黄帝问曰∶余闻缪刺，未得其意，何谓缪刺？岐伯对曰∶夫邪之客于形也，必先舍于皮毛，留而不去，入
舍于孙脉，留而不去，入舍于络脉，留而不去，入舍于经脉，内连五脏，散于肠胃，阴阳俱感，五脏乃伤，此邪
之从皮毛而入，极于五脏之次也，如此则治其经焉。今邪客于皮毛，入舍于孙络，留而不去，闭塞不通，不得
入于经，流溢于大络，而生奇病也。夫邪客大络者，左注右，右注左，上下左右与经相干，而布于四末，其气无
常处，不入于经俞，命曰缪刺。帝曰∶愿闻缪刺，以左取右以右取左奈何？其与巨刺何以别之？岐伯曰∶邪客于
经，左盛则右病，右盛则左病，亦有移易者，左痛未已而右脉先病，如此者，必巨刺之，必中其经，非络脉也。
故络病者，其痛与经脉缪
处，故命曰缪刺。帝曰∶愿闻缪刺奈何？取之何如？岐伯曰∶邪客于足少阴之络，令人卒心痛暴胀，胸胁支满，
无积者，刺然骨之前出血，如食顷而已，不已，左取右，右取左，病新发者，取五日已。邪客于手少阳之络，
令人喉痹舌卷，口干心烦，臂外廉痛，手不及头，刺手中指次指爪甲上，去端如韭叶各一 ，壮者立已，老者
有顷已，左取右，右取左，此新病数日已。邪客于足厥阴之络，令人卒疝暴痛，刺足大指爪甲上，与肉交者各
一，男子立已，女子有顷
已，左取右，右取左。邪客于足太阳之络，令人头项肩痛，刺足小指爪甲上，与肉交者各一 ，立已，不
已，刺外踝下三 ，左取右，右取左，如食顷已。邪客于手阳明之络，令人气满胸中，喘息而支 ，胸中
热，刺手大指次指爪甲上，去端如韭叶各一 ，左取右，右取左，如食顷已。邪客于臂掌之间，不可得屈，刺
其踝后，先以指按之痛，乃刺之，以月死生为数，月生一日一 ，二日二 ，十五日十五 ，十六日十四 。
邪客于足阳跷之脉，令人目痛从内 始，
刺外踝之下半寸所各二 ，左刺右，右刺左，如行十里顷而已。人有所堕坠，恶血留内，腹中满胀，不得前
后，先饮利药，此上伤厥阴之脉，下伤少阴之络，刺足内踝之下，然骨之前血脉出血，刺足跗上动脉，不
已，刺三毛上各一 ，见血立已，左刺右，右刺左。善悲惊不乐，刺如右方。邪客于手阳明之络，令人耳聋，
时不闻音，刺手大指次指爪甲上，去端如韭叶各一 ，立闻，不已，刺中指爪甲上与肉交者，立闻，其不
时闻者，不可刺也。耳中生风者，亦刺之
如此数，左刺右，右刺左。凡痹往来行无常处者，在分肉间痛而刺之，以月死生为数，用针者，随气盛衰，以
为数，针过其日数则脱气，不及日数则气不泻，左刺右，右刺左，病已止，不已，复刺之如法，月生一日
一，二日二 ，渐多之，十五日十五 ，十六日十四 ，渐少之。邪客于足阳明之经，令人鼽衄上齿寒，
刺足中指次指爪甲上，与肉交者各一 ，左刺右，右刺左。邪客于足少阳之络，令人胁痛不得息，咳而汗出，
刺足小指次指爪甲上，与肉交者各一 ，不得息立已，汗出立止，咳者温衣饮食，一日已，左刺右，右刺左，
病立已，不已，复刺如法。邪客于足少阴之络，
令人嗌痛不可内食，无故善怒，气上走贲上，刺足下中央之脉各三 ，凡六刺，立已，左刺右，右刺左。
嗌中肿，不能内唾，时不能出唾者，缪刺然骨之前，出血立已，左刺右，右刺左。邪客于足太阴之络，令人腰
痛，引少腹控 ，不可以仰息，刺腰尻之解，两胂之上，是腰俞，以月死生为 数，发针立已，左刺右，右刺
左。邪客于足太阳之络，
令人拘挛背急，引胁而痛，刺之从项始数脊椎挟脊，疾按之应手如痛，刺之旁三 ，立已。邪客于足少阳
之络，令人留于枢中痛，髀不可举，刺枢中以毫针，寒则久留针，以月死生为数，立已。治诸经刺之，所过者
不病，则缪刺之。耳聋，刺手阳明，不已，刺其通脉出耳前者。齿龋，刺手阳明，不已，刺其脉入齿中，立
已。邪客于五脏之间，其病也，脉引而痛，时来时止，视其病，缪刺之于手足爪甲上，视其脉，出其血，
间日一刺，一刺不已，五刺已。缪传引上齿，齿唇寒痛，视其手背脉血者去之，足阳明中指爪甲上一 ，
手大指次指爪甲上各一 ，立已，左取右，右取左。邪客于手足少阴太阴足阳明之络，此五络皆会于耳中，上
络左角，五络俱竭，令人身脉皆动，而形无知也，其状若尸，或曰尸厥，刺其足大指内侧爪甲上，去端如韭
叶，后刺足心，后刺足中指爪甲上各一
，后刺手大指内侧，去端如韭叶，后刺手心主，少阴锐骨之端各一 ，立已，不已，以竹管吹其两耳，
其左角之发方一寸燔治，饮以美酒一杯，不能饮者灌之，立已。凡刺之数，先视其经脉，切而从之，审
其虚实而调之，不调者经刺之，有痛而经不病者缪刺之，因视其皮部有血络者尽取之，此缪刺之数也。
黄帝问道：我听说有“缪刺”这一疗法，但尚未理解其含义，什么是缪刺？
