热病先肤痛，窒鼻充面，取之皮，以第一针，苛轸鼻，索皮于肺不得，索之火，火者，心也。
此热邪在肺经，故先皮肤痛，而鼻窒充面，邪浮于上也，故从皮毛以治之。针有圆扁大小九等，浅刺皮毛，
当用第一针也。苛者，痛也，轸同疹，鼻上热结成疹也。若治皮而肺邪不得去，当泻心火以救肺金也。凡言索
者，用针引气，气至为索得也。
热病先身涩，倚而热，烦 ，唇口嗌干，取之脉，以第一针，五十九，肤胀口干，寒汗出，索脉于心不
得，索之水，水者，肾也。
此热邪在心经也。先身涩，倚而热者，郁热耗津液而皮干涩，身如倚着热物之状，故又烦 而唇口嗌干也。
心主血脉，故当治脉，若治脉不得邪去，当助肾水以济之，所谓寒之不寒，是
无水也，壮水以制阳光，其热自退。既治之而肤胀口干，身寒汗出者，卫阳已虚，故身寒肤胀而汗出，汗多伤
津，故口干，当用清补调之也。
热病嗌干多饮，善惊，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
者，肝也。
此热邪伤脾，津液不能上输而嗌干多饮；脾病则肝木乘之，故善惊而目 青；卧不能起者，脾主肉，脾伤
则身重也。治脾不得邪去，必当泻肝以苏脾困也。
热病面青脑痛，手足躁，取之筋间，以第四针，于四逆，筋 目浸，索筋于肝不得，索之金，金者，肺也。
此热邪伤肝，故面色青；肝脉上巅入脑，故脑痛；邪入厥阴，手足躁扰，甚则四逆，筋伤而 ；肝开窍于
目，肝液泄而目中含泪如水浸。从筋治肝不得愈，则治其肺，用金以制木也。
热病初期先出现皮肤疼痛，鼻塞且面部浮肿，治疗应取皮部，使用第一类针具（毛针）。若鼻上因热邪凝结成疹，在肺经皮部取穴未能祛邪，则需向心经求治，因为心属火。
这是热邪侵犯肺经所致，所以先出现皮肤疼痛、鼻塞和面部浮肿，邪气浮越于上部，因此从皮毛入手治疗。九针中有圆扁大小之分，浅刺皮毛应当使用第一类针具（毛针）。“苛”意为痛，“轸”通“疹”，指鼻上因热邪凝结而成的皮疹。如果在皮部治疗而肺经邪气未除，应当泻心火以救助肺金。凡是说“索”的，是指用针引导经气，经气到达即为“索得”。
热病初期先感觉身体涩滞，身体倚靠时发热，心烦，嘴唇和咽喉干燥，治疗应取脉部，使用第一类针具，配合五十九个穴位（头项部清热诸穴）。若出现皮肤肿胀、口干、冷汗出，在心经脉部取穴未能祛邪，则需向肾经求治，因为肾属水。
这是热邪侵犯心经所致。先感觉身体涩滞，倚靠时发热，是因为郁热耗伤津液导致皮肤干枯涩滞，身体像倚靠在热物上的感觉，所以又出现心烦、嘴唇和咽喉干燥。心主血脉，所以应当治疗脉部；如果治疗脉部而邪气未去，应当滋补肾水来济助心火，这就是所谓“寒之不寒，是无水也”，通过壮水之主以制约阳亢，热势自然消退。治疗后若出现皮肤肿胀、口干、身体发冷出汗，说明卫阳已虚，所以身体发冷、皮肤肿胀并出汗，汗多损伤津液，所以口干，应当用清补的方法调理。
热病出现咽喉干燥、多饮，容易受惊，卧床后不能起身，治疗应取肌肉部位，使用第六类针具（大针），配合五十九个穴位。若出现眼睛周围发青，在脾经肌肉部位取穴未能祛邪，则需向肝经求治，因为肝属木。
这是热邪损伤脾脏，津液不能上输导致咽喉干燥、多饮；脾病则肝木乘虚克制，所以容易受惊且眼睛周围发青；卧床不能起身，是因为脾主肌肉，脾受伤则身体沉重。治疗脾脏而邪气未去，必须泻肝火以解除脾的困厄。
热病出现面色青、头痛，手足躁动，治疗应取筋间，使用第四类针具（锋针），在四逆穴施治。若出现筋脉拘急、眼睛湿润流泪，在肝经筋部取穴未能痊愈，则需向肺经求治，因为肺属金。
这是热邪损伤肝脏，所以面色发青；肝脉上行至头顶入脑，所以头痛；邪气侵入厥阴经，导致手足躁扰，严重时出现四肢逆冷，筋脉受损而拘急；肝开窍于目，肝液外泄导致眼中含泪如水浸。从筋部治疗肝脏而未能痊愈，则治疗肺脏，利用金克木的原理来制约肝木。
In the early stage of heat disease, skin pain occurs first, accompanied by nasal obstruction and facial swelling. Treatment should target the skin level using the first type of needle (Mao Zhen / Hair Needle). If rashes form on the nose due to heat accumulation, and treatment at the lung meridian's skin level fails to dispel the pathogen, one must seek treatment from the heart meridian, as the heart belongs to Fire.
