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。刺避五藏者，知逆從也。所謂從者，鬲與脾腎之處，不知者，反之。
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。刺避五藏者，知逆从也。所谓从者，鬲与脾肾之处，不知者，反之。
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. cì bì wǔ zàng zhě, zhī nì cóng yě. suǒ wèi cóng zhě, gé yǔ pí shèn zhī chù, bù zhī zhě, fǎn zhī.
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. 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.
本篇「中鬲者，皆爲傷中，其病雖愈，不過一歲必死」；又「刺避五藏者，知逆從也。所謂從者，鬲與脾腎之處，不知者，反之」。鬲音 gé，通「膈」；說文「鼎屬也」。中鬲者其禍緩而不免，故本篇獨以一歲為期。
熱病氣穴：三椎下間主胸中熱，四椎下間主鬲中熱，五椎下間主肝熱，六椎下間主脾熱，七椎下間主腎熱。
热病气穴：三椎下间主胸中热，四椎下间主鬲中热，五椎下间主肝热，六椎下间主脾热，七椎下间主肾热。
Rè bìng qì xué: sān zhuī xià jiān zhǔ xiōng zhōng rè, sì zhuī xià jiān zhǔ gé zhōng rè, wǔ zhuī xià jiān zhǔ gān rè, liù zhuī xià jiān zhǔ pí rè, qī zhuī xià jiān zhǔ shèn rè.
The qi points for heat disease: the space below the third vertebra governs heat in the chest; below the fourth, heat in the diaphragm; below the fifth, liver heat; below the sixth, spleen heat; below the seventh, kidney heat.
「鬲」之目於本站已立（id 565，讀 gé），本篇二見而皆在分部之法：「熱病氣穴：三椎下間主胸中熱，四椎下間主鬲中熱，五椎下間主肝熱，六椎下間主脾熱，七椎下間主腎熱」——**「鬲」讀 gé，本篇二見（鬲中、鬲上）**，即「膈」之本字，底本不作「膈」；「熱」讀 rè；「病」讀 bìng；「氣」讀 qì；**「穴」讀 xué，本篇一見**；「三」、「四」、「五」、「六」、「七」讀 sān、sì、wǔ、liù、qī；**「椎」讀 zhuī，本篇六見**——此為脊椎之椎，與第二十七篇「扣椎」之讀 chuí（木椎）者異讀；「下」讀 xià，本篇八見；**「間」讀 jiān，本篇五見**，不作「间」；「主」讀 zhǔ，本篇五見；「中」讀 zhōng，本篇三見；「胸」讀 xiōng；「肝」讀 gān；「脾」讀 pí；「腎」讀 shèn。**本篇分部之法，鬲居胸與肝脾腎之間**：三椎主胸中、四椎主鬲中、五椎以下乃及肝脾腎，**自上而下，以鬲為上下之樞**；下文「頰上者，鬲上也」復以鬲上與鬲中對文，一篇診法於此收束。
心移熱於肺，傳爲鬲消。
心移热于肺，传为鬲消。
Xīn yí rè yú fèi, chuán wéi gé xiāo.
When the heart shifts heat into the lung, it transmits and becomes diaphragm wasting.
「鬲」之目於本站已立（id 565），所收二條：第十六篇「中鬲者，皆為傷中」、第三十二篇「四椎下間主鬲中熱」。**本篇「鬲」2見**——「傳爲鬲消」（此段）與「鬲腸不便」（第十四段）；**又有「隔」（「隔」讀 gé）1見，在「狂隔中」（第四段）**。**一詞三見而二形：鬲2、隔1**，**底本如此，本站照錄并存、互注不改**——**與本站間／閒、大／太、黄／黃諸例同科**。**通行本多一律作「鬲中」，此本作「隔中」**。「心」讀 xīn，本篇4見；「移」讀 yí；「熱」讀 rè；「於」讀 yú；「肺」讀 fèi，本篇6見；「傳」讀 chuán；「爲」讀 wéi；「鬲」讀 gé；「消」讀 xiāo，本篇3見。**「鬲消」與上文「肺消」同名「消」而以寒熱別之**——**「肺消」者，心移寒於肺而成**（2見）；**「鬲消」者，心移熱於肺、傳變而成**；**同自心而之肺，一寒一熱，一為肺消一為鬲消**，**「消」同而病異，此本篇屬辭之密**。**與第三十二篇「鬲中熱」之專言部位者別**：**彼言熱之所在，此則以「鬲消」為病名**。
歧伯曰：此下則因陰，必下膿血，上則迫胃脘，生鬲，俠胃脘内癰。
歧伯曰：此下则因阴，必下脓血，上则迫胃脘，生膈，侠胃脘内痈。
Qí bó yuē: cǐ xià zé yīn yīn, bì xià nóng xuè, shàng zé pò wèi wǎn, shēng gé, xié wèi wǎn nèi yōng.
