足太阳之疟，令人腰痛头重，寒从背起，先寒后
热， 然，热止汗出，难已，刺 中出血。足少阳之疟，令人身体解 ，寒不甚，热不甚，恶见
人，见人心惕惕然，热多汗出甚，刺足少阳。足阳明之疟，令人先寒，洒淅洒淅，寒甚久乃热，热去汗
出，喜见日月光火气乃快然，刺足阳明跗上。足太阴之疟，令人不乐，好大息，不嗜食，多寒热汗
出，病至则善呕，呕已乃衰，即取之。足少阴之疟，令人呕吐甚，多寒热，热多寒少，欲闭户牖而处，
其病难已。足厥阴之疟，令人腰痛少腹满，小便不利如癃状，非癃也，数便，意恐惧气不足，腹中悒悒，刺足
厥阴。肺疟者，令人心寒，寒甚热，热间善
惊，如有所见者，刺手太阴阳明。心疟者，令人烦心甚，欲得清水，反寒多，不甚热，刺手少阴。肝疟者，
令人色苍苍然，太息，其状若死者，刺足厥阴见血。脾疟者，令人寒，腹中痛，热则肠中鸣，鸣已汗出，
刺足太阴。肾疟者，令人洒洒然，腰脊痛宛转，大便难，目 然，手足寒，刺足太阳少阴。胃疟者，令人且
病也，善饥而不能食，食而支满腹大，刺足阳明太阴横脉出血。疟发身方热，刺跗上动脉，开其空，出
其血，立寒。疟方欲寒，刺手阳明太阴、足阳明太阴。疟脉满大，急刺背俞，用中针旁伍 俞各一，适
肥瘦出其血也。疟脉小实，急灸胫少阴，刺指井。疟脉满大，急刺背俞，用五 俞背俞各一，适行至于血也。
疟脉缓大虚，便宜用药，不宜用针。凡治疟先发，如食顷乃可以治，过之则失时也。诸疟而脉不见，刺十
指间出血，血去必已，先视身之赤如小豆者尽取之。十二疟者，其发各不同时，察其病形，以知其何脉之病
也。先其发时如食顷而刺之，一刺则衰，
二刺则知，三刺则已，不已刺舌下两脉出血，不已刺 中盛经出血，又刺项以下侠脊者必已。舌下两脉者，
廉泉也。刺疟者，必先问其病之所先发者，先刺之。先头痛及重者，先刺头上及两额两眉间出血。先项背痛者，
先刺之。先腰脊痛者，先刺 中出血。先手臂痛者，先刺手少阴阳明十指间。先足胫 痛者，先刺足阳明十
指间出血。风疟，疟发则汗出恶风，刺三阳经背俞之血者。 痛甚，按之不可，名曰 髓病，以 针针绝
骨出血，立已。身体小痛，刺至阴。诸阴之井无出血，间日一刺。疟不渴，间日
而作，刺足太阳。渴而间日作，刺足少阳。温疟汗不出，为五十九刺。
足太阳经发生疟疾，使人腰痛、头重，寒气从背部升起，先出现寒战随后发热，热退后汗出，病情难以痊愈，应针刺委中穴出血。足少阳经发生疟疾，使人身体懈怠无力，寒战和发热都不严重，厌恶见人，见到人内心感到惊恐不安，发热多且汗出厉害，应针刺足少阳经穴位。足阳明经发生疟疾，使人先感到寒冷，瑟瑟发抖，寒冷持续很久才发热，热退后汗出，喜欢见到日光、月光或火光，感到舒适，应针刺足阳明经在足背上的穴位。足太阴经发生疟疾，使人心情不悦，喜欢长叹息，不想吃东西，寒热往来且汗出，病发时容易呕吐，呕吐后病情减轻，应立即取穴治疗。足少阴经发生疟疾，使人呕吐严重，寒热往来，发热多而寒战少，想要关闭门窗独处，这种病难以痊愈。足厥阴经发生疟疾，使人腰痛、小腹胀满，小便不利像癃闭的样子，但并非真正的癃闭，而是频繁排尿，心中恐惧、气短不足，腹部郁闷不舒，应针刺足厥阴经穴位。
肺疟，使人心中发冷，寒冷严重时发热，发热间隙容易受惊，好像看到了什么怪异的东西，应针刺手太阴肺经和手阳明大肠经穴位。心疟，使人心中极度烦闷，想要喝冷水，反而怕冷多、发热不明显，应针刺手少阴心经穴位。肝疟，使人面色苍青，经常叹气，神态像死人一样，应针刺足厥阴肝经见血。脾疟，使人发冷，腹中疼痛，发热时肠鸣，肠鸣停止后汗出，应针刺足太阴脾经穴位。肾疟，使人洒洒然畏寒，腰脊疼痛且身体转动困难，大便困难，眼睛昏花看不清，手足冰冷，应针刺足太阳膀胱经和足少阴肾经穴位。胃疟，使人即将发病时，容易饥饿但不能进食，进食后则胸胁胀满、腹部膨大，应针刺足阳明胃经和足太阴脾经在横脉处出血。
疟疾发作时身体正发热，刺足背动脉，开放其孔隙，放出血液，热度立刻消退。疟疾正要发冷时，刺手阳明大肠经、手太阴肺经、足阳明胃经、足太阴脾经。疟疾病人脉象满大而有力，急刺背部俞穴，使用中号针，在旁开五分的各一个背俞穴施针，根据病人肥瘦情况放出适量血液。疟疾病人脉象小而实，急灸胫部足少阴经穴位，刺手指末端的井穴。疟疾病人脉象满大而有力，急刺背部俞穴，使用五输穴和背俞穴各一穴，根据气血运行情况至出血为止。疟疾病人脉象缓大而虚弱，适宜用药治疗，不宜用针刺。
