1
黄帝問曰：厥之寒熱者，何也？
黄帝问曰：厥之寒热者，何也？
Huáng dì wèn yuē: jué zhī hán rè zhě, hé yě?
黄帝问道：厥病有的恶寒、有的发热，这是什么道理？
The Emperor asks: inversion may be cold and it may be hot — how is that?
Qí bó duì yuē: yáng qì shuāi yú xià, zé wéi hán jué; yīn qì shuāi yú xià, zé wéi rè jué.
歧伯回答说：阳气衰于下部，就发为寒厥；阴气衰于下部，就发为热厥。
Qi Bo replies: when yang qi declines below, this becomes cold inversion; when yin qi declines below, this becomes heat inversion.
3
帝曰：熱厥之爲熱也，必起於足下者，何也？
帝曰：热厥之为热也，必起于足下者，何也？
Dì yuē: rè jué zhī wéi rè yě, bì qǐ yú zú xià zhě, hé yě?
黄帝问：热厥之发热，一定从足下开始，这是什么道理？
The Emperor asks: in heat inversion the heat always begins beneath the foot — why is that?
4
歧伯曰：陽氣起於足五指之表，陰脉者集於足下，而聚於足心，故陽氣勝，則足下熱也。
歧伯曰：阳气起于足五指之表，阴脉者集于足下，而聚于足心，故阳气胜，则足下热也。
Qí bó yuē: yáng qì qǐ yú zú wǔ zhǐ zhī biǎo, yīn mài zhě jí yú zú xià, ér jù yú zú xīn, gù yáng qì shèng, zé zú xià rè yě.
歧伯说：阳气起于足五趾的外侧，阴脉之气会集于足下而聚于足心；所以阳气偏胜，足下就发热。
Qi Bo says: yang qi rises at the outer side of the five toes of the foot, while the yin vessels gather beneath the foot and collect in the sole. So when yang qi prevails, the sole is hot.
5
帝曰：寒厥之爲寒也，必從五指而上於膝者，何也？
帝曰：寒厥之为寒也，必从五指而上于膝者，何也？
Dì yuē: hán jué zhī wéi hán yě, bì cóng wǔ zhǐ ér shàng yú xī zhě, hé yě?
黄帝问：寒厥之恶寒，一定从五趾上行到膝，这是什么道理？
The Emperor asks: in cold inversion the cold always goes up from the five toes to the knee — why is that?
6
歧伯曰：陰氣起於五指之裏，集於膝下，而聚於膝上，故陰氣勝。
歧伯曰：阴气起于五指之里，集于膝下，而聚于膝上，故阴气胜。
Qí bó yuē: yīn qì qǐ yú wǔ zhǐ zhī lǐ, jí yú xī xià, ér jù yú xī shàng, gù yīn qì shèng.
歧伯说：阴气起于五趾之内侧，会集于膝下而聚于膝上，所以阴气偏胜。
Qi Bo says: yin qi rises at the inner side of the five toes, gathers below the knee and collects above it — so yin qi prevails.
7
則從五指至膝上寒，其寒也，不從外，皆從内也。
则从五指至膝上寒，其寒也，不从外，皆从内也。
Zé cóng wǔ zhǐ zhì xī shàng hán, qí hán yě, bù cóng wài, jiē cóng nèi yě.
于是从五趾到膝以上都发冷；这种寒不是从外面来的，都是从内里生的。
Hence there is cold from the five toes up to above the knee. That cold does not come from without — it all comes from within.
8
帝曰：寒厥何失而然也？
帝曰：寒厥何失而然也？
Dì yuē: hán jué hé shī ér rán yě?
黄帝问：寒厥是怎样的耗失才会如此的呢？
The Emperor asks: what sort of loss brings cold inversion about?
Qí bó yuē: qián yīn zhě, zōng jīn zhī suǒ jù, tài yīn yáng míng zhī suǒ hé yě.
