缪，平声，篇内同。
左右交刺，谓之缪刺。病在经脉，则经刺之，刺其俞穴也。病在络脉，则缪刺之，刺其皮络也。邪
客于手足三阳三阴之络，有经刺缪次之法。邪客于五脏之络，亦有经刺缪刺之法。知经脉络脉孙
络脉之浅深，而缪刺之理明矣。
黄帝问曰∶余闻缪刺，未得其意，何谓缪刺？
缪刺，左右交刺，刺极浅也。篇名缪刺，帝直举以问也。
岐伯对曰∶夫邪之客于形也，必先舍于皮毛，留而不去，入舍于孙络，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。
人身形体，外而皮毛，内而五脏，由浅入深，阴阳相应，故夫邪之客于形身也，必先舍于皮毛，留
而不去，则入舍于孙脉，留而不去，则入舍于络脉，留而不去，则入舍于经脉，皮毛孙脉络脉经
脉，皆内连五脏，六经为川，肠胃为海，故散于肠胃，三阳三阴，表里相应，若阴阳俱感，则五脏乃伤，
此邪始从皮毛之表阳，而入极于五脏之次也，如此，则治其经焉，言当刺其经俞，不缪刺也。
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。
承上文之意，而言今邪客于皮毛，入舍于孙络，留于孙络而不去，致孙络闭塞不通，不得入于经，
但流溢于大络，而生左右相注之奇病也。流溢，传注也。《气穴论》云∶孙络之脉别经者，并注
于络，传注十四络脉者是也。
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。
处，去声，下同。承流溢于大络之意，而言夫邪客大络者，但传注于左右，故左注右，左注右，身
半以上，身半以下，皆有传注，故上下左右，与经相干。经、经隧也，经隧者，五脏六腑之大
络也，故与经相干，而输布于手足之四末，其气左右流行，无有常处，经隧相干，故不入于经俞，不
入经俞，刺其络脉，故命曰缪刺。
帝曰∶愿闻缪刺，以左取右，以右取左奈何？其与巨刺何以别之？
别，音通。《灵枢·官针》篇，八曰巨刺，左取右，右取左。缪
刺亦左取右，右取左，故问缪刺巨刺何以别之？
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。
中，去声。上缪作谬，下缪平声。此言邪客于经，左右移易，则当巨刺，邪客于络，左右纰缪，则
当缪刺也，邪客于经，客于经脉也，经脉流行，贵得其平，若左之经脉有余而盛、则右病；右之
经脉有余而盛，则左病。夫左盛右病，右盛左病，不相移易者也。亦有移易者，如左痛未已，而右脉先病，
左移于右，则右亦可移于左，如此，邪客于经而移易者，必巨刺之，申言巨刺必中其经，非
中络脉也，《灵枢·脉度》论云∶经脉为里，支而横者为络，故络病者，其痛与经脉缪处。缪处，异处也。
谓经脉之痛，深而在里，络脉之痛，支而横居，病在于络，左右纰缪，故命曰缪刺。
帝曰∶愿闻缪刺奈何？取之何如？
缪刺之法，无有常处，故问取之何如？
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，刺然谷之前，出血如食顷而已，不已，左取右，右取左，病新发者，取五日已。
卒，音促，下同。谷，旧本讹骨，今改，下二然谷之谷仿此。凡邪客于络，内并于经，则正刺之，
邪客于络，不并于经，则缪刺之，经脉论云∶足少阴之别，并经上走于心包下，故邪客于足少阴
之络，令人卒心痛。又云∶其病气逆，则烦闷，故暴胀，胸胁支满，胀满有积，当刺其胸胁，若无积者，病
少阴之络，上走心包，故当刺足少阴然谷之前，而出其血。本俞论云∶然谷，然骨之下者
也，今曰然谷之前，即然骨也。刺如食顷，而痛胀支满可已，如不已，则病在络脉，不并于经，故当左取
右，右取左，而为缪刺以治之，病新发者，邪气方盛，取刺五日，其病始已。
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。
《经脉》论云，三焦手少阳之脉病，则嗌肿喉痹。故邪客于手少
阳之络，令人喉痹。又云∶手少阳之别，注胸中，合心主，外绕臂，实则肘挛，虚则不收，故舌卷口干
心烦，臂外廉痛，手不及头，此病少阳之络而合于经，故当刺中指之次指，中指次指，即小指次指
也。爪甲上去端如韭叶，手少阳关冲井穴也， 针瘢也，刺其左右各一 ，壮者血气盛，故病立已，老者
血气虚，故有顷已，若不合于经，但在络脉，则当左取右，右取左，而为缪刺以治之，此新病
而邪气方盛，故缪刺数日，其病始已。
邪客于足厥阴之络，令人卒疝暴痛，刺足大趾爪甲上，与肉交
者各一 ，男子立已，女子有顷已，左取右，右取左。
经脉论云∶足厥阴之别，其病气逆，则睾肿卒疝，故邪客于足厥阴之络，令人卒疝暴痛，当刺足大趾
爪甲上与肉交者，足厥阴大敦井穴也。刺其左右各一 ，男子血盛故立已，女子不足于血故有顷已，邪客
厥阴之络，更当左取右，右取左，而为缪刺以治之。
邪客于足太阳之络，令人头项肩痛，刺足小趾爪甲上与肉交者
各一 ，立已，不已，刺外踝下三 ，左取右，右取左，如食顷已。
《经脉》论云∶膀胱足太阳之脉从巅下项，循肩膊内。又云∶足太阳之别，实则头背痛，故邪客于
足太阳之络，令人头项项痛，当刺足小趾爪甲上与肉交者，足太阳至阴穴也，刺其左右各一 ，
其痛立已，如不已，更刺外踝下荥俞原三 ，三 者，通谷为荥，束骨为俞，京骨为原也。但客太阳之络，
不病其经，则当左取右，右取左，而为缪刺以治之，如食之顷，其病即已。
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。
《经脉》论云∶手阳明之别，别入太阴。太阴者，肺也。故邪客手阳明之络，令人气满，气满，
肺气满也。胸中喘息，喘息肺病也，而支 胸中热者，肺脉从胸 而行于手肢也，当刺手大指之次指爪甲
上，去端如韭叶，手阳明商阳穴也，刺其左右各一 ，邪客阳明
之络，更当左取右，右取左，而为缪刺以治之，如食之顷，其病即已。
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 。
《经脉》论云∶心主手厥阴心包络之脉，下臂入掌中，病则臂肘挛急，掌中热，故邪客于臂掌之间不
可得屈，当刺其手踝之后，先以指按之，按之而痛，乃刺之，刺之 数，当以月死生为数，月生一
日一 ，二日二 ，十五日十五 ，乃由微而盛，如月之生，故渐多之，十六日十四 ，乃由盛而微，如
月之衰故渐减之，至廾十九日，则一 ，月郭空则无治也。但言 数，不言俞穴，按之而痛即
俞穴也。人身十五大络，故以月死生为 数，厥阴心包主血脉，故刺法又如是也。
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。
《脉度》论云∶跷脉从足至目，属目内 ，故邪客于足阳跷之脉，令人目痛，从内 始，当刺足
外踝之下，外踝之下，仆参穴也，半寸所，相去仆参半寸、申脉穴也，刺其左右各二 ，阳跷之脉合太
阳，故其刺如是，但客阳跷之脉，不合太阳之经，则左刺右，右刺左，而为缪刺以治之，跷脉属奇经，其
行最疾，故如人行十里之顷，而痛病可已。
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，然谷之前，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，左刺右，善悲惊，不乐，刺如右方。
上文皆言邪客，此言堕坠以明堕坠，犹之邪客也。人有所堕坠，乱其经气，则恶血留内，以致腹
中满胀，而不得前后，先饮利药，通其前后，堕坠，则伤肝主之筋，肾主之骨，此上伤厥阴之脉，肝
