平按∶此篇见《灵枢》卷五第二十三《热病》篇，又见《甲乙经》卷八第一。
男子如蛊，女子如妲，身体腰脊如解，不欲食，先取涌泉见血，视跗上盛者，尽见
血。（蛊音古。妲音但。女惑男为病，男病名蛊，其状狂妄，失其正理，不识是非，醉
于所惑。男惑女为病，女病为妲，其状萎黄羸瘦，醉于所惑。今有男子之病如蛊，女子
之病如妲，可并取肾之井，可息相悦之疾也。问曰∶喜怒忧思乃生于心，今以针灸疗之，
不亦迂乎？答曰∶病有生于风寒暑湿，饮食男女，非心病者，可以针石汤药去之。喜怒
忧思伤神为病者，先须以理，清神明性，去喜怒忧思，然后以针药裨而助之，但用针药
者，不可□□又加身体骨脊解别不欲食者，先取足少阴于足下涌泉之输去血，及循少阴
于足跗上络盛之处去血也。平按∶《灵枢》妲作怛，食上有饮字。涌泉《灵枢》、《甲乙》
作涌泉。）
平按∶此篇自篇首至故令人发为癫疾，见《素问》卷十三第四十七《奇病论》篇，
又见《甲乙经》十一卷
第二。自癫疾始生先不乐至末，见《灵枢》卷五第二十二《癫狂》篇，《甲乙》见同上。
黄帝问岐伯曰∶人生而有病癫疾者，病名为何？安得之？答曰∶病名为胎疾，此得
之在腹中时，其母有所大惊，气上不下，精气并居，故令人发为癫疾。（人之生也，四
月为胎，母为人物所惊，神气并上惊胎，故生已发为癫疾也。平按∶《素问》、《甲乙》
腹中上有母字，故令人作故令子。）癫疾始生，先不乐，头重痛，视举目赤，其作极已
而烦心，候之于颜，取手太阳、阳明、太阴，血变而止。（手太阳上头在目络心，手阳
明络肺，手太阴与手阳明通，故不乐头重目赤心烦取之也。平按∶《灵枢》、《甲乙》
其作甚。《甲乙》无阳明二字。）癫疾始作而引口啼呼喘悸，候之手阳明太阳，右僵者
政其右，左僵者政其左，血变而止也。（手太阳支者，别颊上 抵鼻，手阳明挟口，故
啼呼左右僵皆取之也。平按∶《灵枢》、《甲乙》悸下有者，两僵字均作强，政其右作
攻其左，政其左作攻其右。又按注皆取之也，则两政字，恐系攻字传抄之误。）癫疾始
作而反僵，因脊痛，候之足太阳、阳明、手太阳，血变而止。（足太阳挟脊，足阳明耳
前上至额颅在头，手太阳绕肩甲交肩上，故反僵脊痛取之也。平按∶《灵枢》而反僵作
先反僵，阳明下有太阴二字。）治癫疾者，常与之居，察其所当取之处，病至视之，有
过者即泻之，置其血于瓠壶之中，至其发时，血独动矣，不动，灸穷骨二十五壮。穷骨
者，胝骨也。（病有过者，视其络脉病过之处，刺取病血，盛之瓠壶中，至其发时血自
动，不动者，灸穷骨也。平按∶二十五壮《灵枢》作二十壮，《甲乙》作三十壮。胝骨
《甲乙》作尾 。）骨癫疾者，颔、齿、诸输、分肉皆满，而骨居汗出，烦 ，呕多涎
沫，其
气下泄，不治。（居，处也。骨之癫疾，不可疗候有八∶颔、齿、输、及分肉间，骨
处汗出，烦 ，呕多涎沫，气下泄。有此八候，是骨癫疾，死不可疗也。平按∶《灵枢》
颔作 。《甲乙》而骨居作而骨居强直， 作闷。《灵枢》涎沫作沃沫。注有此八候，
袁刻此误作死。）筋癫疾，身卷挛急大，刺项大经之大杼脉，呕多液沫，气下泄，不治。
（身卷挛急大者，是足太阳之病，宜刺项之大经足太阳脉大杼之穴。若呕液沫气下泄，
死不可疗也。平按∶《灵枢》、《甲乙》疾下有者字。卷《灵枢》作倦。《甲乙》急下有
脉字，杼下无脉字。液《灵枢》作沃，《甲乙》作涎。）脉癫疾，暴仆，四肢之脉皆胀
