素问诊脉与针经皆同。取右寸口。又名气口。气口者肺部也。在天者也。为十二经皆朝
于肺
难经诊法。从地上合于天。何以知其然也。始于春。终于冬。乃弦洪毛石四法。
一。少阳。二。阳明。三。太阳。四。太阴。五。少阴。六。厥阴。
又说左手脉行阳道。右手脉行阴道。脉分表里太过不及。
仲景伤寒诊法。自外之内。左寸为始。
一。足太阳寒。二。足阳明燥。三。足少阳火。四。足太阴湿。五。足少阴热。六。足
厥阴
以上六经。皆足之六经。在北方寒水。东方风。戌丑之位。故始于伤寒。病发于春。为
温病
叔和脉诀说。左迁逆行天度为病。故入式歌曰。左心小肠肝胆肾。右肺大肠脾胃命也。
图解脉诀入式
左心、小肠、肝、胆、肾。
左寸动脉所主。洪。 手少阴心经脉。
手太阳小肠脉。
左关动脉所主。弦。 足厥阴肝经脉。
足少阳胆经脉。
左尺动脉所主。沉细。足少阴肾经脉。
右肺、大肠、脾、肺、命。
右寸动脉所主。涩。 手太阴肺经脉。
手阳明大肠脉。
右关动脉所主。缓。 足太阴脾经脉。
足阳明胃经脉。
右尺动脉所主。洪数。 手厥阴心包络脉。
手少阳三焦相火脉。
寸
左 心、小肠。
右 肺、大肠。
关
左 肝、胆。
右 脾、胃。
尺
左 肾、膀胱。
右 心包络、三焦。
尺盛有病 寸为阳借言男。关尺为阴、借言女。说无病。寸如阴。女至此寸弱。而此说
顺也
尺弱有病 寸为阳借言男。关尺为阴。借言女。说无病。尺如阳、男至此寸盛。而此说
顺也
春夏背阳在上。抱阴在下。春夏背阳而抱阴。春升夏浮顺。春夏不升浮反。
秋冬背阴在上。抱阳在下。秋冬背阴而抱阳。秋降冬沉顺。秋冬不沉降反。
左寸关尺 左尺属肾水（所主者异）
右寸关尺 右尺属相火（受病则同）
男曰作强之官。女曰技巧之官。男子内结七疝。女子带下瘕聚。
三十六难曰∶脏各有一耳。肾独有两，何也。然肾两者非皆肾也。
其左者为肾。右者为命门。
命门者精神之所舍。元气之所系也。男子以藏精。女子以系胞。故肾有二也。洁古云。
男子
Suwen (Plain Questions) and Zhenjing (Classic of Acupuncture) share the same methods for pulse diagnosis. One takes the Cun Kou (Cun Kou, Pulse Location at the Radial Artery) on the right hand, also known as Qi Kou (Qi Kou, Air Port). Qi Kou corresponds to the Lung organ. It belongs to Heaven (the upper aspect), because all twelve meridians converge upon the Lung.
The diagnostic method in Nanjing (Classic of Difficult Issues) posits that the pulse rises from Earth to merge with Heaven. How do we know this? It begins in Spring and ends in Winter, corresponding to the four pulse methods: Xian (String-like), Hong (Surging), Mao (Feather-like), and Shi (Stone-like). These correspond respectively to: 1. Shaoyang (Lesser Yang), 2. Yangming (Greater Yang), 3. Taiyang (Greater Yin), 4. Taiyin (Lesser Yin), 5. Shaoyin (Lesser Yin), 6. Jueyin (Terminal Yin).
It is further stated that the pulse on the left hand travels through the Yang pathways, while the pulse on the right hand travels through the Yin pathways. The pulse is differentiated into Exterior/Interior, Excess, and Deficiency.
Zhang Zhongjing’s (Zhang Zhongjing, Physician) diagnostic method for Shanghan (Cold Damage Disease) proceeds from the exterior to the interior, starting with the Left Cun position.
1. Foot-Taiyang Cold Water, 2. Foot-Yangming Dry Metal, 3. Foot-Shaoyang Ministerial Fire, 4. Foot-Taiyin Damp Earth, 5. Foot-Shaoyin Hot Water, 6. Foot-Jueyin Wind Wood.