歧伯说：前阴是宗筋汇聚之处，也是太阴与阳明相会合之处。
Qi Bo says: the front yin is where the ancestral sinews gather, and where greater yin and yang brightness meet.
Chūn xià zé yáng qì duō ér yīn qì shǎo, qiū dōng zé yīn qì shèng ér yáng qì shuāi.
春夏阳气多而阴气少，秋冬阴气盛而阳气衰。
In spring and summer yang qi is plentiful and yin qi scant; in autumn and winter yin qi flourishes and yang qi declines.
11
此人者質壯，以秋冬奪於所用，下氣上爭不能復，精氣溢下，邪氣因從之而上也。
此人者质壮，以秋冬夺于所用，下气上争不能复，精气溢下，邪气因从之而上也。
Cǐ rén zhě zhì zhuàng, yǐ qiū dōng duó yú suǒ yòng, xià qì shàng zhēng bù néng fù, jīng qì yì xià, xié qì yīn cóng zhī ér shàng yě.
这种人禀质壮实，却因秋冬时节恣意耗用，即房劳太过，下部之气上争而不能回复，精气从下溢出，邪气便随之而上。
Such a person is robust in constitution, yet through autumn and winter he is robbed by his own spending; the lower qi struggles upward and cannot recover, essence qi spills away below, and the evil qi follows it upward.
Qì yīn yú zhōng, yáng qì shuāi, bù néng shèn yíng qí jīng luò, yáng qì rì sǔn, yīn qì dú zài, gù shǒu zú wéi zhī hán yě.
邪气留滞于中，阳气衰少，不能渗灌营运于经络；阳气日损一日，阴气独存，所以手足发冷。
The qi lodges in the centre; yang qi weakens and can no longer percolate into and nourish the conduits and network vessels. Day by day yang qi is depleted and yin qi is left alone — hence the hands and feet are cold.
13
帝曰：熱厥何如而然也？
帝曰：热厥何如而然也？
Dì yuē: rè jué hé rú ér rán yě?
黄帝问：热厥又是怎样造成的呢？
The Emperor asks: and how does heat inversion come to be?
14
歧伯曰：酒入於胃，則絡脉滿而經脉虚，脾主爲胃行其津液者也。
歧伯曰：酒入于胃，则络脉满而经脉虚，脾主为胃行其津液者也。
Qí bó yuē: jiǔ rù yú wèi, zé luò mài mǎn ér jīng mài xū, pí zhǔ wéi wèi xíng qí jīn yè zhě yě.
歧伯说：酒入于胃，就使络脉充盛而经脉空虚；脾本是替胃运行津液的。
Qi Bo says: when wine enters the stomach the network vessels fill and the conduit vessels empty — and the spleen is what moves the fluids on behalf of the stomach.
Yīn qì xū zé yáng qì rù, yáng qì rù zé wèi bù hé, wèi bù hé zé jīng qì jié, jīng qì jié zé bù yíng qí sì zhī yě.
阴气虚，阳气就乘虚而入；阳气入则胃气不和；胃不和则精气衰竭；精气衰竭就不能营养四肢。
When yin qi is empty yang qi enters; once yang qi enters, the stomach is disordered; once the stomach is disordered, the essence qi is exhausted; and once that is exhausted, the four limbs are not nourished.
16
此人必數醉，若飽以入房，氣聚於脾中不得散，酒氣與榖氣相薄，熱盛於中，故熱徧於身，内熱而溺赤也。
此人必数醉，若饱以入房，气聚于脾中不得散，酒气与谷气相薄，热盛于中，故热遍于身，内热而溺赤也。
Cǐ rén bì shuò zuì, ruò bǎo yǐ rù fáng, qì jù yú pí zhōng bù dé sàn, jiǔ qì yǔ gǔ qì xiāng bó, rè shèng yú zhōng, gù rè biàn yú shēn, nèi rè ér niào chì yě.
