夫治病之要切在精详虚实冷热寒温阴阳计踵脉息时候并在前文细述然虑有于本病中别生
滞碍
起五
或
方并
古方论膈气乃有五种谓忧膈恚膈气膈寒膈热膈也夫胸中气结烦闷饮食不下羸瘦无力此名
忧膈
腹满
夫噎病亦有五种谓气噎忧噎食噎劳噎思噎噎者乃噎塞不通心胸不利饮食不下也治法各随
其证
古之论痰饮有五种有痰饮有悬饮有溢饮有支饮有留饮又有痰痹有痰冷有痰热有痰厥有痰
实候
眠
溢行
寒手
结聚
散热
实之
凡妇人虚羸血气不足肾气弱或当风取凉太过心下有痰水者欲有胎喜病阻何谓欲有胎其人
月水
日后
卧少
服茯
夫难产者由先因漏胞去血脏燥或子脏宿挟疾疹或触犯禁忌或胎腹觉痛产时来到便即惊动
秽露
出者
若坐
忌坐
凡母子才获分解不得问是男是女须速与产母童子小便一盏不得与酒缘酒引血迸入四肢兼
脏腑
分解
卧立
便
所伤
（宜入血脉风药随冷热用之）
妇人冲任之脉起胞中为候之海手太阳小肠之经也手少阴心之经也二经为表里主下月水月
水来
入室
通
也其
妇人冲任二脉为十二经之海二经气虚复为劳伤则不能制其血故非时即下淋沥不断谓之漏
下其
柳子浓骂尸虫文云人皆有三尺虫处人腹中伺隐微失误辄籍记日庚申幸其人之昏睡出谗于
帝以
沉默
大同
治疗疾病的要领，关键在于精确辨别虚实、冷热、寒温以及阴阳，并综合考量脉象、气息和发病时间，这些内容在前文中已有详细阐述。然而，考虑到在本病基础上可能产生其他的阻滞障碍，现列出五种情况：
其一，古方论述膈气共有五种，分别是忧膈、恚膈、气膈、寒膈、热膈。所谓膈，是指胸中气机结滞，烦闷不适，饮食难下，身体消瘦无力，这叫做忧膈；若伴有腹部胀满……
其二，噎病也有五种，分别是气噎、忧噎、食噎、劳噎、思噎。所谓噎，是指咽喉阻塞不通，心胸不畅，饮食难下。治疗方法应随证候不同而各异。
其三，古代论述痰饮有五种，即痰饮、悬饮、溢饮、支饮、留饮。此外还有痰痹、痰冷、痰热、痰厥、痰实等证候……（此处原文残缺，涉及睡眠、行走、寒冷、手部症状、结聚、散热、实证等描述）。
其四，凡是妇人身体虚弱羸瘦，血气不足，肾气虚弱，或因当风取凉过度，导致心下有痰水停留，若有怀孕之喜，却被疾病所阻，这是什么原因呢？欲知是否有胎，需看月经停止后的天数，观察卧睡情况，服用茯苓……（此处原文残缺）。
其五，难产的原因，多因先前漏胞失血，导致子宫干燥；或子宫原本夹杂疾病疹疾；或触犯禁忌；或胎腹觉痛，产期来到时便惊慌躁动，导致秽露流出……若坐……忌坐……（此处原文残缺）。
其六，凡母子刚刚分离，不论男女，必须迅速给产妇饮用童子小便一盏，不得饮酒，因为酒会引血奔散入四肢及脏腑……（此处原文残缺，涉及分解、卧立、小便、所伤等描述）。
（适宜加入入血脉的风药，根据寒热情况使用。）
其七，妇人的冲脉和任脉起于胞中，是月经的源头；手太阳小肠经与手少阴心经互为表里，主管月经。月经来潮……入室……通……（此处原文残缺）。
其八，妇人的冲任二脉为十二经脉之海，若二经气虚又受劳伤，则不能统摄血液，因此非经期出血，淋漓不断，这叫做漏下。
其九，柳宗元在《骂尸虫文》中说：“人腹中皆有三尺长的虫子，潜伏在人体腹部，窥伺隐微之处，一旦人有失误，便记录下来。每逢庚申日，趁人昏睡之时，上天庭进谗言。”以……沉默……大同……（此处原文残缺）。
The key to treating diseases lies in the precise differentiation of deficiency and excess, cold and heat, chill and warmth, as well as Yin and Yang, while comprehensively considering the pulse, respiration, and timing of onset. These aspects have been detailed in the preceding text. However, anticipating that other obstructions may arise from the primary disease, five categories are listed below:
First, ancient texts discuss five types of Ge Qi (Diaphragmatic Qi Stagnation), namely You Ge (Worry Ge), Hui Ge (Resentment Ge), Qi Ge (Qi Ge), Han Ge (Cold Ge), and Re Ge (Heat Ge). "Ge" refers to the stagnation of Qi in the chest, causing irritability and fullness, difficulty in swallowing food, emaciation, and weakness. This is called You Ge; if accompanied by abdominal distension...
