黄帝问曰∶人病胃脘痈者，诊当何如？岐伯对曰∶诊此者当候胃脉，其脉当沉细，沉细者气逆，逆者人
迎甚盛，甚盛则热，人迎者胃脉也，逆而盛，则热聚于胃口而不行，故胃脘为痈也。帝曰∶善。人有卧而有
所不安者何也？岐伯曰∶脏有所伤及，精有所之寄，则安，故人不能悬其病也。帝曰∶人之不得偃卧者何也？
岐伯曰∶肺者脏之盖也，肺气盛则脉大，脉大则不得偃卧，论在《奇恒阴阳》
中。帝曰∶有病厥者，诊右脉沉而紧，左脉浮而迟，不然，病主安在？岐伯曰∶冬诊之，右脉固当沉紧，
此应四时，左脉浮而迟，此逆四时，在左当主病在肾，颇关在肺，当腰痛也。帝曰∶何以言之？岐伯曰∶
少阴脉贯肾络肺，今得肺脉，肾为之病，故肾为腰痛之病也。帝曰∶善。有病颈痈者，或石治之，或针灸治之，
而皆已，其真安在？岐伯曰∶此同名异等者也。夫痈气之息者，宜以针开除去之，夫气盛血聚者，宜石而泻之，
此所谓同病异治也。帝曰∶有病怒狂者，此病安生？岐伯曰∶生于阳也。帝曰∶阳何以使人狂？岐伯曰∶阳气
者，因暴折而难决，故善怒也，病名曰阳厥。帝曰∶何以知之？岐伯曰∶阳明者常动，巨阳少阳不动，不动
而动大疾，此其候
也？帝曰∶治之奈何？岐伯曰∶夺其食即已，夫食入于阴，长气于阳，故夺其食即已。使之服以生铁洛为饮，
夫生铁洛者，下气疾也。帝曰∶善。有病身热解惰，汗出如浴，恶风少气，此为何病？岐伯曰∶病名曰酒风。
帝曰∶治之奈何？岐伯曰∶以泽泻、术各十分，麋衔五分，合以三指撮为后饭。所谓深之细者，其中手如针也，
摩之切之，聚者坚也，博者大也。《上经》者，言气之通天也。《下经》者，言病之变化也。《金匮》者，
决死生也。《揆度》者，切度之
也。《奇恒》者，言奇病也。所谓奇者，使奇病不得以四时死也。恒者，得以四时死也。所谓揆者，方切
求之也，言切求其脉理也。度者，得其病处，以四时度之也。
黄帝问道：人患胃脘痈（胃部化脓性病变）时，诊察应当如何？岐伯回答说：诊察这种病应当观察胃脉，其脉象应当沉细；脉象沉细说明气机逆乱，气机逆乱则人迎脉（足阳明胃经动脉，位于颈部两侧）非常盛大，人迎脉盛大则有热邪；人迎脉是胃经的脉象，气逆且盛大，则热邪聚集在胃口而不能消散，所以导致胃脘形成痈肿。黄帝说：好。人躺着却睡不安稳是什么原因呢？岐伯说：内脏受到损伤，精气有所寄居之处（指心神不宁或脏腑功能失调），就会安适，所以人不能脱离疾病而单独存在（意指睡眠不安与体内病理状态密切相关）。黄帝说：人不能仰卧是什么原因呢？岐伯说：肺是五脏的华盖（覆盖于其他脏腑之上），肺气盛则脉管扩张，脉管扩张则不能仰卧，这一论述记载在《奇恒阴阳》篇中。黄帝说：有人患厥证（四肢逆冷或气血逆乱之证），诊察右脉沉紧，左脉浮迟，这不对吧，病主要在哪里？岐伯说：冬季诊察时，右脉本来应当沉紧，这是顺应四时变化；左脉浮迟，这是违背四时变化，左脉异常主病在肾，同时也关联到肺，应当出现腰痛的症状。黄帝说：为什么这样说？岐伯说：少阴脉（足少阴肾经）贯穿肾脏并联络肺脏，现在诊得肺脉（浮迟），说明肾病及肺，所以肾是腰痛病的根源。黄帝说：好。有人患颈痈（颈部化脓性病变），有的用砭石治疗，有的用针灸治疗，都痊愈了，其中的真谛在哪里？岐伯说：这是同名但病情等级不同的病。如果是痈气郁滞较轻的，适宜用针具刺开去除邪气；如果是气盛血聚严重的，适宜用砭石泻出血瘀，这就是所说的同病异治。黄帝说：有人患怒狂病（因愤怒而发狂的病），这种病是怎么产生的？岐伯说：产生于阳分。黄帝说：阳气怎么会使人发狂？岐伯说：阳气因为突然受挫而难以疏泄，所以容易发怒，这种病名叫阳厥。黄帝说：怎么知道这一点？岐伯说：阳明经（手阳明大肠经、足阳明胃经）通常有搏动，太阳经和少阳经通常没有明显搏动，如果不动的经脉出现大而急疾的搏动，这就是征象。黄帝说：如何治疗？岐伯说：限制饮食就能痊愈，因为食物进入体内转化为阴精，进而助长阳气，所以限制饮食就能使阳气不再亢盛从而痊愈。让病人服用生铁洛（生铁落）煎成的汤剂，生铁洛具有迅速降气的作用。黄帝说：好。有人身体发热、肢体懈怠无力、出汗像洗澡一样、怕风、气短，这是什么病？岐伯说：这种病名叫酒风（饮酒后感受风邪所致之病）。黄帝说：如何治疗？岐伯说：用泽泻、白术各十分，麋衔（鹿衔草）五分，混合后用三指撮取作为饭后服用的药散。所谓“深之细者”，是指切脉时手感如针刺般清晰敏锐；按摩和切按脉位，感觉坚实的是邪气积聚，感觉宽大的则是病势宏大。《上经》讲述的是气与天相通的道理。《下经》讲述的是疾病的变化规律。《金匮》是用来决断生死预后的。《揆度》是用来切脉衡量病情的。《奇恒》是讲述奇异疾病的。所谓“奇”，是指这些奇病不受四时气候影响而死期固定；所谓“恒”，是指普通疾病会随四时气候变化而有死期。所谓“揆”，就是方切求索脉理的意思，即仔细推求脉象原理。所谓“度”，就是确定病位，并用四时规律来衡量判断的方法。
Huangdi asked: When a person suffers from Stomach Guan Yong (abscess of the stomach), how should the diagnosis be conducted? Qibo replied: To diagnose this condition, one should observe the Stomach Pulse. The pulse should be deep and fine. A deep and fine pulse indicates rebellious Qi. Rebellious Qi causes the Renying point (acupoint on the stomach meridian, located at the neck) to become extremely full. An extremely full Renying indicates heat. Since the Renying is the pulse of the Stomach Meridian, when Qi is rebellious and full, heat gathers at the mouth of the stomach and cannot disperse, thus causing an abscess in the stomach region. Huangdi said: Excellent. Why do some people lie down but cannot sleep peacefully? Qibo said: When internal organs are injured and the essence has nowhere to reside securely, peace is lost; therefore, humans cannot separate their illness from their physical state. Huangdi said: Why can some people not lie on their backs? Qibo said: The Lung is the canopy of the five zang organs. When Lung Qi is excessive, the vessels become large. When vessels are large, one cannot lie on their back. This discussion is recorded in the "Qi Heng Yin Yang" chapter. Huangdi said: There is a patient with Jue syndrome (cold limbs or rebellious Qi/blood). The right pulse is deep and tight, while the left pulse is floating and slow. Is this correct? Where is the disease primarily located? Qibo said: In winter, the right pulse should naturally be deep and tight, which corresponds to the four