歧伯曰：肺欬之狀，欬而喘息有音，甚則唾血。
歧伯曰：肺咳之状，咳而喘息有音，甚则唾血。
Qí bó yuē: fèi kài zhī zhuàng, kài ér chuǎn xī yǒu yīn, shèn zé tuò xuè.
Qi Bo says: in lung cough the person coughs and pants with a sound, and in severe cases spits blood.
**「肺欬之狀，欬而喘息有音，甚則唾血」是五藏之欬的第一目**，**亦「狀」字十一見之發端**——**本篇凡十一目皆以「之狀」二字領起**（五藏五、六府六）。**「欬」「欬」讀 kài本篇37見**，**「狀」（「狀」讀 zhuàng）13見**——**二字為全篇之骨**。**「唾血」之血讀 xuè**（本站「血」一律讀 xuè）。**「喘息有音」與第三十四篇「卧則喘」之喘同字**（喘，本站 #685）。**本篇之欬有二途**：**皮毛先受邪氣，外也；寒飲食入胃，內也；外內合邪而後為欬**——**故下文「肺寒則外内合邪」一句是全篇病機之樞**。
肉里之脉，令人腰痛，不可以欬，欬則筋縮急。刺肉里之脉爲二痏，在太陽之外，少陽絶骨之後。
肉里之脉，令人腰痛，不可以欬，欬则筋缩急。刺肉里之脉为二痏，在太阳之外，少阳绝骨之后。
Ròu lǐ zhī mài, lìng rén yāo tòng, bù kě yǐ kài, kài zé jīn suō jí. Cì ròu lǐ zhī mài wéi èr wěi, zài tài yáng zhī wài, shào yáng jué gǔ zhī hòu.
The rouli vessel gives pain in the lower back, and the patient cannot cough, for coughing draws the sinews tight. Needle the rouli vessel twice, outside greater yang and behind the ending bone of lesser yang.
**「不可以欬，欬則筋縮急」**——**肉里之脉之證，以欬為驗**，**與第三十八篇《欬論》之欬同名而異用**：**彼以欬為病，此以欬為診**。「欬」讀 kài**本篇2見，底本不作「咳」**；「筋」讀 jīn**本篇5見**（膝筋肉分間、郄陽筋、内筋、大筋、筋縮急）；「縮」讀 suō**「筋縮急」讀 suō jí**。**本篇惟此一條以欬驗病**。
歧伯曰：肺風之狀，多汗惡風，色皏然白，時欬短氣，晝日則差，暮則甚，診在眉上，其色白。
歧伯曰：肺风之状，多汗恶风，色皏然白，时咳短气，昼日则差，暮则甚，诊在眉上，其色白。
Qí bó yuē: fèi fēng zhī zhuàng, duō hàn wù fēng, sè pěng rán bái, shí kài duǎn qì, zhòu rì zé chài, mù zé shèn, zhěn zài méi shàng, qí sè bái.
Qi Bo says: in lung wind the patient sweats freely and loathes wind; the complexion is a pale washed-out white; there is coughing at times and shortness of breath. By day it abates, at evening it worsens. It is diagnosed above the eyebrows, and the colour is white.
