仲景曰。太阳病。头疼至七日自愈者。其经竟故也。（竟字仲景
作尽）若欲再作经者。针足阳明。使经不传则愈。（庞氏云补三里穴）
又曰。太阳病。初服桂枝汤。而反烦不解者。当先刺风池风府。
却与桂枝汤则愈。
又曰。伤寒腹满而谵语。寸口脉浮而紧者。此为肝乘脾。名曰
纵。刺期门。
又曰。伤寒发热。啬啬恶寒。其人大渴。欲饮水浆者。其腹必满。
若自汗出。小便利。其病欲解。此肝乘肺也。名曰横。刺期门。
又曰。阳明病。下血谵语。此为热入血室。但头汗出者。当刺期
门。随其实而泻之。 然汗出则愈。
又曰。妇人中风。发热恶寒。经水适来。得之七八日。热除。脉迟
身凉。胸胁下满。如结胸状。谵语。此为热入血室。当刺期门。随其实
而泻之。叔和曰。平病云。热入血室。无犯胃气及上二焦。雍曰。与此
相反。岂谓药不谓针耶。
又曰。太阳与少阳并病。头痛。颈项强而眩。时如结胸。心下痞
硬。当刺大椎第一间肺俞肝俞。慎不可发汗。发汗则谵语。脉弦。五
日不止。当刺期门。
又曰。少阴病。下利便脓血。可刺。
又曰。妇人伤寒怀身。腹满不得小便。从腰以下重。如有水气
状。怀身七月。太阴当养不养。此心气实。当刺。泻劳宫及关元。小便
利则愈。
又曰。伤寒喉痹。刺手少阴。在脘。当小指后动脉是也。针入三
分。补之。素问曰。有病身热汗出。烦满不为汗解。此为何病。岐伯
曰。汗出而身热者。风也。汗出而烦满不解者。厥也。病名曰风厥。巨
阳主气。故先受邪。少阴与其为表里也。得热则上从之。从之则厥
也。表里刺之。饮之汤剂。雍曰。此伤寒感异气变而为风厥也。宜刺
太溪、昆仑。服茯苓桂枝甘草大枣汤。
灵枢经曰。热病三日。气口静。人迎躁者。取之诸阳。五十九刺。
以泻其热。而出其汗。实其阴以补其不足。素问曰。病甚者。为五十
九刺。灵枢曰。所以五十九刺者。两手外内侧各三。凡十二 。五指
间各一。凡八 。足亦如之。（亦八 也）头入发一寸旁三分各三。凡
六。更入发三寸边各五。凡十 。耳前后口（一作耳）下项中各一。
凡六 。巅上一。囟会一。发际一。廉泉一。风池二。天柱二。此五十
九穴也。
雍曰。五十九刺。出于二经。见于仲景叔和二书。然未闻有善用
之者。古人第存之而不敢废上古之法。后有灵枢十一症。亦多不能
解者。亦不能废法耳。
灵枢经曰。热病先肤痛。窒鼻充面。取之皮。以第一针五十九。
苛轸（一云苛干）鼻。索皮于肺。不得索之火。火。心也。（轸车上前后
两端横木也。言鼻塞之甚。内外不通。亦犹轸之横塞也）
又曰。热病嗌干。多饮善惊。卧不得安。（一作卧不能起）取之肤
肉。以第六针五十九。目 青。索肉于脾。不得索之木。木。肝也。
又曰。热病面青脑痛。手足烦。取之筋间。以第四针针于四逆。
（一作边）筋辟（一作 ）目浸。索筋于肝。不得索之金。金。肺也。
又曰。热病数惊。螈 而狂。取之脉。以第四针急泻有余者。癫
疾。毛发去。索血（一作脉）于心。不得索之水。水。肾也。
又曰。热病而身重骨痛。耳聋而好瞑。取之骨。以第四针五十九
刺。骨病食（一作不食）啮牙齿。耳青。（一作清）索骨于肾。不得索之
土。土。脾也。
又曰。热病。先身傍 。（太素作倚。本经作涩倚而热）烦闷。干
唇口嗌。取之脉。以第一针五十九。肤胀口干寒热。（本经作寒汗出）
索脉于心。不得索之于水。水者肾也。
又曰。热病。头痛颞 。目 脉痛。善衄。厥热病也。取之以第三
针。视有余不足。寒热痔。
又曰。热病。体中病重。肠中热。取之以第四针于其 。及下诸
指间。索气于胃。络得气也。
又曰。热病。侠脐急痛。胸胁支满。取之涌泉与太阴阳明。（经作
阴陵泉）以第四针针嗌里。
又曰。热病而汗且出之。（经作及）脉顺可汗者。取之鱼际。太
渊。大都。太白。泻之则热去。补之则汗出。汗出太甚者。取内踝上横
文（一作脉）以止之。
又曰。热病七八日。脉口动喘而短者。兼刺之。汗且自出。浅刺
手大指间。
素问曰。热病。先胸胁痛。手足躁。刺足少阴。补足（一作手）太
阴。病甚者为五十九刺。王冰云。足少阳邱虚取之。
又曰。热病。始手臂痛者。刺手阳明太阳。而汗出止。王云。臂
痛。列缺主之。取汗。商邱主之。
又曰。热病。始于头首者。刺项太阳而汗出止。王云。足太阳。天
柱主之。
又曰。热病。先身重骨痛。耳聋好瞑。刺足少阳。病甚。为五十九
