此难于大小便，溺赤。臣意饮以火齐汤，一饮即前后溲，再饮病已，溺如故。
意之言曰∶“脉大而躁，大者膀胱气也，躁者中有热而溺赤。”又切其太阴之口∶“湿热，
风气也。”予尝以白蝴蝶花根煎汤饮见效。考意火齐汤，用附子、肉桂、大戟、大黄、汉防
己、车前子、防风，此岂可常用，意何恃为绝技也哉？（吴普注）
山跗病，得之盛怒，而以接内。所以知山跗之病者，臣意切其脉，肺气热也。齐太医先
诊山跗病，灸其足少阳脉口，而饮之半夏丸，病者即泄注，腹中虚。又灸其少阴脉，是坏肝
刚极深，如是重损病者气；以故加寒热，所以后三日而狂者。肝一络连属，结络乳下阳明，
故络绝。开阳明脉，阳明脉伤，即当狂走。后五日死者，肝与心相去五分，故曰五日尽，尽
即死矣。
按∶此先病肝，后痰肺，继之以灸，夏饮半夏燥烈品。然苟大补元气，如漆叶青 散，
非不可治。第须久服，缓不济急耳。（樊阿注）
瘕与症异，症坚而瘕软，症以血为之，瘕以气为之也。齐中尉潘满如病，少腹痛，臣意
切其脉，深小弱，其卒然浮合也，是脾气也。右脉口气至紧小，见瘕气也，后溲血死。
按∶此若经吾师治，必不令其瘕之自溃溲血而死。意盖仅能诊脉决死生，而决不能治病
也。脾去而人不致死，瘕破而肉不致痛，此理彼犹未知耳。（樊阿注）
小便和大便排泄困难，尿液颜色发红。我（淳于意）让他服用火齐汤，喝一次后大小便就能通畅，喝两次病就好了，尿液恢复正常。
我说：“脉象大而躁动，‘大’代表膀胱气机异常，‘躁动’代表体内有热邪导致尿色发红。”我又诊察太阴脉口说：“这是湿热夹杂风邪所致。”我曾经用白蝴蝶花根煎汤饮用，也取得了疗效。考察我使用的火齐汤，由附子、肉桂、大戟、大黄、汉防己、车前子、防风组成，这些药物岂是日常可以随意使用的？我凭借什么成为绝技呢？（吴普注）
山跗病，是因为盛怒之后又进行房事而得的。之所以能诊断出山跗病，是我切脉发现肺气热。齐国的太医先诊断了山跗病，灸治足少阳脉口，并让他服用半夏丸，病人随即发生腹泻，腹部空虚。接着又灸治少阴脉，这严重损伤了肝脏刚强之气，深入骨髓，如此重重损害病人的正气；因此出现寒热交替的症状，所以三天后发狂。肝的一络相连属，结聚在乳下阳明经处，所以经络断绝。如果开启阳明脉，阳明脉受伤，就会发狂乱跑。五天后死亡的原因，是因为肝与心的距离为五分，所以说五日精气耗尽，耗尽即死。（樊阿注）
按语：此病起初是肝病，后来痰湿蕴肺，继而又施以艾灸，夏天还服用燥烈性质的半夏。然而如果能够大补元气，如使用漆叶青麟散，并非不能治愈。只是需要长期服用，缓慢调理，无法急救罢了。（樊阿注）
瘕病与症病不同，症病坚硬而瘕病柔软，症病是由血瘀形成的，瘕病是由气滞形成的。齐中尉潘满如患病，小腹痛，我切其脉象，脉深小弱，突然浮合在一起，这是脾气虚弱之象。右脉口气至紧小，显示出瘕气的存在，后来尿血而死。
按语：如果这位病人经过我的老师治疗，必定不会让他的瘕病自行溃破导致尿血而死。淳于意大概只能凭脉象判断生死，而不能真正治病。脾脏功能丧失人不一定致死，瘕块破裂肌肉不一定疼痛，这个道理他还不了解。（樊阿注）
Difficulty in urination and defecation, with red urine. I (Chunyu Yi) administered Huoqi Tang (Fire-Equalizing Decoction); after one dose, both urinary and fecal discharge became smooth; after two doses, the illness resolved, and the urine returned to normal.
I stated: "The pulse is large and restless. 'Large' indicates abnormal Qi mechanism of the Bladder; 'restless' indicates internal Heat causing red urine." I also palpated the Taiyin (Great Yin) mouth [pulse position] and said: "This is Damp-Heat complicated by Wind pathogen." I once used decoction of *Dioscorea alata* root (White Butterfly Flower Root) for drinking and achieved effective results. Examining my use of Huoqi Tang, which consists of Fuzi (Prepared Aconite Root), Rougui (Cinnamon Bark), Daji (Euphorbia Root), Dahuang (Rhubarb Root), Hanfangji (Stephania Tetrandra), Cheqianzi (Plantago Seed), and Fangfeng (Saposhnikovia Root), how could these be commonly used? What makes my skill a unique art? (Wu Pu's Note)
Shanfu Disease (Mountain Stiffness Illness) arises from extreme anger followed by sexual intercourse. The reason I diagnosed Shanfu Disease was that upon palpating the pulse, I found Lung Qi Heat. The Imperial Physician of Qi first diagnosed Shanfu Disease, moxa-ed the Foot Shaoyang (Lesser Yang) mouth [pulse position], and administered Banxia Wan (Pinellia Pill). The patient immediately suffered from diarrhea, leaving the abdomen empty. Then, he moxa-ed the Shao Yin (Lesser Yin) pulse. This severely damaged the Liver's rigid Qi, penetrating deeply. Such repeated damage to the patient's Qi caused alternating chills and fever, leading to mania three days later. One collateral of the Liver connects and attaches, knotting at the Yangming (Bright Yang) below the breast, thus severing the collaterals. If the Yangmai (Yang Pulse) is opened, injury to the Yangmai leads to manic running. Death occurs five days later because the distance between the Liver and Heart is five fen; thus, it is said that when five days pass, essence is exhausted, and exhaustion leads to death. (Fan A's Note)
Commentary: This illness initially involved the Liver, then phlegm-dampness accumulated in the Lungs, followed by moxibustion treatment, and in summer, the administration of the drying and acrid Banxia (Pinellia). However, if Yuan Qi (Original Qi) were greatly tonified, such as using Qiyе Qinglin San (Leaf-Lacquer Green Scale Powder), it was not untreatable. It merely required long-term administration for slow regulation, unable to provide emergency relief. (Fan A's Note)
Jia Mass (Soft Mass) differs from Zheng Mass (Hard Mass). Zheng Mass is hard, while Jia Mass is soft. Zheng Mass is formed by Blood stasis, whereas Jia Mass is formed by Qi stagnation. Pan Manru, the Grand Commandant of Qi, suffered from lower abdominal pain. Upon palpating his pulse, I found it deep, small, and weak, suddenly floating together, indicating Spleen Qi deficiency. The right pulse at the Kou position was tight and small, revealing the presence of Jia Qi. He subsequently died after passing blood in urine.
Commentary: If this patient had been treated by my Master, his Jia Mass would certainly not have ruptured spontaneously leading to hematuria and death. Chunyu Yi likely could only diagnose life and death through pulse-taking but could not truly cure diseases. Loss of Spleen function does not necessarily lead to death, and rupture of a mass does not necessarily cause muscle pain; he did not yet understand this principle. (Fan A's Note)