选文赋。纷纭挥霍。李善注。挥霍。疾貌。
刺俞旁五 吴云。谓背俞两旁。去脊中行。三寸之穴。各五 。简按王诸家。并为少阴俞旁志室。（十
四椎两旁。相去脊中各三寸。）此承上文少阴俞而言。然考之甲乙气乱于肠胃发霍乱吐下编。首节载霍乱刺俞
旁五云云。不知士晏以俞为何俞。可疑。
足阳明及上旁三 简按足阳明。王为胃俞。（在十三椎下。两旁各一寸半。）张仍此。马则为胃仓。
（即胃俞旁一寸五分。）上旁三。王为肾俞之上。故云胃俞穴。马张为胃仓之上。故云胃舍穴。（十一椎下。
两旁相去各三寸。）吴及志高。不指言穴名。未详孰是。
痫惊 志云。痫 筋挛。或外感六气。或内伤七情。或饮食生痰。或大惊卒恐。病涉五脏。故当取五
脉。简按此小儿病也。太素作惊痫。甲乙亦作惊痫。载小儿杂病中。王符潜夫论云。哺乳太多。则必掣纵而生
痫病。巢源云。痫者。小儿病也。十岁以上为癫。十岁以下为痫。徐嗣伯云。大人曰癫。小儿曰痫。又巢源千
金小儿门。有三种痢。曰惊痫。食痫。风痫。可以证焉。张曰。痫。音闲。癫病也。高云。痫。癫痫也。惊。
震惊也。并误。不知痫是后世所谓惊风。圣惠方论辨之详矣。
脉五 吴云。下文其五也。各家并同。王为阳陵泉。非也。
针手太阴 甲乙。作手足太阴。马张并云。刺经渠穴。吴志高不指为某穴。下三经同。简按不指为某
穴者。似是。
刺经太阳 马吴张。经下绝句。吴云。凡言其经。而不及其穴者。本经皆可取。不必拘其穴也。马云。
刺手太阳小肠经穴。各五 。当是其经穴阳谷也。高据王注。直改经作足。简按吴近是。然太阳不言手足。当
从王义。马以经为经穴之经。故云阳谷。
刺手少阴经络旁者 甲乙。作手足少阴。吴云。着某经旁者。非经非穴。取其孙络也。马云。刺手少
阴心经络穴通里。然谓之络旁。则是手太阳小肠经支正穴也。张云。手少阴之经穴灵台也。在络穴通里之旁。
故曰络旁。
上踝五寸 马云。即足少阴肾经筑宾穴也。简按张志高并仍王注。此泻木实也。如刺肾经则乖理。
仆击 张云。暴仆如击也。楼氏纲目云。其卒然仆倒。经称为击仆。世又称为卒中风。是也。简按九
宫八风篇云。其有三虚。而偏中于邪风。则为击仆偏枯矣。楼说为长。吴云。暴仆。为物所伤也。志云。癫痫
之外实也。俱属臆解。
气满发逆 吴云。气满。气急而粗也。发逆。发为上逆也。志云。浊气之在中也。
隔塞闭绝 赵府本。塞。作则。熊张同。误也。风论云。食饮不下。鬲塞不通。本神篇云。愁忧者。
气闭塞而不行。吴云。若隔而闭绝上下。水谷不得通利。则暴忧之所为也。
暴厥 吴云。暴气上逆也。
聋偏塞闭不通 吴。偏下绝句。注云。偏。偏枯也。简按当从王注。
内气暴薄也 吴云。薄。雷风相薄之薄。击荡之称也。
不从内外中风之病 滑云。膏粱之疾。暴忧之病。内气暴薄。此三者。不从内。外中风之病。谓非外
伤也。以非外伤。故为病。留瘦住着。不若风家之善行数多也。吴同。张云。有病不从内。而外中风寒。藏蓄
不去。则伏而为热。故致燔烁消瘦。此以表邪留薄。而着于肌肉筋骨之间也。简按张从王注。为胜。下文云。
跛寒风湿之病也。即外中风之属。而留着者。则滑注不可从。
瘦留着 滑云。瘦。当作 。如人焉 哉之 。 。匿也。 匿住着。不之去也。吴仍此。简按改瘦
作。似僻。
跛 马云。 。音只。跖同。孟子。鸡鸣而起章盗跖从庶。陈仲子廉士章从石。义同也。楚人谓跳
曰。跛。音波。易曰。跛能履。又音避。国语云。丘无跛。吴云。足前点步。谓之 。一足偏引。谓之跛。
张云。足不可行。谓之 。志云。 。足也。跛。行不正。而偏费也。高云。 。践履也。跛。不正也。简按
跖通。说文。跖。足下也。又作 。 跛。乃汉书 之义。（贾谊传。病非徒 也。又苦 。注。 。
脚掌也。 。戾也。）故王注云。足跛而不可履也。志仍此。方氏通雅。以 为螈 。太疏。
耳鸣 吴云。阳明胃脉。上耳前循发际。至颞 。故头痛耳鸣。为肠胃之所生。张同。简按口问篇云。
胃中空。宗脉虚。而下溜。脉有所竭。故耳鸣。决气篇云。液脱者耳数鸣。据此数义。王注为得矣。
选文赋。纷纭挥霍。李善注：挥霍，形容动作迅疾的样子。
刺俞旁五。吴崑注释说：指的是背部俞穴两旁，距离脊柱中线三寸的穴位，每个穴位针刺五次。简按：考察王冰及诸家注解，均认为是少阴俞旁的志室穴。（位于第十四椎两旁，距离脊中各三寸。）这是承接上文关于少阴俞而言。然而考证《甲乙经》“气乱于肠胃发霍乱吐下”一节，首节记载霍乱刺“俞旁五”，不知士晏（杨上善）所说的“俞”是指哪个俞穴，此处存疑。
足阳明及上旁三。简按：足阳明，王冰注为胃俞。（位于第十三椎下，两旁各一寸半。）张景岳沿袭此说。马莳则认为是胃仓穴。（即胃俞旁一寸五分。）“上旁三”，王冰认为是肾俞之上，所以称为胃俞穴；马莳、张景岳认为是胃仓之上，所以称为胃舍穴。（位于第十一椎下，两旁相距各三寸。）吴崑及高世栻未明确指出穴位名称，不详孰是孰非。
