1
黃帝問于歧伯曰:余聞九鍼於夫子,而行之於百姓,百姓之血氣各不同形,或神動而氣先鍼行,或氣與鍼相逢,或鍼已出氣獨行,或數刺乃知,或發鍼而氣逆,或數刺病益劇。凡此六者,各不同形,願聞其方。
黄帝问于歧伯曰:余闻九针于夫子,而行之于百姓,百姓之血气各不同形,或神动而气先针行,或气与针相逢,或针已出气独行,或数刺乃知,或发针而气逆,或数刺病益剧。凡此六者,各不同形,愿闻其方。 Huáng Dì wèn yú Qí Bó yuē: yú wén jiǔ zhēn yú fū zǐ, ér xíng zhī yú bǎi xìng, bǎi xìng zhī xuè qì gè bù tóng xíng, huò shén dòng ér qì xiān zhēn xíng, huò qì yǔ zhēn xiāng féng, huò zhēn yǐ chū qì dú xíng, huò shuò cì nǎi zhī, huò fā zhēn ér qì nì, huò shuò cì bìng yì jù. fán cǐ liù zhě, gè bù tóng xíng, yuàn wén qí fāng.
黄帝问岐伯说:我从先生那里听了九针,而施行于百姓,百姓的血气形态各不相同,有的神动而气先针而行,有的气与针相逢,有的针已出而气独行,有的数次针刺才知,有的刚发针而气逆,有的数次针刺病更剧。这六种,形态各不相同,希望听其中的道理。
The Yellow Emperor asked Qi Bo: I have heard the nine needles from you and put them into practice among the people. The blood and qi of the people are not of one form: in some the spirit stirs and the qi moves ahead of the needle; in some the qi meets the needle; in some the qi travels alone after the needle is out; in some several insertions are needed before there is any awareness; in some the qi reverses as the needle is withdrawn; and in some several insertions make the disease worse. These six are of different forms; I should like to hear the reasons.
Qí Bó yuē: chóng yáng zhī rén, qí shén yì dòng, qí qì yì wǎng yě.
岐伯说:重阳之人,他的神容易动,他的气容易往。
Qi Bo said: In the doubly yang person the spirit is easily stirred and the qi easily goes.
Huáng Dì yuē: hé wèi chóng yáng zhī rén?
黄帝说:什么叫重阳之人?
The Emperor said: What is a doubly yang person?
Qí Bó yuē: chóng yáng zhī rén, hè hè gāo gāo, yán yǔ shàn jí, jǔ zú shàn gāo, xīn fèi zhī cáng qì yǒu yú, yáng qì huá shèng ér yáng, gù shén dòng ér qì xiān xíng.
岐伯说:重阳之人,炽盛高昂,言语利疾,举足高,心肺的脏气有余,阳气滑盛而扬,所以神动而气先行。
Qi Bo said: The doubly yang person is blazing and high; his speech is fast, he lifts his feet high, and the qi of the heart and lungs is in excess. His yang qi is slippery, abundant, and rising; therefore his spirit stirs and his qi goes first.
Huáng Dì yuē: chóng yáng zhī rén, ér shén bù xiān xíng zhě, hé yě?
黄帝说:重阳之人而神不先行,为什么?
The Emperor said: Why does the spirit of a doubly yang person sometimes not go first?
6
歧伯曰:此人頗有陰者也。
歧伯曰:此人颇有阴者也。
Qí Bó yuē: cǐ rén pō yǒu yīn zhě yě.
岐伯说:这个人颇有阴。
Qi Bo said: Such a person has a good deal of yin.
7
黃帝曰:何以知其頗有陰也?
黄帝曰:何以知其颇有阴也?
Huáng Dì yuē: hé yǐ zhī qí pō yǒu yīn yě?
黄帝说:怎么知道它颇有阴?
The Emperor said: How does one know he has a good deal of yin?
8
歧伯曰:多陽者多喜,多陰者多怒,數怒者易解,故曰頗有陰。其陰陽之離合難,故其神不能先行也。
歧伯曰:多阳者多喜,多阴者多怒,数怒者易解,故曰颇有阴。其阴阳之离合难,故其神不能先行也。 Qí Bó yuē: duō yáng zhě duō xǐ, duō yīn zhě duō nù, shuò nù zhě yì jiě, gù yuē pō yǒu yīn. qí yīn yáng zhī lí hé nán, gù qí shén bù néng xiān xíng yě.
