平按∶此篇见《灵枢》卷五第二十二《癫狂》篇，又见《甲乙》卷十一第七。
少气，身漯漯也，言吸吸也，骨 体重，解不能动，补少阴。（漯漯、吸吸，皆虚
乏状也。骨 体重，皆肾虚耳。故补肾足少阴脉，于所发之穴补也。平按∶《灵枢》、
《甲乙》解作懈惰，少阴作足少阴。）短气，息短不属，动作气索，补少阴，取血络。
（属，连也。索，取气也。亦是肾气虚，故补足少阴正经，泻去少阴络血也。平按∶短
气袁刻作少气。《灵枢》、《甲乙》少阴上有足字，取作去。）
平按∶此篇自篇首至动脉，见《灵枢》卷五第二十六《杂病》篇，又见《甲乙》卷
九第四。自气满至气下乃止，见《灵枢》卷五第二十三《热病》篇。
气逆上，刺膺中陷者与下胸动脉。（胸下动脉，中府等量取也。平按∶下胸《甲乙》
作胁下。注胸
下动脉袁刻作胸膺气下动脉，原抄无膺气二字。）气满胸中息喘，取足太阴大趾之端，
去端如韭叶，寒则留之，热则疾之，气下乃止。（足太阴脉，起足大趾端隐白穴也。平
按∶《灵枢》韭作薤。）
平按∶此篇见《灵枢》卷五第二十六《杂病》篇，又见《甲乙经》卷十二第一。
哕，以草刺鼻嚏而已；无息而疾迎引之，立已；大惊之，亦可。（疾迎引之者，以
草刺无息，可疾迎更刺引大惊令□哕愈。平按∶《灵枢》、《甲乙》亦可下有已字。注
令下原缺一字，原抄于左方注有动字，谨拟作动，袁刻空三格，不合。）
【平按】：这一篇内容见于《灵枢》卷五第二十二《癫狂》篇，又见于《甲乙经》卷十一第七。
少气（元气不足），身体感觉寒冷战栗（漯漯），说话时气息微弱断续（吸吸），骨骼沉重，肢体懈怠无法活动，治疗应补益足少阴肾经。（注：漯漯、吸吸，都是正气虚弱的表现。骨重身懈，都是肾气虚衰所致。因此要补益足少阴脉，在病变相关的穴位上进行补法操作。【平按】：《灵枢》和《甲乙经》中“解”字作“懈惰”，“少阴”前加有“足”字。）
短气（呼吸短促），呼吸急促且不能接续，活动时气息更感匮乏，治疗应补益足少阴肾经，并选取血络放血。（注：属，意为连接。索，意为索取/耗竭。这也是肾气虚的表现，所以要补益足少阴正经，泻去足少阴络脉中的瘀血。【平按】：袁刻本将“短气”误作“少气”。《灵枢》和《甲乙经》中“少阴”前有“足”字，“取”字作“去”字。）
【平按】：本篇从篇首至“动脉”部分，见于《灵枢》卷五第二十六《杂病》篇，又见于《甲乙经》卷九第四。从“气满”至“气下乃止”部分，见于《灵枢》卷五第二十三《热病》篇。
气逆向上冲，针刺胸部凹陷处及下胸部的动脉。（注：下胸部的动脉，可参照中府穴等位置进行量取定位。【平按】：《甲乙经》中“下胸”作“胁下”。注释中“胸下动脉”袁刻本作“胸膺气下动脉”，原抄本无“膺气”二字。）
胸中气满导致喘息，取足太阴脾经在大趾端的穴位，距离趾端约如韭菜叶宽度处，若为寒证则留针久一些，若为热证则快速出针，直到气机下行才停止治疗。（注：足太阴脾经，起于足大趾端的隐白穴。【平按】：《灵枢》中“韭”字作“薤”字。）
【平按】：本篇见于《灵枢》卷五第二十六《杂病》篇，又见于《甲乙经》卷十二第一。
呃逆（哕），用草刺激鼻腔引起打喷嚏即可治愈；屏住呼吸并迅速引导气息，呃逆立刻停止；给予大惊刺激，也可以治愈。（注：“疾迎引之”的意思是，用草刺激鼻部使患者屏息，可以迅速再次刺激以引发大惊，从而使呃逆痊愈。【平按】：《灵枢》和《甲乙经》中“亦可”后有“已”字。注释中“令”字下原缺一字，原抄本在左侧注有“动”字，谨拟补为“动”字，袁刻本空三格，不合规范。）
[Ping An]: This section appears in Chapter 22 "Dian Kuang" (Mania and Epilepsy) of Volume 5 of the *Ling Shu* (Spiritual Pivot), and also in Volume 11, Chapter 7 of the *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion).
