1
黄帝問曰：余聞繆刺，未得其意，何謂繆刺？
黄帝问曰：余闻缪刺，未得其意，何谓缪刺？
Huáng dì wèn yuē: yú wén miù cì, wèi dé qí yì, hé wèi miù cì?
黄帝问道：我听说过缪刺之法，却不明白它的意思。什么叫做缪刺？
The Yellow Emperor asks: I have heard of contralateral puncture, but I have not grasped its meaning. What is contralateral puncture?
2
歧伯對曰：夫邪之客於形也，必先舍於皮毛；留而不去，入舍於孫脉；留而不去，入舍於絡脉；留而不去，入舍於經脉，内連五藏，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。
歧伯对曰：夫邪之客于形也，必先舍于皮毛；留而不去，入舍于孙脉；留而不去，入舍于络脉；留而不去，入舍于经脉，内连五藏，散于肠胃，阴阳俱感，五藏乃伤，此邪之从皮毛而入，极于五藏之次也，如此则治其经焉。
Qí bó duì yuē: fú xié zhī kè yú xíng yě, bì xiān shè yú pí máo; liú ér bù qù, rù shè yú sūn mài; liú ér bù qù, rù shè yú luò mài; liú ér bù qù, rù shè yú jīng mài, nèi lián wǔ zàng, sàn yú cháng wèi, yīn yáng jù gǎn, wǔ zàng nǎi shāng, cǐ xié zhī cóng pí máo ér rù, jí yú wǔ zàng zhī cì yě, rú cǐ zé zhì qí jīng yān.
歧伯回答说：邪气客留于形体，必定先停留在皮毛；滞留不去，就进入孙脉；再滞留不去，就进入络脉；仍滞留不去，就进入经脉，向内连属五脏，散布到肠胃，阴阳都受其扰，五脏于是受伤。这是邪气从皮毛而入、最终到达五脏的次序；像这种情况，就要治它的经脉。
Qi Bo replies: When evil lodges in the form it must first settle in the skin and the down. If it stays and does not leave it enters the grandchild vessel; if it stays and does not leave it enters the network vessel; if it stays and does not leave it enters the channel vessel, links inward to the five viscera and spreads to the stomach and bowels, so that yin and yang are both affected and the five viscera are harmed. This is the order by which evil enters at the skin and the hair and reaches its extreme in the five viscera. In such a case one treats the channels.
3
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。
今邪客于皮毛，入舍于孙络，留而不去，闭塞不通，不得入于经，流溢于大络，而生奇病也。
Jīn xié kè yú pí máo, rù shè yú sūn luò, liú ér bù qù, bì sè bù tōng, bù dé rù yú jīng, liú yì yú dà luò, ér shēng qí bìng yě.
如今邪气客于皮毛，进入并停留在孙络，滞留不去，络脉闭塞不通，邪气进不到经脉里去，就流溢到大络，从而生出异常的病。
But here the evil lodges in the skin and the hair and settles in the grandchild network. It stays and does not leave, the network is blocked and will not open, the evil cannot get into the channels, and it floods into the great network, which gives rise to an unusual disease.
4
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。
夫邪客大络者，左注右，右注左，上下左右，与经相干，而布于四末。
Fú xié kè dà luò zhě, zuǒ zhù yòu, yòu zhù zuǒ, shàng xià zuǒ yòu, yǔ jīng xiāng gān, ér bù yú sì mò.
邪气客于大络的，左侧流注到右侧，右侧流注到左侧，或上或下、或左或右，与经脉相互干扰，散布到四肢末端。
When evil lodges in the great network, the left pours into the right and the right pours into the left. Above and below, left and right, it interferes with the channels and spreads out to the four extremities.
Qí qì wú cháng chù, bù rù yú jīng shù, mìng yuē miù cì.
邪气没有固定的处所，也不进入经脉的俞穴，这种刺法就叫做缪刺。
Its qi has no fixed place, and it does not enter the transport points of the channels. This is what is named contralateral puncture.
6
帝曰：願聞繆刺，以左取右，以右取左，柰何？其與巨刺，何以别之？
帝曰：愿闻缪刺，以左取右，以右取左，奈何？其与巨刺，何以别之？
Dì yuē: yuàn wén miù cì, yǐ zuǒ qǔ yòu, yǐ yòu qǔ zuǒ, nài hé? Qí yǔ jù cì, hé yǐ bié zhī?
黄帝说：我想听听缪刺——左边的病取右边的穴、右边的病取左边的穴，这该怎么讲？它和巨刺又凭什么分别？
The Emperor says: I wish to hear about contralateral puncture, taking the right for a disease of the left and the left for a disease of the right. How is it done, and by what does it differ from the great puncture?
