心象火。旺于夏。其脉如钩而洪大。其候舌。其声言。其臭焦。其味苦。其液汗。其养
血。其色赤。
其藏神。手少阴其经也。与小肠合。小肠为腑主表。心为脏主里。心气盛为神有余。则病胸
内痛。胁支满。胁下痛。背膊间痛。两臂内痛。喜笑不休。是心气之实也。则宜泻之。心气
不足。则胸腹大。胁下与腰背相引痛。惊悸恍惚。少颜色。舌本强。善忧悲。是心气之虚也
则宜补之。于四时病在心愈于长夏。长夏不已。甚于冬。冬不死。持于春。起于夏。于日
愈于戊己。戊己不已。加于壬癸。壬癸不死。持于甲乙。起于丙丁。于时日中慧。夜半甚。
平旦静。禁温衣热食。
心部在左手寸口是也。寸口脉来。累累如连珠。如循琅 曰平。夏以胃气为本。夏心火
旺。
其脉浮洪大而散。名曰平脉也。反得沉濡而滑者。肾之乘心。水之克火。大逆不治。反得弦
而长。是肝乘心。母之克子。虽病当愈。反得缓而大。是脾乘心。子之乘母。虽病当愈。反
得微涩而短。是肺之乘心。金之凌火为微邪。虽病不死。病心脉来。喘喘连属。其中微曲曰
心病。死心脉前曲后倨。如操带钩。曰心死。真心脉至。牢而搏。如循薏苡。累累然。其色
赤黑。不泽。毛折乃死。
脾象土。旺于长夏。其脉缓。其候口。其声歌。其臭香。其味甘。其液涎。其养形肉。
其色
黄。其藏意。足太阴其经也与胃合。胃为腑主表。脾为脏主里。脾气盛。为形有余。则病腹
胀。溲不利。身重苦饥。足痿不收。 善螈。脚下痛。是为脾气之实也。则宜泻之。脾气不
足。则四肢不用。后泄。食不化。呕逆。腹胀肠鸣。是为脾气之虚也。则宜补之。于四时病
在脾愈在秋。秋不愈。甚于春。春不死。持于夏。起于长夏。于日愈于庚辛。庚辛不愈。加
于甲乙。甲乙不死。持于丙丁。起于戊己。于时日中慧。平旦甚。下晡静。脾欲缓。急食甘
以缓之。用苦以泄之。甘以补之。禁温食饱食湿地濡衣。
脾部右手关上是也。六月脾土旺。其脉大。阿阿而缓。名曰平脉也。长夏以胃气为本。
反得
弦而急。是肝之乘脾。木之克土。为大逆不治。反得微涩而短。是肺之乘脾。子之乘母。不
治自愈。反得浮而洪者。是心之乘脾。母之归子。当瘥不死。反得沉濡而滑者。是肾之克脾
水之凌土。为微邪。当瘥。脾长而弱。来疏去数。再至曰平。三至曰离经。四至曰夺精。
五至曰命尽。六至曰死。病脾脉来。实而盛数。如鸡举足。曰脾病。死脾脉来。坚锐如鸟之
啄。如鸟之距。如屋之漏。如水之溜。曰脾绝。真脾脉至。弱而乍数乍疏。其色不泽。毛折
乃死。
The Heart corresponds to Fire. It flourishes in Summer. Its pulse is like a hook, large and surging (Hong). Its manifestation is on the tongue. Its sound is speech. Its odor is scorched. Its taste is bitter. Its fluid is sweat. It nourishes blood. Its color is red.
The Heart stores the Shen (Spirit). The Hand-Shaoyin Heart Meridian is its channel. It combines with the Small Intestine. The Small Intestine is a Fu organ governing the exterior; the Heart is a Zang organ governing the interior. When Heart Qi is excessive, leading to an excess of Shen, symptoms include pain inside the chest, distension and fullness under the costal margin, pain under the hypochondrium, pain between the back and shoulders, pain in the inner aspect of both arms, and incessant laughter. This indicates an Excess pattern of Heart Qi, which should be treated with draining methods. When Heart Qi is deficient, symptoms include distension and enlargement of the chest and abdomen, pulling pain between the hypochondrium and the lower back, palpitations with fright, mental confusion, pallor, stiffness of the root of the tongue, and frequent sorrow and grief. This indicates a Deficiency pattern of Heart Qi, which should be treated with tonifying methods. Regarding the four seasons, Heart diseases heal in Late Summer; if not healed in Late Summer, they worsen in Winter; if not fatal in Winter, they persist in Spring; and they recover in Summer. Regarding days, they heal on Wu-Ji days (Earth days); if not healed on Wu-Ji days, they worsen on Ren-Gui days (Water days); if not fatal on Ren-Gui days, they persist on Jia-Yi days (Wood days); and they recover on Bing-Ding days (Fire days). Regarding times of day, the patient feels better at noon, worse at midnight, and calm at dawn. Warm clothing and hot food are prohibited.
