不得卧者标本俱病（续肺为标肾为本如此者是肺肾俱水为病也）故肺为喘呼肾为水肿肺为逆不得卧（续肺为喘呼气逆不
得卧者以其主呼吸故也肾为水肿者以其主水故也）分为相输俱受者水气之所留也（续分其居处以名之则是气相输应本其
俱受病气则皆是水所留也水热穴论）颈脉动喘疾咳曰水（续颈脉谓耳下及结喉旁人迎脉也水气上溢则肺被热熏阳气上逆
故颈脉盛鼓而咳喘也）目裹微肿如卧蚕起之状曰水溺黄赤安卧者黄胆（续肾劳胞热故溺黄赤正理论曰谓之劳疸以女劳得
之也）已食如饥者胃疸（续胃热则消谷故食已如饥）面肿曰风（续加之面肿则胃风之诊也胃阳明之脉行于面故尔）足胫
肿曰水（续少阴肾脉出足心上循胫过阴股故下焦有水足胫肿也）目黄曰黄胆（续阳怫于上热积胸中阳热上燔故目黄也灵
枢曰目黄者病在胸平人气象论）帝曰人身非常温也非常热也为之热（续异于常候故曰非常甲乙经无为之热三字）而烦满
者何也岐伯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出者何曰是人多痹气也阳气少阴气多故
身寒如从水中出（续言自由形气阴阳之为是非衣寒而中有寒也）曰人有四肢热逢寒气如炙如火者何也（续太素作如炙于
火）曰是人者阴气虚阳气盛四肢者阳也两阳相得而阴气虚少少水不能灭盛火而阳独治独治者不能生长也独胜而止耳（续
水为阴火为阳今阳气有余阴气不足故云少水不能灭盛火也治者王也胜者盛也故云独胜而止）逢风而如炙如火者是人当肉
烁也（续烁言消也言久久此人当肉消削也）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（言盛欲也）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脏也一水不能胜二火故不能冻栗病名曰骨痹是人当挛节也（续肾不生则髓不满髓不满则筋干缩
故节挛拘调逆论）帝曰肠 便血何如岐伯曰身热则死寒则生（续热为血败故死寒为营气在故生）曰肠 下白沫何如曰脉
沉则生脉浮则死（续阴病见阳脉与症相反故死）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
如曰滑大者曰生悬涩者曰死以脏期之（续肝见庚辛死心见壬癸死之类是谓以脏期之）曰癫疾何如曰脉搏大滑久自己脉小
坚急死不治（续脉小坚急为阴癫为阳病见阴脉故死○巢氏云脉沉小急实死小牢急亦不治）曰癫疾之脉虚实何如曰虚则可
治实则死（续以反症故愚按上文云脉搏大滑久自己夫搏大滑似属实也下文云虚则可治实则死上下文义似相反戾意恐搏大
滑中兼有虚豁状耶）曰消瘅虚实何如曰脉实大病久可治脉悬小坚病久不可治（愚按消者瘦也瘅劳热也经言脉实大病久可
治注意谓久病血气衰脉不当实以为不可治又巢氏曰脉数大者生细小浮者死又云沉小者生实牢大者死前后所论甚相矛盾可
见脉难尽凭必须参之以症方可以决其生死也）凡治消瘅（消谓内消瘅谓伏热）仆击偏枯痿厥气满发逆肥贵人则膏粱之疾
也隔则闭绝上下不通则暴忧之病也暴厥而聋偏闭塞不通内气暴薄也不从内外中风之病故瘦留着也（滑注膏粱之疾暴忧之
病内气暴薄此三者不从内外中风之病谓非外伤也以非外伤故为病留瘦住着不若风家之善行数变也瘦当作瘦如人焉瘦哉之
瘦瘦匿也故下文云 跛寒风湿之病也此则从外伤而言厥谓气逆高膏粱粱也夫肥者令人热中甘者令人中满故热气内薄发为
消渴偏枯气满逆也逆谓违悖常候与平人异也然忧愁者气闭塞而不行故隔塞否闭气脉断绝而上下不通也脏腑之气不化禁固
于内而不得宣散故大小便道偏不通泄也膏粱暴忧及内气暴薄此三者非风之中于内亦非风之伤于外故瘦匿住着而不去也）
跛寒风湿之病也（ 足也湿胜则筋不利寒胜则筋挛急风湿寒胜则卫气结聚结聚则内痛故足跛不可履）黄胆暴忧癫疾厥
强久逆之所生也（足之三阳从头走足然久厥逆而不下行则气怫积于上焦故为黄胆暴病癫狂气逆矣）五脏不平六腑闭塞之
所生也头痛耳鸣九窍不利肠胃之所生也（通评虚实论）帝曰有病心腹满旦食则不能暮食此为何病岐伯曰名为鼓胀曰治之
奈何曰治之以鸡矢醴（微寒大利小便汤渍服之）一剂知二剂已曰其时有复发者何也曰此饮食不节故时有病也虽然其病且
已时故当病气聚于腹也（续饮食不节使病气聚于腹中也）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（续支谓坚固支持不利而胀满清液清水也亦谓之清涕谓从窈漏中漫液而下清水也）
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（续醉则血脉盛而内热因而入房髓液皆下故
肾气竭也肝藏血以少失血故肝伤也男则精液衰之女则月事衰少不来）曰治之奈何曰以四乌贼鱼一 茹二物并合之丸以雀
卵大如小豆以五丸为后饭（饭后食先谓之后饭）饮以鲍鱼汁利肠（别本作伤）中及伤肝也（续乌贼鱼骨 茹等并不治血
枯恐是其所生所起尔月事衰少不至则中有瘀血淹留精气耗竭则阴痿不起而无精故先兹四者乌贼鱼主女子血闭 茹主散恶
血雀卵主阴痿不起强之令热生精有子鲍鱼主瘀血血痹在四肢不散寻文会意方义如是甲乙经 茹作芦茹）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（详此伏梁与心积之伏梁大异病有名同而实异者不一如此之类是也）曰何因而
得之曰里大脓血居肠胃之外（当冲带二脉之分）不可治治之每切按之致死曰何以然曰此下则因阴（薄于阴气也）必下脓
血上则迫胃脘上膈挟胃脘内痈（续带脉者横络于脐下冲脉者上行出脐下关元之分故病当其分则少腹盛上下左右皆有根也
以其上下坚盛如有潜梁故名伏梁不可治也以里大脓血居肠胃之外按之痛闷不堪故每切按之致死以冲脉下行络阴上行循腹
故也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挟胃脘内长其痈也所以然者以
本有大脓血在肠胃之外故也生当作出挟胃当作使胃）此久病也难治居脐上为逆居脐下为从勿动亟夺（续若里大脓血居脐
上则渐伤心脏故为逆居脐下则去心稍远犹得渐攻故为从亟数也夺去也言不可移动但数数去之则可矣）曰人有身体髀股
皆肿环脐而痛是为何病曰病名伏梁（续此冲脉病也冲脉与足少阴络起肾下出气街循阴股入 中循 骨下内踝其上行者出
脐下关元之分挟脐直上循腹各行故病如是环谓圆绕如环也）此风根也（续此四字疑衍或郁而不已气亿为风故曰风根）其
气溢于大肠而着于肓肓之原在脐下故环脐而痛也（续大肠广肠也经说大肠当言回肠也回肠当脐右环回周叶积而下广肠附
脊以受回肠左环然大肠回肠俱与肺合从合而命故通曰大肠也肓之原名脖 在脐下寸半）不可动之动之为水溺涩之病（续
以冲脉起于肾下出气街上行者起胞中上出脐下关元之分故动之则为水而溺涩也动谓齐其毒药而系动之使其大下也腹中
论）帝曰人病胃脘痈者诊当何如岐伯曰诊此者当候胃脉（候胃脉即脉要精微附上右外以候胃也）其脉当沉细沉细者气逆
（续胃为水谷之海气盛血壮今反脉沉细者是逆常乎也）逆者人迎甚盛盛则热（续沉细为寒寒气格阳故人迎脉盛盛则热也
人迎结候旁动脉也）人迎者胃脉也逆而盛则热聚于胃口而不行故胃脘为痈也（续血气壮盛而热内薄之两气合热故结为痈
也）曰有病颈痈者或石治之或针灸治之而皆已其真安在（续真真法也）曰此名同异等者也（续言虽同曰颈痈然其皮中别
异不一等也）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（续息 也死肉也石砭石可以破
痈出脓今以 针代之）曰有病怒狂者此病安生曰生于阳也曰阳何以使人狂（续怒不虑祸故曰狂）曰阳气者因暴折而难决
故善怒也病名曰阳厥（续言阳气被折郁不散也此人多怒亦曾因暴折而心不疏畅故尔如是者皆阳逆躁极所生故病名阳厥）
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（续阳明常动不止者动于结喉旁人迎分也若少阳之动曲颊
下天窗分位也巨阳之动项两旁大筋前陷中天窗分位也不应常动而反动甚动当病也○甲乙经天窗乃太阳脉气所发天容乃少
阳脉气所发二位交互当从甲乙）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（续食少则气衰故节去其食
则病自止）使之服以生铁洛为饮（纪甲乙经铁洛作铁落为饮作为后饭一作铁浆）夫生铁洛者下气疾也曰有病身热解堕汗
出如浴恶风少气此为何病曰病名曰酒风（续饮洒中风者也夫极饮者阳气盛腠理疏玄府开发阳盛则筋痿弱故身体解堕腠理
疏则风内攻玄府发则气外泄故汗出如浴也风气外薄肤腠理开汗多内虚瘅热熏肺故恶风少气也因酒而病故曰酒风）曰治之
