厥头痛。面若肿。起而烦心。取之足阳明太阴。
此章论经气五脏厥逆为病。因以名篇。夫三阴三阳。天之六气也。木火土金水火。地之五行
也。在天呈象。在地成形。地之五行。化生五脏。天之六气。配合六经。是以五脏相通。移皆有次。
穴气旋转。上下循环。若不以次相传。则厥逆而为病矣。再按在天丹苍 素元之气。经于五方之分。
化生地之五行。地之五行。上呈三阴三阳之六气。此天地阴阳五运六气。互相生成者也。而人亦应
之。故曰东方生风。风生木。木生酸。酸生肝。南方生热。热生火。火生苦。苦生心。此五脏之形气。
生于地之五行。而本于天之六气。十二经脉。外合六气。而本于脏腑之所生。脏腑经气之相合也。
灵素经中。凡曰太阳少阳。阳明太阴。少阴厥阴。此论在六气。或有及于六经。若曰肝心脾肺肾。
此论有脏腑经脉。而或涉于六气。此阴阳离合之道也。夫阴阳出入。寒暑往来。皆从地而出。自足
而上。是以贤人上配天以养头。下象地以养足。中旁人事以养五脏。苟失其养。则气厥而为头痛。
脏厥而为心痛矣。阳明之气。上出于面。厥气上逆于头。故为头痛面肿。阳明是动。则病心欲动。
故起而心烦。此阳明之气。上逆于头而为厥头痛也。故当取之足阳明。阳明从中见太阴之化。故兼
取之太阴。此厥逆在气而不及于经也。
厥头痛。头脉痛。心悲善泣。视头动脉反盛者。刺尽去血。后调足厥阴。
此论厥阴之气。厥逆于上。转入于经。而为厥头痛也。夫三阴三阳之气。皆从下而上。有厥在
气而不及于经者。有厥在气而转入于经脉者。经气外内相通。可离而可合也。是以首节只论气厥。此
以下论气厥而上及于经脉焉。逆在脉。故头脉痛。厥阴为阖。阖折则气绝而喜悲。逆在气。故心
悲善泣。视头痛脉反盛者刺之。尽去其血。以泻脉厥。后调足厥阴。以通其气逆焉。
厥。头痛贞贞。头重而痛。泻头上五行。行五。先取手少阴。后取足少阴。
此少阴之气。厥逆于上。转及于太阳之经脉。而为厥头痛也。贞贞。固而不移也。头上五行。
取足太阳经之五处、承光、通天、络郗、玉枕。少阴太阳。主水火阴阳之气。上下标本相合。是以
先泻太阳。次取手少阴。后取足少阴也。沈氏曰。阴阳六气。只合六经。从足而手。故先取手而
后取足。尚氏曰。少阴之上。君火主之。故先取手而后取足。张开之曰。沈论六气合六经。而有手
足之上下。尚论六气有标本之上下。二说俱宜通晓。
厥头痛。意善忘。按之不得。取头面左右动脉。后取足太阴。
此太阴之气。厥逆于上。及于头面之脉。而为厥头痛也。经云。气并于上。乱而喜忘。脾藏意。
太阴之气厥逆。则脾脏之神志昏迷。故意喜忘也。头主天气。脾主地气。按之不得者。地气上乘于
天。入于头之内也。先取头面左右之动脉。以泻其逆气。后取足太阴以调之。莫云从曰。头面左右之
动脉。足阳明之脉也。
厥头痛。项先痛。腰脊为应。先取天柱。后取足太阳。
此太阳之气。上逆于头。而为厥头痛也。夫阴阳六气。皆循经而上。太阳之脉。从头项而下循
于腰脊。太阳之厥头痛。项先痛而腰脊为应。此逆在气而应于经也。故先取项上之天柱以泻其逆。
后取足太阳以调之。
厥头痛。头痛甚。耳前后脉涌。有热。泻出其血。后取足少阳。
此少阳之气。厥入于头项之经脉。而为厥头痛也。少阳之上。相火主之。火气上逆。故头痛甚。
而耳前后脉涌有热。先泻出其血。而后取其气焉。以上论三阴三阳之气。厥而为头痛。不因于外邪也。
真头痛。头痛甚。脑尽痛。手足寒至节。死不治。
真头痛者非六气之厥逆。乃客邪犯脑。故头痛甚。脑尽痛。头为诸阳之首。脑为精水之海。手
足寒至节。此真气为邪所伤。故死不治。
头痛不可取于 者。有所击堕。恶血在于内。若肉伤痛未已。可则刺。不可远取也。
此击堕伤头。而为头痛者。不可取之俞也。夫有所击堕。恶血在于内。若肉伤。痛未已。可则
在此痛处而刺之。不可远取之俞也。盖言痛在头而取之下者。乃在下之气。厥逆于上。经气上下交
通。若有所伤而痛者。非经气之谓也。
头痛不可刺者。大痹为恶。日作者。可令少愈。不可已。
此言大痹而为头痛者。亦不可刺其俞也。大痹者。风寒客于筋骨而为恶也。日作者。当取之筋
骨。可令少愈。如不止。不可已而再取之。此言风寒之邪。深入于筋骨。故不可取之俞。而亦不能即愈也。
头半寒痛。先取手少阳阳明。后取足少阳阳明。
此寒邪客于经脉而为偏头痛也。寒伤荣。故为寒痛。手足三阳之脉。上循于头。左者络左。右
者络右。伤于左则左痛。伤于右则右痛。非若厥气上逆。而通应于头也。手足少阳阳明之脉。皆分
络于头之左右。先取手而后取足者。手经之脉。上于头而交于足经者。不取太阳者。太阳之在中也。
按、灵素二经。凡论六气。后列经证一条。论六经。后列气证一则。此先圣之婆心。欲后学之体认。
沈亮宸曰。千般 难。不越三因。厥头痛者。内因之气厥也。真头痛者。淫邪犯脑也。大痹者。风
寒逆于脉外也。头半痛者。寒邪客于脉中也。此外因之疾也。有所击堕者。不内外因也。以此详之。
病由都尽。若人能慎养。内使血气和调。阴阳顺序。外使元真通畅。腠理固密。不令淫邪于忤。更能
保身忍性。无有击堕之虞。可永保其天年。而无夭枉之患矣。
厥心痛。与背相控。善 。如从后触其心。伛偻者。肾心痛也。先取京骨昆仑。发针不已。取
然谷。
此论五脏之经气厥逆。而为厥心痛也。脏真通于心。心藏血脉之气也。是以四脏之气厥逆。皆
从脉而上乘于心。背为阳。心为阳中之太阳。故与背相控而痛。心与背相应也。心脉急甚为 。如
从后触其心者。肾附于脊。肾气从背而上注于心也。心痛故伛偻而不能仰。此肾脏之气。逆于心下
