尺寸俱浮属巨阳。一二日内病如常。经络一连风府穴。头项痛兮腰脊强。(仲景云。尺寸俱浮者。太阳受病。当一二
日发。以其上连风府。故头项痛。腰脊强。)脉长阳明为受病。二三日内斯为应。挟鼻络目是其经。目痛鼻干眠不稳。(仲
景。尺寸俱长者。阳明受病也。当二三日发。以其脉挟鼻络于目。故身热目疼。鼻干。不得卧也。)少阳经络贯耳中。脉
弦胁痛耳应聋。四日以前皆在腑。汗之即退易为功。(仲景云。尺寸俱弦者。少阳受病也。当三四日发。以脉循胁于耳。
故胸胁痛。而耳聋。此三经受病。未入脏。故可汗也。)四五日中得太阴。太阴之脉细而沉。布胃络嗌嗌干燥。脾宫腹满
病难禁。(仲景云。尺寸俱沉细者。太阴受病也。当四五日发。以其脉布胃中。络于嗌。故腹满而嗌干矣。)少阴传到脉
沉紧。贯肾络肺系舌本。口燥舌干渴不休。五六日中病有准。(尺寸脉俱沉者。少阴受病也。当五六日发。以其脉贯肾。
络于肺。系舌本。故口燥舌干而渴。)七八日至厥阴经。烦满囊缩可忧惊。三阴受邪已入脏。却宜泻下自和平。(仲景云。
尺寸俱微缓者。厥阴受病也。当六七日发。以其循阴器络于肝。故烦满而囊缩。必三阴皆已入脏。故可下而已也。)六经
已尽传亦遍。土不受邪脉来缓。水火相交气已和。云与雨至斯为汗。(若传至厥阴。其脉来缓者。脾土不再受克。故水升
火降。气和而大汗解矣。)
The cun (distal) and chi (proximal) pulses are both floating, indicating disease in the Taiyang (Greater Yang) channel. Within one to two days, the illness presents as usual. The meridian connects to the Fengfu acupoint, causing pain in the head and neck, and stiffness in the waist and spine. (Zhang Zhongjing stated: When the cun and chi pulses are both floating, it is disease of the Taiyang channel, which should manifest within one or two days. Because it connects superiorly to the Fengfu point, headache, stiff neck, and stiffness of the lumbar spine occur.)
A long pulse indicates disease in the Yangming (Bright Yang) channel. Manifesting within two to three days, this follows the expected progression. The meridian runs alongside the nose and connects to the eyes, resulting in eye pain, nasal dryness, and restless sleep. (Zhang Zhongjing stated: When the cun and chi pulses are both long, it is disease of the Yangming channel, which should manifest within two or three days. Because the vessel runs alongside the nose and connects to the eyes, fever, eye pain, nasal dryness, and inability to lie down occur.)
The Shaoyang (Lesser Yang) channel passes through the ear; the pulse is wiry, accompanied by hypochondriac pain and deafness. Before the fourth day, the pathogen remains in the Fu organs; inducing sweating will resolve the condition easily. (Zhang Zhongjing stated: When the cun and chi pulses are both wiry, it is disease of the Shaoyang channel, which should manifest within three or four days. Because the vessel courses along the hypochondrium and connects to the ear, chest and hypochondriac pain and deafness occur. Since these three channels are diseased but have not entered the Zang organs, sweating therapy is applicable.)
By the fourth or fifth day, disease reaches the Taiyin (Greater Yin) channel. The Taiyin pulse is fine and deep. The meridian distributes in the stomach and connects to the throat, causing abdominal fullness, dry throat, and unbearable abdominal pain due to Spleen dysfunction. (Zhang Zhongjing stated: When the cun and chi pulses are both fine and deep, it is disease of the Taiyin channel, which should manifest within four or five days. Because the vessel distributes in the stomach and connects to the throat, abdominal fullness and dry throat occur.)
Transmission to the Shaoyin (Lesser Yin) channel presents with a deep and tight pulse. The meridian penetrates the Kidney, connects to the Lung system and the root of the tongue, causing dry mouth, dry tongue, and unceasing thirst. By the fifth or sixth day, the disease pattern is established. (When the cun and chi pulses are both deep, it is disease of the Shaoyin channel, which should manifest within five or six days. Because the vessel penetrates the Kidney, connects to the Lung, and ties to the root of the tongue, dry mouth, dry tongue, and thirst occur.)
By the seventh or eighth day, disease reaches the Jueyin (Terminal Yin) channel, characterized by vexation, fullness, and retraction of the testicles, causing worry and alarm. Disease in the Three Yin channels has entered the Zang organs; purgative therapy is appropriate to restore harmony. (Zhang Zhongjing stated: When the cun and chi pulses are both slightly slow and relaxed, it is disease of the Jueyin channel, which should manifest within six or seven days. Because the vessel courses along the genitalia and connects to the Liver, vexation, fullness, and retraction of the testicles occur. Once the Three Yin channels have entered the Zang organs, purgation can cure the disease.)
After the transmission through the Six Channels is complete and pervasive, the Earth element no longer receives pathogenic attack, and the pulse becomes slow. Water and Fire interact, Qi harmonizes, resembling rain from clouds; recovery occurs through profuse sweating. (If transmission reaches Jueyin and the pulse is slow, the Spleen Earth is no longer overcontrolled, allowing Water to ascend and Fire to descend. Qi harmonizes, leading to resolution through profuse sweating.)