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When deficiency and cold pathogens combine, the pulse is named *Ge* (Reed Pulse). In men, it manifests as seminal emission or loss of essence; in women, as hemorrhage. This passage discusses the diseases associated with the *Ge* pulse. A pulse that is wiry (*Xian*) and hollow like a scallion stalk (*Kou*) is called *Ge*. The wiry quality indicates cold, while the hollow quality indicates deficiency. Since there is both deficiency and cold, the pulse appears taut on the exterior but empty within. In men, this results in blood loss or loss of essence; in women, it results in miscarriage or metrorrhagia. These are all manifestations of an empty interior pulse.

Exuberant Yang leads to the *Cu* (Surging) pulse, indicating lung abscess (*Fei Yong*) or toxic heat; exuberant Yin leads to the *Jie* (Knotted) pulse, indicating hernia (*Shan*), mass accumulation (*Jia*), and stagnant Qi. This passage discusses the diseases associated with the *Cu* and *Jie* pulses. When a rapid pulse (*Shu Mai*) occasionally stops, it is called *Cu*. The rapid quality indicates heat and Yang exuberance, primarily reflecting toxic heat gathering in the upper Jiao or forming a lung abscess. The flow of pulse Qi is obstructed, causing occasional stops. When a slow pulse (*Huan Mai*) occasionally stops, it is called *Jie*. This indicates Yin exuberance, primarily reflecting pathology in the Yin aspect, such as abdominal hernias, chronic masses (*Jia*), or long-standing stagnant Qi that has hardened and accumulated, obstructing the flow of pulse Qi and causing occasional stops. In such cases, one must examine the frequency of the pauses to determine the severity of the disease.

The *Dai* (Intermittent) pulse indicates Qi decline, or conditions such as diarrhea with pus and blood, Taiyang disease accompanied by palpitations, or pregnancy at three months. This passage discusses the diseases associated with the *Dai* pulse. The *Dai* pulse is also a type of pulse with pauses. The pauses in the *Cu* and *Jie* pulses are due to internal obstructions; although they stop irregularly, the pulse does not completely cease and retains a sense of continuity. In contrast, the *Dai* pulse features pauses without immediate resumption and follows a regular pattern, resembling a succession or replacement. Only extreme depletion of Yuan Qi (Original Qi) would lead to this state. Diarrhea with pus and blood indicates exhaustion of Ying Blood (Nutritive Blood), presenting as a state of impending collapse and discontinuity. Palpitations in Taiyang disease result from sinking of Middle Qi and interior deficiency after sweating, leading to the appearance of the *Dai* pulse. In women, during the ten-month gestation period, at three months, the Pericardium Meridian governs. The fetus relies on blood for nourishment; if the Qi distribution and fetal pulse become deficient, a *Dai* pulse will appear.

Pulses indicating diseases have appropriate and inappropriate presentations; the smoothness or reversal of Yin and Yang, and thus auspiciousness or inauspiciousness, can be deduced. This passage states that the Yin-Yang dynamics, smooth/reversal nature, and prognosis of pulses can be analogized. Where there is a disease, there is a corresponding pulse, just as a shadow follows a form. If the pulse and disease correspond appropriately, it is "Smooth" (Shun); if not, it is "Reversal" (Ni). How to distinguish between Reversal and Smooth? This depends on Yin and Yang. For example, a Yang pulse appearing with a Exterior syndrome, or a Yin pulse appearing with an Interior syndrome, are both Smooth and appropriate. The opposite constitutes Reversal, from which the prognosis can be inferred.

For Wind-Stroke (*Zhong Feng*), a Floating-Slow (*Fu Huan*) pulse is appropriate; an Urgent-Excess (*Ji Shi*) pulse is contraindicated. A Floating-Slippery (*Fu Hua*) pulse indicates Phlegm obstruction (*Zhong Tan*); a Deep-Slow (*Chen Chi*) pulse indicates Qi obstruction (*Zhong Qi*); a Deep-Slippery (*Chen Hua*) pulse indicates Corpse Syncope (*Shi Jue*). Sudden unconsciousness occurs when pathogens enter the Zang organs, resulting in cold limbs; when they enter the Fu organs, the body remains warm. This passage discusses the specific indications and contraindications of pulses in various diseases. When wind pathogen attacks the Exterior, the pulse should be Floating-Slow. An Urgent-Excess pulse indicates severe pathology, hence it is contraindicated. A Floating-Slippery pulse indicates Phlegm obstruction, resembling stroke-like symptoms. A Deep-Slow pulse indicates the pathogen is not in the Exterior but in the Interior, termed *Zhong Qi*. *Shi Jue* (Corpse Syncope) also resembles stroke, characterized by sudden collapse and unconsciousness. When the pathogen enters the Zang organs, Qi sinks into Yin, causing the body to become cold. When the pathogen enters the Fu organs, Qi moves outward into Yang, causing the body to remain warm.