空，作孔，篇内俱同。
骨空，周身骨节之穴孔也。少阴属肾主骨，与太阳为表里。太阳主皮肤，少阴主骨髓。任冲督脉皆起
于少阴，合于太阳。任脉起于中极之下，冲脉起于气街，并少阴之经。督脉起于少腹以下，骨
中央，凡此皆起于少阴也。任冲之血，澹渗皮肤。督脉之经，行于脊背，凡此皆合于太阳也。故上节论风
伤太阳，及于任冲督脉也。少阴主骨，骨属屈伸不利，则机关废弛。机关废弛，则水气不行，故次节论膝痛
不和，及于水俞五十七穴也。少阴属肾，精髓渗灌骨空，荣于经脉，精髓不荣于骨空，则水毒乘于经脉，故末
节论髓空，而及于鼠 之寒热，并为灸刺之法也。
黄帝问曰∶余闻风者，百病之始也，以针治之奈何？
六淫之邪，风居其首，故风者百病之始，始伤太阳，勿令传变，以针治之奈何？
岐伯对曰∶风从外入，令人振寒，汗出，头痛，身重，恶寒，
治在风府，调其阴阳，不足则补，有余则泻。
恶，去声。风从外入，伤太阳通体之皮肤，故令人振寒。从皮肤而入于肌腠，故汗出。随太阳经脉上行，
故头痛。周身肌表不和，故身重。太阳之上，寒气主之，故恶寒。太阳之脉，从头下项，故治在风府。治在
风府，所以调其阴阳。经脉不足，则用灸法以补之；经脉有余，则用刺法以泻之。
大风，颈项痛，刺风府，风府在上椎。
所谓有余则泻者，如大风伤其经脉，致颈项痛，即当刺风府以泻之。申明风府在项之上椎，盖项上高
起第一椎为大椎，项上平坦第一椎为上椎。大椎至尾 共二十一节，大椎之上另有二节也。
大风汗出，灸 ， 在背下，侠脊旁三寸所，厌之，令病
者呼 ， 应手。
厌，作压。所谓不足则补者，如大风入于肌腠，则汗出，汗出表虚，故当灸 。申明 在背下，
侠脊两旁，共开三寸所，以手压之，令病者呼 ，而 之脉则应于手者是也。
从风憎风，刺眉头。
从，迎也，憎，恶也。迎风恶风，乃面额经脉不和，当刺眉头以泻之。
失枕，在肩上横骨间，折，使榆臂齐肘，正灸脊中。
折，音舌，下同。榆，作摇。齐，平也。夜卧失枕，患在肩上横骨间。伸舒不能，故如折也。折则臂不
能举，当使摇臂平肘以和之。摇臂平肘，则背中有窝，当正灸脊中，毋他求也。
络季胁，引少腹而痛胀，刺 。
肋稍曰 。 络，肋稍之络也。季胁，胁之尽处也。 络季胁，经脉不和，枢转不利，致引少腹而痛
胀。少腹者，太阳膀胱之部也，故当刺太阳之 ，通其经脉焉。
腰痛不可以转摇，急引阴卵，刺八 ，与痛上，八 在腰尻分间。
太阳经脉，挟背抵腰，主筋所生病，腰痛。不可以转摇，腰脊皆病也。急引阴卵，筋病也。八 ，上
、次 、中 、下 ，左右凡八 也。与痛上，及与腰之痛上，皆当刺也。申明八 在腰尻两分肉间。
鼠 寒热，还刺寒府，寒府在附膝外，解，荣、取膝上外者，
使之拜，取足心者，使之跪。
解，骨解也。荣，荣俞也。拜，揖也。鼠 寒热，乃肾脏水毒，循脉而上。颈项如 ，是为鼠 。身
发寒热，是为鼠 寒热。太阳膀胱寒水，为肾之腑，故还刺寒府。寒府，太阳经脉也，申明
寒府，在附膝外解荣，附膝外，膝外侧也。解，骨解，膝外侧之骨缝也。荣，荣俞，足小趾本节之通谷穴也。
如刺骨解之穴。取膝上外侧者，使之揖，揖则膝挺骨竖，而骨解可取矣。如刺荣俞之穴，取足心者，使
之脆，跪则足心宛宛，而荣俞通谷可取矣。
任脉者，起于中极之下，以上毛际，循腹里，上关元，至咽喉，上颐循面，入目。
任冲督脉，皆起于少阴，合于太阳。中极之下，乃少阴属肾络膀胱之处。故任脉者，起于中极之下，从
中极而上，则过毛际，循腹里，上关元，至咽喉，更上颐循面。入于目，循面入目，则合太阳矣。
冲脉者，起于气街，并少阴之经，侠齐上行，至胸中而散。
齐，脐通，下同。气街，乃腹气之街，脐左右动脉之处。故冲脉者，起于气街。冲脉任脉皆起于少阴。
故并少阴之经，侠脐上行，至胸中而散，散于皮肤，则合太阳矣。
任脉为病，男子内结七疝，女子带下瘕聚。冲脉为病，逆气里急。督脉为病，脊强反折。
强，去声。此论任脉波脉之病，而并及于督脉也。任脉起于中极之下，上毛际，循腹里。故任脉为病，
男子则内结七疝。七疝，狐疝、颓疝、及五脏之疝也。女子则带下瘕聚。带下，湿浊下淫
也。瘕聚、血液内瘀也。冲脉侠脐上行，至胸中而散，病则不能上行外散。故冲脉为病，逆气里急。逆气者，
气不循经。里急者，气不输布。任脉波脉，行身之前，督脉行身之背，故督脉为病，失其循行，则脊强反折。
夫胸腹为阴，脊背为阳，逆气里急，阴病不能仰也，脊强反折，阳病不能俯也。
督脉者，起于少腹以下，骨中央，女子入系廷孔。其孔，溺孔之端也，其络循阴器，合篡间，
绕篡后，别绕臀，至少阴与巨阳中络者合。少阴上股内后廉，贯脊属肾，与太阳起于目内 ，上额交
巅，上入络脑，还出别下项，循肩 内，挟背抵腰中，入循膂，络
肾，其男子循茎，下至篡与女子等。
溺，鸟去声，下同。督脉亦起于少阴，故督脉者，起于少腹以下，乃曲骨中央。女子则入系廷孔，申
明其孔乃溺孔之端，其络脉由阴而阳，从下而上。故其络循阴器，合前后二阴之篡间，复绕篡
后，又别绕臀，至少阴与巨阳中络者相合。夫少阴巨阳中络，乃少阴上股内之后廉，贯脊属肾者是也。督
脉由少阴而上，合于太阳。故与太阳之起于目内 ，上额交巅，上入络脑，还出别下项，循肩
内，挟脊抵腰中，入循膂，络肾者，相合而偕行也。女子入系廷孔之溺孔，其男子则循茎下至篡，与女子
之廷孔溺孔相等，所以申明任冲督三脉，皆起于少阴而合于太阳也。
其少腹直上者，贯齐中央，上贯心，入喉，上颐，环唇，上系
两目之下中央，此生病从少腹上冲心而痛，不得前后，为冲疝，其
女子不孕，癃痔遗溺，嗌干。
此复申明任脉之为病也。其少腹直上者，即任脉上毛际，循腹里直上也。贯脐中央，上贯心，入喉，即任
脉循腹里，上至咽喉也。上颐环唇，上系两目之下中央，即任脉上颐循面入目也。任脉从少腹，上贯心，故此
生病，从少腹上冲心而痛。上文任脉为病，男子内结七疝，女子带下瘕聚，故男子不得前后为冲疝。谓不但疝
病于内，而且不得前后。不但疝结于内，而且上冲也。其女子不孕，谓女子带淫于下，瘕聚于内，不能孕也。
又曰∶癃痔遗溺者，申明不得前后，乃癃痔之病，癃与遗溺，不得前矣，痔则不得后矣。任脉上至咽喉，故
嗌干，所以复举任脉，而申明任脉之病者如此。
督脉生病，治督脉治在骨上，甚者在齐下营。