脉也，下伤少阴之络，肾络也，肝属木，其性上行，故曰上，肾属水，其性下行，故曰下，此因堕坠
伤其脉络，故刺足内踝之下，然
谷之前。谷后之前，解见上文，刺之所以从血脉而出其血也，又刺足跗上动脉，以通少阴之络，刺之而病
不已，更刺足大趾三毛上大敦，左右各一 ，以通厥阴之脉，见血则其病立已，此伤厥阴之脉，
少阴之络，更当左刺右，右刺左，而为缪刺以治之，若因堕坠而善悲惊，则手厥阴心包之气不和不乐，则
手少阴心脏之气内逆，取刺之法，亦如右方，谓如然谷之前跗上动脉，及三毛诸刺之法也。
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。
经脉论云∶手阳明之别，入耳合于宗脉，故邪客于手阳明之络，令人耳聋，时不闻音，当刺手大指
之次指爪甲上，去端如韭叶，手阳明商阳穴也，刺其左右各一 ，当耳聪立闻。若耳聋不已，更
刺手中指爪甲上与肉交者，心主包络之中冲井穴也，包络主脉，刺之所以通其宗脉也，通其宗脉，当耳聪
立闻，其不时闻者，正气不充，不可刺也，若耳中有声、如生风者，乃邪客阳明之络，亦刺之
如大指次指爪甲上各一 之数，更当为左刺右，右刺左，而为缪刺以通其络。
耳聋，刺手阳阴，不已，刺其通脉出耳前者。
旧本在则缪刺之之，下今改正于此。此复申明上文之意，上文耳聋刺手阳明之商阳，刺之病不已，
更刺中指之中冲，中指中冲，主通脉出于耳前，故曰耳聋，刺手阳明不已，刺其通脉出耳前者，盖于阳明之
脉，上颈贯颊，在于耳前，通脉出耳前，通心主包络之脉而出于耳前之手阳明也。
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。
此言往来行痹，不涉经脉，但当缪刺其络脉，不必刺其俞穴也，凡痹往来，谓之行痹，其行无常处者，
邪在分肉之间，不涉经脉也，凡痹必痛，痛而刺之，当以月死生为数，盖月方生则气盛，
月将死则气衰，用针者，随人气之盛衰，以为 数，气襄则针宜少，针过其日数，则虚脱其气，气盛则针
宜多，针不及其日数，则邪气不泻，此病在分肉，合于络脉，故当左刺右，右刺左，而为缪
刺以治之，刺之病已则止针，不已复刺之，仍如前法，所谓如法者，月生一日 ，二日二 ，渐多之，至十
五日十五 ，而为多之极，十六日十四 ，而为渐少之法也。上文手厥阴心包主血脉，故
以月死生为 数，此言痹痛，则冲任之血不能热肉充肤，澹渗皮毛，故亦以月死生为 数，篇
中缪刺，无 数皆以月死生为 数也。
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。
《经脉》论云∶胃足阳明之脉，起于鼻交 中，下循鼻外，上入齿中，病则鼽衄。邪客于足阳阴之经，
故令人鼽衄。上齿寒，当刺足中指之次指，中指次指即大指次指也，爪甲上与肉交者，足阳明厉
兑井穴也，刺其左右各一 ，若病阳明之络，而鼽衄寒，则当左刺右，右刺左，而为缪刺以治之。
齿龋，刺手阳明，不已，刺其脉入齿中，立已。
旧本在邪客于五脏之间上，今改正于此。龋，音矩。齿龋，齿腐痛也。承上文齿寒之意，而言齿龋腐痛，
则刺手阳明之俞穴，刺之而齿龋不已，更刺其脉入齿中者，则齿龋立已，脉入齿中，乃足
阳明上入齿中之脉也。
缪传引上齿，齿唇寒痛，视其手背脉血者，去之，足阳明中指
爪甲上各一 ，手大指次指爪甲上各一 ，立已，左取右，右取左。
旧本在五刺已之下，今改正于此。旧本无名字，今臆补。承上
文而言刺其入齿中之脉，其病不已，复缪传引上齿，甚至齿唇寒
痛，当视其手背之脉，有血络者，刺去其血，更刺足阳明中指爪甲上，乃中指次指，足阳明之厉兑井穴也，
左右各一 ，及手大指次指爪甲上商阳井穴，左右各一 ，齿唇寒痛当立已，缪传引上齿，
故当左刺右，右刺左，而为痹刺以治之也。
邪客于足少阳之络，令人胁痛，不得息，咳而汗出，刺足小趾
缪，读平声，篇内相同。
左右交叉针刺，称为缪刺。病在经脉，就用经刺法，针刺其腧穴。病在络脉，就用缪刺法，针刺其皮部络脉。邪气客居在手足三阳、三阴的络脉中，有经刺和缪刺的方法。邪气客居在五脏的络脉中，也有经刺和缪刺的方法。了解了经、络、孙络的深浅层次，那么缪刺的原理就明白了。
缪刺，就是左右交叉针刺，针刺极浅。篇名取为“缪刺”，是黄帝直接以此发问。
岐伯回答说：大凡邪气侵犯人体形体，必定先停留在皮毛，停留不去，就进入孙络；停留不去，就进入络脉；停留不去，就进入经脉；进而内连五脏，散布于肠胃，阴阳都受到感应，五脏就会受伤。这是邪气从皮毛进入，直至伤及五脏的次序。像这种情况，就治疗其经脉。
人身形体，外有皮毛，内有五脏，由浅入深，阴阳相互对应。所以邪气侵犯人体，必定先停留在皮毛，停留不去，就进入孙脉；停留不去，就进入络脉；停留不去，就进入经脉。皮毛、孙脉、络脉、经脉，都内连五脏。六经如河流，肠胃如大海，所以邪气散布于肠胃。三阳三阴，表里相应，如果阴阳都受到邪气感应，那么五脏就会受伤。这是邪气起初从皮毛的表阳进入，直至伤及五脏的次序。像这种情况，就治疗其经脉，意思是应当针刺其经俞，而不是用缪刺。
如今邪气客居在皮毛，进入孙络，停留在孙络不去，导致闭塞不通，不能进入经脉，而是流溢到大络，从而产生奇异的病症。
承接上文的意思，是说如今邪气客居在皮毛，进入孙络，停留在孙络不去，致使孙络闭塞不通，不能进入经脉，只是流溢到大络，而产生左右相互灌注的奇异病症。“流溢”，即传注之意。《气穴论》说：孙络中别出汇入经脉的，都注入络脉，传注于十四络脉的就是这类情况。
大凡邪气客居在大络，左边的注入右边，右边的注入左边，上下左右，与经脉相互干扰，而分布于四肢末端，其气流没有固定位置，不进入经脉腧穴，这就叫做缪刺。
处，读去声，以下同。承接流溢到大络的意思，是说邪气客居在大络，只传注于左右，所以左注右，右注左，身体半以上，身体半以下，都有传注，所以上下左右，与经脉相互干扰。经，即经隧。经隧，是五脏六腑的大络。所以与经脉相互干扰，而输布于手足的四肢末端。其气流左右流行，没有固定位置，经隧相互干扰，所以不进入经脉腧穴。不进入经脉腧穴，就针刺其络脉，所以叫做缪刺。
黄帝说：我希望听听缪刺，为什么以左取右，以右取左？它与巨刺有什么不同？
别，音通。《灵枢·官针》篇，第八种叫巨刺，也是左取右，右取左。缪刺也是左取右，右取左，所以问缪刺和巨刺有什么不同？
岐伯说：邪气客居在经脉，左边盛则右边发病，右边盛则左边发病，也有转移变化的，左边痛还没好，右边脉先病了，像这种情况，必须用巨刺，必须中其经脉，不是络脉。所以络脉生病，其疼痛部位与经脉交错不同，因此叫做缪刺。
中，读去声。上面的“缪”作“谬”解，下面的“缪”读平声。这是说邪气客居在经脉，左右转移变化，就当用巨刺；邪气客居在络脉，左右错乱，就当用缪刺。邪气客居在经脉，是客居在经脉之中。经脉流行，贵在平衡，如果左侧经脉有余而盛，则右侧发病；右侧经脉有余而盛，则左侧发病。所谓左盛右病，右盛左病，是不相转移的。也有转移的情况，比如左边痛还没好，右边脉先病了，左移于右，则右也可移于左。像这样，邪气客居在经脉而转移变化的，必须用巨刺，重申巨刺必须中其经脉，不是中其络脉。《灵枢·脉度》论说：经脉为里，分支横出的叫络。所以络脉生病，其疼痛部位与经脉交错不同。“缪处”，即异处。谓经脉之痛，深而在里；络脉之痛，支而横居。病在于络，左右错乱，所以叫做缪刺。
缪刺之法，没有固定位置，所以问取穴如何？
岐伯说：邪气客居在足少阴的络脉，使人突然心痛，暴胀，胸胁支撑满闷。如果没有积滞的，针刺然谷穴之前，出血，大约吃一顿饭的时间就可以停止。如果不好，左取右，右取左。病是新发的，针刺五天即可痊愈。
