狂言者。大开目与人语。语所未尝见之事。即为狂言也。谵语者。合目自言。言所日用
常见常行之事。即为谵语也。郑声者。声战无力。不相接续。造字出于喉中。即郑声也。
答曰。胃者总司也。内有太阳阳明少阳三经之别以其气血多少。而与声物有无之不同。
即吐属太阳。有物无声。乃血病也。有食入即吐呕。
食已则吐食久则吐之别。
呕属阳明。有物有声。气血俱病也。仲景云。呕多虽有阳明证。不可下。
哕属少阳。无物
有声。乃气病也。以此推之。则大便亦各有经耳。但察其有物无声有物有声无物有声。则知何
经也。至于脾病。后出余气。以五臭分之。则知何藏入中州而病也。
有下之早而发者有失下而发者有胃热胃烂而发者。然得之虽殊大抵皆戊助手少阳心火入
于手
太阴肺也。故红点如 。生于皮毛之间耳。（白虎汤）（泻心汤）（调胃承气汤）从所当而用之。
及当以肺脉别也。
答曰有九。太阳。阳明。少阳。太阴。少阴。厥阴。是为六也。有太阳阳明。有少阳阳
明。
有正阳阳明。是为三也。非九而何。阳明者。太阳少阳俱入于胃。故曰正阳阳明也。前三经
者。阳明自病。不入于里者。谓之在经。不为正阳阳明矣。
太阳阳明。（大承气汤）。少阳阳明（小承气汤）。正阳阳明（调胃承气汤）。
以汗证言之。以少阳居其中。谓太阳证为表。当汗。阳明证为里。当下。少阳居其中故不
从汗下。和之。以小柴胡汤从少阳也。以下证言之。阳明居其中。谓太阳经血多气少阳明。
经气血俱多。少阳经气多血少。若从太阳下则犯少阳。从少阳下则犯太阳。故止从阳明也。
此三阳合病。谓之正阳阳明。不从标本从乎中也。缘阳明经居太阳少阳之中。此经气血俱多
故取居其中。是以不从太阳少阳而从阳明也。阳明自病（调胃承气汤）主之三阳并病（白虎汤）主之
。是从乎中也。
说“狂言”的人，是睁大眼睛与人交谈，谈论那些从未见过的事情，这就叫做狂言。
说“谵语”的人，是闭着眼睛自言自语，说的是日常生活中常见常行的事情，这就叫做谵语。
说“郑声”的人，是声音颤抖无力，话语不连贯接续，字音从喉咙中发出，这就叫做郑声。
回答说：胃是总司（统领消化功能的器官）。内部有太阳经、阳明经、少阳经三经的区别，根据其气血的多少不同，导致发声和是否有物吐出也不同。
如果是吐属太阳经，是有物无声，这是血分病变。其中有食入即吐的呕吐，有食后不久才吐的呕吐，有食物停留很久后才吐的区别。
呕吐属阳明经，是有物有声，这是气和血都发生了病变。张仲景说：“如果呕吐很多，即使有阳明病的证候，也不可用攻下法。”
呃逆（哕）属少阳经，是无物有声，这是气分病变。由此类推，大便的情况也分别归属于各条经络。只要观察是有物无声、有物有声、还是无物有声，就能知道是哪条经络的病。至于脾病，排出残余之气，通过五种气味来区分，就能知道是哪一脏邪气侵入中焦而致病。
有的因过早使用攻下法而发病，有的因该用攻下法却未用而发病，有的因胃热或胃烂而发病。然而虽然成因不同，大体上都是戊土（胃/脾）助长手少阳心火，进入手太阴肺经。所以皮肤毛孔之间生出红点如粟米状。（适用白虎汤）、（适用泻心汤）、（适用调胃承气汤），根据应当使用的方剂来选用。并且应当以肺脉来辨别。
回答说共有九种情况。太阳、阳明、少阳、太阴、少阴、厥阴，这六种。加上太阳阳明、少阳阳明、正阳阳明，这三种，共为三种。不是九种又是什么呢？所谓阳明病，是指太阳、少阳两经的病邪都传入胃中，所以称为正阳阳明。前三条经络的病，如果是阳明经自病，病邪没有深入里的，称之为在经，就不属于正阳阳明了。
太阳阳明病，用大承气汤治疗。少阳阳明病，用小承气汤治疗。正阳阳明病，用调胃承气汤治疗。
从汗证的方面来说，因为少阳经居于中间，称太阳病证为表证，应当发汗；阳明病证为里证，应当攻下；少阳经居于中间，所以不从发汗也不从攻下，而是用和解法，用小柴胡汤从少阳经治疗。
从攻下证的方面来说，阳明经居于中间，称太阳经血多气少，阳明经气血俱多，少阳经气多血少。如果从太阳经直接攻下，就会侵犯少阳经；如果从少阳经直接攻下，就会侵犯太阳经。所以只从阳明经治疗。这三阳合病，称为正阳阳明。不遵循标本理论，而从乎中气（阳明中气）。因为阳明经居于太阳、少阳二经之中，此经气血俱多，所以取其中气为主。因此不从太阳、少阳而从阳明经治疗。阳明经自病，用调胃承气汤主治；三阳并病，用白虎汤主治。这就是所谓从乎中气。
Those who speak "Kuang Yan" (Manic Speech) open their eyes wide and converse with others, discussing matters they have never seen; this is called Kuang Yan.