奈何曰以泽泻木各十分麋御五分合以三指撮为后饭（续本治大风止汗麋御治风湿筋痿泽泻治风湿益气饭后药先谓之后饭
病能论）帝曰病胁下满气二三岁不已是为何病岐伯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（续腹
中无形胁下逆满频岁不愈息积谓气逆息难故曰息积气不在胃故不妨于食灸则火热内烁气化为风刺则泻其经转成虚败故不
灸刺惟宜积为导引使气流行久以药攻内消瘀 则可矣若独凭药而不积为导引则药亦不能独治也）曰人有病头痛以数岁不
已此安得之名为何病（续脑为髓主齿是骨余脑逆反寒骨亦寒故令头痛齿亦痛一说人先生脑缘有脑则有骨髓齿者骨之本）
病名为厥逆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（续瘅热也脾热则四脏同禀故五气上溢也生因脾热
故曰脾瘅）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（续脾热内渗津液在脾胃谷化余精气随溢口通脾气
故口甘津液在脾是脾之湿）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（续
肥腠理密阳气不得外泄故内热甘者性气和缓而发散迟故中满内热则阳气炎上炎上则欲饮而嗌干中满则陈气有余有余则脾
气上溢故曰其气上溢转为消渴也）治之以兰除陈气也（续兰兰草陈谓久也言兰除陈久甘肥不化之气者以辛能发散故也）
曰有病口苦者病名为何何以得之曰病名胆瘅（续瘅热也胆汁味苦故口苦）夫肝者中之将也取决于胆咽为之使（续肝者将
军之官谋虑出焉胆者中正之官决断出焉肝与胆合气性相通故诸谋虑取决于胆咽胆相应故咽为使焉甲乙经胆者中精之腑五
脏取决于胆咽为之使疑此文误）此人者数谋虑不决故胆虚气上溢而口为之苦治之以胆募俞（续胸腹曰募背脊曰俞胆募期
门下五分俞在脊第十椎下两旁各寸半奇病论）
无法平卧的，是标和本都患病了（续：肺为标，肾为本。像这样的情况，是肺和肾都因水邪致病）。所以肺病表现为喘促呼叫，肾病表现为水肿；肺气上逆导致无法平卧（续：肺主呼吸，气逆则无法平卧）；肾脏主水，水液代谢失常则形成水肿。如果区分病变部位来命名，则是气机相互输注、本末同时受病，这是水气停留所致（续：划分其居处以命名，则是气机相互呼应，根本在于两者俱受病气，这都是水邪停留的结果。出自《水热穴论》）。颈部动脉搏动明显，气喘且咳嗽急促，称为水病（续：颈脉指耳下及结喉旁的人迎脉。水气上溢，熏蒸肺部，阳气上逆，所以颈脉盛鼓而咳喘）。眼睑微肿，像卧蚕起的样子，称为水病；小便黄赤，嗜睡，称为黄疸（续：肾劳胞热，所以小便黄赤。《正理论》说这叫劳疸，是由房劳过度引起的）。吃完饭却感觉像没吃饱一样饥饿，称为胃疸（续：胃热则消谷善饥，所以吃完饭后仍感饥饿）。面部浮肿称为风病（续：加上面部浮肿，就是胃风的诊断。足阳明胃经行于面部，所以如此）。小腿和脚踝浮肿称为水病（续：足少阴肾脉出于足心，沿小腿上行经过大腿内侧，所以下焦有水湿停滞时，会出现小腿和脚踝浮肿）。眼睛发黄称为黄疸（续：阳气郁结于上，热积于胸中，阳热上炎，所以眼睛发黄。《灵枢》说目黄者病在胸，《平人气象论》亦云）。黄帝问：人身不是一般的热，也不是一般的发热，而是感到烦闷胀满，这是什么原因呢？岐伯回答：这是因为阴气少而阳气胜，所以发热而且烦闷胀满。黄帝问：人身不是因为穿衣太少受寒，体内也没有外来的寒气，但寒冷从体内发出，这是什么原因呢？岐伯回答：这是因为此人多痹气，阳气少而阴气多，所以身体寒冷，好像从水中出来一样（续：意思是由于形气阴阳失调，并非衣服穿得少，而是体内有寒）。黄帝问：有人四肢发热，遇到风寒就像被火烧灼一样，这是什么原因呢？岐伯回答：这样的人阴气虚而阳气盛。四肢属阳，两阳相合而阴气虚少，少量的水不能熄灭旺盛的火，只有阳气独治。独治就不能生长，只有偏胜而不能平衡（续：水为阴，火为阳。现在阳气有余，阴气不足，所以说少水不能灭盛火。治通“置”，意为主宰；胜即盛。所以说只有偏胜而不能平衡）。遇到风邪就像被火烧灼一样的人，他的肌肉将会消瘦（续：“烁”意为消减。意思是长久以后，这个人的肌肉会消削）。黄帝问：有人身体寒冷，喝热水烤火都不能温暖，穿厚衣服也不能保暖，然而却不冻得发抖，这是什么病呢？岐伯回答：这样的人素来肾气偏胜，纵欲过度（言盛欲也）。太阳之气衰弱，肾脂枯竭不长，一水不能胜两火。肾属水而生于骨，肾不生则骨髓不能充盈，所以寒冷甚至深入骨髓。之所以不冻得发抖，是因为肝为一阳，心为二阳，肾为孤脏。一水不能胜二火，所以不能冻得发抖。这种病名叫骨痹，这个人应当出现关节拘挛（续：肾不生则髓不满，髓不满则筋干缩，所以关节拘挛。出自《调逆论》）。黄帝问：肠澼便血怎么样？岐伯回答：身热的死，身寒的生（续：热为血败故死，寒为营气在故生）。问：肠澼下白沫怎么样？答：脉沉则生，脉浮则死（续：阴病见阳脉与症相反，故死）。问：肠澼下脓血怎么样？答：脉悬绝则死，滑大则生。问：属于肠澼一类，身不热，脉不悬绝，怎么样？答：脉滑大的说生，脉悬涩的说死，根据脏腑旺衰时期来推断（续：如肝病见庚辛日死，心病见壬癸日死之类，这叫以脏期之）。问：癫疾怎么样？答：脉搏大滑，久了自己会好；脉小坚急的死，不可治（续：脉小坚急为阴，癫为阳病，见阴脉故死。○巢元方说脉沉小急实死，小牢急亦不治）。问：癫疾的脉象虚实怎么样？答：虚则可治，实则死（续：因为反症。我按：上文说脉搏大滑久自己，夫搏大滑似属实也；下文说虚则可治实则死，上下文义似乎相反。意恐搏大滑中兼有虚豁状耶）。问：消瘅虚实怎么样？答：脉实大病久可治，脉悬小坚病久不可治（愚按：消谓瘦，瘅谓劳热。经言脉实大病久可治，注意谓久病血气衰，脉不当实，以为不可治。又巢氏曰：脉数大者生，细小浮者死，又云沉小者生，实牢大者死。前后所论甚相矛盾，可见脉难尽凭，必须参之以症，方可以决其生死也）。凡是治疗消瘅（消谓内消，瘅谓伏热），仆击、偏枯、痿厥、气满发逆、肥贵人则膏粱之疾也。隔则闭绝，上下不通，则暴忧之病也。暴厥而聋，偏闭塞不通，内气暴薄也。不从内外中风之病，故瘦留着也（滑注：膏粱之疾、暴忧之病、内气暴薄，此三者不从内外中风之病，谓非外伤也。以非外伤，故为病留瘦住着，不若风家之善行数变也。“瘦”当作“廋”，如人焉廋哉之瘦，廋匿也。故下文云：跛寒风湿之病也。此则从外伤而言。厥谓气逆高。膏，膏脂；粱，粱米。夫肥者令人热中，甘者令人中满，故热气内薄，发为消渴、偏枯、气满逆也。逆谓违悖常候，与平人异也。然忧愁者气闭塞而不行，故隔塞否闭，气脉断绝而上下不通也。脏腑之气不化，禁固于内而不得宣散，故大小便道偏不通泄也。膏粱、暴忧及内气暴薄，此三者非风之中于内，亦非风之伤于外，故瘦匿住着而不去也）。跛、寒、风湿之病也（足也。湿胜则筋不利，寒胜则筋挛急，风湿寒胜则卫气结聚，结聚则内痛，故足跛不可履）。黄疸、暴忧、癫疾、厥强，久逆之所生也（足之三阳从头走足，然久厥逆而不下行，则气怫积于上焦，故为黄疸、暴病、癫狂、气逆矣）。五脏不平，六腑闭塞之所生也；头痛、耳鸣、九窍不利，肠胃之所生也（出自《通评虚实论》）。黄帝问：有病心腹满，早晨吃了饭晚上就不能再吃，这是什么病？岐伯回答：名叫鼓胀。黄帝问：怎么治疗？岐伯回答：用鸡矢醴治疗（微寒，大利小便，汤渍服之）。一剂见效，二剂痊愈。黄帝问：为什么有时复发呢？岐伯回答：这是因为饮食不节，所以时有病发作。虽然病暂愈，但因为气聚于腹中（续：饮食不节使病气聚于腹中）。黄帝问：有病胸胁支撑胀满，妨碍进食，病发时先闻到腥臊臭味，流出清液，先唾血，四肢清冷，头晕眼花，时常大小便出血，这病叫什么名字？是怎么得的？（续：支谓坚固支持，不利而胀满。清液即清水，亦谓之清涕，谓从窈漏中漫液而下清水也。）岐伯回答：病名叫血枯。这是年少时有所大脱血，或者醉后行房，中气竭肝伤，所以月经衰少不来（续：醉则血脉盛而内热，因而入房，髓液皆下，故肾气竭也。肝藏血，以少失血，故肝伤也。男则精液衰，女则月事衰少不来）。黄帝问：怎么治疗？岐伯回答：用四乌贼鱼骨一藘茹二物并合之，丸如雀卵大，如小豆大，以五丸为后饭（饭后食先谓之后饭），饮以鲍鱼汁，利肠（别本作伤）中及伤肝也（续：乌贼鱼骨、藘茹等并不治血枯，恐是其所生所起尔。月事衰少不至，则中有瘀血淹留，精气耗竭，则阴痿不起而无精。故先兹四者：乌贼鱼主女子血闭，藘茹主散恶血，雀卵主阴痿不起，强之令热生精有子，鲍鱼主瘀血血痹在四肢不散。寻文会意，方义如是。甲乙经藘茹作芦茹）。黄帝问：有病少腹盛，上下左右皆有根，这是什么病？