二阳之病发心脾。有不得隐曲。女子不月(二阳。阳明也。胃与心。母子也。人之情欲
。本
内伤精外伤形。皆能病及于胃。此二阳之病。所以发心脾也。不得隐曲。阳道衰也。不月。
月事不下也○隐曲。隐蔽委曲之事。又俯首谓之隐鞠躬谓之曲)其传为风消。其传为息贲者
。死不治(传。日久传变也。风木气也。消枯瘦也。肝木乘脾。而肌肉日见消谓。名曰风消
。肺受火邪息气不利而奔迫。名曰息奔。由精亏于下。败及五脏。皆不治之证)三阳为病发
寒热下为痈肿。及为痿厥 (三阳。太阳也。膀胱水化。小肠火化。故为病发寒热。火病
则糜烂为痈。水病则凝结为肿。故或在下部为痈肿也。热胜则痿寒胜则厥。寒热争则 。
音渊。酸疼也)其传为索泽。其传为颓疝(膀胱小肠主津液。津枯而色泽消索○索泽吴氏改
索睾。注曰索引也。睾肾丸也颓疝。肾丸大而不疼。言三阳为病。或传为痛引肾丸。或传为
颓疝又曰痛者为火为小肠。不痛者为水为膀胱)一阳发病。少气善咳。善泄(一阳。少阳也。
三焦胆二经皆有相火。壮火食气伤肺。故少气善咳。大肠燥金受克。故善泄也)其传为心掣
其传为膈(心为君火。而相火上炎。则同气相求。邪归于心。心动而若有所引。名曰心掣。
火结于内。上焦不行。下脘不通。隔塞于中。名曰隔也)二阳一阴发病。主惊骇背痛。善噫
善欠。名曰风厥(二阳。胃大肠也。一阴。肝心主也。心主为火。肝为风。风火相搏。故惊
骇。背痛者。手足阳明之筋皆爽脊也。噫嗳气也。欠呵欠也。是皆风火逆而为病。故名风厥
○吴注作一阴发病)二阴一阳发病。善胀。心满善气(二阴心肾也。一阳。三焦胆也。心肾俱
病。则水火不交。三焦病。则上下不行。故胀满善气善气。气逆也)三阳三阴发病。为偏枯
痿易。四肢不举(三阳。小肠膀胱。三阴。脾肺也。小肠经行手主液膀胱经行足主筋。脾主
四肢。肺主诸气。四经俱病如此。痿易者。痿弱变常也)
阳明经（二阳）的病变常由心脾功能失调引发。患者会出现难以启齿的隐痛或情志不畅，女性则出现月经闭止。（注：二阳即阳明经，包括胃与大肠；胃属土，心属火，火生土，故为母子关系。人的情欲过度，既内伤精气，又外损形体，都能导致胃病。这就是二阳之病发于心脾的原因。“不得隐曲”指阳气衰弱；“不月”指月经不能下行。○“隐曲”指隐蔽、委曲难言之事，又如低头称为隐，鞠躬称为曲。）若病情传变，发展为肌肉消瘦枯槁的“风消”，或发展为呼吸急促奔迫的“息贲”，则属于死证，无法治愈。（注：“传”指日久后的传变；“风”指风木之气；“消”指消瘦枯槁。肝木乘克脾土，导致肌肉日渐消瘦，名为“风消”。肺受火邪侵袭，气息不利而奔迫，名为“息贲”。这是由于下焦精亏，败坏波及五脏，均为不治之证。）
太阳经（三阳）发病，表现为寒热往来，下部发生痈肿，以及痿证和厥证。（注：三阳即太阳经，包括膀胱和小肠。膀胱主水化，小肠主火化，因此发病时出现寒热。火邪致病则糜烂成痈，水邪致病则凝结成肿，所以有时在下部形成痈肿。热盛则导致痿证，寒盛则导致厥证。寒热相争则产生酸疼感，音同“渊”。）若病情传变，发展为皮肤干枯无泽的“索泽”，或发展为睾丸肿大疼痛的“颓疝”。（注：膀胱和小肠主管津液，津液枯竭则色泽消索。○关于“索泽”，吴氏改为“索睾”，注释说索引是指睾丸，“颓疝”指睾丸肿大但不疼痛。这里言三阳之病，有的传变为牵引睾丸疼痛，有的传变为颓疝。又说：疼痛的是火邪，涉及小肠；不疼痛的是水邪，涉及膀胱。）
少阳经（一阳）发病，表现为气短、容易咳嗽、容易腹泻。（注：一阳即少阳经，包括三焦和胆两经，均有相火。壮火食气并损伤肺脏，所以气短且易咳；大肠属燥金，受火邪克制，所以易泄泻。）若病情传变，发展为“心掣”（心脏牵拉痛），或发展为“膈”（胸膈阻塞）。（注：心为君火，相火上炎，则同气相求，邪气归于心，心跳动且感觉如有牵引，名为“心掣”。火结于内，上焦气机不行，下脘不通，隔塞于中，名为“膈”。）
阳明经（二阳）与厥阴经（一阴）同时发病，主要表现为惊骇、背痛、容易嗳气、容易呵欠，这种病名为“风厥”。（注：二阳指胃和大肠，一阴指肝和心。心主火，肝主风，风火相搏，所以出现惊骇。背痛是因为手足阳明经的筋脉都夹脊而行。噫即嗳气，欠即呵欠，这些都是风火逆乱导致的疾病，所以名为风厥。○吴氏注本作“一阴发病”。）
少阴经（二阴）与少阳经（一阳）同时发病，表现为容易腹胀、心胸满闷、容易叹气。（注：二阴指心和肾，一阳指三焦和胆。心和肾都生病，则水火不能相交；三焦生病，则上下气机不行，所以出现胀满、容易叹气。善气即气逆。）