卒，音促，以下同。谷，旧本讹误为骨，现在改正，下面两个“然谷”的“谷”仿照此例。凡是邪气客居在络脉，内并合于经脉，就用正刺法；邪气客居在络脉，不并合于经脉，就用缪刺法。《经脉论》说：足少阴的别络，并行而上走于心包之下，所以邪气客居在足少阴的络脉，使人突然心痛。又说：其病气逆，则烦闷，所以暴胀，胸胁支撑满闷。胀满如果有积滞，应当刺其胸胁；如果没有积滞，病在少阴之络，上走心包，所以应当刺足少阴然谷穴之前，而出其血。《本俞论》说：然谷，是然骨之下的穴位。现在说“然谷之前”，就是指然骨。针刺约吃一顿饭的时间，痛、胀、支满的症状就可以消除。如果不好，说明病在络脉，不并合于经脉，所以应当左取右，右取左，用缪刺法来治疗。病是新发的，邪气正盛，针刺五天，病才开始痊愈。
邪气客居在手少阳的络脉，使人喉痹，舌卷缩，口干，心烦，手臂外侧疼痛，手举不到头。针刺手中指次指（无名指）爪甲上，距离指尖如韭菜叶宽的地方，各一针。体质强壮的人立刻就好，年老体弱的人过了一会儿就好。左取右，右取左。这是新病，几天即可痊愈。
《经脉》论说，三焦手少阳之脉生病，则咽喉肿痛，喉痹。所以邪气客居在手少阳的络脉，使人喉痹。又说：手少阳的别络，注入胸中，会合于心主，外绕手臂，实证则肘部挛急，虚则不能收持。所以舌卷、口干、心烦，手臂外侧疼痛，手举不到头。这是病在少阳之络而合于经脉，所以应当刺中指旁的次指（无名指）。中指次指，即小指旁次指（无名指）。爪甲上距离指尖如韭菜叶宽的地方，是手少阳关冲井穴。 是针痕。刺其左右各一针。壮者气血旺盛，所以病立刻就好；老者气血虚弱，所以过了一会儿就好。如果不合于经脉，只在络脉，就应当左取右，右取左，用缪刺法来治疗。这是新病而邪气正盛，所以缪刺几天，病才开始痊愈。
邪气客居在足厥阴的络脉，使人突然疝气，剧烈疼痛。针刺足大趾爪甲上，与肉交接的地方，各一针。男子立刻就好，女子过了一会儿就好。左取右，右取左。
《经脉》论说：足厥阴的别络，其病气逆，则睾丸肿胀，突然疝气。所以邪气客居在足厥阴的络脉，使人突然疝气，剧烈疼痛。应当刺足大趾爪甲上与肉交接的地方，这是足厥阴大敦井穴。刺其左右各一针。男子血气旺盛，所以立刻就好；女子血气不足，所以过了一会儿就好。邪气客居在厥阴之络，更应当左取右，右取左，用缪刺法来治疗。
邪气客居在足太阳的络脉，使人头项肩痛。针刺足小趾爪甲上与肉交接的地方，各一针，立刻就好。如果不好，针刺外踝下三处，左取右，右取左，大约吃一顿饭的时间就好。
《经脉》论说：膀胱足太阳之脉，从头顶下行至项部，沿肩膊内侧。又说：足太阳的别络，实证则头背痛。所以邪气客居在足太阳的络脉，使人头项肩痛。应当刺足小趾爪甲上与肉交接的地方，这是足太阳至阴穴。刺其左右各一针，其痛立刻就好。如果不好，再刺外踝下的荥、俞、原三穴。这三处，通谷是荥穴，束骨是俞穴，京骨是原穴。只是客居在太阳之络，不病及其经脉，就应当左取右，右取左，用缪刺法来治疗，大约吃一顿饭的时间，病就好了。
邪气客居在手阳明的络脉，使人气满，胸中喘息，并且支撑着胸中发热。针刺手大指次指（食指）爪甲上，距离指尖如韭菜叶宽的地方，各一针。左取右，右取左，大约吃一顿饭的时间就好。
《经脉》论说：手阳明的别络，别入太阴。太阴，就是肺。所以邪气客居在手阳明的络脉，使人气满。气满，就是肺气满。胸中喘息，喘息是肺病。支撑着胸中发热，是因为肺脉从胸中而行于手部肢体。应当刺手大指次指（食指）爪甲上，距离指尖如韭菜叶宽的地方，这是手阳明商阳穴。刺其左右各一针。邪气客居在阳明之络，更应当左取右，右取左，用缪刺法来治疗，大约吃一顿饭的时间，病就好了。
邪气客居在臂掌之间，不能屈伸，针刺其踝后。先用手指按压，感到疼痛再针刺。以月亮盈亏天数为针刺次数。月亮初生第一天刺一针，第二天刺两针，第十五刺十五针，第十六天刺十四针。
《经脉》论说：心主手厥阴心包络之脉，下臂入掌中，生病则手臂肘部挛急，掌中发热。所以邪气客居在臂掌之间不能屈伸，应当刺其手踝之后。先用手指按压，按之疼痛，才针刺。针刺的次数，应当以月亮盈亏天数为标准。月亮初生第一天一针，第二天两针，第十五天十五针，是由微到盛，像月亮的生长，所以逐渐增多。第十六天十四针，是由盛到微，像月亮的衰退，所以逐渐减少。到了十九天，则是一针。月亮亏空时就没有治疗了。这里只说针刺次数，不说腧穴名称，按之疼痛的地方就是腧穴。人身有十五大络，所以以月亮盈亏天数为针刺次数。厥阴心包主血脉，所以刺法又如此。
邪气客居在足阳跷脉，使人目痛，从内眼角开始。针刺外踝之下，半寸左右的地方，各二针。左刺右，右刺左，大约行走十里路的时间就好。
《脉度》论说：跷脉从足至目，属于目内眦。所以邪气客居在足阳跷脉，使人目痛，从内眼角开始。应当刺足外踝之下。足外踝之下，是仆参穴。半寸左右，距离仆参半寸，是申脉穴。刺其左右各二针。阳跷脉合于太阳，所以针刺如此。只是客居在阳跷脉，不合于太阳之经，就应当左刺右，右刺左，用缪刺法来治疗。跷脉属于奇经，其运行最快，所以大约行走十里路的时间，痛病就可以消除。
人有所坠落，恶血留于体内，腹中满胀，大小便不通。先服用通利药物。这是上伤厥阴之脉，下伤少阴之络。针刺足内踝之下，然谷之前，使血脉出血。针刺足背上的动脉。如果不好，针刺足大趾三毛处，各一针，见血立刻就好。左刺右，右刺左。如果悲伤惊恐，不快乐，针刺方法如上所述。
上文都是说邪气客居，这里说坠落，是为了说明坠落如同邪气客居一样。人有所坠落，扰乱其经气，则恶血留于体内，以致腹中满胀，大小便不通。先服用通利药物，通利前后。坠落，则损伤肝所主的筋，肾所主的骨。这是上伤厥阴之脉（肝脉），下伤少阴之络（肾络）。肝属木，其性上行，所以说“上”；肾属水，其性下行，所以说“下”。这是因为坠落损伤了其脉络，所以针刺足内踝之下，然谷之前。“谷后之前”，解释见上文。针刺是为了从血脉中引出恶血。又刺足背上的动脉，以通利少阴之络。针刺后病不好，再刺足大趾三毛处的大敦穴，左右各一针，以通利厥阴之脉。见血则病立刻就好。这是伤及厥阴之脉、少阴之络，更应当左刺右，右刺左，用缪刺法来治疗。如果因坠落而悲伤惊恐，则是手厥阴心包之气不和；如果不快乐，则是手少阴心脏之气内逆。取刺方法，也像上述方法，即如然谷之前、跗上动脉及三毛诸处的刺法。
邪气客居在手阳明的络脉，使人耳聋，时常听不见声音。针刺手大指次指（食指）爪甲上，距离指尖如韭菜叶宽的地方，各一针，立刻能听见。如果不好，针刺中指爪甲上，与肉交接的地方，立刻能听见。如果不时常听不见，就不能针刺。耳中生风（耳鸣），也这样针刺，左刺右，右刺左。
《经脉》论说：手阳明的别络，入耳会合于宗脉。所以邪气客居在手阳明的络脉，使人耳聋，时常听不见声音。应当刺手大指次指（食指）爪甲上，距离指尖如韭菜叶宽的地方，这是手阳明商阳穴。刺其左右各一针，应当耳聪立闻。如果耳聋不好，再刺手中指爪甲上与肉交接的地方，这是心主包络的中冲井穴。包络主脉，针刺是为了通利其宗脉。通利其宗脉，应当耳聪立闻。如果不时常听不见，说明正气不充，不能针刺。如果耳中有声，如生风者，乃是邪客阳明之络，也刺其如大指次指爪甲上各一针的数量，更应当左刺右，右刺左，用缪刺法来通利其络。
耳聋，刺手阳明，不好，刺其通脉出于耳前的穴位。
旧本在“则缪刺之”之下，现在改正于此。这是再次申明上文的意思。上文耳聋刺手阳明的商阳，刺后病不好，再刺中指的中冲。中指中冲，主通脉出于耳前。所以说耳聋，刺手阳明不好，刺其通脉出于耳前的穴位。大概是在阳明的脉，上颈贯颊，位于耳前。通脉出于耳前，是通心主包络之脉而出于耳前的手阳明经。
