〔精明失，而邪妄不正也。〕当人阴缩而挛筋，〔肝脉过阴器，肝主筋也。〕两胁骨不举，〔两胁者肝
之分，肝败则不举。〕毛悴色夭，死于秋。肾，盛怒而不止则伤志，〔怒本肝志，而亦伤肾者，母子气
通也。〕志伤则喜忘其前言，腰脊不可以俯仰屈伸。〔腰为肾之府，脊为肾之路。〕毛悴色夭，死于季
夏。恐惧而不解则伤精，〔恐则气下而陷故也。〕精伤则骨酸痿厥，〔痿厥二症，皆伤肾也。〕精时自下
。是故五脏主藏精者也，不可伤，伤则失守而阴虚，〔五脏各有其精，伤之则阴虚，以五脏
之精皆阴也。〕阴虚则无气，〔以精能化气也。〕无气则死矣。〔气散则死，然气之散，由阴精之竭，
养生者当知重之。〕心病者，舌卷短颧赤。肺病者，喘息鼻张。脾病者，唇黄。肝病者， 青。肾病者，
颧与颜黑。心肺有邪，其气留于两 。〔心肺属手经故也。〕脾有邪，其气留于两髀。肝有邪，其气留
于两腋。肾有邪，其气留于两 。〔肝脾肾属足经故也。〕凡入虚者，〔即入溪也。筋骨之隙，气血之
所流注者是也。〕皆机关之室，真气之所过，血络之所游，邪气恶血固不得留住，留住则伤经络，骨节机
关，不得屈伸，故局挛也。风盛则动，〔风盛者，为振掉摇动之病。〕热盛则肿，〔热盛者，为丹毒痈肿
之病。〕湿盛则濡泻，〔湿盛者，必侵脾胃，为水谷不分，濡泻之病。〕燥盛则干，〔燥盛者，为津液枯
涸，内外干燥之病。〕寒盛则浮。〔寒盛者，阳气不行，为胀满浮虚之病。〕春气病者在头，〔阳气上升也
。〕夏气者病在脏，〔在脏言心，心通夏气，为诸脏之主也。〕秋气病者在肩背，〔肺之应也。〕冬气者
病在四肢。〔四肢气薄，易于受邪。〕水谷之海有余，则腹满；〔水谷留滞子中也〕。水谷之海不足，则
饥不受谷食。〔胃虚不纳，脾虚不运。〕髓海有余，则轻劲多力，自过其度；〔自有过人之度也。〕髓海
不足，则脑转耳鸣，〔脑空而晕，似旋转也。髓虚者精必衰，阴虚则耳鸣也。〕胫酸眩冒，〔髓空无力，
则胫酸，精衰则气去，故眩冒不知人。〕目无所见，懈怠安卧。〔皆精气衰之故。〕上气不足，脑为之不
满，耳为之苦鸣，头为之苦倾，〔沉重不能安也。〕目为之眩，中气不足，溲便为之变，〔水由气化故
也。或赤黄或短涩，多有情欲劳倦，过伤精气而然，概认为
火，非也。〕肠为之苦鸣；下气不足，乃为痿厥心 。〔经言肾气热则腰脊不举，枯骨而髓减，故足
不任身，发为骨痿。厥有寒热之分，阴衰于下，则为热厥，阳衰于下，则为寒厥。升降不交，故心气
不舒而闷。〕脾病而四肢不用，何也？曰∶四肢皆秉气于胃，而不得至经，必因于脾，乃得秉也，今
脾病不能为胃行其津液，四肢不得秉水谷气，气日以衰，脉道不利，筋骨肌肉，皆无气以生，故不用焉
。犯贼风虚邪者，阳受之，食饮不节，起居不时者，阴受之。阳受之则入六腑，阴受之则入五脏。入六腑
则身热不时卧，〔不能以时卧也。〕上为喘呼，入五脏则 满闭塞〕下为飧泄，久为肠 。阳病者上行
极而下，阴病者下行极而上。伤于风者，上先受之，伤于湿者，下先受之。阳虚则外寒，〔阳受气于上焦
，以温皮肤分肉之间，阳虚无以卫外，虽不感邪，亦必畏寒。〕阴虚则内热，〔五脏失守则伤精，精伤
则水亏不能制火，内热自生。〕阳盛则外热，〔腠理闭塞，玄府不通，卫气不得泄越，所谓人伤于寒，则
病为热，此外感症也。〕阴盛则内寒。〔温气去，寒独留，故内寒。〕血气者，喜温而恶寒，寒则涩不能
流，温则消而去之。〔消散而营运也。〕寒气客于小肠，小肠不得成聚，〔阳气不化，水谷不得停留。〕故
后泄腹痛矣；热气留于小肠，肠中痛，瘴热，焦渴，则坚干不得出，故痛而闭不通矣。邪之所凑，其
气必虚。〔邪必因虚而入。〕风者百病之长，至其变化，乃为他病也。〔故曰风为百病之始。〕无常方，
然致有风气也。〔言变化之多，而其致之者，皆因风气。〕
劳风，〔因劳伤风。〕法在肺下，〔凡人劳则气喘，劳能动肺可知。〕其为病也，使人强上冥视，〔
邪在肺下，则
为喘逆，故令人强上不能俯首，风热上壅，则畏风羞明，故令人冥目而视。〕唾出若涕，〔风热伤
阴，则津液稠浊。〕恶风而振寒。〔肺主皮毛，卫气受伤。〕曰∶治之奈何？岐伯曰∶以救俯仰。〔
温肺则风散，俯仰安矣，若郁久成热，然后清解。〕巨阳引精者三日，〔风邪病肺，必由足太阳风
门、肺俞、等穴内入于脏，太阳为水府，故当引精上行，咳出青黄痰涕，而使风邪不留。〕中年者五
日，不精者七日。〔精衰故引精迟。〕咳出青黄涕，其状如脓，大如丸，从口中与鼻中出，不出则伤肺
，伤肺则死也。〔即所谓干咳嗽，难治。〕有病身热，〔湿热伤筋。〕汗出如浴，〔湿热熏蒸。〕恶风
少气，〔汗出则卫虚，故恶风，卫虚则气泄，故少气。〕此为何病？曰∶病名酒风。〔因酒得风而
病。〕面肿曰风，〔阳受风气也。〕足胫肿曰水。〔阴受湿气也。〕病成而变何谓？〔成言病之本，变
言病之标，标本不同，是谓之变也。〕曰∶风成为寒热，〔风为阳邪，善行数变，或并于里，则阳虚，则
外寒，或并于表，则阳盛而外热。又曰∶因于露风，乃生寒热。〕瘴成则为消中，〔瘴热也，热积于
胃，故病善食易饥。〕厥成为巅疾，〔厥，逆也。气逆于上。则为疼痛，为眩仆，而成巅顶之疾。〕久风
为飧泄，〔久风则木克土，而为下利清谷。〕脉风成为疠，〔风寒客于血脉，久而不去，则肌由内败坏，
而为 病。〕病之变化，不可胜数。〔不特此数端。〕百病生于气，喜则气缓，〔缓则渐至涣散，故曰暴
喜伤阳。又曰喜乐者，神精惮散而不藏。〕悲则气消，〔悲则心肺伤而荣卫不散，热气在中，故令气消
也。〕思则气结，〔思则气凝神聚，气乃留而不散。〕怒则气上，〔气逆则血升，故因怒而呕血。〕恐
则气下，〔恐则伤肾，而精时自下，非气下陷之征乎。〕惊则气乱，〔大惊卒恐，则神志飘荡，血气
散乱。〕劳则气耗，〔劳则喘息汗出，内外皆越而气耗矣。〕寒则气收，〔寒束于外，则元府闭密，
阳气收敛于中，而不得散矣。〕热则气泄。〔热则腠理开，汗大泄，而气从汗散矣。〕有病胸胁支满
者，〔满如支膈也。〕妨于食，病至则先闻腥臊臭，〔臭气也，肺气腥，肝气臊，肺肝浊气上逆，故闻
腥臊之气。〕出清液，〔肺虚则鼻流清涕，脾虚则口吐清涎。〕失吐血，〔肾水不能制火也。〕四肢
清，〔清冷也，脾气不能四达也。〕目眩，〔肝血虚也。〕时时前后血，〔心、脾、肝、肾亏损，故二
