平按∶此篇见《灵枢》卷五第二十四《厥病》篇，又见《甲乙经》卷十第一下编。
髀不可举，侧而取之，在枢合中，以员利针，大针不可。（足太阳脉过髀枢中，即
为枢合也。平按∶《灵枢》、《甲乙》髀上有足字。枢合《甲乙》作枢阖。大针不可
《灵枢》作大针不可刺。）
平按∶此篇见《灵枢》卷五第二十六《杂病》篇，《甲乙经》见同上。
膝中痛，取犊鼻，以员利针，针发而间之，针大如耗，刺膝无疑。（犊鼻，足阳
明脉气所发，故膝痛取之。平按∶《灵枢》针字不重。）
平按∶此篇见《灵枢》卷五第二十六《杂病》篇，又见《甲乙经》卷十第四。
痿厥为四束 ，乃疾解之，日二，不仁者十日而知，毋休，病已止。（四束，四肢
如束。 ，烦也。平按∶为四束《灵枢》、《甲乙》作为四末束。《甲乙》 作闷。）
平按∶此篇上节，见《灵枢》卷五第二十三《热病》篇，又见《甲乙经》卷七第四。
下节见《灵枢》卷五第二十四《厥病》篇，又见《甲乙经》卷十一第五。
，取之阴跷及三毛上及血络出血。（ ，淋也。阴跷上循阴股入阴，故取阴跷所
主病者。足厥阴脉起大趾丛毛之上，入毛中环阴器，故 取阴跷脉所主之输，并取足厥
阴脉三毛之上，及此二经之络去血。平按∶《灵枢》 作癃，《甲乙》作 。）病泄下
血，取曲泉。（曲泉，足厥阴脉之所入也。平按∶泄《灵枢》、《甲乙》作注。）
平按：此篇见于《灵枢》卷五第二十四《厥病》篇，又见于《甲乙经》卷十第一下编。
大腿（髀）不能抬起，应从侧面进针，取穴在枢合中，使用员利针，不可使用大针。（足太阳膀胱经经过大腿枢纽之中，即为枢合处。平按：《灵枢》、《甲乙经》中“髀”字前有“足”字。“枢合”在《甲乙经》中写作“枢阖”。关于“大针不可”，《灵枢》原文作“大针不可刺”。）
平按：此篇见于《灵枢》卷五第二十六《杂病》篇，《甲乙经》见于同上卷次。
膝盖中部疼痛，取犊鼻穴，使用员利针，针刺后间隔一段时间再行操作，针身粗细如同细毛，针刺膝盖部位没有禁忌。（犊鼻穴是足阳明胃经经气所发之处，因此膝痛可取此穴治疗。平按：《灵枢》中“针”字不重复出现。）
平按：此篇见于《灵枢》卷五第二十六《杂病》篇，又见于《甲乙经》卷十第四。
四肢痿软厥冷且感觉如被束缚一般，于是迅速解开束缚，每天进行两次，对于肢体麻木不仁者，十天即可见效，不要停止休息，直到病愈为止。（“四束”指四肢如同被捆绑一样。“烦”意为烦闷或不适。平按：“为四束”在《灵枢》、《甲乙经》中作“作为四末束”。《甲乙经》中“烦”字写作“闷”。）
平按：此节上文见于《灵枢》卷五第二十三《热病》篇，又见于《甲乙经》卷七第四。
此节下文见于《灵枢》卷五第二十四《厥病》篇，又见于《甲乙经》卷十一第五。
淋证（小便不利），取阴跷脉及足大趾丛毛处以及血络放血。（“淋”指淋证。阴跷脉沿大腿内侧上行进入阴部，因此取阴跷脉所主病症的穴位。足厥阴肝经起于足大趾丛毛之上，进入毛发中环绕阴器，因此取阴跷脉所主的输穴，并取足厥阴肝经位于足大趾丛毛处的穴位，以及这两条经脉的络脉放血以去瘀血。平按：《灵枢》中“淋”字写作“癃”，《甲乙经》中写作“淋”。）若患泄泻伴下血，取曲泉穴。（曲泉穴是足厥阴肝经经气深入汇聚之处。平按：“泄”在《灵枢》、《甲乙经》中写作“注”。）
Ping An: This chapter is found in Volume 5, Chapter 24 "Jue Bing" (Diseases of Reversal) of the *Ling Shu* (Spiritual Pivot), and also in Volume 10, Part 1, Lower Compilation of the *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion).
