以所集杂病为次，《脉诀举要》为主，兼采《正传》、《权舆》权度补之，附温暑内伤。
中风脉浮，滑兼痰气；其或沉滑，勿以风治；或浮或沉，而微而虚；扶危治痰，风未可疏；浮迟者吉，
急疾者殂。
若风废瘫痪，脾缓者不治。《快捷方式》云∶风疾脾缓空费力，痨疾心数命难存。
中寒紧涩，阴阳俱盛，法当无汗，有汗伤命。
阳紧，寒在上焦作吐；阴紧，寒在下焦自利；阴阳俱紧，上下皆受寒也，法当无汗，反自汗者，亡阳不治。
伤风之脉，阳浮阴弱，邪在六经，或弦而数。
阳浮，卫中风也；阴弱，荣气弱也。邪在六经者俱弦。
暑伤于气，所以脉虚，弦洪芤迟，体状无余。
脉虚而微弱，或浮大而散，或隐不见，微弱隐状，皆虚类也。
暑热病剧，阴阳盛极，浮之而滑，沉之散涩，汗后躁大，死期可刻。
得汗后，脉躁大者固死；入里七八日来，脉不躁数而涩小者，亦死。
温脉无名，随见诸经，未汗宜强，虚缓伤生。
温脉随各脏腑所见而治。未汗脉强急者生，虚缓者死；已汗表证不退，脉强急者死，或入里腹痛甚、下利
者死。
温脉濡缓，或兼涩小，入里缓沉，浮缓在表，若缓而弦，风湿相搅。
浮缓在表，沉缓在里，或弦缓，或浮缓，风湿相搏也。
脉紧而涩，或浮而弦，或芤而虚，是为燥证。
涩主燥，风燥兼浮而弦，血燥兼芤而虚。
虚火数浮，实火沉大，随其所见，细数为害。
脉浮洪数无力为虚火，脉沉实大有力为实火。如洪数见左寸心火，右寸肺火，左关肝火，右关脾火，两尺为
肾经命门火。
内伤劳役，豁大不禁；若损胃气，隐而难寻。内伤饮食，滑疾浮沉；内伤劳食，数大涩浸。右关缓紧，
寒湿相寻；右关数缓，湿热兼临；数又微代，伤食感淫。
心脉变见于气口，肝木亦挟心火之势而来迫肺金，故大如急数，为无力不禁耳。内伤轻者，右关沉滑；内
伤重者，气口浮滑。右寸气口脉急大而数，时一代而涩，涩者，肺之本脉，代者，元气不相接续，此饮食失节，
劳役过甚，大虚之脉也。右关脾脉数中显缓，且倍于各脏，此劳役轻，而伤饮食湿热重也。数多燥热，缓多湿
热。若脾脉大数，时微缓一代者，饮食不节，寒温失所也。
下手脉沉，便知是气，沉极则伏，涩弱难治，其或沉滑，气兼痰饮。
滑者多血少气，涩者少血多气。尺脉涩坚，血实气虚；尺脉细微，气血俱虚；脉细代者
气衰；绝者，气欲绝；伏涩难治，几于欲绝也。
诸证失血，皆见芤脉，随其上下，以验所出。大凡失血，脉贵沉细，设见浮大，后必难治。
脉得诸涩濡弱为亡血。脉浮面白色薄者，里虚亡血。脉夹轻轻、尺中独浮、目睛晕黄者为衄血。或沉弦而
虚、面白短气、目瞑、小腹满者，因劳衄血。太阳脉大而浮者，衄吐血。如悬钩搏手，或沉弦者，衄血。肺脉
弦急者，咳而唾血。脉浮弱按之绝者，下血。烦咳者，必吐血，肠 下脓血。脉弦绝则死，滑大则生。血温身
热者死。脉极虚芤迟为亡血失精。
偏弦为饮，或沉弦滑，或结涩伏，痰饮中节。
痰饮脉皆弦而兼微沉滑，惟肺饮有喘不弦。若双弦者，乃寒饮也。或大下后善虚，若浮弦大实者，膈有
稠痰宜吐。久得结脉，或涩或伏者，痰饮胶固于中，阻滞节上脉道故也。
郁脉皆沉，血芤气涩，湿郁缓沉，热乃数极。痰郁滑弦，滑紧因食，郁甚则滞，或结代促。
六郁脉皆兼沉，甚则伏，又甚则结促代。惟有胃气可治，在上则见于寸，在中则见于关，在下则见于尺，
左右亦然。
平脉弦大，劳损而虚；大而无力，阳衰易扶；数而无力，阴火难除；寸弱上损，浮大里枯；尺寸俱微，
五劳之躯。血羸左濡，气怯右推，左右微小，气血无余。痨瘵脉数，或涩细如，潮汗咳血，肉脱者殂。
凡曰虚损，因虚而有伤损也。虚劳者，因虚而不禁劳，因劳而愈虚也。痨瘵者，劳之极也，即五劳六极也。
痨者，牢也，言其病已牢痼而不可解也。诸虚脉多寸关弦大而尺微涩，有火则尺亦大。大者，正气虚而邪盛；
弦者，中寒也。若大而无力者，阳气虚也；大数无力者，阴血虚也；左右微小者，必成痼冷。痨症骨蒸潮热，
盗汗，咳嗽见血，或泄不泄，惟肉脱甚，脉数细而涩者死。古云∶微数不成病，不名劳。
风寒暑湿，气郁生涎，下虚上实，皆头晕眩。风浮寒紧，湿细暑虚，痰弦而滑，瘀芤而涩。数大火邪，虚
大久极，先理气痰，次随症脉。头痛阳弦，浮风紧寒，热必洪数，湿细而坚。气虚头痛，虽弦带涩，痰厥则滑，