而纵，脉满，尽刺之出血，不满，灸侠项太阳，灸带脉于腰相去三寸，诸分肉本输，呕
多沃沫，气下泄，不治。（癫疾暴前倒仆，四肢脉皆胀满而纵缓者，可刺去其血。若不
胀满，可灸太阳于项疗主病者，又灸□□当十四椎相去三寸，分肉之间疗主癫疾之输也。
平按∶《灵枢》《甲乙》癫疾下有者字，侠上有之字。《灵枢》侠作挟。《甲乙》灸带
脉上有又字，沃作涎。注灸下二字原不全，玩其剩处，似带脉二字，袁刻作腰取二字，
恐误，据经文应作带脉二字。）治癫疾者，病发如狂者，死不治。（僵仆倒而不觉等谓
之癫，驰走妄言等谓之狂，今癫疾发而若狂，病甚故死不疗也。平按∶《灵枢》癫上无
治字，病作疾。）
【平按】：这一篇见于《灵枢》卷五第二十三《热病》篇，又见于《甲乙经》卷八第一。
男子患如蛊之病，女子患如妲之病，身体腰脊如同解散般无力，不想进食，先针刺涌泉穴使其出血，观察足背（跗）上血脉充盈处，全部刺令出血。（“蛊”音古。“妲”音但。女惑男为病，男病名蛊，其症状狂妄，失去正常理智，不识是非，沉溺于迷惑之中。男惑女为病，女病为妲，其症状萎黄消瘦，沉溺于迷惑之中。如今有男子患如蛊之病，女子患如妲之病，可以共同取用肾经的井穴，以平息因情欲相悦而产生的疾病。问曰：喜怒忧思产生于心，现在用针灸来治疗，不是太迂阔了吗？答曰：疾病有由风寒暑湿、饮食男女引起的，并非心病者，可以用针石汤药去除。因喜怒忧思损伤神气而致病者，必须先通过道理疏导，清明明性，去除喜怒忧思，然后用针药辅助帮助。但如果仅用针药，不可……再加上身体骨脊解散分离、不想进食的症状，应先取足少阴经在足下的涌泉穴放血，以及沿足少阴经在足背络脉充盈之处放血。【平按】：《灵枢》中“妲”写作“怛”，“食”字上有“饮”字。涌泉，《灵枢》、《甲乙》均作“涌泉”。）
【平按】：本篇从篇首至“故令人发为癫疾”，见于《素问》卷十三第四十七《奇病论》篇，又见于《甲乙经》十一卷第二。从“癫疾始生先不乐”到末尾，见于《灵枢》卷五第二十二《癫狂》篇，《甲乙经》见于同上。
黄帝问岐伯说：人生下来就患有癫疾的人，病名叫什么？是怎么得的？岐伯回答说：病名叫胎疾，这是在腹中时获得的，当时母亲受到极大的惊吓，气机上逆而不能下行，精气并聚，所以使人发作成为癫疾。（人出生时，四月成胎，母亲被外物惊吓，神气并上惊吓胎儿，所以出生后便发作成为癫疾。【平按】：《素问》、《甲乙》中“腹中”上有“母”字，“故令人”写作“故令子”。）
癫疾刚开始发作时，先表现为心情不愉快，头重痛，眼睛视物发红，发作极度后感到心烦，在颜面部位进行诊察，取用手太阳、手阳明、手太阴经穴，血色改变后停止针刺。（手太阳经上行头部，在目部络属心脏；手阳明经络属肺脏；手太阴经与手阳明经相通，所以出现心情不愉快、头重、目赤、心烦等症状，取这些穴位治疗。【平按】：《灵枢》、《甲乙》中“其作极”写作“其作甚”。《甲乙》无“阳明”二字。）
癫疾刚开始发作时，牵引口角啼哭呼叫，气喘心悸，诊察手阳明、手太阳经，右侧肢体僵硬则治疗右侧，左侧肢体僵硬则治疗左侧，血色改变后停止针刺。（手太阳经分支，别出脸颊上行至鼻旁；手阳明经挟口而行，所以啼哭呼叫及左右僵硬都取这些穴位治疗。【平按】：《灵枢》、《甲乙》中“悸”下有“者”字，“僵”字均写作“强”，“政其右”写作“攻其左”，“政其左”写作“攻其右”。另外按注解说“皆取之也”，那么两个“政”字，恐怕是“攻”字在传抄中的错误。）
