黄帝問曰:人病胃脘癰者,診當何如?歧伯對曰:診此者,當𠉀胃脉,其脉當沈細,沈細者氣逆,逆者人迎甚盛,甚盛則熱。
黄帝问曰:人病胃脘痈者,诊当何如?歧伯对曰:诊此者,当候胃脉,其脉当沉细,沉细者气逆,逆者人迎甚盛,甚盛则热。
Huáng dì wèn yuē: rén bìng wèi wǎn yōng zhě, zhěn dāng hé rú? Qí bó duì yuē: zhěn cǐ zhě, dāng hòu wèi mài, qí mài dāng chén xì, chén xì zhě qì nì, nì zhě rén yíng shèn shèng, shèn shèng zé rè.
The Emperor asks: when a person has an abscess of the gastric duct, how should one examine him? Qi Bo answers: to examine this one should read the stomach conduit. The conduit should be sunken and fine; sunken and fine means the qi is counterflowing, and where qi counterflows the ren ying pulse is exceedingly full. Exceedingly full is heat.
**「人病胃脘癰者,診當何如」——**「癰」讀 yōng、**本篇4見**;「脉」讀 mài、**本篇12見**;**診此者當「𠉀」讀 hòu胃脉,候字底本作「𠉀」**;**熱聚於胃口而不行一句,為癰之定義**。
肺之雍,喘而兩胠滿。肝雍,兩胠滿,卧則驚,不得小便。腎雍,脚下至少腹滿。
肺之雍,喘而两胠满。肝雍,两胠满,卧则惊,不得小便。肾雍,脚下至少腹满。
Fèi zhī yōng, chuǎn ér liǎng qū mǎn. Gān yōng, liǎng qū mǎn, wò zé jīng, bù dé xiǎo biàn. Shèn yōng, jiǎo xià zhì shào fù mǎn.
Congestion of the lung gives panting and fullness in both flanks. Congestion of the liver fills both flanks, startles the person on lying down, and stops the urine. Congestion of the kidney fills everything from the foot up to the lower abdomen.
**底本作「雍」而不从疒**——「雍」讀 yōng、**本篇5見,讀 yōng**:**「肺之雍」「肝雍」「腎雍」三見,皆藏氣壅滯之名,《甲乙經》及通行本作「癰」;下文「脉至如懸雍」二見則另是一物(浮揣切之益大),字同而義別**。**本站「癰」目已立,故本篇「雍」不更立目,挂此一條以見二字之相承**。
治腐腫者,刺腐上,視癰小大深淺刺。
治腐肿者,刺腐上,视痈小大深浅刺。
Zhì fǔ zhǒng zhě, cì fǔ shàng, shì yōng xiǎo dà shēn qiǎn cì.
To treat putrid swelling, needle onto the putrid place and judge the depth by the size of the abscess.
「治腐腫者,刺腐上,視「癰」讀 yōng小大深淺刺」——**本篇「癰」2見,讀 yōng**;**二見:一在「視癰小大深淺刺」——視癰之大小以定刺之深淺**;**一在「癰發若變」——刺肌膚而傷筋骨者,癰發而生變**;「腐」讀 fǔ、**「腐腫」「刺腐上」之腐讀 fǔ,本篇2見**;「腫」讀 zhǒng、**本篇「腫」1見,讀 zhǒng**
復則炎暑流火,濕性燥,柔脆草木焦槁,下體再生,華實齊化,病寒熱瘡瘍,疿胗癰痤。
复则炎暑流火,湿性燥,柔脆草木焦槁,下体再生,华实齐化,病寒热疮疡,疿胗痈痤。
Fù zé yán shǔ liú huǒ, shī xìng zào, róu cuì cǎo mù jiāo gǎo, xià tǐ zài shēng, huā shí qí huà, bìng hán rè chuāng yáng, fèi zhěn yōng cuó.
Then revenge comes: blazing summer heat streams fire, what is damp in nature turns dry, the soft and brittle plants are scorched and withered and grow again from their lower parts, and flowers and fruits form together. The people are ill with cold and heat, sores and ulcers, prickly heat, rashes, abscesses and acne.
「下體再生,華實齊化,病寒熱瘡瘍,疿胗癰痤」——**「癰」本篇1見,止此一見**;**本篇癰與痤並稱,又與瘡瘍、疿胗連舉,皆皮膚之病**;**「癰」讀 yōng**
太陽司天,寒氣下臨,心氣上從,而火且明,丹起金乃眚,寒清時舉,勝則水冰,火氣高明。心熱煩,嗌乾善渴,鼽嚏,喜悲數欠。熱氣妄行,寒乃復,霜不時降,善忘,甚則心痛。土乃潤,水豐衍,寒客至,沈陰化,濕氣變物,水飲内蓄,中滿不食,皮𤸷肉苛,筋脉不利,甚則胕腫,身後癰。
太阳司天,寒气下临,心气上从,而火且明,丹起金乃眚,寒清时举,胜则水冰,火气高明。心热烦,嗌干善渴,鼽嚏,喜悲数欠。热气妄行,寒乃复,霜不时降,善忘,甚则心痛。土乃润,水丰衍,寒客至,沉阴化,湿气变物,水饮内蓄,中满不食,皮𤸷肉苛,筋脉不利,甚则胕肿,身后痈。
Tài yáng sī tiān, hán qì xià lín, xīn qì shàng cóng, ér huǒ qiě míng, dān qǐ jīn nǎi shěng, hán qīng shí jǔ, shèng zé shuǐ bīng, huǒ qì gāo míng. Xīn rè fán, yì gān shàn kě, qiú tì, xǐ bēi shuò qiàn. Rè qì wàng xíng, hán nǎi fù, shuāng bù shí jiàng, shàn wàng, shèn zé xīn tòng. Tǔ nǎi rùn, shuǐ fēng yǎn, hán kè zhì, chén yīn huà, shī qì biàn wù, shuǐ yǐn nèi xù, zhōng mǎn bù shí, pí rún ròu kē, jīn mài bù lì, shèn zé fū zhǒng, shēn hòu yōng.
When greater yang governs the heaven the qi of cold descends upon it and the qi of the heart follows upward; fire then is bright and vermilion arises, and metal suffers calamity; cold and clear rise again and again, and where cold prevails the water freezes, so that the qi of fire is bright and high. The illness is heat and oppression in the heart, a dry throat and much thirst, snivelling and sneezing, a tendency to grief and many yawns. The hot qi moves recklessly and cold returns; frost falls out of season; there is much forgetting, and in the extreme pain in the heart. Earth then is moist, water abundant and spreading, cold comes as a guest, heavy cloud transforms, damp qi alters beings, water and drink store within, there is fullness in the middle and no eating, the skin is numb and the flesh callous, the sinews and vessels are not free, and in the extreme water swelling and a boil behind the body.
**「癰」本篇3見:二在「癰腫」(委和、卑監二紀),一在此段「身後癰」**;**此段「甚則胕腫,身後癰」,癰獨立成詞**