胃者,脾之腑也,又名〔水〕谷之海,与脾为表里。胃者,人之根本,胃气壮,
则五脏六腑皆壮(也),足阳明是其经也。胃气绝,五日死。实则中胀便难,肢节痛,
不下食,呕逆不已。虚则肠鸣胀满,滑泄。寒则腹中痛,不能食〔冷〕物。热则面
赤如醉人,四肢不〔收〕持,不〔得〕安眠,语狂HT 乱,便硬者是也。病甚则腹胁胀满,
呕逆不食,当心痛,(下上)不〔通〕,恶闻香臭,嫌人语,振寒,善欠伸。胃
中热,〔则〕唇黑;热甚,则登高而歌,弃衣而走,颠狂不定,汗出额上,鼽〔衄〕
不止。虚极则四肢肿满,胸中短气,谷不化,中满也。胃中风,则溏泄不已;胃不
足,则多饥,不消食。病患鼻下平,则胃中病,渴者可治。胃脉搏坚而长,其色
〔黄赤者,当病折髀〕。其脉弱而散者,病食〔痹〕。右关上浮而大者,虚也;
浮而短涩者,实也;浮而微滑者,亦〔实〕也;浮而迟者,寒也;浮而数者,热也。
此胃〔腑〕虚实寒热,生死逆顺脉证之法也。
《主治备要》云∶是动则病〔凄沧〕振寒,善〔呻〕数欠,颜黑,病至则恶人与
火,闻木声则惕然而惊,心欲动,〔独〕闭户〔塞牖而〕处,甚则登高而歌,弃衣而走,
贲响腹胀,是为 厥。《脉诀》云∶右关上,脾胃脉之所出也,先以轻手得之,是胃,
属表;后以重手得之,是脾,属里。脾合肌肉,脾脉循肌肉而行,持脉指法,如九菽之
重,按至肌肉,脉道如微风轻扬柳梢者为缓;又稍稍加力,脉道敦实者为大,此为缓
大,脾家不病〔脉〕之状也。脾脉本部在肌肉,若出于肌肉之上,见于皮毛之间者,
是其浮也;入于肌肉之下,见于筋骨之分者,是其沉也。
The Stomach is the Fu-organ of the Spleen, also known as the "Sea of Water and Grain," and stands in exterior-interior relationship with the Spleen. The Stomach is the root of human life; when Stomach Qi (Vital Energy) is robust, all Zang-fu organs are robust. The Foot-Yangming Meridian belongs to it. If Stomach Qi is exhausted, death occurs after five days. In excess conditions, there is abdominal distension, difficult defecation, pain in limbs and joints, inability to eat, and incessant vomiting and regurgitation. In deficiency conditions, there is borborygmus, abdominal fullness, and loose stools. In cold conditions, there is abdominal pain and inability to consume cold foods. In heat conditions, the face is red like a drunkard, limbs are weak and unable to support the body, sleep is restless, speech is delirious and chaotic, and stool is hard. When the disease is severe, there is distension of the abdomen and hypochondrium, vomiting and regurgitation with inability to eat, pain in the epigastrium, obstruction of upper and lower passages, aversion to odors, dislike of people's speech, chills, and frequent yawning and stretching. Heat in the Stomach causes black lips; severe heat causes climbing high to sing, discarding clothes and running, erratic mania, sweating on the forehead, and incessant epistaxis. Extreme deficiency causes swelling and fullness of the four limbs, shortness of breath in the chest, undigested food, and central fullness. Wind invading the Stomach causes incessant loose stools; insufficient Stomach Qi causes frequent hunger but indigestion. If the area below the patient's nose is flat, it indicates disease in the Stomach; if accompanied by thirst, it is treatable. A Stomach pulse that is firm and long, with a yellowish-red complexion, indicates disease of the hip (fracture or pain). A pulse that is weak and scattered indicates Bi-syndrome due to food stagnation. At the Right Guan position, a floating and large pulse indicates deficiency; floating and short/rough indicates excess; floating and slightly slippery also indicates excess; floating and slow indicates cold; floating and rapid indicates heat. These are the methods for determining the excess-deficiency, cold-heat, life-death, and favorable-unfavorable patterns of the Stomach Fu-organ based on pulse and symptoms.
"Zhu Zhi Bei Yao" states: When this meridian is affected, there is shivering chills, frequent groaning and yawning, dark facial color. Upon onset, there is aversion to people and fire, and startle upon hearing wooden sounds. The heart feels agitated, and the patient closes doors and windows to stay alone. Severe cases involve climbing high to sing, discarding clothes and running, rumbling and distension of the abdomen, which is termed Jue syndrome. "Mai Jue" states: The Right Guan position is where the Spleen and Stomach pulses emerge. Light pressure yields the Stomach pulse, which belongs to the Exterior; heavy pressure yields the Spleen pulse, which belongs to the Interior. The Spleen governs muscles, and its pulse runs along the muscles. For palpation technique, using the weight of nine beans, pressing to the muscle level, a pulse that flows gently like willow tips in a breeze is a Slow (Huan) pulse; adding slight force, a solid and substantial pulse is a Large (Da) pulse. This Slow-Large combination represents the normal pulse state of a healthy Spleen. The Spleen pulse originates in the muscles; if it appears above the muscles, between the skin and hair, it is a Floating (Fu) pulse; if it sinks below the muscles, appearing at the level of sinews and bones, it is a Deep (Chen) pulse.