诸痉强直，积饮，痞隔中满，霍乱吐下，体重， 肿肉如泥，按之不起，皆属于湿
。（足太阴湿土乃脾胃之气也）
（诸痉强直）
诸痉强直∶筋劲强直而不柔和也，土主安静故也。阴痉，曰柔 ；阳痉，曰刚
。亢则害承乃制，故湿过极，则反兼风化制之。然兼化者虚象，而实非风也。
（积饮）
积饮∶留饮积蓄而不散也，水得燥则消散，得湿则不消，以为积饮也，土湿主否故也。
（痞）
痞∶与否同，不通泰也。谓精神荣卫、血气津液，出入流行之纹理闭塞而为痞也。
（隔）
隔∶阻滞也，谓肠胃隔绝，而传化失其常也。
（中满）
中满∶湿为积饮痞隔。而土主形体，位在中央，故中满也。
（霍乱吐下）
霍乱吐下∶湿为留饮痞隔，而传化失常，故甚则霍乱吐泻也！
（体重）
体重∶轻清为天，重浊为地，故土湿为病，则体重宜也。
（ 肿）
肿肉如泥，按之不起∶泥之象也。土过湿则为泥。湿为病也，积饮、痞、隔、中
满、霍乱吐下、体重，故甚则 肿矣。
诸热瞀 ，暴喑冒昧，躁扰狂越，骂詈，惊骇， 肿疼酸，气逆冲上，禁栗如丧神
守，嚏，呕，疮，疡，喉痹，耳鸣及聋，呕涌溢食不下，目昧不明。暴注， ，暴病暴死
，皆属于火。（手少阳相火之热，乃心包络三焦之气也）
各种痉挛、肢体强直，水饮停聚，胸脘痞塞阻隔、腹部胀满，霍乱引起的呕吐与腹泻，身体沉重，浮肿且肌肉松软如泥，按压后凹陷不起，这些症状都归属于湿邪。（足太阴脾经属湿土，对应脾胃之气）
（关于“诸痉强直”）
各种痉挛和肢体强直：指筋脉劲急、僵硬而不柔和。这是因为土性主静。阴痉表现为柔缓；阳痉表现为刚劲。当亢盛至极时会产生危害，需要有制约力量来平衡，所以湿气过极时，反而兼夹风象以自我制约。然而这种兼夹之象是虚象，实际上并非真正的风邪。
（关于“积饮”）
积饮：指水饮留滞积聚而不消散。水遇到燥气则消散，遇到湿气则不消，从而形成积饮。这是因为土湿导致气机闭塞不通的缘故。
（关于“痞”）
痞：与“否”字同义，指不通泰。是指精神、营卫、血气津液在体内出入流行的通道纹理发生闭塞，从而形成痞证。
（关于“隔”）
隔：指阻滞。是指肠胃之间隔绝，导致传化功能失去常态。
（关于“中满”）
中满：由于湿邪导致水饮停聚、痞塞阻隔。而土主司形体，位置在人体中央，所以出现中焦胀满的症状。
（关于“霍乱吐下”）
霍乱吐下：湿邪导致水饮留滞、痞塞阻隔，进而使传化功能失常，所以严重时会出现霍乱般的呕吐和腹泻！
（关于“体重”）
体重：轻清之气上升为天，重浊之气下沉为地。所以土湿致病时，身体感到沉重是适宜的现象。
（关于“肿”）
浮肿，肌肉松软如泥，按压后凹陷不起：这是泥土的意象。土气过湿就会变成泥泞。湿气致病，会导致积饮、痞、隔、中满、霍乱吐下、身体沉重等症状，所以严重时会出现浮肿。
各种发热、神志昏蒙，突然失音、头晕目眩、意识模糊，烦躁不安、狂乱越轨，骂人叫喊，惊恐骇异，浮肿疼痛酸楚，气逆冲上，战栗发抖如同丢失了神识主宰，打喷嚏，呕吐，疮疡，咽喉痹阻，耳鸣及耳聋，呕吐涌溢、饮食不下，视物昏暗不明。突然剧烈泄泻，[此处原文可能有缺漏或特殊符号]，突发疾病甚至突然死亡，这些症状都归属于火邪。（手少阳三焦经属相火，对应心包络和三焦之气）
Various spasms and rigidity, accumulation of retained fluids, chest and epigastric stuffiness with obstruction and abdominal fullness, cholera-like vomiting and diarrhea, heaviness of the body, edema with muscles soft as mud that do not rebound upon pressure—all these belong to Dampness (Shi). (The Foot-Taiyin Spleen Meridian belongs to Wet Earth, corresponding to the Qi of the Spleen and Stomach.)
