上古诊法有三者,其一,诊十二经动脉,分天地人三部九候以调虚实。其二,以喉傍人迎与
手寸口参诊,取四时若引绳,大小齐等曰平,偏盛曰病。其三,独取气口,分寸关尺外内以候脏
腑吉凶。今废其二,惟气口之诊行于世,而且失其真,噫!可胜惜哉!
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\r内经三部诊候图(左手)\ps127a3.bmp\r
(统属诊法)
求脉之状,奇偶而已,奇者单求,偶者对举。单求无配,代牢之类;对举反证,浮表沉里。
【浮脉】浮体泛泛,皮毛之位,轻按便得,漂木之义。
【沉脉】沉轻按无,重乃应指,深按有力,犹石沉水。
【迟脉】迟脉来徐,呼吸三至。
【数脉】数脉来亟,呼吸六至。
【滑脉】滑体圆净,往来流利,荷上水珠,圆神不倚。
【涩脉】(音涩) 又名 ,迟短蹇滞,来急去散,至至带止,三五不调,刮竹相似。
【实脉】实乃充实,举按有力。
【虚脉】虚乃空虚,举按无力。
【洪脉】洪者倍常,大而满指。
【细脉】细者减常,一线之比。
【紧脉】紧者紧急,坚而搏指,如转索状,则弦有力。
【缓脉】缓谓纵缓,中软不急,如丝在经,则弦无力。
【长脉】长为修长,如弦之直,越于本位,两头出指。
【短脉】短为短缩,不及本位,喻之如龟,缩头藏尾。
【促脉】促为催促,数中暂止。
【结脉】结为交结,迟中暂止。
【代脉】代为更代,动而中止,不能自远,良久复至。(止数有常,非暂之比。)
【牢脉】牢本坚牢,沉弦大实,不上不下,牢守其位。
【革脉】革为皮革,浮弦大虚,如按鼓皮,内虚外急。
【弦脉】弦如琴弦,国中末直,其来挺然,而不搏指。
【动脉】动乃摇动,短滑数备,上下不分,连动中位。
【散脉】散者不敛,浮而满指,按则分散,而不团聚,亦类解索,散无统纪。(有或二条三条而至者。)
【伏脉】伏为埋伏,骨外筋里,三按俱无,(三按者言浮中沉也。)推筋而取。
【芤脉】芤乃革名,浮大无力,因按而知,中空傍实。
【濡脉】(音软)濡者不坚,浮大无力,按随指下,减去头尾。
【微脉】微为微眇,较细不及,似有似无,蛛丝相类。
【弱脉】弱软沉细,比虚不及,全无起伏,扶持不起。
In ancient times, there were three methods of pulse diagnosis: The first was to examine the arteries of the twelve meridians, dividing them into Heaven, Earth, and Human sections (San Bu), each further divided into superficial, middle, and deep levels (Jiu Hou), to regulate deficiency and excess. The second method involved comparing the pulse at the Renying point (Human Well) beside the throat with the Cun Kou (Cunkou) pulse at the wrist; if their size and rhythm were equal and coordinated like a straight rope, it indicated a healthy state (Ping Mai); if one side was excessively strong, it indicated disease. The third method focused solely on the Qi Kou (Cunkou) pulse, using the Fen, Guan, and Chi positions to assess the auspiciousness or inauspiciousness of the Zang-Fu organs. Today, the first two methods have been abandoned, and only the Cunkou pulse diagnosis remains in practice, yet it has lost its true essence. Alas! Is this not deeply regrettable?
[Image: Nei Jing San Bu Zhen Hou Tu (Right Hand)]
[Image: Nei Jing San Bu Zhen Hou Tu (Left Hand)]
(General Classification of Pulse Diagnosis)
To explore the characteristics of pulses, they can be categorized into "Odd" (Qi) and "Even" (Ou). "Odd" refers to solitary examination, while "Even" refers to comparative examination. Solitary examination without pairing includes pulses such as Dai Mai (Intermittent Pulse) and Lao Mai (Deep-Tight Pulse). Comparative examination serves as mutual verification, such as Fu Mai (Floating Pulse) indicating the exterior and Chen Mai (Sinking Pulse) indicating the interior.
