厥头痛。面若肿。起而烦心。取之足阳明太阴。厥头痛头脉痛。心悲。善泣。视头动脉及盛者。刺尽去血。后调足
厥阴。厥头痛。贞贞头重而痛。泻头上五行。行五。先取手少阴。后取足少阴。厥头痛。意善忘。按之不得。取头面左
右动脉。后取足太阴。厥头痛。项先痛。腰脊为应。先取天柱。后取足太阳。厥头痛。头痛甚。耳前后脉涌。有热。泻
出其血。后取足少阳。真头痛。头痛甚。脑尽痛。手足寒至节。死不治。头痛不可取于 者。有所击堕。恶血在于内。
若肉伤。痛未已。可则刺。不可远取也。头痛不可刺者。大痹为恶。日作者。可令少愈。不可已。头半寒痛。先取手少
阳阳明。后取足少阳阳明。厥心痛。与背相控。善螈。如从后触其心。伛偻者。肾心痛也。先取京骨昆仑。发针。不已。
取然谷。厥心痛。腹胀。胸满。心尤痛甚。胃心痛也。取之大都太白。厥心痛。痛如以锥针刺其心。心痛甚者。脾心痛
也。取之然谷太溪。厥心痛色苍苍如死状。终日不得太息。肝心痛也。取之行间太冲。厥心痛。卧若徒居。心痛间。动
作痛益甚。（言但可卧或无事自坐也若痛时动作其痛益甚矣）色不变。肺心痛也。取之鱼际太渊。真心痛。手足清至节。
心痛甚。旦发夕死。夕发旦死。心痛不可刺者。中有盛聚。不可取于 。肠中有虫瘕及蛟 。皆不可取以小针。心肠痛
。作痛。（当是心腹懊 作痛）肿聚往来。上下行。痛有休止。腹热。喜渴。涎出者。是蛟 也。以手聚按而坚持之。
无令得移。以大针刺之。久持之。虫不动。乃出针也。 腹 痛。形中上者。（谓满腹 痛必正刺其肿聚往来之形上也）
耳聋无闻。取耳中。耳鸣。取耳前动脉。耳痛不可刺者。耳中有脓。若有干耵聍。耳无闻也。耳聋。取手小指次指爪甲
上与肉交者。先取手。后取足。耳鸣。取手中指爪甲上。左取右。右取左。先取手。后取足。足髀不可举。侧而取之。
在枢合中。以员利针。大针不可刺。病注下血。取曲泉。风痹淫泺。病不可已者。足如履冰。时如入涿中。股胫淫泺。
烦心。头痛。时呕。时 眩。已汗出。久则目眩。悲以喜恐。短气。不出三年。死也。（淫泺洗洗然 疼而无力也）
以头痛心痛为主。耳痛各病附之气焰。不及前篇。而亦有风樯阵马之势。叙事文能见气势。即马班亦难之。
厥头痛。面部好像浮肿，起身后感到心烦意乱。治疗应取足阳明经和足太阴经的穴位。
厥头痛。头部血脉疼痛，心中悲伤，容易哭泣。观察头部跳动的动脉，选择充盈盛实的部位，针刺使其出血排尽，之后再调理足厥阴经。
厥头痛。头部持续沉重且疼痛。泻头上五行（指督脉及两侧膀胱经），每行取五个穴位。先取手少阴经穴，后取足少阴经穴。
厥头痛。意念健忘，按压头部却找不到痛点。取头面左右两侧的动脉，之后再取足太阴经穴。
厥头痛。颈部先痛，腰部脊柱随之感应疼痛。先取天柱穴，后取足太阳经穴。
厥头痛。头痛剧烈，耳前耳后的脉搏跳动汹涌，伴有热象。泻出其血液，之后再取足少阳经穴。
真头痛。头痛非常剧烈，整个脑部都疼痛，手足冰冷直到关节。这是死证，无法治愈。
因被打击或坠落导致体内有恶血滞留，或者肌肉受伤而疼痛未止的头痛，可以针刺局部，不可远端取穴。
属于大痹症引起的严重头痛，每天发作的，可以使症状稍微减轻，但不能痊愈。
头部一侧寒冷疼痛，先取手少阳经和手阳明经穴，后取足少阳经和足阳明经穴。
厥心痛。疼痛牵引背部，容易发生抽搐，感觉像有人从背后触碰心脏，身体弯曲不能伸直，这是肾心痛。先取京骨穴、昆仑穴，出针后若未愈，再取然谷穴。
厥心痛。腹部胀满，胸部憋闷，心脏特别疼痛，这是胃心痛。取大都穴、太白穴。
厥心痛。疼痛像被锥子刺入心脏，心痛剧烈，这是脾心痛。取然谷穴、太溪穴。
厥心痛。面色青苍，像死人的样子，整天不能深呼吸，这是肝心痛。取行间穴、太冲穴。
厥心痛。躺着或静坐时心痛缓解，活动时疼痛加剧（注释：意思是只能卧或无事静坐，如果疼痛时活动，疼痛会更加严重）。面色没有改变，这是肺心痛。取鱼际穴、太渊穴。
真心痛。手足冰冷直到关节，心痛剧烈，早晨发病晚上死亡，晚上发病早晨死亡。
心痛不可针刺的情况是：胸中有积聚邪气，不可在特定部位取穴（原文此处缺字，据上下文推测为局部或特定禁忌位）。
肠中有虫瘕及蛟螐（一种寄生虫病），都不可用小针治疗。心腹疼痛，懊恼作痛（原文可能有脱漏，意为心腹不适作痛），肿块聚散无常，上下移动，疼痛有休止时间，腹部发热，喜欢口渴，流涎水，这是蛟螐病。用手聚集按住并坚持固定肿块，不让它移动，用大针刺入，长时间留针，虫子不动了，才拔出针。
腹部疼痛，形体表现为上部肿胀（注释：谓满腹疼痛，必须正刺其肿聚往来的形状上方）。
