医有王佐，法有反正。难辩必辩，难明必明，其明以理，其辩以因。治从其先，机握其
神。迟硬两见，附子兼行姜桂。实数双形，大黄必佐连芩。调胃承气，治痢下之迟滑。鹿茸
官桂，救浮数之无根。气虚血衰，别软弱之相似。有汗无汗，辩疾紧之雷同。紧似疾而硬，
其象曰寒。疾似紧而软，其象曰风。血衰、软大如绵。气虚、微弱似空。术附敛浮数无力之
劳倦，知柏救沉数有力之劳蒸。里和表病，汗之则愈。表和里病，下之则痊。沉实不愈，可
以再下。浮紧不差，可以再汗。寸紧虽闭勿下，尺迟虽热勿汗。浮沉迟而且濡，表里寒湿之
生料。上下滑而且数，内外热燥之通圣。阴盛于内者格阳，阳盛于内者格阴。厥而怔忡者水，
怔忡而厥者虚。阳明狂言，有不数之脉。少阴下利，有当通之机。便难便易，喘而不卧者燥
屎。腹痛腹胀，小便反易者血禁。欲吐不吐必泻，欲泻不泻必疼。妇人气滞，先开其血。男
子多阳，急配其阴。老人以扶阳为主，小儿以启脾为圣。难生脐筑之愁痛，不治温热之脉沉。
奇哉
百病根源，运气为先。明经络、晓真机。浮沉迟数分寒热，子母后先法自奇。
百病生于气，生死决于运。六气、本也。五运、标也。经所以知脏腑。络所以通经气。
知经则法不乱，知络则药可使。子母者、本部之前后也。后先者、后其标而先其本也。甲运
克肾，肾虚者病之，忽脾自病，肾之子复至也，肝不能复，则肾死矣。戊运克肺，肺虚者病
之，忽心自病，肺之子复至也，肾不能复，则肺死矣。壬运克脾，脾虚者病之，忽肝自病，
脾之子复至也，肺不能复，则脾死矣。此三脏者，今伤则重，原伤则轻，寡复也，寡复则死，
死不待于会符太乙也。庚运克肝，肝虚者病之，忽肺自病，肝之子复至也，心不能复，则肝
死矣。丙运克心，心虚者病之，忽肾自病，心之子复至也，脾不能复，则心死矣。此二脏者，
今伤则轻，原伤则重，寡复也，寡复则死，死必待于会符太乙也。凡合死有不死者，何哉？
子母之救多也，或复至治其复而愈也。有病肾而非甲，病肺而非戊，病脾而非壬，病肝而非
庚，病心而非丙，病肾而非长夏，病肝而非秋冬，病脾而非春木，病肺而非夏火，病心而非
冬水，此病不关于运气，病在中也。或不在中，当查前运前气，又不相关，此一时病也，病
虽重不死，何也？机轻故也。
医学之道，在于辅助君主治理身体；治疗方法，关键在于纠正偏差。难以辨别的必须辨别，难以明了的必须明了，其明了在于运用医理，其辨别在于探究病因。治疗要抓住先机的关键，把握病机的神妙之处。脉象既见迟又见硬，需附子配合干姜、桂枝同用；脉象既见实又见数，大黄必配黄连、黄芩佐助。调胃承气汤，用于治疗痢疾中排便迟缓滑利之证；鹿茸与官桂，用于救治脉浮数而无根底的虚证。气虚血衰，需仔细分辨其与软弱脉象的相似之处；有汗无汗，需辨析疾病在紧脉表现上的雷同。紧脉似疾脉而指下坚硬，其象属寒；疾脉似紧脉而指下柔软，其象属风。血衰则脉软大如棉絮；气虚则脉微弱似空虚。白术与附子，可收敛因劳倦导致的浮数无力之脉；知母与黄柏，可救治因阴虚内热导致的沉数有力之脉。里气平和而表气有病，发汗则可痊愈；表气平和而里有病，攻下则可康复。若脉沉实而病不愈，可以再行攻下；若脉浮紧而病不差，可以再行发汗。寸口脉紧虽见便秘不可攻下，尺部脉迟虽有发热不可发汗。脉浮沉迟且濡缓，是表里寒湿产生的征兆；脉上下滑且数，是内外热燥的通圣证候。阴气盛于内格拒阳气，阳气盛于内格拒阴气。四肢厥冷伴心悸怔忡者，责之于水饮；心悸怔忡伴四肢厥冷者，责之于虚损。阳明经病出现狂言乱语，可能伴有不数的脉象；少阴病出现下利，可能有需要通下的机转。大便困难但容易排出，气喘不能平卧者，为燥屎内结；腹痛腹胀，小便反而通畅者，为蓄血证（禁用攻下）。想吐却吐不出，必然导致腹泻；想泻却泻不出，必然导致疼痛。女子多气滞，治疗应先疏通血脉；男子多阳亢，治疗应紧急配伍滋阴药物。老年人以扶持阳气为主，小儿以开启脾胃功能为最佳。难产时脐部筑动般的愁痛，以及温热病中脉象沉伏者，皆属不治之症。
百病的根源，以运气学说为先导。明晓经络，洞察真机。通过浮沉迟数来区分寒热，依据子母先后法则，法度自然奇妙。百病生于气，生死决断于运气。六气是本，五运是标。经脉所以知晓脏腑状况，络脉所以通达经气。知晓经脉则治法不乱，知晓络脉则用药得当。所谓子母，是指本部的先后关系。所谓后先，是指后治其标而先治其本。甲运克制肾脏，肾虚者患病，忽然脾脏自病，这是肾之子脏反侮所致，若肝脏不能制约，则肾将死亡。戊运克制肺脏，肺虚者患病，忽然心脏自病，这是肺之子脏反侮所致，若肾脏不能制约，则肺将死亡。壬运克制脾脏，脾虚者患病，忽然肝脏自病，这是脾之子脏反侮所致，若肺脏不能制约，则脾将死亡。这三脏受损，如今新伤则病情重，原伤则病情轻，这是因为缺乏复气制约，缺乏复气制约则死，这种死亡不必等待太乙会符之时。庚运克制肝脏，肝虚者患病，忽然肺脏自病，这是肝之子脏反侮所致，若心脏不能制约，则肝将死亡。丙运克制心脏，心虚者患病，忽然肾脏自病，这是心之子脏反侮所致，若脾脏不能制约，则心将死亡。这两脏受损，如今新伤则病情轻，原伤则病情重，这是因为缺乏复气制约，缺乏复气制约则死，这种死亡必定等待太乙会符之时。凡是符合死证却没有死亡的，为什么呢？因为子母之间的救助较多，或者复气至而治疗复气则痊愈。有的病表现为肾病却不是甲运所致，肺病却不是戊运所致，脾病却不是壬运所致，肝病却不是庚运所致，心病却不是丙运所致，肾病却不是长夏所致，肝病却不是秋冬所致，脾病却不是春木所致，肺病却不是夏火所致，心病却不是冬水所致，这些病与运气无关，病在中焦。或者病不在中焦，应当查考之前的运气，如果又不相关，这是一时的疾病，虽然病重但不死，为什么呢？因为病机轻浅的缘故。
Medical practice serves to assist governance (of the body); therapeutic methods lie in correcting deviations. What is difficult to distinguish must be distinguished; what is difficult to clarify must be clarified. Clarification relies on medical principles, and distinction relies on investigating causes. Treatment follows the primary stage, grasping the spirit of the pathogenesis. When both slow (Chi, 迟) and hard pulses are