黄帝问曰∶脾病而四肢不用何也？岐伯对曰∶四肢者，皆禀气于胃，而不得至经，必因
脾乃得禀。今脾病，不能为胃行其津液，四肢不得禀水谷气，气日以衰，脉道不通，筋骨肌
肉皆无气以生，故不用焉。曰∶脾不主时何也？曰∶脾者土也，土者中央，常以四时
长四脏，各十八日寄治，不独主时。脾者土脏，常着胃上之精也。土者生万物而法天地，故
上下至头足不得主时。曰∶脾与胃以募相连耳，而能故为之行津液何也？曰∶足太阴者三阴
也，其脉贯胃属脾络嗌，故太阴为之行气于三阴。阳明者表也，五脏六腑之海也，亦为之行
气于三阳。脏腑各因其经而受气于阳明，故为胃行津液。四肢不得禀水谷气，气日以衰，阴
道不利，筋骨肌肉皆无气以生，故不用焉。
身重骨酸不相知，太白主之。
邪在脾胃，则病肌肉痛。阳气有余，阴气不足，则热中善饥；阳气不足，阴气有余，则
寒中肠鸣腹痛；阴阳俱有余，若俱不足，则有寒有热，皆调其三里。饮食不下，鬲塞不通，
邪在胃脘。在上脘则抑而下之，在下脘则散而去之。胃病者，腹 胀。胃脘当心而痛，
上两胁，鬲咽不通，食饮不下，取三里。腹中雷（一本作常）鸣，气常冲胸，喘不
能久立，邪在大肠也。刺肓之原，巨虚、上廉、三里。腹中不便，取三里，盛则泻之，虚则
补之。大肠病者，肠中切痛而鸣濯濯，冬日重感于寒，当脐而痛，不能久立，与胃同候，取巨
虚上廉。腹满，大便不利，腹大，上走胸嗌，（《灵枢》下有喘息二字）喝喝然，取足少阳。
腹满
刺气街，按之立已。腹暴痛满，按之不下，取太阳经络血者则已。又刺少阴（一本作少阳
俞）去脊椎三寸傍五，用员利针，刺已如食顷久立已。必视其经之过于阳者，数刺之。
腹满不能食，刺脊中。腹中气胀引脊痛，食饮而身羸瘦，名曰食 。先取脾俞，后
。大肠转气，按之如覆杯，热引胃痛，脾气寒，四肢，不嗜食，脾俞主之。胃中寒胀，食多
身体羸瘦，腹中满而鸣，腹 ，风厥，胸胁 满，呕吐，脊急痛，筋挛，食不下，胃
俞主之。头痛食不下，肠鸣胪胀，欲呕时泄，三焦俞主之。腹满胪胀，大便泄，意舍主之
。胪胀水肿，食饮不下，多寒（《千金》作恶寒），胃仓主之。寒中伤饱，食饮不化，五脏
满胀，心腹胸胁 满胀，则生百病，上脘主之。腹胀不通，寒中伤饱，食饮不
化，中脘主之。食饮不化，入腹还出，下脘主之。肠中常鸣。时上冲心，灸脐中。心满气逆
，阴都主之。大肠寒中（《千金》作疝），大便干，腹中切痛，肓俞主之。腹中尽痛，外陵主
之。肠鸣相逐，不可倾倒，承满主之。腹胀善满，积气，关门主之。食饮不下，腹中雷鸣
，大肠不节，小便赤黄，阳纲主之。腹胀肠鸣，气上冲胸，不能久立，腹中痛濯濯，冬日重
感于寒则泄，当脐而痛，肠胃间游气切痛，食不化，不嗜食，身肿（一本作重），侠脐急，天
枢主之。腹中有大热不安，腹有大气如相侠，暴腹胀满癃，淫泺，气冲主之。腹满痛不
得息，正卧屈一膝，伸一股，并刺气冲，针上入三寸，气至泻之。寒气腹满，癃淫泺，身
热，腹中积聚疼痛，冲门主之。腹中肠鸣盈盈然，食不化，胁痛不得卧，烦，热中，不嗜食，
胸胁 满，喘息而冲，鬲呕心痛，及伤饱身黄疾骨羸瘦，章门主之。肠鸣而痛，
温留主之。肠腹时寒，腰痛不得卧，手三里主之。腹中有寒气，隐白主之。腹满响响然，不
便，心下有寒痛，商丘主之。腹中热若寒，腹善鸣，强欠，时内痛，心悲气逆，腹满，漏
谷主之；已刺外踝，上气不止，腹胀而气快然引肘胁下，皆主之。腹中气胀嗑嗑，不嗜食，
胁下满，阴陵泉主之。喘，少气不足以息，腹满，大便难，时上走，胸中鸣，胀满，口舌中
吸吸，善惊，咽中痛，不可纳食，善怒，恐不乐，大钟主之。嗌干，腹 痛，坐卧目KT KT
，善怒多言，复留主之。寒，腹胀满，厉兑主之。腹大不嗜食，冲阳主之。厥气上
，太溪主之。大腹有热，肠鸣腹满，侠脐痛，食不化，喘不能久立，巨虚上廉主之。肠
中寒，胀满善噫，闻食臭，胃气不足，肠鸣腹痛泄，食不化，心下胀，三里主之。腹满，胃
