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"Neng" here refers to describing the condition, generally meaning the description of the disease's manifestations. There are seven clauses in total; some contain profound principles, others have omissions or errors, and there are also redundant texts. It is indeed a piece compiled from various sources.

The Yellow Emperor asked: "If a person suffers from a carbuncle in the stomach region (Wei Yuan Yong), how should the diagnosis be conducted?" Qibo replied: "When diagnosing this condition, one should observe the Stomach pulse. The pulse should be deep and fine. A deep and fine pulse indicates rebellious Qi. When Qi is rebellious, the Renying pulse (artery beside the Adam's apple) becomes excessively full. An excessively full pulse indicates heat. The Renying pulse belongs to the Stomach meridian. (The Stomach is the sea of water and grain, with abundant blood and strong Qi. Now, instead, the pulse is deep and fine, which goes against the normal healthy pulse state. The Renying pulse refers to the pulsation felt at the artery beside the Adam's apple. Note: Wei Yuan Yong is a syndrome of excess heat. The pulse should be deep, fine, and forceful. Forcefulness indicates excess heat; deepness and fineness indicate toxin accumulation within. Although the classic text only mentions 'deep and fine,' it is undoubtedly forceful. Wang Bing's commentary directly interprets 'deep and fine' as deficiency, which is erroneous. In pulse diagnosis, if a deep, fine, and forceful pulse is seen internally at the Right Guan position, and externally the Renying pulse at the side of the Adam's apple is excessively full, such diagnostic findings confirm Wei Yuan Yong without doubt.) Rebellious and excessive Qi causes heat to gather at the stomach opening and fail to circulate, thus forming a carbuncle in the stomach region. (When blood and Qi are vigorous and heat presses inward, the two energies combine, resulting in the formation of a carbuncle.)

The Yellow Emperor said: "Excellent! Why do some people feel restless when lying down?" Qibo said: "When internal organs are injured and emotions are attached to specific objects, sleep becomes uneasy. Therefore, one cannot discuss the illness in isolation from these factors. (Note: Wang Bing's edition reads 'Jing has its destination, where it resides, peace ensues,' which is difficult to understand. The *Jia Yi Jing* reads 'Qing (emotion) has its attachment, then sleep is uneasy,' which is correct. We now adopt this reading. The *Shanggu Tianzhen Lun* states: 'Tranquil and void, true Qi follows; spirit and essence guard within, how can disease arise?' The *Shengqi Tongtian Lun* states: 'The Qi of Heaven is pure and clear, so will and intent are regulated.' If the heart has no desires, emotions have no focus, one lies calmly and sleeps peacefully. Those pursuing fame and fortune rush through glory and wealth; those chasing profit delve into money and knives; even those indulging in wine and lust hold goblets in the morning and seek illicit encounters at night. Their minds wander aimlessly, their spirits unstable. Daytime feels insufficient, night continues it, so sleep is not immediately peaceful. All these harms stem from emotional attachment. Thus, those wishing to preserve life must first eliminate disease; those wishing to eliminate disease must cut off delusions; those wishing to cut off delusions must first clear the heart. A clear heart removes delusions; removed delusions stabilize the spirit. With stabilized spirit, what difficulty is there in sleeping? Hence, Zen meditation severing the six senses is indeed an excellent method for curing disease. 'Xuan' means far away.)

The Yellow Emperor said: "Why can some people not lie on their backs (Yanwo)?" (Note: Yan means supine.) Qibo said: "The Lung is the canopy of the five zang organs (positioned high, covering the four lower organs, hence called the canopy). When Lung Qi is excessive, the pulse becomes large. A large pulse prevents lying on the back. (When Lung Qi is full, lying supine causes shortness of breath and panting.)

The Yellow Emperor said: "A patient suffers from Jue (cold reversal). The right pulse is deep and tight, while the left pulse is floating and slow. Where is the disease primarily located?" (Note: *Jia Yi Jing* reads 'Bu Ran' as 'Bu Zhi' [do not know].) Qibo said: "In winter diagnosis, the right pulse should naturally be deep and tight, conforming to the seasons. The left pulse being floating and slow violates the seasonal pattern. Abnormality in the left pulse indicates disease in the Kidney, closely involving the Lung, manifesting as lower back pain. (Floating is the Lung pulse, hence it involves the Lung. The waist is the mansion of the Kidney; thus, Kidney disease causes lower back pain.) The Yellow Emperor said: "Why do you say so?" Qibo said: "The Shaoyin meridian passes through the Kidney and connects to the Lung. Now, obtaining the Lung pulse indicates Kidney disease; therefore, the Kidney is the source of the lower back pain. (The left floating and slow pulse is not transmitted from the Lung but results from Left Kidney deficiency causing the pulse to fail to sink, thus presenting Lung pulse characteristics, indicating Kidney disease.)

The Yellow Emperor said: "Excellent!

"Some patients with neck carbuncles are treated with Bian stones (lithotripsy/lancing), while others are treated with acupuncture, yet both recover. What is the truth behind this?" (Meaning: The methods of attack differ, but the cure is the same. I wish to hear the true principle.) Qibo said: "These are diseases with the same name but different stages/severity. For carbuncles where Qi stagnates and flesh dies (Xi), it is suitable to use needles to open and remove them. For cases where Qi is excessive and blood gathers, it is suitable to use Bian stones to drain them. This is what is called treating the same disease differently. (Xi refers to dead/fleshy tissue. Shi refers to Bian stones, used to break large carbuncles and discharge pus. Note: Treatments differ because the origins of carbuncles have different appropriate therapies.)

