「寸口脉「浮」〔迟〕而缓,「浮」〔迟〕则为「风」〔寒〕,缓则为虚;荣缓则为
亡血,卫缓则为中风;邪气中经,」〔寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相
搏,邪在皮肤,〕〔浮者血虚,〕络脉空虚,贼邪不泻,或左或右;邪气反缓,正气
即急,正气引邪,喎僻不遂。邪在于络,肌肤不仁;邪在于经,即重不胜;邪入于府
,即不识人;邪入于藏,舌即难言,口吐涎。
【按】
「寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相搏,邪在皮肤」,此五句原文在本条
之首,当在后条之首。「寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓
则为中风;邪气中经」,此六句原文在后条,当在此条之首,文气始各得相属,必系
错简,当移之。其中有浮者血虚一句,必是衍文,当删之。寸口脉迟而缓,迟则为寒
,二「迟」字当是「浮」字,「寒」字当是「风」字,始得文义了然,且迟缓二脉不
能并见,当改之。
「寸口脉浮而紧,紧则为寒,浮则为「风」〔虚〕,寒「风」〔虚〕相搏,邪在皮肤
,」〔寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓则为中风;邪气中
经,〕则身痒而瘾疹;心气不足,邪气入中,则胸满而短气。
【按】
「浮则为虚,寒虚相搏」二「虚」字,应是「风」字,当改之。
味酸则伤筋,筋伤则缓,名曰泄;咸则伤骨,骨伤则痿,名曰枯;枯泄相搏,名曰断
「绝」〔泄〕。荣气不通,卫不独行,荣卫俱微,三焦无所御,四属断绝,身体羸瘦
,独足肿大,黄汗出,胫冷,假令发热,便为历节也。病历节,不可屈伸,疼痛,鸟
头汤主之。
【按】
名曰断泄之「泄」字,当是「绝」字,始与下文相属,当改之。
诸肢节疼痛,身体□羸,脚肿如脱,头眩短气,「嗢嗢」〔温温〕欲吐,桂枝芍药知
母汤主之。
【按】
温温应是「嗢嗢」,当改之。
The pulse at the Cun Kou (Cun position of the radial artery) is floating, slow, and moderate. Floating indicates Wind [or Cold], while moderate indicates deficiency; a moderate Ying (Nutrient Qi) suggests blood loss, while a moderate Wei (Defensive Qi) suggests Zhong Feng (Wind Stroke); if pathogenic factors invade the meridians, (Original text error here: The pulse at Cun Kou is floating and tight; tight indicates Cold, floating indicates deficiency, Cold and deficiency interact, pathogenic factors are in the skin, floating indicates blood deficiency, collaterals are empty, evil pathogens cannot be expelled, affecting either the left or right side; where pathogenic factors reside, muscles are relaxed, where righteous Qi resides, muscles are tense, righteous Qi pulls the pathogen, causing facial paralysis and inability to move limbs freely. If pathogenic factors are in the collaterals, the skin and muscles are numb; if in the meridians, the body feels heavy and weak; if entering the Fu organs, consciousness is lost and one does not recognize people; if entering the Zang organs, speech becomes difficult, and saliva dribbles from the mouth.)
[Commentary]
"The pulse at Cun Kou is floating and tight, tight indicates Cold, floating indicates deficiency, Cold and deficiency interact, pathogenic factors are in the skin" – these five sentences originally appear at the beginning of this section but should be moved to the beginning of the next section. "The pulse at Cun Kou is slow and moderate, slow indicates Cold, moderate indicates deficiency; moderate Ying indicates blood loss, moderate Wei indicates Zhong Feng; pathogenic factors strike the meridians" – these six sentences originally appear in the next section but should be moved to the beginning of this section so that the textual logic connects properly. This must be a result of misplaced bamboo slips and should be relocated. The phrase "floating indicates blood deficiency" within it is likely an interpolatory error and should be deleted. In "pulse at Cun Kou is slow and moderate, slow indicates Cold," the two instances of "slow" should be "floating," and "Cold" should be "Wind," for the meaning to become clear, as slow and moderate pulses generally do not appear together; this should be corrected.
"The pulse at Cun Kou is floating and tight, tight indicates Cold, floating indicates Wind [deficiency], Wind and Cold [deficiency] interact, pathogenic factors are in the skin," (Original text error here: "The pulse at Cun Kou is slow and moderate, slow indicates Cold, moderate indicates deficiency; moderate Ying indicates blood loss, moderate Wei indicates Zhong Feng; pathogenic factors strike the meridians"), then the body itches and urticaria appears; if Heart Qi is insufficient and pathogenic factors enter deeply, chest fullness and shortness of breath occur.
[Commentary]
In "floating indicates deficiency, Cold and deficiency interact," the two instances of "deficiency" should be "Wind"; this should be corrected.
Sour taste damages the sinews; damaged sinews become lax, termed Xie (Leakage); salty taste damages the bones; damaged bones become flaccid, termed Ku (Withering); Withering and Leakage interacting is termed Duan Jue (Severance). (Original text error here: Ying Qi circulation is blocked, Wei Qi cannot flow independently, both Ying and Wei are deficient, the San Jiao loses its control, the four extremities are severed from nourishment, the body becomes emaciated, only the feet swell, yellow sweat appears, calves feel cold; if fever occurs, it becomes Li Jie disease. For Li Jie disease, characterized by inability to flex or extend joints and pain, Wu Tou Tang is the primary prescription.)
[Commentary]
In "termed Duan Xie," the character "Xie" should be "Jue" to connect with the following text; this should be corrected.
Pain in all limb joints, emaciated body, swollen feet as if detached, dizziness, shortness of breath, nausea and desire to vomit, Gui Zhi Shao Yao Zhi Mu Tang is the primary prescription.
[Commentary]
"Wen Wen" should be "Wa Wa" (describing nausea/vomiting sensation); this should be corrected.