1
黄帝問曰：有病温者，汗出輒復熱，而脉躁疾，不爲汗衰，狂言不能食，病名爲何？
黄帝问曰：有病温者，汗出辄复热，而脉躁疾，不为汗衰，狂言不能食，病名为何？
Huáng dì wèn yuē: yǒu bìng wēn zhě, hàn chū zhé fù rè, ér mài zào jí, bù wéi hàn shuāi, kuáng yán bù néng shí, bìng míng wéi hé?
黄帝问道：有人患温病，汗出之后随即又发热，脉象躁动急疾，并不因汗出而衰减，言语狂乱，不能进食，这叫什么病？
The Yellow Emperor asks: there are those ill with a warmth disease — they sweat, and the heat returns at once; the vessel is agitated and swift and is not lessened by the sweat; they rave and cannot eat. What is this disease called?
2
歧伯對曰：病名陰陽交，交者死也。
歧伯对曰：病名阴阳交，交者死也。
Qí bó duì yuē: bìng míng yīn yáng jiāo, jiāo zhě sǐ yě.
歧伯回答说：病名叫阴阳交，阴阳交错的，是死证。
Qi Bo replies: the disease is called yin-yang crossing, and where they cross, there is death.
3
帝曰：願聞其説。
帝曰：愿闻其说。
Dì yuē: yuàn wén qí shuō.
黄帝说：希望听听其中的道理。
I would hear the explanation of it, says the Emperor.
4
歧伯曰：人所以汗出者，皆生於榖，榖生於精，今邪氣交爭於骨肉而得汗者，是邪却而精勝也。
歧伯曰：人所以汗出者，皆生于谷，谷生于精，今邪气交争于骨肉而得汗者，是邪却而精胜也。
Qí bó yuē: rén suǒ yǐ hàn chū zhě, jiē shēng yú gǔ, gǔ shēng yú jīng, jīn xié qì jiāo zhēng yú gǔ ròu ér dé hàn zhě, shì xié què ér jīng shèng yě.
歧伯说：人之所以能出汗，都来源于水谷，水谷又化生于精气。如今邪气与正气在骨肉之间交争而能出汗的，是邪气退却、精气获胜。
Qi Bo says: what makes a person sweat all comes from grain, and grain is generated from essence. Now, when evil qi contends with the true qi in the bones and flesh and sweating results, that is the evil giving way and essence prevailing.
5
精勝則當能食而不復熱。
精胜则当能食而不复热。
Jīng shèng zé dāng néng shí ér bù fù rè.
精气胜了，就应当能进食而不再发热。
If essence prevails, one should be able to eat and the heat should not return.
Fù rè zhě, xié qì yě, hàn zhě, jīng qì yě.
再度发热的是邪气，所出之汗是精气。
The returning heat is the evil qi; the sweat is the essence qi.
7
今汗出而輒復熱者，是邪勝也。
今汗出而辄复热者，是邪胜也。
Jīn hàn chū ér zhé fù rè zhě, shì xié shèng yě.
如今汗出之后随即又发热的，是邪气胜了。
But here sweat comes out and the heat returns at once: the evil has prevailed.
Bù néng shí zhě, jīng wú bǐ yě.
不能进食的，是精气无从补益。
The inability to eat means the essence has nothing to draw on (bǐ 俾, to supply).
9
病而留者，其壽可立而傾也。
病而留者，其寿可立而倾也。
Bìng ér liú zhě, qí shòu kě lì ér qīng yě.
病邪留而不去的，其寿命可以立刻倾覆。
If the disease lingers, the allotted lifespan can be overturned where one stands.
10
且夫熱論曰：汗出而脉尚躁盛者死。
且夫热论曰：汗出而脉尚躁盛者死。
Qiě fú rè lùn yuē: hàn chū ér mài shàng zào shèng zhě sǐ.
况且《热论》说：汗出之后脉象仍然躁动盛大的，是死证。
Moreover the Discourse on Heat says: if after sweating the vessel is still agitated and exuberant, there is death.
