足太阳脉令人腰痛,引项脊尻背如重状,刺其 中。太阳正经出血,春无见血。少阳令人腰痛,如以针刺
其皮中,循循然不可以俯仰,不可以顾,刺少阳成骨之端出血,成骨在膝外廉之骨独起者,夏无见血。阳明
令人腰痛,不可以顾,顾如有见者,善
悲,刺阳明于 前三 ,上下和之出血,秋无见血。足少阴令人腰痛,痛引脊内廉,刺少阴于内踝上二
,春无见血,出血太多,不可复也。厥阴之脉令人
腰痛,腰中如张弓弩弦,刺厥阴之脉,在 踵鱼腹之外,循之累累然,乃刺之,其病令人善言默默然不
慧,刺之三 。解脉令人腰痛,痛引肩,目KT KT 然,时遗溲,刺解脉,在膝筋肉分间 外廉之横脉出血,
血变而止。解脉令人腰痛如引带,常如折腰状,善恐,刺解脉,在 中结络如黍米,刺之血射以黑,见赤血而
已。同阴之脉,令人腰痛,痛如小锤居其中,
怫然肿,刺同阴之脉,在外踝上绝骨之端,为三 。阳维之脉令人腰痛,痛上怫然肿,刺阳维之脉,脉与
太阳合 下间,去地一尺所。衡络之脉令人腰痛,不可以俯仰,仰则恐仆,得之举重伤腰,衡络绝,恶血归
之,刺之在 阳、筋之间,上 数寸,衡居为二 出血。会阴之脉令人腰痛,痛上漯漯然汗出,汗干令
人欲饮,饮已欲走,刺直阳之脉上三 ,在跷上 下五寸横居,视其盛者出血。飞阳之脉令人腰痛,痛上
拂拂然,甚则悲以恐,刺飞阳之脉,在内踝上五寸,少阴之前,与阴维之会。昌阳之脉令人腰痛,痛引
膺,目KT KT 然,甚则反折,舌卷不能言,刺内筋为二 ,在内踝上大筋前太阴后,上踝二寸所。散脉令
人腰痛而热,热甚生烦,腰下如有横木居其中,甚则遗溲,刺散脉,在膝前骨肉分间,络外廉,束脉为三 。
肉里之脉令人腰痛,不可以咳,咳则筋缩急,刺肉里之脉为二 ,在太阳之外,少阳绝骨之后。腰痛侠脊而
痛至头KT KT 然,目KT KT 欲僵仆,刺足太阳
中出血。腰痛上寒,刺足太阳阳明;上热,刺足厥阴;不可以俯仰,刺足少阳;中热而喘,刺足少阴,
刺中出血。腰痛,上寒不可顾,刺足阳明;上热,刺足太阴;中热而喘,刺足少阴。大便难,刺足少阴。
少腹满,刺足厥阴。如折不可以俯仰,不可举,刺足太阳。引脊内廉,刺足少阴。腰痛引少腹控 ,不可以
仰,刺腰尻交者,两髁胂上,以月生死为 数,发针立已,左取右,右取左。
举痛论∶泣而(音涩)绌急(上丁骨切)
腹中论∶ (昨则切) 茹(上力居切,下音如)脖 (上蒲没切,下鸟郎切)喑(音阴)
刺腰痛论∶厌(于艳切)髁(苦瓦切) (音辽) 踵(丑用切)蠡沟(上卢启切,又落戈切)
嘿(音黑)小锤(直垂切)漯(他合切)撷(虎结切)眇(亡表切)
足太阳膀胱经的经脉使人发生腰痛,疼痛牵引项部、脊柱、尻部和背部,感觉像背负重物一样沉重。治疗时应针刺委中穴(腘窝横纹中点)。若刺足太阳正经出血,春季不宜放血。
足少阳胆经的经脉使人发生腰痛,痛感如同针刺在皮肤之中,身体拘急僵硬,不能前后俯仰,也不能左右回顾。治疗时应针刺足少阳经在成骨端出血,“成骨”是指膝盖外侧单独高起的骨头(腓骨小头),夏季不宜放血。
足阳明胃经的经脉使人发生腰痛,不能左右回顾,回顾时好像看见幻视,且容易悲伤。治疗时应针刺足阳明经膝下三寸处的足三里穴,上下配合调和后放血,秋季不宜放血。
足少阴肾经的经脉使人发生腰痛,疼痛牵引脊柱内侧。治疗时应针刺足少阴经在内踝上二寸处的复溜穴,春季不宜放血。如果放血过多,病情将无法恢复。
足厥阴肝经的经脉使人发生腰痛,腰部感觉像拉满弓弩的弦一样紧绷。治疗时应针刺足厥阴经的脉络,位置在小腿肚鱼腹状肌肉之外侧,触摸时有结节累累的感觉,然后进行针刺。这种病使人多言但神情沉默呆滞,反应迟钝。针刺三次即可。
解脉使人发生腰痛,疼痛牵引肩部,眼睛昏花看不清东西,时常遗尿。治疗应针刺解脉,位置在膝盖筋肉分界处外侧的横络血管,放出黑血直到血液变红为止。
解脉还使人发生腰痛,感觉像被带子牵引,经常像腰折断一样的状态,且容易恐惧。治疗应针刺解脉,在腘窝中央结聚的络脉如黍米大小处,针刺时见黑血射出,见到赤血即可停止。
同阴之脉使人发生腰痛,痛感像有小锤子居住在其中,局部郁结肿胀。治疗应针刺同阴之脉,位置在外踝上绝骨(腓骨)的末端,针刺三次。
阳维之脉使人发生腰痛,疼痛部位郁结肿胀。治疗应针刺阳维之脉,该脉与足太阳膀胱经汇合于承扶穴(臀横纹中点)下方,距离地面约一尺的地方。
衡络之脉使人发生腰痛,不能前后俯仰,仰身时恐怕跌倒。这是由于举重损伤腰部,导致横向的络脉断裂,恶血积聚所致。治疗应针刺位于飞扬穴与筋之间的穴位,向上数寸处,横向分布为两个穴位进行放血。
会阴之脉使人发生腰痛,疼痛部位漯漯然出汗,汗干后使人想喝水,喝完后又想走动。治疗应针刺直阳之脉上方三寸处,位置在跷脉上方五寸处横向分布的穴位,观察其血脉充盈盛实之处进行放血。
飞阳之脉使人发生腰痛,疼痛部位拂拂然不适,严重时会产生悲恐情绪。治疗应针刺飞阳之脉,位置在内踝上五寸,足少阴肾经之前,与阴维脉交会的地方。
昌阳之脉使人发生腰痛,疼痛牵引胸部,眼睛昏花看不清东西,严重时身体反折向后,舌卷缩不能说话。治疗应针刺内筋处的穴位两次,位置在内踝上大筋之前,足太阴脾经之后,上踝二寸处。