阴不时便血，而月事又无期矣。〕病名曰何？何以得之？曰∶病名血枯，〔月水断绝也。〕此得之年
少时，有所大脱血，〔如产多及崩淋吐血之类是也〕。若醉入房，〔五脏反复，百脉摇动。〕中气竭，
〔精耗则气竭。〕肝伤，〔肝主疏泄之故。〕故月事衰少不来也。〔一因大脱血，一因醉入房，治宜补
养阴气，使其血充自至。此虽以女子为言，若男子有犯此症，亦不免为精枯之病，劳损之属皆是也。〕
凡治消瘅、仆击，〔消瘅热消也。仆击，暴仆如击也。〕偏枯、痿厥，〔偏枯，半身不遂也。痿，痿弱
无力也。厥，四肢厥逆也。〕气满、发逆，肥贵人则膏粱之病也。〔肥而且贵，必多膏粱浓味，热蓄于
内，多伤其阴，故有此诸疾。〕隔则闭绝，上下不通，则暴忧之病也。〔愁忧者，气闭塞而不行，故或
上或下，致为痞塞，而水谷乃不通矣。〕暴厥而聋，偏塞闭而不通，〔暴厥，气暴厥逆也。〕内气暴薄
也。〔薄，侵迫也。此以内气之逆，暴有所侵迫而然。〕不从内、外中风之病，〔言病不从内，而外中
风也。〕
故瘦留着也。〔邪留住不去，则伏而为热，故致燔烁消瘦。〕 跛〔 者足下不能行也，跛者一足偏
废也。〕寒，风湿之病也。黄胆暴痛癫厥狂，久逆之所生也。〔此以气逆之久，而阴阳荣卫有所不
调，然成此诸证，皆非一朝所致也。〕五脏不平，六腑闭塞之所生也。〔六腑闭塞，则水谷无以
化，津液无以行，精气失所养。故五脏有不平矣。〕头痛耳鸣，九窍不利，肠胃之所生也。〔肠胃兼
六腑，六腑属三阳，皆偏于九窍也。〕热中消中，〔多饮数溲，谓之热中，多食数溲，谓之消中，皆
富贵人肥甘所致之疾。〕不可服膏粱，〔浓味也。〕芳草，〔辛香之品。〕石药。〔 炼金石之药，三
者皆助热消饮。〕小便黄者，少腹中有热也。阴气少而阳气盛，故热而烦满也。〔阴虚者，阳必凑之
，阳邪实于阴分，故热而烦满。〕有病口甘者，名曰脾瘅，〔脾热也。〕此肥美之所发也。其人必数食
甘美而多肥也。肥者令人内热，〔味浓助阳也。〕甘者令人中满，〔性缓不散也。〕故其气上溢，〔脾气
热而上溢为甘。〕转为消渴。〔久则转变而为消渴。〕治之以兰，除陈气也。〔甘寒清香，能生津
止渴，可除陈积蓄热之气〕。有病口苦者，名曰胆瘴，〔胆热也。〕此人者，数谋虑不决，〔肝胆俱劳，
劳则必虚。〕故胆虚气上溢，而口为之苦，〔虚则气不固，而上溢为苦。〕膏粱之变，足生大疔，受
如持虚，〔足，多也。浓味太过，蓄为内热，其变多生大疔。热侵阳分，感发最易，如持空虚之器，以
受物也。〕营气不从，〔不顺也。〕逆于肉里，乃生痈毒。 者，有营气热腐，其气不清，故使鼻柱
坏而色败，皮肤疡溃，风寒客于脉而不去，名曰疠风。〔风寒客于血脉，久留不去，则营气化热，皮
肤腐溃，气血不
清，败坏为 。〕头者精明之腑，〔脏腑之精气上升于头，以成七窍之用。〕头倾视深，〔头垂不举，
目陷无光。〕精神将夺矣。背者胸中之腑，〔背乃脏腑所系。〕背曲肩随，腑将坏矣。腰者肾之腑，
转摇不能，肾将惫矣。膝者筋之腑，〔筋虽主于肝，而维络关节，以立此身者，惟膝 之筋为最。〕屈
伸不能，行则偻附，筋将惫矣。骨者髓之腑，不能久立，行则振掉，骨将惫矣。大骨枯搞，〔肩垂项倾，
腰重膝败也。肾主骨，骨枯则肾败。〕大肉陷下，〔尺肤削，臀肉枯也。脾主肉，肉陷则脾败。〕胸
中气满，喘息不便，〔肺主气，气满喘息则肺败。〕其气动形，〔气不归元，形体振动，真阴亏而孤阳浮
矣。〕期六月死。〔一岁阴阳之更变也。〕真脏脉见，乃予之期日。〔可因克贼之日，而决死期，不在
六月之例矣。〕大骨枯搞，大肉陷下，胸中气满，喘息不便，内痛引肩项，〔病及心也。〕期一月死。
真脏脉见，乃予之期日。大骨枯槁，大肉陷下，胸中气满，喘息不便，内痛引肩项，身热，〔阴气去也
。〕脱肉破 ，〔破 者，卧久骨露而筋肉败也。〕真脏见，十日之内死。〔天干尽而旬气易也，〕大
骨枯蒿，大肉陷下，肩髓内消，动作益衰，真脏未见，期一岁死。〔虽诸证未全，真脏未见，然脾肾败竭
己兆，仅支一年，岁易气新，不能再振矣。〕见其真脏，乃予之期日。大骨枯搞，大肉陷下，胸中气满
，腹内痛，心中不便，肩项身热，破 脱肉，目匡陷，真脏见，目不见人，立死。〔五脏败症既见，而目
匡陷，真脏见，目不见人，神气已脱也。〕其见人者，至其所不胜之时则死。〔神气犹在，必待克贼之时
死耳。〕急虚，〔言元气暴伤而忽易也。〕身中卒至，〔邪中于身，必
猝然而死。〕五脏绝闭，脉道不通，气不往来，譬犹堕溺，不可为期。〔譬之堕者溺者，旦夕莫测，
不可以常期论。〕其脉绝不来，〔脉绝不至。〕若人一呼五、六至，〔皆脏气绝而命当尽也。〕其形肉
不脱，真脏虽不见，犹死也。〔非如上之一渐衰惫而死有期也。〕脉盛，〔心受邪也。〕皮热，〔肺受
邪也。〕腹胀，〔脾受邪也，〕闷瞀，〔即昏闷，肝受邪也。脉贯膈气逆上也。〕前后不通，〔肾受邪
也。〕此谓五实死。身汗，〔则表邪解。〕得后利，〔则里邪除。〕则实者活。〔内外通和故也。〕
脉细，〔心虚。〕皮寒，〔肺虚。〕气少，〔肝虚。〕饮食不入，〔脾虚。〕泄利前后，〔肾虚。〕此
谓五虚死。浆粥入胃，〔脾渐苏也。〕泄注止，〔肾渐固也。〕则虚者活。〔根本气回故也。〕言
而微，终日乃复言者，此夺气也，〔气虚之甚，声不接续。肺脏失守也。〕衣被不敛，言语善恶，不避
亲疏者，此神明之乱也。〔心脏失守。〕仓廪不藏者，是门户不要也。〔门户不固，所以泄利不禁，为
脾脏之失守。〕水泉不止者，是膀胱不藏也。〔遗溲不禁，为肾脏之失守。〕气脱者目不明，〔五脏六腑
精阳之气，皆上注于目而为精，故阳气脱，则目不明也。〕血脱者色白，天然不泽，其脉空虚。津脱
者，腠理开，汗大泄。液脱者，骨属屈伸不利，色夭，〔色枯而夭。〕脑髓消，胫酸，耳数鸣。精脱者，
（人的精明之气耗散，邪气妄行而致病。）当人出现阴部收缩、筋脉拘挛的症状时，（足厥阴肝经经过阴器，肝主管筋脉。）两胁骨骼僵硬不能抬起，（两胁是肝的分区，肝气败坏则两胁僵硬不举。）毛发憔悴、面色枯槁，死于秋季。肾志受损，大怒不止会损伤肾志，（怒本是肝的情志，但也会伤肾，是因为肝肾母子之气相通。）肾志受伤则会喜欢忘记说过的话，腰脊不能俯仰屈伸。（腰是肾的府邸，脊柱是肾的路径。）毛发憔悴、面色枯槁，死于季夏（夏季的最后一个月）。恐惧不解会损伤肾精，（恐惧使气机下陷。）肾精受伤则骨骼酸软、四肢痿厥，（痿和厥两种症状，都是肾受损的表现。）精气自行滑泄。因此五脏是储藏精气的器官，不可损伤，损伤了就会失守而导致阴虚，（五脏各有其精气，损伤它们就会导致阴虚，因为五脏的精气都属于阴。）阴虚则无法化生阳气，（因为精能化气。）没有阳气就会死亡。（气散则死，然而气的消散，是由于阴精枯竭，养生的人应当重视这一点。）
