1
黄帝問曰：五藏使人痿，何也？
黄帝问曰：五脏使人痿，何也？
Huáng dì wèn yuē: wǔ zàng shǐ rén wěi, hé yě?
黄帝问道：五藏都能使人发生痿病，这是什么道理？
The Emperor asks: the five stores can bring flaccidity upon a person — how is that?
2
歧伯對曰：肺主身之皮毛，心主身之血脉，肝主身之筋膜，脾主身之肌肉，腎主身之骨髓。
歧伯对曰：肺主身之皮毛，心主身之血脉，肝主身之筋膜，脾主身之肌肉，肾主身之骨髓。
Qí bó duì yuē: fèi zhǔ shēn zhī pí máo, xīn zhǔ shēn zhī xuè mài, gān zhǔ shēn zhī jīn mó, pí zhǔ shēn zhī jī ròu, shèn zhǔ shēn zhī gǔ suǐ.
歧伯回答说：肺主全身的皮毛，心主全身的血脉，肝主全身的筋膜，脾主全身的肌肉，肾主全身的骨髓。
Qi Bo replies: the lung governs the skin and hair of the body, the heart governs the blood vessels, the liver governs the sinew membranes, the spleen governs the flesh, and the kidney governs the bones and marrow.
3
故肺熱葉焦，則皮毛虚弱急薄，著則生痿躄也。
故肺热叶焦，则皮毛虚弱急薄，著则生痿躄也。
Gù fèi rè yè jiāo, zé pí máo xū ruò jí bó, zhuó zé shēng wěi bì yě.
所以肺有热而肺叶焦枯，皮毛就虚弱、拘急而枯薄；邪气留著不去，就发为痿躄。
So when the lung is hot and its lobes are scorched, the skin and hair become weak, tight and thin; when that lodges fast, flaccidity and the inability to walk develop.
4
心氣熱，則下脉厥而上，上則下脉虚，虚則生脉痿，樞折挈，脛縱而不任地也。
心气热，则下脉厥而上，上则下脉虚，虚则生脉痿，枢折挈，胫纵而不任地也。
Xīn qì rè, zé xià mài jué ér shàng, shàng zé xià mài xū, xū zé shēng mài wěi, shū zhé qiè, jìng zòng ér bù rèn dì yě.
心气热，下部脉气就上逆；上部气盛则下部脉虚，脉虚就生脉痿——枢纽折断不能提举，小腿弛纵，不能着地。
When the heart qi is hot, the lower vessels surge upward; as it rises the lower vessels are emptied, and emptiness breeds vessel flaccidity — the pivot snaps and the leg cannot be lifted, the shank goes slack and will not bear the ground.
Gān qì rè, zé dǎn xiè kǒu kǔ, jīn mó gān, jīn mó gān zé jīn jí ér luán, fā wéi jīn wěi.
肝气热，胆汁外泄而口苦，筋膜失润而干；筋膜干则筋拘急挛缩，发为筋痿。
When the liver qi is hot, the gallbladder discharges and the mouth is bitter; the sinew membranes dry, and once they dry the sinews tighten and cramp — this becomes sinew flaccidity.
Pí qì rè, zé wèi gān ér kě, jī ròu bù rén, fā wéi ròu wěi.
脾气热，胃中干燥而口渴，肌肉麻木不仁，发为肉痿。
When the spleen qi is hot, the stomach dries and there is thirst and the flesh is numb — this becomes flesh flaccidity.
7
腎氣熱，則腰脊不舉，骨枯而髓減，發爲骨痿。
肾气热，则腰脊不举，骨枯而髓减，发为骨痿。
Shèn qì rè, zé yāo jǐ bù jǔ, gǔ kū ér suǐ jiǎn, fā wéi gǔ wěi.
肾气热，腰脊不能举动，骨枯髓减，发为骨痿。
When the kidney qi is hot, the lower back and spine cannot straighten, the bones wither and the marrow diminishes — this becomes bone flaccidity.
8
帝曰：何以得之？
帝曰：何以得之？
Dì yuē: hé yǐ dé zhī?
黄帝问：这些痿病是怎样得来的？
The Emperor asks: how is it contracted?
9
歧伯曰：肺者，藏之長也，爲心之蓋也。
歧伯曰：肺者，脏之长也，为心之盖也。
Qí bó yuē: fèi zhě, zàng zhī zhǎng yě, wéi xīn zhī gài yě.
歧伯说：肺是五藏之长，又是心的华盖。
Qi Bo replies: the lung is the chief of the stores and the canopy over the heart.
10
有所失亡，所求不得，則發肺鳴，鳴則肺熱葉焦。
有所失亡，所求不得，则发肺鸣，鸣则肺热叶焦。
Yǒu suǒ shī wáng, suǒ qiú bù dé, zé fā fèi míng, míng zé fèi rè yè jiāo.
有所失意亡失、所求不得，就会发为肺鸣；肺鸣则肺热而叶焦。
When something is lost or some desire goes unmet, the lung rings; once it rings the lung is hot and its lobes are scorched.
