其为肿者，复而锐之。（刺而肿不退者复刺之，当用锐针，即 针也。）本支者，上曲牙，循耳前，属目
外，上颔结于角，其痛当所过者支转筋。（本支者，即其直支也。角，耳上角也。凡当其所过之处，皆当
转筋而痛。）治在燔针名曰仲夏痹也。（手太阳之筋应五月之气也。）手少阳之筋病，当所过者，
即支转筋舌卷。（手少阳之筋，起于小指次指之端，结于腕，上循臂，结于肘，上绕 外廉，上肩走颈；其支
者，当曲颊入系舌本，故当所过者为转筋而痛。）治在燔针，名曰季夏痹也。（手少阳之经，应六月之气
也。）手阳明之筋病，当所过者支痛及转筋，肩不举，颈不可左右视。（手阳明之筋，起于大指次指之端，
结于腕，上结于肘外，上 结于 ；其支者，达肩胛挟脊；其直者，从肩 上颈；又支者，上颊结于
；又直者，上左角，络头，下右颔，故当所过之处，为支痛转筋如此。）治在燔针，名曰孟夏痹也。（手阳明
为两阳合明之经，故应四月之气。）手太阴之筋病，当所过者支转筋，痛甚，成息贲、胁急、吐血。（手太阴之
筋，起于大指，循指上行，结于鱼后，上循臂，入肘中，上 内廉，入腋下，出缺盆，结肩前 ，上结缺盆，
下结胸里，散贯贲，合贲下抵季胁，故其所过之处，当转筋痛甚而病如此。）治在燔针，名曰仲冬痹也。（
手太阴之经应十一月之气也。）手心主之筋病，当所过者支转筋，前及胸痛息贲。（手厥阴之筋，起于中指，
结于肘内廉，上臂阴，结腋下，下散，前后挟胁。其支者，入腋散胸中，结于贲，故当所过者为病如此。）
治在燔针，名曰孟冬痹也。（手厥阴以两阴交尽之经，故应十月之气。）手少阴之筋病，内急，心承伏梁，
下为肘网，其病所过者支转筋，筋痛。（承，承于下也。伏梁。坚伏之积也。网，如网罗之牵急也。手少阴
之筋，起于小指内侧，结于锐骨，上结肘内廉，上入腋，挟乳里，结于胸中，下系于脐，故在内侧为
急，为伏梁，在外则为肘网，及当其所过之处为转筋、筋痛等病。）治在燔针，其成伏梁唾血脓者，死不治。（
脐上脐下，皆为伏梁。若伏梁已成而唾见血脓者，病剧脏伤，故死不治。）名曰季冬痹
也。（手少阴之筋，应十二月之气也。）治在燔针者，燔针劫刺，以知为数，以痛为输。（燔针，烧针也。
劫刺，因火气而劫散寒邪也。燔针， 针。义以知为数，知其气至为度也。以痛为输，即其痛处
是穴也。）经筋之病，寒则反折筋急，热则筋弛纵不收，阴 不用；阳急则反折，阴急则俯不伸。（此以
下皆结上文经筋为病而总言之也。阳急、阴急，指足太阳、少阴为言，皆为背病；阳急在外则反
张而折，阴急在内则俯不能伸也。） 刺者，刺寒急也。热则筋纵不收，无用燔针。（筋痹之病，属寒者多，
故以上皆言治在燔针劫刺；然有因于热者，治当远热，无用燔针，验在筋之急与纵耳。）足之阳明，手之太阳，
筋急则口目为 ， 急不能卒视，治皆如右方也。（此申言口眼歪僻之证，必系足阳明、手太阳之筋病也。）
那些出现肿胀的，再次施刺时要用锋利的针。（如果针刺后肿胀不退，就再次针刺，应当使用锋利的针，即锋针。）本支者，向上经过曲牙穴，沿着耳前，连接目外眦，上行至额角并结聚于此，其疼痛部位若发生分支，则会出现转筋（肌肉痉挛）。（所谓本支，就是主干的分支。角，指耳上角。凡是经过的地方，都会出现转筋和疼痛。）治疗采用燔针（烧红的针），称为仲夏痹。（手太阳经筋对应五月的气候特征。）手少阳经筋发病，在其经过的部位，会出现分支转筋和舌卷缩。（手少阳经筋，起于无名指末端，结聚于手腕，向上沿手臂，结聚于肘部，向上绕行于臂外侧，上行至肩部走颈部；其分支，在颊骨弯曲处进入，联系舌根，所以经过的部位会出现转筋和疼痛。）治疗采用燔针，称为季夏痹。（手少阳经对应六月的气候特征。）手阳明经筋发病，在其经过的部位会出现分支疼痛及转筋，肩膀不能抬起，脖子不能左右转动。（手阳明经筋，起于食指末端，结聚于手腕，向上结聚于肘部外侧，向上结聚于臑俞穴；其分支，到达肩胛部夹脊而行；其直行者，从肩部上行至颈部；又一支，上行至面颊结聚于颧髎穴；又一直行者，上行至左额角，联络头部，下行至右下颌，所以在经过的地方，会出现分支疼痛和转筋等症状。）治疗采用燔针，称为孟夏痹。（手阳明经是两阳合明的经脉，所以对应四月的气候。）手太阴经筋发病，在其经过的部位会出现分支转筋，疼痛剧烈，形成息贲（一种积聚病证）、胁肋拘急、吐血。（手太阴经筋，起于大拇指，沿手指上行，结聚于鱼际后方，向上沿手臂，进入肘中，向上沿臂内侧，进入腋下，出于缺盆，结聚于肩前髃穴，向上结聚于缺盆，向下结聚于胸里，散布贯穿膈肌，汇合于膈下抵季胁，所以它经过的地方，会出现转筋且疼痛剧烈，病症如此。）治疗采用燔针，称为仲冬痹。（手太阴经对应十一月的气候特征。）手厥阴心包经筋发病，在其经过的部位会出现分支转筋，向前延伸至胸部疼痛和息贲。（手厥阴经筋，起于中指，结聚于肘部内侧，沿臂内侧上行，结聚于腋下，向下散布，前后夹持胁肋。其分支，进入腋下散布于胸中，结聚于膈，所以经过的部位会出现上述病症。）治疗采用燔针，称为孟冬痹。（手厥阴经是两阴交尽的经脉，所以对应十月的气候。）手少阴经筋发病，内侧拘急，心脏下方有伏梁（一种积块病证），下部表现为肘网（如网罗般的牵拉感），其经过的部位出现分支转筋和筋痛。（承，指承受于下方。伏梁，是指坚硬潜伏的积块。网，像网罗一样牵拉紧急。手少阴经筋，起于小指内侧，结聚于锐骨（豌豆骨），向上结聚于肘部内侧，向上进入腋下，夹乳内，结聚于胸中，向下系于脐，所以在内侧表现为拘急、伏梁，在外侧则表现为肘网，以及在经过的部位出现转筋、筋痛等病。）治疗采用燔针，如果形成伏梁并咳唾血脓的，属于死症，无法治愈。（脐上脐下，都称为伏梁。如果伏梁已经形成并且咳唾中出现血和脓，说明病情严重、脏腑受损，所以死亡且无法治愈。）称为季冬痹。（手少阴经筋对应十二月的气候特征。）治疗采用燔针的方法，是燔针劫刺，以见效为度，以痛点为穴位。（燔针，即烧红的针。劫刺，是利用火气来劫散寒邪。燔针，即焠针。意思是知道气至即为限度。以痛为输，即以疼痛处作为穴位。）经筋的病，受寒则身体反折、筋脉拘急，受热则筋脉松弛弛缓不收，阴器功能丧失；阳气拘急则身体反折，阴气拘急则俯身不能伸直。（以下内容是对上文经筋疾病的总结。阳急、阴急，指的是足太阳、足少阴经筋，都属于背部疾病；阳急在外则身体反张而折，阴急在内则俯身不能伸直。）焠刺（烧针），是用来治疗寒性拘急的。热证则筋脉松弛不收，不要用燔针。（筋痹病，属寒的多，所以上面都说治疗用燔针劫刺；然而也有因热引起的，治疗应当远离热法，不要用燔针，验证在于筋脉是拘急还是弛纵。）足阳明经和手太阳经，筋脉拘急会导致口眼歪斜，面部拘急不能突然视物，治疗都按照上述方法处理。（这是进一步说明口眼歪斜的证候，必定是足阳明、手太阳经筋的病变。）
For those presenting with swelling, re-puncture using a sharp needle. (If swelling does not recede after needling, puncture again, using a sharp needle, i.e., the *Linsong* or three-edged needle.) The main branch ascends to *Quya* (ST7), follows the front of the ear, connects to the outer canthus of the eye, ascends to the frontal angle and knots there; pain in areas where branches diverge is accompanied by muscle spasms (tendon contraction). (The "main branch" refers to the primary branch. "Angle" refers