平按∶此篇自篇首至嗌肿 治主病者，见《素问》卷十二第四十五《厥论》篇，
自巨阳之厥至以经取之，又见《甲乙经》卷七第三。自足太阴脉厥逆至嗌肿 治主病者，
又见《甲乙经》卷四第一中篇。自肾肝并沉至末，见《素问》卷十三第四十八《大奇论》
篇，又见《甲乙经》卷四第一下编，又见本书卷十五《五藏脉诊》篇。又自巨阳之厥至
肿胫内热，见《巢氏病源》卷十二《冷热病诸候·寒热厥候》篇。
黄帝曰∶愿闻六经脉之使厥状病能。（请闻手足三阴三阳气动失逆为厥之状。能者，
厥能为病。平按∶《素问》厥上无使字。注之状，之字袁刻作人。）岐伯曰∶巨阳之厥，
踵首头重，足不能行，发为
仆。（巨阳，太阳也。踵，足也。首，头也。足太阳脉从头至足，故太阳气之失逆，头
足皆重。以其重，故不能行也。手足太阳皆入于目，故目为 仆。 ，胡遍反，目摇也。
平按∶巢氏巨作太。《素问》、《甲乙》踵作肿。《甲乙》 作眩。）阳明之厥，则癫
疾欲走呼，腹满不能卧，面赤而热，妄见妄言。（足阳明脉从面下入腹至足，故阳明气
之失逆，癫疾走呼，腹满不得卧，面赤而热，妄见妄言，皆是阳明谷气盛热，邪气所乘
故也。平按∶不能卧《素问》、《甲乙》作不得卧，巢氏作不卧，面赤上有卧则二字。）
少阳之厥，则暴聋颊肿而热，胁痛， 不可以运。（手足少阳之脉皆入耳中，足少阳脉
循颊下胁循 至足，故暴聋颊肿胁痛脚 不可运动也。平按∶ 《素问》、《甲乙》、
巢氏均作 。）太阴之厥，腹满 胀，后不利，不欲食，食则呕，不得卧。（足太阴脾
脉主于腹之肠胃，故太阴脉气失逆，腹满不利不食，呕不得卧。平按∶注肠胃袁刻作腹
胃。）少阴之厥，则舌干溺赤，腹满心痛。（手少阴脉络小肠，足少阴脉从足上阴股内
廉，贯脊属肾络膀胱，络心上挟舌本。少阴气逆，舌干溺赤，腹满心痛也。平按∶《素
问》舌作口。巢氏溺作尿。）厥阴之厥，则少腹肿痛， 溲不利，好卧屈膝，阴缩肿，
胫内热。（足厥阴脉从足上踝八寸，趣出太阴后，上循股阴入毛环阴器，抵少腹挟胃，
故少阴脉气失逆，少腹痛， 溲不利，好卧屈膝，阴缩肿， 内热。有本胫外热，足厥
阴脉不行脉外，外为误耳。平按∶ 溲不利《素问》作腹胀泾溲不利，《甲乙》作 胀
泾溲不利，巢氏作泾溲不利。胫《素问》、《甲乙》作 。巢氏内热作外热。注
故少阴脉气失逆，少阴据经文宜作厥阴，恐原抄传写之误。）盛则泻之，虚则补之，不
盛不虚，则以经取之。（凡六经厥，皆量盛虚，以行补泻也。）
足太阴脉厥逆， 急挛，心痛引腹，治主病者。（足太阴脉从足上行，循 后属
脾络胃注心中，故足太阴气动失逆， 急挛，心痛引腹也。有 急挛等病者，可疗足太
阴脉所发之穴，主疗此病者也。余仿此。问曰∶前章已言六经之厥，今复言之，有何别
异也？答曰∶二章说之先后经脉厥，而主病左右不同故也。平按∶《素问》、《甲乙》
太阴上无足字，下无脉字。）足少阴脉厥逆，虚满欧变，下泄青，治主病者。（足少阴
脉贯脊属肾络膀胱，贯肝入肺注胸中，故足少阴脉气失逆，心腹虚满欧吐，下利出青色
者，少腹间冷也。平按∶《素问》、《甲乙》欧作呕，青作清。）足厥阴脉厥逆，挛腰
虚满，前闭谵言，治主病者。（足厥阴环阴器抵少腹，循喉咙入颃颡，故足厥阴脉失逆，
腰挛而虚满，小便闭。谵，诸阎反，多言也；相传乃衔反，独语也。平按∶《素问》、
《甲乙》腰下有痛字。谵言《甲乙》作谵语，《素问》新校正云∶“全元起云∶谵言者，
气虚独言也。”）三阴俱逆，不得前后，使人手足寒，三日死。（逆，即气之失逆，名
曰厥逆。足三阴之脉同时失逆，必大小便不通，手足冷，期至三日死也。平按∶注必大
小便，必字袁刻脱。）足太阳脉厥逆，僵仆欧血善衄，治主病者。（足太阳脉起于鼻旁
目内 ，挟脊抵腰中，络肾属膀胱，故足太阳脉气之失逆，僵仆欧血善衄。后倒曰僵，前
倒曰仆，僵仆有伤，故欧血也。太阳厥逆连鼻，故善衄也。平按∶《素问》、《甲乙》
太阳上无足字，下无脉字，欧作呕。）足少阳脉厥逆，机关不利者，腰不可以行，项
不可以顾，发腹痈不可治，惊者死。（足少阳脉循颈下腋，循胸过季胁合髀厌
中，下膝外廉，下外辅骨之前，抵绝骨上外踝之前，上跗入小趾次趾间，支者贯爪甲，
遍络身之骨节机关，故少阳气之失逆，机关不利。腰是机关，故不可行也。少阳循颈，
故项不可顾也。脉行胁里，出于气街，发肠痈病，犹可疗之。肠痈气逆，伤胆死也。平
按∶《素问》、《甲乙》少阳上无足字，下无脉字，机关不利四字重，腹痈，腹字均作
肠，据本注亦宜作肠，当是传抄之误。不可治，不字《素问》、《甲乙》同，据本注应
作犹。）足阳明脉厥逆，喘咳身热善惊，衄欧血不可治，惊者死。（足阳明逆气乘肺，
故喘咳也。足阳明主身热，逆气逆身喜惊。足阳明起鼻，下行属胃，气逆衄血欧血而不
疗。加有惊者，神乱故死也。平按∶《素问》、《甲乙》阳明上无足字，下无脉字，欧作
呕。《素问》无不可治惊者死六字。）手太阴脉厥逆，虚满而咳，善欧唾沫，治主病者。
（手太阴脉下络大肠，还循胃口上膈属肺，故气逆而成病。平按∶善欧唾沫《素问》作
善呕沫，《甲乙》作善呕吐沫。）手心主少阴脉厥逆，心痛引喉，身热死，不热可治。
（手心主手厥阴心包络脉起于胸中，出属心包，下膈历络三焦；手少阴脉起心中，挟咽
上行，故二脉失逆，心痛引喉也。心包之脉历络三焦，故心受邪而痛，遍行三焦，致令
身热，名真心痛，死不可疗。若身不热，是则逆气不周三焦，故可疗之也。平按∶不热
可治《素问》作不可治，《甲乙》作不热者可治。）手太阳脉厥逆，聋，泣出，项不可
以顾，腰不可以俯仰，治主病者。（手太阳脉起于小指之端，上行至肩上入缺盆，循颈
至目锐 ，却入耳中，故手太阳气逆，耳聋目泣出，项不可顾，不得俯仰也。平按∶
《素问》、《甲乙》聋上有耳字。）手阳明少阳脉厥逆，发喉痹，嗌肿， ，治主病
者。（手阳明脉上肩出 前廉，上出柱骨
之会上，下入缺盆，支者从缺盆上贯颊；手少阳支者，从膻中出缺盆，上项系耳后，故
二脉气逆，喉咙痹，咽嗌肿，颈项 。 ，身项强直也。平按∶《素问》新校正云∶全
元起本 作痉。）
肾肝并沉为石水，（肾肝虽为下部，肾脉沉，肝脉浮而强。今肝脉与肾脉并沉，是
阴气盛，肾以主水，故为石水。石水，谓盛冬凝水，坚硬如石，名曰石水，言此水病之甚
也。硬，五猛反，强也。平按∶注坚硬，坚字袁刻误作肾。又按《素问》新校正云∶“详
肾肝并沉至下并小弦欲惊，全元起本在《厥论》中，王氏移于《大奇论》。”据此则本
书与全本相同，王氏之移经益信。）并浮为风水，（浮为阳也，风为阳也，肝脉浮弦，
今肾脉与肝脉并浮，然肾肝俱阴，居于下部，故为风水也。）并虚为死，（肾肝并虚，是
为阴阳俱虚为水必死。）并小弦亦惊。（脉小者，血气少也。肾肝二脉血气俱少，仍弦
者，是为肾肝皆虚，又为脾气来乘，故有惊恐也。平按∶亦惊《素问》作欲惊，《甲乙》
作欲为惊。）
