黄帝问曰∶刺节言解惑者，尽知调诸阴阳，补泻有余不足相倾移也，何以解之？岐伯对
曰∶大风在身，血脉偏虚，虚者不足，实者有余，轻重不得，倾侧宛状，不知东西南北，乍
上乍下，反复颠倒无常，甚于迷惑。补其不足，泻其有余，阴阳平复。用针如此，疾于解惑
。淫邪偏客于半身，其入深，内居营卫，营卫稍衰，则真气去，邪气独留，发为偏枯；其邪
气浅者，脉偏痛。风逆，暴四肢痛，身漯漯，唏然时寒，饥则烦，饱则善变，取手太阴表里
，足少阴、阳明之经。肉反清取营，骨清取井、经也。偏枯，身偏不用而痛，言不变，智不
乱
肢不收，智乱不甚，其言微知可治；甚则不能言，不可治也。病先起于阳，后入于阴者，先
取其阳，后取其阴，必审其气之浮沉而取之。病大风骨节重，须眉坠，名曰大风。刺肌肉为
故，汗出百日，刺骨髓汗出百日，凡二百日，须眉生而止针。曰∶有病身热懈惰，汗出如浴
，恶风少气，此为何病？曰∶名酒风，治之以泽泻、术各十分，麋衔五分，合以三指撮为后
饮。身有所伤，出血多，及中风寒，若有所坠堕，四肢解 不收，名曰体解。取其少腹
脐下三结交。三结交者，阳明、太阴（一本作阳）脐下三寸关元也。
风眩善呕，烦满，神庭主
之；如颜青者，上星主之。取上星者，先取噫嘻，后取天牖、风池；头痛颜青者，
囟会主之。风眩引颔痛，上星主之，取上星，亦如上法。风眩目瞑，恶风寒，面赤肿，前顶
主之。顶上痛，风头重，目如脱，不可左右顾，百会主之。风眩目眩，颅上痛，后顶主之。头
重顶痛，目不明，风到脑中寒，重衣不热，汗出，头中恶风，刺脑户主之。头痛项急，不得
倾倒，目眩，鼻不得喘息，舌急难言，刺风府主之。头眩目痛，头半寒（《千金》下有痛字）
，玉枕主之。脑风目瞑，头痛，风眩目痛，脑空主之。颈颔 满，痛引牙齿，口噤不
开，急痛不能言，曲鬓主之。头痛引颈，窍阴主之。风头，耳后痛，烦心，及足不收失履，
口僻，头项摇 痛，牙车急，完骨主之。眩，头痛重，目如脱，项似拔，狂见鬼，目上反
，项
，膈俞主之，又噫嘻主之（《素问》骨空论云∶大风汗出灸噫嘻）。眩，
头痛，刺丝竹空主之。口僻，颧 及龈交、下关主之。面目恶风寒， 肿臃痛，
招摇视瞻，螈 口僻，巨 主之。口不能水浆， 僻，水沟主之。口僻噤，外关主之。
螈口沫出，上关主之。偏枯，四肢不用，善惊，大巨主之。大风逆气，多寒善悲，大横
主之。手臂不得上头，尺泽主之。风汗出身肿喘喝，多睡恍惚善忘，嗜卧不觉，天府主之
，在腋下三寸臂内动脉之中。风热善怒，中心喜悲，思慕 欷，善笑不休，劳宫主
之。两手挛不收伸及腋偏枯不仁，手 偏小筋急，大陵主之。头身风，善呕怵，寒中少
气，掌中热， 急腋肿，间使主之。足不收，痛不可以行，天泉主之。足下缓失履，冲
阳主之。手及臂挛，神门主之。痱痿、臂腕不用，唇吻不收，合谷主之。肘痛不能自带衣
，起头眩，颔痛面黑，风肩背痛不可顾，关冲主之。嗌外肿，肘臂痛，五指 ，不可屈伸，头
眩，颔额颅痛，中渚主之。马刀肿 ，目痛，肩不举，心痛楮满，逆气，汗出，口噤
不可开，支沟主之。大风默默不知所痛，嗜卧善惊螈 ，（《千金》云∶悲伤不
乐）。天井主之。偏枯臂腕发痛，肘屈不得伸手，又风头痛，涕出，肩臂颈痛，项急，烦满
惊，五
手腕痛作手卷）。泄风，汗出至腰，阳谷主之。风逆，暴四肢肿，湿则唏然寒，饥则烦心，饱
则眩，大都主之。风入腹中
，侠脐急胸痛，胁满楮，衄不止，五指端尽痛，足不得地，涌泉主之。偏枯不能行
，大风默默不知所痛，视如见星，溺黄，小腹热，咽干，照海主之，泻左阴跷、右少阴俞
。先刺阴跷，后刺少阴，在横骨中。风逆四肢肿，复留主之。风从头至足，面目赤，口痛啮
舌，解溪主之。大风，目外 痛，身热痱，缺盆中痛，临泣主之。善自啮颊，偏枯，腰髀枢
痛，善摇头，京骨主之。大风，头多汗，腰尻腹痛， 跟肿，上齿痛，脊背尻重不欲起
，闻食臭，恶闻人音，泄风从头至足，昆仑主之。痿厥风头重， 痛，枢股 外廉
骨痛，螈 ，痹不仁，振寒，时有热，四肢不举，趺阳主之。腰痛，颈项痛，历节汗出而
步履，寒复不仁， 中痛，飞扬主之。
黄帝问道：针刺节解中提到“解惑”，是指完全了解如何调和阴阳，通过补虚泻实来平衡有余和不足，那么究竟如何解除这种迷惑呢？岐伯回答说：当大风邪气侵袭身体时，血脉会出现偏侧虚弱，虚的一方正气不足，实的一方邪气有余，导致身体轻重失衡，倾斜不稳，如同醉酒般神志昏乱，分不清东西南北，忽上忽下，反复颠倒无常，其症状比一般的迷惑还要严重。治疗时，应补益不足的正气，泻除有余的邪气，使阴阳恢复平衡。使用针刺达到这种效果，比解开迷惑还要迅速。如果淫邪之气偏客于半身，且侵入较深，内居于营卫之中，随着营卫之气逐渐衰弱，真气离去，只有邪气独留，就会发为偏枯（半身不遂）；如果邪气较浅，则表现为脉象偏侧疼痛。若是风邪逆乱，突然四肢疼痛，身体感觉湿冷，不时发出叹息声并伴有寒意，饥饿时感到心烦，饱食后则病情变化，应取用手太阴肺经及其表里经（手阳明大肠经），以及足少阴肾经、足阳明胃经的穴位。若肌肉寒冷颤抖，应取营分穴；若骨骼寒冷颤抖，应取井穴和经穴。
