(《灵枢·九针十二原篇》《寒热病篇》《热病篇》《厥病篇》《杂病篇》《终始篇》《素问·骨空论》)
刺诸热者,如以手探汤;(《灵枢·九针十二原篇》。此以下皆言刺治诸病之法也。如以手探汤者,用在轻扬。热属
阳,阳主于外,故治宜如
此。)刺寒清者,如人不欲行。(如人不欲行者,有留恋之意也。阴寒凝滞,得气不易,故宜留针若此。)阴有阳疾者,
取
之下陵三里,正往无殆,气下乃止,不下复始也。(阴有阳疾者,热在阴分也。下陵即三里,足阳明经穴。殆,怠同。
气
下,邪气退也。如不退,当复刺之。)疾高而内者,取之阴之陵泉;疾高而外者,取之阳之陵泉也。(疾高者,在上者也,
当下取之。然高而内者属脏,故当取足太阴之阴陵泉。高而外者属腑,故当取足少阳之阳陵泉也。)
身有所伤,血出多,及中风寒,若有所堕坠,四肢懈惰不收,名曰体惰,(《灵枢·寒热病篇》。身有所伤,血出多
而中风寒者,破伤风之属也。或因堕坠,不必血出,而四肢懈惰不收者,
皆名体惰也。)取其小腹脐下三结交。三结交者,阳明、太阴也,脐下三寸关元也。(关元,任脉穴,又足阳明太阴之脉
皆结于此,故为三结交也。)
癃,取之阴跷及三毛上,及血络出血。
(《灵枢·热病篇》。小便不通曰癃,当取足少阴之照海穴,乃阴跷之所生也。及三毛上者,足厥阴之大敦也。盖肾
与膀胱为表里,肝经行于少腹,故当取此二经以治之。若其有血络者,仍当刺之出血。癃,良中切。跷音乔。)
男子如蛊,女子如 ,身体腰脊如解,不欲饮食,先取涌泉见血,视跗上盛者,尽见血也。(蛊,如犯蛊毒胀闷也。
当作胎。如蛊如胎,无是病而形相似也。身体腰膝如解,倦散不收也。涌泉,足少阴经穴。跗上,足面也,以阳明经
为言,凡其盛者,皆当刺出其血也。 ,将预切。)
病注下血,取曲泉。
(《灵枢·厥病篇》。病注下血,肝不能内也,故当取足厥阴经之曲泉穴。)
疟不渴,间日而作,取足阳明;渴而日作,取手阳明。
(《灵枢·杂病篇》。《刺疟论》曰∶疟不渴,间日而作,刺足太阳;渴而间日作,刺足少阳。详疾病类五十。)
喜怒而不欲食,言益小,刺足太阴;怒而多言,刺足少阳。(善怒而不欲食,言益小者,伤其脾也,故当刺足太阴
而
补之。怒而多言者,肝胆邪实也,故当刺足少阳而泻之。)
哕,以草刺鼻,嚏,嚏而已;无息而疾迎引之,立已;大惊之,亦可已。(哕,呃逆也。治之之法,用草刺鼻则嚏,
嚏则气达而哕可已,此一法也。或闭口鼻之气,使之无息,乃迎其气而引散之,勿令上逆,乃可立已,此二法也。又或
以他事惊之,则亦可已,此治哕之三法也。愚按∶内经诸篇,并无呃逆一证,观此节治哕三法,皆所以治呃逆者,是古
之所谓哕者,即呃逆无疑也。如《口问篇》曰∶谷入于胃,胃气上注于肺,今有故寒气与新谷气俱还入于胃,新故相乱,
真邪相攻,气并相逆,复出于胃,故为哕。又曰∶肺主为哕。仲景曰∶阳明病不能食,攻其热必哕。所以然者,胃中虚
冷故也。以其人本虚,故攻其热必哕。又曰∶若胃中虚冷不能食者,饮水则哕。成无己曰∶若哕则吃吃然有声者是也。
此哕为呃逆,而由于阳明、太阴之虚寒,又可知也。奈何自东垣以下,谓哕属少阳,无物有声,乃气病也。丹溪曰∶有
声有物谓之呕吐,有声无物谓之哕。是皆以干呕为哕也。及陈无择则又以哕为咳逆。夫干呕者呕也,咳逆者嗽也,皆何
涉于哕?诸说不同,皆未之深察耳。哕,于决切,又音诲。)
络季胁引少腹而痛胀,刺 。
(《素问·骨空论》。季胁下软处曰 中。 ,足太阳经穴。 音秒。 音衣希。)刺诸痛者,其脉皆实(《灵枢·终
始篇》。此言痛而可刺者,脉必皆实者也。然则脉虚者,其不宜刺可知矣。)故曰∶从腰以上者,手太阴、
阳明皆主之;从腰以下者,足太阴、阳明皆主之。(此近取之法也。腰以上者,天之气也,故当取肺与大肠二经,盖肺经
自胸行手,大肠经自手上头也。腰以下者,地之气也,故当取脾胃二经,盖脾经自足入腹,胃经自头下足也。病之在阴
在阳,各察其所主而刺之。)病在上者下取之,病在下者高取之,病在头者取之足,病在腰者取之 。(此远取之法也。
有病在上而脉通于下者,当取于下。病在下而脉通于上者,当取于上。故在头者取之足,在腰者取之 。盖疏其源而流
自通,故诸经皆有井荥俞原经合之辨。)病生于头者头重,生于手者臂重,生于足者足重,治病者先刺其病所从生者也。
(先刺所从生,必求其本也。)
病痛者阴也,(同前篇。凡病痛者,多由寒邪滞逆于经,及深居筋骨之间,凝聚不散,故病痛者为阴也。)痛而以手
按之不得者阴也,深刺之。(按之不得者,隐藏深处也,是为阴邪,故刺亦宜深。然则痛在浮浅者,有属阳邪可知也,
但
诸痛属阴者多耳。)病在上者阳也,病在下者阴也。痒者阳也,浅刺之。(阳主升,故在上者为阳。阴主降,故在下者为
