1
黄帝問曰：人病胃脘癰者，診當何如？歧伯對曰：診此者，當𠉀胃脉，其脉當沈細，沈細者氣逆，逆者人迎甚盛，甚盛則熱。
黄帝问曰：人病胃脘痈者，诊当何如？歧伯对曰：诊此者，当候胃脉，其脉当沉细，沉细者气逆，逆者人迎甚盛，甚盛则热。
Huáng dì wèn yuē: rén bìng wèi wǎn yōng zhě, zhěn dāng hé rú? Qí bó duì yuē: zhěn cǐ zhě, dāng hòu wèi mài, qí mài dāng chén xì, chén xì zhě qì nì, nì zhě rén yíng shèn shèng, shèn shèng zé rè.
黄帝问道：人患胃脘痈，应当怎样诊察？歧伯回答说：诊察此病，应当候察胃脉。胃脉应当沉细，沉细是气逆之象；气逆则人迎脉特别盛大，特别盛大就是有热。
The Emperor asks: when a person has an abscess of the gastric duct, how should one examine him? Qi Bo answers: to examine this one should read the stomach conduit. The conduit should be sunken and fine; sunken and fine means the qi is counterflowing, and where qi counterflows the ren ying pulse is exceedingly full. Exceedingly full is heat.
Rén yíng zhě, wèi mài yě, nì ér shèng, zé rè jù yú wèi kǒu ér bù xíng, gù wèi wǎn wéi yōng yě.
人迎是胃脉。气逆而脉盛，热邪就聚于胃口不得运行，所以胃脘发为痈肿。
The ren ying pulse is the stomach conduit. When it counterflows and is full, heat gathers at the mouth of the stomach and does not move on; that is why the gastric duct becomes an abscess.
3
帝曰：善。人有卧而有所不安者，何也？歧伯曰：藏有所傷，及精有所之寄則安，故人不能懸其病也。
帝曰：善。人有卧而有所不安者，何也？歧伯曰：脏有所伤，及精有所之寄则安，故人不能悬其病也。
Dì yuē: shàn. Rén yǒu wò ér yǒu suǒ bù ān zhě, hé yě? Qí bó yuē: zàng yǒu suǒ shāng, jí jīng yǒu suǒ zhī jì zé ān, gù rén bù néng xuán qí bìng yě.
黄帝说：好。有人躺卧而心神不安，这是什么缘故？歧伯说：五脏有所损伤，必待精气有所寄托归藏而后能安，所以人不能把病悬置不顾。
The Emperor says: good. Some people lie down and yet cannot settle — why is that? Qi Bo says: where one of the stores has been harmed, the person settles only once the essence has somewhere to lodge; that is why one cannot leave an illness hanging.
4
帝曰：人之不得偃卧者，何也？歧伯曰：肺者，藏之蓋也。肺氣盛則脉大，脉大則不得偃卧。論在奇恒陰陽中。
帝曰：人之不得偃卧者，何也？歧伯曰：肺者，脏之盖也。肺气盛则脉大，脉大则不得偃卧。论在奇恒阴阳中。
Dì yuē: rén zhī bù dé yǎn wò zhě, hé yě? Qí bó yuē: fèi zhě, zàng zhī gài yě. Fèi qì shèng zé mài dà, mài dà zé bù dé yǎn wò. Lùn zài qí héng yīn yáng zhōng.
黄帝问：有人不能仰卧平躺，这是什么缘故？歧伯说：肺是五脏的华盖。肺气盛则脉大，脉大就不能仰卧。这一论述载于《奇恒阴阳》之中。
The Emperor asks: and why can some people not lie flat? Qi Bo says: the lung is the canopy of the stores. When lung qi is exuberant the conduit is large, and a large conduit will not let a person lie flat. The discussion of it is in the Qi heng yin yang.