偏枯的症状是身体一侧不能活动且伴有疼痛，但言语正常，智力未乱，肢体无法收持。如果智力混乱不严重，言语尚能表达意思，可以治疗；如果严重到不能言语，则不可治疗。疾病先从阳分发起，后传入阴分的，应先取阳分穴位，后取阴分穴位，必须仔细审察病气的浮沉来决定取穴。患大风病导致骨节沉重，胡须眉毛脱落，称为大风。治疗时，先刺肌肉层，令患者出汗，持续一百天；再刺骨髓层，令患者出汗，又持续一百天，总共二百天，待胡须眉毛长出即可停针。
有人问：有一种病，身体发热，肢体懈怠无力，汗出如洗澡般，怕风且气短，这是什么病？答：这叫酒风（饮酒过度导致的湿热病证）。用泽泻、白术各十分，麋衔五分，混合后每次取三指撮的量煎服。如果身体曾受创伤，出血过多，又中中风寒，或者有坠落伤，导致四肢松弛无法收持，这叫体解（肢体懈惰无力）。应取少腹脐下三结交穴。三结交穴，即足阳明胃经、足太阴脾经（另一版本作足太阳膀胱经）与任脉在脐下三寸的关元穴交会之处。
风眩伴善呕、烦闷，由神庭穴主治；面色发青的，由上星穴主治。取上星穴时，先取噫嘻穴，后取天牖穴、风池穴；头痛且面色发青的，由囟会穴主治。风眩牵引下颌疼痛，由上星穴主治，取法同上。风眩致目闭难睁，恶风寒，面部红肿，由前顶穴主治。头顶痛，头重如裹，眼睛像要脱出，不能左右回顾，由百会穴主治。风眩致头晕，颅顶疼痛，由后顶穴主治。头重头顶痛，视物不明，风邪入脑致寒，穿厚衣仍觉冷，出汗，头部感受恶风，刺脑户穴主治。头痛项强急，不能俯仰，目眩，鼻息不畅，舌强言语困难，刺风府穴主治。头晕目痛，头半侧发凉（《千金方》下有“痛”字），玉枕穴主治。脑风致目闭难睁，头痛，风眩目痛，脑空穴主治。颈颌胀满，疼痛牵引牙齿，口噤不开，剧痛不能言语，曲鬓穴主治。头痛牵引颈部，窍阴穴主治。头风，耳后痛，心烦，以及下肢无力失履，口眼歪斜，头项摇动疼痛，牙关紧急，完骨穴主治。眩晕，头痛沉重，眼睛像要脱出，项部似被拉扯，狂躁见鬼，眼球上翻，项强，膈俞穴主治，也可取噫嘻穴（《素问·骨空论》说：大风出汗者灸噫嘻穴）。眩晕，头痛，刺丝竹空穴主治。口眼歪斜，颧髎及龈交、下关穴主治。面目恶风寒，眼睑肿胀疼痛，眼神游移不定，肌肉抽搐，口眼歪斜，巨髎穴主治。口不能进水浆，口眼歪斜，水沟穴主治。口眼歪斜牙关紧闭，外关穴主治。肌肉抽搐口角流涎，上关穴主治。偏枯，四肢不用，易惊，大巨穴主治。大风逆气，多寒易悲，大横穴主治。手臂不能举过头顶，尺泽穴主治。风邪致汗出身肿喘喝，嗜睡恍惚健忘，嗜卧不知疲倦，天府穴主治，位于腋下三寸臂内侧动脉搏动处。风热致易怒，心中喜悲，思慕叹息，笑个不停，劳宫穴主治。两手拘挛不能伸展及腋部偏枯麻木，手部肌肉消瘦筋脉紧急，大陵穴主治。头身受风，易呕吐惊恐，寒邪入里致少气，掌心热，胁肋急腋下肿，间使穴主治。下肢无力，疼痛不能行走，天泉穴主治。足底弛缓失履，冲阳穴主治。手及手臂拘挛，神门穴主治。痱痿、手臂手腕不用，唇吻不收，合谷穴主治。肘痛不能穿衣，起立时头晕，下巴痛面色黑，风邪致肩背痛不能回顾，关冲穴主治。咽喉外肿，肘臂痛，五指拘急，不能屈伸，头晕，下巴额颅痛，中渚穴主治。马刀瘰疬肿痛，目痛，肩不能举，心痛腹胀，逆气，汗出，口噤不开，支沟穴主治。大风默默不知何处疼痛，嗜睡易惊抽搐（《千金方》说：悲伤不乐），天井穴主治。偏枯手臂手腕发痛，肘部弯曲不能伸直，又治风头痛，流涕，肩臂颈痛，项强，烦闷惊悸，五枢穴主治（原文此处有缺漏，据上下文推测涉及手腕痛卷曲等症状）。泄风，汗出至腰部，阳谷穴主治。风邪逆乱，突然四肢肿胀，湿邪致呵欠畏寒，饥饿时心烦，饱食后眩晕，大都穴主治。风邪入腹中，脐旁急痛胸痛，胁满腹胀，鼻衄不止，五指端尽痛，足跟不能着地，涌泉穴主治。偏枯不能行走，大风默默不知疼痛，视物如见星星，尿黄，小腹热，咽干，照海穴主治，泻左侧阴跷脉、右侧少阴俞穴。先刺阴跷，后刺少阴，位置在横骨穴中。风邪逆乱四肢肿胀，复溜穴主治。风邪从头至足，面目赤红，口痛咬舌，解溪穴主治。大风，目外眦痛，身热痱疹，缺盆中痛，临泣穴主治。喜欢自咬脸颊，偏枯，腰髀枢痛，喜欢摇头，京骨穴主治。大风，头多汗，腰尻腹痛，脚跟肿，上齿痛，脊背尻部沉重不想起身，闻食物气味，厌恶人声，泄风从头至足，昆仑穴主治。痿厥头重，膝痛，大腿外侧骨痛，抽搐，痹症麻木，振寒，时有发热，四肢不能抬起，趺阳穴主治。腰痛，颈项痛，历节汗出步履艰难，寒邪致麻木，腘窝中痛，飞扬穴主治。