阴。痒者,散动于肤腠,故为阳。凡病在阳者,皆宜浅刺之。其在下者,自当深刺无疑也。)病先起阴者,先治其阴而
后
治其阳;病先起阳者,先治其阳而后治其阴。(此以经络部位言阴阳也。病之在阴在阳,起有先后。先者病之本,后者
病
之标。治必先其本,即上文所谓先刺其病所从生之义。)
(出自《灵枢·九针十二原篇》《寒热病篇》《热病篇》《厥病篇》《杂病篇》《终始篇》及《素问·骨空论》)
针刺治疗各种热证,手法要像手试探热水那样轻快敏捷;(《灵枢·九针十二原篇》。以下内容都是论述针刺治疗各种疾病的方法。所谓“像手试探热水”,是指运用轻扬的手法。热证属于阳,阳主在外,所以治疗应当如此。)针刺治疗寒证或肢体清冷者,留针时间要像人不想行走那样长久。(所谓“像人不想行走”,是有留恋、停留的意思。阴寒凝滞,得气不容易,所以应当像这样留针。)阴分有阳热之疾的,取足三里穴(下陵),直刺勿懈怠,待邪气下行消退后停止针刺,若邪气未退则重新施针。(阴分有阳热之疾,指热邪在阴分。下陵即足三里,是足阳明胃经的穴位。殆与怠同义。气下,指邪气退去。如果邪气不退,应当再次针刺。)病势高而在体内的,取阴陵泉穴;病势高而在体外的,取阳陵泉穴。(病势高,指病位在上部,应当从下部取穴治疗。然而病位高而属内的归属于脏,所以应当取足太阴脾经的阴陵泉穴。病位高而属外的归属于腑,所以应当取足少阳胆经的阳陵泉穴。)
身体受到外伤,出血较多,以及感受风寒,或者遭受跌坠损伤,导致四肢松懈无力、不能收持,这叫做体惰,(《灵枢·寒热病篇》。身体受伤且出血多又感受风寒的,属于破伤风之类。或者是因跌坠所致,不一定出血,但出现四肢松懈无力的,都称为体惰。)治疗时取小腹脐下三结交穴。三结交穴,是足阳明胃经和足太阴脾经交会之处,位于脐下三寸的关元穴。(关元穴,属于任脉,同时足阳明和足太阴的经脉也都结聚于此,所以称为三结交。)
癃闭(小便不通),取阴跷脉及足大趾爪甲旁的穴位(三毛上,即大敦穴),以及血络放血。(《灵枢·热病篇》。小便不通称为癃,应当取足少阴肾经的照海穴,这是阴跷脉所生发的穴位。以及足大趾爪甲旁的大敦穴,属于足厥阴肝经。因为肾与膀胱相表里,肝经行于少腹部,所以应当取这两条经来治疗。如果有血络瘀阻的,仍然应当针刺放血。癃,音良中切。跷,音乔。)
男子患病如蛊毒胀闷状,女子患病如妊娠状,身体腰脊感觉像散架一样松弛无力,不想饮食,先针刺涌泉穴见血,观察足背动脉盛满处,全部刺出其血。(蛊,如同中了蛊毒导致的胀闷感。当作“胎”解。如蛊如胎,是没有这种病但外形相似。身体腰膝像散架,指疲倦松散不能收持。涌泉穴,是足少阴肾经的穴位。跗上,指足面,这里以足阳明经而言,凡是脉气盛满的地方,都应当刺出其血。 ,音将预切。)
病发为泄泻下血,取曲泉穴。(《灵枢·厥病篇》。病发为泄泻下血,是肝脏不能藏血的缘故,所以应当取足厥阴肝经的曲泉穴。)
疟疾不口渴,隔日发作一次的,取足阳明经;口渴且每日发作一次的,取手阳明经。(《灵枢·杂病篇》。《刺疟论》说:疟疾不口渴,隔日发作的,刺足太阳经;口渴且隔日发作的,刺足少阳经。详见疾病类第五十节。)
易怒且不想吃东西,说话声音越来越小,针刺足太阴经;易怒且多言,针刺足少阳经。(容易发怒但不想进食,说话声音越来越小的,是损伤了脾脏,所以应当针刺足太阴经并采用补法。易怒且多言的,是肝胆邪气实证,所以应当针刺足少阳经并采用泻法。)
呃逆,用草刺激鼻腔引起喷嚏,打了喷嚏就好了;或者屏住呼吸迅速引导气机下行,立刻就好;或者突然惊吓患者,也可以好。(哕,即呃逆。治疗它的方法,用草刺激鼻子引起喷嚏,喷嚏打出则气机通达,呃逆即可停止,这是一种方法。或者闭口鼻之气,使其屏息,然后迎其气而引导疏散,不让气机上逆,就可以立刻停止,这是第二种方法。或者用其他事情惊吓他,也可以停止,这是治疗呃逆的第三种方法。我按语:《内经》各篇中并没有呃逆这一证候,看这一节治疗哕的三种方法,都是用来治疗呃逆的,可见古时候所说的哕,就是呃逆无疑。如《口问篇》说:食物进入胃中,胃气上注于肺,现在因为有旧的寒气与新的谷气一起返还入胃,新旧之气相乱,真气与邪气相攻,气机并合而上逆,再从胃中出来,所以发生哕。又说:肺主司哕。张仲景说:阳明病不能进食,如果攻其热必然导致哕。之所以这样,是因为胃中虚冷的缘故。因为这个人本来虚弱,所以攻其热必然导致哕。又说:如果胃中虚冷不能进食的人,喝水就会引发哕。成无己说:如果是哕,则是吃吃有声的情况。这个哕就是呃逆,而且是由于阳明、太阴的虚寒引起的,这也就可以知道了。为什么从李东垣以下,认为哕属于少阳,是无物有声,属于气病呢?朱丹溪说:有声有物吐出叫呕吐,有声无物吐出叫哕。这都是把干呕当作哕。到了陈无择又把哕当作咳逆。干呕属于呕,咳逆属于嗽,都与哕有什么关系?各种说法不同,都是没有深入考察罢了。哕,音于决切,又音诲。)
