大怒无刺（大，一作新），已刺无怒（已，一作新）。新内无刺，已刺无内。大劳无刺（大，一作新），已刺无劳。大
醉无刺，已刺无醉。大饱无刺，已刺无饱。大饥无刺，已刺无饥。大渴无刺，已刺无渴。无刺大惊，无刺 之热，无
刺漉漉之汗，无刺浑浑之脉。身热甚，阴阳皆争者，勿刺也。其可刺者，急取之，不汗则泄。所谓勿刺者，有死征也。
无刺病与脉相逆者。上工刺未生，其次刺未盛，其次刺己衰，粗工逆此，谓之伐形。（出九卷）
太阳病，头痛，至七日，自当愈，其经音故也。若欲作再经者，当针足阳明，使经不传则愈。太阳病，初服桂枝汤，
而反烦不解者，当先刺风池、风府，乃却与桂枝汤则愈。伤寒，腹满而谵语，寸口脉浮而紧者，此为肝乘脾，名纵，当
刺期门。伤寒，发热，啬啬恶寒，其人大渴，欲饮酢浆者，其腹必满，而自汗出，小便利，其病欲解，此为肝乘肺，名
曰横，阳明病，下血而谵语，此为热入血室。但头汗出者，当刺期门，随其实而泻之， 然汗出者则愈。妇人中风，发
热恶寒，经水适来，得之七、八日，热除，脉迟，身凉，胸胁下满，如结胸状，其人谵语，此为热入血室，当刺期门，
随其虚实而取之。（《平病》云∶热入血室，无犯胃气及上三焦。与此相反，岂谓药不谓针耶）太阳与少阳并病，头痛，
颈项强而眩，时如结胸，心下痞坚，当刺大杼第一间，肺俞、肝俞，慎不可发汗，发汗则谵语，谵语则脉弦。谵语五日
不止，当刺期门。少阴病，下利，便脓血者，可刺。妇人伤寒，怀身腹满，不得小便，加从腰以下重，如有水气状，怀
身七月、太阴当养不养，此心气实，当刺泻劳宫及关元，小便利则愈。伤寒，喉痹，刺手少阴。少阴在腕，当小指后动
脉是也。针入三分，补之。
问曰∶病有汗出而身热烦满，烦满不为汗解者何？对曰∶汗出而身热者，风也；汗出而烦满不解者，厥也，病名曰
风厥也。太阳主气，故先受邪，少阴与为表里也。得热则上从之，从之则厥，治之，表里刺之，饮之汤。热病三日，气
口静，人迎躁者，取之诸阳五十九刺，以泻其热，而出其汗，实其阴，以补其不足。所谓五十九刺者，两手外内侧各三，
凡十二 ，五指间各一，凡八 。足亦如是，头入发一寸旁三分，各三，凡六 ；更入发三寸，边各五，凡十 。耳前
后、口下、项中各一，凡六 。巅上一。热病先肤痛，窒鼻充面，取之皮，以第一针五十九。苛菌为轸（一云苛轸）鼻，
索皮于肺，不得索之火，火，心也。热病，嗌干多饮，善惊，卧不能安，取之肤肉，以第六针五十九。目 赤，索肉于
脾，不得索之木，木，肝也。热病而胸胁痛，手足躁，取之筋间，以第四针针于四达（一作逆）筋辟目浸索筋于肝，不
得索之金金肺也。热病数惊，螈 而狂，取之脉，以第四针急泻有余者，癫疾，毛发去，索血（一作脉），于心，不得索
之水，水，肾也。热病，而身重骨痛，耳聋而好瞑，取之骨，以第四针五十九。骨病食啮牙齿，耳清，索骨于肾无（一
本作不）得索之土，土，脾也。
热病，先身涩旁 ，（旁 《太素》作倚），烦闷，干唇嗌，取之以第一针五十九。肤胀，口干，寒汗。
热病，头痛，摄（摄一作颞 ），目脉紧，善衄，厥热也，取之以第三针，视有余不足，寒热病。
热病，体重，肠中热，取之以第四针，于其输及下诸指间，索气于胃络得气也。
热病，挟脐痛急，胸胁支满，取之涌泉与太阴、阳明（一云阴陵泉），以第四针，针嗌里。
热病而汗且出，反脉顺可汗者，取之鱼际、太渊、大都、太白。泻之则热去，补之则汗出。汗出太甚者，取踝上横
文以止之。
热病七日、八日，脉口动，喘而眩者，急刺之。汗且自出，浅刺手大指间。
热病，先胸胁痛，手足躁，刺足少阳，补手太阴，病甚，为五十九刺。
热病，先手臂痛，刺手阳明、太阴，而汗出止。
热病，始于头首者，刺项太阳而汗出止。
热病，先身重骨痛，耳聋目瞑，刺足少阴，病甚，为五十九刺。（一云刺少阳）
热病先眩冒而热，胸胁满。刺足少阴少阳。
热病，始足胫者，先取足阳明而汗出。
大怒时不可针刺（“大”字，另一版本作“新”），已经针刺后不可发怒（“已”字，另一版本作“新”）。刚行房事后不可针刺，已经针刺后不可行房事。极度疲劳时不可针刺（“大”字，另一版本作“新”），已经针刺后不可过度劳累。大醉时不可针刺，已经针刺后不可饮酒至醉。过饱时不可针刺，已经针刺后不可处于过饱状态。极度饥饿时不可针刺，已经针刺后不可处于极度饥饿状态。极度口渴时不可针刺，已经针刺后不可处于极度口渴状态。不可对受大惊刺激者进行针刺，不可对有浑浊发热症状者进行针刺，不可对有淋漓不止之汗者进行针刺，不可有脉象浑乱无序者进行针刺。身体发热严重，且阴阳之气相互争搏者，不可针刺。那些可以针刺的，应迅速取穴针刺，若不通过发汗则通过泄下法治疗。所谓不可针刺的情况，是因为出现了死亡的征兆。不可对病症与脉象相逆者进行针刺。高明的医生在疾病尚未发生时就进行干预，其次是在疾病尚未盛极时进行干预，再次是在疾病已经开始衰退时进行干预，粗劣的医生违背这些原则，这叫做损伤形体。（出自《九卷》）
