诸痉强直，积饮，痞隔中满，霍乱吐下，体重， 肿肉如泥，按之不起，皆属于湿
。（足太阴湿土乃脾胃之气也）
（诸痉强直）
诸痉强直∶筋劲强直而不柔和也，土主安静故也。阴痉，曰柔 ；阳痉，曰刚
。亢则害承乃制，故湿过极，则反兼风化制之。然兼化者虚象，而实非风也。
（积饮）
积饮∶留饮积蓄而不散也，水得燥则消散，得湿则不消，以为积饮也，土湿主否故也。
（痞）
痞∶与否同，不通泰也。谓精神荣卫、血气津液，出入流行之纹理闭塞而为痞也。
（隔）
隔∶阻滞也，谓肠胃隔绝，而传化失其常也。
（中满）
中满∶湿为积饮痞隔。而土主形体，位在中央，故中满也。
（霍乱吐下）
霍乱吐下∶湿为留饮痞隔，而传化失常，故甚则霍乱吐泻也！
（体重）
体重∶轻清为天，重浊为地，故土湿为病，则体重宜也。
（ 肿）
肿肉如泥，按之不起∶泥之象也。土过湿则为泥。湿为病也，积饮、痞、隔、中
满、霍乱吐下、体重，故甚则 肿矣。
诸热瞀 ，暴喑冒昧，躁扰狂越，骂詈，惊骇， 肿疼酸，气逆冲上，禁栗如丧神
守，嚏，呕，疮，疡，喉痹，耳鸣及聋，呕涌溢食不下，目昧不明。暴注， ，暴病暴死
，皆属于火。（手少阳相火之热，乃心包络三焦之气也）
Various spasms and rigidity, accumulation of retained fluids, chest and epigastric stuffiness with obstruction and abdominal fullness, cholera-like vomiting and diarrhea, heaviness of the body, edema with muscles soft as mud that do not rebound upon pressure—all these belong to Dampness (Shi). (The Foot-Taiyin Spleen Meridian belongs to Wet Earth, corresponding to the Qi of the Spleen and Stomach.)
(Regarding "Various Spasms and Rigidity")
Various spasms and rigidity: Refers to sinews becoming tense, stiff, and lacking flexibility. This is because the nature of Earth is quiet. Yin spasm manifests as flaccid; Yang spasm manifests as rigid. When hyperactivity reaches its extreme, it causes harm, requiring a controlling force to balance it; thus, when Dampness becomes excessive, it may paradoxically assume Wind-like characteristics to self-regulate. However, this assumed transformation is a false image (deficiency pattern), and is not actually Wind pathogen.
(Regarding "Accumulation of Retained Fluids")
Accumulation of retained fluids (Ji Yin): Refers to water fluids stagnating and accumulating without dispersing. Water dissipates when meeting Dryness but fails to digest when meeting Dampness, thereby forming accumulated fluids. This occurs because Wet Earth causes obstruction and lack of free flow.
(Regarding "Stagnation" or "Pi Syndrome")
Stagnation (Pi): Homophonous with "Pi" (obstruction), meaning lack of smoothness and unimpeded flow. It refers to the blockage of the channels through which Spirit, Ying-Wei (Defensive and Nutritive Qi), Blood, Qi, and Body Fluids circulate in and out, resulting in Pi syndrome.
(Regarding "Obstruction" or "Ge Syndrome")
Obstruction (Ge): Refers to blockage. It denotes the isolation between the Intestines and Stomach, leading to a loss of normal transmission and transformation functions.
(Regarding "Epigastric Fullness" or "Zhong Man")
Epigastric Fullness (Zhong Man): Caused by Dampness leading to fluid accumulation, stagnation, and obstruction. Since Earth governs the physical form and is located centrally, it results in central (epigastric) fullness.
(Regarding "Cholera-like Vomiting and Diarrhea")
Cholera-like vomiting and diarrhea: Dampness causes fluid retention, stagnation, and obstruction, disrupting normal transmission and transformation; thus, in severe cases, it leads to cholera-like vomiting and purging!
(Regarding "Heaviness of the Body")
Heaviness of the body: Light and clear Qi ascends to form Heaven, while heavy and turbid Qi descends to form Earth. Therefore, when disease arises from Wet Earth, bodily heaviness is an expected manifestation.
(Regarding "Edema")
Edema, with muscles soft as mud that do not rebound upon pressure: This resembles the imagery of mud. When Earth Qi is excessively wet, it turns into mud. As a pathogenic factor of Dampness, it causes accumulated fluids, Pi syndrome, Ge syndrome, epigastric fullness, cholera-like vomiting and diarrhea, and bodily heaviness; thus, in severe cases, it leads to edema.
Various fevers, mental confusion (Mao), sudden aphonia, dizziness and stupor, restlessness and mania, cursing and shouting, fright and terror, edema with pain and soreness, rebellious Qi rushing upward, trembling and shivering as if losing spiritual control, sneezing, vomiting, sores and ulcers, throat bi (obstruction), tinnitus and deafness, violent vomiting with inability to ingest food, blurred vision. Sudden violent diarrhea, [text missing/symbol], sudden onset of disease or sudden death—all these belong to Fire (Huo). (The Hand-Shaoyang Sanjiao Meridian relates to Ministerial Fire, corresponding to the Qi of the Pericardium and Sanjiao.)