留延至秋，寒郁为热，故寒热交争，而为 疟。）秋伤于湿，上逆为咳，发为痿厥；（湿土用事于长夏之
末，故秋伤于湿也。秋气通于肺，湿郁成热则上乘肺金，故气逆而为咳嗽。伤于湿者，下先受之，则为痿为
厥。痿多属热，厥则因寒也。）冬伤于寒，春必温病。（冬伤寒邪，则寒毒藏于阴分，至春夏阳气上升，新
邪外应，乃为温病。藏精者生，不藏者死。）四时之气，更伤五脏。（风暑寒湿，迭相胜负，故四时之气，更
伤五脏，然时气外伤，阳邪也，五脏内应，阴气也，惟内不守而后外邪得以犯之，所以明阴气不守之为病。
）阴之所生，本在五味；阴气五宫，伤在五味。（此下言阴之所以生者在五味，而所以伤者亦在五味也。
五宫，五脏也。味得地气，故能生五脏之阴。若五脏不节，则各有所克，反伤其阴矣。）味过于酸，肝气
以津，脾气乃绝；（津，溢也，酸入肝，过于酸则肝气溢。酸从木化，木实则克土，故脾气乃绝。）
味过于咸，大骨气劳，短肌，心气抑；
（咸入肾，肾主骨。过于咸则伤肾，故大骨气劳。劳，困剧也。咸走血，血伤故肌肉短缩。咸从水化，水
胜则克火，故心气抑。）味过于甘，心气喘满，色黑，肾气不衡；（甘入脾，过于甘则滞缓上焦∶故心气喘满。
甘从土化，土胜则水病，故黑色见于外，而肾气不衡于内。衡，平也。）味过于苦，脾气不濡，胃气乃浓；
（苦入心，过于苦则心阳受伤而脾失所养，气乃不濡。濡，润也。脾气不濡则胃气留滞，故曰“乃浓”。浓
者，胀满之谓。）味过于辛，筋脉沮弛，精神乃殃。（辛入肺，过于辛则肺气乘肝。肝主筋，故筋脉沮弛。
辛散气则精神耗伤，故曰“乃殃”。）是故谨和五味，骨正筋柔，气血以流，腠理以密，如是则气骨
以精，谨道如法，长有天命。（五味入口藏于胃，以养五脏气，故当谨和五味，则骨正筋柔，气血以流。阴
气在里，腠理在外，而曰“腠理以密”者，阳密足以固阴，阴强乃能壮阳也。邪因于外为喘喝，为痿厥，为
精亡，为洞泄、咳嗽，阳病及阴也；病因于内为烦劳大怒，饮食起居不节，为煎厥，为形气绝，为筋脉肠痔，
气逆骨坏，是阴病及阳也。所以首言阳气，以发通天之大本；续言阴气，以备阴阳之义。前言气，气本于天以养
阳也；后言味，味本于地以养阴也。曰“通气“，曰“服天气”，曰“长有天命”，所重在天，则其重在阳
气可知矣。然言地者必该乎天，言阴者必主乎阳也。）
二阳之病发心脾，有不得隐曲，女子不月。（二阳，阳明也，为胃与大肠二经，然大肠、小肠皆属于胃，
此节所言，则独重在胃耳。盖胃与心，母子也，人之情欲，本以伤心，母伤则害及其子∶胃与
脾，表里也，人之劳倦，本以伤脾，脏伤则病连于腑，故凡内而伤精，外而伤形，皆能病及于胃，此二阳之
病所以发于心脾也。不得隐曲，阳道病也。宗筋会于气街，而阳明为之长，既病则阳道外衰，故为“不得隐
曲”，其在女子当为不月，亦其候也。）其薄为风消，其传为息贲者，死不治。（风，木气也。消，枯瘦也。
贲，急迫也，阳明受病，久而传变，
则木邪胜土，故肌体风消；胃病则肺失所养，故气息奔急，气竭于上由精亏于下，败及五脏，故死不治。）
三阳为病，发寒热，下为痈肿，乃为痿厥 。（三阳，太阳也，为膀胱、小肠二经。三阳为表，故病发
寒热，及为痈肿。足太阳之脉，从头下背，贯臀入 ，循 抵足，故其为病则足膝无力曰“痿”，逆冷曰“
厥”，足肚酸疼曰“ 肩”也。 ，音篆。 ，音渊。）其传为索泽，其传为 疝。（阳邪在表为热，则皮
肤润泽之气必皆消散，是为索泽也。 疝者，小腹控睾而痛也。）─阳发病，少气，善咳，善泄。（一阳，少
阳也，为胆与三焦二经。胆属风木，三焦属相火。其为病也，壮火则食气伤肺，故为少气，为咳；木强则
侮土，故善泄。）其传为心掣，其传为膈。（心为君火，而相火上炎则同气相求，邪归于心。心动不宁，
若有所引，名曰“心掣”。又“其传”者，以木乘土，脾胃受伤，乃为膈证。）二阳一阴发病，主惊骇，
背痛，善噫，善欠，名曰风厥。（二阳，胃与大肠也。一阴，肝与心主也。肝、胃二经，皆主
惊骇。背痛者，手、足阳明之筋皆挟脊也。噫，嗳气也，其主在心。欠，呵欠也，虽主于肾，又足阳明病为数
欠。肝与心包风热为邪，而阳明受之，故病名风厥。）二阴一阳发病，善胀，心满，善气。（二阴，心
与肾也。一阳，胆与三焦也。胆经邪胜则侮脾，故善胀。肾经邪胜则乘心，故心满。三焦病则上下不行，
故善气也。）三阴三阳发病，为偏枯痿易，四肢不举。（三阳，膀胱、小肠也。三阴，脾、肺也。膀胱之
脉，自头背下行两足，小肠之脉，自两手上行肩胛，且脾主四肢，肺主诸气，四经俱病，故当为偏枯，为痿
易，为四肢不举。痿易者，痿弱不支，左右相掉易也。）
鼓一阳曰钩，鼓一阴曰毛，鼓阳胜急曰弦，鼓阳至而绝曰石，阴阳相过曰溜。（此举五脉之体，以微盛
分阴阳，非若上文言经次之阴阳也。鼓，有力也。一阳、一阴，言阴阳之微也。脉于微阳而见
鼓者为钩，其气来盛去衰，应心脉也；脉于微阴而见鼓者曰毛，其气来
轻虚以浮，应肺脉也；鼓动阳脉胜而急者曰弦，其气来端直以长而不至甚急，应肝脉也；鼓阳至而绝者，
阳之伏也，脉名曰石。其气来沉以抟，应肾脉也；阴阳相过，谓流通平顺也，脉名曰溜，其气来柔缓
而和，应脾脉也。）
阴争于内，阳扰于外，魄汗未藏，四逆而起，起则熏肺，使人喘鸣。（此兼表里以言阴阳之害也。
表里不和，则或为脏病，阴争于内也；或为经病，阳扰于外也。然或表或里，皆干于肺，盖肺主
气，外合于皮毛，内为五脏六腑之长。魄汗未藏者，表不固也。四逆而起者，阳内竭也。甚至正不胜邪，
则上熏及肺，令人气喘声鸣，此以营卫下竭，孤阳独浮，其不能免矣。）阴之所生，和本曰和。（阴者，
五脏之真阴也。阴之所以生者，以脏气和。脏气之和，以阴阳之和也。不和则为争为扰，为刚为淖，而病由
兴矣。）刚与刚，阳气破散，阴气乃消亡。（此言偏阳之为害也。刚与刚，阳之极也。以火济火，盛极必衰，
故阳气反为之破散，阳气散则阴气不能独存，亦必从而消亡，而阴阳俱绝矣。）淖则刚柔不和，经气乃绝。（
此言偏阴之害也。淖，谓寒湿妄行，阴气胜也。若阳刚阴柔，皆失其和，经气从而败绝矣。）死阴之属，不
过三日而死；生阳之属，不过四日而死。（此言脏气相传，死生有异也。“四日而死”，当作“四日而
已”，盖既属生阳，不当死也。）所谓生阳死阴者，肝之心，谓之“生阳”；（肝之心，自肝传心也。以
木生火，得其生气，是谓“生阳”，不过四日而愈。）心之肺，谓之“死阴”；（心之肺，自心传肺也。
以火克金，阴气散亡，故曰“死阴”，不过三日而死。）肺之肾，谓之“重阴”；（肺，金也。肾，水也。虽
曰母子，而金水俱病，故曰“重阴”，无阳之候也。）肾之脾，谓之“辟阴”，死不治。（辟，放辟
也。土本制水，而水反侮脾，水无所畏，是谓“辟阴”，故死不治。辟，音劈。结阳者，肿四肢；此下言
邪聚诸经之为病也。阳，六阳也。结阳者，肿四肢，四肢为诸阳之本也。）结阴者，便血一升，再结二升，
三结三升。（阴，六阴也。阴主血，邪结阴分则血受病，故当便血。其浅者便血一升，则结邪当解；若不解而
再结，以邪盛也，故便血二升；若又不解，则邪为尤甚，故曰“三结三升”也。）阴阳结邪，多阴少阳曰
“石水”，少腹肿。（阴经阳经，皆能结聚。水邪若多在阴，少在阳者，名曰“石水”。石水者，沉坚在下，
其证则少腹肿也。）二阳结，谓之“消”；（胃与大肠经也，阳邪留结肠胃则消渴善饥，其病曰“消”。）三阳
结，谓之“隔”；（膀胱、小肠二经也。小肠属火，膀胱属水，邪结小肠则阳气不化，邪结膀胱则津液不行，
下不通则上不运，故为隔塞之病。）三阴结，谓之“水”；（脾、肺二经也。脾土所以制水，土病则水反侮
之；肺金所以生水，气病则水为不行，故寒结三阴则气化为水。）一阴一阳结，谓之“喉痹”。（一阴，肝
与心主也。一阳，胆与三焦也。肝、胆属木，心主、三焦属火，四经皆从热化，其脉并络于喉，热邪内结，
故为喉痹。痹，闭也。）