而为痛也。先取膀胱经之京骨昆仑。从腑阳而泻其阴脏之逆气。如发针不已。再取肾经之然谷。此
脏气厥逆。从经脉相乘。与六气无涉。故不曰太阳少阴。而曰昆仑然谷。
厥心痛。腹胀胸满。心尤痛甚。胃心痛也。取之大都太白。
胃气上逆。故腹胀胸满。胃气上通于心。故心痛尤甚。脾与胃以膜相连。而为胃之转输。故取脾
经之大都太白。以输胃之逆气。尚御公曰。上节从腑泻脏。此复从脏泻腑。皆雌雄相合。经气交通
之妙用。夫五脏之血气。皆从胃腑而生。故经中凡论五脏。多兼论其胃焉。
厥心痛。痛如以锥针刺其心。心痛甚者。脾心痛也。取之然谷太溪。
脾脉上膈注心中。故痛如以锥刺其心。然谷当作漏谷。太溪当作天溪。盖上古之文。不无鲁鱼
之误。
厥心痛。色苍苍如死状。终日不得太息。肝心痛也。取之行间太冲。
肝主色而属春生之气。肝气厥逆。故色苍苍如死状。肝病则胆气亦逆。故终日不得太息。此肝
气逆乘于心。而为肝心痛也。取本经之行间太冲以疏逆气。
厥心痛。卧若徒居。心痛间。动作痛益甚。色不变。肺心痛也。取之鱼际太渊。
夫肺主周身之气。卧若徒然居于此者。气逆于内。而不运用于形身也。动作则逆气内动。故痛。
或少间。而动则益甚也。夫心之合脉也。其荣色也。肺者心之盖。此从上而逆于下。故心气不上出
于面而色不变也。取肺经之鱼际太渊以泻其逆。
真心痛。手足青至节。心痛甚。旦发夕死。夕发旦死。
夫四脏厥逆而为心痛者。从经脉而薄于心之分也。心为君主之官。神明出焉。故心不受邪。若伤其
脏真而为真心痛者。不竟日而死矣。盖心乃太阳之火。应一日而绕地一周。心气伤。故不终日而死。夫寒
热。天之气也。青赤。五行之色也。故真头痛者。寒至节。真心痛者。青至节。
心痛不可刺者。中有盛聚。不可取于俞。
此言心痛之因于气者。不可取之俞也。盛聚者。五脏之逆气太盛。聚于中而为心痛。非循脉之
上乘也。此节论五脏之经脉厥逆。而末结气证一条。盖以证明经气之各有别也。故只曰不可取于俞。
而不言其治法。
肠中有虫瘕。及蛟 。皆不可取以小针。心肠痛。 作痛。肿聚往来上下行。痛有休止。腹热
喜渴。涎出者。是蛟 也。以手聚按而坚持之。无令得移。以大针刺之。久持之。虫不动乃出针也。
腹 痛。形中上者。（ 音烹中平声）
此言虫瘕蛟 。而亦能为心痛也。虫瘕者。 瘕而成形也。蛟 者。蛔虫也。蛟 生于肠胃
之中。蛟 而为心痛者。六腑之气。亦上通于心也。虫瘕积于肠胃之外。虫瘕而为心痛者。心主神
明正大。端居于上。即宫城郛郭之间。亦不容其邪也。皆不取以小针者。谓不涉于经络皮肤也。
者。懊 不安也。肿聚者。虫聚而壅于胸腹之间。上行则痛。归下则安。故痛有休止也。虫瘕蛟 。
皆感湿热以生聚。故腹热。虫欲饮。故喜渴。虫动则廉泉开。故涎下也。见此诸证。是蛟 也。以
手聚按而坚持之。无令得移。以大针刺之。久持之。虫不动则虫已毙。而乃出针也。若腹 满而
心中懊 作痛者。乃瘕聚之形类。从中而上者也。沈亮宸曰。此与上节之击堕。下节之干耵聍。
皆不涉于经气者也。
耳聋无闻。取耳中。耳鸣。取耳前动脉。耳痛不可刺者。耳中有脓。若有干
耵聍。耳无闻也。耳聋取手小指次指爪
甲上与肉交者。先取手。后取足。耳鸣取手中指爪甲上。左取右。右取左。先取手。后取足。
此言经气之厥逆。从经而气。从足而手。自下而上也。故逆在上之经络。而为耳聋耳鸣者。即
从耳间之络脉以取之。若气之上逆而为耳聋耳鸣者。当取手足之指井。先取手而后取足。盖六气止
合六经。其逆盛而躁者在手。故阴阳二气。厥逆而为耳聋耳鸣者。从足而手。手而头也。若有脓而
痛者。有干耵聍。而耳聋无闻者。此又与经气无涉。故不可刺耳间之络脉。及手足之指井也。按小指
次指者。乃手少阳之关冲。手中指者。乃手厥阴之中冲。后取足者。乃足厥阴之大敦。手足三阴之
脉。皆不上循于头。亦非左络右而右络左。此因气之上逆。而为耳聋耳鸣也。盖耳者肾之窍。厥阴
主春。少阳乃初生之气。皆生于肾脏之水中。所生气之厥逆。则母脏之外窍不通。是以取手足之指
井。乃经气之所出也。夫首论厥头痛者。因气厥而及于经。次论厥心痛者。因脏厥以及于脉。乃脏
腑经气之相通也。此复论厥在经络者。即取之络。厥在气分者。即取手足之指井以疏其气。此经气
离合之道也。阴阳出入。寒暑往来。皆从地而出。自足而上。是以先取阳而后取阴。气自下而上也。
先取手而后取足。气从足而手也。沈亮宸曰。此论人经气上下。脏腑阴阳。各有分别。
足髀不可举。侧而取之。在枢合中。以圆利针。大针不可刺。病注下血。取曲泉。
此承上文而言经气之厥逆于下者。即从下而取之也。夫阴阳之气。虽从下而生。然上下升降。环
转无端。故有从下而逆于上者。有从上而逆于下者。皆随其所逆而取之也。足髀不可举者。少阳之
气厥于下也。侧而取之者。侧卧而取之也。合枢中。乃髀枢中之环跳穴。必深取而后得之。以圆利
针。而大针不可刺者。此逆在
气而不在经。故当浅刺于肤腠之间以疏气。不必深取之经穴也。病注下血者。此厥在气而入于经也。
厥阴肝经主血。此厥阴之气厥于经。故当取本经之曲泉以止血。夫气为阳。血为阴。上为阳。下为
阴。故气从下而上逆于经络者。则为气闭之耳聋耳鸣。气从上而下逆于经络者。则为病注下血。
风痹淫泺。病不可已者。足如履冰。时如入汤中。股胫淫泺。烦心头痛。时呕时闷。眩已汗出。
久则目眩。悲以喜恐。短气不乐。不出三年死也。
此论厥气之分乘于上下也。风痹淫泺。乃痹逆之风邪。淫泺于上下。盖风之善行而数变也。夫
