《甲乙》太泉作太渊，本书系避唐讳作泉。踝上作内踝上。注及脉顺，及字袁刻误作反。）
热病已得汗而脉常躁盛，此阴脉之极也，死；其得汗而脉静者，生。（热病得汗热去，
即须脉静，而躁盛者是阴极，无阴故死。得汗脉静者热去，故脉静而生也。平按∶《灵
枢》、《甲乙》常躁盛作尚躁盛。）热病者脉常盛躁而不得汗者，此阳脉之极也，死；
脉盛躁得汗静者，生。（热病不得汗脉常盛躁者，是阳极盛脉，故死。得汗脉静者，生
也。平按∶《灵枢》常作尚。）热病不可刺者有九∶一曰，汗不出，大颧发赤，哕者，
死；（颧，鼻左右高处也。平按∶《甲乙》不可刺者有九作死候有九，赤下无哕字，注
云∶“《太素》云∶汗不出，大颧发赤者，必不反而死。”与本书稍异。）二曰，泄
而腹
满甚者，死；三曰，目不明，热不已者，死；（目是五脏之精，五脏之气和，则目精
必明也。）四曰，老人婴儿，热而腹满者，死；五曰，汗不出，欧下血者，死；（平
按∶欧下血《甲乙》作呕血。）六曰，舌本烂，热不已者，死；七曰，咳而衄，汗不出，
出不至足者，死；（平按∶汗不出《甲乙》作汗出。）八曰，髓热者，死；九曰，热
而者，死。热而 者，腰折螈 齿噤 也。（折，腰强反折也。 ，故介反，开口
难，齿相切也。平按∶《灵枢》 作痉。《甲乙》腰下有反字，螈作 ， 作 。《外
台秘要》亦作 。）凡此九者，不可刺也。（此九死征，故不可刺也。）所谓五十九
刺者，两手外内侧各三，凡十二 ；五指间各一，凡八 ；足亦如是；头入发一寸旁三
分各三，凡六 ；更入发三寸边五，凡十 ；耳前后口下者各一，项中一，凡六 ；巅
上一。（ ，干轨反，伤也。《素问》热输五十九穴，其经皆指称其穴。此《九卷》
五十九刺，但言手足内外之侧，及手足十指之间，入头发际一寸，左右合有十六处，
更入三寸，左右合有十处，耳前后口下项中有一，巅上有一，合有七处，更不细指处
所，量谓刺之以去其热，不定皆根据穴也。又数刺处，乃有六十三处，五十九者，以举大
数为言耳。平按∶巅上一下《灵枢》有“囟会一，发际一，廉泉一，风池二，天柱二”
十五字，《甲乙》同，注云∶“《甲乙经》原缺此穴，今按《灵枢》经文补之。”据
此则《甲乙》原文与本书正同。）
《甲乙经》中“太泉”写作“太渊”，本书因避唐代皇帝名讳而改为“泉”。原文中的“踝上”实指“内踝上”。（注：关于脉象顺逆的论述，其中“及”字在袁刻本中误作“反”。）
热病已经出汗但脉搏依然躁动亢盛，这是阴气衰竭至极的表现，预后不良，主死；如果出汗后脉搏变得平静，则预后良好，主生。（热病出汗后热邪退去，此时脉象应当平静。若脉象依然躁动亢盛，说明阴气已竭，无阴以制阳，故主死。若出汗后脉象平静，说明热邪已退，故主生。按：《灵枢》、《甲乙经》中“常躁盛”写作“尚躁盛”。）
热病患者脉搏持续盛大躁动且无法出汗，这是阳气衰竭至极的表现，预后不良，主死；如果脉搏盛大躁动但能出汗且汗后脉象转静，则预后良好，主生。（热病无法出汗且脉搏持续盛大躁动，说明阳气极度亢盛而阴液枯竭，故主死。若能出汗且脉象转静，说明阴阳调和，故主生。按：《灵枢》中“常”字写作“尚”。）
热病有九种情况不可针刺：第一种，不出汗，两颧骨部位发红，并伴有呃逆的，主死；（颧骨是鼻子两侧高起的地方。按：《甲乙经》中“不可刺者有九”写作“死候有九”，“赤”字下无“哕”字，注释说：“《太素》记载：‘不出汗，两颧发红的，必定不能痊愈而死。’”这与本书略有不同。）第二种，腹泻且腹部胀满严重的，主死；第三种，视力模糊不清，且发热不止的，主死；（眼睛是五脏精气的外现，五脏之气调和，则眼睛的精光必然明亮。）第四种，老人和婴儿，发热且伴有腹部胀满的，主死；第五种，不出汗，呕吐且便血的，主死；（按：《甲乙经》中“呕下血”写作“呕血”。）第六种，舌根溃烂，且发热不止的，主死；第七种，咳嗽且鼻出血，不出汗，或者出汗不到足部的，主死；（按：《甲乙经》中“不出汗”写作“出”。）第八种，骨髓发热的，主死；第九种，发热且出现抽搐僵直的，主死。所谓发热且抽搐僵直，是指腰部强直反折，肌肉跳动，牙关紧闭。（“折”指腰背强直反折。“ ”读作“介”音，指张口困难，牙齿咬合。“ ”指肌肉跳动。按：《灵枢》中“ ”写作“痉”。《甲乙经》中“腰”下有“反”字，“螈”写作“ ”，“ ”写作“ ”。《外台秘要》也写作“ ”。）以上这九种情况，都不可针刺。（这九种是死亡的征象，所以不可针刺。）
