平按∶此篇自篇首至末，见《灵枢》卷十第七十《寒热》篇，又见《甲乙经》卷八第一上编。
黄帝问于岐伯曰∶寒热瘰 在于颈掖者，皆何气使生？岐伯曰∶此皆鼠 ，寒热之毒瓦斯也，
堤留于脉而不去也。（风成为寒热，寒热之变亦不胜数，乃至甚者为痈病也。今行脉中壅遏，遂
为瘰 鼠 也。堤，痈障。平按∶掖《灵枢》、《甲乙》作腋。堤留于脉《甲乙》作稽于脉，注
云∶“《灵枢》稽作 。”今本《灵枢》仍作留，无 字。）黄帝曰∶去之奈何？岐伯曰∶鼠
之本，皆在于脏，其末上于颈掖之间，其浮于脉中而未内着于肌肉而外为脓血者，易去也。（寒
热之气在肺等脏中，循脉而上，发于颈掖，不生于项。在脉中未在肌肉，言其浅也。为脓血者，外
泄气多，故易去也。平按∶《甲乙》上于作上出，脉中作胸中，而未内著作未着二字，《灵枢》
上于作上出于三字。注易去袁刻误作是去。）黄帝曰∶去之奈何？岐伯曰∶请从其本引其末，可
使衰去而绝其寒热，审按其道以予之，徐来徐往以去之，（本，谓脏也。末，谓 处也。道，谓
脏腑脉行所发穴路也。徐往来者，动针法也。平按∶奈何下袁刻脱岐伯曰三字。）其小如麦者，
一刺知，三刺而已。（疗之得愈分剂也。）黄帝曰∶决其死生奈何？岐伯答曰∶反其目视之，其
中有赤脉，从上下贯瞳子，见一脉，一岁死；见一脉半，一岁半死；见二脉，二岁死；见二脉半，
二岁半死；见三脉，三岁而死。见赤脉而不下贯瞳子，可治。（以下言死生候也。寒热已成，成
在太阳，太阳为目上纲，其脉下见，令太阳经溢入络中，甚者并入络中，下贯瞳子，瞳子是骨之
精，为寒热伤甚，故一脉独贯，一岁死也。若为二三，气散不独，故二三岁死也。虽有赤脉，不贯
瞳子，可得疗者，以未伤骨精故也。）
平按：本篇从开头到结尾，见于《灵枢》卷十第七十《寒热》篇，又见于《甲乙经》卷八第一上编。
黄帝问岐伯说：颈腋部出现的寒热瘰疬（颈部淋巴结结核），都是什么气导致的？岐伯回答说：这都是鼠瘘（一种以颈部肿块、溃烂流脓为特征的疾病），是寒热毒气滞留于经脉中而不消散所致。（风邪导致寒热，寒热的变化数不胜数，甚至严重的成为痈病。现在毒气行于脉中壅塞阻滞，于是形成瘰疬和鼠瘘。堤，指痈肿阻隔。平按：掖，《灵枢》、《甲乙经》作“腋”。留于脉，《甲乙经》作“稽于脉”，注云：“《灵枢》‘稽’字作‘留’。”现在版本的《灵枢》仍作“留”，没有“稽”字。）黄帝说：如何去除它？岐伯说：鼠瘘的根本在于脏腑，其表现上部在颈腋之间，那些浮在脉中而未深入肌肉、外部化为脓血的，容易去除。（寒热之气在肺等脏腑中，沿经脉上行，发于颈腋，不生于项部。在脉中未在肌肉，说明病位浅。化为脓血，说明外泄之气多，所以容易去除。平按：《甲乙经》“上于”作“上出”，“脉中”作“胸中”，“而未内着”作“未着”二字，《灵枢》“上于”作“上出于”三字。注：易去，袁刻误作“是去”。）黄帝说：如何去除它？岐伯说：请顺着它的根本引导其末梢，可以使病势衰退并断绝寒热，仔细审察经络之道来施治，缓慢进针、缓慢出针以祛除病邪，（根本，指脏腑。末梢，指患处。道，指脏腑经脉运行的穴位路径。徐往来，指针刺手法中的动针法。平按：奈何下袁刻脱漏了“岐伯曰”三字。）其中小的如麦粒大小的，针刺一次见效，针刺三次痊愈。（治疗得当的剂量标准。）黄帝说：如何判断生死预后？岐伯回答说：观察他的眼睛，如果其中有赤色血脉，从上向下贯穿瞳孔，见到一条赤脉，一年死；见到一条半赤脉，一年半死；见到两条赤脉，两年死；见到两条半赤脉，两年半死；见到三条赤脉，三年而死。见到赤脉但不向下贯穿瞳孔的，可以治疗。（以下论述生死征候。寒热已成，病位在太阳经，太阳经为目上纲，其脉下行显现，令太阳经气血溢出进入络脉中，严重的并入络脉中，向下贯穿瞳孔，瞳孔是骨之精气所在，因寒热损伤严重，故一条赤脉独贯，一年死。若是两三条，气散不独聚，故两三年死。虽然有赤脉，但不贯穿瞳孔，可以得到治疗的，因为未伤及骨精的缘故。）
Ping An: This chapter, from beginning to end, is found in Volume 10, Chapter 70 "Han Re" (Cold and Heat) of the *Ling Shu* (Spiritual Pivot), and also in Volume 8, Part 1, Section 1 of the *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion).
