热而喘。刺足少阴。（王冰曰。涌泉大钟悉主之。涌泉在足心陷者中。足少阴脉所出。大钟在足跟后街中动脉。足少阴之
经也。）大便难。刺足少阴。（王冰曰。涌泉主之。）少腹满。刺足厥阴。（王冰曰。太冲主之。在足大趾本节后内间。动
脉应手。足厥阴脉之所主也。）如折。不可以俯仰。不可举。刺足太阳。（王冰曰。如折。束骨主之。不可以俯仰。京骨
昆仑悉主之。不可举。申脉仆参悉主之。束骨在足小趾外侧本节后。赤白肉际陷者中。足太阳脉之所注也。京骨在足外
侧大。骨下。赤白肉际陷者中。按而得之。足太阳脉之所过也。昆仑在足外踝后。跟骨上陷者中。细脉动应手。足太阳
脉之所行也。申脉在外踝下五分。容爪甲。阳跷之所生也。仆参在跟骨下陷者中。足太阳阳跷二脉之会。愚按王氏所取
之穴。不过承袭前人。或彼时医家任取。非出于经旨也。）引脊内廉。刺足少阴。（王冰曰。复溜主之。从腰痛上寒不
可顾。至此件经语。除注并合朱书。新校正云。按全元起本及甲乙经并太素。自腰痛上寒至此并无。乃王氏所添也。
今注云。从腰痛上寒。至并合朱书十九字。亦非王冰之语。盖后人所加也。）腰痛引少腹控 。不可以仰。（此复结足
太阴之络而为腰痛也。控、引也。 、季胁空处也。足太阴之络。从髀合阳明。上贯尻骨中。与厥阴少阳。结于下 。
而循尻。内入腹。上络嗌。故腰痛引少腹而控 也。腹 拘急。故不可以仰息。按此篇承上章之论腹中。而并记刺形身
之腰痛。足之三阴三阳。皆循腰而上下。而足太阴之脉。从股内廉。入腹属脾。以主腹中。是以首节只论少阴厥阴。而
不及于足太阴也。然太阴之支别。从髀贯尻。亦令人腰痛。故复记于篇末。以使后学知形身外内经络之各有别也。）刺腰
尻交者。两踝胂上。以月生死为 数。发针立已。（胂音申。腰尻交者。腰下胯骨间。乃足太阴厥阴少阳三脉左右交结于
其间。故曰腰尻交也。两踝即腰下两旁起骨。胂即两踝骨上陇起肉也。以月生死为数者。月生一日一 。二日二 。渐
多之。十五日十五 。十六日十四 。渐少之。盖月生则人之血气渐盛。月亏则人之血气渐衰。用针者。随气盛衰。以
为数。盖针过其日数则脱气。不及日数则气不泻。故以月之生死为期。张兆璜曰。月晦始苏曰朔。每月朔日。是月
始生之一日也。）左取右。右取左。（脉之大络。左注右。右注左。此邪客于大络。故当以左右两间取之。若在横解之浮
络。是又当总取 外廉之横脉矣。）
腰部发热且伴有气喘。针刺足少阴肾经。（王冰说：涌泉穴、大钟穴都主治此症。涌泉穴在足心凹陷处，是足少阴经脉所发出的穴位。大钟穴在足跟后侧动脉搏动处，属于足少阴经脉。）大便困难。针刺足少阴肾经。（王冰说：涌泉穴主治此症。）小腹部胀满。针刺足厥阴肝经。（王冰说：太冲穴主治此症。位于足大趾本节后的内侧间，按压有动脉跳动应手，是足厥阴经脉所主理的穴位。）腰痛感觉像折断一样，不能前后俯仰，也不能抬举身体。针刺足太阳膀胱经。（王冰说：感觉像折断一样，束骨穴主治；不能前后俯仰，京骨穴、昆仑穴都主治；不能抬举身体，申脉穴、仆参穴都主治。束骨穴在足小趾外侧本节后的赤白肉际凹陷处，是足太阳经脉所注的穴位。京骨穴在足外侧大骨下赤白肉际凹陷处，按压可触及，是足太阳经脉所过的穴位。昆仑穴在足外踝后方跟骨上的凹陷处，细脉跳动应手，是足太阳经脉所行的穴位。申脉穴在外踝下五分处，容纳指甲大小，是阳跷脉生发的地方。仆参穴在跟骨下的凹陷处，是足太阳经和阳跷脉交会的地方。我认为王氏所选用的穴位，不过是承袭前人的做法，或者是当时医家随意选取，并非出于《内经》的本旨。）腰痛牵引脊柱内侧。针刺足少阴肾经。（王冰说：复溜穴主治此症。从“腰痛上寒”到此处这段经文，除了注释并合并朱笔校订的文字外，新校正说：按全元起本及《甲乙经》、《太素》，从“腰痛上寒”到这里都没有这段文字，这是王冰添加的。现在注释中说“从腰痛上寒”至“并合朱书”十九个字，也不是王冰的话，大概是后人加上去的。）腰痛牵引少腹并牵掣季胁部位，不能仰卧。（这是再次总结足太阴脾经络脉导致的腰痛。控，即牵引之意； ，指季胁下方的空软处。足太阴脾的络脉，从大腿部汇合阳明经，向上贯穿尻骨中间，与厥阴经、少阳经在下部交会，然后沿着尻骨向内进入腹部，向上联络咽喉，所以腰痛会牵引少腹并牵掣季胁部位。腹部拘急，所以不能仰卧呼吸。按本篇承接上一章关于腹中的论述，同时记载刺治形体躯干的腰痛。足三阴经和三阳经都沿着腰部上下循行，而足太阴脾经，从大腿内侧进入腹部属脾，以主管腹中，所以第一节只讨论少阴经和厥阴经，而没有涉及足太阴经。然而太阴经的支别，从大腿贯穿尻骨，也会使人腰痛，所以在篇末再次记载，以使后学者知道形体内外经络各有区别。）针刺腰尻交会之处，两踝骨上方肿胀隆起处，根据月亮的盈亏变化来确定针刺的次数，针一发出病立愈。（胂音申。腰尻交会处，指腰下胯骨之间，是足太阴、厥阴、少阳三脉左右交结于其间，所以叫腰尻交。两踝即腰下两旁隆起的骨头，胂即两踝骨上隆起的肌肉。以月亮的盈亏作为针刺次数的是：月亮初生第一天刺一针，第二天刺两针，逐渐增多；第十五天刺十五针，第十六天刺十四针，逐渐减少。大概月亮初生时人的气血逐渐旺盛，月亮亏缺时人的气血逐渐衰弱。使用针刺的人，随着气血的盛衰来决定针刺次数。如果超过规定的日数就会耗伤正气，不及规定的日数则邪气不能泻出，所以以月亮的盈亏为期限。张兆璜说：每月初一称为朔，是每个月开始生长的第一天。）左侧病取右侧穴位，右侧病取左侧穴位。（人体大的络脉，左边注入右边，右边注入左边。这是邪气客居在大络中，所以应当在左右两侧之间取穴治疗。如果是横解的浮络，那就应当总取 外侧的横脉了。）
Heat accompanied by panting. Puncture the Foot-Shaoyin [Kidney] channel. (Wang Bing states: Yongquan [KI-1] and Dazhong [KI-4] both govern this condition. Yongquan is located in the depression at the center of the sole, where the Foot-Shaoyin channel emerges. Dazhong is located behind the heel at the pulsating artery, belonging to the Foot-Shaoyin channel.) Difficulty in defecation. Puncture the Foot-Shaoyin [Kidney] channel. (Wang Bing states: Yongquan [KI-1] governs this condition.) Fullness in the lower abdomen. Puncture the