長夏善病洞泄寒中
长夏善病洞泄寒中
cháng xià shàn bìng dòng xiè hán zhōng.
In late summer one is prone to pouring diarrhoea with cold within.
洞泄與「寒中」連言，明其屬裏寒；本篇以為長夏之病。
清氣在下，則生飱泄；濁氣在上，則生䐜脹。此陰陽反作，病之逆從也。
清气在下，则生飧泄；浊气在上，则生䐜胀。此阴阳反作，病之逆从也。
qīng qì zài xià, zé shēng sūn xiè; zhuó qì zài shàng, zé shēng chēn zhàng. cǐ yīn yáng fǎn zuò, bìng zhī nì cóng yě.
When clear qi stays below, pouring diarrhoea results; when turbid qi stays above, distension results. This is yin and yang acting in reverse — the rebellion and compliance of disease.
本篇作「飱泄」（飱為飧之異體），與第四篇同；本條作「洞泄」，二名皆指水穀不化之下利，本篇更以清陽不升釋其病機。
五氣所病：心爲噫，肺爲欬，肝爲語，脾爲吞，腎爲欠，爲嚏，胃爲氣逆，爲噦、爲恐，大腸小腸爲泄，下焦溢爲水，膀胱不利爲癃，不約爲遺溺，膽爲怒，是謂五病。
五气所病：心为噫，肺为欬，肝为语，脾为吞，肾为欠，为嚏，胃为气逆，为哕、为恐，大肠小肠为泄，下焦溢为水，膀胱不利为癃，不约为遗溺，胆为怒，是谓五病。
Wǔ qì suǒ bìng: xīn wéi ài, fèi wéi kài, gān wéi yǔ, pí wéi tūn, shèn wéi qiàn, wéi tì, wèi wéi qì nì, wéi yuě, wéi kǒng, dà cháng xiǎo cháng wéi xiè, xià jiāo yì wéi shuǐ, bǎng guāng bù lì wéi lóng, bù yuē wéi yí niào, dǎn wéi nù, shì wèi wǔ bìng.
The disorders proper to the five qi: in the heart, belching; in the lung, coughing; in the liver, talking; in the spleen, swallowing; in the kidney, yawning and sneezing; in the stomach, counterflow qi, retching and fear; in the large and small intestine, diarrhoea; when the lower burner overflows, water; when the bladder is impeded, dribbling obstruction; when it is no longer held, urine passed unawares; in the gallbladder, anger. This is called the five disorders.
「大腸小腸爲泄」：本篇之泄，為二腸失其傳化之職，字作「泄」不作「洩」，與第十七篇「久風爲飱泄」之飱泄異——飱泄者食不化，此則但言其下利。與第三篇「洞泄」之所已載者、第十七篇飱泄之目同條而義別：本篇之泄不就其因而分（不曰風、不曰寒），只就其所出之府而列之為一症，與下文「下焦溢爲水」「膀胱不利爲癃」同以部位為目。
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.
「乃爲洞泄」——春傷於風，邪氣留連而不即發，至夏乃為洞泄；泄讀 xiè；**「洞泄」本篇1見**