（《灵枢·五邪篇》全）
邪在肺，则病皮肤痛，寒热，上气喘，汗出，咳动肩背。（皮肤痛而寒热者，皮毛为肺之合也。气喘汗出者，肺主气
而腠理疏也。肺为脏腑之华盖，居于膈上，故咳则动及肩背。）取之膺中外 ，（膺中之外 ，云门、中府也，手太阴本
经穴。但云门忌深，能令人逆息。）背三节五节之旁，以手疾按之，快然乃刺之，（三椎之旁，肺 也。五椎之旁，心
也。皆足太阳经穴。以手疾按其处，觉快爽者，即其真穴，乃可刺之。）取之缺盆中以越之。（缺盆，足阳明经穴也。手
太阴之脉上出于此，故当取之以散越肺邪。但忌太深，令人逆息。）
邪在肝，则两胁中痛，寒中，恶血在内，行善掣节，时脚肿。（两胁中痛，肝之经也。寒中，木乘脾胃也。恶血在内，
肝所主也。行善牵掣其关节，肝主筋而邪居之也。肝经自足大趾上内联踝，故时为脚肿。）取之行间以引胁下，（行间，
足厥阴本经之荥，故可以引去肝邪而止胁痛。）补三里以温胃中，（三里，足阳明经穴，补以温胃，可去寒中。）取血脉以
散恶血，（取肝经血络外见者，可以散在内之恶血。）取耳间青脉以去其掣。（足少阳经循耳前后，足厥阴主诸筋而与少阳
为表里，故取耳间青脉，可以去掣节。）
邪在脾胃，则病肌肉痛。阳气有余，阴气不足，则热中善饥；阳气不足，阴气有余，则寒中肠鸣腹痛；阴阳俱有余，
若俱不足，则有寒有热。（邪在脾胃则肌肉痛，脾主肌肉也。阳有余则阴不足，阳邪入腑，病在阳明，故为热中善饥。阳
不足则阴有余，阴邪入脏，病在太阴，故为寒中肠鸣腹痛。若脾胃之邪气皆盛，阴阳俱有余也；脾胃之正气皆虚，阴阳
俱不足也。故有寒有热，随之而见。）皆调于三里。（此足阳明之合，可兼治脾胃之病。）
邪在肾，则病骨痛阴痹。阴痹者，按之而不得，腹胀腰痛，大便难，肩背颈项痛，时眩。（肾属少阴而主骨，故其病
为骨痛阴痹。又《至真要大论》阴痹义更详，见运气类二十五。）取之涌泉、昆仑，视有血者尽取之。（涌泉为足少阴之
井，昆仑为足太阳之经。按《经脉篇》以腰脊肩背颈项痛为足太阳病，故当取昆仑。余为少阴病，故当取涌泉。二经表
里，凡有血络者皆当取之。）
邪在心，则病心痛喜悲，时眩仆，视有余不足而调之其输也。（邪在心者，皆在心之包络，其应补应泻，皆当取手厥
阴心主之输。）
（《灵枢·五邪篇》全文）
邪气侵犯肺脏，就会引起皮肤疼痛、怕冷发热、气喘上逆、出汗，咳嗽时牵动肩背。（皮肤疼痛且伴有寒热症状，是因为皮毛是肺的外合部位。气喘且出汗，是因为肺主司气机，导致腠理疏松。肺作为五脏六腑的华盖，位于膈肌之上，所以咳嗽时会牵动及肩背部。）治疗应取胸前的云门穴和中府穴之间，（云门穴外侧的中府穴，属于手太阴肺经的本经穴位。但云门穴忌讳深刺，否则会导致气息上逆。）以及背部第三椎和第五椎旁的区域，用手快速按压该处，患者感到舒适爽快时才进行针刺，（第三椎旁是肺俞穴，第五椎旁是心俞穴，均属于足太阳膀胱经的穴位。用手快速按压这些位置，感觉舒适爽快的，就是真正的有效穴位，才可以针刺。）并取缺盆穴来发散邪气。（缺盆穴属于足阳明胃经的穴位。手太阴肺经的脉气由此上行出于此处，所以应当取此穴以疏散肺部的邪气。但忌讳刺得太深，以免导致气息上逆。）
邪气侵犯肝脏，就会导致两侧胁肋部疼痛、内脏受寒、恶血滞留体内，行走时常感关节牵引掣痛，有时脚部肿胀。（两侧胁肋疼痛，是肝经病变的表现。内脏受寒，是肝木乘克脾胃所致。恶血滞留体内，是肝脏所主的血液运行失常。行走时经常牵引关节疼痛，是因为肝主筋，邪气居于筋脉之中。肝经从足大趾向上向内连接踝部，所以有时会出现脚肿。）治疗应取行间穴以疏导胁下之气，（行间穴是足厥阴肝经的本经荥穴，所以可以引去肝邪而停止胁痛。）补益足三里穴以温煦胃中阳气，（足三里是足阳明胃经的穴位，用补法可以温煦胃部，去除内脏受寒的症状。）选取血脉以消散恶血，（选取肝经血络中外部可见的血管，可以消散体内的恶血。）取耳间的青色脉络以去除关节牵引掣痛。（足少阳胆经循行于耳朵前后，足厥阴肝经主管诸筋并与少阳胆经互为表里，所以取耳间的青色脉络，可以去除关节牵引掣痛。）
邪气侵犯脾胃，就会引起肌肉疼痛。如果阳气有余、阴气不足，就会出现胃中灼热、容易饥饿；如果阳气不足、阴气有余，就会出现内脏受寒、肠鸣腹痛；如果阴阳都有余，或者阴阳都不足，就会出现既有寒证又有热证的症状。（邪气侵犯脾胃导致肌肉疼痛，是因为脾主肌肉。阳气有余则阴气不足，阳邪侵入腑，病在阳明经，所以表现为胃中灼热、容易饥饿。阳气不足则阴气有余，阴邪侵入脏，病在太阴经，所以表现为内脏受寒、肠鸣腹痛。如果脾胃的邪气都很盛实，就是阴阳俱有余；如果脾胃的正气都很虚弱，就是阴阳俱不足。因此寒证和热证会随之出现。）治疗都应调理足三里穴。（这是足阳明胃经的合穴，可以同时治疗脾胃的疾病。）
