黄帝问曰∶刺疟奈何？岐伯对曰∶足太阳之疟，令人腰痛头重，寒从背起，先寒后热
， 然，热止汗出难已，刺 中出血（一云金门，一云委中，针三分，若灸
足少阳之疟，令人身体解 ，寒不甚，热不甚，恶见人，见人心惕惕然，热多汗出甚
，刺足少阳（侠溪针三分，灸可三壮）。
足阳明之疟，令人先寒，洒淅洒淅，寒甚久乃热，热去汗出，喜见日月光火气，乃快然
，刺足阳明跗上（冲阳针三分，灸可三壮）。
足太阴之疟，令人不乐，好太息，不嗜食，多寒热汗出，病至则善呕，呕已乃衰，即取
之（公孙针四分，灸可三壮）。
足少阴之疟，令人呕吐甚，多寒热，热多寒少，欲闭户牖而处，其病难已（大钟针二分
，太溪针三分，各灸三壮）。
足厥阴之疟，令人腰痛，少腹满，小便不利，如癃状，非癃也，数便，意恐惧，气不足
，腹中悒悒，刺足厥阴（太冲针三分，灸可三壮）。
肺疟者，令人心寒，寒甚热，热间善惊，如有所见者，刺手太阴、阳明（列缺针三分，
灸五壮；合谷针三分，灸三壮）。
心疟者，令人烦心甚，欲得清水，反寒多，不甚热，刺手少阴（神门针三分，灸可三壮）
肝疟者，令人色苍苍然，太息，其状若死者，刺足厥阴见血（中封针四分，灸可三壮）。
脾疟者，令人寒，腹中痛，热则肠中鸣，鸣已汗出，刺足太阴（商丘针三分，灸可三壮）
肾疟者，令人洒洒然，腰脊痛宛转，大便难，目 然，手足寒，刺足太阳、少阴
（足太阳金门，足少阴太溪）。
胃疟者，令人且病也，善饥而不能食，食而支满腹大，刺足阳明、太阴横脉出血（厉兑
针一分，灸一壮；解溪针五分，灸二壮；三里针一寸，灸三壮；太阴横脉，在内踝前，斜过
大脉宜出血）。
疟发身方热，刺跗上动脉（谓阳明脉），开其孔，出其血，立寒；疟方欲寒，刺手阳明、
太阴，足阳明、太阴（亦开孔出血）。疟脉满大急，刺背俞，用中针傍五 俞各一，适肥
瘦，出其血（五 俞谓 ）。疟脉小实急，灸胫少阴，刺指井（复溜针三分，灸可五壮；井
谓至阴，针一分，灸可三壮）
。疟脉满大急，刺背俞，用五 俞、背俞各一，适行至于血也。疟脉缓大虚，便宜用药
，不宜用针。凡治疟，先发如食顷，乃可以治，过之，则失时也。诸疟而脉不见，刺十指间
出血，血去必
十二疟者，其发各不同时，察其病形，以知其何脉之病也。先其发时，如食顷而刺之，
一
下侠脊者，必已（侠脊者谓大杼，针三分，灸五壮；风门热府，针五分，灸可五壮）。舌下两脉
者廉泉也（针三分，灸三壮）。
刺疟者，必先问其病之所先发者，先刺之。先头痛及重者，先刺头上及两额、两眉间出
血（头谓上星、百会，额谓悬颅，眉间谓攒竹等穴是也）；先项背痛者，先刺之（风池、风府
、大杼、神道）；先腰脊痛者，先刺 中出血；先手臂痛者，先刺手少阴、阳明十指间；先
足胫酸痛者，先刺足阳明十指间出血。
风疟，疟发则汗出恶风，刺三阳经背俞之血者。 酸痛甚，按之不可，名曰 髓
病。以 针针绝骨出血，立已。身体小痛，刺至阴。诸阴之井，无出血，间日一刺。疟不渴
，间日而作，刺足太阳，渴而间日作，刺足少阳。温疟汗不出，为五十九刺。
黄帝问道：针刺治疗疟疾的方法是怎样的？岐伯回答说：足太阳经的疟疾，使人腰痛、头重，寒气从背部升起，先恶寒后发热，热势炽盛，热退后汗出且难以痊愈，应刺委中穴出血（另一种说法是金门穴，另一种说法是委中穴，进针三分，若用艾灸则灸足少阳经）。
足少阳经的疟疾，使人身体懈怠无力，恶寒不严重，发热也不严重，厌恶见人，见到人心中便惊恐不安，发热多且汗出很多，应刺足少阳经的侠溪穴（进针三分，艾灸可灸三壮）。
足阳明经的疟疾，使人先感到寒冷，瑟瑟发抖，寒冷持续很久才发热，热退后汗出，喜欢见到日光、月光或火气，这样才觉得舒适，应刺足阳明经的跗上冲阳穴（进针三分，艾灸可灸三壮）。
足太阴经的疟疾，使人心情不悦，喜欢长叹息，没有食欲，寒热交替且多汗，病发时容易呕吐，吐完后病情减轻，此时即可取穴治疗（公孙穴进针四分，艾灸可灸三壮）。
足少阴经的疟疾，使人呕吐严重，寒热交替多，发热多而恶寒少，想要关上门窗独处，这种病难以痊愈（大钟穴进针二分，太溪穴进针三分，各灸三壮）。
足厥阴经的疟疾，使人腰痛，小腹胀满，小便不利，像癃闭的症状但不是癃闭，频繁排尿，内心恐惧，气虚不足，腹部郁闷不畅，应刺足厥阴经的太冲穴（进针三分，艾灸可灸三壮）。
