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.
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.
「痺」本篇二義：一為血凝於膚之病，與「泣」（讀 sè，通「澀」）、「厥」並列而分三處；二為積氣所致之藏病，凡心、肺、肝、腎四痺。底本字作「痺」，簡體作「痹」。
其民嗜酸而食胕，故其民皆緻理而赤色，其病攣痺。
其民嗜酸而食胕，故其民皆致理而赤色，其病挛痹。
qí mín shì suān ér shí fǔ, gù qí mín jiē zhì lǐ ér chì sè, qí bìng luán bì.
Its people are fond of sour and eat fermented food, and so they are all close-grained of skin and ruddy in colour; their illnesses are cramping and obstruction.
本篇南方之病為「攣痺」：王冰「濕氣內滿，熱氣內薄，故筋攣脈痺也」；《類經》「攣痺者，濕熱盛而病在筋骨也」。與第十篇「臥出而風吹之…血凝於膚者爲痺」皆以氣血不得通為痺，而本篇特指其因於南方之濕熱，治宜微鍼。
中古之治病，至而治之。湯液十日，以去八風五痺之病。
中古之治病，至而治之。汤液十日，以去八风五痺之病。
zhōng gǔ zhī zhì bìng, zhì ér zhì zhī. tāng yè shí rì, yǐ qù bā fēng wǔ bì zhī bìng.
In middle antiquity, when they treated illness they treated it as soon as it arrived: ten days of decoction, to drive out the illnesses of the eight winds and the five obstructions.
本篇「五痺」：王冰「五痺，謂皮、肉、筋、骨、脈之痺也」，以湯液十日去之。新校正云王注所引《痺論》「今經中《痺論》不如此，當云《風論》」。與第十篇「血行而不得反其空，故為痺」之訓相承——痺之為病皆在閉塞不通。
搏脉痺躄，寒熱之交。脉孤爲消氣，虚泄爲奪，血孤爲逆，虚爲從。
搏脉痹躄，寒热之交。脉孤为消气，虚泄为夺，血孤为逆，虚为从。
bó mài bì bì, hán rè zhī jiāo. mài gū wéi xiāo qì, xū xiè wéi duó, xuè gū wéi nì, xū wéi cóng.
A hammering pulse with blockage and lameness is an intermingling of cold and heat. A solitary pulse means the qi is being consumed; depletion with discharge means it is being taken away; solitary blood is rebellion; depletion is compliance.
「搏脉痺躄，寒熱之交」：痺為「痺」之異體，閉阻不通之病；躄音 bì，兩足不能行。王冰以寒熱二氣交爭釋之。與第十篇「血行而不得反其空，故為痺」、第十三篇「五痺」同屬痺病，而本篇獨以「搏脉」與之並見：脈來搏擊有力而痺躄見，為寒熱相爭之候。
冬刺春分，病不已，令人欲卧不能眠，眠而有見。冬刺夏分，病不愈，氣上，發爲諸痺。冬刺秋分，病不已，令人善渴。
冬刺春分，病不已，令人欲卧不能眠，眠而有见。冬刺夏分，病不愈，气上，发为诸痹。冬刺秋分，病不已，令人善渴。
dōng cì chūn fèn, bìng bù yǐ, lìng rén yù wò bù néng mián, mián ér yǒu jiàn. dōng cì xià fèn, bìng bù yù, qì shàng, fā wéi zhū bì. dōng cì qiū fèn, bìng bù yǐ, lìng rén shàn kě.
Needling the spring division in winter: the illness does not stop; the person wants to lie down but cannot sleep, and when he sleeps he sees things. Needling the summer division in winter: the illness does not mend, the qi rises, and it develops into the various blockages. Needling the autumn division in winter: the illness does not stop, and he is constantly thirsty.
