（平按∶此篇自篇首至后取足少阳阳明，见《灵枢》卷五第二十四《厥病》篇，又见
《甲乙经》卷九第一。
自厥挟脊而痛至末，见《灵枢》卷五第二十六《杂病》篇。又自厥挟脊而痛至 中血络，
见《甲乙经》卷七第一中篇。又自厥胸满面肿至末，见《甲乙经》卷七第三。）
厥头痛，面若肿起而烦心，取足阳明、太阳。（应有问答，传之日久，脱略故也。
手足阳明及手足太阳皆在头在面，手太阳络心属小肠，此等四脉失逆头痛，面 起若肿
及心烦，故各取此四脉输穴疗主病者。平按∶《灵枢》太阳作太阴。又按足阳明太阳，
据本注应作手足阳明太阳。）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。（足厥阴脉属肝络胆，上连目系，上出额，与肾脉会于巅，故气失逆
头痛，头脉痛，心悲善泣，视头动。厥阴主悲泣。视头动者，视之时头战动也。脉反盛
者，络脉盛，可先刺去取血，后取厥阴输穴疗主病者也。平按∶《甲乙》头脉痛，无头
字；善泣作喜泣。注贤脉恐系督脉之误。）厥头痛，贞贞头重而痛，泻头上五行，行五，
先取手少阴，后取足少阴。（贞，竹耕反。贞贞，头痛甚貌。手少阴心脉起心中，从心
系目系；足少阴肾脉贯脊属肾，上贯肝入肺，从肺出络心，故心气失逆，上冲于头，痛
贞贞。头是心神所居，故先取心脉输穴，后取肾脉输穴，疗主病者。平按∶贞贞《甲乙》
作员员，下无头重二字，注∶“《灵枢》作贞贞。”又注贯肝入肺，袁刻肺误作脉。）
厥头痛，意善忘，按之不得，取头面左右动脉，后取足太阴。（足太阴脉与足阳明合也，
足阳明循头面左右，动在客主人及大迎，皆脾气所至。脾神是意，其脉足太阴，所以太
阴气之失逆，意多善忘，所痛在神，按之难得。可取头面左右足阳明动脉，后取足太阴
输穴，疗主病者。平按∶《甲乙》此段在厥头痛贞贞之上，太阴作太阳，注云∶亦作阴。）
厥头痛，头痛甚，耳前后脉涌有热，泻出其血，后取足少阳。（足少阳
胆脉起目锐 ，上抵角，下耳后，其支从耳后入耳中，出走耳前，故足少阳气之失逆，
头痛甚，耳前后脉涌动者，有热也。可刺去热血，后取足少阳疗主病者。平按∶《甲乙》
头痛甚作痛甚，脉涌有热作脉骨热，泻出作先泻，足少阳作足太阳少阴。）厥头痛，项
腰脊为应，取天柱，后取足太阳。（足太阳脉起目内 ，上额交巅入络脑，还出下项挟
脊抵腰中，入循膂络肾属膀胱，故足太阳气之失逆，头痛，项先痛，腰脊相应，先取足
太阳上天柱之穴，后取足太阳下输穴，疗主病者。平按∶《灵枢》、《甲乙》此段在厥
头痛头痛甚之上，项作先项痛三字，应下有先字。）真头痛，头痛甚，脑尽痛，手足寒
至节，死不治。（头痛脑痛既甚，气逆，故手足冷至节，极则死也。）头痛不可取于输
者，有所击坠，血在于内，若内伤，痛未已，可即刺，不可远取也。（取输难愈，故曰
不可。又有击坠留血，可以近疗，可即刺之，不可取其远输者也。平按∶输《灵枢》作
，《甲乙》作俞。血上《灵枢》、《甲乙》有恶字。内伤《灵枢》作肉伤。可即刺，
《灵枢》即作则，《甲乙》刺下有之字。）头痛不可刺者大痹，为恶日作者，可令少愈，
不可除也。（头痛有不可刺者，此为大痹在头，恶其日作。作，发也。刺之可令少愈，
不可除也，谓寒湿之气入脑以为大痹故也。平按∶《甲乙》恶下有风字。除《灵枢》、
《甲乙》作已。）头半寒痛，先取手少阳、阳明，后取足少阳、阳明。（手足少阳阳明在
头面左右箱，故手脉行近头，足脉行远头。所以头之左箱半痛者，可刺左箱手之少阳阳
明，然后刺右箱足之少阳阳明。右亦如之也。平按∶《甲乙》无半字。）
厥挟脊而痛至项，头沉沉然，目KT KT 然，腰脊强，取足太阳 中血络。（头目
项及腰脊 ，足太阳脉所行，故生病 中也。平按∶《灵枢》项作顶，KT KT 作
。《甲乙》至项头作主头项，沉沉作几几，KT KT 作
。）厥胸满面肿，唇思思然暴言难，甚则不能言，取足阳明。（此皆足阳明脉所行，
故取足阳明输疗主病者。平按∶唇思思然《灵枢》作唇漯漯，《甲乙》作肩中热。）厥
气走喉而不能言，手足清，大便不利，取足少阴。（手足清者，手少阴与足少阴通，故
手足冷，取足少阴输疗主病者也。平按∶《甲乙》不能言作不言，清上有微字。清据注
训冷，应作 为允，本书下编作 。）厥而腹向向然多寒气，腹中荥荥，便溲难，取
足太阴。（腹胀多寒，便溲不利，皆是足太阴脉所为，故取之也。平按∶向向然《甲乙》
作膨膨二字。荥荥《灵枢》作HT HT ，《甲乙》作 ，注云∶“音最，《九墟》作荥荥。”
注太阴脉，脉字袁刻脱。）
【平按：本篇从篇首至“后取足少阳阳明”，见于《灵枢》卷五第二十四《厥病》篇，又见于《甲乙经》卷九第一。从“厥挟脊而痛”至末尾，见于《灵枢》卷五第二十六《杂病》篇。又从“厥挟脊而痛”至“中血络”，见于《甲乙经》卷七第一中篇。又从“厥胸满面肿”至末尾，见于《甲乙经》卷七第三。）