Second, Ye Bing (Dysphagia Disease) also has five types: Qi Ye (Qi Ye), You Ye (Worry Ye), Shi Ye (Food Ye), Lao Ye (Fatigue Ye), and Si Ye (Pensive Ye). "Ye" refers to obstruction in the throat, discomfort in the chest and heart, and difficulty in swallowing food. Treatment methods should vary according to the specific syndrome.
Third, ancient discussions on Tan Yin (Phlegm-Fluid Retention) identify five types: Tan Yin, Xuan Yin, Yi Yin, Zhi Yin, and Liu Yin. Additionally, there are conditions such as Tan Bi (Phlegm Bi), Tan Leng (Cold Phlegm), Tan Re (Heat Phlegm), Tan Jue (Phlegm Jue), and Tan Shi (Excess Phlegm)... (Original text is fragmented, involving descriptions of sleep, walking, cold sensations, hand symptoms, accumulation, heat dissipation, and excess patterns).
Fourth, regarding women who are physically weak and emaciated, with insufficient Qi and Blood, weak Kidney Qi, or excessive exposure to wind and coolness leading to Phlegm-Fluid retention in the epigastrium, if they are pregnant but obstructed by illness, what is the cause? To determine pregnancy, one must observe the number of days since menstruation ceased, monitor sleeping positions, and administer Fu Ling (Poria)... (Original text is fragmented).
Fifth, difficult labor often arises from prior leakage of the amniotic sac and blood loss, leading to a dry uterus; or pre-existing uterine diseases/rashes; or violation of taboos; or pain in the fetal abdomen causing panic and agitation when labor begins, resulting in the discharge of lochia... If sitting... Taboo sitting... (Original text is fragmented).
Sixth, immediately after the separation of mother and child, regardless of gender, the mother must be given a cup of urine from an uncircumcised boy. Alcohol must not be given, as it draws blood into the four limbs and internal organs... (Original text is fragmented, involving descriptions of separation, lying/standing, urination, and injury).
(It is appropriate to add Wind-dispelling herbs that enter the blood vessels, used according to cold or heat patterns.)
Seventh, the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) originate in the Bao Zhong (Uterus) and serve as the source of menstruation. The Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian are exterior-interior pairs, governing menstruation. When menstruation arrives... entering the room... unblocking... (Original text is fragmented).
Eighth, the Chong and Ren meridians are the seas of the twelve meridians. If Qi in these two meridians is deficient and further damaged by overwork, it fails to control the blood, resulting in non-menstrual bleeding that drips continuously, known as Lou Xia (Leaking Downward).
Ninth, Liu Zongyuan wrote in his "Essay Scolding the Corpse Worm": "Every person has a three-foot-long worm residing in the abdomen, watching for hidden mistakes. On Gengshen days, while the person sleeps deeply, it ascends to report slander to the Emperor." With... silence... great harmony... (Original text is fragmented).