The region of the Heart is examined at the Cun Kou (Inch Position) on the left hand. If the Cun Kou pulse comes continuously like linked pearls, smooth as touching fine jade, it is called a Normal Pulse (Ping Mai). In Summer, the Stomach Qi is fundamental. In Summer, Heart Fire is flourishing.
If the pulse is floating, large, surging, and scattered, it is called a Normal Pulse. If instead it is deep, soft, and slippery, it indicates Kidney Water encroaching upon the Heart, i.e., Water overcoming Fire, which is a great reversal and untreatable. If instead it is wiry and long, it indicates Liver Wood encroaching upon the Heart, i.e., Mother overcoming Child; although ill, recovery is expected. If instead it is slow and large, it indicates Spleen Earth encroaching upon the Heart, i.e., Child encroaching upon Mother; although ill, recovery is expected. If instead it is faint, choppy, and short, it indicates Lung Metal encroaching upon the Heart; Metal oppressing Fire is a minor pathogen; although ill, death is not expected. In Heart disease, if the pulse comes rapid and continuous, with slight curvature in the middle, it is called Heart Disease. In fatal Heart conditions, the pulse is curved at the front and rigid at the back, like handling a hooked object, indicating Heart Death. The True Heart pulse arrives firm and beating, like touching Coicis Semen (Job's tears), accumulatingly; if the complexion is dark red-black and lusterless, and hair breaks off, death ensues.
The Spleen corresponds to Earth. It flourishes in Late Summer. Its pulse is slow (Huan). Its manifestation is on the mouth. Its sound is singing. Its odor is fragrant. Its taste is sweet. Its fluid is saliva (Xian). It nourishes flesh and muscles. Its color is yellow.
The Spleen stores Yi (Intellect/Thought). The Foot-Taiyin Spleen Meridian is its channel, combining with the Stomach. The Stomach is a Fu organ governing the exterior; the Spleen is a Zang organ governing the interior. When Spleen Qi is excessive, leading to an excess of Form, symptoms include abdominal distension, difficult urination, heavy body with suffering from hunger, flaccidity and inability to hold the feet, frequent convulsions, and pain in the soles of the feet. This indicates an Excess pattern of Spleen Qi, which should be treated with draining methods. When Spleen Qi is deficient, symptoms include inability to use the four limbs, diarrhea, undigested food in stool, vomiting and regurgitation, abdominal distension, and borborygmus. This indicates a Deficiency pattern of Spleen Qi, which should be treated with tonifying methods. Regarding the four seasons, Spleen diseases heal in Autumn; if not healed in Autumn, they worsen in Spring; if not fatal in Spring, they persist in Summer; and they recover in Late Summer. Regarding days, they heal on Geng-Xin days (Metal days); if not healed on Geng-Xin days, they worsen on Jia-Yi days (Wood days); if not fatal on Jia-Yi days, they persist on Bing-Ding days (Fire days); and they recover on Wu-Ji days (Earth days). Regarding times of day, the patient feels better at noon, worse at dawn, and calm in the late afternoon (Shen-You hours). The Spleen desires relaxation; urgently feed Sweet flavor to relax it, use Bitter flavor to drain it, and use Sweet flavor to tonify it. Warm food, overeating, damp living environments, and wet clothes are prohibited.
The region of the Spleen is examined at the Guan Position above on the right hand. In the sixth month, Spleen Earth flourishes. Its pulse is large, leisurely and slow, called a Normal Pulse. In Late Summer, Stomach Qi is fundamental.
If instead it is wiry and urgent, it indicates Liver Wood encroaching upon Spleen Earth, i.e., Wood overcoming Earth, which is a great reversal and untreatable. If instead it is faint, choppy, and short, it indicates Lung Metal encroaching upon Spleen Earth, i.e., Child encroaching upon Mother; it will heal spontaneously without treatment. If instead it is floating and surging, it indicates Heart Fire encroaching upon Spleen Earth, i.e., Mother returning to Child; recovery is expected without death. If instead it is deep, soft, and slippery, it indicates Kidney Water overcoming Spleen Earth, i.e., Water oppressing Earth, which is a minor pathogen; recovery is expected. A Spleen pulse that is long but weak, coming sparse and going rapid: two beats per breath is Normal; three beats is Li Jing (Departing from the Channel); four beats is Duo Jing (Depletion of Essence); five beats is Ming Jin (End of Life); six beats is Death. In Spleen disease, if the pulse is solid, abundant, and rapid, like a chicken lifting its foot, it is called Spleen Disease. In fatal Spleen conditions, the pulse is hard and sharp like a bird pecking, like a bird's claw, like water leaking from a roof, or like water dripping, indicating Spleen Extinction. The True Spleen pulse arrives weak and alternating between rapid and slow; if the complexion is lusterless and hair breaks off, death ensues.