「冬刺夏分，病不愈，氣上，發爲諸痺」：痺為「痹」之異體，音 bì，閉阻不通之病。與第十篇「痺」、第十三篇「五痺」同條：第十篇論痺之所由成，第十三篇列五痺之名，本篇則以痺為四時刺誤之果——冬刺夏分則氣上逆而發為諸痺，與「冬刺春分……眠而有見」「冬刺秋分……令人善渴」同為刺不應四時之證。
按之至骨，脉氣少者，腰脊痛而身有痺也。
按之至骨，脉气少者，腰脊痛而身有痹也。
àn zhī zhì gǔ, mài qì shǎo zhě, yāo jǐ tòng ér shēn yǒu bì yě.
Press down to the bone: if the pulse qi is scant, there is pain in the loins and spine and obstruction in the body.
「按之至骨，脉氣少者，腰脊痛而身有痺也」：痺音 bì，同「痹」，閉阻不通、麻木疼痛之病。與第十篇「痺」、第十三篇「五痺」、第十六篇「冬刺夏分……發爲諸痺」同條：第十篇論痺之所由成，第十三篇列五痺之名，第十六篇以痺為刺誤之果，本篇則以痺為腎虛之候——重按至骨而脈氣少者，腎氣不足，故腰脊痛而身有痺。
脉急者，曰疝瘕少腹痛。脉滑曰風，脉濇曰痺。緩而滑曰熱中，盛而緊曰脹。
脉急者，曰疝瘕少腹痛。脉滑曰风，脉涩曰痹。缓而滑曰热中，盛而紧曰胀。
mài jí zhě, yuē shàn jiǎ shào fù tòng. mài huá yuē fēng, mài sè yuē bì. huǎn ér huá yuē rè zhōng, shèng ér jǐn yuē zhàng.
A pulse that is tense indicates shan and jia with pain in the lower abdomen. A slippery pulse indicates wind; a rough pulse indicates impediment. A pulse that is moderate and slippery indicates heat in the centre; one that is full and tight indicates distension.
「脉滑曰風，脉濇曰痺」：濇音 sè；痺音 bì，同「痹」。本篇以脈之滑濇分風與痺——滑者風動，濇者血滯。與第十篇「痺」、第十三篇「五痺」、第十六篇「發爲諸痺」、第十七篇「身有痺也」同條：第十篇論痺之所由成，第十三篇列五痺之名，第十六篇以痺為刺誤之果，第十七篇以痺為腎虛之候，本篇則以脈之濇定痺；上文「尺熱曰病温，尺不熱脉滑曰病風，脉濇曰痺」，即三病之分。
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.
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.
「或痺不仁腫痛，當是之時，可湯熨及火灸剌而去之」：痺音 bì，今作痹；剌音 là，為刺之形近字，本篇下文「可按若刺耳」作刺，二字同篇並見，各從底本。本篇痺之義，為風寒客於人之一候——痺則不仁而腫痛，可湯熨、火灸、針刺而去之。與第十篇「痺」、第十三篇「五痺」、第十六篇「發爲諸痺」、第十七篇「身有痺也」、第十八篇「脉濇曰痺」同條而義別：彼論痺之成、之名、之診，本篇則以痺為風寒初中之表證而可外治者。
五邪所亂：邪入於陽則狂，邪入於陰則痺，搏陽則爲巔疾，搏陰則爲喑。陽入之陰則靜，陰出之陽則怒，是謂五亂。
五邪所乱：邪入于阳则狂，邪入于阴则痺，搏阳则为巅疾，搏阴则为喑。阳入之阴则静，阴出之阳则怒，是谓五乱。
Wǔ xié suǒ luàn: xié rù yú yáng zé kuáng, xié rù yú yīn zé bì, bó yáng zé wéi diān jí, bó yīn zé wéi yīn. yáng rù zhī yīn zé jìng, yīn chū zhī yáng zé nù, shì wèi wǔ luàn.
The disorders the five evils make: evil entering yang brings mania; evil entering yin brings obstruction; striking yang it makes disease of the crown of the head; striking yin it makes loss of voice. Yang entering yin brings quiet; yin going out to yang brings anger. This is called the five derangements.