厥头痛（因厥逆之气上冲引起的头痛），面部浮肿且心烦意乱，应取足阳明胃经和足太阳膀胱经的穴位。（原文应有问答，因传抄日久，文字脱漏所致。手阳明大肠经、手太阳小肠经、足阳明胃经、足太阳膀胱经均循行于头部和面部。手太阳小肠经络心并属小肠。这四条经脉气机逆乱导致头痛，面部浮肿如肿起状以及心烦，因此分别选取这四条经脉的输穴来治疗主要病症。平按：《灵枢》中“太阳”作“太阴”。另外按注，此处“足阳明太阳”根据本注应作“手足阳明太阳”。）
厥头痛，头部血脉疼痛，心情悲伤容易哭泣，观察头部跳动之脉反盛者，针刺放血后，调治足厥阴肝经。（足厥阴肝经属肝络胆，上行连接目系，向上出于额部，与肾脉会合于头顶，所以气机逆乱引起头痛，头部血脉疼痛，心中悲凉易哭，观察头部跳动。厥阴经主司悲泣。所谓“视头动”，是观察此时头部战动的情况。所谓“脉反盛”，是指络脉充盛，可以先针刺放血，然后选取厥阴经的输穴来治疗主要病症。平按：《甲乙经》中“头脉痛”无“头”字；“善泣”作“喜泣”。注中“贤脉”恐怕是“督脉”的误写。）
厥头痛，头部沉重且疼痛剧烈，泻头上五行，每行五穴，先取手少阴心经，后取足少阴肾经。（“贞”，音竹耕反。“贞贞”，形容头痛剧烈的样子。手少阴心脉起于心中，从心系连目系；足少阴肾脉贯穿脊柱属肾，向上贯穿肝入肺，从肺出络心，所以心气逆乱，上冲于头，导致头痛剧烈。头部是心神所居之处，所以先取心经的输穴，后取肾经的输穴，来治疗主要病症。平按：“贞贞”在《甲乙经》中作“员员”，下面无“头重”二字，注云：“《灵枢》作‘贞贞’。”又注中“贯肝入肺”，袁刻本将“肺”误作“脉”。）
厥头痛，意念健忘，按压患处却找不到痛点，取头面左右的动脉，后取足太阴脾经。（足太阴脾经与足阳明胃经相合，足阳明胃经循行于头面左右，动脉位于客主人穴及大迎穴处，都是脾气所到达的地方。脾的神志是“意”，其经脉为足太阴，所以太阴气机逆乱，意念多健忘，疼痛在于神志层面，按压难以找到具体痛点。可以取头面左右足阳明经的动脉，后取足太阴经的输穴，来治疗主要病症。平按：《甲乙经》这段在“厥头痛贞贞”之上，“太阴”作“太阳”，注云：“也作阴”。）
厥头痛，头痛剧烈，耳前后脉搏涌动且有热感，泻出其血液，后取足少阳胆经。（足少阳胆脉起于目外眦，向上抵角部，向下至耳后，其分支从耳后入耳中，出走耳前，所以足少阳气机逆乱，头痛剧烈，耳前后脉搏涌动，是有热邪。可以针刺放出热血，后取足少阳经治疗主要病症。平按：《甲乙经》中“头痛甚”作“痛甚”，“脉涌有热”作“脉骨热”，“泻出”作“先泻”，“足少阳”作“足太阳少阴”。）
厥头痛，项部和腰脊相应部位疼痛，取天柱穴，后取足太阳膀胱经。（足太阳膀胱脉起于目内眦，向上额部交于巅顶入络脑，复出下行项部挟脊抵腰中，进入循行于膂部络肾属膀胱，所以足太阳气机逆乱，头痛，项部先痛，腰脊相应疼痛，先取足太阳经上天柱穴，后取足太阳经下部的输穴，来治疗主要病症。平按：《灵枢》、《甲乙经》这段在“厥头痛头痛甚”之上，“项”作“先项痛”三字，“应”下有“先”字。）
真头痛，头痛剧烈，脑部全部疼痛，手足寒冷至关节，死症不可治。（头痛脑痛既已剧烈，气机逆乱，所以手足冷至关节，极则死亡。）
头痛不可取输穴治疗的，是由于有所击打坠落，瘀血在内，或者是内伤，疼痛未止，可以立即就近针刺，不可远取输穴。（取输穴难愈，所以说不可。又有击坠留血的情况，可以近处治疗，可以立即针刺，不可取其远处的输穴。平按：“输”在《灵枢》中作“腧”，《甲乙经》作“俞”。血上《灵枢》、《甲乙经》有“恶”字。内伤《灵枢》作“肉伤”。可即刺，《灵枢》“即”作“则”，《甲乙经》“刺”下有“之”字。）
头痛不可针刺的是大痹证，如果厌恶每日发作，可以使症状稍减轻，但不能根除。（头痛有不可针刺的情况，这是大痹证在头部，厌恶其每日发作。发，即发作。针刺可使症状稍减轻，不能根除，是指寒湿之气入脑形成大痹的缘故。平按：《甲乙经》“恶”下有“风”字。除，《灵枢》、《甲乙经》作“已”。）
头半侧寒痛，先取手少阳三焦经、手阳明大肠经，后取足少阳胆经、足阳明胃经。（手足少阳、阳明经在头面左右两侧，所以手经循行靠近头部，足经循行远离头部。因此头左侧半侧疼痛，可刺左侧手部的少阳、阳明经，然后刺右侧足部的少阳、阳明经。右侧也是如此。平按：《甲乙经》无“半”字。）
厥逆之气挟脊而痛至项部，头部沉重，眼睛昏花不明，腰脊强直，取足太阳膀胱经中的血络。（头、目、项及腰脊，是足太阳膀胱经循行的部位，所以生病在经络之中。平按：《灵枢》“项”作“顶”，“KT KT”作“[[U+2F804]]”。《甲乙经》“至项头”作“主头项”，“沉沉”作“几几”，“KT KT”作“[[U+2F804]]”。）
厥逆之气致胸部满闷面部浮肿，嘴唇蠕动突然说话困难，严重时甚至不能言语，取足阳明胃经。（这些症状都是足阳明胃经循行部位所致，所以取足阳明经的输穴治疗主要病症。平按：唇思思然，《灵枢》作“唇漯漯”，《甲乙经》作“肩中热”。）
厥逆之气走窜喉部而不能言语，手足清冷，大便不通利，取足少阴肾经。（手足清冷，是因为手少阴心经与足少阴肾经相通，所以手足冷，取足少阴经的输穴治疗主要病症。平按：《甲乙经》“不能言”作“不言”，“清”上有“微”字。清据注训为冷，应作“凊”或类似字形，本书下编作“[[U+51CB]]”。）