「時欬短氣，晝日則差，暮則甚」——**本篇「欬」1見，即此**；**第三十八篇以欬為專論，本篇之欬則為肺風之一候**。「欬」讀 kài**讀 kài，本站不作「咳」**；「短」讀 duǎn**「短氣」讀 duǎn qì**；「晝」讀 zhòu、「暮」讀 mù**晝差暮甚**；**王冰「晝則陽氣在表，故差；暮則陽氣入裏，風内應之，故甚也」**。
凡痺之客五藏者，肺痺者，煩滿喘而嘔；心痺者，脉不通，煩則心下鼓，暴上氣而喘，嗌乾善噫，厥氣上則恐；肝痺者，夜卧則驚，多飲數小便，上爲引如懷；腎痺者，善脹，凥以代踵，脊以代頭；脾痺者，四支解墯，發欬嘔汁，上爲大塞；腸痺者，數飲而出不得，中氣喘爭，時發飱泄；胞痺者，少腹膀胱，按之内痛，若沃以湯，澀於小便，上爲清涕。
凡痹之客五脏者，肺痹者，烦满喘而呕；心痹者，脉不通，烦则心下鼓，暴上气而喘，嗌干善噫，厥气上则恐；肝痹者，夜卧则惊，多饮数小便，上为引如怀；肾痹者，善胀，凥以代踵，脊以代头；脾痹者，四肢解惰，发咳呕汁，上为大塞；肠痹者，数饮而出不得，中气喘争，时发飧泄；胞痹者，少腹膀胱，按之内痛，若沃以汤，涩于小便，上为清涕。
Fán bì zhī kè wǔ zàng zhě, fèi bì zhě, fán mǎn chuǎn ér ǒu; xīn bì zhě, mài bù tōng, fán zé xīn xià gǔ, bào shàng qì ér chuǎn, yì gān shàn ài, jué qì shàng zé kǒng; gān bì zhě, yè wò zé jīng, duō yǐn shuò xiǎo biàn, shàng wéi yǐn rú huái; shèn bì zhě, shàn zhàng, jū yǐ dài zhǒng, jǐ yǐ dài tóu; pí bì zhě, sì zhī jiě duò, fā kài ǒu zhī, shàng wéi dà sè; cháng bì zhě, shuò yǐn ér chū bù dé, zhōng qì chuǎn zhēng, shí fā sūn xiè; bāo bì zhě, shào fù páng guāng, àn zhī nèi tòng, ruò wò yǐ tāng, sè yú xiǎo biàn, shàng wéi qīng tì.
For obstruction lodging in the five stores: lung obstruction is fullness and distress, panting and vomiting; heart obstruction is the vessels not passing through — distress brings a beating below the heart, sudden rising qi and panting, a dry pharynx and frequent belching, and when the counterflow qi rises, fear; liver obstruction is starting in the night, drinking much and passing water often, with a drawing upward that feels like carrying a child; kidney obstruction is a readiness to swell, the rump taking the place of the heel and the spine taking the place of the head; spleen obstruction is slackness of the four limbs, coughing and vomiting fluid, and great stoppage above; intestinal obstruction is drinking often and yet not passing it, the central qi contending with panting, and from time to time outflow diarrhea; bladder obstruction is pain within the lower abdomen and bladder when pressed, as though hot water had been poured in, rough passage of urine, and clear snivel above.
「發欬嘔汁，上爲大塞」——「欬」讀 kài，**本篇「欬」1見，从底本作「欬」不作「咳」**；**脾痺而發欬、嘔汁，上為大塞**——「塞」讀 sè，**「塞」讀 sè，阻隔也**；**與 ch38 欬論、ch41「不可以欬，欬則筋縮急」同字**。
陽明厥逆，喘欬，身熱，善驚衄嘔血。
阳明厥逆，喘咳，身热，善惊衄呕血。
Yáng míng jué nì, chuǎn kài, shēn rè, shàn jīng nǜ ǒu xuè.
In counterflow inversion of yang brightness there is panting and coughing, heat in the body, and a readiness to take fright, to bleed from the nose and to vomit blood.
「陽明厥逆，喘欬」——**本篇「欬」讀 kài**；**欬讀 kài，本站通例，不作 ké**；**此條與下文「善嘔沫」之嘔，皆陽明氣逆上迫之證**。
所謂欬則有血者，陽脉傷也，陽氣未盛於上而脉滿，滿則欬，故血見於𤾁也。
所谓咳则有血者，阳脉伤也，阳气未盛于上而脉满，满则咳，故血见于鼻也。
Suǒ wèi kài zé yǒu xuè zhě, yáng mài shāng yě, yáng qì wèi shèng yú shàng ér mài mǎn, mǎn zé kài, gù xuè xiàn yú bí yě.
What is called blood with the cough: the yang vessel is damaged; yang qi has not yet flourished above while the vessel is full, and fullness brings on the cough; hence the blood shows at the nose.
