胃病者，腹胀，胃脘当心而痛，上支两胁，膈咽不通，饮食不下，取三里。饮食不下，隔塞不通，邪在胃脘。在上
脘，则抑而刺之；在下脘，则散而去。胃脉搏坚而长，其色赤，当病折髀。其软而散者，当病食痹，髀痛。胃中有癖，
食冷物者，痛，不能食；食热即能食。胃胀者，腹满，胃脘痛，鼻闻焦臭，妨于食，大便难。
诊得胃脉，病形何如？曰∶胃实则胀，虚则泄。病先发于胃，胀满；五日之肾，少腹腰脊痛，胫 ；三日之膀胱，
背KT 筋痛，小便闭；五日上之脾，闭塞不通，身痛体重（《灵枢》云∶上之心）。六日不已，死，冬夜半后，夏日 。
（六日一作三日）脉浮而芤，浮则为阳，芤则为阴，浮芤相搏，胃气生热，其阳则绝。趺阳脉浮者，胃气虚也。趺阳脉
浮大者，此胃家微，虚烦，圊必日再行。芤而有胃气者，脉浮之大而软，微按之芤，故知芤而有胃气也。趺阳脉数者，
胃中有热，即消谷引食。趺阳脉涩者，胃中有寒，水谷不化。趺阳脉粗粗而浮者，其病难治。趺阳脉浮迟者，故久病。
趺阳脉虚则遗溺，实则失气。动作头痛重，热气朝者，属胃。厥气客于胃，则梦饮食。足阳明之脉，起于鼻交 中，旁
约太阳之脉，下循鼻外，入上齿中，还出挟口，环唇，下交承浆。却循颐后下廉出大迎，循颊车，上耳前，过客主人，
循发际，至额颅。其支者，从大迎前下人迎，循喉咙，入缺盆，下膈，属胃，络脾。其直者，从缺盆下乳内廉，下挟脐，
入气街中。其支者，起胃下口，循腹里，下至气街中而合，以下髀关，抵伏菟，下入膝膑中，下循 外廉，下足跗，入
中指内间。其支者，下膝三寸而别，以下入中指外间。其支者，别跗上，入大指间，出其端。是动则病凄凄然振寒，善
伸，数欠，颜黑。病至KT 人与火，闻木音则惕然而惊，心动，欲独闭户牖而处，甚则欲上高而歌，弃衣而走，贲响腹
胀，是为 厥。是主血（血一作胃）所生病者，狂，疟（一作螈），温，淫汗出，鼽衄，口 ，唇紧，颈肿，喉痹，大腹
水肿，膝膑痛，循膺、乳、街、股、伏菟、 外廉、足跗上皆痛，中指不用。气盛，则身以前皆热，其有余于胃，则消
谷善饥，溺色黄；气不足，则身以前皆寒栗，胃中寒则胀满。盛者，则人迎大三倍于寸口；虚者，则人迎反小于寸口也。
胃病，表现为腹部胀满，胃脘部当心而痛，疼痛向上牵引至两侧胁肋，膈部和咽喉不通畅，饮食难以下咽，治疗应取足三里穴。饮食不下，隔塞不通，病邪位于胃脘。若病位在上脘，则采用按压后针刺的方法；若病位在下脘，则采用消散病邪并引导其排出的方法。
胃脉搏动坚实而长，面色赤红，应当发生髋部股骨骨折样的疼痛（折髀）。如果脉象软弱而散漫，应当发生食痹（饮食停滞引起的痹阻），伴有髋部疼痛。胃中有癖积（腹内结块），食用冷物时感到疼痛且不能进食；食用热物时则能进食。
胃胀，表现为腹部满闷，胃脘疼痛，鼻中闻到焦臭味，妨碍进食，大便困难。
诊察到胃脉，病症表现如何？回答说：胃气实则腹胀，胃气虚则泄泻。疾病首先发生在胃，出现胀满；五天后传变至肾，出现小腹部、腰脊疼痛，小腿酸痛无力；三天后传变至膀胱，出现背部筋脉疼痛，小便闭塞；五天后传变至脾，出现闭塞不通，身体疼痛沉重（《灵枢》记载为传变至心）。六天病情不愈，将会死亡，冬季在夜半之后，夏季在日中时分。（“六日”有的版本作“三日”）。
脉象浮而芤，浮脉主阳，芤脉主阴，浮与芤相搏结，胃气产生热邪，阳气就会隔绝。趺阳脉浮，说明胃气虚弱。趺阳脉浮大，这是胃家轻微虚损，心中烦乱，排便每天会两次。芤脉中兼有胃气，表现为脉浮大而柔软，轻按时感觉芤，所以知道是芤而有胃气。趺阳脉数，说明胃中有热，就会消化食物快且容易饥饿。趺阳脉涩，说明胃中有寒，水谷不能消化。趺阳脉粗粗而浮，这种病难以治疗。趺阳脉浮迟，说明是久病。趺阳脉虚则遗尿，实则失气（放屁）。
