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帝曰，善。瘅，或痛或不痛，或不仁，或寒或熱，或燥或濕，其故何也？歧伯曰，痛者寒氣多也，有寒故痛也。其不痛不仁者，病久入深，榮衛之行濇，經絡時疎，故不通。皮膚不營，故爲不仁。其寒者，陽氣少，陰氣多，與病相益，故寒也。其熱者，陽氣多，陰氣少，病氣勝，陽遭陰，故爲痺熱。其多汗而濡者，此其逢濕甚也。陽氣少，陰氣盛，兩氣相感，故汗出而濡也。帝曰，夫痺之爲病，不痛何也？歧伯曰，痺在於骨，則重。在於脈，則血凝而不流。在於筋，則屈不伸。在於肉，則不仁。在於皮，則寒。故具此五者，則不痛也。凡痺之類，逢寒則蟲，逢熱則縱。帝曰，善。
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