頭痛耳鳴，九竅不利，腸胃之所生也。
头痛耳鸣，九窍不利，肠胃之所生也。
Tóu tòng ěr míng, jiǔ qiào bù lì, cháng wèi zhī suǒ shēng yě.
Headache, ringing in the ears and the nine orifices failing to work freely are born of the stomach and intestines.
篇末三句皆以「…之所生也」結，由久逆（氣）、而六府（府）、而腸胃（府），層層推其病本，是本篇之收束。「耳」讀 ěr；「九」讀 jiǔ；**「竅」讀 qiào，本篇惟此一見**；「利」讀 lì，通利也；「胃」讀 wèi。九竅（耳目口鼻及二陰）之不利，本篇斷為腸胃之病所生：腸胃為水穀之海、氣血之源，腸胃病則清陽不升、九竅不利，故頭痛耳鳴。此與《素問》他篇「頭痛耳鳴，九竅不利，腸胃之所生也」文同。
故一鍼皮，二鍼肉，三鍼脉，四鍼筋，五鍼骨，六鍼調陰陽，七鍼益精，八鍼除風，九鍼通九竅，除三百六十五節氣，此之謂各有所主也。
故一针皮，二针肉，三针脉，四针筋，五针骨，六针调阴阳，七针益精，八针除风，九针通九窍，除三百六十五节气，此之谓各有所主也。
Gù yī zhēn pí, èr zhēn ròu, sān zhēn mài, sì zhēn jīn, wǔ zhēn gǔ, liù zhēn tiáo yīn yáng, qī zhēn yì jīng, bā zhēn chú fēng, jiǔ zhēn tōng jiǔ qiào, chú sān bǎi liù shí wǔ jié qì, cǐ zhī wèi gè yǒu suǒ zhǔ yě.
Thus the first needles the skin, the second the flesh, the third the vessels, the fourth the sinews, the fifth the bone, the sixth regulates yin and yang, the seventh augments essence, the eighth dispels wind, the ninth opens the nine openings and clears the qi of the three hundred and sixty-five joints — this is what is meant by each having its own charge.
「九鍼通九「竅」讀 qiào，除三百六十五節氣」——**本篇「九竅」3見，讀 jiǔ qiào**；**本目為第二十八篇所立（九竅不利，腸胃之所生）**；**本篇三見**：**「人九竅三百六十五絡應野」——人身之九竅應於九野**；**「九鍼通九竅」——九鍼之用**；**「九竅三百六十五」——末段錯簡之文**；「通」讀 tōng、**本篇「通」1見，讀 tōng**
帝曰：人有精氣津液，四支、九竅，五藏十六部，三百六十五節，乃生百病，百病之生，皆有虚實。今夫子乃言有餘有五，不足亦有五，何以生之乎？
帝曰：人有精气津液，四支、九窍，五藏十六部，三百六十五节，乃生百病，百病之生，皆有虚实。今夫子乃言有余有五，不足亦有五，何以生之乎？
Dì yuē: rén yǒu jīng qì jīn yè, sì zhī, jiǔ qiào, wǔ zàng shí liù bù, sān bǎi liù shí wǔ jié, nǎi shēng bǎi bìng, bǎi bìng zhī shēng, jiē yǒu xū shí. Jīn fū zǐ nǎi yán yǒu yú yǒu wǔ, bù zú yì yǒu wǔ, hé yǐ shēng zhī hū?
The Emperor says: a man has essence, qi, fluid and humour; four limbs and nine orifices; five depots and sixteen parts; three hundred and sixty-five joints. From these the hundred diseases arise, and every one of them has its deficiency and its excess. Yet you, master, speak of five excesses and five insufficiencies – how do they come to be?
「人有精氣津液，四支、九竅，五藏十六部，三百六十五節，乃生百病」——**「九竅」本篇1見，在開篇黄帝之問中**：**四支、九竅、五藏十六部、三百六十五節並舉，皆人身之部而百病之所生**；**「九」讀 jiǔ、「竅」讀 qiào**
故聖人傳精神，服天氣，而通神明。失之則内閉九竅，外壅肌肉，衞氣散解，此謂自傷，氣之削也。
故圣人传精神，服天气，而通神明。失之则内闭九窍，外壅肌肉，卫气散解，此谓自伤，气之削也。
Gù shèng rén chuán jīng shén, fú tiān qì, ér tōng shén míng. shī zhī zé nèi bì jiǔ qiào, wài yōng jī ròu, wèi qì sàn jiě, cǐ wèi zì shāng, qì zhī xuē yě.
Therefore the sage gathers the jing and shen, takes in the qi of heaven, and so communicates with the spirit brightness. Let this go, and the nine orifices are shut within and the flesh is stopped up without; the defensive qi scatters and dissolves. This is called wounding oneself – it is the qi being pared away.
「失之則内閉九竅，外壅肌肉」——九竅為内之竅，肌肉為外之壅，下文「九竅不通」同此；**「九竅」本篇3見**
六經爲川，腸胃爲海，九竅爲水注之氣。以天地爲之陰陽，陽之汗，以天地之雨名之。陽之氣，以天地之疾風名之。暴氣象雷，逆氣象陽。故治不法天之紀，不用地之理，則災害至矣。
六经为川，肠胃为海，九窍为水注之气。以天地为之阴阳，阳之汗，以天地之雨名之。阳之气，以天地之疾风名之。暴气象雷，逆气象阳。故治不法天之纪，不用地之理，则灾害至矣。
liù jīng wéi chuān, cháng wèi wéi hǎi, jiǔ qiào wéi shuǐ zhù zhī qì. yǐ tiān dì wéi zhī yīn yáng, yáng zhī hàn, yǐ tiān dì zhī yǔ míng zhī. yáng zhī qì, yǐ tiān dì zhī jí fēng míng zhī. bào qì xiàng léi, nì qì xiàng yáng. gù zhì bù fǎ tiān zhī jì, bù yòng dì zhī lǐ, zé zāi hài zhì yǐ.
The six channels are the rivers, the stomach and intestines the sea, the nine orifices the vapour of pouring water. Taking heaven and earth as the yin and yang of it: the sweat of yang is named after the rain of heaven and earth; the qi of yang is named after the swift wind of heaven and earth. Fierce qi resembles thunder, rebellious qi resembles yang. Therefore if treatment does not model itself on the markers of heaven and does not employ the order of earth, calamity will arrive.
「九竅爲水注之氣」——六經為川、腸胃為海，九竅為水注之氣；**「九竅」本篇2見**
帝曰：夫子言脾爲孤藏，中央土以灌四傍，其太過與不及，其病皆何如？歧伯曰：太過則令人四支不舉，其不及則令人九竅不通，名曰重強。
帝曰：夫子言脾为孤藏，中央土以灌四傍，其太过与不及，其病皆何如？歧伯曰：太过则令人四支不举，其不及则令人九窍不通，名曰重强。
Dì yuē: fū zǐ yán pí wéi gū zàng, zhōng yāng tǔ yǐ guàn sì bàng, qí tài guò yǔ bù jí, qí bìng jiē hé rú? Qí bó yuē: tài guò zé lìng rén sì zhī bù jǔ, qí bù jí zé lìng rén jiǔ qiào bù tōng, míng yuē chóng qiáng.
Excess makes the four limbs unable to lift; deficiency makes the nine orifices fail to communicate. It is called doubled rigidity.
「九竅不通」，脾脉不及則令人九竅不通，名曰重強。九竅者上七下二，藏氣不通於外則竅閉。