肺疟，使人心中觉冷，寒冷严重时发热，发热间歇期容易惊悸，好像看到了什么怪异的东西，应刺手太阴经和手阳明经（列缺穴进针三分，灸五壮；合谷穴进针三分，灸三壮）。
心疟，使人心中极度烦闷，想喝冷水，反而恶寒多而发热不明显，应刺手少阴经的神门穴（进针三分，艾灸可灸三壮）。
肝疟，使人面色苍青，喜欢长叹息，神态像要死去的病人，应刺足厥阴经的中封穴见血（进针四分，艾灸可灸三壮）。
脾疟，使人怕冷，腹中疼痛，发热时肠鸣，肠鸣后汗出，应刺足太阴经的商丘穴（进针三分，艾灸可灸三壮）。
肾疟，使人洒洒然畏寒，腰脊疼痛且身体转动困难，大便困难，眼睛昏花不明，手足冰冷，应刺足太阳经和足少阴经（足太阳经的金门穴，足少阴经的太溪穴）。
胃疟，使人刚发病就感到饥饿，想吃却吃不下，吃了食物后感觉支撑胀满，腹部膨大，应刺足阳明经和足太阴经的横脉出血（厉兑穴进针一分，灸一壮；解溪穴进针五分，灸二壮；三里穴进针一寸，灸三壮；太阴经横脉在内踝前，斜过大脉处宜出血）。
疟疾发作时身体正发热，刺足背上的动脉（即阳明脉），打开穴位孔窍，放出血液，热度立即消退；疟疾正要发冷时，刺手阳明经、手太阴经，足阳明经、足太阴经（也是打开孔窍出血）。
疟疾病人的脉象满大而急，刺背部的俞穴，使用中号针在傍五输穴旁各刺一针，根据病人的肥瘦情况适量放血（五输穴指井、荥、输、经、合）。
疟疾病人的脉象小实而急，灸胫部的少阴经复溜穴，刺手指末端的井穴（复溜穴进针三分，艾灸可灸五壮；井穴指至阴穴，进针一分，艾灸可灸三壮）。
疟疾病人的脉象满大而急，刺背部的俞穴，使用五输穴和背俞穴各一针，根据气血运行直到出血为止。
疟疾病人的脉象缓大而虚，适宜用药治疗，不宜用针刺。凡是治疗疟疾，应在发作前大约一顿饭的时间进行针刺，如果过了这个时间，就失去了治疗的时机。各种疟疾如果脉象摸不到，刺十个手指间出血，血流出后病必愈。
这十二种疟疾，每次发作的时间各不相同，观察其病症表现，就可以知道是哪条经脉患病。在发作前大约一顿饭的时间进行针刺，一次就能治愈。
位于脊柱两侧的穴位是大杼穴（进针三分，灸五壮）；风门穴又称热府，进针五分，艾灸可灸五壮。舌下的两条脉络是廉泉穴（进针三分，艾灸三壮）。
针刺治疗疟疾，必须先询问病人哪里最先出现症状，就先刺哪里。先是头痛且头重的，先刺头顶及两额、两眉间出血（头部穴位指上星、百会，额头穴位指悬颅，眉间穴位指攒竹等穴）；先是项部背部疼痛的，先刺这些部位（风池、风府、大杼、神道）；先是腰脊疼痛的，先刺委中穴出血；先是手臂疼痛的，先刺手少阴经、手阳明经十指间；先是足胫酸痛的，先刺足阳明经十指间出血。
风疟，疟疾发作时汗出且恶风，刺三阳经在背部的俞穴出血。如果足胫酸痛非常严重，按压不能忍受，名叫髓病。用铍针刺绝骨穴出血，病立刻痊愈。如果身体轻微疼痛，刺至阴穴。所有阴经的井穴，不要放血，隔日刺一次。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。温疟不出汗的，采用五十九刺法。
Huangdi asked: How should malaria be treated with acupuncture? Qibo replied: In malaria of the Foot-Taiyang channel, the patient suffers from lumbar pain and a heavy head, coldness rising from the back, preceded by chills followed by fever. The fever is intense, and after it subsides, sweating occurs but the condition is difficult to cure. One should puncture [Weizhong (BL 40)] to bleed (another theory suggests Jinmen (BL 63), another suggests Weizhong (BL 40); needle depth 3 cun; if moxibustion is used, apply to the Foot-Shaoyang channel).
