平按∶此篇见《素问》卷十一第四十《腹中论》篇，又见《甲乙经》卷七第一中篇。
黄帝问于岐伯曰∶病热者而有所痛者何也？曰∶热病者，阳脉也，以三阳之动也，
人迎一盛少阳，二盛太阳，三盛阳明，在太阳□太阳入于阴，故痛也，在头与腹，乃
胀而头痛。黄帝曰∶善哉。（阳明血气最大，故人迎三盛，得知有病。太阳次少，故二
盛得知。次少阳最少，故一盛得知。热病为阳，太阳在头，故热病起，太阳先受。太阳
受已，下入阳明，故阳明次病。阳明受已，末流少阳，故少阳有病。太阳入于少阴，阳
盛阴虚，故头痛。阳盛阴虚，故腹胀也。平按∶《甲乙》一盛、二盛、三盛下均有在字。
《素问》在太阳三字作入阴也三字，新校正云∶“《甲乙经》无入阴也三字。”“太阳
入于阴故痛也在头与腹”《素问》、《甲乙》作“夫阳入于阴，故病在头与腹”。）
平按∶此篇见《素问》卷十三第四十七《奇病论》篇，又见《甲乙经》卷十一第六。
黄帝曰∶有病口甘者，名为何？何以得之？岐伯曰∶此五气之溢也，名曰脾瘅。
夫五味入于口，藏于胃，脾为之行其清气，液在脾，令人口甘，此肥羹之所致也。此
人必数食甘
美而多肥者，令人内热，甘者令人满，故其气上溢转，转为消渴，治之以兰，兰除陈气。
（五气，五谷之气。液在脾者，五谷液也。肥羹令人热中，故脾行涎液，出廉泉，入口
中，名曰脾瘅。内热气溢，转为消渴，以兰为汤饮之，可以除陈气也。平按∶《素问》
名为何作病名为何，《甲乙》作病名曰何。清气《素问》作精气，《甲乙》作津液。液
在脾《素问》、《甲乙》作津液在脾。此肥羹之所致也《素问》、《甲乙》羹作美，致
作发，新校正云∶“《太素》发作致。”《素问》而多下有肥也二字。《素问》、《甲
乙》满上有中字，转字不重。消渴《甲乙》作消瘅，注云∶《素问》作消渴。《素问》、
《甲乙》兰字不重。）
平按：此篇见于《素问》卷十一第四十《腹中论》篇，又见于《甲乙经》卷七第一中篇。
黄帝向岐伯问道：患热病（感受阳邪所致的高热性疾病）的人却出现疼痛症状，这是为什么呢？
岐伯回答说：热病属于阳脉病变，是由于三阳经之气异常亢动所致。人迎脉搏动比寸口快一倍为少阳经受邪，快两倍为太阳经受邪，快三倍为阳明经受邪。若太阳经之邪气内传入阴分，所以会产生疼痛；若病位在头部与腹部，则会出现腹胀和头痛的症状。
黄帝说：讲得好。（注：阳明经气血最旺盛，所以人迎脉大三倍可知有病。太阳经气血次之，所以人迎脉大二倍可知有病。少阳经气血最少，所以人迎脉大一倍可知有病。热病属阳证，太阳经主表且在头项，所以热病发作时，太阳经首先受邪。太阳经受邪后，邪气下行传入阳明经，所以阳明经随后受病。阳明经受邪后，邪气流传至末端的少阳经，所以少阳经发病。太阳经邪气传入少阴经，导致阳气盛而阴气虚，所以出现头痛。阳气盛而阴气虚，所以出现腹胀。）
平按：《甲乙经》在“一盛”、“二盛”、“三盛”下均有“在”字。《素问》中“在太阳”三字作“入阴也”三字，新校正云：“《甲乙经》无‘入阴也’三字。”《素问》、《甲乙经》原文作“夫阳入于阴，故病在头与腹”。
平按：此篇见于《素问》卷十三第四十七《奇病论》篇，又见于《甲乙经》卷十一第六。
黄帝说：有人患病口中发甜，这叫什么病？是怎么得的呢？
岐伯回答说：这是五谷精气外溢所致，名叫脾瘅（脾热病）。
五味入口后，藏留于胃，由脾为其运化清气。津液滞留于脾，使人口中发甜，这是由于多食肥甘厚味所导致的。这种人必定经常食用甘甜美味且油腻的食物，使人产生内热。甘味食物使人脘腹满闷，所以脾气上溢，进而转化为消渴病（以多饮、多食、多尿、身体消瘦为特征的疾病），治疗应用兰草（如佩兰），兰草能去除体内陈腐积滞之气。
（注：五气指五谷之气。津液滞留于脾，即五谷之津液。肥腻汤羹使人热蕴于中，所以脾运化涎液，出于廉泉穴，进入口中，名为脾瘅。内热炽盛，气机上溢，进而转化为消渴病，用兰草煎汤饮用，可以去除陈腐积滞之气。）
平按：《素问》中“名为何”作“病名为何”，《甲乙经》作“病名曰何”。《素问》中“清气”作“精气”，《甲乙经》作“津液”。“液在脾”在《素问》、《甲乙经》中作“津液在脾”。“此肥羹之所致也”在《素问》、《甲乙经》中“羹”作“美”，“致”作“发”，新校正云：“《太素》作‘发’为‘致’。”《素问》中“而多”下有“肥也”二字。《素问》、《甲乙经》中“满”上有“中”字，“转”字不重复。“消渴”在《甲乙经》中作“消瘅”，注云：“《素问》作‘消渴’。”《素问》、《甲乙经》中“兰”字不重复。
Ping An: This chapter appears in Volume 11, Chapter 40 "Fu Zhong Lun" (Treatise on Abdominal Disorders) of the *Su Wen* (Basic Questions), and also in Volume 7, First Middle Section of the *Jia Yi Jing* (Classified Classic of Acupuncture and Moxibustion).
