1
黃帝問於歧伯曰：邪氣之中人也，奈何？歧伯答曰：邪氣之中人高也。
黄帝问于歧伯曰：邪气之中人也，奈何？歧伯答曰：邪气之中人高也。 Huáng Dì wèn yú Qí Bó yuē: xié qì zhī zhòng rén yě, nài hé? Qí Bó dá yuē: xié qì zhī zhòng rén gāo yě.
黄帝问歧伯说：邪气侵犯人体，是怎样的？歧伯回答说：邪气侵犯人体的部位偏高。
Huang Di asked Qi Bo: When evil qi strikes a person, how is it? Qi Bo answered: The place where evil qi strikes a person is high.
2
黃帝曰：高下有度乎？歧伯曰：身半已上者，邪中之也；身半已下者，濕中之也。故曰邪之中人也無有常，中于陰則溜于府，中于陽則溜于經。
黄帝曰：高下有度乎？歧伯曰：身半已上者，邪中之也；身半已下者，湿中之也。故曰邪之中人也无有常，中于阴则溜于府，中于阳则溜于经。 Huáng Dì yuē: gāo xià yǒu dù hū? Qí Bó yuē: shēn bàn yǐ shàng zhě, xié zhòng zhī yě; shēn bàn yǐ xià zhě, shī zhòng zhī yě. gù yuē xié zhī zhòng rén yě wú yǒu cháng, zhòng yú yīn zé liū yú fǔ, zhòng yú yáng zé liū yú jīng.
黄帝说：高下有一定法度吗？歧伯说：身体上半部，是邪气所伤；下半部，是湿气所伤。所以说邪气伤人没有固定之处，侵入阴分就流注到府，侵入阳分就流注到经。
Huang Di said: Is there a measure to high and low? Qi Bo said: The upper half of the body is where evil strikes; the lower half is where dampness strikes. Therefore it is said that evil qi has no fixed place in striking a person: striking yin, it flows to the fu; striking yang, it flows to the channels.
3
黃帝曰：陰之與陽也，異名同類，上下相會，經絡之相貫，如環無端。邪之中人，或中于陰，或中于陽，上下左右，無有恒常，其故何也？
黄帝曰：阴之与阳也，异名同类，上下相会，经络之相贯，如环无端。邪之中人，或中于阴，或中于阳，上下左右，无有恒常，其故何也？ Huáng Dì yuē: yīn zhī yǔ yáng yě, yì míng tóng lèi, shàng xià xiāng huì, jīng luò zhī xiāng guàn, rú huán wú duān. xié zhī zhòng rén, huò zhòng yú yīn, huò zhòng yú yáng, shàng xià zuǒ yòu, wú yǒu héng cháng, qí gù hé yě?
黄帝说：阴与阳，名称不同而类别相同，上下相互会合，经络相互贯通，像环一样没有端首。邪气伤人，或侵入阴分，或侵入阳分，上下左右没有一定，这是什么缘故？
Huang Di said: Yin and yang differ in name but are the same in kind; above and below they meet, and the channels and network vessels run through one another like a ring without end. When evil strikes a person, now into yin, now into yang, above and below, left and right, without constancy — what is the reason?
4
歧伯曰：諸陽之會，皆在于面。中人也，方乘虚時，及新用力，若飲食汗出，腠理開，而中于邪。中于面則下陽明，中于項則下太陽，中于頰則下少陽；其中于膺背兩脅，亦中其經。
歧伯曰：诸阳之会，皆在于面。中人也，方乘虚时，及新用力，若饮食汗出，腠理开，而中于邪。中于面则下阳明，中于项则下太阳，中于颊则下少阳；其中于膺背两胁，亦中其经。 Qí Bó yuē: zhū yáng zhī huì, jiē zài yú miàn. zhòng rén yě, fāng chéng xū shí, jí xīn yòng lì, ruò yǐn shí hàn chū, còu lǐ kāi, ér zhòng yú xié. zhòng yú miàn zé xià yáng míng, zhòng yú xiàng zé xià tài yáng, zhòng yú jiá zé xià shào yáng; qí zhòng yú yīng bèi liǎng xié, yì zhòng qí jīng.
歧伯说：诸阳经会合的地方，都在面部。邪气伤人的时候，正当乘虚之时，以及刚刚用力之后，或者饮食汗出、腠理开泄，于是侵入邪气。侵入面部就下走阳明，侵入项部就下走太阳，侵入颊部就下走少阳；侵入胸膺、背部、两胁的，也各中其经。
Qi Bo said: The meetings of all the yang are on the face. When it strikes a person, it does so at the moment it rides a deficiency, or just after exertion, or when food and drink have brought sweat and the interstices are open, and so it enters as evil. Striking the face, it descends to yangming; striking the nape, it descends to taiyang; striking the cheek, it descends to shaoyang. Where it strikes the chest, back and both flanks, it also strikes the channel concerned.
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黃帝曰：其中于陰奈何？歧伯答曰：中于陰者，常從臂胻始。夫臂與胻，其陰皮薄，其肉淖澤，故俱受于風，獨傷其陰。
黄帝曰：其中于阴奈何？歧伯答曰：中于阴者，常从臂胻始。夫臂与胻，其阴皮薄，其肉淖泽，故俱受于风，独伤其阴。 Huáng Dì yuē: qí zhòng yú yīn nài hé? Qí Bó dá yuē: zhòng yú yīn zhě, cháng cóng bì héng shǐ. fū bì yǔ héng, qí yīn pí bó, qí ròu nào zé, gù jù shòu yú fēng, dú shāng qí yīn.
黄帝说：邪气侵入阴分是怎样的？歧伯回答说：侵入阴分的，常常从臂与胻开始。臂与胻的内侧皮肤薄，肌肉柔润，所以同样受风，唯独伤了它的阴分。
Huang Di said: What of its striking yin? Qi Bo answered: When it strikes yin it invariably begins at the arm and the shin. For the skin on the yin side of arm and shin is thin and the flesh moist and glossy, and so although both receive wind, it injures only the yin there.
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黃帝曰：此故傷其藏乎？歧伯答曰：身之中于風也，不必動藏，故邪入于陰經，則其藏氣實，邪氣入而不能客，故還之於府。故中陽則溜于經，中陰則溜于府。
黄帝曰：此故伤其藏乎？歧伯答曰：身之中于风也，不必动藏，故邪入于阴经，则其藏气实，邪气入而不能客，故还之于府。故中阳则溜于经，中阴则溜于府。 Huáng Dì yuē: cǐ gù shāng qí zàng hū? Qí Bó dá yuē: shēn zhī zhòng yú fēng yě, bù bì dòng zàng, gù xié rù yú yīn jīng, zé qí zàng qì shí, xié qì rù ér bù néng kè, gù hái zhī yú fǔ. gù zhòng yáng zé liū yú jīng, zhòng yīn zé liū yú fǔ.
黄帝说：这是伤了五藏吗？歧伯回答说：身体受风，不一定触动五藏；所以邪气进入阴经，如果藏气实，邪气进入而不能停留，就会还归到府。所以中于阳就流注于经，中于阴就流注于府。
Huang Di said: Does this then injure the zang? Qi Bo answered: When the body is struck by wind it does not necessarily stir the zang. Therefore when evil enters a yin channel, if the qi of that zang is solid the evil may enter but cannot lodge, and so returns to the fu. Hence striking yang it flows to the channels, striking yin it flows to the fu.
