厥。挟脊而痛至顶。头沉沉然目KT KT 然腰脊强取足太阳 中血络。厥。胸满面肿。唇漯
。(肿起貌)暴言难。甚则不能言。取足阳明。(可刺解 冲阳陷谷)厥。气走喉而不能言。手
足清。大便不利。取足少阴。(可刺涌泉。太 交信。)厥而腹响响然(寒气滞于脾也)多寒气
。腹中谷谷(音斛水谷不分之声也)便溲难。取足太阴。(可刺大都太白三阴交阴陵泉府舍等
痿厥为四未束 。乃疾解之日二(当刺四支之穴。每日二次。)不仁者。十日而知。无休
。病已止。(此节连在后哕以草刺鼻之上。今从类。经分列。)
嗌干。口中热如胶。取足少阴。(刺复溜穴。补肾水则火衰也。)膝中痛。取犊鼻。以员
利针。发而间之(间。非止一次也。)喉痹不能言。取足阳明。(重者。当泻其下。刺三里。下廉
。丰隆内庭厉兑。)能言。取手阳明。(轻者。但刺之上如合谷。阳 。偏历温溜扶突禾 等
穴。)疟不渴。间日而作。取足阳明。(可刺陷谷。内庭。厉兑。○刺疟论曰。刺足太阳。)
渴而日作。取手阳明。(可刺商阳。三间合谷。阳 大迎等穴。)齿痛不恶清饮取足阳明。(
内庭厉兑。)恶清饮。取手阳明。(商阳三间。合谷偏历。)聋而不痛者。取足少阳。(客主人
。)聋而痛者。取手阳明。(偏历。)衄而不止。 血流。取足太阳。(委中。) 血。取手太
阳。(宛骨。)不已。刺宛骨下。(手少阴通里阴 神门)不已。刺 中出血。(即委中。鼻中
出血曰衄。败血凝聚色紫黑者曰 。 血成流其去多也。下云 血。其聚而不流者也)中热
而喘。取足少阴 中血络。(刺复溜穴。又刺足太阳)喜怒而不欲食。言益小。取足太阴。(
宜刺公孙穴。)怒而多言。刺足少阴。(复溜穴。滋水以制火也○一作刺足少阳)
痛。刺足阳明曲周动脉。(颊车)见血立已。不已。按人迎于经。立已。(人迎穴浅刺
之○
刺手太阳。(痛在颈侧。刺少泽。后 天窗。)
小腹满大。上走胃。至心。淅淅身时寒热。小便不利。取足厥阴。(太中。)腹满。大便
不利
。腹大亦上走胸嗌。喘息喝喝然。取足少阴。(太 )腹满。食不化。腹响响然。不能大便。
取足太阴。(太白)心痛引腰脊。欲呕。(肾邪上逆)取足少阴。(太 )心痛腹胀。啬啬然。(
涩滞貌。)大便不利。取足太阴。(太白)心痛引背。不得息。刺足少阴。不已。取手少阳。(
足少阴之脉贯脊故痛引于背当刺大钟穴。手少阳之脉布膻中。故不得息。当刺支沟穴。)心
痛引小腹满。上下无定处。便溲难。刺足厥阴。(太冲)心痛。但短气。不足以息。刺手太阴
。(尺泽太渊。)心痛。当九节刺之。按已刺。按之立已。不已。上下求之。得之立已。(此
总言刺心痛之法也九节指督脉之筋缩穴。宜先按之按已而刺刺后复按之其痛当立已。如不已
。则上而手经下而足经。求得其故而刺之。则立已也。)
气逆上刺膺中陷者。(膺窗)与下胸动脉。(膻中。)腹痛。刺脐左右动脉。已刺。按之立
已。(如足阳明之天枢。足少阴之肓俞皆主腹痛)不已刺气街。(即气冲)已刺。按之立已。
哕(即呃逆也。)以草刺鼻。嚏。嚏而已。(嚏则气达)无息。而疾迎引之。立已。(闭口
鼻之
气。使之无息。乃迎其气而引散之勿令上逆。)大惊之。亦可已。(言以他事惊之，则亦可已
○哕旧本岁马注岁疑作岁今从类经作哕。)
厥证。疼痛沿脊柱两侧上行至头顶，头部沉重感，眼睛昏花不明，腰脊僵硬强直，取足太阳经的血络放血。
厥证。胸部和面部肿胀，嘴唇浮肿外翻，突然说话困难，严重时甚至不能言语，取足阳明经。（可针刺解冲阳、陷谷穴）
厥证。气逆冲于喉部而不能言语，手足发凉，大便不通畅，取足少阴经。（可针刺涌泉、交信穴。）
厥证且腹部肠鸣作响（因寒气停滞于脾），体内寒气多，腹中发出如谷物与水混杂的声响（水谷不分的声音），大便稀溏，小便困难，取足太阴经。（可刺大都、太白、三阴交、阴陵泉、府舍等穴。）
痿厥导致四肢拘急束缩，随即快速解开束缚，每日针刺两次（应当针刺四肢的穴位，每天二次）。肢体麻木不仁者，十日后感觉恢复，不要停止治疗，病愈即止。（这一节原本连在后面的呃逆以草刺鼻之后，现在依照《类经》分类单独列出。）
咽喉干燥，口中发热像胶一样黏稠，取足少阴经。（针刺复溜穴，补肾水则心火自衰。）
