灵枢·寒热病 Miraculous Pivot · Febrile and Cold Diseases
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。For those with cutaneous fever and chills, they cannot lie on the mat. Their hair is brittle, their noses become dry and chapped, and they cannot sweat. Needle the collaterals of the three yang channels to supplement the Hand Taiyin channel.
皮寒热病的表现为，皮肤疼痛甚至不能接近席子，肺主皮毛，开窍于鼻。肺病寒热，故津液无以输布，而毛发焦黄，鼻中干燥，汗出不来。治疗时应泻足太阳膀胱经的络脉以去表热，兼补手太阴肺经的经穴。
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。For those with muscular fever and chills, they have muscular pains, their hair is brittle and their lips are dry and chapped, and they cannot sweat. Needle the three yang channels below to let out the blood, supplement the Foot Taiyin channel to induce sweating.
肌寒热病，表现为肌肉痛，毛发焦且口唇干裂，无汗。治疗时取足太阳膀胱经在下肢有瘀血的络脉除其瘀血，再补足太阴脾经，以达到出汗而愈的效果。
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。For those with osseous fever and chills, the patient feels restless, sweating profusely without ceasing. If they teeth are not withered, needle their collaterals of the Foot Shaoyin channel on the medial aspect of their thigh; if they teeth are already withered, it is incurable and will lead to death. The same is true for osseous reversal.
骨寒热病表现为病人焦虑不安，汗大出不止。如果牙齿尚未枯槁，说明阴气尚存，治疗可取足少阴肾经在大腿内侧的络脉；若是牙齿已经枯槁了，就是死证，无法救治了。骨厥病也是这样来判断的。
骨痹，举节不用而痛，汗注、烦心，取三阴之经补之。For osseous bi-syndrome, their joints cannot be moved and there is pain, sweating profusely and a vexed heart. Needle the channels of the three yin channels to supplement them.
骨痹病，全身关节活动不自如，而且关节疼痛，汗出如注，心烦意乱，治疗应补三阴经。
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。When the body is injured and there is excessive bleeding, or when being attacked by wind-cold, or if there is a fall, resulting in the limbs being slack and unable to contract, it is called body slackness. Needle the three-junction point below the lower abdomen and the navel.
身体受外伤且出血很多，又受了风寒，或是从高处坠落受伤，以致四肢肌肉萎缩无力，懒得活动，这种病名为体惰。治疗应取病人小腹之下的结交处。
三结交者，阳明、太阴也，脐下三寸关元也。The three-junction point refers to the points of the Yangming and Taiyin channels, that is, Guanyuan (CV 4) three cun below the navel.
三结交就是足阳明胃经、足太阴脾经（和任脉）在脐下三寸处相交的关元穴。
厥痹者，厥气上及腹，取阴阳之络，视主病也，泻阳补阴经也。For jue-bi syndrome, the jue qi ascends to the abdomen. Needle the collaterals of the yin and yang channels, and determine the treatment according to the main disease. Drain the yang channel and supplement the yin channel.
厥痹，是厥逆之气由下上行至腹部，治疗应该取阴经或阳经的络脉，但要察明主要病症在何经，若在阳经则用泻法，在阴经用补法。
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。The pulsating artery on the side of the neck is Renying. Renying belongs to the Foot Yangming channel and is located in front of the infantile tendon. Behind the infantile tendon is the Hand Yangming channel, named Futu.
颈部两侧的动脉是人迎脉。人迎脉上的穴位名为人迎穴，属于足阳明胃经，位置在两侧的颈筋之前。颈筋之后的是手阳明大肠经的穴位，名为扶突穴。
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。The next pulse is the Foot Shaoyang channel, named Tianyou. The next pulse is the Foot Taiyang channel, named Tianzhu. The pulsating artery under the armpit belongs to the Arm Taiyin channel, named Tianfu.
手阳明经之后是手少阳三焦经的穴位，名为天牖穴。再后面是足太阳膀胱经的穴位，名为天柱穴。腋下的动脉是手太阴肺经的腧穴，名为天府穴。
阳迎（别本作逆）头痛，胸满不得息，取之人迎。暴瘖气鞕，取扶突与舌本出血。For those with headache due to yang repulsion (in some versions it is written as "reversal"), accompanied by fullness in the chest and shortness of breath, needle Renying. For those with sudden aphasia and hardness of qi, needle Futu and bleed the base of the tongue.
