答曰。散而浮大者心也。心主无为。相火用事。是为相应。以五服言之。王畿中也。以
王畿
言之。九重中也君主无为。当静以养血。若浮大而出于外。非其所宜也。以王道言之书云。
外作禽荒。未或不忘。经云。主不明。则十二官危矣。此散而浮大者。君主兼臣下之权而不
知反。故曰大则病进。
南政甲巳所临之岁。司天在泉。但见君火在上者。上不应。在下者。下不应。
北政但见君火在上。则下不应。在下则上不应。在左则右不应。在右则左不应。当沉而
浮。当浮而沉也
北政以前为右。以后为左。 臣也
启玄子云天地阴阳视之可见。何必思诸冥昧演法推求。智极心劳。而无所得耶。
仲景先太阳。坎阳明后少阳。自无形传有形。从外而之内者也。仲景之所言。天令而暴
至者
也难经先少阳。次阳明。后太阳。自有形传无形从内而之外者也。故难经之言。言杂病而久
疾者也。
张仲景
王叔和
\r论弦涩图\ps11a5.bmp\r
仲景言弦涩为阴。叔和言弦涩为阳。何意。大抵弦涩东西也。以南北分之。故有阴阳之
别。
涩本燥火弦本水少。虽有南北之分。总而言之。则不离诸数为热。诸迟为寒。仲景叔和言本
两途。非相违背。合而论之皆是也。仲景所言。言伤寒自外而入者。叔和所言。言五脏自内
而出者。
伤寒从气而入。故仲景以弦脉为阴。自艮而之内从外入。先太阳也。位在东北。
杂病从血
而出。故叔和以弦脉为阳。自巽而之外。从内出。先少阳也。位在东南。
北弦 胸中痛 寒在胃 停水满丹田 南目赤 叫呼烦躁 大肠。 胃。 三焦
右 寸肺 关脾 尺命门 左 寸心 关肝 尺肾 寒
引饮脉八九至 小肠 胆弦 膀胱 南弦（理中汤） 子能令母实 北固卫之阳（桂
凡在右者。皆受左克。
里 自右之左 主从客变 右 （大肠庚肺辛） 涩（胃戊脾巳） 缓 命门相火 洪
左 （心丁小肠丙） 洪（肝乙胆甲） 弦（肾 癸 膀胱 壬）沉
表 自左之右 客从主变
凡在左者。皆克诸右
浮克浮 沉克沉
Answer: A pulse that is scattered and floating and large corresponds to the Heart. The Heart governs non-action (stillness), while the Ministerial Fire performs its functions; this is a state of correspondence. Using the system of the Five Services as an analogy, the Heart is located in the Royal Domain (Wangji). From the perspective of the Royal Domain, it is at the center of the ninefold palace. The Sovereign should practice non-action, maintaining stillness to nourish Blood. If the pulse is floating and large and disperses outward, it is not appropriate for the Heart. From the perspective of Kingly Way, the *Book of Documents* states: "Indulging in hunting abroad leads to forgetting one's roots." The *Classic of Difficulties* (*Nanjing*) states: "If the Ruler is not enlightened, the Twelve Officials will be in peril." This explains why when the pulse is scattered, floating, and large, the Ruler (Heart) usurps the authority of the ministers (other organs) without self-reflection; thus it is said that "Large indicates disease progression" (a large pulse signifies worsening condition).
In years governed by South Polarity during Jia and Yi cycles, regarding the Heaven- ruling Qi and Earth-ruling Qi: if Ministerial Fire is seen above, there is no response above; if seen below, there is no response below.
In years governed by North Polarity: if Ministerial Fire is seen above, there is no response below; if seen below, there is no response above; if seen on the left, there is no response on the right; if seen on the right, there is no response on the left. The pulse should be deep but appears floating; it should be floating but appears deep.
For North Polarity, the preceding period designates the right side, and the succeeding period designates the left side; these represent the position of the minister.
Qi Xuanzi (Wang Bing) stated: The Yin and Yang of Heaven and Earth can be observed directly; why delve into obscure mysteries and laboriously deduce laws? Exhausting wisdom and straining the mind yields nothing.
Zhang Zhongjing discusses Taiyang first, then Yangming, and finally Shaoyang. This represents transmission from formless Qi to formed pathogens, moving from the exterior to the interior. What Zhang Zhongjing describes refers to sudden severe cold weather invading the body.
The *Nanjing* discusses Shaoyang first, then Yangming, and finally Taiyang. This represents transmission from formed pathogens to formless Qi, moving from the interior to the exterior. Therefore, what the *Nanjing* describes refers to chronic diseases arising from long-standing miscellaneous disorders.
Zhang Zhongjing
Wang Shuhe
[Diagram of Xian and Se Pulses]
Zhang Zhongjing states that Xian (Wiry) and Se (Choppy) pulses are Yin, whereas Wang Shuhe states they are Yang. What is the meaning? Generally, Xian and Se relate to the East-West axis. Divided by North-South, they exhibit Yin-Yang distinctions.
Se fundamentally belongs to Dryness-Fire, while Xian fundamentally belongs to deficient Water. Despite North-South distinctions, generally speaking, numerous pulses indicate Heat, and slow pulses indicate Cold. The statements of Zhang Zhongjing and Wang Shuhe originate from two different perspectives and do not contradict each other; combined, both are correct. Zhang Zhongjing’s statement refers to Cold Damage entering from the exterior; Wang Shuhe’s statement refers to Zang organ pathology emerging from the interior.
Cold Damage enters via Qi; therefore, Zhang Zhongjing considers the Xian pulse as Yin, entering from the Gen trigram direction inward, from outside to inside, affecting the Taiyang channel first. Its position is Northeast.
Miscellaneous diseases emerge via Blood; therefore, Wang Shuhe considers the Xian pulse as Yang, exiting from the Xun trigram direction outward, from inside to outside, affecting the Shaoyang channel first. Its position is Southeast.
North Xian pulse: Chest pain, Cold in the Stomach, water retention filling the Dantian.
South Xian pulse: Red eyes, shouting/calling, irritability/agitation, involving Large Intestine, Stomach, Sanjiao.
Right Hand Pulse: Cun (Inch) reflects Lung, Guan (Bar) reflects Spleen, Chi (Cubit) reflects Mingmen.
Left Hand Pulse: Cun reflects Heart, Guan reflects Liver, Chi reflects Kidney, presenting with Cold signs.
Pulse associated with excessive drinking: 8-9 beats per breath cycle, involving Small Intestine, Gallbladder.
Xian pulse: Bladder.
South Xian pulse (treatable with Lizhong Decoction): "Child makes Mother full" (excess transmission).
North consolidating Wei Yang (using Guizhi Tang or similar warming methods).
Any pulse on the Right is controlled/overcome by the Left.
Interior Syndrome: From Right to Left, Master changes according to Guest. Right side corresponds to Large Intestine (Geng Metal) and Lung (Xin Metal); Se pulse corresponds to Stomach (Wu Earth) and Spleen (Ji Earth); Huan (Moderate) pulse corresponds to Mingmen Ministerial Fire; Hong (Surging) pulse...
Left side corresponds to Heart (Ding Fire) and Small Intestine (Bing Fire); Hong pulse corresponds to Liver (Yi Wood) and Gallbladder (Jia Wood); Xian pulse corresponds to Kidney (Gui Water) and Bladder (Ren Water); Chen (Deep) pulse...
Exterior Syndrome: From Left to Right, Guest changes according to Master.
Any pulse on the Left controls/overcomes all pulses on the Right.
Floating overcomes Floating, Deep overcomes Deep.