少阳发少气等病。隔，塞也。平按∶《素问》喜作善，螈作掣。少气原抄作小气，玩注宜作少，《素
问》亦作少。又注少阳少字原抄亦作小，恐系抄写之误，谨更正。）二阳一阴发病，生惊骇背痛，
喜噫喜欠，名曰风厥。（二阳，阳明也。一阴，厥阴也，手厥阴心包脉也，足厥阴肝脉也。此二脉发
惊骇等病，风厥也。平按∶《素问》生作主。）二阴一阳发病，喜胀心满喜气（二阴，少阴也，手少
阴心脉也，足少阴肾脉。少阴少阳发喜胀等病。平按∶注肾脉下袁刻有一阳少阳也五字。）三阳三
阴发病，为偏枯痿易，四肢不举。（三阳，太阳也。三阴，太阴也，手太阴肺脉也，足太阴脾脉也。
太阴发偏枯等病也。）鼓一阳曰钩曰鼓，（一阳，少阳也。少阳脉至手太阴寸口，其脉鼓也。鼓，脉
鼓动也。一阳之鼓曰钩也。平按∶《素问》钩下无曰字。）一阴曰毛，（一阴，厥阴也。厥阴脉至
之寸口曰毛，此阴脉不称鼓也。有本∶一曰阴曰毛也。）鼓阳胜隐曰弦，（脉鼓阳胜于隐曰弦。平
按∶《素问》隐作急。别本隐上有阴字。）鼓阳至而绝曰石，（至者为阳也，鼓阳至绝曰石也。）
阴阳相过曰弹。（阴阳之脉至寸口相击曰弹也。平按∶弹《素问》作溜。）
凡痹之客五脏者，肺痹者，烦则满喘而欧。（邪气客肺及手太阴，故烦满喘欧也。平按∶《素问》
烦下无则字，欧作呕。）心痹者不通，烦则下鼓，暴上气而喘，嗌干喜噫，厥气上则恐。（邪气客
心及手太阳，故上下不通，烦则少腹故胀等病也。平按；《素问》不通上有脉字，则上有心字，喜
作善。注少腹故胀，故恐系鼓字之误。）肝痹者，夜卧则惊，多饮数小便，上为演坏。（邪气客肝
及足厥阴脉，厥阴脉系目及阴，故卧惊数小便。演当涎，谓涎流坏中心也。平按∶演坏《素问》作
引如怀三字。）肾痹者善胀，尻以伐踵，脊以伐项。（邪客肾及少阴之脉，故喜胀脊曲也。平按∶
《素问》善作喜，两伐字均作代，项作头。胀下袁刻有足挛二字，原抄无。）脾痹者，四肢懈惰，
发咳欧汁，上为大寒。（邪客脾及足太阴脉，不得营于四肢，故令懈惰，又发脾咳，胃寒欧冷水也。
平按∶《素问》懈惰作解堕，欧作呕，寒作塞。）大肠痹者，数饮出而不得，中气喘争，时发飧泄。
（邪客大肠及手阳明脉，大肠中热，大便难，肺气喘争，时有飧泄也。平按∶《素问》肠上无大字，
出而作而出。注争字原抄作年，谨根据经文作争。）胞痹者，少腹膀胱按之两髀若沃以汤，涩于小便，
上为清涕。（膀胱盛尿，故谓之胞，即尿脬。脬，匹苞反。邪客膀胱及足太阳，膀胱中热，故按之
髀热，下则小便有涩，上则鼻清涕出也。平按∶少腹原抄作少肠，《素问》作少腹，袁刻作小肠，
与原抄、《素问》均异，谨根据《素问》作少腹。两髀《素问》作内痛，新校正云∶全元起本作两髀。
据此，则全元起本与此相合。若沃以汤，汤字原抄作阳，恐传写之误，谨根据《素问》作汤，别本亦
作汤。）阴气者，静则神藏，躁则消亡。（五脏之气，为阴气也，六腑之气，为阳气也。人能不劳五
脏之气，则五神各守其脏，故曰神藏也。贼郎反。若怵惕思虑，悲哀动中，喜乐无极，愁忧不解，盛
怒不
止，恐惧不息，躁动不已，则五神消灭，伤脏者也。）饮食自倍，肠胃乃伤。（凡人饮食，胃实则
肠虚，肠实则胃虚，肠胃更实更虚，故得气通，长生久视。若饮食自倍，则气不通，夭人寿命也，
此则伤腑也。）淫气喘息，痹聚在肺；（淫，过也。喘息，肺所为也。喘息过者，则肺虚邪客，故痹
聚也。）淫气忧思，痹聚在心；（忧思，心所为。忧思过者，则心伤邪客，故痹聚也。）淫气欧唾，
痹聚在肾；（欧唾，肾所为也。欧唾过者，则肾虚邪客，故痹聚也。平按∶欧唾《素问》作遗溺。）
淫气渴乏，痹聚在肝；（肝以主血，今有渴乏，多伤血肝虚，故痹聚也。平按∶渴乏《素问》作乏竭。）
淫气饥绝，痹聚在胃；（饥者，胃少谷也。饥过绝食则胃虚，故痹聚。）淫气雍塞，痹聚在脾。（谷
气过塞，则实而痹聚于脾也。平按∶饥绝《素问》作肌绝，下无痹聚在胃、淫气雍塞二句。新校正云∶
详从上凡痹客五脏者至此，全元起本在《阴阳别论》中，此王氏所移。据此，则全元起本与《太素》
同也。）
阴争于内，阳扰于外，魄汗未藏，四逆而起，起则动肺，使人喘喝。（五脏为阴，内邪阴气，
以伤五脏，故曰争内；六腑为阳，外邪阳气，以侵六腑，故曰扰外。皮毛腠理也，肺魄所主，故汗
出腠理，名魄汗也。藏，犹闭也。阴阳争扰，汗出腠理未闭，寒气因入，四肢逆冷，内伤于肺，故
使喘喝。喝，喘声，呼割反。平按∶《素问》动作熏，喝作鸣。）阴之所生，和本曰味。（五脏所生
和气之本，曰五味也。平按∶《素问》味作和。）是故刚与刚，阳气破散，阴气乃消亡，（刚与刚，
阳盛也。阳盛必衰，故破散也。无阳之阴，必消亡也。）淖则刚柔不和，经气乃绝。（淖，乱也，音
浊。言阳散阴消，故刚柔不和，则十二经气绝也。平按∶《素问》此段下有“死阴之属，不过三日而
死，生阳之属，不过四日而死”数句，本书在后。）岐伯曰∶所谓生阳死阴者，肝之心谓之生
