黃帝日:多害者其不可全乎?岐伯日:其在逆順焉。黃帝曰:愿聞逆順。岐伯曰:以為傷者，其白眼[眼:《甲乙》卷十一第九下任務“睛”]青黑眼小，是一逆也;內藥而嘔者，是二逆也;腹痛渴甚，是三逆也;肩項中不便，是四逆也;音嘶色脫，是五逆也。除此五者為順矣。

Yellow Emperor asked: "Is the carbuncle which causes many injuries to the patient can hardly be cured?" Qibo said: "It is according to the condition whether the syndrome is an agreeable or an adverse one." Yellow Emperor said: "I hope to hear about the conditions of the agreeable and adverse syndromes." Qibo said: "There are five kinds of adverse syndrome in the carbuncle: When the white of the eye is green and dark and the eye is small, they are the adverse syndromes of the first kind; when the patient vomits after administering the medicine, it is the adveres syndrome of the second kind; when the patient is painful and very thirsty, they are the adverse syndromes of the third kind; when the patient finds difficulty in turning his shoulder and neck, it is the adverse syndrome of the fourth kind; when the voice of the patient is hoarse and ghastly pale in the complexion, they are the adverse syndromes of the fifth kind. All other syndromes besides the adverse syndromes are the agreeable syndromes."

黃帝曰:諸病皆有逆順，可得聞乎?岐伯曰:腹脹，身熱，脈大，是一逆也;腹鳴而滿，四肢清，泄，其脈大，是二逆也;衄而不止，脈大[大:《甲乙》卷四第一下校注:“一作小”]，是三逆也;咳且溲血，脫形，其脈小勁，是四逆也;脫形身熱，脈小以疾，是謂五逆也。如是者，不過十五日而死矣。

Yellow Emperor asked: "In the various diseases, there are all the agreeable and adverse syndromes, can I hear about them?" Qibo said: "When one has abdominal distention, hot feeling in the body and the small pulse condition, they are the adverse syndromes of the first kind; when one has borborygmus in the abdomen and has abdominal distention, cool in the extremities. diarrhea and gigantic pulse condition, they are the adverse syndromes of the second kind; when one has unceasing epistaxis and gigantic pulse condition, they are the adverse syndromes of the third kind; when one has cough, hematuria, emaciation of the muscle and tiny and urgent pulse condition, they are the adverse syndromes of the fourth kind; when one has cough, emaciation of the body, hotness in the body and tiny and rapid pulse condition, they are the adverse syndromes of the fifth kind. When one contracts these syndromes, he will die within fifteen days.

其腹大脹，四末清，脫形，泄甚，是一逆也;腹脹便血，其脈大，時絕，是二逆也;咳溲血，形肉脫，脈搏，是三逆也;嘔血，胸滿引背，脈小而疾，是四逆也;咳嘔腹脹，且飧泄，其脈絕，是五逆也。如是者，不及[及:與注本，張注本并作“過”]一時而死矣。工不察此者而刺之，是謂逆治。

"When one's abdomen is large and distending, his four extremities are cool, his body is emaciated and has severe diarrhea, they are the adverse syndromes of the first kind; when one has abdominal distention and fullness, hematochezia, gigantic and intermittent pulse condition, they are the adverse syndromes of the second kind; when one has cough, hematuria, emaciation, strong respond to the fingers when palpating the pulse, they are the adverse syndromes of the third kind; when one has hematemesis, fullness and oppression of the chest to affect the back, and has tiny and rapid pulse condition, they are the adverse syndromes of the fourth kind; when one has cough and vomiting, abdominal distention, diarrhea and the hidden and severing pulse condition, they are the adverse syndromes of the fifth kind. When these syndromes occur, the patient will die within one day. When a physician pricks rashly disregarding these dangerous appearances, it is called the adverse treating."

黃帝日:夫子之言針甚駿，以配天地，上數(shù)天文，下度地紀，內別五臟，外次六府，經(jīng)脈二十八會，盡有周紀，能殺生人，不能起死者，子能反之乎?岐伯日:能殺生人，不能起死者也。黃帝日:余聞之則為不仁，然愿聞其道，弗行于人。岐伯曰:是明道也，其必然也，

其如刀劍之可以殺人，如飲酒使人醉也，雖勿診，猶可知矣。

Yellow Emperor said: "As you have said the functions of the needle are tremendous, it can approach the astronomical phenomena above, follow the geographical environment below. In human body, there are the differences of the five solid organs inside, and the orderly arrangement of the six hollow organs outside, the twenty eight channels are having their strict usual practice of circulation. Sometimes, one can only treat the patient by pricking with the needle, but he can not bring back the patient's life, can you alter the situation?" Qibo said:"When one treats in an improper way, it can cause death of the patient and can not bring back his life." Yellow Emperor said: "Your saying is not tally with humanity, I hope to hear the reasons of it so that one may not prick the patient rashly. " Qibo said: "The reason is quite explicit and it will have an inevitable result. When one is not keen in applying the needle, it is like using a sword to kill a man, or make one to become drunken with spirit. Through the anology above, one can understand the reasons without diagnosing."

黃帝曰:愿卒聞之。岐伯曰:人之所受氣者，谷也。谷之所注者，胃也。胃者，水谷氣血之海也。海之所行云氣者[海之所行云氣者，天下也:《甲乙》卷五第一下“氣”作“雨”]，天下也。胃之所出氣血者，經(jīng)隧也。經(jīng)隧者，五臟六腑之大絡也，迎而奪之而已矣[迎而奪之而已矣:《靈樞略六氣論篇》無“迎而奪之而已矣”七字]。

Yellow Emperor said: "I hope to hear the details." Qibo said:"The refined energy of a man depends on the supply of the cereals, and the cereals are gathered in the stomach.  The stomach is the sea of the water, cereals, energy and blood. When the sea water evaporates, it descends to become the clouds and rain which are spreading in the sky, and likewise, the energy and blood which are converted and generated from the stomach circulate along the channels. The channels are the large collaterals of the five solid organs and the'six hollow organs."

黃帝日:上下有數(shù)乎?岐伯日:迎之五里，中道而止，五至而已，五往而藏之氣盡矣，故五五二十五而竭其輸矣，此所謂奪其天下者也，非能絕其命而傾其壽者也。黃帝曰:愿卒聞之。岐伯日:閱門而刺之者，死于家中;入門而刺之者，死于堂上。黃帝日:善乎方，明哉道，請著之玉版，以為重寶，傳之后世，以為刺禁，令民勿敢犯也。

Yellow Emperor asked:"When pricking the hand and foot channels above and below, is there any contraindication?"Qibo said:"When one purges by pricking the Wuli point against the direction of the channel energy errorneously, the visceral energy will stop by the halfway of its operation. The visceral energy can only arrive for five times, if the pricking to a certain viscus is erroneous for five times, the energy of the said viscus will be exhausted, since the total arrivals of the five visceral energy before exhausting are twenty five, so, when the times of the erroneous pricking are twenty five, all the visceral energies in the five viscera will be exhausted and the patient will die. It is not the needle that causes the patient's death, but it is due to the ignorance of the one who pricks, and his not knowing the acupuncture contraindications." Yellow Emperor said: "I hope to hear the details." Qibo said: "When one pricks rashly, if the pricking is shallow, the patient will die when he arrives home; if the pricking is deep, he will die in the hall of the physician." Yellow Emperor said: "The principle you have said is excellent, and the reasons are quite explicit. I will carve them on a plate of jade and take it as a valuable treasure, I will hand it down to the later generations as the acupuncture contraindications so that people may not violate the rule."

責任編輯：admin