huáng dì wèn yuē: rén yǒu sì jīng shí èr cóng, hé wèi?
黄帝问道：人身有四经、十二从，这说的是什么？
The Yellow Emperor asks: the human being has the four channels and the twelve followings. What is meant by this?
2
歧伯對曰：四經應四時，十二從應十二月，十二月應十二脉。
歧伯对曰：四经应四时，十二从应十二月，十二月应十二脉。
qí bó duì yuē: sì jīng yìng sì shí, shí èr cóng yìng shí èr yuè, shí èr yuè yìng shí èr mài.
歧伯回答说：四经与春夏秋冬四时相应，十二从与十二个月相应，十二个月又与人身十二条经脉相应。
Qibo replies: the four channels answer to the four seasons, the twelve followings answer to the twelve months, and the twelve months answer to the twelve vessels.
3
脉有陰陽，知陽者知陰，知陰者知陽。
脉有阴阳，知阳者知阴，知阴者知阳。
mài yǒu yīn yáng, zhī yáng zhě zhī yīn, zhī yīn zhě zhī yáng.
脉象有阴有阳。能辨识阳脉的，就能推知阴脉；能辨识阴脉的，就能推知阳脉。
The vessels have yin and yang. He who knows the yang knows the yin; he who knows the yin knows the yang.
4
凡陽有五，五五二十五陽。
凡阳有五，五五二十五阳。
fán yáng yǒu wǔ, wǔ wǔ èr shí wǔ yáng.
阳脉以五为数，五五相乘，共得二十五种阳脉。
In every case the yang are five, and five fives make twenty-five yang.
5
所謂陰者，真藏也，見則爲敗，敗必死也。所謂陽者，胃脘之陽也。
所谓阴者，真藏也，见则为败，败必死也。所谓阳者，胃脘之阳也。
suǒ wèi yīn zhě, zhēn zàng yě, xiàn zé wéi bài, bài bì sǐ yě. suǒ wèi yáng zhě, wèi wǎn zhī yáng yě.
这里所说的阴，指的是真藏脉，即五藏真气外泄、脉中毫无胃气的脉象；真藏脉一出现，就说明胃气已败，胃气败坏必定死亡。所说的阳，指的是胃脘所生之阳气，也就是脉中的胃气。
What is called the yin is the true storing pulse: once it appears, there is ruin, and ruin necessarily means death. What is called the yang is the yang of the stomach — the stomach qi carried in the pulse.
6
别於陽者，知病處也。别於陰者，知死生之期。
别于阳者，知病处也。别于阴者，知死生之期。
bié yú yáng zhě, zhī bìng chù yě. bié yú yīn zhě, zhī sǐ shēng zhī qī.
能辨别阳脉的变化，就知道病变所在的部位；能辨别阴脉的变化，就能预知死生的期限。
To distinguish by means of the yang is to know where the disease lies. To distinguish by means of the yin is to know the term of death and life.
7
三陽在頭，三陰在手，所謂一也。
三阳在头，三阴在手，所谓一也。
sān yáng zài tóu, sān yīn zài shǒu, suǒ wèi yī yě.
三阳经的诊候在头，三阴经的诊候在手；两处合参，道理只是一个。
The three yang are at the head and the three yin are at the hand — this is what is meant by their being one.
8
别於陽者，知病忌時。别於陰者，知死生之期。謹熟陰陽，無與衆謀。
别于阳者，知病忌时。别于阴者，知死生之期。谨熟阴阳，无与众谋。
bié yú yáng zhě, zhī bìng jì shí. bié yú yīn zhě, zhī sǐ shēng zhī qī. jǐn shú yīn yáng, wú yǔ zhòng móu.
辨别阳脉，能知道疾病所忌的时令；辨别阴脉，能预知死生的期限。只要审慎而熟练地掌握阴阳之理，诊断自然确定，不必同众人反复商议。
To distinguish by means of the yang is to know the season the disease must shun. To distinguish by means of the yin is to know the term of death and life. Be careful and practised in yin and yang, and you will not need to take counsel with the multitude.
9
所謂陰陽者，去者爲陰，至者爲陽；靜者爲陰，動者爲陽；遲者爲陰，數者爲陽。
所谓阴阳者，去者为阴，至者为阳；静者为阴，动者为阳；迟者为阴，数者为阳。
suǒ wèi yīn yáng zhě, qù zhě wéi yīn, zhì zhě wéi yáng; jìng zhě wéi yīn, dòng zhě wéi yáng; chí zhě wéi yīn, shuò zhě wéi yáng.
