1
黃帝曰:余聞先師有所心藏,弗著于方,余願聞而藏之,則而行之,上以治民,下以治身,使百姓無病,上下和親,德澤下流,子孫無憂,傳于後世,無有終時,可得聞乎?
黄帝曰:余闻先师有所心藏,弗著于方,余愿闻而藏之,则而行之,上以治民,下以治身,使百姓无病,上下和亲,德泽下流,子孙无忧,传于后世,无有终时,可得闻乎? Huáng Dì yuē: yú wén xiān shī yǒu suǒ xīn cáng, fú zhù yú fāng, yú yuàn wén ér zàng zhī, zé ér xíng zhī, shàng yǐ zhì mín, xià yǐ zhì shēn, shǐ bǎi xìng wú bìng, shàng xià hé qīn, dé zé xià liú, zǐ sūn wú yōu, chuán yú hòu shì, wú yǒu zhōng shí, kě dé wén hū?
黄帝说:我听说先师有所心得收藏,没有著录在版上。我愿意听来收藏它,依法施行,上可以治民,下可以治身,使百姓没有疾病,上下和睦亲善,德泽流传于下,子孙没有忧患,传到后世,没有穷尽的时候,可以讲给我听吗?
The Yellow Emperor said: I have heard that my former master kept certain things in his heart and did not set them on boards. I wish to hear them and keep them, and to act upon them: above, to govern the people; below, to govern myself; to keep the hundred families free of disease, high and low harmonious and close, virtue flowing down, descendants without anxiety, transmitted to later ages without end. May I hear them?
2
歧伯曰:遠乎哉問也!夫治民與自治,治彼與治此,治小與治大,治國與治家,未有逆而能治之也,夫惟順而已矣。順者,非獨陰陽脉論氣之逆順也,百姓人民,皆欲順其志也。
歧伯曰:远乎哉问也!夫治民与自治,治彼与治此,治小与治大,治国与治家,未有逆而能治之也,夫惟顺而已矣。顺者,非独阴阳脉论气之逆顺也,百姓人民,皆欲顺其志也。 Qí Bó yuē: yuǎn hū zāi wèn yě! fū zhì mín yǔ zì zhì, zhì bǐ yǔ zhì cǐ, zhì xiǎo yǔ zhì dà, zhì guó yǔ zhì jiā, wèi yǒu nì ér néng zhì zhī yě, fū wéi shùn ér yǐ yǐ. shùn zhě, fēi dú yīn yáng mài lùn qì zhī nì shùn yě, bǎi xìng rén mín, jiē yù shùn qí zhì yě.
岐伯说:问得深远啊!治民与自治,治彼与治此,治小与治大,治国与治家,没有违逆而能治好的,只有顺罢了。顺,不只是阴阳脉论气的逆顺,百姓人民,都要顺他们的心志。
Qibo said: how far-reaching a question! To govern the people and to govern oneself, to treat others and to treat oneself, to treat the small and to treat the great, to govern a state and to govern a household — none of these can be done by opposing; only by compliance. Compliance is not only the compliance and reversal of yin and yang in the pulse; the hundred families and the people all wish their wills to be complied with.
3
黃帝曰:順之奈何?
黄帝曰:顺之奈何?
Huáng Dì yuē: shùn zhī nài hé?
黄帝说:怎样顺呢?
The Emperor said: how does one comply?
4
歧伯曰:入國問俗,入家問諱,上堂問禮,臨病人問所便。
歧伯曰:入国问俗,入家问讳,上堂问礼,临病人问所便。
Qí Bó yuē: rù guó wèn sú, rù jiā wèn huì, shàng táng wèn lǐ, lín bìng rén wèn suǒ biàn.
岐伯说:进入一国就问当地的习俗,进入一家就问家中的避讳,登上厅堂就问礼节,面对病人就问他所适宜的。
Qibo said: entering a state, ask its customs; entering a house, ask what is taboo; ascending the hall, ask its rites; facing the sick, ask what suits them.
