迟脉属阴一息三至小 于迟缓不及四二损一败病不可治两息夺精脉已无气浮大虚散或见
芤革浮小濡微沉小细弱迟细为涩往来极难易散一止止而复还结则来缓止而复来代则来缓止不
能回此言迟脉之形兼诸脉之义一呼一吸为一息脉应四至是其常也迟则一息三至气不振发行不
如度故曰属阴缓则小 于迟犹未及于四至若一息二至元气已损一息一至元气已败病则必不可
治两息一至真精夺去虽一见脉正气已无不过烬灯之余焰耳迟而浮大或为虚散或为芤革迟而浮
小不为濡则为微迟而沉小不为细则为弱迟而细则力不足于往来名曰涩往来艰涩则易于散而或
有一止然非脏绝之脉故止而复还也结则缓中时或一止止而复来盖气有结滞脉为阻碍暂一止而
复来与涩之易散一止者不相悬也代则缓中一止止不能回(脉经)所云不能自还因而复动正如
替
代之代有出无入有去无来之象
数脉属阳六至一息七疾八极九至为脱浮大者洪沉大牢实往来流利是谓之滑有力为紧弹如
转索数见寸口有止为促数见关中动脉可候厥厥动摇状如小豆此言数脉之形兼诸脉之义脉以四
至为平闰以太息不出五至若一息六至是为数脉气行疾速逾于常度故曰属阳一息七至气更 速
故曰疾一息八至阳热已极一息九至则元神散脱而与迟之夺精无异也数而浮大其名曰洪数而沉
大不为牢即为实数而往来流利是名曰滑数而有力是名曰紧(脉经)所云如转索如切绳弹搏似
乎
数也若数中时见一止名曰促脉脉流数疾偶不相继故一止耳(张仲景)云阳盛则促故当于寸口
见
焉若数脉见于关上名曰动脉盖关为阴阳交互之处阴阳不和两相抗激而厥厥动摇也然上下无头
尾止在关上一分非圆实之小豆不足以形容其状也
The Chi (Slow) pulse belongs to Yin. It beats three times per *xi* (one respiratory cycle), which is less than the Chi (Sluggish) pulse and does not reach four beats. If it beats twice per *xi*, it is a Sun (Damage) pulse; if once per *xi*, the Yuan Qi (Primal Qi) is exhausted, and the disease is incurable. If it beats only once every two *xi*, the Zhen Jing (True Essence) has been depleted, and there is no Zheng Qi (Upright Qi) in the pulse. Even if a Floating-Large, Deficient-Scattered, Kou (Hollow)-Ge (Leather), Floating-Small, Ru (Soggy)-Wei (Minute), or Sinking-Small, Fine-Weak pulse appears, it is merely the remaining flame of an extinguishing lamp. A Slow pulse that is also Floating-Large may indicate a Xu (Deficient)-San (Scattered) pulse or a Kou-Ge pulse. A Slow pulse that is Floating-Small is either a Ru or Wei pulse. A Slow pulse that is Sinking-Small is either a Xi (Fine) or Ruo (Weak) pulse. A Slow pulse that is Fine indicates insufficient force for smooth flow, termed Se (Choppy). In a Choppy pulse, the flow is difficult and choppy, prone to scattering, and may have occasional pauses, but the pause is followed by resumption; this is not a sign of organ failure. The Jie (Knotted) pulse is slow with occasional pauses, where the pause is followed by resumption. This differs from the Choppy pulse, which scatters easily after a single pause. The Dai (Intermittent) pulse is slow with a pause that cannot resume immediately (as stated in the *Mai Jing*: "cannot return on its own," thus moving again later). It resembles the concept of "substitution," having an exit without an entry, and a departure without a return.
The Shu (Rapid) pulse belongs to Yang. It beats six times per *xi*. Seven beats per *xi* is the Ji (Fast) pulse; eight beats is the Ji (Extreme) pulse; nine beats is the Tuo (Loose/Dispersed) pulse. A Rapid pulse that is Floating-Large is called Hong (Surging). A Rapid pulse that is Sinking-Large is Lao (Firm) or Shi (Excess). If the flow is smooth and slippery, it is Hua (Slippery). If it is forceful, it is Jin (Tight). If a Rapid pulse appears at the Cun (Inch) position with intermittent pauses, it is called Cu (Hasty). If a Rapid pulse appears as a Dong (Moving) pulse at the Guan (Bar) or Zhong (Middle) positions, one can palpate a quivering, trembling sensation, resembling a small bean jumping. This describes the morphology of the Rapid pulse and its relationship with other pulses. A normal pulse has four beats per *xi*; even with a deep breath (*tai xi*), it should not exceed five beats. Six beats per *xi* constitutes the Shu (Rapid) pulse, indicating Qi movement that is rapid and exceeds normal limits, hence belonging to Yang. Seven beats per *xi* indicates faster Qi movement, hence called Ji (Fast). Eight beats per *xi* indicates extreme Yang heat. Nine beats per *xi* indicates the dispersion of Yuan Shen (Primal Spirit), similar to the depletion of essence seen in the Slow pulse. A Rapid pulse that is Floating-Large is named Hong (Surging); a Rapid pulse that is Sinking-Large is either Lao (Firm) or Shi (Excess); a Rapid pulse with smooth flow is named Hua (Slippery); a Rapid pulse that is forceful is named Jin (Tight) (as stated in the *Mai Jing*: like a turning rope, like cutting a cord, bouncing as if rapid). If a Rapid pulse occasionally presents a pause, it is called Cu (Hasty) because the rapid flow occasionally fails to continue consecutively (Zhang Zhongjing stated: Excess Yang leads to a Hasty pulse, so it is seen at the Cun position). If a Rapid pulse appears at the Guan position, it is called a Dong (Moving) pulse. The Guan position is where Yin and Yang intersect; when Yin and Yang are disharmonious and antagonize each other, they cause quivering tremors. However, lacking head and tail above and below, confined to the Guan section, only a round, solid small bean can adequately describe its appearance.