二、原文、注释、语译及中译英 Original Text，Notes，Modern Chinese Translation，and English Translation

【原文】Original Text

偏枯，身偏不用而痛，言不变，志不乱，病在分腠之间，巨针取之，益其不足，损其有余，乃可复也。

痱之为病也，身无痛者，四肢不收；智乱不甚，其言微知，可治；甚则不能言，不可治也。病先起于阳，后入于阴者，先取其阳，后取其阴，浮而取之。

热病三日，而气口静、人迎躁者，取之诸阳，五十九刺，以泻其热，而出其汗，实其阴，以补其不足者。身热甚，阴阳皆静者，勿刺也；其可刺者，急取之，不汗出则泄。所谓勿刺者，有死征也。

热病七日八日，脉口动，喘而短者，急刺之，汗且自出，浅刺手大指间。

热病七日八日，脉微小，病者溲血，口中干，一日半而死。脉代者，一日死。

热病已得汗出，而脉尚躁，喘且复热，勿刺肤，喘甚者死。

热病七日八日，脉不躁，躁不散数，后三日中有汗；三日不汗，四日死。未曾汗者，勿腠刺之。

热病先肤痛，窒鼻充面，取之皮，以第一针，五十九，苛轸鼻，索皮于肺，不得索之火，火者，心也。

热病先身涩，倚而热，烦悗，干唇口嗌，取之皮，以第一针，五十九；腹胀口干，寒汗出，索脉于心，不得索之水，水者，肾也。

热病嗌干多饮，善惊，卧不能起，取之肤肉，以第六针，

五十九；目眦青，索肉于脾，不得索之木，木者，肝也。

热病面青，脑痛，手足躁，取之筋间，以第四针，于四逆；筋躄目浸，索筋于肝，不得索之金，金者，肺也。

热病数惊，瘛疭而狂，取之脉，以第四针，急泻有余者，癫疾毛发去，索血于心，不得索之水，水者，肾也。

热病身重骨痛，耳聋而好瞑，取之骨，以第四针，五十九，刺骨；病不食，啮齿耳青，索骨于肾，不得索之土，土者，脾也。

热病不知所痛，耳聋，不能自收，口干，阳热甚，阴颇有寒者，热在髓，死不可治。

热病头痛，颞颥，目脉痛，善衄，厥热病也，取之以第三针，视有余不足，寒热痔。

热病，体重，肠中热，取之以第四针，于其腧，及下诸指间，索气于胃络，得气也。

热病挟脐急痛，胸胁满，取之涌泉与阴陵泉，取以第四针，针嗌里。

热病，而汗且出，及脉顺可汗者，取之鱼际、太渊、大都、太白。泻之则热去，补之则汗出，汗出太甚，取内踝上横脉以止之。

热病已得汗而脉尚躁盛，此阴脉之极也，死；其得汗而脉静者，生。

热病者，脉尚盛躁而不得汗者，此阳脉之极也，死；脉盛躁得汗静者，生。

热病不可刺者有九：一曰：汗不出，大颧发赤哕者死；二曰：泄而腹满甚者死；三曰：目不明，热不已者死；四曰：老人婴儿，热而腹满者死；五曰：汗不出，呕下血者死；六曰：舌本烂，热不已者死；七曰：咳而衄，汗不出，出不至足者死；八曰：髓热者死；九曰：热而痉者死。腰折，瘛疭，齿噤也。凡此九者，不可刺也。

所谓五十九刺者，两手外内侧各三，凡十二痏。五指间各一，凡八痏，足亦如是。头入发一寸傍三分各三，凡六痏。更入发三寸边五，凡十痏。耳前后口下者各一，项中一，凡六痏。巅上一，囟会一，发际一，廉泉一，风池二，天柱二。

