(骨空髓孔也。)
风者百病之始生也风从外入令人振寒汗出头痛身重恶寒治在风府调其阴阳。不足则补。
气不足)有余则泻。(邪气有余)大风颈项痛刺风府。大风汗出灸噫嘻。在侠脊旁三寸所厌之
。令病者呼噫嘻。噫嘻应手。从风憎风刺眉头。(攒竹。)失枕在肩上横骨间。(缺盆)折使榆
臂。齐肘正灸脊中。(榆。当作揄。引也谓使病者引臂下齐肘端以度脊中。乃其当灸之处盖
即督脉阳关穴也。) 络季胁。引少腹而痛胀。刺噫嘻。( 。侠脊两旁空软处)腰痛不可以
转摇。急引阴卵。刺八 与痛上。八 在腰尻分间。鼠 寒热。(瘰 。一名鼠 。盖以寒
热之毒留于经脉所致。)还刺寒府寒府在附膝外解营。(膝膑最寒。故名寒府营窟也。鼠 在
颈腋之间病由肝胆。取足少阳经阳关穴)取膝上外者。使之拜。取足心者。使之跪。
任脉为病。男子内结七疝。(寒水筋血气狐 。)女子带下瘕聚。(带下白赤带也。瘕聚
气痛
不常之名。)冲脉为病。逆气里急。(气有余则逆。血不足则急。)督脉为病。脊强反折。督
脉者。起于少腹以下骨中央。女子入系廷孔。其孔。溺孔之端也。(阴廷之孔。)其络循阴器
。合篡间。(二阴之间)绕篡后。(肛门之后)别绕臀。至少阴。与巨阳中络者合少阴。(中行
之络)上股内后廉。贯脊属肾。与太阳起于目内 。上额。交巅上。入络脑。还出别下项。
循肩膊内。侠脊抵腰中。入循膂。络肾。其男子循茎下至篡。与女子等。(此督脉并太阳之
经者也。)其少腹直上者。贯齐(脐同)中央上贯心。入喉。上颐环唇。上系两目之下中央。(
此督脉并于任脉者也。)此生病。从少腹上冲心而痛。不得前后为冲疝。其女子不孕癃痔遗
溺。嗌干。(冲督任三脉。一原而三歧。冲脉起于胞中。病故不孕。督脉系廷孔。循阴器。
合篡间绕篡后故为癃为痔。冲脉并于少阴。故遗溺。少阴之脉。循喉咙。故嗌干。)督脉生
病治督脉。治在骨上。(曲骨穴。)甚者在齐下营。(阴交穴。)其上气有音者。治其喉中央。
在缺盆中者。(天突穴。)其病上冲喉者治其渐。渐者上侠颐也。(阳明之脉。由侠颐之大迎
穴。渐上颐面故名侠颐为渐也。)蹇膝伸不屈治其楗。(膝痛偃□能伸而不能屈。取辅骨上。
横骨下为楗。楗股骨也。)坐而膝痛。治其机。(侠髋为机)立而暑解。(热蓄骨解。)治其骸
关。(注见下。)膝痛痛及拇指。(足小拇指)治其 。坐而膝痛如物隐者。(邪所着。如物隐
伏其中。)治其关。(膝解为骼关膝之节解也膝之外侧上骨为连核。下骨为辅。辅骨之上为
上为关也。)膝痛不可屈伸。治其背内。(太阳经气穴。)连 若折。治阳明中俞 。(阳明
经
井荥俞原经合穴中取其所宜。)若别治巨阳少阴荥。(若 痛支别者。宜治足太阳通谷穴足少
阴然谷穴)淫泺胫酸不能久立。(淫泺。似乎酸痛而无力也。)治少阳之维。在外踝上五寸。(
光明穴。○按经脉之交者为维少阳之维。是阳交穴。当在外踝上七寸。)
灸寒热之法。先灸项大椎以年为壮数。(如患人之年数)次灸橛骨。(即尾穷。)以年为壮
数。
视背俞陷者灸之。(察其。诸俞陷下宜灸者。)举臂肩上陷者灸之。(肩 穴。)两季胁之间灸