7
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，而右脉先病，如此者，必巨刺之，必中其經，非絡脉也。故絡病者，其痛與經脉繆處，故命曰繆刺。
歧伯曰：邪客于经，左盛则右病，右盛则左病，亦有移易者，左痛未已，而右脉先病，如此者，必巨刺之，必中其经，非络脉也。故络病者，其痛与经脉缪处，故命曰缪刺。
Qí bó yuē: xié kè yú jīng, zuǒ shèng zé yòu bìng, yòu shèng zé zuǒ bìng, yì yǒu yí yì zhě, zuǒ tòng wèi yǐ, ér yòu mài xiān bìng, rú cǐ zhě, bì jù cì zhī, bì zhòng qí jīng, fēi luò mài yě. Gù luò bìng zhě, qí tòng yǔ jīng mài miù chù, gù mìng yuē miù cì.
歧伯说：邪气客于经脉的，左侧邪盛则右侧发病，右侧邪盛则左侧发病；也有转移变化的，左侧的疼痛还没有停止，而右侧的脉已经先病。像这种情况，必须用巨刺，而且必须刺中它的经脉，不是刺络脉。至于络脉之病，它的疼痛与经脉交错不合，所以叫做缪刺。
Qi Bo says: When evil lodges in the channels, a full left makes the right diseased and a full right makes the left diseased. There are also cases that shift, where the pain on the left has not yet ended and the vessel on the right is already affected. In such a case one must use the great puncture, and one must hit the channel itself, not the network. As for disease of the network, its pain lies at a place that crosses the channel rather than following it, and that is why it is named contralateral puncture.
8
帝曰：願聞繆刺柰何？取之何如？
帝曰：愿闻缪刺奈何？取之何如？
Dì yuē: yuàn wén miù cì nài hé? Qǔ zhī hé rú?
黄帝说：我想听听缪刺怎么施行，取穴又如何？
The Emperor says: I wish to hear how contralateral puncture is carried out, and how the places are chosen.
Qí bó yuē: xié kè yú zú shào yīn zhī luò, lìng rén cù xīn tòng, bào zhàng, xiōng xié zhī mǎn, wú jī zhě, cì rán gǔ zhī qián chū xuè, rú shí qǐng ér yǐ.
邪气客于足少阴的络脉，使人突发心痛、骤然胀满、胸胁支撑而满；腹中没有积块的，刺然骨之前使它出血，约一顿饭的工夫就好。
When evil lodges in the network of the foot lesser yin it causes sudden heart pain, abrupt distension and a propping fullness of the chest and flanks. Where there is no accumulation, bleed the front of the projecting bone, and the patient is well within the time of a meal.
10
不已，左取右，右取左。
不已，左取右，右取左。
Bù yǐ, zuǒ qǔ yòu, yòu qǔ zuǒ.
若不好，左边的病取右边，右边的病取左边。
If it does not end, take the right for the left and the left for the right.
11
病新發者，取五日已。
病新发者，取五日已。
Bìng xīn fā zhě, qǔ wǔ rì yǐ.
刚发的新病，取治五天就好。
A disease that has only just arisen is taken for five days and then ends.
12
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。
邪客于手少阳之络，令人喉痹舌卷，口干心烦，臂外廉痛，手不及头，刺手中指次指爪甲上，去端如韭叶，各一痏，壮者立已，老者有顷已。
Xié kè yú shǒu shào yáng zhī luò, lìng rén hóu bì shé juǎn, kǒu gān xīn fán, bì wài lián tòng, shǒu bù jí tóu, cì shǒu zhōng zhǐ cì zhǐ zhǎo jiǎ shàng, qù duān rú jiǔ yè, gè yī wěi, zhuàng zhě lì yǐ, lǎo zhě yǒu qǐng yǐ.
邪气客于手少阳的络脉，使人喉痹、舌卷、口干、心中烦躁，臂的外侧作痛，手抬不到头；刺手中指和次指的指甲上方、距指端如韭叶宽处，各一针。壮实的人立刻就好，年老的人过一会儿也好。
When evil lodges in the network of the hand lesser yang it causes blockage of the throat and curling of the tongue, a dry mouth and fretting of the heart, pain along the outer edge of the arm, and a hand that cannot reach the head. Puncture above the nails of the middle and second fingers of the hand, a leek-leaf’s breadth from the tip, one puncture each. In a robust person it ends at once, in an old person after a while.
13
左取右，右取左。
左取右，右取左。
Zuǒ qǔ yòu, yòu qǔ zuǒ.
左边的病取右边，右边的病取左边。
Take the right for the left and the left for the right.
14
此新病數日已。
此新病数日已。
Cǐ xīn bìng shù rì yǐ.
这是新病，几天就好。
This is a new disease; it ends in a few days.
