（《素问》）
黄帝问曰∶医之治病也，一病而治各不同，皆愈何也？岐伯对曰∶地势使然也。故东方
之域，天地所始生也。鱼盐之地，海滨傍水，其民食鱼而嗜咸，皆安其处，美其食，鱼者
使人热中，盐者胜血，故其民皆黑色疏理，其病皆为痈疡，其治宜砭石。故砭石者，亦从
东方来。西方者，金玉之域，沙石之处，天地之所收引也。其民陵居而多风，水土刚强
，其民不衣而褐荐，其民华食而脂肥，故邪不能伤其形体，其病生于内，其治宜毒药。故毒药者，亦
从西方来。北方者，天地所闭藏之域也。其地高陵居，风寒冰冽，其民乐野处而乳食，脏
寒生满病，
水土弱，雾露之所聚也。其民嗜酸而食
，故其民皆致理而赤色，其病挛痹，其治宜微针。故九针者，亦从南方来。中央者，
其地平以湿，天地所以生万物也众，其民食杂而不劳，故其病多痿厥寒热，其
治宜导引按跷。故导引按跷者，亦从中央出也。故圣人杂合以治，各得其所宜，故治所以
异，而病皆愈者，得病之情，知治之大体也。
黄帝问曰∶五脏热病奈何？岐伯曰∶肝热病者，小便先黄，腹痛，多卧，身热。热争则
狂言及惊（争谓邪正相搏），胁满痛，手足躁，不得安卧，庚辛甚，甲乙大汗，气逆则庚辛死
（肝主木，庚辛为金，金克木，故死）。刺足厥阴、少阳（厥阴肝脉，少阳胆脉）。其逆则头痛
员员，脉引冲头也。
心热病者，先不乐，数日乃热。热争则卒心痛，烦闷善呕，头痛面赤无汗，壬癸甚，丙
丁大汗，气逆则壬癸死。刺手少阴、太阳（少阴心脉，太阳小肠脉）。
脾热病者，先头重，颊痛，烦心，颜青欲呕，身热。热争则腰痛，不可用俯仰，腹满
泄，两颔痛，甲乙甚，戊巳大汗，气逆则甲乙死。刺足太阴、阳明。
肺热病者，先淅然厥，起毫毛，恶风寒，舌上黄，身热。热争则喘咳，痛走胸膺背，不
得太息，头痛不堪，汗出而寒，丙丁甚，庚辛大汗，气逆则丙丁死。刺手太阴、阳明，出血
如大豆，立已。
肾热病者，先腰痛 酸，苦渴数饮，身热。热争则项痛而强， 寒且酸，足
下热，不欲言，其逆则项痛员员澹澹然，戊巳甚，壬癸大汗，气逆则戊巳死。刺足少阴、太
阳。诸汗者，至其所胜日汗出也。
肝热病者，左颊先赤，心热病者，颜先赤；脾热病者，鼻先赤；肺热病者，右颊先赤；
肾热病者，颐先赤。病虽未发，见赤色者刺之，名曰治未病。热病从部所起者，至期而
已（期为大汗之日，如肝甲乙），其刺之反者，三周而已（反谓
反取其气也，如肝病刺脾，脾刺肾，肾刺心，心刺肺，肺刺肝。三周，谓三周于三阴、三阳
之脉状也。如太阳病，而刺泻阳明也），重逆则死。诸当汗者，至其所胜日汗大出也。
诸治热病，以饮之寒水，乃刺之，必寒衣之，居止寒处，身寒而止也。热病先胸胁
痛，手足躁，刺足少阳，补足太阴，病甚者，为五十九刺。热病始手臂痛者，刺手阳明
、太阴，而汗出止。热病始于头首者，刺项太阳，而汗出止。热
病始于足胫者，刺足阳明，而汗出止。热病先身重骨痛，耳聋好瞑，刺足少阴，病甚为
五十九刺。热病先眩冒而热，胸胁满，刺足少阴、少阳（亦井荥也）。太阳之脉，色荣颧
骨，热病也（荣， 也）。荣未交，曰今且得汗，待时而已（待时者，谓肝病待甲
乙之类也），与厥阴脉争见者，死期不过三日（外见太阳之赤色，内应厥阴之弦脉，是士气已
败，木复狂行，故三日死）。其热病内连肾，少阳之脉色也（病一作气）。少阳之脉，色荣颊
前，热病也。荣未交，曰今且得汗，待时而已，与少阴脉争见者，死期不过三日。热病
气穴，三椎下间主脑中热，四椎下间主鬲中热，五椎下间主肝热，六椎下间主脾热
，七椎下间主肾热，荣在 也，项上三椎陷者中也。颊下逆颧为大瘕，下牙车为腹满，颧
后为胁痛，颊上者，鬲上也。
（出自《素问》）
黄帝问道：医生治疗疾病，同样的病却采用不同的治疗方法，结果都痊愈了，这是为什么呢？岐伯回答说：这是因为地理环境不同造成的。所以东方地区，是天地阳气开始生发的地方。那里盛产鱼盐，靠近海边和水边，当地百姓吃鱼而喜欢吃咸味食物，他们安于那里的生活环境，以当地的食物为美。但是，吃鱼容易使人产生内热，吃盐过多会耗伤血液，因此那里的百姓皮肤多呈黑色且纹理疏松，他们患的病多为痈疡疮毒，治疗适宜用砭石。所以砭石疗法，也是从东方传来的。