11
今脉不與汗相應，此不勝其病也，其死明矣。
今脉不与汗相应，此不胜其病也，其死明矣。
Jīn mài bù yǔ hàn xiāng yìng, cǐ bù shèng qí bìng yě, qí sǐ míng yǐ.
如今脉象不与汗出相应，汗出本应当脉静，却反见躁盛，这是正气不能胜过病邪，死亡已经明白无疑了。
Here the vessel does not answer to the sweating — plainly the person cannot overcome the disease, and death is evident.
12
狂言者，是失志，失志者死。
狂言者，是失志，失志者死。
Kuáng yán zhě, shì shī zhì, shī zhì zhě sǐ.
言语狂乱的，是心志丧失；丧失心志的，是死证。
Raving speech means the will is lost, and where the will is lost there is death.
13
今見三死，不見一生，雖愈必死也。
今见三死，不见一生，虽愈必死也。
Jīn jiàn sān sǐ, bù jiàn yī shēng, suī yù bì sǐ yě.
如今见到三种死证，不见一线生机，即使暂时见好也必定死亡。
Three deaths are to be seen and not one sign of life: though there seem to be recovery, death is certain.
14
帝曰：有病身熱，汗出煩滿，煩滿不爲汗解，此爲何病？
帝曰：有病身热，汗出烦满，烦满不为汗解，此为何病？
Dì yuē: yǒu bìng shēn rè, hàn chū fán mǎn, fán mǎn bù wéi hàn jiě, cǐ wéi hé bìng?
黄帝说：有人身体发热，汗出，烦闷胀满，而这烦闷胀满并不因汗出而缓解，这是什么病？
There are those with heat in the body, sweating, and a fretting fullness that the sweating does not resolve. What disease is this?
15
歧伯曰：汗出而身熱者，風也；汗出而煩滿不解者，厥也。
歧伯曰：汗出而身热者，风也；汗出而烦满不解者，厥也。
Qí bó yuē: hàn chū ér shēn rè zhě, fēng yě; hàn chū ér fán mǎn bù jiě zhě, jué yě.
歧伯说：汗出而身热的，是风邪；汗出而烦闷不解的，是气上逆，即厥。
Qi Bo says: sweating with heat in the body is wind; sweating with a fretting fullness that does not resolve is inversion.
Bìng míng yuē fēng jué.
病名叫风厥。
The disease is called wind inversion.
17
帝曰：願卒聞之。
帝曰：愿卒闻之。
Dì yuē: yuàn cù wén zhī.
黄帝说：希望详尽地听完。
I would hear it out in full, says the Emperor (cù 卒, to the end).
18
歧伯曰：巨陽主氣，故先受邪，少陰與其爲表裏也，得熱則上從之，從之則厥也。
歧伯曰：巨阳主气，故先受邪，少阴与其为表里也，得热则上从之，从之则厥也。
Qí bó yuē: jù yáng zhǔ qì, gù xiān shòu xié, shào yīn yǔ qí wéi biǎo lǐ yě, dé rè zé shàng cóng zhī, cóng zhī zé jué yě.
歧伯说：巨阳，即太阳，主一身之表气，所以先受邪；少阴与巨阳为表里，少阴得热便随而上逆，随之上逆就成了厥。
Qi Bo says: the great yang governs the qi of the exterior, and so takes the evil first; the shaoyin stands to it as inner to outer, and when it takes heat it follows upward — and following upward is inversion.
19
帝曰：治之柰何？
帝曰：治之奈何？
Dì yuē: zhì zhī nài hé?
黄帝说：怎样治疗呢？
How is it treated? asks the Emperor.
20
歧伯曰：表裏剌之，飲之服湯。
歧伯曰：表里刺之，饮之服汤。
Qí bó yuē: biǎo lǐ cì zhī, yǐn zhī fú tāng.