肾厥坚实。
六经脉症同伤寒，见病机诀云∶头痛短涩应须死，浮滑风痰皆易除。
眼本火病，心肝数洪，右寸关见，相火上冲。
左寸脉洪数，心火炎也；关弦而洪，肝火盛也；右寸关俱弦洪，肝木挟相火之势，而来侮所不胜之金，而
制己所胜之土也。
耳病肾虚，迟濡其脉，浮大为风，洪动火贼。沉涩气凝，数实热塞，此久聋者，专于肾责。暴病浮洪，两
尺相同，或两尺数，阴虚火冲。
若左寸洪数，心火炎也；两尺洪数，相火炎也，其人必梦遗，耳鸣，或聋。
右寸洪数，鼻衄鼻 ；左寸浮缓，鼻涕风邪。
鼻流清涕。
口舌生疮，脉洪疾速；若见脉虚，中气不足。
经曰∶左寸洪数心热，右寸浮数肺热。左关弦数而虚，胆虚甚；洪而实肝热。右关沉实，脾胃有实热，
兼洪数者口疮，或为木舌、重舌。脉虚者，为中气不足。
齿痛肾虚，尺濡而大，火炎尺洪，疏摇豁坏。右寸关数，或洪而弦，此属肠胃，风热多涎。
尺洪大而虚者，肾虚；齿痛动摇疏豁者，相火上炎也；右寸关洪数，或弦而洪者，肠胃中有风热也。
痛风沉弦，肝肾被湿。少阴弱浮，风血掣急。或涩而小，酒后风袭。
寸沉而弦，沉则主骨，弦则主筋，沉则为肾，弦则为肝，汗出入水，因水伤心，故历节痛
而黄汗出。少阴脉浮而弱，弱则血不足，浮则为风，风血相搏，则疼痛如掣。或尺涩小，短气，自汗出，历节
痛不可屈伸，此皆饮酒汗出当风所致也。
风寒湿气，合而为痹。浮涩而紧，三脉乃备。
脉浮而缓，属湿为麻痹；脉紧而浮，属寒为痛痹；脉涩而芤，属死血，为木不知痛痒；脉浮而濡，属气虚，
关前得之麻在上体，关后得之麻在下体。
斑疹沉伏，或散或无；阳浮而数，火见于躯；阴实而大，热蒸在肤。
滑伯仁曰∶脉者血之波澜。故发斑者血散于皮肤，故脉伏；火盛于表，故阳脉浮数；下焦实热，故阴脉实大。
咳嗽所因，浮风紧寒，数热细湿，房劳涩难。右关微濡，饮食伤脾；左关弦短，肝极劳疲。肺脉浮短，咳
嗽与期，五脏之嗽，各视本部。浮紧虚寒，沉数实热；洪滑多痰，弦涩少血。形盛脉细，不足以息，沉小伏匿，
皆是厄脉，惟有浮大，而嗽者生，外证内脉，参考称停。
外症肌瘦肉脱，发热作泄，内脉沉急者必死。
霍乱吐泻，滑而不匀，或微而涩，代伏惊人。热多洪滑，弦滑食论。
右关滑为霍乱吐泻，脉涩结代伏，虽因痰食阻滞，不可遽断以死。然亦但可乍时一见，渐滑大为吉。故诀云∶
霍乱之候脉微迟，气少不语大难医。脉弦甚者亦死。洪滑者，热；弦滑者，膈有宿食留饮，宜吐。
心痛微急，痛甚伏入，阳微阴弦，或短又数。紧实便难，滑实痰积。心痹引背，脉微而大，寸沉而迟，关紧
数锐。
阳微虚在上焦，所以胸痹痛。心痛者，脉阴弦故也。胸痹之病，喘息咳唾。胸痹痛短气，寸口脉沉而迟，
关上小紧而数。
腹痛关脉，紧小急速，或动而弦，甚则沉伏。弦食滑痰，尺紧脐腹。心腹痛脉，沉细是福，浮大弦长，命不
可复。
脉细小紧急速，中腹刺痛。尺脉紧实，脐及小腹痛者，宜利。若尺脉伏者，小腹痛有瘕疝。
疟脉自弦，弦数多热，弦迟多寒，弦微虚乏，弦迟宜温，紧小下夺，弦浮吐之，弦紧汗发。亦有死者，脉
散且歇。
疟虽病久虚极，脉微似乎不弦，然必于虚数之中见弦，但不搏手耳。凡汗吐下，脉弦而小紧，与肌肉相得久持
之至者宜下；弦迟者宜温；弦紧者宜发汗针灸；浮大者宜吐；弦数者风发也，以饮食消息止之。此汗吐下法，
推之百病皆然。
痢脉多滑，按之虚绝，尺微无阴，涩则少血，沉细者生，洪弦死诀。
肠 下痢，虽忌身热，亦忌厥冷。
痞满滑大，痰火作孽，弦伏中虚，微涩衰劣。
胸痞多有痰火，故寸滑且大。右关弦迟或伏者，肝乘脾虚生涎，气郁不舒。微反在上，涩反在下者，气血
虚也。微则气衰多烦，涩则血少多厥。
湿脉自沉，沉迟寒侵，沉数火热，沉虚滑脱。暑温缓弱，多在夏月。
微小者生，浮弦者死，犯五虚症者亦死。
吞酸脉形，多弦而滑。或沉而迟，胸有寒饮；或数而洪，膈有痰热。
时吐酸水，欲成反胃。
五疸实热，脉必洪数。其或微涩，证属虚弱。
因阳明经内蓄热，或因渴饮水，或自汗浴水，或失饥伤饱，或醉饱房室发黄者，其脉多沉；因暴热浴冷，
酒后当风，其脉多浮。大抵酒疸沉弦或细，久为黑疸。趺阳脉迟，食不敢饱，或紧数者胃热消谷。挟寒则食罢