5
帝曰：有病厥者，診右脉沈而緊，左脉浮而遟，不然，病主安在？歧伯曰：冬診之，右脉固當沈緊，此應四時；左脉浮而遟，此逆四時。
帝曰：有病厥者，诊右脉沉而紧，左脉浮而迟，不然，病主安在？歧伯曰：冬诊之，右脉固当沉紧，此应四时；左脉浮而迟，此逆四时。
Dì yuē: yǒu bìng jué zhě, zhěn yòu mài chén ér jǐn, zuǒ mài fú ér chí, bù rán, bìng zhǔ ān zài? Qí bó yuē: dōng zhěn zhī, yòu mài gù dāng chén jǐn, cǐ yìng sì shí; zuǒ mài fú ér chí, cǐ nì sì shí.
黄帝问：有人患厥病，诊其右脉沉而紧，左脉浮而迟。若不如此，病又主在何处？歧伯说：冬天诊脉，右脉本当沉紧，这是与四时相应；左脉浮而迟，这是与四时相逆。
The Emperor asks: here is one ill with inversion. On examination the right conduit is sunken and tight and the left is floating and slow. If that is not how it should be, where does the disease reside? Qi Bo says: examined in winter, the right conduit is naturally sunken and tight — this accords with the four seasons. The left conduit floating and slow runs counter to them.
6
在左當主病在腎，頗關在肺，當腰痛也。
在左当主病在肾，颇关在肺，当腰痛也。
Zài zuǒ dāng zhǔ bìng zài shèn, pō guān zài fèi, dāng yāo tòng yě.
病见于左，当主病在肾，又略与肺相关，当有腰痛。
Being on the left, it indicates the disease is in the kidney, and it bears somewhat on the lung as well: there will be pain in the low back.
7
帝曰：何以言之？歧伯曰：少陰脉貫腎絡肺，今得肺脉。腎爲之病，故腎爲腰痛之病也。
帝曰：何以言之？歧伯曰：少阴脉贯肾络肺，今得肺脉。肾为之病，故肾为腰痛之病也。
Dì yuē: hé yǐ yán zhī? Qí bó yuē: shào yīn mài guàn shèn luò fèi, jīn dé fèi mài. Shèn wéi zhī bìng, gù shèn wéi yāo tòng zhī bìng yě.
黄帝问：凭什么这样说？歧伯说：少阴脉贯穿肾脏而连络肺脏，如今在肾的部位却诊得肺脉。肾因此发病，所以肾病表现为腰痛。
The Emperor asks: how do you say that? Qi Bo says: the lesser yin conduit penetrates the kidney and networks the lung, and now one finds a lung conduit. The kidney is made ill by it, and so the kidney is the disease of pain in the low back.
8
帝曰：善。有病頸癰者，或石治之，或鍼灸治之，而皆已，其真安在？歧伯曰：此同名異等者也。
帝曰：善。有病颈痈者，或石治之，或针灸治之，而皆已，其真安在？歧伯曰：此同名异等者也。
Dì yuē: shàn. Yǒu bìng jǐng yōng zhě, huò shí zhì zhī, huò zhēn jiǔ zhì zhī, ér jiē yǐ, qí zhēn ān zài? Qí bó yuē: cǐ tóng míng yì děng zhě yě.
黄帝说：好。有人患颈痈，有的用砭石治，有的用针灸治，都能痊愈，其中的道理究竟在哪里？歧伯说：这是病名相同而等次不同。
The Emperor says: good. With abscesses of the neck, some are treated with stone and some with needle and moxa, and all recover. Where does the truth of it lie? Qi Bo says: these carry the same name but are of different grade.
Fú yōng qì zhī xī zhě, yí yǐ zhēn kāi chú qù zhī, fú qì shèng xuè jù zhě, yí shí ér xiě zhī. Cǐ suǒ wèi tóng bìng yì zhì yě.