心病的表现，是舌头卷缩短小、颧骨发红。肺病的表现，是喘息、鼻孔张开。脾病的表现，是嘴唇发黄。肝病的表现，是面色发青。肾病的表现，是颧骨和颜面发黑。心和肺有邪气，其气滞留于两侧腋下。（心属手少阴经，肺属手太阴经，故曰手经。）脾有邪气，其气滞留于两侧大腿根部（髀）。肝有邪气，其气滞留于两侧腋窝。肾有邪气，其气滞留于两侧腹股沟（髀/胯）。（肝、脾、肾属于足经，故邪气留于此。）
凡是进入虚处的邪气，（即进入溪谷。指筋骨之间的缝隙，是气血流注的地方。）都是关节机关的所在，是真气经过、血络游行的地方，邪气和恶血本来不得停留，如果停留就会损伤经络、骨节和机关，导致关节不能屈伸，所以发生拘挛。风邪盛则引起动摇，（风邪盛，表现为震颤摇动的病证。）热邪盛则引起肿胀，（热邪盛，表现为丹毒痈肿的病证。）湿邪盛则引起濡泻（稀便），（湿邪盛，必定侵犯脾胃，导致水谷不分，形成濡泻的病证。）燥邪盛则引起干燥，（燥邪盛，表现为津液枯涸，内外干燥的病证。）寒邪盛则引起浮肿。（寒邪盛，阳气不行，表现为胀满浮肿的病证。）
春气致病多在头部，（阳气上升的缘故。）夏气致病多在脏，（在脏指心，心通应夏气，为诸脏之主。）秋气致病多在肩背，（这是肺的对应部位。）冬气致病多在四肢。（四肢气薄，容易受邪。）
水谷之海（胃）有余，则腹部胀满；（水谷停滞在中焦。）水谷之海不足，则饥饿却不想进食。（胃虚不能受纳，脾虚不能运化。）髓海有余，则身体轻健有力，超过正常限度；（自然有过人的精力。）髓海不足，则头晕耳鸣，（脑空而晕，感觉像旋转一样。髓虚则精必衰，阴虚则耳鸣。）小腿酸软、眩晕昏冒，（髓空无力，则小腿酸软，精衰则气去，所以眩晕昏冒不知人事。）眼睛看不见东西，倦怠嗜卧。（这都是精气衰败的缘故。）
上气不足，头脑感到空虚不满，耳朵痛苦鸣响，头部沉重难以安适，（沉重不能安稳。）眼睛眩晕；中气不足，大小便异常，（水液代谢靠气化作用。或者尿色赤黄，或者短涩，多有情欲过度、劳累倦极，过伤精气所致，一概认为是火邪，是不对的。）肠道痛苦鸣响；下气不足，则发生痿厥和心胸憋闷。（经文说肾气热则腰脊不能举，骨髓枯减，所以脚不能支撑身体，发为骨痿。厥分寒热两种，阴衰于下则为热厥，阳衰于下则为寒厥。升降不交，所以心气不舒而胸闷。）
脾病导致四肢不能用，为什么呢？回答说：四肢都依赖胃气，但不能直接到达经脉，必须依靠脾的转输，才能禀受胃气。现在脾病不能为胃传输津液，四肢得不到水谷之气，气日益衰弱，脉道不利，筋骨肌肉都没有气以生成，所以不能使用。
遭受贼风虚邪侵袭的，阳先受之；饮食不节制、起居无规律的，阴先受之。阳受邪则传入六腑，阴受邪则传入五脏。传入六腑则身体发热、不能按时睡眠，（不能按时入睡。）上部表现为喘呼；传入五脏则痞满闭塞，下部表现为完谷不化的泄泻，日久发展为肠澼（痢疾）。阳病者上行至极则下行，阴病者下行至极则上行。伤于风邪的，上部先受之；伤于湿邪的，下部先受之。
阳虚则外寒，（阳气从上焦受气，以温煦皮肤分肉之间，阳虚无以卫外，即使不感受邪气，也必然畏寒。）阴虚则内热，（五脏失守则伤精，精伤则水亏不能制火，内热自生。）阳盛则外热，（腠理闭塞，玄府不通，卫气不得宣泄，所谓人伤于寒，则病为热，这是外感症。）阴盛则内寒。（温气离去，寒气独留，所以内寒。）
血气，喜欢温暖而厌恶寒冷，寒冷则凝涩不能流动，温暖则消散而运行。（消散并营运。）寒气客居于小肠，小肠不能正常聚化水谷，（阳气不化，水谷不能停留。）所以导致后泄腹痛；热气留于小肠，肠中疼痛，郁热焦渴，则大便坚硬干结不得排出，所以疼痛且闭塞不通。
邪气聚集的地方，正气必定虚弱。（邪气必定因虚而入。）风是百病的先导，至于它的变化，就成为其他疾病。（所以说风为百病之始。）没有固定的方剂，然而致病的原因都是风气。（言其变化之多，而其致病的根源，都是因为风气。）
劳风病，（因劳累而伤风。）病位通常在肺下，（凡人劳累则气喘，劳累能动肺可知。）它发病时，使人项强直、视物不清，（邪在肺下，则导致喘逆，所以使人项强不能低头，风热上壅，则畏光羞明，所以使人闭目而视。）吐出如鼻涕样的痰，（风热伤阴，则津液稠浊。）恶风且战栗发冷。（肺主皮毛，卫气受伤。）
问：怎么治疗？岐伯说：以挽救呼吸顺畅为主。（温肺则风散，呼吸安适了，如果郁久成热，然后再清热解表。）足太阳经引精上行者三日愈，（风邪病肺，必由足太阳风门、肺俞等穴内入于脏，太阳为水府，故当引精上行，咳出青黄痰涕，而使风邪不留。）中年人五日愈，精气衰退者七日愈。（精衰故引精迟缓。）咳出青黄色的鼻涕，状如脓，大如丸，从口中与鼻中排出，如果不排出则伤肺，伤肺则死。（即所谓的干咳，难治。）
有病身热的，（湿热伤筋。）汗出如洗澡一样，（湿热熏蒸。）恶风少气，（汗出则卫虚，所以恶风，卫虚则气泄，所以少气。）这是什么病？回答说：病名叫酒风。（因饮酒后受风而病。）
面部浮肿叫风，（阳受风气。）小腿浮肿叫水。（阴受湿气。）
病形成后的变化叫什么？（成指病的根本，变指病的标象，标本不同，这就叫变。）回答说：风邪成为寒热，（风为阳邪，善行数变，或并入里，则阳虚，则外寒，或并入表，则阳盛而外热。又说：因于露风，乃生寒热。）瘴热成为消中（多食易饥），（瘴热也，热积于胃，所以病善食易饥。）厥逆成为巅顶之疾，（厥，逆也。气逆于上。则疼痛，眩晕仆倒，而成巅顶的疾病。）久风成为飧泄，（久风则木克土，而为下利清谷。）脉风成为疠风（麻风），（风寒客于血脉，久而不去，则肌肤由内败坏，而为疠风病。）病的变化，数不胜数。（不只是这几种。）