络脉疼痛牵引胁肋下方及少腹而痛胀,针刺 穴。(《素问·骨空论》。季胁下软处叫做 中。 穴,是足太阳膀胱经的穴位。 音秒。 音衣希。)
针刺治疗各种痛证,患者的脉象都应当是实脉(《灵枢·终始篇》。这里说的是可以针刺治疗的痛证,脉象必定都是实的。那么脉虚的,就不适宜针刺,这是显而易见的。)所以说:腰部以上部位的病,手太阴肺经和手阳明大肠经主治;腰部以下部位的病,足太阴脾经和足阳明胃经主治。(这是近取法。腰部以上,是天之气,所以应当取肺和大肠两条经,因为肺经自胸走手,大肠经自手上头。腰部以下,是地之气,所以应当取脾胃两条经,因为脾经自足入腹,胃经自头走足。病在阴在阳,分别观察其所主的经脉而进行针刺。)
病在上部的从下部取穴,病在下部的从上部取穴,病在头部的取足部穴位,病在腰部的取 穴。(这是远取法。有病在上部而脉气通于下部的,应当取下部。病在下部而脉气通于上部的,应当取上部。所以在头部的取足部穴位,在腰部的取 穴。疏通源头则水流自然通畅,所以各条经脉都有井、荥、俞、原、经、合的区别。)病生于头部的头部沉重,病生于手臂的手臂沉重,病生于足部的足部沉重,治疗疾病要先针刺病邪产生的根源。(先针刺病邪产生的根源,必须探求疾病的根本。)
病痛性质的属于阴,(同前篇。凡是病痛,多由寒邪滞逆于经络,以及深居筋骨之间,凝聚不散,所以病痛性质属于阴。)疼痛但用手按压找不到的属于阴,应当深刺。(按压找不到的,说明病邪隐藏深处,这是阴邪,所以针刺也应当深。那么疼痛在浅表的,有属于阳邪的可知,只是诸痛属于阴的多罢了。)病在上部的属于阳,病在下部的属于阴。瘙痒属于阳,应当浅刺。(阳主升,所以在上部的属于阳。阴主降,所以在下部的属于阴。瘙痒,是散动于皮肤腠理之间,所以属于阳。凡病在阳的,都适宜浅刺。其在下部的,自然应当深刺无疑。)病先从阴分起的,先治其阴而后治其阳;病先从阳分起的,先治其阳而后治其阴。(这是从经络部位来说阴阳。病在阴在阳,发病有先后顺序。先发病的是病的本,后发病的是病的标。治疗必须先治其本,也就是上文所说的先针刺病邪产生根源的意义。)
(From *Ling Shu: Nine Needles and Twelve Sources*, *Cold-Heat Diseases*, *Heat Diseases*, *Jue Diseases*, *Miscellaneous Diseases*, *Zhong Shi*, and *Su Wen: Bone Empty Discussion*)
When needling to treat various heat syndromes, the technique should be swift and light, like a hand testing hot water; (*Ling Shu: Nine Needles and Twelve Sources*. The following sections all discuss methods of needling treatment for various diseases. "Like a hand testing hot water" refers to the application of light and dispersing techniques. Heat syndromes belong to Yang, and Yang governs the exterior, so treatment should be conducted in this manner.) When needling to treat cold syndromes or limbs feeling cold/clammy, retention of the needle should be prolonged, like a person unwilling to walk. (The phrase "like a person unwilling to walk" implies a sense of lingering and staying. Yin-cold stagnation makes obtaining Deqi difficult, so needle retention is appropriate