15
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。
邪客于足厥阴之络，令人卒疝暴痛，刺足大指爪甲上与肉交者，各一痏，男子立已，女子有顷已。
Xié kè yú zú jué yīn zhī luò, lìng rén cù shàn bào tòng, cì zú dà zhǐ zhǎo jiǎ shàng yǔ ròu jiāo zhě, gè yī wěi, nán zǐ lì yǐ, nǚ zǐ yǒu qǐng yǐ.
邪气客于足厥阴的络脉，使人突发疝气而剧痛；刺足大趾指甲上方与肉交界处，各一针。男子立刻就好，女子过一会儿也好。
When evil lodges in the network of the foot ceasing yin it causes sudden rupture and violent pain. Puncture where the nail of the great toe meets the flesh, one puncture on each side. In a man it ends at once, in a woman after a while.
16
左取右，右取左。
左取右，右取左。
Zuǒ qǔ yòu, yòu qǔ zuǒ.
左边的病取右边，右边的病取左边。
Take the right for the left and the left for the right.
17
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。
邪客于足太阳之络，令人头项肩痛，刺足小指爪甲上与肉交者，各一痏，立已。
Xié kè yú zú tài yáng zhī luò, lìng rén tóu xiàng jiān tòng, cì zú xiǎo zhǐ zhǎo jiǎ shàng yǔ ròu jiāo zhě, gè yī wěi, lì yǐ.
邪气客于足太阳的络脉，使人头、项、肩疼痛；刺足小趾指甲上方与肉交界处，各一针，立刻就好。
When evil lodges in the network of the foot greater yang it causes pain in the head, the nape and the shoulder. Puncture where the nail of the small toe meets the flesh, one puncture on each side, and it ends at once.
Bù yǐ, cì wài huái xià sān wěi.
若不好，再刺外踝下方三针。
If it does not end, puncture three times below the outer ankle.
19
左取右，右取左，如食頃已。
左取右，右取左，如食顷已。
Zuǒ qǔ yòu, yòu qǔ zuǒ, rú shí qǐng yǐ.
左边的病取右边，右边的病取左边，约一顿饭的工夫就好。
Take the right for the left and the left for the right, and it ends within the time of a meal.
20
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。
邪客于手阳明之络，令人气满胸中，喘息而支胠，胸中热，刺手大指次指爪甲上，去端如韭叶，各一痏。
Xié kè yú shǒu yáng míng zhī luò, lìng rén qì mǎn xiōng zhōng, chuǎn xī ér zhī qū, xiōng zhōng rè, cì shǒu dà zhǐ cì zhǐ zhǎo jiǎ shàng, qù duān rú jiǔ yè, gè yī wěi.
邪气客于手阳明的络脉，使人胸中气满、喘息而胁下支撑，胸中发热；刺手大指和次指的指甲上方、距指端如韭叶宽处，各一针。
When evil lodges in the network of the hand yang brightness it causes qi that fills the chest, panting that props the flank, and heat in the chest. Puncture above the nails of the great and second fingers of the hand, a leek-leaf’s breadth from the tip, one puncture each.
21
左取右，右取左，如食頃已。
左取右，右取左，如食顷已。
Zuǒ qǔ yòu, yòu qǔ zuǒ, rú shí qǐng yǐ.
左边的病取右边，右边的病取左边，约一顿饭的工夫就好。
Take the right for the left and the left for the right, and it ends within the time of a meal.
22
邪客於臂掌之閒，不可得屈，刺其踝後。
邪客于臂掌之间，不可得屈，刺其踝后。
Xié kè yú bì zhǎng zhī jiān, bù kě dé qū, cì qí huái hòu.
邪气客于臂掌之间，手不能屈曲；刺它的腕后。
When evil lodges between the arm and the palm and the hand cannot be bent, puncture behind the wrist.
23
先以指按之，痛乃刺之。
先以指按之，痛乃刺之。
Xiān yǐ zhǐ àn zhī, tòng nǎi cì zhī.
先用手指按压，按到痛处才下针。
First press it with the finger; where it hurts, there puncture.
24
以月死生爲數，月生一日一痏，二日二痏，十五日十五痏，十六日十四痏。
以月死生为数，月生一日一痏，二日二痏，十五日十五痏，十六日十四痏。
Yǐ yuè sǐ shēng wéi shù, yuè shēng yī rì yī wěi, èr rì èr wěi, shí wǔ rì shí wǔ wěi, shí liù rì shí sì wěi.
以月亮的盈亏来定针数：月之初生，初一一针，初二两针，十五十五针，十六十四针。
The number is set by the dying and the living of the moon: as the moon grows, one puncture on the first day, two on the second, fifteen on the fifteenth, fourteen on the sixteenth.