三阳为“经”，（经，大经也。周身之脉，惟足太阳为巨，通巅下背，独统阳分，故曰“经”。）
二阳为“维”（维，维络也。阳明经上布头面，下循胸里，独居三阴之中，维络于前，故曰“维”。）一阳
为“游部”，（少阳在侧，前行则会于阳明，后行则会于太阳，出入于二阳之间，故曰“游部”。）此
知五脏终始。（视此三阳，则五脏之终始可知矣。）三阴为“表”，（三阴，太阴也。太阴为诸阴之表，故
曰，“三阴为表”。）二阴为“里”，（二阴。少阴肾也。肾属水，其气沉，其主骨，故二阴为里。）─阴
至绝作晦朔，却具合以正其理。（一阴，厥阴也。厥，尽也。厥阴之气，应在戌亥，六气不几于绝矣。然阴
阳消长之道，阴之尽也，如月之晦；阳之生也，如月之朔。既晦而朔，则绝而复生，此所谓“一阴至绝作晦
朔”也。由是而始终循环，气数具合，故得以正其造化之理矣。）三阳者，太阳为经。三阳脉至手太阴而弦，
浮而不沉，决以度，察以心，合之阴阳之论；（手太阴，肺经也，本属三阴之脉，然诸脉皆会于
气口，故特以三阳脉至手太阴为言也。下仿此。太阳之脉，本洪大以长，今其弦浮不沉，是邪脉也，乃当决
其衰王之度，察以吾心，而合之阴阳之论，则善恶可明矣。）二阳脉至手太阴，弦而沉急，不鼓，炅至
以病，皆死；（阳明胃脉，本浮大而短，今则弦而沉急，不能振鼓，是木邪侮土，阴气乘阳也，然热至为病者，
尤忌此阴脉，犯之为逆，必皆死也。）一阳脉至手太阴，上连人迎，弦急，悬不绝。此少阳之
病也，专阴则死；（人迎，足阳明脉也，在结喉两旁，故曰“上连人迎”，悬，浮露如悬也。少阳之脉，其体
乍数乍疏，乍短乍长，今则弦急如悬。其至不绝，兼之上乘胃经，此木邪之胜，少阳病也，然少阳、厥阴，
皆从木化，若阳气竭绝，则阴邪独盛，弦搏至极，是曰“专阴”。专阴者死也。）三阴者，六经之所主。（三阴，太阴也。
三阴之脏，脾与肺也。肺主朝会百脉，脾为万物之母，故三阴为六经之主。）交于太阴，伏鼓不
浮，上空志心；（交于太阴，谓三阴脉至气口也。肺主轻浮，脾主和缓，其本脉也。今见伏鼓不浮，则阴盛
阳衰矣，当病上焦空虚，而脾肺之志，以及心神为阴所伤，皆致不足，故曰“上空志心”。志，脏之志也。）
二阴至肺，其气归膀胱，外连脾胃；（二阴至肺者，言肾脉之至气口也。二阴搏至，肾沉不浮者是也。肾脉
上行，其直者从肾上贯肝膈，入肺中，出气口，是“二阴至肺”也。肾主水，得肺气以行降下之令，通调水
道，其气归膀胱也。肺在上，肾在下，脾胃居中，主其升降之柄，故曰“外连脾胃”也。外者，肾对脾言，
即“三阴为表，二阴在里”之义。）─阴独至，经绝气浮，不鼓钩而滑。（一阴独至，厥阴脉胜也。厥阴本脉，
当滑弦长，阴中有阳，乃其正也。若一阴独至，则经绝于中，气浮于外，故不能鼓钩而滑，而但弦无胃，
生意竭矣。）此六脉者，乍阴乍阳，交属相并，缪通五脏，合于阴阳。（六脉者，乍阴乍阳，皆至于手太
阴，是寸口之脉可以交属相并，缪通五脏，故能合于阴阳也。）先至为
主，后至为客。（六脉之交，至有先后，有以阴见阳者，有以阳见阴
者。阳脉先至，阴脉后至，则阳为主而阴为客；阴脉先至，阳脉后至，则阴为主而阳为客。此“先至为主，
后至为客”之谓也。然至有常变，变有真假，常阳变阴，常阴变阳。常者主也，变者客也。变有真假，真变
则殆。假变无虞。真者主也。假者客也。客主之义，有脉体焉，有运气焉，有久暂焉，有逆顺焉，有
主之先而客之后者焉。诊之精妙，无出此矣，肺岂易言哉！）三阳为父，（此详明六经之贵贱也。太阳总领
诸经，独为尊大，故称为父。）二阳为卫，（捍卫诸经阳气也。）一阳为纪，（纪于二阳之间，即
“少阳为枢”之义也。）三阴为母，（太阴滋养诸经，故称为母。）二阴为雌，（少阴属水，水能生物，故
曰“雌”，亦“二阴为里”之义也。）一阴为独使。（使者，交通始终之谓。阴尽阳生，惟厥阴主之，故
为独使。）二阳一阴，阳明主病，不胜一阴，脉 而动，九窍皆沉；（此下言诸经合病，有胜制也。二阳，
土也。一阴，木也。阳明、厥阴相薄，则肝邪侮胃，故阳明主病，不胜一阴。 者，胃气也。动者，肝气也。
（邪气留滞延续到秋季，寒邪郁结化为热邪，所以寒热交替争斗，从而形成疟疾。）秋天感受湿邪，湿气上逆引发咳嗽，进而发展为痿证和厥证；（湿土之气在长夏之末当令，所以秋天容易伤于湿。秋气与肺相通，湿邪郁结化热则上乘侵犯肺金，所以气机上逆而引发咳嗽。感受湿邪的人，病邪往往先从下部受累，因此出现痿证和厥证。痿证多属于热证，厥证则是因为寒邪所致。）冬天感受寒邪，春天必然发生温病。（冬天感受寒邪，寒毒便潜伏在阴分，到了春夏季节阳气上升，新感之邪外应，于是形成温病。能固藏精气的人就能生存，不能固藏的就会死亡。）四季的气候变化，会轮流伤害五脏。（风、暑、寒、湿交替胜负，所以四季之气会轮流伤害五脏。然而，时气属于外来的阳邪，五脏属于内在的阴气，只有内部正气不守，外邪才能侵犯，所以要阐明阴气不守导致的疾病。）阴气的生成，根本在于五味；阴气的五宫（五脏），损伤也在于五味。（这部分论述阴气之所以生成在于五味，而之所以受损也在于五味。五宫即五脏。味道得地气滋养，所以能生养五脏之阴。如果五脏不知节制，就会相互克制，反而损伤其阴气。）味道过于酸，肝气就会溢出，脾气就会衰竭；（津，意为溢出。酸入肝，过食酸味则肝气溢出。酸从木化，木气实则克制脾土，所以脾气衰竭。）味道过于咸，大骨之气劳损，肌肉短缩，心气受抑；（咸入肾，肾主骨。过食咸味则伤肾，所以大骨之气劳损。劳，指困顿剧烈。咸走血，血受伤故肌肉短缩。咸从水化，水气胜则克制心火，所以心气受抑。）味道过于甘，心气喘促胀满，面色发黑，肾气失去平衡；（甘入脾，过食甘味则阻滞上焦，所以心气喘促胀满。甘从土化，土气胜则影响肾水，所以黑色显现于外，而肾气在内失去平衡。衡，即平的意思。）味道过于苦，脾气不润，胃气就会壅滞；（苦入心，过食苦味则心阳受伤而脾失所养，气机就不润泽。濡，意为滋润。脾气不润则胃气留滞，所以说“胃气乃浓”。浓，指胀满的意思。）味道过于辛，筋脉松弛败坏，精神就会受损。（辛入肺，过食辛味则肺气乘袭肝脏。肝主筋，所以筋脉松弛败坏。辛散气则耗伤精神，所以说“精神乃殃”。）因此谨慎调和五味，骨骼端正筋脉柔和，气血流通，腠理致密，像这样精气充足，遵循正道和方法，就能享有长久的寿命。（五味入口进入胃，用来滋养五脏之气，所以应当谨慎调和五味，这样骨骼端正筋脉柔和，气血流通。阴气在体内，腠理在体表，说“腠理致密”，是因为阳气致密足以固护阴气，阴气强盛才能壮助阳气。邪气在外导致喘喝、痿厥、精亡、洞泄、咳嗽，这是阳病及阴；病因在内导致烦劳大怒、饮食起居不节，导致煎厥、形气绝、筋脉肠痔、气逆骨坏，这是阴病及阳。所以首先谈论阳气，以揭示通天的根本大本；接着谈论阴气，以完备阴阳的含义。前面谈气，气源于天以养阳；后面谈味，味源于地以养阴。说“通气”、“服天气”、“长有天命”，重视在天，那么重在阳气就显而易见了。然而言地必须涵盖天，言阴必须以阳为主。）
二阳经的病发于心脾，表现为难以启齿的隐曲之事，女子月经闭止。（二阳，指阳明经，包括胃和大肠两条经脉，但大肠、小肠都隶属于胃，这一节所说的重点唯独在胃。胃与心是母子关系，人的情欲本就会伤心，母脏受伤就会祸及其子；胃与脾是表里关系，人的劳倦本就会伤脾，脏受伤就会牵连腑，所以凡是内伤精气、外伤形体，都能致病波及到胃，这就是二阳经的病发于心脾的原因。不得隐曲，是指阳道发病。宗筋汇聚于气街，而阳明经为之统领，既已发病则阳道外衰，所以出现“不得隐曲”，在女子身上则表现为月经闭止，这也是相应的征候。）病情轻浅的为风消，传变严重的为息贲，预后不良无法治愈。（风，指木气。消，指枯瘦。贲，指急迫。阳明经受病，日久传变，则木邪胜土，所以肌体枯瘦；胃病则肺失所养，所以气息奔急，气竭于上由于精亏于下，败坏波及五脏，所以死亡且无法治愈。）
