黄帝闲居。辟左右而问于岐伯曰。余已闻九针之经。论阴阳逆顺。六经已毕。愿得口问。岐伯避席再拜曰。善乎哉
问也。此先师之所口传也。黄帝曰。愿闻口传。岐伯答曰。夫百病之始生也。皆生于风雨寒暑。阴阳喜怒饮食。居处大
惊卒恐则血气分离。阴阳破散。经络厥绝。脉道不通。阴阳相逆。卫气稽留。经脉虚空。血气不次。乃失其常。论不在
经者。请道其方。黄帝曰。人之欠者。何气使然。岐伯答曰。卫气昼日行于阳。夜半则行于阴。阴者主夜。夜者卧。阳
者主上。阴者主下。故阴气积于下。阳气未尽。阳引而上。阴引而下。阴阳相引。故数欠阳气尽。阴气盛。则目瞑。阴
气尽。而阳气盛。则寤矣。泻足少阴补足太阳。黄帝曰。人之哕者。何气使然。岐伯曰。谷入于胃。胃气上注于肺。今
有故寒气与新谷气俱。还入于胃。新故相乱。真邪相攻。气并相逆。复出于胃。故为哕。补手太阴。泻足少阴。黄帝曰。
人之唏者。何气使然。岐伯曰。此阴气盛而阳气虚。阴气疾而阳气徐。阴气盛而阳气绝。故为唏。补足太阳。泻足少阴。
黄帝曰。人之振寒者。何气使然。岐伯曰。寒气客于皮肤。阴气盛。阳气虚。故为振寒。寒栗。补诸阳。黄帝曰。人之
噫者。何气使然。岐伯曰。寒气客于胃。厥逆从下上。散复出于胃。故为噫。补足太阴阳明。一曰补眉本也。黄帝曰。
人之嚏者。何气使然。岐伯曰。阳气和利。满于心。出于鼻。故为嚏。补足太阳荣眉本。一曰眉上也。黄帝曰。人之
者。何气使然。岐伯曰。胃不实。则诸脉虚。诸脉虚。则筋脉懈惰。筋脉懈惰。则行阴。用力。气不能复。故为 因其
所在补分肉间黄帝曰。人之哀而泣涕出者。何气使然。岐伯曰。心者。五脏六腑之主也。目者。宗脉之所聚也。上液之
道也。口鼻者。气之门户也。故悲哀愁忧。则心动。心动则五脏六腑皆摇。摇则宗脉感。宗脉感则液道开。液道开故泣
涕出焉。液者。所以灌精濡空窍者也。故上液之道开则泣。泣不止则液竭。液竭则精不灌。精不灌则目无所见矣。故命
曰夺精。补天柱经侠颈。黄帝曰。人之太息者。何气使然。岐伯曰。忧思则心系急。心系急则气道约。约则不利。故太
息以伸出之。补手少阴心主足少阳。留之也。黄帝曰。人之涎下者。何气使然。岐伯曰。饮食者。皆入于胃。胃中有热
则虫动。虫动则胃缓。胃缓则廉泉开。故涎下。补足少阴。黄帝曰。人之耳中鸣者。何气使然。岐伯曰。耳者。宗脉之
所聚也。故胃中空则宗脉虚。虚则下溜脉有所竭者。故耳鸣。补客主人。手大指爪甲上与肉交者也。黄帝曰。人之自啮
舌者。何气使然。岐伯曰。此厥逆走上。脉气辈至也。少阴气至则啮舌。少阳气至则啮颊。阳明气至则啮唇矣。视主病
者。则补之。凡此十二邪者。皆奇邪之走空窍者也。故邪之所在。皆为不足。故上气不足。脑为之不满。耳为之苦鸣。
头为之苦倾。目为之眩。中气不足。溲便为之变。肠为之苦鸣。下气不足。乃为痿厥心 。补足外踝下留之。黄帝曰。
治之奈何。岐伯曰。肾主为欠。取足少阴。肺主为哕。取手太阴足少阴。唏者。阴与阳绝。故补足太阳。泻足少阴。振
寒者。补诸阳。噫者。补足太阴阳明。嚏者。补足太阳眉本。 因其所在。补分肉间。泣出。补天柱经侠颈。侠颈者。
头中分也。太息。补手少阴心主足少阳。留之。涎下。补足少阴。耳鸣。补客主人手大指爪甲上与肉交者。自啮舌。视
主病者则补之。目眩头倾。补足外踝下。留之。痿厥心 。刺足大趾间上二寸。留之。一曰足外踝下。留之。
前提后束中间十二排。平铺直叙之中自有浩气流行之概。其论人身气机相引之理。胜于近日西医之说万万矣。乃圣
人仅以为余事耳。或谓西医详于形而味于气固矣。即形亦正未能详也。洗冤录尚非圣人之所作也。而能辨骨之制命。不
制命此亦形之事也。西人知之乎。西医之圣者仅胜于今医之庸者。
