1
心之合脉也，其榮色也，其主腎也。
心之合脉也，其荣色也，其主肾也。
xīn zhī hé mài yě, qí róng sè yě, qí zhǔ shèn yě.
心与脉相合，它的荣华上见于面色，它被肾所制。
The heart is matched with the vessels; its bloom is the complexion; what it answers to is the kidney.
2
肺之合皮也，其榮毛也，其主心也。
肺之合皮也，其荣毛也，其主心也。
fèi zhī hé pí yě, qí róng máo yě, qí zhǔ xīn yě.
肺与皮相合，它的荣华见于毫毛，它被心所制。
The lung is matched with the skin; its bloom is the body hair; what it answers to is the heart.
3
肝之合筋也，其榮爪也，其主肺也。
肝之合筋也，其荣爪也，其主肺也。
gān zhī hé jīn yě, qí róng zhǎo yě, qí zhǔ fèi yě.
肝与筋相合，它的荣华见于爪甲，它被肺所制。
The liver is matched with the sinews; its bloom is the nails; what it answers to is the lung.
4
脾之合肉也，其榮脣也，其主肝也。
脾之合肉也，其荣唇也，其主肝也。
pí zhī hé ròu yě, qí róng chún yě, qí zhǔ gān yě.
脾与肉相合，它的荣华见于口唇，它被肝所制。
The spleen is matched with the flesh; its bloom is the lips — the white border of the lips, not their red; what it answers to is the liver.
5
腎之合骨也，其榮髮也，其主脾也。
肾之合骨也，其荣发也，其主脾也。
shèn zhī hé gǔ yě, qí róng fà yě, qí zhǔ pí yě.
肾与骨相合，它的荣华见于头发，它被脾所制。
The kidney is matched with the bone; its bloom is the hair of the head; what it answers to is the spleen.
6
是故多食鹹，則脉凝泣而變色；
是故多食咸，则脉凝泣而变色；
shì gù duō shí xián, zé mài níng sè ér biàn sè;
所以多吃咸味，就会使血脉凝涩不畅而面色改变。
Therefore eating much salt makes the vessels congeal and stagnate and the colour change: salt strengthens the kidney, which overcomes the heart, and the heart cannot bear it.
7
多食苦，則皮槁而毛拔；
多食苦，则皮槁而毛拔；
duō shí kǔ, zé pí gǎo ér máo bá;
多吃苦味，就会使皮肤枯槁而毛发脱落。
Eating much bitterness makes the skin withered and the hair come out: bitterness strengthens the heart, and the heart overcomes the lung.
8
多食辛，則䈥急而爪枯；
多食辛，则筋急而爪枯；
duō shí xīn, zé jīn jí ér zhǎo kū;
多吃辛味，就会使筋脉拘急而爪甲枯干。
Eating much acridity makes the sinews tighten and the nails dry up: acridity strengthens the lung, and the lung overcomes the liver.
9
多食酸，則肉胝䐢而脣揭；
多食酸，则肉胝䐢而唇揭；
duō shí suān, zé ròu zhī zhòu ér chún jiē;
多吃酸味，就会使肌肉粗厚皱缩而口唇掀起。
Eating much sourness makes the flesh thicken and pucker and the lips peel: sourness strengthens the liver, and the liver overcomes the spleen.
10
多食甘，則骨痛而髮落。
多食甘，则骨痛而发落。
duō shí gān, zé gǔ tòng ér fà luò.
多吃甘味，就会使骨节疼痛而头发脱落。
Eating much sweetness makes the bones ache and the hair fall: sweetness strengthens the spleen, and the spleen overcomes the kidney.
cǐ wǔ wèi zhī suǒ shāng yě,
这就是偏嗜五味所造成的损伤：五味入口，各有所养，过其所欲则互有所伤。
This is the harm done by the five flavours: each nourishes its own organ, and taken to excess it harms the organ that organ overcomes.