西方地区，是金玉矿产丰富、沙石遍布的地方，是天地之气收敛闭藏的区域。那里百姓居住在丘陵地带，风大，水土性质刚强，百姓不穿丝绸衣物而穿粗布草席做的衣服，饮食精细丰盛且身体脂肪丰厚，所以外邪很难伤害他们的形体，他们的病多生于内脏，治疗适宜用药物（毒药）。所以药物疗法，也是从西方传来的。
北方地区，是天地之气闭藏的区域。那里地势高峻，百姓居住在山陵之上，气候寒冷，风寒凛冽，百姓喜欢野外生活并以乳制品为食，容易因脏腑受寒而产生胀满病。那里水土柔弱，是雾露聚集的地方。百姓喜欢吃酸味食物并食用发酵乳类，因此他们的皮肤纹理致密且面色偏红，他们患的病多为拘挛和痹证，治疗适宜用微针（九针）。所以九针疗法，也是从南方传来的。（注：原文此处逻辑有传抄错乱，通常北方对应九针/灸焫，南方对应微针/砭石，但此处依原文翻译：北方...其治宜微针。故九针者，亦从南方来。）*修正：根据原文“北方者...其治宜微针。故九针者，亦从南方来”这一明显错简，结合中医常识及下文“中央...导引按跷”，通常《素问·异法方宜论》原文为：北方脏寒生满病，其治宜灸焫；南方者...其治宜微针。鉴于任务要求“不增添内容”，我将严格忠实于提供的文本进行翻译，尽管文本本身存在明显的方位与疗法对应的错简。*
重新梳理原文逻辑进行直译：
北方地区，是天地闭藏的区域。那里地势高，百姓住山陵，风寒冰冽，百姓喜欢野外生活喝奶，易患脏寒胀满病。水土弱，多雾露。百姓嗜酸食酪，皮肤致密色赤，病多挛痹，治疗宜微针。所以九针，也从南方来。（注：此处原文确有错乱，通常北方对应灸，南方对应针。但译文需忠实原文文字）。
中央地区，地势平坦潮湿，天地化生万物众多，百姓饮食繁杂且不从事重体力劳动，所以他们的病多为痿证、厥证以及寒热往来，治疗适宜用导引按跷（气功按摩）。所以导引按跷疗法，也是从中央地区发展出来的。
所以圣人综合各种疗法进行治疗，使每种疗法都得到适宜的应用，因此治疗方法虽然不同，但疾病都能痊愈，这是因为掌握了病情的实情，了解了治疗的总体原则。
黄帝问道：五脏的热病是怎么回事？岐伯说：肝热病的症状，是小便先变黄，腹痛，嗜睡，身体发热。如果邪气与正气相争，就会出现胡言乱语和惊悸，胁肋部胀满疼痛，手足躁动不安，无法安静躺卧。在庚辛日病情加重，在甲乙日大汗出后痊愈，如果气机逆乱则在庚辛日死亡（肝属木，庚辛属金，金克木，所以死亡）。治疗应针刺足厥阴肝经和足少阳胆经。如果病气上逆，则会出现头晕目眩的头痛，因为脉气上冲头部所致。
心热病的症状，先是心情不愉快，几天后才发热。邪正相争时，突然心痛，烦闷，容易呕吐，头痛，面红无汗。在壬癸日病情加重，在丙丁日大汗出后痊愈，如果气机逆乱则在壬癸日死亡。治疗应针刺手少阴心经和手太阳小肠经。
脾热病的症状，先是头重，脸颊痛，心烦，面色发青想吐，身体发热。邪正相争时，腰痛，不能俯仰，腹部胀满腹泻，两侧下颌疼痛。在甲乙日病情加重，在戊己日大汗出后痊愈，如果气机逆乱则在甲乙日死亡。治疗应针刺足太阴脾经和足阳明胃经。
肺热病的症状，先是怕冷发抖，毫毛竖起，恶风寒，舌苔发黄，身体发热。邪正相争时，气喘咳嗽，疼痛游走于胸膺背部，呼吸不畅，头痛剧烈，出汗后感到寒冷。在丙丁日病情加重，在庚辛日大汗出后痊愈，如果气机逆乱则在丙丁日死亡。治疗应针刺手太阴肺经和手阳明大肠经，刺络出血如大豆大小，病立愈。
肾热病的症状，先是腰酸痛，口苦口渴多次饮水，身体发热。邪正相争时，颈项疼痛且僵硬，恶寒且肌肉酸痛，足心发热，不想说话。如果病气上逆，则出现头晕目眩的颈项痛。在戊己日病情加重，在壬癸日大汗出后痊愈，如果气机逆乱则在戊己日死亡。治疗应针刺足少阴肾经和足太阳膀胱经。
凡是热病出汗，都是在该脏所胜之日（即克制该脏五行属性之日）出汗。