百病生于气，喜则气缓，（缓则渐至涣散，所以说暴喜伤阳。又说喜乐者，神精惮散而不藏。）悲则气消，（悲则心肺伤而荣卫不散，热气在中，所以令气消。）思则气结，（思则气凝神聚，气乃留而不散。）怒则气上，（气逆则血升，所以因怒而呕血。）恐则气下，（恐则伤肾，而精时自下，不是气下陷的征象吗？）惊则气乱，（大惊卒恐，则神志飘荡，血气散乱。）劳则气耗，（劳则喘息汗出，内外皆越而气耗矣。）寒则气收，（寒束于外，则元府闭密，阳气收敛于中，而不得散矣。）热则气泄。（热则腠理开，汗大泄，而气从汗散矣。）
有病胸胁支撑胀满的，（胀满如支膈。）妨碍进食，病发作时先闻到腥臊臭味，（臭气也，肺气腥，肝气臊，肺肝浊气上逆，所以闻到腥臊之气。）流出清稀液体，（肺虚则鼻流清涕，脾虚则口吐清涎。）吐血，（肾水不能制火。）四肢清冷，（清冷也，脾气不能四达。）眼睛眩晕，（肝血虚也。）时常前后二阴出血，（心、脾、肝、肾亏损，所以二阴不时便血，而月经也无定期了。）这病叫什么名字？是怎么得的？回答说：病名血枯，（月经断绝也。）这得于年少时，曾有大脱血，（如产多及崩淋吐血之类是也。）或者醉酒后行房事，（五脏反复，百脉摇动。）中气竭，（精耗则气竭。）肝伤，（肝主疏泄的缘故。）所以月经衰少不来。（一因大脱血，一因醉入房，治疗宜补养阴气，使其血充自至。这里虽然是以女子为例，若男子有此症，也不免为精枯的病，劳损之类皆是。）
凡治疗消瘅（消渴）、仆击（卒中）、偏枯（半身不遂）、痿厥，气满、发逆，这些多是肥贵之人膏粱厚味所致的疾病。（肥而且贵，必多膏粱浓味，热蓄于内，多伤其阴，所以有此诸疾。）隔噎则闭绝，上下不通，这是暴忧所致的病。（愁忧者，气闭塞而不行，所以或上或下，致为痞塞，而水谷乃不通矣。）暴厥而聋，偏侧闭塞不通，（暴厥，气暴厥逆也。）这是内气暴迫所致。（薄，侵迫也。此以内气之逆，暴有所侵迫而然。）不从内伤、外中风邪的病，（言病不从内，而外中风也。）所以消瘦留着不去。（邪留住不去，则伏而为热，所以致燔烁消瘦。）
跛足，（ 者足下不能行也，跛者一足偏废也。）寒，是风湿的病。黄疸、暴痛、癫厥狂，是久逆气所生的病。（此以气逆之久，而阴阳荣卫有所不调，然成此诸证，皆非一朝所致也。）五脏不平，是六腑闭塞所生的病。（六腑闭塞，则水谷无以化，津液无以行，精气失所养。所以五脏有不平矣。）头痛耳鸣，九窍不利，是肠胃所生的病。（肠胃兼六腑，六腑属三阳，皆偏于九窍也。）
热中消中，（多饮数溲，谓之热中，多食数溲，谓之消中，皆富贵人肥甘所致之疾。）不可服膏粱（浓味也）、芳草（辛香之品）、石药（ 炼金石之药，三者皆助热消饮）。小便黄者，少腹中有热也。阴气少而阳气盛，所以热而烦满也。（阴虚者，阳必凑之，阳邪实于阴分，所以热而烦满。）
有病口甜的，名叫脾瘅，（脾热也。）这是肥美食物所引发的。此人一定经常吃甘甜美味且多脂肪的食物。肥腻使人内热，（味浓助阳也。）甘甜使人中满，（性缓不散也。）所以他的气上溢，（脾气热而上溢为甘。）转变为消渴。（久则转变而为消渴。）用兰草治疗，以去除陈积之气。（甘寒清香，能生津止渴，可除陈积蓄热之气。）
有病口苦的，名叫胆瘅，（胆热也。）这种人，经常谋虑不决，（肝胆俱劳，劳则必虚。）所以胆虚气上溢，而口为之苦，（虚则气不固，而上溢为苦。）膏粱之变，足生大疔，受邪如持虚器，（足，多也。浓味太过，蓄为内热，其变多生大疔。热侵阳分，感发最易，如持空虚之器，以受物也。）营气不顺，（不顺也。）逆于肉里，乃生痈毒。
者，有营气热腐，其气不清，所以使鼻柱坏而色败，皮肤疡溃，风寒客于脉而不去，名叫疠风。（风寒客于血脉，久留不去，则营气化热，皮肤腐溃，气血不清，败坏为 。）
头是精明之腑，（脏腑之精气上升于头，以成七窍之用。）头倾视深，（头垂不举，目陷无光。）精神将夺矣。背是胸中之腑，（背乃脏腑所系。）背曲肩随，腑将坏矣。腰是肾之腑，转摇不能，肾将惫矣。膝是筋之腑，（筋虽主于肝，而维络关节，以立此身者，惟膝 之筋为最。）屈伸不能，行则偻附，筋将惫矣。骨是髓之腑，不能久立，行则振掉，骨将惫矣。
大骨枯搞，（肩垂项倾，腰重膝败也。肾主骨，骨枯则肾败。）大肉陷下，（尺肤削，臀肉枯也。脾主肉，肉陷则脾败。）胸中气满，喘息不便，（肺主气，气满喘息则肺败。）其气动形，（气不归元，形体振动，真阴亏而孤阳浮矣。）期六月死。（一岁阴阳之更变也。）真脏脉见，乃予之期日。（可因克贼之日，而决死期，不在六月之例矣。）
大骨枯搞，大肉陷下，胸中气满，喘息不便，内痛引肩项，（病及心也。）期一月死。真脏脉见，乃予之期日。
大骨枯槁，大肉陷下，胸中气满，喘息不便，内痛引肩项，身热，（阴气去也。）脱肉破 ，（破 者，卧久骨露而筋肉败也。）真脏见，十日之内死。（天干尽而旬气易也，）
大骨枯蒿，大肉陷下，肩髓内消，动作益衰，真脏未见，期一岁死。（虽诸证未全，真脏未见，然脾肾败竭己兆，仅支一年，岁易气新，不能再振矣。）见其真脏，乃予之期日。
大骨枯搞，大肉陷下，胸中气满，腹内痛，心中不便，肩项身热，破 脱肉，目匡陷，真脏见，目不见人，立死。（五脏败症既见，而目匡陷，真脏见，目不见人，神气已脱也。）其见人者，至其所不胜之时则死。（神气犹在，必待克贼之时死耳。）
急虚，（言元气暴伤而忽易也。）身中卒至，（邪中于身，必猝然而死。）五脏绝闭，脉道不通，气不往来，譬犹堕溺，不可为期。（譬之堕者溺者，旦夕莫测，不可以常期论。）
其脉绝不来，（脉绝不至。）若人一呼五、六至，（皆脏气绝而命当尽也。）其形肉不脱，真脏虽不见，犹死也。（非如上之一渐衰惫而死有期也。）
脉盛，（心受邪也。）皮热，（肺受邪也。）腹胀，（脾受邪也，）闷瞀，（即昏闷，肝受邪也。脉贯膈气逆上也。）前后不通，（肾受邪也。）此谓五实死。身汗，（则表邪解。）得后利，（则里邪除。）则实者活。（内外通和故也。）
脉细，（心虚。）皮寒，（肺虚。）气少，（肝虚。）饮食不入，（脾虚。）泄利前后，（肾虚。）此谓五虚死。浆粥入胃，（脾渐苏也。）泄注止，（肾渐固也。）则虚者活。（根本气回故也。）
言而微，终日乃复言者，此夺气也，（气虚之甚，声不接续。肺脏失守也。）衣被不敛，言语善恶，不避亲疏者，此神明之乱也。（心脏失守。）仓廪不藏者，是门户不要也。（门户不固，所以泄利不禁，为脾脏之失守。）水泉不止者，是膀胱不藏也。（遗溲不禁，为肾脏之失守。）气脱者目不明，（五脏六腑精阳之气，皆上注于目而为精，故阳气脱，则目不明也。）血脱者色白，天然不泽，其脉空虚。津脱者，腠理开，汗大泄。液脱者，骨属屈伸不利，色夭，（色枯而夭。）脑髓消，胫酸，耳数鸣。精脱者，
