厥头痛。面若肿起而烦心。取之足阳明太阴。(厥逆也。邪逆于经。上干头脑而为厥头
痛也。足阳明之脉上行于面。其悍气上冲头者。循眼系入络脑。足太阴支者注心中。故以头痛而
兼面肿烦心者。当取足阳明之解 。太阴之公孙也。)厥头痛。头脉痛。心悲善泣。视头动
脉反盛者。刺尽去血后调足厥阴。(以肝脉会于巅也。○可刺曲泉穴。)厥头痛。贞贞(坚固
貌。)头重而痛。泻头上五行。行
五。(如上星至后顶及五处至玉枕临泣至脑空详在素问水热穴论)先取手少阴(神门)后取足少
阴。(复溜穴。○此即泻南方以去火补北方以壮水也)厥头痛。意善忘。按之不得。(阳邪在
头。无定所也。)取头面左右动脉。后取足太阴。(大都)厥头痛。项先痛腰脊为应。先取天
柱。后取足太阳。(申脉。委中)厥头痛。头痛甚。耳前后脉涌有热。泻出其血。后取足少阳。
(耳之前后足少阳经也。○有热一本作有动脉)真头痛。头痛甚。脑尽痛。手足寒至节。死不
治。(头为诸阳之会。四肢为诸阳之本。若头痛甚而遍尽于脑手足寒至节者则元阳败竭。
阴邪直淖髓海。故不可。治。)头痛不可取于 者。有所击堕。恶血在于内。若肉伤痛未已。
可则刺。不可远取也。(此非大经之病。但可刺去其痛处之血。不可远取荥俞)头痛不可刺者
。大痹为恶。(风寒湿三气杂至。合成恶患。令人头痛不可刺也。)日作者。(犹有间止。)可
令少愈。不可已。(不能全已。)头半寒痛。(偏头冷痛。)先取手少阳阳明。(刺丝竹空。中
渚。合谷。)后取足少阳阳明(刺头临泣。足临泣。头维。)
厥心痛。与背相控。善 。(音记狂也。)如从后触其心。伛偻者。肾心痛。(阴邪上冲。)先
取京骨昆仑。发针不已。取然谷。(五脏道气上干于心而为痛者。谓之厥心痛。下仿此。)厥
心痛。腹胀胸满。心尤痛甚。胃心痛也。(多由停滞。)取之大都太白。(胃与脾为表里。故
当取此。)厥心痛。痛如以锥针刺其心。心痛甚者。脾心痛也。(寒逆中焦。)取之然谷太
。(
足
太息。肝心痛也。(多由木火之郁病在血分。)取之行
间太冲。厥心痛。卧若徒居。心痛间动作。痛益甚。色不变。肺心痛也。取之鱼际太渊。(
徒空也。卧若徒居无倚傍也。间或动作则益甚者。气逆不舒。畏于动也。色不变不在血也。
是皆病在气分。故曰肺心痛也)真心痛。手足清至节。心痛甚。旦发夕死。夕发旦死。(邪气
正犯心主也。)心痛不可刺者。中有盛聚。不可取于 。(或积或血。停聚于中。病在脏而不
在经。)肠中有虫瘕。(结聚也。)及蛟 。(音回。蛔也。蛟即 属。)皆不可取以小针。(谓
力小不能制也。)心肠痛 作痛。(难忍之状。)肿聚往来上下行。(肚腹肿起。或行无定处。
)痛有休止。(虫动则痛。静则不痛。)腹热喜渴。涎出者是蛟 也。(此皆虫瘕在肠胃中。为
心腹痛也)以手聚按而坚持之。无令得移。以大针刺之。久持之虫不动。乃出针。(此即治虫
瘕蛟 之法)HT 腹 痛。形中上者。(此重言症之如此。其形自中自上而渐升者即当以虫治之
也○HT 音烹满也。)
耳聋无闻取耳中。(即手太阳经听宫穴。○又取手少阳经关冲穴及足少阳经窍阴穴)耳鸣
。取耳前动脉。(即手少阳经耳门穴。○又取手厥阴经中冲穴及足少阳经窍阴穴)
足髀不可举。侧
血
中。(热)股胫淫泺。(似乎酸痛而无力也。)烦心。头痛。时呕时闷。眩已汗出。久则目眩。
悲已喜恐。短气不乐不出三年死也。
厥头痛。面部好像浮肿一样并且心中烦乱。应当取足阳明经和足太阴经的穴位。（这是气机逆乱所致。邪气逆乱于经脉，上扰头脑从而引起厥头痛。足阳明经的脉气上行于面部，其剽悍之气上冲头部，沿着目系进入络属脑部；足太阴经的支脉注入心中。所以出现头痛兼有面肿、心烦的症状时，应当取足阳明经的解溪穴，足太阴经的公孙穴。）
厥头痛。头部血脉疼痛。心情悲伤容易哭泣。观察头部跳动的血管如果充盈盛满的，针刺使其出血排尽后，再调理足厥阴经。（因为肝经会合于头顶。○可以针刺曲泉穴。）
厥头痛。头部沉重且持续疼痛。泻头上五行，每行五个穴位。（如上星至后顶，以及五处至玉枕，临泣至脑空，详见《素问·水热穴论》）。先取手少阴经的神门穴，后取足少阴经的复溜穴。○这就是所谓“泻南方以去火，补北方以壮水”的方法。）
厥头痛。意念善忘。按压头部找不到痛点。（这是因为阳邪在头部，没有固定的位置。）取头面左右两侧的动脉，然后再取足太阴经的大都穴。
厥头痛。颈部先痛，腰脊随之相应疼痛。先取天柱穴，后取足太阳经的申脉穴、委中穴。
厥头痛。头痛剧烈，耳前后脉搏涌动且有热感。泻出其血液，然后再取足少阳经的穴位。（耳的前后是足少阳经循行部位。○有的版本作“有动脉”。）
真头痛。头痛非常剧烈，整个脑部都感到疼痛，手脚寒冷直到关节。这种病无法治愈。（头是诸阳经会合之处，四肢是诸阳经的根本。如果头痛剧烈且遍及全脑，手脚寒冷到关节，说明元阳败竭，阴邪直接浸渍髓海，所以不可治疗。）
头痛不可以从经络远端取穴治疗的，是因为受到击打或跌坠，恶血停留在体内。如果肌肉疼痛尚未停止，可以直接刺痛点，不可以远端取穴。○（这不是大经脉的病变，只可刺去痛处的瘀血，不可远取荥穴、俞穴。）