阳，（木生火也。）心之肺谓之死阴，（火克金也。）肺之肾谓之重阴，（少阴重至阴也。）肾之
脾谓之辟阴，死不治。（辟，重叠。至阴太阴重也。）结阳者，肿四肢。（结，聚。）结阴者，便血
一升，再结二升，三结三升。（血聚多至三升也。）阴阳结者针，多阴少阳曰石水，少腹肿。（少阴
为水，故多字误也。平按∶《素问》结下无者字，针作斜。石原抄作右，恐误，《素问》作石。腹肿
二字，原抄缺左方，只余右方复重二字，谨根据《素问》作腹肿。）三阳结谓之消，（消渴消中也。
三阳，太阳。平按∶《素问》三阳作二阳。注消渴，渴字袁刻误作浊。）二阳结谓之隔，（便溲不通
也。二阳，阳明也。平按∶《素问》二作三。）三阴结谓之水，（三阴，太阴。）一阴一阳结谓之
喉痹，（厥阴、少阳也。）阴搏阳别谓之有子，（阴脉聚，阳脉不聚也。）阴阳虚肠辟。（阴阳腑
脏脉皆虚者，肠辟叠死。平按∶《素问》辟下有死字。）死阴之属，不过三日而死；生阳之属，不过
四日而已。（阴阳死生期也。平按∶《素问》此数语在经气乃绝之下。四日而已《素问》作四日而死，
新校正云∶按别本作四日而生，全元起注本作四日而已，俱通。详上下文义，作死者非。据此，则全
元起注本与此正合，袁刻误作四日而死。）阳加于阴谓之汗，（加，胜之也。）阴虚阳搏谓之崩。
（崩，下血也。）三阴俱搏，三十日夜半死。（太阴总得三阴之气。平按∶《素问》三十作二十。）
二阴俱搏，十五日夕死。（少阴总得二阴之气。平按∶《素问》十五作十三，夕下有时字，别本亦
有时字。）一阴俱搏，十日平旦死。（厥阴气皆来聚，故曰俱也。平按∶顾本《素问》无平旦二字，
赵府本有。）三阳俱搏且鼓，三日死。（三阳之脉，聚而且鼓。）三阳三阴
俱搏，心腹满，发尽不得隐曲，五日死。二阳俱搏，募病温，死不治，不过十日死。（阳明之气皆
聚，则阳明募病。有本为幕也。平按∶《素问》募作其。）
When the Shaoyang (Lesser Yang) channel is affected, diseases such as *Shaoqi* (deficiency of vital energy) occur. "Ge" (obstruction) refers to blockage and stagnation. (Note: In *Suwen*, "xi" is written as "shan", and "yuan" as "che". The original manuscript writes "Shaoqi" as "Xiaoqi"; careful reading of the annotation suggests it should be corrected to "Shao", which matches *Suwen*. Also, the character "Shao" in "Shaoyang" in the annotation was originally written as "Xiao" in the manuscript, likely a copying error, which has been corrected here.)
When Er Yang (Yangming) and Yi Yin (Jueyin) are simultaneously affected, symptoms include fright, back pain, frequent sighing, and yawning; this disease is named *Fengjue* (Wind Jue). (Er Yang refers to the Yangming channel; Yi Yin refers to the Jueyin channel, including the Hand Jueyin Pericardium channel and Foot Jueyin Liver channel. Diseases arising from these two channels include fright and other symptoms, classified as Fengjue. Note: In *Suwen*, "sheng" is written as "zhu".)
