（《素问·厥论》连前篇）
帝曰∶愿闻六经脉之厥状病能也。（能，犹形也。前章言病厥之本，故此下复问其各经之状。）岐伯曰∶巨阳之厥，
则肿首头重，足不能行，发为 仆。 ，目眩乱也。仆，猝倒也。足太阳之脉起于目内 ，上额交巅入络脑，故为肿首
头重 仆。其下行之支者，合 中，贯 内，故为足不能行。 音眩。）阳明之厥，则癫疾欲走呼，腹满不得卧，面赤而
热，妄见而妄言。（阳明，胃脉也，为多气多血之经。气逆于胃则阳明邪实，故为癫狂之疾而欲走且呼也。其脉循腹里，
故为腹满。胃不和则卧不安，故为不得卧。阳明之脉行于面，故为面赤而热。阳邪盛则神明乱，故为妄见妄言。）少阳之
厥，则暴聋颊肿而热，胁痛， 不可以运。（厥在足少阳者，其脉入耳中，故暴聋，下加颊车，故颊肿而热。下腋循胸过
季胁，故胁痛。下出膝外廉下外辅骨之前，故 不可以运。 音杭。）太阴之厥，则腹满 胀，后不利，不欲食，食则呕，
不得卧。（足太阴之脉入腹属脾络胃，故厥则腹满 胀。逆气在脾，故后便不利，且令不欲食而食则呕。脾与胃为表里，
胃不和者卧不安，脾亦然也。）少阴之厥，则口干溺赤，腹满心痛。（厥逆在足少阴者，其脉循喉咙挟舌本，故口干。肾
脉络膀胱，故溺赤。其直者从肾上贯肝膈，其支者从肺出络心注胸中，故腹满心痛。）厥阴之厥，则少腹肿痛腹胀，泾溲
不利，好卧屈膝，阴缩肿， 内热。（足厥阴之脉抵少腹挟胃，故厥则少腹肿痛而腹胀。其脉环阴器，故泾溲不利，阴缩
而肿。肝主筋，为罢极之本，故足软好卧而屈膝。其下者行足胫内侧，故 内为热。泾音经，水名。溲音搜。）盛则泻之，
虚则补之，不盛不虚，以经取之。（不盛不虚者，惟逆气在经而无关于虚盛也，故但取其经而已。义详本类前十。）
太阴厥逆， 急挛，心痛引腹，治主病者。（此下亦皆言足六经也。足太阴之脉上 内，循胫骨之后，故 为急挛。
入腹注心中，故心痛引腹。治主病者，谓如本经之左右上下及原俞等穴，各有宜用，当审其所主而刺之也。余准此。按∶
六经之厥已具上文，此复言者，考之全元起本，自本节之下，另在第九卷中，盖彼此发明，原属两篇之文，乃王氏类移
于此者，非本篇之重复也。）少阴厥逆，虚满呕变，下泄清，治主病者。（肾为胃关，故少阴厥逆，则下焦不化而为虚满
呕变。肾病则命门阳气亦衰，故下泄清冷。）厥阴厥逆，挛腰痛，虚满前闭谵言，治主病者。（厥阴脉络诸筋，故为拘挛
腰痛。肝邪侮土，故为虚满。肝经之脉环阴器，故为前闭不通。肝藏魂，厥逆在肝则神魂乱，故言为谵妄。）三阴俱逆，
不得前后，使人手足寒，三日死。（不得前后者，或闭结不通，或遗失不禁，不得其常之谓也。三阴俱逆则藏气绝。《阳
明脉解篇》曰∶厥逆连经则生，连脏则死。此之谓也。）太阳厥逆，僵仆呕血善衄，治主病者。（足太阳之脉起目内 ，
从巅入络脑，挟脊循膂下 中，贯 内，为三阳之大经，故主僵仆衄 之病。然五脏之俞皆系于此，故本经厥逆者，当
为呕血。衄，女六切。）少阳厥逆，机关不利，机关不利者，腰不可以行，项不可以顾，（足之少阳，胆经也。机关者，
筋骨要会之所也。胆者筋其应，少阳厥逆则筋不利，故为此机关腰项之病。）发肠痈不可治，惊者死。（肠痈发于少阳厥
逆者，相火之结毒也，故不可治。若有惊者，其毒连脏，故当死。）阳明厥逆，喘咳身热，善惊衄呕血。（阳明之脉循喉
咙入缺盆下膈，故为喘咳。阳明主肌肉，故为身热。风木之邪发惊骇，为胃所畏，故善惊。阳明之脉起于鼻属于胃，气
有所逆，故为衄血呕血。）
手太阴厥逆，虚满而咳，善呕沫，治主病者。（此下言手六经之厥逆也。手太阴之脉起于中焦，循胃口上膈属肺，故
其为病如此。）手心主少阴厥逆，心痛引喉，身热，死不可治。（手心主厥阴之脉起于胸中，出属心包络；手少阴心脉从
心系上挟嗌，皆令人心痛引喉。二经属火，其主血脉，故为身热。心为五脏六腑之大主，故逆之则死不可治。）手太阳厥
逆，耳聋泣出，项不可以顾，腰不可以俯仰，治主病者。（手太阳小肠之脉至目之内外 入耳中，故厥则耳聋泣出。其支
者从缺盆循颈，故项不可以顾。又《四时气篇》曰∶邪在小肠者，连睾系，属于脊。故腰不可以俯仰也。）手阳明少阳厥
逆，发喉痹嗌肿， ，治主病者。（手阳明大肠之脉从缺盆上颈贯颊，手少阳三焦之脉上出缺盆上项，故皆发喉痹嗌肿。
按全元起本 作痉，谓手臂肩项强直也。 音炽。痉音敬。）
（《素问·厥论》承接前一篇）
黄帝说：我想听听六经经脉发生厥逆时的症状和表现。（“能”，通“形”，指形态。前章论述了病厥的根本原因，所以这里再次询问各经厥逆的具体状况。）岐伯回答说：足太阳膀胱经发生厥逆，
就会出现头部肿胀、头重脚轻，双脚无法行走，甚至突然跌倒。（“眩”，指眼睛昏花视物不清。“仆”，指猝然倒地。足太阳膀胱经的脉气起于目内眦，上行至额部，交会于头顶，入络于脑，所以会出现头部肿胀、头重及猝倒的症状。其向下行走的分支，合于腘窝中，贯穿小腿肚内，所以会导致双脚无法行走。“眩”音同“旋”。）足阳明胃经发生厥逆，就会患癫狂病，想奔跑呼喊，腹部胀满不能安卧，面色发红发热，出现幻觉乱语。（阳明经是胃的经脉，属于多气多血的经脉。气逆在胃则阳明邪气实盛，所以会患癫狂之疾而想要奔跑呼喊。其经脉循行于腹部内部，所以会出现腹部胀满。胃气不和则睡眠不安，所以导致不能安卧。阳明经脉行于面部，所以出现面色发红发热。阳热邪气盛则扰乱神明，所以出现幻觉和乱语。）足少阳胆经发生厥逆，就会突然耳聋、脸颊肿胀发热，胁肋疼痛，膝盖无法活动。（足少阳经发生厥逆，其经脉进入耳中，所以突然耳聋；下行经过颊车穴，所以脸颊肿胀发热；下行经过腋下，沿胸侧过季胁，所以胁肋疼痛；下行出膝外侧，走在腓骨之前，所以膝盖无法活动。“杭”音同“吭”。）足太阴脾经发生厥逆，就会腹部胀满、大便不通，不想吃东西，吃了就呕吐，不能安卧。（足太阴脾经进入腹部，属脾络胃，所以厥逆时会出现腹部胀满。逆气在脾，所以大小便不利，并且让人不想吃东西，吃了就呕吐。脾与胃互为表里，胃不和则睡不安稳，脾经亦然。）足少阴肾经发生厥逆，就会口干、小便色赤，腹部胀满、心痛。（足少阴经发生厥逆，其经脉循行喉咙夹舌根，所以口干。肾经络膀胱，所以小便色赤。其直行者从肾上行穿过肝膈，其分支从肺出来络于心注入胸中，所以出现腹部胀满和心痛。）足厥阴肝经发生厥逆，就会小腹胀痛、腹部胀大，大小便不利，喜欢躺着屈膝，生殖器收缩肿胀，大腿内侧发热。（足厥阴肝经抵少腹夹胃，所以厥逆时小腹胀痛且腹部胀大。其经脉环绕生殖器，所以大小便不利，生殖器收缩肿胀。肝主筋，是疲劳的本源，所以脚软喜欢躺下并屈膝。其下行部分走足胫内侧，所以大腿内侧发热。“泾”音同“经”，水名。“溲”音同“搜”。）实证用泻法，虚证用补法，不虚不实，取本经穴位治疗。（不虚不实的，只是逆气在经脉而不关乎虚盛，所以只取本经穴位即可。义理详见本类前十篇。）
