黄帝问曰∶足阳明之脉病，恶人与火，闻木音则惕然而惊，钟鼓不为动，闻木音而惊何也？愿闻其故。岐
伯对曰∶阳明者胃脉也，胃者土也，故闻木音而惊者，土恶木也。帝曰∶善。其恶火何也？岐伯曰∶阳明主肉，
其脉血气盛，邪客之则热，热甚则恶火。帝曰∶其恶人何也？岐伯曰∶阳明厥则喘
而惋，惋则恶人。帝曰∶或喘而死者，或喘而生者，何也？岐伯曰∶厥逆连脏则死，连经则生。帝曰∶善。
病甚则弃衣而走，登高而歌，或至不食数日，逾垣上屋，所上之处，皆非其素所能也，病反能者何也？岐伯曰∶
四肢者诸阳之本也，阳盛则四肢实，实则能登高也。帝曰∶其弃衣而走者何也？岐伯曰∶热盛于身，故弃衣
欲走也。帝曰∶其妄言骂詈不避亲疏而歌者何也？岐伯曰∶阳盛则使人妄言骂詈不避亲疏而不欲食，不欲食故
妄走也。
宝命全角论∶嗄（所嫁切） 吟（上丘伽切）黔（音钳）弃蔑（音灭）容 （音舜）
八正神明论∶仿佛（上音仿，下音弗）
离合真邪论∶ （徐伦切）蚊虻（武庚切）扪（音门）抓（侧交切）溶（音容）
通评虚实论∶ （去王切） （荣美切） （之石切）
太阴阳明论∶闭塞（苏则切）
阳明脉解篇∶惋（乌贯切）逾（音于）
黄帝问曰∶今夫热病者，皆伤寒之类也，或愈或死，其死皆以六七日之间，其愈皆以十日以上者何也？
不知其解，愿闻其故。岐伯对曰∶巨阳者，诸阳之属也，其脉连于风府，故为诸阳主气也。人之伤于寒也，
则为病热，热虽甚不死；其两感于寒而病者，必不免于死。帝曰∶愿闻其状。岐伯曰∶伤
寒一日，巨阳受之，故头项痛腰脊强。二日阳明受之，阳明主肉，其脉挟鼻络于目，故身热目疼而鼻干，
不得卧也。三日少阳受之，少阳主胆，其脉循胁络于耳，故胸胁痛而耳聋。三阳经络皆受其病，而未入于脏者，
故可汗而已。四日太阴受之，太阴脉布胃中络于嗌，故腹满而嗌干。五日少阴受之，少阴脉贯肾络于肺，
系舌本，故口燥舌干而渴。六日厥阴受之，厥阴脉循阴器而络于肝，故烦满而囊缩。三阴三阳，五脏六腑皆受
病，荣卫不行，五脏不通，则死矣。其不两感于寒者，七日巨阳病衰，头痛少愈；
八日阳明病衰，身热少愈；九日少阳病衰，耳聋微闻；十日太阴病衰，腹减如故，则思饮食；十一日少阴病
衰，渴止不满，舌干已而嚏；十二日厥阴病衰，囊纵少腹微下，大气皆去，病日已矣。帝曰∶治之奈何？
岐伯曰∶治之各通其脏脉，病日衰已矣。其未满三日者，可汗而已；其满三日者，可泄而已。帝曰∶热病已愈，
时有所遗者何也？岐伯曰∶诸遗者，热甚而强食之，故有所遗也。若此者，皆病已衰而热有所藏，因其谷气相
薄，两热相合，故有所遗也。帝曰∶善。治遗奈何？岐伯曰∶视其虚实，调其逆从，可使必已矣。帝曰∶病热
当何禁之？岐伯曰∶病热少愈，食肉则复，多食则遗，此其禁也。帝曰∶其病两感于寒者，其脉应与其病形何
如？岐伯曰∶两感于寒者，病一日则巨阳与少阴俱病，则头痛口干而烦满；二日则阳明与太阴俱病，则腹满
身热，不欲食谵言；三
日则少阳与厥阴俱病，则耳聋囊缩而厥，水浆不入，不知人，六日死。帝曰∶五脏已伤，六腑不通，荣卫不
行，如是之后，三日乃死何也？岐伯曰∶阳明者，十二经脉之长也，其血气盛，故不知人，三日其气乃尽，故
死矣。凡病伤寒而成温者，先夏至日者为病温，后夏至日者为病暑，暑当与汗皆出，勿止。
黄帝问道：足阳明经发生病变时，患者厌恶人和火光，听到木器的声音就会惊恐不安，但听到钟鼓的声音却不动心，为什么听到木声就惊恐呢？希望听听其中的道理。岐伯回答说：阳明经是胃的经脉，胃在五行中属土，所以听到木声而惊恐，是因为土畏惧木的缘故。黄帝说：好。那为什么厌恶火光呢？岐伯说：阳明经主管肌肉，它的经脉气血旺盛，邪气侵入就会发热，热势严重就会厌恶火光。黄帝说：那为什么厌恶人呢？岐伯说：阳明经的气机逆乱就会导致气喘和心中烦闷，心中烦闷就会厌恶人。黄帝说：有的因气喘而死，有的因气喘而活，这是为什么呢？岐伯说：气机逆乱如果波及内脏就会死，如果只波及经络就会活。黄帝说：好。病情严重时，患者会扔掉衣服奔跑，登上高处唱歌，有的甚至几天不吃饭，翻越墙垣屋顶，所去的地方都是他平时做不到的，病反而能这样做，为什么呢？岐伯说：四肢是诸阳经的根本，阳气盛则四肢充实有力，充实有力就能登高。黄帝说：那为什么扔掉衣服奔跑呢？岐伯说：身体里热势炽盛，所以扔掉衣服想要奔跑。黄帝说：那为什么胡言乱语、骂詈不分亲疏而且唱歌呢？岐伯说：阳气盛乱使人胡言乱语、骂詈不分亲疏并且不想吃东西，不想吃东西所以胡乱奔走。