25
邪客於足陽蹻之脉，令人目痛，從内眦始，刺外踝之下半寸所，各二痏。
邪客于足阳蹻之脉，令人目痛，从内眦始，刺外踝之下半寸所，各二痏。
Xié kè yú zú yáng qiāo zhī mài, lìng rén mù tòng, cóng nèi zì shǐ, cì wài huái zhī xià bàn cùn suǒ, gè èr wěi.
邪气客于足阳蹻脉，使人眼痛，从内眼角起；刺外踝下方约半寸处，各两针。
When evil lodges in the vessel of the foot yang heel it causes pain of the eye beginning at the inner canthus. Puncture about half an inch below the outer ankle, two punctures on each side.
26
左刺右，右刺左，如行十里頃而已。
左刺右，右刺左，如行十里顷而已。
Zuǒ cì yòu, yòu cì zuǒ, rú xíng shí lǐ qǐng ér yǐ.
左边的病刺右边，右边的病刺左边，约走十里路的工夫就好了。
Puncture the right for the left and the left for the right, and it is over within the time of walking ten li.
27
人有所墮墜，惡血留内，腹中滿脹，不得前後，先飲利藥。
人有所堕坠，恶血留内，腹中满胀，不得前后，先饮利药。
Rén yǒu suǒ duò zhuì, è xuè liú nèi, fù zhōng mǎn zhàng, bù dé qián hòu, xiān yǐn lì yào.
人从高处坠落，瘀血留滞在内，腹中胀满，大小便不通；先给他服通利之药。
When a person has had a fall, bad blood stays inside, the abdomen is full and distended, and neither the front nor the back opens. First give a medicine that frees the passages.
Cǐ shàng shāng jué yīn zhī mài, xià shāng shào yīn zhī luò.
这是上面伤了厥阴之脉，下面伤了少阴之络。
Above, the vessel of the ceasing yin is hurt; below, the network of the lesser yin is hurt.
29
刺足内踝之下，然骨之前血脉出血，刺足跗上動脉。
刺足内踝之下，然骨之前血脉出血，刺足跗上动脉。
Cì zú nèi huái zhī xià, rán gǔ zhī qián xuè mài chū xuè, cì zú fū shàng dòng mài.
刺足内踝的下方、然骨之前的血脉使它出血，再刺足背上的动脉。
Puncture below the inner ankle and bleed the vessel in front of the projecting bone; then puncture the pulsing vessel on the top of the foot.
30
不已，刺三毛上，各一痏，見血立已。
不已，刺三毛上，各一痏，见血立已。
Bù yǐ, cì sān máo shàng, gè yī wěi, jiàn xuè lì yǐ.
若不好，刺足大趾三毛的上方，各一针，见到血立刻就好。
If it does not end, puncture above the three hairs, one puncture on each side. As soon as blood appears it ends at once.
Zuǒ cì yòu, yòu cì zuǒ.
左边的病刺右边，右边的病刺左边。
Puncture the right for the left and the left for the right.
32
善悲驚不樂，刺如右方。
善悲惊不乐，刺如右方。
Shàn bēi jīng bù lè, cì rú yòu fāng.
容易悲伤、惊恐、闷闷不乐的，照上面的方子刺。
For one given to grief, fright and joylessness, puncture as in the prescription above.
33
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。
邪客于手阳明之络，令人耳聋，时不闻音，刺手大指次指爪甲上，去端如韭叶，各一痏，立闻。
Xié kè yú shǒu yáng míng zhī luò, lìng rén ěr lóng, shí bù wén yīn, cì shǒu dà zhǐ cì zhǐ zhǎo jiǎ shàng, qù duān rú jiǔ yè, gè yī wěi, lì wén.
邪气客于手阳明的络脉，使人耳聋，有时听不见声音；刺手大指和次指的指甲上方、距指端如韭叶宽处，各一针，立刻就能听见。
When evil lodges in the network of the hand yang brightness it causes deafness and times when no sound is heard. Puncture above the nails of the great and second fingers, a leek-leaf’s breadth from the tip, one puncture each, and hearing returns at once.
34
不已，刺中指爪甲上與肉交者，立聞。
不已，刺中指爪甲上与肉交者，立闻。
Bù yǐ, cì zhōng zhǐ zhǎo jiǎ shàng yǔ ròu jiāo zhě, lì wén.
若不好，刺中指指甲上方与肉交界处，立刻就能听见。
If it does not end, puncture where the nail of the middle finger meets the flesh, and hearing returns at once.
35
其不時聞者，不可刺也。
其不时闻者，不可刺也。
Qí bù shí wén zhě, bù kě cì yě.
那种不是时发时止的耳聋，就不可以用刺法。
Deafness that does not come and stop by turns must not be punctured.
36
耳中生風者，亦刺之如此數。
耳中生风者，亦刺之如此数。
Ěr zhōng shēng fēng zhě, yì cì zhī rú cǐ shù.