之。(京门穴)外踝上绝骨之端灸之。(阳辅穴)足小指次指间灸之。(侠 穴。) 下陷脉灸之
(承山穴。)外踝后灸之。(昆仑穴。)缺盆骨上切之。坚痛如筋者灸之。(此乃肉间结核也。)
膺中陷骨间灸之。(天突穴。)掌束骨下灸之。(阴 穴。)齐下关元三寸灸之(关元穴。)毛际
动脉灸之(气街穴)膝下三寸分间灸之。(三里穴。)足阳明跗上动脉灸之。(冲阳穴)巅上一灸
之。(百会穴)犬所啮之处灸之三壮。即以犬伤病法灸之。(言犬伤令人寒热。古有灸法。故
云然也。)几当灸二十九处。(总结上文)伤食灸之(伤食寒热。如上文灸之。)不已者。必视
其经之过于阳者数刺其俞而药之。(刺以泻其阳。药以和其阴)
（骨空，是指骨髓流通的孔窍。）
风邪是各种疾病产生的起始原因。风邪从外部侵入人体，会导致身体颤抖发冷、出汗、头痛、身体沉重和怕冷等症状。治疗应选取风府穴，以调节阴阳平衡。如果正气不足，则采用补法；如果邪气有余，则采用泻法。（邪气有余）
遭遇大风引起的颈项疼痛，应针刺风府穴。因大风导致出汗的，应艾灸噫嘻穴。噫嘻穴位于脊柱两旁距离三寸的地方，按压时，让病人发出“噫嘻”的声音，穴位处会有应手的感觉。因受风而憎恶风的，应针刺眉头部位的攒竹穴。落枕（失枕）的病位在于肩膀上方的横骨之间，即缺盆穴。治疗时，让病人引臂下垂，使肘端与脊中平齐，在此处正对脊中的位置进行艾灸。（“榆”字通“揄”，意为牵引。即让病人引臂向下，与肘端平齐来度量脊中的位置，这才是应当艾灸的地方，大概即是督脉上的阳关穴。）
络脉受到季胁部的病邪影响，牵引少腹出现疼痛和胀满感，应针刺噫嘻穴。（噫嘻穴位于脊柱两旁柔软的空隙处。）腰痛不能转身摇动，并急剧牵引阴囊疼痛，应针刺八髎穴以及疼痛的部位。八髎穴位于腰尻骨的缝隙之间。鼠瘰（瘰疬，又称鼠瘰，大概是由于寒热毒邪留滞于经脉所致）应再针刺寒府穴。寒府穴位于膝盖外侧腘窝最寒冷的地方，因此得名寒府，也称为营窟。鼠瘰位于颈部和腋窝之间，病因涉及肝胆，应取足少阳经的阳关穴。
取膝上外侧穴位的方法，是让病人做拜礼的动作；取足心穴位的方法，是让病人跪着。
任脉发生病变，男子会出现内结七疝（包括寒水、筋血气、狐疝等），女子会出现带下病和瘕聚（带下指白带或赤带；瘕聚指气痛且发作不固定的病症）。冲脉发生病变，会出现气逆和腹部拘急（气有余则气逆，血不足则筋脉拘急）。督脉发生病变，会出现脊柱强直、角弓反张。
督脉，起于小腹以下骨中央。在女子体内，进入系连廷孔。这个孔，就是尿道口的末端（阴廷之孔）。它的络脉循行经过外阴器，会合于二阴之间（篡间），绕过肛门之后（篡后），分支绕行臀部，至少阴经，与足太阳膀胱经的中络相合，又与足少阴肾经的中行络脉汇合。向上沿大腿内侧后缘，贯穿脊柱，归属于肾。它与足太阳膀胱经一起起于目内眦，上行至额部，交会于头顶，进入脑络，复出分别下行至项部，沿着肩膊内侧，夹脊柱到达腰部中间，进入肌肉深处，联络肾脏。在男子身上，它沿着阴茎下行至会阴，与女子的路径相同。（这是督脉并行于太阳经的情况。）