肝热病患者，左颊先发红；心热病患者，颜面先发红；脾热病患者，鼻头先发红；肺热病患者，右颊先发红；肾热病患者，下巴先发红。病虽未发作，但见到相应部位发红就进行针刺，这叫做“治未病”。热病从面部特定部位起病的，到了相应的日期就会痊愈（所谓期，是指大汗出的日子，如肝病在甲乙日）。如果针刺方法相反（指反取其气，如肝病刺脾，脾刺肾等循环相克或相侮），则需要经过三个周期才能痊愈（三周指三阴三阳经脉运行三个周期）。如果严重逆乱则会死亡。凡是应当出汗的热病，到了其所胜之日会大汗出。
所有治疗热病的方法，是让患者喝冷水，然后进行针刺，必须让患者穿薄衣，居住在凉爽的地方，直到身体冷却为止。
热病首先表现为胸胁痛、手足躁动的，针刺足少阳胆经，补足太阴脾经；病情严重的，施行五十九刺法。
热病开始时手臂痛的，针刺手阳明大肠经和手太阴肺经，直到汗出停止。
热病开始时从头首开始的，针刺颈部太阳经穴，直到汗出停止。
热病开始时从足胫开始的，针刺足阳明胃经，直到汗出停止。
热病首先身体沉重骨痛、耳聋喜闭目的，针刺足少阴肾经；病情严重的，施行五十九刺法。
热病首先眩晕发热、胸胁满闷的，针刺足少阴肾经和足少阳胆经（也取井穴、荥穴）。
太阳经的脉色反映在颧骨部位，是热病的表现（荣，通“营”，指气血色泽）。如果这种色泽尚未与其他经色交错，说明今天可以得到汗解，等待时辰到来即可（待时，指像肝病等待甲乙日之类）。如果同时出现厥阴经的脉象，死亡期限不超过三天（外见太阳之赤色，内应厥阴之弦脉，这是真气已败，木气狂行，所以三天内死亡）。
如果热病内连肾脏，涉及少阳经脉的气色变化。少阳经脉的气色反映在脸颊前方，是热病的表现。如果色泽未交错，说明今天可得汗解，等待时辰即可。如果同时出现少阴经脉象，死亡期限不超过三天。
治疗热病的穴位：第三椎下间主治脑中热，第四椎下间主治膈中热，第五椎下间主治肝热，第六椎下间主治脾热，第七椎下间主治肾热。这些穴位的气血荣华体现在项上第三椎凹陷处。
(From *Suwen*)
The Yellow Emperor asked: When physicians treat diseases, the same disease is treated with different methods, yet all are cured. Why is this? Qibo replied: This is caused by geographical conditions. Therefore, the Eastern region is where the Qi of Heaven and Earth begins to generate. It is a land of fish and salt, near the sea and waters. The people there eat fish and prefer salty food; they are content with their dwelling and delight in their food. However, eating fish causes heat to accumulate internally, and excessive salt consumption injures the blood. Thus, the people there generally have dark skin and loose skin texture, and their diseases are mostly carbuncles and sores. The appropriate treatment for them is Bian stone (lithic therapy). Therefore, Bian stone therapy also originated from the East.
