积聚痼结者，是五脏六腑之气已积聚于内，重因饮食不节，寒温不调，邪气重沓，牢痼
盘结者也。若久即成症。
积者阴气，五脏所生，其痛不离其部，故上下有所穷已。聚者阳气，六腑所成，故无根
本，上下无所留止，其痛无有常处。此皆由寒气搏于脏腑，与阴阳相击下上，故心腹痛也
。
诊其寸口之脉沉而横，胁下有积，腹中有横积聚痛。又，寸口脉细沉滑者，有积聚在胁
下，左右皆满，与背相引痛。
又云∶寸口脉紧而牢者，胁下腹中有横积结，痛而泄利。脉微细者生，浮者死。
积者阴气，五脏所生，其痛不离其部，故上下有所穷已。聚者阳气，六腑所成，故无根
本，上下无所留止，其痛无有常处也。积聚成病，蕴结在内，则气行不宣通，气搏于腑脏，
故心腹胀满.心腹胀满则烦而闷，尤短气也。
积者阴气，五脏所生，其痛不离其部，故上下有所穷已。聚者阳气，六腑所成，故无根
本，上下无所留止，其痛无有常处也。积聚而宿食不消者，由脏腑为寒气所乘，脾胃虚冷，
故不消化，留为宿食也。
诊其脉来实，心腹积聚，饮食不消，胃中冷也。
伏梁者，此由五脏之积一名也。心之积，名曰伏梁，起于脐上，大如臂。
诊得心积脉，沉而芤，时上下无常处。病悸，腹中热，面赤而咽干，心烦，掌中热，甚
即唾血，身螈 。夏瘥冬剧，唾脓血者死。又其脉牢强急者生，虚弱急者死。
积聚痼结，是指五脏六腑之气在体内已经积聚，再加上饮食不节制、寒热失调，导致邪气重叠交杂，牢固地盘结在一起。如果病程长久，就会形成症积（腹内结块，固定不移的病证）。
积属于阴气，由五脏产生，其疼痛部位不离原处，所以疼痛上下有固定的界限。聚属于阳气，由六腑形成，因此没有根本的根基，上下流动没有停留之处，其疼痛位置不固定。这都是由于寒气与脏腑搏结，与阴阳之气相互冲击上下往来，从而导致心腹痛。
诊察寸口脉，若脉象沉而横，说明胁下有积块，腹中有横向的积聚并伴有疼痛。另外，寸口脉细、沉且滑，说明胁下有积聚，左右两侧都感到胀满，疼痛牵引至背部。
又说：寸口脉紧而牢，说明胁下和腹中有横向的积结，伴有疼痛和泄泻痢疾。脉象微细者预后良好（生），脉象浮大者预后不良（死）。
积属于阴气，由五脏产生，其疼痛部位不离原处，所以疼痛上下有固定的界限。聚属于阳气，由六腑形成，因此没有根本的根基，上下流动没有停留之处，其疼痛位置不固定。积聚形成病证后，蕴结在体内，导致气机运行不畅，气与脏腑搏结，从而引起心腹胀满。心腹胀满则使人烦躁闷乱，尤其表现为短气。
积属于阴气，由五脏产生，其疼痛部位不离原处，所以疼痛上下有固定的界限。聚属于阳气，由六腑形成，因此没有根本的根基，上下流动没有停留之处，其疼痛位置不固定。如果积聚伴随宿食不消，是由于脏腑被寒气侵袭，脾胃虚冷，所以不能消化食物，留滞成为宿食。
诊察脉象，若脉来实大，伴有心腹积聚、饮食不消，这是胃中寒冷的表现。
伏梁，是五脏之积中的一种名称。心的积块，名叫伏梁，起始于脐上，大小如手臂。
诊察到心积的脉象，脉沉而芤（中空如葱管），时而上时而下，位置不固定。病症表现为心悸，腹中发热，面色发红，咽喉干燥，心烦，手心发热，严重时唾血，身体抽搐。夏季病情缓解，冬季加重，若出现唾脓血则死亡。另外，脉象牢强急者预后良好（生），脉象虚弱急者预后不良（死）。
Accumulation and aggregation with stubborn knotting refers to the condition where the Qi of the five Zang organs and six Fu organs has already accumulated internally. This is compounded by irregular diet and improper regulation of cold and warmth, causing pathogenic factors to overlap and firmly knot together. If this persists for a long time, it develops into *Zheng* (a fixed abdominal mass).
Accumulation (*Ji*) belongs to Yin Qi and originates from the five Zang organs; its pain remains in its specific location, so there are definite upper and lower boundaries. Aggregation (*Ju*) belongs to Yang Qi and originates from the six Fu organs; thus, it lacks a fixed root, moves up and down without staying in one place, and its pain occurs in no constant location. All these conditions arise because Cold Qi contends with the Zang and Fu organs, striking against Yin and Yang as they move up and down, resulting in heart and abdominal pain.
Palpating the Cun Kou pulse: if the pulse is deep and transverse, there is an accumulation under the hypochondrium and horizontal accumulation in the abdomen accompanied by pain. Furthermore, if the Cun Kou pulse is fine, deep, and slippery, there is accumulation in the hypochondrium, causing fullness on both left and right sides, with pain radiating to the back.
It is also stated: if the Cun Kou pulse is tight and firm, there is horizontal accumulation and knotting in the hypochondrium and abdomen, accompanied by pain and diarrhea/dysentery. A fine and subtle pulse indicates survival, while a floating pulse indicates death.
Accumulation (*Ji*) belongs to Yin Qi and originates from the five Zang organs; its pain remains in its specific location, so there are definite upper and lower boundaries. Aggregation (*Ju*) belongs to Yang Qi and originates from the six Fu organs; thus, it lacks a fixed root, moves up and down without staying in one place, and its pain occurs in no constant location. When accumulation and aggregation form a disease and knot internally, the movement of Qi becomes obstructed and unventilated. Qi contends with the Zang and Fu organs, leading to distension and fullness of the heart and abdomen. Distension and fullness of the heart and abdomen cause irritability and oppression, particularly manifesting as shortness of breath.
Accumulation (*Ji*) belongs to Yin Qi and originates from the five Zang organs; its pain remains in its specific location, so there are definite upper and lower boundaries. Aggregation (*Ju*) belongs to Yang Qi and originates from the six Fu organs; thus, it lacks a fixed root, moves up and down without staying in one place, and its pain occurs in no constant location. If accumulation and aggregation are accompanied by undigested food retention, it is because the Zang and Fu organs have been invaded by Cold Qi, and the Spleen and Stomach are deficient and cold, failing to digest food, which remains as retained food.
Palpating the pulse: if the pulse comes forth solid, accompanied by heart and abdominal accumulation and indigestion, this indicates cold in the Stomach.
*Fu Liang* (Hidden Beam) is one of the names for accumulations of the five Zang organs. The accumulation of the Heart is named *Fu Liang*; it begins above the umbilicus and is as large as an arm.
Palpating the pulse characteristic of Heart accumulation: the pulse is deep and hollow (*Kou*), moving up and down without a fixed location. Symptoms include palpitations, heat in the abdomen, red face, dry throat, mental restlessness, heat in the palms, and in severe cases, spitting blood or convulsions. The condition improves in summer and worsens in winter; spitting pus and blood indicates death. Additionally, a firm, strong, and rapid pulse indicates survival, while a weak and rapid pulse indicates death.