1
黄帝問曰:何謂虚實?
黄帝问曰:何谓虚实?
Huáng dì wèn yuē: hé wèi xū shí?
黄帝问道:什么叫做虚和实?
The Yellow Emperor asks: what is meant by vacuity and repletion?
2
歧伯對曰:邪氣盛則實,精氣奪則虚。
歧伯对曰:邪气盛则实,精气夺则虚。
Qí bó duì yuē: xié qì shèng zé shí, jīng qì duó zé xū.
歧伯回答说:邪气亢盛就是实,精气被夺失就是虚。
Qibo answers: where evil qi is exuberant, that is repletion; where the essential qi has been taken away, that is vacuity.
3
帝曰:虚實何如?
帝曰:虚实何如?
Dì yuē: xū shí hé rú?
黄帝说:虚实的情况又是怎样的?
The Emperor says: how do vacuity and repletion show themselves?
4
歧伯曰:氣虚者,肺虚也;氣逆者,足寒也。
歧伯曰:气虚者,肺虚也;气逆者,足寒也。
Qí bó yuē: qì xū zhě, fèi xū yě; qì nì zhě, zú hán yě.
歧伯说:气虚,是肺虚;气逆,是足部寒冷。
Qibo says: vacuity of qi is vacuity of the lung; counterflow of qi is coldness of the feet.
5
非其時則生,當其時則死,餘藏皆如此。
非其时则生,当其时则死,余藏皆如此。
Fēi qí shí zé shēng, dāng qí shí zé sǐ, yú zàng jiē rú cǐ.
不在其所克之时则生,正当其所克之时则死,其余各藏也都是如此。
Outside its own season the patient lives; in the season that matches it, the patient dies. The other depots are all like this.
Dì yuē: hé wèi chóng shí?
黄帝说:什么叫做重实?
The Emperor says: what is meant by doubled repletion?
7
歧伯曰:所謂重實者,言大熱病,氣熱脉滿,是謂重實。
歧伯曰:所谓重实者,言大热病,气热脉满,是谓重实。
Qí bó yuē: suǒ wèi chóng shí zhě, yán dà rè bìng, qì rè mài mǎn, shì wèi chóng shí.
歧伯说:所谓重实,是说患大热之病,气分热盛而脉象充满,这就叫做重实。
Qibo says: what is called doubled repletion refers to a great heat disease — the qi hot and the pulse full. This is called doubled repletion.
8
帝曰:經絡俱實何如?何以治之?
帝曰:经络俱实何如?何以治之?
Dì yuē: jīng luò jù shí hé rú? hé yǐ zhì zhī?
黄帝说:经脉与络脉俱实是怎样的?怎样治疗?
The Emperor says: what if the channels and the network vessels are both replete? How is it treated?
9
歧伯曰:經絡皆實,是寸脉急而尺緩也,皆當治之。
歧伯曰:经络皆实,是寸脉急而尺缓也,皆当治之。
Qí bó yuē: jīng luò jiē shí, shì cùn mài jí ér chǐ huǎn yě, jiē dāng zhì zhī.
歧伯说:经脉络脉俱实,是寸脉急而尺脉缓,都应当治之。
Qibo says: when channels and network vessels are both replete, the pulse at the inch is tight and the pulse at the cubit is slack. Both are to be treated.
10
故曰:滑則從,濇則逆也。
故曰:滑则从,涩则逆也。
Gù yuē: huá zé cóng, sè zé nì yě.
所以说:脉滑则顺,脉涩则逆。
Hence it is said: if the pulse is slippery, the case follows; if it is rough, the case is counterflow.
11
夫虚實者,皆從其物類始,故五藏骨肉滑利,可以長久也。
夫虚实者,皆从其物类始,故五藏骨肉滑利,可以长久也。
Fú xū shí zhě, jiē cóng qí wù lèi shǐ, gù wǔ zàng gǔ ròu huá lì, kě yǐ cháng jiǔ yě.