耳聋听不见声音，取耳中穴。耳鸣，取耳前动脉。耳痛不可针刺的情况是：耳中有脓，或者有干燥的耵聍，耳朵听不见声音。
耳聋，取手小指次指（无名指）指甲角上与肉交接处（关冲穴）。先取手部穴，后取足部穴。
耳鸣，取手中指指甲角上（中冲穴）。左病取右，右病取左。先取手部穴，后取足部穴。
大腿髀部无法抬起，侧身取穴。穴位在枢合中（环跳穴附近），使用圆利针。大针不可用于此穴。
病势急迫导致下血，取曲泉穴。
风痹淫泺（形容腿脚软弱无力，行走不稳），病情严重的，脚像踩在冰上，有时像陷入泥沼中，大腿和小腿软弱无力，心烦，头痛，时常呕吐，时常眩晕。已经出汗，时间久了会导致目眩，情绪悲喜无常且恐惧，气短，不出三年就会死亡。（注释：淫泺形容洗洗然疼痛而无力的状态）
这段文字以头痛、心痛为主，耳痛等其他病症附在后面。气势不如前一篇，但也有风帆战马般的势头。叙事文章能见到气势，即使是司马迁、班固也难以做到。
Jue Tou Tong (Jue-type Headache). The face appears swollen. Upon rising, the patient feels vexed and irritable. Treatment involves selecting points from the Foot-Yangming and Foot-Taiyin meridians.
Jue Tou Tong (Jue-type Headache). The head vessels are painful. The patient feels sorrowful and prone to weeping. Observe the pulsating arteries in the head; puncture the ones that are full and excessive to drain all the blood. Subsequently, regulate the Foot-Jueyin meridian.
Jue Tou Tong (Jue-type Headhood). The head feels persistently heavy and painful. Discharge the five rows of points on the head (referring to the Du vessel and the two Bladder channels on either side), taking five points per row. First select points from the Hand-Shaoyin meridian, then from the Foot-Shaoyin meridian.
Jue Tou Tong (Jue-type Headache). The patient suffers from forgetfulness. Palpation of the head yields no specific tender point. Select the arterial pulses on the left and right sides of the head and face. Subsequently select points from the Foot-Taiyin meridian.
Jue Tou Tong (Jue-type Headache). Neck pain precedes the headache, with corresponding pain in the lower back and spine. First select Tianzhu (BL11), then select points from the Foot-Taiyang meridian.
Jue Tou Tong (Jue-type Headache). The headache is severe. The pulses around the ears surge and are prominent, accompanied by heat. Drain the blood. Subsequently select points from the Foot-Shaoyang meridian.
