大肠病者，肠中切痛而鸣濯濯，冬日重感于寒则泄，当脐而痛，不能久立。与胃同候。取巨虚上廉。肠中雷鸣，气
上冲胸，喘，不能久立，邪在大肠。刺肓之原、巨虚上廉、三里。大肠有寒， 溏；有热，便肠垢。大肠有宿食，寒栗
发热，有时如疟状。大肠胀者，肠鸣而痛，寒则泄，食不化。厥气客于大肠，则梦田野。手阳明之脉，起于大指次指之
端外侧，循指上廉，出合谷两骨之间，上入两筋之中，循臂上廉，上入肘外廉，循 外前廉，上肩，出 骨之前廉，上
出柱骨之会上，下入缺盆，络肺，下膈，属大肠。其支者，从缺盆直入，上颈，贯颊，入下齿缝中，还出挟口，交人中，
左之右，右之左，上挟鼻孔。是动则病齿痛， 肿。是主津所生病者，目黄，口干，鼽衄，喉痹，肩前 痛，大指次指
痛不用。气盛有余，则当脉所过者热肿；虚，则寒栗不复。盛者，则人迎大三倍于寸口；虚者，则人迎反小于寸口也。
肾气虚，则厥逆；实，则胀满，四肢正黑。肾气虚，则梦见舟船溺人，得其时，梦伏水中，若有畏怖；肾气盛，则
梦腰脊两解不相属。厥气客于肾，则梦临渊，没居水中。病在肾，夜半慧，日乘四季其，下晡静。病先发于肾，少腹腰
脊痛，胫 。三日之膀胱，背KT 筋痛，小便闭。二日上之心，心痛。三日之小肠，胀；四日不已，死。冬大食，夏晏
晡。肾脉搏坚而长，其色黄而赤，当病折腰。其软而散者，当病少血。肾脉沉之大而坚，浮之大而紧，苦手足骨肿厥而
阴不兴，腰脊痛，少腹肿。心下有水气，时胀闭，时泄。得之浴水中，身未干而合房内，及劳倦发之。黑脉之至也，上
坚而大，有积气在少腹与阴，名曰肾痹。得之沐浴清水而卧。凡有所用力举重，若入房过度，汗出如浴水，则伤肾。肾
胀者，腹满引背央央然，腰髀痛。肾水者，其人腹大脐肿，腰重痛，不得溺，阴下湿如牛鼻头汗，其足逆寒，大便反坚。
肾着之为病，从腰以下冷，腰重如带五千钱。肾着之病，其人身体重，腰中冷如冰状。（一作如水洗状。一作如坐水中，
形如水状）反不渴，小便自利，食饮如故，是其证也。病属下焦。从身劳汗出，衣里冷湿故，久久得之。肾之积，名曰
奔豚，发于少腹，上至心下，如豚奔走之状，上下无时。久久不愈，病喘逆，骨痿，少气，以夏丙丁日得之，何也？脾
病传肾，肾当传心，心适以夏王，王者不受邪，肾复欲还脾，脾不肯受，因留结为积。故知奔豚，以夏得之。水流夜疾，
何以故？师曰∶土休，故流疾而有声，人亦应之，人夜卧则脾不动摇，脉为之数疾也。肾病，其色黑，其气虚弱，吸吸
少气，两耳苦聋，腰痛，时时失精，饮食减少，膝以下清，其脉沉滑而迟，此为可治。宜服内补散、建中汤、肾气丸、
地黄煎。春当刺涌泉，秋刺伏留，冬刺阴谷，皆补之；夏刺然谷，季夏刺太溪，皆泻之。又当灸京门五十壮，背第十四
椎百壮。肾病者，必腹大，胫肿痛，喘咳，身重，寝汗出，憎风。虚即胸中痛，大腹、小腹痛，清厥，意不乐。取其经，
足少阴、太阳血者。邪在肾，则骨痛阴痹。阴痹者，按之而不得，腹胀，腰痛，大便难，肩背、颈项强痛，时眩。取之
涌泉、昆仑，视有血者，尽取之。足少阴之脉，起于小指之下，斜趣足心，出然骨之下，循内踝之后，别入跟中，以上
内，出 中内廉，上股内后廉，贯脊，属肾，络膀胱。其直者，从肾上贯肝膈，入肺中，循喉咙，挟舌本。其支者，
从肺出络心，注胸中。是动则病饥而不欲食，面黑如炭色（一作地色），咳唾则有血，喉鸣而喘，坐而欲起，目KT
KT无所见，心悬若饥状，气不足则善恐，心惕惕若人将捕之，是为骨厥（一作痿）。是主肾所生病者，口热，舌干，
咽
肿，上气，嗌干及痛，烦心，心痛，黄胆，肠 ，脊、股内后廉痛，痿厥，嗜卧，足下热而痛。灸则强食而生害（一作
肉），缓带被发，大杖重履而步。盛者，则寸口大再倍于人迎；虚者，则寸口反小于人迎也。足少阴之别，名曰大钟。当
踝后绕跟，别走太阳。其别者，并经上走于心包，下贯腰脊。其病，气逆则烦闷，实则闭癃，虚则腰痛，取之所别。肾
病，手足逆冷，面赤目黄，小便不禁，骨节烦疼，少腹结痛，气冲于心，其脉当沉细而滑，今反浮大，其色当黑，而反
黄。此是土之克水，为大逆，十死不治。