阴阳之道。分则为三阴三阳。应于经脉。则又有手足之分。合而论之。总归于阴阳二气。水火者。
阴阳之征兆也。心肾者。水火之形脏也。风邪淫泺于上下。故病不可已。盖寒之则伤心主之火。热
之则伤肾脏之阴。病不可治。故不可已也。淫泺于下。故足如履冰。感寒水之气也。时或淫泺于上。
则如入汤中。感火热之气也。股胫淫泺。淫及于下之足胫。烦心头痛。淫及于上之头首也。时呕时
闷。有时而逆于中也。诸脉皆会于目。眩者。淫于经脉之血分也。毛腠疏则汗出。汗出者。淫于毛
腠之气分也。水之精为志。火之精为神。志与心精。共凑于目。故久则目眩也。喜为心志。恐为肾
志。心悲名曰志悲。悲以喜恐者。心肾之神志伤而悲泣也。肾为生气之原。短气者。伤其肾气也。
不乐者。伤其心气也。夫日以应火。月以应水。周天三百六十五度四分度之一。岁三百六十五日
有奇。日月一周天而复大会。不出三年死者。不过尽水火阴阳之数周而终也。此篇论厥逆为病。有
【厥论第二十四（上）】
厥头痛。面部浮肿，起身后感到心烦意乱。治疗应取足阳明经和足太阴经的穴位。
这一章论述了经脉之气和五脏之气发生厥逆所导致的疾病，因此以“厥”命名篇章。所谓三阴三阳，对应的是天地的六气；木、火、土、金、水，对应的是大地的五行。在天表现为气象，在地形成形体。大地的五行化生人体的五脏，天地的六气配合人体的六经。因此五脏之间是相通的，病气的传变有一定的次序。穴位的经气旋转运行，上下循环往复。如果不按照正常的次序传变，就会发生厥逆而致病。再进一步分析，天空中青、苍、素、元等五色之气，分布于五个方位，化生出大地的五行；大地的五行，又向上呈现为三阴三阳的六气。这是天地阴阳五运六气互相生成的关系。人也顺应这种规律，所以说：东方生风，风生木，木生酸，酸入养肝脏；南方生热，热生火，火生苦，苦入养心脏。这是五脏的形质和气机，生于大地的五行，而根本在于天地的六气。十二经脉，外部合应于六气，而根本在于脏腑的生成。这是脏腑与经气相互结合的道理。在《灵枢》和《素问》中，凡是提到太阳、少阳、阳明、太阴、少阴、厥阴，这是在论述六气，有时也涉及六经；如果提到肝、心、脾、肺、肾，这是在论述脏腑经脉，有时也涉及六气。这就是阴阳离合的道理。阴阳的出入，寒暑的往来，都从地面发出，自下而上运行。所以贤人上法天道以养护头部，下法地道以养护足部，中间旁通人事以养护五脏。如果失于调养，就会导致气机厥逆而发生头痛，脏气厥逆而发生心痛。阳明经的气，上行出于面部，厥逆之气上冲于头，所以导致头痛和面部浮肿。阳明经发生变动，就会出现心中悸动不安的症状，所以起身后感到心烦。这是阳明经的气上逆于头而导致厥头痛。所以应当取足阳明经的穴位。阳明经从中见太阴经的气化作用，所以兼取足太阴经的穴位。这说明厥逆发生在气分，尚未波及经脉。
厥头痛。头部血脉疼痛，心情悲伤容易哭泣。观察头部跳动的动脉，如果发现其搏动异常亢盛，针刺使其出血排尽，然后再调理足厥阴经。
这一段论述厥阴经的气，厥逆于上部，转入经脉，从而形成厥头痛。三阴三阳的气，都是从下往上运行的。有的厥逆仅在气分而未波及经脉，有的厥逆在气分并转入经脉。经气在体内体外相通，可以分离也可以聚合。所以第一节只论述气分的厥逆，从这里开始论述气分的厥逆进而波及到经脉。逆气在脉中，所以头部血脉疼痛。厥阴经主“阖”，如果“阖”的功能折损，则气绝而喜欢悲伤。逆气在气分，所以心情悲伤容易哭泣。观察头部疼痛处脉搏反常亢盛的，进行针刺，排尽瘀血，以泻除脉中的厥逆之气，然后再调理足厥阴经，以疏通其逆乱的气机。
厥头痛。头痛持续不止且固定不移，头部沉重且痛。应泻头上五行穴位，每行刺五穴。先取手少阴经穴位，后取足少阴经穴位。
这一段论述少阴经的气，厥逆于上部，转而波及太阳经的经脉，从而形成厥头痛。“贞贞”，意为坚固不移。头上的五行，指足太阳膀胱经的五处、承光、通天、络却、玉枕这五个穴位。少阴经和太阳经，主管水火阴阳之气，上下标本相合。所以先泻太阳经，其次取手少阴经，最后取足少阴经。沈氏说：阴阳六气，只合于六经，从足经到手经，所以先取手经后取足经。尚氏说：少阴经之上，由君火主事，所以先取手经后取足经。张开之说：沈氏论述六气合于六经，而有手足经的上下之分；尚氏论述六气有标本的上下之分。这两种说法都应该通晓。
厥头痛。意念容易遗忘，按压头部找不到痛点。应取头面两侧的动脉，然后再取足太阴经穴位。
这一段论述太阴经的气，厥逆于上部，波及头面的经脉，从而形成厥头痛。经文说：气偏并于上部，会导致神志混乱而喜忘。脾藏意，太阴经的气厥逆，导致脾脏的神志昏迷，所以容易遗忘。头主天气，脾主地气。按压找不到痛点，是因为地气上乘于天，进入头部内部。先取头面两侧的动脉，以泻除逆乱之气，后取足太阴经以调理脾气。莫云从说：头面两侧的动脉，属于足阳明胃经的脉络。
厥头痛。颈部先痛，腰部脊柱随之感应疼痛。应先取天柱穴，后取足太阳经穴位。
这一段论述太阳经的气，上逆于头部，从而形成厥头痛。阴阳六气，都沿着经脉上行。太阳经的脉，从头项向下沿行至腰脊。太阳经的厥头痛，颈部先痛，腰脊随之感应疼痛。这是逆气在气分，而应验于经脉。所以先取颈部的天柱穴以泻除逆气，后取足太阳经以调理。
厥头痛。头痛剧烈，耳前耳后的脉搏跳动汹涌，伴有热感。应泻出其血液，然后再取足少阳经穴位。