气满胸中喘息，取足太阴大指之端，去爪甲如薤叶，寒则留之，热则疾之，气下乃止。

心疝暴痛，取足太阴厥阴，尽刺去其血络。

喉痹舌卷，口中干，烦心，心痛，臂内廉痛，不可及头，取手小指次指爪甲下，去端如韭叶。

目中赤痛，从内眦始，取之阴。

风痉身反折，先取足太阳及腘中及血络出血，中有寒，取三里。

癃，取之阴及三毛上及血络出血。

男子如蛊，女子如怚，身体腰脊如解，不欲饮食，先取涌泉见血，视跗上盛者，尽见血也。

【注释】Notes

［1］痱：音义同“废”。痱又称为“风痱”，同偏枯一样，皆有一侧肢体痿废不用，但二者有所区别，偏枯无意识障碍，风痱有意识障碍，相当于中风病中脏腑的阶段。

［2］窒：阻塞之意。

［3］苛轸鼻：苛，细小；轸，音义同“疹”。苛轸鼻，即鼻子上生细小的疹子。

［4］瘛疭：可理解为痉挛、抽搐。

［5］躄：跛脚。筋躄，可理解为足不能行走之意。

［6］瞑：闭眼。

［7］颞颥：指眉棱骨外后方的颞骨。

［8］嗌里：即廉泉穴。嗌有咽喉之意。

［9］秽：表形声，呃逆之声。

［10］：表示疮，瘢痕之意，此指腧穴。

［11］叶：蔬菜类植物，指韭菜叶。

［12］心疝：是一种由心气郁积引起的疝病，以少腹部疼痛、有积块为证候特点。

［13］喉痹：是咽喉部因气血瘀阻或者痰火上泛而闭塞不通的疾病。

［14］蛊：指人体内的寄生虫。

［15］怚：怚，音“据”，《甲乙经》作“阻”讲，有阻隔之意。

【语译】Modern Chinese Translation

偏枯病，表现为半身不遂且疼痛，如果患者言语如常，神志清楚，表明病邪尚在分肉腠理之间，并未入里。治疗时可以让患者卧床并发汗，再用九针中的大针治疗。补其不足，泻其有余，就可以康复了。

痱病的症状，身上没有疼痛的感觉，四肢弛缓，不能屈伸，神志有些混乱，但不严重，语言虽然模糊，但令人可辨，病情较轻，尚可以治疗；如果病情严重，已经不能言语的，就难以治疗了。如果痱病先起于阳分，而后深入阴分，治疗时应该先取阳经，后取阴经。对于痱病的治疗，针刺的程度应该比较浮浅。

热病的第三天，如果气口的脉象平稳，而人迎部的脉象躁动，这是邪在表而未入里，治疗可选阳经上治疗热病的59个腧穴进行针刺，以达到祛除在表之热邪，使邪气随汗而解的作用。同时实其阴经，益阴经的不足。发热很严重的患者，气口和人迎的脉象都显得很沉静，此为阳病见阴证，一般不允许针刺；如果还有针刺的可能性，就必须用疾刺法，虽没有汗出，但依然可泻出热邪。所谓不能针刺，是由于脉证不符，而见死证的征象。

热病已经七八天，寸口的脉象躁动，患者气喘而头晕眩的，应马上针刺治疗，使汗出热散，应取手大指间的穴位浅刺。

热病已经七八天，若是脉象微小，是正气不足的表现，病人尿血，口中干燥，是阳盛阴竭，一天半即将死亡；若是见到代脉，是脏气已衰，一日就会死亡。

热病已经出汗，可是脉象还是躁而不静，气喘，并且不久热势又起的，不可针刺。若是气喘加剧，就会死亡。

热病已经七八天，脉象已经不躁，或是有躁象但不散不疾者，是邪气犹在，在后面的三天之中，能发汗的，邪气随汗而解；若是3天后仍未汗出，是正气已衰，到第四日死亡。在没有得汗的情况之下是不能针刺的。

热病患者，先有皮肤痛、鼻塞、面部浮肿症状的，是热伤皮毛的证候，治疗的时候应该浅刺各经的皮部，由九针中的第一针（镵针）在热病的五十九腧穴中选穴针刺；若是鼻生小疹，也是邪在皮毛的表现，因肺合皮毛，因此治疗要从肺经入手。如治疗无效，应从属火的心经腧穴入手治疗，因为火热属心，心火克制肺金。

