夫氣之在脉也，邪氣在上者，言邪氣之中人也高，故邪氣在上也。濁氣在中者，言水榖皆入于胃，其精氣上注於肺，濁溜于腸胃，言寒温不適，飲食不節，而病生于腸胃，故命曰濁氣在中也。清氣在下者，言清濕地氣之中人也，必從足始，故曰清氣在下也。鍼陷脉則邪氣出者，取之上；鍼中脉則濁氣出者取之陽明合也。鍼大深則邪氣反沉者，言淺浮之病，不欲深刺也，深則邪氣從之入，故曰反沉也。皮肉筋脉，各有所處者，言經絡各有所主也。取五脉者死，言病在中，氣不足，但用鍼盡大寫其諸陰之脉也。取三陽之脉者，唯言盡寫三陽之氣，令病人恇然不復也。奪陰者死，言取尺之五里，五徃者也。奪陽者狂，正言也。
夫气之在脉也，邪气在上者，言邪气之中人也高，故邪气在上也。浊气在中者，言水榖皆入于胃，其精气上注于肺，浊溜于肠胃，言寒温不适，饮食不节，而病生于肠胃，故命曰浊气在中也。清气在下者，言清湿地气之中人也，必从足始，故曰清气在下也。针陷脉则邪气出者，取之上；针中脉则浊气出者取之阳明合也。针大深则邪气反沉者，言浅浮之病，不欲深刺也，深则邪气从之入，故曰反沉也。皮肉筋脉，各有所处者，言经络各有所主也。取五脉者死，言病在中，气不足，但用针尽大写其诸阴之脉也。取三阳之脉者，唯言尽写三阳之气，令病人恇然不复也。夺阴者死，言取尺之五里，五往者也。夺阳者狂，正言也。
fū qì zhī zài mài yě, xié qì zài shàng zhě, yán xié qì zhī zhòng rén yě gāo, gù xié qì zài shàng yě. zhuó qì zài zhōng zhě, yán shuǐ gǔ jiē rù yú wèi, qí jīng qì shàng zhù yú fèi, zhuó liū yú cháng wèi, yán hán wēn bù shì, yǐn shí bù jié, ér bìng shēng yú cháng wèi, gù mìng yuē zhuó qì zài zhōng yě. qīng qì zài xià zhě, yán qīng shī dì qì zhī zhòng rén yě, bì cóng zú shǐ, gù yuē qīng qì zài xià yě. zhēn xiàn mài zé xié qì chū zhě, qǔ zhī shàng; zhēn zhòng mài zé zhuó qì chū zhě qǔ zhī yáng míng hé yě. zhēn tài shēn zé xié qì fǎn chén zhě, yán qiǎn fú zhī bìng, bù yù shēn cì yě, shēn zé xié qì cóng zhī rù, gù yuē fǎn chén yě. pí ròu jīn mài, gè yǒu suǒ chù zhě, yán jīng luò gè yǒu suǒ zhǔ yě. qǔ wǔ mài zhě sǐ, yán bìng zài zhōng, qì bù zú, dàn yòng zhēn jǐn dà xiě qí zhū yīn zhī mài yě. qǔ sān yáng zhī mài zhě, wéi yán jǐn xiě sān yáng zhī qì, lìng bìng rén kuāng rán bù fù yě. duó yīn zhě sǐ, yán qǔ chǐ zhī wǔ lǐ, wǔ wǎng zhě yě. duó yáng zhě kuáng, zhèng yán yě.