The Yellow Emperor asked Qi Bo: Why do patients with Re Bing (Heat Disease) experience pain?
Qi Bo replied: Re Bing is characterized by Yang pulses; it arises from the hyperactive movement of the Three Yang meridians. If the Ren Ying pulse (pulse at the carotid artery) beats one time faster than the Cun Kou pulse (radial pulse), it indicates Shaoyang syndrome; two times faster indicates Taiyang syndrome; three times faster indicates Yangming syndrome. If Taiyang pathogenic factors enter the Yin aspect, pain occurs. If the pathology involves the head and abdomen, distension and headache result.
The Yellow Emperor said: Excellent. (Note: The Yangming meridian has the greatest quantity of Qi and Blood; thus, a Ren Ying pulse three times faster indicates disease. The Taiyang meridian is next in magnitude, so a pulse two times faster indicates disease. The Shaoyang meridian has the least, so a pulse one time faster indicates disease. Heat diseases are Yang patterns. Since the Taiyang meridian governs the exterior and the head, when a heat disease begins, the Taiyang meridian is affected first. After Taiyang is affected, the pathogen descends to affect the Yangming meridian, so Yangming is affected subsequently. After Yangming is affected, the pathogen flows to the terminal Shaoyang meridian, so Shaoyang becomes diseased. When Taiyang pathogen enters the Shaoyin meridian, Yang excess and Yin deficiency occur, causing headache. Yang excess and Yin deficiency cause abdominal distension.)
Ping An: In the *Jia Yi Jing*, the character "Zai" (at/in) follows "Yi Sheng," "Er Sheng," and "San Sheng." In the *Su Wen*, the characters "Zai Taiyang" are written as "Ru Yin Ye" (entering Yin). Xin Zhengjiao states: "The *Jia Yi Jing* lacks the three characters 'Ru Yin Ye'." The *Su Wen* and *Jia Yi Jing* read: "When Yang enters Yin, the disease manifests in the head and abdomen."
Ping An: This chapter appears in Volume 13, Chapter 47 "Qi Bing Lun" (Treatise on Rare Diseases) of the *Su Wen*, and also in Volume 11, Sixth Section of the *Jia Yi Jing*.
The Yellow Emperor said: There is a condition where the mouth tastes sweet. What is this disease called? How does it arise?
Qi Bo replied: This is the overflow of the essence of the Five Grains, named Pi Dan (Spleen Heat Disease).
When the Five Flavors enter the mouth, they are stored in the Stomach. The Spleen transports their clear Qi. Fluid retention in the Spleen causes sweetness in the mouth; this results from consuming rich and fatty foods. Such individuals must frequently consume sweet, delicious, and fatty foods, which generate internal heat. Sweetness causes fullness; thus, the Qi overflows upward, transforming into Xiao Ke (Wasting-Thirst Syndrome). Treatment should use Lan (Orchid/Pogostemon cablin), which removes stale and accumulated pathogenic factors.
(Note: The Five Qi refer to the Qi of the Five Grains. Fluid retention in the Spleen refers to the fluids of the Five Grains. Rich and fatty soups cause heat to accumulate internally; thus, the Spleen transforms saliva, which exits via the Lianquan acupoint and enters the mouth, named Pi Dan. Internal heat flares up and Qi overflows, transforming into Xiao Ke. Drinking Lan decoction can remove stale accumulated factors.)
Ping An: In the *Su Wen*, "Ming Wei He" is written as "Bing Ming Wei He"; in the *Jia Yi Jing*, it is "Bing Ming Yue He." In the *Su Wen*, "Qing Qi" is written as "Jing Qi"; in the *Jia Yi Jing*, it is "Jin Ye." "Ye Zai Pi" (Fluid in the Spleen) is written as "Jin Ye Zai Pi" in the *Su Wen* and *Jia Yi Jing*. In the *Su Wen* and *Jia Yi Jing*, "Fei Geng" is written as "Mei," and "Zhi" is written as "Fa." Xin Zhengjiao states: "The *Tai Su* writes 'Fa' as 'Zhi'." The *Su Wen* includes the characters "Fei Ye" after "Er Duo." In the *Su Wen* and *Jia Yi Jing*, the character "Zhong" precedes "Man," and the character "Zhuan" is not repeated. In the *Jia Yi Jing*, "Xiao Ke" is written as "Xiao Dan," with a note stating: "The *Su Wen* writes 'Xiao Ke'." The character "Lan" is not repeated in the *Su Wen* and *Jia Yi Jing*.