帝曰∶厥或令人厥满，或令人暴不知人，或至半日，远至一日，乃知人者，何也？岐伯曰∶阴气盛于上，
则下虚，下虚则腹胀满；阳气盛于上，则下气重上而邪气逆，逆则阳气乱，阳气乱则不知人也。
厥满者，气厥而腹胀满，由阴气盛于上而虚于下之故也。盖阴无阳不生，阳无阴不化，阴虚于下，则下焦
阳气不能宣化而上壅，故腹胀满也；阳气盛于上者，由下焦之阳重上，是亢阳化邪气而逆也，逆则阳和之气乱，
而心神飞越，昏不知人。其厥有微甚，或半日，或一日，其气返顺方苏耳。上明寒热厥逆，此明阴阳厥逆也。
帝曰∶愿闻六经脉之厥状、病能也。岐伯曰∶巨阳之厥，则肿首头重，足不能行，发为 仆；阳明之厥，
则癫疾欲走呼，腹满不得卧，面赤而热，妄见而妄言；少阳之厥，则暴聋，颊肿而热，胁痛， 不可以运；太
阴之厥，则腹满 胀，后不利，不欲食，食则呕，不得卧；少阴之厥，则口干溺赤，腹满心痛；厥阴之厥，则
少腹肿痛，腹胀，泾溲不利，好卧屈膝，阴缩肿， 内热。盛则泻之，虚则补之，不盛不虚，以经取之。
此以下详明厥证，不独手足寒热为厥，而凡外感、内伤，气血虚实，以致阴阳乖逆，经脉不得循序周流，
皆名厥也。巨阳即太阳，太阳经脉盛于头，厥则其气更盛于上，故肿首头重，上盛则下虚，故足不能行，
仆者，目眩跌仆也，此由阴虚，根本不固，阳气暴逆之厥也，阳明行气于三阳，邪热盛则水不济火，独
火乱其神明，故发癫狂走呼，面赤而热，妄见妄言，此三承气汤之实证也；少阳及三阴经之厥，亦与仲景《伤
寒论》所载病证、义理相同，明彼即明此，然其中皆有虚实不同，余后集仲景条下已详明矣。此云补泻以经取
之者，皆针法也。以上虽名六经之厥，而多现脏腑之证，以六经内通脏腑者也。
太阴厥逆， 急挛，心痛引腹，治主病者；少阴厥逆，虚满呕，变下泄清，治主病者；厥阴厥逆，挛腰
痛，虚满前闭，谵言，治主病者；三阴俱逆，不得前后，使人手足寒，三日死；太阳厥逆，僵仆呕血，善衄，
治主病者；少阳厥逆，机关不利，机关不利者，腰不可以行，项不可以顾，发肠痈，不可治，惊者死；阳明厥
逆，喘咳身热，善惊衄呕血；手太阴厥逆，虚满而咳，善呕沫，治主病者；手心主少阴厥逆，心痛引喉，身热，
死不可治；手太阳厥逆，耳聋泣出，项不可以顾，腰不可以俯仰，治主病者；手阳明、少阳厥逆，发喉痹，
嗌肿， ，治主病者。
按前卷营卫经络门十二经条下，凡脏经之病，皆云是主某脏所生病者，其腑经之病，或云是主津液所生病，
或云主气、主血等，各皆不同，皆明其病由此而发，故云是主所生病者。盖人之生，先生五脏为体，由脏气生
六腑为用，故曰脏者，藏精气而不泻，谓其体则常固也，腑者，传化物而不藏，谓其用则生化流通也，而筋骨
血气津液经脉，又从腑气生化，为腑之用。是故脏经之病，从本脏之体所生，故皆曰是主某脏所生病；若腑经
之病，从生化之用所生而为主病，故或主气、主血、主筋骨等之不同也。此篇言太阴厥逆者，是主脾所生病也，
脾为足太阴经，故足 急挛，脾位于腹而通心气，故心痛引腹，当从脾脏主治也，下皆仿此；其少
阴厥逆，是主肾所生病者，肾主下焦，下焦厥逆，则中焦气壅，故虚满而呕，呕则气通，故变泄清，泄清者，
下泄清稀，因中焦谷食不化也；厥阴厥逆者，是主肝所生病也，肝主筋，故筋急而挛，肝肾同源，故腰痛，肝
气横逆，则虚满，肝主癃闭，故前阴闭不通，肝藏魂，肝厥伤魂，则谵言，或有如死者；若三阴俱厥逆，则肝
脾肾皆伤，故前后便不得通，手足皆寒，而内外之气尽厥，故三日而不通和则死也；太阳膀胱经厥逆，是主筋
所生病者，筋病，故僵仆不能起动，阳气厥逆，则血妄溢，故呕血善衄也；少阳胆经厥逆，是主骨所生病者，