as described.) For Yang pathologies located within the Yin aspect, select Sanli (Xialing); puncture straightly without fatigue/laxity, stop when the Qi descends, and if it does not descend, restart the procedure. (Yang pathology in the Yin aspect refers to heat in the Yin compartments. Xialing is another name for Sanli, an acupoint of the Foot-Yangming Stomach Meridian. Dai is synonymous with Dai (lax). Qi descending indicates the retreat of pathogenic factors. If they do not retreat, re-needling is required.) For high-positioned pathologies internal to the body, select Yinlingquan; for high-positioned pathologies external to the body, select Yanglingquan. ("High position" refers to the upper body, requiring distal selection from the lower body. However, high and internal pathologies belong to the Zang organs, so one should select Yinlingquan of the Foot-Taiyin Spleen Meridian. High and external pathologies belong to the Fu organs, so one should select Yanglingquan of the Foot-Shaoyang Gallbladder Meridian.)
If the body has suffered trauma with significant blood loss, or contracted Wind-Cold, or suffered a fall/crush injury resulting in flaccidity and inability to hold the four limbs, this is called Body Languor (Ti Duo). (From *Ling Shu: Cold-Heat Diseases*. Trauma with heavy bleeding combined with Wind-Cold contraction belongs to categories such as Tetanus. Alternatively, due to falls/crushing without necessarily bleeding, but presenting with limb flaccidity, all are termed Body Languor.) Treatment involves selecting the San Jie Jiao point below the umbilicus on the lower abdomen. San Jie Jiao refers to the intersection of the Foot-Yangming and Foot-Taiyin meridians, specifically Guanyuan, three cun below the umbilicus. (Guanyuan is an acupoint of the Ren Mai [Conception Vessel]; additionally, the meridians of Foot-Yangming and Foot-Taiyin both converge here, hence the name San Jie Jiao.)
