上编揆度奇恒，未畅其旨，故相继而有奇病之论。奇病者，形居母腹，胎失其养，既生之后，经脉
脏气不足，当天癸未至之时，病从内生，卒然而起，病久且死，故曰奇也。如九月而喑，则胞胎
内虚，既生之后，天癸未至，致有息积伏梁疹筋厥逆，以及脾甘胆苦癃厥癫疾肾风之病，类而举之，皆先
天受病，卒然而发，故曰奇病。
黄帝问曰∶人有重身九月而喑，此为何也？
重，平声。为，去声。下俱同。惟为水为主转为发为之为如字。妇人怀孕，谓之重身。喑，声不出
也。怀孕九月，卒然无声，此何病也。
岐伯对曰∶胞之络脉绝也。
胞之络脉，系母腰肾。绝，不相维系也。九月而喑，以此故也。
帝曰∶何以言之？
何以络脉绝而当喑。
岐伯曰∶胞络者，系于肾，少阴之脉，贯肾系舌本，故不能言。
胞络者，系于母之腰者。肾者，少阴也。少阴之脉下贯肾，上
系舌本，肾不系胎，则少阴脉虚，虚则上下不交，故不能言而喑也。
帝曰∶治之奈何？
治喑奈何？
岐伯曰∶无治也，当十月复。
九月而喑，无可治也，当十月则非少阴主胎，斯时则复旧能言。
刺法曰，无损不足，益有余，以成其疹，然后调之。
所以无治者，如刺法有曰，无损不足，益有余，以成其疹，然
后调之之也。疹，犹病也。刺法，针刺之法也。
所谓无损不足者，身羸瘦，无用 石也。无益其有余者，腹中
有形而泄之。泄之则精出而病独擅中，故曰疹成也。
，犹针也。益，犹治也。刺法所谓无损不足者，如身羸瘦无用针石也。所谓无益其有余者，重身
则腹中有形，如腹中有形而泄之，泄之则精出而病独擅中，精出正虚，擅中邪实，故曰疹成也。
疹成而后调之，不若无损其不足，无治其有余矣。此胞络脉绝，先天不足，为奇病之先基，无客治也。
帝曰∶病胁下满，气逆，二三岁不已，是为何病？
胁满气逆，病之常也，二三岁不已则为奇病，故举以问。
岐伯曰∶病名曰息积，此不妨于食，不可灸刺，积为导引服药，药不能独治也。
胁满气逆，病名曰息积，二三岁不已，故此不妨于食，先天经脉受亏，病久不愈，故不可灸刺。积，
渐次也，须渐次为之导引而服药。导引，营运也。营运则经脉之亏者可复，若但服药，则药不
能独治也，此息积为先天奇病，而药不能治也。
帝曰∶人有身体髀股 皆肿，环齐而痛，是如何病？
齐，脐通，下同。身体髀股 皆肿，则气越于外，环脐而痛，
则气凝于内，病机各异，是为奇病，故复问之。
岐伯曰∶病名曰伏梁，此风根也，其气溢于大肠，而着于盲，盲之原
在齐下，故环齐而痛也，不可动之，动之为水溺涩之病也。
溺，鸟去声。邪积于内，致环脐而痛，故病名曰伏梁，风动水涣，致身体髀股 皆肿，故曰此风根也。
风根而为伏梁者，其风根之气，溢于大肠之外，而内着于盲，盲之原出了脖 。脖 ，脐下
也，故盲之原在脐下，溢大肠而着盲，故环脐而痛也，外则身体肿，内则环脐痛，亦属先天奇病，故
不可妄攻以动之，动之则土气益虚，身肿不消，而为水溺涩之病，此风根伏梁，为先天奇病而不可动也。
帝曰∶人有尺脉动甚，筋急而见，此为何病？
数，音朔。尺脉数甚，阴血虚也。筋急而见，肌肉脱也，脉数筋急，亦为奇病，故举以问。
岐伯曰∶此所谓疹筋，是人腹必急，白色黑色见，则病甚。
疹，犹病也。筋急而见，其病在筋，此所谓疹筋，肌肉虽脱，是人腹必急，其面白色黑色见，腹主地，面
主天，腹急，地气虚也。白色黑色见，天气虚也，则病当甚，难以治也，此疹筋腹急为先天奇病，而病必甚也。
帝曰∶人有病头痛，以数岁不已，此安得之，名为何病？
头者，诸阳之会，头痛而数岁不已，亦奇病也。
岐伯曰∶当有所犯大寒，内至骨髓，髓者以脑为主，脑逆故会头痛、齿亦痛，病名曰厥逆。
头者阳也，头痛者，当有所犯大寒，其室内至骨髓，脑为髓海，故髓者以脑为主，寒入于髓，则
脑逆，脑逆故令人头痛。齿者骨之余，寒入骨髓，故齿亦痛，病名曰厥逆，言阴阳之气不相顺
接，为厥为逆也，此大寒犯髓，头痛不已之奇病，而名为厥逆也。
帝曰∶善。
三字衍文。
帝曰∶有病口甘者，病名为何？何以得之？
承上文头痛齿痛之意，而问口甘，乃触类引伸以问也。
岐伯曰∶此五气之溢也，名曰脾瘅。
五气，土气也。溢，泛溢也。瘅，热也。土气泛溢，名曰脾瘅，言土虚脾热而口甘也。
夫五味入口，藏于胃，脾为之行其精气，津液在脾，故令人口甘也，此肥类之所发也，此
人必数食甘美而多肥也，肥者，令人内热，甘者，令人中满，故其气上溢，转为
消渴，治之以兰，除陈气也。
藏，如字。数，音朔。胃者土也。夫五味入口，皆藏于胃，而脾则为之行其精气，今津液在脾，不
能四布，故令人口甘也。此口甘者，乃肥美之味所发也。肥美者，此人必数食甘美而多肥也。肥
者，性浓，故令人内热。甘者，性缓，故令人中满，内热中满，故其气上溢，上溢而热，转为消渴。兰，
香草也，治之以兰，可以除陈气也。除陈者，推陈致新之意。
帝曰∶有病口苦，取阳陵泉。口苦者，病名为何？何以得之？
承上文口甘中满治之以兰之意，复问有病口苦，取阳陵泉刺之，而口苦不愈，何也？
岐伯曰∶病名曰胆瘅。夫肝者，中之将也，取决于胆，咽为之
