huáng dì wèn yuē: zhěn yào hé rú?
黄帝问道：诊病施治的要领是怎样的呢？
The Yellow Emperor asks: What are the essentials of diagnosis?
2
歧伯對曰：正月、二月，天氣始方，地氣始發，人氣在肝。三月、四月，天氣正方，地氣定發，人氣在脾。五月、六月，天氣盛，地氣高，人氣在頭。七月、八月，陰氣始殺，人氣在肺。九月、十月，陰氣始冰，地氣始閉，人氣在心。十一月、十二月，冰復，地氣合，人氣在腎。
岐伯对曰：正月、二月，天气始方，地气始发，人气在肝。三月、四月，天气正方，地气定发，人气在脾。五月、六月，天气盛，地气高，人气在头。七月、八月，阴气始杀，人气在肺。九月、十月，阴气始冰，地气始闭，人气在心。十一月、十二月，冰复，地气合，人气在肾。
qí bó duì yuē: zhēng yuè, èr yuè, tiān qì shǐ fāng, dì qì shǐ fā, rén qì zài gān. sān yuè, sì yuè, tiān qì zhèng fāng, dì qì dìng fā, rén qì zài pí. wǔ yuè, liù yuè, tiān qì shèng, dì qì gāo, rén qì zài tóu. qī yuè, bā yuè, yīn qì shǐ shā, rén qì zài fèi. jiǔ yuè, shí yuè, yīn qì shǐ bīng, dì qì shǐ bì, rén qì zài xīn. shí yī yuè, shí èr yuè, bīng fù, dì qì hé, rén qì zài shèn.
岐伯回答说：正月、二月，天气开始方正布散，地气开始萌动，人气应之于肝。三月、四月，天气正盛而方正，地气定而发越，人气在脾。五月、六月，天气隆盛，地气高升，人气在头。七月、八月，阴气开始肃杀，人气在肺。九月、十月，阴气开始凝冰，地气开始闭藏，人气在心。十一月、十二月，冰冻益厚，地气闭密相合，人气在肾。
Qibo replies: In the first and second months the heavenly qi begins to spread squarely and the earthly qi begins to issue forth, and the human qi is in the liver. In the third and fourth months the heavenly qi is squarely in place and the earthly qi issues in earnest, and the human qi is in the spleen. In the fifth and sixth months the heavenly qi is at its height and the earthly qi is high, and the human qi is in the head. In the seventh and eighth months the yin qi begins to kill, and the human qi is in the lung. In the ninth and tenth months the yin qi begins to freeze and the earthly qi begins to close, and the human qi is in the heart. In the eleventh and twelfth months the ice thickens and the earthly qi closes up, and the human qi is in the kidney.
3
故春刺散俞，及與分理，血出而止，甚者傳氣，閒者環也。夏刺絡俞，見血而止，盡氣閉環，痛病必下。秋刺皮膚循理，上下同法，神變而止。冬刺俞竅於分理，甚者直下，閒者散下。
故春刺散俞，及与分理，血出而止，甚者传气，间者环也。夏刺络俞，见血而止，尽气闭环，痛病必下。秋刺皮肤循理，上下同法，神变而止。冬刺俞窍于分理，甚者直下，间者散下。
gù chūn cì sǎn shù, jí yǔ fēn lǐ, xuè chū ér zhǐ, shèn zhě chuán qì, jiàn zhě huán yě. xià cì luò shù, jiàn xuè ér zhǐ, jìn qì bì huán, tòng bìng bì xià. qiū cì pí fū xún lǐ, shàng xià tóng fǎ, shén biàn ér zhǐ. dōng cì shù qiào yú fēn lǐ, shèn zhě zhí xià, jiàn zhě sǎn xià.
所以春季针刺散俞以及分理，见血出即止针；病甚者须待其气传布而复，病轻者经气行一周即已。夏季针刺络俞，见血即止，使邪气尽而经气闭合一周，痛病必随之下行而解。秋季针刺皮肤，循其分理而入，上下同一法则，待神气转变即止。冬季针刺俞窍于分理之间，病甚者直下深刺，病轻者散而浅刺。
Therefore in spring needle the scattered transport points and the partings of the flesh, and stop when blood comes; where the illness is severe, let the qi be transmitted, where it is light, one circuit suffices. In summer needle the transport points of the network vessels, stop when blood is seen, close the circuit once the qi is spent, and the painful illness will surely descend. In autumn needle the skin, following the partings, the same method above and below, and stop when the spirit changes. In winter needle the orifices of the transport points at the partings: where severe, go straight down; where light, scatter the insertion downward.
4
春夏秋冬，各有所刺，法其所在。
春夏秋冬，各有所刺，法其所在。
chūn xià qiū dōng, gè yǒu suǒ cì, fǎ qí suǒ zài.
