Tài yáng suǒ wèi zhǒng yāo shuí tòng zhě, zhēng yuè tài yáng yín, yín tài yáng yě. Zhēng yuè yáng qì chū zài shàng, ér yīn qì shèng, yáng wèi dé zì cì yě, gù zhǒng yāo shuí tòng yě.
太阳经所说的腰部肿胀、臀部疼痛,是因为正月建寅,寅属太阳。正月阳气开始生发而向上,但阴寒之气仍然旺盛,阳气还未能升到它应有的位次,所以发生腰肿臀痛。
When the greater yang is said to give a swollen low back and pain in the buttocks: the first month is greater yang at yin, and yin is greater yang. In the first month yang qi comes out and stays above while yin qi is still abundant, so yang has not yet reached its own place; hence the swollen low back and the pain in the buttocks.
2
病偏虚爲跛者,正月陽氣凍解,地氣而出也。所謂偏虚者,冬寒頗有不足者,故偏虚爲跛也。
病偏虚为跛者,正月阳气冻解,地气而出也。所谓偏虚者,冬寒颇有不足者,故偏虚为跛也。
Bìng piān xū wéi bǒ zhě, zhēng yuè yáng qì dòng jiě, dì qì ér chū yě. Suǒ wèi piān xū zhě, dōng hán pō yǒu bù zú zhě, gù piān xū wéi bǒ yě.
患一侧偏虚而成为跛足的,是因为正月阳气使冰冻消解,地气随之而出。所谓偏虚,是冬寒之气使体内的阳气颇有不足,所以一侧偏虚而成跛。
As for limping from one-sided depletion: in the first month yang qi thaws the frost and the qi of the earth comes out with it. What is called depletion on one side is the real shortfall left behind by the winter cold; hence the one-sided depletion and the limp.
3
所謂强上引背者,陽氣大上而爭,故强上也。
所谓强上引背者,阳气大上而争,故强上也。
Suǒ wèi qiáng shàng yǐn bèi zhě, yáng qì dà shàng ér zhēng, gù qiáng shàng yě.
所谓颈项强急而上引肩背的,是因为阳气大盛上逆而相争,所以颈项强急上引。
What is called stiffness drawing upward into the back is yang qi contending as it surges upward; hence the stiffness that draws upward.
Suǒ wèi ěr míng zhě, yáng qì wàn wù shèng shàng ér yuè, gù ěr míng yě.
所谓耳鸣的,是因为阳气使万物生长旺盛而向上跃动,人身的阳气也随之跃于上,所以耳鸣。
What is called ringing in the ears: yang qi makes the myriad things flourish and leap upward, and in the person too yang leaps above; hence the ringing.
5
所謂甚則狂巔疾者,陽盡在上,而陰氣從下,下虚上實,故狂巔疾也。
所谓甚则狂巅疾者,阳尽在上,而阴气从下,下虚上实,故狂巅疾也。
Suǒ wèi shèn zé kuáng diān jí zhě, yáng jìn zài shàng, ér yīn qì cóng xià, xià xū shàng shí, gù kuáng diān jí yě.
所谓病甚则发狂、巅顶之疾的,是因为阳气尽聚于上,阴气反从下而上,成为下虚上实,所以发为狂乱与巅顶之疾。
What is called madness and disease of the crown in severe cases: yang is spent above while yin qi follows from below — depleted below, replete above; hence madness and disease of the crown.
6
所謂浮爲聾者,皆在氣也。
所谓浮为聋者,皆在气也。
Suǒ wèi fú wéi lóng zhě, jiē zài qì yě.
所谓脉气上浮而致耳聋的,其病都在气分。
What is called deafness because of floating: it lies entirely in the qi.
7
所謂入中爲瘖者,陽盛巳衰,故爲瘖也。内奪而厥,則爲瘖俳,此腎虚也,少陰不至者,厥也。
所谓入中为瘖者,阳盛巳衰,故为瘖也。内夺而厥,则为瘖俳,此肾虚也,少阴不至者,厥也。
Suǒ wèi rù zhōng wéi yīn zhě, yáng shèng yǐ shuāi, gù wéi yīn yě. Nèi duó ér jué, zé wéi yīn fèi, cǐ shèn xū yě, shào yīn bù zhì zhě, jué yě.
