必欲治病莫如用针巧运神机之妙功开圣理之深外取砭针能蠲邪而辅正中含水火善回阳而倒阴
原夫络别支殊经交错综或沟渠溪谷以岐异或山海丘陵而隙共斯流派以难睽在条纲而有统理繁
而纵补泻有何功法捷而明曰迎随而得用
且如行步难移太冲最奇人中除脊膂之强痛神门去心性之呆痴伤风项急始求于风府头晕目眩要
觅于风池耳闭须听会而治也眼痛则合谷以推之胸结身黄泻涌泉而即可脑昏目赤泻攒竹以便宜
若
两肘之拘挛仗曲池而平扫牙齿痛吕细堪治头项强承浆可保太白宣导于气冲阴陵开通于水道腹
膨而胀夺内庭以休迟筋转而疼泻承山而在早
大抵脚腕痛昆仑解围股膝疼阴市能医痫发癫狂兮凭后溪而疗理疟生寒热兮伏间使以扶持期门
罢胸满血膨而可以劳宫退胃翻心痛以何疑
稽夫大敦去七疝之偏坠王公谓此三里去五痨之羸瘦华佗言斯固知腕骨祛黄然谷溪肾行间治膝
肿目疾尺泽去肘疼筋紧目昏不见二间宜取鼻塞无闻迎香可引肩井除两臂之难任攒竹疗头疼之
不忍咳嗽寒痰列缺堪治眵昏冷泪临泣尤准 骨并腿痛以祛残肾俞腰痛而泻泄以见越人治尸厥
于维会随手而苏文伯能泻死胎于阴交应针而殒
圣人于是察麻典痛分实典虚实则自外而入也虚则自内而出之是故济母而禅其不足夺乎而平其
有余观二十七之经络一一明辨据四百四之病信任状件皆除故得天柱都华济斯民于寿域机微已判
彰往古之玄书
抑又闻心胸病求掌后之大陵肩背疼责肘前之三里冷痹贤余取定阳阴之上连脐腹痛泻少阴之水
脊间心后者针中渚而立痊胁下筋边者刺阳陵而即止头强痛拟后溪以安然腰背疼在委中而已矣
夫人用之士于此理苟明者焉收祛邪之功而在乎捻指
想要治病，没有比使用针灸更好的了。巧妙运用神机（指医者意念与经气运行的微妙机制）的奇妙功效，开启圣人之理的深邃内涵。外部取用砭石和针具，能够祛除邪气并辅助正气；内部蕴含水火（指阴阳、寒热等对立统一的生理病理因素），善于回阳救逆并纠正阴阳倒置。
追溯其源，络脉分支各异，经脉交错综合，有的像沟渠溪谷那样分歧差异，有的像山海丘陵那样间隙共存。这些流派虽然难以分离，但在条纲中却有统理，头绪繁杂而纵贯有序。补法和泻法有什么功法呢？快捷而明了的方法就是“迎随”（迎随补泻法）。
就像行走困难难以移动时，太冲穴最为神奇；人中穴能消除脊柱强痛；神门穴可去除心性呆痴；伤风导致项部拘急，始求于风府穴；头晕目眩，要寻觅风池穴；耳闭需听会穴来治疗；眼痛则配合合谷穴来推治；胸结身黄，泻涌泉穴即可见效；脑昏目赤，泻攒竹穴便为便利。
至于两肘拘挛，依靠曲池穴来平复清扫；牙齿疼痛，吕细（太溪穴别名）可以治疗；头项强直，承浆穴可以保全；太白穴宣导气冲穴；阴陵泉开通水道穴；腹部膨隆胀满，夺取内庭穴以停止迟缓；筋转疼痛，早泻承山穴。
大抵脚腕疼痛，昆仑穴解围；股膝疼痛，阴市穴能医治；癫痫发作狂乱，凭借后溪穴来疗治；疟疾产生寒热，伏间使穴来扶持；期门穴罢除胸满，血膨（气血壅滞肿胀）可以用劳宫穴退去胃翻心痛，这有什么可疑的呢？
考察大敦穴去除七疝之偏坠，王公说此穴；三里穴去除五痨之羸瘦，华佗言说此穴。固知腕骨穴祛黄，然谷穴治肾，行间穴治膝肿，目疾取尺泽穴去肘疼，筋紧目昏不见二间穴宜取，鼻塞无闻迎香穴可引，肩井穴除两臂之难任，攒竹穴疗头疼之不忍，咳嗽寒痰列缺穴堪治，眵昏冷泪临泣穴尤准。骨并腿痛以祛残，肾俞穴治腰痛而泻泄以见。越人治尸厥于维会穴，随手而苏；文伯能泻死胎于阴交穴，应针而殒。
圣人于是观察麻木与疼痛，区分实证与虚证。实证是自外而入，虚证是自内而出。因此，补母穴以弥补其不足，泻子穴以平复其有余。观察二十七条经络，一一明辨；依据四百四病，信任状件皆除。故能得天柱都华（指高超医术或特定穴位组合，此处借指医术高明）救济百姓于寿域，机微已判，彰显往古之玄书。
又听说心胸病求掌后之大陵穴，肩背疼责肘前之三里穴（此处指手三里或足三里，结合语境多指局部对应或特定经验穴，原文未特指手足，但通常肩背痛取手三里或足三里均有记载，此处依原文直译），冷痹贤余取定阳阴之上（此处文字可能有误或为特定歌诀，暂按字面意译：寒冷痹症在阳气不足之处取穴），连脐腹痛泻少阴之水（指少阴经相关穴位如涌泉等）；脊间心后者，针中渚穴而立痊；胁下筋边者，刺阳陵泉而即止；头强痛拟后溪穴以安然；腰背疼在委中穴而已矣。
If one wishes to treat diseases, nothing is better than using acupuncture. Skillfully employing the wonderful efficacy of *Shenji* (the subtle mechanism of the mind and Qi circulation), one can open up the profound principles of the sages. Externally utilizing Bian stones and needles can eliminate pathogenic factors and assist healthy Qi; internally containing Water and Fire (referring to Yin-Yang and cold-heat factors), one can effectively restore Yang and reverse Yin-Yang inversion.