此复申明督脉之为病也。上文督脉为病，脊强反折，脊骨者，督脉之所循。故督脉生病，即治督脉，治
督脉，治其脊骨也，故曰治在骨上。若病甚者，在脐下营。脐下营乃少腹以下骨中央，督脉
所起之部也。所以复举督脉生病而为治法者如此。
其上气有音者，治其喉中央。在缺盆中者，其病上冲喉者，治其渐，渐者，上侠颐也。
此复申明冲脉之为病也，上文冲脉为病，逆气里急，故此言其上气有音者，不能从胸而上，故当治其喉
中央。喉中央者，缺盆之中，故曰在缺盆中者，此逆气里急，不能从胸而上出于喉也。治其渐者，使从喉
上面，故曰渐者，上侠颐也。灵枢五音五味篇云∶冲脉任脉皆起于胞中，其浮而外者会于咽喉，别而络唇口，
是冲脉不但至胸中而散，亦上颐循面，故复举冲脉之病以明之。此一节，言
太阳寒府之气，合于少阴，任冲督三脉，皆起于少阴而合于太阳也。
蹇膝，伸不屈，治其楗。
蹇，难也。蹇膝，膝难进也。膝蹇故伸不能屈。楗，犹枢也。
下文云∶辅骨上横骨下为楗，治其楗而膝能伸屈矣。
坐而膝痛治其机。
机，机关也。坐而膝痛，则机关不和。下文云∶侠髋为机，治其机而膝痛可愈矣。
立而暑解，治其骸关。
暑，热也。解，膝骨缝也。立而暑解，立则骨缝如暑热也。骸
关，即膝解也。下文云∶膝解为骸关，治其骸关，而暑解可愈矣。
膝病，痛及拇指，治其 。
拇指，足大趾也。膝痛，痛及拇指，经脉相应也。 ，腿曲处也。下文云∶骸下为辅，辅上为 ，
治其 而拇指膝痛可愈矣。
坐而膝痛，如物隐者，治其关。
隐，犹藏也。膝痛如物隐者，痛而高肿，如物内藏也。关，关
节也。下文云∶ 上为关，治其关而痛如物隐可愈矣。
膝痛，不可屈伸，治其背内。
膝痛而筋不柔和，故脊背不可屈伸，太阳主筋所生病，故当其背内，而屈伸自如矣。
连 若折，治阳明中俞 。
折，音舌、 ，足骨也。 ，骨穴也。膝痛连 ，其痛若折，当治阳明之中俞 。中俞，足阳明俞穴
也。五俞之穴，前有井荣，后有经合，俞居中，故曰中俞 ，足中指间陷谷穴也。治阳明中俞 ，
而连 若折可愈矣。
若别，治巨阳少阴荣。
承上文而言，膝痛连 若别。别，离也。若 膝之不相属也。当治巨阳少阴之荣穴。巨阳之荣，足小
指后通谷穴也，少阴之荣，足心后然谷穴也。治其荣，而连 若别可愈矣。
淫泺胫 ，不能久立，治少阳之维，在外上五寸。
泺，音洛。淫，极也。泺，寒也。维，络也。淫泺胫 ，极寒
而胫骨 削也。胫 ，则不能久立，少阳主骨所生病，故治少阳之
维，在外踝上五寸。经脉论云∶少阳之别，名曰光明，去踝五寸，
坐不能起，取之所别者此也。
辅骨上，横骨下，为楗。
上文云∶蹇膝伸不屈，治其楗。所谓楗者，辅骨上，横骨下，
为楗，股胫皆有辅骨，乃大骨之旁骨，此辅骨，股内旁骨也。横骨，脐下少腹两旁之骨也。
侠髋，为机。
上文云∶坐而膝痛，治其机，所谓机者，侠髋为机。侠，并也，髋，臀上两旁侧骨也。
膝解，为骸关，侠膝之骨为连骸。
上文云∶立而暑解，治其骸关，所谓骸关者，膝后分解之处，
为骸关。夫膝解为骸关，则侠膝之前骨，为连骸。所以申明膝后解处为关，而膝骨则为骸也。
骸骨下为辅，辅上为 。
上文云∶膝痛，痛及拇指，治其 。所谓 者，骸下为辅，辅
上为 。骸下，即骸关之下。辅上，胫辅骨之上也。
上为关。
上文云∶膝痛如物隐者，治其关。所谓关者， 上为关，腿曲处之上也。
头横骨为枕。
上文云∶膝痛不可屈伸，治其背内。脊背上通枕骨，故不释背
内，而释头横骨为枕。知头横骨为枕，则知脊直骨为背矣。
水俞五十七穴者，尻上五行行五，伏兔上两行行五，左右各二
行行五，踝上各一行行六穴。
行，音杭，旧本讹左右各一行，今改二行。此举水俞五十七穴，以明水俞之本于肾也。水热穴论云∶
尻上五行行五者，此肾俞也。伏兔上各二行行五者，此肾之街也。踝上各一行行六者，此肾脉之
下行也。夫尻上五行行五，则五五二十五俞，其俞在背。伏兔上两行行五，乃左右各二行行五，则四五二十
俞，其俞在 。踝上各一行行六穴，则左右十二俞，其俞在足，是水俞五十七穴，而本于肾也。此一节言
膝骨乃机关之会，机关不利而痛，则水气不行，故水
俞五十七穴，皆附于骨空也。
髓空，在脑后三分，在颅际锐骨之下，一在龈基下，一在项后
中复骨下，一在脊骨，上空，在风府上，脊骨下空。在尻骨下空。
此言髓空有在头上下者，有在脊上下者，髓藏骨空，故曰髓空。脑为髓海，故髓空在脑后三分，申明
脑后三分在悬颅穴之际，悬颅在头两旁锐骨之下。锐骨，尖骨也。从头而下，一在龈基下，
龈基，齿根也。齿根之下，骨空处也，此髓空在头上下也。从龈基而下，一在项后中复骨下，脊椎之骨，名
曰复骨，复骨在项后之中，从上而下，故曰复骨下也。从大椎之骨而计其上，一在脊骨上空，申明脊骨上空
在风府上者是也。有脊骨上空者是也。此髓空在脊上下也。
数髓空，在面侠鼻。
面之左右，鼻之上下，髓空不一，故曰数髓空，在面而侠于鼻也。
或骨空在口下，当两肩。
从面鼻而下于口，从口而下于肩，皆有骨空。故曰或骨空在口下，当两肩也。
两 骨空，在 中之阳。
从肩至两 之骨空，则在两 中之阳。阳，外侧也。
臂骨空，在臂阳，去踝四寸，两骨空之间。
骨空，在 中之阳，则臂骨空，亦在臂阳，申明臂阳去手踝四寸，穴名三阳络，在两骨空缝之间者是也。
股骨上空，在股阳，出上膝四寸。
从臂反股，则股骨上空亦在股阳。申明股阳出外，上膝四寸，穴名伏兔者是也。
骨空，在辅骨之上端。
从股至 ，则 骨空，在辅骨之上端。辅骨，小腿大骨之旁骨也，上端，近膝处也。
股际骨空，在毛中动下。
“空”，作“孔”解，篇内所有“空”字均同此意。
骨空，指周身骨节之间的穴孔。足少阴肾经属肾而主骨，与足太阳膀胱经互为表里。足太阳主司皮肤，足少阴主司骨髓。任脉、冲脉、督脉都起于足少阴，合于足太阳。任脉起于中极穴之下，冲脉起于气街穴，二者并行于足少阴经脉。督脉起于小腹以下，骨骼中央，凡此皆起于足少阴。任脉和冲脉的血液，澹渗于皮肤；督脉的经脉，行于脊背，凡此皆合于足太阳。所以上一节论述风邪伤及太阳，进而波及任脉、冲脉、督脉。足少阴主骨，若骨节屈伸不利，则关节功能废弛。关节废弛，则水液代谢不行，所以次一节论述膝痛不和，进而涉及水俞五十七穴。足少阴属肾，精髓渗灌于骨空，滋养经脉；若精髓不能荣养骨空，则水毒乘虚侵入经脉，所以末一节论述髓空，进而涉及鼠瘰（一种颈部淋巴结结核）的寒热症状，并讲述艾灸和针刺的方法。
