人以天地之氣生，四時之法成，君王衆庶，盡欲全形，形之疾病，莫知其情，留淫日深，著於骨髓，心私慮之，余欲鍼除其疾病，爲之奈何？
人以天地之气生，四时之法成，君王众庶，尽欲全形，形之疾病，莫知其情，留淫日深，著于骨髓，心私虑之，余欲针除其疾病，为之奈何？
Rén yǐ tiān dì zhī qì shēng, sì shí zhī fǎ chéng, jūn wáng zhòng shù, jìn yù quán xíng, xíng zhī jí bìng, mò zhī qí qíng, liú yín rì shēn, zhuó yú gǔ suǐ, xīn sī lǜ zhī, yú yù zhēn chú qí jí bìng, wèi zhī nài hé?
The human being is born of the qi of heaven and earth and is completed by the order of the four seasons. Ruler and commoner alike all want to keep the form whole, yet when the form falls sick no one knows what is happening in it: the lodging grows more licentious day by day and fixes itself in the bone and marrow. I have worried over this privately. I wish to remove their disease with the needle — how should I go about it?
本篇開卷第一句話不是議論，是一個醫者的憂慮。「君王衆庶，盡欲全形」——人人都要保全形體；「形之疾病，莫知其情」——而病在形中，人不得而知；「留淫日深，著於骨髓」——病邪留滯淫泆，日甚一日，終至附著於骨髓，那就無可及了。**「著」讀 zhuó，附著之義**；「淫」讀 yín；「髓」讀 suǐ。「庶」讀 shù；「衆」讀 zhòng，今作「众」。「奈何」底本作「奈」，與下文「爲之柰何」之「柰」二形同篇並見，各從底本並互注。「鍼」讀 zhēn，本篇五見。本篇全部的答語——三物之喻、壊府之戒、秋毫之目——都是為了在病著於骨髓之前看見它。
歧伯曰：温瘧者，得之冬中於風，寒氣藏於骨髓之中，至春則陽氣大發，邪氣不能自出，因遇大暑，腦髓爍，肌肉消，腠理發泄，或有所用力，邪氣與汗皆出，此病藏於腎，其氣先從内出之於外也。
歧伯曰：温疟者，得之冬中于风，寒气藏于骨髓之中，至春则阳气大发，邪气不能自出，因遇大暑，脑髓烁，肌肉消，腠理发泄，或有所用力，邪气与汗皆出，此病藏于肾，其气先从内出之于外也。
Qí bó yuē: wēn nüè zhě, dé zhī dōng zhòng yú fēng, hán qì cáng yú gǔ suǐ zhī zhōng, zhì chūn zé yáng qì dà fā, xié qì bù néng zì chū, yīn yù dà shǔ, nǎo suǐ shuò, jī ròu xiāo, còu lǐ fā xiè, huò yǒu suǒ yòng lì, xié qì yǔ hàn jiē chū, cǐ bìng cáng yú shèn, qí qì xiān cóng nèi chū zhī yú wài yě.
Qi Bo says: warm malaria is contracted by being struck by wind in winter, the cold qi lodging within the bone and marrow. When spring comes the yang qi breaks out greatly and the evil qi cannot get out by itself; then great summerheat is met, the brain and marrow are scorched, the flesh wastes, the interstices discharge, or a strain is taken — and the evil qi comes out together with the sweat. This disease lodges in the kidney, and its qi goes from within to without first.
