大肠者肺之腑也。为传送之司号监仓之官。肺病久不已。则传入大肠。手阳明是其经也。寒则泄。热则结。
绝则泄利无度。利绝而死也。热极则便血。又风中大肠则下血。又实热则胀满。而大便不通。虚寒则滑泄
不定。大肠乍虚乍实。乍来乍去。寒则溏泄。热则垢重。有积物则寒栗而发热。有如疟状也。积冷不去。则当
脐而痛。不能久立。痛已则泄白物。是也。虚则喜满。喘咳而喉咽中如核妨矣。
肾者精神之舍。性命之根。外通于耳。男以闭（一作库。）精。女以包血。与膀胱为表里。足少阴太阳是其经也。肾
气绝。则不尽其天命而死也。旺于冬。其脉沉濡曰平。反此者病。其脉弹石。名曰太过。病在外其去如数者
为不及。病在内。太过则令人解 。脊脉痛而少气（本作令人体瘠而少气。不欲言。）不及。则令人心悬如饥。眇中清。
脊
中痛。少肠腹满。小便滑（本云心如悬。少腹痛。小便滑。）变赤黄色也。又肾脉来。喘喘累累如钩。按之而坚曰平。又
来如引葛。按之益坚曰病。来如转索。辟辟如弹石曰死。又肾脉。但石。无胃气亦死。肾有水。则腹大。脐肿。腰重。
痛不
得溺。阴下湿如牛鼻。头汗出是为逆寒。大便难。其面反瘦也。肾病。手足逆冷。面赤目黄。小便不禁。骨节烦痛。小
腹结痛。气上冲心。脉当沉细而滑。今反浮大而缓。其色当黑。其今反者。是土来克水。为大逆。十死不治也。
又肾病。面色黑。其气虚弱。翕翕少气。两耳若聋。精自出。饮食少。小便清。膝下冷。其脉沉滑而迟。为可治又
冬脉沉濡而滑曰平。反浮涩而短。肺来乘肾。虽病易治。反弦细而长者。肝来乘肾。不治自愈。反浮大而洪。
心来乘肾。不为害。肾病。腹大胫肿。喘咳。身重。寝汗出憎风。虚则胸中痛。大腹小腹痛。清。厥。意不乐也。阴邪
入肾。则骨痛。腰上引项瘠。背疼。此皆举重用力。及遇房汗出。当风。浴水。或久立则伤肾也。又其脉。急甚则
肾痿瘕疾。微急则沉厥奔豚。足不收。缓甚。则折脊。微缓则洞泄。食不化。入咽还出。大甚则阴痿微大则石
水起脐下至小腹。其肿 然。而上至胃脘者。死。不治。小甚则洞泄。微小则消瘅。滑甚则癃 。微滑则骨
痿。坐弗能起。目视见花。涩甚。则大壅塞。微涩则不月疾痔。又其脉之至也。上坚而大。有脓气。在阴中及腹
内。名曰肾痹。得之因浴冷水而卧。脉来沉而大坚。浮而紧。苦手足骨肿。厥阴痿不起。腰背疼。小腹肿。心下
水气时胀满而洞泄。此皆浴水中。身未干而合房得之也。虚。则梦舟溺人。得其时。梦伏水中若有所畏。盛
实。则梦腰脊离解。不相属。厥邪客于肾。则梦临深投水中。肾胀。则腹痛满引背 然。腰痹痛。肾病。夜半
患。四季甚。下晡静。肾生病。则口热舌干。咽肿。上气。嗌干。及心烦而痛。黄胆。肠 。痿厥。腰脊背急痛。
嗜卧。足下热而痛。 酸。病久不已。则腿筋痛。小便闭。而两胁胀。支满。目盲者死。肾之积。苦腰脊相引而疼。饥
见饱
减。此肾中寒结在脐下也。诸积大法。其脉来细软而附骨者是也。又面黑目白。肾已内伤。八日死。又阴缩。
小便不出。出而不快者。亦死。又其色青黄。连耳左右。其人年三十许。百日死。若偏在一边。一月死。实。则烦
闷。脐下重。热则口舌干焦。而小便涩黄。寒。则阴中与腰脊俱疼。面黑耳干。哕而不食。或呕血者。是也。又喉
中鸣。坐而喘咳。唾血出。亦为肾虚。寒气欲绝也。寒热虚实既明。详细调救。即十可十全之道也。
大肠是肺的腑。它是负责传导排泄的器官，被称为“仓廪之官”。如果肺病长期不愈，病邪就会传入大肠。手阳明大肠经是其所属经脉。感受寒邪则导致泄泻，感受热邪则导致便秘结滞。
若大肠之气断绝，则出现无节制的泄利，泄利不止而气绝便会死亡。热邪极盛会导致便血；风邪侵入大肠也会导致下血；若是实热证，则会出现腹胀满、大便不通的情况；若是虚寒证，则会出现滑泄不止、没有规律的情况。大肠有时虚弱有时实盛，症状时来时去。受寒则大便稀溏，受热则粪便秽浊厚重。若有积滞物，则会发冷战栗并伴有发热，症状类似疟疾。若冷积不去，则肚脐周围疼痛，不能久站，疼痛停止后会排出白色粘液，这就是所谓的白物。大肠虚弱时喜欢胀满，伴有气喘咳嗽，咽喉中感觉有异物阻塞。
肾是精神居住的处所，是生命的根本。它外部与耳朵相通。男性用肾来闭藏精气，女性用肾来包容血液。肾与膀胱互为表里。足少阴肾经和足太阳膀胱经是其所属经脉。肾气断绝，就会未能享尽天年而死。肾气在冬季旺盛。脉象沉而濡软称为平脉（正常脉象）。与此相反的即为病脉。脉象如弹石般坚硬，名为“太过”，表示病邪在外，脉去急促如数的为“不及”，表示病邪在内。太过会导致人体消瘦、脊背经脉疼痛且气短（原本注本作让人体瘦弱且气短，不想说话）；不及会导致心中空虚如饥饿感，季胁部清冷，脊中疼痛，小肠及腹部胀满，小便滑数或变为赤黄色。另外，肾脉来势喘喘累累如钩状，按之坚实称为平脉；来势如牵引葛藤，按之更加坚实称为病脉；来势如转索，辟辟像弹石一样称为死脉。另外，肾脉只见石脉而无胃气也是死脉。肾有水气停留，则腹部肿大，肚脐肿胀，腰部沉重疼痛，小便不利，阴部潮湿如牛鼻头，头部出汗，这是逆证（寒证）。大便困难，面色反而消瘦。肾病表现为手足逆冷，面色红赤，眼睛发黄，小便失禁，骨节烦痛，小腹结聚疼痛，气向上冲撞心脏。脉象应当沉细而滑，现在反而浮大而缓，面色应当黑，现在反常，这是土来克水，属于大逆证，十死无救。另外，肾病表现为面色黑，气息虚弱，微微气短，两耳好像聋了，精气自出，饮食减少，小便清长，膝下寒冷，脉象沉滑而迟，这是可以治疗的。冬季脉象沉濡而滑称为平脉，若反见浮涩而短，是肺来乘袭肾脏，虽然生病但容易治愈；若反见弦细而长，是肝来乘袭肾脏，不治也会自愈；若反见浮大而洪，是心来乘袭肾脏，不会造成危害。肾病表现为腹部肿大，小腿肿胀，气喘咳嗽，身体沉重，睡着出汗怕风。虚证则胸中痛，大腹和小腹痛，清冷，厥逆，心情不乐。阴邪侵入肾脏，则骨头疼痛，腰部向上牵引颈部肌肉消瘦，背部疼痛。这些都是由于举重用力，以及房事后出汗当风，或者洗冷水澡，或者久站而损伤肾脏所致。另外其脉象，紧急甚则导致肾痿瘕疾，微急则导致沉厥奔豚，脚不能收持；缓甚则折脊，微缓则洞泄，食物不消化，咽下后又吐出；大甚则阳痿，微大则石水起于脐下至小腹，肿胀然，向上延伸至胃脘的，死亡，无法治疗。小甚则洞泄，微小则消瘅，滑甚则癃闭，微滑则骨痿，坐起困难，视物眼花；涩甚则大壅塞，微涩则月经不来、瘰疬、痔疮。另外其脉象到来时，上部坚硬而大，有脓气，位于阴部和腹内，名为肾痹。得此病是因为洗冷水澡后躺卧。脉象沉而大坚，浮而紧，痛苦于手足骨肿，厥阴痿废不起，腰背疼痛，小腹肿胀，心下水气时常胀满而洞泄。这些都是因为在水中洗澡，身体未干就进行房事导致的。虚证，则梦见舟船溺人，得其时令，梦见伏在水中有恐惧感；盛实证，则梦见腰脊分离，不相连接。厥邪客居于肾脏，则梦见临近深水投水。肾胀，则腹痛满牵引背部，腰痹痛。肾病，半夜发病，四季之时加重，傍晚时分安静。肾生病，则口热舌干，咽喉肿痛，上气，咽干，以及心烦而痛，黄疸，肠澼，痿厥，腰脊背部急痛，嗜睡，足下热而痛，酸软。病久不愈，则腿筋疼痛，小便闭塞，两胁胀满，支撑胀闷，目盲者死亡。肾的积病，苦于腰脊相互牵引疼痛，饥饿时加重，饱食后减轻。这是肾中寒结在脐下。诸积病的总法则是：脉象来势细软而附骨的就是积病。另外面色黑眼白发黄，肾已内伤，八日死亡。另外阴器收缩，小便不出，出来而不顺畅的，也是死证。另外面色青黄，连及耳朵左右，此人年龄三十岁左右，百日死亡。若偏在一边，一月死亡。实证，则烦闷，脐下沉重；热证，则口舌干燥焦枯，小便涩滞黄赤；寒证，则阴中与腰脊俱痛，面色黑，耳朵干，呃逆不食，或者呕血的，就是这样。另外喉中鸣响，坐着气喘咳嗽，唾血出，这也是肾虚，寒气欲绝的表现。寒热虚实既然明了，详细调理救治，就是十全十美的道理。
