黄帝问于岐伯曰。水与肤胀鼓胀肠覃石瘕石水。何以别之。岐伯答曰。水始起也。目窠上微肿。如新卧起之状。其
颈脉动。时咳。阴股间寒。足胫肿。腹乃大。其水已成矣。以手按其腹随手而起如裹水之状。此其候也。黄帝曰。肤胀
何以候之。岐伯曰。肤胀者。寒气客于皮肤之间。 然不坚。腹大。身尽肿。皮浓。按其腹 而不起。腹色不变。此
其候也。鼓胀何如。岐伯曰。腹胀。身皆大。大与肤胀等也。色苍黄腹筋起。此其候也。肠覃何如。岐伯曰。寒气客于
肠外与卫气相搏。气不得营因有所系。癖而内着恶气乃起 肉乃生。其始生也。大如鸡卵。稍以益大。至其成。如怀子
之状。久者离岁。按之则坚。推之则移。月事以时下。此其候也。石瘕何如。岐伯曰。石瘕生于胞中。寒气客于子门。
子门闭塞。气不得通。恶血当泻不泻。 以留止。日以益大。状如怀子。月事不以时下。皆生于女子。可导而下。黄帝
曰。肤胀鼓胀可刺邪。岐伯曰。先泻其胀之血络。后调其经。刺去其血络也。（通篇缺石水结笔缺水均别详）
前提后束中间分叙笔阵整暇。
黄帝曰。夫子言贼风邪气之伤人也。令人病焉。今有其不离屏蔽。不出室穴之中。卒然病者。非不离贼风邪气。其
故何也。岐伯曰。此皆尝有所伤于湿气。藏于血脉之中。分肉之间。久留而不去若有所堕坠。恶血在内而不去卒然。喜
怒不节。饮食不适。寒温不时。腠理闭而不通。其开而遇风寒。则血气凝结。与故邪相袭。则为寒痹。其有热。则汗出。
汗出。则受风。虽不遇贼风邪气。必有因加而发焉。黄帝曰。今夫子之所言者。皆病患之所自知也。其毋所遇邪气。又
毋怵惕之所志。卒然而病者。其故何也。唯有因鬼神之事乎。岐伯曰。此亦有故邪。留而未发。因而志有所恶。及有所
慕。血气内乱。两气相搏。其所从来者微。视之不见。听而不闻。故似鬼神。黄帝曰。其祝而已者。其故何也。岐伯曰。
先巫者。因知百病之胜。先知其病之所从生者。可祝而已也。
通篇一气贯注笔笔凌空。前半笔势驰骋。后半笔势紧缩极操纵之能。
Huangdi asked Qibo, "How can we differentiate between Shuizhang (Water Distension), Fuzhang (Skin Distension), Guzhang (Drum Distension), Changqin (Intestinal Polyp), Shijia (Stone Mass), and Shishui (Stone Water)?"
Qibo replied, "When Shuizhang (Water Distension) first begins, there is slight swelling above the eyes, resembling the appearance after just waking up. The pulse at the neck moves visibly, there is occasional coughing, coldness in the groin area, and swelling of the lower legs and calves. Only then does the abdomen enlarge, indicating that water retention has fully formed. When pressure is applied to the abdomen, the indentation rebounds immediately upon release, resembling a bag filled with water. This is the sign of Shuizhang."
Huangdi asked, "How should Fuzhang (Skin Distension) be diagnosed?"
Qibo said, "Fuzhang (Skin Distension) occurs when cold pathogenic factors lodge between the skin and muscles. The abdomen sounds hollow like a drum when tapped but feels firm upon palpation. The abdomen is distended, the entire body is swollen, and the skin is thickened. Pressure on the abdomen leaves an indentation that does not rebound quickly. The abdominal color remains unchanged. This is the sign of Fuzhang."
"What about Guzhang (Drum Distension)?"
Qibo said, "The abdomen is distended, and the whole body is enlarged to the same extent as in Fuzhang. The complexion is bluish-yellow, and the collateral vessels on the abdomen are prominent. This is the sign of Guzhang."
"And what about Changqin (Intestinal Polyp)?"
Qibo said, "Cold pathogenic factors invade outside the intestines and contend with Wei Qi (Defensive Qi). The Qi fails to circulate properly and becomes fixed in one location, forming a mass. Evil Qi arises, and flesh grows. Initially, it is the size of a chicken egg, gradually increasing until it resembles pregnancy. It may persist for over a year. Upon palpation, it is hard; upon pushing, it moves. Menstruation still occurs on time. This is the sign of Changqin."
"And what about Shijia (Stone Mass)?"
Qibo said, "Shijia (Stone Mass) originates in the Baozhong (Uterus). Cold pathogenic factors invade the Zimen (Cervical Os), causing obstruction. Qi cannot flow freely, and evil blood should be discharged but remains stagnant, enlarging daily. It resembles pregnancy, but menstruation does not occur on time. These conditions occur only in women and can be treated by guiding or purging methods."
Huangdi asked, "Can Fuzhang and Guzhang be treated with acupuncture?"
Qibo said, "First, puncture the blood collaterals associated with the distension to drain excess, then regulate the meridians, removing the blood from the collaterals." (The original text lacks a concluding summary for Shishui; refer to other chapters for details.)
The structure sets up the premise and conclusion, narrating the middle section methodically.
Huangdi said, "You stated that Zefeng Xieqi (Thieving Wind and Evil Qi) injures humans and causes disease. Now, some people do not leave their shelters or exit their rooms, yet they suddenly fall ill. This is not because they avoided Zefeng Xieqi. What is the reason?"
Qibo said, "These individuals have previously been injured by Dampness, which has lodged in the blood vessels and between the muscles, remaining there for a long time without dissipating. Or perhaps they suffered a fall, leaving evil blood inside that was not expelled. Or perhaps their emotions of joy and anger were unregulated, their diet inappropriate, and their exposure to cold and heat irregular. This caused the Couli (Pores) to close and become obstructed. When the pores opened and encountered wind-cold, the blood and Qi coagulated, combining with the latent pathogen to form Hanbi (Cold Bi Syndrome). If there is heat, sweating occurs; sweating makes one susceptible to wind. Even without encountering new thieving winds, illness must arise from the combination of old pathogens and new triggers."
Huangdi said, "What you say now seems to be known by the patients themselves. If they have not encountered external pathogens, nor experienced fright or anxiety, yet suddenly fall ill, what is the reason? Is it solely due to ghosts and spirits?"
Qibo said, "There is also a latent pathogen present, lying dormant. Later, due to mental aversion or excessive desire, the blood and Qi become internally chaotic, and two types of Qi contend with each other. The origin of this pathogen is subtle; it cannot be seen or heard, so it appears like the work of ghosts and spirits."
Huangdi asked, "Why can some diseases be cured through Zhuyou (Prayer/Incantation therapy)?"
Qibo said, "Ancient shamans understood the mutual overcoming of the hundred diseases and knew the origins of the illnesses beforehand, allowing them to cure the disease through Zhuyou."
The entire passage flows as one continuous breath, with soaring brushwork. The first half is expansive, while the second half is tightly controlled, demonstrating mastery of technique.