歧伯说：表里两经都针刺，并给汤药服用。
Needle both the outer and the inner, and give a decoction to drink.
21
帝曰：勞風爲病，何如？
帝曰：劳风为病，何如？
Dì yuē: láo fēng wéi bìng, hé rú?
黄帝说：劳风这种病，是怎样的？
And what of the disease of wind from overexertion?
22
歧伯曰：勞風法在肺下。
歧伯曰：劳风法在肺下。
Qí bó yuē: láo fēng fǎ zài fèi xià.
歧伯说：劳风的病位，常法在肺下。
Qi Bo says: the rule of wind from overexertion is that it sits below the lung.
23
其爲病也，使人強上冥視，唾出若涕，惡風而振寒，此爲勞風之病。
其为病也，使人强上冥视，唾出若涕，恶风而振寒，此为劳风之病。
Qí wéi bìng yě, shǐ rén jiāng shàng míng shì, tuò chū ruò tì, wù fēng ér zhèn hán, cǐ wéi láo fēng zhī bìng.
它发病时，使人颈项强直上仰、目视昏暗，唾出之物像鼻涕，怕风而寒战，这就是劳风病。
As a disease it makes a person stiffen and hold the head up, and see dimly; spittle comes out like snivel; there is dislike of wind and shivering with cold. This is the disease of wind from overexertion.
24
帝曰：治之柰何？
帝曰：治之奈何？
Dì yuē: zhì zhī nài hé?
黄帝说：怎样治疗呢？
How is it treated?
25
歧伯曰：以救俛仰，巨陽引精者三日，中年者五日，不精者七日。
歧伯曰：以救俯仰，巨阳引精者三日，中年者五日，不精者七日。
Qí bó yuē: yǐ jiù fǔ yǎng, jù yáng yǐn jīng zhě sān rì, zhōng nián zhě wǔ rì, bù jīng zhě qī rì.
歧伯说：以救治俯仰不利为要。巨阳能引精上达的，三日可愈；中年人五日；精气不足的七日。
The point is to rescue the bending and lifting. Where the great yang can draw the essence up: three days. A person of middle years: five days. One whose essence is not sound: seven days.
26
欬出青黄涕，其狀如膿，大如彈丸，從口中若鼻中出，不出則傷肺，傷肺則死也。
咳出青黄涕，其状如脓，大如弹丸，从口中若鼻中出，不出则伤肺，伤肺则死也。
Kài chū qīng huáng tì, qí zhuàng rú nóng, dà rú dàn wán, cóng kǒu zhōng ruò bí zhōng chū, bù chū zé shāng fèi, shāng fèi zé sǐ yě.
咳出青黄色的涕液，形状像脓，大小如弹丸，从口中或从鼻中排出；排不出来就会伤肺，伤肺就会死亡。
Cough up snivel, blue-green and yellow, the consistency of pus and the size of a pellet, out of the mouth or out of the nose. If it does not come out it injures the lung, and an injured lung means death.
27
帝曰：有病腎風者，面胕痝然壅，害於言，可剌不？
帝曰：有病肾风者，面胕痝然壅，害于言，可刺不？
Dì yuē: yǒu bìng shèn fēng zhě, miàn fū máng rán yōng, hài yú yán, kě cì fǒu?
黄帝说：患肾风的，面部浮肿、庞然壅起，妨碍言语，可以针刺吗？
There is the disease of kidney wind: the face is swollen, puffy and congested, and speech is impaired. May one needle it?
Qí bó yuē: xū bù dāng cì.
歧伯说：正气已虚，不应当针刺。
Qi Bo says: in vacuity one must not needle.
29
不當剌而剌，後五日，其氣必至。
不当刺而刺，后五日，其气必至。
Bù dāng cì ér cì, hòu wǔ rì, qí qì bì zhì.
不应当针刺而针刺了，五天后那病气必定发作。
Needle where one should not, and after five days that qi will surely arrive.
