邪在肺则病皮肤痛，发寒热，上气喘，汗出，咳动肩背。取之膺中外俞，背三椎之傍
，以手疾按之快然，乃刺之，取缺盆中以越之。
黄帝问曰∶肺之令人咳何也？岐伯对曰∶五脏六腑皆令人咳，非独肺也。皮毛者，肺之
合也。皮毛先受邪气，邪气以从其合。其寒饮食入胃，从肺脉上至于肺气则肺寒，肺寒则
内外合邪，因而客之，则为肺咳。五脏各以其时受病，非其时各传以与之。人与天地参，故
五脏各以治时感于寒，则受病也。微则为咳，甚则为泄为痛。乘秋则肺先受邪，乘春则肝
先受之，乘夏则心先受之，乘至阴则脾先受之，乘冬则肾先受之，肺咳之状，咳而喘息有音
，甚则唾血。心咳之状，咳则心痛，喉中喝喝（《素问》作 ）如梗状，甚则咽肿
喉痹。肝咳之状，咳则 （《素问》作两胁下）痛甚不可以转，转则两胁（《素问》作
）下满。脾咳之状，咳则右 （《素问》作胁）下痛，阴阴引肩背，甚则咳涎不可以
动，动则咳剧。肾咳之状，咳则腰背相引而痛，甚则咳涎。五脏久咳，乃移于六腑。脾咳不
已，则胃受之；胃咳之状，咳而呕，呕甚则长虫出。肝咳不已，则胆受之；胆咳之状，咳呕
胆汁。肺咳不已，则大肠受之；大肠咳之状，咳而遗矢。心咳不已，则小肠受之；小肠咳之
状，咳而失气，气与咳俱失。肾咳不已，则膀胱受之；膀胱咳之状，咳遗尿（《素问》作溺）
。久咳不已，则三焦受之；三焦咳之状，咳而腹满不欲饮食。此皆聚于胃，关于肺，使人多
涕唾而面浮肿气逆。治脏者治其俞，治腑者治其合，浮肿者治其经。秋伤于湿，冬生
咳嗽。
曰∶《九卷》言振埃，刺外经而去阳病，愿卒闻之。曰∶阳气大逆，上满于胸中，
愤肩息，大气逆上，喘喝坐卧，病咽噎不得息，取之天容。其咳上气穷 胸痛者，
取之廉泉。取之天容者，深无一里（里字疑误）。取廉泉者，血变乃止。
咳逆上气，魄户及气舍主之。咳逆上气，噫嘻主之。咳逆上气，咽喉鸣喝喘息，扶
突主之。咳逆上气唾沫，天容及行间主之。咳逆上气，咽喉壅肿，呼吸短气，喘息不通，水
突主之（一本作天突）。咳逆上气，喘不能言，华盖主之。咳逆上气，唾喘短气不得息，口不
能言，膻中主之。咳
卧不安， 中主之。胸满咳逆，喘不得息，呕吐烦满，不得饮食，神藏主之。胸胁 满
咳逆上气，呼吸多喘，浊沫脓血，库房主之。咳喘不得，坐不得卧，呼吸气素，咽不得，胸
中热，云门主之。胸胁 满不得俯仰， 痈，咳逆上气，咽喉喝有声，太溪主之
。咳逆不止，三焦有水气，不能食，维道主之。咳逆烦闷不得卧，胸中满，喘不得息，背痛
，太渊主之。咳逆上气，舌干胁痛，心烦肩寒，少气不足以息，腹胀，喘，尺泽主之。咳，
干呕满，侠白主之。咳上气，喘不得息，暴痹内逆，肝肺相传，鼻口出血，身胀，逆息不得
卧，天府主之。凄凄寒嗽，吐血，逆气，惊，心痛，手阴 主之。咳而胸满，前谷主之。咳
面赤热，支沟主之。咳喉中鸣，咳唾血，大钟主之。
邪气侵犯肺脏，则出现皮肤疼痛，恶寒发热，气逆喘促，出汗，咳嗽时牵引肩背疼痛。治疗应取胸前的膺中外俞穴（指中府穴），以及背部第三椎骨两侧的穴位。用手快速按压这些部位，如果患者感到舒适爽快，就可以针刺；再取缺盆穴以宣通肺气。
黄帝问道：为什么肺受邪会导致人咳嗽呢？岐伯回答说：五脏六腑受到病邪影响，都会导致咳嗽，并不仅仅是肺脏的问题。皮毛是肺的外合，皮毛先受到邪气侵袭，邪气就会顺着经络内传于肺。如果寒冷的饮食进入胃中，寒气会沿着肺脉上行至肺，使肺产生寒象。肺寒与外感之邪在体内相合，邪气停留其中，就形成肺咳。五脏分别在各自所主的季节感受病邪，如果不是其主令之时，其他脏腑的病邪也会传变给肺。人与天地相应，所以五脏在各自当令的季节感受寒邪，就会发病。病情轻的表现为咳嗽，重的则出现泄泻或疼痛。秋季湿气盛，肺最先受邪；春季肝最先受邪；夏季心最先受邪；长夏脾最先受邪；冬季肾最先受邪。肺咳的症状，是咳嗽伴有喘息且有声，严重时唾中带血。心咳的症状，是咳嗽时心痛，喉咙中有痰鸣声像有异物梗阻一样，严重时咽喉肿痛、喉痹。肝咳的症状，是咳嗽时两胁下疼痛，严重时身体不能转动，转动时两胁下胀满。脾咳的症状，是咳嗽时右胁下疼痛，隐隐作痛并牵引肩背，严重时咳出涎沫而不能活动，一动则咳嗽加剧。肾咳的症状，是咳嗽时腰背相互牵引而痛，严重时咳出涎沫。五脏久咳不愈，病邪会转移至六腑。脾咳不止，病邪传至胃；胃咳的症状，是咳嗽伴呕吐，呕吐严重时蛔虫会吐出。肝咳不止，病邪传至胆；胆咳的症状，是咳嗽并呕出胆汁。肺咳不止，病邪传至大肠；大肠咳的症状，是咳嗽时大便失禁。心咳不止，病邪传至小肠；小肠咳的症状，是咳嗽时放屁，排气与咳嗽同时发生。肾咳不止，病邪传至膀胱；膀胱咳的症状，是咳嗽时遗尿。久咳不愈，病邪传至三焦；三焦咳的症状，是咳嗽伴腹部胀满、不想饮食。这些病症都是病邪聚集在胃，关联于肺，使人多涕唾且面部浮肿、气逆。治疗五脏病取五输穴中的俞穴，治疗六腑病取合穴，有浮肿者取经穴。秋季伤于湿邪，冬季会发生咳嗽。
雷公说：《九卷》中提到“振埃”刺法，是针刺阳经以祛除阳分病邪，我希望详尽地听您讲解。岐伯说：阳气大逆，壅滞于胸中，情绪烦闷，耸肩呼吸，大气上逆，喘喝声重，坐卧不安，咽喉噎塞气息不通，取天容穴治疗。咳嗽气逆严重到胸痛的人，取廉泉穴治疗。取天容穴时，针刺深度不超过一寸（“里”字疑为误字）。取廉泉穴时，直到血色由暗红变为鲜红即可停止针刺。
