地之体也，土。热极盛则痞塞肿满，物湿亦然，故长夏属土，则庶物隆盛也。
，谓 满也。郁，谓奔迫也。痿，谓手足痿弱，无力以运动也。大抵肺主气，
气为阳，阳主轻清而升，故肺居上部，病则其气 满奔迫，不能上升，至于手足痿弱，
不能收持，由肺金本燥，燥之为病，血液衰少，不能营养百骸故也。《经》曰∶“手指得血而能摄
，掌得血而能握，足得血而能步。”故秋金旺则雾气蒙郁，而草木萎落，病之象也。萎，犹痿
也。
诸暴强直，支痛软戾，里急筋缩，皆属于风。（厥阴风木乃肝胆之气也）
暴，卒也，虐害也。强，劲有力而不柔和也。直，筋劲强也。支痛，支持也，坚固支持
，筋挛不柔而痛也。软戾∶软，缩也。戾，乖戾也。谓筋缩里急乖戾失常而病也。然
燥金主于紧敛短缩劲切。风木为病，反见燥金之化，由亢则害，承乃制也。况风能胜湿而为
燥也，亦十月风病势甚而成筋缓者，燥之甚也。故诸风甚者，皆兼于燥。
诸病喘，呕，吐酸，暴注，下迫，转筋，小便混浊，腹胀大鼓之如鼓，痈，疽，疡，疹
，瘤气，结核，吐下霍乱，瞀，郁，肿胀，鼻塞，鼽，衄，血溢，血泄，淋， ，身热
恶寒，战栗，惊，惑，悲，笑，谵，妄，衄，蔑血汗，皆属于热。（手少阴君火之热，乃真
心、小肠之气也）
Various swellings and fullness caused by dampness all belong to Spleen Earth.
The substance of the earth is Earth. When heat becomes extremely abundant, it causes obstruction, swelling, and fullness; this is also true for objects that become wet. Therefore, the late summer season belongs to Earth, at which time myriad things flourish abundantly.
Various Qi stagnations, depressions, and flaccidity syndromes all belong to Lung Metal.
"Man" refers to chest oppression and fullness. "Yu" refers to the rushing and pressing sensation of Qi. "Wei" refers to flaccidity and weakness of the limbs, with insufficient strength for movement. Generally speaking, the Lung governs Qi. Qi belongs to Yang, and Yang governs lightness, clarity, and ascending. Thus, the Lung resides in the upper jiao. When diseased, its Qi becomes obstructed and rushes upward without being able to ascend properly, leading to flaccidity and weakness of the limbs, unable to grasp or support. This occurs because Lung Metal is inherently dry; disease caused by dryness results from a deficiency of blood and fluids, which fail to nourish the entire body. The Classic states: "Fingers can grasp when they receive blood; palms can grip when they receive blood; feet can walk when they receive blood." Therefore, when Autumn Metal Qi is vigorous, mist becomes dense and stagnant, causing grass and trees to wither and fall; this is the manifestation of disease. "Wither" (Wei) is similar in meaning to "flaccidity" (Wei).
Various contractions and pullings caused by cold all belong to Kidney Water.
Contraction and pulling/tightness are the functions/actions of Cold. Thus, during the cold of winter, the body becomes contracted and shriveled.
Various sudden cases of rigidity and stiffness, pain in the joints/limbs, twisting of sinews, internal urgency, and shortening of tendons all belong to Wind. (Jueyin Wind-Wood corresponds to the Qi of the Liver and Gallbladder).
"Bao" means sudden or violent. "Qiang" means strong, powerful, and not soft/flexible. "Zhi" means sinews are rigid and strong. "Zhi tong" refers to supporting firmly; sinews are cramped, inflexible, and painful. "Ruan li": "Ruan" means contraction/shrinking; "Li" means deviant or contrary. It refers to diseases where sinews contract, there is internal urgency, and normal function is deviated. However, Dry Metal governs tightness, contraction, shortening, and sharpness. When Wind-Wood causes disease, it may instead manifest the transformation of Dry Metal, due to the principle that excess leads to harm, requiring restraint to maintain balance. Moreover, Wind can overcome Dampness and transform into Dryness. There are also cases in the tenth month where severe Wind disease leads to flaccid sinews, which is an extreme manifestation of Dryness. Therefore, severe Wind diseases often combine with Dryness.
Various diseases such as wheezing, vomiting, acid regurgitation, sudden diarrhea, tenesmus, muscle cramps (turning of tendons), turbid urine, abdominal distension large and drum-like upon percussion, carbuncles, ulcers, sores, rashes, tumor masses, nodules, cholera with vomiting and diarrhea, mental confusion, Qi depression/stagnation, swelling, nasal congestion, rhinorrhea, epistaxis, hemorrhage, hematochezia, strangury, [text missing], fever with aversion to cold, shivering, fright, bewilderment, sadness, inappropriate laughter, delirium, mania, epistaxis, contempt, bloody sweat, all belong to Heat. (The Heat of Ministerial Fire of Hand-Shaoyin corresponds to the Qi of the True Heart and Small Intestine).