癫疾刚开始发作时，反而身体僵硬，因此脊柱疼痛，诊察足太阳、足阳明、手太阳经，血色改变后停止针刺。（足太阳经挟持脊柱，足阳明经从耳前上行至额颅，手太阳经环绕肩胛交于肩上，所以出现反僵、脊痛症状，取这些穴位治疗。【平按】：《灵枢》中“而反僵”写作“先反僵”，“阳明”下有“太阴”二字。）
治疗癫疾的人，应当经常陪伴患者，观察应当取穴的部位，病发作时观察患者，有过盛之处即泻之，将刺出的血置于瓠壶之中，到了发病的时候，血会独自跳动，如果不跳动，灸穷骨二十五壮。穷骨，就是胝骨。（病有过盛之处，观察其络脉病变的地方，刺取病血，盛放在瓠壶中，到了发病时血自动跳动，不跳动的，灸穷骨。【平按】：二十五壮，《灵枢》作二十壮，《甲乙》作三十壮。胝骨，《甲乙》作尾骶骨。）
骨癫疾，下颌、牙齿、各输穴、分肉间都胀满，骨骼处出汗，烦躁，呕吐多涎沫，气向下泄，属于不治之症。（“居”意为处。骨之癫疾，不可治疗的症状有八种：下颌、牙齿、输穴、及分肉间，骨处出汗，烦躁，呕吐多涎沫，气下泄。有此八种症状，是骨癫疾，死证不可治疗。【平按】：《灵枢》中“颔”写作某字。《甲乙》中“而骨居”写作“而骨居强直”，某字作“闷”。《灵枢》中“涎沫”作“沃沫”。注中“有此八候”，袁刻本误作“死”。）
筋癫疾，身体卷曲挛急且大，针刺颈部大经的大杼脉，若呕吐多液沫，气向下泄，属于不治之症。（身体卷曲挛急大的，是足太阳经的病，适宜针刺颈部的大经足太阳脉大杼穴。如果呕吐液沫、气下泄，死证不可治疗。【平按】：《灵枢》、《甲乙》中“疾”下有“者”字。“卷”，《灵枢》作“倦”。《甲乙》中“急”下有“脉”字，“杼”下无“脉”字。“液”，《灵枢》作“沃”，《甲乙》作“涎”。）
脉癫疾，突然仆倒，四肢的脉象都胀大而纵缓，脉象满实，全部刺之出血，若不满实，灸侠项部的太阳经，灸带脉于腰部相距三寸处，以及诸分肉的本输穴，若呕吐多沃沫，气向下泄，属于不治之症。（癫疾突然向前倒仆，四肢脉象皆胀满而纵缓的，可刺去其血。若不胀满，可灸太阳经于项部治疗主病者，又灸……当第十四椎相距三寸，分肉之间治疗主癫疾的输穴。【平按】：《灵枢》《甲乙》中“癫疾”下有“者”字，“侠”上有“之”字。《灵枢》中“侠”作“挟”。《甲乙》中“灸带脉”上有“又”字，“沃”作“涎”。注中“灸”下二字原不全，玩味剩余部分，似为“带脉”二字，袁刻本作“腰取”二字，恐怕有误，据经文应作“带脉”二字。）
治疗癫疾的人，病发作像狂症一样的，死证不治。（僵仆倒而不知觉等称为癫，奔跑妄言等称为狂，如今癫疾发作而像狂症，病情严重所以死证不可治疗。【平按】：《灵枢》中“癫”上无“治”字，“病”作“疾”。）
[Ping An]: This chapter appears in *Ling Shu* (Spiritual Pivot), Volume 5, Chapter 23 "Re Bi" (Heat Disease), and also in *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion), Volume 8, Part 1.
