小肠者受盛之腑也。与心为表里。手太阳是其经也。心与（一本无此二字。）小肠绝者。六日死。绝则发直如麻。汗
出
不已。不得屈伸者是也。又心。咳（本作病。）久不已（本无此二字。）则传小肠。小肠咳。则气咳俱出也。小肠实则伤
热。热则口生疮。虚则生寒。寒则泄浓血。或泄黑水。其根在小肠也。又小肠寒则下肿重。有热。久不出。则渐生痔。
疾有积。则当暮发热。明旦而止也。病气发则令人腰下重。食则窘迫而便难。是其候也。小肠胀。则小腹
胀。引腹而痛也。厥邪入小肠。则梦聚井邑中。或咽痛颔肿。不可回首。肩如杖。（一作拔。）脚如折也。又黄帝曰。心
者主也。神之舍也。其脏周密而不伤。伤。神去。神去则身亡矣。故人心多不病。病即死。不可治也。惟小肠受
病多矣。又左手寸口阳绝者。无小肠脉也。六日死。病脐痹。小腹中有疝瘕也。左手寸口脉实大者。小肠实
也。有热邪则小便赤涩。又实热。则口生疮。身热去来。心中烦满。体重。又小肠。主于舌之官也。和。则能言。而
机关利健。善别其味也。虚。则左寸口脉浮而微软弱。不禁按。病为惊狂无所守。下空空然。不能语者。是也。
脾者土也。谏议之官。主意与智。消磨五谷。寄在其中。养于四旁。旺于四季。正旺长夏。与胃为表里。足太阴
是其经也。扁鹊曰。脾病。则面色萎黄。实则舌强直。不嗜食。呕逆。四肢缓。虚。则精不胜。元气乏失溺不能自
持。其脉来似水之流。曰太过。病在外。其脉来如鸟之距。曰不及。病在内。太过则令人四肢沉重。语言謇涩。
不及。令人中满不食。乏力。手足缓弱不遂。涎引口中（一作出。）四肢肿胀。溏泻（一作泄。）不时。梦中饮食。脾脉
来而和柔。去似鸡距践地。曰平。脉来实而满稍数。如鸡举足。曰病。又如乌（一作雀。）之啄。如鸟之距。如屋之漏。
曰死。中风则翕翕发热。状若醉人。腹中烦满。皮肉 短气者。是也。旺时。其脉阿阿然缓曰平。反弦急者。肝来
克脾。真鬼相遇。大凶之兆。反微涩而短者。肺来乘脾。不治而自愈。反沉而滑者。肾来从脾。亦为不妨。反浮
而洪。心来生脾。不为疾耳。脾病。面黄。体重。失便。目直视。唇反张。手足爪甲青。四肢逆。吐食。百节疼痛不能
举。其脉当浮大而缓。今反弦急。其色当黄而反青。此十死不治也。又脾病。其色黄。饮食不消。心腹胀满。身
体重。肢节痛。大便硬。小便不利。其脉微缓而长者。可治。脾气虚。则大便滑。小便利。汗出不止。五液注下为
五色。注利下也。（此四字疑是注文。）又积□□久不愈。则四肢不收。黄胆。饮食不为肌肤。气满胀而喘不定也。又脾
实。则时梦筑垣墙盖屋。脾盛。则梦歌乐。虚则梦饮食不足。厥邪客于脾。则梦大泽邱陵。风雨坏屋。脾胀则
善哕。四肢急。体重。不食善噫。脾病。则日 慧。平旦甚。日中持。下晡静。脉急甚则螈 。微急则胸膈中不利。
食入而还出。脉缓盛则痿厥。微缓则风痿。四肢不收。大甚则击仆。微大则脾。疝气里大。脓血在胃肠之外。
小甚则寒热作。微小则消瘅。滑甚则颓疝。微滑则虫毒。肠鸣。中热。涩甚则肠 微涩则内溃。下脓血。脾脉
之至也。大而虚。则有积气在腹中。有厥气。名曰厥疝。女子同法得之。四肢汗出。当风也。脾绝则十日死。又
脐出（一作凸。）者亦死。唇焦枯。无纹理。而青黑者。脾先绝也。脾病。面黄目赤者可治。青黑色入口。则半岁死。色
如枳实者。一（一作半。）月死。吉凶休否。（一作咎。）皆见其色出于部分也。又口噤唇黑。四肢重如山不能自收持。大
小便利无休歇。食饮不入。七日死。又唇虽痿黄。语声啭啭者。可治。脾病。疟气久不去。腹中痛鸣。徐徐热汗
出。其人本意宽缓今忽反常而嗔怒。正言而鼻笑。不能答人者。此不过一月。祸必至矣。又脾中寒热。则皆