所谓脉的阴阳：脉去为阴，脉来为阳；脉静为阴，脉动为阳；脉迟为阴，脉数为阳。
As to what is called yin and yang in the pulse: that which departs is yin, that which arrives is yang; the still is yin, the moving is yang; the slow is yin, the rapid is yang.
10
凡持真脉之藏脉者，肝至懸絶急，十八日死；心至懸絶，九日死；肺至懸絶，十二日死；腎至懸絶，七日死；脾至懸絶，四日死。
凡持真脉之藏脉者，肝至悬绝急，十八日死；心至悬绝，九日死；肺至悬绝，十二日死；肾至悬绝，七日死；脾至悬绝，四日死。
fán chí zhēn mài zhī zàng mài zhě, gān zhì xuán jué jí, shí bā rì sǐ; xīn zhì xuán jué, jiǔ rì sǐ; fèi zhì xuán jué, shí èr rì sǐ; shèn zhì xuán jué, qī rì sǐ; pí zhì xuán jué, sì rì sǐ.
凡是诊得真藏脉的：肝脉来时悬绝无根而急劲，十八日死；心脉悬绝，九日死；肺脉悬绝，十二日死；肾脉悬绝，七日死；脾脉悬绝，四日死。
Whenever one takes hold of the storing pulse of the true pulse: the liver, arriving suspended and cut off and urgent, means death in eighteen days; the heart, suspended and cut off, nine days; the lung, twelve days; the kidney, seven days; the spleen, four days.
11
曰：二陽之病發心脾，有不得隱曲，女子不月。其傳爲風消，其傳爲息賁者，死不治。
曰：二阳之病发心脾，有不得隐曲，女子不月。其传为风消，其传为息贲者，死不治。
yuē: èr yáng zhī bìng fā xīn pí, yǒu bù dé yǐn qū, nǚ zǐ bù yuè. qí chuán wéi fēng xiāo, qí chuán wéi xī bēn zhě, sǐ bù zhì.
又说：二阳发病，病起于心脾，常有难以告人的隐曲之苦；女子则月经闭止。若传变为风消，再传为息贲，就是死症，不可治。
It is said: in disease of the second yang, the illness arises in the heart and spleen; there is something that cannot be spoken of, and in women the menses stop. If it transmits into wind-wasting, and then transmits into rushing breath, death follows and there is no cure.
yuē: sān yáng wéi bìng, fā hán rè, xià wéi yōng zhǒng, jí wéi wěi jué shuàn yuān. qí chuán wéi suǒ zé, qí chuán wéi tuí shàn.
又说：三阳发病，发为恶寒发热；在下则发为痈肿，以及痿弱、厥冷、小腿肚酸痛。若传变为索泽，再传为颓疝，即属重症。
It is said: when the third yang is diseased, it produces cold and heat; below, it becomes abscesses and swellings, and also weakness, reversal, and aching of the calf. If it transmits into a withered sheen, and then into a drooping hernia, the illness is grave.
13
曰：一陽發病，少氣、善欬、善泄。其傳爲心掣，其傳爲隔。
曰：一阳发病，少气、善欬、善泄。其传为心掣，其传为隔。
yuē: yī yáng fā bìng, shǎo qì, shàn kài, shàn xiè. qí chuán wéi xīn chè, qí chuán wéi gé.
又说：一阳发病，气短、易咳、易泄泻。若传变为心掣，再传为隔。
It is said: when the first yang is diseased, there is scant qi, a tendency to cough and a tendency to discharge. If it transmits into the heart being tugged, and then into blockage of the diaphragm, the illness is grave.
14
二陽一陰發病，主驚駭背痛，善噫、善欠，名曰風厥。
二阳一阴发病，主惊骇背痛，善噫、善欠，名曰风厥。
èr yáng yī yīn fā bìng, zhǔ jīng hài bèi tòng, shàn ài, shàn qiàn, míng yuē fēng jué.
二阳一阴同病，主症是惊骇、背痛，常嗳气、常呵欠，这叫做风厥。
When the second yang and the first yin are diseased together, the leading signs are fright and alarm and pain in the back, with frequent belching and yawning; it is named wind reversal.
15
二陰一陽發病，善脹心滿善氣。
二阴一阳发病，善胀心满善气。
èr yīn yī yáng fā bìng, shàn zhàng xīn mǎn shàn qì.
二阴一阳同病，容易腹胀，心下满闷，常常叹气。
When the second yin and the first yang are diseased together, there is a tendency to distension, fullness in the heart, and frequent sighing.
sān yáng sān yīn fā bìng, wéi piān kū wěi yì, sì zhī bù jǔ.