耳中有风声的，也照这个数针刺。
Where there is wind in the ear, puncture it by the same number.
Zuǒ cì yòu, yòu cì zuǒ.
左边的病刺右边，右边的病刺左边。
Puncture the right for the left and the left for the right.
38
凡痺往來，行無常處者，在分肉閒，痛而刺之。
凡痹往来，行无常处者，在分肉间，痛而刺之。
Fán bì wǎng lái, xíng wú cháng chù zhě, zài fēn ròu jiān, tòng ér cì zhī.
凡是痹痛往来游走、没有固定处所的，病在分肉之间，就在痛处下针。
In every blockage that comes and goes and moves without a fixed place, the disease is between the partings of the flesh; puncture where it hurts.
Yǐ yuè sǐ shēng wéi shù.
以月亮的盈亏来定针数。
The number is set by the dying and the living of the moon.
40
用針者，隨氣盛衰，以爲痏數，針過其日數，則脱氣。
用针者，随气盛衰，以为痏数，针过其日数，则脱气。
Yòng zhēn zhě, suí qì shèng shuāi, yǐ wéi wěi shù, zhēn guò qí rì shù, zé tuō qì.
用针的人，要随气之盛衰来定针数；针数超过了当日的日数，就会耗脱正气。
The one who uses the needle follows the fullness and the decline of the qi in setting the number of punctures. If the punctures exceed the number of the day, the qi is drained away.
Bù jí rì shù, zé qì bù xiè.
针数不及当日的日数，邪气就泻不出去。
If they fall short of the number of the day, the qi is not drained.
Zuǒ cì yòu, yòu cì zuǒ.
左边的病刺右边，右边的病刺左边。
Puncture the right for the left and the left for the right.
43
病已止。
病已止。
Bìng yǐ zhǐ.
病好了就停止。
Once the disease has ended, stop.
Bù yǐ, fù cì zhī rú fǎ.
若不好，再照这个法子刺。
If it has not ended, puncture again by the rule.
45
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。
月生一日一痏，二日二痏，渐多之；十五日十五痏，十六日十四痏，渐少之。
Yuè shēng yī rì yī wěi, èr rì èr wěi, jiàn duō zhī; shí wǔ rì shí wǔ wěi, shí liù rì shí sì wěi, jiàn shǎo zhī.
月之初生，初一一针，初二两针，逐渐增加；十五十五针，十六十四针，逐渐减少。
As the moon grows, one puncture on the first day and two on the second, increasing from there; fifteen on the fifteenth and fourteen on the sixteenth, decreasing from there.
46
邪客於足陽明之經，令人鼽衄、上齒寒，刺足中指次指爪甲上與肉交者，各一痏。
邪客于足阳明之经，令人鼽衄、上齿寒，刺足中指次指爪甲上与肉交者，各一痏。
Xié kè yú zú yáng míng zhī jīng, lìng rén qiú nǜ, shàng chǐ hán, cì zú zhōng zhǐ cì zhǐ zhǎo jiǎ shàng yǔ ròu jiāo zhě, gè yī wěi.
邪气客于足阳明的经脉，使人鼻塞、鼻出血、上齿发冷；刺足中趾和次趾的指甲上方与肉交界处，各一针。
When evil lodges in the channel of the foot yang brightness it causes a stopped nose and nosebleed and coldness of the upper teeth. Puncture where the nails of the middle and second toes meet the flesh, one puncture on each side.
Zuǒ cì yòu, yòu cì zuǒ.
左边的病刺右边，右边的病刺左边。
Puncture the right for the left and the left for the right.
48
邪客於足少陽之絡，令人脅痛不得息，欬而汗出，刺足小指次指爪甲上與肉交者，各一痏。
邪客于足少阳之络，令人胁痛不得息，咳而汗出，刺足小指次指爪甲上与肉交者，各一痏。
Xié kè yú zú shào yáng zhī luò, lìng rén xié tòng bù dé xī, kài ér hàn chū, cì zú xiǎo zhǐ cì zhǐ zhǎo jiǎ shàng yǔ ròu jiāo zhě, gè yī wěi.
邪气客于足少阳的络脉，使人胁痛、呼吸不畅，咳嗽而且出汗；刺足小趾和次趾的指甲上方与肉交界处，各一针。
When evil lodges in the network of the foot lesser yang it causes pain in the flanks and an inability to breathe, coughing and sweating. Puncture where the nails of the small and second toes meet the flesh, one puncture on each side.
49
不得息立已，汗出立止。
不得息立已，汗出立止。
Bù dé xī lì yǐ, hàn chū lì zhǐ.
呼吸不畅立刻缓解，出汗立刻止住。
The failure to breathe ends at once and the sweating stops at once.
50
欬者，温衣飲食，一日已。
咳者，温衣饮食，一日已。
Kài zhě, wēn yī yǐn shí, yī rì yǐ.
