脉气盛而血虚者。刺之则脱气。脱气则仆。(苦泻其气则阴阳俱脱故为仆倒)血气俱盛。
气多者。其血滑。刺之则射。阳气蓄积。久留而不泻者。其血黑以浊故不能射。(阳气久留
不泻阴血日枯。)新饮而液渗于络。未合和于血也。故血出而汁别焉(血汁相半。)其不新饮
者。身中有水。久则为肿。阴气积于阳。其气因于络。故刺之血未出而气先行。故肿。(阴
滞于阳而不易散)阴阳之气。其新相得而未和合。(血气初调。)因而泻之。则阴阳俱脱。表
里相离。故脱色而苍苍然(衰危之色。)刺之血出多。色不变。而烦 者。刺络而虚(及)经。
虚经之属于阴者阴脱。故烦 阴阳相得。而合为痹者。此为内溢于经。外注于络如是者。阴
阳俱有余。虽多出血。而弗能虚也。
热气因于针。则针热。热则肉着。于针。故坚焉。(肉着者。即针入而紧涩难穷坚不可
阴气盛。则梦涉大水而恐惧。(以阴胜阳。故梦多阴象。)阳气盛则梦大火而燔 。(以
阴。故梦多阳象。)阴阳俱盛。则梦相杀。(俱盛则争。)上盛则梦飞。(阳胜者。亲乎上也。
)下盛则梦堕。(阴胜者亲乎下也。)甚饥则梦取。(因不足也。)甚饱则梦予。(与同因有余也
。)肝气盛。则梦怒。(肝在志为怒也。)肺气盛。则梦恐惧哭泣飞扬。(肺在志为忧。故梦恐
惧哭泣肺主气故梦飞扬。)心气盛。则梦喜笑恐畏。(心在志为喜。在变动为忧也。)脾气盛
。则梦歌乐。身体重不举。(脾在声为歌喜音乐主肌肉也。)肾气盛则梦腰脊两解不属。(腰
为肾之腑。故若腰脊不相运属。)凡此十二盛者。至而泻之立已。(阳盛则有余于腑。阴盛则
有余于脏但察其邪之所在。而以针泻之则已。)厥气客于心。则梦见丘山烟火。(厥之在人也
谓其为阳。则本非阳盛。谓其为阴。则又非阴盛。盖以五脏隔绝精神散越故为妄梦。心属火
故梦烟火。)客于肺则梦飞扬。见金铁之奇物(肺属金也。)客于肝。则梦山林树木。(肝属木
也。)客于脾。则梦见丘陵大泽坏屋风雨(脾属士。其主湿也。)客于肾。则梦临渊。没居水
中。(肾属水也。)客于膀胱。则梦游行。(膀胱属三阳之表也。)客于胃。则梦饮食。(胃为
水谷之海也)客于大肠。则梦田野。(大肠为传导之官其曲折纳沃类田野也。)客于小肠则梦
聚邑冲衢。(小肠为受盛之官。物之所聚。类邑衢也。)客于胆。则梦斗讼。自刳。(胆主决
断其气刚也。)客于阴器则梦接内。(欲念之所注也)客于顶则梦斩首(恐怖之所及也。)客于
胫。则梦行走而不能前。及居深地 苑中。(厥逆之邪在下也。)客于股肱。则梦礼节拜起。
(劳倦之所致也)客于胞 。则梦泄便。(胞溲脬也。 。大肠也。在前则梦泄在后则梦便。)
凡此十五不足者至而补之。立已也。(当各随其经以针补之。)
脉气旺盛而阴血亏虚的患者，如果施以针刺泻法，会导致正气耗脱。正气耗脱则会出现昏厥仆倒。（若苦于泻其气，则阴阳之气俱脱，因此导致仆倒。）
如果气血都旺盛，且气偏多，那么血液运行滑利，针刺时血液会喷射而出。若阳气蓄积，长久停留而不加疏泄，血液就会变得黑而浑浊，因此不能喷射。（阳气长久停留不泄，阴血日渐枯竭。）
刚饮入的水液渗入络脉，尚未与血液调和混合，所以出血时血液与水汁分开（血与水汁各半）。如果没有新饮水，但体内有水湿停滞，时间久了就会形成水肿。阴气积聚在阳分，阻滞于络脉，所以针刺时血还未流出，气先运行受阻，从而导致局部肿胀。（阴气滞留在阳分，不易消散。）
阴阳之气刚刚相合但尚未调和（气血初调），此时如果施以泻法，会导致阴阳之气俱脱，表里分离，面色苍白无华（呈现衰败危重的颜色）。如果针刺后出血较多，但面色没有改变，反而感到烦闷的，是因为刺络脉时误伤了经脉，导致经脉空虚。若虚损的是属于阴分的经脉，就会导致阴气脱失，从而产生烦闷感。
阴阳之气相互感应结合，从而形成痹证，这是因为邪气内溢于经脉，外注于络脉。像这种情况，阴阳两方面都有余实，即使放出较多的血，也不能使其实质变虚。
热气附着在针上，针就会发热，热则肌肉粘连在针体上，所以感觉坚硬。（所谓肉着，就是针进入后紧涩难动，坚硬不可拔除。）
阴气盛，就会梦见渡过大水而感到恐惧。（因为阴胜阳，所以梦境多呈现阴性意象。）阳气盛，就会梦见大火燃烧。（因为阳胜阴，所以梦境多呈现阳性意象。）阴阳都盛，就会梦见互相杀戮。（双方都强盛，所以发生争斗。）上部气盛，就会梦见飞翔。（阳胜者，亲附于上。）下部气盛，就会梦见坠落。（阴胜者，亲附于下。）极度饥饿时，就会梦见索取食物。（因为身体不足。）极度饱食时，就会梦见给予食物。（因为身体有余。）肝气盛，就会梦见发怒。（肝的情志为怒。）肺气盛，就会梦见恐惧、哭泣或飞翔。（肺的情志为忧，所以梦见恐惧哭泣；肺主气，所以梦见飞翔。）心气盛，就会梦见喜悦欢笑或恐惧畏惧。（心的情志为喜，变动为忧。）脾气盛，就会梦见唱歌快乐，身体沉重抬不起来。（脾的声音为歌，喜好音乐，主肌肉。）肾气盛，就会梦见腰脊断裂不相连接。（腰是肾的外腑，所以感觉腰脊不相运连。）以上这十二种气盛的情况，到来时施以泻法，症状立刻停止。（阳盛则是腑有余，阴盛则是脏有余，只要察知邪气所在之处，用针刺泻之即可痊愈。）
