平按∶此篇见《素问》卷八第三十《阳明脉解》篇，又见《甲乙经》卷七第二。
黄帝问于岐伯曰∶阳明之脉病，恶人与火，闻木音则惕然而惊。钟鼓不为动，闻木音而惊者，
愿闻其故。岐伯对曰∶阳明者胃之脉也，胃者土也，故闻木音而惊者，土恶木也。（十二经脉而
别解阳明者，胃受水谷以资脏腑，其气强大，气和为益之大，受邪为病之甚，故别解之。平按∶
《素问》、《甲乙经》黄帝问下无于岐伯三字，阳明之脉作足阳明之脉。钟鼓不为动闻木音而惊
者《甲乙经》作欲独闭户牖而处。）黄帝曰∶善。其恶火何也？岐伯曰∶阳明主肉，其血盛，邪
客之则热，热甚则恶火。其恶人何也？岐伯曰∶阳明厥则喘如 ， 则恶人。（ ，武盘反，此
经中为闷字。平按∶主肉《甲乙经》作主肌肉。其血盛《素问》作其脉血气盛，《甲乙经》作其
血气盛。则喘如 则恶人《素问》作则喘而 则恶人，《甲乙经》作则喘闷闷则恶人。又恶人
下《甲乙经》有“阴阳相薄，阳尽阴盛，故欲独闭户牖而处”十六字，注云∶按阴阳相搏至此，
本《素问·脉解》篇，士安移续于此。）黄帝曰∶善。或喘而死者，或喘生者，其故何也？岐伯
曰∶厥逆连脏则死，连经则生。（连脏病深故死，连经病浅故生。）黄帝曰∶善。阳明病甚，则弃
衣而走，登高而歌，或至不食数日，逾垣上屋，所上，非其素时所能也，病反能何也？岐伯曰∶
四肢者诸阳之本也，邪盛则四肢实，实则能登高。其弃衣何也？岐伯曰∶热
盛于身，故弃衣而走。其骂詈不避亲疏而歌者何也？岐伯曰∶阳盛则使人不欲食，故妄言。（素，
先也。其人非是先有此能，因阳明病故也。手足阳明之脉盛实，好为登陟。以其热闷，所以弃衣
也。平按∶所上《素问》作所上之处，《甲乙经》无此句。病反能何也袁刻作病反何能也。骂詈
上《素问》有妄言二字。阳盛下《素问》作“则使人妄言骂詈不避亲疏而不欲食，不欲食故妄走
也”，《甲乙经》作“故妄言骂詈不避亲疏”。）
【平按】：此篇见于《素问》卷八第三十《阳明脉解》篇，又见于《甲乙经》卷七第二。
黄帝向岐伯问道：足阳明经脉发生病变时，患者厌恶人和火光，听到木器的声音就会惊恐不安。然而听到钟鼓的声音却不被惊动，为什么听到木器的声音会惊恐呢？希望听听其中的缘故。
岐伯回答说：阳明经是胃的经脉，胃在五行中属土，所以听到木器的声音而惊恐，是因为土畏惧木。（十二经脉中特别解释阳明经的原因，是因为胃接受水谷精微以滋养脏腑，其气强盛，气机调和则益处最大，受邪致病则病情严重，所以单独加以解释。【平按】：《素问》、《甲乙经》在“黄帝问”下没有“于岐伯”三个字，“阳明之脉”作“足阳明之脉”。关于“钟鼓不为动，闻木音而惊者”，《甲乙经》作“欲独闭户牖而处”。）
岐伯说：阳明经主管肌肉，其血气旺盛，邪气侵入则产生热象，热势炽盛就厌恶火光。
岐伯说：阳明经气逆乱则喘息粗重，感到胸中烦闷，就厌恶人。（“ ”字，读作武盘反，此处经文意为“闷”字。【平按】：《甲乙经》中“主肉”作“主肌肉”。“其血盛”，《素问》作“其脉血气盛”，《甲乙经》作“其血气盛”。“则喘如 则恶人”，《素问》作“则喘而 则恶人”，《甲乙经》作“则喘闷闷则恶人”。另外，《甲乙经》在“恶人”下有“阴阳相薄，阳尽阴盛，故欲独闭户牖而处”十六个字，注释说：按阴阳相搏至此，原本出自《素问·脉解》篇，杨上善将其移续于此。）
黄帝说：讲得好。有的因喘息而死，有的因喘息而活，这是什么原因呢？
岐伯说：厥逆之气连及内脏则死，连及经脉则生。（连及内脏说明病位深，所以死；连及经脉说明病位浅，所以生。）
黄帝说：讲得好。阳明病严重时，患者会扔掉衣服奔跑，登上高处唱歌，有的甚至几天不吃饭，翻越墙垣、爬上屋顶，所攀爬的地方，不是他平时所能做到的，为什么生病反而能这样做呢？
岐伯说：四肢是诸阳经的根本，邪气盛实则四肢充实有力，充实有力就能登高。
黄帝说：为什么扔掉衣服呢？
黄帝说：为什么骂人且不避亲疏地唱歌呢？
岐伯说：阳气盛实使人不想进食，所以胡言乱语。（“素”，意思是“先”。此人并非先前就有这种能力，而是因为阳明病的缘故。手足阳明经脉盛实，喜欢登高攀登。因为热邪导致烦闷，所以扔掉衣服。【平按】：“所上”，《素问》作“所上之处”，《甲乙经》无此句。“病反能何也”，袁刻本作“病反何能也”。“骂詈”上，《素问》有“妄言”二字。“阳盛”下，《素问》作“则使人妄言骂詈不避亲疏而不欲食，不欲食故妄走也”，《甲乙经》作“故妄言骂詈不避亲疏”。）
[Ping An]: This chapter appears in Volume 8, Chapter 30 "Yangming Maijie" of *Suwen* (Plain Questions), and also in Volume 7, Chapter 2 of *Jiayijing* (Systematic Classic of Acupuncture and Moxibustion).