凡是痹症往来行移，没有固定位置的，在分肉之间，疼痛就针刺。以月亮盈亏天数为针刺次数。用针的人，随着气血盛衰，来决定针刺次数。针刺超过天数，则会耗脱正气；不及天数，则邪气不能泻除。左刺右，右刺左。病好了就停止，不好，再按此法针刺。月亮初生第一天一针，第二天两针，逐渐增多。第十五天十五针，第十六天十四针，逐渐减少。
这是说往来行痹，不涉及经脉，只应当缪刺其络脉，不必刺其腧穴。凡是痹症往来行移，叫做行痹。其行无固定位置，邪在分肉之间，不涉及经脉。凡是痹症必定疼痛，疼痛就针刺，应当以月亮盈亏天数为针刺次数。大概月亮刚生则气盛，月亮将死则气衰。用针的人，随着人气之盛衰，来决定针刺次数。气衰则针刺宜少，针刺超过天数，则会虚脱其气；气盛则针刺宜多，针刺不及天数，则邪气不能泻除。此病在分肉，合于络脉，所以应当左刺右，右刺左，用缪刺法来治疗。针刺后病好就停针，不好再刺，仍如前法。所谓“如法”，就是月亮初生第一天一针，第二天两针，逐渐增多，到第十五天十五针，为增多之极；第十六天十四针，为渐少之法。上文说手厥阴心包主血脉，所以以月亮盈亏天数为针刺次数。这里说痹痛，则冲任之血不能温煦肌肉充实皮肤，澹渗皮毛，所以也以月亮盈亏天数为针刺次数。篇中缪刺，针刺次数都以月亮盈亏天数为标准。
邪气客居在足阳明的经脉，使人鼻渊衄血，上齿寒冷。针刺足中指次指（足大趾次指，即第二趾）爪甲上与肉交接的地方，各一针。左刺右，右刺左。
《经脉》论说：胃足阳明之脉，起于鼻，交颏中，下循鼻外，上入齿中，生病则鼻渊衄血。邪气客居在足阳明之经，所以使人鼻渊衄血。上齿寒冷，应当刺足中指之次指（足第二趾）。中指次指即大指次指（足第二趾）。爪甲上与肉交接的地方，是足阳明厉兑井穴。刺其左右各一针。如果是病在阳明之络，而鼻渊衄血寒冷，就应当左刺右，右刺左，用缪刺法来治疗。
龋齿，刺手阳明，不好，刺其脉入齿中的穴位，立刻就好。
旧本在“邪客于五脏之间”之上，现在改正于此。龋，音矩。齿龋，牙齿腐朽疼痛。承接上文齿寒的意思，是说齿龋腐痛，则刺手阳明的腧穴。刺后齿龋不好，再刺其脉入齿中的穴位，则齿龋立刻就好。脉入齿中，乃足阳明上入齿中之脉。
缪传引致上齿痛，牙齿嘴唇寒冷疼痛，观察其手背血脉有瘀血的，放血。刺足中指爪甲上与肉交接的地方各一针，手大指次指爪甲上各一针，立刻就好。左取右，右取左。
旧本在“五刺已”之下，现在改正于此。旧本无名字，现在推测补入。承接上文而言，刺其入齿中之脉，病不好，再缪传引致上齿痛，甚至牙齿嘴唇寒冷疼痛。应当观察其手背的脉，有血络的，刺去其血。再刺足中指爪甲上，即中指次指（足第二趾），足阳明厉兑井穴，左右各一针。以及手大指次指（手食指）爪甲上商阳井穴，左右各一针。牙齿嘴唇寒冷疼痛应当立刻就好。因为是缪传引致上齿痛，所以应当左刺右，右刺左，用缪刺法来治疗。
Miu (mu), pronounced with the level tone, same throughout the chapter.
Cross-stimulation of the left and right sides is called Miu Ci (Miu Puncture). When the disease is in the meridians, use Jing Ci (Meridian Puncture), stimulating their Shu points. When the disease is in the collaterals, use Miu Ci (Miu Puncture), stimulating the collateral vessels at the skin level. When pathogenic factors lodge in the collaterals of the three Yang and three Yin meridians of the hands and feet, there are methods of Jing Ci and Miu Ci. When pathogenic factors lodge in the collaterals of the five Zang organs, there are also methods of Jing Ci and Miu Ci. Understanding the depth of the meridians, collaterals, and Sun collaterals clarifies the principle of Miu Ci.
The Yellow Emperor asked: I have heard of Miu Ci, but do not yet grasp its meaning. What is Miu Ci?
Miu Ci refers to cross-puncturing the left and right sides, involving very shallow puncture. The chapter is named "Miu Ci," and the Emperor directly raised this question.
Qibo replied: Generally, when pathogenic factors invade the human body, they first lodge in the skin and hair. If they remain and do not depart, they enter the Sun collaterals; if they remain and do not depart, they enter the Luo collaterals; if they remain and do not depart, they enter the main meridians; subsequently connecting internally to the five Zang organs and scattering into the stomach and intestines. If both Yin and Yang are affected, the five Zang organs will be injured. This is the sequence of pathogenic factors entering from the skin and hair and reaching the deepest point in the five Zang organs. In such cases, treat the meridians.
