Miscellaneous Diseases

雜病

Zá bìng

This is a prescription index rather than an essay: some thirty short entries, each naming a symptom and the channel to needle, with almost no theory between them. It is the kind of chapter a practising physician would actually carry, and its economy is the point. A symptom, a channel, occasionally a point.The arrangement is loose but not random. The first four entries are all jue, sorted by where the rebellious qi settles — beside the spine, in the chest and face, in the throat, in the abdomen — and each is assigned to a different leg channel. What follows runs through the head and senses: throat, knee, malaria, teeth, ear, nose. The pairs are instructive, because they turn on a single discriminating sign. Deafness with pain goes to hand yangming, without pain to foot shaoyang. Toothache that dreads cold drink goes to hand yangming, that does not to foot yangming. One sign, one channel.The middle of the chapter is a waist-and-abdomen section, then a run of heart pains that reads like a compressed version of the jue heart pains in the previous chapter. The heart entries are all short and all practical, and one of them gives a rule rather than a point: needle at the ninth vertebral joint, press before and after, and if it does not stop, look above and below until you find the place that stops it.The last entries are the most human. Flaccid reversal with bound limbs is to be released twice a day for ten days before feeling returns. And hiccup is treated by making the patient sneeze with a straw in the nose — and if that fails, by frightening him. The base text writes 歲 for 噦 here, and the collation records the correction rather than hiding it.

