胃之大络。名曰虚里贯鬲络肺出于左乳下其动应衣脉宗气也。(此言胃之大络。其脉微
动于左乳之下。似乎应衣。可验虚里之胃气)盛喘数绝者则病在中。(若虚里动甚而如喘或数急而
兼断绝者由中气不守也)结而横有积矣(虚里之脉时一止或横格于指下。因胃气之积滞也)绝
不至曰死。(虚里脉绝者必死)乳之下其动应衣宗气泄也(此言虚里之脉大动真有若与衣俱振
者是宗气不固奇大泄于外中尽之候也○凡患阴虚劳怯则心下多有跳动及为惊悸慌张者是即虚
里之动也但动之微者病尚微动之甚者病则甚亦可因此以察病之轻重夫杀入于胃以传于肺五脏
六腑皆以传气是由胃气而上为宗气也气为水母气聚则水生是由肺气而下生肾水也今胃气传之
肺而肾虚不能纳故宗气泄于上则肾水竭于下肾愈虚则气愈无所归气不归则阴愈虚矣故欲纳气
归原者宜纯甘之剂填补真阴为法)
肝病者两胁下痛引少腹令人善怒(此肝之实邪也)虚则目KT KT 无所见耳无所闻善恐如人将
捕之
聪颊肿取血者(取其经血盛之处下仿此)心病者胸中痛胁支满胁下痛膺背肩胛间痛两臂内痛(
此心经之实邪也)虚则胸腹大胁下与腰相引而痛取其经少阴太阳舌下血者(舌本下刺出血)其
变病刺 中血者(变病谓病属少阴而症异者刺阴 穴血去则邪随而泻矣)脾病者身重善饥肉痿
足不收行善螈脚下痛(比脾经之实邪也)虚则腹满肠鸣飧泄食不化取其经太阴阳明少阴血者(
脾虚则失其健运之用而中气不治脾与胃为表里肾主水水能助湿伤脾也故当取足太阴阳明之经
又取足少阴之血以为其寒实如脾心痛刺然谷太 之类)肺病者喘咳逆气肩背痛汗出(此肺经之
实
邪也)尻阴股膝髀 足皆痛(此病皆足少阴经以气陷下部而母病及子也故下文兼取足少阴以
治之)虚则少气不能报息耳聋嗌干取其经太阴足太阳之外厥阴内血者(外言前内言后乃足少阴
脉也视左右足脉凡少阴部分有血满异于常处者取而去之以泻其实)肾病者腹大胫肿喘咳身重
寝汗出憎风(此肾经之实邪也)虚则胸中痛(肾脉注胸中也)大腹小腹痛(肾脉上自幽门下至横
骨挟腹中行两旁各半寸循腹里也)清厥意不乐(四末之阳受气于胸腹胸腹病则阳气不宣于四末
故清冷而四末厥逆胸中即膻中喜乐出焉故痛则意不乐也)取其经少阴太阳血者(凡刺之道自当
虚补实泻然经络有血犹当先去血脉而后平其有余不足焉故五脏虚实之病治法如上)
胃的大络，名叫虚里，穿过膈肌，联络肺脏，出于左侧乳下。搏动应手，反映宗气的盛衰。（这里说明胃的大络，其脉在左乳下微微跳动，似乎带动衣服，可以据此检验虚里处的胃气）如果搏动急促、喘息样且脉搏数急而时有断绝，说明病在中焦。（如果虚里跳动剧烈如喘息，或急促兼有断绝，是由于中气不能固守所致）如果脉搏结滞且横格于指下，说明体内有积滞（虚里的脉象时而停止，或者横格于手指之下，是因为胃气有积滞）；如果脉搏完全摸不到，预示死亡。（虚里脉绝者必死）如果乳下搏动剧烈到使衣服震动，这是宗气外泄的表现（这里说明虚里的脉动非常大，真的像与衣服一起振动，这是宗气不固、大量外泄、中气耗尽的征候○凡是患有阴虚劳损虚弱的人，心下多有跳动及惊悸慌张，这就是虚里的跳动。但跳动轻微的病尚轻，跳动剧烈的病则重，也可以借此观察病情的轻重。人吸入的空气进入胃以传送给肺，五脏六腑都通过它来传递气，这是由胃气上升转化为宗气。气是水的源头，气聚则水生，这是由肺气向下滋生肾水。现在胃气传给肺，但肾虚不能纳气，所以宗气泄于上，肾水竭于下，肾越虚则气越无所归依，气不归原则阴更虚。所以想要纳气归原的人，适宜用纯甘味的药剂填补真阴为法则）
肝病的人，两胁下疼痛，牵引少腹，使人容易发怒（这是肝的实邪）。虚证则眼睛看不清，耳朵听不见，容易恐惧，好像有人要抓捕他一样。治疗时取血络出血（选取其经络气血旺盛之处，以下仿照此法）。心病的人，胸中痛，胁肋支撑胀满，胁下痛，胸部、背部、肩胛间疼痛，两臂内侧痛（这是心经的实邪）。虚证则胸腹部胀大，胁下与腰部相互牵引而痛。治疗时取手少阴、手太阳经的血络出血（在舌本下刺出血）。变病（指病属少阴但症状不同的情况）针刺阴郄穴出血（变病谓病属少阴而症异者，刺阴郄穴，血去则邪随而泻矣）。脾病的人，身体沉重，容易饥饿，肌肉痿软，足部弛缓不收，行走时小腿抽搐，脚底痛（这是脾经的实邪）。虚证则腹部胀满，肠鸣，完谷不化的泄泻，食物不消化。治疗时取足太阴、足阳明、足少阴经的血络出血（脾虚则失去健运的功能而中气不治，脾与胃互为表里，肾主水，水能助湿伤脾，所以应当取足太阴、阳明的经，又取足少阴的血以治其寒实，如脾心痛刺然谷等穴位）。肺病的人，气喘咳嗽，气逆，肩背痛，出汗（这是肺经的实邪）。尻骨、阴部、大腿、膝盖、髀部、足部都痛（这些病症都是足少阴经因气陷于下部，母病及子，所以下文兼取足少阴经来治疗）。虚证则气短，不能深吸气，耳聋，咽喉干燥。治疗时取手太阴、足太阳之外侧、足厥阴之内侧的血络出血（“外”指前，“内”指后，乃足少阴脉也，视左右足脉，凡少阴部分有充血满溢异于常处者，取而去之以泻其实）。肾病的人，腹部胀大，小腿肿胀，气喘咳嗽，身体沉重，睡中出汗，怕风（这是肾经的实邪）。虚证则胸中痛（肾脉注入胸中），大腹和小腹痛（肾脉上行自幽门下行至横骨，挟腹部中行，两旁各半寸，循行于腹里），四肢清冷厥逆，心情不乐（四肢的阳气受气于胸腹，胸腹有病则阳气不能宣达于四肢，所以四肢清冷而厥逆，胸中即膻中，是喜乐发出的地方，所以痛则心情不乐）。治疗时取足少阴、足太阳经的血络出血（凡是针刺的道理，自然应当虚则补之实则泻之，然而经络中有瘀血，仍当先去血脉，然后平抑其有余和不足，所以五脏虚实病的治法如上所述）