阳热邪气上逆于阳经，会出现头痛，胸中满闷、呼吸不利的症状，治疗应取人迎穴。突然失音，气梗塞，应针刺扶突穴并点刺舌根出血。
暴袭气蒙，耳目不明，取天牖。暴挛痫眩，足不任身，取天柱。For those with sudden dizziness and dimness of eyes and ears due to qi obstruction, needle Tianyou. For those with sudden spasm, epilepsy, dizziness and inability to support the body with the feet, needle Tianzhu.
突然耳聋，经气蒙蔽不通，耳失聪、目不明，治疗取天牖穴。突然发生筋脉拘挛、癫痫、眩晕，两足软弱不能站立的，取天柱穴。
暴瘅内逆，肝肺相搏，血溢鼻口，取天府。此为天牖五部。For those with sudden jaundice and internal reversal, with the liver and lung contending against each other and blood spilling from the nose and mouth, needle Tianfu. These are the five regions of Tianyou.
突然口渴，内脏气逆，肝肺两经脉邪火相搏，导致血上溢，口鼻出血，取天府穴。以上所取的五穴，天牖穴居中，其他四穴聚拢在其四周，因此称为天牖五部。
臂阳明，有入頄遍齿者，名曰大迎。下齿龋，取之臂,恶寒补之，不恶寒泻之。The Hand Yangming channel has a branch that enters the cheek and spreads to the teeth, named Daying. For lower tooth decay, needle the Hand Yangming channel. If there is aversion to cold, supplement it; if there is no aversion to cold, drain it.
手阳明大肠经进入颧部而遍络齿龈的一支，穴名叫大迎穴，所以治疗下龋齿应取大迎穴。恶寒的当用补法，不恶寒的用泻法。
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，盛则泻之，虚则补之。一曰取之出鼻外。（方病之时，盛泻虚补。）The Foot Sun channel has a branch that enters the cheek and spreads to the teeth, named Jiaosun. For upper tooth decay, needle the point in front of the nose and the cheek. When the disease first occurs, if the pulse is full, drain it; if it is weak, supplement it. Another way is to needle the point outside the nose. (When the disease first occurs, drain if the pulse is full and supplement if it is weak.)
足太阳膀胱经入于颧部而遍络齿龈的一支，穴名为角孙穴，治疗上龋齿应取角孙穴，也可取鼻与颧之前的穴位治疗，刚得病的时候脉象充盈，应当用泻法，脉象虚弱就用补法。另一种说法，也可以取鼻外侧的穴位治疗，在患病初期的时候，要遵循邪盛则泻，气虚则补的原则。
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。损有余，益不足，反者益其（别本作甚）。The Foot Yangming channel has a branch that passes along the nose and enters the face, named Xuanlu, which is related to the mouth and is connected to the root of the eye. Needle the point where there is an abnormality. Reduce the excessive and supplement the insufficient. If done in reverse, it will make the condition worse (in some versions it is written as "even more").
足阳明胃经循鼻的两侧行于面部，其穴名为悬颅穴，经脉下行联属于口，上行的部分进入对侧的目本之中，因此头痛引动腮部疼痛的，治疗时可以根据情况取悬颅穴，应实则泻之，虚则补之，否则便会加重病情。
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。The Foot Sun channel has a branch that passes through the neck and enters the brain, directly related to the root of the eye, named the ocular system. For pain in the head and eyes, needle the point between the two tendons in the neck.
足太阳膀胱经通过项部的玉枕穴进入脑室，直接连属于目本，名为眼系，头目疼痛的应在项中两条筋之间取玉枕穴进行治疗。
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。When it enters the brain, it branches into the Yin Qiao and Yang Qiao channels. The yin and yang intersect, with the yang entering the yin and the yin emerging from the yang, intersecting at the outer canthus of the eye. When the yang qi is excessive, the eyes will be wide open; when the yin qi is excessive, the eyes will be closed.
这条经脉由项进入脑，分别连属于阴跷、阳跷二脉，这两条脉阴阳相交，阳入于阴，阴出于阳，阴阳气交于眼内角的睛明穴，阳气过盛时则两目张而不合，阴气盛时则两目合而不张。
热厥取足太阴、少阳（《医部全录》：当作阴），皆留之；寒厥取足阳明、少阴（《医部全录》：当作阳）于足，皆留之。For heat reversal, needle the Foot Taiyin and Shaoyin (in "Complete Records of the Medical Department", it should be "Yin") channels and retain the needles. For cold reversal, needle the Foot Yangming and Shaoyang (in "Complete Records of the Medical Department", it should be "Yang") channels on the feet and retain the needles.