岐伯回答说：邪气侵犯人体时，必定先停留在皮毛；如果停留不去，就会进入孙脉（细小的分支脉络）；如果仍停留不去，就会进入络脉；如果还停留不去，就会进入经脉。此时邪气向内连接五脏，散布于肠胃，导致阴阳两经都受到感应，五脏因而受损。这是邪气从皮毛侵入，逐步深入至五脏的次序。在这种情况下，应当治疗其所属的经脉。
如今，如果邪气客居在皮毛，进入孙络，停留不去，导致闭塞不通，无法进入经脉，而是流溢于大络之中，从而产生奇异的病症。当邪气客居在大络时，左侧的病邪会流向右侧，右侧的病邪会流向左侧，上下左右与经脉相互干扰，并分布于四肢末端。这种病气没有固定的位置，不进入经脉和腧穴，因此称为“缪刺”。
黄帝说：我希望了解缪刺的具体操作，即为什么左边有病取右边穴位，右边有病取左边穴位？它与“巨刺”有什么区别？
岐伯说：邪气客居在经脉时，如果左侧邪气盛则右侧发病，右侧邪气盛则左侧发病，也有病情转移的情况，比如左侧疼痛未止而右侧脉象先出现病变。遇到这种情况，必须使用“巨刺”，且必须针刺到经脉，而不是络脉。所以，络脉生病时，其疼痛部位与经脉交错不同，因此称为“缪刺”。
黄帝说：我想了解缪刺具体如何操作？取穴有什么讲究？
岐伯说：邪气客居在足少阴肾经的络脉，会导致突然心痛、暴胀、胸胁支撑满闷。如果没有积聚痞块，应针刺然骨（内踝前下方）之前的血脉出血，大约一顿饭的时间病就好了。如果不好，采用左病取右、右病取左的方法。如果是新发的病，五天即可痊愈。
邪气客居在手少阳三焦经的络脉，会导致喉痹、舌卷缩、口干、心烦、手臂外侧疼痛、手举不过头。应针刺手中指和次指（无名指）指甲角上方，距离指尖如韭菜叶宽的地方各一针。身体强壮的人立刻见效，年老体弱者片刻见效。同样采用左病取右、右病取左的方法，新病几天即可痊愈。
邪气客居在足厥阴肝经的络脉，会导致突然疝气、剧烈疼痛。应针刺足大指指甲角上方，与肉交接的地方各一针。男性立刻见效，女性片刻见效。同样采用左病取右、右病取左的方法。
邪气客居在足太阳膀胱经的络脉，会导致头项肩背疼痛。应针刺足小指指甲角上方，与肉交接的地方各一针，立刻见效。如果不好，针刺外踝下方三寸处，采用左病取右、右病取左的方法，大约一顿饭的时间见效。
邪气客居在手阳明大肠经的络脉，会导致气满胸中、喘息、胸部支撑感、胸中发热。应针刺手大指和次指指甲角上方，距离指尖如韭菜叶宽的地方各一针，采用左病取右、右病取左的方法，大约一顿饭的时间见效。
邪气客居在手臂手掌之间，导致关节不可屈伸。应针刺其踝后部，先用手指按压，感到疼痛的地方就是针穴，然后进行针刺。针刺的次数根据月亮的盈亏变化来确定：月亮初生第一天刺一针，第二天刺两针，第十五天刺十五针；第十六天刺十四针，以此类推逐渐减少。
邪气客居在足阳跷脉，会导致眼睛疼痛从内眼角开始。应针刺外踝下半寸处各二针，左病刺右，右病刺左，大约行走十里路的时间见效。
人如果有跌坠受伤，恶血留滞体内，导致腹部胀满，大小便不通。应先服用通利药物。这是因为上伤及厥阴之脉，下伤及少阴之络。应针刺足内踝之下、然骨之前的血脉出血，再针刺足背部动脉。如果不好，针刺足大趾丛毛处（大敦穴）各一针，见血立刻见效，采用左病刺右，右病刺左。对于悲伤惊恐不乐的症状，针刺方法同上。
邪气客居在手阳明大肠经的络脉，会导致耳聋，时常听不见声音。应针刺手大指和次指指甲角上方，距离指尖如韭菜叶宽的地方各一针，立刻能听见。如果不好，针刺中指指甲角上方与肉交接的地方，立刻能听见。如果是间歇性耳聋，则不可针刺。耳朵里感觉像有风声的，也按上述方法针刺，左病刺右，右病刺左。
凡是痹症往来游走、没有固定位置的，在分肉间疼痛处进行针刺。针刺次数根据月亮的盈亏变化来确定。使用针法时，要随着气血的盛衰来决定针刺数量。针刺超过规定的天数会耗伤正气，不足规定天数则邪气不能排出。采用左病刺右，右病刺左的方法。病好了就停止，如果没好，再次按此法针刺。月亮初生第一天刺一针，第二天刺两针，逐渐增加；第十五天刺十五针，第十六天刺十四针，逐渐减少。
邪气客居在足阳明胃经，会导致鼻塞流涕、鼻衄、上齿发冷。应针刺足中指和次指指甲角上方，与肉交接的地方各一针，采用左病刺右，右病刺左的方法。
邪气客居在足少阳胆经的络脉，会导致胁痛、呼吸困难、咳嗽伴出汗。应针刺足小指和次指指甲角上方，与肉交接的地方各一针。呼吸困难立刻缓解，出汗立刻停止。咳嗽者需保暖衣物、温热饮食，一天即可痊愈。采用左病刺右，右病刺左的方法，病立刻好转。如果没好，再次按此法针刺。
邪气客居在足少阴肾经的络脉，会导致咽喉疼痛、无法进食、无故易怒、气逆上行至贲门之上。应针刺足底中央的脉穴各三针，共六刺，立刻见效，采用左病刺右，右病刺左的方法。
咽喉肿胀，无法吞咽唾液，或有时无法吐出唾液的，缪刺然骨之前的穴位，出血立刻见效，采用左病刺右，右病刺左的方法。
