1
陰陽大論云：“春氣温和，夏氣暑熱，秋氣清凉，冬氣冷冽，此則四時正氣之序也。”
阴阳大论云：“春气温和，夏气暑热，秋气清凉，冬气冷冽，此则四时正气之序也。”
yīn yáng dà lùn yún chūn qì wēn hé xià qì shǔ rè qiū qì qīng liáng dōng qì lěng liè cǐ zé sì shí zhèng qì zhī xù yě
古書《陰陽大論》説：春天氣候温暖，夏天氣候暑熱，秋天氣候清涼，冬天氣候冷冽，這就是四時正氣本來的次序。
The Yin Yang Da Lun says: in spring the weather is mild, in summer hot, in autumn cool, in winter cold and sharp — such is the order of the proper qi of the four seasons.
2
冬時嚴寒，萬類深藏，君子固密，則不傷於寒，觸冒之者，乃名“傷寒”耳。
冬时严寒，万类深藏，君子固密，则不伤于寒，触冒之者，乃名“伤寒”耳。 dōng shí yán hán wàn lèi shēn cáng jūn zǐ gù mì zé bù shāng yú hán chù mào zhī zhě nǎi míng shāng hán ěr
冬天氣候嚴寒，萬物都深藏起來，善於養生的人固守周密，就不會被寒氣所傷；若是觸犯冒受寒邪，這就叫作傷寒。
In winter the cold is severe and all things hide deep. The wise man keeps himself enclosed, and so is not hurt by the cold; he who braves and offends it has what is called cold damage.
3
其傷於四時之氣，皆能爲病。以傷寒爲毒者，以其最成殺厲之氣也。中而即病者，名曰“傷寒”；不即病者，寒毒藏於肌膚，至春變爲温病，至夏變爲暑病。暑病者，熱極重於温也。
其伤于四时之气，皆能为病。以伤寒为毒者，以其最成杀厉之气也。中而即病者，名曰“伤寒”；不即病者，寒毒藏于肌肤，至春变为温病，至夏变为暑病。暑病者，热极重于温也。 qí shāng yú sì shí zhī qì jiē néng wéi bìng yǐ shāng hán wéi dú zhě yǐ qí zuì chéng shā lì zhī qì yě zhòng ér jí bìng zhě míng yuē shāng hán bù jí bìng zhě hán dú cáng yú jī fū zhì chūn biàn wéi wēn bìng zhì xià biàn wéi shǔ bìng shǔ bìng zhě rè jí zhòng yú wēn yě
傷於四時之氣，都能致病。傷寒之所以稱毒，是因為它最成殺厲之氣。感受之後立刻發病的，名叫傷寒；沒有立刻發病的，寒毒藏在肌膚之間，到春天變成温病，到夏天變成暑病。暑病，是熱到極點、比温病更重的一種。
Injury by the qi of the four seasons can all cause illness. Cold damage is called a poison because it most becomes a killing and harsh qi. One who is struck and falls ill at once has what is named cold damage; one who does not fall ill at once has the cold poison stored in the flesh and skin, and in spring it turns to warm disease, in summer to summer-heat disease. Summer-heat disease is the extreme of heat, heavier than warm disease.
4
内經曰：“先夏至日爲温病，後夏至日爲暑病。”是以辛苦之人，春夏多温熱病，皆由冬時觸寒所致，非時行之氣也。
内经曰：“先夏至日为温病，后夏至日为暑病。”是以辛苦之人，春夏多温热病，皆由冬时触寒所致，非时行之气也。 nèi jīng yuē xiān xià zhì rì wéi wēn bìng hòu xià zhì rì wéi shǔ bìng shì yǐ xīn kǔ zhī rén chūn xià duō wēn rè bìng jiē yóu dōng shí chù hán suǒ zhì fēi shí xíng zhī qì yě
内經説：夏至以前發生的叫温病，夏至以後發生的叫暑病。温病暑病，本來都是傷於寒而得，所以太醫一併稱作傷寒。因此勞苦的人，春夏多患温熱病，都是冬天觸冒寒邪所致，不是時行之氣。
The Inner Canon says: before the summer solstice it is warm disease, after it summer-heat disease. Warm and summer-heat disease both come from injury by cold, and so the imperial physicians group them under cold damage. Hence toiling men suffer warm-heat disease in spring and summer; it all comes of braving the cold in winter, and is not seasonal epidemic qi.
5
凡時行者，春時應暖，而復大寒；夏時應大熱，而反大凉；秋時應凉，而反大熱；冬時應寒，而反大温。此非其時而有其氣。是以一歲之中，長幼之病多相似者，此則時行之氣也。
凡时行者，春时应暖，而复大寒；夏时应大热，而反大凉；秋时应凉，而反大热；冬时应寒，而反大温。此非其时而有其气。是以一岁之中，长幼之病多相似者，此则时行之气也。
fán shí xíng zhě chūn shí yīng nuǎn ér fù dà hán xià shí yīng dà rè ér fǎn dà liáng qiū shí yīng liáng ér fǎn dà rè dōng shí yīng hán ér fǎn dà wēn cǐ fēi qí shí ér yǒu qí qì shì yǐ yī suì zhī zhōng zhǎng yòu zhī bìng duō xiāng sì zhě cǐ zé shí xíng zhī qì yě
時行，是春天本該温暖却忽然大寒，夏天本該大熱却反而大凉，秋天本該凉却反而大熱，冬天本該寒却反而大温。這是不該有的時令却出現了那樣的氣。所以一年之中，老幼所患的病大多相似，這就是時行之氣。
Seasonal epidemic means that spring, which should be warm, turns bitterly cold again; summer, which should be hot, turns cool; autumn, which should be cool, turns hot; winter, which should be cold, turns warm. This is qi arriving out of its season. Hence within one year the illnesses of old and young are much alike — this is seasonal epidemic qi.
6
夫欲候知四時正氣爲病，及時行疫氣之法，皆當按斗曆占之。
夫欲候知四时正气为病，及时行疫气之法，皆当按斗历占之。
fú yù hòu zhī sì shí zhèng qì wéi bìng jí shí xíng yì qì zhī fǎ jiē dāng àn dǒu lì zhān zhī
要想候知四時正氣致病、以及時行疫氣的法度，都該按斗曆推算。
To know how the proper qi of the four seasons causes illness, and the method of seasonal epidemic qi, one must reckon by the Dipper calendar.
7
冬寒、春温、夏熱、秋凉，爲“四時之正氣”也。
冬寒、春温、夏热、秋凉，为“四时之正气”也。
dōng hán chūn wēn xià rè qiū liáng wéi sì shí zhī zhèng qì yě
冬寒、春温、夏熱、秋凉，是四時的正氣。
Cold in winter, warmth in spring, heat in summer, coolness in autumn — these are the proper qi of the four seasons.