热病初起，感到身体艰涩不爽，心中烦闷，唇燥咽干，应当刺其血脉，用九针中的第一针（镵针），在热病五十九穴中选穴施针。若是腹胀，口中干，出冷汗，是邪在血脉，因心主血脉，因此当治疗心经的腧穴。如治疗无效，应从属水的肾经腧穴入手，因为肾水能克心火。

热病，表现为咽中干，口渴喜饮，易受惊吓，不能安卧的，是邪客肌肉的病变，治疗时应用九针中的第六针（员利针）针刺热病五十九穴中的穴位。若眼角色青，属于脾经的病变，脾主肉，所以治疗时应当针刺至肌肉，从脾经入手。如治疗无效，应从肝主之木进行论治，因为肝木克脾土。

热病，面色青，头脑中痛，手足躁动等症，是邪客于筋的病变，治疗时应当针刺至筋。当用九针中的第四针（锋针），在手足四肢不利的地方施针。若是足不能行，泪出而不止，属于肝经的病患，肝主筋，所以刺至筋，也就是从肝论治。如无效，应从肺金论治，因为肺金克肝木。

热病，表现为惊多次发作，手足抽搐，精神狂乱，是邪热入心。治疗时应该深刺直至血络，用九针中的第四针（锋针），迅速泻其有余的邪热。若是时发癫病，毛发脱落，属于心经的病患，应治心所主之血脉。如无效，则应从肾水论治，因为肾水克制心火。

热病，表现为身体酸重，周身骨节疼痛，耳聋，双目常闭不欲开的症状，是邪热入肾，应刺深至骨，用九针中的第四针（锋针），在热病五十九穴中选穴施针。若是骨病而不能食，牙齿相磨，双耳色青，属于肾经的病患，应当刺骨，是肾经所主。如无效，则应从脾土论治，因为脾土克肾水。

热病，表现为不知疼痛，耳聋，四肢不能灵活收放，口干，阳气偏盛的时候发热，阴气偏盛的时候发冷，这是邪热深入骨髓的证候，是死证，无可救治。

热病，表现为头痛，鬓骨的部位和眼睛周围的筋脉抽搐作痛，易出鼻血，这是厥热病，是热邪逆于上的病证，治疗时应用九针当中的第三针（针），根据其病情的虚实，以泻其有余，补其不足。热厥病当中还应该注意，常会有寒热痔疮的发生。

热病，表现为身体沉重，胃肠灼热的，为邪热在脾胃所致，可以用九针中的第四针（锋针），刺脾胃两经的腧穴，并取在下部的各足趾间的穴位。同时还可以针刺胃经的络脉，得气为佳。

热病，表现为脐周围突然疼痛，胸胁满胀，是邪在足少阴、太阴两经的表现，治疗时应用九针中的第四针刺涌泉穴与阴陵泉穴，因肾、脾二经均上络于咽喉部位，故又可针刺舌下的廉泉穴。

热病，汗出后，脉象表现为安静的，为顺，是阳证得阳脉，脉证相合，表明可以继续发汗，针刺手太阴肺经的鱼际、太渊、大都、太白穴，用泻法刺之则热去，若是用补法就可以继续发汗。汗出太过的，可以针刺内踝上的三阴交穴，泻之则汗止。热病，虽然出了汗，但是脉象仍然躁盛的，这是阴气欲绝，孤阳不敛，为死证；出汗之后脉象即平静安顺的，是顺证，预后良好。

热病脉象躁盛，但是已不能出汗的，这是阳气欲绝的死证；脉象躁盛，但发汗之后脉象马上表现为平静的，预后良好。

热病有9种情况是禁用针刺疗法的：第一，不出汗，两颧发红、呃逆，是虚阳上越的死证；第二，泄泻、腹中胀满严重的，为脾气败绝的死证；第三，双目视物不清、发热不退，是精气衰竭的死证；第四，老人和婴儿，发热而腹中满胀，这是邪热伤脾的死证；第五，不出汗，呕血、下血，为阴血耗伤的死证；第六，舌根已烂，热仍不止，为阴气大伤的死证；第七，咳血衄血，不出汗，即使是出汗，也达不到足部的，为真阴耗竭的死证；第八，热邪已入骨髓，是肾阴衰竭的死证；第九，发热而出现痉病，是耗伤阴血，热极生风的死证，发热而出现痉病时，会出现腰背角弓反张、抽搐、口噤不开和牙齿切磨的表现。上述9种情况，都是热邪过盛、真阴耗竭的死证，故不可施针。