This indicates that heat pathogens are invading the Lung Meridian, hence the initial skin pain, nasal obstruction, and facial swelling; the pathogen floats upward, so treatment begins from the skin and hair. Among the nine needles, there are variations in shape and size; for shallow needling of the skin and hair, the first type of needle (Mao Zhen) should be used. "Ke" means pain; "Zhen" is synonymous with "Zhen" (Rash), referring to rashes formed on the nose due to heat accumulation. If the pathogen in the Lung Meridian is not expelled after treating the skin, the Heart Fire should be drained to rescue Lung Metal. The term "Suo" refers to guiding Qi with the needle; when Qi arrives, it is considered "Suo De" (obtained).
In the early stage of heat disease, the body feels rough and stiff, fever increases when leaning against something, irritability occurs, and the lips and throat become dry. Treatment should target the vessels using the first type of needle, combined with fifty-nine acupoints (points on the head and neck for clearing heat). If skin swelling, dry mouth, and cold sweating occur, and treatment at the Heart Meridian's vessel level fails to dispel the pathogen, one must seek treatment from the Kidney Meridian, as the Kidney belongs to Water.
This indicates that heat pathogens are invading the Heart Meridian. The initial body stiffness and increased fever upon leaning are due to stagnant heat consuming body fluids, causing dry and rough skin, making the body feel as if leaning against a hot object, leading to irritability and dryness of the lips and throat. The Heart governs blood vessels, so treatment should focus on the vessels; if the pathogen persists after treating the vessels, Kidney Water should be nourished to assist the Heart, which is described as "if cooling does not work, it is because there is no water." By strengthening the source of Water to control Yang hyperactivity, the heat will naturally subside. If after treatment, skin swelling, dry mouth, cold body, and sweating occur, it indicates that Wei Yang (Defensive Yang) is deficient, causing coldness, skin swelling, and sweating. Excessive sweating damages fluids, causing dry mouth; thus, a method of clearing deficiency and tonifying should be used.
Heat disease presents with dry throat, excessive thirst, susceptibility to fright, and inability to rise from bed. Treatment should target the muscle layer using the sixth type of needle (Da Zhen / Large Needle), combined with fifty-nine acupoints. If bluish discoloration appears around the eyes, and treatment at the Spleen Meridian's muscle level fails to dispel the pathogen, one must seek treatment from the Liver Meridian, as the Liver belongs to Wood.
This indicates that heat pathogens have damaged the Spleen, preventing fluids from ascending, causing dry throat and excessive thirst; Spleen disease allows Liver Wood to overact, causing fright and bluish discoloration around the eyes; inability to rise from bed occurs because the Spleen governs muscles, and Spleen injury leads to heaviness of the body. If treating the Spleen fails to expel the pathogen, Liver Fire must be drained to relieve the Spleen's stagnation.
Heat disease presents with a bluish complexion, headache, and restlessness of the hands and feet. Treatment should target the intertendinous spaces using the fourth type of needle (Feng Zhen / Sharp Needle), applied at Si Ni points. If tendon tension and watery eyes occur, and treatment at the Liver Meridian's tendon level fails to cure, one must seek treatment from the Lung Meridian, as the Lung belongs to Metal.
This indicates that heat pathogens have damaged the Liver, causing a bluish complexion; the Liver Meridian ascends to the vertex and enters the brain, causing headache; pathogen invasion of the Jueyin Meridian causes restlessness of the extremities, progressing to cold limbs (Si Ni); tendon damage causes tension; the Liver opens into the eyes, and leakage of Liver fluids causes tears like water immersion. If treating the Liver via the tendons fails to resolve the condition, the Lung should be treated, utilizing the principle of Metal controlling Wood.