平按∶此篇见《素问》卷十三第四十七《奇病论》篇，又见《甲乙经》卷九第五。
黄帝问岐伯曰∶有病口苦者，名为何？何以得之？岐伯曰∶病名胆瘅。（平按∶病
下《素问》、《甲乙》有口苦取阳陵泉六字，《素问》新校正云∶“全元起本及《太素》
无口苦取阳陵泉六字。详前后文势，疑此为误。”）夫肝者，中之将也，取决于胆，咽
为之使。此人者，数谋虑不决，故胆虚，气上溢而口为之苦，治之以胆募输，在《阴阳
十二官相使》中。（胆为肝腑，肝为内将，取决于胆，其人有谋虑不决，伤胆气上，胆溢从咽入口，口苦，名曰胆瘅，
可
取胆募日月穴也。平按∶《甲乙》肝者上有“胆者中精之府”六字，注云∶《素问》无此句。）
平按∶此篇自篇首至齿亦当痛，见《素问》卷十三第四十七《奇病论》篇，又见
《甲乙经》卷九第一。自齿痛不恶清饮至末，见《灵枢》卷五第二十六《杂病》篇，又
见《甲乙经》卷十二第六。
黄帝曰∶人有病头痛以岁数不已，此安得之？是为何病？岐伯曰∶当有所犯大寒，
内至骨髓，髓者以脑为主，脑逆故令人头痛，齿亦当痛。（大寒入于骨髓，流入于脑中，
以其脑有寒逆，故头痛数岁不已。齿为骨余，故亦齿痛。平按∶《素问》、《甲乙》岁
数作数岁，齿亦当痛作齿亦痛。）齿痛不恶 饮，取足阳明；恶 饮，取手阳明。（上
齿虽痛，以足阳明谷气，故饮不恶冷，可取足阳明。下齿痛，取手阳明也。平按∶
《灵枢》、《甲乙》作清，道藏本《灵枢》作 。）
平按：此篇见于《素问》卷十三第四十七《奇病论》篇，又见于《甲乙经》卷九第五。
黄帝询问岐伯说：有人患口苦的病，这叫什么名字？是怎么得的呢？岐伯回答说：这个病名叫胆瘅（胆汁溢泄所致的病证）。（平按：在“病”字下，《素问》和《甲乙经》有“口苦取阳陵泉”六个字，《素问》新校正说：“全元起本及《太素》没有‘口苦取阳陵泉’六个字。详细考察前后的文意气势，怀疑这是错误的。”）肝是体内的将领，取决于胆的决断，咽喉是它的使者。这种人，常常谋虑而不能决断，所以导致胆气虚弱，胆气上溢从而口中发苦，治疗应选取胆的募穴和输穴，相关内容在《阴阳十二官相使》篇中。（胆是肝的腑，肝是内将，取决于胆，那人因谋虑不决，损伤胆气上行，胆气溢出顺着咽喉进入口中，导致口苦，名为胆瘅，可以取胆的募穴日月穴。平按：《甲乙经》在“肝者”上有“胆者中精之府”六个字，注释说：“《素问》没有这句话。”）
平按：此篇从篇首到“齿亦当痛”，见于《素问》卷十三第四十七《奇病论》篇，又见于《甲乙经》卷九第一。从“齿痛不恶清饮”到末尾，见于《灵枢》卷五第二十六《杂病》篇，又见于《甲乙经》卷十二第六。
黄帝说：有人患头痛病，多年不愈，这是怎么得的？是什么病？岐伯回答说：应当是遭受了大寒邪气，寒气深入骨髓，骨髓以脑为主宰，脑气逆乱所以令人头痛，牙齿也应当疼痛。（大寒侵入骨髓，流入脑中，因为脑中有寒邪逆乱，所以头痛多年不愈。牙齿是骨的余气，所以也会牙齿痛。平按：《素问》、《甲乙经》中“岁数”作“数岁”，“齿亦当痛”作“齿亦痛”。）牙齿痛但不怕喝冷饮的，取足阳明经；怕喝冷饮的，取手阳明经。（上牙痛，因足阳明胃经的气血旺盛，所以不怕冷，可取足阳明经。下牙痛，取手阳明大肠经。平按：《灵枢》、《甲乙经》作“清”，道藏本《灵枢》作“冷”。）
Ping An: This chapter appears in Volume 13, Chapter 47 "Qi Bing Lun" (Treatise on Rare Diseases) of the *Su Wen* (Basic Questions), and also in Volume 9, Chapter 5 of the *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion).