足太阴脾经厥逆，小腿肚拘急挛缩，心痛牵引腹部，治疗应针对主病部位。（以下也都讲足六经的情况。足太阴脾经上行于小腿肚内，沿胫骨后侧，所以小腿肚拘急挛缩。进入腹部注入心中，所以心痛牵引腹部。所谓“治主病者”，意思是如本经的左右上下及原穴、俞穴等，各有适宜使用的穴位，应当审查其所主而进行针刺。其余类推。按：六经的厥逆上文已具备，这里又说的原因，考证全元起本，从本节之下，另在第九卷中，大概彼此互相发明，原本属于两篇的文章，是王冰分类移置于此的，并非本篇的重复。）足少阴肾经厥逆，腹部虚满、呕吐变症，下利清谷，治疗应针对主病部位。（肾是胃的关隘，所以少阴厥逆，则下焦不化而为腹部虚满、呕吐变症。肾病则命门阳气也衰微，所以下利清冷。）足厥阴肝经厥逆，拘挛腰痛，腹部虚满、前阴闭塞、胡言乱语，治疗应针对主病部位。（厥阴经脉联络诸筋，所以出现拘挛腰痛。肝邪克制脾土，所以出现腹部虚满。肝经的脉气环绕生殖器，所以前阴闭塞不通。肝藏魂，厥逆在肝则神魂紊乱，所以说话谵妄。）三阴经同时厥逆，大小便不通，使人手足寒冷，三天死亡。（大小便不通，是指或闭结不通，或遗失不禁，不符合常态的意思。三阴经同时厥逆则脏气绝灭。《阳明脉解篇》说：厥逆连及经脉则生，连及脏腑则死。说的就是这个意思。）足太阳膀胱经厥逆，身体僵硬跌倒、呕血、容易鼻出血，治疗应针对主病部位。（足太阳膀胱经起于目内眦，从头顶入络于脑，挟脊柱循行于腰中，贯穿小腿肚，是三阳经的大经，所以主治身体僵硬跌倒、鼻衄的病。然而五脏的背俞穴都系联于此，所以本经厥逆者，应当出现呕血。“衄”音同“女六切”。）足少阳胆经厥逆，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，（足少阳经是胆经。机关，是指筋骨交汇的重要部位。胆与筋相应，少阳厥逆则筋不利，所以出现这些腰项部位的疾病。）如果并发肠痈则不可治，如果出现惊悸则死亡。（肠痈发于少阳厥逆的，是相火凝结的毒邪，所以不可治。如果有惊悸症状，说明毒邪连及脏腑，所以应当死亡。）足阳明胃经厥逆，气喘咳嗽、身体发热，容易惊恐、鼻出血、呕血。（阳明经脉循喉咙入缺盆下膈，所以出现气喘咳嗽。阳明主肌肉，所以身体发热。风木之邪引发惊骇，为胃所畏惧，所以容易惊恐。阳明经脉起于鼻属于胃，气有所逆，所以出现鼻出血和呕血。）
手太阴肺经厥逆，腹部虚满而咳嗽，容易呕吐泡沫，治疗应针对主病部位。（以下讲手六经的厥逆。手太阴肺经起于中焦，循胃口向上穿过膈肌属肺，所以它的病症如此。）手厥阴心包经和手少阴心经厥逆，心痛牵引喉咙，身体发热，死亡不可治。（手厥阴心包经起于胸中，出属心包络；手少阴心经从心系上行夹咽喉，都会导致心痛牵引喉咙。这两经属火，主管血脉，所以身体发热。心是五脏六腑的大主，所以厥逆则死亡不可治。）手太阳小肠经厥逆，耳聋流泪，颈部不能回顾，腰部不能俯仰，治疗应针对主病部位。（手太阳小肠经至目内眦和外眦入耳中，所以厥逆时耳聋流泪。其分支从缺盆循颈，所以颈部不能回顾。另外《四时气篇》说：邪气在小肠的，连及睾丸系带，属于脊柱。所以腰部不能俯仰。）手阳明大肠经和手少阳三焦经厥逆，发作喉痹咽喉肿痛，手臂抽搐，治疗应针对主病部位。（手阳明大肠经从缺盆上颈贯颊，手少阳三焦经上出缺盆上项，所以都发作喉痹咽喉肿痛。按全元起本，“ ”作“痉”，指手臂肩项强直。“炽”音同“翅”。“痉”音同“敬”。）
(Su Wen: Jue Lun, continuing from the previous chapter)
The Yellow Emperor said: I wish to hear about the symptoms and manifestations of Jue (reversal qi) in the six meridians. ("Neng" is synonymous with "Xing", meaning form or manifestation. The previous chapter discussed the root cause of pathological Jue, so here it asks again about the specific conditions of each meridian.) Qi Bo replied: When the Foot-Taiyang Bladder Meridian experiences Jue,
there will be swelling of the head, heaviness of the head, inability to walk on the feet, and sudden collapse ("Xuan" refers to dizziness and blurred vision. "Pu" refers to sudden falling. The Foot-Taiyang Bladder Meridian originates at the inner canthus of the eye, ascends to the forehead, intersects at the vertex, and enters the brain to connect with the brain network, thus causing head swelling, heaviness, and sudden collapse. Its descending branch merges in the popliteal fossa and penetrates the calf muscles, thus causing the inability to walk. "Xuan" sounds like "Xuan".) When the Foot-Yangming Stomach Meridian experiences Jue, one may suffer from manic-depressive illness, desire to run and