30
帝曰：其至何如？
帝曰：其至何如？
Dì yuē: qí zhì hé rú?
黄帝说：它发作时是怎样的？
And when it arrives, what is it like?
31
歧伯曰：至必少氣時熱，時熱從胸背上至頭，汗出手熱，口乾苦渴，小便黄，目下腫，腹中鳴，身重難以行，月事不來，煩而不能食，不能正偃，正偃則欬，病名曰風水，論在剌法中。
歧伯曰：至必少气时热，时热从胸背上至头，汗出手热，口干苦渴，小便黄，目下肿，腹中鸣，身重难以行，月事不来，烦而不能食，不能正偃，正偃则咳，病名曰风水，论在刺法中。
Qí bó yuē: zhì bì shǎo qì shí rè, shí rè cóng xiōng bèi shàng zhì tóu, hàn chū shǒu rè, kǒu gān kǔ kě, xiǎo biàn huáng, mù xià zhǒng, fù zhōng míng, shēn zhòng nán yǐ xíng, yuè shì bù lái, fán ér bù néng shí, bù néng zhèng yǎn, zhèng yǎn zé kài, bìng míng yuē fēng shuǐ, lùn zài cì fǎ zhōng.
歧伯说：发作时必定气短、时时发热，热从胸背上冲至头，汗出而手心发热，口干发苦、口渴，小便黄，目下浮肿，腹中鸣响，身体沉重难以行走，女子月经不来，烦躁而不能进食，不能仰卧平躺，仰卧就咳嗽，病名叫风水，其论在刺法之中。
When it comes there is sure to be shortness of qi and periodic heat, the heat rising from chest and back up to the head; sweating with hot hands; a dry and bitter mouth with thirst; yellow urine; swelling below the eyes; rumbling in the belly; heaviness of the body that makes walking hard; and in women the menses do not come. There is fretting and inability to eat, and inability to lie flat — lying flat brings on coughing. The disease is called wind water, and it is discussed among the needling methods.
32
帝曰：願聞其説。
帝曰：愿闻其说。
Dì yuē: yuàn wén qí shuō.
黄帝说：希望听听其中的道理。
I would hear the explanation.
Qí bó yuē: xié zhī suǒ còu, qí qì bì xū.
歧伯说：邪气所凑聚之处，那里的正气必定虚。
Qi Bo says: where the evil gathers, the qi there is inevitably vacuous.
34
陰虚者，陽必湊之，故少氣時熱而汗出也。
阴虚者，阳必凑之，故少气时热而汗出也。
Yīn xū zhě, yáng bì còu zhī, gù shǎo qì shí rè ér hàn chū yě.
阴分虚的，阳邪必定凑聚于那里，所以气短、时时发热而汗出。
Where yin is vacuous, yang must gather there; hence the shortness of qi, the periodic heat, and the sweating.
35
小便黃者，少腹中有熱也。
小便黄者，少腹中有热也。
Xiǎo biàn huáng zhě, shào fù zhōng yǒu rè yě.
小便黄的，是少腹之中有热。
Yellow urine: there is heat within the lower abdomen.
36
不能正偃者，胃中不和也。
不能正偃者，胃中不和也。
Bù néng zhèng yǎn zhě, wèi zhōng bù hé yě.
不能仰卧平躺的，是胃中不和。
Inability to lie flat: disharmony within the stomach.
37
正偃則欬甚，上迫肺也。
正偃则咳甚，上迫肺也。
Zhèng yǎn zé kài shèn, shàng pò fèi yě.
仰卧则咳嗽加重，是水气上迫于肺。
Lying flat makes the cough worse, because the qi presses upward on the lung.
38
諸有水氣者，微腫先見於目下也。
诸有水气者，微肿先见于目下也。
Zhū yǒu shuǐ qì zhě, wēi zhǒng xiān jiàn yú mù xià yě.
凡是有水气的，轻微的浮肿先出现在目下。
In all who have water qi, slight swelling shows first below the eyes.