可治吗？岐伯回答：病名叫伏梁（详此伏梁与心积之伏梁大异，病有名同而实异者不一，如此之类是也）。黄帝问：什么缘故得的？岐伯回答：里有大脓血，居于肠胃之外（当冲带二脉之分），不可治。治之每切按之致死。黄帝问：为什么这样？岐伯回答：这下面则因阴（薄于阴气也），必下脓血；上面则迫胃脘，上膈，挟胃脘内痈（续：带脉者横络于脐下，冲脉者上行出脐下关元之分，故病当其分，则少腹盛，上下左右皆有根也。以其上下坚盛，如有潜梁，故名伏梁，不可治也。以里大脓血居肠胃之外，按之痛闷不堪，故每切按之致死。以冲脉下行络阴，上行循腹，故也。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，复挟胃脘内长其痈也。所以然者，以本有大脓血在肠胃之外故也。“生”当作出，“挟胃”当作“使胃”）。这是久病，难治。居于脐上为逆，居于脐下为从。勿动，亟夺（续：若里大脓血居脐上，则渐伤心脏，故为逆；居脐下，则去心稍远，犹得渐攻，故为从。亟，数也；夺，去也。言不可移动，但数数去之则可矣）。黄帝问：人有身体髀股皆肿，环脐而痛，是什么病？岐伯回答：病名叫伏梁（续：此冲脉病也。冲脉与足少阴络起肾下，出气街，循阴股入腘中，循胻骨下内踝。其上行者出脐下关元之分，挟脐直上，循腹各行，故病如是。环谓圆绕如环也）。这是风根（续：此四字疑衍，或郁而不已，气亿为风，故曰风根）。其气溢于大肠而着于肓，肓之原在脐下，故环脐而痛也（续：大肠广肠也。经说大肠当言回肠也。回肠当脐右环回周叶积而下，广肠附脊以受回肠，左环然大肠回肠俱与肺合，从合而命，故通曰大肠也。肓之原名脖䐜，在脐下寸半）。不可动之，动之为水溺涩之病（续：以冲脉起于肾下，出气街，上行者起胞中，上出脐下关元之分，故动之则为水而溺涩也。动谓齐其毒药而系动之，使其大下也。出自《腹中论》）。黄帝问：人病胃脘痈者，诊察应当如何？岐伯回答：诊察此人应当候胃脉（候胃脉即《脉要精微论》附上右外以候胃也）。其脉当沉细，沉细者气逆（续：胃为水谷之海，气盛血壮，今反脉沉细，者是逆常乎也）。逆者人迎甚盛，盛则热（续：沉细为寒，寒气格阳，故人迎脉盛，盛则热也。人迎结候旁动脉也）。人迎者胃脉也，逆而盛则热聚于胃口而不行，故胃脘为痈也（续：血气壮盛而热内薄之，两气合热，故结为痈也）。黄帝问：有病颈痈，有的用石砭治疗，有的用针灸治疗，都好了，真正的治疗方法在哪里？岐伯回答：这名叫同病异治（续：真，真法也。言虽同曰颈痈，然其皮中别异不一等也）。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（续：息，腐也，死肉也。石砭石可以破痈出脓，今以针代之）。黄帝问：有病怒狂者，这病怎么产生？岐伯回答：生于阳。黄帝问：阳怎么使人狂？岐伯回答：阳气者因暴折而难决，故善怒也，病名曰阳厥（续：言阳气被折，郁不散也。此人多怒，亦曾因暴折而心不疏畅，故尔。如是者皆阳逆躁极所生，故病名阳厥）。黄帝问：怎么知道？岐伯回答：阳明脉常动，巨阳、少阳不动。不动而动大疾，此其候也（续：阳明常动不止者，动于结喉旁人迎分也。若少阳之动，曲颊下天窗分位也。巨阳之动，项两旁大筋前陷中天窗分位也。不应常动而反动甚动，当病也。○甲乙经天窗乃太阳脉气所发，天容乃少阳脉气所发，二位交互，当从甲乙）。黄帝问：怎么治疗？岐伯回答：夺其食则已。夫食入于阴，长气于阳，故夺其食则已（续：食少则气衰，故节去其食，则病自止）。使之服以生铁洛为饮（纪甲乙经铁洛作铁落为饮，作为后饭，一作铁浆）。夫生铁洛者，下气疾也。黄帝问：有病身热解堕，汗出如浴，恶风，少气，这是什么病？岐伯回答：病名叫酒风（续：饮酒中风者也。夫极饮者，阳气盛，腠理疏，玄府开发。阳盛则筋痿弱，故身体解堕；腠理疏则风内攻，玄府发则气外泄，故汗出如浴也。风气外薄，肤腠理开，汗多内虚，瘅热熏肺，故恶风少气。因酒而病，故曰酒风）。黄帝问：怎么治疗？岐伯回答：用泽泻十分，术十分，麋衔五分，合以三指撮为后饭（续：本治大风止汗，麋衔治风湿筋痿，泽泻治风湿益气。饭后药先谓之后饭。出自《病能论》）。黄帝问：病胁下满，气滞二三岁不已，是什么病？岐伯回答：病名叫息积。此不妨于食，不可灸刺。积为导引服药，药不能独治也（续：腹中无形，胁下逆满，频岁不愈。息积谓气逆息难，故曰息积。气不在胃，故不妨于食。灸则火热内烁，气化为风；刺则泻其经，转成虚败，故不灸刺。惟宜积为导引，使气流行，久以药攻，内消瘀滞则可矣。若独凭药而不积为导引，则药亦不能独治也）。黄帝问：人有病头痛，数年不已，这是什么原因？叫什么病？（续：脑为髓主，齿是骨余。脑逆反寒，骨亦寒，故令头痛，齿亦痛。一说人先生脑，缘有脑则有骨髓，齿者骨之本）。病名叫厥逆。黄帝问：有病口甘者，叫什么病？怎么得的？岐伯回答：这是五气之溢，名叫脾瘅（续：瘅，热也。脾热则四脏同禀，故五气上溢也。生因脾热，故曰脾瘅）。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（续：脾热内渗，津液在脾，脾胃谷化余精气随溢口通脾气，故口甘。津液在脾，是脾之湿）。这是肥美之所发也。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（续：肥腠理密，阳气不得外泄，故内热。甘者性气和缓而发散迟，故中满。内热则阳气炎上，炎上则欲饮而嗌干；中满则陈气有余，有余则脾气上溢，故曰其气上溢，转为消渴也）。治疗用兰草，除陈气也（续：兰，兰草。陈，谓久也。言兰除陈久甘肥不化之气者，以辛能发散故也）。黄帝问：有病口苦者，叫什么病？怎么得的？岐伯回答：病名叫胆瘅（续：瘅，热也。胆汁味苦，故口苦）。夫肝者中之将也，取决于胆，咽为之使（续：肝者将军之官，谋虑出焉；胆者中正之官，决断出焉。肝与胆合，气性相通，故诸谋虑取决于胆。咽胆相应，故咽为使焉。甲乙经胆者中精之腑，五脏取决于胆，咽为之使，疑此文误）。此人者数谋虑不决，故胆虚气上溢而口为之苦。治疗用胆募俞（续：胸腹曰募，背脊曰俞。胆募期门，门下五分；俞在脊第十椎下两旁各寸半。出自《奇病论》）。
Those who cannot lie flat have both the branch (Biao, secondary aspect) and root (Ben, primary aspect) diseased (Continuation: The Lung is the branch, the Kidney is the root. In such cases, both the Lung and Kidney are diseased due to water pathogen). Therefore, Lung disease manifests as panting and calling, while Kidney disease manifests as edema; Lung Qi rebellion causes inability to lie flat (Continuation: The Lung governs respiration; when Qi rebels, one cannot lie flat); the Kidney governs water, and dysfunction in water metabolism leads to edema. If distinguishing by lesion site for naming, it indicates that Qi transmission is interconnected and both root and branch are affected, which is caused by the retention of water Qi (Continuation: Distinguishing by location names the condition; the interconnection of Qi implies that both root and branch suffer from the same pathogenic factor, specifically water retention. From *Shui Re Xue Lun*). Distinct pulsation of the neck vessels, rapid