[Floating Pulse] The Floating Pulse presents superficially, located at the level of skin and hair; it is felt with light pressure, akin to wood floating on water.
[Sinking Pulse] The Sinking Pulse is imperceptible with light pressure but responds to heavy pressure; it is felt deeply and forcefully, like a stone sinking in water.
[Slow Pulse] The Slow Pulse arrives slowly, beating three times per respiratory cycle.
[Rapid Pulse] The Rapid Pulse arrives swiftly, beating six times per respiratory cycle.
[Slippery Pulse] The Slippery Pulse is round and smooth, flowing freely back and forth, like water droplets on a lotus leaf, round and agile without leaning.
[Choppy Pulse] (Pronounced 'se') Also known as..., it is slow, short, and stagnant; the arrival is rapid but the departure is scattered, with pauses in each beat, irregular in rhythm (three or five beats out of tune), resembling scraping bamboo.
[Full Pulse] The Full Pulse is solid and充盈 (full); it is forceful upon both light and heavy pressure.
[Empty Pulse] The Empty Pulse is hollow; it lacks force upon both light and heavy pressure.
[Surging Pulse] The Surging Pulse is double the normal size, large and filling the fingers.
[Thready Pulse] The Thready Pulse is smaller than normal, comparable to a single thread.
[Taut Pulse] The Taut Pulse is tight and urgent, hard and striking the fingers, resembling a twisting rope; it is more forceful than the Wiry Pulse.
[Relaxed Pulse] The Relaxed Pulse is loose and slow, soft in the middle and not urgent, like a silk thread on a loom; it is less forceful than the Wiry Pulse.
[Long Pulse] The Long Pulse is extended, straight like a string, extending beyond its normal position, protruding from both ends under the fingers.
[Short Pulse] The Short Pulse is contracted, failing to reach its normal position, metaphorically like a turtle retracting its head and tail.
[Hasty Pulse] The Hasty Pulse is hurried, with temporary stops within a Rapid Pulse.
[Knotted Pulse] The Knotted Pulse is knotted, with temporary stops within a Slow Pulse.
[Intermittent Pulse] The Intermittent Pulse involves replacement, where the beat stops and cannot recover spontaneously, returning after a long interval. (The number of pauses is regular, not merely temporary.)
[Deep-Tight Pulse] The Deep-Tight Pulse is originally firm and secure; it is deep, wiry, large, and full, neither rising nor falling, firmly holding its position.
[Leather Pulse] The Leather Pulse resembles leather; it is floating, wiry, large, and empty, feeling like pressing a drumhead, with internal emptiness and external tension.
[Wiry Pulse] The Wiry Pulse is like a zither string, straight from beginning to end, arriving upright but not striking the fingers forcefully.
[Moving Pulse] The Moving Pulse is shaking; it possesses the qualities of being short, slippery, and rapid, without distinction between upper and lower, moving continuously in the middle position.
[Scattered Pulse] The Scattered Pulse does not gather; it is floating and fills the fingers, but disperses upon pressure without coalescing, also resembling untying a knot, scattered without order. (Sometimes two or three threads arrive simultaneously.)
[Hidden Pulse] The Hidden Pulse is concealed, lying outside the bone and inside the tendon; it is imperceptible upon superficial, middle, and deep pressure (the three pressures refer to Fu, Zhong, and Chen techniques); it must be sought by pushing aside the tendons.
[Gourd-Seed Pulse] The Gourd-Seed Pulse is synonymous with the Leather Pulse name; it is floating, large, and forceless, revealed by heavy pressure, with an empty center and solid sides.
[Soft Pulse] (Pronounced 'ruan') The Soft Pulse is not firm; it is floating, large, and forceless, sinking with the finger upon pressure, losing its head and tail definition.
[Faint Pulse] The Faint Pulse is subtle and minute, finer than usual, seeming present yet absent, similar to a spider's silk.
[Weak Pulse] The Weak Pulse is soft, deep, and thin; it is weaker than the Empty Pulse, lacking any rise and fall, unable to support itself.