地之体也，土。热极盛则痞塞肿满，物湿亦然，故长夏属土，则庶物隆盛也。
，谓 满也。郁，谓奔迫也。痿，谓手足痿弱，无力以运动也。大抵肺主气，
气为阳，阳主轻清而升，故肺居上部，病则其气 满奔迫，不能上升，至于手足痿弱，
不能收持，由肺金本燥，燥之为病，血液衰少，不能营养百骸故也。《经》曰∶“手指得血而能摄
，掌得血而能握，足得血而能步。”故秋金旺则雾气蒙郁，而草木萎落，病之象也。萎，犹痿
也。
诸暴强直，支痛软戾，里急筋缩，皆属于风。（厥阴风木乃肝胆之气也）
暴，卒也，虐害也。强，劲有力而不柔和也。直，筋劲强也。支痛，支持也，坚固支持
，筋挛不柔而痛也。软戾∶软，缩也。戾，乖戾也。谓筋缩里急乖戾失常而病也。然
燥金主于紧敛短缩劲切。风木为病，反见燥金之化，由亢则害，承乃制也。况风能胜湿而为
燥也，亦十月风病势甚而成筋缓者，燥之甚也。故诸风甚者，皆兼于燥。
诸病喘，呕，吐酸，暴注，下迫，转筋，小便混浊，腹胀大鼓之如鼓，痈，疽，疡，疹
，瘤气，结核，吐下霍乱，瞀，郁，肿胀，鼻塞，鼽，衄，血溢，血泄，淋， ，身热
恶寒，战栗，惊，惑，悲，笑，谵，妄，衄，蔑血汗，皆属于热。（手少阴君火之热，乃真
心、小肠之气也）
大地的形体是土。热邪极盛时会导致痞塞、肿胀和胀满，物体受潮也是如此，所以长夏季节属土，此时万物生长旺盛。
“”，指胸中痞闷胀满。“郁”，指气机奔迫不畅。“痿”，指手足痿软无力，无法运动。大体上肺主司气，气属于阳，阳主轻清而上升，所以肺位于上部。肺生病时，其气痞闷奔迫，不能上升，导致手足痿软，不能收持控制。这是因为肺金本性燥，燥邪致病，是因为血液衰少，不能营养全身骨骼的缘故。《内经》说：“手指得到血的滋养才能摄取东西，手掌得到血的滋养才能握物，脚得到血的滋养才能行走。”所以秋季金气旺盛时，雾气蒙郁，草木枯萎凋落，这是疾病的征象。“萎”与“痿”意思相近。
收敛和牵引拘急，是寒邪的作用。所以冬季寒冷时，人体就会拘缩。
各种突然发生的肢体强直、支节疼痛、筋骨扭曲、腹内拘急、筋脉短缩，都属于风邪。（厥阴风木对应肝胆之气）
“暴”，指突然、猛烈。“强”，指强劲有力而不柔和。“直”，指筋脉劲强。“支痛”，指支撑坚固，筋脉挛急不柔而疼痛。“软戾”：软，指收缩；戾，指乖张违背。指筋脉收缩、腹内拘急、乖张失常而发病。然而燥金主紧敛、短缩、劲切。风木致病，反而出现燥金的化象，这是因为亢盛则为害，需有承制之力来制约它。况且风能胜湿从而化为燥，也有十月风病势严重而导致筋脉弛缓的，那是燥邪极甚的表现。所以各种严重的风病，都兼夹燥邪。
各种疾病如气喘、呕吐、吐酸水、急性腹泻、里急后重、转筋、小便混浊、腹部胀大叩之如鼓、痈疽、疮疡、皮疹、瘤气、结核、霍乱吐泻、神志昏蒙、气机郁滞、肿胀、鼻塞、流涕、鼻出血、血液溢出、便血、淋证、（此处原文缺字，通常指癃闭或类似症状）、身体发热恶寒、战栗、惊恐、迷惑、悲伤、嬉笑无常、胡言乱语、妄动、鼻出血、蔑视、汗出带血等，都属于热邪。（手少阴君火之热，对应真心和小肠之气）
Various swellings and fullness caused by dampness all belong to Spleen Earth.
The substance of the earth is Earth. When heat becomes extremely abundant, it causes obstruction, swelling, and fullness; this is also true for objects that become wet. Therefore, the late summer season belongs to Earth, at which time myriad things flourish abundantly.
Various Qi stagnations, depressions, and flaccidity syndromes all belong to Lung Metal.
"Man" refers to chest oppression and fullness. "Yu" refers to the rushing and pressing sensation of Qi. "Wei" refers to flaccidity and weakness of the limbs, with insufficient strength for movement. Generally speaking, the Lung governs Qi. Qi belongs to Yang, and Yang governs lightness, clarity, and ascending. Thus, the Lung resides in the upper jiao. When diseased, its Qi becomes obstructed and rushes upward without being able to ascend properly, leading to flaccidity and weakness of the limbs, unable to grasp or support. This occurs because Lung Metal is inherently dry; disease caused by dryness results from a deficiency of blood and fluids, which fail to nourish the entire body. The Classic states: "Fingers can grasp when they receive blood; palms can grip when they receive blood; feet can walk when they receive blood." Therefore, when Autumn Metal Qi is vigorous, mist becomes dense and stagnant, causing grass and trees to wither and fall; this is the manifestation of disease. "Wither" (Wei) is similar in meaning to "flaccidity" (Wei).
Various contractions and pullings caused by cold all belong to Kidney Water.
Contraction and pulling/tightness are the functions/actions of Cold. Thus, during the cold of winter, the body becomes contracted and shriveled.
Various sudden cases of rigidity and stiffness, pain in the joints/limbs, twisting of sinews, internal urgency, and shortening of tendons all belong to Wind. (Jueyin Wind-Wood corresponds to the Qi of the Liver and Gallbladder).
"Bao" means sudden or violent. "Qiang" means strong, powerful, and not soft/flexible. "Zhi" means sinews are rigid and strong. "Zhi tong" refers to supporting firmly; sinews are cramped, inflexible, and painful. "Ruan li": "Ruan" means contraction/shrinking; "Li" means deviant or contrary. It refers to diseases where sinews contract, there is internal urgency, and normal function is deviated. However, Dry Metal governs tightness, contraction, shortening, and sharpness. When Wind-Wood causes disease, it may instead manifest the transformation of Dry Metal, due to the principle that excess leads to harm, requiring restraint to maintain balance. Moreover, Wind can overcome Dampness and transform into Dryness. There are also cases in the tenth month where severe Wind disease leads to flaccid sinews, which is an extreme manifestation of Dryness. Therefore, severe Wind diseases often combine with Dryness.
Various diseases such as wheezing, vomiting, acid regurgitation, sudden diarrhea, tenesmus, muscle cramps (turning of tendons), turbid urine, abdominal distension large and drum-like upon percussion, carbuncles, ulcers, sores, rashes, tumor masses, nodules, cholera with vomiting and diarrhea, mental confusion, Qi depression/stagnation, swelling, nasal congestion, rhinorrhea, epistaxis, hemorrhage, hematochezia, strangury, [text missing], fever with aversion to cold, shivering, fright, bewilderment, sadness, inappropriate laughter, delirium, mania, epistaxis, contempt, bloody sweat, all belong to Heat. (The Heat of Ministerial Fire of Hand-Shaoyin corresponds to the Qi of the True Heart and Small Intestine).