For Unclogging (Long, urinary retention), select the Yin Qiao vessel and the area above the hair tuft (San Mao Shang, i.e., Dadun), and bleed the collateral vessels. (From *Ling Shu: Heat Diseases*. Urinary retention is called Long. One should select Zhaohai of the Foot-Shaoyin Kidney Meridian, which originates from the Yin Qiao vessel. "Above the hair tuft" refers to Dadun of the Foot-Jueyin Liver Meridian. Since the Kidney and Bladder are interior-exterior paired, and the Liver Meridian traverses the lower abdomen, these two meridians should be selected for treatment. If collateral vessels are involved, they should still be pricked to bleed. Long, pronounced Liangzhong qie. Qiao, pronounced Qiao.)
Men suffering as if from Gu poison (bloating/stuffiness), women suffering as if pregnant, with a sensation of the body and waist/spine being disjointed/loose, and lack of appetite, should first have Yongquan needled until bleeding appears; observe the dorsum of the foot for fullness, and bleed all such areas fully. (Gu refers to bloating/stuffiness resembling Gu poison toxicity. It should be interpreted as "fetus/pregnancy". Like Gu and like pregnancy means the form resembles these conditions without actually having them. Body/waist/knees feeling disjointed refers to fatigue, looseness, and inability to maintain posture. Yongquan is an acupoint of the Foot-Shaoyin Kidney Meridian. Fu Shang refers to the dorsum of the foot, speaking here of the Foot-Yangming Meridian; any areas that are full/excessive should be needled to release blood. , pronounced Jiangyu qie.)
For disease manifesting as profuse bloody diarrhea, select Ququan. (From *Ling Shu: Jue Diseases*. Profuse bloody diarrhea indicates the Liver's failure to store blood internally, thus one should select Ququan of the Foot-Jueyin Liver Meridian.)
For Malaria without thirst occurring every other day, select the Foot-Yangming Meridian; for Malaria with thirst occurring daily, select the Hand-Yangming Meridian. (From *Ling Shu: Miscellaneous Diseases*. *Ci Nue Lun* states: Malaria without thirst occurring every other day, needle the Foot-Taiyang Meridian; Malaria with thirst occurring every other day, needle the Foot-Shaoyang Meridian. See Disease Category 50 for details.)
For irritability, anorexia, and progressively quieter speech, needle the Foot-Taiyin Meridian; for irritability and excessive talking, needle the Foot-Shaoyang Meridian. (Irritability with anorexia and progressively quieter speech indicates damage to the Spleen, so one should needle the Foot-Taiyin Meridian and apply tonification. Irritability with excessive talking indicates excess pathogenic factors in the Liver and Gallbladder, so one should needle the Foot-Shaoyang Meridian and apply sedation.)
For Hiccups (Yue), stimulate the nose with grass to induce sneezing; once the patient sneezes, it resolves. Alternatively, hold the breath and rapidly guide the Qi downward, and it will resolve immediately. Alternatively, startle the patient greatly, and it may also resolve. (Yue refers to hiccups. Methods of treatment include stimulating the nose with grass to induce sneezing; the sneeze allows Qi to flow freely, resolving the hiccups—this is one method. Or, close the mouth and nose to hold the breath, then guide and disperse the Qi, preventing upward rebellion, which resolves it immediately—this is the second method. Or, startle him with other matters, which may also resolve it—this is the third method for treating Yue. My commentary: None of the chapters in *Nei Jing* explicitly list "hiccups" as a syndrome. Observing these three methods for treating Yue, all are used to treat hiccups; thus, ancient Yue undoubtedly refers to hiccups. As stated in *Kou Wen*: Food enters the stomach, Stomach Qi flows up to the Lung. Now, old cold qi and new grain qi return together into the stomach; new and old confuse each other, true and evil attack each other, Qi merges and rebels, emerging from the stomach, causing Yue. It also states: The Lung governs Yue. Zhang Zhongjing said: In Yangming disease, inability to eat, attacking the heat will inevitably cause Yue. This is because of deficiency-cold in the Stomach. Because the person is originally deficient, attacking heat causes Yue. It also says: If Stomach deficiency-cold prevents eating, drinking water will cause Yue. Cheng Wuji said: If there is Yue, there is a chattering sound. This Yue is hiccups, caused by deficiency-cold of Yangming and Taiyin, which is evident. Why did Li Dongyuan and later authors claim Yue belongs to Shaoyang, involving sound without matter, representing Qi pathology? Zhu Danxi said: Sound with matter expelled is vomiting; sound without matter expelled is Yue. All these equate dry heaves with Yue. Chen Wuyue further equated Yue with cough-reversal. Dry heaves belong to vomiting; cough-reversal belongs to coughing; what relevance do these have to Yue? Various theories differ, all lacking deep investigation. Yue, pronounced Yujue qie, also pronounced Hui.)
