1
肝熱病者，小便先黃，腹痛多卧，身熱。
肝热病者，小便先黄，腹痛多卧，身热。
Gān rè bìng zhě, xiǎo biàn xiān huáng, fù tòng duō wò, shēn rè.
肝有热的病，小便先发黄，腹痛，喜卧，身体发热。
In liver heat disease the urine turns yellow first, there is abdominal pain and much lying down, and the body is hot.
2
熱爭，則狂言及驚，脅滿痛，手足躁，不得安卧。
热争，则狂言及惊，胁满痛，手足躁，不得安卧。
Rè zhēng, zé kuáng yán jí jīng, xié mǎn tòng, shǒu zú zào, bù dé ān wò.
热邪与正气相争，就会狂言、惊骇，胁部胀满疼痛，手足躁扰，不能安卧。
When heat contends, there is raving speech and fright, fullness and pain in the flanks, fretting of the hands and feet, and no quiet lying down.
3
庚辛甚，甲乙大汗，氣逆則庚辛死，剌足厥陰、少陽。
庚辛甚，甲乙大汗，气逆则庚辛死，刺足厥阴、少阳。
Gēng xīn shèn, jiǎ yǐ dà hàn, qì nì zé gēng xīn sǐ, cì zú jué yīn, shào yáng.
逢庚辛日加重，逢甲乙日出大汗；若气逆，就会死于庚辛日。刺足厥阴、足少阳。
It is worse on geng-xin days and sweats greatly on jia-yi days; if the qi counterflows, death comes on a geng-xin day. Needle the foot jueyin and shaoyang.
4
其逆則頭痛員員，脉引衝頭也。
其逆则头痛员员，脉引冲头也。
Qí nì zé tóu tòng yuán yuán, mài yǐn chōng tóu yě.
气逆的时候头痛眩晕，是经脉牵引上冲于头所致。
When it counterflows the head aches with a spinning sensation: the vessel pulls and surges into the head.
5
心熱病者，先不樂，數日乃熱。
心热病者，先不乐，数日乃热。
Xīn rè bìng zhě, xiān bù lè, shù rì nǎi rè.
心有热的病，先觉心中不乐，过几天才发热。
In heart heat disease there is first a want of ease, and only after several days does the heat appear.
6
熱爭，則卒心痛，煩悶善嘔，頭痛，面赤，無汗。
热争，则卒心痛，烦闷善呕，头痛，面赤，无汗。
Rè zhēng, zé cù xīn tòng, fán mèn shàn ǒu, tóu tòng, miàn chì, wú hàn.
热邪与正气相争，就会突发心痛，烦闷而常呕，头痛，面赤，无汗。
When heat contends there is sudden heart pain, fretting and oppression with frequent vomiting, headache, a red face, and no sweating.
7
壬癸甚，丙丁大汗，氣逆則壬癸死。
壬癸甚，丙丁大汗，气逆则壬癸死。
Rén guǐ shèn, bǐng dīng dà hàn, qì nì zé rén guǐ sǐ.
逢壬癸日加重，逢丙丁日出大汗；若气逆，就会死于壬癸日。
It is worse on ren-gui days and sweats greatly on bing-ding days; if the qi counterflows, death comes on a ren-gui day.
Cì shǒu shào yīn, tài yáng.
刺手少阴、手太阳。
Needle the hand shaoyin and taiyang.
9
脾熱病者，先頭重頰痛，煩心，顔青欲嘔，身熱。
脾热病者，先头重颊痛，烦心，颜青欲呕，身热。
Pí rè bìng zhě, xiān tóu zhòng jiá tòng, fán xīn, yán qīng yù ǒu, shēn rè.
脾有热的病，先头重、颊痛，心中烦躁，面色发青而欲呕，身体发热。
In spleen heat disease there is first heaviness of the head and pain in the cheeks, fretting at the heart, a greenish face with a wish to vomit, and the body is hot.
10
熱爭則腰痛不可用俛仰，腹滿泄，兩頷痛，甲乙甚，戊巳大汗，氣逆則甲乙死。
热争则腰痛不可用俯仰，腹满泄，两颔痛，甲乙甚，戊巳大汗，气逆则甲乙死。
Rè zhēng zé yāo tòng bù kě yòng fǔ yǎng, fù mǎn xiè, liǎng hàn tòng, jiǎ yǐ shèn, wù sì dà hàn, qì nì zé jiǎ yǐ sǐ.
