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The Gallbladder is the organ of uprightness, known as the "General," from which decision-making arises. This indicates that it governs human emotions such as joy and anger, as well as rigidity and flexibility. It forms an interior-exterior relationship with the Liver, and its corresponding meridian is the Foot-Shaoyang Gallbladder Meridian.

When deficient, it is susceptible to Cold pathogens; Cold invasion leads to fear and timidity, dizziness, and the inability to lie down alone. When excess, it is susceptible to Heat pathogens; Heat invasion leads to palpitations and fright, loss of mental stability, and restlessness in sitting or lying. Furthermore, when Xuan Shui (Dark Water disease) occurs, its root lies in the Gallbladder; edema begins at the head and face and spreads down to the feet. Additionally, if Liver cough persists for a long time without healing, pathogenic factors transmit into the Gallbladder, causing vomiting of clear, bitter bile fluid. Moreover, Gallbladder disease manifests as frequent sighing, bitter taste in the mouth, vomiting of clear fluid (alternative text: old fluid), a sense of emptiness and fear in the heart region as if being hunted, a sensation of obstruction in the throat with frequent spitting. Also, Gallbladder distension causes pain under the tongue (alternative text: hypochondrium), bitter taste, and frequent sighing. When pathogenic factors lodge in the Gallbladder, one dreams of fighting and litigation. Pulse diagnosis reveals this condition at the Guan position on the left hand, where the pulse is floating upon superficial pressure.

Gallbladder Excess-Heat leads to loss of mental stability. Gallbladder Heat causes excessive sleepiness, while Gallbladder Cold causes insomnia. Regarding the pulse at the left Guan position: a weak Yang pulse indicates Gallbladder Deficiency; a rapid Yang pulse indicates Gallbladder Excess; a depleted Yang pulse indicates Gallbladder Exhaustion.

The Heart is the sovereign of the five Zang organs, titled the "Emperor." It forms an interior-exterior relationship with the Small Intestine, houses the Shen (Spirit), governs Blood, corresponds to Fire, and peaks in Summer. Its corresponding meridian is the Hand-Shaoyin Heart Meridian.

Summer pulses are Hook-shaped (Gou), characterized by a vigorous arrival and a declining departure, hence named "Hook." Deviation from this indicates disease. If both arrival and departure are vigorous, it is termed "Excessive," indicating disease in the exterior. If arrival is weak and departure is vigorous, it is termed "Insufficient," indicating disease in the interior. Excessiveness causes body heat and bone pain, mouth ulcers, scorched tongue, and thirst that drinking cannot quench, leading to irritability (alternative text: Heart injury). Upward, it manifests as coughing and expectoration; downward, as Qi leakage. A normal pulse arrives continuously like linked pearls, smooth like touching Langgan jade. A pathological pulse arrives continuously (alternative text: panting-like), connected but slightly curved. A fatal pulse is curved at the front and rigid at the back, resembling handling a belt hook.

Furthermore, excessive thinking leads to fright and alarm. Fright damages the Heart; Heart damage causes loss of Shen; loss of Shen leads to fear. True Heart Pain presents with cold hands and feet extending beyond the elbows and knees by five cun; death occurs in the evening if onset is in the morning, or in the morning if onset is in the evening. Heart accumulation of Water-Qi causes Bi syndrome, Qi stagnation, body edema, inability to lie flat, irritability, and swelling of the yin organs. Wind invading the Heart causes mild fever, inability to walk or stand, a sensation of hunger without appetite, and vomiting after eating. In Summer, when Heart Qi is prosperous, the pulse at the Cun position of the left hand should be洪 (Surging), floating, large, and scattered; deviation indicates disease. A deep and slippery pulse indicates Water overcoming Fire, which is fatal (ten out of ten cases die). A stringy and long pulse indicates Wood returning to nourish (Water generating Wood, implying maternal support or generative cycle restoration), and the disease will heal spontaneously. A slow and large pulse indicates Earth entering Fire (Fire generating Earth, implying child draining mother or overacting), representing minor pathogenic interference with no harm.

