其寒也則衰食飲，其熱也則消肌肉，故使人怢慄而不能食，名曰寒熱。
其寒也则衰食饮，其热也则消肌肉，故使人怢栗而不能食，名曰寒热。
Qí hán yě zé shuāi shí yǐn, qí rè yě zé xiāo jī ròu, gù shǐ rén tū lì ér bù néng shí, míng yuē hán rè.
The cold in it makes food and drink fall off; the heat in it wastes the flesh. So the patient is seized with a sudden shivering and cannot eat. This is called cold and heat.
**「名曰寒熱」是本篇第一個命名**——**「其寒也則衰食飲，其熱也則消肌肉」二句分說寒熱之為用**；**「怢」讀 tū、「慄」讀 lì**，**王冰「怢慄，卒振寒貌」**；**新校正：《甲乙經》作「解㑊」，全元起本作「失味」**。
黄帝問曰：厥之寒熱者，何也？
黄帝问曰：厥之寒热者，何也？
Huáng dì wèn yuē: jué zhī hán rè zhě, hé yě?
The Emperor asks: inversion may be cold and it may be hot — how is that?
「厥之寒熱者，何也？」——**本篇開篇即分寒熱二厥**；「寒」讀 hán、**本篇9見**；「熱」讀 rè、**本篇15見**。
脉至如偃刀，偃刀者，浮之小急，按之堅大急，五藏菀熟，寒熱獨并於腎也，如此其人不得坐，立春而死。
脉至如偃刀，偃刀者，浮之小急，按之坚大急，五脏菀熟，寒热独并于肾也，如此其人不得坐，立春而死。
Mài zhì rú yǎn dāo, yǎn dāo zhě, fú zhī xiǎo jí, àn zhī jiān dà jí, wǔ zàng yù rè, hán rè dú bìng yú shèn yě, rú cǐ qí rén bù dé zuò, lì chūn ér sǐ.
A pulse arriving like an upturned blade — small and hurried on the surface, hard, large and hurried when pressed — means smouldering heat in the five stores, with cold and heat gathered in the kidney alone. Such a person cannot sit, and dies at the beginning of spring.
「寒熱獨并於腎也」——**本篇「寒熱」1見**；**「五藏菀熟」與「寒熱獨并於腎」二句相承，熱鬱於内而寒熱之氣獨聚於腎，故其人不得坐**；「立」讀 lì「春」讀 chūn、**立春而死，本篇定期之一**。
陰刺入一，傍四處，治寒熱。深專者，刺大藏，迫藏刺背，背俞也。刺之迫藏，藏會腹中，寒熱去而止。
阴刺入一，傍四处，治寒热。深专者，刺大藏，迫藏刺背，背俞也。刺之迫藏，藏会腹中，寒热去而止。
Yīn cì rù yī, bàng sì chù, zhì hán rè.Shēn zhuān zhě, cì dà zàng, pò zàng cì bèi, bèi shù yě.Cì zhī pò zàng, zàng huì fù zhōng, hán rè qù ér zhǐ.
For yin needling, one needle goes in at the centre and four enter about it; this treats cold and heat. Where it is deep and drives inward on one spot, needle the great depots. To come close to the depots one needles the back, for the back carries the depot transport points. That one comes close to the depots by needling there is because these are where the depot qi gathers; stop when the cold and heat within the abdomen are gone.
「陰刺入一，傍四處，治「寒」讀 hán「熱」讀 rè」——**本篇「寒熱」2見，讀 hán rè**；**一在「治寒熱」（陰刺之主治），一在「寒熱去而止」（止鍼之候）**；**深專者則刺大藏，迫藏刺背，背俞也**——寒熱深入，則不在分肉而在五藏**
其色多青則痛，多黑則痺，黄赤則熱，多白則寒，五色皆見，則寒熱也。
其色多青则痛，多黑则痹，黄赤则热，多白则寒，五色皆见，则寒热也。
Qí sè duō qīng zé tòng, duō hēi zé bì, huáng chì zé rè, duō bái zé hán, wǔ sè jiē jiàn, zé hán rè yě.
Where its colour is much blue-green there is pain; much black, obstruction; yellow and red, heat; much white, cold. When the five colours are all seen together, it is cold and heat.
「其色多青則痛，多黑則痺，黄赤則熱，多白則寒，五色皆見，則「寒」讀 hán「熱」讀 rè也」——**本篇「寒熱」1見，讀 hán rè**；**本篇之寒熱出於望絡：多白則寒、黄赤則熱，五色皆見則寒熱並見，非寒熱往來之證名**；**本篇又以寒熱為邪之多少：「寒多則筋攣骨痛，熱多則筋弛骨消」，寒熱對舉，各為一端**
五色具見者，謂之寒熱。
五色具见者，谓之寒热。
Wǔ sè jù jiàn zhě, wèi zhī hán rè.