痫惊。张志聪注释说：痫病表现为筋脉拘挛。或因外感六淫之气，或因内伤七情，或因饮食生痰，或因大惊卒恐。病涉五脏，故应当取五脉。简按：这是小儿的疾病。《太素》作“惊痫”。《甲乙经》也作“惊痫”，载于小儿杂病中。王符《潜夫论》说：哺乳过多，必然导致抽搐而患痫病。巢元方《诸病源候论》说：痫，是小儿的病。十岁以上为癫，十岁以下为痫。徐嗣伯说：大人叫癫，小儿叫痫。又据《诸病源候论》和《千金要方·小儿门》，有三种痢疾（此处原文可能有误，通常指痫证分类），曰惊痫、食痫、风痫，可以以此证明。张景岳说：痫，音闲，是癫病。高世栻说：痫，是癫痫；惊，是震惊。都解释错误。不知道痫是后世所谓的惊风，《太平圣惠方》论述得很详细。
脉五。吴崑注释说：下文提到的“其五”。各家注解相同。王冰注为阳陵泉，是不对的。
针手太阴。《甲乙经》作“手足太阴”。马莳、张景岳都说是刺经渠穴。吴崑、高世栻不指定为某个穴位，下面两条经脉同理。简按：不指定为某个穴位，似乎是正确的。
刺经太阳。马莳、吴崑、张景岳在“经”字后断句。吴崑注释说：凡是说“其经”而不提及具体穴位的，本经皆可取用，不必拘泥于特定穴位。马莴说：刺手太阳小肠经的穴位，每个穴位五次。应当是其经穴阳谷穴。高世栻依据王冰注，直接将“经”改为“足”。简按：吴崑的说法接近正确。然而太阳经不言明手足，应当遵从王冰的本意。马莳将“经”理解为经穴之“经”，所以说阳谷穴。
刺手少阴经络旁者。《甲乙经》作“手足少阴”。吴崑注释说：附着在某经旁边的，既不是正经也不是特定穴位，而是取其孙络。马莳说：刺手少阴心经的络穴通里。然而称为“络旁”，则是手太阳小肠经的支正穴。张景岳说：是手少阴的经穴灵台穴。位于络穴通里的旁边，所以叫络旁。
上踝五寸。马莳注释说：就是足少阴肾经的筑宾穴。简按：张志高仍沿用王冰注。这是泻肝木之实的方法。如果刺肾经则违背医理。
仆击。张景岳注释说：突然仆倒如同被打击一样。楼氏《纲目》说：其突然仆倒，经典称为击仆，世俗又称为卒中中风，是正确的。简按：《九宫八风篇》说：如果有三种虚损，且偏中被邪风侵袭，就会成为击仆偏枯。楼氏的说法更合理。吴崑注释说：暴然仆倒，是被物体所伤。张志聪注释说：是癫痫之外的实证。都属于臆测之解。
气满发逆。吴崑注释说：气满，是气急而粗重。发逆，是发作向上逆冲。张志聪注释说：浊气滞留于中焦。
隔塞闭绝。赵府本，“塞”作“则”。熊宗立、张景岳同此，是错误的。《风论》说：饮食不下，膈塞不通。《本神篇》说：忧愁的人，气闭塞而不行。吴崑注释说：如果膈而闭绝上下，水谷不得通利，则是暴忧所致。
暴厥。吴崑注释说：暴然气机上逆。
聋偏塞闭不通。吴崑在“偏”字后断句。注释说：偏，指偏枯。简按：应当遵从王冰注。
内气暴薄也。吴崑注释说：薄，如雷风相薄之薄，是撞击激荡的意思。
不从内外中风之病。滑寿注释说：膏粱之疾、暴忧之病、内气暴薄，这三者，不属于从内或从外中风之病。所谓非外伤。因为不是外伤，所以病邪留滞消瘦，附着不去，不像风家那样善行数变。吴崑观点相同。张景岳注释说：有病不从内，而外受中风寒，藏蓄不去，则伏而为热，导致燔烁消瘦。这是表邪留滞，附着于肌肉筋骨之间。简按：张景岳遵从王冰注，更为胜算。下文说：“跛寒风湿之病也”，即属于外中风的一类，而留着不去的，则滑寿的注释不可从。
瘦留着。滑寿注释说：瘦，当作“瘘”。如人焉廋哉之廋。廋，隐匿之意。匿藏着留着，不去除。吴崑仍沿袭此说。简按：改“瘦”为“瘘”，似乎像“僻”。
瘘跛。马莳注释说：瘘，音只，与跖同。《孟子》鸡鸣而起章盗跖从庶，陈仲子廉士章从石，义相同。楚人称跳为跛，音波。《易经》说：跛能履。又音避。《国语》说：丘无跛。吴崑注释说：足前点步，谓之瘘。一足偏引，谓之跛。张景岳注释说：足不可行，谓之瘘。张志聪注释说：瘘，足也。跛，行不正而偏废也。高世栻注释说：瘘，践履也。跛，不正也。简按：跖通假。《说文》：跖，足下也。又作瘘。瘘跛，乃《汉书》中的意义。（贾谊传：病非徒瘘也，又苦跛。注：瘘，脚掌也。跛，戾也。）所以王冰注说：足跛而不可履。张志聪仍沿袭此说。方氏《通雅》以瘘为螈蠋，太疏漏。
耳鸣。吴崑注释说：阳明胃脉，上耳前循发际，至颞颥。所以头痛耳鸣，是肠胃所生。张景岳观点相同。简按：《口问篇》说：胃中空，宗脉虚，而下溜，脉有所竭，故耳鸣。《决气篇》说：液脱者耳数鸣。根据这些义理，王冰的注释是正确的。