邪气侵犯肾脏，就会引起骨痛和阴痹。所谓阴痹，是指按压时找不到痛点，伴有腹胀、腰痛、大便困难、肩背颈项疼痛、时常眩晕。（肾属少阴经且主司骨骼，所以它的病症表现为骨痛和阴痹。另外《素问·至真要大论》对阴痹的解释更为详细，参见运气类第二十五篇。）治疗应取涌泉穴和昆仑穴，观察是否有瘀血，有的话全部刺破放血。（涌泉穴是足少阴肾经的井穴，昆仑穴是足太阳膀胱经的经穴。根据《经脉篇》，腰脊肩背颈项疼痛属于足太阳膀胱经的病证，所以应当取昆仑穴。其余症状属于少阴肾经病证，所以应当取涌泉穴。这两条经脉互为表里，凡是有瘀血络脉的地方都应当刺破。）
邪气侵犯心脏，就会引起心痛、喜欢悲伤、时常眩晕跌倒，视其虚实情况而调治其输穴。（邪气侵犯心脏，实际上都是侵犯心包络，无论是补法还是泻法，都应当取手厥阴心包经的输穴。）
(Full text from *Ling Shu: Wu Xie Pian*)
When pathogenic factors invade the Lung, symptoms include pain in the skin, aversion to cold with fever, panting and upward rushing of Qi, sweating, and coughing that radiates to the shoulders and back. (Skin pain accompanied by aversion to cold and fever occurs because the skin and hair are the external correspondence of the Lung. Panting and sweating occur because the Lung governs Qi, leading to the loosening of the interstices (*Cou Li*). As the canopy of the five zang and six fu organs, the Lung resides above the diaphragm; thus, coughing affects the shoulders and back.) Treatment should involve needling between the Yunmen and Zhongfu points on the chest. (Zhongfu is located lateral to Yunmen and belongs to the Hand Taiyin Lung Meridian. However, deep needling of Yunmen is contraindicated as it may cause rebellious Qi.) Also, needle the areas beside the third and fifth thoracic vertebrae on the back. Press these areas quickly with the hand, and only needle where the patient feels a sense of comfort and relief. (The area beside the third vertebra corresponds to Feishu [BL13], and beside the fifth to Xinshu [BL12]; both belong to the Foot Taiyang Bladder Meridian. Where pressing brings relief, the true effective point is identified for needling.) Additionally, use Quepen (ST12) to disperse the pathogenic factors. (Quepen belongs to the Foot Yangming Stomach Meridian. The meridian pathway of the Hand Taiyin Lung emerges here; thus, this point is used to scatter Lung pathogens. Deep needling is contraindicated to avoid causing rebellious Qi.)
