黑，脉之至也，上堅而大，有積氣在小腹與陰，名曰腎痺，得之沐浴清水而卧。
黑，脉之至也，上坚而大，有积气在小腹与阴，名曰肾痹，得之沐浴清水而卧。
hēi, mài zhī zhì yě, shàng jiān ér dà, yǒu jī qì zài xiǎo fù yǔ yīn, míng yuē shèn bì, dé zhī mù yù qīng shuǐ ér wò.
Black: the pulse arrives hard and large in the upper part. There is accumulated qi in the lower belly and the genitals. It is called kidney obstruction; it is contracted by bathing in cold water and then lying down.
黑色一條，五痺之末，最短：但言積氣之處與所得之由，不言兼症。「陰」謂前陰。
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.
「腎痺者，善脹，凥以代踵，脊以代頭」——**本篇「腎」3見**；「凥」讀 jū，**从尸从几，讀 jū，「居」之本字**，**與 ch41「引項脊凥背」「刺腰凥交者」同字**；「踵」讀 zhǒng、**足跟也**。**凥以代踵、脊以代頭**——**足不能行則以凥代踵，頭不能舉則以脊代頭**，**本篇不作「尻」**。**骨合於腎，故骨痺不已則内舍於腎**。
太陽有餘，病骨痺身重；不足病腎痺；滑則病腎風疝，濇則病積，善時巔疾。
太阳有余，病骨痹身重；不足病肾痹；滑则病肾风疝，涩则病积，善时巅疾。
Tài yáng yǒu yú, bìng gǔ bì shēn zhòng; bù zú bìng shèn bì; huá zé bìng shèn fēng shàn, sè zé bìng jī, shàn shí diān jí.
When greater yang is in surplus the disease is bone obstruction and heaviness of the body; when it is insufficient, kidney obstruction. A slippery pulse brings kidney wind mounting; a rough pulse brings accumulation, with a tendency at times to disease of the crown.
「不足病腎痺」——**太陽不足則腎氣怯，故病腎痺**；**與第四十三篇「腎痺者，善脹，尻以代踵，脊以代頭」互見**