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黃帝曰：邪之中人藏，奈何？歧伯曰：愁憂恐懼則傷心，形寒寒飲則傷肺。以其兩寒相感，中外皆傷，故氣道而上行。有所墮墜，惡血留内，若有所大怒，氣上而不下，積于脅下，則傷肝。有所擊仆，若醉入房，汗出當風，則傷脾。有所用力舉重，若入房過度，汗出浴水，則傷腎。
黄帝曰：邪之中人藏，奈何？歧伯曰：愁忧恐惧则伤心，形寒寒饮则伤肺。以其两寒相感，中外皆伤，故气道而上行。有所堕坠，恶血留内，若有所大怒，气上而不下，积于胁下，则伤肝。有所击仆，若醉入房，汗出当风，则伤脾。有所用力举重，若入房过度，汗出浴水，则伤肾。 Huáng Dì yuē: xié zhī zhòng rén zàng, nài hé? Qí Bó yuē: chóu yōu kǒng jù zé shāng xīn, xíng hán hán yǐn zé shāng fèi. yǐ qí liǎng hán xiāng gǎn, zhōng wài jiē shāng, gù qì dào ér shàng xíng. yǒu suǒ duò zhuì, è xuè liú nèi, ruò yǒu suǒ dà nù, qì shàng ér bù xià, jī yú xié xià, zé shāng gān. yǒu suǒ jī pū, ruò zuì rù fáng, hàn chū dāng fēng, zé shāng pí. yǒu suǒ yòng lì jǔ zhòng, ruò rù fáng guò dù, hàn chū yù shuǐ, zé shāng shèn.
黄帝说：邪气伤人藏府是怎样的？歧伯说：忧愁恐惧就伤心，形体受寒、寒饮入胃就伤肺。因为两寒相感，内外都伤，所以气逆而上行。有所堕坠，恶血留在内，或有大怒，气上而不下，积于胁下，就伤肝。有所击仆，或醉后入房，汗出当风，就伤脾。有所用力举重，或入房过度，汗出浴水，就伤肾。
Huang Di said: What of evil striking a person’s zang? Qi Bo said: Sorrow, worry, fear and dread injure the heart; cold of body and cold drink injure the lung. Because the two colds affect one another, within and without are both injured, and so the qi pathway moves upward. Falling or dropping down leaves bad blood within; or great anger makes the qi rise and not descend, gathering below the flanks, and so injures the liver. Being struck and thrown down, or entering the chamber drunk, with sweat issuing and facing the wind, injures the spleen. Exerting force to lift a weight, or entering the chamber to excess, with sweat issuing and bathing in water, injures the kidney.
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黃帝曰：五藏之中風奈何？歧伯曰：陰陽俱感，邪乃得徃。黃帝曰：善哉！
黄帝曰：五藏之中风奈何？歧伯曰：阴阳俱感，邪乃得往。黄帝曰：善哉！ Huáng Dì yuē: wǔ zàng zhī zhòng fēng nài hé? Qí Bó yuē: yīn yáng jù gǎn, xié nǎi dé wǎng. Huáng Dì yuē: shàn zāi!
黄帝说：五藏之中风是怎样的？歧伯说：阴阳都受感，邪气才能往来。黄帝说：好。
Huang Di said: What of the five zang being struck by wind? Qi Bo said: When yin and yang are both affected, then evil can come and go. Huang Di said: Good.
9
黃帝問於歧伯曰：首面與身形也，屬骨連筋，同血合於氣耳。天寒則裂地凌冰，其卒寒或手足懈惰，然而其面不衣，何也？歧伯答曰：十二經脉，三百六十五絡，其血氣皆上于面而走空竅，其精陽氣上走於目而爲睛，其别氣走於耳而爲聽，其宗氣上出於鼻而爲臭，其濁氣出於胃，走脣舌而爲味。其氣之津液，皆上熏于面，而皮又厚，其肉堅，故天氣甚寒不能勝之也。
黄帝问于歧伯曰：首面与身形也，属骨连筋，同血合于气耳。天寒则裂地凌冰，其卒寒或手足懈惰，然而其面不衣，何也？歧伯答曰：十二经脉，三百六十五络，其血气皆上于面而走空窍，其精阳气上走于目而为睛，其别气走于耳而为听，其宗气上出于鼻而为臭，其浊气出于胃，走唇舌而为味。其气之津液，皆上熏于面，而皮又厚，其肉坚，故天气甚寒不能胜之也。 Huáng Dì wèn yú Qí Bó yuē: shǒu miàn yǔ shēn xíng yě, zhǔ gǔ lián jīn, tóng xuè hé yú qì ěr. tiān hán zé liè dì líng bīng, qí cù hán huò shǒu zú xiè duò, rán ér qí miàn bù yì, hé yě? Qí Bó dá yuē: shí èr jīng mài, sān bǎi liù shí wǔ luò, qí xuè qì jiē shàng yú miàn ér zǒu kōng qiào, qí jīng yáng qì shàng zǒu yú mù ér wéi jīng, qí bié qì zǒu yú ěr ér wéi tīng, qí zōng qì shàng chū yú bí ér wéi xiù, qí zhuó qì chū yú wèi, zǒu chún shé ér wéi wèi. qí qì zhī jīn yè, jiē shàng xūn yú miàn, ér pí yòu hòu, qí ròu jiān, gù tiān qì shèn hán bù néng shèng zhī yě.
黄帝问歧伯说：头面与身形，连属骨、连缀筋，同血合气罢了。天寒就裂地结冰，忽然寒冷时手足或懈惰不灵，然而面部不用衣裹，为什么？歧伯回答说：十二经脉、三百六十五络，它们的血气都上行到面而走入空窍，其精阳之气上走于目而成睛，其别出的气走于耳而成听，其宗气上出于鼻而成嗅，其浊气出于胃，走于唇舌而成味。其气的津液都上熏于面，而面部皮肤又厚，肌肉又坚，所以天气很冷也不能胜过它。
Huang Di asked Qi Bo: Head and face with the body and form — they are joined to the bones, linked by the sinews, share the blood and unite in the qi, that is all. When heaven is cold it cracks the earth and piles up ice, and in sudden cold the hands and feet may be slack and useless; yet the face needs no clothing. Why is this? Qi Bo answered: In the twelve channels and the three hundred and sixty-five network vessels the blood and qi all go up to the face and enter the hollow openings. The essence-yang qi goes up to the eyes and makes sight; the separated qi goes to the ears and makes hearing; the ancestral qi goes out at the nose and makes smell; the turbid qi goes out from the stomach to the lips and tongue and makes taste. The fluids of this qi all steam upward to the face, and moreover its skin is thick and its flesh firm, so that the cold of heaven, however severe, cannot overcome it.