These above six meridians are all the Foot meridians. In the North, they belong to Cold Water; in the East, to Wind; located at the Xu and Chou positions. Thus, it begins with Shanghan (Cold Damage Disease). Diseases manifesting in Spring are called Wenbing (Warm Disease).
Wang Shuhe’s (Wang Shuhe, Physician) Maijue (Pulse Mantra) states that if the Left pulse reverses against the Heavenly degrees, it indicates disease. Therefore, the Rushi Ge (Song of Entering the Formula) says: "Left: Heart, Small Intestine, Liver, Gallbladder, Kidney; Right: Lung, Large Intestine, Spleen, Stomach, Mingmen."
Illustrated Diagram of Maijue Rushi:
Left Heart, Small Intestine, Liver, Gallbladder, Kidney.
The Left Cun arterial pulse governs, appearing Hong (Surging). This is the Hand-Shaoyin Heart meridian.
The Hand-Taiyang Small Intestine meridian.
The Left Guan arterial pulse governs, appearing Xian (String-like). This is the Foot-Jueyin Liver meridian.
The Foot-Shaoyang Gallbladder meridian.
The Left Chi arterial pulse governs, appearing Chen Xi (Deep and Fine). This is the Foot-Shaoyin Kidney meridian.
Right Lung, Large Intestine, Spleen, Stomach, Mingmen.
The Right Cun arterial pulse governs, appearing Se (Choppy). This is the Hand-Taiyin Lung meridian.
The Hand-Yangming Large Intestine meridian.
The Right Guan arterial pulse governs, appearing Huan (Lax). This is the Foot-Taiyin Spleen meridian.
The Foot-Yangming Stomach meridian.
The Right Chi arterial pulse governs, appearing Hong Shu (Surging and Rapid). This is the Hand-Jueyin Pericardium meridian.
The Hand-Shaoyang Sanjiao Ministerial Fire meridian.
Cun Position:
Left: Heart, Small Intestine.
Right: Lung, Large Intestine.
Guan Position:
Left: Liver, Gallbladder.
Right: Spleen, Stomach.
Chi Position:
Left: Kidney, Bladder.
Right: Pericardium, Sanjiao.
If the Chi pulse is vigorous indicating disease, the Cun is Yang, borrowed to speak of men; the Guan and Chi are Yin, borrowed to speak of women. If stating there is no disease, the Cun resembles a Yin pulse; when women reach this point, the Cun pulse is weak, and this description is considered compliant/harmonious.
If the Chi pulse is weak indicating disease, the Cun is Yang, borrowed to speak of men; the Guan and Chi are Yin, borrowed to speak of women. If stating there is no disease, the Chi resembles a Yang pulse; when men reach this point, the Cun pulse is vigorous, and this description is considered compliant/harmonious.
In Spring and Summer, Yang backs upward, Yin embraces downward. Spring and Summer back Yang and embrace Yin; Spring rising and Summer floating are compliant. If Spring and Summer do not rise and float but instead reverse, it is non-compliant.
In Autumn and Winter, Yin backs upward, Yang embraces downward. Autumn and Winter back Yin and embrace Yang; Autumn descending and Winter sinking are compliant. If Autumn and Winter do not descend and sink but instead reverse, it is non-compliant.
Left Cun, Guan, Chi: Left Chi belongs to Kidney Water (the governed organs differ).
Right Cun, Guan, Chi: Right Chi belongs to Ministerial Fire (the pathology is the same).
Men are called the Official of Strength and Vigor; Women are called the Official of Skill and Technique. Men internally may form Seven Types of Hernia (Qishen); women may suffer from Leukorrhea (Daixia) and Masses/Growths (Jiaju).
Nanjing Chapter 36 states: Each Zang organ has one, yet the Kidneys alone have two. Why? The answer is: The two kidneys are not both Kidneys.
The left one is the Kidney; the right one is the Mingmen (Gate of Life).
Mingmen is where the Spirit resides and where Yuanqi (Original Qi) is anchored. In men, it stores Essence (Jing); in women, it anchors the Bao (Uterus). Hence, there are two kidneys. Jiegu (Zhang Yuansu, courtesy name Jiegu) said: Men...