诸本无篇字。简案、内言肠胃长短大小。纡曲屈伸之度。故名篇。疑与后绝谷篇为一篇。后人分为二篇也。
长九分 口广二寸半 张云。长、深也。广、阔也。
会厌 张云。会厌在咽喉之上。乃所以分水谷。司呼吸。而不容其相混者也。忧恚无言云。会厌者。
音声之户也。
咽门重十两 张云。咽门、即食喉也。其名曰咽。至长一尺六寸。乃并胃脘而言。四十二难杨注。
咽、 也。言司以咽物也。又谓之嗌。言气之流通厄要之处也。咽、为胃之系也。本义十两作十二两。简案、
一尺六寸下。难经有喉咙重十二两。广二寸。长一尺二寸九节。十六字。恐本经脱之也。杨注。喉咙空虚也。
言其中空虚。可以通气息焉。即肺之系也。呼吸之道路。
胃纡曲屈伸之 张云。纡曲、曲折也。大、言周遭之数。经、言直过之数。余准此。平人绝谷篇
曰。其中之谷常留二斗。水一斗五升而满。
小肠（止）长三丈三尺 难经、甲乙。作二尺。马云。小肠上口。胃之下口。小肠后附于脊。从左环回周
叠。积其所注之物。以入于回肠者。外附于脐上。回运计环十六曲。大四寸。径口八分分之小半。即半分也。
其长三丈三尺。张云。其下口注于回肠者。外附近于脐上一寸。当水分穴处是也。
八分分之小半。言八分之外。尚有如一分之少半也。余仿此。志云。小半者。七分半也。简案、史项羽纪。汉
有天下大半。韦昭注云。凡数三分者二为太半。一为小半。四十二难杨注亦云。三分有二为太半。有一为小半。
由此推之。分之少半者三厘三毫有奇。寸小半者。三分三厘三毫不尽。寸之太半者。六分六厘六毫不尽也。则
张注似是。
回肠当脐（止）长二丈一尺 张云。回肠、大肠也。叶积、如叶之积。亦叠积之义。大肠上口。即小
肠下口。当脐左旋而下积广肠也。四十二难杨注云。大肠即回肠也。以其回曲。因以名之。简案、志云。径一
寸。寸之少半者。径一寸五分也。恐非。
广肠傅脊（止）长二尺八寸 马云。广肠者。直肠也。广肠附脊以受回肠之物。左环叶在脊之上下盘。
辟大八寸。径二寸寸之太半。则是二寸七分也。张云。广肠、大肠下节也。亦名直肠。直肠居后。绕脊而下。
故曰傅脊。傅、布也。叶脊上下言。叠于脊之上下而至尾 也。辟、 同。以其最广。故云辟大八寸。志云。
广肠、肛门内之直肠。径二寸寸之太半者。径二寸七分半也。简案、傅脊。马释附脊。乃傅字之讹。张注难通。
肠胃所入至所出 张本。所、作初。张云。此总结上文自口而入。自便而出之全数。三十二曲。合小
肠大肠而言也。四十二难杨注云。据甲乙经言。肠胃凡长六丈四寸四分。所以与此不同。难经云。肠胃凡长五
丈八尺四寸者。甲乙经从口至回肠而数之。故长。此经从胃至肠而数之。故短。亦所以互相发明。非有谬也。
丁曰。前肠胃径围大小不同。其言胃大一尺五寸。径五寸者。即是围径一也。小肠径八分。大二寸四分则是也。
今言二寸半。即分之少半。回肠径一寸
半。即大四寸五分。今言大四寸。即少五分也。广肠径一寸半。即大七寸五分。今言八寸。即有剩五分也。其
升斗寸尺者。先立其尺。然后造其升斗秤两。皆以同身寸之为法。以尺造斗。斗面阔一尺。底阔七寸。高四寸。
俱浓三分。可容十升。凡以寸为指节者。方一寸为两。十六两为斤。此制同身寸尺升斗之度。为人之肠胃斤重
长短之法也。
各版本中均无“篇”字。简案认为，文中阐述了肠胃长短、大小以及迂曲伸缩的尺度，因此命名为该篇。怀疑此篇与后文的《绝谷篇》原为一篇，后被后人分为两篇。
（胃）长九寸。口宽二寸半。张云：长，指深度；广，指宽度。
会厌。张云：会厌位于咽喉之上，是用来分流水谷、主管呼吸，而不让它们相互混淆的部位。《忧恚无言》篇说：会厌是声音发出的门户。
咽门重十两。张云：咽门，就是食管。它的名字叫咽，长达一尺六寸，这是连同胃脘一起计算的。《难经·四十二难》杨注：咽，用来吞咽食物。又叫做嗌，指气息流通的关键部位。咽，是胃的系带。原本作“十二两”。简案：在“一尺六寸”之下，《难经》有“喉咙重十二两，广二寸，长一尺二寸九节”十六个字，恐怕是本经脱漏了。杨注：喉咙是空虚的，指其中空，可以通气息。即肺的系带，是呼吸的道路。
胃迂曲伸缩的……张云：迂曲，指曲折。大，指周围的数量。经，指直过的数量。其余以此类推。《平人绝谷篇》说：其中的谷物常留二斗，水一斗五升而满。
小肠（止）长三丈三尺。《难经》、《甲乙经》作“二尺”。马云：小肠上口，即胃的下口。小肠后附于脊柱，从左环绕回旋重叠，积聚所注入的物质，以进入回肠。外附于脐上，回转计算共有十六个弯曲，宽四寸，口径八分分之小半，即半分。其长三丈三尺。张云：其下口注入回肠的地方，外附近于脐上一寸，正是水分穴所在处。八分分之小半，指八分之外，还有一分的少半。其余仿照此例。志云：小半，即七分半。简案：《史记·项羽本纪》汉有天下大半，韦昭注云：凡数三分者，二为太半，一为小半。《难经·四十二难》杨注也说：三分有二为太半，有一为小半。由此推算，分之少半是三厘三毫有余，寸的小半是三分三厘三毫不尽，寸的太半是六分六厘六毫不尽。那么张注似乎是正确的。
回肠当脐（止）长二丈一尺。张云：回肠，就是大肠。叶积，像叶子堆积一样，也是叠积的意思。大肠上口，即小肠下口，当脐左旋而下，积聚于广肠。《难经·四十二难》杨注云：大肠即回肠。因为它回曲，所以以此命名。简案：志云：径一寸。寸的少半，径是一寸五分。恐怕不对。