三阳经发病，出现寒热症状，下部发生痈肿，以及痿证和厥证。（三阳，指太阳经，包括膀胱和小肠两条经脉。三阳主表，所以病发寒热，以及发生痈肿。足太阳经脉，从头下行至背，贯穿臀部入腘窝，循行到达足部，所以它的病症表现为足膝无力称为“痿”，逆冷称为“厥”，小腿肚酸痛称为“腨”也。腨，音篆。腨，音渊。）传变为皮肤干枯无泽，传变为疝气。（阳邪在表发热，则皮肤润泽之气必定消散，这叫索泽。疝气，是小腹牵引睾丸疼痛。）
一阳经发病，气短，容易咳嗽，容易腹泻。（一阳，指少阳经，包括胆和三焦两条经脉。胆属风木，三焦属相火。它发病时，壮火消耗气并伤肺，所以气短、咳嗽；木气强盛则侮犯脾土，所以容易腹泻。）传变为心掣，传变为膈证。（心为君火，相火上炎则同气相求，邪气归于心。心动不安，好像被牵引，名叫“心掣”。又所谓“传变”，是因为木乘克脾土，脾胃受伤，于是形成膈证。）
二阳和一阴经发病，主要表现惊骇，背痛，容易嗳气，容易呵欠，名叫风厥。（二阳，指胃与大肠。一阴，指肝与心包。肝、胃两条经脉，都主司惊骇。背痛，因为手、足阳明经的筋都挟持脊柱。噫，即嗳气，其主治在心。欠，即呵欠，虽然主责于肾，但足阳明病也会导致频繁呵欠。肝与心包的风热成为邪气，而阳明经受之，所以病名叫风厥。）
二阴和一阳经发病，容易腹胀，心下痞满，容易叹气。（二阴，指心与肾。一阳，指胆与三焦。胆经邪气胜则侮犯脾，所以容易腹胀。肾经邪气胜则乘克心，所以心下痞满。三焦病则上下气机不通，所以容易叹气。）
三阴和三阳经发病，表现为偏枯、痿弱易位、四肢不能举动。（三阳，指膀胱、小肠。三阴，指脾、肺。膀胱的经脉，从头背下行至两足，小肠的经脉，从两手上行至肩胛，而且脾主四肢，肺主诸气，这四条经脉都生病，所以应当出现偏枯、痿弱左右互换不稳、四肢不能举动的症状。痿易，指痿弱不能支撑，左右摇晃不定。）
脉搏跳动有力如钩，是一阳脉；脉搏跳动有力如毛，是一阴脉；脉搏跳动阳胜而急促，是弦脉；脉搏跳动阳至极点而沉伏，是石脉；阴阳相交平和，是溜脉。（这里列举五种脉象的本体，以微弱的盛衰来区分阴阳，不像上文所说经络次序的阴阳。鼓，指脉搏有力。一阳、一阴，指阴阳微弱。脉象在微阳而见搏动有力的叫钩脉，其气来势盛去势衰，对应心脉；脉象在微阴而见搏动有力的叫毛脉，其气来势轻虚浮泛，对应肺脉；搏动阳脉胜而急促的叫弦脉，其气来势端直而长且不至于太急，对应肝脉；搏动阳至极点而沉伏的叫石脉。其气来势沉而聚拢，对应肾脉；阴阳相交，指流通平顺，脉名叫溜脉，其气来势柔缓平和，对应脾脉。）
阴气在体内争扰，阳气在体外扰乱，魄汗不能固藏，四肢厥冷而起，起则热气熏蒸肺部，使人喘息有声。（这部分兼论表里对阴阳的危害。表里不和，要么发生脏病，阴气在体内争扰；要么发生经病，阳气在体外扰乱。然而无论表里，都会干扰肺，因为肺主气，外合皮毛，内为五脏六腑之长。魄汗不能固藏，说明表卫不固。四肢厥冷而起，说明阳气在内枯竭。甚至正气不胜邪气，热气上熏及肺，令人气喘声鸣，这是因为营卫在下枯竭，孤阳独浮，这种情况不可避免了。）阴气的生成，以和谐为本叫做和。（阴，指五脏的真阴。阴气之所以生成，是因为脏气调和。脏气的调和，是因为阴阳调和。不调和就会产生争扰，变得刚硬或淖软，疾病由此兴起。）刚与刚相遇，阳气破散，阴气也就消亡。（这部分讲偏阳的危害。刚与刚，是阳的极致。以火济火，盛极必衰，所以阳气反而破散，阳气散则阴气不能独存，也必然随之消亡，导致阴阳俱绝。）淖则刚柔不和，经气就会断绝。（这部分讲偏阴的危害。淖，指寒湿妄行，阴气胜。如果阳刚阴柔都失去和谐，经气随之败绝。）属于死阴类的，不超过三天就会死亡；属于生阳类的，不超过四天就会死亡。（这部分讲脏气相传，生死有所不同。“四天而死”，应当作“四天而已”，既然属于生阳，不应当死。）所谓生阳死阴，是指：肝传给心，叫做“生阳”；（肝传心，是从肝传到心。以木生火，得到生气，这叫做生阳，不超过四天就能痊愈。）心传给肺，叫做“死阴”；（心传肺，是从心传到肺。以火克金，阴气散亡，所以叫死阴，不超过三天就会死亡。）肺传给肾，叫做“重阴”；（肺属金，肾属水。虽然是母子关系，但金水都病，所以叫重阴，是没有阳气的征候。）肾传给脾，叫做“辟阴”，死亡且无法治愈。（辟，指放辟不正。土本制水，而水反侮脾，水无所畏惧，这叫做辟阴，所以死亡且无法治愈。辟，音劈。）
阳气结聚在四肢，会出现肿胀；（这部分讲邪气聚集在各经的病症。阳，指六阳经。结阳，指阳气结聚，四肢是诸阳之本，所以肿胀。）阴气结聚，会导致便血一升，再次结聚会便血二升，三次结聚会便血三升。（阴，指六阴经。阴主血，邪气结聚在阴分则血受病，所以应当便血。病邪浅的便血一升，则结聚的邪气应当解除；如果不解而再次结聚，是因为邪气盛，所以便血二升；如果又不解，则邪气更甚，所以说“三结三升”。）阴阳邪气结聚，阴多阳少叫做“石水”，小腹部肿胀。（阴经阳经，都能结聚。水邪如果在阴分多，在阳分少，名叫“石水”。石水，沉重坚硬在下，症状是小腹部肿胀。）
二阳经结聚，叫做“消渴”；（胃与大肠经。阳邪留结肠胃则消渴善饥，这种病叫“消”。）三阳经结聚，叫做“膈塞”；（膀胱、小肠二经。小肠属火，膀胱属水，邪结小肠则阳气不化，邪结膀胱则津液不行，下不通则上不运，所以形成隔塞的病。）三阴经结聚，叫做“水肿”；（脾、肺二经。脾土所以制水，土病则水反侮之；肺金所以生水，气病则水为不行，所以寒结三阴则气化失常变成水邪。）一阴和一阳经结聚，叫做“喉痹”。（一阴，指肝与心包。一阳，指胆与三焦。肝胆属木，心包、三焦属火，四条经脉都从热化，其脉都联络于喉，热邪内结，所以形成喉痹。痹，闭塞的意思。）
三阳经中的太阳经称为“经”；（经，指大经。全身的脉，只有足太阳经最巨，贯通头顶下行至背，独自统帅阳分，所以叫“经”。）二阳经称为“维”；（维，指维络。阳明经上行布散头面，下行循行胸里，独自居于三阴之中，维络于前，所以叫“维”。）一阳经称为“游部”；（少阳在侧，前行则会合于阳明，后行则会合于太阳，出入于二阳之间，所以叫“游部”。）从这里可以知道五脏的终始。（观察这三阳经，就可以知道五脏的终始了。）三阴经中的太阴经称为“表”；（三阴，指太阴。太阴是诸阴之表，所以叫“三阴为表”。）二阴经称为“里”；（二阴，指少阴肾。肾属水，其气下沉，主骨，所以二阴为里。）一阴经至极就像晦朔交替，推究其合度以校正其道理。（一阴，指厥阴。厥，尽也。厥阴之气，应在戌亥之时，六气几乎要断绝了。然而阴阳消长的道理，阴的尽头，像月亮晦日；阳的产生，像月亮朔日。既晦而朔，则绝而复生，这叫做“一阴至绝作晦朔”。由此始终循环，气数合度，所以能够校正造化的道理。）
三阳经中，太阳经为经。三阳脉到达手太阴脉位呈现弦象，浮而不沉，用尺度决断，用心察审，符合阴阳的理论；（手太阴，肺经，本属三阴之脉，然而诸脉都会于气口，所以特别以三阳脉至手太阴为例来说明。下文仿照此例。太阳脉，本洪大以长，现在呈现弦浮不沉，这是邪脉，应当决断其衰旺的程度，用心察审，结合阴阳理论，善恶即可明了。）二阳脉到达手太阴脉位，弦而沉急，不能鼓动，热至而病，都是死证；（阳明胃脉，本浮大而短，现在却弦而沉急，不能振鼓，这是木邪侮土，阴气乘阳。然而热至为病者，尤其忌讳这种阴脉，犯之为逆，必然都死。）一阳脉到达手太阴脉位，向上连及人迎脉，弦急，悬露不绝。这是少阳的病，专主阴气则死；（人迎，足阳明脉，在结喉两旁，所以叫“上连人迎”，悬，指浮露如悬挂。少阳脉，其体乍数乍疏，乍短乍长，现在却弦急如悬，其至不绝，兼之上乘胃经，这是木邪之胜，少阳病。然而少阳、厥阴，都从木化，若阳气竭绝，则阴邪独盛，弦搏至极，这叫“专阴”。专阴者死。）