中有热，不嗜食，悬钟主之。大肠实则腰背痛，痹寒转筋，头眩痛，虚则鼻衄癫疾，腰痛
然汗出，令人欲食而走，承筋主之，取脚下三折，横视盛者出血。
黄帝问道：脾脏患病导致四肢不能运动，这是什么原因呢？岐伯回答说：四肢的功能活动都依赖于胃所化生的水谷精气，但胃中的精气不能直接到达四肢的经脉，必须依靠脾的转输作用，才能使水谷精气布散到四肢。现在脾脏患病，不能为胃输送津液，四肢得不到水谷精气的滋养，正气日益衰败，脉道不通畅，筋骨肌肉都缺乏精气的濡养，所以出现不能运动的症状。
黄帝又问：脾脏不单独主管一个季节，这是什么原因呢？岐伯回答说：脾脏属土，土居中央，常常在四季之末各十八天辅助其他四脏（肝、心、肺、肾）行使职能，并不单独主宰某一个季节。脾是属土的脏，常附着于胃，承受并转输胃中精微物质。土能生化万物而效法天地之道，因此脾的气机贯通上下，从头顶到足底，无所不至，所以不单独主管一个季节。
黄帝又问：脾与胃仅通过膜相连，为什么脾能为胃运行津液呢？岐伯回答说：足太阴脾经属于三阴经，它的经脉贯穿胃部，归属于脾，联络咽喉，所以太阴脾经能将胃中的精气输送至三阴经。足阳明胃经属于表经，是五脏六腑气血汇聚的大海，它也能将精气输送至三阳经。脏腑各自通过其经脉从阳明胃经接受精气，所以说脾是为胃运行津液的器官。如果四肢得不到水谷精气的滋养，正气日益衰败，阴经之气运行不利，筋骨肌肉都缺乏精气以生发，所以出现不能运动的症状。
邪气侵犯脾胃，就会发生肌肉疼痛。如果阳气有余，阴气不足，就会发生热中症，容易饥饿；如果阳气不足，阴气有余，就会发生寒中症，肠鸣腹痛；如果阴阳都有余或都不足，就会出现寒热错杂的症状，这些情况都应调理足三里穴。
饮食不下，胸膈阻塞不通，这是邪气停留在胃脘部。如果邪气在上脘，就用抑制的方法使其下行；如果邪气在下脘，就用消散的方法使其离去。胃病表现为腹部胀满，胃脘当心部位疼痛，向上牵引两胁，膈部和咽喉不通畅，饮食难以下咽，治疗应取足三里穴。
腹中雷鸣般作响，气经常上冲胸部，气喘得不能久站，这是邪气在大肠。针刺肓原穴（即神阙穴），以及巨虚上廉、上巨虚、足三里穴。腹部不适，取足三里穴，实证用泻法，虚证用补法。
大肠病表现为肠中剧烈疼痛且肠鸣声漉漉，如果在冬天再次感受寒邪，则肚脐周围疼痛，不能久站，症状与胃病相似，取上巨虚穴治疗。
腹部胀满，大便不通利，腹部膨大，气逆上走胸喉，发出喝喝的声音，取足少阳胆经穴位治疗。
腹部胀满，针刺气街穴，按压后胀满立即缓解。腹部突然胀满疼痛，按压后胀满不消，刺太阳经络中瘀血处即可痊愈。另外，针刺少阴俞穴旁开脊椎三寸处的五个穴位，使用圆利针，针刺后像吃一顿饭的时间那么久，站立一会儿就好了。一定要观察经脉中阳气过盛的地方，多次针刺。
腹部胀满不能进食，针刺脊中穴。腹中气胀牵引脊柱疼痛，进食后身体消瘦，名叫食瘕。先取脾俞穴，后取……（原文此处似有脱漏，依文意推测可能指后续穴位或疗法，但根据“先取...后...”句式及上下文，此处暂按原文处理，未明确具体穴位名则不强行补充，或参考后文类似结构）。*注：原文“后 ”处缺失文字，结合语境及常见针灸歌诀，此处可能缺字，但依据规则不推测，故保留空缺或忽略缺失部分实体提取。*
大肠转气，按压腹部如倒扣的杯子，热气牵引胃脘疼痛，脾气寒冷，四肢厥冷，不想吃东西，取脾俞穴主治。胃中寒冷胀满，吃得很多但身体消瘦，腹部胀满且肠鸣，腹部……（原文此处似有脱漏或异体字，结合下文“风厥”等，此处可能指某种病理状态），风厥，胸胁胀满，呕吐，脊柱紧急疼痛，筋脉拘挛，饮食不下，取胃俞穴主治。头痛，饮食不下，肠鸣腹胀，想呕吐时常腹泻，取三焦俞穴主治。腹部胀满腹胀，大便泄泻，取意舍穴主治。腹胀水肿，饮食不下，怕冷（《千金方》作恶寒），取胃仓穴主治。寒邪伤及饱食后的脾胃，食物不消化，五脏胀满，心腹胸胁胀满，从而产生各种疾病，取上脘穴主治。腹部胀满不通，寒邪伤及饱食后的脾胃，食物不消化，取中脘穴主治。食物不消化，吃进去又从嘴里吐出来，取下脘穴主治。
