病在肝，俞于夏。夏不愈，甚于秋。秋不死，持于冬，起于春。病在肝，愈于丙丁。丙
丁不愈。加于庚辛。庚辛不加（《素问》作不死，下同），持于壬癸，起于甲乙。禁当风。病
在肝，平旦慧，下晡甚，夜半静。
病在心，愈于长夏。长夏不愈，甚于冬。冬不死，持于春，起于夏。病在心，愈于戊己
。戊己不愈，加于壬癸。壬癸不加，持于甲乙，起于丙丁。禁衣温食热。病在心，日中慧，
夜半甚，平旦静。
病在脾，愈于秋。秋不愈，甚于春。春不死，持于夏，起于长夏。病在脾，愈于庚辛。
庚辛不愈，加于甲乙。甲乙不加，持于丙丁，起于戊己。禁温衣湿地（《素问》云∶禁温衣
饱食湿地濡衣）。病在脾，日 慧，平旦（《素问》作日出）甚，下晡静。
病在肺，俞于冬。冬不愈，甚于夏。夏不死，持于长夏，起于秋。病在肺，愈于壬癸。
壬癸不愈，加于丙丁。丙丁不加，持于戊己，起于庚辛。禁寒衣、冷冻饮料食。病在肺，下晡慧
，日中甚，夜半静。
病在肾，愈于春。春不愈，甚至长夏。长夏不死，持于秋，起于冬。病在肾，愈于甲乙
。甲乙不愈，加于戊己。戊己不死，持于庚辛，起于壬癸。禁犯 HT ，无食热，无温
衣（《素问》作犯 HT 、热食、温炙衣）病在肾，夜半慧，日乘四季甚，下晡静。
邪气之客于身也，以胜相加，至其所生而愈，至其所不胜而甚，至其所生而持，自得其
位而起。
肾移寒于脾，痈肿少气。脾移寒于肝，痈肿筋挛。肝移寒于心，狂，鬲中。心移寒于肺
，为肺消，肺消者饮一溲二，死不治。肺移寒于肾，为涌水。涌水者，按其腹不坚，水气客于
大肠，疾行肠鸣濯濯，如囊裹浆，治主肺者（《素问》作水之病也）。
脾移热于肝，则为惊衄。肝移热于心则死。心移热于肺，传为膈消。肺移热于肾，传为
柔。肾移热于脾，传为虚肠 ，死不可治。胞移热于膀胱，则癃溺血。膀胱移热于小肠，
膈肠不便，上为口糜。小肠移热于大肠，为HT 瘕，为沉。大肠移热于胃，善食而溲，名曰
食，又
暝目，故得之厥也。
正脏受气于其所生，传之于其所胜，气舍于其所生，死于其所不胜。病之且死，必先传
其所行，至不胜乃死。此言气之逆行也，故死。
肝受气于心，传之于脾，气舍于肾，至肺而死。心受气于脾，传之于肺，气舍于肝，至
肾而死。脾受气于肺，传之于肾，气舍于心，至肝而死。肺受气于肾，传之于肝，气舍于脾
，至心而死。肾受气于肝，传之于心，气舍于肺，至脾而死。此皆逆死也。一日一夜五脏
之此，所以占死者之早暮也。
黄帝问曰∶余受九针于夫子，而私览于诸方，或有导引行气，按摩灸熨，刺 饮药，一
者可独守耶，将尽行之乎？岐伯对曰∶诸人者，众人之方也，非一人之所尽行也。曰∶此乃
所谓守一勿失，万物毕者也。余已闻阴阳之要，虚实之理，倾移之过，可治之属。愿闻病之
变化，淫传绝败而不可治者，可得闻乎？曰∶要乎哉问，道昭乎其如旦醒，窘乎其如夜瞑
。能被而服之，神与俱成。毕将服之，神自得之。生神之理，可着于竹帛，不可传之于子孙
也。曰∶何谓旦醒？曰∶明于阴阳，如惑之解，如醉之醒。曰∶何谓夜暝？曰∶喑乎其无声，
漠乎其无形。折毛发理，正气横倾。淫邪泮衍，血脉传留。大气入脏，腹痛下淫。可以致
死，不可以致生。曰∶大气入脏奈何？曰∶病先发于心，心痛。一日之肺而咳。三日之肝肋
支满。五日之脾闭塞不通，身体重。三日不已，死。冬夜半，夏日中。病先发于肺，喘咳
。三日之肝胁支满。一日之脾而身体痛。五日之胃而胀。十日不已，死。冬日入，夏日出
。病先发于肝，头痛目眩，肋支满。一日之脾而身体痛。五日之胃而腹胀。三日之肾，腰脊
少腹
一日之胃而胀。二日之肾，少腹腰脊痛， 酸。三日之膀胱，背膂筋痛，小便闭。十日
不已，死。冬人定，夏晏食。病先发于胃，胀满。五日之肾，少腹腰脊痛， 酸。三日
之
先发于肾，少腹腰脊痛， 酸。三日之膀胱，背膂筋痛，小便闭。三日而上之心
（按《灵枢》、《素问》云三
心胀
闭。五日之肾，少腹胀，腰脊痛， 酸。一日之小肠而腹胀。二日之脾而身体痛。二
日不已，死。冬鸡鸣，夏下晡。诸病以次相传，如是者，皆有死期，不可刺也。
病在肝脏，痊愈于夏季。若夏季未愈，病情在秋季加重。若秋季未死，病情在冬季维持稳定，到春季开始好转。病在肝脏，在丙丁日（属火）痊愈。若丙丁日未愈，病情在庚辛日（属金）加重。若庚辛日不加重（《素问》作不死，下同），在壬癸日（属水）维持稳定，在甲乙日（属木）开始好转。此时应禁止当风受寒。病在肝脏，清晨时神志清醒舒适，傍晚时分症状加重，半夜时安静平稳。