督脉从小腹直上的分支，穿过脐中央，向上贯通心脏，进入喉咙，上行至颐部，环绕嘴唇，上行系连两目下方的中央。（这是督脉并行于任脉的情况。）这些经脉生病，表现为气从少腹上冲心脏而疼痛，大小便不通，称为冲疝。女子可能出现不孕、癃闭、痔疮、遗尿、咽喉干燥等症状。（冲脉、督脉、任脉三脉同源而异流。冲脉起于胞中，故病则不孕。督脉系连廷孔，循行阴器，会合于篡间并绕过后方，故为癃闭和痔疮。冲脉并行于少阴经，故遗尿。足少阴肾经循行喉咙，故咽喉干燥。）
督脉生病，治疗督脉。轻症治在骨上方（曲骨穴）。重症治在脐下营室（阴交穴）。如果气息上冲伴有声音的，治疗喉部中央，位于缺盆中的天突穴。如果病气上冲至喉咙的，治疗渐脉，渐脉位于颐部两侧侠骨之处。（阳明经的脉气，由侠颐的大迎穴，逐渐上行至颐面，因此称侠颐为渐。）
膝关节僵硬，伸展不利，治疗楗穴。（膝痛仰卧时能伸而不能屈，取辅骨之上、横骨之下的部位为楗，楗即股骨。）坐着时膝痛，治疗机穴。（侠髋处为机。）站立时感觉骨骼解离发热（热蓄于骨节），治疗骸关穴。（注见下文。）
膝痛并放射至足大趾（原文误作小拇指，据理应为大趾或泛指足趾），治疗相应的穴位。坐着时膝痛，感觉像有物隐伏其中（邪气附着，如物隐伏），治疗关穴。（膝部关节解分为髂关，膝外侧上方的骨头为连核，下方的骨头为辅，辅骨之上为关。）膝痛不能屈伸，治疗背部的内侧穴位（太阳经的气穴）。
髀部肿痛如同折断一样，治疗阳明经的中俞穴。（在阳明经的井、荥、俞、原、经、合穴中，选取适宜的穴位。）如果疼痛分支别出，治疗足太阳经的通谷穴和足少阴经的然谷穴。
腿脚酸软无力，小腿酸痛，不能久立（淫泺，形容似乎酸痛而无力的状态），治疗少阳维脉，在外踝上五寸的光明穴。（按：经脉相交之处称为维，少阳之维是阳交穴，应当在外踝上七寸处。）
治疗寒热病症的灸法，先灸项部的督脉大椎穴，壮数根据病人的年龄而定（如病人几岁就灸几壮）。其次灸尾骶骨（即尾穷），壮数也根据年龄而定。
观察背部俞穴凹陷的地方进行艾灸（观察诸俞穴，凡陷下的适宜艾灸的）。举起手臂，在肩上凹陷处艾灸（肩髃穴）。在两肋侧之间艾灸（京门穴）。外踝上绝骨端艾灸（阳辅穴）。足小趾和第二趾之间艾灸（侠溪穴）。承山穴下方凹陷的脉处艾灸（承山穴）。外踝后方艾灸（昆仑穴）。缺盆骨上方切按，如果有坚硬疼痛如筋结一样的，进行艾灸（这是肉间的结核）。胸膺中凹陷的骨间艾灸（天突穴）。手掌束骨之下艾灸（阴谷穴）。脐下关元三寸处艾灸（关元穴）。毛际动脉处艾灸（气街穴）。膝下三寸分间艾灸（足三里穴）。足阳明经足背上的动脉处艾灸（冲阳穴）。头顶百会穴艾灸一壮。被狗咬伤的地方艾灸三壮，随即按照犬伤病的灸法处理（意思是狗咬伤人会引起寒热症状，古代有相应的灸法，所以说如此）。
总共应当艾灸二十九处。（总结上文提到的穴位）
饮食积滞引起的寒热，进行艾灸（伤食引起的寒热，如上文的灸法处理）。如果病情没有好转，必须观察经脉中阳气过盛的地方，多次针刺其俞穴，并配合药物治疗（针刺以泻其阳，药物以调和其阴）。
(The "bone spaces" refer to the apertures through which marrow circulates.)