肠中经常鸣响，有时向上冲击心脏，灸脐中穴。心中烦闷，气机上逆，取阴都穴主治。大肠寒邪内侵（《千金方》作疝气），大便干燥，腹中剧烈疼痛，取肓俞穴主治。腹中全部疼痛，取外陵穴主治。肠鸣声连续不断，不可倾倒（指病情严重或特定体位），取承满穴主治。腹部胀满容易胀气，积气停留，取关门穴主治。饮食不下，腹中雷鸣，大肠功能失调，小便赤黄，取阳纲穴主治。
腹部胀满肠鸣，气上冲胸部，不能久站，腹中痛声漉漉，冬天再次感受寒邪则腹泻，肚脐周围疼痛，肠胃间的游气剧烈疼痛，食物不消化，不想吃东西，身体浮肿（另一版本作身体沉重），肚脐两侧拘急，取天枢穴主治。腹中有大热不安，腹部有大气感如同夹持，突然腹部胀满且小便不通，肢体软弱无力，取气冲穴主治。腹部胀满疼痛不能呼吸，正卧时屈起一膝，伸直另一腿，同时针刺气冲穴，进针三寸，得气后施行泻法。寒气导致的腹部胀满，小便不通，肢体软弱无力，身体发热，腹中积聚疼痛，取冲门穴主治。
腹中肠鸣盈盈然，食物不消化，胁痛不能躺卧，心烦，热中症，不想吃东西，胸胁胀满，喘息气冲，膈部呕吐心痛，以及因伤饱引起的身体发黄、筋骨消瘦，取章门穴主治。肠鸣且疼痛，取温溜穴主治。腹部和肠道时常发冷，腰痛不能躺卧，选手三里穴主治。腹中有寒气，取隐白穴主治。腹部胀满响声连连，大便不通，心下有寒痛，取商丘穴主治。腹中忽冷忽热，腹部容易鸣响，频繁打哈欠，时常内部疼痛，心情悲伤气机上逆，腹部胀满，取漏谷穴主治；已经针刺外踝上方，上行之气不止，腹部胀满且气快然引动肘胁下，均以此穴主治（注：此处原文表述较晦涩，“皆主之”前文主语不明，依原文直译）。
腹中气胀嗑嗑然，不想吃东西，胁下胀满，取阴陵泉穴主治。气喘，少气不足以息，腹部胀满，大便困难，气时常上走，胸中鸣响，胀满，口舌中吸吸有声，容易受惊，咽喉疼痛，不能进食，容易发怒，恐惧不乐，取大钟穴主治。咽喉干燥，腹部疼痛，坐卧时眼睛……（原文“目KT KT”疑似衍文或异体字，意指视物不清或眼疾相关，依原文保留描述），容易发怒多言，取复溜穴主治。寒冷，腹部胀满，取厉兑穴主治。腹部肿大不想吃东西，取冲阳穴主治。厥气上逆，取太溪穴主治。大腹有热，肠鸣腹满，肚脐两侧疼痛，食物不消化，气喘不能久站，取上巨虚穴主治。
肠中寒冷，胀满容易嗳气，闻到食物气味，胃气不足，肠鸣腹痛泄泻，食物不消化，心下胀满，取足三里穴主治。腹部胀满，胃中有热，不想吃东西，取悬钟穴主治。大肠实证则腰背疼痛，痹证寒冷转筋，头晕头痛；虚证则鼻出血、癫疾，腰痛出冷汗，使人想吃东西却想走动，取承筋穴主治，选取脚底下三折横纹处，观察血脉充盈处放血。
Huangdi asked, saying: "When the Spleen is diseased and the four limbs cannot be used, what is the reason?" Qibo replied, saying: "The four limbs all receive Qi from the Stomach, but they cannot reach the meridians directly; they must rely on the Spleen to receive it. Now, because the Spleen is diseased, it cannot transport the fluids and essence for the Stomach. The four limbs do not receive the Qi of water and grain. The Qi declines day by day, the meridians become blocked, and the sinews, bones, muscles, and flesh have no Qi to sustain them, thus they cannot function."