什么是热病针刺常用的59个穴位呢？两手指端外侧各三穴，内侧亦各三穴，左右共十二穴；在五指之间各有一穴，双手共为八穴，双足亦是如此；头部入发际一寸处两旁开各三穴，共六穴，在入发际三寸处的两旁各五穴，双侧共十穴；耳前后各一穴，口下一穴，项中一穴，共为六穴；巅顶一穴，囟会一穴，前后发际各一穴，廉泉一穴，左右风池共二穴，左右天柱共二穴，共计九穴。上述各部位的穴位合起来一共是59个穴。

胸中气满，喘息急促，治疗时应取足太阴大趾之端的穴位，位置在距爪甲角如韭菜叶宽的地方。若是寒证，就用留针的方法治疗；若是热证，就用疾刺法治疗，直到上逆之气下降，喘息停止为止。

心疝病，表现为腹中突然剧痛的，应针刺足太阴经和足厥阴经，使用放血的疗法，尽数祛除其经脉上的血络，以泻其邪。

喉痹，舌卷曲不伸，口干，心烦、心痛，手臂内侧疼痛，不能上举到头部，治疗可针刺手环指小指侧的指端穴位，据爪甲约有韭菜叶宽的位置上。

双目红赤疼痛，从内眼角起，内眼角是阴阳蹻脉会合之处，治疗时可以取用阴蹻脉的起点照海穴施针。

风痉出现颈项强直，角弓反张等症状，应该先取足太阳经脉及腘窝中的委中穴施针，并在浅表的络脉上刺血络出血。内有寒的，应取足阳明经的足三里穴。

癃闭，治疗时可以取用阴蹻脉的起点照海穴，和足厥阴经位于足大趾外侧三毛上的大敦穴，并在表浅的血络上放血以泻邪气。

男子患了像疝瘕一样的蛊病，女子患了月经阻隔的病，表现为腰脊如同要分解开一样疼痛，不思饮食，治疗时应先点刺涌泉穴出血，观察足背上有血络盛满的地方，也要全部点刺出血，以泻邪气。

【中译英】English Translation

Pianku1means half of the body is unmovable and painful.［But the patient can］speak normally and is in the right mind.The disease is located in the muscular interstices［and can be treated by］large needle.［if the disease is］Xu（Deficiency）［in nature，it should be needled with］reinforcing［techniques］；［if the disease is］Shi（Excess）［in nature，it should be needled with］reducing［techniques］.［After being treated with such a differential therapy，the patient will eventually］recover.

Fei2disease，［characterized by］no pain in the body，inability of the four limbs to move，normal mental state and weak and low voice is curable.［If the patient］cannot speak［because of the severity of the disease］，［it is］incurable.［If］the disease first starts from the Yang phase and then deepens into the Yin phase，［the Acupoints on］the Yang［Channels are］needled first and then［the Acupoints on］the Yin［Channels are］needled.［The needles are］inserted shallowly.

Heat disease occurring for three days with quiet［pulsation over］Qikou（wrist）and hasty［pulsation over］Renying（neck）［can be treated by］needling the59 Acupoints on the Yang［Channels for treating heat diseases］in order to reduce heat and induce sweating.［The needling techniques for］reinforcing the Yin［Channels can be used］to improve the insufficiency［of the three Yin Channels］.［If the patient is running］a fever［but］Yin and Yang3are all quiet，acupuncture therapy should not be used.［If the disease can be treated by］needling，［needling therapy must be］given immediately.［Even if the patient］does not sweat，［pathogenic factors will be］expelled［through needling］.［The reason that some of the patients］cannot be treated by needling［is that they have already showed the signs of］deterioration.