凡是治疗疟疾，要在发作前大约一顿饭的时间进行，过了这个时间就失去了最佳时机。各种疟疾如果脉搏摸不到，刺十指间出血，血去后病必愈，先观察身上有红色如小豆大小的斑点，全部刺破。十二种疟疾，发作时间各不相同，观察其病症表现，可以知道是哪条经脉患病。在发作前大约一顿饭的时间针刺，一次针刺病情减轻，两次针刺症状知晓（好转），三次针刺病愈，如果不愈，刺舌下两条脉络出血，还不愈，刺委中盛满的经脉出血，又刺项部以下夹脊的穴位，必定痊愈。舌下的两条脉络，就是廉泉穴。治疗疟疾，必须先询问病人哪里最先出现症状，就先刺哪里。先是头痛且身体沉重的，先刺头部及两额、两眉间出血。先是项部背部疼痛的，先刺那里。先是腰脊疼痛的，先刺委中穴出血。先是手臂疼痛的，先刺手少阴心经、手阳明大肠经十指间。先是足胫部疼痛的，先刺足阳明胃经十指间出血。
风疟，疟疾发作时汗出且恶风，刺三阳经背部俞穴出血。骨痛剧烈，按压不能缓解，名叫髓病，用铍针刺绝骨穴出血，立刻痊愈。身体轻微疼痛，刺至阴穴。所有阴经的井穴不可放血，隔日刺一次。疟疾不口渴，隔日发作，刺足太阳膀胱经。口渴且隔日发作，刺足少阳胆经。温疟不出汗，采用五十九刺法。
Malaria of the Foot-Taiyang Channel causes lower back pain and a heavy sensation in the head, with coldness arising from the back. It begins with chills followed by fever; when the fever subsides, sweat is discharged, and the condition is difficult to cure. One should puncture Weizhong (BL-40) to bleed. Malaria of the Foot-Shaoyang Channel causes the body to feel flaccid and weak, with mild chills and mild fever. The patient dislikes seeing people and feels fearful upon contact. There is much heat and profuse sweating; one should puncture the Foot-Shaoyang channel. Malaria of the Foot-Yangming Channel causes initial chills, shivering violently, with coldness persisting for a long time before heat appears. When the heat subsides, sweat is discharged. The patient finds relief in sunlight, moonlight, or firelight; one should puncture the point on the dorsum of the foot of the Foot-Yangming channel. Malaria of the Foot-Taiyin Channel causes dissatisfaction, frequent sighing, loss of appetite, alternating chills and fever with sweating. Upon onset, vomiting often occurs, and the condition improves after vomiting; treat it immediately. Malaria of the Foot-Shaoyin Channel causes severe vomiting, frequent chills and fever, with more heat than cold. The patient desires to stay indoors with doors and windows closed; this condition is difficult to cure. Malaria of the Foot-Jueyin Channel causes lower back pain and fullness in the lower abdomen, difficulty urinating resembling strangury but not true strangury, frequent urination, fear, qi deficiency, and abdominal depression; one should puncture the Foot-Jueyin channel.
