人病有积有聚有谷气（谷一作系）。夫积者，脏病，终不移也。聚者，腑病，发作有时，
展转痛移，为可治也。谷气者，胁下牵痛，按之则愈，愈而复发，夫病已愈不得复发，发即
为谷气也。
诸积大法，脉来细软附骨者，为积也。寸口结者，积在胸中。 微出寸口，积在喉中。 关
上结者，积在脐旁。 微下关者，积在小腹。 尺中结，积在气冲。 上关上，积在心下。 脉
出在左，积在左。脉出在右，积在右。 脉两出，积在中央，各以其部处之。 寸口沉而横
者，胁下及腹中有横积痛。 脉弦，腹中急痛，腰背痛相引，腹中有寒疝瘕。 脉弦紧而细
微者， 也。 夫寒痹 瘕积聚之脉状，皆弦紧。
若在心下，即寸弦紧。 在胃脘，即关弦紧。 在脐下，即尺弦紧。 一云∶关脉长弦，
有积在脐左右上下。 又脉 法。左手脉横， 在左。 右手脉横， 在右。 脉头大在
上，头小在下。 又一法，横脉见左，积在右；见右，积在左。偏得洪实而滑，亦为积。 弦
紧，亦为积，为寒痹，为疝痛。 内有积不见脉，难治。见一脉相应，为易治。 诸不相应，
为不合治也。 左手脉大，右手脉小，上病在左胁，下病在左足。 右手脉大，左手脉小，
上病在右胁，下病在右足。 脉弦而伏者，腹中有 不可转也，必死不治。 脉来细沉而直
者，身有痈肿，腹中有伏梁。 脉来沉而虚者，泄注也。 脉来小沉实者，胃中有积聚，不
可下，食即吐。
人患病有积、聚和谷气三种情况（“谷”字有的版本作“系”）。所谓“积”，是脏器的病变，位置固定不移。所谓“聚”，是腑的病变，发作有定时，疼痛游走转移，是可以治疗的。“谷气”，表现为胁下牵引疼痛，按压后疼痛缓解，但病愈后又复发；如果病愈后不再复发，一旦复发就称为“谷气”。
诊断各种积聚的大法：脉象细软且重按至骨才能触及的，是有积证。寸口脉结滞的，积在胸中。脉象微露于寸口之上，积在喉中。关上脉结滞的，积在脐旁。脉象微低于关部，积在小腹。尺中脉结滞，积在气冲穴部位。脉象出现在关上之上，积在心下。脉象显现于左侧，积在身体左侧；脉象显现于右侧，积在身体右侧。脉象左右两侧同时出现，积在身体中央，应根据脉象出现的部位来判断积证的位置。寸口脉沉而横行的，胁下及腹中有横向的积块并伴有疼痛。脉弦，腹中拘急疼痛，腰背疼痛相互牵引，腹中有寒疝瘕聚。脉象弦紧而细微的，是寒痹。凡寒痹、瘕聚、积聚的脉象，都呈现弦紧之象。若积在心下，则寸脉弦紧；若在胃脘，则关脉弦紧；若在脐下，则尺脉弦紧。另一种说法认为：关脉长而弦，脐的左右上下有积块。又有脉法：左手脉横，积在左侧；右手脉横，积在右侧。脉头大在上，头小在下……又一种方法：横脉见于左，积在右；见于右，积在左。脉象偏于洪实而滑的，也是积证。脉弦紧，也是积证，属于寒痹或疝痛。体内有积证但脉象不相应显现的，难治；见到一脉象与病情相应的，易治。诸脉象都不相应的，是不合宜治疗的。左手脉大，右手脉小，上部病在左胁，下部病在左足。右手脉大，左手脉小，上部病在右胁，下部病在右足。脉象弦而伏的，腹中有不可转动的积块，必死不治。脉来细沉而直的，身体有痈肿，腹中有伏梁。脉来沉而虚的，是泄泻注下。脉来小沉实的，胃中有积聚，不可用攻下法，进食即呕吐。
In human disease, there are accumulations (Ji), masses (Ju), and grain qi (Guqi). "Accumulation" refers to a disease of the Zang organs, which remains fixed in location. "Mass" refers to a disease of the Fu organs, which occurs at specific times, with pain that migrates and shifts, and is treatable. "Grain qi" manifests as pulling pain under the hypochondrium, which alleviates upon pressure but recurs after relief; if the disease does not recur after healing, its recurrence is termed "grain qi."
The general principles for diagnosing various accumulations: A pulse that is fine and soft, palpable only when pressed deeply to the bone, indicates an accumulation. A knotted pulse at the Cun position indicates accumulation in the chest. A pulse slightly protruding above the Cun position indicates accumulation in the throat. A knotted pulse at the Guan position indicates accumulation beside the umbilicus. A pulse slightly below the Guan position indicates accumulation in the lower abdomen. A knotted pulse at the Chi position indicates accumulation at the Qichong acupoint. A pulse appearing above the Guan position indicates accumulation in the epigastrium. A pulse manifesting on the left side indicates accumulation on the left side of the body; a pulse manifesting on the right side indicates accumulation on the right side. A pulse appearing on both sides indicates accumulation in the center; the location should be determined according to the pulse's position. A deep and transverse pulse at the Cun position indicates horizontal accumulation and pain in the hypochondrium and abdomen. A wiry pulse with acute abdominal pain, radiating back and waist pain, indicates cold hernia and mass in the abdomen. A wiry, tight, and fine pulse indicates cold bi-syndrome (Cold Bi). The pulse characteristics of cold bi, mass, and accumulation all present as wiry and tight. If the accumulation is in the epigastrium, the Cun pulse is wiry and tight; if in the stomach region, the Guan pulse is wiry and tight; if below the umbilicus, the Chi pulse is wiry and tight. Another view states: a long and wiry Guan pulse indicates accumulation around the umbilicus. Another pulse method: a transverse pulse on the left hand indicates accumulation on the left; a transverse pulse on the right hand indicates accumulation on the right. A pulse head large above and small below... Another method: a transverse pulse seen on the left indicates accumulation on the right; seen on the right, it indicates accumulation on the left. A pulse that is predominantly surging, solid, and slippery also indicates accumulation. A wiry and tight pulse also indicates accumulation, cold bi, or hernia pain. Internal accumulation without corresponding pulse signs is difficult to treat; finding one corresponding pulse sign makes it easier to treat. If all pulse signs do not correspond, treatment is inappropriate. A large pulse on the left hand and small on the right indicates upper pathology in the left hypochondrium and lower pathology in the left foot. A large pulse on the right hand and small on the left indicates upper pathology in the right hypochondrium and lower pathology in the right foot. A wiry and hidden pulse indicates an immobile accumulation in the abdomen, which is fatal and untreatable. A fine, deep, and straight pulse indicates carbuncles and swellings on the body and Fuliang (Fuliang) in the abdomen. A deep and deficient pulse indicates diarrhea and dysentery. A small, deep, and solid pulse indicates accumulation in the stomach, where purgation is contraindicated, leading to vomiting immediately after eating.