1
黄帝問曰:肺之令人欬,何也?
黄帝问曰:肺之令人咳,何也?
Huáng dì wèn yuē: fèi zhī lìng rén kài, hé yě?
黄帝问道:肺一旦有病,为什么会使人咳嗽?
The Yellow Emperor asks: what is it about the lung that makes a person cough?
2
歧伯對曰:五藏六府,皆令人欬,非獨肺也。
歧伯对曰:五藏六府,皆令人咳,非独肺也。
Qí bó duì yuē: wǔ zàng liù fǔ, jiē lìng rén kài, fēi dú fèi yě.
歧伯回答说:五藏六府都有病时,都会使人咳嗽,不单只是肺。
Qi Bo answers: the five stores and the six palaces all make a person cough — it is not the lung alone.
3
帝曰:願聞其狀。
帝曰:愿闻其状。
Dì yuē: yuàn wén qí zhuàng.
黄帝说:我希望听听它们的症状。
The Emperor says: I would like to hear what form each of them takes.
Qí bó yuē: pí máo zhě, fèi zhī hé yě, pí máo xiān shòu xié qì, xié qì yǐ cóng qí hé yě.
歧伯说:皮毛是肺的外合,皮毛先受邪气,邪气便顺着它与肺相合的关系而入。
Qi Bo says: the skin and body hair are what the lung is paired with. They are the first to receive the evil qi, and the evil qi follows that pairing inward.
5
其寒飲食入胃,從肺脉上至於肺,則肺寒,肺寒則外内合邪,因而客之,則爲肺欬。
其寒饮食入胃,从肺脉上至于肺,则肺寒,肺寒则外内合邪,因而客之,则为肺咳。
Qí hán yǐn shí rù wèi, cóng fèi mài shàng zhì yú fèi, zé fèi hán, fèi hán zé wài nèi hé xié, yīn ér kè zhī, zé wéi fèi kài.
寒冷的饮食进入胃中,从肺脉上行到肺,于是肺寒;肺寒则外内之邪相合,因而留客于肺,就成为肺欬。
When cold food and drink enter the stomach they rise by the lung vessel to the lung, and the lung turns cold; once the lung is cold the evil outside and the evil within join, lodge there, and the result is lung cough.
6
五藏各以其時受病,非其時,各傅以與之。
五藏各以其时受病,非其时,各傅以与之。
Wǔ zàng gè yǐ qí shí shòu bìng, fēi qí shí, gè fù yǐ yǔ zhī.
五藏各自在它所主的时令受病,不是它所主的时令,就由别的藏传给它。
Each of the five stores takes illness in the season it governs; out of its own season, the illness is handed on to it by another.
7
人與天地相參,故五藏各以治時,感於寒則受病,微則爲欬,甚者爲泄爲痛。
人与天地相参,故五藏各以治时,感于寒则受病,微则为咳,甚者为泄为痛。
Rén yǔ tiān dì xiāng cān, gù wǔ zàng gè yǐ zhì shí, gǎn yú hán zé shòu bìng, wēi zé wéi kài, shèn zhě wéi xiè wéi tòng.
人与天地相参应,所以五藏各有所主的时令,感受寒邪就会受病,轻的就成为欬,重的就成为泄、成为痛。
Man is matched with heaven and earth, and so each store has the season it governs; exposure to cold brings illness — in a mild form as cough, in a severe form as discharge or as pain.
8
乘秋,則肺先受邪;乘春,則肝先受之;乘夏,則心先受之;乘至陰則脾先受之;乘冬,則腎先受之。
乘秋,则肺先受邪;乘春,则肝先受之;乘夏,则心先受之;乘至阴则脾先受之;乘冬,则肾先受之。
Chéng qiū, zé fèi xiān shòu xié; chéng chūn, zé gān xiān shòu zhī; chéng xià, zé xīn xiān shòu zhī; chéng zhì yīn zé pí xiān shòu zhī; chéng dōng, zé shèn xiān shòu zhī.
