| | 繆刺論: |
黃帝問曰：余聞繆刺，未得其意，何謂繆刺。歧伯對曰：夫邪之客於形也，必先舍於皮毛，留而不去，入舍於孫脈，留而不去，入舍於絡脈，留而不去，入舍於經脈，內連五藏，散於腸胃，陰陽俱感，五藏乃傷，此邪之從皮毛而入，極於五藏之次也，如此則治其經焉。今邪客於皮毛，入舍於孫絡，留而不去，閉塞不通，不得入於經，流溢於大絡，而生奇病也。夫邪客大絡者，左注右，右注左，上下左右，與經相干，而布於四末，其氣無常處，不入於經俞，命曰繆刺。帝曰：願聞繆刺，以左取右，以右取左，柰何。其與巨刺何以別之。歧伯曰：邪客於經，左盛則右病，右盛則左病，亦有移易者，左痛未已而右脈先病，如此者，必巨刺之，必中其經，非絡脈也。故絡病者，其痛與經脈繆處，故命曰繆刺。 |
| | The Yellow Emperor asked: I have heard of miu ci, but have not grasped its meaning; what is meant by miu ci? Qibo replied: When pathogenic influences reside in the body, they must first dwell in the skin and hair. If they remain without leaving, they will enter into the collateral vessels; if still remaining without leaving, they will then enter into the network vessels; if continuing to linger without departure, they will penetrate into the meridians. Internally connecting with the five zang organs, spreading through the intestines and stomach, affecting both yin and yang, thus injuring the five zang. This is how pathogenic influences, entering from the skin and hair, progress inward to affect the five zang in sequence. In such cases, treatment should be directed at the meridians. Now, when pathogenic influences dwell in the skin and hair and enter into the fine collaterals, if they remain without leaving, blocking and obstructing passage, they cannot penetrate into the meridians but instead overflow into the major collaterals, giving rise to unusual diseases. When pathogenic influences affect the major collaterals, they may move from left to right or from right to left. They spread upward and downward, left and right, intersecting with the meridians, and distribute toward the four extremities. Their qi has no fixed location and does not enter through the regular shu points; this is called miu ci. The Emperor said: I wish to hear about miu ci—treating the right side for a condition on the left, and treating the left side for a condition on the right. How is this done? How does it differ from ju ci? Qibo said: When pathogenic influences dwell in the meridians, if the left side is excessive, it causes illness on the right; if the right side is excessive, it results in illness on the left. There are also cases where this shifts—pain begins on the left but before it subsides, the pulse on the right becomes affected first. In such situations, ju ci must be applied, and needling must precisely strike the meridian involved; these are not collateral vessels. Therefore, when a disease affects the collaterals, its pain is located in a position that contradicts the course of the meridians; thus it is called miu ci.
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| | 繆刺論: |
帝曰：願聞繆刺柰何，取之何如。歧伯曰：邪客於足少陰之絡，令人卒心痛暴脹，胸脇支滿，無積者，刺然骨之前出血，如食頃而已。不已，左取右，右取左，病新發者取五日已。 |
| | The Emperor said: I wish to hear how miu ci is performed, and what method should be used in its application. Qibo said: When pathogenic influences dwell in the collateral of the foot shaoyin, it causes sudden heart pain and acute distension, with fullness extending to the chest and flanks; if there is no accumulation involved, acupuncture should be applied before the ran gu point to release blood. The condition will resolve within a mealtime period. If it does not subside, treat the right side for symptoms on the left and the left side for symptoms on the right; in newly developed conditions, this treatment will resolve the illness within five days.
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| | 繆刺論: |
邪客於手少陽之絡，令人喉痺舌卷，口乾心煩，臂外廉痛，手不及頭，刺手中指次指爪甲上，去端如韭葉各一痏，壯者立已，老者有頃已，左取右，右取左，此新病數日已。 |
| | When pathogenic influences dwell in the collateral network of the hand shaoyang, it causes pharyngeal obstruction and tongue retraction, dry mouth, mental restlessness, pain along the lateral side of the upper arm, and inability to raise the hands to reach the head. Acupuncture should be applied at a point on the nail corner of the second finger of the hand, about as far from the tip as the width of a leek leaf; one needling is sufficient. In robust individuals, symptoms will resolve immediately; in elderly persons, they will subside within a short while. Treat the right side for left-sided symptoms and vice versa. For newly developed conditions lasting several days, this method will bring about recovery.