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厥,挾脊而痛者至頂,頭沈沈然,目䀮䀮然,腰脊强,取足太陽膕中血絡。 厥,挟脊而痛者至顶,头沈沈然,目䀮䀮然,腰脊强,取足太阳腘中血络。
jué, xié jí ér tòng zhě zhì dǐng, tóu chén chén rán, mù huāng huāng rán, yāo jí qiáng, qǔ zú tài yáng guó zhōng xuè luò.
厥病,挟脊而痛,上至头顶,头部沉沉不清,两眼昏花,腰脊强直,取足太阳在腘中的血络。
For jue with pain beside the spine reaching the crown, a heavy dull head, dim eyes and a stiff back, take the blood luo of foot taiyang in the popliteal fossa.
厥,胸滿面腫,脣漯漯然,暴言難,甚則不能言,取足陽明。 厥,胸满面肿,唇漯漯然,暴言难,甚则不能言,取足阳明。
jué, xiōng mǎn miàn zhǒng, chún tà tà rán, bào yán nán, shèn zé bù néng yán, qǔ zú yáng míng.
厥病,胸中满闷,面部浮肿,口唇湿润,突然言语困难,严重的不能说话,取足阳明。
For jue with chest fullness, swollen face, moist lips and sudden difficulty in speaking, or in severe cases inability to speak, take foot yangming.
厥,氣走喉而不能言,手足凊,大便不利,取足少陰。 厥,气走喉而不能言,手足凊,大便不利,取足少阴。
jué, qì zǒu hóu ér bù néng yán, shǒu zú qìng, dà biàn bù lì, qǔ zú shào yīn.
厥病,气上走喉而不能说话,手足清冷,大便不利,取足少阴。
For jue with qi rushing to the throat so that the patient cannot speak, cold hands and feet and no movement of the stool, take foot shaoyin.
厥而腹嚮嚮然,多寒氣,腹中𣹬𣹬,便溲難,取足太陰。 厥而腹向向然,多寒气,腹中𣹬𣹬,便溲难,取足太阴。
jué ér fù xiǎng xiǎng rán, duō hán qì, fù zhōng gǔ gǔ, biàn sōu nán, qǔ zú tài yīn.
厥病而腹部作响,多寒气,腹中咕咕有声,大小便困难,取足太阴。
For jue with a rumbling abdomen, much cold qi, gurgling in the belly and difficult stool and urine, take foot taiyin.
嗌乾,口中𤍠如膠,取足少陰。 嗌干,口中𤍠如胶,取足少阴。
yì gān, kǒu zhōng rè rú jiāo, qǔ zú shào yīn.
咽干,口中热得像胶一样黏,取足少阴。
For a dry throat with heat in the mouth like glue, take foot shaoyin.
膝中痛,取犢鼻,以員利鍼發而間之,鍼大如氂,刺膝無疑。 膝中痛,取犊鼻,以员利针发而间之,针大如牦,刺膝无疑。
xī zhōng tòng, qǔ dú bí, yǐ yuán lì zhēn fā ér jiān zhī, zhēn dà rú máo, cì xī wú yí.
膝中痛,取犊鼻,用员利针刺而留之,针粗如氂毛,刺膝不必疑虑。
For pain in the knee, take Dubi with the round sharp needle, opening and spacing the pricks; a needle as thick as a hair of the yak. In needling the knee there is no doubt.
喉痺不能言,取足陽明;能言,取手陽明。 喉痹不能言,取足阳明;能言,取手阳明。
hóu bì bù néng yán, qǔ zú yáng míng; néng yán, qǔ shǒu yáng míng.
喉痹不能说话,取足阳明;能说话的,取手阳明。
For throat obstruction with inability to speak, take foot yangming; if the patient can speak, take hand yangming.
瘧不渴,間日而作,取足陽明;渴而日作,取手陽明。 疟不渴,间日而作,取足阳明;渴而日作,取手阳明。
nüè bù kě, jiàn rì ér zuò, qǔ zú yáng míng; kě ér rì zuò, qǔ shǒu yáng míng.
疟疾不渴,隔日发作的,取足阳明;口渴而每天发作的,取手阳明。
For malaria without thirst, occurring every other day, take foot yangming; for thirst with daily attacks, take hand yangming.
齒痛,不惡清飲,取足陽明;惡清飲,取手陽明。 齿痛,不恶清饮,取足阳明;恶清饮,取手阳明。
chǐ tòng, bù wù qīng yǐn, qǔ zú yáng míng; wù qīng yǐn, qǔ shǒu yáng míng.
齿痛,不怕冷饮的,取足阳明;怕冷饮的,取手阳明。
For toothache with no aversion to cold drink, take foot yangming; with aversion to cold drink, take hand yangming.
聾而不痛者,取足少陽;聾而痛者,取手陽明。 聋而不痛者,取足少阳;聋而痛者,取手阳明。
lóng ér bù tòng zhě, qǔ zú shào yáng; lóng ér tòng zhě, qǔ shǒu yáng míng.
耳聋而不痛的,取足少阳;耳聋而痛的,取手阳明。
For deafness without pain, take foot shaoyang; for deafness with pain, take hand yangming.
衄而不止,衃血流,取足太陽;衃血,取手太陽,不已,刺宛骨下;不已,刺膕中出血。 衄而不止,衃血流,取足太阳;衃血,取手太阳,不已,刺宛骨下;不已,刺腘中出血。
nǜ ér bù zhǐ, pēi xuè liú, qǔ zú tài yáng; pēi xuè, qǔ shǒu tài yáng, bù yǐ, cì wǎn gǔ xià; bù yǐ, cì guó zhōng chū xuè.