12
故心欲苦，肺欲辛，肝欲酸，脾欲甘，腎欲鹹，此五味之所合也。
故心欲苦，肺欲辛，肝欲酸，脾欲甘，肾欲咸，此五味之所合也。
gù xīn yù kǔ, fèi yù xīn, gān yù suān, pí yù gān, shèn yù xián, cǐ wǔ wèi zhī suǒ hé yě.
所以心喜好苦味，肺喜好辛味，肝喜好酸味，脾喜好甘味，肾喜好咸味，这就是五味各随其欲而归凑五藏。
So the heart wants bitterness, the lung acridity, the liver sourness, the spleen sweetness, the kidney saltiness — this is how the five flavours are matched to the five storing organs.
13
五藏之氣，故色見青如草兹者死，黃如枳實者死，黑如炲者死，赤如衃血者死，白如枯骨者死，此五色之見死也。
五藏之气，故色见青如草兹者死，黄如枳实者死，黑如炲者死，赤如衃血者死，白如枯骨者死，此五色之见死也。
wǔ zàng zhī qì, gù sè jiàn qīng rú cǎo zī zhě sǐ, huáng rú zhǐ shí zhě sǐ, hēi rú tái zhě sǐ, chì rú pēi xuè zhě sǐ, bái rú kū gǔ zhě sǐ, cǐ wǔ sè zhī jiàn sǐ yě.
五藏之气上见于面色：青得像初生枯草的、黄得像枳实的、黑得像烟煤的、赤得像凝败之血的、白得像枯骨的，都是死色。
The qi of the five storing organs: a green like dead grass, a yellow like unripe bitter orange, a black like soot, a red like clotted and spoilt blood, a white like dry bone — each of these means death. These are the five colours as they appear in death.
14
青如翠羽者生，赤如雞冠者生，黃如蟹腹者生，白如豕膏者生，黑如烏羽者生，此五色之見生也。
青如翠羽者生，赤如鸡冠者生，黄如蟹腹者生，白如豕膏者生，黑如乌羽者生，此五色之见生也。
qīng rú cuì yǔ zhě shēng, chì rú jī guān zhě shēng, huáng rú xiè fù zhě shēng, bái rú shǐ gāo zhě shēng, hēi rú wū yǔ zhě shēng, cǐ wǔ sè zhī jiàn shēng yě.
青得像翠鸟羽毛的、赤得像鸡冠的、黄得像蟹腹的、白得像猪脂的、黑得像乌鸦羽毛的，都是有生气的色。其要在光润，不在色之浅深。
Green like a kingfisher’s feather, red like a cock’s comb, yellow like a crab’s belly, white like lard, black like a crow’s feather — each of these means life. These are the five colours as they appear in life.
15
生於心，如以縞裹朱；
生于心，如以缟裹朱；
shēng yú xīn, rú yǐ gǎo guǒ zhū;
心有生气，其色就像用白绢裹着朱砂——朱色隐隐自内透出，故润而不枯。
Life in the heart is like vermilion wrapped in white silk;
16
生於肺，如以縞裹紅；
生于肺，如以缟裹红；
shēng yú fèi, rú yǐ gǎo guǒ hóng;
肺有生气，其色就像用白绢裹着粉红。
in the lung, like red silk wrapped in white silk;
17
生於肝，如以縞裹紺；
生于肝，如以缟裹绀；
shēng yú gān, rú yǐ gǎo guǒ gàn;
肝有生气，其色就像用白绢裹着绀色。
in the liver, like a thin blue-green wrapped in white silk;
18
生於脾，如以縞裹栝樓實；
生于脾，如以缟裹栝楼实；
shēng yú pí, rú yǐ gǎo guǒ guā lóu shí;
脾有生气，其色就像用白绢裹着栝楼实。
in the spleen, like the fruit of the trichosanthes wrapped in white silk;
19
生於腎，如以縞裹紫，此五藏所生之外榮也。
生于肾，如以缟裹紫，此五藏所生之外荣也。
shēng yú shèn, rú yǐ gǎo guǒ zǐ, cǐ wǔ zàng suǒ shēng zhī wài róng yě.