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| | 繆刺論: |
邪客於足厥陰之絡，令人卒疝暴痛，刺足大指爪甲上與肉交者各一痏，男子立已，女子有頃已，左取右，右取左。 |
| | When pathogenic influences dwell in the network collateral of the foot jueyin, it causes sudden hernia and acute pain. Acupuncture should be performed at a point where the nail corner meets the flesh on the big toe of the foot; one needling suffices. In men, symptoms resolve immediately; in women, they subside within a short time. Treat the right side for conditions on the left and vice versa.
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| | 繆刺論: |
邪客於足太陽之絡，令人頭項肩痛，刺足小指爪甲上，與肉交者各一痏，立已，不已，刺外踝下三痏，左取右，右取左，如食頃已。 |
| | When pathogenic influences dwell in the collaterals of the foot taiyang, it causes pain in the head, neck, and shoulders. Acupuncture should be administered at a point where the nail meets the flesh on the little toe of the foot; one needle insertion will bring immediate relief. If symptoms persist, three needling points should be treated below the lateral malleolus. Treat the right for left-sided pain and vice versa; recovery occurs within a mealtime period.
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| | 繆刺論: |
邪客於手陽明之絡，令人氣滿，胸中喘息，而支胠胸中熱，刺手大指次指爪甲上，去端如韭葉各一痏，左取右，右取左，如食頃已。 |
| | When pathogenic influences dwell in the collagen of the hand yangming, it causes fullness and shortness of breath in the chest, with distension extending to the sides of the chest and heat within the thorax. Acupuncture should be applied on each side at a point located on the nail corner of the index finger, about as far from its tip as the width of leek leaf; one insertion is sufficient. Treat the right for symptoms on the left, or vice versa; relief occurs within a mealtime period.
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| | 繆刺論: |
邪客於臂掌之閒，不可得屈，刺其踝後，先以指按之痛，乃刺之，以月死生為數，月生一日一痏，二日二痏，十五日十五痏，十六日十四痏。邪客於足陽蹻之脈，令人目痛從內眥始，刺外踝之下半寸所各二痏，左刺右，右刺左，如行十里頃而已。人有所墮墜，惡血留內，腹中滿脹，不得前後，先飲利藥，此上傷厥陰之脈，下傷少陰之絡，刺足內踝之下，然骨之前血脈出血，刺足跗上動脈，不已，刺三毛上各一痏，見血立已，左刺右，右刺左。善悲驚不樂，刺如右方。 |
| | When pathogenic influences dwell between the arm and palm, causing inability to bend the joint, acupuncture should be administered behind the ankle. First press with a finger at the painful spot; then needle it. The number of insertions is determined according to the waxing or waning phase of the moon: on the first day of the new moon, one insertion; on the second day, two insertions; up until the fifteenth day, fifteen insertions; and from the sixteenth day onward, fourteen insertions. When pathogenic influences dwell in the foot yangqiao vessel, it causes eye pain beginning from the inner canthus. Acupuncture should be administered two points at a location half an inch below the lateral malleolus; treat the right side for left-side symptoms and vice versa. Relief occurs within the time it takes to walk ten li. When a person falls and suffers injury, stagnant blood remains internally, causing abdominal fullness and distension with inability to urinate or defecate. First administer purgative medicine. This condition results from upper injury affecting the jueyin meridian and lower injury affecting the shaoyin collateral. Acupuncture should be given at a blood vessel located below the inner ankle, before ran gu, to release blood; also needle the pulsating artery on the dorsum of the foot. If symptoms persist, insert one needle each above the three hairs (on the medial side of the lower leg), and immediate relief will occur upon seeing blood. Treat the right for a left-sided condition and vice versa. For conditions characterized by excessive sadness, startle responses, and lack of joy, acupuncture should be performed according to the method described above.
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| | 繆刺論: |
邪客於手陽明之絡，令人耳聾時不聞音，刺手大指次指爪甲上，去端如韭葉各一痏，立聞，不已，刺中指爪甲上與肉交者，立聞，其不時聞者，不可刺也。耳中生風者，亦刺之如此數，左刺右，右刺左。 |
| | When pathogenic influences dwell in the collar of the hand yangming, they cause deafness and intermittent hearing loss. Acupuncture should be administered on each side at a point on the corner of the nail of the index finger, located about as far from its tip as a leek leaf is wide; one insertion will restore hearing immediately. If symptoms persist, needle the point where the middle finger's nail meets the flesh—immediate restoration of hearing occurs. However, if hearing loss is not intermittent but constant, acupuncture should not be applied. For conditions involving wind affecting the ears, acupuncture should also follow this method; treat the right for symptoms on the left and vice versa.
