（《灵枢·癫狂篇》《素问·长刺节论》《通评虚实论》）
目 外决于面者为锐 ，在内近鼻者为内 ；上为外 ，下为内 。
（《灵枢·癫狂篇》。目 ，眼角也。目之外角曰锐 ，目之内角曰内 ，此以中外言也。若以上下言之，则目之上
网亦曰外 ，目之下网亦曰内 。按∶本篇所论， 癫狂厥逆之病，而此节所言目 若不相涉者何也？盖以癫狂等疾，
须察神气，欲察其神，当从目始。且内 外 、上网下网，各有分属，病在何经，于此可验，故首及之，示人以知所先
也。 音渍。）癫疾始生，先不乐，头重痛，视举目赤，甚作极已而烦心，候之于颜，取手太阳、阳明、太阴，血变而止。
（先不乐，神志将乱也。头重痛、视举目赤，厥气上行也。甚作极已而烦心，躁急不宁也。此皆癫疾将作之兆。颜，天
庭也。候之于颜，邪色必见于此也。当取手太阳支正、小海，手阳明偏历、温溜，手太阴太渊、列缺等穴，泻去邪血，
必待其血色变而后止针也。）癫疾始作而引口啼呼喘悸者，候之手阳明、太阳，左强者攻其右，右强者攻其左，血变而止。
（引口者，牵引歪斜也。或为啼呼，或为喘悸，当候于手阳明太阳二经，察病所在而刺之，穴如前。强，坚强也。左右
牵引，病多在络，故左强者当攻右，右强者当攻左，必候其血变而止，此缪刺之法也。悸音匮，心动也。）癫疾始作，先
反僵，因而脊痛，候之足太阳、阳明、太阴、手太阳，血变而止。（反僵，反张僵仆也。足太阳之委阳、飞阳、仆参、金
门，足阳明三里、解溪，足太阴隐白、公孙等穴皆主之。手阳明经穴同前。僵音姜。）治癫疾者，常与之居，察其所当取
之处。病至，视之有过者泻之，置其血于瓠壶之中，至其发时，血独动矣，不动，灸穷骨二十壮，穷骨者 骨也。（凡治
癫疾者，须常与之居，庶得察其病在何经，及当取之处，不致谬误也。故必于病至之时，视其有过之所，刺出其血以验
其可灸与否。瓠壶，瓠卢也。若前病发而瓠中之血不动者，乃可灸之。 骨，即督脉之长强穴。瓠音户。 音氐。）骨癫
疾者， 齿诸 分肉皆满，而骨居汗出烦 。呕多沃沫，气下泄，不治。（骨癫疾者，病深在骨也。其 齿诸穴分肉之间，
皆邪气壅闭，故为胀满。形则 羸，唯骨独居，汗出于外，烦闷于内，已为危证；若呕多沃沫，气泄于下者，尤为脾肾
俱败，必不可治。 音坎，又海敢切，义详经络类十三。 ，美本切，又音瞒。）筋癫疾者，身倦挛，急大，刺项大经之
大杼脉。呕多沃沫，气下泄，不治。（筋癫疾者，病在筋也。其身倦怠拘挛，其脉急大，当刺项下足太阳经之大杼穴。若
上而呕沫，下而泄气，亦不治之证。）脉癫疾者，暴仆，四肢之脉皆胀而纵。脉满，尽刺之出血；不满，灸之挟项太阳，
灸带脉于腰相去三寸，诸分肉本输。呕多沃沫，气下泄，不治。（脉癫疾者，病在血脉也。暴仆，猝倒也。纵，弛纵也。
治此者，如脉胀满，则尽刺之以出其血。如脉不满，则灸足太阳经挟项之天柱、大杼穴，又灸足少阳经之带脉穴，此穴
相去于腰计三寸许。诸分肉本输，谓诸经分肉之间及四肢之输，凡胀纵之所，皆当取也。若呕沫泄气者，亦不必治。）癫
疾者，疾发如狂者，死不治。（癫病发于阴，狂病发于阳。故二十难曰∶重阳者狂∶重阴者癫也。然阳多有余，故狂发无
时，其状疾而暴；阴多不足，故癫发有期，其状静而徐。此癫狂之辨也。今以癫疾而如狂者，阳邪盛极而阴之竭也，故
死不治。）
狂始生，先自悲也，喜忘苦怒善恐者，得之忧饥，治之取手太阴、阳明，血变而止，及取足太阴、阳明。（此下六节，
皆言狂病也。神不足则悲，魂伤则狂忘不精，志伤则善忘其前言，肝乘脾则苦怒，血不足则善恐，皆得之忧而且饥，致
伤脏气也。取手太阴之太渊、列缺，手阳明之偏历、温溜，足太阴之隐白、公孙，足阳明之三里、解溪等穴，并可治之，
必俟其血色变而止针也。）狂始发，少卧不饥，自高贤也，自辩智也，自尊贵也，善骂詈，日夜不休，治之取手阳明、太
阳、太阴、舌下、少阴，视之盛者皆取之，不盛释之也。（上节言始生，病生之初也。此节言始发，病成而发也。其为少
卧不饥等候，狂病之发，大概如此。手阳明、太阳、太阴经穴俱如前。舌下者，任脉之廉泉也。少阴者，心经之神门、
少冲也。于此诸经，必视其盛者皆取之，若其不盛则当释之无论也。诸治皆然。）狂言、惊、善笑、好歌乐、妄行不休者，
