五氣所病：心爲噫，肺爲欬，肝爲語，脾爲吞，腎爲欠，爲嚏，胃爲氣逆，爲噦、爲恐，大腸小腸爲泄，下焦溢爲水，膀胱不利爲癃，不約爲遺溺，膽爲怒，是謂五病。
五气所病：心为噫，肺为欬，肝为语，脾为吞，肾为欠，为嚏，胃为气逆，为哕、为恐，大肠小肠为泄，下焦溢为水，膀胱不利为癃，不约为遗溺，胆为怒，是谓五病。
Wǔ qì suǒ bìng: xīn wéi ài, fèi wéi kài, gān wéi yǔ, pí wéi tūn, shèn wéi qiàn, wéi tì, wèi wéi qì nì, wéi yuě, wéi kǒng, dà cháng xiǎo cháng wéi xiè, xià jiāo yì wéi shuǐ, bǎng guāng bù lì wéi lóng, bù yuē wéi yí niào, dǎn wéi nù, shì wèi wǔ bìng.
The disorders proper to the five qi: in the heart, belching; in the lung, coughing; in the liver, talking; in the spleen, swallowing; in the kidney, yawning and sneezing; in the stomach, counterflow qi, retching and fear; in the large and small intestine, diarrhoea; when the lower burner overflows, water; when the bladder is impeded, dribbling obstruction; when it is no longer held, urine passed unawares; in the gallbladder, anger. This is called the five disorders.
本篇「癃」字止一見，而與「遺溺」對舉，最見其義：「膀胱不利為癃，不約為遺溺」——不利者閉而不通，不約者失而不禁，一是門開不得，一是門關不得，同一膀胱而兩病相反。後世以癃為小便閉、淋為小便澀痛，分為二病；本篇則癃自為閉，與淋無涉。第八篇「州都之官，津液藏焉，氣化則能出矣」，正可為本條「不利」二字作注——氣化不行，故不出而為癃。「溺」讀 niào 即尿字，與溺水之溺（nì）異讀。
足厥陰之瘧，令人腰痛，少腹滿，小便不利，如癃狀，非癃也，數便，意恐懼，氣不足，腹中悒悒，剌足厥陰。
足厥阴之疟，令人腰痛，少腹满，小便不利，如癃状，非癃也，数便，意恐惧，气不足，腹中悒悒，刺足厥阴。
Zú jué yīn zhī nüè, lìng rén yāo tòng, shào fù mǎn, xiǎo biàn bù lì, rú lóng zhuàng, fēi lóng yě, shuò biàn, yì kǒng jù, qì bù zú, fù zhōng yì yì, cì zú jué yīn.
Malaria of the foot ceasing yin makes the lower back ache and the lower abdomen feel full; the urine does not flow freely, so that it looks like blockage — yet it is not blockage, for the person passes urine often. He is fearful, short of qi, and oppressed within the belly. Needle the foot ceasing yin.
「癃」之目於本站已立（id 747），所收一條為第二十三篇「膀胱不利為癃，不約為遺溺」——**以癃為膀胱之閉，與「不約」之遺溺為一閉一開之對**。**本篇「癃」字2見，在一句之内而自辨之**：「小便不利，如癃狀，非癃也，數便」——**是本站諸「癃」引文中唯一以「非癃」自辨者**。「小」讀 xiǎo；「便」讀 biàn；「不」讀 bù；「利」讀 lì；「如」讀 rú；「癃」讀 lóng，讀 lóng；「狀」讀 zhuàng；「非」讀 fēi；「也」讀 yě；「數」讀 shuò，**讀 shuò，頻數之數，異於他篇之讀 shù**；「意」讀 yì；「恐」讀 kǒng；「懼」讀 jù；「氣」讀 qì；「足」讀 zú；「中」讀 zhōng；「悒」讀 yì；「剌」讀 cì；「厥」讀 jué；「陰」讀 yīn。**厥陰之脉循陰器、抵少腹，故小便不利而狀似癃；然其為「數便」——頻數而少，而非「癃」之閉而不通**，**故本篇徑斷之曰「非癃也」**。**與第二十三篇「不利為癃」之癃相較**：**彼則閉而不通（不利即是癃），此則頻而不閉（不利而非癃）**——**同是「小便不利」四字，在彼為癃之定義，在此為癃之疑似**，**是《素問》用字之嚴處**。**「數便」之「便」讀 biàn**（小便、大便之便），**本篇「便」字4見**：小便、大便難、數便、便宜用藥，**皆讀 biàn，無一讀 pián 者**。
胞移熱於膀胱，則癃溺血。
胞移热于膀胱，则癃溺血。
Bāo yí rè yú páng guāng, zé lóng niào xuè.