平按：本篇从篇首至“嗌肿，治主病者”，见于《素问》卷十二第四十五《厥论》篇；从“巨阳之厥”至“以经取之”，又见于《甲乙经》卷七第三。从“足太阴脉厥逆”至“嗌肿，治主病者”，又见于《甲乙经》卷四第一中篇。从“肾肝并沉”至末尾，见于《素问》卷十三第四十八《大奇论》篇，又见于《甲乙经》卷四第一下编，又见于本书卷十五《五藏脉诊》篇。另外从“巨阳之厥”至“肿胫内热”，见于《巢氏病源》卷十二《冷热病诸候·寒热厥候》篇。
黄帝说：我想听听六经脉气逆乱导致厥证的病状表现。（请闻手足三阴三阳气动失逆为厥之状。能者，厥能为病。平按：《素问》厥上无使字。注之状，之字袁刻作人。）岐伯说：太阳经发生厥逆，会出现脚跟疼痛、头部沉重，脚不能行走，突然跌倒。（巨阳，即太阳也。踵，指足部。首，指头部。足太阳脉从头行至足，所以太阳经气失逆，头足都感觉沉重。因为沉重，所以不能行走。手足太阳经都入于目，所以眼睛会摇动而跌倒。 ，胡遍反切音，指眼目摇动。平按：巢氏作“太”。《素问》、《甲乙》“踵”作“肿”。《甲乙》 作“眩”。）阳明经发生厥逆，则会出现癫狂欲奔走呼叫，腹部胀满不能仰卧，面色发红发热，出现幻觉妄言。（足阳明脉从面部下行入腹至足，所以阳明经气失逆，出现癫狂奔走呼叫，腹部胀满不得卧，面赤发热，妄见妄言，这都是阳明谷气盛热，邪气乘虚而入所致。平按：“不能卧”在《素问》、《甲乙》中作“不得卧”，巢氏作“不卧”，“面赤”上有“卧则”二字。）少阳经发生厥逆，则会出现突发耳聋、脸颊肿胀发热，胁肋疼痛，脚部无法运动。（手足少阳经都入耳中，足少阳脉循行颊部下行至胁肋，再循行 至足，所以突发耳聋、脸颊肿胀、胁痛、脚 不可运动。平按：《素问》、《甲乙》、巢氏均作“ ”。）太阴经发生厥逆，会出现腹部胀满 ，大便不通畅，不想吃东西，吃了就呕吐，不能安卧。（足太阴脾脉主管腹部的肠胃，所以太阴脉气失逆，出现腹部胀满、大便不利、不欲食、呕吐、不得卧。平按：注中的“肠胃”袁刻作“腹胃”。）少阴经发生厥逆，则会出现舌干、小便色赤，腹部胀满、心痛。（手少阴脉络小肠，足少阴脉从足上行至大腿内侧，贯穿脊柱属肾络膀胱，联络心脏挟持舌根。少阴经气逆乱，出现舌干、小便赤、腹满、心痛。平按：《素问》“舌”作“口”。巢氏“溺”作“尿”。）厥阴经发生厥逆，则会出现小腹部肿痛，小便不利，喜欢躺卧屈膝，生殖器收缩肿胀，小腿内侧发热。（足厥阴脉从足踝上八寸处交出太阴脉之后，上行沿大腿内侧进入阴毛环绕生殖器区域，抵达小腹挟胃，所以厥阴脉气失逆，出现小腹疼，小便不利，喜欢卧倒屈膝，阴缩肿， 内热。有的版本作“胫外热”，但足厥阴脉不行于脉外，作“外”是误写。平按：“溲不利”在《素问》中作“腹胀泾溲不利”，《甲乙》作“ 胀泾溲不利”，巢氏作“泾溲不利”。“胫”在《素问》、《甲乙》中作“ ”。巢氏“内热”作“外热”。注中“故少阴脉气失逆”，根据经文应为“厥阴”，可能是原抄本传写错误。）实证用泻法，虚证用补法，不虚不实，则直接取本经穴位治疗。（凡是六经厥证，都要衡量虚实，施行补泻。）
足太阴脉气逆乱，出现 部拘急挛缩，心痛牵引腹部，治疗应取主治该病的穴位。（足太阴脉从足上行，循行 后属脾络胃注入心中，所以足太阴气动失逆，出现 急挛，心痛引腹。有 急挛等病的人，可以治疗足太阴脉所发出的穴位，这是主治此病的方法。其余仿照此类。问：前章已经讲了六经的厥，现在又讲，有什么不同？答：两章所说的先后经脉厥，主治左右不同。平按：《素问》、《甲乙》“太阴”上无“足”字，“下”无“脉”字。）足少阴脉气逆乱，出现心腹虚满呕吐变症，下部泄泻青色，治疗应取主治该病的穴位。（足少阴脉贯穿脊柱属肾络膀胱，贯穿肝脏进入肺部注入胸中，所以足少阴脉气失逆，出现心腹虚满呕吐，下部利出青色，这是少腹间寒冷所致。平按：《素问》、《甲乙》“欧”作“呕”，“青”作“清”。）足厥阴脉气逆乱，出现腰部挛缩、心腹虚满，前阴闭塞谵语，治疗应取主治该病的穴位。（足厥阴环绕生殖器抵小腹，循喉咙入颃颡，所以足厥阴脉失逆，出现腰挛而虚满，小便闭。谵，诸阎反切音，指多言；相传乃衔反切音，指独语。平按：《素问》、《甲乙》“腰”下有“痛”字。“谵言”在《甲乙》中作“谵语”，《素问》新校正云：“全元起云：谵言者，气虚独言也。”）三阴经同时逆乱，大小便不通，使人手足寒冷，三天后死亡。（逆，即气之失逆，名叫厥逆。足三阴之脉同时失逆，必然大小便不通，手足冷，期限到三天死。平按：注中“必大小便”，“必”字袁刻脱漏。）足太阳脉气逆乱，身体僵仆吐血，容易鼻出血，治疗应取主治该病的穴位。（足太阳脉起于鼻旁目内眦，挟脊抵腰中，络肾属膀胱，所以足太阳脉气失逆，出现僵仆吐血，容易鼻衄。向后倒叫僵，向前倒叫仆，僵仆受伤，所以吐血。太阳厥逆连及鼻子，所以容易鼻衄。平按：《素问》、《甲乙》“太阳”上无“足”字，“下”无“脉”字，“欧”作“呕”。）足少阳脉气逆乱，关节活动不利，腰部不能行走，颈部不能回顾，如果发生腹部痈疽不可治，出现惊悸症状的死亡。（足少阳脉循颈下腋，循胸过季胁合髀厌中，下膝外廉，下外辅骨之前，抵绝骨上外踝之前，上跗入小趾次趾间，支脉贯爪甲，遍络身之骨节机关，所以少阳气失逆，关节不利。腰是机关所在，所以不可行。少阳循颈，所以项不可顾。脉行胁里，出于气街，发肠痈病，还可以治疗。肠痈气逆，伤胆而死。平按：《素问》、《甲乙》“少阳”上无“足”字，“下”无“脉”字，“机关不利”四字重复，“腹痈”的“腹”字均作“肠”，根据本注也应作“肠”，应是传抄错误。“不可治”的“不”字《素问》、《甲乙》同，根据本注应作“犹”。）足阳明脉气逆乱，喘咳身热容易惊恐，鼻衄吐血不可治，出现惊悸症状的死亡。（足阳明逆气乘肺，所以喘咳。足阳明主身热，逆气逆身喜惊。足阳明起于鼻，下行属胃，气逆衄血吐血而不治疗。加上有惊的症状，神乱所以死。平按：《素问》、《甲乙》“阳明”上无“足”字，“下”无“脉”字，“欧”作“呕”。《素问》无“不可治惊者死”六字。）手太阴脉气逆乱，心腹虚满而咳，容易呕吐唾沫，治疗应取主治该病的穴位。（手太阴脉下络大肠，还循胃口上膈属肺，所以气逆而成病。平按：“善欧唾沫”在《素问》中作“善呕沫”，《甲乙》作“善呕吐沫”。）手心主（心包络）与少阴脉气逆乱，心痛牵引咽喉，身体发热的死亡，不发热的可治。（手心主手厥阴心包络脉起于胸中，出属心包，下膈历络三焦；手少阴脉起心中，挟咽上行，所以二脉失逆，出现心痛引喉。心包之脉历络三焦，所以心受邪而痛，遍行三焦，导致身热，名叫真心痛，死不可疗。如果身不热，则是逆气不周三焦，所以可治疗。平按：“不热可治”在《素问》中作“不可治”，《甲乙》作“不热者可治”。）手太阳脉气逆乱，耳聋，流泪，颈部不能回顾，腰部不能俯仰，治疗应取主治该病的穴位。（手太阳脉起于小指之端，上行至肩上入缺盆，循颈至目锐眦，却入耳中，所以手太阳气逆，出现耳聋目泣出，项不可顾，不得俯仰。平按：《素问》、《甲乙》“聋”上有“耳”字。）手阳明、少阳脉气逆乱，发生喉痹，咽喉肿胀，颈项强直，治疗应取主治该病的穴位。（手阳明脉上肩出 前廉，上出柱骨之会上，下入缺盆，支脉从缺盆上贯颊；手少阳支脉，从膻中出缺盆，上项系耳后，所以二脉气逆，出现喉咙痹，咽嗌肿，颈项 。 ，指身项强直。平按：《素问》新校正云：“全元起本 作痉。”）