黄帝问道：我听说风邪是百病产生的根源，用针刺治疗它该怎么办呢？
六淫邪气中，风邪居首位，所以风邪是百病的开端，初起时先伤太阳经，应防止其传变，用针刺治疗它该怎么办呢？
岐伯回答说：风邪从外侵入，使人战栗恶寒，出汗，头痛，身体沉重，怕冷，
治疗取风府穴，调和阴阳，正气不足就用补法，邪气有余就用泻法。
恶，读去声。风邪从外侵入，损伤太阳经通体之皮肤，所以使人战栗恶寒。风邪从皮肤进入肌腠，所以出汗。风邪随太阳经脉上行，所以头痛。周身肌表不和，所以身体沉重。太阳经之上，寒气主令，所以怕冷。太阳经脉，从头下行至项部，所以治疗取风府穴。治疗取风府穴，是为了调和阴阳。经脉正气不足，就用灸法来补益；经脉邪气有余，就用刺法来泻除。
患大风，颈项疼痛，针刺风府穴，风府穴位于上椎骨处。
所谓邪气有余用泻法，如大风邪气伤害经脉，导致颈项疼痛，就应当针刺风府穴以泻除邪气。说明风府穴在项部的上椎骨，大概项部高起的第一椎骨是大椎穴，项部平坦的第一椎骨是上椎骨。大椎到尾骶骨共有二十一节，大椎之上另有两节。
患大风出汗，艾灸髂骨旁穴位，该穴位在背部下方，脊柱两旁各三寸处，用手按压该穴，让病人呼喊该穴名，手下应有感应。
厌，作压解。所谓正气不足用补法，如大风邪气侵入肌腠，就会出汗，出汗导致表虚，所以应当艾灸该穴。说明该穴在背部下方，脊柱两旁各开三寸处，用手按压，让病人呼喊该穴名，而该穴的脉气应手而动的是正确的取穴方法。
迎风畏风，针刺眉头穴。
从，迎也；憎，恶也。迎风恶风，是面额经脉不和，应当针刺眉头穴以泻除邪气。
落枕，病位在肩上横骨之间，手臂活动受限如折断状，让患者摇动双臂使肘部持平，正对脊柱中线施灸。
折，音舌，下文相同。榆，作摇解。齐，平也。夜间睡觉落枕，病位在肩上横骨之间。伸展困难，所以感觉像折断一样。折断则手臂不能举起，应当让患者摇动双臂使肘部持平以调和气血。摇臂平肘，则背部中间会出现凹陷，应当正对脊柱中线施灸，不必寻求其他穴位。
络脉拘急于季胁，牵引少腹而疼痛胀满，针刺京门穴。
肋稍曰髎。髎络，即肋稍的络脉。季胁，是胁骨的尽头处。髎络拘急于季胁，经脉不和，枢转不利，导致牵引少腹而疼痛胀满。少腹，是足太阳膀胱经所属部位，所以应当针刺足太阳膀胱经的京门穴，以疏通经脉。
腰痛不能转动摇晃，紧急牵引睾丸疼痛，针刺八髎穴，在疼痛部位或腰部，八髎穴位于腰尻骨缝之间。
太阳经脉，挟持背部抵住腰部，主管筋所生的疾病，表现为腰痛。不能转动摇晃，说明腰脊都病了。紧急牵引睾丸疼痛，是筋病。八髎穴，包括上髎、次髎、中髎、下髎，左右共八个穴位。在疼痛部位施治，以及腰部疼痛的部位，都应当针刺。说明八髎穴位于腰尻两侧的分肉之间。
鼠瘰寒热，还当针刺寒府，寒府位于膝盖外侧，解析：取膝上外侧穴位，让病人做揖礼动作，取足心穴位，让病人跪姿。
解，骨解也。荣，荣俞穴也。拜，揖也。鼠瘰寒热，是肾脏水毒，沿经脉上行。颈项如有核块，称为鼠瘰。身体发冷发热，称为鼠瘰寒热。足太阳膀胱寒水，是肾的腑，所以还当针刺寒府。寒府，指足太阳经脉。说明寒府位于膝盖外侧的骨解和荣俞处，附于膝外侧，膝外侧为骨解，即膝外侧的骨缝。荣俞，荣俞穴，即足小趾本节处的通谷穴。如果针刺骨解处的穴位，取膝上外侧者，让病人做揖礼，揖礼时膝盖挺直骨头竖起，骨解处即可找到。如果针刺荣俞穴，取足心者，让病人跪姿，跪姿时足心宛然凹陷，荣俞通谷穴即可找到。
任脉，起于中极穴之下，向上经过阴毛边缘，沿着腹部内侧，上行至关元穴，到达咽喉，向上经过下颌，循行面部，进入目内眦。
任脉、冲脉、督脉，都起于足少阴，合于足太阳。中极穴之下，是足少阴属肾络膀胱的地方。所以任脉起于中极穴之下，从中极向上，经过阴毛边缘，沿着腹部内侧，上行至关元，到达咽喉，再向上经过下颌循行面部。进入目内眦，循行面部进入目内眦，则合于足太阳经。
冲脉，起于气街穴，并行于足少阴经脉，挟持脐部上行，到达胸中而散开。
齐，通脐，下文相同。气街，是腹气通行的街道，即脐部左右动脉搏动之处。所以冲脉起于气街穴。冲脉和任脉都起于足少阴。所以并行于足少阴经脉，挟持脐部上行，到达胸中而散开，散于皮肤，则合于足太阳经。
任脉发病，男子内部结聚成七种疝气，女子带下病和瘕聚病。冲脉发病，气逆和里急。督脉发病，脊柱强直反折。
强，读去声。这里论述任脉和冲脉的疾病，并涉及到督脉。任脉起于中极穴之下，向上经过阴毛边缘，沿着腹部内侧。所以任脉发病，男子则内部结聚成七种疝气。七疝，指狐疝、颓疝，以及五脏的疝气。女子则出现带下和瘕聚。带下，是湿浊下注。瘕聚，是血液内部瘀滞。冲脉挟持脐部上行，到达胸中而散开，发病则不能上行外散。所以冲脉发病，出现气逆和里急。气逆，是气不循经脉运行。里急，是气不能输布。任脉和冲脉，行于身体前面，督脉行于身体后面，所以督脉发病，失去正常循行，则脊柱强直反折。
胸部腹部属阴，脊背属阳，气逆里急，是阴病不能仰卧；脊柱强直反折，是阳病不能俯身。
督脉，起于小腹以下，骨骼中央，女子进入系连廷孔。这个孔，是尿道口的末端。它的络脉循行于阴器，会合于篡间，环绕篡后，另外环绕臀部，至少阴经和巨阳经的中络处相合。少阴经上行于大腿内侧后缘，贯穿脊柱属于肾，与太阳经起于目内眦，上行至额部，交会于头顶，向上进入络属脑部，复出分别下行至项部，循行肩膊内侧，挟持脊柱抵住腰部中，深入循行于膂肉，络属肾脏，男子则循行阴茎，向下至篡部，与女子相同。
溺，鸟去声，下文相同。督脉也起于足少阴，所以督脉起于小腹以下，即曲骨穴中央。女子则进入系连廷孔，说明这个孔是尿道口的末端，它的络脉由阴转阳，从下而上。所以它的络脉循行于阴器，会合前后二阴的篡间，又环绕篡后，另外再环绕臀部，至少阴经和巨阳经的中络处相合。夫少阴巨阳中络，是指少阴经上行于大腿内侧后缘，贯穿脊柱属于肾的部分。督脉由少阴经上行，合于太阳经。所以与太阳经起于目内眦，上行至额部，交会于头顶，向上进入络属脑部，复出分别下行至项部，循行肩膊内侧，挟持脊柱抵住腰部中，深入循行于膂肉，络属肾脏的部分，相合而共同运行。女子进入系连廷孔的尿道口，男子则循行阴茎向下至篡部，与女子的廷孔尿道口相等，所以说明任脉、冲脉、督脉这三条脉，都起于足少阴而合于足太阳。