乘秋时,肺先受邪;乘春时,肝先受之;乘夏时,心先受之;乘至阴,即长夏时,脾先受之;乘冬时,肾先受之。
Riding autumn, the lung is the first to take the evil; riding spring, the liver; riding summer, the heart; riding utmost yin, the spleen; riding winter, the kidney.
9
帝曰:何以異之?
帝曰:何以异之?
Dì yuē: hé yǐ yì zhī?
黄帝说:怎样分别它们?
The Emperor says: how do they differ from one another?
10
歧伯曰:肺欬之狀,欬而喘息有音,甚則唾血。
歧伯曰:肺咳之状,咳而喘息有音,甚则唾血。
Qí bó yuē: fèi kài zhī zhuàng, kài ér chuǎn xī yǒu yīn, shèn zé tuò xuè.
歧伯说:肺欬的症状,咳而喘息有声,严重的就唾血。
Qi Bo says: in lung cough the person coughs and pants with a sound, and in severe cases spits blood.
11
心欬之狀,欬則心痛,喉中介介如梗狀,甚則咽腫喉痺。
心咳之状,咳则心痛,喉中介介如梗状,甚则咽肿喉痹。
Xīn kài zhī zhuàng, kài zé xīn tòng, hóu zhōng jiè jiè rú gěng zhuàng, shèn zé yān zhǒng hóu bì.
心欬的症状,咳则心痛,喉中如有物梗塞,严重的就咽肿喉痹。
In heart cough, coughing brings pain in the heart and the throat feels blocked as though by a stick; in severe cases the pharynx swells and the throat closes.
12
肝欬之狀,欬則兩脅下痛,甚則不可以轉,轉則兩胠下滿。
肝咳之状,咳则两胁下痛,甚则不可以转,转则两胠下满。
Gān kài zhī zhuàng, kài zé liǎng xié xià tòng, shèn zé bù kě yǐ zhuǎn, zhuǎn zé liǎng qū xià mǎn.
肝欬的症状,咳则两胁下痛,严重的就不能转侧,一转侧就两胠下满。
In liver cough, coughing brings pain below both flanks; in severe cases the person cannot turn over, and turning fills the space below both flanks.
13
脾欬之狀,欬則右脅下痛,陰陰引肩背,甚則不可以動,動則欬劇。
脾咳之状,咳则右胁下痛,阴阴引肩背,甚则不可以动,动则咳剧。
Pí kài zhī zhuàng, kài zé yòu xié xià tòng, yīn yīn yǐn jiān bèi, shèn zé bù kě yǐ dòng, dòng zé kài jù.
脾欬的症状,咳则右胁下痛,隐隐牵引肩背,严重的就不能动作,一动咳就加剧。
In spleen cough, coughing brings pain below the right flank that draws dully toward the shoulder and back; in severe cases the person cannot move, and moving makes the cough worse.
14
腎欬之狀,欬則腰背相引而痛,甚則欬涎。
肾咳之状,咳则腰背相引而痛,甚则咳涎。
Shèn kài zhī zhuàng, kài zé yāo bèi xiāng yǐn ér tòng, shèn zé kài xián.
肾欬的症状,咳则腰与背相互牵引而痛,严重的就咳出涎沫。
In kidney cough, coughing makes the lower back and the upper back pull against each other in pain, and in severe cases the person coughs up spittle.
15
帝曰:六府之欬柰何?安所受病?
帝曰:六府之咳奈何?安所受病?
Dì yuē: liù fǔ zhī kài nài hé? ān suǒ shòu bìng?
黄帝说:六府之欬怎样?是从哪里受病的?
The Emperor says: what of the coughs of the six palaces, and from where do they take their illness?
Qí bó yuē: wǔ zàng zhī jiǔ kài, nǎi yí yú liù fǔ.
歧伯说:五藏的久欬不愈,就移传给六府。
Qi Bo says: a long-standing cough of the five stores passes on into the six palaces.