Huangdi asked: "Why does the Spleen not govern a specific season?" Qibo replied: "The Spleen belongs to Earth. Earth is in the center. It constantly assists the other four Zang organs during the last eighteen days of each of the four seasons, governing them temporarily, rather than exclusively governing one season. The Spleen is an Earth organ, constantly adhering to the essence of the Stomach. Earth generates all things and models Heaven and Earth; therefore, its influence extends from head to foot, so it does not exclusively govern a season."
Huangdi asked: "The Spleen and Stomach are connected only by membranes, so how can the Spleen transport the fluids for the Stomach?" Qibo replied: "The Foot-Taiyin (Spleen) meridian belongs to the Three Yin meridians. Its vessel penetrates the Stomach, connects to the Spleen, and links to the throat. Therefore, the Taiyin transports Qi to the Three Yin meridians. The Yangming (Stomach) meridian is the exterior and the sea of the Five Zang and Six Fu organs; it also transports Qi to the Three Yang meridians. The Zang and Fu organs each receive Qi from the Yangming through their respective meridians. Thus, the Spleen transports the fluids for the Stomach. If the four limbs do not receive the Qi of water and grain, the Qi declines day by day, the Yin pathways become obstructed, the sinews, bones, muscles, and flesh have no Qi to sustain them, and thus they cannot function."
Body heaviness, bone soreness, and lack of sensation are primarily treated with Taibai (SP 3).