热邪与正气相争，就腰痛不能俯仰，腹部胀满而泄泻，两颔疼痛；逢甲乙日加重，逢戊巳日出大汗；若气逆，就会死于甲乙日。
When heat contends the lower back aches so that one cannot bend forward or back, the abdomen is full and there is diarrhoea, and both jaws ache. It is worse on jia-yi days and sweats greatly on wu-si days; if the qi counterflows, death comes on a jia-yi day.
Cì zú tài yīn, yáng míng.
刺足太阴、足阳明。
Needle the foot taiyin and yangming.
12
肺熱病者，先淅然厥，起毫毛，惡風寒，舌上黃，身熱。
肺热病者，先淅然厥，起毫毛，恶风寒，舌上黄，身热。
Fèi rè bìng zhě, xiān xī rán jué, qǐ háo máo, wù fēng hán, shé shàng huáng, shēn rè.
肺有热的病，先淅然恶寒而四肢厥冷，毫毛竖起，恶风寒，舌上发黄，身体发热。
In lung heat disease there is first a shivering chill with reversal, the fine body hair stands up, there is aversion to wind and cold, the tongue is yellow on top, and the body is hot.
13
熱爭，則喘欬，痛走胸膺背，不得大息，頭痛不堪，汗出而寒。
热争，则喘欬，痛走胸膺背，不得大息，头痛不堪，汗出而寒。
Rè zhēng, zé chuǎn kài, tòng zǒu xiōng yīng bèi, bù dé dà xī, tóu tòng bù kān, hàn chū ér hán.
热邪与正气相争，就会气喘咳嗽，疼痛游走于胸膺背部，不能深呼吸，头痛难忍，汗出而仍觉寒冷。
When heat contends there is panting and coughing, pain running through the chest, the breastbone and the back, no deep breathing, an unbearable headache, and sweating together with coldness.
14
丙丁甚，庚辛大汗，氣逆則丙丁死。
丙丁甚，庚辛大汗，气逆则丙丁死。
Bǐng dīng shèn, gēng xīn dà hàn, qì nì zé bǐng dīng sǐ.
逢丙丁日加重，逢庚辛日出大汗；若气逆，就会死于丙丁日。
It is worse on bing-ding days and sweats greatly on geng-xin days; if the qi counterflows, death comes on a bing-ding day.
15
剌手太陰、陽明，出血如大豆立已。
刺手太阴、阳明，出血如大豆立已。
Cì shǒu tài yīn, yáng míng, chū xuè rú dà dòu lì yǐ.
刺手太阴、手阳明，出血如大豆般大小，病立刻就好。
Needle the hand taiyin and yangming; when blood flows to the amount of a large bean the disease ends at once.
16
腎熱病者，先腰痛䯒痠，苦渴數飲，身熱。
肾热病者，先腰痛䯒酸，苦渴数饮，身热。
Shèn rè bìng zhě, xiān yāo tòng héng suān, kǔ kě shuò yǐn, shēn rè.
肾有热的病，先腰痛、小腿酸楚，苦于口渴而频频饮水，身体发热。
In kidney heat disease there is first pain in the lower back and soreness of the shank, a distressing thirst with repeated drinking, and the body is hot.
17
熱爭，則項痛而強，䯒寒且痠，足下熱，不欲言，其逆則項痛員員澹澹然，戊巳甚，壬癸大汗，氣逆則戊己死。
热争，则项痛而强，䯒寒且酸，足下热，不欲言，其逆则项痛员员澹澹然，戊巳甚，壬癸大汗，气逆则戊己死。
Rè zhēng, zé xiàng tòng ér jiāng, héng hán qiě suān, zú xià rè, bù yù yán, qí nì zé xiàng tòng yuán yuán dàn dàn rán, wù sì shèn, rén guǐ dà hàn, qì nì zé wù jǐ sǐ.
热邪与正气相争，就项部疼痛而强直，小腿发凉而且酸楚，足心发热，不想说话；气逆时项痛眩晕而动摇不定；逢戊巳日加重，逢壬癸日出大汗；若气逆，就会死于戊己日。
When heat contends the nape aches and is stiff, the shank is cold and sore, the soles of the feet are hot, and there is no wish to speak. When it counterflows the nape aches with a spinning, unsteady sensation. It is worse on wu-si days and sweats greatly on ren-gui days; if the qi counterflows, death comes on a wu-ji day.
Cì zú shào yīn, tài yáng.
刺足少阴、足太阳。
Needle the foot shaoyin and taiyang.
Zhū hàn zhě, zhì qí suǒ shèng rì, hàn chū yě.