太阳经（三阳）与太阴经（三阴）同时发病，表现为偏枯（半身不遂）、痿证且肢体功能改变、四肢不能举动。（注：三阳指小肠和膀胱，三阴指脾和肺。小肠经行于手，主液；膀胱经行于足，主筋；脾主四肢；肺主一身之气。这四条经脉都患病，就会出现上述情况。痿易，指痿弱且形态功能发生改变。）
The disease of the Yangming channel (Er Yang, referring to the Stomach and Large Intestine) often originates from dysfunction of the Heart and Spleen. Patients may experience difficulties in expressing hidden or delicate matters (Bu De Yin Qu), and women may suffer from amenorrhea (Bu Yue). [Note: Er Yang refers to the Yangming channel. The Stomach belongs to Earth, and the Heart belongs to Fire; Fire generates Earth, hence they are in a mother-son relationship. Excessive emotional desires can internally damage essence and externally injure the form, both leading to stomach pathology. This is why diseases of Er Yang originate from the Heart and Spleen. "Bu De Yin Qu" indicates the decline of Yang energy; "Bu Yue" means menstruation does not flow down. "Yin Qu" refers to concealed or difficult-to-express matters, or bowing the head (Yin) and bending the body (Qu).] If the condition transmits (Chuan) over time and develops into "Feng Xiao" (Wind Wasting, characterized by emaciation due to Liver Wood overacting on Spleen Earth) or "Xi Ben" (Panting/Rebellious Qi, where Lung Qi is obstructed by Fire pathogen causing rapid breathing), it is considered a fatal and incurable syndrome. [Note: "Chuan" refers to transmission over time. "Feng" relates to Wind-Wood qi. "Xiao" means withering and emaciation. When Liver Wood attacks Spleen Earth, muscles waste away, named "Feng Xiao". When the Lung is affected by Fire, Qi movement is hindered and becomes rebellious, named "Xi Ben". This results from deficiency of Essence in the lower Jiao affecting all five Zang organs, representing an untreatable state.]
