Huáng dì wèn yuē: jīn fú rè bìng zhě, jiē shāng hán zhī lèi yě.
黄帝问道：如今所说的热病，都属于伤寒这一类。
The Yellow Emperor asks: now, the heat diseases are all of the class of cold damage.
2
或愈或死，其死皆以六七日之閒，其愈皆以十日以上者，何也？
或愈或死，其死皆以六七日之间，其愈皆以十日以上者，何也？
Huò yù huò sǐ, qí sǐ jiē yǐ liù qī rì zhī jiān, qí yù jiē yǐ shí rì yǐ shàng zhě, hé yě?
有的人痊愈，有的人死亡；死亡的都在第六七天，痊愈的都在十天以上，这是什么缘故？
Some recover and some die. Those who die do so by the sixth or seventh day, those who recover take more than ten days. Why is this?
3
不知其解，願聞其故。
不知其解，愿闻其故。
Bù zhī qí jiě, yuàn wén qí gù.
我不明白其中的道理，希望听听缘故。
I do not understand the explanation of it; I wish to hear the reason.
4
歧伯對曰：巨陽者，諸陽之屬也。其脉連於風府，故爲諸陽主氣也。
歧伯对曰：巨阳者，诸阳之属也。其脉连于风府，故为诸阳主气也。
Qí bó duì yuē: jù yáng zhě, zhū yáng zhī shǔ yě. Qí mài lián yú fēng fǔ, gù wéi zhū yáng zhǔ qì yě.
歧伯回答说：巨阳是诸阳的总属。它的经脉上连风府，所以能主持一身阳气。
Qibo answers: 巨陽 is what all the yang belong to. Its vessel connects at 風府, and that is why it governs the qi of all the yang.
5
人之傷於寒也，則爲病熱，熱雖甚不死。
人之伤于寒也，则为病热，热虽甚不死。
Rén zhī shāng yú hán yě, zé wéi bìng rè, rè suī shèn bù sǐ.
人被寒邪所伤，就会发为热病；热势即使很盛，也不会致死。
When a person is harmed by cold, the result is heat disease; however extreme the heat, it does not kill.
6
其兩感於寒而病者，必不免於死。
其两感于寒而病者，必不免于死。
Qí liǎng gǎn yú hán ér bìng zhě, bì bù miǎn yú sǐ.
若是表里两经同时感受寒邪而发病的，就必死无疑。
But one who is affected in two places at once by the cold cannot escape death.
7
帝曰：願聞其狀。
帝曰：愿闻其状。
Dì yuē: yuàn wén qí zhuàng.
黄帝说：我希望听听它的证候表现。
The Emperor says: I wish to hear what it looks like.
8
歧伯曰：傷寒一日，巨陽受之，故頭項痛，腰脊強。
歧伯曰：伤寒一日，巨阳受之，故头项痛，腰脊强。
Qí bó yuē: shāng hán yī rì, jù yáng shòu zhī, gù tóu xiàng tòng, yāo jǐ jiāng.
歧伯说：伤寒第一天，巨阳经受邪，所以头痛、后项痛，腰脊僵硬。
Qibo says: on the first day of cold damage 巨陽 receives it, hence pain in the head and nape and stiffness in the lumbar spine.
9
二日，陽明受之，陽明主肉，其脉俠鼻絡於目，故身熱目疼而鼻乾，不得卧也。
二日，阳明受之，阳明主肉，其脉侠鼻络于目，故身热目疼而鼻干，不得卧也。
Èr rì, yáng míng shòu zhī, yáng míng zhǔ ròu, qí mài xié bí luò yú mù, gù shēn rè mù téng ér bí gān, bù dé wò yě.
第二天，阳明经受邪。阳明主肌肉，它的经脉夹于鼻旁而连络于目，所以身热、目痛、鼻干，不能安卧。
On the second day 陽明 receives it. 陽明 governs the flesh, and its vessel runs alongside the nose and networks into the eye, hence heat in the body, pain in the eyes and a dry nose, and inability to lie down.
10
三日，少陽受之，少陽主膽，其脉循脅絡於耳，故胸脅痛而耳聾。
三日，少阳受之，少阳主胆，其脉循胁络于耳，故胸胁痛而耳聋。
Sān rì, shào yáng shòu zhī, shào yáng zhǔ dǎn, qí mài xún xié luò yú ěr, gù xiōng xié tòng ér ěr lóng.
第三天，少阳经受邪。少阳主胆，它的经脉循胁肋而行、连络于耳，所以胸胁疼痛而耳聋。
On the third day 少陽 receives it. 少陽 governs the gallbladder, and its vessel runs along the flanks and networks into the ear, hence pain in the chest and flanks and deafness.