病在心脏，痊愈于长夏。若长夏未愈，病情在冬季加重。若冬季未死，病情在春季维持稳定，到夏季开始好转。病在心脏，在戊己日（属土）痊愈。若戊己日未愈，病情在壬癸日（属水）加重。若壬癸日不加重，在甲乙日（属木）维持稳定，在丙丁日（属火）开始好转。此时应禁止穿厚衣、吃热食。病在心脏，中午时神志清醒舒适，半夜时症状加重，清晨时安静平稳。
病在脾脏，痊愈于秋季。若秋季未愈，病情在春季加重。若春季未死，病情在夏季维持稳定，到长夏开始好转。病在脾脏，在庚辛日（属金）痊愈。若庚辛日未愈，病情在甲乙日（属木）加重。若甲乙日不加重，在丙丁日（属火）维持稳定，在戊己日（属土）开始好转。此时应禁止穿暖衣、睡湿地（《素问》云：禁止穿暖衣、饱食、睡湿衣）。病在脾脏，白天神志清醒，清晨（《素问》作日出时）症状加重，傍晚时安静平稳。
病在肺脏，痊愈于冬季。若冬季未愈，病情在夏季加重。若夏季未死，病情在长夏维持稳定，到秋季开始好转。病在肺脏，在壬癸日（属水）痊愈。若壬癸日未愈，病情在丙丁日（属火）加重。若丙丁日不加重，在戊己日（属土）维持稳定，在庚辛日（属金）开始好转。此时应禁止穿冷衣、喝冷冻饮料或吃生冷食物。病在肺脏，傍晚时神志清醒舒适，中午时症状加重，半夜时安静平稳。
病在肾脏，痊愈于春季。若春季未愈，病情甚至加重于长夏。若长夏未死，病情在秋季维持稳定，到冬季开始好转。病在肾脏，在甲乙日（属木）痊愈。若甲乙日未愈，病情在戊己日（属土）加重。若戊己日不死，在庚辛日（属金）维持稳定，在壬癸日（属水）开始好转。此时应禁止触犯房事，不吃热食，不穿暖衣（《素问》作犯房事、热食、温灸衣）。病在肾脏，半夜时神志清醒舒适，日乘四季（辰、戌、丑、未时）症状加重，傍晚时安静平稳。
邪气侵犯人体，是以五行相克的关系相加害的。邪气到达其所生之脏则痊愈，到达其所不胜之脏则加重，到达其所生之脏则维持稳定，回到本脏当令之时则开始好转。
肾将寒邪移传于脾，会导致痈肿、少气。脾将寒邪移传于肝，会导致痈肿、筋脉拘挛。肝将寒邪移传于心，会导致发狂、膈中胀满。心将寒邪移传于肺，会形成肺消。所谓肺消，是指喝水一份，排尿两份，属于死证，无法治疗。肺将寒邪移传于肾，会形成涌水。所谓涌水，按压腹部并不坚硬，水气客居在大肠，快步行走时肠鸣濯濯作响，像囊袋包裹着浆液一样，治疗应主要调理肺脏（《素问》作水病）。
脾将热邪移传于肝，就会导致惊悸、鼻衄。肝将热邪移传于心，则致死。心将热邪移传于肺，传变为膈消。肺将热邪移传于肾，传变为柔痉。肾将热邪移传于脾，传变为虚损、肠澼，属于死证，不可治疗。胞宫将热邪移传于膀胱，就会导致小便淋沥带血。膀胱将热邪移传于小肠，导致胸膈肠道不通畅，向上发展为口舌糜烂。小肠将热邪移传于大肠，形成瘕积，表现为沉滞。大肠将热邪移传于胃，表现为食欲旺盛但小便短赤，名为食疸，又伴有目眩昏花，这是因为厥逆所致。
正脏之气受生于其所生之脏，传变于其所胜之脏，气停留于其所生之脏，死于其所不胜之脏。疾病即将致死时，必定先传变于其所行的次序，到达所不胜之脏乃死亡。这是说气的逆行，所以致死。
肝受气于心，传变于脾，气舍留于肾，至肺而死。心受气于脾，传变于肺，气舍留于肝，至肾而死。脾受气于肺，传变于肾，气舍留于心，至肝而死。肺受气于肾，传变于肝，气舍留于脾，至心而死。肾受气于肝，传变于心，气舍留于肺，至脾而死。这些都是逆传而死。一日一夜五脏的传变规律，是用来占测死者早晚的。
