歧伯曰：夏傷於大暑，其汗大出，腠理開發，因遇夏氣淒滄之水寒，藏於腠理皮膚之中，秋傷於風，則病成矣。
歧伯曰：夏伤于大暑，其汗大出，腠理开发，因遇夏气凄沧之水寒，藏于腠理皮肤之中，秋伤于风，则病成矣。
Qí bó yuē: xià shāng yú dà shǔ, qí hàn dà chū, còu lǐ kāi fā, yīn yù xià qì qī cāng zhī shuǐ hán, cáng yú còu lǐ pí fū zhī zhōng, qiū shāng yú fēng, zé bìng chéng yǐ.
Qi Bo says: in summer one is damaged by great summerheat; the sweat comes out profusely and the interstices open wide, and one meets the bitter cold of water in the summer qi, which lodges among the interstices and the skin. In autumn one is damaged by wind, and the disease is complete.
寒瘧成因之全。「夏」讀 xià；「傷」讀 shāng；「於」讀 yú；「大」讀 dà，本篇 6 見；「暑」讀 shǔ，本篇 4 見；「其」讀 qí；「汗」讀 hàn，本篇 6 見；「出」讀 chū；「腠」讀 còu；「理」讀 lǐ；「開」讀 kāi，本篇 6 見，不作「开」（「开」）；「發」讀 fā；「因」讀 yīn；「遇」讀 yù；「氣」讀 qì；「淒」讀 qī，不作「凄」（「凄」）；「滄」讀 cāng，不作「沧」（「沧」）；「之」讀 zhī；「水」讀 shuǐ；「寒」讀 hán；「藏」讀 cáng；「皮」讀 pí；「膚」讀 fū；「中」讀 zhōng；「秋」讀 qiū，本篇 4 見；「風」讀 fēng；「則」讀 zé；「病」讀 bìng；「成」讀 chéng，本篇惟此一見；「矣」讀 yǐ。**此段是寒瘧成因之全，凡三層**：一曰暑汗大出而腠理開發（門戶之開），二曰遇夏氣淒滄之水寒而藏於腠理皮膚（邪之入），三曰秋傷於風而病成（病之成）。**三層遞進，與上文「此皆得之夏傷於暑…此令人汗空疏，腠理開，因得秋氣，汗出遇風，及得之以浴」為同一機括**：**彼則統言其機，此則專言寒瘧**。**「夏氣淒滄之水寒」七字，是《素問》伏氣說中最細之一筆**：不言冬寒而言夏之水寒，**正見瘧之為病，不必皆得之於冬**。**「成」字本篇惟此一見**：「則病成矣」，**與下文「其病異形者」之「形」為一成未成之別**。
北方生寒，寒生水，其德淒滄，其化清謐，其政凝肅，其令寒，其變凓冽，其災冰雪霜雹。是以察其動也，有德、有化，有政、有令，有變有災，而物由之，而人應之也。
北方生寒，寒生水，其德凄沧，其化清谧，其政凝肃，其令寒，其变凓冽，其灾冰雪霜雹。是以察其动也，有德、有化，有政、有令，有变有灾，而物由之，而人应之也。
Běi fāng shēng hán, hán shēng shuǐ, qí dé qī cāng, qí huà qīng mì, qí zhèng níng sù, qí lìng hán, qí biàn lì liè, qí zāi bīng xuě shuāng báo. Shì yǐ chá qí dòng yě, yǒu dé, yǒu huà, yǒu zhèng, yǒu lìng, yǒu biàn yǒu zāi, ér wù yóu zhī, ér rén yìng zhī yě.
The north generates cold and cold generates water. Its virtue is bleak and chill, its transformation clear and still, its governance congealing and ordered, its command cold, its change bitter and piercing, its disaster ice, snow, frost and hail. And so, watching its movement, there is virtue and there is transformation, there is governance and there is command, there is change and there is disaster; things follow from them and the human being answers to them.
「北方生寒，寒生水，其德淒滄，其化清謐」——**「淒滄」本篇1見，止此一見**；**本篇以淒滄為北方寒水之德，與第三十五篇「夏氣淒滄之水寒」同辭**；**底本作「淒」，來稿作現代簡體「凄」，已據第六十八篇之例還原，別見校勘**；**「淒」讀 qī、「滄」讀 cāng**
陽明司天，燥氣下臨，肝氣上從，蒼起木用而立，土乃眚，淒滄數至，木伐草萎。脅痛目赤，掉振鼓慄，筋痿不能久立。暴熱至，土乃暑，陽氣鬱發，小便變，寒熱如瘧，甚則心痛。火行于槁，流水不冰，蟄蟲乃見。
阳明司天，燥气下临，肝气上从，苍起木用而立，土乃眚，凄沧数至，木伐草萎。胁痛目赤，掉振鼓栗，筋痿不能久立。暴热至，土乃暑，阳气郁发，小便变，寒热如疟，甚则心痛。火行于槁，流水不冰，蛰虫乃见。
Yáng míng sī tiān, zào qì xià lín, gān qì shàng cóng, cāng qǐ mù yòng ér lì, tǔ nǎi shěng, qī cāng shuò zhì, mù fá cǎo wěi. Xié tòng mù chì, diào zhèn gǔ lì, jīn wěi bù néng jiǔ lì. Bào rè zhì, tǔ nǎi shǔ, yáng qì yù fā, xiǎo biàn biàn, hán rè rú nüè, shèn zé xīn tòng. Huǒ xíng yú gǎo, liú shuǐ bù bīng, zhé chóng nǎi xiàn.
When yang brightness governs the heaven the qi of dryness descends upon it and the qi of the liver follows upward; blue-green arises and wood comes into use and stands, and earth then suffers calamity; chill bleakness comes again and again, wood is felled and grass withers. The illness is pain in the flanks, red eyes, shaking and trembling, drumming and shivering, and flaccid sinews that cannot stand long. Fierce heat arrives and earth turns to summer heat; the yang qi bursts forth pent up, the urine changes, cold and heat come like malaria, and in the extreme there is pain in the heart. Fire moves over the parched, running water does not freeze, and burrowing insects appear.
**「淒滄」本篇3見：一在委和之紀「其主霧露淒滄」，二在陽明司天之「淒滄數至」，三在少陰司天之「淒滄數至」**；**此段為陽明司天，「淒滄數至，木伐草萎」**