辟，利也。胃气不留，肠开不禁，此阳气竭绝，故死。
阴虚阳搏谓之崩。
阴脉不足，阳脉盛，搏则内崩而血下流，此阴中附火然也。
经脉别论 帝曰∶人之居处动静勇怯，脉亦为之变乎？岐伯对曰∶凡人之惊恐恚劳
动静，皆为变也。是以夜行则喘出于肾，淫气病肺。有所堕恐，喘出于肝，淫气害脾。有所惊恐，
喘出于肺，淫气伤心。渡水跌仆，喘出于肾与骨。当是之时，勇者气行则已，怯者着而为病。
此言病之变而淫气于别脏，勇壮者不能淫，怯弱者则受害也。
饮食饱甚，汗出于胃。惊而夺精，汗出于心。持重远行，汗出于肾。疾走恐惧，汗出于肝。
摇体劳苦，汗出于脾。故春秋冬夏，四时阴阳，生病起于过用，此为常也。
不适其性而强云为，过则病生，此理之常也。
皮部论 曰∶百病之始生也，必先于皮毛，邪中之则腠理开，开则入客于络脉，留而
不去，传入于经，留而不去，传入于腑，廪于肠胃。邪之始入于皮也，淅然起毫毛，开腠理；其
入于络也，则络脉盛色变；其入客于经也，则感虚乃陷下；其留于筋骨之间，寒多则筋挛骨痛，
热多则筋弛骨消，肉烁 破，毛直而败。
此言病始于皮毛，不愈而渐入于筋骨间，有寒热之易也。
逆调论 帝曰∶人有逆气不得卧而息有音者，有不得卧而息无音者，有起居如故而息
有音者，有得卧行而喘者，有不得卧不能行而喘者，有不得卧而喘者，皆何脏使然？
以上六问而下止三答，亦脱简也。
岐伯对曰∶不得卧而息有音者，是阳明之逆也，足三阳者下行，今逆而上行，故息有音也。
阳明者胃脉也，胃者六腑之海，水谷海也。其气亦下行，阳明逆不得从其道，故不得卧也。《下
经》（上古经也。）曰∶胃不和则卧不安，此之谓也。夫起居如故而息有音者，此肺之络脉逆也，
络脉不得随经上下，故留经而不行，络脉之病患也微，故起居如故而息有音者也。夫不得卧，卧
则喘者，是水气之客也。夫水者循津液而流也，肾者水藏，主津液，主卧与喘也。
病能篇 帝曰∶人之不得偃卧者何也？（偃，仰也。）岐伯对曰∶肺者藏之盖也，肺
气盛则脉大，脉大则不得偃卧。帝曰∶人有卧而有所不能安者何也？岐伯曰∶藏有所伤及，精有
所寄则不安，故人不能悬其病也。
五脏有伤，精气有所之寄，故卧不安，人不能悬其病于空中也。
评热篇 帝曰∶有病肾风者，面 然壅，害于言，可刺否？
然，肿起貌。壅，为目下壅，如卧蚕。肾脉入肺中，循喉咙，挟舌本，故妨害于言语。
岐伯对曰∶虚不当刺，不当刺而刺，后五日其气必至。
至，谓脏气未至也。此言肾虚真气不足，不可刺，故五脏五日一至，循至肾脏而邪气至也。
曰∶其至何如？曰∶至必少气时热，时热从胸背上至头，汗出手热，口干善渴，小便黄，目
下肿，腹中鸣，身重难以行，月事不来，烦而不能食，不能正偃，正偃则咳，病名曰风水。帝曰∶
愿闻其说。岐伯曰∶邪之所凑，其气必虚。阴虚者阳必凑之，故少气时热而汗出也。小便黄者，
少腹中有热也。不能正偃者，胃中不和也。正偃则咳其，上迫肺也。诸有水气者，微肿先见于目
下也。其气上逆，故口苦舌干，卧不得正偃，正偃则咳出清水也。诸水病者，故不能卧，卧则惊，
惊则咳甚也。腹中鸣者，病本于胃也。薄脾则烦不能食，食不能下者，胃脘鬲也。身重难以行者，
胃脉在足也。月事不来者，胞脉闭也，胞脉者属心而络于胞中，今气上迫肺，心气不得下通，故
月事不来也。
此肾气不足之至，悉皆小阴经之病，水不胜火，故其病然也。
水热穴论 帝曰∶少阴何以主肾，肾何以主水？岐伯对曰∶肾者至阴也，至阴者盛
水也，肺者太阴也，少阴者冬脉也。故其本在肾，其末在肺，皆积水也。曰∶肾何以能聚水而生
病？曰∶肾者胃之关也，关门不利，故聚水而从其类也。
关者，所以司出入也。肾主下焦，膀胱为腑，主其分注关窍二阴，故肾气化则二阴通。二
阴闭则胃 满，故云肾者胃之关也。关闭则水积，水积则气停，气停则水生，水积则气溢，气水
同类，故云关闭不利，聚水而从其类也。经曰∶下焦溢为水，此之谓也。
上下溢于皮肤，故为 肿。 肿者，聚水而生病也。曰∶诸水皆生于肾乎？曰∶肾者牝藏也，
地气上者属于肾，而生水液也，故曰至阴。勇而劳其则肾汗出，肾汗出逢于风，内不得入于脏腑，
外不得越于皮肤，客于玄府，行于皮里，传为 肿，本之于肾，名曰风水。
风客玄府，汗未出，内伏皮肤，传化为水，从风而水，故名风水。
所谓玄府者，汗空也。故水病下为 肿大腹，上为喘呼，不得卧者，标本俱病，故肺为喘呼，
肾为水肿，肺为逆不得卧，分为相输，俱受者水气之所留也。
此虽肾肺二脏之病，要皆水气所留也。
平人气象论 曰∶颈脉动喘疾咳，曰水。
颈脉为耳下及结喉两旁人迎脉也。水气上溢则肺被热熏，阳气上逆，故颈脉鼓盛而咳喘也。
目裹微肿如卧蚕之状，曰水。溺黄赤安卧者，曰黄胆。
《正理论》云∶肾劳胞热，溺黄安卧，谓之劳疸，以女劳得之也。
食已如饥者，曰胃疸。
胃热则消谷，故食已如饥。
面肿曰风。
风从上行，故面肿者，曰风。
足胫肿曰水。
下焦有水，则足胫肿也。
目黄，曰黄胆。
火气上蒸，故目黄。《灵枢》曰∶目黄者病在胸。
逆调篇 帝曰∶人身非常温也，非常热也，为之热而烦满者何也？岐伯对曰∶阴气少
而阳气胜，故热而烦满也。曰∶人身非衣寒也，中非有寒气也，寒从中生何也？曰∶是人多痹气
也，阳气少，阴气多，故身寒如从水中出。
此言寒气，阴寒之为，非衣之寒，而中寒也。
帝曰∶人有四肢热，逢风寒如炙如火者何也？曰∶是人者阴气虚，阳气盛，四肢者阳也，两
阳相得而阴气虚少，小水不能灭盛火也，而阳独治，独治者不能生长也，独胜而止耳。
治者，王也。胜者，盛也。独胜谓阴独盛而火止灭也。
逢风而如炙如火者，是人当肉烁也。（烁，消也。）曰∶人有身寒，汤火不能热，浓衣不能
温，然不冻栗，是为何病？曰∶是人者，素肾气胜，以水为事，太阳气衰，肾脂枯不长，一水不
能胜两火，肾者水也，而生于骨，
肾不生则髓不能满，故寒甚至骨也。所以不能冻栗者，肝一阳也，心二阳也，肾孤藏也，一水
不能胜二火，故不能冻栗，病名曰骨痹，是人当挛节也。
肾不生水，则髓不满，而筋骨干槁，所以当挛节也，是矣。
通评虚实篇 帝曰∶肠 便血何如？岐伯曰∶身热则死，寒则生。曰∶肠 下白沫何
如？曰∶脉沉则生，脉浮则死。（阴病见阳脉，如相反故死。）曰∶肠 下脓血何如？曰∶脉悬
绝则死，滑大则生。曰∶肠 之属，身不热，脉不悬绝何如？曰∶滑大者生，悬涩者死，以藏期
之。（肝见庚辛死，心见壬癸死之类。）
曰∶巅疾何如？曰∶脉搏大滑，久自已；脉小坚急，死不治。曰∶巅疾之脉，虚实何如？曰∶
虚则可治，实则死。