大凡虚实之诊,都从其所类之物的性状推求,所以五藏骨肉气血滑利,人就可以长久。
Now vacuity and repletion are both to be traced from the kind of thing they belong to; therefore, when the five depots, the bone and the flesh are slippery and free, a long life is possible.
12
帝曰:絡氣不足,經氣有餘,何如?
帝曰:络气不足,经气有余,何如?
Dì yuē: luò qì bù zú, jīng qì yǒu yú, hé rú?
黄帝说:络气不足、经气有余,是怎样的?
The Emperor says: what of network-vessel qi insufficient and channel qi in excess?
13
歧伯曰:絡氣不足,經氣有餘者,脉口熱而尺寒也,秋冬爲逆,春夏爲從,治主病者。
歧伯曰:络气不足,经气有余者,脉口热而尺寒也,秋冬为逆,春夏为从,治主病者。
Qí bó yuē: luò qì bù zú, jīng qì yǒu yú zhě, mài kǒu rè ér chǐ hán yě, qiū dōng wéi nì, chūn xià wéi cóng, zhì zhǔ bìng zhě.
歧伯说:络气不足、经气有余的,是脉口处热而尺肤寒,秋冬为逆,春夏为顺,治疗当以主治其本病为要。
Qibo says: when network-vessel qi is insufficient and channel qi is in excess, the pulse mouth is hot and the cubit is cold. In autumn and winter this is counterflow, in spring and summer it follows. Treat the disease that is in charge.
14
帝曰:經虚絡滿何如?
帝曰:经虚络满何如?
Dì yuē: jīng xū luò mǎn hé rú?
黄帝说:经虚络满是怎样的?
The Emperor says: what of the channels empty and the network vessels full?
15
歧伯曰:經虚絡滿者,尺熱滿,脉口寒濇也,此春夏死,秋冬生也。
歧伯曰:经虚络满者,尺热满,脉口寒涩也,此春夏死,秋冬生也。
Qí bó yuē: jīng xū luò mǎn zhě, chǐ rè mǎn, mài kǒu hán sè yě, cǐ chūn xià sǐ, qiū dōng shēng yě.
歧伯说:经虚络满的,是尺肤热而满,脉口寒而涩,这种病春夏死,秋冬生。
Qibo says: when the channels are empty and the network vessels full, the cubit is hot and full while the pulse mouth is cold and rough. Such a patient dies in spring and summer and lives in autumn and winter.
16
帝曰:治此者奈何?
帝曰:治此者奈何?
Dì yuē: zhì cǐ zhě nài hé?
黄帝说:治疗这种病怎么办?
The Emperor says: how does one treat this?
17
歧伯曰:絡滿經虚,灸陰剌陽;經滿絡虚,剌陰灸陽。
歧伯曰:络满经虚,灸阴刺阳;经满络虚,刺阴灸阳。
Qí bó yuē: luò mǎn jīng xū, jiǔ yīn cì yáng; jīng mǎn luò xū, cì yīn jiǔ yáng.
歧伯说:络满经虚的,灸阴而刺阳;经满络虚的,刺阴而灸阳。
Qibo says: where the network vessels are full and the channels empty, cauterise the yin and needle the yang; where the channels are full and the network vessels empty, needle the yin and cauterise the yang.
Dì yuē: hé wèi chóng xū?
黄帝说:什么叫做重虚?
The Emperor says: what is meant by doubled vacuity?
Qí bó yuē: mài qì shàng xū chǐ xū, shì wèi chóng xū.
歧伯说:脉气上部虚、尺部也虚,这就叫做重虚。
Qibo says: when the pulse qi is vacuous above and the cubit is vacuous as well, this is called doubled vacuity.
20
帝曰:何以治之?
帝曰:何以治之?
Dì yuē: hé yǐ zhì zhī?
黄帝说:怎样治疗?
The Emperor says: how is it treated?
21
歧伯曰:所謂氣虚者,言無常也。
歧伯曰:所谓气虚者,言无常也。
Qí bó yuē: suǒ wèi qì xū zhě, yán wú cháng yě.
歧伯说:所谓气虚,是说言语无常度、声音不接续。
Qibo says: what is called vacuity of qi means that the speech has no constancy.