11
故曰：五藏因肺熱葉焦，發爲痿躄，此之謂也。
故曰：五脏因肺热叶焦，发为痿躄，此之谓也。
Gù yuē: wǔ zàng yīn fèi rè yè jiāo, fā wéi wěi bì, cǐ zhī wèi yě.
所以说：五藏因肺热叶焦而发为痿躄，说的就是这个道理。
Hence it is said: the five stores, through heat in the lung and scorching of its lobes, develop flaccidity and the inability to walk. This is what that means.
12
悲哀太甚，則胞絡絶，胞絡絶則陽氣内動，發則心下崩，數溲血也。
悲哀太甚，则胞络绝，胞络绝则阳气内动，发则心下崩，数溲血也。
Bēi āi tài shèn, zé bāo luò jué, bāo luò jué zé yáng qì nèi dòng, fā zé xīn xià bēng, shuò sōu xuè yě.
悲哀太甚，胞络就会阻绝；胞络阻绝则阳气内动，发作时心下崩急，常常尿血。
Grief and sorrow carried too far sever the pericardium’s connecting vessel; once it is severed yang qi stirs within, and the attack brings a collapse below the heart and frequent bloody urine.
13
故本病曰：大經空虚，發爲肌痺，傳爲脉痿。
故本病曰：大经空虚，发为肌痹，传为脉痿。
Gù běn bìng yuē: dà jīng kōng xū, fā wéi jī bì, chuán wéi mài wěi.
所以《本病》说：大经空虚，发为肌痺，进而传变为脉痿。
Thus the Benbing says: when the great conduits are empty, flesh obstruction develops and passes on into vessel flaccidity.
14
思想無窮，所願不得，意淫於外，入房太甚，宗筋弛縱，發爲筋痿，及爲白淫。
思想无穷，所愿不得，意淫于外，入房太甚，宗筋弛纵，发为筋痿，及为白淫。
Sī xiǎng wú qióng, suǒ yuàn bù dé, yì yín yú wài, rù fáng tài shèn, zōng jīn chí zòng, fā wéi jīn wěi, jí wéi bái yín.
思虑无穷，愿望不遂，意念驰骛于外，房事又太过度，宗筋弛缓纵缓，发为筋痿，或发为白淫。
Thinking without end, desires unmet, the intent ranging outward and the chamber entered too often — the ancestral sinews slacken and go lax, and sinew flaccidity develops, or else white discharge.
Gù xià jīng yuē: jīn wěi zhě, shēng yú gān, shǐ nèi yě.
所以《下经》说：筋痿生于肝，是房事过度所致。
Thus the Lower Classic says: sinew flaccidity arises in the liver and comes of sexual excess.
16
有漸於濕，以水爲事，若有所留，居處相濕，肌肉濡漬，痺而不仁，發爲肉痿。
有渐于湿，以水为事，若有所留，居处相湿，肌肉濡渍，痹而不仁，发为肉痿。
Yǒu jiān yú shī, yǐ shuǐ wéi shì, ruò yǒu suǒ liú, jū chǔ xiāng shī, jī ròu rú zì, bì ér bù rén, fā wéi ròu wěi.
被湿气渐渐浸渍，又从事水上作业，湿邪有所留滞，居处潮湿，肌肉被水湿浸泡，痺阻麻木，发为肉痿。
Steeped in dampness, working with water, with something lodging there and the dwelling damp — the flesh is soaked and steeped, obstructed and numb, and flesh flaccidity develops.
Gù xià jīng yuē: ròu wěi zhě, dé zhī shī dì yě.
所以《下经》说：肉痿是得于潮湿之地的。
Thus the Lower Classic says: flesh flaccidity is got from wet ground.
18
有所遠行勞倦，逢大熱而渴，渴則陽氣内伐，内伐則熱舍於腎。
有所远行劳倦，逢大热而渴，渴则阳气内伐，内伐则热舍于肾。
Yǒu suǒ yuǎn xíng láo juàn, féng dà rè ér kě, kě zé yáng qì nèi fá, nèi fá zé rè shè yú shèn.
远行劳倦，又遇大热而口渴；口渴则阳气内伐，热邪留舍于肾。
Travelling far and toiling to exhaustion, meeting great heat and thirsting: with thirst yang qi is struck down within, and the heat lodges in the kidney.
19
腎者水藏也，今水不勝火，則骨枯而髓虚，故足不任身，發爲骨痿。
肾者水脏也，今水不胜火，则骨枯而髓虚，故足不任身，发为骨痿。
Shèn zhě shuǐ zàng yě, jīn shuǐ bù shèng huǒ, zé gǔ kū ér suǐ xū, gù zú bù rèn shēn, fā wéi gǔ wěi.
肾是水藏，如今水不能胜火，就骨枯髓虚，所以两足不能支持身体，发为骨痿。
The kidney is the water store; now that water cannot overcome fire, the bones wither and the marrow empties, so the feet cannot bear the body and bone flaccidity develops.
Gù xià jīng yuē: gǔ wěi zhě, shēng yú dà rè yě.