(Mingjing [spirit and clarity] is lost, and evil qi acts recklessly and abnormally.) When the yin contracts and tendons spasm, (The Liver meridian passes through the genitalia, and the Liver governs the tendons.) The bones of both hypochondria cannot be lifted, (The hypochondria are the domain of the Liver; when the Liver fails, they cannot be lifted.) Hair becomes withered and complexion appears sallow, death occurs in Autumn. Excessive anger that does not subside injures Zhi [will/knowledge], (Anger is originally the emotion of the Liver, but it also injures the Kidney because the Qi of the mother [Water] and child [Wood] organs communicates.) When Zhi is injured, one tends to forget previous words, and the waist and spine cannot flex or extend. (The waist is the mansion of the Kidney, and the spine is the pathway of the Kidney.) Hair becomes withered and complexion appears sallow, death occurs in Late Summer. Unresolved fear injures Jing [essence], (Fear causes Qi to sink and collapse.) When Jing is injured, there is bone soreness, flaccidity, and cold limbs, (Both Wei [flaccidity] and Jue [cold limbs/reversal] symptoms indicate Kidney injury.) and essence leaks spontaneously. Therefore, the Five Zang organs store essence and must not be injured; if injured, they lose their hold, leading to Yin deficiency, (Each Zang organ has its own essence; injuring them leads to Yin deficiency, as the essence of all five Zang organs is Yin.) Yin deficiency leads to a lack of Qi, (Because essence can transform into Qi.) and without Qi, death ensues. (When Qi scatters, death occurs; however, the scattering of Qi results from the exhaustion of Yin essence, so those who practice health preservation should value this greatly.)
Diseases of the Heart manifest as a curled and short tongue, and red cheekbones. Diseases of the Lung manifest as panting and flaring nostrils. Diseases of the Spleen manifest as yellow lips. Diseases of the Liver manifest as a bluish complexion. Diseases of the Kidney manifest as black cheekbones and forehead. When Evil resides in the Heart and Lung, its Qi stagnates in the two axillae. (Heart and Lung belong to the Hand meridians.) When Evil resides in the Spleen, its Qi stagnates in the two thighs (Bi). When Evil resides in the Liver, its Qi stagnates in the two armpits. When Evil resides in the Kidney, its Qi stagnates in the two groins. (Liver, Spleen, and Kidney belong to the Foot meridians.)