「邪入於陰則痺」：本篇之痺，止言邪閉於陰分而為痺證，不立五痺之名，與下文「搏陽則爲巔疾，搏陰則爲喑」同以陰陽之界為斷。與第十篇「心痺」「肺痺」「肝痺」「腎痺」之分五臟者、第十四篇「五痺」之目、第四十三篇《痺論》之專論者同條而義別：彼論痺之分類、其所客之臟與所因之氣，本篇則止辨其在陰在陽——痺者陰分之病，狂者陽分之病，二句相對而成。
歧伯曰：是人多痺氣也，陽氣少，陰氣多，故身寒如從水中出。
歧伯曰：是人多痹气也，阳气少，阴气多，故身寒如从水中出。
Qí bó yuē: shì rén duō bì qì yě, yáng qì shǎo, yīn qì duō, gù shēn hán rú cóng shuǐ zhōng chū.
Qi Bo says: such a person has much obstructing qi — yang qi scant, yin qi abundant — and so the body is cold as though just come out of water.
「痺」之目於本站已立（id 404），現收九條：第十篇「血凝於膚者爲痺，凝於脉者爲泣，凝於足者爲厥」言其由，第十二篇「其病攣痺」、第十三篇「八風五痺」、第十七篇「身有痺也」、第十八篇「脉濇曰痺」、第十九篇「或痺不仁腫痛」、第二十三篇「邪入於陰則痺」等。**本篇二見，皆从疒从卑作「痺」**——「是」讀 shì；「人」讀 rén；「多」讀 duō；**「痺」讀 bì，本篇二見（痺氣、骨痺）**——**底本作「痺」，不作「痹」（「痹」）**；**二字碼位相鄰而易混**：痺 、痹 ；「氣」讀 qì，本篇 18 見；「也」讀 yě；「陽」讀 yáng；「少」讀 shǎo；「陰」讀 yīn；「故」讀 gù；「身」讀 shēn；「寒」讀 hán，本篇 7 見；「如」讀 rú，本篇 9 見；「從」讀 cóng；「水」讀 shuǐ；「中」讀 zhōng；**「出」讀 chū，本篇惟此一見**。**「痺氣」之義：氣痹阻而不行也**——氣既痹阻，則陽氣少而陰氣多，故身寒如從水中出。**與第十篇「血凝於膚者爲痺」對讀**：**彼言血凝而後為痺（言其因），此言痺氣多而後身寒（言其果）**；彼在血，此在氣，**《素問》之痺或言血或言氣，本篇獨取其氣**。**與第十七篇「按之至骨，脉氣少者，腰脊痛而身有痺也」互注**：彼之痺見於腰脊而脉氣少，此之痺見於一身而陽氣少——**皆以氣少為痺之候**，其揆一也。**本篇以一「痺」字貫其二證**：第四段「痺氣」言其氣之痹，第十四段「骨痺」言其骨之痹，**字同而所痹之處異**——氣痺則身寒，骨痺則攣節，**由氣之痹而入骨之痺，本篇二見之序亦自淺而深**。
心欬之狀，欬則心痛，喉中介介如梗狀，甚則咽腫喉痺。
心咳之状，咳则心痛，喉中介介如梗状，甚则咽肿喉痹。
Xīn kài zhī zhuàng, kài zé xīn tòng, hóu zhōng jiè jiè rú gěng zhuàng, shèn zé yān zhǒng hóu bì.
In heart cough, coughing brings pain in the heart and the throat feels blocked as though by a stick; in severe cases the pharynx swells and the throat closes.
