脾脏象中坤。安和对胃门。旺时随四季。自与土为根。磨谷能消食。荣身性本温。应唇通口气。
连肉润肌臀〔形扁〕（广）〔才〕（长）三〔五〕（寸五）。
难经曰。脾广三寸长五寸。脉诀止言扁三寸。失长五寸之文。今合广长。着三五之数。
膏凝散半斤。顺时脉缓慢。失则气连吞。
素问曰。五气所病脾为吞。又曰剌中脾。十日死。其动如吞。李 范曰。连吞者。所以形容紧
数之脉状。乖于内经。失脉诀意。
实梦歌欢乐。虚争饮食分。湿多成五泄。肠〔走〕（响）若雷奔。痞气冬为积。皮黄四体昏。二斤十
四两。三斗五升存。
三部俱缓脾家热。口臭胃翻长呕逆。齿肿断宣注气缠。寒热时时少心力。
脾脉实兼浮。消中脾胃亏。口干饶饮水。多食亦肌虚。（肌一作饥）单滑脾家热。口臭气多粗。
涩则非多食。食不作肌肤。微浮伤客热。来往作微疏。有紧脾家痛。仍兼筋急拘。欲吐不得吐。冲冲
未得苏。若弦肝气盛。妨食被机谋。大实心中痛。如邪勿带符。溢关涎退场门。风中见羁孤。
肺脏最居先。大肠通道宣。兑为八卦〔地〕（说）。金〔属〕（次）五行〔牵〕（传）。皮与毛通应。魂将魄
共连。鼻闻香臭辨。壅塞气相煎。语过多成嗽。疮浮酒灌穿。猪膏凝者吉。枯骨命难存。本积息贲患。
乘春右胁边。顺时浮涩短。反即大洪弦。实梦兵戈竞。虚行〔涉〕（梦）〔水〕（野田）。
灵枢曰。厥气客于大肠。则梦田野。今按脉诀以水田为肺虚之梦。非也。大肠虚。为厥气所客。
则梦田野。腑虚致脏虚。或可连称。若曰水田。则肾梦也。
三斤三两重。六叶散分悬。
脾脏的象数对应于八卦中的坤卦。它安宁地对着胃的门户。它的旺盛时节随四季变化而分布（寄旺于四季之末）。它自身以土为根本。它能研磨谷物，能够消化食物。滋养身体，其本性原本温和。它反映在嘴唇上，贯通口部的口气。
（关于脾脏的大小）：连接肌肉，润泽肌肤和臀部。（形状扁平）（宽广）（才）（长）三（五）（寸五）。
《难经》说：脾脏宽广三寸，长度五寸。《脉诀》只说了扁平三寸，遗漏了长度五寸的文字。现在结合宽度和长度，明确写出三五之数。
膏脂凝结散半斤。顺应时令的脉搏缓慢。如果失去这种状态，气就会连吞（指脉象紧数）。
《素问》说：五气所致的病症中，脾病表现为吞（吞咽困难或呃逆）。又说针刺中伤脾脏，十日死亡。其动态如同吞咽。李范说：连吞是用来形容紧数和急促的脉状。这违背了《内经》，失去了《脉诀》的本意。
实证梦见歌谣欢乐。虚证争斗饮食分配。湿气多导致五种泄泻。肠鸣声响如雷奔。痞气在冬季形成积块。皮肤发黄，四肢昏沉。重二斤十四两。容量三斗五升。
三部脉都缓，是脾家热症。口臭，胃气上翻，长期呕吐。牙齿肿胀，断绝宣通，注气缠绕。寒热交替，时常缺乏心力。
脾脉实兼浮，是消中症，脾胃亏损。口干，喜欢喝水。吃得多但肌肉虚弱。（肌一作饥）单见滑脉，是脾家热症。口臭，气息粗重。涩脉则不是多吃能解决的事，吃了也不长肌肉。微浮脉是伤了客热，往来作轻微疏泄。有紧脉是脾家痛，仍兼筋脉拘急。想吐却吐不出来，冲撞不得舒缓。如果是弦脉，是肝气盛，妨碍进食被机谋所困。大实证心中痛，像邪气不要带符咒。溢关脉涎退场门，风中见羁孤。
肺脏位置最靠前。大肠通道宣通。兑卦对应八卦中的（地）（说）。金（属）（次）五行（牵）（传）。皮毛相通相应。魂与魄共同连接。鼻子闻香臭辨别。壅塞气相煎。语过多成嗽。疮浮酒灌穿。猪膏凝者吉。枯骨命难存。本积息贲患。乘春右胁边。顺时浮涩短。反即大洪弦。实梦兵戈竞。虚行〔涉〕（梦）〔水〕（野田）。
《灵枢》说：厥气客于大肠，则梦田野。现在按《脉诀》以水田为肺虚之梦，是不对的。大肠虚，为厥气所客，则梦田野。腑虚致脏虚，或许可以连称。如果说水田，则是肾梦。
重三斤三两。六叶分散悬挂。
The image of the Spleen corresponds to Kun (Earth) in the Bagua. It is peaceful and faces the gate of the Stomach. Its flourishing times follow the four seasons. It takes Earth as its root. It grinds grain and can digest food. It nourishes the body, and its nature is originally warm. It manifests on the lips and connects with the breath from the mouth.