太阳病，出现头痛，到了第七天，应当自愈，这是因为该经的气血运行恢复了常态。如果病情发展准备传入下一经（再经），应当针刺足阳明经的穴位，使病邪不传变则痊愈。太阳病，初次服用桂枝汤后，反而出现烦躁且症状未解除的，应当先针刺风池穴、风府穴，然后再给予桂枝汤服用，则能痊愈。伤寒病，腹部胀满且胡言乱语，寸口脉浮而紧的，这是肝气乘袭脾脏，称为“纵”，应当针刺期门穴。伤寒病，发热，怕冷瑟瑟发抖，病人极度口渴，想喝酸浆水，其腹部必然胀满，并且自然出汗，小便通利，病情将要解除，这是肝气乘袭肺脏，称为“横”。阳明病，便血且胡言乱语的，这是热邪进入血室。只有头部出汗的，应当针刺期门穴，根据其实证情况采用泻法，全身微微出汗则痊愈。妇女患中风病，发热恶寒，月经适来，病程经过七八天，热退，脉迟，身体凉爽，胸胁下胀满，像结胸证的样子，其人胡言乱语，这是热邪进入血室，应当针刺期门穴，根据其虚实情况采取相应治法。（《平病》篇说：热入血室，不要侵犯胃气及上三焦。这与本文相反，难道是指药物而非针刺吗？）太阳病与少阳病并病，头痛，颈项强直且眩晕，有时像结胸证，心下部痞塞坚硬，应当针刺大杼穴第一间，以及肺俞穴、肝俞穴，千万不要发汗，发汗则会导致胡言乱语，胡言乱语则脉象变弦。胡言乱语五天不止，应当针刺期门穴。少阴病，腹泻，排出脓血的，可以针刺。妇女患伤寒病，怀孕且腹部胀满，不能小便，加上从腰部以下沉重，好像有水气的样子，怀孕七个月，太阴经当养而不养，这是心气实证，应当针刺并泻劳宫穴及关元穴，小便通利则痊愈。伤寒病，喉痹，针刺手少阴经。少阴经在手腕处，位于小指后方动脉跳动处。针刺深度三分，用补法。
问曰：有病证表现为出汗但身体发热烦闷，烦闷不因出汗而缓解，这是什么原因？答曰：出汗而身体发热的，是风邪所致；出汗而烦闷不解的，是厥逆所致，这种病名叫风厥。太阳主司体表之气，所以先受邪气侵袭，少阴与太阳互为表里。受到热邪后，少阴之气随之向上从属，从属则导致厥逆。治疗时，对表里两经进行针刺，并饮用汤药。热病三天，气口脉静，人迎脉躁动，取诸阳经的五十九刺法，以泻去热邪，使其出汗，充实阴液，以补其不足。所谓的五十九刺，包括两手内外侧各三个穴位，共十二个；五指间各一个，共八个。足部也是如此；头部入发际一寸旁开三分处，各三个，共六个；再入发际三寸，两侧各五个，共十个。耳前、耳后、口下、项中各一个，共六个；头顶正中一个。热病先出现皮肤疼痛，鼻塞面部充血，取皮部，使用第一类针具配合五十九刺法。苛轸鼻（一种鼻部疾患，一说为苛疹），向肺索取皮部，不得向火索取，火对应心。热病，咽喉干燥多饮，容易惊恐，卧不安稳，取肌肉部，使用第六类针具配合五十九刺法。眼睛发红，向脾索取肉部，不得向木索取，木对应肝。热病且胸胁痛，手足躁动，取筋间，使用第四类针具针刺四达（另一版本作逆）筋，向肝索取筋部，不得向金索取，金对应肺。热病多次惊悸，抽搐且狂乱，取血脉，使用第四类针具急泻有余之邪，癫疾，毛发脱落，向心索取血部（另一版本作脉），不得向水索取，水对应肾。热病，身体沉重骨痛，耳聋且喜欢闭目，取骨部，使用第四类针具配合五十九刺法。骨病咬齿，耳清，向肾索取骨部，不得向土索取，土对应脾。
热病，先身体涩滞旁倚（《太素》作“倚”），烦闷，嘴唇干涩咽喉燥，取皮部，使用第一类针具配合五十九刺法。肤胀，口干，出冷汗。
热病，头痛，颞部拘急（“摄”一作“颞”），眼脉络紧，容易鼻出血，这是厥热，取用第三类针具，视有余不足，治疗寒热病。
热病，身体重，肠中热，取用第四类针具，在其输穴及下肢各指间，向胃络索取气，得气即可。
热病，挟脐部疼痛紧急，胸胁支撑胀满，取涌泉穴及太阴、阳明经（一说为阴陵泉），使用第四类针具，针刺咽部深处。
热病且汗将出，反见脉象顺可发汗者，取鱼际、太渊、大都、太白穴。泻法则热去，补法则汗出。汗出过多的，取踝上横纹处以止汗。
热病七日、八日，脉口动，气喘且眩晕者，急刺之。汗将自出，浅刺手大指间。
热病，先胸胁痛，手足躁，刺足少阳经，补手太阴经，病重者，用五十九刺法。
热病，先手臂痛，刺手阳明、太阴经，汗出则止。
热病，始于头首部的，刺项部太阳经，汗出则止。
热病，先身体重骨痛，耳聋目瞑，刺足少阴经，病重者，用五十九刺法。（一说刺少阳经）
热病先眩晕昏冒且发热，胸胁满。刺足少阴、少阳经。
热病，始于足胫部的，先取足阳明经，汗出则止。
Do not needle when the patient is in a state of great anger (the character "Da" is rendered as "Xin" in another version); do not allow anger after needling (the character "Yi" is rendered as "Xin" in another version). Do not needle immediately after sexual intercourse; do not engage in sexual intercourse after needling. Do not needle when the patient is exhausted (the character "Da" is rendered as "Xin" in another version); do not exert oneself after needling. Do not needle when the patient is heavily intoxicated; do not