黄帝在闲暇时居住，屏退左右侍从，向岐伯问道：“我已经听完了关于九针的经典论述，讨论了阴阳的逆顺以及六经的内容，现在已经完备。我希望再听听关于‘口问’（通过口头传授解答疑问）的知识。”岐伯离开座位，拜了两次说：“问得好啊！这是先师口头传授的知识。”黄帝说：“我希望听听这些口头传授的内容。”岐伯回答说：“各种疾病的产生，都源于风雨寒暑、阴阳失调、喜怒情绪、饮食不当以及居住环境的变化。巨大的惊恐会导致血气分离，阴阳破裂散乱，经络厥绝，脉道不通，阴阳之气相互逆乱，卫气滞留，经脉空虚，血气运行失去次序，从而违背了正常的生理规律。这些内容不在经典经文之中，请允许我阐述其方法。”
黄帝说：“人打哈欠，是什么气导致的？”岐伯回答说：“卫气白天运行于阳分，半夜则运行于阴分。阴分主管夜晚，夜晚需要睡眠；阳分主管上部，阴分主管下部。因此，阴气积聚在下部，阳气尚未耗尽，阳气牵引向上，阴气牵引向下，阴阳相互牵引，所以频频打哈欠。当阳气耗尽，阴气旺盛时，眼睛就闭合想睡；当阴气耗尽，阳气旺盛时，人就醒来了。治疗应泻足少阴肾经，补足太阳膀胱经。”
黄帝说：“人呃逆，是什么气导致的？”岐伯说：“食物进入胃中，胃气向上注入肺脏。现在如果有旧的寒气与新进入的食物之气一起，返回到胃中，新旧之气相互混乱，正气与邪气相互攻伐，气机并聚且逆乱，再次从胃中冲出，所以发生呃逆。治疗应补手太阴肺经，泻足少阴肾经。”
黄帝说：“人叹息，是什么气导致的？”岐伯说：“这是因为阴气盛而阳气虚，阴气运行急促而阳气运行缓慢，阴气极盛而阳气衰竭，所以发生叹息。治疗应补足太阳膀胱经，泻足少阴肾经。”
黄帝说：“人战栗发冷，是什么气导致的？”岐伯说：“寒气客居在皮肤之间，阴气盛，阳气虚，所以发生战栗发冷。治疗应补益诸阳经。”
黄帝说：“人嗳气，是什么气导致的？”岐伯说：“寒气客居在胃中，厥逆之气从下往上，散布后再次从胃中出来，所以发生嗳气。治疗应补足太阴脾经和足阳明胃经。另一种说法是补眉本穴。”
黄帝说：“人打喷嚏，是什么气导致的？”岐伯说：“阳气调和顺畅，充满于心，出于鼻窍，所以发生喷嚏。治疗应补足太阳膀胱经的荥穴及眉本穴。另一种说法是补眉毛上方。”
黄帝说：“人伸懒腰，是什么气导致的？”岐伯说：“胃气不实，则各条经脉虚弱。各条经脉虚弱，则筋脉懈怠松弛。筋脉懈怠松弛，则在行走或用力时，气力不能恢复，所以发生伸懒腰。治疗应根据病邪所在之处，补益分肉间隙。”
黄帝说：“人悲哀哭泣流泪，是什么气导致的？”岐伯说：“心是五脏六腑的主宰。眼睛是众多经脉汇聚的地方，也是上焦津液外出的通道。口鼻是气息出入的门户。所以悲哀愁忧时，心脏受触动；心脏受触动，则五脏六腑都随之摇动；脏腑摇动则汇聚的经脉受到感应；经脉感应则津液通道打开；津液通道打开，所以眼泪鼻涕流出。津液是用来灌注精气、濡润空窍的。所以上焦津液通道打开就会流泪；如果流泪不止，津液就会枯竭；津液枯竭则精气无法灌注；精气无法灌注，眼睛就无法视物了。这被称为‘夺精’。治疗应补天柱经，针刺位于颈部两侧的穴位。”
黄帝说：“人长吁短叹，是什么气导致的？”岐伯说：“忧愁思虑会使心脉拘急；心脉拘急则气道约束；气道约束则不畅利。所以通过长吁短叹来舒展气机。治疗应补手少阴心经、手厥阴心包经和足少阳胆经，留针一段时间。”
黄帝说：“人流口水，是什么气导致的？”岐伯说：“饮食都进入胃中。如果胃中有热，则寄生虫蠕动；虫动则胃壁松弛；胃壁松弛则廉泉穴开放，所以流口水。治疗应补足少阴肾经。”
黄帝说：“人耳朵鸣响，是什么气导致的？”岐伯说：“耳朵是众多经脉汇聚的地方。所以胃中空虚时，汇聚的经脉也虚弱；经脉虚弱则气血下行溜泄，导致某些经脉气血竭乏，所以耳鸣。治疗应补客主人穴（上关穴），以及手大拇指指甲角与肉交接处（商阳穴）。”
黄帝说：“人自己咬舌头，是什么气导致的？”岐伯说：“这是厥逆之气走上头面，脉气相继而至所致。少阴气至则咬舌头，少阳气至则咬脸颊，阳明气至则咬嘴唇。观察主要病变所在的经脉，然后进行补法治疗。”
“凡是上述十二种异常现象，都是奇邪侵入空窍所致。所以邪气所在之处，都是因为正气不足。因此，上部的正气不足，头脑就会感到不充实，耳朵会痛苦地鸣响，头部会痛苦地倾斜，眼睛会眩晕。中部的正气不足，大小二便就会发生变化，肠道会痛苦地鸣响。下部的正气不足，就会导致痿证和厥证，心中烦闷。治疗应补足外踝下方的穴位，并留针。”