鼻出血不止,有血块流出,取足太阳;有血块的,取手太阳,不止,刺宛骨之下;再不止,刺腘中出血。
For unstoppable nosebleed with dark clotted blood, take foot taiyang; for the clotted blood, take hand taiyang; if it does not stop, needle below Wangu; if it still does not stop, needle the popliteal fossa to bleed.
腰痛,痛上寒,取足太陽、陽明;痛上𤍠,取足厥陰;不可以俛仰,取足少陽;中𤍠而喘,取足少陰膕中血絡。 腰痛,痛上寒,取足太阳、阳明;痛上𤍠,取足厥阴;不可以俛仰,取足少阳;中𤍠而喘,取足少阴腘中血络。
yāo tòng, tòng shàng hán, qǔ zú tài yáng, yáng míng; tòng shàng rè, qǔ zú jué yīn; bù kě yǐ fǔ yǎng, qǔ zú shào yáng; zhōng rè ér chuǎn, qǔ zú shào yīn guó zhōng xuè luò.
腰痛,痛处发寒的,取足太阳、足阳明;痛处发热的,取足厥阴;不能俯仰的,取足少阳;里热而喘的,取足少阴在腘中的血络。
For low back pain with cold above the pain, take foot taiyang and yangming; with heat above the pain, take foot jueyin; when the patient cannot bend or straighten, take foot shaoyang; with heat within and panting, take the blood luo of foot shaoyin in the popliteal fossa.
喜怒而不欲食,言益小,刺足太陰;怒而多言,刺足少陽。 喜怒而不欲食,言益小,刺足太阴;怒而多言,刺足少阳。
xǐ nù ér bù yù shí, yán yì xiǎo, cì zú tài yīn; nù ér duō yán, cì zú shào yáng.
容易发怒而不想吃东西,说话声音越来越小的,刺足太阴;发怒而话多的,刺足少阳。
For one easily angered who does not wish to eat and whose voice grows ever smaller, needle foot taiyin; for anger with much talking, needle foot shaoyang.
顑痛,刺手陽明與顑之盛脉,出血。 顑痛,刺手阳明与顑之盛脉,出血。
kǎn tòng, cì shǒu yáng míng yǔ kǎn zhī shèng mài, chū xuè.
腮部痛,刺手阳明与腮部盛满的脉,使它出血。
For pain of the cheekbone, needle hand yangming and the full vessels of the cheekbone, letting blood.
項痛不可俛仰,刺足太陽;不可以顧,刺手太陽也。 项痛不可俛仰,刺足太阳;不可以顾,刺手太阳也。
xiàng tòng bù kě fǔ yǎng, cì zú tài yáng; bù kě yǐ gù, cì shǒu tài yáng yě.
项痛不能俯仰,刺足太阳;不能回头看的,刺手太阳。
For pain of the nape that prevents bending and lifting, needle foot taiyang; when the patient cannot turn to look, needle hand taiyang.
小腹滿大,上走胃至心,淅淅身時寒𤍠,小便不利,取足厥陰。 小腹满大,上走胃至心,淅淅身时寒𤍠,小便不利,取足厥阴。
xiǎo fù mǎn dà, shàng zǒu wèi zhì xīn, xī xī shēn shí hán rè, xiǎo biàn bù lì, qǔ zú jué yīn.
小腹满大,向上走到胃脘而至心,身体淅淅然时时寒热,小便不利,取足厥阴。
For a full, enlarged lower abdomen mounting to the stomach and reaching the heart, with a shivery body and alternating cold and heat, and difficult urination, take foot jueyin.
腹滿,大便不利,腹大亦上走胸嗌,喘息喝喝然,取足少陰。 腹满,大便不利,腹大亦上走胸嗌,喘息喝喝然,取足少阴。
fù mǎn, dà biàn bù lì, fù dà yì shàng zǒu xiōng yì, chuǎn xī yē yē rán, qǔ zú shào yīn.
腹部胀满,大便不利,腹部胀大而气上走胸咽,喘息喝喝有声,取足少阴。
For abdominal fullness with no movement of the stool, a great belly mounting to chest and throat, and panting that rasps, take foot shaoyin.
腹滿食不化,腹嚮嚮然,不能大便,取足太陰。 腹满食不化,腹向向然,不能大便,取足太阴。
fù mǎn shí bù huà, fù xiǎng xiǎng rán, bù néng dà biàn, qǔ zú tài yīn.
腹部胀满,饮食不消化,腹中作响,不能大便,取足太阴。
For abdominal fullness with undigested food, a rumbling belly and inability to move the stool, take foot taiyin.
心痛引腰脊,欲嘔,取足少陰。 心痛引腰脊,欲呕,取足少阴。
xīn tòng yǐn yāo jí, yù ǒu, qǔ zú shào yīn.
心痛牵引腰脊,想呕吐,取足少阴。
For heart pain drawing on waist and spine with a wish to vomit, take foot shaoyin.
心痛,腹脹,嗇嗇然,大便不利,取足太陰。 心痛,腹胀,啬啬然,大便不利,取足太阴。
xīn tòng, fù zhàng, sè sè rán, dà biàn bù lì, qǔ zú tài yīn.
心痛,腹部胀满,嗇嗇然畏寒,大便不利,取足太阴。
For heart pain with abdominal distension, chilliness and no movement of the stool, take foot taiyin.
