肺中风者，口燥而喘，「头」〔身〕运而「身」重，冒「风」而肿胀。
【按】
身运而重当是「头运而身重」，冒而肿胀当是「冒风而肿胀」，乃与文义始为相属，
当改之补之。
肝中寒者，〔两臂不举，舌本燥，〕喜太息，胸中痛，不得转侧，食则吐〔而汗出〕
也。
【按】
「两臂不举，舌本燥」二句，「而汗出」三字，文义不属，必是错简，不可为后世法
，不释。
肝着，其人常欲蹈其胸上，先未苦时，但欲饮热〔，旋覆花汤主之〕。
【按】
「旋覆花汤主之」六字，与肝着之病不合，当是衍文。
心伤者，其人劳倦，即头面赤而下重，心中痛而自烦，发热，当脐跳，其脉「沉」〔
弦〕，此为心藏伤所致也。
【按】
其脉弦之「弦」字，当是「沉」字，沉为肾脉，文义相属，当改之。
邪哭使魂魄不安者，血气少也，血气少者，属于心，心气虚者，其人则畏，合目欲眠
，梦远行而精神离散，魂魄妄行，阴气衰者为「狂」〔癫〕，阳气衰者为「癫」〔狂
〕。
【按】
阴气衰者为癫之「癫」字，当是「狂」字；阳气衰者为狂之「狂」字，当是「癫」字
。『内经』曰：重阴者癫，重阳者狂，当改之。
趺阳脉浮而涩，浮则胃气强，涩则小便数，浮涩相搏，大便则坚，其脾为约，麻子仁
丸主之。
【按】
此条注详见『伤寒论·阳明篇』内，故不复释。
问曰：病有积，有聚，有「漀」〔□〕气，何谓也？师曰：积者，藏病也，终不移；
聚者，府病也，发作有时，展转痛移，为可治。「漀」〔□〕气者，□下痛，按之则
愈，复发为「漀」〔□〕气。诸积大法：脉来细而附骨者，乃积也。寸口，积在胸中
；微出寸口，积在喉中；关上，积在脐傍；上关上，积在心下；微下关，积在少腹；
尺中，积在气冲；脉出左，积在左；脉出右，积在右；脉两出，积在中央；各以其部
处之。
【按】
□作漀解，见首篇。
肺经受风邪侵袭，会出现口干舌燥且气喘，头部眩晕而身体沉重，受风邪蒙蔽并伴有肿胀。
【按语】
“身体眩晕而沉重”应当是“头部眩晕而身体沉重”，“受蒙蔽并肿胀”应当是“受风邪蒙蔽并肿胀”，这样才与文义相符，应当修改和补充。
肝经受寒邪侵袭，（两臂不能抬起，舌根干燥，）喜欢长叹气，胸中疼痛，身体不能转动侧身，进食后呕吐（并且出汗）。
【按语】
“两臂不能抬起，舌根干燥”这两句，以及“并且出汗”这三个字，文义不连贯，必定是竹简错乱所致，不能作为后世效法的准则，不予解释。
肝气郁结附着于胸胁，患者常常想要踩踏或按压胸部上方，在尚未痛苦之前，只想要喝热饮。（旋覆花汤主治）
【按语】
“旋覆花汤主治”这六个字，与肝着病的病机不合，应当是衍文（多余的文字）。
心气受损的人，稍微劳累疲倦，就会出现头面部发红且下肢沉重，心中疼痛且自觉烦闷，发热，肚脐周围跳动，其脉象“沉”（或作“弦”），这是心脏受损所导致的。
【按语】
脉象“弦”的“弦”字，应当是“沉”字，“沉”脉属于肾脉，文义相属，应当修改。
因邪气干扰而哭泣，导致魂魄不安定的，是因为血气不足。血气不足，归属于心脏。心气虚弱的人，会产生恐惧感，闭眼想睡觉，梦见远行而精神离散，魂魄妄动。阴气衰弱的表现为“狂”（或作“癫”），阳气衰弱的表现为“癫”（或作“狂”）。
【按语】
阴气衰弱导致“癫”的“癫”字，应当是“狂”字；阳气衰弱导致“狂”的“狂”字，应当是“癫”字。《内经》说：重阴者癫，重阳者狂，应当修改。
趺阳脉浮而涩，浮脉表示胃气强盛，涩脉表示小便频数，浮脉与涩脉相互搏结，大便就会坚硬，脾脏被约束，用麻子仁丸主治。
【按语】
此条注释详见《伤寒论·阳明篇》内，故不再重复解释。
问：疾病有积、有聚、有“漀”（音qì，或作某缺字）气，这是什么意思？老师说：积证，是五脏的病，始终位置不移动；聚证，是六腑的病，发作有定时，疼痛辗转移动，是可以治疗的。“漀”气，是少腹部疼痛，按压后痊愈，复发时称为“漀”气。各种积证的诊断大法：脉象细弱且紧贴骨壁的，就是积证。寸口脉出现异常，积在胸中；脉象微超出寸口，积在喉中；关部脉出现异常，积在脐旁；关上脉出现异常，积在心下；微低于关部，积在少腹；尺中脉出现异常，积在气冲穴部位；脉象出现在左手，积在左侧；脉象出现在右手，积在右侧；左右手脉象都出现异常，积在中央；根据脉象出现的部位来判定积证的位置。
【按语】
“□”字解释为“漀”，见本书首篇。
When the Lung (Fei) is invaded by Wind pathogen, symptoms include dryness of the mouth and panting, dizziness of the head with heaviness of the body, a sensation of being smothered or obscured by wind, and swelling.
