鳖瘕者，谓腹中瘕结如鳖状是也。有食鳖触冷不消而生者，亦有食诸杂肉，得冷变化而
作者。皆由脾胃气虚弱而遇冷，则不能克消所致。瘕言假也，谓其有形，假而推移也。昔曾
有人共奴俱患鳖瘕，奴在前死，遂破其腹，得一白鳖，仍故活。有人乘白马来看此鳖，白马
遂尿，随落鳖上，即缩头及脚，寻以马尿灌之，即化为水。其主曰∶吾将瘥矣。即服之，果
如其言，得瘥。
《养生方》云∶六月勿食泽中水，令人成鳖瘕也。
有人胃气虚弱者，食生鱼，因为冷气所搏，不能消之，结成鱼瘕，揣之有形，状如鱼是
也。亦有饮陂湖之水，误有小鱼入人腹，不幸便即生长，亦有形，状如鱼也。
《养生方》云∶鱼赤目，作 食之，生瘕。
人有食蛇不消，因腹内生蛇瘕也。亦有蛇之精液误入饮食内，亦令病之。其状常苦饥，
而食则不下，喉噎塞，食至胸内即吐出。其病在腹，摸揣亦有蛇状，谓蛇瘕也。
人有病常思肉，得肉食讫，又思之，名为肉瘕也。
人有嗜酒，饮酒既多，而食谷常少，积久渐瘦。其病遂当思酒，不得酒即吐，多睡，不
复能食。云是胃中有虫使之然，名为酒瘕也。
人有能食而不大便，初有不觉为患，久乃腹内成块结，推之可动，故名为谷瘕也。
人有饮食内误有毛，随食入腹，则令渐渐羸瘦。但此病不说别有证状，当以举因
食毛以知之。
Biexia (Soft Tissue Mass Shaped Like a Turtle) refers to a mass in the abdomen shaped like a turtle. It may arise from eating turtle meat followed by exposure to cold, leading to indigestion; or it may result from consuming various meats that undergo pathological changes due to cold. These conditions are caused by deficiency of Spleen and Stomach Qi, which fails to transform and transport food when confronted with cold pathogens. "Xia" implies "false," indicating that while the mass has a tangible form, its position is movable. In the past, a man and his servant both suffered from Biexia. The servant died first, and upon opening his abdomen, a live white turtle was found. A person riding a white horse came to see this turtle; the horse urinated on the turtle, causing it to retract its head and limbs immediately. Subsequently, the turtle was fed horse urine and dissolved into water. The owner of the turtle said, "My illness will be cured." He drank the liquid and indeed recovered as predicted.
The *Yangsheng Fang* states: Do not drink water from marshes in the sixth lunar month, as it may cause Biexia.
In individuals with weak Stomach Qi, eating raw fish may lead to invasion by cold pathogens, resulting in failure of digestion and the formation of Yuxia (Fish-shaped Mass). Upon palpation, a distinct mass resembling a fish can be felt. Alternatively, drinking water from ponds or lakes may lead to the accidental ingestion of small fish, which then grow within the body, forming a mass with a fish-like appearance.
The *Yangsheng Fang* states: Consuming dried meat made from red-eyed fish can generate Xia masses.
When snake meat is ingested but not digested, it may give rise to Shexia (Snake-shaped Mass) within the abdomen. Additionally, snake essence accidentally entering food or drink can also induce this disease. Symptoms include persistent hunger yet inability to swallow food, throat obstruction, and regurgitation of food after it reaches the chest. Palpation of the abdomen reveals a mass with a snake-like shape, hence the name Shexia.
An individual who constantly craves meat, eating it repeatedly, suffers from Rouxia (Meat-shaped Mass).
An alcoholic who consumes excessive amounts of alcohol but little grain food gradually becomes emaciated over time. As the condition progresses, they develop an intense craving for alcohol; without it, they vomit, sleep excessively, and lose their appetite. This is attributed to parasites in the Stomach, and is termed Jiuxia (Alcohol-shaped Mass).
An individual who eats well but does not defecate may initially feel no discomfort. However, over time, a movable mass forms in the abdomen, known as Guxia (Grain-shaped Mass).
If hair is accidentally ingested with food, it enters the abdomen and causes gradual emaciation. This disease presents no specific symptoms other than the history of ingesting hair, which serves as the diagnostic clue.