Men suffer from a condition resembling Gu (a disease caused by bewitchment or obsession, characterized by delirium and loss of reason), while women suffer from a condition resembling Da (a disease caused by bewitchment or obsession, characterized withering and emaciation). Their bodies feel as if their waist and spine are dislocated, they have no desire to eat. First, puncture Yongquan (KI-1) until bleeding occurs. Observe the dorsum of the foot; where the vessels are full, puncture them all until blood flows. ("Gu" is pronounced Gu. "Da" is pronounced Dan. When a woman bewitches a man, it is called Gu in men; its symptoms include madness, loss of rationality, inability to distinguish right from wrong, and being intoxicated by confusion. When a man bewitches a woman, it is called Da in women; its symptoms include sallow complexion, emaciation, and being intoxicated by confusion. Now, for men suffering from Gu-like illness and women suffering from Da-like illness, one can jointly select the Jing-well point of the Kidney meridian to alleviate diseases arising from mutual infatuation.) Question: Joy, anger, worry, and thought originate in the Heart. Is it not too indirect to treat them with acupuncture and moxibustion? Answer: Diseases arise from wind, cold, summer-heat, dampness, diet, and sexual activity. If they are not Heart diseases, they can be eliminated with needles, stones, decoctions, and pills. For diseases caused by joy, anger, worry, and thought damaging the Shen (Spirit), one must first use reasoning to clarify the mind and nature, eliminating these emotions, and then assist with needles and medicines. However, if using only needles and medicines... [text missing] ...additionally, when there are symptoms of the body and spine feeling dislocated and lack of appetite, first take the Yingquan acupoint on the sole of the Foot Shaoyin (Kidney) meridian to remove blood, and follow the Shaoyin meridian to the dorsum of the foot where the collaterals are full to remove blood. [Ping An: In *Ling Shu*, "Da" is written as "Da". There is a "Yin" (drink) character above "Shi" (eat). Yongquan is written as Yongquan in both *Ling Shu* and *Jia Yi Jing*.]
[Ping An]: From the beginning of this chapter to "thus causing people to develop Dian Ji" (Epilepsy/Mental Disorder), this text appears in *Su Wen* (Basic Questions), Volume 13, Chapter 47 "Qi Bing Lun" (Discussion on Uncommon Diseases), and also in *Jia Yi Jing*, Volume 11, Part 2. From "Dian Ji begins with unhappiness" to the end, it appears in *Ling Shu*, Volume 5, Chapter 22 "Dian Kuang" (Epilepsy and Mania), and *Jia Yi Jing* cites the same source.
Huang Di asked Qi Bo: People who are born with Dian Ji (epilepsy/mental disorder), what is the name of this disease? How is it acquired? Qi Bo answered: The disease is named Tai Ji (Fetal Disease). It is acquired while in the womb. At that time, the mother experienced great fright. The Qi ascended but did not descend, and Essence and Qi gathered together, thus causing the person to develop Dian Ji after birth. (When humans are born, at four months of gestation, if the mother is frightened by external objects, the Shen Qi ascends in fright and startles the fetus, so the disease manifests after birth. [Ping An: In *Su Wen* and *Jia Yi Jing*, the character "Mu" (mother) appears above "Fu Zhong" (in the abdomen). "Gu Ling Ren" is written as "Gu Ling Zi" (thus causing the son).])
When Dian Ji first begins, it initially presents as unhappiness, heavy head and pain, red eyes upon looking up, extreme agitation followed by vexation. Observe the face (Yan). Select Hand Taiyang, Hand Yangming, and Hand Taiyin meridians. Stop needling when the blood color changes. (The Hand Taiyang meridian travels to the head and connects to the Heart via the eye region; the Hand Yangming meridian connects to the Lung; the Hand Taiyin meridian communicates with the Hand Yangming meridian. Therefore, for symptoms of unhappiness, heavy head, red eyes, and vexation, these points are selected. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Qi Zuo Ji" is written as "Qi Zuo Shen". *Jia Yi Jing* lacks the characters "Yang Ming".])
When Dian Ji first starts, it draws the mouth, causes crying and calling, panting, and palpitations. Observe the Hand Yangming and Hand Taiyang meridians. If the right side is stiff, treat the right side; if the left side is stiff, treat the left side. Stop when the blood color changes. (The branch of the Hand Taiyang meridian separates at the cheek and goes up to the nose. The Hand Yangming meridian flanks the mouth. Therefore, for crying/calling and stiffness on either side, these points are taken. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Ji" has the character "Zhe". Both instances of "Jiang" (stiff) are written as "Qiang" (strong). "Zheng Qi You" is written as "Gong Qi Zuo", and "Zheng Qi Zuo" as "Gong Qi You". Also, according to the commentary "Jie Qu Zhi Ye" (all should be taken), the two characters "Zheng" are likely copyist errors for "Gong" (attack/treat).])
When Dian Ji first starts, the body becomes rigid/stiff, accompanied by spinal pain. Observe the Foot Taiyang, Foot Yangming, and Hand Taiyang meridians. Stop when the blood color changes. (The Foot Taiyang meridian flanks the spine. The Foot Yangming meridian goes from the front of the ear up to the forehead and skull. The Hand Taiyang meridian circles the scapula and crosses on the shoulder. Therefore, for rigidity and spinal pain, these points are selected. [Ping An: In *Ling Shu*, "Er Fan Jiang" is written as "Xian Fan Jiang". After "Yang Ming", the characters "Tai Yin" appear.])