三阳三阴同病，会发为半身枯废不用、肢体痿弱弛缓，四肢不能举动。
When the third yang and the third yin are diseased together, it becomes one-sided wasting and flaccid weakness, and the four limbs cannot be raised.
17
鼓一陽曰鈎，鼓一陰曰毛，鼓陽勝急曰絃，鼓陽至而絶曰石，陰陽相過曰溜。
鼓一阳曰钩，鼓一阴曰毛，鼓阳胜急曰弦，鼓阳至而绝曰石，阴阳相过曰溜。
gǔ yī yáng yuē gōu, gǔ yī yīn yuē máo, gǔ yáng shèng jí yuē xián, gǔ yáng zhì ér jué yuē shí, yīn yáng xiāng guò yuē liū.
脉来鼓动而见一阳之象的叫做钩脉；鼓动而见一阴之象的叫做毛脉；鼓动有力、阳偏胜而紧急的叫做弦脉；阳脉鼓动至极而忽然断绝的叫做石脉；阴阳之气往来相过、流畅无碍的叫做溜脉。
A throbbing showing one yang is called the hook; a throbbing showing one yin is called the hair; a throbbing in which yang prevails and is urgent is called the string; a throbbing in which yang arrives and is then cut off is called the stone; yin and yang passing over one another is called the flow.
18
陰爭於内，陽擾於外，魄汗未藏，四逆而起，起則熏肺，使人喘鳴。
阴争于内，阳扰于外，魄汗未藏，四逆而起，起则熏肺，使人喘鸣。
yīn zhēng yú nèi, yáng rǎo yú wài, pò hàn wèi cáng, sì nì ér qǐ, qǐ zé xūn fèi, shǐ rén chuǎn míng.
阴气在内相争，阳气在外扰动，肺所主的魄汗不能敛藏，四肢厥冷随之而起；厥气上逆则熏灼于肺，使人喘息有声。
Yin contends within and yang is driven to confusion without; the sweat of the corporeal soul is not stored, and the four limbs rise into reversal. Rising, it smokes the lung and makes a person pant and wheeze.
19
陰之所生，和本曰和。是故剛與剛，陽氣破散，陰氣乃消亡。
阴之所生，和本曰和。是故刚与刚，阳气破散，阴气乃消亡。
yīn zhī suǒ shēng, hé běn yuē hé. shì gù gāng yǔ gāng, yáng qì pò sàn, yīn qì nǎi xiāo wáng.
阴气的生化，以与本相合为和。所以若刚与刚相加——阳遇阳而无阴以和之——阳气就会破败消散，阴气也随之消亡。
What yin brings forth, being in harmony with its root, is called harmony. Therefore, when the hard is joined to the hard, the yang qi is broken and scattered, and the yin qi then wastes away.
20
淖則剛柔不和，經氣乃絶。
淖则刚柔不和，经气乃绝。
nào zé gāng róu bù hé, jīng qì nǎi jué.
若阴气濡浊太过，刚柔就失于调和，经脉之气也就随之断绝。
If there is sodden excess, the hard and the soft are out of harmony, and the qi of the channels is cut off.
21
死陰之屬，不過三日而死；生陽之屬，不過四日而死。
死阴之属，不过三日而死；生阳之属，不过四日而死。
sǐ yīn zhī shǔ, bù guò sān rì ér sǐ; shēng yáng zhī shǔ, bù guò sì rì ér sǐ.
属于死阴一类的，不超过三天而死；属于生阳一类的，不超过四天而死。
What belongs to the dying yin does not pass three days before death. What belongs to the living yang does not pass four days before death.
22
所謂生陽死陰者，肝之心謂之生陽，心之肺謂之死陰，肺之腎謂之重陰，腎之脾謂之辟陰，死不治。
所谓生阳死阴者，肝之心谓之生阳，心之肺谓之死阴，肺之肾谓之重阴，肾之脾谓之辟阴，死不治。
suǒ wèi shēng yáng sǐ yīn zhě, gān zhī xīn wèi zhī shēng yáng, xīn zhī fèi wèi zhī sǐ yīn, fèi zhī shèn wèi zhī chóng yīn, shèn zhī pí wèi zhī pì yīn, sǐ bù zhì.
