凡持真脉之藏脉者,肝至懸絶急,十八日死;心至懸絶,九日死;肺至懸絶,十二日死;腎至懸絶,七日死;脾至懸絶,四日死。
凡持真脉之藏脉者,肝至悬绝急,十八日死;心至悬绝,九日死;肺至悬绝,十二日死;肾至悬绝,七日死;脾至悬绝,四日死。
fán chí zhēn mài zhī zàng mài zhě, gān zhì xuán jué jí, shí bā rì sǐ; xīn zhì xuán jué, jiǔ rì sǐ; fèi zhì xuán jué, shí èr rì sǐ; shèn zhì xuán jué, qī rì sǐ; pí zhì xuán jué, sì rì sǐ.
Whenever one takes hold of the storing pulse of the true pulse: the liver, arriving suspended and cut off and urgent, means death in eighteen days; the heart, suspended and cut off, nine days; the lung, twelve days; the kidney, seven days; the spleen, four days.
本篇死期之數皆繫於「懸絶」二字:五藏各有其日,肝十八、心九、肺十二、腎七、脾四。底本「絶」不作「絕」,詳校勘表。
所謂逆四時者,春得肺脉,夏得腎脉,秋得心脉,冬得脾脉,其至皆懸絶沈濇者,命曰逆四時未有藏形,於春夏而脉沈濇,秋冬而脉浮大,名曰逆四時也。
所谓逆四时者,春得肺脉,夏得肾脉,秋得心脉,冬得脾脉,其至皆悬绝沉涩者,命曰逆四时未有藏形,于春夏而脉沉涩,秋冬而脉浮大,名曰逆四时也。
Suǒ wèi nì sì shí zhě, chūn dé fèi mài, xià dé shèn mài, qiū dé xīn mài, dōng dé pí mài, qí zhì jiē xuán jué chén sè zhě, mìng yuē nì sì shí wèi yǒu zàng xíng, yú chūn xià ér mài chén sè, qiū dōng ér mài fú dà, míng yuē nì sì shí yě.
Going against the four seasons means getting a lung pulse in spring, a kidney pulse in summer, a heart pulse in autumn, a spleen pulse in winter — and their arrival all hanging, cut off, sunken and rough. When the seasonal form of the viscus is absent — sunken and rough in spring and summer, floating and large in autumn and winter — this too is named going against the four seasons.
「其至皆懸絶沈濇者,命曰逆四時」:本篇懸絶之義,在脈至之懸絶而與時相違——懸者如懸物之獨立而無根,絶者斷而不續,更兼沉濇而不流利。與第七篇「懸絶」(其至皆懸絶沈濇者,命曰逆四時)同條而義同而益詳:二篇同舉「懸絶沈濇」以為逆四時之脈,本篇益以「春得肺脉、夏得腎脉、秋得心脉、冬得脾脉」四者——各得其所不勝之藏之脈,故其至皆懸絶沉濇。
歧伯曰:九候之脉,皆沈細懸絶者爲陰,主冬,故以夜半死;盛躁喘數者爲陽,主夏,故以日中死。
歧伯曰:九候之脉,皆沉细悬绝者为阴,主冬,故以夜半死;盛躁喘数者为阳,主夏,故以日中死。
Qí bó yuē: jiǔ hòu zhī mài, jiē chén xì xuán jué zhě wéi yīn, zhǔ dōng, gù yǐ yè bàn sǐ; shèng zào chuǎn shuò zhě wéi yáng, zhǔ xià, gù yǐ rì zhōng sǐ.
Qibo says: where the pulses of the nine probes are all sunken, thin and cut off — that is yin, and it governs winter — such a one dies at midnight. Where they are exuberant, agitated, panting and rapid — that is yang, and it governs summer — such a one dies at noon.
「九候之脉,皆沈細懸絶者爲陰,主冬,故以夜半死」:本篇懸絶之義,與沈細相兼,為陰脈之極——懸者如懸物之獨立而無根,絶者斷而不續。與第七篇「懸絶」、第十九篇「其至皆懸絶沈濇者,命曰逆四時」同條而義同:三篇皆以「懸絶沈濇(細)」連言,本篇益以死時——沈細懸絶者主冬,故以夜半死;下文「盛躁喘數者爲陽,主夏,故以日中死」,則其對。