Whenever Evil enters a deficiency, (i.e., enters the Xigu [valleys]. These refer to the gaps between sinews and bones, where Qi and Blood flow and circulate.) these are chambers of joints and mechanisms, where True Qi passes and Blood collaterals roam. Evil Qi and foul blood should not stay; if they do, they damage the collaterals, bones, joints, and mechanisms, preventing flexion and extension, thus causing spasms. Excess Wind causes movement, (Excess Wind refers to diseases characterized by tremors and shaking.) Excess Heat causes swelling, (Excess Heat refers to diseases such as erysipelas and carbuncles.) Excess Dampness causes loose stools, (Excess Dampness inevitably invades the Spleen and Stomach, causing indistinct separation of water and grain, resulting in loose stools.) Excess Dryness causes dryness, (Excess Dryness refers to diseases where body fluids are depleted, causing internal and external dryness.) Excess Cold causes edema. (Excess Cold means Yang Qi does not move, causing distension, fullness, and floating emptiness.)
Spring Qi diseases affect the head, (Due to the rising of Yang Qi.) Summer Qi diseases affect the Zang organs, (Referring to the Heart, which corresponds to Summer Qi and is the master of all Zang organs.) Autumn Qi diseases affect the shoulders and back, (This corresponds to the Lung.) Winter Qi diseases affect the four limbs. (The Qi of the four limbs is thin and easily invaded by Evil.)
If the Sea of Water and Grain [Stomach] is in excess, there is abdominal fullness; (Water and grain stagnate in the middle.) If the Sea of Water and Grain is deficient, there is hunger but an inability to accept food. (Stomach deficiency fails to receive, Spleen deficiency fails to transport.) If the Sea of Marrow is in excess, the body feels light and strong with excessive strength, exceeding normal limits; (Naturally possessing superior capacity.) If the Sea of Marrow is deficient, there is dizziness and tinnitus, (Empty brain causing dizziness, feeling like rotation. Marrow deficiency implies Essence decline, Yin deficiency causes tinnitus.) leg soreness, vertigo, and fainting, (Empty marrow causes weakness and leg soreness; Essence decline causes Qi loss, leading to vertigo and unconsciousness.) inability to see, lassitude, and a desire to lie down. (All due to the decline of Essence and Qi.)
If Upper Qi is insufficient, the head feels empty and full, ears suffer from ringing, the head feels heavy and difficult to keep upright, (Heavy and unable to remain stable,) eyes feel dizzy; if Middle Qi is insufficient, urination and defecation become abnormal, (Water metabolism relies on Qi transformation. Urine may be dark yellow or scanty and astringent, often caused by excessive sexual activity, fatigue, and over-injury to Essence and Qi; regarding it all as Fire is incorrect.) intestines suffer from painful rumbling; if Lower Qi is insufficient, Wei [flaccidity] and Jue [reversal] occur, along with chest oppression. (The Classic states that if Kidney Qi is hot, the waist and spine cannot lift, marrow decreases, and feet cannot support the body, developing into Bone Wei. Jue is divided into Cold and Heat; Yin decline below leads to Heat Jue, Yang decline below leads to Cold Jue. Failure of ascending and descending to interact causes Heart Qi to be unsmooth, resulting in oppression.)
Why does Spleen disease cause the four limbs to be unusable? It is said: The four limbs rely on Stomach Qi but cannot reach the meridians directly; they must rely on the Spleen to receive it. Now, Spleen disease prevents the transmission of fluids from the Stomach, so the four limbs do not receive Water and Grain Qi. Qi declines daily, meridians become obstructed, sinews, bones, muscles, and flesh have no Qi to generate, thus becoming unusable.
Those attacked by thieving winds and empty evils are affected first by Yang; those with irregular diet and起居 (daily routine) are affected first by Yin. Yang invasion enters the Six Fu organs, Yin invasion enters the Five Zang organs. Entering the Six Fu organs causes fever and inability to sleep at proper times, (Inability to sleep on time,) upper manifestations include panting; entering the Five Zang organs causes chest fullness and obstruction, lower manifestations include undigested diarrhea, and prolonged cases develop into Chang Pi (dysentery). Yang diseases ascend to the extreme then descend; Yin diseases descend to the extreme then ascend. Those injured by Wind are affected first above; those injured by Dampness are affected first below.
Yang deficiency leads to exterior cold, (Yang receives Qi from the Upper Jiao to warm the skin and muscle intervals; Yang deficiency lacks the ability to defend the exterior, so even without pathogenic invasion, there is aversion to cold.) Yin deficiency leads to interior heat, (Loss of control by the Five Zang injures Essence; Essence injury leads to Water deficiency failing to control Fire, generating interior heat.) Yang excess leads to exterior heat, (Interstices close, pores block, Defensive Qi cannot vent, meaning "when humans are injured by Cold, the disease becomes Heat," which is an exterior contraction syndrome.) Yin excess leads to interior cold. (Warm Qi departs, Cold remains alone, hence interior cold.)
Blood and Qi prefer warmth and dislike cold; cold makes them astringent and unable to flow, warmth makes them dissipate and move. (Dissipating and circulating.) Cold Qi lodging in the Small Intestine prevents proper accumulation, (Yang Qi fails to transform, water and grain cannot stay,) thus causing diarrhea and abdominal pain; Heat Qi lingering in the Small Intestine causes intestinal pain, stifling heat, scorched thirst, then hard dry stool cannot pass, thus causing pain and obstruction.
Where Evil gathers, Qi must be deficient. (Evil enters only due to deficiency.) Wind is the chief of a hundred diseases; upon changing, it becomes other diseases. (Thus it is said Wind is the beginning of a hundred diseases.) It has no fixed formula, yet its origin is always Wind Qi. (Speaking of its many changes, the cause of all is Wind Qi.)
Lao Feng [Labor-induced Wind], (Wind contracted due to labor.) Its method lies below the Lung, (When humans labor, they pant; labor moves the Lung, this is known.) Its disease makes people stiff neck, blind vision, (Evil below the Lung causes panting and counterflow, making the neck stiff and unable to bow; Wind-Heat congests upward, causing aversion to wind and photophobia, making people squint.) expectorate phlegm-like mucus, (Wind-Heat injures Yin, making body fluids thick and turbid.) aversion to wind and chills. (Lung governs skin and hair; Defensive Qi is injured.)
It is asked: How to treat? Qibo says: Rescue the ability to bend and extend. (Warming the Lung disperses Wind, bending and extending become safe; if stagnation turns to Heat for a long time, then clear and resolve.) If Taiyang draws Essence upward, three days; middle-aged persons, five days; those lacking Essence, seven days. (Essence decline makes drawing Essence slow.) Cough up green-yellow sputum, resembling pus, size of a pill, exiting from mouth and nose; if not expelled, it injures the Lung, injuring the Lung leads to death. (This is what is called dry cough, difficult to treat.)