「痺」之目於本站已立（id 404），所收十條，其義為「血凝於膚」「閉塞不通」之屬。**本篇「痺」1見，在「甚則咽腫喉痺」**——**是本站「痺」目之第十一條**。**「痺」字入「喉痺」一詞，而「喉痺」本站已別立一目（id 324）**——**長詞優先，本篇此處之鏈當歸「喉痺」**；**此條之引仍錄於「痺」目下者，以明「痺」之閉塞一義**——**自皮膚（第十篇「血凝於膚者為痺」）以至咽喉，其義一貫**。「痺」讀 bì，**不作「痹」（「痹」）**；「咽」讀 yān；「腫」讀 zhǒng；「喉」讀 hóu；「心」讀 xīn，本篇4見；「欬」讀 kài；「痛」讀 tòng；「介」讀 jiè，**本篇2見（疊用）**；「梗」讀 gěng，本篇惟此一見。**「喉中介介如梗狀」寫其未甚，「甚則咽腫喉痺」寫其既甚**——**由「介介」之梗塞感，進而為「腫」與「痺」之閉塞**，**此「甚則」二字之實**。**與第三十四篇「痺氣」之痺（在身）、第十篇「血凝於膚」之痺（在膚）合觀**：**痺之為閉塞，隨其所在而異其名**。
歧伯對曰：風寒濕三氣雜至，合而爲痺也。
歧伯对曰：风寒湿三气杂至，合而为痹也。
Qí bó duì yuē: fēng hán shī sān qì zá zhì, hé ér wéi bì yě.
Qi Bo replies: the three qi of wind, cold and dampness arrive mingled together, and combining, they become obstruction.
「風寒濕三氣雜至，合而爲痺也」——**本篇「痺」38見，為全篇之題**；「痺」讀 bì，**《說文》「痺，濕病也」**。**本篇論痺凡三層**：三氣偏勝則為行痺、痛痺、著痺；五時所遇則為骨、筋、脉、肌、皮之痺；久而不去則内舍五藏六府。**篇題「痺論」——痺之名與實皆具於此**，**是後世「痺」為病名之所本**。
有漸於濕，以水爲事，若有所留，居處相濕，肌肉濡漬，痺而不仁，發爲肉痿。
有渐于湿，以水为事，若有所留，居处相湿，肌肉濡渍，痹而不仁，发为肉痿。
Yǒu jiān yú shī, yǐ shuǐ wéi shì, ruò yǒu suǒ liú, jū chǔ xiāng shī, jī ròu rú zì, bì ér bù rén, fā wéi ròu wěi.
Steeped in dampness, working with water, with something lodging there and the dwelling damp — the flesh is soaked and steeped, obstructed and numb, and flesh flaccidity develops.
「肌肉濡漬，痺而不仁，發爲肉痿」——**本篇「痺」讀 bì，一在「肌痺」，一在此「痺而不仁」**；**痺者閉而不通，痿者弛而不用，此句正見痺之轉為痿**。
手陽明少陽厥逆，發喉痺，嗌腫，痓，治主病者。
手阳明少阳厥逆，发喉痹，嗌肿，痓，治主病者。
Shǒu yáng míng shào yáng jué nì, fā hóu bì, yì zhǒng, chì, zhì zhǔ bìng zhě.
In counterflow inversion of the hand yang brightness and lesser yang it develops into throat blockage, swelling of the pharynx and stiffness; treat what governs the disease.
「發喉痺」——**本篇「痺」讀 bì，惟此一見，在「喉痺」二字中**；**與 ch43 痺論諸痺同名同義：痺者閉塞不通**；**此條為手陽明、少陽之厥逆所發，與喉痺 id 324 同一句**。
病在肌膚，肌膚盡痛，名曰肌痺。
病在肌肤，肌肤尽痛，名曰肌痹。
Bìng zài jī fū, jī fū jìn tòng, míng yuē jī bì.
Trouble in the flesh and skin, with pain all through them, is called flesh obstruction.
「病在肌膚，肌膚盡痛，名曰肌「痺」讀 bì」——**本篇「痺」3見，讀 bì**；**三見皆在病名之中：筋痺、肌痺、骨痺**；**三痺各以「名曰」發之，各因其所在之體（筋、肌、骨）而異其刺法，而其為閉塞不通之義則一**；**本篇三痺皆「以熱為故」「病已止」，止鍼之候與病所在之地相應**
其色多青則痛，多黑則痺，黄赤則熱，多白則寒，五色皆見，則寒熱也。
其色多青则痛，多黑则痹，黄赤则热，多白则寒，五色皆见，则寒热也。
Qí sè duō qīng zé tòng, duō hēi zé bì, huáng chì zé rè, duō bái zé hán, wǔ sè jiē jiàn, zé hán rè yě.