「「欬」讀 kài則有血者」——**本篇「欬」4見，讀 kài**；「脉」讀 mài、**本篇4見**；「滿」讀 mǎn、**本篇3見**；**陽脉傷，陽氣未盛於上而脉滿，滿則欬，故血見於𤾁，「見」讀 xiàn**。
剌中肺，三日死，其動爲欬；
刺中肺，三日死，其动为咳；
Cì zhòng fèi, sān rì sǐ, qí dòng wéi kài;
To strike the lung: death in three days; the sign it stirs is coughing;
「剌中肺，三日死，其動爲「欬」讀 kài」——**本篇「欬」3見，讀 kài，不从「咳」**；「肺」讀 fèi、**本篇3見**；「動」讀 dòng、**「其動」本篇6見，六者之傷各有其動**；**本篇言欬者三：肺傷之動為欬、缺盆内陷之喘欬逆、掖下脅間内陷之令人欬**。
歧伯曰：氣有餘則喘欬上氣，不足則息利少氣。血氣未并，五藏安定，皮膚微病，命曰白氣微泄。
歧伯曰：气有余则喘咳上气，不足则息利少气。血气未并，五藏安定，皮肤微病，命曰白气微泄。
Qí bó yuē: qì yǒu yú zé chuǎn kài shàng qì, bù zú zé xī lì shǎo qì. Xuè qì wèi bìng, wǔ zàng ān dìng, pí fū wēi bìng, mìng yuē bái qì wēi xiè.
Qi Bo says: when the qi is in excess there is panting, coughing and rising qi; when it is insufficient the breathing is free but the qi is scant. If blood and qi have not pooled and the five depots are settled, and it is only the skin that is slightly affected, this is called a faint leak of the white qi.
「氣有餘則喘欬上氣，不足則息利少氣」——**「欬」本篇1見，在氣之有餘一證中**：**「欬」讀 kài，本站第二十二、三十八篇同此讀，不从 ké**；**底本作「欬」，不从「咳」，本篇1見**；**氣有餘則喘欬上氣，是肺氣之實**
欬者，温衣飲食，一日已。
咳者，温衣饮食，一日已。
Kài zhě, wēn yī yǐn shí, yī rì yǐ.
For the cough, warm the clothing and warm the food and drink; it ends in one day.
「欬者，温衣飲食，一日已」——**「欬」本篇2見，皆在足少陽之絡一證中**：**「欬而汗出」一見、「欬者，温衣飲食，一日已」一見——刺後仍欬者，温其衣、節其飲食而一日已**；**「欬」讀 kài，本站第二十二、三十八、六十二篇同此讀，不从 ké**；**底本作「欬」，不从「咳」，本篇無「咳」字**
刺五藏，中心，一日死，其動爲噫；中肝，五日死，其動爲語；中肺，三日死，其動爲欬；中腎，六日死，其動爲嚏欠；中脾，十日死，其動爲吞。
刺五藏，中心，一日死，其动为噫；中肝，五日死，其动为语；中肺，三日死，其动为咳；中肾，六日死，其动为嚏欠；中脾，十日死，其动为吞。
Cì wǔ zàng, zhòng xīn, yī rì sǐ, qí dòng wéi ài; zhòng gān, wǔ rì sǐ, qí dòng wéi yǔ; zhòng fèi, sān rì sǐ, qí dòng wéi kài; zhòng shèn, liù rì sǐ, qí dòng wéi tì qiàn; zhòng pí, shí rì sǐ, qí dòng wéi tūn.
In needling the five viscera: to strike the heart means death in one day, and the sign it stirs is belching; to strike the liver, death in five days, and the sign is speech; to strike the lung, death in three days, and the sign is coughing; to strike the kidney, death in six days, and the sign is sneezing and yawning; to strike the spleen, death in ten days, and the sign is swallowing.
「中肺，三日死，其動爲欬」——**「欬」本篇1見，讀 kài**；**通行或讀 ké，本站从《素問》欬論之讀，全站一律 kài**；**刺五藏之害：中心一日死其動為噫，中肝五日死其動為語，中肺三日死其動為欬，中腎六日死其動為嚏欠，中脾十日死其動為吞**；**「中」此讀 zhòng，刺中之義，與第五十二篇《刺禁論》同讀**
肺病喘欬，三日而脅支滿痛。一日身重體痛，五日而脹，十日不已，死。冬日入，夏日出。
肺病喘咳，三日而胁支满痛。一日身重体痛，五日而胀，十日不已，死。冬日入，夏日出。
Fèi bìng chuǎn kài, sān rì ér xié zhī mǎn tòng. Yī rì shēn zhòng tǐ tòng, wǔ rì ér zhàng, shí rì bù yǐ, sǐ. Dōng rì rù, xià rì chū.
In illness of the lung there is panting and coughing; after three days, propping fullness and pain in the flank; after one day more the body is heavy and aches; after five days, distension. Should it not abate after ten days, the person dies. In winter, at sunset; in summer, at sunrise.
