心主惊。实则叫哭发热，饮水而摇（聚珍本作搐）；虚则卧而悸动不安。
肝主风。实则目直，大叫，呵欠，项急，顿闷；虚则切牙，多欠气。热则外生气；湿则
内生气。
脾主困。实则困睡，身热，饮水；虚则吐泻，生风。
肺主喘。实则闷乱喘促，有饮水者，有不饮水者；虚则哽气，长出气。
肾主虚，无实也。惟疮疹，肾实则变黑陷。
更当别虚实证。假如肺病又见肝证，切牙多呵欠者，易治，肝虚不能胜肺故也。若目直
、大
补母，实则泻子。
肝病，哭叫，目直，呵欠，顿闷，项急。
心病，多叫哭，惊悸，手足动摇，发热饮水。
脾病，困睡，泄泻，不思饮食。
肺病，闷乱哽气，长出气，气短喘息。
肾病，无精光，畏明，体骨重。
呵欠，顿闷，口中气热。当发散，大青膏主之。若能食，饮水不止，当大黄丸微下之
。余不可下。
胸满短气，气急喘嗽上气。当先散肺，后发散风冷。散肺，泻白散、大青膏主之。肺不
伤寒则不胸满。
唇白色，当补肺，阿胶散主之。若闷乱气粗，喘促哽气者，难治，肺虚损故也。
脾肺病久，则虚而唇白。脾者肺之母也，母子皆虚，不能相营，故名曰怯肺，主唇白。
白而泽者吉，白如枯骨者死。
心主司惊骇。实证表现为呼叫哭喊、发热，饮水时身体颤抖（聚珍本记载为抽搐）；虚证表现为躺卧时心悸悸动、不安稳。
肝主司风邪。实证表现为两眼直视，大声叫喊，打哈欠，颈项强急，头昏闷胀；虚证表现为咬牙，频繁叹气。热邪则从外部生发风气；湿邪则从内部生发风气。
脾主司困倦。实证表现为嗜睡，身体发热，想喝水；虚证表现为呕吐腹泻，引动肝风。
肺主司气喘。实证表现为胸中烦闷扰乱、呼吸急促，有的想喝水，有的不想喝水；虚证表现为喉间哽噎之气，长出气（深长叹息）。
更应当辨别虚证和实证。假如肺病又出现肝的症状，如咬牙、多打哈欠的，容易治疗，这是因为肝虚不能克制肺的缘故。如果眼睛直视……（此处原文似有缺漏或排版错误，结合后文“大补母，实则泻子”及中医理论，通常指根据五行生克关系，虚则补其母，实则泻其子），应遵循“虚则补其母，实则泻其子”的原则。
肾病症状：眼神无光彩，畏光，身体骨骼沉重。
出现打哈欠、头昏闷胀、口中气息发热的症状。应当采用发散法治疗，以大青膏为主方。如果能进食，但饮水不止，应当用大黄丸轻微攻下。其余情况不可使用攻下法。
出现手抓衣领及胡乱捻弄物品的症状，以泻青丸为主方。高热、想喝水、气喘胸闷，以泻白散为主方。
出现手掐眉、目、鼻、面部症状，以甘桔汤为主方。
出现胸满、气短、气急、喘嗽、上气等症状。应当先疏散肺气，后疏散风冷。疏散肺气，以泻白散、大青膏为主方。肺如果不感受伤寒，就不会出现胸满。
嘴唇白色，应当补肺，以阿胶散为主方。如果出现胸中烦闷扰乱、气息粗重、气喘急促、喉间哽气的症状，属于难治之症，这是因为肺虚损的缘故。
The Heart governs fright. In excess conditions, there is crying and shouting, fever, and trembling while drinking water (the Zhenzhu edition records this as convulsions); in deficiency conditions, there is palpitations and restlessness while lying down.
The Liver governs wind. In excess conditions, there is staring eyes, loud screaming, yawning, stiffness of the neck, and dizziness with a feeling of oppression; in deficiency conditions, there is teeth grinding and frequent sighing. Heat generates wind from the exterior; dampness generates wind from the interior.
The Spleen governs lethargy. In excess conditions, there is drowsiness, body heat, and desire for water; in deficiency conditions, there is vomiting and diarrhea, and the generation of wind.
The Lung governs panting. In excess conditions, there is chest distress and confusion with rapid breathing; some patients desire water, while others do not; in deficiency conditions, there is a choking sensation of Qi and long sighing.
The Kidney governs deficiency and has no excess conditions. Only in cases of smallpox or measles, if the Kidney is in excess, it manifests as blackening and sinking of the lesions.
One must further distinguish between deficiency and excess patterns. For example, if a Lung disease presents with Liver symptoms such as teeth grinding and frequent yawning, it is easy to treat because Liver deficiency fails to control the Lung. [Note: The original text contains fragmented sentences regarding "Greatly tonify the mother" and "Excess drain the child," referring to the Five Elements theory where one should tonify the mother organ in deficiency and drain the child organ in excess.]
Liver disease symptoms: Crying and shouting, staring eyes, yawning, dizziness with oppression, and neck stiffness.
Heart disease symptoms: Frequent crying and shouting, fright and palpitations, shaking of hands and feet, fever, and desire for water.
Spleen disease symptoms: Drowsiness, diarrhea, and lack of appetite.
Lung disease symptoms: Chest distress and confusion, choking sensation of Qi, long sighing, shortness of breath, and panting.
Kidney disease symptoms: Lackluster eyes, photophobia, and heaviness of the body and bones.
When presenting with yawning, dizziness with oppression, and hot breath from the mouth, dispersing methods should be used, primarily with Daqing Gao (Big Blue Ointment). If the patient can eat but drinks incessantly, Xiaohuang Wan (Rhubarb Pill) should be used to gently purge. Other conditions should not be purged.
When presenting with picking at clothes collars and randomly twisting objects, Xieqing Wan (Drain Green Pill) is indicated. For high fever, desire for water, panting, and chest distress, Xiebai San (Drain White Powder) is indicated.
When presenting with pinching the eyebrows, eyes, nose, and face, Ganjie Tang (Licorice and Platycodon Decoction) is indicated.
When presenting with chest fullness, shortness of breath, rapid breathing, coughing with wheezing, and rebellious Qi, the Lung should first be dispersed, followed by the dispersion of wind-cold. To disperse the Lung, Xiebai San (Drain White Powder) and Daqing Gao (Big Blue Ointment) are indicated. If the Lung does not contract cold damage, chest fullness will not occur.
If the lips are deep red, treat by dispersing the Lung. For deficient heat, administer a small dose of Xiebai San (Drain White Powder).
If the lips are white, tonify the Lung, primarily with Ejiao San (Donkey-Hide Gelatin Powder). If accompanied by chest distress and confusion, coarse breathing, panting, and choking sensation of Qi, it is difficult to treat due to Lung deficiency and damage.
Chronic Spleen and Lung diseases lead to deficiency and white lips. The Spleen is the mother of the Lung; when both mother and child are deficient and cannot nourish each other, it is named "Qie Fei" (Timid Lung), primarily manifesting as white lips.
White lips with luster indicate a good prognosis; white lips like dry bone indicate death.