厥逆之气客居于心，就会梦见丘山烟火。（厥气在人身上，说它是阳，则并非真正的阳盛；说它是阴，则又非真正的阴盛。大概是因为五脏隔绝，精神散越，所以产生妄梦。心属火，所以梦见烟火。）客居于肺，就会梦见飞翔，见到金银铁器等奇异之物（肺属金。）客居于肝，就会梦见山林树木。（肝属木。）客居于脾，就会梦见丘陵大泽、破屋风雨（脾属土，主湿。）客居于肾，就会梦见临近深渊，沉没在水中。（肾属水。）客居于膀胱，就会梦见游行。（膀胱属三阳之表。）客居于胃，就会梦见饮食。（胃是水谷之海。）客居于大肠，就会梦见田野。（大肠是传导之官，其曲折容纳类似田野。）客居于小肠，就会梦见聚集的城邑和交通要道。（小肠是受盛之官，万物所聚，类似城邑街道。）客居于胆，就会梦见打斗诉讼、自残割裂。（胆主决断，其气刚烈。）客居于阴器，就会梦见性交。（这是欲念所专注之处。）客居于头顶，就会梦见被斩首（这是恐怖所触及之处。）客居于小腿，就会梦见行走但不能前进，以及居住在深地苑囿中。（厥逆的邪气在下部。）客居于大腿和手臂，就会梦见行礼拜起。（这是由于劳倦所致。）客居于胞脬和大肠，就会梦见排泄大小便。（胞指膀胱， 指大肠。在前则梦见泄小便，在后则梦见大便。）以上这十五种气虚不足的情况，到来时施以补法，症状立刻停止。（应当各自顺着其所属的经脉进行针刺补法。）
In patients where the Qi of the vessels is excessive while the Blood is deficient, needling may cause the depletion of Qi. Depletion of Qi leads to collapse and falling down. (If one bitterly drains the Qi, both Yin and Yang Qi will be depleted, thus causing collapse.)
When both Qi and Blood are abundant, and Qi is predominant, the Blood flows smoothly; needling causes the Blood to spurt out. If Yang Qi accumulates and remains stagnant for a long time without being drained, the Blood becomes dark and turbid, and therefore cannot spurt. (Prolonged stagnation of Yang Qi without drainage causes the Yin Blood to wither day by day.)
Freshly ingested fluids seep into the collaterals before harmonizing with the Blood. Consequently, when bleeding occurs, the Blood and fluid separate (Blood and fluid mix in equal parts). In those who have not recently drunk, if there is water retention in the body, it will eventually lead to edema. When Yin Qi accumulates in the Yang aspect and stagnates in the collaterals, upon needling, the Qi moves before the Blood comes out, resulting in swelling. (Yin stagnating in Yang is difficult to dissipate.)
