喜心所感，欣散之声。怒心所感，忿厉之声。哀心所感，悲嘶之声。乐心所感，舒缓之声。敬心所感，
正肃之声。爱心所感，温和之声，此亦无病之声也。
肝呼而声急，知病生于肝也。心笑而声雄，知病生于心也。脾歌而声漫，知病生于脾也。肺哭而声促，
知病生于肺也。肾呻而声微，知病生于肾也。假如肝病呼急，得相克之白色主凶。余脏仿此。
喘息肩摇者，心中坚满，气无降路，故逆冲而肩摇也。息引胸中上气者，气逆必生咳嗽也。息张口而
短气者，肺痿而胸满，清气堙塞，常生唾沫也。如吸气微数。此中焦盛实，肺气不降，下之腑清，而气降则
愈矣。若中虚而吸数，此气败而根绝，法为不治。气逆于上焦则吸促，气逆于下焦其吸远，此皆中气之败，
升降失职，最难治也。如呼吸动摇振振者不治。
好言者，热病也。懒言者，寒病也。发言壮厉者，实也。发言轻微者，虚也。欲言不能复言者，气已夺也。
谵言妄语、不别亲疏者，神明已失也。如失音声重，内火外寒之病也。疮痛流连，劳哑之病也。如小儿抽风不
语，大人中风不语，皆极危之候也。
肝主五色，肺主五声，前已详言之矣。如心主五臭，凡病者喜臭恶臭，皆主于心，此统而言之也。若分而
言之，则自入喜焦，病生心也。入脾喜香，病主脾也。入肾喜腐，病生肾也。入肺喜腥，病生肺也。入肝喜臊
，病生肝也。脾主五味，凡病者喜味恶味，皆主于脾，此统而言之也。若分而言之，则自入喜甘，病生脾也。
入肝喜酸，病生肝也。入心喜苦。病生心也。入肺喜辛，病生肺也。入肾喜咸，病生肾也。肾主五液，凡病者
多液少液，皆主于肾，此统而言之也。若分而言之，
则自入出而为唾，病生肾也。入心出而为汗，病生心也。入肝出而为泪，病生肝也。入脾出而为涎，病生脾
也。入肺出而为涕，病生肺也。其色之顺逆、声之微壮、法同推也。
喜悦由心所感，发出的声音是欢欣散发的。愤怒由心所感，发出的声音是忿怒严厉的。悲哀由心所感，发出的声音是悲伤嘶哑的。快乐由心所感，发出的声音是舒缓柔和的。恭敬由心所感，发出的声音是端正肃穆的。爱护由心所感，发出的声音是温和亲切的，这些都属于没有疾病的正常声音。
肝气外发为呼号声且声音急促，可知疾病生于肝脏。心气外发为笑声且声音雄壮，可知疾病生于心脏。脾气外发为歌声且声音漫延，可知疾病生于脾脏。肺气外发为哭声且声音短促，可知疾病生于肺脏。肾气外发为呻吟声且声音微弱，可知疾病生于肾脏。假如肝病表现为呼号声急，若见到相克的白色（金克木）则主凶险。其余脏腑病变依此类推。
喘息并伴有肩膀摇动的，是心中坚满，气机没有下降的路径，所以逆冲而上导致肩膀摇动。呼吸时牵引胸中气机上逆的，气逆必然产生咳嗽。呼吸张口且短气的，是肺痿病且胸部胀满，清气壅塞，经常产生唾沫。如果吸气轻微而快速，这是中焦盛实，肺气不降，使用下法使腑气清通，气机下降则痊愈。如果是中气虚弱而吸气快速，这是气败而根绝，属于无法治疗的病症。气逆于上焦则吸气短促，气逆于下焦则吸气深长遥远，这都是中气败坏，升降功能失职，最难治疗。如果呼吸时身体动摇震颤的，属于不治之症。
喜欢说话的，是热病。懒于说话的，是寒病。说话声音壮烈洪大的，是实证。说话声音轻微低弱的，是虚证。想要说话却说完后不能再继续说的，是正气已夺。胡言乱语、不分亲疏关系的，是神明已经丧失。如果失音且声音重浊，是内火外寒的疾病。疮痛缠绵日久，是劳损致哑的疾病。如果小儿抽搐风动而不语，大人中风而不语，都是极其危重的征候。
肝主管五色，肺主管五声，前面已经详细论述过了。如心主管五臭，凡是病人喜欢臭味或厌恶臭味，都主要与心有关，这是从总体而言。如果分别来说，那么进入鼻子喜欢焦味，疾病生于心脏。进入鼻子喜欢香味，疾病主要在于脾脏。进入鼻子喜欢腐味，疾病生于肾脏。进入鼻子喜欢腥味，疾病生于肺脏。进入鼻子喜欢臊味，疾病生于肝脏。脾主管五味，凡是病人喜欢某种味道或厌恶某种味道，都主要与脾有关，这是从总体而言。如果分别来说，那么进入嘴巴喜欢甘味，疾病生于脾脏。进入嘴巴喜欢酸味，疾病生于肝脏。进入嘴巴喜欢苦味，疾病生于心脏。进入嘴巴喜欢辛味，疾病生于肺脏。进入嘴巴喜欢咸味，疾病生于肾脏。肾主管五液，凡是病人多津液或少津液，都主要与肾有关，这是从总体而言。如果分别来说，那么进入鼻子出来的是唾，疾病生于肾脏。进入鼻子出来的是汗，疾病生于心脏。进入鼻子出来的是泪，疾病生于肝脏。进入鼻子出来的是涎，疾病生于脾脏。进入鼻子出来的是涕，疾病生于肺脏。其颜色的顺逆、声音的微壮，推断方法与此相同。
Joy is felt by the Heart, producing a voice that is joyful and dispersed. Anger is felt by the Heart, producing a voice that is fierce and harsh. Sorrow is felt by the Heart, producing a voice that is sad and hoarse. Happiness is felt by the Heart, producing a voice that is slow and gentle. Respect is felt by the Heart, producing a voice that is upright and solemn. Affection is felt by the Heart, producing a voice that is mild and warm; these are also voices of those without disease.
