1
黄帝問曰：春脉如弦，何如而弦？
黄帝问曰：春脉如弦，何如而弦？
Huáng dì wèn yuē: chūn mài rú xián, hé rú ér xián?
黄帝问道：春天的脉象如同弓弦，怎样才能算是弦脉？
The Yellow Emperor asks: the spring pulse is like a bowstring — what makes it string-like?
2
歧伯對曰：春脉者，肝也。東方木也，萬物之所以始生也。故其氣來，耎弱輕虚而滑，端直以長，故曰弦。反此者病。
歧伯对曰：春脉者，肝也。东方木也，万物之所以始生也。故其气来，软弱轻虚而滑，端直以长，故曰弦。反此者病。
Qí bó duì yuē: chūn mài zhě, gān yě. Dōng fāng mù yě, wàn wù zhī suǒ yǐ shǐ shēng yě. Gù qí qì lái, ruǎn ruò qīng xū ér huá, duān zhí yǐ cháng, gù yuē xián. Fǎn cǐ zhě bìng.
歧伯回答说：春脉属于肝，肝配东方、属木，是万物开始发生的季节。所以脉气来时软弱、轻虚而滑利，端直而长，因此叫做弦。与此相反的就是病脉。
Qibo answers: the spring pulse belongs to the liver, the wood of the east, that by which the myriad things first begin to grow. So the qi arrives soft and yielding, light, empty and slippery, straight and long — hence “string.” Whatever is contrary to this is disease.
3
帝曰：何如而反？歧伯曰：其氣來實而强，此謂太過，病在外；其氣來不實而微，此謂不及，病在中。
帝曰：何如而反？歧伯曰：其气来实而强，此谓太过，病在外；其气来不实而微，此谓不及，病在中。
Dì yuē: hé rú ér fǎn? Qí bó yuē: qí qì lái shí ér qiáng, cǐ wèi tài guò, bìng zài wài; qí qì lái bù shí ér wēi, cǐ wèi bù jí, bìng zài zhōng.
黄帝问：怎样算是相反？歧伯说：脉气来时充实而有力，这叫太过，病在表；脉气来时不充实而微弱，这叫不及，病在里。
“What counts as contrary?” When the qi arrives replete and forceful, this is excess, and the disease is in the exterior. When it arrives not replete but faint, this is deficiency, and the disease is in the interior.
4
帝曰：春脉太過與不及，其病皆何如？歧伯曰：太過則令人善忘，忽忽眩冒而巔疾；其不及，則令人胸痛引背，下則兩脅胠滿。帝曰：善。
帝曰：春脉太过与不及，其病皆何如？歧伯曰：太过则令人善忘，忽忽眩冒而巅疾；其不及，则令人胸痛引背，下则两胁胠满。帝曰：善。
Dì yuē: chūn mài tài guò yǔ bù jí, qí bìng jiē hé rú? Qí bó yuē: tài guò zé lìng rén shàn wàng, hū hū xuàn mào ér diān jí; qí bù jí, zé lìng rén xiōng tòng yǐn bèi, xià zé liǎng xié qū mǎn. Dì yuē: shàn.
黄帝问：春脉太过与不及，病各是怎样的？歧伯说：太过使人健忘，昏昏眩冒而发为巅顶之疾；不及则使人胸痛牵引到背，在下部则两胁胠部胀满。黄帝说：讲得好。
With excess one becomes forgetful, muddled and dizzy, with disease of the crown of the head. With deficiency the chest aches and pulls through to the back, and lower down the two flanks are full.
5
夏脉如鈎，何如而鈎？歧伯曰：夏脉者心也，南方火也，萬物之所以盛長也，故其氣來盛去衰，故曰鈎，反此者病。
夏脉如钩，何如而钩？歧伯曰：夏脉者心也，南方火也，万物之所以盛长也，故其气来盛去衰，故曰钩，反此者病。
Xià mài rú gōu, hé rú ér gōu? Qí bó yuē: xià mài zhě xīn yě, nán fāng huǒ yě, wàn wù zhī suǒ yǐ shèng zhǎng yě, gù qí qì lái shèng qù shuāi, gù yuē gōu, fǎn cǐ zhě bìng.
夏天的脉象像钩，怎样才算钩脉？歧伯说：夏脉属于心，心配南方、属火，是万物盛长的季节；所以脉气来时充盛、去时衰减，因此叫做钩。与此相反的就是病脉。
The summer pulse is like a hook — what makes it hooked? It belongs to the heart, the fire of the south, that by which the myriad things flourish and grow. The qi arrives abundant and departs declining — hence “hook.”
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帝曰：何如而反？歧伯曰：其氣來盛去亦盛，此謂太過，病在外；其氣來不盛，去反盛，此謂不及，病在中。
帝曰：何如而反？歧伯曰：其气来盛去亦盛，此谓太过，病在外；其气来不盛，去反盛，此谓不及，病在中。
Dì yuē: hé rú ér fǎn? Qí bó yuē: qí qì lái shèng qù yì shèng, cǐ wèi tài guò, bìng zài wài; qí qì lái bù shèng, qù fǎn shèng, cǐ wèi bù jí, bìng zài zhōng.
黄帝问：怎样算是相反？歧伯说：脉气来时盛、去时也盛，这叫太过，病在表；脉气来时不盛、去时反而盛，这叫不及，病在里。
Arriving abundant and departing abundant as well is excess, and the disease is in the exterior. Arriving not abundant while the departure is abundant instead is deficiency, and the disease is in the interior.
7
帝曰：夏脉太過與不及，其病皆何如？歧伯曰：太過則令人身熱而膚痛，爲浸淫；其不及則令人煩心，上見欬唾，下爲氣泄。帝曰：善。
帝曰：夏脉太过与不及，其病皆何如？歧伯曰：太过则令人身热而肤痛，为浸淫；其不及则令人烦心，上见欬唾，下为气泄。帝曰：善。
Dì yuē: xià mài tài guò yǔ bù jí, qí bìng jiē hé rú? Qí bó yuē: tài guò zé lìng rén shēn rè ér fū tòng, wéi jìn yín; qí bù jí zé lìng rén fán xīn, shàng xiàn kài tuò, xià wéi qì xiè. Dì yuē: shàn.
黄帝问：夏脉太过与不及，病各是怎样的？歧伯说：太过使人身热、皮肤疼痛，成为浸淫之疮；不及则使人心烦，在上表现为咳嗽吐唾，在下表现为气泄。黄帝说：讲得好。
Excess brings body heat and pain in the skin, becoming a spreading sore. Deficiency brings vexation of the heart, with coughing and spitting above, and leaking of qi below.