Heat disease occurring for seven or eight days withhasty pulsation over Maikou（wrist），panting and shortness of breath［should be treated］immediately by needling to induce sweating.［The Acupoint located on the Lung Channel of Hand-Taiyin］on the thumb［should be］needled with shallow［needling techniques］.

Heat disease occurring for seven or eight days with indistinct pulse，bloody urine and dry mouth will lead to death after one and a half days.［If］the pulse is Dais（low，regular and intermittent pulse），［the patient］will die after one day.

Heat disease with perspiration，rapid pulse，panting and fever all over the body should not be treated by needling［lest Zhengqi（Healthy-Qi）be damaged］.［If］panting becomes worse，［the patient］will die.

［When］heat disease has lingered for seven or eight days without hasty pulse or with hasty pulse that is not rapid and scattered，［the patient will recover if］perspiration occurs after three days.［If there is］no sweating after three days，［the patient］will die on the fourth day.［The heat disease］without sweating［is due to decline of Zhengqi（Healthy-Qi）and］cannot［be treated by］needling.

Heat disease initially complicated by pain in the skin，nasal stuffiness and facial dropsy［can be treated by］shallow needling the skin with the first needle［among the Nine Needles］.The59［Acupoints for treating heat diseases can be selected to needle］.［If there are］small skin eruptions in the nose，［the Acupoints on the Lung Channel of Hand-Taiyin can be needled to treat it because］the skin［is controlled by］the lung.［But the Acupoints on the Heart Channel of Hand-Shaoyin that pertain to］Fire cannot be selected［because］Fire［in the Wuxing（Five Elements）matches with］the heart.

Heat disease initially complicated by coarseness and dryness of the skin，lassitude of the limbs，dysphoria，fever，dry lips，mouth and throat［can be treated by］needling the skin with the first needle［among the Nine Needles］.The59［Acupoints for treating heat diseases can be selected to needle］.［If there are the symptoms of］skin distension，dry mouth and cold sweating，［it is caused by invasion of pathogenic factors in the Heart Channel of Hand-Shaoyin because the heart controls blood vessels］.［So the Acupoints located on］the Heart［Channel can be］selected.［But the Acupoints located on the Kidney Channel that pertains to］Water cannot be selected［because］Water is related to the kidney.

Heat disease［with the symptoms of］dry throat，excessive drinking of water，frequently being frightened and inability to get up from bed［can be treated by］needling［the Acupoints located in］the muscular interstices with the sixth needle［among the Nine Needles］.The59［Acupoints for treating heat diseases can be selected to needle］.［If］the canthus is blue，［it shows disorder of the Spleen Channel.］［Since the spleen controls muscles，needling the Acupoints located in the］muscular interstices［can treat diseases of］the Spleen［Channel］.［But the Acupoints located on the Liver Channel that pertains to］Wood［in the Wuxing（Five Elements）］cannot be needled［because］Wood［matches with］the liver.

Heat disease［with the symptoms of］blue complexion，pain in the brain，restlessness of the hands and feet［can be treated by］needling［the Acupoints located between］tendons with the fourth needle［among the Nine Needles］.［If］the four limbs are cold，the feet are not dexterous and quick in action and the eyes are nebulous，［it is a disease related to the Liver Channel］.［Since the liver controls tendons，］needling tendons［can treat disorders of］the liver［Channel］.［But the Acupoints located on］the Lung［Channel that pertains to］Metal［in the Wuxing（Five Elements）］cannot be selected［because］Metal［matches with］the lung.

Heat disease［with the symptoms of］frequent shock，convulsion and flaccidity［of hands and feet］and mania［can be treated by］needling blood vessels with the fourth needle［among the Nine Needles］to immediately reduce excess［of pathogenic heat］.Epilepsy with the loss of hair［is a disease of the Heart Channel which can be treated by］needling［the Acupoints located on］the blood vessels［for treating disorder of］the heart［Channel］.［But the Acupoints located on］the Kidney［Channel that pertains to］Water［in the Wuxing（Five Elements）should］not be selected［because］Water［matches with］the kidney.