To treat Dian Ji, one should reside with the patient frequently, observing the appropriate points to be selected. When the disease strikes, observe the patient; if there is excess, drain it. Place the extracted blood into a gourd vessel. When the paroxysm occurs, the blood will move independently. If it does not move, moxa the Qiong Gu (bottom bone) for 25 moxa cones. Qiong Gu refers to the Zhi Gu (coccyx/sacrum). (For excess in the disease, observe the diseased area of the collateral vessels, needle to extract pathological blood, and store it in a gourd vessel. When the paroxysm occurs, the blood moves naturally. If it does not move, moxa the Qiong Gu. [Ping An: 25 cones is written as 20 cones in *Ling Shu* and 30 cones in *Jia Yi Jing*. Zhi Gu is written as Wei Gu (tailbone) in *Jia Yi Jing*.])
Bone Dian Ji: The mandible, teeth, various Shu points, and intermuscular spaces are all full/distended. Sweat issues from the bones. There is vexation, vomiting with much saliva/phlegm, and Qi leaking downward. This is untreatable. ("Ju" means location/state. Bone Dian Ji has eight untreatable signs: distension of the mandible, teeth, Shu points, and intermuscular spaces; sweating from the bones; vexation; vomiting with much saliva/phlegm; and Qi leaking downward. Having these eight signs indicates Bone Dian Ji, a fatal untreatable condition. [Ping An: In *Ling Shu*, "Han" is written as a specific character. In *Jia Yi Jing*, "Er Gu Ju" is written as "Er Gu Ju Qiang Zhi" (and bone stays rigid), and the specific character is written as "Men" (oppressed). In *Ling Shu*, "Xian Mo" is written as "Wo Mo". The note "You Ci Ba Hou" (having these eight signs) was mistakenly printed as "Si" (death) in Yuan's edition.])
Sinew Dian Ji: The body curls, contracts, and becomes large/tense. Needle the Da Shu (BL-11) pulse of the major meridians in the neck. If there is vomiting with much fluid/phlegm and Qi leaking downward, it is untreatable. (Body curling, contracting, and tensing indicates a Foot Taiyang disease. One should needle the Da Shu acupoint of the Foot Taiyang meridian in the neck. If there is vomiting of fluid/phlegm and Qi leaking downward, it is a fatal untreatable condition. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Ji" has the character "Zhe". "Juan" is written as "Juan" (tired) in *Ling Shu*. In *Jia Yi Jing*, "Ji" has the character "Mai" (pulse), and "Zhu" lacks the character "Mai". "Ye" is written as "Wo" in *Ling Shu* and "Xian" in *Jia Yi Jing*.])
Vessel Dian Ji: Sudden collapse/falling. The pulses of the four limbs are all swollen and relaxed/flaccid. The pulses are full. Puncture all to bleed. If not full, moxa the Taiyang meridian beside the neck. Moxa the Dai Mai (Girdle Vessel) three cun away on the waist, and the Ben Shu (original Shu) points of the various intermuscular spaces. If there is vomiting with much phlegm-fluid and Qi leaking downward, it is untreatable. (Sudden forward collapse in Dian Ji, with pulses of the four limbs swollen and flaccid, can be treated by puncturing to remove blood. If not swollen/full, moxa the Taiyang meridian at the neck to treat the main disease. Also moxa... [text missing] ...three cun away from the 14th vertebra, between the intermuscular spaces, to treat the Shu points governing Dian Ji. [Ping An: In *Ling Shu* and *Jia Yi Jing*, "Dian Ji" has the character "Zhe". "Xia" has the character "Zhi". In *Ling Shu*, "Xia" is written as "Xie". In *Jia Yi Jing*, "Moxa Dai Mai" has the character "You" (again). "Wo" is written as "Xian". The two characters below "Moxa" in the note were originally incomplete; examining the remnants suggests "Dai Mai" (Girdle Vessel). Yuan's edition wrote "Yao Qu" (waist selection), which is likely incorrect; based on the text, it should be "Dai Mai".])
To treat Dian Ji, if the onset resembles Kuang (Mania), it is a fatal untreatable condition. (Stiff falling and collapsing without awareness is called Dian. Running wildly and speaking nonsense is called Kuang. Now, if Dian Ji onset resembles Kuang, the disease is severe, hence fatal and untreatable. [Ping An: In *Ling Shu*, there is no "Zhi" (treat) before "Dian". "Bing" (disease) is written as "Ji" (disorder).])