1
黄帝問曰：人有重身，九月而瘖，此爲何也？歧伯對曰：胞之絡脉絶也。
黄帝问曰：人有重身，九月而瘖，此为何也？歧伯对曰：胞之络脉绝也。
Huáng dì wèn yuē: rén yǒu chóng shēn, jiǔ yuè ér yīn, cǐ wéi hé yě? Qí bó duì yuē: bāo zhī luò mài jué yě.
黄帝问道：妇女怀孕，到第九个月时说话不出声，这是什么缘故？歧伯回答说：这是胞中络脉阻绝不通所致。
The Emperor asks: a woman is heavy with child and, in the ninth month, loses her voice. What is this? Qi Bo answers: the network vessels of the womb are cut off.
2
帝曰：何以言之？歧伯曰：胞絡者，繫於腎，少陰之脉，貫腎繫舌本，故不能言。
帝曰：何以言之？歧伯曰：胞络者，系于肾，少阴之脉，贯肾系舌本，故不能言。
Dì yuē: hé yǐ yán zhī? Qí bó yuē: bāo luò zhě, xì yú shèn, shào yīn zhī mài, guàn shèn xì shé běn, gù bù néng yán.
黄帝说：凭什么这样说？歧伯说：胞络连属于肾，足少阴之脉贯通肾脏而系于舌根，所以不能言语。
Why do you say so? Qi Bo answers: the network of the womb is tied to the kidney; the lesser yin vessel penetrates the kidney and ties to the root of the tongue, and therefore she cannot speak.
3
帝曰：治之柰何？歧伯曰：無治也，當十月復。刺法曰：無損不足，益有餘，以成其疹，然後調之。
帝曰：治之奈何？歧伯曰：无治也，当十月复。刺法曰：无损不足，益有余，以成其疹，然后调之。
Dì yuē: zhì zhī nài hé? Qí bó yuē: wú zhì yě, dāng shí yuè fù. Cì fǎ yuē: wú sǔn bù zú, yì yǒu yú, yǐ chéng qí zhěn, rán hòu tiáo zhī.
黄帝说：怎样治疗？歧伯说：不必治疗，到十个月分娩之后自会恢复。《刺法》上说：不要损伤不足的正气，也不要补益有余的邪气，以致酿成痼疾，然后再来调治。
How is it treated? Qi Bo answers: it is not treated; in the tenth month it returns of itself. The Canon of Needling says: do not detract from what is insufficient and do not add to what is in excess, so as to bring an enduring illness into being, and regulate it only afterwards.
4
所謂無損不足者，身羸瘦，無用鑱石也。
所谓无损不足者，身羸瘦，无用镵石也。
Suǒ wèi wú sǔn bù zú zhě, shēn léi shòu, wú yòng chán shí yě.
所谓不要损伤不足，是说身体已经羸瘦，不可用鑱石去攻泻。
By “do not detract from what is insufficient”: when the body is wasted and thin, the piercing stone is not to be used.
5
無益其有餘者，腹中有形而泄之，泄之則精出，而病獨擅中，故曰疹成也。
无益其有余者，腹中有形而泄之，泄之则精出，而病独擅中，故曰疹成也。
Wú yì qí yǒu yú zhě, fù zhōng yǒu xíng ér xiè zhī, xiè zhī zé jīng chū, ér bìng dú shàn zhōng, gù yuē zhěn chéng yě.
所谓不要补益有余，是说腹中已有形积却反用泻法，一泻则精气外泄，而病邪独据于中，所以说是痼疾已经形成了。
By “do not add to what is in excess”: there is a formation in the abdomen, and to drain it is to let the essence out while the illness alone takes hold of the interior. Hence it is said that an enduring illness has been formed.
6
帝曰：病脅下滿，氣逆，二三歲不已，是爲何病？歧伯曰：病名曰息積。此不妨於食，不可灸刺，積爲導引服藥，藥不能獨治也。
帝曰：病胁下满，气逆，二三岁不已，是为何病？歧伯曰：病名曰息积。此不妨于食，不可灸刺，积为导引服药，药不能独治也。
Dì yuē: bìng xié xià mǎn, qì nì, èr sān suì bù yǐ, shì wéi hé bìng? Qí bó yuē: bìng míng yuē xī jī. Cǐ bù fáng yú shí, bù kě jiǔ cì, jī wéi dǎo yǐn fú yào, yào bù néng dú zhì yě.
