结阳者，肿四肢；结阴者，便血一升，再结二升，三结三升。结阳，阳聚而实也。四肢
者，
诸阳之本。阳实，则四肢肿也。结阴，阴气凝聚，不与阳气相通也。夫阳所以举阴气者也，
阴无阳而独，则不复周流四布，有坠而下出耳！再结、三结，谓二阴、三阴并结不解，结愈
甚者，下愈多也。
人病胃脘痈者，诊当候胃脉。其脉当沉细，沉细者气逆，逆者人迎甚盛，甚盛则热。人
迎者
，胃脉也。逆而甚，则热聚于胃口而不行，故胃脘为痈也。按人迎在头，趺阳在足，皆胃脉
也。云当候胃脉者，谓趺阳也。趺阳脉不必沉且细，而今沉且细者，气逆于上，而下乃虚，
下虚则沉细也。人迎甚盛者，气逆于上则上盛，上盛故人迎甚盛。夫气聚于上而热不行，胃
脘壅遏，得不蓄积为痈耶？
覃，延也， 肉蔓延，与肠相着。瘕，假也，假血成形，积于胞中。血积易去，故曰可
导而下； 肉渐大，则消之非易，故曰状如怀子，久者离岁。
心移寒于肺，为肺消；肺消者，饮一溲二，死不治。肺居上焦，而司气化。肺热则不肃
，不
肃则水不下；肺寒则气不化，不化则水不布。不特所饮之水直趋而下，且并身中所有之津，
尽从下趋之势，有降无升，生气乃息，故曰∶“饮一溲二，死不治。”
When Yang meridians are obstructed, swelling occurs in the four limbs; when Yin meridians are obstructed, hematochezia (blood in stool) ensues: one sheng upon the first obstruction, two sheng upon the second, and three sheng upon the third. "Obstruction of Yang" refers to the accumulation and excess of Yang Qi. The four limbs are the root of all Yang meridians. When Yang is excessive, it causes swelling in the four limbs. "Obstruction of Yin" refers to the condensation of Yin Qi, which fails to communicate with Yang Qi. Yang serves to lift and support Yin Qi; if Yin Qi exists in isolation without Yang, it can no longer circulate throughout the body and distribute evenly, but instead sinks and exits from below. "Second obstruction" and "third obstruction" refer to the persistent obstruction of Taiyin and Shaoyin meridians; the more severe the obstruction, the greater the volume of lower bleeding.
In cases where a patient suffers from epigastric carbuncle (a suppurative lesion of the stomach), the pulse should be examined at the Stomach meridian. The normal Stomach pulse should be deep and fine. A deep and fine pulse indicates rebellious Qi; in such cases, the Renying (ST9) pulse becomes very vigorous, indicating heat. The Renying pulse belongs to the Stomach meridian. Rebellious and vigorous Qi leads to heat accumulation at the gastric opening that cannot disperse, thus causing an epigastric carbuncle. Note: The Renying point is located on the head, and the Zuyang (Chongyang, ST42) point is located on the foot; both reflect the Stomach Qi. When the text states "examine the Stomach pulse," it refers to the Zuyang pulse. The Zuyang pulse need not necessarily be deep and fine; however, its current presentation as deep and fine indicates that Qi is rebellious upward, leaving the lower part deficient. Lower deficiency results in a deep and fine pulse. The Renying pulse is vigorous because Qi rebels upward, causing excess in the upper part; thus, the Renying pulse becomes very vigorous. If Qi accumulates in the upper part and heat fails to dissipate, causing stagnation and obstruction in the epigastrium, how could it fail to accumulate into a carbuncle?
"Qin" means extension, referring to the spreading growth of flesh tissue adhering to the intestines. "Jia" means false, referring to a mass formed by borrowed blood accumulating in the uterus (baozhong). Blood stasis is easy to remove, hence it is said that it can be guided downward; however, if flesh gradually enlarges, elimination is difficult, hence the condition presents as abdominal distension resembling pregnancy, lasting for years.
When Heart cold transmits to the Lung, it is called Feixiao (Lung Xiao); in Feixiao, the patient drinks one unit of fluid but excretes two units of urine, a condition that is fatal and incurable. The Lung resides in the Upper Jiao and governs Qi transformation. If the Lung is hot, its descending function fails; if descending fails, fluids do not flow downward. If the Lung is cold, Qi transformation fails; if transformation fails, fluids are not distributed. Not only does the ingested water rush directly downward, but all the body's Jin-Ye (body fluids) follow this downward trend, having descent without ascent. Thus, the Sheng Qi (vital energy) ceases, hence it is said: "Drinking one and urinating two is fatal and incurable."