脉有阴阳之法何谓也。然呼出心与肺。吸入肾与肝。呼吸之间。脾受谷味也。其脉在中
。浮
肺也。
其脉在
脉有阳盛阴虚。阴盛阳虚何谓也。然沉之损小。浮之实大。故曰阳盛阴虚。浮之损小。
沉之实大。故曰阴盛阳虚。是阴阳虚实之意也。
阳脉见寸口浮而实大。今轻手按之更减损小。故言阳虚。重手按之反更实大。故曰阳实
也。
脉有一阴一阳。一阴二阳。一阴三阳。有一阳一阴。一阳二阴。一阳三阴。凡此六脉者
。谓
也。
一阴
时
凡脉浮大数动滑。阳也。沉涩弱弦微。阴也。长者为阳。短者为阴。阳病见阴脉者。逆
也。
即腹
凡人营卫之气与经脉。漏刻相应。阴气为营。营者血也。行于经脉之中。阳气为卫。卫
者气
营
吸
三
刻
卫
人有三虚三实者。谓有脉之虚实。有病之虚实。有诊之虚实也。脉有虚实者。脉来濡者
为虚
急者
实内虚。内痛外快。为内实外虚。故曰虚实也。
又邪气盛则实。精气脱则虚。何者是重实大热病。气热脉满者是也。浮之损小。沉之实
大。名曰阴盛阳虚。沉之损小。浮之实大。名曰阳盛阴虚。
脉盛。皮热。腹胀。前后不通。闷瞀。为五实。
脉细。皮寒。气少。泄痢前后。饮食不入。为五虚。
What is the method of distinguishing Yin and Yang in pulse diagnosis? Exhalation involves the Heart and Lung. Inhalation involves the Kidney and Liver. Between breaths, the Spleen receives the essence from grain. The pulse is located in the middle. Superficial palpation (light pressure) corresponds to the Lung. Deep palpation (heavy pressure) corresponds to the Kidney.
There are conditions of Excess-Yin with Deficient-Yang, and Excess-Yang with Deficient-Yin. What does this mean? If deep palpation reveals a diminished or small pulse, while superficial palpation reveals a solid or large pulse, it is called Excess-Yang with Deficient-Yin. If superficial palpation reveals a diminished or small pulse, while deep palpation reveals a solid or large pulse, it is called Excess-Yin with Deficient-Yang. This is the meaning of Yin-Yang Excess-Deficiency.
When an Yang-pulse appears at the Cun-kou (radial artery), it is floating and solid-large. Now, if light pressure makes it even more diminished and small, it is termed Yang-Deficiency. If heavy pressure makes it even more solid and large, it is termed Yang-Excess.
There are pulses with one Yin and one Yang, one Yin and two Yangs, one Yin and three Yangs; there are pulses with one Yang and one Yin, one Yang and two Yins, one Yang and three Yins. These six types of pulses refer to... [Text incomplete].
Generally, Floating, Large, Rapid, Surging, and Slippery pulses are Yang. Deep, Choppy, Weak, Wiry, and Fine pulses are Yin. A long pulse shape is Yang, a short pulse shape is Yin. When a Yang disease presents with a Yin-pulse, it is a contrary (adverse) condition.
Regarding the abdomen... [Text incomplete].
The Ying-Nutritive and Wei-Defensive Qi of humans correspond with the meridians and the clepsydra (water clock). Yin-Qi becomes Ying; Ying is Blood, circulating within the meridians. Yang-Qi becomes Wei; Wei is Qi... [Text incomplete].
Humans have three types of Deficiency and three types of Excess, referring to the Excess-Deficiency of the pulse, the Excess-Deficiency of the disease, and the Excess-Deficiency of diagnosis. Regarding pulse Excess-Deficiency: a pulse that comes forth soft and weak is Deficiency... [Text incomplete]. A pulse that is urgent and forceful is Excess. Internal pain with external comfort indicates Internal-Excess and External-Deficiency. Thus, it is called Excess-Deficiency.
Furthermore, when pathogenic factors are excessive, it results in Excess; when essential Qi is depleted, it results in Deficiency. What constitutes a severe Excess condition in a great heat disease? It is characterized by hot Qi and a full pulse. Superficial palpation shows a diminished/small pulse, deep palpation shows a solid/large pulse, named Excess-Yin and Deficient-Yang. Deep palpation shows a diminished/small pulse, superficial palpation shows a solid/large pulse, named Excess-Yang and Deficient-Yin.
A surging pulse, hot skin, abdominal distension, obstruction of urination and defecation, and chest stuffiness with dizziness constitute the Five Excesses.
A fine pulse, cold skin, shortness of breath, diarrhea/dysentery with uncontrolled urination and defecation, and inability to ingest food constitute the Five Deficiencies.