(Regarding "Various Spasms and Rigidity")
Various spasms and rigidity: Refers to sinews becoming tense, stiff, and lacking flexibility. This is because the nature of Earth is quiet. Yin spasm manifests as flaccid; Yang spasm manifests as rigid. When hyperactivity reaches its extreme, it causes harm, requiring a controlling force to balance it; thus, when Dampness becomes excessive, it may paradoxically assume Wind-like characteristics to self-regulate. However, this assumed transformation is a false image (deficiency pattern), and is not actually Wind pathogen.
(Regarding "Accumulation of Retained Fluids")
Accumulation of retained fluids (Ji Yin): Refers to water fluids stagnating and accumulating without dispersing. Water dissipates when meeting Dryness but fails to digest when meeting Dampness, thereby forming accumulated fluids. This occurs because Wet Earth causes obstruction and lack of free flow.
(Regarding "Stagnation" or "Pi Syndrome")
Stagnation (Pi): Homophonous with "Pi" (obstruction), meaning lack of smoothness and unimpeded flow. It refers to the blockage of the channels through which Spirit, Ying-Wei (Defensive and Nutritive Qi), Blood, Qi, and Body Fluids circulate in and out, resulting in Pi syndrome.
(Regarding "Obstruction" or "Ge Syndrome")
Obstruction (Ge): Refers to blockage. It denotes the isolation between the Intestines and Stomach, leading to a loss of normal transmission and transformation functions.
(Regarding "Epigastric Fullness" or "Zhong Man")
Epigastric Fullness (Zhong Man): Caused by Dampness leading to fluid accumulation, stagnation, and obstruction. Since Earth governs the physical form and is located centrally, it results in central (epigastric) fullness.
(Regarding "Cholera-like Vomiting and Diarrhea")
Cholera-like vomiting and diarrhea: Dampness causes fluid retention, stagnation, and obstruction, disrupting normal transmission and transformation; thus, in severe cases, it leads to cholera-like vomiting and purging!
(Regarding "Heaviness of the Body")
Heaviness of the body: Light and clear Qi ascends to form Heaven, while heavy and turbid Qi descends to form Earth. Therefore, when disease arises from Wet Earth, bodily heaviness is an expected manifestation.
(Regarding "Edema")
Edema, with muscles soft as mud that do not rebound upon pressure: This resembles the imagery of mud. When Earth Qi is excessively wet, it turns into mud. As a pathogenic factor of Dampness, it causes accumulated fluids, Pi syndrome, Ge syndrome, epigastric fullness, cholera-like vomiting and diarrhea, and bodily heaviness; thus, in severe cases, it leads to edema.
Various fevers, mental confusion (Mao), sudden aphonia, dizziness and stupor, restlessness and mania, cursing and shouting, fright and terror, edema with pain and soreness, rebellious Qi rushing upward, trembling and shivering as if losing spiritual control, sneezing, vomiting, sores and ulcers, throat bi (obstruction), tinnitus and deafness, violent vomiting with inability to ingest food, blurred vision. Sudden violent diarrhea, [text missing/symbol], sudden onset of disease or sudden death—all these belong to Fire (Huo). (The Hand-Shaoyang Sanjiao Meridian relates to Ministerial Fire, corresponding to the Qi of the Pericardium and Sanjiao.)