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The Yellow Emperor asked: There is a condition where the hypochondrium is full and qi rebels, persisting for two or three years without resolution. What disease is this? Qibo replied: The disease is named Xi Ji (Xi Accumulation). (Xi Accumulation refers to an accumulation located not in the middle jiao but below the hypochondrium. Initially small, it grows large over time, causing hypochondriac fullness, qi rebellion, panting, and difficulty in breathing, hence the name Xi Accumulation. Currently, some people have accumulations under the left hypochondrium, commonly known as Pi (Stagnation), which corresponds to this syndrome, particularly common in children. This is because the great collateral of the Stomach is named Xuli (Empty Li), piercing through the diaphragm and connecting with the Lung, emerging below the left nipple. Its pulsation is visible through clothing, representing the pathway of Yangming Zongqi (Gathering Qi). If dietary excess damages the Spleen's transformation and transportation, residual qi stagnates and accumulates here. The root lies in the intercostal region; if Yangming pathology worsens, it connects upward to the Lung, thus forming Xi Accumulation.) This condition does not interfere with eating, but moxibustion and acupuncture are contraindicated. Treatment requires accumulated practice of Daoyin (Guiding and Pulling exercises) combined with herbal medicine, as herbs alone cannot cure it independently. (Since the accumulation is not in the Stomach, eating is unaffected. For treating this, Daoyin is essential. However, those with panting must avoid moxibustion to prevent aiding fire pathogenic factors; those who are emaciated must avoid acupuncture to prevent draining Stomach Qi. Therefore, one must gradually and persistently practice Daoyin to open stagnation over time, while using herbal decoctions to harmonize Qi. Both methods must proceed together for recovery. Relying solely on herbs without Daoyin renders them ineffective, demonstrating the difficulty of treatment.)

(From *Suwen: Chapter on Rare Diseases*)
The Yellow Emperor asked: Some individuals have a very rapid pulse at the Chi position (Cun-Kuan-Chi pulse location at the wrist), with tendons becoming tense and visible. What disease is this? (A rapid Chi pulse indicates excess Yin pathogens and deficiency of Kidney Water. Tense and visible tendons indicate spasm and tension of the sinews manifesting externally. Sinews are associated with the Liver; when Yin Qi is deficient, the Liver loses nourishment, resulting in tense and visible sinews.) Qibo replied: This is called Zhen Jin (Rash Sinews/Sinus Disease). In such cases, the abdomen must be tight. If white or black colors appear on the face, the disease is severe. (Zhen Jin means the pathology resides in the sinews. As stated in *Maiyao Jingwei Lun*: "The outer part of the Chi position reflects the Kidney, and the inner part reflects the Abdomen." Thus, a rapid Chi pulse suggests pathology in the Abdomen. The Abdomen is the distribution area of Taiyin and Yangming channels. Now, Liver pathogenic factors manifest externally, causing abdominal distension and tightness, which is a case of Wood overacting on Earth (Spleen). If white or black complexions appear, it indicates internal deficiency of Yang Qi, making the condition even more severe.)