風瘧，瘧發則汗出惡風，剌三陽經背俞之血者，䯒痠痛甚，按之不可，名曰胕髓病，以鑱鍼鍼絶骨出血，立已。
风疟，疟发则汗出恶风，刺三阳经背俞之血者，䯒酸痛甚，按之不可，名曰胕髓病，以镵针针绝骨出血，立已。
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.
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.
**「以鑱鍼鍼絶骨出血，立已」十一字，是本篇最峻之一刺**——**鑱鍼者九鍼之一，其鋒微圓而主瀉**，**施之於「䯒痠痛甚，按之不可」之胕髓病**，**出血而立已**。**本篇三穴之名，各見其法之緩急**：至陰治「身體小痛」而閒日一剌（緩），廉泉治「不已」之第一層（中），**絶骨治痛不可按之胕髓病而出血立已（急）**——**三穴三法，緩急井然**。**「絶」字底本从刀作「絶」，與第三十五篇「陰氣先絶」之「絶」同形**，**彼言氣之絶，此言穴之名**，**同字而義別**。
同陰之脉，令人腰痛，痛如小錘居其中，怫然腫。刺同陰之脉，在外踝上絶骨之端，爲三痏。
同阴之脉，令人腰痛，痛如小锤居其中，怫然肿。刺同阴之脉，在外踝上绝骨之端，为三痏。
Tóng yīn zhī mài, lìng rén yāo tòng, tòng rú xiǎo chuí jū qí zhōng, fú rán zhǒng. Cì tóng yīn zhī mài, zài wài huái shàng jué gǔ zhī duān, wéi sān wěi.
The tongyin vessel gives pain in the lower back, as though a small mallet sat inside it, with an angry swelling. Needle the tongyin vessel at the end of the ending bone above the outer ankle: three insertions.
**「在外踝上絶骨之端，爲三痏」**——**本篇「絶骨」2見**：**一在同陰之脉（外踝上絶骨之端），一在肉里之脉（少陽絶骨之後）**。「絶」讀 jué**本篇3見，底本不作「絕」**；「骨」讀 gǔ**本篇6見**；「踝」讀 huái**「外踝」與下文「内踝」對舉**；「端」讀 duān**「絶骨之端」讀 duān**。**與第三十六篇「以鑱鍼鍼絶骨出血」同穴**：**彼用鑱鍼，此為三痏**。
視背俞陷者灸之，舉臂肩上陷者灸之，兩季脅之間灸之，外踝上絶骨之端灸之，足小指次指間灸之，腨下陷脉灸之，外踝後灸之，缺盆骨上切之堅痛如筋者灸之，膺中陷骨間灸之，掌束骨下灸之，齊下關元三寸灸之，毛際動脉灸之，膝下三寸分間灸之，足陽明跗上動脉灸之，巔上一灸之。
视背俞陷者灸之，举臂肩上陷者灸之，两季胁之间灸之，外踝上绝骨之端灸之，足小指次指间灸之，腨下陷脉灸之，外踝后灸之，缺盆骨上切之坚痛如筋者灸之，膺中陷骨间灸之，掌束骨下灸之，脐下关元三寸灸之，毛际动脉灸之，膝下三寸分间灸之，足阳明跗上动脉灸之，巅上一灸之。
Shì bèi shù xiàn zhě jiǔ zhī, jǔ bì jiān shàng xiàn zhě jiǔ zhī, liǎng jì xié zhī jiān jiǔ zhī, wài huái shàng jué gǔ zhī duān jiǔ zhī, zú xiǎo zhǐ cì zhǐ jiān jiǔ zhī, shuàn xià xiàn mài jiǔ zhī, wài huái hòu jiǔ zhī, quē pén gǔ shàng qiè zhī jiān tòng rú jīn zhě jiǔ zhī, yīng zhōng xiàn gǔ jiān jiǔ zhī, zhǎng shù gǔ xià jiǔ zhī, qí xià guān yuán sān cùn jiǔ zhī, máo jì dòng mài jiǔ zhī, xī xià sān cùn fēn jiān jiǔ zhī, zú yáng míng fū shàng dòng mài jiǔ zhī, diān shàng yī jiǔ zhī.
Then look for the depressions at the back transport points and moxa them; moxa the depression on the shoulder when the arm is raised; moxa between the two short ribs; moxa the end of the cut-off bone above the outer ankle; moxa between the little and second toes; moxa the sunken vessel below the calf; moxa behind the outer ankle; moxa where, on the bone of the empty basin, pressure finds something hard and painful like a sinew; moxa between the sunken bones within the chest; moxa below the binding bone of the palm; moxa three inches below the navel at Gate of the Source; moxa the pulsing vessel at the hairline; moxa the space three inches below the knee; moxa the pulsing vessel on the instep of the foot yang brightness; and moxa one place on the crown.
「外踝上「絶」讀 jué「骨」讀 gǔ之端灸之」——**絶骨者，踝上骨盡之處，後世謂之懸鐘；本目第四十一篇所立，本篇用於灸寒熱**；**「絶」讀 jué，底本作「絶」，不从「絕」；本篇1見**；**「踝」讀 huái，本篇4見**