心痛引背不得息,刺足少陰,不已,取手少陽。 心痛引背不得息,刺足少阴,不已,取手少阳。
xīn tòng yǐn bèi bù dé xī, cì zú shào yīn, bù yǐ, qǔ shǒu shào yáng.
心痛牵引背部,呼吸不利,刺足少阴;不止的,取手少阳。
For heart pain drawing on the back so that breathing fails, needle foot shaoyin; if it does not stop, take hand shaoyang.
心痛引小腹滿,上下無常處,便溲難,刺足厥陰。 心痛引小腹满,上下无常处,便溲难,刺足厥阴。
xīn tòng yǐn xiǎo fù mǎn, shàng xià wú cháng chù, biàn sōu nán, cì zú jué yīn.
心痛牵引小腹满胀,痛处上下不定,大小便困难,刺足厥阴。
For heart pain drawing on a full lower abdomen, with pain that has no fixed place above or below and difficulty of stool and urine, needle foot jueyin.
心痛,但短氣,不足以息,刺手太陰。 心痛,但短气,不足以息,刺手太阴。
xīn tòng, dàn duǎn qì, bù zú yǐ xī, cì shǒu tài yīn.
心痛,只是短气,呼吸不足,刺手太阴。
For heart pain with nothing but short breath, insufficient to breathe, needle hand taiyin.
心痛,當九節剌之,按,已刺按之,立已;不已,上下求之,得之立已。 心痛,当九节剌之,按,已刺按之,立已;不已,上下求之,得之立已。
xīn tòng, dāng jiǔ jié cì zhī, àn, yǐ cì àn zhī, lì yǐ; bù yǐ, shàng xià qiú zhī, dé zhī lì yǐ.
心痛,正当第九椎节刺它,刺后按之,立刻就好;不好的,在上上下下寻找,找到了立刻就好。
For heart pain, needle at the ninth vertebral joint, pressing before and after the needle: it stops at once. If it does not stop, look for it above and below; when found, it stops at once.
顑痛,刺足陽明曲周動脉,見血立已;不已,按人迎于經,立已。 顑痛,刺足阳明曲周动脉,见血立已;不已,按人迎于经,立已。
kǎn tòng, cì zú yáng míng qū zhōu dòng mài, jiàn xuè lì yǐ; bù yǐ, àn rén yíng yú jīng, lì yǐ.
腮部痛,刺足阳明曲周跳动的脉,见血立刻就好;不好的,按压人迎脉所在的经,立刻就好。
For pain of the cheekbone, needle the moving vessel at the curve of foot yangming; blood seen and it stops at once. If it does not stop, press renying along the channel, and it stops at once.
氣逆上,刺膺中陷者與下胸動脉。 气逆上,刺膺中陷者与下胸动脉。
qì nì shàng, cì yīng zhōng xiàn zhě yǔ xià xiōng dòng mài.
气逆上冲,刺胸膺中凹陷处与下胸跳动的脉。
For qi rebelling upward, needle the depression in the middle of the chest and the moving vessel below the chest.
腹痛,刺臍左右動脉,已刺按之,立已;不已,刺氣街,已刺按之,立已。 腹痛,刺脐左右动脉,已刺按之,立已;不已,刺气街,已刺按之,立已。
fù tòng, cì qí zuǒ yòu dòng mài, yǐ cì àn zhī, lì yǐ; bù yǐ, cì qì jiē, yǐ cì àn zhī, lì yǐ.
腹痛,刺脐左右跳动的脉,刺后按之,立刻就好;不好的,刺气街,刺后按之,立刻就好。
For abdominal pain, needle the moving vessels to the left and right of the navel, pressing after the needle: it stops at once. If it does not stop, needle Qijie, pressing after the needle, and it stops at once.
痿厥爲四末束悗,乃疾解之,日二,不仁者,十日而知,無休,病已,止。 痿厥为四末束悗,乃疾解之,日二,不仁者,十日而知,无休,病已,止。
wěi jué wéi sì mò shù náo, nǎi jí jiě zhī, rì èr, bù rén zhě, shí rì ér zhī, wú xiū, bìng yǐ, zhǐ.
痿厥,四肢拘束而烦乱,就赶快解开它,一天两次;麻木不仁的,十天才有知觉,不要停,病好了才止。
For flaccid reversal with the four limbs bound and fretful, release them quickly, twice a day. Where there is numbness, feeling returns in ten days; do not stop, and cease only when the disease is gone.
歲,以草刺鼻,嚏,嚏而已,無息,而疾迎引之,立已。大驚之,亦可已。 岁,以草刺鼻,嚏,嚏而已,无息,而疾迎引之,立已。大惊之,亦可已。
suì, yǐ cǎo cì bí, tì, tì ér yǐ, wú xī, ér jí yíng yǐn zhī, lì yǐ. dà jīng zhī, yì kě yǐ.
呃逆,用草刺鼻,打喷嚏,喷嚏一出就好了;不打喷嚏,就赶快迎引其气,立刻就好。使他大惊,也可以好。
For hiccup, prod the nose with a straw so that the patient sneezes; the sneeze ends it. If no sneeze comes, hasten to draw the qi out, and it stops at once. Frightening the patient greatly will also end it.