刺。
又曰。热病先眩冒而热。胸胁满。刺足少阴少阳。
又曰。热病始于足胫者。刺足阳明而汗出止。此出甲乙经。
张仲景说：太阳病（太阳经受邪所致的病证），头痛持续至第七天自行痊愈的，是因为该经的病气已尽的缘故。（“竟”字在张仲景原著中写作“尽”）如果病邪想要再次传入另一经，应当针刺足阳明胃经的穴位，使病邪不传变则能痊愈。（庞氏注释说：补刺足三里穴）
又说：太阳病，初次服用桂枝汤后，反而出现烦闷不解的症状，应当先针刺风池穴和风府穴，然后再给予桂枝汤治疗，病即可愈。
又说：伤寒病，腹部胀满且胡言乱语，寸口脉象浮而紧的，这是肝木乘袭脾土，名叫“纵”，应针刺期门穴。
又说：伤寒病，发热，怕冷蜷缩，病人极度口渴，想喝水浆，其腹部必然胀满。如果病人自汗出，小便通畅，病情就会解除。这是肝木乘袭肺金，名叫“横”，应针刺期门穴。
又说：阳明病，便血且胡言乱语，这是热邪陷入血室（胞宫或肝脏等藏血之处），只有头部出汗的，应当针刺期门穴，随着其实证的消退而泻其实邪，全身濈然汗出则痊愈。
又说：妇女患中风病，发热恶寒，月经适来，病程经过七八天，热势退去，脉搏变迟，身体转凉，胸胁下胀满，像结胸证的样子，胡言乱语，这是热邪陷入血室，应当针刺期门穴，随着其实证的消退而泻其实邪。王叔和说：《平病》篇记载，热入血室，不要损伤胃气及上、中二焦。郭雍说：这与针刺疗法相反，难道是指药物而不是指针刺吗？
又说：太阳病与少阳病并病，头痛，颈项强直且眩晕，有时像结胸证，心下部痞塞硬满，应当针刺大椎穴第一间隙、肺俞穴、肝俞穴。千万不可发汗，发汗则会导致胡言乱语，脉象弦紧，若超过五天不止，应当针刺期门穴。
又说：妇女患伤寒病怀孕，腹部胀满不能小便，腰部以下沉重，好像有水气的样子。怀孕七个月时，太阴脾经当养而不养，这是心气实盛，应当针刺，泻劳宫穴和关元穴，小便通畅则痊愈。
又说：伤寒喉痹（咽喉肿痛闭塞），针刺手少阴心经，在腕部，即小指后方动脉处。进针三分，用补法。《素问》说：有一种病，身体发热，汗出，烦闷不因汗出而解，这是什么病？岐伯说：汗出而身热的，是风邪；汗出而烦闷不解的，是厥逆。病名叫风厥。巨阳（太阳经）主一身之气，所以先受邪气，少阴肾经与太阳经互为表里，受热邪则向上顺从，顺从则发生厥逆。应当表里两经同刺，并饮用汤剂。郭雍说：这是伤寒感受异气变化而成的风厥，适宜针刺太溪穴、昆仑穴，服用茯苓桂枝甘草大枣汤。
《灵枢经》说：热病三天，人迎脉搏动躁急而气口平静的，取诸阳经穴位，用五十九刺法，以泻其热，使其出汗，充实阴分以补其不足。《素问》说：病重的，用五十九刺法。《灵枢》说：所谓五十九刺，双手外侧内侧各三穴，共十二穴，五指间各一穴，共八穴，足部也是如此（也是八穴）。头部入发际一寸，旁开三分各三穴，共六穴；再入发际三寸，边各五穴，共十穴；耳前后、口下、项中各一穴，共六穴；头顶上一穴，囟会一穴，发际一穴，廉泉一穴，风池二穴，天柱二穴。这共五十九个穴位。
郭雍说：五十九刺法，出自《灵枢》和《素问》两部经典，见于张仲景和王叔和的两本书中，然而没听说有人善于运用它。古人只是保留它而不敢废弃上古的方法。后来《灵枢》中的十一症，也多不能解释清楚，但也无法废弃这种方法。
《灵枢经》说：热病先出现皮肤疼痛，鼻塞面部充血，取皮部，用第一号针配合五十九刺法。鼻窍阻塞严重（一说苛干），向肺索取皮部之气，若不得，则向火（心）索取。火，对应心脏。（轸是车箱底部四周的横木，形容鼻塞之甚，内外不通，也像轸木横塞一样）
又说：热病咽喉干燥，多饮易惊，卧不安稳（一作起不来），取肌肉部，用第六号针配合五十九刺法。目睛发青，向脾索取肌肉之气，若不得，则向木（肝）索取。木，对应肝脏。
又说：热病面色青，头痛，手足烦热，取筋部，用第四号针刺于四逆穴（一作边）。筋挛急，目视不清，向肝索取筋部之气，若不得，则向金（肺）索取。金，对应肺脏。
又说：热病多次惊悸，抽搐狂乱，取血脉，用第四号针急泻有余之邪。癫疾，毛发脱落，向心索取血脉之气（一作脉），若不得，则向水（肾）索取。水，对应肾脏。
又说：热病身体沉重骨痛，耳聋喜闭目，取骨部，用第四号针配合五十九刺法。骨病进食时咬牙齿，耳廓发青（一作清），向肾索取骨部之气，若不得，则向土（脾）索取。土，对应脾脏。