When Er Yin (Shaoyin) and Yi Yang (Shaoyang) are simultaneously affected, there is a tendency toward abdominal distension, chest fullness, and sighing. (Er Yin refers to the Shaoyin channel, including the Hand Shaoyin Heart channel and Foot Shaoyin Kidney channel. Diseases arising from Shaoyin and Shaoyang include abdominal distension. Note: Yuan's engraved edition adds five characters "Yi Yang Shaoyang ye" after "Kidney channel" in the annotation.)
When San Yang (Taiyang) and San Yin (Taiyin) are simultaneously affected, symptoms include hemiplegia (*Pianku*), flaccidity syndrome (*Wei*), alteration of limb function, and inability to lift the limbs. (San Yang refers to the Taiyang channel; San Yin refers to the Taiyin channel, including the Hand Taiyin Lung channel and Foot Taiyin Spleen channel. Diseases arising from Taiyin include hemiplegia.)
A pulse that beats vigorously is called *Gou* (Hook) or *Gu* (Drum). (Yi Yang refers to Shaoyang. When the Shaoyang pulse reaches the Cun Kou point on the Hand Taiyin Lung channel, its manifestation is vigorous beating. "Gu" means pulsation. The pulsation of Yi Yang manifests as Gou. Note: In *Suwen*, the character "Yue" does not follow "Gou".)
The Jueyin pulse is called *Mao* (Feather). (Yi Yin refers to Jueyin. When the Jueyin pulse reaches Cun Kou, it manifests as Mao; this is because Yin pulses do not manifest as vigorous beating. Another version states: "It is said that Yin pulses are called Mao.")
When the pulse beats vigorously and Yang qi overcomes the hidden state, it is called *Xian* (Bowstring). (The pulse beats vigorously, with Yang qi overcoming the hidden state, resulting in Xian. Note: In *Suwen*, "Yin" is written as "Ji". Another version has the character "Yin" before "Yin".)
When the pulse beats vigorously and reaches extremity/cessation, it is called *Shi* (Stone). (Reaching extremity refers to Yang; when the pulse beats vigorously to the point of cessation, it is Shi.)
When Yin and Yang pulses intersect and strike each other, it is called *Tan* (Pluck/Twitch). (When Yin and Yang pulses reach Cun Kou and strike each other, it is Tan. Note: In *Suwen*, "Tan" is written as "Liu".)