这种人必定屡屡醉酒，或饱食之后就行房事，使气聚于脾中不得消散；酒气与谷气互相搏迫，热盛于内，所以热遍全身，内热而小便赤。
Such a person is repeatedly drunk, or enters the chamber on a full belly; the qi gathers in the spleen and cannot disperse, the qi of the wine and the qi of the grain press upon each other, and heat flourishes within. Hence the heat spreads over the whole body, with inner heat and red urine.
17
夫酒氣盛而慓悍，腎氣有衰，陽氣獨勝，故手足爲之熱也。
夫酒气盛而慓悍，肾气有衰，阳气独胜，故手足为之热也。
Fú jiǔ qì shèng ér piāo hàn, shèn qì yǒu shuāi, yáng qì dú shèng, gù shǒu zú wéi zhī rè yě.
酒气盛而慓悍滑利，肾气因此日衰，阳气独胜，所以手足发热。
Now the qi of wine is abundant and fierce, and the kidney qi has been declining, so yang qi prevails alone — hence the hands and feet are hot.
18
帝曰：厥或令人腹滿，或令人暴不知人，或至半日，遠至一日乃知人者，何也？
帝曰：厥或令人腹满，或令人暴不知人，或至半日，远至一日乃知人者，何也？
Dì yuē: jué huò lìng rén fù mǎn, huò lìng rén bào bù zhī rén, huò zhì bàn rì, yuǎn zhì yī rì nǎi zhī rén zhě, hé yě?
黄帝问：厥病有的使人腹部胀满，有的使人突然昏仆不识人，有的半天、长至一天才苏醒识人，这是什么道理？
The Emperor asks: inversion sometimes fills the belly, sometimes makes a person suddenly unaware of others, not knowing them again for half a day, or for as long as a whole day — how is that?
19
歧伯曰：陰氣盛於上則下虚，下虚則腹脹滿，陽氣盛於上，則下氣重上而邪氣逆，逆則陽氣亂，陽氣亂則不知人也。
歧伯曰：阴气盛于上则下虚，下虚则腹胀满，阳气盛于上，则下气重上而邪气逆，逆则阳气乱，阳气乱则不知人也。
Qí bó yuē: yīn qì shèng yú shàng zé xià xū, xià xū zé fù zhàng mǎn, yáng qì shèng yú shàng, zé xià qì chóng shàng ér xié qì nì, nì zé yáng qì luàn, yáng qì luàn zé bù zhī rén yě.
歧伯说：阴气盛于上部则下部气虚，下部虚就腹部胀满。阳气盛于上部，则下气重迭而上、邪气随逆；气逆则阳气紊乱，阳气紊乱就不识人了。
Qi Bo says: when yin qi flourishes above, the lower part is empty, and emptiness below means the belly is distended and full. When yang qi flourishes above, the lower qi mounts upward again and the evil qi goes counterflow with it; once there is counterflow the yang qi is disordered, and when yang qi is disordered one no longer knows others.
20
帝曰：善。願聞六經脉之厥狀病能也。
帝曰：善。愿闻六经脉之厥状病能也。
Dì yuē: shàn. Yuàn wén liù jīng mài zhī jué zhuàng bìng tài yě.
黄帝说：讲得好。我希望听听六经脉发生厥病时的症状与病态。
The Emperor says: good. I wish to hear the signs inversion takes in the vessels of the six conduits, and the forms the illness assumes.
21
歧伯曰：巨陽之厥，則腫首頭重，足不能行，發爲眴仆。
歧伯曰：巨阳之厥，则肿首头重，足不能行，发为眴仆。
Qí bó yuē: jù yáng zhī jué, zé zhǒng shǒu tóu zhòng, zú bù néng xíng, fā wéi xuàn pū.
歧伯说：巨阳之厥，头面浮肿、头部沉重，两足不能行走，发作则为眩晕跌仆。
Qi Bo says: in inversion of the great yang, the head swells and is heavy, the feet cannot walk, and it erupts as dizzy collapse.
Yáng míng zhī jué, zé diān jí yù zǒu hū, fù mǎn bù dé wò, miàn chì ér rè, wàng jiàn ér wàng yán.
