一、 弹石脉在筋肉皮。按举皆劈劈急。曰弹石。是肺绝死脉也。(弹石脉者。萧处浓谓肺绝之脉。此说既未稳。
吴
仲广又推展之。以为象西方金。令肝元绝。其说尤穿凿。当以为肾绝之脉可也。石乃肾之本脉。合沉濡而滑。今其脏脉
现如弹石。劈劈然 指。殊无息数。其死无疑矣。)
二、解索脉在筋肉上。动数而随散乱。无复次第。曰解索。是五脏绝死脉也。(王叔和云。
解索。散乱而无绪。吴仲广云。解索脉者。其形见于两尺。脉来指下。散而不聚。若分于两畔。更无息
数。是精髓已耗。将死之候也。)
三、雀啄脉在筋肉。来而数急。曰雀啄。(是心绝死脉也。王叔和云。雀啄顿木而又住。吴仲广
云。雀啄者木脉也。)主脾经谷气已绝。胃气无所荣养。其脉来指下。连连 指数急。殊无息
数。但有进而无退。顿绝自去。良久准前又来。宛如鸡践食之貌。但数日之寿也。(据此所云。
乃脾绝之脉。萧处浓谓之心绝何耶。王叔和云。雀啄顿木而又住。此雀乃啄木儿也。吴仲广因其顿木之说。遂认为木脉。
木脉者肝脉也。其说未达。当以脾绝为是。)
四、屋漏脉在筋。按之止。时起而不相连。曰屋漏。是心肺绝死脉也。(王叔和云。屋漏将绝而
复起。吴仲广云。屋漏脉者。主胃经已绝。谷气空虚。其脉来指下。 按之极慢。二十息之间或来
一至。若屋漏之水滴于地上。而四畔溅起之貌。立死之候也。据此云乃胃绝之脉。何萧处浓谓心
肺绝脉耶。)
五、虾游脉在皮毛。浮而再起。寻还退没。不知所在。起迟而去速。曰虾游。是脾胃绝死脉也。
(王叔和云。虾游冉冉而进退难寻。吴仲广云。虾游之脉。其来指下。若虾游于水面。泛泛而不动。瞥然惊掉而去。将
手欲趋。杳然不见。须臾于指下又来。良久准前复去。又如虾蟆入水
之形。瞥然而上。倏然而去。此是神魂已去。行尸之候。立死也。)
六、鱼翔脉在皮肉上。如鱼不行。而但掉尾动头身摇而久住。曰鱼翔。是肾绝死脉也。(王叔
和云。鱼跃澄澄而迟疑掉尾。吴仲广云。鱼翔之脉。主肾与命门皆绝。卫气与荣血两亡。其脉来指下。 寻之即有。泛泛
高虚。前定而后动。殊无息数。宛如鱼游于水。面头不动而尾缓摇之
貌。故曰鱼翔也。又曰亡阳之候。死矣。旦占夕死。夕占旦死。日中占夜半死。夜半占日中死。)
七、釜沸脉在皮肉上。涌涌如羹上肥。曰釜沸。是死脉也。
1. Dan Shi Mai (Stone-Tapping Pulse) is located in the muscles and skin. Whether lightly pressed or heavily lifted, the pulse presents a cracking sound and rapidity. This pulse image is called "Dan Shi" (Stone-Tapping), which indicates Lung Qi exhaustion and death. (Regarding the Dan Shi Mai, Xiao Chunong considered it a pulse of Lung exhaustion, but this view is not entirely stable; Wu Zhongguang further extended it, arguing that it symbolizes the Metal element of the West, leading to the exhaustion of Liver Yuan, an explanation even more far-fetched. It should be regarded as a pulse of Kidney exhaustion. The Stone pulse is originally the fundamental pulse of the Kidney, normally sinking, soft, and slippery. Now, the Kidney's pulse manifests like striking stones, cracking under the fingers, completely lacking normal respiratory rhythm (Xi Shu). Death is certain.)
2. Jie Suo Mai (Untying Knots Pulse) is located above the muscles. The movement is frequent and subsequently scattered and chaotic, losing its order. This pulse image is called "Jie Suo" (Untying Knots), indicating the exhaustion of the Five Zang organs and death. (Wang Shuhe stated: Jie Suo is scattered and without sequence. Wu Zhongguang stated: In the Jie Suo Mai, the form appears at both Chi positions. When the pulse arrives under the fingers, it is scattered and does not gather, as if divided to both sides, with no normal respiratory rhythm. This signifies that essence and marrow have been depleted, a sign of impending death.)