Textual notes

Readings follow the base edition; significant variants are recorded here.

  1. 目䀮䀮然目䀮䀮然

    䀮讀 huāng,目不明也,从目从巟。厥氣上逆,頭沈目暗,腰脊强直,故取足太陽膕中血絡以瀉其邪。

  2. 脣漯漯然脣漯漯然

    漯讀 tà,汗出濕潤之貌。脣漯漯然者,津液外泄而脣濕,與《靈樞·師傳》「身漯漯」同訓,皆陽虛不攝之候。

  3. 腹中𣹬𣹬腹中穀穀

    「𣹬」从水从㱿,讀 gǔ,腸鳴之聲,與「穀穀」通。腹嚮嚮然與腹中𣹬𣹬並言寒氣腸鳴,皆足太陰證,故取足太陰。

  4. 以員利鍼發而間之以員利鍼發而間之

    員利鍼,九鍼之一,形圓而銳,宜於癰痹深邪。發而間之,謂刺之而留其間,非一次即已。鍼大如氂,言其細而能入。

  5. 不可以俛仰不可以俯仰

    俛即俯,底本作俛,本書一律。腰不可以俯仰,少陽主轉側,故取足少陽;中熱而喘,則取足少陰膕中血絡。

  6. 當九節剌之當九節刺之

    九節,謂第九椎節之下,即筋縮之旁。剌即刺,底本此篇剌、刺雜出,今照錄不改。按而刺之,刺已復按,故立已。

  7. 痿厥爲四末束悗痿厥爲四末束悗

    束,拘束也;悗,煩亂也。四末束悗者,手足拘急而煩亂。疾解之,謂急去其約束;日二者,一日兩次,不仁者十日乃知。

  8. 歲,以草刺鼻,嚏噦,以草刺鼻,嚏

    「歲」於義無取,通行本作「噦」,呃逆也。呃逆以草刺鼻取嚏,嚏則氣通而呃止;不嚏則迎引其氣,或大驚以動之。

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APA

Huangdi Neijing · Lingshu 黃帝內經靈樞 (Compiled over the same span as the Suwen; the present text was put in order in the Tang.). Zá bìng 雜病 [Miscellaneous Diseases], Chapter 26. In Classica Sinica Medica. Base text: 《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。 Retrieved 28 October 2026, from https://classicstcm.com/classics/huangdi-neijing-lingshu/miscellaneous-diseases/

MLA

"Zá bìng 雜病 [Miscellaneous Diseases]." Huangdi Neijing · Lingshu 黃帝內經靈樞, chapter 26, Classica Sinica Medica, 2026, https://classicstcm.com/classics/huangdi-neijing-lingshu/miscellaneous-diseases/. Accessed 28 Oct. 2026. Base text: 《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。

Chinese scholarly

《黃帝內經靈樞·雜病》(Huángdì Nèijīng Língshū)。《黃帝素問靈樞經》十二卷八十一篇,宋·史崧校定并音釋。據上海涵芬樓《四部叢刊》子部影印明趙府居敬堂刊本錄入,卷首牌記題「上海涵芬樓景明趙府居敬堂刊本」,並記原書版匡高營造尺六寸三分、寬四寸四分。目錄末行作「元二十四卷今併爲十二卷計八十一篇」。底本與影印本均屬公有領域。Classica Sinica Medica,2026 年 10 月 28 日 存取,https://classicstcm.com/classics/huangdi-neijing-lingshu/miscellaneous-diseases/。

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