Heart disease manifests as chest pain, fullness and distension in the four limbs, and pain in the shoulders, back, arms, and upper arms. Deficiency leads to frequent palpitations, alarm, insomnia, pulling pain in the chest, abdomen, and lower back, propensity for sadness, and occasional fainting. Heart Accumulation-Qi, if unresolved, causes distress, worry, and chest pain. Excess leads to incessant laughter, dreaming of fire, and when Heart Qi is prosperous, dreaming of joy, laughter, and fear. Pathogenic factors lodging in the Heart cause dreams of hillsides and smoke/fire. Heart distension causes vexation, shortness of breath, restless sleep at night, heart and abdominal pain, anguish, swelling, Qi moving up and down with intermittent pain. Heat in the heart and abdomen, preference for water, and salivation indicate Ascaris biting the Heart (Note: "Jiao" likely refers to "Hui" [Ascaris] and "Jiao" [bite]). Heart disease improves at noon, worsens at midnight, and stabilizes at dawn. A excessively large pulse at the left Cun position causes hot, red palms (alternative text: post-medication); excessive swelling causes chest fullness and irritability, flushed face, and yellow eyes.

Heart disease initially presents as heart pain, persistent cough, blockage at the Guan-Ge junction, and unrelenting heaviness of the body, leading to death within three days. Deficiency causes fear of others, desire to close eyes and sleep, lack of mental support, and chaotic Hun and Po souls. A deep, small, and tight Heart pulse indicates Qi stagnation below the heart, dry throat, hot hands, vexation, forgetfulness, and sighing, caused by excessive worry. An extremely urgent pulse causes manic laughter; a slightly slack pulse causes hematemesis; an excessively large pulse causes throat closure (alternative text: Bi); a slightly large pulse causes heart pain radiating to the back and tearing; a very small pulse causes hiccups; a minute pulse causes laughter and Xiao-Dan (wasting-thirst) (alternative text: Bi); a slippery pulse causes thirst; a slightly slippery pulse causes Heart Han radiating to the umbilicus and abdominal borborygmus; a choppy pulse causes aphonia; a slightly choppy pulse causes bleeding, cold extremities, tinnitus, and epilepsy. A firm, hard, and long Heart pulse indicates stiff tongue and inability to speak (alternative text: speech); a soft and scattered pulse indicates timidity and anorexia. An extremely urgent pulse causes Heart Han with subumbilical pathology, vexation, shortness of breath, and scorching heat. Manic speech, bead-like sweat, and cold extremities indicate Heart disease; the pulse should be floating and large. If it is instead deep, soft, and slippery, and the complexion is black instead of red, it indicates Water overcoming Fire, which is fatal. Heart accumulation feels empty upon pressure, moves up and down without fixed location, causing chest fullness, heat in waist and abdomen, flushed cheeks, dry throat, vexation, and hot palms leading to hematemesis; it improves in Spring and worsens in Winter, requiring urgent treatment within ten days. Black-red color entering the mouth indicates death. Yellow face with red eyes also indicates death. Color like clotted blood indicates death. Excessive worry and thinking deplete internal Heart Qi; if the complexion appears harmonious and vigorous, death occurs within ten days. Bian Que stated: Heart exhaustion leads to death in one day. Ominous colors appear, and although the person seems healthy and agile, they are called a "walking corpse"; disaster will strike within a year. Speech that starts broad and becomes urgent, with disconnected tones, turbid and foul voice, and crooked mouth, indicates Wind entering the Heart. Heart damage leads to Heart failure, overcome by Water, causing paralysis of body and limbs, joint laxity, unrestricted movement, and continuous diarrhea; this acute condition requires immediate treatment, or death occurs within ten days. Laughter preceding groaning and followed by sorrow indicates Water overcoming Fire. Yin attaches to Yang; Yin rises and Yang hides; hiding generates Heat; Heat generates mania, confusion, and erroneous speech, making inquiry impossible (alternative text: hearing). The Heart is already damaged. Bian Que stated: Red lips and mouth are treatable; blue-black indicates death. Heart Malaria presents with initial vexation (alternative text: tremor) followed by thirst and mild fever; the pulse is floating, tight, and large. Heart Qi Excess causes difficult urination, abdominal fullness, heavy body heat, nausea without vomiting,急促 breathing, and inability to lie flat. The pulse at the left Cun position and Renying is solid and large. Heart Deficiency causes fear, frequent fright, sorrowful thoughts, chest and abdominal pain, trembling speech, aversion to cold, trance, flushed face, yellow eyes, and epistaxis. Diagnosis reveals a deficient and fine pulse at both left and right Cun positions.