肾脏和肝脏脉象都沉，诊断为石水，（肾肝虽为下部，肾脉沉，肝脉浮而强。今肝脉与肾脉并沉，是阴气盛，肾以主水，所以为石水。石水，谓盛冬凝水，坚硬如石，名叫石水，言此水病之甚也。硬，五猛反切音，强也。平按：注中“坚硬”，“坚”字袁刻误作“肾”。又按《素问》新校正云：“详肾肝并沉至下并小弦欲惊，全元起本在《厥论》中，王氏移于《大奇论》。”据此则本书与全本相同，王氏之移经益信。）脉象都浮，诊断为风水，（浮为阳也，风为阳也，肝脉浮弦，今肾脉与肝脉并浮，然肾肝俱阴，居于下部，所以为风水也。）脉象都虚，预后不良（主死），（肾肝并虚，是为阴阳俱虚为水必死。）脉象都小且弦，会有惊恐。（脉小者，血气少也。肾肝二脉血气俱少，仍弦者，是为肾肝皆虚，又为脾气来乘，所以有惊恐。平按：“亦惊”在《素问》中作“欲惊”，《甲乙》作“欲为惊”。）
Ping An: This section, from the beginning of the chapter to "swollen throat, treat the main disease," is found in *Suwen* (Basic Questions), Volume 12, Chapter 45, "Treatise on Jue" (Jue Lun). From "Jue of the Great Yang" to "take from the meridian," it is also found in *Jia Yi Jing* (The Systematic Classic of Acupuncture and Moxibustion), Volume 7, Chapter 3. From "Jue of the Foot Taiyin Meridian" to "swollen throat, treat the main disease," it is again found in *Jia Yi Jing*, Volume 4, Part 1, Middle Section. From "Kidney and Liver pulses both deep" to the end, it is found in *Suwen*, Volume 13, Chapter 48, "Treatise on Extraordinary Large Pulses" (Da Qi Lun), also in *Jia Yi Jing*, Volume 4, Part 1, Lower Section, and in this book, Volume 15, "Diagnosis of Five Zang Pulses." Additionally, from "Jue of the Great Yang" to "swelling with heat inside the shin," it is found in *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang), Volume 12, "Various Syndromes of Cold and Heat Diseases · Syndrome of Cold and Heat Jue."
Yellow Emperor said: I wish to hear about the manifestations and pathological characteristics of Jue caused by the reversal of Qi movement in the six meridians. (Please explain the state where the Qi movement of the three Yin and three Yang meridians of the hands and feet reverses, leading to Jue. 'Neng' refers to the ability of Jue to cause disease. Ping An: In *Suwen*, there is no character 'Shi' before 'Jue'. Note regarding 'zhuang', the character 'Zhi' in Yuan edition is written as 'Ren'.) Qibo said: When the Great Yang (Taiyang) experiences Jue, there is heaviness in the head and pain in the heels, inability to walk, and sudden collapse. (Great Yang refers to Taiyang. Zhong refers to the foot. Shou refers to the head. The Foot-Taiyang meridian runs from the head to the foot; thus, when Taiyang Qi reverses, both the head and feet feel heavy. Due to this heaviness, walking is impossible. Both Hand and Foot Taiyang meridians enter the eyes, so the eyes shake during collapse. [Character], pronounced Hu Bian, means eye shaking. Ping An: Chao Shi writes 'Tai'. *Suwen* and *Jia Yi* write 'Zhong' as 'Zhong' (swelling). *Jia Yi* writes [Character] as 'Xuan' (dizziness).) When Yangming experiences Jue, there