Zú tài yáng zhī nüè, lìng rén yāo tòng tóu zhòng, hán cóng bèi qǐ, xiān hán hòu rè, hè hè yē yē rán, rè zhǐ hàn chū nán yǐ, cì xī zhōng chū xuè.
足太阳之疟，使人腰痛、头部沉重，寒从背部而起，先寒后热，热势炽盛如暑，热退则汗出而病仍难愈，刺郄中出血。
Malaria of the foot greater yang makes the lower back ache and the head feel heavy; the cold rises from the back, cold first and heat after, blazing and sweltering. When the heat stops, sweat breaks out and the illness is hard to bring to an end. Needle the cleft centre and let blood.
Zú shào yáng zhī nüè, lìng rén shēn tǐ xiè yì, hán bù shèn, rè bù shèn, wù jiàn rén, jiàn rén xīn tì tì rán, rè duō hàn chū shèn, cì zú shào yáng.
足少阳之疟，使人身体懈怠无力，寒不甚，热不甚，厌恶见人，见了人心中惊惕不安，热多而汗出也多，刺足少阳。
Malaria of the foot lesser yang leaves the body slack and spent; the cold is not great and the heat is not great, but the person hates to see anyone, and seeing anyone sets his heart fluttering with alarm. The heat runs long and the sweating is profuse. Needle the foot lesser yang.
Zú yáng míng zhī nüè, lìng rén xiān hán, xiǎn xī xiǎn xī, hán shèn, jiǔ nǎi rè, rè qù hàn chū, xǐ jiàn rì yuè guāng huǒ qì, nǎi kuài rán, cì zú yáng míng fū shàng.
足阳明之疟，使人先发寒，寒战颤抖，即洒淅洒淅，寒得很，许久才转为热，热退则汗出，喜欢见到日月光与火气，才觉畅快，刺足阳明经足背跗上。
Malaria of the foot yang brightness brings cold first, shivering and shaking; the cold is severe, and only after a long while does heat come. When the heat goes, sweat breaks out, and the person likes the light of sun and moon and the warmth of a fire, and so is eased. Needle the foot yang brightness above the instep.
4
足太陰之瘧，令人不樂，好大息，不嗜食，多寒熱，汗出，病至則善嘔，嘔已乃衰，即取之。
足太阴之疟，令人不乐，好大息，不嗜食，多寒热，汗出，病至则善呕，呕已乃衰，即取之。
Zú tài yīn zhī nüè, lìng rén bù lè, hào dà xī, bù shì shí, duō hán rè, hàn chū, bìng zhì zé shàn ǒu, ǒu yǐ nǎi shuāi, jí qǔ zhī.
足太阴之疟，使人闷闷不乐，喜欢长叹，不思饮食，多有寒热，出汗；病发作时常常作呕，呕吐之后病势才衰减，随即取穴刺治。
Malaria of the foot greater yin makes a person unhappy and given to long sighs, with no desire for food; there is much cold and heat, and sweating. When the fit arrives he retches readily, and once he has retched the fit subsides — take it then and there.
5
足少陰之瘧，令人嘔吐甚，多寒熱，熱多寒少，欲閉户牖而處，其病難已。
足少阴之疟，令人呕吐甚，多寒热，热多寒少，欲闭户牖而处，其病难已。
Zú shào yīn zhī nüè, lìng rén ǒu tù shèn, duō hán rè, rè duō hán shǎo, yù bì hù yǒu ér chǔ, qí bìng nán yǐ.
足少阴之疟，使人呕吐得厉害，多有寒热，热多而寒少，想要关起门窗独自居处，此病难以痊愈。
Malaria of the foot lesser yin brings severe vomiting and much cold and heat, with more heat than cold; the person wants to shut the door and the window and stay inside. This illness is hard to bring to an end.
Zú jué yīn zhī nüè, lìng rén yāo tòng, shào fù mǎn, xiǎo biàn bù lì, rú lóng zhuàng, fēi lóng yě, shuò biàn, yì kǒng jù, qì bù zú, fù zhōng yì yì, cì zú jué yīn.
足厥阴之疟，使人腰痛，少腹胀满，小便不通利，好像癃闭的样子，其实并不是癃，只是小便频数，心中恐惧，气力不足，腹中郁闷不舒，刺足厥阴。
Malaria of the foot ceasing yin makes the lower back ache and the lower abdomen feel full; the urine does not flow freely, so that it looks like blockage — yet it is not blockage, for the person passes urine often. He is fearful, short of qi, and oppressed within the belly. Needle the foot ceasing yin.