10
黃帝曰：邪之中人，其病形何如？歧伯曰：
黄帝曰：邪之中人，其病形何如？歧伯曰： Huáng Dì yuē: xié zhī zhòng rén, qí bìng xíng hé rú? Qí Bó yuē:
黄帝说：邪气伤人，病的形状怎样？歧伯说：
Huang Di said: When evil strikes a person, what is the form of the disease? Qi Bo said:
11
虚邪之中身也，灑淅動形；正邪之中人也，微，先見于色，不知于身，若有若無，若亡若存，有形無形，莫知其情。黃帝曰：善哉！
虚邪之中身也，洒淅动形；正邪之中人也，微，先见于色，不知于身，若有若无，若亡若存，有形无形，莫知其情。黄帝曰：善哉！ xū xié zhī zhòng shēn yě, sǎ xī dòng xíng; zhèng xié zhī zhòng rén yě, wēi, xiān xiàn yú sè, bù zhī yú shēn, ruò yǒu ruò wú, ruò wáng ruò cún, yǒu xíng wú xíng, mò zhī qí qíng. Huáng Dì yuē: shàn zāi!
虚邪伤身，洒淅寒栗而形体振动；正邪伤人很轻微，先表现在面色，身上没有感觉，若有若无，若亡若存，有形无形，不能知道它的情状。黄帝说：好。
When deficient evil strikes the body, there is shivering and the form is shaken. When upright evil strikes a person it is slight: it first appears in the colour, is not felt in the body, seems present and seems absent, seems gone and seems still there, has form and has no form, and no one knows its true condition. Huang Di said: Good.
12
黃帝問於歧伯曰：余聞之，見其色，知其病，命曰明；按其脉，知其病，命曰神；問其病，知其處，命曰工。余願聞見而知之，按而得之，問而極之，爲之奈何？歧伯答曰：夫色脉與尺之相應也，如桴鼓影響之相應也，不得相失也。此亦本末根葉之出候也，故根死則葉枯矣。色脉形肉，不得相失也。故知一則爲工，知二則爲神，知三則神且明矣。
黄帝问于歧伯曰：余闻之，见其色，知其病，命曰明；按其脉，知其病，命曰神；问其病，知其处，命曰工。余愿闻见而知之，按而得之，问而极之，为之奈何？歧伯答曰：夫色脉与尺之相应也，如桴鼓影响之相应也，不得相失也。此亦本末根叶之出候也，故根死则叶枯矣。色脉形肉，不得相失也。故知一则为工，知二则为神，知三则神且明矣。 Huáng Dì wèn yú Qí Bó yuē: yú wén zhī, jiàn qí sè, zhī qí bìng, mìng yuē míng; àn qí mài, zhī qí bìng, mìng yuē shén; wèn qí bìng, zhī qí chù, mìng yuē gōng. yú yuàn wén jiàn ér zhī zhī, àn ér dé zhī, wèn ér jí zhī, wéi zhī nài hé? Qí Bó dá yuē: fū sè mài yǔ chǐ zhī xiāng yīng yě, rú fú gǔ yǐng xiǎng zhī xiāng yīng yě, bù dé xiāng shī yě. cǐ yì běn mò gēn yè zhī chū hòu yě, gù gēn sǐ zé yè kū yǐ. sè mài xíng ròu, bù dé xiāng shī yě. gù zhī yī zé wéi gōng, zhī èr zé wéi shén, zhī sān zé shén qiě míng yǐ.
黄帝问歧伯说：我听说，看面色就能知道病，叫作明；按脉就能知道病，叫作神；问病情就能知道病处，叫作工。我希望听讲见了就能知道，按了就能得到，问了就能穷尽，这怎么做？歧伯回答说：色、脉与尺肤相应，如同桴鼓、影、响相应，不能相失。这也是本末根叶的外候，所以根死则叶枯。色脉形肉不能相失。所以知其一就是工，知其二就是神，知其三就神而且明。
Huang Di asked Qi Bo: I have heard that to see the colour and know the disease is called clear-sightedness; to press the pulse and know the disease is called spirit; to ask about the disease and know its place is called workmanship. I wish to hear how seeing and knowing, pressing and obtaining, asking and exhausting it are done. Qi Bo answered: The response of colour and pulse with the cubit is like the response of drumstick and drum, of shadow and echo; they cannot lose one another. This too is the outward evidence of root and branch, of root and leaf: when the root dies the leaves wither. Colour, pulse, form and flesh cannot lose one another. Therefore to know one is to be a workman, to know two is to be a spirit, to know three is to be a spirit and clear-sighted as well.
13
黃帝曰：願卒聞之。歧伯答曰：色青者，其脉絃也；赤者，其脉鉤也；黃者，其脉代也；白者，其脉毛；黑者，其脉石。見其色而不得其脉，反得其相勝之脉，則死矣；得其相生之脉，則病已矣。
黄帝曰：愿卒闻之。歧伯答曰：色青者，其脉弦也；赤者，其脉钩也；黄者，其脉代也；白者，其脉毛；黑者，其脉石。见其色而不得其脉，反得其相胜之脉，则死矣；得其相生之脉，则病已矣。 Huáng Dì yuē: yuàn zú wén zhī. Qí Bó dá yuē: sè qīng zhě, qí mài xián yě; chì zhě, qí mài gōu yě; huáng zhě, qí mài dài yě; bái zhě, qí mài máo; hēi zhě, qí mài shí. jiàn qí sè ér bù dé qí mài, fǎn dé qí xiāng shèng zhī mài, zé sǐ yǐ; dé qí xiāng shēng zhī mài, zé bìng yǐ yǐ.
黄帝说：希望全部听到。歧伯回答说：色青的，其脉弦；色赤的，其脉钩；色黄的，其脉代；色白的，其脉毛；色黑的，其脉石。见到其色而不得其脉，反得到相胜之脉，就会死；得到相生之脉，病就好了。
Huang Di said: I wish to hear it all. Qi Bo answered: When the colour is green the pulse is taut; when red, the pulse is hooked; when yellow, the pulse is intermittent; when white, the pulse is hairy; when black, the pulse is stony. To see the colour and not obtain its pulse, but instead obtain the pulse that conquers it, means death; to obtain the pulse that generates it means the disease will end.
14
黃帝問於歧伯曰：五藏之所生，變化之病形，何如？
黄帝问于歧伯曰：五藏之所生，变化之病形，何如？ Huáng Dì wèn yú Qí Bó yuē: wǔ zàng zhī suǒ shēng, biàn huà zhī bìng xíng, hé rú?
黄帝问歧伯说：五藏所生、变化的病形是怎样的？
Huang Di asked Qi Bo: The forms of disease produced by the five zang and their transformations — what are they?
15
歧伯答曰：先定其五色五脉之應，其病乃可别也。
歧伯答曰：先定其五色五脉之应，其病乃可别也。 Qí Bó dá yuē: xiān dìng qí wǔ sè wǔ mài zhī yīng, qí bìng nǎi kě bié yě.
歧伯回答说：先确定五色五脉的相应，病才可以辨别。
Qi Bo answered: First fix the responses of the five colours and five pulses, and then the disease can be distinguished.
16
黃帝曰：色脉已定，别之奈何？
黄帝曰：色脉已定，别之奈何？ Huáng Dì yuē: sè mài yǐ dìng, bié zhī nài hé?
黄帝说：色脉已经确定，怎样辨别？
Huang Di said: Colour and pulse being fixed, how are they distinguished?
17
歧伯曰：調其脉之緩急、小大、滑濇，而病變定矣。
歧伯曰：调其脉之缓急、小大、滑涩，而病变定矣。 Qí Bó yuē: tiáo qí mài zhī huǎn jí, xiǎo dà, huá sè, ér bìng biàn dìng yǐ.
歧伯说：审察脉的缓急、小大、滑涩，病变就确定了。
Qi Bo said: Examine the pulse for slow and urgent, small and large, slippery and rough, and the transformation of the disease is fixed.