黄帝问道：现在的热病，都属于伤寒一类，有的痊愈有的死亡，死亡的都在六七天之间，痊愈的都在十天以上，为什么呢？我不明白其中的道理，希望听听原因。岐伯回答说：巨阳经（太阳经）是诸阳经的统领，它的经脉连接风府穴，所以作为诸阳经的主气。人受寒邪侵袭，就会发为热病，热势虽然严重也不会死；如果是两感于寒邪而发病的，就一定难免于死。黄帝说：希望听听它的症状表现。岐伯说：伤寒第一天，巨阳经受邪，所以头项疼痛、腰脊僵硬。第二天阳明经受邪，阳明经主管肌肉，它的经脉挟鼻络于目，所以身体发热、眼睛疼痛、鼻子干燥、不能安卧。第三天少阳经受邪，少阳经主胆，它的经脉循行胁肋络于耳，所以胸胁疼痛且耳聋。三阳经的经络都受了病邪，但还没有传入内脏，所以可以通过发汗的方法治愈。第四天太阴经受邪，太阴经的经脉散布在胃中并络于咽喉，所以腹部胀满且咽喉干燥。第五天少阴经受邪，少阴经的经脉贯穿肾脏络于肺，系连舌根，所以口燥舌干且口渴。第六天厥阴经受邪，厥阴经的经脉循行阴器并络于肝，所以心烦腹满且睾丸收缩。如果三阴三阳、五脏六腑都受了病邪，营卫之气运行停滞，五脏气机不通，就会死亡。那些没有两感于寒邪的，第七天巨阳经的病势衰退，头痛减轻；第八天阳明经的病势衰退，身热稍减；第九天少阳经的病势衰退，耳聋稍微能听见声音；第十天太阴经的病势衰退，腹部胀满消退恢复常态，开始想吃东西；第十一天少阴经的病势衰退，口渴停止，腹胀消失，舌干缓解并开始打喷嚏；第十二天厥阴经的病势衰退，睾丸松弛，小腹轻微舒缓，大部的邪气都已去除，病一天天好了。黄帝说：怎么治疗呢？岐伯说：治疗要分别疏通各脏的经脉，病势就会一天天衰退痊愈。病程未满三天的，可以通过发汗治愈；病程已满三天的，可以通过泄热治愈。黄帝说：热病已经痊愈，但时常有余热遗留的情况，为什么呢？岐伯说：凡是余热遗留，都是因为热势正盛时强行进食，所以有遗留。像这种情况，都是病势已衰但热邪有所潜藏，因为谷气与残存的热邪相互搏结，两热相合，所以有遗留。黄帝说：好。如何治疗余热遗留呢？岐伯说：观察虚实，调理逆顺，就可以使病必愈。黄帝说：患热病应当禁忌什么？岐伯说：热病稍有好转时，吃肉就会复发，多吃就会遗留余热，这就是禁忌。黄帝说：那种两感于寒邪的病，其脉象和病症表现是怎样的？岐伯说：两感于寒邪的，第一天巨阳经与少阴经同时发病，就会出现头痛、口干、心烦腹满；第二天阳明经与太阴经同时发病，就会出现腹部胀满、身体发热、不想吃东西、胡言乱语；第三天少阳经与厥阴经同时发病，就会出现耳聋、睾丸收缩、四肢厥冷、水浆不进、神志昏迷，到第六天就会死亡。黄帝说：五脏已经受伤，六腑不通畅，营卫不行，在此之后还要过三天才死，为什么呢？岐伯说：阳明经是十二经脉之长，它的气血最旺盛，所以神志昏迷，经过三天它的正气耗尽，所以死亡。凡是患伤寒而转化为温病的，在夏至日之前发病的叫温病，在夏至日之后发病的叫暑病，暑病应当随汗一起排出，不要止住汗。
