腎熱病者，先腰痛䯒痠，苦渴數飲，身熱。
肾热病者，先腰痛䯒酸，苦渴数饮，身热。
Shèn rè bìng zhě, xiān yāo tòng héng suān, kǔ kě shuò yǐn, shēn rè.
In kidney heat disease there is first pain in the lower back and soreness of the shank, a distressing thirst with repeated drinking, and the body is hot.
腎熱病之先兆。「腎」讀 shèn，本篇四見；「病」讀 bìng；「者」讀 zhě；「先」讀 xiān，本篇十三見；「腰」讀 yāo；「痛」讀 tòng；**「䯒」讀 héng，本篇二見**，一作「胻」；**「痠」讀 suān，本篇二見**，今作「酸」；「苦」讀 kǔ；「渴」讀 kě；**「數」此讀 shuò**，與「數日乃熱」之讀 shù 者同形異讀；「飲」讀 yǐn；「身」讀 shēn；「熱」讀 rè。**「苦渴數飲」四字最見腎熱之狀**：苦於口渴而頻頻飲水，與第三十一篇「少陰…口燥舌乾而渴」同屬少陰之渴，而彼為熱邪自外而入，此為熱病自內而發，**先後天之別，於此可見**。
風瘧，瘧發則汗出惡風，剌三陽經背俞之血者，䯒痠痛甚，按之不可，名曰胕髓病，以鑱鍼鍼絶骨出血，立已。
风疟，疟发则汗出恶风，刺三阳经背俞之血者，䯒酸痛甚，按之不可，名曰胕髓病，以镵针针绝骨出血，立已。
Fēng nüè, nüè fā zé hàn chū wù fēng, cì sān yáng jīng bèi shù zhī xuè zhě, héng suān tòng shèn, àn zhī bù kě, míng yuē fù suǐ bìng, yǐ chán zhēn zhēn jué gǔ chū xuè, lì yǐ.
Wind malaria: when the fit breaks out there is sweating and aversion to wind — needle the blood of the back transport points of the three yang channels. When the shank aches and is so sore it cannot be pressed, it is called the marrow-adhering disease; with a chisel needle, needle the cut bone and let blood, and it ends at once.
「䯒」之目於本站已立（id 981），所收一條為第三十二篇「腎熱病者，先腰痛䯒痠，苦渴數飲，身熱」——**䯒痠為腎熱之開證**。**本篇「䯒」字惟此一見，而正與「痠」字連文，同於第三十二篇**：「䯒痠痛甚，按之不可，名曰胕髓病，以鑱鍼鍼絶骨出血，立已」。「風」讀 fēng；「瘧」讀 nüè；「發」讀 fā；「則」讀 zé；「汗」讀 hàn；「出」讀 chū；「惡」讀 wù；「剌」讀 cì；「三」讀 sān；「陽」讀 yáng；「經」讀 jīng；「背」讀 bèi；「俞」讀 shù；「之」讀 zhī；「血」讀 xuè；「者」讀 zhě；「䯒」讀 héng，讀 héng，脛之上端也；「痠」讀 suān，讀 suān，**不作「酸」（「酸」）**；「痛」讀 tòng；「甚」讀 shèn；「按」讀 àn；「不」讀 bù；「可」讀 kě；「名」讀 míng；「曰」讀 yuē；「胕」讀 fù，讀 fù，**通「附」（「附」）**；「髓」讀 suǐ；「病」讀 bìng；「以」讀 yǐ；「鑱」讀 chán，讀 chán；「鍼」讀 zhēn，**不作「針」（「針」）、不作「针」（「针」）**；「絶」讀 jué，**不作「絕」（「絕」）**；「骨」讀 gǔ；「立」讀 lì；「已」讀 yǐ。**所異者**：第三十二篇之䯒痠為腎熱之始（先腰痛䯒痠），**本篇之「䯒痠痛甚」則自立為一病——胕髓病，而別有其方**：**「以鑱鍼鍼絶骨出血，立已」**——**二見皆在下肢、皆與痠相連，而一為一病之始、一為一病之全**。**「按之不可」四字是本篇之禁**：**痛甚而不可按，故不用按而用鑱鍼**——**與第三十五篇「無剌」三禁同其例**：**本篇之法，皆先言其所禁而後言其所行**。**「胕髓病」之名，本篇惟此一見，為本站所立之新目**（id 1083）。
帝曰：人有身體髀股䯒皆腫，環齊而痛，是爲何病？
帝曰：人有身体髀股䯒皆肿，环脐而痛，是为何病？
Dì yuē: rén yǒu shēn tǐ bì gǔ héng jiē zhǒng, huán qí ér tòng, shì wéi hé bìng?