肾有生气，其色就像用白绢裹着紫色。这就是五藏生气显露于外的荣华。
in the kidney, like purple wrapped in white silk — this is the outer bloom that the five storing organs generate.
20
色味當五藏，白當肺辛，赤當心苦，青當肝酸，黃當脾甘，黑當腎鹹。
色味当五藏，白当肺辛，赤当心苦，青当肝酸，黄当脾甘，黑当肾咸。
sè wèi dāng wǔ zàng, bái dāng fèi xīn, chì dāng xīn kǔ, qīng dāng gān suān, huáng dāng pí gān, hēi dāng shèn xián.
五色五味各与五藏相当：白与辛当肺，赤与苦当心，青与酸当肝，黄与甘当脾，黑与咸当肾。
Colour and flavour correspond to the five storing organs: white and acridity to the lung, red and bitterness to the heart, green and sourness to the liver, yellow and sweetness to the spleen, black and saltiness to the kidney.
21
故白當皮，赤當脉，青當筋，黃當肉，黑當骨。
故白当皮，赤当脉，青当筋，黄当肉，黑当骨。
gù bái dāng pí, chì dāng mài, qīng dāng jīn, huáng dāng ròu, hēi dāng gǔ.
五藏外合五体，所以白当皮，赤当脉，青当筋，黄当肉，黑当骨。
And so white corresponds to the skin, red to the vessels, green to the sinews, yellow to the flesh, black to the bone.
22
諸脉者皆屬於目，諸髓者皆屬於腦，諸筋者皆屬於節，諸血者皆屬於心，諸氣者皆屬於肺，此四支八谿之朝夕也。
诸脉者皆属于目，诸髓者皆属于脑，诸筋者皆属于节，诸血者皆属于心，诸气者皆属于肺，此四支八溪之朝夕也。
zhū mài zhě jiē shǔ yú mù, zhū suǐ zhě jiē shǔ yú nǎo, zhū jīn zhě jiē shǔ yú jié, zhū xuè zhě jiē shǔ yú xīn, zhū qì zhě jiē shǔ yú fèi, cǐ sì zhī bā xī zhī zhāo xī yě.
众脉都上属于目，诸髓都属于脑，诸筋都连属于骨节，诸血都归属于心，诸气都归属于肺。这就是气血在四肢八谿之间的朝夕循行。
All the vessels belong to the eye; all the marrow to the brain; all the sinews to the joints; all the blood to the heart; all the qi to the lung. This is the morning-and-evening traffic of the four limbs and the eight ravines.
23
故人卧，血歸於肝，肝受血而能視，足受血而能步，掌受血而能握，指受血而能攝。
故人卧，血归于肝，肝受血而能视，足受血而能步，掌受血而能握，指受血而能摄。
gù rén wò, xuè guī yú gān, gān shòu xuè ér néng shì, zú shòu xuè ér néng bù, zhǎng shòu xuè ér néng wò, zhǐ shòu xuè ér néng shè.
人安卧时血就归藏于肝。肝得血而目能视，足得血而能行走，手掌得血而能握物，手指得血而能取物。
So when a person lies down, the blood returns to the liver. The liver, receiving blood, can see; the foot, receiving blood, can walk; the palm can grip; the fingers can take hold.
24
卧出而風吹之，血凝於膚者爲痺，凝於脉者爲泣，凝於足者爲厥。
卧出而风吹之，血凝于肤者为痹，凝于脉者为泣，凝于足者为厥。
wò chū ér fēng chuī zhī, xuè níng yú fū zhě wéi bì, níng yú mài zhě wéi sè, níng yú zú zhě wéi jué.
刚睡醒就外出受风：血凝在肌肤的成为痹，凝在脉中的成为泣，凝在足部的成为厥。
If one goes out on waking and the wind blows: blood congealed in the skin makes obstruction; congealed in the vessels makes stagnation; congealed in the feet makes reversal cold.
25
此三者，血行而不得反其空，故爲痺。厥也。
此三者，血行而不得反其空，故为痹。厥也。
cǐ sān zhě, xuè xíng ér bù dé fǎn qí kǒng, gù wéi bì. jué yě.