反饱，名谷疸。尺脉浮为伤肾，趺阳脉紧为脾伤。凡黄候寸口脉，近掌无脉、口鼻黑色者不治。
水肿之证，有阴有阳，阴脉沉迟，其色青白，不渴而泻，小便清涩。脉或沉数，色赤而黄，燥粪赤溺，兼
渴为阳，沉细必死，浮大无妨。
阳脉必见阳证，阴脉必见阴证。沉细水愈盛而不可制，浮大则心火生土，而水可制矣。
胀满脉弦，脾制于肝，洪数热胀，迟弱阴寒，浮为虚胀，紧则中实。浮大可生，虚小危急。
以关为主。
遗精白浊，当验于尺，结芤动紧，二证之的。微涩精伤，洪数火逼，亦有心虚，左寸短小，脉迟可生，
急疾便夭。
急知虚浮，时时遗精者死。
腰痛之脉，必沉而弦，沉为气滞，弦（大）损肾元。或浮而紧，风寒所缠，湿伤濡细，实闪挫然。涩为瘀血，
滑痰火煎，或引背痛，沉滑易痊。
尺脉沉，腰背痛，时时失精，食少，脉沉滑而迟者，可治。
疝脉弦急，积聚所酿，察其何部，肝为本脏。心滑肺沉，风疝浮荡，关浮而迟，风虚之恙。阳急为瘕，阴
急疝状。沉迟浮涩，疝瘕寒痛，痛甚则伏，或细或动。牢急者生，弱急者丧。
疝本肝经，弦则卫气不行而恶寒，紧急则不欲食，弦紧相搏则为寒疝。趺阳脉浮而迟，浮为风虚，迟为寒
疝。三阳急为瘕，三阴急为疝。心胃脉滑则病心风疝，太阳脉浮则病肾风疝，少阳脉浮则病肝风疝。
香港脚之脉，浮弦为风，濡湿迟寒，热数且洪。紧则因怒，散则忧冲，细乃悲过，结为气攻。两尺不应，医
必无功。
左尺不应难痊，寸口无常不治。
消渴肝病，心滑而微，或紧洪数，阳盛阴惫。血虚濡散，劳则浮迟，短浮莫治，数大难医。
浮则卫虚，短则荣竭，故不治也；数大火炎，亦不治也。但叔和又云∶消渴脉数大者活，虚小命殂须努力。
何耶？盖初起数大而不坚实者，火犹可状。虚小即浮短也，会其意，亦不相反。
燥结之脉，沉伏勿疑。热结沉数，虚结沉迟。若是风燥，右尺浮肥。
老人虚人便结，脉雀啄者不治。
两胁疼痛，脉必双弦。紧细弦者，多怒气偏；沉涩而急，痰瘀之愆。
双弦者，肝气有余。肝脉急而胁下有气支满，引小腹而痛，时小便难，苦目眩头痛，腰背重，足冷，妇
人月水不来，时无时有。沉濡涩散，其色泽者，当病溢饮，多饮水而涎溢入肌肤肠外；或兼搏手坚急，面色不泽
者，瘀血也。或因坠堕使然。
淋病之脉，细数何妨？少阴微者，气闭膀胱。女人见之，阴中生疮。大实易愈，虚涩其亡。
大而实者生，虚细而涩者死。
小便不通，浮弦而涩。芤则便红，数则黄赤，便难为癃，实见左尺。
小便不利难来者为癃闭，乃膀胱热极，故脉实也。
五积属阴，沉伏附骨，肝弦心芤，肾沉急滑，脾实且长，肺浮喘卒。六聚结沉，痼则浮结。又有 瘕，
其脉多弦，弦急瘕疾，弦细 坚，沉重中散，食成癖 。左转沉重，气 胸前；若是肉 ，右转横旋。积聚 瘕，
紧则痛缠，虚弱者死，实强可痊。
脉沉伏而细，在寸，积在胸中；微出寸口，积在喉中；在关上，积在脐傍；上关上，积在心下；微下关，
积在小肠。尺微，积在气冲。脉出在右，积在右；脉出在左，积在左；脉两出，积在中央，各以其部处之也。
肝积脉弦而细，肺积脉浮而毛，肾积脉沉而急滑，心积脉沉而芤，上下无常处，脾积脉实而长、食则多吐。
《内经》论赤脉之至也，喘而坚，有积在中，名心痹，得之思虑，白脉喘而浮，有积在胸，名肺
痹，得之醉而使内。喘，谓脉至如卒喘状也。青脉长而左右弹手，有积气在心下支 ，名肝痹，得之寒湿，与
疝同。黄脉大而虚，有积在腹中，名厥疝。女子同法得之疾，使四肢汗出当风。黑脉上坚而大，有积气在小腹
Based on the collected miscellaneous diseases as the sequence, *Mai Jue Ju Yao* (Pulse Diagnosis Essentials) serves as the main reference, supplemented by the standards from *Zheng Chuan* and *Quanyu*, with warm diseases, summerheat, and internal injury appended.
