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。
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。
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.
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.
本篇於第三篇「冬傷於寒,春必溫病」之外補足四時伏邪的完整鏈條,是後世「伏氣」說的根據。
脉短氣絶,死。病温虚甚死。
脉短气绝,死。病温虚甚死。
mài duǎn qì jué, sǐ. bìng wēn xū shèn sǐ.
A short pulse with the qi cut off is death. Warm disease with severe depletion is death.
「病温虚甚死」:王冰:「病溫虛甚,真氣內竭,故死。」底本作「温」(「溫」之俗省)、「虚」(「虛」之俗省)。與第五篇「冬傷於寒,春必溫病」同源:彼言溫病之所由來,本篇言溫病而虛甚者之必死——以虛決死生,與第六篇論溫病之可治者相對。
人一呼脉三動,一吸脉三動而躁,尺熱曰病温,尺不熱脉滑曰病風,脉濇曰痺。
人一呼脉三动,一吸脉三动而躁,尺热曰病温,尺不热脉滑曰病风,脉涩曰痹。
rén yī hū mài sān dòng, yī xī mài sān dòng ér zào, chǐ rè yuē bìng wēn, chǐ bù rè mài huá yuē bìng fēng, mài sè yuē bì.
If on one exhalation the pulse moves three times and on one inhalation three times again, and it is agitated, then a hot cubit skin is called warmth disease; a cubit skin that is not hot with a slippery pulse is called wind disease; a rough pulse is called impediment.
「人一呼脉三動,一吸脉三動而躁,尺熱曰病温,尺不熱脉滑曰病風,脉濇曰痺」:本篇以一息六至之躁脈,合尺膚之熱與不熱,分溫病、風病、痺病三者。與第五篇「溫病」同條而義進:第五篇以冬傷於寒、春必病溫言溫病之由,本篇則以脈與尺膚為溫病之診——尺熱者為溫,尺不熱而脈滑者為風,脈濇者為痺。
凡病傷寒而成温者,先夏至日者爲病温,後夏至日者爲病暑。
凡病伤寒而成温者,先夏至日者为病温,后夏至日者为病暑。
Fán bìng shāng hán ér chéng wēn zhě, xiān xià zhì rì zhě wéi bìng wēn, hòu xià zhì rì zhě wéi bìng shǔ.
Whenever cold damage develops into warmth: if it comes before the summer solstice it is warm disease, if after the summer solstice it is summerheat disease.
「溫病」之目於本站已立(id 227),本篇則是其名之所自出:「凡病傷寒而成温者,先夏至日者爲病温,後夏至日者爲病暑」。**「温」讀 wēn,本篇二見**——**底本作「温」,不作「溫」,亦不作「瘟」**;《素問》凡瘟疫之瘟皆作温,本站從底本作温而讀 wēn;本條目名用通行之「溫」形,各從其所立之據。「凡」讀 fán;「病」讀 bìng,本篇二十六見;「傷」讀 shāng,本篇五見;「寒」讀 hán,本篇八見;「而」讀 ér,本篇十七見;「成」讀 chéng;「者」讀 zhě;「先」讀 xiān;「夏」讀 xià,本篇二見;「至」讀 zhì;「日」讀 rì,本篇二十六見;**「爲」讀 wéi**;「後」讀 hòu,本篇二見;「暑」讀 shǔ,本篇二見。**「成温」二字宜辨**:非「成於温」,乃「成為温」,言寒鬱久而化為温熱。**此句與開卷「熱病者皆傷寒之類」首尾呼應**:傷寒為其因,温暑為其名,熱病為其總稱;後世溫病學派與傷寒學派之分,其萌芽即在此一句。
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.
「春必温病」——底本作温,通行本作溫,二字音義無別,讀 wēn;冬傷於寒,寒毒藏於肌膚,至春變為温病;**「温病」本篇1見**