黄帝说：病见胁下胀满，气上逆，二三年不愈，这是什么病？歧伯说：病名叫息积。此病不妨碍饮食，不可用灸法和针刺；治积要用导引之法配合服药，单靠药物是不能治愈的。
The Emperor asks: an illness of fullness below the ribs, with counterflowing qi, that has not let up for two or three years — what illness is this? Qi Bo answers: the illness is named breath accumulation. It does not interfere with eating. It must not be cauterised or needled; for accumulation one uses guiding-and-pulling and takes medicines, for medicine alone cannot cure it.
7
帝曰：人有身體髀股䯒皆腫，環齊而痛，是爲何病？歧伯曰：病名曰伏梁，此風根也。
帝曰：人有身体髀股䯒皆肿，环脐而痛，是为何病？歧伯曰：病名曰伏梁，此风根也。
Dì yuē: rén yǒu shēn tǐ bì gǔ héng jiē zhǒng, huán qí ér tòng, shì wéi hé bìng? Qí bó yuē: bìng míng yuē fú liáng, cǐ fēng gēn yě.
黄帝说：有人身体、髀部、大腿、小腿都肿，绕脐而痛，这是什么病？歧伯说：病名叫伏梁，这是风邪为其病根。
The Emperor asks: a person whose body, hips, thighs and shanks are all swollen, with pain encircling the navel — what illness is this? Qi Bo answers: the illness is named submerged beam. This is a root of wind.
8
其氣溢於大腸，而著於肓，肓之原在齊下，故環齊而痛也。不可動之，動之爲水溺濇之病也。
其气溢于大肠，而著于肓，肓之原在脐下，故环脐而痛也。不可动之，动之为水溺涩之病也。
Qí qì yì yú dà cháng, ér zhuó yú huāng, huāng zhī yuán zài qí xià, gù huán qí ér tòng yě. Bù kě dòng zhī, dòng zhī wéi shuǐ niào sè zhī bìng yě.
它的邪气溢入大肠，附着于肓膜，而肓的原在脐下，所以绕脐而痛。不可用攻下之法去触动它，一触动就会变成小便涩滞不利之病。
Its qi overflows into the large intestine and lodges in the huang, and the source of the huang lies below the navel, hence the pain encircling the navel. It must not be stirred; to stir it is to make it a disease of scant and hesitant urination.
9
帝曰：人有尺脉數甚，筋急而見，此爲何病？歧伯曰：此所謂疹筋。是人腹必急，白色黑色見則病甚。
帝曰：人有尺脉数甚，筋急而见，此为何病？歧伯曰：此所谓疹筋。是人腹必急，白色黑色见则病甚。
Dì yuē: rén yǒu chǐ mài shuò shèn, jīn jí ér xiàn, cǐ wéi hé bìng? Qí bó yuē: cǐ suǒ wèi zhěn jīn. Shì rén fù bì jí, bái sè hēi sè xiàn zé bìng shèn.
黄帝说：有人尺脉搏动甚快，筋脉拘急而显露于外，这是什么病？歧伯说：这就是所谓疹筋。这种人腹部必然拘急；若面部出现白色或黑色，病就重了。
The Emperor asks: a person whose chi pulse is very rapid and whose sinews are tense and stand out — what illness is this? Qi Bo answers: this is what is called sinew enduring illness. Such a person’s abdomen is necessarily tense; if white or black colour shows, the illness is severe.
10
帝曰：人有病頭痛，以數歲不已，此安得之？名爲何病？歧伯曰：當有所犯大寒，内至骨髓，髓者以腦爲主，腦逆故令頭痛，齒亦痛，病名曰厥逆。帝曰：善。
帝曰：人有病头痛，以数岁不已，此安得之？名为何病？歧伯曰：当有所犯大寒，内至骨髓，髓者以脑为主，脑逆故令头痛，齿亦痛，病名曰厥逆。帝曰：善。
Dì yuē: rén yǒu bìng tóu tòng, yǐ shuò suì bù yǐ, cǐ ān dé zhī? Míng wéi hé bìng? Qí bó yuē: dāng yǒu suǒ fàn dà hán, nèi zhì gǔ suǐ, suǐ zhě yǐ nǎo wéi zhǔ, nǎo nì gù lìng tóu tòng, chǐ yì tòng, bìng míng yuē jué nì. Dì yuē: shàn.