广肠附脊（止）长二尺八寸。马云：广肠，就是直肠。广肠附于脊柱以接受回肠的物质，左右环绕叶片状盘绕在脊柱上下。辟大八寸，径二寸寸之太半，即是二寸七分。张云：广肠，是大肠的下节。也叫直肠。直肠居后，绕脊柱而下，所以说附脊。傅，布也。叶脊上下，指叠于脊柱上下直至尾骨。辟，同“闢”，因其最广，所以说辟大八寸。志云：广肠，肛门内的直肠。径二寸寸之太半，径是二寸七分半。简案：傅脊，马释为附脊，乃“傅”字之讹。张注难以讲通。
肠胃从入口到出口……张本，“所”作“初”。张云：这是总结上文自口而入，自大便而出的总长度。三十二曲，合小肠和大肠而言。《难经·四十二难》杨注云：据《甲乙经》言，肠胃凡长六丈四寸四分，所以与此不同。《难经》云：肠胃凡长五丈八尺四寸。《甲乙经》从口至回肠而数之，所以长。此经从胃至肠而数之，所以短。这也是互相发明，并非有误。丁曰：前文肠胃径围大小不同，其言胃大一尺五寸，径五寸者，即是围径一也。小肠径八分，大二寸四分则是也。今言二寸半，即分之少半。回肠径一寸半，即大四寸五分。今言大四寸，即少五分也。广肠径一寸半，即大七寸五分。今言八寸，即有剩五分也。其升斗寸尺者，先立其尺，然后造其升斗秤两，皆以同身寸为法。以尺造斗，斗面阔一尺，底阔七寸，高四寸，俱厚三分，可容十升。凡以寸为指节者，方一寸为两，十六两为斤。此制同身寸尺升斗之度，为人之肠胃斤重长短之法也。
The character "Pian" (Chapter/Section) is absent in all extant versions. Jian An notes that the text discusses the length, size, and degrees of curvature and extension of the stomach and intestines, hence the chapter title. It is suspected that this chapter was originally one with the subsequent "Jue Gu Pian" (Chapter on Fasting), later divided into two by later editors.
[The Stomach] is nine cun long. The mouth opening is two and a half cun wide. Zhang Yun states: "Chang" refers to depth; "Guang" refers to width.
Huiyan (Epiglottis). Zhang Yun states: The Huiyan is located above the throat. It serves to separate food and drink from respiration, preventing them from mixing. The chapter "You Hui Wu Yan" states: The Huiyan is the gate of voice production.
The Yanmen (Pharyngeal opening) weighs ten liang. Zhang Yun states: Yanmen is the esophagus. Its name is Yan, reaching a length of one chi six cun, which includes the stomach chamber. Yang's commentary on Nan Jing Chapter 42 states: Yan is used for swallowing. It is also called Ai, referring to the critical passage for air flow. Yan is the connection to the stomach. The original text reads "twelve liang". Jian An notes: Below "one chi six cun", Nan Jing contains sixteen characters: "Houlong weighs twelve liang, is two cun wide, and one chi two cun nine fen long." It is likely these were omitted in this classic. Yang's commentary states: Houlong is hollow, indicating its emptiness allows for breath passage. It is the connection to the lungs, the pathway for respiration.
