營氣循脉,衛氣逆,爲脉脹;衛氣並脉,循分,爲膚脹。
营气循脉,卫气逆,为脉胀;卫气并脉,循分,为肤胀。
yíng qì xún mài, wèi qì nì, wéi mài zhàng; wèi qì bìng mài, xún fēn, wéi fū zhàng.
When camp qi follows the vessels and guard qi runs counter, there is vessel distension; when guard qi joins the vessels and follows the interstices, there is skin distension.
「膚脹」本篇1見,與脉脹同段:衛氣不逆于脉中而並行于分,故脹見于皮膚。
黃帝問于歧伯曰:水與膚脹、鼓脹、腸覃、石瘕、石水,何以别之?
黄帝问于歧伯曰:水与肤胀、鼓胀、肠覃、石瘕、石水,何以别之?
Huáng Dì wèn yú Qí Bó yuē: shuǐ yǔ fū zhàng, gǔ zhàng, cháng tán, shí jiǎ, shí shuǐ, hé yǐ bié zhī?
The Yellow Emperor asked Qi Bo: How are water disease, skin distension, drum distension, intestinal swelling, stone concretion and stone water distinguished?
「膚脹」水脹第1段見,義與本條相合,引全段為證。
視人之目窠上微癰,如新卧起狀,其頸脉動,時欬,按其手足上,窅而不起者,風水膚脹也。人膚滑,其淖澤者,風也。尺肉弱者,解㑊安卧脱肉者,寒𤍠不治。尺膚滑而澤脂者,風也。尺膚濇者,風痺也。尺膚麤如枯魚之鱗者,水泆飲也。尺膚𤍠甚,脉盛躁者,病温也。其脉盛而滑者,病且出也。尺膚寒,其脉小者,泄少氣。尺膚炬然,先𤍠後寒者,寒𤍠也。尺膚先寒,久大之而𤍠者,亦寒𤍠也。
视人之目窠上微痈,如新卧起状,其颈脉动,时欬,按其手足上,窅而不起者,风水肤胀也。人肤滑,其淖泽者,风也。尺肉弱者,解㑊安卧脱肉者,寒𤍠不治。尺肤滑而泽脂者,风也。尺肤涩者,风痹也。尺肤麤如枯鱼之鳞者,水泆饮也。尺肤𤍠甚,脉盛躁者,病温也。其脉盛而滑者,病且出也。尺肤寒,其脉小者,泄少气。尺肤炬然,先𤍠后寒者,寒𤍠也。尺肤先寒,久大之而𤍠者,亦寒𤍠也。
shì rén zhī mù kē shàng wēi yōng, rú xīn wò qǐ zhuàng, qí jǐng mài dòng, shí kài, àn qí shǒu zú shàng, yǎo ér bù qǐ zhě, fēng shuǐ fū zhàng yě. rén fū huá, qí nào zé zhě, fēng yě. chǐ ròu ruò zhě, xiè yì ān wò tuō ròu zhě, hán rè bù zhì. chǐ fū huá ér zé zhī zhě, fēng yě. chǐ fū sè zhě, fēng bì yě. chǐ fū cū rú kū yú zhī lín zhě, shuǐ yì yǐn yě. chǐ fū rè shèn, mài shèng zào zhě, bìng wēn yě. qí mài shèng ér huá zhě, bìng qiě chū yě. chǐ fū hán, qí mài xiǎo zhě, xiè shǎo qì. chǐ fū jù rán, xiān rè hòu hán zhě, hán rè yě. chǐ fū xiān hán, jiǔ dà zhī ér rè zhě, yì hán rè yě.
When the hollow above the eye is slightly swollen, as after first rising from sleep, when the neck pulse beats and there is occasional cough, and when pressing the hands and feet leaves a pit that does not rise, it is wind-water and skin swelling. If the skin is slippery and glossy, it is wind. If the flesh of the cubit is weak, with laziness, lying down and wasting, cold and heat will not be cured. If the cubit skin is slippery and oily, it is wind; if rough, it is wind obstruction. If the cubit skin is coarse like the scales of a dried fish, it is water overflowing as drink. If the cubit skin is very hot and the pulse full and restless, it is a warm disease; if the pulse is full and slippery, the illness is about to come out. If the cubit skin is cold and the pulse small, there is diarrhoea and lack of qi. If the cubit skin burns and there is heat first and cold after, it is cold and heat; if the cubit skin is cold first and grows hot under long pressure, it is also cold and heat.
「膚脹」論疾診尺第3段見,義與本條相合,引全段為證。