所谓生阳死阴：肝病传心叫做生阳；心病传肺叫做死阴；肺病传肾叫做重阴；肾病传脾叫做辟阴，属死不治。
As to what is called living yang and dying yin: from the liver to the heart is called living yang; from the heart to the lung is called dying yin; from the lung to the kidney is called doubled yin; from the kidney to the spleen is called the rejected yin, and death is beyond treatment.
jié yáng zhě, zhǒng sì zhī; jié yīn zhě biàn xuè yī shēng, zài jié èr shēng, sān jié sān shēng.
阳气郁结的，四肢浮肿；阴气郁结的，大便下血一升，郁结加重则二升，再加重则三升。
Where yang is knotted, the four limbs swell. Where yin is knotted, there is blood in the stool, one sheng; knotted again, two sheng; knotted a third time, three sheng.
yīn yáng jié xié, duō yīn, shǎo yáng, yuē shí shuǐ, shào fù zhǒng.
阴阳之气结聚而偏斜，阴多阳少，叫做石水，症见小腹肿硬。
When yin and yang are knotted awry, with much yin and little yang, it is called stone water, and the lower abdomen swells.
25
二陽結謂之消，三陽結謂之隔，三陰結謂之水。
二阳结谓之消，三阳结谓之隔，三阴结谓之水。
èr yáng jié wèi zhī xiāo, sān yáng jié wèi zhī gé, sān yīn jié wèi zhī shuǐ.
二阳结聚叫做消；三阳结聚叫做隔；三阴结聚叫做水。
Knotting of the second yang is called wasting; knotting of the third yang is called blockage; knotting of the third yin is called water.
26
一陰一陽結，謂之喉痺。
一阴一阳结，谓之喉痹。
yī yīn yī yáng jié, wèi zhī hóu bì.
一阴一阳同结，叫做喉痹，即咽喉肿闭、言语声音不出。
Knotting of the first yin and the first yang is called blockage of the throat.
27
陰搏陽别，謂之有子。陰陽虚，腸辟死。陽加於陰謂之汗。陰虚陽搏，謂之崩。
阴搏阳别，谓之有子。阴阳虚，肠辟死。阳加于阴谓之汗。阴虚阳搏，谓之崩。
yīn bó yáng bié, wèi zhī yǒu zǐ. yīn yáng xū, cháng pì sǐ. yáng jiā yú yīn wèi zhī hàn. yīn xū yáng bó, wèi zhī bēng.
尺部阴脉搏击有力，与寸部阳脉判然有别，这是怀孕之象。若阴阳俱虚而见肠辟，则为死症。阳热加于阴分、逼津外泄，就叫做汗；阴虚而阳脉搏击过甚，就叫做崩。
When the yin beats and the yang stands apart, it is called having a child. When yin and yang are both depleted and there is flux of the bowel, death follows. Yang added to yin is called sweating. When yin is depleted and yang beats, it is called flooding.
28
三陰俱搏，二十日夜半死。二陰俱搏，十三日夕時，死。一陰俱搏，十日死。
三阴俱搏，二十日夜半死。二阴俱搏，十三日夕时，死。一阴俱搏，十日死。
sān yīn jù bó, èr shí rì yè bàn sǐ. èr yīn jù bó, shí sān rì xī shí, sǐ. yī yīn jù bó, shí rì sǐ.
三阴之脉俱搏击过甚，二十日夜半死；二阴俱搏，十三日傍晚死；一阴俱搏，十日死。
When the three yin all beat, death comes at midnight on the twentieth day. When the second yin all beat, at evening on the thirteenth day, death. When the first yin all beat, death in ten days.
29
三陽俱搏且鼓，三日。死。三陰三陽俱搏，心腹滿，發盡不得隱曲，五日死。
三阳俱搏且鼓，三日。死。三阴三阳俱搏，心腹满，发尽不得隐曲，五日死。
sān yáng jù bó qiě gǔ, sān rì sǐ. sān yīn sān yáng jù bó, xīn fù mǎn, fā jìn bù dé yǐn qū, wǔ rì sǐ.
三阳之脉俱搏击而且鼓盛，三日死。三阴三阳俱搏，心腹胀满，病发至极而二便不通，五日死。
When the three yang all beat and also throb, death in three days. When the three yin and the three yang all beat, with fullness of the heart and abdomen and the eruption carried to its end so that nothing can be passed, death in five days.
30
二陽俱搏，其病温，死不治，不過十日死。
二阳俱搏，其病温，死不治，不过十日死。
èr yáng jù bó, qí bìng wēn, sǐ bù zhì, bù guò shí rì sǐ.
二阳之脉俱搏，其病发热，属不治之候，不超过十天而死。
When the two yang all beat, the illness is warm; it is beyond treatment, and death does not pass ten days.