1
黄帝問曰：人之居處，動靜、勇怯，脉亦爲之變乎？
黄帝问曰：人之居处，动静、勇怯，脉亦为之变乎？
Huáng dì wèn yuē: rén zhī jū chǔ, dòng jìng, yǒng qiè, mài yì wèi zhī biàn hū?
黄帝问道：人的居处环境、或动或静、或勇或怯，脉象也会随之改变吗？
The Emperor asks: Does a person’s dwelling, movement and stillness, courage and timidity, change the pulse as well?
2
歧伯對曰：凡人之驚恐、恚勞、動靜，皆爲變也。
歧伯对曰：凡人之惊恐、恚劳、动静，皆为变也。
Qí bó duì yuē: fán rén zhī jīng kǒng, huì láo, dòng jìng, jiē wéi biàn yě.
歧伯回答说：大凡人的惊骇恐惧、忿恨劳倦、或动或静，都会使脉发生变化。
Qibo replies: In all persons, fright and fear, resentment and exertion, movement and stillness — all of these bring change.
3
是以夜行則喘出於腎，淫氣病肺；有所墮恐，喘出於肝，淫氣害脾；有所驚恐，喘出於肺，淫氣傷心；度水跌仆，喘出於腎與骨。
是以夜行则喘出于肾，淫气病肺；有所堕恐，喘出于肝，淫气害脾；有所惊恐，喘出于肺，淫气伤心；度水跌仆，喘出于肾与骨。
Shì yǐ yè xíng zé chuǎn chū yú shèn, yín qì bìng fèi; yǒu suǒ duò kǒng, chuǎn chū yú gān, yín qì hài pí; yǒu suǒ jīng kǒng, chuǎn chū yú fèi, yín qì shāng xīn; dù shuǐ diē pū, chuǎn chū yú shèn yǔ gǔ.
所以夜行劳肾，喘出于肾，其淫溢之气反病于肺；有所堕坠恐惧，喘出于肝，淫气害脾；有所惊恐，喘出于肺，淫气伤心；渡水而跌仆，喘出于肾与骨。
Thus walking by night makes panting issue from the kidney, and its overflowing qi sickens the lung; where there has been a fall and fright, panting issues from the liver and the overflowing qi harms the spleen; where there has been terror, panting issues from the lung and the overflowing qi injures the heart; crossing water and stumbling makes panting issue from the kidney and the bone.
4
當是之時，勇者氣行則已，怯者則着而爲病也。
当是之时，勇者气行则已，怯者则着而为病也。
Dāng shì zhī shí, yǒng zhě qì xíng zé yǐ, qiè zhě zé zhuó ér wéi bìng yě.
当此之时，勇者气畅行即止，怯者则气留着不去，于是成病。
At such a time, in the brave the qi moves on and there is an end of it; in the timid it lodges and becomes disease.
5
故曰：診病之道，觀人勇怯，骨肉皮膚，能知其情，以爲診法也。
故曰：诊病之道，观人勇怯，骨肉皮肤，能知其情，以为诊法也。
Gù yuē: zhěn bìng zhī dào, guān rén yǒng qiè, gǔ ròu pí fū, néng zhī qí qíng, yǐ wéi zhěn fǎ yě.
所以说：诊病的法则，要观察人的勇怯、骨肉皮肤的盛衰，能知其情状，以此作为诊法。
Hence it is said: the way of examining illness is to observe a person’s courage or timidity and the condition of bone, flesh and skin; to be able to know the condition of things is the method of diagnosis.
6
故飲食飽甚，汗出於胃。驚而奪精，汗出於心。持重遠行，汗出於腎。疾走恐懼，汗出於肝。摇體勞苦，汗出於脾。
故饮食饱甚，汗出于胃。惊而夺精，汗出于心。持重远行，汗出于肾。疾走恐惧，汗出于肝。摇体劳苦，汗出于脾。
Gù yǐn shí bǎo shèn, hàn chū yú wèi. Jīng ér duó jīng, hàn chū yú xīn. Chí zhòng yuǎn xíng, hàn chū yú shèn. Jí zǒu kǒng jù, hàn chū yú gān. Yáo tǐ láo kǔ, hàn chū yú pí.
所以饮食过饱，汗出于胃；猝惊而夺其精，汗出于心；持重物远行，汗出于肾；疾走而恐惧，汗出于肝；肢体摇动而劳苦，汗出于脾。
Thus when food and drink are taken to excess, the sweat comes from the stomach; when fright seizes the essence, the sweat comes from the heart; bearing a heavy load on a long road, the sweat comes from the kidney; running in fear, the sweat comes from the liver; toiling with the body in labour, the sweat comes from the spleen.