「骨髓」之目於本站已立（id 798），所收一條（第二十五篇「著於骨髓」），本站之釋以為「病之最深之舍」。**本篇「骨髓」二字惟此一見，而言其「藏」：「寒氣藏於骨髓之中」**——**第二十五篇言其「著」，本篇言其「藏」；著者至而不去，藏者伏而有根**。「温」讀 wēn，本篇 5 見，不作「溫」（「溫」）；「瘧」讀 nüè；「者」讀 zhě；「得」讀 dé；「之」讀 zhī；「冬」讀 dōng，本篇 2 見；「中」讀 zhòng，此處讀 zhòng，中也、傷也；「於」讀 yú；「風」讀 fēng；「寒」讀 hán；「氣」讀 qì；「藏」讀 cáng，此處讀 cáng；「骨」讀 gǔ；「髓」讀 suǐ，本篇 2 見；「中」讀 zhōng；「至」讀 zhì；「春」讀 chūn，本篇 2 見；「則」讀 zé；「陽」讀 yáng；「大」讀 dà；「發」讀 fā；「邪」讀 xié；「不」讀 bù；「能」讀 néng；「自」讀 zì；「出」讀 chū；「因」讀 yīn；「遇」讀 yù；「暑」讀 shǔ；「腦」讀 nǎo，本篇惟此一見，不作「脑」（「脑」）；「爍」讀 shuò，本篇 2 見，不作「烁」（「烁」）；「肌」讀 jī；「肉」讀 ròu；「消」讀 xiāo；「腠」讀 còu；「理」讀 lǐ；「泄」讀 xiè，本篇 2 見；「或」讀 huò；「有」讀 yǒu；「所」讀 suǒ；「用」讀 yòng；「力」讀 lì；「與」讀 yǔ；「汗」讀 hàn；「皆」讀 jiē；「此」讀 cǐ；「病」讀 bìng；「腎」讀 shèn，本篇惟此一見，不作「肾」（「肾」）；「其」讀 qí；「先」讀 xiān；「從」讀 cóng；「内」讀 nèi；「也」讀 yě；「外」讀 wài。**「寒氣藏於骨髓之中」七字，與本站「骨髓」條所收第二十五篇「留淫日深，著於骨髓」為一深一藏**：**彼則病自外而深入，此則邪自冬而伏藏**——**同至骨髓之深，而一為漸入、一為素伏**。**「此病藏於腎」五字是本篇之斷**：骨髓者腎所主，**與下文癉瘧「氣内藏於心」為一心一腎之對**。
歧伯對曰：肺主身之皮毛，心主身之血脉，肝主身之筋膜，脾主身之肌肉，腎主身之骨髓。
歧伯对曰：肺主身之皮毛，心主身之血脉，肝主身之筋膜，脾主身之肌肉，肾主身之骨髓。
Qí bó duì yuē: fèi zhǔ shēn zhī pí máo, xīn zhǔ shēn zhī xuè mài, gān zhǔ shēn zhī jīn mó, pí zhǔ shēn zhī jī ròu, shèn zhǔ shēn zhī gǔ suǐ.
Qi Bo replies: the lung governs the skin and hair of the body, the heart governs the blood vessels, the liver governs the sinew membranes, the spleen governs the flesh, and the kidney governs the bones and marrow.
「腎主身之骨髓」——**骨髓為腎之所主，本篇「髓」三見**；「髓」讀 suǐ、**「髓減」「髓虚」皆承此**。
帝曰：人有病頭痛，以數歲不已，此安得之？名爲何病？歧伯曰：當有所犯大寒，内至骨髓，髓者以腦爲主，腦逆故令頭痛，齒亦痛，病名曰厥逆。帝曰：善。
帝曰：人有病头痛，以数岁不已，此安得之？名为何病？歧伯曰：当有所犯大寒，内至骨髓，髓者以脑为主，脑逆故令头痛，齿亦痛，病名曰厥逆。帝曰：善。
Dì yuē: rén yǒu bìng tóu tòng, yǐ shuò suì bù yǐ, cǐ ān dé zhī? Míng wéi hé bìng? Qí bó yuē: dāng yǒu suǒ fàn dà hán, nèi zhì gǔ suǐ, suǐ zhě yǐ nǎo wéi zhǔ, nǎo nì gù lìng tóu tòng, chǐ yì tòng, bìng míng yuē jué nì. Dì yuē: shàn.