The great collateral of the Stomach is named Xuli (虚里, located at the apex of the heart). It penetrates the diaphragm, connects with the Lung, and emerges below the left breast. Its pulsation is palpable to the hand and reflects the condition of Zongqi (宗气, Pectoral Qi / Gathering Qi). (This passage explains that the great collateral of the Stomach shows slight pulsation below the left breast, seemingly moving the clothing, which allows one to verify the Stomach Qi at Xuli.) If the pulsation is rapid, panting-like, frequent, and intermittent, it indicates disease in the Middle Jiao (中焦). (If the movement at Xuli is vigorous like panting or rapid with interruptions, it is due to the failure of Zhongqi [Middle Qi] to maintain its post.) If the pulse is knotted (Jie, 结) and feels horizontal across the fingers, there are accumulations (Ji, 积). (When the pulse at Xuli occasionally stops or feels blocked horizontally under the fingers, it is caused by stagnation of Stomach Qi.) If the pulse is absent, death ensues. (Absence of the pulse at Xuli indicates certain death.) If the pulsation below the breast is vigorous enough to move the clothing, it signifies leakage of Zongqi. (This passage states that when the pulse at Xuli beats strongly, truly vibrating with the clothing, it is a sign that Zongqi is insecure and leaking massively outward, indicating exhaustion of Middle Qi. ○ In cases of Yin deficiency and consumptive weakness, there is often palpitation and anxiety below the heart; this is the pulsation of Xuli. However, slight pulsation indicates mild disease, while vigorous pulsation indicates severe disease; thus, the severity can be assessed thereby. Inhaled air enters the Stomach to be transmitted to the Lung; the Five Zang and Six Fu organs all transmit Qi through it. This is how Stomach Qi rises to become Zongqi. Qi is the mother of Water; where Qi gathers, Water generates. This is how Lung Qi descends to generate Kidney Water. Now, if Stomach Qi transmits to the Lung but the Kidney fails to grasp it, Zongqi leaks upward, and Kidney Water dries up downward. The more deficient the Kidney, the less place for Qi to reside; if Qi does not return to its origin, Yin becomes more deficient. Therefore, those who wish to grasp Qi and return it to its root should use purely sweet agents to tonify True Yin as the method.)