5
黃帝曰:便病人奈何?
黄帝曰:便病人奈何?
Huáng Dì yuē: biàn bìng rén nài hé?
黄帝说:怎样才算对病人适宜?
The Emperor said: how does one suit the sick?
6
歧伯曰:夫中𤍠消癉則便寒,寒中之屬則便𤍠。胃中𤍠則消榖,令人縣心養饑。臍以上皮𤍠,腸中𤍠,則出黃如糜。臍以下皮寒,胃中寒,則腹脹。腸中寒,則腸鳴飱泄。胃中寒,腸中𤍠,則脹而且泄。胃中𤍠,腸中寒,則疾饑,小腹痛脹。
歧伯曰:夫中𤍠消瘅则便寒,寒中之属则便𤍠。胃中𤍠则消榖,令人县心养饥。脐以上皮𤍠,肠中𤍠,则出黄如糜。脐以下皮寒,胃中寒,则腹胀。肠中寒,则肠鸣飧泄。胃中寒,肠中𤍠,则胀而且泄。胃中𤍠,肠中寒,则疾饥,小腹痛胀。 Qí Bó yuē: fū zhōng rè xiāo dān zé biàn hán, hán zhōng zhī shǔ zé biàn rè. wèi zhōng rè zé xiāo gǔ, lìng rén xuán xīn yǎng jī. qí yǐ shàng pí rè, cháng zhōng rè, zé chū huáng rú mí. qí yǐ xià pí hán, wèi zhōng hán, zé fù zhàng. cháng zhōng hán, zé cháng míng sūn xiè. wèi zhōng hán, cháng zhōng rè, zé zhàng ér qiě xiè. wèi zhōng rè, cháng zhōng hán, zé jí jī, xiǎo fù tòng zhàng.
岐伯说:内热患消瘅的,就以寒为适宜;寒中之类的,就以热为适宜。胃中有热就消谷,使人心中如悬而常觉饥饿。脐以上皮肤热,肠中有热,就排出黄色如粥的粪便。脐以下皮肤寒,胃中有寒,就腹部胀满。肠中有寒,就肠鸣飧泄。胃中有寒、肠中有热,就胀而且泄。胃中有热、肠中有寒,就易饥而小腹痛胀。
Qibo said: one with inner heat and wasting thirst is suited by cold; one of the cold-middle kind is suited by heat. Heat in the stomach dissolves the grain and makes the heart feel suspended and always hungry. When the skin above the navel is hot and the intestines are hot, the stool comes out yellow like gruel. When the skin below the navel is cold and the stomach is cold, the abdomen distends. When the intestines are cold there is rumbling and undigested diarrhoea. Stomach cold with intestinal heat gives distension and diarrhoea; stomach heat with intestinal cold gives easy hunger and pain and distension in the lower abdomen.
7
黃帝曰:胃欲寒饑,腸欲𤍠飲,兩者相逆,便之奈何?且夫王公大人,血食之君,驕恣從欲,輕人而無能禁之,禁之則逆其志,順之則加其病,便之奈何?治之何先?
黄帝曰:胃欲寒饥,肠欲𤍠饮,两者相逆,便之奈何?且夫王公大人,血食之君,骄恣从欲,轻人而无能禁之,禁之则逆其志,顺之则加其病,便之奈何?治之何先? Huáng Dì yuē: wèi yù hán jī, cháng yù rè yǐn, liǎng zhě xiāng nì, biàn zhī nài hé? qiě fū wáng gōng dà rén, xuè shí zhī jūn, jiāo zì cóng yù, qīng rén ér wú néng jìn zhī, jìn zhī zé nì qí zhì, shùn zhī zé jiā qí bìng, biàn zhī nài hé? zhì zhī hé xiān?
黄帝说:胃想要寒,肠想要热饮,两者相违,怎样使它适宜呢?况且王公大人、血食之君,骄纵恣欲,轻视别人而无人能禁止他;禁止就违背他的心志,顺他就加重他的病,怎样使他适宜呢?先治什么?