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| | 繆刺論: |
凡痺往來行無常處者，在分肉閒痛而刺之，以月死生為數用針者，隨氣盛衰以為痏數，針過其日數則脫氣，不及日數則氣不寫，左刺右，右刺左，病已，止，不已，復刺之如法，月生一日一痏，二日二痏，漸多之，十五日十五痏，十六日十四痏，漸少之。 |
| | For all cases of bi syndrome that move about without fixed location, causing pain in the intermuscular spaces and requiring acupuncture treatment, the number of needle insertions should be determined according to the waxing and waning phases of the moon. Adjust the number of needling sessions based on the strength or decline of qi: if too many needles are used beyond the prescribed days, it may cause depletion of qi; if fewer than required, the pathogenic qi will not be fully expelled. Treat the right for pain on the left and vice versa until symptoms resolve. If they persist, repeat treatment according to this method—on the first day after new moon, one insertion per day; two insertions on the second day; gradually increasing up to fifteen insertions by the fifteenth day; then decreasing from the sixteenth day with fourteen insertions, continuing in a gradual decline.
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| | 繆刺論: |
邪客於足陽明之經，令人鼽衂上齒寒，刺足中指次指爪甲上，與肉交者各一痏，左刺右，右刺左。 |
| | When pathogenic influences dwell in the channel of the foot yangming, it causes nasal discharge or epistaxis and coldness in the upper teeth. Acupuncture should be administered with one insertion at a point where the nail of the second toe meets the flesh; treat the right for left-sided symptoms and vice versa.
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| | 繆刺論: |
邪客於足少陽之絡，令人脇痛不得息，欬而汗出，刺足小指次指爪甲上，與肉交者各一痏，不得息立已，汗出立止，欬者溫衣飲食一日已，左刺右，右刺左，病立已，不已，復刺如法。 |
| | When pathogenic influences dwell in the lateral collateral of the foot shaoyang, they cause flank pain and difficulty breathing, accompanied by coughing and perspiration. Acupuncture should be administered one insertion at a point on each side where the nail of the second little toe meets the flesh. Difficulty breathing will cease immediately; perspiration will stop instantly. For those with cough, wearing warm clothing and consuming nourishing food will bring recovery within one day. Treat the right for conditions on the left, or the left for symptoms on the right—disease resolves immediately. If not resolved, repeat treatment according to the same method.
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| | 繆刺論: |
邪客於足少陰之絡，令人嗌痛不可內食，無故善怒氣上走賁上，刺足下中央之脈各三痏，凡六刺，立已，左刺右，右刺左。嗌中腫不能內，唾時不能出唾者，刺然骨之前，出血立已，左刺右，右刺左。 |
| | When pathogenic influences dwell in the laterals of the foot shaoyin meridian, it causes throat pain preventing ingestion of food and an unprovoked tendency to anger with qi rising upward toward the epigastrium. Acupuncture should be administered three insertions each at the central pulse on both feet, totaling six needling points; symptoms will resolve immediately. Treat the right for left-side conditions and vice versa. When there is swelling in the throat preventing swallowing, and saliva cannot be expelled at times, acupuncture should be administered before ran gu to release blood—symptoms will resolve immediately. Treat the right side for symptoms on the left or vice versa.
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| | 繆刺論: |
邪客於足太陰之絡，令人腰痛，引少腹控䏚，不可以仰息，刺腰尻之解兩胂之上是腰俞，以月死生為痏數，發鍼立已，左刺右，右刺左。 |
| | When pathogenic influences dwell in the networks of the foot taiyin, they cause lower back pain radiating to the lower abdomen and pulling at the perineum, making it impossible to inhale fully. Acupuncture should be administered above both ashi points on the waist and coccyx region—specifically at yao shu (BL28). The number of insertions follows the waxing or waning phases of the moon; symptoms will subside immediately after needle insertion. Treat the right for left side conditions, and vice versa.
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| | 繆刺論: |
邪客於足太陽之絡，令人拘攣背急，引脇而痛，刺之從項始數脊椎俠脊，疾按之應手如痛，刺之傍三痏，立已。 |
| | When pathogenic influences dwell in the connective tissue of the foot taiyang meridian, they cause stiffness and spasm in the back with pain radiating to the flanks. Acupuncture should be administered by starting at the nape of the neck and counting along the spinous processes on either side of the spine; press quickly until a painful response is felt where it corresponds to the hand. Insert three needles beside this point, and symptoms will resolve immediately.
