食不下者，胃脘隔也。
食不下者，胃脘隔也。
Shí bù xià zhě, wèi wǎn gé yě.
Food will not go down because the stomach duct is blocked (gé 隔, a barrier).
食不下之因。「食」讀 shí；「不」讀 bù；「下」讀 xià；「者」讀 zhě；「胃」讀 wèi；「脘」讀 wǎn；**「隔」讀 gé，通行作「膈」**；「也」讀 yě。**「隔」與「膈」之別**：「隔」从阜，阻隔也，是本字；「膈」从肉，是後起之專字，專指胸膈之膜。本篇作「隔」，各從底本；與第三十二篇「鬲」之作「鬲」者，同是《素問》用字未定之遺痕。
歧伯曰：此下則因陰，必下膿血，上則迫胃脘，生鬲，俠胃脘内癰。
歧伯曰：此下则因阴，必下脓血，上则迫胃脘，生膈，侠胃脘内痈。
Qí bó yuē: cǐ xià zé yīn yīn, bì xià nóng xuè, shàng zé pò wèi wǎn, shēng gé, xié wèi wǎn nèi yōng.
Qi Bo says: below, it follows the yin, and pus and blood are necessarily passed; above, it presses upon the stomach duct and gives rise to a diaphragm — an abscess within, flanking the stomach duct.
**「上則迫胃脘，生鬲，俠胃脘内癰」**，**是伏梁上迫之變，亦本篇「胃脘」二字所見之處**。**本篇「胃脘」2見、「胃」3見、「脘」2見**；「迫」讀 pò、**本篇1見**；「生」讀 shēng、**本篇2見**（生鬲、且生）；「鬲」讀 gé**本篇1見，讀 gé，寫「膈」**，**見本站 #565**；「俠」讀 xié**讀 xié 不讀 jiá**（夾也）；「内」讀 nèi**不作「內」**；「癰」讀 yōng**本篇1見**。**伏梁之膿血有上下二途**：**下則因陰而必下膿血，上則迫胃脘而生鬲、俠胃脘而成内癰**——**「迫」之一字，是胃脘受病之狀**。
黄帝問曰：人病胃脘癰者，診當何如？歧伯對曰：診此者，當𠉀胃脉，其脉當沈細，沈細者氣逆，逆者人迎甚盛，甚盛則熱。
黄帝问曰：人病胃脘痈者，诊当何如？歧伯对曰：诊此者，当候胃脉，其脉当沉细，沉细者气逆，逆者人迎甚盛，甚盛则热。
Huáng dì wèn yuē: rén bìng wèi wǎn yōng zhě, zhěn dāng hé rú? Qí bó duì yuē: zhěn cǐ zhě, dāng hòu wèi mài, qí mài dāng chén xì, chén xì zhě qì nì, nì zhě rén yíng shèn shèng, shèn shèng zé rè.
The Emperor asks: when a person has an abscess of the gastric duct, how should one examine him? Qi Bo answers: to examine this one should read the stomach conduit. The conduit should be sunken and fine; sunken and fine means the qi is counterflowing, and where qi counterflows the ren ying pulse is exceedingly full. Exceedingly full is heat.
「人病胃「脘」讀 wǎn「癰」讀 yōng者」——**本篇「胃脘」2見、「癰」4見**；**「胃脘」與「胃口」對言：上文「熱聚於胃口而不行」，下文「故胃脘爲癰也」**；「診」讀 zhěn，**診此者，當「𠉀」讀 hòu胃脉，𠉀為「候」之異體，讀 hòu**。
上紀者，胃脘也；下紀者，關元也。
上纪者，胃脘也；下纪者，关元也。
Shàng jì zhě, wèi wǎn yě; xià jì zhě, guān yuán yě.
The upper record is the stomach duct; the lower record is guān yuán.
