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In spring, when Liver Wood is in dominance, a pulse that is wiry (Xian), fine, and long is the normal pulse (Ping Mai). If instead a slightly floating (Wei Fu) and short with choppy (Duan Se) pulse is obtained, this indicates Lung Metal overcoming Liver Wood. This is termed "Thief Evil" (Ze Xie) and great reversal, carrying a high mortality rate where ten out of nine cases are untreatable. If instead a floating, large, and surging (Hong) pulse is obtained, this indicates Heart Fire overcoming Liver Wood, representing the child overcoming the mother. This is "Excess Evil" (Shi Xie); although illness occurs, it will heal spontaneously without treatment. If instead a deep, soft, and slippery (Hua) pulse is obtained, this indicates Kidney Water overcoming Liver Wood, representing the mother returning to the child. This is "Deficiency Evil" (Xu Xie); although illness occurs, it will heal spontaneously. If instead a large but slow and relaxed (Huan) pulse is obtained, this indicates Spleen Earth overcoming Liver Wood; since Earth fears Wood, this is "Minor Evil" (Wei Xie); although illness occurs, death will not result.

In summer, when Heart Fire is in dominance, a pulse that is floating, large, and surging (Hong) is the normal pulse (Ping Mai). If instead a deep, soft, and slippery (Hua) pulse is obtained, this indicates Kidney Water overcoming Heart Fire, i.e., Water overcoming Fire. This is "Thief Evil" (Ze Xie) and great reversal, carrying a high mortality rate where ten out of nine cases are untreatable. If instead a large but slow and relaxed (Huan) pulse is obtained, this indicates Spleen Earth overcoming Heart Fire, representing the child overcoming the mother. This is "Excess Evil" (Shi Xie); although illness occurs, it will heal spontaneously without treatment. If instead a wiry (Xian), fine, and long pulse is obtained, this indicates Liver Wood overcoming Heart Fire, representing the mother returning to the child. This is "Deficiency Evil" (Xu Xie); although illness occurs, recovery is expected. If instead a slightly floating (Wei Fu) and short with choppy (Duan Se) pulse is obtained, this indicates Lung Metal overcoming Heart Fire...

In the late summer month of June, when Spleen Earth is in dominance, a pulse that is broad and slow/relaxed (Huan) is the normal pulse (Ping Mai). If instead a wiry (Xian), fine, and long pulse is obtained, this indicates Liver Wood overcoming Spleen Earth, i.e., Wood overcoming Earth. This is "Thief Evil" (Ze Xie) and great reversal, carrying a high mortality rate where ten out of nine cases are untreatable. If instead a slightly floating (Wei Fu) and short with choppy (Duan Se) pulse is obtained, this indicates Lung Metal overcoming Spleen Earth, representing the child overcoming the mother. This is "Excess Evil" (Shi Xie); although illness occurs, it will heal spontaneously without treatment. If instead a floating, large, and surging (Hong) pulse is obtained, this indicates Heart Fire overcoming Spleen Earth, representing the mother returning to the child. This is "Deficiency Evil" (Xu Xie); although illness occurs, it will heal spontaneously. If instead a deep, soft, and slippery (Hua) pulse is obtained, this indicates Kidney Water overcoming Spleen Earth; since Water fears Earth, this is "Minor Evil" (Wei Xie); although illness occurs, death will not result.

Generally, when the Spleen pulse is in dominance, it does not manifest distinctly; it only becomes apparent when it is declining.

In autumn, when Lung Metal is in dominance, a pulse that is slightly floating (Wei Fu) and short with choppy (Duan Se) is the normal pulse (Ping Mai). If instead a floating, large, and surging (Hong) pulse is obtained, this indicates Heart Fire overcoming Lung Metal, i.e., Fire overcoming Metal. This is "Thief Evil" (Ze Xie) and great reversal, carrying a high mortality rate where ten out of nine cases are untreatable. If instead a deep, soft, and slippery (Hua) pulse is obtained, this indicates Kidney Water overcoming Lung Metal, representing the child overcoming the mother. This is "Excess Evil" (Shi Xie); although illness occurs, it will heal spontaneously without treatment. If instead a large but slow and relaxed (Huan) pulse is obtained, this indicates Spleen Earth overcoming Lung Metal, representing the mother returning to the child. This is "Deficiency Evil" (Xu Xie); although illness occurs, it will heal spontaneously. If instead a wiry (Xian), fine, and long pulse is obtained, this indicates Liver Wood overcoming Lung Metal; since Wood fears Metal, this is "Minor Evil" (Wei Xie); although illness occurs, death will not result.

In winter, when Kidney Water is in dominance, a pulse that is deep, soft, and slippery (Hua) is the normal pulse (Ping Mai). If instead a large but slow and relaxed (Huan) pulse is obtained, this indicates Spleen Earth overcoming Kidney Water, i.e., Earth overcoming Water. This is "Thief Evil" (Ze Xie) and great reversal, carrying a high mortality rate where ten out of nine cases are untreatable. If instead a wiry (Xian), fine, and long pulse is obtained, this indicates Liver Wood overcoming Kidney Water, representing the child overcoming the mother. This is "Excess Evil" (Shi Xie); although illness occurs, it will heal spontaneously without treatment. If instead a slightly floating (Wei Fu) and short with choppy (Duan Se) pulse is obtained, this indicates Lung Metal overcoming Kidney Water, representing the mother returning to the child. This is "Deficiency Evil" (Xu Xie); although illness occurs, it will heal spontaneously. If instead a floating, large, and surging (Hong) pulse is obtained, this indicates Heart Fire overcoming Kidney Water...