所以《下经》说：骨痿生于大热。
Thus the Lower Classic says: bone flaccidity arises from great heat.
21
帝曰：何以别之？
帝曰：何以别之？
Dì yuē: hé yǐ bié zhī?
黄帝问：五藏之痿怎样鉴别？
The Emperor asks: how are they told apart?
22
歧伯曰：肺熱者，色白而毛敗；心熱者，色赤而絡脉溢；肝熱者，色蒼而爪枯；脾熱者，色黄而肉蠕動；腎熱者，色黑而齒槁。
歧伯曰：肺热者，色白而毛败；心热者，色赤而络脉溢；肝热者，色苍而爪枯；脾热者，色黄而肉蠕动；肾热者，色黑而齿槁。
Qí bó yuē: fèi rè zhě, sè bái ér máo bài; xīn rè zhě, sè chì ér luò mài yì; gān rè zhě, sè cāng ér zhǎo kū; pí rè zhě, sè huáng ér ròu rú dòng; shèn rè zhě, sè hēi ér chǐ gǎo.
歧伯说：肺热的，面色白而毛发败坏；心热的，面色赤而络脉充溢；肝热的，面色苍而爪甲枯槁；脾热的，面色黄而肌肉蠕动；肾热的，面色黑而牙齿枯槁。
Qi Bo replies: with lung heat the complexion is white and the hair spoils; with heart heat it is red and the connecting vessels overflow; with liver heat it is ash-grey and the nails wither; with spleen heat it is yellow and the flesh stirs and wriggles; with kidney heat it is black and the teeth are dry.
23
帝曰：如夫子言可矣，論言治痿者，獨取陽明，何也？
帝曰：如夫子言可矣，论言治痿者，独取阳明，何也？
Dì yuē: rú fú zǐ yán kě yǐ, lùn yán zhì wěi zhě, dú qǔ yáng míng, hé yě?
黄帝说：先生讲的很好。医论上说治痿独取阳明，这是什么道理？
The Emperor says: what you say is well enough. Yet the treatises say that in treating flaccidity one takes yang brightness alone — why is that?
Qí bó yuē: yáng míng zhě, wǔ zàng liù fǔ zhī hǎi, zhǔ rùn zōng jīn, zōng jīn zhǔ shù gǔ ér lì jī guān yě.
歧伯说：阳明是五藏六府之海，主滋润宗筋；宗筋主管约束骨节、使机关滑利。
Qi Bo replies: yang brightness is the sea of the five stores and the six palaces; it moistens the ancestral sinews, and the ancestral sinews bind the bones and make the joints work freely.
Chōng mài zhě, jīng mài zhī hǎi yě, zhǔ shèn guàn xī gǔ, yǔ yáng míng hé yú zōng jīn.
冲脉是经脉之海，主渗灌谿谷，与阳明会合于宗筋。
The thoroughfare vessel is the sea of the conduit vessels; it percolates into and irrigates the ravines and valleys, and joins yang brightness at the ancestral sinews.
Yīn yáng zǒng zōng jīn zhī huì, huì yú qì jiē, ér yáng míng wéi zhī zhǎng, jiē shǔ yú dài mài, ér luò yú dū mài.
阴阳诸经总汇于宗筋之会，会合于气街，而阳明为之长；都连属于带脉，而络于督脉。
Yin and yang together are the meeting of the ancestral sinews; they meet at the qi street, and yang brightness is their chief. All belong to the belt vessel and connect to the governing vessel.
Gù yáng míng xū zé zōng jīn zòng, dài mài bù yǐn, gù zú wěi bù yòng yě.
所以阳明虚则宗筋弛纵，带脉不能收引，两足就痿弱不用。
So when yang brightness is empty the ancestral sinews go lax and the belt vessel does not draw them up — hence the legs are flaccid and unusable.
28
帝曰：治之柰何？
帝曰：治之奈何？
Dì yuē: zhì zhī nài hé?
黄帝问：怎样治疗？
The Emperor asks: how is it treated?
29
歧伯曰：各補其滎，而通其俞，調其虚實，和其逆順，筋脉骨肉，各以其時受月，則病已矣。
歧伯曰：各补其荥，而通其俞，调其虚实，和其逆顺，筋脉骨肉，各以其时受月，则病已矣。
Qí bó yuē: gè bǔ qí xíng, ér tōng qí shù, tiáo qí xū shí, hé qí nì shùn, jīn mài gǔ ròu, gè yǐ qí shí shòu yuè, zé bìng yǐ yǐ.
歧伯说：各补其滎穴，通其俞穴，调其虚实，和其逆顺；筋脉骨肉各随其当旺的时月受治，病就好了。
Qi Bo replies: supplement the spring point of each and open its transport point, regulate its vacuity and repletion, harmonize its counterflow and compliance — sinews, vessels, bones and flesh each in the month that is proper to it — and the illness is done.
30
帝曰：善。
帝曰：善。
Dì yuē: shàn.
黄帝说：讲得好。
The Emperor says: good.