is mania, desire to run and shout, abdominal fullness preventing lying down, red and hot face, hallucinations, and delirious speech. (The Foot-Yangming meridian descends from the face into the abdomen to the foot; thus, when Yangming Qi reverses, mania, running and shouting, abdominal fullness preventing lying down, red and hot face, hallucinations, and delirious speech occur. These are all due to excessive heat in the Grain Qi of Yangming, invaded by pathogenic factors. Ping An: 'Cannot lie down' in *Suwen* and *Jia Yi* is written as 'Bu De Wo' (cannot lie down), in Chao Shi as 'Bu Wo' (does not lie down); two characters 'Wo Ze' appear before 'Mian Chi'.) When Shaoyang experiences Jue, there is sudden deafness, swollen and hot cheeks, hypochondriac pain, and inability to move the legs. (Both Hand and Foot Shaoyang meridians enter the ears; the Foot-Shaoyang meridian follows the cheek, descends to the hypochondrium, and then follows [Character] to the foot; thus, sudden deafness, swollen cheeks, hypochondriac pain, and immobility of the legs occur. Ping An: *Suwen*, *Jia Yi*, and Chao Shi all write [Character].) When Taiyin experiences Jue, there is abdominal fullness and distension, difficulty in defecation, loss of appetite, vomiting after eating, and inability to sleep. (The Foot-Taiyin Spleen meridian governs the intestines and stomach in the abdomen; thus, when Taiyin meridian Qi reverses, abdominal fullness, difficulty in defecation, anorexia, vomiting, and insomnia occur. Ping An: In the note, 'Chang Wei' (intestines and stomach) is written as 'Fu Wei' (abdominal stomach) in Yuan edition.) When Shaoyin experiences Jue, there is dry tongue, red urine, abdominal fullness, and heart pain. (Hand-Shaoyin connects with the small intestine; Foot-Shaoyin ascends from the foot through the inner thigh, penetrates the spine, belongs to the Kidney, connects with the Bladder, connects with the Heart, and flanks the root of the tongue. When Shaoyin Qi reverses, dry tongue, red urine, abdominal fullness, and heart pain occur. Ping An: In *Suwen*, 'She' (tongue) is written as 'Kou' (mouth). Chao Shi writes 'Ni' as 'Niao' (urine).) When Jueyin experiences Jue, there is swelling and pain in the lower abdomen, difficulty in urination, a preference for lying with knees flexed, contraction and swelling of the genitals, and heat inside the shins. (The Foot-Jueyin meridian ascends from the foot eight cun above the ankle, crosses behind the Taiyin meridian, ascends along the inner thigh, enters the pubic region surrounding the genitals, reaches the lower abdomen, and flanks the stomach; thus, when Jueyin meridian Qi reverses, lower abdominal pain, difficulty in urination, preference for lying with knees flexed, genital contraction and swelling, and heat inside the [Character] occur. Some versions write 'heat outside the shin,' but Foot-Jueyin does not run outside the vessel; writing 'outside' is an error. Ping An: 'Sou Bu Li' (difficulty in urination) in *Suwen* is written as 'Fu Zhang Jing Sou Bu Li' (abdominal distension, difficult urination); in *Jia Yi* as '[Character] Zhang Jing Sou Bu Li'; in Chao Shi as 'Jing Sou Bu Li'. 