8
從霜降以後，至春分以前，凡有觸冒霜露，體中寒即病者，謂之“傷寒”也。
从霜降以后，至春分以前，凡有触冒霜露，体中寒即病者，谓之“伤寒”也。 cóng shuāng jiàng yǐ hòu zhì chūn fēn yǐ qián fán yǒu chù mào shuāng lù tǐ zhòng hán jí bìng zhě wèi zhī shāng hán yě
從霜降以後到春分以前，凡觸冒霜露、身體中了寒氣立刻發病的，叫作傷寒。
From the descent of frost to the spring equinox, whoever braves the frost and dew and falls ill at once from cold in the body has what is called cold damage.
9
其冬有非節之暖者，名曰“冬温”。冬温之毒，與傷寒大異。冬温復有先後，更相重沓，亦有輕重，爲治不同，證如後章。
其冬有非节之暖者，名曰“冬温”。冬温之毒，与伤寒大异。冬温复有先后，更相重沓，亦有轻重，为治不同，证如后章。 qí dōng yǒu fēi jié zhī nuǎn zhě míng yuē dōng wēn dōng wēn zhī dú yǔ shāng hán dà yì dōng wēn fù yǒu xiān hòu gēng xiāng chóng tà yì yǒu qīng zhòng wéi zhì bù tóng zhèng rú hòu zhāng
冬天有不合節令的温暖，名叫冬温。冬温之毒，與傷寒大不相同。冬温也有先後，彼此重沓，也有輕重，治法不同，證候見於後章。
When winter has a warmth out of season it is named winter warmth. The poison of winter warmth differs greatly from cold damage. Winter warmth also comes earlier and later, piling one on another, and has its light and heavy cases; the treatment differs, and the signs are given in a later chapter.
10
從立春節後，其中無暴大寒，又不冰雪，而有人壯熱爲病者，此屬春時陽氣，發於冬時伏寒，變爲温病。從春分以後，至秋分節前，天有暴寒者，皆爲時行寒疫也。三月、四月，或有暴寒，其時陽氣尚弱，爲寒所折，病熱猶輕；五月、六月，陽氣已盛，爲寒所折，病熱則重；七月、八月，陽氣已衰，爲寒所折，病熱亦微。其病與温及暑病相似，但治有殊耳。
从立春节后，其中无暴大寒，又不冰雪，而有人壮热为病者，此属春时阳气，发于冬时伏寒，变为温病。从春分以后，至秋分节前，天有暴寒者，皆为时行寒疫也。三月、四月，或有暴寒，其时阳气尚弱，为寒所折，病热犹轻；五月、六月，阳气已盛，为寒所折，病热则重；七月、八月，阳气已衰，为寒所折，病热亦微。其病与温及暑病相似，但治有殊耳。 cóng lì chūn jié hòu qí zhōng wú bào dà hán yòu bù bīng xuě ér yǒu rén zhuàng rè wéi bìng zhě cǐ shǔ chūn shí yáng qì fā yú dōng shí fú hán biàn wéi wēn bìng cóng chūn fēn yǐ hòu zhì qiū fēn jié qián tiān yǒu bào hán zhě jiē wéi shí xíng hán yì yě sān yuè sì yuè huò yǒu bào hán qí shí yáng qì shàng ruò wéi hán suǒ zhé bìng rè yóu qīng wǔ yuè liù yuè yáng qì yǐ shèng wéi hán suǒ zhé bìng rè zé zhòng qī yuè bā yuè yáng qì yǐ shuāi wéi hán suǒ zhé bìng rè yì wēi qí bìng yǔ wēn jí shǔ bìng xiāng sì dàn zhì yǒu shū ěr
立春以後，没有暴寒、也不冰雪，却有人壯熱生病，這是春天的陽氣，發作出冬天的伏寒，變成温病。從春分以後到秋分以前，天有暴寒的，都是時行寒疫。三四月間或有暴寒，那時陽氣還弱，被寒所折，病熱還輕；五六月陽氣已盛，被寒所折，病熱就重；七八月陽氣已衰，被寒所折，病熱也微。這種病與温病暑病相似，只是治法有别。
After the beginning of spring, if there is no violent cold and no ice or snow, yet men fall ill with violent heat, this belongs to the spring yang qi rousing the hidden cold of winter and turning it into warm disease. From the spring equinox to the autumn equinox, violent cold from heaven is always seasonal cold epidemic. In the third and fourth months cold may come when the yang qi is still weak; checked by it, the heat of the illness stays light. In the fifth and sixth months the yang qi is already full; checked by cold, the heat is heavy. In the seventh and eighth months the yang qi has already declined; checked by cold, the heat is slight. The illness resembles warm and summer-heat disease, but its treatment is distinct.
11
十五日得一氣，於四時之中，一時有六氣，四六名爲二十四氣也。
十五日得一气，于四时之中，一时有六气，四六名为二十四气也。
shí wǔ rì dé yī qì yú sì shí zhī zhōng yī shí yǒu liù qì sì liù míng wéi èr shí sì qì yě
十五日得一氣，四時之中，一時有六氣，四六就是二十四氣。
Every fifteen days brings one qi; within the four seasons one season holds six qi, and four sixes make the twenty-four qi.
12
但天地動静，陰陽鼓擊者，各正一氣耳。
但天地动静，阴阳鼓击者，各正一气耳。
dàn tiān dì dòng jìng yīn yáng gǔ jī zhě gè zhèng yī qì ěr
天地有動静，陰陽鼓擊而生，各自正當一氣。
Heaven and earth have their movement and stillness; yin and yang strike and drum, and each qi comes into its own.
13
是以彼春之曖，爲夏之暑；彼秋之忿，爲冬之怒。是故冬至之後，一陽爻升，一陰爻降也；夏至之後，一陽氣下，一陰氣上也。
是以彼春之暧，为夏之暑；彼秋之忿，为冬之怒。是故冬至之后，一阳爻升，一阴爻降也；夏至之后，一阳气下，一阴气上也。
shì yǐ bǐ chūn zhī ài wéi xià zhī shǔ bǐ qiū zhī fèn wéi dōng zhī nù shì gù dōng zhì zhī hòu yī yáng yáo shēng yī yīn yáo jiàng yě xià zhì zhī hòu yī yáng qì xià yī yīn qì shàng yě
所以春天的温暖，成爲夏天的暑熱；秋天的忿厲，成爲冬天的嚴寒。因此冬至以後，一陽爻升、一陰爻降；夏至以後，一陽氣下、一陰氣上。
Thus the warmth of spring becomes the heat of summer, and the anger of autumn becomes the severity of winter. Therefore after the winter solstice one yang line rises and one yin line falls; after the summer solstice one yang qi descends and one yin qi ascends.
14
斯則冬夏二至，陰陽合也。春秋二分，陰陽離也。
斯则冬夏二至，阴阳合也。春秋二分，阴阳离也。
sī zé dōng xià èr zhì yīn yáng hé yě chūn qiū èr fēn yīn yáng lí yě
這就是冬夏二至陰陽相合、春秋二分陰陽相離。
So at the two solstices yin and yang join, and at the two equinoxes yin and yang part.
