不病而五行绝者死，不病而性变者死，不病而暴语妄者死，不病而暴不语者死，不病而
喘息者死，不病而强中者死，不病而暴目盲者死，不病而暴肿满者死，不病而大便结者死，
不病而暴无脉者死，不病而暴昏冒如醉者死，此内外先尽故也。逆者即死，顺者二年，无有
生者也。
病者应寒而反热，应热而反寒，应吐而不吐，应泻而不泻，应汗而不汗，应语而不语，
应寐而不寐，应水而不水，皆属灾怪。此乃五脏之气，不相随从而致。以四逆者不治，四逆
者谓主客运，俱不得时也。
病起于六腑者，阳之系也。其发也或上或下，或内或外，或反在其中，行之极也。有能
歌笑者，有能悲泣者，有能奔走者，有能呻吟者，有自委曲者，有自高贤者，有寐而不寤者，
有
喜其水者，以水济之；喜其冰者，以冰助之。病者之嗜好勿强予违背，亦不可强抑之，如此
从随，则十生其十，百生其百，疾无不愈耳。
病起于五脏者，阴之属也。其发也或偏枯，或痿厥，或外寒而内热，或外热而内寒，或
心腹胀满，或手足挛蜷，或口眼不正，或皮肤不仁，或行步艰难，或身体强硬，或吐泻不息，
或
阳必不足；阳之盛也，阴必不盈。前论云∶“阳不足则助之以火精，阴不足则济之以水母”
，此之谓也。故喜其汗者汗之，喜其温者温之，喜其热者热之，喜其火者火之，喜其汤者汤
之。汗、温、热、火、汤，胥视其宜而施之。治救之道，即在是也。
没有明显疾病表现，但五行之气断绝的，会死亡；没有明显疾病表现，但性情发生改变的，会死亡；没有明显疾病表现，但突然胡言乱语的，会死亡；没有明显疾病表现，但突然不能说话的，会死亡；没有明显疾病表现，但出现喘息的，会死亡；没有明显疾病表现，但出现强中（阴茎异常勃起）的，会死亡；没有明显疾病表现，但突然失明的，会死亡；没有明显疾病表现，但突然肿胀胀满的，会死亡；没有明显疾病表现，但大便干结不通的，会死亡；没有明显疾病表现，但突然脉搏消失的，会死亡；没有明显疾病表现，但突然昏厥昏迷像醉酒一样的，会死亡。这是因为体内正气与邪气都已耗尽的缘故。病情逆乱的即刻死亡，顺应的也能存活两年，但最终没有能活下来的。
病人应当感到寒冷却反而发热，应当发热却反而寒冷，应当呕吐却不呕吐，应当腹泻却不腹泻，应当出汗却不出汗，应当说话却不说，应当睡眠却不睡眠，应当饮水却不饮水，这些都归属于灾怪（反常病象）。这是由于五脏之气不相跟随协调所导致的。如果出现四逆（四肢厥冷），属于难治之症。所谓四逆，是指主气与客气、天运与地运，都不符合时令规律。
疾病起源于六腑的，属于阳的系统。它的发作有时在上部，有时在下部，有时在内部，有时在外部，有时反而在中间，这是气机运行到了极点。有的病人能唱歌笑闹，有的能悲伤哭泣，有的能奔走不停，有的能呻吟不止，有的身体蜷曲委顿，有的自视高傲贤能，有的沉睡不醒，有的喜欢喝水，就用水来滋润他；有的喜欢冰，就用冰来辅助他。对于病人的嗜好不要强行违背，也不可强行抑制，如此顺应其意，那么十个能救活十个，一百个能救活一百个，疾病没有不能痊愈的。
疾病起源于五脏的，属于阴的系统。它的发作有时表现为偏枯（半身不遂），有时表现为痿厥（肢体萎软厥冷），有时外寒内热，有时外热内寒，有时心腹胀满，有时手足拘挛弯曲，有时口眼歪斜，有时皮肤麻木不仁，有时行走困难，有时身体僵硬，有时吐泻不止，有时阳气必然不足；如果阳气过盛，阴气必然不足。前文论述说：“阳气不足就用火精来助益，阴气不足就用水母来济助”，说的就是这个道理。所以喜欢发汗的就让他发汗，喜欢温热的就给予温热，喜欢热性的就给予热性，喜欢火疗的就用火疗，喜欢汤药的就用汤药。汗法、温法、热法、火法、汤药，都要视其适宜情况而施用。救治的方法，就在于此。
Those who appear healthy but have the Five Elements (Wu Xing, the five phases of material transformation) severed will die. Those who appear healthy but undergo a change in temperament will die. Those who appear healthy but suddenly speak deliriously will die. Those who appear healthy but suddenly become mute will die. Those who appear healthy but develop panting/asthma will die. Those who appear healthy but develop Qiangzhong (priapism/pathological erection) will die. Those who appear healthy but suddenly go blind will die. Those who appear healthy but suddenly develop swelling and fullness will die. Those who appear healthy but suffer from constipation will die. Those who appear healthy but suddenly lose their pulse will die. Those who appear healthy but suddenly fall into a coma resembling drunkenness will die. This is because both internal and external vital energies are exhausted. If the condition is contrary (Ni), death occurs immediately; if it follows the natural order (Shun), survival for two years is possible, yet ultimately none survive.
When a patient should feel cold but instead feels hot, or should feel hot but instead feels cold; when they should vomit but do not, or should have diarrhea but do not; when they should sweat but do not, or should speak but do not; when they should sleep but do not, or should drink water but do not—all these belong to Zai Guai (abnormal/ominous symptoms). These arise because the Qi of the Five Zang Organs fails to follow one another harmoniously. The appearance of Si Ni (Four Reversals/Cold Extremities) indicates an untreatable condition. Si Ni refers to the mismatch between Host Qi and Guest Qi, where neither conforms to the appropriate seasonal timing.
Diseases originating in the Six Fu Organs belong to the Yang system. Their onset may manifest upwards or downwards, internally or externally, or even centrally, representing the extreme of Qi movement. Patients may exhibit singing and laughing, weeping and mourning, running about, groaning, curling up in submission, or acting with arrogant self-importance. Some may sleep without waking. If a patient desires water, provide water to nourish them; if they desire ice, provide ice to assist them. Do not forcibly contradict the patient's preferences, nor forcibly suppress them. By following and accommodating their wishes, ten out of ten can be saved, a hundred out of a hundred can be saved, and no disease will remain incurable.
Diseases originating in the Five Zang Organs belong to the Yin system. Their onset may present as Pian Ku (hemiplegia), Wei Jue (flaccidity and cold extremities), exterior cold with interior heat, or exterior heat with interior cold. It may cause abdominal distension and fullness, spasms and curling of the hands and feet, deviation of the mouth and eyes, numbness of the skin, difficulty walking, or rigidity of the body. It may lead to incessant vomiting and diarrhea, or indicate that Yang Qi is inevitably deficient. Conversely, if Yang Qi is excessive, Yin Qi must be insufficient. As stated previously: "If Yang is deficient, aid it with Fire Essence; if Yin is deficient, nourish it with Water Mother." This is the principle. Therefore, if the patient desires sweating, induce sweating; if they desire warmth, apply warmth; if they desire heat, apply heat; if they desire fire therapy, apply fire therapy; if they desire decoctions, administer decoctions. Sweating, warming, heating, fire therapy, and decoctions are all applied according to what is appropriate. The way of treatment and rescue lies herein.