「肺病喘欬」——**「欬」讀 kài，本篇2見：此一見，「一日而欬」一見**；**「喘」讀 chuǎn，本篇1見；「肺」讀 fèi，本篇1見**；**篇中作「欬」不从「咳」，與全站同例**
歲火太過，炎暑流行，金肺受邪。民病瘧，少氣欬喘，血溢，血泄，注下，嗌燥耳聾，中熱，肩背熱。上應熒惑星。甚則胸中痛，脅支滿，脅痛，膺背肩胛間痛，兩臂内痛，身熱骨痛，而爲浸淫。收氣不行，長氣獨明，雨水霜寒。上應辰星。上臨少陰少陽，火燔爇，冰泉涸，物焦槁。病反譫妄狂越，欬喘息鳴，下甚血溢，泄不已。太淵絶者，死不治。上應熒惑星。
岁火太过，炎暑流行，金肺受邪。民病疟，少气欬喘，血溢，血泄，注下，嗌燥耳聋，中热，肩背热。上应荧惑星。甚则胸中痛，胁支满，胁痛，膺背肩胛间痛，两臂内痛，身热骨痛，而为浸淫。收气不行，长气独明，雨水霜寒。上应辰星。上临少阴少阳，火燔爇，冰泉涸，物焦槁。病反谵妄狂越，欬喘息鸣，下甚血溢，泄不已。太渊绝者，死不治。上应荧惑星。
Suì huǒ tài guò, yán shǔ liú xíng, jīn fèi shòu xié. Mín bìng nüè, shǎo qì kài chuǎn, xuè yì, xuè xiè, zhù xià, yì zào ěr lóng, zhōng rè, jiān bèi rè. Shàng yìng yíng huò xīng. Shèn zé xiōng zhōng tòng, xié zhī mǎn, xié tòng, yīng bèi jiān jiǎ jiān tòng, liǎng bì nèi tòng, shēn rè gǔ tòng, ér wéi jìn yín. Shōu qì bù xíng, zhǎng qì dú míng, yǔ shuǐ shuāng hán. Shàng yìng chén xīng. Shàng lín shào yīn shào yáng, huǒ fán ruò, bīng quán hé, wù jiāo gǎo. Bìng fǎn zhān wàng kuáng yuè, kài chuǎn xī míng, xià shèn xuè yì, xiè bù yǐ. Tài yuān jué zhě, sǐ bù zhì. Shàng yìng yíng huò xīng.
In a year of fire in surplus, blazing summer heat spreads and moves and the metal of the lung receives evil. The people are ill with malaria, scantness of qi, coughing and panting, blood escaping upward, blood discharged downward, pouring below, dryness of the throat and deafness, heat in the centre and heat in the shoulder and back; it answers above to Mars. If it is severe there is pain in the chest, propping fullness and pain in the flanks, pain between the breast, the back and the shoulder blades, pain on the inner side of both arms, heat of the body and pain in the bones, and the soaking spread of the illness. The qi of gathering does not move and the qi of growth shines alone; rain, water, frost and cold arrive; it answers above to Mercury. If lesser yin or lesser yang presides above, fire blazes and scorches, the icy springs dry up and things are burnt and withered; the illness turns to delirious speech and raving, coughing and panting with a noisy breath, and, below, severe bleeding and unending discharge. Where Taiyuan is cut off there is death and no cure; it answers above to Mars.
「民病瘧，少氣欬喘，血溢，血泄，注下，嗌燥耳聾」——**「欬」本篇6見：「欬喘」2見、「喘欬」2見、「欬而鼽」一見、「欬逆甚」一見**；**「欬」讀 kài，本站第二十二、三十八、六十二篇同此讀，不从 ké**；**底本作「欬」，本篇無「咳」字**
因於露風，乃生寒熱。是以春傷於風，邪氣留連，乃爲洞泄。夏傷於暑，秋爲痎瘧；秋傷於濕，上逆而欬，發爲痿厥；冬傷於寒，春必温病。四時之氣，更傷五藏。
因于露风，乃生寒热。是以春伤于风，邪气留连，乃为洞泄。夏伤于暑，秋为痎疟；秋伤于湿，上逆而咳，发为痿厥；冬伤于寒，春必温病。四时之气，更伤五脏。
Yīn yú lù fēng, nǎi shēng hán rè. shì yǐ chūn shāng yú fēng, xié qì liú lián, nǎi wéi dòng xiè. xià shāng yú shǔ, qiū wéi jiē nüè; qiū shāng yú shī, shàng nì ér kài, fā wéi wěi jué; dōng shāng yú hán, chūn bì wēn bìng. sì shí zhī qì, gēng shāng wǔ zàng.
