络有阴阳,阴络在内,深而难见。阳络在外,滑而易见。其色随四时推迁而变,遂即所变之色,以诊
寒热。寒多则脉凝泣,凝泣则色青黑。热多则脉淖泽,淖泽则色黄赤。
胃之大络,名曰虚里,贯膈络肺,出于左乳之下,其动应衣,以候宗气。若动之微而不见,则为不及,
主宗气内虚。若动之应衣而甚,则为太过,主宗气外泄。若三四至一止,或五六至一止,主有积聚。若绝
不至,则死矣。
脐之上,主候胃。脐之下,主候肠。其扪上下之腹皮寒热,则知胃肠有寒热之病。胃中有热,每喜冷冻饮料
。肠中有寒,多喜热汤。然与之饮热,不可过热,与之饮寒,不可过寒,惟当适其寒温之宜而已。
胃中有热,上发口糜,心空善饥。肠中有热,下泻热物,色黄如粥。胃中有寒,面清冷而厥,腹胀而疼
。肠中有寒,小便尿白,飧泻肠鸣。
形分强弱,强者外邪难犯,弱者外邪易干。食多而肥者,强也。若食少而肥者,非强也,乃痰也。
肥人最怕脉如绵絮,谓之无气,则主死矣。食少而瘦者,弱也,若食多而瘦者,非弱也,乃火也。瘦人最怕
肉干着骨,谓之消瘦,亦主死矣。
《经》曰∶形气已脱。九候虽调,获死者,谓形脱无以贮气也。形气俱虚,寸口脉调,可医者,谓形气
未相失也。形盛而肥,脉小少气者,谓气不能胜形,形衰而瘦,脉大多气者,谓形不能胜气,均主死也。
Luo vessels (Collaterals) are divided into Yin Luo and Yang Luo. Yin Luo is located internally, deep and difficult to see; Yang Luo is located externally on the surface, smooth and easy to see. The color of the Luo vessels changes with the progression of the four seasons; therefore, cold or heat patterns can be diagnosed based on these color changes. When cold predominates, the vessels become stagnant and sluggish, resulting in a bluish-black color. When heat predominates, the vessels become moist and glossy, resulting in a yellowish-red color.
The major Luo vessel of the Stomach is named Xuli (虚里), which penetrates the diaphragm, connects with the Lung, and emerges below the left breast. Its pulsation can be seen through clothing, allowing for the assessment of Zong Qi (Gathering Qi). If the pulsation is faint and invisible, it indicates insufficiency, signifying internal deficiency of Zong Qi. If the pulsation is vigorous and visible through clothing, it indicates excess, signifying leakage of Zong Qi externally. If the pulse beats three or four times before a pause, or five or six times before a pause, it indicates the presence of accumulations (masses). If the pulse ceases completely, death ensues.
The area above the umbilicus primarily reflects the condition of the Stomach; the area below the umbilicus primarily reflects the condition of the Intestines. By palpating the temperature of the abdominal skin above and below, one can determine whether there is cold or heat pathology in the Stomach and Intestines. Heat in the Stomach often leads to a preference for cold drinks. Cold in the Intestines often leads to a preference for hot soups. However, when providing hot drinks, they should not be excessively hot; when providing cold drinks, they should not be excessively cold. One should only provide what is appropriate for their tolerance of cold and heat.
Heat in the Stomach may manifest upward as oral ulcers (mouth sores) and a sensation of emptiness in the heart with frequent hunger. Heat in the Intestines may manifest downward as the discharge of hot fecal matter, yellow in color like porridge. Cold in the Stomach manifests as a clear and cold complexion with cold extremities, abdominal distension, and pain. Cold in the Intestines manifests as clear white urine, undigested stool in diarrhea (Sun-xie), and borborygmus (intestinal rumbling).
Physical constitution is divided into strong and weak. Those who are strong are resistant to invasion by external pathogens; those who are weak are easily affected by external pathogens. Individuals who eat much and are fat are considered strong. However, individuals who eat little but are fat are not strong; rather, this is due to Phlegm accumulation. Fat individuals most fear a pulse that feels soft and cotton-like, termed "Qi-less," which indicates death. Individuals who eat little and are thin are considered weak. However, individuals who eat much but are thin are not weak; rather, this is due to Fire pathogen. Thin individuals most fear muscles that are dry and cling tightly to the bones, termed "emaciation," which also indicates death.
The Classics state: If physical form has degenerated and departed, even if the nine pulses are harmonious, death occurs because the degenerated form cannot store Qi. If both physical form and Qi are deficient, but the Cun-kou (Radial) pulse is harmonious, recovery is possible because form and Qi have not yet separated. If the body is robust and fat, but the pulse is small and Qi is scant, it means Qi cannot overcome the Form, indicating death. If the body is frail and thin, but the pulse is large and Qi is abundant, it means Form cannot overcome Qi, also indicating death.