歧伯曰：榮氣虚，衛氣實也，榮氣虚則不仁，衛氣虚，則不用，榮衛俱虚，則不仁且不用，肉如故也。
歧伯曰：荣气虚，卫气实也，荣气虚则不仁，卫气虚，则不用，荣卫俱虚，则不仁且不用，肉如故也。
Qí bó yuē: róng qì xū, wèi qì shí yě, róng qì xū zé bù rén, wèi qì xū, zé bù yòng, róng wèi jù xū, zé bù rén qiě bù yòng, ròu rú gù yě.
Qi Bo says: the construction qi is vacuous and the defence qi replete. When construction qi is vacuous there is numbness; when defence qi is vacuous there is loss of use; when both are vacuous there is numbness together with loss of use, while the flesh still looks as it always did.
第四答。「榮」讀 róng，本篇 3 見；「氣」讀 qì；「虚」讀 xū；「衛」讀 wèi；「實」讀 shí，本篇惟此一見，不作「实」（「实」）；「也」讀 yě；「則」讀 zé；「不」讀 bù；「仁」讀 rén；「用」讀 yòng；「俱」讀 jù；「且」讀 qiě；「肉」讀 ròu；「如」讀 rú；「故」讀 gù。**此答三層而字字相對**：榮虚則不仁，衛虚則不用，俱虚則不仁且不用——**「不仁且不用」五字是「肉苛」之全狀**。而「肉如故也」四字最見診斷之精：病在不知與不能，而肌肉形色如常，**與上文「肉爍」之肌肉消爍者正相反**——一則形壞而證在形，一則形全而證在用。
故陽明虚則宗筋縱，帶脉不引，故足痿不用也。
故阳明虚则宗筋纵，带脉不引，故足痿不用也。
Gù yáng míng xū zé zōng jīn zòng, dài mài bù yǐn, gù zú wěi bù yòng yě.
So when yang brightness is empty the ancestral sinews go lax and the belt vessel does not draw them up — hence the legs are flaccid and unusable.
「帶脉不引，故足痿不用也」——**「不用」與 ch34「不用」同義，謂肢體不能動作**；「帶」讀 dài、**本篇2見**；**「不」讀 bù**。
歧伯曰：形有餘則腹脹，涇溲不利；不足則四支不用。血氣未并，五藏安定，肌肉蠕動，命曰微風。
歧伯曰：形有余则腹胀，泾溲不利；不足则四支不用。血气未并，五藏安定，肌肉蠕动，命曰微风。
Qí bó yuē: xíng yǒu yú zé fù zhàng, jīng sōu bù lì; bù zú zé sì zhī bù yòng. Xuè qì wèi bìng, wǔ zàng ān dìng, jī ròu rú dòng, mìng yuē wēi fēng.
Qi Bo says: when the body is in excess there is swelling of the belly and the stools and urine do not pass freely; when it is insufficient the four limbs cannot be used. If blood and qi have not pooled and the five depots are settled, and the flesh only faintly stirs, this is called faint wind.
「形有餘則腹脹，涇溲不利；不足則四支不用」——**「不用」本篇1見，在形之不足一證中**：**形不足則四支不用——肢體具在而不能用，與本目「痿廢不用」全同**；**本目以不用與不仁對舉：不仁者不知痛癢，不用者不能舉動；本篇言「不用」而不言「不仁」**；**「不」讀 bù、「用」讀 yòng**
太陰司天，濕氣下臨，腎氣上從，黑起水變，埃冒雲雨，胸中不利，陰痿，氣大衰而不起不用，當其時，反腰脽痛，動轉不便也，厥逆。地乃藏陰，大寒且至，蟄蟲早附，心下否痛，地裂冰堅，少腹痛，時害於食，乘金則止水增，味乃鹹，行水減也。
太阴司天，湿气下临，肾气上从，黑起水变，埃冒云雨，胸中不利，阴痿，气大衰而不起不用，当其时，反腰脽痛，动转不便也，厥逆。地乃藏阴，大寒且至，蛰虫早附，心下否痛，地裂冰坚，少腹痛，时害于食，乘金则止水增，味乃咸，行水减也。
Tài yīn sī tiān, shī qì xià lín, shèn qì shàng cóng, hēi qǐ shuǐ biàn, āi mào yún yǔ, xiōng zhōng bù lì, yīn wěi, qì dà shuāi ér bù qǐ bù yòng, dāng qí shí, fǎn yāo shuí tòng, dòng zhuǎn bù biàn yě, jué nì. Dì nǎi cáng yīn, dà hán qiě zhì, zhé chóng zǎo fù, xīn xià pǐ tòng, dì liè bīng jiān, shào fù tòng, shí hài yú shí, chéng jīn zé zhǐ shuǐ zēng, wèi nǎi xián, xíng shuǐ jiǎn yě.
When greater yin governs the heaven the qi of dampness descends upon it and the qi of the kidney follows upward; black arises and water is changed; dust rises and cloud and rain come; there is discomfort in the chest and flaccidity of the yin organ; the qi greatly declines and cannot rise or be used; at that time there is rather pain in the loins and rump and difficulty in turning; there is counterflow. Earth then stores yin, great cold is at hand, burrowing insects take cover early, there is stuffiness and pain below the heart, the ground cracks and the ice is hard, the lower abdomen hurts, and eating is now and again spoiled. Where water rides upon metal the still water increases, the taste turns salty, and moving water is reduced.
**「不用」本篇2見：一在「而藏氣不應不用者」（見於四十之段），一在此段「氣大衰而不起不用」**；**此段為太陰司天，陰痿而不起不用，與「中滿不食」「皮𤸷肉苛」同段**