两动一止或三四。三动一止六七死。四动一止即八朝。以此推排但根据次。
池氏曰。暴病者。喜怒惊恐。其气暴逆。致风寒暑湿所侵。病生卒暴。损动胃气而绝即
死。
不过十日也。脉两动而一止乃胃气将绝。犹得三四日方死。三动一止。而胃气将尽。犹得六
七日死。谷气绝尽方死。仿此而推。若至十五动而一止者。乃死期在一年矣。
又歌曰
寸平无病何谓死。尺泽原来脉不存。君知此理是何物。犹如草木已无根。
中风宜浮迟。忌急实。伤寒热病宜洪大。忌沉细。主有变。
伤寒已得汗。脉沉小生。浮大者死。咳嗽宜浮濡。忌伏沉。
心腹痛宜沉细迟。忌浮大弦长坚疾。腹胀宜浮大。忌虚小。
头痛宜浮滑。忌涩短。下痢宜微小。忌大浮洪。
喘急宜浮滑。忌涩。温病穣穣大热。其脉细小者死。
心腹积聚。脉坚强急者生。虚弱者死。癫病脉虚可治。实则死。又云脉坚实者生。沉
细小者死。
狂病宜实大。忌沉细。吐血宜沉弱忌实大。
霍乱宜浮洪。忌微迟。上气浮肿。宜沉滑。忌微细。
鼻衄宜细沉。忌浮大。中恶宜紧细。忌浮大。
金疮宜微细。忌紧数。中毒宜洪大。忌细微。
肠癖下脓血。宜小沉迟。忌数疾大。吐血宜沉小弱。忌实大。
坠堕内伤。宜紧弦。忌小弱。风痹痿软。宜虚濡。忌数。
腹中有积。忌虚弱。病热脉静者危。
血脱而脉实者危。泄而脉大者危。
病在中。脉虚者危。病在外。脉涩者危。
痈疽脓血大泄。脉滑数者危。妇人带下。宜迟滑。忌浮虚急疾。
妇人妊六七个月。宜实大弦紧。忌沉细虚弱。妇人产前。脉细小者危。
妇人虚劳。右寸数者危。妇人已产。宜小实沉细。缓滑微小。忌浮虚实大弦急牢紧。
头痛目痛。卒视无所见者死。肠癖下血。身热则死。寒则生。
洞泄食不化。不得留。下脓血。脉微小迟者生。紧急者死。咳嗽羸瘦。脉形坚大者死
消渴脉数大者生。细小浮短者死。水病脉洪大者可治。微细者不可治。
厥逆汗出。脉坚强急者生。虚缓者死。病风不仁痿 。脉虚者生。坚疾者死。
上气喘急低昂。其脉滑。手足温者生。脉涩四肢寒者死。
Two beats followed by one pause, or three or four beats followed by one pause. Three beats followed by one pause indicates death within six to seven days. Four beats followed by one pause indicates death on the eighth day. By deducing according to this sequence, one can determine the prognosis.
Master Chi stated: Acute diseases (sudden onset illnesses) are caused by sudden emotional disturbances such as anger, joy, fear, and shock, leading to a sudden rebellion of Qi. This makes the body susceptible to invasion by wind, cold, summer-heat, and dampness. The disease arises suddenly and violently, damaging Stomach Qi; once Stomach Qi is exhausted, death ensues.
Death occurs within ten days. A pulse with two beats followed by one pause indicates that Stomach Qi is about to be exhausted; death will occur in three or four days. A pulse with three beats followed by one pause indicates that Stomach Qi is nearly depleted; death will occur in six or seven days. Death happens only when Gu Qi (Grain Qi) is completely exhausted. Deduce similarly: if there are fifteen beats followed by one pause, death will occur within one year.
Another verse states:
The Cun position (distal radial pulse position) appears normal without disease, why is it declared fatal? The Chi position (proximal radial pulse position) originally lacks a palpable pulse. If you understand the principle behind this, it is like a plant that has lost its roots.
For Zhong Feng (Wind Stroke), a floating and slow pulse is favorable; an urgent and full pulse is unfavorable. For Shang Han (Cold Damage) and febrile diseases, a洪大 (Hong Da, surging and large) pulse is favorable; a 沉细 (Chen Xi, deep and fine) pulse is unfavorable, indicating potential complications.
After sweating in Shang Han, a deep and small pulse indicates survival; a floating and large pulse indicates death. For coughing, a floating and soft pulse is favorable; a hidden and deep pulse is unfavorable.
