晦庵朱子曰古人察脉非一道今世惟守寸关尺之法所谓关者多不明独俗传脉诀词最鄙浅非
叔和本书乃能直指高骨为关然世之高医以其书赝遂委弃而羞言之(跋郭长阳书)
东阳柳贯曰王叔和撰脉经十卷为医家一经今脉诀熟在人口直谓叔和所作不知叔和西晋时
尚未有歌括此乃宋之中世人伪托以便习肄尔朱子取其高骨为关之说不知其正出脉经也
庐陵谢缙翁曰今称叔和脉诀不知起于何时宋熙宁初校正脉经尚未有此陈孔硕始言脉诀出
而脉经隐则脉诀乃熙宁以后人作耳惟陈无择三因方言高阳生剽窃作歌诀刘元宾从而和之其说
似深知脉经者而又自着七表八里九道之名则陈氏亦未尝详读脉经矣
河东王世相曰诊候之法不易精也轩岐微蕴越人叔和撰难经脉经犹未尽泄其奥五代高阳生
着脉诀假叔和之名语多 牾辞语鄙俚又被俗学妄注世医家传户诵茫然无所下手不过借此求食
而已于诊视何益哉
云间钱溥曰晋太医令王叔和着脉经其言可守而不可变及托叔和脉诀行而医经之理遂微盖
叔和为世所信重故假其名而得行耳然医道之日浅未必不由此而误之也
金陵戴起宗曰脉不可以表里定名也轩岐越人叔和皆不言表里脉诀窃叔和之名而立七表八
里九道为世大惑脉之变化从阴阳生但可以阴阳对待而言各从其类岂可以一浮二芤为定序而分
七八九之名乎大抵因浮而见者皆为表因沉而见者皆为里何拘于七八九哉庐山刘立之以浮沉迟
数为纲以教学人虽似捷径然必博学反约然后能入脉妙若以此自足亦画矣
撄宁滑寿曰脉之阴阳表里以对待而为名象也高阳生之七表八里九道盖凿凿也求脉之明为
脉之晦谢氏曰脉经论脉二十四种初无表里九道之目其言芤脉云中央空两边实云芤则为阴而脉
诀以芤为七表属阳云中间有两头无仲景脉法云浮大数动滑为阳沉涩弱弦微为阴而脉诀以动为
阴以弦为阳似此背误颇多则脉诀非叔和书可推矣
草庐吴澄曰俗误以脉诀为脉经而王氏脉经知者或鲜脉书往往混牢革为一夫牢为寒实革为
虚寒安可混乎脉之浮沉虚实紧缓数迟滑涩长短之相反匹配自不容易况有难辨如洪散俱大而洪
有力微细俱小而微无力芤类浮而边有中无伏类沉而边无中有若豆粒而摇摇不定者动也若鼓皮
而如如不动者革也俱对待也又有促结代皆有止之脉促疾结缓故可为对代则无对总之凡二十七
脉不止于七表八里九道二十四脉也(详文集)
濒湖李时珍曰脉经论脉止有二十四种无长短二脉脉诀歌脉亦有二十四种增长短而去数散
皆非也素难仲景论脉只别阴阳初无定数如素问之鼓搏喘横仲景之 平荣章纲损纵横逆顺之类
是也后世脉之精微失传无所依准因立名而为之归着耳今之学人按图索骥犹若望洋而况举其全
旨乎此草庐公说独得要领也
Zhu Xi (Hui'an) stated: In ancient times, pulse diagnosis was not conducted by a single method. Nowadays, people only adhere to the methods of the Cun, Guan, and Chi positions. The location of the "Guan" is often unclear. Only the popularly circulated *Mai Jue* (Pulse Mantra), despite its vulgar and shallow language, can directly point to the prominent bone as the "Guan". However, eminent physicians of the world, knowing this book to be a forgery, discard it and speak of it with shame. (Postscript on Guo Changyang's Book)
Liu Guan from Dongyang stated: Wang Shuhe compiled the *Mai Jing* (Classic of Pulse Diagnosis) in ten volumes, which became a classic for medical practitioners. Today, the *Mai Jue* is widely memorized and spoken of, and people directly attribute it to Wang Shuhe. Yet, they do not know that Wang Shuhe lived during the Western Jin Dynasty, when verse mnemonics had not yet been created. This was forged by someone in the middle of the Song Dynasty for the convenience of learning and recitation. Master Zhu accepted his theory of using the prominent bone as the "Guan", unaware that this concept actually originates from the *Mai Jing*.
Xie Jinweng from Luling stated: It is unknown when the so-called *Shuhe Mai Jue* originated. When the *Mai Jing* was corrected in the early Xining era of the Song Dynasty, this book did not yet exist. Chen Kongshuo was the first to claim that after the *Mai Jue* appeared, the *Mai Jing* fell into obscurity. Thus, the *Mai Jue* must have been composed by someone after the Xining era. Only Chen Wuze in the *San Yin Fang* (Treatise on Three Causes) stated that Gao Yangsheng plagiarized content to create verse mnemonics, and Liu Yuanbin followed suit. Their theories seemed to demonstrate a deep understanding of the *Mai Jing*, yet they invented the names "Seven Superficial, Eight Interior, Nine Dao". This implies that Chen Wuze had not read the *Mai Jing* in detail.