Qi Bo says: below, it follows the yin, and pus and blood are necessarily passed; above, it presses upon the stomach duct and gives rise to a diaphragm — an abscess within, flanking the stomach duct.
**「生鬲」之「鬲」，即膈也**，**本篇1見，讀 gé，簡體一列作「膈」讀 gé**。**伏梁上迫胃脘而生之，非本有之物**——**與本站第三十二篇「鬲中熱」「鬲上」之鬲同字同讀**。「上」讀 shàng、**本篇5見**；「則」讀 zé、**本篇10見**；「胃」讀 wèi；「脘」讀 wǎn，**讀 wǎn 不讀 guǎn**；「俠」讀 xié；「内」讀 nèi；「癰」讀 yōng。**「鬲」與本篇「肓」（「肓」讀 huāng，2見）相近而非一物**：**鬲者膈膜，肓者膈上之膜原**；**本篇鬲生於胃脘之上，肓著於大腸之下，二處各有所當**。
胃風之狀，頸多汗，惡風，食飲不下，鬲塞不通，腹善滿，失衣則䐜脹，食寒則泄，診形瘦而腹大。
胃风之状，颈多汗，恶风，食饮不下，鬲塞不通，腹善满，失衣则䐜胀，食寒则泄，诊形瘦而腹大。
Wèi fēng zhī zhuàng, jǐng duō hàn, wù fēng, shí yǐn bù xià, gé sè bù tōng, fù shàn mǎn, shī yī zé chēn zhàng, shí hán zé xiè, zhěn xíng shòu ér fù dà.
In stomach wind the neck sweats freely; the patient loathes wind; food and drink will not go down; the diaphragm is blocked; the abdomen is often full; if he loosens his clothes the belly swells, and if he eats cold there is diarrhoea. On examination the body is thin but the abdomen large.
「食飲不下，鬲塞不通」——**本篇「鬲」1見，即此**；**第十六篇之鬲為刺之所中（中鬲者不過一歲必死），本篇之鬲則為胃風之塞**——**同字而所指不同**。「鬲」讀 gé**讀 gé，阻隔也，為本字，通行作後起之「膈」**；「塞」讀 sè**「塞」讀 sè，本篇1見**；「頸」讀 jǐng**「頸多汗」讀 jǐng**。
胃脉沈鼓濇，胃外鼓大，心脉小堅急，皆鬲偏枯。男子發左，女子發右，不瘖舌轉，可治，三十日起。
胃脉沉鼓涩，胃外鼓大，心脉小坚急，皆鬲偏枯。男子发左，女子发右，不瘖舌转，可治，三十日起。
Wèi mài chén gǔ sè, wèi wài gǔ dà, xīn mài xiǎo jiān jí, jiē gé piān kū. Nán zǐ fā zuǒ, nǚ zǐ fā yòu, bù yīn shé zhuǎn, kě zhì, sān shí rì qǐ.
A stomach vessel sunken, beating up and rough, or beating up large on the outside, and a heart vessel small, hard and hurried, all give one-sided withering with blockage at the diaphragm. In men it appears on the left, in women on the right. If the person is not voiceless and the tongue still turns, it can be treated and he rises in thirty days.