Huáng Dì yuē: tiáo zhī nài hé? Qí Bó dá yuē: mài jí zhě, chǐ zhī pí fū yì jí; mài huǎn zhě, chǐ zhī pí fū yì huǎn; mài xiǎo zhě, chǐ zhī pí fū yì jiǎn ér shǎo qì; mài dà zhě, chǐ zhī pí fū yì bēn ér qǐ; mài huá zhě, chǐ zhī pí fū yì huá; mài sè zhě, chǐ zhī pí fū yì sè. fán cǐ biàn zhě, yǒu wēi yǒu shèn. gù shàn tiáo chǐ zhě, bù dài yú cùn; shàn tiáo mài zhě, bù dài yú sè. néng cān hé ér xíng zhī zhě, kě yǐ wéi shàng gōng, shàng gōng shí quán jiǔ; xíng èr zhě, wéi zhōng gōng, zhōng gōng shí quán qī; xíng yī zhě, wéi xià gōng, xià gōng shí quán liù.
黄帝说：怎样审察？歧伯回答说：脉急的，尺部皮肤也急；脉缓的，尺部皮肤也缓；脉小的，尺部皮肤也减而少气；脉大的，尺部皮肤也隆起；脉滑的，尺部皮肤也滑；脉涩的，尺部皮肤也涩。凡这些变化，有微有甚。所以善于审察尺部的，不必等寸口；善于审察脉的，不必等望色。能参合而行的，可以作上工，上工十全九；行其二的，是中工，中工十全七；行其一的，是下工，下工十全六。
Huang Di said: How is it examined? Qi Bo answered: When the pulse is urgent the skin of the cubit is urgent too; when the pulse is slow the skin of the cubit is slow too; when the pulse is small the skin of the cubit is reduced and short of qi; when the pulse is large the skin of the cubit rises up; when the pulse is slippery the skin of the cubit is slippery too; when the pulse is rough the skin of the cubit is rough too. Of all these changes some are slight and some extreme. Therefore one who is good at examining the cubit need not wait for the inch, and one who is good at examining the pulse need not wait for the colour. One who can combine them and practise them can be an upper workman, and the upper workman makes whole nine in ten; one who practises two is a middle workman, and the middle workman makes whole seven in ten; one who practises one is a lower workman, and the lower workman makes whole six in ten.
19
黃帝曰：請問脉之緩急小大、滑濇之病形，何如？
黄帝曰：请问脉之缓急小大、滑涩之病形，何如？ Huáng Dì yuē: qǐng wèn mài zhī huǎn jí xiǎo dà, huá sè zhī bìng xíng, hé rú?
黄帝说：请问脉的缓急小大、滑涩的病形是怎样的？
Huang Di said: I beg to ask the disease forms of the slow and urgent, small and large, slippery and rough pulses — what are they?
20
歧伯曰：臣請言五藏之病變也。心脉急甚者，爲瘛瘲；微急，爲心痛引背，食不下；緩甚，爲狂笑；微緩，爲伏梁，在心下，上下行，時唾血；太甚，爲喉吤；微大，爲心痺引背，善淚出；小甚，爲善噦；微小，爲消癉；滑甚，爲善渴；微滑，爲心疝引臍，小腹鳴；濇甚，爲喑；微濇，爲血溢，維厥，耳鳴顛疾。
歧伯曰：臣请言五藏之病变也。心脉急甚者，为瘛疭；微急，为心痛引背，食不下；缓甚，为狂笑；微缓，为伏梁，在心下，上下行，时唾血；太甚，为喉吤；微大，为心痹引背，善泪出；小甚，为善哕；微小，为消瘅；滑甚，为善渴；微滑，为心疝引脐，小腹鸣；涩甚，为喑；微涩，为血溢，维厥，耳鸣颠疾。 Qí Bó yuē: chén qǐng yán wǔ zàng zhī bìng biàn yě. xīn mài jí shèn zhě, wéi chì zòng; wēi jí, wéi xīn tòng yǐn bèi, shí bù xià; huǎn shèn, wéi kuáng xiào; wēi huǎn, wéi fú liáng, zài xīn xià, shàng xià xíng, shí tuò xuè; tài shèn, wéi hóu jiè; wēi dà, wéi xīn bì yǐn bèi, shàn lèi chū; xiǎo shèn, wéi shàn yuě; wēi xiǎo, wéi xiāo dān; huá shèn, wéi shàn kě; wēi huá, wéi xīn shàn yǐn qí, xiǎo fù míng; sè shèn, wéi yīn; wēi sè, wéi xuè yì, wéi jué, ěr míng diān jí.
歧伯说：让我说说五藏的病变。心脉急甚的，是瘛瘲；微急，是心痛牵引背部，食不下；缓甚，是狂笑；微缓，是伏梁，在心下，上下移动，时常唾血；太甚，是喉吤；微大，是心痹牵引背部，常流泪；小甚，是常打呃；微小，是消瘅；滑甚，是常渴；微滑，是心疝牵引脐部，小腹鸣响；涩甚，是失音；微涩，是血溢、维厥、耳鸣、癫疾。
Qi Bo said: Let me speak of the transformations of disease in the five zang. When the heart pulse is extremely urgent there is clonic spasm; slightly urgent, there is pain at the heart pulling the back, with food not going down; extremely slow, there is mad laughter; slightly slow, there is the crouching beam, below the heart, moving up and down, with blood spat from time to time; too extreme, there is a clucking in the throat; slightly large, there is heart block pulling the back, with frequent tears; extremely small, there is frequent hiccup; slightly small, there is wasting thirst; extremely slippery, there is frequent thirst; slightly slippery, there is heart hernia pulling the navel with rumbling in the lower abdomen; extremely rough, there is loss of voice; slightly rough, there is blood overflow, linking reversal, tinnitus and falling sickness.
21
肺脉急甚，爲癲疾；微急，爲肺寒𤍠，怠惰，欬唾血，引腰背胸，若鼻息肉不通；緩甚，爲多汗；微緩，爲痿瘻，偏風，頭以下汗出不可止；太甚，爲脛腫；微大，爲肺痺，引胸背，起惡日光；小甚，爲泄；微小，爲消癉；滑甚，爲息賁上氣；微滑，爲上下出血；濇甚，爲嘔血；微濇，爲鼠瘻，在頸支腋之間，下不勝其上，其應善痠矣。
肺脉急甚，为癫疾；微急，为肺寒𤍠，怠惰，欬唾血，引腰背胸，若鼻息肉不通；缓甚，为多汗；微缓，为痿瘘，偏风，头以下汗出不可止；太甚，为胫肿；微大，为肺痹，引胸背，起恶日光；小甚，为泄；微小，为消瘅；滑甚，为息贲上气；微滑，为上下出血；涩甚，为呕血；微涩，为鼠瘘，在颈支腋之间，下不胜其上，其应善酸矣。 fèi mài jí shèn, wéi diān jí; wēi jí, wéi fèi hán rè, dài duò, kài tuò xuè, yǐn yāo bèi xiōng, ruò bí xī ròu bù tōng; huǎn shèn, wéi duō hàn; wēi huǎn, wéi wěi lòu, piān fēng, tóu yǐ xià hàn chū bù kě zhǐ; tài shèn, wéi jìng zhǒng; wēi dà, wéi fèi bì, yǐn xiōng bèi, qǐ wù rì guāng; xiǎo shèn, wéi xiè; wēi xiǎo, wéi xiāo dān; huá shèn, wéi xī bēn shàng qì; wēi huá, wéi shàng xià chū xuè; sè shèn, wéi ǒu xuè; wēi sè, wéi shǔ lòu, zài jǐng zhī yè zhī jiān, xià bù shèng qí shàng, qí yīng shàn suān yǐ.