Where the five colours are seen all together, it is called cold and heat.
「五色具「見」讀 jiàn者，謂之「寒」讀 hán「熱」讀 rè」——**本篇「寒熱」1見，讀 hán rè**；**本篇之寒熱是診目而非病機：五色一時並見，即名之曰寒熱**；**與本目第四十二篇「寒熱為風之六變之一」同為證名，而本篇所據者在絡之五色，不在風之客於皮膚**；「具」讀 jù、**「具見」之具讀 jù，通「俱」，本篇1見**；「者」讀 zhě、**本篇1見**；「謂」讀 wèi、**本篇「謂」2見**；**「見」本篇2見並讀 jiàn：一在「絡脉之見」，一在「五色具見」**
藏俞五十穴，府俞七十二穴，熱俞五十九穴，水俞五十七穴，頭上五行，行五，五五二十五穴，中膂兩傍各五，凡十穴，大椎上兩傍各一，凡二穴，目瞳子浮白二穴，兩髀厭分中二穴，犢鼻二穴，耳中多所聞二穴，眉本二穴，完骨二穴，頂中央一穴，枕骨二穴，上關二穴，大迎二穴，下關二穴，天柱二穴，巨虚上下廉四穴，曲牙二穴，天突一穴，天府二穴，天牖二穴，扶突二穴，天窗二穴，肩解二穴，關元一穴，委陽二穴，肩貞二穴，瘖門一穴，齊一穴，胸俞十二穴，背俞二穴，膺俞十二穴，分肉二穴，踝上横二穴，陰陽蹻四穴，水俞在諸分，熱俞在氣穴，寒熱俞在兩骸厭中二穴。
脏俞五十穴，府俞七十二穴，热俞五十九穴，水俞五十七穴，头上五行，行五，五五二十五穴，中膂两傍各五，凡十穴，大椎上两傍各一，凡二穴，目瞳子浮白二穴，两髀厌分中二穴，犊鼻二穴，耳中多所闻二穴，眉本二穴，完骨二穴，顶中央一穴，枕骨二穴，上关二穴，大迎二穴，下关二穴，天柱二穴，巨虚上下廉四穴，曲牙二穴，天突一穴，天府二穴，天牖二穴，扶突二穴，天窗二穴，肩解二穴，关元一穴，委阳二穴，肩贞二穴，喑门一穴，脐一穴，胸俞十二穴，背俞二穴，膺俞十二穴，分肉二穴，踝上横二穴，阴阳蹻四穴，水俞在诸分，热俞在气穴，寒热俞在两骸厌中二穴。
Zàng shù wǔ shí xué, fǔ shù qī shí èr xué, rè shù wǔ shí jiǔ xué, shuǐ shù wǔ shí qī xué, tóu shàng wǔ háng, háng wǔ, wǔ wǔ èr shí wǔ xué, zhōng lǚ liǎng bàng gè wǔ, fán shí xué, dà zhuī shàng liǎng bàng gè yī, fán èr xué, mù tóng zǐ fú bái èr xué, liǎng bì yàn fēn zhōng èr xué, dú bí èr xué, ěr zhōng duō suǒ wén èr xué, méi běn èr xué, wán gǔ èr xué, dǐng zhōng yāng yī xué, zhěn gǔ èr xué, shàng guān èr xué, dà yíng èr xué, xià guān èr xué, tiān zhù èr xué, jù xū shàng xià lián sì xué, qū yá èr xué, tiān tū yī xué, tiān fǔ èr xué, tiān yǒu èr xué, fú tū èr xué, tiān chuāng èr xué, jiān jiě èr xué, guān yuán yī xué, wěi yáng èr xué, jiān zhēn èr xué, yīn mén yī xué, qí yī xué, xiōng shù shí èr xué, bèi shù èr xué, yīng shù shí èr xué, fēn ròu èr xué, huái shàng héng èr xué, yīn yáng qiāo sì xué, shuǐ shù zài zhū fēn, rè shù zài qì xué, hán rè shù zài liǎng hái yàn zhōng èr xué.