The Liver manifests as shouting with an urgent voice, indicating that the disease originates in the Liver. The Heart manifests as laughing with a vigorous voice, indicating that the disease originates in the Heart. The Spleen manifests as singing with a lingering voice, indicating that the disease originates in the Spleen. The Lungs manifest as crying with a short voice, indicating that the disease originates in the Lungs. The Kidneys manifest as groaning with a faint voice, indicating that the disease originates in the Kidneys. For instance, if Liver disease presents with urgent shouting, and the associated color is white (Metal overcoming Wood), it indicates a ominous prognosis. The same applies to other Zang organs.
Wheezing accompanied by shoulder shaking indicates fullness and hardness in the Heart region, where Qi has no path to descend, thus rushing upward and causing shoulder shaking. Breathing that draws Qi upward from the chest indicates that rebellious Qi will inevitably generate coughing. Breathing with an open mouth and shortness of breath indicates Lung萎 (Lung Flaccidity) with chest fullness, where clear Qi is blocked, often generating saliva. If inhalation is slightly rapid, this indicates excess in the Middle Jiao with failure of Lung Qi to descend; using purgative methods to clear the Fu organs allows Qi to descend, leading to recovery. However, if the Middle Jiao is deficient and inhalation is rapid, this indicates collapse of Qi and severance of its root, which is untreatable. Rebellious Qi in the Upper Jiao causes short inhalation; rebellious Qi in the Lower Jiao causes deep and distant inhalation. Both indicate failure of the Middle Qi and dysfunction of ascending and descending, making them difficult to treat. If respiration causes the body to tremble and shake, it is untreatable.
Speaking excessively indicates Heat disease. Reluctance to speak indicates Cold disease. Speaking with a loud and strong voice indicates Excess syndrome. Speaking with a soft and weak voice indicates Deficiency syndrome. Wanting to speak but being unable to continue indicates that Qi has been depleted. Delirious speech and妄语 (delusion/hallucination), not distinguishing relatives or strangers, indicates loss of Shen (Spirit). Loss of voice with heavy resonance indicates internal Heat and external Cold. Lingering sore pain leading to aphonia indicates damage from overwork. Aphonia in children due to convulsions (Wind stirring internally) or in adults due to stroke are both extremely critical conditions.
The Liver governs the five colors, and the Lungs govern the five sounds, as previously detailed. The Heart governs the five odors. Generally, whether patients prefer or dislike certain odors relates to the Heart. Specifically, preference for burnt odor indicates Heart disease. Preference for fragrant odor indicates Spleen disease. Preference for putrid odor indicates Kidney disease. Preference for fishy odor indicates Lung disease. Preference for rank odor indicates Liver disease. The Spleen governs the five tastes. Generally, preferences or aversions to tastes relate to the Spleen. Specifically, preference for sweet taste indicates Spleen disease. Preference for sour taste indicates Liver disease. Preference for bitter taste indicates Heart disease. Preference for pungent taste indicates Lung disease. Preference for salty taste indicates Kidney disease. The Kidneys govern the five fluids. Generally, abundance or scarcity of fluids relates to the Kidneys. Specifically, saliva excreted via the nose indicates Kidney disease. Sweat excreted via the nose indicates Heart disease. Tears excreted via the nose indicate Liver disease. Saliva (thin mucus) excreted via the nose indicates Spleen disease. Nasal discharge (mucus) excreted via the nose indicates Lung disease. The principles for determining favorable/unfavorable colors and strong/weak sounds follow similar deduction methods.