诊人温病。三四日不得汗出。脉大疾者生。脉细难得者死。诊人温病。穣穣大热。其脉
细小
见者
急螈
热病
得汗
也。
病已得汗。热未去脉微躁者。慎不得刺治也。热
不出。必不治。诊癫病。脉实坚者生。脉沉细小
者死。若腹大胀、四肢逆冷。其人脉形长者死。
大疾者死。诊人肠 下脓血。脉沉小流连者生。
浮者死。诊洞泄食不化下脓血。脉数微小者生
大则生。凡肠 之属。身不热。脉不弦绝。滑
生。热者死。诊诸肠 其脉滑者生。浮者死。
生。诊吐血衄血。脉滑小弱者生。实
气。其脉数。有热不得卧者死。病咳
谓其形损故也。诊嗽。脱形发热脉坚
诸咳嗽。其脉浮软者生。沉伏者死
上气面浮肿肩息。其脉大不可治。
人消渴。脉实大病久可治。脉小紧
死。诊人肠 筋挛。其脉小细安静
疾者死。诊人上气。喘息低昂。其
小滑者生。大躁者死。诊人阴阳俱
其脉代绝者死。诊金疮血出太多。
强者生。小弱者死。诊伤寒热盛。
大者死。诊心腹积聚。其脉劲强者
诊水病。脉洪者可治。微细者不可
腹大如鼓。脉实者生。虚者死。诊
而汗出。微呕而烦扰。手足厥逆。
者死。诊金疮出血。脉沉小者生。浮大者死。诊人卒得中恶。脉大而缓者生。坚而浮者死。
坚细而微者亦生。诊中恶吐血数升
细者死。洪大而速者生。诊老人脉
代。期月而死。诊热病。三五日身
坚。为血实气虚也。其发病腹痛逆
赤而死。脉来细而微者。血气俱不
左手寸口脉偏动。乍大乍小不齐。
其人仲夏得此脉。桃叶落而死。
太过鱼际。沉浮即不至关中。往
止。又须臾还三十动一止。乍动
手尺部脉。三十动而一止。止
至立春而死。
Diagnosing warm disease (Wen Bing) patients: If after three or four days there is no sweating, a pulse that is large and rapid indicates survival, whereas a pulse that is fine and difficult to feel indicates death.
Diagnosing warm disease patients: When the body suffers from intense high fever, if a fine pulse appears accompanied by acute convulsions (Ji Rong), this signifies that the heat disease is resolving and sweating will occur.
If the illness has already produced sweat but the fever persists, and the pulse is faint yet restless, acupuncture treatment must be strictly avoided. If the heat cannot be expelled, it is incurable.
Diagnosing epilepsy (Dian Bing): A solid and firm pulse indicates survival, while a deep, fine, and small pulse indicates death. If abdominal distension and cold extremities are present, and the pulse shape is long and rapid, death ensues.
Diagnosing patients with pus and blood in the stool (Chang Li): A deep, small, and continuous pulse indicates survival, whereas a floating pulse indicates death.
Diagnosing patients with severe diarrhea (Dong Xie), undigested food, and pus/blood in the lower bowels: A rapid, fine, and small pulse indicates survival; a large pulse also indicates survival. In cases of intestinal disorders, if the body is not hot and the pulse is not wiry or severed, a slippery pulse indicates survival, while heat indicates death. For various intestinal diseases, a slippery pulse indicates survival, and a floating pulse indicates death.
Diagnosing hematemesis (vomiting blood) and epistaxis (nosebleed): A slippery, small, and weak pulse indicates survival. If the pulse is excess and qi-dominant, rapid, accompanied by heat and inability to sleep, death ensues. Coughing leading to physical emaciation occurs due to bodily depletion.
Diagnosing cough: Emaciation with fever and a firm pulse indicates blood excess and qi deficiency. Onset with abdominal pain, counterflow qi, and red complexion leads to death. A fine and minute pulse indicates exhaustion of both blood and qi. For various coughs, a floating and soft pulse indicates survival, while a deep and hidden pulse indicates death.
For patients with ascending qi (Shang Qi), facial edema, and shoulder breathing (Shan Xi), an excessively large pulse is untreatable.
Diagnosing xiao ke (wasting-thirst syndrome): A solid and large pulse in a chronic case is treatable; a small and tight pulse indicates death.
Diagnosing patients with intestinal spasms and tendon contraction: A small, fine, and quiet pulse indicates survival, while a rapid pulse indicates death.
Diagnosing patients with ascending qi and irregular breathing sounds: A small and slippery pulse indicates survival, while a large and restless pulse indicates death.
Diagnosing patients with simultaneous yin and yang deficiency: A intermittent and severed pulse (Dai Jue) indicates death.
Diagnosing traumatic wounds (Jin Chuang) with excessive bleeding: A strong pulse indicates survival, while a small and weak pulse indicates death.
Diagnosing shang han (cold damage) with intense heat: A large pulse indicates death.
Diagnosing heart and abdominal accumulations (Ji Zhu): A vigorous and strong pulse indicates survival, while a minute and fine pulse is untreatable.
Diagnosing water disease (edema): A surging pulse is treatable, while a minute and fine pulse is untreatable. Abdominal distension like a drum: a solid pulse indicates survival, while a deficient pulse indicates death.
Diagnosing patients who have sweated, experience slight vomiting, restlessness, and cold extremities: death ensues.
Diagnosing bleeding from traumatic wounds: A deep and small pulse indicates survival, while a floating and large pulse indicates death.
Diagnosing sudden onset of zhong e (evil invasion/fainting): A large and slow pulse indicates survival, while a firm and floating pulse indicates death. A firm, fine, and minute pulse may also indicate survival.
Diagnosing zhong e with several shengs of vomited blood: A fine pulse indicates death, while a surging, large, and rapid pulse indicates survival.
Diagnosing the pulse of the elderly: A Dai pulse predicts death within one month.
Diagnosing heat disease: After three to five days, if the body remains hot and the pulse is firm, it indicates blood excess and qi deficiency.
The left cunkou pulse moves abnormally, varying between large and small irregularly. If a person obtains this pulse in midsummer, they will die when peach leaves fall.
Excessive pulse energy reaches the Yuji point, fluctuating without reaching the Guan position, moving forward but not returning.
Pulse cessation occurs, and after a moment, thirty beats occur with one stop, alternating between movement and stillness.
The right chixi pulse stops once every thirty beats, ceasing completely, predicting death at the beginning of spring.