(水俞五十七穴。热俞五十九穴详于此篇)
肾何以能聚水而生病。肾者。胃之关也。关门不利。故聚水而从其类也(胃纳水谷。肾
主前
阴利水。后阴利谷。是胃之关也关闭。则水积下焦以肾属水而从之也。)上下溢于皮肤。故
为肿。 肿者聚水而生病也。(脾主肌肉。寒水侮之故反聚水而为肌肤浮肿。)肾者牝藏也
地气上者。属于肾而生水液也。故曰至阴。(牝。阴也。)勇而劳甚。则肾汗出。肾汗出。逢
于风。内不得入于脏腑。外不得越于皮肤。客于玄府。行于皮里传为 肿。本之于肾。名曰
风水。(此则。因水因风也。)所谓玄府者汗空也。(孔同)肾 五十七穴积阴之所聚也。水所
从出入也。尻上五行。行五者。此肾 。(督脉所发。长强腰俞命门悬枢脊中。次两旁白环
俞中KT 俞。膀胱俞小肠俞大肠俞。又次两旁。秩边胞肓志室肓门胃仓。其二十五穴。皆在下
焦而主水。故皆曰肾俞。)故水病下为 肿大腹。上为喘呼不得卧者标本俱病。故肺为喘呼
。肾为水肿。肺为逆不得卧。分为相输。俱受(病)者水气之所留也。(水病则气虚。气病则
水虚)伏兔上各二行行五者。此肾之街也。(少阴。脉气所发横骨大赫气穴四满中注阳明脉气
所发。气街归来水道大巨外陵左右共二十穴。街往来道也。)三阴之所交结于脚也。(足太阴
经有三阴交穴。)踝上各一行行六穴。此肾脉之下行也。名曰太冲。(踝上各一行。独指足少
阴经。行六穴。大钟照海复溜交信筑宾阴谷。左右十二穴也。肾之大络。并冲脉下行于足而
盛□□曰太冲。)凡五十七穴。皆藏之阴络。(肾经支络)水之所客也。春者木始治。肝气始
生。肝气急。其风疾。经脉常深。其气少不能深入。故取络脉分肉间。夏者火始治。心气始
生脉瘦气弱阳气流溢。热熏分腠内至于经。故取盛经分腠绝肤而病去者。邪居浅也。所谓盛
经者。阳脉也。秋者金始治肺将收杀。金将胜火。阳气在合阴气所胜。湿气及体。阴气未盛
。未能深入。故取俞以泻阴邪取合以虚阳邪。阳气始衰故取于合。冬者水始治肾方闭。阳气
衰少阴气坚盛。巨阳伏沉。阳脉乃去。故取井以下阴逆。取荥以实阳气。故曰冬取井荥。春
不鼽衄。此之谓也治热病五十九俞。头上五行。行五者以越诸阳之热逆也。(中行督脉之上
星囟会前顶百会后顶也。次两旁。足太阳之五处承光通大络却玉枕也又次两旁。足少阳之临
泣目窗正营承临脑空也。五行共二十五穴。散越热气之逆于上者。)大杼(足太阳经)膺俞(手
太阴中府穴。)缺盆(足阳明经)背俞(足太阳风门穴。一名热府。)此八者以泻胸中之热也气
街二里巨虚上下廉。(俱足阳明经。)此八者以泻胃中之热也云门(手太阴经。) 骨(即肩
穴。)委中(足太阳经。)髓空。(督脉腰俞穴。)此八者以泻四肢之热也。(此八者止有七穴。
)五脏俞傍五。(魄户。神堂。魂门意舍志室。)此十者以泻五脏之热也。凡此五十九穴者。(
当为五十八穴。)皆热之左右也。人伤于寒而传为热者。夫寒甚则生热也。(寒盛于表在表之
阳不得宣越。故令生热也○又热病五十九穴。见灵枢热病篇。)
肾脏为何能积聚水液而致病？肾是胃的关口。如果这个关口功能失常，就会使水液积聚并随其同类（水）聚集。（胃负责受纳水谷，肾主管前阴排泄尿液、后阴排泄糟粕，这就是所谓的“关”。若关闭不利，则水积在下焦，因肾属水，故水气随之汇聚。）水液上下泛滥于皮肤，所以发生浮肿。浮肿就是水液积聚而导致的疾病。（脾主肌肉，寒水之气侵犯脾土，导致水液反而积聚在肌肤之间形成浮肿。）肾属于阴脏（牝藏），地气上升者归属于肾，并由肾化生为水液，所以说肾是至阴之脏。（牝即阴的意思。）如果人勇猛过度且劳累严重，就会导致肾汗外泄。肾汗排出后，若遭遇风邪侵袭，汗液既不能内入脏腑，也不能外越于皮肤，而是客居于玄府（汗孔），在皮里运行，从而传变为水肿。