咳嗽气逆，由魄户穴和气舍穴主治。咳嗽气逆，由噫嘻穴主治。咳嗽气逆，咽喉鸣响喘息，由扶突穴主治。咳嗽气逆吐沫，由天容穴和行间穴主治。咳嗽气逆，咽喉壅肿，呼吸短促，喘息不通，由水突穴主治（另一版本作天突穴）。咳嗽气逆，气喘不能言语，由华盖穴主治。咳嗽气逆，唾喘短促气息不通，口不能言，由膻中穴主治。咳嗽卧睡不安，由神藏穴主治。胸满咳嗽气逆，气喘气息不通，呕吐烦闷，不能进食，由神藏穴主治。胸胁胀满咳嗽气逆，呼吸多喘，咳吐浊沫脓血，由库房穴主治。咳嗽气喘不能平卧，呼吸急促，咽部不适，胸中热，由云门穴主治。胸胁胀满不能俯仰，痈肿，咳嗽气逆，咽喉有声，由太溪穴主治。咳嗽不止，三焦有水气，不能进食，由维道穴主治。咳嗽气逆烦闷不能卧，胸中满闷，气喘气息不通，背痛，由太渊穴主治。咳嗽气逆，舌干胁痛，心烦肩冷，少气不足以息，腹胀，气喘，由尺泽穴主治。咳嗽，干呕腹满，由侠白穴主治。咳嗽气逆，气喘气息不通，突发痹证气机内逆，肝肺之气相传，鼻口出血，身体胀满，逆气不能卧，由天府穴主治。畏寒咳嗽，吐血，气逆，惊悸，心痛，由手阴经相关穴位主治（原文此处似有脱漏，通常指手太阴肺经等）。咳嗽伴胸满，由前谷穴主治。咳嗽面赤发热，由支沟穴主治。咳嗽喉中鸣响，咳唾带血，由大钟穴主治。
When pathogenic factors invade the Lung, skin pain occurs, accompanied by aversion to cold and fever, panting with upward rushing of Qi, sweating, and cough that draws pain in the shoulders and back. Treatment should select the Shu points on the anterior chest (Yingzhong Waiyu) and the sides of the third thoracic vertebra on the back. Press the area quickly with the hand; if the patient feels comfortable and relieved, then needle. Also select the Quepen point (CV15) to vent the pathogenic factors.
The Yellow Emperor asked: Why does disease of the Lung cause cough? Qibo replied: All five Zang organs and six Fu organs can cause cough when diseased, not only the Lung. The skin and hair are the exterior correspondence of the Lung. When pathogenic factors first invade the skin and hair, they enter the Lung through this correspondence. If cold food and drink enter the Stomach, the cold Qi travels up along the Lung meridian to the Lung, causing Cold in the Lung. Thus, external Cold and internal Cold combine, lodging in the Lung, resulting in Lung Cough. Each of the five Zang organs becomes diseased when it is its ruling season; if it is not its season, pathogenic factors from other organs may transmit to it. Humans correspond with Heaven and Earth, so each Zang organ contracts disease when exposed to Cold during its respective season. Mild exposure results in cough, while severe exposure leads to diarrhea or pain. In Autumn, dampness injures the body, and the Lung is the first to receive the pathogen. In Spring, the Liver receives it first; in Summer, the Heart; during the late summer (Zhiyin), the Spleen; and in Winter, the Kidney. The