平按∶此篇自篇首至末，见《灵枢》卷五第二十二《癫狂》篇。自篇首至立快者是
也，见《甲乙经》卷七第三。自内闭不得溲至末，见《甲乙经》卷九第十。
厥逆为病也，足暴 ，胸若将别，腹若将以刃切之，烦而不能食，脉小大皆清缓，
取足少阴， 取足阳明， 则补之，温则泻之。（厥逆之病，足冷胸痛，心闷不能食，
其脉动之大小皆多血少气。缓而温者，可取足少阴输穴，泻其热气。足之寒者，取足阳
明输穴，补其阳虚也。平按∶《灵枢》、《甲乙》将别作将裂，脉小大皆 作脉小大皆
涩。暴 、 取足阳明、 则补之，三 字今本《灵枢》及《甲乙经》均作清，明赵府
居敬堂《灵枢》均作 ，腹作肠，刃作刀，缓作暖。）厥逆腹满胀肠鸣，胸满不得息，
取之下胸二肋咳而动手者，与背输以指按之立快者是也。（厥逆胸满不得息，可量取下
胸二肋咳而动手之处，谓手太阴中府输也。厥逆腹满胀肠鸣，量取背胃及大小腹输疗主
病者也。平按∶《灵枢》满胀作胀满，二肋作二胁。《甲乙》动下有应字，输作俞，
《灵枢》作 。注背胃，据经文应作背输，袁刻作背输。）内闭不得溲，刺足少阴、太
阳与 上以
长针；气逆，取其太阴阳明；厥甚，取少阴阳明动者之经。（足少阴、太阳主于便溲，
故厥便溲闭，取此阴阳二经输穴疗主病者。若加气逆，可取手足太阴、阳明疗主病者。
若此闭及气逆厥甚，可取手足少阴、阳明二经动脉疗主病者也。平按∶《灵枢》厥下有
阴字。厥甚取少阴《甲乙》作厥甚取太阴。）
【平按】：本篇从开头到结尾，见于《灵枢》卷五第二十二篇《癫狂》。从开头到“立快者”这一段，见于《甲乙经》卷七第三篇。从“内闭不得溲”到结尾，见于《甲乙经》卷九第十篇。
厥逆这种病证，表现为足部突然发冷，胸部感觉像要分离一样，腹部感觉像被刀刃切割一样，心中烦闷且不能进食，脉象无论大小都呈现涩滞而缓弱的特征。治疗时，取足少阴肾经的穴位；若足部温暖则用泻法，若足部寒冷则用补法。（注：厥逆之病，足冷胸痛，心闷不能食，其脉动之大小皆多血少气。缓而温者，可取足少阴输穴，泻其热气。足之寒者，取足阳明输穴，补其阳虚也。平按∶《灵枢》、《甲乙》将别作将裂，脉小大皆 作脉小大皆 涩。暴 、 取足阳明、 则补之，三 字今本《灵枢》及《甲乙经》均作清，明赵府居敬堂《灵枢》均作 ，腹作肠，刃作刀，缓作暖。）
厥逆导致腹部胀满、肠鸣，胸部胀满且呼吸不畅，应取位于下胸部第二肋骨处、咳嗽时手部动作明显的穴位，以及背部相应的俞穴，用手指按压后能立即感到舒适缓解的穴位进行治疗。（注：厥逆胸满不得息，可量取下胸二肋咳而动手之处，谓手太阴中府输也。厥逆腹满胀肠鸣，量取背胃及大小腹输疗主病者也。平按∶《灵枢》满胀作胀满，二肋作二胁。《甲乙》动下有应字，输作俞，《灵枢》作 。注背胃，据经文应作背输，袁刻作背输。）
体内气机闭塞导致小便不通，针刺足少阴肾经、足太阳膀胱经以及上部的大针穴位；若伴有气机上逆，取用手太阴肺经和足阳明胃经的穴位；若厥逆症状严重，取用手少阴心经和足阳明胃经中动脉搏动明显的经脉穴位。（注：足少阴、太阳主于便溲，故厥便溲闭，取此阴阳二经输穴疗主病者。若加气逆，可取手足太阴、阳明疗主病者。若此闭及气逆厥甚，可取手足少阴、阳明二经动脉疗主病者也。平按∶《灵枢》厥下有阴字。厥甚取少阴《甲乙》作厥甚取太阴。）
[Ping An]: This chapter, from beginning to end, is found in Chapter 22 "Dian Kuang" (Mania and Epilepsy) of Volume 5 of *Ling Shu* (Spiritual Pivot). From the beginning to "li kuai zhe" (immediate relief), it is found in Chapter 3 of Volume 7 of *Jia Yi Jing* (The Classic of A-Bio Points). From "nei bi bu de sou" (internal blockage with inability to urinate) to the end, it is found in Chapter 10 of Volume 9 of *Jia Yi Jing*.