8
秋脉如浮，何如而浮？歧伯曰：秋脉者肺也，西方金也，萬物之所以收成也。故其氣來輕虚以浮，來急去散，故曰浮，反此者病。
秋脉如浮，何如而浮？歧伯曰：秋脉者肺也，西方金也，万物之所以收成也。故其气来轻虚以浮，来急去散，故曰浮，反此者病。
Qiū mài rú fú, hé rú ér fú? Qí bó yuē: qiū mài zhě fèi yě, xī fāng jīn yě, wàn wù zhī suǒ yǐ shōu chéng yě. Gù qí qì lái qīng xū yǐ fú, lái jí qù sàn, gù yuē fú, fǎn cǐ zhě bìng.
秋天的脉象像浮，怎样才算浮脉？歧伯说：秋脉属于肺，肺配西方、属金，是万物收成的季节。所以脉气来时轻虚而浮，来得急、去时散，因此叫做浮。与此相反的就是病脉。
The autumn pulse belongs to the lung, the metal of the west, that by which the myriad things are gathered and brought to completion. The qi arrives light and empty, floating; it comes urgently and departs scattering — hence “floating.”
9
帝曰：何如而反？歧伯曰：其氣來，毛而中央堅，兩傍虚，此謂太過，病在外；其氣來，毛而微，此謂不及，病在中。
帝曰：何如而反？歧伯曰：其气来，毛而中央坚，两旁虚，此谓太过，病在外；其气来，毛而微，此谓不及，病在中。
Dì yuē: hé rú ér fǎn? Qí bó yuē: qí qì lái, máo ér zhōng yāng jiān, liǎng bàng xū, cǐ wèi tài guò, bìng zài wài; qí qì lái, máo ér wēi, cǐ wèi bù jí, bìng zài zhōng.
黄帝问：怎样算是相反？歧伯说：脉气来时如毛而中央坚硬、两旁虚软，这叫太过，病在表；脉气来时如毛而微弱，这叫不及，病在里。
Arriving hairy, hard in the centre and empty at both sides, is excess, and the disease is in the exterior. Arriving hairy and faint is deficiency, and the disease is in the interior.
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帝曰：秋脉太過與不及，其病皆何如？歧伯曰：太過則令人逆氣而背痛，愠愠然；其不及，則令人喘，呼吸少氣而欬，上氣見血，下聞病音。
帝曰：秋脉太过与不及，其病皆何如？歧伯曰：太过则令人逆气而背痛，愠愠然；其不及，则令人喘，呼吸少气而欬，上气见血，下闻病音。
Dì yuē: qiū mài tài guò yǔ bù jí, qí bìng jiē hé rú? Qí bó yuē: tài guò zé lìng rén nì qì ér bèi tòng, yùn yùn rán; qí bù jí, zé lìng rén chuǎn, hū xī shǎo qì ér kài, shàng qì xiàn xuè, xià wén bìng yīn.
黄帝问：秋脉太过与不及，病各是怎样的？歧伯说：太过使人气逆而背痛，心中郁郁闷闷；不及则使人气喘，呼吸气短而咳嗽，在上气逆而见血，在下可闻及病变的声响。
Excess brings counterflow qi and pain in the back, with a smouldering, oppressed feeling. Deficiency brings panting — breathing with scant qi and coughing; above, the qi shows blood; below, one hears the sound of the disease.
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帝曰：善。冬脉如營，何如而營？歧伯曰：冬脉者腎也，北方水也，萬物之所以合藏也。故其氣來沈以搏，故曰營。反此者病。
帝曰：善。冬脉如营，何如而营？歧伯曰：冬脉者肾也，北方水也，万物之所以合藏也。故其气来沉以搏，故曰营。反此者病。
Dì yuē: shàn. Dōng mài rú yíng, hé rú ér yíng? Qí bó yuē: dōng mài zhě shèn yě, běi fāng shuǐ yě, wàn wù zhī suǒ yǐ hé cáng yě. Gù qí qì lái chén yǐ bó, gù yuē yíng. Fǎn cǐ zhě bìng.
黄帝说：讲得好。冬天的脉象如同营垒，怎样才算营？歧伯说：冬脉属于肾，肾配北方、属水，是万物闭藏的季节。所以脉气来时沉而搏指，因此叫做营。与此相反的就是病脉。
“Good. The winter pulse is like a camp — what makes it camp-like?” It belongs to the kidney, the water of the north, that by which the myriad things close and store. The qi arrives sunken and beating against the finger — hence “camp.”
12
帝曰：何如而反？歧伯曰：其氣來如彈石者，此謂太過，病在外；其去如數者，此謂不及，病在中。
帝曰：何如而反？歧伯曰：其气来如弹石者，此谓太过，病在外；其去如数者，此谓不及，病在中。
Dì yuē: hé rú ér fǎn? Qí bó yuē: qí qì lái rú tán shí zhě, cǐ wèi tài guò, bìng zài wài; qí qù rú shù zhě, cǐ wèi bù jí, bìng zài zhōng.
黄帝问：怎样算是相反？歧伯说：脉气来时如同弹击石头一般坚硬，这叫太过，病在表；脉去时如同数脉一般急促，这叫不及，病在里。
Arriving like a flicked stone is excess, and the disease is in the exterior. Departing like a rapid count is deficiency, and the disease is in the interior.
13
帝曰：冬脉太過與不及，其病皆何如？歧伯曰：太過，則令人解㑊，脊脉痛，而少氣不欲言；其不及，則令人心懸如病飢，䏚中清，脊中痛，少腹滿，小便變。
帝曰：冬脉太过与不及，其病皆何如？歧伯曰：太过，则令人解㑊，脊脉痛，而少气不欲言；其不及，则令人心悬如病饥，䏚中清，脊中痛，少腹满，小便变。
Dì yuē: dōng mài tài guò yǔ bù jí, qí bìng jiē hé rú? Qí bó yuē: tài guò, zé lìng rén xiè yì, jǐ mài tòng, ér shǎo qì bù yù yán; qí bù jí, zé lìng rén xīn xuán rú bìng jī, miǎo zhōng qīng, jǐ zhōng tòng, shào fù mǎn, xiǎo biàn biàn.
黄帝问：冬脉太过与不及，病各是怎样的？歧伯说：太过使人解㑊，即懈怠无力，脊脉疼痛、气短而不想说话；不及则使人心悬不宁如同饥饿之病，䏚中发凉，脊中疼痛，少腹胀满，小便变色。
Excess brings lassitude, pain along the spinal vessel, and scant qi with no wish to speak. Deficiency leaves the heart hung up as in the illness of hunger, cold in the hollow below the ribs, pain within the spine, fullness of the lower abdomen, and changed urine.