Regarding Bi syndrome invading the Five Zang organs:
In *Fei Bi* (Lung Bi),烦闷 (distress) leads to chest fullness, panting, and vomiting. (Evil qi invades the Lung and Hand Taiyin channel, causing distress, fullness, panting, and vomiting. Note: In *Suwen*, "Ze" does not follow "Fan", and "Ou" is written as "Ou".)
In *Xin Bi* (Heart Bi), there is obstruction and lack of communication. Distress leads to lower abdominal bulging, sudden upward rushing of Qi with panting, dry throat, and frequent sighing. When rebellious Qi rises, fear occurs. (Evil qi invades the Heart and Hand Taiyin Small Intestine channel [Note: Text says Hand Taiyang, but context implies connection], causing obstruction between upper and lower. Distress causes lower abdominal bulging. Note: In *Suwen, "Mai" precedes "Bu Tong", "Xin" precedes "Ze", and "Xi" is written as "Shan". The character "Gu" in the annotation "Shao Fu Gu Zhang" is likely a typo for "Gu".)
In *Gan Bi* (Liver Bi), one startsles during sleep at night, drinks much, urinates frequently, and upward progression leads to salivation dripping onto the heart center. (Evil qi invades the Liver and Foot Jueyin channel. The Jueyin channel connects to the eyes and genitals, hence startling during sleep and frequent urination. "Yan" corresponds to "Xian" (saliva), meaning saliva flows and soaks the heart center. Note: In *Suwen*, "Yan Huai" is written as "Yin Ru Huai" three characters.)
In *Shen Bi* (Kidney Bi), there is frequent distension. One walks with buttocks on the ground and heels lifted, and the spine is curved with the head lowered. (Evil qi invades the Kidney and Foot Shaoyin channel, causing distension and spinal curvature. Note: In *Suwen, "Shan" is written as "Xi", both "Fa" characters are written as "Dai", and "Xiang" is written as "Tou". Yuan's edition adds "Zu Luan" after "Zhang", which is absent in the original manuscript.)
In *Pi Bi* (Spleen Bi), the four limbs are lax and weak, coughing occurs with expulsion of fluid, and coldness prevails in the upper body. (Evil qi invades the Spleen and Foot Taiyin channel, failing to nourish the four limbs, causing laxity. It also triggers Spleen cough and stomach cold leading to expulsion of cold water. Note: In *Suwen, "Xie Duo" is written as "Jie Duo", "Ou" as "Ou", and "Han" as "Sai".)
In *Da Chang Bi* (Large Intestine Bi), there is frequent drinking but inability to defecate, rumbling of Qi in the middle jiao, and occasional diarrhea with undigested food. (Evil qi invades the Large Intestine and Hand Yangming channel. Heat in the Large Intestine causes difficult defecation, lung Qi struggles, and occasional diarrhea with undigested food occurs. Note: In *Suwen, "Da" does not precede "Chang", and "Chu Er" is written as "Er Chu". The character "Zheng" in the annotation was originally written as "Nian" in the manuscript, corrected here to "Zheng" based on the classic text.)
In *Bao Bi* (Bladder/Uterus Bi), pressing the lower abdomen and bladder area makes the inner thighs feel hot like boiling water. Urination is difficult and scanty, and clear nasal discharge occurs above. (The bladder stores urine, hence called Bao or Pao. Evil qi invades the Bladder and Foot Taiyang channel. Heat in the bladder causes heat in the thighs upon pressing, difficulty in urination below, and clear nasal discharge above. Note: Original manuscript writes "Shao Chang", *Suwen* writes "Shao Fu", Yuan's edition writes "Xiao Chang". Corrected to "Shao Fu" per *Suwen*. *Suwen* writes "Nei Tong" for "Liang Bi"; Xin Zheng Jiao notes Quanyuanqi's version uses "Liang Bi", aligning with this text. "Tang" in "Ruo Wo Yi Tang" was originally written as "Yang" in the manuscript, likely a copyist error, corrected to "Tang" per *Suwen* and other versions.)