Foot-Jueyin [Liver] channel. (Wang Bing states: Taichong [LR-3] governs this condition. It is located between the medial side and the proximal interphalangeal joint of the great toe, where the arterial pulse is palpable, governing the Foot-Jueyin channel.) Pain feeling as if broken, inability to bend forward or backward, inability to lift the body. Puncture the Foot-Taiyang [Bladder] channel. (Wang Bing states: For the sensation of being broken, Shugu [BL-65] governs; for inability to bend forward or backward, Jinggu [BL-64] and Kunlun [BL-60] both govern; for inability to lift the body, Shenmai [BL-62] and Puxan [BL-61] both govern. Shugu is located in the depression at the red-white flesh margin, distal to the proximal interphalangeal joint on the lateral side of the fifth toe, where the Foot-Taiyang channel pours in. Jinggu is located in the depression at the red-white flesh margin under the large bone on the lateral side of the foot, palpable upon pressure, where the Foot-Taiyang channel passes. Kunlun is located in the depression posterior to the lateral malleolus above the calcaneus, where a fine pulse beats and is palpable, where the Foot-Taiyang channel travels. Shenmai is located five fen below the lateral malleolus, covering the width of a nail, from which the Yangqiao vessel originates. Puxan is located in the depression below the calcaneus, an intersection of the Foot-Taiyang channel and the Yangqiao vessel. I opine that the acupoints selected by Mr. Wang merely inherited previous practices, or were arbitrarily chosen by physicians of that time, not deriving from the original intent of the Classic.) Low back pain radiating to the medial aspect of the spine. Puncture the Foot-Shaoyin [Kidney] channel. (Wang Bing states: Fuliou [KI-7] governs this condition. Regarding the text "coldness ascending from low back pain" up to here, apart from annotations and combined vermilion corrections, the New Corrections state: According to the Quan Yuanqi edition, *Jia Yi Jing*, and *Tai Su*, there is no such text from "coldness ascending from low back pain" to this point; it was added by Wang Bing. The current annotation stating "from coldness ascending from low back pain" to "combined with vermilion corrections" totaling nineteen characters is also not Wang Bing's words, likely added by later generations.) Low back pain radiating to the hypochondrium and pulling the lower abdomen, inability to lie supine. (This reiterates the low back pain caused by the collateral of the Foot-Taiyin [Spleen] channel. 