《素问》示从容论有云肝虚、肾虚、脾虚，皆令人体重烦冤。运气身重有五∶一曰湿。乃湿制肾
虚而重。经云∶太阴所至为身重。又云∶太阴之复，体重身满。又云∶岁土太过，湿气流行，民病体
重烦冤。又云∶土郁之发，民病身重是也。二曰湿热。经云∶少阳司天之政，四之气。炎暑间化，其
病满身重是也。三曰寒湿。经云∶太阴司天之政，三之气，感于寒湿，民病身重是也。四曰风乃木制，
脾虚而重。经云∶岁木太过，风气流行，民病体重烦冤。又云∶岁土不及，风乃大行，民病体重烦冤。
又云∶厥阴在泉，风淫所胜，病身体皆重是也。五曰金乃燥制，肝虚而重。经云∶岁金太过，燥气流
行，民病体重烦冤是也。东垣云∶身重者，湿也。补中益
气汤加五苓散去桂主之。洁古云∶起卧不能谓之湿，身重是也。小柴胡汤、黄 芍药汤。仲景云∶风
湿脉浮身重，汗出恶风者，防己黄 汤主之。洁古云∶夏月中风湿，身重如山，不能转侧，除风胜湿
去热之药治之。仲景云∶肾着之病，其人身体重，腰中冷，如坐水中，形如水状，反不渴，小便自利，
饮食如故，病属下焦，身劳汗出，表里冷湿，久久得之，腰以下冷痛，腹重如带五千钱，甘姜苓术汤
主之。脾胃虚弱，元气不能荣于心肺，四肢沉重，食后昏闷，参术汤主之。针灸身重有二法∶其一取
脾。经云∶脾病者，身重肉痿，取其经太阴、阳明、少阴血者。又云∶脾足太阴之脉，是动则病腹胀，
身体皆重，视盛、虚、热、寒、陷下取之也。其二取肾。经云∶肾病者，身重，寝汗出，憎风，取其
经少阴、太阳血者是也。
《素问·示从容论》中说：肝虚、肾虚、脾虚，都会导致人体身体沉重且心中烦闷不舒。因五运六气所致的身重有五种情况：第一种是湿邪。这是湿邪克制肾气导致虚弱而身体沉重。医经说：“太阴湿土之气所至，表现为身体沉重。”又说：“太阴湿土之气复郁发作时，会出现身体沉重、腹部胀满。”又说：“如果岁运土气太过，湿气流行，百姓会患病出现身体沉重、心中烦闷。”又说：“土气郁结而发时，百姓患病身体沉重，说的就是这种情况。”第二种是湿热。医经说：“少阳相火司天之年，在四之气阶段。炎热暑气交替变化，其病症表现为全身沉重。”第三种是寒湿。医经说：“太阴湿土司天之年，在三之气阶段，感受寒湿之邪，百姓患病身体沉重。”第四种是风邪克制木气（注：此处原文逻辑似指风木克土或风邪致脾虚），脾虚而身体沉重。医经说：“如果岁运木气太过，风气流行，百姓患病身体沉重、心中烦闷。”又说：“如果岁运土气不及，风邪大行，百姓患病身体沉重、心中烦闷。”又说：“厥阴风木在泉之时，风邪淫盛获胜，病症表现为全身沉重。”第五种是金气克制燥气（注：此处原文逻辑似指燥金克木或燥邪致肝虚），肝虚而身体沉重。医经说：“如果岁运金气太过，燥气流行，百姓患病身体沉重、烦闷，说的就是这种情况。”
李东垣说：身体沉重，属于湿邪致病。用补中益气汤加五苓散，去掉桂枝来主治。张洁古说：起卧动作不受限不能称为湿邪，身体沉重才是湿邪的表现。用小柴胡汤、黄芍药汤治疗。张仲景说：风湿病脉象浮，身体沉重，出汗且怕风的，用防己黄芪汤主治。张洁古说：夏季中暑兼感风湿，身体沉重得像山一样，不能翻身转动，需要用祛风胜湿、清热的药物治疗。张仲景说：肾着病，患者身体沉重，腰部发冷，如同坐在水中，外形像有水状，反而不口渴，小便正常通畅，饮食如常，病位属下焦，因劳累出汗，表里受冷湿侵袭，日久形成，腰部以下冷痛，腹部沉重如同系着五千枚铜钱，用甘姜苓术汤主治。脾胃虚弱，元气不能滋养心肺，四肢沉重，饭后头昏闷倦，用参术汤主治。
针灸治疗身重有两种方法：第一种取脾经穴位。医经说：“脾脏有病的人，身体沉重、肌肉痿软，应取脾经的太阴、阳明、少阴经的血分穴位。”又说：“足太阴脾经发生变动，会生病腹胀，全身沉重，应根据经脉的盛、虚、热、寒、下陷等情况进行针刺治疗。”第二种取肾经穴位。医经说：“肾脏有病的人，身体沉重，睡眠中出汗，怕风，应取少阴、太阳经的血分穴位。”
The *Suwen* (Plain Questions), in the chapter "Shi Congrong Lun" (Demonstrating Composure), states that deficiency of the Liver, Kidney, and Spleen all cause heaviness of the body and inner restlessness (*zhong zhong fan yuan*). There are five types of body heaviness caused by the Five Movements and Six Qi:
First is Dampness. This occurs when Dampness suppresses Kidney deficiency, leading to heaviness. The classics state: "When Taiyin [Spleen/Earth] arrives, it manifests as body heaviness." It also states: "When Taiyin undergoes a reaction, there is heavy body and abdominal fullness." Furthermore: "When the annual Earth Qi is excessive, Dampness prevails, and the people suffer from body heaviness and inner restlessness." And again: "When Earth Qi is depressed and erupts, the people suffer from body heaviness."
