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黃帝問曰，余闻古之治病，惟其移精變氣，可祝由而已。今世治病，毒藥治其内，针石治其外，或愈或不愈何也？歧伯對曰，往古人居禽獸之間，動作以避寒，陰居以避暑。内無眷慕之累，外無伸宦之形。此恬憺之世，邪不能深入也。故毒藥不能治其内，针石不能治其外，故可移精祝由而已。當今之世不然，憂患缘其内，苦形傷其外。又失四時之從，逆寒暑之宜。賊風數至，虛邪朝夕。内至五藏骨髓，外傷空竅肌膚。所以小病必甚，大病必死。故祝由不能已也。
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