黄帝说：“如何治疗这些病症？”岐伯说：“打哈欠由肾主司，取足少阴经；呃逆由肺主司，取手太阴经和足少阴经；叹息是因为阴阳隔绝，故补足太阳经，泻足少阴经；战栗发冷，补诸阳经；嗳气，补足太阴经和足阳明经；打喷嚏，补足太阳经的眉本穴；伸懒腰，根据病邪所在，补分肉间；流泪，补天柱经位于颈部的穴位（颈部中间）；长吁短叹，补手少阴心经、手厥阴心包经和足少阳胆经，并留针；流口水，补足少阴经；耳鸣，补客主人穴及手大拇指指甲角与肉交接处；自咬舌头，观察主病经脉则补之；目眩头倾，补足外踝下方，留针；痿厥心烦，刺足大趾间向上两寸处，留针。另一种说法是补足外踝下方，留针。”
这段文字前提连贯，后文总结，在平铺直叙之中自有浩气流行的气象。其中论述人身气机相互牵引的道理，远远胜过近日西医的说法。然而圣人仅将其视为余事罢了。有人说西医详于形体而昧于气机，这固然正确；即使论及形体，也未必详尽。《洗冤录》并非圣人所作，却能辨别骨骼构造以定人命，不关乎性命判定这也属于形体的事务。西方人知道吗？西医中的圣者仅仅比当今庸医高明一些而已。
Huangdi, while in leisure, dismissed his attendants and asked Qibo: "I have already heard the classics on the Nine Needles, discussing the reversal and smoothness of Yin and Yang, and the completion of the Six Meridians. I wish to hear about 'Kouwen' (Oral Questions/Teachings)." Qibo stepped out of his seat and bowed twice, saying: "Well asked! This is knowledge orally transmitted by our former masters." Huangdi said: "I wish to hear these oral teachings." Qibo replied: "The onset of all diseases arises from wind, rain, cold, and heat; imbalances of Yin and Yang; excessive emotions such as anger and joy; improper diet; and living conditions. Great fright or sudden fear causes the separation of Blood and Qi, the rupture and dispersion of Yin and Yang, the cessation of the Collaterals, the blockage of the Mai vessels, the reversal of Yin and Yang Qi, the stagnation of Wei Qi (Defensive Qi), the emptiness of the Jing-Mai vessels, and the disorder of Blood and Qi circulation, thereby losing their normal state. These discussions are not found in the canonical texts; please allow me to explain their methods."