3. Que Zhuo Mai (Sparrow Pecking Pulse) is located within the muscles. The arrival is frequent and urgent. This pulse image is called "Que Zhuo" (Sparrow Pecking). (This is a pulse of Heart Qi exhaustion. Wang Shuhe stated: Que Zhuo pauses like a woodpecker pecking wood and then stops. Wu Zhongguang stated: Que Zhuo is a Wood pulse.) It primarily reflects the exhaustion of Grain Qi in the Spleen Meridian, leaving Stomach Qi without nourishment. When the pulse arrives under the fingers, it beats continuously and rapidly, completely lacking normal respiratory rhythm, advancing only without retreating, suddenly interrupting and departing, then returning after a long interval exactly as before, resembling the manner of a chicken pecking food. The patient will survive only for a few days. (Based on this description, it should be a pulse of Spleen exhaustion; why did Xiao Chunong call it Heart exhaustion? Wang Shuhe said Que Zhuo resembles a woodpecker pecking wood; here "Que" refers to the woodpecker. Wu Zhongguang, due to the "pausing wood" theory, considered it a Wood pulse. A Wood pulse is a Liver pulse; his understanding was not thorough, and it should be regarded as Spleen exhaustion.)
4. Wu Lou Mai (Leaking Roof Pulse) is located in the tendons. Upon pressing, the pulse stops, occasionally rising but not connecting. This pulse image is called "Wu Lou" (Leaking Roof), indicating the exhaustion of Heart and Lung Qi and death. (Wang Shuhe stated: Wu Lou rises again after nearly ceasing. Wu Zhongguang stated: Wu Lou Mai primarily indicates the exhaustion of the Stomach Meridian and emptiness of Grain Qi. When the pulse arrives under the fingers, pressing feels extremely slow; between twenty respirations, there may be only one arrival. It resembles water drops from a leaking roof hitting the ground and splashing outward. This is a sign of immediate death. Based on this, it should be a pulse of Stomach exhaustion; why did Xiao Chunong call it Heart and Lung exhaustion?)
5. Xia You Mai (Shrimp Swimming Pulse) is located in the skin and hair layer. The pulse floats and reappears, but when sought, it retreats and vanishes, unknown whereabouts. It arises slowly and departs quickly. This pulse image is called "Xia You" (Shrimp Swimming), indicating the exhaustion of Spleen and Stomach Qi and death. (Wang Shuhe stated: Xia You moves slowly forward and backward, difficult to trace. Wu Zhongguang stated: In the Xia You Mai, when the pulse arrives under the fingers, it is like a shrimp swimming on the water surface, floating without moving, suddenly startled and jumping away. As the hand tries to pursue, it disappears mysteriously. After a moment, it returns under the fingers, and after a long while, departs again as before. It also resembles the shape of a toad entering water, suddenly rising and instantly disappearing. This indicates that the Spirit has departed, a state akin to a walking corpse, leading to immediate death.)
6. Yu Xiang Mai (Fish Gliding Pulse) is located on the skin and flesh. Like a fish not moving forward, but only wagging its tail, with the head and body swaying but staying in place for a long time. This pulse image is called "Yu Xiang" (Fish Gliding), indicating Kidney Qi exhaustion and death. (Wang Shuhe stated: Fish leaping is clear and hesitant, wagging its tail. Wu Zhongguang stated: Yu Xiang Mai primarily indicates the exhaustion of both Kidney and Mingmen, with the simultaneous loss of Wei Qi and Ying Blood. When the pulse arrives under the fingers, seeking reveals it immediately; it floats high and empty, first still then moving, completely lacking normal respiratory rhythm. It resembles a fish swimming in water, with the head and face motionless while the tail slowly wags. Hence it is called Yu Xiang. It is also described as a sign of Yang exhaustion and inevitable death. If diagnosed in the morning, death occurs in the evening; if in the evening, death occurs in the morning; if at noon, death occurs at midnight; if at midnight, death occurs at noon.)
7. Fu Fei Mai (Boiling Cauldron Pulse) is located on the skin and flesh. The pulse surges vigorously, like the fat/oil floating on the surface of soup in a boiling cauldron. This pulse image is called "Fu Fei" (Boiling Cauldron), which is a pulse of death.