厥逆导致腹部胀满多有寒气，腹中鸣响，大小便困难，取足太阴脾经。（腹胀多寒，大小便不利，都是足太阴脾经所致，所以取之。平按：“向向然”在《甲乙经》作“膨膨”二字。“荥荥”在《灵枢》作“[[U+2F804]]”，《甲乙经》作“[[U+2F804]]”，注云：“音最，《九墟》作‘荥荥’。”注中“太阴脉”，“脉”字袁刻本脱漏。）
[Ping An: This section from the beginning of the chapter to "then select the Foot Shaoyang and Yangming" is found in *Ling Shu* (Spiritual Pivot), Volume 5, Chapter 24, "Jue Bing" (Jue Headache), and also in *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion), Volume 9, Part 1. From "Jue pain clamping the spine" to the end, it is found in *Ling Shu*, Volume 5, Chapter 26, "Za Bing" (Miscellaneous Diseases). Also from "Jue pain clamping the spine" to "in the blood collaterals", it is found in *Jia Yi Jing*, Volume 7, Middle Part 1. Also from "Jue chest fullness and facial swelling" to the end, it is found in *Jia Yi Jing*, Volume 7, Part 3.]
**Jue Tou Tong** (Headache caused by the counterflow of Jue Qi), with a swollen appearance of the face and vexation in the heart, should be treated by selecting points on the Foot Yangming Stomach Meridian and Foot Taiyang Bladder Meridian. (The original text likely contained questions and answers, but they were lost due to long-term transmission and copying errors. The Hand Yangming Large Intestine Meridian, Hand Taiyang Small Intestine Meridian, Foot Yangming Stomach Meridian, and Foot Taiyang Bladder Meridian all traverse the head and face. The Hand Taiyang Small Intestine Meridian connects to the Heart and belongs to the Small Intestine. When the Qi of these four meridians becomes rebellious, it causes headache, facial swelling resembling edema, and heart vexation; therefore, the Shu-Stream points of these four meridians should be selected to treat the primary disease. Ping An: In *Ling Shu*, "Taiyang" is written as "Taiyin". Furthermore, according to the commentary, "Foot Yangming Taiyang" should read "Hand and Foot Yangming Taiyang" based on this note.)