三阴经，是六经的主宰。（三阴，指太阴。三阴之脏，脾与肺。肺主朝会百脉，脾为万物之母，所以三阴为六经之主。）三阴脉交于太阴，脉象伏鼓不浮，上部空虚伤及志心；（交于太阴，指三阴脉至气口。肺主轻浮，脾主和缓，这是它们的本脉。现在见到伏鼓不浮，则是阴盛阳衰，应当病在上焦空虚，而脾肺之志，以及心神被阴所伤，都导致不足，所以叫“上空志心”。志，指脏之志。）二阴脉至肺，其气归膀胱，外连脾胃；（二阴至肺，指肾脉至气口。二阴搏至，肾沉不浮就是如此。肾脉上行，直行者从肾上贯肝膈，入肺中，出气口，这叫“二阴至肺”。肾主水，得肺气以行降下之令，通调水道，其气归膀胱。肺在上，肾在下，脾胃居中，主其升降之柄，所以叫“外连脾胃”。外者，肾对脾而言，即“三阴为表，二阴在里”的意思。）一阴独至，经脉断绝气浮，不能鼓动如钩而滑。（一阴独至，指厥阴脉胜。厥阴本脉，应当滑弦长，阴中有阳，才是正脉。若一阴独至，则经绝于中，气浮于外，所以不能鼓动如钩而滑，而只有弦而无胃气，生机竭尽了。）
这六脉，乍阴乍阳，交互相并，错综通达五脏，合于阴阳。（六脉，乍阴乍阳，都至于手太阴，是寸口之脉可以交互相并，错综通达五脏，所以能合于阴阳。）先至为主，后至为客。（六脉之交，至有先后，有以阴见阳者，有以阳见阴者。阳脉先至，阴脉后至，则阳为主而阴为客；阴脉先至，阳脉后至，则阴为主而阳为客。这就是“先至为主，后至为客”的意思。然而至有常变，变有真假，常阳变阴，常阴变阳。常者主也，变者客也。变有真假，真变则危险。假变无虞。真者主也。假者客也。客主之义，有脉体焉，有运气焉，有久暂焉，有逆顺焉，有主之先而客之后者焉。诊脉的精妙，没有超出这个的了，肺脉难道容易言说吗！）
三阳经中，太阳为父；（这部分详细阐明六经的贵贱。太阳总领诸经，独自尊贵宏大，所以称为父。）二阳为卫；（捍卫诸经阳气。）一阳为纪；（纪于二阳之间，即“少阳为枢”的意思。）三阴为母；（太阴滋养诸经，所以称为母。）二阴为雌；（少阴属水，水能生物，所以叫“雌”，也是“二阴为里”的意思。）一阴为独使。（使者，交通始终的意思。阴尽阳生，只有厥阴主之，所以为独使。）
二阳和一阴经发病，阳明主病，不胜一阴，脉象软弱而动，九窍皆沉；（这部分讲诸经合病，有胜制关系。二阳，土。一阴，木。阳明、厥阴相薄，则肝邪侮胃，所以阳明主病，不胜一阴。 者，胃气也。动者，肝气也。）
(The pathogenic factor lingers until autumn, where cold stagnates and transforms into heat. Thus, cold and heat contend with each other, resulting in malaria.) In autumn, injury by dampness causes dampness to reverse upward leading to cough, developing into flaccidity syndrome (Wei Syndrome) and reversal syndrome (Jue Syndrome); (Damp-earth qi governs at the end of late summer, hence autumn injury by dampness. Autumn qi connects with the Lung; when dampness stagnates and transforms into heat, it attacks Metal (Lung), causing Qi rebellion and cough. Those injured by dampness are first affected below, leading to flaccidity and reversal. Flaccidity mostly belongs to heat, while reversal is due to cold.) Injury by cold in winter leads to warm disease (Wen Bing) in spring. (Injury by cold pathogens in winter causes cold toxicity to hide in the Yin compartments. When Yang Qi rises in spring and summer, responding to new external pathogens, warm disease occurs. Those who store essence survive; those who do not die.) The Qi of the four seasons alternately injures the Five Zang Organs. (Wind, summer-heat, cold, and dampness alternate in victory and defeat, so the Qi of the four seasons alternately injures the Five Zang Organs. However, seasonal Qi is an external Yang pathogen, while the Five Zang Organs correspond internally as Yin Qi. Only when internal integrity is not maintained can external pathogens invade; thus, it clarifies diseases caused by the failure of Yin Qi to maintain itself.) The generation of Yin originates from the Five Flavors; the Five Palaces (Five Zang Organs) of Yin are damaged by the Five Flavors. (This section states that the generation of Yin lies in the Five Flavors, and its damage also lies in the Five Flavors. Five Palaces refer to the Five Zang Organs. Flavors receive Earth Qi, thus nourishing the Yin of the Five Zang Organs. If the Five Zang Organs lack moderation, they mutually overcome each other,反而 injuring their Yin.) Excessive sour flavor causes Liver Qi to overflow, and Spleen Qi to cease; (Jin means overflow. Sour enters the Liver; excessive sour causes Liver Qi to overflow. Sour transforms via Wood; when Wood is excess, it overcomes Earth, causing Spleen Qi to cease.) Excessive salty flavor causes labor in the large bones, shortening of muscles, and suppression of Heart