这一段论述少阳经的气，厥逆进入头项的经脉，从而形成厥头痛。少阳经之上，由相火主事。火气上逆，所以头痛剧烈，耳前后脉搏跳动汹涌且有热感。先泻出其血液，然后调理其气。以上论述了三阴三阳之气，因厥逆而导致头痛，并非由外邪引起。
真头痛。头痛非常剧烈，整个脑部都痛，手脚发冷直到关节。这是死证，无法治疗。
真头痛不是六气的厥逆，而是客邪侵犯脑部，所以头痛剧烈，全脑皆痛。头是诸阳之会，脑是精髓之海。手脚冷至关节，说明真气被邪气伤害，所以是死证，无法治疗。
头痛不可取特定穴位的，是由于被打或坠落受伤，恶血留在体内。如果肌肉损伤，疼痛尚未停止，可以在患处针刺，不可远取他处穴位。
这一段论述因击打坠落伤头而导致的头痛，不可取用常规的腧穴。因为受到击打坠落，恶血留在体内，如果肌肉受伤，疼痛未止，可以在疼痛局部进行针刺，不可远取其他腧穴。意思是说，头痛而在下部取穴，那是针对在下方的气机厥逆于上的情况，因为经气上下贯通。如果是外伤导致的疼痛，就不是经气的问题了。
头痛不可针刺的，是大痹证引起的恶疾。每天发作的，只能让它稍微减轻，不能治愈。
这一段说大痹证引起的头痛，也不可针刺其腧穴。大痹证，是风寒邪气客居于筋骨之间造成的严重病变。每天发作的，应当取治筋骨，可以让病情稍微减轻。如果不停止，也不能彻底治愈后再去针刺。这是说风寒邪气深入筋骨，所以不可取用腧穴，而且也不能立即痊愈。
偏侧头部寒冷疼痛。先取手少阳经和手阳明经穴位，后取足少阳经和足阳明经穴位。
这一段论述寒邪客居经脉导致的偏头痛。寒邪伤及营血，所以产生寒冷疼痛。手足三阳经的脉，上行环绕头部，左边的联络左边，右边的联络右边。伤在左边则左边痛，伤在右边则右边痛，不像厥气上逆那样通应于头部。手足少阳和阳明经的脉，都分别联络于头部的左右两侧。先取手经后取足经，是因为手经的脉上行至头部并与足经相交。不取太阳经，是因为太阳经位于中部。
按语：《灵枢》和《素问》两经，凡是论述六气的，后面列出一条经脉证候；凡是论述六经的，后面列出一条气分证候。这是先圣的一片苦心，希望后学者能够体察认识。沈亮宸说：千般灾难，不离三因。厥头痛，是内因的气机厥逆；真头痛，是淫邪侵犯脑部；大痹，是风寒逆于脉外；头半痛，是寒邪客于脉中。这些属于外因的疾病。有所击打的，属于不内外因。据此详细分析，病因都已穷尽。如果人们能谨慎调养，内在使血气和调，阴阳有序，外在使元气通畅，腠理固密，不让淫邪侵扰，更能保养身体、克制性情，没有击打坠落的忧患，就可以永远保全天然寿命，而没有夭折枉死的祸患。
厥心痛。疼痛牵引背部，容易痉挛抽搐，感觉像有人从背后触碰心脏，身体弯曲驼背，这是肾心痛。应先取京骨穴、昆仑穴，如果针刺后无效，再取然谷穴。
这一段论述五脏的经气厥逆，导致厥心痛。脏的真气通于心，心藏血脉之气。所以其他四脏的气厥逆，都会顺着经脉上乘于心。背部属阳，心是阳中之太阳，所以疼痛牵引背部，心和背相互对应。心脉拘急严重时会出现痉挛抽搐，像从背后触及其心脏一样。肾脏附着于脊柱，肾气从背部上行注入心脏。因为心痛，所以身体弯曲驼背而不能仰起。这是肾脏的气逆乱于心下导致疼痛。先取膀胱经的京骨、昆仑穴，从腑阳的角度泻除阴脏的逆气。如果针刺后无效，再取肾经的然谷穴。这是脏气厥逆，顺着经脉相乘，与六气无关，所以不说太阳、少阴，而直接说昆仑、然谷。
厥心痛。腹部胀满，胸部痞闷，心痛特别剧烈，这是胃心痛。应取大都穴、太白穴。
胃气上逆，所以腹部胀满，胸部痞闷。胃气上通于心，所以心痛特别剧烈。脾与胃通过膜相连，作为胃的转输枢纽，所以取脾经的大都、太白穴，以输泄胃的逆气。尚御公说：上一节是从腑泻脏，这一节是从脏泻腑，都是雌雄相合，经气交通的妙用。五脏的血气，都从胃腑产生，所以经文中凡是论述五脏，大多兼论胃。
厥心痛。疼痛像用锥子针刺心脏，心痛非常剧烈，这是脾心痛。应取然谷穴、太溪穴。
脾脉穿过膈肌注入心中，所以疼痛像锥刺心脏。然谷应当是漏谷，太溪应当是天溪。大概是上古的文字，难免有鲁鱼亥豕的错误。
厥心痛。面色青灰得像死人一样，整天不能深呼吸，这是肝心痛。应取行间穴、太冲穴。
肝主色，属于春生之气。肝气厥逆，所以面色青灰像死状。肝病则胆气也逆乱，所以整天不能深呼吸。这是肝气逆乱乘袭心脏，导致肝心痛。取本经的行间、太冲穴以疏泄逆气。
厥心痛。躺着或静坐时疼痛缓解，活动时疼痛加剧，面色不变，这是肺心痛。应取鱼际穴、太渊穴。
肺主周身之气。躺着或静坐时，气逆于内，而不运用于形体。活动时逆气在内扰动，所以疼痛。或者稍作缓解，但活动后疼痛更加剧烈。心合于脉，其华在色。肺是心的盖，这是从上往下逆乱，所以心气不能上出于面部，面色不变。取肺经的鱼际、太渊穴以泻除逆气。
真心痛。手脚青紫直到关节，心痛非常剧烈，早晨发病晚上死亡，晚上发病第二天早晨死亡。
四脏厥逆导致的心痛，是顺着经脉迫近心脏部位。心是君主之官，神明由此而出，所以心不受邪。如果伤害了脏真而导致真心痛，不到一天就会死亡。因为心乃太阳之火，对应一日绕地一周，心气受伤，所以不到一天就死亡。寒热是天地的气，青赤是五行的色。所以真头痛表现为手脚冷至关节，真心痛表现为手脚青紫至关节。
心痛不可针刺的，是因为胸中有积聚邪气，不可取用腧穴。
这一段说心痛由于气机原因导致的，不可取用腧穴。盛聚，是指五脏的逆气太盛，聚集在中焦导致心痛，不是顺着经脉上乘的情况。这一节论述五脏经脉厥逆，末尾总结了一条气证，以此来证明经气各有区别。所以只说不可取用腧穴，而不提治疗方法。
