热病，大汗后脉不安静者，此段死。
热病，脉盛大而快，不得汗，此热发也。
寒热螈 ，脉绝代者，死。
热病未得汗，脉盛大者，生；细小者，死。
热病多汗，脉虚小者，生；紧实者，死。
热病得汗，脉常喘而热不退者，死。
汗出而衄，其脉小滑者，生；大躁者，死。（一云∶微细为难治。）
伤寒脉浮而洪大者，易治；谵言妄语，身热脉洪大者，生；沉细而微，手足四逆者，死
咳而尿血、羸瘦，脉大者，死。
咳而羸瘦，脉坚大者，死。
上气注液，脉虚、慢、伏匿者生；牢弦者，死。
寒疰上气，脉虚濡者，生；牢急而疾者，死。
上气喘息，脉滑手足温者，生；涩而四肢寒者，死。
上气面浮肿肩息，脉浮大者，死。
上气喘息，脉滑者，生；大而快者，死。
唾血，脉沉弱者，（生。一云∶紧强者死，滑者生。）
吐血，脉牢实者，死。
吐血、鼻衄，脉沉细者，生；浮大而牢者，死。
中恶，腹大，脉紧实细者，生；浮大者，死。金疮出血不断，脉大而止者，七日死。
金疮出血太多，脉虚细者，生；大数者，死。
金疮所伤，在阳处者，去血四五升，脉弱微缓而迟者，生；急疾者，死。
人被笞榜，内有结血，脉实大者，生；虚小者，死。
从高堕下及金疮内有瘀血、腹胀、脉牢大者，生；沉细者，死。
心腹痛，脉沉细者，生；浮大而长者，死。
腹胀，脉浮者，生；虚小者，死。
下痢，脉微细者，生；浮大者，死。
下痢，脉代绝者，不死。
肠 便脓血，脉沉细虚迟者，生；疾大而有热者，死。
肠 下白沫，脉沉者，生；浮者，死。
肠 下赤白，脉细微而迟、身体温暖，可治。
肠 ，其脉滑者，生；浮者死；悬绝者，死。
泄痢，脉缓时小结者，生；浮大而数者，死。
洞泄，或去脓血，食不化者，脉微小者，生；实急者，死。
泄痢，脉细微而涩者，生；紧大而滑者，死。
泄痢，寸关脉不见，尺中时一见，此肾气见，为难治。
下痢脉绝，手足寒， 时脉还，手足温者，生；脉不还，不温者，死。
霍乱，脉大可治；微细难治。
霍乱吐下，脉微迟，气息劣，口不欲言者，不治。
病手足厥逆，脉当沉细而涩，反得坚大而滑者，死。
水病，脉洪大者，生；微细者，死。
消渴，脉数大者，生；细小浮短者，死。
卒中风，四肢不收，唇口僻，语言不正，脉浮迟者，生。癫病卒忤，脉坚弦实大者，生
；虚伏濡小者，死。
癫狂恍惚，脉实牢者，生；沉细者，死。
中风口噤不能言，四肢不收，其脉浮迟者，生；实大数急者，死。
病风痹不仁，痿厥，脉虚数者，生；牢急者，死。
目KT KT ，脉大缓者，死。
闭目不欲见人，脉得肝脉者，生；反得肺脉者，死。
耳聋，脉大者，生；沉迟细者，难治。
坚积泄痢，脉微细者，生；浮者，死。
头痛，脉短涩者，死；浮滑者，生。
中毒药，阳脉洪大而速者，生；微细者，死。（《脉经》“速”作“迟”。）
暴病，脉微细者，生；大急洪直者，死。
大人得小人脉者，死。
脉但出不能入者，死。
将死之脉，如群鸟之聚，一马之驭系木交紧（一作驰）之状，如悬石之落，出筋之上，
藏
筋之下，坚关之里，不在荣卫伺候交射不可知也。
困病脉，如虾之游、如鱼之翔者，死。虾游者，冉冉而起，寻复退没，不知所在，久而
复起，起辄迟而没去，甚速是也。鱼翔者，似鱼不行而但掉尾动身，其动疏而住久是也。
脉病患不病，脉如屋漏、雀啄者，死。屋漏者，其脉既绝而止，时复一起，不相连属也
。雀啄者，脉来甚数而急疾，绝止久已复顿来。
脉来如弹石，去如解索者，死。弹石，脉辟辟急也。解索，脉动数而随散乱无次绪也。
脉来涌涌不去者，死。
脉如转豆者，死。
脉如偃刀者，死。
脉怒来忽去、暂止复来者，死。
脉中移者，死。
脉久绝者，死。
脉有表无里者，死。
妇人尺脉按之不绝者，胎也。
产后寸口焱疾不调者，死；沉微附骨不绝者，生。新产后渴，热病，脉细而四脉冷者，
死。
三部脉沉浮正等不断绝者，有娠也。
妊娠，脉滑疾重，手按之不散者，胎已三月也；但疾不滑者，五月也。妊娠七八月，脉
实大牢强弦紧者，生；沉细者，死。欲产者，其脉细而滑也。
妇人欲产，其脉离经者，曰生也。
新产，脉小缓滑者，生；实大弦急者，死。
已产，脉沉虚小者，生；实牢坚者，死。
妇人月经不通，脉绝小实者，生；浮虚者，死。
妇人脉寸关调如故，而尺脉绝不至者，月经不利，当患少腹引腰绞痛，气积聚上叉胸胁
也。
漏下赤白，脉急疾者，死；迟滑者，生。
妇人脉迟寸俱微弱，则绝子不产也。
小儿脉沉者，乳不消也。