Heat disease［with the symptoms of］heaviness of the body，pain in the bones，deafness and preference for closing eyes［can be treated by］needling the bones with the fourth needle［among the Nine Needles］.The59［Acupoints for treating heat diseases can be selected to needle］.Bone diseases［with the symptoms of］inability to eat，grinding teeth and blue ears［is a disease of the Kidney Channel and can be treated by］needling［the Acupoints located on the Kidney Channel］.［The Acupoints located on the Spleen Channel that pertains to］Earth［in the Wuxing（Five Elements）］cannot be selected［because］Earth［matches with］the spleen.

Heat disease［with the symptoms of］indefinite pain，deafness.flaccidity［of the four limbs］，dry mouth，aversion to heat when Yang is excessive and aversion to cold when Yin is excessive［is caused by deep invasion of］heat into the marrow and is incurable.

Heat disease［with the symptoms of］headache involving the temples，convulsive pain of the ocular vessels and frequent nosebleed is a disease of Juere（extreme heat）［that can be treated by］needling with the third needle［among the Nine Needles］.［If pathogenic factors are］excessive，reducing［techniques should be used］；［if Zhengqi（Healthy-Qi）is］deficient，reinforcing［techniques should be used］.｛Cold and heat hemorrhoids｝4.

Heat disease［with the symptoms of］heaviness of the body and heat in the intestines［can be treated by］needling the Acupoints［of Taibai（SP3）and Xiangu（ST43）located on the Spleen and Stomach Channels as well as the Acupoints of Lidui（ST45）and Neiting（ST44）located on］the toes with the fourth needle［among the Nine Needles］.［At the same time，Fenglong（ST40）which is］the Collateral［Acupoint of］the stomach［can be needled］to disperse［pathogenic factors in the Spleen and Stomach Channels］till needling sensation is felt.

Heat disease［with the symptoms of］acute pain around the navel and fullness of the chest and hypochondria［can be treated by］needling Yongquan（KI1）［located on the Kidney Channel］and Yinlingquan（SP9）［located on the Spleen Channel］with the fourth needle［among the Nine Needles］.［Since the Kidney Channel and the Spleen Channel all connect with the throat］，needling［Lianquan（CV23）beneath the tongue also can cure this disease］.

［As to］the heat disease with perspiration，sweating therapy［can be used if the Syndrome］corresponds to［the condition of］the pulse.［To treat this disease，］Yuji（LU10）and Taiyuan（LU9）［located on the Lung Channel of Hand-Taiyin］，Dadu（SP2）and Taibai（SP3）［located on the Spleen Channel of Foot-Taiyin can be needled］.Reducing［techniques can be used］to reduce heat and reinforcing［techniques can be used］to induce sweating.［If］sweating is excessive，［the Acupoint of Sanyinjiao（SP6）located on the Spleen Channel］above the medial malleolus［can be needled］to stop it.

Heat disease［with the symptoms of］rapid and strong pulse after perspiration is due to extreme weakness of the Yin Channel and is incurable.［If］the pulse appears calm after perspiration，［it is］curable.

Heat disease［with the symptoms of］strong and hasty pulse without perspiration is due to extreme hyperactivity of the Yang Channel and is incurable.［If］the strong and hasty pulse becomes calm after perspiration，［it is］curable.

There are nine types of heat disease that cannot［be treated by］needling.The first［is characterized by］no perspiration，red cheeks and hiccup and is incurable.The second［is characterized by］diarrhea and severe abdominal distension and is incurable.The third［is characterized by］blurred vision and continuous fever and is incurable.The fourth［affects］the old people and children，［characterized by］fever and abdominal fullness and is incurable.The fifth［is characterized by］no perspiration，vomiting and bloody stool and is incurable.The sixth［is characterized by］festering of the tongue root and fever that cannot be abated and is incurable.The seventh［is characterized by］cough，epistaxis and no perspiration.［The patient may］sweat，［but if sweating］does not extend to the foot，［it is still］incurable.The eighth［is characterized by］heat in the marrow and is incurable.The ninth［is characterized by］fever and convulsion and is incurable.［The convulsive disease is characterized by］opisthotonos，spasm，flaccidity，lockjaw and grinding teeth.These nine types［of heat diseases］cannot［be treated by］needling.

