胆象木，旺于春。足少阳其经也，肝之腑也，决断出焉。诸腑脏皆取决断于胆。
其气盛为有余，则病腹内冒冒不安，身躯躯习习，是为胆气之实也，则宜泻之。胆气不
足，其气上溢而口苦，善太息，呕宿汁，心下澹澹，如人将捕之，嗌仲介介，数唾，是为胆
气之虚也，则宜补之。
小肠象火，旺于夏。手太阳其经也，心之腑也。水液之下行为溲便者，流于小肠。
其气盛为有余，则病小肠热，焦竭干涩，小肠 胀，是为小肠之气实也，则宜泻之
。小肠不足，则寒气客之，肠病，惊跳不言，乍来乍去，是为小肠气之虚也，则宜补之。
胃象土，旺于长夏。足阳明其经也，脾之腑也，为水谷之海。诸脏腑皆受水谷之气于胃
其气盛为有余，则病腹 胀，气满，是为胃气之实也，则宜泻之。胃气不足，则饥
而不受水谷，飧泄呕逆，是为胃气之虚也，则宜补之。
胃脉实则胀，虚则泄。关脉滑，胃中有热，脉滑为实，气满不欲食。关脉浮，积热在胃
大肠象金，旺于秋。手阳明其经也，肺之腑也，为传导之官，变化糟粕出焉。
其气盛为有余，则病肠内切痛，如锥刀刺，无休息，腰背寒痹，挛急，是为大肠气之实
，则宜泻之。大肠气不足，则寒气客之，善泄，是大肠之气虚也，则宜补之。
诊其右手寸口脉，手阳明经也。脉浮则为阳，阳实者，大肠实也，若肠内切痛，如锥刀
刺，无休息时。
The gallbladder corresponds to Wood and is prosperous in Spring. The Foot-Shaoyang (Lesser Yang) Meridian is its channel, and the Gallbladder is the Exterior-Interior organ of the Liver; decision-making emerges from it. All Zang-Fu organs rely on the Gallbladder for decision-making.
When its Qi is excessive, it constitutes excess, leading to internal dizziness and restlessness, and bodily trembling; this is Gallbladder Qi Excess, which should be treated with draining methods. When Gallbladder Qi is deficient, its Qi overflows upward causing a bitter taste in the mouth, frequent sighing, vomiting of old bile fluid, palpitations in the epigastrium as if one were being hunted, a sensation of obstruction in the throat, and frequent spitting; this is Gallbladder Qi Deficiency, which should be treated with tonifying methods.
The Small Intestine corresponds to Fire and is prosperous in Summer. The Hand-Taiyang (Greater Yang) Meridian is its channel, and the Small Intestine is the Exterior-Interior organ of the Heart. Fluids flow downward through the Small Intestine to form urine and stool.
When its Qi is excessive, it constitutes excess, leading to Heat in the Small Intestine, exhaustion of fluids resulting in dryness and roughness, and distension of the Small Intestine; this is Small Intestine Qi Excess, which should be treated with draining methods. When Small Intestine Qi is deficient, Cold pathogenic factors invade, causing intestinal disease, fright, jumping, inability to speak, and symptoms that come and go suddenly; this is Small Intestine Qi Deficiency, which should be treated with tonifying methods.
The Stomach corresponds to Earth and is prosperous in Late Summer. The Foot-Yangming (Bright Yang) Meridian is its channel, and the Stomach is the Exterior-Interior organ of the Spleen; it serves as the Sea of Water and Grain. All Zang-Fu organs receive the Qi of Water and Grain from the Stomach.
When its Qi is excessive, it constitutes excess, leading to abdominal distension and fullness of Qi; this is Stomach Qi Excess, which should be treated with draining methods. When Stomach Qi is deficient, one feels hungry but cannot accept food and drink, experiencing undigested diarrhea (Sun Xie) and vomiting with regurgitation; this is Stomach Qi Deficiency, which should be treated with tonifying methods.
Stomach pulse excess manifests as distension, while deficiency manifests as diarrhea. A slippery Guan pulse indicates Heat in the Stomach; a slippery pulse signifies excess, with Qi fullness and loss of appetite. A floating Guan pulse indicates accumulated Heat in the Stomach.
The Large Intestine corresponds to Metal and is prosperous in Autumn. The Hand-Yangming (Bright Yang) Meridian is its channel, and the Large Intestine is the Exterior-Interior organ of the Lung; it is the official of conduction, responsible for transforming and discharging waste.
When its Qi is excessive, it constitutes excess, leading to severe cutting pain within the intestines, as if pierced by awls or knives, without respite, cold bi-syndrome in the waist and back, and spasms and tightness; this is Large Intestine Qi Excess, which should be treated with draining methods. When Large Intestine Qi is deficient, Cold pathogenic factors invade, leading to frequent diarrhea; this is Large Intestine Qi Deficiency, which should be treated with tonifying methods.
Diagnosing the Cun Kou pulse at the right hand corresponds to the Hand-Yangming Meridian. A floating pulse indicates Yang; Yang excess means Large Intestine Excess. If there is severe cutting pain within the intestines, as if pierced by awls or knives, without respite, it confirms this condition.