条文：
通里腕侧后，去腕一寸中，欲言声不出，懊□及怔仲，实则四肢重，
头腮面颊红，声平仍数欠，喉痹气难通，虚则不能食，暴瘖面无容，
毫针微微刺，方信有神功。
注：[1]通里穴，其穴在腕侧后一寸陷中。
[2]主治声□，心烦极甚，怔仲不宁，四肢重痛，头□面颊红肿，倦言，
数欠，喉咽疼痛，气息不通，虚损不思食，暴瘖面无润泽。
[3]针三分，灸三壮（图一二四）。
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条文：
列缺腕侧上，次指手交叉，善疗偏头患，遍身风痹麻，痰涎频上壅，
口噤不开牙，若能明补泻，应手即能瘥。
注：[1]列缺穴，其穴在腕后侧上一寸五分，两手交叉，当食指末筋骨罅中。
[2]主治偏风头痛，偏身风痹麻木，痰壅气堵，口噤不开等证。
[3]针二分，留三呼，灸三壮（图一二五）。
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条文：
四季针灸坐向理，宜从四季顺自然，东南西北四维向，以迎生气本乎天。
注：[1]针灸坐向，避忌之理，『医学入门』：「春坐东向西，夏坐南向北，
秋坐西向东，冬坐北中向南」。
[2]皆背四季生气之向，不可为法。
[3]宜从春向东，夏向南，秋向西，冬向北，四土旺月向四维，
以迎生气，本乎天理，顺其自然为是也。
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条文：
通里穴位于手腕内侧后方，距离腕横纹一寸处。若出现想说话却发不出声音的症状，伴有心中烦闷懊恼及心悸怔忡；实证表现为四肢沉重，头部、腮部、面部和脸颊发红；若患者平素呼吸平稳但频繁打哈欠，且患有喉痹导致气息不通；虚证则表现为不能进食，突然失音且面色无光泽。治疗时毫针轻微进针，方能相信其具有神奇的疗效。
注：[1] 通里穴，该穴位位于手腕内侧后方一寸的凹陷处。
[2] 主治声音嘶哑或失音，心烦至极，心悸不安，四肢沉重疼痛，头部及面颊红肿，倦怠少言，频繁打哈欠，咽喉疼痛，气息不通，虚损导致的食欲不振，突发失音且面色缺乏润泽。
[3] 针刺深度三分，艾灸三壮（见图一二四）。
条文：
列缺穴位于手腕侧上方，取穴时需两手交叉，食指落在另一手桡骨茎突上方。此穴善于治疗偏头痛，以及全身风痹引起的麻木，痰涎频繁上涌壅塞，牙关紧闭无法张口。若能明辨补泻手法，疗效立竿见影，疾病随即痊愈。
注：[1] 列缺穴，该穴位位于手腕后侧上方一寸五分处，两手交叉时，位于食指末端筋骨之间的缝隙中。
[2] 主治偏风引起的头痛，半身风痹麻木，痰气壅堵，牙关紧闭等证候。
[3] 针刺深度二分，留针三次呼吸的时间，艾灸三壮（见图一二五）。
条文：
四季针灸时的坐向原理，应当顺应四季的自然规律。东南西北四个方位及四维方向（东北、东南、西南、西北），是为了迎接生气，这根本在于天理。
注：[1] 关于针灸时的坐向避忌原理，《医学入门》记载：“春季面向西而坐（背向东），夏季面向北而坐（背向南），秋季面向东而坐（背向西），冬季面向南而坐（背向北）”。
[2] 上述说法皆违背了四季生气的朝向，不可效法。
[3] 应当顺应春季向东，夏季向南，秋季向西，冬季向北，在四季末月（土旺之月）面向四维方向，以迎接生气，这符合天理，顺其自然才是正确的做法。
Translation:
Article:
The Tongli (通里) acupoint is located posterior to the medial side of the wrist, one cun distal to the wrist crease. Indications include aphonia (loss of voice) where the patient wishes to speak but cannot, accompanied by restlessness and palpitations (Tongli). In excess patterns, there is heaviness in the four limbs, and redness of the head, cheeks, and face. If the patient's breathing is normally calm but they frequently yawn, and suffer from throat obstruction (Hou Bi) with difficulty in breath passage; in deficiency patterns, there is an inability to eat, sudden loss of voice (Bao Yin), and a lackluster complexion. The needle should be inserted slightly with a filiform needle, and one shall believe in its miraculous efficacy.
Note: [1] Tongli (通里) acupoint: The point is located in the depression one cun posterior to the medial side of the wrist.
[2] Indications: Aphonia or hoarseness, extreme mental restlessness, unsettled palpitations, heaviness and pain in the four limbs, redness and swelling of the head and cheeks, reluctance to speak, frequent yawning, sore throat, obstructed breath, loss of appetite due to deficiency, sudden loss of voice with a dry and lusterless complexion.
[3] Needle depth: 0.3 cun; Moxibustion: 3 cones (Figure 124).
Article:
The Lieque (列缺) acupoint is located on the lateral aspect of the wrist, proximal to it. To locate it, cross the hands, and the point lies in the depression between the tendons at the tip of the index finger when placed over the radial styloid process. It is effective in treating hemi-cephalgia (one-sided headache) and generalized numbness due to wind-bi syndrome. It also treats frequent accumulation of phlegm and saliva rising upward, and trismus (lockjaw) where the teeth are clenched shut. If one understands the techniques of tonification and sedation, the cure will follow immediately upon needling.
Note: [1] Lieque (列缺) acupoint: The point is located 1.5 cun proximal to the transverse crease of the wrist on the radial side. When crossing both hands, it is found in the gap between the bone and tendon at the end of the index finger.
[2] Indications: Hemiplegic headache caused by wind, numbness and bi-syndrome affecting half of the body, obstruction of qi and phlegm, trismus, etc.
[3] Needle depth: 0.2 cun; Retain needle for three respiratory cycles; Moxibustion: 3 cones (Figure 125).
Article:
The principle regarding sitting directions for acupuncture and moxibustion in the four seasons should follow the natural order of the seasons. The directions of East, South, West, North, and the four diagonal corners (Northeast, Southeast, Southwest, Northwest) are used to welcome the vital qi (Sheng Qi), which is rooted in the laws of Heaven.
Note: [1] Regarding the principles of avoiding unfavorable directions for acupuncture and moxibustion, *Yixue Rumen* (Introduction to Medicine) states: "In spring, sit facing West (back to East); in summer, sit facing North (back to South); in autumn, sit facing East (back to West); in winter, sit facing South (back to North)."
[2] These statements all contradict the direction of the vital qi of the four seasons and should not be followed as a standard.
[3] One should instead face East in spring, South in summer, West in autumn, and North in winter. During the four months when Earth is prosperous (the last month of each season), one should face the four diagonal corners to welcome the vital qi. This conforms to the heavenly principle and follows nature, which is correct.