[Regarding the size of the spleen]: Connecting to the flesh, moistening the skin and buttocks. [Shape flat] [Broad] [Talent] [Long] three [five] [cun five].
Nan Jing states: The spleen is broad three cun and long five cun. Mai Jue only mentions flat three cun, missing the text of long five cun. Now combining breadth and length, we establish the number three-five.
Gao Ning San Ban Jin. The pulse following the season is slow. If lost, Qi connects with swallowing.
Su Wen states: Among diseases caused by the five Qi, Spleen disease presents as swallowing (dysphagia or hiccups). It also states that puncturing the Spleen leads to death in ten days. Its movement resembles swallowing. Li Fan says: "Lian Tun" describes the tight and rapid pulse state. This contradicts Nei Jing and loses the intent of Mai Jue.
Excess dreams of songs and joy. Deficiency dreams of fighting over food distribution. Dampness often causes five types of diarrhea. Intestinal rumbling sounds like thunder rushing. Pi Qi forms an accumulation in winter. Skin turns yellow, limbs feel heavy. Weight two jin fourteen liang. Capacity three dou five sheng.
When all three positions show a slow pulse, it indicates Heat in the Spleen. Bad breath, stomach reflux, chronic vomiting. Swollen teeth, blocked circulation, Qi entanglement. Alternating chills and fever, frequent lack of mental strength.
Spleen pulse excess combined with floating indicates Xiao Zhong (Middle Consumption) and Spleen-Stomach deficiency. Dry mouth, abundant drinking. Eating much but muscles remain weak. (Muscle alternatively reads Hunger). Single slippery pulse indicates Heat in the Spleen. Bad breath, coarse breathing. Choppy pulse means not due to excessive eating; food does not build muscle. Slight floating indicates invasion by external Heat, coming and going with slight dispersion. Tight pulse indicates Spleen pain, accompanied by tendon stiffness. Desire to vomit but unable to, surging without relief. If wiry, Liver Qi is excessive, hindering eating due to scheming. Severe excess causes heart pain, like evil without talismans. Overflowing Guan position, saliva retreats from Chang Men, seen in wind as isolated.
The Lung resides at the forefront. The Large Intestine channel is open and disseminating. Dui corresponds to Bagua [Earth] [Speech]. Metal [belongs] [sequence] Five Elements [connects] [transmits]. Skin and hair correspond mutually. Hun and Po are connected together. The nose distinguishes fragrance and stench. Obstruction causes Qi to fry each other. Excessive speech becomes cough. Sores float, wine pours through. Pig fat coagulating is auspicious. Withered bones mean life is hard to save. Original accumulation is Xiben disorder. In spring, right hypochondriac side. Following season: floating, choppy, short. Reversing: large, flooding, wiry. Excess dreams of weapons and war. Deficiency walks [wades] [dreams] [water] [wild fields].
Ling Shu states: When Ju Qi invades the Large Intestine, one dreams of wild fields. Now according to Mai Jue, taking water fields as the dream for Lung deficiency is incorrect. Large Intestine deficiency, invaded by Ju Qi, leads to dreaming of wild fields. Fu deficiency leading to Zang deficiency might be linked. If saying water fields, it is a Kidney dream.
Weight three jin three liang. Six lobes scattered and suspended.