歧伯曰：足太陰者，三陰也，其脉貫胃屬脾絡嗌，故太陰爲之行氣於三陰。
歧伯曰：足太阴者，三阴也，其脉贯胃属脾络嗌，故太阴为之行气于三阴。
Qí bó yuē: zú tài yīn zhě, sān yīn yě, qí mài guàn wèi shǔ pí luò yì, gù tài yīn wèi zhī xíng qì yú sān yīn.
Qibo says: foot Taiyin is the third yin. Its vessel penetrates the stomach, belongs to the spleen and networks the pharynx; therefore Taiyin moves the qi for it through the three yin.
**「貫胃屬脾絡嗌」五字是本篇最切實之解剖，亦是答上問「以膜相連耳，而能爲之行其津液」之故。**「其」讀 qí；「脉」讀 mài；**「貫」讀 guàn，穿也、通也**，底本作「貫」，不作「贯」；「胃」讀 wèi；**「屬」讀 shǔ，連屬、統屬也**——底本作「屬」，不作「属」，與「屬」之讀 zhǔ（屬望、屬文）者別；「脾」讀 pí；「絡」讀 luò，底本作「絡」，不作「络」；「嗌」讀 yì；「故」讀 gù；「太」讀 tài；「陰」讀 yīn；**「爲」此處讀 wèi，替也、代之也**——與篇首「爲表裏」之讀 wéi 者**同形異讀，本篇二讀並見**；「行」讀 xíng；「氣」讀 qì；「於」讀 yú；「三」讀 sān。與《靈樞·經脈》「脾足太陰之脉……上膈，挾咽，連舌本，散舌下」可互參：彼言挾咽，此言絡嗌，其地則一。
四日，太陰受之，太陰脉布胃中，絡於嗌，故腹滿而嗌乾。
四日，太阴受之，太阴脉布胃中，络于嗌，故腹满而嗌干。
Sì rì, tài yīn shòu zhī, tài yīn mài bù wèi zhōng, luò yú yì, gù fù mǎn ér yì gān.
On the fourth day 太陰 receives it. The 太陰 vessel spreads through the stomach and networks into the pharynx, hence abdominal fullness and a dry throat.
「嗌」之目於本站已立（id 896，讀 yì），本篇二見而皆見於太陰受邪之日：「四日，太陰受之，太陰脉布胃中，絡於嗌，故腹滿而嗌乾」。**「嗌」讀 yì，本篇二見**——與第二十九篇「喉主天氣，咽主地氣」之三字分用不混者同例，本站凡「嗌」皆讀 yì。「四」讀 sì；「日」讀 rì；「太」讀 tài，本篇四見；「陰」讀 yīn；「受」讀 shòu，本篇八見；「之」讀 zhī；「脉」讀 mài；**「布」讀 bù，散佈也**；「胃」讀 wèi；「中」讀 zhōng；「絡」讀 luò，本篇六見；「於」讀 yú；「故」讀 gù；「腹」讀 fù；「滿」讀 mǎn；「而」讀 ér；**「乾」讀 gān，本篇五見**——底本皆作「乾」，無一處作「干」。**「太陰脉布胃中，絡於嗌」**——太陰為脾之脉，而曰「布胃中」者，脾與胃以膜相連，故脉氣得布於胃；此與第二十九篇「太陰陽明為表裏」之說相發，亦與本站「嗌」條所收他篇之義可互注。
肝風之狀，多汗惡風，善悲，色微蒼，嗌乾善怒，時憎女子，診在目下，其色青。
肝风之状，多汗恶风，善悲，色微苍，嗌干善怒，时憎女子，诊在目下，其色青。
Gān fēng zhī zhuàng, duō hàn wù fēng, shàn bēi, sè wēi cāng, yì gān shàn nù, shí zēng nǚ zǐ, zhěn zài mù xià, qí sè qīng.
In liver wind the patient sweats freely and loathes wind; he is given to grief; the colour is faintly blue-green; the throat is dry and he is quick to anger, and at times he turns from women. It is diagnosed below the eye, and the colour is blue-green.
「嗌乾善怒，時憎女子」——**本篇「嗌」1見，即此**；**第二十九篇之嗌為太陰之脉所絡，本篇之嗌則為肝風之候**。「嗌」讀 yì**讀 yì**；「乾」讀 gān**「嗌乾」讀 gān**；「蒼」讀 cāng**「色微蒼」讀 cāng**；「憎」讀 zēng**「憎」讀 zēng**。
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.