The human body has skin and hair on the exterior and five Zang organs on the interior, progressing from shallow to deep, with mutual correspondence between Yin and Yang. Therefore, when pathogenic factors invade the body, they first lodge in the skin and hair. If they remain and do not depart, they enter the Sun collaterals; if they remain and do not depart, they enter the Luo collaterals; if they remain and do not depart, they enter the main meridians. The skin, Sun collaterals, Luo collaterals, and main meridians all connect internally to the five Zang organs. The six meridians are like rivers, and the stomach and intestines are like seas, so pathogenic factors scatter into the stomach and intestines. The three Yang and three Yin meridians correspond in exterior and interior. If both Yin and Yang are affected by pathogens, the five Zang organs will be injured. This is the sequence where pathogens initially enter from the exterior Yang of the skin and hair and reach the deepest point in the five Zang organs. In such cases, treat the meridians, meaning one should puncture the meridian Shu points, not use Miu Ci.
Now, if pathogenic factors lodge in the skin and hair, enter the Sun collaterals, and remain without departing, causing blockage and obstruction, preventing entry into the meridians, they overflow into the large collaterals and generate strange diseases.
Continuing the previous meaning, it states that now pathogenic factors lodge in the skin and hair, enter the Sun collaterals, and remain without departing, causing the Sun collaterals to become blocked and obstructed, unable to enter the meridians, but instead overflowing into the large collaterals, generating strange diseases where left and right infuse each other. "Overflowing" means transmission. The *Qi Xue Lun* (Treatise on Qi Acupoints) says: Those Sun collaterals that branch off and merge into the meridians all inject into the collaterals, transmitting to the fourteen Luo collaterals.
Generally, when pathogenic factors lodge in the large collaterals, they flow from left to right and from right to left. Up and down, left and right, they interfere with the meridians and distribute to the four extremities. Their Qi has no fixed location and does not enter the meridian Shu points. This is called Miu Ci.
Location, pronounced with the departing tone, same below. Continuing the meaning of overflowing into the large collaterals, it states that when pathogenic factors lodge in the large collaterals, they only transmit to the left and right. Thus, left flows to right, right flows to left. Above and below the midpoint of the body, there is transmission, so up, down, left, and right interfere with the meridians. The Meridian is the Meridian Tunnel. The Meridian Tunnel is the large collateral of the five Zang and six Fu organs. Thus, interfering with the meridians, it distributes to the four extremities of the hands and feet. Its Qi circulates left and right without a fixed location. Interference among Meridian Tunnels prevents entry into the meridian Shu points. Not entering the meridian Shu points, one punctures the collateral vessels, hence it is called Miu Ci.
The Yellow Emperor said: I wish to hear about Miu Ci. Why take the right from the left and the left from the right? How does it differ from Ju Ci (Giant Puncture)?