39
帝曰：何以言？
帝曰：何以言？
Dì yuē: hé yǐ yán?
黄帝说：凭什么这样说？
On what grounds do you say that?
40
歧伯曰：水者，陰也；目下，亦陰也；腹者，至陰之所居，故水在腹者，必使目下腫也。
歧伯曰：水者，阴也；目下，亦阴也；腹者，至阴之所居，故水在腹者，必使目下肿也。
Qí bó yuē: shuǐ zhě, yīn yě; mù xià, yì yīn yě; fù zhě, zhì yīn zhī suǒ jū, gù shuǐ zài fù zhě, bì shǐ mù xià zhǒng yě.
歧伯说：水属阴；目下也属阴；腹部是至阴所居之处，所以水停在腹中的，必定使目下浮肿。
Qi Bo says: water is yin, and the region below the eyes is yin too; the belly is where the utmost yin dwells. So when water is in the belly, it must make the region below the eyes swell.
Zhēn qì shàng nì, gù kǒu kǔ shé gān, wò bù dé zhèng yǎn, zhèng yǎn zé kài chū qīng shuǐ yě.
真气上逆，所以口苦、舌干，睡卧不能仰卧平躺，仰卧就会咳出清水。
The true qi counterflows upward, hence the bitter mouth and dry tongue, and when lying down one cannot lie flat; lying flat brings up clear water with the cough.
42
諸水病者，故不得卧，卧則驚，驚則欬甚也。
诸水病者，故不得卧，卧则惊，惊则咳甚也。
Zhū shuǐ bìng zhě, gù bù dé wò, wò zé jīng, jīng zé kài shèn yě.
凡是水病的，所以不能平卧，卧下就惊惕不安，惊惕则咳嗽加重。
In all water diseases one therefore cannot lie down: lying down brings startlement, and startlement makes the cough worse.
43
腹中鳴者，病本於胃也。
腹中鸣者，病本于胃也。
Fù zhōng míng zhě, bìng běn yú wèi yě.
腹中鸣响的，病根在胃。
Rumbling in the belly: the disease has its root in the stomach.
44
薄脾則煩不能食。
薄脾则烦不能食。
Bó pí zé fán bù néng shí.
病邪迫及于脾就心中烦闷而不能进食。
When it presses upon the spleen there is fretting and inability to eat (bó 薄, to press upon).
Shí bù xià zhě, wèi wǎn gé yě.
食物下不去的，是胃脘阻隔不通。
Food will not go down because the stomach duct is blocked (gé 隔, a barrier).
46
身重難以行者，胃脉在足也。
身重难以行者，胃脉在足也。
Shēn zhòng nán yǐ xíng zhě, wèi mài zài zú yě.
身体沉重难以行走的，是因为胃脉下行于足。
Heaviness of the body that makes walking hard: the stomach vessel is in the foot.
Yuè shì bù lái zhě. Bāo mài bì yě.
月经不来的，是胞脉闭塞。
The menses do not come: the vessel of the womb is closed. (The base text breaks the sentence after 者; it belongs read as one.)
48
胞脉者，屬心而絡於胞中。
胞脉者，属心而络于胞中。
Bāo mài zhě, shǔ xīn ér luò yú bāo zhōng.
胞脉，连属于心而网络于胞宫之中。
The vessel of the womb belongs to the heart and nets into the womb.
49
今氣上迫肺，心氣不得下通，故月事不來也。
今气上迫肺，心气不得下通，故月事不来也。
Jīn qì shàng pò fèi, xīn qì bù dé xià tōng, gù yuè shì bù lái yě.
如今气上迫于肺，心气不能下通于胞脉，所以月经不来。
Now that the qi presses upward on the lung, the heart qi cannot pass downward, and so the menses do not come.
50
帝曰：善。
帝曰：善。
Dì yuē: shàn.
黄帝说：讲得好。
Good, says the Emperor.