15
陰陽交易，人變病焉。
阴阳交易，人变病焉。
yīn yáng jiāo yì rén biàn bìng yān
陰陽交易，人就生病。
When yin and yang exchange places, man falls ill.
16
此君子春夏養陽，秋冬養陰，順天地之剛柔也。
此君子春夏养阳，秋冬养阴，顺天地之刚柔也。
cǐ jūn zǐ chūn xià yǎng yáng qiū dōng yǎng yīn shùn tiān dì zhī gāng róu yě
所以君子春夏養陽、秋冬養陰，順從天地的剛柔。
Therefore the noble man nourishes yang in spring and summer, and yin in autumn and winter, following the hardness and softness of heaven and earth.
17
是以春傷於風，夏必飱泄；夏傷於暑，秋必病瘧；秋傷於濕，冬必咳嗽；冬傷於寒，春必病温。此必然之道，可不審明之？
是以春伤于风，夏必飧泄；夏伤于暑，秋必病疟；秋伤于湿，冬必咳嗽；冬伤于寒，春必病温。此必然之道，可不审明之？
shì yǐ chūn shāng yú fēng xià bì sūn xiè xià shāng yú shǔ qiū bì bìng nüè qiū shāng yú shī dōng bì ké sòu dōng shāng yú hán chūn bì bìng wēn cǐ bì rán zhī dào kě bù shěn míng zhī
春天傷於風，夏天必患飱泄；夏天傷於暑，秋天必患瘧疾；秋天傷於濕，冬天必患咳嗽；冬天傷於寒，春天必患温病。這是必然的道理，能不審明嗎？
Injured by wind in spring, one must have diarrhea in summer; injured by summer heat, one must have malaria in autumn; injured by damp in autumn, one must cough in winter; injured by cold in winter, one must have warm disease in spring. This is the necessary way — can one fail to examine it clearly?
18
傷寒之病，逐日淺深，以施方治。内經曰：“未滿三日者，可汗而已；其滿三日者，可泄而已。”
伤寒之病，逐日浅深，以施方治。内经曰：“未满三日者，可汗而已；其满三日者，可泄而已。” shāng hán zhī bìng zhú rì qiǎn shēn yǐ shī fāng zhì nèi jīng yuē wèi mǎn sān rì zhě kě hàn ér yǐ qí mǎn sān rì zhě kě xiè ér yǐ
傷寒之病，逐日淺深，要按日數施方。内經説：不滿三日的，可汗而解；滿三日的，可泄而愈。
Cold damage runs shallow or deep day by day, and the prescription follows the count of days. The Inner Canon says: within three days one may sweat it out; beyond three days one may purge it out.
19
今世人傷寒，或始不早治，或治不對病，或日數久淹，困乃告醫，醫人又不依次第而治之，則不中病。皆宜臨時消息制方，無不效也。今搜採仲景舊論，録其證候、診脉、聲色，對病真方，有神驗者，擬防世急也。
今世人伤寒，或始不早治，或治不对病，或日数久淹，困乃告医，医人又不依次第而治之，则不中病。皆宜临时消息制方，无不效也。今搜采仲景旧论，录其证候、诊脉、声色，对病真方，有神验者，拟防世急也。 jīn shì rén shāng hán huò shǐ bù zǎo zhì huò zhì bù duì bìng huò rì shù jiǔ yān kùn nǎi gào yī yī rén yòu bù yī cì dì ér zhì zhī zé bù zhòng bìng jiē yí lín shí xiāo xī zhì fāng wú bù xiào yě jīn sōu cǎi zhòng jǐng jiù lùn lù qí zhèng hòu zhěn mài shēng sè duì bìng zhēn fāng yǒu shén yàn zhě nǐ fáng shì jí yě
如今世人患傷寒，有的起初不早治，有的治不對病，有的遷延日久，困頓了才求醫，醫人又不依次第而治，所以不中病。都該臨時消息制方，没有不效的。如今搜採仲景舊論，録其證候、診脉、聲色、對病真方、有神驗的，以備世急。
Men of today who take cold damage sometimes do not treat it early, sometimes treat it wrongly, sometimes let many days pass and only call the physician when they are exhausted; and the physician does not treat in due order, so the treatment misses the illness. All should weigh the case and frame the prescription on the spot, and none would fail. Now I have gathered Zhang Zhongjing’s old discussions, recording the signs, the pulse, the voice and complexion, and the true prescriptions matched to the illness that have shown divine effect, to meet the urgent needs of the world.
20
又土地温凉，高下不同，物性剛柔，飡居亦異，是黃帝興四方之問，岐伯舉四治之能，以訓後賢，開其未悟者。臨病之工，宜須兩審也。
又土地温凉，高下不同，物性刚柔，餐居亦异，是黄帝兴四方之问，岐伯举四治之能，以训后贤，开其未悟者。临病之工，宜须两审也。
yòu tǔ dì wēn liáng gāo xià bù tóng wù xìng gāng róu cān jū yì yì shì huáng dì xīng sì fāng zhī wèn qí bó jǔ sì zhì zhī néng yǐ xùn hòu xián kāi qí wèi wù zhě lín bìng zhī gōng yí xū liǎng shěn yě
又土地温凉、高下不同，物性剛柔、飲食起居也不同，所以黃帝發四方之問，岐伯舉四治之能，以訓後賢、開其未悟。臨病之工，該兩方面都審察。
Again, the land is warm or cool, high or low, and the nature of things hard or soft, their food and dwelling also differ. Therefore the Yellow Emperor raised the questions of the four quarters, and Qi Bo set out the powers of the four treatments, to instruct later worthies and open what they had not awakened to. The physician at the sickbed must examine both.
21
凡傷於寒，則爲病熱，熱雖甚不死。
凡伤于寒，则为病热，热虽甚不死。
fán shāng yú hán zé wéi bìng rè rè suī shèn bù sǐ
凡傷於寒，就變成熱病，熱雖極重也死不了。
Whoever suffers cold injury turns to heat disease; however severe the heat, he does not die.
22
若兩感於寒而病者，必死。
若两感于寒而病者，必死。 ruò liǎng gǎn yú hán ér bìng zhě bì sǐ
若是兩感於寒而發病的，必死。
Where cold strikes both channels at once and illness follows, death is certain.
23
尺寸俱浮者，太陽受病也，當一二日發，以其脉上連風府，故頭項痛，腰脊強。
尺寸俱浮者，太阳受病也，当一二日发，以其脉上连风府，故头项痛，腰脊强。 chǐ cùn jù fú zhě tài yáng shòu bìng yě dāng yī èr rì fā yǐ qí mài shàng lián fēng fǔ gù tóu xiàng tòng yāo jǐ qiáng
尺寸都浮的，是太陽受病，當一二日發作，因為太陽的脉上連風府，所以頭項痛、腰脊強。
When both inch and cubit are floating, the greater yang is diseased; it shows on the first or second day. Its vessel joins the Wind Palace above, and so the head and neck ache and the lower back and spine are stiff.
