女子七歲，腎氣盛，齒更髮長
女子七岁，肾气盛，齿更发长
nǚ zǐ qī suì, shèn qì shèng, chǐ gēng fà zhǎng
At seven in a girl, kidney qi flourishes: the teeth change and the hair grows.
The first step of the seven-year cycle, and the pattern every later step follows.
歧伯曰：是人者，素腎氣勝，以水爲事，太陽氣衰，腎脂枯不長，一水不能勝兩火。
歧伯曰：是人者，素肾气胜，以水为事，太阳气衰，肾脂枯不长，一水不能胜两火。
Qí bó yuē: shì rén zhě, sù shèn qì shèng, yǐ shuǐ wéi shì, tài yáng qì shuāi, shèn zhī kū bù zhǎng, yī shuǐ bù néng shèng liǎng huǒ.
Qi Bo says: such a person has from the outset a prevailing kidney qi and works with water; the greater yang qi has declined, the kidney fat is withered and does not grow, and one water cannot overcome two fires.
「腎氣」之目於本站已立（id 159），現收二條：第一篇「女子七歲，腎氣盛，齒更髮長」言其盛而主生長，第三篇「因而強力，腎氣乃傷，高骨乃壞」言其傷而壞骨。本篇一見，而「勝」字最宜著眼：「素」讀 sù，本篇惟此一見——平素、向來也；此字最要，下文諸證皆自「素」字生出；「腎」讀 shèn，本篇 6 見；「氣」讀 qì，本篇 18 見；「勝」讀 shèng，本篇 5 見——此「勝」非佳事：第一篇之「腎氣盛」是生理之盛，本篇之「腎氣勝」是素稟之偏勝，偏則為病；「以」讀 yǐ，本篇二見；「水」讀 shuǐ，本篇 9 見；「爲」讀 wéi，本篇 3 見——底本不从「為」，此讀 wéi，作也；「事」讀 shì，本篇惟此一見——舊注二說：一說涉水近水之業，一說腎水用事而過盛，二說并存；「太」讀 tài，本篇惟此一見；「陽」讀 yáng；「衰」讀 shuāi，本篇惟此一見；「脂」讀 zhī，本篇惟此一見——腎中所藏之膏脂；「枯」讀 kū，本篇惟此一見；「長」讀 zhǎng，本篇二見（生長、不長），皆讀 zhǎng——不作「长」；「不」讀 bù；「能」讀 néng；「一」讀 yī；「兩」讀 liǎng；「火」讀 huǒ。本篇之腎氣不主生長而主病：素稟腎氣偏勝，復以水為事，則太陽氣衰、腎脂枯不長，一水不能勝兩火，故寒甚至骨而反不凍慄，病名骨痺而當攣節。與第一篇「腎氣盛，齒更髮長」恰成反對：彼之盛是生之機，此之勝是病之根——同一腎氣，盛則齒髮長，勝則骨髓枯。與第三篇「腎氣乃傷，高骨乃壞」對讀：彼言強力傷腎而壞骨（傷於外），此言腎氣偏勝而骨痺攣節（偏於內）——一傷一勝，皆歸於骨，是腎之病必見於骨之證。
腎氣熱，則腰脊不舉，骨枯而髓減，發爲骨痿。
肾气热，则腰脊不举，骨枯而髓减，发为骨痿。
Shèn qì rè, zé yāo jǐ bù jǔ, gǔ kū ér suǐ jiǎn, fā wéi gǔ wěi.
When the kidney qi is hot, the lower back and spine cannot straighten, the bones wither and the marrow diminishes — this becomes bone flaccidity.
「腎氣熱，則腰脊不舉」——本篇「腎氣」惟此一見；「舉」讀 jǔ、「腰脊不舉」之舉；「髓」讀 suǐ，「骨枯而髓減」之髓，讀 suǐ。
夫酒氣盛而慓悍，腎氣有衰，陽氣獨勝，故手足爲之熱也。
夫酒气盛而慓悍，肾气有衰，阳气独胜，故手足为之热也。
Fú jiǔ qì shèng ér piāo hàn, shèn qì yǒu shuāi, yáng qì dú shèng, gù shǒu zú wéi zhī rè yě.
Now the qi of wine is abundant and fierce, and the kidney qi has been declining, so yang qi prevails alone — hence the hands and feet are hot.