panting, and coughing indicate Water Disease (Continuation: Neck vessels refer to the Renying pulse below the ear and beside the larynx. When water Qi overflows upward, it steams the Lung, causing Yang Qi to rebel upwards, resulting in prominent neck vessel pulsation, coughing, and panting). Slight swelling of the eyelids resembling a sleeping silkworm indicates Water Disease; yellowish-red urine and somnolence indicate Jaundice (Continuation: Kidney labor and bladder heat cause yellowish-red urine. *Zheng Li Lun* states this is called "Labor Jaundice," caused by sexual exhaustion). Feeling hungry immediately after eating indicates Stomach Jaundice (Continusion: Stomach heat promotes digestion, leading to hunger even after meals). Facial swelling indicates Wind Disease (Continuation: Combined with facial swelling, this diagnoses Stomach Wind. The Foot-Yangming Stomach Meridian traverses the face, hence this presentation). Swelling of the lower legs and ankles indicates Water Disease (Continuation: The Foot-Shaoyin Kidney Meridian originates at the sole, ascends along the tibia through the inner thigh; thus, lower jiao water dampness causes swelling in the lower legs and ankles). Yellow eyes indicate Jaundice (Continuation: Yang Qi stagnates above, heat accumulates in the chest, and Yang-heat flares upward, causing yellow eyes. *Ling Shu* states eye yellowing indicates pathology in the chest; *Ping Ren Qi Xiang Lun* also confirms this). The Yellow Emperor asked: Why does the body experience unusual heat and fever accompanied by vexation and fullness? Qibo answered: This is because Yin Qi is deficient and Yang Qi is excessive, leading to heat, vexation, and fullness. The Yellow Emperor asked: Why does cold arise from within the body without external cold exposure or insufficient clothing? Qibo answered: This person has much Bi Qi (obstructive Qi), with deficient Yang Qi and excessive Yin Qi, making the body feel cold as if emerging from water (Continuation: This refers to imbalance of form, Qi, Yin, and Yang, not lack of clothing, but internal cold). The Yellow Emperor asked: Why do some people's limbs feel hot, burning like fire when exposed to wind-cold? Qibo answered: Such individuals have deficient Yin Qi and excessive Yang Qi. Limbs belong to Yang; when two Yangs combine with deficient Yin, a small amount of water cannot extinguish the raging fire, leaving Yang Qi to dominate alone. Alone dominating prevents growth and balance (Continuation: Water represents Yin, Fire represents Yang. Here, Yang is excess and Yin is deficiency, hence "small water cannot extinguish strong fire." 'Zhi' means govern; 'Sheng' means excess. Thus, only dominance exists without balance). Those who feel burning upon encountering wind will suffer muscle wasting (Continuation: 'Shuo' means to consume/melt. Long-term, these patients will experience muscle emaciation). The Yellow Emperor asked: Why does someone feel cold internally, unable to warm up with hot drinks or thick clothes, yet not shiver? Qibo answered: Such individuals historically have dominant Kidney Qi and excessive sexual desire (implied). Taiyang Qi is weak, Kidney essence is dried up, and one water cannot overcome two fires. The Kidney belongs to Water and generates Bone; if the Kidney fails, Marrow cannot fill, causing cold to penetrate to the bone. They do not shiver because the Liver is One-Yang, the Heart is Two-Yangs, and the Kidney is an isolated Zang organ. One water cannot overcome two fires, hence no shivering. This disease