Huangdi asked: When the Foot-Yangming meridian is diseased, the patient dislikes people and fire. Hearing the sound of wood causes them to startle in fear, but the sound of bells and drums does not move them. Why does hearing the sound of wood cause alarm? I wish to hear the reason. Qibo replied: The Yangming meridian is the stomach meridian. The stomach belongs to Earth in the Five Phases. Therefore, hearing the sound of wood causes alarm because Earth fears Wood. Huangdi said: Good. Why do they dislike fire? Qibo said: Yangming governs the flesh. Its meridian has abundant blood and qi. When pathogenic factors invade, heat is generated. When the heat is severe, the patient dislikes fire. Huangdi said: Why do they dislike people? Qibo said: Reversal of Qi in Yangming leads to panting and distress (Wan). Distress leads to disliking people. Huangdi said: Some die from panting, while some survive. Why is this? Qibo said: If the reversal of Qi connects to the Zang organs, death occurs; if it connects only to the meridians, survival occurs. Huangdi said: Good. In severe cases, patients discard their clothes and run, climb high places and sing. Some do not eat for several days, jump over walls and roofs. They go to places they could never reach normally, yet the disease enables them to do so. Why is this? Qibo said: The four limbs are the root of all Yang meridians. When Yang is excessive, the four limbs become solid and strong, enabling one to climb high. Huangdi said: Why do they discard their clothes and run? Qibo said: Heat is excessive in the body, so they discard clothes and wish to run. Huangdi said: Why do they speak wildly, curse without distinguishing between close and distant relatives, and sing? Qibo said: Excessive Yang causes wild speech, cursing without distinction, and loss of appetite. Due to loss of appetite, they wander aimlessly.