Diseases of the Liver present with pain in both hypochondriac regions radiating to the Lower Abdomen, causing irritability. (This is Excess pathogenic factor of the Liver.) Deficiency manifests as blurred vision, deafness, excessive fear, and a sensation as if being pursued by someone. Treatment involves bleeding selected vessels (Select areas where the meridian blood is abundant, following this pattern for others). Diseases of the Heart present with pain in the chest, fullness and distension in the hypochondrium, pain below the ribs, pain between the chest, back, and scapulae, and pain in the medial aspect of both arms. (This is Excess pathogenic factor of the Heart Meridian.) Deficiency manifests as abdominal distension, pain drawing from the hypochondrium to the waist. Treatment involves bleeding the Hand Shaoyin and Hand Taiyang meridians (Prick below the tongue base to bleed). For altered diseases (Bian Bing, 变病: conditions belonging to Shaoyin but with different symptoms), prick the Yinxi (Yinxi, EX-HT5) point to bleed. (In altered diseases, pricking the Yinxi point allows bloodletting to expel pathogens.) Diseases of the Spleen present with heavy body, easy hunger, muscle flaccidity, foot weakness/inability to walk properly, spasms of the lower legs, and pain in the soles. (This is Excess pathogenic factor of the Spleen Meridian.) Deficiency manifests as abdominal fullness, borborygmus, undigested stool in diarrhea, and food retention. Treatment involves bleeding the Foot Taiyin, Foot Yangming, and Foot Shaoyin meridians. (Spleen deficiency leads to loss of transportation and transformation, failing to regulate Middle Qi. The Spleen and Stomach are exterior-interior pairs; the Kidney governs Water, and Water can assist Dampness to injure the Spleen. Thus, one should select the Foot Taiyin and Yangming meridians, and also bleed the Foot Shaoyin to treat cold-excess, such as puncturing Rangu (Rangu, KI2) for Spleen-related heart pain.) Diseases of the Lung present with wheezing, coughing, rebellious Qi, shoulder and back pain, and sweating. (This is Excess pathogenic factor of the Lung Meridian.) Pain extends to the sacrum, yin region, thighs, knees, thighs (butterfly area), and feet. (These diseases involve the Foot Shaoyin meridian due to Qi sinking to the lower part, with the Mother organ affecting the Child organ; hence, the Foot Shaoyin is additionally selected for treatment.) Deficiency manifests as shortness of breath, inability to complete inhalation, deafness, and dry throat. Treatment involves bleeding the lateral aspect of the Hand Taiyin and Foot Taiyang, and the medial aspect of the Foot Jueyin. ("Lateral" refers to anterior, "medial" refers to posterior, referring to the Foot Shaoyin pulse. Observe the pulses on both feet; if any part of the Shaoyin shows fullness or congestion differing from normal, remove it to drain excess.) Diseases of the Kidney present with abdominal distension, swelling of the calves, wheezing and coughing, heavy body, nocturnal sweating, and aversion to wind. (This is Excess pathogenic factor of the Kidney Meridian.) Deficiency manifests with pain in the chest (the Kidney meridian flows into the chest), distension and pain in the large and small abdomen (the Kidney meridian ascends from Youmen to Henggu, running along the midline of the abdomen, half cun on either side, traversing the interior of the abdomen), cold extremities with cold limbs (Qing Jue, 清厥), and unhappiness. (Yang Qi of the four extremities receives Qi from the chest and abdomen. Disease in the chest/abdomen prevents Yang Qi from disseminating to the extremities, causing coldness and cold limbs. The chest contains Danzhong [Pericardium], the seat of joy; thus, pain leads to unhappiness.) Treatment involves bleeding the Foot Shaoyin and Foot Taiyang meridians. (Generally, acupuncture follows the principle of tonifying deficiency and draining excess. However, if there is blood stasis in the meridians, one must first remove the blood vessels before balancing the excess and deficiency. Thus, the treatment methods for Zang organ excess and deficiency are as described above.)