头痛不可以针刺的，是因为严重的痹症导致病情恶化。（风寒湿三气杂合而至，合成恶患，使人头痛不可针刺。）如果是每天发作一次的。（说明还有间歇停止的时候。）可以使症状稍微减轻，但不能完全痊愈。（不能彻底治愈。）
偏侧头部冷痛。先取手少阳经、手阳明经的穴位。（针刺丝竹空、中渚、合谷。）后取足少阳经、足阳明经的穴位（针刺头临泣、足临泣、头维。）
厥心痛。疼痛牵引背部，情绪狂躁。（音记，意为狂乱。）感觉像有人从背后触碰心脏，身体弯曲驼背的，是肾心痛。（阴邪上冲。）先取京骨穴、昆仑穴，如果出针后症状未缓解，再取然谷穴。（五脏的气机上干于心而引发疼痛的，称为厥心痛，以下仿照此理。）
厥心痛。腹部胀满胸闷，心部疼痛特别剧烈的，是胃心痛。（多由饮食停滞引起。）取大都穴、太白穴。（胃与脾互为表里，所以应当取这些穴位。）
厥心痛。疼痛像被锥子针刺心脏一样，心痛非常剧烈的，是脾心痛。（寒邪逆乱于中焦。）取然谷穴、太谿穴。
足太息。肝心痛。（多由木火郁结，病在血分。）取行间穴、太冲穴。
厥心痛。躺着就像独自坐着一样，心痛偶尔缓解，活动后疼痛加剧，面色不变，是肺心痛。取鱼际穴、太渊穴。（徒即空的意思。躺着或独自坐着没有倚靠。偶尔活动时疼痛加剧，是因为气逆不舒，畏惧活动。面色不变说明病不在血分。这些都是病在气分，所以称为肺心痛。）
真心痛。手脚冰冷直到关节，心痛剧烈，早晨发病晚上死亡，晚上发病早晨死亡。（邪气直接侵犯心主。）
心痛不可以针刺的，是因为体内有积聚物，不可以从经络远端取穴。○（或者是积滞，或者是瘀血，停聚在体内，病在脏而不在于经。）
肠中有虫瘕。（指结聚之物。）以及蛟螈。（音回，指蛔虫。蛟即螈属。）都不可以用小针治疗。（意思是力量太小不能制服它。）
心肠痛发作时疼痛难忍。腹部肿胀积聚，往来上下移动。（肚腹肿胀隆起，或者游走无定处。）疼痛有休止时间。（虫动则痛，静止则不痛。）腹部发热喜欢口渴，流涎的是蛟螈。（这些都是虫瘕在肠胃中，导致心腹痛。）用手聚集按压并坚持固定，不让虫体移动，用大针刺入，长时间保持不动，虫子不动了，然后出针。（这就是治疗虫瘕、蛟螈的方法。）
腹胀痛。形状从中部向上延伸的。（这是重复描述症状如此。其形态自然从中部向上逐渐升高的，就应当按治虫的方法来治疗。○HT音烹，意为胀满。）
耳聋听不见声音，取耳中的穴位。（即手太阳经的听宫穴。○又取手少阳经的关冲穴及足少阳经的窍阴穴。）
耳鸣。取耳前的动脉。（即手少阳经的耳门穴。○又取手厥阴经的中冲穴及足少阳经的窍阴穴。）
大腿髀部无法抬起，刺血络中的血。（清热）大腿和小腿酸软无力。（似乎酸痛而没有力气。）心烦，头痛，时而呕吐时而闷胀，眩晕之后出汗，时间久了眼睛昏花，悲伤之后转为恐惧，气短不快乐，不出三年就会死亡。
Jue Tou Tong (Jue Headache). The face appears swollen and the mind is vexed. Treat with points on Foot-Yangming and Foot-Taiyin meridians. (This is due to Jue [rebellious Qi]. Pathogenic factors rebel in the meridians, ascending to disturb the head and brain, causing Jue Headache. The Foot-Yangming meridian ascends to the face; its vigorous Qi rushes upward to the head, following the optic pathway to connect with the brain. The branch of Foot-Taiyin enters the heart. Therefore, when headache is accompanied by facial swelling and mental vexation, one should select Jiexi [ST41] of Foot-Yangming and Gongsun [SP4] of Foot-Taiyin.)
Jue Tou Tong (Jue Headache). Pain in the head vessels. The patient feels sorrowful and prone to weeping. Observe the pulsating arteries on the head; if they are full and excessive, prick them until all blood is expelled, then regulate Foot-Jueyin. (Because the Liver meridian converges at the vertex. ○ One may puncture Ququan [LR8].)