所谓阳气入于内而失音的,是阳气势盛之后已经衰减,所以失音。若因内耗精气而致厥逆,就成为失音兼肢体废用的瘖痱,这是肾虚;少阴经气不能上达,就是厥。
What is called loss of voice when yang enters the centre: yang has flourished and now declines, hence the loss of voice. When depletion within is carried as far as inversion, the result is loss of voice with palsy; this is depletion of the kidney. When the lesser yin fails to reach, that is inversion.
8
少陽所謂心脅痛者,言少陽盛也,盛者心之所表也,九月陽氣盡而陰氣盛,故心脅痛也。
少阳所谓心胁痛者,言少阳盛也,盛者心之所表也,九月阳气尽而阴气盛,故心胁痛也。
Shào yáng suǒ wèi xīn xié tòng zhě, yán shào yáng shèng yě, shèng zhě xīn zhī suǒ biǎo yě, jiǔ yuè yáng qì jìn ér yīn qì shèng, gù xīn xié tòng yě.
少阳经所谓心胁疼痛的,是说少阳之气偏盛;少阳之盛,是心气外应的表现。九月阳气衰尽而阴气方盛,所以心胁疼痛。
When the lesser yang is said to give pain in the heart and flanks, it means lesser yang is abundant, and abundance there is what the heart shows on the surface. In the ninth month yang qi is spent and yin qi abundant; hence the pain in the heart and flanks.
9
所謂不可反側者,陰氣藏物也,物藏則不動,故不可反側也。
所谓不可反侧者,阴气藏物也,物藏则不动,故不可反侧也。
Suǒ wèi bù kě fǎn cè zhě, yīn qì cáng wù yě, wù cáng zé bù dòng, gù bù kě fǎn cè yě.
所谓身体不能转侧的,是因为阴气主闭藏万物;万物闭藏则不动,所以不能转侧。
What is called inability to turn from side to side: yin qi stores things away, and what is stored does not move; hence the inability to turn.
10
所謂甚則躍者,九月萬物盡衰,草木畢落而墮,則氣去陽而之陰,氣盛而陽之下長,故謂躍。
所谓甚则跃者,九月万物尽衰,草木毕落而堕,则气去阳而之阴,气盛而阳之下长,故谓跃。
Suǒ wèi shèn zé yuè zhě, jiǔ yuè wàn wù jìn shuāi, cǎo mù bì luò ér duò, zé qì qù yáng ér zhī yīn, qì shèng ér yáng zhī xià cháng, gù wèi yuè.
所谓病甚则跳跃的,是因为九月万物尽皆衰败,草木尽落而坠落,气由阳分转入阴分;阴气盛而阳气反居其下并渐渐生长,所以称为跃。
What is called leaping in severe cases: in the ninth month the myriad things are all spent, the plants are shed and fall, and qi leaves yang for yin; with yin abundant, yang grows beneath it — hence the word leaping.
11
陽明所謂洒洒振寒者,陽明者午也,五月盛陽之陰也,陽盛而陰氣加之,故洒洒振寒也。
阳明所谓洒洒振寒者,阳明者午也,五月盛阳之阴也,阳盛而阴气加之,故洒洒振寒也。
Yáng míng suǒ wèi xiǎn xiǎn zhèn hán zhě, yáng míng zhě wǔ yě, wǔ yuè shèng yáng zhī yīn yě, yáng shèng ér yīn qì jiā zhī, gù xiǎn xiǎn zhèn hán yě.
阳明经所谓洒洒恶寒、战栗的,是因为阳明属午,午为五月,五月是阳气极盛之中一阴初生;阳气虽盛而有阴气加之,所以洒洒然而寒战。
When the bright yang is said to give shivering and trembling cold: bright yang is wu, the fifth month, the yin within full yang; yang is abundant and yet yin qi is added to it; hence the shivering and trembling.