肺脉急甚，是癫疾；微急，是肺寒热、怠惰、咳唾血，牵引腰背胸，或鼻中息肉不通；缓甚，是多汗；微缓，是痿瘘、偏风，头以下汗出不止；太甚，是胫肿；微大，是肺痹，牵引胸背，起身怕见日光；小甚，是泄；微小，是消瘅；滑甚，是息贲上气；微滑，是上下出血；涩甚，是呕血；微涩，是鼠瘘，在颈与腋之间，下部不能胜过上部，其应常痠。
When the lung pulse is extremely urgent there is falling sickness; slightly urgent, there is cold-heat of the lung, sloth, coughing of blood, pulling the low back, back and chest, or polyp in the nose with obstruction; extremely slow, there is much sweat; slightly slow, there is flaccid fistula, one-sided wind, and sweat below the head that cannot be stopped; too extreme, there is swelling of the shin; slightly large, there is lung block pulling chest and back, and on rising one dislikes sunlight; extremely small, there is diarrhoea; slightly small, there is wasting thirst; extremely slippery, there is rushing breath and rising qi; slightly slippery, there is bleeding above and below; extremely rough, there is vomiting of blood; slightly rough, there is rat fistula between neck and armpit, where the lower cannot overcome the upper, and its response is a constant ache.
22
肝脉急甚者，爲惡言；微急，爲肥氣，在脅下，若覆杯；緩甚，爲善嘔；微緩，爲水瘕痺也。太甚，爲内癰，善嘔衄；微大，爲肝痺陰縮，欬引小腹。小甚，爲多飲；微小，爲消癉；滑甚，爲㿉疝；微滑，爲遺溺；濇甚，爲溢飲；微濇，爲瘈攣筋痺。
肝脉急甚者，为恶言；微急，为肥气，在胁下，若覆杯；缓甚，为善呕；微缓，为水瘕痹也。太甚，为内痈，善呕衄；微大，为肝痹阴缩，欬引小腹。小甚，为多饮；微小，为消瘅；滑甚，为㿉疝；微滑，为遗溺；涩甚，为溢饮；微涩，为瘈挛筋痹。 gān mài jí shèn zhě, wéi è yán; wēi jí, wéi féi qì, zài xié xià, ruò fù bēi; huǎn shèn, wéi shàn ǒu; wēi huǎn, wéi shuǐ jiǎ bì yě. tài shèn, wéi nèi yōng, shàn ǒu nǜ; wēi dà, wéi gān bì yīn suō, kài yǐn xiǎo fù. xiǎo shèn, wéi duō yǐn; wēi xiǎo, wéi xiāo dān; huá shèn, wéi tuí shàn; wēi huá, wéi yí niào; sè shèn, wéi yì yǐn; wēi sè, wéi zhì luán jīn bì.
肝脉急甚，是恶言；微急，是肥气，在胁下，像覆着的杯子；缓甚，是常呕；微缓，是水瘕痹。太甚，是内痈，常呕衄；微大，是肝痹阴缩，咳引小腹。小甚，是多饮；微小，是消瘅；滑甚，是㿉疝；微滑，是遗尿；涩甚，是溢饮；微涩，是瘈挛筋痹。
When the liver pulse is extremely urgent there is evil speech; slightly urgent, there is fat qi below the flanks, like an overturned cup; extremely slow, there is frequent vomiting; slightly slow, there is water-mass block. Too extreme, there is internal abscess with frequent vomiting of blood and nosebleed; slightly large, there is liver block with shrinking of the genitals, and cough pulling the lower abdomen. Extremely small, there is much drinking; slightly small, there is wasting thirst; extremely slippery, there is hanging hernia; slightly slippery, there is enuresis; extremely rough, there is overflowing drink; slightly rough, there is tetanic contraction and sinew block.
23
脾脉急甚，爲瘈瘲；微急，爲膈中，食飲入而還出，後沃沫。緩甚，爲痿厥；微緩，爲風痿，四肢不用，心慧然若無病。太甚，爲擊仆；微大，爲疝氣，腹裏大膿血，在腸胃之外。小甚，爲寒𤍠；微小，爲消癉；滑甚，爲㿉癃；微滑，爲蟲毒蛔蝎腹𤍠。濇甚，爲腸㿉；微濇，爲内㿉，多下膿血。
脾脉急甚，为瘈疭；微急，为膈中，食饮入而还出，后沃沫。缓甚，为痿厥；微缓，为风痿，四肢不用，心慧然若无病。太甚，为击仆；微大，为疝气，腹里大脓血，在肠胃之外。小甚，为寒𤍠；微小，为消瘅；滑甚，为㿉癃；微滑，为虫毒蛔蝎腹𤍠。涩甚，为肠㿉；微涩，为内㿉，多下脓血。 pí mài jí shèn, wéi zhì zòng; wēi jí, wéi gé zhōng, shí yǐn rù ér hái chū, hòu wò mò. huǎn shèn, wéi wěi jué; wēi huǎn, wéi fēng wěi, sì zhī bù yòng, xīn huì rán ruò wú bìng. tài shèn, wéi jī pū; wēi dà, wéi shàn qì, fù lǐ dà nóng xuè, zài cháng wèi zhī wài. xiǎo shèn, wéi hán rè; wēi xiǎo, wéi xiāo dān; huá shèn, wéi tuí lóng; wēi huá, wéi chóng dú huí xiē fù rè. sè shèn, wéi cháng tuí; wēi sè, wéi nèi tuí, duō xià nóng xuè.
脾脉急甚，是瘈瘲；微急，是膈中，饮食入而还出，后出沃沫。缓甚，是痿厥；微缓，是风痿，四肢不用，心中明白像没有病。太甚，是击仆；微大，是疝气，腹里大脓血，在肠胃之外。小甚，是寒热；微小，是消瘅；滑甚，是㿉癃；微滑，是虫毒蛔蝎腹热。涩甚，是肠㿉；微涩，是内㿉，多下脓血。
When the spleen pulse is extremely urgent there is clonic spasm; slightly urgent, there is blockage in the diaphragm, food and drink going in and coming back out, with frothy matter passed below. Extremely slow, there is flaccid reversal; slightly slow, there is wind flaccidity, the four limbs useless, while the mind is clear as if there were no disease. Too extreme, there is being struck down; slightly large, there is hernia qi, with much pus and blood within the abdomen, outside the intestines and stomach. Extremely small, there is cold-heat; slightly small, there is wasting thirst; extremely slippery, there is hanging retention; slightly slippery, there is worm poison, roundworm and scorpion, with heat in the abdomen. Extremely rough, there is intestinal hanging; slightly rough, there is inner hanging, with much pus and blood passed below.