Huangdi asked: Current febrile diseases all belong to the category of Cold Damage (Shanghan). Some recover, some die. Those who die usually do so within six or seven days, while those who recover usually take more than ten days. Why is this? I do not understand the explanation and wish to hear the reason. Qibo replied: Juyang (Taiyang) is the leader of all Yang meridians. Its meridian connects to the Fengfu point (GV16), thus serving as the master Qi of all Yang meridians. When humans are injured by cold, a febrile disease ensues. Even if the heat is severe, death will not occur. However, for those suffering from simultaneous contraction of cold (Lianggan), death is inevitable. Huangdi said: I wish to hear the manifestations. Qibo said: On the first day of Cold Damage, Juyang is affected, causing headache, stiff neck, and stiffness in the lower back and spine. On the second day, Yangming is affected. Yangming governs the flesh; its meridian runs along the nose and connects to the eyes. Thus, there is body heat, eye pain, dry nose, and inability to sleep. On the third day, Shaoyang is affected. Shaoyang governs the Gallbladder; its meridian follows the flanks and connects to the ears. Thus, there is pain in the chest and flanks, and deafness. When the meridians of the three Yang channels are all diseased but the pathogens have not entered the Zang organs, the condition can be cured by sweating. On the fourth day, Taiyin is affected. The Taiyin meridian spreads in the stomach and connects to the throat. Thus, there is abdominal fullness and dry throat. On the fifth day, Shaoyin is affected. The Shaoyin meridian passes through the Kidneys, connects to the Lungs, and ties to the root of the tongue. Thus, there is dry mouth, dry tongue, and thirst. On the sixth day, Jueyin is affected. The Jueyin meridian follows the genitalia and connects to the Liver. Thus, there is vexation, abdominal fullness, and retraction of the scrotum. If the three Yin and three Yang channels, and the five Zang and six Fu organs are all diseased, and Ying and Wei Qi cease to circulate, and the five Zang organs are blocked, death will occur. For those not suffering from simultaneous contraction of cold: on the seventh day, the disease of Juyang declines, and the headache slightly improves; on the eighth day, the disease of Yangming declines, and body heat slightly subsides; on the ninth day, the disease of Shaoyang declines, and deafness slightly improves with faint hearing; on the tenth day, the disease of Taiyin declines, abdominal fullness reduces to normal, and appetite returns; on the eleventh day, the disease of Shaoyin declines, thirst stops, bloating ceases, dry tongue resolves, and sneezing occurs; on the twelfth day, the disease of Jueyin declines, the scrotum relaxes, the lower abdomen slightly softens, the major pathogenic factors are expelled, and the disease heals day by day. Huangdi said: How should it be treated? Qibo said: Treatment requires unblocking the meridians of each respective Zang organ. The disease will decline and heal day by day. For conditions lasting less than three days, sweating can cure them. For conditions lasting three days or more, purging/draining can cure them. Huangdi said: After a febrile disease has healed, why does residual heat sometimes remain? Qibo said: Residual heat occurs when food is forced upon the patient while heat is still intense. In such cases, although the disease has declined, heat remains hidden. The Qi of the food conflicts with the residual heat, and the two heats combine, resulting in residual symptoms. Huangdi said: Good. How to treat residual heat? Qibo said: Observe deficiency and excess, regulate rebellion and compliance, and the disease will certainly heal. Huangdi said: What should be prohibited during febrile disease? Qibo said: When febrile disease slightly improves, eating meat causes recurrence, and overeating causes residual heat. These are the prohibitions. Huangdi said: For those suffering from simultaneous contraction of cold, what are the pulse and clinical manifestations? Qibo said: In simultaneous contraction of cold, on the first day, Juyang and Shaoyin are both diseased, causing headache, dry mouth, and vexation/fullness. On the second day, Yangming and Taiyin are both diseased, causing abdominal fullness, body heat, anorexia, and delirious speech. On the third day, Shaoyang and Jueyin are both diseased, causing deafness, scrotal retraction, and cold extremities. With inability to ingest water or grain and unconsciousness, death occurs on the sixth day. Huangdi said: The five Zang organs are damaged, the six Fu organs are blocked, and Ying and Wei Qi do not circulate. Why does death occur three days after this state? Qibo said: Yangming is the head of the twelve meridians, possessing abundant blood and Qi. Unconsciousness results from this. After three days, its Qi is exhausted, hence death. Any disease originating from Cold Damage that transforms into Warmth (Wen): if it occurs before the Summer Solstice, it is called Warm Disease; if it occurs after the Summer Solstice, it is called Summerheat. Summerheat must be expelled with sweat; do not stop sweating.