邪气客居在足太阴脾经的络脉，会导致腰痛，牵引小腹及髋部，无法仰卧呼吸。应针刺腰尻部的缝隙，两胂肌之上的位置，即腰俞穴。针刺次数根据月亮的盈亏变化来确定，拔针立刻见效，采用左病刺右，右病刺左的方法。
邪气客居在足太阳膀胱经的络脉，会导致拘挛、背部僵硬、牵引胁肋疼痛。针刺应从颈部开始，沿脊椎两侧向下数椎骨，用力按压，手下感到疼痛的地方即为针穴，在其旁侧针刺三针，立刻见效。
邪气客居在足少阳胆经的络脉，会导致枢骨（髋关节）疼痛，大腿无法抬起。应用毫针刺入枢骨中，若属寒证则久留针。针刺次数根据月亮的盈亏变化来确定，立刻见效。
治疗各经疾病时，如果经过的部位没有病变，则采用缪刺法。耳聋，先刺手阳明大肠经，无效则刺其通向耳前的经脉。龋齿疼痛，先刺手阳明大肠经，无效则刺其进入牙齿中的经脉，立刻见效。
邪气客居在五脏之间，病症表现为经脉牵引疼痛，时作时止。观察病情，在手脚指甲角上方进行缪刺，观察血脉，放出血液。每隔一天刺一次，一次无效，五次即可痊愈。
缪传导致上齿牵引疼痛，嘴唇寒冷疼痛，观察手背血脉中有瘀血者予以清除。针刺足阳明胃经中指爪甲上一针，手大指和次指爪甲上各一针，立刻见效，采用左病取右，右病取左的方法。
邪气客居在手足少阴、太阴及足阳明这五条络脉。这五条络脉都汇聚于耳中，向上联络左额角。如果五条络脉的气血都衰竭，会导致全身脉搏跳动但形体无知觉，状如尸体，有的称为“尸厥”。应针刺足大指内侧指甲角上方，距离指尖如韭菜叶宽的地方；随后刺足心；随后刺足中指指甲角上方各一针；随后刺手大指内侧，距离指尖如韭菜叶宽的地方；随后刺手心主（心包经）和少阴心经锐骨（豌豆骨）之端各一针，立刻见效。如果没好，用竹管吹双耳以通气。剪取左额角头发一方寸，烧制成炭，用一杯美酒送服，不能饮酒者灌服，立刻见效。
凡是用针的原则，先观察经脉，切按循行路线，审察虚实并进行调理。不调理的用经刺法，有疼痛但经脉本身无病的用缪刺法。同时观察皮部是否有血络，如有则全部刺破放血。这就是缪刺的要领。
Huangdi asked: I have heard of "Miu Ci" (Counter-point Acupuncture), but I do not yet understand its meaning. What is Miu Ci?
Qibo replied: When pathogenic factors invade the body, they first lodge in the skin and hair (mao pi). If they remain there without being expelled, they enter the Sun vessels (Sun mai, minute collateral branches). If they still remain, they enter the Luo vessels (Luo mai, collaterals). If they continue to remain, they enter the Jing vessels (Jing mai, primary meridians). At this stage, the pathogens connect internally with the Zang organs (Zang fu, solid organs) and scatter into the Chang organs (Chang fu, hollow organs). Both Yin and Yang are affected, leading to injury of the five Zang organs. This is the sequence by which pathogens enter from the skin and hair and reach the depth of the five Zang organs. In such cases, treatment should focus on the primary meridians.