Zhen Tou Tong (True Headache). The headache is extremely severe, penetrating the entire brain. The hands and feet are cold up to the joints. This is a fatal condition and cannot be treated.
Headache caused by being struck or fallen, resulting in evil blood retained inside, or muscle injury where pain persists: local acupuncture may be applied; distal point selection is not appropriate.
Headache that cannot be needled refers to severe Bi syndrome (obstruction). If it occurs daily, symptoms may slightly improve, but it cannot be cured.
Cold pain on one side of the head: first select points from the Hand-Shaoyang and Hand-Yangming meridians, then from the Foot-Shaoyang and Foot-Yangming meridians.
Jue Xin Tong (Jue-type Heart Pain). Pain radiates to the back. There is frequent twitching/spasm. It feels as if someone is touching the heart from behind, causing the patient to stoop. This is Kidney Jue Xin Tong. First select Jinggu (BL64) and Kunlun (BL60). After removing the needles, if there is no improvement, select Ran Gu (KI2).
Jue Xin Tong (Jue-type Heart Pain). Abdominal distension, chest fullness, and severe heart pain. This is Stomach Jue Xin Tong. Select Dadu (SP2) and Taibai (SP3).
Jue Xin Tong (Jue-type Heart Pain). Pain feels like being pierced by an awl or needle. Severe heart pain. This is Spleen Jue Xin Tong. Select Ran Gu (KI2) and Taixi (KI3).
Jue Xin Tong (Jue-type Heart Pain). The complexion is pale green, resembling death. The patient cannot take deep breaths throughout the day. This is Liver Jue Xin Tong. Select Xingjian (LR2) and Taichong (LR3).
Jue Xin Tong (Jue-type Heart Pain). Heart pain alleviates when lying down or sitting still. Pain worsens significantly upon movement. The complexion does not change. This is Lung Jue Xin Tong. Select Yuji (LU10) and Taiyuan (LU9).
Zhen Xin Tong (True Heart Pain). Hands and feet are cold up to the joints. Severe heart pain. Onset in the morning leads to death in the evening; onset in the evening leads to death in the morning.
Heart pain that cannot be needled indicates the presence of excessive accumulation inside. [Text missing/unclear]. Intestinal parasites (Chong Jia) and Jiao Wu (a type of parasitic worm) cannot be treated with small needles. Heart and abdominal pain, feeling of stifling discomfort and pain. Swelling and masses move up and down. Pain has intervals. Abdominal heat, thirst, and salivation indicate Jiao Wu disease. Press firmly with the hand to fix the mass in place. Use a large needle. Retain the needle for a long time until the parasite stops moving, then remove it.
Abdominal pain where the swelling is located in the upper part of the abdomen: [Commentary: When the whole abdomen hurts, one must directly needle the area of the moving mass].
Deafness and inability to hear: select Er Zhong (TE21). Tinnitus: select the arterial pulse in front of the ear. Ear pain that cannot be needled indicates pus in the ear or dry cerumen (earwax), resulting in hearing loss. Deafness: select the corner of the nail at the junction of flesh on the fourth finger of the hand (Guanchong, TE1). First select hand points, then foot points. Tinnitus: select the corner of the nail on the middle finger (Zhongchong, PC9). Treat left with right, right with left. First select hand points, then foot points.
Inability to lift the thigh: select the point while the patient is in a lateral position. The point is located in the depression between the greater trochanter and the sacrum (Huantiao, GB30). Use a Yuanli needle (Round-sharp needle). Large needles should not be used here.
Disease manifesting as urgent lower bleeding: select Ququan (LR8).
Wind-Bi and Yinluo (weakness and limpness of legs). Incurable cases: feet feel like walking on ice, sometimes sinking into mud. Thighs and calves feel weak and limp. Vexation, headache, occasional vomiting, occasional dizziness. After sweating, long-term effects include visual vertigo, emotional instability (sorrow, joy, fear), and shortness of breath. Death will occur within three years. [Commentary: Yinluo describes a sensation of shivering pain and weakness].
This text focuses mainly on headache and heart pain, with ear pain and other conditions appended. Its momentum is less than the previous chapter, yet it possesses the force of wind-driven sails and charging horses. Narrative prose demonstrating such momentum is difficult even for Sima Qian or Ban Gu.