巅疾之脉，虚则可治，实则死，似与搏而滑大相反，搏而滑非实也，正滑泛而跃也，故自已。
曰∶消痹虚实何如？曰∶脉实大，病久可治；脉悬小坚，病久不可治。
消，瘦也。痹，劳热也。瘦热病久，脉当微弱者生，兹为实大者可治，似相反也，愚谓当
时传刻者之误耳。
凡治消瘅仆击，偏枯痿厥，气满发逆，肥贵人则膏粱之疾也。隔塞闭绝，上下不通，则暴忧
之病也。暴厥耳聋，偏闭塞不通，内气暴薄也。不从内外中风之病，故瘦留着也。
此言消瘅仆击偏枯之疾，非内外中风之变证，乃膏粱暴忧，内气暴薄，不得宣通，故二便
闭塞， 匿留着而不去也。 ，匿也。
跛，寒风湿之病也。
，足也。跛，不能履也。此则风寒湿之病也。
黄胆暴病癫疾厥狂，久逆之所生也。
气久厥逆，而不下行，怫积上焦，故为黄胆及厥狂之疾作也。
五脏不平，六腑闭塞之所生也。
六腑不通，则五脏之气壅滞不平，大便闭，则肺气喘逆之类是也。
头痛耳鸣，九窍不利，肠胃之所生也。
此亦六腑闭塞之余意，六腑为肠胃最要，肠胃结滞，则气不流通，气不流通则逆上，而为
头痛耳鸣者矣。
腹中论篇 帝曰∶有病心腹满，旦食则不能暮食，此为何病？岐伯对曰∶名为鼓胀。
曰∶治之奈何？曰∶治之以鸡矢醴，一剂知，二剂已。曰∶其时有复发者何也？曰∶饮食不节，
故时有病也。虽然，其病且已，时故当病，气聚于腹也。曰∶有病胸胁支满者，妨于食，病至则
先闻腥臊臭，出清液，先唾血，四肢清，目眩，时时前后血，病名为何？何以得之？曰∶病名血
枯。此得之年少时，有所大脱血。若醉入房中，气竭肝伤，故月事衰少不来也。曰∶治之奈何？
曰∶以四乌 骨一 茹二物并合之，丸以雀卵，大如小豆，以五丸为后饭，饮以鲍鱼汁，利肠中
及伤肝也。
按乌 骨、 茹、鲍鱼汁，皆攻积血，散恶血，雀卵治阴痿，起阴之药，并非生血治血枯
剂，学人详之。
曰∶病有少腹盛，上下左右皆有根，此为何病？可治否？曰∶病名伏梁。曰∶何因而得之？
曰∶裹大脓血，居肠胃之外，不可治，治之每切按之致死。曰∶何以然？曰∶此下则因阴，必下
脓血，上则迫胃脘，上鬲，挟胃脘内痈，此久病也，难治。居脐上为逆，居脐下为从，勿动亟夺。
此伏梁，冲脉之为病。以其裹大脓血，居肠胃之外，上行循腹，下行络阴，上则迫近于胃
脘，下则因薄于阴器。若因薄于阴，则便下脓血；若迫近于胃，则病气上出于鬲，复侠胃脘，内
长其痈也。所以然者，以本有大脓血在肠胃之外故也，久则难治。居脐上为近心，故为逆；居脐
下为远心，故为从。亟，数也。
夺，去也。言其不可移动，但数数去之斯可矣。
曰∶人有身体髀股 皆肿，环脐而痛，是为何病？曰∶病名伏梁，此风根也。其气溢于大肠
而着于肓，肓之原在脐下，故环脐而痛也。不可动之，动之为水溺涩之病。
此亦冲脉之病，所以髀股 皆肿，亦名伏梁。其气溢于大腹着肓之原，故环脐而痛。不可
动，谓不可用大毒之药，击动而峻下之，则为水而溺涩也。
病能篇 帝曰∶人病胃脘痈者，诊当何如？岐伯对曰∶诊此者当候胃脉，其脉当沉细，
沉细者气逆，逆者人迎甚盛，盛则热。人迎者胃脉也，逆而盛则热聚于胃口而不行，故胃脘为痈也。
此言胃痈病，胃脉不常沉细。胃脉细故人迎脉大。人迎，结喉两旁之动脉也。人迎大则热
聚于胃口，故成胃脘痈，由气逆热盛而致之也。
曰∶有病颈痈者，或石治之，或针灸治之，而皆已，其真安在？曰∶此名同异等者也。夫痈
气之息者，宜以针开除去之。夫气盛血聚者，宜石而泻之，此所谓同病异治也。
此言痈虽同而治异也。痈为气之息，故气盛血聚宜用砭石针之，泻去恶血而自愈，今用排
针者是也。
帝曰∶有病怒狂者，此病安生？曰∶生于阳也。曰∶阳何以使人狂？曰∶阳气者，因暴折而
难决，故善怒也，病名曰阳厥。曰∶何以知之？曰∶阳明者常动，巨阳少阳不动，不动而动大疾，
此其候也。
阳脉动则人迎脉常动者也。巨阳脉在天容位分，少阳脉在天窗位分，二脉不常动而反动，故病也。
曰∶治之奈何？曰∶夺其食则已。夫食入于阴，长气于阳，故夺其食则已。（食少则气衰，
故节去其食，则病自已。）使之服以生铁洛为饮。（则铁浆也。）夫生铁洛者，下气疾也。（气
上逆则狂，饮铁洛所以下其逆上之气也。）曰∶有疾身热解堕，汗出如浴，恶风少气，此为何病？
曰∶病名曰酒风。曰∶治之奈何？曰∶以泽泻、术各十分，麋衔五分，合以三指撮为后饭。
泽泻去风湿益气，术止汗去火风，麋衔治风湿筋痿。后饭，药先食后，故曰后饭。
奇病篇 帝曰∶病胁下满气逆，二三岁不已，是为何病？岐伯对曰∶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。
气逆息难，故曰息积。气不在胃，故不妨食，灸则火邪内攻，刺则正气外泻，故皆不可。惟
宜积为导引而气流行，兼药治，则可矣。若不导引，只以药攻亦难治也。
帝曰∶人有病头痛以数岁不已，此安得之？名为何病？岐伯曰∶当有所犯大寒，内至骨髓，
髓者以脑为主，脑逆故令头痛，齿亦痛，病名曰厥逆。帝曰∶善。
此寒邪客逆，久而不散，故为厥逆头痛也。
帝曰∶有病口甘者，病名为何？何以得之？曰∶此五气之溢也，名曰脾瘅。（瘅，热也。）
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。此肥美之所发也，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。
食甘肥则内热，郁积而不外泄，令人中满，气上溢为消渴。治之以兰草，兰辛能发散陈久
辟，即通利之意。胃气不能留驻，肠道开启且无法控制排泄，这是阳气枯竭断绝的表现，因此会导致死亡。
阴虚而阳脉搏动有力，称为崩漏（指妇女非经期阴道大量出血或淋漓不断）。
阴脉虚弱，阳脉亢盛，两者相搏则导致内部血脉破裂而血液下流，这是因为阴分中附着有虚火所致。
《经脉别论》黄帝问：人的居住环境、活动状态以及性格的勇敢与怯懦，脉搏也会随之变化吗？岐伯回答说：凡是人们的惊恐、愤怒、劳累以及动静状态，都会引起脉象的变化。因此，夜间行走喘息之气出于肾，邪气淫溢会伤害肺脏；有所坠落恐惧，喘息之气出于肝，邪气淫溢会伤害脾脏；有所惊恐，喘息之气出于肺，邪气淫溢会伤害心脏；渡水跌仆，喘息之气出于肾与骨骼。在这个时候，勇敢的人气机运行通畅病就好了，怯弱的人邪气留着就会生病。这是说病情变化及邪气淫溢于其他脏腑，勇壮者邪气不能淫溢，怯弱者则会受害。
饮食过饱，汗液出于胃；受惊耗伤精气，汗液出于心；背负重物远行，汗液出于肾；疾走恐惧，汗液出于肝；身体摇动劳苦，汗液出于脾。所以春夏秋冬四季阴阳变化，疾病起于过度使用，这是常理。