manifestation of Lung Cough includes cough with wheezing and audible sounds, and in severe cases, expectoration of blood. The manifestation of Heart Cough includes cough with heart pain, a sensation of obstruction in the throat (described as "yi" in *Suwen*), feeling like something is stuck, and in severe cases, sore throat and Bi syndrome of the throat. The manifestation of Liver Cough includes cough with pain in the hypochondrium, so severe that turning is impossible, leading to fullness in the hypochondrium upon turning. The manifestation of Spleen Cough includes cough with pain in the right hypochondrium, dull pain radiating to the shoulder and back, and in severe cases, expectoration of saliva/phlegm and inability to move, which exacerbates the cough. The manifestation of Kidney Cough includes cough with pulling pain between the waist and back, and in severe cases, expectoration of saliva/phlegm. If cough from the five Zang organs persists for a long time, the pathogen transfers to the six Fu organs. If Spleen Cough persists, the Stomach is affected; Stomach Cough manifests as cough with vomiting, and in severe cases, expulsion of roundworms. If Liver Cough persists, the Gallbladder is affected; Gallbladder Cough manifests as cough with vomiting of bile. If Lung Cough persists, the Large Intestine is affected; Large Intestine Cough manifests as cough with involuntary defecation. If Heart Cough persists, the Small Intestine is affected; Small Intestine Cough manifests as cough with flatus, where gas escapes with the cough. If Kidney Cough persists, the Bladder is affected; Bladder Cough manifests as cough with urinary incontinence. If cough persists for a long time, the Sanjiao (Triple Burner) is affected; Sanjiao Cough manifests as cough with abdominal fullness and loss of appetite. These conditions all involve accumulation in the Stomach and involvement of the Lung, causing excessive phlegm and drool, facial edema, and rebellious Qi. To treat Zang diseases, select their Shu points; to treat Fu diseases, select their He-sea points; for edema, select their Jing-river points. Injury by dampness in Autumn generates cough in Winter.
