假令得弦脉。病患善洁。（胆为清净之府故耳）面青善怒。此胆病也。若心下满当刺窍阴
。（
合）又总取丘墟。（原）
假令得弦脉。病患淋溲难。转筋。四肢满闭。脐右有动气。此肝病也。若心下满当刺大
敦。
假令得浮洪脉。病患面赤口干喜笑。此小肠病也。若心下满刺少泽。（井）身热刺前谷。
（荥
假令得浮洪脉。病患烦心。心痛。掌中热而哕。脐上有动气。此心病也。若心下满刺少
冲。
假令得浮缓脉。病患面黄。善噫善思善沫。此胃病也。若心下满刺厉兑。（井）身热刺内
庭。
假令得浮缓脉。病患腹胀满。食不消。体重节痛。怠隋嗜卧。四肢不收。当脐有动气。
按之
热刺商丘。（经）逆气而泄刺阴陵泉。（合）
假令得浮脉。病患面白。善嚏。悲愁不乐欲哭。此大肠病也。若心下满刺商阳。（井）身
热刺
。（原）
假令得浮脉。病患喘嗽。洒淅寒热。脐右有动气。按之牢若痛。此肺病也。若心下满刺
少商
合）
假令得沉迟脉。病患面黑。善恐欠。此膀胱病也。若心下满刺至阴。（井）身热刺通谷。
（荥
假令得沉迟脉。病患逆气。小腹急痛。泄如下重。足胫寒而逆。此肾病也。若心下满刺
涌
此五脏六腑井荥俞经合刺法。深得素、难之旨。学人不可不知。
假设诊得弦脉。患者喜欢清洁。（因为胆是清净之腑的缘故）面色青，易怒。这是胆病。如果心下胀满，应当刺窍阴穴（胆经合穴）。又总体取丘墟穴（胆经原穴）。
假设诊得弦脉。患者小便淋沥困难。筋脉拘挛抽搐。四肢胀满闭塞。脐右侧有搏动感。这是肝病。如果心下胀满，应当刺大敦穴。
假设诊得浮洪脉。患者面色红赤，口干燥，喜欢笑。这是小肠病。如果心下胀满，刺少泽穴（小肠经井穴）。身体发热刺前谷穴（小肠经荥穴）。
假设诊得浮洪脉。患者心烦。心痛。手掌心发热且呃逆。脐上有搏动感。这是心病。如果心下胀满，刺少冲穴。
假设诊得浮缓脉。患者面色黄。喜欢叹气、思虑、流口水。这是胃病。如果心下胀满，刺厉兑穴（胃经井穴）。身体发热刺内庭穴。
假设诊得浮缓脉。患者腹胀满。食物不消化。身体沉重关节疼痛。倦怠嗜睡。四肢无力收持。当脐部有搏动感。按压时感觉热，刺商丘穴（脾经经穴）。气逆且泄泻的，刺阴陵泉穴（脾经合穴）。
假设诊得浮脉。患者面色白。喜欢打喷嚏。悲伤忧愁不快乐想哭。这是大肠病。如果心下胀满，刺商阳穴（大肠经井穴）。身体发热刺（原文此处缺字，据上下文推测为阳溪或类似原穴/荥穴，但依原文仅译“刺”后留空或指代前文逻辑，此处按原文直译：身体发热刺...）。*注：原文此处“身热刺”后缺失穴位名，通常对应阳溪（原穴），但严格遵循不增添内容原则，译为“身体发热刺”。*
假设诊得浮脉。患者气喘咳嗽。洒淅恶寒发热。脐右侧有搏动感。按压坚硬且痛。这是肺病。如果心下胀满，刺少商穴（肺经井穴）。*注：原文此处“少商”后括号内有“合”字疑似误植或指代其他，但少商为井穴，原文结构与其他段落一致，故保留刺少商。*
假设诊得沉迟脉。患者面色黑。容易恐惧呵欠。这是膀胱病。如果心下胀满，刺至阴穴（膀胱经井穴）。身体发热刺通谷穴（膀胱经荥穴）。
If a wiry pulse (Wiry Pulse) is obtained, the patient exhibits a preference for cleanliness. (This is because the Gallbladder is the organ of purity and clarity.) The face appears green, and the patient is prone to anger. This indicates a disease of the Gallbladder. If there is fullness below the heart, one should puncture Qiuyang (GB34, He-Sea point). Additionally, one should generally select Qiuxu (GB40, Yuan-Source point).
If a wiry pulse is obtained, the patient suffers from difficult and dribbling urination, tendon contraction, distension and closure of the four limbs, and pulsating movement at the right side of the umbilicus. This indicates a disease of the Liver. If there is fullness below the heart, one should puncture Dagu (LR1, Jing-Well point).
If a floating and surging pulse is obtained, the patient has a red face, dry mouth, and a tendency to laugh. This indicates a disease of the Small Intestine. If there is fullness below the heart, puncture Shaoze (SI1, Jing-Well point). If the body is hot, puncture Qiangu (SI2, Ying-Spring point).
If a floating and surging pulse is obtained, the patient experiences vexation in the heart, heart pain, heat in the palms, and hiccups. There is pulsating movement above the umbilicus. This indicates a disease of the Heart. If there is fullness below the heart, puncture Shaochong (HT9, Jing-Well point).
If a floating and moderate pulse is obtained, the patient has a yellow complexion, frequent belching, excessive thinking, and drooling. This indicates a disease of the Stomach. If there is fullness below the heart, puncture Lidui (ST45, Jing-Well point). If the body is hot, puncture Neiting (ST44, Ying-Spring point).
If a floating and moderate pulse is obtained, the patient suffers from abdominal distension and fullness, indigestion, heaviness of the body with joint pain, lethargy and desire to sleep, and inability to hold the four limbs. There is pulsating movement at the umbilicus. When pressed, it feels hot; puncture Shangqiu (SP5, Jing-River point). For rebellious qi and diarrhea, puncture Yinlingquan (SP9, He-Sea point).
If a floating pulse is obtained, the patient has a white complexion, frequent sneezing, sadness, sorrow, unhappiness, and a desire to cry. This indicates a disease of the Large Intestine. If there is fullness below the heart, puncture Shangyang (LI1, Jing-Well point). If the body is hot, puncture [text missing in original].
If a floating pulse is obtained, the patient suffers from wheezing and coughing, chills and fever with shivering, pulsating movement at the right side of the umbilicus, which is firm and painful upon pressure. This indicates a disease of the Lung. If there is fullness below the heart, puncture Shaoshang (LU11, Jing-Well point).
If a deep and slow pulse is obtained, the patient has a black complexion, frequent fear, and yawning. This indicates a disease of the Bladder. If there is fullness below the heart, puncture Zhiyin (BL67, Jing-Well point). If the body is hot, puncture Tonggu (BL65, Ying-Spring point).
If a deep and slow pulse is obtained, the patient suffers from rebellious qi, acute pain in the lower abdomen, diarrhea with a sensation of heaviness/tenesmus, coldness and reversal in the calves and feet. This indicates a disease of the Kidney. If there is fullness below the heart, puncture Yongquan (KI1, Jing-Well point).
These are the puncturing methods for the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea points of the five Zang organs and six Fu organs. They deeply capture the essence of the *Suwen* (Basic Questions) and *Nanjing* (Classic of Difficult Issues). Students must not fail to know them.