不顺应身体的本性而强行作为，超过限度就会生病，这是正常的道理。
《皮部论》说：各种疾病的产生，必定先从皮毛开始，邪气侵袭它则腠理开泄，开泄后邪气进入络脉，停留不去，传入经脉，停留不去，传入腑，最终积聚在肠胃。邪气刚开始侵入皮肤时，会有寒战毫毛竖起，腠理开泄；当它进入络脉时，络脉充盈颜色改变；当它客居经脉时，正气虚弱则邪气陷入；当它停留在筋骨之间，寒气多则筋脉拘挛骨骼疼痛，热气多则筋脉弛缓骨骼消瘦，肌肉消烁皮肤破溃，毛发直立枯败。
这是说疾病始于皮毛，不痊愈而逐渐深入筋骨之间，有寒热转化的规律。
《逆调论》黄帝问：有人气息逆乱不能平卧且呼吸有声，有人不能平卧但呼吸无声，有人起居如常但呼吸有声，有人能侧卧行走但气喘，有人不能平卧也不能行走而气喘，有人不能平卧而气喘，这些都是什么脏腑导致的？
以上六个问题下面只回答了三个，也是简牍脱漏了。
岐伯回答说：不能平卧且呼吸有声的，是阳明经气逆乱。足三阳经的气本应下行，现在逆乱上行，所以呼吸有声。阳明经是胃脉，胃是六腑之海，是水谷之海。其气也下行，阳明经气逆乱不能顺从其道路，所以不能平卧。《下经》（上古时期的医经）说：胃不和则睡眠不安，说的就是这种情况。至于起居如常但呼吸有声的，这是肺的络脉气逆，络脉不能随经脉上下运行，所以留在经脉中不行走，络脉病变轻微，所以起居如常但呼吸有声。至于不能平卧，平卧则喘的，是水气客居体内。水是顺着津液流动的，肾是水脏，主管津液，主司睡眠和喘息。
《病能篇》黄帝问：人不能仰卧是什么原因？（偃，即仰面躺。）岐伯回答说：肺是五脏的华盖，肺气旺盛则脉大，脉大则不能仰卧。黄帝问：有人躺着却感到不安宁是什么原因？岐伯说：脏腑有所损伤，精气有所寄留则不安宁，所以人不能凭空猜测病因。
五脏有损伤，精气有所寄留，所以睡眠不安，人不能将病因悬空推测。
《评热病论》黄帝问：患有肾风病的人，面部浮肿，言语不利，可以针刺吗？
然，是肿起的样子。壅，指眼下浮肿，像卧蚕一样。肾脉入肺中，沿喉咙，夹舌根，所以妨害言语。
岐伯回答说：虚证不应当针刺，不应当刺而误刺，五日后邪气必至。
至，指脏气未至。这是说肾虚真气不足，不可针刺，所以五脏之气五日一至，循行至肾脏时邪气也到了。
问：邪气到来时表现如何？答：到来时必定少气、时时发热，发热从胸背至头部，手心脚心热，口干善渴，小便黄，眼下肿，腹中鸣响，身体沉重难以行走，月经不来，心烦不能进食，不能仰卧，仰卧则咳嗽，病名叫做风水。黄帝说：希望听听您的解释。岐伯说：邪气聚集的地方，正气必然虚弱。阴虚则阳邪必凑集，所以少气、时时发热而出汗。小便黄，是因为小腹中有热。不能仰卧，是因为胃中不和。仰卧则咳嗽，是因为上迫肺脏。所有有水气病的，微肿先见于眼下。气机上逆，所以口苦舌干，卧不能正仰卧，正仰卧则咳出清水。所有水病患者，所以不能卧，卧则惊，惊则咳嗽加重。腹中鸣响，病本在于胃。邪气薄于脾则心烦不能食，食物不能下行，是因为胃脘膈塞。身体沉重难以行走，是因为胃脉在足部。月经不来，是因为胞脉闭塞，胞脉属于心而联络子宫，现在气上迫肺，心气不得下通，所以月经不来。
这是肾气不足的征象，全都是小阴经的病，水不胜火，所以病成这样。
《水热穴论》黄帝问：少阴为什么主肾，肾为什么主水？岐伯回答说：肾是至阴，至阴盛水，肺是太阴，少阴是冬脉。所以病的根本在肾，标末在肺，都是积水所致。问：肾为什么能聚水而生病？答：肾是胃的关口，关门不利，所以聚水而同类相聚。
关，是用来管理出入的。肾主下焦，膀胱为腑，主管其分流注入关窍二阴，所以肾气化则二阴通。二阴闭则胃胀满，所以说肾是胃的关口。关闭则水积，水积则气停，气停则水生，水积则气溢，气水同类，所以说关闭不利，聚水而从其类。经书说：下焦溢为水，说的就是这个意思。
水气上下溢于皮肤，所以发生浮肿。浮肿，是聚水而生病。问：所有的水病都生于肾吗？答：肾是牝脏（阴脏），地气上升的属于肾，而生水液，所以叫至阴。勇猛而劳倦则肾汗出，肾汗出遇到风邪，内不能入于脏腑，外不能越于皮肤，客于玄府，行于皮里，传变为浮肿，本源于肾，名叫风水。
风邪客于玄府，汗未出，内伏于皮肤，传化为水，从风而水，所以名叫风水。
所谓玄府，就是汗孔。所以水病下为下肢肿大腹水，上为喘呼，不能卧的，标本俱病，所以肺为喘呼，肾为水肿，肺为气逆不得卧，分为相互输注，都受到水气留滞的影响。
《平人气象论》说：颈动脉跳动，气喘剧烈咳嗽，是有水病。
颈脉是耳下及结喉两旁的人迎脉。水气上溢则肺被热熏，阳气上逆，所以颈脉鼓盛而咳喘。
眼睑微肿像卧蚕的样子，是有水病。尿黄赤安卧的，是黄疸。
吃完饭像饿了一样，是胃疸。
胃热则消化快，所以吃完饭像饿。
面部浮肿是风病。
风从上行，所以面部浮肿，叫做风病。
小腿浮肿是水病。
下焦有水，则小腿浮肿。
火气上蒸，所以眼睛黄。《灵枢》说：目黄者病在胸。
《逆调论》黄帝问：人身不是穿得少觉得冷，也不是外界寒冷，却感觉热而烦闷是什么原因？岐伯回答说：阴气少而阳气胜，所以热而烦闷。问：人身不是衣服冷，体内也没有寒气，寒气从内生是什么原因？答：这个人多有痹气，阳气少，阴气多，所以身寒像从水中出来。
这是说寒气，是阴寒造成的，不是衣服的寒，而是体内的寒。
黄帝问：有人四肢发热，遇到风寒像被烧烤一样火热是什么原因？答：这个人阴气虚，阳气盛，四肢属阳，两阳相合而阴气虚少，小便不能灭盛火，而阳气独治，独治者不能生长，只是独胜而已。
治，通“旺”，指强盛。胜，指盛大。独胜谓阴独盛而火止灭也。（此处原文注释有误，结合上下文及中医理论，“独治”通常指阳气独旺，阴不制阳。译文依原文逻辑稍作调整以符合语境，但保留原意：阳气独盛）。
遇到风像被烧烤一样火热，这个人肌肉将会消烁。（烁，消也。）问：有人身体寒冷，汤火不能温暖，厚衣不能保暖，但不冻得发抖，这是什么病？答：这个人素来肾气胜，从事涉水劳作，太阳气衰，肾脂枯干不长，一水不能胜两火，肾是水，生于骨，肾不生则髓不能满，所以寒甚至骨。之所以不冻得发抖，因为肝是一阳，心是二阳，肾是孤脏，一水不能胜二火，所以不冻得发抖，病名叫骨痹，这个人关节将会拘挛。
肾不生水，则髓不满，而筋骨干槁，所以当关节拘挛，是这样。
《通评虚实论》黄帝问：肠澼便血怎么样？岐伯说：身热则死，身寒则生。问：肠澼下白沫怎么样？答：脉沉则生，脉浮则死。（阴病见阳脉，如相反故死。）问：肠澼下脓血怎么样？答：脉悬绝则死，滑大则生。问：肠澼这类病，身不热，脉不悬绝怎么样？答：滑大者生，悬涩者死，以脏气所主之日来推测。（肝见庚辛日死，心见壬癸日死之类。）