春夏秋冬四季，各有所当刺的部位与深浅，取法即依人气所在之处。
Spring, summer, autumn and winter each have what is to be needled; take as your rule where the qi resides.
5
春刺夏分，脉亂氣微，入淫骨髓，病不能愈，令人不嗜食，又且少氣。春刺秋分，筋攣逆氣，環爲欬嗽，病不愈，令人時驚，又且哭。春刺冬分，邪氣著藏，令人脹，病不愈，又且欲言語。
春刺夏分，脉乱气微，入淫骨髓，病不能愈，令人不嗜食，又且少气。春刺秋分，筋挛逆气，环为欬嗽，病不愈，令人时惊，又且哭。春刺冬分，邪气著藏，令人胀，病不愈，又且欲言语。
chūn cì xià fèn, mài luàn qì wēi, rù yín gǔ suǐ, bìng bù néng yù, lìng rén bù shì shí, yòu qiě shǎo qì. chūn cì qiū fèn, jīn luán nì qì, huán wéi kài sòu, bìng bù yù, lìng rén shí jīng, yòu qiě kū. chūn cì dōng fèn, xié qì zhuó zàng, lìng rén zhàng, bìng bù yù, yòu qiě yù yán yǔ.
春刺夏分：脉气紊乱而正气衰微，邪气浸淫深入骨髓，病不能愈，使人不思饮食，又短气乏力。春刺秋分：筋脉拘挛、气上逆，旋即发为咳嗽，病不得愈，使人时时惊骇，又好哭。春刺冬分：邪气留著深藏于内，使人腹胀，病不得愈，又常想说话。
Needling the summer division in spring disorders the pulse and diminishes the qi; it invades and saturates the bone and marrow, the illness cannot be cured, and the person loses his appetite and is short of breath. Needling the autumn division in spring contracts the sinews and makes the qi rebel; it comes round as coughing, the illness does not mend, the person starts at every sound and weeps. Needling the winter division in spring makes the evil qi lodge and hide; the person is distended, the illness does not mend, and he wants to talk.
6
夏刺春分，病不愈，令人解墯。夏刺秋分，病不愈，令人心中欲無言，惕惕如人將捕之。夏刺冬分，病不愈，令人少氣，時欲怒。
夏刺春分，病不愈，令人解惰。夏刺秋分，病不愈，令人心中欲无言，惕惕如人将捕之。夏刺冬分，病不愈，令人少气，时欲怒。
xià cì chūn fèn, bìng bù yù, lìng rén jiě duò. xià cì qiū fèn, bìng bù yù, lìng rén xīn zhōng yù wú yán, tì tì rú rén jiāng bǔ zhī. xià cì dōng fèn, bìng bù yù, lìng rén shǎo qì, shí yù nù.
夏刺春分：病不得愈，使人肢体懈惰无力。夏刺秋分：病不得愈，使人心中郁闷而不欲言语，惕惕然惊惧，好像有人将要逮捕自己。夏刺冬分：病不得愈，使人短气，时时想发怒。
Needling the spring division in summer: the illness does not mend and the person becomes slack and listless. Needling the autumn division in summer: the illness does not mend, the heart wants no speech, and he is anxious and watchful as though someone were about to seize him. Needling the winter division in summer: the illness does not mend, he is short of breath and prone to anger.
7
秋刺春分，病不已，令人惕然，欲有所爲，起而忘之。秋刺夏分，病不已，令人益嗜卧，又且善㝱。秋剌冬分，病不已，令人洒洒時寒。
秋刺春分，病不已，令人惕然，欲有所为，起而忘之。秋刺夏分，病不已，令人益嗜卧，又且善梦。秋刺冬分，病不已，令人洒洒时寒。
qiū cì chūn fèn, bìng bù yǐ, lìng rén tì rán, yù yǒu suǒ wéi, qǐ ér wàng zhī. qiū cì xià fèn, bìng bù yǐ, lìng rén yì shì wò, yòu qiě shàn mèng. qiū cì dōng fèn, bìng bù yǐ, lìng rén xiǎn xiǎn shí hán.
秋刺春分：病不得止，使人惊惕不安，想要有所作为，起身却又忘了要做什么。秋刺夏分：病不得止，使人更加嗜睡，又多梦。秋刺冬分：病不得止，使人洒洒然时时发寒。
Needling the spring division in autumn: the illness does not stop; the person grows apprehensive, wants to do something, rises, and forgets what it was. Needling the summer division in autumn: the illness does not stop; he lies down more and more and dreams constantly. Needling the winter division in autumn: the illness does not stop, and he shivers with cold from time to time.