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帝曰：善。帝曰：四時之序，逆從之變異也，然脾脉獨何主？歧伯曰：脾脉者，土也，孤藏以灌四傍者也。
帝曰：善。帝曰：四时之序，逆从之变异也，然脾脉独何主？歧伯曰：脾脉者，土也，孤藏以灌四傍者也。
Dì yuē: shàn. Dì yuē: sì shí zhī xù, nì cóng zhī biàn yì yě, rán pí mài dú hé zhǔ? Qí bó yuē: pí mài zhě, tǔ yě, gū zàng yǐ guàn sì bàng zhě yě.
黄帝说：讲得好。黄帝又问：四时的次序与逆从的变化已经讲明，然而唯独脾脉主什么呢？歧伯说：脾脉属土，是孤藏，用以灌溉四旁的脏腑。
“Good. The order of the four seasons and the variations of following and counterflow are now clear — but what does the spleen pulse alone preside over?” It is earth: the solitary viscus that irrigates the four quarters.
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帝曰：然則脾善惡可得見之乎？歧伯曰：善者不可得見，惡者可見。
帝曰：然则脾善恶可得见之乎？歧伯曰：善者不可得见，恶者可见。
Dì yuē: rán zé pí shàn è kě dé jiàn zhī hū? Qí bó yuē: shàn zhě bù kě dé jiàn, è zhě kě jiàn.
黄帝问：那么脾脉的正常与异常可以从脉上看出来吗？歧伯说：正常的表现不出来，异常的才看得见。
Can the spleen’s good and evil states be seen in the pulse? The good cannot be seen; only the evil can.
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帝曰：惡者何如可見？歧伯曰：其來如水之流者，此謂太過，病在外；如鳥之喙者，此謂不及，病在中。
帝曰：恶者何如可见？歧伯曰：其来如水之流者，此谓太过，病在外；如鸟之喙者，此谓不及，病在中。
Dì yuē: è zhě hé rú kě jiàn? Qí bó yuē: qí lái rú shuǐ zhī liú zhě, cǐ wèi tài guò, bìng zài wài; rú niǎo zhī huì zhě, cǐ wèi bù jí, bìng zài zhōng.
黄帝问：异常的怎样才看得见？歧伯说：脉来如同水流一般散漫，这叫太过，病在表；如同鸟嘴一般尖锐，这叫不及，病在里。
Arriving like flowing water is excess, and the disease is in the exterior. Arriving like a bird’s beak is deficiency, and the disease is in the interior.
17
帝曰：夫子言脾爲孤藏，中央土以灌四傍，其太過與不及，其病皆何如？歧伯曰：太過則令人四支不舉，其不及則令人九竅不通，名曰重強。
帝曰：夫子言脾为孤藏，中央土以灌四傍，其太过与不及，其病皆何如？歧伯曰：太过则令人四支不举，其不及则令人九窍不通，名曰重强。
Dì yuē: fū zǐ yán pí wéi gū zàng, zhōng yāng tǔ yǐ guàn sì bàng, qí tài guò yǔ bù jí, qí bìng jiē hé rú? Qí bó yuē: tài guò zé lìng rén sì zhī bù jǔ, qí bù jí zé lìng rén jiǔ qiào bù tōng, míng yuē chóng qiáng.
黄帝问：先生说脾是孤藏，居中央属土而灌溉四旁，它太过与不及的病各是怎样的？歧伯说：太过使人四肢不能抬举，不及使人九窍不通利，名叫重强。
Excess makes the four limbs unable to lift; deficiency makes the nine orifices fail to communicate. It is called doubled rigidity.
Dì jù rán ér qǐ, zài bài ér qǐ shǒu yuē: shàn. Wú dé mài zhī dà yào, tiān xià zhì shù, wǔ sè mài biàn, kuí duó qí héng, dào zài yú yī. Shén zhuǎn bù huí, huí zé bù zhuǎn, nǎi shī qí jī. Zhì shù zhī yào, pò jìn yǐ wēi, zhù zhī yù bǎn, cáng zhī zàng fǔ, měi dàn dú zhī, míng yuē Yù jī.
黄帝瞿然惊起，再拜叩头说：讲得好。我得到了诊脉的大要：天下的至数、五色与脉象的变化、揆度与奇恒，道理归结为一。神气运转而不回返，回返就不能运转，于是失去其枢机。至数的要领，切近而幽微，写在玉版上，藏在藏府之中，每天早晨诵读它，名叫《玉机》。
The Emperor starts up in alarm, bows twice and touches his head to the ground: “Good. I have the great essentials of the pulse — the ultimate numbers under heaven, the changes of the five colours and the pulse, assessment and the anomalous-constant. The way lies in the one. The spirit turns and does not turn back; if it turns back it no longer turns, and the pivot is lost. The essential of the ultimate numbers is immediate and minute: write it on a jade tablet, store it in the storehouse of the viscera, read it every morning, and call it the Jade Mechanism.”
19
五藏受氣於其所生，傳之於其所勝，氣舍於其所生，死於其所不勝。病之且死，必先傳行至其所不勝，病乃死，此言氣之逆行也，故死。
五藏受气于其所生，传之于其所胜，气舍于其所生，死于其所不胜。病之且死，必先传行至其所不胜，病乃死，此言气之逆行也，故死。
Wǔ zàng shòu qì yú qí suǒ shēng, chuán zhī yú qí suǒ shèng, qì shè yú qí suǒ shēng, sǐ yú qí suǒ bù shèng. Bìng zhī qiě sǐ, bì xiān chuán xíng zhì qí suǒ bù shèng, bìng nǎi sǐ, cǐ yán qì zhī nì xíng yě, gù sǐ.
五藏所受的病气来自它所生的那一藏，传给它所能胜的那一藏，病气留舍在生它的那一藏，死于它所不能胜的那一藏。病将死时，必先传行到它所不能胜的那一藏，病人才死。这是说气逆行，所以会死。
The five viscera receive qi from what generates them, transmit it to what they conquer, lodge qi in what generates them, and die at the hands of what they cannot conquer. When disease is about to kill, it first travels to the quarter the viscus cannot conquer, and then the patient dies. This is qi moving counter to the order — hence death.