11
三陽經絡皆受其病，而未入於藏者，故可汗而已。
三阳经络皆受其病，而未入于藏者，故可汗而已。
Sān yáng jīng luò jiē shòu qí bìng, ér wèi rù yú zàng zhě, gù kě hàn ér yǐ.
三阳的经与络都受了病，但邪气还没有传入五脏的，可以用发汗法治愈。
When all three yang channels and network vessels have received the disease but it has not yet entered the depots, it can be resolved by sweating.
12
四日，太陰受之，太陰脉布胃中，絡於嗌，故腹滿而嗌乾。
四日，太阴受之，太阴脉布胃中，络于嗌，故腹满而嗌干。
Sì rì, tài yīn shòu zhī, tài yīn mài bù wèi zhōng, luò yú yì, gù fù mǎn ér yì gān.
第四天，太阴经受邪。太阴经脉散布于胃中、连络于咽喉，所以腹部胀满而咽喉发干。
On the fourth day 太陰 receives it. The 太陰 vessel spreads through the stomach and networks into the pharynx, hence abdominal fullness and a dry throat.
13
五日，少陰受之，少陰脉貫腎絡於肺，繫舌本，故口燥舌乾而渴。
五日，少阴受之，少阴脉贯肾络于肺，系舌本，故口燥舌干而渴。
Wǔ rì, shào yīn shòu zhī, shào yīn mài guàn shèn luò yú fèi, xì shé běn, gù kǒu zào shé gān ér kě.
第五天，少阴经受邪。少阴经脉贯肾、连络于肺，又系于舌根，所以口中干燥、舌头干而口渴。
On the fifth day 少陰 receives it. The 少陰 vessel passes through the kidney and networks into the lung and ties to the root of the tongue, hence dryness of the mouth, a dry tongue and thirst.
Liù rì, jué yīn shòu zhī, jué yīn mài xún yīn qì ér luò yú gān, gù fán mǎn ér náng suō.
第六天，厥阴经受邪。厥阴经脉循行于前阴而连络于肝，所以心中烦闷、腹部胀满而阴囊上缩。
On the sixth day 厥陰 receives it. The 厥陰 vessel runs along the private parts and networks into the liver, hence fretting and fullness with retraction of the scrotum.
Sān yīn sān yáng, wǔ zàng liù fǔ jiē shòu bìng, róng wèi bù xíng, wǔ zàng bù tōng, zé sǐ yǐ.
三阴三阳、五脏六府全都受病，营卫之气不能运行，五脏之气不通，就会死亡。
When the three yin and the three yang, the five depots and the six palaces have all received the disease, when the construction and defence do not move and the five depots do not communicate, then death follows.
16
其不兩感於寒者，七日，巨陽病衰，頭痛少愈。
其不两感于寒者，七日，巨阳病衰，头痛少愈。
Qí bù liǎng gǎn yú hán zhě, qī rì, jù yáng bìng shuāi, tóu tòng shǎo yù.
那些不是表里两经同感寒邪的病人，到第七天巨阳的病势衰减，头痛稍稍好转。
In one who was not affected in two places at once, on the seventh day the 巨陽 disease declines and the headache is somewhat better.
17
八日，陽明病衰，身熱少愈。
八日，阳明病衰，身热少愈。
Bā rì, yáng míng bìng shuāi, shēn rè shǎo yù.
第八天，阳明的病势衰减，身热稍稍消退。
On the eighth day the 陽明 disease declines and the body heat is somewhat better.
18
九日，少陽病衰，耳聾微聞。
九日，少阳病衰，耳聋微闻。
Jiǔ rì, shào yáng bìng shuāi, ěr lóng wēi wén.
第九天，少阳的病势衰减，耳聋转为稍稍能听见声音。
On the ninth day the 少陽 disease declines and the deafness gives way to hearing a little.
19
十日，太陰病衰。腹減如故，則思飲食。
十日，太阴病衰。腹减如故，则思饮食。
Shí rì, tài yīn bìng shuāi. Fù jiǎn rú gù, zé sī yǐn shí.
第十天，太阴的病势衰减。腹胀消退，恢复如常，于是想吃东西了。
On the tenth day the 太陰 disease declines. The abdomen is reduced as it was before, and the patient thinks of food and drink.
20
十一日，少陰病衰，渴止不滿，舌乾已而嚏。
十一日，少阴病衰，渴止不满，舌干已而嚏。
Shí yī rì, shào yīn bìng shuāi, kě zhǐ bù mǎn, shé gān yǐ ér tì.
第十一天，少阴的病势衰减，口渴止住、腹部不再胀满，舌干已除而打起喷嚏。
On the eleventh day the 少陰 disease declines: the thirst stops, there is no more fullness, the dry tongue is gone and he sneezes.
