症者，由寒温失节，致腑脏之气虚弱，而食饮不消，聚结在内，渐染生长。块 盘
牢不移动者，是症也，言其形状，可征验也。若积引岁月，人即柴瘦，腹转大，
诊其脉弦而伏，其症不转动者，必死。
瘕者，皆由寒温不调，饮食不化，与脏气相搏结所生也。其病不动者，直名为 。若病
虽有结瘕，而可推移者，名为瘕。瘕者，假也，谓虚假可动也。
候其人发语声嘶，中声浊而后语乏气拖舌，语而不出。此人食结在腹，病寒，口里常水
出，四体洒洒常如发疟，饮食不能，常自闷闷而痛，此食症病也。
诊其脉，沉而中散者，寒食症也。脉弦紧而细，症也。若在心下，则寸口脉弦
紧；在胃脘，则关上弦紧；在脐下，则尺中弦紧。脉症法，左手脉横，症在左；右
手脉横，症在右。脉头大在上，头小在下。脉来迟而牢者，为病症也。肾脉小急，
肝脉小急，心脉小急，不鼓，皆为瘕。寸口脉结者， 瘕。脉弦而伏，腹中有症，
不可转动，必死，不治故也。其汤熨针石，别有正方，补养宣导，今附于后。
《养生方》云∶饮食大走，肠胃伤，久成 瘕，时时结痛。
《养生方·导引法》云∶向晨，去枕，正偃卧，伸臂胫，瞑目闭口无息，极张腹、两足
再息。顷间吸腹仰两足，倍拳，欲自微息定，复为之。春三、夏五、秋七、冬九。荡涤五脏
，津润六腑，所病皆愈。腹有疾积聚者，张吸其腹，热乃止。 瘕散破即愈矣。
症，是由于寒温失调，导致脏腑之气虚弱，食物和饮水无法消化，在体内积聚结块，逐渐生长而成。如果肿块盘踞牢固、位置固定不移的，称为“症”，这是指其形态特征可以确证。如果病程迁延日久，人体就会消瘦枯槁，腹部反而胀大，诊察其脉象弦而沉伏，且病症部位不移动的，必定死亡。
瘕，都是由于寒温不调，饮食不化，与脏腑之气相互搏结而产生的。如果病邪固定不动的，直接称为“寢”（注：原文此处似有缺字或通假，结合上下文及中医理论，通常指固定的积块，即“症”或特指某种固定包块，但原文写为“直名为 ”，后文对比“可推移者名为瘕”，故此处对应固定之疾）。如果虽有结聚形成的瘕块，但可以推动移位的，称为“瘕”。“瘕”意为虚假，是指其形态虚假、可以移动。
观察病人说话声音嘶哑，中间声音浑浊，随后言语无力、拖沓且舌头僵硬难以伸出，说话时气短不出声。这类病人是食积结滞在腹部，患有寒病，口中常流出清涎，四肢时常战栗发冷如同疟疾发作，食欲减退，经常感到胸闷疼痛，这是食症病。
诊察其脉象，沉取而中取散乱的，是寒食症。脉象弦紧而细的，是症。如果病位在心下，则寸口脉弦紧；在胃脘部，则关上脉弦紧；在脐下部，则尺中脉弦紧。根据脉症对应的法则，左手脉象横溢（异常），症在左侧；右手脉象横溢，症在右侧。脉头大在上部，脉头小在下部。脉来迟缓而坚实的，是病症。肾脉小急，肝脉小急，心脉小急，且按之不应手（无搏动感），都归属于瘕。寸口脉结滞的，也是瘕。脉象弦而沉伏，腹中有症，不可转动，必定死亡，因为无法治疗。至于汤药、热敷、针刺、砭石等疗法，另有专门的方剂，补益调养和导引功法，现在附在后面。
《养生方》说：饮食过度奔跑（或指饮食不节、运动失度），会损伤肠胃，久而久之形成寢瘕，时常出现结聚疼痛。
《养生方·导引法》说：清晨起床，去掉枕头，端正仰卧，伸展手臂和小腿，闭目闭口屏息，极力扩张腹部，双脚交替呼吸两次。片刻之后吸气收腹并仰起双脚，双手握拳，想要自己轻微调整呼吸使其平稳，再重复做。春季三次，夏季五次，秋季七次，冬季九次。这样可以荡涤五脏，滋润六腑，所有疾病都能痊愈。腹部有疾痛积聚的，张开腹部吸气，感到发热就停止。寢瘕散开破裂就能痊愈了。
Zheng (Fixed Mass) arises from the failure to regulate cold and warmth, leading to deficiency of Qi in the fu and zang organs. Consequently, food and drink fail to digest, accumulate and knot internally, and gradually grow. If a mass is firmly rooted and does not move, it is called Zheng; this term describes its shape, which can be verified by observation. If the accumulation persists for years, the person becomes emaciated and thin, while the abdomen enlarges. Palpating the pulse reveals it to be wiry and deep/fixed. If the Zheng mass does not move, death is inevitable.
Jia (Migratory Mass) arises from the disharmony of cold and warmth, undigested food, and the struggle between pathogenic factors and the Qi of the zang organs. If the disease is fixed and immobile, it is directly named [Qin/Zheng - Note: Text implies fixed mass]. If there is a knotted Jia but it can be pushed and moved, it is called Jia. "Jia" means false or illusory, referring to its deceptive nature and mobility.
Observe a patient whose voice is hoarse when speaking, with a muddy tone in the middle, followed by lack of breath, dragging speech, stiff tongue, and inability to articulate fully. This person has food stagnation knotting in the abdomen, suffers from cold, constantly drools saliva from the mouth, experiences chills and shivering in the four limbs resembling malaria attacks, has poor appetite, and often feels stifled and painful. This is a Food Zheng disease.
Palpating the pulse: if it is deep and scattered at the middle position, it is Cold-Food Zheng. If the pulse is wiry, tight, and fine, it is Zheng. If located below the heart (epigastrium), the Cun Kou pulse is wiry and tight; if in the stomach region, the Guan pulse is wiry and tight; if below the umbilicus, the Chi pulse is wiry and tight. According to the method of correlating pulse and symptoms: if the left hand pulse is horizontal (abnormal spread), the Zheng is on the left; if the right hand pulse is horizontal, the Zheng is on the right. A pulse head large above and small below indicates specific positioning. A pulse that is slow and firm indicates a Zheng condition. If the Kidney pulse is small and urgent, the Liver pulse is small and urgent, or the Heart pulse is small and urgent and does not throb under pressure, all belong to Jia. A knotted Cun Kou pulse also indicates Jia. A wiry and deep pulse with an immobile abdominal mass indicates certain death, as it is incurable. Decoctions, moxibustion/heat application, acupuncture, and stone therapy have separate specific formulas. Tonification, nourishment, and Daoyin guidance are attached hereafter.
The *Yangsheng Fang* states: Excessive eating and running injure the intestines and stomach; over time, Qin and Jia form, causing intermittent knotted pain.
The *Yangsheng Fang · Daoyin Fa* states: In the early morning, remove the pillow, lie flat on your back, extend arms and legs, close eyes and mouth, hold breath, and vigorously expand the abdomen. Perform two breath cycles with the feet. After a moment, inhale to draw in the abdomen and raise both feet, clench fists, allow slight breathing to stabilize, then repeat. Spring: 3 times; Summer: 5 times; Autumn: 7 times; Winter: 9 times. This purifies the five zang organs and moistens the six fu organs, curing all diseases. For abdominal accumulations and pains, expand and inhale into the abdomen until heat is felt, then stop. The Qin and Jia will disperse and break, resulting in cure.