肺主气,其脉居右寸,脾、胃、命门、三焦,各以气为变化运用,故皆附焉。心主血,其脉居左寸,肝、胆、肾、
膀胱,皆精血之隧道管库,故亦附焉。男以气成胎,则气为之主;女挟血成胎,则血为之主。男子久病,右脉充于左脉
者,有胃气也,病虽重可治;女子久病,左脉充于右者,有胃气也,病虽重可治。反此者,虚之甚也。或曰∶左心、小
肠、肝、胆、肾、膀胱;右肺、大肠、脾、胃、命门、三焦。男女所同不易之位也。脉法赞曰∶左大顺男,右大顺女。
吾子之言,非惟左右倒置,似以大为充,果有说以通之乎?曰∶大,本病脉也。今以大为顺,盖有充足之义,故敢以充
言之。《脉经》一部,谆谆于教为医者尔!此左右当以医者为言。若主于病,奚止于千里之谬?或曰∶上文言肝、心出左,
脾、肺出右,左主司官,右主司府,下文言左为人迎,右为气口,皆以病患之左右而为言,何若是之相反耶?曰∶《脉经》
第九篇之第五章,上文大、浮、数、动、长、滑、沉、涩、弱、弦、短、微,此言形状之阴阳。下文关前、关后等语,
又言部位之阴阳,阴附阳,阳附阴,皆言血气之阴阳。同为论脉之阴阳,而所指不同若此,上下异文,何足疑乎!赞曰∶
阴病治官,非治血乎?阳病治腑,非治气乎?由此参考,或恐与经意有合。
The Lung governs Qi, and its pulse is located at the Cun position of the right wrist; the Spleen, Stomach, Mingmen (Gate of Life, referring to the vital energy between the kidneys), and Sanjiao (Triple Burner, one of the six fu-organs that governs all Qi) each function through changes and applications of Qi, thus they are also associated with it. The Heart governs Blood, and its pulse is located at the Cun position of the left wrist; the Liver, Gallbladder, Kidney, and Bladder are all channels and storehouses for Essence and Blood, thus they are also associated with it. Males conceive based on Qi, so Qi is primary; females conceive based on Blood, so Blood is primary. In males with chronic illness, if the pulse on the right is fuller than that on the left, it indicates the presence of Stomach Qi; even if the illness is severe, it is treatable. In females with chronic illness, if the pulse on the left is fuller than that on the right, it indicates the presence of Stomach Qi; even if the illness is severe, it is treatable. The reverse situation indicates extreme deficiency. Someone asked: "The left side corresponds to the Heart, Small Intestine, Liver, Gallbladder, Kidney, and Bladder; the right side corresponds to the Lung, Large Intestine, Spleen, Stomach, Mingmen, and Sanjiao. This is the fixed position unchanged by gender. The Pulse Method eulogy states: 'A large pulse on the left suits a male, a large pulse on the right suits a female.' Your statement not only reverses left and right but seems to interpret 'large' as fullness. Is there indeed an explanation to reconcile this?" I replied: "'Large' is originally a pathological pulse characteristic. Now saying 'large' is favorable implies a meaning of sufficiency, so I dare to speak of 'fullness'. The *Mai Jing* (Pulse Classic) earnestly instructs physicians! Here, 'left and right' should refer to the physician's left and right. If it referred to the patient's left and right, how could the error not be thousands of miles away?" Another asked: "The previous text stated that the Liver and Heart emerge from the left, and the Spleen and Lung from the right; the left governs Zang organs (officials), and the right governs Fu organs (palaces). The subsequent text stated that the left is the Renying point and the right is the Qikou point, all speaking of the patient's left and right. Why is it so contrary?" I replied: "In Chapter 5 of Part 9 of the *Mai Jing*, the aforementioned Da (Large), Fu (Floating), Shu (Rapid), Dong (Agitated), Chang (Long), Hua (Slippery), Chen (Deep), Se (Choppy), Ruo (Weak), Xian (Wiry), Duan (Short), and Wei (Minute) describe the Yin-Yang of pulse shapes. The subsequent text regarding positions before and after the Guan (Cord) describes the Yin-Yang of locations. Yin attaches to Yang, and Yang attaches to Yin; all discuss the Yin-Yang of Qi and Blood. Although both discuss the Yin-Yang of pulses, their references differ as such. How can different texts above and below cause doubt?" The eulogy states: "Treating Zang organs for Yin diseases, is it not treating Blood? Treating Fu organs for Yang diseases, is it not treating Qi?" By referencing this, one might fear it aligns with the intent of the classics."