「嗌乾善噫」——「嗌」讀 yì，**本篇「嗌」1見**；**嗌乾即咽乾**——**與 ch31「絡於嗌，故腹滿而嗌乾」、ch42「嗌乾善怒」同一症**；**「噫」讀 ài（詳見心痺之條）**。
手陽明少陽厥逆，發喉痺，嗌腫，痓，治主病者。
手阳明少阳厥逆，发喉痹，嗌肿，痓，治主病者。
Shǒu yáng míng shào yáng jué nì, fā hóu bì, yì zhǒng, chì, zhì zhǔ bìng zhě.
In counterflow inversion of the hand yang brightness and lesser yang it develops into throat blockage, swelling of the pharynx and stiffness; treat what governs the disease.
「嗌腫，痓」——**本篇「嗌」讀 yì**；**嗌與上文 ch29「絡嗌」之嗌同字同讀**；**「痓」讀 chì，底本不作「痙」**。
所謂甚則嗌乾熱中者，陰陽相薄而熱，故嗌乾也。
所谓甚则嗌干热中者，阴阳相薄而热，故嗌干也。
Suǒ wèi shèn zé yì gān rè zhōng zhě, yīn yáng xiāng bó ér rè, gù yì gān yě.
What is called dry throat and heat in the centre in severe cases: yin and yang press against each other and heat is generated; hence the dry throat.
「「嗌」讀 yì乾熱中者」——**本篇「嗌」2見，讀 yì**；「薄」讀 bó、**本篇4見，讀 bó，相薄謂相搏擊**；**厥陰之脉循喉嚨之後，陰陽相薄而熱，故嗌乾**。
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，癃痔、遺溺、「嗌」讀 yì「乾」讀 gān」——**「嗌」讀 yì，咽也；「乾」讀 gān。督脉之病上至於喉，故嗌乾**；**本篇「嗌」1見、「乾」1見**；**下文「上貫心入喉」「其病上衝喉者」皆此一線之病**
邪客於足少陰之絡，令人嗌痛，不可内食，無故善怒，氣上走賁上，刺足下中央之脉，各三痏。
邪客于足少阴之络，令人嗌痛，不可内食，无故善怒，气上走贲上，刺足下中央之脉，各三痏。
Xié kè yú zú shào yīn zhī luò, lìng rén yì tòng, bù kě nà shí, wú gù shàn nù, qì shàng zǒu bēn shàng, cì zú xià zhōng yāng zhī mài, gè sān wěi.
When evil lodges in the network of the foot lesser yin it causes pain in the throat, an inability to take food in, causeless anger, and qi that runs up above the diaphragm. Puncture the vessel at the centre of the sole, three punctures on each side.
「令人嗌痛，不可内食，無故善怒，氣上走賁上」——**「嗌」本篇2見，皆在足少陰之絡一證中**：**「令人嗌痛，不可内食」一見、「嗌中腫，不能内唾」一見**；**「内」此讀 nà（納入），不可内食、不能内唾是也；本篇「内」8見，此二見讀 nà，餘讀 nèi**；**「賁」讀 bēn，賁上者膈之上也**；**「嗌」讀 yì**
歲火太過，炎暑流行，金肺受邪。民病瘧，少氣欬喘，血溢，血泄，注下，嗌燥耳聾，中熱，肩背熱。上應熒惑星。甚則胸中痛，脅支滿，脅痛，膺背肩胛間痛，兩臂内痛，身熱骨痛，而爲浸淫。收氣不行，長氣獨明，雨水霜寒。上應辰星。上臨少陰少陽，火燔爇，冰泉涸，物焦槁。病反譫妄狂越，欬喘息鳴，下甚血溢，泄不已。太淵絶者，死不治。上應熒惑星。
岁火太过，炎暑流行，金肺受邪。民病疟，少气欬喘，血溢，血泄，注下，嗌燥耳聋，中热，肩背热。上应荧惑星。甚则胸中痛，胁支满，胁痛，膺背肩胛间痛，两臂内痛，身热骨痛，而为浸淫。收气不行，长气独明，雨水霜寒。上应辰星。上临少阴少阳，火燔爇，冰泉涸，物焦槁。病反谵妄狂越，欬喘息鸣，下甚血溢，泄不已。太渊绝者，死不治。上应荧惑星。
Suì huǒ tài guò, yán shǔ liú xíng, jīn fèi shòu xié. Mín bìng nüè, shǎo qì kài chuǎn, xuè yì, xuè xiè, zhù xià, yì zào ěr lóng, zhōng rè, jiān bèi rè. Shàng yìng yíng huò xīng. Shèn zé xiōng zhōng tòng, xié zhī mǎn, xié tòng, yīng bèi jiān jiǎ jiān tòng, liǎng bì nèi tòng, shēn rè gǔ tòng, ér wéi jìn yín. Shōu qì bù xíng, zhǎng qì dú míng, yǔ shuǐ shuāng hán. Shàng yìng chén xīng. Shàng lín shào yīn shào yáng, huǒ fán ruò, bīng quán hé, wù jiāo gǎo. Bìng fǎn zhān wàng kuáng yuè, kài chuǎn xī míng, xià shèn xuè yì, xiè bù yǐ. Tài yuān jué zhě, sǐ bù zhì. Shàng yìng yíng huò xīng.
