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At the age of fifty or sixty, if a person is ill with a large pulse, experiencing bi-syndrome (obstruction syndrome) accompanied by back pain, or developing "mad knife and jia luo" (a condition resembling cervical lymphadenitis or goiter), all these are caused by lao-disease (consumptive disease).

[Note]
The three characters "ruo chang ming" (if there is intestinal borborygmus) do not belong to the context here; it must be a textual error due to bamboo slips being out of order, and should be deleted. The character "ying" (goiter) in "jia ying" should be "luo" (scrofula/lymph node tuberculosis). There are cases where lao-disease precedes luo, or luo precedes lao, but never have we seen lao and ying occurring sequentially as diseases; this should be corrected.

In lao-disease, the pulse is floating and large, the hands and feet are vexed and hot, the condition worsens in spring and summer, and improves in autumn and winter. Due to yin deficiency, essence escapes spontaneously, and the body becomes emaciated and sore, unable to walk.

[Note]
The character "han" (cold) in "yin han jing zi chu" (yin cold causes spontaneous essence discharge) should be "xu" (deficiency); this should be corrected.

If a man has a pale complexion, it indicates thirst and blood loss, sudden panting, and palpitations. [A floating pulse indicates interior deficiency.]

[Note]
The sentence "mai fu zhe, li xu ye" (a floating pulse indicates interior deficiency) is likely an interpolation and should be omitted.

Those who habitually lose essence often present with tension and urgency in the lower abdomen, coldness at the glans penis, dizziness, hair loss, and a pulse that is extremely deficient, kōu (hollow), and slow. This indicates clear stool (undigested food in feces), blood loss, and essence loss. [When the pulse presents various characteristics of kōu, moving, fine, and tight, and the patient suffers from seminal emission or nocturnal emissions, Guizhi Jia Longgu Muli Tang (Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell) is the primary treatment.]

[Note]
The five sentences starting with "mai de zhu kou..." (when the pulse presents various kōu...) do not align with the preceding text in meaning and are interpolations. They should be separated into a new clause, placed after the twelfth clause in this section.

A pulse that is xian (wiry) and da (large): xian indicates reduction (of yang), da indicates kōu (hollowness). Reduction implies cold, and hollowness implies deficiency. When deficiency and cold interact, this is named ge-pulse (drum-taut pulse). In women, this manifests as miscarriage and persistent uterine bleeding; in men, it manifests as blood loss and essence loss.

[Note]
The annotation for this clause can be found in detail in the "Bian Mai Pian" (Chapter on Pulse Differentiation) of *Shanghan Lun* (Treatise on Cold Damage), so no further explanation is provided here.

When the qi of the five zang-organs is extremely deficient, the body is emaciated, the abdomen is full, and there is an inability to eat. [The treatment principle is to soothe the middle and tonify deficiency.] Whether caused by dietary injury, emotional distress, excessive drinking, sexual excess, hunger, overwork, or damage to the meridians, ying-qi, and wei-qi, if dry blood (chronic blood stasis) accumulates internally, the skin becomes rough like fish scales, and the eyes appear dark. [The treatment principle is to soothe the middle and tonify deficiency.] Da Huang Zhe Chong Wan (Rhubarb and Ground Beetle Pill) is the primary treatment.

[Note]
The four characters "huan zhong bu xu" (soothe the middle and tonify deficiency) appearing after the phrase "liang mu an hei" (eyes appear dark) should actually follow "bu neng yin shi" (unable to eat). This is likely a transcription error and should be moved.