Fifty transport points of the viscera; seventy-two of the bowels; fifty-nine points for heat; fifty-seven for water; five rows on the head, five to a row, five fives making twenty-five; five each side at zhōng lǚ, ten in all; one each side above dà zhuī, two in all; two at mù tóng zǐ and fú bái; two in the parting of the two hip seams; two at dú bí; two where hearing is plentiful inside the ear; two at the root of the eyebrow; two at wán gǔ; one at the centre of the crown; two at the occipital bone; two at shàng guān; two at dà yíng; two at xià guān; two at tiān zhù; four at the upper and lower jù xū; two at qū yá; one at tiān tū; two at tiān fǔ; two at tiān yǒu; two at fú tū; two at tiān chuāng; two at jiān jiě; one at guān yuán; two at wěi yáng; two at jiān zhēn; one at yīn mén; one at the navel; twelve chest transports; two back transports; twelve breast transports; two at fēn ròu; two across above the ankle; four of the yin and yang springing vessels. The water points lie among the divisions, the heat points lie among the qi points, and the points for cold and heat are the two in the seams of the two hái.
「藏俞五十穴，府俞七十二穴，熱俞五十九穴，水俞五十七穴，……水俞在諸分，熱俞在氣穴，「寒」讀 hán「熱」讀 rè俞在兩骸厭中二穴。」——**本篇「寒熱」1見，讀 hán rè**；**與熱俞、水俞並列為三俞之一：寒熱俞在兩骸厭中**；**本目第四十二篇所立：風之六變之一，亦即癘風之別名**；**本篇則為取穴之目：以其病名俞，正見寒熱之為證而非僅為機**；「俞」讀 shù、**本篇「俞」10見，讀 shù**；「骸」讀 hái、**「兩骸厭中」之骸讀 hái，本篇1見**
鼠瘻，寒熱，還刺寒府，寒府在附膝外解營。
鼠瘘，寒热，还刺寒府，寒府在附膝外解营。
Shǔ lòu, hán rè, huán cì hán fǔ, hán fǔ zài fù xī wài jiě yíng.
For mouse fistula with cold and heat that come and go, turn back and needle the Cold Palace. The Cold Palace is in the cavity of the joint on the outer side at the knee.
「鼠瘻，「寒」讀 hán「熱」讀 rè，還刺寒府」——**寒熱往來，是鼠瘻之證；本篇下文「灸寒熱之法」一節，即承此而立二十九處**；**「寒」本篇6見、「熱」2見**；**「還」讀 huán，本篇2見（還刺寒府、還出别下項）**
復則炎暑流火，濕性燥，柔脆草木焦槁，下體再生，華實齊化，病寒熱瘡瘍，疿胗癰痤。
复则炎暑流火，湿性燥，柔脆草木焦槁，下体再生，华实齐化，病寒热疮疡，疿胗痈痤。
Fù zé yán shǔ liú huǒ, shī xìng zào, róu cuì cǎo mù jiāo gǎo, xià tǐ zài shēng, huā shí qí huà, bìng hán rè chuāng yáng, fèi zhěn yōng cuó.
Then revenge comes: blazing summer heat streams fire, what is damp in nature turns dry, the soft and brittle plants are scorched and withered and grow again from their lower parts, and flowers and fruits form together. The people are ill with cold and heat, sores and ulcers, prickly heat, rashes, abscesses and acne.
「下體再生，華實齊化，病寒熱瘡瘍，疿胗癰痤」——**「寒熱」本篇1見，止此一見**；**本篇寒熱與瘡瘍、疿胗、癰痤並見，是寒熱之證而發於皮膚者，在歲木不及、燥氣來復一段**；**「寒」讀 hán、「熱」讀 rè**
因於露風，乃生寒熱。是以春傷於風，邪氣留連，乃爲洞泄。夏傷於暑，秋爲痎瘧；秋傷於濕，上逆而欬，發爲痿厥；冬傷於寒，春必温病。四時之氣，更傷五藏。
因于露风，乃生寒热。是以春伤于风，邪气留连，乃为洞泄。夏伤于暑，秋为痎疟；秋伤于湿，上逆而咳，发为痿厥；冬伤于寒，春必温病。四时之气，更伤五脏。
Yīn yú lù fēng, nǎi shēng hán rè. shì yǐ chūn shāng yú fēng, xié qì liú lián, nǎi wéi dòng xiè. xià shāng yú shǔ, qiū wéi jiē nüè; qiū shāng yú shī, shàng nì ér kài, fā wéi wěi jué; dōng shāng yú hán, chūn bì wēn bìng. sì shí zhī qì, gēng shāng wǔ zàng.
Meeting dew and wind brings cold and heat. Thus one wounded by wind in spring lets the evil qi linger on, and in summer there is pouring diarrhoea; wounded by summer heat, in autumn there is jie malaria; wounded by dampness in autumn, the qi counterflows upward and there is coughing, and flaccidity and inversion develop; wounded by cold in winter, in spring there is sure to be warm disease. This is how the qi of the four seasons injure the five viscera in turn.
