（脉气）出于（心之）系，向下穿过横膈，又向上联系肺脏，挟持咽喉。所以心中烦闷时，会出现心下悸动胀满、突然气逆上冲而喘息、咽喉干燥的症状。因为心脏搏动导致胀满，所以通过打嗝来排出气体。如果是逆气上乘于心，则会产生恐惧畏怯的感觉。神志受惊扰而虚弱，所以（出现耳部症状）。肝痹病患者夜间睡眠时会惊醒，喜欢大量饮水且小便频数，气机上引如同怀孕一般。（小便上引，这是因为约束失常的缘故，如王冰注所言：肝主惊，其经脉环绕阴器，抵少腹，挟胃，上膈，循喉咙，所以多饮水，小便上引，小腹痛如怀孕之状）。肾痹病患者容易腹胀，臀部代替脚跟站立，脊柱弯曲代替头部直立。（续：肾是胃的关口，关口不利则胃气不转，所以容易腹胀。）
The pulse qi emerges from the heart system (Xinxi, 心系), descends through the diaphragm, ascends to connect with the lungs, and flanks the throat. Therefore, when there is mental restlessness, symptoms include palpitations and fullness in the epigastrium, sudden upward rushing of Qi leading to wheezing, and dryness of the pharynx. Because the heart's pulsation causes fullness, belching occurs to expel Qi. If rebellious Qi rushes upward to affect the heart, feelings of fear and apprehension arise. When the Shen (Spirit) is frightened and weakened, ear symptoms occur. Gan Bi (Liver Obstruction Syndrome, 肝痹) patients startle during sleep at night, desire excessive drinking, have frequent urination, and experience upward pulling of Qi resembling pregnancy. (Upward pulling of urine results from loss of constraint; as Wang Bing noted: The Liver governs fright; its channel circles the external genitalia, reaches the lower abdomen, flanks the stomach, passes through the diaphragm, and follows the throat, hence excessive drinking, upward pulling of urine, and lower abdominal pain resembling pregnancy). Shen Bi (Kidney Obstruction Syndrome, 肾痹) patients are prone to abdominal distension, stand with the buttocks replacing the heels, and bend the spine so that it replaces the head. (Continued: The Kidney is the gate of the Stomach; if the gate is obstructed, Stomach Qi fails to circulate, leading to a tendency for abdominal distension.)