shout, abdominal fullness, inability to lie down, red and hot face, delusions, and incoherent speech. (The Yangming Meridian is the stomach meridian, belonging to the category of abundant qi and blood. When qi rebels in the stomach, Yangming pathogenic factors become excessive, thus causing manic disorders and the desire to run and shout. Its meridian circulates within the abdomen, thus causing abdominal fullness. When the stomach is not harmonious, sleep is disturbed, thus causing the inability to lie down. The Yangming meridian runs on the face, thus causing a red and hot face. Excessive yang pathogenic factors disturb the spirit, thus causing delusions and incoherent speech.) When the Foot-Shaoyang Gallbladder Meridian experiences Jue, there will be sudden deafness, swelling and heat in the cheeks, hypochondriac pain, and immobility of the knees. (When the Foot-Shaoyang Meridian experiences Jue, its meridian enters the ear, thus causing sudden deafness; it descends to Jiache point, thus causing cheek swelling and heat; it descends past the axilla, along the chest side passing the lateral costal margin, thus causing hypochondriac pain; it descends out of the lateral knee, running anterior to the fibula, thus causing knee immobility. "Hang" sounds like "Kang".) When the Foot-Taiyin Spleen Meridian experiences Jue, there will be abdominal fullness and distension, difficulty in defecation, loss of appetite, vomiting after eating, and inability to lie down. (The Foot-Taiyin Spleen Meridian enters the abdomen, belongs to the spleen, and connects with the stomach, thus causing abdominal fullness during Jue. Rebellious qi in the spleen causes difficulty in bowel movements, loss of appetite, and vomiting after eating. The spleen and stomach are exterior-interior partners; when the stomach is not harmonious, sleep is disturbed, and the same applies to the spleen meridian.) When the Foot-Shaoyin Kidney Meridian experiences Jue, there will be dry mouth, red urine, abdominal fullness, and heart pain. (When the Foot-Shaoyin Meridian experiences Jue, its meridian circulates along the throat and clamps the base of the tongue, thus causing dry mouth. The kidney meridian connects with the bladder, thus causing red urine. Its straight branch ascends from the kidney through the liver and diaphragm; its branch emerges from the lung, connects with the heart, and pours into the chest, thus causing abdominal fullness and heart pain.) When the Foot-Jueyin Liver Meridian experiences Jue, there will be swelling and pain in the lower abdomen, abdominal distension, difficulty in urination and defecation, a preference for lying down with knees flexed, contraction