（凡十类）
（论一首）
论曰∶脾主意，脾脏者，意之舍，意者存忆之志也。为谏论大夫，并四脏之所受。心有
所忆谓之意，意之所存谓之志，因志而存变谓之思，因思而远慕谓之虑，因虑而处物谓之智。
意者，脾之藏也。口唇者，脾之官，脾气通于口，口和则能别五谷味矣，故云口为戊，舌唇
为己，循环中宫，上出颐颊，次候于唇，下回脾中。荣华于舌，外主肉，内主味，脾重二斤
三两，扁广三寸，长五寸，有散膏半斤，主裹血，温五脏。神名俾俾主藏营，（一作意，）
秩禄号为意脏，随节应会，故曰脾藏营，营舍意，在气为噫，在液为涎。脾气虚则四肢不用，
五脏不安，实则腹胀泾溲不利。脾气虚则梦饮食不足，得其时则梦筑垣盖屋。脾气盛则梦歌
乐，体重，手足不举。厥气客于脾则梦丘陵大泽坏屋风雨。凡脾脏象土，与胃合为腑，其经
足太阴与阳明为表里，其脉缓，相于夏，旺于季夏。脾者土也，敦而福，敦者浓也。万物众
色不同，故名曰得福者广也。万物悬根挂茎，其叶在巅， 蜚蠕动，KT 喘息，皆蒙土
恩德则为缓，恩则为迟，故令太阴缓而迟。尺寸不同，酸咸苦辛，大妙而生，互行其时，而
以各行皆不群行，尽可常服。土寒则温土，热则凉土。有一子名曰金怀，挟抱之不离其身，
金乃畏火，恐热来熏，遂弃其母，逃于水中，水为金子而藏火神，闭门塞户内外不通，此谓
冬时土失其子，其气衰微，水为洋溢浸渍其地，走击皮肤，面目浮肿，归于四肢。愚医见水
直往下之，虚脾空胃，水遂居之，肺为喘浮，肝反畏肺，故下沉没，下有荆棘，恐伤其身，
避在一边，以为水流。心衰则伏，肝微则沉，故令脉伏而沉，上医远（一作来）占，因转孔
穴，
利其溲便，遂通水道，甘液下流，停其阴阳，喘息则微，汗出正流。肝着其根，心气因起，
阳行四肢，肺气亭亭，喘息则安。肾为安声，其味为咸，倚坐母败， 臭如腥。土得其子，
即成为
四时之序，逆顺之变异也。然脾脉独何主，脾脉者，土也。孤脏以灌四旁者也。其善者
，不可得见恶者，可见恶者，何如其来。如水之流者，此谓太过，病在外。如鸟之喙者，此
谓不及，病在中。太过则令人四肢沉重不举。不及则令人九窍壅塞不通，名曰重强。脾脉来
而和柔相离，如鸡践地曰平。长夏以胃为本，脾脉来实而盈数，如鸡举足曰脾病。脾脉来坚
锐如鸡之喙（鸡一作鸟），如鸟之距，如屋之漏，如水之流曰脾死，真脾脉至，弱而乍疏乍
散
（一作数），色黄青不泽，毛折乃死。长夏胃微濡弱曰平，弱多胃少曰脾病，但代无胃曰死，
濡弱有石曰冬病，石甚曰今病，脾藏营，营舍意，忧愁不解则伤意，意伤则闷乱，四肢不举，
毛悴色夭，死于春。足太阴气绝则脉不营其口唇。口唇者，肌肉之本也。脉弗营则肌肉濡，
肌肉濡则人中满，人中满则唇反，唇反者，肉先死，甲笃乙死，木胜土也。脾死脏浮之大缓
（一作坚），按之中如覆杯洁洁状如摇者死。六月季夏建末也，坤末之间土之位，脾旺之时，
其脉大阿阿而缓曰平，反得浮大而洪者，是心之乘脾，母之归子为虚邪，虽病易治，反得微
涩而短者，是肺之乘脾，子之乘母为实邪，虽病自愈。反得眩而长者，是肝之乘脾，木之克
土，为贼邪大逆，十死不治。反得沉濡而滑者。是肾之乘脾，水之凌土为微邪，虽病即瘥。
右手关上阴绝者，无脾脉也。苦少气下利腹满身重，四肢不欲动，善呕，刺足阳明治阳
。右手关上阴实者，脾实也。苦肠中伏伏如坚状，大便难，刺足太阴治阴。
脾脉长长而弱，来疏去 （一作数），再至曰平，三至曰离经病，四至脱精，五至死，
六
至命尽，足太阴脉也。
脾脉急甚为螈 ，微急为膈中满，食饮入而还出，后沃沫，缓甚为痿厥，微缓为风痿，
四肢不用，心慧然若无疾。大甚为击仆，微大为脾疝气裹大脓血在肠胃之外，小甚为寒热，
微小为消瘅，滑甚为 癃，微滑为虫毒蛔，肠鸣热涩，甚为肠 ，微涩为内溃，多下脓血。
脾脉搏坚而长，其色黄，病少气。其软而散色不泽者，当病足 肿，若水状黄脉之至也，
大而虚，有积气在腹中，有厥气名曰厥疝，女子同法，得之疾，使四肢汗出当风。
扁鹊曰∶脾有病则色萎黄，实则舌本强直，虚则多癖善吞注利，其实若阳气壮，则梦饮
食之类。脾在声为歌，在变动为噫，在志为思，思伤脾。精气并于脾则饥。音主长夏，病变
于音者，取之经。恐惧而不解则伤精，精伤则骨酸痿厥，精时自下则病精，是故五脏主藏精
者也，不可伤，伤则守失而阴虚，虚则无气，无气则死。
病先发于脾，闭塞不通，身痛体重，一日之胃而腹胀，二日之肾少腹腰脊痛，胫酸，三
日之膀胱背膂筋痛小便闭，十日不已，死。冬人定夏晏食。
病在脾，日 慧，平旦甚，日中持，下晡静。（《素问》作日出甚。王冰云，日中持者
，缪也）。假令脾病东行，若食雉兔肉及诸木果实，得之不者，当以春时发，得病以甲乙日
也。
凡脾病之状，必身重善饥，足痿不收（《素问》作善肌肉痿足不收，《甲乙》作苦饥，肌
肉痿足不收），行善螈脚下痛，虚则腹满肠鸣，飧泄食不化，取其经，足太阴阳明少阴血者。
脾脉沉之而濡，浮之而虚，苦腹胀烦满，胃中有热，不嗜食，食而不化，大便难，四肢
苦痹时不仁，得之房内，月使不来，来而频并。
脾病其色黄，饮食不消，腹苦胀满，体重节痛，大便不利，其脉微缓而长，此为可治，
宜服平胃丸、泻脾丸、茱萸丸、附子汤。春当刺隐白，冬刺阴陵泉，皆泻之。夏刺大都，季
夏刺公孙，秋刺商丘，皆补之。又当灸章门五十壮，背第十一椎百壮。
邪在脾胃肌肉痛。阳气有余，阴气不足，则热中善饥。阳气不足，阴气有余，则寒中肠
鸣，腹痛。阴阳俱有余，若俱不足则有寒有热，皆调其三里。
有所击仆，若醉饱入房，汗出当风则伤脾，脾伤则中气阴阳离别，阳不从阴，故以三分
候死生。
脾中风者，翕翕发热，形如醉人。腹中烦重，皮肉 而短气也，脾中寒。
脾水者，其人腹大，四肢苦重，津液不生，但苦少气小便难。
脾胀者善哕，四肢急（一作实），体重不能衣（一作收），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。脾约者，其人大便坚小便利而反不渴。
脾气弱，病利下白肠垢，大便坚不能更衣，汗出不止，名曰脾气弱，或五液注下青黄赤
白黑。
寸口脉弦而滑，弦则为痛，滑则为实。痛即为急，实即为踊，痛踊相搏，胸胁抢急。趺
阳脉浮而涩，浮即胃气微，涩即脾气衰，微衰相搏，即呼吸不得，此为脾家失度。
寸口脉双紧即为入，其气不出，无表有里，心下痞坚。
趺阳脉微而涩，微即无胃气，涩则伤脾。寒在于膈，而反下之，寒积不消，胃微脾伤，
谷气不行，食已自噫，寒在胸膈，上虚下实，谷气不通，为闭塞之病。
寸口脉缓而迟，缓则为阳，卫气长，迟则为阴荣气促（一云不足）。荣卫俱和，刚柔相
得，
三焦相承，其气必强。
趺阳脉滑而紧，滑即胃气实，紧即脾气伤，得食而不消者，此脾不治也。能食而腹不满