Wind is the beginning of all diseases. When wind pathogen enters from the exterior, it causes chills, sweating, headache, heaviness of the body, and aversion to cold. Treatment should focus on Fengfu (GV16) to regulate Yin and Yang. If there is a deficiency, tonification is applied; if there is an excess of pathogenic factors, sedation is applied. (Excess of pathogenic factors)
For neck and nape pain caused by severe wind, puncture Fengfu (GV16). For sweating caused by severe wind, moxa Yixi (BL48). Yixi (BL48) is located three cun lateral to the spine. Press this area and ask the patient to exclaim "Yi Xi"; the acupoint will respond with a sensation. For aversion to wind due to wind invasion, puncture Zanzhu (BL2) at the eyebrow. For stiff neck (Shi Zhen), the location is between the transverse bones above the shoulder, i.e., Quepen (ST12). To treat, guide the patient's arm downward so that the elbow aligns with the middle of the spine. Moxa directly opposite the spine at this level. ("Yu" is a variant of "You," meaning to draw or pull. This refers to guiding the patient's arm down to measure the midpoint of the spine, which is the appropriate site for moxibustion, likely corresponding to Yangguan, an extra point on the Du Meridian.)
If the collateral vessels are affected by pathology in the hypochondrium, pulling pain and distension occur in the lower abdomen. Puncture Yixi (BL48). (Yixi is located in the soft hollows on both sides of the spine.) For low back pain where turning and shaking are impossible, with acute traction pain in the genitalia, puncture the Baliao points and the painful area. The Baliao points are located in the interspaces of the sacrococcygeal region. For Shulou (scrofula/lymphatic tuberculosis, also known as Shu Lue, believed to be caused by the retention of cold-heat toxic pathogens in the meridians), puncture Hanfu (Cold Mansion). Hanfu is located at the coldest part of the lateral knee popliteal fossa, hence the name Hanfu, also called Yingku. Shulou is located between the neck and axilla, with etiology involving the Liver and Gallbladder; select Yangguan (GB33) of the Foot-Shaoyang Gallbladder Meridian.
To locate points on the upper lateral knee, have the patient perform a bowing motion. To locate points on the sole of the foot, have the patient kneel.
Diseases of the Ren Mai (Conception Vessel): In men, internal knotting of the Seven Hernias (including Cold Water, Sinew-Blood-Qi, and Fox Hernias); in women, leukorrhea and Jia Ju masses (Leukorrhea refers to white or red vaginal discharge; Jia Ju refers to intermittent abdominal pain due to Qi stagnation). Diseases of the Chong Mai (Penetrating Vessel): Rebellious Qi and abdominal urgency (Excess Qi leads to rebellion; Blood deficiency leads to tension/spasm). Diseases of the Du Mai (Governing Vessel): Stiffness and rigidity of the spine, opisthotonos.
The Du Mai originates below the lower abdomen at the central bone. In women, it enters and connects to the Ting Kong. This aperture is the opening of the urethra (the aperture of the Yin Ting). Its collaterals circulate around the external genitalia, meeting at the perineum (between the two yins), and winding behind the anus. Branches wind around the buttocks, reaching the Shaoyin channel, merging with the middle collateral of the Taiyang channel, and combining with the middle collateral of the Shaoyin channel. It ascends along the posterior medial aspect of the thigh, pierces the spine, and attaches to the Kidney. It joins with the Taiyang channel, originating at the inner canthus of the eye, ascending to the forehead, crossing at the vertex, entering to connect with the brain, emerging again to descend separately to the nape, following the interior of the shoulder blades, flanking the spine to reach the middle of the waist, entering the deep muscles, and connecting with the Kidney. In men, it follows the penis down to the perineum, identical to the female pathway. (This describes the Du Mai running parallel with the Taiyang Meridian.)
The branch of the Du Mai rising straight from the lower abdomen passes through the umbilicus, ascends through the heart, enters the throat, ascends to the chin, circles the lips, and ascends to tie into the center below the eyes. (This describes the Du Mai running parallel with the Ren Mai.)
Pathologies arising here include: Qi rushing up from the lower abdomen to the heart causing pain, accompanied by inability to pass stool or urine, termed Chong Hernia. Women may experience infertility, strangury, hemorrhoids, urinary incontinence, and dryness of the throat. (The Chong, Du, and Ren meridians share a common origin but diverge into three. The Chong Mai originates in the Bao Zhong [uterus], so pathology leads to infertility. The Du Mai connects to the Ting Kong, circulates the genitalia, meets at the perineum, and winds behind it, leading to strangury and hemorrhoids. The Chong Mai runs parallel with the Shaoyin, leading to urinary incontinence. The Shaoyin meridian circulates the throat, leading to dryness of the throat.)