Selected text from the Fu (Rhapsody). "Fenyun huohuo" (Disordered and rapid movements). Li Shan's commentary: "Huohuo" describes a state of swift motion.
Puncture five points beside the Back-Shu points. Wu Kun's annotation states: This refers to the points on both sides of the Back-Shu points, three cun away from the midline of the spine, each punctured five times. Jian An (Commentary): Examining the annotations of Wang Bing and other schools, they all refer to the Zhi Shi (BL52) points beside the Shaoyin Shu point. (Located on both sides of the 14th thoracic vertebra, three cun from the spinal midline.) This follows the discussion of the Shaoyin Shu point mentioned above. However, consulting the *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion), in the section "Qi disorder in the intestines and stomach causing Huoluan with vomiting and diarrhea," the first section mentions puncturing "five points beside the Shu." It is unclear which Shu point Yang Shangshan referred to; this remains doubtful.
Foot Yangming and the upper three lateral points. Jian An: Foot Yangming, Wang Bing annotated as Wei Shu (ST21? Note: Text says Wei Shu, likely referring to BL21 Weishu located at T11, but text says T13 below - checking standard anatomy: BL21 is T11. The text says "T13 below", which might be a textual error or specific reference. I will translate literally as per instruction). (Located below the 13th thoracic vertebra, one and a half cun on both sides). Zhang Jingyue followed this. Ma Shi considered it Weicang (BL20). (One and a half cun beside Weishu). "The upper three lateral points": Wang Bing considered them above Shenshu, thus calling them Weishu points. Ma Shi and Zhang Jingyue considered them above Weicang, thus calling them Wushe points. (Located below the 11th thoracic vertebra, three cun apart on both sides). Wu Kun and Gao Shishi did not specify the acupoint names; it is unknown which is correct.
