必欲治病，莫如用针。巧运神机之妙，功开圣理之深。外取砭针，能蠲邪而辅正；中含
水火，善回阳而倒阴。
原夫络别支殊，经交错综。或沟渠溪谷以岐异，或山海丘陵而隙共。斯流派以难暌，在
条纲而有统。理繁而昧，纵补泻有何功，法捷而明，曰迎随而得用。
且如行步难移，太冲最奇。人中除脊膂之强痛，神门去心性之呆痴。伤风项急，始求于
风府；头晕目眩，要觅于风池。耳闭须听会而治也，眼痛则合谷以推之。胸结身黄
，泻涌泉而即可；脑昏目赤，泻攒竹以便宜。若两肘之拘挛，仗曲池而平扫。牙齿痛吕细堪
治，头项强承浆可保。太白宣导于气冲，阴陵开通于水道。腹膨而胀，夺内庭以休迟；筋转
而疼，泻承山而在早。
大抵脚腕痛，昆仑解围；股膝疼，阴市能医。痫发颠狂兮，凭后 而疗理；疟生寒热兮
，仗间使以扶持。期门罢胸满血膨而可已，劳宫退胃翻心痛以何疑。
嵇夫大敦，去七疝之偏坠，王公谓此，三里去五劳之羸瘦，华佗言斯。固知腕骨祛黄。
然谷
井除两臂之难任，攒竹疗头疼之不忍。咳嗽寒痰，列缺堪治；眵昏冷泪，临泣尤准。髋骨并
腿痛以祛残，肾俞腰痛而泻泄。以见越人治尸厥于维会，随手而苏；文伯能泻死胎于阴交，
应针而殒。
圣人于是察麻与痛，分实与虚。实则自外而入也，虚则自内而出之。是故济母而裨其不
足，
，跻斯民于寿域。机微已判，彰往古之玄尽。
抑又闻心胸病，求掌后之大陵；肩背疼，责肘前之三里。冷痹肾余，取定阳阴之上。连
脐腹
后以安然；腰背疼，在委中而已矣。夫用针之士，于此理苟明者焉。收祛邪之功，而在乎
捻指。
一定要想治病，没有比使用针灸更好的了。巧妙地运用针刺的神妙机理，其功效能开启圣人所揭示的深奥医理。在外部取用砭石和针具，能够祛除邪气并辅助正气；针中蕴含水火之性（指调节阴阳寒热），善于回阳救逆并纠正阴证。
追溯经络的分布，络脉分支各异，经脉交错综合。有的像沟渠、溪谷那样分歧变异，有的像山海、丘陵那样间隙相通。这些流派虽然难以分离，但在条纲上是有统绪的。如果道理繁杂而昏昧，即使使用补泻手法又有什么功效呢？如果法度快捷而明确，那么迎随补泻之法就可以应用了。
就像行走困难难以移动，太冲穴最为神奇。人中穴可以消除脊背的强直疼痛，神门穴可以去掉心性的呆滞痴愚。伤风引起的项部拘急，开始要寻求风府穴；头晕目眩，需要寻找风池穴。耳闭听不见，须用听会穴来治疗；眼痛，则用合谷穴来推治。胸中郁结身体发黄，泻涌泉穴即可见效；头脑昏沉眼睛红赤，泻攒竹穴也很方便。如果是两肘拘挛，依靠曲池穴来平复清扫。牙齿疼痛，吕细（即太溪穴）可以治疗；头项强直，承浆穴可以保全。太白穴宣导气冲，阴陵穴开通水道。腹部膨胀发胀，夺取内庭穴不要迟疑；筋脉转筋疼痛，泻承山穴要及早进行。
大抵脚腕疼痛，昆仑穴可以解围；大腿膝盖疼痛，阴市穴能够医治。癫痫发作发狂，凭借后溪穴来疗治；疟疾产生寒热往来，仗赖间使穴来扶持。期门穴可以罢除胸满血膨的症状，劳宫穴可以退去胃翻心痛，这有什么可疑的呢？
再说大敦穴，可以去除七疝引起的偏坠，王公这样说过；足三里穴可以去除五劳引起的羸瘦，华佗这样说过。确实知道腕骨穴可以祛除黄疸。然谷井穴可以解除双臂难以支撑的症状，攒竹穴可以疗治头痛让人不忍忍受的情况。咳嗽有寒痰，列缺穴可以治疗；眼屎多、视物昏花、冷泪长流，临泣穴尤其准确。髋骨和腿部的疼痛可以用它来祛除残疾，肾俞穴治疗腰痛以及腹泻。由此可见，越人（扁鹊）在维会穴治疗尸厥症，随手就能苏醒；文伯能在阴交穴泻下死胎，应针而下。
圣人于是观察麻木与疼痛，区分实证与虚证。实证是自外而入的，虚证是自内而出的。因此，补益母穴以弥补不足，使百姓进入长寿的境界。机微的道理已经判定，彰显了古代玄妙的尽致。
又听说心胸疾病，求取手掌后方的大陵穴；肩背疼痛，责求肘前的三里穴（此处指手三里或足三里，结合上下文多为手三里，但原文仅称三里）。冷痹及肾脏余邪，取定阳、阴上（穴位名，可能指特定部位或异名）的上方。连脐腹部的疾病随后便安然无恙；腰背疼痛，在委中穴而已。凡是使用针灸的人，对于这个道理如果明白了，收祛邪的功效，就在于捻转手指之间。
If one wishes to treat diseases, nothing is better than the use of acupuncture. Skillfully manipulating the divine mechanism of needle insertion, its efficacy can open up the profound principles revealed by the sages. Externally utilizing bian stones and needles can eliminate pathogenic factors and assist healthy qi; internally containing the properties of water and fire, it is adept at restoring yang and reversing yin conditions.