7
肺瘧者，令人心寒，寒甚熱，熱間善驚，如有所見者，剌手太陰陽明。
肺疟者，令人心寒，寒甚热，热间善惊，如有所见者，刺手太阴阳明。
Fèi nüè zhě, lìng rén xīn hán, hán shèn rè, rè jiàn shàn jīng, rú yǒu suǒ jiàn zhě, cì shǒu tài yīn yáng míng.
肺疟，使人心中发冷，寒到极处则发热，发热的间歇中容易惊恐，好像看见了什么东西似的，刺手太阴与手阳明。
Lung malaria makes the heart cold; when the cold is extreme, heat follows, and in the intervals between the heat the person startles readily, as though he had seen something. Needle the hand greater yin and yang brightness.
8
心瘧者，令人煩心甚，欲得清水，反寒多，不甚熱，剌手少陰。
心疟者，令人烦心甚，欲得清水，反寒多，不甚热，刺手少阴。
Xīn nüè zhě, lìng rén fán xīn shèn, yù dé qīng shuǐ, fǎn hán duō, bù shèn rè, cì shǒu shào yīn.
心疟，使人心中烦躁得很，想喝清凉的水，反而寒多，热不甚重，刺手少阴。
Heart malaria vexes the heart severely; the person wants clear cool water, and yet the cold predominates and the heat is not severe. Needle the hand lesser yin.
Gān nüè zhě, lìng rén sè cāng cāng rán, tài xī, qí zhuàng ruò sǐ zhě, cì zú jué yīn jiàn xuè.
肝疟，使人面色苍青，时时太息，那模样如同死人，刺足厥阴出血。
Liver malaria leaves the complexion ashen and grey; the person sighs deeply and his look is that of a dead man. Needle the foot ceasing yin until blood is seen.
10
脾瘧者，令人寒，腹中痛，熱則腸中鳴，鳴已汗出，剌足太陰。
脾疟者，令人寒，腹中痛，热则肠中鸣，鸣已汗出，刺足太阴。
Pí nüè zhě, lìng rén hán, fù zhōng tòng, rè zé cháng zhōng míng, míng yǐ hàn chū, cì zú tài yīn.
脾疟，使人发寒，腹中疼痛，发热时肠中鸣响，鸣响之后即出汗，刺足太阴。
Spleen malaria brings cold and pain within the belly; when heat comes the intestines rumble, and once they have rumbled sweat breaks out. Needle the foot greater yin.
11
腎瘧者，令人洒洒然，腰脊痛，宛轉，大便難，目眴眴然，手足寒，剌足太陽、少陰。
肾疟者，令人洒洒然，腰脊痛，宛转，大便难，目眴眴然，手足寒，刺足太阳、少阴。
Shèn nüè zhě, lìng rén xiǎn xiǎn rán, yāo jǐ tòng, wǎn zhuǎn, dà biàn nán, mù xuàn xuàn rán, shǒu zú hán, cì zú tài yáng, shào yīn.
肾疟，使人寒栗颤抖，腰脊疼痛，辗转不安，大便困难，两目昏眩，手足发凉，刺足太阳与足少阴。
Kidney malaria leaves the person shivering; the lower back and spine ache and he twists and turns; the stool is hard to pass, the eyes are dizzy and dim, and hands and feet are cold. Needle the foot greater yang and lesser yin.
12
胃瘧者，令人且病也，善飢而不能食，食而支滿腹大，剌足陽明、太陰，横脉出血。
胃疟者，令人且病也，善饥而不能食，食而支满腹大，刺足阳明、太阴，横脉出血。
Wèi nüè zhě, lìng rén qiě bìng yě, shàn jī ér bù néng shí, shí ér zhī mǎn fù dà, cì zú yáng míng, tài yīn, héng mài chū xuè.
胃疟，将要发病之时，容易觉得饿却又吃不下，吃了便胸膈支撑满闷、腹部胀大，刺足阳明与足太阴，并刺横脉出血。
Stomach malaria: as the illness is coming on, the person is hungry but cannot eat, and what he eats leaves the belly propped full and swollen. Needle the foot yang brightness and greater yin, and let blood from the crosswise vessel.
13
瘧發身方熱，剌跗上動脉，開其空，出其血，立寒。
疟发身方热，刺跗上动脉，开其空，出其血，立寒。
Nüè fā shēn fāng rè, cì fū shàng dòng mài, kāi qí kōng, chū qí xuè, lì hán.
