诊伤寒热盛，脉浮大者，生；沉小者，死。
伤寒已得汗，脉沉小者，生；浮大者，死。
温病三、四日以下，不得汗，脉大疾者，生；脉细小难得者，死不治。
温病穣穣大热，其脉细小者，死。（《千金》“穣穣”“作时行”）
温病下痢，腹中痛甚者，死不治。
温病汗不出，出不至足者，死。
厥逆汗出，脉坚强急者，生；虚缓者，死。
温病二、三日，身体热，腹满，头痛，食如故，脉直而疾者，八日死；四、五日，头痛，
腹痛而吐，脉来细强，十二日死；八、九日，头不痛，身不痛，目不变，色不变而反利，脉
来喋喋，按之不弹手，时时，心下坚，十七日死。
热病七、八日，脉不软（一作喘）、不散（一作数）者，当有喑，喑后三日，
热病七、八日，其脉微细，小便不利，加暴口燥，脉代，舌焦干黑者，死。
热病未得汗，脉盛躁疾，得汗者，生；不得汗者，难瘥。
热病已得汗，脉静安者，生；脉躁者，难治。
热病已得汗，大热不去者，亦死。
热病已得汗，热未去，脉微躁者，慎不得刺治。
热病发热，热甚者，其脉阴阳皆竭，慎勿刺，不汗出，必下利。
诊人被风，不仁，痿蹶，其脉虚者，生；坚急疾者，死。
诊癫病，虚则可治，实则死。
诊癫病，脉实坚者，生；脉沉细者，死。
又癫疾，脉得大滑者，久而自已，其脉沉小急实，不可疗；小坚急者，亦不可疗也。
诊头痛目痛，久视无所见者，死。
诊人心腹积聚，其脉坚强急者，生；虚弱者，死。又实强者，生；沉者，死。其
脉大，腹大胀，四肢逆冷，其人脉形长者，死；腹胀满，便血，脉大时绝，极下血，小疾
肠 便血，身热则死，寒则生。
肠 下白沫，脉沉则生，浮则死。
肠 下脓血，脉悬绝则死，滑大则生。
肠 之属，身热，脉不悬绝，滑大者，生；悬涩者，死。以脏期之。
肠 下脓血，脉沉小留连者，生；数疾且大，有热者死。
肠 筋挛，其脉小细安静者，生；浮大紧者，死。
洞泄食不化，不得留，下脓血，脉微小者，生；紧急者，死。
泄注，脉缓时小结者，生；浮大数者，死。
蚀阴注，其脉虚小者，生；紧急者，死。
咳嗽，脉沉紧者，死，浮直者，浮软者，生，小沉伏匿者，死。
咳嗽羸瘦，脉形坚大者，死。
咳，脱形发热，脉小坚急者，死；
肌瘦下脱，形热不去者，必死。
咳而呕，腹胀且泄，其脉弦急欲绝者，死。
吐血、衄血，脉滑小弱者，生；实大者，死。
汗若衄，其脉小滑者，生；大躁者，死。
吐血脉紧强者，死；滑者，生。
吐血而咳上气，其脉数有热，不得卧者，死。
上气脉数者，死，谓损形故也。
上气喘息低昂，其脉滑，手足温者，生；脉涩，四肢寒者，必死。
上气面浮肿，肩息，其脉大，不可治，加利必死。
上气注液，其脉虚宁伏匿者，生；坚强者，死。
寒气上攻，脉实而顺滑者，生；实而逆涩死。（《太素》云∶寒气在上
，脉满实何如？曰∶实而滑则生，实而逆则死矣。其形尽满何如？曰∶举形尽满者，脉急大
坚，尺满而不应。如是者，顺则生，逆则死。何谓顺则生，逆则死？所谓顺者，手足温
也；逆者，手足寒也）
病瘅，脉实大，病久可治；脉弦小坚急，病久不可治。
消渴，脉数大者，生；细小浮短者，死。
消渴，脉沉小者，生；实坚大者，死。
水病，脉洪大者，可治；微细，不可治。
水病胀闭，其脉浮大软者，生；沉细虚小者，死。
水病腹大如鼓，脉实者，生；虚则死。
卒中恶咯血数升，脉沉数细者，死；浮大疾快者，生。
卒中恶腹大，四肢满，脉大而缓者，生；紧大而浮者，死；紧细而微，亦生。
疮、腰脊强急、螈 ，皆不可治。
寒热螈 ，其脉代绝者，死。
金疮血出太多，其脉虚细者，生；数实大者，死。
金疮出血，脉沉小者，生；浮大者，死。
斫疮出血一、二升，脉来大，二十日死。
斫刺俱有病，多少血出不自止者，其脉来大者，七日死，滑细者生。
从高顿仆，内有血，腹胀满，其脉坚强者，生；小弱者，死。
人为百药所中伤，脉涩而疾者，生；微细者，死；洪大而迟者，生（《千金》“迟”作“速”）。
人病甚而脉不调者，难治；脉洪大者，易瘥。
人内外俱虚，身体冷而汗出，微呕而烦扰，手足厥逆，体不得安静者，死。
脉实满，手足寒，头热，春秋生，冬夏必死矣。
老人脉微，阳羸阴强者，生；脉大加息者，死；阴弱阳强，脉至而代，期月而
尺脉涩而坚，为血实气虚也。其发病，腹痛逆满，气上行。此为妇人胞中绝伤，有恶血，久
成结瘕，得病以冬时，黍 赤而死。
尺脉细而微者，血气俱不足；细而来有力者，是谷气不充；病得节辄动，枣叶生而死。此病秋时得之。
左手寸口脉偏动，乍大乍小不齐，从寸至关，关至尺，三部之位，其脉动，各异不同，
其人病仲夏得之，此脉桃花落而死。
右手寸口，脉偏沉伏，乍小乍大，朝浮大，而暮沉伏。浮大即太过，上出鱼
际；沉伏即下，不至关中。往来无常，时复来者，榆叶枯落而死。
右手尺部脉，三十动一止，有顷更还，
二十动一止，乍动乍疏，连连相因，因不与息数相应，其人虽食谷，犹不愈，蘩草生而死。
右手尺部脉，四十动而一止，止而复来，来逆如循张弓弦，
In the diagnosis of Shanghan (Cold Damage) with intense heat, a floating and large pulse indicates survival; a deep and small pulse indicates death.
If sweating has occurred in Shanghan, a deep and small pulse indicates survival; a floating and large pulse indicates death.
In Wenbing (Warm Disease), if it is within three or four days and there is no sweating, a large and rapid pulse indicates survival; a fine and difficult-to-feel pulse indicates untreatable death.