黄帝说：有人患头痛，多年不愈，这是从哪里得的？叫什么病？歧伯说：当是曾经触犯大寒，寒邪深入骨髓；髓以脑为主，脑气上逆所以使人头痛，牙齿也痛，病名叫厥逆。黄帝说：好。
The Emperor asks: a person with head pain that has not let up for several years — how was this got, and what is it named? Qi Bo answers: he must have offended against great cold, which reached inward to the bone marrow. The marrow takes the brain as its master; when the brain counterflows it causes head pain, and the teeth ache as well. The illness is named counterflow inversion. The Emperor says: good.
11
帝曰：有病口甘者，病名爲何？何以得之？歧伯曰：此五氣之溢也，名曰脾癉。
帝曰：有病口甘者，病名为何？何以得之？歧伯曰：此五气之溢也，名曰脾瘅。
Dì yuē: yǒu bìng kǒu gān zhě, bìng míng wéi hé? Hé yǐ dé zhī? Qí bó yuē: cǐ wǔ qì zhī yì yě, míng yuē pí dān.
黄帝说：有人口中发甜，病名叫什么？是怎样得的？歧伯说：这是五谷精气上溢所致，名叫脾癉。
The Emperor asks: a person with a sweet taste in the mouth — what is the illness named, and how was it got? Qi Bo answers: this is an overflow of the five qi. It is named spleen dan.
12
夫五味入口，藏於胃，脾爲之行其精氣，津液在脾，故令人口甘也。此肥美之所發也，此人必數食甘美而多肥也。
夫五味入口，藏于胃，脾为之行其精气，津液在脾，故令人口甘也。此肥美之所发也，此人必数食甘美而多肥也。
Fú wǔ wèi rù kǒu, cáng yú wèi, pí wéi zhī xíng qí jīng qì, jīn yè zài pí, gù lìng rén kǒu gān yě. Cǐ féi měi zhī suǒ fā yě, cǐ rén bì shuò shí gān měi ér duō féi yě.
五味入口，贮藏于胃，脾为胃运行其精气，津液停滞在脾，所以使人口中发甜。这是肥甘厚味所引发的，这种人必定经常吃甘美而肥腻的食物。
Now the five flavours enter the mouth and are stored in the stomach, and the spleen moves their essential qi for it; the fluids lodge in the spleen, and so the mouth is made sweet. This is brought on by rich and fine food: such a person must often eat sweet and fine things, and much fat.
13
肥者令人内熱，甘者令人中滿，故其氣上溢，轉爲消渴。治之以蘭，除陳氣也。
肥者令人内热，甘者令人中满，故其气上溢，转为消渴。治之以兰，除陈气也。
Féi zhě lìng rén nèi rè, gān zhě lìng rén zhōng mǎn, gù qí qì shàng yì, zhuǎn wéi xiāo kě. Zhì zhī yǐ lán, chú chén qì yě.
肥腻使人内热，甘甜使人中焦胀满，所以其气上溢，转为消渴之病。治疗用兰草，以清除陈积之气。
Fat makes a person hot within; sweetness makes the centre full. Therefore the qi overflows upward and turns into wasting and thirsting. Treat it with lan, to remove the stale qi.
14
帝曰：有病口苦，取陽陵泉，口苦者，病名爲何？何以得之？歧伯曰：病名曰膽癉。
帝曰：有病口苦，取阳陵泉，口苦者，病名为何？何以得之？歧伯曰：病名曰胆瘅。
Dì yuē: yǒu bìng kǒu kǔ, qǔ yáng líng quán, kǒu kǔ zhě, bìng míng wéi hé? Hé yǐ dé zhī? Qí bó yuē: bìng míng yuē dǎn dān.
