黄帝问曰∶刺疟奈何？岐伯对曰∶疟疾，《素问》分各经。危氏刺指，（即十宣穴也。）舌红
紫，出舌下紫血筋也。
足太阳，先寒后热，腰疼头重，汗出不止∶刺委中，三分五壮。
足少阳，寒热不甚，见人心惕，汗多∶刺侠 ，二分三壮。
足阳明，寒久乃热生，汗出，喜见日光火光∶刺冲阳，三分三壮。
足太阴，寒热善呕，呕已乃衰∶刺公孙，四分三壮。
足少阴，热多寒少，呕吐，甚欲闭户∶刺大钟，二分。
足厥阴，小腹满，小便不利∶刺太冲，二分三壮。
心疟神门，肝疟中封，脾疟商邱，肺疟列缺，肾疟太 ，胃疟厉兑。
歌曰∶疟疾将针刺曲池，经渠合谷共相宜。五分针刺于二穴，疟疾缠身便得离。未愈更
加三间刺，五分深刺莫忧疑。又兼气痛憎寒热，间使行针莫要迟。
伤寒一日刺风府，阴阳分经次第取。
一日太阳风府∶督脉。二日阳明之荣∶大肠二间，胃内庭。三日少阳之俞∶胆临泣，三
焦中
中封，包络间使。在表刺三阳经穴，在里刺三阴经穴，六日过经未汗，刺期门、三里，古法
也。惟阴症灸关元穴为妙。
汗、吐、下法非有他，合谷、内关、阴交杵。
汗法∶针合谷，入二分。行九九数，搓数十次，男左搓，女右搓，得汗，行泻法。汗止
，身温出针。如汗不止，针阴市，补合谷。
吐法∶针内关，入三分。先补六次，泻三次，行子午捣臼法三次，提气上行，又推战一
病患多呼几次即止。如吐不止，补九阳数，调匀呼吸三十六度。吐止，徐出针，急扪穴。吐
不止，补足三里。
下法∶针三阴交，入三分。男左女右，以针盘旋右转，六阴数毕，用口鼻闭气，吞鼓腹中。
将泻，插一下其人即泄。鼻吸手泻三十六遍，方开口鼻之气，插针即泄。如泄不止，针合谷
，升九阳数。凡汗吐下，仍分阴阳补泻。
寒头痛∶合谷、攒竹、太阳。 无汗∶内庭、合谷、复溜、百劳。 胸胁痛∶大陵、期门、
膻中、劳宫。 狂不识尊卑∶曲池、绝骨、百劳、涌泉。 大热不退∶曲池、绝骨、三里、大
椎、涌泉、合谷俱泻。 退后余热∶风门、合谷、行间、绝骨。 汗多∶内庭、合谷、复溜
、百劳。 大便不通∶章门、照海、支沟、太白。 小便不通∶阴谷、阴陵泉。 六脉俱无
∶合谷、复溜、中极。 发痉不省人事∶曲池、合谷、人中、复溜。 发黄∶腕骨、申脉、
外关、涌泉。 胁痛∶支沟、章门、阳陵泉、委中。 过经不汗∶期门。 如四肢厥逆冷∶
复溜顺骨刺之。 如脉浮∶寒补绝骨，热泻绝骨。 如浮洪∶泻之。 如沉细∶补之。 口
噤目闭药不下∶合谷。 狐惑口生疮∶黄连犀角汤。 虫在内食∶地仓。 伤寒吐蛔∶乌梅
汤、灸中脘。 痞结胁积疼∶期门。 当汗不汗∶合谷。 自汗∶复溜。 牙关紧急，项强
反张，目直视∶列缺。 如痞气结胸，两目昏黄，汗不通∶涌泉三分出汗。
黄帝问道：针刺治疗疟疾应该怎么做？岐伯回答说：关于疟疾，《素问》中将其分为各条经脉的病症。危氏采用刺指法（即十宣穴），若舌色红紫，则刺破舌下的紫色血络出血。
足太阳经疟疾，先感到寒冷后发热，腰部疼痛、头部沉重，出汗不止：针刺委中穴，进针三分，灸五壮。
足少阳经疟疾，寒热症状不严重，心中惊恐不安，汗多：针刺侠溪穴，进针二分，灸三壮。
足阳明经疟疾，寒冷时间长才产生热感，出汗，喜欢见到日光和火光：针刺冲阳穴，进针三分，灸三壮。
足太阴经疟疾，忽冷忽热且容易呕吐，呕吐后症状减轻：针刺公孙穴，进针四分，灸三壮。
足少阴经疟疾，热多寒少，呕吐，严重时想要关上门窗：针刺大钟穴，进针二分。
足厥阴经疟疾，小腹胀满，小便不利：针刺太冲穴，进针二分，灸三壮。
心疟针刺神门穴，肝疟针刺中封穴，脾疟针刺商丘穴，肺疟针刺列缺穴，肾疟针刺太溪穴，胃疟针刺厉兑穴。