小儿弦急者，客忤气也。
凡按人脉五十至而不止者，五脏皆受气足，吉也；四十动而一止，一脏无气，四岁死；
三十动而一止者，二脏无气，三岁死；二十动面一止者，三脏无气，二岁死；一十动而一止
者，四脏无气，岁中死。
凡脉一动一止、或三动一止、或十动一止，投数无常，此死脉也。命虽未尽，正当小引
日月耳。
凡脉一呼再至，一吸再至，呼吸定息，其脉五至，不大不小为平。若一呼三至，一吸三
至，始为得病也。
夫脉前大后小，则为头痛目眩，前小后大，则为胸满短气。
问曰；何谓损至，答曰∶脉有损至。谓一呼再至曰平，三至曰离经，四至曰夺精，五至
曰死，六至曰命绝，此谓至脉也。一呼一至曰离经，二呼一至曰夺精，三呼一至曰死，四呼
一至曰命绝，此谓损脉也。至脉从下上也，损脉从上下也。损脉之为病也，一损，损于皮毛，
皮聚而毛落。二损，损于血脉，血脉虚少，不能荣于五脏。三损，损于肌肉，肌肉消瘦，饮
食不为肌肤。四损，损于筋，筋缓不能自扶持。五损，损于骨，骨痿不能起于床。反此者至
于收病，从上下者，骨痿不能起于床者，死。从下上者，皮聚而毛落者，死。
损其肺者，益其气；损其心者，调其荣卫；损其脾者，调其饮食，适其寒温；损其肝者
，缓其中；损其肾者，益其精气也。
凡脉一息再至为平，无病也。一息三至名离经。离，失也；经，常也。其人荣卫已亏，
将欲病也。
一息四至为夺精，其人已病也。一息五至为绝命，有大有小为难治。一息六至为将灭。
一息七至为命尽。一息八至为无魂。一息九至为无魄。一息十至为今死。
一息一至，其人虽行，当着床，其人血脉已病，诸气皆不足也。二息一至为危。三息一
至为困。四息一至为行尸，将死。五息一至为定死。
Heat disease (diseases caused by external pathogenic heat), if the pulse remains restless and uncalm after profuse sweating, this is a fatal prognosis.
In heat disease, if the pulse is large and rapid but sweating cannot be induced, this indicates that heat is constrained within the body.
In alternating chills and fever accompanied by convulsions and spasms, if the pulse is absent or shows intermission (regular pauses in the pulse rhythm), it is a fatal prognosis.
In heat disease, if no sweat has been produced and the pulse is large, survival is possible; if the pulse is fine and small, it is fatal.
In heat disease with profuse sweating, if the pulse is deficient and small, survival is possible; if the pulse is tight and solid, it is fatal.
In heat disease, if sweat has occurred but the pulse remains rapid and panting while fever persists, it is fatal.
If sweating occurs accompanied by epistaxis (nosebleed), and the pulse is small and slippery, survival is possible; if the pulse is large and agitated, it is fatal. (Another view: if the pulse is minute and fine, it is difficult to treat.)