「皆「鬲」讀 gé偏枯」——「鬲」讀 gé、**本篇惟此一見，讀 gé，膈也，與偏枯連言**；**本篇「鬲」字不从肉，與全站「膈」之作法異**；「瘖」讀 yīn、**本篇3見，此其一（不瘖舌轉）**。
鬲肓之上，中有父母，七節之傍，中有小心，從之有福，逆之有咎。
鬲肓之上，中有父母，七节之傍，中有小心，从之有福，逆之有咎。
Gé huāng zhī shàng, zhōng yǒu fù mǔ, qī jié zhī bàng, zhōng yǒu xiǎo xīn, cóng zhī yǒu fú, nì zhī yǒu jiù.
Above the diaphragm and the huang region, between them are the father and mother; beside the seventh vertebra, between them is the small heart. To follow them brings good fortune; to go against them brings harm.
「「鬲」讀 gé肓之上，中有父母」——**本篇「鬲」1見，讀 gé，膈之本字**；「肓」讀 huāng、**本篇1見，讀 huāng，見 id 1165**；「父」讀 fù、「母」讀 mǔ、**「父母」本篇1見**；**鬲肓之上為心肺之位，故曰中有父母；下文七節之傍中有小心，皆言要害之所在**。
背胸邪繋陰陽左右，如此，其病前後痛濇，胸脅痛而不得息，不得卧，上氣短氣，偏痛，脉滿起，斜出尻，脉絡胸脅，支心貫鬲，上肩，加天突，斜下肩，交十椎下。
背胸邪系阴阳左右，如此，其病前后痛涩，胸胁痛而不得息，不得卧，上气短气，偏痛，脉满起，斜出尻，脉络胸胁，支心贯鬲，上肩，加天突，斜下肩，交十椎下。
Bèi xiōng xié xì yīn yáng zuǒ yòu, rú cǐ, qí bìng qián hòu tòng sè, xiōng xié tòng ér bù dé xī, bù dé wò, shàng qì duǎn qì, piān tòng, mài mǎn qǐ, xié chū kāo, mài luò xiōng xié, zhī xīn guàn gé, shàng jiān, jiā tiān tū, xié xià jiān, jiāo shí zhuī xià.
When the evil of the back and the chest ties together yin and yang, left and right, the illness is pain and sluggishness front and back; pain in the chest and flanks with no resting breath and no lying down; upward surge of qi and shortness of breath; pain on one side. The vessel fills and rises, runs obliquely out towards the seat, nets the chest and flanks, props the heart and pierces the diaphragm, mounts to the shoulder, joins tiān tū, passes obliquely down the shoulder, and crosses below the tenth vertebra.
「背胸邪繋陰陽左右，如此，其病前後痛濇，胸脅痛而不得息，不得卧，上氣短氣，偏痛，脉滿起，斜出尻，脉絡胸脅，支心貫「鬲」讀 gé，上肩，加天突，斜下肩，交十椎下。」——**本篇「鬲」1見，讀 gé**；**「支心貫鬲」者，言脉自胸脅上行，支絡於心而貫通於鬲**；**本目第四十一篇所立：刺中鬲者，不過一歲必死；本篇則言脉之所過**；**一篇為刺禁之害，一篇為經脉之循，同指一物**；「貫」讀 guàn、**「支心貫鬲」之貫讀 guàn，本篇1見**；「絡」讀 luò、**「脉絡胸脅」之絡讀 luò，本篇7見**
民病寒疾於下，甚則腹滿浮腫，上應鎮星，其主黅榖。復則大風暴發，草偃木零，生長不鮮，面色時變，筋骨併辟，肉膶瘛，目視䀮䀮，物疏璺，肌肉胗發，氣并鬲中，痛於心腹，黄氣乃損，其榖不登，上應歲星。
民病寒疾于下，甚则腹满浮肿，上应镇星，其主黅谷。复则大风暴发，草偃木零，生长不鲜，面色时变，筋骨并辟，肉膶瘛，目视䀮䀮，物疏璺，肌肉胗发，气并鬲中，痛于心腹，黄气乃损，其谷不登，上应岁星。
Mín bìng hán jí yú xià, shèn zé fù mǎn fú zhǒng, shàng yìng zhèn xīng, qí zhǔ jīn gǔ. Fù zé dà fēng bào fā, cǎo yǎn mù líng, shēng zhǎng bù xiān, miàn sè shí biàn, jīn gǔ bìng bì, ròu rún chì, mù shì huāng huāng, wù shū wèn, jī ròu zhěn fā, qì bìng gé zhōng, tòng yú xīn fù, huáng qì nǎi sǔn, qí gǔ bù dēng, shàng yìng suì xīng.