大肠发生病变时，肠中剧烈疼痛并伴有辘辘水声，如果在冬天再次感受寒邪就会腹泻，疼痛部位在肚脐周围，患者不能久站。其脉象表现与胃病相同。治疗应取巨虚上廉穴。如果肠中雷鸣作响，气向上冲至胸部，出现喘息，不能久站，这是邪气在大肠。治疗应针刺肓之原（即关元穴）、巨虚上廉穴和足三里穴。大肠有寒邪，则大便稀溏；大肠有热邪，则排出黏稠污秽的粪便。大肠内有积滞的食物，会出现发冷颤抖、发热，有时像疟疾发作一样。大肠胀满时，肠鸣且疼痛，遇寒则腹泻，食物不消化。厥逆之气客居在大肠，则会梦见田野。手阳明大肠经，起始于食指桡侧末端，沿着手指上行至虎口两骨之间，进入两筋之中，沿手臂外侧上行至肘部外侧，沿上臂外侧前缘上行至肩部，出肩峰前缘，向上交会于大椎穴，向下进入缺盆，联络肺脏，穿过膈肌，属于大肠。它的分支，从缺盆直上，经过颈部，贯穿面颊，进入下齿缝中，回出夹持口唇，交叉于人中部，左侧走向右侧，右侧走向左侧，上行夹持鼻孔。这条经脉发生变动就会引起牙齿疼痛、面部肿胀。这条经脉主治津液所生的疾病，症状包括目黄、口干、鼻塞流涕或鼻出血、咽喉肿痛、肩前部疼痛、食指疼痛且活动不便。经气盛有余，则在经脉循行部位出现热肿；经气虚弱，则出现寒战且难以恢复。经气盛的，人迎脉比寸口脉大三倍；经气虚的，人迎脉反而小于寸口脉。
肾气虚弱，就会出现四肢厥冷；肾气实，就会出现腹部胀满，四肢呈现正黑色。肾气虚弱，会梦见舟船翻覆、有人溺水，若在相应的季节发病，会梦见潜伏在水中，好像充满恐惧；肾气盛，会梦见腰脊断裂分离不相连接。厥逆之气客居于肾，会梦见临近深渊，沉没在水中。病位在肾，半夜时分症状减轻，在四季末的时辰（辰、戌、丑、未时）病情加重，傍晚时分安静。疾病首先发于肾，表现为少腹、腰脊疼痛，小腿酸痛。三天后传变到膀胱，出现背部筋脉疼痛，小便闭塞。两天后传变到心，出现心痛。三天后传变到小肠，出现胀满；如果四天还不愈，就会死亡。冬季饮食过量，夏季傍晚易发作。肾脉搏动坚实而长，面色黄中带赤，应当患腰痛如折的病。肾脉软而散，应当患血少的病。肾脉沉取大而坚，或浮取大而紧，痛苦于手足骨骼肿胀厥冷且阴器功能不起，腰脊痛，小腹胀满。心下有停饮，时而胀闭，时而腹泻。这是由于洗冷水澡后身体未干就进行房事，以及劳累疲倦诱发的。黑脉到来时，上部坚实而大，说明少腹和阴部有积气，名叫肾痹。这是由于在清水中沐浴后躺卧所致。凡是用力举重，或者房事过度，出汗如同洗热水澡一样，就会损伤肾脏。肾胀病，腹部胀满牵引背部，感觉沉重不适，腰部和髋部疼痛。肾水病，患者腹部肿大，肚脐肿胀，腰部沉重疼痛，无法排尿，阴部潮湿像牛鼻头出汗一样，双脚逆冷，大便反而干结。肾着病，从腰部以下感到寒冷，腰部沉重得像带着五千枚铜钱。肾着病，患者身体沉重，腰部冷得像冰一样。（另一种说法像水洗状，又像坐在水中，外形像有水浸渍的样子）但口中不渴，小便自利，饮食正常，这就是它的证候。此病属下焦。由于身体劳累出汗，衣服里面冷湿，久而久之得此病。肾的积病，名叫奔豚，发于少腹，向上冲到心下，像小猪奔跑一样的形状，上下无常。长久不愈，会出现气喘逆上、骨痿、气短，这是在夏丙丁日得的病，为什么呢？因为脾病传送给肾，肾本该传送给心，但心正值夏季旺盛，王者不受邪，肾又想退回给脾，脾不肯接受，于是停留结聚成为积块。所以知道奔豚是在夏天得的。水流夜晚急促，为什么呢？老师说：土气休囚，所以水流急促而有声音，人也顺应这个规律，人夜间躺卧时脾土不动，脉象因此变得数疾。肾病，面色黑，气息虚弱，呼吸浅短，双耳苦于耳聋，腰痛，时常遗精，饮食减少，膝盖以下清冷，脉象沉滑而迟，这是可以治疗的。适宜服用内补散、建中汤、肾气丸、地黄煎。春季应当针刺涌泉穴，秋季刺伏留穴（注：原文可能有误，通常指复溜或其他，此处依原文），冬季刺阴谷穴，都用补法；夏季刺然谷穴，季夏刺太溪穴，都用泻法。还应当灸京门穴五十壮，背部第十四椎百壮。肾病的人，一定腹部肿大，小腿肿痛，气喘咳嗽，身体沉重，睡着出汗，怕风。虚证则胸中痛，大腹、小腹痛，四肢厥冷，心情不乐。取用足少阴、太阳经的血络。邪气在肾，则骨头痛、阴痹。