黄帝问道：我向您学习了九针，又私下阅览了各种医方，其中有导引行气、按摩、灸熨、针刺、服药等方法，这些方法可以单独坚守使用呢，还是应该全部施行呢？岐伯回答说：这些方法，是大众通用的方术，不是一个人能够全部施行的。黄帝说：这就是所谓的“守一勿失，万物毕也”。我已经听说了阴阳的要领、虚实的道理、气机倾移的过错以及可治的疾病类别。我想听听疾病的变化，淫邪传变、绝败而不可治的情况，可以说给我听吗？岐伯说：问得真好啊！道昭然若揭如同早晨醒来，窘迫幽暗如同夜晚入睡。能够顺应并服用它，精神与之俱成。完全地服用它，精神自然获得。生成精神的道理，可以写在竹帛上，但不能传给子孙。黄帝说：什么叫早晨醒来？岐伯说：通晓阴阳，就像困惑解开，像醉酒醒来的状态。黄帝说：什么叫夜晚入睡？岐伯说：寂静无声，漠然无形。折损毛发腠理，正气横溢倾倒。淫邪涣散蔓延，血脉传留滞留。大气侵入内脏，腹痛下利。这可以导致死亡，不可以导致生存。黄帝说：大气侵入内脏是怎么回事？岐伯说：病先发于心，心痛。一天后传肺而咳嗽。三天后传肝，胁肋胀满。五天后传脾，闭塞不通，身体沉重。若三天不止，就会死亡。死于冬天的半夜，夏天的中午。病先发于肺，气喘咳嗽。三天后传肝，胁肋胀满。一天后传脾，身体疼痛。五天后传胃，腹胀。十天不止，就会死亡。死于冬天的日落时分，夏天的日出时分。病先发于肝，头痛目眩，胁肋胀满。一天后传脾，身体疼痛。五天后传胃，腹胀。三天后传肾，腰脊少腹...（此处原文有缺漏，根据上下文补全逻辑）...一天后传胃，腹胀。两天后传肾，少腹腰脊痛，酸软。三天后传膀胱，背膂筋痛，小便闭。十天不止，就会死亡。死于冬天的入定时分，夏天的晏食时分。病先发于胃，胀满。五天后传肾，少腹腰脊痛，酸软。三天后传...（原文此处有脱文，据《素问·玉机真脏论》补：传脾，身体重）...病先发于肾，少腹腰脊痛，酸软。三天后传膀胱，背膂筋痛，小便闭。三天后而上传于心...（原文此处有脱文，据《灵枢·病传》补：心胀）...闭。五天后传肾，少腹胀，腰脊痛，酸软。一天后传小肠，腹胀。两天后传脾，身体疼痛。两天不止，就会死亡。死于冬天的鸡鸣时分，夏天的傍晚时分。各种疾病按次序传变，像这样，都有死期，不可用针刺治疗。
When the disease is in the Liver, it heals in Summer. If it does not heal in Summer, it worsens in Autumn. If it does not die in Autumn, it stabilizes in Winter, and begins to recover in Spring. When the disease is in the Liver, it heals on Bing-Ding days (Fire days). If it does not heal on Bing-Ding days, it worsens on Geng-Xin days (Metal days). If it does not worsen on Geng-Xin days (In *Suwen*, "does not die"), it stabilizes on Ren-Gui days (Water days), and begins to recover on Jia-Yi days (Wood days). One must avoid exposure to wind. When the disease is in the Liver, the patient feels clear-headed at dawn, symptoms worsen in the late afternoon, and are calm at midnight.
When the disease is in the Heart, it heals in Late Summer. If it does not heal in Late Summer, it worsens in Winter. If it does not die in Winter, it stabilizes in Spring, and begins to recover in Summer. When the disease is in the Heart, it heals on Wu-Ji days (Earth days). If it does not heal on Wu-Ji days, it worsens on Ren-Gui days (Water days). If it does not worsen on Ren-Gui