凡是会出汗的，到了本藏当旺之日，就会出汗。
In every case where sweating is to come, the sweat appears when the day arrives on which that phase prevails.
Gān rè bìng zhě, zuǒ jiá xiān chì; xīn rè bìng zhě, yán xiān chì; pí rè bìng zhě, bí xiān chì; fèi rè bìng zhě, yòu jiá xiān chì; shèn rè bìng zhě, yí xiān chì.
肝有热的病，左颊先发红；心有热的病，额部先发红；脾有热的病，鼻部先发红；肺有热的病，右颊先发红；肾有热的病，颐部先发红。
In liver heat disease the left cheek reddens first; in heart heat disease the forehead reddens first; in spleen heat disease the nose reddens first; in lung heat disease the right cheek reddens first; in kidney heat disease the chin reddens first.
21
病雖未發，見赤色者剌之，名曰治未病。
病虽未发，见赤色者刺之，名曰治未病。
Bìng suī wèi fā, jiàn chì sè zhě cì zhī, míng yuē zhì wèi bìng.
病虽然还没有发作，见到赤色就针刺它，这叫做治未病。
Even though the disease has not yet erupted, when the red colour is seen one needles it. This is called treating the disease before it is disease.
22
熱病從部所起者，至期而已。
热病从部所起者，至期而已。
Rè bìng cóng bù suǒ qǐ zhě, zhì qī ér yǐ.
热病从所属部位而起的，到期就会痊愈。
A heat disease that arises from the region proper to it ends when the term is reached.
23
其剌之反者，三周而已，重逆則死。
其刺之反者，三周而已，重逆则死。
Qí cì zhī fǎn zhě, sān zhōu ér yǐ, chóng nì zé sǐ.
若针刺与此相反，要三周才能痊愈；一再逆治就会死亡。
If one needles counter to this, it takes three cycles to end; repeated counterflow means death.
Zhū dāng hàn zhě, zhì qí suǒ shèng rì, hàn dà chū yě.
凡是应当出汗的，到了本藏当旺之日，就会大汗出。
In every case where sweating is called for, the sweat comes out greatly when the day arrives on which that phase prevails.
25
諸治熱病，以飲之寒水乃剌之，必寒衣之，居止寒處，身寒而止也。
诸治热病，以饮之寒水乃刺之，必寒衣之，居止寒处，身寒而止也。
Zhū zhì rè bìng, yǐ yǐn zhī hán shuǐ nǎi cì zhī, bì hán yī zhī, jū zhǐ hán chù, shēn hán ér zhǐ yě.
凡治热病，先给他饮寒水，然后针刺；必须让他穿得单薄，住在凉爽之处，等到身凉就停止。
In treating all heat diseases, give cold water to drink and then needle; keep the clothing thin and the dwelling cool, and stop once the body is cool.
Rè bìng xiān xiōng xié tòng, shǒu zú zào, cì zú shào yáng, bǔ zú tài yīn.
热病先见胸胁疼痛、手足躁扰的，刺足少阳，补足太阴。
When a heat disease begins with pain in the chest and flanks and fretting of the hands and feet, needle the foot shaoyang and supplement the foot taiyin.
Bìng shèn zhě wéi wǔ shí jiǔ cì.
病重的用五十九刺。
In cases that are severe, use the fifty-nine needlings.
28
熱病始手臂痛者，剌手陽明、太陰，而汗出止。
热病始手臂痛者，刺手阳明、太阴，而汗出止。
Rè bìng shǐ shǒu bì tòng zhě, cì shǒu yáng míng, tài yīn, ér hàn chū zhǐ.
热病始于手臂疼痛的，刺手阳明、手太阴，汗出就停止。
When a heat disease starts with pain in the arm, needle the hand yangming and taiyin, and stop when sweating appears.
29
熱病始於頭首者，剌項太陽，而汗出止。
热病始于头首者，刺项太阳，而汗出止。
Rè bìng shǐ yú tóu shǒu zhě, cì xiàng tài yáng, ér hàn chū zhǐ.
热病始于头部的，刺项部的太阳经，汗出就停止。
When a heat disease starts in the head, needle the taiyang at the nape, and stop when sweating appears.
30
熱病始於足脛者，剌足陽明，而汗出止。
热病始于足胫者，刺足阳明，而汗出止。
Rè bìng shǐ yú zú jìng zhě, cì zú yáng míng, ér hàn chū zhǐ.
热病始于足胫的，刺足阳明，汗出就停止。
When a heat disease starts in the lower leg, needle the foot yangming, and stop when sweating appears.