使，此人者数谋虑不决，故胆虚，气上溢，而口为之苦，治之以胆
募俞，治在《阴阳十二官相使》中。
将、使，俱去声。数，音朔。口苦，胆热也，故病名曰胆瘅。胆附于肝，肝者将军之官。故夫肝者，
中之将也。胆居肝内，肝主谋虑，故取决于胆，肝脉上循喉咙，故咽为之使，此人所以口苦
者，必数谋虑不决，致胆气不和于肝，故胆虚，胆气上溢而口为之苦，但治胆合穴之阳陵泉，无裨也，当
治之以胆募俞。胆募者，胸之分，胆俞者，背之分。胆募俞者，胆俞在脊背第十椎下两旁，以
背之俞而合于胸之募，则当期门之处，胆附于肝，故当取募俞而合治之。灵兰秘典论曰∶肝者，将军之官，
谋虑出焉。胆者，中正之官，决断出焉。十二官者，相使而不得相失也。夫肝谋虑，胆决
断，是肝胆之气相使而不得相失，治以胆募俞者，乃胆病治肝，其施治之义，在《阴阳十二官相使》中，此
承上文大寒入髓之奇病，而论脾瘅胆瘅之热病，先圣立教之大法也。
帝曰∶有癃者，一日数十溲，此不足也，身热如炭，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，各为何病？
小便不利日癃，病癃一日数溲，此不足也，不足而复有诸有余
之病，有余而复有不足之脉，不足而有余，有余而不足，病之奇也，故举以问。
岐伯曰∶病在太阴，其盛在胃，颇在肺，病名曰厥，死不治。此所谓得五有余、二不足也。
病癃数十溲，太阴脉微细如发，则病在太阴，身热如炭，颈膺如格，人迎躁盛，喘息气逆，则其
盛在胃。太阴者，肺也，病在太阴，故颇在肺，阴阳之气，不相交合，病名曰厥，是为癃厥，死不
治，此所谓得五有余、二不足也。有余不足，详见下文。
帝曰∶何谓五有余二不足？岐伯曰∶所谓五有未者，五病之气
有未也；二不足者，亦病气之不足也。
所谓五有余者∶一身热如炭，二颈膺如格，三人迎躁盛，四喘息，五气逆，此五病之气为有余也。所谓二不足者∶
一病癃数十溲，二太阴脉微细如发，病有有余，即有不足，此二者亦病气之不足也。
今外得五有余，内得二不足，此其身不表不里，亦正死明矣。
阳明者，阳也，主外主表。太阴者，阴也，主内主里。今外得五有余则阳明真气不行于表，内得二不足，
则太阴真气不行于里，此其身不表不里，亦正死明矣，所以癃厥之病，死不治也。
帝曰∶人生而有病巅疾者，病名曰何，安所得之？
巅，作癫，下同。癫，癫痫也，生而病癫，亦先天奇病，故举以问。
岐伯曰∶病为名胎病，此得之在母腹中时，其母有所大惊，气
上而不下，精气并居，故令子发为巅疾也。
生而病癫，先天所受之病也，故名为胎病，此得之在母腹中时，其母有所大惊，其气上而不下，精以养
胎气，上不下则精与惊气并居，既生以后，故令子发为巅疾也，此癫疾为先天奇病，而属于不治也。
帝曰∶有病庞然如有水状，切其脉大紧，身无痛者，形不瘦，不能食，食少，名为何病？
庞然如水状，病之深也，脉大紧，身无痛，形不瘦，病之浅
也。不能食，食少，病之深也。病似深复似浅，似浅复似深，病之奇也，故举以问。
岐伯曰∶病生在肾，名为肾风，肾风而不能食，善惊，惊已，心气痿者死。
肾为水脏，今庞然浮肿，如有水状，故病生于肾，水因风动，故名为肾风。肾者，水也。水寒之气，籍
阳火以营运，今肾风而不能食，火气虚也。火虚则善惊，惊已，而心气痿者，神机化灭也，
故死。此肾风为先天奇病，而必死也。
帝曰∶善。
重身九月而喑，胞络脉绝，先天受亏，发为奇病，病不能治，且至于死，帝通承上文而善之。
The preceding chapter, *Kui Du Qi Heng* (Measuring the Extraordinary and Constant), failed to fully elucidate its purport; therefore, discussions on "Qi Bing" (Extraordinary Diseases) followed. Qi Bing refers to conditions where the fetus lacked proper nourishment in the womb, resulting in insufficiency of meridians and Zang-Fu Qi after birth. When Tian Gui (the substance promoting sexual maturation and reproductive function) has not yet arrived, diseases arise internally, manifesting suddenly. If prolonged, they lead to death; hence, they are termed "extraordinary." For instance, aphonia occurring at the ninth month of pregnancy