，此为胃气有余，腹满而不能食，心下如饥，此为胃气不行，心气虚也。得食而满者，此为
脾家不治。
病患鼻下平者，胃病也。微赤者病发痈，微黑者有热，青者有寒，白者不治。唇黑者胃
先病，微燥而渴者可治，不渴者不可治，脐反出者，此为脾先落（一云先终）。
凡人病脉已解，而反暮微烦者，人见病者瘥安而强与谷，脾胃气尚弱，不能消谷，故令
微烦，损谷则愈。
诊得脾积，脉浮大而长，饥则减，饱则见 起，与谷争减，心下累累如桃李起，见于外
腹满呕泄，肠鸣，四肢重，足胫肿，厥不能卧，是主肌肉损，色黄也。
脾之积，名曰痞气在胃脘，覆如大盘，久久不愈，病四肢不收，黄瘅，食饮不为肌肤，
以冬壬癸日得之，肝病传脾，脾当传肾，肾适以冬旺，旺者不受邪，脾复欲还肝，肝不肯受，
因
脾病，其色黄体青，失溲直视，唇反张，爪甲青，饮食吐逆，体重节痛，四肢不举，其
脉当浮大而缓。今反弦急，其色当黄而反青者，此是木之克土为逆，十死不治。
宫音人者，主脾声也。脾声歌，其音鼓，其志愁，其经足太阴，厥逆阳明则荣卫不通，
阴阳翻祚。阳气内击，阴气外伤，伤则寒，寒则虚，虚则举体消瘦，语音沉涩如破鼓之声，
舌强不转而好咽唾，口噤唇黑，四肢不举，身重如山，便利无度，甚者不可治，根据源麻黄汤
主之（方在别卷中）。又言声优惧，舌本卷缩，此是木克土。阳击阴，阴气伏，阳气起，起
则
实，实则热，热则闷乱，体重不能转侧，语声拖，声气深不转而心急，此为邪热伤脾，甚则
不可治，若唇虽萎黄，语音若转可治。
脾病为疟者，令人寒，腹中痛，热则肠中鸣鸣，已汗出，恒山丸主之（方见别卷中），
若
其人本来少于 怒而忽反常， 喜无度，正言而鼻笑不答于人，此脾病，声之候也。不盈旬
月，祸必至矣。阴阳之疾，经络之源，究寻其病，取其所理，然后行治，万无遗一也。黄为
脾，脾合肉，黄如 腹者吉，脾主口唇，唇是脾余，其人土形相比于上宫黄色，大头圆面美，
肩
耐秋冬，不耐春夏，春夏感而生病，主足太阴敦敦，然脾应月，月有亏盈。脾小大随人唇大
小，上唇浓，下唇薄，无 龈唇缺破，此人脾不正。揭耸唇者则脾高，高则实，实则热，热
则季胁痛，满唇垂而大。不坚者则脾下，下则虚，虚则危，危则寒，寒则身重不能行步，唇
坚者，则脾坚，坚则脏安，安则不病，唇上下好者，则脾端正，端正则脾胃和利，人无病。
唇偏举者，则脾偏痛好胀。凡人分部中陷起者，必有病生。胃阳明为脾之部，而脏气通于内，
外部亦随而应之。沉浊为内，浮清为外，若表病外入，所部则起，起则前泻阳，后补阴，若
里病内出，所部则陷，陷则前治阴后治阳，阳则实热，阴则虚寒。寒主外，热主内，凡人死
生休否则脏神前，变形于外，人脾前病，唇则焦枯无润。若脾前死，唇则干，青白渐缩，急
齿噤不开，若天中等分，墓色应之，必死不治，看色浓薄，决判赊促，赊则不盈四百日内，
促则旬朔之间。脾病少愈而猝死何以知之？曰青黑如拇指靥点见颜颊上，此必卒死，脾绝十
二日死，何以知之？口冷足肿腹热，胪胀泄利，不觉其出时（一曰五日死，）面青目黄者五
日
死。病患着床，心痛气短，脾竭内伤，百日复愈，欲起傍徨。因坐于地，其亡倚床能治此者，
可谓神良。又面黄目赤不死。黄如枳实死。吉凶之色，在于分部霏霏，而见黑黄，入唇必病，
不出其年。（其穴在鼻上当两眼是其分部位也。）若年上不应，三年之内，祸必应也。
季夏土脾，脉色黄，主足太阴脉也，其脉本在中封前上四寸之中，应在背俞与舌本。中
封在内踝前一寸大筋里宛宛中，脉本从中封上四寸是也。其脉根于隐白，隐白在足大趾端内
侧是也。其筋起于足大趾之端内侧，上结于内踝。其直者，上结于膝内辅骨；上循阴股，结
于髀，聚于阴器，上腹结于脐，循腹里，结于胁，散于胸中，其内者着于脊。其脉起于足大
趾之端，循趾内侧白肉际，过核骨后，上内踝前廉，上 内，循 骨后，交出厥阴之前，上
循膝骨内前廉，入腹属脾络胃，上膈挟咽，连舌本，散舌下。其支者，复从胃别上膈，注心
中，合足阳明为表里，阳明之本在厉兑，足趺上大趾间上三寸骨解中也。同会于手太阴。
其足太阴之别，名曰公孙，去本节后一寸，别走阳明。其别者，入络肠胃。主脾生病，
实则胃热，热则腹中切痛，痛则阳病，阳脉反大于寸口三倍，病则舌强筋转，卵缩牵阴股，
引髀痛，腹胀身重，饮食不下，烦心，心下急注脾。脾病虚则胃寒，寒则腹中鼓胀，胀则阴
病，阴脉反小于寸口一倍。病则泄水不能卧而烦，强立股膝内痛。苦筋折扭之，扭之者，脉
时缀缀动也。发动甚者死不治。
四季之月各余十八日，此为四季之余日，主脾胃，黄肉随病也（一作内阳病）。其源从
太
阴阳明相格节气，相移三焦，寒湿不调，四时关格而起，则脏腑伤 ，随时受疠，阳气外泄，
阴气内伏，其病相反。若腑虚则阴邪所加，头重颈直，皮肉强痹。若脏实则阳疫所伤，蕴而
结核起于喉颈之侧，布毒热于皮肤分肉之中，上散入发际下，贯颞 ，隐隐而热，不相断离，
故
扁鹊曰∶灸肝脾二俞主治丹毒。四时随病当根据源补泻，虚实之病，皮肉随热则须镰破敷
贴，方咒促治，疾无逃矣。
(All ten categories)
(Treatise One)
The treatise states: The Spleen governs "Yi" (Intent/Memory). The Spleen organ is the residence of Yi. Yi refers to the will of memory and retention. In official terms, it corresponds to the Remonstrance Official, and receives influences from the other four Zang organs. What arises in the Heart is called Yi; what is retained by Yi is called Zhi (Will); thinking and changing based on Zhi is called Si (Reflection); far-reaching planning based on Si is called Lv (Deliberation); handling matters based on Lv is called Zhi (Wisdom). Yi is the spirit stored by the Spleen. The lips are the external manifestation of the Spleen. Spleen Qi connects to the mouth; when the mouth functions