结阳者，肿四肢；结阴者，便血一升，再结二升，三结三升。结阳，阳聚而实也。四肢
者，
诸阳之本。阳实，则四肢肿也。结阴，阴气凝聚，不与阳气相通也。夫阳所以举阴气者也，
阴无阳而独，则不复周流四布，有坠而下出耳！再结、三结，谓二阴、三阴并结不解，结愈
甚者，下愈多也。
人病胃脘痈者，诊当候胃脉。其脉当沉细，沉细者气逆，逆者人迎甚盛，甚盛则热。人
迎者
，胃脉也。逆而甚，则热聚于胃口而不行，故胃脘为痈也。按人迎在头，趺阳在足，皆胃脉
也。云当候胃脉者，谓趺阳也。趺阳脉不必沉且细，而今沉且细者，气逆于上，而下乃虚，
下虚则沉细也。人迎甚盛者，气逆于上则上盛，上盛故人迎甚盛。夫气聚于上而热不行，胃
脘壅遏，得不蓄积为痈耶？
覃，延也， 肉蔓延，与肠相着。瘕，假也，假血成形，积于胞中。血积易去，故曰可
导而下； 肉渐大，则消之非易，故曰状如怀子，久者离岁。
心移寒于肺，为肺消；肺消者，饮一溲二，死不治。肺居上焦，而司气化。肺热则不肃
，不
肃则水不下；肺寒则气不化，不化则水不布。不特所饮之水直趋而下，且并身中所有之津，
尽从下趋之势，有降无升，生气乃息，故曰∶“饮一溲二，死不治。”
阳经之气结滞不通，会导致四肢肿胀；阴经之气结滞不通，会导致便血，初次结滞出血一升，再次结滞出血二升，三次结滞出血三升。所谓“结阳”，是指阳气聚集而充实。四肢是诸阳经的根本所在。阳气充实过盛，就会导致四肢肿胀。所谓“结阴”，是指阴气凝聚，不能与阳气相互贯通。阳气的作用是提升和固摄阴气，如果阴气失去阳气的依附而孤立存在，就不能再周流全身、布散四方，只能下坠而从下部排出！所谓的“再结”、“三结”，是指太阴、少阴等阴经的气机并结而不解，结滞越严重，下部的出血量就越多。
人患有胃脘痈（胃部化脓性病变）时，诊察应当候查胃脉。胃脉的常态应当是沉细的，如果脉象沉细，说明气机逆乱；气机逆乱的人，其颈部的人迎脉会非常盛大，人迎脉盛大则表明有热邪。人迎脉属于胃经的脉象。气机逆乱且盛大，则热邪聚集在胃口处而不能运行，所以导致胃脘形成痈肿。按：人迎穴位于头部，趺阳穴位于足部，这两处都是反映胃气的脉位。文中说“应当候查胃脉”，指的是趺阳脉。趺阳脉不一定要呈现沉细之象，但现在却出现沉细，是因为气机逆乱于上部，导致下部虚弱，下部虚弱所以脉象沉细。人迎脉非常盛大，是因为气机逆乱于上部导致上部邪气盛，上部邪气盛所以人迎脉非常盛大。气机郁结于上部且热邪无法消散，胃脘部位壅塞阻滞，难道不会积聚而成痈肿吗？
“覃”意为延长，指肌肉组织蔓延生长，与肠道相连附着。“瘕”意为假借，指假借血液形成肿块，积聚在胞宫之中。血积容易去除，所以说可以通过导引的方法使其下行排出；如果是肉块逐渐增大，那么消除它就不容易，所以表现为腹部隆起像怀孕一样，病程长久可达一年之久。
心将寒邪移传于肺，称为肺消；肺消这种病证，表现为喝一杯水排出两小便的量，属于死症，难以治愈。肺位于上焦，主管气化功能。肺受热邪则肃降功能失职，肃降失职则津液不能向下输布；肺受寒邪则气化功能失常，气化失常则津液不能布散。不仅所饮入的水直接趋向下方排出，而且身体中所有的津液，也都随着这股下趋的趋势流失，只有下降没有上升，人体的生气因此衰竭，所以说：“饮一溲二，死不治。”
When Yang meridians are obstructed, swelling occurs in the four limbs; when Yin meridians are obstructed, hematochezia (blood in stool) ensues: one sheng upon the first obstruction, two sheng upon the second, and three sheng upon the third. "Obstruction of Yang" refers to the accumulation and excess of Yang Qi. The four limbs are the root of all Yang meridians. When Yang is excessive, it causes swelling in the four limbs. "Obstruction of Yin" refers to the condensation of Yin Qi, which fails to communicate with Yang Qi. Yang serves to lift and support Yin Qi; if Yin Qi exists in isolation without Yang, it can no longer circulate throughout the body and distribute evenly, but instead sinks and exits from below. "Second obstruction" and "third obstruction" refer to the persistent obstruction of Taiyin and Shaoyin meridians; the more severe the obstruction, the greater the volume of lower bleeding.
In cases where a patient suffers from epigastric carbuncle (a suppurative lesion of the stomach), the pulse should be examined at the Stomach meridian. The normal Stomach pulse should be deep and fine. A deep and fine pulse indicates rebellious Qi; in such cases, the Renying (ST9) pulse becomes very vigorous, indicating heat. The Renying pulse belongs to the Stomach meridian. Rebellious and vigorous Qi leads to heat accumulation at the gastric opening that cannot disperse, thus causing an epigastric carbuncle. Note: The Renying point is located on the head, and the Zuyang (Chongyang, ST42) point is located on the foot; both reflect the Stomach Qi. When the text states "examine the Stomach pulse," it refers to the Zuyang pulse. The Zuyang pulse need not necessarily be deep and fine; however, its current presentation as deep and fine indicates that Qi is rebellious upward, leaving the lower part deficient. Lower deficiency results in a deep and fine pulse. The Renying pulse is vigorous because Qi rebels upward, causing excess in the upper part; thus, the Renying pulse becomes very vigorous. If Qi accumulates in the upper part and heat fails to dissipate, causing stagnation and obstruction in the epigastrium, how could it fail to accumulate into a carbuncle?
"Qin" means extension, referring to the spreading growth of flesh tissue adhering to the intestines. "Jia" means false, referring to a mass formed by borrowed blood accumulating in the uterus (baozhong). Blood stasis is easy to remove, hence it is said that it can be guided downward; however, if flesh gradually enlarges, elimination is difficult, hence the condition presents as abdominal distension resembling pregnancy, lasting for years.
When Heart cold transmits to the Lung, it is called Feixiao (Lung Xiao); in Feixiao, the patient drinks one unit of fluid but excretes two units of urine, a condition that is fatal and incurable. The Lung resides in the Upper Jiao and governs Qi transformation. If the Lung is hot, its descending function fails; if descending fails, fluids do not flow downward. If the Lung is cold, Qi transformation fails; if transformation fails, fluids are not distributed. Not only does the ingested water rush directly downward, but all the body's Jin-Ye (body fluids) follow this downward trend, having descent without ascent. Thus, the Sheng Qi (vital energy) ceases, hence it is said: "Drinking one and urinating two is fatal and incurable."