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If the pulse beats once and then pauses, death occurs in two days. Another text states that death occurs in one day. If the pulse beats twice and then pauses, death occurs in three days. If the pulse beats three times and then pauses, death occurs in four days. Or death may occur in five days.

[Note: The original text contains fragmented phrases such as "Dong Yi Yun Li..." which are syntactically incomplete or corrupted. Based on standard pulse diagnosis texts like *Mai Jing*, these likely refer to specific irregular pulse patterns and their prognoses, but cannot be accurately translated without reconstruction.]

If the pulse completes forty beats before a pause, it indicates that the Qi of one Zang organ is exhausted. Death will occur when spring grass grows the following year. If the pulse completes thirty beats before a pause, it indicates that the Qi of two Zang organs is exhausted. Death will occur after three years. [Text corruption detected here; logically follows: If the pulse arrives once and lingers, the chronic disease is in the Heart Master; if it arrives twice and lingers, the disease is in the Liver branch; if it arrives thrice and lingers, the disease is in the Spleen branch; if it arrives four times and lingers, the disease is in the Kidney; if it arrives five times and lingers, the disease is in the Lung branch.] For diseases of the five pulses, if a emaciated person presents with this pulse, they will die. This is because medicine cannot treat it, and acupuncture cannot reach it. However, if a robust person presents with this, it can be treated, because their Yuan Qi (Original Qi) is intact.

To inspect the pulse, one must distinguish internal and external causes by comparing the Renying (Human Welcome) and Qikou (Qi Mouth) pulses; this is the essential method for learning diagnosis. Thus, *Mai Zan* states: "The point just anterior to the Guan position is the master of human life." However, [text missing] ... factors that can stimulate latent pathogens manifest at the Qikou pulse, precisely due to the onset of stagnation from the Seven Emotions, aided by dietary factors. Originally, retained food does not directly correspond to the Qikou pulse. Furthermore, regarding retained food, the pulse may be floating, large, and slightly choppy, or rapid, slippery, and excess. In the Yin aspect, it appears choppy; in the Yang aspect, it appears slippery. If retained food fails to transform, the pulse becomes deep and tight. If retained food forms a mass (Jia), the pulse becomes heavy and profound. All these syndromes are termed injuries to the Stomach; what relevance do they have to the Qikou pulse? Moreover, extreme fatigue of sinews and muscles results in a string-taut, rapid, and excess pulse. Sinew pain causes pulsation, all indicating injury to the Liver. Excessive mental concentration leads to a slippery pulse; depletion of Shen (Spirit) leads to a scattered pulse, all indicating injury to the Heart. String-taut pulsation depletes Qi, resulting in a soft and weak pulse; shouting and running deplete Qi, resulting in a scattered and urgent pulse, all indicating injury to the Lungs. Sexual exhaustion leading to loss of essence results in floating and scattered pulses at both Chi positions. Nocturnal emission in men and spontaneous abortion in women present with string-taut, large, and革 (leather-like) pulses, all indicating injury to the Kidneys.

Regarding coldness in the Zang organs causing ascariasis convulsion, the pulse is naturally slightly floating, or becomes tight and slippery. Stomach deficiency leading to anorexia results in a slow pulse, or occasionally a slightly soft pulse. Stagnation of the Five Drinks results in a floating, fine, and slippery pulse. [Text corruption: "Six Accumulations," "Surging and rapid," etc., appear fragmented.] When diagnosing such pulse-syndrome combinations, even if they correspond with the Renying and Qikou pulses, one must deduce them by categories. With the Three Causes interwoven and the Four Sentences used for simplification, one distinguishes between purely internal or purely external [origins], where the pulse predominantly reflects Qi... [Text ends abruptly].