The Emperor asks: a person with head pain that has not let up for several years — how was this got, and what is it named? Qi Bo answers: he must have offended against great cold, which reached inward to the bone marrow. The marrow takes the brain as its master; when the brain counterflows it causes head pain, and the teeth ache as well. The illness is named counterflow inversion. The Emperor says: good.
「當有所犯大寒，「内」讀 nèi至「骨」讀 gǔ「髓」讀 suǐ」——**本篇「骨髓」1見**；**骨讀 gǔ、髓讀 suǐ；内讀 nèi，此作動詞之處所，入於内也**；**髓者以腦爲主，故大寒入骨至髓而腦逆頭痛，本篇此語與第二十五篇「著於骨髓」為同一病位之說**。
刺骨髓，汗出百日。
刺骨髓，汗出百日。
Cì gǔ suǐ, hàn chū bǎi rì.
Then needle to the bone and marrow and bring out sweating for another hundred days.
「刺「骨」讀 gǔ「髓」讀 suǐ，汗出百日」——**本篇「骨髓」2見，讀 gǔ suǐ**；**一見於「骨髓酸痛」（骨痺之證），一見於「刺骨髓，汗出百日」（大風之治）**；**本目以骨髓為病之最深處；本篇刺肌肉百日而後刺骨髓百日，正是自淺入深**
内銷骨髓，外破大膕。
内销骨髓，外破大腘。
Nèi xiāo gǔ suǐ, wài pò dà guó.
Within, it consumes the bone and the marrow; without, it breaks open the great flesh behind the knee.
「内「銷」讀 xiāo「骨」讀 gǔ「髓」讀 suǐ，外破大膕。」——**本篇「骨髓」1見，讀 gǔ suǐ**；**邪溢氣壅，榮衛不行，必將為膿；膿成則内銷骨髓而外破大膕**；**本目第二十五篇所立：病之最深者，留淫日深而著於骨髓**；**本篇正此：由絡而經而府藏，其極則銷骨之髓**；「破」讀 pò、**「外破大膕」之破讀 pò，本篇1見**；「膕」讀 guó、**「大膕」之膕讀 guó，膝後曲處之肉，本篇1見**
志意通，内連骨髓，而成身形五藏。
志意通，内连骨髓，而成身形五藏。
Zhì yì tōng, nèi lián gǔ suǐ, ér chéng shēn xíng wǔ zàng.
Will and thought pass through and connect inward to the bone and marrow, and so the body and its five depots are completed.
「志意通，内連骨髓，而成身形五藏」——**「骨髓」本篇1見，在心藏神一節之末**：**志意通於内而連於骨髓，然後身形五藏以成**；**「骨」本篇5見：骨節有動、病在骨焠鍼藥熨**；**「髓」1見，即在此二字之内，故單字之目不重掛**；**「骨」讀 gǔ、「髓」讀 suǐ**
冬者蓋藏，血氣在中，内著骨髓，通於五藏。
冬者盖藏，血气在中，内著骨髓，通于五藏。
Dōng zhě gài cáng, xuè qì zài zhōng, nèi zhuó gǔ suǐ, tōng yú wǔ zàng.
In winter all is covered over and stored; the blood and qi are in the centre, lodging inward in the bone and marrow and reaching through to the five viscera.