7
故春秋冬夏，四時陰陽，生病起於過用，此爲常也。
故春秋冬夏，四时阴阳，生病起于过用，此为常也。
Gù chūn qiū dōng xià, sì shí yīn yáng, shēng bìng qǐ yú guò yòng, cǐ wéi cháng yě.
所以春夏秋冬、四时阴阳的病变，都起于用之过度，这是一定的常理。
Thus in spring, autumn, winter and summer, with the yin and yang of the four seasons, the arising of illness comes from use beyond measure; this is the constant rule.
Shí qì rù wèi, sàn jīng yú gān, yín qì yú jīn.
食物的气入胃，布散其精微于肝，肝复浸淫其气于筋。
Food qi enters the stomach and disperses essence to the liver, which soaks the sinews with its qi.
Shí qì rù wèi, zhuó qì guī xīn, yín jīng yú mài. Mài qì liú jīng, jīng qì guī yú fèi, fèi cháo bǎi mài, shū jīng yú pí máo.
食气入胃，其厚浊者归于心，心复浸淫其精于脉。脉气流注于经，经气归于肺，肺为百脉朝会之处，输布精气于皮毛。
Food qi enters the stomach; the turbid qi returns to the heart, which steeps essence into the vessels. Vessel qi flows through the channels, channel qi returns to the lung; the lung is courted by the hundred vessels and conveys essence to skin and hair.
Máo mài hé jīng, xíng qì yú fǔ. Fǔ jīng shén míng, liú yú sì zàng, qì guī yú quán héng. Quán héng yǐ píng, qì kǒu chéng cùn, yǐ jué sǐ shēng.
皮毛与脉之精气相合，行其气于府。府中所藏精气神明，留驻于四脏，气则归于权衡。权衡得其平，气口成寸之地于是可凭以决断死生。
Hair and vessels unite their essence and move qi into the storehouse; the spirit brightness of the storehouse lodges in the four viscera, and the qi returns to the steelyard. When the steelyard is level, the qi mouth forms the inch, by which death and life are decided.
11
飲入於胃，遊溢精氣，上輸於脾。脾氣散精，上歸於肺，通調水道，下輸膀胱。水精四布，五經並行，合於四時，五臓陰陽，揆度以爲常也。
饮入于胃，游溢精气，上输于脾。脾气散精，上归于肺，通调水道，下输膀胱。水精四布，五经并行，合于四时，五脏阴阳，揆度以为常也。
Yǐn rù yú wèi, yóu yì jīng qì, shàng shū yú pí. Pí qì sàn jīng, shàng guī yú fèi, tōng tiáo shuǐ dào, xià shū páng guāng. Shuǐ jīng sì bù, wǔ jīng bìng xíng, hé yú sì shí, wǔ zàng yīn yáng, kuí duó yǐ wéi cháng yě.
水饮入胃，游行溢散而为精气，上输送于脾。脾气布散精微，上归于肺，肺通调水道，下行输注于膀胱。水精四布于身，与五经并行，合于四时五脏阴阳之变，以此揆度作为常法。
Drink enters the stomach, wanders and overflows as essence qi and is conveyed upward to the spleen. Spleen qi disperses essence, which returns upward to the lung; the lung regulates the waterways and sends it down to the bladder. The water essence spreads out in all directions, running level with the five channels, harmonising with the four seasons and the yin and yang of the five viscera — this measure is taken as the norm.
12
太陽藏獨至，厥喘虚氣逆，是陰不足，陽有餘也。表裏當俱寫，取之下俞。
太阳脏独至，厥喘虚气逆，是阴不足，阳有余也。表里当俱写，取之下俞。
Tài yáng zàng dú zhì, jué chuǎn xū qì nì, shì yīn bù zú, yáng yǒu yú yě. Biǎo lǐ dāng jù xiè, qǔ zhī xià shù.
太阳经脏之气独至，厥逆发喘、虚气上逆，这是阴不足而阳有余。表里都当泻之，取下部的俞穴。
When the greater yang viscus arrives alone, there is counterflow panting and empty qi rebellious upward: yin is insufficient and yang in excess. Both the exterior and the interior should be drained; take the lower transport points.
13
陽明藏獨至，是陽氣重并也。當寫陽補陰，取之下俞。
阳明脏独至，是阳气重并也。当写阳补阴，取之下俞。
Yáng míng zàng dú zhì, shì yáng qì chóng bìng yě. Dāng xiè yáng bǔ yīn, qǔ zhī xià shù.
阳明经脏之气独至，这是阳气重复相并。当泻阳补阴，取下部的俞穴。
When the yang brilliance viscus arrives alone, this is yang qi doubled upon itself. Drain the yang and supplement the yin; take the lower transport points.
Shào yáng zàng dú zhì, shì jué qì yě. Qiāo qián cù dà, qǔ zhī xià shù. Shào yáng dú zhì zhě, yī yáng zhī guò yě.