Jue Tou Tong (Jue Headache). The head feels heavy and suffers from persistent pain. Drain the five rows of acupoints on the head, five points per row. (Such as Shangxing [GV23] to Houding [GV19], Wuchu [BL3] to Yubing [BL11], Linqi [GB15] to Naokong [GB13]; detailed in *Suwen: Shuire Xuelun* [Water and Heat Acupoints Chapter]). First select Shenmen [HT7] of Hand-Shaoyin, then Fuliou [KI7] of Foot-Shaoyin. ○ This is the method of "draining the South to remove Fire and tonifying the North to strengthen Water.")
Jue Tou Tong (Jue Headache). The patient has poor memory and cannot locate the pain upon pressing. (Yang pathogenic factors are in the head without a fixed location.) Select the arterial pulses on the left and right sides of the head and face, then select Dadu [SP2] of Foot-Taiyin.
Jue Tou Tong (Jue Headache). Neck pain precedes, followed by corresponding pain in the lower back and spine. First select Tianzhu [BL10], then Shenmai [BL62] and Weizhong [BL40] of Foot-Taiyang.
Jue Tou Tong (Jue Headache). Severe headache, with surging and hot pulses around the ears. Prick to bleed, then select points on Foot-Shaoyang. (The areas anterior and posterior to the ear are traversed by Foot-Shaoyang. ○ Some versions read "surging arteries".)
Zhen Tou Tong (True Headache). Severe headache, pain extending throughout the brain, cold hands and feet reaching the joints. This is incurable. (The head is the convergence of all Yang meridians; the limbs are the roots of all Yang meridians. If headache is severe and pervasive throughout the brain, with coldness reaching the joints, it indicates exhaustion of Primordial Yang and direct infiltration of Yin pathogens into the Sea of Marrow. Thus, it cannot be treated.)
Headache that cannot be treated by distal point selection occurs due to blows or falls, with stasis blood retained internally. If muscle pain persists, one may prick the painful area directly; do not select distant points. ○ (This is not a disease of the major meridians; only the stasis blood at the painful site should be pricked out; do not select distal Ying-Spring or Shu-Stream points.)
