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黃帝問于歧伯曰：夫四時之氣，各不同形，百病之起，皆有所生，灸刺之道，何者爲定？
黄帝问于歧伯曰：夫四时之气，各不同形，百病之起，皆有所生，灸刺之道，何者为定？ Huáng Dì wèn yú Qí Bó yuē: fū sì shí zhī qì, gè bù tóng xíng, bǎi bìng zhī qǐ, jiē yǒu suǒ shēng, jiǔ cì zhī dào, hé zhě wéi dìng?
黄帝问岐伯说：四季的气候各不相同，各种疾病的发生都有它的由来，针刺的方法，以什么为准？
Huang Di asked Qi Bo: The qi of the four seasons has different forms, and the rise of every disease has its source; in the way of moxa and needling, what is the standard?
Qí Bó dá yuē: sì shí zhī qì, gè yǒu suǒ zài, jiǔ bié zhī dào, dé qì xué wéi dìng.
岐伯回答说：四季的气候各有它所在之处，针刺的道理，以取得应气的穴位为准。
Qi Bo replied: The qi of the four seasons has its own place in each, and in the way of needling the standard is to obtain the point where the qi is.
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故春取經血脉、分肉之間，甚者深刺之，間者淺刺之。夏取盛經孫絡，取分間，絶皮膚。秋取經腧，邪在府，取之合。冬取并滎，必深以留之。
故春取经血脉、分肉之间，甚者深刺之，间者浅刺之。夏取盛经孙络，取分间，绝皮肤。秋取经腧，邪在府，取之合。冬取并荥，必深以留之。 gù chūn qǔ jīng xuè mài, fēn ròu zhī jiān, shèn zhě shēn cì zhī, jiàn zhě qiǎn cì zhī. xià qǔ shèng jīng sūn luò, qǔ fēn jiān, jué pí fū. qiū qǔ jīng shù, xié zài fǔ, qǔ zhī hé. dōng qǔ bìng xíng, bì shēn yǐ liú zhī.
所以春天取经脉、血络与分肉之间，病重的深刺，病轻的浅刺；夏天取盛满的经脉与孙络，取分肉之间，刺透皮肤；秋天取经脉的腧穴，邪在六腑的，取合穴；冬天取井穴荥穴，一定要深刺而久留。
Thus in spring take the channels, the blood vessels and the space between the muscles; where the illness is severe, needle deeply; where it is light, needle shallowly. In summer take the full channels and the grandson luo, take the space between the muscles and pierce through the skin. In autumn take the shu points of the channels; where evil is in the receptacles, take the he points. In winter take the jing and xing points, and needle deeply so as to retain.
4
溫瘧汗不出，爲五十九痏，風㽷膚脹，爲五十七痏，取皮膚之血者，盡取之。飱泄，補三陰之上，補陰陵泉，皆久留之，𤍠行乃止。
温疟汗不出，为五十九痏，风㽷肤胀，为五十七痏，取皮肤之血者，尽取之。飧泄，补三阴之上，补阴陵泉，皆久留之，𤍠行乃止。 wēn nüè hàn bù chū, wéi wǔ shí jiǔ wěi, fēng shuǐ fū zhàng, wéi wǔ shí qī wěi, qǔ pí fū zhī xuè zhě, jìn qǔ zhī. sūn xiè, bǔ sān yīn zhī shàng, bǔ yīn líng quán, jiē jiǔ liú zhī, rè xíng nǎi zhǐ.
温疟汗不出的，取五十九个穴位；风水肤胀的，取五十七个穴位，并取皮肤上的血络，把恶血放尽。飧泄，补三阴经的上部，补阴陵泉，都要久留针，等热行才止。
For warm malaria without sweat, use fifty-nine points; for wind-water with swollen skin, use fifty-seven points, taking the blood of the skin and drawing it all out. For diarrhoea of undigested food, supplement above the three yin and supplement yin ling quan, retaining the needle long in every case until the heat moves and then stopping.