得之大恐，治之取手阳明、太阳、太阴。（恐伤志，故为惊为笑为歌乐妄行也。手阳明、太阳、太阴穴，俱见前第二节。）
狂，目妄见、耳妄闻、善呼者，少气之所生也，治之取手太阳、太阴、阳明、足太阴、头两 。（气衰则神怯，所以妄见
妄闻而惊呼也。手太阳、太阴、阳明、足太阴经穴，俱见前二节四节。头两 ，义亦如前。）狂者多食，善见鬼神，善笑
而不发于外者，得之有所大喜，治之取足太阴、太阳、阳明，后取手太阴、太阳、阳明。（多食见鬼善暗笑者，以大喜伤
神所致。《难经》曰∶脱阳者见鬼，脱阴者目盲也。足太阴、太阳、阳明穴，如前四节。手太阴、太阳、阳明穴，如前二
节。）狂而新发，未应如此者，先取曲泉左右动脉，及盛者见血，有顷已，不已以法取之，灸骨 二十壮。（未应如此者，
谓狂病新起，未有如上文五节之见证也。宜先取足厥阴肝经之曲泉穴，左右皆刺之，及诸经之脉有盛者皆出其血，有顷
病当自已，如不已则当照前五节求法以取之，仍灸督脉之长强穴二十壮。）
病在诸阳脉，且寒且热，诸分且寒且热，名曰狂
（《素问·长刺节论》。阳胜则为狂病，凡病在诸阳分，而经脉分肉之间且寒且热者，皆阳邪乱其血气，热极则生寒
也，故病为狂。）刺之虚脉，视分尽热病已止。（刺之虚脉，谓泻其盛者使之虚也。然必视针下诸分尽热，则气至邪退，
其病已而止针也。）病初发岁一发不治，月一发不治，月四五发名曰癫病。（阴胜则为癫病。岁一发、月一发者，气深道
远，有宿本也，故不易治。月四五发者，暴疾耳，其来速其去亦速，此为可治者也。）刺诸分诸脉，其无寒者，以针调之，
病已止。（诸分诸脉，刺法如前。若其无寒者，则癫疾亦有阳邪，或泻或补，当用针调之也。按∶《甲乙经》曰∶刺诸分
其脉尤寒者，以针补之。是仍言为阴证。）
刺痫惊脉五
（《素问·通评虚实论》。五脉如下文。痫音闲，癫病。）针手太阴各五刺经，（刺手太阴之经，经渠穴也。各五，以
左右手各五 也。下亦然。）太阳五，（亦以手太阳经穴言，当是阳谷穴。）刺手少阴经络旁者一，（手少阴之经穴，灵台
也，在络穴通里之旁，故曰络旁者一。）足阳明一，（亦言经穴解溪也。）上踝五寸刺三针。（足少阳胆经之络，光明穴也。
三针，即三 。）
眼角向外侧延伸至面部的部位称为锐（ruì，指目外眦），向内侧靠近鼻子的部位称为内（nèi，指目内眦）；从上下位置来看，眼睛上方的眼睑网膜称为外，下方的眼睑网膜称为内。
（出自《灵枢·癫狂篇》。目 ，即眼角。眼睛的外角叫锐，内角叫内，这是以内外来区分。如果以上下来讲，那么眼睛上方的睑弦也叫外，下方的睑弦也叫内。按：本篇讨论的是癫狂厥逆等疾病，而这一节所说的眼部特征似乎与病情无关，为什么呢？大概因为像癫狂这类疾病，必须观察神气，想要观察神气，应当从眼睛开始。而且内、外以及上睑、下睑，各有其所属的经络，病在何经，通过这里可以验证，所以首先提及这些，是告诉人们要知道诊疗的先后顺序。 音渍。）癫疾刚开始发作时，患者先感到心情不愉快，头部沉重疼痛，视物时眼球上翻且眼白发红，严重时极度疲惫后心中烦躁，观察面色应在天庭部位，治疗应取手太阳经、手阳明经、手太阴经的穴位，直到血色由暗变红为止。
（先心情不愉快，说明神志即将混乱。头重痛、视举目赤，是厥气向上冲逆所致。严重时极度疲惫后心中烦躁，是躁动急迫、不得安宁的表现。这些都是癫疾将要发作的征兆。颜，即天庭（额头中央）。候之于颜，是因为邪气之色必定显现于此。应当取用手太阳经的支正穴、小海穴，手阳明经的偏历穴、温溜穴，手太阴经的太渊穴、列缺穴等，泻去邪血，必须等到血色改变后才停止针刺。）癫疾刚开始发作时，伴有口角牵引歪斜、啼哭呼叫、气喘心悸的症状，应观察手阳明经和手太阳经，左侧肢体强直则攻治右侧，右侧肢体强直则攻治左侧，直到血色改变为止。
（引口，指口角被牵引歪斜。有时啼哭呼叫，有时气喘心悸，应当观察手阳明、手太阳二经，察看病位所在而进行针刺，穴位如前所述。强，指坚强有力。左右牵引，病多在络脉，所以左侧强直应当攻治右侧，右侧强直应当攻治左侧，必须等待血色改变才停止，这是缪刺法。悸音匮，指心跳不安。）癫疾刚开始发作时，先出现身体向后反折僵硬，进而脊背疼痛，应观察足太阳经、足阳明经、足太阴经、手太阳经，直到血色改变为止。
