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(Excessive joy, anger, worry, thought, grief, fear, and shock internally correspond to the Qi Kou pulse)
Excessive joy damages the Heart, and the pulse must be deficient (Xu). Excessive thought damages the Spleen, and the pulse manifests as knotted (Jie). Grief damages the Lung, and the pulse must be choppy (Se). Anger damages the Liver, and the pulse becomes soft and weak (Ru). Fear damages the Kidney, and the pulse is deep (Chen). Shock damages the Gallbladder, causing the pulse to be tight (Jin) and disordered. A tight pulse also results from grief damaging the Pericardium collateral. The changes in the Qi Kou pulse due to the Seven Emotions (Joy, Anger, Worry, Thought, Grief, Fear, Shock) constitute internal causes of disease.

(Wind, Cold, Summerheat, Dampness, Dryness, and Fire externally correspond to the Ren Ying pulse)
A tight pulse indicates Cold damage affecting the Kidney, with a fixed location. A deficient pulse indicates Summerheat damage extending to the Uterus. A choppy pulse indicates Dryness damage, requiring observation of the Lung. A fine and slow pulse indicates Dampness damage, requiring observation of the Spleen. A floating pulse indicates Wind damage, corresponding to the Liver region. A weak pulse indicates Fire damage, to be observed in the Heart. The pulses in all six positions must be carefully examined to avoid mistaking Cold for Heat in treatment.

Mental labor excessively damages Heart blood; carefully search within the deficient and choppy pulses. Physical labor damages Kidney Yin and Yang; a sudden appearance of a tight pulse indicates mutual invasion. Indulgence in sexual activity damages the Heart collaterals; one should deliberate within the slightly choppy pulse. Extreme fatigue of tendons and muscles damages the Liver; searching under the fingers reveals a string-taut and deficient pulse. Irregular eating and drinking damages the Spleen; one cannot lightly generalize. Hunger leads to a slow and string-taut pulse, which requires separate discussion; if the pulse is slippery and solid, it is undoubtedly due to overeating. Shouting and calling deplete Qi and damage the Lung; remember well the dry and weak pulse. If one can understand the causes that are neither internal nor external, life and death, fortune and misfortune, lie therein.

Que Zhuo (Sparrow Pecking) pulse: continuous pecking-like beats followed by pauses. Wu Lou (House Leak) pulse: a drop falling only once every half day. Dan Shi (Flicking Stone) pulse: hard and coming quickly, scattering upon slight pressure. Da Zhi (Hand on Finger) pulse: scattered and chaotic like untying a rope. Yu Xiang (Fish Swimming) pulse: seemingly present yet absent. Xia You (Shrimp Swimming) pulse: jumping suddenly amidst stillness. I advise physicians to examine carefully; if any of these six pulses appears, do not hastily administer medicine.

One beat followed by one pause leads to death in two days. Two beats followed by one pause leads to death in four days. Three beats followed by one pause leads to death in six days. Four beats followed by one pause leads to death in eight days. Five beats followed by one pause leads to death in ten days. Ten beats followed by one pause leads to death in one year, specifically when spring grass grows. Twenty-one beats followed by one pause leads to death in two years, after the Qingming Festival. Thirty beats followed by one pause leads to death in three years, becoming critical after the Start of Autumn. Forty beats followed by one pause leads to death in four years, at the time of wheat harvest. Fifty-one beats followed by one pause leads to death in five years, when grass withers and water freezes. This is the profound secret of the Tai Su Pulse.

