诸痉强直，积饮痞膈，中满，霍乱吐下，体重 肿，肉如泥，按之不起者，皆属于湿。
太阴湿土。乃脾胃之气也。
诸痉强直者，筋劲而不柔和也。阴痉曰柔，阳痉曰刚。故湿过极，则反兼风制之，然兼
化者虚象，而实非风也。
积饮者、留饮积蓄，而不散也。
痞者、否而不通泰也。土得燥则消散，得湿则不能消，而为病也。
膈者、阻滞也。肠胃隔绝，而传化失其常也。
中满者、土为中州，湿为积饮，痞膈而满也。
霍乱吐下者，湿为留饮痞膈，而传化失常也。
体重者、土湿为病，则体重也。
肿、肉如泥，按之不起者，土过湿则为泥，是以不起也。
诸热瞀螈，暴喑冒昧，躁扰狂越，骂詈惊骇。 肿酸疼，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、 螈，暴病暴死，皆属于
火。少阳相火之热，乃心胞络三焦之气也。
瞀、昏也。心火热甚，则神浊昧而瞀昏也。
螈、动也。惕跳动螈，火之体也。惊属心、而脉亦心所主也。
暴喑、卒 也。肺主声，其或火旺水衰，热乘肺金，则喑而无声也。经曰、内夺而厥，
则为喑俳，此肾虚也。俳、废也。
冒昧者、蒙昧而昏暗也。气热神浊，火之体也。
躁扰者、躁动烦热，扰乱而不宁也。热甚于外，则肢体躁扰。热甚于内，则神志躁动。
反复颠狂，懊 烦心，而不得眠也。
狂者、乱而不定也。越者、乖失礼法，而反常也。肾水主志，心火旺、则肾水衰，是以
失志而狂越也。经曰，多喜为颠，多怒为狂。故喜为心志，心热甚，则多喜而为颠。怒为肝
志，火实制金，不能平木，故肝实则多怒而为狂也。
骂詈者、言之恶也。水性善，火性恶，若阳盛阴虚，则是水弱火强，而为骂詈也。
惊骇者、惊愕也。君火主之。
肿者、热胜肉而阳气郁滞故也。此与湿门 肿有别。
酸疼者、由火盛制金，不能平肝木，木旺而为火所化。气逆冲上，火气炎上故也。
禁栗如丧神守者，禁、冷也。栗、战栗也。
嚏者、鼻中因痒而气喷作声也。鼻为肺窍，痒为火化故也。
呕、疮疡者，皆火使然也。此当与热门同看。
喉痹者、不仁也。火闭塞也。火主肿胀，热客上焦，而咽喉溢也。
耳鸣者、耳为肾窍，交会于手太阳少阳、足厥阴少阳之经。若水虚火实，热气上乘其经
络，冲于耳中，鼓其听户，随其气之微甚，而为鸣也。
耳聋者、由水衰火实，热郁于上，而使听户玄府壅塞，神气不得通泄也。呕涌溢、食不
下者，火气炎上，胃膈热甚，传化失常故也。
目昧不明者，热气郁之甚也。
暴注者、卒泻也。
螈者、惕跳动也。火主动、况脉乃心火之所养也。
暴病暴死者，火性急速故也。
Various spasms and stiffness, accumulation of retained fluids causing chest and diaphragm obstruction, abdominal fullness, cholera-like vomiting and diarrhea, heavy body with edema, muscles soft like mud that do not rebound upon pressure, all belong to Dampness (Shi).
Taiyin Damp Earth corresponds to the Qi of the Spleen and Stomach.
Spasms and stiffness refer to sinews being rigid and lacking flexibility. Yin spasm is called Rigid Spasm (Rou Jing), while Yang spasm is called Stiff Spasm (Gang Jing). Therefore, when Dampness reaches an extreme, it may seemingly combine with Wind to restrain itself; however, this combined transformation is a false image, and is not actually Wind.
Accumulated fluid refers to retained fluids gathering and failing to dissipate.
Pi (Glomus/Obstruction) refers to Qi blockage and lack of smooth flow. When Earth encounters dryness, it dissipates; when it encounters dampness, it fails to digest and transform, leading to disease.
Ge (Diaphragmatic Obstruction) refers to blockage. The intestines and stomach are isolated from each other, causing their transmission and transformation functions to lose their normal rhythm.
Zhongman (Central Fullness) refers to Earth residing in the central region of the body; due to Dampness accumulating as retained fluid and causing Pi and Ge obstructions, abdominal fullness results.
Cholera-like vomiting and diarrhea occur because Dampness becomes retained fluid and causes Pi and Ge obstructions, leading to abnormal transmission and transformation.