24
腎脉急甚，爲骨癲疾；微急，爲沉厥奔豚，足不收，不得前後。緩甚，爲折脊；微緩，爲洞，洞者，食不化，下嗌還出。太甚，爲陰痿；微大，爲石水，起臍已下至小腹，腄腄然，上至胃腕，死不治。小甚，爲洞泄；微小，爲消癉。滑甚，爲癃㿉；微滑，爲骨痿，坐不能起，起則目無所見。濇甚，爲大癰；微濇，爲不月沉痔。
肾脉急甚，为骨癫疾；微急，为沉厥奔豚，足不收，不得前后。缓甚，为折脊；微缓，为洞，洞者，食不化，下嗌还出。太甚，为阴痿；微大，为石水，起脐已下至小腹，腄腄然，上至胃腕，死不治。小甚，为洞泄；微小，为消瘅。滑甚，为癃㿉；微滑，为骨痿，坐不能起，起则目无所见。涩甚，为大痈；微涩，为不月沉痔。 shèn mài jí shèn, wéi gǔ diān jí; wēi jí, wéi chén jué bēn tún, zú bù shōu, bù dé qián hòu. huǎn shèn, wéi zhé jí; wēi huǎn, wéi dòng, dòng zhě, shí bù huà, xià yì hái chū. tài shèn, wéi yīn wěi; wēi dà, wéi shí shuǐ, qǐ qí yǐ xià zhì xiǎo fù, chuí chuí rán, shàng zhì wèi wàn, sǐ bù zhì. xiǎo shèn, wéi dòng xiè; wēi xiǎo, wéi xiāo dān. huá shèn, wéi lóng tuí; wēi huá, wéi gǔ wěi, zuò bù néng qǐ, qǐ zé mù wú suǒ jiàn. sè shèn, wéi dà yōng; wēi sè, wéi bù yuè chén zhì.
肾脉急甚，是骨癫疾；微急，是沉厥奔豚，足不能收，大小便不通。缓甚，是折脊；微缓，是洞，洞就是食不化，下咽还出。太甚，是阴痿；微大，是石水，起于脐下直到小腹，肿起下垂，上到胃脘，死不治。小甚，是洞泄；微小，是消瘅。滑甚，是癃㿉；微滑，是骨痿，坐不能起，起则目无所见。涩甚，是大痈；微涩，是不月、沉痔。
When the kidney pulse is extremely urgent there is bone falling sickness; slightly urgent, there is sinking reversal and running piglet, the feet not gathered, and no passage before or behind. Extremely slow, there is a broken spine; slightly slow, there is the through-flux, and the through-flux means food is not transformed but comes back out as it is swallowed. Too extreme, there is yin flaccidity; slightly large, there is stone water, rising from below the navel to the lower abdomen, drooping and swollen, reaching up to the stomach duct, death without cure. Extremely small, there is through-flux diarrhoea; slightly small, there is wasting thirst. Extremely slippery, there is retention and hanging; slightly slippery, there is bone flaccidity, unable to sit up, and on rising seeing nothing. Extremely rough, there is great abscess; slightly rough, there is monthly obstruction and sinking haemorrhoid.
25
黃帝曰：病之六變者，刺之奈何？歧伯答曰：諸急者多寒，緩者多𤍠，大者多氣少血，小者血氣皆少，滑者陽氣盛，微有𤍠；濇者多血少氣，微有寒。是故刺急者，深内而久留之；刺緩者，淺内而疾發鍼，以去其𤍠；刺大者，微寫其氣，無出其血；刺滑者，疾發鍼而淺内之，以寫其陽氣，而去其𤍠；刺濇者，必中其脉，隨其逆順而久留之。必先按而循之，已發鍼，疾按其痏，無令其血出，以和其脉。諸小者，陰陽形氣俱不足，勿取以鍼，而調以甘藥也。
黄帝曰：病之六变者，刺之奈何？歧伯答曰：诸急者多寒，缓者多𤍠，大者多气少血，小者血气皆少，滑者阳气盛，微有𤍠；涩者多血少气，微有寒。是故刺急者，深内而久留之；刺缓者，浅内而疾发针，以去其𤍠；刺大者，微写其气，无出其血；刺滑者，疾发针而浅内之，以写其阳气，而去其𤍠；刺涩者，必中其脉，随其逆顺而久留之。必先按而循之，已发针，疾按其痏，无令其血出，以和其脉。诸小者，阴阳形气俱不足，勿取以针，而调以甘药也。 Huáng Dì yuē: bìng zhī liù biàn zhě, cì zhī nài hé? Qí Bó dá yuē: zhū jí zhě duō hán, huǎn zhě duō rè, dà zhě duō qì shǎo xuè, xiǎo zhě xuè qì jiē shǎo, huá zhě yáng qì shèng, wēi yǒu rè; sè zhě duō xuè shǎo qì, wēi yǒu hán. shì gù cì jí zhě, shēn nèi ér jiǔ liú zhī; cì huǎn zhě, qiǎn nèi ér jí fā zhēn, yǐ qù qí rè; cì dà zhě, wēi xiě qí qì, wú chū qí xuè; cì huá zhě, jí fā zhēn ér qiǎn nèi zhī, yǐ xiě qí yáng qì, ér qù qí rè; cì sè zhě, bì zhòng qí mài, suí qí nì shùn ér jiǔ liú zhī. bì xiān àn ér xún zhī, yǐ fā zhēn, jí àn qí wěi, wú lìng qí xuè chū, yǐ hé qí mài. zhū xiǎo zhě, yīn yáng xíng qì jù bù zú, wù qǔ yǐ zhēn, ér tiáo yǐ gān yào yě.
黄帝说：病的六变，怎样刺？歧伯回答说：凡急的多寒，缓的多热，大的多气少血，小的血气都少，滑的阳气盛而微有热，涩的多血少气而微有寒。所以刺急的，深纳而久留；刺缓的，浅纳而快速发针，以去其热；刺大的，微泻其气，不要出血；刺滑的，快速发针而浅纳，以泻其阳气而去其热；刺涩的，一定要中其脉，随其逆顺而久留。一定要先按而循之，发针之后，快速按住针孔，不要让血出，以和其脉。凡小的，阴阳形气都不足，不要用针，而用甘药调治。
Huang Di said: The six changes of disease — how are they needled? Qi Bo answered: All that are urgent are mostly cold; the slow are mostly hot; the large have much qi and little blood; the small have little blood and qi; the slippery have abundant yang qi with slight heat; the rough have much blood and little qi with slight cold. Therefore for the urgent, insert deeply and retain long; for the slow, insert shallowly and withdraw the needle quickly to remove the heat; for the large, slightly reduce the qi and do not let blood out; for the slippery, withdraw the needle quickly while inserting shallowly, to reduce the yang qi and remove the heat; for the rough, one must hit the vessel and retain the needle long according to its adverse or favorable course. One must first press and follow it, and when the needle is withdrawn press the hole quickly, not letting the blood come out, so as to harmonise the vessel. As for all the small, yin and yang, form and qi are all insufficient: do not take them with the needle, but regulate them with sweet medicine.
26
黃帝曰：余聞五藏六府之氣，滎輸所入爲合，令何道從入？入安連過？願聞其故。歧伯答曰：此陽脉之别入于内，屬於府者也。
黄帝曰：余闻五藏六府之气，荥输所入为合，令何道从入？入安连过？愿闻其故。歧伯答曰：此阳脉之别入于内，属于府者也。 Huáng Dì yuē: yú wén wǔ zàng liù fǔ zhī qì, yíng shū suǒ rù wéi hé, lìng hé dào cóng rù? rù ān lián guò? yuàn wén qí gù. Qí Bó dá yuē: cǐ yáng mài zhī bié rù yú nèi, zhǔ yú fǔ zhě yě.
