凡將用鍼，必先診脉，視氣之劇易，乃可以治也。五藏之氣已絶於内，而用鍼者反實其外，是謂重竭，重竭必死，其死也靜。治之者輒反其氣，取腋與膺。五藏之氣已絶於外，而用鍼者反實其内，是謂逆厥，逆厥則必死，其死也躁。治之者反取四末刺之。害中而不去則精泄，害中而去則致氣，精泄則病益甚而恇，致氣則生爲癰瘍。五藏有六府，六府有十二原，十二原出於四關，四關主治五藏。五藏有疾，當取之十二原。十二原者，五藏之所以禀三百六十五節氣味也。五藏有疾也，應出十二原，二原各有所出，明知其原，覩其應，而知五藏之害矣。陽中之少陰，肺也，其原出於大淵，大淵二。陽中之太陽，心也，其原出於大陵，大陵二。陰中之少陽，肝也，其原出於太衝，太衝二。陰中之至陰，脾也，其原出於太白，太白二。陰中之太陰，腎也，其原出於太谿，太谿二。膏之原出於鳩尾，鳩尾一。肓之原出於脖胦，脖胦一。凡此十二原者，主治五藏六府之有疾者也。
凡将用针，必先诊脉，视气之剧易，乃可以治也。五藏之气已绝于内，而用针者反实其外，是谓重竭，重竭必死，其死也静。治之者辄反其气，取腋与膺。五藏之气已绝于外，而用针者反实其内，是谓逆厥，逆厥则必死，其死也躁。治之者反取四末刺之。害中而不去则精泄，害中而去则致气，精泄则病益甚而恇，致气则生为痈疡。五藏有六府，六府有十二原，十二原出于四关，四关主治五藏。五藏有疾，当取之十二原。十二原者，五藏之所以禀三百六十五节气味也。五藏有疾也，应出十二原，二原各有所出，明知其原，睹其应，而知五藏之害矣。阳中之少阴，肺也，其原出于大渊，大渊二。阳中之太阳，心也，其原出于大陵，大陵二。阴中之少阳，肝也，其原出于太冲，太冲二。阴中之至阴，脾也，其原出于太白，太白二。阴中之太阴，肾也，其原出于太溪，太溪二。膏之原出于鸠尾，鸠尾一。肓之原出于脖胦，脖胦一。凡此十二原者，主治五藏六府之有疾者也。
Fán jiāng yòng zhēn, bì xiān zhěn mài, shì qì zhī jù yì, nǎi kě yǐ zhì yě. wǔ zàng zhī qì yǐ jué yú nèi, ér yòng zhēn zhě fǎn shí qí wài, shì wèi chóng jié, chóng jié bì sǐ, qí sǐ yě jìng. zhì zhī zhě zhé fǎn qí qì, qǔ yè yǔ yīng. wǔ zàng zhī qì yǐ jué yú wài, ér yòng zhēn zhě fǎn shí qí nèi, shì wèi nì jué, nì jué zé bì sǐ, qí sǐ yě zào. zhì zhī zhě fǎn qǔ sì mò cì zhī. hài zhòng ér bù qù zé jīng xiè, hài zhòng ér qù zé zhì qì, jīng xiè zé bìng yì shèn ér kuāng, zhì qì zé shēng wéi yōng yáng. wǔ zàng yǒu liù fǔ, liù fǔ yǒu shí èr yuán, shí èr yuán chū yú sì guān, sì guān zhǔ zhì wǔ zàng. wǔ zàng yǒu jí, dāng qǔ zhī shí èr yuán. shí èr yuán zhě, wǔ zàng zhī suǒ yǐ bǐng sān bǎi liù shí wǔ jié qì wèi yě. wǔ zàng yǒu jí yě, yìng chū shí èr yuán, èr yuán gè yǒu suǒ chū, míng zhī qí yuán, dǔ qí yìng, ér zhī wǔ zàng zhī hài yǐ. yáng zhōng zhī shào yīn, fèi yě, qí yuán chū yú dà yuān, dà yuān èr. yáng zhōng zhī tài yáng, xīn yě, qí yuán chū yú dà líng, dà líng èr. yīn zhōng zhī shào yáng, gān yě, qí yuán chū yú tài chōng, tài chōng èr. yīn zhōng zhī zhì yīn, pí yě, qí yuán chū yú tài bái, tài bái èr. yīn zhōng zhī tài yīn, shèn yě, qí yuán chū yú tài xī, tài xī èr. gāo zhī yuán chū yú jiū wěi, jiū wěi yī. huāng zhī yuán chū yú bó yāng, bó yāng yī. fán cǐ shí èr yuán zhě, zhǔ zhì wǔ zàng liù fǔ zhī yǒu jí zhě yě.