肠中有虫瘕，以及蛟螐（蛔虫），都不可用小针。如果心肠疼痛，腹中绞痛，肿块聚散无常，上下移动，疼痛有间歇，腹部发热，喜欢口渴，流口水，这是蛟螐（蛔虫）。用手按住肿块固定不动，用大针刺入，长时间持针，直到虫子不动才出针。
腹痛，形状中间高起的。（“烹”音，“中”平声）
这一段论述虫瘕和蛟螐也能导致心痛。虫瘕，是结成块状的寄生虫。蛟螐，是蛔虫。蛟螐生于肠胃之中，蛟螐导致心痛的，是因为六腑之气也上通于心。虫瘕积聚在肠胃之外，虫瘕导致心痛的，是因为心主神明，端居上位，即使是宫城郭墙之间，也不容许邪气存在。都不取用小针，是说这不涉及经络皮肤。
懊憹，是指心中烦闷不安。肿聚，是虫聚壅塞于胸腹之间，上行则痛，归下则安，所以疼痛有间歇。虫瘕和蛟螐，都感受湿热而生聚，所以腹部发热。虫想要饮水，所以喜欢口渴。虫动则廉泉穴开，所以流口水。见到这些症状，就是蛟螐。用手按住肿块固定不动，用大针刺入，长时间持针，虫子不动则虫子已死，然后出针。如果腹部胀满而心中烦闷作痛，这是瘕聚的形状类别，从中焦向上发展的。沈亮宸说：这与上一节的击打坠落，下一节的干耵聍，都不涉及经气。
耳聋听不见声音，取耳中穴位。耳鸣，取耳前动脉。耳痛不可针刺的，是因为耳中有脓，或者有干耵聍，导致耳朵听不见声音。耳聋取手小指和次指指甲角与肉交接处的穴位。先取手经，后取足经。耳鸣取手中指指甲角处。左侧取右侧，右侧取左侧。先取手经，后取足经。
这一段论述经气厥逆，从经到气，从足到手，自下而上运行。所以逆在上部经络导致的耳聋耳鸣，就从耳间的络脉取穴。如果是气机上逆导致的耳聋耳鸣，应当取手足指的井穴。先取手经后取足经。因为六气只合于六经，逆乱旺盛躁动的在手经，所以阴阳二气厥逆导致耳聋耳鸣，是从足到手，从手到头。如果有脓而痛，或者有干耵聍导致耳聋听不见，这又与经气无关，所以不可刺耳间络脉及手足指井穴。按语：小指次指，是手少阳经的关冲穴；手中指，是手厥阴经的中冲穴。后取足经，是足厥阴经的大敦穴。手足三阴经的脉，都不上行至头部，也不是左络右、右络左。这是因为气机上逆导致耳聋耳鸣。耳是肾之窍，厥阴主春，少阳是初生之气，都生于肾脏的水中。所生气机的厥逆，则母脏的外窍不通，所以取手足指的井穴，是经气发出的地方。首篇论述厥头痛，是因气厥波及经脉；次篇论述厥心痛，是因脏厥波及经脉，这是脏腑经气相通。这里再次论述厥在经络者，就取络脉；厥在气分者，就取手足指井穴以疏气。这是经气离合的道理。阴阳出入，寒暑往来，都从地面发出，自下而上。所以先取阳经后取阴经，因为气自下而上。先取手经后取足经，因为气从足到手。沈亮宸说：这一节论述人的经气上下、脏腑阴阳，各有分别。
大腿髀部不能抬起，侧卧取穴。穴位在枢合之中，用圆利针，大针不可刺。病势急迫下血，取曲泉穴。
这一段承接上文，论述经气厥逆于下部，就从下部取穴。阴阳之气，虽然从下而生，但上下升降，循环无端。所以有从下逆于上的，有从上逆于下的，都随着其逆乱的方向取穴。大腿髀部不能抬起，是少阳之气厥逆于下部。侧卧取穴，是侧身躺下取穴。合枢中，即髀枢中的环跳穴。必须深取才能得气。用圆利针，大针不可刺，是因为逆乱在气分而不在经脉，所以应当浅刺于肤腠之间以疏气，不必深取经穴。病势急迫下血的，这是厥逆在气分并进入经脉。厥阴肝经主血，这是厥阴之气厥逆于经脉，所以应当取本经的曲泉穴以止血。气属阳，血属阴；上属阳，下属阴。所以气从下向上逆乱于经络，就会导致气闭型的耳聋耳鸣；气从上向下逆乱于经络，就会导致病势急迫下血。
风痹淫泺（肢体酸痛无力），病情严重的无法治愈。脚像踩在冰上，有时像浸在热水中，大腿和小腿酸痛无力，心烦头痛，时而呕吐时而胸闷，眩晕后出汗，时间久了眼睛昏花，情绪悲喜无常且恐惧，气短不快，不出三年就会死亡。
这一段论述厥气分别乘袭于上下部位。风痹淫泺，是痹逆的风邪，淫泺于上下，因为风善于行走且变化多端。阴阳之道，分开则是三阴三阳，对应经脉则有手足之分，合起来论述，总归于阴阳二气。水火，是阴阳的征兆；心肾，是水火的形脏。风邪淫泺于上下，所以病情无法治愈。因为寒凉则会伤心主之火，温热则会伤肾脏之阴，病不可治，所以无法治愈。淫泺于下，所以脚像踩在冰上，这是感受寒水之气。有时淫泺于上，就像浸在热水中，这是感受火热之气。大腿和小腿淫泺，是淫及于下部的足胫。心烦头痛，是淫及于上部的头首。时而呕吐时而胸闷，是有时逆乱于中焦。所有经脉都汇聚于目，眩晕，是淫及于经脉的血分。毛腠疏松则出汗，出汗，是淫及于毛腠的气分。水的精微是志，火的精微是神。志与心精，共同凑集于目，所以时间久了眼睛昏花。喜是心志，恐是肾志。心悲叫做志悲。悲喜恐惧，是心肾的神志受伤而悲伤哭泣。肾是生气的源头，气短，是伤了肾气。不快，是伤了心气。日对应火，月对应水，周天三百六十五度四分之一，一年三百六十五日有余，日月绕天一周后再次大会。不出三年死亡，不过是耗尽了水火阴阳之数周而终结。这一篇论述厥逆致病，有
[Jue Lun Chapter 24 (Part 1/2)]
Jue headache. The face appears swollen, and upon rising, the patient feels vexed and irritable. Treatment should involve selecting points from the Foot-Yangming and Foot-Taiyin meridians.
