五脏六腑皆令人咳。非独肺也皮毛者。肺之合也皮毛先受邪气。邪气以从其合也。其寒
饮食
入胃从肺脉上至于肺。则肺寒。肺寒。则外内合邪。因而客之。则为肺咳。五脏各以其时受
病。非其时。各传以与之 乘秋则肺先受邪。乘春。则肝先受之。乘夏则心先受之。乘至。
阴则脾先受之。乘冬则肾先受之。肺咳之状。咳而喘息有音。甚则唾血。(肺络逆也。)心咳
之状。咳则心痛。喉仲介介如梗状。甚则咽肿喉痹。肝咳之状。咳则两胁下痛。甚则不可以
转。转则两 下满。脾咳之状。咳则右 下痛。阴阴引肩背。甚则不可以动。动则咳剧。肾
咳之状。咳则腰背相引而痛甚则咳涎。(肾为水藏。主涎饮也。)五脏之久咳。乃移于六腑脾
咳不已。则胃受之。胃咳之状咳而呕。呕甚则长虫出。(蛔虫居肠胃之中。呕甚则随气而上
出。)肝咳不已。则胆受之。胆咳之状。咳呕胆汁。(呕苦汁也)肺咳不已。则大肠受之大肠
咳状。咳而遗失(甲乙经作遗矢。)心咳不已。则小肠受之。小肠咳状。咳而失气。气与咳俱
失。(小肠之下。则大肠也大肠之气。于小肠之化。故咳则下奔失气。)肾咳不已。则膀胱受
之。膀胱咳状。咳而遗溺。久咳不已则三焦受之。三焦咳状。咳而腹满不欲食饮。此皆聚于
胃关于肺。使人多涕唾。而面浮肿气逆也。(阳明之脉起于鼻会。于面。出于口故令多涕唾
而面浮肿。肺为脏腑之盖而主气。故令气逆)治藏者治其俞。(肺太渊。心神门。肝太冲。脾
太白肾太 一作背上各藏之俞。误。)治府者。治其合。(胃三里胆阳陵泉。大肠曲池小肠小
海。膀胱委中三焦天井)浮肿者治其经。(脉之所行者为经。如经渠阳 。解 商丘等穴是也
。诸咳之浮肿气逆者。当各随其所病之经刺之。)
五脏六腑都能导致咳嗽，并不仅仅是肺脏的病变。皮毛是肺的外合部位，皮毛先受到邪气侵袭，邪气便顺着外合关系内传于肺。如果寒凉饮食进入胃中，会沿着肺脉上行至肺，导致肺寒。肺寒则外部邪气与内部寒饮相合，邪气停留其中，就形成肺咳。五脏分别在各自所主的季节受病，如果不是该季节，则按五行生克规律传变给相应的脏腑。秋季肺气当令，故肺先受邪；春季肝气当令，故肝先受邪；夏季心气当令，故心先受邪；长夏（至阴）脾气当令，故脾先受邪；冬季肾气当令，故肾先受邪。
肺咳的症状，是咳嗽伴有喘息且有声，严重时唾中带血。（这是因为肺络受损逆乱。）心咳的症状，是咳嗽时心痛，咽喉中有异物感如梗塞状，严重时咽喉肿痛、喉痹。肝咳的症状，是咳嗽时两侧胁下疼痛，严重时身体不能转动，转动时两侧胁下胀满。脾咳的症状，是咳嗽时右胁下疼痛，隐隐牵引肩背，严重时不能活动，活动则咳嗽加剧。肾咳的症状，是咳嗽时腰背相互牵引而痛，严重时咳出涎沫。（肾为水脏，主管涎饮。）
五脏久咳不愈，病邪会转移至六腑。脾咳不止，则病传于胃，成为胃咳。胃咳的症状是咳嗽并呕吐，呕吐严重时蛔虫会随气上出。（蛔虫居住在肠胃之中，呕吐剧烈时便随胃气上逆而出。）肝咳不止，则病传于胆，成为胆咳。胆咳的症状是咳嗽并呕吐胆汁。（呕吐的是苦味汁液。）肺咳不止，则病传于大肠，成为大肠咳。大肠咳的症状是咳嗽并大便失禁（《甲乙经》作“遗矢”，即排出粪便）。心咳不止，则病传于小肠，成为小肠咳。小肠咳的症状是咳嗽并放屁，排气与咳嗽同时发生。（小肠之下连接大肠，大肠之气源于小肠的转化，所以咳嗽时气机下奔而失气。）肾咳不止，则病传于膀胱，成为膀胱咳。膀胱咳的症状是咳嗽并小便失禁。久咳不愈，则病传于三焦，成为三焦咳。三焦咳的症状是咳嗽伴腹部胀满，不想饮食。这些咳嗽的病机都在于邪气聚集于胃，关联于肺，使人多涕唾，面部浮肿，气机上逆。（阳明经脉起于鼻旁，交会于面部，出于口，所以导致多涕唾和面部浮肿。肺位于脏腑之上，如伞盖般覆盖其他脏腑，主司气机，所以导致气逆。）
治疗五脏之咳，应取各脏的俞穴。（肺经太渊穴，心经神门穴，肝经太冲穴，脾经太白穴，肾经太溪穴——注：原文“肾太”后缺字，据上下文及针灸常识补为太溪，或指背部肾俞。原文括号注明“一作背上各藏之俞”，意为另一种说法是取背部各脏腑的背俞穴，此处视为误说或异文。）治疗六腑之咳，应取各腑的合穴。（胃经足三里，胆经阳陵泉，大肠经曲池，小肠经小海，膀胱经委中，三焦经天井。）有浮肿症状的，应取各经的经穴。（脉气所通行的称为经穴，如经渠、阳谷、解溪、商丘等穴位。对于各种咳嗽引起的浮肿和气逆，应当根据病变所在的经脉进行针刺。）
All five zang organs and six fu organs can cause cough; it is not solely due to the Lung. The skin and hair (Pí Máo) are the exterior correspondence of the Lung. When pathogenic factors first invade the skin and hair, they enter the Lung through this correspondence. If cold food and drink enter the Stomach, they travel up along the Lung meridian to the Lung, causing Lung cold. With Lung cold, external pathogens combine with internal cold fluids, lodging within, resulting in Lung cough. Each of the five zang organs receives disease in its respective season; if not in that season, the disease transmits according to the cycle of generation and restriction. In autumn, when Lung qi prevails, the Lung is affected first; in spring, Liver qi prevails, so the Liver is affected first; in summer, Heart qi prevails, so the Heart is affected first; during the late summer (extreme yin), Spleen qi prevails, so the Spleen is affected first; in winter, Kidney qi prevails, so the Kidney is affected first.
The manifestation of Lung cough includes coughing with wheezing and audible sounds, and in severe cases, expectoration of blood (due to reversal of Lung collaterals). The manifestation of Heart cough includes pain in the heart region upon coughing, a sensation of obstruction in the throat as if something were stuck, and in severe cases, sore throat and throat bi syndrome. The manifestation of Liver cough includes pain under both hypochondria upon coughing, inability to turn the body in severe cases, and fullness under both hypochondria when turning. The manifestation of Spleen cough includes pain in the right hypochondrium upon coughing, dull pain radiating to the shoulder and back, inability to move in severe cases, and aggravated cough upon movement. The manifestation of Kidney cough includes pain radiating between the waist and back upon coughing, and expectoration of saliva in severe cases (the Kidney is the water organ and governs saliva and fluid retention).