问：巅顶疾病怎么样？答：脉搏大滑，久了自己好；脉小坚急，死不治。问：巅顶疾病的脉象，虚实怎么样？答：虚则可治，实则死。
巅顶疾病的脉象，虚则可治，实则死，似乎与搏而滑大相反，搏而滑并非实证，正是滑泛而跃，所以自己好。
问：消痹虚实怎么样？答：脉实大，病久可治；脉悬小坚，病久不可治。
消，瘦也。痹，劳热也。瘦热病久，脉当微弱者生，现在是实大者可治，看似相反，我认为可能是当时传刻者的错误罢了。
凡是治疗消瘅、仆击、偏枯、痿厥、气满发逆，富贵之人多是膏粱之疾。隔塞闭绝，上下不通，是暴忧之病。暴厥耳聋，偏闭塞不通，是内气暴迫所致。不从内外中风之病，所以消瘦留着不去。
这是说消瘅、仆击、偏枯之疾，不是内外中风的变证，乃是膏粱厚味、暴怒忧愁，内气暴迫，不得宣通，所以二便闭塞，邪气匿留不去。匿，匿也。
跛，是寒风湿之病。
，足也。跛，不能履也。此则是风寒湿之病。
黄疸、暴病、癫疾、厥狂，是久逆所产生的。
五脏不平，是六腑闭塞所产生。
六腑不通，则五脏之气壅滞不平，大便闭，则肺气喘逆之类是也。
这也是六腑闭塞的余意，六腑以肠胃最重要，肠胃结滞，则气不流通，气不流通则逆上，而为头痛耳鸣。
《腹中论》黄帝问：有心腹胀满，早上吃了饭晚上就不能再吃的，这是什么病？岐伯回答说：名叫鼓胀。
问：怎么治疗？答：用鸡矢醴治疗，一剂见效，二剂痊愈。问：为什么有时复发？答：饮食不节制，所以时有病。虽然病已好，但时机到了还会病，因为气聚于腹。问：有胸胁支撑胀满，妨碍进食，发病前先闻到腥臊臭，流出清涕，先唾血，四肢清冷，目眩，时常大小便出血，这是什么病？怎么得的？答：病名血枯。这得于年少时，有过大失血。或者醉后行房，气竭肝伤，所以月经衰少不来。问：怎么治疗？答：用四份乌贼骨一份茜草两物合并，用雀卵做丸，如小豆大，每次五丸饭后服，用鲍鱼汁送下，利肠中及伤肝。
按乌贼骨、茜草、鲍鱼汁，都是攻积血，散恶血，雀卵治阳痿，起阴的药，并不是生血治血枯的方剂，学者请详察。
问：有病少腹坚硬，上下左右都有根蒂，这是什么病？可治吗？答：病名伏梁。问：什么原因得的？答：包裹着大脓血，居住在肠胃之外，不可治，治疗时每切按它会导致死亡。问：为什么这样？答：这向下则因阴器，必下脓血，向上则迫胃脘，上膈，夹胃脘内痈，这是久病，难治。居于脐上为逆，居于脐下为从，不要移动，亟夺。
此伏梁，是冲脉的病。因为它包裹大脓血，居肠胃之外，上行循腹，下行络阴，上则迫近于胃脘，下则因薄于阴器。若因薄于阴，则便下脓血；若迫近于胃，则病气上出于膈，复夹胃脘，内长其痈。之所以这样，是因为本来有大脓血在肠胃之外，久则难治。居于脐上为近心，所以为逆；居于脐下为远心，所以为从。亟，数也。
夺，去也。说它不可移动，只要多次去除它就可以了。
问：有人身体髀股肿胀，环绕脐部疼痛，是什么病？答：病名伏梁，这是风根。其气溢于大肠而着于肓，肓的原在脐下，所以环脐而痛。不可动它，动了就会变成小便涩痛的病。
这也是冲脉的病，所以髀股肿胀，也叫伏梁。其气溢于大腹着肓之原，所以环脐而痛。不可动，指不可用大毒之药，击动而峻下之，否则就会变成水病而小便涩。
《病能篇》黄帝问：人患胃脘痈，诊察应该怎样？岐伯回答说：诊察此人应当候胃脉，其脉应当沉细，沉细则气逆，逆则人迎脉甚盛，盛则热。人迎是胃脉，逆而盛则热聚于胃口而不行，所以胃脘为痈。
这是说胃痈病，胃脉不常沉细。胃脉细故人迎脉大。人迎，结喉两旁之动脉也。人迎大则热聚于胃口，故成胃脘痈，由气逆热盛而致之也。
问：有病颈痈的，有的用石治，有的用针灸治，都好了，它们的真义在哪里？答：这叫同名异等。如果是痈气松弛的，宜用针开除去。如果是气盛血聚的，宜用砭石泻之，这就是所说的同病异治。
这是说痈虽同而治异。痈为气之息，故气盛血聚宜用砭石针之，泻去恶血而自愈，今用排针者是也。
黄帝问：有病发怒狂躁的，这病怎么生？答：生于阳。问：阳怎么使人狂？答：阳气者，因暴折而难决，所以善怒，病名阳厥。问：怎么知道？答：阳明经常动，巨阳少阳不动，不动而动大疾，这是其征候。
阳脉动则人迎脉常动者也。巨阳脉在天容位分，少阳脉在天窗位分，二脉不常动而反动，故病也。
问：怎么治疗？答：剥夺其饮食就好了。食物入于阴，长气于阳，所以剥夺其饮食就好了。（食少则气衰，故节去其食，则病自已。）让他服用生铁洛为饮。（即铁浆。）夫生铁洛者，下气疾也。（气上逆则狂，饮铁洛所以下其逆上之气也。）问：有病身热懈怠，汗出如浴，恶风少气，这是什么病？答：病名酒风。问：怎么治疗？答：用泽泻、术各十分，麋衔五分，合以三指撮为后饭。
泽泻去风湿益气，术止汗去火风，麋衔治风湿筋痿。后饭，药先食后，故曰后饭。
《奇病论》黄帝问：病胁下满气逆，两三年不好，是什么病？岐伯回答说：病名息积，这不妨碍进食，不可灸刺，积需导引服药，药不能独治。
气逆息难，故曰息积。气不在胃，故不妨食，灸则火邪内攻，刺则正气外泻，故皆不可。惟宜积为导引而气流行，兼药治，则可矣。若不导引，只以药攻亦难治也。
黄帝问：有人病头痛多年不好，这怎么得的？叫什么病？岐伯说：应当有所犯大寒，内至骨髓，髓者以脑为主，脑逆故令头痛，齿亦痛，病名厥逆。黄帝说：善。
黄帝问：有病口甜的，病名什么？怎么得的？答：这是五气之溢，名叫脾瘅。（瘅，热也。）五味入口，藏于胃，脾为之行其精气，津液在脾故令人口甘。这是肥美之所发，这人必定数食甘美而多肥。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。
Pi means unblocking and promoting urination. If stomach qi fails to remain, the intestines open uncontrollably, this indicates the exhaustion and severance of yang qi, leading to death.
Yin deficiency with a forceful yang pulse is termed "Beng" (uterine bleeding).
When the yin pulse is deficient and the yang pulse is excessive, their interaction causes internal rupture and blood flow downward; this is due to fire attached within the yin.
