卫气虚则不用”，肉如苛也作肉如故也，有下有也字。《甲乙经》曰死作三十日死。）
风痹淫病不可已者，足如履冰，时如汤入腹中，胀胫淫泺，烦心头痛，时欧时惋，
眩以汗出，久则目眩，悲以喜恐，短气不乐，不出三年死。（人病风痹之病，又有此十
二状者，不出三年死也。平按∶风痹淫病，《灵枢》病上有泺字。汤入腹中《灵枢》、
《甲乙》作入汤中。胀胫《灵枢》作股胫，《甲乙》作肢胫。时欧时惋《灵枢》作时呕
时，《甲乙》作时呕时闷。喜恐《甲乙》作喜怒。《灵枢》无不乐二字。）
平按∶此篇自坚字以上已佚，篇目亦不可考。袁刻从《灵枢·刺节真邪篇》自黄
帝曰有一脉生数十病者节录补入。查自黄帝曰有一脉生数十病者至岐伯曰此邪气之所生
也一段，已见本书卷二十二《五邪刺》篇，未免重出。兹特从《灵枢·刺节真邪篇》黄
帝曰余闻气者有真气以下至手按之，补于坚字之上。其自坚有所结至末，见《灵枢》卷
十一第七十五《刺节真邪》篇，又见《甲乙经》卷十一第九下编。
黄帝曰∶余闻气者，有真气，有正气，有邪气。何谓真气？岐伯曰∶真气者，所受
于天，与谷气并而充身也。正气者，正风也，从一方来，非实风又非虚风也。（平按∶
《甲乙》无非实风又四字，注云∶“《太素》云∶非灾风也。”）邪气者，（平按∶《甲
乙》卷十第一下有虚风也三字。）虚风之贼伤人也，其中人也深，不能自去。正风者，
其中人也浅，合而自去，其气来柔弱，不能胜真气，故自去。虚邪之中人也，洒淅动形，
起毫毛而发腠理，其入深，内搏（平按∶搏《甲乙》作薄，下同。）于骨，则为骨痹。
搏于筋，则为筋挛。搏于脉中，则为血闭不通，则为痈。搏于肉，与卫气相搏，阳胜者
则为热，阴胜者则为寒，寒则真气去，去则虚，虚则寒。搏于皮肤之间，其气外发，腠
理开，毫毛摇，气（平按∶摇气《甲乙》注云∶一本作淫气。）往来行，则为痒。留而
不
去，则痹。卫气不行，则为不仁。虚邪遍容于身半，其入深，内居营卫，营卫稍衰，则
真气去，邪气独留，发为偏枯。其邪气浅者，脉偏痛，虚邪之入于身也深，寒与热相搏，
久留而内着，寒胜其热，则骨疼肉枯，热胜其寒，则烂肉腐肌为脓内伤骨，内伤骨为骨
蚀。有所疾前筋，筋屈不得伸，邪气居其间而不反，发为筋溜。（平按∶溜《甲乙》作
瘤，下肠溜同。）有所结，气归之，卫气留之，不得反，津液久留，合而为肠溜，久者
数岁乃成，以手按之柔。已有所结，气归之，津液留之，邪气中之，凝结日以易甚，连
以聚居，为昔瘤，以手按之（以上从《灵枢·刺节真邪》篇节录补入。）坚。（息大按
之而坚，积病□久也。十四。）有所结，深中骨，气因于骨，骨与气并，日以益大，则
为骨疽。（先有聚结，深至骨边，骨与气并，致令骨坏，称曰骨疽。十五也。平按∶《甲
乙》深中骨作气深中骨，日以益作息日以益。）有所结，中于肉，气归之，邪留而不去，
有热则化而为脓，（先有聚气为热，营邪居热则坏肉以为痈脓。十六。平按∶《甲乙》
中于肉作气中于肉。气归之《灵枢》、《甲乙》作宗气归之。《甲乙》为脓上无而字。）
无热则为肉疽。（结气无热，虚邪则坏肉以为肉疽。十七也。平按∶《甲乙》疽上无肉
字。）凡此数气者，其发无常处，而有常名也。（邪气伤人身，无有定处，而有斯十七
种名也。）
卫气虚弱则肢体不能随意运动，肌肉感觉沉重如同背负重物（《甲乙经》中“死”字作“三十日死”）。
风痹这种久治不愈的病症，表现为双脚踩在冰上一样寒冷，有时感觉像热汤灌入腹中，小腿肿胀酸软无力，心烦意乱、头痛，时而呕吐时而郁闷，头晕且出汗，时间久了眼睛昏花，情绪悲喜无常或恐惧，气息短促且不快乐，不出三年就会死亡。（人患风痹病，又有这十二种症状的，不出三年就会死亡。按：风痹久病，《灵枢》中“病”字上有“泺”字。“汤入腹中”，《灵枢》、《甲乙经》作“入汤中”。胀胫，《灵枢》作“股胫”，《甲乙经》作“肢胫”。时欧时惋，《灵枢》作“时呕时[闷]”，《甲乙经》作“时呕时闷”。喜恐，《甲乙经》作“喜怒”。《灵枢》中有“无不乐”二字。）
