脉阴阳俱紧者。口中气出。唇口干燥。蜷卧足冷。鼻中涕出。舌上苔滑。勿妄治也。到
七日
使恶
（脉阴阳俱紧为表里客寒。寒为阴。得阳则解。口中气出。唇口干燥者。阳气渐复。正
气
方
之
得
难治。阳脉紧者。寒邪发于上焦。上焦主外也。阴脉紧者。寒邪发于下焦。下焦主内也。设
使恶寒者。上焦寒气胜。是必欲呕也。腹内痛者。下焦寒气胜。是必欲利也。）
脉阴阳俱紧。至于吐利。其脉独不解。紧去入安。此为欲解。若脉迟。至六七日不欲食。
此
（脉阴阳俱紧。为寒气甚于上下。至于吐利之后。紧脉不罢者。为其脉独不解。紧去则
入安
溢精
胃气
六七
病六七日。手足三部脉皆至。大烦。而口噤不能言。其人躁扰者。必欲解也。
（烦。热也。传经之时。病患身大烦。口噤不能言。内作躁扰。则阴阳争胜。若手足三
部脉
若脉和。其人大烦。目重。睑内际黄者。此为欲解也。
（脉经曰。病患两目 有黄色起者。其病方愈。病以脉为主。若目黄。大烦。脉不和者。
邪
脉浮而数。浮为风。数为虚。风为热。虚为寒。风虚相搏。则洒淅恶寒也。
（内经曰。有者为实。无者为虚。气并则无血。血并则无气。风则伤卫。数则无血。浮
数之
所以
脉浮而滑。浮为阳。滑为实。阳实相搏。其脉数疾。卫气失度。浮滑之脉数疾。发热汗
出者
（浮为邪气并于卫。而卫气胜。滑为邪气并于营。而营气实。邪气胜。实拥于营卫。则
营卫
行九
若不
伤寒咳逆上气。其脉散者死。谓其形损故也。
（千金方云。以喘嗽为咳逆。上气者。肺病散者心脉。是心火刑于肺金也。内经曰。心
之肺
When the pulse is tight in both yin and yang positions (Yin-Yang Ju Jin, indicating cold pathogen affecting both exterior and interior), there is warm breath exhaled from the mouth, dry lips and oral cavity, a curled-up posture with cold feet, runny nose, and a slippery coating on the tongue. Do not treat rashly. By the seventh day...
(Note: The pulse being tight in both yin and yang positions indicates cold pathogens invading both the interior and exterior. Cold is yin; it resolves when yang energy arrives. Warm breath and dry lips/mouth indicate that yang qi is gradually recovering, but the righteous qi struggles to fully expel the pathogen, making it difficult to treat. A tight pulse in the yang position indicates cold pathogen originating in the Upper Jiao (Upper Burner), which governs the exterior. A tight pulse in the yin position indicates cold pathogen originating in the Lower Jiao (Lower Burner), which governs the interior. If the patient experiences aversion to cold, it signifies that cold qi prevails in the Upper Jiao, inevitably leading to nausea/vomiting. Abdominal pain signifies that cold qi prevails in the Lower Jiao, inevitably leading to diarrhea.)
When the pulse is tight in both yin and yang positions, progressing to vomiting and diarrhea, if the pulse remains unchanged (tight), it is described as "the pulse alone does not resolve." If the tightness disappears and the patient feels at ease, this indicates the disease is about to resolve. If the pulse is slow, and by the sixth or seventh day the patient has no desire to eat...
(Note: Tight pulse in yin and yang positions indicates severe cold in the upper and lower regions. After vomiting and diarrhea, if the tight pulse persists, it means "the pulse alone does not resolve." When the tightness vanishes, the patient becomes comfortable.)
After six or seven days of illness, if the pulses at the hand and foot three positions (Cun, Guan, Chi) are all palpable and vigorous, and the patient is extremely vexed, with locked jaws unable to speak, and restlessness, this indicates the disease is about to resolve.
(Vexation indicates heat. During the transmission of meridians, if the patient's body is extremely vexed, jaws locked unable to speak, and internal restlessness occurs, it represents the struggle between yin and yang. If the pulses at the hand and foot three positions are harmonious, and although the patient is extremely vexed, their eyes are heavy and the inner eyelids show yellow color, this indicates the disease is about to resolve.)
(The Mai Jing states: If yellow color appears in both eyes of the patient, the disease is nearing cure. Diagnosis relies primarily on the pulse. If there is yellowing of the eyes, extreme vexation, and an unharmonious pulse, it indicates excess pathogenic factors.)
A pulse that is floating and rapid: Floating indicates wind; rapid indicates deficiency. Wind generates heat; deficiency generates cold. The interplay of wind and deficiency leads to shivering and aversion to cold.
(The Nei Jing states: Presence constitutes excess (Shi); absence constitutes deficiency (Xu). Qi aggregation leads to blood deficiency; blood aggregation leads to qi deficiency. Wind injures the Wei Qi (Defensive Qi); a rapid pulse indicates blood deficiency. Floating and rapid/slippery pulses...)
A pulse that is floating and slippery: Floating belongs to Yang; slippery belongs to Excess. The interaction of Yang and Excess causes the pulse to become rapid and hurried, causing the Wei Qi (Defensive Qi) to lose its normal regulation. If the floating-slippery pulse becomes rapid and hurried, accompanied by fever and sweating...
(Floating indicates pathogenic factors merging into the Wei level, where Wei Qi is strong; slippery indicates pathogenic factors merging into the Ying level (Nutritive Level), where Ying Qi is abundant. Pathogenic factors prevail, and excess obstructs Ying and Wei...)
In cases of Shanghan (Cold Damage) with cough and rebellious Qi ascending, if the pulse is scattered (San), death ensues, because the physical form is depleted.
(The Qianjin Fang states: Coughing and wheezing constitute rebellious Qi; upward rushing Qi is a Lung disease. A scattered pulse reflects Heart pulse pathology, indicating Heart Fire insulting Lung Metal. The Nei Jing states: Heart... of the Lung...)