The so-called59 Acupoints［include］3 lateral and medial to both hands，12 in all；1 between the five fingers respectively［on both hands］，8 in all；［1 between the five toes respectively on both feet］，8 in all；3 located1.3 Cun lateral to the anterior hairline at both sides，6 in all；5 located3 Cun posterior to the hairline at both sides，10 in all；1 before and1 after the ears at both sides，1 inferior to the mouth，1 on the neck，6 in all；1 on the vertex，1 on the fontanel，1 at the edge of the frontal hairline，1 called Lianquan（CV23），Fengchi（GB20）at both sides and Tianzhu（BL10）at both sides.

Panting due to chest fullness［can be treated by］needling［Yinbai（SP1）located on the Spleen Channel of］Foot-Taiyin，［at］the medial side of the big toe and［the distance of one］leaf of scallion posterior to the corner of the nail.［If the disease is of］cold［nature，the needles should be］retained［for a period of time in the Acupoints］；［if the disease is of］heat［nature，the needles should be］inserted swiftly till Qi flows downward.

Heart-Herniaswith sharp pain［can be treated by］needling［the Acupoints located on the Spleen Channel of］Foot-Taiyin and［the Liver Channel of］Foot-Jueyin.［The needles should be］inserted into the blood Collaterals to let out blood.

Throat obstruction，［with the symptoms of］curled tongue，dry mouth，dysphoria，heartache，pain in the medial side of the arm that cannot raise to the head，［can be treated by］needling［Guanchong（TE1）located on］the lateral side of the ring finger，about one leaf of scallion（0.1 Cun）posterior to the corner of the nail.

Redness and pain of the eyes from the inner canthus［can be treated by］needling［the Acupoints located on］the Yinqiao（Yin Heel Channel）.

Wind-Convulsion［with the symptoms of］opisthonos［can be treated by］needling［Weizhong（BL40）located on the Bladder Channel of］Foot-Taiyang in the popliteal fossa.［At the same time，］the blood Collaterals［should be pricked］to let out blood.［If there is］cold inside，Zusanli（ST36）［should be needled］.

Difficulty to urinate［can be treated by］needling［Zhaohai（KI6）located on］the Yinqiao（Yin Heel Channel）and［Dadun（LR1）located on］the hair region lateral to the big toe.

Gu6in men and Ju7in women［with the symptoms of］waist and spine like being split and no desire to eat［can be treated by］needling Yongquan（KI1）first to let out blood.［If there is］blood stagnation over the dorsum of foot，［it should be pricked］to let out blood.

【注释】Notes

［1］Pianku（偏枯）is similar to hemiplegia in modern medicine.

［2］Fei（痱）is a sort of wind disease.The main symptom is inability to move the limbs.Lou Ying（楼英）in the Ming Dynasty said，“Fei（痱）is the severe case of Pianku（偏枯）in which pathogenic factors have deepened the invasion into the body.In fact Fei（痱）and Pianku（偏枯）are two different diseases.If Qi does not flow in half of the body，it is called Pianku（偏枯）；if the hand and foot cannot move，it is called Fei（痱）.Not matter the patient's body is half unmovable or completely unmovable，it is all called Fei（痱）.”

［3］Yin and Yang（阴阳）here refer to Qikou（气口）pulse and Renying（人迎）pulse.

［4］The expression of“ cold and heat hemorrhoids”seems to have nothing to do with the previous description.It must be miscopying and misprinting taking place in history.

［5］Heart-Hernia（心疝）is a sort of hernia caused by stagnation of Heart-Qi.The main symptoms are lower abdominal pain and mass.

［6］Gu（蛊）is a sort tympanites like abdominal mass caused by invasion of pathogenic factors into the kidney.In the Nineteen Chapter inSuwen（《素问》），it says，“The disease transmitted from the spleen into the kidney is called Shanjia（疝瘕）.The symptoms are excessive heat and pain in the lower abdominal and nebulous urine.This disease is also called Gu（蛊）.”

［7］Ju（怚）means morning sickness in pregnancy.