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轉筋于陽治其陽，轉筋于陰治其陰，皆卒刺之。徒㽷，先取環谷下三寸，以鈹鍼鍼之，已刺而筩之，而内之，入而復之，以盡其㽷，必堅。來緩則煩悗，來急則安静，間日一刺之，㽷盡乃止。飲閉藥，方刺之時，徒飲之，方飲無食，方食無飲，無食他食，百三十五日，
转筋于阳治其阳，转筋于阴治其阴，皆卒刺之。徒㽷，先取环谷下三寸，以铍针针之，已刺而筒之，而内之，入而复之，以尽其㽷，必坚。来缓则烦悗，来急则安静，间日一刺之，㽷尽乃止。饮闭药，方刺之时，徒饮之，方饮无食，方食无饮，无食他食，百三十五日， zhuǎn jīn yú yáng zhì qí yáng, zhuǎn jīn yú yīn zhì qí yīn, jiē cù cì zhī. tú shuǐ, xiān qǔ huán gǔ xià sān cùn, yǐ pī zhēn zhēn zhī, yǐ cì ér tǒng zhī, ér nèi zhī, rù ér fù zhī, yǐ jìn qí shuǐ, bì jiān. lái huǎn zé fán mán, lái jí zé ān jìng, jiàn rì yī cì zhī, shuǐ jìn nǎi zhǐ. yǐn bì yào, fāng cì zhī shí, tú yǐn zhī, fāng yǐn wú shí, fāng shí wú yǐn, wú shí tā shí, bǎi sān shí wǔ rì,
转筋在阳侧的就治阳经，在阴侧的就治阴经，都要急刺。患水肿的，先取环谷下三寸，用鈹针针刺，刺过后用竹筒纳入针孔，再向内推，反复抽吸，把水放尽，筒一定要牢固。脉来徐缓的就烦躁，脉来急疾的反而安静，隔一天刺一次，水尽才止。同时服通闭的药，正当针刺的时候只服药，服药时不吃东西，吃东西时不服药，不吃别的食物，要忌一百三十五日。
For cramp on the yang side treat the yang, for cramp on the yin side treat the yin; in both cases needle urgently. For simple water swelling, first take three cun below huan gu, needle it with a pi needle, and when the needling is done insert a tube and push it inward, drawing back and forth to exhaust the water; the tube must be firm. If the pulse comes slow the patient is fretful; if it comes urgent he is quiet. Needle every other day, and stop when the water is gone. Give the opening medicine: at the time of needling take only the medicine, when taking medicine eat nothing, when eating take nothing else, and eat no other food for a hundred and thirty-five days.
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著痺不去，久寒不已，卒取其三里。骨爲幹。腸中不便，取三里，盛寫之，虚補之。癘風者，素刺其腫上，已刺，以鋭鍼鍼其處，按出其惡氣，腫盡乃止。常食方食，無食他食，
著痹不去，久寒不已，卒取其三里。骨为干。肠中不便，取三里，盛写之，虚补之。疠风者，素刺其肿上，已刺，以锐针针其处，按出其恶气，肿尽乃止。常食方食，无食他食， zhù bì bù qù, jiǔ hán bù yǐ, cù qǔ qí sān lǐ. gǔ wéi gàn. cháng zhōng bù biàn, qǔ sān lǐ, shèng xiè zhī, xū bǔ zhī. lì fēng zhě, sù cì qí zhǒng shàng, yǐ cì, yǐ ruì zhēn zhēn qí chù, àn chū qí è qì, zhǒng jìn nǎi zhǐ. cháng shí fāng shí, wú shí tā shí,
著痹不去、久寒不止的，急取足三里。骨为干。肠中不通利的，取足三里，邪盛用泻法，正虚用补法。疠风病，用针刺其肿处，刺过之后，再用锐针刺患处，按出恶气，肿消尽才止。常吃这种忌口之食，不吃别的食物。
For fixed bi that does not leave and old cold that does not stop, needle urgently san li. Bone is the trunk. If the intestine is not free, take san li; where full, drain; where empty, supplement. For leprosy, needle the swelling plainly; after needling, needle the place again with a sharp needle and press out the evil qi, stopping when the swelling is gone. Always eat the prescribed food and nothing else.