drink to intoxication after needling. Do not needle when the patient is overly full; do not eat to excess after needling. Do not needle when the patient is extremely hungry; do not starve after needling. Do not needle when the patient is extremely thirsty; do not remain dehydrated after needling. Do not needle a patient who has suffered a great fright; do not needle a patient with turbid heat symptoms; do not needle a patient with dripping sweat; do not needle a patient with a chaotic pulse. If the body heat is severe and Yin and Yang Qi are contending, do not needle. For those suitable for needling, take points urgently; if sweating does not occur, use purgation. The cases described as "do not needle" involve signs of death. Do not needle when the disease pattern contradicts the pulse. A master practitioner needles before the disease arises; a secondary practitioner needles before the disease peaks; a tertiary practitioner needles after the disease has declined. An incompetent practitioner acts contrary to these principles, which is called damaging the form (Cheng Xing). (From *Jiu Juan*)
In Taiyang disease, headache persists until the seventh day, at which point it should heal spontaneously, as the meridian's Qi returns to its normal state. If there is a tendency for the disease to transmit to the next meridian (Zai Jing), one should needle the Foot-Yangming meridian to prevent transmission and effect a cure. In Taiyang disease, if after initially taking Guizhi Tang (Cinnamon Twig Decoction) the patient becomes irritable and the condition does not resolve, one should first needle Fengchi (GB20) and Fengfu (GV16), then administer Guizhi Tang (Cinnamon Twig Decoction) again, resulting in a cure. In Shanghan (Cold Damage) disease, abdominal fullness accompanied by delirium, with a floating and tight pulse at the Cun Kou position, indicates Liver Qi overacting on the Spleen, termed "Zong" (Vertical Transmission); one should needle Qimen (LR14). In Shanghan disease, fever, shivering aversion to cold, extreme thirst desiring sour broth, abdominal fullness, spontaneous sweating, and free urination indicate that the disease is about to resolve; this