（《素问·腹中论》）
帝曰∶病有少腹盛，上下左右皆有根，此为何病？可治不？（不，否同。）岐伯曰∶病名曰伏梁。（伏，藏伏也。梁，
强梁坚硬之谓。）帝曰∶伏梁何因而得之？岐伯曰∶裹大脓血，居肠胃之外，不可治，治之每切按之致死。（按，抑也。
切按之者，谓过于妄攻也，故必致死。）帝曰∶何以然？岐伯曰∶此下则因阴，必下脓血，上则迫胃脘，生膈，挟胃脘内
痈，（此病连居三阴冲带之间，裹大脓血而伏于肠胃之外，其上下左右皆有根系，故下行者能下脓血，上行者能迫胃脘。
脘，管、完二音。）此久病也，难治。（此非一朝夕所致者，延积既久，根结日深，故不易治。）居齐上为逆，居齐下为从。
（居齐上则渐逼心肺，故为逆。在下者其势犹缓，故为从。按∶《邪气脏腑病形篇》曰∶心脉微缓为伏梁，在心下，上下
行，时唾血。又《经筋篇》曰∶手少阴之筋病，内急，心承伏梁。故《五十六难》曰∶心之积名曰伏梁，起脐上，大如
臂，上至心下。其义本此二篇。然观本节云齐上为逆，齐下为从。下节云环齐而痛，病名伏梁。是又不独以心积为伏梁
也，盖凡积有内伏而坚强者，皆得名之，故本篇独言伏梁者，其总诸积为言可知也。）勿动亟夺，（动，动大便也。夺，
夺土郁也。皆下之之谓。言勿得妄攻而数夺其胃气，不及于病，徒伤无益也。亟，激、气二音。）论在刺法中。（谓宜以
针治之，今亡其义。按∶伏梁一证，即今之所谓痞块也。欲治之者莫妙于灸，法详《图翼》十一卷。）
帝曰∶人有身体髀股 皆肿，环齐而痛，是为何病？岐伯曰∶病名伏梁。（此亦在冲脉之分，而结于脐腹者也。冲脉
之在上者，出颃颡循背里，在中者挟脐腹，在下者伏行股足之间，故其为病如此。此下三节与《奇病论》文重者，兹不
复载。）此风根也，其气溢于大肠而着于肓，肓之原在齐下，故环齐而痛也。（风根，即寒气也。如《百病始生篇》曰∶
积之始生，得寒乃生，厥乃成积。即此谓也。肓之原在脐下，即下气海也，一名下肓，《九针十二原篇》谓之脖 者即此。
今病在冲脉则与大小肠相附，而当气海之间，故其为病如此。）不可动之，动之为水溺涩之病。（不当动而妄下之，则反
伤其阴，阴伤则积气愈壅于下，而水道为之不利也。）
（出自《素问·腹中论》）
黄帝问道：有一种病表现为小腹部胀满坚实，且上下左右都有根脚，这是什么病？可以治疗吗？（“不”与“否”同义。）岐伯回答说：这种病名叫伏梁。（“伏”，指潜藏潜伏；“梁”，指坚硬强横之意。）
黄帝又问：伏梁病是由于什么原因引起的？岐伯说：这是因为肠胃之外包裹着大量的脓血，无法治愈。如果强行治疗，每次切按都会导致患者死亡。（“按”，即按压的意思。所谓切按致死，是指过度妄用攻下法，所以必然导致死亡。）
黄帝问：为什么这样说呢？岐伯说：因为此病位于下部则牵连阴经，必然导致下部排出脓血；位于上部则压迫胃脘，产生膈塞，并夹杂胃脘内部的痈肿。（此病连居三阴经及冲脉、带脉之间，包裹大量脓血而潜伏在肠胃之外，其上下左右都有根系相连，所以下行者能导致下排脓血，上行者能压迫胃脘。“脘”字读音为管、完二音。）这是久病，难以治愈。（这不是一朝一夕形成的，拖延积累已久，根结日益深固，所以不容易治疗。）病灶位于脐上为逆证，位于脐下为顺证。（位于脐上则逐渐逼近心肺，所以称为逆证。位于下方则病势尚缓，所以称为顺证。按：《灵枢·邪气脏腑病形篇》说：心脉微缓即为伏梁，病位在心下，上下移动，时常唾血。又《灵枢·经筋篇》说：手少阴心经的筋发病，内部拘急，心脏支撑着伏梁。所以《难经·五十六难》说：心的积病名叫伏梁，起于脐上，大如手臂，向上延伸至心下。其含义本源于这两篇。然而看本节说脐上为逆，脐下为从。下一节说环绕脐部疼痛，病名伏梁。这说明不仅仅以心之积称为伏梁，大概凡是体内潜伏且坚硬的积块，都得名于此，所以本篇单独谈论伏梁，可知是总括各种积病而言的。）不要随意触动或急于攻夺。（“动”，指通大便；“夺”，指剥夺脾胃之气。都是指泻下的方法。意思是不得妄用攻下法而多次损伤胃气，这样不仅治不好病，反而徒然受伤无益。“亟”字读音为激、气二音。）相关论述在刺法篇章中。（意指适宜用针刺治疗，但如今已失传其义。按：伏梁这一证候，就是现在所说的痞块。想要治疗它，没有比艾灸更妙的了，具体方法详见《针灸大成·图翼》第十一卷。）
黄帝问道：有人身体大腿和股部都肿胀，环绕脐部疼痛，这是什么病？岐伯说：这种病名叫伏梁。（这也发生在冲脉分布的区域，结聚于脐腹部。冲脉在上部的，出于咽喉后部沿脊柱内侧行走，在中部的挟持脐腹部，在下部的潜伏行走于大腿和足部之间，所以它的病症如此表现。这三段内容与《奇病论》重复，此处不再赘述。）这是风邪留下的病根，其气溢于大肠并附着于肓膜，肓膜的根源在脐下，所以环绕脐部疼痛。（“风根”，即寒气。如《灵枢·百病始生篇》所说：积病的开始形成，得到寒气才产生，气机逆乱才形成积块。说的就是这个意思。肓膜的根源在脐下，即下气海穴，又名下肓，《灵枢·九针十二原篇》称之为脖胦的就是这个部位。现在病在冲脉，则与大、小肠相邻，正处于气海之间，所以它的病症如此。）不可妄动攻下，如果妄动攻下，就会引发小便涩滞不通的病证。（不应当动而妄用泻下法，反而会损伤阴液，阴液受损则积气更加壅塞于下，导致水道不利。）
(From *Suwen: Fuzhong Lun*)
The Yellow Emperor asked, "There is a disease characterized by fullness and hardness in the lower abdomen, with roots extending up, down, left, and right. What is this disease? Is it treatable?" (The character 'Bu' here means 'No'.) Qibo replied, "This disease is named Fuliang (Hidden Beam)." ('Fu' means hidden or latent; 'Liang' refers to being hard and rigid.)
