（平按∶此篇见《灵枢》卷五第二十六《杂病》篇，又见《甲乙》卷九第一）
颌痛，
刺手阳明与颌之盛脉出血。颊痛，刺阳明曲周动脉见血，立已；不已，按人迎于
经，立已。（手阳明上颈贯颊，故颊痛皆取之。曲周动脉有足阳明，无手阳明动脉也。
平按∶颌《甲乙》作颔，《灵枢》作 。颊《甲乙》作颔，《灵枢》作 。刺阳明《灵
枢》、《甲乙》作刺足阳明。按人迎于经《甲乙》作按经刺人迎。）
平按∶此篇见《灵枢》、《甲乙》同上编。
项痛不可俯仰，刺足太阳；不可顾，刺手太阳也。（足太阳脉行项，故不可俯仰取
之。手太阳脉行项左右，故不得顾取之也。平按∶《甲乙》项痛作头项。《灵枢》顾上
有以字。）
平按∶此篇自篇首至如韭叶，见《灵枢》卷五第二十三《热病》篇，又见《甲乙经》
卷九第二。自喉痹不能言至末，见《灵枢》卷五第二十六《杂病》篇，又见《甲乙经》
第十二第八及卷七第一中篇。
喉痹舌卷，口中干，烦心心痛，臂内廉痛，不可及头，取手小指次指爪甲下，去端
如韭叶。（手之小指次指之端，手少阳关冲。手心主出属心包，下 内；手少阳从膻中，
上□系耳后，故喉痹舌卷口干烦心心痛及臂内痛皆取之也。平按∶臂内廉痛《甲乙》作
臂表痛，注云∶《灵枢》及《太素》俱作臂内廉痛。又《甲
乙》取下有关冲在三字，韭叶下有许字。注系上原缺一字，袁刻作出，检《灵枢·经脉》
篇，手少阳上项系耳后，应作项。又注皆取之，皆字袁刻误作者。）喉痹不能言，取足
阳明；能言，取手阳明。（手阳明脉循缺盆上头，足阳明脉循喉咙入缺盆，故喉痹能言、
不能言，取此二脉疗主病者也。）嗌干，口中热如胶，取足少阴。（足少阴脉至舌下，
故口热取之。平按∶《甲乙》少阴作少阳。）
（平按：此篇见于《灵枢》卷五第二十六《杂病》篇，又见于《甲乙经》卷九第一）
颌部疼痛，
针刺手阳明大肠经与颌部充盈的络脉使其出血。颊部疼痛，针刺足阳明胃经在曲周处的动脉见血，疼痛立即停止；若未愈，则在经脉上按压人迎穴，疼痛立即停止。（手阳明大肠经上行颈部贯穿颊部，所以颊部疼痛都取用该经。曲周处的动脉有足阳明胃经经过，没有手阳明大肠经的动脉。）
（平按：《甲乙经》中“颌”写作“颔”，《灵枢》写作“𦟌”。《甲乙经》中“颊”写作“颔”，《灵枢》写作“𦟌”。《灵枢》、《甲乙经》中“刺阳明”写作“刺足阳明”。《甲乙经》中“按人迎于经”写作“按经刺人迎”。）
（平按：此篇从篇首至“如韭叶”部分，见于《灵枢》卷五第二十三《热病》篇，又见于《甲乙经》卷九第二。从“喉痹不能言”至末尾部分，见于《灵枢》卷五第二十六《杂病》篇，又见于《甲乙经》第十二第八及卷七第一中篇。）
颈部疼痛且不能前后俯仰，针刺足太阳膀胱经；不能左右回顾，针刺手太阳小肠经。（足太阳膀胱经循行于项部，所以不能俯仰时取用该经。手太阳小肠经循行于项部两侧，所以不能回顾时取用该经。）
（平按：《甲乙经》中“项痛”写作“头项”。《灵枢》中“顾”字上有“以”字。）
（平按：此篇自篇首至“如韭叶”，见于《灵枢》卷五第二十三《热病》篇，又见于《甲乙经》卷九第二。自“喉痹不能言”至末尾，见于《灵枢》卷五第二十六《杂病》篇，又见于《甲乙经》第十二第八及卷七第一中篇。）
喉痹导致舌体卷缩，口中干燥，心烦心痛，手臂内侧疼痛，手无法触及头部，取用手小指次指（无名指）爪甲下，距离指尖如韭菜叶宽处。（手之小指次指的末端是手少阳三焦经的关冲穴。手厥阴心包经起于胸中属心包，下行穿过膈肌；手少阳三焦经从膻中穴出发，上行联系耳后，所以喉痹、舌卷、口干、心烦、心痛及手臂内侧疼痛都取用该经治疗。）
（平按：《甲乙经》中“臂内廉痛”写作“臂表痛”，注释说：《灵枢》及《太素》都作“臂内廉痛”。另外《甲乙经》取下文有关冲在三字，“韭叶”下有“许”字。注文中原本缺一个字，袁刻本补为“出”，检查《灵枢·经脉》篇，手少阳三焦经上行颈部联系耳后，应作“项”。另外注文中“皆取之”，“皆”字袁刻本误作“者”。）
喉痹导致不能说话，取用足阳明胃经；能说话的，取用手阳明大肠经。（手阳明大肠经循行过缺盆穴上行头部，足阳明胃经循行喉咙进入缺盆穴，所以喉痹患者无论能否说话，取用这两条经脉来治疗主要病症。）
咽喉干燥，口中发热感觉像胶一样黏稠，取用足少阴肾经。（足少阴肾经到达舌下，所以口中发热取用该经。）
（平按：《甲乙经》中“少阴”写作“少阳”。）
(Ping An: This chapter is found in *Ling Shu* (Spiritual Pivot), Volume 5, Chapter 26 "Miscellaneous Diseases", and also in *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion), Volume 9, Section 1.)