（反僵，指身体反张僵硬仆倒。足太阳经的委阳穴、飞阳穴、仆参穴、金门穴，足阳明经的三里穴、解溪穴，足太阴经的隐白穴、公孙穴等都主治此症。手阳明经穴位同前。僵音姜。）治疗癫疾的人，应当经常陪伴患者，观察他应当取穴的部位。病发时，观察哪里有过盛的邪气就泻除它，将放出的血置于瓠壶（葫芦做的容器）中，到了下次发病时，壶中的血会独自跳动；如果不跳动，就在穷骨处灸二十壮，穷骨就是骶骨（ 骨，即督脉的长强穴。瓠音户。 音氐。）骨癫疾的患者，牙齿周围及全身肌肉都胀满，但骨骼显露，出汗且内心烦闷。如果呕吐大量涎沫，气息下泄，属于不治之症。
（骨癫疾，指病邪深入骨骼。牙齿周围及各处分肉之间，都被邪气壅闭，所以出现胀满。形体消瘦，只有骨头突出，汗出体外，烦闷于内，已是危重证候；如果再呕吐大量涎沫，气息下泄，更是脾肾俱败，绝对不可治愈。 音坎，又读海敢切，义详见经络类十三。 ，美本切，又音瞒。）筋癫疾的患者，身体疲倦拘挛，脉象急大，应针刺颈部足太阳经的大杼脉。如果呕吐大量涎沫，气息下泄，属于不治之症。
（筋癫疾，指病在筋脉。身体倦怠拘挛，脉象急大，应当针刺项下足太阳经的大杼穴。如果上呕涎沫，下泄气息，也是不治之证。）脉癫疾的患者，突然仆倒，四肢的脉络都胀大而弛纵。如果脉象胀满，全部针刺出血；如果脉象不满，就在项部两侧足太阳经施灸，并在腰部距中线三寸处的带脉穴施灸，以及各分肉间的本输穴。如果呕吐大量涎沫，气息下泄，属于不治之症。
（脉癫疾，指病在血脉。暴仆，即猝然跌倒。纵，即弛纵。治疗此病，如果脉象胀满，就全部针刺以排出血液。如果脉象不满，就灸足太阳经挟项的天柱穴、大杼穴，又灸足少阳经的带脉穴，此穴距离腰部约三寸。诸分肉本输，指各经分肉之间及四肢的输穴，凡是胀弛的地方，都应当取用。如果呕吐涎沫泄气者，也不必治疗。）癫疾发作时如果像狂病一样，属于死证，不可治愈。
（癫病发于阴，狂病发于阳。所以《难经·二十难》说：重阳者为狂，重阴者为癫。然而阳气多有余，所以狂病发作没有定时，症状急骤猛烈；阴气多不足，所以癫病发作有周期性，症状安静缓慢。这是癫与狂的区别。现在以癫疾而表现出狂病的症状，是阳邪盛极而阴气枯竭的表现，所以死亡且不可治愈。）
狂病刚开始产生时，患者先表现为悲伤，喜欢遗忘，痛苦愤怒，容易恐惧，这是由于忧愁和饥饿引起的，治疗应取手太阴经、手阳明经的穴位，直到血色改变为止，并取足太阴经、足阳明经的穴位。
（以下六节，都在讲述狂病。神不足则悲伤，魂伤则狂妄健忘精神不集中，志伤则善于忘记以前的话，肝乘脾则痛苦愤怒，血不足则容易恐惧，都是因为忧愁且饥饿，导致损伤脏腑之气。取手太阴经的太渊穴、列缺穴，手阳明经的偏历穴、温溜穴，足太阴经的隐白穴、公孙穴，足阳明经的三里穴、解溪穴等，都可以治疗，必须等到血色改变才停止针刺。）狂病刚开始发作时，睡眠少且不觉得饥饿，自认为贤能，自认为聪明，自认为尊贵，喜欢骂人，日夜不停，治疗应取手阳明经、手太阳经、手太阴经，以及舌下、足少阴经的穴位，观察这些经脉，凡是有盛实表现的都取用，不盛实的就放弃。
（上一节讲的是始生，即病初起。这一节讲的是始发，即病已成而发作。那些睡眠少、不饥饿等症状，大概是狂病发作时的普遍表现。手阳明、手太阳、手太阴经的穴位都如前所述。舌下，指任脉的廉泉穴。少阴，指心经的神门穴、少冲穴。在这些经脉中，必须观察其盛实者都取用，如果不盛实则应当放弃不论。各种治疗方法都是如此。）言语狂乱、易受惊吓、喜欢笑、喜好唱歌娱乐、行为妄动不止的，是由于大惊引起的，治疗应取手阳明经、手太阳经、手太阴经。
（恐伤志，所以表现为惊、笑、歌乐、妄行。手阳明、手太阳、手太阴经的穴位，均见前两节。）狂病患者，眼睛看见不存在的东西，耳朵听到不存在的声音，喜欢呼喊，是由于气虚产生的，治疗应取手太阳经、手太阴经、手阳明经、足太阴经，以及头两侧的穴位。
