灵枢·寒热 Febrile and Chilly Disorders黄帝问于岐伯曰：寒热瘰疬在于颈腋者，皆何气使生？The Yellow Emperor asked Qi Bo, "What kind of qi causes the occurrence of febrile and chilly scrofula in the neck and armpits?"黄帝问岐伯道：发寒、发热的瘰疬症，多发生在颈部和腋下，这是为什么呢？岐伯曰：此皆鼠瘘寒热之毒气也，留于脉而不去者也。Qi Bo replied, "These are all the toxic qi of rat fistula with febrile and chilly symptoms, which remain in the vessels and do not dissipate."岐伯回答说：这些都属于鼠瘘病的寒热毒气稽留在经脉，不能消除的结果。黄帝曰：去之奈何？The Yellow Emperor asked, "How can they be removed?"岐伯曰：鼠瘘之本，皆在于脏，其末上出于颈腋之间，其浮于脉中，而未内着于肌肉，而外为脓血者，易去也。Qi Bo said, "The root of rat fistula lies in the internal organs. Its manifestations appear on the surface between the neck and armpits. When it floats in the vessels and has not yet adhered to the muscles inside and only shows pus and blood on the outside, it is easy to be removed."岐伯答道：鼠瘘病的本部在内脏，其标部循经脉上出于颈项和腋下。如果毒气浮于经脉之中而尚未内入附着于肌肉，只是外部化为脓血的瘰疬症，容易除去。 黄帝曰：去之奈何？The Yellow Emperor asked again, "How can it be removed?"
黄帝问：如何进行治疗呢？
岐伯曰：“请从其本引其末，可使衰去而绝其寒热。Qi Bo said, "Please start from its root and guide its manifestations. This can make it decline and eliminate the febrile and chilly symptoms. 岐伯答道：“可以通过调治其本部，从而引导滞留于标部的病邪散出，这样可使鼠瘘病的寒热邪气逐渐衰退以至根除。审按其道以予之，徐往徐来以去之，其小如麦者，一刺知，三刺而已。Examine carefully along its pathway and apply the treatment accordingly. Manipulate the needle slowly, going in and out slowly to remove it. For those as small as a wheat grain, one needling will bring about a noticeable effect, and three needlings will completely cure it."治疗时要仔细诊察相关脏腑经脉的通道，而后取穴刺治，用徐往徐来的针法以祛除鼠瘘病邪。瘰疬症结块小如麦粒的，针刺一次见效，针刺三次即可痊愈。” 黄帝曰：决其生死奈何？The Yellow Emperor asked, "How can we determine life and death?"岐伯曰：“反其目视之，其中有赤脉，上下贯瞳子，见一脉，一岁死；见一脉半，一岁半死；Qi Bo said, "Let the patient look up with the eyes turned back. If there are red vessels running through the pupil from top to bottom, seeing one vessel indicates death within one year; seeing one and a half vessels indicates death within one and a half years; 岐伯答道：“推断瘰疬症预后的方法是，翻开患者的眼睑进行观察，若眼中有红色的脉络，上下贯通瞳子，便是病情恶化的征兆。若出现一条红色的脉络，死期当在一年之内；出现一条半，死期为一年半之内；见二脉，二岁死；见二脉半，二岁半死；见三脉，三岁而死。见赤脉不下贯瞳子，可治也。”seeing two vessels indicates death within two years; seeing two and a half vessels indicates death within two and a half years; seeing three vessels indicates death within three years. If the red vessels do not run through the pupil downward, it can be treated."出现两条，死期为两年之内；出现两条半，死期为两年半；出现三条，死期为三年。若只有红色的脉络而没有贯通瞳子，尚能够治疗。”