represents Liver Qi overacting on the Lung, termed "Heng" (Horizontal Transmission). In Yangming disease, hematochezia (bleeding from the rectum) accompanied by delirium indicates Heat entering the Blood Chamber (Xue Shi). If only the head sweats, one should needle Qimen (LR14) and apply the reducing method according to the Excess pattern; general mild sweating indicates recovery. In women suffering from Fengzhong (Wind Strike) with fever and aversion to cold, whose menstruation has just begun, and after seven or eight days the fever subsides, pulse slows, body cools, but chest and hypochondriac fullness resembling Jie Xiong (Chest Binding) occurs, along with delirium, this is Heat entering the Blood Chamber (Xue Shi); one should needle Qimen (LR14) and treat according to Deficiency or Excess. (*Ping Bing* states: In Heat entering the Blood Chamber, do not violate Stomach Qi or the Upper Sanjiao. This contradicts the current text; does this refer to herbal medicine rather than needling?) When Taiyang and Shaoyang diseases combine, presenting with headache, stiff neck, dizziness, occasional Chest Binding-like symptoms, and epigastric hardness, one should needle Dazhu (BL11) at the first interspace, Feishu (BL13), and Ganshu (BL18). One must strictly avoid inducing sweating; inducing sweating leads to delirium and a wiry pulse. If delirium persists for five days without ceasing, needle Qimen (LR14). In Shaoyin disease with diarrhea and pus-blood in the stool, needling is permissible. In women with Shanghan disease who are pregnant, presenting with abdominal fullness, inability to urinate, and heaviness from the waist down resembling fluid retention, occurring at seven months of pregnancy when the Taiyin meridian should be nourishing but fails to do so, indicating Excess Heart Qi, one should needle and reduce Laogong (PC8) and Guanyuan (CV4); recovery occurs when urination becomes free. For Shanghan disease with Hou Bi (Sore Throat/Pharyngeal Obstruction), needle the Hand-Shaoyin meridian. The Shaoyin meridian is located at the wrist, behind the small finger where the artery beats. Insert the needle three fen deep and apply tonification.
