平按∶此篇见《甲乙经》卷七第一中篇。
问曰∶秋冬无极阴，春夏无极阳者，何谓也？答曰∶无极阳者，春夏无数虚阳，虚
阳则狂。无极阴者，秋冬无数虚阴，阴虚则死。（数，音朔。春夏是阳用事，秋冬是阴
用事。阴阳用事之时，行针者不可数虚阳，数虚阳者，阳极发狂；数虚阴者，阴极致死
也。平按∶《甲乙》“虚阳，虚阳”作“虚阳明，阳明虚”，“虚阴，阴虚”作“虚太
阴，太阴虚”。）
平按∶此篇自篇首至末，见《素问》卷八第二十八《通评虚实论》篇。又此篇前一
段见《甲乙经》卷七第一中篇，后一段见《甲乙经》卷十一第九。
问曰∶春极治经络，夏极治经输，秋极治六腑，冬则闭塞者，用药而少针石处。所
谓少用针石者，非痈疽之谓也，痈疽不得须时。（春夏秋三时极意行针，冬时有痈疽得
极，余寒等病皆悉不得，故不用，称其时也。春时阳气在于皮肤，故取络脉也。夏时在
于十二经之五输，故取输也。秋气在于六腑诸输，故取之也。冬气在于骨髓，腠理闭塞，
血脉凝涩，不可行于针与砭石，但得饮汤服药。痈疽以是热病，故得用针石也。以痈疽
暴病，不得须间失时不行针石也。平按∶《素问》、《甲乙》极作亟。《素问》闭塞下
重闭塞二字，处作也。须时《素问》作顷时回三字。）因痈不知不致，按之不应手，乍来
乍已，刺手太阴旁三，与婴络各二。（有因痈生，不痛不知，不得其定，按之不应其手，
乍来似有，乍去似无者，此是肺气所为，可取手太阴脉有主此病输，旁三
刺之，及缨脉足阳明之输主此病者，二取之。平按∶《素问》、《甲乙》因痈不知不致
作痈不知所，婴络作缨脉，据本注应作缨脉。《素问》三下有 字。）
平按：此篇见于《甲乙经》卷七第一中篇。
问：秋冬不竭尽阴气，春夏不竭尽阳气，这是什么意思？答：不竭尽阳气，是指春夏两季不要多次耗散虚阳，因为虚阳被过度耗散会导致狂症。不竭尽阴气，是指秋冬两季不要多次耗散虚阴，因为虚阴被过度耗散会导致死亡。（“数”读作“朔”。春夏是阳气主事的时候，秋冬是阴气主事的时候。在阴阳主事之时，施针者不可多次耗散虚阳，多次耗散虚阳会导致阳极而发狂；多次耗散虚阴，会导致阴极致死。平按：《甲乙经》中“虚阳，虚阳”写作“虚阳明，阳明虚”，“虚阴，阴虚”写作“虚太阴，太阴虚”。）
平按：此篇从篇首到篇末，见于《素问》卷八第二十八《通评虚实论》篇。另外，此篇前一段见于《甲乙经》卷七第一中篇，后一段见于《甲乙经》卷十一第九。
问：春季极深时治疗经络，夏季极深时治疗经输（五输穴），秋季极深时治疗六腑，冬季则腠理闭塞，用药多而少用针石，这是怎么回事？所谓少用针石，并不是指痈疽（化脓性感染）。痈疽不能等待时机。（春夏秋三个季节极深时适宜行针，冬季如果有痈疽到了极深阶段可以使用针石，但其余如寒邪等病都不宜使用，这是顺应时节。春季阳气位于皮肤，所以取络脉。夏季阳气位于十二经脉的五输穴，所以取输穴。秋季阳气位于六腑的各输穴，所以取之。冬季阳气位于骨髓，腠理闭塞，血脉凝滞涩滞，不可施行针与砭石，只能饮用汤药。痈疽属于热病，所以可以使用针石。因为痈疽是暴发的疾病，不能片刻延误而不使用针石。平按：《素问》、《甲乙经》中“极”写作“亟”。《素问》中“闭塞”下重出“闭塞”二字，“处”写作“也”。“须时”在《素问》中写作“顷时回”三字。）如果因痈疽导致不知痛痒、按压无反应、症状乍来乍去，应刺手太阴肺经旁三穴，以及缨脉（足阳明胃经相关脉络）各二穴。（有的因生痈疽，不痛不知晓，位置不定，按压无反应，乍看似有，乍看似无，这是肺气所致，可取手太阴脉中主治此病的输穴，旁刺三针，以及缨脉足阳明经中主治此病的输穴，各取二针。平按：《素问》、《甲乙经》中“因痈不知不致”写作“痈不知所”，“婴络”写作“缨脉”，根据本注应当写作“缨脉”。《素问》中“三”下有“穴”字。）
Ping An: This chapter is found in the first middle section of Volume 7 of *Jia Yi Jing* (The Systematic Classic of Acupuncture and Moxibustion).