In *Ling Shu: Jing Mai Bie Lun*, the Yellow Emperor asked: Do the pulses of people change according to their living environment, activity levels, and courage or timidity? Qibo replied: All states of fright, anger, and labor, as well as movement and stillness, cause changes in the pulses. Therefore, walking at night causes panting originating from the Kidney, and pathogenic qi may damage the Lung. Falling and fear cause panting originating from the Liver, and pathogenic qi may harm the Spleen. Fright causes panting originating from the Lung, and pathogenic qi may damage the Heart. Wading through water or falling causes panting originating from the Kidney and bones. At such times, those who are courageous recover because their qi flows smoothly, while the timid develop disease because the pathogen remains. This explains how disease changes and pathogenic qi invades other organs; the strong resist invasion, while the weak suffer harm.
Overeating causes sweat to originate from the Stomach. Fright that depletes essence causes sweat to originate from the Heart. Carrying heavy loads over long distances causes sweat to originate from the Kidney. Running fast and fearing causes sweat to originate from the Liver. Bodily shaking and toil cause sweat to originate from the Spleen. Thus, in the four seasons of spring, autumn, winter, and summer, governed by yin and yang, diseases arise from overexertion; this is the constant principle.
Forcing actions contrary to one's nature leads to disease when exceeding limits; this is the normal logic.
In *Ling Shu: Pi Bu Lun*: The onset of all diseases must begin in the skin and hair. When pathogenic factors attack, the interstices (Cou Li) open, allowing pathogens to enter the collaterals. If they remain there without departing, they transmit into the meridians. If they remain in the meridians without departing, they transmit into the fu organs, finally accumulating in the intestines and stomach. When pathogens first enter the skin, there is a shivering sensation, hair stands erect, and interstices open. When entering the collaterals, the collateral vessels become full and color changes. When entering the main meridians, if deficieny exists, the pathogen sinks inward. If remaining between sinews and bones, excess cold causes sinew spasms and bone pain; excess heat causes sinew flaccidity, bone wasting, muscle emaciation, skin ulceration, hair standing straight and deteriorating.
This describes disease starting in the skin and gradually penetrating to the sinews and bones if untreated, involving transformations between cold and heat.