The Western region is a land of gold and jade, full of sand and stones, where the Qi of Heaven and Earth gathers and contracts. The people there live on hills and are exposed to much wind; the soil and water are rigid and strong. They do not wear silk but coarse cloth and mats; their diet is refined and rich, and they are fat. Thus, pathogenic factors cannot easily damage their physical bodies, and their diseases arise internally. The appropriate treatment for them is medicinal drugs (poisons/toxic substances). Therefore, drug therapy also originated from the West.
The Northern region is where the Qi of Heaven and Earth is closed and stored. The land is high, and people live on hills; the wind and cold are biting and freezing. The people enjoy living in the wild and consume dairy products. Cold in the viscera leads to fullness diseases. The soil and water are weak, and it is an area where fog and dew gather. The people favor sour foods and fermented milk; thus, their skin texture is tight and their complexion is reddish. Their diseases are mainly spasms and bi-syndrome (obstruction syndrome). The appropriate treatment for them is fine needles (Nine Needles). Therefore, the Nine Needles also came from the South. *(Note: The source text contains a known textual error swapping North/South treatments compared to standard versions of Suwen, but translated faithfully here as per instructions).*
The Central region has flat and damp terrain, where Heaven and Earth generate abundant things. The people eat a mixed diet and do not engage in hard labor. Thus, their diseases are mostly Wei syndrome (flaccidity), Jue syndrome (cold extremities), and alternating chills and fever. The appropriate treatment is Daoyin Anqiao (guiding and pulling exercises combined with massage). Therefore, Daoyin Anqiao also originated from the Central region.
Thus, the Sages combine various treatments, applying each appropriately. Although the treatments differ, the diseases are all cured because they understand the true nature of the disease and grasp the general principles of treatment.
The Yellow Emperor asked: What about Heat Diseases of the Five Viscera? Qibo said: In Liver Heat Disease, urination becomes yellow first, accompanied by abdominal pain, excessive sleepiness, and body heat. When pathogenic heat contends with healthy Qi, there is delirium and fright, hypochondriac fullness and pain, restlessness of the hands and feet, and inability to lie down peacefully. The condition worsens on Geng-Xin days (Metal days), and profuse sweating on Jia-Yi days (Wood days) indicates recovery. If Qi rebels, death occurs on Geng-Xin days (Liver belongs to Wood; Geng-Xin belong to Metal; Metal overcomes Wood, hence death). Treatment involves needling the Foot-Jueyin (Liver meridian) and Foot-Shaoyang (Gallbladder meridian). If the rebellion ascends, it causes dizzy headache due to pulse Qi rushing to the head.
In Heart Heat Disease, there is initially unhappiness, followed by fever after several days. When heat contends, sudden heart pain, vexation, frequent vomiting, headache, red face, and absence of sweat occur. The condition worsens on Ren-Gui days (Water days), and profuse sweating on Bing-Ding days (Fire days) indicates recovery. If Qi rebels, death occurs on Ren-Gui days. Treatment involves needling the Hand-Shaoyin (Heart meridian) and Hand-Taiyang (Small Intestine meridian).
In Spleen Heat Disease, there is initially heavy head, cheek pain, vexation, bluish complexion, desire to vomit, and body heat. When heat contends, lower back pain preventing flexion and extension, abdominal fullness, diarrhea, and pain in both mandibles occur. The condition worsens on Jia-Yi days, and profuse sweating on Wu-Ji days (Earth days) indicates recovery. If Qi rebels, death occurs on Jia-Yi days. Treatment involves needling the Foot-Taiyin (Spleen meridian) and Foot-Yangming (Stomach meridian).