阳明之厥，则发为癫疾，想要奔走呼叫，腹部胀满不能安卧，面色赤而发热，看见虚妄之物、说出妄乱之言。
In inversion of yang brightness there is epilepsy with a wish to run about and shout, the belly is full and one cannot lie down, the face is red and hot, and one sees things falsely and speaks wildly.
23
少陽之厥，則暴聾，頰腫而熱，脅痛，䯒不可以運。
少阳之厥，则暴聋，颊肿而热，胁痛，䯒不可以运。
Shào yáng zhī jué, zé bào lóng, jiá zhǒng ér rè, xié tòng, héng bù kě yǐ yùn.
少阳之厥，则突然耳聋，面颊肿而发热，胁肋疼痛，小腿不能屈伸运转。
In inversion of lesser yang there is sudden deafness, the cheek swells and is hot, the ribs ache, and the shank cannot be worked.
24
太陰之厥，則腹滿䐜脹，後不利，不欲食，食則嘔，不得卧。
太阴之厥，则腹满䐜胀，后不利，不欲食，食则呕，不得卧。
Tài yīn zhī jué, zé fù mǎn chēn zhàng, hòu bù lì, bù yù shí, shí zé ǒu, bù dé wò.
太阴之厥，则腹部胀起䐜满，大便不利，不想进食，进食就呕吐，不能安卧。
In inversion of greater yin the belly is full and distended, the stool does not pass, there is no wish to eat, eating brings vomiting, and one cannot lie down.
Shào yīn zhī jué, zé kǒu gān niào chì, fù mǎn xīn tòng.
少阴之厥，则口中干燥、小便赤色，腹部胀满而心痛。
In inversion of lesser yin the mouth is dry and the urine red, the belly is full and the heart aches.
26
厥陰之厥，則少腹腫痛，腹脹，涇溲不利，好卧屈膝，陰縮腫，䯒内熱。
厥阴之厥，则少腹肿痛，腹胀，泾溲不利，好卧屈膝，阴缩肿，䯒内热。
Jué yīn zhī jué, zé shào fù zhǒng tòng, fù zhàng, jīng sōu bù lì, hào wò qū xī, yīn suō zhǒng, héng nèi rè.
厥阴之厥，则少腹肿痛，腹胀，二便不利，喜欢屈膝而卧，阴器收缩而肿，小腿内侧发热。
In inversion of ceasing yin the lower abdomen swells and aches, the belly is distended, the passages do not flow freely, one likes to lie with the knees drawn up, the genitals draw in and swell, and there is heat within the shank.
27
盛則寫之，虚則補之。不盛不虚，以經取之。
盛则写之，虚则补之。不盛不虚，以经取之。
Shèng zé xiě zhī, xū zé bǔ zhī. Bù shèng bù xū, yǐ jīng qǔ zhī.
邪气盛的用泻法，正气虚的用补法；既不盛也不虚的，就取本经之穴调治。
Where there is excess, drain it; where there is emptiness, supplement it. Where it is neither excess nor emptiness, take it from the conduit itself.
Tài yīn jué nì, héng jí luán, xīn tòng yǐn fù, zhì zhǔ bìng zhě.
太阴厥逆，小腿拘急挛缩，心痛牵引到腹部，治其主病之经。
In counterflow inversion of greater yin the shank is tight and cramped and the heart pain draws into the belly; treat what governs the disease.
29
少陰厥逆，虚滿嘔變，下泄清，治主病者。
少阴厥逆，虚满呕变，下泄清，治主病者。
Shào yīn jué nì, xū mǎn ǒu biàn, xià xiè qīng, zhì zhǔ bìng zhě.
少阴厥逆，腹部虚满、呕吐变逆，下泄清稀之物，治其主病之经。
In counterflow inversion of lesser yin there is empty fullness, vomiting and upset, and a clear discharge below; treat what governs the disease.