The Yellow Emperor said: "Some suffer from Nukuang (rage-induced mania). How does this disease arise?" Qibo said: "It arises from Yang." The Yellow Emperor said: "How does Yang cause mania?" Qibo said: "Yang Qi, due to sudden frustration and inability to resolve, leads to frequent anger. This disease is named Yang Jue (Yang Reversal). (Meaning: Yang Qi is frustrated and depressed, failing to dissipate. Such individuals often get angry due to sudden setbacks and unsmoothed hearts. All result from extreme rebellion and agitation of Yang Qi, hence named Yang Jue.) The Yellow Emperor said: "How do we know?" Qibo said: "The Yangming meridian pulses constantly. The Taiyang and Shaoyang meridians do not normally pulse visibly. If the non-pulsating ones pulse vigorously and rapidly, this is the sign. (Pulsating when it shouldn't indicates disease. Note: This refers to pulses moving in the neck and throat area. The Yangming Renying pulse moves beside the Adam's apple. The Taiyang Tianchuang pulse moves in the depression before the large tendons on both sides of the neck. The Shaoyang Tianrong pulse moves below the cheekbone. However, Yangming has abundant Qi and blood, so its movement is obvious, hence 'constantly moving.' Taiyang has little Qi, Shaoyang has little blood, so their movement is hidden, hence 'not moving.' In the current Yang Jue syndrome, all three Yang meridians move. Not only do the moving ones move, but the non-moving ones also move. Is this not a major disease?) The Yellow Emperor said: "How to treat it?" Qibo said: "Deprive them of food, and it will cease. Food enters the Yin and generates Qi in the Yang; thus, depriving food stops it. Administer a decoction of Shengtie Luo (Iron Filings). Shengtie Luo descends Qi rapidly. The Yellow Emperor said: "Excellent!" (Note: Food nourishes humans, but overeating harms. Even when healthy, moderation is required. Once ill, indulgence generates phlegm and aids fire, burdens the Stomach, and attracts pathogens, turning nourishment into harm. Thus, for Yang Jue, food deprivation is especially necessary. Food transforms into Qi and Blood if refined, or increases arrogance/deficiency if coarse. Pathogens rely on Wei Qi to manifest; Wei Qi is the fierce Qi of water and grain. Excess Yang leads to good appetite; forbidding food is called 'deprivation.' Iron filings are metal; to control Fire, one must first calm Wood. 'Luo' in *Jia Yi Jing* is written as 'Luo', which is correct. We follow it.)

"Some have body heat, flaccidity, sweating profusely like bathing, aversion to wind, and shortness of Qi. What disease is this?" Qibo said: "The disease is named Jiu Feng (Wind-Damp caused by Wine)." The Yellow Emperor said: "How to treat it?" Qibo said: "Use Ze Xie (Alisma Rhizome) and Bai Zhu (Atractylodes Macrocephala Rhizome) each in 10 parts, and Mi Xian (Dendrobium nobile stem, historically referred to as Mi Yu/Mi Han in some contexts, though modern identification varies) in 5 parts. Mix them. Take three finger-widths amount after meals. ... This is wind-stroke following alcohol consumption. The *Feng Lun* states: 'Wind striking after drinking is called Lou Feng (Leaking Wind).' This is also named Lou Feng. Extreme drinkers have excessive Yang and loose interstices (Cou Li), with open pores. Excess Yang causes flaccidity, hence body weakness. Loose interstices allow wind to attack inward; open pores cause Qi to leak outward, hence profuse sweating. External wind pressure and reopened pores lead to massive sweating and internal deficiency. Damp-heat steams the Lung, causing aversion to wind and shortness of Qi. Since it arises from wine, it is called Jiu Feng. Bai Zhu is bitter, warm, and neutral, treating severe wind and stopping sweat. Mi Xian is bitter, cold, and neutral, treating wind-damp and tendon flaccidity. Ze Xie is sweet, cold, and neutral, treating wind-damp and benefiting Qi. Taking medicine after eating is called 'Hou Fan' (Late Meal/Taking after meal)."

The Yellow Emperor said: "For a pregnant woman, what happens if toxic drugs are used?" Qibo said: "If there is a pathogen (Gu), there will be no injury [to the mother], nor injury [to the fetus]." (The upper 'wu yun' means the mother remains safe; the lower 'wu yun' means the fetus does not die. Note: 'Du zhi' refers to whether toxic drugs can be used for a pregnant woman with accumulations/masses. 'You gu wu yun' means since there is disease, even heavy doses will not harm mother or child.) The Yellow Emperor said: "I wish to hear the reason. What does this mean?" Qibo said: "For large accumulations and masses, they can be attacked, but stop when more than half has subsided. Over-treatment leads to death. (Over-restriction waiting for exhaustion leaves toxins inside; attacking without disease with toxic drugs damages the harmonious middle Qi, so excess leads to death. Note: Accumulations often arise from internal deficiency of Zheng Qi failing to transform. To remove accumulations, one must protect Zheng Qi. Accumulation-dispelling drugs are harsh. Removing more than half makes the pathogen hard to sustain; as Yuan Qi increases, accumulations gradually decrease. If treatment continues, Yuan Qi is damaged, accumulations worsen, leading to distension and death. Caution is essential. This section was originally in the *Liuyuan Zhengji Dalun* in Wang Bing's edition but was moved here due to contextual mismatch.)"