平按∶此篇自篇首至末，见《灵枢》卷五第二十二《癫狂》篇，又见《甲乙经》卷
十一第二。
治狂始生，先自悲，喜忘喜怒喜恐者，得之忧饥，治之取手太阳、阳明，血变而止，
及取足太阴、阳明。（人之狂病，先因忧结之甚，不能去解于心，又由饥虚，遂神志失
守，则自悲喜忘喜怒喜恐，乘即发于狂病，虽得之失志，然因疗之心腑手太阳，肺腑手
阳明也。足太阴、阳明主谷，亦可补此二脉，以实忧饥，虚损即愈也。平按∶《灵枢》、
《甲乙》悲下有也字。三喜字《甲乙》均作善。《灵枢》作苦怒善恐。手太阳《灵枢》、
《甲乙》作手太阴。）狂始发，少卧不饥，自高贤也，自辨智也，自尊贵也，喜骂詈，
日夜不休，治之取手阳明、太阳、太阴、舌下少阴，视脉之盛者皆取之，不盛者释之。
（手阳明络肺，手太阳络心，手太阴属肺主气，故少卧自高等，皆是魄失气盛，故视脉
盛者皆泻去之，及舌下足少阴脉盛者，互泻去之。平按∶喜骂《灵枢》、《甲乙》作善
骂。视下《灵枢》无脉字。注互袁刻作亦。）狂，喜惊喜笑，好歌乐，妄行不休者，得
之大恐，治之取手阳明、太阳、太阴。（此三脉乃是狂惊歌乐妄行所由，准推可知也。
平按∶《灵枢》喜惊喜笑作言惊善笑，《甲乙》作善惊善笑。）狂，目妄见、耳妄闻、喜
呼者，少气之所生也，治之取手太阳、太阴、阳明、足太阴、头、两颔。（狂而少气，
复生三病，因此四经，故皆取之也。平按∶《甲乙》足太阴作足太阳，头上有及字。
《灵枢》颔作 。）狂者多食，喜见鬼神，喜笑而不发于外者，得之有所大喜，治之取
足太阴、阳明、太阳，复取手太阴、太阳、阳明。（不发于外者，不于人前病发也。得
之大喜者，甚忧大喜并能发狂，然大喜发狂与忧不同，即此病形是也。手足太阴、手足
阳明、手足太阳，是疗此病所由，故量取之，以行补泻也。平按∶《灵枢》、《甲乙》
喜见喜笑作善见善笑，复取作后取。）狂而新发，未应如此者，先取曲
泉左右动脉及盛者见血，食顷已，不已，以法取之，灸 骨二十壮。（曲泉，肝足厥阴
脉穴。平按∶《灵枢》食顷作有顷。）
平按：本篇从篇首到篇末，见于《灵枢》卷五第二十二《癫狂》篇，又见于《甲乙经》卷十一第二。
治疗狂病初起，患者先出现悲伤、健忘、喜怒无常、易惊恐等症状，这是由于忧思和饥饿所致。治疗时取用手太阳小肠经（Hand Taiyang Small Intestine Meridian）和手阳明大肠经（Hand Yangming Large Intestine Meridian），待血液颜色由暗红变为鲜红即停止针刺，同时取用足太阴脾经（Foot Taiyin Spleen Meridian）和足阳明胃经（Foot Yangming Stomach Meridian）。（人的狂病，起初是因为忧思郁结过甚，无法在心胸间化解，再加上饥饿导致的虚弱，致使神志失守，从而出现悲伤、健忘、喜怒无常、易惊恐等症状，进而发展为狂病。虽然病因是失志，但治疗应针对心腑的手太阳经和肺腑的手阳明经。足太阴和足阳明经主管水谷精微，也可以补益这两条经脉，以充实因忧思和饥饿造成的虚损，虚损恢复则病愈。平按：《灵枢》和《甲乙经》中“悲”字下有“也”字。“三喜字”在《甲乙经》中均作“善”。《灵枢》作“苦怒善恐”。手太阳经在《灵枢》和《甲乙经》中作“手太阴”。）
狂病发作初期，患者睡眠少、不知饥饿，自认为贤能、明智、尊贵，喜欢骂人，日夜不停。治疗时取用手阳明大肠经、手太阳小肠经、手太阴肺经以及舌下足少阴肾经（Foot Shaoyin Kidney Meridian under the tongue），观察脉象充盛者皆予以泻法，不充盛者不予处理。（手阳明经络属于肺，手太阳经络属于心，手太阴经属肺主气，所以睡眠少、自高等症状，都是由于魄失和气盛所致，因此观察脉象充盛者皆予以泻除，以及舌下足少阴脉充盛者，互相配合予以泻除。平按：“喜骂”在《灵枢》和《甲乙经》中作“善骂”。“视”字下《灵枢》无“脉”字。注文中“互”字袁刻本作“亦”。）
狂病患者，喜欢惊叫大笑，喜好唱歌音乐，行为妄乱不止，这是由于大恐怖所致。治疗时取用手阳明大肠经、手太阳小肠经、手太阴肺经。（这三条经脉是狂病、惊叫、歌乐、妄行的根源，推究可知。平按：《灵枢》中“喜惊喜笑”作“言惊善笑”，《甲乙经》作“善惊善笑”。）
狂病患者，眼睛胡乱看见东西，耳朵胡乱听见声音，喜欢呼叫，这是气少所生发的病症。治疗时取用手太阳小肠经、手太阴肺经、手阳明大肠经、足太阴脾经以及头部、两颊部。（狂病且气少，又生出这三种病症，因此这四条经脉都予以取治。平按：《甲乙经》中“足太阴”作“足太阳”，头上有“及”字。《灵枢》中“颔”作“頷”。）
狂病患者多食，喜欢看见鬼神，喜欢笑但不表现在外面，这是由于有所大喜所致。治疗时取用足太阴脾经、足阳明胃经、足太阳膀胱经（Foot Taiyang Bladder Meridian），再取用手太阴肺经、手太阳小肠经、手阳明大肠经。（“不发于外”，指不在人前发病。得之于大喜，严重的忧思和大喜都能引发狂病，但大喜引发的狂病与忧思不同，即此病的形态就是如此。手足太阴、手足阳明、手足太阳经，是治疗此病的依据，因此酌情取穴，施行补泻手法。平按：《灵枢》和《甲乙经》中“喜见喜笑”作“善见善笑”，“复取”作“后取”。）