However, if pathogens lodge in the skin and hair, enter the Sun collaterals (Sun luo), and remain without being expelled, causing blockage and obstruction, they cannot enter the primary meridians. Instead, they overflow into the large collaterals (Da luo), generating unusual diseases. When pathogens lodge in the large collaterals, left-sided pathogens flow to the right, and right-sided pathogens flow to the left. They interfere with the meridians above and below, left and right, and distribute to the four extremities. Their movement is unpredictable, they do not enter the primary meridians or Shu points (Shu xu, transport points), and thus this method is called "Miu Ci" (Counter-point Acupuncture).
Huangdi said: I wish to learn about Miu Ci. Why does one treat the left side for right-sided disease and the right side for left-sided disease? How does it differ from "Ju Ci" (Major-point Acupuncture)?
Qibo said: When pathogens lodge in the primary meridians, if the left side is excessive, the right side becomes diseased; if the right side is excessive, the left side becomes diseased. There are also cases of shifting pain, where pain on the left persists while the pulse on the right shows pathology first. In such cases, one must use "Ju Ci," ensuring the needle reaches the primary meridian, not the collateral vessels. Therefore, when collaterals are diseased, the pain location differs from that of the primary meridians, hence the name "Miu Ci."
Huangdi said: I wish to know how Miu Ci is performed specifically. What are the principles for selecting points?
Qibo said: When pathogens lodge in the collateral of the Foot Shaoyin Kidney Meridian, sudden heart pain, acute distension, and fullness/supporting sensation in the chest and hypochondrium occur. If there are no accumulations, prick the blood vessels anterior to Ran Gu (Rangu, KI2) until bleeding occurs. The illness will resolve after approximately the time it takes to eat a meal. If it does not resolve, apply the principle of treating the left for the right and the right for the left. For newly onset diseases, five days are sufficient for recovery.