24
尺寸俱長者，陽明受病也，當二三日發，以其脉俠鼻，絡於目，故身熱、目疼、鼻乾，不得卧。
尺寸俱长者，阳明受病也，当二三日发，以其脉侠鼻，络于目，故身热、目疼、鼻干，不得卧。 chǐ cùn jù cháng zhě yáng míng shòu bìng yě dāng èr sān rì fā yǐ qí mài xiá bí luò yú mù gù shēn rè mù téng bí gān bù dé wò
尺寸都長的，是陽明受病，當二三日發作，因為陽明的脉俠鼻、絡於目，所以身熱、目疼、鼻乾、不能安卧。
When both inch and cubit are long, the yang brightness is diseased; it shows on the second or third day. Its vessel runs beside the nose and nets the eye, and so there is body heat, eye pain, dry nose, and inability to lie down.
25
尺寸俱弦者，少陽受病也。當三四日發，以其脉循脅絡於耳，故胸脅痛而耳聾。
尺寸俱弦者，少阳受病也。当三四日发，以其脉循胁络于耳，故胸胁痛而耳聋。 chǐ cùn jù xián zhě shào yáng shòu bìng yě dāng sān sì rì fā yǐ qí mài xún xié luò yú ěr gù xiōng xié tòng ér ěr lóng
尺寸都弦的，是少陽受病，當三四日發作，因為少陽的脉循脅、絡於耳，所以胸脅痛而耳聾。
When both inch and cubit are wiry, the lesser yang is diseased; it shows on the third or fourth day. Its vessel runs along the flank and nets the ear, and so the chest and flank ache and the ear is deaf.
26
此三經皆受病，未入於府者，可汗而已。
此三经皆受病，未入于府者，可汗而已。
cǐ sān jīng jiē shòu bìng wèi rù yú fǔ zhě kě hàn ér yǐ
這三經都受了病，邪還沒入府，發汗就能解。
When these three channels are all diseased and the evil has not yet entered the bowels, sweating will end it.
27
尺寸俱沉細者，太陰受病也。當四五日發，以其脉布胃中，絡於嗌，故腹滿而嗌乾。
尺寸俱沉细者，太阴受病也。当四五日发，以其脉布胃中，络于嗌，故腹满而嗌干。 chǐ cùn jù chén xì zhě tài yīn shòu bìng yě dāng sì wǔ rì fā yǐ qí mài bù wèi zhōng luò yú yì gù fù mǎn ér yì gān
尺寸都沉細的，是太陰受病，當四五日發作，因為太陰的脉布於胃中、絡於咽嗌，所以腹滿而咽乾。
When both inch and cubit are deep and fine, the greater yin is diseased; it shows on the fourth or fifth day. Its vessel spreads through the stomach and nets the throat, and so the belly is full and the throat dry.
28
尺寸俱沉者，少陰受病也。當五六日發，以其脉貫腎，絡於肺，繫舌本，故口燥舌乾而渴。
尺寸俱沉者，少阴受病也。当五六日发，以其脉贯肾，络于肺，系舌本，故口燥舌干而渴。 chǐ cùn jù chén zhě shào yīn shòu bìng yě dāng wǔ liù rì fā yǐ qí mài guàn shèn luò yú fèi xì shé běn gù kǒu zào shé gān ér kě
尺寸都沉的，是少陰受病，當五六日發作，因為少陰的脉貫腎、絡肺、繫舌本，所以口燥舌乾而渴。
When both inch and cubit are deep, the lesser yin is diseased; it shows on the fifth or sixth day. Its vessel threads the kidney, nets the lung, and ties the root of the tongue, and so the mouth is dry, the tongue parched, and there is thirst.
29
尺寸俱微緩者，厥陰受病也。當六七日發，以其脉循陰器，絡於肝，故煩滿而囊縮。
尺寸俱微缓者，厥阴受病也。当六七日发，以其脉循阴器，络于肝，故烦满而囊缩。 chǐ cùn jù wēi huǎn zhě jué yīn shòu bìng yě dāng liù qī rì fā yǐ qí mài xún yīn qì luò yú gān gù fán mǎn ér náng suō
尺寸都微緩的，是厥陰受病，當六七日發作，因為厥陰的脉循陰器、絡於肝，所以煩滿而陰囊收縮。
When both inch and cubit are faint and slack, the terminal yin is diseased; it shows on the sixth or seventh day. Its vessel goes round the genitals and nets the liver, and so there is restlessness with fullness and the scrotum draws up.
30
此三經皆受病，已入於府，可下而已。
此三经皆受病，已入于府，可下而已。
cǐ sān jīng jiē shòu bìng yǐ rù yú fǔ kě xià ér yǐ
這三經都受了病，邪已入府，攻下就能解。
When these three channels are all diseased and the evil has entered the bowels, purging will end it.
31
若兩感於寒者，一日太陽受之，即與少陰俱病，則頭痛口乾，煩滿而渴；二日陽明受之，即與太陰俱病，則腹滿身熱、不欲食、讝語；三日少陽受之，即與厥陰俱病，則耳聾囊縮而厥，水漿不入，不知人者，六日死。若三陰三陽、五藏六府皆受病，則榮衛不行，府藏不通，則死矣。
若两感于寒者，一日太阳受之，即与少阴俱病，则头痛口干，烦满而渴；二日阳明受之，即与太阴俱病，则腹满身热、不欲食、谵语；三日少阳受之，即与厥阴俱病，则耳聋囊缩而厥，水浆不入，不知人者，六日死。若三阴三阳、五藏六府皆受病，则荣卫不行，府藏不通，则死矣。 ruò liǎng gǎn yú hán zhě yī rì tài yáng shòu zhī jí yǔ shào yīn jù bìng zé tóu tòng kǒu gān fán mǎn ér kě èr rì yáng míng shòu zhī jí yǔ tài yīn jù bìng zé fù mǎn shēn rè bù yù shí zhān yǔ sān rì shào yáng shòu zhī jí yǔ jué yīn jù bìng zé ěr lóng náng suō ér jué shuǐ jiāng bù rù bù zhī rén zhě liù rì sǐ ruò sān yīn sān yáng wǔ zàng liù fǔ jiē shòu bìng zé róng wèi bù xíng fǔ zàng bù tōng zé sǐ yǐ
若兩感於寒，第一日太陽受邪，就與少陰同病，頭痛、口乾、煩滿而渴；第二日陽明受邪，就與太陰同病，腹滿、身熱、不想吃東西、譫語；第三日少陽受邪，就與厥陰同病，耳聾、囊縮而厥冷，水漿都嚥不下，不省人事的，六日死。若三陰三陽、五藏六府都受病，營衛不能運行，府藏不通，就死了。
If cold strikes both channels at once: on the first day the greater yang takes it and is diseased together with the lesser yin, giving headache, dry mouth, restlessness with fullness and thirst. On the second day the yang brightness takes it and is diseased together with the greater yin, giving belly fullness, body heat, no wish for food, and delirious speech. On the third day the lesser yang takes it and is diseased together with the terminal yin, giving deafness, drawn-up scrotum and cold limbs, with food and drink unable to enter and no recognition of people; such a one dies on the sixth day. If the three yin and three yang, the five viscera and six bowels are all diseased, then the ying and wei no longer move and the viscera and bowels are blocked, and death follows.