days, it stabilizes on Jia-Yi days (Wood days), and begins to recover on Bing-Ding days (Fire days). One must avoid wearing warm clothes and eating hot food. When the disease is in the Heart, the patient feels clear-headed at noon, symptoms worsen at midnight, and are calm at dawn.
When the disease is in the Spleen, it heals in Autumn. If it does not heal in Autumn, it worsens in Spring. If it does not die in Spring, it stabilizes in Summer, and begins to recover in Late Summer. When the disease is in the Spleen, it heals on Geng-Xin days (Metal days). If it does not heal on Geng-Xin days, it worsens on Jia-Yi days (Wood days). If it does not worsen on Jia-Yi days, it stabilizes on Bing-Ding days (Fire days), and begins to recover on Wu-Ji days (Earth days). One must avoid wearing warm clothes and lying on damp ground (*Suwen* states: avoid warm clothes, full meals, and wet clothes). When the disease is in the Spleen, the patient feels clear-headed during the day, symptoms worsen at dawn (*Suwen* says at sunrise), and are calm in the late afternoon.
When the disease is in the Lung, it heals in Winter. If it does not heal in Winter, it worsens in Summer. If it does not die in Summer, it stabilizes in Late Summer, and begins to recover in Autumn. When the disease is in the Lung, it heals on Ren-Gui days (Water days). If it does not heal on Ren-Gui days, it worsens on Bing-Ding days (Fire days). If it does not worsen on Bing-Ding days, it stabilizes on Wu-Ji days (Earth days), and begins to recover on Geng-Xin days (Metal days). One must avoid cold clothes, frozen drinks, and cold food. When the disease is in the Lung, the patient feels clear-headed in the late afternoon, symptoms worsen at noon, and are calm at midnight.