[Commentary]
"Heaviness of the body with dizziness" should be "dizziness of the head with heaviness of the body," and "smothered and swollen" should be "smothered by wind and swollen." This aligns with the textual meaning and should be corrected and supplemented.
When the Liver (Gan) is invaded by Cold pathogen, [the two arms cannot be raised, the root of the tongue is dry, there is a desire for frequent sighing, pain in the chest, inability to turn the body, vomiting after eating, and sweating.]
[Commentary]
The phrases "the two arms cannot be raised, the root of the tongue is dry" and the three characters "and sweating" do not fit the context logically; they are likely due to misplaced bamboo slips and should not be taken as a model for later generations. No explanation is provided.
In Liver Qi Stagnation (Gan Zhuo), the patient often desires to tread on or press upon the upper chest. Before the onset of severe suffering, the patient only desires to drink hot liquids. [Xuan Fu Hua Tang (Inula Flower Decoction) is indicated.]
[Commentary]
The six characters "Xuan Fu Hua Tang (Inula Flower Decoction) is indicated" do not accord with the pathology of Liver Qi Stagnation (Gan Zhuo) and are likely interpolations (superfluous text).
When the Heart (Xin) is damaged, the person becomes fatigued and weary, leading to redness of the head and face and heaviness of the lower body. There is heart pain accompanied by internal restlessness, fever, pulsation around the umbilicus, and the pulse is "deep" (Chen) [or alternatively "wiry" (Xian)]. This is caused by damage to the Heart organ.
[Commentary]
The character "wiry" (Xian) describing the pulse should be "deep" (Chen). A deep pulse corresponds to the Kidney, which fits the textual logic better, and thus should be corrected.
Crying induced by evil pathogens causing insecurity of the Hun and Po spirits results from deficiency of Blood and Qi. Deficiency of Blood and Qi pertains to the Heart. When Heart Qi is deficient, the person experiences fear, wishes to close their eyes and sleep, dreams of traveling far away, has scattered spirit and essence, and experiences erratic movement of the Hun and Po spirits. Deficiency of Yin Qi manifests as "Mania" (Kuang) [or alternatively "Epilepsy/Melancholia" (Dian)], while deficiency of Yang Qi manifests as "Epilepsy/Melancholia" (Dian) [or alternatively "Mania" (Kuang)].
[Commentary]
The character "Epilepsy/Melancholia" (Dian) in "Deficiency of Yin Qi manifests as Dian" should be "Mania" (Kuang); the character "Mania" (Kuang) in "Deficiency of Yang Qi manifests as Kuang" should be "Epilepsy/Melancholia" (Dian). The *Neijing* states: "Excess Yin leads to Dian, Excess Yang leads to Kuang." This should be corrected.
At the Yuyang pulse position, if the pulse is floating and choppy, floating indicates strong Stomach Qi, and choppy indicates frequent urination. The interaction of floating and choppy pulses leads to hard stools. The Spleen is constrained, and Ma Zi Ren Wan (Hemp Seed Pill) is indicated.
[Commentary]
For detailed notes on this passage, refer to the *Shanghan Lun* (Treatise on Cold Damage), Yangming Chapter. Therefore, no further explanation is given here.
Question: Diseases include Ji (Accumulation), Ju (Gathering), and Qi (Qi disturbance). What does this mean?
Master said: Ji (Accumulation) diseases are disorders of the Zang organs; they remain fixed in place and do not move. Ju (Gathering) diseases are disorders of the Fu organs; they occur at specific times, and the pain shifts and moves around, making them treatable. Qi (Qi disturbance) disease involves pain in the lower abdomen that resolves upon pressure but recurs, known as Qi (Qi disturbance) disease.
The general principle for diagnosing Accumulations (Ji): If the pulse is thin and adheres closely to the bone, it indicates an Accumulation.
- Abnormalities at the Cun Kou (inch position) indicate accumulation in the chest.
- Pulse slightly extending beyond the Cun Kou indicates accumulation in the throat.
- Abnormalities at the Guan (bar position) indicate accumulation beside the navel.
- Pulse slightly above the Guan position indicates accumulation below the heart (epigastrium).
- Pulse slightly below the Guan position indicates accumulation in the lower abdomen.
- Abnormalities at the Chi (cubit position) indicate accumulation at the Qichong point.
- Pulse abnormalities appearing on the left side indicate accumulation on the left.
- Pulse abnormalities appearing on the right side indicate accumulation on the right.
- Pulse abnormalities appearing on both sides indicate accumulation in the center.
One should diagnose the location of the accumulation based on the specific pulse position.
[Commentary]
The character "□" is interpreted as "Qi" (漀), as seen in the first chapter of this book.