平按∶此篇见《素问》卷十三第四十七《奇病论》，又见《甲乙经》卷八第二。
黄帝问于岐伯曰∶病胁下满，气逆行，二三岁不已，是为何病？岐伯曰∶名曰息积，
此不妨于食，不可灸，刺精为引服药，药不能独治也。黄帝曰∶善。（胁下满，肝气聚
也。因于喘息，则气逆行，故气聚积，经二三岁，名曰息积，无妨于食，而不可灸，可
以刺□引精并服药，药行不可更刺。平按∶《素问》逆下无行字。精为引《素问》、《甲
乙》作积为导引，袁刻作精为导引。注可以刺，袁刻刺字在可以二字之上，可以下有导
引二字，无精字。原抄作可以刺，刺下缺一字，缺字下有引精二字，谨根据原抄。）
平按∶此篇见《素问》卷十一第四十《腹中论》，又见《素问》卷十三第四十七
《奇病论》，又见《甲乙经》卷八第二。
黄帝问曰∶人有身体 ，股胫皆肿，环脐而痛，是为何病？岐伯曰∶病名曰伏梁，
此风根也，不可动，动之为水，溺清之府。（头以下为身，四肢曰体， 义当腐也。髀
外曰股，膝下长骨曰胫，如此四处皆腐肿，并绕脐痛，名曰伏梁。此伏梁病，以风为本
也。动，变发也。若有变发，可为水病。溺，冷清之府也。平
按∶《素问》 作髀，不可动上有“其气溢于大肠而着于肓，肓之原在齐下，故环齐
而痛也”二十二字，本书在后。《甲乙》、《素问》清作涩，府作病。）黄帝问曰∶病
有少腹盛者，上下左右皆有根，此为何病？可治否？岐伯曰∶病名伏梁。伏梁何因如得
之？（平按∶《素问》作“帝曰∶伏梁因何而得之？”）答曰∶裹脓血，居肠胃之外，
不可治，治之每切按之致死。（因有膜裹脓血，在肠胃外，四箱有根在少腹中，不可按
之，故按之痛，遂致于死，名曰伏梁。平按∶《素问》、《甲乙》裹下有大字。）问曰∶
何以然？曰∶此下则因阴，必脓血上则迫胃脘出膈，使胃脘内痈。（何以按之致死？以
其伏梁下因于阴，脓血必上迫于胃管，上出于膈，使胃管生痈，故按之下引于阴，上连
心腹，所以致死。脘□□□平按∶《素问》、《甲乙》必脓血作必下脓血，出膈作生膈，
使胃作挟胃，《素问》新校正云∶《太素》挟胃作使胃。）此人之病难治也，居齐上为
逆，居齐下为顺，勿动亟夺，论在《刺法》中，此风根也，其气溢于大肠而着于肓，肓
之源在齐下，故环齐而痛也。（如此之病，得时必久也。亟，欺吏反，数也。此病是风
为本，其气溢于大肠之中，着于齐下盲原，故环脐痛。不可辄动数夺，夺之致死。以居
盲原，所以齐上为逆也。平按∶此人之病难治也《素问》、《甲乙》作此久病难治。袁
刻人字作积人二字。齐《素问》、《甲乙》作脐。源《素问》、《甲乙》作原。）
【平按】：此篇见于《素问》卷十三第四十七《奇病论》，又见于《甲乙经》卷八第二。
黄帝向岐伯问道：有人胁下胀满，气机逆乱上行，持续两三年不愈，这是什么病？岐伯回答说：名叫息积（一种以呼吸异常和胁下积块为特征的慢性病）。这种病不影响饮食，但不可用艾灸治疗，针刺需配合导引术并服用药物，因为单靠药物无法治愈。黄帝说：好。（注释：胁下胀满是肝气郁结聚集所致。因伴有喘息，所以气机逆乱，导致气聚积，经过两三年，名为息积，虽不妨碍进食，但不可艾灸，可以通过针刺引导精气并服药，药力运行后便不再需要针刺。【平按】：《素问》中“逆”字下无“行”字。“精为引”在《素问》、《甲乙经》中作“积为导引”，袁刻本作“精为导引”。注文中“可以刺”三字，袁刻本“刺”字在“可以”二字之上，“可以”下有“导引”二字，无“精”字。原抄本作“可以刺”，“刺”字下缺一字，缺字下有“引精”二字，谨根据原抄本整理。）
【平按】：此篇见于《素问》卷十一第四十《腹中论》，又见于《素问》卷十三第四十七《奇病论》，又见于《甲乙经》卷八第二。
黄帝问道：有人身体浮肿，大腿和小腿都肿胀，肚脐周围疼痛，这是什么病？岐伯回答说：病名叫做伏梁（一种腹部积块病），这是由风邪引起的病根，不可触动，一旦触动就会引发水液代谢障碍，导致小便不利或清长。（注释：头以下为身，四肢称为体，此处“ ”义当指腐烂肿胀。大腿外侧称为股，膝盖以下的长骨称为胫，这四处都出现腐肿，并且环绕肚脐疼痛，名为伏梁。这种伏梁病，以风邪为本源。动，指变发。如果变发，可能转化为水病。溺，指冷清之府。【平按】：《素问》中“ ”作“髀”，“不可动”上有“其气溢于大肠而着于肓，肓之原在齐下，故环齐而痛也”二十二字，本书将其放在后面。《甲乙经》、《素问》中“清”作“涩”，“府”作“病”。）