Disease of the Taiyang channel (San Yang, referring to the Bladder and Small Intestine) manifests as alternating chills and fever, abscesses or swellings in the lower body, as well as flaccidity syndromes (Wei) and cold extremities (Jue). [Note: San Yang refers to the Taiyang channel. The Bladder governs Water transformation, and the Small Intestine governs Fire transformation; thus, pathology presents with chills and fever. Fire pathogens cause ulceration and abscesses, while Water pathogens cause coagulation and swelling, leading to lower-body abscesses or swellings. Excess Heat leads to Wei (flaccidity), excess Cold leads to Jue (cold extremities). Conflict between Cold and Heat causes sour pain (Yuan).] If transmitted, it may develop into "Suo Ze" (loss of luster/dryness due to fluid depletion) or "Tui Shan" (scrofula/hernia involving testicular swelling). [Note: The Bladder and Small Intestine govern fluids; depletion leads to loss of luster. Regarding "Suo Ze", Wu's annotation suggests "Suo Gao" (retracting testicles); "Tui Shan" refers to non-painful testicular swelling. Pain indicates Fire/Small Intestine involvement, while non-pain indicates Water/Bladder involvement.]
Disease of the Shaoyang channel (Yi Yang, referring to the Triple Burner and Gallbladder) manifests as shortness of breath (Shao Qi), frequent coughing, and diarrhea. [Note: Yi Yang refers to the Shaoyang channel. Both the Triple Burner and Gallbladder contain Ministerial Fire. Vigorous Fire consumes Qi and damages the Lung, causing shortness of breath and coughing. The Large Intestine (Dry Metal) is constrained by Fire, leading to diarrhea.] If transmitted, it may develop into "Xin Che" (pulling sensation in the Heart) or "Ge" (diaphragmatic obstruction). [Note: The Heart is Monarch Fire; when Ministerial Fire flares upward, similar energies attract, and pathogens enter the Heart, causing palpitations with a pulling sensation, named "Xin Che". Fire accumulation internally obstructs the Upper Jiao and Lower Wan, causing blockage in the middle, named "Ge".]
Simultaneous disease of the Yangming channel (Er Yang, Stomach/Large Intestine) and Jueyin channel (Yi Yin, Liver/Heart) primarily manifests as fright and terror (Jing Hai), back pain, belching (Yi), and yawning (Qian). This condition is named "Feng Jue" (Wind Jue). [Note: Yi Yin refers to the Liver and Heart. The Heart governs Fire, and the Liver governs Wind; Wind and Fire battling cause fright. Back pain occurs because the meridians of Hand and Foot Yangming run along the spine. Belching and yawning are signs of rebellious Wind and Fire, hence the name "Feng Jue". Note: Wu's annotation reads "Yi Yin Fa Bing" alone.]
Simultaneous disease of the Shaoyin channel (Er Yin, Heart/Kidney) and Shaoyang channel (Yi Yang, Triple Burner/Gallbladder) manifests as distension, chest fullness, and frequent sighing. [Note: Er Yin refers to the Heart and Kidney; their simultaneous disease prevents the interaction of Water and Fire. Disease of the Triple Burner prevents the circulation of Qi up and down, resulting in distension and sighing (Qi rebellion).]
Simultaneous disease of the Taiyang channel (San Yang, Small Intestine/Bladder) and Taiyin channel (San Yin, Spleen/Lung) manifests as hemiplegia (Pian Ku), flaccidity with functional alteration (Wei Yi), and inability to move the four limbs. [Note: San Yang refers to the Small Intestine and Bladder; San Yin refers to the Spleen and Lung. The Small Intestine meridian governs fluids; the Bladder meridian governs sinews; the Spleen governs the four limbs; the Lung governs Qi. Pathology in these four meridians leads to these symptoms. "Wei Yi" refers to flaccidity accompanied by abnormal changes in form or function.]