Heavy body occurs because when Earth is diseased by Dampness, the body feels heavy.
Edema, where muscles are soft like mud and do not rebound after pressure, occurs because excessive Dampness in Earth turns it into mud, hence the lack of rebound.
Various fevers, mental confusion (Mao), convulsions (Yuan), sudden aphonia, dizziness and clouded consciousness, restlessness and agitation, manic behavior exceeding propriety, cursing, fright and terror, swelling and soreness, rebellious Qi rushing upward, trembling and shivering as if losing one's spirit, sneezing, vomiting, sores and ulcers, throat bi (obstruction), tinnitus and deafness, violent vomiting and overflow, inability to eat, blurred vision, acute diarrhea, convulsions, sudden illness, and sudden death, all belong to Fire (Huo). The heat of Shaoyang Ministerial Fire corresponds to the Qi of the Pericardium Collateral and Sanjiao (Triple Burner).
Mao refers to confusion. When Heart Fire is excessively hot, the Spirit becomes turbid and confused, resulting in Mao.
Yuan (Convulsion) refers to movement. Startled jumping and convulsions are manifestations of Fire. Fright belongs to the Heart, and the pulse is also governed by the Heart.
Bao Yin (Sudden Aphonia) refers to sudden loss of voice. The Lung governs sound. If Fire is excessive and Water is deficient, Heat invades Lung Metal, resulting in aphonia without voice. The Classics state: "Internal depletion and reversal lead to aphonia and paralysis," which indicates Kidney deficiency. Pai refers to uselessness or paralysis.
Maomei refers to being clouded and dim. Hot Qi and turbid Spirit are manifestations of Fire.
Zaorao refers to restless agitation and feverish discomfort, disturbing and preventing tranquility. When Heat is severe externally, limbs become restless; when Heat is severe internally, the Spirit becomes agitated. Recurrent mania, inner vexation and regret, and insomnia result.
Kuang (Mania) refers to chaotic and unstable behavior. Yue refers to violating etiquette and laws, acting abnormally. Kidney Water governs Will (Zhi); when Heart Fire is vigorous, Kidney Water declines, leading to loss of will and manic excess. The Classics state: "Excessive joy leads to Dian (epilepsy/mania), excessive anger leads to Kuang (mania)." Joy is the emotion of the Heart; excessive Heart Heat leads to excessive joy and Dian. Anger is the emotion of the Liver; when Fire is substantial and controls Metal, it cannot pacify Wood, so Liver Excess leads to excessive anger and Kuang.
Mali (Cursing) refers to foul speech. Water nature is good, Fire nature is evil. If Yang is excessive and Yin is deficient, Water is weak and Fire is strong, leading to cursing.
Jinghai refers to shock and terror. It is governed by Sovereign Fire.
Swelling occurs because Heat overcomes flesh and Yang Qi is stagnant. This differs from swelling in the Dampness category.
Soreness and pain occur because Fire excess controls Metal, failing to pacify Liver Wood; Wood becomes vigorous and is transformed by Fire. Rebellious Qi rushing upward is due to the flaming-upward nature of Fire.
Jinli ru sang shen shou: Jin refers to cold; Li refers to trembling/shivering.
Ti (Sneezing) refers to air bursting out making sound due to nasal itching. The nose is the orifice of the Lung; itching is caused by Fire transformation.
Vomiting, sores, and ulcers are all caused by Fire. These should be read together with the Fire category.
Hou Bi (Throat Obstruction) refers to numbness and insensibility. It is caused by Fire blockage. Fire governs swelling; when Heat lodges in the Upper Jiao, the throat swells and obstructs.
Tinnitus occurs because the ear is the orifice of the Kidney, intersecting with the Hand Taiyang, Hand Shaoyang, Foot Jueyin, and Foot Shaoyang meridians. If Water is deficient and Fire is substantial, rising Heat attacks these meridians, strikes the ear, vibrates the auditory aperture, and produces ringing according to the intensity of the Qi.
Deafness occurs because Water is deficient and Fire is substantial, with Heat stagnating upwards, blocking the xuanfu (pores/orifices) of the auditory aperture, preventing the Spirit Qi from circulating and draining.
Violent vomiting and overflow, inability to eat, occur because Fire Qi flares upward, causing severe Heat in the Stomach and Diaphragm, leading to abnormal transmission and transformation.
Blurred vision occurs because Heat Qi is severely stagnant.
Baozhu refers to sudden diarrhea.
Yuan refers to startled jumping and convulsions. Fire governs movement; moreover, the pulse is nourished by Heart Fire.
Sudden illness and sudden death occur because the nature of Fire is rapid and urgent.