and swelling of the genitals, and heat in the medial thigh. (The Foot-Jueyin Liver Meridian reaches the lower abdomen and flanks the stomach, thus causing lower abdominal swelling/pain and abdominal distension during Jue. Its meridian circles the genitalia, thus causing difficulty in urination/defecation and genital contraction/swelling. The liver governs tendons and is the root of endurance, thus causing weak legs, a preference for lying down, and knee flexion. Its descending part runs along the medial aspect of the lower leg, thus causing heat in the medial thigh. "Jing" sounds like "Jing", a river name. "Sou" sounds like "Sou".) For excess patterns, use draining methods; for deficiency patterns, use tonifying methods; for neither excess nor deficiency, treat by selecting points from the affected meridian. (Neither excess nor deficiency refers merely to rebellious qi in the meridian without regard to deficiency or excess, so one simply selects points from that meridian. The rationale is detailed in the first ten sections of this category.)
When the Foot-Taiyin Spleen Meridian experiences Jue, there is cramping and spasm of the calf, heart pain radiating to the abdomen; treatment should target the primary disease site. (The following also discusses the Foot Six Meridians. The Foot-Taiyin Spleen Meridian ascends into the calf, runs posterior to the tibia, thus causing calf cramping. It enters the abdomen and pours into the heart, thus causing heart pain radiating to the abdomen. "Treating the primary disease site" means that for the left, right, upper, and lower aspects of this meridian, as well as Yuan and Shu points, there are appropriate points to use; one must examine what is primarily affected and needle accordingly. The rest follows this principle. Note: The Jue of the Six Meridians was already covered above; the reason for repeating it is that, according to Quan Yuanqi's edition, starting from this section, it appears separately in Volume 9. They likely explain each other and originally belonged to two different chapters, which Wang Bing reclassified here, rather than being a repetition in this chapter.) When the Foot-Shaoyin Kidney Meridian experiences Jue, there is false fullness, vomiting with changes, and passage of clear watery stool; treatment should target the primary disease site. (The kidney is the gate of the stomach; thus, when Shaoyin experiences Jue, the lower jiao fails to transform, leading to false fullness and vomiting with changes. Kidney disease leads to decline of Mingmen (Gate of Life) yang qi, thus causing passage of cold, clear stool.) When the Foot-Jueyin Liver Meridian experiences Jue, there is spasmodic