In *Ling Shu: Ni Diao Lun*, the Yellow Emperor asked: Some people have rebellious qi preventing them from lying flat and breathing with sound; some cannot lie flat but breathe silently; some have normal daily activities but breathe with sound; some can lie on their side and walk but wheeze; some cannot lie flat nor walk but wheeze; some cannot lie flat and wheeze. Which organs cause these conditions?
The text above has six questions but only three answers, indicating missing bamboo slips.
Qibo replied: Those who cannot lie flat and breathe with sound have rebellion of the Yangming channel. The foot-three-yang channels normally descend; now they rebel and ascend, causing breathing sounds. The Yangming channel is the Stomach meridian; the Stomach is the sea of the six fu organs and the sea of water and grain. Its qi also descends. When Yangming qi rebels and cannot follow its proper pathway, one cannot lie flat. The *Xia Jing* (an ancient classic) says: "If the Stomach is not harmonious, sleep will be restless," which refers to this. For those whose daily activities are normal but breathe with sound, this is rebellion of the lung's collateral vessels. Collateral vessels cannot move up and down with the main meridians, so they stagnate in the meridians. Since collateral vessel pathology is minor, daily activities remain normal despite breathing sounds. For those who cannot lie flat and wheeze when lying down, this is water qi invading the body. Water follows fluids; the Kidney is the water organ, governing fluids, and controlling sleep and wheezing.
In *Bing Neng Pian*, the Yellow Emperor asked: Why can some people not lie on their backs? (Yan means lying on the back.) Qibo replied: The Lung is the canopy of the zang organs. When lung qi is excessive, the pulse becomes large; a large pulse prevents lying on the back. The Yellow Emperor asked: Why do some people feel uneasy when lying down? Qibo said: When zang organs are injured and essence has nowhere to settle, one feels uneasy; thus, one cannot arbitrarily guess the disease.
When the five zang organs are injured and essence has no proper residence, sleep is unrested; one cannot speculate on the cause in mid-air.
In *Ping Re Bing Lun*, the Yellow Emperor asked: A patient with Kidney Wind has facial edema and difficulty speaking. Can acupuncture be used?
Ran indicates swelling appearance. Yong refers to swelling under the eyes, resembling a silkworm. The Kidney meridian enters the Lung, runs along the throat, and attaches to the root of the tongue, hence interfering with speech.
Qibo replied: Deficiency patterns should not be needled. If needled inappropriately, the pathogenic qi will arrive in five days.
Zhi here refers to the arrival of organ qi. This states that with Kidney deficiency and insufficient true qi, acupuncture is contraindicated. The qi of the five zang organs arrives every five days; when it reaches the Kidney, the pathogenic qi also arrives.
Question: What are the symptoms upon arrival? Answer: Upon arrival, there will be shortness of breath, intermittent fever, sweating from the chest/back to the head, hot palms/soles, dry mouth with thirst, yellow urine, edema under the eyes, borborygmus, heaviness making walking difficult, amenorrhea, irritability, anorexia, inability to lie supine (supine position triggers coughing). The disease is named Feng Shui (Wind Water). The Yellow Emperor asked for an explanation. Qibo said: Where pathogenic factors gather, qi must be deficient. Yin deficiency allows yang pathogenic factors to gather, causing shortness of breath, intermittent fever, and sweating. Yellow urine indicates heat in the lower abdomen. Inability to lie supine indicates disharmony in the Stomach. Lying supine causes coughing because the pathogen presses upward on the Lung. In all water diseases, slight edema appears first under the eyes. Upward rebellion of qi causes bitter taste and dry tongue; inability to lie supine results in coughing up clear fluid. All water disease patients cannot lie down; lying down causes fright, and fright worsens coughing. Borborygmus originates from the Stomach. Pathogenic factors pressing on the Spleen cause irritability and anorexia; food failing to descend is due to obstruction in the epigastrium. Heaviness and difficulty walking relate to the Stomach meridian in the feet. Amenorrhea is due to closure of the Bao Mai (Uterine Vessel), which belongs to the Heart and connects to the uterus. Now, qi presses upward on the Lung, preventing Heart qi from descending, hence amenorrhea.
These are manifestations of Kidney qi insufficiency, all belonging to the Shaoyin meridians. Water fails to control Fire, resulting in these symptoms.
In *Shui Re Xue Lun*, the Yellow Emperor asked: Why does Shaoyin govern the Kidney, and why does the Kidney govern water? Qibo replied: The Kidney is Supreme Yin; Supreme Yin stores water. The Lung is Taiyin; Shaoyin is the Winter pulse. Thus, the root is in the Kidney, the branch in the Lung, both involving water accumulation. Question: How can the Kidney accumulate water and cause disease? Answer: The Kidney is the gate of the Stomach. If the gate is not functional, water accumulates following its kind.
Guan (gate) controls entry and exit. The Kidney governs the Lower Jiao; the Bladder is the fu organ, governing distribution to the orifices and two yins. Thus, when Kidney qi transforms, the two yins open. Closure of the two yins causes Stomach distension; therefore, the Kidney is called the gate of the Stomach. Closure leads to water accumulation; water accumulation leads to qi stagnation; qi stagnation generates water; water accumulation causes qi overflow. Qi and water are of the same category; thus, saying "closure is not functional, water accumulates following its kind." The Classics state: "Overflow from the Lower Jiao becomes water," referring to this.
Water overflowing up and down into the skin causes edema. Edema is disease caused by accumulated water. Question: Do all water diseases originate from the Kidney? Answer: The Kidney is a Yin organ (Pin Zang). Earthly qi ascending belongs to the Kidney and generates water fluids, hence called Supreme Yin. Vigorous exertion and fatigue cause Kidney sweat. If Kidney sweat encounters wind, it cannot enter the zang-fu internally nor exit the skin externally. It lodges in the Xuan Fu (pores), travels within the skin, and transmits into edema. Rooted in the Kidney, it is named Feng Shui (Wind Water).
Wind lodging in the Xuan Fu, with sweat retained, penetrates the skin internally and transforms into water, following the wind, hence named Feng Shui.
Xuan Fu refers to sweat pores. Thus, water disease manifests as lower limb edema and abdominal distension, upper wheezing, and inability to lie flat. Both root and branch are diseased: the Lung causes wheezing, the Kidney causes edema, and Lung qi rebellion causes inability to lie flat. They transmit to each other and are jointly affected by stagnant water qi.
Although these are diseases of the Kidney and Lung, essentially they are all caused by stagnant water qi.
In *Ping Ren Qi Xiang Lun*: Pulsation of the neck artery with panting and rapid cough indicates water disease.
The neck artery refers to the Ren Ying pulse on both sides of the ear below and the larynx. Water qi overflowing upward steams the Lung; yang qi rebels upward, causing the neck artery to throb and inducing cough/panting.
Slight edema of the eyelids resembling a silkworm indicates water disease. Yellow-red urine with preference for lying down indicates Jaundice.
The *Zheng Li Lun* states: Kidney labor and bladder heat, yellow urine with preference for lying down, is called Lao Dan (Labor Jaundice), acquired through sexual exertion.
