舉痛論篇/Ju Tong Lun

(On the Pathology of Pain)

黃帝問日:余聞善言天者，必有驗(yàn)于人;善言古者，必有合于今;善言人者，必有厭于已。如此，則道不惑而要數(shù)極，所謂明[胡本(讠頭)本，元?dú)埗w本吳本“明”并疊“明”字，按“明明”謂明甚]也。今余問于夫子，令言而可知，視而可見，捫而可得，令驗(yàn)于已而發(fā)蒙解惑，可得而聞乎?岐伯再拜稽首對(duì)日:何道之問也?帝日:愿聞人入之五藏卒痛，何氣使然?岐伯對(duì)日:經(jīng)脈流行不止、環(huán)周不休，寒氣入經(jīng)而[《太素》“入”下有“焉”字，“而”作“血”]稽遲，泣而不行，客于脈外則血少，客于脈中則氣不通，故卒然而痛。

Yellow Emperor said:"I am told that when one is good at dicussing the law of heaven, he must be able to verify the law of heaven to man; when one is good at discussing events in the past, he must be able to connect the past with the present; when one is good at commenting on others, he must be able to integrate them with himself, it is only in this way, can one be not in a puzzle in the principles of medicine, and to obtain and know the truth thoroughly.

"Now I want to ask you about the way of diagnosis which can be understood when by speech, visible when by seeing, and tangible when by touching, so that I can have some realization about it. I hope to hear about your advice to enlighten my ignorance and remove my perplexion."

Qibo asked: "What principles do you want to know?" Yellow Emperor said: "I want to hear about what are the evil-energies that cause the sudden pain of the viscera?" Qibo answered: "The blood and energy in the channels are circulating unceasingly in the whole body when the cold-evil invades the channle, the blood in the channel will become stagnating, and the pain will suddenly occur."

帝曰:其痛或卒然而止者，或痛甚不休者，或痛甚不可按者，或按之而痛止者，或按之無益者，或喘[按“喘”誤，疑應(yīng)作“揣”，“動(dòng)”有“痛”義]動(dòng)應(yīng)手者，或心與背相引而痛者，或[《太素》“或”下有“心”字]脅肋與少腹相引而痛者，或腹痛引陰股者，或痛宿[謂抄本“宿”作“夙”]昔而成積者，或卒然痛死不知人，有少[《太素》“有”下無“少”字]間復(fù)生者，或痛而嘔者，或腹痛而后[《太素》“后”作“復(fù)”]泄者，或痛而閉[滑抄本“閉”作“悶”]不通者，凡此諸痛，各不同形，別之奈何?

Yellow Emperor said:"Some of the pains stop by themselves all of a sudden; some of the acute pains can not be stopped; some of the pains are so severe that can not withstand the massage and pressing; some of the pains can be alleviated by massage and pressing; some of them can not be alleviated by massage and pressing; some of them occur as soon as the hand touches the abdomen; sometimes the pain of heart and the pain of the back are affecting each other; sometimes the pain of the heart, the pain of the hypochondrium and the pain of the lower abdomen are affecting each other; sometimes the pain of the abdomen is pulling the inner side of the thigh; some of the pains are protracted to become abdominal mass; some acute pains occur suddenly to cause the patient to become unconscious like a dead man but revives after a while; some patients feel pain and vomit at the same time: some of the patients have abdominal pain and diarrhea; some patients feel pain and oppression over the chest. Since all the cases are different, how can they be distinguished?"