lumbar pain, false fullness, anterior closure (urinary retention), and delirious speech; treatment should target the primary disease site. (The Jueyin meridian connects with various tendons, thus causing spasms and lumbar pain. Liver pathogenic factors invade spleen-earth, thus causing false fullness. The liver meridian circles the genitalia, thus causing anterior closure/blockage. The liver stores the Hun (Ethereal Soul); when Jue occurs in the liver, the Hun becomes chaotic, thus causing delirious speech.) When all three Yin meridians experience Jue simultaneously, there is obstruction of both anterior and posterior orifices (urination and defecation), causing cold limbs; death occurs within three days. (Obstruction of anterior and posterior orifices refers to either blockage or incontinence, deviating from normal function. Simultaneous Jue of the Three Yin meridians leads to exhaustion of Zang organ qi. The Yangming Maijie Pian states: If Jue connects to the meridians, life is preserved; if it connects to the Zang organs, death ensues. This is what is meant.) When the Foot-Taiyang Bladder Meridian experiences Jue, there is stiffness and collapse, hematemesis, and frequent epistaxis; treatment should target the primary disease site. (The Foot-Taiyang Bladder Meridian originates at the inner canthus, enters the brain from the vertex, runs along the spine and loins, penetrates the calf, and is the great meridian of the Three Yangs, thus governing stiffness, collapse, and epistaxis. However, the Back-Shu points of the Five Zang organs are all connected to this meridian; thus, when this meridian experiences Jue, hematemesis should occur. "Nu" sounds like "Nüliuqie".) When the Foot-Shaoyang Gallbladder Meridian experiences Jue, joint mobility is impaired. Those with impaired joint mobility cannot walk with their waist or look back with their neck. (The Foot-Shaoyang Meridian is the Gallbladder Meridian. "Guanji" (joints/mechanisms) refers to the convergence of sinews and bones. The Gallbladder corresponds to sinews; Shaoyang Jue leads to sinus dysfunction, thus causing these waist and neck disorders.) If intestinal abscess develops, it is incurable; if convulsions/fright occur, death ensues. (Intestinal abscess developing from Shaoyang Jue is due to the accumulation of toxic fire-ministerial fire, thus incurable. If fright occurs, the toxin has connected to the Zang organs, thus leading to death.) When the Foot-Yangming Stomach Meridian experiences Jue, there is wheezing and cough, body heat, susceptibility to fright, epistaxis, and hematemesis. (The Yangming meridian circulates along the throat, enters the clavicular fossa, and descends through the diaphragm, thus causing wheezing and cough. Yangming governs the muscles, thus causing body heat. Wind-wood pathogenic factors induce fright, which the stomach fears, thus causing susceptibility to fright. The Yangming meridian originates at the nose and belongs to the stomach; when qi rebels, it causes epistaxis and hematemesis.)