其经居半表半里，正当肉里而近骨，表里之气，由此出入，故名其经为枢，其气厥逆，则枢折而骨病，故机关
不利，骨本从肾生，故腰折不可以行，经气上项，故项强不可顾，其阳内郁化热，与肠中浊气壅结而成痈，胆内
连肝，肝伤则惊，是腑脏俱伤，故不可治而死也；阳明胃经厥逆，是主血所生病者，肺胃相连，胃气逆于肺，
故喘而咳，脾胃主肉，故身热，肝藏血而心主血，阳明为多气多血，是主血所生病，则心肝之火皆动，故善惊
而衄，且呕血也；手太阴厥逆，是主肺所生病者，肺气逆，故虚满而咳，沫出于肺，故善呕沫也；手心主少阴，
乃心包连心厥逆，心包是主血脉所生病，心是主心脏所生病者，故心痛引喉，而身热者，心脏近喉，心火逆，
则身热也，按本经云；凡称心病者，心包受邪也，心脏坚固不受邪，受邪则神去而死，此言死不可治者，是心
脏伤也；手太阳小肠经厥逆，是主液所生病者，盖小肠为受盛之官，主化物，液由水谷所化，故厥逆，而液不
生化则生病，其支脉循颈至目 入耳中，故耳聋、泣出、项强也，气上逆则下虚而不转旋，故腰硬不可以俯仰
也；手阳明大肠经，主津液所生病，手少阳三焦经，主气所生病，二经厥逆，则气闭而津液不输，阳郁化火而
上炎，乃发喉痹嗌肿，津液不输，则筋脉燥急而 ， 即痉也。以上皆当治其主病者也。
黄帝问道：厥证有的使人腹部胀满，有的使人突然昏倒不省人事，有的半天或一天以后才苏醒，这是为什么呢？岐伯回答说：阴气偏盛于上部，则下部虚弱，下部虚弱就会引起腹胀满；阳气偏盛于上部，则下部的阳气重复上逆，导致邪气逆行，气机逆乱则阳气紊乱，阳气紊乱就会使人神志昏迷、不省人事。所谓“厥满”，就是气机逆乱导致的腹部胀满，这是由于阴气盛于上部而下部虚损的缘故。大概阴没有阳就不能生长，阳没有阴就不能化生，下部阴虚，则下焦的阳气不能宣通化散而上壅，所以出现腹胀满；阳气盛于上部，是由于下焦的阳气重上，亢盛的阳气化为邪气而逆行，气逆则调和之气紊乱，心神飞越，从而昏不知人。厥证的轻重程度不同，有的半天，有的一天，等到气机恢复顺行才能苏醒。以上阐明了寒热厥逆，这里阐明阴阳厥逆。
黄帝说：我想听听六经脉发生厥证的症状和病机。岐伯说：太阳经发生厥逆，就会出现头部肿胀、头重脚轻，足部不能行走，甚至突然跌倒；阳明经发生厥逆，就会发为癫狂病，想奔跑呼叫，腹部胀满不能安卧，面色发红发热，胡言乱语，看见不存在的东西；少阳经发生厥逆，就会突然耳聋，脸颊肿胀发热，胁肋疼痛，身体转动不便；太阴经发生厥逆，就会腹部胀满，大便不通，不想吃东西，吃了就呕吐，不能安卧；少阴经发生厥逆，就会口干，小便色赤，腹部胀满，心痛；厥阴经发生厥逆，就会小腹肿痛，腹部胀满，大小便不利，喜欢蜷曲膝盖躺着，生殖器收缩肿胀，体内发热。实证用泻法，虚证用补法，不虚不实则取本经穴位治疗。以下详细阐明厥证，不仅仅指手足寒热称为厥，凡是外感、内伤，气血虚实，导致阴阳乖逆，经脉不能循序周流，都称为厥。巨阳即太阳，太阳经脉在头部旺盛，厥逆时其气更盛于上，所以头部肿胀头重，上盛则下虚，所以足不能行走，仆倒是指目眩跌倒，这是由阴虚，根本不固，阳气暴逆引起的厥证。阳明经将气输送到三阳经，邪热盛则水不济火，独火扰乱神明，所以发为癫狂、跑叫，面红发热，胡言乱语，这是三承气汤证的实证；少阳及三阴经的厥逆，也与张仲景《伤寒论》所载的病证、义理相同，明白彼处即明白此处，然而其中都有虚实不同，我在后面汇集张仲景条文时已详细阐明。这里说的补泻以经取之，都是针刺方法。以上虽然名为六经之厥，但多表现为脏腑的症状，因为六经内部连通脏腑。