歌诀说：治疗疟疾将针刺曲池穴，经渠穴与合谷穴配合适宜。在这两个穴位各进针五分，疟疾缠身便能摆脱。如果未痊愈再加刺三间穴，进针五分深不必担忧怀疑。如果兼有气痛、憎恶寒热，针刺间使穴不要迟疑。
伤寒第一天针刺风府穴，根据阴阳分经的次第选取穴位。
第一天太阳经受邪取风府穴：属督脉。第二天阳明经受邪取荣穴：大肠经的二间穴，胃经的内庭穴。第三天少阳经受邪取俞穴：胆经的临泣穴，三焦经的中渚穴，心包经的中封穴（注：此处原文可能有误，中封属肝经，间使属心包经，依原文列出）、心包经的间使穴。病在表针刺三条阳经的穴位，病在里针刺三条阴经的穴位，第六天经过传经周期仍未发汗，针刺期门穴、足三里穴，这是古法。只有阴证艾灸关元穴最为妙用。
汗法、吐法、下法并没有其他奥秘，关键在于合谷穴、内关穴、阴交穴的操作。
汗法：针刺合谷穴，进针二分。施行“九九数”手法（捻转八十一圈），搓动数十次，男性向左搓，女性向右搓，待出汗后，施行泻法。汗止后，身体温暖时出针。如果汗止不住，针刺阴市穴，补益合谷穴。
吐法：针刺内关穴，进针三分。先补六次，再泻三次，施行“子午捣臼”法三次，提气上行，又推引战栗一次。患者大多呼喊几次后即可停止。如果呕吐不止，补施九阳数，调匀呼吸三十六次。呕吐停止后，缓慢出针，迅速按压穴位。如果仍呕吐不止，补足三里穴。
下法：针刺三阴交穴，进针三分。男性取左侧，女性取右侧，以针盘旋向右转，完成六个阴数后，用口鼻闭气，吞咽并鼓动腹部。准备泻下时，插针一下，病人就会排泄。吸气三十六遍同时手行泻法，然后放开口鼻之气，再次插针即可排泄。如果腹泻不止，针刺合谷穴，升提九阳数。凡是汗、吐、下法，仍然要区分阴阳进行补泻。
受寒头痛：取合谷、攒竹、太阳穴。无汗：取内庭、合谷、复溜、百劳穴。胸胁痛：取大陵、期门、膻中、劳宫穴。狂乱不分尊卑：取曲池、绝骨、百劳、涌泉穴。高热不退：曲池、绝骨、足三里、大椎、涌泉、合谷均用泻法。热退后的余热：取风门、合谷、行间、绝骨穴。汗多：取内庭、合谷、复溜、百劳穴。大便不通：取章门、照海、支沟、太白穴。小便不通：取阴谷、阴陵泉穴。六脉俱无：取合谷、复溜、中极穴。发生痉挛不省人事：取曲池、合谷、人中、复溜穴。发黄：取腕骨、申脉、外关、涌泉穴。胁痛：取支沟、章门、阳陵泉、委中穴。经过传经周期未发汗：取期门穴。如果四肢厥冷逆冷：顺骨方向针刺复溜穴。如果脉浮：寒证补绝骨，热证泻绝骨。如果脉浮洪：用泻法。如果脉沉细：用补法。牙关紧闭、眼睛闭合、药物无法服下：取合谷穴。狐惑病口腔生疮：黄连犀角汤。虫在体内进食：取地仓穴。伤寒呕吐蛔虫：乌梅汤、艾灸中脘穴。痞结胁部积聚疼痛：取期门穴。应当发汗而未发汗：取合谷穴。自汗：取复溜穴。牙关紧急，项背强直反张，眼睛直视：取列缺穴。如果痞气结胸，两眼昏黄，汗不出：涌泉穴进针三分以发汗。
Yellow Emperor asked: How should malaria be treated with acupuncture? Qibo replied: Regarding malaria, *Suwen* classifies it by the various meridians. Wei Shi used finger pricking (i.e., Shixuan points [Ten Exclamations]); if the tongue is red and purple, prick the purple blood vessels under the tongue to bleed.