Where its colour is much blue-green there is pain; much black, obstruction; yellow and red, heat; much white, cold. When the five colours are all seen together, it is cold and heat.
「其色多青則痛，多黑則「痺」讀 bì，黄赤則熱，多白則寒」——**本篇「痺」1見，讀 bì**；**一見，在望絡之色：多黑則痺。黑為寒凝血滯之色，故本目第一義「血凝於膚者為痺」正與之合**；「痛」讀 tòng、**「多青則痛」之痛讀 tòng，本篇2見**
其小痺淫溢，循脉往來，微鍼所及，與法相同。
其小痹淫溢，循脉往来，微针所及，与法相同。
Qí xiǎo bì yín yì, xún mài wǎng lái, wēi zhēn suǒ jí, yǔ fǎ xiāng tóng.
Where a lesser obstruction overflows and travels back and forth along the vessels, the fine needle reaches it, and the method is the same as before.
「其小「痺」讀 bì淫溢，循脉往來，微鍼所及，與法相同。」——**本篇「痺」2見，讀 bì**；**一在此句之「小痺」，一在「内爲骨痺」：小者淫溢於絡，深者成於骨**；**本篇之小痺循脉往來而無定處，故微鍼可及——即孫絡溢邪之輕者**；**本目第四十二篇所立：痺者閉也，氣血閉而不行**；「淫」讀 yín、**「淫溢」之淫讀 yín，本篇1見**；「循」讀 xún、**「循脉往來」之循讀 xún，本篇1見**
凡痺往來，行無常處者，在分肉閒，痛而刺之。
凡痹往来，行无常处者，在分肉间，痛而刺之。
Fán bì wǎng lái, xíng wú cháng chù zhě, zài fēn ròu jiān, tòng ér cì zhī.
In every blockage that comes and goes and moves without a fixed place, the disease is between the partings of the flesh; puncture where it hurts.
「凡痺往來，行無常處者，在分肉閒，痛而刺之」——**「痺」本篇2見**：**「凡痺往來，行無常處者，在分肉閒，痛而刺之」一見，是痺之在分肉而不在經者，故亦以月死生為痏數**；**「令人喉痺舌卷」一見在「喉痺」之内，已掛其目**；**「痺」讀 bì，底本从「痺」，不从「痹」，本篇無「痹」字**；**「閒」讀 jiān，本篇「閒」4見，不从「間」**
厥陰有餘，病陰痺；不足，病生熱痺；滑則病狐疝風，濇則病少腹積氣。少陰有餘，病皮痺隱軫；不足，病肺痺；滑則病肺風疝，濇則病積溲血。
厥阴有余，病阴痹；不足，病生热痹；滑则病狐疝风，涩则病少腹积气。少阴有余，病皮痹隐轸；不足，病肺痹；滑则病肺风疝，涩则病积溲血。
Jué yīn yǒu yú, bìng yīn bì; bù zú, bìng shēng rè bì; huá zé bìng hú shàn fēng, sè zé bìng shào fù jī qì.Shào yīn yǒu yú, bìng pí bì yǐn zhěn; bù zú, bìng fèi bì; huá zé bìng fèi fēng shàn, sè zé bìng jī sōu xuè.
When ceasing yin is in surplus the disease is yin obstruction; when it is insufficient, heat obstruction arises. A slippery pulse brings fox mounting wind; a rough pulse brings accumulated qi in the lower abdomen. When lesser yin is in surplus the disease is skin obstruction with hidden rash; when it is insufficient, lung obstruction. A slippery pulse brings lung wind mounting; a rough pulse brings accumulation and blood in the urine.