The Emperor says: here is a person whose body, hips, thighs and shanks are all swollen, with pain ringing the navel. What illness is this?
**「人有身體髀股䯒皆腫，環齊而痛」**，**䯒之一字，是本篇與第三十二篇腎熱病同用之罕字**。「䯒」讀 héng，**讀 héng**（小腿也），**本篇1見**；「身」讀 shēn、**本篇2見**；「體」讀 tǐ；「髀」讀 bì，**讀 bì 不讀 bēi**；「股」讀 gǔ；「皆」讀 jiē；「腫」讀 zhǒng，**本篇2見**；「環」讀 huán、**本篇2見**；「齊」讀 qí**本篇5見，皆寫「臍」**；「痛」讀 tòng，**本篇5見**。**自體而髀、而股、而䯒，四處皆腫**：**與第三十二篇「䯒痠」之處同一部位，而此為腫、彼為痠**。
陽明令人腰痛，不可以顧，顧如有見者，善悲，刺陽明於䯒前三痏，上下和之出血，秋無見血。
阳明令人腰痛，不可以顾，顾如有见者，善悲，刺阳明于䯒前三痏，上下和之出血，秋无见血。
Yáng míng lìng rén yāo tòng, bù kě yǐ gù, gù rú yǒu jiàn zhě, shàn bēi, cì yáng míng yú héng qián sān wěi, shàng xià hé zhī chū xuè, qiū wú xiàn xuè.
Yang brightness gives pain in the lower back; one cannot look round, and looking round is like seeing something there, and the person is apt to grieve. Needle yang brightness three times in front of the shin bone, harmonising above and below, and let blood. In autumn, do not bring blood to view.
**「刺陽明於䯒前三痏」**——**本站「䯒」字三見（第三十二、三十六、四十篇），本篇為其四**。「䯒」讀 héng**本篇1見，脛骨之上端也**；「痏」讀 wěi，**「前三痏」即三刺**；「上」讀 shàng、「下」讀 xià**「上下和之出血」**——**先和調上下之氣而後出血，與他條之徑出血者異**。**「秋無見血」與太陽之春、少陽之夏、少陰之春為本篇四時禁，獨無冬**。
少陽之厥，則暴聾，頰腫而熱，脅痛，䯒不可以運。
少阳之厥，则暴聋，颊肿而热，胁痛，䯒不可以运。
Shào yáng zhī jué, zé bào lóng, jiá zhǒng ér rè, xié tòng, héng bù kě yǐ yùn.
In inversion of lesser yang there is sudden deafness, the cheek swells and is hot, the ribs ache, and the shank cannot be worked.
「脅痛，䯒不可以運」——**本篇「䯒」讀 héng**；**一在少陽之厥，一在厥陰之厥（䯒内熱），一在太陰厥逆（䯒急攣）**；「脅」讀 xié，**脅讀 xié**。
帝曰：人有身體髀股䯒皆腫，環齊而痛，是爲何病？歧伯曰：病名曰伏梁，此風根也。
帝曰：人有身体髀股䯒皆肿，环脐而痛，是为何病？歧伯曰：病名曰伏梁，此风根也。
Dì yuē: rén yǒu shēn tǐ bì gǔ héng jiē zhǒng, huán qí ér tòng, shì wéi hé bìng? Qí bó yuē: bìng míng yuē fú liáng, cǐ fēng gēn yě.
The Emperor asks: a person whose body, hips, thighs and shanks are all swollen, with pain encircling the navel — what illness is this? Qi Bo answers: the illness is named submerged beam. This is a root of wind.