Wang Shixiang from Hedong stated: The art of pulse diagnosis is difficult to master. The profound teachings of Huangdi and Qibo, as well as the *Nan Jing* (Classic of Difficult Issues) and *Mai Jing* compiled by Bian Que and Wang Shuhe, did not fully reveal their mysteries. Gao Yangsheng of the Five Dynasties period authored the *Mai Jue*, falsely attributing it to Wang Shuhe. The text contains many contradictions and uses vulgar language. It has been wrongly annotated by secular scholars. Physicians pass it down family to family and recite it household to household, yet remain confused about where to begin. They merely use it to make a living; what benefit does it bring to clinical diagnosis?
Qian Pu from Yunjian stated: Wang Shuhe, Grand Physician of the Jin Dynasty, authored the *Mai Jing*, whose words are reliable and should not be altered arbitrarily. However, once the fake *Mai Jue* attributed to Wang Shuhe circulated, the principles of medical classics declined. This is likely because Wang Shuhe was highly trusted by the world, allowing those who borrowed his name to gain traction. Nevertheless, the gradual superficiality of medical knowledge may well have been misled by this.
Dai Qizong from Jinling stated: Pulse cannot be named by "Superficial" (Biao) and "Interior" (Li). Huangdi, Qibo, Bian Que, and Wang Shuhe never spoke of Biao-Li pulses. The *Mai Jue* stole Wang Shuhe's reputation to establish "Seven Superficial, Eight Interior, Nine Dao", causing great confusion among the world. Pulse variations arise from Yin and Yang; one can only discuss them in terms of Yin-Yang opposition and categorization. How can one fix an order like "First Floating, Second Knotted" to divide them into Seven, Eight, and Nine? Generally, pulses revealed by floating belong to Biao, and those revealed by sinking belong to Li. Why stick to Seven, Eight, and Nine? Liu Lizhi of Mount Lu used Floating, Sinking, Slow, and Rapid as guidelines for teaching. Although this seems like a shortcut, one must study extensively and then return to simplicity to enter the subtleties of pulse diagnosis. If one becomes complacent with this, it is like drawing a boundary around oneself.
Hua Shou (Yingning) stated: The Yin and Yang, Biao and Li of the pulse are named based on opposing images. Gao Yangsheng's "Seven Superficial, Eight Interior, Nine Dao" were likely forced interpretations. Seeking clarity in pulse leads to its obscurity. Mr. Xie stated: The *Mai Jing* discusses twenty-four types of pulses, originally without categories of Biao, Li, or Nine Dao. Regarding the Kou (Hollow) pulse, it says: "Empty in the center, solid on both sides." It also states: "Kou belongs to Yin." However, the *Mai Jue* lists Kou under Seven Superficial, attributing it to Yang. It also says: "Two ends present, middle absent." Zhang Zhongjing's pulse method states: "Floating, Large, Rapid, Agitated, Slippery are Yang; Deep, Choppy, Weak, String-like, Faint are Yin." But the *Mai Jue* classifies Agitated as Yin and String-like as Yang. There are many such errors, proving that the *Mai Jue* is not by Wang Shuhe.
Wu Cheng (Caolu) stated: People mistakenly confuse the *Mai Jue* with the *Mai Jing*, while few know Wang's *Mai Jing*. Pulse books often confuse Lao (Solid) and Ge (Drum-skin) pulses. Lao indicates Cold-Excess, while Ge indicates Deficiency-Cold; how can they be mixed? The matching of opposite pulse qualities like Floating/Sinking, Deficiency/Excess, Tight/Relaxed, Rapid/Slow, Slippery/Choppy, Long/Short is not easy. Consider those hard to distinguish: Hong (Surging) and San (Scattered) are both large, but Hong is forceful while San is weak. Wei (Micro) and Xi (Fine) are both small, but Wei lacks strength while Xi has roots. Kou resembles Floating but is empty in the center; Fu (Hidden) resembles Deep but is absent at the surface. A pulse that wavers like a bean grain is Dong (Agitated); a pulse that feels like a drum skin—hard outside but empty inside—is Ge. These are pairs. There are also Cu (Rapid-intermittent), Jie (Slow-intermittent), and Dai (Intermittent) pulses, all having pauses. Cu is rapid, Jie is slow, so they can be paired; Dai has no pair. In total, there are twenty-seven pulses, not just the twenty-four mentioned in the Seven Superficial, Eight Interior, and Nine Dao. (See detailed writings)
Li Shizhen (Binhu) stated: The *Mai Jing* discusses only twenty-four pulses, lacking Long and Short. The *Mai Jue* also lists twenty-four, adding Long and Short while removing Rapid and Scattered, which is incorrect. The *Su Wen* (Yellow Emperor's Inner Canon), *Nan Jing*, and Zhang Zhongjing discussed pulses only by distinguishing Yin and Yang, without fixed numbers. Examples include Drumming/Pounding and Panting/Horizontal in the *Su Wen*, and Ying-Wei, Gang-Gang, Sun-Zong, Ni-Shun in Zhang Zhongjing's Ping Mai Chapter. Since the subtleties of pulse diagnosis were lost in later generations, lacking standards, names were created for classification. Modern students searching for horses according to pictures are like gazing at the ocean in awe; how can they grasp the full essence? Only Master Caolu's (Wu Cheng) statement captures the key point.