卫气之留于腹中蓄积不行菀蕴不得常所。使人肢胁胃中满喘呼逆息者何以去之(卫气者
。水
谷之悍气也。循皮肤之中。分肉之间熏于肓膜散于胸腹。此卫气之常也。失其常则随邪内陷
留于腹中。蓄积不行而菀蕴为病)其气积于胸中者上取之积于腹中者下取之上下皆满者旁取
之(俱如下文)积于上泻大迎(足阳明经)天突(任脉)喉中。(即廉泉穴积于胸中病喘呼逆息。
故常泻之于上)积于下者泻三里气街(积于腹中。病胃中满故当泻其下。)上下皆满者。上下
取之与季胁之下一寸。重者鸡足取之。(上下皆病胸中与腹中俱满。当取上五穴又旁取季胁
之章门穴。其积重者。即积针以刺之如鸡足之状)诊视其脉大而弦急及绝不至者及腹皮急甚
者。不可刺也。
何以知皮肉气血筋骨之病也。色起两眉薄泽者。病在皮。(其应主肺)唇色青黄赤白黑者
。病
在肌肉。(脾气通于唇)营气濡然者。病在血气。(营本无形。若肤腠之汗。肌肉之胀。二便
之泄利。皆濡然之谓。其病在营则气血也。)目色青黄赤白黑者。病在筋。(目为肝窍肝主筋
也。)耳焦枯受尘垢病在骨。(耳为肾窍肾主骨也)
人年五十以上为老。二十以上为壮。十八以下为少。六岁以下为小。(此言人之老壮少
小以年而别○以下之下。旧本上。)
膏者。多气多气者热。热者耐寒。(膏者。油也。人有多膏者。其肉淖。粗理者身寒细
理者
身热。故能耐寒而多气皮缓故能纵腹垂腴也)肉者多血。多血则充形。充形则平。(人有多肉
者。皮肉不相离。身体容大而寒热和平也)脂者。其血清。气滑少。故不能大此别于众人者
也(脂者。骨中髓也多脂者肉坚。其血必清。气滑且少。故身形不大。而必能耐寒也。此言
人之有膏有肉有脂其气血各有多少。若众人皮肉脂膏之不加多。各自称其身也。)
卫气停留在腹中，蓄积而不运行，郁结蕴滞而不能归于常道。导致四肢、胁肋及胃脘部胀满，气喘呼吸急促的病症，该如何去除呢？（卫气，是水谷所化生的悍烈之气。它循行于皮肤之中，分布于分肉之间，熏蒸于肓膜，散布于胸腹部。这是卫气运行的正常规律。如果失去常态，就会随着邪气内陷，留滞于腹中，蓄积不运而郁结蕴滞成为疾病。）
气积聚在胸中的，取上部穴位治疗；积聚在腹中的，取下部穴位治疗；上下都胀满的，取旁侧穴位治疗。（具体方法如下文所述）积聚在上部的，泻大迎穴（足阳明胃经）、天突穴（任脉）及喉中的廉泉穴。（因为积聚在胸中导致气喘呼吸急促，所以常在上方施以泻法）积聚在下部的，泻足三里穴和气街穴。（因为积聚在腹中导致胃脘胀满，所以应当泻下方的穴位）上下都胀满的，上下兼取，并取季胁下一寸处的章门穴。病情严重的，采用“鸡足刺”法针刺。（上下皆病，胸中与腹中都胀满，应当取上部的五个穴位，又旁取季胁下的章门穴。如果积滞严重，就将针聚集在一起刺入，状如鸡足）诊察脉象，如果脉大而弦急，或者脉搏断绝不至，以及腹部皮肤极度紧绷的，不可针刺。
如何判断皮、肉、血、气、筋、骨的病变呢？两眉部位色泽浮薄润泽的，病在皮。（这对应肺脏）嘴唇呈现青、黄、赤、白、黑各种颜色的，病在肌肉。（脾气的通窍在于唇）营气濡润外泄的，病在血气。（营气本无形，像肤腠间的汗出、肌肉的肿胀、大小便的泄利，都称为濡然之象。病在营分则涉及气血）眼睛颜色呈现青、黄、赤、白、黑的，病在筋。（眼睛是肝的外窍，肝主筋）耳朵焦枯且沾染尘垢的，病在骨。（耳朵是肾的外窍，肾主骨）
人年五十岁以上为老，二十岁以上为壮，十八岁以下为少，六岁以下为小。（这是按年龄来区分人的老、壮、少、小○以下一段文字，旧版本中位于“下”字之上。）
膏型体质的人，多气。多气则身体发热，发热者耐寒。（膏，即油脂。有的人属于多膏体质，其肌肉柔润。纹理粗疏的怕冷，纹理细密的怕热，所以能耐寒且多气。因皮肤松弛，所以腹部下垂丰满）肉型体质的人，多血。多血则形体充实。形体充实则阴阳平和。（有的人属于多肉体质，皮肉紧密结合，身体宽大，寒热感觉平和）脂型体质的人，血清稀，气滑利而量少，所以体型不能很大。这就是他们与众人不同的地方。（脂，指骨髓。多脂的人肌肉坚实，其血必清稀，气滑利且少，所以身形不大，但必然能耐寒。这里说的是人有膏、肉、脂的不同，气血各有多少。如果是普通人，皮肉脂膏不过度增多，各自与身体相称罢了。）
The Wei Qi (Defensive Qi) remaining in the abdomen, accumulating and failing to circulate, becomes stagnant and obstructed, unable to follow its normal pathway. This causes fullness in the limbs, hypochondrium, and epigastrium, along with panting and rapid breathing. How should this be treated? (Wei Qi is the fierce Qi derived from water and grain. It circulates within the skin, distributes between the muscle intervals, steams into the Hui Mo (Diaphragmatic Fascia), and scatters in the chest and abdomen. This is the normal course of Wei Qi. When it loses its normal state, it sinks inward following pathogenic factors, remains in the abdomen, accumulates without moving, and becomes stagnant, causing disease.)