indicates deficiency within the Bao Luo (uterine network vessels). After birth, with Tian Gui absent, conditions such as Xi Ji (Breathing Accumulation), Fu Liang (Hidden Beam), Zhen Jin (Rash of Sinews), Jue Ni (Reversal and Counterflow), Pi Dan (Spleen Heat), Dan Dan (Gallbladder Heat), Long Jue (Urethral Obstruction and Reversal), Dian Ji (Epilepsy), and Shen Feng (Kidney Wind) may occur. Listing these, all stem from congenital disease and sudden onset, thus called Qi Bing.
Huang Di asked: There is a person who becomes aphonic at the ninth month of pregnancy. What is this condition?
Chong (double/heavy) is pronounced with the level tone. Wei (to be/for) is pronounced with the departing tone, as below. Only, Wei as water, Zhu (main) turns into Fa (develop), Wei as Zhi (particle) are read as their original characters. Pregnancy in women is called "Chong Shen" (Double Body). Yin (aphonia) means inability to produce sound. Becoming suddenly mute at the ninth month of pregnancy—what disease is this?
Qi Bo replied: The network vessels of the Bao (uterus) are obstructed.
The network vessels of the Bao connect to the mother's lumbar Kidneys. Jue (severance/obstruction) means lack of connection. Aphonia at the ninth month occurs due to this reason.
Huang Di said: Why do you say so?
Why does obstruction of network vessels lead to aphonia?
Qi Bo said: The Bao Luo connects to the Kidney. The Shaoyin (Lesser Yin) meridian passes through the Kidney and connects to the root of the tongue; therefore, speech is impossible.
The Bao Luo connects to the Kidney in the mother's lumbar region. The Kidney belongs to Shaoyin. The Shaoyin meridian descends through the Kidney and ascends to connect to the root of the tongue. If Kidney Qi fails to anchor the fetus, the Shaoyin pulse becomes deficient. Deficiency leads to failure of upper and lower interaction, resulting in inability to speak and aphonia.
Huang Di said: How should it be treated?
How should aphonia be treated?
Qi Bo said: No treatment is needed; recovery will occur in the tenth month.