又说：热病，先身体侧旁拘急（《太素》作倚，《本经》作涩倚而热），烦闷，口干唇燥咽干，取脉部，用第一号针配合五十九刺法。肤胀口干寒热（《本经》作寒汗出），向心索取脉部之气，若不得，则向水（肾）索取。水者，对应肾脏。
又说：热病，头痛颞颥部疼痛，目系脉络痛，容易鼻出血，这是厥热病。用第三号针刺，视其有余或不足，兼治寒热痔疮。
又说：热病，体内病重，肠中热，用第四号针刺其部位，以及下肢各指间。向胃索取气机，络脉得气。
又说：热病，脐旁急痛，胸胁支撑胀满，取涌泉穴和太阴、阳明经（经文作阴陵泉）。用第四号针刺咽里。
又说：热病汗将出之时（经文作及），脉象顺可发汗的，取鱼际、太渊、大都、太白穴。泻之则热退，补之则汗出。汗出过多的，取内踝上横纹（一作脉）处以止汗。
又说：热病七八天，脉口动喘而短促的，兼而刺之。汗将自出，浅刺手大指间。
《素问》说：热病，先胸胁痛，手足躁扰，刺足少阴肾经，补足太阴脾经。病重的用五十九刺法。王冰注说：足少阳胆经丘墟穴取之。
又说：热病，开始手臂痛的，刺手阳明大肠经、手太阳小肠经，汗出则止。王冰注说：臂痛，列缺穴主治。取汗，商丘穴主治。
又说：热病，开始头首部的，刺项部太阳经，汗出则止。王冰注说：足太阳膀胱经，天柱穴主治。
又说：热病，先身体沉重骨痛，耳聋喜闭目，刺足少阳胆经。病重的，用五十九刺法。
Zhang Zhongjing said: In Taiyang disease (a syndrome caused by pathogenic factors invading the Taiyang channel), headache that resolves spontaneously on the seventh day occurs because the pathogenic qi in that channel has exhausted itself. (The character "Jing" 竟 is written as "Jin" 尽 in Zhang Zhongjing's original text.) If the pathogen intends to transmit to another channel again, one should needle the foot-Yangming stomach channel to prevent transmission, thereby achieving cure. (Pang's commentary states: tonify the Zusanli acupoint.)
It is also stated: In Taiyang disease, if after the initial administration of Guizhi Tang (Cinnamon Twig Decoction) the patient instead experiences vexation and unresolved symptoms, one should first needle Fengchi (GB20) and Fengfu (GV16) acupoints, then administer Guizhi Tang (Cinnamon Twig Decoction) for recovery.
It is also stated: In Shanghan (Cold Damage) disease, abdominal fullness accompanied by delirium, with a floating and tight pulse at the Cun Kou position, indicates Liver Wood overacting on Spleen Earth, named "Zong" (Vertical Transmission). One should needle Qimen (LR14).