（气衰则神怯，所以妄见妄闻而惊呼。手太阳、手太阴、手阳明、足太阴经的穴位，均见前两节和第四节。头两 ，含义也如前所述。）狂病患者食量大，喜欢看见鬼神，喜欢笑但不发泄于外的，是由于大喜引起的，治疗应取足太阴经、足太阳经、足阳明经，后来再取手太阴经、手太阳经、手阳明经。
（多吃、见鬼、喜欢暗自微笑，是因为大喜伤了神。《难经》说：脱阳者见鬼，脱阴者目盲。足太阴、足太阳、足阳明经的穴位，如前四节所述。手太阴、手太阳、手阳明经的穴位，如前两节所述。）狂病新发，还没有出现上述五种情况症状的，先取曲泉穴左右的动脉，以及盛实的经脉使其出血，过一会儿病就会好，如果不好，再按照前面的方法取穴，灸骶骨（长强穴）二十壮。
（未应如此，指狂病刚起，还没有像上文五节那样的见证。宜先取足厥阴肝经的曲泉穴，左右都刺，以及各经脉有盛实的都放出血液，过一会儿病应当自愈，如果不好则应当照前五节求法来取穴，仍灸督脉的长强穴二十壮。）
病在诸阳脉，既怕冷又怕热，各个分肉间也既怕冷又怕热，这种病名叫狂。
（出自《素问·长刺节论》。阳胜则成为狂病，凡是病在诸阳分，而经脉分肉之间既寒又热的，都是阳邪扰乱了血气，热极则生寒，所以病为狂。）针刺以泻虚脉，观察分肉间的热感，直到热感消失病愈为止。
（刺之虚脉，指泻其盛实使之虚弱。然而必须观察针下各分肉间尽皆发热，则气至邪退，病已而停止针刺。）病初发时一年发作一次的不治，一个月发作一次的不治，一个月发作四五次的名叫癫病。
（阴胜则为癫病。一年发作一次、一个月发作一次的，是因为气深道远，有宿根，所以不易治。一个月发作四五次的，是暴疾，来得快去得也快，这是可治的。）针刺各分肉和各脉，其中没有寒象的，用针调理，病愈为止。
（诸分诸脉，刺法如前。如果没有寒象，则癫疾也有阳邪，或泻或补，应当用针调理。按：《甲乙经》说：刺诸分其脉特别寒的，用针补之。这仍然是说阴证。）
（出自《素问·通评虚实论》。五脉如下文。痫音闲，即癫病。）针刺手太阴经各五次，刺经穴（经渠穴）。各五，是指左右手各刺五次。以下亦然。
(From *Ling Shu: Dian Kuang Pian*, *Su Wen: Chang Ci Jie Lun*, *Tong Ping Xu Shi Lun*)
The part of the eye extending outward to the face is called Rui (outer canthus); the part extending inward toward the nose is called Nei (inner canthus). From a superior-inferior perspective, the upper eyelid margin is referred to as "Outer," and the lower eyelid margin as "Inner."
(From *Ling Shu: Dian Kuang Pian*. The term "eye corner" refers to the canthi. The outer angle of the eye is termed Rui, and the inner angle Nei; this distinction is based on medial-lateral orientation. If described by superior-inferior position, the upper palpebral fissure is also called Outer, and the lower palpebral fissure Inner. Note: This chapter discusses diseases such as Dian (catatonic schizophrenia), Kuang (manic psychosis), and Jue Ni (reversal coldness), yet this section on ocular features seems unrelated. Why? Generally, for