非。元方所论脉法，虽合经意，然亦无所发明也。）
帝曰∶春亟取经络，夏亟取经俞，秋亟治六腑，冬则闭塞，闭塞者，用药而少针石也。（亟犹急也。闭塞谓
气之门户闭塞也。）所谓少针石者，非痈疽之谓也。（冬月虽气门闭塞，然痈疽气烈，内作大脓，不急泻之，
则烂筋腐骨，故虽冬月，亦宜针石以开除之。）痈疽不得顷时回。（……按∶回犹违也，痈疽最为危急，治之少
违顷刻则误矣。故虽冬月，急宜针石，不在禁用之例也。）凡治消瘅、仆击、偏枯、痿厥、气满发逆，肥贵人则
高梁之疾也。隔塞闭绝，上下不通，则暴忧之病也。暴厥而聋，偏塞闭不通，内气暴薄也。不从内外，中风
之病，故瘦留着也。 跛，寒风湿之病也。（……消谓内消，瘅谓伏热，厥谓气逆。高，膏也。梁，粱也。
跖谓足也。夫肥者令人热中，甘者令人中满，故热气内薄，发为消渴、偏枯、气满逆也。逆者，谓违背常候，
与平人异也。然忧愁者，气闭塞而不行，故隔塞痞闭，气脉断绝，而上下不通也。气固于内，则大小便道，偏
不得通泄也。何者？脏腑气不化，禁固而不宣散故尔也。外风中人，伏藏不去，则阳气内受，为热外燔，肌肉
消烁，故留薄肉分，消瘦而皮肤着于筋骨也。湿胜于足则筋不利，寒胜于足则挛急，风湿寒胜则卫气结聚，卫
气结聚则肉痛，故足跛而不可履也。按∶注意是矣，但解内气暴薄节未确。薄，磅因薄也。人身之气，喜畅恶郁，
郁极则求通，冲突而起，磅因薄上下，故云暴薄。惟暴薄故上行而厥逆，惟上逆故耳聋。然逆则逆矣，而气不遽
达，故隔塞而不通也。又不从内外，中风之病，注中字读作去声，亦未确。盖谓风之入于人身也，内不在脏腑，
外不在皮毛，而留着于肌肉之中，故令肌肉瘦削，是名中风之病也。若作中风解，外中皮毛，身发寒热而已，
肉未必瘦；内中脏腑，则偏仆厥绝，又不止于肌肉消瘦矣。中，平声。着，直略切。跖音织。跛，补火切，
波上声，一足短也。）黄胆、暴痛、癫疾、厥狂，久逆之所生也。五脏不平，六腑闭塞之所生也。头痛耳鸣，
九窍不利，肠胃之所生也。（足之三阳，从头走足，然久厥逆而不下行，则气怫积于上焦，故为黄胆暴痛癫狂
气逆矣。食饮失宜，吐利过节，故六腑闭塞而令五脏之气不和平也。肠胃痞塞则气不顺序，气不顺序则上下中
外互相胜负，故头痛耳鸣，九窍不利也。按∶病有所自生，治其所自生而病自已。阴阳应象大论曰∶“治病者
必求于本。”正此谓也。）
（元方所论述的脉法，虽然符合经旨，但也未能有所阐发。）
黄帝说：春季应当急切地取治经络，夏季应当急切地取治经穴和俞穴，秋季应当急切地治疗六腑的疾病，冬季则气机闭塞，气机闭塞的时候，用药治疗而少用针石。（亟，就是急的意思。闭塞是指气的门户闭塞。）所谓少用针石，并不是指痈疽这类疾病。（冬季虽然气门闭塞，但是痈疽病势猛烈，内部形成大脓，如果不及时泻除，就会烂筋腐骨，所以即使是冬季，也适宜用针石来开泄排脓。）痈疽的病不能有一刻的延误。（……按：回，通“违”，意为违背、错过。痈疽最为危急，治疗时稍微违背片刻就会误事。所以即使是冬季，也应当急切使用针石，不在禁用的范围内。）凡是治疗消瘅、仆击、偏枯、痿厥、气满发逆这些病，肥胖尊贵的人得的是高梁之疾。（消，指内消；瘅，指伏热；厥，指气逆。高，即膏脂；梁，即粱米。足部称为跖。肥腻的食物使人热蕴于中，甘甜的食物使人中焦痞满，所以热气内迫，引发消渴、偏枯、气满上逆等病。所谓“逆”，是指违背正常规律，与常人不同。然而忧愁会导致气机闭塞而不运行，所以出现隔塞痞闭，气脉断绝，上下不通。气郁结在体内，大小便通道就不能通畅排泄。为什么呢？因为脏腑之气不化，禁固而不能宣散。外风侵入人体，潜伏不去，阳气在内受热，导致体表火热燔灼，肌肉消烁，所以邪气留着在肉分之间，消瘦而皮肤紧贴筋骨。湿邪胜于足部则筋脉不利，寒邪胜于足部则拘挛紧急，风湿寒邪胜则卫气结聚，卫气结聚则肌肉疼痛，所以足跛不能行走。按：姚止庵注解说得很对，但对“内气暴薄”一句的解释不够确切。“薄”，通“磅因薄”，意为迫近、冲击。人身之气，喜欢通畅而厌恶郁结，郁结到极点就寻求通畅，冲突而起，迫击上下，所以说“暴薄”。正因为是暴迫，所以上行而导致厥逆；正因为上逆，所以耳聋。然而气逆了，但气并没有立刻通达，所以隔塞不通。另外，“不从内外，中风之病”这一句，旧注将“中”字读作去声，也不确切。意思是风邪侵入人体，内不在脏腑，外不在皮毛，而是留着在肌肉之中，所以导致肌肉消瘦，这叫做中风之病。如果解释为外中皮毛，身体只会发寒热，肌肉未必消瘦；内中脏腑，则是半身不遂、厥逆断绝，也不仅仅是肌肉消瘦了。“中”读平声。“着”音直略切。“跖”音织。“跛”音补火切，波上声，指一足短小。）黄疸、暴痛、癫疾、厥狂，是由于长久气逆所产生的。五脏功能不平，是由于六腑闭塞所产生的。头痛耳鸣，九窍不利，是由于肠胃所产生的。（足之三阳经，从头走足，但如果长久厥逆而不向下运行，气就会郁积在上焦，所以产生黄疸、暴痛、癫狂、气逆等病。饮食失宜，呕吐腹泻过度，导致六腑闭塞，进而使五脏之气不和平。肠胃痞塞则气机不循常序，气机不循常序则上下中外互相胜负争扰，所以产生头痛耳鸣、九窍不利等症状。按：疾病有其产生的根源，治疗其产生的根源，病自然痊愈。《阴阳应象大论》说：“治病者，必求于本。”正是这个意思。）
(Yuan Fang's discussion on pulse methods, although consistent with the classic's intent, fails to elucidate further.)
