三部俱浮肺藏风。鼻中多水唾稠浓。壮热恶寒皮肤痛。颡干双目泪酸疼。
肺脉浮兼实。咽门燥又伤。大便难且涩。鼻内乏馨香。实大相兼滑。毛焦涕唾粘。更知咽有燥。
火盛夏宜砭。沉紧相兼滑。仍闻咳嗽声。微浮兼有散。肺脉本家形。溢出胸中满。气泄大肠鸣。弦冷肠
中结。芤〔暴痛无成〕（为失血荣）。
暴痛无成。是不痛也。洁古解得之。解作痛者又非。改为失血为当。
沉细仍兼滑。应知是骨蒸。皮毛皆总涩。寒热两相承。
肾脏对分之。膀胱共合宜。旺冬〔身〕（行）属水。位北定无欺。两耳通为窍。〔三焦附在斯〕二（
阴窍附斯）。
三焦非肾所附。说见前篇。肾开窍于二阴。与两耳。皆为肾窍。
味咸归藿豆。精志自相随。沉滑当时〔本〕（脉）。浮〔摊〕（缓）厄在脾。色同乌羽吉。形似炭煤危。
冷积多成唾。焦烦水易亏。奔豚脐下积。究竟骨将痿。实梦腰〔难〕（脊）解。
曰难解。是不解也。
虚行溺水湄。一斤余一两。〔胁下〕（腰脊）对相〔垂〕（根据）。
难经曰。肾形如豇豆。相并而曲。附于脊膂。外与脐相对。胁下。肝之部位非肾位。亦不垂。
三部俱迟肾藏寒。皮肤燥涩发毛干。忽梦鬼神时入水。觉来情思即无欢。
肾散腰间气。尿多更滑精。（别本作涩滑并者非）软为膝胫痛。阴汗岂无凭。（别本作其中有聚
散聚散且无凭者非）实滑小便涩。淋痛涩 。脉涩精频漏。恍惚梦魂多。小肠疝气逐。梦里涉江河。
实大膀胱热。小便涩难通。滑弦腰脚痛。沉紧病还同。〔单〕（平）匀无病惫。浮紧耳应聋。
The pulse at all three positions (Cun, Guan, Chi) is floating, indicating Wind pathogen invading the Lung organ. There is excessive watery discharge from the nose and thick, viscous saliva. The patient experiences high fever, aversion to cold, and skin pain. The pharynx is dry, and the eyes are tearing with a sour, painful sensation.
If the Lung pulse is floating and accompanied by Excess (Shi), the glottis and throat become dry and damaged. Defecation is difficult and obstructed; the nasal cavity loses its sense of fragrance. If the pulse is Excess-large and combined with Slippery (Hua), the hair becomes scorched and brittle, and sputum and saliva are sticky. It is known that the throat is dry. In midsummer, bloodletting with bi stones (Bian shi) is appropriate. If the pulse is Deep (Chen) and Tight (Jin), combined with Slippery (Hua), coughing sounds can still be heard. If the pulse is slightly Floating (Fu) and Scattered (San), this is the natural form of the Lung pulse. If Qi overflows causing chest fullness, Qi leakage causes bowel rumbling. If the pulse is Wiry (Xuan) and Cold, there is knotting in the intestines. If the pulse is Knotted/Empty (Kou) [indicating sudden severe pain without true pathology], it signifies loss of Ying (Nutritive) Blood. Jiegu's interpretation is correct: interpreting it as pain is wrong; changing it to loss of blood is appropriate.
If the pulse is Deep (Chen) and Fine (Xi), yet still combined with Slippery (Hua), one should know it is Bone-steaming (Gu Zheng). The skin and hair are generally dry and rough, with alternating cold and heat symptoms.
The Kidney corresponds to the Chi position, harmonizing with the Bladder. It prospers in Winter, governs water metabolism in the body, belongs to Water element, and is fixed in the North direction without deception. The two ears serve as orifices connected to the Kidney. (Note: Sanjiao does not attach to the Kidney, as stated in previous chapters. The Kidney opens into the two yin orifices and the two ears, all being orifices of the Kidney.)
Salty flavors return to Luo and Dou plants; Essence (Jing) and Will (Zhi) naturally follow. A Deep (Chen) and Slippery (Hua) pulse indicates the root pulse of the moment; a Floating (Fu) and Slow (Huan) pulse indicates distress in the Spleen. A color resembling black crow feathers is auspicious; a form resembling charcoal coal is critical. Cold accumulation often forms saliva; irritability and thirst easily deplete fluids. Ben-tun (Running Piglet) qi manifests as an accumulation below the umbilicus, ultimately leading to bone atrophy. Dreams of the waist being unable to relax ("Nan jie" means unrelaxed). Deficiency leads to walking as if drowning on the riverbank. One jin of herbs yields one liang of residue. (Note: The hypochondrium is not the location of the Kidney, nor does it hang down. The Nan Jing states: The Kidney resembles broad beans, side-by-side and curved, attached to the spine. Externally opposite the umbilicus. The hypochondrium is the location of the Liver, not the Kidney, and does not hang down.)
The pulse at all three positions is slow (Chi), indicating Cold pathogen invading the Kidney organ. The skin is dry and rough, and hair is dry. Suddenly dreaming of ghosts, gods, or entering water; upon waking, thoughts and emotions are joyless.
A Scattered (San) pulse in the kidney area indicates frequent urination and spermatorrhea. (Alternative versions stating "rough and slippery together" are incorrect). A soft (Ruan) pulse indicates knee and shin pain; how could Yin sweat lack basis? (Alternative versions stating "there are gathering and scattering, and no basis" are incorrect). An Excess (Shi) and Slippery (Hua) pulse indicates astringent urine, dysuria, pain, and astringency. A Rough (Se) pulse indicates frequent seminal emission, trance-like states, and numerous dreams. Small intestine hernia qi pursues; dreaming of wading through rivers and lakes. An Excess (Shi) and Large (Da) pulse indicates Bladder heat, with astringent and difficult urination. A Slippery (Hua) and Wiry (Xuan) pulse indicates waist and foot pain; a Deep (Chen) and Tight (Jin) pulse indicates the same disease. A single, level, and uniform pulse indicates no disease fatigue; a Floating (Fu) and Tight (Jin) pulse indicates deafness in the ears.