疟疾发作而身体正在发热时，刺足背上的动脉，开通它的孔穴，放出其血，立刻转寒，热即退去。
When the malaria breaks out and the body is even now hot, needle the pulsing vessel above the instep, open its aperture, and let the blood out: the cold returns on the spot.
Nüè fāng yù hán, cì shǒu yáng míng, tài yīn, zú yáng míng, tài yīn.
疟疾正要转寒之时，刺手阳明、手太阴，以及足阳明、足太阴。
When the malaria is just about to turn cold, needle the hand yang brightness and greater yin, and the foot yang brightness and greater yin.
Nüè mài mǎn dà jí, cì bèi shù, yòng zhōng zhēn, bàng wǔ qū shù gè yī, shì féi shòu, chū qí xuè yě.
疟疾脉象满大而急，刺背部的俞穴，用中等型号的针，并于两旁的五处胠俞各刺一针，深浅依病人肥瘦斟酌，放出其血。
When the malaria pulse is full, large and urgent, needle the back transport points using a medium needle; at the five flank transport points to the side, one needle each, gauged to whether the body is fat or thin, and let the blood out.
Nüè mài xiǎo shí jí, jiǔ jìng shào yīn, cì zhǐ jǐng.
疟疾脉象小而实急，灸小腿部的少阴经，并刺趾端的井穴。
When the malaria pulse is small, replete and urgent, moxa the lesser yin on the shank and needle the well points of the digits.
Nüè mài mǎn dà jí, cì bèi shù, yòng wǔ qū shù, bèi shù gè yī, shì xíng zhì yú xuè yě.
疟疾脉象满大而急，刺背部的俞穴，取五处胠俞与背俞各一穴，行针适度，以出血为度。
When the malaria pulse is full, large and urgent, needle the back transport points, using the five flank transport points and the back transport points, one of each, carrying the needle through until blood is reached.
18
瘧脉緩大虚，便宜用藥，不宜用鍼。
疟脉缓大虚，便宜用药，不宜用针。
Nüè mài huǎn dà xū, biàn yí yòng yào, bù yí yòng zhēn.
疟疾脉象缓大而虚，就应当用药物治疗，不宜用针刺。
When the malaria pulse is slack, large and empty, then use medicine; needling is not appropriate.
19
凡治瘧，先發如食頃，乃可以治，過之則失時也。
凡治疟，先发如食顷，乃可以治，过之则失时也。
Fán zhì nüè, xiān fā rú shí qǐng, nǎi kě yǐ zhì, guò zhī zé shī shí yě.
凡是治疗疟疾，要在发作之前约一顿饭的工夫施治，才可以治；错过了就失去了时机。
In treating malaria generally, treat ahead of the fit by the space of a meal; only then can it be treated. Pass that moment and the time is lost.
20
諸瘧而脉不見，剌十指閒出血，血去必已，先視身之赤如小豆者，盡取之。
诸疟而脉不见，刺十指间出血，血去必已，先视身之赤如小豆者，尽取之。
Zhū nüè ér mài bù jiàn, cì shí zhǐ jiān chū xuè, xuè qù bì yǐ, xiān shì shēn zhī chì rú xiǎo dòu zhě, jìn qǔ zhī.
各种疟疾而脉象不显露的，刺十指之间出血，血出之后必定痊愈；先看身上红赤如小豆般的血络，全部刺取之。
In any malaria where the pulse does not show, needle between the ten digits and let blood; once the blood is gone the fit must end. First look over the body for the red marks like small beans, and take them all.
21
十二瘧者，其發各不同時，察其病形，以知其何脉之病也。
十二疟者，其发各不同时，察其病形，以知其何脉之病也。
Shí èr nüè zhě, qí fā gè bù tóng shí, chá qí bìng xíng, yǐ zhī qí hé mài zhī bìng yě.
十二种疟疾，发作的时间各不相同；观察它的病状，以此推知是哪一经脉的病。
The twelve malarias do not all break out at the same hour; examine the form of the illness in order to know which vessel’s disease it is.
22
先其發時，如食頃而剌之，一剌則衰，二剌則知，三剌則已。
先其发时，如食顷而刺之，一刺则衰，二刺则知，三刺则已。
Xiān qí fā shí, rú shí qǐng ér cì zhī, yī cì zé shuāi, èr cì zé zhī, sān cì zé yǐ.
在发作之前约一顿饭的工夫就针刺，一刺病势就衰减，二刺就见效果，三刺就痊愈。
Ahead of the hour of the fit, by the space of a meal, needle it: one needling and it wanes, a second and the patient knows the difference, a third and it is over.