The Large Intestine is the Fu-organ of the Lung. It serves as the official responsible for transmission and reception, often referred to as the "Official of the Granary." If a Lung disease persists without resolution, the pathogen transmits into the Large Intestine. The Hand-Yangming Large Intestine Meridian (Shou Yangming Dachang Jing) is its associated meridian. Cold causes diarrhea; Heat causes constipation and accumulation.
If the Qi of the Large Intestine is exhausted, uncontrolled diarrhea occurs; death ensues when the diarrhea ceases due to exhaustion. Extreme Heat leads to blood in the stool. Wind invading the Large Intestine also causes lower bleeding. Excess Heat results in abdominal distension and fullness with inability to pass stool. Deficiency-Cold leads to slippery, unregulated diarrhea. The Large Intestine alternates between deficiency and excess, with symptoms appearing and disappearing intermittently. Cold causes loose stools; Heat causes heavy, turbid feces. The presence of accumulated material causes chills and fever, resembling Malaria (Nüe). If cold accumulation remains unresolved, pain occurs around the umbilicus, preventing prolonged standing. After the pain subsides, white discharge is passed. This is known as "white matter." Deficiency manifests as a preference for fullness, accompanied by wheezing, coughing, and a sensation of a lump obstructing the throat and pharynx.
The Kidney is the residence of Spirit (Shen) and the root of life. Externally, it connects to the ears. In men, it stores Essence (Jing); in women, it houses Blood (Xue). It forms an interior-exterior relationship with the Bladder. The Foot-Shaoyin Kidney Meridian (Zu Shaoyin Shen Jing) and Foot-Taiyang Bladder Meridian (Zu Taiyang Pangguang Jing) are their associated meridians. Exhaustion of Kidney Qi leads to premature death before one's natural lifespan is fulfilled. Kidney Qi prospers in Winter. A pulse that is deep and soft (Chen Ru) is considered normal (Ping). Deviations from this indicate disease. A pulse like striking stones indicates "Excess" (Tai Guo), suggesting external pathology; a pulse departing rapidly resembling rapidity indicates "Deficiency" (Bu Ji), suggesting internal pathology. Excess causes emaciation, pain in the spinal meridians, and shortness of breath (original note: body wasting and shortness of breath, reluctance