太阴经厥逆，筋脉拘急挛缩，心痛牵引腹部，治疗应针对主病的脏腑；少阴经厥逆，腹部虚满呕吐，变为下利清稀，治疗应针对主病的脏腑；厥阴经厥逆，筋脉拘挛腰痛，腹部虚满前阴闭塞，胡言乱语，治疗应针对主病的脏腑；三阴经同时厥逆，大小便不通，使人手足寒冷，三天后死亡；太阳经厥逆，僵直仆倒，呕血，容易鼻出血，治疗应针对主病的脏腑；少阳经厥逆，关节活动不利，关节活动不利的人，腰部不能行走，颈部不能回顾，发为肠痈，无法治疗，受惊者死亡；阳明经厥逆，气喘咳嗽，身体发热，容易惊恐、鼻出血、呕血；手太阴经厥逆，腹部虚满而咳，容易呕吐涎沫，治疗应针对主病的脏腑；手厥阴心包经与手少阴心经厥逆，心痛牵引喉咙，身体发热，无法治疗，会死亡；手太阳经厥逆，耳聋流泪，颈部不能回顾，腰部不能俯仰，治疗应针对主病的脏腑；手阳明大肠经、手少阳三焦经厥逆，发为喉痹，咽喉肿胀，筋脉拘急痉挛，治疗应针对主病的脏腑。
按前卷营卫经络门十二经条下记载，凡是脏经的病，都说“是主某脏所生病”，腑经的病，有的说“是主津液所生病”，有的说“主气”、“主血”等，各不相同，都说明病由此而发，所以说“是主所生病”。大概人的生成，先有五脏作为形体，由脏气产生六腑作为功能，所以说脏，是贮藏精气而不泄出的，指它的形体常固；腑，是传导变化食物而不贮藏的，指它的功能生化流通。筋骨血气津液经脉，又从腑气生化，作为腑的功能。因此脏经的病，从本脏的形体所生，所以都说“是主某脏所生病”；若腑经的病，从生化功能所生而为主病，所以有主气、主血、主筋骨等不同。这篇讲太阴厥逆，是脾脏所主的病，脾为足太阴经，所以足部筋脉拘急挛缩，脾位于腹部且通心气，所以心痛牵引腹部，应当从脾脏主治，其余仿照此类；少阴厥逆，是肾脏所主的病，肾主下焦，下焦厥逆，则中焦气机壅滞，所以腹部虚满而呕吐，呕吐则气机通畅，所以变为下利清稀，下利清稀是指大便下泄清稀，因为中焦谷食不消化；厥阴厥逆，是肝脏所主的病，肝主筋，所以筋脉紧急而挛缩，肝肾同源，所以腰痛，肝气横逆，则腹部虚满，肝主排尿不畅，所以前阴闭塞不通，肝藏魂，肝厥损伤魂，则胡言乱语，有时像死人一样；如果三阴经都厥逆，则肝脾肾都受伤，所以大小便都不通，手足都冷，内外之气全部厥逆，所以三天后如果不通和就会死亡；太阳膀胱经厥逆，是筋所主的病，筋有病，所以僵直仆倒不能起动，阳气厥逆，则血液妄行溢出，所以呕血、容易鼻出血；少阳胆经厥逆，是骨所主的病，该经居于半表半里，正当肌肉之间靠近骨骼，表里之气由此出入，所以称该经为枢，其气厥逆，则枢纽折断而骨病，所以关节活动不利，骨本由肾生成，所以腰部折断不能行走，经气上行至颈部，所以颈部僵硬不能回顾，其阳郁结化热，与肠中浊气壅结而成痈，胆内连肝，肝受伤则惊恐，这是腑脏俱伤，所以无法治疗而死亡；阳明胃经厥逆，是血所主的病，肺胃相连，胃气逆于肺，所以喘而咳，脾胃主肉，所以身体发热，肝藏血而心主血，阳明是多气多血的经脉，是主血所生的病，则心肝之火都动，所以容易惊恐、鼻出血，并且呕血；手太阴厥逆，是肺所主的病，肺气逆，所以腹部虚满而咳，沫出于肺，所以容易呕吐涎沫；手厥阴心包经与手少阴心经，是心包连心厥逆，心包主血脉所生的病，心主心脏所生的病，所以心痛牵引喉咙，身体发热是因为心脏近喉，心火逆，则身体发热，按本经所说：凡称心病者，是心包受邪，心脏坚固不受邪，受邪则神去而死，这里说死不可治，是心脏受伤；手太阳小肠经厥逆，是液所主的病，小肠是受盛之官，主化物，液由水谷所化，所以厥逆，液不生化则生病，其支脉循颈至目入耳中，所以耳聋、流泪、颈部僵硬，气上逆则下虚而不能旋转，所以腰部僵硬不能俯仰；手阳明大肠经，主津液所生的病，手少阳三焦经，主气所生的病，这两经厥逆，则气闭而津液不输布，阳郁化火而上炎，于是发为喉痹咽喉肿胀，津液不输布，则筋脉燥急而痉挛，痉挛即痉病。以上都应治疗其主病的脏腑。