Chǐ xū zhě, xíng bù kuāng rán.
尺虚的,是行走时怯弱无力、步履不稳。
Vacuity at the cubit means the patient walks faint and unsteady.
23
脉虚者,不象陰也。
脉虚者,不象阴也。
Mài xū zhě, bù xiàng yīn yě.
脉虚的,是脉不具阴脉之象,没有阴柔之态。
Vacuity of the pulse means it no longer resembles a yin pulse.
24
如此者,滑則生,濇則死也。
如此者,滑则生,涩则死也。
Rú cǐ zhě, huá zé shēng, sè zé sǐ yě.
像这样的,脉滑则生,脉涩则死。
In such a case, a slippery pulse means life and a rough pulse means death.
25
帝曰:寒氣暴上,脉滿而實,何如?
帝曰:寒气暴上,脉满而实,何如?
Dì yuē: hán qì bào shàng, mài mǎn ér shí, hé rú?
黄帝说:寒气突然上逆,脉满而实,是怎样的?
The Emperor says: cold qi surging upward suddenly, with the pulse full and replete — what of that?
26
歧伯曰:實而滑則生,實而逆則死。
歧伯曰:实而滑则生,实而逆则死。
Qí bó yuē: shí ér huá zé shēng, shí ér nì zé sǐ.
歧伯说:实而滑利的生,实而逆乱的死。
Qibo says: replete and slippery means life; replete and counterflow means death.
27
帝曰:脉實滿,手足寒,頭熱,何如?
帝曰:脉实满,手足寒,头热,何如?
Dì yuē: mài shí mǎn, shǒu zú hán, tóu rè, hé rú?
黄帝说:脉实而满,手足寒冷,头部发热,是怎样的?
The Emperor says: the pulse replete and full, the hands and feet cold, the head hot — what of that?
28
歧伯曰:春秋則生,冬夏則死。
歧伯曰:春秋则生,冬夏则死。
Qí bó yuē: chūn qiū zé shēng, dōng xià zé sǐ.
歧伯说:春秋则生,冬夏则死。
Qibo says: in spring and autumn the patient lives; in winter and summer the patient dies.
29
脉浮而濇,濇而身有熱者死。
脉浮而涩,涩而身有热者死。
Mài fú ér sè, sè ér shēn yǒu rè zhě sǐ.
脉浮而涩,涩而身上有热的,死。
A pulse that is floating and rough, and rough while the body has heat — that patient dies.
30
帝曰:其形盡滿,何如?
帝曰:其形尽满,何如?
Dì yuē: qí xíng jìn mǎn, hé rú?
黄帝说:全身都胀满的,是怎样的?
The Emperor says: what of a body swollen all over?
31
歧伯曰:其形盡滿者,脉急大堅,尺濇而不應也。
歧伯曰:其形尽满者,脉急大坚,尺涩而不应也。
Qí bó yuē: qí xíng jìn mǎn zhě, mài jí dà jiān, chǐ sè ér bù yìng yě.
歧伯说:全身胀满的,脉急、大、坚,尺肤涩而不应手。
Qibo says: in one whose whole body is swollen, the pulse is tight, large and hard, and the cubit is rough and does not answer to the hand.
32
如是者,故從則生,逆則死。
如是者,故从则生,逆则死。
Rú shì zhě, gù cóng zé shēng, nì zé sǐ.
像这样的,顺则生,逆则死。
In such a case, if it follows, the patient lives; if it is counterflow, the patient dies.
33
帝曰:何謂從則生,逆則死?
帝曰:何谓从则生,逆则死?
Dì yuē: hé wèi cóng zé shēng, nì zé sǐ?
黄帝说:什么叫做顺则生、逆则死?
The Emperor says: what is meant by following means life and counterflow means death?
34
歧伯曰:所謂從者,手足温也;所謂逆者,手足寒也。
歧伯曰:所谓从者,手足温也;所谓逆者,手足寒也。
Qí bó yuē: suǒ wèi cóng zhě, shǒu zú wēn yě; suǒ wèi nì zhě, shǒu zú hán yě.
