灵枢经·寒热病 Cold-Heat Disease
皮寒热者，不可附席，毛发焦，鼻槁腊。不得汗，取三阳之络，以补手太阴。肌寒热者，肌痛，毛发焦而唇槁腊。不得汗，取三阳于下，以去其血者，补足太阴，以出其汗。
骨寒热者，病无所安，汗注不休。齿未槁，取其少阴于阴股之络；齿已槁，死不治。骨厥亦然。骨痹，举节不用而痛，汗注、烦心。取三阴之经，补之。
身有所伤，血出多及中风寒，若有所堕坠，四肢懈惰不收，名曰体惰。取其小腹脐下三结交。三结交者，阳明太阴也，脐下三寸关元也。厥痹者，厥气上及腹。取阴阳之络，视主病也，写阳补阴经也。
颈侧之动脉人迎。人迎，足阳明也，在婴筋之前。婴筋之后，手阳明也，名曰扶突。次脉，足少阳脉也，名曰天牖。次脉，足太阳也，名曰天柱。腋下动脉，臂太阴也，名曰天府。
阳迎头痛，胸满不得息，取之人迎。暴喑气鞭，取扶突与舌本出血。暴袭气蒙，耳目不明，取天牖。暴挛癎眩，足不任身，取天柱。暴痹内逆，肝肺相搏，血溢鼻口，取天府。此为天牖五部。
臂阳明，有入頄遍齿者，名曰大迎。下齿龋，取之臂。恶寒补之，不恶寒写之。足太阳有入頄遍齿者，名曰角孙。上齿龋，取之在鼻与頄前。方病之时，其脉盛，盛则写之，虚则补之。一曰取之出鼻外。
足阳明有挟鼻入于面者，名曰悬颅。属口，对入系目本，视有过者取之。损有馀，益不足，反者益其。足太阳有通项入于脑者，正属目本，名曰眼系。头目苦痛，取之在项中两筋间。入脑乃别阴蹻、阳蹻，阴阳相交，阳入阴，阴出阳，交于目锐眦，阳气盛则瞋目，阴气盛则瞑目。
热厥取足太阴、少阳，皆留之；寒厥取足阳明、少阴于足，皆留之。舌纵涎下，烦悗，取足少阴。振寒洒洒鼓颔，不得汗出，腹胀烦悗，取手太阴，刺虚者，刺其去也；刺实者，刺其来也。
春取络脉，夏取分腠，秋取气口，冬取经输。凡此四时，各以时为齐。络脉治皮肤，分腠治肌肉，气口治筋脉，经输治骨髓。五藏，身有五部：伏兔一；腓二，腓者腨也；背三，五藏之输四；项五。此五部有痈疽者死。
病始手臂者，先取手阳明、太阴而汗出；病始头首者，先取项太阳而汗出；病始足胫者，先取足阳明而汗出。臂太阴可汗出，足阳明可汗出，故取阴而汗出甚者，止之于阳，取阳而汗出甚者，止之于阴。
凡刺之害，中而不去则精泄；不中而去则致气。精泄则病甚而怄，致气则生为痈疽也。
In skin cold-heat disease, the patient cannot bear to lie against the mat, the body hair is scorched and dry, and the nose is withered and parched. If sweating does not occur, select the network vessels of the three yang, and supplement the Hand Taiyin. In flesh cold-heat disease, there is pain in the flesh, the body hair is scorched, and the lips are withered and parched. If sweating does not occur, select the three yang points in the lower body to remove the stagnant blood, and supplement the Foot Taiyin so as to induce sweating.
In bone cold-heat disease, the patient can find no comfort, and sweat pours out without cease. If the teeth have not yet become withered, select the network vessel of the Shaoyin on the inner thigh; if the teeth have already withered, the condition is fatal and cannot be treated. Bone reversal follows the same rule. In bone impediment, all the joints are unusable and painful, with pouring sweat and vexation in the heart — select the channels of the three yin and supplement them.
When the body has been injured, with much loss of blood, and is also struck by wind and cold, or when one has suffered a fall from a height, so that the four limbs become slack and feeble and cannot be controlled — this is called 'bodily languor' (tiduo). Select the point of the three-fold junction below the navel in the lower abdomen. The three-fold junction is where the Yangming and Taiyin meet, three cun below the navel, at Guanyuan (Gate of the Origin). In reversal-impediment, reversal qi rises up to reach the abdomen. Select the network vessels of yin and yang, observe which governs the disease, and drain the yang channel while supplementing the yin channel.
