脉浮短者。其人肺伤。诸气微少。不过一季死。法当嗽也。脉涌涌不去者死。 脉分绝
者死
肝脉
反得濡而微者死。 病
微细涩。而反得紧大而
肢厥逆。脉反浮大而短
死。 病若耳聋。脉反浮大而涩者死。病若脑痛。脉反大而缓者死。 左有病右痛。下有病
者生。脉病形不病者死。 人病尸厥。呼之不应。脉绝者死。脉当大反小者死。 肥人。脉
细小如丝欲绝者死。羸人。得躁脉者死。 人自涩。而脉来往滑者死。 人自滑。而脉来
往涩者死。 人自小。而脉来往大者死。 人自短。而脉来往长者死。 人自长。而脉来往
短者死。人自大。而脉来往小者死。 尺脉上应寸口大迟者、半日死。诊五脏六腑十二经
脉。皆有相反逆。即为死候也。
七诊脉。诸家经论不尽分别。今显脉形状并疾病。有可疗者不可疗者同论于中。
独大者。皮肤壮热。喘息上冲。其脉通度三关。多出少入。与太过相似。两手并极。此
乃不
独小者。四体微寒。中膈气闭。腹冲两胁。其脉沉度于三关。名曰独小。小者气也。不
治之
独寒者。恶寒也。四肢俱冷。伏阳在内。其脉指下沉沉如烂绵。按之不知所在。此不治
之疾
独热者。四肢俱热。脏腑亦热。其脉洪数。故曰独热。可治之疾。
独迟者。其脉三部俱迟。气在脾肤。致有不安。可治之疾。独疾者。寸关急数。尺脉微
虚。
然。
If the pulse is floating and short, it indicates damage to the Lung organ. The Qi of all organs is weak and scarce; death will occur within one season. Coughing is typically expected. If the pulse surges like flowing water and does not subside, death ensues. If the pulse is severed or disconnected, death ensues.
If the Liver pulse instead appears soft (Ru) and faint, death ensues. If the disease symptoms are slight, fine, and choppy, but the pulse instead appears tight, large, and restless, accompanied by cold extremities and reversal of Qi, with a pulse that is floating, large, and short, death ensues.
If the patient suffers from deafness and the pulse instead appears floating, large, and choppy, death ensues. If the patient suffers from headache and the pulse instead appears large and slow, death ensues. If there is disease on the left side causing pain on the right, or disease in the lower part manifesting in the upper part (with favorable signs), survival is indicated. If the pulse contradicts the physical manifestation of the disease (pulse-disease mismatch), death ensues.
In cases of Shijue (Corpse-like Coma) where the patient does not respond to calls, if the pulse is absent/severed, death ensues. If the pulse should be large but is instead small, death ensues.
In obese individuals, if the pulse is fine as a thread and nearly severed, death ensues. In emaciated individuals, if a restless (Zao) pulse appears, death ensues.
If a person feels internally stagnant/choppy but the pulse flows smoothly (Hua), death ensues. If a person feels internally smooth but the pulse flows choppy (Se), death ensues.
If a person feels their pulse is small but the actual pulse is large, death ensues. If a person feels their pulse is short but the actual pulse is long, death ensues. If a person feels their pulse is long but the actual pulse is short, death ensues. If a person feels their pulse is large but the actual pulse is small, death ensues.
If the Chi (Cun) pulse rises to correspond with the Cun (inch) position and is large and slow, death occurs within half a day. In diagnosing the Zang-Fu organs and the twelve meridians, any contradiction or reversal indicates a fatal prognosis.
The "Seven Diagnostic Pulses" were not fully distinguished in various classical texts. Here, the pulse shapes and diseases are clarified, discussing both treatable and untreatable conditions together.
**Du Da (Solely Large Pulse):** The skin is intensely hot, and there is panting with Qi rushing upward. The pulse extends through all three positions (Cun, Guan, Chi), with more outflow than inflow, resembling an Excessive pulse. Both hands show extreme hyperactivity. This indicates a critical condition.
**Du Xiao (Solely Small Pulse):** The four limbs are slightly cold, Qi is blocked in the chest/diaphragm, and abdominal Qi rushes to the flanks. The pulse sinks below the three positions. This is called Du Xiao. A small pulse indicates Qi deficiency; this is an untreatable condition.
**Du Han (Solely Cold Pulse):** There is aversion to cold, and all four limbs are cold. Hidden Yang is trapped inside. The pulse feels deep and soft like rotten cotton under the fingers, unlocatable upon pressure. This is an untreatable disease.
**Du Re (Solely Hot Pulse):** All four limbs are hot, and the Zang-Fu organs are also hot. The pulse is洪 (Hong/Surging) and rapid (Shu). This is called Du Re; it is a treatable condition.
**Du Chi (Solely Slow Pulse):** The pulse at all three positions is slow. Qi is located in the Spleen's superficial layer, causing discomfort. This is a treatable condition.
**Du Ji (Solely Rapid Pulse):** The Cun and Guan positions are urgent and rapid, while the Chi position is faint and deficient.