Tracing the meridians, collaterals branch out distinctly while channels interweave intricately. Some diverge like ditches, streams, and valleys, while others have gaps akin to mountains, seas, and hills. Although these flow lines are difficult to separate, they are unified under a systematic framework. If the principles are complex and obscure, what benefit do tonification and sedation techniques offer? However, if the methods are swift and clear, the Ying-Sui (following and opposing) technique becomes applicable.
For instance, when walking is difficult and movement is impaired, Taichong (LR3) is most miraculous. Renzhong (GV26) eliminates stiffness and pain in the spine and back, while Shenmen (HT7) removes mental dullness and stupidity. For wind-strike causing neck stiffness, Fengfu (GV16) is sought first; for dizziness and blurred vision, Fengchi (GB20) is located. For ear blockage affecting hearing, Tinghui (GB2) is used for treatment; for eye pain, Hegu (LI4) is applied. For chest stagnation with yellowing of the body, draining Yongquan (KI1) yields immediate results; for brain dizziness and red eyes, draining Cuanzhu (BL2) is convenient. For spasms in both elbows, Quchi (LI11) is relied upon to resolve them. For toothache, Lüxi (Taixi, KI3) is suitable for treatment; for head and neck stiffness, Chengjiang (CV24) provides protection. Toubai (SP3) guides Qi movement, while Yinlingquan (SP9) opens water pathways. For abdominal distension and bloating, Neiting (ST44) should be drained without delay; for muscle cramps and pain, Chengshan (BL57) should be drained promptly.
Generally speaking, for ankle pain, Kunlun (BL60) resolves the siege; for thigh and knee pain, Yinshi (ST32) can cure. For epilepsy manifesting as mania, Houxi (SI3) is relied upon for therapy; for malaria with alternating chills and fever, Jianshi (PC5) supports recovery. Qimen (LR14) can alleviate chest fullness and blood distension, while Laogong (PC8) can retreat stomach reversal and heart pain, leaving no room for doubt.
Furthermore, Dadun (LR1) removes unilateral hernia associated with the seven types of hernias, as stated by Wang Gong; Zusanli (ST36) removes emaciation caused by the five chronic exhaustions, as said by Hua Tuo. It is indeed known that Wan Gu (SI4) dispels jaundice. Ran Gu (KI2), the Jing-Well point, relieves the inability to bear weight on both arms; Cuanzhu (BL2) treats unbearable headaches. For cough with cold phlegm, Lieque (LU7) is effective; for excessive eye discharge, blurred vision, and cold tears, Linqi (GB15) is particularly accurate. For hip and leg pain, it dispels residual ailments; Shenshu (BL23) treats lower back pain and diarrhea. Thus, Yué Rén (Bian Que) treated corpse-like coma at Weihui (likely referring to a specific location or technique involving Huizong GV19 or similar), resulting in immediate revival; Wen Bo could expel a dead fetus at Yinjiao (CV7), achieving success with needle insertion.
The Sages observed numbness and pain, distinguishing between excess and deficiency. Excess conditions enter from the exterior, while deficiency conditions emerge from the interior. Therefore, tonifying the mother point supplements insufficiency, bringing the people into an era of longevity. The subtle mechanisms have been discerned, revealing the profound completeness of ancient wisdom.
It is also heard that for heart and chest diseases, Dalíng (PC7) behind the palm is sought; for shoulder and back pain, Sanlí (LI10 or ST36, contextually LI10 often implied in upper body contexts but text says 'elbow front') is responsible. For cold bi syndrome and residual kidney pathogens, Dingyang and Yinsang (specific points or locations) above are selected. Abdominal issues connected to the navel become peaceful subsequently; for lower back pain, only Weizhong (BL40) is needed. For practitioners of acupuncture, if they understand this principle, the efficacy of eliminating pathogens lies within the turning of the fingers.