Where Qi accumulates in the chest, treat by selecting points on the upper body; where it accumulates in the abdomen, treat by selecting points on the lower body; where both are full, treat by selecting points on the sides. (As described below.) For accumulation in the upper part, reduce Da Ying (Stomach Meridian of Foot-Yangming), Tian Tu (Conception Vessel), and Lian Quan located in the throat. (Since accumulation in the chest causes panting and rapid breathing, reduction is commonly applied at upper points.) For accumulation in the lower part, reduce Zu San Li and Qi Jie. (Since accumulation in the abdomen causes epigastric fullness, reduction should be applied at lower points.) For fullness in both upper and lower parts, treat both upper and lower, and also select Zhang Men, one cun below the costal margin. In severe cases, use the "Chicken-Foot" needling technique. (When both chest and abdomen are affected and full, take the five upper points and additionally select Zhang Men on the side of the costal margin. If the accumulation is severe, insert needles clustered together in a shape resembling chicken feet.)
If the pulse is large, wiry, and rapid, or if the pulse is absent, or if the abdominal skin is extremely tense, acupuncture is contraindicated.
How can one diagnose diseases of the skin, flesh, blood, Qi, sinews, and bones? If the color rises on the eyebrows with a thin luster, the disease is in the skin. (This corresponds to the Lung.) If the lips show colors of green, yellow, red, white, or black, the disease is in the flesh. (The Spleen opens into the lips.) If Ying Qi (Nutritive Qi) appears moist and leaking, the disease is in the blood and Qi. (Ying Qi is originally formless; phenomena such as sweating from pores, muscle swelling, and diarrhea or dysuria are all referred to as "moist/leaking." Disease in the Ying level involves blood and Qi.) If the eyes show colors of green, yellow, red, white, or black, the disease is in the sinews. (The eyes are the orifice of the Liver, and the Liver governs the sinews.) If the ears are dry, withered, and covered with dust, the disease is in the bones. (The ears are the orifice of the Kidney, and the Kidney governs the bones.)
A person aged fifty or above is considered old; twenty or above is considered strong; eighteen or below is considered young; six years or below is considered small (child). (This distinguishes people into old, strong, young, and small categories based on age. ○ In older editions, the following text appears above the character "Xia".)
Those with a "Gao" (Pasty/Fatty) constitution have abundant Qi. Abundant Qi generates heat; those with heat can tolerate cold. (Gao refers to oil/fat. People with abundant Gao have soft muscles. Those with coarse texture feel cold, while those with fine texture feel hot; thus, they can tolerate cold and have abundant Qi. Because their skin is loose, their abdomen hangs down and is plump.) Those with a "Rou" (Fleshy) constitution have abundant Blood. Abundant Blood fills the form; a filled form implies balance. (People with abundant Rou have skin and flesh tightly adhered, a large body, and balanced sensations of cold and heat.) Those with a "Zhi" (Lean/Dense) constitution have clear/thin blood and smooth but scarce Qi, so their body size cannot be large. This distinguishes them from the general population. (Zhi refers to bone marrow. Those with abundant Zhi have firm muscles, clear blood, and smooth yet scarce Qi, so their body is not large but they can certainly tolerate cold. This describes that people differ in having Gao, Rou, or Zhi, with varying amounts of Qi and Blood. Ordinary people do not have excessive skin, flesh, fat, or pastiness; each matches their own body.)