When the Hand-Taiyin Lung Meridian experiences Jue, there is false fullness and cough, and frequent vomiting of frothy saliva; treatment should target the primary disease site. (The following discusses Jue of the Hand Six Meridians. The Hand-Taiyin Lung Meridian originates in the middle jiao, circulates around the stomach opening, ascends through the diaphragm, and belongs to the lung, thus producing such symptoms.) When the Hand-Jueyin Pericardium Meridian and Hand-Shaoyin Heart Meridian experience Jue, there is heart pain radiating to the throat and body heat; this is fatal and incurable. (The Hand-Jueyin Pericardium Meridian originates in the chest and emerges to belong to the Pericardium; the Hand-Shaoyin Heart Meridian ascends from the Heart System to clamp the pharynx; both cause heart pain radiating to the throat. These two meridians belong to Fire and govern blood vessels, thus causing body heat. The Heart is the Great Master of the Five Zang and Six Fu organs; thus, when it rebels, it is fatal and incurable.) When the Hand-Taiyang Small Intestine Meridian experiences Jue, there is deafness and tearing, inability to look back with the neck, and inability to bend or extend the waist; treatment should target the primary disease site. (The Hand-Taiyang Small Intestine Meridian reaches the inner and outer canthi and enters the ear, thus causing deafness and tearing during Jue. Its branch from the clavicular fossa circulates along the neck, thus causing inability to look back. Additionally, the Six Seasons Qi Pian states: Pathogens in the Small Intestine connect to the testicular cords and belong to the spine. Thus, the waist cannot bend or extend.) When the Hand-Yangming Large Intestine Meridian and Hand-Shaoyang Sanjiao Meridian experience Jue, there is development of Hou Bi (throat obstruction) and throat swelling, and arm spasms; treatment should target the primary disease site. (The Hand-Yangming Large Intestine Meridian ascends from the clavicular fossa to the neck and passes through the cheek; the Hand-Shaoyang Sanjiao Meridian emerges from the clavicular fossa to the neck; thus, both cause Hou Bi and throat swelling. According to Quan Yuanqi's edition, " " is written as "Jing", referring to rigidity of the arms, shoulders, and neck. "Chi" sounds like "Chi". "Jing" sounds like "Jing".)