散脉使人发生腰痛且发热,热甚则生烦躁,腰部以下感觉像有一根横木卡在中间,严重时遗尿。治疗应针刺散脉,位置在膝盖前骨肉分界处,络脉外侧,束脉处针刺三次。
肉里之脉使人发生腰痛,不能咳嗽,咳嗽则筋脉收缩紧急。治疗应针刺肉里之脉两次,位置在足太阳膀胱经之外,足少阳胆经绝骨之后。
腰痛夹脊而痛,甚至放射至头部,眼睛昏花欲倒,治疗应针刺足太阳膀胱经的委中穴放血。
腰痛上部寒冷,针刺足太阳膀胱经和足阳明胃经;上部发热,针刺足厥阴肝经;不能俯仰,针刺足少阳胆经;中部发热且气喘,针刺足少阴肾经,并在委中穴放血。
腰痛,上部寒冷不能回顾,针刺足阳明胃经;上部发热,针刺足太阴脾经;中部发热且气喘,针刺足少阴肾经。大便困难,针刺足少阴肾经。小腹胀满,针刺足厥阴肝经。腰痛像折断一样不能俯仰,不能抬举,针刺足太阳膀胱经。疼痛牵引脊柱内侧,针刺足少阴肾经。腰痛牵引少腹并控引睾丸,不能仰身,针刺腰尻交合之处(即八髎穴中的次髎等,或指委中穴交叉取法,此处依原文“腰尻交者”通常指八髎或委中交叉,结合上下文及后世注家,多指刺八髎或委中,但原文特指“两髁胂上”,即腘窝外侧肌肉上,结合“左取右,右取左”,此为缪刺法,部位在腰尻交者,即第八椎下两旁,或指委中交叉。根据《内经》其他篇章及王冰注,此处“腰尻交者”指足太阳膀胱经与足少阴肾经在腰部的交会,或特指八髎穴区域,但“两髁胂上”更指向腘窝。然而,传统解释常将此句归于刺八髎或委中。此处依字面翻译:针刺腰尻交接之处,即两髋关节上方的肌肉处)。以月亮盈亏变化决定针刺次数,针发下去病立即停止,采用左病取右、右病取左的缪刺法。
《腹中论》中提到:“䐜”读作“昨则切”,“茹”读作“力居切”,“脖䐜”读作“蒲没切”和“鸟郎切”,“喑”音阴。
《刺腰痛论》注音:“厌髁”读作“于艳切”和“苦瓦切”,“䯄”音辽,“踵”丑用切,“蠡沟”读作“卢启切”或“落戈切”,“嘿”音黑,“小锤”直垂切,“漯”他合切,“撷”虎结切,“眇”亡表切。
The meridians of the Foot-Taiyang Bladder cause low back pain, with pain radiating to the nape, spine, sacrum, and back, feeling as if bearing a heavy burden. Treatment involves needling the Weizhong (BL-40) point [in the center of the popliteal crease]. If bleeding from the main channel of the Foot-Taiyang is performed, it should not be done in Spring.
The meridians of the Foot-Shaoyang Gallbladder cause low back pain, with a sensation like needles pricking the skin, stiffness preventing flexion and extension, and inability to look left or right. Treatment involves needling the end of the "Chenggu" bone for bleeding. The "Chenggu" refers to the prominent bone on the lateral side of the knee (head of fibula). Bleeding should not be performed in Summer.
The meridians of the Foot-Yangming Stomach cause low back pain, with inability to look left or right; looking may induce visual hallucinations, and the patient is prone to sadness. Treatment involves needling the Zusanli (ST-36) point [three cun below the knee] on the Foot-Yangming, harmonizing upper and lower, then bleeding. Bleeding should not be performed in Autumn.
The meridians of the Foot-Shaoyin Kidney cause low back pain, with pain radiating to the medial aspect of the spine. Treatment involves needling the Fuliu (KI-7) point [two cun above the medial malleolus] on the Foot-Shaoyin. Bleeding should not be performed in Spring. Excessive bleeding cannot be recovered from.