harmoniously, one can distinguish the flavors of the five grains. Thus, it is said that the mouth belongs to Wu (Yang Earth), and the tongue and lips belong to Ji (Yin Earth), circulating in the Central Palace (Spleen/Stomach), emerging upwards to the cheeks, then observing the lips, and returning downwards to the Spleen. Glory manifests in the tongue. Externally, it governs muscles; internally, it governs taste. The Spleen weighs two jin and three liang, is flat and wide three cun, and long five cun. It also has a half-jin loose pancreas (San Gao), which primarily wraps blood and warms the five Zang organs. Its spiritual name is Bibi, governing the storage of Ying (Nutritive) Qi (or Yi in some texts). Its title is the Organ of Intent. It follows seasonal rhythms and gatherings, hence it is said that the Spleen stores Ying, and Ying houses Yi. In sound, it manifests as belching (Yi); in fluid, it manifests as saliva (Xian). When Spleen Qi is deficient, the limbs cannot be used freely, and the five Zang organs are unsettled. When Spleen Qi is excess, there is abdominal distension and difficulty with urination and defecation. Spleen Qi deficiency leads to dreams of insufficient food; if it occurs during its appropriate season, it leads to dreams of building walls and houses. Spleen Qi excess leads to dreams of singing and joy, heavy body, and inability to lift hands and feet. If Jue (Rebellious) Qi lodges in the Spleen, one dreams of hills, large marshes, ruined houses, and storms. Generally, the Spleen corresponds to Earth and combines with the Stomach to form a Fu organ. Its meridian is the Foot Taiyin, which is interior-exterior related to the Foot Yangming. Its pulse is slow (Huan), corresponding to Summer, and flourishing in Late Summer (Ji Xia). The Spleen is Earth, solid and benevolent. Solid implies density. All things have diverse colors, hence named "De Fu" (Receiving Blessings/Broad). All things hang by roots and stems, with leaves at the top. Flying insects and crawling creatures, those breathing and panting, all receive the grace of Earth, becoming slow/harmonious. Grace implies slowness, thus making the Taiyin pulse slow and delayed. The Cun, Guan, Chi positions differ. Sour, salty, bitter, pungent flavors arise wondrously, each operating in its own time without mixing, and can be taken regularly for regulation. If Earth is cold, warm the Earth; if hot, cool the Earth. There is a son named Jin Huai, held close to the body. Metal fears Fire, fearing heat scorching it, so it abandons its mother (Earth) and flees to Water. Water, as the child of Metal, hides the Fire Spirit, closing doors and windows, blocking internal and external communication. This is called Winter, when Earth loses its son (Metal), its Qi becomes weak. Water overflows and infiltrates the ground, striking the skin, causing facial and eye swelling, returning to the limbs. Foolish doctors see edema and use purgatives directly, causing Spleen deficiency and Stomach emptiness, allowing Water to occupy the space. Lung becomes asthmatic and floating due to water. Liver, fearing Lung, sinks deep. Below are thorns, fearing injury, avoiding to the side, like flowing water. Heart deficiency makes the pulse hidden (Fu); Liver weakness makes it sunken (Chen), thus the pulse is Fu and Chen. Wise doctors look far ahead, adjusting acupoints, promoting urination, thus unblocking water pathways. Sweet fluids flow down, stopping Yin-Yang imbalance. Asthma becomes slight, sweat flows normally. Liver takes root, Heart Qi rises. Yang moves through the limbs, Lung Qi stands tall, asthma settles. Kidney produces calm sounds, its flavor is salty. Leaning on the mother's decay, the smell is fishy. When Earth obtains its son (Metal), it forms the order of the four seasons and variations of reversal and smoothness. But what does the Spleen pulse alone govern? The Spleen pulse is Earth. The solitary organ irrigates the four directions. Its healthy state is invisible; its pathological state is visible. How does the pathological state arrive? Like flowing water, this is called Excess (Tai Guo), disease is external. Like a bird's beak, this is called Deficiency (Bu Ji), disease is internal. Excess causes heavy limbs unable to lift. Deficiency causes obstruction of the nine orifices, named Chong Qiang (Heavy Rigidity). A Spleen pulse that comes and goes with harmony and softness, like a chicken stepping on the ground, is a Normal Pulse. Late Summer takes Stomach Qi as the root. A Spleen pulse that is solid, full, and rapid, like a chicken lifting its foot, indicates Spleen Disease. A Spleen pulse that is firm and sharp like a chicken's beak, a bird's spur, leaking like a roof, or flowing rapidly, indicates Spleen Death. The True Spleen pulse arrives weak, alternating between sparse and rapid (or numerous), with yellow-green color lacking luster, hair breaking leads to death. Late Summer with slight Ru Ruo (Soft and Weak) Stomach Qi is Normal. More Ruo than Stomach Qi is Spleen Disease. Only Dai (Intermittent) pulse without Stomach Qi is Death. Ru Ruo combined with Shi (Kidney/Water) pulse indicates Winter Disease; strong Shi indicates current illness. Spleen stores Ying, Ying houses Yi. Unresolved worry injures Yi; injured Yi causes confusion and inability to lift limbs, with withered hair and dull complexion, leading to death in Spring. When Foot Taiyin Qi perishes, the pulse fails to nourish the lips. Lips are the root of muscles. If the pulse does not nourish, muscles