When Yin and Yang Qi have newly interacted but are not yet harmonized (the Qi and Blood are just beginning to regulate), applying draining methods will cause both Yin and Yang Qi to deplete, leading to a separation of the exterior and interior. This results in a pale, ashen complexion (a color indicating decline and danger). If needling causes significant blood loss but the complexion does not change, accompanied by vexation, it is because the collateral was needled but the vessel was inadvertently emptied. Emptying the vessel belonging to Yin leads to Yin depletion, hence the vexation.
When Yin and Yang Qi interact and combine to form Bi syndrome (obstruction), this is due to pathogenic factors overflowing into the vessels and pouring into the collaterals. In such cases, both Yin and Yang are in excess; even if a large amount of blood is released, the condition cannot be considered vacuous.
If heat attaches to the needle, the needle becomes hot, causing the flesh to adhere to it, making it feel firm. (Adhesion means that after insertion, the needle feels tight,涩 [rough/stuck], and difficult to manipulate or remove.)
Excess Yin Qi manifests in dreams of crossing large bodies of water with fear. (Because Yin overcomes Yang, the dreams reflect Yin imagery.) Excess Yang Qi manifests in dreams of great fire burning. (Because Yang overcomes Yin, the dreams reflect Yang imagery.) When both Yin and Yang are excessive, one dreams of killing each other. (Both being strong leads to conflict.) Excess Qi in the upper part manifests in dreams of flying. (Yang predominance associates with the upper.) Excess Qi in the lower part manifests in dreams of falling. (Yin predominance associates with the lower.) Extreme hunger manifests in dreams of taking or seeking food. (Due to deficiency.) Extreme fullness manifests in dreams of giving. (Due to excess.)
Excess Liver Qi manifests in dreams of anger. (The emotion associated with the Liver is anger.) Excess Lung Qi manifests in dreams of fear, crying, or flying. (The emotion associated with the Lung is sorrow/worry, hence fear and crying; the Lung governs Qi, hence flying.) Excess Heart Qi manifests in dreams of joy, laughter, fear, or dread. (The emotion associated with the Heart is joy; its transformation involves worry/sorrow.) Excess Spleen Qi manifests in dreams of singing and music, with a heavy body unable to move. (The sound associated with the Spleen is song; it delights in music and governs the muscles.) Excess Kidney Qi manifests in dreams of the waist and spine feeling detached or broken. (The waist is the external mansion of the Kidney, hence the sensation of disconnection.) These twelve types of excess conditions, when present, can be immediately resolved by draining them. (Yang excess implies surplus in the Fu organs, Yin excess implies surplus in the Zang organs; simply identify the location of the pathogen and drain it with needles.)
Jue Qi (Rebellious Qi) lodging in the Heart manifests in dreams of hills, mountains, and smoke/fire. (Jue Qi in humans is neither purely Yang excess nor purely Yin excess; rather, it arises from the isolation of the Five Zang organs and the scattering of Spirit, leading to delusional dreams. The Heart belongs to Fire, hence dreams of smoke and fire.) Lodging in the Lung, it manifests in dreams of flying and seeing strange objects like gold, iron, or metal. (The Lung belongs to Metal.) Lodging in the Liver, it manifests in dreams of forests and trees. (The Liver belongs to Wood.) Lodging in the Spleen, it manifests in dreams of hills, large marshes, ruined houses, wind, and rain. (The Spleen belongs to Earth and governs dampness.) Lodging in the Kidney, it manifests in dreams of approaching abysses and drowning in water. (The Kidney belongs to Water.) Lodging in the Bladder, it manifests in dreams of traveling. (The Bladder belongs to the exterior of the Three Yang.) Lodging in the Stomach, it manifests in dreams of eating and drinking. (The Stomach is the sea of water and grain.) Lodging in the Large Intestine, it manifests in dreams of fields. (The Large Intestine is the official of transmission, its twists and turns resembling fields.) Lodging in the Small Intestine, it manifests in dreams of crowded cities and thoroughfares. (The Small Intestine is the official of reception and transformation, where things gather, resembling city streets.) Lodging in the Gallbladder, it manifests in dreams of fighting, litigation, and self-mutilation. (The Gallbladder governs decision-making and has a rigid nature.) Lodging in the genitalia, it manifests in dreams of sexual intercourse. (This is where desires focus.) Lodging in the vertex, it manifests in dreams of decapitation. (This is where terror strikes.) Lodging in the shins, it manifests in dreams of walking but being unable to advance, or dwelling in deep underground gardens. (The Jue rebellious pathogen is in the lower part.) Lodging in the thighs and arms, it manifests in dreams of performing rituals and bowing. (This is caused by fatigue and exhaustion.) Lodging in the bladder/intestines, it manifests in dreams of urination and defecation. (Bladder refers to the urinary bladder, intestines refer to the Large Intestine. Anteriorly, it manifests as urine; posteriorly, as stool.) These fifteen types of deficiency conditions, when present, can be immediately resolved by tonifying them. (One should tonify according to the specific meridian involved.)