也。（厥阴木火主气。故主于三月四月之交。三月阳盛之时。而厥阴主气。故为阳中之阴。邪谓阴气也。厥阴之气在内而
未得尽出。故为 疝腹肿也。张兆璜曰。有因阳气正出而为时气所遏抑者。有因时气正盛而又当阴气所主者。当知奇
恒之阴阳。与四时相逆而为病。）所谓腰脊痛不可以俯仰者。三月一振。荣华万物。一俯而不仰也。（三月阳气振发。万
物荣华。草木繁茂。枝叶下垂。一惟俯而不仰。人为万物之灵。是以腰脊痛而亦不可以俯仰也。）所谓 癃疝肤胀者。曰
阴亦盛。而脉胀不通。故曰 癃疝也。（阴亦盛者。厥阴之气亦盛于外也。阴盛而脉胀不通。故 癃而肤胀也。 癃疝者。
阴器肿而不得小便也。按此篇系伯承上章解释奇病之脉气。乃自相问答之辞。故末节添一曰字。以申明自相问答之意。
张
兆璜曰。曰所谓。曰者者。是设为之问辞。下文是答辞。故增一曰字以别之。）所谓甚则嗌干热中者。阴阳相搏而热。
故嗌干也。（所谓甚者。谓阳气甚盛也。厥阴之气。与甚阳相搏。则阴亦为热矣。热甚故嗌干而热中也。夫人之脏腑阴阳。
与天地四时之气。寒暑往来。交相顺序。惟奇恒之势。各以六十日为首。与四时之气。相逆而为病。故圣人持诊之道。
先后阴阳而持之。先诊阴阳之序。后诊阴阳之奇。审于终始。通于常变。诊道乃具。方可横行。）
(Jueyin Wood and Ministerial Fire govern the qi. Therefore, it corresponds to the transition between the third and fourth lunar months. During the third month when Yang qi is abundant, yet Jueyin governs the qi, it is thus termed Yin within Yang. Here, "pathogen" refers to Yin qi. The Jueyin qi resides internally but fails to fully emerge externally, thereby causing hernia (Shan) and abdominal swelling. Zhang Zhaohuang stated: There are cases where Yang qi, while ascending, is suppressed by seasonal factors; there are also cases where seasonal qi is at its peak while simultaneously being governed by Yin qi. One must understand the Yin and Yang of the extraordinary (Qiheng), and how they deviate from the four seasons to cause disease.)
Regarding the statement that waist and spine pain prevents flexion and extension: In the third month, Yang qi vibrates and stimulates growth, and all things flourish. Leaves and branches hang downward, exhibiting only flexion without extension. As humans are the spirit of all things, their waist and spine also suffer pain and inability to flex or extend.
Regarding the statement about strangury (Long), hernia (Shan), and cutaneous distension: It indicates that Yin qi is also abundant, causing vessel distension and obstruction, hence termed strangury and hernia. "Yin qi is also abundant" means the Jueyin qi is abundant externally. When Yin is excessive and vessels are distended and obstructed, strangury and cutaneous distension occur. Strangury and hernia refer to swelling of the genital organs accompanied by an inability to urinate. Note: This section serves as Bo Gao's continuation of the previous chapter, explaining the pulse qi of extraordinary diseases through a self-posed question and answer format. Thus, the character "Yue" (said) is added at the end to clarify this rhetorical structure. Zhang Zhaohuang noted: The phrase "Yue Suowei" uses "Yue" as a hypothetical question marker, with the following text serving as the answer; hence, the addition of "Yue" distinguishes the question from the answer.)
Regarding the statement that severe cases manifest as dry throat and internal heat: This occurs because Yin and Yang contend, generating heat, which leads to a dry throat. "Severe" refers to the extreme abundance of Yang qi. When Jueyin qi contends with excessive Yang qi, Yin qi transforms into heat. Severe heat results in a dry throat and internal heat. The Yin and Yang of human viscera and bowels correspond with the Qi of Heaven and Earth and the four seasons, with cold and heat alternating in sequence. However, the patterns of the extraordinary (Qiheng) begin every sixty days, opposing the four seasons and causing disease. Therefore, the sages mastered the art of diagnosis by first discerning the order of Yin and Yang, and subsequently identifying anomalies in Yin and Yang. By examining the beginning and end of diseases and understanding both routine and variable conditions, the Dao of diagnosis becomes complete, allowing for mastery in clinical practice.)