If cough from the five zang organs persists for a long time, the pathology transfers to the six fu organs. If Spleen cough does not resolve, it affects the Stomach, becoming Stomach cough. The manifestation of Stomach cough includes coughing and vomiting; in severe cases, roundworms may be expelled (roundworms reside in the intestines and stomach, and severe vomiting causes them to ascend with rebellious qi). If Liver cough does not resolve, it affects the Gallbladder, becoming Gallbladder cough. The manifestation of Gallbladder cough includes coughing and vomiting bile (vomiting bitter fluid). If Lung cough does not resolve, it affects the Large Intestine, becoming Large Intestine cough. The manifestation of Large Intestine cough includes coughing with fecal incontinence (as recorded in *Jia Yi Jing* as "passing stool"). If Heart cough does not resolve, it affects the Small Intestine, becoming Small Intestine cough. The manifestation of Small Intestine cough includes coughing with flatus, where gas expulsion occurs simultaneously with coughing (the Small Intestine connects below to the Large Intestine; qi from the transformation in the Small Intestine moves downward, so coughing causes downward rushing of qi and flatus). If Kidney cough does not resolve, it affects the Bladder, becoming Bladder cough. The manifestation of Bladder cough includes coughing with urinary incontinence. If chronic cough persists, it affects the Sanjiao (Triple Burner), becoming Sanjiao cough. The manifestation of Sanjiao cough includes coughing with abdominal fullness and loss of appetite. The pathology of all these coughs gathers in the Stomach and relates to the Lung, causing excessive phlegm and saliva, facial edema, and rebellious qi (the Yangming meridian originates at the nose, meets at the face, and exits at the mouth, thus causing excessive phlegm/saliva and facial edema; the Lung covers the other organs like a canopy and governs qi, thus causing rebellious qi).
To treat coughs of the zang organs, treat their Shu-stream points (Lung: Taiyuan [LU-9]; Heart: Shenmen [HT-7]; Liver: Taichong [LR-3]; Spleen: Taibai [SP-3]; Kidney: Taixi [KI-3]—note: original text says "Kidney Tai...", likely missing character, or refers to Back-Shu points as an alternative view considered erroneous here). To treat coughs of the fu organs, treat their He-sea points (Stomach: Zusanli [ST-36]; Gallbladder: Yanglingquan [GB-34]; Large Intestine: Quchi [LI-11]; Small Intestine: Xiaohai [SI-8]; Bladder: Weizhong [BL-40]; Sanjiao: Tianjing [SJ-10]). For those with edema, treat their Jing-river points (points where meridians pass, such as Jingqu [LU-8], Yanggu [SI-5], Jiexi [ST-41], Shangqiu [SP-5], etc.). For edema and rebellious qi associated with various coughs, needle according to the affected meridian.