Meeting dew and wind brings cold and heat. Thus one wounded by wind in spring lets the evil qi linger on, and in summer there is pouring diarrhoea; wounded by summer heat, in autumn there is jie malaria; wounded by dampness in autumn, the qi counterflows upward and there is coughing, and flaccidity and inversion develop; wounded by cold in winter, in spring there is sure to be warm disease. This is how the qi of the four seasons injure the five viscera in turn.
「上逆而欬」——欬讀 kài，底本从欠亥聲，通行本多作咳；秋傷於濕，氣上逆而欬；**「欬」本篇1見**
曰：一陽發病，少氣、善欬、善泄。其傳爲心掣，其傳爲隔。
曰：一阳发病，少气、善欬、善泄。其传为心掣，其传为隔。
yuē: yī yáng fā bìng, shǎo qì, shàn kài, shàn xiè. qí chuán wéi xīn chè, qí chuán wéi gé.
It is said: when the first yang is diseased, there is scant qi, a tendency to cough and a tendency to discharge. If it transmits into the heart being tugged, and then into blockage of the diaphragm, the illness is grave.
「善欬、善泄」——一陽發病，少氣而善欬善泄；**「欬」本篇1見**
弗治，病入舍於肺，名曰肺痺，發欬上氣。
弗治，病入舍于肺，名曰肺痹，发欬上气。
Fú zhì, bìng rù shè yú fèi, míng yuē fèi bì, fā kài shàng qì.
Left untreated, the disease enters and lodges in the lung; it is called lung impediment, and brings on coughing and upward-rushing qi.
「發欬上氣」，肺痺之候為發欬上氣；本篇又見「上見欬唾」「呼吸少氣而欬」，欬皆為肺氣之上逆。
審平之紀，收而不爭，殺而無犯，五化宣明。其氣潔，其性剛，其用散落，其化堅斂，其類金，其政勁肅，其候清切，其令燥，其藏肺，肺其畏熱，其主鼻，其榖稻，其果桃，其實殻，其應秋，其蟲介，其畜雞，其色白，其養皮毛，其病欬，其味辛，其音商，其物外堅，其數九。
审平之纪，收而不争，杀而无犯，五化宣明。其气洁，其性刚，其用散落，其化坚敛，其类金，其政劲肃，其候清切，其令燥，其藏肺，肺其畏热，其主鼻，其谷稻，其果桃，其实壳，其应秋，其虫介，其畜鸡，其色白，其养皮毛，其病咳，其味辛，其音商，其物外坚，其数九。
Shěn píng zhī jì, shōu ér bù zhēng, shā ér wú fàn, wǔ huà xuān míng. Qí qì jié, qí xìng gāng, qí yòng sàn luò, qí huà jiān liǎn, qí lèi jīn, qí zhèng jìng sù, qí hòu qīng qiè, qí lìng zào, qí zàng fèi, fèi qí wèi rè, qí zhǔ bí, qí gǔ dào, qí guǒ táo, qí shí qiào, qí yìng qiū, qí chóng jiè, qí chù jī, qí sè bái, qí yǎng pí máo, qí bìng kài, qí wèi xīn, qí yīn shāng, qí wù wài jiān, qí shù jiǔ.
In the era of Even Judgement it gathers without contending and slays without offending, and the five transformations are displayed clearly. Its qi clean, its nature hard, its use scattering and dropping, its transformation firm gathering, its class metal, its governance strong and severe, its climate clear and sharp, its command dryness, its viscus the lung; the lung fears heat; it governs the nose; its grain rice, its fruit the peach, its kernel the husk, its answering autumn, its creature the shelled, its domestic animal the fowl, its colour white, its nourishment skin and body hair, its illness cough, its flavour acrid, its note shang, its thing hard without, its number nine.
**「欬」本篇5見**；**此段「其病欬」為審平之紀之病**；**另「其病喘喝」在堅成之紀，「其發欬喘」在從革之紀**