Malaria of Foot-Taiyang presents with chills first followed by fever, lower back pain, heavy head, and incessant sweating: Prick Weizhong (BL60), depth 3 fen, moxa 5 zhuang.
Malaria of Foot-Shaoyang presents with mild chills and fever, palpitations/fearfulness, and profuse sweating: Prick Xiaxi (GB43), depth 2 fen, moxa 3 zhuang.
Malaria of Foot-Yangming presents with prolonged chills before heat arises, sweating, and a preference for sunlight or firelight: Prick Chongyang (ST42), depth 3 fen, moxa 3 zhuang.
Malaria of Foot-Taiyin presents with alternating chills and fever, frequent vomiting, which subsides after vomiting: Prick Gongsun (SP4), depth 4 fen, moxa 3 zhuang.
Malaria of Foot-Shaoyin presents with more heat than cold, vomiting, and in severe cases, a desire to close doors/windows: Prick Dazhong (KI4), depth 2 fen.
Malaria of Foot-Jueyin presents with fullness in the lower abdomen and difficulty urinating: Prick Taichong (LR3), depth 2 fen, moxa 3 zhuang.
Heart malaria: Prick Shenmen (HT7). Liver malaria: Prick Zhongfeng (LR4). Spleen malaria: Prick Shangqiu (SP5). Lung malaria: Prick Lieque (LU7). Kidney malaria: Prick Taixi (KI3). Stomach malaria: Prick Lidui (ST45).
Verse says: To treat malaria, needle Quchi (LI11); Jingqu (LU8) and Hegu (LI4) are suitable together. Needle these two acupoints at a depth of 5 fen, and the malaria will depart. If not cured, add Sanjian (LI3); do not hesitate to needle deeply at 5 fen. If accompanied by Qi pain and aversion to cold/heat, needle Neiguan (PC6) without delay.
In Shaoyang disease on the first day, needle Fengfu (GV16), selecting acupoints according to the sequence of Yin and Yang meridians.
Day 1 Taiyang: Fengfu (GV16) — Du Meridian. Day 2 Yangming: Ying-Spring points — Dachang Erjian (LI2), Weijing Neiting (ST44). Day 3 Shaoyang: Shu-Stream points — Dan Linqi (GB41), Sanjiao Zhongzhu (TE3), Xinbao Jianshi (PC5) [Note: Text mentions Zhongfeng here but attributes to Pericardium/Jianshi]. Treat exterior by needling the three Yang meridian points; treat interior by needling the three Yin meridian points. On the sixth day, if the disease has passed through its cycle without sweating, needle Qimen (LR14) and Zusanli (ST36); this is the ancient method. For Yin syndromes only, moxibustion of Guanyuan (CV4) is excellent.
The methods of sweating, vomiting, and purging have no other secrets; they rely on Hegu (LI4), Neiguan (PC6), and Yinjiao (CV7).