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腹中常鳴，氣上衝胸，喘不能久立。邪在大腸，刺盲之原，巨虚上廉三里、小腹控睪，引腰脊，上衝心。邪在小腸者，連睪系，屬于脊，貫肝肺，絡心系。氣盛則厥逆，上衝腸胃，熏肝，散于盲，結于臍。故取之盲原以散之，刺太陰以予之，取厥陰以下之，取巨虚不廉以去之，按其所過之經以調之。
腹中常鸣，气上冲胸，喘不能久立。邪在大肠，刺盲之原，巨虚上廉三里、小腹控睾，引腰脊，上冲心。邪在小肠者，连睾系，属于脊，贯肝肺，络心系。气盛则厥逆，上冲肠胃，熏肝，散于盲，结于脐。故取之盲原以散之，刺太阴以予之，取厥阴以下之，取巨虚不廉以去之，按其所过之经以调之。 fù zhōng cháng míng, qì shàng chōng xiōng, chuǎn bù néng jiǔ lì. xié zài dà cháng, cì máng zhī yuán, jù xū shàng lián sān lǐ, xiǎo fù kòng gāo, yǐn yāo jí, shàng chōng xīn. xié zài xiǎo cháng zhě, lián gāo xì, zhǔ yú jí, guàn gān fèi, luò xīn xì. qì shèng zé jué nì, shàng chōng cháng wèi, xūn gān, sàn yú máng, jié yú qí. gù qǔ zhī máng yuán yǐ sàn zhī, cì tài yīn yǐ yǔ zhī, qǔ jué yīn yǐ xià zhī, qǔ jù xū bù lián yǐ qù zhī, àn qí suǒ guò zhī jīng yǐ tiáo zhī.
腹中常鸣，气上冲胸，喘而不能久立，是邪在大肠，刺肓之原、巨虚上廉与三里。小腹牵引睾丸，连及腰脊，上冲于心，是邪在小肠，连及睾系，连属于脊，贯通肝肺，络于心系。气盛就厥逆，上冲肠胃，熏灼于肝，散于肓膜，结于脐部。所以要取肓原散邪，刺手太阴补气，取足厥阴引气下行，取巨虚下廉去其邪，再按其经过的经脉加以调治。
Constant rumbling in the abdomen, qi rushing up to the chest, panting so that one cannot stand long — the evil is in the large intestine: needle the source of the huang, ju xu shang lian and san li. When the lower abdomen draws on the testicles and pulls the loins and spine, rushing up to the heart, the evil is in the small intestine, which joins the spermatic cord, belongs to the spine, threads the liver and lungs and nets the heart system. When the qi is full there is counterflow, rushing up into stomach and intestines, scorching the liver, scattering into the huang and knotting at the umbilicus. Therefore take the source of the huang to scatter it, needle the tai yin to give it, take the jue yin to bring it down, take ju xu xia lian to remove it, and press along the channel it passes through to harmonise it.
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善嘔，嘔有苦，長太息，心中憺憺，恐人將捕之。邪在膽，逆在胃，膽液泄則口苦，胃氣逆則嘔苦，故曰嘔膽。取三里以下，胃氣逆則刺少陽血絡，以閉膽逆，却調其虚實，以去其邪。
善呕，呕有苦，长太息，心中憺憺，恐人将捕之。邪在胆，逆在胃，胆液泄则口苦，胃气逆则呕苦，故曰呕胆。取三里以下，胃气逆则刺少阳血络，以闭胆逆，却调其虚实，以去其邪。 shàn ǒu, ǒu yǒu kǔ, cháng tài xī, xīn zhōng dàn dàn, kǒng rén jiāng bǔ zhī. xié zài dǎn, nì zài wèi, dǎn yè xiè zé kǒu kǔ, wèi qì nì zé ǒu kǔ, gù yuē ǒu dǎn. qǔ sān lǐ yǐ xià, wèi qì nì zé cì shào yáng xuè luò, yǐ bì dǎn nì, què tiáo qí xū shí, yǐ qù qí xié.