Tracing back to the origin, collaterals branch differently, and meridians interweave. Some are like ditches and valleys, diverging and differing; others are like mountains and hills, existing with gaps. Although these schools of thought are difficult to separate, they have a unified logic within their frameworks, managing complexity with order. What methods exist for tonification and sedation? The swift and clear method is "Ying-Sui" (Following and Opposing manipulation).
For instance, when walking is difficult and movement is hindered, Taichong (LR3) is most miraculous; Renzhong (GV26) eliminates stiffness and pain in the spine; Shenmen (HT7) removes mental dullness; for wind-cold causing neck stiffness, one first seeks Fengfu (GV16); for dizziness and vertigo, one looks for Fengchi (GB20); for ear deafness, Tinghui (GB2) treats it; for eye pain, Hegu (LI4) is combined to push away the pain; for chest constraint and yellow complexion, draining Yongquan (KI1) yields immediate results; for brain dizziness and red eyes, draining Zanzhu (BL2) is convenient.
As for spasms in both elbows, Quchi (LI11) relies on to smooth them out; for toothache, Lüxi (Taixi, KI3) is capable of treating it; for head and neck stiffness, Chengjiang (CV24) can preserve relief; Taibai (SP3) guides Qichong (ST30); Yinlingquan (SP9) opens Shuidao (ST28); for abdominal distension and bloating, Neiting (ST44) is seized to halt delay; for tendon turning and pain, Chengshan (BL57) is drained early.
Generally speaking, for ankle pain, Kunlun (BL60) lifts the siege; for thigh and knee pain, Yinshi (ST32) can cure it; for epilepsy and mania, Houxi (SI3) relies on to heal; for malaria generating chills and fever, Jianshi (PC5) lies in support; Qimen (LR14) removes chest fullness, and Laogong (PC8) can retreat blood stasis and stomach reversal/heart pain, leaving no room for doubt.
Examining Dadun (LR1) removes unilateral hernia, as stated by Wang Gong; Zusanli (ST36) removes emaciation from the five consumptions, as spoken by Hua Tuo. It is known that Wan Gu (SI4) dispels jaundice, Ran Gu (KI2) treats kidney issues, Xingjian (LR2) treats knee swelling, Chi Ze (LU5) removes elbow pain, Er Jian (LI2) is suitable for blurred vision and tight tendons, Ying Xiang (LI20) can guide nasal congestion, Jian Jing (GB21) removes the burden of both arms, Zanzhu (BL24) treats unbearable headache, Lie Que (LU7) is capable of treating cough with cold phlegm, Lin Qi (GB15) is particularly accurate for sticky discharge and cold tears. For bone and leg pain to remove remnants, Shenshu (BL23) treats lower back pain and diarrhea. Yuè Rén treated Corpse-like Coma at Weihui (likely referring to a specific point or technique, possibly related to GV or local points, text says "Wei Hui"), reviving instantly; Wen Bo could expel dead fetus at Yinjiao (CV7), collapsing upon needling.
The Sages thus observed numbness and pain, distinguishing excess and deficiency. Excess enters from outside; deficiency emerges from inside. Therefore, tonifying the Mother [point] compensates for insufficiency, while sedating the Child [point] balances excess. Observing the twenty-seven meridians, distinguishing each clearly; relying on the four hundred and four diseases, trusting that all conditions will be removed. Thus, achieving high medical skill to save people into the realm of longevity, judging subtle mechanisms, and illuminating the mysterious books of antiquity.
It is also heard that for heart and chest diseases, seek Dalin (PC7) behind the palm; for shoulder and back pain, blame Sanli (likely LI10 or ST36 depending on context, here translated as Sanli) before the elbow; for cold bi syndrome, take points above Yin and Yang where there is deficiency; for umbilical and abdominal pain, drain the Water element of Shaoyin (e.g., Yongquan KI1); for pain between the spine and heart, needling Zhongzhu (TE3) leads to immediate recovery; for tendons under the ribs, puncturing Yanglingquan (GB34) stops it immediately; for stiff head and pain, Houxi (SI3) brings peace; for lower back pain, it lies in Weizhong (BL40).
When humans apply this principle, if one understands it, one can achieve the merit of eliminating pathogens, which lies in the twisting of the fingers (manipulation techniques).