There is a disease with body heat, (Damp-Heat injures sinews.) sweating like bathing, (Damp-Heat steaming.) aversion to wind and shortness of breath, (Sweating makes Defensive Qi deficient, hence aversion to wind; Defensive Qi deficiency causes Qi leakage, hence shortness of breath.) What disease is this? It is named Jiu Feng [Wine Wind]. (Disease caused by wind after drinking.)
Facial swelling is called Feng [Wind], (Yang receives Wind Qi.) Swelling of calves is called Shui [Water]. (Yin receives Dampness.)
What is meant by changes after disease formation? (Formation refers to the root of disease, change refers to the branch; different root and branch is called change.) It is said: Wind becomes Cold and Heat, (Wind is Yang Evil, good at moving and changing; if merging inward, Yang deficiency leads to exterior cold; if merging outward, Yang excess leads to exterior heat. Also: Exposure to wind generates cold and heat.) Zhang [stifling heat] becomes Xiao Zhong [excessive eating/thirst], (Zhang Heat accumulates in the Stomach, causing easy hunger.) Jue [reversal] becomes Dian Ji [head diseases], (Jue means reversal. Qi reverses upward, causing pain, vertigo, and falling, forming head diseases.) Long-term Wind becomes Sund Xie [undigested diarrhea], (Long-term Wind means Wood overacts on Earth, causing diarrhea with undigested food.) Mai Feng [Pulse Wind] becomes Li [leprosy], (Cold-Wind lodges in blood vessels, staying long, causing internal decay of skin and flesh, becoming Leprosy.) Changes of disease are countless. (Not just these few points.)
A hundred diseases arise from Qi: Joy makes Qi slacken, (Slacken gradually leads to dispersion, hence sudden joy injures Yang. Also: Joy causes spirit and essence to scatter and not store.) Grief makes Qi consume, (Grief injures Heart and Lung, Ying and Wei do not disperse, heat stays in the middle, consuming Qi.) Thought makes Qi knot, (Thought concentrates Qi, causing it to stay and not disperse.) Anger makes Qi rise, (Qi counterflows, Blood rises, hence vomiting blood due to anger.) Fear makes Qi sink, (Fear injures Kidney, essence leaks spontaneously, is this not a sign of Qi sinking?) Startle makes Qi chaotic, (Great startle and sudden fear cause spirit and will to wander, Blood and Qi to scatter.) Labor makes Qi exhaust, (Labor causes panting and sweating, internal and external escape, exhausting Qi.) Cold makes Qi gather, (Cold binds externally, Yuan gates close tightly, Yang Qi converges internally and cannot disperse.) Heat makes Qi leak. (Heat opens interstices, sweat pours out, Qi escapes with sweat.)
There is a disease with chest and hypochondriac support-fullness, (Fullness like supporting隔板.) hindering food intake, upon onset first smelling fishy and musky odors, (Odors: Lung Qi is fishy, Liver Qi is musky; turbid Qi of Lung and Liver counterflows upward, hence smelling these odors.) flowing clear fluid, (Lung deficiency causes clear nasal discharge, Spleen deficiency causes clear saliva drooling.) losing blood from vomiting, (Kidney Water fails to control Fire.) cold limbs, (Cold, Spleen Qi cannot reach four directions,) dizzy eyes, (Liver Blood deficiency,) frequent bleeding from front and back orifices, (Heart, Spleen, Liver, Kidney deficiency, hence frequent bleeding from two yin orifices, and menstruation irregular.) What is the disease name? How is it obtained? It is named Xue Ku [Blood Exhaustion], (Menstrual cessation.) This is obtained from youth, having suffered major blood loss, (Such as multiple births, metrorrhagia, hematemesis, etc.) or intercourse while drunk, (Five Zang repeatedly shaken, hundred vessels agitated.) Middle Qi exhausted, (Essence consumption leads to Qi exhaustion.) Liver injured, (Due to Liver governing dredging and draining,) hence menstruation becomes scanty and stops. (One cause is major blood loss, one is drunken intercourse; treatment should tonify and nourish Yin Qi, allowing blood to fill and return naturally. Although stated for women, if men have this syndrome, it is also Jing Exhaustion disease, belonging to Lao Sun [labor damage].)
Generally treating Xiao Dan [wasting-thirst], Pu Ji [sudden fall/stroke], Pian Gu [hemiplegia], Wei Jue [flaccidity and reversal], Qi Man [fullness], Fa Ni [counterflow], these are diseases of fat and noble people from rich foods. (Fat and noble people likely consume rich flavors, heat accumulates internally, injuring Yin, hence these diseases.) Ge [obstruction] leads to closure, upper and lower不通 (unconnected), this is a disease of sudden sorrow. (Sorrow causes Qi blockage and non-flow, leading to upper or lower痞塞 [stuffiness], and water/grain cannot pass.) Sudden Jue with deafness, unilateral blockage and不通, (Sudden Jue is violent Qi reversal.) caused by internal Qi violently pressing. (Bo means press/intrude. This is due to internal Qi counterflow violently intruding.) Not from internal injury or external Wind strike, (Saying disease does not come from inside, but external Wind strikes,) hence emaciation remains lodged. (Evil stays and does not go,伏 [lies hidden] turning to Heat, causing burning and emaciation.)
Buo [limping], (Bu means inability to walk under foot, Buo means one leg disabled.) Cold, is a Wind-Damp disease. Jaundice, sudden pain, Dian Jue Kuang [mania], are generated by long-term reversal. (Due to long-term Qi reversal, Yin/Yang Ying/Wei are imbalanced, but these syndromes are not formed overnight.) Five Zang imbalance is generated by Six Fu obstruction. (Six Fu obstruction means water/grain cannot transform, fluids cannot move, Essence/Qi lose nourishment, hence Five Zang imbalance.) Headache, tinnitus, nine orifices unbeneficial, are generated by Chang Wei [intestines and stomach]. (Chang Wei includes Six Fu; Six Fu belong to Three Yang, all relate to nine orifices.) Re Zhong [interior heat] Xiao Zhong [wasting-thirst], (Drinking much and urinating frequently is Re Zhong; eating much and urinating frequently is Xiao Zhong, both diseases of rich people from fatty/sweet foods.) cannot take Gao Liang [rich foods], Fang Cao [fragrant herbs], Shi Yao [stone drugs]. (Rich flavors, fragrant items, refined mineral drugs; all three assist heat and consume fluids.) Yellow urine indicates heat in lower abdomen. Yin Qi is little, Yang Qi is abundant, hence heat and vexation/fullness. (Yin deficiency means Yang must crowd in; Yang Evil solidifies in Yin division, hence heat and vexation/fullness.)
Disease with sweet taste is named Pi Dan [Spleen Zhang], (Spleen Heat.) This arises from rich/fatty foods. Such people must eat sweet/delicious and fatty foods frequently. Fatty foods cause interior heat, (Strong flavors assist Yang.) Sweet foods cause middle fullness, (Nature is slow and does not disperse.) Hence his Qi overflows upward, (Spleen Heat overflows upward as sweetness,) transforming into Xiao Ke [wasting-thirst]. (Over time transforms into wasting-thirst.) Treat with Lan [Orchid/Cypripedium], to remove Chen Qi [stale Qi]. (Sweet-cold clear fragrance, can generate fluids and stop thirst, can remove accumulated stale heat Qi.)