seasons. The left pulse being floating and slow goes against the four seasons. Abnormalities in the left pulse indicate disease in the Kidney, closely related to the Lung, and should manifest as lower back pain. Huangdi said: Why do you say so? Qibo said: The Shaoyin Meridian (Foot-Shaoyin Kidney Meridian) passes through the Kidney and connects to the Lung. Now that a Lung pulse (floating and slow) is obtained, it indicates that the Kidney disease affects the Lung; thus, the Kidney is the root cause of the lower back pain. Huangdi said: Excellent. There is a patient with Neck Yong (cervical abscess). Some were treated with stone needles (bian stones), others with acupuncture, and all recovered. What is the truth behind this? Qibo said: These are diseases with the same name but different stages/severity. For Yong where Qi stagnation is mild, it is suitable to use needles to open and remove the pathogen. For cases where Qi is excessive and blood is aggregated, it is suitable to use bian stones to drain blood stasis. This is what is called treating the same disease differently. Huangdi said: There is a patient suffering from Nu Kuang (mania due to anger). How does this disease arise? Qibo said: It arises from Yang. Huangdi said: How does Yang Qi cause mania? Qibo said: Yang Qi, due to sudden frustration and difficulty in resolution, leads to frequent anger. This disease is named Yang Jue (Yang reversal). Huangdi said: How do we know this? Qibo said: The Yangming Meridian usually has palpable pulsations, whereas the Taiyang and Shaoyang meridians usually do not. If the non-pulsating meridians exhibit large and rapid pulsations, this is the sign. Huangdi said: How should it be treated? Qibo said: Restricting food intake will cure it. Food enters the Yin aspect and generates Qi in the Yang aspect; therefore, restricting food prevents the exacerbation of Yang Qi. Have the patient drink decoctions made from Sheng Tie Luo (Fallen Iron from Smelting Furnace), which has the effect of rapidly descending Qi. Huangdi said: Excellent. There is a patient with body heat, flaccidity, sweating profusely like bathing, aversion to wind, and shortness of breath. What disease is this? Qibo said: This disease is named Jiu Feng (Wind-dampness induced by alcohol consumption). Huangdi said: How should it be treated? Qibo said: Use Ze Xie (Alisma Rhizome) and Bai Zhu (Atractylodes Macrocephala Rhizome) each in ten parts, and Mi Xian (Dentaria Sibirica/Smilax Glabra) in five parts. Mix them and take three finger-pinches after meals. Regarding the phrase "deep and fine," it refers to the pulse feeling sharp and distinct like a needle upon palpation. Massaging and pressing the pulse area, firmness indicates accumulation of pathogens, while expansiveness indicates a broad disease scope. The "Shang Jing" (Classic of the Upper) discusses the connection between Qi and Heaven. The "Xia Jing" (Classic of the Lower) discusses the changes of diseases. The "Jin Gui" (Golden Cabinet) determines life and death prognosis. The "Kui Du" (Measurement and Estimation) involves measuring and estimating via pulse taking. The "Qi Heng" (Extraordinary and Constant) discusses extraordinary diseases. "Qi" (Extraordinary) means these diseases do not follow the seasonal patterns of mortality. "Heng" (Constant) means ordinary diseases follow seasonal patterns of mortality. "Kui" means to seek and explore the pulse principles carefully. "Du" means to locate the disease site and estimate it according to the four seasons.