脾象土，王于长夏。其脉缓，其形口，其声歌，其臭香，其味甘，其液涎，其养形肉，
其色黄而藏意；足太阴其经也。与胃合，胃为腑主表，脾为脏主里。
脾气盛，为形有余，则病腹胀，溲不利，身重苦饥，足萎不收，行善 ，脚下痛
，是为脾气之实也，则宜泻之；脾气不足，则四肢不用，后泄，食不化，呕逆，腹胀，肠鸣
，是为脾气之虚也，则宜补之。
于四时∶病在脾，愈在秋；秋不愈，甚于春，春不死，待于夏；起于长夏。于日∶愈于
庚辛；庚辛不愈，加于甲乙；甲乙不死，待于丙丁；起于戊己。于时∶日 慧，平旦
甚，下晡静。脾欲缓，急食甘以缓之；用苦以泻之；甘以补之。禁温食、饱食、湿地、濡衣
。
脾部，在右手关上是也。平脾脉来，和柔相离，如鸡践地，曰脾平。长夏以胃气为本。
六月，脾土旺，其脉大，阿阿而缓，名曰平脉也。反得弦而急，是肝之乘脾，木之克土，为
大逆，十死不治；反得微涩而短，是肺之乘脾，子之扶母，不治自愈；反得浮而洪者，是心
乘脾，母之归子，当瘥不死；反得沉濡而滑者，是肾之乘脾，水之陵，土，为微邪，当瘥。
脾脉长长而弱，来疏去 ，再至曰平，三至曰离经，四至曰夺精，五至曰死，六至曰
命尽。病脾脉来，实而盛数，如鸡举足，曰脾病；死脾脉来，坚锐如乌之喙，如鸟之距，如
屋之漏，如水之溜，曰脾死；真脾脉至，弱而乍数乍疏。其色青黄不泽，毛折乃死。
《养生方·导引法》云∶脾脏病者，体面上游风习习，痛，身体痒，烦闷疼痛，用嘻气
脾脏的象数对应于土，在长夏季节旺盛。其脉象缓，其形体特征为口，其声音表现为歌，其气味为香，其味道为甘，其体液为涎，其滋养肌肉，其面色黄而藏纳意念；足太阴脾经是其所属经脉。脾与胃相合，胃作为腑主表，脾作为脏主里。
脾气盛实，表现为形体有余，则会出现腹胀、小便不利、身体沉重且苦于饥饿、足部痿软无力不能收持、行走时容易跌倒、脚底疼痛等症状，这是脾气实证的体现，治疗应当采用泻法；脾气不足，则会出现四肢不能使用、腹泻、食物不消化、呕吐逆气、腹胀、肠鸣等症状，这是脾气虚证的体现，治疗应当采用补法。
在四季变化中：病在脾，痊愈于秋季；若秋季不愈，则在春季加重；若春季不死，则等待到夏季恢复；发病于长夏。在日干中：痊愈于庚辛日；若庚辛日不愈，则在甲乙日加重；若甲乙日不死，则等待到丙丁日恢复；发病于戊己日。在时辰中：白天神志清爽，平旦（清晨）时症状加重，下午申时（下晡）时安静。脾脏喜好舒缓，紧急时应食用甘味食物以缓和它；使用苦味药物以泻除它；使用甘味药物以补益它。禁忌食用温热食物、过饱饮食、潮湿之地、湿衣贴身。
脾部的脉诊位置，在右手关部是也。平和的脾脉来去和柔分离，如同鸡踩在地上的样子，称为脾平脉。长夏季节以胃气为本。六月，脾土旺盛，其脉大，从容和缓，称为平脉。如果反而得到弦而急的脉象，这是肝木乘袭脾土，即木克土，属于大逆之证，十死无救；如果反而得到微涩而短的脉象，这是肺金乘袭脾土，即子扶母，虽不治也会自愈；如果反而得到浮而洪的脉象，这是心火乘袭脾土，即母归子，应当痊愈而不死；如果反而得到沉濡而滑的脉象，这是肾水乘袭脾土，即水凌土，属于轻微邪气，应当痊愈。
脾脉长长而弱，每呼吸两次为平脉，三次为离经脉，四次为夺精脉，五次为死脉，六次为命尽脉。患脾病的脉象来势实盛而数，如同鸡举足的样子，称为脾病脉；死脾脉来势坚锐如乌鸦的嘴，如鸟的爪距，如屋顶漏水滴落，如水流溜走，称为脾死脉；真脾脉至，脉弱而忽快忽慢。面色青黄无光泽，毛发枯折乃死。
The spleen corresponds to the element of Earth and prospers during the late summer. Its pulse is slow (Huan), its form is associated with the mouth, its sound is song-like, its odor is fragrant, its taste is sweet, its fluid is saliva (Xian), it nourishes the muscles and flesh, its complexion is yellow, and it houses the Yi (Intellect/Thought); the Foot-Taiyin Spleen Meridian is its channel. It combines with the Stomach; the Stomach as a Fu organ governs the exterior, while the Spleen as a Zang organ governs the interior.