to the upper angle of the ear. In all places traversed, tendon contraction and pain occur.) Treatment involves *Fanzhen* (burning needles), termed *Zhongxia Bi* (Midsummer Tendon-Bi). (The Hand-Taiyang tendon system corresponds to the Qi of the fifth month.) Disease of the Hand-Shaoyang tendon system manifests as tendon contraction and tongue rolling in the areas it traverses. (The Hand-Shaoyang tendon system originates at the tip of the fourth finger, knots at the wrist, ascends along the forearm, knots at the elbow, winds around the lateral aspect of the arm, ascends to the shoulder and travels to the neck; its branch enters at the bend of the jaw and ties to the root of the tongue, hence tendon contraction and pain occur in the traversed areas.) Treatment involves *Fanzhen*, termed *Jixia Bi* (Late Summer Tendon-Bi). (The Hand-Shaoyang meridian corresponds to the Qi of the sixth month.) Disease of the Hand-Yangming tendon system manifests as branch pain and tendon contraction in the areas it traverses, inability to raise the shoulder, and inability to turn the head left or right. (The Hand-Yangming tendon system originates at the tip of the second finger, knots at the wrist, ascends and knots at the lateral elbow, ascends and knots at *Naoshu* (SI14); its branch reaches the scapula and runs alongside the spine; its straight course goes from the shoulder up to the neck; another branch ascends to the cheek and knots at *Quanliao* (SI18); another straight course ascends to the left frontal angle, networks the head, and descends to the right mandible, thus causing branch pain and tendon contraction in the traversed areas.) Treatment involves *Fanzhen*, termed *Mengxia Bi* (Early Summer Tendon-Bi). (The Hand-Yangming meridian is the confluence of two Yang meridians, hence it corresponds to the Qi of the fourth month.) Disease of the Hand-Taiyin tendon system manifests as branch tendon contraction in the areas it traverses, severe pain, formation of *Xiben* (a type of accumulation disease affecting the lungs/chest), rib tightness, and hemoptysis. (The Hand-Taiyin tendon system originates at the thumb, ascends along the finger, knots behind the thenar eminence (*Yuji*), ascends along the arm, enters the elbow, ascends along the medial aspect of the arm, enters the axilla, emerges from *Quepen* (LI15), knots at the anterior shoulder (*Jianyu*), ascends to knot at *Quepen*, descends to knot in the chest interior, spreads through the diaphragm, converges below the diaphragm to reach the lateral hypochondrium; thus, in the areas it traverses, severe tendon contraction and pain occur as described.) Treatment involves *Fanzhen*, termed *Zhongdong Bi* (Midwinter Tendon-Bi). (The Hand-Taiyin meridian corresponds to the Qi of the eleventh month.) Disease of the Pericardium (Hand-Jueyin) tendon system manifests as branch tendon contraction in the areas it traverses, extending anteriorly to chest pain and *Xiben*. (The Hand-Jueyin tendon system originates at the middle finger, knots at the medial aspect of the elbow, ascends along the medial arm, knots in the axilla, descends and spreads, flanking the ribs anteriorly and posteriorly. Its branch enters the axilla, spreads in the chest, and knots at the diaphragm, hence disease occurs