When pathogens lodge in the collateral of the Hand Shaoyang Sanjiao Meridian, throat obstruction (Hou bi), tongue retraction, dry mouth, vexation, pain along the lateral aspect of the arm, and inability to raise the hand to the head occur. Prick the nails of the middle and ring fingers, at a distance from the tip equivalent to the width of a leek leaf, on each side. For robust individuals, relief is immediate; for the elderly, it takes a moment. Apply the principle of treating the left for the right and the right for the left. Newly onset diseases resolve within a few days.
When pathogens lodge in the collateral of the Foot Jueyin Liver Meridian, sudden hernia and severe pain occur. Prick the area where the nail meets the flesh on the big toe, on each side. Relief is immediate for men and takes a moment for women. Apply the principle of treating the left for the right and the right for the left.
When pathogens lodge in the collateral of the Foot Taiyang Bladder Meridian, headache, neck stiffness, and shoulder pain occur. Prick the area where the nail meets the flesh on the little toe, on each side. Relief is immediate. If not, prick three cun below the lateral malleolus, applying the principle of treating the left for the right and the right for the left. Relief occurs after approximately the time it takes to eat a meal.
When pathogens lodge in the collateral of the Hand Yangming Large Intestine Meridian, chest fullness, wheezing, supporting sensation in the chest, and heat in the chest occur. Prick the nails of the index and middle fingers, at a distance from the tip equivalent to the width of a leek leaf, on each side. Apply the principle of treating the left for the right and the right for the left. Relief occurs after approximately the time it takes to eat a meal.
When pathogens lodge between the arm and palm, causing inability to flex, prick the posterior aspect of the ankle. First, press with the finger to locate the painful point, then prick. The number of needles should be determined by the waxing and waning of the moon: one needle on the first day of the lunar cycle, two on the second, fifteen on the fifteenth; fourteen on the sixteenth, decreasing gradually thereafter.
When pathogens lodge in the Foot Yangqiao Vessel, eye pain starting from the inner canthus occurs. Prick half a cun below the lateral malleolus, two needles on each side, treating the left for the right and the right for the left. Relief occurs after walking the distance covered in ten li.
If a person suffers a fall, causing stagnant evil blood to remain internally, leading to abdominal fullness and inability to urinate or defecate, administer purgative medicines first. This injury affects the Jueyin meridians above and the Shaoyin collaterals below. Prick the blood vessels anterior to Ran Gu (Rangu, KI2) below the medial malleolus until bleeding occurs, and prick the arterial pulse on the dorsum of the foot. If not resolved, prick the hair tuft on the big toe (Dadun, LR1) on each side until bleeding occurs. Relief is immediate. Apply the principle of treating the left for the right and the right for the left. For symptoms of sadness, fright, and unhappiness, use the same needling method.
When pathogens lodge in the collateral of the Hand Yangming Large Intestine Meridian, deafness and intermittent hearing loss occur. Prick the nails of the index and middle fingers, at a distance from the tip equivalent to the width of a leek leaf, on each side. Hearing is restored immediately. If not, prick the area where the nail meets the flesh on the middle finger. Hearing is restored immediately. However, intermittent hearing loss should not be treated with needling. For sensations of wind in the ears, apply the same needling method, treating the left for the right and the right for the left.
For Bi syndrome (Bi zheng, obstruction syndrome) characterized by wandering pain without fixed locations, prick the painful areas between the muscle layers. The number of needles is determined by the lunar cycle. The practitioner must adjust the number of needles according to the flourishing or declining state of Qi. Exceeding the prescribed number depletes Qi, while falling short fails to expel pathogens. Apply the principle of treating the left for the right and the right for the left. Stop when the disease resolves; if not, repeat as prescribed. One needle on the first day of the lunar cycle, two on the second, increasing gradually; fifteen on the fifteenth, fourteen on the sixteenth, decreasing gradually.
When pathogens lodge in the Foot Yangming Stomach Meridian, nasal congestion, epistaxis, and coldness in the upper teeth occur. Prick the area where the nail meets the flesh on the second and third toes, on each side. Apply the principle of treating the left for the right and the right for the left.