20
肝受氣於心，傳之於脾，氣舍於腎，至肺而死。心受氣於脾，傳之於肺，氣舍於肝，至腎而死。脾受氣於肺，傳之於腎，氣舍於心，至肝而死。肺受氣於腎，傳之於肝，氣舍於脾，至心而死。腎受氣於肝，傳之於心，氣舍於肺，至脾而死。此皆逆死也。一日一夜五分之，此所以占死生之早暮也。
肝受气于心，传之于脾，气舍于肾，至肺而死。心受气于脾，传之于肺，气舍于肝，至肾而死。脾受气于肺，传之于肾，气舍于心，至肝而死。肺受气于肾，传之于肝，气舍于脾，至心而死。肾受气于肝，传之于心，气舍于肺，至脾而死。此皆逆死也。一日一夜五分之，此所以占死生之早暮也。
Gān shòu qì yú xīn, chuán zhī yú pí, qì shè yú shèn, zhì fèi ér sǐ. Xīn shòu qì yú pí, chuán zhī yú fèi, qì shè yú gān, zhì shèn ér sǐ. Pí shòu qì yú fèi, chuán zhī yú shèn, qì shè yú xīn, zhì gān ér sǐ. Fèi shòu qì yú shèn, chuán zhī yú gān, qì shè yú pí, zhì xīn ér sǐ. Shèn shòu qì yú gān, chuán zhī yú xīn, qì shè yú fèi, zhì pí ér sǐ. Cǐ jiē nì sǐ yě. Yī rì yī yè wǔ fēn zhī, cǐ suǒ yǐ zhān sǐ shēng zhī zǎo mù yě.
肝受病气于心，传给脾，气留舍于肾，传到肺而死。心受病气于脾，传给肺，气留舍于肝，传到肾而死。脾受病气于肺，传给肾，气留舍于心，传到肝而死。肺受病气于肾，传给肝，气留舍于脾，传到心而死。肾受病气于肝，传给心，气留舍于肺，传到脾而死。这些都是逆行而死。把一昼夜分为五等分，就是用来推测死生早晚的。
The liver receives qi from the heart, transmits to the spleen, lodges qi in the kidney, and dies on reaching the lung. The heart receives from the spleen, transmits to the lung, lodges in the liver, and dies at the kidney. The spleen receives from the lung, transmits to the kidney, lodges in the heart, and dies at the liver. The lung receives from the kidney, transmits to the liver, lodges in the spleen, and dies at the heart. The kidney receives from the liver, transmits to the heart, lodges in the lung, and dies at the spleen. All these are deaths by counterflow. Dividing one day and one night into fifths is how the hour of death is reckoned.
21
黄帝曰：五藏相通，移皆有次，五藏有病，則各傳其所勝。不治，法三月若六月，若三日若六日，傳五藏而當死。是順傳所勝之次。
黄帝曰：五藏相通，移皆有次，五藏有病，则各传其所胜。不治，法三月若六月，若三日若六日，传五藏而当死。是顺传所胜之次。
Huáng dì yuē: wǔ zàng xiāng tōng, yí jiē yǒu cì, wǔ zàng yǒu bìng, zé gè chuán qí suǒ shèng. Bù zhì, fǎ sān yuè ruò liù yuè, ruò sān rì ruò liù rì, chuán wǔ zàng ér dāng sǐ. Shì shùn chuán suǒ shèng zhī cì.
黄帝说：五藏相互贯通，传变都有其次序；五藏有病，就各自传给它所能胜的那一藏。若不治，按法度或三个月、或六个月，或三天、或六天，传遍五藏就当死。这是顺着所胜的次序传变。
The five viscera communicate with one another and their shifts all have an order; when one is diseased it transmits to what it conquers. Left untreated, by rule in three months or six, in three days or six, it passes through all five viscera and death is due. This is transmission following the conquest order.
22
故曰：别於陽者，知病從來；别於陰者，知死生之期，言知至其所困而死。
故曰：别于阳者，知病从来；别于阴者，知死生之期，言知至其所困而死。
Gù yuē: bié yú yáng zhě, zhī bìng cóng lái; bié yú yīn zhě, zhī sǐ shēng zhī qī, yán zhī zhì qí suǒ kùn ér sǐ.
所以说：能辨别阳分的，就知道病从哪里来；能辨别阴分的，就知道死生的日期，即知道病传至它所困窘的那一藏而死。
Thus: he who distinguishes the yang knows whence the disease came; he who distinguishes the yin knows the term of life and death — that is, he knows it will die on reaching the quarter where it is cornered.
23
是故風者，百病之長也。今風寒客於人，使人毫毛畢直，皮膚閉而爲熱，當是之時，可汗而發也；或痺不仁腫痛，當是之時，可湯熨及火灸剌而去之。
是故风者，百病之长也。今风寒客于人，使人毫毛毕直，皮肤闭而为热，当是之时，可汗而发也；或痹不仁肿痛，当是之时，可汤熨及火灸剌而去之。
Shì gù fēng zhě, bǎi bìng zhī zhǎng yě. Jīn fēng hán kè yú rén, shǐ rén háo máo bì zhí, pí fū bì ér wéi rè, dāng shì zhī shí, kě hàn ér fā yě; huò bì bù rén zhǒng tòng, dāng shì zhī shí, kě tāng yùn jí huǒ jiǔ cì ér qù zhī.
所以风是百病之首。如今风寒侵入人体，使人毫毛全都竖起，皮肤闭郁而发热，在这个时候，可以用发汗的方法发散它；或者出现痺证麻木不仁、肿痛，在这个时候，可以用汤熨以及火灸、针刺去祛除它。
Therefore wind is the chief of the hundred diseases. When wind-cold lodges in a person it makes the fine body hair stand straight and the skin close so that heat develops; at that point it can be sweated out and dispersed. Or there is impediment, numbness, swelling and pain, and at that point it can be removed by hot compresses, fire cautery and needling.
24
弗治，病入舍於肺，名曰肺痺，發欬上氣。
弗治，病入舍于肺，名曰肺痹，发欬上气。
Fú zhì, bìng rù shè yú fèi, míng yuē fèi bì, fā kài shàng qì.
若不治，病气留舍于肺，名叫肺痺，发作咳嗽、气上逆。
Left untreated, the disease enters and lodges in the lung; it is called lung impediment, and brings on coughing and upward-rushing qi.
25
弗治，肺即傳而行之肝，病名曰肝痺，一名曰厥，脅痛出食，當是之時，可按若刺耳。
弗治，肺即传而行之肝，病名曰肝痹，一名曰厥，胁痛出食，当是之时，可按若刺耳。
Fú zhì, fèi jí chuán ér xíng zhī gān, bìng míng yuē gān bì, yī míng yuē jué, xié tòng chū shí, dāng shì zhī shí, kě àn ruò cì ěr.