rot. Rotting muscles cause fullness in the philtrum. Fullness in the philtrum causes lip retraction. Lip retraction means flesh dies first. Jia day severe, Yi day dead, because Wood conquers Earth. Spleen dying organ pulse is floating, large, and slow (or firm). Pressed, it feels like an inverted cup, clean and shaking, indicating death. June, Late Summer, builds Wei. Between Kun's end and Earth's position is the time of Spleen flourishing. Pulse large, grand, and slow is Normal. Reversely obtaining floating, large, and洪 (Surging) is Heart overcoming Spleen. Mother returning to son is Empty Evil; though sick, easy to treat. Reversely obtaining slight, choppy, and short is Lung overcoming Spleen. Son overcoming mother is Solid Evil; though sick, self-healing. Reversely obtaining dizzy and long is Liver overcoming Spleen. Wood conquering Earth is Thief Evil, Great Reversal, ten deaths, untreatable. Reversely obtaining sunken, soft, and slippery is Kidney overcoming Spleen. Water flooding Earth is Minor Evil; though sick, quickly recovers. Right hand Guan position Yin absolute means no Spleen pulse. Suffering from shortness of breath, diarrhea, abdominal fullness, body heaviness, limbs unwilling to move, frequent vomiting, puncture Foot Yangming to treat Yang. Right hand Guan position Yin excess means Spleen Excess. Suffering from internal hardness like stones, difficult defecation, puncture Foot Taiyin to treat Yin.
Spleen pulse long and weak, coming sparse and going rapid (or numerous), two beats is Normal, three beats is Li Jing Disease, four beats depletes essence, five beats death, six beats life ends. This is the Foot Taiyin pulse.
Spleen pulse urgent extreme causes convulsions; slightly urgent causes diaphragm fullness, food/drink entering and returning out, profuse salivation after. Slow extreme causes flaccid paralysis; slightly slow causes wind flaccidity, limbs unusable, mind clear as if healthy. Large extreme causes being struck/fallen; slightly large causes Spleen hernia wrapping large pus/blood outside intestines/stomach. Small extreme causes cold/heat; slightly small causes Xiao Dao (Wasting-Thirst). Slippery extreme causes strangury; slightly slippery causes worm/toxin roundworm, intestinal borborygmus, heat/astringency. Extreme causes intestinal abscess; slightly slippery causes internal ulceration, passing much pus/blood.
Spleen pulse beating firm and long, with yellow color, indicates disease of shortness of breath. Soft and scattered with lack of luster indicates swelling of feet, resembling water-like yellow pulse arrival. Large and empty indicates accumulated Qi in abdomen, rebellious Qi named Jue Hernia. Women follow same method. Caused by illness, sweating limbs exposed to wind.