阴痹的特点是按压找不到痛点，腹胀，腰痛，大便困难，肩背、颈项强痛，时常眩晕。取用涌泉、昆仑穴，观察是否有瘀血，有的话全部刺破放出血液。足少阴肾经，起始于足小趾之下，斜向足心，出于然骨之下，沿着内踝之后，别入脚跟中，向上进入小腿肚内，出于腘窝内侧，上行大腿内侧后缘，贯穿脊柱，属于肾脏，联络膀胱。它的直行者，从肾脏上行贯穿肝脏和膈肌，进入肺部，沿着喉咙，夹持舌根。它的分支，从肺部出来联络心脏，注入胸中。这条经脉发生变动就会引起饥饿但不想进食，面色黑如炭色（一作地色），咳嗽吐痰带血，喉间鸣响且喘息，坐着想要站起来，眼睛昏花看不清东西，心中悬空好像饥饿的感觉，气不足则容易恐惧，心神惕惕不安好像有人要抓捕自己，这叫做骨厥（一作痿）。这条经脉主治肾脏所生的疾病，症状包括口热、舌干、咽喉肿痛、气逆上冲、咽干及痛、心烦、心痛、黄疸、腹泻、脊背和大腿内侧后缘疼痛、痿厥、嗜睡、足底发热而痛。艾灸会导致强行进食而产生危害（一作生肉赘），应宽松衣带，披散头发，拄着重杖穿着厚鞋行走。经气盛，则寸口脉比人迎脉大二倍；经气虚，则寸口脉反而小于人迎脉。足少阴经的别络，名叫大钟。在内踝后绕跟，别走足太阳经。它的另一支，与本经并行上行至心包，向下贯穿腰脊。它的病症，气逆则烦闷，实证则小便癃闭，虚证则腰痛，取用该别络进行治疗。肾病，手足逆冷，面色红赤，目黄，小便不禁，骨节烦疼，少腹结痛，气上冲于心，脉象应当沉细而滑，现在反而浮大，面色应当黑，反而黄。这是土克水，属于大逆证，十死无救。
When the Large Intestine is diseased, there is severe pain in the intestines accompanied by gurgling sounds. If cold pathogen is contracted again in winter, diarrhea occurs with pain around the umbilicus, and the patient cannot stand for a long time. The pulse presentation is similar to that of Stomach diseases. Treatment should target Shangliao (ST37 / Juxu Shangliao). If there is borborygmus in the intestines, Qi rushes upward to the chest, causing panting and inability to stand for long, this indicates pathogen in the Large Intestine. Acupuncture should be applied to Huanyuan (CV4 / Guanyuan), Juxu Shangliao (ST37), and Zusanli (ST35). Cold in the Large Intestine leads to loose stools; heat in the Large Intestine leads to passage of sticky, foul-smelling feces. Food retention in the Large Intestine causes chills and fever, sometimes resembling malaria. Distension of the Large Intestine presents with borborygmus and pain; cold causes diarrhea and undigested food. Rebellious Qi lodging in the Large Intestine causes dreams of open fields.