膝部疼痛，取犊鼻穴，使用圆利针，发作时进行针刺，并间隔一段时间再次针刺（间，并非只进行一次）。
喉痹导致不能言语，取足阳明经。（病情重者，应当泻下部穴位，针刺三里、下廉、丰隆、内庭、厉兑。）能够言语的，取手阳明经。（病情轻者，仅刺上部穴位如合谷、阳溪、偏历、温溜、扶突、禾髎等穴。）
疟疾口不渴，每隔一日发作一次，取足阳明经。（可刺陷谷、内庭、厉兑。○《刺疟论》说：刺足太阳经。）
口渴且每日发作，取手阳明经。（可刺商阳、三间、合谷、阳溪、大迎等穴。）
牙齿疼痛，不怕喝冷饮，取足阳明经。（内庭、厉兑。）怕喝冷饮，取手阳明经。（商阳、三间、合谷、偏历。）
耳聋但不痛的，取足少阳经。（客主人穴，即上关穴。）耳聋且痛的，取手阳明经。（偏历穴。）
鼻出血不止，血液大量流出，取足太阳经。（委中穴。）瘀血阻滞，取手太阳经。（腕骨穴。）若不止，针刺腕骨穴下方。（手少阴经的通里穴、神门穴。）若仍不止，针刺腘窝中出血。（即委中穴。鼻中出血称为衄，败血凝聚颜色紫黑的称为瘀，血液成流流失较多的称为血；下文提到的瘀血，是指聚集而不流动的血。）
体内有热且喘息，取足少阴经中的血络。（针刺复溜穴，又刺足太阳经。）
易怒且不想进食，说话声音越来越小，取足太阴经。（宜刺公孙穴。）
发怒且多言，刺足少阴经。（复溜穴，滋肾水以制约心火。○另一种说法是刺足少阳经。）
颊痛，刺足阳明经曲周处的动脉。（颊车穴。）见血立止，若不止，按压人迎穴所在的经脉，疼痛立止。（人迎穴浅刺之。○ 若疼痛在颈侧，刺手太阳经的少泽、天窗穴。）
小腹胀满肿大，向上延伸至胃，到达心脏部位，身体时常感到寒冷和发热，小便不利，取足厥阴经。（太冲穴。）
腹部胀满，大便不通畅，腹部膨大也向上延伸至胸咽，呼吸急促有声，取足少阴经。（太溪穴。）
腹部胀满，食物不消化，腹部肠鸣作响，不能大便，取足太阴经。（太白穴。）
心痛牵引腰脊，想要呕吐（肾邪上逆），取足少阴经。（太溪穴。）
心痛伴腹胀，感觉涩滞不畅，大便不通畅，取足太阴经。（太白穴。）
心痛牵引背部，呼吸困难，刺足少阴经。若不止，取手少阳经。（足少阴经的脉贯脊，所以疼痛牵引到背部，应当刺大钟穴；手少阳经的脉布散于膻中，所以呼吸困难，应当刺支沟穴。）
心痛牵引小腹胀满，疼痛上下无固定位置，大小便困难，刺足厥阴经。（太冲穴。）
心痛，只是短气，气息不足以维持呼吸，刺手太阴经。（尺泽、太渊穴。）
心痛，应当在第九椎节处针刺。按压后已针刺，再按压，疼痛立止。若不止，上下寻找痛点，找到后针刺，疼痛立止。（这是总述针刺心痛的方法。九节指督脉的筋缩穴，宜先按压，按压后针刺，刺后再按压，疼痛应当立即停止。如果不停，则向上寻手经，向下寻足经，找到病因所在而针刺，则疼痛立止。）
气逆向上，针刺胸中凹陷处。（膺窗穴）与下胸部动脉。（膻中穴。）
腹痛，针刺脐旁左右动脉。已针刺后，按压，疼痛立止。（如足阳明经的天枢穴、足少阴经的肓俞穴都主治腹痛。）若不止，刺气街穴。（即气冲穴。）已针刺后，按压，疼痛立止。
呃逆（即打嗝）。用草刺激鼻子，打喷嚏，打完喷嚏就好了。（打喷嚏则气机通达。）闭住口鼻之气，使其无呼吸，然后迅速迎引其气散开，不要让它上逆。（闭口鼻之气，使之无息，乃迎其气而引散之，勿令上逆。）受到大惊的刺激，也可以治愈。（意思是借其他事情惊吓他，也可以治愈。○呃逆，旧本中有“岁马注”，“岁”疑为“哕”之误，今从《类经》作“哕”。）
Jue syndrome. Pain extends along both sides of the spine to the vertex, accompanied by a heavy sensation in the head, blurred vision (KT KT refers to dim or unclear vision), and stiffness and rigidity of the waist and spine. Bleed the blood collaterals of the Foot-Taiyang Bladder Channel.