diseases like Dian and Kuang, one must observe the Shen (Spirit/Qi). To observe the Shen, one should start with the eyes. Furthermore, the Nei, Rui, upper lid, and lower lid each correspond to specific meridians; the affected meridian can be verified through these signs. Thus, they are mentioned first to indicate the priority of diagnosis.) When Dian disease begins, the patient first feels unhappy, experiences heavy head pain, upward deviation of the eyes with redness of the sclera, and after severe exhaustion, becomes irritable. Observation should focus on the Yan (forehead/Tian Ting area). Treatment involves selecting points from the Hand Taiyang, Hand Yangming, and Hand Taiyin meridians. Needling should continue until the blood color changes (from dark to bright red).
(Unhappiness indicates impending disorder of the Spirit. Heavy head pain, upward eye deviation, and red sclera result from the upward reversal of Jue Qi (counterflow qi). Severe exhaustion followed by irritability indicates restlessness and agitation. These are precursors to Dian. Yan refers to the Tian Ting (central forehead). Pathological colors manifest here. Points to select include Zhi Zheng (SI8) and Xiao Hai (SI81) of the Hand Taiyang; Pian Li (PC6) and Wen Liu (LI37) of the Hand Yangming; and Tai Yuan (LU9) and Lie Que (LU7) of the Hand Taiyin. Discharge pathogenic blood until the color changes, then stop needling.) When Dian disease begins with oral traction (corner of the mouth pulled), crying/calling out, panting, and palpitations, observe the Hand Yangming and Hand Taiyang meridians. If the left side is rigid, treat the right; if the right is rigid, treat the left. Stop when the blood color changes.