is named Bone Bi, and the patient will likely experience joint stiffness (Continuation: If Kidney fails, Marrow is insufficient; insufficient Marrow leads to dry tendons and stiff joints. From *Tiao Ni Lun*). The Yellow Emperor asked: What about Chang Pi (dysentery-like disorder) with blood in stool? Qibo answered: Fever indicates death; cold indicates survival (Continuation: Heat indicates blood corruption/death; cold indicates Ying Qi remains/survival). What about Chang Pi with white mucus? Answer: Deep pulse indicates survival; floating pulse indicates death (Continuation: Yin disease presenting with Yang pulse contradicts symptoms, indicating death). What about Chang Pi with pus and blood? Answer: Hanging-extreme pulse indicates death; slippery and large pulse indicates survival. What about Chang Pi type where there is no fever and pulse is not hanging-extreme? Answer: Slippery-large pulse indicates survival; hanging-rough pulse indicates death, predicted by Zang organ timing (Continuation: e.g., Liver disease dies on Geng-Xin days, Heart disease on Ren-Gui days; this is predicting by Zang timing). What about Dian Ji (epilepsy/mania)? Answer: Large-slippery pulse improves over time; small-firm-rapid pulse indicates death and untreatability (Continuation: Small-firm-rapid is Yin pulse; Dian is Yang disease; seeing Yin pulse in Yang disease indicates death. Chao Yuanfang notes deep-small-rapid-solid is fatal, small-steady-rapid is also untreatable). What about the deficiency/excess of Dian Ji pulses? Answer: Deficiency is treatable; excess is fatal (Continuation: Due to contradictory symptoms. Note: Earlier text says large-slippery pulse self-resolves, seeming excess; later says deficiency treatable, excess fatal. Perhaps large-slippery contains hidden deficiency signs). What about Xiao Dan (wasting-thirst disorder) deficiency/excess? Answer: Excess pulse with long-standing illness is treatable; hanging-small-firm pulse with long-standing illness is untreatable (Commentary: Xiao means emaciation, Dan means劳热 [labor-heat]. Pulse excess in chronic illness suggests Qi/Blood decline shouldn't present as excess, implying untreatability. Chao Yuanfang says large-numerous pulse survives, small-floating dies; deep-small survives, solid-large dies. Contradictions exist; pulse must be combined with symptoms to determine prognosis). Generally treating Xiao Dan (Xiao means internal consumption, Dan means latent heat), Pu Ji (collapse/stroke), Pian Ku (hemiplegia), Wei Jue (numbness/cold limbs), Qi Man Ni (Qi fullness/rebellion), and diseases of obese/noble people (Gao Liang disorders). Ge (blockage) involves closure and upper-lower non-communication, caused by sudden sorrow. Sudden Jue with deafness or unilateral blockage is caused by sudden internal Qi assault. These are not Wind diseases from external or internal invasion, so they remain lingering and emaciated (Sliding Note: Gao Liang disorder, sudden sorrow, internal Qi assault are not external/internal Wind diseases. Since not external, pathology lingers and causes emaciation, unlike Wind which moves quickly. 