这种病的根本在于肾，名称叫做风水。（这是因为既有水又有风邪所致。）所谓玄府，就是汗孔。（“空”与“孔”同义。）肾有五十七个腧穴，是阴气积聚的地方，也是水液出入的通道。尻骨上方有五行，每行五个穴位，这些都属于肾。（督脉所发出的穴位有：长强、腰俞、命门、悬枢、脊中；其次两旁第一排膀胱经穴位有：白环俞、中膂俞、膀胱俞、小肠俞、大肠俞；再其次两旁第二排膀胱经穴位有：秩边、胞肓、志室、肓门、胃仓。这二十五穴，都在下焦而主治水病，所以都称为肾俞。）因此，水病患者，下部表现为水肿和腹部胀大，上部表现为气喘呼叫、不能平卧，这是标本俱病。所以肺表现为气喘呼叫，肾表现为水肿，肺表现为气逆不能平卧。肺与肾通过经络相互输送气血，共同受到水气停留的影响。（水病则气虚，气病则水虚。）伏兔穴上方各有两行，每行五个穴位，这是肾气的街道（少阴经脉气所发的穴位有：横骨、大赫、气穴、四满、中注；阳明经脉气所发的穴位有：气街、归来、水道、大巨、外陵，左右共二十穴。“街”指往来通行的道路）。这里是三条阴经交汇于脚部的地方。（足太阴脾经有三阴交穴。）脚踝上方各有一行，每行六个穴位，这是肾脉向下行走的路径，名称叫作太冲。（踝上各一行，专指足少阴肾经，每行六穴：大钟、照海、复溜、交信、筑宾、阴谷，左右共十二穴。这是肾的大络，并与冲脉下行于足部，盛大之处称为太冲。）总共五十七个穴位，都是肾脏的阴络。（肾经的支络）是水液停留的地方。
春季，木气开始主事，肝气开始生发。肝气急迫，风气疾速，经脉位置较深，正气较少不能深入，所以取络脉和分肉之间的穴位。夏季，火气开始主事，心气开始生发，脉道瘦弱，气力微弱，阳气流溢，热气熏蒸分腠，内至于经脉，所以取盛经（阳脉）的分腠，刺破皮肤以使病邪去除，因为邪气居处较浅。所谓盛经，就是阳脉。秋季，金气开始主事，肺气开始收敛肃杀，金气将胜过火气，阳气在合穴处，阴气占据优势，湿气波及身体，阴气尚未旺盛，不能深入，所以取俞穴以泻阴邪，取合穴以虚阳邪。因为阳气开始衰退，所以取合穴。冬季，水气开始主事，肾气闭藏，阳气衰少，阴气坚盛，太阳经之气伏沉，阳脉离去，所以取井穴以下抑阴逆，取荥穴以充实阳气。所以说冬季取井穴和荥穴，这样春季就不会发生鼻塞流涕或鼻出血的症状。说的就是这个道理。
治疗热病的五十九个腧穴：头部五行，每行五个穴位，用来发散诸阳经的热逆之气。（中行督脉上的穴位有：上星、囟会、前顶、百会、后顶；其次两旁第一排足太阳膀胱经穴位有：五处、承光、通天、大络、却玉枕；又次两旁第二排足少阳胆经穴位有：临泣、目窗、正营、承灵、脑空。五行共二十五穴，用于散越向上逆乱的热气。）大杼（足太阳膀胱经）、膺俞（手太阴肺经的中府穴）、缺盆（足阳明胃经）、背俞（足太阳膀胱经的风门穴，又名热府）。这八个穴位用来泻胸中的热邪。气街、三里、上巨虚、下巨虚（均属足阳明胃经）。这八个穴位用来泻胃中的热邪。云门（手太阴肺经）、肩髃（即肩穴）、委中（足太阳膀胱经）、髓空（督脉的腰俞穴）。这八个穴位用来泻四肢的热邪。（此处列举实际只有七个穴位。）五脏俞傍五（魄户、神堂、魂门、意舍、志室）。这十个穴位用来泻五脏的热邪。凡是这五十九个穴位（应当是五十八个穴位），都是热邪所在的部位。人受寒邪侵袭而转化为热病的，是因为寒邪极盛则会产生热邪。（寒邪盛于体表，在表的阳气不得宣通发散，所以产生热邪。）另外，治疗热病的五十九穴，也见于《灵枢·热病》篇。
(There are fifty-seven acupoints for water disorders and fifty-nine for heat disorders, as detailed in this chapter.)
