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帝曰，如何而反？歧伯曰，氣虛身熱，此謂反也。穀入多而氣少，此謂反也。穀不入而氣多，此謂反也。脈盛血少，此謂反也。脈少血多，此謂反也。氣盛身寒，得之傷寒。氣虛身熱，得之傷暑。穀入多而氣少者，得之有所脱血，濕居下也。穀入少而氣多者，邪在胃及與肺也。脈小血多者，飲中熱也。脈大血少者，脈有風氣，水漿不入，此之謂也。夫實者，氣入也。虛者，氣出也。氣實者，熱也。氣虛者，寒也。入實者，左手開鍼空也。入虛者，左手閉鍼空也。
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