正月二月天气始方地气始发人气在肝(方。正也。言天地气正发生其万物也。)三月四月。天
气正方(阳气明盛)地气定发。(万物华而欲实)人气在脾。(季终土寄而王)五月六月天气盛。
(天阳赫盛)地气高。(地焰高升。)人气在头。(火性炎上。故人气在头)七月八月。阴气始杀
人气在肺(阴气肃杀类合于金。故人气在肺。)九月十月。阴气始冰地气始闭。人气在心(随
阳而入。故人气在心)十一十二月冰复地气合人气在肾。(阳气深复故人气在肾。夫气之变也
。发土于木。长茂于土盛高而上肃杀于金。避寒于火伏藏于水。斯皆随顺阴阳。气之升沉也
下文四李言气之浅深)故春刺散俞及与分理血出而止(散俞即诸经之散穴也)甚者传气间者环
也。(传布散也。病甚者。宜久留待其传气。环周也病稍间者。但候其气行一周于身约二刻
可止针也)夏刺络俞见血而止尽气闭环痛病必下。(夏宜宣泄。故必见血而止尽气谓去其邪血
邪气也闭环谓去针闭穴须气行一周之顷也。凡有痛病必退下矣。)秋刺皮肤循理上下同法神
变而止。(上言手经下言足经刺皆同法邪犹未深。故但察其脉气变易异于未刺之前可止针也
脉者。神之变故曰神变)冬刺俞窍于分理。(孔穴之深者曰窍)甚者直下。(察邪所在而直取其
深处)间者散下。(或左右。上下散布其针而稍宜缓也)春夏秋冬各有所刺法其所在。
正月、二月，天气开始端正（阳气初生），地气开始发动（万物萌动），人体之气在肝。三月、四月，天气正值旺盛（阳气光明强盛），地气安定发动（万物开花并趋向结实），人体之气在脾。（季末土气寄旺）五月、六月，天气盛大。（天阳炽热强盛）地气高升。（地火高温上升。）人体之气在头。（火性炎上，所以人体之气在头部）七月、八月，阴气开始肃杀，人体之气在肺（阴气肃杀类似金气，所以人体之气在肺）。九月、十月，阴气开始结冰，地气开始闭藏，人体之气在心（随阳气内入，所以人体之气在心）。十一月、十二月，冰层复盖，地气闭合，人体之气在肾。（阳气深藏，所以人体之气在肾。气的变化是：发源于木，长茂于土，盛高而上，肃杀于金，避寒于火，伏藏于水。这都是顺应阴阳，气的升降沉浮。下文四位圣人论述气的浅深）所以春季针刺散穴及分理之间，出血即止（散穴即各经的散穴）。病重的要等待气机传布，病轻的要等气行一周即可。（传布指散布。病重者，宜久留针等待其气传布；病稍轻者，只需等候气在周身运行一周，约两刻钟即可出针）夏季针刺络穴和俞穴，见血即止，排尽邪气，闭合穴位，痛病必然消退。（夏季宜宣泄，所以必须见血而止。“尽气”指去除邪血和邪气，“闭环”指出针后闭合穴位，需等待气运行一周的时间。凡是痛病，必然会退去。）秋季针刺皮肤，顺着纹理，上下同法，观察神气变化即止。（上文讲手经，下文讲足经，针刺方法相同。邪气尚不深，所以只观察脉气变化，异于未刺之前，即可出针。脉是神的反映，变化称为神变）冬季针刺俞窍于分理之间。（深层的孔穴称为窍）病重的直接深入针刺。（观察邪气所在，直接取其深处）病轻的分散针刺。（或左右、上下散布针具，稍微宜缓）春夏秋冬各有其针刺法则，关键在于病位所在。
In the first and second months, the heavenly qi begins to rectify (initial generation of yang qi), the earthly qi begins to stir (all things sprout), and the human qi resides in the Liver. In the third and fourth months, the heavenly qi is at its peak (yang qi is bright and vigorous), the earthly qi stabilizes and stirs (all things flower and tend toward fruition), and the human qi resides in the Spleen. (At the end of the season, Earth qi is dominant.) In the fifth and sixth months, the heavenly qi is abundant. (Heavenly Yang is intensely hot and strong). The earthly qi rises high. (Earthly fire heat ascends strongly). The human qi resides in the Head. (Fire nature flares upward, thus human qi resides in the head). In the seventh and eighth months, Yin qi begins to wither and kill, and the human qi resides in the Lung. (Yin qi’s withering and killing resembles Metal qi, thus human qi resides in the Lung). In the ninth and tenth months, Yin qi begins to freeze, the earthly qi begins to close, and the human qi resides in the Heart. (Following Yang into the interior, thus human qi resides in the Heart). In the eleventh and twelfth months, ice covers again, the earthly qi closes, and the human qi resides in the Kidney. (Yang qi is deeply concealed, thus human qi resides in the Kidney). The transformation of qi originates from Wood, flourishes in Earth, rises high, withers and kills in Metal, avoids cold in Fire, and hides in Water. These all follow and conform to Yin and Yang, the rising and sinking of qi. The following four sages discuss the depth and shallowness of qi. Therefore, in Spring, one punctures the scattered Shu points (San Shu) and the interstices; stop when blood appears. (Scattered Shu points refer to the scattered acupoints of the various meridians). For severe cases, wait for the transmission of qi; for mild cases, allow one cycle of circulation. (Transmission refers to dispersion. For severe illness, it is appropriate to retain the needle for a long time to await the transmission of qi; for slightly milder cases, simply wait for qi to circulate once around the body, approximately two ke [48 minutes], then remove the needle). In Summer, one punctures the Luo points and Shu points; stop when blood appears, exhaust the qi, and close the aperture; pain diseases will surely subside. (Summer is suitable for venting, so one must stop when blood appears. "Exhausting qi" means removing pathogenic blood and pathogenic qi. "Closing the aperture" means closing the acupoint after needle removal, requiring the time for qi to circulate once. Any pain disease will necessarily recede). In Autumn, one punctures the skin, following the grain/texture, applying the same method above and below. Stop when the Shen (Spirit) changes. (The former text discusses Hand meridians, the latter Foot meridians; the needling method is the same. The pathogen is not yet deep, so one only observes the pulse qi changing, differing from before needling, then stops. The pulse is the manifestation of Shen; change is called Shen change). In Winter, one punctures the Shu apertures within the interstices. (Deep holes are called apertures). For severe cases, puncture directly downward. (Observe where the pathogen is located and directly target the deep area). For mild cases, disperse downward. (Disperse the needles left and right, up and down, slightly slowing the pace). Spring, Summer, Autumn, and Winter each have their respective needling methods; the key lies in the location of the pathology.