'Shou' should be 'Sou' [hidden/concealed], meaning lingering concealment. Hence below mentions foot lameness/cold-damp-wind, which IS external). Lameness, cold, and damp-wind diseases affect the feet. Excess dampness impairs tendons; excess cold causes tendon cramping; excess wind-cold-damp causes Wei Qi aggregation, leading to internal pain and inability to walk. Jaundice, sudden sorrow, Dian Ji, and Jue Qiang are generated by long-term Qi rebellion (Continuation: Foot Three-Yang meridians go from head to foot. Long-term rebellion prevents downward flow, causing Qi stagnation in upper jiao, leading to jaundice, sudden mania, and Qi rebellion). Disharmony of Five Zang organs arises from obstruction of Six Fu organs; headache, tinnitus, and dysfunction of nine orifices arise from the intestines and stomach (From *Tong Ping Xu Shi Lun*). The Yellow Emperor asked: A patient has heart and abdominal fullness, able to eat in the morning but not in the evening. What is this? Qibo answered: It is called Gu Zhang (Drum Distension). How to treat? Use Ji Shi Li (Chicken Dropping Fermented Liquid) (Slightly cold, strongly promotes urination, taken as decoction). One dose brings relief, two doses cure. Why recurrence? Because of irregular diet causing periodic Qi accumulation in the abdomen. The Yellow Emperor asked: A patient has chest and hypochondriac distension interfering with eating, smelling foul odors first, clear fluid discharge, spitting blood first, cold limbs, dizziness, and frequent bleeding from bowels/bladder. What is this and its cause? Qibo answered: Blood枯 (Blood Depletion/Ku). Caused by major blood loss in youth or sex during drunkenness, depleting Qi and injuring Liver, leading to scanty or absent menstruation (Continuation: Drunkenness increases blood flow and internal heat; sex depletes Marrow/Essence, exhausting Kidney Qi. Liver stores Blood; loss injures Liver. Men lose Essence; women lose menstruation). Treatment: Combine four parts Cuttlefish Bone (Wu Zei Gu) and two parts Rubia cordifolia (Xu Ru), pill with quail egg size, five pills taken after meal (Hou Fan), washed down with Abalone juice to benefit intestines (Alternative version: injures liver/intestines). Continuation: These herbs don't directly treat Blood Depletion but address its origin. Scanty menstruation implies stasis; depleted essence implies impotence. Cuttlefish Bone treats amenorrhea; Xu Ru disperses bad blood; Quail Egg treats impotence and generates essence; Abalone treats stasis/bi in limbs. Meaning derived from context. *Jia Yi Jing* writes Xu Ru as Lu Ru. The Yellow Emperor asked: Fullness in lower abdomen with roots above/below/left/right. What is this? Treatable? Qibo answered: Fu Liang (Hidden Beam). This differs significantly from Heart Accumulation Fu Liang. Names same, reality different. Cause: Large pus-blood located outside intestines/stomach (between Chong and Dai meridians). Untreatable; pressing kills. Why? Lowerly it affects Yin (presses Yin Qi), causing pus-blood discharge; upperly it presses Stomach opening, diaphragm, and causes internal abscess near Stomach (Continuation: Dai meridian crosses below navel; Chong ascends from Guan Yuan. Lesion here causes lower abdominal fullness with roots. Hardness resembles hidden beam, hence name. Pressing causes unbearable pain/death due to Chong meridian pathways. Upper pressure causes abscess; lower pressure causes discharge. Root cause is pus-blood outside GI tract. "Sheng" should be "Chu"; "Xie Wei" should be "Shi Wei"). Chronic disease, difficult to treat. Above navel is Ni (Rebellious/Opposite); below navel is Cong (Compliant/Favorable). Do not move aggressively, but frequently drain (Continuation: Above navel approaches Heart, hence Ni; below navel is distant, hence Cong. 