脾热病者，先头重，颊痛，烦心，颜青，欲呕，身热，热争则腰痛，不可用俯仰，腹满泄，两颔痛。甲乙
甚，戊己大汗，气逆则甲乙死。刺足太阴、阳明。
头重颊痛，与头痛不同，头痛者，邪在三阳经，此邪在太阴，欲出阳明而不得达，因而郁闷，故头重颊痛；
烦心、颜青、欲呕，皆邪结阴分，不能出表，欲达不达，争扰于中，故又腹满而泄利，腰痛不可俯仰，两颔痛，
经络气血皆壅闭故也。其病甚、与汗、与死，例上可知矣。刺足太阴脾，足阳明胃经，以泄其邪。
肺热病者，先淅然厥，起毫毛，恶风寒，舌上黄，身热，热争则喘咳，痛走胸膺背，不得太息，头痛不
堪，汗出而寒。丙丁甚，庚辛大汗，气逆则丙丁死。刺手太阴、阳明，出血如大豆，立已。
皮毛，肺之合也，热邪郁于肺，阳气不达于皮毛，故先淅然如水洒身而厥冷；毛竖，恶风寒，状似外感，
而实由内热闭其阳气，故舌黄身热，若初感外邪而非内热，其舌必白也；故热甚气逆则喘咳，痛走胸膺背，不
得太息，全是肺脏热闭之证；头痛不堪者，内火不得发泄，直上冲脑而痛，故曰不堪，与外邪在经之头痛不同
也；郁极而腠开汗出，则热散身寒也。其甚、其汗、其死，义皆同上。刺肺与大肠经出血，以泄其邪。
肾热病者，先腰痛， ，苦渴，数饮，身热，热
争则项痛而强， 寒且 ，足下热，不欲言，其逆则项痛，员员淡淡然。戊己甚，壬癸大汗，气逆则戊己死。
刺足少阴、太阳。
腰为肾之府，热邪将发，故先腰痛； 者，邪郁筋骨间也；苦渴数饮，内热劫津也；热争则项痛而强，
邪欲外出太阳经而不得达，故 寒且 ，足下反热，皆太阳经气壅闭故也；有无可奈何之苦，故不欲言；邪气
上逆则项更痛，员员淡淡者，一身不能自主，莫可形容之病也。其甚、其汗、其死，与上同。刺肾与膀胱经泄
其邪。
诸汗者，至其所胜日，汗出也。
此总结上文，重申其邪内伏，必得脏气胜旺之日，邪始外达，汗出而愈。
脾热病患者，首先出现头部沉重、面颊疼痛、心烦、面色发青、想要呕吐、身体发热；当正气与邪气激烈交争时，会出现腰部疼痛，无法进行俯仰动作，腹部胀满并腹泻，两侧下颌疼痛。病情加重时，在戊日或己日会大汗出；若出现气机上逆的症状，则在甲日或乙日会导致死亡。治疗应针刺足太阴脾经和足阳明胃经。
头部沉重和面颊疼痛，与头痛不同。头痛通常是因为邪气侵犯三阳经，而此处是邪气位于太阴经，想要转出阳明经却无法通达，因而导致郁结闷滞，所以出现头重和面颊痛；心烦、面色发青、想要呕吐，都是邪气结聚于阴分，不能透达体表，想要外达却受阻，在中焦争扰，因此又出现腹部胀满和泄泻，以及腰痛导致无法俯仰、两侧下颌疼痛，这是因为经络气血都壅塞闭阻的缘故。病情加重、出汗规律及死亡时间，参照上文可知。针刺足太阴脾经和足阳明胃经，以宣泄邪气。
肺热病患者，首先感到寒冷战栗，毫毛竖起，怕风怕冷，舌苔发黄，身体发热；当正气与邪气激烈交争时，会出现气喘咳嗽，疼痛放射至胸膺背部，不能深长呼吸，头痛剧烈难以忍受，出汗后感到恶寒。病情加重时，在丙日或丁日会大汗出；若出现气机上逆的症状，则在丙日或丁日会导致死亡。治疗应针刺手太阴肺经和手阳明大肠经，放出如大豆大小的血量，症状立即停止。
皮毛是肺的外合组织，热邪郁结在肺，阳气不能通达于皮毛，所以首先感到像水洒在身上一样寒冷战栗且四肢厥冷；毫毛竖起，怕风怕冷，症状看似外感，但实际上是由内热闭塞阳气所致，所以舌苔黄、身体发热，如果是初感外邪而非内热，舌苔必定是白色的；所以热势严重、气机上逆则出现气喘咳嗽，疼痛放射至胸膺背部，不能深长呼吸，这完全是肺脏热邪闭阻的证候；头痛剧烈难以忍受，是因为内火不得发泄，直冲脑部导致疼痛，所以说“不堪”，这与外邪在经络引起的头痛不同；郁结至极导致腠理开泄而出汗，则热邪散发，身体感到寒冷。其病情加重、出汗规律及死亡时间，意义均同上。针刺肺经和大肠经出血，以宣泄邪气。
肾热病患者，首先出现腰痛，（原文此处有缺字，结合语境推测为骨节酸痛等），口渴厉害，频繁饮水，身体发热；当正气与邪气激烈交争时，会出现颈部疼痛且僵硬，时而恶寒时而发热，脚心发热，不想说话；若气机上逆，则颈部疼痛加剧，感到头晕目眩、心神不宁。病情加重时，在戊日或己日会大汗出；若出现气机上逆的症状，则在戊日或己日会导致死亡。治疗应针刺足少阴肾经和足太阳膀胱经。
腰是肾的府邸，热邪即将发作，所以首先出现腰痛；（缺字处意指邪气）郁结在筋骨之间；口渴厉害且频繁饮水，是因为内热劫夺津液；热势交争时出现颈部疼痛且僵硬，是邪气想要外出到太阳经却无法通达，所以时而恶寒时而发热，脚心反而发热，这都是因为太阳经气壅塞闭阻的缘故；有一种无可奈何的痛苦，所以不想说话；邪气上逆则颈部疼痛更甚，“员员淡淡”形容的是全身无法自主控制、无法用言语形容的病态。其病情加重、出汗规律及死亡时间，与上文相同。针刺肾经和膀胱经以宣泄邪气。
凡是出汗痊愈的情况，都是在该脏腑所胜旺的日子（即克我之日或我克之日，此处指相克之日，如脾胜湿土，戊己属土，但文中逻辑为“至其所胜日”，通常指五行相克中我克者或克我者，根据前文脾病戊己汗出，脾属土，戊己亦属土，此处原文逻辑可能有特定注家解释，通常理解为脏气旺盛或相克之时），就会出汗。
Spleen Heat Syndrome: Patients with spleen heat disease first experience heaviness of the head, pain in the cheeks, mental restlessness, a bluish complexion, a desire to vomit, and fever. When pathogenic heat contends with healthy qi, lower back pain occurs, making flexion and extension impossible; there is abdominal fullness and diarrhea, and pain in both mandibles. If the condition worsens on Wu or Ji days (Earth days), profuse sweating occurs; if Qi rebellion occurs, death ensues on Jia or Yi days (Wood days). Treatment involves needling the Foot-Taiyin Splein Meridian and Foot-Yangming Stomach Meridian.
