治脚软。见行迟门。
凡身寒脉细，二便如常，一切疾病，患后及汗出不食者是虚。若身热脉大，二便不
利，能食闷瞀，烦躁甚褐者是实。面红如桃花色者，里盛外实也。大便黄稠，小便清澈
者，阴阳分而脏内实也。夏不畏热，冬不畏寒，手足温暖者，禀气壮实，而表里安和
也。面 白色者，气血衰少也。便粪青色者，胃与大肠虚冷也。吐乳食者，胸胃有寒
冷也。乳食不消化者，脾虚也。遇冬而恶寒，逢夏而中热者，禀气怯弱，阴阳俱虚
也。诸候出者为虚，入者为实，言者为虚，不言者为实，缓者为虚，急者为实，濡者为
虚、坚者为实，痒者为虚，痛者为实。外痛内快者，外实内虚，外快内痛者，外虚内
实，心腹皮肤内外诸痛，按之而止者为虚，按之而痛者是实。凡皮虚则热，脉虚则惊，
内虚则重，筋虚则急，骨虚则痛，体虚则情，肠虚则世，三阳实，三阴虚，则汗不
出，三阴实，三阳虚，则汗不止。大凡延医。先须察其新久虚实，虚则补母，实则泻
子，如肺虚而痰实者，固当利下，先宜实脾，后与泻肺是也。凡肺病而复见肝症，咬
牙呵欠者，易治，盖肝虚不能胜肺故也。若目直大叫，项急顿闷者，是肺病久虚，肝家
强直反胜也，难痊。
治疗颈部软弱、行走迟缓。
将五加皮研成粉末，用酒调匀后涂抹并敷在颈骨上，然后再用酒调服内服。
治疗脚部软弱。参见“行走迟缓”章节。
凡是身体发冷、脉象细弱，大小便正常，所有疾病中，患病之后及出汗后不能进食的属于虚证。如果身体发热、脉象洪大，大小便不通畅，能进食但感到烦闷昏乱，烦躁非常严重的属于实证。面色红得像桃花颜色一样，是里气盛而外表实的表现。大便黄稠，小便清澈，是阴阳分离而内脏实热的表现。夏天不害怕热，冬天不害怕冷，手足温暖的，是禀赋之气壮实，表里安和的表现。面色白色的，是气血衰少的表现。粪便青色的，是胃与大肠虚冷的表现。吐乳食的，是胸胃有寒冷的表现。乳食不消化的，是脾虚的表现。遇到冬天就厌恶寒冷，遇到夏天就中暑发热的，是禀赋之气怯弱，阴阳俱虚的表现。诸种症状中，发作出来的是虚证，向内收敛的是实证；说话的是虚证，不说话的是实证；病势缓和的是虚证，病势急迫的是实证；脉象濡软的是虚证，脉象坚实的是实证；感觉痒的是虚证，感觉痛的是实证。外部疼痛内部舒适的是外实内虚，外部舒适内部疼痛的是外虚内实，心腹皮肤内外各种疼痛，按压后疼痛停止的是虚证，按压后疼痛加剧的是实证。凡是皮虚则发热，脉虚则惊悸，内虚则沉重，筋虚则拘急，骨虚则疼痛，体虚则神情异常，肠虚则……（原文此处可能有脱漏或异文，依原文直译），三阳经实、三阴经虚，则无汗；三阴经实、三阳经虚，则汗出不止。大凡延请医生诊治，必须先考察疾病的病程新久以及虚实情况，虚证则补益其母脏，实证则泻除其子脏，例如肺虚而痰多实滞的，固然应当通利下行，先宜充实脾土，然后再泻肺金，就是这样。凡是肺病而又出现肝的症状，如咬牙呵欠的，容易治疗，这是因为肝虚不能克制肺的缘故。如果眼睛直视大叫，颈部僵硬突然昏闷的，这是肺病日久虚弱，肝家强直反而胜过肺脏的表现，难以痊愈。
Treats flaccidity of the neck and delayed walking.
Powdered *Acanthopanacis Senticosi Cortex* (Wujia Pi) is mixed with wine, applied topically to the cervical vertebrae, and then taken internally mixed with wine.
Treats weakness of the legs. See the section on "Delayed Walking."
Generally, if the body feels cold and the pulse is fine, while urination and defecation are normal, any disease occurring after illness or sweating accompanied by an inability to eat indicates a Deficiency pattern. If the body is hot and the pulse is large, with difficulty in urination and defecation, ability to eat but accompanied by stifling sensation and dizziness, and severe irritability, this indicates an Excess pattern. A face red like peach blossom color indicates interior fullness and exterior excess. Yellow and thick stools with clear urine indicate the separation of Yin and Yang with interior organ excess-heat. Not fearing heat in summer and not fearing cold in winter, with warm hands and feet, indicates robust constitutional Qi and harmony between the interior and exterior. A white complexion indicates deficiency and scarcity of Qi and Blood. Greenish stool indicates deficiency-cold of the Stomach and Large Intestine. Vomiting milk and food indicates cold in the chest and Stomach. Indigestion of milk and food indicates Spleen Deficiency. Fearing cold in winter and suffering from heatstroke in summer indicates weak constitution and simultaneous deficiency of both Yin and Yang. Among various symptoms, those that manifest outwardly are Deficiency; those that withdraw inward are Excess. Speaking indicates Deficiency; silence indicates Excess. A slow/relaxed course indicates Deficiency; an urgent course indicates Excess. A soggy pulse indicates Deficiency; a firm pulse indicates Excess. Itching indicates Deficiency; pain indicates Excess. Pain externally with comfort internally indicates exterior Excess and interior Deficiency; comfort externally with pain internally indicates exterior Deficiency and interior Excess. For various pains in the heart, abdomen, skin, and interior/exterior, if pressing stops the pain, it is Deficiency; if pressing aggravates the pain, it is Excess. Generally, skin Deficiency leads to heat; pulse Deficiency leads to palpitations/fright; interior Deficiency leads to heaviness; tendon Deficiency leads to spasms/cramps; bone Deficiency leads to pain; body Deficiency leads to abnormal mental state; intestinal Deficiency leads to [text unclear/missing]; when the Three Yang channels are Excess and the Three Yin channels are Deficient, there is no sweat; when the Three Yin channels are Excess and the Three Yang channels are Deficient, there is incessant sweating. In general, when inviting a physician, one must first examine whether the disease is new or old, and whether it is Deficient or Excess. For Deficiency, tonify the Mother organ; for Excess, drain the Child organ. For example, in cases of Lung Deficiency with Phlegm Excess, although purgation may be necessary, one should first strengthen the Spleen, and then drain the Lung. This is the principle. If Lung disease presents with Liver symptoms, such as grinding teeth and yawning, it is easy to treat, because Liver Deficiency fails to overcome the Lung. However, if there is staring eyes, loud crying, neck stiffness, and sudden oppression/dizziness, this indicates long-standing Lung Deficiency where the Liver's strong rigidity overcomes the Lung excessively; this is difficult to cure.