The Emperor said: the stomach wants cold and the intestines want hot drink; the two oppose each other, so how is one to suit them? And the great lords and men of blood, proud and self-indulgent, who think little of others and whom no one can restrain — restrain them and their will is crossed, indulge them and their disease grows. How is one to suit them, and what is treated first?
8
歧伯曰:人之情,莫不惡死而樂生。告之以其敗,語之以其善,導之以其所便,開之以其所苦,雖有無道之人,惡有不聽者乎?
歧伯曰:人之情,莫不恶死而乐生。告之以其败,语之以其善,导之以其所便,开之以其所苦,虽有无道之人,恶有不听者乎?
Qí Bó yuē: rén zhī qíng, mò bù wù sǐ ér lè shēng. gào zhī yǐ qí bài, yǔ zhī yǐ qí shàn, dǎo zhī yǐ qí suǒ biàn, kāi zhī yǐ qí suǒ kǔ, suī yǒu wú dào zhī rén, wū yǒu bù tīng zhě hū?
岐伯说:人之常情,没有不厌恶死亡而乐于生存的。告诉他病败坏的后果,告诉他向善的好处,引导他所适宜的,开导他所苦恼的,即使是无道的人,哪有不肯听从的呢?
Qibo said: it is human nature to hate death and delight in life. Tell them what ruins them, speak to them of what is good, lead them to what suits them, open to them what distresses them; and even a man without the way — how should he not listen?
9
黃帝曰:治之奈何?
黄帝曰:治之奈何?
Huáng Dì yuē: zhì zhī nài hé?
黄帝说:怎样治呢?
The Emperor said: how is it treated?
10
歧伯曰:春夏先治其標,後治其本;秋冬先治其本,後治其標。
歧伯曰:春夏先治其标,后治其本;秋冬先治其本,后治其标。
Qí Bó yuē: chūn xià xiān zhì qí biāo, hòu zhì qí běn; qiū dōng xiān zhì qí běn, hòu zhì qí biāo.
岐伯说:春夏先治其标,后治其本;秋冬先治其本,后治其标。
Qibo said: in spring and summer treat the branch first and the root after; in autumn and winter treat the root first and the branch after.
11
黃帝曰:便其相逆者,奈何?
黄帝曰:便其相逆者,奈何?
Huáng Dì yuē: biàn qí xiāng nì zhě, nài hé?
黄帝说:对于两相违逆而求适宜的情况,怎样办?
The Emperor said: where the two are opposed and one seeks to suit them, what then?
12
歧伯曰:便此者,食飲衣服,亦欲適寒温。寒無凄愴,暑無出汗。食飲者,𤍠無灼灼,寒無滄滄。寒温中適,故氣將持,乃不致邪僻也。
歧伯曰:便此者,食饮衣服,亦欲适寒温。寒无凄怆,暑无出汗。食饮者,𤍠无灼灼,寒无沧沧。寒温中适,故气将持,乃不致邪僻也。 Qí Bó yuē: biàn cǐ zhě, shí yǐn yī fú, yì yù shì hán wēn. hán wú qī chuàng, shǔ wú chū hàn. shí yǐn zhě, rè wú zhuó zhuó, hán wú cāng cāng. hán wēn zhōng shì, gù qì jiāng chí, nǎi bù zhì xié pì yě.
岐伯说:使它适宜的办法,饮食衣服也要适合寒温。寒冷时不要凄惨受冻,暑热时不要出汗过多。饮食方面,热不要灼灼烫口,寒不要沧沧冰齿。寒温适中,正气就能主持,邪僻就不能侵入。
Qibo said: to suit them, food, drink and clothing must also fit cold and warmth. In cold, do not be wretched with chill; in heat, do not sweat. In food and drink, let heat not scorch and cold not chill the teeth. With cold and warmth both fitting, the qi holds firm and evil cannot enter.
13
黃帝曰:本藏以身形支節䐃肉,𠉀五藏六府之小大焉。今夫王公大人,臨朝即位之君而問焉,誰可捫循之而後答乎?
