心候舌，养于血，劳伤血虚，为热气所乘。又，脾之大络，出于舌下。若心脾有热，故
令舌肿。
此由五脏之气虚少故也。血行通荣五脏，五脏之气，润养肌肤，虚劳内伤，血气衰弱，
不能外荣于皮，故皮剥也。
肾主水，脾主土。若脾虚则不能克制于水，肾虚则水气流溢，散于皮肤，故令身体浮肿
。若气血俱涩，则多变为水病也。
虚劳则津液减少，肾气不足故也。肾液为唾，上焦生热，热冲咽喉，故唾凝结也。
夫虚劳多伤于肾。肾主唾，肝藏血，胃为水谷之海。胃气逆则呕，肾肝损伤，故因呕逆
唾血也。
此内伤损于脏也。肝藏血，肺主气。劳伤于血气，气逆则呕，肝伤则血随呕出也
。损轻则唾血，伤重则吐血。
肺主气而开窍于鼻，肝藏血。血之与气，相随而行，俱荣于脏腑。今劳伤之人
，血虚气逆，故衄。衄者，鼻出血也。
劳伤于脏腑，内崩之病也。血与气相随而行，外养肌肉，内荣脏腑。脏腑伤损，血则妄
行。若胸膈气逆，则吐血也。流于肠胃，肠虚则下血也。若肠虚而气复逆者，则吐血下血。
表虚者则汗血。皆由伤损极虚所致也。
心与舌相应，血液滋养着舌体。若因劳损导致血虚，热气便会乘虚而入。另外，脾的大络脉出于舌下。如果心和脾有热邪，就会导致舌头肿胀。
这是由于五脏之气虚弱不足所致。血液运行通畅以荣养五脏，五脏之气滋润肌肤。虚劳内伤导致气血衰弱，不能向外荣润皮肤，所以出现皮肤剥落（脱屑）。
肾主水，脾主土。如果脾虚则不能克制水湿，肾虚则水气泛滥，流散于皮肤之间，从而导致身体浮肿。如果气血都涩滞不通，则多转化为水肿病。
这是由于阴阳俱虚，阴气偏少，阳气突然亢盛，热气侵犯心脏，所以感到烦闷。
虚劳会导致津液减少，这是因为肾气不足。肾的液为唾，上焦产生热邪，热气冲逆咽喉，所以唾液凝结。
虚劳大多损伤肾脏。肾主管唾，肝贮藏血，胃是水谷之海。胃气上逆则呕吐，肾和肝受损，所以出现因呕逆而唾血的症状。
这是内伤损伤了脏腑。肝贮藏血，肺主气。劳损导致气血受伤，气机上逆则呕吐，肝受损则血液随呕吐而出。损伤轻的表现为唾血，损伤重的表现为吐血。
肺主气且开窍于鼻，肝贮藏血。血与气相随而行，共同荣养脏腑。如今劳损之人，血虚气逆，所以发生鼻出血。衄，就是指出血从鼻中流出。
劳损损伤脏腑，属于内部崩漏类的疾病。血与气相随而行，外养肌肉，内荣脏腑。脏腑损伤，血液就会妄行。如果胸膈部位气机逆乱，就会吐血。血液流入肠胃，若肠虚则便血。如果肠虚且气机再次逆乱，则既吐血又便血。表虚的人则会汗血。这都是由极度虚损所致。
The Heart manifests in the tongue, which is nourished by Blood. Laborious injury causing Blood deficiency allows Heat pathogens to take advantage of this weakness. Furthermore, the large collateral vessel of the Spleen emerges from beneath the tongue. If there is Heat in the Heart and Spleen, it causes swelling of the tongue.
This arises from the insufficiency of Qi in the Five Viscera. Blood circulates smoothly to nourish the Five Viscera, and the Qi of the Five Viscera moistens and nourishes the skin and muscles. Internal injury due to consumptive disease leads to a decline in Qi and Blood, which fail to externally nourish the skin, resulting in peeling or scaling of the skin.
The Kidney governs Water, and the Spleen governs Earth. If the Spleen is deficient, it cannot control Water; if the Kidney is deficient, Water Qi overflows and scatters into the skin, causing general edema. If both Qi and Blood are stagnant, this often transforms into edema diseases.
This is due to deficiency in both Yin and Yang, with Yin Qi being relatively scarce while Yang Qi suddenly becomes excessive. Heat then invades the Heart, causing irritability and oppression.
Consumptive disease reduces body fluids due to insufficiency of Kidney Qi. The fluid of the Kidney is saliva. When Heat generates in the Upper Jiao and rushes upward to the throat, the saliva becomes condensed.
Consumptive disease often injures the Kidney. The Kidney governs saliva, the Liver stores Blood, and the Stomach is the Sea of Water and Grain. When Stomach Qi rebels upward, vomiting occurs; when the Kidney and Liver are injured, one may expectorate blood due to retching.
This represents internal injury damaging the Zang organs. The Liver stores Blood, and the Lung governs Qi. Injury to Qi and Blood through overwork causes Qi to rebel upward, leading to vomiting; if the Liver is injured, Blood follows the vomitus out. Mild injury results in expectorating blood, while severe injury results in hematemesis (vomiting blood).
The Lung governs Qi and opens into the nose, while the Liver stores Blood. Blood and Qi travel together, jointly nourishing the Zang and Fu organs. In persons suffering from laborious injury, Blood deficiency and rebellious Qi cause epistaxis (nosebleed). "Nu" refers to bleeding from the nose.
Injury to the Zang and Fu organs through overwork constitutes an internal collapse-type disease. Blood and Qi travel together, externally nourishing muscles and internally nourishing the viscera. When the viscera are damaged, Blood flows recklessly. If Qi rebels in the chest and diaphragm, hematemesis occurs. If blood flows into the intestines and stomach, and the intestines are deficient, hematochezia (blood in stool) occurs. If the intestines are deficient and Qi rebels again, both hematemesis and hematochezia occur. Those with exterior deficiency may experience hematohidrosis (bleeding sweat). All these result from extreme damage and deficiency.
Deficiency of the Large Intestine leads to diarrhea, and rebellious Stomach Qi leads to vomiting. In consumptive disease, if there is intestinal deficiency and Stomach rebellion, one experiences both vomiting and diarrhea.
Zang and Fu organ deficiency and damage are caused by Wind-Cold pathogens. The Stomach is the Sea of Water and Grain; Cold in the Stomach and deficiency in the intestines lead to dysentery.