再不治，肺就把病传给肝，病名叫肝痺，又叫厥，胁痛而呕吐食物，在这个时候，可以用按摩或针刺。
Left untreated, the lung transmits the disease on to the liver; it is called liver impediment, also named reversal. There is pain in the flanks and the bringing up of food; at that point one may press, or needle.
26
弗治，肝傳之脾，病名曰脾風，發癉，腹中熱，煩心出黄，當此之時，可按、可藥、可浴。
弗治，肝传之脾，病名曰脾风，发瘅，腹中热，烦心出黄，当此之时，可按、可药、可浴。
Fú zhì, gān chuán zhī pí, bìng míng yuē pí fēng, fā dān, fù zhōng rè, fán xīn chū huáng, dāng cǐ zhī shí, kě àn, kě yào, kě yù.
再不治，肝传之于脾，病名叫脾风，发作癉热，腹中发热，心中烦躁而小便发黄，在这个时候，可以按摩、可以服药、可以洗浴。
Left untreated, the liver transmits it to the spleen; it is called spleen wind. It erupts as heat, there is heat in the abdomen, vexation of the heart and discharge of yellow. At that point one may press, may give medicine, may bathe.
27
弗治，脾傳之腎，病名曰疝瘕，少腹冤熱而痛，出白，一名曰蠱，當此之時，可按、可藥。
弗治，脾传之肾，病名曰疝瘕，少腹冤热而痛，出白，一名曰蛊，当此之时，可按、可药。
Fú zhì, pí chuán zhī shèn, bìng míng yuē shàn jiǎ, shào fù yuān rè ér tòng, chū bái, yī míng yuē gǔ, dāng cǐ zhī shí, kě àn, kě yào.
再不治，脾传之于肾，病名叫疝瘕，少腹郁热而疼痛，小便白浊，又叫蛊，在这个时候，可以按摩、可以服药。
Left untreated, the spleen transmits it to the kidney; it is called mounting and conglomeration. The lower abdomen is smouldering hot and painful, and there is a white discharge; it is also called gu. At that point one may press and may give medicine.
28
弗治，腎傳之心，病筋脉相引而急，病名曰瘛，當此之時，可灸、可藥。弗治，滿十日，法當死。腎因傳之心，心即復反傳而行之肺，發寒熱，法當三歲死。此病之次也。
弗治，肾传之心，病筋脉相引而急，病名曰瘛，当此之时，可灸、可药。弗治，满十日，法当死。肾因传之心，心即复反传而行之肺，发寒热，法当三岁死。此病之次也。
Fú zhì, shèn chuán zhī xīn, bìng jīn mài xiāng yǐn ér jí, bìng míng yuē chì, dāng cǐ zhī shí, kě jiǔ, kě yào. Fú zhì, mǎn shí rì, fǎ dāng sǐ. Shèn yīn chuán zhī xīn, xīn jí fù fǎn chuán ér xíng zhī fèi, fā hán rè, fǎ dāng sān suì sǐ. Cǐ bìng zhī cì yě.
再不治，肾传之于心，筋脉相互牵引而拘急，病名叫瘛，在这个时候，可以灸、可以服药。再不治，满十天，按法度当死。肾传病于心，心又反过来传行到肺，发作寒热，按法度三年当死。这就是病的传变次序。
Left untreated, the kidney transmits it to the heart; the sinews and vessels pull against one another and tighten. It is called tetany; at that point one may cauter and may give medicine. Left untreated, at the full ten days death is due by rule. The kidney thus transmits to the heart, and the heart turns back and transmits to the lung, with cold and heat developing — by rule death is due in three years. Such is the order of the disease.
29
然其卒發者，不必治於傳，或其傳化有不以次，不以次入者。憂恐悲喜怒，令不得以其次，故令人有大病矣。
然其卒发者，不必治于传，或其传化有不以次，不以次入者。忧恐悲喜怒，令不得以其次，故令人有大病矣。
Rán qí cù fā zhě, bù bì zhì yú chuán, huò qí chuán huà yǒu bù yǐ cì, bù yǐ cì rù zhě. Yōu kǒng bēi xǐ nù, lìng bù dé yǐ qí cì, gù lìng rén yǒu dà bìng yǐ.
然而那些突然发作的病，不必按传变的次序来治；有的传化不按次序，是不按次序侵入的。忧、恐、悲、喜、怒，使病不能依照次序传变，所以使人发生大病。
But what erupts suddenly need not be treated by the order of transmission; some transmutations do not follow the sequence, entering out of order. Grief, fear, sorrow, joy and anger prevent it from keeping its order, and so bring on great disease.
Yīn ér xǐ dà xū zé shèn qì chéng yǐ, nù zé gān qì chéng yǐ, bēi zé fèi qì chéng yǐ, kǒng zé pí qì chéng yǐ, yōu zé xīn qì chéng yǐ, cǐ qí dào yě. Gù bìng yǒu wǔ, wǔ wǔ èr shí wǔ biàn, jí qí chuán huà. Chuán chéng zhī míng yě.
因而过喜而心气大虚，肾气就乘虚而犯；大怒则肝气乘犯；过悲则肺气乘犯；过恐则脾气乘犯；过忧则心气乘犯。这就是它的规律。所以病有五类，五五相乘得二十五种变化，及其传化。这就是传与乘的名称。
Thus great joy leaves a great emptiness and the kidney qi encroaches; anger lets the liver qi encroach; sorrow lets the lung qi encroach; fear lets the spleen qi encroach; anxiety lets the heart qi encroach. Such is its way. So there are five diseases, and five times five — twenty-five variations, through their transmission and transformation. These are the names of transmission and encroachment.
Dà gǔ kū gǎo, dà ròu xiàn xià, xiōng zhōng qì mǎn, chuǎn xī bù biàn, qí qì dòng xíng, qī liù yuè sǐ. Zhēn zàng mài xiàn, nǎi yǔ zhī qī rì.
大骨枯槁，大肉陷下，胸中气满，喘息不利，气一动就牵动形体，预期六个月死。真藏脉出现，才能给他定下死期。
When the great bones are withered and the great flesh fallen in, the chest full of qi, breathing laboured and the body stirred by each breath, death is expected in six months; when the true visceral pulse appears, a date can be given.