Whenever one is about to use the needle, one must first diagnose the pulse and see whether the qi is urgent or gentle; only then may one treat. When the qi of the five viscera has already been cut off within, and the needler instead fills its outside, this is called double exhaustion, and double exhaustion means certain death; the death is quiet. Those who treat it often turn the qi back and take points at the armpit and the chest. When the qi of the five viscera has been cut off outside, and the needler instead fills its inside, this is called reverse inversion, and reverse inversion means certain death; the death is restless. Those who treat it instead take the four extremities and needle them. If one strikes the harm and does not withdraw, the essence drains; if one strikes the harm and withdraws, qi is drawn on. When the essence drains the illness worsens and the patient weakens; when qi is drawn on, abscesses and sores arise. The five viscera have six bowels, the six bowels have twelve sources; the twelve sources issue from the four gates, and the four gates govern the five viscera. When the five viscera are ill, one should take the twelve sources. The twelve sources are where the five viscera receive the qi and flavour of the three hundred and sixty-five joints. When the five viscera are ill, the response issues at the twelve sources; each of the two sources has its own issuing place. Know clearly their source and observe their response, and one knows the harm to the five viscera. The lesser yin within yang is the lung; its source issues at Great Abyss, two points at Great Abyss. The greater yang within yang is the heart; its source issues at Great Mound, two points at Great Mound. The lesser yang within yin is the liver; its source issues at Great Surge, two points at Great Surge. The utmost yin within yin is the spleen; its source issues at Great White, two points at Great White. The greater yin within yin is the kidney; its source issues at Great Torrent, two points at Great Torrent. The source of the fat issues at Turtle Tail, one point at Turtle Tail. The source of the membrane issues at Neck Navel, one point at Neck Navel. All these twelve sources govern the illnesses of the five viscera and six bowels.
**「大淵」本篇2見**，皆在此句。**通行本作「太淵」，底本作「大淵」**，與「太谿」「太白」「太衝」之作太者不一律；**本站各從底本，不并軌**，校勘已記此條。**肺之原即寸口**，故五藏之原中，獨此一穴為診脉之所。
歧伯曰：請言其次也。肺出於少商。少商者，手大指端内側也，爲井木；溜于魚際，魚際者，手魚也，爲滎；注于大淵。大淵，魚後一寸，陷者中也，爲腧；行于經渠，經渠，寸口中也，動而不居，爲經；入于尺澤，尺澤，肘中之動脉也，爲合，手太陰經也。
歧伯曰：请言其次也。肺出于少商。少商者，手大指端内侧也，为井木；溜于鱼际，鱼际者，手鱼也，为荥；注于大渊。大渊，鱼后一寸，陷者中也，为腧；行于经渠，经渠，寸口中也，动而不居，为经；入于尺泽，尺泽，肘中之动脉也，为合，手太阴经也。
Qí Bó yuē: qǐng yán qí cì yě. fèi chū yú shào shāng. shào shāng zhě, shǒu dà zhǐ duān nèi cè yě, wéi jǐng mù; liū yú yú jì, yú jì zhě, shǒu yú yě, wéi yíng; zhù yú dà yuān. dà yuān, yú hòu yī cùn, xiàn zhě zhōng yě, wéi shù; xíng yú jīng qú, jīng qú, cùn kǒu zhōng yě, dòng ér bù jū, wéi jīng; rù yú chǐ zé, chǐ zé, zhǒu zhōng zhī dòng mài yě, wéi hé, shǒu tài yīn jīng yě.
Qi Bo said: Let me speak of their order. The lung emerges at Shaoshang. Shaoshang is on the inner side of the tip of the great thumb, and is the well-wood. It flows to Yuji; Yuji is the thenar flesh, and is the spring. It pours into Dayuan; Dayuan is one cun behind the fish, in the depression, and is the stream. It moves to Jingqu; Jingqu is within the mouth of the inch, where the vessel moves without resting, and is the river. It enters Chize; Chize is the moving vessel at the elbow, and is the sea. This is the hand taiyin channel.