Yellow Emperor asked: In Jue syndrome, some cases cause abdominal fullness, some cause sudden loss of consciousness, and some take half a day or even a full day to regain consciousness. What is the reason for this? Qibo replied: When Yin Qi (Yin energy) is excessive in the upper part, the lower part becomes deficient. Deficiency in the lower part leads to abdominal distension and fullness. When Yang Qi (Yang energy) is excessive in the upper part, the Qi from below rises repeatedly, causing pathogenic factors to reverse. Reversal leads to chaos in Yang Qi, and chaotic Yang Qi results in unconsciousness. "Jue fullness" refers to abdominal distension caused by Qi reversal, due to excess Yin in the upper part and deficiency in the lower part. Generally, Yin cannot generate without Yang, and Yang cannot transform without Yin. If there is deficiency of Yin in the lower part, the Yang Qi of the Lower Jiao (Lower Burner) cannot diffuse and transform, leading to upward congestion, thus causing abdominal fullness. Excess Yang in the upper part occurs because Yang Qi from the Lower Jiao rises heavily; hyperactive Yang transforms into pathogenic factors and reverses. Reversal disrupts harmonious Qi, causing the Shen Spirit (Spirit/Mind) to fly away, resulting in coma and unconsciousness. The severity of Jue varies; some last half a day, others a day, and recovery occurs only when Qi returns to smooth flow. The above explains Cold-Heat Jue, while this section explains Yin-Yang Jue.
