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The pulse of Chang (Long) has a peaceful qi, indicating normality; the pulse of Duan (Short) has diseased qi. A thin pulse indicates deficient qi and blood; a large pulse indicates the progression of disease. This passage discusses the diseases associated with the Long, Short, Thin, and Large pulses. The Long pulse has smooth and free-flowing qi, hence it is called "Ping" (normal); the Short pulse has hurried qi, hence it is called "Bing" (diseased). The Thin pulse arises from insufficient righteous qi, thus manifesting as scanty qi and blood. The Large pulse arises from excess pathogenic factors, thus indicating disease progression.

A floating and long pulse governs wind epilepsy; a sinking and short pulse governs retained food. Blood deficiency results in a deficient pulse; Qi excess results in an excess pulse. This passage discusses the diseases associated with the Long, Short, Deficient, and Excess pulses. The Long pulse resembles the Xian (Wiry) pulse and is also a manifestation of Liver Wood. Floating indicates Wind; when Wind-Wood prevails excessively, epilepsy occurs. Sinking pulses govern interior syndromes; sinking combined with shortness indicates retained food stagnating in the middle jiao, causing dysfunction of Middle Qi. The pulse is the mansion of Blood; a deficient pulse signifies Blood deficiency. The pulse moves by Qi; excess Qi manifests as an excess pulse.

The Hong (Surging) pulse indicates Heat, implying Yin deficiency if present in the Yin aspect. The Xi (Fine/Thin) pulse indicates Dampness, implying Blood deficiency. The Hong pulse is a sign of Yang excess, therefore it corresponds to Heat; excess Yang and insufficient Yin result in Yin deficiency. The Xi pulse belongs to Yin pulses; it is fine, small, and unresisting, representing a sign of Yin-Dampness. Furthermore, the Xi pulse indicates Blood deficiency because the pulse takes Blood as its substance.

A Huan (Slow/Lax) and large pulse indicates Wind; a Huan and fine pulse indicates Dampness; a Huan and Se (Choppy) pulse indicates little Blood; a Huan and Hua (Slippery) pulse indicates internal Heat. This passage discusses the diseases associated with the Huan pulse combined with other pulses. Hollow and lax indicates the arrival of strong Wind. Slow and moist/fine indicates invasion by Dampness. Huan and choppy indicates that Blood must be scarce. Huan and slippery/fast indicates internal Heat.

Ru (Soggy) and Xiao (Small) pulses indicate Yin deficiency and weakness; Ruo (Weak) pulses indicate exhaustion of Yang. Exhaustion of Yang causes aversion to cold; Yin deficiency causes fever. This passage discusses the diseases associated with the Ru pulse. The Ru and Xiao pulse is described as floating on the water surface like silk, having no depth below; this is a sign of Yin deficiency. The Ruo pulse lacks fullness and distending power, which is a sign of Yang exhaustion. When Yang exhausts, Yin overcomes Yang, leading to aversion to cold. When Yin is deficient, Yang invades Yin, leading to fever.

Yang deficiency (Wei pulse) causes aversion to cold; Yin deficiency (Wei pulse) causes fever. In men, a Wei (Microscopic/Faint) pulse indicates deficiency and damage; in women, it indicates bleeding from the lower orifices (hematochezia/menorrhagia). This passage discusses the diseases associated with the Wei pulse. The Wei pulse feels as if it is about to disappear, existing only faintly, describing extreme deficiency. A Wei pulse at the Cun (Cun position) indicates Yang deficiency with Yin Qi ascending into the Yang region, causing aversion to cold. A Wei pulse at the Chi (Chi position) indicates Yin deficiency with Yang Qi sinking into the Yin region, causing fever. Men presenting with this pulse not only experience aversion to cold and fever but also suffer from deficiency damage. Women presenting with this pulse not only experience aversion to cold and fever but also suffer from bleeding.

Yang movement (Dong pulse) causes sweating; Yin movement causes fever, pain, and fright. It can also lead to metrorrhagia (Beng Zhong) and blood loss. This passage discusses the diseases associated with the Dong (Moving) pulse. The Dong pulse is a type of Shu (Rapid) pulse appearing above and below the Guan (Guan position), without head or tail, resembling a bean in size, trembling vigorously. Therefore, in cases of Yang deficiency, it is Yang movement; the exterior defense is not secure, leading to spontaneous sweating. In cases of Yin deficiency, it is Yin movement; the interior retention is restless, leading to spontaneous fever. Pain and fright occur because Yin and Yang are disharmonious, and both Wei (Defensive) and Ying (Nutritive) functions lose their duties, thereby leading to metrorrhagia and blood loss, which has been developing for some time.