「厥陰有餘，病陰痺；不足，病生熱痺」——**「痺」本篇13見，皆「病某痺」之式**；**陰痺、熱痺、皮痺、肉痺、脉痺、筋痺、骨痺為其在表在形者，肺痺、心痺、肝痺、腎痺、脾痺為其在裏在藏者**；**又有「留爲大痺」一見**；**「痺」讀 bì，字亦作「痹」，網站正文从底本作「痺**」
歲火不及，寒乃大行，長政不用，物榮而下，凝慘而甚，則陽氣不化，乃折榮美，上應辰星。民病胸中痛，脅支滿，兩脅痛，膺背肩胛間及兩臂内痛，鬱冒朦昧，心痛暴喑，胸腹大，脅下與腰背相引而痛，甚則屈不能伸，髖髀如別，上應熒惑、辰星。其榖丹。復則埃鬱，大雨且至，黑氣乃辱，病鶩溏腹滿，食飲不下，寒中腸鳴，泄注腹痛，暴攣痿痺，足不任身，上應鎮星、辰星。𤣥榖不成。
岁火不及，寒乃大行，长政不用，物荣而下，凝惨而甚，则阳气不化，乃折荣美，上应辰星。民病胸中痛，胁支满，两胁痛，膺背肩胛间及两臂内痛，郁冒朦昧，心痛暴喑，胸腹大，胁下与腰背相引而痛，甚则屈不能伸，髋髀如别，上应荧惑、辰星。其谷丹。复则埃郁，大雨且至，黑气乃辱，病鹜溏腹满，食饮不下，寒中肠鸣，泄注腹痛，暴挛痿痹，足不任身，上应镇星、辰星。𤣥谷不成。
Suì huǒ bù jí, hán nǎi dà xíng, zhǎng zhèng bù yòng, wù róng ér xià, níng cǎn ér shèn, zé yáng qì bù huà, nǎi zhé róng měi, shàng yìng chén xīng. Mín bìng xiōng zhōng tòng, xié zhī mǎn, liǎng xié tòng, yīng bèi jiān jiǎ jiān jí liǎng bì nèi tòng, yù mào méng mèi, xīn tòng bào yīn, xiōng fù dà, xié xià yǔ yāo bèi xiāng yǐn ér tòng, shèn zé qū bù néng shēn, kuān bì rú bié, shàng yìng yíng huò, chén xīng. Qí gǔ dān. Fù zé āi yù, dà yǔ qiě zhì, hēi qì nǎi rǔ, bìng wù táng fù mǎn, shí yǐn bù xià, hán zhōng cháng míng, xiè zhù fù tòng, bào luán wěi bì, zú bù rèn shēn, shàng yìng zhèn xīng, chén xīng. Xuán gǔ bù chéng.
In a year of fire falling short, cold then moves greatly, the governance of growth is not used, and things flourish and then sink. If the congealing bleakness is extreme, the yang qi does not transform and the glory and the beauty are snapped off; it answers above to Mercury. The people are ill with pain in the chest, propping fullness in the flanks, pain in both flanks, pain between the breast, the back and the shoulder blades and on the inner side of both arms, pent-up veiling and dimness, pain in the heart and sudden loss of voice, enlargement of the chest and abdomen, and pain under the flanks drawing into the back and loins; if it is severe they cannot straighten after bending, and the hip and the thigh feel as if they were sundered; it answers above to Mars and Mercury, and its grain is red. When revenge comes there is pent-up dust, great rain is about to arrive, and the black qi is put to shame; the people are ill with duck’s diarrhoea and fullness of the abdomen, food and drink do not go down, cold in the centre and rumbling in the bowels, discharge pouring with pain in the abdomen, sudden cramp, limpness and impediment, and the feet no longer bearing the body; it answers above to Saturn and Mercury, and the dark grain does not form.
「泄注腹痛，暴攣痿痺，足不任身」——**「痺」本篇1見，止此一見**；**底本作「痺」，从疒畀聲；本篇無从畀之「痹」**；**本篇痿痺與暴攣、足不任身並見，是寒水來復、筋脈拘急之候**；**「痺」讀 bì**