Lung malaria causes coldness in the heart region, severe cold followed by heat, and fright during the intervals of fever, as if seeing something; puncture the Hand-Taiyin Lung channel and Hand-Yangming Large Intestine channel. Heart malaria causes extreme mental restlessness, desire for cold water, yet predominance of cold with little heat; puncture the Hand-Shaoyin Heart channel. Liver malaria causes a pale green complexion, frequent sighing, and a state resembling death; puncture the Foot-Jueyin Liver channel until blood appears. Spleen malaria causes chills and abdominal pain; when heat arises, there is borborygmus in the intestines, and sweating follows the cessation of borborygmus; puncture the Foot-Taiyin Spleen channel. Kidney malaria causes a shivering sensation, pain in the waist and spine with difficulty turning the body, difficulty in defecation, blurred vision, and cold hands and feet; puncture the Foot-Taiyang Bladder channel and Foot-Shaoyin Kidney channel. Stomach malaria causes hunger without ability to eat; after eating, there is distension and fullness in the abdomen; puncture the transverse vessels of the Foot-Yangming Stomach channel and Foot-Taiyin Spleen channel to bleed.
When malaria fever is just rising, puncture the arterial pulse on the dorsum of the foot, open the aperture, and discharge blood; the heat will subside immediately. When malaria chills are about to begin, puncture the Hand-Yangming Large Intestine channel, Hand-Taiyin Lung channel, Foot-Yangming Stomach channel, and Foot-Taiyin Spleen channel. If the pulse is full and large, urgently puncture the Back-Shu points on the back, using medium needles at one Back-Shu point beside each other, adjusting the amount of bleeding according to the patient's fatness or thinness. If the pulse is small and firm, urgently moxa the lower leg Shaoyin channel and puncture the Jing-well points of the fingers. If the pulse is full and large, urgently puncture the Back-Shu points, using one of each of the Five-Shu points and Back-Shu points on the back, allowing bleeding to occur naturally. If the pulse is slow, large, and deficient, medication is suitable, but acupuncture is not.
Generally, treating malaria should be done approximately the time it takes to eat a meal before the attack; delaying past this loses the correct timing. For various malarias where the pulse is imperceptible, puncture the spaces between the ten fingers to bleed; once blood is discharged, the disease will certainly cease. First, observe any red spots on the body like small beans and puncture them all. The twelve types of malaria have different onset times; observing the symptoms allows determination of which channel is affected. Puncture approximately the time it takes to eat a meal before the onset: one puncture reduces the severity, two punctures bring improvement, three punctures result in cure. If not cured, puncture the two vessels under the tongue to bleed. If still not cured, puncture the full vessels at Weizhong (BL-40) to bleed. Also puncture the points below the neck along the spine; this will certainly cure. The two vessels under the tongue are Lianquan (CV-23). In treating malaria, first ask where the symptoms began first, and puncture that area initially. If headache and heaviness start first, puncture the head, temples, and between the eyebrows to bleed. If neck and back pain start first, puncture that area. If lower back and spine pain start first, puncture Weizhong (BL-40) to bleed. If arm pain starts first, puncture the spaces between the ten fingers of the Hand-Shaoyin Heart channel and Hand-Yangming Large Intestine channel. If lower leg pain starts first, puncture the spaces between the ten toes of the Foot-Yangming Stomach channel to bleed.
Wind malaria presents with sweating and aversion to wind upon onset; puncture the Back-Shu points of the Three Yang channels to bleed. Severe bone pain that cannot be relieved by pressure is called Marrow Disease; puncture Xuanzhong (GB-39) with a Bi needle to bleed, and it will stop immediately. Mild body pain is treated by puncturing Zhiyin (BL-67). Do not bleed the Jing-well points of Yin channels; puncture every other day. For malaria without thirst occurring every other day, puncture the Foot-Taiyang Bladder channel. For malaria with thirst occurring every other day, puncture the Foot-Shaoyang Gallbladder channel. For Warm Malaria without sweating, apply the Fifty-Nine Acupoints Needling method.