脾者，仓廪之本，消化水谷，谷消则脉道乃行，水化则其血乃成，故荣之居也，脾合肉，其荣唇，
故其华在唇四白，四白，口四际之白肉也。肌，亦肉也，故其充在肌，甘，脾味，黄，脾色也，脾乃阴中之
至阴，故为至阴之类，通于土气。此申明藏象，而为神藏五者如此。
胃，大肠，小肠，三焦。膀胱，名曰器，能化糟粕，转味而入出者也。
形藏四，胃、大肠、小肠、膀胱也，四者皆藏有形之物，故名曰器，又言三焦者，肠胃膀胱，皆三
焦之所主也，《灵枢·荣卫生会》论云，上焦出于胃上口，中焦亦并胃中，下焦别回肠，注于膀胱，而
渗入焉，故水谷者，常并居于胃中，成糟粕而俱下于大肠，而成下
焦，是上中下三焦之气，能化肠胃之糟粕，转味而入于肠胃，出于前后二阴者也，此申明形藏四，而禀气
三焦者如此。
凡十一脏取决于胆也。
腑能藏物，亦谓之藏。胆为中正之官，决断所出，胆气升，则脏腑之气皆升，故凡十一脏，取决于胆
也，上文五脏五腑，今云十一脏，包络与心相合也。
故人迎一盛，病在少阳，二盛病在太阳，三盛病在阳明，四盛以上，为格阳。
有形之脏腑经脉，合无形之三阳三阴，三阳主六腑，六腑以胃为本，故人迎之脉，以候三阳，人迎，
结喉两旁之胃脉也，经脉论云，胃足阳明之脉，下人迎，故人迎一盛，病在少阳，少阳胆与三
焦也，二盛病在太阳，太阳膀胱小肠也，三盛，病在阳明，阳明胃与大肠也，四盛以上为格阳，格阳者，终
始篇所谓溢阳为外格也，此以人迎胃脉，而候三阳之六腑也。
寸口一盛，病在厥阴，二盛病在少阴，三盛病在太阴，四盛以上，为关阴。
三阴主五脏，五脏以肺为先，故寸口之脉以候三阴，寸口两手寸部之肺脉也，经脉论云，肺手太阴
之脉，入寸口，盖寸口，谓之脉口，又谓之气口，脉口，气口，皆属太阴，终始篇云，人迎与太
阴脉口俱盛，五脏别论云，气口亦太阴也，故寸口一盛，病在厥阴，厥阴肝与心包也，二盛病在少阴，少
阴心肾也，三盛病在太阴，太阴脾肺也，四盛以上，为关阴，关阴者，终始篇所谓溢阴为内关也，此以寸口
肺脉，而候三阴之五脏也。
人迎与寸口俱盛，四倍以上，为关格，关格之脉赢，不能极于天地之精气，则死矣。
赢，盈同。上文一盛二盛三盛，犹言一倍二倍三倍也，故人迎与寸口俱盛，至四倍以上，为内关外格，
内关外格则亢盛盈满，无以复加，不能极于上天下地之精气，则死矣。此神藏形藏合于六
气，六气贵得其平，经脉不宜亢盛也。
The Spleen (Pi) is the root of the granary, responsible for digesting food and fluids. Once grain is digested, the vessel pathways (Mai Dao) can circulate; once water is transformed, blood (Xue) is formed. Therefore, Ying Qi (Nutritive Qi) resides within it. The Spleen governs the muscles (Rou), and its luster manifests in the lips (Chun). Thus, its brilliance shines at the "Si Bai" (Four Whites), which refers to the white flesh surrounding the mouth. Muscles are also flesh; thus, its filling occurs in the muscles. Sweetness (Gan) is the flavor of the Spleen; yellow is its color. The Spleen is the "Supreme Yin" (Zhi Yin) among Yin organs, so it belongs to the category of Supreme Yin and communicates with the Qi of Earth. This further elucidates the Zang-Xiang (Viscera and Phenomena) theory, explaining that this is how the Shen Zang (Spirit Viscera/Five Zang Organs) function.
The Stomach (Wei), Large Intestine (Da Chang), Small Intestine (Xiao Chang), San Jiao (Triple Burner), and Bladder (Pang Guang) are named "Qi" (Vessels/Containers). They are capable of transforming dregs and transporting flavors for intake and excretion.
There are four Xing Zang (Form Viscera): the Stomach, Large Intestine, Small Intestine, and Bladder. These four organs store tangible substances, hence they are called "Qi." It is also stated that the San Jiao governs the stomach, intestines, and bladder. The *Ling Shu: Ying Wei Sheng Hui* chapter states: "The Upper Jiao emerges from the upper orifice of the Stomach; the Middle Jiao also runs alongside the Stomach; the Lower Jiao separates from the ileum, pours into the Bladder, and渗 (seeps) therein." Therefore, water and grain often reside together in the Stomach, transform into dregs, and descend together into the Large Intestine, thereby forming the function of the Lower Jiao. This indicates that the Qi of the Upper, Middle, and Lower San Jiao can transform the dregs in the stomach and intestines, transport flavors into the gastrointestinal tract, and expel them through the anterior and posterior orifices. This further elucidates that there are four Form Viscera, which derive their Qi transformation functions from the San Jiao.