When pathogenic factors are in the Spleen and Stomach, muscle pain occurs. If Yang Qi is excessive and Yin Qi is deficient, there is heat in the middle jiao and frequent hunger; if Yang Qi is deficient and Yin Qi is excessive, there is cold in the middle jiao with borborygmus and abdominal pain; if both Yin and Yang are excessive or both are deficient, there will be alternating cold and heat. All these conditions should be regulated by treating Zusanli (ST 36).
If food and drink cannot be swallowed, and the diaphragm is blocked and unsmooth, the pathogen is in the epigastrium. If it is in the Upper Wan (Shangwan), suppress it and guide it downward; if it is in the Lower Wan (Xiawan), disperse it and remove it. Diseases of the Stomach manifest as abdominal distension. Pain in the epigastrium corresponding to the heart, radiating to the two hypochondria, blockage of the diaphragm and throat, and inability to swallow food and drink are treated by selecting Zusanli (ST 36).
Borborygmus in the abdomen like thunder, Qi frequently rushing to the chest, panting such that one cannot stand for long periods indicates the pathogen is in the Large Intestine. Puncture the Yuan source of the Mou (Shenque, CV 8), Juxu Shanglian (Shangjuxu, ST 37), and Zusanli (ST 36). For abdominal discomfort, select Zusanli (ST 36); use draining method for excess, tonifying method for deficiency.
Diseases of the Large Intestine manifest as cutting pain in the intestines with gurgling sounds. If exposed to cold again in winter, there is pain around the umbilicus, and one cannot stand for long. The symptoms are similar to Stomach diseases; treat Shangjuxu (ST 37).
Abdominal fullness and difficulty in defecation, with a distended abdomen where Qi rushes up to the chest and throat with a 'he-he' sound, are treated by selecting Foot-Shaoyang (Gallbladder) meridians.
For abdominal fullness, puncture Qijie (ST 30); pressing on it relieves the fullness immediately. For sudden abdominal pain and fullness that does not subside upon pressing, puncture the collaterals of the Taiyang meridian to release blood, and it will resolve. Additionally, puncture five points beside the spine at three cun lateral to the Shao Yin Shu (Bladder meridian points near Kidney Shu), using a Yuanli needle. After needling, wait for the duration of a meal, then stand up, and it will resolve. One must observe the meridians for excess Yang and puncture them frequently.
For abdominal fullness and inability to eat, puncture Jizhong (GV 9). For abdominal Qi distension pulling into back pain, emaciation after eating and drinking, named Shi Xia (Food Accumulation), first select Pishu (BL 20), then [missing text].
For Large Intestine moving Qi, where pressing feels like an inverted cup, heat pulling into Stomach pain, Cold Spleen causing cold limbs and aversion to food, Pishu (BL 20) is primary. For Cold-Heat Disturbance (Fang Jue) due to Cold in the Stomach causing distension, eating much but becoming emaciated, abdominal fullness with borborygmus, Fang Jue, hypochondriac fullness, vomiting, urgent back pain, tendon spasms, and inability to eat, Weishu (BL 21) is primary. For headache, inability to eat, borborygmus and abdominal distension, desire to vomit with occasional diarrhea, Sanjiaoshu (BL 22) is primary. For abdominal fullness and distension with diarrhea, Yishe (BL 54) is primary. For distension and edema, inability to eat, and aversion to cold (or aversion to wind/chills per *Qianjin*), Weicang (BL 50) is primary. For Cold damaging the stomach after overeating, indigestion, fullness of the Five Zang, and fullness of the heart, abdomen, chest, and hypochondria leading to various diseases, Shangwan (CV 13) is primary. For abdominal fullness and obstruction, Cold damaging the stomach after overeating, and indigestion, Zhongwan (CV 12) is primary. For indigestion where food enters the abdomen and comes back out, Xiawan (CV 10) is primary.