23
不已，剌舌下兩脉出血。
不已，刺舌下两脉出血。
Bù yǐ, cì shé xià liǎng mài chū xuè.
若仍不愈，刺舌下两条血脉出血。
If it does not end, needle the two vessels beneath the tongue and let blood.
24
不已，剌郄中盛經出血，又剌項已下俠脊者，必已。
不已，刺郄中盛经出血，又刺项已下侠脊者，必已。
Bù yǐ, cì xī zhōng shèng jīng chū xuè, yòu cì xiàng yǐ xià xié jǐ zhě, bì yǐ.
仍不愈，刺郄中充盛的血络出血，再刺项部以下夹脊两旁的部位，必定痊愈。
If still it does not end, needle the replete channel at the cleft centre and let blood, then needle what lies below the nape flanking the spine: it must end.
Shé xià liǎng mài zhě, lián quán yě.
舌下的两条脉，就是廉泉。
The two vessels beneath the tongue are Lian Quan.
26
剌瘧者，必先問其病之所先發者，先剌之。
刺疟者，必先问其病之所先发者，先刺之。
Cì nüè zhě, bì xiān wèn qí bìng zhī suǒ xiān fā zhě, xiān cì zhī.
针刺治疟，必须先问清这病最先从何处发作，就先刺那一处。
Whoever needles malaria must first ask where the illness first breaks out, and needle that first.
27
先頭痛及重者，先剌頭上及兩額兩眉閒出血。
先头痛及重者，先刺头上及两额两眉间出血。
Xiān tóu tòng jí zhòng zhě, xiān cì tóu shàng jí liǎng é liǎng méi jiān chū xuè.
先头痛及头重的，先刺头上及两额、两眉之间，使之出血。
If headache and heaviness come first, needle first on the head and at the two temples and the space between the two eyebrows, letting blood.
Xiān xiàng bèi tòng zhě, xiān cì zhī.
先项背痛的，先刺项背。
If pain in the nape and back comes first, needle that first.
Xiān yāo jǐ tòng zhě, xiān cì xī zhōng chū xuè.
先腰脊痛的，先刺郄中出血。
If pain in the lower back and spine comes first, needle the cleft centre first and let blood.
30
先手臂痛者，先剌手少陰陽明十指閒。
先手臂痛者，先刺手少阴阳明十指间。
Xiān shǒu bì tòng zhě, xiān cì shǒu shào yīn yáng míng shí zhǐ jiān.
先手臂痛的，先刺手少阴、手阳明及十指之间。
If pain in the arm comes first, needle the hand lesser yin and yang brightness first, and the spaces between the ten digits.
Xiān zú jìng suān tòng zhě, xiān cì zú yáng míng shí zhǐ jiān chū xuè.
先小腿酸痛的，先刺足阳明及十趾之间出血。
If soreness and pain in the shank come first, needle the foot yang brightness first and the spaces between the ten digits, letting blood.
Fēng nüè, nüè fā zé hàn chū wù fēng, cì sān yáng jīng bèi shù zhī xuè zhě, héng suān tòng shèn, àn zhī bù kě, míng yuē fù suǐ bìng, yǐ chán zhēn zhēn jué gǔ chū xuè, lì yǐ.
风疟，发作时汗出而恶风，刺三阳经背部俞穴的血络；小腿酸痛剧烈，按不得，名叫胕髓病，用鑱针刺绝骨穴出血，立刻痊愈。
Wind malaria: when the fit breaks out there is sweating and aversion to wind — needle the blood of the back transport points of the three yang channels. When the shank aches and is so sore it cannot be pressed, it is called the marrow-adhering disease; with a chisel needle, needle the cut bone and let blood, and it ends at once.
Shēn tǐ xiǎo tòng, cì zhì yīn, zhū yīn zhī jǐng wú chū xuè, jiān rì yī cì.
身体稍稍疼痛的，刺至阴；各阴经的井穴不要出血，隔一天刺一次。
When the body aches only slightly, needle Utmost Yin; at the well points of the yin channels let no blood, and needle once every other day.
Nüè bù kě, jiān rì ér zuò, cì zú tài yáng; kě ér jiān rì zuò, cì zú shào yáng.
疟疾不渴而隔日发作的，刺足太阳；口渴而隔日发作的，刺足少阳。
Malaria without thirst that comes every other day: needle the foot greater yang. Malaria with thirst, likewise coming every other day: needle the foot lesser yang.
Wēn nüè hàn bù chū, wéi wǔ shí jiǔ cì.
温疟汗出不来的，施以五十九刺。
In warm malaria where the sweat will not come out, give the fifty-nine needlings.