歧伯说:所谓顺,是手足温暖;所谓逆,是手足寒冷。
Qibo says: what is called following is hands and feet warm; what is called counterflow is hands and feet cold.
35
帝曰:乳子而病熱,脉懸小者,何如?
帝曰:乳子而病热,脉悬小者,何如?
Dì yuē: rǔ zǐ ér bìng rè, mài xuán xiǎo zhě, hé rú?
黄帝说:哺乳中的婴儿患热病,脉象悬而小,是怎样的?
The Emperor says: a nursing infant ill with heat, the pulse hanging and small — what of that?
36
歧伯曰:手足温則生,寒則死。
歧伯曰:手足温则生,寒则死。
Qí bó yuē: shǒu zú wēn zé shēng, hán zé sǐ.
歧伯说:手足温暖的生,手足寒冷的死。
Qibo says: if the hands and feet are warm, the child lives; if cold, the child dies.
37
帝曰:乳子中風熱,喘鳴肩息者,脉何如?
帝曰:乳子中风热,喘鸣肩息者,脉何如?
Dì yuē: rǔ zǐ zhòng fēng rè, chuǎn míng jiān xī zhě, mài hé rú?
黄帝说:婴儿中风热,喘息有声、抬肩而呼吸的,脉象怎样?
The Emperor says: an infant struck by wind-heat, wheezing and breathing with the shoulders — what is the pulse?
38
歧伯曰:喘鳴肩息者,脉實大也,緩則生,急則死。
歧伯曰:喘鸣肩息者,脉实大也,缓则生,急则死。
Qí bó yuē: chuǎn míng jiān xī zhě, mài shí dà yě, huǎn zé shēng, jí zé sǐ.
歧伯说:喘息有声、抬肩呼吸的,脉实而大,脉缓的生,脉急的死。
Qibo says: in one who wheezes and breathes with the shoulders, the pulse is replete and large. If it is moderate, the child lives; if it is racing, the child dies.
Dì yuē: cháng pì biàn xuè, hé rú?
黄帝说:肠澼而大便下血的,是怎样的?
The Emperor says: what of intestinal flux with blood in the stool?
40
歧。伯曰:身熱則死,寒則生。
歧。伯曰:身热则死,寒则生。
Qí. Bó yuē: shēn rè zé sǐ, hán zé shēng.
歧伯说:身上发热的死,身寒的生。
Qibo says: if the body is hot, the patient dies; if cold, the patient lives.
41
帝曰:腸澼下白沫,何如?
帝曰:肠澼下白沫,何如?
Dì yuē: cháng pì xià bái mò, hé rú?
黄帝说:肠澼而泻下白沫的,是怎样的?
The Emperor says: what of intestinal flux discharging white froth?
42
歧伯曰:脉沈則生,脉浮則死。
歧伯曰:脉沉则生,脉浮则死。
Qí bó yuē: mài chén zé shēng, mài fú zé sǐ.
歧伯说:脉沉的生,脉浮的死。
Qibo says: a sunken pulse means life, a floating pulse means death.
Dì yuē: cháng pì xià nóng xuè, hé rú?
黄帝说:肠澼而泻下脓血的,是怎样的?
The Emperor says: what of intestinal flux discharging pus and blood?
44
歧伯曰:脉懸絶則死,滑大則生。
歧伯曰:脉悬绝则死,滑大则生。
Qí bó yuē: mài xuán jué zé sǐ, huá dà zé shēng.
歧伯说:脉悬绝欲断的死,滑而大的生。
Qibo says: a pulse hanging on the point of breaking off means death; slippery and large means life.
45
帝曰:腸澼之屬,身不熱,脉不懸絶,何如?
帝曰:肠澼之属,身不热,脉不悬绝,何如?
Dì yuē: cháng pì zhī shǔ, shēn bù rè, mài bù xuán jué, hé rú?
黄帝说:肠澼一类,身上不发热,脉也不悬绝的,是怎样的?