Bian Que says: Spleen disease shows sallow yellow complexion. Excess causes rigid tongue base. Deficiency causes many masses, frequent swallowing/diarrhea. If Yang Qi is strong, dreams of food/drink occur. Spleen sound is song, movement is belching, emotion is thought (Si). Thought injures Spleen. Essence/Qi merging into Spleen causes hunger. Sound governs Late Summer. Pathology in sound, take from meridians. Fear unresolved injures Essence. Injured Essence causes bone soreness, flaccid paralysis, spontaneous leakage of essence. Thus, five Zang store Essence. Do not injure. Injury leads to loss of guarding, Yin deficiency. Deficiency leads to no Qi. No Qi leads to death.
Disease starting in Spleen, blockage, body pain, weight, one day transmits to Stomach causing abdominal distension. Two days transmit to Kidney causing lower abdomen, waist/spine pain, shin soreness. Three days transmit to Bladder causing back/epaxial muscle pain, urinary closure. Ten days not improving, death. Winter at Ding hour, Summer late eating.
Disease in Spleen, improves at dusk, worsens at dawn, holds at noon, quiet at afternoon. (Su Wen says worsens at sunrise. Wang Bing says holding at noon is error). Suppose Spleen disease moves East. If eating pheasant/rabbit meat and wood fruits, failing to obtain them, it should manifest in Spring, getting disease on Jia/Yi days.
Generally, Spleen disease symptoms must include body heaviness, frequent hunger, foot flaccidity unable to gather (Su Wen says frequent muscle flaccidity, foot unable to gather; Jia Yi says suffering hunger, muscle flaccidity, foot unable to gather). Walking often causes convulsions, foot sole pain. Deficiency causes abdominal fullness, intestinal borborygmus, undigested stool diarrhea. Take its meridians: Foot Taiyin, Yangming, Shaoyin blood.
Spleen pulse pressed is Ru (soft), floating is Xu (deficient). Suffering abdominal distension, vexation/fullness, heat in stomach, poor appetite, undigested food, difficult defecation, limbs suffering bi-obstruction and occasional numbness. Caused by sexual activity, amenorrhea, or frequent menstruation.
Spleen disease shows yellow color, indigestion, abdominal distress/fullness, body weight/joint pain, difficult defecation. Pulse slight slow and long, this is treatable. Suitable to take Ping Wei Wan, Xie Pi Wan, Zhu Yu Wan, Fu Zi Tang. Spring puncture Yin Bai, Winter puncture Yin Ling Quan, both reducing. Summer puncture Da Du, Late Summer puncture Gongsun, Autumn puncture Shang Qiu, all tonifying. Also moxa Zhang Men 50 moxibullae, back 11th vertebra 100 moxibullae.
Pathogen in Spleen/Stomach, muscle pain. Yang excess, Yin deficiency, causes Heat Middle, frequent hunger. Yang deficiency, Yin excess, causes Cold Middle, intestinal borborygmus, abdominal pain. Both Yang/Yin excess, or both deficiency, causes cold and heat, all regulate San Li.
Being struck/fallen, or drunk/full entering bedchamber, sweating exposed to wind injures Spleen. Spleen injury causes middle Qi Yin-Yang separation, Yang not following Yin, thus judge life/death by three parts.
Spleen struck by Wind:翕翕 (He He) fever, shape like drunk person. Abdominal vexation/heaviness, skin/muscle distension and shortness of breath. Spleen struck by Cold.
Spleen Water: Person has large abdomen, limbs suffer heaviness, no generation of fluids, only suffering shortness of breath and difficult urination.
Spleen Distension: Frequent hiccups, limbs urgent (or solid), body heavy unable to dress (or gather). Duzhong pulse floating and choppy. Floating means Stomach Qi strong. Choppy means frequent urination. Floating/choppy contend, stool becomes hard. Spleen is constrained. Spleen Constrained: Person has hard stool, free urination but no thirst.
Spleen Qi weak, disease diarrhea passing white intestinal mucus, hard stool unable to change clothes, continuous sweating, named Spleen Qi Weakness. Or five fluids pouring down green/yellow/red/white/black.
Cunkou pulse string-like and slippery. String-like means pain. Slippery means excess. Pain means urgency. Excess means protrusion. Pain/protrusion contend, chest/hypochondrium snatching urgency. Duzhong pulse floating and choppy. Floating means Stomach Qi slight. Choppy means Spleen Qi decline. Slight/decline contend, breathing impossible. This is Spleen family losing measure.
Cunkou pulse double tight means entering. Qi does not exit. No exterior, has interior. Epigastric blockage firmness.
Duzhong pulse slight and choppy. Slight means no Stomach Qi. Choppy means injuring Spleen. Cold in diaphragm, yet purged. Cold accumulation not消散. Stomach slight, Spleen injured. Grain Qi does not move. After eating, auto-belching. Cold in chest/diaphragm. Upper empty, lower solid. Grain Qi blocked, is obstruction disease.