present, Aconite Radix Preparata (Fuzi, 附子) should be used alongside Ginger Rhizome (Ganjiang, 干姜) and Cinnamon Twig (Guizhi, 桂枝). When both excess (Shi, 实) and rapid (Shu, 数) pulse forms appear, Rhubarb Root (Dahuang, 大黄) must be assisted by Scutellaria Root (Huangqin, 黄芩) and Coptis Rhizome (Huanglian, 黄连). Tiaowei Chengqi Decoction (Regulate the Stomach Purging Decoction) treats dysentery characterized by slow and slippery defecation; Deer Antler (Lurong, 鹿茸) and Official Cinnamon Bark (Guangui, 官桂) rescue floating and rapid pulses lacking root. Qi deficiency and blood decline require distinguishing their similarity to weak and soft pulses; presence or absence of sweating requires differentiating the resemblance of tightness in disease presentation. Tightness resembles rapidity but feels hard, its image indicates Cold; Rapidity resembles tightness but feels soft, its image indicates Wind. Blood decline presents as soft and large like cotton; Qi deficiency presents as weak and faint like emptiness. Atractylodes Macrocephala Rhizome (Baizhu, 白术) and Aconite Radix Preparata (Fuzi, 附子) gather floating, rapid, and forceless fatigue; Anemarrhena Rhizome (Zhimu, 知母) and Phellodendron Bark (Huangbai, 黄bai) save sinking, rapid, and forceful heat-steaming from exhaustion. If interior harmony exists with exterior pathology, sweating leads to cure; if exterior harmony exists with interior pathology, purging leads to recovery. If sinking and excess pulses persist without improvement, purging may be repeated; if floating and tight pulses remain unchanged, sweating may be repeated. Although Cun (Inch) position shows tightness with constipation, do not purge; although Chi (Cubit) position shows slowness with fever, do not sweat. Floating, sinking, slow, and soggy pulses indicate the generation of exterior-interior cold-dampness; upper-lower slippery and rapid pulses indicate the Tongsheng pattern of interior-exterior heat-dryness. Yin excess within repels Yang; Yang excess within repels Yin. Cold extremities with palpitations indicate Water retention; palpitations with cold extremities indicate Deficiency. Yangming channel madness with delirium may occur without a rapid pulse; Shaoyin channel diarrhea may have an opportunity for purgation. Difficult yet easy defecation with panting and inability to lie flat indicates Dry Feces; abdominal pain and distension with unusually easy urination indicates Blood Stasis (contraindicated for purging). Desire to vomit without vomiting leads to diarrhea; desire to defecate without defecation leads to pain. In women, Qi stagnation requires first opening the Blood; in men, Yang excess requires urgently balancing Yin. The elderly focus on supporting Yang; children focus on activating Spleen function as the supreme method. Pain resembling umbilical pounding during difficult childbirth, and sinking pulses in warm-heat diseases, are untreatable.