The Emperor says: in the class of intestinal flux, if the body is not hot and the pulse is not hanging on the point of breaking — what then?
46
歧伯曰:滑大者曰生,懸濇者曰死,以藏期之。
歧伯曰:滑大者曰生,悬涩者曰死,以藏期之。
Qí bó yuē: huá dà zhě yuē shēng, xuán sè zhě yuē sǐ, yǐ zàng qī zhī.
歧伯说:脉滑大的叫做生,脉悬涩的叫做死,并依五脏所主之时日来预判死期。
Qibo says: slippery and large is called life; hanging and rough is called death. Fix the date by the depot involved.
Dì yuē: diān jí hé rú?
黄帝说:癫疾是怎样的?
The Emperor says: what of epilepsy?
48
歧伯曰:脉搏大滑,久自已,脉小堅急,死不治。
歧伯曰:脉搏大滑,久自已;脉小坚急,死不治。
Qí bó yuē: mài bó dà huá, jiǔ zì yǐ, mài xiǎo jiān jí, sǐ bù zhì.
歧伯说:脉搏指大而滑利的,日久会自行痊愈;脉小而坚急的,死而不能治。
Qibo says: if the pulse beats large and slippery, the disease will settle of itself in time; if it is small, hard and racing, there is death and no cure.
49
帝曰:癲疾之脉,虚實何如?
帝曰:癫疾之脉,虚实何如?
Dì yuē: diān jí zhī mài, xū shí hé rú?
黄帝说:癫疾的脉象,虚实是怎样的?
The Emperor says: as for the pulse of epilepsy, what of its vacuity and repletion?
50
歧伯曰:虚則可治,實則死。
歧伯曰:虚则可治,实则死。
Qí bó yuē: xū zé kě zhì, shí zé sǐ.
歧伯说:脉虚的可以治,脉实的死。
Qibo says: vacuous, it can be treated; replete, the patient dies.
Dì yuē: xiāo dān xū shí hé rú?
黄帝说:消瘅病的虚实是怎样的?
The Emperor says: what of the vacuity and repletion in wasting-and-thirsting?
52
歧伯曰:脉實大,病久可治;脉懸小堅,病久不可治。
歧伯曰:脉实大,病久可治;脉悬小坚,病久不可治。
Qí bó yuē: mài shí dà, bìng jiǔ kě zhì; mài xuán xiǎo jiān, bìng jiǔ bù kě zhì.
歧伯说:脉实大的,病虽久仍可治;脉悬小而坚的,病久则不可治。
Qibo says: if the pulse is replete and large, a long illness can still be treated; if it is hanging, small and hard, a long illness cannot be treated.
53
帝曰:形度、骨度、脉度、筋度,何以知其度也?
帝曰:形度、骨度、脉度、筋度,何以知其度也?
Dì yuē: xíng dù, gǔ dù, mài dù, jīn dù, hé yǐ zhī qí dù yě?
黄帝说:形度、骨度、脉度、筋度,凭什么来测知它们的度數呢?
The Emperor says: the measures of the body, of the bones, of the vessels and of the sinews — how does one know their measures?
54
帝曰:春亟治經絡,夏亟治經俞,秋亟治六府,冬則閉塞。
帝曰:春亟治经络,夏亟治经俞,秋亟治六府,冬则闭塞。
Dì yuē: chūn qì zhì jīng luò, xià qì zhì jīng shù, qiū qì zhì liù fǔ, dōng zé bì sè.
黄帝说:春季多治经络,夏季多治经俞,秋季多治六府,冬季则气机闭塞。
The Emperor says: in spring treat the channels and network vessels repeatedly; in summer treat the channel transport points; in autumn treat the six palaces; in winter there is closing and blockage.
55
閉塞者,用藥而少鍼石也。
闭塞者,用药而少针石也。
Bì sè zhě, yòng yào ér shǎo zhēn shí yě.
气机闭塞的时候,当用药物而少用针石。
Where there is closing and blockage, use medicines and go lightly with needles and stones.
Suǒ wèi shǎo zhēn shí zhě, fēi yōng jū zhī wèi yě.