'Ji' means frequent; 'Duo' means drain/remove. Do not shift position, but repeatedly drain). The Yellow Emperor asked: Body, thighs, and calves swollen, pain around navel. What is this? Qibo answered: Fu Liang (Continuation: Chong Meridian disease. Originates below Kidney, exits Qi Chuan, follows inner thigh to popliteal fossa, down tibia to medial malleolus. Ascending branch exits Guan Yuan, goes straight up navel and abdomen. Circular pain reflects this path). This is Wind Gen (Continuation: Four characters may be redundant, or stagnation transforms into Wind, hence "Wind Gen"). Qi overflows to Large Intestine and attaches to Huang (Tripler/Membrane). Huang Yuan is below navel, hence circular pain (Continuation: Large Intestine includes Hui Chang and Guang Chang. Hui Chang loops right of navel; Guang Chang attaches to spine. Both connect to Lung, hence统称 Large Intestine. Huang Yuan name Bo Tian, 1.5 cun below navel). Do not manipulate; manipulation causes water retention and difficult urination (Continuation: Chong originates Kidney, exits Qi Chuan, ascends from Bao Zhong to Guan Yuan. Manipulation induces water/difficult urination. 'Dong' means using drugs to induce severe purging. From *Fu Zhong Lun*). The Yellow Emperor asked: Diagnosis for Stomach Abscess? Qibo answered: Observe Stomach Pulse (Right wrist outer position observes Stomach). Pulse should be deep and fine. Deep/fine indicates Qi rebellion (Continuation: Stomach is Sea of Food/Water, usually robust Qi/Blood. Deep/fine pulse is contrary to normal). Rebellion makes Renying pulse very full/fullness indicates heat (Continuation: Deep/fine is Cold; Cold repels Yang, causing Renying to be full/hot. Renying is side artery). Renying is Stomach pulse. Rebellion and fullness cause Heat to gather at Stomach opening without flowing, forming Stomach Abscess (Continuation: Robust Qi/Blood and internal heat merge, forming abscess). The Yellow Emperor asked: Neck Abscess treated successfully by both stone needle and acupuncture. What is the true method? Qibo answered: Same disease, different treatments (Continuation: 'Zhen' means true method. Though both called Neck Abscess, skin/pathology differs). For abscess with stagnant Qi/dead flesh, use needle to open and remove. For Qi excess and blood gathering, use stone needle to drain. This is "Same Disease, Different Treatment" (Continuation: 'Xi' means rot/dead flesh. Stone needles break abscess/drains pus; now replaced by needles). The Yellow Emperor asked: Manic rage disease. Origin? Qibo answered: Born from Yang. How does Yang cause mania? Qibo answered: Yang Qi suffers sudden frustration and difficulty resolving, leading to anger. Disease name: Yang Jue (Continuation: Yang Qi frustrated, stagnant. Frequent anger due to sudden mental blockage. All result from extreme Yang rebellion/restlessness). How to diagnose? Qibo answered: Yangming pulse always moves; Juyang (Taiyang) and Shaoyang do not move. If non-moving ones move rapidly, it is pathological (Continuation: Yangming moves at Renying. Shaoyang moves at Tianchuang. Taiyang moves at Tianchuang. Movement where none should exist indicates disease. *Jia Yi Jing* corrects positions). Treatment? Qibo answered: Restrict food. Food enters Yin, nourishes Yang; restricting food stops the disease (Continuation: Less food means less Qi generation; restricting food stops pathology). Give Sheng Tie Luo (Iron Filings) drink (Alternative: Iron Drops, taken after meal, or Iron Slurry). Sheng Tie Luo descends Qi rapidly. The Yellow Emperor asked: Fever, flaccidity, profuse sweating like bathing, aversion to wind, shortness of breath. What is this? Qibo answered: Jiu Feng (Alcohol Wind) (Continuation: Wind struck