The Yellow Emperor asked again, "What causes Fuliang?" Qibo said, "It consists of large amounts of pus and blood wrapped within, located outside the intestines and stomach. It is untreatable. If treated, every time pressure is applied, it leads to death." ('An' means pressing. The statement that pressing causes death refers to overly aggressive attack methods, which inevitably lead to death.)
The Yellow Emperor asked, "Why is this so?" Qibo said, "If it is located lower, it affects the Yin meridians, inevitably causing pus and blood to discharge from below. If it is located upper, it presses against the epigastrium, causing diaphragmatic obstruction and internal abscesses in the epigastrium." (This disease connects between the Three Yin meridians and the Chong and Dai vessels, wrapping large amounts of pus and blood while lying latent outside the intestines and stomach. Its roots extend up, down, left, and right. Therefore, downward extension causes discharge of pus and blood, while upward extension presses against the epigastrium. 'Wan' has pronunciations similar to 'Guan' and 'Wan'.) This is a chronic disease and difficult to treat. (It is not caused overnight; after prolonged accumulation, the root becomes deeply established, making it hard to cure.) Lesions above the umbilicus are considered adverse (Ni), while those below the umbilicus are considered favorable (Cong). (Lesions above the umbilicus gradually approach the heart and lungs, hence termed adverse. Those below have a slower progression, hence termed favorable. Note: In *Ling Shu: Xieqi Zangfu Bingxing Pian*, it states: A slightly slow pulse at the Heart indicates Fuliang, located below the heart, moving up and down, with occasional hemoptysis. Also, in *Ling Shu: Jingjin Pian*, it says: Disease of the sinews of the Hand-Shaoyin meridian involves internal tension, with the Heart supporting Fuliang. Thus, *Nanjing: Chapter 56* states: The accumulation of the Heart is named Fuliang, starting above the umbilicus, as large as an arm, extending up to below the heart. This meaning originates from these two chapters. However, observing this section stating 'above umbilicus is adverse, below is favorable,' and the next section stating 'pain around the umbilicus, disease name Fuliang,' it is clear that Fuliang is not limited to Heart accumulation. Generally, any accumulation that is internally latent and hard can be named thus. Therefore, this chapter's specific discussion on Fuliang implies a general reference to all accumulations.) Do not move or aggressively deplete [the Qi]. ('Dong' refers to inducing bowel movements; 'Duo' refers to depleting Spleen Qi stagnation. Both refer to purgative methods. It means one must not recklessly use purgatives to repeatedly damage Stomach Qi without treating the disease, causing only harm. 'Ji' has pronunciations similar to 'Ji' and 'Qi'.) Relevant discussions are found in the acupuncture chapters. (Meaning needle treatment is appropriate, but the original meaning is now lost. Note: The syndrome of Fuliang corresponds to what is now called a palpable mass. For treatment, moxibustion is best; detailed methods are in Volume 11 of *Zhenjiu Dacheng: Tuyu*.)
The Yellow Emperor asked, "Some people have swelling in their thighs and legs, and pain around the umbilicus. What disease is this?" Qibo said, "This disease is named Fuliang." (This also occurs in the distribution area of the Chong vessel, knotting at the umbilical and abdominal region. The Chong vessel, when upper, emerges from the pharynx and runs along the spine; when middle, it flanks the umbilical abdomen; when lower, it runs hidden between the thighs and feet. Hence its symptoms manifest this way. These three sections repeat content from *Qibing Lun* and are omitted here.) This is the root of Wind pathogen. Its Qi overflows into the large intestine and attaches to the Huang (Tripler/Bladder) membrane. The source of the Huang membrane is below the umbilicus, hence the pain around the umbilicus. ('Fenggen', wind root, refers to Cold pathogen. As stated in *Ling Shu: Baiqi Shisheng Pian*: Accumulations begin to form when Cold is acquired, and Qi rebellion forms the accumulation. This refers to that concept. The source of the Huang membrane is below the umbilicus, i.e., the Xiaguhai acupoint, also known as Xiahuang. In *Ling Shu: Jiuzhen Shieryuan Pian*, it is called Bo Yang. Now, since the disease is in the Chong vessel, it adheres to the large and small intestines and lies between the Qi Hai, hence its symptoms manifest this way.) Do not manipulate or purge. If manipulated, it will cause difficulty in urination. (One should not recklessly purge when inappropriate. Doing so damages Yin fluids. When Yin is damaged, the accumulated Qi becomes more obstructed below, leading to dysfunction of the water passages.)