所谓少用针石,并不是说痈疽之类也少用。
What is meant by going lightly with needles and stones does not apply to abscesses and flat abscesses.
57
癰疽不得頃時回,癰不知所,按之不應手,乍來乍已,剌手太陰傍三痏與纓脉各二。
痈疽不得顷时回,痈不知所,按之不应手,乍来乍已,刺手太阴傍三痏与缨脉各二。
Yōng jū bù dé qǐng shí huí, yōng bù zhī suǒ, àn zhī bù yìng shǒu, zhà lái zhà yǐ, cì shǒu tài yīn páng sān wěi yǔ yīng mài gè èr.
痈疽之病不可片刻迟回,痈发无定处,按之不应手,忽来忽止的,刺手太阴旁三痏,并刺缨脉各二。
Abscess and flat abscess allow no turning back for so much as an hour. When an abscess has no known location, does not answer to the hand when pressed, and comes and goes by turns, needle three wei beside the hand greater yin and two each at the throat vessels.
58
掖癰大熱,剌足少陽五,剌而熱不止,剌手心主三,剌手太陰經絡者,大骨之會各三。
掖痈大热,刺足少阳五,刺而热不止,刺手心主三,刺手太阴经络者,大骨之会各三。
Yè yōng dà rè, cì zú shào yáng wǔ, cì ér rè bù zhǐ, cì shǒu xīn zhǔ sān, cì shǒu tài yīn jīng luò zhě, dà gǔ zhī huì gè sān.
腋下痈肿而大热的,刺足少阳五次;刺后热仍不退的,刺手心主三次,并刺手太阴经络与大骨之会各三次。
For an abscess in the armpit with great heat, needle the foot lesser yang five times. If the heat does not stop, needle the hand heart master three times, and needle the channel and network vessel of the hand greater yin and the meeting of the great bone, three times each.
59
暴癰筋緛,隨分而痛,魄汗不盡,胞氣不足,治在經俞。
暴痈筋软,随分而痛,魄汗不尽,胞气不足,治在经俞。
Bào yōng jīn ruǎn, suí fèn ér tòng, pò hàn bù jìn, bāo qì bù zú, zhì zài jīng shù.
暴发痈肿而筋脉弛软,随分肉之间而痛,汗出不止,膀胱之气不足的,治在经俞。
A sudden abscess with slackening sinews, pain that follows the parting of the flesh, sweating that does not end, and insufficient bladder qi — treat at the channel transport points.
60
腹暴滿,按之不下,取手太陽經絡者,胃之募也。
腹暴满,按之不下,取手太阳经络者,胃之募也。
Fù bào mǎn, àn zhī bù xià, qǔ shǒu tài yáng jīng luò zhě, wèi zhī mù yě.
腹部突然胀满,按之不下陷的,取手太阳经络,那是胃的募穴。
For sudden fullness of the abdomen which does not give when pressed, take the channel and network vessel of the hand greater yang — that is the alarm point of the stomach.
61
少陰俞去脊椎三寸傍五,用員利鍼。
少阴俞去脊椎三寸傍五,用员利针。
Shào yīn shù qù jǐ zhuī sān cùn páng wǔ, yòng yuán lì zhēn.
取少阴俞,在脊椎旁开三寸处各五穴,用员利针。
The lesser yin transport points, five of them three inches out from the spinal vertebrae — use the round-sharp needle.
62
霍亂,剌俞傍五,足陽明及上傍三。
霍乱,刺俞傍五,足阳明及上傍三。
Huò luàn, cì shù páng wǔ, zú yáng míng jí shàng páng sān.
霍乱,刺俞穴旁五处,并刺足阳明及其上方旁三处。
For cholera, needle five beside the transport points, and three at the foot yang brilliance and above it.