Huangdi asked: "What Qi causes yawning?" Qibo answered: "Wei Qi (Defensive Qi) travels through the Yang aspects during the day and through the Yin aspects at midnight. Yin governs the night, and the night requires sleep; Yang governs the upper body, and Yin governs the lower body. Therefore, Yin Qi accumulates below, while Yang Qi has not yet exhausted. Yang pulls upward, and Yin pulls downward; the mutual attraction of Yin and Yang results in frequent yawning. When Yang Qi exhausts and Yin Qi becomes abundant, the eyes close for sleep; when Yin Qi exhausts and Yang Qi becomes abundant, one awakens. Treatment involves reducing the Foot-Shaoyin Kidney Meridian and supplementing the Foot-Taiyang Bladder Meridian."
Huangdi asked: "What Qi causes hiccup?" Qibo said: "Food enters the Stomach, and Stomach Qi ascends to pour into the Lungs. If old Cold Qi and new food Qi both return to the Stomach, the new and old Qi become chaotic, Zheng Qi (Upright Qi) and Xie Qi (Evil Qi) attack each other, Qi gathers and reverses, and re-emerges from the Stomach, causing hiccup. Treatment involves supplementing the Hand-Taiyin Lung Meridian and reducing the Foot-Shaoyin Kidney Meridian."
Huangdi asked: "What Qi causes sighing?" Qibo said: "This occurs when Yin Qi is abundant and Yang Qi is deficient, Yin Qi moves rapidly while Yang Qi moves slowly, and Yin Qi is excessive while Yang Qi is depleted. Thus, sighing occurs. Treatment involves supplementing the Foot-Taiyang Bladder Meridian and reducing the Foot-Shaoyin Kidney Meridian."
Huangdi asked: "What Qi causes shivering and coldness?" Qibo said: "Cold Qi lodges in the skin, Yin Qi is abundant, and Yang Qi is deficient, causing shivering and coldness. Treatment involves supplementing all Yang meridians."
Huangdi asked: "What Qi causes belching?" Qibo said: "Cold Qi lodges in the Stomach, Jue Ni (Rebellious Qi) rises from below, disperses, and re-emerges from the Stomach, causing belching. Treatment involves supplementing the Foot-Taiyin Spleen Meridian and the Foot-Yangming Stomach Meridian. Another method is to supplement Mei Ben (Brow Root acupoint)."
Huangdi asked: "What Qi causes sneezing?" Qibo said: "Yang Qi is harmonious and smooth, filling the Heart and emerging from the Nose, causing sneezing. Treatment involves supplementing the Ying-River point of the Foot-Taiyang Bladder Meridian and Mei Ben (Brow Root). Another method is to supplement above the eyebrows."
Huangdi asked: "What Qi causes stretching?" Qibo said: "When the Stomach Qi is not solid, all meridians become deficient. When all meridians are deficient, sinews and vessels become lax. When sinews and vessels are lax, walking or exertion fails to restore Qi energy, causing stretching. Treatment should supplement the space between muscles according to the location of the pathogen."
Huangdi asked: "What Qi causes crying and tearing due to sorrow?" Qibo said: "The Heart is the master of the Zang-Fu organs. The Eyes are the gathering place of numerous meridians and the pathway for fluids from above. The Mouth and Nose are the portals of Qi. Therefore, sorrow and worry move the Heart; when the Heart moves, all Zang-Fu organs shake; when they shake, the gathered meridians are stimulated; when stimulated, the fluid pathways open; when open, tears and mucus flow. Fluids are used to nourish essence and moisten orifices. Thus, when the upper fluid pathway opens, tears flow; if tears do not stop, fluids deplete; if fluids deplete, essence is not nourished; if essence is not nourished, the eyes lose vision. This is called 'Depletion of Essence'. Treatment involves supplementing Tian Zhu (Heavenly Pillar) meridian points along the neck."