Why can the Kidney accumulate fluid and cause disease? The Kidney is the gate of the Stomach. If the function of this gate is impaired, fluid will accumulate and gather according to its kind (water). (The Stomach receives water and grain; the Kidney governs the anterior orifice for urination and the posterior orifice for defecation; this constitutes the "gate." If the gate closes improperly, fluid accumulates in the Lower Jiao; since the Kidney belongs to Water, fluid Qi follows it.) Fluid overflows up and down into the skin, thus causing edema. Edema is a disease caused by the accumulation of fluid. (The Spleen governs the muscles; cold water insults it, causing fluid to accumulate in the muscle and skin layers resulting in swelling.) The Kidney is a Yin organ (Pin Zang). When Earth Qi rises, it belongs to the Kidney and generates fluid, hence it is called the "Supreme Yin" organ. (Pin means Yin.) If one exerts oneself vigorously and works excessively hard, Kidney sweat will occur. When Kidney sweat occurs and encounters wind pathogen, it cannot enter the Zang-Fu organs internally nor diffuse out through the skin externally. It lodges in the Xuan Fu (sweat pores), moves within the subcutaneous tissue, and transmits to become edema. Rooted in the Kidney, it is named Feng Shui (Wind Edema). (This arises from both water and wind pathogens.) What is meant by Xuan Fu is the sweat pore. ("Kong" is synonymous with "Kou".) There are fifty-seven acupoints of the Kidney, which are the gathering place of Yin Qi and the pathway for the entry and exit of water. Above the sacrum, there are five rows, each containing five acupoints; these belong to the Kidney. (The points issued by the Du Mai include: Changqiang [GV1], Yaoshu [BL23], Mingmen [GV4], Xianshu [GV5], Jizhong [GV9]. Next, on the lateral sides, the first row of Bladder Meridian points includes: Baihuan Shu [BL30], Zhong Zhu Shu [BL27], Pang Guang Shu [BL28], Xiao Chang Shu [BL27], Da Chang Shu [BL25]. Further laterally, the second row includes: Zhi Bian [BL54], Bao Huang [BL53], Zhi Shi [BL52], Huang Men [BL51], Wei Cang [BL50]. These twenty-five points are all in the Lower Jiao and govern water, so they are all referred to as Kidney Shu points.) Therefore, in water diseases, the lower body presents with edema and abdominal distension, while the upper body presents with panting, calling out, and inability to lie flat; this indicates that both the root and branch are diseased. Thus, the Lung manifests as panting and calling out, the Kidney manifests as edema, and the Lung manifests as rebellious Qi preventing lying flat. The Lung and Kidney transmit Qi to each other via meridians and jointly suffer from the retention of water Qi. (Water disease leads to Qi deficiency; Qi disease leads to Water deficiency.) Above the Futu area, there are two rows on each side, each with five points; these are the streets of Kidney Qi. (Points where Shaoyin Meridian Qi issues: Henggu [KI11], Da He [KI12], Qi Xue [KI13], Si Man [KI14], Zhong Zhu [KI15]; points where Yangming Meridian Qi issues: Qi Jie [ST30], Guilai [ST29], Shui Dao [ST28], Da Ju [ST37], Wai Ling [ST26]. Left and right total twenty points. "Jie" refers to the pathway of passage.) This is where the three Yin meridians intersect at the foot. (The Foot Taiyin Spleen Meridian has the San Yin Jiao point [SP6].) Above each ankle, there is one row with six points; this is the downward path of the Kidney Meridian, named Taichong. (The row above the ankle refers exclusively to the Foot Shaoyin Kidney Meridian, with six points per row: Dazhong [KI4], Zhaohai [KI6], Fuliou [KI7], Jiaoxin [KI8], Zubin [KI9], Yinggu [KI10], totaling twelve points bilaterally. This is the great collateral of the Kidney, descending with the Chong Mai to the foot, where it is abundant, hence called Taichong.) In total, these fifty-seven points are all the Yin collaterals of the Zang organs. (Branch collaterals of the Kidney Meridian) where water resides.