黄帝曰:本藏以身形支节䐃肉,𠉀五藏六府之小大焉。今夫王公大人,临朝即位之君而问焉,谁可扪循之而后答乎? Huáng Dì yuē: běn zàng yǐ shēn xíng zhī jié jùn ròu, hòu wǔ zàng liù fǔ zhī xiǎo dà yān. jīn fū wáng gōng dà rén, lín cháo jí wèi zhī jūn ér wèn yān, shuí kě mén xún zhī ér hòu dá hū?
黄帝说:本藏以身形肢节和隆起的肌肉,来诊候五脏六腑的大小。如今王公大人、临朝即位的君主来问病,谁能够按摸他的身体然后再回答呢?
The Emperor said: the root viscera are read from body, limbs and the fleshy mounds, to know the size of the five viscera and six receptacles. But when the great lords and princes enthroned in court ask, who can press and feel them before answering?
14
歧伯曰:身形支節者,藏府之蓋也,非面部之閲也。
歧伯曰:身形支节者,藏府之盖也,非面部之阅也。 Qí Bó yuē: shēn xíng zhī jié zhě, zàng fǔ zhī gài yě, fēi miàn bù zhī yuè yě.
岐伯说:身形肢节,是脏腑的覆盖,不是面部的望诊。
Qibo said: body, limbs and joints are the cover of the viscera; they are not the reading of the face.
15
黃帝曰:五藏之氣,閲于面者,余已知之矣。以肢節知而閲之,奈何?
黄帝曰:五藏之气,阅于面者,余已知之矣。以肢节知而阅之,奈何? Huáng Dì yuē: wǔ zàng zhī qì, yuè yú miàn zhě, yú yǐ zhī zhī yǐ. yǐ zhī jié zhī ér yuè zhī, nài hé?
黄帝说:五脏之气显露在面部的,我已经知道了。从肢节来了解而诊候它,是怎样的?
The Emperor said: that the qi of the five viscera are read in the face, I already know. How is one to read them from the limbs?
16
歧伯曰:五藏六府者,肺爲之蓋,巨肩陷咽,𠉀見其外。
歧伯曰:五藏六府者,肺为之盖,巨肩陷咽,𠉀见其外。 Qí Bó yuē: wǔ zàng liù fǔ zhě, fèi wéi zhī gài, jù jiān xiàn yān, hòu jiàn qí wài.
岐伯说:五脏六腑之中,肺是覆盖,肩宽而咽部凹陷的,可以从外候见。
Qibo said: among the five viscera and six receptacles, the lung is the cover; where the shoulders are broad and the throat sunken, it can be observed from outside.
17
黃帝曰:善。
黄帝曰:善。
Huáng Dì yuē: shàn.
黄帝说:好。
The Emperor said: good.
Qí Bó yuē: wǔ zàng liù fǔ, xīn wéi zhī zhǔ, quē pén wéi zhī dào, kū gǔ yǒu yú, yǐ hòu hé yú.
岐伯说:五脏六腑之中,心是主宰,缺盆是通道,胸骨有余的,可以候𩩲骬。
Qibo said: among the five viscera and six receptacles, the heart is the master and the supraclavicular fossa is its road; where the breastbone is full, one may read the xin yu.
19
黃帝曰:善。
黄帝曰:善。
Huáng Dì yuē: shàn.
黄帝说:好。
The Emperor said: good.
20
歧伯曰:肝者,主爲將,使之𠉀外,欲知堅固,視目大小。
歧伯曰:肝者,主为将,使之𠉀外,欲知坚固,视目大小。
Qí Bó yuē: gān zhě, zhǔ wéi jiāng, shǐ zhī hòu wài, yù zhī jiān gù, shì mù dà xiǎo.
岐伯说:肝主为将,使它候外,想知道它坚固与否,看眼睛的大小。
Qibo said: the liver is the general; it is made to observe the outside. To know whether it is firm, look at the size of the eyes.