痈气尚在生长而未成脓的，宜用针开通排去；气盛而血已聚结成脓的，宜用砭石泻之。这就是所谓同病异治。
Where the qi of the abscess is still growing, one should open it with the needle and let it out; where qi is full and blood has gathered, one should use stone and drain it. This is what is meant by one disease treated in different ways.
10
帝曰：有病怒狂者，此病安生？歧伯曰：生於陽也。
帝曰：有病怒狂者，此病安生？歧伯曰：生于阳也。
Dì yuē: yǒu bìng nù kuáng zhě, cǐ bìng ān shēng? Qí bó yuē: shēng yú yáng yě.
黄帝问：有人患怒狂之病，这病是怎样生成的？歧伯说：生于阳气。
The Emperor asks: here is one ill with rage and mania — where is this disease born? Qi Bo says: it is born in yang.
11
帝曰：陽何以使人狂？歧伯曰：陽氣者，因暴折而難決，故善怒也，病名曰陽厥。
帝曰：阳何以使人狂？歧伯曰：阳气者，因暴折而难决，故善怒也，病名曰阳厥。
Dì yuē: yáng hé yǐ shǐ rén kuáng? Qí bó yuē: yáng qì zhě, yīn bào zhé ér nán jué, gù shàn nù yě, bìng míng yuē yáng jué.
黄帝问：阳气为什么能使人发狂？歧伯说：阳气因骤然受挫而不得疏泄决断，所以容易发怒，病名叫阳厥。
The Emperor asks: how does yang make a person maniac? Qi Bo says: yang qi, abruptly broken and unable to resolve, makes a person prone to rage. The disease is named yang inversion.
12
帝曰：何以知之？歧伯曰：陽明者常動，巨陽少陽不動，不動而動大疾，此其𠉀也。
帝曰：何以知之？歧伯曰：阳明者常动，巨阳少阳不动，不动而动大疾，此其候也。
Dì yuē: hé yǐ zhī zhī? Qí bó yuē: yáng míng zhě cháng dòng, jù yáng shào yáng bù dòng, bù dòng ér dòng dà jí, cǐ qí hòu yě.
黄帝问：凭什么知道？歧伯说：阳明之脉常动，巨阳、少阳之脉不常动；不当动之脉而动得大而急疾，这就是阳厥的征候。
The Emperor asks: how does one know it? Qi Bo says: the yang brightness pulses normally move; the greater yang and lesser yang do not move. When what does not move moves greatly and swiftly, that is the sign of it.
13
帝曰：治之柰何？歧伯曰：奪其食即已。夫食入於陰，長氣於陽。故奪其食即已。
帝曰：治之奈何？歧伯曰：夺其食即已。夫食入于阴，长气于阳。故夺其食即已。
Dì yuē: zhì zhī nài hé? Qí bó yuē: duó qí shí jí yǐ. Fú shí rù yú yīn, zhǎng qì yú yáng. Gù duó qí shí jí yǐ.
黄帝问：怎样治疗？歧伯说：减少他的饮食就好了。食物入于阴分而长养阳气，所以减少饮食即可痊愈。
The Emperor asks: how is it treated? Qi Bo says: take away his food and it stops. Food enters into yin and makes qi grow in yang; therefore taking away his food stops it.
Shǐ zhī fú yǐ shēng tiě luò wéi yǐn. Fú shēng tiě luò zhě, xià qì jí yě.
再让他服生铁落煎的饮料。生铁落能使气急速下降。
Have him take iron filings as a drink. Iron filings bear qi downward swiftly.
15
帝曰：善。有病身熱解墯，汗出如浴，惡風少氣。此爲何病？歧伯曰：病名曰酒風。
帝曰：善。有病身热解惰，汗出如浴，恶风少气。此为何病？歧伯曰：病名曰酒风。
Dì yuē: shàn. Yǒu bìng shēn rè jiě duò, hàn chū rú yù, wù fēng shǎo qì. Cǐ wéi hé bìng? Qí bó yuē: bìng míng yuē jiǔ fēng.
