一阳,少阳三焦也;足之一阳,少阳胆经也。膀胱,水也;小肠三焦,火也;胆,木也。三日死者,水之生
数一,火之生数二,合而为三。又三者,木之生数。尽水火之生数而死于木也。
三阴三阳俱搏,心腹满。发尽,不得隐曲,五日死。
三阴三阳俱搏者,手足太阴合手足太阳之气,而相搏击也。手太阴,肺金,天也;足太阴,脾土,
地也;手太阳,小肠,火也;足太阳,膀胱,水也。太阴,天地之气;太阳,水火之气。不和,
故心腹满。三阴三阳俱搏,则肺之天气,脾之地气,膀胱之水气,小肠之火气,发泄已尽,不得有所隐
曲也。隐,幽隐;曲,曲匿。与上文病发心脾之不得隐曲不同也。五日死者,土之生数五,天地
水火不交会于中土而死也。
二阳俱搏,其病温,死不治,不过十日死。
二阳俱搏者,手足阳明胃与大肠之气相搏击也。温,热也。其病温,以阳明之阳,而见温热之病。
阳亢津竭,故死不治。又曰不过十日死者,言上文不交会于中土,则五日死,此阳明土气亢热,
亦不过十日死。五、十居中,皆土数也。此言阳搏阴搏则死,是非阴阳之常,而为阴阳之别也。
帝问四经十二从,乃探阴阳之理,而求其常。岐伯不论阴阳之常,而论阴阳之别,意谓欲知阴阳
之常,必知阴阳之别,不知阴阳之别,则阴阳之理,犹为未尽云尔。
One Yang refers to Shaoyang Sanjiao (Triple Burner); the One Yang of the foot refers to Shaoyang Gallbladder Meridian. The Bladder belongs to Water; the Small Intestine and Sanjiao belong to Fire; the Gallbladder belongs to Wood. Death occurring on the third day is due to the generating number of Water being one, and the generating number of Fire being two, which sum to three. Furthermore, "three" is also the generating number of Wood. This indicates death resulting from Wood after exhausting the generating numbers of Water and Fire.
If the pulses of all Three Yin and all Three Yang are vigorous and striking (Ju Bo), there will be fullness in the heart and abdomen. When the symptoms manifest completely, the patient cannot perform hidden or flexed actions (referring to difficulties in urination, defecation, or sexual function), leading to death on the fifth day.
"Three Yin and Three Yang Ju Bo" means that the Qi of Hand Taiyin Lung Meridian and Foot Taiyin Spleen Meridian, along with Hand Taiyang Small Intestine Meridian and Foot Taiyang Bladder Meridian, are fighting each other. Hand Taiyin Lung belongs to Metal, corresponding to Heaven; Foot Taiyin Spleen belongs to Earth, corresponding to Earth; Hand Taiyang Small Intestine belongs to Fire; Foot Taiyang Bladder belongs to Water. Taiyin represents the Qi of Heaven and Earth; Taiyang represents the Qi of Water and Fire. Due to disharmony, heart and abdominal fullness occurs. When the Qi of all Three Yin and Three Yang fight each other, the Heavenly Qi of the Lung, Earthly Qi of the Spleen, Water Qi of the Bladder, and Fire Qi of the Small Intestine are fully exhausted, leaving no capacity for any hidden or flexed state. Here, "Yin" implies deep concealment, and "Qu" implies crooked hiding. This differs from the "cannot perform hidden or flexed actions" caused by disease affecting the Heart and Spleen mentioned earlier. Death on the fifth day is because the generating number of Earth is five; death occurs because the Qi of Heaven, Earth, Water, and Fire do not intersect in the Central Earth (Spleen/Stomach).
If the pulses of Two Yang (Yangming) are both vigorous and striking, the disease manifests as a Warm Disease (Wen Bing). It is incurable, and death will occur within ten days.
"Two Yang Ju Bo" means that the Qi of Hand Yangming Large Intestine Meridian and Foot Yangming Stomach Meridian are fighting each other. "Wen" means Heat. The disease manifests as Warm Disease because the Yang of Yangming is excessive, presenting heat-type pathology. Excessive Yang leads to exhaustion of Body Fluids (Jin Ye), making it an incurable fatal condition. It is further stated that death occurs within ten days: whereas the previous case involving non-intersection in Central Earth resulted in death on the fifth day, this case involves hyperactive and hot Earth Qi of Yangming, resulting in death within ten days. The numbers five and ten both occupy the center position and belong to the numbers of Earth. This passage states that when Yang pulse strikes Yin pulse, death ensues; this is not the normal state of Yin and Yang, but rather a special variation (Bie) of Yin and Yang.
The Yellow Emperor asked about the Four Meridians and Twelve Conformities (Shi Er Cong) to explore the principles of Yin and Yang and seek their regular patterns. Qibo did not discuss the regular patterns of Yin and Yang, but rather their special variations (Bie). The intent is that to understand the regular patterns of Yin and Yang, one must understand their special variations; without understanding these variations, the comprehension of Yin and Yang principles remains incomplete.