The Yellow Emperor asked Qibo: When the Foot-Yangming Meridian (Foot Yangming Channel) is diseased, the patient dislikes people and fire, and hears the sound of wood with a start of fear. However, the sounds of bells and drums do not disturb them. Why does hearing the sound of wood cause alarm? I wish to hear the reason.
Qibo replied: The Yangming Meridian is the meridian of the Stomach (Zang-Fu Organ: Stomach). The Stomach belongs to Earth in the Five Elements (Wu Xing). Therefore, hearing the sound of wood causes alarm because Earth fears Wood. [Special explanation for Yangming among the Twelve Primary Meridians (Twelve Jing-Mai): The Stomach receives water and grain to nourish the Zang-Fu organs. Its Qi is powerful; when harmonious, it provides great benefit; when affected by pathogenic factors, the disease is severe. Hence, it is explained separately. [Ping An]: In *Suwen* and *Jiayijing*, the phrase "to Qibo" after "The Yellow Emperor asked" is absent, and "Yangming Meridian" is written as "Foot-Yangming Meridian". Regarding "bells and drums do not disturb, hearing wood causes alarm", *Jiayijing* reads "desires to close doors and windows alone to stay inside."]
The Yellow Emperor said: Excellent. Why does he dislike fire?
Qibo said: Yangming governs the flesh (Muscles). Its blood and Qi are abundant. When pathogens invade, heat arises. When heat is excessive, one dislikes fire.
The Yellow Emperor said: Why does he dislike people?
Qibo said: When Yangming Qi rebels, there is panting and suffocation (chest oppression), leading to a dislike of people. (" ", pronounced Wu Pan fan, here means "men" or suffocation/oppression. [Ping An]: In *Jiayijing*, "governs flesh" is written as "governs muscles". "Its blood is abundant", *Suwen* writes "its channel blood and Qi are abundant", *Jiayijing* writes "its blood and Qi are abundant". "Then panting like... then dislikes people", *Suwen* writes "then panting and... then dislikes people", *Jiayijing* writes "then panting and oppressive then dislikes people". Furthermore, *Jiayijing* has sixteen characters after "dislikes people": "Yin and Yang struggle, Yang exhausts, Yin becomes excessive, thus desiring to close doors and windows alone to stay inside." The note states: From "Yin and Yang struggle" to this point, originally from *Suwen · Maijie* chapter, moved here by Yang Shangshan.]
The Yellow Emperor said: Excellent. Some die from panting, some survive from panting. What is the reason?
Qibo said: If Jue-Ni (Rebellious Qi) connects to the Zang organs, death occurs; if it connects to the Jing-Meridians, survival occurs. [Connecting to Zang organs indicates deep disease, hence death; connecting to meridians indicates superficial disease, hence survival.]
The Yellow Emperor said: Excellent. In severe Yangming disease, patients discard their clothes and run, climb high and sing. Some do not eat for several days, cross walls, and climb onto roofs. The places they climb are not what they could do normally. Why can they do this when sick?
Qibo said: The four limbs are the root of all Yang meridians. When pathogens are excessive, the four limbs become solid/excess. Solidity enables climbing high.
The Yellow Emperor said: Why discard clothes?
Qibo said: Because heat is excessive in the body, they discard clothes and run.
The Yellow Emperor said: Why curse without distinguishing relatives and strangers, and sing?
Qibo said: Excessive Yang makes people lose appetite, thus speaking wildly/nonsensically. ("Su" means "previously/originally". This person did not previously have these abilities; it is due to Yangming disease. The Foot-Yangming and Hand-Yangming meridians are excess and full, favoring climbing. Due to heat-induced oppression, they discard clothes. [Ping An]: "Places climbed", *Suwen* writes "places climbed upon", *Jiayijing* omits this sentence. "Why can they do this in reverse?", Yuan edition writes "Why can they do this in reverse?". Above "curse", *Suwen* has "speak wildly". Below "Yang excess", *Suwen* writes "makes people speak wildly, curse without distinguishing relatives and strangers, and lose appetite; losing appetite leads to running wildly", *Jiayijing* writes "thus speak wildly, curse without distinguishing relatives and strangers."]