黄帝说：有人口中发苦，治取阳陵泉穴；口苦这种病叫什么？是怎样得的？歧伯说：病名叫胆癉。
The Emperor asks: a person with a bitter taste in the mouth, for whom one takes Yang Mound Spring — what is the bitter mouth named, and how was it got? Qi Bo answers: the illness is named gallbladder dan.
15
夫肝者，中之將也，取決於膽，咽爲之使。此人者，數謀慮不決，故膽虚氣上溢，而口爲之苦。
夫肝者，中之将也，取决于胆，咽为之使。此人者，数谋虑不决，故胆虚气上溢，而口为之苦。
Fú gān zhě, zhōng zhī jiàng yě, qǔ jué yú dǎn, yān wéi zhī shǐ. Cǐ rén zhě, shuò móu lǜ bù jué, gù dǎn xū qì shàng yì, ér kǒu wéi zhī kǔ.
肝是内脏中的将军，决断取决于胆，咽喉是它的外使。这种人屡屡谋虑而不能决断，所以胆气虚而上溢，于是口中发苦。
Now the liver is the general within; decision is taken from the gallbladder, and the throat serves as its envoy. Such a person plans and ponders often without deciding; therefore the gallbladder qi is empty and overflows upward, and the mouth is bitter because of it.
Zhì zhī yǐ dǎn mù shù, zhì zài yīn yáng shí èr guān xiāng shǐ zhōng.
治法取胆的募穴和俞穴；其治法记载在《阴阳十二官相使》之中。
Treat it by means of the gallbladder’s alarm point and transport point; the treatment is set out in the Yin Yang Twelve Officials Serving One Another.
17
帝曰：有癃者，一日數十溲，此不足也。身熱如炭，頸膺如格，人迎躁盛，喘息氣逆，此有餘也。
帝曰：有癃者，一日数十溲，此不足也。身热如炭，颈膺如格，人迎躁盛，喘息气逆，此有余也。
Dì yuē: yǒu lóng zhě, yī rì shuò shí sōu, cǐ bù zú yě. Shēn rè rú tàn, jǐng yīng rú gé, rén yíng zào shèng, chuǎn xī qì nì, cǐ yǒu yú yě.
黄帝说：有人患癃病，一天小便数十次，这是不足之证。身热如炭火，颈胸部如有物格拒，人迎脉搏动躁动而盛大，喘息气逆，这是有余之证。
The Emperor asks: a person with urinary block who urinates some tens of times a day — this is insufficiency. The body is hot as charcoal, the neck and chest as if barricaded, the ren ying pulse agitated and full, breathing panting and qi counterflowing — this is excess.
18
太陰脉微細如髮者，此不足也。其病安在？名爲何病？歧伯曰：病在太陰，其盛在胃，頗在肺，病名曰厥，死不治。
太阴脉微细如发者，此不足也。其病安在？名为何病？歧伯曰：病在太阴，其盛在胃，颇在肺，病名曰厥，死不治。
Tài yīn mài wēi xì rú fà zhě, cǐ bù zú yě. Qí bìng ān zài? Míng wéi hé bìng? Qí bó yuē: bìng zài tài yīn, qí shèng zài wèi, pō zài fèi, bìng míng yuē jué, sǐ bù zhì.
太阴脉微细如发丝，这也是不足。病在何处？叫什么病？歧伯说：病在太阴，其邪气盛在胃，也偏涉于肺，病名叫厥，是死证，不可治。
The greater yin pulse faint and fine as a hair — this too is insufficiency. Where does the illness lie, and what is it named? Qi Bo answers: the illness is in greater yin; its excess is in the stomach, and somewhat in the lung. The illness is named inversion: it is death, and cannot be treated.
19
此所謂得五有餘、二不足也。帝曰：何謂五有餘、二不足？歧伯曰：所謂五有餘者，五病之氣有餘也；二不足者，亦病氣之不足也。
此所谓得五有余、二不足也。帝曰：何谓五有余、二不足？歧伯曰：所谓五有余者，五病之气有余也；二不足者，亦病气之不足也。
Cǐ suǒ wèi dé wǔ yǒu yú, èr bù zú yě. Dì yuē: hé wèi wǔ yǒu yú, èr bù zú? Qí bó yuē: suǒ wèi wǔ yǒu yú zhě, wǔ bìng zhī qì yǒu yú yě; èr bù zú zhě, yì bìng qì zhī bù zú yě.