In stroke (Zhong Feng), the pulse is floating; if slippery, it indicates phlegm-qi; if deep and slippery, it should not be treated as wind; whether floating or deep, if weak and deficient, one should support the critical condition and treat phlegm, avoiding wind-dispersing methods; a floating and slow pulse is auspicious, while a rapid and urgent pulse indicates death.
If paralysis results from stroke, a spleen pulse that is slow indicates an untreatable condition. *Kuai Jie Fang Shi* states: "Wind disease with spleen slowness is futile effort; consumption disease with a rapid heart pulse makes life hard to preserve."
In cold invasion (Zhong Han), the pulse is tight and choppy, with both yin and yang excess; the method dictates no sweating, and sweating will endanger life.
A tight yang pulse indicates cold in the upper jiao causing vomiting; a tight yin pulse indicates cold in the lower jiao causing spontaneous diarrhea; if both yin and yang pulses are tight, cold affects both upper and lower, dictating no sweating; spontaneous sweating instead indicates yang collapse and is untreatable.
In wind injury (Shang Feng), the pulse is floating at yang and weak at yin, with pathogen in the six channels, possibly wiry and rapid.
Floating at yang indicates wind invading the defensive qi; weak at yin indicates weak nutritive qi. Pathogens in the six channels all present wiry pulses.
Summerheat damaging qi results in a deficient pulse, presenting as wiry, surging, knotted, or slow, with no omission in its characteristics.
A pulse that is deficient and weak, or floating and large and scattered, or hidden and invisible, these weak and hidden states all belong to deficiency categories.
When summerheat-heat disease is severe, yin and yang are extremely excessive; superficially smooth, deeply scattered and choppy; after sweating, if the pulse becomes restless and large, death can be predicted precisely.
After sweating, a restless and large pulse indeed indicates death; if seven to eight days after entering the interior, the pulse is not restless and rapid but rather choppy and small, this also indicates death.
Warm disease pulses have no fixed name, appearing according to the affected channel; before sweating, a strong pulse indicates survival, while a deficient and slow pulse indicates harm to life.
Treatment of warm disease pulses follows the manifestations in each zang-fu organ. Before sweating, a strong and urgent pulse indicates survival, while a deficient and slow pulse indicates death; after sweating, if exterior symptoms persist and the pulse is strong and urgent, death ensues; if the pathogen enters the interior causing severe abdominal pain and diarrhea, death also ensues.
Warm pulses are soggy and slow, or accompanied by choppy and small; entering the interior, they become slow and deep; at the exterior, they are floating and slow; if slow and wiry, wind-dampness is intertwining.
Floating and slow at the exterior, deep and slow at the interior, or wiry-slow or floating-slow, all indicate wind-dampness interacting.
Tight and choppy, or floating and wiry, or knotted and deficient pulses constitute dryness syndromes.
Choppy primarily indicates dryness; wind-dryness accompanies floating and wiry, blood-dryness accompanies knotted and deficient.
Deficient fire presents as rapid and floating; excess fire presents as deep, solid, and large; following their appearances, fine and rapid causes harm.
Floating, surging, rapid, and forceless indicates deficient fire; deep, solid, large, and forceful indicates excess fire. If surging and rapid appears at the left cun, it is heart fire; right cun, lung fire; left guan, liver fire; right guan, spleen fire; both chi, kidney meridian and mingmen fire.
Internal injury from labor shows a wide and uncontrolled pulse; if stomach qi is damaged, the pulse becomes hidden and hard to find. Internal injury from diet shows slippery and rapid floating/sinking; internal injury from labor and food shows rapid, large, and slightly choppy. Right guan slow and tight indicates cold-dampness seeking each other; right guan rapid and slow indicates damp-heat approaching; rapid with intermittent pulse indicates food injury and pathogenic influence.