Jue syndrome. Swelling of the chest and face, everted and swollen lips (Luo Luo refers to the appearance of swelling), sudden difficulty in speaking, progressing to inability to speak in severe cases. Treat the Foot-Yangming Stomach Channel. (Acupoints such as Chongyang [ST42] and Xiangu [ST43] may be needled.)
Jue syndrome. Qi rushes to the throat causing inability to speak, cold hands and feet, and difficult defecation. Treat the Foot-Shaoyin Kidney Channel. (Yongquan [KI1] and Jiaoxin [KI8] may be needled.)
Jue syndrome with rumbling abdomen (caused by cold qi stagnating in the Spleen) and excessive internal cold. The abdomen produces sounds like grain and water mixing (Gu Gu refers to the sound of undigested food and water), loose stools, and difficult urination. Treat the Foot-Taiyin Spleen Channel. (Dadu [SP2], Taibai [SP3], Sanyinjiao [SP6], Yinlingquan [SP9], Fushhe [SP13] may be needled.)
Wei-Jue syndrome causing constriction and binding of the four extremities. Quickly release the bindings, and needle twice daily (acupoints on the four limbs should be needled, twice a day). For numbness (Bu Ren), recovery is expected within ten days; do not stop treatment until the disease is cured. (This section was originally attached after the section on hiccups involving nasal stimulation with grass, but is now listed separately according to *Lei Jing*.)
Dryness in the pharynx, heat in the mouth feeling like sticky glue. Treat the Foot-Shaoyin Kidney Channel. (Needle Fuliu [KI7]; nourishing Kidney Water will subdue Fire.)
Pain in the knee joint. Treat Dubi [ST35]. Use a Yuanli Needle (Round-Sharp Needle). Needle during attacks and at intervals (Jian means not just once).
Bi syndrome of the throat causing inability to speak. Treat the Foot-Yangming Stomach Channel. (In severe cases, reduce lower points: Zusanli [ST36], Xiaolian [ST34], Fenglong [ST40], Neiting [ST44], Lidui [ST45].) If speech is possible, treat the Hand-Yangming Large Intestine Channel. (In mild cases, only upper points are needed: Hegu [LI4], Yangxi [LI5], Pianli [LI6], Wenliu [LI7], Futu [LI18], Heliao [LI17], etc.)
Malaria without thirst, occurring every other day. Treat the Foot-Yangming Stomach Channel. (Xiangu [ST43], Neiting [ST44], Lidui [ST45] may be needled. ○ *Ci Nie Lun* states: needle the Foot-Taiyang channel.)
Thirst with daily occurrence. Treat the Hand-Yangming Large Intestine Channel. (Shangyang [LI1], Sanjian [LI3], Hegu [LI4], Yangxi [LI5], Daying [ST5] may be needled.)
Toothache without aversion to cold drinks. Treat the Foot-Yangming Stomach Channel. (Neiting [ST44], Lidui [ST45].) Aversion to cold drinks. Treat the Hand-Yangming Large Intestine Channel. (Shangyang [LI1], Sanjian [LI3], Hegu [LI4], Pianli [LI6].)
Deafness without pain. Treat the Foot-Shaoyang Gallbladder Channel. (Kerenren [GB7], i.e., Shangguan.) Deafness with pain. Treat the Hand-Yangming Large Intestine Channel. (Pianli [LI6].)