Second is Damp-Heat. The classics state: "In years where Shaoyang [Fire] governs the Heaven, during the fourth Qi period. Scorching heat alternates with transformation; the disease manifests as whole-body heaviness."
Third is Cold-Dampness. The classics state: "In years where Taiyin [Earth] governs the Heaven, during the third Qi period. Contracting Cold-Dampness causes the people to suffer from body heaviness."
Fourth is Wind suppressing Wood (or Wind affecting Spleen due to Wood overacting on Earth), leading to Spleen deficiency and heaviness. The classics state: "When the annual Wood Qi is excessive, Wind prevails, and the people suffer from body heaviness and inner restlessness." It also states: "When the annual Earth Qi is insufficient, Wind acts greatly, and the people suffer from body heaviness and inner restlessness." And again: "When Jueyin [Wind-Wood] is at the Bottom, Wind excess wins, causing the disease of whole-body heaviness."
Fifth is Metal suppressing Dryness (or Dryness affecting Liver due to Metal overacting on Wood), leading to Liver deficiency and heaviness. The classics state: "When the annual Metal Qi is excessive, Dryness prevails, and the people suffer from body heaviness and inner restlessness."
Li Dongyuan said: Body heaviness is due to Dampness. Treat with *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) added with *Wuling San* (Five-Ingredient Powder with Poria), removing *Guizhi* (Cinnamon Twig). Zhang Jiegu said: If rising and lying down are not restricted, it is not Dampness; body heaviness is the sign of Dampness. Treat with *Xiaochaihu Tang* (Minor Bupleurum Decoction) or *Huangshaoyao Tang* (Yellow Peony Decoction). Zhang Zhongjing said: In Wind-Dampness, if the pulse is floating, the body is heavy, and there is sweating with aversion to wind, treat with *Fangji Huangqi Tang* (Stephania and Astragalus Decoction). Zhang Jiegu said: In summer, contracting Wind-Dampness from heatstroke, the body feels as heavy as a mountain, unable to turn or shift sides. Treat with herbs that dispel Wind, overcome Dampness, and clear Heat. Zhang Zhongjing said: In the disease of *Shenzhe* (Kidney Fixation), the patient has a heavy body, coldness in the waist, feeling as if sitting in water, appearing like a water-filled form, yet without thirst, with normal urination, and normal diet. The disease resides in the Lower Jiao. Due to labor and sweating, exterior and interior are cold and damp. After a long time, this results in cold pain below the waist and heaviness in the abdomen as if wearing a belt of five thousand coins. Treat with *Ganjiang Lingzhu Tang* (Ginger, Poria, Atractylodes, and Licorice Decoction). For Spleen and Stomach weakness, where Yuan Qi cannot nourish the Heart and Lungs, causing heavy limbs and postprandial drowsiness and oppression, treat with *Shenzhu Tang* (Ginseng and Atractylodes Decoction).
There are two methods for acupuncture treating body heaviness: The first involves selecting the Spleen. The classics state: "For diseases of the Spleen, characterized by body heaviness and muscle flaccidity, select the meridians of Taiyin, Yangming, and Shaoyin, focusing on blood points." It also states: "When the Foot-Taiyin Spleen Meridian moves, it causes abdominal distension and whole-body heaviness. Treat according to whether the condition is excess, deficiency, heat, cold, or sinking." The second involves selecting the Kidney. The classics state: "For diseases of the Kidney, characterized by body heaviness, night sweats, and aversion to wind, select the meridians of Shaoyin and Taiyang, focusing on blood points."