按：此篇从“坚”字以上的内容已经缺失，篇目也无法考证。袁刻本从《灵枢·刺节真邪篇》自“黄帝曰有一脉生数十病者”这一节摘录补入。经查，从“黄帝曰有一脉生数十病者”到“岐伯曰此邪气之所生也”这一段，已经见于本书卷二十二《五邪刺》篇，未免重复。这里特意从《灵枢·刺节真邪篇》“黄帝曰余闻气者有真气”以下至“手按之”的内容，补在“坚”字之上。其从“坚有所结”到末尾的内容，见于《灵枢》卷十一第七十五《刺节真邪》篇，也见于《甲乙经》卷十一第九下编。
黄帝说：我听说气，有真气，有正气，有邪气。什么是真气？岐伯说：真气，是从自然界吸入的清气与饮食水谷之气结合而充满全身的气。正气，就是正风，从一方吹来，不是实风也不是虚风。（按：《甲乙经》没有“非实风又”四字，注解说：“《太素》说是‘非灾风也’。”）邪气，（按：《甲乙经》卷十第一下有“虚风也”三字。）虚风贼害伤人，它侵入人体深，不能自行消除。正风，它侵入人体浅，与人体正气相合后自行消退，它的来势柔弱，不能胜过真气，所以自行消退。虚邪侵入人体，使人战栗动摇形体，毫毛竖起，腠理开泄，它深入体内，内迫于骨，就形成骨痹。迫于筋，就形成筋挛。迫于脉中，就形成血闭不通，进而形成痈。迫于肉，与卫气相互搏结，阳胜的就发热，阴胜的就发寒，寒则真气离去，离去就虚，虚就寒。搏结于皮肤之间，其气向外发散，腠理开，毫毛摇动，气往来运行，就形成瘙痒。停留而不消失，就形成痹证。卫气不行，就形成麻木不仁。虚邪遍布容纳于身体的一半，它深入，内居于营卫，营卫逐渐衰弱，则真气离去，邪气独留，发为偏枯。邪气较浅的，脉偏痛。虚邪侵入人体很深，寒与热相互搏结，长久停留而内着，寒胜热，则骨头疼痛、肌肉枯瘦；热胜寒，则烂肉腐肌化为脓，内伤骨头，内伤骨头导致骨蚀。如果有疾病在前筋，筋屈曲不能伸展，邪气居留在其间而不能返回，发为筋溜。（按：溜，《甲乙经》作“瘤”，下面的肠溜同。）如果有结聚，气归向那里，卫气停留在那里，不能返回，津液长久停留，合而为肠溜，久了几年才形成，用手按压是柔软的。已经有结聚，气归向那里，津液停留，邪气侵入其中，凝结一天比一天严重，连接聚集在一起，形成昔瘤，用手按压（以上从《灵枢·刺节真邪》篇节录补入。）坚硬。（息大按之而坚，积病已久也。十四。）如果有结聚，深中于骨，气依附于骨，骨与气并合，一天比一天增大，就形成骨疽。（先有聚结，深至骨边，骨与气并，致使骨坏，称为骨疽。十五也。按：《甲乙经》“深中骨”作“气深中骨”，“日以益大”作“息日以益”。）如果有结聚，中于肉，气归向那里，邪气停留不去，有热就化而为脓，（先有聚气为热，营邪居热则坏肉以为痈脓。十六。按：《甲乙经》“中于肉”作“气中于肉”。气归之，《灵枢》、《甲乙经》作“宗气归之”。《甲乙经》“为脓”上无“而”字。）无热就形成肉疽。（结气无热，虚邪则坏肉以为肉疽。十七也。按：《甲乙经》“疽”上无“肉”字。）凡是这几种气，它们的发作没有固定的地方，但有固定的名称。（邪气伤害人身，没有定处，但有这十七种名称。）
When Wei Qi (Defensive Qi) is deficient, the limbs cannot move freely, and the muscles feel heavy as if bearing a burden (The *Jia Yi Jing* reads "death" as "death within thirty days").