in the traversed areas as described.) Treatment involves *Fanzhen*, termed *Mengdong Bi* (Early Winter Tendon-Bi). (The Hand-Jueyin meridian is the end of two Yin meridians, hence it corresponds to the Qi of the tenth month.) Disease of the Hand-Shaoyin tendon system manifests as internal tension, *Fuliang* (a hard, latent accumulation) supporting the heart, and lower manifestation as *Zhouwang* (a net-like pulling sensation at the elbow); tendon contraction and tendon pain occur in the areas it traverses. ("Cheng" means supported from below. "Fuliang" refers to a hard, latent accumulation. "Wang" implies pulling tight like a net. The Hand-Shaoyin tendon system originates at the medial side of the little finger, knots at the *Rui Gu* (pisiform bone), ascends and knots at the medial elbow, enters the axilla, flanks the breast internally, knots in the chest, and descends to tie to the umbilicus; thus, on the medial side it presents as tension and Fuliang, externally as Zhouwang, and in traversed areas as tendon contraction and pain.) Treatment involves *Fanzhen*; if *Fuliang* forms accompanied by expectoration of blood and pus, it is incurable and fatal. (Both above and below the umbilicus are called Fuliang. If Fuliang has formed and blood/pus appear in sputum, the disease is severe and organs are damaged, leading to death and being incurable.) This is termed *Jidong Bi* (Late Winter Tendon-Bi). (The Hand-Shaoyin tendon system corresponds to the Qi of the twelfth month.) For treatment involving *Fanzhen*: use burning needle *Jieci* (robbing puncture), take the cessation of symptoms as the endpoint, and take the painful point as the acupoint. (*Fanzhen* is a heated needle. *Jieci* uses the fire energy to rob/scatter cold pathogens. *Fanzhen* is also called *Cuizhen*. The meaning is that knowing the arrival of Qi sets the limit. Taking pain as the Shu point means the painful spot is the acupoint.) Diseases of the tendon systems: Cold causes reverse bending and tendon tension; Heat causes tendon relaxation and flaccidity, with loss of function of the Yin organs/genitals; Yang tension causes reverse bending, Yin tension causes inability to extend while flexing. (The following summarizes the diseases of the tendon systems mentioned above. Yang tension and Yin tension refer to the Foot-Taiyang and Foot-Shaoyin tendons, both relating to back diseases; Yang tension externally causes hyperextension and bending backward, Yin tension internally causes inability to extend while flexing forward.) *Cuici* (burning needle puncture) treats cold-induced tension. In heat cases, tendons are relaxed and flaccid; do not use *Fanzhen*. (Tendon-Bi diseases are mostly due to cold, hence the above mentions treating with *Fanzhen Jieci*; however, some are due to heat, for which treatment should avoid heat methods and not use *Fanzhen*; verification lies in whether the tendons are tense or flaccid.) When the tendons of the Foot-Yangming and Hand-Taiyang are tense, it causes deviation of the mouth and eyes; facial tension prevents sudden vision adjustment. Treatment follows the method stated above. (This further explains the syndrome of facial paralysis/deviation, which must be due to disease of the Foot-Yangming and Hand-Taiyang tendon systems.)