32
六日傳遍三陰、三陽之氣皆和，大邪之氣皆去，病人精神爽慧也。
六日传遍三阴、三阳之气皆和，大邪之气皆去，病人精神爽慧也。
liù rì chuán biàn sān yīn sān yáng zhī qì jiē hé dà xié zhī qì jiē qù bìng rén jīng shén shuǎng huì yě
六日傳遍三陰三陽，其氣都已和順，大邪之氣都已散去，病人精神清爽。
When in six days the transmission has run through the three yin and three yang, their qi is all harmonious and the great evil qi has all gone, and the sick man’s spirit is clear.
33
若過十三日以上不間，尺寸陷者，大危。
若过十三日以上不间，尺寸陷者，大危。
ruò guò shí sān rì yǐ shàng bù jiàn chǐ cùn xiàn zhě dà wēi
若過了十三日以上還不好，尺寸之脉又沉陷的，就非常危險。
If more than thirteen days pass without recovery, and the inch and cubit pulses sink and collapse, the danger is great.
34
若更感異氣，變爲他病者，當依舊壞證病而治之。
若更感异气，变为他病者，当依旧坏证病而治之。
ruò gèng gǎn yì qì biàn wéi tā bìng zhě dāng yī jiù huài zhèng bìng ér zhì zhī
若又感受别種異氣，變成别的病，就當照舊有的壞證病來治。
If another, different qi is contracted and the illness changes into another, one should treat it according to the old case of spoiled disease.
35
若脉陰陽俱盛，重感於寒者，變爲温瘧。
若脉阴阳俱盛，重感于寒者，变为温疟。 ruò mài yīn yáng jù shèng chóng gǎn yú hán zhě biàn wéi wēn nüè
若脉陰陽都盛，又重感於寒的，變成温瘧。
When both the yin and the yang pulses are full and cold is contracted a second time, it turns to warm malaria.
36
陽脉浮滑，陰脉濡弱者，更遇於風，變爲風溫。
阳脉浮滑，阴脉濡弱者，更遇于风，变为风温。 yáng mài fú huá yīn mài rú ruò zhě gèng yù yú fēng biàn wéi fēng wēn
陽脉浮滑、陰脉濡弱的，是又遇着風，變成風温。
When the yang pulse is floating and slippery and the yin pulse soft and weak, wind is met again and it turns to wind warmth.
37
陽脉洪數，陰脉實大者，遇温熱，變爲温毒。温毒爲病最重也。
阳脉洪数，阴脉实大者，遇温热，变为温毒。温毒为病最重也。 yáng mài hóng shuò yīn mài shí dà zhě yù wēn rè biàn wéi wēn dú wēn dú wéi bìng zuì zhòng yě
陽脉洪數、陰脉實大的，是遇着温熱，變成温毒。温毒爲病最重。
When the yang pulse is flooding and rapid and the yin pulse replete and large, warm heat is met and it turns to warm poison. Of all illnesses warm poison is the heaviest.
38
陽脉濡弱，陰脉弦緊者，更遇温氣，變爲温疫。以此冬傷於寒，發爲温病。脉之變証，方治如説。
阳脉濡弱，阴脉弦紧者，更遇温气，变为温疫。以此冬伤于寒，发为温病。脉之变证，方治如说。 yáng mài rú ruò yīn mài xián jǐn zhě gèng yù wēn qì biàn wéi wēn yì yǐ cǐ dōng shāng yú hán fā wéi wēn bìng mài zhī biàn zhèng fāng zhì rú shuō
陽脉濡弱、陰脉弦緊的，是又遇着温氣，變成温疫。這是冬天傷於寒，到春天發作爲温病。脉的變證，治法如上述。
When the yang pulse is soft and weak and the yin pulse wiry and tight, warm qi is met again and it turns to warm epidemic. This is injury by cold in winter issuing in spring as warm disease. The changed pulse signs and the treatment are as stated.
39
凡人有疾，不時即治，隱忍冀差，以成痼疾。小兒女子，益以滋甚。
凡人有疾，不时即治，隐忍冀差，以成痼疾。小儿女子，益以滋甚。
fán rén yǒu jí bù shí jí zhì yǐn rěn jì chài yǐ chéng gù jí xiǎo ér nǚ zǐ yì yǐ zī shèn
人有了病，不及時就治，隱忍忍着，指望它自己好，就成了痼疾。小兒女子，尤其容易加重。
When a man is ill and does not treat it at once, but endures and hopes it will pass, it becomes a stubborn illness. In children and women it worsens all the more.
40
時氣不和，便當早言，尋其邪由，及在腠理，以時治之，罕有不愈者。患人忍之數日，乃説邪氣入藏，則難可制。此爲家有患備慮之要。
时气不和，便当早言，寻其邪由，及在腠理，以时治之，罕有不愈者。患人忍之数日，乃说邪气入藏，则难可制。此为家有患备虑之要。
shí qì bù hé biàn dāng zǎo yán xún qí xié yóu jí zài còu lǐ yǐ shí zhì zhī hǎn yǒu bù yù zhě huàn rén rěn zhī shù rì nǎi shuō xié qì rù zàng zé nán kě zhì cǐ wéi jiā yǒu huàn bèi lǜ zhī yào
時氣不和，就該早説，尋出邪氣由來，趁它還在腠理，及時治療，很少有不好的。病人忍着好幾天，才説邪氣已入藏，就難制服了。這是家中有病人的，該預先思慮的要點。
When the seasonal qi is discordant one should speak early, trace where the evil came from, and while it is still in the interstices treat it in time; rarely does such a case fail to heal. The sick man bears it for several days and only then tells, when the evil has entered the viscera and is hard to control. This is the essential point for a household that has a sick man to consider beforehand.