'Jing' (shin) in *Suwen* and *Jia Yi* is written as [Character]. Chao Shi writes 'Nei Re' (internal heat) as 'Wai Re' (external heat). In the note, 'Gu Shao Yin Mai Qi Shi Ni' (thus Shao Yin meridian Qi reverses) should be 'Jue Yin' according to the text, likely a copying error in the original manuscript.) Excess conditions are treated with draining methods; deficiency conditions with tonifying methods; neither excess nor deficiency is treated by taking points from the affected meridian. (For all six meridians experiencing Jue, one must assess excess or deficiency to apply tonification or drainage.)
When Foot-Taiyin meridian Qi reverses, there is spasm and contracture in the [Character] area, heart pain radiating to the abdomen; treatment should target the main disease points. (Foot-Taiyin meridian ascends from the foot, follows [Character], belongs to the Spleen, connects with the Stomach, and injects into the Heart; thus, Foot-Taiyin Qi reversal causes [Character] spasm and contracture, heart pain radiating to the abdomen. For those with [Character] spasm and contracture, treating the points emitted by the Foot-Taiyin meridian can cure this disease. Others follow this pattern. Question: The previous chapter already discussed the Jue of the six meridians; why discuss it again? Answer: The order of discussing meridian Jue differs between the two chapters, and the main disease points differ left and right. Ping An: In *Suwen* and *Jia Yi*, there is no 'Zu' (foot) before 'Taiyin' and no 'Mai' (meridian) after 'Xia' (lower).) When Foot-Shaoyin meridian Qi reverses, there is empty fullness in the chest and abdomen, vomiting and altered symptoms, and downward discharge of green stool; treatment should target the main disease points. (Foot-Shaoyin meridian penetrates the spine, belongs to the Kidney, connects with the Bladder, penetrates the Liver, enters the Lung, and injects into the chest; thus, Foot-Shaoyin Qi reversal causes empty fullness in the chest and abdomen, vomiting, and downward discharge of green stool, which is due to cold in the lower abdomen. Ping An: In *Suwen* and *Jia Yi*, 'Ou' is written as 'Ou' (vomit), 'Qing' as 'Qing' (clear/green).) When Foot-Jueyin meridian Qi reverses, there is waist contracture, empty fullness, anterior closure (urinary retention), and delirious speech; treatment should target the main disease points. (Foot-Jueyin surrounds the genitals, reaches the lower abdomen, follows the throat, and enters the pharynx; thus, Foot-Jueyin meridian reversal causes waist contracture and empty fullness, urinary retention. 