所谓的五十九刺法，是指两手外侧和内侧各取三穴，共十二穴；五指之间各取一穴，共八穴；足部也是如此；头部入发际一寸处，旁开三分各取三穴，共六穴；再向内入发际三寸处，旁开五分各取五穴，共十穴；耳前、耳后、口下各取一穴，项中取一穴，共六穴；头顶正中取一穴，共一穴。（“ ”读作“轨”音，意为损伤。《素问》中的热病五十九个输穴，经文都明确指出了具体的穴位名称。而《九卷》中的五十九刺，只说了手足内外侧面以及手足十指之间，入发际一寸处，左右合计十六处；再入发际三寸处，左右合计十处；耳前后、口下、项中有一处，头顶有一处，合计七处，并没有详细指出具体位置，推测是指通过针刺来祛除热邪，并不一定完全依据特定穴位。另外统计这些刺处的数量，实际上有六十三处，说“五十九”只是举其大数而言。按：《灵枢》中“巅上一”后有“囟会一，发际一，廉泉一，风池二，天柱二”十五个字，《甲乙经》相同，注释说：“《甲乙经》原缺这些穴位，现在根据《灵枢》经文补上。”据此来看，《甲乙经》原文与本书正相同。）
The *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion) writes "Taiquan" as "Taiyuan"; this book uses "Quan" to avoid the naming taboo of the Tang Dynasty. The original text's "above the ankle" actually refers to "above the medial malleolus". (Note: Regarding the discussion on pulse compliance, the character "ji" (and/arriving) is erroneously printed as "fan" (reverse/opposite) in Yuan's edition.)
In febrile disease, if sweating has occurred but the pulse remains rapid and vigorous, this indicates the extreme depletion of Yin pulses; death ensues. If sweating occurs and the pulse becomes calm, life is preserved. (When febrile disease resolves with sweating and heat dissipates, the pulse should become calm. A rapid and vigorous pulse indicates extreme Yin exhaustion without Yin to control Yang, hence death. If the pulse calms after sweating, it signifies the dissipation of heat, hence survival. Note: In the *Ling Shu* and *Jia Yi Jing*, "chang zao sheng" (constantly rapid and vigorous) is written as "shang zao sheng".)
