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(After the discussion on sudden pain)
There is a disease characterized by fullness in the heart and abdomen. The patient cannot eat at night after eating in the morning (symptoms relieve in the morning and worsen in the evening, indicating pathology in Ying-Blood), named Gu Zhang (Drum Distension) (also called Gu Distension when the abdomen is vacuously enlarged and tense). It is treated with Ji Shi Li (Chicken Dropping Fermented Liquid). One dose brings noticeable improvement; two doses cure the disease. (The nature of chicken droppings eliminates accumulation and directs Qi downward. One dose demonstrates its efficacy; two doses resolve the disease. ○ Use one sheng of male chicken droppings, grind finely, stir-fry until slightly scorched, add three bowls of unadulterated wine, decoct until half remains, filter through cloth to obtain the juice. Drink hot during the Wu Geng period (1-3 AM). Abdominal borborygmi will occur, and two to three times of black watery stools will pass during Chen and Si hours (7-11 AM). The next day, wrinkles gradually appear on the dorsum of the feet. Drink once more, and the disease is cured.)

There is a disease characterized by distending fullness in the chest and hypochondrium, which hinders eating. At the onset, the patient first smells fishy and rank odors (the lung odor is fishy, the liver odor is rank), flows clear fluids (clear, cold, and foul-smelling fluids), expectorates blood frequently (liver fails to store blood), feels cold in the four limbs (spleen deficiency leads to Yang Qi failing to circulate to the extremities), experiences dizziness (liver deficiency), and frequently bleeds from both the anterior and posterior orifices (Yin fluids lose their securing function). This disease is named Xue Ku (Blood Depletion). It often results from massive blood loss in youth or sexual intercourse while intoxicated, leading to exhaustion of Middle Qi and injury to the liver, causing menstrual flow to decrease or cease. The treatment involves combining four parts of Hai Piao Xiao (Cuttlefish Bone) and one part of Qian Cao (Madder Root), forming pills using quail eggs, sized like small beans. Take five pills as a post-meal dose (take medicine before food), washed down with Bao Yu Zhi (Abalone Juice) to promote intestinal lubrication (Hai Piao Xiao has an astringent property; Qian Cao, also known as Lin Ru, is bitter and aromatic; quail eggs tonify Yuan Yang; abalone is rich in flavor and nourishes Yin.)

There is a disease characterized by fullness and hardness in the lower abdomen, with roots palpable above, below, left, and right, named Fu Liang (Hidden Beam) (different from the Heart Accumulation described in Nan Jing). It wraps around large amounts of pus and blood, residing outside the intestines and stomach. It is considered incurable. Treatment involving forceful pressing can be fatal (pressing refers to excessive and reckless attacking). If treated by purging downwards, pus and blood will inevitably pass from the rectum; if treated by pushing upwards, it will compress the epigastrium, generating an internal abscess near the diaphragm (internal ulcerating carbuncle). This is a chronic condition and difficult to treat. Lesions located above the umbilicus indicate a adverse prognosis (Ni); those below the umbilicus indicate a favorable prognosis (Cong). Do not disturb the Stomach Qi to induce frequent defecation and deplete Zheng Qi (meaning: do not allow Stomach Qi to descend excessively causing frequent bowel movements, thereby depleting vital energy.)

A person presents with swelling of the thighs and legs, and pain surrounding the umbilicus, named Fu Liang. This is rooted in Wind pathogens (Wind-toxin resides in the interior). The pathogenic Qi overflows into the Large Intestine and attaches to the Huang (Sanjiao membrane). The source of the Huang is below the umbilicus, hence the pain surrounding the navel. It must not be treated with purgatives; doing so will cause difficulty in urination (meaning: do not use laxatives that disturb bowel movements). How can one determine that a pregnant woman is about to give birth? ("Sheng" implies no subsequent complications.) The body exhibits symptoms (such as pregnancy-related signs), but the pulse is free of pathological indicators (if there are symptoms like nausea, vomiting, or headache, but the pulse is normal, and menstruation has ceased, it indicates fetal Qi.)