31
熱病先身重骨痛，耳聾好暝，剌足少陰。
热病先身重骨痛，耳聋好暝，刺足少阴。
Rè bìng xiān shēn zhòng gǔ tòng, ěr lóng hào míng, cì zú shào yīn.
热病先见身体沉重、骨节疼痛、耳聋而喜闭目嗜卧的，刺足少阴。
When a heat disease begins with heaviness of the body and pain in the bones, deafness and a liking for darkness, needle the foot shaoyin.
Bìng shèn wéi wǔ shí jiǔ cì.
病重的用五十九刺。
When the disease is severe, use the fifty-nine needlings.
Rè bìng xiān xuàn mào ér rè, xiōng xié mǎn, cì zú shào yīn, shào yáng.
热病先见头目眩晕昏冒而发热、胸胁胀满的，刺足少阴、足少阳。
When a heat disease begins with dizziness and clouding along with heat, and fullness in the chest and flanks, needle the foot shaoyin and shaoyang.
34
太陽之脉，色榮顴骨，熱病也，榮未交，曰今且得汗，待時而已。
太阳之脉，色荣颧骨，热病也，荣未交，曰今且得汗，待时而已。
Tài yáng zhī mài, sè róng quán gǔ, rè bìng yě, róng wèi jiāo, yuē jīn qiě dé hàn, dài shí ér yǐ.
太阳经脉的病色显现在颧骨，这是热病；若荣色尚未与邪气相交并，可以说即将得汗，等待其时就会痊愈。
When the colour of the taiyang vessel flourishes at the cheekbone, it is a heat disease. If the flourishing has not yet joined, one may say that sweating is about to come; wait for the time and it will end.
35
與厥陰脉爭見者，死期不過三日，其熱病内連腎，少陽之脉色也。
与厥阴脉争见者，死期不过三日，其热病内连肾，少阳之脉色也。
Yǔ jué yīn mài zhēng jiàn zhě, sǐ qī bù guò sān rì, qí rè bìng nèi lián shèn, shào yáng zhī mài sè yě.
若与厥阴脉之色相争而并见，死期不出三日；这是因为热病内连于肾，而显现少阳经脉之色。
If it appears contending with the jueyin vessel, the time of death does not pass three days; the heat disease connects inwardly to the kidney, and it is the colour of the shaoyang vessel.
Shào yáng zhī mài, sè róng jiá qián, rè bìng yě.
少阳经脉的病色显现在颊部前方，这是热病。
When the colour of the shaoyang vessel flourishes in front of the cheek, it is a heat disease.
37
榮未交，曰今且得汗，待時而已。
荣未交，曰今且得汗，待时而已。
Róng wèi jiāo, yuē jīn qiě dé hàn, dài shí ér yǐ.
若荣色尚未与邪气相交并，可以说即将得汗，等待其时就会痊愈。
If the flourishing has not yet joined, one may say that sweating is about to come; wait for the time and it will end.
38
與少陰脉爭見者，死期不過三日。
与少阴脉争见者，死期不过三日。
Yǔ shào yīn mài zhēng jiàn zhě, sǐ qī bù guò sān rì.
若与少阴脉之色相争而并见，死期不出三日。
If it appears contending with the shaoyin vessel, the time of death does not pass three days.
39
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.
热病的取穴法：第三椎下陷中主治胸中之热，第四椎下陷中主治鬲中之热，第五椎下陷中主治肝热，第六椎下陷中主治脾热，第七椎下陷中主治肾热。
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.
Róng zài dǐ yě.
热病的荣色表现在骶部。
The flourishing is at the sacrum.
41
項上三椎陷者，中也。
项上三椎陷者，中也。
Xiàng shàng sān zhuī xiàn zhě, zhōng yě.
项上第三椎下凹陷的地方，就是取穴的中点。
The depression above the nape at the third vertebra is the centre.
42
頰下逆顴爲大瘕，下牙車爲腹滿，顴後爲脅痛。
颊下逆颧为大瘕，下牙车为腹满，颧后为胁痛。
Jiá xià nì quán wéi dà jiǎ, xià yá chē wéi fù mǎn, quán hòu wéi xié tòng.
颊部下方逆行至颧部的，主大瘕；下至牙车的，主腹满；颧部之后的，主胁痛。
Below the cheek, running counter toward the cheekbone, it indicates a great mass; reaching down to the jawbone it indicates abdominal fullness; behind the cheekbone it indicates pain in the flanks.
Jiá shàng zhě, gé shàng yě.
颊部上方的，主鬲上之病。
What is above the cheek is above the diaphragm.