动作后头痛沉重，热气早晨发作的，属于胃病。厥逆之气客居于胃，就会梦见饮食。足阳明胃经，起于鼻翼旁，交会于鼻根中，旁边约束足太阳膀胱经的脉，向下沿鼻外侧，进入上齿中，回转出来夹口唇，环绕嘴唇，向下交会在承浆穴。然后沿着腮后下方，出大迎穴，循行经过颊车穴，上行至耳前，经过客主人穴，循行发际，到达额颅。它的分支，从大迎穴前下行到人迎穴，沿喉咙，进入缺盆，向下穿过膈肌，属胃，络脾。它的直行者，从缺盆下行沿乳内侧，向下挟脐两旁，进入气街中。它的分支，从胃的下口出发，循行腹里，下行至气街中与直行脉汇合，向下经过髀关，抵达伏兔穴，下行进入膝髌中，向下沿胫骨外廉，下行至足背，进入中趾内侧间。它的分支，从膝下三寸处分出，向下进入中趾外侧间。它的分支，从足背分出，进入大趾内侧间，出于其末端。经脉变动就会生病，凄凄然怕冷，喜欢伸懒腰，经常打哈欠，面色发黑。病发作时，见到人和火，听到木器敲击的声音就惊恐不安，心跳加速，想要独自关闭门窗居住，严重时想要登上高处唱歌，脱掉衣服奔跑，腹部肠鸣胀满，这就是阳明厥证。本经主要主管血分所生的疾病，包括狂证、疟疾（有的版本作抽搐）、温病、大汗淋漓、鼻塞流涕或鼻出血、口眼歪斜、嘴唇紧缩、颈部肿胀、喉痹、大腹水肿、膝髌疼痛，沿胸膺、乳、气街、大腿、伏兔、胫骨外廉、足背等部位都疼痛，中趾不能活动。经气盛，则身体前面都发热，对于胃来说有余，就会消谷善饥，尿液颜色黄；经气不足，则身体前面都寒冷战栗，胃中寒则胀满。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。
Diseases of the Stomach manifest as abdominal distension, pain in the epigastrium centered at the heart region, pain radiating upward to both hypochondria, obstruction in the diaphragm and pharynx, and difficulty in swallowing food. Treatment should involve selecting Zusanli (ST36). Difficulty in swallowing and obstruction indicate that the pathogenic factor is located in the epigastrium. If the pathology is in the Upper Wan (Shangwan, CV13), one should press before needling; if it is in the Lower Wan (Xiawan, CV10), one should disperse the pathogen and guide it out.
If the Stomach pulse is firm and long, and the complexion is red, the patient will suffer from pain resembling a fracture of the femur (Zhebi). If the pulse is soft and scattered, the patient will suffer from Shi Bi (food stagnation bi-syndrome) accompanied by thigh pain. If there is Pi Ji (abdominal mass) in the Stomach, eating cold food causes pain and inability to eat, while eating hot food allows for eating.
Stomach distension manifests as abdominal fullness, epigastric pain, smelling burnt odors with the nose, interference with eating, and difficult defecation.