In malaria of the Foot-Shaoyang channel, the patient feels flaccid and weak, with mild chills and mild fever. They dislike seeing people and feel terrified upon contact. There is abundant fever and profuse sweating. One should puncture Xiaxi (GB 43) of the Foot-Shaoyang channel (needle depth 3 cun; moxibustion 3 moxa cones).
In malaria of the Foot-Yangming channel, the patient experiences initial chills, shivering intensely. The cold lasts for a long time before fever sets in. After the fever subsides, sweating occurs. They feel comforted by sunlight, moonlight, or fire. One should puncture Chongyang (ST 42) on the dorsum of the foot of the Foot-Yangming channel (needle depth 3 cun; moxibustion 3 moxa cones).
In malaria of the Foot-Taiyin channel, the patient feels unhappy, sighs frequently, has no appetite, and suffers from alternating chills and fever with profuse sweating. Upon onset, they tend to vomit; after vomiting, the condition alleviates. Treatment should then proceed (Gongsun (SP 4) needle depth 4 cun; moxibustion 3 moxa cones).
In malaria of the Foot-Shaoyin channel, the patient vomits severely, suffers from frequent alternating chills and fever, with more heat than cold. They desire to stay indoors with doors and windows closed. This type of disease is difficult to cure (Dazhong (KI 4) needle depth 2 cun; Taixi (KI 3) needle depth 3 cun; each with 3 moxa cones).
In malaria of the Foot-Jueyin channel, the patient suffers from lumbar pain, fullness in the lower abdomen, and difficulty urinating, resembling strangury but not actually strangury, with frequent urination. They feel fearful, suffer from Qi deficiency, and have a depressed sensation in the abdomen. One should puncture Taichong (LR 3) of the Foot-Jueyin channel (needle depth 3 cun; moxibustion 3 moxa cones).
In Lung Malaria, the patient feels cold in the heart region. When the cold is severe, fever follows. During the interval between fevers, they are prone to fright and hallucinations. One should puncture the Hand-Taiyin and Hand-Yangming channels (Lieque (LU 7) needle depth 3 cun, moxibustion 5 moxa cones; Hegu (LI 4) needle depth 3 cun, moxibustion 3 moxa cones).
In Heart Malaria, the patient suffers from extreme mental restlessness, desires cold water, yet has more chills than fever, which is not very intense. One should puncten Shenmen (HT 7) of the Hand-Shaoyin channel (needle depth 3 cun; moxibustion 3 moxa cones).
In Liver Malaria, the patient’s complexion appears pale green, they sigh frequently, and their appearance resembles that of a dying person. One should puncture Zhongfeng (LR 4) of the Foot-Jueyin channel until bleeding occurs (needle depth 4 cun; moxibustion 3 moxa cones).
In Spleen Malaria, the patient feels cold and suffers from abdominal pain. When feverish, there is borborygmus in the intestines, followed by sweating. One should puncture Shangqiu (SP 5) of the Foot-Taiyin channel (needle depth 3 cun; moxibustion 3 moxa cones).
In Kidney Malaria, the patient feels chilly, suffers from low back and spine pain with inability to turn the body easily, has difficulty defecating, blurred vision, and cold hands and feet. One should puncture the Foot-Taiyang and Foot-Shaoyin channels (Jinmen (BL 63) of the Foot-Taiyang channel; Taixi (KI 3) of the Foot-Shaoyin channel).