Yin Qi: When quiet, the Spirit is stored; when agitated, it dissipates. (Qi of the Five Zang is Yin Qi; Qi of the Six Fu is Yang Qi. If one does not labor the Qi of the Five Zang, the Five Spirits remain in their respective organs, hence "Spirit Stored". If one experiences fear, excessive thought, sorrow moving the interior, unbounded joy, unresolved grief, unceasing anger, incessant fear, or constant agitation, the Five Spirits will perish, damaging the Zang organs.)
If food and drink intake doubles, the Stomach and Intestines are injured. (Normally, when the Stomach is full, the Intestines are empty, and vice versa; this alternation allows Qi to flow freely, promoting longevity. If food and drink double, Qi becomes obstructed, shortening lifespan, thus injuring the Fu organs.)
Excessive Qi causing panting indicates Bi accumulation in the Lung; (Excessive means overabundance. Panting is a Lung function. Excessive panting indicates Lung deficiency and evil invasion, leading to Bi accumulation.)
Excessive Qi causing worry and thought indicates Bi accumulation in the Heart; (Worry and thought are Heart functions. Excessive worry/thought damages the Heart and invites evil, leading to Bi accumulation.)
Excessive Qi causing vomiting of saliva indicates Bi accumulation in the Kidney; (Vomiting saliva is a Kidney function. Excessive vomiting of saliva indicates Kidney deficiency and evil invasion, leading to Bi accumulation. Note: In *Suwen*, "Ou Tuo" is written as "Yi Ni".)
Excessive Qi causing thirst and fatigue indicates Bi accumulation in the Liver; (The Liver governs Blood. Thirst and fatigue often damage Blood, leading to Liver deficiency and Bi accumulation. Note: In *Suwen*, "Ke Fa" is written as "Fa Jie".)
Excessive Qi causing hunger and starvation indicates Bi accumulation in the Stomach; (Hunger results from lack of grain in the Stomach. Excessive hunger and fasting lead to Stomach deficiency, causing Bi accumulation.)
Excessive Qi causing congestion and blockage indicates Bi accumulation in the Spleen. (Overabundance of Grain Qi causes congestion, leading to excess and Bi accumulation in the Spleen. Note: In *Suwen*, "Ji Jue" is written as "Ji Jue", and the sentences "Bi Ju Zai Wei" and "Yin Qi Yong Sai" are missing. Xin Zheng Jiao notes that Quanyuanqi's version places this section in *Yin Yang Bie Lun*, moved here by Wang Bing. Thus, Quanyuanqi's version aligns with *Taisu*.)
Yin contends within, Yang disturbs without. Soul sweat (*Po Han*) is not contained, and cold limbs arise. Arising cold limbs disturb the Lung, causing panting and gasping. (Five Zang are Yin; internal Yin evil injures them, hence "contending within". Six Fu are Yang; external Yang evil invades them, hence "disturbing without". Skin pores and interstices are governed by Lung Po, so sweat emerging from pores is called Po Han. "Cang" means close. Yin-Yang contention and disturbance cause sweat to emerge and pores to remain open; cold Qi enters, chilling the limbs and injuring the Lung internally, causing panting. "He" is the sound of panting. Note: In *Suwen*, "Dong" is written as "Xun", and "He" as "Ming".)
What generates Yin, harmony is found in the Flavors. (The root of harmonious Qi generated by the Five Zang is the Five Flavors. Note: In *Suwen*, "Wei" is written as "He".)
Therefore, if Hardness meets Hardness, Yang Qi breaks and scatters, and Yin Qi perishes. (Hardness meeting Hardness indicates Yang excess. Yang excess inevitably declines, hence breaking and scattering. Yin without Yang must perish.)
If Softness dominates, Hard and Soft are discordant, and Channel Qi ceases. (Nao means disorder, pronounced Zhuo. When Yang scatters and Yin perishes, Hard and Soft become discordant, and the Qi of the Twelve Channels ceases. Note: *Suwen* adds several sentences here about death timelines for Yin/Yang categories, which appear later in this book.)
Qibo said: Regarding Sheng Yang (Life Yang) and Si Yin (Death Yin):
Transmission from Liver to Heart is called Sheng Yang, (Wood generates Fire.)
Transmission from Heart to Lung is called Si Yin, (Fire controls Metal.)
Transmission from Lung to Kidney is called Chong Yin (Double Yin), (Shaoyin overlaps with Zhi Yin.)