那从小腹直上的经脉，贯穿脐中央，向上贯穿心脏，进入咽喉，向上经过下颌，环绕嘴唇，向上系连两眼之下的中央，这条经脉生病会从少腹向上冲击心脏而疼痛，大小便不通，称为冲疝，女子不孕，癃闭、痔疮、遗尿、咽喉干燥。
这里再次申明任脉的疾病。那从小腹直上的经脉，就是任脉经过阴毛边缘，沿着腹部内侧直上的部分。贯穿脐中央，向上贯穿心脏，进入咽喉，就是任脉循行腹部内侧，上行至咽喉的部分。向上经过下颌环绕嘴唇，向上系连两眼之下的中央，就是任脉向上经过下颌循行面部进入目内眦的部分。任脉从少腹向上贯穿心脏，所以这条经脉生病，会从少腹向上冲击心脏而疼痛。上文说任脉发病，男子内部结聚七种疝气，女子带下和瘕聚，所以男子大小便不通称为冲疝。意思是不仅疝气病在内，而且大小便不通。不仅疝气结聚于内，而且向上冲击。女子不孕，意思是女子湿浊下注，瘕聚于内，不能怀孕。又说：癃闭、痔疮、遗尿，是申明大小便不通，癃闭和遗尿是不能小便，痔疮是不能大便。任脉上行至咽喉，所以咽喉干燥，这就是再次列举任脉，以申明任脉疾病的缘故。
督脉生病，治疗督脉，取穴在脊骨上，病情严重的在脐下营室穴。
这里再次申明督脉的疾病。上文说督脉发病，脊柱强直反折，脊骨是督脉所循行的部位。所以督脉生病，就治疗督脉，治疗督脉，就是治疗脊骨，所以说治疗在脊骨上。如果病情严重，在脐下营室穴。脐下营室穴乃是小腹以下骨骼中央，督脉起始的部位。这就是再次列举督脉生病而讲述治疗方法的缘故。
呼吸有声的，治疗喉中央缺盆中的穴位，病症气向上冲击喉咙的，治疗渐耳穴，渐耳穴，在上颌两旁。
这里再次申明冲脉的疾病，上文说冲脉发病，气逆里急，所以这里说呼吸有声的，气不能从胸向上，所以应当治疗喉中央。喉中央，即缺盆之中，所以说在缺盆中，这是气逆里急，不能从胸向上出于喉咙。治疗渐耳穴，使气从喉上面出，所以说渐耳穴，在上颌两旁。《灵枢·五音五味》篇说：冲脉和任脉都起于胞中，其浮而外出的部分会合于咽喉，别出而络属唇口，这说明冲脉不但至胸中而散，也上达下颌循行面部，所以再次列举冲脉的疾病以阐明这一点。这一节，讲的是太阳寒水之气，合于足少阴，任脉、冲脉、督脉这三条脉，都起于足少阴而合于足太阳。
膝关节僵硬，伸直不能弯曲，治疗楗穴。
蹇，难也。蹇膝，膝盖难以活动。膝盖僵硬所以伸直不能弯曲。楗，犹如枢纽也。
下文说：辅骨之上，横骨之下为楗，治疗楗穴而膝盖能伸屈了。
坐着而膝盖疼痛，治疗机穴。
机，机关也。坐着而膝盖疼痛，则机关不和。下文说：侠髋为机，治疗机穴而膝盖疼痛可痊愈了。
站立时膝盖骨缝发热，治疗骸关穴。
暑，热也。解，膝骨缝也。立而暑解，站立时骨缝如暑热般灼热。骸关，即膝解处。下文说：膝解为骸关，治疗骸关，而骨缝发热可痊愈了。
膝盖疼痛，痛及足大趾，治疗腘窝处的穴位。
拇指，足大趾也。膝痛，痛及足大趾，是经脉相应。腘，腿弯处也。下文说：骸下为辅，辅上为腘，治疗腘窝处的穴位而足大趾和膝盖疼痛可痊愈了。
坐着而膝盖疼痛，感觉像有东西隐藏在里面，治疗关穴。
隐，犹藏也。膝痛像有东西隐藏，是疼痛且高肿，像有东西藏在里面。关，关节也。下文说：腘上为关，治疗关穴而痛感如物隐藏可痊愈了。
膝盖疼痛，不能屈伸，治疗背部内侧的穴位。
膝痛而筋不柔和，所以脊背也不能屈伸，太阳经主筋所生的疾病，所以应当取背部内侧的穴位，而屈伸自如了。
疼痛牵连小腿骨，感觉像折断一样，治疗足阳明经的中俞穴陷谷。
折，音舌。胻，足胫骨也。腘，骨穴也。膝痛牵连小腿骨，其痛感觉像折断，应当治疗阳明经的中俞穴陷谷。中俞，足阳明经的俞穴。五俞穴中，前有井荥，后有经合，俞居中，所以叫中俞穴陷谷，即足中指间的陷谷穴。治疗阳明经中俞穴陷谷，而牵连小腿骨感觉像折断的症状可痊愈了。
如果感觉分离，治疗足太阳和足少阴的荥穴。
承接上文而言，膝痛牵连小腿骨感觉像分离。别，离也。如果感觉膝盖和小腿骨不相连接。应当治疗足太阳和足少阴的荥穴。足太阳的荥穴，是足小趾后的通谷穴，足少阴的荥穴，是足心的然谷穴。治疗这两个荥穴，而感觉分离的症状可痊愈了。
小腿酸软无力，小腿肌肉消瘦，不能久站，治疗足少阳经的维道穴，在外踝上五寸处。
泺，音洛。淫，极也。泺，寒也。维，络也。淫泺胫枯，极度寒冷而小腿骨肌肉消瘦。小腿肌肉消瘦，则不能久站，足少阳经主骨所生的疾病，所以治疗足少阳经的维道穴，在外踝上五寸处。《经脉论》说：足少阳经的别络，名叫光明，距离踝部五寸，坐起困难，取它的别络就是这个穴位。
辅骨之上，横骨之下，为楗穴。
上文说：膝盖僵硬伸直不能弯曲，治疗楗穴。所说的楗穴，是辅骨之上，横骨之下，股胫都有辅骨，是大骨旁边的骨头，这里的辅骨，是股骨内侧的旁骨。横骨，是脐下少腹两侧的骨头。
侠髋，为机穴。
上文说：坐着而膝盖疼痛，治疗机穴。所说的机穴，是侠髋为机。侠，并也，髋，臀上两旁侧骨也。
膝后分解之处，为骸关，侠膝之前的骨头为连骸。
上文说：站立时膝盖骨缝发热，治疗骸关穴。所说的骸关穴，是膝后分解之处，为骸关。既然膝后分解处为骸关，那么侠膝之前的骨头，就是连骸。所以申明膝后分解处为关，而膝骨则为骸。
骸骨之下为辅骨，辅骨之上为腘窝。
上文说：膝盖疼痛，痛及足大趾，治疗腘窝处的穴位。所说的腘窝，是骸骨之下为辅骨，辅骨之上为腘窝。骸下，即骸关之下。辅上，胫辅骨之上也。
腘窝之上为关穴。
上文说：坐着而膝盖疼痛，感觉像有东西隐藏，治疗关穴。所说的关穴，是腘窝之上为关，腿弯处之上也。
头部的横骨为枕骨。
上文说：膝盖疼痛，不能屈伸，治疗背部内侧的穴位。脊背上通枕骨，所以不解释背内，而解释头部的横骨为枕骨。知道头部的横骨为枕骨，就知道脊直的骨头为背了。
水俞五十七穴，位于尻骨上方五行，每行五穴，伏兔穴上方两行，每行五穴，左右各两行，每行五穴，内踝上方各一行，每行六穴。