(Oral traction refers to deviation of the mouth. Crying or panting/palpitations require observation of the Hand Yangming and Hand Taiyang meridians to locate the pathology and needle accordingly. Rigid means stiff/spastic. Traction on left or right suggests pathology in the Luo (Collateral) vessels; thus, left rigidity requires treating the right, and vice versa. This is the Miao Ci (Miraculous Puncture) method. Ji refers to heart palpitations.) When Dian disease begins with opisthotonos (backward arching stiffness) followed by spinal pain, observe the Foot Taiyang, Foot Yangming, Foot Taiyin, and Hand Taiyang meridians. Stop when the blood color changes.
(Opisthotonos refers to backward arching and collapse. Points include Wei Yang (BL38), Fei Yang (BL58), Pu Can (BL60), Jin Men (BL53) of the Foot Taiyang; Zu San Li (ST36) and Jie Xi (ST41) of the Foot Yangming; Yin Bai (SP1) and Gong Sun (SP4) of the Foot Taiyin. Hand Yangming points are as previously stated.) Physicians treating Dian should reside near the patient to observe where to needle. Upon onset, identify areas of excess and drain them. Place the extracted blood in a Hu Hu (gourd vessel). At the next发作 (attack), the blood in the gourd will move independently. If it does not move, moxa Qiong Gu (sacrum/Coccyx, specifically Chang Qiang GV1) for 20 moxa cones.
(Gu Dian (Bone Dian) implies deep pathology in the bones. The muscles around the teeth and throughout the body are full/distended due to pathogenic obstruction. The form is emaciated, with bones protruding, sweating externally, and internal烦闷 (oppression/irritability), indicating a critical condition. If accompanied by vomiting copious saliva/phlegm and downward leakage of Qi, it signifies failure of Spleen and Kidney and is incurable.) In Jin Dian (Sinew Dian), the body is fatigued and spasmodic, and the pulse is rapid and large. Needle Da Zhu (BL11) in the neck (Foot Taiyang meridian). If accompanied by vomiting phlegm and downward Qi leakage, it is incurable.
(Jin Dian implies pathology in the sinews. Fatigue and spasms with a rapid/large pulse indicate the need to needle Da Zhu. Upper vomiting and lower Qi leakage indicate incurability.) In Mai Dian (Vessel Dian), the patient suddenly collapses, and the vessels of the four limbs are distended and flaccid. If the vessels are fully distended, needle all affected areas to bleed. If not fully distended, moxa the Taiyang vessels flanking the neck (Tian Zhu BL10, Da Zhu BL11), the Dai Mai (Belt Vessel) point three cun from the waist, and the Ben Shu (Source Points) in the muscle spaces. If accompanied by vomiting phlegm and Qi leakage, it is incurable.
(Mai Dian implies pathology in the blood vessels. Bao Pu means sudden collapse. Zong means flaccidity. If vessels are distended, bleed them. If not, moxa Tian Zhu and Da Zhu of the Foot Taiyang, and Dai Mai of the Foot Shaoyang (approx. 3 cun from waist). Ben Shu refers to source points in muscle spaces. Vomiting/Qi leakage indicates incurability.) If Dian attacks resemble Kuang (mania), it is a death sign and incurable.
(Dian originates from Yin; Kuang originates from Yang. As stated in *Nan Jing*: Excess Yang leads to Kuang; Excess Yin leads to Dian. Yang is often excessive, so Kuang has no fixed timing and presents acutely/violently. Yin is often deficient, so Dian has periodicity and presents quietly/slowly. This distinguishes Dian from Kuang. Dian presenting with Kuang symptoms indicates extreme Yang pathogen and exhaustion of Yin, hence fatal.)
When Kuang disease begins, the patient first feels sad, forgetful, prone to anger, and fearful. This results from worry and hunger. Treat by selecting Hand Taiyin and Hand Yangming points until blood color changes, and also select Foot Taiyin and Foot Yangming points.
(The following six sections discuss Kuang. Deficient Shen causes sadness; damaged Hun causes madness/amnesia; damaged Zhi causes forgetfulness; Liver overacting on Spleen causes anger; Blood deficiency causes fear. All result from worry and hunger damaging Zang Qi. Points include Tai Yuan (LU9), Lie Que (LU7), Pian Li (PC6), Wen Liu (LI37), Yin Bai (SP1), Gong Sun (SP4), Zu San Li (ST36), Jie Xi (ST41). Continue needling until blood color changes.) When Kuang first manifests, there is little sleep, lack of appetite, grandiosity (believing oneself wise/smart/noble), cursing, and ceaseless day-and-night activity. Treat by selecting Hand Yangming, Hand Taiyang, Hand Taiyin, sublingual (Ren Mai Lian Quan CV23), and Foot Shaoyin (Heart Meridian Shen Men HT7, Shao Chong HT9) points. Select those that are full/excess; release those that are not.