The [Stomach's] curved and extended... Zhang Yun states: Ququ refers to winding or tortuous paths. Da refers to the circumference. Jing refers to the straight length. The rest follows this pattern. The chapter "Ping Ren Jue Gu" states: The grain within usually retains two dou, and water one dou five sheng when full.
Small Intestine (ends) three zhang three chi long. Nan Jing and Jia Yi Jing read "two chi". Ma Yun states: The upper opening of the small intestine is the lower opening of the stomach. The small intestine attaches posteriorly to the spine, looping from the left in overlapping folds, accumulating injected matter to enter the Hui Chang (Coiled Large Intestine). It attaches externally above the navel, rotating with sixteen curves, four cun wide, with an oral diameter of eight fen minus a small third (i.e., half a fen). Its length is three zhang three chi. Zhang Yun states: Its lower opening pours into the Hui Chang, externally near one cun above the navel, at the Shuifen acupoint. "Eight fen minus a small third" means beyond eight fen, there remains a small third of one fen. The rest follows this analogy. Zhi Yun states: Small third is seven and a half fen. Jian An notes: In Shi Ji, "Xiang Yu Ji", it says Han possesses more than half of the world. Wei Zhao's commentary states: Of three parts, two are Tai Ban (large majority/half-plus), one is Xiao Ban (small minority/half-minus). Yang's commentary on Nan Jing Chapter 42 also states: Two-thirds is Tai Ban, one-third is Xiao Ban. From this deduction, the small third of a fen is over three li and three hao; the small third of a cun is not quite three fen three li three hao; the large majority of a cun is not quite six fen six li six hao. Thus, Zhang's annotation seems correct.
Hui Chang, opposite the navel (ends) two zhang one chi long. Zhang Yun states: Hui Chang is the large intestine. Ye Ji means accumulation like leaves, implying layered stacking. The upper opening of the large intestine is the lower opening of the small intestine, turning left below the navel to accumulate in the Guang Chang. Yang's commentary on Nan Jing Chapter 42 states: The large intestine is the Hui Chang. Named so because of its coiling. Jian An notes: Zhi Yun states: Diameter one cun. The small third of a cun is one cun five fen. This is likely incorrect.
Guang Chang attaches to the spine (ends) two chi eight cun long. Ma Yun states: Guang Chang is the rectum. Guang Chang attaches to the spine to receive matter from the Hui Chang, looping left and right in leaf-like layers above and below the spine. Pi Da (wide/open) eight cun, diameter two cun plus the large majority of a cun, i.e., two cun seven fen. Zhang Yun states: Guang Chang is the lower segment of the large intestine. Also named Zhichang (Rectum). The rectum is posterior, winding down along the spine, hence "Fu Ji" (attaching to the spine). Fu means spread/distribute. Ye Ji above and below the spine refers to stacking above and below the spine until the coccyx. Pi is identical to Bi (open/wide). Because it is the widest, it is called Pi Da eight cun. Zhi Yun states: Guang Chang is the rectum inside the anus. Diameter two cun plus the large majority of a cun is two cun seven and a half fen. Jian An notes: Fu Ji, Ma interprets as Fu Ji (attach to spine), suggesting Fu is a textual error for Fu. Zhang's annotation is difficult to reconcile.
From the entry to the exit of the stomach and intestines... Zhang's edition reads "Chu" instead of "Suo". Zhang Yun states: This summarizes the total length from entering via the mouth to exiting via defecation. Thirty-two curves, combining the small and large intestines. Yang's commentary on Nan Jing Chapter 42 states: According to Jia Yi Jing, the stomach and intestines are six zhang four cun four fen long, hence the difference. Nan Jing states: The stomach and intestines are five zhang eight chi four cun long. Jia Yi Jing counts from the mouth to the Hui Chang, thus longer. This classic counts from the stomach to the intestines, thus shorter. This mutually illuminates without error. Ding states: Previously, the diameters and circumferences of the stomach and intestines varied. When it said the stomach is one chi five cun wide and five cun in diameter, that is consistent. Small intestine diameter eight fen, width two cun four fen is consistent. Now saying two and a half cun is the small third of a fen. Hui Chang diameter one cun half, width four cun five fen. Now saying four cun width is short by five fen. Guang Chang diameter one cun half, width seven cun five fen. Now saying eight cun width has a surplus of five fen. Regarding sheng, dou, cun, and chi measures: First establish the chi ruler, then create the sheng, dou, scale, and liang, all based on Tong Shen Cun (Body-inch). Using the chi to make the dou: top width one chi, bottom width seven cun, height four cun, thickness three fen, capacity ten sheng. For inch-based finger-joint measures: one square cun equals two liang, sixteen liang equal one jin. This system of Tong Shen Cun rulers, dou, and sheng dimensions serves as the method for the weight and length of human stomach and intestines.