When the disease is in the Kidney, it heals in Spring. If it does not heal in Spring, it even worsens in Late Summer. If it does not die in Late Summer, it stabilizes in Autumn, and begins to recover in Winter. When the disease is in the Kidney, it heals on Jia-Yi days (Wood days). If it does not heal on Jia-Yi days, it worsens on Wu-Ji days (Earth days). If it does not die on Wu-Ji days, it stabilizes on Geng-Xin days (Metal days), and begins to recover on Ren-Gui days (Water days). One must avoid sexual intercourse, eating hot food, and wearing warm clothes (*Suwen* states: avoid sexual intercourse, hot food, and warm moxa-applied clothes). When the disease is in the Kidney, the patient feels clear-headed at midnight, symptoms worsen during the four seasonal transitions (Chen, Xu, Chou, Wei hours), and are calm in the late afternoon.
When pathogenic factors invade the body, they act according to the cycle of overcoming (Wu Xing). Healing occurs when reaching the organ it generates; worsening occurs when reaching the organ that overcomes it; stabilization occurs when reaching the organ it generates; recovery begins when returning to its own commanding position.
If Cold from the Kidney transmits to the Spleen, it causes abscesses and shortness of breath. If Cold from the Spleen transmits to the Liver, it causes abscesses and tendon spasms. If Cold from the Liver transmits to the Heart, it causes mania and chest diaphragm distension. If Cold from the Heart transmits to the Lung, it forms Fei Xiao (Lung Consumption). Fei Xiao is characterized by drinking one part and urinating two parts; it is a fatal condition and untreatable. If Cold from the Lung transmits to the Kidney, it forms Yong Shui (Surging Water). Yong Shui is characterized by a soft abdomen upon palpation, with water qi lodging in the Large Intestine, causing gurgling bowel sounds when walking quickly, like a bag containing paste. Treatment should primarily target the Lung (*Suwen* refers to this as Water Disease).
If Heat from the Spleen transmits to the Liver, it causes fright and epistaxis. If Heat from the Liver transmits to the Heart, it leads to death. If Heat from the Heart transmits to the Lung, it transforms into Ge Xiao (Diaphragmatic Consumption). If Heat from the Lung transmits to the Kidney, it transforms into Rou Jing (Soft Spasm). If Heat from the Kidney transmits to the Spleen, it transforms into deficiency and intestinal dysentery, which is a fatal and untreatable condition. If Heat from the Bao Gong (Uterus) transmits to the Bladder, it causes strangury and hematuria. If Heat from the Bladder transmits to the Small Intestine, it causes obstruction of the chest and intestines, leading upward to oral ulcers. If Heat from the Small Intestine transmits to the Large Intestine, it forms Zhen Jia (masses), presenting as sinking sensation. If Heat from the Large Intestine transmits to the Stomach, it presents with excessive hunger but scanty urine, named Shi Dan (Food Jaundice), accompanied by dizziness and blurred vision, caused by Jue Ni (Rebellious Qi).
The healthy organs receive Qi from the organ they generate, transmit it to the organ they overcome, lodge it in the organ they generate, and die when reaching the organ that overcomes them. Before death, the disease必先 transmits along its course until it reaches the overcoming organ, then death occurs. This describes the reverse flow of Qi, hence it leads to death.
The Liver receives Qi from the Heart, transmits it to the Spleen, lodges it in the Kidney, and dies when reaching the Lung. The Heart receives Qi from the Spleen, transmits it to the Lung, lodges it in the Liver, and dies when reaching the Kidney. The Spleen receives Qi from the Lung, transmits it to the Kidney, lodges it in the Heart, and dies when reaching the Liver. The Lung receives Qi from the Kidney, transmits it to the Liver, lodges it in the Spleen, and dies when reaching the Heart. The Kidney receives Qi from the Liver, transmits it to the Heart, lodges it in the Lung, and dies when reaching the Spleen. All these are reverse transmissions leading to death. The transmission pattern within one day and night among the five Zang organs is used to predict the timing of death.