黄帝问道：有人少腹部位胀满坚实，上下左右都有根基，这是什么病？可以治疗吗？岐伯回答说：病名伏梁。伏梁是什么原因导致的？（【平按】：《素问》作“帝曰：伏梁因何而得之？”）回答说：体内包裹着脓血，位于肠胃之外，难以治愈，治疗时如果用力按压会导致死亡。（注释：因为有膜包裹脓血，在肠胃外面，四周有根基在少腹中，不可按压，所以按压会疼痛，进而致死，名为伏梁。【平按】：《素问》、《甲乙经》“裹”字下有“大”字。）问道：为什么这样呢？回答说：这是因为下部连接阴分，上部则压迫胃脘穿出膈肌，使胃脘内部形成痈肿。（注释：为什么按压会导致死亡？因为伏梁下部连接阴分，脓血必然向上压迫胃管，向上穿出膈肌，使胃管生痈，所以按压之下部牵引阴分，上部连接心腹，因此致死。脘□□□【平按】：《素问》、《甲乙经》“必脓血”作“必下脓血”，“出膈”作“生膈”，“使胃”作“挟胃”，《素问》新校正云：《太素》中“挟胃”作“使胃”。）这种人的病很难治疗，病灶在脐上为逆证，在脐下为顺证，不要频繁触动和攻夺，相关论述在《刺法》中，这是风邪引起的病根，其气溢出到大肠并附着于肓膜，肓的原穴在脐下，所以环绕脐部疼痛。（注释：这样的病，患病时间必定长久。亟，音欺吏反，意为多次。此病以风邪为本，其气溢出在大肠之中，附着在脐下的盲原，所以环绕脐部疼痛。不可轻易触动并多次攻夺，攻夺会导致死亡。因为位于盲原，所以在脐上为逆证。【平按】：此人之病难治也，《素问》、《甲乙经》作“此久病难治”。袁刻本“人”字作“积人”二字。齐，《素问》、《甲乙经》作“脐”。源，《素问》、《甲乙经》作“原”。）
[Ping An]: This chapter appears in *Suwen* (Plain Questions), Volume 13, Chapter 47 "Treatise on Strange Diseases", and also in *Jiayi Jing* (The Systematic Classic of Acupuncture and Moxibustion), Volume 8, Chapter 2.
Yellow Emperor asked Qibo: A patient presents with fullness under the hypochondrium, rebellious Qi moving upward, persisting for two or three years without resolution. What is this disease? Qibo replied: It is named Xi Ji (Respiration Accumulation, a chronic condition characterized by respiratory abnormalities and hypochondriac masses). This condition does not affect eating, but moxibustion is contraindicated. Acupuncture should be combined with Daoyin (guiding and pulling exercises) and herbal medicine; medication alone cannot cure it. Yellow Emperor said: Good. [Annotation: Fullness under the hypochondrium is due to the gathering of Liver Qi. Due to panting, Qi moves rebelliously, causing Qi accumulation. After two or three years, it is named Xi Ji. Although it does not hinder eating, moxibustion is forbidden. One can use acupuncture to guide Jing (Essence) and take medicine; after the medicine acts, no further need for acupuncture exists. [Ping An]: In *Suwen*, there is no character "Xing" (move) after "Ni" (rebellious). "Jing Wei Yin" (Essence as guidance) in *Suwen* and *Jiayi Jing* is written as "Ji Wei Daoyin" (Accumulation as guidance), while Yuan's edition writes "Jing Wei Daoyin". In the annotation "Ke Yi Ci" (Can puncture), Yuan's edition places "Ci" above "Ke Yi", with "Daoyin" below "Ke Yi" and no "Jing". The original manuscript writes "Ke Yi Ci", missing one character after "Ci", followed by "Yin Jing" (Guide Essence). I strictly follow the original manuscript.]