**Jue Tou Tong**, with pain in the head's vessels, sadness, and propensity to weep, where the pulsating vessels in the head appear excessively full, should be treated by pricking to release blood, followed by regulating the Foot Jueyin Liver Meridian. (The Foot Jueyin Liver Meridian belongs to the Liver and connects to the Gallbladder, ascends to connect with the eye system, emerges above the forehead, and meets the Kidney Meridian at the vertex. Thus, rebellious Qi causes headache, pain in the head's vessels, sadness, and propensity to weep. The Jueyin meridian governs sadness and weeping. "Observing the head's movement" refers to observing the trembling or pulsating of the head at that time. "Excessively full vessels" indicates that the collateral vessels are hyperemic; one should first prick to release blood, then select the Shu-Stream point of the Jueyin meridian to treat the primary disease. Ping An: In *Jia Yi Jing*, "head vessel pain" lacks the character "head"; "propensity to weep" is written as "joyful weeping". The note suggests that "Xian Mai" might be a typo for "Du Mai" [Governing Vessel].)
**Jue Tou Tong**, characterized by a heavy and severely painful head, requires draining the five rows of acupoints on the head, five points per row, first selecting the Hand Shaoyin Heart Meridian, then the Foot Shaoyin Kidney Meridian. ("Zhen" is pronounced like "zhu geng fan". "Zhen zhen" describes the severe nature of the headache. The Hand Shaoyin Heart Meridian originates in the heart, connects from the heart system to the eye system; the Foot Shaoyin Kidney Meridian penetrates the spine, belongs to the Kidney, ascends through the Liver into the Lung, emerges from the Lung to connect to the Heart. Thus, rebellious Heart Qi rushes upward to the head, causing severe headache. Since the head is the residence of the Heart Spirit, one should first select the Shu-Stream point of the Heart Meridian, then the Shu-Stream point of the Kidney Meridian to treat the primary disease. Ping An: "Zhen zhen" in *Jia Yi Jing* is written as "Yuan yuan", without the characters "head heavy" below. The note states: "*Ling Shu* writes 'Zhen zhen'." Another note mentions that in "penetrates Liver enters Lung", Yuan edition mistakenly wrote "Mai" [vessel] instead of "Fei" [Lung].)