使人腹中痛。不下食。又脾病。则舌强语涩。转筋。卵缩。牵阴股。引髀痛。身重不思食。鼓胀。变则水泄不能卧
者。死不治也。脾正热。则面黄目赤。季胁痛满也。寒则吐涎沫而不食。四肢痛。滑泄不已。手足厥。甚则颤栗
如疟也。临病之时。要在明证详脉。然后投汤丸。求其痊损耳。
小肠是受纳和盛装水谷的腑。它与心互为表里。手太阳经是小肠的经脉。如果心与小肠的脉气断绝，六天后会死亡。脉气断绝的表现是头发直立像乱麻一样，汗出不止，身体僵硬无法屈伸。另外，如果心病久咳不愈，病邪就会传变到小肠。小肠咳的症状是咳嗽时伴有失气（放屁）。
小肠实证是热邪内伤，热盛则口腔生疮；虚证则是寒邪内生，寒盛则排泄浓稠带血的粪便，或者排泄黑色的液体，其病根在于小肠。此外，小肠受寒会导致下部肿胀沉重；如果有热邪且久留不出，就会逐渐形成痔疮。体内有积滞的话，会在傍晚发热，第二天早晨热退。病气发作时，会让人感觉腰部以下沉重，进食后感到窘迫且排便困难，这就是它的征候。小肠胀满，会导致小腹胀痛，牵引腹部疼痛。厥逆之邪侵入小肠，人会梦见聚集在城邑井巷之中，或者咽喉疼痛、下巴肿胀，头颈不能转动，肩膀像被棍棒打过一样痛，脚像折断了一样痛。
黄帝说：心是君主之官，是神志居住的地方。心脏本身结构周密而不易受伤。如果心脏受伤，神志就会离去，神志离去人也就死了。所以人心脏很少生病，一旦发病就是死症，不可救治。只有小肠容易受到疾病侵害。
另外，左手寸口脉出现“阳绝”的情况，说明没有小肠的脉象，六天后会死亡。这种病症表现为脐部痹痛，小腹中有疝气和癥瘕积聚。左手寸口脉象实大，说明小肠实证。如果有热邪，小便就会颜色深红且排尿涩痛。如果是实热证，口腔生疮，身体发热忽来忽去，心中烦闷胀满，身体沉重。小肠又主管舌头的功能，功能调和则能言语，关节灵活，善于辨别味道。如果小肠虚损，左手寸口脉象浮而软弱无力，按压更觉无力，病症表现为惊恐狂躁、心神无主，下元空虚，不能说话，就是这种情况。
脾属土，是谏议之官，主管意念和智慧。它消磨五谷，营养寄存在其中，滋养四周，在四季中旺盛，正旺于长夏季节。脾与胃互为表里。足太阴经是脾的经脉。扁鹊说：脾病时，面色萎黄。实证则舌头僵硬挺直，不喜欢吃东西，呕吐逆气，四肢松软无力。虚证则精气不足，元气匮乏，遗尿不能自控。脾脉来势如水流动，称为“太过”，病在体表外部；脉势如鸟爪般尖锐，称为“不及”，病在体内内部。太过则让人四肢沉重，语言蹇涩；不及则让人脘腹胀满，不想吃饭，乏力，手足松软无力甚至瘫痪，口水流出口中，四肢肿胀，大便稀溏不时排出，梦中饮食。脾脉来势柔和，去势如鸡爪踏地，称为平脉（正常脉象）。脉象实而满稍快，如鸡抬脚，称为病脉。又如乌鸦或麻雀啄食，如鸟爪尖锐，如屋顶漏水滴落，称为死脉。
患中风病时，微微发热，状如醉酒之人，腹中烦闷胀满，皮肉松弛短气，就是这种情况。在脾旺之时，脉象舒缓从容称为平脉。如果脉象反见弦急，是肝木来克脾土，真邪相遇，是大凶之兆。如果脉象反见微涩而短，是肺金来乘脾土，即使不治疗也能自愈。如果脉象反见沉而滑，是肾水来从脾土，也没有妨碍。如果脉象反见浮而洪大，是心火来生脾土，不会有大碍。
脾病时，面色黄，身体沉重，大小便失常，眼睛直视，嘴唇反张，手足指甲发青，四肢厥冷，呕吐食物，全身关节疼痛不能抬起。此时脉象应当浮大而缓，如果反而弦急，面色应当黄而反青，这是十死不治的征象。另外脾病，面色黄，饮食不消化，心腹胀满，身体沉重，肢节疼痛，大便干硬，小便不利，脉象微缓而长的，可以治愈。脾气虚弱，则大便滑泄，小便通利，汗出不止，五脏津液下注变为五色泄泻。又有积聚日久不愈，导致四肢收摄无力，黄疸，饮食不能转化为肌肉气血，气满胀而喘息不定。