The Yellow Emperor said: In spring, one should urgently treat the collaterals and channels; in summer, one should urgently treat the Jing-River points and Shu-points; in autumn, one should urgently treat the diseases of the Six Fu organs; in winter, the Qi portals are closed. When closed, medication is used, and acupuncture and stone therapy are minimized. (Urgent implies haste. Closed refers to the obstruction of the Qi portals.) The statement "minimizing acupuncture and stone therapy" does not refer to carbuncles and sores. (Although the Qi portals are closed in winter, carbuncles and sores have fierce pathogenic Qi, forming large amounts of pus internally. If not drained promptly, they will rot tendons and corrupt bones. Therefore, even in winter, it is appropriate to use acupuncture and stone therapy to open and drain them.) Carbuncles and sores cannot be delayed for a moment. (...Note: Hui means deviation or delay. Carbuncles and sores are most critical; delaying treatment by even a moment leads to error. Thus, even in winter, urgent use of acupuncture and stone therapy is required, falling outside the category of prohibited treatments.) Generally, treating Xiao-Dan (Wasting-Thirst), Pu-Ji (Sudden Collapse), Pian-Ku (Hemiplegia), Wei-Jue (Atrophy and Paralysis), and Qi-Man Fa-Ni (Qi Fullness and Reversal) involves conditions arising from Gao-Liang (Rich Diet). Ge-Sai Bi-Jue (Obstruction and Blockage) with upper and lower non-communication arises from sudden severe worry. Sudden Jue (Fainting) with deafness, and unilateral blockage/non-communication, arise from sudden internal Qi pressure. Not originating from interior or exterior, but being a Wind-Strike disease, it results from emaciation due to lingering pathogens. Limping is a disease caused by Cold, Dampness, and Wind. (...Xiao refers to internal consumption; Dan refers to latent heat; Jue refers to Qi reversal. Gao refers to fat/grease; Liang refers to grain. The foot is called Zhi. Fatty foods cause heat to accumulate in the middle; sweet foods cause fullness in the middle. Thus, heat presses internally, causing Wasting-Thirst, hemiplegia, and Qi fullness with reversal. "Reversal" means deviating from normal patterns, differing from healthy individuals. However, sorrow causes Qi to close and cease moving, leading to obstruction, blockage, severed Qi pulses, and lack of communication between upper and lower. Qi stagnating internally prevents the smooth excretion of urine and feces. Why? Because the Qi of the Zang-Fu organs fails to transform, becoming fixed and unable to disperse. External Wind invading the body lingers without departing, causing Yang Qi to receive heat internally, which flares externally, consuming muscles. Thus, pathogens linger in the muscle layers, causing emaciation where skin adheres to sinew and bone. Dampness exceeding in the feet leads to tendon dysfunction; Cold exceeding in the feet leads to spasms and urgency. When Wind, Dampness, and