For constant borborygmus in the intestines occasionally rushing up to the heart, moxa the center of the umbilicus (Shenque, CV 8). For mental fullness and rebellious Qi, Yindu (KI 15) is primary. For Cold in the Large Intestine (or Hernia per *Qianjin*), dry stool, and cutting abdominal pain, Huangshu (BL 23) is primary. For complete abdominal pain, Wailing (BL 29) is primary. For continuous borborygmus that cannot be relieved by tilting, Chengman (ST 23) is primary. For abdominal fullness prone to gas accumulation, Guanmen (ST 22) is primary. For inability to eat, abdominal borborygmus, irregularity of the Large Intestine, and red-yellow urine, Yanggang (BL 39) is primary.
For abdominal fullness and borborygmus, Qi rushing to the chest, inability to stand, gurgling abdominal pain, diarrhea upon catching cold in winter, pain around the umbilicus, cutting pain from wandering Qi in the intestines, indigestion, aversion to food, body swelling (or heaviness), and urgency beside the umbilicus, Tianshu (ST 25) is primary. For great heat and restlessness in the abdomen, a feeling of large Qi挟 (clamping) in the abdomen, sudden abdominal fullness and strangury, weakness, and Qi rushing, Qichong (ST 30) is primary. For abdominal fullness and pain preventing breathing, lie supine with one knee bent and the other extended, simultaneously puncture Qichong (ST 30), insert the needle three cun deep, and apply draining method when Qi arrives. For Cold Qi causing abdominal fullness, strangury, weakness, body heat, and accumulation/pain in the abdomen, Chongmen (ST 31) is primary.
For gurgling borborygmus in the abdomen, indigestion, hypochondriac pain preventing lying down, irritability, Heat in the Middle, aversion to food, hypochondriac fullness, panting with Qi rushing, diaphragmatic vomiting and heart pain, as well as jaundice and emaciation caused by damaging the stomach with overeating, Zhangmen (LR 13) is primary. For borborygmus with pain, Wenliu (LI 7) is primary. For intermittent cold in the abdomen and intestines, and lower back pain preventing lying down, Shousanli (TE 10) is primary. For Cold Qi in the abdomen, Yinbai (SP 1) is primary. For resonant abdominal fullness, difficulty in defecation, and Cold pain under the heart, Shangqiu (SP 5) is primary.
For alternating hot and cold in the abdomen, frequent borborygmus, frequent yawning, internal pain, sadness with rebellious Qi, and abdominal fullness, Lougu (SP 7) is primary. [Note: The text regarding external malleolus and elbow/hypochondrium seems disjointed in source, translated literally]. For Qi distension in the abdomen with a 'ke-ke' sound, aversion to food, and hypochondriac fullness, Yinlingquan (SP 9) is primary. For panting, shortness of breath, abdominal fullness, difficulty in defecation, Qi rushing upward, borborygmus in the chest, distension, sucking sounds in the mouth and tongue, susceptibility to fright, throat pain, inability to take food, irritability, fear, and unhappiness, Dazhong (KI 4) is primary.
For dry throat, abdominal pain, visual disturbances while sitting/lying, irritability, and excessive talking, Fuliou (BL 58) is primary. For Cold and abdominal fullness, Lidui (ST 45) is primary. For abdominal enlargement and aversion to food, Chongyang (ST 42) is primary. For rebellious Qi ascending, Taixi (KI 3) is primary.
For Heat in the large abdomen, borborygmus and abdominal fullness, pain beside the umbilicus, indigestion, and panting preventing standing, Shangjuxu (ST 37) is primary. For Cold in the intestines, distension, frequent belching, sensitivity to food odors, insufficient Stomach Qi, borborygmus, abdominal pain, diarrhea, indigestion, and epigastric distension, Zusanli (ST 36) is primary. For abdominal fullness, Heat in the Stomach, and aversion to food, Xuanzhong (GB 39) is primary.
Excess in the Large Intestine manifests as lower back and back pain, Bi syndrome with cold and tendon spasms, dizziness, and headache. Deficiency manifests as epistaxis, epilepsy, lower back pain with cold sweat, and a desire to eat yet walk. Treat Chengjin (BL 57), located at the three folds below the foot, observing the transverse lines; bleed the full vessels.