Feeling hungry immediately after eating indicates Wei Dan (Stomach Jaundice).
Stomach heat accelerates digestion, so one feels hungry after eating.
Facial edema indicates Wind disease.
Wind attacks from above; thus, facial edema is named Wind disease.
Edema of the calves indicates Water disease.
Water in the Lower Jiao causes calf edema.
Yellow eyes indicate Jaundice.
Fire qi steaming upward causes yellow eyes. The *Ling Shu* states: "Yellow eyes indicate disease in the Chest."
In *Ni Diao Pian*, the Yellow Emperor asked: The body is not unusually warm, nor is there external cold, yet there is heat and vexation/fullness. Why? Qibo replied: Scanty yin qi and victorious yang qi cause heat and vexation/fullness. Question: The body is not chilled by clothes, nor is there internal cold, yet cold arises from within. Why? Answer: This person has much Bi qi (obstruction); scanty yang qi and abundant yin qi cause the body to feel cold as if emerging from water.
This discusses cold qi generated by yin cold, not external cold from clothing, but internal cold.
The Yellow Emperor asked: Some people have hot limbs; when encountering wind and cold, they feel as if roasting. Why? Answer: This person has deficient yin qi and excessive yang qi. Limbs belong to yang. Two yangs combine while yin qi is deficient; small amounts of water cannot extinguish the flourishing fire. Yang acts alone. Alone acting means it cannot grow; it only prevails and stops.
Zhi here means prosperous/victorious. Sheng means excessive. "Du Sheng" implies yang prevails exclusively while fire extinguishes.
Encountering wind and feeling like roasting indicates the person's muscles will emaciate. (Shuo means consume.) Question: Some people feel cold internally; hot baths and fires cannot warm them, thick clothes cannot heat them, yet they do not shiver. What disease is this? Answer: This person originally had strong Kidney qi but engaged in watery labor. Taiyang qi declined, Kidney marrow dried up and failed to grow. One water cannot overcome two fires. The Kidney is water, generating bone. If the Kidney fails to generate, marrow cannot fill, causing cold reaching the bones. The reason for not shivering is that the Liver is one yang, the Heart is two yang, and the Kidney is a solitary organ. One water cannot overcome two fires, hence no shivering. The disease is named Gu Bi (Bone Bi), and the person's joints will contract.
If the Kidney fails to generate water, marrow is insufficient, sinews and bones become dry, hence joint contraction.
In *Tong Ping Xu Shi Lun*, the Yellow Emperor asked: What about Chang Pi (intestinal dysentery) with blood stool? Qibo said: Body heat indicates death; body cold indicates survival. Question: What about Chang Pi with white mucus? Answer: Deep pulse indicates survival; floating pulse indicates death. (Yin disease showing yang pulse is contrary, hence death.) Question: What about Chang Pi with pus and blood? Answer: Suspended-extreme pulse indicates death; slippery-large pulse indicates survival. Question: For Chang Pi, if there is no body heat and no suspended-extreme pulse, what then? Answer: Slippery-large pulse indicates survival; suspended-rough pulse indicates death. Predict based on organ cycles. (Liver dies on Geng/Xin days; Heart dies on Ren/Gui days, etc.)
Question: What about Dian Ji (epilepsy/head disease)? Answer: Pulse large and slippery recovers spontaneously; pulse small, firm, and urgent indicates death/incurable. Question: Regarding Dian Ji pulse, what about deficiency vs. excess? Answer: Deficiency is treatable; excess is fatal.
Dian Ji pulse: deficiency is treatable, excess is fatal. This seems opposite to "forceful and slippery." Forceful and slippery is not true excess; it is slippery and bounding, hence spontaneous recovery.
Question: What about Xiao Bi (emaciating bi) deficiency/excess? Answer: Pulse large and solid, chronic disease is treatable; pulse suspended-small and firm, chronic disease is incurable.
Xiao means emaciation; Bi means labor-heat. Chronic emaciation-heat disease should have a weak pulse for survival. A large-solid pulse is treatable, seemingly contradictory; I believe this is a transcription error from the time of carving.
Generally, treating Xiao Dan (wasting-thirst), Pu Ji (sudden collapse), Pian Ku (hemiplegia), Wei Jue (flaccidity/cold limbs), and Qi Man Fa Ni (fullness/rebellious qi): these are diseases of rich people consuming rich foods (Gao Liang). Obstruction and blockage, upper-lower不通 (unconnected), result from sudden severe worry. Sudden jue with deafness and unilateral blockage results from sudden internal qi pressure. Diseases not from internal/external wind-stroke result in emaciation and lingering pathogens.
This states that Xiao Dan, Pu Ji, and Pian Ku are not variations of internal/external wind-stroke, but result from rich diet, sudden worry, sudden internal qi pressure, failure to diffuse and circulate, leading to blockage of excretions and lingering pathogens. Ni means hiding/storing.
Bo (limping) is a disease of cold, damp, and wind.
Jiao means foot. Bo means inability to walk. This is a disease of wind-cold-damp.
Jaundice, sudden disease, epilepsy, jue, and kuang result from prolonged rebellion.
Prolonged qi rebellion failing to descend accumulates in the Upper Jiao, causing jaundice and jue/kuang diseases.
Imbalance of the five zang organs results from blockage of the six fu organs.
If six fu organs are not unblocked, qi of the five zang organs stagnates and becomes imbalanced; e.g., constipation leading to lung qi rebellion and panting.
Headache, tinnitus, and dysfunction of the nine orifices result from the intestines and stomach.
This is a continuation of six fu blockage. The intestines and stomach are crucial among fu organs. Intestinal/stomach stagnation prevents qi circulation; stagnant qi rebels upward, causing headache and tinnitus.
In *Fu Zhong Lun*, the Yellow Emperor asked: There is a disease with heart and abdominal fullness; one cannot eat dinner if one eats breakfast. What is this disease? Qibo replied: It is named Gu Zhang (Drum Distension).
Question: How to treat? Answer: Treat with Ji Shi Li (Chicken Excrement Wine). One dose brings improvement; two doses cure. Question: Why does it sometimes recur? Answer: Irregular diet causes occasional illness. Although the disease subsides, it recurs when the timing is right because qi gathers in the abdomen. Question: There is a disease with flank/chest support-like fullness, interfering with eating. Before onset, one smells fishy/foul odor, produces clear fluid, spits blood first, limbs are cold, eyes are dizzy, and frequent bleeding occurs from front and back. What is this disease? How was it acquired? Answer: The disease is named Xue Ku (Blood Dryness). Acquired in youth from massive blood loss. Or, intercourse while drunk depleted qi and injured the Liver, causing menstrual decline and amenorrhea. Question: How to treat? Answer: Combine Si Wu Mei Gu (Four parts Cuttlefish Bone) and Yi Zhu (One part Cyathula Root), form pills with Sparrow Eggs, size of small beans. Take five pills after meals, washed down with Abalone Juice. This benefits the intestines and heals liver injury.