「内著骨髓，通於五藏」——**「骨髓」本篇2見**；**冬者蓋藏，血氣在中而內著骨髓，故冬，氣在骨髓中**；**「著」讀 zhuó，附著之義，本篇2見皆讀 zhuó**；**「髓」讀 suǐ**
北方生寒，寒生水，水生鹹，鹹生腎，腎生骨髓，髓生肝。其在天爲寒，在地爲水，在體爲骨，在氣爲堅，在藏爲腎。其性爲凜，其德爲寒，其用爲，其色爲黑，其化爲肅，其蟲鱗，其政爲靜，其令，其變凝冽，其眚冰雹，其味爲鹹，其志爲恐。恐傷腎，思勝恐，寒傷血，燥勝寒，鹹傷血，甘勝鹹。五氣更立，各有所先，非其位則邪，當其位則正。
北方生寒，寒生水，水生咸，咸生肾，肾生骨髓，髓生肝。其在天为寒，在地为水，在体为骨，在气为坚，在藏为肾。其性为凛，其德为寒，其用为，其色为黑，其化为肃，其虫鳞，其政为静，其令，其变凝冽，其眚冰雹，其味为咸，其志为恐。恐伤肾，思胜恐，寒伤血，燥胜寒，咸伤血，甘胜咸。五气更立，各有所先，非其位则邪，当其位则正。
Běi fāng shēng hán, hán shēng shuǐ, shuǐ shēng xián, xián shēng shèn, shèn shēng gǔ suǐ, suǐ shēng gān. Qí zài tiān wéi hán, zài dì wéi shuǐ, zài tǐ wéi gǔ, zài qì wéi jiān, zài zàng wéi shèn. Qí xìng wéi lǐn, qí dé wéi hán, qí yòng wéi, qí sè wéi hēi, qí huà wéi sù, qí chóng lín, qí zhèng wéi jìng, qí lìng, qí biàn níng liè, qí shěng bīng báo, qí wèi wéi xián, qí zhì wéi kǒng. Kǒng shāng shèn, sī shèng kǒng, hán shāng xuè, zào shèng hán, xián shāng xuè, gān shèng xián. Wǔ qì gēng lì, gè yǒu suǒ xiān, fēi qí wèi zé xié, dāng qí wèi zé zhèng.
The north generates cold, cold generates water, water generates saltiness, saltiness generates the kidney, the kidney generates bone and marrow, and marrow generates the liver. In heaven it is cold, in earth water, in the body bone, in qi hardness, and among the viscera the kidney. Its nature is severe cold, its virtue cold, its action (the text is wanting here), its colour black, its transformation austerity, its creature the scaled, its governance stillness, its command (the text is wanting here), its change freezing and biting, its calamity hail, its flavour saltiness, and its emotion fear. Fear harms the kidney and thought overcomes fear; cold harms the blood and dryness overcomes cold; saltiness harms the blood and sweet overcomes saltiness. The five qi stand in turn and each takes its precedence; out of its place it is evil, in its proper place it is correct.
「腎生骨髓，髓生肝」——**「骨髓」本篇1見，止在北方一條**；**北方之序：寒生水 → 水生鹹 → 鹹生腎 → 腎生骨髓 → 髓生肝**；**「髓」讀 suǐ，本篇2見，別有本站「髓」（#1389）一目**；**「鹹」讀 xián，本篇6見，通行本多作「咸」，照錄不改**
水不及，四維有湍潤埃雲之化，則不時有和風生發之應；四維發埃昏驟注之變，則不時有飄蕩振拉之復。其眚北，其藏腎，其病内舍腰脊骨髓，外在谿谷踹膝。
水不及，四维有湍润埃云之化，则不时有和风生发之应；四维发埃昏骤注之变，则不时有飘荡振拉之复。其眚北，其藏肾，其病内舍腰脊骨髓，外在溪谷踹膝。
Shuǐ bù jí, sì wéi yǒu tuān rùn āi yún zhī huà, zé bù shí yǒu hé fēng shēng fā zhī yìng; sì wéi fā āi hūn zhòu zhù zhī biàn, zé bù shí yǒu piāo dàng zhèn lā zhī fù. Qí shěng běi, qí zàng shèn, qí bìng nèi shè yāo jǐ gǔ suǐ, wài zài xī gǔ chuài xī.
When water falls short, if the four corners have the transformation of rushing water that moistens and of dusty clouds, then out of season there is the answering of gentle wind that brings things forth; if the four corners give out the change of dust and darkness and sudden pouring rain, then out of season there is the revenge of whirling, shaking and snapping. Its calamity is in the north, its viscus is the kidney, and its illness lodges within in the loins, the spine, the bones and the marrow and shows without in the ravines and valleys, the heel and the knee.