Qi; (Salty enters the Kidney, which governs bones. Excessive salt injures the Kidney, causing labor in the large bones. Labor refers to severe exhaustion. Salt moves into Blood; blood injury causes muscle shortening. Salt transforms via Water; when Water prevails, it overcomes Fire, suppressing Heart Qi.) Excessive sweet flavor causes Heart Qi panting and fullness, black complexion, and imbalance of Kidney Qi; (Sweet enters the Spleen; excessive sweet stagnates the Upper Jiao, causing Heart Qi panting and fullness. Sweet transforms via Earth; when Earth prevails, it affects Water, causing black color to appear externally and Kidney Qi to be imbalanced internally. Heng means balance.) Excessive bitter flavor causes Spleen Qi to become dry, and Stomach Qi to become dense; (Bitter enters the Heart; excessive bitter injures Heart Yang, leaving the Spleen without nourishment, so Qi becomes dry. Ru means moist. When Spleen Qi is not moist, Stomach Qi stagnates, hence "Stomach Qi becomes dense." Nong refers to distension.) Excessive pungent flavor causes sinews and vessels to collapse and relax, and spirit to suffer disaster. (Pungent enters the Lung; excessive pungent allows Lung Qi to attack the Liver. The Liver governs sinews, so sinews and vessels collapse and relax. Pungent disperses Qi, consuming spirit, hence "spirit suffers disaster.") Therefore, carefully harmonize the Five Flavors: bones will be straight, sinews flexible, Qi and Blood flowing, and couli (pores/skin texture) dense. In this way, Qi and bone will be refined; following the Dao and methods diligently ensures a long lifespan. (Five flavors enter the mouth and store in the Stomach to nourish Five Zang Qi; thus, one must carefully harmonize them. This results in straight bones, flexible sinews, flowing Qi and Blood. Yin Qi is inside, couli outside; saying "couli is dense" means dense Yang sufficiently secures Yin, and strong Yin strengthens Yang. External pathogens cause panting, flaccidity, reversal, loss of essence, diarrhea, and cough—Yang disease affecting Yin; internal causes like fatigue, anger, irregular diet/lifestyle lead to burning reversal, exhaustion of form and Qi, sinew/intestine hemorrhoids, Qi rebellion, and bone destruction—Yin disease affecting Yang. Hence, discussing Yang Qi first reveals the great root connecting to Heaven; discussing Yin Qi later completes the meaning of Yin-Yang. Previously discussed Qi, originating from Heaven to nourish Yang; subsequently discussed Flavors, originating from Earth to nourish Yin. Terms like "ventilating Qi," "consuming Heaven's Qi," and "long possessing Heavenly Mandate" emphasize Heaven, indicating the importance of Yang Qi. Yet speaking of Earth must encompass Heaven, and speaking of Yin must prioritize Yang.)