That the qi in the vessels has the evil qi above means the evil qi strikes a person high, and therefore the evil qi is above. That the turbid qi is in the middle means water and grain both enter the stomach, their essence pours upward into the lung, and the turbid flows into the intestines and stomach; it speaks of cold and warmth being unsuitable and food and drink being without measure, so that disease arises in the intestines and stomach, and therefore it is named turbid qi in the middle. That the clear qi is below means the clear and damp qi of the earth, when it strikes a person, invariably begins at the feet, and therefore it is said the clear qi is below. Needling the sunken vessel so that the evil qi goes out means taking the upper part; needling the vessel so that the turbid qi goes out means taking the sea point of yangming. Needling too deeply so that the evil qi instead sinks means that a shallow, floating disease should not be needled deeply, for if it is deep the evil qi follows the needle inward, and therefore it is said to sink instead. That skin, flesh, sinew and vessel each have their place means the channels and network vessels each have what they govern. Taking the five vessels means death: it speaks of disease in the middle with insufficient qi, yet using the needle to drain all the yin vessels. Taking the vessels of the three yang only speaks of draining the qi of the three yang completely, so that the patient is left cowering and does not recover. Seizing yin means death: it speaks of taking Wuli on the cubit, the place of the five goings. Seizing yang means madness: this is said rightly.
「大寫」本篇1見，上文有「盡」字，下文即接「取三陽之脉者，唯言盡寫三陽之氣」，兩「盡」字相應。「寫」字11見，無作「瀉」者，存底本字形。
凡刺有九日，應九變。一曰輸刺。輸刺者，刺諸經滎輸藏腧也。二曰遠道刺。遠道刺者，病在上，取之下刺府腧也。三曰經刺。經刺者，刺大經之結絡經分也。四曰絡刺。絡刺者，刺小絡之血脉也。五曰分刺。分刺者，刺分肉之間也。六曰大寫刺。大寫刺者，刺大膿以鈹鍼也。七曰毛刺。毛刺者，刺浮痺皮膚也。八曰巨刺。巨刺者，左取右，右取左。九曰焠刺。焠刺者，刺燔鍼則取痺也。
凡刺有九日，应九变。一曰输刺。输刺者，刺诸经荥输藏腧也。二曰远道刺。远道刺者，病在上，取之下刺府腧也。三曰经刺。经刺者，刺大经之结络经分也。四曰络刺。络刺者，刺小络之血脉也。五曰分刺。分刺者，刺分肉之间也。六曰大写刺。大写刺者，刺大脓以铍针也。七曰毛刺。毛刺者，刺浮痹皮肤也。八曰巨刺。巨刺者，左取右，右取左。九曰焠刺。焠刺者，刺燔针则取痹也。
fán cì yǒu jiǔ rì, yīng jiǔ biàn. yī yuē shū cì. shū cì zhě, cì zhū jīng yíng shū zàng shù yě. èr yuē yuǎn dào cì. yuǎn dào cì zhě, bìng zài shàng, qǔ zhī xià cì fǔ shù yě. sān yuē jīng cì. jīng cì zhě, cì dà jīng zhī jié luò jīng fēn yě. sì yuē luò cì. luò cì zhě, cì xiǎo luò zhī xuè mài yě. wǔ yuē fēn cì. fēn cì zhě, cì fēn ròu zhī jiān yě. liù yuē dà xiě cì. dà xiě cì zhě, cì dà nóng yǐ pī zhēn yě. qī yuē máo cì. máo cì zhě, cì fú bì pí fū yě. bā yuē jù cì. jù cì zhě, zuǒ qǔ yòu, yòu qǔ zuǒ. jiǔ yuē cuì cì. cuì cì zhě, cì fán zhēn zé qǔ bì yě.
Needling has nine methods, answering to the nine changes. The first is shu needling: it needles the ying and shu of the several channels and the shu of the zang and fu. The second is distant needling: the disease is above and one takes below, needling the shu of the fu. The third is channel needling: it needles the knotted luo and the channel divisions of the great channels. The fourth is luo needling: it needles the blood vessels of the small luo. The fifth is partition needling: it needles between the partition flesh. The sixth is great-drain needling: it needles great pus with the pi needle. The seventh is hair needling: it needles floating bi in the skin. The eighth is ju needling: for the left take the right, for the right take the left. The ninth is scorch needling: it needles with a heated needle and so takes bi.
「大寫」官鍼第3段見，義與本條相合，引全段為證。