常呕吐，呕出苦水，常叹息，心中动荡不安，好像怕人捕捉他，这是邪在胆，气逆在胃。胆液外泄就口苦，胃气上逆就呕苦，所以叫做呕胆。取足三里以引胃气下行；胃气上逆的，就刺足少阳的血络，以止胆逆，再调其虚实，去除邪气。
Constant vomiting of bitter fluid, frequent sighing, a heart restless as though afraid of being seized — the evil is in the gallbladder, with counterflow in the stomach. When gallbladder fluid leaks the mouth is bitter; when stomach qi flows back one vomits bitter, and this is called vomiting bile. Take san li to bring the stomach qi down; where stomach qi flows back, needle the blood luo of the shao yang to close off the gallbladder counterflow, then harmonise the empty and the full to remove the evil.
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飲食不下，膈塞不通，邪在胃脘，在上脘則刺抑而下之，在下脘則散而去之。小腹痛腫，不得小便，邪在三焦，約取之太陽大絡，視其絡脉，與厥陰小絡結而血者，腫上及胃脘，取三里。睹其色，察其以，知其散復者，視其目色，以知病之存亡也。一其形，聽其動靜者，持氣口人迎以視其脉，堅且盛且滑者，病日進；脉軟者，病將下，諸經實者，病三日已。氣口𠉀陰，人迎𠉀陽也。
饮食不下，膈塞不通，邪在胃脘，在上脘则刺抑而下之，在下脘则散而去之。小腹痛肿，不得小便，邪在三焦，约取之太阳大络，视其络脉，与厥阴小络结而血者，肿上及胃脘，取三里。睹其色，察其以，知其散复者，视其目色，以知病之存亡也。一其形，听其动静者，持气口人迎以视其脉，坚且盛且滑者，病日进；脉软者，病将下，诸经实者，病三日已。气口𠉀阴，人迎𠉀阳也。 yǐn shí bù xià, gé sè bù tōng, xié zài wèi wǎn, zài shàng wǎn zé cì yì ér xià zhī, zài xià wǎn zé sàn ér qù zhī. xiǎo fù tòng zhǒng, bù dé xiǎo biàn, xié zài sān jiāo, yuē qǔ zhī tài yáng dà luò, shì qí luò mài, yǔ jué yīn xiǎo luò jié ér xuè zhě, zhǒng shàng jí wèi wǎn, qǔ sān lǐ. dǔ qí sè, chá qí yǐ, zhī qí sàn fù zhě, shì qí mù sè, yǐ zhī bìng zhī cún wáng yě. yī qí xíng, tīng qí dòng jìng zhě, chí qì kǒu rén yíng yǐ shì qí mài, jiān qiě shèng qiě huá zhě, bìng rì jìn; mài ruǎn zhě, bìng jiāng xià, zhū jīng shí zhě, bìng sān rì yǐ. qì kǒu hòu yīn, rén yíng hòu yáng yě.
饮食不下，膈塞不通，是邪在胃脘。在上脘的就刺而抑之使下，在下脘的就散而去之。小腹肿痛，小便不通，是邪在三焦，约束不行，取足太阳大络，看它的络脉与厥阴小络有瘀血结聚的，刺去瘀血；肿部向上连及胃脘的，取三里。看病人的面色，察其举止，了解邪气是散是聚，要看目色，以知病的存亡。专一其形，听其动静，是持气口、人迎来诊脉：脉坚盛而滑的，病一天天加重；脉软的，病将减退；各经都实的，三天可愈。气口候阴，人迎候阳。
Food and drink will not go down and the diaphragm is blocked — the evil is in the stomach duct. If it is in the upper duct, needle to press it down; if in the lower duct, scatter and remove it. Swelling and pain in the lower abdomen with no urine — the evil is in the triple burner and bound, so take the great luo of the tai yang and look at its luo vessel; where the jue yin small luo is knotted with blood, take it; where the swelling reaches up to the stomach duct, take san li. Observe the colour and examine the bearing; to know whether the evil has scattered or returned, look at the colour of the eyes, whereby one knows whether the disease will live or die. Unify the form and listen to movement and stillness by holding the qi mouth and the ren ying to examine the pulse: if it is hard, full and slippery the disease advances daily; if it is soft the disease will descend; if all the channels are full the disease is over in three days. The qi mouth examines the yin, the ren ying the yang.