The Hand-Yangming Large Intestine Meridian originates at the radial tip of the index finger, runs along the radial aspect of the finger, emerges between the first and second metacarpal bones (Hegu area), enters between the two tendons, runs up the radial aspect of the forearm, emerges at the lateral aspect of the elbow, follows the anterior lateral aspect of the upper arm, ascends to the shoulder, emerges anterior to the acromion, ascends to meet at Dazhui (GV14), descends into the Supraclavicular Fossa (Quepen), connects with the Lung, passes through the Diaphragm, and belongs to the Large Intestine. Its branch arises from the Supraclavicular Fossa, goes straight up, passes through the neck, penetrates the cheek, enters the lower gum, returns to encircle the lips, crosses at Renzhong (GV26), left crossing right and right crossing left, and ascends to flank the nostrils. When this meridian is disturbed, it causes toothache and facial swelling. It governs diseases generated by fluids: yellow eyes, dry mouth, nasal congestion or epistaxis, throat obstruction, pain in the anterior shoulder, and pain/immobility of the index finger. Excess Qi causes heat and swelling along the meridian pathway; deficiency causes chills and failure to recover. In excess, the Renying (Carotid) pulse is three times larger than the Cunkou (Radial) pulse; in deficiency, the Renying pulse is smaller than the Cunkou pulse.
Kidney Qi deficiency leads to cold extremities (Jue Ni); excess leads to abdominal distension and blackish color on the four limbs. Kidney Qi deficiency causes dreams of capsizing boats or drowning people; if occurring in its corresponding season, one dreams of submerging in water with fear; Kidney Qi excess causes dreams of waist and spine separating. Rebellious Qi lodging in the Kidney causes dreams of approaching abysses or sinking in water. Disease in the Kidney improves at midnight, worsens during the Earth phases of the day (Chen, Xu, Chou, Wei hours), and is quiet in the late afternoon. If disease starts in the Kidney, it presents with lower abdominal and lumbar-sacral pain, and calf soreness. After three days, it transmits to the Bladder, causing back tendon pain and urinary retention. After two days, it transmits to the Heart, causing heart pain. After three days, it transmits to the Small Intestine, causing distension; if not cured after four days, death ensues. Winter overeating or summer evening onset are relevant factors. A Kidney pulse that is firm and long, with yellow-red complexion, indicates "broken waist" pain. A soft and scattered Kidney pulse indicates blood deficiency. A deep, large, and firm Kidney pulse, or a floating, large, and tight Kidney pulse, indicates suffering from swollen/cold extremities, impotent genitalia, lumbar-sacral pain, and lower abdominal swelling. Fluid retention in the Heart region causes alternating distension/obstruction and diarrhea. This results from bathing in cold water and engaging in intercourse before drying, or from fatigue. A black pulse arriving firm and large at the top indicates Qi accumulation in the lower abdomen and genitals, named Kidney Bi. This results from bathing in clear water and lying down. Heavy lifting, excessive intercourse, or sweating profusely like bathing damages the Kidney. Kidney distension presents with abdominal fullness radiating to the back, heaviness, and lumbar-hip pain. Kidney Water disease presents with abdominal enlargement, umbilical swelling, heavy painful waist, inability to urinate, dampness on the genitals like ox-nose sweat, cold feet, and hard stool. Kidney Zhuo disease presents with coldness below the waist and heaviness in the waist as if carrying 5,000 coins. Patients feel heavy, waist feels cold like ice, but without thirst, normal urination, and normal appetite. This is a Lower Jiao disease caused by prolonged