41
凡作湯藥，不可避晨夜，覺病須臾，即宜便治，不等早晚，則易愈矣。若或差遲，病即傳變，雖欲除治，必難爲力。服藥正如方法，縱意違師，不須治之。
凡作汤药，不可避晨夜，觉病须臾，即宜便治，不等早晚，则易愈矣。若或差迟，病即传变，虽欲除治，必难为力。服药正如方法，纵意违师，不须治之。
fán zuò tāng yào bù kě bì chén yè jué bìng xū yú jí yí biàn zhì bù děng zǎo wǎn zé yì yù yǐ ruò huò chā chí bìng jí chuán biàn suī yù chú zhì bì nán wéi lì fú yào zhèng rú fāng fǎ zòng yì wéi shī bù xū zhì zhī
凡煎湯藥，不可避晨夜，覺得病了就該快治，不等早晚，就容易好。若稍有差遲，病就傳變，雖想再治，也難爲力。服藥要遵方法，若放縱己意、違背師法，就不必給他治了。
In making decoctions one must not avoid dawn or night; feeling the illness, one should treat it at once without waiting for morning or evening, and it heals easily. If there is any delay, the illness transmits and changes, and though one wish to treat it, strength will not serve. Medicine must be taken by the method; to indulge one’s own will and defy the teacher is not to be treated at all.
42
凡傷寒之病，多從風寒得之。始表中風寒，入裏則不消矣。未有温覆而當不消散者。
凡伤寒之病，多从风寒得之。始表中风寒，入里则不消矣。未有温覆而当不消散者。 fán shāng hán zhī bìng duō cóng fēng hán dé zhī shǐ biǎo zhòng fēng hán rù lǐ zé bù xiāo yǐ wèi yǒu wēn fù ér dāng bù xiāo sàn zhě
傷寒之病，多從風寒而得。風寒從表侵入，入裏就不會消散。没有温覆得當而邪不消散的。
Cold damage mostly comes from wind and cold. When wind and cold strike the exterior, once they enter the interior they do not disperse. There is no case where the covering was rightly warmed and the evil did not disperse.
43
不在證治，擬欲攻之，猶當先解表，乃可下之。若表已解，而内不消，非大滿，猶生寒熱，則病不除。若表已解而内不消，大滿大實，堅有燥屎，自可除下之，雖四五日，不能爲禍也。
不在证治，拟欲攻之，犹当先解表，乃可下之。若表已解，而内不消，非大满，犹生寒热，则病不除。若表已解而内不消，大满大实，坚有燥屎，自可除下之，虽四五日，不能为祸也。
bù zài zhèng zhì nǐ yù gōng zhī yóu dāng xiān jiě biǎo nǎi kě xià zhī ruò biǎo yǐ jiě ér nèi bù xiāo fēi dà mǎn yóu shēng hán rè zé bìng bù chú ruò biǎo yǐ jiě ér nèi bù xiāo dà mǎn dà shí jiān yǒu zào shǐ zì kě chú xià zhī suī sì wǔ rì bù néng wéi huò yě
若不論證治，只想攻下，也該先解表，才可以下。若表已解而内裏不消，但不是大滿，還發寒熱的，病就不除。若表已解而内不消，大滿大實，有燥屎堅結，自然可以除下，雖四五日，也不會爲禍。
If one would attack without regard to the pattern, one should still first release the exterior and only then purge. If the exterior is released but the interior does not disperse, and it is not great fullness, with cold and heat still arising, the illness is not removed. If the exterior is released and the interior does not disperse, with great fullness and great repletion and hard bound dry stool, it may of course be cleared downward; even after four or five days it will do no harm.
44
下之不當，病輕者，證猶變易而難治，又矧重者乎？
下之不当，病轻者，证犹变易而难治，又矧重者乎？
xià zhī bù dàng bìng qīng zhě zhèng yóu biàn yì ér nán zhì yòu shěn zhòng zhě hū
下得不對，病輕的，證還會變易而難治，何况病重的呢？
When purging is wrongly done, even in a light case the pattern still shifts and becomes hard to treat; how much more in a heavy one?
45
夫陽盛陰虚，汗之則死，下之則愈；陽虚陰盛，汗之則愈，下之則死。夫如是，則神丹安可以誤發，甘遂何可以妄攻？虚盛之治，相背千里，吉凶之機，應若影響，豈容易哉。况桂枝下咽，陽盛則斃；承氣入胃，陰盛以亡。死生之要，在乎須臾，視身之盡，不暇計日。
夫阳盛阴虚，汗之则死，下之则愈；阳虚阴盛，汗之则愈，下之则死。夫如是，则神丹安可以误发，甘遂何可以妄攻？虚盛之治，相背千里，吉凶之机，应若影响，岂容易哉。况桂枝下咽，阳盛则毙；承气入胃，阴盛以亡。死生之要，在乎须臾，视身之尽，不暇计日。
fú yáng shèng yīn xū hàn zhī zé sǐ xià zhī zé yù yáng xū yīn shèng hàn zhī zé yù xià zhī zé sǐ fú rú shì zé shén dān ān kě yǐ wù fā gān suì hé kě yǐ wàng gōng xū shèng zhī zhì xiāng bèi qiān lǐ jí xiōng zhī jī yìng ruò yǐng xiǎng qǐ róng yì zāi kuàng guì zhī xià yān yáng shèng zé bì chéng qì rù wèi yīn shèng yǐ wáng sǐ shēng zhī yào zài hū xū yú shì shēn zhī jìn bù xiá jì rì
陽盛陰虚的，發汗就死，攻下就愈；陽虚陰盛的，發汗就愈，攻下就死。這樣看來，神丹怎能誤發，甘遂怎能妄攻？虚實的治法，相背千里，吉凶的關鍵，應如影響，豈是容易的事。何况桂枝湯下咽，陽盛的就斃；承氣湯入胃，陰盛的就亡。死生的緊要，只在須臾，眼看性命斷送，哪有工夫計較日數。
Where yang is full and yin vacuous, sweating kills and purging heals; where yang is vacuous and yin full, sweating heals and purging kills. Thus how can divine elixir be wrongly used to sweat, or sweet flag wrongly used to attack? The treatment of vacuity and repletion lie a thousand li apart, and the hinge of fortune and misfortune answers like shadow and echo — how can it be lightly taken? Moreover, when cassia twig goes down the throat, the yang-full die; when Qi-Attack enters the stomach, the yin-full perish. The crux of life and death lies in an instant; watching a life cut short, one has no leisure to count the days.
