在皮肤，冬日的正气在骨髓中。黄帝说：我希望听听其中的缘故。岐伯说：春季，天气开始发散，地气开始流通，冻土解冻、冰层消融，水流运行、经络通畅，所以人的气血在经脉中。夏季，经脉气血充盈满溢，流入孙络受纳血液，皮肤变得充实。长夏时节，经络气血都旺盛，向内溢注于肌肉之中。秋季，天气开始收敛，腠理（皮肤纹理及汗孔）闭塞，皮肤收缩紧张。冬季，万物闭藏，气血居于体内深处，内着于骨髓，通达五脏。
因此，邪气常常随着四时气血的变化而侵入人体，但其变化无常，难以预测，然而治疗必须顺应经气的规律，驱除邪气，邪气去除则逆乱之气就不会产生。黄帝说：违背四时规律而产生逆乱之气是怎么回事？岐伯说：春季刺络脉，会导致血气外溢，使人气短；春季刺肌肉，会导致血气循环逆乱，使人气逆上冲；春季刺筋骨，会导致血气内陷停滞，使人腹胀。夏季刺经脉，会导致血气枯竭，使人懈怠无力；夏季刺肌肉，会导致血气内退，使人容易恐惧；夏季刺筋骨，会导致血气上逆，使人易怒。秋季刺经脉，会导致血气上逆，使人健忘；秋季刺络脉，会导致气不能向外运行，使人嗜卧不想活动；秋季刺筋骨，会导致血气内散，使人寒战发抖。冬季刺经脉，会导致血气皆脱失，使人视力模糊；冬季刺络脉，会导致体内之气外泄，留滞成为大痹；冬季刺肌肉，会导致阳气竭绝，使人健忘。
凡是这些违背四时规律的针刺，都是严重的逆乱之病，不可不重视。如果违反，就会产生逆乱之气相互侵淫致病。所以，针刺如果不了解四时的经脉规律和疾病的生成原因，以顺从为逆反，就会导致正气在内混乱，与精气相搏结。必须审慎诊察九候脉象，使正气不乱，精气不转输耗散。
黄帝说：好。针刺伤及五脏，中心脏一天死亡，其表现为嗳气。刺中肝脏五天死亡，其表现为胡言乱语。刺中肺脏三天死亡，其表现为咳嗽。刺中肾脏六天死亡，其表现为打喷嚏和呵欠。刺中脾脏十天死亡，其表现为吞咽动作频繁。
针刺伤害了人的五脏必定致死，其临床表现，则根据该脏所对应的病变征候来推断其死亡的情况。
When the Jueyin (Liver/Pericardium) channel is in excess, Yin Bi (Bi syndrome affecting the yin aspects or lower body) occurs; when deficient, Re Bi (Heat Bi syndrome) arises; a slippery pulse indicates Hu Shan Feng (Fox Hernia); a choppy pulse indicates accumulation of Qi in the lower abdomen. When the Shaoyin (Heart/Kidney) channel is in excess, Pi Bi (Skin Bi syndrome) and skin numbness/itching occur; when deficient, Fei Bi (Lung Bi syndrome) arises; a slippery pulse indicates Fei Feng Shan (Lung Wind Hernia); a choppy pulse indicates accumulation and hematuria. When the Taiyin (Spleen/Lung) channel is in excess, Rou Bi (Muscle Bi syndrome) with cold in the middle jiao occurs; when deficient, Pi Bi (Spleen Bi syndrome) arises; a slippery pulse indicates Pi Feng Shan (Spleen Wind Hernia); a choppy pulse indicates accumulation and frequent fullness in the heart and abdomen. When the Yangming (Large Intestine/Stomach) channel is in excess, Mai Bi (Vessel Bi syndrome) and intermittent fever occur; when deficient, Xin Bi (Heart Bi syndrome) arises; a slippery pulse indicates Xin Feng Shan (Heart Wind Hernia); a choppy pulse indicates accumulation and frequent fright. When the Taiyang (Bladder/Small Intestine) channel is in excess, Gu Bi (Bone Bi syndrome) and heaviness of the body occur; when deficient, Shen Bi (Kidney Bi syndrome) arises; a slippery pulse indicates Shen Feng Shan (Kidney Wind Hernia); a choppy pulse indicates accumulation and frequent disorders at the vertex. When the Shaoyang (Gallbladder/Triple Burner) channel is in excess, Jin Bi (Tendon Bi syndrome) and hypochondriac fullness occur; when deficient, Gan Bi (Liver Bi syndrome) arises; a slippery pulse indicates Gan Feng Shan (Liver Wind Hernia); a choppy pulse indicates accumulation, frequent tendon stiffness, and eye pain.