「其眚北，其藏腎，其病内舍腰脊骨髓，外在谿谷踹膝」——**「骨髓」本篇1見，止此一見**；**本篇「髓」1見，即在「骨髓」之内，不入「髓」目**；**本篇骨髓為北方腎内舍之部**；**「骨」讀 gǔ、「髓」讀 suǐ**
是以聖人陳陰陽，筋脉和同，骨髓堅固，氣血皆從。如是則内外調和，邪不能害，耳目聰明，氣立如故。
是以圣人陈阴阳，筋脉和同，骨髓坚固，气血皆从。如是则内外调和，邪不能害，耳目聪明，气立如故。
Shì yǐ shèng rén chén yīn yáng, jīn mài hé tóng, gǔ suǐ jiān gù, qì xuè jiē cóng. rú shì zé nèi wài tiáo hé, xié bù néng hài, ěr mù cōng míng, qì lì rú gù.
Therefore the sage sets out yin and yang: the sinews and vessels are of one accord, the bone and marrow are firm, and the qi and blood all follow. Then inner and outer are in tune, nothing evil can do harm, hearing and sight are clear, and the qi stands as it did before.
「筋脉和同，骨髓堅固」——聖人陳陰陽，則筋脉和同、骨髓堅固、氣血皆從；髓讀 suǐ；**「骨髓」本篇1見**
黄帝問曰：余聞九鍼於夫子，衆多博大，不可勝數。余願聞要道，以屬子孫，傳之後世，著之骨髓，藏之肝肺，歃血而受，不敢妄泄，令合天道，必有終始。上應天光，星辰歷紀，下副四時五行。貴賤更互，冬陰夏陽，以人應之，奈何？願聞其方。
黄帝问曰：余闻九针于夫子，众多博大，不可胜数。余愿闻要道，以属子孙，传之后世，著之骨髓，藏之肝肺，歃血而受，不敢妄泄，令合天道，必有终始。上应天光，星辰历纪，下副四时五行。贵贱更互，冬阴夏阳，以人应之，奈何？愿闻其方。
Huáng dì wèn yuē: yú wén jiǔ zhēn yú fū zǐ, zhòng duō bó dà, bù kě shèng shǔ. Yú yuàn wén yào dào, yǐ zhǔ zǐ sūn, chuán zhī hòu shì, zhù zhī gǔ suǐ, cáng zhī gān fèi, shà xuè ér shòu, bù gǎn wàng xiè, lìng hé tiān dào, bì yǒu zhōng shǐ. Shàng yìng tiān guāng, xīng chén lì jì, xià fù sì shí wǔ xíng. Guì jiàn gēng hù, dōng yīn xià yáng, yǐ rén yìng zhī, nài hé? Yuàn wén qí fāng.
The Yellow Emperor asks: I have heard the nine needles from you, Master — vast and broad, more than can be counted. What I wish to hear is the essential way, so that I may entrust it to sons and grandsons and hand it on to later generations, inscribe it in bone and marrow, store it in liver and lung, and receive it over smeared blood, never daring to leak it out rashly — let it accord with the way of heaven and have both an ending and a beginning. Above it answers to the light of heaven and to the ordered courses of the stars; below it is paired with the four seasons and the five phases. Noble and base alternate, winter is yin and summer yang — how does the human answer to all this? I wish to hear the method.