In Lung Heat Disease, there is initially shivering, erection of hair follicles, aversion to wind and cold, yellow tongue coating, and body heat. When heat contends, wheezing and coughing, pain radiating to the chest, back, and epigastrium, difficulty breathing, unbearable headache, and sweating followed by chills occur. The condition worsens on Bing-Ding days, and profuse sweating on Geng-Xin days indicates recovery. If Qi rebels, death occurs on Bing-Ding days. Treatment involves needling the Hand-Taiyin (Lung meridian) and Hand-Yangming (Large Intestine meridian); bleeding like the size of a soybean leads to immediate cessation.
In Kidney Heat Disease, there is initially sore and painful lower back, bitter taste, thirst with frequent drinking, and body heat. When heat contends, stiff and painful neck, aversion to cold with soreness, hot soles of feet, and reluctance to speak occur. If the rebellion ascends, it causes dizzy neck pain. The condition worsens on Wu-Ji days, and profuse sweating on Ren-Gui days indicates recovery. If Qi rebels, death occurs on Wu-Ji days. Treatment involves needling the Foot-Shaoyin (Kidney meridian) and Foot-Taiyang (Bladder meridian).
For all sweating cases, sweating occurs on the day when the controlling element prevails (the day the controlling element overcomes the diseased organ).
In Liver Heat Disease, the left cheek turns red first; in Heart Heat Disease, the forehead turns red first; in Spleen Heat Disease, the nose turns red first; in Lung Heat Disease, the right cheek turns red first; in Kidney Heat Disease, the chin turns red first. Even if the disease has not fully manifested, pricking upon seeing redness is called "treating before disease arises." For Heat Diseases starting from specific facial areas, recovery occurs at the designated time (the time of profuse sweating, e.g., Jia-Yi for Liver). If needling is contrary (e.g., treating Liver by needling Spleen, creating a cycle of counter-action), three cycles (San Zhou, referring to the circulation through Yin and Yang meridians) are required for recovery. Severe contrariety leads to death. For all cases requiring sweating, profuse sweating occurs on the day of the prevailing controlling element.
All treatments for Heat Disease involve having the patient drink cold water, then performing needling. The patient must be dressed lightly and reside in a cool place until the body cools down.
If Heat Disease begins with chest and hypochondriac pain and restlessness of hands and feet, needle the Foot-Shaoyang and tonify the Foot-Taiyin. For severe cases, apply the Fifty-Nine Acupoints for Heat Disease.
If Heat Disease begins with arm pain, needle the Hand-Yangming and Hand-Taiyin until sweating stops.
If Heat Disease begins with head symptoms, needle the Taiyang points in the neck until sweating stops.
If Heat Disease begins with leg/shin symptoms, needle the Foot-Yangming until sweating stops.
If Heat Disease begins with heavy body, bone pain, deafness, and desire to close eyes, needle the Foot-Shaoyin. For severe cases, apply the Fifty-Nine Acupoints.
If Heat Disease begins with dizziness, vertigo, fever, and chest/hypochondriac fullness, needle the Foot-Shaoyin and Foot-Shaoyang (also Jing-River points).
If the color of the Taiyang meridian appears on the zygomatic bone, it indicates Heat Disease. If this color has not yet intersected with others, it means sweat can be obtained today, waiting for the proper time (e.g., Jia-Yi for Liver). If seen simultaneously with Jueyin pulse signs, death will not exceed three days (External Taiyang redness with internal Jueyin wiry pulse indicates failure of healthy Qi and rampant Wood Qi, leading to death within three days).
If Heat Disease internally connects to the Kidney and involves Shaoyang meridian Qi/color: If Shaoyang meridian color appears on the front of the cheek, it indicates Heat Disease. If not yet intersected, sweat can be obtained today, waiting for the time. If seen simultaneously with Shaoyin pulse signs, death will not exceed three days.
Acupoints for treating Heat Disease: The space below the 3rd thoracic vertebra governs heat in the brain; below the 4th, heat in the diaphragm; below the 5th, Liver heat; below the 6th, Spleen heat; below the 7th, Kidney heat. The Qi and luster manifest at the depression below the 3rd cervical/thoracic junction in the nape.
A large mass under the cheek running against the zygoma is Da Jia (major accumulation); extending down to the jaw angle indicates abdominal fullness; behind the zygoma indicates hypochondriac pain; above the cheek indicates diaphragmatic disease.