to speak); Deficiency causes a feeling of emptiness akin to hunger, coldness in the hypochondriac region, pain in the spine, fullness in the small intestine and abdomen, and slippery urination or urine turning red-yellow. Furthermore, a Kidney pulse coming steadily and heavily like a hook, firm upon pressure, is normal. A pulse coming like pulling a vine, becoming firmer upon pressure, indicates disease. A pulse coming like a turning rope, sharp like striking stones, indicates death. A Kidney pulse showing only Stone-like characteristics without Stomach Qi also indicates death. Water retention in the Kidney causes abdominal swelling, umbilical swelling, heavy painful waist, difficulty urinating, dampness in the genital area resembling a cow's nose, sweating on the head; this is a counter-flow Cold pattern. Difficulty defecating with a thin face follows. Kidney disease presents with cold extremities, red face, yellow eyes, urinary incontinence, vexatious bone-joint pain, lower abdominal knotting pain, and Qi rushing up to the heart. The pulse should be deep, fine, and slippery; if it is instead floating, large, and slow, and the complexion should be black but is not, this represents Earth overcoming Water, a major counter-flow pattern, ten deaths with no cure. Additionally, Kidney disease presenting with black complexion, weak Qi, slight shortness of breath, deafness in both ears, spontaneous loss of essence, reduced diet, clear urine, cold below the knees, and a deep, slippery, slow pulse is treatable. A Winter pulse that is deep, soft, and slippery is normal; if it is floating, choppy, and short, Lung overacting on Kidney makes the disease easy to treat; if it is wiry, fine, and long, Liver overacting on Kidney heals spontaneously; if it is floating, large, and surging, Heart overacting on Kidney causes no harm. Kidney disease causing abdominal swelling, leg edema, wheezing/cough, heavy body, night sweats, and aversion to wind. Deficiency causes chest pain, lower abdominal pain, coldness,厥逆 (Jue Ni - reversal cold), and unhappiness. Yin pathogens entering the Kidney cause bone pain, neck traction from the waist, muscle wasting, and back pain. These result from heavy lifting, sexual activity followed by sweating and exposure to wind, bathing in cold water, or prolonged standing. Regarding pulses: extremely tight leads to Kidney Wei (atrophy) and Jia masses; slightly tight leads to Chen Jue (deep reversal) and Ben Tun (running piglet), with legs unable to support; extremely slack leads to broken spine; slightly slack leads to Dong Xie (cavity diarrhea) where food is not digested and vomited back out; extremely large leads to impotence; slightly large leads to Shi Shui (Stone Water) starting from below the navel to