In Wenbing, if there is persistent high fever but the pulse is fine, it indicates death. (The *Qianjin Fang* notes that "rang rang" refers to epidemic diseases.)
In Wenbing accompanied by dysentery, severe abdominal pain indicates untreatable death.
In Wenbing, absence of sweating, or sweating that does not reach the feet, indicates death.
In cases of Jue Ni (Cold Reversal) with sweating, a firm, strong, and urgent pulse indicates survival; a deficient and slow pulse indicates death.
In Wenbing for two or three days, if the body is hot, abdomen is full, head hurts, yet appetite remains normal, and the pulse is straight and rapid, death occurs on the eighth day; for four or five days, if there is headache, abdominal pain, and vomiting, and the pulse is fine and strong, death occurs on the twelfth day; for eight or nine days, if there is no headache or body pain, eyes do not change color, complexion does not change, yet diarrhea occurs instead, and the pulse comes rapidly (die die), lacking resilience upon pressure, with occasional hardness in the epigastrium, death occurs on the seventeenth day.
In Re Bing (Heat Disease) at seven or eight days, if the pulse is not soft (or described as panting) and not scattered (or described as frequent), aphonia should occur; if death follows three days after aphonia...
In Re Bing at seven or eight days, if the pulse is minute and fine, urination is difficult, sudden dryness of the mouth occurs, the pulse is intermittent (dai), and the tongue is scorched, dry, and black, it indicates death.
In Re Bing without sweating, if the pulse is盛大 (sheng) and restless/rapid, and sweating occurs, it indicates survival; if sweating does not occur, recovery is difficult.
In Re Bing where sweating has occurred, if the pulse is quiet and peaceful, it indicates survival; if the pulse is restless, it is difficult to treat.
In Re Bing where sweating has occurred, if the high fever persists, it indicates death.
In Re Bing where sweating has occurred, if the heat has not subsided and the pulse is slightly restless, acupuncture treatment must be handled with caution.
In Re Bing with fever, if the heat is severe and both yin and yang pulses are exhausted, do not use acupuncture; otherwise, without sweating, diarrhea will inevitably ensue.