岐伯说:多阳的多喜,多阴的多怒,屡怒的容易解除,所以说颇有阴。他的阴阳离合困难,所以神不能先行。
Qi Bo said: One of much yang is much given to joy; one of much yin is much given to anger. One who is often angry is easily released, and so I say he has a good deal of yin. In him yin and yang are hard to separate and join, and therefore the spirit cannot go first.
9
黃帝曰:其氣與鍼相逢,奈何?
黄帝曰:其气与针相逢,奈何? Huáng Dì yuē: qí qì yǔ zhēn xiāng féng, nài hé?
黄帝说:气与针相逢,是怎样的?
The Emperor said: What is it for the qi to meet the needle?
Qí Bó yuē: yīn yáng hé tiáo ér xuè qì nào zé huá lì, gù zhēn rù ér qì chū, jí ér xiāng féng yě.
岐伯说:阴阳和调而血气淖泽滑利,所以针入而气出,很快相逢。
Qi Bo said: Yin and yang are harmonious and the blood and qi are moist, glossy, slippery, and free; therefore when the needle enters the qi comes out, and they meet swiftly.
11
黃帝曰:鍼已出而氣獨行者,何氣使然?
黄帝曰:针已出而气独行者,何气使然? Huáng Dì yuē: zhēn yǐ chū ér qì dú xíng zhě, hé qì shǐ rán?
黄帝说:针已出而气独行,是什么气使它这样?
The Emperor said: When the qi travels alone after the needle is out, what qi brings that about?
12
歧伯曰:其陰氣多而陽氣少,陰氣沉而陽氣浮者内藏,故鍼已出,氣乃隨其後,故獨行也。
歧伯曰:其阴气多而阳气少,阴气沉而阳气浮者内藏,故针已出,气乃随其后,故独行也。 Qí Bó yuē: qí yīn qì duō ér yáng qì shǎo, yīn qì chén ér yáng qì fú zhě nèi zàng, gù zhēn yǐ chū, qì nǎi suí qí hòu, gù dú xíng yě.
岐伯说:这是阴气多而阳气少,阴气沉而阳气浮的都藏在内,所以针已出,气就随在其后,所以独行。
Qi Bo said: In such a person yin qi is abundant and yang qi scant; the yin is sunken and the yang floating, and both are stored within. Therefore when the needle is out the qi follows behind it, and so it travels alone.
13
黃帝曰:數刺乃知,何氣使然?
黄帝曰:数刺乃知,何气使然? Huáng Dì yuē: shuò cì nǎi zhī, hé qì shǐ rán?
黄帝说:数次针刺才知,是什么气使它这样?
The Emperor said: What qi is it that makes several insertions necessary before there is awareness?
14
歧伯曰:此人之多陰而少陽,其氣沉而氣徃難,故數刺乃知也。
歧伯曰:此人之多阴而少阳,其气沉而气往难,故数刺乃知也。 Qí Bó yuē: cǐ rén zhī duō yīn ér shào yáng, qí qì chén ér qì wǎng nán, gù shuò cì nǎi zhī yě.
岐伯说:这个人多阴而少阳,他的气沉而往难,所以数次针刺才知。
Qi Bo said: This person has much yin and little yang; his qi is sunken and goes with difficulty, and therefore several insertions are needed before there is awareness.
15
黃帝曰:鍼入而氣逆者,何氣使然?
黄帝曰:针入而气逆者,何气使然? Huáng Dì yuē: zhēn rù ér qì nì zhě, hé qì shǐ rán?
黄帝说:针入而气逆,是什么气使它这样?
The Emperor said: What qi is it that makes the qi reverse when the needle enters?
16
歧伯曰:其氣逆與其數刺病益甚者,非陰陽之氣,浮沉之勢也。此皆麤之所敗,上之所失,其形氣無過焉。
歧伯曰:其气逆与其数刺病益甚者,非阴阳之气,浮沉之势也。此皆麤之所败,上之所失,其形气无过焉。 Qí Bó yuē: qí qì nì yǔ qí shuò cì bìng yì shèn zhě, fēi yīn yáng zhī qì, fú chén zhī shì yě. cǐ jiē cū zhī suǒ bài, shàng zhī suǒ shī, qí xíng qì wú guò yān.
岐伯说:气逆与数次针刺病更甚的,不是阴阳之气、浮沉之势,这都是粗工之所败、上工之所失,病人的形气没有过错。
Qi Bo said: The reversal of qi, and the worsening of the disease with repeated insertions, are not a matter of yin and yang qi or of floating and sinking tendency. These are all the failures of the coarse workman and the losses of the superior one; the form and qi of the patient are not at fault.