咳嗽的，要穿暖衣、进温软的饮食，一天就好。
For the cough, warm the clothing and warm the food and drink; it ends in one day.
51
左刺右，右刺左，病立已；不已，復刺如法。
左刺右，右刺左，病立已；不已，复刺如法。
Zuǒ cì yòu, yòu cì zuǒ, bìng lì yǐ; bù yǐ, fù cì rú fǎ.
左边的病刺右边，右边的病刺左边，病立刻就好；若不好，再照这个法子刺。
Puncture the right for the left and the left for the right, and the disease ends at once. If it has not ended, puncture again by the rule.
52
邪客於足少陰之絡，令人嗌痛，不可内食，無故善怒，氣上走賁上，刺足下中央之脉，各三痏。
邪客于足少阴之络，令人嗌痛，不可内食，无故善怒，气上走贲上，刺足下中央之脉，各三痏。
Xié kè yú zú shào yīn zhī luò, lìng rén yì tòng, bù kě nà shí, wú gù shàn nù, qì shàng zǒu bēn shàng, cì zú xià zhōng yāng zhī mài, gè sān wěi.
邪气客于足少阴的络脉，使人咽喉疼痛，不能进食，无缘无故容易发怒，气上冲到膈上；刺足底中央的脉，各三针。
When evil lodges in the network of the foot lesser yin it causes pain in the throat, an inability to take food in, causeless anger, and qi that runs up above the diaphragm. Puncture the vessel at the centre of the sole, three punctures on each side.
Fán liù cì, lì yǐ.
一共刺六针，立刻就好。
Six punctures in all, and it ends at once.
Zuǒ cì yòu, yòu cì zuǒ.
左边的病刺右边，右边的病刺左边。
Puncture the right for the left and the left for the right.
55
嗌中腫，不能内唾，時不能出唾者，刺然骨之前，出血立已。
嗌中肿，不能内唾，时不能出唾者，刺然骨之前，出血立已。
Yì zhōng zhǒng, bù néng nà tuò, shí bù néng chū tuò zhě, cì rán gǔ zhī qián, chū xuè lì yǐ.
咽喉肿，咽不下唾沫，有时连唾沫也吐不出来的，刺然骨之前使它出血，立刻就好。
When the throat is swollen and the saliva cannot be taken in, and at times cannot be spat out, puncture in front of the projecting bone and let blood; it ends at once.
Zuǒ cì yòu, yòu cì zuǒ.
左边的病刺右边，右边的病刺左边。
Puncture the right for the left and the left for the right.
Xié kè yú zú tài yīn zhī luò, lìng rén yāo tòng, yǐn shào fù kòng miǎo, bù kě yǐ yǎng xī, cì yāo jū zhī jiě, liǎng shēn zhī shàng, shì yāo shù.
邪气客于足太阴的络脉，使人腰痛，牵引少腹并控引季胁之下，不能仰身呼吸；刺腰臀交解之处、两胂的上方，这就是腰俞。
When evil lodges in the network of the foot greater yin it causes pain of the lower back that pulls the lower abdomen and grips the soft place below the short ribs, so that one cannot lie back and breathe. Puncture the cleft of the lower back and the buttock, above the two flank muscles; this is the lumbar transport point.
Yǐ yuè sǐ shēng wéi wěi shù, fā zhēn lì yǐ.
以月亮的盈亏来定针数，出针后立刻就好。
Set the number of punctures by the dying and the living of the moon; when the needle is withdrawn it ends at once.
Zuǒ cì yòu, yòu cì zuǒ.
左边的病刺右边，右边的病刺左边。
Puncture the right for the left and the left for the right.
60
邪客於足太陽之絡，令人拘攣背急，引脅而痛，刺之從項始，數脊椎俠脊，疾按之，應手如痛，刺之傍三痏，立已。
邪客于足太阳之络，令人拘挛背急，引胁而痛，刺之从项始，数脊椎侠脊，疾按之，应手如痛，刺之傍三痏，立已。
Xié kè yú zú tài yáng zhī luò, lìng rén jū luán bèi jí, yǐn xié ér tòng, cì zhī cóng xiàng shǐ, shǔ jǐ zhuī xié jǐ, jí àn zhī, yìng shǒu rú tòng, cì zhī bàng sān wěi, lì yǐ.
邪气客于足太阳的络脉，使人拘急痉挛、背部拘紧，牵引胁肋而痛；刺时从颈项起，顺着脊椎两旁数取，快速按压，手下应手而痛的地方，就在它旁边刺三针，立刻就好。
When evil lodges in the network of the foot greater yang it causes cramping and tightness of the back, and pain that pulls the flanks. Puncture beginning at the nape, counting the vertebrae along either side of the spine; press briskly, and where the hand finds a painful answer, puncture beside it three times. It ends at once.