Yellow Emperor asked: I received the Nine Needles from you and privately studied various prescriptions. There are methods such as Dao Yin (guiding and pulling), Qi regulation, massage, moxibustion and warming, acupuncture, and herbal medicine. Can one adhere strictly to a single method, or should all be practiced? Qibo replied: These methods are common prescriptions for the masses, not suitable for one person to practice entirely. Yellow Emperor said: This is what is meant by "guarding the One without losing it, and all things are complete." I have heard of the essentials of Yin and Yang, the principles of deficiency and excess, the errors of Qi displacement, and categories of treatable diseases. I wish to hear about the changes of diseases, the spread of pathogenic factors, exhaustion, failure, and untreatable conditions. Qibo said: Excellent question! The Dao is clear as waking in the morning, and obscure as sleeping at night. If one can accept and apply it, Shen (Spirit) will form together with it. If one fully applies it, Shen will naturally obtain it. The principle of generating Shen can be written on bamboo and silk, but cannot be passed down to descendants. Yellow Emperor asked: What is meant by waking in the morning? Qibo said: Understanding Yin and Yang is like resolving confusion, like waking from drunkenness. Yellow Emperor asked: What is meant by sleeping at night? Qibo said: Silent and formless. Damaging hair and pores, Zheng Qi (Upright Qi) collapses. Pathogenic factors spread diffusely, blood vessels stagnate. Da Qi (Great Qi) enters the Zang organs, causing abdominal pain and lower discharge. This can lead to death, not to life. Yellow Emperor asked: How does Da Qi enter the Zang organs? Qibo said: If the disease starts in the Heart, there is heart pain. After one day, it reaches the Lung causing cough. After three days, it reaches the Liver causing rib-side fullness. After five days, it reaches the Spleen causing blockage, heaviness of the body. If not resolved in three days, death occurs. Death happens at midnight in winter and noon in summer. If the disease starts in the Lung, there is wheezing and cough. After three days, it reaches the Liver causing rib-side fullness. After one day, it reaches the Spleen causing body pain. After five days, it reaches the Stomach causing distension. If not resolved in ten days, death occurs. Death happens at sunset in winter and sunrise in summer. If the disease starts in the Liver, there is headache, vertigo, and rib-side fullness. After one day, it reaches the Spleen causing body pain. After five days, it reaches the Stomach causing abdominal distension. After three days, it reaches the Kidney causing lower back, spine, and lower abdominal pain... [Text fragment missing in source, inferred context] ... After one day, it reaches the Stomach causing distension. After two days, it reaches the Kidney causing lower abdominal, lower back, and spine pain, and soreness. After three days, it reaches the Bladder causing back and spine tendon pain, and urinary retention. If not resolved in ten days, death occurs. Death happens at Ding hour (7-9 PM) in winter and Yan Shi time in summer. If the disease starts in the Stomach, there is distension and fullness. After five days, it reaches the Kidney causing lower abdominal, lower back, and spine pain, and soreness. After three days, it reaches... [Text fragment missing] ... If the disease starts in the Kidney, there is lower abdominal, lower back, and spine pain, and soreness. After three days, it reaches the Bladder causing back and spine tendon pain, and urinary retention. After three days, it moves upward to the Heart... [Text fragment missing] ... Heart distension and blockage. After five days, it reaches the Kidney causing lower abdominal distension, lower back and spine pain, and soreness. After one day, it reaches the Small Intestine causing abdominal distension. After two days, it reaches the Spleen causing body pain. If not resolved in two days, death occurs. Death happens at Ji Ming time (3-5 AM) in winter and Xia Pu time (late afternoon) in summer. Diseases transmitted in sequence like this all have a fixed time of death and cannot be treated with acupuncture.