Diseases of the Two Yang meridians originate in the Heart and Spleen, manifesting as inability to disclose private matters, and amenorrhea in women. (Two Yang refers to the Yangming Meridians, comprising the Stomach and Large Intestine channels. However, since Large and Small Intestines belong to the Stomach, this section focuses solely on the Stomach. The Stomach and Heart are mother-son; emotional desires originally injure the Heart, and maternal injury harms the son. The Stomach and Spleen are exterior-interior; physical fatigue originally injures the Spleen, and zang injury affects the fu organs. Thus, internal injury to essence and external injury to form both affect the Stomach, explaining why Two Yang diseases originate in Heart and Spleen. "Inability to disclose private matters" refers to pathology of the Yang pathway. The Zong Jin (tendon sheath) converges at Qichuan, governed by Yangming. Once diseased, Yang pathway declines externally, causing "inability to disclose private matters"; in women, this manifests as amenorrhea, a corresponding sign.) Mild cases are called Feng Xiao (wind-induced emaciation); transmitted severe cases are called Xi Ben (gasping accumulation), which are fatal and incurable. (Feng refers to Wood Qi. Xiao means withered and thin. Ben means urgent. Yangming disease, if prolonged and transmitted, allows Wood pathogen to overcome Earth, causing body emaciation; Stomach disease deprives Lung of nourishment, causing gasping urgency. Qi exhaustion above stems from essence deficiency below, ruining all Five Zang Organs, hence fatal and incurable.)
Diseases of the Three Yang meridians present with chills and fever, abscesses/swelling below, and flaccidity/reversal syndromes. (Three Yang refers to the Taiyang Meridian, comprising Bladder and Small Intestine channels. Three Yang governs the exterior, so diseases present with chills/fever and abscesses. The Foot Taiyang channel descends from head/back, through buttocks into popliteal fossa, reaching the foot; thus, its diseases include foot/knee weakness called "flaccidity," coldness called "reversal," and calf soreness called "shuan". Shuan sounds like zhuan. Shuan sounds like yuan.) Transmitted cases become Su Ze (loss of skin luster) or Shan Han (hernia). (Yang pathogen in exterior causes heat, dissipating skin luster, called Su Ze. Shan Han is pain in lower abdomen radiating to testicles.)
Diseases of the One Yang meridian present with shortness of breath, frequent cough, and frequent diarrhea. (One Yang refers to Shaoyang Meridian, comprising Gallbladder and Sanjiao channels. Gallbladder belongs to Wind-Wood, Sanjiao to Ministerial Fire. Disease manifestation: Vigorous Fire consumes Qi and injures Lung, causing shortness of breath and cough; Strong Wood insults Earth, causing frequent diarrhea.) Transmitted cases become Xin Che (heart palpitations/tugging) or Ge (diaphragm obstruction). (Heart is Sovereign Fire; Ministerial Fire rising seeks similar energy, pathogen returning to Heart. Heart agitation feels like tugging, named "Xin Che." "Transmission" implies Wood overcoming Earth, injuring Spleen/Stomach, forming Diaphragm syndrome.)
Diseases of Two Yang and One Yin primarily present with fright, back pain, frequent belching, and frequent yawning, named Feng Jue (Wind Reversal). (Two Yang: Stomach/Large Intestine. One Yin: Liver/Pericardium. Liver and Stomach channels both govern fright. Back pain occurs because Hand/Foot Yangming tendons flank the spine. Yi is belching, governed by Heart. Qian is yawning, governed by Kidney but also caused by Foot Yangming disease. Wind-heat from Liver/Pericardium invades Yangming, hence named Feng Jue.)
