积聚 瘕杂虫，皆由五脏六腑真气失。邪气并而来，其状各异，有害人与不害人之区。
其为病，有缓速痛痒之异。盖因内外相感，真邪相犯，气血熏搏，交合而成。积者系于脏，
聚者系于腑， 者系于气，瘕者系于血，蛊者血气食物相感而化之。积有五，聚有六， 有
十二，瘕有八，蛊有九，其名不等。积有心、肝、脾、肺、肾之异；聚有大肠、小肠、胆、
胃、膀胱、三焦之分；症有劳、气、冷、热、虚、实、风、湿、食、药、思、忧之别；瘕有
青、黄、燥、血、脂、狐、蛇、鳖之区；虫有伏、蛔、白、肉、肺、胃、赤、弱、蛲之名。
为病之说，出于诸论。治疗之法，皆具于后。
劳者，劳于神气。伤者，伤于形容。饥饱过度则伤脾，思虑过度则伤心，色欲过度则伤
肾，起居过度则伤肝，喜怒悲愁过度则伤肺。又风寒暑湿则伤于外，饥饱劳役则败于内。昼
感之则病营，夜感之则病卫。营卫经行，内外交运，而各从其昼夜。始劳于一，一起于二，
二传于三，三通于四，四干其五，五复犯一。一至于五，邪乃深，真气自失，使人肌肉消，
神气弱，饮食减，行步难，及其如此，则虽有命，亦不能生。故《调神气论》曰∶“调神气，
戒
甚微，甚涩，甚滑，甚短，甚长，甚浮，甚沉，甚紧，甚弦，甚洪，甚实，皆起于劳而生也。
Accumulation (Ji, fixed masses), mass (Jia, mobile masses), and miscellaneous worm diseases all arise from the depletion of the true Qi (Vital Energy) of the five Zang organs and six Fu organs. Pathogenic factors invade concurrently; their manifestations vary, with distinctions between those harmful and those harmless to humans.
In terms of pathology, there are differences in slowness or speed, pain, and itching. Generally, this is due to mutual induction between internal and external factors, conflict between true Qi and pathogenic factors, and the steaming and struggling of Qi and Blood, which intertwine and form. Accumulations (Ji) are associated with the Zang organs, while Gatherings (Ju) are associated with the Fu organs. [Zheng] (referring to conditions related to Qi stagnation, likely a textual variant or specific category in this context) is associated with Qi, Jia is associated with Blood, and Gu poison arises from the interaction and transformation of Blood, Qi, and food. There are five types of Ji, six types of Ju, twelve types of Zheng, eight types of Jia, and nine types of Gu, with varying names. Ji differs by Heart, Liver, Spleen, Lung, and Kidney; Ju is distinguished by Large Intestine, Small Intestine, Gallbladder, Stomach, Bladder, and Sanjiao (Triple Burner); Zheng is differentiated by Labor, Qi, Cold, Heat, Deficiency, Excess, Wind, Dampness, Food, Medicine, Thought, and Worry; Jia is categorized into Green, Yellow, Dry, Blood, Fat, Fox, Snake, and Turtle; and worms are named as Hidden, Roundworm, White, Flesh, Lung, Stomach, Red, Weak, and Pinworm. Theories on disease etiology stem from various discussions. Therapeutic methods are detailed subsequently.
"Labor" refers to the excessive consumption of Shen (Spirit) and Qi. "Injury" refers to damage to the physical form. Excessive hunger and fullness injures the Spleen; excessive thinking injures the Heart; excessive sexual desire injures the Kidneys; excessive irregularity in daily routine injures the Liver; and excessive emotions such as anger, joy, sorrow, and worry injure the Lungs. Furthermore, Wind, Cold, Summer-heat, and Dampness injure from the exterior, while hunger, fullness, and overwork ruin from the interior. Contracting pathogens during the day affects Ying (Nutritive) Qi; contracting them at night affects Wei (Defensive) Qi. As Ying and Wei circulate through the meridians and interact internally and externally, they follow the rhythms of day and night. Initial labor in one area spreads to two, then three, then four, then interferes with five, and finally five re-involves one. From one to five, pathogenic factors deepen, causing true Qi to be lost. This leads to emaciation of muscles, weakness of Shen and Qi, reduced appetite, and difficulty walking. When it reaches this stage, even if life persists, survival is impossible. Thus, the *Tiao Shen Qi Lun* (Treatise on Regulating Spirit and Qi) states: "When regulating Shen and Qi, one must beware of pulses that are extremely fine, extremely choppy, extremely slippery, extremely short, extremely long, extremely floating, extremely deep, extremely tight, extremely wiry, extremely surging, and extremely excess; these all arise from labor and generate pathology."