肝
虚 胁下坚胀,寒热,腹满不食,如人将捕,目暗黑花,筋挛节痛,爪枯青
色。善恐。脉沉细而滑。
实 胁下痛,寒热,心下坚满,气逆,头晕,颈直背强筋急,目赤,颊肿,耳聋。善怒。脉浮大而数。
中风 左部浮弦;中寒,左关紧弦。胀水,恶血。胆主呕汁。肝主胀。
心
虚 心腹暴痛,心膈胀满,时唾清涎,多惊悲恍惚,少颜色。舌本强。脉浮虚。
实 心神烦乱,面赤,身热,口舌生疮,咽燥,头痛,手心热,衄血。喜笑。脉洪实。
中风 中风本位浮洪。中寒本位洪紧。小肠胀水主宿食胀。忧思。
脾
虚 四肢不举,饮食不化,吞酸或不下食,食则呕吐,腹痛肠鸣,溏泄。脉沉细软弱。
实 心胸烦闷,口干身热,颊肿,体重腹胀寒饥,舌根肿,四肢怠堕,泄下
利。脉紧急实。
中风 中风本位浮迟。中寒本位沉紧细。胀水。醉饱。胃主癖胀。
肺
虚 语嘶,用力棹颤,少气不足,咽中干无津液,咳喘鼻流清涕,恐怖耳聋。脉沉缓。
实 胸膈满,上气喘逆,咽中不利,鼻赤口张,饮食无度,痰粘,肩背痛。脉不上不下。
中风 中风本位浮涩短。中寒本位紧涩。胀水。大肠主宿食胀溏泄。
肾
虚 腰背切痛,不得俯仰,足腿酸,手足冷,呼吸少气,骨节痛,腹结痛,面黑,耳鸣,
小便数。脉浮细而数。
实 舌燥咽干肿,心烦,胸膈时痛,喘嗽,小腹满,腰强痛,体重,骨节下热,小便黄,
腹腰肿,盗汗,胀泄。
中风 中风本位浮滑。中寒本位沉紧而滑。冷湿,房劳,胀水。
膀胱
虚 面赤色无液,尿多寐中不觉,小腹气痛,攻冲腹胁。
实 小便不通,或涩,尿血,淋闭,茎中痛。脉沉濡滑。
六腑
虚 水谷不化,肠鸣泄利,吐逆,手足冷。
实 粪结,皮肤瘙痒,致厕艰难。
肝
虚证:胁下坚硬胀满,寒热往来,腹部胀满且食欲不振,感觉像被人追捕一样惊恐,眼睛发黑或出现花翳,筋脉拘挛、关节疼痛,指甲干枯呈青色。容易恐惧。脉象沉细而滑。
实证:胁下疼痛,寒热往来,心下部坚硬胀满,气机上逆,头晕,颈部僵硬、背部强直、筋脉紧急,眼睛发红,面颊肿胀,耳聋。容易发怒。脉象浮大且数。
中风:左侧脉象浮弦;中寒,左关脉紧弦。胀水病,恶血病。胆经主要主管呕吐胆汁。肝经主要主管胀满。
心
虚证:心腹部突然疼痛,心膈部位胀满,时常吐出清稀涎沫,多惊悸、悲伤、神志恍惚,面色少华。舌根强硬。脉象浮虚。
实证:心神烦乱,面色红赤,身体发热,口舌生疮,咽喉干燥,头痛,手心发热,鼻出血。喜欢笑。脉象洪大实有力。
中风:中风在心的本位脉象为浮洪。中寒在心的本位脉象为洪紧。小肠胀水病主要与宿食积滞引起的胀满有关。忧思过度。
脾
虚证:四肢无力抬举,饮食不能消化,吞酸或无法进食,进食后呕吐,腹痛肠鸣,大便溏泄。脉象沉细软弱。
实证:心胸烦闷,口干身热,面颊肿胀,身体沉重、腹部胀满、时而怕冷时而饥饿,舌根肿胀,四肢懈怠下垂,腹泻痢疾。脉象紧急实有力。
中风:中风在脾的本位脉象为浮迟。中寒在脾的本位脉象为沉紧细。胀水病。醉酒后饱食过度。胃经主要主管癖积胀满。
肺
虚证:声音嘶哑,用力时颤抖,气短不足以息,咽喉干燥无津液,咳嗽气喘、鼻流清涕,恐惧、耳聋。脉象沉缓。
实证:胸膈满闷,上气喘逆,咽喉不利,鼻子发红、张口呼吸,饮食无节制,痰液粘稠,肩背疼痛。脉象不上不下(指脉位不显或难以捉摸)。
中风:中风在肺的本位脉象为浮涩短。中寒在肺的本位脉象为紧涩。胀水病。大肠经主要主管宿食积滞引起的胀满和溏泄。
肾
虚证:腰背切割样疼痛,不能俯仰,腿足酸痛,手足冰冷,呼吸气短,骨节疼痛,腹部结聚疼痛,面色黑,耳鸣,小便频数。脉象浮细而数。
实证:舌头干燥、咽喉干肿,心烦,胸膈时而疼痛,喘咳,小腹胀满,腰部强痛,身体沉重,骨节下方发热,小便黄,腹部和腰部肿胀,盗汗,腹胀泄泻。
中风:中风在肾的本位脉象为浮滑。中寒在肾的本位脉象为沉紧而滑。冷湿邪气,房劳过度,胀水病。
膀胱
虚证:面色红赤但无津液滋润,尿多且在睡眠中不自觉排尿,小腹部气痛,攻冲至腹部和胁部。
实证:小便不通畅,或排尿涩痛,尿血,淋证闭阻,尿道疼痛。脉象沉濡滑。
Liver
Deficiency Syndrome: Hardness and distension in the hypochondrium, alternating chills and fever, abdominal fullness with anorexia, a sensation as if being pursued by someone, darkening of the eyes or visual obscurations (cataracts/spots), tendon spasms and joint pain, dry and bluish nails. Prone to fear. Pulse is deep, fine, and slippery.