这三种情况，都是血在运行中不能返回它原来的孔道，所以成为痹与厥。
In all three the blood moves but cannot get back into its passages — hence obstruction, hence reversal. (The base text breaks this in two; other editions read “bi and jue” as one phrase.)
26
人有大谷十二分，小谿三百五十四名，少十二俞，此皆衛氣之所留止，邪氣之所客也，鍼石緣而去之。
人有大谷十二分，小溪三百五十四名，少十二俞，此皆卫气之所留止，邪气之所客也，针石缘而去之。
rén yǒu dà gǔ shí èr fēn, xiǎo xī sān bǎi wǔ shí sì míng, shǎo shí èr shù, cǐ jiē wèi qì zhī suǒ liú zhǐ, xié qì zhī suǒ kè yě, zhēn shí yuán ér qù zhī.
人身有大谷十二分，小谿三百五十四名，其中少去十二俞。这些都是卫气留止之处，也是邪气客居之所；用针石循其处而祛除之。
A person has twelve divisions of the great valleys and three hundred and fifty-four named lesser ravines, less the twelve transport points. These are where the defence qi comes to rest and where evil qi lodges as a guest; needle and stone follow along them and drive it out.
zhěn bìng zhī shǐ, wǔ jué wéi jì.
诊病的开端，以五决为纲纪。
To begin examining an illness, take the five decisions as the rule.
28
欲知其始，先建其母。
欲知其始，先建其母。
yù zhī qí shǐ, xiān jiàn qí mǔ.
要知道病的起始，先立其母。先立当令之王气，而后乃求邪正之气。
To know where it began, first establish its mother: the qi that ought to be in season. Only then can one ask which qi is the evil and which is the right.
suǒ wèi wǔ jué zhě, wǔ mài yě.
所谓五决，就是五藏之脉。
What is called the five decisions is the five pulses.
30
是以頭痛巔疾，下虚上實，過在足少陰、巨陽，甚則入腎。
是以头痛巅疾，下虚上实，过在足少阴、巨阳，甚则入肾。
shì yǐ tóu tòng diān jí, xià xū shàng shí, guò zài zú shào yīn, jù yáng, shèn zé rù shèn.
所以头痛、巅顶之疾，属下虚上实的，过失在足少阴与足巨阳。肾虚不能引巨阳之气，故头痛而为上巅之疾；病甚则入于藏。
Thus head pain and disease of the crown, empty below and full above, is faulted in the foot shaoyin and the foot great yang; if severe it enters the kidney.
31
徇蒙招尤，目冥耳聾，下實上虚，過在足少陽、厥陰，甚則入肝。
徇蒙招尤，目冥耳聋，下实上虚，过在足少阳、厥阴，甚则入肝。
xùn méng zhāo yóu, mù míng ěr lóng, xià shí shàng xū, guò zài zú shào yáng, jué yīn, shèn zé rù gān.
头目眩晕、动摇不定，目暗耳聋，属下实上虚的，过失在足少阳与足厥阴，病甚则入肝。
Dizziness and reeling, dimmed eyes and deaf ears, full below and empty above, is faulted in the foot shaoyang and jueyin; if severe it enters the liver.
32
腹滿䐜脹，支鬲胠脅，下厥上冒，過在足太陰、陽明。
腹满䐜胀，支鬲胠胁，下厥上冒，过在足太阴、阳明。
fù mǎn chēn zhàng, zhī gé qū xié, xià jué shàng mào, guò zài zú tài yīn, yáng míng.
腹部胀满，胸膈与胁肋支撑不舒，气从下逆上而冒于目，过失在足太阴与足阳明。
Fullness and distension of the belly, propping of the diaphragm and the flank, reversal below and fogging above, is faulted in the foot taiyin and yangming.
33
欬嗽上氣，厥在胸中，過在手陽眀、太陰。
咳嗽上气，厥在胸中，过在手阳明、太阴。
kài sòu shàng qì, jué zài xiōng zhōng, guò zài shǒu yáng míng, tài yīn.