Huangdi asked: The "Jie" (Joint) chapter of acupuncture mentions "resolving confusion," which refers to fully understanding how to harmonize Yin and Yang, balancing excess and deficiency through tonification and sedation. How exactly is this confusion resolved? Qibo replied: When severe wind pathogens invade the body, the blood vessels become unevenly deficient. The deficient side lacks Zheng Qi (True Vital Energy), while the excess side harbors pathogenic factors. This leads to an imbalance in bodily weight and stability, causing the patient to tilt and sway as if intoxicated, unable to distinguish directions, experiencing sudden upward and downward sensations, and reversing constantly. These symptoms are more severe than ordinary confusion. Treatment involves tonifying the deficiency and sedating the excess to restore Yin-Yang balance. Acupuncture achieving this effect works faster than resolving confusion. If evil qi lodges unilaterally in half the body and penetrates deeply into Ying (Nutritive) and Wei (Defensive) levels, the gradual decline of Ying and Wei causes Zheng Qi to depart, leaving only the evil qi, resulting in Pian Ku (hemiplegia). If the evil qi is shallow, it manifests as unilateral pulse pain. In cases of Wind Ni (Wind Reversal), there is sudden limb pain, a sensation of damp cold over the body, frequent sighing with chills, irritability when hungry, and symptom fluctuation after eating. One should select points from the Hand Taiyin Lung Meridian and its interior-exterior paired meridian (Hand Yangming Large Intestine Meridian), as well as the Foot Shaoyin Kidney Meridian and Foot Yangming Stomach Meridian. For muscle tremors due to cold, select Ying-level points; for bone tremors due to cold, select Jing-Well and Jing-River points.