「身體「髀」讀 bì「股」讀 gǔ「䯒」讀 héng皆腫」——**本篇「䯒」1見**；**「䯒」讀 héng，脛骨之稱，本站第四十五篇「䯒急攣」已見此字**；「髀」讀 bì、**髀讀 bì，股外之髀**；**髀、股、䯒自下而上三部皆腫，較第四十篇之伏梁為廣，此本篇所以別為一證**。
脛有大小，髀䯒大，跛易偏枯。
胫有大小，髀䯒大，跛易偏枯。
Jìng yǒu dà xiǎo, bì héng dà, bǒ yì piān kū.
When the shanks differ in size and the thigh and shank are enlarged, the gait is altered and the person limps; this readily becomes one-sided withering.
「「髀」讀 bì「䯒」讀 héng大」——「䯒」讀 héng、**本篇惟此一見**，「髀」讀 bì亦本篇惟此一見；**二字並見，與第四十七篇「身體髀股䯒皆腫」同例**；「跛」讀 bǒ、**本篇惟此一見，讀 bǒ**。
刺骨無傷髓，髓傷則銷鑠胻酸。
刺骨无伤髓，髓伤则销铄胻酸。
Cì gǔ wú shāng suǐ, suǐ shāng zé xiāo shuò héng suān.
When needling the bone do not wound the marrow. If the marrow is wounded the body melts away and the shanks are sore.
「髓傷則銷鑠「胻」讀 héng酸」——**本篇字作「胻」「胻」讀 héng，从肉行聲，讀 héng，本篇1見；本條作「䯒」「䯒」讀 héng，从骨行聲，與第三十二、三十六、四十、四十一、四十八篇同**，**二字異旁而同讀，此係互注，非本條字見於本篇**；「銷」讀 xiāo、「鑠」讀 shuò、**「銷鑠」本篇惟此一見**；「髓」讀 suǐ、**本篇3見**；**刺骨無傷髓，髓傷則銷鑠胻酸——七層之最深者，傷之則無復可治**。
巨虚者，蹻足䯒獨陷者。下廉者，陷下者也。
巨虚者，蹻足䯒独陷者。下廉者，陷下者也。
Jù xū zhě, qiāo zú héng dú xiàn zhě. Xià lián zhě, xiàn xià zhě yě.
The Great Hollow is where, with the foot raised, the shinbone alone sinks in; the Lower Ridge is where it is sunken below.
「巨虚者，蹻足「䯒」讀 héng獨陷者」——**本篇「䯒」1見，讀 héng**；**本目為第三十二篇所立，䯒為脛骨，彼篇見於腎熱病**；**本篇則以之定穴：蹻足而脛骨獨陷之處為巨虚**；「蹻」讀 qiāo、**「蹻足」之蹻讀 qiāo（舉足），本篇1見**；「足」讀 zú、**本篇「足」3見**；「陷」讀 xiàn、**本篇「陷」2見，讀 xiàn**
連䯒若折，治陽明中俞髎，若别治巨陽、少陰滎。
连䯒若折，治阳明中俞髎，若别治巨阳、少阴荥。
Lián héng ruò zhé, zhì yáng míng zhōng shù liáo, ruò bié zhì jù yáng, shào yīn xíng.
When the pain runs into the shin as though it were broken, needle the transport point within the yang brightness; or, taken separately, the gushing points of the greater yang and the lesser yin.
「連「䯒」讀 héng若折，治陽明中俞髎」——**「䯒」讀 héng，脛骨之上端，即胻；本篇2見**；**下文「䯒骨空，在輔骨之上端」，可與此互證其位**；**「連」讀 lián，本篇2見（連䯒、連骸）**
腎病，少腹腰脊痛，䯒痠。三日背膂筋痛，小便閉。三日腹脹，三日兩脅支痛，三日不已，死，冬大晨，夏晏晡。
肾病，少腹腰脊痛，䯒酸。三日背膂筋痛，小便闭。三日腹胀，三日两胁支痛，三日不已，死，冬大晨，夏晏晡。
Shèn bìng, shào fù yāo jǐ tòng, héng suān. Sān rì bèi lǚ jīn tòng, xiǎo biàn bì. Sān rì fù zhàng, sān rì liǎng xié zhī tòng, sān rì bù yǐ, sǐ, dōng dà chén, xià yàn bū.