46
此陰陽虚實之交錯，其候至微，發汗吐下之相反，其禍至速。而醫術淺狹，懵然不知病源爲治，乃誤使病者殞殁，自謂其分，至今冤魂塞於冥路，死屍盈於曠野，仁者鑒此，豈不痛歟！凡兩感病俱作，治有先後，發表攻裏，本自不同。而執迷妄意者，乃云：“神丹、甘遂，合而飲之，且解其表，又除其裏”，言巧似是，其理實違。夫智者之舉錯也，常審以慎；愚者之動作也，必果而速，安危之變，豈可詭哉！世上之士，但務彼翕習之榮，而莫見此傾危之敗，惟明者居然能護其本，近取諸身，夫何遠之有焉？
此阴阳虚实之交错，其候至微，发汗吐下之相反，其祸至速。而医术浅狭，懵然不知病源为治，乃误使病者殒殁，自谓其分，至今冤魂塞于冥路，死尸盈于旷野，仁者鉴此，岂不痛欤！凡两感病俱作，治有先后，发表攻里，本自不同。而执迷妄意者，乃云：“神丹、甘遂，合而饮之，且解其表，又除其里”，言巧似是，其理实违。夫智者之举错也，常审以慎；愚者之动作也，必果而速，安危之变，岂可诡哉！世上之士，但务彼翕习之荣，而莫见此倾危之败，惟明者居然能护其本，近取诸身，夫何远之有焉？ cǐ yīn yáng xū shí zhī jiāo cuò qí hòu zhì wēi fā hàn tù xià zhī xiāng fǎn qí huò zhì sù ér yī shù qiǎn xiá měng rán bù zhī bìng yuán wéi zhì nǎi wù shǐ bìng zhě yǔn mò zì wèi qí fèn zhì jīn yuān hún sè yú míng lù sǐ shī yíng yú kuàng yě rén zhě jiàn cǐ qǐ bù tòng yú fán liǎng gǎn bìng jù zuò zhì yǒu xiān hòu fā biǎo gōng lǐ běn zì bù tóng ér zhí mí wàng yì zhě nǎi yún shén dān gān suì hé ér yǐn zhī qiě jiě qí biǎo yòu chú qí lǐ yán qiǎo sì shì qí lǐ shí wéi fú zhì zhě zhī jǔ cuò yě cháng shěn yǐ shèn yú zhě zhī dòng zuò yě bì guǒ ér sù ān wēi zhī biàn qǐ kě guǐ zāi shì shàng zhī shì dàn wù bǐ xī xí zhī róng ér mò jiàn cǐ qīng wēi zhī bài wéi míng zhě jū rán néng hù qí běn jìn qǔ zhū shēn fú hé yuǎn zhī yǒu yān
這是陰陽虚實的交錯，它的候極微；發汗吐下的相反，它的禍極速。而醫術淺狹的人，懵然不知病源，治得錯了，使病人喪命，還説這是命該如此，至今冤魂塞滿冥路，死屍盈滿曠野，仁者見了，豈不痛心！凡兩感病同時發作，治有先後，發表攻裏，本來不同。而固執妄意的人却説，神丹、甘遂合起來喝，既解其表，又除其裏，話説得巧而似是，道理實在違背。智者舉措，常審慎；愚者動作，必果決而急速。安危的變化，豈可欺詐！世上的人，只圖那翕習的榮華，却看不見這傾危的敗亡，只有明白的人能安然護住根本，就近從自身取證，又何須遠求呢？
This is the interlacing of yin and yang, vacuity and repletion; its signs are exceedingly subtle, and the contrariety of sweating, vomiting and purging brings disaster exceedingly fast. Yet the shallow and narrow in the art, muddled and ignorant of the source of illness, treat wrongly and cause the sick to perish, saying it was their lot; so that to this day wronged souls choke the road of the dead and corpses fill the wild fields. Does not the humane man grieve at this? When double contraction breaks out together, treatment has its order; releasing the exterior and attacking the interior are from the first not the same. Yet the obstinate and self-willed say that divine elixir and sweet flag should be drunk together, to release the exterior and at once clear the interior — clever words that seem right, but their principle is truly perverse. The wise man’s every move is always weighed with care; the fool’s every act is sure and swift. Can the changes of safety and danger be juggled with? Men of the world strive only for the glory of the moment and never see this ruin of overthrow; only the clear-sighted can quietly guard his root, taking witness from his own body — what need to seek afar?
47
凡發汗，温服湯藥，其方雖言日三服，若病劇不解，當促其間，可半日中盡三服，若與病相阻，即便有所覺。重病者，一日一夜，當晬時觀之，如服一劑，病證猶在，故當復作本湯服之，至有不肯汗出，服三劑乃解，若汗不出者，死病也。
凡发汗，温服汤药，其方虽言日三服，若病剧不解，当促其间，可半日中尽三服，若与病相阻，即便有所觉。重病者，一日一夜，当晬时观之，如服一剂，病证犹在，故当复作本汤服之，至有不肯汗出，服三剂乃解，若汗不出者，死病也。 fán fā hàn wēn fú tāng yào qí fāng suī yán rì sān fú ruò bìng jù bù jiě dāng cù qí jiān kě bàn rì zhōng jìn sān fú ruò yǔ bìng xiāng zǔ jí biàn yǒu suǒ jué zhòng bìng zhě yī rì yī yè dāng zuì shí guān zhī rú fú yī jì bìng zhèng yóu zài gù dāng fù zuò běn tāng fú zhī zhì yǒu bù kěn hàn chū fú sān jì nǎi jiě ruò hàn bù chū zhě sǐ bìng yě
凡發汗，温服湯藥，方上雖説一日三服，若病重不解，就該縮短間隔，可以半日之内服完三服；若藥與病相阻，服下就會有感覺。重病的人，一日一夜，當滿一晝夜觀察。如服一劑，病證還在，就該再做本湯服；甚至有不肯出汗的，服三劑才解。若始終不出汗，就是死病。
In sweating, the decoction is taken warm. Though the prescription says three doses a day, if the illness is severe and does not resolve, one should shorten the intervals and finish the three doses in half a day; if the medicine is obstructed by the illness, the effect is felt at once. In heavy illness one watches a full day and night. If after one dose the signs remain, the same decoction should be made again; some will not sweat until three doses are taken. If no sweat comes at all, it is a fatal illness.
48
凡得時氣病，至五六日，而渴欲飮水，飮不能多，不當與也。何者？以腹中熱尚少，不能消之，便更與人作病也。至七八日，大渴欲飮水者，猶當依證與之，與之常令不足，勿極意也。言能飮一斗，與五升。若飲而腹滿，小便不利，若喘若噦，不可與之，忽然大汗出，是爲自愈也。
凡得时气病，至五六日，而渴欲饮水，饮不能多，不当与也。何者？以腹中热尚少，不能消之，便更与人作病也。至七八日，大渴欲饮水者，犹当依证与之，与之常令不足，勿极意也。言能饮一斗，与五升。若饮而腹满，小便不利，若喘若哕，不可与之，忽然大汗出，是为自愈也。 fán dé shí qì bìng zhì wǔ liù rì ér kě yù yǐn shuǐ yǐn bù néng duō bù dāng yǔ yě hé zhě yǐ fù zhōng rè shàng shǎo bù néng xiāo zhī biàn gèng yǔ rén zuò bìng yě zhì qī bā rì dà kě yù yǐn shuǐ zhě yóu dāng yī zhèng yǔ zhī yǔ zhī cháng lìng bù zú wù jí yì yě yán néng yǐn yī dǒu yǔ wǔ shēng ruò yǐn ér fù mǎn xiǎo biàn bù lì ruò chuǎn ruò yuě bù kě yǔ zhī hū rán dà hàn chū shì wéi zì yù yě
凡得時氣病，到五六日，口渴想喝水，又喝不多，不該給他。爲什麽？因為腹中熱還少，不能消化，反而給人添病。到七八日，大渴想喝水的，還該依證給他，給的時候常令不足，不要任他喝夠。説能喝一斗的，只給五升。若喝了腹脹、小便不利，或喘或噦，就不能再給；忽然大汗出，這是自己好了。
In seasonal illness, by the fifth or sixth day there may be thirst for water, yet not much can be drunk; one should not give it. Why? Because the heat in the belly is still slight and cannot dissolve it, and it only adds to the illness. By the seventh or eighth day, with great thirst, one should still give according to the signs, always leaving the man short of enough and never letting him drink his fill: if he can drink a peck, give five pints. If drinking brings belly fullness, difficult urine, wheezing or hiccup, it must not be given again. A sudden great sweat means he is cured of himself.