行，音杭，旧本错误地写成左右各一行，现在改为两行。这里列举水俞五十七穴，以说明水俞本源于肾。《水热穴论》说：尻骨上方五行每行五穴，这是肾俞穴。伏兔穴上方各行两行每行五穴，这是肾之街。内踝上方各一行每行六穴，这是肾脉的下行部分。夫尻骨上方五行每行五穴，则五五二十五俞，这些俞穴在背部。伏兔穴上方两行每行五穴，乃左右各两行每行五穴，则四五二十俞，这些俞穴在小腿肚。内踝上方各一行每行六穴，则左右十二俞，这些俞穴在足部，是水俞五十七穴，而本源于肾。这一节讲的是膝盖骨乃是关节的会合处，关节不利而疼痛，则水液代谢不行，所以水俞五十七穴，都附属于骨空。
髓空，位于脑后三分处，在颅侧锐骨之下，一个在齿根基下，一个在项后正中复骨下，一个在脊骨上空，在风府穴上方，脊骨下方空处。在尻骨下方空处。
这里讲髓空有的在头部上下，有的在脊骨上下，髓藏于骨空，所以叫髓空。脑为髓海，所以髓空在脑后三分，说明脑后三分在悬颅穴之际，悬颅穴在头两旁锐骨之下。锐骨，尖骨也。从头而下，一个在齿根基下，龈基，齿根也。齿根之下，骨空处也，这个髓空在头部上下。从龈基而下，一个在项后正中复骨下，脊椎的骨头，名叫复骨，复骨在项后之中，从上而下，所以叫复骨下。从大椎骨计算其上，一个在脊骨上空，说明脊骨上空在风府穴上方的是正确的。有脊骨上空的是正确的。这个髓空在脊骨上下。
许多髓空，位于面部鼻翼两旁。
面部的左右，鼻子的上下，髓空不止一个，所以叫许多髓空，位于面部而夹于鼻子两旁。
有的骨空在口下，正当两肩处。
从面部鼻子向下到口，从口向下到肩，都有骨空。所以叫有的骨空在口下，正当两肩处。
两个肩胛骨的空隙，在肩胛中间的阳侧。
从肩到两个肩胛骨的骨空，则在两个肩胛中间的阳侧。阳，外侧也。
臂部的骨空，在臂部阳侧，距离手踝四寸，在两骨空隙之间。
骨空，在肩胛中间的阳侧，则臂部骨空，也在臂部阳侧，说明臂阳距离手踝四寸，穴名三阳络，在两骨空缝之间的是正确的。
股骨上空，在股部阳侧，向外上膝四寸处。
从臂反向股，则股骨上空也在股部阳侧。说明股阳向外，上膝四寸，穴名伏兔的是正确的。
小腿骨空，在辅骨的上端。
从股到小腿，则小腿骨空，在辅骨的上端。辅骨，小腿大骨旁的骨头，上端，靠近膝盖处。
大腿根部骨空，在阴毛中动脉搏动处下方。
"Kong," interpreted as "Kong" (hole), is used consistently throughout the chapter.
Bone Kong refers to the apertures between the joints of the entire body. The Shaoyin (Kidney) channel belongs to the Kidney and governs the bones, forming an exterior-interior relationship with the Taiyang (Bladder) channel. The Taiyang channel governs the skin, while the Shaoyin channel governs the bone marrow. The Ren (Conception Vessel), Chong (Penetrating Vessel), and Du (Governing Vessel) all originate from the Shaoyin and converge with the Taiyang. The Ren vessel originates below the Zhongji point; the Chong vessel originates at the Qichuan point, running parallel to the Shaoyin channel. The Du vessel originates below the lower abdomen, in the central part of the bone. All these originate from the Shaoyin. The blood of the Ren and Chong vessels seeps into the skin, while the Du vessel runs along the spine and back, all converging with the Taiyang. Therefore, the previous section discusses wind pathogenic factors injuring the Taiyang and affecting the Ren, Chong, and Du vessels. The Shaoyin governs the bones; if the bones are stiff and difficult to flex or extend, the joint mechanisms become flaccid. If the joint mechanisms are flaccid, water qi fails to circulate. Thus, the next section discusses knee pain and disharmony, extending to the fifty-seven Shu points for water. The Shaoyin belongs to the Kidney; essence and marrow seep into the bone Kong, nourishing the channels. If essence and marrow fail to nourish the bone Kong, water toxins invade the channels. Therefore, the final section discusses the marrow Kong, extending to the cold-heat symptoms of shuluo (scrofula), and describes moxibustion and acupuncture methods.