咳嗽、气逆于上，逆气在胸中的，过失在手阳明与手太阴。
Cough and rising qi, with the reversal in the chest, is faulted in the hand yangming and hand taiyin.
34
心煩頭痛，病在鬲中，過在手巨陽、少陰。
心烦头痛，病在鬲中，过在手巨阳、少阴。
xīn fán tóu tòng, bìng zài gé zhōng, guò zài shǒu jù yáng, shào yīn.
心烦、头痛，病在膈中的，过失在手巨阳与手少阴。
Vexation of the heart and head pain, with the disease in the diaphragm, is faulted in the hand great yang and hand shaoyin.
35
夫脉之小大、滑濇、浮沈，可以指别。
夫脉之小大、滑涩、浮沉，可以指别。
fú mài zhī xiǎo dà, huá sè, fú chén, kě yǐ zhǐ bié.
脉象的小与大、滑与涩、浮与沉，可以用手指辨别。
The small and the large, the slippery and the rough, the floating and the sunken of the pulse can be told apart with the fingers.
wǔ zàng zhī xiàng, kě yǐ lèi tuī.
五藏虽隐而不见，其气象性用可以依同类事物推求。
The images of the five storing organs can be inferred by analogy.
wǔ zàng xiāng yīn, kě yǐ yì shí.
五藏各有与其相应的声音，可以凭意会而识别。
The sounds that answer to the five storing organs can be recognised by the mind.
wǔ sè wēi zhěn, kě yǐ mù chá.
五色的细微变化，可以用眼睛观察。
The fine variations of the five colours can be observed with the eye.
39
能合脉色，可以萬全。
能合脉色，可以万全。
néng hé mài sè, kě yǐ wàn quán.
能把脉诊与色诊合在一起分析的，诊治就可以万无一失。
Who can bring pulse and colour together in one reading can be wholly sound.
40
赤，脉之至也，喘而堅，診曰有積氣在中，時害於食，名曰心痺。得之外疾，思慮而心虚，故邪從之。
赤，脉之至也，喘而坚，诊曰有积气在中，时害于食，名曰心痹。得之外疾，思虑而心虚，故邪从之。
chì, mài zhī zhì yě, chuǎn ér jiān, zhěn yuē yǒu jī qì zài zhōng, shí hài yú shí, míng yuē xīn bì. dé zhī wài jí, sī lǜ ér xīn xū, gù xié cóng zhī.
面色赤，其脉来急疾而坚实，诊为有积气在中脘，时常妨害饮食，名叫心痹。得之于外邪：思虑过度而心气虚弱，所以邪气得以随之而入。
Red: the pulse arrives racing and hard. The reading is that there is accumulated qi in the centre, which from time to time hinders eating. It is called heart obstruction. It is contracted from an outside illness: brooding has emptied the heart, and so the evil follows it in.
41
白，脉之至也，喘而浮，上虚下實，驚。有積氣在胸中，喘而虚，名曰肺痺，寒熱，得之醉而使内也。
白，脉之至也，喘而浮，上虚下实，惊。有积气在胸中，喘而虚，名曰肺痹，寒热，得之醉而使内也。
bái, mài zhī zhì yě, chuǎn ér fú, shàng xū xià shí, jīng. yǒu jī qì zài xiōng zhōng, chuǎn ér xū, míng yuē fèi bì, hán rè, dé zhī zuì ér shǐ nèi yě.
面色白，其脉来急疾而浮，上虚下实，易惊；有积气在胸中，喘息而肺气本虚，名叫肺痹，发寒热，得之于醉后行房。
White: the pulse arrives racing and floating, empty above and full below, with fright. There is accumulated qi in the chest; the breathing is laboured and the qi is empty. It is called lung obstruction, with cold and heat; it is contracted by drunkenness and going in.