12
所謂脛腫而股不收者,是五月盛陽之陰也,陽者衰於五月,而一陰氣上,與陽始爭,故脛腫而股不收也。
所谓胫肿而股不收者,是五月盛阳之阴也,阳者衰于五月,而一阴气上,与阳始争,故胫肿而股不收也。
Suǒ wèi jìng zhǒng ér gǔ bù shōu zhě, shì wǔ yuè shèng yáng zhī yīn yě, yáng zhě shuāi yú wǔ yuè, ér yī yīn qì shàng, yǔ yáng shǐ zhēng, gù jìng zhǒng ér gǔ bù shōu yě.
所谓小腿浮肿而大腿弛缓不能收摄的,也是五月阳盛中之阴的缘故;阳气在五月开始衰减,一分阴气上升而与阳气开始相争,所以小腿浮肿而大腿弛缓不收。
What is called swelling of the shank with the thigh failing to gather: again the yin within the full yang of the fifth month; yang wanes in the fifth month, one yin qi rises and begins to contend with yang; hence the swollen shank and the thigh that does not gather.
13
所謂上喘而爲水者,陰氣下而復上,上則邪客於藏府間,故爲水也。
所谓上喘而为水者,阴气下而复上,上则邪客于藏府间,故为水也。
Suǒ wèi shàng chuǎn ér wéi shuǐ zhě, yīn qì xià ér fù shàng, shàng zé xié kè yú zàng fǔ jiān, gù wéi shuǐ yě.
所谓气逆上喘而成为水病的,是阴气自下而上复行,上逆则邪气客留于脏腑之间,水气不行,所以成为水病。
What is called panting upward and turning into water: yin qi goes down and then returns upward, and once above, the evil lodges between the stores; hence water.
14
所謂胸痛少氣者,水氣在藏府也,水者陰氣也,陰氣在中,故胸痛少氣也。
所谓胸痛少气者,水气在藏府也,水者阴气也,阴气在中,故胸痛少气也。
Suǒ wèi xiōng tòng shǎo qì zhě, shuǐ qì zài zàng fǔ yě, shuǐ zhě yīn qì yě, yīn qì zài zhōng, gù xiōng tòng shǎo qì yě.
所谓胸中疼痛、气息短少的,是水气停留在脏腑之中;水属阴气,阴气壅滞于中,所以胸痛而少气。
What is called pain in the chest and shortness of qi: water qi is in the stores; water is yin qi, and yin qi sits in the centre; hence the chest pain and the shortage of qi.
Suǒ wèi shèn zé jué, wù rén yǔ huǒ, wén mù yīn zé tì rán ér jīng zhě, yáng qì yǔ yīn qì xiāng bó, shuǐ huǒ xiāng wù, gù tì rán ér jīng yě.
所谓病甚则四肢厥逆、厌恶见人与火光、听到木器之声即惊惕而起的,是阳气与阴气相互搏击,水火相恶,所以闻声而惊惕。
What is called inversion in severe cases, shrinking from people and from fire, and starting in alarm at the sound of wood: yang qi and yin qi press against one another and water and fire dislike one another; hence the starting in alarm.
16
所謂欲獨閉戶牖而處者,陰陽相薄也,陽盡而陰盛,故欲獨閉戶牖而居。
所谓欲独闭户牖而处者,阴阳相薄也,阳尽而阴盛,故欲独闭户牖而居。
Suǒ wèi yù dú bì hù yǒu ér chǔ zhě, yīn yáng xiāng bó yě, yáng jìn ér yīn shèng, gù yù dú bì hù yǒu ér jū.
所谓想要独自关闭门窗而独处的,是阴阳相搏;阳气衰尽而阴气独盛,所以愿意闭门塞窗、独居不出。
What is called wishing to shut door and window and stay alone: yin and yang press against each other, yang is spent and yin abundant; hence the wish to close oneself in and live alone.