A question was posed: The *Jiu Juan* (Nine Scrolls, i.e., *Ling Shu*) mentions the "Zhen Ai" (Shaking Dust) needling method, which involves needling Yang meridians to eliminate Yang-pathologies. I wish to hear the details. The answer is: When Yang Qi rebels severely, filling the chest, causing mental agitation, shoulder breathing, and upward rushing of Great Qi, leading to noisy panting, restlessness in sitting and lying, and throat obstruction with dyspnea, select Tianrong (SI17). For cough with rebellious Qi and severe chest pain, select Lianquan (CV23). When needling Tianrong, the depth should not exceed one cun ("li" is likely an error). When needling Lianquan, stop when the blood color changes (from dark to bright red).
For cough with rebellious Qi, Bahu (BL42) and Qishe (ST11) are indicated. For cough with rebellious Qi, Yixi (BL68) is indicated. For cough with rebellious Qi, hoarseness, and wheezing, Futu (LI18) is indicated. For cough with rebellious Qi and profuse sputum, Tianrong (SI17) and Xingjian (LR2) are indicated. For cough with rebellious Qi, throat swelling, shortness of breath, and obstructed wheezing, Shuitu (ST10) is indicated (another version reads Tiantu CV22). For cough with rebellious Qi, wheezing preventing speech, Huagai (BL16) is indicated. For cough with rebellious Qi, expectorating wheezing, shortness of breath, dyspnea, and aphasia, Danzhong (CV17) is indicated. For cough with restless sleep, Shencang (BL44) is indicated. For chest fullness, cough with rebellious Qi, dyspnea, vomiting, irritability, and inability to eat, Shencang (BL44) is indicated. For chest and hypochondriac fullness, cough with rebellious Qi, frequent wheezing, and expectoration of turbid phlegm, pus, and blood, Kufang (ST16) is indicated. For cough and wheezing preventing lying down, rapid breathing, throat discomfort, and chest heat, Yunmen (LU2) is indicated. For chest and hypochondriac fullness preventing bending and twisting, abscesses, cough with rebellious Qi, and hoarse sounds in the throat, Taixi (KI3) is indicated. For persistent cough with rebellious Qi, water-Qi in the Sanjiao, and inability to eat, Weidao (GB29) is indicated. For cough with rebellious Qi, irritability, inability to lie down, chest fullness, dyspnea, and back pain, Taiyuan (LU9) is indicated. For cough with rebellious Qi, dry tongue, hypochondriac pain, irritability, cold shoulders, shortness of breath, abdominal distension, and wheezing, Chize (LU5) is indicated. For cough, dry heaving, and abdominal fullness, Xiabai (LU2) is indicated. For cough with rebellious Qi, wheezing and dyspnea, sudden bi-syndrome, internal reversal of Qi, transmission between Liver and Lung, bleeding from nose and mouth, body distension, and inability to lie down due to rebellious Qi, Tianfu (LU3) is indicated. For shivering cold cough, hemoptysis, rebellious Qi, fright, and heart pain, the relevant Hand-Yin meridians are indicated. For cough with chest fullness, Qiangu (SI03) is indicated. For cough with red and hot face, Zhigou (SJ6) is indicated. For cough with hoarse throat sounds and hemoptysis, Dazhong (KI4) is indicated.