Aphonia at the ninth month requires no treatment. By the tenth month, when the Shaoyin no longer governs the fetus, one will return to normal and regain speech.
The *Ci Fa* (Needling Methods) states: Do not damage what is insufficient, nor tonify what is excessive, lest you create a Zhen (disease/rash), and only then regulate.
The reason for no treatment is that the *Ci Fa* states: "Do not damage insufficiency, do not benefit excess, to form a Zhen, then regulate." Zhen means disease. Ci Fa refers to needling methods.
What is meant by "do not damage insufficiency" is that for those emaciated and thin, needle-stone therapies should not be used. "Do not benefit excess" means for those with palpable masses in the abdomen, purgation should not be applied. Purging causes essence to exit while pathology dominates the interior, thus termed "Zhen formed."
Ci (needle) implies acupuncture. Yi (benefit) implies treatment. The *Ci Fa* states "do not damage insufficiency," meaning emaciated individuals should not undergo needle-stone therapy. "Do not benefit excess" means if a pregnant woman has a palpable mass in the abdomen and purges it, essence exits and pathology dominates the center. Essence loss leads to Zheng (Righteous Qi) deficiency, while pathology dominance leads to Shi (Excess). Thus, it is said "Zhen is formed."
After Zhen forms, regulation is less effective than not damaging insufficiency or treating excess. This Bao Luo obstruction stems from congenital insufficiency, forming the basis of Qi Bing. There is no external pathogen to treat; hence, no intervention is required.
Huang Di asked: A person suffers from hypochondriac fullness and rebellious Qi persisting for two or three years without resolution. What disease is this?
Hypochondriac fullness and Qi rebellion are common. Persistence for two or three years makes it a Qi Bing; thus, it is asked.
Qi Bo said: The disease is named Xi Ji (Breathing Accumulation). It does not affect eating. Moxibustion and needling are contraindicated. Treatment requires Daoyin (guiding and pulling exercises) combined with herbal medicine; herbs alone cannot cure it.
Hypochondriac fullness and Qi rebellion are named Xi Ji. Persistence for years implies it does not affect eating. Due to congenital meridian deficiency and chronicity, moxibustion and needling are contraindicated. Ji (accumulation) implies gradual progression. One must gradually practice Daoyin and take medicine. Daoyin involves movement. Movement restores meridian deficiency. Herbs alone cannot cure this congenital Qi Bing.
Huang Di asked: A person has swelling in the thighs and calves, with pain encircling the navel. What disease is this?
Qi (navel) is synonymous with Umbilicus. Swelling in thighs and calves indicates Qi dispersing outward; periumbilical pain indicates Qi stagnating inward. Different pathomechanisms constitute a Qi Bing; thus, it is asked again.
Qi Bo said: The disease is named Fu Liang (Hidden Beam). It is rooted in Wind. The Qi overflows into the Large Intestine and attaches to the Mang (blind membrane). The origin of the Mang is below the navel, causing periumbilical pain. It must not be manipulated; manipulation leads to difficulty in urination.
Niao (urine) is pronounced with the departing tone. Pathogenic accumulation inside causes periumbilical pain, named Fu Liang. Wind movement causes water dispersion, leading to swelling in thighs and calves, hence "rooted in Wind." The Wind root becoming Fu Liang means Wind Qi overflows the Large Intestine and attaches to the Mang. The origin of the Mang is at Bo Yang (below the navel). Overflowing the Large Intestine and attaching to the Mang causes periumbilical pain. External swelling and internal pain belong to congenital Qi Bing. Therefore, aggressive attack/manipulation is forbidden. Manipulation weakens Earth Qi further, preventing swelling resolution and causing urinary obstruction. This Wind-rooted Fu Liang is a congenital Qi Bing that must not be manipulated.
Huang Di asked: A person has a vigorous pulse at the Chi position, with spasmodic sinews visible. What disease is this?
Shuo (rapid) is the pronunciation. Rapid Chi pulse indicates Yin Blood deficiency. Visible spasmodic sinews indicate muscle wasting. Rapid pulse with spasmodic sinews is also a Qi Bing; thus, it is asked.
Qi Bo said: This is called Zhen Jin (Rash of Sinews). The abdomen will necessarily be tight. Appearance of white or black color on the face indicates severe disease.