8
冬刺春分，病不已，令人欲卧不能眠，眠而有見。冬刺夏分，病不愈，氣上，發爲諸痺。冬刺秋分，病不已，令人善渴。
冬刺春分，病不已，令人欲卧不能眠，眠而有见。冬刺夏分，病不愈，气上，发为诸痹。冬刺秋分，病不已，令人善渴。
dōng cì chūn fèn, bìng bù yǐ, lìng rén yù wò bù néng mián, mián ér yǒu jiàn. dōng cì xià fèn, bìng bù yù, qì shàng, fā wéi zhū bì. dōng cì qiū fèn, bìng bù yǐ, lìng rén shàn kě.
冬刺春分：病不得止，使人昏沉欲睡却又不能成眠，睡着又多有所见。冬刺夏分：病不得愈，气上逆，发为各种痹证。冬刺秋分：病不得止，使人常常口渴。
Needling the spring division in winter: the illness does not stop; the person wants to lie down but cannot sleep, and when he sleeps he sees things. Needling the summer division in winter: the illness does not mend, the qi rises, and it develops into the various blockages. Needling the autumn division in winter: the illness does not stop, and he is constantly thirsty.
9
凡刺胸腹者，必避五藏。中心者，環死。中脾者，五日死。中腎者，七日死。中肺者，五日死。中鬲者，皆爲傷中，其病雖愈，不過一歲必死。
凡刺胸腹者，必避五藏。中心者，环死。中脾者，五日死。中肾者，七日死。中肺者，五日死。中鬲者，皆为伤中，其病虽愈，不过一岁必死。
fán cì xiōng fù zhě, bì bì wǔ zàng. zhòng xīn zhě, huán sǐ. zhòng pí zhě, wǔ rì sǐ. zhòng shèn zhě, qī rì sǐ. zhòng fèi zhě, wǔ rì sǐ. zhòng gé zhě, jiē wéi shāng zhōng, qí bìng suī yù, bù guò yī suì bì sǐ.
凡针刺胸腹，必须避开五脏。误中心脏，经气行一周即死；误中脾的，五日死；误中肾的，七日死；误中肺的，五日死；误中膈的，都属于「伤中」，其病即使暂愈，也不过一年必死。
Whenever one needles the chest or abdomen, one must avoid the five depots. Striking the heart means death within one circuit. Striking the spleen means death in five days. Striking the kidney means death in seven days. Striking the lung means death in five days. Striking the diaphragm is always a wound to the interior: even if the illness appears to mend, the person will certainly die within a year.
10
刺避五藏者，知逆從也。所謂從者，鬲與脾腎之處，不知者，反之。
刺避五藏者，知逆从也。所谓从者，鬲与脾肾之处，不知者，反之。
cì bì wǔ zàng zhě, zhī nì cóng yě. suǒ wèi cóng zhě, gé yǔ pí shèn zhī chù, bù zhī zhě, fǎn zhī.
针刺而能避开五脏，是因为懂得逆从之理。所谓「从」，指膈与脾肾之间尚可下针之处；不知此理的，便反其道而行。
Needling so as to avoid the five depots is knowing rebellion and compliance. What is called compliance is the place of the diaphragm and of the spleen and kidney; one who does not know it does the opposite.
11
刺胸腹者，必以布憿著之，乃從單布上刺，刺之不愈，復刺。刺鍼必肅，刺腫摇鍼，經刺勿摇，此刺之道也。
刺胸腹者，必以布憿著之，乃从单布上刺，刺之不愈，复刺。刺针必肃，刺肿摇针，经刺勿摇，此刺之道也。
cì xiōng fù zhě, bì yǐ bù jiǎo zhuó zhī, nǎi cóng dān bù shàng cì, cì zhī bù yù, fù cì. cì zhēn bì sù, cì zhǒng yáo zhēn, jīng cì wù yáo, cǐ cì zhī dào yě.
针刺胸腹，必须先用布缠束包裹该处，再从单层布上刺入；一次不愈，可以再刺。下针必须肃静庄重；刺痈肿要摇针，刺经脉则不可摇针。这就是针刺的道法。
To needle the chest and abdomen, first bind the place with cloth, then needle through the single layer of cloth; if it does not mend, needle again. In needling, the needle must be reverent: when needling a swelling, shake the needle; when needling the channels, do not shake it. This is the way of needling.
12
帝曰：願聞十二經脉之終奈何？
帝曰：愿闻十二经脉之终奈何？
dì yuē: yuàn wén shí èr jīng mài zhī zhōng nài hé?
黄帝说：我想听听十二经脉气绝时的证候是怎样的？
The Emperor says: I wish to hear how the twelve channels end.
qí bó yuē: tài yáng zhī mài, qí zhōng yě, dài yǎn, fǎn zhé, chì zòng, qí sè bái, jué hàn nǎi chū, chū zé sǐ yǐ.