Differentiate, pronounced as "tong." In the *Ling Shu · Guan Zhen* chapter, the eighth method is Ju Ci, taking the right from the left and the left from the right. Miu Ci also takes the right from the left and the left from the right, so the question asks how Miu Ci differs from Ju Ci.
Qibo said: When pathogenic factors lodge in the meridians, excess on the left causes disease on the right, and excess on the right causes disease on the left. There are also cases of shifting and changing. If pain on the left persists while the pulse on the right becomes diseased first, in such cases, one must use Ju Ci, ensuring penetration of the meridian, not the collateral vessel. Therefore, for diseases in the collaterals, the pain is located differently from the meridians, hence it is called Miu Ci.
Penetrate, pronounced with the departing tone. The first "Miu" here means error/strange, the second "Miu" is pronounced with the level tone. This explains that when pathogenic factors lodge in the meridians and shift left and right, one should use Ju Ci; when pathogenic factors lodge in the collaterals and cause left-right confusion, one should use Miu Ci. Pathogenic factors lodging in the meridian mean lodging in the main channel. Meridian flow values balance. If the left meridian has excess and is vigorous, the right side becomes diseased; if the right meridian has excess and is vigorous, the left side becomes diseased. Left excess causing right disease, or right excess causing left disease, implies no shifting. However, there are cases of shifting, such as left pain persisting while the right pulse becomes diseased first. Left shifts to right, so right can also shift to left. In such cases where pathogenic factors lodge in the meridians and shift, one must use Ju Ci, reiterating that Ju Ci must penetrate the meridian, not the collateral vessel. The *Ling Shu · Mai Du* treatise says: The meridians are internal; branches that go horizontally are collaterals. Therefore, for collateral diseases, the pain is located differently from the meridians. "Miu Chu" means different location. Meridian pain is deep and internal; collateral pain is branched and horizontal. Disease in the collaterals involves left-right confusion, hence it is called Miu Ci.
The Yellow Emperor said: I wish to hear how Miu Ci is performed. How are points selected?
The method of Miu Ci has no fixed location, so the question asks how points are selected.
Qibo said: When pathogenic factors lodge in the collateral of Foot Shaoyin, it causes sudden heart pain, acute distension, and fullness/support in the chest and hypochondrium. If there is no accumulation, puncture anterior to Ran Gu (KI2), allow bleeding, and it will cease after approximately the time it takes to eat a meal. If it does not cease, take the right from the left and the left from the right. For newly onset diseases, treatment over five days will cure it.
Sudden, pronounced "cu," same below. Gu, old editions erroneously wrote "Gu" (bone), now corrected. The two subsequent "Gu"s in "Ran Gu" follow this correction. Generally, when pathogenic factors lodge in the collateral and merge internally with the meridian, use direct puncture. When pathogenic factors lodge in the collateral without merging with the meridian, use Miu Ci. The *Jing Mai Lun* (Treatise on Meridians) says: The divergent vessel of Foot Shaoyin runs parallel and ascends to the lower pericardium. Thus, when pathogenic factors lodge in the collateral of Foot Shaoyin, it causes sudden heart pain. It also says: If the pathological Qi rebels, there is vexation and oppression, causing acute distension and fullness/support in the chest and hypochondrium. If distension/fullness involves accumulation, one should puncture the chest and hypochondrium. If there is no accumulation, the disease is in the collateral of Shaoyin ascending to the pericardium, so one should puncture anterior to Ran Gu on Foot Shaoyin and induce bleeding. The *Ben Shu Lun* (Treatise on Original Shu Points) says: Ran Gu is below the Ran bone. Now saying "anterior to Ran Gu" refers to the Ran bone itself. Puncture for the time it takes to eat a meal, and pain, distension, and support/fullness will cease. If it does not cease, the disease is in the collateral, not merging with the meridian, so one should take the right from the left and the left from the right, using Miu Ci to treat it. For newly onset diseases where pathogenic factors are vigorous, puncture for five days before the disease begins to resolve.
When pathogenic factors lodge in the collateral of Hand Shaoyang, it causes throat bi (obstruction), tongue rolling, dry mouth, mental restlessness, pain on the lateral aspect of the arm, and inability to raise the hand to the head. Puncture the nail bed of the fourth finger (ring finger) of the hand, distance from the tip like the width of a leek leaf, one needle each side. Strong individuals recover immediately; elderly individuals recover after a short while. Take the right from the left and the left from the right. This is a new disease, resolving in a few days.
The *Jing Mai* treatise says: Diseases of the San Jiao Hand Shaoyang meridian cause swelling of the throat and bi obstruction. Thus, when pathogenic factors lodge in the collateral of Hand Shaoyang, it causes throat bi. It also says: The divergent vessel of Hand Shaoyang injects into the chest, merges with the Heart Master (Pericardium), wraps around the arm externally. Excess causes elbow spasm, deficiency causes inability to grasp. Thus, tongue rolling, dry mouth, mental restlessness, lateral arm pain, and inability to raise the hand to the head occur. This disease involves the Shaoyang collateral merging with the meridian, so one should puncture the fourth finger next to the middle finger (the ring finger). The fourth finger next to the middle finger is the ring finger. At the nail bed, distance from the tip like the width of a leek leaf, is the Jing-Well point Guan Chong (SJ16). denotes the needle mark. Puncture one needle each on the left and right. Strong individuals have vigorous Qi and Blood, so the disease resolves immediately; elderly individuals have deficient Qi and Blood, so they recover after a short while. If it does not merge with the meridian but remains in the collateral, one should take the right from the left and the left from the right, using Miu Ci to treat it. This is a new disease with vigorous pathogenic factors, so Miu Ci for several days allows the disease to resolve.
When pathogenic factors lodge in the collateral of Foot Jueyin, it causes sudden hernia and violent pain. Puncture the area where the nail meets the flesh on the big toe of the foot, one needle each side. Men recover immediately; women recover after a short while. Take the right from the left and the left from the right.
The *Jing Mai* treatise says: The divergent vessel of Foot Jueyin, if pathological Qi rebels, causes testicular swelling and sudden hernia. Thus, when pathogenic factors lodge in the collateral of Foot Jueyin, it causes sudden hernia and violent pain. One should puncture the area where the nail meets the flesh on the big toe of the foot, which is the Jing-Well point Da Dun (LR1). Puncture one needle each on the left and right. Men have abundant blood, so they recover immediately; women have insufficient blood, so they recover after a short while. When pathogenic factors lodge in the Jueyin collateral, one should further take the right from the left and the left from the right, using Miu Ci to treat it.
When pathogenic factors lodge in the collateral of Foot Taiyang, it causes pain in the head, neck, and shoulder. Puncture the area where the nail meets the flesh on the little toe of the foot, one needle each side, recovering immediately. If not, puncture three points below the lateral malleolus, take the right from the left and the left from the right, recovering after approximately the time it takes to eat a meal.