Question: What is meant by "do not exhaust Yin in autumn and winter, and do not exhaust Yang in spring and summer"? Answer: "Do not exhaust Yang" means that during spring and summer, one should not repeatedly deplete deficient Yang; if deficient Yang is depleted, it leads to mania. "Do not exhaust Yin" means that during autumn and winter, one should not repeatedly deplete deficient Yin; if deficient Yin is depleted, it leads to death. ("Shuo" [number/frequency] is pronounced as "shuo". Spring and summer are times when Yang Qi dominates, while autumn and winter are times when Yin Qi dominates. During these periods when Yin or Yang dominates, practitioners of acupuncture must not repeatedly deplete deficient Yang. Repeatedly depleting deficient Yang causes extreme Yang to trigger mania; repeatedly depleting deficient Yin causes extreme Yin to lead to death. Ping An: In *Jia Yi Jing*, "deficient Yang, deficient Yang" is written as "deficient Yangming, Yangming deficiency," and "deficient Yin, deficient Yin" is written as "deficient Taiyin, Taiyin deficiency.")
Ping An: From the beginning to the end of this chapter, it appears in Chapter 28, Volume 8 of *Su Wen* (Basic Questions), titled "Tong Ping Xu Shi Lun" (Discussion on Uniformly Evaluating Deficiency and Excess). Additionally, the preceding paragraph of this chapter is found in the first middle section of Volume 7 of *Jia Yi Jing*, and the following paragraph is found in the ninth section of Volume 11 of *Jia Yi Jing*.
Question: Why is it that in late spring, one treats the collaterals and meridians; in late summer, one treats the Jing-Shu points (Five Shu points); in late autumn, one treats the Six Fu Organs; but in winter, when the interstices are closed, medication is used more frequently while needles and stone lancets are used less? The statement about using fewer needles and stone lancets does not refer to carbuncles and sores (abscesses). Carbuncles and sores cannot wait for a specific time. (In late spring, summer, and autumn, it is appropriate to perform acupuncture. If carbuncles and sores reach their peak in winter, needles and stone lancets can be used. However, other conditions such as cold pathogens should not be treated with them, which aligns with the seasons. In spring, Yang Qi resides in the skin, so the Luo-Collaterals are selected. In summer, Yang Qi resides in the Five Shu points of the Twelve Meridians, so the Shu points are selected. In autumn, Yang Qi resides in the various Shu points of the Six Fu Organs, so they are selected. In winter, Yang Qi resides in the bone marrow, the interstices are closed, and the blood vessels are coagulated and stagnant, making acupuncture and bian-shi (stone lancet) therapy inadvisable; instead, herbal decoctions should be consumed. Carbuncles and sores are heat diseases, thus needles and stone lancets can be applied. Because carbuncles and sores are acute conditions, treatment with needles and stone lancets must not be delayed even for an instant. Ping An: In *Su Wen* and *Jia Yi Jing*, "ji" [extreme/peak] is written as "qi" [urgent]. In *Su Wen*, the word "bi sai" [closed] is repeated after itself, and "chu" [place/situation] is written as "ye" [particle]. "Xu shi" [wait for time] is written as "qing shi hui" [momentary return] in *Su Wen*.) If a carbuncle causes insensibility, lack of pain response, irregular onset and cessation, one should puncture three points beside the Lung Meridian of Hand-Taiyin, and two points each from the Ying Mai (related to the Stomach Meridian of Foot-Yangming). (Some cases arise from carbuncles where there is no pain or awareness, the location is uncertain, pressing yields no reaction, appearing present at times and absent at others. This is caused by Lung Qi. One may select the Shu point on the Hand-Taiyin Meridian that governs this condition and puncture it three times laterally, as well as the Shu point on the Ying Mai/Stomach Meridian of Foot-Yangming that governs this condition, selecting two points. Ping An: In *Su Wen* and *Jia Yi Jing*, "yin yong bu zhi bu zhi" [due to carbuncle, unknown, not reaching] is written as "yong bu zhi suo zhi" [carbuncle, unknown, what is known], and "ying luo" is written as "ying mai" [ribbon vessel]; according to the commentary, it should be written as "ying mai". In *Su Wen*, the character "xue" [point] follows "san" [three].)