Cunkou pulse slow and delayed. Slow means Yang, Wei Qi grows. Delayed means Yin, Ying Qi urges (or insufficient). Ying/Wei both harmonious, Gang/Rou both obtained. San Jiang inherits. Qi must be strong.
Duzhong pulse slippery and tight. Slippery means Stomach Qi solid. Tight means Spleen Qi injured. Eating but not digesting, this is Spleen not treating. Able to eat but abdomen not full, this is Stomach Qi excess. Abdomen full but unable to eat, epigastria like hunger, this is Stomach Qi not moving, Heart Qi deficiency. Eating and becoming full, this is Spleen family not treating.
Patient nose below flat, Stomach disease. Slightly red, disease erupts carbuncle. Slightly black, has heat. Green, has cold. White, untreatable. Lips black, Stomach diseased first. Slightly dry/thirsty, treatable. Not thirsty, untreatable. Umbilicus everted, Spleen falls first (or ends first).
Anyone disease pulse resolved, yet reversely evening slight vexation. People see patient recovering and force feed grain. Spleen/Stomach Qi still weak, cannot digest grain, thus causes slight vexation. Reduce grain intake then heals.
Diagnose Spleen Accumulation. Pulse floating, large, long. Hunger reduces, fullness sees rising. Contends with grain to reduce. Epigastria lumpy like peach/plum rising, visible externally. Abdomen full, vomiting/diarrhea, intestinal borborygmus, limbs heavy, shank swelling, rebellion unable to lie down. Mainly muscle damage, yellow color.
Spleen Accumulation, named Pi Qi in epigastria, covering like large plate. Long time not healing, disease limbs unable to gather, jaundice, food/drink not forming flesh. Obtained on Winter Ren/Gui days. Liver disease transmits to Spleen. Spleen should transmit to Kidney. Kidney just flourishes in Winter. Flourishing does not accept pathogen. Spleen returns to Liver. Liver refuses. Due to Spleen disease, color yellow body green. Loss of urine, staring straight, lips retracted, nail beds green. Food/drink vomiting/reversing. Body weight/joint pain, limbs unable to lift. Pulse should be floating, large, slow. Now reversely string-tight. Color should be yellow but reversely green. This is Wood conquering Earth, reversal. Ten deaths, untreatable.
Gong tone person, governs Spleen sound. Spleen sound song, its sound drum, its emotion sorrow. Meridian Foot Taiyin. Jue/Ni Yangming then Ying/Wei not passing. Yin/Yang overturn. Yang Qi internal strike, Yin Qi external injury. Injury means cold. Cold means deficiency. Deficiency means whole body emaciation. Voice deep/choppy like broken drum sound. Tongue stiff not turning, likes swallowing saliva. Mouth locked lips black, limbs unable to lift, body heavy as mountain, bowel/bladder uncontrolled. Severe untreatable. Based on source Ma Huang Tang main treatment (Formula in another volume). Also says voice優惧 (weak/fearful), tongue base curled/shrunk. This is Wood conquering Earth. Yang strikes Yin, Yin Qi hides, Yang Qi rises. Rising means solid. Solid means heat. Heat means vexation/confusion. Body heavy unable to turn. Voice drags, sound Qi deep not turning, heart anxious. This is evil heat injuring Spleen. Severe untreatable. If lips although sallow yellow, voice if turns, treatable.
Spleen disease as Malaria: Makes person cold, abdominal pain. Heat then intestinal rumbling. Already sweated, Heng Shan Wan main treatment (Formula seen in another volume). If person originally less prone to anger but suddenly abnormal, joy/anger uncontrolled, speaking straight but nose smiling not answering people. This Spleen disease, sound omen. Not full ten days/month, disaster must arrive. Yin/Yang disease, meridian source. Investigate find disease, take its principle, then conduct treatment. Ten thousand no miss one. Yellow is Spleen. Spleen combines flesh. Yellow like fly belly auspicious. Spleen governs lips. Lips are Spleen remainder. Person Earth shape compared to Upper Gong yellow. Big head round face beautiful. Shoulders endure Autumn/Winter, not endure Spring/Summer. Spring/Summer feel and get sick. Governs Foot Taiyin Dun Dun. However Spleen responds to Moon. Moon has wax/wane. Spleen size follows person lip size. Upper lip thick, lower lip thin. No gum/lip gap/break, this person Spleen not upright. Lifting lips means Spleen high. High means solid. Solid means heat. Heat means hypochondriac pain. Full lips drooping large. Not firm means Spleen low. Low means deficiency. Deficiency means danger. Danger means cold. Cold means body heavy unable to walk. Lip firm means Spleen firm. Firm means organ safe. Safe means no disease. Lips upper/lower good means Spleen upright. Upright means Spleen/Stomach harmonious. Person no disease. Lip raised unevenly means Spleen painful good bloating. Anyone part division sinking/rising, must have disease born. Stomach