Heart pulse changes appear at the qi kou (cun); liver wood also brings the momentum of heart fire to oppress lung metal, hence the pulse is large and urgently rapid due to lack of control. Mild internal injury shows deep and slippery right guan; severe internal injury shows floating and slippery qi kou. Right cun qi kou pulse urgently large and rapid, occasionally intermittent and choppy; choppy is the lung's native pulse, intermittent indicates yuan qi discontinuity, this is a great deficiency pulse from irregular diet and excessive labor. Right guan spleen pulse rapid yet showing slowness, double that of other organs, indicates mild labor but heavy dietary injury with damp-heat. Rapid often indicates dry-heat, slow often indicates damp-heat. If spleen pulse is large and rapid, occasionally slightly slow and intermittent, it indicates irregular diet and improper temperature regulation.
Touching the pulse and finding it deep indicates qi disorder; extreme deepness leads to hidden pulse, choppy and weak are hard to treat; if deep and slippery, qi is combined with phlegm-fluids.
Slippery indicates much blood and little qi; choppy indicates little blood and much qi. Deep and firm chi pulse indicates blood excess and qi deficiency; fine and minute chi pulse indicates both blood and qi deficiency; fine and intermittent pulse indicates qi decline; cut-off pulse indicates qi about to cease; hidden and choppy are hard to treat, nearly ceasing.
All hemorrhagic syndromes show knotted pulses; according to their upper/lower positions, verify the source. Generally, for hemorrhage, the pulse should be deep and fine; if floating and large appears, treatment later will be difficult.
Pulses showing various choppy, soggy, and weak qualities indicate blood loss. Floating pulse with white and thin complexion indicates interior deficiency and blood loss. Pulse with light touch, exclusive floating at chi, and blurry yellow eyes indicates nasal bleeding. Or deep, wiry, and deficient, with white face, shortness of breath, closed eyes, and full lower abdomen, indicates nasal bleeding due to labor. Taiyang pulse large and floating indicates nasal or hematemesis. Like a hanging hook beating the hand, or deep and wiry, indicates nasal bleeding. Lung pulse wiry and urgent indicates coughing up blood. Floating and weak pulse, vanishing upon pressure, indicates lower bleeding. Irritable cough indicates hematemesis and intestinal pus-blood. Wiry and cut-off pulse indicates death; slippery and large indicates survival. Warm blood with hot body indicates death. Extremely deficient, knotted, and slow pulse indicates blood loss and essence loss.
Wiry on one side indicates fluid retention; or deep, wiry, and slippery, or knotting, choppy, and hidden, phlegm-fluids are in the middle joint.
Phlegm-fluid pulses are all wiry with slight deep-slippery, except lung fluid which has panting but is not wiry. Double wiry indicates cold-fluid. Or after severe purgation leading to weakness, if floating, wiry, large, and solid, thick phlegm in the diaphragm should be vomited. Long-term knot pulse, or choppy or hidden, indicates phlegm-fluid firmly stuck in the middle, blocking the pulse vessel at the joints.
Stagnation pulses are all deep; blood stagnation is knotted, qi stagnation is choppy, damp stagnation is slow and deep, heat stagnation is extremely rapid. Phlegm stagnation is slippery and wiry, slippery-tight due to food, severe stagnation leads to obstruction, or knotting, intermittent, and hurried.
Six stagnations' pulses all accompany deepness, severe cases hidden, even more severe knotting, intermittent, and alternating. Only with stomach qi can it be treated; above appears at cun, middle at guan, below at chi, same for left and right.
Flat pulse wiry and large indicates labor damage and deficiency; large and forceless indicates easy-to-support yang decline; rapid and forceless indicates difficult-to-remove yin fire; weak cun indicates upper damage, floating-large indicates interior depletion; both chi and cun minute indicates five-labor physique. Blood emaciation left soggy, qi timidity right pushed, left-right minute indicates no remaining qi and blood. Consumption disease pulse rapid, or choppy and fine like silk, tidal sweating, coughing blood, flesh wasting indicates death.
Generally speaking of deficiency damage, it is damage due to deficiency. Deficiency labor is inability to tolerate labor due to deficiency, becoming more deficient due to labor. Consumption disease is the extreme of labor, i.e., five labors and six extremes. Lao means firm, indicating the disease is entrenched and insoluble. Various deficiency pulses are mostly wiry and large at cun/guan and minute-choppy at chi; with fire, chi is also large. Large indicates righteous qi deficient and evil abundant; wiry indicates interior cold. If large and forceless, yang qi is deficient; large-rapid-forceless indicates yin blood deficient; left-right minute indicates chronic cold. Consumption symptoms include bone-steaming tidal fever, night sweats, coughing blood, diarrhea or constipation; only when flesh is severely wasted and pulse is rapid, fine, and choppy does death occur. Ancient saying: Minute and rapid does not constitute disease, not named labor.