In Stomach Malaria, the patient feels hungry immediately upon onset but cannot eat. After eating, they experience distension and abdominal enlargement. One should puncture the Foot-Yangming and Foot-Taiyin channels and bleed the transverse vessels (Lidui (ST 45) needle depth 1 cun, moxibustion 1 moxa cone; Jiexi (ST 41) needle depth 5 cun, moxibustion 2 moxa cones; Zusanli (ST 36) needle depth 1 cun, moxibustion 3 moxa cones; the transverse vessel of the Taiyin is located anterior to the medial malleolus, crossing obliquely over the large vessel, where bleeding is indicated).
If malaria fever is just beginning, puncture the artery on the dorsum of the foot (referring to the Yangming pulse), open the acupoint, and bleed; the fever will subside immediately. If malaria chills are just beginning, puncture the Hand-Yangming, Hand-Taiyin, Foot-Yangming, and Foot-Taiyin channels (also opening the acupoints to bleed).
If the malaria pulse is full, large, and urgent, puncture the Back-Shu points on the back. Use a medium-sized needle to puncture one point beside each of the Five Shu points, adjusting according to the patient's leanness or robustness to induce bleeding (the "Five Shu points" refer to Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points).
If the malaria pulse is small, solid, and urgent, moxibustion should be applied to the Shaoyin channel on the lower leg, and the Jing-Well points on the fingers should be punctured (Fuliu (KI 7) needle depth 3 cun, moxibustion 5 moxa cones; the Jing-Well point refers to Zhiyin (BL 67), needle depth 1 cun, moxibustion 3 moxa cones).
If the malaria pulse is full, large, and urgent, puncture the Back-Shu points, using one of the Five Shu points and one of the Back-Shu points, allowing blood to flow as needed.
If the malaria pulse is slow, large, and deficient, medication is suitable, while acupuncture is not. Generally, when treating malaria, treatment should begin approximately the time it takes to eat a meal before the attack. If this timing is missed, the opportunity for treatment is lost. For various types of malaria where the pulse is imperceptible, puncture the spaces between the ten fingers to bleed; once the blood flows, the disease will surely be cured.
These twelve types of malaria differ in their timing of onset. By observing the clinical manifestations, one can determine which channel is affected. Treatment should be administered approximately the time it takes to eat a meal before the onset. A single treatment at the point adjacent to the spine will definitely cure the disease. The point adjacent to the spine refers to Dazhu (BL 11) (needle depth 3 cun, moxibustion 5 moxa cones); Fengmen (BL 12), also known as the Heat Mansion, needle depth 5 cun, moxibustion 5 moxa cones. The two vessels under the tongue constitute Lianquan (CV 23) (needle depth 3 cun, moxibustion 3 moxa cones).
When treating malaria with acupuncture, one must first ask where the symptoms began and treat that area first. If headache and heaviness occur first, puncture the top of the head, both temples, and the glabella to bleed (head points refer to Shangxing (GV 23) and Baihui (GV 20); temple points refer to Xuanlu (GB 7); glabella points refer to Cuanzhu (BL 2), etc.). If neck and back pain occur first, puncture those areas (Fengchi (GB 20), Fengfu (GV 16), Dazhu (BL 11), Shendao (GV 11)). If lumbar and spinal pain occur first, puncture [Weizhong (BL 40)] to bleed. If arm pain occurs first, puncture the spaces between the ten fingers of the Hand-Shaoyin and Hand-Yangming channels. If lower leg soreness and pain occur first, puncture the spaces between the ten toes of the Foot-Yangming channel to bleed.
In Wind Malaria, sweating and aversion to wind occur during attacks. Puncture the Back-Shu points of the Three Yang channels to bleed. If lower leg soreness and pain are severe and cannot be touched, it is called Marrow Disease. Puncture Guangu (GB 39) with a Bi needle to bleed; the condition will resolve immediately. If there is slight body pain, puncture Zhiyin (BL 67). Do not bleed the Jing-Well points of the Yin channels; instead, puncture them every other day. For malaria without thirst occurring every other day, puncture the Foot-Taiyang channel. For malaria with thirst occurring every other day, puncture the Foot-Shaoyang channel. For Warm Malaria without sweating, employ the Fifty-Nine Acupuncture Points method.