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| | 繆刺論: |
邪客於足少陽之絡，令人留於樞中痛髀不可舉，刺樞中以毫鍼，寒則久留鍼，以月死生為數，立已。 |
| | When pathogenic influences dwell in the connecting vessels of the foot shaoying meridian, they cause pain localized at the hip joint and make it impossible to raise the thigh. Acupuncture should be administered into the hip region using a fine needle; if there is coldness, the needle should remain inserted for an extended period. The number of sessions follows the waxing or waning cycle of the moon—symptoms will resolve immediately.
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| | 繆刺論: |
治諸經刺之所過者，不病，則繆刺之。耳聾，刺手陽明，不已，刺其通脈出耳前者。齒齲，刺手陽明，不已，刺其脈入齒中，立已。邪客於五藏之閒，其病也，脈引而痛，時來時止，視其病，繆刺之於手足爪甲上，視其脈，出其血，閒日一刺，一刺不已，五刺已。繆傳引上齒，齒脣寒痛，視其手背脈血者去之，足陽明中指爪甲上大痏，手大指次指爪甲上各一痏，立已，左取右，右取左。 |
| | When treating various meridians, if a condition does not manifest along the course of a particular meridian but still causes symptoms, miu ci should be applied. For deafness, acupuncture should first be administered to the hand yangming meridian; if it does not resolve, needle the collateral vessel that runs in front of the ear. For tooth decay, acupuncture should first be applied to the hand yangming meridian. If it does not resolve, needling the vessel that enters into the teeth will bring immediate relief. When pathogenic influences dwell among the five zang organs and cause disease, it manifests as pain along the pulse lines that comes and goes at irregular intervals. Observe the condition and apply miu ci by needling points on the fingernails or toenails of the hands and feet. Identify the affected vessel and release blood. Perform acupuncture every other day; if symptoms do not resolve after one session, they will be resolved within five sessions. When pathogenic influences cause upward transmission affecting the upper teeth, resulting in coldness and pain in the teeth and lips, observe the blood vessels on the back of the hand and remove stagnation. Apply a major insertion at the nail corner of the middle toe of the foot yangming meridian, and one insertion each at the corresponding points on the index finger's nail corners of both hands; symptoms will resolve immediately. Treat right for left-side conditions or vice versa.
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| | 繆刺論: |
邪客於手足少陰太陰足陽明之絡，此五絡，皆會於耳中，上絡左角，五絡俱竭，令人身脈皆動，而形無知也，其狀若尸，或曰尸厥。刺其足大指內側爪甲上，去端如韭葉，後刺足心，復刺足中指爪上各一痏，後刺手大指內側，去端如韭葉，後刺手心主，少陰銳骨之端各一痏，立已，不已，以竹管吹其兩其，鬄其左角之髮方一寸，燔治飲以美酒一杯，不能飲者灌之，立已。 |
| | When pathogenic influences dwell in the linkages of the hand and foot shaoyin, taiyin, and foot yangming meridians, these five collaterals all converge within the ear, extending upward to connect with the left temple. When all five collaterals are exhausted, it causes movement throughout the body's vessels while rendering the form unaware—its condition resembles that of a corpse; this is sometimes called shi jue (corpse syncope). Needle the inner side of the big toe's nail, about as far from its end as a leek leaf. Then needle the yongquan (KI1) at the sole of the foot and one insertion each on the nail corner of the middle toes. Next, needle the inner side of the thumb of the hand, also about as far from its tip as leek leaf, then needle the shaoxin (HT) meridian's sharp bone end points—each with one insertion; symptoms will resolve immediately. If not resolved, use a bamboo tube to blow air into both ears, cut off hair in an area measuring one cun on the left temple, roast it and mix with one cup of fine wine for consumption. For those unable to drink, administer by infusion; this brings immediate relief.
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| | 繆刺論: |
凡刺之數，先視其經脈，切而從之，審其虛實而調之，不調者經刺之，有痛而經不病者繆刺之，因視其皮部有血絡者盡取之，此繆刺之數也。 |
| | In general, the method of acupuncture involves first observing the meridians and palpating them to follow their course. Carefully determine whether they are deficient or excessive, then regulate accordingly. If regulation is not achieved, apply direct needling along the affected meridian. For conditions with pain but no disease in the meridian itself, miu ci should be used. Additionally, examine the skin regions for visible blood vessels and fully remove stagnation from them—this constitutes the method of miu ci.
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