For Shang Han (Cold Damage) and febrile diseases, a Hong Da (Vast and Large) pulse is appropriate, while Chen Xi (Deep and Fine) is contraindicated. For cough, Fu Ru (Floating and Soft) is appropriate, while Chen Fu (Deep and Hidden) is contraindicated. For abdominal distension, Fu Da (Floating and Large) is appropriate, while Xu Xiao (Deficient and Small) is contraindicated. For dysentery, Wei Xiao (Fine and Small) is appropriate, while Da Fu Hong (Large, Floating, and Vast) is contraindicated. For mania, Shi Da (Solid and Large) is appropriate, while Chen Xi (Deep and Fine) is contraindicated. For Huo Luan (Cholera-like disorder), Fu Hong (Floating and Vast) is appropriate, while Wei Chi (Fine and Slow) is contraindicated. For Xiao Ke (Wasting-Thirst), Shu Da (Rapid and Large) is appropriate, while Xu Xiao (Deficient and Small) is contraindicated. For Shui Qi (Water Retention), Fu Da (Floating and Large) is appropriate, while Chen Xi (Deep and Fine) is contraindicated. For Bi Nu (Nosebleed), Chen Xi (Deep and Fine) is appropriate, while Fu Da (Floating and Large) is contraindicated. For Xin Chu Tong (Heart and Abdominal Pain), Chen Xi (Deep and Fine) is appropriate, while Fu Da Xian Chang (Floating, Large, String-Taut, and Long) is contraindicated. For Tou Tong (Headache), Fu Hua (Floating and Slippery) is appropriate, while Duan Se (Short and Choppy) is contraindicated. For Zhong Feng (Wind Stroke), Fu Chi (Floating and Slow) is appropriate, while Ji Shi Da Shu (Urgent, Solid, Large, and Rapid) is contraindicated. For Chuan Ji (Panting and Urgency), Fu Hua (Floating and Slippery) is appropriate, while Se (Choppy) is contraindicated. For Tuo Xue (Spitting Blood), Chen Ruo (Deep and Weak) is appropriate, while Shi Da (Solid and Large) is contraindicated. For Shang Qi Fu Zhong (Qi Rising with Edema), Fu Hua (Floating and Slippery) is appropriate, while Wei Xi (Fine and Tiny) is contraindicated. For Zhong E (Acute Poisoning/evil influence), Jin Xi (Tight and Fine) is appropriate, while Fu Da (Floating and Large) is contraindicated. For Jin Chuang (Metal Wounds), Wei Xi (Fine and Tiny) is appropriate, while Jin Shu (Tight and Rapid) is contraindicated. For Zhong Du (Poisoning), Hong Da (Vast and Large) is appropriate, while Wei Xi (Fine and Tiny) is contraindicated. For women with Dai Xia (Leukorrhea), Chi Hua (Slow and Slippery) is appropriate, while Fu Xu (Floating and Deficient) is contraindicated. For Tu Xue (Vomiting Blood), Chen Xiao (Deep and Small) is appropriate, while Shi Da (Solid and Large) is contraindicated. For Chang Pi (Intestinal Discharge of Pus and Blood), Fu Xiao Chen Chi (Floating and Small, Deep and Slow) is appropriate, while Shu Ji (Rapid and Urgent) is contraindicated. For postpartum women, Xiao Shi (Small and Solid) is appropriate, while Xu Fu (Deficient and Floating) is contraindicated; additionally, Chen Xi Huan Hua Wei Xiao (Deep, Fine, Slow, Slippery, and Very Small) is appropriate, while Shi Da Xian Ji Lao Jin (Solid, Large, String-Taut, Urgent, Firm, and Tight) is contraindicated. For Nei Shang (Internal Injury), Xian Jin (String-Taut and Tight) is appropriate, while Xiao Ruo (Small and Weak) is contraindicated. For Feng Bi (Wind Bi Syndrome) and Wei Ruo (Atrophy and Weakness), Xu Ru (Deficient and Soft) is appropriate, while Jin Ji Ji (Tight, Urgent, and Rapid) is contraindicated. In Wen Bing (Warm Diseases) with severe fever, a pulse that is conversely small is contraindicated. In dysentery with body heat, a Shu (Rapid) pulse is contraindicated; in cases of abdominal accumulation, a Xu Ruo (Deficient and Weak) pulse is contraindicated. For abdominal pain, Xu Xiao Chi (Deficient, Small, and Slow) is appropriate, while Jian Da Ji (Firm, Large, and Rapid) is contraindicated.
In febrile diseases, a Jing (Quiet/Calm) pulse is contraindicated. In diarrhea, a Da (Large) pulse is contraindicated. In hemorrhage with a Shi (Solid) pulse, the pathogen is in the interior; with a Xu (Deficient) pulse, the pathogen is in the exterior. A Se (Choppy) pulse is generally contraindicated in these contexts.