Suǒ wèi bìng zhì zé yù chéng gāo ér gē, qì yī ér zǒu zhě, yīn yáng fù zhēng, ér wài bìng yú yáng, gù shǐ zhī qì yī ér zǒu yě.
所谓病发作时想登高而歌、脱去衣服而奔走的,是阴阳反复相争,而邪气外并于阳分,所以使人弃衣奔走。
What is called wanting to climb high and sing and to cast off the clothes and run when the illness comes on: yin and yang contend again and the evil merges outward with yang; hence the running with the clothes cast off.
Suǒ wèi kè sūn mài zé tóu tòng bí qiú fù zhǒng zhě, yáng míng bìng yú shàng, shàng zhě zé qí sūn luò tài yīn yě, gù tóu tòng bí qiú fù zhǒng yě.
所谓邪客于孙脉而头痛、鼻塞、腹部浮肿的,是阳明之气并于上部;上部的孙络属于太阴,所以头痛、鼻塞、腹部浮肿。
What is called lodgement in the grandchild vessels giving headache, blocked nose and swollen belly: bright yang merges above, and what is above there is the grandchild network of the greater yin; hence headache, blocked nose and swollen belly.
19
太陰所謂病脹者,太陰子也,十一月萬物氣皆藏於中,故曰病脹。
太阴所谓病胀者,太阴子也,十一月万物气皆藏于中,故曰病胀。
Tài yīn suǒ wèi bìng zhàng zhě, tài yīn zǐ yě, shí yī yuè wàn wù qì jiē cáng yú zhōng, gù yuē bìng zhàng.
太阴经所谓腹胀的,是因为太阴属子,子为十一月;十一月万物之气皆闭藏于内,所以称为病胀。
When the greater yin is said to give bloating: greater yin is zi, the eleventh month, the month in which the qi of the myriad things is stored away within; hence the bloating.
20
所謂上走心爲噫者,陰盛而上走於陽明,陽明絡屬心,故曰上走心爲噫也。
所谓上走心为噫者,阴盛而上走于阳明,阳明络属心,故曰上走心为噫也。
Suǒ wèi shàng zǒu xīn wéi ài zhě, yīn shèng ér shàng zǒu yú yáng míng, yáng míng luò shǔ xīn, gù yuē shàng zǒu xīn wéi ài yě.
所谓阴气上走于心而发为噫气的,是阴气偏盛而上走于阳明,阳明之络连属于心,所以说上走于心而为噫。
What is called rising to the heart to give belching: yin is abundant and rises into the bright yang, and the network of the bright yang belongs to the heart; hence it is said to rise to the heart and give belching.
21
所謂食則嘔者,物盛滿而上溢,故嘔也。
所谓食则呕者,物盛满而上溢,故呕也。
Suǒ wèi shí zé ǒu zhě, wù shèng mǎn ér shàng yì, gù ǒu yě.
所谓一进食就呕吐的,是因为胃中食物盛满而向上泛溢,所以作呕。
What is called vomiting as soon as one eats: the contents are full and overflow upward; hence the vomiting.
22
所謂得後與氣,則快然如衰者,十二月陰氣下衰,而陽氣且出,故曰得後與氣則快然如衰也。
所谓得后与气,则快然如衰者,十二月阴气下衰,而阳气且出,故曰得后与气则快然如衰也。
Suǒ wèi dé hòu yǔ qì, zé kuài rán rú shuāi zhě, shí èr yuè yīn qì xià shuāi, ér yáng qì qiě chū, gù yuē dé hòu yǔ qì zé kuài rán rú shuāi yě.
所谓解出大便、排出矢气之后便觉爽快、如同病势衰减的,是因为十二月阴气在下衰减,而阳气将要外出,所以说得后与气则快然如衰。
What is called feeling easier, as though the illness had abated, once the stool and the wind have passed: in the twelfth month yin qi declines below while yang qi is about to come out; hence it is said that the stool and the wind bring relief as though the illness had abated.