**Jue Tou Tong**, with forgetfulness and inability to locate the pain upon palpation, requires selecting the arterial pulses on the left and right sides of the head and face, followed by selecting the Foot Taiyin Spleen Meridian. (The Foot Taiyin Spleen Meridian combines with the Foot Yangming Stomach Meridian. The Foot Yangming Stomach Meridian traverses the left and right sides of the head and face, with arterial pulses located at the Keyuzhuren [ST7] and Daying [ST5] points, which are areas where Spleen Qi reaches. The spirit of the Spleen is "Yi" [Intellect/Intent]; its meridian is the Foot Taiyin. Therefore, when Taiyin Qi becomes rebellious, there is frequent forgetfulness, the pain resides in the spiritual level, and it is difficult to locate by pressing. One can select the arterial pulses of the Foot Yangming Meridian on the left and right sides of the head and face, then select the Shu-Stream point of the Foot Taiyin Meridian to treat the primary disease. Ping An: In *Jia Yi Jing*, this paragraph appears before "Jue Tou Tong Zhen Zhen", and "Taiyin" is written as "Taiyang", with the note saying: "Also written as Yin".)
**Jue Tou Tong**, with severe headache and surging, hot pulses around the ears, requires draining the blood, followed by selecting the Foot Shaoyang Gallbladder Meridian. (The Foot Shaoyang Gallbladder Meridian originates at the outer canthus, ascends to the corner of the head, descends behind the ear. Its branch enters the ear from behind the ear and exits in front of the ear. Thus, when Foot Shaoyang Qi becomes rebellious, severe headache occurs, and the pulses around the ears surge, indicating heat. One can prick to release hot blood, then select the Foot Shaoyang Meridian to treat the primary disease. Ping An: In *Jia Yi Jing*, "severe headache" is written as "pain severe", "surging pulse with heat" as "bone pulse heat", "drain out" as "first drain", and "Foot Shaoyang" as "Foot Taiyang Shaoyin".)
**Jue Tou Tong**, where pain in the neck and waist/spine correspond to each other, requires selecting Tianzhu [BL10], followed by selecting the Foot Taiyang Bladder Meridian. (The Foot Taiyang Bladder Meridian originates at the inner canthus, ascends to the forehead, crosses at the vertex, enters to connect with the brain, re-emerges down the neck along the spine to the middle of the waist, enters to traverse the paraspinal muscles, connects to the Kidney, and belongs to the Bladder. Thus, when Foot Taiyang Qi becomes rebellious, headache occurs, pain starts in the neck, and corresponds to the waist and spine. First, select the Tianzhu point of the Foot Taiyang Meridian, then select the lower Shu-Stream point of the Foot Taiyang Meridian to treat the primary disease. Ping An: In *Ling Shu* and *Jia Yi Jing*, this paragraph appears before "Jue Tou Tong Severe Headache". "Neck" is written as "First Neck Pain" three characters. "Correspond" has the character "First" below it.)
**True Headache**, with severe headache, pain throughout the brain, and cold hands and feet extending to the joints, is a fatal condition that cannot be treated. (Since the headache and brain pain are severe and Qi is rebellious, the hands and feet become cold up to the joints; if extreme, death ensues.)
If headache cannot be treated by selecting Shu points, it may be due to trauma or falling, with blood stasis retained internally, or internal injury. If the pain persists, immediate local pricking is permissible, but distant Shu points should not be selected. (Selecting Shu points is difficult to cure, hence it is said "not permissible". If there is retained blood from trauma, local treatment is possible; one can prick immediately, but should not select distant Shu points. Ping An: "Shu" in *Ling Shu* is written as "Shu" [acupoint], and in *Jia Yi Jing* as "Yu". Above "blood", *Ling Shu* and *Jia Yi Jing* have the character "E" [aversion/foul]. "Internal injury" in *Ling Shu* is written as "Mei Shang" [flesh injury]. "Ke Ji Ci" [can immediately prick]: in *Ling Shu*, "Ji" is written as "Ze"; in *Jia Yi Jing*, the character "Zhi" [particle] follows "Ci".)