少阳经脏之气独至，这是厥逆之气。阳蹻之前猝然大盛者，取下部的俞穴。少阳独至，是一阳之气太过。
When the lesser yang viscus arrives alone, this is counterflow qi. If the region before the heel vessel swells suddenly, take the lower transport points. For the lesser yang arriving alone: it is the excess of the one yang.
15
太陰藏搏者，用心省真。五脉氣少，胃氣不平，三陰也。宜治其下俞，補陽冩陰。
太阴脏搏者，用心省真。五脉气少，胃气不平，三阴也。宜治其下俞，补阳写阴。
Tài yīn zàng bó zhě, yòng xīn xǐng zhēn. Wǔ mài qì shǎo, wèi qì bù píng, sān yīn yě. Yí zhì qí xià shù, bǔ yáng xiè yīn.
太阴经脏之脉搏指者，当用心省察真脏之气。五脉气少而胃气不平，这是三阴之病。宜治其下俞，补阳泻阴。
Where the greater yin viscus beats hard: apply the mind and examine the true. The five vessels having scant qi and stomach qi being unlevelled is the three yin. Treat its lower transport points, supplementing yang and draining yin.
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一陽獨嘯，少陽厥也。陽并於上，四脉爭張，氣歸於腎。宜治其經絡，冩陽補陰。
一阳独啸，少阳厥也。阳并于上，四脉争张，气归于肾。宜治其经络，写阳补阴。
Yī yáng dú xiào, shào yáng jué yě. Yáng bìng yú shàng, sì mài zhēng zhāng, qì guī yú shèn. Yí zhì qí jīng luò, xiè yáng bǔ yīn.
一阳之气独啸，是少阳厥逆。阳气并于上，四脉争引而张，其气下归于肾。宜治其经络，泻阳补阴。
The one yang whistling alone is lesser yang counterflow. Yang gathers above, the four vessels contend and stretch, and the qi returns to the kidney. Treat its channels and networks, draining yang and supplementing yin.
17
一陰至，厥陰之治也。真虚㾓心，厥氣留薄，發爲白汗，調食和藥，治在下俞。
一阴至，厥阴之治也。真虚㾓心，厥气留薄，发为白汗，调食和药，治在下俞。
Yī yīn zhì, jué yīn zhī zhì yě. Zhēn xū yuān xīn, jué qì liú bó, fā wéi bái hàn, tiáo shí hé yào, zhì zài xià shù.
一阴之气至，是厥阴当令主治。真气内虚而心中酸痛，厥气留聚迫于内，发为白汗；此时宜调和饮食与药物，治在下部的俞穴。
The one yin arriving is the governance of the reverting yin. With true emptiness the heart aches; counterflow qi lodges and presses, giving rise to white sweat. Regulate the food and harmonise the medicine; treat at the lower transport points.
18
帝曰：太陽藏何象？歧伯曰：象三陽而浮也。
帝曰：太阳脏何象？歧伯曰：象三阳而浮也。
Dì yuē: tài yáng zàng hé xiàng? Qí bó yuē: xiàng sān yáng ér fú yě.
黄帝问：太阳经脏之脉呈现何象？歧伯说：其脉象三阳，来时见浮。
The Emperor says: What picture does the greater yang viscus give? Qibo says: It images the three yang and is floating.
19
帝曰：少陽藏何象？歧伯曰：象一陽也。一陽藏者，滑而不實也。
帝曰：少阳脏何象？歧伯曰：象一阳也。一阳脏者，滑而不实也。
Dì yuē: shào yáng zàng hé xiàng? Qí bó yuē: xiàng yī yáng yě. Yī yáng zàng zhě, huá ér bù shí yě.
黄帝问：少阳经脏之脉呈现何象？歧伯说：其脉象一阳。一阳之脏，脉来滑而不实。
The Emperor says: What picture does the lesser yang viscus give? Qibo says: It images the one yang. The one yang viscus is slippery and not replete.
20
帝曰：陽明藏何象？歧伯曰：象大浮也。太陰藏搏，言伏鼓也；二陰搏至，腎沈不浮也。
帝曰：阳明脏何象？歧伯曰：象大浮也。太阴脏搏，言伏鼓也；二阴搏至，肾沉不浮也。
Dì yuē: yáng míng zàng hé xiàng? Qí bó yuē: xiàng dà fú yě. Tài yīn zàng bó, yán fú gǔ yě; èr yīn bó zhì, shèn chén bù fú yě.
黄帝问：阳明经脏之脉呈现何象？歧伯说：其脉象大而浮。太阴脏脉搏指，说的是脉伏而鼓；二阴搏指而至，则是肾脉沉而不浮。
The Emperor says: What picture does the yang brilliance viscus give? Qibo says: It images largeness and floating. That the greater yin viscus beats means hidden yet drumming; when the two yin arrive beating, the kidney pulse is sunken and not floating.