Diseases of Two Yin and One Yang present with frequent bloating, chest fullness, and frequent sighing. (Two Yin: Heart/Kidney. One Yang: Gallbladder/Sanjiao. Gallbladder pathogen overwhelming insults Spleen, causing bloating. Kidney pathogen overwhelming attacks Heart, causing chest fullness. Sanjiao disease blocks upper/lower flow, causing sighing.)
Diseases of Three Yin and Three Yang present as hemiplegia, flaccidity with instability, and inability to move limbs. (Three Yang: Bladder/Small Intestine. Three Yin: Spleen/Lung. Bladder channel descends from head/back to feet; Small Intestine channel ascends from hands to scapula. Spleen governs limbs, Lung governs Qi. Disease in these four channels causes hemiplegia, flaccidity with left-right instability, and limb immobility. Wei Yi means flaccidity unable to support, swaying left/right.)
A pulse beating strongly like a hook indicates One Yang; beating strongly like a feather indicates One Yin; beating strongly and urgently indicates Xian (wiry); beating strongly then vanishing indicates Shi (stone); Yin-Yang intersecting indicates Liu (sliding/smooth). (This lists five pulse bodies, distinguishing Yin/Yang by slight strength differences, unlike the meridian sequence mentioned earlier. Gu means strong. One Yang/One Yin refers to weak Yin/Yang. A pulse showing strong beating in weak Yang is Hook, coming strong and going weak, corresponding to Heart pulse. A pulse showing strong beating in weak Yin is Feather, coming light/vague/floating, corresponding to Lung pulse. Beating Yang pulse winning and urgent is Wiry, coming straight/long but not too urgent, corresponding to Liver pulse. Beating Yang to extremity then vanishing is Stone, representing hidden Yang, coming deep/gathered, corresponding to Kidney pulse. Yin-Yang intersection means smooth flow, named Liu, coming soft/moderate/harmonious, corresponding to Spleen pulse.)
Yin contending internally, Yang disturbing externally, Po Sweat failing to store, Four Reversals arising; arising leads to steaming Lung, causing panting and wheezing. (This discusses Yin-Yang harm combining exterior/interior. Exterior-interior disharmony causes either Zang disease (Yin contending internally) or Jing disease (Yang disturbing externally). Either way, it interferes with Lung, which governs Qi, connects to skin/hair, and leads the Zang-Fu. Po sweat not storing means exterior insecurity. Four reversals arising means internal Yang depletion. If righteous Qi cannot overcome pathogen, heat steams Lung, causing panting/wheezing; this is due to Ying-Wei depletion below and lone Yang floating above, unavoidable.) The generation of Yin, based on harmony, is called He (Harmony). (Yin refers to True Yin of Five Zang Organs. Yin generation depends on Zang Qi harmony. Zang Qi harmony depends on Yin-Yang harmony. Disharmony leads to contention/disturbance, rigidity/flabbiness, and disease.) Rigidity meeting rigidity breaks scattered Yang Qi, and Yin Qi perishes. (This describes harm of Yang bias. Rigidity meeting rigidity is extreme Yang. Fire adding to fire leads to decline; Yang Qi scatters, Yin Qi cannot exist alone, perishing together, ending Yin-Yang.) Flabbiness causes rigidity-flabbiness disharmony, and Jing Qi perishes. (This describes harm of Yin bias. Nao means cold-damp acting wildly, Yin prevailing. If Yang-rigid and Yin-flabby lose harmony, Jing Qi perishes.) Belonging to Dead Yin, death occurs within three days; belonging to Living Yang, death occurs within four days. (This discusses Zang transmission, differing life/death outcomes. "Death within four days" should be "within four days only"; since it is Living Yang, it should not die.) What is called Living Yang vs. Dead Yin: Liver transmitting to Heart is "Living Yang"; (Liver to Heart is transmission from Liver to Heart. Wood generating Fire obtains living Qi, called Living Yang, recovering within four days.) Heart transmitting to Lung is "Dead Yin"; (Heart to Lung is transmission from Heart to Lung. Fire overcoming Metal scatters Yin Qi, called Dead Yin, dying within three days.) Lung transmitting to Kidney is "Chong Yin" (Double Yin); (Lung is Metal, Kidney is Water. Though mother-son, Metal-Water both diseased, called Chong Yin, a sign of no Yang.) Kidney transmitting to Spleen is "Pi Yin", fatal and incurable. (Pi means deviant/unruly. Earth controls Water, but Water insults Spleen; Water fears nothing, called Pi Yin, hence fatal/incurable. Pi sounds like pi.)
Yang Qi knotting causes swelling in four limbs; (This section discusses diseases from pathogen gathering in various meridians. Yang refers to Six Yang meridians. Knotting Yang causes limb swelling; limbs are root of all Yang.) Yin Qi knotting causes rectal bleeding of one sheng; second knotting two sheng; third knotting three sheng. (Yin refers to Six Yin meridians. Yin governs Blood; pathogen knotting in Yin affects Blood, causing rectal bleeding. Superficial knotting bleeds one sheng, resolving pathogen; if unresolved and knots again, pathogen is strong, bleeding two sheng; if still unresolved, pathogen is worse, hence "third knotting three sheng".) Yin-Yang pathogen knotting, more Yin less Yang is called "Shi Shui" (Stone Water), with lower abdominal swelling. (Yin/Yang meridians can both knot. Water pathogen mostly in Yin, little in Yang is Shi Shui. Shi Shui is heavy/firm below, symptom is lower abdominal swelling.)
Two Yang knotting is called "Xiao" (Consumption); (Stomach/Large Intestine channels. Yang pathogen lingering in intestines/stomach causes thirst/polyphagia, disease named "Xiao".) Three Yang knotting is called "Ge" (Obstruction); (Bladder/Small Intestine channels. Small Intestine is Fire, Bladder is Water. Pathogen knotting Small Intestine fails to transform Yang; knotting Bladder fails to move fluids. Lower blockage prevents upper transport, forming Obstruction disease.) Three Yin knotting is called "Shui" (Water retention); (Spleen/Lung channels. Spleen Earth controls Water; Earth disease allows Water to insult. Lung Metal generates Water; Qi disease stops Water flow. Cold knotting Three Yin causes Qi transformation into Water.) One Yin and One Yang knotting is called "Hou Bi" (Throat Bi). (One Yin: Liver/Pericardium. One Yang: Gallbladder/Sanjiao. Liver/Gallbladder are Wood, Pericardium/Sanjiao are Fire; four channels transform to heat, meridians connect to throat. Heat knotting internally causes Throat Bi. Bi means closure.)