The Yellow Emperor asked Qi Bo: There is a person suffering from bitter taste in the mouth. What is this disease called? How is it contracted? Qi Bo replied: The name of this disease is Dan Dan (Damp-heat of the Gallbladder/Bile Overflow). (Ping An: In the *Su Wen* and *Jia Yi Jing*, after the character for "disease," there are six characters reading "bitter taste in the mouth, treat with Yanglingquan." The New Correction of the *Su Wen* states: "The Ben Quan Qi edition and the *Tai Su* do not have the six characters 'bitter taste in the mouth, treat with Yanglingquan.' Carefully examining the context and flow of the preceding and following text, it is suspected that this is an error.") The Liver is the general within; its decisions depend on the Gallbladder. The pharynx serves as its envoy. Such individuals often deliberate but fail to decide, thus causing Gallbladder deficiency. The Qi overflows upward, making the mouth bitter. Treatment should be conducted using the Front-Mu and Shu-Acupoints of the Gallbladder, as detailed in the chapter "Yin Yang Twelve Officials Mutual Assistance." (The Gallbladder is the Fu-organ of the Liver; the Liver is the internal general, depending on the Gallbladder. If a person fails to decide due to deliberation, it injures the Gallbladder Qi, causing it to ascend. The Gallbladder overflow follows the pharynx into the mouth, causing bitterness, named Dan Dan. One may select the Front-Mu point of the Gallbladder, Riyue [Sun Moon]. Ping An: The *Jia Yi Jing* has six characters before "Liver is": "The Gallbladder is the mansion of pure essence." The annotation notes: "The *Su Wen* does not contain this sentence.")
Ping An: From the beginning of this chapter up to "teeth should also hurt," it appears in Volume 13, Chapter 47 "Qi Bing Lun" of the *Su Wen*, and also in Volume 9, Chapter 1 of the *Jia Yi Jing*. From "Toothache without aversion to cold drinks" to the end, it appears in Volume 5, Chapter 26 "Za Bing" (Miscellaneous Diseases) of the *Ling Shu* (Spiritual Pivot), and also in Volume 12, Chapter 6 of the *Jia Yi Jing*.
The Yellow Emperor said: There is a person suffering from headache that persists for years. How did this arise? What disease is this? Qi Bo replied: It must be due to exposure to severe Cold pathogen, which penetrated inward to the bone marrow. Since the brain is the master of the bone marrow, the reversal of Brain Qi causes headache, and the teeth should also hurt. (Severe Cold enters the bone marrow and flows into the brain. Because there is Cold reversal in the brain, the headache persists for years. Teeth are the surplus of bones, hence toothache occurs. Ping An: In the *Su Wen* and *Jia Yi Jing*, "sui shu" is written as "shu sui," and "chi yi dang tong" is written as "chi yi tong".) For toothache without aversion to cold drinks, treat the Foot-Yangming channel; for toothache with aversion to cold drinks, treat the Hand-Yangming channel. (Upper toothache, due to the abundant Qi of the Foot-Yangming Stomach channel, implies no aversion to cold; thus, treat the Foot-Yangming channel. Lower toothache, treat the Hand-Yangming Large Intestine channel. Ping An: The *Ling Shu* and *Jia Yi Jing* write "qing" (clear/cold), while the Daozang edition of the *Ling Shu* writes "leng" (cold).)