The pulsating vessel at the side of the neck is Renying (Man's Prognosis). Renying belongs to the Foot Yangming, and lies in front of the 'binding sinew.' Behind the binding sinew is the Hand Yangming, at the point named Futu (Support the Prominence). The next vessel is that of the Foot Shaoyang, at the point named Tianyou (Celestial Window). The next vessel is that of the Foot Taiyang, at the point named Tianzhu (Celestial Pillar). The pulsating vessel beneath the armpit belongs to the Hand Taiyin, at the point named Tianfu (Celestial Storehouse).
For yang-type headache with fullness in the chest and inability to breathe freely, select Renying. For sudden loss of voice with hardened qi in the throat, select Futu and bleed the root of the tongue. For sudden invasion causing clouded qi, with dimness of hearing and sight, select Tianyou. For sudden spasm, seizure, and dizziness, with the legs unable to support the body, select Tianzhu. For sudden impediment with internal rebellion, in which liver and lung contend with each other and blood overflows from the nose and mouth, select Tianfu. These are the five regions of the 'Celestial Window' group.
The Hand Yangming has a branch that enters the cheek and passes among the teeth, at the point named Daying (Great Welcome). For decay of the lower teeth, select this point on the arm; if the patient is averse to cold, supplement it, and if not averse to cold, drain it. The Foot Taiyang has a branch that enters the cheek and passes among the teeth, at the point named Jiaosun (Angle Vertex). For decay of the upper teeth, select the point located in front of the nose and cheek. At the time the disease is active, its pulse will be full — if full, drain it; if deficient, supplement it. One account says to select the point just outside the nose.
The Foot Yangming has a branch that flanks the nose and enters the face, at the point named Xuanlu (Suspended Skull). It connects with the mouth and, opposite, links with the root of the eye. Observe where the fault lies and select accordingly — reduce what is in excess, supplement what is deficient; where the condition is reversed, it will only increase the disorder. The Foot Taiyang has a branch that passes through the nape and enters the brain, directly connecting with the root of the eye, called the 'eye system' (yanxi). For pain and distress in the head and eyes, select the point located between the two sinews in the middle of the nape. Upon entering the brain, this channel separates into the yin qiaomai and yang qiaomai; yin and yang intersect there, with yang entering yin and yin emerging into yang, meeting at the outer canthus of the eye. When yang qi is excessive, the eyes stay wide open; when yin qi is excessive, the eyes close in sleep.
For heat reversal, select the Foot Taiyin and Foot Shaoyang, retaining the needle in both; for cold reversal, select the Foot Yangming and Foot Shaoyin at the foot, retaining the needle in both. For a slack, protruding tongue with drooling saliva and vexed oppression, select the Foot Shaoyin. For shivering with cold, chattering teeth as though struck by a chill, inability to sweat, abdominal distension, and vexed oppression, select the Hand Taiyin. When needling deficiency, needle as the qi is departing; when needling excess, needle as the qi is arriving.
In spring select the network vessels; in summer select the flesh divisions and interstices; in autumn select the Qikou (Qi Mouth); in winter select the channel transport points. In all these, the four seasons each serve as the standard for timing. The network vessels govern the skin, the flesh divisions and interstices govern the muscles, the Qikou governs the sinews and vessels, and the channel transport points govern the bones and marrow. Corresponding to the five viscera, the body has five regions: first, Futu (Crouching Rabbit); second, the calf; third, the back; fourth, the transport points of the five viscera; fifth, the nape. If a welling-abscess or flat-abscess arises in any of these five regions, it is fatal.
When disease begins in the hand or arm, first select the Hand Yangming and Hand Taiyin so as to induce sweating; when disease begins in the head, first select the Taiyang at the nape so as to induce sweating; when disease begins in the foot or shin, first select the Foot Yangming so as to induce sweating. The arm's Taiyin can be made to sweat, and the Foot Yangming can be made to sweat; thus, if selecting a yin point causes excessive sweating, stop it by needling a yang point, and if selecting a yang point causes excessive sweating, stop it by needling a yin point.
Now, the harms of needling are these: if the needle strikes its mark but is not withdrawn, the essence will leak out; if it fails to strike its mark yet is withdrawn, it will only draw evil qi to the site. When essence leaks out, the disease worsens and the patient becomes despondent; when evil qi is drawn in, it gives rise to welling-abscess and flat-abscess.