心腹胀者，脏虚而邪气客之，乘于心脾故也。足太阴脾之经也，脾虚则胀；足少阴肾之
经也，其脉起于足小指之下，循行上络膀胱，其直者，从肾上入肺；其支者，从肺出络于心
。脏虚，邪气客于二经，与正气相搏，积聚在内，气并于脾，脾虚则胀，故令心腹烦满，气
急而胀也。
诊其脉，迟而滑者，胀满也。其汤熨针石，别有正方，补养宣导，今附于后。
《养生方·导引法》云∶伸右胫，屈左膝，内压之，五息。引脾，去心腹寒热，胸臆邪
胀。根据经为之，引脾中热气出，去心腹中寒热，胸臆中邪气胀满。久行，无有寒热、时节之
所中伤，名为真人之方。
久心腹胀者，由腑脏不调，寒气乘之，入并于心脾，脾虚则胀，停积成疹，有时发动，
故为久也。久胀不已，脾虚寒气积，胃气亦冷。脾与胃为表里也，此则腑脏俱冷，令饮食不
消；若寒移入大肠，则变下痢。
胸胁痛者，由胆与肝及肾之支脉虚，为寒气所乘故也。足少阳胆之经也，其支脉从目兑
贯目，下行至胸，循胁里。足厥阴肝之经也，其脉起足大指丛毛，上循入腹，贯膈，布胁
肋。足少阴肾之经也，其支脉从肺出，络心，注胸中。此三经之支脉，并循行胸胁，邪气乘
于胸胁，故伤其经脉。邪气之与正气交击，故令胸胁相引而急痛也。
诊其寸口脉弦而滑，弦即为痛，滑即为实；痛即为急，实即为跃。弦滑相搏，即胸胁抢
息痛也。
心腹胀，是由于脏腑虚弱，邪气客居其中，侵袭心脾所致。这涉及足太阴脾经，脾虚则发生胀满；同时也涉及足少阴肾经，该经脉起于足小趾下方，上行联络膀胱，其直行者从肾脏上行进入肺部；其分支从肺出，联络心脏。脏腑虚弱，邪气客居于这两条经脉，与正气相互搏击，积聚在体内，气机汇聚于脾，脾虚则胀，因此导致心腹部烦闷胀满，气息急促且伴有胀感。
诊察其脉象，若脉迟而滑，主胀满证。对于此类病症的汤药外熨、针刺砭石等治疗，另有专门的正方，补养和导引之法，现附记于后。
《养生方·导引法》记载：伸直右腿，弯曲左膝，向内压迫，配合五次呼吸。此举可引导脾气，去除心腹部的寒热邪气及胸臆部的邪气胀满。依照此法操作，可引出脾中的热气排出，消除心腹中的寒热及胸臆中的邪气胀满。长期练习，便不会受到寒热及时令邪气的伤害，这被称为“真人之方”。
久心腹胀，是由脏腑功能不调，寒气乘虚而入，并入心脾，脾虚则胀，寒邪停聚形成病证，有时发作，因此病程迁延日久。久胀不愈，脾虚寒气积聚，胃气也变冷。脾与胃互为表里，此时脏腑俱冷，导致饮食无法消化；若寒气转移进入大肠，则会转变为下痢。
胸胁痛，是由于胆、肝及肾的支脉虚弱，被寒气侵袭所致。足少阳胆经的支脉，从目内眦贯穿眼部，下行至胸部，沿胁肋内部循行。足厥阴肝经，其脉起于足大趾丛毛处，向上循行进入腹部，穿过膈肌，分布于胁肋部。足少阴肾经的支脉，从肺出，联络心脏，注入胸中。这三条经脉的支脉，都循行于胸胁部位，邪气侵袭胸胁，因而损伤了这些经脉。邪气与正气交击，导致胸胁相互牵引并出现拘急疼痛。
诊察其寸口脉，若脉弦而滑，弦脉主痛，滑脉主实；痛则表现为拘急，实则表现为搏动有力。弦脉与滑脉相搏结，即表现为胸胁部抢迫感、呼吸急促且疼痛的症状。
Heart and abdominal distension arises from the deficiency of the zang-fu organs, allowing pathogenic factors to lodge within, attacking the Heart and Spleen. This involves the Foot-Taiyin Spleen Meridian; when the Spleen is deficient, distension occurs. It also involves the Foot-Shaoyin Kidney Meridian, which originates below the little toe, travels upward to connect with the Bladder; its straight branch ascends from the Kidney into the Lung; its branch emerges from the Lung and connects with the Heart. When the zang-fu are deficient, pathogenic factors lodge in these two meridians, battling with healthy Qi (Zhengqi), accumulating internally. Qi converges on the Spleen; Spleen deficiency leads to distension, causing vexation, fullness in the heart and abdomen, rapid breathing, and distension.
Upon pulse diagnosis, a slow and slippery pulse indicates distension and fullness. Treatments involving decoctions, hot compresses, acupuncture, and stone therapy have separate specific formulas. Methods for tonification, nourishment, and Daoyin (guiding and pulling exercises) are attached hereafter.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) · *Daoyin Fa* (Methods of Guiding and Pulling) states: Extend the right leg, bend the left knee, press inward, coordinating with five breaths. This guides the Spleen Qi, eliminating cold-heat pathogens in the heart and abdomen, and pathogenic distension in the chest and diaphragm. Practicing according to this method draws out heat from the Spleen, removing cold-heat in the heart and abdomen, and pathogenic distension in the chest and diaphragm. Long-term practice prevents injury by cold-heat and seasonal pathogens, known as the "Method of the True Person."
Chronic heart and abdominal distension results from disharmony of the fu-zang organs, where cold pathogenic factors invade and converge on the Heart and Spleen. Spleen deficiency causes distension; stagnation and accumulation form pathological products, flaring up intermittently, thus becoming chronic. If chronic distension persists, Spleen deficiency allows cold to accumulate, and Stomach Qi also becomes cold. The Spleen and Stomach are exterior-interior partners; thus, both fu and zang become cold, leading to indigestion. If cold migrates into the Large Intestine, it transforms into dysentery (diarrhea).
Pain in the chest and hypochondrium arises from deficiency in the branches of the Gallbladder, Liver, and Kidney meridians, invaded by cold pathogenic factors. The branch of the Foot-Shaoyang Gallbladder Meridian passes through the inner canthus, descends to the chest, and follows the interior of the hypochondrium. The Foot-Jueyin Liver Meridian originates at the hairline of the big toe, ascends into the abdomen, pierces the diaphragm, and distributes along the hypochondrium. The branch of the Foot-Shaoyin Kidney Meridian emerges from the Lung, connects with the Heart, and pours into the chest. The branches of these three meridians all traverse the chest and hypochondrium; pathogenic factors invading this area damage these meridians. The battle between pathogenic factors and healthy Qi causes the chest and hypochondrium to pull and contract, resulting in acute pain.
Upon diagnosing the Cun Kou (radial artery) pulse, a wiry and slippery pulse indicates that wiriness corresponds to pain and slipperiness to excess; pain manifests as tension, and excess as vigorous pulsation. The interplay of wiry and slippery pulses indicates seizing sensation, rapid breathing, and pain in the chest and hypochondrium.