17
脾欬不已,則胃受之。胃欬之狀,欬而嘔,嘔甚則長蟲出。
脾咳不已,则胃受之。胃咳之状,咳而呕,呕甚则长虫出。
Pí kài bù yǐ, zé wèi shòu zhī. Wèi kài zhī zhuàng, kài ér ǒu, ǒu shèn zé cháng chóng chū.
脾欬不已,胃就受之。胃欬的症状,咳而呕吐,呕得厉害就吐出蛔虫。
When spleen cough does not end, the stomach takes it. In stomach cough the person coughs and retches, and severe retching brings up long worms.
18
肝欬不已,則膽受之;膽欬之狀,欬嘔膽汁。
肝咳不已,则胆受之;胆咳之状,咳呕胆汁。
Gān kài bù yǐ, zé dǎn shòu zhī; dǎn kài zhī zhuàng, kài ǒu dǎn zhī.
肝欬不已,胆就受之;胆欬的症状,咳而呕出胆汁。
When liver cough does not end, the gallbladder takes it; in gallbladder cough he coughs and vomits bile.
19
肺欬不已,則大腸受之。大腸欬狀,欬而遺失。
肺咳不已,则大肠受之。大肠咳状,咳而遗失。
Fèi kài bù yǐ, zé dà cháng shòu zhī. Dà cháng kài zhuàng, kài ér yí shī.
肺欬不已,大肠就受之。大肠欬的症状,咳而大便失禁。
When lung cough does not end, the large intestine takes it; in large intestine cough he coughs and loses control of the stool.
Xīn kài bù yǐ, zé xiǎo cháng shòu zhī; xiǎo cháng kài zhuàng, kài ér shī qì, qì yǔ kài jù shī.
心欬不已,小肠就受之;小肠欬的症状,咳而失气,气与咳同时失出。
When heart cough does not end, the small intestine takes it; in small intestine cough he coughs and passes wind, the wind and the cough departing together.
Shèn kài bù yǐ, zé páng guāng shòu zhī; páng guāng kài zhuàng, kài ér yí niào.
肾欬不已,膀胱就受之;膀胱欬的症状,咳而遗尿。
When kidney cough does not end, the bladder takes it; in bladder cough he coughs and loses urine.
Jiǔ kài bù yǐ, zé sān jiāo shòu zhī, sān jiāo kài zhuàng, kài ér fù mǎn, bù yù shí yǐn.
久欬不已,三焦就受之;三焦欬的症状,咳而腹中胀满,不想进食饮水。
When a long cough does not end, the triple burner takes it; in triple burner cough he coughs with a full belly and no wish for food or drink.
23
此皆聚於胃,關於肺,使人多涕唾,而面浮腫氣逆也。
此皆聚于胃,关于肺,使人多涕唾,而面浮肿气逆也。
Cǐ jiē jù yú wèi, guān yú fèi, shǐ rén duō tì tuò, ér miàn fú zhǒng qì nì yě.
这些都聚于胃,关于肺,使人多涕唾,而面目浮肿、气逆。
All of these gather in the stomach and bear on the lung; they make a person produce much snivel and spittle, and the face becomes puffy with counterflowing qi.
24
帝曰:治之柰何?
帝曰:治之奈何?
Dì yuē: zhì zhī nài hé?
黄帝说:怎样治疗?
The Emperor says: how is it treated?
25
歧伯曰:治藏者治其俞,治府者治其合,浮腫者治其經。
歧伯曰:治藏者治其俞,治府者治其合,浮肿者治其经。
Qí bó yuē: zhì zàng zhě zhì qí shù, zhì fǔ zhě zhì qí hé, fú zhǒng zhě zhì qí jīng.
歧伯说:治藏病的治它的俞穴,治府病的治它的合穴,浮肿的治它的经穴。
Qi Bo says: for the stores, treat their transport points; for the palaces, treat their confluence points; for the puffiness, treat their conduits.
26
帝曰:善。
帝曰:善。
Dì yuē: shàn.
黄帝说:讲得好。
The Emperor says: good.