[Ping An]: This chapter appears in *Suwen*, Volume 11, Chapter 40 "Treatise on Abdominal Center", also in *Suwen*, Volume 13, Chapter 47 "Treatise on Strange Diseases", and again in *Jiayi Jing*, Volume 8, Chapter 2.
Yellow Emperor asked: There is a person whose body is swollen, with both thighs and calves swollen, and pain surrounding the navel. What is this disease? Qibo replied: The disease is named Fu Liang (Hidden Beam, an abdominal mass disease). This is a root caused by Wind pathogen. It must not be disturbed; if disturbed, it will transform into water retention, leading to abnormal urination (clear or scanty). [Annotation: The head and trunk are called Shen (body), and the four limbs are called Ti (body/extremities). Here, the character implies rotting/swelling. The outer part of the thigh is Gu (thigh), and the long bone below the knee is Jing (shin). Swelling and rotting occur in these four areas, along with pain around the navel, named Fu Liang. This Fu Liang disease has Wind as its root. "Dong" means transformation/manifestation. If it transforms, it may become a water disease. "Niao" refers to the organ of cold and clear fluids. [Ping An]: In *Suwen*, the character is written as "Bi" (thigh). Above "Bu Ke Dong" (Cannot disturb), there are twenty-two characters: "Qi overflows into the Large Intestine and attaches to Huang (Diaphragmatic Origin); the origin of Huang is below the navel, hence pain surrounds the navel." These are placed later in this book. In *Jiayi Jing* and *Suwen*, "Qing" is written as "Se" (astringent/scanty), and "Fu" is written as "Bing" (disease).]
Yellow Emperor asked: There is a person with fullness and hardness in the lower abdomen, with roots extending up, down, left, and right. What is this disease? Can it be treated? Qibo replied: The disease is named Fu Liang. What causes Fu Liang? ([Ping An]: *Suwen* reads: "Emperor said: How is Fu Liang acquired?") Answer: It wraps pus and blood, residing outside the stomach and intestines. It is incurable; treating it by pressing hard will cause death. [Annotation: Because there is a membrane wrapping pus and blood outside the stomach and intestines, with roots in the lower abdomen, it must not be pressed. Pressing causes pain and leads to death, named Fu Liang. [Ping An]: In *Suwen* and *Jiayi Jing*, there is a large character "Da" after "Guo" (wrap).] Asked: Why is this so? Answer: Because it connects to the Yin below, and presses against the Stomach Guan (cardia/pylorus) above, piercing through the Diaphragm, causing an internal abscess in the Stomach Guan. [Annotation: Why does pressing cause death? Because Fu Liang connects to Yin below, pus and blood inevitably press upward on the Stomach Guan, emerging above the Diaphragm, causing an abscess in the Stomach Guan. Thus, pressing downward pulls on Yin, and upward connects to the heart and abdomen, leading to death. Guan□□□ [Ping An]: In *Suwen* and *Jiayi Jing*, "Bi Nong Xue" (must pus blood) is written as "Bi Xia Nong Xue" (must downward pus blood), "Chu Ge" (exit diaphragm) as "Sheng Ge" (generate diaphragm), and "Shi Wei" (make stomach) as "Xie Wei" (clasp stomach). *Suwen* Xin Zheng Xiao says: *Taisu* writes "Xie Wei" as "Shi Wei".] This person's disease is difficult to treat. Located above the navel is a counter-flow (adverse) pattern; located below the navel is a smooth (favorable) pattern. Do not disturb frequently or drain aggressively. The discussion is in *Cifa* (Needling Methods). This is a root caused by Wind; its Qi overflows into the Large Intestine and attaches to the Huang (diaphragmatic area). The source of Huang is below the navel, hence pain surrounds the navel. [Annotation: Such a disease, once contracted, lasts a long time. "Ji" (pronounced qi-li fan) means frequent/repeated. This disease has Wind as its root; its Qi overflows within the Large Intestine and attaches to the Huang Yuan (origin of the diaphragm) below the navel, hence pain surrounds the navel. Do not lightly disturb or drain repeatedly; draining leads to death. Because it resides in the Huang Yuan, being above the navel is adverse. [Ping An]: "Ci Ren Zhi Bing Nan Zhi Ye" (This person's disease is difficult to treat) in *Suwen* and *Jiayi Jing* is written as "Ci Jiu Bing Nan Zhi" (This long-standing disease is difficult to treat). Yuan's edition writes "Ren" as "Ji Ren" (two characters). "Qi" (nape/center) in *Suwen* and *Jiayi Jing* is written as "Qi" (navel). "Yuan" (source) in *Suwen* and *Jiayi Jing* is written as "Yuan" (original/source).]