Epilepsy and Fright. Zhang Zhicong's annotation: Epilepsy manifests as tendon spasm. It may be caused by external contraction of the Six Qi, internal injury of the Seven Emotions, dietary accumulation producing phlegm, or sudden fright and terror. The disease involves the Five Zang organs, therefore one should select the Five Mai (Meridians/Vessels). Jian An: This refers to pediatric diseases. *Tai Su* writes "Jingxian" (Fright-Epilepsy). *Jia Yi Jing* also writes "Jingxian," recorded under pediatric miscellaneous diseases. Wang Fu's *Qianfu Lun* states: Excessive breastfeeding inevitably leads to convulsions and epilepsy. Chao Yuanfang's *Zhubing Yuanhou Lun* states: Xian is a pediatric disease. Those over ten years old have Dian; those under ten have Xian. Xu Sibai states: Adults have Dian; children have Xian. Furthermore, according to *Zhubing Yuanhou Lun* and *Qianjin Yaofang · Pediatric Section*, there are three types classified as Jinxian, Shipian, and Fengpian, which can serve as evidence. Zhang Jingyue states: Xian, pronounced Xian, is Dian disease. Gao Shishi states: Xian is Dianxian; Jing is fright. Both are mistaken. They do not realize that Xian refers to what later generations called Jingfeng (Pediatric Convulsive Disease); *Taiping Shenghui Fang* discusses this in detail.
Mai Wu (Five Vessels/Pulses). Wu Kun's annotation: Refers to "the five" mentioned in the following text. All schools agree. Wang Bing annotated as Yanglingquan (GB34), which is incorrect.
Puncture Hand Taiyin. *Jia Yi Jing* writes "Hand and Foot Taiyin." Ma Shi and Zhang Jingyue both say to puncture Jingqu (LU8). Wu Kun and Gao Shishi do not designate a specific acupoint; the same applies to the next two meridians. Jian An: Not designating a specific acupoint seems correct.
Puncture the Jing (Meridian) of Taiyang. Ma Shi, Wu Kun, and Zhang Jingyue place a pause after "Jing." Wu Kun's annotation: Whenever "its Jing" is mentioned without specifying an acupoint, any point on the primary meridian may be selected; one need not be confined to a specific point. Ma Shi says: Puncture the acupoints of the Hand Taiyang Small Intestine Meridian, five times each. It should be the Jing-River point Yanggu (SI5). Gao Shishi, relying on Wang Bing's note, directly changed "Jing" to "Foot." Jian An: Wu Kun's view is close to being correct. However, since Taiyang does not specify Hand or Foot, one should follow Wang Bing's interpretation. Ma Shi interpreted "Jing" as the Jing-Meet point of the meridian, hence mentioning Yanggu.
Puncture beside the Luo (Collateral) of Hand Shaoyin. *Jia Yi Jing* writes "Hand and Foot Shaoyin." Wu Kun's annotation: What attaches beside a certain meridian is neither the main meridian nor a specific acupoint, but rather its Sunluo (Branch Collaterals). Ma Shi says: Puncture Tongli (HT5), the Luo-Connecting point of the Hand Shaoyin Heart Meridian. However, since it is called "beside the Luo," it refers to the Zhengjing (SI7) point of the Hand Taiyang Small Intestine Meridian. Zhang Jingyue says: It is Lingtai (GV10), the Jing-River point of the Hand Shaoyin. It is located beside the Luo point Tongli, hence called "beside the Luo."
Five cun above the malleolus. Ma Shi's annotation: This is the Zubin (KI9) point of the Foot Shaoyin Kidney Meridian. Jian An: Zhang Zhicong and Gao Shishi still follow Wang Bing's note. This is to drain excess Wood. If one punctures the Kidney Meridian, it would violate medical principles.
Puji (Sudden Collapse/Stroke). Zhang Jingyue's annotation: Sudden collapse as if struck. Lou's *Gangmu* states: Their sudden falling down is called "Jipu" in classics, and commonly known as stroke/fengzhong in the world; this is correct. Jian An: The *Jiugong Bafeng Pian* states: If there are three types of deficiency and one is partially struck by evil wind, it becomes Jipu and hemiplegia. Lou's explanation is more reasonable. Wu Kun's annotation: Sudden collapse is due to injury by an object. Zhang Zhicong's annotation: It is an excess syndrome outside of epilepsy. Both belong to speculative interpretations.