61
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。
邪客于足少阳之络，令人留于枢中痛，髀不可举，刺枢中以毫针，寒则久留针。
Xié kè yú zú shào yáng zhī luò, lìng rén liú yú shū zhōng tòng, bì bù kě jǔ, cì shū zhōng yǐ háo zhēn, hán zé jiǔ liú zhēn.
邪气客于足少阳的络脉，使人滞留在髋部作痛，大腿抬不起来；用毫针刺髋部，有寒的就要久留针。
When evil lodges in the network of the foot lesser yang it causes pain lodged in the pivot and a thigh that cannot be lifted. Puncture the pivot with a fine needle; if there is cold, keep the needle in for a long time.
Yǐ yuè sǐ shēng wéi shù, lì yǐ.
以月亮的盈亏来定针数，立刻就好。
The number is set by the dying and the living of the moon, and it ends at once.
63
治諸經刺之所過者，不病則繆刺之。
治诸经刺之所过者，不病则缪刺之。
Zhì zhū jīng cì zhī suǒ guò zhě, bù bìng zé miù cì zhī.
凡是各经针刺所过之处，经脉本身不病的，就用缪刺。
In treating what the punctures of the various channels pass over, if the channel itself is not diseased, use contralateral puncture.
Ěr lóng, cì shǒu yáng míng.
耳聋，刺手阳明。
For deafness, puncture the hand yang brightness.
65
不已，刺其通脉出耳前者。
不已，刺其通脉出耳前者。
Bù yǐ, cì qí tōng mài chū ěr qián zhě.
若不好，刺那条通到耳前而外出的脉。
If it does not end, puncture the vessel that communicates and comes out in front of the ear.
Chǐ qǔ, cì shǒu yáng míng.
龋齿，刺手阳明。
For decayed teeth, puncture the hand yang brightness.
67
不已，刺其脉入齒中，立已。
不已，刺其脉入齿中，立已。
Bù yǐ, cì qí mài rù chǐ zhōng, lì yǐ.
若不好，刺那条进入齿中的脉，立刻就好。
If it does not end, puncture the vessel that enters the teeth, and it ends at once.
68
邪客於五藏之閒，其病也，脉引而痛，時來時止。
邪客于五藏之间，其病也，脉引而痛，时来时止。
Xié kè yú wǔ zàng zhī jiān, qí bìng yě, mài yǐn ér tòng, shí lái shí zhǐ.
邪气客于五脏之间，它的病是经脉牵引而痛，时发时止。
When evil lodges between the five viscera, the disease is a pain that pulls along the vessel and comes and stops by turns.
69
視其病，繆刺之於手足爪甲上。
视其病，缪刺之于手足爪甲上。
Shì qí bìng, miù cì zhī yú shǒu zú zhǎo jiǎ shàng.
看它发病的地方，在手足的指甲上用缪刺。
Look to the disease and puncture contralaterally on the nails of the hands and feet.
70
視其脉，出其血，閒日一刺。
视其脉，出其血，间日一刺。
Shì qí mài, chū qí xuè, jiān rì yī cì.
看那血脉，放出它的血，隔一天刺一次。
Look to the vessel and let out its blood, puncturing once every other day.
Yī cì bù yǐ, wǔ cì yǐ.
刺一次不好，刺五次就好。
If one puncture does not end it, five punctures will.
72
繆傳引上齒，齒脣寒痛，視其手背脉血者去之，足陽明中指爪甲上一痏，手大指次指爪甲上各一痏，立已。
缪传引上齿，齿唇寒痛，视其手背脉血者去之，足阳明中指爪甲上一痏，手大指次指爪甲上各一痏，立已。
Miù chuán yǐn shàng chǐ, chǐ chún hán tòng, shì qí shǒu bèi mài xuè zhě qù zhī, zú yáng míng zhōng zhǐ zhǎo jiǎ shàng yī wěi, shǒu dà zhǐ cì zhǐ zhǎo jiǎ shàng gè yī wěi, lì yǐ.
缪传而牵引上齿，牙齿与口唇发冷作痛的，看手背上血脉瘀盛的就放掉它，再刺足阳明中趾指甲上一针，手大指、次指指甲上各一针，立刻就好。
When the transmission crosses over and pulls the upper teeth, and the teeth and lips are cold and painful, look for the blood vessel on the back of the hand and let it go; then one puncture on the nail of the middle toe of the foot yang brightness and one each on the nails of the great and second fingers. It ends at once.
73
左取右，右取左。
左取右，右取左。
Zuǒ qǔ yòu, yòu qǔ zuǒ.
左边的病取右边，右边的病取左边。
Take the right for the left and the left for the right.