「夫酒氣盛而慓悍，腎氣有衰」——本篇「腎氣」惟此一見；「慓」讀 piāo、慓悍讀 piāo hàn，急疾滑利之貌；「陽氣獨勝」承腎氣之衰而言。
脉至如省客，省客者，脉塞而鼓，是腎氣予不足也，懸去棗華而死。
脉至如省客，省客者，脉塞而鼓，是肾气予不足也，悬去枣华而死。
Mài zhì rú xǐng kè, xǐng kè zhě, mài sè ér gǔ, shì shèn qì yǔ bù zú yě, xuán qù zǎo huā ér sǐ.
A pulse arriving like a visiting guest — blocked, yet beating up — means the qi of the kidney is spent; the person dies when the jujube blossom hangs and falls.
「是「腎」讀 shèn氣予不足也」——本篇「腎氣」1見；「省」讀 xǐng、本篇2見，皆在「省客」一語，讀 xǐng（一說讀 sè，通塞），詳本篇校勘第五條；「塞」讀 sè、本篇惟此一見；「懸去棗華而死」——「華」讀 huā讀 huā，謂棗花落時。
藏氣不政，腎氣不衡，上應辰星，其榖秬。上臨太陰，則大寒數舉，蟄蟲早藏，地積堅冰，陽光不治。
藏气不政，肾气不衡，上应辰星，其谷秬。上临太阴，则大寒数举，蛰虫早藏，地积坚冰，阳光不治。
Zàng qì bù zhèng, shèn qì bù héng, shàng yìng chén xīng, qí gǔ jù. Shàng lín tài yīn, zé dà hán shuò jǔ, zhé chóng zǎo cáng, dì jī jiān bīng, yáng guāng bù zhì.
The qi of storage does not govern and the qi of the kidney is not balanced; it answers above to Mercury, and its grain is black millet. If greater yin presides above, great cold rises repeatedly, the hibernating creatures hide early, hard ice gathers on the ground, and the light of the sun does not govern.
「藏氣不政，腎氣不衡，上應辰星，其榖秬」——「腎氣」本篇1見，止此一見；歲水不及，濕乃大行，水氣不政，故腎氣不得其平；「藏」此讀 zàng；本篇「藏」12見而二讀，藏氣與「其藏肝、心、脾、肺、腎」讀 zàng，收藏之屬讀 cáng；「腎」讀 shèn、「氣」讀 qì
歧伯曰：女子七歲，腎氣盛，齒更髮長。二七而天癸至，任脉通，太衝脉盛，月事以時下，故有子。三七腎氣平均，故真牙生而長極。四七筋骨堅，髮長極，身體盛壯。五七陽明脉衰，面始焦，髮始墮。六七三陽脉衰於上。面皆焦。髮始白。七七任脉虛，太衝脉衰少，天癸竭，地道不通，故形壞而無子也。
歧伯曰：女子七岁，肾气盛，齿更发长。二七而天癸至，任脉通，太冲脉盛，月事以时下，故有子。三七肾气平均，故真牙生而长极。四七筋骨坚，发长极，身体盛壮。五七阳明脉衰，面始焦，发始堕。六七三阳脉衰于上。面皆焦。发始白。七七任脉虚，太冲脉衰少，天癸竭，地道不通，故形坏而无子也。
Qí Bó yuē: nǚ zǐ qī suì, shèn qì shèng, chǐ gēng fà zhǎng. èr qī ér tiān guǐ zhì, rèn mài tōng, tài chōng mài shèng, yuè shì yǐ shí xià, gù yǒu zǐ. sān qī shèn qì píng jūn, gù zhēn yá shēng ér cháng jí. sì qī jīn gǔ jiān, fà cháng jí, shēn tǐ shèng zhuàng. wǔ qī yáng míng mài shuāi, miàn shǐ jiāo, fà shǐ duò. liù qī sān yáng mài shuāi yú shàng. miàn jiē jiāo. fà shǐ bái. qī qī rèn mài xū, tài chōng mài shuāi shǎo, tiān guǐ jié, dì dào bù tōng, gù xíng huài ér wú zǐ yě.
