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Stool dryness and constipation must be differentiated by Qi and Blood, Yang (excess/heat) presenting with rapid and full pulses, and Yin (deficiency/cold) presenting with slow and choppy pulses. This states that the pulse and symptoms of dryness and constipation should distinguish between Qi and Blood, and differentiate Yin and Yang. Generally, this syndrome involves deficient Blood and excessive Fire. By correlating the pulse with the symptoms to determine whether it belongs to Qi or Blood, the pattern becomes clear. Excessive Fire belongs to Yang; the pulse must be surplus, thus appearing rapid and full. Deficient Blood belongs to Yin; the pulse must be insufficient, thus appearing slow and choppy. Once Qi and Blood are distinguished, syndrome differentiation and medication leave no room for omission.

Dian (catatonia) is Heavy Yin, Kuang (mania) is Heavy Yang. Floating and洪 (full/hong) pulses are auspicious omens; sinking and urgent pulses are inauspicious disasters. This states that the pathological pulses of Dian and Kuang should be differentiated. "Dian" as Heavy Yin refers to a bias towards Yin. During attacks, speech is disordered, spirit is confused, lacking clarity; this is Dian pathogen entering the Yin aspect resulting in Yin excess. "Kuang" as Heavy Yang refers to a bias towards Yang. During attacks, shouting, cursing, climbing walls and roofs, disregarding life and death; this is Kuang pathogen entering the Yang aspect resulting in Yang excess. If the pulse is floating and full, this is a Yang pulse. For Yang Kuang, this matches the syndrome; even for Yin Dian, it indicates a transformation from Yin to Yang, moving from interior to exterior, so both are considered auspicious. If the pulse is sinking and urgent, sinking indicates entering Yin and pressing on the interior; urgent indicates rigidity without flexibility, which is a pulse lacking Stomach Qi. Regardless of whether it is Yin Dian or Yang Kuang, such a pulse indicates no physiological vitality, hence termed an inauspicious disaster.

The pulse of Xian (epilepsy) should be deficient rather than excess; urgent indicates poor prognosis; floating indicates Yang; sinking indicates Yin; slippery indicates Phlegm; rapid indicates Heat. This states that the pulse and symptoms of epilepsy should be differentiated. At the onset of epilepsy, there is sudden falling, jaw locking, sounds, or vomiting of phlegm foam. There are distinctions among the five types: Ox, Horse, Pig, Sheep, and Chicken epilepsy. In essence, it arises from fright disturbing Zang-Qi imbalance, leading to stagnation generating Phlegm and Saliva, blocking the meridians. It may result from fright in the womb, exposure to Six Evils, or irregular diet disrupting Zang-Qi. The pulse generally should be deficient rather than excess; if excess and urgent, it indicates lack of Stomach Qi. Floating indicates epilepsy arising from Yang; sinking indicates epilepsy arising from Yin; slippery indicates abundant Phlegm; rapid indicates abundant Heat. Observing the pulse through disease, and knowing the disease through the pulse, is the natural order of principles.

The pulse of Hou Bi (sore throat obstruction): rapid indicates Heat, slow indicates Cold. Chan Hou Feng (winding throat wind) and Zou Ma Hou Bi (running horse sore throat), if the pulse is faint and deep, is difficult to treat. This states that the pulse and symptoms of Hou Bi should be differentiated. "Bi" means obstruction, referring to blockage and non-patency, caused by excessive Fire and Qi stagnation leading to throat swelling, difficulty in breathing, accumulation of saliva and phlegm, inability to swallow fluids, which can be fatal within one or two days. The pulse is mostly rapid; rapid indicates Heat. Occasionally, the pulse is slow, indicating external Cold invading the meridians, causing meridian Qi dysfunction and stagnation at the affected site, thus also forming a Bi syndrome, which requires warm dispersal treatment. Another type is Chan Hou Feng, characterized by numbness or itching, swelling and pain, lingering internally. Another is Zou Ma Hou Bi, where within moments, pain leads to swelling, swelling leads to closure, closure leads to breath cessation, occurring suddenly and causing sudden death. Both involve Fire carrying Wind, with Wind and Fire fanning each other, making the onset violent. The pulse should be floating, large, full, and rapid; instead, if faint and deep pulses appear, this indicates pathogenic excess and righteous deficiency. Is it not difficult for survival?