When pathogenic factors invade the Liver, symptoms include pain in the hypochondriac region, internal cold, retention of evil blood, frequent pulling sensations in the joints during movement, and occasional swelling of the feet. (Hypochondriac pain indicates pathology of the Liver Meridian. Internal cold results from Liver Wood overacting on the Spleen and Stomach. Retention of evil blood is due to the Liver's governance of blood. Pulling sensations in the joints occur because the Liver governs the sinews, which are occupied by pathogens. The Liver Meridian ascends from the medial aspect of the big toe to connect with the ankle, hence occasional foot swelling.) Treatment should involve needling Xingjian (LR2) to guide Qi from the hypochondrium. (Xingjian is the Ying-Spring point of the Foot Jueyin Liver Meridian, capable of guiding out Liver pathogens and stopping hypochondriac pain.) Tonify Zusanli (ST36) to warm the middle jiao. (Zusanli is a point on the Foot Yangming Stomach Meridian; tonification warms the stomach, alleviating internal cold.) Select visible collateral vessels to dissipate evil blood. (Needling visible collaterals of the Liver Meridian dissipates retained evil blood.) Needle the blue veins behind the ear to relieve joint pulling. (The Foot Shaoyang Gallbladder Meridian circulates around the ears. The Foot Jueyin Liver Meridian governs all sinews and forms an interior-exterior relationship with the Shaoyang; thus, needling the blue veins behind the ear relieves joint pulling.)
When pathogenic factors invade the Spleen and Stomach, symptoms include muscle pain. If Yang is in excess and Yin is deficient, there is heat in the middle jiao and excessive hunger. If Yang is deficient and Yin is in excess, there is cold in the middle jiao, borborygmus, and abdominal pain. If both Yin and Yang are in excess, or both are deficient, symptoms of both cold and heat may appear. (Muscle pain arises because the Spleen governs the muscles. Excess Yang leads to Yin deficiency; Yang pathogens enter the Fu organs, affecting the Yangming channel, causing heat in the middle jiao and hunger. Deficient Yang leads to Yin excess; Yin pathogens enter the Zang organs, affecting the Taiyin channel, causing cold, borborygmus, and pain. If Spleen/Stomach pathogenic qi is strong, it is excess of both Yin and Yang; if healthy qi is weak, it is deficiency of both. Thus, cold and heat symptoms follow accordingly.) All such conditions should be regulated via Zusanli (ST36). (As the He-Sea point of the Foot Yangming, it treats both Spleen and Stomach disorders.)
When pathogenic factors invade the Kidney, symptoms include bone pain and Yin Bi (obstruction). Yin Bi is characterized by tenderness that cannot be pinpointed by pressure, abdominal distension, lower back pain, difficulty defecating, pain in the shoulders, back, neck, and nape, and occasional dizziness. (The Kidney belongs to the Shaoyin channel and governs bones, hence bone pain and Yin Bi. For further details on Yin Bi, see *Su Wen: Zhi Zhen Yao Da Lun*, referenced in the Wind-Water-Qi category, Chapter 25.) Treatment should involve needling Yongquan (KI1) and Kunlun (BL60), draining any visible blood stasis. (Yongquan is the Jing-Well point of the Foot Shaoyin Kidney Meridian; Kunlun is the Jing-River point of the Foot Taiyang Bladder Meridian. According to the *Jing Mai* chapter, pain in the waist, spine, shoulders, back, neck, and nape relates to the Foot Taiyang channel, hence needling Kunlun. Other symptoms relate to the Shaoyin channel, hence needling Yongquan. These two meridians are exterior-interior pairs; any visible blood collaterals should be drained.)
When pathogenic factors invade the Heart, symptoms include heart pain, propensity for weeping/sadness, occasional dizziness and fainting. Treatment depends on excess or deficiency, regulating the Shu-Stream points. (Pathogens invading the Heart actually affect the Pericardium. Whether applying tonification or sedation, one should select the Shu-Stream points of the Hand Jueyin Pericardium Meridian.)