74
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，令人身脉皆動，而形無知也，其狀若尸，或曰尸厥。
邪客于手足少阴、太阴、足阳明之络，此五络皆会于耳中，上络左角，五络俱竭，令人身脉皆动，而形无知也，其状若尸，或曰尸厥。
Xié kè yú shǒu zú shào yīn, tài yīn, zú yáng míng zhī luò, cǐ wǔ luò jiē huì yú ěr zhōng, shàng luò zuǒ jiǎo, wǔ luò jù jié, lìng rén shēn mài jiē dòng, ér xíng wú zhī yě, qí zhuàng ruò shī, huò yuē shī jué.
邪气客于手少阴、足少阴、手太阴、足太阴与足阳明这五条络脉，这五络都会于耳中，向上网络左侧的头角；五络之气都衰竭，使人全身的脉都在搏动而形体失去知觉，样子像死尸，有的叫它尸厥。
When evil lodges in the networks of the hand and foot lesser yin, the greater yin and the foot yang brightness — these five networks all meet in the ear and network upward to the left corner of the head — and all five are exhausted, the vessels of the whole body move and yet the form has no awareness. The appearance is that of a corpse; some call it corpse inversion.
75
刺其足大指内側爪甲上，去端如韭葉。
刺其足大指内侧爪甲上，去端如韭叶。
Cì qí zú dà zhǐ nèi cè zhǎo jiǎ shàng, qù duān rú jiǔ yè.
刺他足大趾内侧的指甲上方，距趾端如韭叶宽处。
Puncture above the nail of the great toe on its inner side, a leek-leaf’s breadth from the tip.
76
後刺足心，後刺足中指爪甲上，各一痏。
后刺足心，后刺足中指爪甲上，各一痏。
Hòu cì zú xīn, hòu cì zú zhōng zhǐ zhǎo jiǎ shàng, gè yī wěi.
然后刺足心，再刺足中趾的指甲上方，各一针。
Then puncture the sole of the foot, then above the nail of the middle toe, one puncture each.
77
後刺手大指内側，去端如韭葉。
后刺手大指内侧，去端如韭叶。
Hòu cì shǒu dà zhǐ nèi cè, qù duān rú jiǔ yè.
然后刺手大指的内侧，距指端如韭叶宽处。
Then puncture the great finger of the hand on its inner side, a leek-leaf’s breadth from the tip.
Hòu cì shǒu xīn zhǔ shào yīn ruì gǔ zhī duān, gè yī wěi, lì yǐ.
然后刺手心主与少阴锐骨的末端，各一针，立刻就好。
Then puncture the tip of the sharp bone of the hand heart-master and the lesser yin, one puncture each, and it ends at once.
79
不已，以竹管吹其兩耳，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。
不已，以竹管吹其两耳，鬄其左角之发方一寸，燔治，饮以美酒一杯，不能饮者灌之，立已。
Bù yǐ, yǐ zhú guǎn chuī qí liǎng ěr, tì qí zuǒ jiǎo zhī fà fāng yī cùn, fán zhì, yǐn yǐ měi jiǔ yī bēi, bù néng yǐn zhě guàn zhī, lì yǐ.
若不好，用竹管吹他的两耳，剃下他左侧头角上一寸见方的头发，烧制后用一杯美酒送服；不能饮酒的就灌下去，立刻就好。
If it does not end, blow into both his ears through a bamboo tube, shave the hair at the left corner of the head over a square inch, burn and prepare it, and give it in a cup of good wine. If he cannot drink, pour it in. It ends at once.
80
凡刺之數，先視其經脉。
凡刺之数，先视其经脉。
Fán cì zhī shù, xiān shì qí jīng mài.
大凡针刺的法度，先要诊视他的经脉。
In all the rules of puncturing, first look at the channel vessels.
81
切而從之，審其虚實而調之。
切而从之，审其虚实而调之。
Qiè ér cóng zhī, shěn qí xū shí ér tiáo zhī.
切按而循察它，辨明虚实再加以调治。
Feel them and follow them; examine the vacuity and the repletion and regulate accordingly.
82
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。
不调者，经刺之，有痛而经不病者，缪刺之，因视其皮部有血络者，尽取之。
Bù tiáo zhě, jīng cì zhī, yǒu tòng ér jīng bù bìng zhě, miù cì zhī, yīn shì qí pí bù yǒu xuè luò zhě, jǐn qǔ zhī.
不得调的，就用经刺；有疼痛而经脉不病的，就用缪刺；再顺着看他的皮部，有瘀血络脉的，全部刺取放血。
If it does not come into balance, puncture the channels. Where there is pain and yet the channel is not diseased, puncture contralaterally. Then look over the skin regions and take every blood-filled network you find.
Cǐ miù cì zhī shù yě.
这就是缪刺的法度。
These are the rules of contralateral puncture.