黄帝问曰∶足阳明之脉病，恶人与火，闻木音则惕然而惊，欲独闭户牖而处，愿闻其
故。岐伯对曰∶阳明者胃脉也，胃土也，闻木音而惊者，土恶木也。阳明主肌肉，其
血气盛，邪客之则热，热甚则恶火。阳明厥则喘闷，闷则恶人。阴阳相搏，阳尽阴盛，故欲
独闭户牖而处（按阴阳和薄至此，本在《素问》脉解篇，士安移续于此）。曰∶或喘而生者
，或喘而死者，何也？曰∶厥逆连脏则死，连经则生。曰∶病甚则弃衣而走，登高而歌，或
至不食数日，逾垣上屋，非其素所未能，病反能者何也？曰∶阴阳争而外并于阳（此八字亦《
素问》脉解篇文）。邪盛则四肢实，实则能登高而歌。热盛于身，故弃衣而欲走。阳盛，
故妄言，骂詈不避亲疏。大热遍身，故狂言而妄见妄闻，视足阳明及大络取之，虚者补
之，血如实者泻之。因令
偃卧，居其头前，以两手四指按其颈动脉久持之，卷而切推之，下至缺盆中，复上如前，热
去乃已，此所谓推而散之者也。
身热狂走，谵语见鬼，螈 ，身柱主之。狂，妄言，怒火恶
火，善骂詈，巨厥主之。热病汗不出，鼽衄，眩，时仆而浮肿，足胫寒，不得卧，振寒，恶
人与木音，喉痹龋齿，恶风，鼻不利，多善惊，厉兑主之。四厥手足闷者，使人久持之，
厥热（一本作逆冷）胫痛，腹胀，皮痛，善伸数欠，恶人与木音，振寒，嗌中引外痛，热病汗
不出，下齿痛，恶寒目急，喘满寒栗，断口噤僻，不嗜食，内庭主之。狂歌妄言，怒，恶
人与火，骂詈，三里主之。
黄帝问道：足阳明经脉发生病变，出现厌恶人和火光、听到木器敲击声就惊恐不安、想要独自关上门窗居住的情况，请问这是什么缘故？
岐伯回答说：阳明经是胃的经脉，胃属土。听到木音而惊恐，是因为土畏惧木（五行中木克土）。阳明经主管肌肉，其气血旺盛，邪气侵入就会发热，热势严重就会厌恶火光。如果阳明经气逆乱，就会导致气喘胸闷，胸闷就会厌恶与人接触。阴阳二气相互搏击，阳气耗尽而阴气极盛，所以想要独自关上门窗居住。（按语：关于阴阳相搏至此的描述，原本出自《素问·脉解篇》，王叔和将其移续于此。）
黄帝又问：有的病人因喘促而存活，有的因喘促而死亡，这是为什么？
黄帝再问：病情严重时，病人会脱掉衣服奔跑，登上高处唱歌，甚至几天不吃饭，翻越墙垣屋顶，这些并非他们平素所能做到的，但生病后反而能做到，这是什么原因？
岐伯回答：这是因为阴阳争持，阳气外并于阳分（这八个字也出自《素问·脉解篇》）。邪气盛实导致四肢充实有力，所以能够登高唱歌。体内热势炽盛，所以脱衣想跑。阳气亢盛，所以胡言乱语，骂人不分亲疏。全身大热，所以狂言妄见妄闻。治疗时，应诊察足阳明经及其大络进行取穴，虚证用补法，实证用泻法。
接着让病人仰卧，在其头部前方，用双手四指按压颈动脉，长时间保持，然后卷曲手指并向下切推，直至缺盆穴处，再像刚才那样向上推，直到热退为止，这就是所谓的“推而散之”的治疗方法。
发狂、胡言乱语、易怒、厌恶火光、喜欢骂人，由巨阙穴主治。
热病汗不出、鼻塞流涕或鼻出血、眩晕、时常跌倒且伴有浮肿、小腿寒冷、无法入睡、寒战、厌恶人和木器声、喉痹、龋齿、恶风、鼻窍不通、容易受惊，由厉兑穴主治。
手足厥冷闷胀，让人久按穴位；厥逆发热（另一版本作逆冷）、小腿疼痛、腹胀、皮肤疼痛、喜欢伸展打哈欠、厌恶人和木器声、寒战、咽喉牵引外部疼痛、热病汗不出、下牙痛、恶寒目急、气喘胸闷寒栗、口噤歪斜、食欲不振，由内庭穴主治。
Huangdi asked, saying: When the Foot-Yangming meridian is diseased, the patient dislikes people and fire, startles at the sound of wood, desires to close doors and windows alone to stay indoors. I wish to hear the reason for this.
Qibo replied: The Yangming is the stomach meridian; the stomach belongs to Earth. The reason for startling at the sound of wood is that Earth fears Wood (in the Five Elements theory, Wood overcomes Earth). Yangming governs the muscles; its blood and qi are abundant. When pathogenic factors invade, heat arises; when heat is severe, the patient dislikes fire. If Yangming qi rebels, it causes panting and chest oppression; oppression leads to disliking people. When Yin and Yang contend, Yang is exhausted and Yin becomes excessive, thus the desire to close doors and windows and stay alone. (Note: This description of Yin and Yang contention originates from the "Mai Jie" chapter of *Su Wen*, moved here by Wang Shuhe.)
Huangdi asked: Some survive with panting, while some die with panting. Why?
Qibo answered: If the rebellion connects to the Zang organs, death ensues; if it connects only to the meridians, survival is possible.
Huangdi asked: In severe cases, patients discard clothes and run, climb high places and sing, or go several days without eating, crossing walls and roofs. These actions are beyond their usual capabilities, yet they can perform them when ill. What is the reason?
Qibo answered: This is because Yin and Yang contend, and Yang expands outwardly into the Yang aspect (These eight characters also appear in the "Mai Jie" chapter of *Su Wen*). When pathogens are excessive, the four limbs become solid and strong, enabling climbing and singing. Heat is rampant in the body, hence discarding clothes and running. Yang is excessive, leading to delirious speech and cursing regardless of kinship. Severe heat pervades the body, causing manic talk, hallucinations, and auditory/visual disturbances. Treatment involves examining the Foot-Yangming meridian and its large collaterals for acupuncture. Deficiency patterns are supplemented; excess patterns are drained.
The patient should be made to lie supine. With hands placed before the head, use four fingers of both hands to press the carotid artery for a prolonged period. Then, curl the fingers and push downwards and cutively until the Quepen area (ST12), then move upwards as before. Continue until the heat dissipates. This is referred to as "pushing and dispersing."
For body heat, manic running, delirium, and seeing ghosts, Shenzhu (DU12) is indicated.
For mania, delirious speech, irritability, aversion to fire, and frequent cursing, Juque (CV14) is indicated.
For febrile diseases with no sweat, epistaxis, dizziness, frequent collapse with edema, cold calves, inability to sleep, chills, aversion to people and wooden sounds, throat obstruction, toothache, aversion to wind, nasal congestion, and frequent fright, Lidui (ST45) is indicated.
For coldness and oppression of the hands and feet, maintain pressure on the acupoint for a long time. For rebellious heat (another version reads coldness), calf pain, abdominal distension, skin pain, frequent stretching and yawning, aversion to people and wooden sounds, chills, pain radiating from the throat externally, febrile disease with no sweat, lower toothache, aversion to cold with acute eyes, panting with chest fullness and chills, lockjaw with facial deviation, and loss of appetite, Neiting (ST44) is indicated.
For manic singing, delirious speech, anger, aversion to people and fire, and cursing, Zusanli (ST36) is indicated.