The Yellow Emperor said: I wish to hear about the manifestations and pathology of Jue in the six meridians. Qibo said: In Taiyang (Greater Yang) Jue, there is swelling of the head, heaviness in the head, inability to walk, and sudden collapse. In Yangming (Bright Yang) Jue, there is manic disorder with desire to run and shout, abdominal fullness preventing sleep, red and hot face, visual hallucinations, and delirious speech. In Shaoyang (Lesser Yang) Jue, there is sudden deafness, swollen and hot cheeks, hypochondriac pain, and difficulty moving. In Taiyin (Greater Yin) Jue, there is abdominal fullness, constipation, anorexia, vomiting after eating, and insomnia. In Shaoyin (Lesser Yin) Jue, there is dry mouth, dark urine, abdominal fullness, and heart pain. In Jueyin (Terminal Yin) Jue, there is swelling and pain in the lower abdomen, abdominal distension, difficulty urinating and defecating, preference for lying curled up with knees flexed, contraction and swelling of the genitals, and internal heat. For excess conditions, use draining methods; for deficiency conditions, use tonifying methods; for neither excess nor deficiency, treat the affected meridian directly. The following details Jue syndromes, clarifying that Jue is not limited to cold and heat in the hands and feet, but includes any condition where external pathogens or internal injuries cause imbalance of Qi and Blood, excess or deficiency, leading to disharmony of Yin and Yang and failure of meridians to circulate in order. Juyang is Taiyang. The Taiyang meridian is vigorous at the head; in Jue, its Qi becomes even more excessive in the upper part, causing head swelling and heaviness. Upper excess leads to lower deficiency, hence the inability to walk. Collapse refers to dizziness and falling, caused by Yin deficiency, instability of the root, and violent rebellion of Yang Qi. Yangming distributes Qi to the three Yang meridians. When pathogenic heat is excessive, Water fails to control Fire, and solitary Fire disturbs the Shen Spirit, causing mania, running, shouting, red face, heat, hallucinations, and delirium. This corresponds to the excess patterns treated by the Three Chengqi Decoctions. The Jue of Shaoyang and the three Yin meridians shares similar pathology and principles with those described in Zhang Zhongjing's *Treatise on Cold Damage* (*Shanghan Lun*). Understanding one illuminates the other, though differences in excess and deficiency exist, which are detailed later under Zhang Zhongjing's clauses. The statement "tonify or drain according to the meridian" refers to acupuncture techniques. Although named Jue of the Six Meridians, these often present as Zang-Fu symptoms because the six meridians connect internally to the Zang-Fu organs.
In Taiyin Jue, there is acute spasm, heart pain radiating to the abdomen; treatment should target the primary diseased organ. In Shaoyin Jue, there is vacuous fullness and vomiting, progressing to clear diarrhea; treatment should target the primary diseased organ. In Jueyin Jue, there is spasm, waist pain, vacuous fullness, urinary retention, and delirium; treatment should target the primary diseased organ. If all three Yin meridians are in Jue, with inability to pass stool and urine, causing cold limbs, death occurs within three days. In Taiyang Jue, there is rigidity and collapse, hematemesis, and frequent epistaxis; treatment should target the primary diseased organ. In Shaoyang Jue, there is dysfunction of joints. Dysfunction of joints means inability to walk due to waist stiffness and inability to look back due to neck stiffness. It may develop into intestinal abscess, which is incurable. Cases involving fright result in death. In Yangming Jue, there is wheezing, coughing, body heat, frequent fright, epistaxis, and hematemesis. In Hand-Taiyin Jue, there is vacuous fullness and cough, frequent vomiting of frothy saliva; treatment should target the primary diseased organ. In Hand-Jueyin Pericardium and Hand-Shaoyin Heart Jue, there is heart pain radiating to the throat and body heat. This is incurable and fatal. In Hand-Taiyang Jue, there is deafness, tearing, inability to look back, and inability to bend or extend the waist; treatment should target the primary diseased organ. In Hand-Yangming Large Intestine and Hand-Shaoyang Sanjiao Jue, there is Bi obstruction of the throat, pharyngeal swelling, and spasms; treatment should target the primary diseased organ.