Jué yīn jué nì, luán yāo tòng, xū mǎn qián bì, zhān yán, zhì zhǔ bìng zhě.
厥阴厥逆，腰部拘挛疼痛，腹部虚满而小便闭塞，言语谵妄，治其主病之经。
In counterflow inversion of ceasing yin there is cramping pain in the lower back, empty fullness and closure in front, and delirious speech; treat what governs the disease.
31
三陰俱逆，不得前後，使人手足寒，三日死。
三阴俱逆，不得前后，使人手足寒，三日死。
Sān yīn jù nì, bù dé qián hòu, shǐ rén shǒu zú hán, sān rì sǐ.
三阴都逆乱，大小便不通，使人手足厥冷，三日而死。
When the three yin are all in counterflow, neither the front nor the back passes; the hands and feet go cold, and death comes on the third day.
Tài yáng jué nì, jiāng pū, ǒu xuè, shàn nǜ, zhì zhǔ bìng zhě.
太阳厥逆，身体僵直而仆倒，呕吐出血，容易鼻出血，治其主病之经。
In counterflow inversion of greater yang there is stiff collapse, vomiting of blood and ready nosebleed; treat what governs the disease.
Shào yáng jué nì, jī guān bù lì, jī guān bù lì zhě, yāo bù kě yǐ xíng, xiàng bù kě yǐ gù, fā cháng yōng, bù kě zhì, jīng zhě sǐ.
少阳厥逆，关节机关不利；机关不利的，腰不能俯仰活动，头项不能回视；若并发肠痈，就不可治；出现惊的就死。
In counterflow inversion of lesser yang the joints do not work freely; and if the joints do not work freely, the lower back cannot carry one about and the nape cannot turn to look behind. Should it develop into an intestinal abscess, it cannot be treated; one who takes fright dies.
Yáng míng jué nì, chuǎn kài, shēn rè, shàn jīng nǜ ǒu xuè.
阳明厥逆，气喘咳嗽，身体发热，容易惊骇、鼻出血、呕血。
In counterflow inversion of yang brightness there is panting and coughing, heat in the body, and a readiness to take fright, to bleed from the nose and to vomit blood.
Shǒu tài yīn jué nì, xū mǎn ér kài, shàn ǒu mò, zhì zhǔ bìng zhě.
手太阴厥逆，胸部虚满而咳嗽，常常呕吐涎沫，治其主病之经。
In counterflow inversion of the hand greater yin there is empty fullness with coughing and a readiness to spit froth; treat what governs the disease.
Shǒu xīn zhǔ shào yīn jué nì, xīn tòng yǐn hóu, shēn rè, sǐ bù kě zhì.
手心主，即手厥阴，与手少阴同时厥逆，心痛牵引到咽喉，身体发热，属于死证，不可治。
In counterflow inversion of the hand heart master and lesser yin, heart pain draws into the throat and the body is hot: it is fatal and cannot be treated.
37
手太陽厥逆，耳聾泣出，項不可以顧，腰不可以俛仰，治主病者。
手太阳厥逆，耳聋泣出，项不可以顾，腰不可以俯仰，治主病者。
Shǒu tài yáng jué nì, ěr lóng qì chū, xiàng bù kě yǐ gù, yāo bù kě yǐ fǔ yǎng, zhì zhǔ bìng zhě.
手太阳厥逆，耳聋而眼中流泪，头项不能回视，腰不能俯仰，治其主病之经。
In counterflow inversion of the hand greater yang there is deafness and tears, the nape cannot turn to look behind and the lower back cannot bend or straighten; treat what governs the disease.
Shǒu yáng míng shào yáng jué nì, fā hóu bì, yì zhǒng, chì, zhì zhǔ bìng zhě.
手阳明与手少阳同时厥逆，发为喉痹，咽喉肿塞，颈项强急，即痓，治其主病之经。
In counterflow inversion of the hand yang brightness and lesser yang it develops into throat blockage, swelling of the pharynx and stiffness; treat what governs the disease.