The *Jing Mai* treatise says: The Bladder Foot Taiyang meridian descends from the vertex to the nape, following the inner shoulder blade. It also says: The divergent vessel of Foot Taiyang, in excess, causes head and back pain. Thus, when pathogenic factors lodge in the collateral of Foot Taiyang, it causes pain in the head, neck, and shoulder. One should puncture the area where the nail meets the flesh on the little toe of the foot, which is the Jing-Well point Zhi Yin (BL66). Puncture one needle each on the left and right, and the pain resolves immediately. If not, puncture the Ying-Spring, Shu-Stream, and Yuan-Source points below the lateral malleolus. These three points are Tong Gu (BL65) as Ying-Spring, Shu Gu (BL64) as Shu-Stream, and Jing Gu (BL64) as Yuan-Source. Since the pathogen lodges only in the Taiyang collateral and does not affect the meridian, one should take the right from the left and the left from the right, using Miu Ci to treat it, recovering after approximately the time it takes to eat a meal.
When pathogenic factors lodge in the collateral of Hand Yangming, it causes Qi fullness, wheezing in the chest, and heat supporting in the chest. Puncture the nail bed of the index finger of the hand, distance from the tip like the width of a leek leaf, one needle each side. Take the right from the left and the left from the right, recovering after approximately the time it takes to eat a meal.
The *Jing Mai* treatise says: The divergent vessel of Hand Yangming branches into Taiyin. Taiyin is the Lung. Thus, when pathogenic factors lodge in the collateral of Hand Yangming, it causes Qi fullness. Qi fullness refers to Lung Qi fullness. Wheezing in the chest indicates Lung disease. Heat supporting in the chest occurs because the Lung meridian travels from the chest to the upper limbs. One should puncture the nail bed of the index finger of the hand, distance from the tip like the width of a leek leaf, which is the Jing-Well point Shang Yang (LI1). Puncture one needle each on the left and right. When pathogenic factors lodge in the Yangming collateral, one should further take the right from the left and the left from the right, using Miu Ci to treat it, recovering after approximately the time it takes to eat a meal.
When pathogenic factors lodge between the arm and palm, causing inability to flex, puncture behind the ankle. First press with fingers; puncture only when pain is elicited. Use the waxing and waning of the moon to determine the number of needles. On the first day of the waxing moon, one needle; on the second day, two needles; on the fifteenth day, fifteen needles; on the sixteenth day, fourteen needles.
The *Jing Mai* treatise says: The Pericardium Hand Jueyin meridian descends the arm into the palm. Disease causes spasm and stiffness of the arm and elbow, and heat in the palm. Thus, when pathogenic factors lodge between the arm and palm causing inability to flex, one should puncture behind the wrist. First press with fingers; puncture only when pain is elicited upon pressing. The number of needles should be determined by the waxing and waning of the moon. On the first day of the waxing moon, one needle; on the second day, two needles; on the fifteenth day, fifteen needles. This increases from slight to vigorous, like the growing moon, so gradually increase. On the sixteenth day, fourteen needles, decreasing from vigorous to slight, like the waning moon, so gradually decrease. By the nineteenth day, it is one needle. When the moon is empty (new moon), there is no treatment. Here, only the number of needles is mentioned, not the acupoint names; the point eliciting pain upon pressing is the acupoint. The human body has fifteen large collaterals, so the number of needles is based on the lunar cycle. Jueyin Pericardium governs Blood vessels, hence the puncture method is as described.
When pathogenic factors lodge in the Foot Yangqiao vessel, it causes eye pain starting from the inner canthus. Puncture below the lateral malleolus, approximately half a cun, two needles each side. Puncture right from left and left from right, recovering after the time it takes to walk ten li.
The *Mai Du* treatise says: The Qiao vessels run from the foot to the eyes and belong to the inner canthus. Thus, when pathogenic factors lodge in the Foot Yangqiao vessel, it causes eye pain starting from the inner canthus. One should puncture below the lateral malleolus. Below the lateral malleolus is the point Pugen (BL60). Approximately half a cun away from Pugen is Shenmai (BL62). Puncture two needles each on the left and right. The Yangqiao vessel combines with Taiyang, hence the puncture is as described. Since the pathogen lodges only in the Yangqiao vessel and not the Taiyang meridian, one should puncture right from left and left from right, using Miu Ci to treat it. The Qiao vessel belongs to the extraordinary vessels and moves fastest, so the pain and disease resolve after the time it takes to walk ten li.
If a person falls from height, evil blood remains inside, causing abdominal fullness and distension, and inability to pass stool or urine. First administer purgative medicine. This injures the Jueyin meridian above and the Shaoyin collateral below. Puncture below the medial malleolus of the foot, anterior to Ran Gu, inducing bleeding from the blood vessels. Puncture the arterial pulse on the dorsum of the foot. If not resolved, puncture the hair tuft on the big toe of the foot, one needle each side, seeing blood leads to immediate recovery. Puncture right from left and left from right. If prone to sadness and fright, or unhappiness, puncture according to the method above.
The preceding text discusses pathogenic factors lodging; this section discusses falling to clarify that falling is analogous to pathogenic factors lodging. Falling disrupts meridian Qi, causing evil blood to remain inside, leading to abdominal fullness and distension, and inability to pass stool or urine. First administer purgative medicine to unblock the bowels and urination. Falling injures the tendons governed by the Liver and the bones governed by the Kidney. This injures the Jueyin meridian above (Liver meridian) and the Shaoyin collateral below (Kidney collateral). Liver belongs to Wood, its nature ascends, hence "above"; Kidney belongs to Water, its nature descends, hence "below." Because falling injures the collaterals, one punctures below the medial malleolus, anterior to Ran Gu. "Posterior and anterior to Gu" is explained above. Puncture is to draw out evil blood from the vessels. Also puncture the arterial pulse on the dorsum of the foot to unblock the Shaoyin collateral. If the disease does not resolve after puncture, puncture Da Dun at the hair tuft on the big toe of the foot, one needle each side, to unblock the Jueyin meridian. Seeing blood leads to immediate recovery. Since this injures the Jueyin meridian and Shaoyin collateral, one should further puncture right from left and left from right, using Miu Ci to treat it. If falling causes sadness and fright, it is due to disharmony of the Hand Jueyin Pericardium Qi; if unhappiness, it is due to rebellion of Hand Shaoyin Heart Qi. The puncture method is also as described above, referring to methods such as anterior to Ran Gu, dorsal arterial pulse, and the hair tuft points.
When pathogenic factors lodge in the collateral of Hand Yangming, it causes deafness and intermittent inability to hear sounds. Puncture the nail bed of the index finger of the hand, distance from the tip like the width of a leek leaf, one needle each side, hearing recovers immediately. If not, puncture the nail bed of the middle finger, at the area where it meets the flesh, hearing recovers immediately. If hearing is not intermittently lost (i.e., permanent loss), do not puncture. If wind sounds are generated in the ear (tinnitus), puncture similarly, one needle each side, taking the right from the left and the left from the right.