For diseases of the Du Mai, treat the Du Mai. Mild cases are treated at the bone above (Qugu, CV2). Severe cases are treated at the Ying area below the umbilicus (Yinjiao, CV13). If there is rebellious Qi with sound, treat the center of the throat, at Tian Tu (CV22) in the suprasternal fossa. If the pathological Qi rushes up to the throat, treat the Jian (Gradual) area, which is located on either side of the chin. (The Yangming meridian qi rises gradually from Daying (ST5) on the side of the chin to the face, hence "side of the chin" is referred to as Jian.)
For stiff knees that cannot extend or flex properly, treat the Jian (femur). (Knee pain where one can extend but not flex while lying supine; take the area above the auxiliary bone and below the transverse bone as Jian, which refers to the femur.) For knee pain while sitting, treat the Ji (hip joint). (The area beside the hip is Ji.) For standing with heat accumulation in the bone joints, treat the Haiguan. (See note below.) For knee pain radiating to the big toe (text says small toe, logically big toe or general toes), treat the corresponding point. For knee pain while sitting feeling like a hidden object (pathogen adhering, hidden within), treat the Guan (knee joint aperture). (The knee joint separation is the Qigu; the bone above laterally is Lianhe, below is Fugu; above Fugu is Guan.) For knee pain with inability to flex or extend, treat the interior back points (Qi points of the Taiyang Meridian).
For swelling and pain in the thigh resembling a fracture, treat the Zhongshu points of the Yangming Meridian. (Select the appropriate point among the Jing-River, Ying-Spring, Shu-Stream, Yuan-Source, Jing-River, and He-Sea points of the Yangming Meridian.) If the pain branches out, treat Tonggu (BL65) of the Foot-Taiyang Bladder Meridian and Ran Gu (KI2) of the Foot-Shaoyin Kidney Meridian.
For weakness and soreness in the calves, inability to stand for long periods (Yin Luo, describing a sensation of soreness and weakness), treat the Shaoyang Wei Mai (Linking Vessel) at Guang Ming (GB37), five cun above the lateral malleolus. (Note: Where meridians intersect is called Wei. The Shaoyang Wei is Yangjiao (GB35), which should be seven cun above the lateral malleolus.)
For treating cold-heat disorders via moxibustion: First, moxa Dazhui (GV14) at the nape, using a number of moxa cones equal to the patient's age. Second, moxa the coccyx (Wei Qiong), using a number of moxa cones equal to the patient's age.
Observe sunken areas on the back Shu points and apply moxibustion. (Inspect the Shu points; apply moxa to those that are depressed.) With arms raised, moxa the depression on the shoulder (Jian Yu, LI15). Moxa between the two hypochondriac regions (Jing Men, GB25). Moxa the end of the Juegu (fibula head) above the lateral malleolus (Yang Fu, GB38). Moxa between the fourth and fifth toes (Xia Xi, GB43). Moxa the depressed vessel below Cheng Shan (BL57). Moxa behind the lateral malleolus (Kun Lun, BL60). Palpate above the clavicle in the Quepen area; if hard and painful like a tendon, moxa it. (This refers to subcutaneous nodules.) Moxa the depression in the chest between the bones (Tian Tu, CV22). Moxa below the tendons binding the bones of the palm (Yin Gu, KI10). Moxa Guanyuan (CV4), three cun below the umbilicus. Moxa the arterial pulse at the pubic hairline (Qie Street, ST30). Moxa the interspace three cun below the knee (Zusan Li, ST36). Moxa the arterial pulse on the dorsum of the foot of the Foot-Yangming Meridian (Chong Yang, ST42). Moxa Bai Hui (GV20) on the vertex with one cone.
Moxa the site of a dog bite with three cones, then follow the method for treating dog bites. (This implies that dog bites cause cold-heat symptoms, and ancient texts prescribe moxibustion for this.)
In total, twenty-nine locations should be moxaed. (Summary of the above)
For food stagnation causing cold-heat, apply moxibustion (as described above for food stagnation-induced cold-heat). If the condition does not improve, inspect the meridians for excess Yang, puncture their Shu points multiple times, and administer herbal medicine. (Puncture to drain excess Yang; herbs to harmonize Yin.)