It is also stated: In Shanghan (Cold Damage) disease, fever, aversion to cold with shivering, extreme thirst desiring water or fluids, and inevitable abdominal fullness. If spontaneous sweating occurs and urination is free, the disease will resolve. This is Liver Wood overacting on Lung Metal, named "Heng" (Horizontal Transmission). One should needle Qimen (LR14).
It is also stated: In Yangming disease, hematochezia (bleeding from the rectum) accompanied by delirium indicates Heat entering the Blood Chamber (the uterus or organs storing blood). If only the head sweats, one should needle Qimen (LR14), draining excess according to the pattern, and recovery follows when generalized sweating occurs.
It is also stated: In women suffering from Wind Strike, with fever and aversion to cold, whose menstruation has just begun, and after seven or eight days the heat subsides, pulse becomes slow, body temperature normalizes, yet there is fullness below the chest and hypochondrium resembling Jie Xiong (Chest Binding) syndrome, along with delirium, this is Heat entering the Blood Chamber. One should needle Qimen (LR14), draining excess according to the pattern. Wang Shuhe stated: The Ping Bing chapter records that for Heat entering the Blood Chamber, one should not damage Stomach Qi or the Upper and Middle Jiao. Guo Yong commented: This contradicts acupuncture therapy; does it refer to herbs rather than needles?
It is also stated: When Taiyang and Shaoyang diseases occur simultaneously, presenting with headache, stiff neck and nape with vertigo, occasional sensation of Chest Binding, and epigastric stiffness and fullness, one should needle the first interspace of Dazhui (GV14), Feishu (BL13), and Ganshu (BL18). Sweating must be strictly avoided; inducing sweating leads to delirium and a wiry pulse. If this persists beyond five days, one should needle Qimen (LR14).
It is also stated: In Shaoyin disease, diarrhea with pus and blood in the stool can be treated with acupuncture.
It is also stated: In pregnant women suffering from Shanghan (Cold Damage), presenting with abdominal fullness and inability to urinate, heaviness from the waist downward resembling fluid retention. At seven months of pregnancy, when the Taiyin Spleen channel should nourish but fails to do so, resulting in Excess Heart Qi, one should needle and drain Laogong (PC8) and Guanyuan (CV4). Recovery occurs when urination becomes free.
It is also stated: For Shanghan (Cold Damage) with Hou Bi (sore throat and obstruction), needle the Hand-Shaoyin Heart channel at the wrist, specifically the artery behind the little finger. Insert three fen and apply tonification. The Su Wen states: There is a disease characterized by fever, sweating, and vexation unrelieved by sweating. What is this disease? Qibo answered: Fever with sweating indicates Wind; sweating with unrelieved vexation indicates Jue Ni (Rebellious Cold/Heat). The disease is named Feng Jue (Wind Jue). Ju Yang (Taiyang) governs the body's Qi and thus receives pathogens first. Shaoyin Kidney is exterior-interior related to Taiyang; receiving heat causes upward following, leading to Jue. Both exterior and interior channels should be needled, and herbal decoctions administered. Guo Yong commented: This is Feng Jue transformed from Shanghan due to abnormal pathogens. It is suitable to needle Taixi (KI3) and Kunlun (BL60), and administer Fuling Guizhi Gancao Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction).
The Ling Shu states: On the third day of Re Yi (Hot Disease), if the Ren Ying pulse is agitated while the Qi Kou pulse is calm, select points from the Yang channels using the Fifty-Nine Needling method to drain heat, induce sweating, and fill Yin to supplement deficiency. The Su Wen states: For severe cases, use the Fifty-Nine Needling method. The Ling Shu explains: The Fifty-Nine Needling points include three on each side of the hands' outer and inner aspects (twelve total), one between each of the five fingers (eight total), and similarly on the feet (eight total). One cun inside the hairline, three points on each side (six total); three cun inside the hairline, five points on each side (ten total); one point each before and behind the ears, below the mouth, and in the nape (six total); one point on the vertex, Xinhui (GV22), hairline margin, Lianquan (CV23), Fengchi (GB20), and Tianzhu (BL10) two points each. These sum to fifty-nine points.
Guo Yong commented: The Fifty-Nine Needling method originates from these two classics and appears in the works of Zhang Zhongjing and Wang Shuhe, yet few are known to utilize it effectively. Ancients preserved it without daring to discard ancient methods. Later, the eleven syndromes in the Ling Shu were often difficult to interpret, but the method could not be discarded.
The Ling Shu states: For Re Yi (Hot Disease) starting with skin pain, nasal congestion, and facial flushing, treat the Skin layer using the First Needle combined with the Fifty-Nine Needling method. Severe nasal obstruction requires seeking Qi in the Lung (Skin layer); if unsuccessful, seek Fire (Heart). Fire corresponds to the Heart.