Disease with bitter taste is named Dan Dan [Gallbladder Zhang], (Gallbladder Heat.) Such people often deliberate without deciding, (Liver/Gallbladder both labored, labor leads to deficiency.) hence Gallbladder deficiency Qi overflows upward, mouth becomes bitter, (Deficiency means Qi not secure, overflowing upward as bitterness.) Gao Liang changes, Zu Sheng Da Ding [sufficiently produce large carbuncles], receiving [evil] like holding emptiness, (Zu means many. Rich flavors excessive, accumulate as interior heat, changes often produce large carbuncles. Heat invades Yang division, infection easiest, like holding an empty vessel to receive objects.) Ying Qi does not follow, (Does not flow smoothly,) counterflows in flesh and muscle, then produces Yong Du [carbuncles/toxins].
Li [Leprosy], has Ying Qi heat and rot, its Qi is not clear, hence nasal pillar breaks and color fails, skin ulcers, Cold-Wind lodges in vessels and does not go, named Li Feng [Leprosy Wind]. (Cold-Wind lodges in blood vessels, staying long, Ying Qi turns heat, skin rots/ulcers, Blood/Qi not clear, decays into Leprosy.)
Head is the mansion of Ming Jing [spirit/clarity], (Essence/Qi of Zang/Fu rises to head to form use of seven orifices.) Head tilting, eyes sunken, (Head droops unable to lift, eyes sunken without light,) Spirit will be snatched. Back is the mansion of Chest [organs], (Back is where Zang/Fu connect.) Back curved, shoulders following, Fu will be ruined. Waist is the mansion of Kidney, unable to turn/wag, Kidney will be exhausted. Knee is the mansion of Sinew, (Sinews mainly governed by Liver, but connecting joints to stand this body, only knee sinews are most important.) Unable to flex/extend, walking hunched and leaning, Sinew will be exhausted. Bone is the mansion of Marrow, unable to stand long, walking trembling, Bone will be exhausted.
Da Gu [Large Bones] withered and dry, (Shoulders droop, neck tilts, waist heavy, knees fail. Kidney governs bone, bone withered means Kidney fails.) Da Rou [Large Flesh] sunken, (Chi skin wasted, buttock flesh withered. Spleen governs flesh, flesh sunken means Spleen fails.) Chest Qi full, panting difficult, (Lung governs Qi, Qi full/panting means Lung fails.) Qi moves form, (Qi does not return to Yuan, form vibrates, True Yin deficient and Lone Yang floats,) expected death in six months. (One year cycle of Yin/Yang change.) Zhen Zang Mai [True Organ Pulse] seen, then give its date. (Can decide death date based on overcoming day, not limited to six months example.)
Da Gu withered, Da Ru sunken, Chest Qi full, panting difficult, internal pain pulling shoulder/neck, (Disease reaches Heart,) expected death in one month. Zhen Zang Mai seen, then give its date.
Da Gu withered, Da Ru sunken, Chest Qi full, panting difficult, internal pain pulling shoulder/neck, body heat, (Yin Qi gone,) Tuo Rou Po [flesh shed skin broken], (Po means lying long, bones exposed, flesh/muscle ruined,) Zhen Zang seen, death within ten days. (Heavenly stems end, ten-day cycle changes.)
Da Gu withered, Da Ru sunken, Shoulder Marrow internally consumed, movement increasingly weak, Zhen Zang not seen, expected death in one year. (Although syndromes not complete, Zhen Zang not seen, Spleen/Kidney failure already signaled, supports only one year, year changes Qi new, cannot revive again.) Seeing its Zhen Zang, then give its date.
Da Gu withered, Da Ru sunken, Chest Qi full, abdominal pain, heart uncomfortable, shoulder/neck/body heat, skin broken flesh shed, eye sockets sunken, Zhen Zang seen, eyes do not see person, immediate death. (Five Zang failure syndromes seen, eye sockets sunken, Zhen Zang seen, eyes do not see person, Shen Qi already detached.) Those who see person, die at time of their overcoming element. (Shen Qi still present, must wait for overcoming time to die.)
Ji Xu [Urgent Deficiency], (Saying Yuan Qi suddenly injured and abruptly changed.) Body struck suddenly, (Evil strikes body, must suddenly die.) Five Zang closed, pulse channels不通 (unconnected), Qi does not go/come, like falling/drowning, cannot set period. (Like falling/drowning, morning/evening unpredictable, cannot discuss with usual period.)
Its pulse cuts off and does not come, (Pulse cuts off, does not arrive.) If one person exhales five, six beats, (All Zang Qi cut off, life ends,) form/flesh not shed, Zhen Zang although not seen, still dies. (Not like above gradual decline with predictable death date.)
Pulse vigorous, (Heart receives Evil.) Skin hot, (Lung receives Evil.) Abdomen full, (Spleen receives Evil,) Men Mao [vexation/blindness], (Blindness/vexation, Liver receives Evil. Pulse passes diaphragm, Qi counterflows upward.) Front/back不通 (unconnected), (Kidney receives Evil.) This is called Wu Shi [Five Excesses] death. Body sweats, (Exterior Evil resolves.) Obtains bowel movement, (Interior Evil removed.) Then Excess ones live. (Interior/exterior harmonious.)
Pulse fine, (Heart deficient.) Skin cold, (Lung deficient.) Qi little, (Liver deficient.) Food/drink not enter, (Spleen deficient.) Diarrhea front/back, (Kidney deficient.) This is called Wu Xu [Five Deficiencies] death. Porridge/gruel enters stomach, (Spleen gradually revives.) Diarrhea stops, (Kidney gradually consolidates.) Then Deficient ones live. (Root Qi returns.)
Speaking faintly, speaking all day then again, this is Duo Qi [Qi Snatching], (Qi very deficient, voice not continuous. Lung organ loses hold.) Clothes/quilt not gathered, speech good/bad, avoiding/not avoiding relatives/strangers, this is Shen Ming [Spirit/Mind] chaos. (Heart organ loses hold.) Cang Lin [Granary] not storing, is Hu Men [gate] not controlling. (Gate not secure, hence diarrhea uncontrollable, Spleen organ loses hold.) Shui Quan [water spring] not stopping, is Bladder not storing. (Urination uncontrollable, Kidney organ loses hold.) Qi Tuo [snatching] eyes not bright, (Essence/Yang Qi of Five Zang/Six Fu all pour into eyes to become Jing, hence Yang Qi Tuo, eyes not bright.) Blood Tuo color white, naturally lusterless, pulse empty. Jin Tuo [fluid snatching], interstices open, sweat pours out. Ye Tuo [liquid snatching], bone joints flex/extension difficult, color sallow, (Color withered.) Brain/Marrow consumed, leg sore, ears frequent ringing. Jing Tuo [essence snatching],