脾实证，常梦见修筑围墙盖房子；脾盛（邪气盛），常梦见唱歌作乐；脾虚，常梦见饮食不足。厥邪客居于脾，常梦见大泽丘陵，风雨毁坏房屋。脾胀则容易呃逆，四肢拘急，身体沉重，不想吃饭且容易嗳气。脾病时，白天精神清爽，清晨加重，中午维持，傍晚安静。脉象紧急甚则抽搐，微紧急则胸膈中不利，食物吃进去又吐出来。脉象缓盛则痿厥，微缓则风痿，四肢收摄无力。脉象极大甚则突然昏倒，微大则脾脏肿大，疝气里大，脓血在胃肠之外。脉象极小甚则寒热发作，微小则消瘅（糖尿病类消耗性疾病）。脉象滑甚则颓疝，微滑则有虫毒，肠鸣，腹中热。脉象涩甚则肠道病变，微涩则内部溃烂，排泄脓血。脾脉到达时，大而虚，则腹中有积气，有厥逆之气，名叫厥疝，女子也是同样的法则。得了此病，四肢出汗，是因为当风所致。脾脉绝则十天后死亡。另外肚脐突出者也会死亡，嘴唇焦枯没有纹理且发青黑的，是脾先绝的表现。
脾病，面色黄眼睛赤红的可以治愈；如果青色黑色进入口唇部位，则半年后死亡；面色像枳实颜色的，一个月后死亡。吉凶祸福，都体现在面部色泽出现在相应的脏腑部位上。另外口噤唇黑，四肢重如山不能自主控制，大小便无休止，饮食不进，七天后死亡。另外嘴唇虽然萎黄，但语声清晰连贯的，可以治愈。脾病疟疾久久不去，腹中疼痛鸣响，慢慢出热汗，这个人本来性情宽缓，现在忽然反常发怒，正经说话却鼻笑，不能回答别人，这不超过一个月，灾祸必定到来。另外脾中有寒热，都会使人腹中疼痛，不能进食。另外脾病，则舌头僵硬语言涩滞，转筋，睾丸收缩，牵引大腿内侧，引起髀部疼痛，身体沉重不想吃饭，鼓胀，变成水泄不能卧倒的，是死症不可治。脾正热，则面色黄眼睛赤红，季胁部疼痛胀满。脾寒则吐涎沫而不吃东西，四肢疼痛，滑泄不止，手足厥冷，严重时颤抖战栗如同疟疾。面临疾病的时候，关键在于明确证候详细诊察脉象，然后投用汤药丸剂，以求痊愈消除病痛罢了。
The Small Intestine is the fu-organ responsible for receiving and storing. It forms an exterior-interior relationship with the Heart. The Hand-Taiyang (Bladder) Meridian is its channel. If the pulse qi of the Heart and Small Intestine is severed, death occurs in six days. The manifestation of severance includes hair standing erect like hemp fibers, incessant sweating, and inability to bend or stretch the body. Furthermore, if Heart disease involves chronic cough that does not heal, the pathogen transmits to the Small Intestine. Coughing from the Small Intestine manifests as simultaneous emission of gas (flatulence) during coughing.