When pathogens lodge in the collateral of the Foot Shaoyang Gallbladder Meridian, hypochondriac pain, dyspnea, cough with sweating occur. Prick the area where the nail meets the flesh on the second and third toes, on each side. Dyspnea resolves immediately, and sweating stops immediately. For cough, keep warm with clothing and consume warm food and drinks; resolution occurs within one day. Apply the principle of treating the left for the right and the right for the left. The disease resolves immediately. If not, repeat as prescribed.
When pathogens lodge in the collateral of the Foot Shaoyin Kidney Meridian, sore throat, inability to swallow food, spontaneous anger, and rebellious Qi ascending to Fen Shang (upper epigastrium) occur. Prick the central vessels of the sole of the foot, three times on each side, totaling six pricks. Relief is immediate. Apply the principle of treating the left for the right and the right for the left.
For swelling in the throat, inability to swallow saliva, or inability to expectorate saliva, perform Miu Ci on Ran Gu (Rangu, KI2) anteriorly until bleeding occurs. Relief is immediate. Apply the principle of treating the left for the right and the right for the left.
When pathogens lodge in the collateral of the Foot Taiyin Spleen Meridian, lower back pain radiating to the lower abdomen and hip, with inability to lie flat and breathe deeply, occurs. Prick the gap in the sacrococcygeal region, above the two gluteal muscles, which is Yaoshu (Yaoshu, BL23). The number of needles is determined by the lunar cycle. Relief is immediate upon needle withdrawal. Apply the principle of treating the left for the right and the right for the left.
When pathogens lodge in the collateral of the Foot Taiyang Bladder Meridian, spasms, back stiffness, and pain radiating to the hypochondrium occur. Needling should start from the neck, counting down the vertebrae along the spine. Press firmly; where tenderness is felt under the hand, prick laterally three times. Relief is immediate.
When pathogens lodge in the collateral of the Foot Shaoyang Gallbladder Meridian, pain in the Shu joint (hip joint) with inability to lift the thigh occurs. Insert a filiform needle into the Shu joint. For cold patterns, retain the needle for a long time. The number of needles is determined by the lunar cycle. Relief is immediate.
In treating various meridians, if the pathway is unaffected, use Miu Ci. For deafness, first prick the Hand Yangming Large Intestine Meridian; if ineffective, prick the vessel emerging before the ear. For toothache, prick the Hand Yangming Large Intestine Meridian; if ineffective, prick the vessel entering the teeth. Relief is immediate.
When pathogens lodge between the five Zang organs, causing pulling pain in the meridians that comes and goes, observe the condition and perform Miu Ci on the nails of the hands and feet. Observe the vessels and release blood. Prick every other day. If one session is ineffective, five sessions will cure the disease.
For Miu transmission causing pulling pain in the upper teeth and cold pain in the lips, observe the dorsal hand vessels for blood stasis and remove it. Prick one needle on the second toe of the Foot Yangming Stomach Meridian, and one needle each on the index and middle fingers of the hand. Relief is immediate. Apply the principle of treating the left for the right and the right for the left.
When pathogens lodge in the collaterals of the Hand and Foot Shaoyin, Taiyin, and Foot Yangming meridians, these five collaterals converge in the ear and ascend to connect with the left corner of the head. If all five collaterals are exhausted, the pulses move throughout the body while the form remains unconscious, resembling a corpse, known as "Shi Jue" (Corpse-like Syncope). Prick the medial side of the big toe nail, at a distance from the tip equivalent to the width of a leek leaf. Then prick Yong Quan (Yongquan, KI1). Then prick one needle each on the middle toe nail. Then prick the medial side of the big toe of the hand, at a distance from the tip equivalent to the width of a leek leaf. Then prick one needle each at the end of the Heart Pericardium Meridian and the sharp bone (pisiform) of the Heart Meridian. Relief is immediate. If not, blow air into both ears using a bamboo tube. Burn one square cun of hair from the left corner of the head, mix with a cup of fine wine, and drink it. If unable to drink, force-feed it. Relief is immediate.
The general principles of needling are: first observe the meridians, palpate along their course, assess deficiency and excess, and regulate accordingly. For irregularities in the meridians, use Jing Ci (Meridian Acupuncture). For pain without meridian pathology, use Miu Ci. Simultaneously observe the skin regions for blood vessels; if present, prick them all to release blood. This constitutes the methodology of Miu Ci.