Qi Bo said: at seven a girl’s kidney qi is full — the teeth change and the hair grows. At fourteen the heavenly water arrives, the conception vessel opens, the great surge vessel is full, and the menses come down in season, so she can bear children. At twenty-one the kidney qi is even and balanced, so the wisdom teeth come and growth reaches its extreme. At twenty-eight the sinews and bones are firm, the hair has grown to its utmost, and the body is at its fullest strength. At thirty-five the yangming vessel declines, the face begins to sear and the hair begins to fall. At forty-two the three yang vessels decline in the upper part; the face is entirely seared and the hair begins to whiten. At forty-nine the conception vessel is empty, the great surge vessel is decayed and scant, the heavenly water is exhausted and the way of the earth is blocked, so the body is broken down and she can have no children.
「女子七歲，腎氣盛」——腎氣讀 shèn qì，是本篇七歲為紀之首；「腎氣」本篇7見
逆春氣，則少陽不生，肝氣内變；逆夏氣，則太陽不長，心氣内洞；逆秋氣，則太陰不收，肺氣焦滿；逆冬氣，則少陰不藏，腎氣獨沉。
逆春气，则少阳不生，肝气内变；逆夏气，则太阳不长，心气内洞；逆秋气，则太阴不收，肺气焦满；逆冬气，则少阴不藏，肾气独沉。
Nì chūn qì, zé shào yáng bù shēng, gān qì nèi biàn; nì xià qì, zé tài yáng bù zhǎng, xīn qì nèi dòng; nì qiū qì, zé tài yīn bù shōu, fèi qì jiāo mǎn; nì dōng qì, zé shào yīn bù cáng, shèn qì dú chén.
Going against the qi of spring, Shaoyang · lesser yang does not give life, and the liver qi changes inwardly. Going against the qi of summer, Taiyang · greater yang does not grow, and the heart qi is hollow within. Going against the qi of autumn, Taiyin · greater yin does not gather in, and the lung qi is scorched and full. Going against the qi of winter, Shaoyin · lesser yin does not store, and the kidney qi sinks alone.
「逆冬氣，則少陰不藏，腎氣獨沉」——四逆之末；獨沉之沉與上文沈浮之沈，本篇二形並見；「腎氣」本篇1見
風客淫氣，精乃亡，邪傷肝也。因而飽食，筋脉横解，腸澼爲痔。因而大飲，則氣逆。因而強力，腎氣乃傷，高骨乃壞。
风客淫气，精乃亡，邪伤肝也。因而饱食，筋脉横解，肠澼为痔。因而大饮，则气逆。因而强力，肾气乃伤，高骨乃坏。
Fēng kè yín qì, jīng nǎi wáng, xié shāng gān yě. yīn ér bǎo shí, jīn mài héng jiě, cháng pì wéi zhì. yīn ér dà yǐn, zé qì nì. yīn ér qiǎng lì, shèn qì nǎi shāng, gāo gǔ nǎi huài.
When wind lodges and its qi overflows, the jing perishes – the evil has wounded the liver. Then if one eats to repletion the sinews and vessels loosen and part, and the intestinal flux becomes piles; if one drinks deeply, the qi counterflows; if one exerts strength, the kidney qi is harmed and the high bones decay with it.
「因而強力，腎氣乃傷，高骨乃壞」——強讀 qiǎng，勉強用力之謂；三者皆「因而」為病，腎傷而及於骨；「腎氣」本篇2見
因而喜大虚則腎氣乘矣，怒則肝氣乘矣，悲則肺氣乘矣，恐則脾氣乘矣，憂則心氣乘矣，此其道也。故病有五，五五二十五變，及其傳化。傳乘之名也。
因而喜大虚则肾气乘矣，怒则肝气乘矣，悲则肺气乘矣，恐则脾气乘矣，忧则心气乘矣，此其道也。故病有五，五五二十五变，及其传化。传乘之名也。
Yīn ér xǐ dà xū zé shèn qì chéng yǐ, nù zé gān qì chéng yǐ, bēi zé fèi qì chéng yǐ, kǒng zé pí qì chéng yǐ, yōu zé xīn qì chéng yǐ, cǐ qí dào yě. Gù bìng yǒu wǔ, wǔ wǔ èr shí wǔ biàn, jí qí chuán huà. Chuán chéng zhī míng yě.
Thus great joy leaves a great emptiness and the kidney qi encroaches; anger lets the liver qi encroach; sorrow lets the lung qi encroach; fear lets the spleen qi encroach; anxiety lets the heart qi encroach. Such is its way. So there are five diseases, and five times five — twenty-five variations, through their transmission and transformation. These are the names of transmission and encroachment.