32
大骨枯槁，大肉陷下，胸中氣滿，喘息不便，内痛引肩項，期一月死。真藏見，乃予之期日。
大骨枯槁，大肉陷下，胸中气满，喘息不便，内痛引肩项，期一月死。真藏见，乃予之期日。
Dà gǔ kū gǎo, dà ròu xiàn xià, xiōng zhōng qì mǎn, chuǎn xī bù biàn, nèi tòng yǐn jiān xiàng, qī yī yuè sǐ. Zhēn zàng xiàn, nǎi yǔ zhī qī rì.
大骨枯槁，大肉陷下，胸中气满，喘息不利，内部疼痛牵引肩项，预期一个月死。真藏脉出现，才能给他定下死期。
With the same wasting, and pain inside pulling to the shoulder and nape, death is expected in one month; when the true visceral pulse appears, a date can be given.
33
大骨枯槁，大肉陷下，胸中氣滿，喘息不便，内痛引肩項，身熱，脱肉破䐃，真藏見，十月之内死。
大骨枯槁，大肉陷下，胸中气满，喘息不便，内痛引肩项，身热，脱肉破䐃，真藏见，十月之内死。
Dà gǔ kū gǎo, dà ròu xiàn xià, xiōng zhōng qì mǎn, chuǎn xī bù biàn, nèi tòng yǐn jiān xiàng, shēn rè, tuō ròu pò jùn, zhēn zàng xiàn, shí yuè zhī nèi sǐ.
大骨枯槁，大肉陷下，胸中气满，喘息不利，内部疼痛牵引肩项，身体发热，肌肉消脱、䐃肉破败，真藏脉出现，十个月之内死。
With the same wasting, pain pulling to shoulder and nape, body heat, the flesh falling away and the muscle masses broken down, when the true visceral pulse appears death comes within ten months.
Dà gǔ kū gǎo, dà ròu xiàn xià, jiān suǐ nèi xiāo, dòng zuò yì shuāi, zhēn zàng lái xiàn, qī yī suì sǐ. Jiàn qí zhēn zàng, nǎi yǔ zhī qī rì.
大骨枯槁，大肉陷下，肩髓内消，动作更加衰弱，真藏脉出现，预期一年死。见到真藏脉，就能给他定下死期。
With the same wasting, the marrow at the shoulder melting inward and movement failing further, when the true visceral pulse comes into view death is expected within a year; seeing the true pulse, a date can be given.
35
大骨枯槁，大肉陷下，胸中氣滿，腹内痛，心中不便，肩項身熱，破䐃脱肉，目匡陷，真藏見，目不見人，立死。其見人者，至其所不勝之時則死。
大骨枯槁，大肉陷下，胸中气满，腹内痛，心中不便，肩项身热，破䐃脱肉，目匡陷，真藏见，目不见人，立死。其见人者，至其所不胜之时则死。
Dà gǔ kū gǎo, dà ròu xiàn xià, xiōng zhōng qì mǎn, fù nèi tòng, xīn zhōng bù biàn, jiān xiàng shēn rè, pò jùn tuō ròu, mù kuāng xiàn, zhēn zàng xiàn, mù bù jiàn rén, lì sǐ. Qí jiàn rén zhě, zhì qí suǒ bù shèng zhī shí zé sǐ.
大骨枯槁，大肉陷下，胸中气满，腹内疼痛，心中不适，肩项及身体发热，䐃肉破败、肌肉消脱，眼眶凹陷，真藏脉出现，眼睛已看不见人，立即死亡。还能看见人的，到它所不能胜的时日就会死。
With the same wasting, pain inside the abdomen, unease in the heart, heat in the shoulder, nape and body, the muscle masses broken and flesh gone, the eye sockets sunken — when the true visceral pulse appears and the eyes no longer recognise anyone, death is immediate. If he still recognises people, he dies at the hour of the quarter he cannot conquer.
36
急虚，身中卒至，五藏絶閉，脉道不通，氣不往來，譬於墮溺，不可爲期。其脉絶不來，若人一息五六至，其形肉不脱。真藏雖不見，猶死也。
急虚，身中卒至，五藏绝闭，脉道不通，气不往来，譬于堕溺，不可为期。其脉绝不来，若人一息五六至，其形肉不脱。真藏虽不见，犹死也。
Jí xū, shēn zhòng cù zhì, wǔ zàng jué bì, mài dào bù tōng, qì bù wǎng lái, pì yú duò nì, bù kě wéi qī. Qí mài jué bù lái, ruò rén yī xī wǔ liù zhì, qí xíng ròu bù tuō. Zhēn zàng suī bù xiàn, yóu sǐ yě.
突然虚脱，为外邪猝然中于身，五藏气绝而闭，脉道不通，气不往来，如同坠落溺水一般，无法预定死期。其脉断绝不来，或一息之间脉动五六至，形体肌肉尚未消脱，真藏脉虽未出现，也还是要死的。
In sudden emptiness, striking the body abruptly, the five viscera are cut off and shut, the pulse vessels do not communicate, qi does not come and go — it is like falling or drowning, and no term can be set. The pulse may cease and not come, or beat five or six times to one breath while the flesh has not yet wasted; even if the true visceral pulse is not seen, death still follows.
37
真肝脉至，中外急，如循刀刃責責然，如按琴瑟弦，色青白不澤。毛折乃死。
真肝脉至，中外急，如循刀刃责责然，如按琴瑟弦，色青白不泽。毛折乃死。
Zhēn gān mài zhì, zhōng wài jí, rú xún dāo rèn zé zé rán, rú àn qín sè xián, sè qīng bái bù zé. Máo zhé nǎi sǐ.
真肝脉来时，浮取沉取都紧急，如同摸刀刃一般责责然锋利，如同按琴瑟的弦，面色青白而不润泽。毫毛枯折时就死。
The true liver pulse arrives tight inside and out, like running the finger along a blade, sharp and hard, like pressing the string of a zither. The complexion is green-white without lustre. When the body hair breaks, death follows.
38
真心脉至，堅而搏，如循薏苡子累累然，色赤黑不澤。毛折乃死。
真心脉至，坚而搏，如循薏苡子累累然，色赤黑不泽。毛折乃死。
Zhēn xīn mài zhì, jiān ér bó, rú xún yì yǐ zǐ lěi lěi rán, sè chì hēi bù zé. Máo zhé nǎi sǐ.
真心脉来时，坚硬而搏指，如同摸着一串串薏苡子，面色赤黑而不润泽。毫毛枯折时就死。
The true heart pulse arrives hard and beating, like running the finger over a string of coix seeds. The complexion is red-black without lustre. When the body hair breaks, death follows.