It is also stated: For Re Yi (Hot Disease) with dry throat, polydipsia, irritability, and restlessness in bed, treat the Muscle layer using the Sixth Needle combined with the Fifty-Nine Needling method. Cyan eyes require seeking Qi in the Spleen (Muscle layer); if unsuccessful, seek Wood (Liver). Wood corresponds to the Liver.
It is also stated: For Re Yi (Hot Disease) with cyan complexion, headache, and restless extremities, treat the Sinew layer using the Fourth Needle at Si Ni (Bilateral Hegu LI4 or similar distal points depending on interpretation, here likely referring to specific sinew points). Tendon spasms and visual impairment require seeking Qi in the Liver (Sinew layer); if unsuccessful, seek Metal (Lung). Metal corresponds to the Lung.
It is also stated: For Re Yi (Hot Disease) with frequent fright, convulsions, and mania, treat the Vessel/Blood layer using the Fourth Needle to urgently drain excess. Epilepsy with hair loss requires seeking Blood/Qi in the Heart; if unsuccessful, seek Water (Kidney). Water corresponds to the Kidney.
It is also stated: For Re Yi (Hot Disease) with heavy body, bone pain, deafness, and desire to close eyes, treat the Bone layer using the Fourth Needle combined with the Fifty-Nine Needling method. Bone disease involving teeth grinding and cyan ears requires seeking Qi in the Kidney (Bone layer); if unsuccessful, seek Earth (Spleen). Earth corresponds to the Spleen.
It is also stated: For Re Yi (Hot Disease) starting with lateral body stiffness, vexation, dry lips and throat, treat the Vessel layer using the First Needle combined with the Fifty-Nine Needling method. Skin distension, dry mouth, and alternating chills and fever require seeking Qi in the Heart (Vessel layer); if unsuccessful, seek Water (Kidney). Water corresponds to the Kidney.
It is also stated: For Re Yi (Hot Disease) with headache, temporal pain, eye vessel pain, and frequent epistaxis, this is Jue Re Yi (Jue Hot Disease). Use the Third Needle, assessing excess or deficiency, treating chills, heat, and hemorrhoids.
It is also stated: For Re Yi (Hot Disease) with severe internal pathology and intestinal heat, use the Fourth Needle at specific locations and between toes. Seek Qi in the Stomach network upon obtaining De Qi.
It is also stated: For Re Yi (Hot Disease) with urgent pain beside the umbilicus and chest/hypochondriac fullness, select Yongquan (KI1) and the Taiyin and Yangming channels (text mentions Yinlingquan SP9). Use the Fourth Needle at the throat interior.
It is also stated: For Re Yi (Hot Disease) where sweat is about to emerge, and the pulse indicates sweating is appropriate, select Yuji (LU10), Taiyuan (LU9), Dadu (SP2), and Taibai (SP3). Draining reduces heat; tonifying induces sweating. For excessive sweating, select the transverse crease above the medial malleolus to stop it.
It is also stated: For Re Yi (Hot Disease) on the seventh or eighth day, with pulsating, panting, and short pulse, combine needling. Sweat will emerge spontaneously; lightly needle the space between the thumb and index finger.
The Su Wen states: For Re Yi (Hot Disease) starting with chest/hypochondriac pain and restless extremities, needle Foot-Shaoyin Kidney and tonify Foot-Taiyin Spleen. For severe cases, use the Fifty-Nine Needling method. Wang Bing noted: Select Qiuxu (GB40) of Foot-Shaoyang Gallbladder.
It is also stated: For Re Yi (Hot Disease) starting with arm pain, needle Hand-Yangming Large Intestine and Hand-Taiyang Small Intestine until sweating stops. Wang Bing noted: Lieque (LU7) treats arm pain; Shangqiu (SP5) induces sweating.
It is also stated: For Re Yi (Hot Disease) starting in the head, needle the Neck Taiyang channel until sweating stops. Wang Bing noted: Tianzhu (BL10) of Foot-Taiyang Bladder treats this.
It is also stated: For Re Yi (Hot Disease) starting with heavy body, bone pain, deafness, and desire to close eyes, needle Foot-Shaoyang Gallbladder. For severe cases, use the Fifty-Nine Needling method.
It is also stated: For Re Yi (Hot Disease) starting with dizziness, vertigo, fever, and chest/hypochondriac fullness, needle Foot-Shaoyin Kidney and Foot-Shaoyang Gallbladder.
It is also stated: For Re Yi (Hot Disease) starting in the lower legs, needle Foot-Yangming Stomach until sweating stops. This excerpt comes from the Jia Yi Jing.