平按∶此篇自篇首至末，见《素问》卷十三第四十七《奇病论》篇，又见《甲乙经》
卷九第十一。
黄帝问岐伯曰∶有 者，一日数十溲，此不足也。身热如炭火，颈膺如格，人迎躁
盛，喘息气逆，此有余也。太阴脉微细如发者，此不足也。其病安在？名为何病？岐伯
曰∶病在太阴，其藏在胃，颇在肺，病名曰厥死，不治，此得五有余、二不足也。问曰∶
何谓五有余、二不足？答曰∶所谓五有余者，五病之气有余也；二不足者，亦二病之气
不足也。今外得五有余，内得二不足者，此其身不表不里，亦明死矣。（ ，淋也。人
有病一日数十溲，肾气不足也。手太阴脉如发，肺气不足也。此则二脏不足也。身热如
火，一有余也；颈及膺二气盛如格，三有余也；颈前胃脉人迎躁盛，四有余也；喘息气
逆，五有余也。人之遇病，外有五有余、内有二不足者，病在手足太阴，藏于胃中，动
之于肺，非定在于表里，名曰厥死之病，不可疗也。平按∶《素问》、《甲乙》炭下无
火字，其藏在胃作其盛在胃。《甲乙》五病之气，无五字。《素问》、《甲乙》亦二病
之气不足也作亦病气之不足也。亦明死矣《甲乙》作亦死证明
矣。又按本注缺二有余一条，《素问》王注云∶“外五有余者，一身热如炭，二颈膺如
格，三人迎躁盛，四喘息，五气逆也。”）
Yang Shangshan's Note: This section, from the beginning to the end of the passage, is found in Volume 13, Chapter 47 "Treatise on Rare Diseases" (Qibing Lun) of the *Suwen* (Plain Questions), and also in Volume 9, Chapter 11 of the *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion).
The Yellow Emperor asked Qibo: There is a condition characterized by Lin syndrome (dysuria/frequent urination), where the patient urinates dozens of times a day; this indicates a deficiency of healthy Qi. The body feels hot like charcoal, the neck and anterior chest feel obstructed or blocked, the Renying pulse (ST9) is restless and vigorous, and there is panting with rebellious Qi; this indicates an excess of pathogenic factors. The Taiyin pulse is fine and thin like a hair; this also indicates a deficiency. Where is the disease located? What is its name?
Qibo replied: The disease is located in the Taiyin channel, its zang-organ association lies with the Stomach, and it significantly involves the Lung. The disease is named Jue Si (Revulsion leading to death), which is incurable. This presents as five excesses and two deficiencies.
Someone asked: What do you mean by five excesses and two deficiencies?
The answer is: By "five excesses," I mean that the qi of five pathological conditions is in excess; by "two deficiencies," I mean that the qi of two pathological conditions is deficient. Now, if one has five excesses externally and two deficiencies internally, the disease is neither in the exterior nor in the interior, and death is evident. (Note: Lin syndrome refers to frequent urination. Urinating dozens of times a day indicates insufficiency of Kidney Qi. A hand-Taiyin pulse as fine as a hair indicates insufficiency of Lung Qi. These are two organ deficiencies. Body heat like fire is one excess; Qi stagnation in the neck and chest feeling like obstruction is three excesses; the Renying pulse at the neck being restless and vigorous is four excesses; panting and rebellious Qi is five excesses. When a person encounters a disease with five excesses externally and two deficiencies internally, the pathology involves the Hand and Foot Taiyin channels, resides in the Stomach, and affects the Lung. The location is not fixed in the exterior or interior. It is named the disease of Jue Si, which cannot be treated.)
Yang Shangshan's Note: In the *Suwen* and *Jiayi Jing*, the character "fire" does not appear after "charcoal." The phrase "its zang-organ association lies with the Stomach" appears as "its prosperity lies in the Stomach." In the *Jiayi Jing*, the phrase "qi of five pathological conditions" lacks the character "five." The phrase "also the qi of two pathological conditions is deficient" appears as "also the qi of disease is deficient." The phrase "death is evident" appears in the *Jiayi Jing* as "death is proven." Furthermore, this commentary lacks a note regarding "two excesses." Wang Bing's commentary on the *Suwen* states: "The five excesses externally are: one, body heat like charcoal; two, neck and chest feeling like obstruction; three, Renying pulse restless and vigorous; four, panting; five, rebellious Qi.")