Excess Syndrome: Pain in the hypochondrium, alternating chills and fever, hardness and fullness below the heart, rebellious Qi, dizziness, stiff neck, rigid back, tense tendons, red eyes, swollen cheeks, deafness. Prone to anger. Pulse is floating, large, and rapid.
Wind-Stroke: Left side pulse is floating and wiry; Cold Invasion, left Guan position pulse is tight and wiry. Distending water disease, evil blood disease. The Gallbladder channel primarily governs vomiting of bile. The Liver channel primarily governs distension.
Heart
Deficiency Syndrome: Sudden pain in the heart and abdomen, fullness in the heart and diaphragm, frequent spitting of clear saliva, frequent palpitations, sadness, mental confusion, lackluster complexion. Stiffness at the root of the tongue. Pulse is floating and deficient.
Excess Syndrome: Mental restlessness and agitation, red face, body heat, sores on the mouth and tongue, dry throat, headache, hot palms, epistaxis. Inclination to laughter. Pulse is surging, substantial, and forceful.
Wind-Stroke: Wind-Stroke at the Heart's primary position presents with a floating and surging pulse. Cold Invasion at the Heart's primary position presents with a surging and tight pulse. Small Intestine distending water disease is primarily associated with fullness caused by retained food. Excessive worry and overthinking.
Spleen
Deficiency Syndrome: Inability to move the four limbs, indigestion, acid regurgitation or inability to eat, vomiting after eating, abdominal pain with borborygmus, loose stools. Pulse is deep, fine, weak, and soft.
Excess Syndrome: Chest and heart vexation and oppression, dry mouth, body heat, swollen cheeks, heavy body, abdominal distension alternating with cold sensations and hunger, swelling at the root of the tongue, lethargic and drooping limbs, diarrhea and dysentery. Pulse is tight, urgent, and substantial.
Wind-Stroke: Wind-Stroke at the Spleen's primary position presents with a floating and slow pulse. Cold Invasion at the Spleen's primary position presents with a deep, tight, and fine pulse. Distending water disease. Overindulgence in alcohol and rich food. The Stomach channel primarily governs mass-like distension (Pi accumulation).
Lung
Deficiency Syndrome: Hoarseness, trembling when exerting effort, shortness of breath and insufficiency of Qi, dry throat without fluids, cough and asthma with clear nasal discharge, fear, deafness. Pulse is deep and slow.
Excess Syndrome: Fullness in the chest and diaphragm, upward rebellious Qi and asthma, difficulty in the throat, red nose, open-mouth breathing, uncontrolled eating, sticky phlegm, shoulder and back pain. Pulse is neither floating nor sinking (obscure/hard to grasp).
Wind-Stroke: Wind-Stroke at the Lung's primary position presents with a floating, choppy, and short pulse. Cold Invasion at the Lung's primary position presents with a tight and choppy pulse. Distending water disease. The Large Intestine channel primarily governs fullness and loose stools caused by retained food.
Kidney
Deficiency Syndrome: Cutting pain in the lower back, inability to bend forward or backward, soreness and weakness in the legs and feet, cold hands and feet, shortness of breath, joint pain, knotted pain in the abdomen, black complexion, tinnitus, frequent urination. Pulse is floating, fine, and rapid.
Excess Syndrome: Dry tongue, dry and swollen throat, mental restlessness, intermittent chest and diaphragm pain, asthma and cough, lower abdominal fullness, stiff and painful waist, heavy body, heat below the joints, yellow urine, swelling of the abdomen and waist, night sweats, abdominal distension with diarrhea.
Wind-Stroke: Wind-Stroke at the Kidney's primary position presents with a floating and slippery pulse. Cold Invasion at the Kidney's primary position presents with a deep, tight, and slippery pulse. Cold-dampness, sexual exhaustion, distending water disease.
Bladder
Deficiency Syndrome: Red face lacking moisture/fluids, polyuria with involuntary urination during sleep, Qi-type pain in the lower abdomen, attacking pain radiating to the abdomen and hypochondrium.
Excess Syndrome: Urinary retention or difficult/painful urination, hematuria, strangury and urinary obstruction, pain in the urethra. Pulse is deep, soggy, and slippery.
Six Fu Organs
Deficiency Syndrome: Failure to digest water and grain, borborygmus with diarrhea, vomiting and regurgitation, cold hands and feet.
Excess Syndrome: Constipation, pruritus cutis, difficulty in defecation.