Those who speak "Zhen Yu" (Delirious Speech) close their eyes and talk to themselves, speaking of things commonly seen and done in daily life; this is called Zhen Yu.
Those who exhibit "Zheng Sheng" (Feeble Voice) have a trembling and weak voice that does not connect continuously, with words issuing from the throat; this is called Zheng Sheng.
The answer states: The Stomach (Wei) acts as the general manager. Internally, there are distinctions among the Taiyang (Greater Yang), Yangming (Yang Brightness), and Shaoyang (Lesser Yang) meridians. Due to differences in the quantity of Qi and Blood, there are variations in vocalization and the presence or absence of expelled matter.
If vomiting belongs to the Taiyang meridian, it involves expelling matter without sound, indicating a disease of the Blood level. There are distinctions such as vomiting immediately after eating, vomiting shortly after eating, and vomiting after food has remained for a long time.
Vomiting (Ou) belongs to the Yangming meridian, involving both matter and sound, indicating a disease affecting both Qi and Blood. Zhang Zhongjing stated: "If there is much vomiting, even if there are Yangming syndrome manifestations, purgation must not be used."
Hiccups (Yue) belong to the Shaoyang meridian, involving sound without matter, indicating a disease of the Qi level. By inferring from this, bowel movements also correspond to specific meridians. By observing whether there is matter without sound, matter with sound, or sound without matter, one can determine which meridian is affected. Regarding Spleen diseases, the expulsion of residual gas can be distinguished by the five odors to identify which Zang organ's pathogenic factor has entered the Middle Jiao causing illness.
Diseases may arise from premature purgation, from failure to use purgation when indicated, or from Stomach Heat or Stomach Rot. Although the causes differ, generally they all involve the Earth element (Stomach/Spleen) assisting the Hand-Shaoyang Heart Fire to enter the Hand-Taiyin Lung meridian. Consequently, red spots like millet grains appear between the skin and hair follicles. (Baihu Tang / White Tiger Decoction), (Xiexin Tang / Drain the Epigastrium Decoction), (Tiaowei Chengqi Tang / Regulate the Stomach and Direct Downward Decoction) should be used according to indications. Differentiation should also be made via the Lung pulse.
The answer states there are nine types. Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, and Jueyin constitute six. Additionally, there are Taiyang-Yangming, Shaoyang-Yangming, and Zhengyang-Yangming, constituting three more. Thus, they total nine. Yangming disease refers to the transmission of pathogens from both Taiyang and Shaoyang meridians into the Stomach, hence termed Zhengyang-Yangming (True Yangming). For the first three meridians, if Yangming disease occurs spontaneously without entering the interior, it is termed "in the meridian" and does not qualify as Zhengyang-Yangming.
Taiyang-Yangming is treated with Dachengqi Tang (Major Order the Qi Decoction). Shaoyang-Yangming is treated with Xiao Chengqi Tang (Minor Order the Qi Decoction). Zhengyang-Yangming is treated with Tiaowei Chengqi Tang (Regulate the Stomach and Direct Downward Decoction).
Regarding sweating syndromes: Since Shaoyang resides in the middle, Taiyang syndromes are considered exterior and require diaphoresis; Yangming syndromes are considered interior and require purgation. Because Shaoyang is in the middle, treatment neither employs diaphoresis nor purgation, but rather harmonization using Xiaochaihu Tang (Minor Bupleurum Decoction) targeting the Shaoyang meridian.
Regarding purgation syndromes: Yangming resides in the middle. Taiyang meridian has abundant Blood and scarce Qi; Yangming meridian has abundant Qi and Blood; Shaoyang meridian has abundant Qi and scarce Blood. If one purges directly from Taiyang, one offends Shaoyang; if one purges directly from Shaoyang, one offends Taiyang. Therefore, treatment focuses solely on Yangming. This combination of the three Yang meridians is called Zhengyang-Yangming. It follows the Middle Qi rather than the Root or Branch. Because the Yangming meridian lies between Taiyang and Shaoyang, and possesses abundant Qi and Blood, its central position is prioritized. Thus, treatment follows Yangming rather than Taiyang or Shaoyang. Spontaneous Yangming disease is primarily treated with Tiaowei Chengqi Tang. Concurrent illness of the three Yang meridians is primarily treated with Baihu Tang (White Tiger Decoction). This exemplifies following the Middle Qi.