Zhen means disease. Spasmodic sinews indicate pathology in the sinews, called Zhen Jin. Despite muscle wasting, the abdomen is tight. The face represents Heaven; the abdomen represents Earth. Abdominal tightness indicates Earth Qi deficiency. White or black facial color indicates Heaven Qi deficiency. Thus, the disease is severe and difficult to treat. Zhen Jin with abdominal tightness is a congenital Qi Bing, destined to be severe.
Huang Di asked: A person suffers from headache persisting for many years. How did it originate? What is it named?
The head is the convergence of all Yang meridians. Headache persisting for years is a Qi Bing.
Qi Bo said: It results from exposure to severe Cold, penetrating to the bone marrow. Marrow is dominated by the Brain. Brain Qi rebels, causing headache; teeth also hurt. The disease is named Jue Ni (Reversal and Counterflow).
The head is Yang. Headache arises from severe Cold entering deep into bone marrow. The Brain is the Sea of Marrow; thus, Marrow is dominated by the Brain. Cold entering marrow causes Brain Qi rebellion, leading to headache. Teeth are the surplus of bone; Cold in marrow causes toothache. Named Jue Ni, indicating failure of Yin and Yang Qi to connect smoothly, resulting in Jue (Reversal) and Ni (Counterflow). This severe Cold invading marrow causing persistent headache is named Jue Ni.
Huang Di said: Excellent.
Three characters are superfluous.
Huang Di asked: A person has a sweet taste in the mouth. What is the disease name? How did it arise?
Continuing from headache/toothache, asking about sweet taste extends the inquiry by analogy.
Qi Bo said: This is overflow of Five Qi, named Pi Dan (Spleen Heat/Damp-Heat).
Five Qi refers to Earth Qi. Yi (overflow) means flooding. Dan (heat/damp-heat) means heat. Earth Qi flooding is named Pi Dan, indicating Spleen deficiency with Heat causing sweet taste.
Five flavors enter the mouth and store in the Stomach; the Spleen distributes their essence. Fluids remaining in the Spleen cause sweet taste. This originates from rich foods. Such persons frequently consume sweet and fatty foods. Fatty foods generate internal heat; sweet foods cause middle-jiao fullness. Thus, Qi overflows upward, transforming into Xiao Ke (Wasting-Thirst). Treatment uses Lan Cao (Orchid/Calamus) to remove stale Qi.
Cang (store) is read as original. Shuo (frequent) is rapid. Stomach is Earth. Five flavors store in Stomach; Spleen distributes essence. Fluids staying in Spleen fail to distribute, causing sweet taste. Sweet taste arises from rich flavors. Rich flavors imply frequent consumption of sweet/fatty foods. Fatty nature is dense, causing internal heat. Sweet nature is slow, causing middle-fullness. Internal heat and middle-fullness cause Qi overflow. Upward overflow with heat transforms into Xiao Ke. Lan is an aromatic herb. Treating with Lan removes stale Qi. Chu Chen (removing stale) implies pushing out the old to bring forth the new.
Huang Di asked: A person has bitter taste in the mouth, treated by taking Yang Ling Quan. Bitter taste—what is the disease name? How did it arise?
Continuing from sweet taste/middle-fullness treated with Lan, asking why bitter taste persists despite needling Yang Ling Quan.
Qi Bo said: The disease is named Dan Dan (Gallbladder Heat/Damp-Heat). The Liver is the General within; it depends on the Gallbladder. The throat serves as its envoy. Frequent deliberation without decision leads to Gallbladder deficiency. Qi overflows upward, causing bitter taste. Treatment should target Gallbladder Mu and Shu points. Methods are detailed in *Yin Yang Twelve Officials Mutual Assistance*.
Jiang/Shi (General/Envoy) are departing tones. Shuo (frequent) is rapid. Bitter taste indicates Gallbladder Heat, named Dan Dan. Gallbladder attaches to Liver; Liver is the General of the Middle. Gallbladder resides within Liver. Liver governs deliberation; thus, it depends on Gallbladder. Liver meridian ascends through the throat; thus, throat is the envoy. Frequent indecision causes Gallbladder-Liver disharmony, leading to Gallbladder deficiency and Qi overflow causing bitterness. Treating only the He-Sea point Yang Ling Quan is ineffective. One must treat Gallbladder Mu and Shu points. Gallbladder Mu is in the chest; Shu is in the back. Gallbladder Shu is beside the 10th thoracic vertebra. Combining back Shu with chest Mu corresponds to Qimen. Attaching to Liver, Mu and Shu should be treated together. *Ling Lan Mi Dian Lun* states: Liver is the General, source of deliberation. Gallbladder is the Official of Uprightness, source of decision. The twelve officials assist each other without loss. Liver deliberates, Gallbladder decides; their Qi assists without loss. Treating Gallbladder Mu-Shu treats Liver via Gallbladder pathology. This principle is in *Yin Yang Twelve Officials Mutual Assistance*. This follows the previous severe Cold-in-marrow Qi Bing, discussing Pi Dan and Dan Dan heat diseases, following ancient sage principles.