39
真肺脉至，大而虚，如以毛羽，中人膚，色白赤，不澤，毛折乃死。
真肺脉至，大而虚，如以毛羽，中人肤，色白赤，不泽，毛折乃死。
Zhēn fèi mài zhì, dà ér xū, rú yǐ máo yǔ, zhòng rén fū, sè bái chì, bù zé, máo zhé nǎi sǐ.
真肺脉来时，大而空虚，如同用羽毛轻触人的皮肤，面色白中带赤而枯槁不润。毫毛枯折时就死。
The true lung pulse arrives large and empty, like a feather touching a person’s skin. The complexion is white and red, without lustre. When the body hair breaks, death follows.
40
真腎脉至，搏而絶，如指彈石，辟辟然，色黑黄不澤，毛折乃死。
真肾脉至，搏而绝，如指弹石，辟辟然，色黑黄不泽，毛折乃死。
Zhēn shèn mài zhì, bó ér jué, rú zhǐ tán shí, bì bì rán, sè hēi huáng bù zé, máo zhé nǎi sǐ.
真肾脉来时，搏指而断绝不续，如同用手指弹击石头，辟辟然急促，面色黑中带黄而枯槁不润。毫毛枯折时就死。
The true kidney pulse arrives beating and cut short, like flicking a stone with the finger, sharp and abrupt. The complexion is black-yellow without lustre. When the body hair breaks, death follows.
41
真脾脉至，弱而乍數乍疏，色黄青不澤，毛折，乃死。諸真藏脉見者，皆死不治也。
真脾脉至，弱而乍数乍疏，色黄青不泽，毛折，乃死。诸真藏脉见者，皆死不治也。
Zhēn pí mài zhì, ruò ér zhà shuò zhà shū, sè huáng qīng bù zé, máo zhé, nǎi sǐ. Zhū zhēn zàng mài xiàn zhě, jiē sǐ bù zhì yě.
真脾脉来时，虚弱而忽快忽慢，面色黄中带青而枯槁不润。毫毛枯折时就死。凡是真藏脉出现的，都属不治之死证。
The true spleen pulse arrives weak, now rapid and now sparse. The complexion is yellow-green without lustre. When the body hair breaks, death follows. All in whom the true visceral pulses appear die and cannot be treated.
42
黄帝曰：見真藏曰死，何也？
黄帝曰：见真藏曰死，何也？
Huáng dì yuē: jiàn zhēn zàng yuē sǐ, hé yě?
黄帝问：见到真藏脉就说会死，这是为什么？
The Yellow Emperor asks: why is it said that seeing the true viscera means death?
43
歧伯曰：五藏者，皆禀氣於胃，胃者，五藏之本也。藏氣者，不能自致於手太陰，必因於胃氣，乃至於手太陰也。故五藏各以其時，自爲而至於手太陰也。故邪氣勝者，精氣衰也。故病甚者，胃氣不能與之俱至於手太陰。故真藏之氣獨見。獨見者，病勝藏也，故曰死。帝曰：善。
歧伯曰：五藏者，皆禀气于胃，胃者，五藏之本也。藏气者，不能自致于手太阴，必因于胃气，乃至于手太阴也。故五藏各以其时，自为而至于手太阴也。故邪气胜者，精气衰也。故病甚者，胃气不能与之俱至于手太阴。故真藏之气独见。独见者，病胜藏也，故曰死。帝曰：善。
Qí bó yuē: wǔ zàng zhě, jiē bǐng qì yú wèi, wèi zhě, wǔ zàng zhī běn yě. Zàng qì zhě, bù néng zì zhì yú shǒu tài yīn, bì yīn yú wèi qì, nǎi zhì yú shǒu tài yīn yě. Gù wǔ zàng gè yǐ qí shí, zì wéi ér zhì yú shǒu tài yīn yě. Gù xié qì shèng zhě, jīng qì shuāi yě. Gù bìng shèn zhě, wèi qì bù néng yǔ zhī jù zhì yú shǒu tài yīn. Gù zhēn zàng zhī qì dú xiàn. Dú xiàn zhě, bìng shèng zàng yě, gù yuē sǐ. Dì yuē: shàn.
歧伯说：五藏都承受胃的气，胃是五藏的根本。藏气不能自行到达手太阴脉口，必须借助胃气，才能到达手太阴。所以五藏各在其当旺的时令，自行其气而到达手太阴。所以邪气亢胜的，精气就衰。所以病重的，胃气不能与藏气一同到达手太阴，于是真藏之气独见于脉口。独见，是病气胜过藏气，所以说会死。黄帝说：讲得好。
Qibo answers: the five viscera all receive their qi from the stomach; the stomach is the root of the five viscera. The qi of a viscus cannot reach the hand taiyin by itself — it must go by way of stomach qi before it arrives there. Thus each viscus, in its own season, reaches the hand taiyin by its own act. When evil qi prevails, the essential qi declines. In severe disease the stomach qi cannot travel with it to the hand taiyin, and so the qi of the true viscus appears alone. Appearing alone means the disease has overcome the viscus — hence death. “Good,” says the Emperor.
44
黄帝曰：凡治病，察其形氣色澤，脉之盛衰，病之新故，乃治之，無後其時。
黄帝曰：凡治病，察其形气色泽，脉之盛衰，病之新故，乃治之，无后其时。
Huáng dì yuē: fán zhì bìng, chá qí xíng qì sè zé, mài zhī shèng shuāi, bìng zhī xīn gù, nǎi zhì zhī, wú hòu qí shí.
黄帝说：凡是治病，要观察病人的形体与气、色泽，脉象的盛衰，病的新久，然后才治疗，不要错过了时机。
In treating any disease, examine the form and the qi, the colour and its lustre, the abundance or decline of the pulse, whether the illness is new or longstanding — and then treat. Do not come late to the hour.
45
形氣相得，謂之可治，色澤以浮，謂之易已，脉從四時，謂之可治。脉弱以滑，是有胃氣，命曰易治，取之以時。
形气相得，谓之可治，色泽以浮，谓之易已，脉从四时，谓之可治。脉弱以滑，是有胃气，命曰易治，取之以时。
Xíng qì xiāng dé, wèi zhī kě zhì, sè zé yǐ fú, wèi zhī yì yǐ, mài cóng sì shí, wèi zhī kě zhì. Mài ruò yǐ huá, shì yǒu wèi qì, mìng yuē yì zhì, qǔ zhī yǐ shí.