When the Stomach pulse is diagnosed, what are the clinical manifestations? It is said: Excess in the Stomach leads to distension, deficiency leads to diarrhea. If the disease originates in the Stomach with distension and fullness; after five days, it transmits to the Kidney, causing lower abdominal, lumbar, and spinal pain, and soreness in the shins; three days later, it transmits to the Bladder, causing pain in the back tendons and urinary retention; five days later, it transmits to the Spleen, causing obstruction, body pain, and heaviness (The Ling Shu records this as transmission to the Heart). If the condition persists for six days, death ensues, occurring after midnight in winter or at noon in summer. (Some versions read "three days" instead of "six days").
A pulse that is floating and knotted (Kou): Floating indicates Yang, Kou indicates Yin. The interaction of floating and kou generates heat in the Stomach Qi, leading to the severance of Yang. A Fuyang pulse that is floating indicates deficient Stomach Qi. A Fuyang pulse that is floating and large indicates slight deficiency in the Stomach organ, resulting in vexation; defecation will occur twice daily. A Kou pulse with Stomach Qi present is characterized by a pulse that is floating, large, and soft; light pressure reveals the Kou quality, thus confirming Kou with Stomach Qi. A Fuyang pulse that is rapid indicates heat in the Stomach, leading to efficient digestion and hunger. A Fuyang pulse that is choppy indicates cold in the Stomach, leading to indigestion of water and grain. A Fuyang pulse that is coarse and floating indicates a difficult-to-treat condition. A Fuyang pulse that is floating and slow indicates a chronic illness. A deficient Fuyang pulse leads to enuresis, while an excess Fuyang pulse leads to flatus.
Headache and heaviness following movement, and heat appearing in the morning, belong to the Stomach. When Jue Qi (rebellious Qi) lodges in the Stomach, dreams of food and drink occur.
The Foot-Yangming Stomach Meridian originates at the side of the nose, intersects at the root of the nose, binds alongside the Foot-Taiyang Bladder Meridian, descends along the lateral aspect of the nose, enters the upper teeth, emerges to flank the lips, circles the lips, and intersects at Chengjiang (CV24). It then follows the posterior mandible, exits at Daying (ST5), follows the Jiache (ST6), ascends anterior to the ear, passes through Guest Master (ST7), follows the hairline, and reaches the forehead. Its branch descends from anterior to Daying to Renying (ST9), follows the throat, enters the Supraclavicular Fossa (Quepen, ST12), descends through the diaphragm, belongs to the Stomach, and connects with the Spleen. Its straight branch descends from Quepen along the medial aspect of the breast, descends flanking the umbilicus, and enters the Qiegang (Inguinal Region). Another branch originates from the lower opening of the Stomach, follows the interior of the abdomen, descends to the Qiegang to join the main vessel, descends through Biguan (ST31), reaches Futu (ST32), descends into the knee patella, follows the lateral aspect of the tibia, descends to the dorsum of the foot, and enters the space between the toes of the middle toe. Another branch separates three cun below the knee, descends to enter the lateral space of the middle toe. Another branch separates from the dorsum of the foot, enters the space between the great toe, and emerges at its tip.
When the meridian is affected, symptoms include aversion to cold with trembling, frequent stretching, yawning, and darkening of the facial complexion. Upon onset of the disease, the patient fears humans and fire, startles at the sound of wood, experiences palpitations, and desires to stay alone behind closed doors and windows. In severe cases, the patient may climb high to sing, discard clothes, and run. Abdominal rumbling and distension occur, constituting Yangming Jue syndrome. This meridian primarily governs diseases related to blood, including mania, malaria (some versions read convulsions), warm diseases, profuse sweating, nasal congestion or epistaxis, deviation of the mouth and eye, tight lips, neck swelling, throat obstruction, massive abdominal edema, and pain in the knee patella. Pain extends along the chest, breast, inguinal region, thigh, Futu, lateral tibia, and dorsum of the foot, with dysfunction of the middle toe.
When Qi is abundant, the anterior part of the body feels hot; regarding the Stomach, excess leads to efficient digestion, easy hunger, and yellow urine. When Qi is deficient, the anterior part of the body feels cold and shivering; cold in the Stomach leads to distension. In cases of abundance, the Renying pulse is three times larger than the Cunkou pulse; in cases of deficiency, the Renying pulse is smaller than the Cunkou pulse.