Heaviness of the head and cheek pain differ from headache. Headache typically arises when pathogens invade the Three Yang meridians, whereas here the pathogen resides in the Taiyin meridian, attempting to exit into the Yangming meridian but failing to do so, leading to stagnation and depression, thus causing head heaviness and cheek pain. Mental restlessness, bluish complexion, and desire to vomit indicate pathogenic factors knotting in the Yin divisions, unable to reach the exterior. The struggle within causes abdominal fullness and diarrhea, lower back pain preventing movement, and mandibular pain, all due to the congestion and blockage of Qi and Blood in the meridians. The patterns of worsening, sweating, and death are consistent with previous examples. Needling the Foot-Taiyin Spleen and Foot-Yangming Stomach meridians helps to drain the pathogen.
Lung Heat Syndrome: Patients with lung heat disease first feel chilly and shivering, with hair follicles erecting, aversion to wind and cold, a yellow tongue coating, and fever. When pathogenic heat contends with healthy qi, wheezing and coughing occur, pain radiates to the chest, hypochondrium, and back, deep breathing is difficult, severe headache is unbearable, and sweating is followed by chills. If the condition worsens on Bing or Ding days (Fire days), profuse sweating occurs; if Qi rebellion occurs, death ensues on Bing or Ding days. Treatment involves needling the Hand-Taiyin Lung Meridian and Hand-Yangming Large Intestine Meridian, releasing blood drops the size of soybeans, which stops symptoms immediately.
The skin and hair are the external correlates of the Lung. When heat pathogens stagnate in the Lung, Yang Qi cannot reach the skin and hair, causing initial chills as if sprinkled with water and cold extremities. Erected hair and aversion to wind/cold mimic exterior contraction, but actually result from internal heat closing off Yang Qi, hence the yellow tongue coating and fever. If it were an initial exterior pathogen rather than internal heat, the tongue coating would be white. Severe heat and Qi rebellion cause wheezing and coughing, with pain radiating to the chest, hypochondrium, and back, and inability to take deep breaths, all signs of Lung organ heat closure. Unbearable headache occurs because internal fire cannot vent and rushes upward to the brain. This differs from headaches caused by exterior pathogens in the meridians. When stagnation reaches its peak, pores open, sweat is released, heat dissipates, and the body feels cold. The patterns of worsening, sweating, and death are consistent with above. Bleeding from the Lung and Large Intestine meridians drains the pathogen.
Kidney Heat Syndrome: Patients with kidney heat disease first experience lower back pain, [missing text], bitter thirst, frequent drinking, and fever. When pathogenic heat contends with healthy qi, neck pain and stiffness occur, alternating chills and fever, heat in the soles of the feet, and reluctance to speak. If Qi rebels, neck pain intensifies, accompanied by dizziness and a sense of floating instability. If the condition worsens on Wu or Ji days (Earth days), profuse sweating occurs; if Qi rebellion occurs, death ensues on Wu or Ji days. Treatment involves needling the Foot-Shaoyin Kidney Meridian and Foot-Taiyang Bladder Meridian.
The waist is the residence of the Kidney. As heat pathogens are about to erupt, lower back pain appears first. [Missing text] indicates pathogens stagnating between sinews and bones. Bitter thirst and frequent drinking result from internal heat consuming body fluids. Neck pain and stiffness during heat contention occur because pathogens attempt to exit via the Taiyang meridian but fail, causing alternating chills/fever and heat in the soles, all due to congestion of Taiyang Qi. The helplessness of the condition causes reluctance to speak. Qi rebellion exacerbates neck pain. "Yuanyu dan dan" describes a state where the whole body feels out of control and indescribable. The patterns of worsening, sweating, and death are consistent with above. Needling the Kidney and Bladder meridians drains the pathogen.
Regarding sweating: Sweating occurs on the days corresponding to the element that overcomes the affected organ's element (or vice versa depending on specific interpretation, but generally refers to the day of the overcoming relationship).
This summarizes the preceding text, reiterating that internally latent pathogens must wait for the day when the Zang organ's Qi is prosperous to escape outward, resulting in healing through sweating.