少阴。（复溜主之。取同飞阳。注从腰痛上寒不可顾至此件，经语，除注，并合朱书。按∶新校正云∶“全元
起本及甲乙经并太素，自腰痛上寒至此并无，乃王氏所添也。今注云从腰痛上寒至并合朱书十九字，疑非王氏
语，盖后人之所加也。”）腰痛引少腹控 ，不可以仰。（按∶新校正云∶“甲乙经作不可以俯仰。”）刺腰
尻交者两髁胂上，以月生死为 数，发针立已。此邪客于足太阴之络也。控，通引也。 谓季胁下之空软处
也。腰尻交者，谓踝下尻骨两旁四骨空，左右八穴，俗呼此骨为八 骨也。此腰痛取腰踝下第四 ，即下 穴
也。足太阴厥阴少阳三脉，左右交结于中，故曰腰尻交也。两踝胂，谓两髁下坚起肉也。胂上，非胂之上巅，
正当刺胂肉矣，直刺胂上，即胂上也。何者？胂之上巅，别有中膂内俞、白环俞，
虽并主腰痛，考其形证，经不相应矣。踝骨，即腰脊两旁起骨也。挟脊两旁腰髁之下，各有胂陇起而斜趣于髁
骨之后，内承其髁，故曰两髁胂也。下承髁胂肉，左右两胂，各有四骨空，故曰上 、次 、中 、下 。上
当髁骨下陷者中，余三 少斜下，按之陷中是也。四空悉主腰痛，惟下 所主，文与经同，即太阴厥阴少阳
所结者也。刺二寸，留十呼，灸三壮。以月生死为 数者，月初向圆为月生，月半向空为月死；死月刺少，生
月刺多。缪刺论曰∶“月生一日一 ，二日二 ，渐多之；十五日十五 ，十六日十四 ，渐少之。”其 数
多少，如此即知也。左取右，右取左。（痛在左，针取右；痛在右，针取左。所以然者，以其脉左右交结于尻
骨之中故也。按∶新校正云∶“详此腰痛引少腹一节，与缪刺论重。”）
少阴经（足少阴肾经）。由复溜穴主治。针刺时取同名的飞阳穴相配合。（注：从“腰痛上寒”到“并合朱书”这十九字，是经文语句，除去注文，合并朱笔批注部分。按语：新校正说：“全元起本、《甲乙经》以及《太素》，从‘腰痛上寒’到这里都没有这些文字，这是王冰所添加的。现在注中说从‘腰痛上寒’到‘并合朱书’共十九字，怀疑不是王冰的话，大概是后人加上去的。”）腰痛牵引少腹，牵及季胁下空软处，不能仰卧。（按语：新校正说：“《甲乙经》作不能俯仰。”）针刺腰尻骨交会处的两旁髁骨下方的肌肉隆起处，根据月亮的盈亏变化来确定针刺的次数（或留针时间），针一发出疼痛立即停止。这是因为邪气客居在足太阴脾经的络脉所致。“控”，通“引”，即牵引的意思。“䏚”（dì），指季胁下的空软部位。“腰尻交者”，指的是踝骨下方、尾骨两旁四块骨的空隙，左右共八个穴位，俗话称这块骨头为“八髎骨”。治疗这种腰痛，选取腰踝下方的第四个空隙，即下髎穴。足太阴脾经、足厥阴肝经、足少阳胆经这三条经脉，在中间左右交叉结聚，所以称为“腰尻交”。所谓的“两髁胂”，是指两个髁骨下方坚硬隆起的肌肉。“胂上”，并不是指胂肉的最高顶端，而是正当刺入胂肉的地方，直刺胂上，就是刺胂肉之上部。为什么呢？因为胂肉的顶端上方，另有中膂俞、白环俞穴，虽然都主治腰痛，但考察其形态和证候，与经文描述不相符合。踝骨，就是腰脊两旁隆起的骨头。在挟持脊柱两侧的腰髁之下，各有肌肉隆起而斜向趋向于髁骨之后，内部承托着髁骨，所以称为“两髁胂”。在髁骨下方的胂肉之下，左右两边的胂肉，各有四个骨空，所以称为上髎、次髎、中髎、下髎。上髎位于髁骨下方的凹陷正中，其余三个髎穴稍微斜向下，按压时感到凹陷即是。这四个骨空都主治腰痛，只有下髎穴的主治描述，与经文原文相同，也就是足太阴、足厥阴、足少阳三条经脉结聚的地方。针刺深度二寸，留针十次呼吸的时间，艾灸三壮。所谓“以月生死为数”，月亮从初一到十五逐渐圆满称为“月生”，从十六到三十逐渐亏空称为“月死”；在月死期间针刺次数要少，在月生期间针刺次数要多。《缪刺论》说：“月亮初生第一天刺一针，第二天刺两针，逐渐增加；第十五天刺十五针，第十六天刺十四针，逐渐减少。”针刺数量的多少，就是这样确定的。左边的病取右边的穴位，右边的病取左边的穴位。（疼痛在左边，针刺取右边；疼痛在右边，针刺取左边。之所以这样，是因为经脉在尾骨中部左右交叉结聚的缘故。按语：新校正说：“详细考察这段关于腰痛牵引少腹的文字，与《缪刺论》中的内容重复了。”）
Shaoyin (Foot-Shaoyin Kidney Meridian). Treated by Fuli (KI7, Replying Flow). When needling, combine with Feiyang (BL58, Flying Yang), the同名 (same-name) point. [Note: The nineteen characters from "upper cold of lower back pain" to "combined with vermilion text" are part of the classic text; excluding annotations, they are merged with the vermilion commentary. Comment: The New Correction states that "Quanyuanqi's edition, Jia Yi Jing, and Tai Su all lack these words from 'upper cold of lower back pain' onwards; this was added by Wang Bing. The current note mentions these nineteen characters, suspected not to be Wang Bing's words but likely added by later generations."] Lower back pain radiating to the hypogastrium and pulling into the empty soft area below the costal margin, making supine position impossible. [Comment: The New Correction states that "Jia Yi Jing reads 'unable to flex and extend'."] Needle at the crossing points of the lumbar sacrum on both sides, specifically on the muscle mass above the lateral malleolus region of the sacrum. Determine the number of needle insertions or retention time based on the waxing and waning of the moon. The pain ceases immediately upon needle insertion. This is due to pathogenic factors lodging in the Luo-connecting vessels of the Foot-Taiyin Spleen Meridian. "Kong" (pulling/radiating) is synonymous with "Yin" (to pull/lead). "Di" refers to the