21
十二日，厥陰病衰，囊縱，少腹微下，大氣皆去，病日已矣。
十二日，厥阴病衰，囊纵，少腹微下，大气皆去，病日已矣。
Shí èr rì, jué yīn bìng shuāi, náng zòng, shào fù wēi xià, dà qì jiē qù, bìng rì yǐ yǐ.
第十二天，厥阴的病势衰减，阴囊松缓，少腹微微下舒，邪气都已离去，病就好了。
On the twelfth day the 厥陰 disease declines: the scrotum relaxes, the lower abdomen settles somewhat, the great qi has all departed, and day by day the disease is finished.
22
帝曰：治之柰何？
帝曰：治之奈何？
Dì yuē: zhì zhī nài hé?
黄帝说：怎样治疗呢？
The Emperor says: how is it treated?
23
歧伯曰：治之各通其藏脉，病日衰已矣。
歧伯曰：治之各通其藏脉，病日衰已矣。
Qí bó yuē: zhì zhī gè tōng qí zàng mài, bìng rì shuāi yǐ yǐ.
歧伯说：治疗之法，是分别疏通各经受病的脉气，病势就会一天天衰减而痊愈。
Qibo says: treat it by opening the vessel of whichever depot is affected; then day by day the disease declines and is finished.
24
其未滿三日者，可汗而已。
其未满三日者，可汗而已。
Qí wèi mǎn sān rì zhě, kě hàn ér yǐ.
病未满三日的，邪在三阳之表，可以发汗而愈。
Where the three days are not yet full, it can be resolved by sweating.
25
其滿三日者，可泄而已。
其满三日者，可泄而已。
Qí mǎn sān rì zhě, kě xiè ér yǐ.
病已满三日的，邪已入里，可以用泄下之法而愈。
Where the three days are full, it can be resolved by draining.
26
帝曰：熱病已愈，時有所遺者，何也？
帝曰：热病已愈，时有所遗者，何也？
Dì yuē: rè bìng yǐ yù, shí yǒu suǒ yí zhě, hé yě?
黄帝说：热病已经痊愈，却时常有余热遗留不退的，是什么原因？
The Emperor says: when the heat disease is already better, why is there sometimes something left behind?
27
歧伯曰：諸遺者，熱甚而強食之，故有所遺也。
歧伯曰：诸遗者，热甚而强食之，故有所遗也。
Qí bó yuē: zhū yí zhě, rè shèn ér qiǎng shí zhī, gù yǒu suǒ yí yě.
歧伯说：凡是余热遗留的，都是因为在热势尚盛时勉强进食，所以留下余热。
Qibo says: in every case of residue it is because food was forced on the patient while the heat was still extreme, and so something is left behind.
28
若此者，皆病已衰而熱有所藏，因其榖氣相薄，兩熱相合，故有所遺也。
若此者，皆病已衰而热有所藏，因其谷气相薄，两热相合，故有所遗也。
Ruò cǐ zhě, jiē bìng yǐ shuāi ér rè yǒu suǒ cáng, yīn qí gǔ qì xiāng bó, liǎng rè xiāng hé, gù yǒu suǒ yí yě.
像这样的，都是病势虽已衰减而热邪潜藏于内，又因水谷之气与余热相搏，两热相合，所以余热遗留不退。
In such a case the disease has already declined but the heat is stored somewhere; the grain qi and it press against each other, two heats join, and so something is left behind.
Dì yuē: shàn. Zhì yí nài hé?
黄帝说：讲得好。余热遗留该怎样治？
The Emperor says: Good. How is the residue treated?
30
歧伯曰：視其虚實，調其逆從，可使必已矣。
歧伯曰：视其虚实，调其逆从，可使必已矣。
Qí bó yuē: shì qí xū shí, tiáo qí nì cóng, kě shǐ bì yǐ yǐ.
歧伯说：观察病人的虚实，调理其气的逆顺，就一定可以治好。
Qibo says: look to the emptiness and repletion, regulate what is counterflow and what follows, and you can certainly bring it to an end.
31
帝曰：病熱當何禁之？
帝曰：病热当何禁之？
Dì yuē: bìng rè dāng hé jìn zhī?
黄帝说：患热病应当禁忌什么？
The Emperor says: what must be forbidden in heat disease?
32
歧伯曰：病熱少愈，食肉則復，多食則遺，此其禁也。
歧伯曰：病热少愈，食肉则复，多食则遗，此其禁也。
Qí bó yuē: bìng rè shǎo yù, shí ròu zé fù, duō shí zé yí, cǐ qí jìn yě.