In cold damage (external contraction of wind-cold), if the pulse is floating and large, it is easy to treat; if there is delirious speech, body heat, and a large pulse, survival is possible; if the pulse is deep, fine, and minute, with cold extremities, it is fatal.
If coughing is accompanied by hematuria (blood in urine) and emaciation, and the pulse is large, it is fatal.
If coughing is accompanied by emaciation, and the pulse is firm and large, it is fatal.
In upward rushing of qi and downward flow of fluids, if the pulse is deficient, slow, and hidden/deep, survival is possible; if the pulse is firm and wiry, it is fatal.
In cold zhu (a contagious or lingering cold-heat disorder) with upward rushing of qi, if the pulse is deficient and soft, survival is possible; if the pulse is firm, urgent, and rapid, it is fatal.
In upward rushing of qi and wheezing, if the pulse is slippery and hands/feet are warm, survival is possible; if the pulse is choppy and limbs are cold, it is fatal.
In upward rushing of qi with facial edema and shoulder breathing, if the pulse is floating and large, it is fatal.
In upward rushing of qi and wheezing, if the pulse is slippery, survival is possible; if the pulse is large and rapid, it is fatal.
In expectoration of blood, if the pulse is deep and weak/small, (survival is possible. Another view: if the pulse is tight and strong, it is fatal; if slippery, survival is possible.)
In vomiting blood, if the pulse is firm and solid, it is fatal.
In vomiting blood and epistaxis, if the pulse is deep and fine, survival is possible; if the pulse is floating, large, and firm, it is fatal.
In sudden contraction of evil (sudden exposure to pestilential miasma), with abdominal distension, if the pulse is tight, solid, and fine, survival is possible; if the pulse is floating and large, it is fatal. In metal wounds (trauma from sharp instruments) with continuous bleeding, if the pulse is large but stops flowing, death occurs in seven days.
In metal wounds with excessive bleeding, if the pulse is deficient and fine, survival is possible; if the pulse is large and rapid, it is fatal.
For injuries from metal weapons on yang aspects (exterior/upper body), losing four or five sheng of blood, if the pulse is weak, minute, slow, and delayed, survival is possible; if the pulse is urgent and rapid, it is fatal.
After being beaten, with internal blood stasis, if the pulse is solid and large, survival is possible; if the pulse is deficient and small, it is fatal.
From falling from heights or metal wounds with internal blood stasis and abdominal distension, if the pulse is firm and large, survival is possible; if the pulse is deep and fine, it is fatal.
In heart and abdominal pain, if the pulse is deep and fine, survival is possible; if the pulse is floating, large, and long, it is fatal.
In abdominal distension, if the pulse is floating, survival is possible; if the pulse is deficient and small, it is fatal.
In dysentery/diarrhea, if the pulse is minute and fine, survival is possible; if the pulse is floating and large, it is fatal.
In dysentery, if the pulse shows intermission or is absent, death does not necessarily occur.
In intestinal pi (dysentery with pus and blood in stool), if the pulse is deep, fine, deficient, and slow, survival is possible; if the pulse is rapid, large, and accompanied by heat, it is fatal.
In intestinal pi discharging white mucus, if the pulse is deep, survival is possible; if the pulse is floating, it is fatal.
In intestinal pi discharging red and white discharge, if the pulse is minute, fine, and slow, and the body is warm, it can be treated.
In intestinal pi, if the pulse is slippery, survival is possible; if floating, it is fatal; if suspended and extreme, it is fatal.
In diarrhea and dysentery, if the pulse is slow with occasional small knots, survival is possible; if the pulse is floating, large, and rapid, it is fatal.
In severe watery diarrhea, or discharging pus/blood with undigested food, if the pulse is minute and small, survival is possible; if the pulse is solid and urgent, it is fatal.
In diarrhea and dysentery, if the pulse is minute, fine, and choppy, survival is possible; if the pulse is tight, large, and slippery, it is fatal.
In dysentery, if the Cun (inch) and Guan (bar) pulses are not palpable, but the Chi (cubit) pulse appears occasionally, this reveals Kidney Qi and is considered difficult to treat.
In dysentery with an absent pulse and cold extremities, if the pulse returns and extremities become warm, survival is possible; if the pulse does not return and extremities remain cold, it is fatal.
In cholera-transformation (acute vomiting and diarrhea), if the pulse is large, it is treatable; if minute and fine, it is difficult to treat.