63
剌癇驚脉五,鍼手太陰各五,剌經太陽五,剌手少陰經絡傍者一,足陽明一,上踝五寸,剌三鍼。
刺痫惊脉五,针手太阴各五,刺经太阳五,刺手少阴经络傍者一,足阳明一,上踝五寸,刺三针。
Cì xián jīng mài wǔ, zhēn shǒu tài yīn gè wǔ, cì jīng tài yáng wǔ, cì shǒu shào yīn jīng luò páng zhě yī, zú yáng míng yī, shàng huái wǔ cùn, cì sān zhēn.
刺癫痫惊风的脉五处;针手太阴各五处;刺太阳经五处;刺手少阴经络旁一处;足阳明一处;足内踝上五寸处,刺三针。
For epilepsy and fright, needle the vessels five times; needle the hand greater yin, five each; needle the channel of greater yang five times; needle beside the channel and network vessel of the hand lesser yin once; the foot yang brilliance once; and five inches above the ankle, three needles.
Fán zhì xiāo dān, pū jī, piān kū, wěi jué, qì mǎn, fā nì, féi guì rén, zé gāo liáng zhī jí yě.
大凡诊治消瘅、仆击、偏枯、痿厥、气满、发逆等病,若见于肥胖的富贵之人,则是膏粱厚味所致之疾。
In treating wasting-and-thirsting, falling stroke, one-sided withering, limp inversion, qi fullness and uprising counterflow — when the patient is fat and of high station, these are diseases of fine grain and rich meat.
65
隔塞閉絶,上下不通,則暴憂之病也。
隔塞闭绝,上下不通,则暴忧之病也。
Gé sè bì jué, shàng xià bù tōng, zé bào yōu zhī bìng yě.
隔塞闭绝、上下不通的,是突然忧伤所致之病。
Blockage, closing and cutting off, with the upper and lower no longer communicating — that is a disease of sudden grief.
66
暴厥而聾,偏塞閉不通,内氣暴薄也。
暴厥而聋,偏塞闭不通,内气暴薄也。
Bào jué ér lóng, piān sè bì bù tōng, nèi qì bào bó yě.
突然昏厥而耳聋、偏侧闭塞不通的,是内气突然逼迫所致。
Sudden inversion with deafness, and one side blocked so that it does not communicate — that is the inner qi pressed violently.
67
不從内外,中風之病,故瘦留著也。
不从内外,中风之病,故瘦留著也。
Bù cóng nèi wài, zhòng fēng zhī bìng, gù shòu liú zhuó yě.
病不从内也不从外而发,是中风之病,所以邪气留著而使人消瘦。
When it comes neither from within nor from without, it is the disease of being struck by wind; hence the emaciation and the lodging of the evil.
68
蹠跛,寒風濕之病也。
蹠跛,寒风湿之病也。
Zhí bǒ, hán fēng shī zhī bìng yě.
足蹠跛行不便的,是寒、风、湿三气所致之病。
Limping on the sole of the foot is a disease of cold, wind and dampness.
69
黄帝曰:黃疸,暴痛,癲疾、厥狂,久逆之所生也。
黄帝曰:黄疸,暴痛,癫疾、厥狂,久逆之所生也。
Huáng dì yuē: huáng dǎn, bào tòng, diān jí, jué kuáng, jiǔ nì zhī suǒ shēng yě.
黄帝说:黄疸、突然剧痛、癫疾、厥逆发狂,都是长久气逆所生之病。
The Yellow Emperor says: jaundice, sudden pain, epilepsy, and inversion with mania are born of counterflow that has lasted long.
70
五藏不平,六府閉塞之所生也。
五藏不平,六府闭塞之所生也。
Wǔ zàng bù píng, liù fǔ bì sè zhī suǒ shēng yě.
五脏之气不和调,是六府闭塞不通所生。
The five depots out of balance are born of the six palaces being shut and blocked.
71
頭痛耳鳴,九竅不利,腸胃之所生也。
头痛耳鸣,九窍不利,肠胃之所生也。
Tóu tòng ěr míng, jiǔ qiào bù lì, cháng wèi zhī suǒ shēng yě.
头痛、耳鸣、九窍不利的,是肠胃之病所生。
Headache, ringing in the ears and the nine orifices failing to work freely are born of the stomach and intestines.