痿病肺虚脉多微缓或涩或紧或细或濡此言痿病脉证之义也痿者委也足痿不用有委靡不振
之义(素问痿论岐伯曰)肺叶热焦则皮毛虚弱急薄着则生痿 是痿病多生于肺虚也其脉多微
缓
或涩或紧或细或濡者以微应皮毛缓应肌肉涩应血脉紧应筋膜细濡应骨髓耳故治痿者必兼视各
脏之荣俞察脉之盛衰宜补宜通而后逆顺可和虚实可调病良已矣
风寒湿气合而为痹浮涩而紧三脉乃备此言痹病脉证之义也(岐伯曰)风寒湿三气杂至合
而
为痹也其风气胜者为行痹寒气胜者为痛痹湿气胜者为着痹也夫脉浮涩而紧者浮为风涩为湿紧
为寒乃一脉中见此三种始为三邪杂合若杂合中邪有偏胜则又当审脉之浮多涩多紧多以别之也
五疸实热脉必洪数涩微属虚切忌发渴此言五疸脉证之义也疸者黄胆也黄胆有五曰湿疸谷
疸女劳疸酒疸及黄汗也其实脾胃为之总司湿热为之根始夫脾胃属土合肌肉而主四肢其化湿其
色黄其性滞着其脉迟缓所畏者风木而复喜风之燥能制者寒水而反恶水之湿若内无脾胃之郁外
无风湿之搏虽有外邪气机自利热不 蒸黄又何自而生乎五疸皆属湿热者以疸皆湿与热郁外不
得通内不得泄 蒸成黄虚松而有通泄处则不能成黄故曰实热若是则脉自应洪数涩微者自应为
虚黄也渴为里热黄为表蒸表里热亢阴何以堪又疸既湿郁汗溺不通可复加之饮乎渴则多饮故最
忌也
Wei syndrome (flaccidity syndrome) with lung deficiency often presents with a superficial and slow pulse, or a choppy, tight, fine, or soggy pulse. This explains the meaning of the pulse and symptoms of wei syndrome. "Wei" means to collapse; foot flaccidity with inability to use implies a state of listlessness and lack of vigor. As stated by Qibo in *Suwen: Pi Lun* (Plain Questions: Treatise on Flaccidity): When the lungs are hot and scorched, causing the skin and hair to become weak, thin, and adherent, wei syndrome arises. Thus, wei syndrome mostly originates from lung deficiency. The pulse is often superficial and slow, or choppy, tight, fine, or soggy. The superficial quality corresponds to the skin and hair; the slow quality to the muscles; the choppy quality to the blood vessels; the tight quality to the sinews; and the fine and soggy qualities to the bone marrow. Therefore, when treating wei syndrome, one must simultaneously observe the Ying-Shu points of each zang organ, examine the excess or deficiency of the pulse, determine whether tonification or unblocking is appropriate, so that the adverse and favorable states can be harmonized, excess and deficiency can be regulated, and the disease will be cured.
Wind-cold-dampness combining to form Bi syndrome, with floating, choppy, and tight pulses all present, explains the meaning of the pulse and symptoms of bi syndrome. Qibo said: The three qi of wind, cold, and dampness mix together to form bi syndrome. If wind qi prevails, it is called Xing-bi (Wandering Bi); if cold qi prevails, it is called Tong-bi (Painful Bi); if dampness qi prevails, it is called Zhuo-bi (Fixed Bi). A floating, choppy, and tight pulse indicates that floating corresponds to wind, choppy to dampness, and tight to cold. Only when these three qualities appear within a single pulse does it signify the mixed combination of the three pathogens. If among the mixed pathogens one pathogen is predominant, one must further examine whether the floating, choppy, or tight quality is more pronounced to distinguish them.
The five types of Dan jaundice with excess-heat must have a surging and rapid pulse; choppy and fine pulses belong to deficiency. One must strictly avoid inducing thirst. This explains the meaning of the pulse and symptoms of the five types of Dan jaundice. "Dan" refers to yellow jaundice. There are five types of yellow jaundice: Shi-dan (Damp Jaundice), Gu-dan (Grain Jaundice), Nu-lao-dan (Female Labor Jaundice), Jiu-dan (Alcoholic Jaundice), and Huang-han (Yellow Sweat). In essence, the Spleen and Stomach are the overall managers, while damp-heat is the root cause. The Spleen and Stomach belong to Earth, connect with muscles, and govern the four limbs. They transform dampness, their color is yellow, their nature is stagnant and fixed, and their pulse is slow and moderate. They fear Wood (wind), yet they appreciate the drying nature of wind; they are controlled by Water (cold), yet they dislike the wetness of water. If there is no internal stagnation of the Spleen and Stomach, and no external confrontation with wind-dampness, even if there are external pathogens, the Qi mechanism flows freely. Without steaming heat, how could jaundice arise? All five types of Dan jaundice belong to damp-heat because jaundice results from the depression of dampness and heat, which cannot circulate outward nor excrete inward, leading to steaming and turning yellow. If the body is loose and deficient with open pathways for excretion, jaundice cannot form. Thus, it is said that if it is excess-heat, the pulse should naturally be surging and rapid; if choppy and fine, it should naturally be deficiency-type yellow jaundice. Thirst indicates interior heat; yellow indicates exterior steaming. With extreme heat in both the interior and exterior, how can Yin endure? Furthermore, since jaundice involves dampness depression with blocked sweating and urination, can one add drinking fluids? Thirst leads to excessive drinking, which is therefore strictly contraindicated.