膽移熱於腦，則辛頞鼻淵，鼻淵者，濁涕下不止也。
胆移热于脑，则辛頞鼻渊，鼻渊者，浊涕下不止也。
Dǎn yí rè yú nǎo, zé xīn è bí yuān, bí yuān zhě, zhuó tì xià bù zhǐ yě.
When the gallbladder shifts heat into the brain, the bridge of the nose is hot and sore and it becomes deep-source nose. Deep-source nose is turbid snivel running down without stopping.
**「膽移熱於腦，則辛頞鼻淵，鼻淵者，濁涕下不止也」二十字，是熱移十變之末變，亦為全篇唯一之自注句**。**本篇第二處文字裁定在此**——**底本此句作「膽，移熱於腦」，「膽」字下有一逗，介於主謂之間**，**與第三十四篇「中非：有寒氣也」之衍冒號同例**；**用戶裁定：刪去此逗，正文作「膽移熱於腦」，校勘記一筆**。**「鼻淵者，濁涕下不止也」九字是全篇唯一以「者…也」自釋其名者**——**本篇條列十五變而別無自注，惟此一見**；**與第三十六篇「舌下兩脉者，廉泉也」同例**。**「辛」「辛」讀 xīn者，辛酸痛楚也**；**「頞」「頞」讀 è，鼻梁也，本篇惟此一見**；**「淵」「淵」讀 yuān2見，不作「渊」**；**「濁」「濁」讀 zhuó，不作「浊」**；**「下」「下」讀 xià者，下流也**——**與上文「上爲口麋」之「上」字相對成文**。**「鼻淵」之名沿用至今，為本篇最長壽之病名**。
少陰之復，燠熱内作，煩躁鼽嚏，少腹絞痛，火見燔爇，嗌燥，分注時止，氣動於左，上行於右，欬皮膚痛，暴喑心痛，鬱冒不知人，乃洒淅惡寒，振慄譫妄，寒已而熱，渴而欲飲，少氣骨痿，隔腸不便，外爲浮腫，噦、噫，赤氣後化，流水不冰，熱氣大行，介蟲不復，病疿、胗、瘡瘍，癰疽、痤、痔，甚則入肺，欬而鼻淵，天府絶，死不治。
少阴之复，燠热内作，烦躁鼽嚏，少腹絞痛，火见燔爇，嗌燥，分注时止，气动于左，上行于右，咳皮肤痛，暴喑心痛，郁冒不知人，乃洒淅恶寒，振栗谵妄，寒已而热，渴而欲饮，少气骨痿，隔肠不便，外为浮肿，哕、噫，赤气后化，流水不冰，热气大行，介虫不复，病疿、胗、疮疡，痈疽、痤、痔，甚则入肺，咳而鼻渊，天府绝，死不治。
Shào yīn zhī fù, yù rè nèi zuò, fán zào qiú tì, shào fù jiǎo tòng, huǒ xiàn fán ruò, yì zào, fēn zhù shí zhǐ, qì dòng yú zuǒ, shàng xíng yú yòu, kài pí fū tòng, bào yīn xīn tòng, yù mào bù zhī rén, nǎi xiǎn xī wù hán, zhèn lì zhān wàng, hán yǐ ér rè, kě ér yù yǐn, shǎo qì gǔ wěi, gé cháng bù biàn, wài wéi fú zhǒng, yuě, ài, chì qì hòu huà, liú shuǐ bù bīng, rè qì dà xíng, jiè chóng bù fù, bìng fèi, zhěn, chuāng yáng, yōng jū, cuó, zhì, shèn zé rù fèi, kài ér bí yuān, tiān fǔ jué, sǐ bù zhì.
When lesser yin takes revenge, pent heat is generated within, with fretfulness and agitation, snivelling and sneezing, cramping pain of the lower belly, fire appearing and burning, a dry throat, and a pouring that stops and starts; qi moves on the left and goes up on the right; there is cough with pain of the skin, sudden loss of voice and pain of the heart, a clouded faintness in which a man does not know others, and then shivering aversion to cold, trembling and wild talk; when the cold is over heat comes, with thirst and a wish to drink, short qi and flaccid bones; the bowel is blocked and the stool does not pass, and outwardly there is swelling, retching and belching. The red qi transforms late, running water does not freeze, heat qi runs its course, and the shelled creatures do not breed again; there are prickly heat, rashes, sores, abscesses, boils, acne and piles, and in grave cases it enters the lung, with cough and a running nose. The tianfu pulse is extinguished — death, not to be treated.
**「鼻淵」本篇1見，止在此句**；**此段「欬而鼻淵，天府絶，死不治」，少陰之復之死證**