Question: What is the cause of a condition where the patient sweats but remains febrile and irritable, with irritability not resolving through sweating? Answer: Sweating with fever indicates Wind pathogen; sweating with unresolved irritability indicates Jue Ni (Rebellious Qi). This disease is named Feng Jue (Wind Jue). Taiyang governs the exterior Qi and thus receives the pathogen first; Shaoyin is interiorly-exteriorly related to Taiyang. Upon receiving Heat, Shaoyin Qi follows upward, leading to Jue. Treatment involves needling both the exterior and interior meridians and administering herbal decoctions. In Re Bing (Heat Disease) on the third day, if the Qi Kou pulse is quiet while the Ren Ying pulse is restless, apply the Fifty-Nine Needles technique to the Yang meridians to drain Heat, induce sweating, and tonify Yin to address deficiency. The "Fifty-Nine Needles" consist of: three points on each side of the hands (inner and outer), totaling twelve; one point between each of the five fingers, totaling eight. The feet follow the same pattern. On the head, three points one cun inside the hairline and three fen lateral, totaling six; ten points three cun inside the hairline on both sides. One point each anterior and posterior to the ears, below the mouth, and at the nape, totaling six. One point at the vertex. For Heat Disease starting with skin pain, nasal congestion, and facial flushing, treat the Skin layer using the First Type Needle combined with the Fifty-Nine Needles technique. For Ke Zhen Bi (a nasal disorder), seek the Skin in the Lung; do not seek Fire, which corresponds to the Heart. For Heat Disease with dry throat, polydipsia, frequent fright, and restlessness, treat the Muscle layer using the Sixth Type Needle combined with the Fifty-Nine Needles technique. For red eyes, seek the Muscle in the Spleen; do not seek Wood, which corresponds to the Liver. For Heat Disease with chest/hypochondriac pain and restless limbs, treat the Sinew layer using the Fourth Type Needle at Si Da (or Ni) tendons, seeking the Sinew in the Liver; do not seek Metal, which corresponds to the Lung. For Heat Disease with frequent惊悸 (palpitations/fright), convulsions, and mania, treat the Vessel/Blood layer using the Fourth Type Needle to urgently drain Excess; for Dian Ji (Epilepsy/Madness) with hair loss, seek Blood in the Heart; do not seek Water, which corresponds to the Kidney. For Heat Disease with heavy body, bone pain, deafness, and preference for closing eyes, treat the Bone layer using the Fourth Type Needle combined with the Fifty-Nine Needles technique. For Bone Disease with teeth grinding and clear hearing, seek Bone in the Kidney; do not seek Earth, which corresponds to the Spleen.
For Heat Disease starting with body stiffness and leaning (Yi in *Tai Su*), irritability, dry lips, and dry throat, treat the Skin layer using the First Type Needle combined with the Fifty-Nine Needles technique. For Fu Zhang (Skin Distension), dry mouth, and cold sweat.
For Heat Disease with headache, temporal tension (She as Nie), tight eye vessels, and frequent epistaxis, this is Jue Re (Rebellious Heat); use the Third Type Needle, assessing Excess or Deficiency to treat Cold-Heat disorders.
For Heat Disease with heavy body and intestinal heat, use the Fourth Type Needle at the Shu points and between the toes, seeking Qi in the Stomach collaterals until De Qi is obtained.
For Heat Disease with pain/tightness flanking the umbilicus and chest/hypochondriac distension, use Yongquan (KI1) and Taiyin/Yangming meridians (one version says Yinlingquan SP9), using the Fourth Type Needle inserted deeply into the throat area.
For Heat Disease where sweat is about to emerge but the pulse suggests sweating is appropriate, use Yuji (LU10), Taiyuan (LU9), Dadu (SP2), and Taibai (SP3). Reducing drains Heat; Tonifying induces sweat. For excessive sweating, use the transverse crease above the ankle to stop it.
For Heat Disease on the seventh or eighth day, with moving Qi Kou pulse, wheezing, and dizziness, needle urgently. If sweat is about to emerge naturally, shallowly needle the space between the big toe and second toe.
For Heat Disease starting with chest/hypochondriac pain and restless limbs, needle Foot-Shaoyang and tonify Hand-Taiyin; if severe, use the Fifty-Nine Needles technique.
For Heat Disease starting with arm pain, needle Hand-Yangming and Hand-Taiyin until sweat stops.
For Heat Disease starting in the head, needle the Taiyang meridian in the neck until sweat stops.
For Heat Disease starting with heavy body, bone pain, deafness, and closed eyes, needle Foot-Shaoyin; if severe, use the Fifty-Nine Needles technique (one version says Shaoyang).
For Heat Disease starting with vertigo/dizziness followed by fever and chest/hypochondriac fullness, needle Foot-Shaoyin and Foot-Shaoyang.
For Heat Disease starting in the lower legs, first needle Foot-Yangming until sweat stops.