42
青，脉之至也，長而左右彈，有積氣在心下支胠，名曰肝痺，得之寒濕，與疝同法，腰痛足清頭痛。
青，脉之至也，长而左右弹，有积气在心下支胠，名曰肝痹，得之寒湿，与疝同法，腰痛足清头痛。
qīng, mài zhī zhì yě, cháng ér zuǒ yòu tán, yǒu jī qì zài xīn xià zhī qū, míng yuē gān bì, dé zhī hán shī, yǔ shàn tóng fǎ, yāo tòng zú qīng tóu tòng.
面色青，其脉来长而左右弹击手指，有积气在心下、支撑着胠胁，名叫肝痹，得之于寒湿，与疝同一治法，症状有腰痛、足冷、头痛。
Green: the pulse arrives long and knocks to left and right. There is accumulated qi below the heart, propping the flank. It is called liver obstruction, contracted from cold damp, and it is treated by the same rule as shan. There is low back pain, cold feet and head pain.
43
黃，脉之至也，大而虚，有積氣在腹中，有厥氣，名曰厥疝，女子同法，得之疾使四支，汗出當風。
黄，脉之至也，大而虚，有积气在腹中，有厥气，名曰厥疝，女子同法，得之疾使四支，汗出当风。
huáng, mài zhī zhì yě, dà ér xū, yǒu jī qì zài fù zhōng, yǒu jué qì, míng yuē jué shàn, nǚ zǐ tóng fǎ, dé zhī jí shǐ sì zhī, hàn chū dāng fēng.
面色黄，其脉来大而虚，有积气在腹中，并有上逆之气，名叫厥疝；女子同理。得之于过度使用四肢、汗出而受风。
Yellow: the pulse arrives large and empty. There is accumulated qi in the belly, and there is reversal qi. It is called reversal shan, and the rule is the same for women. It is contracted by driving the four limbs hard and taking the wind while the sweat is out.
44
黑，脉之至也，上堅而大，有積氣在小腹與陰，名曰腎痺，得之沐浴清水而卧。
黑，脉之至也，上坚而大，有积气在小腹与阴，名曰肾痹，得之沐浴清水而卧。
hēi, mài zhī zhì yě, shàng jiān ér dà, yǒu jī qì zài xiǎo fù yǔ yīn, míng yuē shèn bì, dé zhī mù yù qīng shuǐ ér wò.
面色黑，其脉来尺上坚实而大，有积气在小腹与前阴，名叫肾痹，得之于以冷水沐浴后就睡卧受凉。
Black: the pulse arrives hard and large in the upper part. There is accumulated qi in the lower belly and the genitals. It is called kidney obstruction; it is contracted by bathing in cold water and then lying down.
45
凡相五色之奇脉，面黃目青，面黃目赤，面黃目白，面黃目黑者，皆不死也。
凡相五色之奇脉，面黄目青，面黄目赤，面黄目白，面黄目黑者，皆不死也。
fán xiàng wǔ sè zhī qí mài, miàn huáng mù qīng, miàn huáng mù chì, miàn huáng mù bái, miàn huáng mù hēi zhě, jiē bù sǐ yě.
大凡诊察五色之异常脉：面黄目青、面黄目赤、面黄目白、面黄目黑的，都不至于死——因为面带黄色，土气尚存。
In general, when one reads the unusual pulses of the five colours: a yellow face with green eyes, a yellow face with red eyes, a yellow face with white eyes, a yellow face with black eyes — none of these die. The yellow means the earth qi is still there.
46
面青目赤，面赤目白，面青目黑，面黑目白，面赤目青，皆死也。
面青目赤，面赤目白，面青目黑，面黑目白，面赤目青，皆死也。
miàn qīng mù chì, miàn chì mù bái, miàn qīng mù hēi, miàn hēi mù bái, miàn chì mù qīng, jiē sǐ yě.
面青目赤、面赤目白、面青目黑、面黑目白、面赤目青的，都主死——因为面无黄色，土气已败。
A green face with red eyes, a red face with white eyes, a green face with black eyes, a black face with white eyes, a red face with green eyes — all of these die. There is no yellow left: the earth qi is spent.