This chapter discusses diseases caused by the rebellion of meridian qi and the five zang organs, hence the title "Jue" (Rebellion). The Three Yin and Three Yang correspond to the Six Qi of Heaven; Wood, Fire, Earth, Metal, and Water correspond to the Five Elements of Earth. In Heaven, they manifest as phenomena; on Earth, they form shapes. The Five Elements of Earth generate the Five Zang organs, while the Six Qi of Heaven coordinate with the Six Meridians. Thus, the Five Zang organs are interconnected, and the transmission of pathogenic factors follows a specific sequence. Acupoint qi rotates and circulates continuously up and down. If this sequence is disrupted, Jue (rebellion) occurs, leading to disease. Furthermore, the Qi of colors (cyan, white, red, black, yellow) in Heaven distributes across the five directions, generating the Five Elements of Earth; the Five Elements of Earth then manifest upward as the Six Qi of Three Yin and Three Yang. This is the mutual generation of Heaven and Earth's Yin-Yang, Wu Yun (Five Movements), and Liu Qi (Six Qi). Humans also resonate with this pattern. Thus it is said: The East generates Wind, Wind generates Wood, Wood generates Sour flavor, Sour flavor nourishes the Liver; the South generates Heat, Heat generates Fire, Fire generates Bitter flavor, Bitter flavor nourishes the Heart. These are the form and Qi of the Five Zang organs, born from the Five Elements of Earth but rooted in the Six Qi of Heaven. The Twelve Meridians externally coordinate with the Six Qi and are rooted in the generation of the Zang-Fu organs. This is the integration of Zang-Fu and Meridian Qi. In the *Ling Shu* and *Su Wen*, mentions of Taiyang, Shaoyang, Yangming, Taiyin, Shaoyin, and Jueyin refer to the Six Qi, sometimes extending to the Six Meridians. Mentions of Liver, Heart, Spleen, Lung, and Kidney refer to the Zang-Fu and Meridians, sometimes involving the Six Qi. This is the Dao of Yin-Yang separation and union. The entry and exit of Yin-Yang, the coming and going of Cold and Heat, all originate from the Earth and move upward from the feet. Therefore, the wise person models the Head after Heaven to nourish it, the Feet after Earth to nourish them, and the Middle region after human affairs to nourish the Five Zang organs. If this nourishment is neglected, Qi will rebel causing headache, and Zang Qi will rebel causing heart pain. Yangming Qi ascends to the face; rebellious Qi rushes upward to the head, causing headache and facial swelling. When Yangming undergoes change, it causes palpitations, so upon rising, the patient feels vexed. This is Yangming Qi rebelling upward to the head, causing Jue headache. Therefore, one should select points from the Foot-Yangming meridian. Yangming derives its transformation from the interiorly-exteriorly paired Taiyin; thus, points from the Foot-Taiyin are also selected. This indicates that the rebellion is in the Qi level and has not yet affected the meridians.
Jue headache. Pain in the head's vessels, sadness, and frequent weeping. Observe the pulsating arteries in the head; if they appear excessively full, puncture to exhaust the blood, then regulate the Foot-Jueyin meridian.
This section discusses Jueyin Qi rebelling upward and entering the meridians, resulting in Jue headache. The Qi of the Three Yin and Three Yang all moves upward from below. Some rebellions remain at the Qi level without affecting the meridians, while others enter the meridians. Meridian Qi connects internally and externally, capable of separating and merging. Hence, the first section only discusses Qi rebellion; from here onward, it discusses Qi rebellion extending to the meridians. Since the rebellion is in the vessels, there is pain in the head's vessels. Jueyin governs "closing" (He); if closing fails, Qi severs, leading to sadness. Since the rebellion is in the Qi, the patient feels sad and weeps easily. Observe the head pain area where the pulse is excessively full; puncture to exhaust the blood, thereby draining the vessel rebellion. Then regulate the Foot-Jueyin to unblock the rebellious Qi.
Jue headache. Persistent, fixed pain; heavy head and pain. Drain the five rows of acupoints on the head, five points per row. First select Hand-Shaoyin points, then Foot-Shaoyin points.
This section discusses Shaoyin Qi rebelling upward and affecting the Taiyang meridian, causing Jue headache. "Zhenzhen" means firm and immovable. The five rows on the head refer to the five points of the Foot-Taiyang bladder meridian: Wuchu, Chengguang, Tongtian, Luoque, and Yuzhen. Shaoyin and Taiyang govern Water and Fire, Yin and Yang Qi, combining upper and lower biao-ben. Thus, one first drains Taiyang, then selects Hand-Shaoyin, and finally Foot-Shaoyin. Mr. Shen states: The Six Qi of Yin-Yang combine only with the Six Meridians, moving from Foot to Hand, hence selecting Hand first then Foot. Mr. Shang states: Above Shaoyin, Ministerial Fire dominates, hence selecting Hand first then Foot. Zhang Kaizhi says: Shen discusses Six Qi combining with Six Meridians regarding Hand/Foot hierarchy; Shang discusses Six Qi regarding Biao-Ben hierarchy. Both views should be understood.
Jue headache. Forgetfulness; pressing yields no tenderness. Select arterial pulses on the left and right sides of the head and face, then select Foot-Taiyin points.
This section discusses Taiyin Qi rebelling upward and affecting the head and face meridians, causing Jue headache. The classic states: Qi aggregating in the upper part causes confusion and forgetfulness. The Spleen houses Yi (Intellect). Taiyin Qi rebellion causes the spirit of the Spleen to become confused, leading to forgetfulness. The Head governs Heavenly Qi; the Spleen governs Earthly Qi. Pressing finds no pain because Earthly Qi rises to Heaven, entering the interior of the head. First select arterial pulses on the head and face to drain rebellious Qi, then select Foot-Taiyin to regulate. Mo Yuncong says: The arterial pulses on the left and right of the head belong to the Foot-Yangming stomach meridian.
Jue headache. Neck pain precedes, with corresponding pain in the waist and spine. First select Tianzhu (BL10), then select Foot-Taiyang points.
This section discusses Taiyang Qi rebelling upward to the head, causing Jue headache. The Six Qi of Yin-Yang all ascend along the meridians. The Taiyang meridian runs from the head and neck down to the waist and spine. In Taiyang Jue headache, neck pain precedes, with corresponding pain in the waist and spine. This is rebellion in Qi manifesting in the meridians. Thus, first select Tianzhu at the neck to drain rebellious Qi, then select Foot-Taiyang to regulate.
Jue headache. Severe headache; surging pulses around the ears with heat sensation. Drain the blood, then select Foot-Shaoyang points.
This section discusses Shaoyang Qi rebelling into the head and neck meridians, causing Jue headache. Above Shaoyang, Ministerial Fire dominates. Fire Qi rebels upward, causing severe headache and surging, hot pulses around the ears. First drain the blood, then regulate the Qi. The above sections discuss how Qi of the Three Yin and Three Yang rebels to cause headache, not due to external pathogens.
True headache. Extremely severe headache; pain throughout the brain; cold hands and feet reaching the joints. This is a fatal condition, untreatable.
True headache is not a rebellion of the Six Qi, but rather an invading pathogen attacking the brain, causing severe, whole-brain pain. The head is the meeting place of all Yang meridians; the brain is the sea of essence and water. Cold hands and feet reaching the joints indicate that True Qi is damaged by pathogens, making it fatal and untreatable.
Headache cannot be treated by selecting distant acupoints if caused by trauma or falling, with bad blood retained internally. If muscle injury persists and pain remains, needle the local painful area; do not select distant points.