黄帝说：我听说五藏六府的气，荥输所入为合，从什么道路进入？进入后怎样连属经过？希望听听其中缘故。歧伯回答说：这是阳脉的别支进入于内、连属于府的部分。
Huang Di said: I have heard that of the qi of the five zang and six fu, what the springs and transporting points enter is the sea. By what route does it enter? Where does it connect and pass? I wish to hear the reason. Qi Bo answered: This is the branch of the yang channels that enters within and connects to the fu.
27
黃帝曰：滎輸與合，各有名乎？歧伯答曰：滎輸治外經，合治内府。
黄帝曰：荥输与合，各有名乎？歧伯答曰：荥输治外经，合治内府。
Huáng Dì yuē: yíng shū yǔ hé, gè yǒu míng hū? Qí Bó dá yuē: yíng shū zhì wài jīng, hé zhì nèi fǔ.
黄帝说：荥输与合，各有名称吗？歧伯回答说：荥输治外经，合治内府。
Huang Di said: Have the springs, transporting points and seas each their names? Qi Bo answered: The springs and transporting points treat the outer channels; the seas treat the inner fu.
28
黃帝曰：治内府奈何？歧伯曰：取之於合。
黄帝曰：治内府奈何？歧伯曰：取之于合。
Huáng Dì yuē: zhì nèi fǔ nài hé? Qí Bó yuē: qǔ zhī yú hé.
黄帝说：治内府怎样？歧伯说：取合穴。
Huang Di said: How is the inner fu treated? Qi Bo said: Take the sea points.
29
黃帝曰：合各有名乎？歧伯答曰：胃合於三里，大腸合入于巨虚上廉，小腸合入于巨虚下廉，三焦合入於委陽，膀胱合入于委中央，膽合入于陽陵泉。
黄帝曰：合各有名乎？歧伯答曰：胃合于三里，大肠合入于巨虚上廉，小肠合入于巨虚下廉，三焦合入于委阳，膀胱合入于委中央，胆合入于阳陵泉。 Huáng Dì yuē: hé gè yǒu míng hū? Qí Bó dá yuē: wèi hé yú sān lǐ, dà cháng hé rù yú jù xū shàng lián, xiǎo cháng hé rù yú jù xū xià lián, sān jiāo hé rù yú wěi yáng, bǎng guāng hé rù yú wěi zhōng yāng, dǎn hé rù yú yáng líng quán.
黄帝说：合各有名称吗？歧伯回答说：胃合于三里，大肠合入于巨虚上廉，小肠合入于巨虚下廉，三焦合入于委阳，膀胱合入于委中央，胆合入于阳陵泉。
Huang Di said: Have the seas each their names? Qi Bo answered: The stomach joins at Sanli; the large intestine joins entering Juxu upper border; the small intestine joins entering Juxu lower border; the triple burner joins entering Weiyang; the bladder joins entering the middle of Weizhong; the gallbladder joins entering Yanglingquan.
30
黃帝曰：取之奈何？歧伯答曰：取之三里者，低跗取之；巨虚者，舉足取之；委陽者，屈伸而索之；委中者，屈而取之；陽陵泉者，正竪膝予之齊，下至委陽之陽取之。取諸外經者，揄申而從之。
黄帝曰：取之奈何？歧伯答曰：取之三里者，低跗取之；巨虚者，举足取之；委阳者，屈伸而索之；委中者，屈而取之；阳陵泉者，正竖膝予之齐，下至委阳之阳取之。取诸外经者，揄申而从之。 Huáng Dì yuē: qǔ zhī nài hé? Qí Bó dá yuē: qǔ zhī sān lǐ zhě, dī fū qǔ zhī; jù xū zhě, jǔ zú qǔ zhī; wěi yáng zhě, qū shēn ér suǒ zhī; wěi zhōng zhě, qū ér qǔ zhī; yáng líng quán zhě, zhèng shù xī yǔ zhī qí, xià zhì wěi yáng zhī yáng qǔ zhī. qǔ zhū wài jīng zhě, yú shēn ér cóng zhī.
黄帝说：怎样取？歧伯回答说：取三里，要低跗取；巨虚，要举足取；委阳，要屈伸而寻取；委中，要屈而取；阳陵泉，要正竖膝与它相齐，下到委阳的外侧取。取诸外经的，要伸舒而顺取。
Huang Di said: How are they taken? Qi Bo answered: To take Sanli, take it with the foot lowered; Juxu, take it with the foot raised; Weiyang, seek it by bending and straightening; Weizhong, take it with the knee bent; Yanglingquan, set the knee upright and level with it, then take it below, on the yang side of Weiyang. To take the outer channels, stretch out and follow them.
31
黃帝曰：願聞六府之病。歧伯答曰：面𤍠者，足陽明病；魚絡血者，手陽明病；兩跗之上脉竪陷者，足陽明病，此胃脉也。
黄帝曰：愿闻六府之病。歧伯答曰：面𤍠者，足阳明病；鱼络血者，手阳明病；两跗之上脉竖陷者，足阳明病，此胃脉也。 Huáng Dì yuē: yuàn wén liù fǔ zhī bìng. Qí Bó dá yuē: miàn rè zhě, zú yáng míng bìng; yú luò xuè zhě, shǒu yáng míng bìng; liǎng fū zhī shàng mài shù xiàn zhě, zú yáng míng bìng, cǐ wèi mài yě.
黄帝说：希望听六府的病。歧伯回答说：面热的，是足阳明病；鱼络有血的，是手阳明病；两跗之上脉竖陷的，是足阳明病，这是胃脉。
Huang Di said: I wish to hear of the diseases of the six fu. Qi Bo answered: Heat in the face is foot yangming disease; blood in the thenar network vessels is hand yangming disease; the vessel above both insteps standing and sinking is foot yangming disease — this is the stomach vessel.
32
大腸病者，腸中切痛而鳴濯濯，冬日重感于寒即泄，當臍而痛，不能久立，與胃同候，取巨虚上廉。
大肠病者，肠中切痛而鸣濯濯，冬日重感于寒即泄，当脐而痛，不能久立，与胃同候，取巨虚上廉。 dà cháng bìng zhě, cháng zhōng qiè tòng ér míng zhuó zhuó, dōng rì chóng gǎn yú hán jí xiè, dāng qí ér tòng, bù néng jiǔ lì, yǔ wèi tóng hòu, qǔ jù xū shàng lián.
大肠病的，肠中切痛而鸣声濯濯，冬天再感于寒就泄，当脐而痛，不能久立，与胃同候，取巨虚上廉。
In large intestine disease there is cutting pain in the intestines with a gurgling sound; in winter, when cold is felt again, there is diarrhoea; there is pain at the navel, and one cannot stand long. It shares the signs of the stomach: take Juxu upper border.
33
胃病者，腹䐜脹，胃脘當心而痛，上肢兩脅膈咽不通，食飲不下，取之三里也。
胃病者，腹䐜胀，胃脘当心而痛，上肢两胁膈咽不通，食饮不下，取之三里也。 wèi bìng zhě, fù chēn zhàng, wèi wǎn dāng xīn ér tòng, shàng zhī liǎng xié gé yān bù tōng, shí yǐn bù xià, qǔ zhī sān lǐ yě.