after drinking. Extreme drinking increases Yang Qi, opens pores/xuanfu. Yang excess causes tendon weakness/flaccidity; open pores allow wind attack and Qi leakage/profuse sweat. External wind thins skin, internal heat steams Lung, causing aversion to wind/shortness of breath. Named Alcohol Wind). Treatment: Ze Xie 10 parts, Zhu (Atractylodes) 10 parts, Mi Xian (Elk Antler/Herb?) 5 parts. Mix, take three fingers pinch after meal (Continuation: Originally for wind/sweating; Mi Xian for damp-wind/tendon weakness; Ze Xhe for damp-wind/Qi. Taken after meal. From *Bing Neng Lun*). The Yellow Emperor asked: Hypochondriac fullness, Qi stagnation for 2-3 years. What is this? Qibo answered: Xi Ji (Breathing Accumulation). Does not interfere with eating. Do not moxa or needle. Accumulation requires Daoyin (guiding/qi exercises) and medicine; medicine alone cannot cure (Continuation: No mass in abdomen, hypochondriac fullness, persistent for years. Xi Ji means Qi rebellion/difficulty breathing. Qi not in Stomach, so eating unaffected. Moxa creates wind; needle causes deficiency. Only Daoyin circulates Qi; long-term medicine resolves stasis. Medicine alone fails without Daoyin). The Yellow Emperor asked: Headache lasting years. Cause? Name? (Continuation: Brain governs Marrow, Teeth are bone surplus. Brain cold makes bone cold, causing headache/toothache. Or: Brain forms first, then Marrow, then Teeth). Disease name: Jue Ni (Rebellious Counterflow). The Yellow Emperor asked: Sweet taste in mouth. Name? Cause? Qibo answered: Overflow of Five Qi, named Pi Dan (Spleen Heat/Dan) (Continuation: Dan means heat. Spleen heat affects four other Zang, causing Five Qi overflow. Named Spleen Dan due to heat origin). Five flavors enter Stomach; Spleen transports Jing Qi. Fluids stay in Spleen, causing sweet taste (Continuation: Spleen heat seeps fluids; spleen/stomach transform grain, residual Jing Qi overflows to mouth via Spleen Qi. Fluids in Spleen indicate Spleen dampness). Caused by rich/greasy food. Frequent consumption of sweet/rich foods causes internal heat and middle fullness. Qi overflows upward, transforming into Xiao Ke (Wasting-Thirst) (Continuation: Rich food closes pores, trapping Yang heat internally. Sweet food slows dispersion, causing fullness. Internal heat flares up causing thirst; fullness causes Spleen Qi overflow. Hence "Qi overflows, transforming into Wasting-Thirst"). Treatment: Lan Cao (Orchid Grass) to remove stale Qi (Continuation: Lan is Orchid Grass. Chen means old/stale. Removes stale qi from undigested sweet/rich food. Pungent flavor disperses). The Yellow Emperor asked: Bitter taste in mouth. Name? Cause? Qibo answered: Dan Dan (Gallbladder Heat/Dan) (Continuation: Dan means heat. Gallbladder bile is bitter, hence bitter taste). Liver is General of the Middle, decides based on Gallbladder; Pharynx is its envoy (Continuation: Liver is General of Strategy; Gallbladder is Official of Justice/Decision. Liver/Gallbladder paired, Qi connected. Decisions depend on Gallbladder. Pharynx connects to Gallbladder, acting as envoy. *Jia Yi Jing* says Gallbladder is Middle Essence Organ, Five Zang decide based on it, Pharynx is envoy. Text may be erroneous). Frequent deliberation without decision causes Gallbladder deficiency and Qi overflow, leading to bitter taste. Treatment: Gallbladder Mu and Shu points (Continuation: Mu points on chest/abdomen, Shu on back. Gallbladder Mu: Qimen, 1 cun below nipple; Shu: Bian Liu, 1.5 cun lateral to 10th thoracic vertebra. From *Qi Bing Lun*).