This section discusses headache caused by head trauma from blows or falls. Do not select standard acupoints. Due to trauma, bad blood is retained internally. If muscle injury persists with pain, needle the local painful area; do not select distant acupoints. This implies that selecting lower points for headache addresses Qi rebellion from below ascending upward, as meridian Qi connects vertically. Traumatic pain is not a matter of meridian Qi dynamics.
Headache cannot be needled if caused by severe Bi syndrome (obstruction). Daily attacks may be slightly alleviated but not cured.
This section states that headache caused by severe Bi syndrome also cannot be treated by needling acupoints. Severe Bi involves Wind-Cold pathogens lodging in sinews and bones, causing severe pathology. Daily attacks should be treated by addressing sinews and bones to achieve slight improvement. If unresolved, it cannot be cured immediately. This indicates Wind-Cold pathogens have penetrated deeply into sinews and bones; thus, acupoints are not suitable, and immediate cure is impossible.
Half-head cold pain. First select Hand-Shaoyang and Hand-Yangming points, then select Foot-Shaoyang and Foot-Yangming points.
This section discusses hemi-cephalgia caused by Cold pathogens lodging in meridians. Cold injures Ying (Nutrient) Blood, causing cold pain. The meridians of the three Yang limbs ascend to the head; left ones connect to the left, right ones to the right. Injury on the left causes left-sided pain, and vice versa, unlike Qi rebellion which affects the head generally. Hand and Foot Shaoyang and Yangming meridians connect to both sides of the head. Selecting Hand first then Foot is because Hand meridian Qi ascends to the head and intersects with Foot meridians. Taiyang is not selected because it occupies the central position.
Note: In the *Ling Shu* and *Su Wen*, discussions of Six Qi are followed by one meridian syndrome; discussions of Six Meridians are followed by one Qi syndrome. This is the sages' compassion, hoping students will comprehend. Shen Liangchen says: Among thousands of disasters, none exceed the Three Causes. Jue headache is internal Qi rebellion; True headache is invasive pathogens attacking the brain; Severe Bi is Wind-Cold reversing outside the vessels; Half-head pain is Cold pathogens lodging inside the vessels. These are external causes. Trauma is neither internal nor external. Analyzing these, all causes are exhausted. If one carefully nurtures oneself, harmonizing internal Blood and Qi, ordering Yin-Yang, ensuring external Yuan Zhen (Original Qi) flows freely, securing cou li (pores), preventing invasive pathogens, preserving the body and tempering nature, avoiding trauma, one can preserve natural lifespan without premature death.
Jue heart pain. Pain radiating to the back, spasms, feeling as if touched from behind, stooping posture. This is Kidney heart pain. First select Jinggu (BL64) and Kunlun (BL60). If ineffective after needling, select Ran Gu (KI3).
This section discusses rebellion of the Five Zang meridian Qi causing Jue heart pain. The True Qi of the Zang connects to the Heart, which houses the Qi of Blood vessels. Thus, rebellion of the other four Zang Qi ascends via meridians to the Heart. The Back is Yang; the Heart is Yang within Yang (Taiyang). Hence, pain radiates to the back, correlating Heart and Back. Extreme tension in Heart vessels causes spasms, feeling like being touched from behind. The Kidneys attach to the spine; Kidney Qi ascends from the back to the Heart. Due to heart pain, the patient stoops and cannot straighten up. This is Kidney Qi rebelling downward to the Heart causing pain. First select Jinggu and Kunlun of the Bladder meridian to drain the Yin Zang's rebellious Qi via the Yang Fu. If ineffective, select Ran Gu of the Kidney meridian. This is Zang Qi rebellion transmitting via meridians, unrelated to Six Qi; hence, names are Kunlun and Ran Gu, not Taiyang and Shaoyin.
Jue heart pain. Abdominal distension, chest fullness, especially severe heart pain. This is Stomach heart pain. Select Dadu (SP2) and Taibai (SP3).
Stomach Qi rebels upward, causing abdominal distension and chest fullness. Stomach Qi connects upward to the Heart, causing severe heart pain. The Spleen and Stomach are connected by membranes, serving as the transport hub for the Stomach. Thus, select Dadu and Taibai of the Spleen meridian to vent Stomach rebellious Qi. Mr. Shang Yugong says: The previous section drained Zang via Fu; this section vents Fu via Zang. Both utilize the subtle interaction of Yin-Yang and meridian Qi. The Blood and Qi of the Five Zang are generated by the Stomach Fu; hence, discussions of the Five Zang often include the Stomach.
Jue heart pain. Pain like needle pricks in the heart, extremely severe. This is Spleen heart pain. Select Ran Gu (KI3) and Taixi (KI3).
Spleen meridians pass through the diaphragm to the Heart, causing pain like needle pricks. Ran Gu should be Lougu, and Taixi should be Tianxi. Ancient texts often contain transcription errors.
Jue heart pain. Complexion cyanotic like a corpse, unable to sigh deeply all day. This is Liver heart pain. Select Xingjian (LR2) and Taichong (LR3).
The Liver governs color and belongs to Spring Wood Qi. Liver Qi rebellion causes a cyanotic complexion resembling death. Liver disease causes Gallbladder Qi to rebel, leading to inability to sigh deeply all day. This is Liver Qi rebelling against the Heart, causing Liver heart pain. Select Xingjian and Taichong of the same meridian to soothe rebellious Qi.
Jue heart pain. Pain relieves when lying still or sitting quietly, worsens with movement, complexion unchanged. This is Lung heart pain. Select Yuji (LU10) and Taiyuan (LU9).
The Lung governs Qi throughout the body. Lying still keeps Qi rebellious internally, not utilizing the body. Movement stirs internal rebellious Qi, causing pain. It may briefly relieve but worsens with activity. The Heart matches the vessels; its luster is in the complexion. The Lung is the canopy of the Heart. Rebellion from above downward prevents Heart Qi from ascending to the face, leaving the complexion unchanged. Select Yuji and Taiyuan of the Lung meridian to drain rebellious Qi.
True heart pain. Hands and feet turn cyanotic to the joints, severe heart pain. Death if onset in morning, death by evening; death if onset in evening, death by next morning.
Heart pain from the four Zang rebellion approaches the Heart via meridians. The Heart is the Monarch, housing Shen (Spirit); thus, it does not accept pathogens. If True Zang is injured causing True heart pain, death occurs within less than a day. The Heart corresponds to Solar Fire, circling the earth once a day. Heart Qi injury leads to death within a day. Cold and Heat are Qi of Heaven; Cyan and Red are Colors of the Five Elements. Thus, True headache presents with cold to joints; True heart pain presents with cyanosis to joints.
Heart pain cannot be needled if there is excessive accumulation internally; do not select acupoints.
This section states that heart pain caused by Qi issues cannot be treated by acupoints. Excessive accumulation refers to overly strong rebellious Qi of the Five Zang aggregating in the middle, causing heart pain, not ascending via meridians. This section discusses Five Zang meridian rebellion, concluding with a Qi syndrome to prove distinct meridian Qi characteristics. Hence, it only states "do not select acupoints" without specifying treatment methods.
