黄帝問曰：五藏使人痿，何也？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。
黄帝问曰：五脏使人痿，何也？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。
Huáng dì wèn yuē: wǔ zàng shǐ rén wěi, hé yě?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.
The Emperor asks: the five stores can bring flaccidity upon a person — how is that? 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.
**「五藏使人痿」——**「痿」讀 wěi，**本篇16見，題亦在其中**；**答語先列五藏所主，而後分言五痿，此二句為全篇之綱**；「脉」、「筋」「膜」、「骨」「髓」，**三者即後文脉痿、筋痿、骨痿之所出**。
腎風而不能食，善驚，驚已，心氣痿者死。帝曰：善。
肾风而不能食，善惊，惊已，心气痿者死。帝曰：善。
Shèn fēng ér bù néng shí, shàn jīng, jīng yǐ, xīn qì wěi zhě sǐ. Dì yuē: shàn.
Where kidney wind is accompanied by inability to eat and by frequent fright, and once the fright has passed the heart qi is wilted, the person dies. The Emperor says: good.
「善驚，驚已，「心」讀 xīn氣「痿」讀 wěi者死」——**本篇「痿」1見**；**痿讀 wěi；本篇之痿在心氣，與第四十四篇痿論專論筋脉骨肉之痿者義有廣狹，彼論五藏使人痿，此則言心氣痿之為死候**；**「善驚」之善讀 shàn，屢屢之辭，非美善之善**。
歲土太過，雨濕流行，腎水受邪。民病腹痛，清厥意不樂，體重煩冤。上應鎮星。甚則肌肉萎，足痿不收，行善瘈，腳下痛，飲發，中滿食減，四支不舉。變生得位，藏氣伏，化氣獨治之，泉涌河衍，涸澤生魚，風雨大至，土崩潰，鱗見于陸。病腹滿溏泄，腸鳴，反下甚而太谿絶者，死不治。上應歲星。
岁土太过，雨湿流行，肾水受邪。民病腹痛，清厥意不乐，体重烦冤。上应镇星。甚则肌肉萎，足痿不收，行善瘈，脚下痛，饮发，中满食减，四支不举。变生得位，藏气伏，化气独治之，泉涌河衍，涸泽生鱼，风雨大至，土崩溃，鳞见于陆。病腹满溏泄，肠鸣，反下甚而太溪绝者，死不治。上应岁星。
Suì tǔ tài guò, yǔ shī liú xíng, shèn shuǐ shòu xié. Mín bìng fù tòng, qīng jué yì bù lè, tǐ zhòng fán yuān. Shàng yìng zhèn xīng. Shèn zé jī ròu wěi, zú wěi bù shōu, xíng shàn chì, jiǎo xià tòng, yǐn fā, zhōng mǎn shí jiǎn, sì zhī bù jǔ. Biàn shēng dé wèi, zàng qì fú, huà qì dú zhì zhī, quán yǒng hé yǎn, hé zé shēng yú, fēng yǔ dà zhì, tǔ bēng kuì, lín xiàn yú lù. Bìng fù mǎn táng xiè, cháng míng, fǎn xià shèn ér tài xī jué zhě, sǐ bù zhì. Shàng yìng suì xīng.
In a year of earth in surplus, rain and dampness spread and move and the water of the kidney receives evil. The people are ill with pain in the abdomen, clear counterflow and a mind that takes no pleasure, a heavy body and freting oppression; it answers above to Saturn. If it is severe, the flesh wastes, the feet are limp and cannot be drawn up, walking brings twitching, there is pain under the foot, rheum breaks out, the centre is full and eating diminishes, and the four limbs cannot be lifted. Change arises when it holds its place: the qi of storage lies hidden and the qi of transformation governs alone, springs gush and rivers overflow, dried-up marshes bring forth fish, wind and rain arrive in force, the earth crumbles and collapses, and scaled creatures are seen on land. The illness is fullness of the abdomen, sloppy diarrhoea and rumbling in the bowels; if it turns worse below and Taixi is cut off, there is death and no cure; it answers above to Jupiter.
「甚則肌肉萎，足痿不收，行善瘈，腳下痛」——**「痿」本篇3見：足痿不收、暴攣痿痺、足痿清厥**；**本篇之痿皆濕傷於下、筋骨不任身之候**；**同句「腳」是來稿簡體所還原之形，本篇2見，別見校勘**；**「痿」讀 wěi**
因於濕，首如裹，濕熱不攘，大筋緛短，小筋弛長，緛短爲拘，弛長爲痿。因於氣，爲腫，四維相代，陽氣乃竭。
因于湿，首如裹，湿热不攘，大筋软短，小筋弛长，软短为拘，弛长为痿。因于气，为肿，四维相代，阳气乃竭。
Yīn yú shī, shǒu rú guǒ, shī rè bù rǎng, dà jīn ruǎn duǎn, xiǎo jīn chí zhǎng, ruǎn duǎn wéi jū, chí zhǎng wéi wěi. yīn yú qì, wéi zhǒng, sì wéi xiāng dài, yáng qì nǎi jié.
In response to dampness the head feels bound round; if the damp heat is not driven off, the large sinews contract and shorten while the small sinews slacken and lengthen – shortening makes for contraction, and slackening makes for flaccidity. In response to qi there is swelling, the four limbs take it in turn, and the yang qi is then exhausted.
「弛長爲痿」——緛短為拘，弛長為痿；痿讀 wěi；弛讀 chí，與緛短對舉；**「痿」本篇2見**