hollow, soft area below the costal margin. "Yao Kao Jiao Zhe" (Lumbar-Sacral Crossing Points) refers to the four bony gaps on either side of the coccyx below the ankle/sacral level, totaling eight acupoints on the left and right. Colloquially, this bone structure is called the "Ba Liao Bones" (Eight Hollows). For this type of lower back pain, select the fourth gap below the lumbar-ankle region, which is Xi Liao (BL32, Lower Hollow). The Foot-Taiyin Spleen, Foot-Jueyin Liver, and Foot-Shaoyang Gallbladder meridians cross and interconnect in the middle, hence termed "Lumbar-Sacral Crossing." "Liang Ke Shen" (Muscles above the two condyles/malleoli) refers to the firm, raised muscles below the two sacral condyles. "Shen Shang" does not refer to the very apex of the muscle mass, but rather the appropriate spot on the muscle belly itself; direct needling into the upper part of the muscle mass is indicated. Why? Because above the apex of the muscle mass lie Zhong Lv Shu (BL27, Middle Spine Shu) and Bai Huan Shu (BL30, White Ring Shu); although both treat lower back pain, their anatomical locations and indications do not fully correspond to the classic description. The "ankle bone" here refers to the prominent bones on both sides of the lumbar spine. Below the lumbar condyles on either side of the spine, there are muscle ridges sloping towards the posterior aspect of the condylar bones, internally supporting the condyles, thus called "two condylar muscles." Beneath these condylar muscles, on both the left and right sides, there are four bony gaps each, hence named Shang Liao (BL31, Upper Hollow), Ci Liao (BL32, Secondary Hollow), Zhong Liao (BL33, Middle Hollow), and Xia Liao (BL34, Lower Hollow). Shang Liao is located in the depression directly below the condylar bone; the other three are slightly oblique and downward, identified by palpable depressions. All four gaps treat lower back pain, but only the indication for Xia Liao matches the classic text exactly, representing the convergence of the Foot-Taiyin, Foot-Jueyin, and Foot-Shaoyang meridians. Needling depth: 2 cun. Retain needles for 10 respiratory cycles. Moxibustion: 3 moxa cones. "Number based on moon's waxing/waning": The period from new moon to full moon is "moon waxing" (Sheng Yue); from full moon to new moon is "moon waning" (Si Yue). Fewer needles during waning, more during waxing. The Treatise on Miao Stimulation states: "On the first day of the waxing moon, needle one point; on the second day, two points, increasing gradually; on the 15th day, 15 points; on the 16th day, 14 points, decreasing gradually." Thus, the number of needles is determined accordingly. Treat left-sided pain by needling the right side, and right-sided pain by needling the left side. (Pain on the left requires needling on the right; pain on the right requires needling on the left. This is because the meridians cross and interconnect in the mid-sacral region. Comment: The New Correction notes that "this section on lower back pain radiating to the hypogastrium duplicates content found in the Treatise on Miao Stimulation.")