Roundworms or abdominal masses in the intestines cannot be treated with small needles. If heart and intestinal pain occur, with cramping pain, migratory swelling, intermittent pain, abdominal heat, thirst, and salivation, these are roundworms. Press firmly to immobilize the mass, insert a large needle, hold for a long time until the worm stops moving, then remove the needle.
Abdominal pain with a raised middle shape. (Pronunciation note provided in original).
This section discusses how roundworms and masses can also cause heart pain. Roundworms form masses in the intestines. Roundworms causing heart pain occur because Fu Qi connects upward to the Heart. Masses accumulating outside the intestines cause heart pain because the Heart, governing Shen, resides centrally and high up, excluding pathogens. Small needles are not used because this does not involve meridians or skin.
"Aonao" refers to inner restlessness. Swelling and aggregation result from worms clogging the chest and abdomen; ascending causes pain, descending brings relief, hence intermittent pain. Roundworms arise from Damp-Heat, causing abdominal heat. Thirst arises as worms seek water. Worm movement opens Lianquan, causing salivation. These symptoms indicate roundworms. Press firmly, insert large needle, hold until worms die, then remove. Abdominal fullness with inner restlessness and pain indicates a mass type rising from the middle. Shen Liangchen says: Like the previous section on trauma and the next on cerumen, these do not involve meridian Qi.
Deafness and hearing loss: select acupoints in the ear. Tinnitus: select arterial pulse in front of the ear. Ear pain cannot be needled if there is pus or dry cerumen causing deafness. For deafness, select the point between the nail and flesh at the tip of the fourth finger of the hand. First select Hand meridian, then Foot meridian. For tinnitus, select the point on the nail of the middle finger of the hand. Left side treats right, right side treats left. First select Hand meridian, then Foot meridian.
This section discusses Qi rebellion moving from meridian to Qi, from Foot to Hand, upward from below. For deafness/tinnitus due to rebellion in upper meridians, select collateral vessels near the ear. For Qi rebellion causing deafness/tinnitus, select Jing-Well points of hands and feet. First Hand, then Foot. Because Six Qi combine with Six Meridians, and vigorous/rebellious Qi is in the Hand meridians, Yin-Yang rebellion causing deafness/tinnitus moves from Foot to Hand, Hand to Head. If pus or cerumen causes deafness/pain, it is unrelated to meridian Qi; thus, do not needle ear collaterals or finger Jing-Well points. Note: The fourth finger tip is Guanchong (TE1, Hand-Shaoyang); the middle finger tip is Zhongchong (PC9, Hand-Jueyin). The Foot meridian selected is Dazhun (LR1, Foot-Jueyin). The Three Yin meridians of Hand and Foot do not ascend to the head, nor do they cross laterally. This is due to Qi rebellion causing deafness/tinnitus. The ear is the orifice of the Kidney. Jueyin governs Spring; Shaoyang is initial Life Qi; both arise from Kidney Water. Rebellion of generated Qi blocks the mother organ's external orifice. Thus, selecting finger Jing-Well points accesses the source of meridian Qi. The first section discussed Jue headache (Qi rebellion affecting meridians); the second discussed Jue heart pain (Zang rebellion affecting meridians), showing Zang-Fu-Meridian connection. This section discusses rebellion in meridians (select collaterals) and Qi (select Jing-Well points), illustrating the separation and union of meridian Qi. Yin-Yang entry/exit, Cold/Heat cycles originate from Earth, moving upward. Hence, select Yang before Yin (Qi moves upward); select Hand before Foot (Qi moves from Foot to Hand). Shen Liangchen says: This section distinguishes the vertical flow of meridian Qi and the differentiation of Zang-Fu Yin-Yang.
Inability to lift the thigh: select while lying on side. Point is in the pivot joint (Huantiao GB30). Use a Yuanli needle; Da needle is contraindicated. For urgent bloody diarrhea, select Ququan (LR8).
This continues the discussion on Qi rebellion in the lower body, treating from below. Yin-Yang Qi originates below but circulates endlessly up and down. Rebellion can be upward or downward; treat according to direction. Inability to lift the thigh is Shaoyang Qi rebelling below. Side-lying selection refers to lateral recumbency. "He Shu Zhong" refers to Huantiao in the hip pivot. Deep insertion is required. Use Yuanli needle; Da needle is contraindicated because rebellion is in Qi, not the meridian itself. Superficial needling in the cou li suffices to disperse Qi; deep meridian needling is unnecessary. Urgent bloody diarrhea indicates Qi rebellion entering the meridian. Jueyin Liver governs Blood; Jueyin Qi rebellion in the meridian requires selecting Ququan of the same meridian to stop bleeding. Qi is Yang, Blood is Yin; Upper is Yang, Lower is Yin. Qi rebelling upward from below causes Qi-closure deafness/tinnitus; Qi rebelling downward from above causes urgent bloody diarrhea.
Wind-Bi with Yinluo (limb weakness/pain), incurable. Feet feel like walking on ice; sometimes feel like entering hot soup. Thighs and calves suffer Yinluo; vexation, headache, occasional vomiting and stifling, dizziness with sweating. Long-term: blurred vision, alternating sadness/fear, shortness of breath, depression. Death within three years.
This section discusses Jue Qi attacking upper and lower regions. Wind-Bi Yinluo is obstructive Wind pathogen moving up and down, characterized by Wind's mobility and variability. Yin-Yang splits into Three Yin and Three Yang, corresponding to Hand/Foot meridians, but fundamentally unites as Yin-Yang. Water and Fire are manifestations of Yin-Yang; Heart and Kidneys are their formative Zang organs. Wind pathogen moving up and down makes the condition incurable. Cooling damages Heart Fire; heating damages Kidney Yin. Unincurable. Yinluo below causes feet feeling like ice (Cold/Water Qi). Yinluo above causes feeling like hot soup (Heat/Fire Qi). Thigh/calf Yinluo affects lower limbs. Vexation/headache affects upper head. Vomiting/stifling affects middle jiao. All meridians converge at the eyes; dizziness indicates invasion of Blood level. Loose cou li causes sweating (Qi level invasion). Water's essence is Zhi (Will); Fire's essence is Shen (Spirit). Both gather at the eyes; long-term leads to blurred vision. Joy is Heart Will; Fear is Kidney Will. Sadness combined with joy/fear indicates Heart-Kidney Spirit damage. Kidney is root of Qi; shortness of breath indicates Kidney Qi injury. Depression indicates Heart Qi injury. Sun corresponds to Fire; Moon to Water. A celestial cycle is 365.25 degrees; a year is 365+ days. Sun and Moon reunite after one cycle. Death within three years signifies exhaustion of Water-Fire Yin-Yang cycles. This chapter discusses Jue rebellion diseases, including...