Note: Cuttlefish bone, Cyathula root, and Abalone juice all attack accumulated blood and disperse evil blood. Sparrow eggs treat impotence and stimulate yin. These are not blood-generating formulas for Blood Dryness; scholars should examine this carefully.
Question: There is a disease with fullness in the lower abdomen, rooted above, below, left, and right. What is this disease? Is it treatable? Answer: The disease is named Fu Liang (Hidden Beam). Question: What causes it? Answer: It wraps large amounts of pus and blood, residing outside the intestines and stomach. It is untreatable; pressing on it during treatment often causes death. Question: Why? Answer: Downward, it affects the yin organs, causing pus/blood in stool; upward, it presses on the epigastrium and diaphragm,夹 (clamping) the epigastrium causing internal abscess. This is a chronic disease, difficult to treat. Located above the navel is "Ni" (Rebellious/Opposing); located below the navel is "Cong" (Following/Favorable). Do not move it; repeatedly remove it.
This Fu Liang is a disease of the Chong Mai (Penetrating Vessel). Wrapping pus/blood outside the intestines/stomach, it ascends along the abdomen and descends connecting to the yin organs. Pressing on the yin organs causes bloody/purulent stool; pressing near the stomach causes qi to rise above the diaphragm, clamping the epigastrium and growing internal abscess. This is because large pus/blood originally existed outside the intestines/stomach; chronicity makes it hard to treat. Above the navel is close to the Heart, hence "Ni"; below the navel is far from the Heart, hence "Cong". Ji means frequently. Duo means to remove. It cannot be moved physically, but can be gradually reduced.
Question: There is a disease with swelling of the thighs/calves and pain around the navel. What is this disease? Answer: Named Fu Liang. This is the root of Wind. Its qi overflows into the Large Intestine and settles in the Huang (Ministerial Fire/Epigastric region). The source of Huang is below the navel, hence periumbilical pain. Do not manipulate it; manipulation leads to urinary retention.
This is also a Chong Mai disease, hence thigh/calf swelling, also named Fu Liang. Qi overflows into the great abdomen, settling at the source of Huang, causing periumbilical pain. "Do not manipulate" means do not use harsh toxic drugs to forcefully purge, which would transform it into water disease with urinary retention.
In *Bing Neng Pian*, the Yellow Emperor asked: How to diagnose a patient with Wei Wan Yong (Stomach Abscess)? Qibo replied: Diagnose by observing the Stomach pulse. The pulse should be deep and fine. Deep and fine indicates qi rebellion. Rebellion causes the Ren Ying pulse to be very full; fullness indicates heat. Ren Ying is the Stomach pulse. Rebellion and fullness cause heat to gather at the stomach opening without circulating, forming a stomach abscess.
This states that in stomach abscess, the stomach pulse is not normally deep/fine. Because the stomach pulse is fine, the Ren Ying pulse is large. Ren Ying is the artery beside the larynx. Large Ren Ying means heat gathers at the stomach opening, forming abscess due to qi rebellion and heat excess.
Question: Some patients with Neck Abscess are treated with stone therapy or acupuncture, and all recover. What is the underlying principle? Answer: Same name, different categories. If the abscess qi is relaxed/superficial, use needles to open and remove it. If qi is excessive and blood gathers, use stone (bi shi) to drain. This is "Same Disease, Different Treatment."
This states that although abscesses are similar, treatments differ. Abscess as qi relaxation means excessive qi and blood gathering; use bi stone/needles to drain evil blood for self-healing. Using drainage needles is correct.
The Yellow Emperor asked: A patient with anger and mania, where does this disease come from? Answer: It comes from Yang. Question: How does Yang cause mania? Answer: Yang qi, due to sudden frustration and inability to resolve, leads to irritability. The disease is named Yang Jue (Yang Jue). Question: How to know? Answer: Yangming constantly moves; Juyang (Taiyang) and Shaoyang do not normally move. If non-moving vessels move rapidly, this is the sign.
Yang pulse movement refers to the constant movement of the Ren Ying pulse. Juyang pulse is at Tian Rong; Shaoyang pulse is at Tian Chuang. These two pulses do not normally move; if they move, it indicates disease.
Question: How to treat? Answer: Deprive food intake to cure. Food enters yin and generates yang qi; depriving food cures it. (Less food means less qi; restricting food cures the disease.) Administer Sheng Tie Luo (Iron Slag) drink. (Iron slag/water.) Sheng Tie Luo rapidly descends qi. (Qi rebelling upward causes mania; drinking iron slag descends the rebellious qi.) Question: A patient has body heat, flaccidity, profuse sweating like bathing, aversion to wind, and shortness of breath. What disease is this? Answer: Named Jiu Feng (Wind Drink/Alcohol Wind). Question: How to treat? Answer: Use Ze Xie (Alisma) and Bai Zhu (Atractylodes) 10 parts each, Xi Xian Cao (Siegesbeckia) 5 parts. Mix and take three finger-widths after meals.
Ze Xie removes wind-damp and boosts qi; Bai Zhu stops sweating and removes fire-wind; Xi Xian Cao treats wind-damp sinew flaccidity. "After meals" means taking medicine after eating, hence "Hou Fan."
In *Qi Bing Pian*, the Yellow Emperor asked: Disease with hypochondriac fullness and qi rebellion lasting 2-3 years. What is this disease? Qibo replied: Named Xi Ji (Breathing Accumulation). It does not interfere with eating. Moxibustion and acupuncture are contraindicated. Accumulation requires guiding exercises and herbs; herbs alone cannot cure.
Qi rebellion and breathing difficulty is named Xi Ji. Qi is not in the Stomach, hence no interference with eating. Moxibustion sends fire pathogen inward; acupuncture leaks healthy qi outward; thus both are contraindicated. Only guiding exercises to circulate qi, combined with herbs, work. Without guiding exercises, herb-only treatment is difficult.
The Yellow Emperor asked: A patient has headache persisting for years. How was it acquired? What is the name? Qibo said: Likely 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 (Rebellious Cold). The Yellow Emperor said: Good.
Cold pathogen lodging and rebelling, lingering unresolved, causes Jue Ni headache.
The Yellow Emperor asked: A patient has a sweet taste in the mouth. What is the disease name? How acquired? Answer: Overflow of the five qi, named Pi Dan (Spleen Heat). Five flavors enter the mouth, store in the Stomach; the Spleen transports their essence. Fluids staying in the Spleen cause sweet taste. This arises from rich/greasy food. Such people likely eat many sweet/rich foods. Greasy food causes internal heat; sweet food causes middle jiao fullness. Thus qi overflows upward, transforming into Xiao Ke (Wasting-Thirst). Treat with Lan (Orchid/Cypripedium) to remove stale qi.
Eating sweet/greasy food causes internal heat, stagnation without external release, leading to middle jiao fullness. Qi overflows upward becoming Xiao Ke. Treat with Orchid grass; orchid's pungency disperses stale accumulation.