Three Yang is "Jing" (Channel); (Jing refers to major channel. Among all pulses, Foot Taiyang is greatest, connecting vertex descending back, solely governing Yang division, hence "Jing".) Two Yang is "Wei" (Support); (Wei means supporting network. Yangming channel distributes to head/face, descends to chest, situated among Three Yin, supporting anteriorly, hence "Wei".) One Yang is "You Bu" (Wandering Part); (Shaoyang is lateral, moving forward meets Yangming, backward meets Taiyang, entering/exiting between Two Yang, hence "You Bu".) From this, one knows the beginning and end of Five Zang Organs. (Observing these Three Yang meridians reveals the beginning/end of Five Zang Organs.) Three Yin is "Biao" (Exterior); (Three Yin refers to Taiyin. Taiyin is exterior of all Yin, hence "Three Yin is Exterior".) Two Yin is "Li" (Interior); (Two Yin refers to Shaoyin Kidney. Kidney is Water, Qi sinks, governs bones, hence Two Yin is Interior.) One Yin reaching extremity acts like Hui Shuo (New Moon cycle), deducing combination to correct principle. (One Yin refers to Jueyin. Jue means end. Jueyin Qi corresponds to Xu/Hai times, Six Qi nearly extinct. However, Yin-Yang waxing/waning: Yin end is like lunar Hui (dark moon); Yang birth is like Shuo (new moon). After Hui comes Shuo, extinction rebirths; this is "One Yin reaching extremity acts like Hui Shuo". Thus cycling continuously, Qi numbers combine, correcting creation principles.)
Three Yang: Taiyang is Jing. Three Yang pulse arriving at Hand Taiyin is wiry, floating not sinking; decide by measure, observe by heart, conform to Yin-Yang theory; (Hand Taiyin is Lung channel, originally Three Yin pulse, but all pulses converge at Qi Kou, so specifically using Three Yang pulse at Hand Taiyin as example. Below follows this. Taiyang pulse is originally洪大长 (large/big/long); now wiry/floating/not sinking is aberrant pulse. Decide its decline/proliferation degree, observe with mind, conform to Yin-Yang theory, good/bad clarified.) Two Yang pulse arriving at Hand Taiyin is wiry, deep, urgent, not beating; heat arriving with illness, all die; (Yangming Stomach pulse is originally floating/big/short; now wiry/deep/urgent, unable to beat vigorously, is Wood insulting Earth, Yin attacking Yang. For heat illnesses, such Yin pulse is especially taboo; violating it is adverse, all die.) One Yang pulse arriving at Hand Taiyin connects up to Renying, wiry/urgent, suspended unceasing. This is Shaoyang disease; exclusively Yin leads to death; (Renying is Foot Yangming pulse, beside larynx, hence "connects up to Renying". Suspended means floating exposed like hanging. Shaoyang pulse varies fast/slow, short/long; now wiry/urgent like suspension, unceasing arrival, additionally attacking Stomach channel, is Wood pathogen victory, Shaoyang disease. Shaoyang/Jueyin both transform via Wood; if Yang Qi exhausts, Yin pathogen dominates, wiry/thready to extreme, called "Zhuan Yin" (Exclusive Yin). Exclusive Yin dies.)
Three Yin is master of Six Channels. (Three Yin refers to Taiyin. Three Yin Zang Organs are Spleen/Lung. Lung hosts hundred pulses, Spleen is mother of all things, hence Three Yin masters Six Channels.) Intersecting at Taiyin, deep/beating not floating, empty upper damaging Zhi/Xin; (Intersecting Taiyin means Three Yin pulse at Qi Kou. Lung governs light/floating, Spleen governs moderate/slack, their original pulses. Now seeing deep/beating not floating means Yin excess/Yang deficiency. Should disease in upper jiao emptiness, Spleen/Lung Zhi and Heart Shen injured by Yin, causing insufficiency, hence "empty upper damaging Zhi/Xin". Zhi is organ's will.) Two Yin arrives at Lung, Qi returns to Bladder, externally connects Spleen/Stomach; (Two Yin arriving at Lung means Kidney pulse at Qi Kou. Two Yin pounding, Kidney deep not floating is so. Kidney pulse ascends, straight branch from Kidney through Liver/Diaphragm, enters Lung, exits Qi Kou, called "Two Yin arrives at Lung". Kidney governs Water, receives Lung Qi for descending command, regulates waterways, Qi returns to Bladder. Lung above, Kidney below, Spleen/Stomach center, governs ascending/descending handle, hence "externally connects Spleen/Stomach". External refers to Kidney relative to Spleen, meaning "Three Yin is Exterior, Two Yin is Interior".) One Yin alone arrives, Jing Qi severed floating, not beating hook-like slippery. (One Yin alone arrives, Jueyin pulse wins. Jueyin original pulse should be slippery/wiry/long, Yin containing Yang, being correct. If One Yin alone arrives, Jing severed inside, Qi floating outside, hence cannot beat hook-like slippery, only wiry without Stomach Qi, life intent exhausted.)
These six pulses, suddenly Yin suddenly Yang, intersecting merging, intricately connecting Five Zang Organs, conforming to Yin-Yang. (Six pulses, suddenly Yin suddenly Yang, all reach Hand Taiyin; Cun Kou pulse can intersect/merge, intricately connect Five Zang Organs, hence conform to Yin-Yang.) First arrival is Master, later arrival is Guest. (Intersection of six pulses, arrival has priority. Some show Yin seeing Yang, some Yang seeing Yin. Yang pulse first, Yin pulse later, Yang is Master, Yin is Guest; Yin pulse first, Yang pulse later, Yin is Master, Yang is Guest. This is "First arrival Master, later arrival Guest". Arrival has constancy/change, change has truth/falsehood. Constant Yang changes Yin, constant Yin changes Yang. Constant is Master, Change is Guest. Change has truth/falsehood; true change is dangerous. False change is safe. True is Master. False is Guest. Meaning of Master/Guest involves pulse body, luck movement, duration, adverse/harmonious, Master first Guest later. Pulse diagnosis subtlety exceeds none here; Lung pulse hard to discuss!)
Three Yang: Father. (Detailing Six Channel nobility. Taiyang leads all channels, uniquely尊大 (honored/great), called Father.) Two Yang: Guard. (Guarding Yang Qi of all channels.) One Yang: Pivot. (Pivoting between Two Yang, meaning "Shaoyang is Pivot".) Three Yin: Mother. (Taiyin nourishes all channels, called Mother.) Two Yin: Female. (Shaoyin is Water, Water generates life, called Female, also meaning "Two Yin is Interior".) One Yin: Sole Envoy. (Envoy means communicating beginning/end. Yin ends Yang begins, only Jueyin governs, hence Sole Envoy.)
Two Yang and One Yin disease, Yangming masters disease, cannot overcome One Yin, pulse [weak] and moving, nine apertures sink; (Below discusses combined channel diseases with overcoming/control. Two Yang is Earth. One Yin is Wood. Yangming/Jueyin clash, Liver pathogen insults Stomach, Yangming masters disease, cannot overcome One Yin. [Weak] is Stomach Qi. Moving is Liver Qi.)