Epistaxis (Nu) that does not stop, with profuse bleeding. Treat the Foot-Taiyang Bladder Channel. (Weizhong [BL40].) Blood stasis (Yu Xue). Treat the Hand-Taiyang Small Intestine Channel. (Wangu [SI4].) If it does not stop, needle below Wangu. (Tongli [HT5], Shenmen [HT7] of the Hand-Shaoyin Heart Channel.) If it still does not stop, bleed from the popliteal crease. (This is Weizhong. Epistaxis is called Nu. Purple-black coagulated blood is called Yu. Profuse flowing blood is called Xue. The following text distinguishes Yu as accumulated non-flowing blood.)
Internal heat with panting. Treat the blood collaterals of the Foot-Shaoyin Kidney Channel. (Needle Fuliu [KI7], and also the Foot-Taiyang channel.)
Irritability and anorexia, with decreasing volume of speech. Treat the Foot-Taiyin Spleen Channel. (Gongsun [SP4] is suitable.)
Anger with excessive talking. Needle the Foot-Shaoyin Kidney Channel. (Fuliu [KI7]; nourish Water to control Fire. ○ Another version suggests needling the Foot-Shaoyang Gallbladder Channel.)
Jaw pain. Needle the artery at Quzhou of the Foot-Yangming Stomach Channel. (Jiache [ST6].) Stop upon seeing blood. If it does not stop, press the Renying [ST9] point on the meridian; pain stops immediately. (Renying should be superficially needled. ○ For pain on the side of the neck, needle Shaoyang [SI1] and Tianchuang [SI16] of the Hand-Taiyang Small Intestine Channel.)
Fullness and distension in the lower abdomen, extending upward to the stomach and heart, with alternating chills and fever, and difficult urination. Treat the Foot-Jueyin Liver Channel. (Taichong [LR3].)
Abdominal fullness with difficult defecation, abdominal distension extending upward to the chest and throat, with rapid and labored breathing (He He Ran). Treat the Foot-Shaoyin Kidney Channel. (Taixi [KI3].)
Abdominal fullness with indigestion, rumbling abdomen, and inability to defecate. Treat the Foot-Taiyin Spleen Channel. (Taibai [SP3].)
Heart pain radiating to the waist and spine, with urge to vomit (Kidney pathogen reversing upward). Treat the Foot-Shaoyin Kidney Channel. (Taixi [KI3].)
Heart pain with abdominal distension and a涩 (Se) sensation (stagnant feeling), with difficult defecation. Treat the Foot-Taiyin Spleen Channel. (Taibai [SP3].)
Heart pain radiating to the back, with dyspnea. Needle the Foot-Shaoyin Kidney Channel. If it does not stop, treat the Hand-Sanjiao Triple Energizer Channel. (The Foot-Shaoyin meridian passes through the spine, hence pain radiates to the back; Dazhong [KI4] should be needled. The Hand-Sanjiao meridian spreads over the Shanzhong area, hence dyspnea; Zhigou [TE6] should be needled.)
Heart pain radiating to lower abdominal fullness, with wandering pain location, and difficult urination/defecation. Needle the Foot-Jueyin Liver Channel. (Taichong [LR3].)
Heart pain with shortness of breath and insufficient respiration. Needle the Hand-Taiyin Lung Channel. (Chize [LU5], Taiyuan [LU9].)
Heart pain. Needle at the ninth vertebral segment. After pressing and needling, press again; pain stops immediately. If it does not stop, search above and below; upon finding the point, pain stops immediately. (This generally describes the method for needling heart pain. The ninth segment refers to Jinsuo [GV9] of the Du Meridian. Press first, then needle, then press again; pain should cease. If not, search the Hand meridians above and Foot meridians below to find the cause and needle accordingly.)
Rebellious Qi moving upward. Needle depressed areas in the chest. (Yingchuang [ST16]) and arteries in the lower chest. (Shanzhong [CV17].)
Abdominal pain. Needle the arteries on the left and right of the umbilicus. After needling, press; pain stops immediately. (e.g., Tianshu [ST25] of the Foot-Yangming channel, Huangshu [KI15] of the Foot-Shaoyin channel both treat abdominal pain.) If it does not stop, needle Qichuang [ST30] (also known as Qichong). After needling, press; pain stops immediately.
Hiccups (Yue). Stimulate the nose with grass to induce sneezing; hiccups stop after sneezing. (Sneezing allows Qi to flow freely.) Hold breath and quickly guide the Qi downward to disperse it, preventing upward rebellion. (Close mouth and nose, hold breath, guide Qi downward to disperse it, do not let it rebel upward.) Startle greatly; this can also cure it. (Meaning startling the patient with another matter can also cure it. ○ Hiccups, old editions have "Sui Ma Zhu", "Sui" is suspected to be a typo for "Yue", now corrected to "Yue" according to *Lei Jing*.)