狂病新发，尚未出现上述症状的，先取曲泉穴（Ququan, KI3）左右动脉处及脉盛者刺出血，约一顿饭的时间后，如果病未愈，再按常规方法取穴，灸髌骨（Patella）周围二十壮。（曲泉，是肝足厥阴肝经（Foot Jueyin Liver Meridian）的穴位。平按：《灵枢》中“食顷”作“有顷”。）
Ping An: This chapter, from beginning to end, is found in Volume 5, Chapter 22 "Dian Kuang" (Mania and Epilepsy) of the *Ling Shu* (Spiritual Pivot), and also in Volume 11, Chapter 2 of the *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion).
To treat mania at its onset, when the patient first exhibits sadness, forgetfulness, mood swings, and susceptibility to fear, which are caused by worry and hunger, treatment involves selecting the Hand Taiyang Small Intestine Meridian (Shou Taiyang Xiaochang Jing) and the Hand Yangming Large Intestine Meridian (Shou Yangming Dachang Jing). Needling should cease when the blood color changes from dark to bright. Additionally, select the Foot Taiyin Spleen Meridian (Zu Taiyin Piyi Jing) and the Foot Yangming Stomach Meridian (Zu Yangming Weijing). (The etiology of mania often begins with severe emotional stagnation due to worry that cannot be resolved in the heart/mind, compounded by deficiency due to hunger, leading to a loss of spirit and mental control. This manifests as sadness, forgetfulness, mood swings, and fear, eventually developing into mania. Although the root cause is a loss of will/spirit, treatment targets the Hand Taiyang meridian associated with the Heart Fu organ and the Hand Yangming meridian associated with the Lung Fu organ. The Foot Taiyin and Foot Yangming meridians govern grain and food essence; tonifying these two meridians can replenish the deficiency caused by worry and hunger. Once the deficiency is resolved, the disease heals. Ping An notes: In the *Ling Shu* and *Jia Yi Jing*, there is a character "ye" (也) after "bei" (sadness). The three instances of "xi" (like/joy) in the *Jia Yi Jing* are written as "shan" (good/capable). The *Ling Shu* reads "ku nu shan kong" (bitter anger, capable of fear). The *Ling Shu* and *Jia Yi Jing* refer to the Hand Taiyin meridian instead of Hand Taiyang.)