Pian Ku is characterized by unilateral immobility and pain, while speech remains normal and intelligence is intact, though limbs cannot be controlled. If mental confusion is mild and speech is intelligible, the condition is treatable; if severe enough to cause aphasia, it is untreatable. For diseases originating in the Yang aspect and later entering the Yin aspect, one should first treat the Yang aspect and then the Yin aspect, carefully assessing whether the Qi is superficial or deep to determine point selection. Severe wind disease causing heavy joints and loss of eyebrows and beard is called Da Feng (Great Wind). Treatment involves needling the muscle layer until sweating occurs for 100 days, followed by needling the bone marrow level until sweating occurs for another 100 days, totaling 200 days, until hair regrows, at which point needling stops.
Someone asked: There is a condition where the body feels hot, limbs are flaccid and weak, sweating profusely like bathing, aversion to wind, and shortness of breath. What is this disease? It is called Jiu Feng (Wine Wind), caused by excessive alcohol consumption leading to damp-heat. Treat with Zexie (Alisma Rhizome), Baizhu (Atractylodes Macrocephala Rhizome) each in ten parts, and Mixian (Dendrobium nobile stem) in five parts. Mix these and take three finger-pinches per dose after decoction. If the body has suffered trauma with significant blood loss, contracted wind-cold, or sustained falls, resulting in flaccid limbs that cannot be held, it is called Ti Jie (Body Unbinding). Select the San Jie Jiao (Three Intersections) point below the umbilicus. San Jie Jiao refers to Guanyuan (CV4), located three cun below the umbilicus, where the Foot Yangming Stomach Meridian, Foot Taiyin Spleen Meridian (another version says Foot Taiyang Bladder Meridian), and Ren Mai intersect.
Feng Xuan (Wind Vertigo) with vomiting and fullness is treated by Shenting (GV24); if the face is blue, Shangxing (GV23) is used. When selecting Shangxing, first needle Yixi (BL42), then Tianyou (TE16) and Fengchi (GB20). For headache with a blue complexion, Xinhui (GV22) is used. For wind vertigo radiating pain to the chin, Shangxing is used, following the same method. For wind vertigo with eye closure, aversion to wind and cold, and facial swelling, Qanding (GV21) is used. For vertex pain, heavy head, eyes feeling like they will protrude, and inability to look left or right, Baihui (GV20) is used. For wind vertigo with dizziness and cranial pain, Houding (GV19) is used. For heavy head and vertex pain, blurred vision, cold wind invading the brain, chills despite thick clothing, sweating, and aversion to wind in the head, Naohu (GV17) is needled. For headache with neck stiffness, inability to bend or extend, dizziness, nasal breathing difficulty, tongue stiffness, and speech difficulty, Fengfu (GV16) is needled. For dizziness and eye pain, unilateral head coldness (pain added in *Qianjin Fang*), Yuzhen (GB15) is used. For brain wind with eye closure, headache, and wind vertigo eye pain, Naokong (GB13) is used. For neck and jaw fullness, pain radiating to teeth, trismus, severe pain preventing speech, Qu bin (GB7) is used. For headache radiating to the neck, Xiaoyin (GB11) is used. For head wind, post-auricular pain, irritability, lower limb weakness causing dropping shoes, facial paralysis, head and neck shaking pain, and tight masseter, Wanggu (GB12) is used. For dizziness, heavy headache, eyes feeling like protruding, neck feeling pulled, mania with hallucinations, upward deviation of eyes, and neck stiffness, Geshu (BL17) is used, or alternatively Yixi (BL42) (*Suwen* Bone Space Chapter states: for great wind with sweating, moxa Yixi*). For dizziness and headache, Sizhukong (TE23) is needled. For facial paralysis, Quanliao (SI18), Yinjiao (DU28), and Xiaguan (ST7) are used. For aversion to wind and cold in face and