In cases of wind-bi (Wind Bi Syndrome) that are chronic and incurable, the feet feel cold as if treading on ice; at times, there is a sensation like hot soup pouring into the abdomen; the calves are swollen, sore, and weak; the heart is restless and vexed, accompanied by headache; there is occasional vomiting and depression; dizziness occurs with sweating; over time, vision becomes blurred; emotions fluctuate between sorrow, joy, and fear; breath is short and spirit is depressed. Death will occur within three years. (If a patient suffers from wind-bi syndrome and presents with these twelve symptoms, death will occur within three years. Note: In the *Ling Shu*, the character "luo" (soreness/weakness) appears before "bing" (disease) in "wind-bi chronic disease". For "hot soup entering the abdomen", both *Ling Shu* and *Jia Yi Jing* read "entering hot soup". For "swollen calves", *Ling Shu* reads "thighs and calves", while *Jia Yi Jing* reads "limbs and calves". For "occasional vomiting and depression", *Ling Shu* reads "occasional vomiting and [depression]", while *Jia Yi Jing* reads "occasional vomiting and stifling sensation". For "joy and fear", *Jia Yi Jing* reads "joy and anger". The *Ling Shu* includes the phrase "no unhappiness".)
Note: The content of this chapter above the character "jian" (hard/firm) has been lost, and the chapter title cannot be verified. The Yuan edition supplemented it by excerpting from the section starting with "The Yellow Emperor said: One meridian can give rise to dozens of diseases" in the *Ling Shu · Ci Jie Zhen Ye Pian*. Upon examination, the passage from "The Yellow Emperor said: One meridian can give rise to dozens of diseases" to "Qi Bo said: This is generated by pathogenic factors" has already appeared in Volume 22, "Wu Xie Ci" chapter of this book, which is repetitive. Therefore, the text from "The Yellow Emperor said: I have heard that qi consists of..." down to "...pressing with the hand" from the *Ling Shu · Ci Jie Zhen Ye Pian* has been inserted above the character "jian". The content from "jian you suo jie" (firmness with accumulation) to the end is found in Volume 11, Chapter 75 "Ci Jie Zhen Ye" of the *Ling Shu*, and also in Volume 11, Part 9 Lower Compilation of the *Jia Yi Jing*.