(The previous section discussed onset (Sheng); this discusses manifestation (Fa). Little sleep and anorexia are typical of Kuang. Sublingual refers to Lian Quan. Shaoyin refers to Heart Meridian points. Select excess points; ignore non-excess ones. This applies generally.) With Kuang, characterized by delirious speech, fright, excessive laughter, singing/humming, and aimless walking, caused by great shock/fear, treat by selecting Hand Yangming, Hand Taiyang, and Hand Taiyin points.
(Fear damages Zhi, leading to fright, laughter, singing, and aimless walking. Points as cited in Section 2.) For Kuang with visual/auditory hallucinations and frequent calling, caused by Qi deficiency, treat by selecting Hand Taiyang, Hand Taiyin, Hand Yangming, Foot Taiyin, and bilateral Head points.
(Qi deficiency leads to weak Shen, causing hallucinations and calls. Points as cited in Sections 2 and 4. Head points refer to bilateral locations as previously defined.) For Kuang with polyphagia, seeing spirits/gods, and suppressed laughter, caused by excessive joy, treat by selecting Foot Taiyin, Foot Taiyang, and Foot Yangming, followed by Hand Taiyin, Hand Taiyang, and Hand Yangming.
(Polyphagia, hallucinations, and suppressed laughter result from Joy damaging Shen. *Nan Jing* states: Loss of Yang leads to seeing spirits; Loss of Yin leads to blindness. Points as cited in Sections 2 and 4.) For newly onset Kuang without the aforementioned five sets of symptoms, first select Qu Quan (LR8) arterial points on both sides, and bleed any full vessels. After a while, the disease should cease. If not, apply methods from the previous five sections, and moxa Qiong Gu (Chang Qiang GV1) for 20 cones.
("Not corresponding" means new onset without classic symptoms. First needle Qu Quan bilaterally and bleed excess vessels. If unresolved, follow previous protocols and moxa Chang Qiang.)
For pathology in the Yang meridians, alternating chills and fever in the meridians and muscle spaces is named Kuang.
(From *Su Wen: Chang Ci Jie Lun*. Yang excess causes Kuang. Alternating chills/fever in Yang divisions indicates Yang pathogen disturbing Blood and Qi; extreme heat generates cold. Hence, Kuang.) Deplete the vessels by needling. Observe the muscle spaces; stop when heat dissipates and the disease resolves.
(Depleting vessels means reducing excess. Stop when heat subsides, indicating Qi arrival and pathogen retreat.) If Kuang/Dian occurs once a year or once a month at onset, it is incurable. If it occurs 4-5 times a month, it is named Dian.
(Yang excess causes Kuang; Yin excess causes Dian. Annual/monthly occurrence implies deep pathology with root causes, making it hard to treat. Frequent monthly occurrence is acute/fast-resolving, hence treatable.) Needle the various muscle spaces and vessels. If there is no cold, regulate with needles until the disease resolves.
(If no cold, Dian may involve Yang pathogens; use tonification or sedation via needling. *Jia Yi Jing* notes: If vessels are very cold, use tonification, indicating a Yin syndrome.)
Five Methods for Needling Xian (Epileptic) Convulsions
(From *Su Wen: Tong Ping Xu Shi Lun*. Xian sounds like Jian, referring to Dian/Epilepsy.)
Needle Hand Taiyin five times (Jing Qu LU8). Five times refers to five needles per hand bilaterally. Similarly for others.
Hand Taiyang five times (Yang Gu SI5).
One needle beside the Hand Shaoyin Luo collateral (Ling Tai is likely a textual error for a Heart point near Tong Li PC4, or referring to a specific point adjacent to the Luo).
Foot Yangming one time (Jie Xi ST41).
Three needles five cun above the ankle malleolus (Guang Ming GB37, Foot Shaoyang Luo collateral). Three needles refers to three insertions/cones.