Qi fullness leading to rebellion/reversal. Wu Kun's annotation: Qi fullness means urgent and coarse breathing. Fa Ni means attacking upward in rebellion. Zhang Zhicong's annotation: Turbid qi stagnating in the middle.
Ge Sai Bi Jue (Diaphragmatic obstruction and closure). Zhao Fu edition: "Sai" is written as "Ze." Xiong Zongli and Zhang Jingyue follow this, which is erroneous. *Feng Lun* states: Food and drink cannot pass through, diaphragmatic obstruction is unsmooth. *Ben Shen Pian* states: Those who worry and grieve have qi blocked and unable to flow. Wu Kun's annotation: If the diaphragm is obstructed and upper/lower passages are closed, so that water and grain cannot pass smoothly, it is caused by sudden grief.
Bao Jue (Sudden Syncope). Wu Kun's annotation: Sudden upward rebellion of Qi.
Deafness, partial blockage, and complete obstruction. Wu Kun places a pause after "Pian." Annotation: Pian refers to hemiplegia. Jian An: One should follow Wang Bing's note.
Internal Qi suddenly pressing/thinning. Wu Kun's annotation: Bo, as in "Lei Feng Xiang Bo" (Thunder and wind interacting mutually), denotes striking and agitation.
Diseases of Wind-Strike not originating from inside or outside. Hua Shou's annotation: Diseases of rich food and fine wine, diseases of sudden grief, and internal Qi sudden pressure—these three do not belong to diseases of wind-strike from inside or outside. It is said to be non-external trauma. Because it is not external trauma, the pathogenic factor remains, causing emaciation and stagnation, unlike wind pathogens which move quickly and change frequently. Wu Kun agrees. Zhang Jingyue's annotation: There are diseases that do not originate from within but are externally contracted wind-cold, stored and not expelled, then lying dormant turning into heat, causing burning and emaciation. This is because exterior pathogens remain and attach between muscles, sinews, and bones. Jian An: Zhang Jingyue follows Wang Bing's note, which is superior. The following text says: "Bopie, cold, wind-dampness diseases," which belong to external wind-strike. For those that remain attached, Hua Shou's annotation cannot be followed.
Emaciation with stagnation/sticking. Hua Shou's annotation: "Shou" should be read as "Lou" (or similar character implying hiding/concealing). Like the "Sou" in "Ren Yan Sou Zai." Sou means hiding. Hiding and sticking, not going away. Wu Kun follows this. Jian An: Changing "Shou" to "Lou" seems like "Pi" (crooked/deviant).
Lou Bie (Atrophy and Lameness). Ma Shi's annotation: Lou, pronounced Zhi, is identical to Zhi (foot sole). *Mencius*: In the chapter "Rising at Cockcrow," Dao Zhi follows Shu; in the chapter "Chen Zhongzi, a Man of Integrity," he follows Shi. The meaning is the same. Chu people call jumping "Bo," pronounced Bo. *I Ching* says: "Bo neng lv" (Lame but able to walk). Also pronounced Bi. *Guo Yu* says: "Qiu wu bo." Wu Kun's annotation: Touching the ground with the front of the foot is called Lou. Pulling with one leg unevenly is called Bo. Zhang Jingyue's annotation: Unable to walk is called Lou. Zhang Zhicong's annotation: Lou means foot. Bo means walking irregularly and having a disability. Gao Shishi's annotation: Lou means treading/walking. Bo means irregularity. Jian An: Zhi is interchangeable. *Shuowen*: Zhi means the sole of the foot. Also written as Lou. Lou-Bie is the meaning in *Han Shu*. (*Jia Yi Zhuan*: "The illness is not merely Lou, but also suffers from Bo." Commentary: Lou is the foot sole. Bo is deviation/crookedness.) Therefore, Wang Bing's note says: Foot is lame and cannot tread. Zhang Zhicong follows this. Fang's *Tongya* interprets Lou as Youzhu (grasshopper-like insect?), which is too far-fetched.
Tinnitus. Wu Kun's annotation: The Stomach Meridian of Foot-Yangming ascends before the ear, follows the hairline, to the temple. Therefore, headache and tinnitus are generated by the stomach and intestines. Zhang Jingyue agrees. Jian An: *Kouwen Pian* states: When the Stomach is empty, the Zong Mai (Gathering Vessels) become deficient and flow downward; when the vessels are exhausted, tinnitus occurs. *Jueqi Pian* states: When body fluids are depleted, the ears ring frequently. Based on these meanings, Wang Bing's note is accurate.