治疗热厥病应取足太阴脾经和足少阴肾经，针刺时应留针一段时间；治疗寒厥病应取足阳明胃经和足少阳胆经，也应该留针较长时间。
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。For those with the tongue protruding and saliva dripping, accompanied by restlessness, needle the Foot Shaoyin channel. For those with shivering, chattering of the jaws and inability to sweat, accompanied by abdominal distension and restlessness, needle the Hand Taiyin channel. For needling the deficient, needle when the qi is leaving; for needling the real, needle when the qi is approaching.
舌纵缓不收，口角流涎，胸脘烦闷的，是肾阴不足的表现，应针刺足少阴肾经。畏寒战栗，两颌鼓动，汗不得出，腹部胀满，胸脘烦闷，是肺气不足之证，治疗应取手太阴肺经。在进行针刺治疗时，属于虚证的，应该补养其正气；属于实证的，应该祛除其邪气。
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。In spring, needle the collaterals; in summer, needle the intermuscular spaces; in autumn, needle the qi portal; in winter, needle the acupoints of the channels. For all these four seasons, each should be in accordance with the season.
四季针刺的规律是，春季刺络脉间的穴位，夏季刺肌肉与皮肤之间的穴位，秋季刺气口（指手太阴肺经的穴位），冬季刺五输穴的经穴。一年四季的针刺治疗，各自以季节、时令为取穴的标准，不能混淆。
络脉治皮肤，分腠治肌肉，气口治筋脉，经输治骨髓、五脏。The collaterals treat the skin; the intermuscular spaces treat the muscles; the qi portal treats the tendons and veins; the acupoints of the channels treat the bone marrow and the five internal organs.
刺络脉间的穴位可以治皮肤病，刺肌肉与皮肤之间的穴位可以治肌肉的病，刺手太阴肺经的穴位可治筋脉的病，刺五输穴的经穴可以治骨髓、五脏的病。
身有五部：伏兔一。腓二，腓者腨也。背三。五脏之输四。项五。此五部有痈疽者死。There are five regions of the body: the first is Fufu; the second is the calf (the calf is also called Shuan); the third is the back; the fourth is the acupoints of the five internal organs; the fifth is the neck. If there is carbuncle or furuncle in these five regions, it will lead to death.
人身有五处重要的部位：一是伏兔（大腿外侧）；二是小腿外侧；三是背部；四是五脏的背俞穴；五是项部。这五个部位如果发生痈疽，都可能致死。
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。When the disease starts from the arm, first needle the Hand Yangming and Taiyin channels to induce sweating. When the disease starts from the head, first needle the Neck Sun channel to induce sweating. When the disease starts from the foot and shin, first needle the Foot Yangming channel to induce sweating.
痈疽之类的病如果是从手臂发生的，就先取手阳明大肠经、手太阴肺经的穴位治疗，汗出而热散，病可得解；病从头面发生的，可以先取颈项部的足太阳膀胱经的穴位针刺治疗，汗出而愈；
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。The Arm Taiyin channel can induce sweating, and the Foot Yangming channel can also induce sweating. Therefore, if sweating is excessive after needling the yin channel, stop it by needling the yang channel; if sweating is excessive after needling the yang channel, stop it by needling the yin channel.
如果是从足胫部发生的，就先取足阳明胃经的输穴，汗出而愈。手太阴肺经的穴位可以发汗，足阳明胃经的穴位也能发汗。由于阴阳二气的相互制约，因此，若是取阴经发汗而又出汗过多的，可以取阳经穴位来止汗；若是取阳经穴位发汗而汗出过多的，可以取阴经的穴位来止汗。
凡刺之害，中而不去则精泄；不中而去则致气。精泄则病甚而恇，致气则生为痈疽也。The harms of needling: if the needle hits the point but is not removed in time, the essence will be dissipated; if the needle does not hit the point but is removed, it will cause qi stagnation. If the essence is dissipated, the disease will become worse and the patient will be weak; if qi stagnation occurs, carbuncle or furuncle will be produced.
针刺不当其危害在于,已经达到了针刺治疗的效果而仍留针不去的，就会导致人身精气的耗损；针刺时还没有刺中疾病就立即出针的，会使邪气聚而不散。精气耗散过多会使病情加重，形体赢瘦；邪气聚而不散则易引起痈疡。