Transmission from Kidney to Spleen is called Pi Yin (Reversed/Overlapping Yin), (a fatal condition untreatable.) (Pi means overlapping. Zhi Yin Taiyin overlaps.)
Yang Qi knotting leads to swelling of the four limbs. (Knotting means gathering.)
Yin Qi knotting leads to blood in stool. First knotting: one sheng of blood; second knotting: two sheng; third knotting: three sheng. (Blood accumulation up to three sheng.)
Yin-Yang knotting in Shaoyin is called Shi Shui (Stone Water), with swelling of the lower abdomen. (Shaoyin governs Water, so "Duo" may be an error. Note: In *Suwen*, "Zhe" does not follow "Jie", "Zhen" is written as "Xie". Shi was originally written as "You" in the manuscript, likely an error, corrected to "Shi" per *Suwen*. "Fu Zhong" was partially missing in the manuscript, corrected per *Suwen*.)
San Yang knotting is called Xiao (Consumption/Diabetes), (Xiao Ke Xiao Zhong disease. San Yang refers to Taiyang. Note: In *Suwen*, "San Yang" is written as "Er Yang". The character "Ke" in the annotation "Xiao Ke" was mistakenly printed as "Zhuo" in Yuan's edition.)
Er Yang knotting is called Ge (Obstruction/Regurgitation), (Difficulty in defecation and urination. Er Yang refers to Yangming. Note: In *Suwen*, "Er" is written as "San".)
San Yin knotting is called Shui (Edema/Water retention), (San Yin refers to Taiyin.)
Yi Yin and Yi Yang knotting is called Hou Bi (Throat Bi), (Yi Yin refers to Jueyin, Yi Yang refers to Shaoyang.)
Yin pulse beating strongly with distinction from Yang pulse indicates pregnancy. (Yin pulse gathers, Yang pulse does not gather.)
Deficiency of both Yin and Yang pulses leads to Chang Bi (Intestinal Dysentery). (When Yin and Yang Zang-Fu pulses are both deficient, Chang Bi with severe mortality occurs. Note: In *Suwen*, "Si" follows "Pi".)
Those belonging to Si Yin (Death Yin) die within three days; those belonging to Sheng Yang (Life Yang) die within four days. (Timelines for Yin-Yang death/life. Note: These sentences appear after "Jing Qi Nai Jue" in *Suwen*. "Si Ri Er Yi" in *Suwen* is written as "Si Ri Er Si". Xin Zheng Jiao notes alternative versions say "Si Ri Er Sheng" or "Si Ri Er Yi", all acceptable. Contextually, "Si" is incorrect. Thus, Quanyuanqi's version aligns with this text, while Yuan's edition erroneously uses "Si".)
Yang added to Yin is called Sweat. (Jia means overcoming/superiority.)
Yin deficiency with Yang pounding is called Beng (Flooding/Metrorrhagia). (Beng refers to bleeding.)
If all Three Yin pulses beat strongly, death occurs at midnight on the 30th day. (Taiyin encompasses the Qi of all Three Yins. Note: In *Suwen*, "San Shi" is written as "Er Shi".)
If all Two Yin pulses beat strongly, death occurs at dusk on the 15th day. (Shaoyin encompasses the Qi of all Two Yins. Note: In *Suwen*, "Shi Wu" is written as "Shi San", and "Xi" is followed by "Shi" in other versions.)
If all One Yin pulse beats strongly, death occurs at dawn on the 10th day. (Jueyin Qi gathers completely, hence "Ju". Note: Gu's edition of *Suwen* lacks "Ping Dan", Zhao's edition includes it.)
If all Three Yang pulses beat strongly and drum-like, death occurs in three days. (Three Yang pulses gather and beat vigorously.)
If all Three Yang and Three Yin pulses beat strongly, with abdominal fullness, inability to perform any concealed movements, death occurs in five days.
If all Two Yang pulses beat strongly, Mubing (Acupoint Disease) presents as Warm Pathogen, a fatal untreatable condition, with death within ten days. (Yangming Qi gathers completely, causing Yangming Mubing. Some versions read "Mu" as "Mu". Note: In *Suwen*, "Mu" is written as "Qi".)