The meridians of the Foot-Jueyin Liver cause low back pain, with the waist feeling tight like the string of a drawn bow. Treatment involves needling the meridians of the Foot-Jueyin, located lateral to the gastrocnemius muscle ("fish belly"), where nodules are palpable. This condition causes excessive talking but silent, dull demeanor. Three needle insertions are sufficient.
The Jie Mai (Resolving Vessels) cause low back pain, with pain radiating to the shoulder, blurred vision, and occasional urinary incontinence. Treatment involves needling the Jie Mai, specifically the transverse vessels at the lateral margin of the intermuscular space between the knee muscles, bleeding until the blood changes color (from dark to red).
Jie Mai also cause low back pain, feeling like being pulled by a belt, often as if the waist were broken, accompanied by fearfulness. Treatment involves needling the Jie Mai, targeting the collateral networks clustered like millet seeds in the center of the popliteal fossa. Black blood shooting out indicates the correct vessel; stop when red blood appears.
The Tongyin Mai (Same Yin Vessel) cause low back pain, with a sensation like a small hammer lodged inside, accompanied by local swelling. Treatment involves needling the Tongyin Mai at the end of the Jiegu bone (fibular head) above the lateral malleolus, three needle insertions.
The Yangwei Mai (Yang Linking Vessel) cause low back pain, with swelling at the painful site. Treatment involves needling the Yangwei Mai where it joins the Foot-Taiyang Bladder meridian, approximately one chi below the gluteal fold (Chengfu BL-36 area).
The Hengluo Mai (Horizontal Collaterals) cause low back pain, preventing flexion and extension; extending the body may cause fear of falling. This results from lifting heavy objects causing injury to the waist, severing the horizontal collaterals, leading to accumulation of evil blood. Treatment involves needling between the Feiyang (BL-58) point and the tendons, several cun upward, targeting two horizontally arranged points for bleeding.