「喜大虚則腎氣乘矣」，五志過極則所勝之藏因虚而乘之：喜大虚則腎乘、怒則肝乘、悲則肺乘、恐則脾乘、憂則心乘，本篇二十五變之樞。
太陰司天，濕氣下臨，腎氣上從，黑起水變，埃冒雲雨，胸中不利，陰痿，氣大衰而不起不用，當其時，反腰脽痛，動轉不便也，厥逆。地乃藏陰，大寒且至，蟄蟲早附，心下否痛，地裂冰堅，少腹痛，時害於食，乘金則止水增，味乃鹹，行水減也。
太阴司天，湿气下临，肾气上从，黑起水变，埃冒云雨，胸中不利，阴痿，气大衰而不起不用，当其时，反腰脽痛，动转不便也，厥逆。地乃藏阴，大寒且至，蛰虫早附，心下否痛，地裂冰坚，少腹痛，时害于食，乘金则止水增，味乃咸，行水减也。
Tài yīn sī tiān, shī qì xià lín, shèn qì shàng cóng, hēi qǐ shuǐ biàn, āi mào yún yǔ, xiōng zhōng bù lì, yīn wěi, qì dà shuāi ér bù qǐ bù yòng, dāng qí shí, fǎn yāo shuí tòng, dòng zhuǎn bù biàn yě, jué nì. Dì nǎi cáng yīn, dà hán qiě zhì, zhé chóng zǎo fù, xīn xià pǐ tòng, dì liè bīng jiān, shào fù tòng, shí hài yú shí, chéng jīn zé zhǐ shuǐ zēng, wèi nǎi xián, xíng shuǐ jiǎn yě.
When greater yin governs the heaven the qi of dampness descends upon it and the qi of the kidney follows upward; black arises and water is changed; dust rises and cloud and rain come; there is discomfort in the chest and flaccidity of the yin organ; the qi greatly declines and cannot rise or be used; at that time there is rather pain in the loins and rump and difficulty in turning; there is counterflow. Earth then stores yin, great cold is at hand, burrowing insects take cover early, there is stuffiness and pain below the heart, the ground cracks and the ice is hard, the lower abdomen hurts, and eating is now and again spoiled. Where water rides upon metal the still water increases, the taste turns salty, and moving water is reduced.
「腎氣」本篇1見，止在太陰司天「腎氣上從」；六司天之上從：少陽肺、陽明肝、太陽心、厥陰脾、少陰肺、太陰腎，此為其末
今子所言皆失。八風菀熟，五藏消爍，傳邪相受。夫浮而弦者，是腎不足也。沈而石者，是腎氣内著也。
今子所言皆失。八风菀熟，五藏消烁，传邪相受。夫浮而弦者，是肾不足也。沈而石者，是肾气内著也。
Jīn zǐ suǒ yán jiē shī. Bā fēng yù shú, wǔ zàng xiāo shuò, chuán xié xiāng shòu. Fú fú ér xián zhě, shì shèn bù zú yě. Chén ér shí zhě, shì shèn qì nèi zhuó yě.
All that you have said is wrong. The eight winds pent up and ripening, the five viscera consumed and melted, the evil transmitted and received — the floating and wiry pulse is a kidney that is insufficient; the sinking and stone-like pulse is kidney qi clinging within.
「腎氣」本篇2見，一在「腎氣内著」，一在「腎氣之逆」；此段「沈而石者，是腎氣内著也」，與上文「浮而弦者，是腎不足也」相對；内著者，邪著於内而不行
腎氣虚，則使人夢見舟船溺人；得其時，則夢伏水中；
肾气虚，则使人梦见舟船溺人；得其时，则梦伏水中；
Shèn qì xū, zé shǐ rén mèng jiàn zhōu chuán nì rén; dé qí shí, zé mèng fú shuǐ zhōng;
“When the kidney qi is deficient, he dreams of boats drowning; in the season when the kidney governs, he dreams of lying in water.”
「腎氣」本篇1見，止此一見；「腎氣虛，則使人夢見舟船溺人」；腎主水，故虛則夢舟船沉溺、夢伏水中
腎藏精，精舍志，腎氣虚則厥，實則脹，五藏不安。必審五藏之病形，以知其氣之虚實，謹而調之也。
肾藏精，精舍志，肾气虚则厥，实则胀，五藏不安。必审五藏之病形，以知其气之虚实，谨而调之也。
shèn cáng jīng, jīng shè zhì, shèn qì xū zé jué, shí zé zhàng, wǔ zàng bù ān. bì shěn wǔ zàng zhī bìng xíng, yǐ zhī qí qì zhī xū shí, jǐn ér tiáo zhī yě.
