肺中风者，口燥而喘，「头」〔身〕运而「身」重，冒「风」而肿胀。
【按】
身运而重当是「头运而身重」，冒而肿胀当是「冒风而肿胀」，乃与文义始为相属，
当改之补之。
肝中寒者，〔两臂不举，舌本燥，〕喜太息，胸中痛，不得转侧，食则吐〔而汗出〕
也。
【按】
「两臂不举，舌本燥」二句，「而汗出」三字，文义不属，必是错简，不可为后世法
，不释。
肝着，其人常欲蹈其胸上，先未苦时，但欲饮热〔，旋覆花汤主之〕。
【按】
「旋覆花汤主之」六字，与肝着之病不合，当是衍文。
心伤者，其人劳倦，即头面赤而下重，心中痛而自烦，发热，当脐跳，其脉「沉」〔
弦〕，此为心藏伤所致也。
【按】
其脉弦之「弦」字，当是「沉」字，沉为肾脉，文义相属，当改之。
邪哭使魂魄不安者，血气少也，血气少者，属于心，心气虚者，其人则畏，合目欲眠
，梦远行而精神离散，魂魄妄行，阴气衰者为「狂」〔癫〕，阳气衰者为「癫」〔狂
〕。
【按】
阴气衰者为癫之「癫」字，当是「狂」字；阳气衰者为狂之「狂」字，当是「癫」字
。『内经』曰：重阴者癫，重阳者狂，当改之。
趺阳脉浮而涩，浮则胃气强，涩则小便数，浮涩相搏，大便则坚，其脾为约，麻子仁
丸主之。
【按】
此条注详见『伤寒论·阳明篇』内，故不复释。
问曰：病有积，有聚，有「漀」〔□〕气，何谓也？师曰：积者，藏病也，终不移；
聚者，府病也，发作有时，展转痛移，为可治。「漀」〔□〕气者，□下痛，按之则
愈，复发为「漀」〔□〕气。诸积大法：脉来细而附骨者，乃积也。寸口，积在胸中
；微出寸口，积在喉中；关上，积在脐傍；上关上，积在心下；微下关，积在少腹；
尺中，积在气冲；脉出左，积在左；脉出右，积在右；脉两出，积在中央；各以其部
处之。
【按】
□作漀解，见首篇。
When the Lung (Fei) is invaded by Wind pathogen, symptoms include dryness of the mouth and panting, dizziness of the head with heaviness of the body, a sensation of being smothered or obscured by wind, and swelling.
[Commentary]
"Heaviness of the body with dizziness" should be "dizziness of the head with heaviness of the body," and "smothered and swollen" should be "smothered by wind and swollen." This aligns with the textual meaning and should be corrected and supplemented.
When the Liver (Gan) is invaded by Cold pathogen, [the two arms cannot be raised, the root of the tongue is dry, there is a desire for frequent sighing, pain in the chest, inability to turn the body, vomiting after eating, and sweating.]
[Commentary]
The phrases "the two arms cannot be raised, the root of the tongue is dry" and the three characters "and sweating" do not fit the context logically; they are likely due to misplaced bamboo slips and should not be taken as a model for later generations. No explanation is provided.
In Liver Qi Stagnation (Gan Zhuo), the patient often desires to tread on or press upon the upper chest. Before the onset of severe suffering, the patient only desires to drink hot liquids. [Xuan Fu Hua Tang (Inula Flower Decoction) is indicated.]
[Commentary]
The six characters "Xuan Fu Hua Tang (Inula Flower Decoction) is indicated" do not accord with the pathology of Liver Qi Stagnation (Gan Zhuo) and are likely interpolations (superfluous text).
When the Heart (Xin) is damaged, the person becomes fatigued and weary, leading to redness of the head and face and heaviness of the lower body. There is heart pain accompanied by internal restlessness, fever, pulsation around the umbilicus, and the pulse is "deep" (Chen) [or alternatively "wiry" (Xian)]. This is caused by damage to the Heart organ.
[Commentary]
The character "wiry" (Xian) describing the pulse should be "deep" (Chen). A deep pulse corresponds to the Kidney, which fits the textual logic better, and thus should be corrected.
Crying induced by evil pathogens causing insecurity of the Hun and Po spirits results from deficiency of Blood and Qi. Deficiency of Blood and Qi pertains to the Heart. When Heart Qi is deficient, the person experiences fear, wishes to close their eyes and sleep, dreams of traveling far away, has scattered spirit and essence, and experiences erratic movement of the Hun and Po spirits. Deficiency of Yin Qi manifests as "Mania" (Kuang) [or alternatively "Epilepsy/Melancholia" (Dian)], while deficiency of Yang Qi manifests as "Epilepsy/Melancholia" (Dian) [or alternatively "Mania" (Kuang)].
[Commentary]
The character "Epilepsy/Melancholia" (Dian) in "Deficiency of Yin Qi manifests as Dian" should be "Mania" (Kuang); the character "Mania" (Kuang) in "Deficiency of Yang Qi manifests as Kuang" should be "Epilepsy/Melancholia" (Dian). The *Neijing* states: "Excess Yin leads to Dian, Excess Yang leads to Kuang." This should be corrected.
At the Yuyang pulse position, if the pulse is floating and choppy, floating indicates strong Stomach Qi, and choppy indicates frequent urination. The interaction of floating and choppy pulses leads to hard stools. The Spleen is constrained, and Ma Zi Ren Wan (Hemp Seed Pill) is indicated.
[Commentary]
For detailed notes on this passage, refer to the *Shanghan Lun* (Treatise on Cold Damage), Yangming Chapter. Therefore, no further explanation is given here.
Question: Diseases include Ji (Accumulation), Ju (Gathering), and Qi (Qi disturbance). What does this mean?
Master said: Ji (Accumulation) diseases are disorders of the Zang organs; they remain fixed in place and do not move. Ju (Gathering) diseases are disorders of the Fu organs; they occur at specific times, and the pain shifts and moves around, making them treatable. Qi (Qi disturbance) disease involves pain in the lower abdomen that resolves upon pressure but recurs, known as Qi (Qi disturbance) disease.
The general principle for diagnosing Accumulations (Ji): If the pulse is thin and adheres closely to the bone, it indicates an Accumulation.
- Abnormalities at the Cun Kou (inch position) indicate accumulation in the chest.
- Pulse slightly extending beyond the Cun Kou indicates accumulation in the throat.
- Abnormalities at the Guan (bar position) indicate accumulation beside the navel.
- Pulse slightly above the Guan position indicates accumulation below the heart (epigastrium).
- Pulse slightly below the Guan position indicates accumulation in the lower abdomen.
- Abnormalities at the Chi (cubit position) indicate accumulation at the Qichong point.
- Pulse abnormalities appearing on the left side indicate accumulation on the left.
- Pulse abnormalities appearing on the right side indicate accumulation on the right.
- Pulse abnormalities appearing on both sides indicate accumulation in the center.
One should diagnose the location of the accumulation based on the specific pulse position.
[Commentary]
The character "□" is interpreted as "Qi" (漀), as seen in the first chapter of this book.