Collateral pain pulling from the hypochondrium to the lower abdomen causing distension and pain, needle the acupoint. (From *Su Wen: Bone Empty Discussion*. The soft area below the costal margin is called Zhong. is an acupoint of the Foot-Taiyang Bladder Meridian. pronounced Miao. pronounced Yi Xi.) When needling to treat various pain syndromes, the pulse must be Excess (Shi) (*Ling Shu: Zhong Shi*). This discusses painful conditions suitable for needling, where the pulse must be Excess. Therefore, it is evident that Deficient pulses are unsuitable for needling. Thus it is said: For diseases above the waist, the Hand-Taiyin and Hand-Yangming meridians govern; for diseases below the waist, the Foot-Taiyin and Foot-Yangming meridians govern. (This is the proximal selection method. Above the waist corresponds to Heaven Qi, so one should select the Lung and Large Intestine meridians, as the Lung Meridian travels from chest to hand, and the Large Intestine Meridian from hand to head. Below the waist corresponds to Earth Qi, so one should select the Spleen and Stomach meridians, as the Spleen Meridian enters the abdomen from the foot, and the Stomach Meridian descends from head to foot. Depending on whether the disease is in Yin or Yang, observe its governing meridian and needle accordingly.)
For diseases in the upper part, select points in the lower part; for diseases in the lower part, select points in the upper part; for diseases in the head, select points on the feet; for diseases in the waist, select the acupoint. (This is the distal selection method. If a disease is in the upper part but its pulse connects to the lower part, select from the lower part. If a disease is in the lower part but its pulse connects to the upper part, select from the upper part. Hence, for head diseases, select foot points; for waist diseases, select points. By clearing the source, the flow naturally unblocks; thus, all meridians have distinctions of Jing-River, Ying-Spring, Shu-Stream, Yuan-Source, Jing-River, and He-Sea points.) Diseases originating in the head cause heaviness in the head; those originating in the arms cause heaviness in the arms; those originating in the feet cause heaviness in the feet. To treat disease, first needle the site from which the disease originated. (First needle the origin, seeking the root cause.)
Painful conditions belong to Yin. (Same chapter. Generally, painful conditions arise from Cold pathogenic factors stagnating and rebelling in the meridians, or residing deeply between sinews and bones, condensing without dispersing; thus, painful conditions are Yin.) Pain that cannot be located by palpation belongs to Yin; needle deeply. (Inability to locate by palpation indicates the pathogen is hidden deep; this is Yin-Evil, so deep needling is appropriate. Conversely, superficial pain likely involves Yang-Evil, though most pains are Yin.) Diseases in the upper part belong to Yang; diseases in the lower part belong to Yin. Itching belongs to Yang; needle shallowly. (Yang governs ascending, so upper parts are Yang. Yin governs descending, so lower parts are Yin. Itching scatters and moves in the skin and interstices, thus belonging to Yang. All Yang diseases should be needled shallowly. Lower part diseases should naturally be needled deeply.) If a disease originates in the Yin first, treat the Yin before treating the Yang; if a disease originates in the Yang first, treat the Yang before treating the Yin. (This defines Yin and Yang based on meridian locations. Diseases in Yin or Yang have onset sequences. The first onset is the Root (Ben); the subsequent onset is the Branch (Biao). Treatment must address the Root first, consistent with the previous statement about first needling the origin of the disease.)