When diagnosing wind invasion causing numbness (bu ren), flaccidity, and cold reversals, a deficient pulse indicates survival; a firm, urgent, and rapid pulse indicates death.
In diagn Dian Bing (Epilepsy/Mental Disorder), a deficient pulse is treatable; a excess pulse indicates death.
In diagnosing Dian Bing, a solid and firm pulse indicates survival; a deep and fine pulse indicates death.
Furthermore, in Dian Ji (Epilepsy), a large and slippery pulse indicates self-healing over time; a deep, small, urgent, and solid pulse is untreatable; a small, firm, and urgent pulse is also untreatable.
In diagnosing headache and eye pain, inability to see even after prolonged looking indicates death.
In diagnosing accumulation and mass in the heart and abdomen, a firm, strong, and urgent pulse indicates survival; a weak pulse indicates death. Also, a solid and strong pulse indicates survival; a deep pulse indicates death. If the pulse is large, the abdomen is distended, limbs are cold, and the pulse shape is long, it indicates death; if there is abdominal distension, bloody stool, a large pulse that occasionally stops, massive bleeding, a small and rapid pulse, body heat indicates death, while body cold indicates survival.
In Chang Pi (Dysentery) with white mucus discharge, a deep pulse indicates survival; a floating pulse indicates death.
In Chang Pi with pus and blood discharge, a suspended and extreme pulse indicates death; a slippery and large pulse indicates survival.
For conditions belonging to Chang Pi, if the body is hot and the pulse is not suspended/extreme but is slippery and large, it indicates survival; a suspended and choppy pulse indicates death. The time of death can be predicted based on the zang organs.
In Chang Pi with pus and blood discharge, a deep, small, and lingering pulse indicates survival; a frequent, rapid, and large pulse with heat indicates death.
In Jin Luan (Tendon Spasm), a small, fine, and quiet pulse indicates survival; a floating, large, and tight pulse indicates death.
In Dong Xie (Profuse Diarrhea) with undigested food, inability to retain contents, and discharge of pus and blood, a minute pulse indicates survival; an urgent pulse indicates death.
In Xie Zhu (Acute Diarrhea), a slow pulse with occasional small knots indicates survival; a floating, large, and rapid pulse indicates death.
In Shi Yin Zhu (a disease involving erosion of the yin/genitals), a deficient and small pulse indicates survival; an urgent pulse indicates death.
In Ke Sou (Cough), a deep and tight pulse indicates death; a floating and straight pulse, or a floating and soft pulse, indicates survival; a small, deep, and hidden pulse indicates death.
In Ke Sou with emaciation, a firm and large pulse indicates death.
In Ke, with physical depletion and fever, a small, firm, and urgent pulse indicates death;
With muscle wasting and lower body collapse, and persistent fever, death is certain.
In Ke with vomiting, abdominal distension, and diarrhea, a string-tight and urgent pulse nearing cessation indicates death.
In Tu Xue (Hematemesis) and Nu Xue (Epistaxis), a slippery, small, and weak pulse indicates survival; a solid and large pulse indicates death.
If sweating or epistaxis occurs, a small and slippery pulse indicates survival; a large and restless pulse indicates death.
In Tu Xue, a tight and strong pulse indicates death; a slippery pulse indicates survival.
In Tu Xue accompanied by cough and rebellious qi (Shang Qi), a rapid pulse with heat and inability to lie down indicates death.
In Shang Qi (Rebellious Qi/Asthma), a rapid pulse indicates death, due to the wasting of the form.
In Shang Qi with labored breathing, if the pulse is slippery and hands and feet are warm, it indicates survival; if the pulse is choppy and limbs are cold, death is certain.
In Shang Qi with facial edema and shoulder-respiration, if the pulse is large, it is untreatable; if accompanied by diarrhea, death is certain.
In Shang Qi with drooling, a deficient, quiet, and hidden pulse indicates survival; a firm pulse indicates death.
When Cold Qi attacks upward, a solid and smooth pulse indicates survival; a solid and reverse-choppy pulse indicates death. (*Tai Su* states: When cold qi is above, how is the full and solid pulse? Answer: Solid and smooth leads to life, solid and reverse leads to death. What about the whole body being full? Answer: Whole body full means the pulse is urgent, large, and firm, with the cunchi position full but unresponsive. In such cases, smooth leads to life, reverse leads to death. What is meant by smooth leading to life and reverse leading to death? Smooth means hands and feet are warm; reverse means hands and feet are cold.)