「上紀者，「胃」讀 wèi「脘」讀 wǎn也；下紀者，關元也。」——**本篇「胃脘」1見，讀 wèi wǎn**；**以「上紀」釋胃脘，以「下紀」釋關元：上下二紀，即本篇定位之法**；**本目以風水食不下所由立，本篇則為背胸痛濇主治之二紀之一**；**同物而異用：一言其為受納之府，一言其為取穴之準**；「紀」讀 jì、**上下二紀之紀讀 jì，本篇3見**；「者」讀 zhě、**本篇6見**
足陽明脉氣所發者六十八穴：額顱髮際傍各三，面鼽骨空各一，大迎之骨空各一，人迎各一，缺盆外骨空各一，膺中骨間各一，俠鳩尾之外當乳下三寸，俠胃脘各五，俠齊廣三寸各三，下齊二寸俠之各三，氣街動脉各一，伏菟上各一，三里以下至足中指各八俞，分之所在穴空。
足阳明脉气所发者六十八穴：额颅发际傍各三，面鼽骨空各一，大迎之骨空各一，人迎各一，缺盆外骨空各一，膺中骨间各一，侠鸠尾之外当乳下三寸，侠胃脘各五，侠脐广三寸各三，下脐二寸侠之各三，气街动脉各一，伏菟上各一，三里以下至足中指各八俞，分之所在穴空。
Zú yáng míng mài qì suǒ fā zhě liù shí bā xué: é lú fà jì bàng gè sān, miàn qiú gǔ kōng gè yī, dà yíng zhī gǔ kōng gè yī, rén yíng gè yī, quē pén wài gǔ kōng gè yī, yīng zhōng gǔ jiān gè yī, xié jiū wěi zhī wài dāng rǔ xià sān cùn, xié wèi wǎn gè wǔ, xié qí guǎng sān cùn gè sān, xià qí èr cùn xié zhī gè sān, qì jiē dòng mài gè yī, fú tú shàng gè yī, sān lǐ yǐ xià zhì zú zhōng zhǐ gè bā shù, fēn zhī suǒ zài xué kōng.
What the qi of the foot yang brilliance vessel sends forth is sixty-eight points: three each beside the hairline at the brow; one each in the bone opening of the cheek bone on the face; one each in the bone opening at the great welcome; one each at the man’s welcome; one each in the bone opening outside the empty basin; one each between the bones in the chest; five each alongside the stomach duct, running outside the dove’s tail and level with the breast three inches below it; three each alongside the width of three inches at the navel; three each flanking it two inches below the navel; one each at the throbbing vessel of the qi street; one each above the crouching hare; from three li down to the middle toe eight transport points each — every one of them set in the opening of the point where it belongs.
「「俠」讀 xié「胃」讀 wèi「脘」讀 wǎn各五」——**本目第三十三篇所立，取其受納之義；此處則為挾胃脘兩旁之五穴**；**「俠」讀 xié，通「挾」，本篇8見**；**「脘」讀 wǎn，本篇「胃脘」3見**；**本篇又有復舉其事者：自鳩尾之外當乳下三寸起，至下齊二寸，皆以此部為度**
所謂陰者，真藏也，見則爲敗，敗必死也。所謂陽者，胃脘之陽也。
所谓阴者，真藏也，见则为败，败必死也。所谓阳者，胃脘之阳也。
suǒ wèi yīn zhě, zhēn zàng yě, xiàn zé wéi bài, bài bì sǐ yě. suǒ wèi yáng zhě, wèi wǎn zhī yáng yě.
What is called the yin is the true storing pulse: once it appears, there is ruin, and ruin necessarily means death. What is called the yang is the yang of the stomach — the stomach qi carried in the pulse.
「胃脘之陽」——所謂陽者，即胃脘所生之陽，亦即脉中之胃氣；**「胃脘」本篇1見**
帝曰：願卒聞之。歧伯曰：少陽司天，火氣下臨，肺氣上從，白起金用，草木眚，火見燔爇，革金且耗，大暑以行，欬嚏鼽衄鼻窒曰瘍，寒熱胕腫。風行于地，塵沙飛揚。心痛胃脘痛，厥逆鬲不通，其主暴速。
帝曰：愿卒闻之。歧伯曰：少阳司天，火气下临，肺气上从，白起金用，草木眚，火见燔爇，革金且耗，大暑以行，咳嚏鼽衄鼻窒曰疡，寒热胕肿。风行于地，尘沙飞扬。心痛胃脘痛，厥逆鬲不通，其主暴速。
Dì yuē: yuàn cù wén zhī. Qí bó yuē: shào yáng sī tiān, huǒ qì xià lín, fèi qì shàng cóng, bái qǐ jīn yòng, cǎo mù shěng, huǒ xiàn fán ruò, gé jīn qiě hào, dà shǔ yǐ xíng, kài tì qiú nǜ bí zhì yuē yáng, hán rè fū zhǒng. Fēng xíng yú dì, chén shā fēi yáng. Xīn tòng wèi wǎn tòng, jué nì gé bù tōng, qí zhǔ bào sù.
Huang Di said: I wish to hear it all. Qi Bo said: when lesser yang governs the heaven the qi of fire descends upon it and the qi of the lung follows upward; white arises and metal comes into use; grass and trees suffer calamity; fire appears and blazes and burns, and metal is changed and consumed; great heat thereby moves. The illness is cough, sneezing, snivelling, nosebleed, blocked nose and sores, cold and heat and water swelling. Wind moves over the earth and dust and sand fly. The illness is pain in the heart, pain in the stomach duct, counterflow and obstruction of the diaphragm; its charge is suddenness and speed.
**「胃脘」本篇1見，止在少陽司天「心痛胃脘痛」**；**此段先言心痛，次言胃脘痛，次言厥逆鬲不通**