The Yellow Emperor said: I have heard that qi comprises True Qi (Zhen Qi), Correct Qi (Zheng Qi), and Pathogenic Qi (Xie Qi). What is True Qi? Qi Bo said: True Qi is derived from the clear qi received from nature and combined with Gu Qi (Grain Qi) to fill the body. Correct Qi refers to Zheng Feng (Correct Wind), which blows from one direction; it is neither Shi Feng (Solid/Excess Wind) nor Xu Feng (Empty/Deficient Wind). (Note: The *Jia Yi Jing* lacks the characters "fei shi feng you" (neither solid wind nor...), and its annotation states: "The *Tai Su* says 'it is non-disastrous wind.'") Pathogenic Qi (note: The *Jia Yi Jing* Vol 10 Pt 1 adds the three characters "xu feng ye" - empty wind) refers to Xu Feng (Empty Wind) which harms humans; it penetrates deeply into the body and cannot eliminate itself. Zheng Feng (Correct Wind) penetrates shallowly; when it combines with the body's Correct Qi, it dissipates naturally. Its arrival is gentle and weak, unable to overcome True Qi, thus it dissipates on its own. When Xu Xie (Empty Pathogens) invade the human body, they cause shivering and trembling of the form, raising the hair follicles and opening the Cou Li (pores/skin texture). If it enters deeply and presses internally on the bones, it results in Gu Bi (Bone Bi Syndrome). If it presses on the sinews, it results in Jin Luan (Sinew Spasm). If it presses within the vessels, it causes Blood Bi (Blood Obstruction) and stagnation, leading to Yong (Abscess). If it presses on the flesh and contends with Wei Qi (Defensive Qi), Yang excess leads to heat, while Yin excess leads to cold. Cold causes True Qi to depart; departure leads to deficiency; deficiency leads to cold. Contending between the skin and flesh, the pathogenic qi emerges outward, opening the Cou Li and shaking the hair follicles; the qi moves back and forth, causing itching. If it remains and does not depart, it forms Bi Syndrome (Obstruction Syndrome). If Wei Qi fails to circulate, it results in Bu Ren (Numbness/Lack of Sensation). If Xu Xie (Empty Pathogens) pervade half of the body, penetrating deeply and residing within Ying Qi (Nutritive Qi) and Wei Qi, the gradual decline of Ying and Wei Qi causes True Qi to depart, leaving only Pathogenic Qi behind, resulting in Pian Ku (Hemiplegia). If the pathogen is shallower, it causes unilateral vessel pain. When Xu Xie enters deeply, cold and heat contend; if they linger long and settle internally, cold overcoming heat causes bone pain and muscle emaciation; heat overcoming cold causes rotting flesh and corrupted muscles forming pus, injuring the bones internally, leading to Gu Shi (Bone Erosion). If there was prior pathology in the sinews, causing them to flex and not extend, and pathogenic qi resides between them without returning, it develops into Jin Liu (Sinew Tumor). (Note: "Liu" is written as "Liu" (Tumor) in *Jia Yi Jing*; the same applies to Chang Liu below.) If there is an accumulation, qi converges there; if Wei Qi stays there and cannot return, and Jin Ye (Body Fluids) remain for a long time, combining to form Chang Liu (Intestinal Tumor), which takes several years to form and feels soft upon palpation. If there is already an accumulation, qi converges there, fluids remain, and pathogenic qi invades, condensing increasingly day by day, connecting and gathering together to form Xi Liu (Old Tumor); upon palpation (supplemented from *Ling Shu · Ci Jie Zhen Ye Pian*), it feels hard. (Xi Da notes: Hard upon pressing indicates an accumulation disease that has existed for a long time. Case 14.) If the accumulation is deep and reaches the bone, qi attaches to the bone; bone and qi combine, increasing day by day, forming Gu Ju (Bone Abscess/Gangrene). (Prior aggregation reaches deep to the bone edge; bone and qi combine, causing bone destruction, termed Gu Ju. Case 15. Note: *Jia Yi Jing* reads "qi shen zhong gu" instead of "shen zhong gu"; "yi ri yi da" is read as "xi ri yi yi" in *Jia Yi Jing*.) If the accumulation is in the flesh, qi converges there, and pathogenic qi lingers without departing; if there is heat, it transforms into pus. (Prior aggregation of qi generates heat; Ying pathogens reside in heat, destroying flesh to form abscess/pus. Case 16. Note: *Jia Yi Jing* reads "qi zhong yu rou" instead of "zhong yu rou". "Qi gui zhi" is read as "Zong Qi gui zhi" in *Ling Shu* and *Jia Yi Jing*. *Jia Yi Jing* omits "er" before "wei nong".) If there is no heat, it forms Rou Ju (Flesh Abscess/Gangrene). (Aggregated qi without heat; empty pathogens destroy flesh to form Rou Ju. Case 17. Note: *Jia Yi Jing* omits "rou" before "ju".) All these types of qi manifest without fixed locations but have fixed names. (Pathogenic qi damages the human body without a fixed location, but there are these seventeen named conditions.)