Shào yīn suǒ wèi yāo tòng zhě, shào yīn zhě shèn yě, shí yuè wàn wù yáng qì jiē shāng, gù yāo tòng yě.
少阴经所谓腰痛的,是因为少阴属肾;十月万物之阳气皆受损伤,所以腰痛。
When the lesser yin is said to give low back pain: lesser yin is the kidney, and in the tenth month the yang qi of the myriad things is all damaged; hence the pain in the low back.
Suǒ wèi ǒu kài shàng qì chuǎn zhě, yīn qì zài xià, yáng qì zài shàng, zhū yáng qì fú, wú suǒ yī cóng, gù ǒu kài shàng qì chuǎn yě.
所谓呕吐、咳嗽、气逆喘息的,是阴气在下而阳气在上,诸阳之气浮越于上而无所依附,所以呕吐、咳嗽、上气喘息。
What is called vomiting, coughing and panting with rising qi: yin qi is below and yang qi above, and all the yang qi floats with nothing to hold to; hence the vomiting, coughing and panting.
25
所謂色色不能久立久坐,起則目䀮䀮無所見者,萬物陰陽不定,未有主也,秋氣始至,微霜始下,而方殺萬物,陰陽内奪,故目䀮䀮無所見也。
所谓色色不能久立久坐,起则目䀮䀮无所见者,万物阴阳不定,未有主也,秋气始至,微霜始下,而方杀万物,阴阳内夺,故目䀮䀮无所见也。
Suǒ wèi sè sè bù néng jiǔ lì jiǔ zuò, qǐ zé mù huāng huāng wú suǒ jiàn zhě, wàn wù yīn yáng bù dìng, wèi yǒu zhǔ yě, qiū qì shǐ zhì, wēi shuāng shǐ xià, ér fāng shā wàn wù, yīn yáng nèi duó, gù mù huāng huāng wú suǒ jiàn yě.
所谓神色衰败而不能久立久坐,起立则两目视物昏花而无所见的,是因为此时万物的阴阳尚未安定,没有主令之气;秋气初到,微霜初降,正在肃杀万物,阴阳内夺,所以目视昏花无所见。
What is called being drained of colour, unable to stand or sit long, and seeing nothing when one rises: the yin and yang of the myriad things are unsettled and nothing yet presides; autumn qi has just arrived, the first light frost has begun to fall and is even now killing the myriad things, while yin and yang are stripped within; hence the dim and useless sight.
Suǒ wèi shǎo qì shàn nù zhě, yáng qì bù zhì, yáng qì bù zhì, zé yáng qì bù dé chū, gān qì dāng zhì ér wèi dé, gù shàn nù, shàn nù zhě, míng yuē jiān jué.
所谓气息不足而容易发怒的,是阳气不能主事;阳气不能主事,则阳气不能外出,肝气本当主事而不得,所以容易发怒。这种善怒之病名叫煎厥。
What is called shortage of qi and easy anger: yang qi does not govern; when yang qi does not govern, yang qi cannot get out, and the liver qi that ought to govern does not get to; hence the anger. This easy anger is named seething inversion.
27
所謂恐如人將捕之者,秋氣萬物未有畢去,陰氣少,陽氣入,陰陽相薄,故恐也。
所谓恐如人将捕之者,秋气万物未有毕去,阴气少,阳气入,阴阳相薄,故恐也。
Suǒ wèi kǒng rú rén jiāng bǔ zhī zhě, qiū qì wàn wù wèi yǒu bì qù, yīn qì shǎo, yáng qì rù, yīn yáng xiāng bó, gù kǒng yě.
所谓恐惧好像有人将要逮捕自己的,是因为秋气之中万物尚未尽去,阴气尚少而阳气内入,阴阳相搏,所以恐惧。
What is called fear, as though someone were about to seize one: under autumn qi the myriad things have not all gone yet, yin qi is still slight and yang qi enters, so yin and yang press against each other; hence the fear.
28
所謂惡聞食臭者,胃無氣,故惡聞食臭也。
所谓恶闻食臭者,胃无气,故恶闻食臭也。
Suǒ wèi wù wén shí xiù zhě, wèi wú qì, gù wù wén shí xiù yě.