Huangdi asked: "What Qi causes deep sighing?" Qibo said: "Worry and thought cause the Heart Tie (Heart Vessels) to tighten; tight Heart Vessels constrain the Qi pathway; constrained Qi pathway leads to obstruction. Thus, deep sighing is used to extend and release it. Treatment involves supplementing the Hand-Shaoyin Heart Meridian, Hand-Jueyin Pericardium Meridian, and Foot-Shaoyang Gallbladder Meridian, retaining the needle."
Huangdi asked: "What Qi causes drooling?" Qibo said: "Diet enters the Stomach. If there is Heat in the Stomach, parasites move; moving parasites cause the Stomach to relax; a relaxed Stomach opens Lian Quan (Spring at the Chin), causing drooling. Treatment involves supplementing the Foot-Shaoyin Kidney Meridian."
Huangdi asked: "What Qi causes tinnitus?" Qibo said: "The Ears are the gathering place of numerous meridians. Thus, when the Stomach is empty, the gathered meridians become deficient; deficiency causes Qi and Blood to flow downward, leading to exhaustion in certain meridians, causing tinnitus. Treatment involves supplementing Ke Zhu Ren (Guest Master, i.e., Shang Guan) and the point where the nail meets the flesh on the thumb."
Huangdi asked: "What Qi causes self-biting of the tongue?" Qibo said: "This is caused by Jue Ni (Rebellious Qi) ascending to the head, with pulse Qi arriving in succession. Arrival of Shaoyin Qi causes biting of the tongue; arrival of Shaoyang Qi causes biting of the cheek; arrival of Yangming Qi causes biting of the lips. Observe the primary diseased meridian and apply supplementation."
"Regarding these twelve abnormalities, they are all strange pathogens invading the orifices. Therefore, wherever the pathogen resides, there is a deficiency. Upper Qi deficiency causes brain fullness sensation, painful tinnitus, painful head tilting, and dizziness. Middle Qi deficiency causes changes in urination and defecation, and painful intestinal borborygmus. Lower Qi deficiency leads to Wei syndrome (Flaccidity) and Jue syndrome (Cold extremities) with heart vexation. Treatment involves supplementing the point below the lateral malleolus and retaining the needle."
Huangdi asked: "How to treat them?" Qibo said: "Yawning is governed by the Kidney; take Foot-Shaoyin. Hiccup is governed by the Lung; take Hand-Taiyin and Foot-Shaoyin. Sighing is due to Yin-Yang disconnection; thus supplement Foot-Taiyang and reduce Foot-Shaoyin. Shivering/coldness: supplement all Yang meridians. Belching: supplement Foot-Taiyin and Foot-Yangming. Sneezing: supplement Foot-Taiyang Mei Ben. Stretching: supplement muscle spaces based on location. Tearing: supplement Tian Zhu along the neck (middle of the head/neck). Deep sighing: supplement Hand-Shaoyin Heart, Hand-Jueyin Pericardium, and Foot-Shaoyang Gallbladder, retain needle. Drooling: supplement Foot-Shaoyin. Tinnitus: supplement Ke Zhu Ren and the thumb nail corner. Self-biting tongue: observe main disease meridian and supplement. Dizziness/head tilt: supplement below lateral malleolus, retain needle. Flaccidity/Jue with heart vexation: puncture two cun above the interdigital space of the big toe, retain needle. Alternative: supplement below lateral malleolus, retain needle."
The text presents a coherent narrative, flowing with a majestic spirit amidst straightforward exposition. Its discussion on the mutual attraction of human Qi mechanisms far surpasses modern Western medicine theories. Yet, the Sages regarded this merely as supplementary matters. Some argue that Western medicine details form but ignores Qi, which is true; even regarding form, it may not be exhaustive. *Xi Yuan Lu* was not written by Sages, yet it can distinguish bone structures to determine life/death, which is also a matter of form. Do Westerners know this? The saints among Western doctors are only superior to mediocre contemporary Chinese doctors.