The Yellow Emperor asked: I have heard that wind is the beginning of all diseases. How should it be treated with needles?
Among the six excess pathogens, wind takes precedence; thus, wind is the beginning of all diseases. It initially injures the Taiyang channel. One must prevent its transmission. How should it be treated with needles?
Boshi replied: When wind enters from the exterior, it causes chills, sweating, headache, heaviness of the body, and aversion to cold.
Treatment involves the Fengfu point (DU16), regulating Yin and Yang. If deficiency, tonify; if excess, sedate.
Aversion to cold is pronounced here. Wind entering from the exterior injures the skin of the entire Taiyang channel, causing chills. Entering from the skin into the muscle clefts causes sweating. Ascending along the Taiyang channel causes headache. Disharmony of the body's surface causes heaviness. Cold qi dominates the upper Taiyang, causing aversion to cold. The Taiyang channel descends from the head to the nape. Therefore, treatment targets the Fengfu point. Treating the Fengfu point regulates Yin and Yang. If the channels are deficient, use moxibustion to tonify; if the channels are in excess, use needling to sedate.
In cases of severe wind with neck and nape pain, needle the Fengfu point, which is located at the upper vertebra.
"Sedation for excess" means that if severe wind injures the channels, causing neck and nape pain, one should needle the Fengfu point to sedate. This clarifies that the Fengfu point is at the upper vertebra of the nape. The first prominent vertebra of the nape is the Dazhui point (DU14); the first flat vertebra above it is the upper vertebra. From Dazhui to the coccyx, there are twenty-one segments; there are two additional segments above Dazhui.
In cases of severe wind with sweating, moxa the acupoint on the back. This point is located three cun lateral to the spine, below the back. Press the point, and have the patient call out the name of the point; the pulse response should be felt under the hand.
"Ya" means press. "Tonification for deficiency" means that if severe wind enters the muscle clefts, causing sweating, and sweating leads to exterior deficiency, one should moxa this point. This clarifies that the point is below the back, three cun lateral to the spine on both sides. Pressing with the hand and having the patient call out the name of the point allows the pulse of the point to respond under the hand, confirming correct location.
For aversion to wind triggered by facing wind, needle the eyebrow tip.
"Cong" means to face; "zeng" means to dislike. Disliking wind when facing it indicates disharmony of the meridians in the forehead and face. One should needle the eyebrow tip to sedate.
For stiff neck (shi zhen), the pathology is located between the transverse bones of the shoulder. The arm feels stiff as if broken. Have the patient swing the arms so that the elbows are level, and apply moxibustion directly to the middle of the spine.
"Zhe" is pronounced like "she." "Yu" means to shake. "Qi" means level. Stiff neck from sleeping on a bad pillow involves pathology between the transverse bones of the shoulder. Inability to extend smoothly feels like a break. If broken, the arm cannot be raised. One should have the patient swing the arms and level the elbows to harmonize. Swinging the arms and leveling the elbows creates a depression in the back; apply moxibustion directly to the midline of the spine without seeking other points.
If the Luo collateral at the costal margin is tense, pulling the lower abdomen causing pain and distension, needle the Jingmen point (GB25).
"The slightly protruding rib is called Liao. Liao Luo refers to the collateral at the costal margin. The Ji Xie (costal margin) is the end of the ribs. Tension in the Liao Luo at the Ji Xie indicates disharmony of the channels and poor pivot function, pulling the lower abdomen causing pain and distension. The lower abdomen is the region of the Taiyang Bladder channel. Therefore, one should needle the Taiyang Jingmen point to unblock the channels.
For low back pain with inability to turn or sway, and urgent牵引 (pulling) of the testicles, needle the Ba Liao (Eight Hui) points. Treat the painful area or the waist; the Ba Liao points are located in the clefts between the lumbar and sacral bones.
The Taiyang channel runs alongside the back to the waist and governs diseases of the tendons, manifesting as low back pain. Inability to turn or sway indicates disease in both the waist and spine. Urgent pulling of the testicles indicates tendon disease. The Ba Liao points include Shangliao (BL31), Ciliao (BL32), Zhongliao (BL33), and Xialiao (BL34), eight points in total (four on each side). Treatment applies to the painful area and the waist. The Ba Liao points are located in the fleshy intervals between the lumbar and sacrum.
For shuluo with cold and heat, also needle the Hanfu (Cold House). Hanfu is located at the outer aspect of the knee. To locate points at the outer upper knee, have the patient bow (yi). To locate points at the sole of the foot, have the patient kneel.
"Jie" means bone junction. "Rong" refers to the Ying-Spring point. "Bai" means to bow. Shuluo cold-heat results from Kidney water toxins ascending along the channels. A lump in the neck is called shuluo. Body chills and fever constitute shuluo cold-heat. The Taiyang Bladder (cold water) is the Fu organ of the Kidney; thus, one should needle the Hanfu. Hanfu refers to the Taiyang channel. Specifically, Hanfu is at the bone junction and Ying point on the outer knee. The outer knee is the bone junction (fissure). The Ying point is Tonggu (BL65) at the base of the fifth toe. To needle the bone junction point, have the patient bow; this extends the knee and makes the bone junction palpable. To needle the Ying point, have the patient kneel; this makes the hollow of the sole visible, locating Tonggu.
The Ren vessel originates below the Zhongji point, ascends to the pubic hairline, follows the interior of the abdomen, ascends to the Guanyuan point, reaches the throat, goes up to the chin, follows the face, and enters the inner canthus of the eye.
The Ren, Chong, and Du vessels all originate from the Shaoyin and converge with the Taiyang. Below Zhongji is where the Shaoyin connects to the Kidney and Bladder. Thus, the Ren vessel originates below Zhongji, passes the pubic hairline, follows the abdominal interior, ascends to Guanyuan, reaches the throat, goes up to the chin, follows the face, and enters the inner canthus. Following the face to the inner canthus converges with the Taiyang.
The Chong vessel originates at the Qichuan point, runs parallel to the Shaoyin channel, ascends alongside the umbilicus, and disperses in the chest.
"Qi" is synonymous with Umbilicus. Qichuan is the street of abdominal Qi, the site of pulsation lateral to the umbilicus. Thus, the Chong vessel originates at Qichuan. Both Chong and Ren vessels originate from the Shaoyin. Thus, they run parallel to the Shaoyin channel, ascend alongside the umbilicus, disperse in the chest, and spread into the skin, converging with the Taiyang.
Diseases of the Ren vessel: In men, internal accumulation of seven types of hernia; in women, leukorrhea and mass accumulation. Diseases of the Chong vessel: rebellious Qi and interior tension. Diseases of the Du vessel: spinal rigidity and opisthotonos.