Pain in the mandible/jaw:
Puncture the Hand-Yangming Large Intestine channel and the full collateral vessels in the jaw area to bleed. Pain in the cheek: Puncture the arterial pulse at Quzhou (a point on the face) of the Foot-Yangming Stomach channel until blood appears; the pain will cease immediately. If it does not cease, press the Renying (ST9) acupoint along the meridian; the pain will cease immediately. (The Hand-Yangming Large Intestine channel ascends through the neck and penetrates the cheek, therefore pain in the cheek is treated by selecting this channel. The arterial pulse at Quzhou belongs to the Foot-Yangming Stomach channel, not the Hand-Yangming Large Intestine channel.)
(Ping An: In *Jia Yi Jing*, "he" [jaw] is written as "han" [chin]; in *Ling Shu*, it is written as a variant character. In *Jia Yi Jing*, "jia" [cheek] is written as "han"; in *Ling Shu*, it is written as a variant character. In *Ling Shu* and *Jia Yi Jing*, "ci Yangming" [puncture Yangming] is written as "ci Zu Yangming" [puncture Foot-Yangming]. In *Jia Yi Jing*, "an Renying yu jing" [press Renying on the meridian] is written as "an jing ci Renying" [press the meridian and puncture Renying].)
(Ping An: From the beginning of this chapter up to "like a leek leaf," it is found in *Ling Shu*, Volume 5, Chapter 23 "Heat Diseases", and also in *Jia Yi Jing*, Volume 9, Section 2. From "Bi syndrome of the throat unable to speak" to the end, it is found in *Ling Shu*, Volume 5, Chapter 26 "Miscellaneous Diseases", and also in *Jia Yi Jing*, Volume 12, Section 8 and Volume 7, First Middle Chapter.)
Pain in the nape/neck with inability to bend forward or backward: Puncture the Foot-Taiyang Bladder channel; inability to turn the head left or right: Puncture the Hand-Taiyang Small Intestine channel. (The Foot-Taiyang Bladder channel runs along the nape, so inability to bend forward/backward is treated by selecting this channel. The Hand-Taiyang Small Intestine channel runs along both sides of the nape, so inability to turn the head is treated by selecting this channel.)
(Ping An: In *Jia Yi Jing*, "xiang tong" [neck pain] is written as "tou xiang" [head and neck]. In *Ling Shu*, there is an additional "yi" [can] character above "gu" [look back].)
(Ping An: From the beginning of this chapter up to "like a leek leaf," it is found in *Ling Shu*, Volume 5, Chapter 23 "Heat Diseases", and also in *Jia Yi Jing*, Volume 9, Section 2. From "Bi syndrome of the throat unable to speak" to the end, it is found in *Ling Shu*, Volume 5, Chapter 26 "Miscellaneous Diseases", and also in *Jia Yi Jing*, Volume 12, Section 8 and Volume 7, First Middle Chapter.)
Bi syndrome of the throat causing tongue retraction, dryness in the mouth, vexation, heart pain, and pain along the medial aspect of the arm such that the hand cannot reach the head: Select the area under the nail of the fourth finger (ring finger) of the hand, at a distance from the corner like a leek leaf width. (The tip of the fourth finger of the hand corresponds to Guanchong (SJ1) of the Hand-Shaoyang Sanjiao (Triple Burner) channel. The Hand-Jueyin Pericardium channel originates in the chest and belongs to the Pericardium, descending through the diaphragm; the Hand-Shaoyang Sanjiao channel starts from Danzhong (CV17), ascends, and connects behind the ear. Therefore, Bi syndrome of the throat, tongue retraction, dry mouth, vexation, heart pain, and pain along the medial arm are all treated by selecting this channel.)
(Ping An: In *Jia Yi Jing*, "bi nei lian tong" [pain along the medial arm] is written as "bi biao tong" [pain on the superficial side of the arm], with a note stating: Both *Ling Shu* and *Tai Su* write "bi nei lian tong". Additionally, *Jia Yi Jing* includes the characters "Guan Chong zai san" [Guanchong is the third] after the selection instruction, and the character "xu" [approximately] after "leek leaf". One character was originally missing in the annotation; Yuan's edition supplied "chu" [exit], but checking *Ling Shu · Meridians*, the Hand-Shaoyang Sanjiao channel ascends the neck to connect behind the ear, so it should be "xiang" [neck]. Furthermore, in the annotation "jie qu zhi" [all select them], the character "jie" [all] was erroneously printed as "zhe" [this/that] in Yuan's edition.)
Bi syndrome of the throat causing inability to speak: Select the Foot-Yangming Stomach channel; if able to speak: Select the Hand-Yangming Large Intestine channel. (The Hand-Yangming Large Intestine channel follows the Clavicular fossa (Quepen) and ascends to the head; the Foot-Yangming Stomach channel follows the throat and enters the Clavicular fossa. Therefore, for Bi syndrome of the throat, whether the patient can speak or not, these two channels are selected to treat the primary disease.)
Dryness of the pharynx/gullet, heat in the mouth feeling sticky like glue: Select the Foot-Shaoyin Kidney channel. (The Foot-Shaoyin Kidney channel reaches under the tongue, therefore heat in the mouth is treated by selecting this channel.)
(Ping An: In *Jia Yi Jing*, "Shaoyin" is written as "Shaoyang".)