原文：黄帝问于岐伯曰:周痹之在身也,上下移徙,随脉,其上下左右相应,间不容空,愿闻此痛,在血脉之中邪?将在分肉之间乎?何以致是?其痛之移也,间不及下针,其慉痛之时,不及定治,而痛已止矣,何道使然?愿闻其故岐伯答曰:此众痹也,非周痹也。
黄帝曰:愿闻众痹。
岐伯对曰:此各在其处,更发更止,更居更起,以右应左,以左应右,非能周也。
更发更休也。
黄帝曰:善。
刺之奈何?岐伯对曰:刺此者,痛虽已止,必刺其处,勿令复起。
帝曰:善。
愿闻周痹何如?岐伯对曰:周痹者,在于血脉之中,随脉以上,随脉以下,不能左右各当其所。
黄帝曰:刺之奈何?岐伯对曰:痛从上下者,先刺其下以遏之后刺其上以脱之。
痛从下上者,先刺其上以遏之,后刺其下以脱之。
黄帝曰:善。
此痛安生?何因而有名?岐伯对曰:风寒湿气,客于外分肉之间,迫切而为沫,沫得寒则聚,聚则排分肉而分裂也,分裂则痛,痛则神归之,神归之则热,热则痛解,痛解则厥,厥则他痹发,发则如是。
黄帝曰:善。
余已得其意矣。
岐伯曰:此内不在脏,而外未发于皮,独居分肉之间,真气不能周,故命曰周痹。
故刺痹者,必先切循其上下之六经视其虚实,及大络之血结而不通,及虚而脉陷空者而调之熨而通之。
其瘛坚转引而行之。
黄帝曰:善。
余已得其意矣,亦得其事也。
九者,经巽之理,十二经脉阴阳之病也。
翻译:黄帝问于岐伯说:周痹这个病,病邪在人的身体中随着血脉上下的移动,疼痛的部位左右对称,时时在转移,又连续不断,我想知道这种疼痛是发生在血脉之中还是在分肉之间?又是怎样形成这种病的?这种疼痛转移得如此之快,以至于无法在疼痛的部位下针,当某一个部位的疼痛很明显的时候,还没有来得及决定怎样治疗,疼痛就已经停止了。
这是什么样的机制呢?请您告诉我其中的缘故。
岐伯回答说:这是众痹病,而不是周痹病。
黄帝说:我也很想听你说一说众痹这个病。
岐伯回答说:众痹,其病邪分布于身体的各个部位,邪气随时发作,随时停止,随时转移,随时停滞,在症状上也表现为左右影响,左右对称,而不是全身都疼痛。
只是这种发作是有时发作,有时休止的。
黄帝说:好。
针刺治疗用什么方法呢?岐伯回答说:一个部位的疼痛虽然很快就停止了,但还是要准确地针刺疼痛发作的那个部位,不要让它再发。
黄帝说:太好了。
我还希望您再讲一讲周痹这个病是怎么一回事?岐伯回答说:周痹的病邪存在于血脉之中随着血液在身体中流动而遍及全身,所以,在发病的时候,并不是左右对称地发作,而是病邪随血液流动,停在什么地方就在什么地方发病。
黄帝说:那么针刺治疗又如何呢?岐伯回答说:疼痛是从上至下发展的,就先针刺疼痛部位之下的穴位,使邪气不再继续下传,再针刺其上部疼痛的部位以祛除病邪本身。
黄帝说:好的。
那么这种疼痛是怎样产生的呢?又为什么将这种疼痛称作周痹呢?岐伯回答说:风寒湿的邪气,从外至内逐渐侵入人体的分肉之间,将肌肉之间的津液挤压为汁沫,汁沫因寒冷而凝聚,聚为有形之物后就更加排挤分肉而使之分裂,因此而生疼痛,疼痛发生之后人的注意力就会集中在那个疼痛的部位上,心神集中在这个地方,就会使阳气聚敛,阳气聚而热生,痛因热解,疼痛解除之后,邪气就会继续流窜,在其他的部位聚集,于是疼痛也就随之转移到这一部位了,因此疼痛就会这样此起彼落。
黄帝说:好的。
我已经明白这其中的道理了。
岐伯接着说:这种病邪在内并没有深入脏腑之中,在外也没有通过皮表发散出来,而是独留于分肉之间,致使人身的真气不能流畅地在周身贯通,因此叫做周痹。
在针刺治疗时,首先要沿着发病的经络,用手指按切诊察,以判断其病是虚是实,以及大络的血脉是不是有淤结不通,以及经脉中有没有下陷空虚的情况,根据症候进行调治。
或用熨蒸的方法通其经络,若有牵引疼痛,拘急坚劲的情况,就用按摩导引等方法行其气血。
黄帝说:对。
我明白这个病的道理了,也知道了治疗的方法。
今天我知道使用九针不但能够能使经气通畅,还能治疗十二经脉阴阳不调的其他很多疾病的。
英语翻译：The Yellow Emperor asked Yu Qibo, "Zhou Bi is a disease in which the pathogenic factors move up and down with the blood vessels, causing pain."The pain part is symmetrical from left to right, shifting f rom time to time and continuously. I want to know whether the pain occurs in the blood or in the separation of meat? How to form the disease? The pain is transferred so fast that it can not be injected in the pain part. When the pain in a certain part is obvious, the pain has stopped be fore we can decide how to treat it. What kind of mechanism is this? Please let me know Because of.Qibo replied, "it's a mass Bi disease, not a Zhou Bi disea se.".Huangdi said: I also want to hear from you about zhongbi d isease.Qi Bo replied: zhongbi, its pathogenic factors are distribute d in all parts of the body. The evil Qi attacks at any t ime, stops at any time, transfers at any time, and stagnate s at any time. In terms of symptoms, it also shows left-ri ght influence, left-right symmetry, rather than pain all over the body. It's just that this kind of attack happens some times and stops sometimes. Yellow Emperor