譯 2.27.1 Source원문
虛勞之疾, 不受補者, 難治. ○喉中生瘡, 聲啞者, 難治. ○久臥生胝瘡者, 難治. 《回春》 ○虛極之病, 火炎面紅, 發喘痰多, 身熱如火, 趺腫, 溏泄, 脉緊不食者, 死. 《入門》
Translation영역
In the illness of vacuity taxation, one who cannot receive supplementation is difficult to treat. Sores arising in the throat with a hoarse, mute voice — difficult to treat. Pressure sores from long lying — difficult to treat (Hoechun 回春). In the illness of utmost vacuity — fire flaming with a red face, panting with copious phlegm, body hot as fire, swollen insteps, sloppy diarrhea, a tight pulse, and no eating — death. (Immun 入門)
Clinical note임상 주석
The first criterion is the profoundest: a patient who can no longer absorb supplementation has lost the faculty every formula in this chapter depends on. The rest are its visible forms — the throat that cannot swallow, the skin that breaks from stillness, the fire that eats faster than food can arrive.
譯 2.27.2 Source원문
五敗死證, 手足腫, 無交紋, 心敗. ○脣反黑無紋, 肺敗. ○面黑有瘡, 肝敗. ○陰腫囊縮, 腎敗. ○臍突腫滿, 脾敗. ○九死候者, 一手足靑. ○二手足久腫. ○三脉枯齒乾. ○四語聲散, 鼻虛張. ○五脣寒冷宣露. ○六脣腫齒焦. ○七手循衣縫. ○八汗出不流. ○九舌卷卵縮. ○十絶證者, 氣短, 目視亭亭無精光, 心絶. ○口鼻虛張, 氣復短, 肺絶. ○面靑, 眼視人不直, 數出淚, 肝絶. ○面黑, 眼睛黃, 素汁流, 腎絶. ○泄涎唾不覺, 時時忘語, 脾絶. ○爪甲靑, 惡罵不休, 膽絶. ○背脊痠疼, 腰重反覆難, 骨絶. ○面無精光, 頭髮自落, 血絶. ○舌卷縮如紅丹, 嚥唾不得, 足踝小腫, 肉絶. ○髮直如麻, 汗出不止, 腸絶也. 《千金方》
Translation영역
The five defeats, signs of death: hands and feet swollen with the crease-lines gone — the Heart defeated. Lips everted, black, without lines — the Lung defeated. Face black with sores — the Liver defeated. Genitals swollen, scrotum retracted — the Kidney defeated. Navel protruding with swelling fullness — the Spleen defeated. — The nine signs of death: first, hands and feet turned green-blue; second, hands and feet long swollen; third, vessels withered and teeth dry; fourth, the voice scattered and nostrils flaring empty; fifth, lips cold with teeth laid bare; sixth, lips swollen and teeth scorched; seventh, hands groping along the seams of the clothes; eighth, sweat beading but not flowing; ninth, tongue curled and testicles retracted. — The ten severances: breath short, the gaze fixed and lightless — the Heart severed. Mouth and nose gaping empty, the breath shorter still — the Lung severed. Face green-blue, the eyes unable to look at a person straight, tears falling often — the Liver severed. Face black, eyes yellow, spontaneous fluids flowing — the Kidney severed. Drooling unawares, speech forgotten moment to moment — the Spleen severed. Nails green-blue, cursing without cease — the Gallbladder severed. Spine aching, the lumbus too heavy to turn — the bones severed. A face without light, the hair falling of itself — the Blood severed. Tongue curled tight as red cinnabar, unable to swallow, ankles faintly swollen — the flesh severed. Hair standing straight as hemp, sweat pouring without stop — the intestines severed.
Clinical note임상 주석
The chapter's unflinching last taxonomy — a bedside semiotics of dying, sign by sign, organ by organ, from the hands that grope at seams to the sweat that beads and will not run. Kept here not as morbidity but as mercy: knowing the signs that no formula answers is what frees the physician to stop prescribing and start accompanying. On which threshold the theory of the chapter ends, and the simples and the moxa — the gentlest things it owns — take over.