When the bladder-wrapper shifts heat into the bladder, there is dribbling block and blood in the urine.
「癃」之目於本站已立（id 747），所收二條：第二十三篇「膀胱不利為癃」、第三十六篇「如癃狀，非癃也」。**本篇「癃」1見，在熱移第六變「胞移熱於膀胱，則癃溺血」**——**與「溺血」並見，一為不通、一為見血**。「癃」讀 lóng；「胞」讀 bāo；「移」讀 yí；「熱」讀 rè；「於」讀 yú；「膀」讀 páng「胱」讀 guāng；「則」讀 zé；「溺」讀 niào；「血」讀 xuè。**三條「癃」字之義可以互參**：**第二十三篇言「膀胱不利為癃」**，是以不利釋癃；**第三十六篇言「小便不利，如癃狀，非癃也」**，是以「非癃」自辨其似；**本篇則徑言「則癃溺血」**，**以癃為既有之證而不復釋其義**——**三條各見一義，合而始備**。**本篇之癃由「胞移熱於膀胱」而來**——**與第二十三篇「膀胱不利」之但言其府者別**：**彼言府之自病，此言熱自胞而移入**。**「癃溺血」三字，是《素問》言淋證兼血者最早之一例**。
帝曰：有癃者，一日數十溲，此不足也。身熱如炭，頸膺如格，人迎躁盛，喘息氣逆，此有餘也。
帝曰：有癃者，一日数十溲，此不足也。身热如炭，颈膺如格，人迎躁盛，喘息气逆，此有余也。
Dì yuē: yǒu lóng zhě, yī rì shuò shí sōu, cǐ bù zú yě. Shēn rè rú tàn, jǐng yīng rú gé, rén yíng zào shèng, chuǎn xī qì nì, cǐ yǒu yú yě.
The Emperor asks: a person with urinary block who urinates some tens of times a day — this is insufficiency. The body is hot as charcoal, the neck and chest as if barricaded, the ren ying pulse agitated and full, breathing panting and qi counterflowing — this is excess.
「有「癃」讀 lóng者，一日數十「溲」讀 sōu」——**本篇「癃」1見**；**癃讀 lóng，小便不利之名；溲讀 sōu，便溺之通稱**；**一日數十溲為不足之候，與下文身熱如炭、人迎躁盛之有餘相對，本篇借此以發五有餘二不足之論**。
所謂㿗癃疝膚脹者，曰陰亦盛而脉脹不通，故曰㿗癃疝也。
所谓颓癃疝肤胀者，曰阴亦盛而脉胀不通，故曰颓癃疝也。
Suǒ wèi tuí lóng shàn fū zhàng zhě, yuē yīn yì shèng ér mài zhàng bù tōng, gù yuē tuí lóng shàn yě.
What is called mounting illness with dribbling block and swollen skin: it means that yin too is abundant and the vessel is swollen and does not pass; hence the name mounting illness with dribbling block.
「㿗「癃」讀 lóng疝膚脹者」——**本篇「癃」2見，讀 lóng，小便不通曰癃**；「膚」讀 fū、「通」讀 tōng、**各本篇惟此一見**；**陰亦盛而脉脹不通，故曰㿗癃疝，與上文「㿗疝」同篇二名**。
其女子不孕，癃痔、遺溺、嗌乾。
其女子不孕，癃痔、遗溺、嗌干。
Qí nǚ zǐ bù yùn, lóng zhì, yí niào, yì gān.
In women it gives infertility; dribbling blockage and piles, loss of urine, and dryness of the throat.
