咳而尿血。脉微细者生。大者死。
寒热螈 。脉代绝者死。
外实内热吐泻。脉沉细者生。洪大者死。
内实腹胀痛干呕。手足烦热。脉洪大实者生。沉细者死。
阴阳俱竭。齿上如熟小豆。脉躁者死。
身热脉浮涩者死。
无故而喑。脉不至。此气暴厥。气复则已。
病患饥寒。脉细。气少泄痢。饮食不入。是谓五虚。其人必死。
病患浆粥入胃泄注。上则肌大热。前后不通。胃闷脉盛。是谓五实。其人必死。若得身汗后利则生。
老人脉微。阳羸阴强者生。脉躁大加息者死。阴羸阳强。脉至而代。奇日而死。
病甚脉洪大者易瘥。脉不调者难瘥。
病患脉实大急数者凶。
左手寸口脉偏动。乍大乍小。从寸至关。从关至尺。三部之位。处处动摇各异。不同其人。仲夏
得此脉。桃叶落时死。脉若小急。背膈偏枯。年不满二十者。三岁死。脉至而搏。衄血身热者死。
右手寸口脉偏沉伏。乍大乍小。朝来浮大。暮即沉伏。浮大则上过鱼际。沉伏则下不至关。来往无
常。时伏又来者。榆叶枯落时死。
三部脉皆涩、皆滑、皆紧急、皆软弱、皆如张弓、皆微而伏、皆细而数、皆累累如珠者。长病患得
之皆死。
太冲穴在两足大趾本节后二寸陷中动脉是。(一云一寸半)足厥阴之所注。诊此者。可决男子之死生也。(或诊太溪
命门脉。穴在足内踝后跟骨上动脉陷中。)
冲阳穴(一名会源即趺阳穴也)在足跗上五寸骨间动脉上。去陷谷三寸是。(即足面系鞋之所)诊此者。以察其胃气
之有无也。
Coughing accompanied by hematuria: if the pulse is fine and minute, there is hope for survival; if the pulse is large, death ensues.
Alternating chills and fever with convulsions: if the pulse is intermittent and absent, death ensues.
Exterior excess combined with interior heat causing vomiting and diarrhea: if the pulse is deep and fine, there is hope for survival; if the pulse is surging and large, death ensues.
Interior excess causing abdominal distension and pain, dry retching, and vexatious heat in the hands and feet: if the pulse is surging, large, and full, there is hope for survival; if the pulse is deep and fine, death ensues.
Exhaustion of both Yin and Yang, with the upper teeth appearing like ripe small beans (indicating gum recession or abnormal tooth exposure): if the pulse is restless, death ensues.
Body heat with a floating and choppy pulse: death ensues.
Sudden loss of voice without cause, with no palpable pulse: this is due to sudden Qi rebellion (Qi Jue); recovery occurs when Qi returns.
The patient feels hunger and cold, the pulse is fine, Qi is deficient, suffering from dysentery/diarrhea, and unable to take food: this is called "Five Deficiencies" (Wu Xu). Such patients will inevitably die.
The patient can swallow gruel which enters the stomach, but suffers from profuse diarrhea; upper body has high muscle heat, and both anterior and posterior orifices are blocked; the stomach is stifling with a vigorous pulse: this is called "Five Excesses" (Wu Shi). Such patients will inevitably die. However, if sweating occurs followed by bowel movement, there is hope for survival.
In the elderly, a minute pulse: if Yang is weak and Yin is strong, there is hope for survival; if the pulse is restless, large, and rapid, death ensues. If Yin is weak and Yang is strong, and the pulse presents as intermittent, death occurs on odd-numbered days.
When the disease is severe, a surging and large pulse indicates easier recovery; an irregular pulse indicates difficult recovery.
A patient with a full, large, rapid, and frequent pulse faces a dire prognosis.
The Cun Kou pulse on the left hand beats unevenly, fluctuating between large and small. From the Cun position to the Guan position, and from the Guan to the Chi position, all three positions tremble differently, unlike normal individuals. If this pulse is found in mid-summer, death will occur when peach leaves fall. If the pulse is small and urgent, accompanied by hemiplegia of the back and diaphragm, and the patient is under twenty years old, death will occur within three years. If the pulse strikes forcefully, accompanied by epistaxis and fever, death ensues.
The Cun Kou pulse on the right hand sinks and hides unevenly, fluctuating between large and small. In the morning it is floating and large, but by evening it sinks and hides. When floating and large, it exceeds the Yu Ji point; when sinking and hiding, it does not reach the Guan position. It comes and goes unpredictably, sometimes hidden then reappearing; death will occur when elm leaves wither.
If the pulses at all three positions are all choppy, all slippery, all urgent, all weak, all taut like a drawn bow, all minute and hidden, all fine and rapid, or all bead-like: long-term patients presenting these pulses will die.
Tai Chong acupoint is located two cun behind the root of the big toe of both feet, in the depression where the artery beats. (Another view says one and a half cun.) This is the point where Qi of the Foot-Jueyin Liver Meridian pours in. Diagnosing this pulse can determine life or death in men. (Alternatively, diagnose Tai Xi or Ming Men pulses; the acupoint is in the depression of the artery behind the medial malleolus on the heel bone.)
Chong Yang acupoint (also known as Hui Yuan, i.e., Fu Yang acupoint) is located on the dorsal aspect of the foot, five cun above, on the artery between the bones, three cun away from Xian Gu acupoint. (This is where shoelaces are tied on the dorsum of the foot.) Diagnosing this pulse is used to observe the presence or absence of Stomach Qi.