胆为中清之府,号曰将军,决逆顺于此焉。能喜怒刚柔,与肝为表里,足少阳是其经也。
虚则伤寒,寒则恐畏,头眩不能独卧。实则伤热,热则惊怖,精神不守,卧起不宁。又玄水
发其根在胆。又肝厥不已,传邪入胆,呕清汁。又胆有水,则从头肿至足,又胆病则口苦太
息,呕宿汁,心中澹澹,恐人将捕之,咽仲介介然数唾。又胆胀则口苦,舌下痛太息,邪气
客于胆,则梦讼斗。其脉诊在左关上浮而得之者,是其部也。胆实则热,精神不守。胆热多
睡,胆冷则无眠。又关上脉阳微者胆虚,阳数者胆实,阳虚者胆绝也。
小肠为受盛之府,与心为表里,太阳是其经也。心与小肠绝者,六日死。绝则发直如麻,
汗出不已,不得屈伸者是也。又心病久则传小肠,小肠咳则气咳一齐出也。小肠实则伤热,
热则口疮,虚则伤寒,寒则泄脓血,或泄黑水,其根在小肠。又小肠寒则下肿重。热久不出,
则渐生痔疾。若积多发热则上病,若气多发冷,则腰下重,食则窘迫而难,是其候也。小肠
胀则小肠引指疼,厥则邪入小肠,梦聚并邑中,或咽痛颔肿,不可回首,肩如杖,脚如折。
又左手寸口阳绝,是无小肠也,六日死。病则脐腹小,腹中有疝瘕也。右手寸口实大也,小
肠实也,有热则小便赤涩。又小肠实则口疮,身热去来,心中烦满体重。又小肠主于舌之官
也,和则能言,而机关利健,善别其味。虚则左寸口脉浮而微,软弱不禁。按病惊狂,无所
守下,空空然不能语者是也。
The Gallbladder is referred to as the "Middle Clear Organ" (Zhong Qing Zhi Fu) and is nicknamed the "General" (Jiang Jun), responsible for making decisions regarding what is proper or improper. It can manifest emotions such as joy, anger, rigidity, and softness, and stands in a exterior-interior relationship with the Liver (Gan). The Foot Shaoyang Gallbladder Meridian (Zu Shao Yang Dan Jing) is its associated channel.
When deficient, it is susceptible to Cold pathogen (Han), leading to fear and dread, dizziness (Tou Xuan), and an inability to lie down alone. When excess, it is susceptible to Heat pathogen (Re), leading to fright and terror, loss of mental possession (Jing Shen Bu Shou), and restlessness in sitting and lying. Furthermore, the root of "Xuan Shui" (a type of edema) lies in the Gallbladder. Additionally, if Liver Jue (Liver Qi rebellion) persists, pathogenic factors transmit into the Gallbladder, causing vomiting of clear bitter fluid. If there is water retention in the Gallbladder, swelling occurs from head to foot. Gallbladder disease manifests as a bitter taste in the mouth, frequent sighing, vomiting of old fluids, palpitations (Xin Zhong Dan Dan), fear that others will capture one, a sensation of obstruction in the throat (Yan Zhong Jie Jie Ran), and frequent spitting. If the Gallbladder is distended, there is a bitter taste, pain under the tongue, and frequent sighing; when pathogenic factors lodge in the Gallbladder, one dreams of lawsuits and fights. The pulse diagnosis for Gallbladder disease is located at the left Guan position; if the pulse is floating upon superficial palpation, this indicates the Gallbladder's region. Gallbladder excess leads to heat and loss of mental possession. Gallbladder heat causes excessive sleepiness, while Gallbladder cold causes insomnia. Additionally, a weak Yang pulse at the Guan position indicates Gallbladder deficiency; a rapid Yang pulse indicates Gallbladder excess; a deficient Yang pulse indicates Gallbladder exhaustion.
The Small Intestine is referred to as the "Organ of Reception and Containment" (Shou Sheng Zhi Fu), standing in an exterior-interior relationship with the Heart (Xin). The Taiyang meridian is its associated channel (Note: Text specifies Taiyang, typically Hand Taiyang Small Intestine Meridian). If the Qi of the Heart and Small Intestine is exhausted, death occurs within six days. Exhaustion is characterized by hair standing erect like hemp, continuous sweating, and inability to bend or stretch. Additionally, prolonged Heart disease transmits to the Small Intestine; Small Intestine cough results in simultaneous expulsion of breath. Small Intestine excess involves Heat injury, leading to mouth ulcers; Small Intestine deficiency involves Cold injury, leading to discharge of pus and blood, or black water, with the root in the Small Intestine. Additionally, Small Intestine cold causes lower limb swelling and heaviness. If Heat lingers without resolution, hemorrhoids gradually develop. If accumulation is abundant with fever, the pathology moves upward; if Qi stagnation causes cold sensations, heaviness occurs below the waist, and eating becomes difficult and distressing, which are its signs. Small Intestine distension causes pain radiating to the fingers; Jue (reversal) allows pathogenic factors to enter the Small Intestine, causing dreams of gatherings or depression, or sore throat and submandibular swelling, inability to turn the head, shoulder pain as if beaten by a club, and leg pain as if broken. Additionally, exhaustion of the Yang pulse at the Cun Kou position on the left hand indicates absence of Small Intestine function, leading to death within six days. Disease presents with contraction of the umbilical and abdominal area, and presence of hernias and masses in the abdomen. A solid and large pulse at the Cun Kou position on the right hand indicates Small Intestine excess; with Heat, urination becomes red and scanty. Additionally, Small Intestine excess causes mouth ulcers, intermittent fever, mental vexation and fullness, and body heaviness. Furthermore, the Small Intestine is the organ governing the tongue; when harmonious, speech is possible, joints are agile, and taste discrimination is sharp. Deficiency manifests as a floating and faint pulse at the left Cun Kou position, weak and unable to sustain itself. If illness arises from fright and mania, with spirit lacking possession, emptiness, and inability to speak, this is the condition.