岐伯说：太阳经脉之气终绝时，两目上视而不能转动，角弓反张，手足抽搐，面色白，绝汗出，绝汗一出就死。
Qibo says: When the greater yang channel ends, the eyes are rolled up, the body arches backward, there is twitching and spasm, the colour is white, and the final sweat comes out; once it comes out, death follows.
14
少陽終者，耳聾，百節皆縱，目睘絶系，絶系一日半死。其死也，色先青白，乃死矣。
少阳终者，耳聋，百节皆纵，目睘绝系，绝系一日半死。其死也，色先青白，乃死矣。
shào yáng zhōng zhě, ěr lóng, bǎi jié jiē zòng, mù qióng jué xì, jué xì yī rì bàn sǐ. qí sǐ yě, sè xiān qīng bái, nǎi sǐ yǐ.
少阳经气终绝时，两耳失聪，全身百节都弛纵不收，两目直视惊顾而目系之气绝，目系绝则一日半而死。其临死之时，面色先见青白，然后死去。
When the lesser yang ends, there is deafness, all the hundred joints go slack, the eyes stare and their attachments are severed; once the attachments are severed, death comes in a day and a half. At the death the colour turns greenish white first, and then he dies.
15
陽明終者，口目動作，善驚妄言，色黄，其上下經盛，不仁，則終矣。
阳明终者，口目动作，善惊妄言，色黄，其上下经盛，不仁，则终矣。
yáng míng zhōng zhě, kǒu mù dòng zuò, shàn jīng wàng yán, sè huáng, qí shàng xià jīng shèng, bù rén, zé zhōng yǐ.
阳明经气终绝时，口与眼都牵动不止，时时惊骇而胡言乱语，面色黄，其上下经脉盛实，肌肤麻木不仁，便至终绝而死。
When the yang brilliance ends, mouth and eyes twitch and move, there is fright and wild speech, the colour is yellow, the channels above and below are full, there is numbness, and then it ends.
16
少陰終者，面黑，齒長而垢，腹脹閉，上下不通而終矣。
少阴终者，面黑，齿长而垢，腹胀闭，上下不通而终矣。
shào yīn zhōng zhě, miàn hēi, chǐ cháng ér gòu, fù zhàng bì, shàng xià bù tōng ér zhōng yǐ.
少阴经气终绝时，面色黑，牙齿显得长而积有污垢，腹胀而二便闭塞不通，上下之气隔绝不通而死。
When the lesser yin ends, the face is black, the teeth appear long and coated, the abdomen is distended and stopped up, and with the upper and lower no longer communicating it ends.
17
太陰終者，腹脹閉，不得息，善噫善嘔，嘔則逆，逆則面赤，不逆則上下不通，不通則面黑，皮毛焦而終矣。
太阴终者，腹胀闭，不得息，善噫善呕，呕则逆，逆则面赤，不逆则上下不通，不通则面黑，皮毛焦而终矣。
tài yīn zhōng zhě, fù zhàng bì, bù dé xī, shàn ài shàn ǒu, ǒu zé nì, nì zé miàn chì, bù nì zé shàng xià bù tōng, bù tōng zé miàn hēi, pí máo jiāo ér zhōng yǐ.
太阴经气终绝时，腹胀而闭塞，呼吸不得接续，常常嗳气、常常呕吐；呕吐则气上逆，气逆则面色发赤；若气不上逆，则上下痞隔不通，不通则面色转黑，皮毛枯焦而死。
When the greater yin ends, the abdomen is distended and stopped up, breathing cannot be gotten, there is belching and vomiting; if he vomits the qi rebels and the face turns red; if it does not rebel, the upper and lower do not communicate; when they do not communicate the face turns black, the skin and hair wither, and it ends.
18
厥陰終者，中熱嗌乾，善溺心煩，甚則舌卷，𡖉上縮而終矣。
厥阴终者，中热嗌干，善溺心烦，甚则舌卷，卵上缩而终矣。
jué yīn zhōng zhě, zhōng rè yì gān, shàn niào xīn fán, shèn zé shé juǎn, luǎn shàng suō ér zhōng yǐ.
厥阴经气终绝时，内里发热而咽喉干燥，小便频数而心中烦乱，病甚则舌头卷缩、睾丸上缩而死。
When the ceasing yin ends, there is internal heat and a dry throat, frequent urination and vexation of the heart; in severe cases the tongue curls and the testicles draw up, and so it ends.
19
此十二經之所敗也。
此十二经之所败也。
cǐ shí èr jīng zhī suǒ bài yě.
以上所述，就是十二经脉之气败坏竭绝的证候。
These are the ruin of the twelve channels.