49
凡得病反能飲水，此爲欲愈之病。其不曉病者，但聞病飮水自愈。小渴者，乃強與飮之，因成其禍，不可復數。
凡得病反能饮水，此为欲愈之病。其不晓病者，但闻病饮水自愈。小渴者，乃强与饮之，因成其祸，不可复数。
fán dé bìng fǎn néng yǐn shuǐ cǐ wéi yù yù zhī bìng qí bù xiǎo bìng zhě dàn wén bìng yǐn shuǐ zì yù xiǎo kě zhě nǎi qiáng yǔ yǐn zhī yīn chéng qí huò bù kě fù shǔ
凡得病反而能喝水的，這是將要好的病。那些不懂病的人，只聽説病喝水會自愈，小渴就硬給他喝，因而釀成禍患，數不清有多少。
When a sick man can drink water, it is an illness about to heal. Those who do not understand illness, hearing only that drinking water cures, force drink on one slightly thirsty, and so breed disaster past all counting.
50
凡得病，厥脉動數，服湯藥更遲，脉浮大減小，初躁後静，此皆愈證也。
凡得病，厥脉动数，服汤药更迟，脉浮大减小，初躁后静，此皆愈证也。 fán dé bìng jué mài dòng shuò fú tāng yào gèng chí mài fú dà jiǎn xiǎo chū zào hòu jìng cǐ jiē yù zhèng yě
凡得病，厥脉動而數，服湯藥後轉遲，脉浮大變小而減，先躁後静，這都是將愈的證。
In illness, when the reverting pulse is moving and rapid and after the decoction it turns slow; when the floating and large pulse diminishes and grows small; when restlessness first and quiet after — all these are signs of recovery.
51
凡治温病，可刺五十九穴。又身之穴，三百六十有五，其三十九穴，灸之有害，七十九穴，刺之爲災，并中髓也。
凡治温病，可刺五十九穴。又身之穴，三百六十有五，其三十九穴，灸之有害，七十九穴，刺之为灾，并中髓也。 fán zhì wēn bìng kě cì wǔ shí jiǔ xué yòu shēn zhī xué sān bǎi liù shí yǒu wǔ qí sān shí jiǔ xué jiǔ zhī yǒu hài qī shí jiǔ xué cì zhī wéi zāi bìng zhòng suǐ yě
凡治温病，可刺五十九穴。又人身之穴，三百六十五，其中三十九穴灸之有害，七十九穴刺之爲災，都會傷到骨髓。
In treating warm disease one may needle the fifty-nine points. Again, the points of the body number three hundred sixty-five; thirty-nine of them harm when moxaed, seventy-nine bring disaster when needled, for all strike the marrow.
52
凡脉四損，三日死，平人四息，病人脉一至，名曰：“四損”。脉五損，一日死，平人五息，病人脉一至，名曰“五損”。脉六損，一時死，平人六息，病人脉一至，名曰“六損”。
凡脉四损，三日死，平人四息，病人脉一至，名曰：“四损”。脉五损，一日死，平人五息，病人脉一至，名曰“五损”。脉六损，一时死，平人六息，病人脉一至，名曰“六损”。 fán mài sì sǔn sān rì sǐ píng rén sì xī bìng rén mài yī zhì míng yuē sì sǔn mài wǔ sǔn yī rì sǐ píng rén wǔ xī bìng rén mài yī zhì míng yuē wǔ sǔn mài liù sǔn yī shí sǐ píng rén liù xī bìng rén mài yī zhì míng yuē liù sǔn
凡脉四損，三日死：平人四息，病人脉一至，名叫四損。脉五損，一日死：平人五息，病人脉一至，名叫五損。脉六損，一時死：平人六息，病人脉一至，名叫六損。
When the pulse is fourfold damaged, death in three days: while a healthy man breathes four times, the sick man’s pulse beats once — this is named fourfold damage. Fivefold damage means death in one day: five breaths to one beat. Sixfold damage means death within a watch: six breaths to one beat.
53
脉盛身寒，得之傷寒；脉虚身熱，得之傷暑。
脉盛身寒，得之伤寒；脉虚身热，得之伤暑。 mài shèng shēn hán dé zhī shāng hán mài xū shēn rè dé zhī shāng shǔ
脉盛而身寒的，得之於傷寒；脉虚而身熱的，得之於傷暑。
A full pulse with a cold body comes from cold damage; a vacuous pulse with a hot body comes from summer-heat damage.
54
脉陰陽俱盛，大汗出不解者死。
脉阴阳俱盛，大汗出不解者死。 mài yīn yáng jù shèng dà hàn chū bù jiě zhě sǐ
脉陰陽都盛，大汗出而病不解的，死。
When both yin and yang pulses are full and great sweating brings no resolution, death.
55
脉陰陽俱虚，熱不止者死。
脉阴阳俱虚，热不止者死。 mài yīn yáng jù xū rè bù zhǐ zhě sǐ
脉陰陽都虚，熱不止的，死。
When both yin and yang pulses are vacuous and the heat does not stop, death.
mài zhì zhà shū zhà shuò zhě sǐ
脉來忽疏忽數的，死。
A pulse that now scatters, now hastens, means death.
57
脉至如轉索者，其日死。
脉至如转索者，其日死。 mài zhì rú zhuǎn suǒ zhě qí rì sǐ
脉來像轉索的，當天就死。
A pulse like a twisting rope kills that very day.
58
讝言妄語，身微熱，脉浮大，手足温者生；逆冷，脉沉細者，不過一日，死矣。
谵言妄语，身微热，脉浮大，手足温者生；逆冷，脉沉细者，不过一日，死矣。 zhān yán wàng yǔ shēn wēi rè mài fú dà shǒu zú wēn zhě shēng nì lěng mài chén xì zhě bù guò yī rì sǐ yǐ
譫言妄語，身微熱，脉浮大，手足温的，生；手足逆冷，脉沉細的，不過一日就死。
Delirious and wild speech with slight body heat, a floating large pulse and warm hands and feet means life; with cold limbs and a deep fine pulse, death within a day.