'Zhan' is pronounced Zhu Yan, meaning excessive talking; traditionally pronounced Xian, meaning talking alone. Ping An: In *Suwen* and *Jia Yi*, there is a 'Tong' (pain) character after 'Yao' (waist). 'Zhan Yan' in *Jia Yi* is written as 'Zhan Yu'; *Suwen* New Correction states: "Quan Yuanqi said: Zhan Yan refers to speaking alone due to Qi deficiency.") When the three Yin meridians simultaneously reverse, causing inability to pass stool or urine, making the hands and feet cold, death occurs within three days. ('Ni' refers to Qi reversal, named Jue Ni. When the three Yin meridians of the foot simultaneously reverse, stool and urine will inevitably be blocked, hands and feet will be cold, and death will occur within three days. Ping An: In the note, 'Bi' (must) before 'Da Xiao Bian' is missing in Yuan edition.) When Foot-Taiyang meridian Qi reverses, there is stiff collapse, vomiting blood, and frequent nosebleeds; treatment should target the main disease points. (Foot-Taiyang meridian originates beside the nose at the inner canthus, flanks the spine, reaches the middle of the waist, connects with the Kidney, and belongs to the Bladder; thus, Foot-Taiyang Qi reversal causes stiff collapse, vomiting blood, and frequent nosebleeds. Falling backward is called Jiang (stiff); falling forward is called Pu (collapse). Injury from stiff collapse causes vomiting blood. Taiyang Jue involves the nose, hence frequent nosebleeds. Ping An: In *Suwen* and *Jia Yi*, there is no 'Zu' (foot) before 'Taiyang' and no 'Mai' (meridian) after 'Xia'; 'Ou' is written as 'Ou' (vomit).) When Foot-Shaoyang meridian Qi reverses, joint mobility is impaired, the waist cannot walk, the neck cannot look back; if abdominal carbuncle develops, it is incurable; if fright occurs, death ensues. (Foot-Shaoyang meridian follows the neck, descends under the armpit, follows the chest past the costal margin, meets at the hip joint, descends to the lateral aspect of the knee, before the outer fibular bone, reaches the upper external malleolus, ascends to the dorsum entering between the fourth and fifth toes; branch penetrates the nail bed, connecting all joints in the body; thus, Shaoyang Qi reversal impairs joint mobility. The waist is the seat of joints, hence immobility. Shaoyang follows the neck, hence neck immobility. The meridian runs in the hypochondrium, emerges at the Qi Street; if intestinal carbuncle develops, it is still treatable. Intestinal carbuncle Qi reversal injures the Gallbladder, leading to death. Ping An: In *Suwen* and *Jia Yi*, there is no 'Zu' (foot) before 'Shaoyang' and no 'Mai' (meridian) after 'Xia'; 'Guan Ji Bu Li' (joint immobility) is repeated four times; 'Fu Yong' (abdominal carbuncle) has 'Fu' written as 'Chang' (intestine); based on the note, it should be 'Chang', likely a copying error. 