Excess syndrome of the Small Intestine involves heat injury; heat causes sores in the mouth. Deficiency syndrome involves cold generation; cold leads to the discharge of thick, bloody stool, or black fluid, with the root located in the Small Intestine. Additionally, cold in the Small Intestine causes swelling and heaviness in the lower body. If heat lingers without exiting, hemorrhoids gradually develop. Accumulation of pathogens causes fever in the evening, which subsides by morning. When the pathogenic qi flares up, it causes heaviness below the waist, urgency and difficulty in defecation after eating; these are its signs. Distension of the Small Intestine causes distension and pain in the lower abdomen, radiating to and hurting the entire abdomen. If Jue-pathogens enter the Small Intestine, one dreams of gathering in cities or wells, or experiences sore throat and submandibular swelling, inability to turn the head, shoulder pain as if beaten by a club, and leg pain as if broken.
Yellow Emperor stated: The Heart is the Sovereign Officer, the residence of Shen (Spirit). Its structure is tight and resistant to injury. If injured, Shen departs; when Shen departs, life ends. Thus, the Heart rarely suffers disease; if it does, it is fatal and untreatable. Only the Small Intestine is prone to disease.
Regarding pulse diagnosis: If the Yang position at the Cun-kou point on the left hand shows "Yang Severance," indicating the absence of the Small Intestine pulse, death occurs in six days. This condition presents as Bi-obstruction around the umbilicus and hernia masses in the lower abdomen. If the pulse at the left Cun-kou is excess and large, it indicates Small Intestine Excess. With heat pathogen, urination becomes red and dysuric. In cases of excess heat, there are oral ulcers, intermittent fever, mental restlessness and fullness, and body heaviness. The Small Intestine governs the tongue's function; when harmonious, speech is clear, articulation is agile, and taste discrimination is keen. In deficiency, the left Cun-kou pulse floats and is soft and weak, collapsing under pressure. Symptoms include fright, mania, loss of mental hold, emptiness below, and aphasia.
Spleen belongs to Earth. It is the Official of Remonstrance, governing intention and wisdom. It digests the five grains, stores nutrients within, nourishes the four peripheries, and is prosperous in all seasons, peaking in Late Summer. It forms an exterior-interior relationship with the Stomach. The Foot-Taiyin (Spleen) Meridian is its channel. Bian Que said: In Spleen disease, the complexion is sallow. In excess, the tongue is stiff and straight, appetite is lost, vomiting and regurgitation occur, and limbs are flaccid. In deficiency, essence is insufficient, Yuan Qi is depleted, leading to involuntary enuresis. The pulse coming like flowing water is called "Excessive" (Tai Guo), indicating external disease. The pulse coming like a bird's spur is called "Insufficient" (Bu Ji), indicating internal disease. Excessive pulse causes heavy limbs and slurred speech. Insufficient pulse causes abdominal fullness, anorexia, fatigue, and limp paralysis. Saliva flows from the mouth, limbs swell, and loose stools occur intermittently. Dreams of food and drink may appear. A Spleen pulse that comes gently and goes like a chicken walking is considered Normal (Ping). A pulse that is solid, full, and slightly rapid, like a chicken lifting its foot, indicates Disease. A pulse resembling a crow or sparrow pecking, a bird's spur, or a leaking roof indicates Death.
In Wind-Stroke, there is slight fever, appearance resembling drunkenness, abdominal irritability and fullness, and shortness of breath due to lax skin and flesh. During the Prosperous season, a slow and relaxed pulse is Normal. A string-tight pulse indicates Liver Wood overcoming Spleen Earth, a meeting of true and ghost pathogens, a sign of great misfortune. A slightly choppy and short pulse indicates Lung Metal attacking Spleen Earth, which heals spontaneously without treatment. A deep and slippery pulse indicates Kidney Water following Spleen Earth, causing no harm. A floating and surging pulse indicates Heart Fire generating Spleen Earth, posing no danger.