'Kong' means pulling/radiating; ' ' refers to the hollow area below the costal margin. The collateral of the Foot-Taiyin channel merges with the Yangming channel from the thigh, ascends through the middle of the sacrum, intersects with the Jueyin and Shaoyang channels in the lower region, follows the sacrum, enters the abdomen internally, and ascends to connect with the throat. Hence, low back pain radiates to the lower abdomen and pulls the hypochondrium. Abdominal tension causes inability to breathe while lying supine. Note: This chapter continues the discussion on abdominal conditions from the previous chapter and simultaneously records puncture treatments for somatic low back pain. The three Yin and three Yang channels of the foot all circulate up and down along the waist. The Foot-Taiyin channel, from the medial thigh, enters the abdomen and connects to the Spleen, governing the interior of the abdomen. Therefore, the first section only discusses the Shaoyin and Jueyin channels, omitting the Foot-Taiyin. However, the branch of the Taiyin channel, passing from the thigh through the sacrum, can also cause low back pain. Thus, it is recorded again at the end of the chapter to inform students of the distinct differences between internal and external meridians of the soma.) Puncture the intersection of the lumbar and sacral regions, at the swelling above the two ankles. Determine the number of needle insertions based on the waxing and waning of the moon; the effect will be immediate upon needling. ('Shen' sounds like 'shen'. The intersection of the lumbar and sacral regions refers to the space between the hip bones below the waist, where the Foot-Taiyin, Jueyin, and Shaoyang channels intersect left and right, hence called the lumbar-sacral intersection. The two ankles refer to the protruding bones on both sides below the waist; 'Shen' refers to the raised muscle above these ankle bones. Determining the count by the moon's phases: On the first day of the waxing moon, one insertion; on the second day, two insertions, increasing gradually; on the fifteenth day, fifteen insertions; on the sixteenth day, fourteen insertions, decreasing gradually. When the moon waxes, human Qi and Blood gradually flourish; when the moon wanes, they gradually decline. Acupuncturists adjust the number of insertions according to the fluctuation of Qi and Blood. Exceeding the prescribed number depletes Qi; falling short fails to drain pathogenic factors. Thus, the lunar cycle serves as the guideline. Zhang Zhaohuang states: The beginning of the month is called 'Shuo', representing the first day of the new moon's growth.) Treat the left side with points on the right, and the right side with points on the left. (The major collaterals of the vessels flow from left to right and right to left. This indicates pathogenic factors lodged in the major collaterals, requiring treatment by selecting points between the left and right sides. If dealing with superficial floating collaterals that have split horizontally, one should collectively treat the horizontal vessels on the lateral aspect of the )