the lower abdomen, swelling upwards to the epigastrium, which is fatal and untreatable. Very small leads to cavity diarrhea; very minute leads to Xiao Dao (wasting-thirst); very slippery leads to Long Bi (dysuria); slightly slippery leads to Gu Wei (bone atrophy), inability to rise from sitting, and visual hallucinations; very choppy leads to severe obstruction; slightly choppy leads to amenorrhea, Luo Li (scrofula), and hemorrhoids. Regarding pulse arrival: upper part hard and large with pus Qi located in the yin region and abdomen is named Ren Bi (Kidney Bi), caused by bathing in cold water then lying down. Pulse deep, large, and hard, floating and tight, suffering from hand/foot bone swelling, Yin-Jiao impotence unable to rise, back pain, lower abdominal swelling, sub-cardiac water Qi causing fullness and cavity diarrhea; these result from bathing in water and engaging in intercourse before drying. Deficiency dreams of drowning people in boats; during its season, dreams of submerging in water with fear. Excess dreams of waist/spine separation. Jue pathogens lodging in the Kidney dream of approaching deep water and jumping in. Kidney distension causes abdominal pain/fullness radiating to the back, lumbar Bi pain. Kidney disease worsens at midnight, peaks during the four seasons, and quiets in the late afternoon. Kidney illness causes hot mouth, dry tongue, swollen throat, upward Qi, dry throat, vexation/pain, jaundice, Chang Pi (intestinal dysentery), Wei Jue (impotence/reversal cold), urgent pain in waist/spine/back, lethargy, hot/painful soles, soreness. Chronic cases lead to leg tendon pain, urinary closure, flank distension, support/fullness; blindness indicates death. Kidney Accumulation (Ji) causes pulling pain in waist/spine, worsening when hungry, improving when full; this is Cold-Knot in the Lower Abdomen within the Kidney. The general rule for Accumulations is a pulse that is fine, soft, and adherent to the bone. Black face with white eyes indicates internal Kidney injury, death in eight days. Retraction of the yin organ, inability to urinate, or difficult urination also indicate death. Green-yellow complexion extending to both sides of the ears in a thirty-year-old indicates death in one hundred days; if unilateral, death in one month. Excess causes vexation/stuffiness, heaviness below the navel. Heat causes dry/scorched mouth/tongue, scanty yellow urine. Cold causes pain in yin and waist/spine, black face, dry ears, hiccups/refusal to eat, or hematemesis. Hoarse voice, sitting wheezing/coughing, expectoration of blood also indicate Kidney Deficiency and impending Cold exhaustion. Once Cold, Heat, Excess, and Deficiency are clarified, detailed regulation and rescue constitute the path to perfect recovery.