Wind-cold-summerheat-dampness, qi stagnation generating saliva, lower deficiency upper excess, all cause dizziness. Wind pulse floating, cold pulse tight, damp pulse fine, summerheat pulse deficient, phlegm pulse wiry and slippery, stasis pulse knotted and choppy. Rapid indicates big fire evil, deficient-large indicates long-term extremity, first regulate qi-phlegm, then follow symptom-pulse. Headache yang pulse wiry, floating wind, tight cold, heat must be surging-rapid, damp fine and firm. Qi-deficient headache, though wiry with choppy, phlegm-jue is slippery, kidney-jue is firm-solid.
Six-channel pulse-symptoms are same as cold damage; seeing *Bing Ji Jue*: Headache short-choppy must die, floating-slippery wind-phlegm are easily removed.
Eye disease is originally fire disease, heart-liver rapid-surging, appearing at right cun/guan, ministerial fire rushing up.
Left cun pulse surging-rapid indicates heart fire blazing; guan wiry and surging indicates liver fire flourishing; right cun/guan both wiry and surging indicates liver wood carrying ministerial fire momentum to insult metal it cannot overcome, and control earth it overcomes.
Ear disease is kidney deficiency, pulse slow-soggy, floating-large is wind, surging-moving is fire thief. Deep-choppy qi condensation, rapid-solid heat block, this long deafness is solely blamed on kidney. Sudden disease floating-surging, both chi same, or both chi rapid, indicates yin deficiency fire rushing.
If left cun surging-rapid, heart fire blazing; both chi surging-rapid, ministerial fire blazing, person must have nocturnal emission, tinnitus, or deafness.
Right cun surging-rapid, nasal bleeding or nasal discharge; left cun floating-slow, nasal mucus wind pathogen.
Nasal flow clear mucus.
Mouth and tongue sores, pulse surging-rapid; if pulse deficient, middle qi insufficient.
Classic says: Left cun surging-rapid heart heat, right cun floating-rapid lung heat. Left guan wiry-rapid and deficient, gallbladder deficiency severe; surging and solid liver heat. Right guan deep-solid, spleen-stomach excess heat, combined with surging-rapid mouth sores, or wooden tongue, double tongue. Pulse deficient indicates middle qi insufficiency.
Toothache kidney deficiency, chi soggy and large, fire blazing chi surging, teeth loose and broken. Right cun/guan rapid, or surging and wiry, belongs to intestines-stomach, wind-heat much saliva.
Chi surging-large and deficient, kidney deficiency; toothache loose and sparse, ministerial fire flaring up; right cun/guan surging-rapid, or wiry and surging, wind-heat in intestines-stomach.
Gout pulse deep-wiry, liver-kidney afflicted by damp. Shaoyin weak-floating, wind-blood pulling urgent. Or choppy and small, post-drinking wind attack.
Cun deep and wiry, deep governs bone, wiry governs tendon, deep is kidney, wiry is liver, sweating entering water, water hurting heart, thus joint pain and yellow sweat. Shaoyin pulse floating and weak, weak blood insufficient, floating is wind, wind-blood fighting, pain like pulling. Or chi choppy-small, shortness of breath, spontaneous sweating, joint pain unable to bend/extend, all caused by drinking sweating facing wind.
Wind-cold-dampness combine to form bi. Floating-choppy-tight, three pulses complete.
Pulse floating-slow belongs to damp, numbness-paralysis; pulse tight-floating belongs to cold, painful-bi; pulse choppy-knotted belongs to dead blood, numbness unaware of pain/itch; pulse floating-soggy belongs to qi deficiency, anterior guan numbness in upper body, posterior guan numbness in lower body.
Macules/rash pulse deep-hidden, or scattered or absent; yang floating-rapid, fire seen on trunk; yin solid-large, heat steaming skin.
Hua Boren said: Pulse is the wave of blood. So macule eruption is blood scattering on skin, hence pulse hidden; fire excess on surface, hence yang pulse floating-rapid; lower jiao excess heat, hence yin pulse solid-large.
Cough causes: floating wind, tight cold, rapid heat, fine damp, sexual fatigue choppy-difficult. Right guan slight-soggy, diet injuring spleen; left guan wiry-short, liver extreme labor-fatigue. Lung pulse floating-short, cough and period, five zang coughs, each view own part. Floating-tight deficiency-cold, deep-rapid excess-heat; surging-slippery much phlegm, wiry-choppy little blood. Form large pulse fine, insufficient breath, deep-small hidden, all are perilous pulses, only floating-large with cough survives, exterior symptoms interior pulse, reference balanced.
Exterior symptoms muscle/flesh wasting, fever diarrhea, interior pulse deep-urgent must die.
Huo Luan vomiting/diarrhea, pulse slippery but uneven, or slight-choppy, intermittent-hidden shocking. Heat much surging-slippery, wiry-slippery food discussion.