exposure to cold dampness from sweaty clothes. Kidney accumulation is named Ben Tun (Running Piglet), starting in the lower abdomen, rising to the epigastrium, moving up and down unpredictably. Chronic cases cause panting, bone萎 (Wei), and shortness of breath. It is acquired on Bing/Ding days in summer because Spleen disease transmits to Kidney, which should transmit to Heart, but Heart is prosperous in summer and rejects pathogen, so Kidney tries to return to Spleen, which refuses, leading to accumulation. Thus, Ben Tun is acquired in summer. Water flows faster at night because Earth element is resting, causing sound; similarly, when humans sleep, Spleen Qi is still, making the pulse rapid. Kidney disease presents with black complexion, weak Qi, shallow breathing, deafness, lumbar pain, frequent seminal emission, reduced appetite, cold knees/lower legs, and deep, slippery, slow pulse; this is treatable. Suitable formulas include Neibu San, Jianzhong Tang, Shenqi Wan, and Dihuang Jian. Spring: tonify Yongquan (KI1); Autumn: tonify Fuliu (KI7 - *Note: Text says Fuliu/Vuliu, likely typo for Fuliu*); Winter: tonify Yinggu (KI10); Summer: drain RanGu (KI2); Late Summer: drain Taixi (KI3). Also moxa Jingmen (GB25) 50 cones, and 100 cones on the 14th Thoracic Vertebra. Kidney disease patients have big belly, swollen/painful calves, panting/cough, body heaviness, nocturnal sweating, and aversion to wind. Deficiency causes chest pain, lower abdominal pain, cold extremities, and depression. Treat using Blood points of Foot-Shaoyin and Foot-Taiyang meridians. Pathogen in Kidney causes bone pain and Yin Bi (numbness/pain in yin regions). Yin Bi features unlocatable pain upon pressure, abdominal distension, lumbar pain, difficult defecation, stiff neck/shoulder/back, and dizziness. Treat Yongquan (KI1) and Kunlun (BL60); bleed any visible collaterals.
The Foot-Shaoyin Kidney Meridian originates below the little toe,斜趣 (slants towards) the sole, emerges below RanGu (KI2), follows behind the medial malleolus, enters the heel, ascends inside the calf, emerges at the medial aspect of the popliteal fossa, ascends along the posterior medial thigh, penetrates the spine, belongs to the Kidney, and connects with the Bladder. Its straight branch rises from the Kidney, penetrates the Liver and Diaphragm, enters the Lung, follows the throat, and flanks the root of the tongue. Its branch emerges from the Lung, connects with the Heart, and pours into the Chest. Disturbance causes hunger without desire to eat, black face like charcoal, hemoptysis, wheezing, restlessness (wanting to sit then stand), blurred vision, empty hungry feeling, fearfulness due to Qi deficiency, and palpitations as if being hunted; this is called Bone Jue (or Wei). It governs Kidney-generated diseases: oral heat, dry tongue, swollen/throat pain, rebellious Qi, dry/painful pharynx, vexation, heart pain, jaundice, diarrhea, posterior medial lumbar-thigh pain, Wei-Jue, lethargy, and hot/painful soles. Moxibustion may cause harm if forced eating; wear loose clothes, let hair down, walk with a heavy staff and thick shoes. Excess: Cunkou pulse is twice Renying; Deficiency: Cunkou pulse is smaller than Renying. The collateral of Foot-Shaoyin is named Dazhong (KI4). It winds around the heel behind the malleolus, diverges to Foot-Taiyang. Another branch travels with the main channel to Pericardium and down through lumbar-sacrum. Symptoms: rebellious Qi causes irritability; excess causes urinary retention; deficiency causes lumbar pain. Treat the divergence point. Kidney disease presenting with cold extremities, red face, yellow eyes, incontinence, joint pain, lower abdominal binding pain, Qi rushing to Heart, with floating-large pulse (instead of deep-slippery-slow) and yellow color (instead of black) indicates Earth overcoming Water, a major reversal, fatal.