Headache that cannot be needled occurs when severe Bi syndrome leads to deterioration. (Wind, Cold, and Dampness combine to form a malignant condition, causing headache that cannot be needled.) If it occurs daily. (It still has intervals of cessation.) It can be made slightly better but not completely cured. (It cannot be fully resolved.)
Half-head Cold Pain (Unilateral cold headache). First select points on Hand-Shaoyang and Hand-Yangming. (Prick Sizhukong [TE23], Zhongzhu [TE3], Hegu [LI4].) Then select points on Foot-Shaoyang and Foot-Yangming. (Prick Toulinqi [GB15], Zulinqi [GB41], Touwei [ST8].)
Jue Xin Tong (Jue Heartache). Pain radiates to the back, accompanied by mania. (Pronounced 'ji', meaning madness.) It feels as if someone is touching the heart from behind, with the body stooping. This is Kidney Jue Heartache. (Yin pathogens rushing upward.) First select Jinggu [BL64] and Kunlun [BL60]; if needling does not resolve it, select Ranggu [KI2]. (When Qi from the Five Viscera rebels upward to affect the Heart causing pain, it is called Jue Heartache; the following follows this logic.)
Jue Xin Tong (Jue Heartache). Abdominal distension, chest fullness, and severe heart pain. This is Stomach Jue Heartache. (Often caused by food stagnation.) Select Dadu [SP2] and Taibai [SP3]. (Stomach and Spleen are exterior-interior pairs, so these points should be selected.)
Jue Xin Tong (Jue Heartache). Pain feels like being pierced by an awl, with severe heart pain. This is Spleen Jue Heartache. (Cold rebellion in the Middle Jiao.) Select Ranggu [KI2] and Taixi [KI3].
Foot sighing. Liver Jue Heartache. (Often caused by Wood-Fire depression, pathology in the Blood level.) Select Xingjian [LR2] and Taichong [LR3].
Jue Xin Tong (Jue Heartache). Lying down feels like sitting alone; heart pain alleviates occasionally, worsens with movement, complexion remains unchanged. This is Lung Jue Heartache. Select Yuji [LU10] and Taiyuan [LU9]. ('Tu' means empty. Lying down or sitting alone without support. Pain worsens with occasional movement due to rebellious Qi failing to flow smoothly and fear of movement. Unchanged complexion indicates pathology is not in the Blood. These are pathologies in the Qi level, hence called Lung Jue Heartache.)
Zhen Xin Tong (True Heartache). Cold hands and feet reaching the joints, severe heart pain. Death if onset in morning and death in evening, or onset in evening and death in morning. (Pathogenic factors directly invade the Heart Master.)
Heartache that cannot be needled is due to internal accumulation; do not select distant points. ○ (Accumulation of either Food/Stagnation or Blood stasis, retained internally, pathology in the Zang organs rather than the meridians.)
If there are intestinal parasites (Chong Jia - knot-like aggregations) and Ascaris (Jiao Hui - roundworms), small needles cannot be used. (Meaning their force is too weak to subdue them.)
When Heart and Intestine pain attacks, the pain is unbearable. Swelling and aggregation move up and down. (Abdominal swelling rises, moving without a fixed location.) Pain has pauses. (Pain when worms move, no pain when static.) Abdominal heat, thirst, and salivation indicate Ascaris. (These are Chong Jia in the intestines and stomach causing heart and abdominal pain.) Press and hold firmly with the hand to prevent movement, insert a large needle, keep it inserted for a long time until the worm stops moving, then withdraw the needle. (This is the method for treating Chong Jia and Ascaris.)
Abdominal distension and pain. The shape rises from the middle upwards. (Repeating the symptom description. If the shape naturally rises from the middle upwards, treat it as a parasitic disease. ○ HT sounds like 'peng', meaning distension.)
Deafness and inability to hear: select the point in the ear. (Hand-Taiyang Tinggong [SI19]. ○ Also select Hand-Shaoyang Guanchong [TE1] and Foot-Shaoyang Xiaoyin [GB44].)
Tinnitus: select the arterial pulse anterior to the ear. (Hand-Shaoyang Ermen [TE21]. ○ Also select Hand-Jueyin Zhongchong [PC9] and Foot-Shaoyang Xiaoyin [GB44].)
Inability to lift the thigh and hip: prick the blood vessels in the lateral aspect to release heat. (Heat) Aching and weakness in the thighs and shins. (Seeming soreness and weakness.) Mental vexation, headache, occasional vomiting and stifling sensation, dizziness followed by sweating, long-term visual blurring, sorrow turning to fear, shortness of breath and unhappiness; death within three years.