Right guan slippery is Huo Luan vomiting/diarrhea, pulse choppy-knot-intermittent-hidden, although due to phlegm-food obstruction, do not hastily judge death. However, it may only appear briefly, gradually becoming slippery-large is auspicious. Thus verse says: Huo Luan condition pulse slight-slow, little qi no speech very hard to treat. Pulse wiry severe also dies. Surging-slippery is heat; wiry-slippery is diaphragm leftover food-retained fluid, should vomit.
Heart pain slight-urgent, pain severe hidden, yang slight yin wiry, or short and rapid. Tight-solid stool difficult, slippery-solid phlegm accumulation. Heart bi drawing back, pulse slight-large, cun deep-slow, guan tight-rapid-sharp.
Yang slight deficiency in upper jiao, hence chest bi pain. Heart pain, pulse yin wiry therefore. Chest bi disease, panting cough spit. Chest bi pain shortness of breath, cun kou pulse deep-slow, guan small-tight-rapid.
Abdominal pain guan pulse, tight-small-urgent, or moving and wiry, severe deep-hidden. Wiry food slippery phlegm, chi tight umbilicus-abdomen. Heart-abdominal pain pulse, deep-small is fortune, floating-large-wiry-long, life cannot return.
Pulse small-fine-urgent-quick, middle abdomen stabbing pain. Chi pulse tight-solid, umbilicus and lower abdomen pain, should purge. If chi pulse hidden, lower abdomen pain has mass-hernia.
Malaria pulse naturally wiry, wiry-rapid much heat, wiry-slow much cold, wiry-slight deficiency-fatigue, wiry-slow should warm, tight-small purge-down, wiry-floating vomit-it, wiry-tight sweat-release. Also deaths, pulse scattered and resting.
Although malaria long-term extremely deficient, pulse slight seems not wiry, yet must see wiry within deficient-rapid, just not beating hand. All sweating/vomiting/purging, pulse wiry-small-tight, matching flesh holding long time suitable for purging; wiry-slow suitable for warming; wiry-tight suitable for sweating/acupuncture; floating-large suitable for vomiting; wiry-rapid wind-fire, stop with diet consideration. This sweating/vomiting/purging method, extended to hundred diseases all so.
Dysentery pulse mostly slippery, pressing deficient-cut off, chi slight no yin, choppy little blood, deep-small survival, surging-wiry death rule.
Intestinal dysentery, although avoid body heat, also avoid cold limbs.
Fullness pulse slippery-large, phlegm-fire making trouble, wiry-hidden middle deficiency, slight-choppy decline-inferior.
Chest fullness mostly phlegm-fire, hence cun slippery and large. Right guan wiry-slow or hidden, liver attacking spleen deficiency generating saliva, qi stagnation not comfortable. Slight reversing upper, choppy reversing lower, qi-blood deficiency. Slight qi decline much vexation, choppy blood little much jue.
Damp pulse naturally deep, deep-slow cold invasion, deep-rapid fire-heat, deep-deficient slippery-depletion. Summerheat-warm slow-weak, mostly in summer months.
Slight-small survival, floating-wiry death, violating five deficiencies also death.
Acid regurgitation pulse shape, mostly wiry and slippery. Or deep-slow, chest cold-fluid; or rapid-surging, diaphragm phlegm-heat.
Occasional vomiting acid water, wanting to become reverse vomiting.
Five jaundices excess-heat, pulse must surging-rapid. Or slight-choppy, syndrome belongs to deficiency-weak.
Due to yangming meridian internal heat storage, or thirst drinking water, or self-sweat bathing water, or hunger-hurting fullness, or drunk-full sexual room yellowing, pulse mostly deep; due to sudden heat bathing cold, post-drink facing wind, pulse mostly floating. Generally wine jaundice deep-wiry or fine, long-term black jaundice. Fuyang pulse slow, food dare not full, or tight-rapid stomach heat digesting grain. Accompanying cold then food finished reverse full, named grain jaundice. Chi pulse floating kidney injury, Fuyang pulse tight spleen injury. All yellow condition cun kou pulse, near palm no pulse, mouth-nose black color untreatable.
Edema syndrome, has yin has yang, yin pulse deep-slow, color green-white, no thirst but diarrhea, urine clear-choppy. Pulse or deep-rapid, color red-yellow, dry stool red urine, combined thirst is yang, deep-small must die, floating-large no harm.
Yang pulse must see yang syndrome, yin pulse must see yin syndrome. Deep-small water more abundant uncontrollable, floating-large heart fire generates earth, water can control.
Distension-fullness pulse wiry, spleen controlled by liver, surging-rapid heat distension, slow-weak yin cold, floating empty distension, tight middle solid. Floating-large can survive, deficient-small critical danger.
Focus on guan.
Nocturnal emission white turbidity, should verify at chi, knot-knotted-moving-tight, two syndromes' target. Slight-choppy essence injury, surging-rapid fire forcing, also heart deficiency, left cun short-small, pulse slow can survive, urgent-quick early death.
Quickly know deficient-floating, frequent nocturnal emission death.
Lumbar pain pulse, must deep and wiry, deep qi stagnation, wiry damages kidney origin. Or floating-tight, wind-cold entangling, damp injury soggy-fine, solid sprain-strain. Choppy blood stasis, slippery phlegm-fire frying, or drawing back pain, deep-slippery easy recovery.