"Qiang" is pronounced with the departing tone. This discusses diseases of the Ren and Chong vessels, extending to the Du vessel. The Ren vessel originates below Zhongji, ascends to the pubic hairline, and follows the abdominal interior. Thus, Ren vessel disease in men causes internal accumulation of seven hernias (Hu hernia, Tui hernia, and five Zang hernias). In women, it causes leukorrhea (damp-turbidity descending) and Jia Ju (blood stasis internally). The Chong vessel ascends alongside the umbilicus and disperses in the chest; disease prevents upward ascent and dispersion. Thus, Chong vessel disease causes rebellious Qi (Qi not following the channels) and interior tension (Qi failing to distribute). The Ren and Chong vessels run along the anterior body; the Du vessel runs along the posterior body. Thus, Du vessel disease, losing its normal course, causes spinal rigidity and opisthotonos.
The chest and abdomen are Yin; the spine and back are Yang. Rebellious Qi and interior tension are Yin diseases preventing supination; spinal rigidity and opisthotonos are Yang diseases preventing pronation.
The Du vessel originates below the lower abdomen, in the central bone. In women, it enters and connects to the Ting Kong. This opening is the terminal end of the urethra. Its collateral runs along the genitalia, converges at the perineum (Cuan), winds around the posterior perineum, separately winds around the buttocks, and merges with the Middle Collateral of the Shaoyin and Juyang (Taiyang) channels. The Shaoyin ascends along the medial posterior thigh, pierces the spine, and connects to the Kidney. Together with the Taiyang, it originates at the inner canthus, ascends to the forehead, crosses the vertex, enters the brain, emerges, descends to the nape, follows the medial shoulder, runs alongside the spine to the waist, enters the erector spinae muscles, and connects to the Kidney. In men, it follows the penis down to the perineum, equal to the women's Ting Kong.
"Niao" is pronounced like "niao." The Du vessel also originates from the Shaoyin, specifically below the lower abdomen at the Qu Gu center. In women, it connects to the Ting Kong, which is the terminal end of the urethra. Its collateral moves from Yin to Yang, ascending from below. It runs along the genitalia, converges at the perineum (between anterior and posterior orifices), winds around the posterior perineum, and separately winds around the buttocks, merging with the Middle Collateral of the Shaoyin and Juyang. The Middle Collateral of Shaoyin and Juyang ascends along the medial posterior thigh, pierces the spine, and connects to the Kidney. The Du vessel ascends from the Shaoyin and converges with the Taiyang. Thus, it merges and travels together with the Taiyang, which originates at the inner canthus, ascends to the forehead, crosses the vertex, enters the brain, emerges, descends to the nape, follows the medial shoulder, runs alongside the spine to the waist, enters the erector spinae, and connects to the Kidney. In women, it connects to the Ting Kong (urethra); in men, it follows the penis to the perineum, equal to the female Ting Kong. This clarifies that the Ren, Chong, and Du vessels all originate from the Shaoyin and converge with the Taiyang.
The branch rising straight from the lower abdomen passes through the umbilicus, ascends through the Heart, enters the throat, goes up to the chin, circles the lips, and ascends to the center below the eyes. Disease here manifests as Qi rushing from the lower abdomen to the Heart causing pain, inability to pass urine or stool, termed Chong Hernia. In women, it causes infertility, strangury, hemorrhoids, urinary incontinence, and dryness of the pharynx.
This reiterates diseases of the Ren vessel. The branch rising from the lower abdomen is the Ren vessel passing the pubic hairline and ascending straight along the abdomen. Passing the umbilicus, ascending through the Heart, and entering the throat corresponds to the Ren vessel ascending to the throat. Going up to the chin, circling the lips, and ascending to the center below the eyes corresponds to the Ren vessel following the face to the inner canthus. Since the Ren vessel ascends from the lower abdomen through the Heart, disease manifests as Qi rushing from the lower abdomen to the Heart causing pain. Previously, Ren vessel disease in men caused seven hernias and in women leukorrhea and masses. Thus, men experience inability to pass urine or stool, termed Chong Hernia, meaning not only internal hernia but also blockage of both ends, and upward rushing. Women suffer infertility due to downward damp-turbidity and internal masses. Strangury and urinary incontinence indicate inability to pass urine; hemorrhoids indicate inability to pass stool. The Ren vessel ascends to the throat, causing dryness. This reiterates Ren vessel diseases.
Diseases of the Du vessel are treated by targeting the Du vessel on the vertebral column. In severe cases, treat the Ying chamber below the umbilicus.
This reiterates diseases of the Du vessel. Previously, Du vessel disease manifested as spinal rigidity and opisthotonos. The spine is the pathway of the Du vessel. Thus, treating Du vessel disease means treating the spine ("on the bone"). In severe cases, treat the Ying chamber below the umbilicus, which is the central bone of the lower abdomen, the origin of the Du vessel. This explains the treatment for Du vessel diseases.
For dyspnea with audible sounds, treat the center of the throat at the Supraclavicular Fossa (Quepen). For disease with Qi rushing up the throat, treat the Jian ear point. Jian ear is located bilateral to the chin.
This reiterates diseases of the Chong vessel. Previously, Chong vessel disease caused rebellious Qi and interior tension. Here, audible dyspnea indicates Qi failing to ascend from the chest. Thus, treat the center of the throat, which is the Quepen. This rebellious Qi fails to ascend from the chest to the throat. Treating the Jian ear point allows Qi to exit from the throat upwards. Jian ear is located bilateral to the chin. The *Ling Shu: Wu Yin Wu Wei* chapter states: The Chong and Ren vessels originate in the Bao Zhong. Their floating and external branches meet at the throat and separate to connect to the lips and mouth. This shows the Chong vessel not only disperses in the chest but also ascends to the chin and follows the face. This reiterates Chong vessel diseases to clarify this. This section explains that the Cold Water Qi of the Taiyang converges with the Shaoyin, and the Ren, Chong, and Du vessels all originate from the Shaoyin and converge with the Taiyang.
For stiff knees unable to extend or flex, treat the Jian point.
"Jian" means difficult. Stiff knee implies difficulty in movement. The knee is stiff, unable to flex when extended. "Jian" is like a pivot.
The text below states: Above the Fu bone and below the Heng bone is the Jian. Treating the Jian restores knee flexion and extension.
For knee pain while sitting, treat the Ji point.
"Ji" means mechanism. Knee pain while sitting indicates disharmony of the mechanism. The text below states: Beside the hip is the Ji. Treating the Ji cures knee pain.
For knee joint heat when standing, treat the Hai Guan point.
"Shu" means heat. "Jie" means knee bone fissure. Standing causes heat in the knee fissure. Hai Guan is the knee Jie. The text below states: The knee Jie is the Hai Guan. Treating the Hai Guan cures the heat.
For knee pain radiating to the big toe, treat the point in the popliteal fossa.
The big toe is the first digit of the foot. Knee pain radiating to the big toe indicates corresponding meridians. "Nao" is the curve of the leg. The text below states: Below the Hai is the Fu; above the Fu is the Nao. Treating the Nao cures knee and big toe pain.