When Spleen Qi is excessive, manifesting as an excess in physical form, symptoms include abdominal distension, difficult urination, heaviness of the body accompanied by suffering from hunger, flaccidity and inability to hold or move the feet, frequent falling while walking, and pain under the soles of the feet. This constitutes an Excess pattern of Spleen Qi, which should be treated with draining methods. When Spleen Qi is deficient, symptoms include inability to use the four limbs, diarrhea, indigestion, vomiting and regurgitation, abdominal distension, and borborygmus. This constitutes a Deficiency pattern of Spleen Qi, which should be treated with tonifying methods.
Regarding the four seasons: A disease in the Spleen heals in Autumn; if not healed in Autumn, it worsens in Spring; if one does not die in Spring, recovery awaits in Summer; onset occurs in Late Summer. Regarding the Heavenly Stems: Healing occurs on Geng-Xin days; if not healed on Geng-Xin days, aggravation occurs on Jia-Yi days; if one does not die on Jia-Yi days, recovery awaits on Bing-Ding days; onset occurs on Wu-Ji days. Regarding the time of day: The patient feels clear-headed during the day, symptoms worsen at dawn (Pingdan), and become quiet in the afternoon (Xiabu). The Spleen desires relaxation; urgently, one should consume Sweet flavors to relax it; use Bitter flavors to drain it; use Sweet flavors to tonify it. Contraindications include warm foods, overeating, damp places, and wearing wet clothes.
The location for palpating the Spleen pulse is at the Guan position on the right hand. A healthy Spleen pulse comes and goes with softness and separation, resembling a chicken treading on the ground; this is called a Normal Spleen Pulse. In Late Summer, Stomach Qi is fundamental. In the sixth month, Spleen Earth is prosperous; the pulse is large, ample, and slow, named a Normal Pulse. If instead a Wiry and rapid pulse is obtained, this is Liver Wood encroaching upon Spleen Earth (Wood overcoming Earth), representing a major reversal, ten deaths without cure; if instead a Fine, Choppy, and short pulse is obtained, this is Lung Metal encroaching upon Spleen Earth (Child supporting Mother), which will heal spontaneously without treatment; if instead a Floating and Surging pulse is obtained, this is Heart Fire encroaching upon Spleen Earth (Mother returning to Child), which should recover without death; if instead a Deep, Soft, and Slippery pulse is obtained, this is Kidney Water encroaching upon Spleen Earth (Water flooding Earth), representing a minor pathogen, which should recover.
A Spleen pulse that is long yet weak, arriving twice per breath cycle, is Normal; three times is Li Jing (Departing from the Canon); four times is Duo Jing (Depletion of Essence); five times is Death; six times is End of Life. A diseased Spleen pulse arrives solid, abundant, and rapid, resembling a chicken lifting its foot, indicating Spleen Disease; a dying Spleen pulse arrives firm and sharp like a crow's beak, like a bird's spur, like water leaking from a roof, or like water flowing away, indicating Spleen Death; the True Spleen pulse arrives weak and intermittently rapid and slow. With a cyan-yellow complexion lacking luster, withered hair indicates death.
The *Yangsheng Fang · Daoyin Fa* states: For those with Spleen organ diseases, there is a sensation of wandering wind on the face, pain, body itching, irritability, and pain; one can use the "Xi" exhalation method for regulation.