In cholera-transformation with vomiting and diarrhea, if the pulse is minute and slow, breath is weak, and the patient does not wish to speak, it is untreatable.
In limb reversal (cold extremities past elbows/knees), the pulse should be deep, fine, and choppy; if it is instead firm, large, and slippery, it is fatal.
In water disease (edema), if the pulse is large and surging, survival is possible; if minute and fine, it is fatal.
In Xiao Ke (wasting-thirst syndrome), if the pulse is rapid and large, survival is possible; if fine, small, floating, and short, it is fatal.
In sudden wind-stroke, with limbs unable to hold, mouth/lips deviated, and speech impaired, if the pulse is floating and slow, survival is possible. In epilepsy/sudden fright, if the pulse is firm, wiry, solid, and large, survival is possible; if deficient, hidden, soft, and small, it is fatal.
In mania-delirium and trance, if the pulse is solid and firm, survival is possible; if deep and fine, it is fatal.
In wind-stroke with locked jaw and inability to speak, limbs unable to hold, if the pulse is floating and slow, survival is possible; if solid, large, rapid, and urgent, it is fatal.
In wind-bi numbness and paralysis/reversal, if the pulse is deficient and rapid, survival is possible; if firm and urgent, it is fatal.
In dry/blurred vision, if the pulse is large and slow, it is fatal.
In closing eyes and avoiding people, if the Liver pulse (wiry) is obtained, survival is possible; if the Lung pulse (floating/hairy) is obtained instead, it is fatal.
In deafness, if the pulse is large, survival is possible; if deep, slow, and fine, it is difficult to treat.
In hard accumulation causing diarrhea/dysentery, if the pulse is minute and fine, survival is possible; if floating, it is fatal.
In headache, if the pulse is short and choppy, it is fatal; if floating and slippery, survival is possible.
In poisoning, if the Yang pulse is large, surging, and rapid, survival is possible; if minute and fine, it is fatal. (The *Mai Jing* reads "slow" instead of "rapid".)
In acute illness, if the pulse is minute and fine, survival is possible; if large, urgent, surging, and straight, it is fatal.
If an adult presents with a child's pulse, it is fatal.
If the pulse only comes out and does not return, it is fatal.
The pulse of imminent death resembles a gathering of birds, or reins tied tightly (or slackly) to a post, like a hanging stone falling, appearing above the tendons, hidden below the tendons, inside the firm gate, not where Ying and Wei Qi intersect and shoot, making it unpredictable.
The pulse of a critically ill patient resembling a swimming shrimp or flying fish is fatal. Shrimp-swimming pulse rises slowly then retreats and disappears, unknown whereabouts, rising again after a long time, rising slowly but retreating quickly. Fish-flying pulse resembles a fish not moving but wagging its tail and shaking its body, with sparse movements and long pauses.
When the pulse does not match the disease, resembling a leaking roof (drops rarely, irregularly) or a sparrow pecking (rapid, jerky strikes), it is fatal. Leaking roof pulse stops abruptly, occasionally jumps once, not continuous. Sparrow-pecking pulse comes very rapidly and urgently, stops for a long time, then suddenly arrives again.
Pulse coming like striking stones (hard and urgent) and departing like untying a rope (scattered and chaotic) is fatal. Striking stones means the pulse is abrupt and urgent. Untying a rope means the pulse moves rapidly and then scatters without order.
Pulse surging and not receding is fatal.
Pulse resembling rolling beans is fatal.
Pulse resembling an inverted knife is fatal.
Pulse surging suddenly then vanishing, pausing briefly then returning is fatal.
Pulse shifting position midway is fatal.
Pulse absent for a long time is fatal.
Pulse having exterior but no interior (strong superficially, weak deeply) is fatal.
In women, if the Chi pulse at the wrist remains unabsent upon pressure, it indicates pregnancy.
Postpartum, if the Cun Kou pulse is rapid and irregular, it is fatal; if deep, minute, and unabsent when pressed to the bone, survival is possible. Postpartum thirst with heat disease, fine pulse, and cold extremities is fatal.
If the three positions (Cun, Guan, Chi) are equal in depth and uninterrupted, it indicates pregnancy.
In pregnancy, if the pulse is slippery, rapid, and heavy, and does not scatter under pressure, the fetus is three months old; if only rapid but not slippery, it is five months. In late pregnancy (7-8 months), if the pulse is solid, large, firm, strong, wiry, and tight, survival is possible; if deep and fine, it is fatal. For impending labor, the pulse is fine and slippery.