In febrile disease, if the pulse is constantly rapid and vigorous and no sweat can be produced, this indicates the extreme excess of Yang pulses; death ensues. If the pulse is rapid and vigorous but sweating occurs and the pulse subsequently calms, life is preserved. (Febrile disease with no sweat and a constantly rapid/vigorous pulse indicates extreme Yang excess and pulse hyperactivity, hence death. If sweating occurs and the pulse calms, life is preserved. Note: In the *Ling Shu*, "chang" (constantly) is written as "shang".)
There are nine conditions in febrile disease where acupuncture is contraindicated:
1. No sweat, redness of the large cheekbones (zygomatic area), and hiccups indicate death; (The cheekbone is the high point on either side of the nose. Note: In the *Jia Yi Jing*, "nine conditions where acupuncture is contraindicated" is written as "nine signs of death"; there is no character for "hiccups" after "redness", and the note states: "'Tai Su' says: 'No sweat, redness of the large cheekbones, must not recover and will die.' This differs slightly from this book.")
2. Diarrhea accompanied by severe abdominal fullness indicates death;
3. Unclear vision with persistent fever indicates death; (The eyes are the essence of the five Zang organs. When the Qi of the five Zang organs is harmonious, the clarity of the eyes is certain.)
4. Elderly people and infants with fever and abdominal fullness indicate death;
5. No sweat, vomiting, and lower bleeding (hematochezia/hematemesis) indicate death; (Note: In the *Jia Yi Jing*, "ou xia xue" is written as "ou xue" [vomiting blood].)
6. Ulceration at the root of the tongue with persistent fever indicates death;
7. Coughing with epistaxis, no sweat, or sweat that does not reach the feet indicate death; (Note: In the *Jia Yi Jing*, "no sweat" is written as "sweat".)
8. Bone marrow heat indicates death;
9. Fever accompanied by convulsions and rigidity indicates death. Fever with convulsions and rigidity refers to spinal curvature with backward bending (opisthotonos), muscle twitching, and lockjaw. ("Zhe" refers to strong backward bending of the waist. " " [pronounced 'jie'] refers to difficulty opening the mouth and teeth clenching. " " refers to muscle twitching. Note: In the *Ling Shu*, " " is written as "jing" [spasm/stiffness]. In the *Jia Yi Jing*, there is a "fan" [reverse] character after "waist", "yong" is written as " ", and " " is written as " ". The *Waitai Miyao* also writes " ".)
All these nine conditions are contraindications for acupuncture. (These nine are signs of death, hence acupuncture is contraindicated.)
The so-called "Fifty-Nine Acupoints for Puncturing" refers to: three points each on the lateral and medial sides of both hands, totaling twelve points; one point between each of the five fingers, totaling eight points; the same applies to the feet; six points at one cun inside the hairline, three fen apart on each side, totaling six points; ten points at three cun inside the hairline, five fen apart on each side, totaling ten points; one point each in front of the ear, behind the ear, below the mouth, and one point in the middle of the neck, totaling six points; one point at the vertex (Duan), totaling one point. (" " [pronounced 'gui'] means injury/damage. In the *Su Wen*, the fifty-nine acupoints for febrile heat are explicitly named. However, the "Fifty-Nine Punctures" in the *Jiu Juan* only mentions the lateral and medial sides of the limbs and the spaces between the ten fingers, the hairline one cun in (sixteen locations bilaterally), three cun in (ten locations bilaterally), one location each for ears/mouth/neck, and one at the vertex, totaling seven locations, without specifying exact positions. It is inferred that this refers to puncturing to remove heat, not necessarily adhering strictly to specific acupoints. Furthermore, counting these puncture sites yields sixty-three locations; "fifty-nine" is used as an approximate large number. Note: The *Ling Shu* adds fifteen characters after "one at Duan": "Xinhui one, hairline one, Lianquan one, Fengchi two, Tianzhu two." The *Jia Yi Jing* is identical. The note states: "'Jia Yi Jing' originally lacked these points; now supplemented according to the *Ling Shu* text.' Based on this, the original text of the *Jia Yi Jing* is exactly the same as this book.")