Sweating method: Needle Hegu (LI4), depth 2 fen. Perform the Jiujiu (9x9=81) manipulation, rubbing/twisting dozens of times. Males twist left, females twist right. Once sweat appears, apply reducing method. When sweating stops and body temperature warms, remove the needle. If sweating does not stop, needle Yinshi (ST31) and tonify Hegu (LI4).
Vomiting method: Needle Neiguan (PC6), depth 3 fen. Tonify six times, reduce three times. Perform Zi-Wu Daojiu (Midnight-Noon Ebb-Flow) method three times to raise Qi upward. Push/manipulate to induce shivering; let the patient call out several times until it stops. If vomiting continues, apply Nine Yang numbers (tonification), regulate breathing thirty-six times. When vomiting stops, slowly remove the needle and quickly press the point. If vomiting persists, tonify Zusanli (ST36).
Purging method: Needle Sanyinjiao (SP6), depth 3 fen. Males use left side, females use right side. Rotate the needle clockwise. Complete the Six Yin numbers. Hold breath with mouth and nose, swallow and distend the abdomen. Before purging, insert the needle once, and the patient will defecate. Inhale thirty-six times while applying manual reduction. Then release breath, re-insert needle, and defecation occurs. If diarrhea persists, needle Hegu (LI4) and apply Nine Yang numbers (tonification). All sweating, vomiting, and purging methods still require distinguishing Yin/Yang and applying tonification/reduction.
Cold headache: Hegu (LI4), Cuanzhu (BL2), Taiyang (EX-HN5). No sweat: Neiting (ST44), Hegu (LI4), Fuliou (KI7), Bailao (EX-HN2). Chest and hypochondriac pain: Daling (PC7), Qimen (LR14), Tanzhong (CV17), Laogong (PC8). Mania disregarding status/hierarchy: Quchi (LI11), Jiegu (GB39), Bailao (EX-HN2), Yongquan (KI1). Persistent high fever: Reduce Quchi (LI11), Jiegu (GB39), Zusanli (ST36), Dazhui (GV14), Yongquan (KI1), Hegu (LI4). Residual heat after fever breaks: Fengmen (BL12), Hegu (LI4), Xingjian (LR2), Jiegu (GB39). Profuse sweating: Neiting (ST44), Hegu (LI4), Fuliou (KI7), Bailao (EX-HN2). Constipation: Zhangmen (LR13), Zhaohai (KI6), Zhigou (TE6), Taibai (SP3). Urinary retention: Yinggu (KI10), Yinlingquan (SP9). Absence of all six pulses: Hegu (LI4), Fuliou (KI7), Zhongji (CV3). Spasm and unconsciousness: Quchi (LI11), Hegu (LI4), Renzhong (GV26), Fuliou (KI7). Jaundice: Wanggu (SI4), Shenmai (BL62), Waiguan (TE5), Yongquan (KI1). Hypochondriac pain: Zhigou (TE6), Zhangmen (LR14), Yanglingquan (GB34), Weizhong (BL40). Passed cycle without sweating: Qimen (LR14). Cold limbs (Jue-ni): Needle Fuliou (KI7) along the bone direction. Floating pulse: Tonify Jiegu (GB39) for cold, reduce Jiegu (GB39) for heat. Floating and surging pulse: Reduce. Deep and fine pulse: Tonify. Locked jaw, closed eyes, inability to take medicine: Hegu (LI4). Hu-huo syndrome with oral ulcers: Huanglian Xijiao Tang (Coptis and Rhinoceros Horn Decoction). Parasites eating inside: Dicang (ST4). Shaoyang vomiting roundworms: Wumei Tang (Mume Decoction), moxa Zhongwan (CV12). Epigastric fullness and hypochondriac mass pain: Qimen (LR14). Should have sweated but did not: Hegu (LI4). Spontaneous sweating: Fuliou (KI7). Jaw stiffness, neck rigidity with opisthotonos, fixed gaze: Lieque (LU7). Epigastric fullness with chest binding, yellowish dim vision, no sweat: Needle Yongquan (KI1) at 3 fen to induce sweating.