The Huiyin Mai (Meeting Yin Vessel) cause low back pain, with profuse sweating at the painful site. After sweat dries, thirst arises, followed by an urge to walk. Treatment involves needling the Shuyang Mai (Direct Yang Vessel) three cun above, located five cun above the Qiao Mai (Heel Vessel), horizontally arranged. Bleed where the vessels are full and distended.
The Feiyang Mai (Flying Yang Vessel) cause low back pain, with a fluttering discomfort; severe cases involve sorrow and fear. Treatment involves needling the Feiyang Mai, located five cun above the medial malleolus, anterior to the Foot-Shaoyin Kidney meridian, at the intersection with the Yinwei Mai.
The Changyang Mai (Rising Yang Vessel) cause low back pain, radiating to the chest, with blurred vision. Severe cases involve opisthotonos (body arching backward), tongue retraction, and inability to speak. Treatment involves needling the inner tendon twice, located anterior to the large tendon above the medial malleolus, posterior to the Foot-Taiyin Spleen meridian, two cun above the ankle.
The San Mai (Scattered Vessels) cause low back pain with heat; severe heat leads to irritability. A sensation of a horizontal blockage exists below the waist, potentially leading to urinary incontinence. Treatment involves needling the San Mai at the intermuscular space anterior to the knee, along the lateral margin of the collaterals, three needle insertions at the Shu Mai (Binding Vessel).
The Rouli Mai (Muscle Interior Vessel) cause low back pain, aggravated by coughing which leads to tendon spasm. Treatment involves needling the Rouli Mai twice, located lateral to the Foot-Taiyang Bladder meridian and posterior to the Jiegu bone of the Foot-Shaoyang Gallbladder meridian.
Low back pain flanking the spine radiating to the head, with blurred vision and impending collapse, is treated by bleeding the Weizhong (BL-40) point of the Foot-Taiyang Bladder meridian.
For low back pain with coldness in the upper part, needle the Foot-Taiyang Bladder and Foot-Yangming Stomach meridians; for heat in the upper part, needle the Foot-Jueyin Liver meridian; for inability to flex/extend, needle the Foot-Shaoyang Gallbladder meridian; for heat in the middle part with panting, needle the Foot-Shaoyin Kidney meridian and bleed at Weizhong.
For low back pain with coldness in the upper part preventing looking around, needle the Foot-Yangming Stomach meridian; for heat in the upper part, needle the Foot-Taiyin Spleen meridian; for heat in the middle part with panting, needle the Foot-Shaoyin Kidney meridian. For difficulty defecating, needle the Foot-Shaoyin Kidney meridian. For abdominal fullness, needle the Foot-Jueyin Liver meridian. For low back pain feeling like a fracture, preventing flexion/extension and lifting, needle the Foot-Taiyang Bladder meridian. For pain radiating to the medial spine, needle the Foot-Shaoyin Kidney meridian. For low back pain radiating to the hypochondrium/groin and testicles, preventing extension, needle the intersection of the lumbar and sacral regions (Baliao points or crossed Weizhong), specifically above the muscles of the lateral condyles. The number of needle insertions is determined by the waxing and waning of the moon. The disease stops immediately upon insertion. Use Left-Mirroring-Right (Mu Ci) technique: treat left side by needling right, and vice versa.
*Ju Tong Lun* (Treatise on Pain Caused by Lifting): "Qi" sounds like "Se"; "Chu Ji" is pronounced "Ding Gu Qie".
*Fu Zhong Lun* (Treatise on the Abdominal Center): "Dan" is pronounced "Zuo Ze Qie"; "Ru" is pronounced "Li Ju Qie"; "Bo Dan" is pronounced "Pu Mo Qie" and "Niao Lang Qie"; "Yin" sounds like "Yin".
*Ci Yao Tong Lun* (Treatise on Needling for Low Back Pain): "Ya Ke" is pronounced "Yu Yan Qie" and "Ku Wa Qie"; "Liao" sounds like "Liao"; "Zhong" is pronounced "Chou Yong Qie"; "Ligou" is pronounced "Lu Qi Qie" or "Luo Ge Qie"; "Mo" sounds like "Hei"; "Xiao Chui" is pronounced "Zhi Chui Qie"; "Ta" is pronounced "Ta He Qie"; "Xie" is pronounced "Hu Jie Qie"; "Miao" is pronounced "Wang Biao Qie".