The kidney stores essence and the essence houses the will; when the kidney qi is deficient there is reversal, when excessive there is swelling and the five zang are unsettled. One must examine the disease forms of the five zang, so as to know the excess and deficiency of their qi, and carefully harmonise them.
「腎氣」本神第18段見，義與本條相合，引全段為證。
五藏常内閲于上七竅也。故肺氣通於鼻，肺和則鼻能知臭香矣。心氣通于舌，心和則舌能知五味矣。肝氣通于目，肝和則目能辨五色矣。脾氣通于口，脾和則口能知五穀矣。腎氣通于耳，腎和則耳能聞五音矣。五藏不和則七竅不通，六府不和則留爲癰。
五藏常内阅于上七窍也。故肺气通于鼻，肺和则鼻能知臭香矣。心气通于舌，心和则舌能知五味矣。肝气通于目，肝和则目能辨五色矣。脾气通于口，脾和则口能知五谷矣。肾气通于耳，肾和则耳能闻五音矣。五藏不和则七窍不通，六府不和则留为痈。
wǔ zàng cháng nèi yuè yú shàng qī qiào yě. gù fèi qì tōng yú bí, fèi hé zé bí néng zhī xiù xiāng yǐ. xīn qì tōng yú shé, xīn hé zé shé néng zhī wǔ wèi yǐ. gān qì tōng yú mù, gān hé zé mù néng biàn wǔ sè yǐ. pí qì tōng yú kǒu, pí hé zé kǒu néng zhī wǔ gǔ yǐ. shèn qì tōng yú ěr, shèn hé zé ěr néng wén wǔ yīn yǐ. wǔ zàng bù hé zé qī qiào bù tōng, liù fǔ bù hé zé liú wéi yōng.
The five viscera constantly look inward from above through the seven orifices. Thus the qi of the lungs opens into the nose, and when the lungs are harmonious the nose can tell stench from fragrance. The qi of the heart opens into the tongue, and when the heart is harmonious the tongue can tell the five flavours. The qi of the liver opens into the eyes, and when the liver is harmonious the eyes can distinguish the five colours. The qi of the spleen opens into the mouth, and when the spleen is harmonious the mouth can tell the five grains. The qi of the kidneys opens into the ears, and when the kidneys are harmonious the ears can hear the five tones. When the five viscera are not harmonious the seven orifices are not open; when the six receptacles are not harmonious, what stays behind becomes a sore.
「腎氣」脉度第6段見，義與本條相合，引全段為證。
肝氣盛，則夢怒；肺氣盛，則夢恐懼哭泣飛揚；心氣盛，則夢善笑恐畏；脾氣盛，則夢歌樂，身體重不舉；腎氣盛，則夢腰脊兩解不屬。
肝气盛，则梦怒；肺气盛，则梦恐惧哭泣飞扬；心气盛，则梦善笑恐畏；脾气盛，则梦歌乐，身体重不举；肾气盛，则梦腰脊两解不属。
gān qì shèng, zé mèng nù; fèi qì shèng, zé mèng kǒng jù kū qì fēi yáng; xīn qì shèng, zé mèng shàn xiào kǒng wèi; pí qì shèng, zé mèng gē yuè, shēn tǐ zhòng bù jǔ; shèn qì shèng, zé mèng yāo jǐ liǎng jiě bù shǔ.
When liver qi is abundant, one dreams of anger; when lung qi is abundant, of fear, weeping and flying; when heart qi is abundant, of laughing, fear and dread; when spleen qi is abundant, of singing and music-making, with the body heavy and unable to lift; when kidney qi is abundant, of the loins and spine splitting apart and no longer joined.
「腎氣」淫邪發夢第5段見，義與本條相合，引全段為證。
九十歲，腎氣焦，四藏經脉空虚。
九十岁，肾气焦，四藏经脉空虚。
jiǔ shí suì, shèn qì jiāo, sì zàng jīng mài kōng xū.
At ninety, the kidney qi is scorched and the channels of the other four viscera are empty.
「腎氣」天年第15段見，義與本條相合，引全段為證。