Therefore, the Qi of Spring resides in the meridians, the Qi of Summer in the collateral vessels (Sun Luo), the Qi of Late Summer in the muscles, the Qi of Autumn in the skin, and the Qi of Winter in the bone marrow. The Yellow Emperor said: I wish to hear the reason. Qibo said: In Spring, Heaven's Qi begins to open, Earth's Qi begins to flow, ice melts, water flows, and meridians become clear; thus, human Qi is in the meridians. In Summer, meridian Qi is full and overflows into the collateral vessels to nourish blood, making the skin robust. In Late Summer, both meridian and collateral Qi are vigorous, overflowing inward into the muscles. In Autumn, Heaven's Qi begins to gather, pores close, and the skin becomes tight. In Winter, things are covered and stored; Blood and Qi remain within, settling in the bone marrow and connecting to the five Zang organs.
Thus, pathogenic factors often enter and lodge following the changes of the four seasons' Blood and Qi. Although their variations are unpredictable, treatment must follow the meridian Qi to expel the pathogens. Once the pathogens are removed, chaotic Qi will not arise. The Yellow Emperor said: How does violating the four seasons generate chaotic Qi? Qibo said: If one punctures collateral vessels in Spring, Blood and Qi overflow outward, causing shortness of breath; if one punctures muscles in Spring, Blood and Qi circulate reversely, causing upward rushing of Qi; if one punctures sinews and bones in Spring, Blood and Qi stagnate inward, causing abdominal distension. If one punctures meridians in Summer, Blood and Qi are exhausted, causing lethargy; if one punctures muscles in Summer, Blood and Qi retreat inward, causing fearfulness; if one punctures sinews and bones in Summer, Blood and Qi rush upward, causing irritability. If one punctures meridians in Autumn, Blood and Qi rush upward, causing forgetfulness; if one punctures collateral vessels in Autumn, Qi fails to move outward, causing drowsiness and lack of desire to move; if one punctures sinews and bones in Autumn, Blood and Qi scatter inward, causing chills. If one punctures meridians in Winter, Blood and Qi are depleted, causing blurred vision; if one punctures collateral vessels in Winter, internal Qi leaks outward, remaining as severe Bi syndrome; if one punctures muscles in Winter, Yang Qi is exhausted, causing forgetfulness.
All such punctuations contrary to the four seasons constitute major violations. One must adhere to the correct principles; otherwise, chaotic Qi will arise and mutually invade, causing disease. Therefore, if one does not understand the meridians of the four seasons and the origin of diseases, treating compliance as violation, internal Zheng Qi (Upright Qi) becomes chaotic, clashing with Jing Qi (Essence). One must carefully examine the nine pulses. If Zheng Qi is not chaotic and Jing Qi does not shift improperly, health is maintained.
The Yellow Emperor said: Excellent. Puncturing the Heart leads to death in one day, manifested by belching. Puncturing the Liver leads to death in five days, manifested by incoherent speech. Puncturing the Lung leads to death in three days, manifested by coughing. Puncturing the Kidney leads to death in six days, manifested by sneezing and yawning. Puncturing the Spleen leads to death in ten days, manifested by swallowing movements.
Puncturing and injuring the five Zang organs invariably leads to death; the clinical manifestations allow one to predict the time of death based on the specific signs corresponding to each Zang organ.