For women in labor, if the pulse deviates from the regular meridian pattern, birth is imminent.
Immediately postpartum, if the pulse is small, slow, and slippery, survival is possible; if solid, large, wiry, and urgent, it is fatal.
After delivery, if the pulse is deep, deficient, and small, survival is possible; if solid, firm, and hard, it is fatal.
In amenorrhea, if the pulse is extremely small and solid, survival is possible; if floating and deficient, it is fatal.
If the Cun and Guan pulses are normal, but the Chi pulse is absent, menstruation is obstructed; the patient will suffer lower abdominal pain radiating to the waist, and Qi accumulation will rush up to the chest and hypochondrium.
In leukorrhea with blood (non-menstrual bleeding), if the pulse is urgent and rapid, it is fatal; if slow and slippery, survival is possible.
If the woman's pulse is slow and both Cun pulses are weak and minute, she will be sterile.
In children, a deep pulse indicates indigestion of milk.
In children, a wiry and urgent pulse indicates external fright/Qi rebellion.
Generally, pressing the pulse fifty times without stopping indicates sufficient Qi in all five Zang organs, which is auspicious. Forty beats with one stop indicates one Zang lacks Qi, death at age four. Thirty beats with one stop indicates two Zangs lack Qi, death at age three. Twenty beats with one stop indicates three Zangs lack Qi, death at age two. Ten beats with one stop indicates four Zangs lack Qi, death within the year.
Any pulse with one stop per beat, or three beats per stop, or ten beats per stop, without regularity, is a death pulse. Although life is not immediately ended, the lifespan is shortened.
Generally, two beats per exhalation and two beats per inhalation, totaling five beats per respiratory cycle, without being too large or small, is a normal pulse. If three beats per exhalation and three beats per inhalation, disease begins.
Pulse large anteriorly and small posteriorly indicates headache and dizziness; small anteriorly and large posteriorly indicates chest fullness and shortness of breath.
Question: What are Sun (Loss) and Zhi (Increase)? Answer: The pulse has Sun and Zhi. Two beats per exhalation is Normal. Three beats per exhalation is Li Jing (Departing from the Canon). Four beats per exhalation is Duo Jing (Depleting Essence). Five beats per exhalation is Death. Six beats per exhalation is Life Extinction. This is called Zhi Pulse. One beat per exhalation is Li Jing. Two exhalations per beat is Duo Jing. Three exhalations per beat is Death. Four exhalations per beat is Life Extinction. This is called Sun Pulse. Zhi Pulse grows from bottom to top; Sun Pulse declines from top to bottom. Diseases of Sun Pulse: First loss affects skin and hair, skin gathers and hair falls. Second loss affects blood vessels, vessels become deficient, failing to nourish the five Zang. Third loss affects muscles, muscles emaciate, food fails to form flesh. Fourth loss affects sinews, sinews relax, unable to support oneself. Fifth loss affects bones, bones atrophy, unable to rise from bed. Opposite is Zhi disease. Declining from top to bottom, bone atrophy unable to rise from bed leads to death. Rising from bottom to top, skin gathering and hair falling leads to death.
To treat Lung loss, benefit its Qi. To treat Heart loss, regulate Ying and Wei. To treat Spleen loss, regulate diet and adapt to cold/warmth. To treat Liver loss, soothe its center. To treat Kidney loss, benefit its Essence and Qi.
Generally, two beats per breath cycle is normal, no disease. Three beats per breath cycle is named Li Jing. Li means lost; Jing means constant. The person's Ying and Wei are already deficient, about to fall ill.
Four beats per breath cycle is Duo Jing, the person is already ill. Five beats per breath cycle is Jue Ming (Severing Life), difficult to treat if large or small. Six beats per breath cycle is Jiang Mie (About to Extinguish). Seven beats per breath cycle is Ming Jin (Life Exhausted). Eight beats per breath cycle is Wu Hun (No Soul). Nine beats per breath cycle is Po (No Corporeal Soul). Ten beats per breath cycle is Jin Si (Dying Now).
One beat per breath cycle: although the person walks, they should be in bed; their blood vessels are diseased, all Qi is insufficient. Two breaths per beat is Critical. Three breaths per beat is Trapped. Four breaths per beat is Walking Corpse, about to die. Five breaths per beat is Definite Death.