胃病的，腹䐜胀，胃脘当心而痛，上肢两胁膈咽不通，饮食不下，取三里。
In stomach disease the abdomen is swollen and distended, the stomach duct is painful at the heart, the upper limbs and both flanks, diaphragm and throat are obstructed, and food and drink do not go down: take Sanli.
34
小腸病者，小腹痛，腰脊控睪而痛，時窘之後，當耳前𤍠，若寒甚，若獨肩上𤍠甚，及手小指次指之間𤍠，若脉陷者，此其𠉀也。手太陽病也，取之巨虚下廉。
小肠病者，小腹痛，腰脊控睾而痛，时窘之后，当耳前𤍠，若寒甚，若独肩上𤍠甚，及手小指次指之间𤍠，若脉陷者，此其𠉀也。手太阳病也，取之巨虚下廉。 xiǎo cháng bìng zhě, xiǎo fù tòng, yāo jí kòng gāo ér tòng, shí jiǒng zhī hòu, dāng ěr qián rè, ruò hán shèn, ruò dú jiān shàng rè shèn, jí shǒu xiǎo zhǐ cì zhǐ zhī jiān rè, ruò mài xiàn zhě, cǐ qí hòu yě. shǒu tài yáng bìng yě, qǔ zhī jù xū xià lián.
小肠病的，小腹痛，腰脊控睾而痛，时常窘迫于后，当耳前热，或寒甚，或独肩上热甚，及手小指次指之间热，或脉陷的，这是它的证候。这是手太阳病，取巨虚下廉。
In small intestine disease there is pain in the lower abdomen, pain in the low back and spine pulling the testicles, frequent urgency behind, heat in front of the ear, or extreme cold, or heat confined to the shoulder above, and heat between the little finger and the next, or a sunken vessel. These are its signs. It is hand taiyang disease: take Juxu lower border.
sān jiāo bìng zhě, fù qì mǎn, xiǎo fù yóu jiān, bù dé xiǎo biàn, jiǒng jí, yì zé shuǐ liú, jí wéi zhàng, hòu zài zú tài yáng zhī wài dà luò, dà luò zài tài yáng shào yáng zhī jiān, yì xiàn yú mài, qǔ wěi yáng.
三焦病的，腹气满，小腹尤其坚硬，不得小便，窘急，水溢则留，就成为胀，候在足太阳之外的大络，大络在太阳少阳之间，也见于脉，取委阳。
In triple burner disease the abdominal qi is full, the lower abdomen especially hard, with no passage of urine and urgent distress; when it overflows the water stays and makes distension. The sign is in the great network vessel outside foot taiyang, which lies between taiyang and shaoyang and also appears in the pulse: take Weiyang.
36
膀胱病者，小腹偏腫而痛，以手按之，即欲小便而不得，肩上𤍠，若脉陷，及足小指外廉及脛踝後皆𤍠，若脉陷，取委中央。
膀胱病者，小腹偏肿而痛，以手按之，即欲小便而不得，肩上𤍠，若脉陷，及足小指外廉及胫踝后皆𤍠，若脉陷，取委中央。
bǎng guāng bìng zhě, xiǎo fù piān zhǒng ér tòng, yǐ shǒu àn zhī, jí yù xiǎo biàn ér bù dé, jiān shàng rè, ruò mài xiàn, jí zú xiǎo zhǐ wài lián jí jìng huái hòu jiē rè, ruò mài xiàn, qǔ wěi zhōng yāng.
膀胱病的，小腹偏肿而痛，用手按它，就想小便而不得，肩上热，或脉陷，及足小指外侧与胫踝后都热，或脉陷，取委中央。
In bladder disease the lower abdomen is swollen on one side and painful; pressing it with the hand makes one wish to urinate without being able; there is heat in the shoulder, or a sunken vessel, and heat in the outer border of the little toe and behind the shin and ankle, or a sunken vessel: take the middle of Weizhong.
37
膽病者，善太息，口苦，嘔宿汁，心下澹澹，恐人將捕之，嗌中吤吤然，數唾，在足少陽之本末，亦視其脉之陷下者灸之，其寒𤍠者，取陽陵泉。
胆病者，善太息，口苦，呕宿汁，心下澹澹，恐人将捕之，嗌中吤吤然，数唾，在足少阳之本末，亦视其脉之陷下者灸之，其寒𤍠者，取阳陵泉。 dǎn bìng zhě, shàn tài xī, kǒu kǔ, ǒu sù zhī, xīn xià dàn dàn, kǒng rén jiāng bǔ zhī, yì zhōng jiè jiè rán, shuò tuò, zài zú shào yáng zhī běn mò, yì shì qí mài zhī xiàn xià zhě jiǔ zhī, qí hán rè zhě, qǔ yáng líng quán.
胆病的，常叹气，口苦，呕宿汁，心下澹澹，怕人要捕他，咽中吤吤然，频频唾，在足少阳的本末，也要看脉陷下的灸之，有寒热的，取阳陵泉。
In gallbladder disease there is frequent sighing, bitter taste, vomiting of stale fluid, a palpitating emptiness below the heart, fear that someone will seize one, a clucking in the throat, and frequent spitting. It lies at the root and tip of foot shaoyang; where the vessel is sunken, cauterise it; where there is cold-heat, take Yanglingquan.
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黃帝曰：刺之有道乎？歧伯答曰：刺此者，必中氣穴，無中肉節，中氣穴則鍼染于巷，中肉節即皮膚痛，補寫反則病益篤，中筋則筋緩，邪氣不出，與其真相搏，亂而不去，反還内著，用鍼不審，以順爲逆也。
黄帝曰：刺之有道乎？歧伯答曰：刺此者，必中气穴，无中肉节，中气穴则针染于巷，中肉节即皮肤痛，补写反则病益笃，中筋则筋缓，邪气不出，与其真相搏，乱而不去，反还内著，用针不审，以顺为逆也。 Huáng Dì yuē: cì zhī yǒu dào hū? Qí Bó dá yuē: cì cǐ zhě, bì zhòng qì xué, wú zhòng ròu jié, zhòng qì xué zé zhēn rǎn yú xiàng, zhòng ròu jié jí pí fū tòng, bǔ xiě fǎn zé bìng yì dǔ, zhòng jīn zé jīn huǎn, xié qì bù chū, yǔ qí zhēn xiāng bó, luàn ér bù qù, fǎn hái nèi zhuó, yòng zhēn bù shěn, yǐ shùn wéi nì yě.
黄帝说：刺这些有法度吗？歧伯回答说：刺这些，一定要中气穴，不要中肉节；中气穴则针染于巷，中肉节就皮肤痛；补泻反了则病更重；中筋则筋缓，邪气不出，与其真气相搏，乱而不去，反而内著；用针不审，就把顺当成逆了。
Huang Di said: Is there a way in needling these? Qi Bo answered: In needling these one must hit the qi point and not hit the flesh joint. Hitting the qi point, the needle dyes the lane; hitting the flesh joint, the skin hurts. If supplementing and reducing are reversed the disease grows worse. Hitting the sinew, the sinew slackens, the evil qi does not come out but fights with the true qi, chaotic and not leaving, and turns back to lodge within. When needling is not examined, the favorable is taken for the adverse.