said: OK. What met hod does Acupuncture Treat with?Qibo replied: Although the pain in one part will soon stop, it is still necessary to accurately acupuncture the part w here the pain occurs, and do not let it recur.Yellow Emperor said: great. I also hope you can tell me mo re about Zhoubi disease. Qibo replied: Zhoubi disease exists in the blood vessels and spreads all over the body with the blood flowing in the body. Therefore, when the disease occurs, it does not attack symmetrically from left to right, but the disease pathogen flows with the blood, where it s tops and where it occurs.Huangdi said: so what about acupuncture treatment?Qibo replied: the pain develops from top to bottom. First, acupuncture the acupoints under the pain site, so that the evil spirit will not continue to spread, and then acupunctur e the upper part of the pain site to eliminate the disease itself. Yellow Emperor said: OK. So how does this pain co me about? Why is this pain called Zhoubi?Qibo replied: the evil wind of cold and dampness gradually invades the human body from the outside to the inside. It compresses the body fluid between the muscles into juice foa m. The juice foam condenses because of the cold. When it g athers into the tangible things, it will further crowd out the meat and split it. Therefore, it will cause pain. Afterthe pain happens, people's attention will be focused on th e painful part, and their mind will be focused on this pla ce, which will make the Yang gather, When the Yang Qi gath ers, it becomes hot. When the pain is pyrolytic, the evil Qi will continue to flow and gather in other parts, so the pain will move to this part, so the pain will rise and fall.Yellow Emperor said: OK. I've got the point.Qibo went on to say that the disease did not go deep into the internal organs, nor spread out through the skin, but remained in the separation of the flesh, so that the real Qi of the human body could not flow through the whole bo dy, so it was called Zhoubi. In acupuncture treatment, first of all, we should cut and examine the diseased meridians and collaterals with fingers to judge whether the disease is virtual or real, whether the blood vessels of the great c ollaterals are blocked by stasis, and whether there is depre ssion and emptiness in the meridians, and then adjust and t reat according to the symptoms. Or with the method of steam ing through its meridians, if there is traction pain, fast and strong situation, use massage and other methods to guide its Qi and blood.Yellow Emperor said: Yes. I understand the truth of the dis ease and the treatment. Today, I know that the use of nine needles can not only unblock the channels, but also cure many other diseases of the disharmony of the twelve meridian s.。