'Bu Ke Zhi' (incurable) has 'Bu' in *Suwen* and *Jia Yi*; based on the note, it should be 'You' (still).) When Foot-Yangming meridian Qi reverses, there is wheezing and coughing, body heat, frequent fright, nosebleeds, and vomiting blood; it is incurable, and if fright occurs, death ensues. (Foot-Yangming reversed Qi attacks the Lung, causing wheezing and coughing. Foot-Yangming governs body heat; reversed Qi attacking the body causes fright. Foot-Yangming originates at the nose, descends to belong to the Stomach; reversed Qi causes nosebleeds and vomiting blood without treatment. Adding fright symptoms leads to spirit disorder and death. Ping An: In *Suwen* and *Jia Yi*, there is no 'Zu' (foot) before 'Yangming' and no 'Mai' (meridian) after 'Xia'; 'Ou' is written as 'Ou' (vomit). *Suwen* lacks the six characters 'Bu Ke Zhi Jing Zhe Si' (incurable, if fright occurs, death).) When Hand-Taiyin meridian Qi reverses, there is empty fullness and coughing, frequent vomiting of saliva/phlegm; treatment should target the main disease points. (Hand-Taiyin meridian connects downward with the Large Intestine, returns following the stomach opening, ascends through the diaphragm to belong to the Lung; thus, Qi reversal causes disease. Ping An: 'Shan Ou Tuo Mo' in *Suwen* is written as 'Shan Ou Mo'; in *Jia Yi* as 'Shan Ou Tu Mo'.) When Hand-Xin Bao (Pericardium) and Hand-Shaoyin meridians reverse, there is heart pain radiating to the throat, body heat indicating death, and no heat indicating treatability. (Hand-Xin Bao, Hand-Jueyin Pericardium meridian originates in the chest, emerges belonging to the Pericardium, descends through the diaphragm, sequentially connects with the San Jiao; Hand-Shaoyin originates in the Heart, flanks the pharynx, and ascends; thus, when these two meridians reverse, heart pain radiating to the throat occurs. The Pericardium meridian sequentially connects with the San Jiao; thus, when the Heart is invaded by pathogens and hurts, spreading through the San Jiao, causing body heat, it is named True Heart Pain, which is incurable. If there is no body heat, the reversed Qi does not circulate through the San Jiao, hence it is treatable. Ping An: 'Bu Re Ke Zhi' in *Suwen* is written as 'Bu Ke Zhi'; in *Jia Yi* as 'Bu Re Zhe Ke Zhi'.) When Hand-Taiyang meridian Qi reverses, there is deafness, tearing, neck immobility, and inability to bend or extend the waist; treatment should target the main disease points. (Hand-Taiyang meridian originates at the tip of the little finger, ascends to the shoulder, enters the supraclavicular fossa, follows the neck to the outer canthus, then enters the