The root of all diseases lies in Fate and Climate (Yunqi) theory. Understanding meridians reveals the true mechanism. Floating, sinking, slow, and rapid pulses differentiate Cold and Heat; following the mother-child sequence makes the method wondrous. All diseases arise from Qi; life and death are determined by Yunqi. Six Qi (Liù Qì, 六气) is the root; Five Movements (Wǔ Yùn, 五运) is the branch. Meridians allow knowledge of Zang-Fu organs; collaterals allow circulation of Jing-Qi. Knowing meridians prevents chaotic methods; knowing collaterals enables proper drug use. Mother and child refer to the sequence within the same element. Later and earlier refer to treating the branch later and the root earlier. Jia Movement (Wood) overcomes Kidney; if Kidney is deficient and diseased, suddenly Spleen becomes ill, representing the Child organ counter-acting; if Liver cannot restrain, Kidney dies. Wu Movement (Earth) overcomes Lung; if Lung is deficient and diseased, suddenly Heart becomes ill, representing the Child organ counter-acting; if Kidney cannot restrain, Lung dies. Ren Movement (Water) overcomes Spleen; if Spleen is deficient and diseased, suddenly Liver becomes ill, representing the Child organ counter-acting; if Lung cannot restrain, Spleen dies. For these three organs, current injury is severe, original injury is mild; lack of counter-action leads to death, which does not wait for Taiyi alignment. Geng Movement (Metal) overcomes Liver; if Liver is deficient and diseased, suddenly Lung becomes ill, representing the Child organ counter-acting; if Heart cannot restrain, Liver dies. Bing Movement (Fire) overcomes Heart; if Heart is deficient and diseased, suddenly Kidney becomes ill, representing the Child organ counter-acting; if Spleen cannot restrain, Heart dies. For these two organs, current injury is mild, original injury is severe; lack of counter-action leads to death, which waits for Taiyi alignment. Why do some cases fitting death criteria survive? Because mutual assistance between mother and child is abundant, or treating the counter-action leads to recovery. Diseases affecting Kidney but not caused by Jia, Lung but not Wu, Spleen but not Ren, Liver but not Geng, Heart but not Bing, Kidney but not Late Summer, Liver but not Autumn/Winter, Spleen but not Spring Wood, Lung but not Summer Fire, Heart but not Winter Water—these diseases are unrelated to Yunqi, residing in the Middle Jiao. Or if not in the Middle Jiao, check previous Yunqi; if still unrelated, it is a transient disease. Though severe, it is not fatal because the pathogenic factor is light.