所谓厌恶闻到食物气味的,是胃气已经败绝,所以厌恶闻到食物的气味。
What is called loathing the smell of food: the stomach has no qi left; hence the loathing of the smell of food.
29
所謂面黑如地色者,秋氣内奪,故變於色也。
所谓面黑如地色者,秋气内夺,故变于色也。
Suǒ wèi miàn hēi rú dì sè zhě, qiū qì nèi duó, gù biàn yú sè yě.
所谓面色发黑如同泥土之色的,是秋气内夺精气,所以面色发生改变。
What is called the face going black like the colour of earth: autumn qi strips within; hence the change of complexion.
30
所謂欬則有血者,陽脉傷也,陽氣未盛於上而脉滿,滿則欬,故血見於𤾁也。
所谓咳则有血者,阳脉伤也,阳气未盛于上而脉满,满则咳,故血见于鼻也。
Suǒ wèi kài zé yǒu xuè zhě, yáng mài shāng yě, yáng qì wèi shèng yú shàng ér mài mǎn, mǎn zé kài, gù xuè xiàn yú bí yě.
所谓咳嗽而带血的,是阳脉受伤;阳气未能充盛于上而脉中壅满,壅满则作咳,所以血出于鼻。
What is called blood with the cough: the yang vessel is damaged; yang qi has not yet flourished above while the vessel is full, and fullness brings on the cough; hence the blood shows at the nose.
Jué yīn, suǒ wèi tuí shàn, fù rén shào fù zhǒng zhě, jué yīn zhě, chén yě. Sān yuè yáng zhōng zhī yīn, xié zài zhōng, gù yuē tuí shàn shào fù zhǒng yě.
厥阴经所谓㿗疝、妇人少腹肿的,是因为厥阴属辰,辰为三月;三月是阳中之阴,邪气在中,所以称为㿗疝、少腹肿。
As for the reverting yin and what is called mounting illness and swelling of the lower abdomen in women: reverting yin is chen, the third month — the yin within yang. The evil is in the centre; hence it is called mounting illness with swelling of the lower abdomen.
32
所謂腰脊痛不可以俛仰者,三月一振榮華,萬物一俛而不仰也。
所谓腰脊痛不可以俯仰者,三月一振荣华,万物一俯而不仰也。
Suǒ wèi yāo jǐ tòng bù kě yǐ fǔ yǎng zhě, sān yuè yī zhèn róng huā, wàn wù yī fǔ ér bù yǎng yě.
所谓腰脊疼痛而不能俯仰的,是因为三月阳气一振而万物焕发荣华,万物此时一齐低俯而不上仰,所以腰脊痛而不可俯仰。
What is called pain in the low back and spine that forbids bending and looking up: in the third month one shaking brings forth the glory of blossom, and the myriad things bend down and do not lift; hence the pain.
33
所謂㿗癃疝膚脹者,曰陰亦盛而脉脹不通,故曰㿗癃疝也。
所谓颓癃疝肤胀者,曰阴亦盛而脉胀不通,故曰颓癃疝也。
Suǒ wèi tuí lóng shàn fū zhàng zhě, yuē yīn yì shèng ér mài zhàng bù tōng, gù yuē tuí lóng shàn yě.
所谓㿗疝、小便癃闭而皮肤浮肿的,是说阴气也偏盛而脉道胀塞不通,所以称为㿗癃疝。
What is called mounting illness with dribbling block and swollen skin: it means that yin too is abundant and the vessel is swollen and does not pass; hence the name mounting illness with dribbling block.
Suǒ wèi shèn zé yì gān rè zhōng zhě, yīn yáng xiāng bó ér rè, gù yì gān yě.
所谓病甚则咽喉干燥、内有热的,是阴阳相搏而生热,热盛伤津,所以咽喉干燥。
What is called dry throat and heat in the centre in severe cases: yin and yang press against each other and heat is generated; hence the dry throat.