歧伯说：热病稍稍好转时，吃肉就会复发，吃得过饱就会遗留余热，这就是禁忌。
Qibo says: when the heat disease is a little better, eating meat brings relapse and eating much leaves residue. This is the prohibition.
33
帝曰：其病兩感於寒者，其脉應與其病形何如？
帝曰：其病两感于寒者，其脉应与其病形何如？
Dì yuē: qí bìng liǎng gǎn yú hán zhě, qí mài yìng yǔ qí bìng xíng hé rú?
黄帝说：那些表里两经同感寒邪的病人，其脉象表现与病状是怎样的？
The Emperor says: in one affected in two places at once by the cold, what is the corresponding pulse and what is the shape of the disease?
34
歧伯曰：兩感於寒者，病一日，則巨陽與少陰俱病，則頭痛口乾而煩滿；
歧伯曰：两感于寒者，病一日，则巨阳与少阴俱病，则头痛口干而烦满；
Qí bó yuē: liǎng gǎn yú hán zhě, bìng yī rì, zé jù yáng yǔ shào yīn jù bìng, zé tóu tòng kǒu gān ér fán mǎn;
歧伯说：两感于寒的，第一天巨阳与少阴同时受病，就头痛、口干而心中烦满；
Qibo says: in one affected in two places at once, on the first day 巨陽 and 少陰 are both diseased, hence headache, a dry mouth and fretting fullness;
35
二日，則陽明與太陰俱病，則腹滿身熱，不欲食，譫言；
二日，则阳明与太阴俱病，则腹满身热，不欲食，谵言；
Èr rì, zé yáng míng yǔ tài yīn jù bìng, zé fù mǎn shēn rè, bù yù shí, zhān yán;
第二天，阳明与太阴同时受病，就腹部胀满、身热、不想进食、谵语妄言；
on the second day 陽明 and 太陰 are both diseased, hence abdominal fullness, heat in the body, no desire to eat and delirious speech;
36
三日，則少陽與厥陰俱病，則耳聾囊縮而厥。
三日，则少阳与厥阴俱病，则耳聋囊缩而厥。
Sān rì, zé shào yáng yǔ jué yīn jù bìng, zé ěr lóng náng suō ér jué.
第三天，少阳与厥阴同时受病，就耳聋、阴囊上缩而四肢厥冷。
on the third day 少陽 and 厥陰 are both diseased, hence deafness, retraction of the scrotum and counterflow.
Shuǐ jiāng bù rù, bù zhī rén, liù rì sǐ.
水浆都喝不进去，人事不省，到第六天就会死亡。
Fluid will not go down, the patient recognises no one, and on the sixth day he dies.
38
帝曰：五藏已傷，六府不通，榮衛不行，如是之後，三日乃死，何也？
帝曰：五藏已伤，六府不通，荣卫不行，如是之后，三日乃死，何也？
Dì yuē: wǔ zàng yǐ shāng, liù fǔ bù tōng, róng wèi bù xíng, rú shì zhī hòu, sān rì nǎi sǐ, hé yě?
黄帝说：五脏已经受伤，六府不通，营卫不行，到了这种地步之后还要过三天才死，这是为什么？
The Emperor says: the five depots are already harmed, the six palaces do not communicate, the construction and defence do not move. After all that, why does it still take three days to die?
39
歧伯曰：陽明者，十二經脉之長也。其血氣盛，故不知人，三日，其氣乃盡，故死矣。
歧伯曰：阳明者，十二经脉之长也。其血气盛，故不知人，三日，其气乃尽，故死矣。
Qí bó yuē: yáng míng zhě, shí èr jīng mài zhī zhǎng yě. Qí xuè qì shèng, gù bù zhī rén, sān rì, qí qì nǎi jìn, gù sǐ yǐ.
歧伯说：阳明是十二经脉之长，这一经血气最盛，所以到人事不省之后，还要三天它的气才耗尽，然后死亡。
Qibo says: 陽明 is the chief of the twelve channel vessels. Its blood and qi are abundant, and that is why, once the patient recognises no one, it takes three days for its qi to be exhausted, and only then does he die.
Fán bìng shāng hán ér chéng wēn zhě, xiān xià zhì rì zhě wéi bìng wēn, hòu xià zhì rì zhě wéi bìng shǔ.
大凡伤于寒邪而变成温热病的，发生在夏至日之前的叫作温病，发生在夏至日之后的叫作暑病。
Whenever cold damage develops into warmth: if it comes before the summer solstice it is warm disease, if after the summer solstice it is summerheat disease.
Shǔ dāng yǔ hàn jiē chū, wù zhǐ.
暑病应当让暑气随汗一同透出，不可用止汗之法。
In summerheat the sweat should be let out along with it; do not stop it.