Cold prevail, Wei-Qi (Defensive Qi) aggregates. Aggregated Wei-Qi causes muscle pain, resulting in limping and inability to walk. Note: Yao Zhi'an's commentary is correct, but his explanation of "sudden internal Qi pressure" is inaccurate. Bo (press) implies striking or pressing against. Human Qi prefers flow and dislikes stagnation. Extreme stagnation seeks release, causing conflict and rising, striking up and down, hence "sudden pressure." Due to this sudden pressure, Qi rises upward causing Jue-Ni (Reversal); due to upward reversal, deafness occurs. However, although Qi reverses, it does not immediately reach its destination, causing obstruction and non-communication. Furthermore, regarding "not originating from interior or exterior, but being a Wind-Strike disease," reading Zhong (strike/enter) as a departing tone is also inaccurate. It means that when Wind enters the human body, it is neither inside the Zang-Fu nor outside the skin/hair, but lingers within the muscles, causing muscle emaciation; this is named Wind-Strike disease. If interpreted as external Wind striking the skin/hair, the body would only manifest chills and fever, and muscles would not necessarily emaciate; if internal Wind strikes the Zang-Fu, it would cause hemiplegia, collapse, and Jue-Jue, not merely muscle emaciation. Zhong is read with a level tone. Zhuo (linger) is pronounced zhi-lüe qie. Zhi is pronounced zhi. Bo (limp) is pronounced bu-huo qie, wave rising tone, referring to a short leg.) Huang-Dan (Jaundice), Bao-Tong (Sudden Pain), Dian-Ji (Epilepsy), and Jue-Kuang (Jue and Mania) are generated by long-term Qi reversal. Imbalance of the Five Zang organs is generated by obstruction of the Six Fu organs. Headache, tinnitus, and dysfunction of the Nine Orifices are generated by the stomach and intestines. (The Three Yang meridians of the foot run from head to foot. However, if long-term Jue-Ni prevents downward flow, Qi becomes stagnant in the Upper Jiao, generating Jaundice, sudden pain, epilepsy, mania, and Qi reversal. Improper diet, excessive vomiting and diarrhea, lead to obstruction of the Six Fu organs, causing the Qi of the Five Zang organs to become unbalanced. Stomach and intestinal blockage disrupts the orderly flow of Qi; disrupted Qi flow causes mutual contention among upper, lower, interior, and exterior, resulting in headache, tinnitus, and dysfunction of the Nine Orifices. Note: Diseases have their origins; treating their origins cures the disease. The chapter "Yin-Yang Ying Xiang Da Lun" states: "In treating diseases, one must seek the root." This is precisely what is meant here.)