In the disease of Jue Ni (Reversal Cold), there is sudden coldness in the feet, a sensation in the chest as if it were separating, a sensation in the abdomen as if being cut by a blade, mental restlessness, inability to eat, and the pulse, whether large or small, appears choppy and slow/weak. Treatment involves selecting points on the Foot-Shaoyin (Kidney) Meridian; if the foot is warm, use the reducing method; if the foot is cold, use the reinforcing method. (Note: In the disease of Jue Ni, cold feet and chest pain, chest oppression and inability to eat, the pulse movement's size all indicates abundant blood but deficient Qi. If slow and warm, one may select the Shu-Stream point of Foot-Shaoyin to reduce heat qi. If the foot is cold, select the Shu-Stream point of Foot-Yangming to reinforce Yang deficiency. Ping An: *Ling Shu* and *Jia Yi Jing* read "jiang lie" instead of "jiang bie"; "mai xiao da jie se" instead of "mai xiao da jie ...". The three characters "bao ..., qu zu yang ming, ze bu zhi" are all read as "qing" in current editions of *Ling Shu* and *Jia Yi Jing*, and in the Ming Zhao Fu Ju Jing Tang edition of *Ling Shu* are read as "...", "fu" as "chang", "ren" as "dao", "huan" as "nuan".)
Jue Ni causes abdominal fullness, distension, and borborygmus (intestinal rumbling), chest fullness, and dyspnea (difficulty breathing). One should select points located at the lower chest, second rib area, where hand movement occurs during coughing, as well as corresponding Back-Shu points on the back; points that provide immediate relief when pressed with fingers. (Note: In chest fullness and dyspnea due to Jue Ni, one may measure the location at the lower chest, second rib, where hand movement occurs during coughing, referring to the Zhongfu point of Hand-Taiyin. For abdominal fullness, distension, and borborygmus due to Jue Ni, one measures the Back-Shu points of the Stomach and Large/Small Abdomen to treat the main disease. Ping An: *Ling Shu* reads "zhang man" instead of "man zhang", "er xie" instead of "er lei". *Jia Yi Jing* adds "ying" after "dong", "shu" as "yu", *Ling Shu* writes "...". Note "bei wei", according to the text it should be "bei shu", Yuan edition writes "bei shu".)
Internal blockage with inability to urinate requires needling the Foot-Shaoyin (Kidney) Meridian, Foot-Taiyang (Bladder) Meridian, and using long needles at upper body points; if accompanied by rebellious Qi, select points from Hand-Taiyin (Lung) and Foot-Yangming (Stomach) Meridians; if the Jue condition is severe, select the meridians of Hand-Shaoyin (Heart) and Foot-Yangming (Stomach) where arterial pulsation is prominent. (Note: Foot-Shaoyin and Foot-Taiyang govern urination and defecation; thus, for Jue with urinary retention, one selects the Shu-Stream points of these two Yin-Yang meridians to treat the main disease. If added with rebellious Qi, one may select points from Hand-Foot Taiyin and Yangming to treat the main disease. If this blockage and rebellious Qi lead to severe Jue, one may select the arterial meridians of Hand-Foot Shaoyin and Yangming to treat the main disease. Ping An: *Ling Shu* adds "yin" after "jue". "Jue shen qu shao yin" in *Jia Yi Jing* reads "jue shen qu tai yin".)