21
黃帝曰:善。
黄帝曰:善。
Huáng Dì yuē: shàn.
黄帝说:好。
The Emperor said: good.
22
歧伯曰:脾者主爲衛,使之迎糧,視脣舌好惡,以知吉凶。
歧伯曰:脾者主为卫,使之迎粮,视唇舌好恶,以知吉凶。
Qí Bó yuē: pí zhě zhǔ wéi wèi, shǐ zhī yíng liáng, shì chún shé hǎo è, yǐ zhī jí xiōng.
岐伯说:脾主为卫,使它迎接水谷,看唇舌的好恶,来知道吉凶。
Qibo said: the spleen is the guard; it is made to receive the grain. Look at the liking or disliking of lips and tongue to know good or ill.
23
黃帝曰:善。
黄帝曰:善。
Huáng Dì yuē: shàn.
黄帝说:好。
The Emperor said: good.
24
歧伯曰:腎者,主爲外,使之遠聽,視耳好惡,以知其性。
歧伯曰:肾者,主为外,使之远听,视耳好恶,以知其性。
Qí Bó yuē: shèn zhě, zhǔ wéi wài, shǐ zhī yuǎn tīng, shì ěr hǎo è, yǐ zhī qí xìng.
岐伯说:肾主为外,使它远听,看耳朵的好恶,来知道它的性情。
Qibo said: the kidney is the outer; it is made to hear far. Look at the liking or disliking of the ears to know its nature.
25
黃帝曰:善。願聞六府之𠉀。
黄帝曰:善。愿闻六府之𠉀。 Huáng Dì yuē: shàn. yuàn wén liù fǔ zhī hòu.
黄帝说:好。希望听听六腑的诊候。
The Emperor said: good. I should like to hear how the six receptacles are read.
26
歧伯曰:六府者,胃爲之海,廣骸、大頸、張胸,五榖乃容;鼻隧以長,以𠉀大腸;脣厚、人中長,以𠉀小腸;目下果大,其膽乃横;鼻孔在外,膀胱漏泄;鼻柱中央起,三焦乃約。此所以𠉀六府者也。上下三等,藏安且良矣。
歧伯曰:六府者,胃为之海,广骸、大颈、张胸,五榖乃容;鼻隧以长,以𠉀大肠;唇厚、人中长,以𠉀小肠;目下果大,其胆乃横;鼻孔在外,膀胱漏泄;鼻柱中央起,三焦乃约。此所以𠉀六府者也。上下三等,藏安且良矣。 Qí Bó yuē: liù fǔ zhě, wèi wéi zhī hǎi, guǎng hái, dà jǐng, zhāng xiōng, wǔ gǔ nǎi róng; bí suì yǐ cháng, yǐ hòu dà cháng; chún hòu, rén zhōng cháng, yǐ hòu xiǎo cháng; mù xià guǒ dà, qí dǎn nǎi héng; bí kǒng zài wài, páng guāng lòu xiè; bí zhù zhōng yāng qǐ, sān jiāo nǎi yuē. cǐ suǒ yǐ hòu liù fǔ zhě yě. shàng xià sān děng, zàng ān qiě liáng yǐ.
岐伯说:六腑之中,胃是海,骨骼宽广、颈项粗大、胸部张开,五谷才能容纳;鼻道深长,用来候大肠;口唇厚、人中长,用来候小肠;眼下果大,胆就横;鼻孔向外翻,膀胱就漏泄;鼻柱中央隆起,三焦就约束。这就是用来候六腑的方法。上下三等匀称,五脏就安好。
Qibo said: among the six receptacles the stomach is the sea; with broad frame, thick neck and open chest, the five grains can be held. A long nasal passage reads the large intestine; thick lips and a long philtrum read the small intestine; large pouches below the eyes mean the gallbladder is broad; nostrils turned outward mean the bladder leaks; a raised bridge of the nose means the triple burner is bound. This is how the six receptacles are read. When upper, middle and lower are equal, the viscera are at peace and sound.