「著之骨髓」——言受道之深，著於骨髓、藏於肝肺，不敢妄泄；**「骨髓」本篇1見**
北方生寒，寒生水，水生鹹，鹹生腎，腎生骨髓，髓生肝。腎主耳。其在天爲寒，在地爲水，在體爲骨，在藏爲腎，在色爲黑，在音爲羽，在聲爲呻，在變動爲慄，在竅爲耳，在味爲鹹，在志爲恐。恐傷腎，思勝恐；寒傷血，燥勝寒；鹹傷血，甘勝鹹。
北方生寒，寒生水，水生咸，咸生肾，肾生骨髓，髓生肝。肾主耳。其在天为寒，在地为水，在体为骨，在藏为肾，在色为黑，在音为羽，在声为呻，在变动为栗，在窍为耳，在味为咸，在志为恐。恐伤肾，思胜恐；寒伤血，燥胜寒；咸伤血，甘胜咸。
běi fāng shēng hán, hán shēng shuǐ, shuǐ shēng xián, xián shēng shèn, shèn shēng gǔ suǐ, suǐ shēng gān. shèn zhǔ ěr. qí zài tiān wéi hán, zài dì wéi shuǐ, zài tǐ wéi gǔ, zài zàng wéi shèn, zài sè wéi hēi, zài yīn wéi yǔ, zài shēng wéi shēn, zài biàn dòng wéi lì, zài qiào wéi ěr, zài wèi wéi xián, zài zhì wéi kǒng. kǒng shāng shèn, sī shèng kǒng; hán shāng xuè, zào shèng hán; xián shāng xuè, gān shèng xián.
The north engenders cold, cold engenders water, water engenders saltiness, saltiness engenders the kidney, the kidney engenders bone and marrow, marrow engenders the liver. The kidney governs the ear. In heaven it is cold, in earth it is water, in the body it is bone, in the viscera it is the kidney, in colour it is black, in note it is yu, in voice it is moaning, in movement it is shivering, in orifice it is the ear, in flavour it is salty, in emotion it is fear. Fear damages the kidney, thought conquers fear; cold damages blood, dryness conquers cold; saltiness damages blood, sweetness conquers saltiness.
「腎生骨髓，髓生肝」——北方生寒一段，腎生骨髓而髓生肝；**「骨髓」本篇1見**
靜順之紀，藏而勿害，治而善下，五化咸整。其氣明，其性下，其用沃衍，其化凝堅，其類水，其政流演，其候凝肅，其令寒，其藏腎，腎其畏濕，其主二陰，其榖豆，其果栗，其實濡，其應冬，其蟲鱗，其畜彘，其色黑，其養骨髓，其病厥，其味鹹，其音羽，其物濡，其數六。
静顺之纪，藏而勿害，治而善下，五化咸整。其气明，其性下，其用沃衍，其化凝坚，其类水，其政流演，其候凝肃，其令寒，其藏肾，肾其畏湿，其主二阴，其谷豆，其果栗，其实濡，其应冬，其虫鳞，其畜彘，其色黑，其养骨髓，其病厥，其味咸，其音羽，其物濡，其数六。
Jìng shùn zhī jì, cáng ér wù hài, zhì ér shàn xià, wǔ huà xián zhěng. Qí qì míng, qí xìng xià, qí yòng wò yǎn, qí huà níng jiān, qí lèi shuǐ, qí zhèng liú yǎn, qí hòu níng sù, qí lìng hán, qí zàng shèn, shèn qí wèi shī, qí zhǔ èr yīn, qí gǔ dòu, qí guǒ lì, qí shí rú, qí yìng dōng, qí chóng lín, qí chù zhì, qí sè hēi, qí yǎng gǔ suǐ, qí bìng jué, qí wèi xián, qí yīn yǔ, qí wù rú, qí shù liù.
In the era of Still Compliance it stores and harms nothing, governs and is good at keeping low, and the five transformations are all ordered. Its qi bright, its nature low, its use watering and spreading, its transformation congealing and hard, its class water, its governance flowing and spreading, its climate congealed and stern, its command cold, its viscus the kidney; the kidney fears dampness; it governs the two lower orifices; its grain beans, its fruit the chestnut, its kernel moist, its answering winter, its creature the scaly, its domestic animal the pig, its colour black, its nourishment bone and marrow, its illness counterflow, its flavour salty, its note yu, its thing moist, its number six.
**「骨髓」本篇1見，止在靜順之紀「其養骨髓」**；**五紀「其養」：養筋、養血、養肉、養皮毛、養骨髓**