When the thigh (Bi) cannot be lifted, needle from the lateral side at Shu He Zhong (Center of the Pivot Joint), using a Yuan Li Needle (Needle with rounded tip and sharp point); do not use a Da Zhen (Large Needle). (The Foot Taiyang Bladder Meridian passes through the pivot of the thigh, which is called Shu He. Ping An: The *Ling Shu* and *Jia Yi Jing* add the character "Foot" before "Bi". "Shu He" is written as "Shu He" [Pivot Closure] in the *Jia Yi Jing*. Regarding "Da Zhen Bu Ke", the *Ling Shu* text reads "Da Zhen Bu Ke Ci" [Do not pierce with Large Needle].)
Ping An: This chapter is found in Volume 5, Chapter 26 "Za Bing" (Miscellaneous Diseases) of the *Ling Shu*, and the *Jia Yi Jing* cites it in the same volume.
For pain in the middle of the knee, select Du Bi (ST32), use a Yuan Li Needle, puncture and then wait between interventions; the needle should be as fine as a hair, and there are no contraindications for needling the knee. (Du Bi is where the Qi of the Foot Yangming Stomach Meridian emerges, thus it is selected for knee pain. Ping An: The character "Zhen" [needle/puncture] is not repeated in the *Ling Shu*.)
Ping An: This chapter is found in Volume 5, Chapter 26 "Za Bing" (Miscellaneous Diseases) of the *Ling Shu*, and also in Volume 10, Chapter 4 of the *Jia Yi Jing*.
In cases of Wei Jue (Atrophy-Coldness Syndrome) where the limbs feel bound or constricted, promptly release the constraint, perform this twice daily. For those with Ren (Numbness/Loss of Sensation), improvement will be seen within ten days; do not rest, stop only when the disease is cured. ("Si Shu" refers to the four limbs feeling as if bound. "Fan" means vexation/discomfort. Ping An: "Wei Si Shu" in the *Ling Shu* and *Jia Yi Jing* is written as "Zuo Wei Si Mo Shu" [As if binding the four extremities]. The *Jia Yi Jing* writes "Fan" as "Men" [Stifled/Depressed].)
Ping An: The preceding section of this chapter is found in Volume 5, Chapter 23 "Re Bing" (Heat Disease) of the *Ling Shu*, and also in Volume 7, Chapter 4 of the *Jia Yi Jing*.
The following section is found in Volume 5, Chapter 24 "Jue Bing" (Diseases of Reversal) of the *Ling Shu*, and also in Volume 11, Chapter 5 of the *Jia Yi Jing*.
For Long Zheng (Strangury/Dysuria), select Yin Qiao Mai (Yin Motility Vessel) and the area above the pubic hair (San Mao), and bleed the blood vessels. ("Long" refers to strangury. Yin Qiao Mai ascends along the medial aspect of the thigh into the yin region, therefore points governed by Yin Qiao Mai are selected for its related diseases. The Foot Jueyin Liver Meridian originates above the cluster of hair on the big toe, enters the hair region surrounding the genitalia; therefore, select the Shu points governed by Yin Qiao Mai, and also select the San Mao area of the Foot Jueyin Liver Meridian, and bleed the Luo-connecting vessels of these two meridians to remove blood stasis. Ping An: "Long" in the *Ling Shu* is written as "Long" [Urethral Obstruction], and in the *Jia Yi Jing* as "Long" [Strangury].) If suffering from Xie (Diarrhea) with Xia Xue (Lower Bleeding), select Qu Quan (LR8). (Qu Quan is the He-Sea point where the Qi of the Foot Jueyin Liver Meridian enters. Ping An: "Xie" in the *Ling Shu* and *Jia Yi Jing* is written as "Zhu" [Pouring/Profuse Diarrhea].)