Huang Di asked: A person suffers from Long (urinary retention), urinating dozens of times daily (deficiency). Body hot as charcoal, neck/chest feels blocked. Ren Ying pulse is restless and vigorous (excess). Panting and rebellious Qi (excess). Taiyin pulse is fine as hair (deficiency). Where is the disease? What are the names?
Urinary difficulty is Long. Frequent urination indicates deficiency. Deficiency coexists with excess symptoms; excess coexists with deficiency pulses. This paradox is a Qi Bing; thus, asked.
Qi Bo said: Disease is in Taiyin, excess is in Stomach, involvement in Lung. Named Jue (Reversal). Death is inevitable. This is "Five Excesses, Two Deficiencies."
Long with frequent urination and fine Taiyin pulse indicate Taiyin disease. Charcoal-like heat, blocked neck/chest, vigorous Ren Ying, panting/rebellious Qi indicate Stomach excess. Taiyin refers to Lung; disease in Taiyin involves Lung. Yin-Yang Qi fail to interact. Named Jue, specifically Long Jue. Incurable death. This is Five Excesses, Two Deficiencies. Details follow.
Huang Di asked: What are Five Excesses and Two Deficiencies? Qi Bo said: Five Excesses refer to five pathological Qi excesses; Two Deficiencies refer to pathological Qi deficiencies.
Five Excesses: 1. Body hot as charcoal, 2. Neck/chest blocked, 3. Vigorous Ren Ying, 4. Panting, 5. Rebellious Qi. These five are excess. Two Deficiencies: 1. Long with frequent urination, 2. Fine Taiyin pulse. Presence of excess implies deficiency; these two are Qi deficiency.
External Five Excesses and internal Two Deficiencies mean the disease is neither exterior nor interior, clearly fatal.
Yangming is Yang, governing exterior/exterior. Taiyin is Yin, governing interior/interior. External Five Excesses mean Yangming True Qi fails to circulate externally. Internal Two Deficiencies mean Taiyin True Qi fails to circulate internally. Disease is neither exterior nor interior, clearly fatal. Thus, Long Jue is incurable death.
Huang Di asked: A person born with Dian Ji (epilepsy/seizure disorder). What is the name? How acquired?
Dian is synonymous with Dian (epilepsy). Congenital epilepsy is a Qi Bing; thus, asked.
Qi Bo said: Named Tai Bing (Fetal Disease). Acquired in utero when the mother suffered great fright. Qi rose and did not descend. Essence and fright Qi merged, causing the child to develop Dian Ji.
Congenital epilepsy is inherited pathology, named Tai Bing. Acquired in utero due to maternal fright. Qi rose but did not descend. Essence nourishes fetus; rising Qi prevents descent, merging essence with fright Qi. Post-birth, this causes Dian Ji. Congenital epilepsy is incurable.
Huang Di asked: A person has edema resembling water retention. Pulse is large and tight. Body painless, not emaciated. Cannot eat, eats little. What disease?
Edema indicates deep disease. Large/tight pulse, painless, non-emaciated indicate superficial disease. Anorexia indicates deep disease. Alternating deep/superficial signs constitute a Qi Bing; thus, asked.
Qi Bo said: Disease originates in Kidney, named Shen Feng (Kidney Wind). Inability to eat, propensity to fright, followed by Heart Qi atrophy leads to death.
Kidney is Water organ. Edema resembles water, originating in Kidney. Water moves with Wind, named Shen Feng. Kidney is Water. Cold-Water Qi relies on Fire Qi for circulation. Shen Feng with anorexia indicates Fire deficiency. Fire deficiency causes fright. Post-fright, Heart Qi atrophy destroys Shen (Spirit) mechanism, leading to death. Congenital Shen Feng is invariably fatal.
Huang Di said: Excellent.
Pregnancy ninth-month aphonia, Bao Luo obstruction, congenital deficiency, manifesting as Qi Bing, untreatable leading to death. Huang Di acknowledges the preceding discussion.