The people are ill with cold disease below and, if it is severe, fullness of the abdomen and floating swelling; it answers above to Saturn, and what it governs is the yellow grain. When revenge comes, great wind breaks out violently, the grass lies down and the trees are stripped, growth is not fresh, the colour of the face changes from time to time, the sinews and bones are drawn together and awry, the flesh twitches and there is convulsion, the eyes see dimly, things are cracked and split, rashes break out on the flesh, the qi gathers in the diaphragm, there is pain in the heart and abdomen, the yellow qi is damaged, and its grain is not harvested; it answers above to Jupiter.
「肌肉胗發，氣并鬲中，痛於心腹」——**「鬲」本篇1見，止此一見**；**鬲中即膈中；氣并於胸膈之間，故痛於心腹**；**「鬲」讀 gé**
尺内兩傍，則季脅也，尺外以候腎，尺裏以候腹。中附上左外以候肝，内以候鬲；右外以候胃，内以候脾。
尺内两旁，则季胁也，尺外以候肾，尺里以候腹。中附上左外以候肝，内以候鬲；右外以候胃，内以候脾。
chǐ nèi liǎng bàng, zé jì xié yě, chǐ wài yǐ hòu shèn, chǐ lǐ yǐ hòu fù. zhōng fù shàng zuǒ wài yǐ hòu gān, nèi yǐ hòu gé; yòu wài yǐ hòu wèi, nèi yǐ hòu pí.
The two sides of the inner forearm correspond to the lower ribs. The outer part of the cubit assesses the kidney, the inner part the abdomen. At the middle attachment above, the left outer side assesses the liver and the inner side the diaphragm; the right outer side assesses the stomach and the inner side the spleen.
「内以候鬲」，尺部內側候膈。鬲本鼎屬，引申為胸腹之界，本篇以尺部左右分候臟腑，膈居其中。
帝曰：願卒聞之。歧伯曰：少陽司天，火氣下臨，肺氣上從，白起金用，草木眚，火見燔爇，革金且耗，大暑以行，欬嚏鼽衄鼻窒曰瘍，寒熱胕腫。風行于地，塵沙飛揚。心痛胃脘痛，厥逆鬲不通，其主暴速。
帝曰：愿卒闻之。歧伯曰：少阳司天，火气下临，肺气上从，白起金用，草木眚，火见燔爇，革金且耗，大暑以行，咳嚏鼽衄鼻窒曰疡，寒热胕肿。风行于地，尘沙飞扬。心痛胃脘痛，厥逆鬲不通，其主暴速。
Dì yuē: yuàn cù wén zhī. Qí bó yuē: shào yáng sī tiān, huǒ qì xià lín, fèi qì shàng cóng, bái qǐ jīn yòng, cǎo mù shěng, huǒ xiàn fán ruò, gé jīn qiě hào, dà shǔ yǐ xíng, kài tì qiú nǜ bí zhì yuē yáng, hán rè fū zhǒng. Fēng xíng yú dì, chén shā fēi yáng. Xīn tòng wèi wǎn tòng, jué nì gé bù tōng, qí zhǔ bào sù.
Huang Di said: I wish to hear it all. Qi Bo said: when lesser yang governs the heaven the qi of fire descends upon it and the qi of the lung follows upward; white arises and metal comes into use; grass and trees suffer calamity; fire appears and blazes and burns, and metal is changed and consumed; great heat thereby moves. The illness is cough, sneezing, snivelling, nosebleed, blocked nose and sores, cold and heat and water swelling. Wind moves over the earth and dust and sand fly. The illness is pain in the heart, pain in the stomach duct, counterflow and obstruction of the diaphragm; its charge is suddenness and speed.
**「鬲」本篇1見，止在少陽司天「厥逆鬲不通」**；**此段心痛、胃脘痛、厥逆鬲不通三證連舉**