All eleven Zang-Fu organs depend on the Gallbladder (Dan) for their functional regulation.
Fu organs can store substances and are also referred to as "Zang." The Gallbladder is the official of uprightness, responsible for decision-making. When Dan Qi (Gallbladder Qi) rises, the Qi of all Zang-Fu organs rises. Therefore, the functionality of all eleven organs depends on the Gallbladder. The previous text mentioned five Zang and five Fu organs; now it mentions eleven organs because the Pericardium (Xin Bao Luo) combines with the Heart.
Thus, if the Ren Ying pulse is one-fold stronger than the Cun Kou pulse, the disease is in Shaoyang (Lesser Yang); two-fold stronger, it is in Taiyang (Greater Yang); three-fold stronger, it is in Yangming (Bright Yang); four-fold stronger or above, it is termed Ge Yang (Gridlock of Yang).
Tangible Zang-Fu organs and meridians combine with the intangible Three Yang and Three Yin meridians. The Three Yang meridians govern the Six Fu organs, and the Six Fu organs take the Stomach as their root. Therefore, the Ren Ying pulse is used to inspect the Three Yang meridians. Ren Ying is the Stomach meridian artery located on both sides of the thyroid cartilage. The *Jing Mai Lun* states: "The Foot-Yangming Stomach Meridian descends to Ren Ying." Thus, if the Ren Ying pulse is one-fold stronger, the disease is in Shaoyang, which includes the Gallbladder and San Jiao; two-fold stronger, it is in Taiyang, which includes the Bladder and Small Intestine; three-fold stronger, it is in Yangming, which includes the Stomach and Large Intestine; four-fold stronger or above is Ge Yang. Ge Yang refers to what the *Zhong Shi* chapter calls "Yang overflowing outwardly as Wai Ge" (External Gridlock). This uses the Ren Ying Stomach meridian pulse to inspect the Six Fu organs of the Three Yang.
If the Cun Kou pulse is one-fold stronger than the Ren Ying pulse, the disease is in Jueyin (Terminal Yin); two-fold stronger, it is in Shaoyin (Lesser Yin); three-fold stronger, it is in Taiyin (Greater Yin); four-fold stronger or above, it is termed Guan Yin (Closure of Yin).
The Three Yin meridians govern the Five Zang organs, and the Five Zang organs prioritize the Lung. Therefore, the Cun Kou pulse is used to inspect the Three Yin meridians. Cun Kou is the Lung meridian artery at the cun position of both hands. The *Jing Mai Lun* states: "The Hand-Taiyin Lung Meridian enters the Cun Kou." Generally, Cun Kou is called Mai Kou (Pulse Gate) or Qi Kou (Qi Gate). Both Mai Kou and Qi Kou belong to Taiyin. The *Zhong Shi* chapter says: "When Ren Ying and the Taiyin Mai Kou are both strong." The *Wu Zang Bie Lun* says: "Qi Kou also belongs to Taiyin." Thus, if the Cun Kou pulse is one-fold stronger, the disease is in Jueyin, which includes the Liver and Pericardium; two-fold stronger, it is in Shaoyin, which includes the Heart and Kidney; three-fold stronger, it is in Taiyin, which includes the Spleen and Lung; four-fold stronger or above is Guan Yin. Guan Yin refers to what the *Zhong Shi* chapter calls "Yin overflowing inwardly as Nei Guan" (Internal Closure). This uses the Cun Kou Lung meridian pulse to inspect the Five Zang organs of the Three Yin.
If both the Ren Ying and Cun Kou pulses are strong, reaching four times or more, it is termed Guan Ge (Gridlock). The Guan Ge pulse is weak (here "Ying" is synonymous with "Ying," meaning full/excessive); unable to exhaust the essence and Qi of Heaven and Earth, death ensues.
"Ying" is identical to "Ying" (full/excessive). The previously mentioned one-fold, two-fold, and three-fold strengths refer to one time, two times, and three times respectively. Therefore, when both Ren Ying and Cun Kou pulses are strong, reaching four times or more, it forms internal Guan and external Ge. Internal Guan and external Ge imply excessive fullness and overflow, leaving no room for further increase. Unable to fully absorb the essence and Qi of Heaven and Earth, death results. This explains that the Shen Zang (Spirit Viscera) and Xing Zang (Form Viscera) harmonize with the Six Qi. The Six Qi must be balanced, and the meridians should not exhibit excessive strength.