黄帝说：好。有人身体发热而懈惰无力，汗出如水洗浴，恶风而气短。这是什么病？歧伯说：病名叫酒风。
The Emperor says: good. Here is one with heat in the body, lax and listless, sweating as though from a bath, averse to wind and short of breath. What disease is this? Qi Bo says: the disease is named wind from wine.
16
帝曰：治之柰何？歧伯曰：以澤瀉、術各十分，麋銜五分，合以三指撮爲後飯。
帝曰：治之奈何？歧伯曰：以泽泻、术各十分，麋衔五分，合以三指撮为后饭。
Dì yuē: zhì zhī nài hé? Qí bó yuē: yǐ zé xiè, zhú gè shí fēn, mí xián wǔ fēn, hé yǐ sān zhǐ cuō wéi hòu fàn.
黄帝问：怎样治疗？歧伯说：用泽泻、白术各十分，麋衔五分，混合后取三指撮的量，饭后服。
The Emperor asks: how is it treated? Qi Bo says: take ze xie and zhu, ten parts each, and mi xian, five parts; combine them, take a three-finger pinch, and take it after the meal.
17
所謂深之細者，其中手如鍼也。摩之切之，聚者堅也，博者大也。
所谓深之细者，其中手如针也。摩之切之，聚者坚也，博者大也。
Suǒ wèi shēn zhī xì zhě, qí zhōng shǒu rú zhēn yě. Mó zhī qiè zhī, jù zhě jiān yě, bó zhě dà yě.
所谓脉沉而细，是说按之应手如针尖。按摩切按之：脉气聚者坚实，脉形阔者洪大。
What is called deep and fine is that it meets the hand like a needle. Palpate it and feel it: what has gathered is hard, and what is broad is large.
Shàng jīng zhě, yán qì zhī tōng tiān yě. Xià jīng zhě, yán bìng zhī biàn huà yě.
《上经》是讲气与天相通的；《下经》是讲疾病变化的。
The Upper Classic speaks of qi communicating with heaven; the Lower Classic speaks of the changes of disease.
19
金匱者，決死生也。揆度者，切度之也。奇𢘆者，言奇病也。
金匮者，决死生也。揆度者，切度之也。奇恒者，言奇病也。
Jīn guì zhě, jué sǐ shēng yě. Kuí duó zhě, qiè duó zhī yě. Qí héng zhě, yán qí bìng yě.
《金匮》是决断死生的；《揆度》是切脉度量病情的；《奇恒》是论奇异之病的。
The Golden Casket decides life and death. The Kui Duo feels the pulse and measures it. The Qi Heng speaks of strange diseases.
20
所謂奇者，使奇病不得以四時死也；𢘆者，得以四時死也。
所谓奇者，使奇病不得以四时死也；恒者，得以四时死也。
Suǒ wèi qí zhě, shǐ qí bìng bù dé yǐ sì shí sǐ yě; héng zhě, dé yǐ sì shí sǐ yě.
所谓「奇」，是说奇病不按四时之常而死；所谓「恒」，是说常病得以按四时而死。
What is called strange is that the strange disease does not die by the four seasons; constant is that it dies by the four seasons.
21
所謂揆者，方切求之也，言切求其脉理也。度者，得其病處，以四時度之也。
所谓揆者，方切求之也，言切求其脉理也。度者，得其病处，以四时度之也。
Suǒ wèi kuí zhě, fāng qiè qiú zhī yě, yán qiè qiú qí mài lǐ yě. Duó zhě, dé qí bìng chù, yǐ sì shí duó zhī yě.
所谓「揆」，是比类切按以求之，即切求脉理；所谓「度」，是得其病位而以四时衡量之。
What is called kui is to seek it by comparing and feeling — it means feeling out the pattern of the conduit. What is called duo is to locate the site of the disease and measure it against the four seasons.