「其女子不孕，「癃」讀 lóng痔、遺溺、嗌乾」——**「癃」讀 lóng，小便不利也；與「遺溺」對舉：一為門不開，一為門不閉**；**本篇「癃」1見，本站第二十三篇同此義**；「痔」讀 zhì、**「痔」讀 zhì，本篇1見**
少羽與少宫同，上宫與正宫同，其病癃閟，邪傷腎也。埃昏驟雨，則振拉摧拔。眚於一。其主毛顯狐貉，變化不藏。
少羽与少宫同，上宫与正宫同，其病癃閟，邪伤肾也。埃昏骤雨，则振拉摧拔。眚于一。其主毛显狐貉，变化不藏。
Shào yǔ yǔ shào gōng tóng, shàng gōng yǔ zhèng gōng tóng, qí bìng lóng bì, xié shāng shèn yě. Āi hūn zhòu yǔ, zé zhèn lā cuī bá. Shěng yú yī. Qí zhǔ máo xiǎn hú hé, biàn huà bù cáng.
In the dried-stream year the lesser yu is one with the lesser gong; where the upper is gong it is one with the upright gong. Its illness is retention and blockage of urine; it is evil that injures the kidney. Then dust and darkness and driving rain come, with shaking, tearing, breaking and uprooting. The calamity falls in the first palace; its charge is the hairy creatures showing themselves, foxes and badgers, changing and never storing.
**「癃」本篇1見，止在涸流之紀「其病癃閟」**；**水不及則其病癃閟，邪傷腎也**
凡此陽明司天之政，氣化運行後天，天氣急，地氣明，陽專其令，炎暑大行，物燥以堅，淳風乃治，風燥橫運，流於氣交，多陽少陰，雲趨雨府，濕化乃敷，燥極而澤，其榖白丹，閒榖命太者，其耗白甲品羽，金火合德，上應太白、熒惑。其政切，其令暴，蟄蟲乃見，流水不冰。民病欬嗌塞，寒熱發，暴振凓癃閟，清先而勁，毛蟲乃死，熱後而暴，介蟲乃殃。
凡此阳明司天之政，气化运行后天，天气急，地气明，阳专其令，炎暑大行，物燥以坚，淳风乃治，风燥横运，流于气交，多阳少阴，云趋雨府，湿化乃敷，燥极而泽，其谷白丹，间谷命太者，其耗白甲品羽，金火合德，上应太白、荧惑。其政切，其令暴，蛰虫乃见，流水不冰。民病咳嗌塞，寒热发，暴振凓癃閟，清先而劲，毛虫乃死，热后而暴，介虫乃殃。
Fán cǐ yáng míng sī tiān zhī zhèng, qì huà yùn xíng hòu tiān, tiān qì jí, dì qì míng, yáng zhuān qí lìng, yán shǔ dà xíng, wù zào yǐ jiān, chún fēng nǎi zhì, fēng zào héng yùn, liú yú qì jiāo, duō yáng shào yīn, yún qū yǔ fǔ, shī huà nǎi fū, zào jí ér zé, qí gǔ bái dān, jiān gǔ mìng tài zhě, qí hào bái jiǎ pǐn yǔ, jīn huǒ hé dé, shàng yìng tài bái, yíng huò. Qí zhèng qiè, qí lìng bào, zhé chóng nǎi xiàn, liú shuǐ bù bīng. Mín bìng kài yì sè, hán rè fā, bào zhèn lì lóng bì, qīng xiān ér jìng, máo chóng nǎi sǐ, rè hòu ér bào, jiè chóng nǎi yāng.
All these, the governance of yang brightness governing the heaven: the qi transformation runs behind heaven. The qi of heaven is urgent, the qi of earth bright; yang has its command alone and scorching heat moves greatly; things are dry and so hard; simple wind governs; wind and dryness move crosswise and flow to the junction of qi; yang is much and yin little; clouds hasten to the rain storehouse; the damp transformation spreads; dryness at its extreme becomes moisture; its grain is the white and the cinnabar, and the intercalary grain is the one that is over; what it consumes is the white-shelled and the feathered; metal and fire join in virtue; above it answers to Venus and Mars. Its governance is pressing, its command violent; the hibernating creatures then appear and running water does not freeze. The people are ill with cough and blocked throat; cold and heat break out; there is sudden shivering, retention and stoppage. When the cool comes first and is hard, the hairy creatures die; when heat comes after and is violent, the shelled creatures are harmed.
**「癃」本篇1見，止在此句**；**此段「暴振凓癃閟」，陽明司天初之氣之病**