黄帝問曰:夫痎瘧皆生於風,其蓄作有時者,何也?
黄帝问曰:夫痎疟皆生于风,其蓄作有时者,何也?
Huáng dì wèn yuē: fú jiē nüè jiē shēng yú fēng, qí xù zuò yǒu shí zhě, hé yě?
The Yellow Emperor asks: now, the jie malarias all arise from wind, and yet their gathering and their breaking out keep to a set time. What is that?
全篇設問之第一句。「黄」讀 huáng,本篇惟此一見,不作「黃」(「黃」),**與第三十四篇之作「黃帝」者異**,各從底本;「帝」讀 dì,本篇 16 見;「問」讀 wèn;「曰」讀 yuē,本篇 37 見;「夫」讀 fú;「痎」讀 jiē;「瘧」讀 nüè;「皆」讀 jiē;「生」讀 shēng;「於」讀 yú;「風」讀 fēng;「其」讀 qí;「蓄」讀 xù;「作」讀 zuò;「有」讀 yǒu;「時」讀 shí;「者」讀 zhě;「何」讀 hé;「也」讀 yě,本篇 52 見。**首問凡三層而只一問**:一曰其病原(皆生於風),二曰其狀態(蓄作),三曰其特性(有時)。**帝捨第一層不問,而獨問第三層**——故全篇所辯,皆「時」之一字。**此與第三十四篇首問「人身非常温也,非常熱也」之筆法相類**:彼則先言其非,此則先言其所共知,**皆先置一無可爭之地,而後於無可爭中發難**。
夏三月,此謂蕃秀。天地氣交,萬物華實。夜卧早起,無厭於日,使志無怒,使華英成秀,使氣得泄,若所愛在外。此夏氣之應,養長之道也。逆之則傷心,秋爲痎瘧,奉收者少,冬至重病。
夏三月,此谓蕃秀。天地气交,万物华实。夜卧早起,无厌于日,使志无怒,使华英成秀,使气得泄,若所爱在外。此夏气之应,养长之道也。逆之则伤心,秋为痎疟,奉收者少,冬至重病。
Xià sān yuè, cǐ wèi fán xiù. tiān dì qì jiāo, wàn wù huā shí. yè wò zǎo qǐ, wú yàn yú rì, shǐ zhì wú nù, shǐ huā yīng chéng xiù, shǐ qì dé xiè, ruò suǒ ài zài wài. cǐ xià qì zhī yìng, yǎng zhǎng zhī dào yě. nì zhī zé shāng xīn, qiū wéi jiē nüè, fèng shōu zhě shǎo, dōng zhì zhòng bìng.
The three months of summer are called flourishing and fair. The qi of heaven and earth intermingle; the ten thousand things flower and set fruit. Sleep at night and rise early, do not weary of the sun, keep the will free from anger, let the flowering brilliance come to its bloom, and let the qi find its outlet, as though what one loved were outside. This is the answer to the qi of summer, and it is the way of nourishing growth. Going against it harms the heart; in autumn there is jie malaria, there is little to hand on to what must gather in, and at the winter solstice the illness is grave.
「秋爲痎瘧」——逆夏氣之罰,奉收者少;痎讀 jiē,瘧讀 nüè;**「痎瘧」本篇1見**
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.
「秋爲痎瘧」——痎讀 jiē,瘧讀 nüè;夏傷於暑,暑邪藏而後發,至秋為痎瘧;**「痎瘧」本篇1見**
故曰:冬傷於寒,春必溫病;春傷於風,夏生飱泄;夏傷於暑,秋必痎瘧;秋傷於濕,冬生欬嗽。
故曰:冬伤于寒,春必温病;春伤于风,夏生飧泄;夏伤于暑,秋必痎疟;秋伤于湿,冬生咳嗽。
gù yuē: dōng shāng yú hán, chūn bì wēn bìng; chūn shāng yú fēng, xià shēng sūn xiè; xià shāng yú shǔ, qiū bì jiē nüè; qiū shāng yú shī, dōng shēng ké sou.
Thus it is said: harmed by cold in winter, one will have warmth disease in spring; harmed by wind in spring, one will have pouring diarrhoea in summer; harmed by summer heat in summer, one will have malarial illness in autumn; harmed by dampness in autumn, one will have coughing in winter.
「秋必痎瘧」——夏傷於暑則秋必痎瘧,與冬寒春溫、春風夏泄、秋濕冬欬並列;**「痎瘧」本篇1見**