The *Jing Mai* treatise says: The divergent vessel of Hand Yangming enters the ear and merges with the Zong vessels. Thus, when pathogenic factors lodge in the collateral of Hand Yangming, it causes deafness and intermittent inability to hear sounds. One should puncture the nail bed of the index finger of the hand, distance from the tip like the width of a leek leaf, which is the Jing-Well point Shang Yang (LI1). Puncture one needle each on the left and right, and hearing should recover immediately. If deafness does not resolve, puncture the middle finger's nail bed at the area where it meets the flesh, which is the Jing-Well point Zhongchong (PC9) of the Heart Master Pericardium. The Pericardium governs vessels; puncture is to unblock the Zong vessels. Unblocking the Zong vessels leads to immediate recovery of hearing. If hearing is not intermittently lost (permanent loss), it indicates deficiency of healthy Qi, so do not puncture. If there are sounds in the ear, like wind, it is pathogenic factors lodging in the Yangming collateral; puncture similarly with one needle each at the index finger's nail bed, and further puncture right from left and left from right, using Miu Ci to unblock the collateral.
For deafness, puncture Hand Yangming. If not resolved, puncture the point where the meridian passes out before the ear.
Old editions placed this after "then use Miu Ci," now corrected here. This reiterates the previous meaning. Previously, for deafness, Shang Yang of Hand Yangming was punctured. If the disease did not resolve, Zhongchong of the middle finger was punctured. Zhongchong governs the meridian passing out before the ear. Thus, it says for deafness, if puncturing Hand Yangming does not resolve it, puncture the point where the meridian passes out before the ear. Essentially, the Yangming meridian ascends the neck and penetrates the cheek, located before the ear. Passing out before the ear refers to the Hand Yangming meridian through which the Heart Master Pericardium meridian emerges before the ear.
For Bi syndrome moving back and forth with no fixed location, located between the muscle intervals, puncture when painful. Use the waxing and waning of the moon to determine the number of needles. The practitioner should adjust the number of needles according to the flourishing and declining state of Qi. Puncturing beyond the daily number depletes Qi; puncturing fewer than the daily number fails to drain pathogenic factors. Puncture right from left and left from right. Stop when the disease resolves; if not, repeat puncture according to the method. On the first day of the waxing moon, one needle; on the second day, two needles, gradually increasing. On the fifteenth day, fifteen needles; on the sixteenth day, fourteen needles, gradually decreasing.
This discusses moving Bi syndrome, which does not involve the meridians, so one should only Miu Ci the collaterals, not puncture the Shu points. Moving Bi syndrome refers to Bi syndrome that moves without a fixed location; the pathogen is in the muscle intervals, not involving the meridians. All Bi syndromes involve pain; puncture when painful. Use the waxing and waning of the moon to determine the number of needles. Generally, when the moon is waxing, Qi is vigorous; when the moon is waning, Qi declines. The practitioner adjusts the number of needles according to the fluctuation of human Qi. If Qi is weak, fewer needles are appropriate; puncturing beyond the daily number depletes Qi. If Qi is vigorous, more needles are appropriate; puncturing fewer than the daily number fails to drain pathogenic factors. This disease is in the muscle intervals, combining with the collaterals, so one should puncture right from left and left from right, using Miu Ci to treat it. Stop needling when the disease resolves; if not, repeat puncture according to the previous method. "According to the method" means on the first day of the waxing moon, one needle; on the second day, two needles, gradually increasing, up to fifteen needles on the fifteenth day, the maximum increase; on the sixteenth day, fourteen needles, the gradual decrease. Previously, Hand Jueyin Pericardium governs Blood vessels, so the number of needles is based on the lunar cycle. Here, for Bi pain, the Chong and Ren vessels' blood cannot warm the muscles and fill the skin, permeating the skin and hair, so the number of needles is also based on the lunar cycle. In the chapter on Miu Ci, the number of needles for all punctures is based on the waxing and waning of the moon.
When pathogenic factors lodge in the meridian of Foot Yangming, it causes nasal discharge and epistaxis, and coldness in the upper teeth. Puncture the area where the nail meets the flesh on the second toe of the foot, one needle each side. Puncture right from left and left from right.
The *Jing Mai* treatise says: The Stomach Foot Yangming meridian originates at the nose, crosses the bridge of the nose, descends along the lateral nose, and enters the upper teeth. Disease causes nasal discharge and epistaxis. Pathogenic factors lodging in the Foot Yangming meridian cause nasal discharge and epistaxis. Coldness in the upper teeth requires puncturing the second toe of the foot. The second toe of the foot is the second toe. The area where the nail meets the flesh is the Jing-Well point Li Dui (ST45). Puncture one needle each on the left and right. If the disease is in the Yangming collateral, causing nasal discharge, epistaxis, and coldness, one should puncture right from left and left from right, using Miu Ci to treat it.
For dental caries, puncture Hand Yangming. If not resolved, puncture the meridian entering the teeth, recovering immediately.
Old editions placed this above "when pathogenic factors lodge between the five Zang organs," now corrected here. Qu, pronounced "ju." Dental caries refers to decay and pain of the teeth. Continuing the meaning of cold teeth, it states that for decay and pain of dental caries, puncture the Shu point of Hand Yangming. If dental caries does not resolve after puncture, puncture the meridian entering the teeth, and dental caries resolves immediately. The meridian entering the teeth is the Foot Yangming meridian entering the upper teeth.
Miu transmission drawing pain to the upper teeth, cold pain in the teeth and lips, observe the blood vessels on the back of the hand; remove blood. Puncture the area where the nail meets the flesh on the second toe of the foot, one needle each side; puncture the nail bed of the index finger of the hand, one needle each side, recovering immediately. Take the right from the left and the left from the right.
Old editions placed this after "Five Punctures are complete," now corrected here. Old editions lacked the name, now supplemented by conjecture. Continuing the previous text, stating that puncturing the meridian entering the teeth does not resolve the disease, Miu transmission draws pain to the upper teeth, even causing cold pain in the teeth and lips. Observe the vessels on the back of the hand; if there are blood vessels, puncture to remove blood. Further puncture the area where the nail meets the flesh on the second toe of the foot, i.e., the second toe, the Jing-Well point Li Dui (ST45) of Foot Yangming, one needle each side. And the Shang Yang (LI1) Jing-Well point on the nail bed of the index finger of the hand, one needle each side. Cold pain in the teeth and lips should resolve immediately. Because Miu transmission draws pain to the upper teeth, one should puncture right from left and left from right, using Miu Ci to treat it.
When pathogenic factors lodge in the collateral of Foot Shaoyang, it causes hypochondriac pain, difficulty breathing, coughing with sweating. Puncture the little toe of the foot