胆象木。旺于春。足少阳其经也。肝之腑也。谋虑出焉。诸腑脏皆取决断于胆。其气盛
为有
余。则病腹内冒冒不安。身躯习习。是为胆气之实也。则宜泻之胆气不足其气上嗌而口苦。
善太息呕宿汁。心下淡淡如人将捕之。嗌仲介介数睡。是为胆气之虚也。则宜补之。
小肠象火。旺于夏。手太阳其经也。心之腑也。水液之下行为溲便者。流于小肠。其气
盛为
有余。则病小肠热。焦竭干涩。小腹 胀。是为小肠之气实也。则宜泻之小肠不足。则寒气
客之。肠病惊跳不言。乍来乍去。是为小肠气之虚也。则宜补之。
胃象土。旺于长夏。足阳明其经也。脾之腑也。为水谷之海。诸脏腑皆受水谷之气于胃
气
盛有余。则病腹 胀。气满。是为胃气之实也。则宜泻之。胃气不足。则饥而不受水谷。飧
泄
呕逆。是为胃气之虚也。则宜补之。胃脉实则胀虚。则泄。关脉滑。胃内有寒。脉滑为实
气满不欲食。关脉浮。积热在胃内。
大肠象金。旺于秋。手阳明其经也。肺之腑也。为传导之官。变化糟粕出焉。气盛为有
余。
则病肠内切痛。如锥刀刺无休息。腰背寒痹挛急。是为大肠气之实也。则宜泻之。大肠气不
足。则寒气客之。善泄。是大肠之气虚也。则宜补之。诊其右手寸口脉。手阳明经也。脉浮
则为阳。阳实者大肠实也。苦肠切痛。如锥刺无休息时。
The image of the Gallbladder corresponds to Wood. It flourishes in Spring. The Foot-Shaoyang (Lesser Yang) Meridian is its channel. It is the exterior腑 (Fu-organ) of the Liver. Planning and deliberation originate from it. All Zang-Fu organs rely on the Gallbladder for decision-making. When its Qi is abundant, it indicates excess. Symptoms include inner abdominal dizziness and restlessness, and a trembling sensation in the body. This is termed Excess of Gallbladder Qi, and should be treated with draining methods. When Gallbladder Qi is deficient, its Qi rebels upward to the throat causing bitter taste in the mouth; there is frequent sighing, vomiting of stale fluids, a feeling of emptiness in the heart region as if one were about to be captured, a sensation of obstruction in the throat, and frequent sleepiness. This is termed Deficiency of Gallbladder Qi, and should be treated with tonifying methods.
The image of the Small Intestine corresponds to Fire. It flourishes in Summer. The Hand-Taiyang (Greater Yang) Meridian is its channel. It is the exterior腑 (Fu-organ) of the Heart. Fluids flow downward to become urine and stool, passing through the Small Intestine. When its Qi is abundant, it indicates excess. Symptoms include Heat in the Small Intestine, leading to exhaustion of fluids, dryness, and astringency, along with distension of the lower abdomen. This is termed Excess of Small Intestine Qi, and should be treated with draining methods. When Small Intestine Qi is deficient, Cold pathogenic factors invade it. Intestinal pathology presents with startle/jumping sensations, inability to speak, and symptoms that come and go intermittently. This is termed Deficiency of Small Intestine Qi, and should be treated with tonifying methods.
The image of the Stomach corresponds to Earth. It flourishes in Late Summer. The Foot-Yangming (Yang Brightness) Meridian is its channel. It is the exterior腑 (Fu-organ) of the Spleen. It is the Sea of Water and Grain; all Zang-Fu organs receive the Qi of water and grain from the Stomach. When Stomach Qi is abundant, it indicates excess. Symptoms include abdominal distension and fullness of Qi. This is termed Excess of Stomach Qi, and should be treated with draining methods. When Stomach Qi is deficient, there is hunger but an inability to accept food and drink, resulting in undigested diarrhea (unsifted rice diarrhea) and vomiting/regurgitation. This is termed Deficiency of Stomach Qi, and should be treated with tonifying methods. If the Stomach pulse is Excess, distension occurs; if Deficient, diarrhea occurs. A slippery Guan pulse indicates Cold in the Stomach; a slippery pulse also indicates Excess Qi, particularly if accompanied by fullness and lack of appetite. A floating Guan pulse indicates accumulated Heat in the Stomach.
The image of the Large Intestine corresponds to Metal. It flourishes in Autumn. The Hand-Yangming (Yang Brightness) Meridian is its channel. It is the exterior腑 (Fu-organ) of the Lung. It serves as the Official of Conduction, where the transformation of waste products exits. When its Qi is abundant, it indicates excess. Symptoms include severe cutting pain within the intestines, resembling stabbing with awls or knives without respite, along with cold bi-syndrome and spasms in the waist and back. This is termed Excess of Large Intestine Qi, and should be treated with draining methods. When Large Intestine Qi is deficient, Cold pathogenic factors invade it, leading to frequent diarrhea. This is termed Deficiency of Large Intestine Qi, and should be treated with tonifying methods. Palpating the Cun Kou pulse at the right hand belongs to the Hand-Yangming Meridian. A floating pulse indicates Yang. Yang Excess corresponds to Large Intestine Excess, characterized by suffering from severe intestinal cutting pain, like being stabbed with an awl, without cessation.