In Spring, Wood Qi begins to govern, and Liver Qi begins to generate. Liver Qi becomes urgent, and wind Qi moves swiftly. The meridians are deep, and the healthy Qi is insufficient to penetrate deeply; therefore, one selects points between the collaterals and the muscle spaces. In Summer, Fire Qi begins to govern, and Heart Qi begins to generate. The vessels are thin, Qi is weak, Yang Qi flows and overflows, heat steams the fen li (interstices) and enters the meridians; therefore, one selects the Sheng Jing (Exuberant Meridians, i.e., Yang Meridians) at the fen li, piercing the skin to expel the pathogen, because the pathogen resides superficially. What is called Sheng Jing refers to the Yang Meridians. In Autumn, Metal Qi begins to govern, and Lung Qi begins to collect and kill. Metal Qi will overcome Fire Qi. Yang Qi is at the He-Sea points, and Yin Qi prevails. Dampness affects the body. Yin Qi is not yet vigorous and cannot penetrate deeply; therefore, one selects Shu points to drain Yin pathogens and He-Sea points to empty Yang pathogens. Since Yang Qi begins to decline, one selects He-Sea points. In Winter, Water Qi begins to govern, and Kidney Qi closes. Yang Qi declines, Yin Qi becomes firm and vigorous, the Great Yang (Taiyang) Qi sinks and lies hidden, and Yang meridians depart; therefore, one selects Jing-Well points to descend rebellious Yin Qi and Ying-Spring points to tonify Yang Qi. Hence it is said: "In Winter, select Jing-Well and Ying-Spring points; in Spring, there will be no epistaxis or nasal congestion." This is what is meant.
Regarding the fifty-nine acupoints for treating heat disorders: Five rows on the head, each with five points, are used to disperse the rebellious heat of all Yang meridians. (The central row of the Du Mai includes: Shangxing [GV23], Xinhui [GV22], Qian Ding [GV21], Baihui [GV20], Houding [GV24]. The next lateral row of the Foot Taiyang Bladder Meridian includes: Wuchu [BL7], Chengguang [BL7], Tongtian [BL7], Daluo [BL7], Queyuzhen [BL9]. The next lateral row of the Foot Shaoyang Gallbladder Meridian includes: Linqi [GB15], Mucuang [GB16], Zhengying [GB17], Chengling [GB18], Naokong [GB19]. Total twenty-five points across five rows, used to scatter rebellious heat rising upward.) Dazhu (Foot Taiyang Bladder Meridian), Ying Shu (Zhongfu [LU1] of Hand Taiyin Lung Meridian), Quepen (Foot Yangming Stomach Meridian), Bei Shu (Fengmen [BL12] of Foot Taiyang Bladder Meridian, also known as Re Fu). These eight points are used to drain heat in the chest. Qi Jie, Zusanli, Shangjuxu, Xiajuxu (all Foot Yangming Stomach Meridian). These eight points are used to drain heat in the Stomach. Yunmen (Hand Taiyin Lung Meridian), Jianyu (i.e., Jian Liao/Yu), Weizhong (Foot Taiyang Bladder Meridian), Suikong (Yaoshu [BL23] of Du Mai). These eight points are used to drain heat in the four limbs. (Note: Only seven points are listed here.) Wu Shu Bang Wu (Pohu [BL42], Shentang [BL44], Hunmen [BL47, Yishhe is likely a typo for Yishe BL48 or similar, but text says Yi She/Zhi Shi - actually standard list is Pohu, Shentang, Hunmen, Yishe, Zhishi), Zhishi [BL52]). These ten points are used to drain heat from the five Zang organs. All these fifty-nine points (should be fifty-eight) are located around heat pathogens. When humans are injured by cold and transmit it into heat, it is because extreme cold generates heat. (When cold is excessive on the exterior, the Yang Qi on the exterior cannot be disseminated and diffused, thus generating heat.) Additionally, the fifty-nine points for treating heat disorders are also found in the *Ling Shu: Heat Disease* chapter.