eyes, eyelid swelling and pain, wandering gaze, muscle twitching, and facial paralysis, Juliao (ST3) is used. For inability to swallow fluids and facial paralysis, Shuigou (GV26) is used. For facial paralysis and trismus, Waiguan (TE5) is used. For muscle twitching and drooling, Shangguan (ST7) is used. For hemiplegia, limb dysfunction, and fright, Daju (ST30) is used. For great wind with rebellious Qi, excessive cold, and sadness, Daheng (SP15) is used. For arms unable to reach the head, Chize (LU5) is used. For wind-induced sweating, edema, panting, somnolence, confusion, forgetfulness, and lethargy, Tianfu (LU3) is used, located three cun below the axilla in the arterial pulse of the inner arm. For wind-heat causing irritability, heart-related sadness, sighing, and incessant laughter, Laogong (PC8) is used. For hand spasms preventing extension, axillary hemiplegia and anesthesia, wasting of hand muscles, and tendon tension, Daling (PC7) is used. For head and body wind, vomiting, fear, internal cold with shortness of breath, palm heat, hypochondriac tension, and axillary swelling, Jianshi (PC5) is used. For lower limb weakness and painful immobility, Tianquan (PC2) is used. For foot slowness and dropping shoes, Chongyang (ST42) is used. For hand and arm spasms, Shenmen (HT7) is used. For Fei Wei (flaccidity syndrome), arm and wrist dysfunction, and lip relaxation, Hegu (LI4) is used. For elbow pain preventing dressing, dizziness upon rising, chin pain, dark complexion, wind-induced shoulder and back pain preventing turning, Guanchong (TE1) is used. For external throat swelling, elbow and arm pain, finger rigidity preventing flexion/extension, dizziness, and chin/forehead/cranial pain, Zhongzhu (TE3) is used. For scrofula (Ma Dao), eye pain, shoulder immobility, chest pain with fullness, rebellious Qi, sweating, and trismus, Zhigou (TE6) is used. For great wind with unknown pain location, somnolence, and twitching (*Qianjin Fang* adds: sadness and unhappiness), Tianjing (TE10) is used. For hemiplegia with arm/wrist pain, elbow flexion inability, wind headache, rhinorrhea, shoulder/arm/neck pain, neck stiffness, irritability, and palpitations, Wushu (GB29) is used (text implies wrist curling pain). For Xie Feng (leaking wind) with sweating down to the waist, Yanggu (SI5) is used. For wind reversal with sudden limb swelling, dampness causing yawning/chills, irritability when hungry, and dizziness when full, Dadu (SP2) is used. For wind entering the abdomen, parumbilical urgency, chest pain, hypochondriac fullness, persistent epistaxis, pain in all five fingertips, and heels unable to touch the ground, Yongquan (KI1) is used. For hemiplegia preventing walking, great wind with unknown pain, visual stars, yellow urine, lower abdominal heat, and dry throat, Zhaohai (KI6) is used, sedating the left Yin Qiao Mai and the right Shaoyin Shu point. Needle Yin Qiao first, then Shaoyin, located at Henggu (KI12). For wind reversal with limb swelling, Fuliu (KI7) is used. For wind from head to foot, red face/mouth, mouth pain with tongue biting, Jiexi (ST41) is used. For great wind, outer canthus pain, body heat with fei rashes, and supraventricular fossa pain, Linqi (GB41) is used. For self-biting of cheeks, hemiplegia, hip joint pain, and head shaking, Jinggu (BL64) is used. For great wind with head sweating, lower back/abdominal pain, heel swelling, upper tooth pain, heavy spine/sacrum preventing rising, sensitivity to food odors, aversion to human voices, and leaking wind from head to foot, Kunlun (BL60) is used. For Wei Jue (flaccidity-cold syndrome) with heavy head, knee pain, lateral thigh bone pain, twitching, bi-syndrome numbness, chills, intermittent fever, and limb immobility, Duyang (ST41) is used. For lower back pain, neck pain, Li Jie (joint pain) with sweating and difficult gait, cold-induced numbness, popliteal pain, Feiyang (BL58) is used.