For heart and abdominal pain, a deep, fine, and slow pulse is favorable; a floating, large, wiry, long, firm, and rapid pulse is unfavorable. For abdominal distension, a floating and large pulse is favorable; a deficient and small pulse is unfavorable.
For headache, a floating and slippery pulse is favorable; a choppy and short pulse is unfavorable. For dysentery, a minute and small pulse is favorable; a large, floating, and surging pulse is unfavorable.
For panting and urgency, a floating and slippery pulse is favorable; a choppy pulse is unfavorable. In Wen Bing (Warm Diseases) with intense high fever, a fine pulse indicates death.
For accumulation masses in the heart and abdomen, a firm, strong, and urgent pulse indicates survival; a weak pulse indicates death. For Dian Bing (Manic Depression), a deficient pulse is treatable; a full pulse indicates death. It is also said that a firm pulse indicates survival, while a deep, small, and fine pulse indicates death.
For Kuang Bing (Mania), a full and large pulse is favorable; a deep and fine pulse is unfavorable. For hematemesis (vomiting blood), a deep and weak pulse is favorable; a full and large pulse is unfavorable.
For Huo Luan (Cholera-like syndrome), a floating and surging pulse is favorable; a minute and slow pulse is unfavorable. For upper jiao qi rebellion with edema, a deep and slippery pulse is favorable; a minute and fine pulse is unfavorable.
For epistaxis (nosebleed), a fine and deep pulse is favorable; a floating and large pulse is unfavorable. For Zhong E (Poisoning by miasma), a tight and fine pulse is favorable; a floating and large pulse is unfavorable.
For Jin Chuang (metal weapon wounds), a minute and fine pulse is favorable; a tight and rapid pulse is unfavorable. For poisoning, a surging and large pulse is favorable; a minute and fine pulse is unfavorable.
For Chang Pi (intestinal disorder) with pus and blood discharge, a small, deep, and slow pulse is favorable; a rapid, urgent, and large pulse is unfavorable. For hematemesis, a deep, small, and weak pulse is favorable; a full and large pulse is unfavorable.
For internal injury from falling, a tight and wiry pulse is favorable; a small and weak pulse is unfavorable. For Feng Bi (Wind-Damp Obstruction) and Wei Ruan (Flaccidity), a deficient and soft pulse is favorable; a rapid pulse is unfavorable.
For abdominal accumulations, a weak pulse is unfavorable. In heat diseases, a quiet pulse indicates danger.
In blood loss, a full pulse indicates danger. In diarrhea, a large pulse indicates danger.
When the disease is internal (in the interior), a deficient pulse indicates danger. When the disease is external (on the surface), a choppy pulse indicates danger.
When abscesses and ulcers discharge large amounts of pus and blood, a slippery and rapid pulse indicates danger. For women with leukorrhea, a slow and slippery pulse is favorable; a floating, deficient, urgent, and rapid pulse is unfavorable.
For pregnant women at six or seven months, a full, large, wiry, and tight pulse is favorable; a deep, small, and weak pulse is unfavorable. For women before delivery, a fine pulse indicates danger.
For women with Xu Lao (Deficiency Consumption), a rapid pulse at the right Cun position indicates danger. For postpartum women, a small, full, deep, and fine pulse, or a slow, slippery, minute, and small pulse is favorable; a floating, deficient, full, large, wiry, urgent, firm, and tight pulse is unfavorable.
For headache and eye pain, sudden blindness indicates death. For intestinal bleeding with blood in stool, fever indicates death, while chills indicate survival.
For Dong Xie (profuse watery diarrhea) where food is not digested and cannot stay, with pus and blood discharge, a minute, small, and slow pulse indicates survival; an urgent pulse indicates death. For coughing and emaciation, a firm and large pulse shape indicates death.
For Xiao Ke (Wasting-Thirst), a rapid and large pulse indicates survival; a fine, floating, and short pulse indicates death. For Shui Bing (Water Disease/Edema), a surging and large pulse is treatable; a minute and fine pulse is untreatable.
In Jue Ni (Cold Reversal) with sweating, a firm, strong, and urgent pulse indicates survival; a weak and slow pulse indicates death. For Wind disease with numbness and flaccidity, a deficient pulse indicates survival; a firm and rapid pulse indicates death.
For upper jiao qi rebellion with panting and visible chest movement, a slippery pulse with warm hands and feet indicates survival; a choppy pulse with cold limbs indicates death.