Headache that cannot be needled indicates a major Bi syndrome. If the patient dreads daily attacks, symptoms may be slightly alleviated but not cured. (There are cases of headache that cannot be needled; this is a major Bi syndrome in the head, dreaded for its daily recurrence. "Fa" means attack/exacerbation. Needling can alleviate symptoms slightly but cannot eradicate them, because cold-damp pathogenic factors have entered the brain forming a major Bi. Ping An: In *Jia Yi Jing*, the character "Feng" [wind] follows "E". "Chu" [eradicate] in *Ling Shu* and *Jia Yi Jing* is written as "Yi" [finish].)
Half-head cold pain requires first selecting the Hand Shaoyang Sanjiao Meridian and Hand Yangming Large Intestine Meridian, followed by selecting the Foot Shaoyang Gallbladder Meridian and Foot Yangming Stomach Meridian. (The Hand and Foot Shaoyang and Yangming meridians are located on the left and right sides of the head and face. Thus, the Hand meridians run closer to the head, while the Foot meridians run further away. Therefore, for pain on the left half of the head, one can needle the Hand Shaoyang and Yangming meridians on the left side, then needle the Foot Shaoyang and Yangming meridians on the right side. The same applies to the right side. Ping An: *Jia Yi Jing* lacks the character "Ban" [half].)
Jue Qi clamping the spine and pain extending to the neck, with a heavy sensation in the head, blurred vision, and stiffness of the waist and spine, requires selecting the blood collaterals in the Foot Taiyang Bladder Meridian. (The head, eyes, neck, and waist/spine are the pathways of the Foot Taiyang Bladder Meridian; thus, disease arises within these pathways. Ping An: In *Ling Shu*, "Neck" is written as "Ding" [vertex], and "Kt Kt" as "[Character]". In *Jia Yi Jing*, "To Neck Head" is written as "Master Head Neck", "Chen Chen" as "Ji Ji", and "Kt Kt" as "[Character]".)
Jue Qi causing chest fullness and facial swelling, twitching lips, sudden difficulty in speech, and severe inability to speak, requires selecting the Foot Yangming Stomach Meridian. (These symptoms are all caused by the pathway of the Foot Yangming Stomach Meridian; therefore, the Shu-Stream points of the Foot Yangming Meridian should be selected to treat the primary disease. Ping An: "Chun Si Si Ran" [twitching lips] in *Ling Shu* is written as "Chun Luo Luo", and in *Jia Yi Jing* as "Jian Zhong Re" [heat in shoulder center].)
Jue Qi moving to the throat causing inability to speak, with cold hands and feet, and difficult defecation and urination, requires selecting the Foot Shaoyin Kidney Meridian. (Cold hands and feet occur because the Hand Shaoyin Heart Meridian and Foot Shaoyin Kidney Meridian are connected; thus, the hands and feet are cold. The Shu-Stream point of the Foot Shaoyin Meridian should be selected to treat the primary disease. Ping An: In *Jia Yi Jing*, "unable to speak" is written as "no speak", and the character "Wei" [slight] precedes "Qing". According to the note, "Qing" is defined as cold, so it should be written as "Qing" or similar, appearing as "[Character]" in the lower volume of this book.)
Jue leading to abdominal distension with much cold qi, rumbling in the abdomen, and difficult urination and defecation, requires selecting the Foot Taiyin Spleen Meridian. (Abdominal distension with much cold, and difficult urination and defecation, are all caused by the Foot Taiyin Spleen Meridian; therefore, it should be selected. Ping An: "Xiang Xiang Ran" in *Jia Yi Jing* is written as two characters "Peng Peng". "Xing Xing" in *Ling Shu* is written as "[Character]", and in *Jia Yi Jing* as "[Character]", with the note: "Pronounced Zui, *Jiu Xu* writes 'Xing Xing'." In the note "Taiyin Mai", the character "Mai" [meridian] is omitted in the Yuan edition.)