三部脉实。长病得之不治。 三部脉虚。长病得之不治。虚而涩。长病亦死。虚而滑亦
死。
死。
卒
长
得
自
病
脉
病
脉
紧
人有三虚三实者。谓有脉之虚实。有病之虚实。有诊之虚实也。脉有虚实者。脉来濡者
为虚
急者
内虚
者是
五虚
脉有损至何谓也?曰∶至之脉。一呼再至曰平。三至曰离经。四至曰夺经。五至曰困。
六至
此
落
四
者
损于心者调其荣卫。损于脾者调其饮食。适其寒温。损于肝者缓其中。损于肾者益其精。此
治损之法也。
论曰∶声合五音。色合五行。声色符同。然后定脏腑之荣枯。若滋荣者其气生。如翠羽。
鸡
于
以
见黑黄。是谓真藏之见者。以
风而鼻黄。肾风而肌黑。以风
脾热而鼻赤。肾热而颐赤。以
气不同故尔。鼻青为腹水气。
故尔。然审病者。又皆以真脾
生者。以其真气外荣故也。
凡人赤者。欲如帛裹朱砂。不欲如赭色也。白者。欲如白璧之色。不欲如白垩也。青者。
欲
炭
也。 凡青如翠羽。黑如乌羽。赤如鸡冠。黄如蟹腹。白如豚膏。有此五色者。并为生候也。
病患耳目鼻口。有黑色起入口者必死。 病患两目皆有黄色起者。其病当愈。 病患耳目
及颊颧上赤者五日死。 病患有黑色。出于额上及发际。至鼻脊两颧上。五日死。 病患及
健人。黑及白色入目鼻口者。五日而死。病患及健人。面忽如马肝色。望之如青。近之如黑
者死。病患口如鱼口。不能复闭。而气出多不返者死。 病患妄语错乱。及不能语者不可治
。热病可治。 病患循衣缝谵言者不可治。 病患尸臭甚者不可治。 病患目回回直视。肩
息者一日中死。 病患面青。人中反者三日死。 病患面无精光似土色。不能食者四日死。
病患目无精光。及牙齿黑色不可治。病患面黄目黑。九日死。 病患面白目黑者不可治。
病患面赤目白者十日死。 病患但张其口不能闭者三日死。 病患面赤目青者立即死。
病患面黑目白者八日死。 病患目系倾者七日死。 病患齿忽变黑者。十三日死。 病患发
直者。十五日死。 病患遗尿不觉者死。 病患唇口忽干者必死。病患爪甲青者必死。
病患头目久痛。卒视物不见必死。病患舌卷及卵缩者死。 病患面黑。目直视恶风者死。
病患面黄目白者不死。 病患面黄目青者死。 病患面黄目赤者不死。 病患面色青目白者
死。 病患面目俱黄即不死。 病患面目俱白者即死。
麻。喜怒者死。 病患发与
眉冲起者死。
卒肿。面色苍黑者死。 病患手掌肿无纹
者死。 病患手足爪甲下肉黑者死。 病患汗出不流舌卷者死。 病患唇反。人中满者死。
病患阴阳绝。目眶陷者死。病患五脏已夺
恍惚者死。 病患阴阳俱绝。裂衣掇空。妄言者死。 病患阴阳俱泄绝。失音不能言者死。
病患荣卫竭绝。面浮肿者死。
The pulses in the three positions (Cun, Guan, Chi) are all Excess (Shi). If a patient with a chronic disease presents this pulse, it is untreatable.
The pulses in the three positions are all Deficiency (Xu). If a patient with a chronic disease presents this pulse, it is untreatable.
If the pulse is Deficient and Choppy (Se), the patient with a chronic disease will also die.
If the pulse is Deficient and Slippery (Hua), death will also occur.
Humans have three types of "Deficiency" and three types of "Excess," referring to: the Excess/Deficiency of the Pulse (Mai), the Excess/Deficiency of the Disease (Bing), and the Excess/Deficiency of Diagnosis (Zhen).
Regarding the Excess/Deficiency of the Pulse: A pulse that feels soft and weak indicates Deficiency; a pulse that feels tight and urgent indicates Excess.
Internal Deficiency syndromes include the Five Deficiencies (Wu Xu).
What is meant by the distinction between "Sun" (Damage/Loss) and "Zhi" (Increase/Arrival) pulses? It is said: The "Zhi" pulse refers to an increased frequency of beats. Two beats per exhalation indicate a Normal (Ping) pulse. Three beats per exhalation indicate Li Jing (Departure from the Canon/Abnormal). Four beats per exhalation indicate Duo Jing (Deprivation of the Canon/Essence Depletion). Five beats per exhalation indicate Kun (Distress/Qi Exhaustion). Six beats... [Text fragment] ... Luo... Si Zhe... Damage to the Heart is treated by regulating Ying Wei (Nutritive and Defensive Qi). Damage to the Spleen is treated by regulating diet and adapting to cold and warmth. Damage to the Liver is treated by soothing the interior. Damage to the Kidney is treated by benefiting the Essence (Jing). These are the methods for treating Sun pulses.