In illness of the kidney there is pain in the lower abdomen, back and spine, with aching in the shank; after three days, pain in the sinews of the back and stoppage of urine; after three days, distension of the abdomen; after three days, propping pain in both flanks. Should it not abate after three days more, the person dies: in winter, at the great dawn; in summer, at the late afternoon meal.
「腎病，少腹腰脊痛，䯒痠」——**「䯒」讀 héng，腳脛也；本篇3見，皆在「䯒痠」之中**；**與「脛痠」並見而各从底本，詳見本篇校勘**；**「腎」讀 shèn、「少腹」讀 shào fù、「痛」讀 tòng、「痠」讀 suān**
歲金太過，燥氣流行，肝木受邪，民病兩脅下少腹痛，目赤痛眦瘍，耳無所聞。肅殺而甚，則體重煩冤，胸痛引背，兩脅滿且痛引少腹。上應太白星。甚則喘欬逆氣，肩背痛，凥陰股膝髀腨䯒足皆病。上應熒惑星。收氣峻，生氣下，草木斂，蒼乾凋隕。病反暴痛，胠脅不可反側，欬逆甚而血溢。太衝絶者，死不治，上應太白星。
岁金太过，燥气流行，肝木受邪，民病两胁下少腹痛，目赤痛眦疡，耳无所闻。肃杀而甚，则体重烦冤，胸痛引背，两胁满且痛引少腹。上应太白星。甚则喘欬逆气，肩背痛，凥阴股膝髀腨䯒足皆病。上应荧惑星。收气峻，生气下，草木敛，苍干凋陨。病反暴痛，胠胁不可反侧，欬逆甚而血溢。太冲绝者，死不治，上应太白星。
Suì jīn tài guò, zào qì liú xíng, gān mù shòu xié, mín bìng liǎng xié xià shào fù tòng, mù chì tòng zì yáng, ěr wú suǒ wén. Sù shā ér shèn, zé tǐ zhòng fán yuān, xiōng tòng yǐn bèi, liǎng xié mǎn qiě tòng yǐn shào fù. Shàng yìng tài bái xīng. Shèn zé chuǎn kài nì qì, jiān bèi tòng, kāo yīn gǔ xī bì shuàn héng zú jiē bìng. Shàng yìng yíng huò xīng. Shōu qì jùn, shēng qì xià, cǎo mù liǎn, cāng gān diāo yǔn. Bìng fǎn bào tòng, qū xié bù kě fǎn cè, kài nì shèn ér xuè yì. Tài chōng jué zhě, sǐ bù zhì, shàng yìng tài bái xīng.
In a year of metal in surplus, the qi of dryness spreads and moves and the wood of the liver receives evil. The people are ill with pain below both flanks and in the lower abdomen, red and painful eyes with sores at the corner of the eye, and ears that hear nothing. If the severity and killing is extreme, the body is heavy and there is freting oppression, pain in the chest that draws to the back, and fullness in both flanks with pain drawing into the lower abdomen; it answers above to Venus. If it is severe there is panting and coughing with counterflow qi, pain in the shoulder and back, and the sacrum, the private parts, the thigh, the knee, the hip, the calf, the shin and the foot are all affected; it answers above to Mars. The qi of gathering is harsh and the qi of growth sinks; plants and trees draw in and the blue-green dries and falls. The illness turns to sudden pain; the flanks cannot be turned or lain upon; the coughing counterflow is severe and blood escapes. Where Taichong is cut off there is death and no cure; it answers above to Venus.
「凥陰股膝髀腨䯒足皆病」——**「䯒」本篇1見，止此一見**；**䯒者，脛之上端，即小腿之骨；本篇與陰、股、膝、髀、腨、足連舉，皆下部之部**；**同句「腨」讀 shuàn，小腿肚也，本篇2見；「踹」讀 chuài，足跟也，本篇1見，在「谿谷踹膝」；二形義別，各从其處，別見校勘**；**「䯒」讀 héng**
胃脉搏堅而長，其色赤，當病折髀，其耎而散者，當病食痺。脾脉搏堅而長，其色黄，當病少氣，其耎而散，色不澤者，當病足䯒腫，若水狀也。
胃脉搏坚而长，其色赤，当病折髀，其软而散者，当病食痹。脾脉搏坚而长，其色黄，当病少气，其软而散，色不泽者，当病足䯒肿，若水状也。
wèi mài bó jiān ér cháng, qí sè chì, dāng bìng zhé bì, qí ruǎn ér sàn zhě, dāng bìng shí bì. pí mài bó jiān ér cháng, qí sè huáng, dāng bìng shǎo qì, qí ruǎn ér sàn, sè bù zé zhě, dāng bìng zú héng zhǒng, ruò shuǐ zhuàng yě.