In Spleen disease, symptoms include yellow complexion, body heaviness, bowel dysfunction, fixed gaze, retracted lips, cyanosis of fingernails and toenails, cold extremities, vomiting, and generalized joint pain preventing movement. The pulse should be floating, large, and slow. If it is instead string-tight, and the color is green instead of yellow, it is ten deaths, untreatable. Other Spleen diseases present with yellow complexion, indigestion, epigastric and abdominal fullness, body heaviness, limb pain, hard stool, and difficult urination. A slightly slow and long pulse indicates treatability. Spleen Qi deficiency leads to slippery stool, free urination, and incessant sweating. Fluids from the five Zang organs pour downward, resulting in five-colored diarrhea. Long-standing accumulations lead to inability to control limbs, jaundice, failure of food to transform into muscle and Qi, abdominal distension, and unstable panting.
Spleen Excess manifests in dreams of building walls and houses. Spleen Hyperactivity manifests in dreams of singing and music. Spleen Deficiency manifests in dreams of insufficient food. When Jue-pathogens invade the Spleen, one dreams of large marshes and hills, with wind and rain destroying houses. Spleen distension causes frequent hiccups, limb stiffness, body heaviness, anorexia, and excessive belching. Spleen disease follows a diurnal pattern: clarity in the day, worsening at dawn, stability at noon, and quietness in the late afternoon. A very tight pulse causes convulsions; a slightly tight pulse causes chest and diaphragm obstruction, with food regurgitation immediately after ingestion. A very slack pulse causes Wei-Jue (flaccidity and cold); a slightly slack pulse causes Wind-Wei, with limbs unable to move. A very large pulse causes sudden collapse; a slightly large pulse indicates Spleen enlargement, internal hernia, and pus/blood outside the intestines. A very small pulse causes chills and fever; a minute pulse causes Xiao-Dao (wasting-thirst). A very slippery pulse causes Tui-Hernia; a slightly slippery pulse indicates insect toxicity, borborygmus, and internal heat. A very choppy pulse indicates intestinal issues; a slightly choppy pulse indicates internal ulceration and purulent bloody stool.
When the Spleen pulse arrives, if it is large and empty, there is accumulated Qi in the abdomen and Jue-Qi, named Jue-Hernia. Women follow the same pattern. This condition causes sweating in the limbs due to exposure to wind. Spleen pulse severance leads to death in ten days. Umbilical protrusion also indicates death. Dry, cracked lips without texture and turning blue-black indicate early Spleen severance. Spleen disease with yellow face and red eyes is treatable. If blue-black color enters the mouth, death occurs in half a year. If the complexion resembles the color of the fruit of the Akebia tree, death occurs in one month. Auspiciousness or calamity is seen in the colors appearing in specific facial regions. Mouth lock, black lips, limbs heavy as mountains and uncontrollable, unceasing bowel/bladder movements, and inability to eat or drink indicate death in seven days. However, if lips are sallow but voice is clear, it is treatable. Persistent Spleen Malaria with abdominal pain and borborygmus, slow hot sweats, and a sudden change from a calm temperament to anger, laughing through the nose while speaking normally, and inability to respond to others, indicates disaster within one month.
Cold and heat in the Spleen both cause abdominal pain and anorexia. Spleen disease also presents with a stiff tongue, slurred speech, tendon contraction, testicular retraction, pulling pain in the inner thigh and hip, body heaviness, anorexia, and abdominal drum-like distension. Transformation into watery diarrhea with inability to lie down indicates a fatal, untreatable condition. Spleen proper heat causes yellow face, red eyes, and hypochondriac pain/fullness. Cold causes salivation, anorexia, limb pain, incessant diarrhea, cold extremities, and severe tremors resembling malaria. In treating illness, one must clearly identify the syndrome and carefully examine the pulse before administering decoctions or pills to seek recovery.