The Yellow Emperor asked Qi Bo: What qi causes the Han Re Luo Li (scrofula with cold and heat sensations) appearing in the neck and axilla? Qi Bo replied: These are all Shu Lou (a disease characterized by neck masses and ulceration), which are toxic vapors of cold and heat that remain stagnant in the meridians without dispersing. (Wind pathogens cause cold and heat; the variations of cold and heat are countless, even becoming severe enough to form Yong Bing (carbuncles/abscesses). Now, [the pathogen] moves within the meridians causing obstruction and stagnation, thereby forming Luo Li and Shu Lou. Di refers to the blockage caused by carbuncles. Ping An notes: 'Ye' in this text corresponds to 'Xi' (axilla) in the *Ling Shu* and *Jia Yi Jing*. 'Li Yu Mai' (remaining in the vessels) in the *Jia Yi Jing* is written as 'Ji Yu Mai' (lingering in the vessels), with a note stating: "'Ji' in the *Ling Shu* is written as 'Liu'. The current version of the *Ling Shu* still uses 'Liu', without the character 'Ji'.") The Yellow Emperor said: How shall we eliminate it? Qi Bo said: The root of Shu Lou lies within the Zang-Fu organs, while its manifestation extends upward to the region between the neck and axilla. Those that float within the meridians but have not yet penetrated deeply into the muscles, and externally manifest as pus and blood, are easy to eliminate. (The qi of cold and heat resides in the lungs and other Zang organs, travels upward along the meridians, and erupts in the neck and axilla, not in the nape. Being in the meridians but not in the muscles indicates the pathology is superficial. Manifesting as pus and blood implies that external leakage of qi is significant, thus making it easy to eliminate. Ping An notes: In the *Jia Yi Jing*, 'Shang Yu' is written as 'Shang Chu' (emerge out); 'Mai Zhong' is written as 'Xiong Zhong' (chest); 'Er Wei Nei Zhuo' is written as just 'Wei Zhuo'; in the *Ling Shu*, 'Shang Yu' is written as 'Shang Chu Yu'. Note: 'Yi Qu' (easy to remove) was erroneously printed as 'Shi Qu' in the Yuan edition.) The Yellow Emperor said: How shall we eliminate it? Qi Bo said: Please follow the root to guide the branch, so that the condition may decline and the cold and heat may be cut off. Carefully examine the Dao (pathways) to administer treatment, using slow insertion and slow withdrawal to dispel the pathogen. (The 'Ben' (root) refers to the Zang organs. The 'Mo' (branch/end) refers to the affected area. The 'Dao' refers to the acupoint pathways where Zang-Fu meridians originate and travel. 'Xu Wang Lai' refers to the needle manipulation technique. Ping An notes: The Yuan edition omits the three characters 'Qi Bo Yue' after 'Nai He'.) For those small like wheat grains, one needling session brings improvement, and three sessions result in cure. (This is the dosage standard for effective treatment.) The Yellow Emperor said: How do we determine life and death prognosis? Qi Bo answered: Observe his eyes. If there are red vessels penetrating downward through the pupil, seeing one red vessel indicates death in one year; seeing one and a half red vessels indicates death in one and a half years; seeing two red vessels indicates death in two years; seeing two and a half red vessels indicates death in two and a half years; seeing three red vessels indicates death in three years. If red vessels are seen but do not penetrate downward through the pupil, the condition is treatable. (The following discusses signs of life and death. When cold and heat have become established, they reside in the Tai Yang (Greater Yang) meridian. The Tai Yang meridian serves as the upper frame of the eye. Its vessels descend and become visible, causing the Tai Yang meridian's qi to overflow into the collaterals. In severe cases, it merges into the collaterals and penetrates downward through the pupil. The pupil is the essence of the bone. Due to severe injury from cold and heat, if only one vessel penetrates alone, death occurs in one year. If there are two or three, the qi is scattered and not concentrated alone, hence death occurs in two or three years. Although red vessels are present, if they do not penetrate the pupil, treatment is possible because the essence of the bone has not been injured.)