形体与气相称，叫做可治；色泽润泽而浮显，叫做容易痊愈；脉象顺应四时，叫做可治。脉来弱而滑利，是有胃气，叫做容易治，要把握时机施治。
When form and qi match, it can be treated. When the colour is lustrous and floating, it will readily resolve. When the pulse follows the four seasons, it can be treated. A pulse that is yielding yet slippery has stomach qi, and is called easy to treat — take it while the season allows.
46
形氣相失。謂之難治；色夭不澤，謂之難已。脉實以堅。謂之益甚。脉逆四時，爲不可治。必察四難而明告之。
形气相失。谓之难治；色夭不泽，谓之难已。脉实以坚。谓之益甚。脉逆四时，为不可治。必察四难而明告之。
Xíng qì xiāng shī. Wèi zhī nán zhì; sè yǎo bù zé, wèi zhī nán yǐ. Mài shí yǐ jiān. Wèi zhī yì shèn. Mài nì sì shí, wéi bù kě zhì. Bì chá sì nán ér míng gào zhī.
形体与气不相称，叫做难治；面色枯夭而不润泽，叫做难以痊愈。脉实而坚，叫做病情加重。脉象违逆四时，为不可治。必须察明这四种难治之证而明白地告知病人。
When form and qi are at odds, it is hard to treat. A withered colour without lustre will hardly resolve. A pulse replete and hard means the disease grows worse. A pulse going against the four seasons cannot be treated. One must assess these four difficulties and state them plainly.
47
所謂逆四時者，春得肺脉，夏得腎脉，秋得心脉，冬得脾脉，其至皆懸絶沈濇者，命曰逆四時未有藏形，於春夏而脉沈濇，秋冬而脉浮大，名曰逆四時也。
所谓逆四时者，春得肺脉，夏得肾脉，秋得心脉，冬得脾脉，其至皆悬绝沉涩者，命曰逆四时未有藏形，于春夏而脉沉涩，秋冬而脉浮大，名曰逆四时也。
Suǒ wèi nì sì shí zhě, chūn dé fèi mài, xià dé shèn mài, qiū dé xīn mài, dōng dé pí mài, qí zhì jiē xuán jué chén sè zhě, mìng yuē nì sì shí wèi yǒu zàng xíng, yú chūn xià ér mài chén sè, qiū dōng ér mài fú dà, míng yuē nì sì shí yě.
所谓违逆四时的，是春天见肺脉，夏天见肾脉，秋天见心脉，冬天见脾脉；其脉来都悬绝而沉涩的，叫做逆四时。若没有本藏的脉形，在春夏而脉见沉涩，在秋冬而脉见浮大，也叫做逆四时。
Going against the four seasons means getting a lung pulse in spring, a kidney pulse in summer, a heart pulse in autumn, a spleen pulse in winter — and their arrival all hanging, cut off, sunken and rough. When the seasonal form of the viscus is absent — sunken and rough in spring and summer, floating and large in autumn and winter — this too is named going against the four seasons.
48
病熱脉靜，泄而脉大，脱血而脉實，病在中脉實堅，病在外脉不實堅者，皆難治。
病热脉静，泄而脉大，脱血而脉实，病在中脉实坚，病在外脉不实坚者，皆难治。
Bìng rè mài jìng, xiè ér mài dà, tuō xuè ér mài shí, bìng zài zhōng mài shí jiān, bìng zài wài mài bù shí jiān zhě, jiē nán zhì.
发热病而脉反安静，泄泻而脉反大，失血而脉反实，病在里而脉实坚，病在表而脉不实坚的，都难治。
Heat disease with a calm pulse; diarrhoea with a large pulse; loss of blood with a replete pulse; disease in the interior with a replete hard pulse; disease in the exterior with a pulse that is not replete and hard — all are difficult to treat.
49
黄帝曰：余聞虚實，以決死生，願聞其情。歧伯曰：五實死，五虚死。
黄帝曰：余闻虚实，以决死生，愿闻其情。歧伯曰：五实死，五虚死。
Huáng dì yuē: yú wén xū shí, yǐ jué sǐ shēng, yuàn wén qí qíng. Qí bó yuē: wǔ shí sǐ, wǔ xū sǐ.
黄帝说：我听说凭虚实可以决断死生，希望听听其中的详情。歧伯说：有五种实证会死，五种虚证会死。
“I have heard that emptiness and repletion decide life and death — I wish to hear the particulars.” There are five repletions that kill, and five emptinesses that kill.
50
帝曰：願聞五實五虚。歧伯曰：脉盛，皮熱，腹脹，前後不通，悶瞀，此謂五實；脉細，皮寒，氣少，泄利前後，飲食不入，此謂五虚。
帝曰：愿闻五实五虚。歧伯曰：脉盛，皮热，腹胀，前后不通，闷瞀，此谓五实；脉细，皮寒，气少，泄利前后，饮食不入，此谓五虚。
Dì yuē: yuàn wén wǔ shí wǔ xū. Qí bó yuē: mài shèng, pí rè, fù zhàng, qián hòu bù tōng, mèn mào, cǐ wèi wǔ shí; mài xì, pí hán, qì shǎo, xiè lì qián hòu, yǐn shí bù rù, cǐ wèi wǔ xū.
黄帝说：希望听听五实五虚。歧伯说：脉盛，皮肤发热，腹胀，大小便不通，胸闷而目眩昏乱，这叫五实；脉细，皮肤发冷，气少，大小便泄利，饮食不能进，这叫五虚。
A surging pulse, hot skin, swollen abdomen, no passage front or back, oppression and dimmed vision — these are the five repletions. A fine pulse, cold skin, scant qi, draining and discharge front and back, food and drink not entering — these are the five emptinesses.
51
帝曰：其時有生者，何也？歧伯曰：漿粥入胃，泄注止，則虚者活；身汗得後利，則實者活。此其候也。
帝曰：其时有生者，何也？歧伯曰：浆粥入胃，泄注止，则虚者活；身汗得后利，则实者活。此其候也。
Dì yuē: qí shí yǒu shēng zhě, hé yě? Qí bó yuē: jiāng zhōu rù wèi, xiè zhù zhǐ, zé xū zhě huó; shēn hàn dé hòu lì, zé shí zhě huó. Cǐ qí hòu yě.
黄帝问：有的到这种时候还能活下来，是为什么呢？歧伯说：浆粥能入胃，泄泻停止，那么虚证的人就能活；身体出汗而大便通利，那么实证的人就能活。这就是它的征候。
“Yet some survive at this point — why?” If gruel enters the stomach and the draining stops, the empty one lives. If the body sweats and the bowels move, the replete one lives. These are the signs.