平按∶此篇自篇首至末，见《素问》卷十三第四十七《奇病论》篇，又见《甲乙经》
卷九第十一。
黄帝问岐伯曰∶有 者，一日数十溲，此不足也。身热如炭火，颈膺如格，人迎躁
盛，喘息气逆，此有余也。太阴脉微细如发者，此不足也。其病安在？名为何病？岐伯
曰∶病在太阴，其藏在胃，颇在肺，病名曰厥死，不治，此得五有余、二不足也。问曰∶
何谓五有余、二不足？答曰∶所谓五有余者，五病之气有余也；二不足者，亦二病之气
不足也。今外得五有余，内得二不足者，此其身不表不里，亦明死矣。（ ，淋也。人
有病一日数十溲，肾气不足也。手太阴脉如发，肺气不足也。此则二脏不足也。身热如
火，一有余也；颈及膺二气盛如格，三有余也；颈前胃脉人迎躁盛，四有余也；喘息气
逆，五有余也。人之遇病，外有五有余、内有二不足者，病在手足太阴，藏于胃中，动
之于肺，非定在于表里，名曰厥死之病，不可疗也。平按∶《素问》、《甲乙》炭下无
火字，其藏在胃作其盛在胃。《甲乙》五病之气，无五字。《素问》、《甲乙》亦二病
之气不足也作亦病气之不足也。亦明死矣《甲乙》作亦死证明
矣。又按本注缺二有余一条，《素问》王注云∶“外五有余者，一身热如炭，二颈膺如
格，三人迎躁盛，四喘息，五气逆也。”）
杨上善按语：本篇从开头到结尾，见于《素问》卷十三第四十七篇《奇病论》，又见于《甲乙经》卷九第十一。
黄帝询问岐伯说：有一种病（淋证），一天小便几十次，这是正气不足的表现。身体发热像炭火一样烫，颈部和胸膺部感觉像被格拒阻挡一样不适，人迎脉躁动旺盛，呼吸急促且气机上逆，这是邪气有余的表现。太阴脉象细微得像头发丝一样，这也是正气不足的表现。这种病在哪里？名叫什么病？
岐伯回答说：病位在太阴经，其脏腑关联在胃，病变涉及肺脏，病名叫做“厥死”，属于不治之症，这是因为同时出现了五有余和二不足的证候。
回答是：所谓五有余，是指五种病邪之气有余；二不足，也是指两种病邪之气不足。现在外感表现为五有余，内伤表现为二不足，这说明患者的病位既不在表也不在里，显然会死亡。（注：此处括号内为杨上善对原文的补充解释：淋证，即小便频数。人患病一天小便几十次，是肾气不足。手太阴肺脉细如发丝，是肺气不足。这是两个脏腑不足。身体热如火，是一有余；颈部及胸膺气盛如格拒，是三有余；颈前胃脉人迎脉躁动旺盛，是四有余；喘息气逆，是五有余。人遇到疾病，外有五有余、内有二不足的，病在手足太阴经，藏于胃中，触动肺脏，病位不固定在于表或里，名为厥死之病，不可治疗。）
杨上善按语：《素问》和《甲乙经》中“炭”字下没有“火”字，“其藏在胃”作“其盛在胃”。《甲乙经》中“五病之气”没有“五”字。“亦二病之气不足也”作“亦病气之不足也”。“亦明死矣”在《甲乙经》中作“亦死证明矣”。另外，本注缺少关于“二有余”的一条，《素问》王冰注云：“外五有余者，一身热如炭，二颈膺如格，三人迎躁盛，四喘息，五气逆也。”）
Yang Shangshan's Note: This section, from the beginning to the end of the passage, is found in Volume 13, Chapter 47 "Treatise on Rare Diseases" (Qibing Lun) of the *Suwen* (Plain Questions), and also in Volume 9, Chapter 11 of the *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion).
The Yellow Emperor asked Qibo: There is a condition characterized by Lin syndrome (dysuria/frequent urination), where the patient urinates dozens of times a day; this indicates a deficiency of healthy Qi. The body feels hot like charcoal, the neck and anterior chest feel obstructed or blocked, the Renying pulse (ST9) is restless and vigorous, and there is panting with rebellious Qi; this indicates an excess of pathogenic factors. The Taiyin pulse is fine and thin like a hair; this also indicates a deficiency. Where is the disease located? What is its name?
Qibo replied: The disease is located in the Taiyin channel, its zang-organ association lies with the Stomach, and it significantly involves the Lung. The disease is named Jue Si (Revulsion leading to death), which is incurable. This presents as five excesses and two deficiencies.
Someone asked: What do you mean by five excesses and two deficiencies?
The answer is: By "five excesses," I mean that the qi of five pathological conditions is in excess; by "two deficiencies," I mean that the qi of two pathological conditions is deficient. Now, if one has five excesses externally and two deficiencies internally, the disease is neither in the exterior nor in the interior, and death is evident. (Note: Lin syndrome refers to frequent urination. Urinating dozens of times a day indicates insufficiency of Kidney Qi. A hand-Taiyin pulse as fine as a hair indicates insufficiency of Lung Qi. These are two organ deficiencies. Body heat like fire is one excess; Qi stagnation in the neck and chest feeling like obstruction is three excesses; the Renying pulse at the neck being restless and vigorous is four excesses; panting and rebellious Qi is five excesses. When a person encounters a disease with five excesses externally and two deficiencies internally, the pathology involves the Hand and Foot Taiyin channels, resides in the Stomach, and affects the Lung. The location is not fixed in the exterior or interior. It is named the disease of Jue Si, which cannot be treated.)
Yang Shangshan's Note: In the *Suwen* and *Jiayi Jing*, the character "fire" does not appear after "charcoal." The phrase "its zang-organ association lies with the Stomach" appears as "its prosperity lies in the Stomach." In the *Jiayi Jing*, the phrase "qi of five pathological conditions" lacks the character "five." The phrase "also the qi of two pathological conditions is deficient" appears as "also the qi of disease is deficient." The phrase "death is evident" appears in the *Jiayi Jing* as "death is proven." Furthermore, this commentary lacks a note regarding "two excesses." Wang Bing's commentary on the *Suwen* states: "The five excesses externally are: one, body heat like charcoal; two, neck and chest feeling like obstruction; three, Renying pulse restless and vigorous; four, panting; five, rebellious Qi.")