If the stomach pulse is beating hard and long and the complexion red, the illness will be a snapping pain in the thigh. If it is soft and scattered, the illness will be food obstruction. If the spleen pulse is beating hard and long and the complexion yellow, the illness will be scant qi. If it is soft and scattered and the complexion lacks sheen, the illness will be swelling of the lower leg, like the appearance of water.
「當病足䯒腫」，脾脉耎散而色不澤者病足䯒腫。䯒即脛之上部，他本作胻。
厥陰所至，爲支痛；少陰所至，爲驚惑、惡寒、戰慄、譫妄；太陰所至，爲蓄滿；少陽所至，爲驚躁、瞀昧、暴病；陽明所至，爲鼽凥陰、股、膝、髀、腨、䯒、足病；太陽所至，爲腰痛，病之常也。
厥阴所至，为支痛；少阴所至，为惊惑、恶寒、战栗、谵妄；太阴所至，为蓄满；少阳所至，为惊躁、瞀昧、暴病；阳明所至，为鼽凥阴、股、膝、髀、腨、䯒、足病；太阳所至，为腰痛，病之常也。
Jué yīn suǒ zhì, wéi zhī tòng; shào yīn suǒ zhì, wéi jīng huò, wù hán, zhàn lì, zhān wàng; tài yīn suǒ zhì, wéi xù mǎn; shào yáng suǒ zhì, wéi jīng zào, mào mèi, bào bìng; yáng míng suǒ zhì, wéi qiú kāo yīn, gǔ, xī, bì, shuàn, héng, zú bìng; tài yáng suǒ zhì, wéi yāo tòng, bìng zhī cháng yě.
Where ceasing yin arrives there is propping pain; where lesser yin, fright and confusion, aversion to cold, shivering and delirious speech; where greater yin, gathering and fullness; where lesser yang, fright and restlessness, dim confusion and sudden illness; where yang brightness, snivelling and illness of the rump and the privates, the thighs, the knees, the hip, the calf, the shin and the foot; where greater yang, low back pain — the constant of illness.
**「䯒」本篇1見，止在此句**；**此段「股、膝、髀、腨、䯒、足病」，陽明所至，病之常十三段之一**
少陰在泉，客勝則腰痛，凥股膝髀腨䯒，足病，瞀熱以酸，胕腫不能久立，溲便變；主勝則厥氣上行，心痛發熱，鬲中衆痺皆作，發於胠脅，魄汗不藏，四逆而起。
少阴在泉，客胜则腰痛，凥股膝髀腨䯒，足病，瞀热以酸，胕肿不能久立，溲便变；主胜则厥气上行，心痛发热，鬲中众痹皆作，发于胠胁，魄汗不藏，四逆而起。
Shào yīn zài quán, kè shèng zé yāo tòng, kāo gǔ xī bì shuàn héng, zú bìng, mào rè yǐ suān, fū zhǒng bù néng jiǔ lì, sōu biàn biàn; zhǔ shèng zé jué qì shàng xíng, xīn tòng fā rè, gé zhōng zhòng bì jiē zuò, fā yú qū xié, pò hàn bù cáng, sì nì ér qǐ.
When lesser yin lies in the spring, if the guest prevails there is pain of the loins, and illness of the rump, the thighs, the knees, the upper thighs, the calves and the shins, and of the feet, with a clouded heat and aching, swelling and an inability to stand long, and changes in the passing of water and stool; if the host prevails reversal qi goes up, the heart pains with fever, and the many impediments of the diaphragm all arise, breaking out at the flanks; the corporeal sweat does not stay in, and the four limbs reverse.
**「䯒」本篇1見，止在此句**；**此段「凥股膝髀腨䯒，足病」，少陰在泉客勝之病**