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.
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.
**「此皆聚於胃，關於肺，使人多涕唾，而面浮腫氣逆也」二十二字，是全篇之歸宿**——**上文五藏六府十一目之欬，至此總歸於胃與肺二處**，**與篇首「其寒飲食入胃，從肺脉上至於肺」遙相呼應**：**篇首言欬之成，篇末言欬之所歸，皆在胃與肺**。**「聚」（「聚」讀 jù）、「關」（「關」讀 guān）、「涕」（「涕」讀 tì）、「面」（「面」讀 miàn）、「逆」（「逆」讀 nì）五字皆本篇惟此一見**。**「逆」讀 nì**——**「氣逆」與第三十七篇「氣厥」（氣逆而厥）義近而字別**。**「浮腫」之治在篇末三句中居其一**：**治藏者治其俞、治府者治其合、浮腫者治其經**——**藏取俞、府取合、腫取經，此《素問》刺法之通例**。
腎風之狀，多汗，惡風，面痝然浮腫，脊痛不能正立，其色炲，隱曲不利，診在肌上，其色黑。
肾风之状，多汗，恶风，面痝然浮肿，脊痛不能正立，其色炲，隐曲不利，诊在肌上，其色黑。
Shèn fēng zhī zhuàng, duō hàn, wù fēng, miàn máng rán fú zhǒng, jǐ tòng bù néng zhèng lì, qí sè tái, yǐn qū bù lì, zhěn zài jī shàng, qí sè hēi.
In kidney wind the patient sweats freely and loathes wind; the face is swollen and puffy; the spine hurts and he cannot stand upright; the colour is sooty black; what is private and hidden no longer works freely. It is diagnosed on the flesh, and the colour is black.
「面痝然浮腫」——**本篇「浮腫」1見，即此**；**第三十八篇之久欬浮腫在胃，本篇之浮腫在腎風**——**同為浮腫，所屬不同**。「浮」讀 fú、「腫」讀 zhǒng**「浮腫」讀 fú zhǒng**；「痝」讀 máng**「痝然」讀 máng rán**；「脊」讀 jǐ**「脊痛不能正立」讀 jǐ**。
民病寒疾於下，甚則腹滿浮腫，上應鎮星，其主黅榖。復則大風暴發，草偃木零，生長不鮮，面色時變，筋骨併辟，肉膶瘛，目視䀮䀮，物疏璺，肌肉胗發，氣并鬲中，痛於心腹，黄氣乃損，其榖不登，上應歲星。
民病寒疾于下，甚则腹满浮肿，上应镇星，其主黅谷。复则大风暴发，草偃木零，生长不鲜，面色时变，筋骨并辟，肉膶瘛，目视䀮䀮，物疏璺，肌肉胗发，气并鬲中，痛于心腹，黄气乃损，其谷不登，上应岁星。
Mín bìng hán jí yú xià, shèn zé fù mǎn fú zhǒng, shàng yìng zhèn xīng, qí zhǔ jīn gǔ. Fù zé dà fēng bào fā, cǎo yǎn mù líng, shēng zhǎng bù xiān, miàn sè shí biàn, jīn gǔ bìng bì, ròu rún chì, mù shì huāng huāng, wù shū wèn, jī ròu zhěn fā, qì bìng gé zhōng, tòng yú xīn fù, huáng qì nǎi sǔn, qí gǔ bù dēng, shàng yìng suì xīng.
The people are ill with cold disease below and, if it is severe, fullness of the abdomen and floating swelling; it answers above to Saturn, and what it governs is the yellow grain. When revenge comes, great wind breaks out violently, the grass lies down and the trees are stripped, growth is not fresh, the colour of the face changes from time to time, the sinews and bones are drawn together and awry, the flesh twitches and there is convulsion, the eyes see dimly, things are cracked and split, rashes break out on the flesh, the qi gathers in the diaphragm, there is pain in the heart and abdomen, the yellow qi is damaged, and its grain is not harvested; it answers above to Jupiter.
「民病寒疾於下，甚則腹滿浮腫，上應鎮星」——**「浮腫」本篇1見，止此一見**；**本篇浮腫因濕乃大行、寒疾於下而起，與第三十八篇欬久而面浮腫者同源**；**本篇「浮」1見，即在「浮腫」之内，不入「浮」目**；**「浮」讀 fú、「腫」讀 zhǒng**
初之氣，地氣遷，陰始凝，氣始肅，水乃冰，寒雨化。其病中熱脹，面目浮腫，善眠，鼽衄嚏欠，嘔，小便黃赤，甚則淋。
初之气，地气迁，阴始凝，气始肃，水乃冰，寒雨化。其病中热胀，面目浮肿，善眠，鼽衄嚏欠，呕，小便黄赤，甚则淋。
Chū zhī qì, dì qì qiān, yīn shǐ níng, qì shǐ sù, shuǐ nǎi bīng, hán yǔ huà. Qí bìng zhōng rè zhàng, miàn mù fú zhǒng, shàn mián, qiú nǜ tì qiàn, ǒu, xiǎo biàn huáng chì, shèn zé lín.
The first qi: the qi of earth moves; yin begins to congeal; the qi begins to be austere; water freezes and cold turns to rain. Its illnesses are heat and distension within, swelling of face and eyes, sleepiness, snivelling, nosebleed, sneezing and yawning, vomiting, yellow-red urine, and in severe cases strangury.
**「浮腫」本篇2見，二見：陽明司天與少陽司天**；**此段「其病中熱脹，面目浮腫，善眠」，初之氣之病**
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.
**「浮腫」本篇1見，止在此句**；**此段「外爲浮腫，噦、噫」，少陰之復所生；與胕腫不同字**