In a year of fire in surplus, blazing summer heat spreads and moves and the metal of the lung receives evil. The people are ill with malaria, scantness of qi, coughing and panting, blood escaping upward, blood discharged downward, pouring below, dryness of the throat and deafness, heat in the centre and heat in the shoulder and back; it answers above to Mars. If it is severe there is pain in the chest, propping fullness and pain in the flanks, pain between the breast, the back and the shoulder blades, pain on the inner side of both arms, heat of the body and pain in the bones, and the soaking spread of the illness. The qi of gathering does not move and the qi of growth shines alone; rain, water, frost and cold arrive; it answers above to Mercury. If lesser yin or lesser yang presides above, fire blazes and scorches, the icy springs dry up and things are burnt and withered; the illness turns to delirious speech and raving, coughing and panting with a noisy breath, and, below, severe bleeding and unending discharge. Where Taiyuan is cut off there is death and no cure; it answers above to Mars.
「血溢，血泄，注下，嗌燥耳聾，中熱，肩背熱」——**「嗌」本篇1見，止此一見**；**嗌者咽也；本篇嗌燥與耳聾、中熱、肩背熱並見，皆火盛傷金之候**；**「嗌」讀 yì**
太陽司天，寒氣下臨，心氣上從，而火且明，丹起金乃眚，寒清時舉，勝則水冰，火氣高明。心熱煩，嗌乾善渴，鼽嚏，喜悲數欠。熱氣妄行，寒乃復，霜不時降，善忘，甚則心痛。土乃潤，水豐衍，寒客至，沈陰化，濕氣變物，水飲内蓄，中滿不食，皮𤸷肉苛，筋脉不利，甚則胕腫，身後癰。
太阳司天，寒气下临，心气上从，而火且明，丹起金乃眚，寒清时举，胜则水冰，火气高明。心热烦，嗌干善渴，鼽嚏，喜悲数欠。热气妄行，寒乃复，霜不时降，善忘，甚则心痛。土乃润，水丰衍，寒客至，沉阴化，湿气变物，水饮内蓄，中满不食，皮𤸷肉苛，筋脉不利，甚则胕肿，身后痈。
Tài yáng sī tiān, hán qì xià lín, xīn qì shàng cóng, ér huǒ qiě míng, dān qǐ jīn nǎi shěng, hán qīng shí jǔ, shèng zé shuǐ bīng, huǒ qì gāo míng. Xīn rè fán, yì gān shàn kě, qiú tì, xǐ bēi shuò qiàn. Rè qì wàng xíng, hán nǎi fù, shuāng bù shí jiàng, shàn wàng, shèn zé xīn tòng. Tǔ nǎi rùn, shuǐ fēng yǎn, hán kè zhì, chén yīn huà, shī qì biàn wù, shuǐ yǐn nèi xù, zhōng mǎn bù shí, pí rún ròu kē, jīn mài bù lì, shèn zé fū zhǒng, shēn hòu yōng.
When greater yang governs the heaven the qi of cold descends upon it and the qi of the heart follows upward; fire then is bright and vermilion arises, and metal suffers calamity; cold and clear rise again and again, and where cold prevails the water freezes, so that the qi of fire is bright and high. The illness is heat and oppression in the heart, a dry throat and much thirst, snivelling and sneezing, a tendency to grief and many yawns. The hot qi moves recklessly and cold returns; frost falls out of season; there is much forgetting, and in the extreme pain in the heart. Earth then is moist, water abundant and spreading, cold comes as a guest, heavy cloud transforms, damp qi alters beings, water and drink store within, there is fullness in the middle and no eating, the skin is numb and the flesh callous, the sinews and vessels are not free, and in the extreme water swelling and a boil behind the body.
**「嗌」本篇1見，止在太陽司天「嗌乾善渴」**；**寒氣下臨，心火上從，故心熱煩而嗌乾善渴**