Sha Qi (Deficiency of Vital Qi): The body feels cold and shivering (luo luo); speech is characterized by weak, intermittent inhalation (xi xi); bones feel heavy; limbs are flaccid and unable to move. Treatment involves tonifying the Foot-Shaoyin Kidney Meridian. (Note: "Luo luo" and "xi xi" both describe states of deficiency and weakness. Heavy bones and flaccidity are due to Kidney Qi deficiency. Therefore, one should tonify the Foot-Shaoyin meridian by applying the tonification method at the affected acupoints. [Ping An]: In the *Ling Shu* and *Jia Yi Jing*, "xie" (flaccid) is written as "xie duo" (sluggish/lazy), and "Shao Yin" is preceded by "Zu" (Foot).)
Duan Qi (Shortness of Breath): Respiration is rapid and discontinuous; physical activity exacerbates the depletion of Qi. Treatment involves tonifying the Foot-Shaoyin Kidney Meridian and selecting blood collaterals for bleeding. (Note: "Shu" means connection. "Suo" means extraction or depletion. This is also a sign of Kidney Qi deficiency; thus, one should tonify the primary Foot-Shaoyin meridian and drain the stasis from the Shaoyyin collateral vessels. [Ping An]: Yuan's edition mistakenly writes "Shao Qi" instead of "Duan Qi". In the *Ling Shu* and *Jia Yi Jing*, "Zu" (Foot) precedes "Shao Yin", and "Qu" (select) is written as "Qu" (remove/exclude).)
[Ping An]: From the beginning of this chapter up to "dong mai" (pulsating vessel), this section appears in Chapter 26 "Za Bing" (Miscellaneous Diseases) of Volume 5 of the *Ling Shu*, and also in Volume 9, Chapter 4 of the *Jia Yi Jing*. From "qi man" (Qi fullness) to "qi xia nai zhi" (until Qi descends), it appears in Chapter 23 "Re Bing" (Heat Diseases) of Volume 5 of the *Ling Shu*.
When Qi rebels upward, puncture the depressed areas in the chest and the pulsating vessels below the chest. (Note: The pulsating vessels below the chest can be located by measuring according to points such as Zhongfu (LU-1). [Ping An]: In the *Jia Yi Jing*, "xia xiong" (below chest) is written as "xie xia" (below hypochondrium). The annotation "xiong xia dong mai" in Yuan's edition reads "xiong ying qi xia dong mai"; the original manuscript lacks the characters "ying qi".)
For fullness of Qi in the chest causing panting, select the end of the great toe of the Foot-Taiyin Spleen Meridian, approximately the width of a leek leaf away from the tip. If the condition is Cold, retain the needle for a longer duration; if Heat, remove it quickly. Stop treatment once the Qi descends. (Note: The Foot-Taiyin Spleen Meridian originates at the Yinbai point (SP-1) at the medial end of the great toe. [Ping An]: In the *Ling Shu*, "jiu" (leek) is written as "xie" (shallot).)
[Ping An]: This section appears in Chapter 26 "Za Bing" (Miscellaneous Diseases) of Volume 5 of the *Ling Shu*, and also in Volume 12, Chapter 1 of the *Jia Yi Jing*.
For Yue (Hiccups/Stomach Qi Rebellious Upward), stimulate the nose with grass to induce sneezing, which will resolve the condition; hold the breath and rapidly guide/attract the Qi, and it will stop immediately; sudden surprise can also cure it. (Note: "Ji ying yin zhi" refers to stimulating the nose with grass to induce breath-holding, then rapidly stimulating again to induce surprise, thereby curing hiccups. [Ping An]: In the *Ling Shu* and *Jia Yi Jing*, the character "yi" (already) follows "yi ke" (also can). The original text has a missing character after "ling" (cause); the original manuscript notes "dong" (move) on the left margin; I tentatively supplement it as "dong". Yuan's edition leaves three spaces blank, which is non-standard.)