It is stated: Sounds correspond to the Five Tones (Wu Yin), and complexions correspond to the Five Elements (Wu Xing). Only when sound and complexion accord with each other can one determine the flourishing or withering state of the Zang-Fu organs. If nourishment is abundant, the Qi is vibrant, resembling the luster of kingfisher feathers... Seeing black and yellow hues indicates the manifestation of True Zang Colors (Zhen Zang). Wind pathogen affecting the nose manifests as yellow; Kidney wind affecting muscles manifests as black. Due to wind... Spleen heat manifests as redness at the nose tip; Kidney heat manifests as redness at the chin. This is due to differences in Qi color. Nasal cyanosis indicates abdominal fluid accumulation... Therefore, examining patients relies on the appearance of True Zang colors... Vitality thrives because True Qi flourishes externally.
Generally, a ruddy complexion should resemble white silk wrapping cinnabar (lustrous and bright), not like jasper (dull and dark). A white complexion should resemble white jade, not like white chalk (dry and dull). A green/cyan complexion should resemble... charcoal... [Text fragment]. Generally, if the green resembles kingfisher feathers, black resembles crow feathers, red resembles rooster combs, yellow resembles crab bellies, and white resembles pork fat, possessing these five colors with lustrous and distinct characteristics indicates signs of life.
If black color appears around the ears, eyes, nose, and mouth of a patient and enters the mouth, death is certain.
If both eyes of a patient show emerging yellow color, the illness should heal.
If the eyes, ears, and cheekbones of a patient are red, death occurs within five days.
If black color emerges on a patient from the forehead and hairline, extending to the nasal bridge and above the cheekbones, death occurs within five days.
If black or white color invades the eyes, nose, and mouth of either a patient or a healthy person, death occurs within five days.
If a patient's face suddenly takes on the color of a horse's liver—appearing green from afar and black up close—death ensues.
If a patient's mouth opens like a fish's and cannot close, with breath exiting but not returning, death ensues.
If a patient speaks deliriously, is confused, or is unable to speak, it is untreatable. (Note: If caused by Heat Disease, it may be treatable.)
If a patient grasps at the seams of clothes and speaks deliriously, it is untreatable.
If a patient emits a severe corpse-like odor, it is untreatable.
If a patient's eyes are fixed and staring straight ahead, and they breathe with raised shoulders (orthopnea), death occurs within one day.
If a patient's face is cyanotic and the philtrum is flat or inverted, death occurs within three days.
If a patient lacks luster, has a earthy complexion, and cannot eat, death occurs within four days.
If a patient's eyes lack luster and teeth turn black, it is untreatable.
If a patient has a yellow face and black eyes, death occurs within nine days.
If a patient has a white face and black eyes, it is untreatable.
If a patient has a red face and white eyes, death occurs within ten days.
If a patient only opens their mouth and cannot close it, death occurs within three days.
If a patient has a red face and cyan eyes, death occurs immediately.
If a patient has a black face and white eyes, death occurs within eight days.
If the eye tendons (Mu Xi) of a patient are deviated, death occurs within seven days.
If the teeth of a patient suddenly turn black, death occurs within thirteen days.
If the hair of a patient stands straight, death occurs within fifteen days.
If a patient urinates involuntarily without awareness, death ensues.
If the lips and mouth of a patient suddenly become dry, death is certain.
If the fingernails and toenails of a patient turn cyanotic, death is certain.
If a patient suffers from long-term headache and eye pain, followed by sudden blindness, death is certain.
If the tongue of a patient curls inward and the testicles retract, death ensues.
If a patient has a black face, stares straight ahead, and fears wind, death ensues.
If a patient has a yellow face and white eyes, they will not die.
If a patient has a yellow face and cyan eyes, death ensues.
If a patient has a yellow face and red eyes, they will not die.
If a patient has a cyan face and white eyes, death ensues.
If a patient's face and eyes are both yellow, they will not die.
If a patient's face and eyes are both white, death ensues.
[Fragmented text]: Hair resembling hemp, accompanied by anger and joy/fright, leads to death. If the hair and eyebrows of a patient suddenly stand upright, death ensues.
Sudden swelling with a pale-black complexion leads to death.
Swelling of the palms without visible lines leads to death.
Black flesh under the nails of hands and feet leads to death.
Sweat that does not flow combined with a curled tongue leads to death.
Everted lips and a full philtrum lead to death.
Extinction of Yin and Yang Qi with sunken eye orbits leads to death.
Extreme depletion of the Five Zang organs with mental confusion leads to death.
Simultaneous extinction of Yin and Yang Qi, manifested by tearing clothes, grasping at empty air, and delirious speech, leads to death.
Complete leakage and extinction of Ying Wei Qi, resulting in aphonia, leads to death.
Exhaustion of Ying Wei Qi with facial edema leads to death.