For knee pain while sitting, feeling as if a foreign object is hidden, treat the Guan point.
"Yin" means hidden. Knee pain feeling like a hidden object indicates swelling as if something is concealed. "Guan" means joint. The text below states: Above the Nao is the Guan. Treating the Guan cures the sensation of a hidden object.
For knee pain with inability to flex or extend, treat the interior of the back.
Stiff knee tendons cause inability to flex or extend the spine. The Taiyang governs tendon diseases. Thus, treat the interior of the back to restore flexibility.
If pain extends to the tibia and feels like a fracture, treat the Zhong Shu point of the Yangming channel, Xangu (ST41).
"Zhe" is pronounced "she." "Heng" is the tibia. "Nao" is a bone point. Knee pain extending to the tibia feels like a fracture. Treat the Yangming Zhong Shu point, Xangu. Zhong Shu is the Shu point of the Foot-Yangming. Among the Five Shu points, Jing and Ying are proximal, Jing and He are distal, and Shu is in the middle. Thus, Xangu, located in the depression between the second and third toes, is the Zhong Shu point. Treating Xangu cures the fracture-like pain.
If the connection feels severed, treat the Ying points of the Juyang (Taiyang) and Shaoyin.
Continuing from above, knee pain extending to the tibia feels like separation. "Bie" means separation. If the knee and tibia feel disconnected, treat the Ying points of the Juyang and Shaoyin. The Juyang Ying point is Tonggu (BL65) behind the fifth toe. The Shaoyin Ying point is RanGu (KI2) behind the sole. Treating these Ying points cures the separation sensation.
For extreme cold and wasting of the calves, unable to stand long, treat the Wei point of the Shaoyang, located five cun above the lateral malleolus.
"Luo" is pronounced "luo." "Yin" means extreme. "Luo" means cold. "Wei" means collateral. Extreme cold causes calf wasting. Calf wasting prevents prolonged standing. The Shaoyang governs bone diseases. Thus, treat the Shaoyang Wei point, five cun above the lateral malleolus. The *Jing Mai Lun* states: The divergent branch of Shaoyang is named Guang Ming, five cun from the ankle. Difficulty sitting and rising is treated by selecting this divergent branch.
Above the Fu bone and below the Heng bone is the Jian point.
Previously stated: Stiff knee, treat the Jian. The Jian is above the Fu bone and below the Heng bone. Both thigh and shin have Fu bones, which are accessory bones beside the major bones. This Fu bone is the accessory bone of the femur. The Heng bone is the bone on both sides of the lower abdomen below the umbilicus.
Beside the hip is the Ji point.
Previously stated: Knee pain while sitting, treat the Ji. The Ji is beside the hip. "Xia" means alongside. "Kuan" is the lateral bone of the upper buttock.
The knee joint fissure is the Hai Guan. The bone adjacent to the front of the knee is the Lian Hai.
Previously stated: Heat in knee fissure when standing, treat the Hai Guan. The Hai Guan is the posterior knee fissure. Since the posterior knee fissure is the Hai Guan, the bone adjacent to the front of the knee is the Lian Hai. This clarifies the posterior fissure as the Guan and the knee bone as the Hai.
Below the Hai bone is the Fu bone; above the Fu bone is the Nao (popliteal fossa).
Previously stated: Knee pain to big toe, treat the Nao. The Nao is below the Hai (Fu bone below Hai Guan) and above the Fu (above the tibial Fu bone).
Above the Nao is the Guan point.
Previously stated: Knee pain feeling like a hidden object, treat the Guan. The Guan is above the Nao, at the upper part of the leg curve.
The transverse bone of the head is the Occiput.
Previously stated: Knee pain unable to flex/extend, treat the interior back. The spine connects to the Occiput. Thus, instead of explaining the back interior, it explains the head transverse bone as the Occiput. Knowing the head transverse bone is the Occiput allows one to know the straight spine is the Back.
The fifty-seven Shu points for water are located in five rows of five points above the sacrum, two rows of five points above the Futu, two rows of five points on each side (total four rows), and one row of six points above each ankle.
"Hang" is pronounced "hang." Old editions erroneously wrote "one row on each side"; corrected to "two rows." This lists the fifty-seven water Shu points to show their root in the Kidney. The *Shui Re Xue Lun* states: Five rows of five above the sacrum are the Kidney Shu points. Two rows of five above Futu are the Street of the Kidney. One row of six above each ankle is the descending Kidney channel. Five rows of five above the sacrum make twenty-five Shu points on the back. Two rows of five above Futu (four rows total) make twenty Shu points on the calf. One row of six above each ankle makes twelve Shu points on the feet. These fifty-seven water Shu points originate from the Kidney. This section explains that the knee bone is the convergence of joint mechanisms. If mechanisms are impaired causing pain, water qi fails to circulate. Thus, the fifty-seven water Shu points are attached to the Bone Kong.
Marrow Kong points: One is three fen behind the head, below the sharp bone of the skull. One is below the gingival base. One is below the double bone at the back of the neck. One is in the empty space of the spinal bone, above the Fengfu point. One is in the empty space below the spinal bone. One is in the empty space below the sacral bone.
This describes Marrow Kong points in the head and spine. Marrow resides in bone Kong, hence "Marrow Kong." The Brain is the Sea of Marrow. The Marrow Kong is three fen behind the head, corresponding to the Xuanlu point area, below the sharp bone on the sides of the head. "Sharp bone" means pointed bone. Descending from the head, one is below the gingival base. "Yin Ji" is the tooth root. The bone Kong below the tooth root is a Marrow Kong in the head. Descending from the Yin Ji, one is below the double bone at the back of the neck. The vertebral bone in the center of the nape is called the Double Bone. Descending from the Dazhui bone, one is in the empty space of the spinal bone above the Fengfu point. This confirms the Marrow Kong in the spine.
Multiple Marrow Kong points are located on the face, flanking the nose.
There are various Marrow Kong points on the left and right of the face and above and below the nose. Hence, "Multiple Marrow Kong points flank the nose."
Some bone Kong points are below the mouth, opposite the shoulders.
From the nose to the mouth, and from the mouth to the shoulders, there are bone Kong points. Hence, some bone Kong points are below the mouth, opposite the shoulders.
The bone Kong of the two scapulae is located on the Yang (lateral) side within the scapulae.
From the shoulder to the bone Kong of the scapulae, it is on the Yang (lateral) side within the scapulae.
The bone Kong of the arm is on the Yang side of the arm, four cun from the wrist, between the two bones.
Since the bone Kong is on the Yang side of the scapula, the arm bone Kong is also on the Yang side of the arm. Four cun from the wrist, the point is San Yang Luo, located between the two bones.
The empty space of the femur is on the Yang side of the thigh, four cun above the knee laterally.
Reversing from arm to thigh, the femur empty space is on the Yang side of the thigh. Laterally, four cun above the knee, the point is Futu.
The bone Kong of the tibia is at the upper end of the Fu bone.
From thigh to tibia, the tibia bone Kong is at the upper end of the Fu bone. The Fu bone is the accessory bone beside the large bone of the lower leg; the upper end is near the knee.
The bone Kong of the thigh root is in the pubic hair, below the pulsating artery.