「大淵」為肺之腧，在魚後一寸。前篇以為肺之原，此篇以為肺之腧，名同而位同，所屬之目則異。
𤍠病而汗且出，及脉順可汗者，取之魚際、大淵、大都、大白，寫之則𤍠去，補之則汗出，汗出大甚，取内踝上横脉以止之。
𤍠病而汗且出，及脉顺可汗者，取之鱼际、大渊、大都、大白，写之则𤍠去，补之则汗出，汗出大甚，取内踝上横脉以止之。
rè bìng ér hàn qiě chū, jí mài shùn kě hàn zhě, qǔ zhī yú jì, dà yuān, dà dū, dà bái, xiè zhī zé rè qù, bǔ zhī zé hàn chū, hàn chū dà shèn, qǔ nèi huái shàng héng mài yǐ zhǐ zhī.
For heat disease about to sweat, and where the pulse is compliant and sweating is possible, take Yuji, Dayuan, Dadu and Dabai: drained, the heat leaves; tonified, sweat comes. If the sweating is excessive, take the transverse vessel above the inner ankle to stop it.
「大淵」𤍠病第18段見，義與本條相合，引全段為證。
厥心痛，卧若徒居，心痛間，動作痛益甚，色不變，肺心痛也，取之魚際、大淵。
厥心痛，卧若徒居，心痛间，动作痛益甚，色不变，肺心痛也，取之鱼际、大渊。
jué xīn tòng, wò ruò tú jū, xīn tòng jiān, dòng zuò tòng yì shèn, sè bù biàn, fèi xīn tòng yě, qǔ zhī yú jì, dà yuān.
For jue heart pain that stops when lying or at rest and worsens on movement, with unchanged complexion, it is lung heart pain. Take Yuji and Dayuan.
「大淵」厥病第15段見，義與本條相合，引全段為證。
歧伯曰：手太陰之脉，出於大指之端，内屈，循白肉際，至本節之後大淵，留以澹，外屈，上於本節下，内屈，與陰諸絡會於魚際，數脉并注，其氣滑利，伏行壅骨之下，外屈，出於寸口而行，上至於肘内廉，入於大筋之下，内屈，上行臑陰，入腋下，内屈走肺。此順行逆數之屈折也。
歧伯曰：手太阴之脉，出于大指之端，内屈，循白肉际，至本节之后大渊，留以澹，外屈，上于本节下，内屈，与阴诸络会于鱼际，数脉并注，其气滑利，伏行壅骨之下，外屈，出于寸口而行，上至于肘内廉，入于大筋之下，内屈，上行臑阴，入腋下，内屈走肺。此顺行逆数之屈折也。
Qí Bó yuē: shǒu tài yīn zhī mài, chū yú dà zhǐ zhī duān, nèi qū, xún bái ròu jì, zhì běn jié zhī hòu dà yuān, liú yǐ dàn, wài qū, shàng yú běn jié xià, nèi qū, yǔ yīn zhū luò huì yú yú jì, shù mài bìng zhù, qí qì huá lì, fú xíng yōng gǔ zhī xià, wài qū, chū yú cùn kǒu ér xíng, shàng zhì yú zhǒu nèi lián, rù yú dà jīn zhī xià, nèi qū, shàng xíng nào yīn, rù yè xià, nèi qū zǒu fèi. cǐ shùn xíng nì shù zhī qū zhé yě.
Qi Bo said: The vessel of the hand greater yin issues at the tip of the great finger, turns inward and follows the border of the white flesh to Great Abyss behind the joint, where it lingers and moistens; turns outward and rises below the joint; turns inward and meets the yin network vessels at the Fish Border; several vessels pour in together and its qi is slippery and free; it runs hidden beneath the high bone, turns outward and comes out at the inch mouth, travels up to the inner side of the elbow, enters below the great sinew, turns inward, ascends the inner side of the upper arm, enters the armpit and, turning inward, runs to the lung. This is the bending and turning of its forward course and backward count.
「大淵」邪客第16段見，義與本條相合，引全段為證。