这就是所谓得五有余、二不足。黄帝说：什么叫五有余、二不足？歧伯说：所谓五有余，是五种病气的有余；二不足，也是病气的不足。
This is what is called obtaining five excesses and two insufficiencies. The Emperor asks: what are the five excesses and the two insufficiencies? Qi Bo answers: the five excesses are the qi of five disease signs in excess; the two insufficiencies are likewise the insufficiency of the qi of the illness.
20
今外得五有餘，内得二不足，此其身不表不裏，亦正死明矣。
今外得五有余，内得二不足，此其身不表不里，亦正死明矣。
Jīn wài dé wǔ yǒu yú, nèi dé èr bù zú, cǐ qí shēn bù biǎo bù lǐ, yì zhèng sǐ míng yǐ.
如今在外得五有余，在内得二不足，这病既不在表也不在里，是必死之证，已经很明白了。
Now outwardly there are five excesses and inwardly two insufficiencies. This body is neither surface nor interior; that it is a certain death is plain.
21
帝曰：人生而有病巔疾者，病名曰何？安所得之？歧伯曰：病名爲胎病。此得之在母腹中時，其母有所大驚，氣上而不下，精氣并居，故令子發爲巔疾也。
帝曰：人生而有病巅疾者，病名曰何？安所得之？歧伯曰：病名为胎病。此得之在母腹中时，其母有所大惊，气上而不下，精气并居，故令子发为巅疾也。
Dì yuē: rén shēng ér yǒu bìng diān jí zhě, bìng míng yuē hé? Ān suǒ dé zhī? Qí bó yuē: bìng míng wéi tāi bìng. Cǐ dé zhī zài mǔ fù zhōng shí, qí mǔ yǒu suǒ dà jīng, qì shàng ér bù xià, jīng qì bìng jū, gù lìng zǐ fā wéi diān jí yě.
黄帝说：人一生下来就患巔疾，病名叫什么？是从哪里得的？歧伯说：病名叫胎病。这是在母腹之中时得的：其母曾受大的惊吓，气上逆而不下行，精气并聚不散，所以使孩子发为巔疾。
The Emperor asks: a person born already ill with peak illness — what is the illness named, and how was it got? Qi Bo answers: the illness is named womb illness. It was got while the child was in the mother’s belly: the mother had some great fright, so that the qi rose and did not descend and the essence qi stayed gathered together; thus the child is made to develop peak illness.
22
帝曰：有病痝然，如有水狀，切其脉大緊，身無痛者，形不瘦，不能食，食少，名爲何病？歧伯曰：病生在腎，名爲腎風。
帝曰：有病痝然，如有水状，切其脉大紧，身无痛者，形不瘦，不能食，食少，名为何病？歧伯曰：病生在肾，名为肾风。
Dì yuē: yǒu bìng máng rán, rú yǒu shuǐ zhuàng, qiè qí mài dà jǐn, shēn wú tòng zhě, xíng bù shòu, bù néng shí, shí shǎo, míng wéi hé bìng? Qí bó yuē: bìng shēng zài shèn, míng wéi shèn fēng.
黄帝说：有人患病浮肿大然，像有水的样子，切其脉大而紧，身上不痛，形体不瘦，却不能进食，进食很少，这叫什么病？歧伯说：病生在肾，名叫肾风。
The Emperor asks: a person ill with a swollen, puffy look, as though there were water, whose pulse when felt is large and tense, whose body has no pain and whose frame is not thin, yet who cannot eat and eats little — what is this named? Qi Bo answers: the illness arises in the kidney and is named kidney wind.
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腎風而不能食，善驚，驚已，心氣痿者死。帝曰：善。
肾风而不能食，善惊，惊已，心气痿者死。帝曰：善。
Shèn fēng ér bù néng shí, shàn jīng, jīng yǐ, xīn qì wěi zhě sǐ. Dì yuē: shàn.
患肾风而不能进食，容易惊恐，惊定之后心气痿弱者，死。黄帝说：好。
Where kidney wind is accompanied by inability to eat and by frequent fright, and once the fright has passed the heart qi is wilted, the person dies. The Emperor says: good.