In Dan Bing (Jaundice/Damp-Heat), a solid and large pulse allows treatment even after a long illness; a string-tight, small, firm, and urgent pulse makes long-standing illness untreatable.
In Xiao Ke (Wasting-Thirst), a rapid and large pulse indicates survival; a fine, small, floating, and short pulse indicates death.
In Xiao Ke, a deep and small pulse indicates survival; a solid, firm, and large pulse indicates death.
In Shui Bing (Water Disease/Edema), a洪大 (Hong Da) pulse is treatable; a minute and fine pulse is untreatable.
In Shui Bing with swelling and obstruction, a floating, large, and soft pulse indicates survival; a deep, fine, deficient, and small pulse indicates death.
In Shui Bing with abdominal distension like a drum, a solid pulse indicates survival; a deficient pulse indicates death.
In Zhong Feng E (Apoplexy/Evil Strike) with hemoptysis of several sheng, a deep, rapid, and fine pulse indicates death; a floating, large, and rapid pulse indicates survival.
In Zhong Feng E with abdominal distension and limb fullness, a large and slow pulse indicates survival; a tight, large, and floating pulse indicates death; a tight, fine, and minute pulse also indicates survival.
Jin Chuang (Metal Wounds/Cut wounds), stiffness of the waist and spine, and convulsions are all untreatable.
In Han Re Chou Yuan (Chills, Fever, and Convulsions), a dai (intermittent) pulse indicates death.
In Jin Chuang with excessive blood loss, a deficient and fine pulse indicates survival; a frequent, solid, and large pulse indicates death.
In Jin Chuang with bleeding, a deep and small pulse indicates survival; a floating and large pulse indicates death.
In Zhu Chuang (Cutting Wounds) with blood loss of one or two sheng, a large incoming pulse indicates death in twenty days.
In combined cutting and stabbing injuries with uncontrollable bleeding, a large incoming pulse indicates death in seven days; a slippery and fine pulse indicates survival.
After falling from height with internal blood stasis and abdominal distension, a firm pulse indicates survival; a small and weak pulse indicates death.
When poisoned by various medicines, a choppy and rapid pulse indicates survival; a minute and fine pulse indicates death; a洪大 (Hong Da) and slow pulse indicates survival (the *Qianjin Fang* reads "fast" instead of "slow").
When the disease is severe but the pulse is discordant, it is difficult to treat; a洪大 (Hong Da) pulse indicates easy recovery.
When both interior and exterior are deficient, with cold body and sweating, slight vomiting and restlessness, cold reversal of hands and feet, and bodily unrest, it indicates death.
A solid and full pulse with cold hands and feet and a hot head: survival in spring and autumn, death in winter and summer.
In the elderly, a minute pulse with weakened yang and strengthened yin indicates survival; a large pulse with accelerated rate indicates death; yin deficiency and yang excess with an intermittent pulse leads to death within a month. A cunchi pulse that is choppy and firm indicates blood excess and qi deficiency. Onset involves abdominal pain, rebellious fullness, and qi moving upward. This is caused by injury to the uterus in women, with retained evil blood forming masses over time. If contracted in winter, death occurs when millet turns red.
A cunchi pulse that is fine and minute indicates insufficiency of both blood and qi; if fine but forceful upon arrival, it indicates insufficient grain qi; the disease flares up with seasonal changes, and death occurs when jujube leaves sprout. This disease is contracted in autumn.
If the left hand cunkou pulse moves unevenly, fluctuating between large and small irregularly, varying from cun to guan to chi positions, indicating different movements in the three positions, and the disease was contracted in midsummer, death occurs when peach blossoms fall.
On the right hand cunkou, if the pulse is biased towards deep and hidden, fluctuating between small and large, floating and large in the morning but deep and hidden in the evening: floating and large means excessive, reaching beyond the fish-interstice (Yu Ji); deep and hidden means going below, not reaching the guan position. Erratic movement with occasional return indicates death when elm leaves wither.
On the right hand chi position, if the pulse stops every thirty beats, resuming after a moment, or stops every twenty beats, alternating between active and sparse, continuously linked but not corresponding to breath count, even if eating grains, the condition does not improve, and death occurs when fan grass grows.
On the right hand chi position, if the pulse stops every forty beats, resuming afterwards, coming back forcefully like touching a drawn bowstring,