Yangming is Spleen part. Organ Qi connects internally. Exterior also responds accordingly. Deep turbid is internal. Floating clear is external. If exterior disease enters externally, part rises. Rising then front drain Yang, back tonify Yin. If interior disease exits internally, part sinks. Sinking then front treat Yin, back treat Yang. Yang means solid heat. Yin means deficiency cold. Cold governs exterior. Heat governs interior. Anyone life/death rest/advance then organ spirit front. Deformity on exterior. Person Spleen front disease, lips then scorched dry no moisture. If Spleen front dies, lips then dry, green/white gradually shrink. Urgent teeth locked open. If Heaven equal division, grave color responds, must die untreatable. Look color thick/thin, decide long/short. Long then not full four hundred days inside. Short then ten days/month between. Spleen disease slightly recovered then sudden death how know? Say green/black like thumb mole point appear face/cheek above. This must sudden death. Spleen perishes twelve days die. How know? Mouth cold foot swollen abdomen hot. Abdominal distension diarrhea. Not aware of exiting time (one says five days die). Face green eyes yellow five days die. Patient lying on bed, heart pain shortness of breath. Spleen exhausted internal injury. Hundred days recover. Want rise hesitate. Because sit on ground. Its death lean bed can treat this, can say divine excellent. Also face yellow eyes red not die. Yellow like Zhi Shi die. Auspicious/inauspicious color, in part division fei fei. And see black/yellow. Enter lips must disease. Not exit its year. (Its acupoint in nose above two eyes is its part division.) If year above not respond, three years inside, disaster must respond.
Late Summer Earth Spleen, pulse color yellow. Governs Foot Taiyin pulse. Its pulse originally in Zhong Feng front up four cun middle. Should correspond to Back Shu and tongue base. Zhong Feng in inner ankle front one cun big tendon inside wan wan middle. Pulse originally from Zhong Feng up four cun is. Its pulse root at Yin Bai. Yin Bai in foot big toe end inside is. Its tendon starts foot big toe end inside. Up knot at inner ankle. Its straight, up knot at knee inner auxiliary bone. Up follow yin thigh, knot at thigh. Gather at yin organ. Up abdomen knot at navel. Follow abdomen inside, knot at hypochondrium. Scatter in chest middle. Its inside attaches to spine. Its pulse starts foot big toe end. Follow toe inside white meat edge. Pass nuclear bone back. Up inner ankle front edge. Up calf inside. Follow calf bone back. Cross out Jue Yin front. Up follow knee bone inner front edge. Enter abdomen belong Spleen connect Stomach. Up diaphragm clamp throat. Connect tongue base. Scatter tongue under. Its branch, again from Stomach separate up diaphragm. Pour heart middle. Combine Foot Yangming as interior-exterior. Yangming root at Li Dui. Foot dorsum big toe between up three cun bone joint middle. Same meet Hand Taiyin. Its Foot Taiyin branch, name Gongsun. Go original joint back one cun. Separate go Yangming. Its branch, enter connect intestines/stomach. Main Spleen get disease. Excess means Stomach heat. Heat means abdominal cutting pain. Pain means Yang disease. Yang pulse reversely larger than Cunkou three times. Disease means tongue stiff tendon turn. Testicle shrink pull yin thigh. Pull thigh pain. Abdomen distension body heavy. Food/drink not down. Vex heart. Epigastria urgent pour Spleen. Spleen disease deficiency means Stomach cold. Cold means abdominal drum distension. Distension means Yin disease. Yin pulse reversely smaller than Cunkou one time. Disease means泄 water unable lie down and vex. Strong stand thigh/knee inside pain. Suffer tendon break twist. Twist means pulse when zhuizhui move. Movement severe death untreatable.
Four seasons month each remain eighteen days. This is four seasons remaining days. Main Spleen/Stomach. Yellow flesh follow disease (one says internal Yang disease). Its source from Taiyin/Yangming mutual grid solar term. Mutual shift San Jiao. Cold/damp not adjust. Four seasons Guan Ge arise. Then Zang/Fu injured. Follow time receive plague. Yang Qi external leak. Yin Qi internal hide. Its disease opposite. If Fu deficiency then Yin evil add. Head heavy neck straight. Skin/muscle strong bi. If Zang excess then Yang plague injured. Accumulate and tubercle rise in throat/neck side. Spread poison heat in skin/flesh middle. Up scatter enter hair line down. Penetrate temporal. Hidden heat. Not break apart. Thus Bian Que says: Moxa Liver/Spleen two Shu main treat Dan Du (Erysipelas). Four seasons follow disease according to source tonify/draining. Solid/Empty disease. Skin/flesh follow heat then need knife break apply paste. Formula spell urge treat. Disease no escape.