Chi pulse deep, lumbar-back pain, frequent essence loss, little food, pulse deep-slippery-slow, treatable.
Hernia pulse wiry-urgent, accumulation-mass brewing, observe which part, liver is root organ. Heart slippery lung deep, wind hernia floating-swirling, guan floating-slow, wind-deficiency illness. Yang urgent mass, yin urgent hernia shape. Deep-slow floating-choppy, hernia-mass cold pain, pain severe hidden, or fine or moving. Firm-urgent survival, weak-urgent loss.
Hernia originally liver meridian, wiry defense qi not moving and aversion to cold, urgent not wanting food, wiry-tight fighting then cold hernia. Fuyang pulse floating-slow, floating wind-deficiency, slow cold hernia. Three yang urgent mass, three yin urgent hernia. Heart-stomach pulse slippery then heart wind hernia disease, taiyang pulse floating then kidney wind hernia disease, shaoyang pulse floating then liver wind hernia disease.
Hong Kong foot pulse, floating-wiry wind, soggy-damp slow-cold, heat rapid and surging. Tight anger, scattered worry rush, fine sorrow excess, knot qi attack. Both chi not responding, doctor must useless work.
Left chi not responding hard recovery, cun kou irregular untreatable.
Xiao Ke liver disease, heart slippery and slight, or tight-surging-rapid, yang excess yin exhausted. Blood deficiency soggy-scattered, labor then floating-slow, short-floating do not treat, rapid-large hard to treat.
Floating defense qi deficient, short nourishment exhausted, hence untreatable; rapid big fire blazing, also untreatable. But Shuhe again says: Xiao Ke pulse rapid-large lives, deficient-small life perishes must strive. Why? Cover initial onset rapid-large not firm-solid, fire still can be shaped. Deficient-small is floating-short, understand its meaning, also not opposite.
Dryness knot pulse, deep-hidden do not doubt. Heat knot deep-rapid, deficiency knot deep-slow. If wind-dryness, right chi floating-fat.
Elderly deficient people stool knot, pulse sparrow-pecking untreatable.
Two hypochondriac pain, pulse must double-wiry. Tight-fine-wiry, many anger bias; deep-choppy-urgent, phlegm-stasis fault.
Double-wiry, liver qi surplus. Liver pulse urgent and hypochondrium has qi branch-full, drawing lower abdomen pain, sometimes urination difficult, suffering eye dizziness headache, waist-back heavy, feet cold, women menstrual water not coming, sometimes sometimes. Deep-soggy-choppy-scattered, its color luster, should disease overflow drink, much drinking water and saliva overflow into skin muscle intestine outside; or combined beating hand firm-urgent, face color not luster, blood stasis. Or due to falling-drop causing it.
Lin disease pulse, fine-rapid what harm? Shaoyin slight, qi closing bladder. Women seeing it, yin producing sores. Great solid easy cure, deficient-chopply its perishing.
Large and solid survival, deficient-fine-chopply death.
Urination not through, floating-wiry and choppy. Knotted then urine red, rapid then yellow-red, difficulty urination is long, solid seen left chi.
Urination not beneficial difficult coming is long-close, is bladder heat extreme, hence pulse solid.
Five accumulations belong to yin, deep-hidden attaching bone, liver wiry heart knotted, kidney deep-urgent-slippery, spleen solid and long, lung floating panting sudden. Six gathers knot deep, entrenched then floating-knot. Also mass, its pulse mostly wiry, wiry-urgent mass disease, wiry-fine firm, heavy-middle scattered, food forming癖 . Left turn heavy, qi chest front; if meat , right turn horizontal spin. Accumulation mass, tight then pain winding, deficient-weak death, solid-strong can recover.
Pulse deep-hidden and fine, at cun, accumulation in chest middle; slightly out cun kou, accumulation in throat middle; at guan upper, accumulation at navel side; above guan upper, accumulation in heart down; slightly down guan, accumulation in small intestine. Chi slight, accumulation at qi chong. Pulse out at right, accumulation at right; pulse out at left, accumulation at left; pulse two out, accumulation in center, each by its part place it.
Liver accumulation pulse wiry and fine, lung accumulation pulse floating and hairy, kidney accumulation pulse deep and urgent-slippery, heart accumulation pulse deep and knotted, up-down no constant place, spleen accumulation pulse solid and long, eating then much vomiting.
*Nei Jing* discusses red pulse arriving, panting and firm, accumulation in middle, named heart bi, obtained from thinking, white pulse panting and floating, accumulation in chest, named lung bi, obtained from drunk and making inside. Panting, means pulse arriving like sudden panting state. Green pulse long and left-right bouncing hand, accumulation qi in heart down branch , named liver bi, obtained from cold-damp, same as hernia. Yellow pulse large and deficient, accumulation in abdomen middle, named jue hernia. Women same method obtained disease, making four limbs sweating facing wind. Black pulse upper firm and large, accumulation qi in lower abdomen