「因於露風，乃生寒熱」——露讀 lù；觸冒霜露之風，乃生寒熱；下文歷舉四時之傷；**「寒熱」本篇1見**
其民食雜而不勞。故其病多痿厥寒熱。其治宜導引按蹻，故導引按蹻者，亦從中央出也。
其民食杂而不劳。故其病多痿厥寒热。其治宜导引按蹻，故导引按蹻者，亦从中央出也。
qí mín shí zá ér bù láo. gù qí bìng duō wěi jué hán rè. qí zhì yí dǎo yǐn àn qiāo, gù dǎo yǐn àn qiāo zhě, yì cóng zhōng yāng chū yě.
Its people eat a mixed diet and do not labour, and so their illnesses are mostly weakness, reversal, cold and heat. Their treatment is suited to guiding and pulling, pressing and lifting — and so guiding, pulling, pressing and lifting came out of the centre.
「故其病多痿厥寒熱」，中央之民食雜而不勞、其地低濕，故多痿厥寒熱之病；王冰：「濕氣在下，故多病痿弱、氣逆及寒熱也。」
帝曰：病成而變，何謂？歧伯曰：風成爲寒熱，癉成爲消中，厥成爲巔疾，久風爲飱泄，脉風成爲癘。病之變化，不可勝數。
帝曰：病成而变，何谓？岐伯曰：风成为寒热，瘅成为消中，厥成为巅疾，久风为飧泄，脉风成为疠。病之变化，不可胜数。
dì yuē: bìng chéng ér biàn, hé wèi? qí bó yuē: fēng chéng wéi hán rè, dān chéng wéi xiāo zhōng, jué chéng wéi diān jí, jiǔ fēng wéi sūn xiè, mài fēng chéng wéi lì. bìng zhī biàn huà, bù kě shèng shǔ.
The Emperor says: What does it mean that an illness, once formed, changes? Qibo says: Wind, once formed, becomes cold and heat; heat, once formed, becomes wasting in the centre; counterflow, once formed, becomes disease of the crown; long-standing wind becomes food-diarrhoea; wind in the vessels becomes pestilent sores. The transformations of illness cannot be counted.
「風成爲寒熱」，風成而變為寒熱；本篇又見「沈細數散者，寒熱也」，一以病名、一以脉候。
弗治，腎傳之心，病筋脉相引而急，病名曰瘛，當此之時，可灸、可藥。弗治，滿十日，法當死。腎因傳之心，心即復反傳而行之肺，發寒熱，法當三歲死。此病之次也。
弗治，肾传之心，病筋脉相引而急，病名曰瘛，当此之时，可灸、可药。弗治，满十日，法当死。肾因传之心，心即复反传而行之肺，发寒热，法当三岁死。此病之次也。
Fú zhì, shèn chuán zhī xīn, bìng jīn mài xiāng yǐn ér jí, bìng míng yuē chì, dāng cǐ zhī shí, kě jiǔ, kě yào. Fú zhì, mǎn shí rì, fǎ dāng sǐ. Shèn yīn chuán zhī xīn, xīn jí fù fǎn chuán ér xíng zhī fèi, fā hán rè, fǎ dāng sān suì sǐ. Cǐ bìng zhī cì yě.
Left untreated, the kidney transmits it to the heart; the sinews and vessels pull against one another and tighten. It is called tetany; at that point one may cauter and may give medicine. Left untreated, at the full ten days death is due by rule. The kidney thus transmits to the heart, and the heart turns back and transmits to the lung, with cold and heat developing — by rule death is due in three years. Such is the order of the disease.
「發寒熱」，腎傳之心、心復反傳於肺則發寒熱，法當三歲死。寒熱者陰陽之爭，病之反復於外者也。
歧伯曰：地氣制之也，非天不生，地不長也。帝曰：願聞其道。歧伯曰：寒熱燥濕，不同其化也。
歧伯曰：地气制之也，非天不生，地不长也。帝曰：愿闻其道。歧伯曰：寒热燥湿，不同其化也。
Qí bó yuē: dì qì zhì zhī yě, fēi tiān bù shēng, dì bù zhǎng yě. Dì yuē: yuàn wén qí dào. Qí bó yuē: hán rè zào shī, bù tóng qí huà yě.
Qi Bo said: the qi of earth constrains it; it is not that heaven does not engender or earth does not grow. Huang Di said: I wish to hear the way of it. Qi Bo said: cold, heat, dryness and dampness — their transformations are not alike.
**「寒熱」本篇5見：三在司天之段（寒熱胕腫、寒熱如瘧、寒熱），一在「寒熱燥濕」，一在「寒熱盛衰」**；**此段以「寒熱燥濕，不同其化也」總五十五段以下之六化**