When mania first erupts, the patient sleeps little, has no appetite, considers themselves virtuous, wise, and noble, and curses incessantly day and night. Treatment involves selecting the Hand Yangming Large Intestine Meridian, Hand Taiyang Small Intestine Meridian, Hand Taiyin Lung Meridian, and the Foot Shaoyin Kidney Meridian (Zu Shaoyin Shenjing) located under the tongue. Observe the pulses; if they are full/excess, apply reducing methods to all involved; if not full, do not treat. (The Hand Yangming meridian connects to the Lung, and the Hand Taiyang meridian connects to the Heart. The Hand Taiyin meridian belongs to the Lung and governs Qi. Symptoms such as reduced sleep and grandiosity are due to the loss of Po (Corporeal Soul) and excess Qi. Therefore, observe the full pulses and reduce them. Similarly, reduce the excess pulses of the Foot Shaoyin meridian under the tongue. Ping An notes: "Xi ma" (likes to curse) in the *Ling Shu* and *Jia Yi Jing* is written as "shan ma". The word "mai" (pulse) is absent after "shi" (observe) in the *Ling Shu*. In the commentary, the character "hu" (mutually) is written as "yi" (also) in the Yuan edition.)
For patients with mania who exhibit frequent startled laughter, enjoy singing and music, and engage in aimless, unceasing behavior, which is caused by great terror, treatment involves selecting the Hand Yangming Large Intestine Meridian, Hand Taiyang Small Intestine Meridian, and Hand Taiyin Lung Meridian. (These three meridians are the pathways through which mania, startling, laughter, singing, and aimless behavior manifest, which can be deduced. Ping An notes: In the *Ling Shu*, "xi jing xi xiao" (likes to startle and laugh) is written as "yan jing shan xiao". In the *Jia Yi Jing*, it is written as "shan jing shan xiao".)
For patients with mania who see things hallucinatorily, hear sounds hallucinatorily, and like to shout, which arises from deficient Qi, treatment involves selecting the Hand Taiyang Small Intestine Meridian, Hand Taiyin Lung Meridian, Hand Yangming Large Intestine Meridian, Foot Taiyin Spleen Meridian, as well as points on the head and both cheeks. (Mania accompanied by deficient Qi generates these three symptoms; therefore, these four meridians are selected for treatment. Ping An notes: In the *Jia Yi Jing*, "Zu Taiyin" is written as "Zu Taiyang". There is a character "ji" (and) before "tou" (head) in some versions. In the *Ling Shu*, "han" (cheek/jaw) is written as "he".)
Patients with mania who eat excessively, see ghosts and spirits, and smile but do not express it outwardly, are suffering from an episode of extreme joy. Treatment involves selecting the Foot Taiyin Spleen Meridian, Foot Yangming Stomach Meridian, and Foot Taiyang Bladder Meridian, followed by selecting the Hand Taiyin Lung Meridian, Hand Taiyang Small Intestine Meridian, and Hand Yangming Large Intestine Meridian. ("Not expressing it outwardly" means the illness does not manifest openly in front of others. Extreme joy, like severe worry, can trigger mania, but the presentation differs. The hand and foot Taiyin, Yangming, and Taiyang meridians are the therapeutic basis for this condition; thus, points are selected according to the principle of tonification and reduction. Ping An notes: In the *Ling Shu* and *Jia Yi Jing*, "xi jian xi xiao" is written as "shan jian shan xiao", and "fu qu" (again select) is written as "hou qu" (subsequently select).)
For newly erupted mania that has not yet developed the aforementioned symptoms, first select the Ququan point (Ququan, KI3) on either side where the artery is palpable, or any points with full pulses, and bleed them. After approximately the time it takes to eat a meal, if the condition persists, proceed with standard acupuncture and moxibustion protocols, applying twenty moxa cones to the area around the patella. (Ququan is an acupoint on the Foot Jueyin Liver Meridian. Ping An notes: In the *Ling Shu*, "shi qing" (time to eat a meal) is written as "you qing".)