ear; thus, Hand-Taiyang Qi reversal causes deafness, tearing, neck immobility, and inability to bend or extend. Ping An: In *Suwen* and *Jia Yi*, there is an 'Er' (ear) character before 'Long' (deaf).) When Hand-Yangming and Hand-Shaoyang meridians reverse, there is throat obstruction (Bi), swollen throat, and stiff neck; treatment should target the main disease points. (Hand-Yangming meridian ascends the shoulder, emerges at the anterior edge of [Character], ascends to meet at the cervical vertebrae, descends into the supraclavicular fossa; branch from the supraclavicular fossa ascends through the cheek; Hand-Shaoyang branch emerges from the Chest Center, goes to the supraclavicular fossa, ascends the neck, ties behind the ear; thus, when these two meridians reverse, throat Bi, swollen throat, and stiff neck occur. [Character], refers to stiffness of the body and neck. Ping An: *Suwen* New Correction states: "Quan Yuanqi's version writes [Character] as 'Jing' (spasm/stiffness).")
When Kidney and Liver pulses are both deep, it is diagnosed as Stone Water (Shi Shui). (Although Kidney and Liver are lower parts, Kidney pulse is deep, Liver pulse is floating and strong. Now that Liver and Kidney pulses are both deep, it indicates excessive Yin Qi. Kidney governs water, hence it is Stone Water. Stone Water refers to water frozen solid like stone in late winter, named Stone Water, indicating severe water disease. 'Ying' is pronounced Wu Meng, meaning strong. Ping An: In the note, 'Jian' (hard) in 'Jian Ying' is mistakenly written as 'Shen' (Kidney) in Yuan edition. Also, *Suwen* New Correction states: "Regarding 'Kidney and Liver both deep' down to 'both small and stringy, desiring fright', Quan Yuanqi's version was in 'Treatise on Jue', Wang moved it to 'Treatise on Extraordinary Large Pulses'. Based on this, this book matches the complete version, confirming Wang's relocation of the text.) When both are floating, it is diagnosed as Wind Water (Feng Shui). (Floating is Yang; Wind is Yang. Liver pulse is floating and stringy. Now Kidney and Liver pulses are both floating; although Kidney and Liver are both Yin residing in the lower part, it is diagnosed as Wind Water.) When both are deficient, it indicates death. (Kidney and Liver both deficient indicates simultaneous deficiency of Yin and Yang; water disease will definitely lead to death.) When both are small and stringy, there is fright. (Small pulse indicates insufficient Blood and Qi. When Kidney and Liver pulses both have insufficient Blood and Qi, yet remain stringy, it indicates both Kidney and Liver are deficient, and Spleen Qi is encroaching, hence there is fright. Ping An: 'Yi Jing' (also fright) in *Suwen* is written as 'Yu Jing' (desiring fright); in *Jia Yi* as 'Yu Wei Jing' (desiring to be frightened).)