According to the previous volume on Ying-Wei (Nutritive-Defensive) and Meridians, under the twelve meridians, diseases of Zang meridians are stated as "governing diseases generated by that Zang," while diseases of Fu meridians are stated as "governing diseases of fluids," "Qi," or "Blood," etc., varying by meridian. This indicates that diseases originate from these sources. Human generation begins with the five Zang forming the structure, and Zang Qi generating the six Fu for function. Thus, Zang stores essence and Qi without leaking, representing stable structure; Fu transmits and transforms substances without storing, representing dynamic function. Sinews, bones, blood, Qi, fluids, and meridians are further generated from Fu Qi, serving Fu functions. Therefore, Zang meridian diseases arise from the Zang structure itself, hence "governing diseases of that Zang." Fu meridian diseases arise from functional transformation, hence governing Qi, Blood, sinews, etc. This passage on Taiyin Jue refers to diseases governed by the Spleen. The Spleen is the Foot-Taiyin meridian, so foot spasms occur. The Spleen resides in the abdomen and connects to Heart Qi, causing heart pain radiating to the abdomen; thus, it should be treated via the Spleen Zang. The same logic applies subsequently. Shaoyin Jue refers to diseases governed by the Kidney. The Kidney governs the Lower Jiao; Jue of the Lower Jiao causes Qi stagnation in the Middle Jiao, leading to vacuous fullness and vomiting. Vomiting allows Qi to flow, leading to clear diarrhea. Clear diarrhea means thin stools due to undigested food in the Middle Jiao. Jueyin Jue refers to diseases governed by the Liver. The Liver governs sinews, causing spasms. Liver and Kidney share the same source, causing waist pain. Liver Qi rebelling horizontally causes vacuous fullness. The Liver governs urinary retention, causing genital blockage. The Liver houses the Hun Soul; Liver Jue damages the Hun, causing delirium or apparent death. If all three Yin meridians are in Jue, Liver, Spleen, and Kidney are injured, blocking bowel and bladder movements, causing cold limbs. Complete internal-external Qi reversal leads to death if not resolved within three days. Taiyang Bladder meridian Jue governs diseases of sinews. Sinew disease causes rigidity and collapse. Yang Qi reversal causes blood to spill recklessly, leading to hematemesis and epistaxis. Shaoyang Gallbladder meridian Jue governs diseases of bones. Located between exterior and interior, near bones, it acts as the pivot for Qi entry and exit. Jue breaks the pivot, causing bone disease and joint dysfunction. Bones derive from Kidney, causing waist immobility. Meridian Qi ascends to the neck, causing neck stiffness. Internal Yang stagnation generates heat, combining with turbid Qi in the intestines to form abscesses. The Gallbladder connects to the Liver; Liver injury causes fright. Combined Zang-Fu injury makes it incurable and fatal. Yangming Stomach meridian Jue governs diseases of Blood. Lung and Stomach are connected; Stomach Qi rebelling into the Lung causes wheezing and coughing. Spleen and Stomach govern flesh, causing body heat. Liver stores Blood, Heart governs Blood; Yangming is abundant in Qi and Blood. Diseases of Blood activation stir Heart and Liver fire, causing fright, epistaxis, and hematemesis. Hand-Taiyin Jue governs diseases of the Lung. Lung Qi rebellion causes vacuous fullness and cough. Froth originates from the Lung, causing vomiting of froth. Hand-Jueyin Pericardium and Hand-Shaoyin Heart Jue involve Pericardium and Heart rebellion. Pericardium governs Blood vessel diseases; Heart governs Heart organ diseases. Heart pain radiating to the throat and body heat occur because the Heart is near the throat; Heart Fire rebellion causes heat. As stated in the meridian text, "Heart diseases" refer to Pericardium receiving pathogens. The Heart is solid and does not receive pathogens; if it does, the Spirit departs and death ensues. "Incurable death" here indicates Heart injury. Hand-Taiyang Small Intestine meridian Jue governs diseases of fluids. The Small Intestine is the official of reception and transformation, transforming fluids from food and water. Jue prevents fluid transformation, causing disease. Its branch meridian runs to the eyes and ears, causing deafness, tearing, and neck stiffness. Upward Qi rebellion causes lower deficiency and rotational failure, leading to stiff waist unable to bend or extend. Hand-Yangming Large Intestine meridian governs diseases of Jin-Ye (Fluids). Hand-Shaoyang Sanjiao meridian governs diseases of Qi. Jue of these two meridians blocks Qi and fluid transport. Stagnant Yang transforms into Fire and flares upward, causing throat Bi obstruction and pharyngeal swelling. Lack of fluid transport causes dry sinews and spasms (Jing). All these should be treated by targeting the governing Zang-Fu.